LUNATIC ASYLUMS OF THE COLONY (REPORT ON) FOR 1893.

Appendix to the Journals of the House of Representatives, 1894 Session I, H-07

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1894. NEW ZEALAND.

LUNATIC ASYLUMS OF THE COLONY (REPORT ON) FOR 1893.

Presented to both Houses of the General Assembly by Command of His Excellency.

The Inspector of Asylums to the Hon. the Minister of Education. Sir,— - • ■• Ist May, 1894. I have the honour to lay before you the following report on the Lunatic Asylums of the colony for the year ending 31st December, 1893. The number of registered insane on 31st December, 1893, was 2,039: males, 1,229; females, 810; an increase over the previous year of 76 males, and 46 females; total, 122. These are distributed as follows:— Males. Females. Total. Auckland ... ... ... ... ... 290 148 438 Christchurch ... . . ... ... ... 230 200 430 Seacliff (Dunedin) ... ... ... ... 326 233 559 Hokitika ... ... ' ... ... ... 74 37 111 Nelson ... ... ... ... ... 70 51 121 Wellington ... ... ... 221 121 342 Ashburn Hall (Private Asylum) ... ... ... 18 20 38 1,229 810 2,039 The proportion of the male insane to the male population of New Zealand is : — New Zealand (exclusive of Maoris) ... ... 3-44 per 1,000, or 1 to 291 New Zealand (inclusive of Maoris) ... ... 3-23 per 1,000, or 1 to 310 The proportion of female insane to the female population,— Exclusive of Maoris ... ... ... ... 2-57 per 1,000, or 1 to 385 Inclusive of Maoris ... ... ... ... 2-43 per 1,000, or 1 to 412 The proportion of the total insane to the total population,— Exclusive of Maoris ... ... ... ... 3-03 per 1,000, or 1 to 330 Inclusive of Maoris ... ... ... • ... 2-85 per 1,000, or 1 to 351 The proportion of the total insane, relatively to the population, of the following colonies, &c, is as under: —■ Victoria (1892) ... ... ... ... 3'39 per 1,000, or lin 295 New South Wales (1892) ... ... ... 2-77 per 1,000, or 1 in 361 New South Wales (1893) ... ... ... 2-80 per 1,000, or 1 in 357 England (L892) ... ... ... ... 3-02 per 1,000, or lin 330 Scotland (1892) ... ... ... ... 3-21 per 1,000, or 1 in 311 Ireland (1892) ... ... ... ... 3-69 per 1,000, or lin 270 Admissions. On the Ist day of January, 1893, the number of insane persons in our asylums was 1,917 : males, 1,153 ; females, 764. The number of those admitted for the first time during the year was 376, while readmissions numbered 84 ; total, 460 : against a total of 389 for 1892. I have pointed out in former reports that the statistical position of New Zealand, regarding the proportion of insane to the population, is very peculiar and apt to mislead. We are, 1 believe, in a better position in this respect than any other colony that has attained the same stage of development. Owing, however, to the extent to which we have succeeded in developing local administration and responsibility for the maintenance of the poor, while the insane are provided for entirely by the central Government, there has arisen a strong tendency to throw every case that can be brought within the definition of insanity off the local rates on to the I—H. 7.

