LUNATIC ASYLUMS OF THE COLONY (REPORT ON) FOR 1891.

Appendix to the Journals of the House of Representatives, 1892 Session I, H-04

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1892. NEW ZEALAND.

LUNATIC ASYLUMS OF THE COLONY (REPORT ON) FOR 1891.

Presented to both Houses of tlie General Assembly by Command, of Sis Excellency.

The Inspectob of Asylums to the Hon. the Minister of Education. Bm,— Ist April, 1892. I have the honour to lay before you the following report on the lunatic asylums of the colony for the year 1891: — The number of registered insane persons in the colony on the 31st December, 1891, was 1,849, showing an increase over the preceding year of 52 persons, being 20 males and 32 females. These are distributed as follows : — Males. Females. Total. Auckland ... ... ... ... ... 258 ... 129 ... 387 Christchurch ... ... ... ... 228 ... 186 ... 414 Seacliff (Dunedin) ... ... ... ... 296 ... 215 ... 511 Hokitika ... ... ... ... ... 65 ... 35 ... 100 Nelson ... ... ... ... ... 67 ... 47 ... 114 Wellington... ... ... ... ... 181 ... 106 ... 287 Ashburn Hall (private asylum) ... ... 20 ... 16 ... 36 1,115 ... 734 ... 1,849 The proportion of the insaneto the population is— New Zealand (exclusive of Maoris) ... ... 2-92 per 1,000, or Ito 343 New Zealand (inclusive of Maoris) ... ... 2-74 per 1,000, or Ito 365 At the end of 1890 New South Wales had ... ... ... lin 377 Victoria had... ... ... ... ... lin 304 England and Wales had ... ... ... lin 341 To explain the state of things in this and the other Australasian Colonies I cannot do better than quote the remarks of the Inspector of Lunatic Asylums for Victoria in his report for 1890. Writing of the high rate of insanity he says, " The cause of the high rate of insanity can only be surmised, though various influences at work suggest an explanation. Chief among these are— (a.) The facilities offered by our lunacy system for safely and cheaply disposing of weak-minded persons who have become a burden to their proper guardians. The cost of medical examination of persons suspected of being insane, as well as of the transport of lunatics, and their maintenance in the asylums, is here largely borne by the State, not by municipal or district authorities, as in other countries. (6.) The poorhouse system of Britain has no equivalent here, and in so far there is wanting this outlet for a large class of our asylum inmates, (c.) The standard of mental unsoundness in use leads to many persons suffering only from old age, and harmless as regards themselves or others, being certified as insane, (d.) The mortality among patients has been low, resulting in an accumulation of the. old and incurable, (c.) A large number of our population follow nomadic pursuits, and so are especially exposed to some of the most potent causes of mental disease." The new asylum at Porirua, now rapidly approaching completion, will enable me for the first time since I took charge of the department to provide sufficient cubic space for every insane person in the colony. The central block now under contract makes provision for over two* hundred patients of the chronic class, and the plans are so arranged that at a comparatively small cost the accommodation can be extended as population increases. There is still no prospect of my being able to provide separate buildings for insane criminals, for idiots, nor for inebriates. I am authorised, however, by the proprietors of Ashburn Hall private asylum to say that they are now building a separate block of buildings furnished with all the modern requirements for the treatment of inebriates. Of course, this will benefit only such persons as are able to pay. The necessity for obeying the requirements of the law by providing separate accommodation for inebriates has recently been pointedly brought before the country by a I—H. 4.

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Judge of the Supreme Court. He ordered the release of a patient because there was not provided a ward or division of the asylum in which lunatics are not detained, and in which the man could be kept separate from them. If this is followed up by the other Judges refusing to commit until proper provision is made, I have no doubt public opinion will soon demand a vote for the purpose. Admissions. On the Ist day of January, 1891, the number of insane persons in our asylums was 1,797 —■ males, 1,095 ; females, 702. Those admitted during the year for the first time numbered 349; while readmissions numbered 86. DISCHABGES. The total number removed by discharge and death during the year was 383 —males, 214; females, 169. The percentage of recoveries on the admissions during the year was 3724. Tbansfebs. Owing to the great overcrowding at Wellington it was necessary to remove 30 females to Sunny side Asylum. Deaths. The percentage of deaths on the average number resident during the year was 671. In New South Wales the rate was 6-52, in Victoria 745, and in England 9-81. Boaeding Out. I have made inquiries from time to time in various parts of the colony about the possibility of introducing the system of boarding out insane patients, which has been found to be so successful in Scotland; but I found that there prevails among our people an unreasonable aversion to have anything to do with persons of unsound mind. A similar experience is recorded by the Victorian Inspector, who in his last report says, "These efforts have been in a great measure abortive, the result rather tending to show that the social conditions of the colony would preclude any extensive application of the system under consideration. People of moderate independence apparently shrink from the responsibility involved, and any considerable extension of the system could probably only be achieved at a prohibitory cost." Training op Attendants and Nubses. Thoroughly-trained professional nurses have been appointed during the year to be Matrons at two of our largest asylums, with most satisfactory results. Systematic courses of instruction for the attendants have also been introduced at Seacliff, Wellington, and Auckland. New Buildings and Impeovements. In addition to the central block of anew asylum at Porirua, we have under contract two blocks approaching completion at Sunnyside Asylum. These will at length complete the design of this Asylum, and provide for the requirements of the Canterbury District for several years to come. The operations for a complete system of fire-prevention at this institution have been delayed in a most incomprehensible fashion, notwithstanding the utmost importunity on my part. The impossibility of finding a suitable foundation for a reservoir on the Seacliff Eeserve has compelled the department to bring in a water-supply by means of pipes from springs at Omimi and Warrington. Inconsequence of the long-continued drought which, has prevailed in this district Very great hardship has been caused to the patients at Seacliff, and the difficulties of administration were greatly increased by the scanty supply of water. The abundant rainfall, however, of the last few months has removed all immediate difficulty in this respect, and before the summer comes round we shall have a sufficient supply. Among the many improvements carried out by Dr. Truby King in the management of this Asylum one of the most important has been a gravitation system of sewage irrigation, which has so far proved eminently successful. It is contemplated to introduce a similar method of utilising sewage at the new asylum at Porirua, and so far as possible at Auckland, where the difficulty of remedying the nuisance caused by the outfall into the Waitemata has seemed insuperable without enormous cost, and even then with doubtful prospect of success. It is intended for carrying out this scheme to utilise the services of Mr. Cruickshank, the farm-manager at Seacliff, whose experience acquired under |Dr. Truby King will be of great value to the department. At Auckland the farm-buildings which have been so urgently needed are now in process of construction. They are being built of concrete, for which the material and labour are being supplied by the patients, under the direction of an expert approved by the Public Works Department. Financial Eesults of the Yeak. The large increase of £4 4s. 10-J-d. in the annual cost per head in Auckland, to which I called attention last year, and which I explained by an unusually large expenditure on general improvements, has, as I anticipated, been reduced this year by £3 6s. 2fd. Next year, however, I expect a considerable increase in Auckland, Wellington, and to a lesser extent in Christchurch, owing to the necessity of providing for services hitherto undertaken by the Public Works Department. A reference to Table XVI. will show that there has been a slight increase in the cost per head, amounting on the whole to the difference between £20 16s. 2-J-d. for this year, and £20 10s. 3d. for 1890—an increase, i.e., of ss. lljd. This is accounted for by the fact that, owing to the greater vigilance exercised of late years in collecting maintenance payments, there are no longer any accumulated arrears to come in. Accordingly, the total receipts for 1891 were 7s. 7-Jd. less per

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patient than for 1890. The money therefore actually spent per patient during the year is less by Is. Bd. than for 1890. The opening of the new asylum at Porirua will, of course, cause a considerable increase for the future. A great relief will be experienced in the institutions that have suffered so much from overcrowding in recent years, but this cannot be compensated by a corresponding diminution in their expenditure. An entirely new staff of attendants will have to be provided, and many causes of expense inseparable from the opening of a new asylum must be faced. Accidents and Escapes. No serious accidents have occurred during the year, and there have been no suicides to record. An attempt was made by certain persons to work up a scare about escapes at Seacliff, but it came to nothing. The public are beginning to see that the alternative lies between the virtual imprisonment of large numbers of patients who are now daily occupied in some useful work on the farm and garden, and the inevitable wandering-away of some harmless lunatics, not one of whom is known to have caused injury to either person or property since the policy of liberty has been introduced. We must therefore choose between the employment of a large staff of unnecessary attendants to make escapes absolutely impossible, or put up with a few escapes in the course of a year, for I am persuaded that a return to the system of securing immunity from escapes by practical imprisonment of the insane will never again be tolerated.