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general taxation of the colony. The officers of the Charitable Aid Boards and Hospital Trustees, especially in the larger centres, are constantly getting medical certificates, which enable them to commit to our asylums persons who are suffering from senile decay ; being troublesome, and often dirty in their habits, and difficult to manage, those in charge make every effort to get them removed. Another class, from which a large number is committed every year, consists of those who are congenitally deficient and must be cared for by their friends. The most persistent efiorts are made to get persons belonging to these two classes admitted into the asylum; and, once in, it is most difficult to get them out again. No Medical Superintendent or Magistrate can venture simply to discharge them as being unsuitable for asylum treatment. In England and other countries such people are kept in workhouses or other charitable institutions, where suitable provision is made for them; but here nothing of the kind is possible. Before discharging a patient, the officer responsible has practically to find some one to take care of him, and, failing friends, he has to fall back on the local refuges and the local rates ; and the inevitable struggle ensues between the ratepayers' representatives and the officers of the Government. Thus it happens that our asylums are filling up, especially in times of depression, at a far more rapid rate than is warranted by the real increase of our insane population. Dischabges. The total number removed by discharge and death was 338 : males, 205 ; females, 133 : as against a total of 321 for the year before. The percentage of recoveries on admissions during the year was 41'30; as against 42-42 the year before. It is evident that, owing to the accumulation of so large a proportion of the old and helpless, and congenitally deficient persons, referred to above, both our rate of discharges and deaths are very unfairly affected, and appear much more unfavourable than they really are. Deaths. The percentage of deaths on the average number resident during the year was 5-23. New South Wales had a percentage of 7#42. Accidents. Beyond the inevitable scratches and contusions, of which a careful record has been kept, there have been only two cases calling for remark during the year—namely, one patient who, in trying to escape, fell from a balcony, causing fracture of the clavicle; and another, whose arm was accidentally broken. Besides the inquiry and report of the Medical Superintendent, I personally inquired into the circumstances of both cases. Inebeiate Asylums. At intervals, pressure is brought to bear on the Government to provide separate accommodation for the treatment of inebriates. The proprietors of Ashburn Hall, Dunedin, undertook, some time ago, to supply this want; but, finding that the prospect of making their undertaking pay was not encouraging, they abandoned the idea. The Victorian Government has had a similar experience. The report of a Royal Commission and the importunity of friends caused the Government to establish inebriate asylums at Beaconsficld and Northcote, with the result that, owing to their cost, both have lately been closed. In the face of that fact, I am afraid we must wait for better times before we can carry out fully the demand for separate accommodation and treatment for those unfortunate victims of a diseased heredity. New Buildings and Impeovements. The central block of the new asylum at Porirua will be finished in a few weeks; but the accumulation of patients in all our asylums has this year been so great that we had to occupy such parts of the new asylum as were at all habitable months ago. This has caused great difficulty and anxiety to the officers in charge. For many months, both patients and attendants had to submit to great discomforts, both inside and out, especially in bad weather. As soon as it is fully ready for occupation, every bed in the new asylum will be occupied ; and still all the other asylums are complaining of overcrowding. It is necessary that steps should be taken without delay to complete the .building, so as to accommodate the 500 patients for which it was planned. Judging by the rate of building progress in the past, and the rapid increase of patients, which we find it impossible to discharge—having no place to send them to —the pressure on our space will be terrible before we can be ready to relieve it. The greatest difficulty is experienced on the male side of the Auckland Asylum, and I recommend that a sum of £3,000 be voted to extend the number of single rooms, and provide suitable dayrooms. At Sunnyside, Christchurch, a new block, containing closets and baths, is now being built to replace the dangerous and offensive arrangements in the old building. The architectural difficulties of doing this in any satisfactory way were almost insuperable, and all that can be said of.the new arrangement is that it is the best that could be done in the circumstances. The new laundry which has been promised so long seems at length about to be undertaken in earnest. It is very urgently needed. At Auckland the most gratifying success has attended our undertaking to use the sewage for irrigation purposes. Great credit is due to Mr. Vickerman, the Superintending Engineer, and to Dr. Hassell and his assistants, for the admirable way in which the new farm-steading, the irrigation works, and the new swimming baths have been constructed, almost entirely by asylum labour.