ENTEIES OF VISITS TO THE DIPPEEENT ASYLUMS. Auckland. 7th July, 1891.—1 have this day completed my half-yearly inspection of this asylum. I have seen all -the patients, and made special inquiries about the more recent and hopeful cases in consultation with Dr. Hassell. The total number of patients is 367 —males, 252; females, 115. Of these only thirty-two men and thirty-four women are as yet incapable of being interested in some sort of occupation. There is a marked improvement in the general appearance of the inmates as a direct consequence of the attention which has been given to this important matter, and there seems to be a marked improvement in the attendants themselves, in consequence of the greater interest they take in the progress of their charges. In fact, a very pleasant and cheerful spirit pervades the whole institution. The cutting-up of the airing-courts necessitated by the drainage operations has caused a good deal of inconvenience in the working of the asylum ; but this is now at an end, and in a very short time the new airing-courts will be available for the purposes of classification. There still remain to be provided for two important improvements, the ventilation of some parts of the building, and the works required for the utilisation of the sewage, which at present is causing a serious nuisance at the point where, the main outlet joins Oakley Creek. Much greater progress can now be made in improving the farm with the amount of labour that is available, and I hope at my next visit to find great changes in this respect. All the books and documents are in good order and carefully kept. The stock-sheets of the attendants are in satisfactory order, and great care is taken to prevent any waste of materials. Every department of the institution is working well. I have carefully satisfied myself that the patients are kindly treated by the attendants. The regular visits of the Deputy Inspector and the Official Visitor, and the pains they take to find out how they are treated by familiar converse with the patients without any official being present, are in themselves a very strong guarantee that nothing can take place of the nature of neglect or cruelty without their being informed of it, and applying, as the law empowers them to do, an instant remedy. Several projected improvements have heen discussed between the doctor and myself. Eegular religious services are held, and there are regular dances for the amusement and relaxation of both patients and attendants. By-and-by we hope to be able to organize a regular series of more varied entertainments by enlisting the interest of various societies in the city and neighbourhood. 7th January, 1892.—1 find, after careful examination of all its departments, that this asylum is in an efficient and satisfactory condition so far as is possible with such a state of overcrowding on the male side. The clause of the amended Lunacy Act, 1891, which prescribes that the minimum dormitory space per patient shall be not less than 600 cubic feet, cannot be carried out until the new asylum at Porirua is built, which will be at least six months. Meanwhile, the assiduous care of Dr. Hassell and his staff is a guarantee that the very best use will be made of existing means of proper classification and treatment. The best spirit pervades the staff, and the patients were free from noise and excitement, with the exception of two cases on the male side. One of these, J. E., has long been a source of great trouble and danger in the institution, owing to the frequent outbreaks of maniacal fury to which he is subject. The number of male patients is 252, and of females 121. Two men were in seclusion, and three were confined to bed. Of the inmates,. 218 men and 85 women were engaged in some kind of useful occupation. With the exception of five men and eleven women, who wore strong dresses, no form of restraint is in use, and all these cases are destructive, tearing their clothes, and sometimes injuring themselves. Owing to the great amount of work entailed by the extensive drainage-works now most successfully completed, and the new roads in course of formation, it has not been possible to complete the airing-courts so much required both on the male and female side. I hope to see these improvements finished by the time of my next visit. I carefully examined the food, clothing, and bodily condition of all the patients, and found no neglect anywhere. The books and other statutory documents are in order. No patient is unnecessarily or improperly detained, except, of course, the usual complement of helpless and chronic cases, who in England and most other countries would be kept in refuges. The Deputy Inspector and Official Visitor are most assiduous in their periodical inspections of the Asylum, and

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nothing that they recommend as necessary for the patients or attendants is ever refused when Parliament has provided the means. The new farm-buildings will soon be put in hand, and I expect them to be ready before winter. The drainage-outfall into Oakley's Creek is a nuisance to the neighbourhood, and I hope that next year we shall be in possession of such a system of sewage irrigation over the farm as shall remove this evil. Christchurch. 21st September, 1891.—1 have this day completed my half-yearly inspection of this Asylum. I examined every part of the building, and all the patients, and I am satisfied that the institution is working well in all its departments. Every visit I make impresses me more forcibly with the vigour and justice of Dr. Levinge's administration. He is unremitting in his solicitude for the welfare and comfort of his patients and attendants. The staff is capable and loyal, and the utmost harmony prevails throughout. The new Matron, Miss Tuersley, is doing her work satisfactorily. The farm and grounds are being steadily put in capital order, and the promise of the crops after the recent rains is very great. I regret, however, to find that the plaster-work of the renovated female wing, as well as of the new day-room block, is in a shameful condition already, being broken in many parts. It evidently has been very badly done. The old buildings have been put in a state of good repair, the useless parts having been removed, and the rest fitted up as a series of useful workshops. I particularly examined the dietary and the cooking and feeding arrangements, and was extremely gratified to find that the greatest care is taken to secure as great variety as possible, combined with excellence of quality, in the food provided, and rapidity in the distribution of every meal. I was particularly struck with the excellence of the attendants' table, and the care with which their comfort is provided for. I cannot, however, help remarking that the fine cooking apparatus is not kept so clean as it ought to be. The store is very well managed by Mr. Eussell and his assistant, and all the books and documents I found in first-rate order. The new stores-book I tested, and found in the case of several articles taken at random that it is a correct record of all the property in the Asylum. The stocksheets of the charge attendants are also carefully kept. The medical journal of the week ending 20th September shows that only one patient was under restraint, for reasons which I approved after examination into the circumstances. Three male patients were confined to bed, and eleven females. The number of patients who do some kind of work is 247. 154 attend divine service, and 163 were present at the usual amusements. There are only 29 patients who do not join in some form of recreation. The total number of patients to-day is 372—males, 219 ; and females, 153. The delay in fixing up the fire-prevention apparatus was owing to the impossibility of finding the money required. A sufficient sum has, however, now been voted, and I will use my utmost endeavours to secure that instant action is taken. Tenders for a new front block are to be called for immediately, so that the unsightly appearance of the front will be removed. 11th December, 1891. —After a careful examination of this Asylum in all its parts, I find its condition most satisfactory. The care that, is taken by Dr. Levinge and his staff in looking after the patients in every way deserves the heartiest acknowledgment. I assert emphatically that the statements to the contrary which have been so diligently spread abroad by certain persons who were formerly in the service are, in my opinion, without foundation. The number of patients this day is 411 —males, 223 ; females, 188. Two women were under restraint and one was secluded, for reasons of which I approved. Seven men and seven women were confined to bed under medical treatment. Four men and two women were wearing strong dresses. One hundred and forty-three men and 126 women were engaged in some kind of useful employment. The farm and garden are in first-rate order, though the grounds in front have again to be cut up and disfigured by the blocks of buildings which were omitted from the former contract. It is a pity that money could not be granted for a new laundry, so that the building operations required to complete the plan could all be finished at one time. The old laundry building is unsuitably placed, and quite inadequate for existing requirements. The completion of the fire-prevention arrangements which have been so long delayed is close at hand, and the water-connection with the river will, I hope, be established in a very short time. How long it will be before proper pipes are laid inside the older parts of the building it would be hazardous to anticipate. The asylum is working quite smoothly, and, so far as I have been able to ascertain, there is no discontent among the staff. The central block was painted before the walls were properly dry, with the result that the whole of the walls and wards are in a wretched state, and must be done over again at once. Some of the closets of the male side are very offensive; but I see no way of remedying this defect without a costly rearrangement of the whole space, and this for the present is beyond our means. Seacliff. 4th August, 1891. —I was engaged on the first and second days of August in my usual halfyearly inspection of this Asylum. I found a great deal of clamour, and, in fact, a public scare in process of being worked up by one of the public journals—l believe at the instance of some discontented attendants and friends of patients who had been compelled to pay maintenance for their relatives. The conditions of our colonial society at the present time are such as to render it peculiarly difficult to manage any large public institution ; and this is the case especially with asylums. Two of the cases of alleged harshness and tyranny have just been investigated in open Court, with the result that every one of their charges has been proved to be absolutely without foundation. So far as the actual facts are concerned, the Asylum is in a thoroughly satisfactory condition. Dr. King's rule is vigorous and just, and there has never been a Superintendent who has done so much for Seacliff. One great cause of the agitation which was got up against him is due to the great improvement he has effected, after securing my sanction, in the dietary of the institution. I have long felt that the food was far too rich in nitrogenous material for proper physiological treat-

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merit of the insane. Meat three times a day, and in unlimited quantities, is the colonial idea of diet. I had been restrained from introducing improvements in this matter, owing to the certainty of an outcry; but' Dr. King's zeal and enthusiasm have effected this reform with a result, on the appearance and weight of the patients, that is very remarkable. This great reform has not, however, been effected without much discontent, fanned vigorously, I am afraid, by disaffected and ignorant persons both outside and inside the Asylum. Dr. King has also been greatly embarrassed by attempts to cause a public scare about escapes, by these same persons, and thus cause a diminution of the liberty which we have, with such difficulty, succeeded in extending to the patients ; for, manifestly, the immense benefit of freedom to the patients to spend their days in the open air is worth running the risk of a few escapes to attain. The number of patients in the Asylum is 486— males, 288; and females, 198. Eight men and six women were confined to bed under medical treatment; while one man and one woman were secluded for satisfactory reasons. All the books and papers were in order, and the case-book is kept with great care by the doctor. 3rd December, 1891. —I find everything in this Asylum going on in an orderly and systematic fashion. The patients are clean, well clad, well fed. I regret that the delay which has taken place in bringing in the Warriugton Spring has considerably embarrassed the working of the Asylum during the recent long-continued dry weather ; but all difficulty from this source has gone with the advent of the rains, and I am glad to hear that the Minister for Public Works has decided to take the spring at once, leaving the question of compensation for riparian rights to be determined as provided for by the Public Works Act. The chief improvements to be noted since my last-visit are due to the skill and energy with which the new gardener, Mr. Spence, is laying off the gardens and grounds under the doctor's directions. I expect to find that in a comparatively shorttime Seacliff will be one of the most beautiful places in New Zealand. A complete scheme of sewage irrigation by gravitation has been designed and carried out by Dr. King for the upper Asylum and garden. A similar system for the disposal of the sewage of the main building is now in hand, and, to judge by the results already apparent, the returns will be splendid. All through the season the patients are to receive abundance of radishes and lettuces with their tea on certain days. The appearance of the farm promises a most abundant harvest, and the produce ought to make a steady reduction in the cost of maintaining the institution. Four men and three women were confined to bed for medical reasons ; seven men and six women were wearing strong canvas dresses. On the farm and garden 166 men were at some kind of useful work. Twenty-seven men. were engaged in the workshops, and seventy men and sixty-nine women in the wards. In the whole Asylum there are only twenty-four men and forty-four women who either are incapable or cannot be induced to do any kind of work. In the large hall 245 men take all their meals every day in the most quiet and orderly manner. The new Matron, Miss Beswick, is giving great satisfaction, and the best relations exist between her and her subordinates. It has been determined that the front of the building shall be devoted entirely to recreation-grounds and airing-courts as soon as it shall be possible to devote the rooms at present occupied by the doctor to their proper use as an administrative block. Hokitika. Ist October, 1891.—1 have this day inspected every part of this Asylum, and find, both as regards the treatment of the patients and the general management of the institution, it is in a very satisfactory condition. The total number of patients is 102—males, 67 ; females, 35. None were in seclusion, and only two —one man and one woman —were confined to bed by passing illness. There are only two patients who do not join in regular recreation, and the total number of those who have not been induced to do some healthy work is only twenty-four. The books and documents were all in order, the case-book especially being very carefully kept. The garden, .farm, and outbuildings are in excellent order, and the Asylum as a whole is in such a condition that it is a pleasure to visit it. Nelson. Ist April, 1892.—1 have made to-day and yesterday a careful inspection of this institution. All the patients were up and going about. All were suitably clad. I was present at and carefully observed the distribution and quality of their dinner. It was all that could be desired, but I thought there was a want of despatch in the serving of it. All parts of the building were admirably clean, and the beds comfortable. In short, I have no fault to find with the organization of the Asylum and the treatment of the patients. There seems to me, however, to be some slackness in some points in the management of the farm—for instance, the pigs are of very poor quality, and are very badly cared for, and a considerable number of useless fruit-trees are still left standing in the orchard, simply cumberers of the ground. The oft-promised connection with the new water-reservoir is still incomplete. I hope the Public Works Department will lose no further time in finishing this most necessary work. Mr. Morrison, the Superintendent, was absent on leave ; but nevertheless I found everything going on in a most orderly manner under the charge of Mrs. Morrison and the head attendant, Mr. White. A good spirit animates the staff, and I heard no complaints of any kind. A great part of the buildings have been painted, and have a much more cheerful air in consequence. Dr. Fell, the Deputy Inspector, has been most assiduous in his superintendence, and the institution shows in its whole working the effect of the strong local interest that is taken in its welfare. Wellington. 26th October, 1891. —To-day and yesterday I have been engaged in my usual inspection of this Asylum. The large number of admissions has had the effect of greatly hampering the working of this institution. Some months ago I found it necessary to relieve the pressure by removing ten male patients to Nelson, and now I find it unavoidable to get some relief on the female side. I propose to remove about thirty women to Sunnyside at the first opportunity. I had hoped to be able