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At Seacliff, a great deal of skill and money has been expended in improving the ventilation, and many other minor works, which in former years used to be paid for out of the Public Works vote. This accounts in some degree for the large increase in the maintenance-cost of the asylum for the year The farm buildings at Porirua, T am informed, will be ready in about two months. Last year the farm at this asylum was extended by the purchase of adjacent hilly land, so that now we have a total of 884 acres. The land in this district is all of poor quality, and, with the exception of a few acres which are being irrigated with asylum sewage, the farm as a whole can only be used for grazing purposes. It is proposed to stock the more hilly parts with sheep, for the purchase of which the market offers a favourable opportunity. Financial Ebsults of the Ybae. The most striking fact uuder this heading is the extraordinary success which has attended the administration of Dr. Levinge in Christchurch Asylum. The general economy of his management of the asylum as a whole, and of the farm in particular, cannot, I think, be paralleled, while at the same time the comfort of the patients and attendants has been most sedulously provided for. Nothing more clearly demonstrates the value of a good farm in connection with an asylum than the results attained on the Sunnyside Farm last year. No less a sum than £991 was received and paid into the Public Account for produce sold, over and above what was required for asylum consumption. The doctor has received six months' leave of absence after ten years of such service, and I think he has amply earned it. The following is a statement of the weekly cost per head at the different asylums : — 1893. 1892. s. d. s. d. Auckland ... ... ... ... ... ... 9 0 8 5 Christchurch ... ... ... ... ... 6 3| 6 9 Seacliff . ... ... ... ... ... ... 9 8J- 8 0 Hokitika .;.. ... ... ... ... ... 9 4 10 2f Nelson ... ... ... ... ... ... 7 1 7 2 • Wellington ... .. 8 9| 7 9| Average ... ... ... ... 8 5| 7 10 The net cost per head per week, including everything, was this year 95., as against Bs. 4fd. last year. The increased cost at Auckland and Wellington is largely due, in the former case to a refund by order of the Petitions Committee of a large sum received for maintenance from the Public Trustee ; in the latter case to an increase of expenditure caused by the opening of Porirua Asylum.

ENTEIES OF VISITS TO THE DIFFEKENT ASYLUMS. Auckland. 3rd October, 1893. —Yesterday and to-day I have been engaged in examining this asylum. The clothing of the patients is suitable in material, and is kept very clean. All patients who require them have good under-flannels. The bedding is ample and in good condition. I examined the food and found it of excellent quality. The cooking is good, and the meals well served, except that I noticed some want of organization in the mode of distribution at the auxiliary. Mr. Ewington has forcibly called attention to the proportionate deficiency of single rooms in this Asylum as compared with the other asylums of the colony. The only excuse is that it is difficult for the colony to provide except gradually for the proper accommodation of its insane population. I had hoped that the whole of the Porirua Asylum would be completed before we should have been overtaken by such an increase of lunacy as would compel the addition of another block to this Asylum. But the matter has now become so urgent that the Government ought to spend about £3,000 in extending the male wing southwards, so as to provide twenty-four single rooms, a dormitory for dirty patients, and a large day-room. I only found three patients confined to bed. None were secluded, and none were under restraint. Following the example of the English Commissioners, a special register for recording all cases of mechanical restraint has been issued, showing the date, the names of the patients, the means employed, the duration in hours, and the certificate of the Medical Superintendent stating the grounds on which it was employed. The large proportion of chronic cases in our asylums has hitherto, in the opinion of the Medical Superintendents, rendered it unnecessary for us to put the country to the expense of having assistant medical officers, but it is now recognised that, in deference to the demands of the public, the time has come for taking this step. I hope soon to be able to give Dr. Hassell an assistant, as is being done in the Southern institutions, and this will enable him to carry out fully the instructions which I have issued lately for more complete records being kept in the case-books, as well as, I venture to anticipate, enabling our asylums to extend our knowledge of the pathology of insanity. The records of mechanical restraint show that for the last three months there were in all four females who had thus to be treated for their own safety—one for two nights, one for twelve hours, one for two days and four hours, and one for one day. I find the Asylum as a whole in a satisfactory condition, except for the dangerous overcrowding on the male side. The staff is efficient and contented in a very high degree. All the books and documents are in order, and the stock is remarkably well looked after. 30th December, 1893.—The number of patients this day is 283 males and 142 females : total;, 425. These figures show that it is imperative, now that the Porirua Asylum is. nearly ready, la