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to carry on without doing this until Porirua should be ready; but the disproportionate increase of population in this district has made this impossible. Every care will be taken to remove only such cases as have no friends in this district, and such as may be expected to benefit by a change of surroundings. The total number of patients now is 300—males, 174; females, 126. The order and quietness which I found prevailing are very satisfactory when the overcrowding is considered. All the women were in the open air, and I was pleased to see that the recent cases were receiving particular attention. Two large walking parties were out yesterday; the men I met on their way to Newtown Park, and I was very much gratified to see their appearance and behaviour. Two men and one woman are under restraint, during the night only, for reasons that I approve. Two women, who are indecent and destructive, are dressed in suitable canvas. Nineteen men and twenty-four women are such as require constant attention on the part of the attendants, whose work has been very arduous for a long time, and all the more credit is due to them for the condition in which I found the Asylum. I heard no complaints from either patients or attendants. Though the state o things on the female side has been causing me great anxiety for a long time, I am bound to admit that, considering the great difficulties the Matron and her staff had to contend with, that it is very creditable to them. I found all the books and stores in good order. I caused the firebell to be rung, and, though a large proportion of the staff were scattered all over the grounds, their promptitude was commendable, and their apparatus was in good order. Ashburn Hall. 7th August, 1891.—1 have this day made a careful inspection of this Asylum. The male patients numbered twenty, the females eleven, and four out on trial. I conversed with them all, examined their rooms, beds, and food, satisfied myself that each case is receiving proper care and treatment, made a special examination of all cases recently admitted, noted the progress of all the old patients, and I record my opinion that in all respects this is a well-managed Asylum, deserving to the fullest extent the confidence of the public. The new wing is most admirably equipped and suitable for its purpose, and by it the classification is greatly improved. The arrangements for heating and ventilating the rooms are modelled on those recently introduced at the Mont-rose Asylum by Dr. Howden, and are the best I have ever seen. The single rooms are very comfortably furnished, and the day-room very airy and spacious. I could discover no complaints of any kind, except such as are inevitable from patients complaining they are illegally detained. 27th November, 1891. —I have found this Asylum, after careful examination of each inmate, to deserve the confidence of the public. All the suggestions I made have been fully carried out. The new building is replete with every comfort and convenience, while the surroundings could not be surpassed. I have not heard a single complaint that had the slightest appearance of reasonableness. One female patient was under restraint, so far as her arms were concerned, for reasons which are satisfactory. The bedrooms and bedding are all clean and comfortable. The food is abundant, of good quality, and well cooked, and every case is receiving appropriate care and treatment. The section of the Act that prescribes that dipsomaniacs shall be kept separate from the other patients cannot be strictly carried out except in a specially-equipped inebriate asylum, which this does not profess to be. I have conversed separately with all patients of this class, and found all to be satisfied with the treatment they receive, saving only as regards their loss of freedom. All the statutory books and documents are in order. There are twentyone male inmates, of whom, three are inebriates, and thirteen female patients, and one out on trial. I have, &c, D. Macgeegob, M.A., M.8., Inspector of Asylums.

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APPENDIX.

Table I.—Showing the Admissions, Readmissions, Discharges, and Deaths in Asylums during the Year 1891.

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 1891.

Table II.— continued.

Table II.— continued.

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In asylums, 1st January, 1891 Admitted for the first time Eeadmitted M. F. T. M. 1,095 F. T. 702 1,797 192 42 157 44 349 86 I 234 201 435 Total under care during the year Discharged and removed— Recovered Believed Not improved Died 88 33 14 79 74 24 30 41 162 57 44 120 1,329 903 2,232 214 169 383 Remaining in asylums, 31st December, 1891 .. 1,115 734 1,849 Increase over 31st December, 1890 20 32 52 Average number resident during the year I,089f 699J 1.789J

Admissions in 1891. Total Number In Asylums Asylums. 1st January, 1891. Admitted for the First Time. Readmitted. Total. Patients under Care. Auckland Christchurch Dunedin (Seaolifi) Hokitika Nelson Wellington Ashburn Hall (private asylum) M. P. 257 116 232 155 282 213 69 33 58 46 178 121 19 18 T. 373 387 495 102 104 299 37 M. 44 25 50 8 23 35 7 p. 21 52 29 12 3 35 5 T. 65 77 79 20 26 70 12 M. F. 7 9 7 12 13 6 T. 16 19 19 M. 51 32 63 8 23 50 7 p. 30 64 35 12 5 48 7 T. 81 96 98 20 28 98 14 M. l< , . 308 146 264 219 345 248 77 45 81 51 228 169 26 25 T. 464 483 693 122 132 397 51 0 2 15 13 0 2 2 28 2 Totals 1,095 702 1,797 192 157 349 42 44 86 234 201 435 1,329 903 2,232

Patients discharged and diffd. In Asylums on 31st December. 1891. Asylums, Discharged recovered, Discharged not recovered. Died, Total discharged and died. Auckland .. Ohristehurch Dunedin (Seacliff) Hokitika Nelson Wellington .. ishburn Hall (private asylum) M. 26 16 18 2 7 17 2 F. 14 16 15 6 1 15 7 T. 40 32 33 8 8 32 9 M. 7 6 11 0 2 17 4 F. 1 8 6 1 1 35 2 T. 8 14 17 1 3 52 6 M. 17 14 20 10 5 13 v. 2 9 12 3 2 13 T. 19 23 32 13 7 26 M. 50 36 49 12 14 47 6 ¥. T. 17 67 33 69 33 82 10 22 4 18 63 110 9 15 M. F. 258 129 228 186 296 215 65 35 67 47 181 106 20 16 T. 387 414 511 100 114 287 36 Totals 88 74 162 47 54 101 79 41 120 214 169 383 1,115 734 1,849

Asylums. Average Number resident during the Year. Percentage of Eecoyeries on Admissions during the Year. ■ Percentage of Perppntnen nf Deaths on Average j Percentage 01 Number resident the Admiss^ona during the Year, j tne Aamissiona. lUckland.. !hrisfcchurcli )unedin (Seacliff) lokitika .. Telson Vellmgton ishburn Hall (private asylum) m. p. 252J 116| 226J- 157J 287 211 67 34J 63 46 174J 116J 20 17 T. 369 383} 498 101f 109 2901 37 M. F. T. 50-98 46-67 49-38 50-00 25-00 33-33 2857 42-86 33-67 25-00 50-00 40-00 30-43 20-00 28-57 34-00 31-25 32-65 28-57 100-00 64-29 M. F. T. M. F. T. 6-74 1-71 5-15 38-33 6-67 23-46 6-19 5-71 5-99 43-75 14-06 23-96 6-97 5-69 6-43 31-75 34-29 32-65 14-93 8-63 12-78 125-00 25-00 65-00 7-94 4-35 6-42 21-74 40-00 25-00 7-46 11-16 8-94 26-00 27'08 26-53 Totals l,089| 699| 1.789J 37-61 36-82 37-24 7-25 5-86 6-71 33-76 20-40 27-9

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Table III.—Ages of Admissions.

Table IV. —Duration of Disorder at Admission.

Table V. —Ages of Patients discharged "recovered" and "not recovered" during the Year 1891.

Table V .—continued.

8

Ages. Auckland. Christchurch. (ITcnt HoMtika.' Nelson. Wellington. Ashburn Hall (Private Asylum). Total. M. F. T.| M. F. T. M. F. 'J?. I M. P. T. M, F. 1. M. F. T , M. -F. T. M. F. T. Under 5 years From 5 to 10 years „ 10 „ 15 ' „ „ 15 „ 20 „ „ 20 „ 30 „ „ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 ' „ „ 70 „ 80 „ „ 80 „ 90 „ Unknown 10 10 11 10 1 4 4 8: 1 7 8 11 5 16 7 10 17 10 11 21 9 14 23 8 8 16 9 18 27 11 2 5 6 11 3 0 3 15 6 2 0 2 0 2 2 12 3 7 18 12 8 20 13 8 21 14 6 20; 10 6 16! 6 3 9 Oil 1 10 1 2 2 4 0 2 2 2 3 5 2 3 5 9 1 10 ,224314 : 1 2 3 5 0 5 0 114 0 4 l'l 2' 14 5 6 13 19; 22 15 37, 6 7 13 6 5 ll! 1 2 3 1 5 1 6 ! 0 11 12 8 1 1 2 ! 13 4 2 0 2 2 0 2 3 2 5 2 2 4 15 19 34 39 43 82 66 53 119 43 45 88 40 21 61 17 11 28 7 4 11 '.'. 0 "l 1 2 0 2 2 "l 3 51 30 8l| 32 64 96 I ' 8 12 2023 5 28 Totals 63 35 98 50 48 98! 7 7 14 234 201 435