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transfer fifty male patients thither. Arrangements have accordingly been made to send that number by the " Hinemoa," which will leave Onehunga for Wellington about the middle of January. Two women were confined to bed, and one man and one woman wore locked gloves. Only in one instance restraint had to be used, and I found this duly entered in the register. The system of sewage irrigation is nearly finished, and is already at work over a considerable area of the garden. A concrete ■ swimming-bath is rapidly approaching completion—a very considerable work, which has been admirably carried on by attendants and patients. New workshops at the rear of the farm-buildings are being put up in the same way. The farm is in good order. I was present on two occasions at the dinner-hour and found everything of good quality and well cooked. The patients' clothing is suitable and good. I heard no complaints from either attendants or patients. The statutory books and documents are all in order. I inquired into the circumstances under which a patient's arm was accidentally broken, and I concur in Dr. Hassell's decision. No further action is required in this case. The Deputy Inspector has also come to the same conclusions. Messrs. Cooper and Ewington are most assiduous and careful in their visits to the institution, I consulted with Dr. Hassell with regard to all the recent and curable cases, and approved of the treatment adopted. 29th March, 1894. —I find this Asylum to be well conducted in every respect. The patients are carefully attended to, and the attendants have no grievances. The overcrowding, which I had hoped to remove by taking fifty male patients to Porirua, I find cannot be remedied, because of the want of single rooms at the auxiliary building. We must, therefore, provide for an extension of the male wing backwards, at a cost of £3,000, which I hope the Parliament will grant next session. The farm and garden are in good order. The new sewage irrigation is in working order, and promises great results. A splendid bath, containing 22,000 gallons of water, has been made by asylum labour, with a suitable dressing-room and enclosure, at a cost of about £30 for cement, timber, and fencing. It can be filled and emptied in a few minutes, and it is an immense advantage to the Asylum. Christchurch. 31st October, 1893. —The fire apparatus at this Asylum has at length been completed, and I found i,t to-day in complete working order. For this result much credit is due to the persistent and energetic efforts of Colonel Lean and the Official Visitors. The much-needed laundry, fully equipped, has been provided for, and the offensive sanitary condition of the closets and urinals on the male side is to be remedied at once. In conference on the spot with the architect, Mr. Campbell, and Dr. Levinge, a plan was agreed on, which ought to be immediately prepared, and tenders called for as soon as they are ready. Parliament has sanctioned the necessary expenditure, which will, I think, for a long time meet the requirements of this Asylum. The farm has already come to be regarded as the model farm of the district; its value as a means for affording the varied outdoor activity so essential to the best treatment of mental disease cannot be overestimated ; and I am glad to say that it is, under the admirable management of Dr. Levinge, helping more and more every year to reduce the outlay connected with the institution. The Asylum itself is in excellent order throughout, and the staff is efficient and contented. On the male side I found seven persons confined to bed ; on the female side, four. In all, two patients were in seclusion, for necessary reasons. The new journal provided for the recording of all cases of restraint is being properly kept. Two men were wearing locked gloves, and two women locked belts, for which the reasons are stated, with the doctor's authority entered in each case. The employment of the patients is carefully regulated and encouraged for their good, and not with a view to making it profitable. Good progress is being made with the plastering and papering of the women's wards. The feeding and dressing of the inmates are very satisfactory ; the bedding ample and clean. All the statutory books and documents were in order. Dr. Edward Gane has been appointed Assistant Medical Officer, so that for the future it cannot be said that parsimony has prevailed over prudence in this matter. 17th March, 1894.—0n the 20th February I paid a visit to this Asylum in company with the Hon. W. P. Beeves, and to-day I completed the inspection of all departments of this institution. The long-promised laundry, and the replacement by a suitable building of the dangerous closets and urinals which I have so often complained of, are at length about to be undertaken. When these works are completed this Asylum will be well equipped. Any one who now visits this institution, and who remembers what it was like when Dr. Levinge took charge of it, cannot fail to be astonished and gratified at the immense improvement which has been effected, not merely in the buildings, farm, and grounds, but also in the comfort of the patients. The patients now number 445 —males, 239; females, 206. I examined every one of them, and found they were suitably cared for.. Their clothing is good, their food is ample and of good quality. Indeed, I have never seen a more gratifying scene of the kind than is presented by the dining-hall at dinner-time. So far as I could discover there is no dissatisfaction among the staff. The time has now come when an engineer of higher qualifications must be appointed to take charge of the steam apparatus, with an assistant to take night duty. The farm is in capital order, and is helping greatly to reduce the cost of maintaining the Asylum. I find that among the admissions of the past year a very large proportion consists of chronic epileptics and old persons suffering from various forms of senile decay. This fact is reflected in the small number of hopeful cases. All such were examined, and all were being carefully attended to by Dr. Levinge and his assistant, Dr. Gane. Fortnightly dances are provided for the patients. Eeligious services are regularly held. All the statutory books and documents are properly kept. Seacliff. 6th November, 1893.—The ventilation and warming of this building are now at length placed in a satisfactory position. After much thought Dr. King has remedied the defective provision for these things so far as the structural peculiarities of the rooms could be corrected. The addition of

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ten new single rooms has for the present met the difficulty of dealing with the rapid admission of difficult cases. The rooms hitherto occupied by the Medical Superintendent are being beautifully painted by an ex-patient, whose wonderful powers as a. decorative painter have made it possible to do this work very cheaply. It is intended to devote these for the future to the completer classification of special cases. In this way the whole front of the building will be set free for the use of patients. The new"airing-courts on the male side will soon enable us to largely empty the enclosed yards which are now occupied to the rear of the building. The total number of patients is 534— males, 314 ; females, 220. In respect to lodging, clothing, and feeding the state of the patients is satisfactory. Owing to a return of influenza, I found seventeen men and seven women confined to bed. One male patient was under restraint, and the case was duly entered in the book provided for the purpose. Of the males only fifty are found unfit for some kind of employment. The large number of 129 men are occupied on the farm. I have taken a great deal of trouble to ascertain whether the staff have any grievances, and I heard none. Dr. Burns has been appointed to assist Dr. King, at a salary of £250. He has had several years' experience in one of the Scotch asylums. All the statutory books and documents are in order. The stock is well kept, and great care is taken to prevent waste. The institution is undoubtedly well and vigorously administered. 10th March, 1894.—During the last three days I have made a careful inquiry into the working of this Asylum, and have satisfied myself as to the condition of all its departments. I saw every patient, and inquired into the circumstances and treatment of such cases as required more particular examination. One case in particular, of a very embarrassing and difficult nature, I carefully considered with Dr. King, who is to make a further investigation into the man's antecedents before coming to a conclusion as to its nature. I found that Dr. King is unremitting in his attention to the health and comfort of the inmates, and is constantly devising new means of improving their classification, and their physical and moral treatment. Dr. Burns is giving every satisfaction as Assistant Medical Officer. Owing to the unusual rainfall of the past year, the north wing has again begun to move, and there are extensive cracks through the connecting corridor. The Engineers of the Public Works Department have under consideration the best means of dealing with the difficulty. The fire-prevention appliances have been specially reported on, and the suggestions made are receiving every attention. The fire brigade have been carefully and systematically drilled, and they are very expert. An unavoidable increase has taken place in the number of inmates during the past year, and a considerable increase of expenditure has had to be met. The staff are efficient, and, so far as I can discover, loyal and contented. There are two or three very excitable females who have had to be restrained. All such cases have been duly registered, and the causes assigned in each case. I found all the statutory books and documents in order. There are 552 patients— males, 320; females, 232. Ilokitika. 26th October, 1893.—T0-day I have paid a second visit this week to this Asylum. As on all my former inspections, I found everything in good order. Nothing can exceed the orderliness and systematic organization which pervade every department. A fine new room has been added to provide for the more chronic cases. The timber for this, and all the work required in connection with the building, were provided by the staff and patients. The number of patients is seventy-one males and thirty-five females, only a very small number of which have any chance of recovery. There is a beautiful cottage building, isolated in a finely-kept garden, where the working-patients and the convalescent can be isolated from the depressing association with the worst cases, which so retard those who are struggling back to sanity. Those who are unfit for any kind of employment number only ten men and fourteen women. The food, clothing, and bedding are ample in quantity, excellent in quality, and scrupulously clean. Only one man was confined to bed. Amusements are regularly provided, at which, on the last occasion, forty-four men and fifteen women were present. All statutory books and documents were found in order, the stock-sheets were tested and found correct. Four males were under medical treatment. I found no entries of mechanical restraint in the new book provided for the entry of all such cases. Mr. Dungan, the Deputy Inspector, is most assiduous in his visits. Nelson. 16th October, 1893. —I have made a careful examination of all departments of this Asylum, and I find it is working well. I found no patients either in seclusion or under restraint, except one man confined to bed for cancer. Every patient in the Asylum is instructed in some useful employment except thirteen. Nothing gives a better idea of the efficiency of the management than this fact It is the universal experience that the greatest possible freedom and regard to individual tastes for employment do more for the insane than any drugs ; and I do not think that this wholesome system is more efficiently carried out anywhere than in Nelson Asylum. The food, clothing, and bedding are satisfactory; the carpets on the female side require renewing. The farming operations have been retarded by the unusually wet spring. I think the Asylum would be benefited by having more grazing ground, and accordingly I have authorised Mr. Morrison to lease a neighbouring farm for grazing purposes. I found all the books and documents in good order, except the Casebook and Medical Journal, which the doctor's advancing years make it difficult for him to keep in the prescribed form ; but his assiduity in every other department, together with his unusual devotion to his duties, lead me to think that it is better to give him a dispensation in these matters than lose his valuable services to the institution. As a whole, the Asylum is well and vigorously managed. Mr. and Mrs. Morrison are thoroughly reliable, and everything is working smoothly. All the books and documents, with the exception of the books mentioned, were in good order; and lam quite satisfied with the state of the institution.