. ,, , Christ- Duuedin Auckland. cllurch , (Seaelifl). Hokitika. Nelson. Wellington. Ashburn Hall (Private Asylum). Total. I M. F. T. I M, P. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. II. F. T. 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 24 13 37 4 4 8 10 7 17 I 7 12 19 112 10 16 20 19 14 33 6 4 10 21 8 29 4 6 10 13 4 2 0 2 15 1 16 3 0 3 24 20 44 6 3 9 10 7 17 2 4 0 5 16 0 2 2 95 70 165 26 16 42 53 40 93 13 6 19 '' 1 29 30 J 13 C 19 17 9 26 112 0 2 2 5 4 9 10 18 28 47 67 114 13 8 21 Totals ! 51 30 81! ! !32 64 96 63 35 98 8 12 20 23 5 28 50 48 98 7 7 14 234 201 435

Auckland. Recovered Ye^°led Cllriatchurch. Duuedin (Seaolifl). Hokitika. Ages. Eeooverea Ie ™ xed Eccoverei Not ' recovered llecovered re ™ ted M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Prom 5 to 10 years „ 10 „ 15 „ „ 15 „ 20 „ „ 20 „ 30 „ „ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ „ 80 „ 90 „ Unknown 10 1 4 15 10 5 15 4 3 7 3 4 7 2 0 2 10 1 1 0 1 112 5 0 5 1 3 4 4 2 6 5 6 11 5 5 10 10 1 0 2 2 Oil 3 14 12 3 2 2 4 10 1 4 6 10 4 4 8 5 4 9 3 14 10 1 112 3 2 5 3 14 4 2 6 0 11 0 11 0 3 3 2 13 0*1 1 1 1 2 Totals 26 14 40 7 18 16 16 32 6 8 14 |18 15 33 11 6 17 2 6 8 0 1 1

Ages. Nelson. Wellington. (Privlte* Be0OTerea | recovered j Eecovered' Nelson. Wellington. Ashburn Hall (Private Asylum). Total. Not recovered Kecovered M. F. T. M. F. T. ] M. F. T. M. F. T. ! M. F. T. M. F. T. j ] M. F. T. M. F. T. 'rom 5 to 1C years , 10 „ 15 „ „ 15 „ 20 „ „ 20 „ SO „ „ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ „ 80 „ 90 „ hiknown .. La i 3 ..101 .. 1 0 1 ..101 ..a o 2 .£. l i' 2 10 1 6 6 12 5 8 13 7 5 12 6 5 11 0 4 4 3 15 18 3 0 3 3 4 7 0 11 ,022 0 3 3 Oil 2 13 0 2 2 .. l i" 2 10 1 10 1 112 .. 4 4 8 20 20 40 27 24 51 19 18 37 11 7 18 5 0 5 10 1 0 2 2 8 11 19 15 10 25 7 18 25 16 9 25 12 3 0 2 2 i'i 2 Totals .. ! 7 1 8 2 13 17 15 32 17 35 52 2 7 9 I 4 2 6 ! 88 74 162 47 54101

H.—4.

Table VI. —Ages of the Patients who died.

Table VII. —Condition as to Marriage.

2—H. 4.

9

Ages. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. i Nelson. Wellington. Ashburn Hall (Private Asylum). Total. M. F. T. M. F. T. Oil M. F. T. M. F. T. M. F. T. M. F. T. M. F. I. M. F. T. Oil 112 3 0 3 7 6 13 9 4 13 18 17 35 22 7 29 13 2 15 5 2 7 From 5 to 10 yeare . 10 „ 15 . , 15 „ 20 , . 20 „ 30 „ . 30 „ 40 „ . 40 „ 50 „ » 50 „ 60 „ . 60 „ TO „ „ 70 „ 80 „ „ 80 „ 90 „ Unknown 3 0 3 2 0 2 5 2 7 4 0 4 3 0 3! 2 13 2 13 3 3 6 4 2 6 3 0 3 Oil Oil 10 1 12 3 2 13 6 5 11 5 16 3 14 2 13 101 10 1 2 2 4 5 16 10 1 10 1 l i' 2 112 10 1 10 1 10 1 13 4 112 2 5 7 3 2 5 2 13 2 0 2 l "i 2 1 1 2 Totals 17 2 19 79 41 120 14 9 23 20 12 32 10 3 13 5 2 7 13 13 26

Admissions. Discharges. Deaths. Auckland— Single Married Widowed Unknown 1C. F. T. 24 10 34 23 17 40 4 3 7 M. 18 12 3 F. T. 6 24 8 20 1 4 M. F. T. 10 0 10 6 17 112 Totals 51 30 81 33 15 48 17 2 19 Christchubch — Single Married Widowed Unknown 21 27 48 9 29 38 2 8 10 15 8 23 5 15 20 112 10 1 5 8 1 3 8 6 14 0 1 Totals 32 64 96 22 24 46 14 9 23 DcNBDiN (Seacliff) — Single Married Widowed Unknown 41 15 56 17 18 35 5 2 7 21 9 30 7 10 17 12 3 12 7 1 6 18 5 12 1 2 Totals 63 35 98 29 21 50 20 12 32 Hokitika— Single Married Widowed Unknown 8 3 11 0 6 6 0 3 3 0 1 1 1 6 0 1 7 1 7 1 2 2 0 1 9 1 3 Totals 8 12 20 2 7 9 10 3 13 Nelson — Single Married Widowed Unknown 16 7 3 19 2 9 4 5 0 1 0 1 5 5 1 4 1 1 1 5 2 Totals 23 5 28 9 2 11 5 2 7 Wellington— Single Married Widowed Unknown 33 18 51 15 23 38 2 7 9 23 22 45 9 19 28 2 9 11 10 2 1 3 13 9 11 1 2 Totals 50 48 98 34 50 84 13 13 26 Ashbubn Hall (Private Asylum) Single Married Widowed Unknown 3 3 1 1 6 0 i 9 1 3 2 1 3 6 0 6 8 1 Totals 7 14 6 9 15 Totals— Single Married Widowed Unknown 146 77 223 74 101 175 14 23 37 84 50 134 41 64 105 9 14 23 10 1 48 15 G3 25 22 47 6 4 10 Totals 234 201 435 135 128 263 79 41 120

H.—4.

Table VIII.—Native Countries.

Table IX.—Ages of Patients on 31st December, 1891.

Table X. —Length of Residence of Patients who died during 1891.

10

Countries. Auckland. Christchurch , Dunedin (Seacliff). Hokitika. Nelson. Wellington. Ashburn Hall (Private Asylum). Total. England Scotland Ireland New Zealand Australian Colonies France Germany Norway Sweden Denmark Italy China Maoris Other countries M. F. T. 110 51 161 20 11 31 64 37 101 31 24 55 ! 1 0 1 1 2 0 2 ; 5 2 7 ' 2 0 2 I 3 0 3 10 1 10 1 2 0 2 7 4 11 9 0 9 M. F. T. 90 72 162 24 25 49 72 58 130 15 17 32 5 3 8 10 1 5 0 5 2 13 10 1 10 1 10 1 10 1 0 11 10 9 19 M. F. T. 58 77 135 92 58 150 78 69 147 24 4 28 4 0 4 10 1 13 0 13 2 2 4 M. F. T. 13 9 22 8 3 11 24 17 41 7 3 10 112 M. F. T. 25 16 41 6 i 10 22 10 32 10 13 23 M. F. T. 62 23 85 25 8 33 53 35 88 19 22 41 3 9 12 10 1 6 4 10 12 3 3 0 3 2 2 4 M. F. T. 6 6 12 7 4 11 10 1 4 5 9 2 13 M. F. T. 364 254 61f 182 113 29E 314 226 54C 110 88 19E 16 14 3C 5 2 r , 34 7 4] 7 5 IS 7 1 8 10 3 IE 4 3 7 16 1 r< 11 6 17 35 11 46 J 5 0 5 0 a 2 Oil 2 13 2 2 4 10 0 10 ( , 2 0 2 Oil 2 18 2 0 2 10 1 0 1 1 2 0 2 10 1 2 13 3 0 3 io a 12 2 0 2 Totals 258 129 387 228186 414 296 215 511 65 35100 67 47 114 181 106 287 20 16 36 1,115 734 1,84',