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Wellington. 15th February, 1894. —I have made a detailed inspection of this Asylum to-day and yesterday. Thirteen males and four females are under medical treatment, one male and two females being confined to bed. I found, by personal inspection, that every patient was suitably clad. The food was of good quality and properly cooked and served. There is a great improvement on the female side owing to the relief afforded by Porirua, but on the male side there are thirty-six more than can be properly accommodated. I have made repeated efforts to get additional room provided, but so far without success. lam still hopeful to remedy this evil before the winter is on us. The Eestraint Eegister I was glad to find still a blank. Good progress is being made with the Porirua Asylum, and lam informed that in a few days the building will be handed over. The unusual increase during last year in the number of admissions compelled us to place fifty patients from Auckland in the building long before it was finished, in addition to those who had been taken there to relieve Wellington Asylum. Necessarily this last year has been one of great anxiety and difficulty to every one connected responsibly with this Asylum ; and I feel bound to say that I am thankful to Dr. Fooks and his staff for the constant vigilance and care which they have exercised. I found all the statutory books and documents in order. Ashburn Hall. sth November, 1893.—1 have examined every patient in this licensed house, and found every one suitably cared for in every respect. Their rooms are very comfortably furnished, and kept scrupulously clean. Every case requiring medical care is sedulously looked after by the doctor, and the attendants, male and female, are excellent. The matron, Miss Ferguson, I have known for many years, and I have never seen a better. The buildings are well designed, and the surroundings are exceedingly beautiful. I found the books and documents in order. The head attendant is a most capable and reliable man, capable of relieving Mr. Hume of such duties as require youth and activity, while Mr. Hume's long experience enables him to superintend the whole efficiently notwithstanding his advanced age. Two males and three females are out on trial. . 4th March, 1894. —I have, after careful examination, found that every patient is well cared for and properly treated. No one was under restraint, and only one patient in bed, where he is allowed to remain at his own request. I found all the books and documents in order. Every patient had the opportunity of making complaints to me without any other person being present, and I heard none. The accommodation is good and clean, the food, clothing, and bedding all that could be desired, and the management vigorous and kindly. I have, &c, D. MacGbeck>e, 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 1893.