Ages. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Wellington. Ashburn Hall (Private Asylum). Total. 1 to 5 years 5 „ 10 „ .0 „ 15 „ ■5 „ 20 „ iO „ 30 „ 10 „ 40 „ tO „ 50 „ >0 „ 60 „ '0 a 70 „ '0 „ 80 „ SO „ 90 „ Jnknown M. P. T. ! 10 1 12 3 6 3 9 22 12 34| 67 36 103; 70 37 107' 60 19 791 22 10 32 6 7 13 12 3' 2 13 M. F. T. Oil Oil! 0 2 2 3 5 8 27 16 43 54 54 108 57 54 111 62 33 95! 22 16 38' 2 3 5 112 M. P. T. 2 3 5 9 2 11 25 21 46 68 51 119 74 59 133 80 58 138 31 13 44 4 4 8 112 2 3 5 M. F. T. 12 3 2 2 4 4 15 8 5 13 22 12 34 20 8 28 5 16 0 2 2 M. F. T. Oil l o i! i o i 4 6 10i 16 13 29' 22 13 35 15 10 25 7 3 10: 112 M. P. T. 2 1 3 : 4 3 7 15 6 20 19 39! 45 33 781 56 25 8l| 27 9 36j 16 5 21 3 4 T 10 1 6 2 8 M. P. I. Oil 13 4 7 0 7 2 5 7 5 5 10 2 2 4 2 0 2 10 1 M. F. 0 1 4 5 8 10 22 18 103 78 265 192 303 205 269 142 105 50 18 21 5 4 13 8 T. 1 9 18 40 181 457 508 411 155 39 9 21 3 a 5 Totals 258 129 387 228 186 414 296 215 511 65 35 100 67 47 114 181 106 287 20 16 36 1,115 734 1,84!

Length of Residence. Auckland, Christchurch. Dunedin (Seacliff). Hokitika. Nelson. ! Wellington. 1 Ashburn Hall (Private Asylum). Total. Cinder 1 month 1 to 3 months .. 3 „ 6 6 „ 9 „ 9 „ 12 1 „ 2 years 2 „ 3 „ 3 „ 5 „ S „ 7 „ 7,10 , .0 „ 12 „ .2 „ 15 „ Dver 15 „ Died while absent on trial .. M. F. T. 3 14 3 0 3 10 1 M. P. T. Oil 2 2 4 2 13 10 1 2 0 2 10 1 2 13 13 4 M. F. T. 4 0 4 10 1 3 0 3 Oil 13 4 3 14 112 0 3 3 2 2 4 M. F. T. 112 10 1 0 11 M. P. T. M. F. T. 2 2 4 112 10 1 M. ¥. T. M. F. T. 10 5 15 8 3 11' 8 2 10 12 3 7 4 11 9 3 12 6 4 10 9 9 18 6 3 9 4 2 6 10 1 12 3 9 2 11 1 0 1 Oil 2 0 2 10 1 10 1 3 14 10 1 10 1 3 0 3 3 0 3 1 0 1 2 13 12 3 12 3 2 2 4 2 13 1 1 2 10 1 1 0 1 i '6 l 1 'i 2 1 '6 1 2 'i 3 4 'i 5 10 1 1 1 2 10 1 oil Totals .. 17 2 19 14 9 23 20 12 32 10 3 13 5 2 7 13 13 26 79 41 12i

H.—4.

Table XI.—Length of Residence of Patients discharged "recovered" during 1891.

Table XII.—Causes of Death.

11

Length of Residence. Auckland. Christchurch. Dunedin (Seaclifl). Hokitika. Nelson. Wellington. Ashburn Hall (Private Asylum). Total. Fnder 1 month 'rom 1 to 3 months „ 3 „ 6 „ „ 6 „ 9 „ „ 9 ,,12 „ 1 „ 2 years .. » 2 „ 3 „ .. „ 3 „ 5 „ .. „ 5 „ 7 „ .. „ 1 ,,10 „ .. „ 10 „ 12 „ .. „ 12 „15 „ .. •ver 15 M. F. T. 3 0 3 5 6 11 5 16 3 3 6 7 0 7 2 13 Oil 112 Oil M. F. T. 2 0 2 2 6 8 5 4 9 3 2 5 12 3 112 Oil 10 1 M. F. T. 2 13 6 3 9 5 2 7 10 1 2 2 4 15 6 0 2 2 M. F. T. 0 3 3 Oil 112 Oil M. F. T. 3 0 3 10 1 2 0 2 10 1 Oil M. F. T. 3 3 6 3 4 7 5 4 9 3 2 5 2 13 112 M. P. T. Oil Oil 2 2 4 0 3 3 M. F. T. 10 4 14 19 23 42 21 13 34 13 8 21 15 8 23 5 12 17 0 4 4 2 13 Oil 3 0 3 10 1 1 '6 1 1 0 1 Totals 26 14 40 16 16 32 18 15 33 2 G 8 17 15 32 2 7 9 88 74 162 7 18

Causes. Auckland. Christcliurch. Dunedin (Seacliff). Hokitika. Nelson. idlingAshburn Hall (Private Asylum). Total. Abscess of kidneys Abscess and general decay Alcoholic cirrhosis of liver Aortic aneurism Aortic disease and gangrene Apoplexy Asphyxia (choking) Asthenia Atrophy of the brain Blood poisoning Brain disease Brain disease and diarrhoea Brain disease and scrofula Brighfc's disease Bronchitis Cancer Carbuncle Cerebral effusion Cerebral softening Diabetes Diarrhcaa Epilepsy Erysipelas Erysipelas and epilepsy General marasmus Haemorrhage Heart disease Hernia Liver disease Locomotor ataxia Meningitis Mitral disease and anasarca Paralysis, bulbar Paralysis, cerebral Paralysis, general Peritonitis Phthisis Pneumonia Rheumatism (acute) Senile decay Suffocation while in an epileptic fit Suppuration (deep) over the sacrum consequent on nerve degeneration Syncope Tabes mesenterica Typhoid fever M. F. T. 10 1 M. P. T. 10 1 M. F. T. M. P. T. M. P. T. M. F. T. M. F. T. M. P. T. 1 a l 10 1 10 1 2 0 2 10 1 5 0 5 1 0 1 2 4 6 10 1 2 13 10 7 17 0 1 10 1 3 14 10 1 2 0 2 10 1 10 1 10 1 0 11 0 11 6 4 10 10 1 10 1 Oil 10 1 2 3 5 10 1 10 1 Oil 0 2 2 10 1 Oil 2 3 5 8 19 112 6 2 8 112 10 1 5 2 7 112 ■ 1 0 1 10 1 10 1 10 1 1 0 1 1 0 1 3 0 3 10 1 10 1 0 1 1 0 1 1 1 2 3 10 1 2 13 3 5 8 2 0 2 Oil 10 1 10 1 5 2 7 2 0 2 Oil 10 1 10 1 1 0 1 10 1 10 1 10 1 Oil 2 3 5 Oil 2 0 2 10 1 10 1 10 1 1 1 2 0 1 1 10 1 2 0 2 0 2 2 0 1 1 10 1 1 0 1 0 1 1 0 2 2 Oil 2 3 5 112 1 0 1 3 0 3 10 1 2 0 2 2 0 2 Oil 10 1 10 1 2 0 2 2 1 3 1 0 1 Oil Oil 10 1 12 3 112 1 0 1 3 0 3 10 1 Oil 0 1 1 10 1 10 1 Oil Oil 2 0 2 1 0 1 1 !l4 9 23 20 12 32 10 3 13 Totals .. 17 2 19 5 2 7 13 13 26 79 41 120

H.—4.