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 1893.

Table II.— continued.

Table II.— continued.

In asylums, 1st January, 1893 Admitted for the first time Readmitted M. F. T. M. 1,153 F. T. 764 1,917 235 46 141 38 376 84 I 281 179 460 Total under care during the year Discharged and removed— Recovered Relieved Not improved Died 101 17 9 78 89 12 9 23 190 29 18 101 1,434 943 2,377 205 133 338 Remaining in asylums, 31st December, 1893 .. 1,229 810 2,039 Increase over 31st December, 1892 76 46 122 Average number resident during the year 1,172 758 1,930

Asylums, In Asylums on 1st January, 1893. Admitted for the First Time. Admissions in 1893. Emissions in 189 Readmitted. :93. Total Number of Total. Patients under Care. Auckland Ohristchurch Dunedin (Scacliff) Hokitika Nelson Wellington .. ishburn Hall (private asylum) M. F. 267 138 231 190 312 225 65 36 63 45 196 112 19 18 T. 405 421 537 101 108 308 37 M. 52 44 51 15 10 58 5 F. 27 25 32 4 9 39 5 T. 79 69 83 19 19 97 10 M. F. 16 9 4 10 10 8 5 3 2 1 9 6 0 1 T. 25 14 18 8 3 15 1 M. 68 48 61 20 12 67 5 F. T. 36 104 35 83 40 101 7 27 10 22 45 112 6 11 M. P. 335 174 279 225 373 265 85 43 75 55 263 157 24 24 T. 509 504 638 128 130 420 48 Totals .. 1,153 764 1,917 235 141 376 46 38 84 281 179 460 1,434 943 2,377

Patients discharged and died. In Asylums on 31st December, 1893. Asylums. Discharged recovered. Discharged not recovered. Died, Total discharged and died. Auckland .. 31mstchurch Dunedin (Seacliff) Ef okitika Nelson Wellington .. ishburn Hall (private asylum) M. 19 24 24 5 0 24 5 F. 15 17 20 5 4 24 4 T. 34 41 44 10 4 48 9 M. 5 10 9 1 F. 2 4 8 0 T. 7 14 17 1 H. 21 15 14 5 5 17 1 F. 9 4 4 1 0 5 0 T. 30 19 18 6 5 22 1 M. 45 49 47 11 5 42 6 F. 26 25 32 6 4 36 4 T. 71 74 79 17 9 78 10 M. F. 290 148 230 200 326 233 74 37 70 51 221 121 18 20 T. 438 430 559 111 121 342 38 1 7 8 Totals 101 89 190 205 133 338 1,229 810 2,03! 26 21 47 78 23 101

Asylums. Average Number resident during the Year. Percentage of Recoveries on Admissions during the Year. DeSTvVrage I Percentage of Number resident ' th D, ef h? °. n during the Year. [ the Admissions. i-Uckland.. jhristchurch 3unedin (Seacliff).. Eokitika .. STelson Wellington ishbum Hall (private asylum) M. P. 274 134 229 197 311 215 70 35 07 46 202 112 19 19 T. 408 426 526 105 113 314 38 M. P. T. 27-94 41-67 32-69 50-00 48-57 49-40 39-34 50-00 43-56 25-00 71-43 37-04 40-00 18-18 35-82 53-33 42-86 100-00 66-66 81-82 M. F. T. 7-66 6-72 7-35 6-55 2-03 4-46 4-50 1-86 3-42 7-14 2-8G 5-71 7-46 .. 4-42 8-42 4-46 701 5-26 .. 2-63 M. F. T. 30-88 25-00 28-85 31-25 11-43 22-89 22-95 10-00 17-82 25-00 14-29 22-22 41-67 .. 22-73 25-37 11-11 19-64 2000 .. 909 Totals 1,172 758 1,930 35-94 49-72 41-30 6-66 3-03 5-23 27-76 12-85 2196

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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 1893.