Table XIII.—Causes of Insanity.

12

Causes. Auckland. Ashburn Christ- Duneclin TT n vj t j t . NpIroti Welling- Hall church. (Seaclifl). ttoKitifca. kelson. ton> (Pr iy a te Asylum). Total. M. P. T. 4 0 4 2 13 112 M. F, T. M. P. T. 2 13 M. F. T. M. F. T. 10 1 M. F. T. 10 1 M. F. T. M. F. T. 8 19 3 2 5 3 2 5 0 3 3 5 3 8 112 5 0 5 0 11 0 18 18 10 1 10 1 0 4 4 33 24 57 2 13 2 14 16 36 9 45 7 6 13 112 0 3 3 0 4 4 10 1 0 3 3 112 10 1 4 3 7 18 2 20 4 6 10 0 11 0 11 0 2 2 2 13 10 1 0 11 3 0 3 2 0 2 6 4 10 0 2 2 5 4 9 4 2 6 10 1 9 2 11 5 2 7 10 1 Oil 10 1 56 63 119 13 4 Lccident idolescence .. adverse circumstances imenorrhcea Jrain disease.. Jerebral embolism Jerebral paralysis !erebral tumour Ihild-bearing Jhorea Jirrhosis of liyer !limacteric .. !ongenital and hereditary )ebauchery .. )omestic trouble )rink Epilepsy Cxcitement fright Irief leart disease lysteria Cidney disease jead-poisoning jove lasturbation lental anxiety loral depravity Jperation Jvaritis )verwork 3 hthisis 'hysical causes 'overty 'rivation teligion Seduction Senile decay .. Sequelae of acute disease Softening of brain Solitude Sunstroke Syphilis Jterine disturbance .. Vant of occupation Jnknown Tot insane Oil 2 0 2 0 11 3 14 l i' 2 0 2 2 2 2 4 1 i' 2 5 0 5 Oil 0 2 2 0 3 3 0 6 6 10 1 1 0 1 0 2 2 10 2 12 0 33 0 i 4 13 6 19 2 13 15 6 9 1 10 2 2 4 Oil 15 6 2 13 2 13 oil 5 6 11 0 3 3 13 4 5 0 5 Oil 0 66 7 18 134 10 1 3 i' 4 8 3 11 4 3 7 3 0 3 10 1 0 2 2 oil 0 i' 1 0 2 2 0 2 2 10 1 0 3 3 10 1 10 1 3 3 6 5 0 5 oil 4 04 10 1 10 1 6 2 8 Oil Oil 101 10 1 10 1 101 2 4 6 Oil 10 1 0 2 2 oil 10 1 Oil 10 1 2 0 2 oil 10 1 10 1 Oil 2 6' 2 Oil 5 3 8 Oil 10 1 2 0 2 Oil 1 2 3 112 oil 101 2 i' 3 10 1 2 13 12 3 112 10 1 3 0 3 2 0 2 10 1 10 1 10 1 10 1 10 1 10 1 11 37 48 18 10*23 2 24 Oil 10 1 10 0 10 13 13*26 12 3 112 Oil 101 Totals 51 30 81 32 64 96 63 35 98 8 12 20 23 5 28 50 48 98 7 7 14 234 201 435

H.—4.

Table XIV. —Former Occupations of Patients.

13

Occupations. Auckland. <»£* Dunedin (Seacliff). Hokitika. Nelson. W^™ ng " Ash burn Hall (Private Asylum). Total Males. M. P. T. 10 1 10 1 M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. P. T. 10 1 3 0 3 4 0 4 10 1 10 1 4 0 4 2 0 2 6 0 6 2 0 2 3 0 3 10 1 12 0 12 2 0 2 10 1 4 0 4 10 1 2 0 2 10 1 25 0 25 11 0 11 10 1 2 0 2 3 0 3 10 1 7 0 7 10 1 2 0 2 4 0 4 G6 0 66 10 1 2 0 2 16 0 16 10 1 10 1 3 0 3 10 1 10 1 4 0 4 10 1 5 0 5 4 0 4 10 1 10 1 10 1 10 1 10 1 15 0 15 Baker Barristers and solicitors Blacksmiths Boilermaker Book agent Bootmakers Bushmen Carpenters Carters, expressmen, &c. Chemists Clergyman Clerks Compositors Contractor Cooks Draughtsman Engineers Engine-fitter Farmers, runholders, &c. Farmhands, shepherds, &o. Fisherman Gardeners Gentlemen Greengrocer .. Gumdiggers Hawker Hotelkeepers Hotel servants Labourers .. Medical practitioner .. Millers Miners Moulder Newsvendor Painters Policeman Poundkeeper .. Rabbiters '.. Beporter Seamen Storekeepers Tailor Teacher Watchmaker Well-sinker Wheelwright .. No occupation 10 1 10 1 2 0 2 10 1 10 1 2 0 2 10 1 5 0 5 10 1 2 0 2 10 1 7 0 7 10 1 10 1 10 1 2 0 2 10 1 2 0 2 10 1 10 1 2 0 2 2 0 2 10 1 3 0 3 3 0 3 1 '0 1 10 1 3 0 3 10 1 1 '6 1 10 1 6 0 6 7 0 7 10 1 10 1 1 '6 1 2 '6 2 101 101 101 10 1 3 0 3 1 'o 1 10 1 10 '6 10 10 1 10 1 2 0 2 10 1 10 1 10 1 10 1 10 1 10 1 6 0 6 10 1 13 0 13 10 1 15 0 15 2 '6 2 9 0 9 10 1 10 1 10 1 21 0 21 10 1 10 1 10 1 10 1 1 0 1 6 0 6 10 1 4 0 4 4 0 4 10 1 10 1 2 '6 2 10 1 4 0 4 10 1 2 '6 2 4 0 4 10 1 1 '6 1 10 1 10 1 10 1 1 0 1 10 1 10 1 4 0 4 10 1 10 1 4 0 4 10 1 2 '6 2 3 0 3 Females. Oil Oil 0 11 0 11 0 11 0123123 0 23 23 0 2 2 0 11 0 5 5 Oil Oil 0 3 3 Oil Oil 0 15 15 0 22 22 Barmaid Charwoman Cook Domestic duties Domestic servants Dressmakers Independent means Prostitutes Schoolgirl Shopkeeper Teachers Vagrant Weaver No occupation Unknown 0 11 0 18 18 0 3 3 0 11 0 11 0 27 27 0 10 10 0 11 oil 0 23 23 0 9 9 oil 0 11 11 0 11 0 2 2 0 35 35 Oil 0 3 3 0 7 7 0 11 0 11 0 2 2 Oil 0 4 4 0 11 0 2 2 0 22 22 Oil 0 3 3 0 '5 5 Totals 51 30 81 32 64 96 63 35 98 8 12 20 23 5 28 50 48 98 7 7 14 234 201 435

H.—4.

xsoiS^S^

Table XV.— Showing the Expenditure for the Year 1891.

14

Items. Auckland. i Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Wellington (including Porirua), Total. £ s. d. £ s. d. £ ' s. d. £ s. d. £ s. d. £ s. d. £ s. a. 1,200 0 0 325 0 0 802 13 0 403 12 5 350 0 0 2,572 10 0 551 2 2 418 13 5 13,188 14 1 13,119 8 11 1,555 9 0 3,540 9 4 256 14 0 32 16 2 1,340 0 9 5,904 9 3 Inspector* Clerk* .. Medical fees* Contingencies* .. ■ Visiting Medical Officers Superintendents Clerks Matrons Attendants and servants Rations .. Fuel and light Bedding and clothing Surgery and dispensary Wines, spirits, ale, and porter Farm Necessaries, incidental and miscellaneous .. 600 0 0 128 6 8 3,059 9 5 3,038 11 2 352 6 1 550 11 10 42 15 3 3 4 0 345 7 4 1,166 12 10 9,287 4 7 2,300 1 8 600 0 0 180 0 0 78 18 5 2,737 14 0 2,939 9 6 482 9 6 706 6 10 48 9 3 2 19 6 570 0 7 921 11 5 600 0 0 103 12 2 104 15 0 3,428 1 11 3,248 5 2 289 14 7 1,226 9 9 73 0 4 12 7 0 272 18 1 2,537 14 1 150 0 0 300 0 0 85 0 0 927 12 0 949 0 8 14 14 2 183 9 10 23 2 6 2 15 8 200 0 0 147 10 0 70 0 0 816 11 7 850 17 4 76 13 9 182 6 10 15 2 4 8 16 0 93 2 8 287 5 4 325 0 0 13g 3 4 80 0 0 2,219 5 2 2,093 5 1 339 10 11 691 4 3 54 4 4 2 14 0 58 12 1 753 10 0 237 15 7 Totals .. Repayments, sale of produce, &c. 9,267 19 0 2,088 19 5 11,896 18 1 2,061 13 5 2,873 10 5 248 10 1 2,748 5 10 751 8 0 6,756 9 2 1,646 0 10 45,561 12 6 9,096 13 5 Actual cost 6,987 2 11 7,178 19 7 9,835 4 8 2,625 0 4 1,996 17 10 5,110 8 4 36,464 19 1 * Not included in Table XVI. Table XVI, -Average Cost of each Patient per Annum. Asylums. Provisions. Salaries. Bedding and Clothing. Fuel and Surgery t irrv,+ ana Llght - Dispensary. "Wines, Spirits, Ale, &c. Necessaries, m t , r, + „ Total Cost Tnf , r t Total Cost *T> 3S "^■ 1 5«rBSSMpKgi^^ i B-- r . urease cellaneous. Patient. tenance. for Main- nf all kinds pre- 1891. 1891 tenance. 01 an Kmas. vious Tear> Auckland Christchurch Dunedin (Seaolifi) Hokitika Nelson Wellington £ s. d. 8 4 8| 7 13 1\ 6 10 5| 9 6 6J 7 16 I* 7 3 11} £ s. a. ■ 10 5 3J 9 7 5£ 8 10 If 14 7 5f 11 6 5| 9 10 1 £ s. d. 1 9 10 1 16 9| 2 9 3 1 16 Of 1 13 5J 2 7 -6J £ s. d. 0 19 1J 1 5 If 0 11 7| 0 2 10| 0 14 Of 1 3 4| £ s. d. 0 2 3f 0 2 6J 0 2 11J 0 2 9J 0 3 8f £ s. d. 0 0 2 0 0 If 0 0 5f 0 0 6J 0 1 7J 0 0 2£ £ s. d. 0 18 8| 1 9 8i 0 10 H^ £ s. d. 3 3 2f 5 1 11 2 6 8f 2 12 8J 2 11 10 £ s. d. £ s. d. 25 3 41 5 19 6£ 24 3 0| 4 13 7i 23 17 91 3 15 111 28 4 9§ 2 3 11 25 4 3| 6 1 6J 23 4 91. 5 3 9 £ s. d. 19 3 10J 19 9 4f 20 1 10| 26 0 10f 19 2 Sf 18 1 0J £ s. d. £ s. d. 18 18 8* 22 4 11J 18 14 If 17 4 3f 19 15 0 17 18 8f 25 15 11J ■ 24 18 5f 18 6 4f 16 14 9f 17 11 6J 17 2 Of £ s. d. 3 6 2f £ s. d. 1 9 10 1 16 3J 0 17 5j 1 11 7 0 9 53 0 17 1 0 4 QJ - Averages 7 9 9 9 14 11J 2 0 5 0 17 9 0 2 11J 0 0 4J J 0 15 3J| 3 7 4i 24 8 10J 4 14 7 19 14 3J 19 5 0J 18 18 3 0 6 9;

EL—4.

Table XVII.—Expenditure, out of Immigration and Public Works Loan, on Asylum Buildings during the Financial Year ended 31st March, 1892, and Liabilities for the same.

Table XVIII. —Total Expenditure, out of Immigration and Public Works Loan, for Repairs and Buildings at each Asylum from 1st July, 1877, to 31st March, 1892.

[Approximate Cost of Paper.— Preparation, nil; printing (1,430 copies), £li 10s.

By Authority : Geobge Didsbuby, Government Printer, Wellington.-—1892. Price 6<2.]

15

Asylums. Net Expenditure for Year ended 31st March, 1892. Liabilities on 31st March, 18S2. Auckland Wellington ) Porirua, f Christehurch Dunedin (Seacliff).. Nelson £ s. d. 1,411 7 8 £ s. a. 1,310 0 1 12,474 18 0 6,103 8 6 2,014 5 3 500 0 0 514 16 3 3,126 7 8 1,112 8 7 335 4 6 Totals 16,915 7 2 12,047 9 4

AnT.li-.Tvir. Auckland Vellington Vellington (Porirua Road Asylum).. Ihristchurch dunedin (Seaclifi) Tapier lokitika.. ■felson .. £ s. ( 48,923 4 19,634 2 2,750 0 • 50,252 17 1 101,829 19 1 147 0 • 1,042 18 1 1 AP.0 7 j £ s. d. 138 6 3 Cr. 16 10 0 £ s. d. 2,728 7 4 241 1 10 1,466 7 0 6,107 2 7 1,744 15 11 £ s. d. 11,474 18 9 1 1,381 2 7 ur, jlu iu u 2,13117 2 1,729 5 6 9,868 19 5 176 2 1 1611 9 w -1 K a a. , 1 ;ta: ±u J.J. t Ar\G 11 1 * X |U .4 -l one n n-i-1 rn~*-«l« 19 OP 1A7 o in QOfi C\AO Q A nfl7 A Q r n A o lr l,i*v> D Total Net Expenditure 1st July, 1877, Auckland Vellington Vellington (Porirua Road Asylum).. Ihristchurch )unedin (Seaclifi) Tapier .. lokitika.. Telson .. £ s. d. a ons 4. 0 £ s. d. 90 19 6 £ s. d. 1,663 8 9 £ s. d. 1,411 7 8 £ s. d. 09,035 16 7 s,ao5 4 a I 16 8 4 83 16 1 12,474 18 0 38,031 6 2 J 3,943 15 5 2,876 14 7 10,962 18 11 4,400 13 7 do ±0 a. 5,390 10 4 1,387 11 9 2,014 5 3 500 0 0 OO t \JO± u -£ 90,672 7 0 114,645 2 11 147 0 0 1,164 19 8 a aso 11 7 OAA A A 62' 0 0 haa a a 43' 9 1 i>\JV U V Z1 A I G O m~*.„i„ Ifi Q1K 7 0. Q1Q KKK P 11 in o £ IK 71 fi 10 n K QOQ 17 q * i?mn nt>ai*.V. ,J «« i, :-_a ]„.. i'Onn no nnnnfllftviaofl