Table V.— continued.

Ages. Auckland. Christchurch. Duneclin Hnl , it;) , n Nelson. Ashburn Hall (Private Asylum). Total. M. P. T. . M. F. T. . M. P. T. M. P. T. M. F. T. M. P. T. M. P. I. M. P. T. Inder 5 years 'rom 5 to 10 years „ 10 , 15 „ „ 15 „ 20 „ „ 20 „ 30 „ „ 30 „ 40 „ „ 40 „ 50 , „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ „ 80 „ 90 „ "nknovvn 112 12 3 '12 3 i 16 8 24 i 16 8 24 12 5 17 9 9 18 3 5 8 2 0 2 - 112 2 3 5 14 7 21 57 36 93 70 43 113 51 42 93 47 31 78 21 11 32 12 2 14 3 0 3 3 3 6 3 0 3 11 9 20 20 10 30 17 9 26 9 5 14 4 3 7 2 0 2' 2 0 2j ! 4 3 7 ) 10 5 15 1 9 6 15 1 7 11 18 11 7 18 4 15 112 10 1 112 10 1 112 5 0 5 2 3 5 112 6 17 2 13 2 0 2 2 0 2 15 6 2 3 5 4 15 2 0 2! Oil 2 1 3 12 8 20 20 IS 33 10 13 23 9 6 15 8 1 9 4 0 4 10 1 2 13 10 1 0 2 2 13 4 112 2 2 4 . . Totals 68 36 104 48 35 83 01 40 101: 20 7 27 12 10 22; 67 45 112 5 6 11 281 179 460

Auckland. Christchurch. Dunedin (Seaoliff). Hokitika. Nelson. Wellington. Ashburn Hall (Private Asylum). Total. M. F. T. M. F, T. M. P. I. M. F. T. M. F. T. M. F. T. M. F. T. M. 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) 'hircl Class (not first attack, and within 12 months on admission) 'ourth Class (first attack or not, but of more than 12 months on admission) Jnknown lot insane [26 12 38 12 5 17 15 9 24 17 5 22 4 2 6 11 15 26 29 14 43 9 6 '15 10 9 19 7 2 9 4 2 6 3 14 6 6 12 10 1 112 49 27 76 12 3 9 5 14 3 3 0 0 11 0 11 137 69 206 31 18 49 49 41 90 12 10 22 4 3 7 12 10 22: 18 11 24 6 2 8 4 3 7? 8 11 19 2 13 49 41 90 12 10 22 3 0 3 3 0 3 * ■ 08 36 104 I 48 35 83 I 20 7 27 12 10 22! Totals 01 40 10: 67 45 112 5 6 11 281 179 460

Auckland. Christchurch. Dunedin (Soacliff). Ilokitika. Ages. Beooyered -„*&* Eecovcred re0 £°* re(J Eeoovereaj r60^red Eeoovered rec » ed M. F. T. M. F. T. M. P. T. M. P. T. M. F. T. M. F. T. 1 0 1 Oil M. F. T. M. P. T. From 5 to 10 years „ 10 „ 15 „ „ 15 „ 20 „ „ 20 „ 30 „ „ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ „ 80 „ 90 „ Dnknown 10 1 4 15 4 9 13 4 3 7 5 0 5 0 11 Oil 3 0 8 Oil 10 1 10 1 10 1 3 14 4 15 6 4 ]0 3 8 11 6 3 9 10 1 10 1 112 2 0 2 2 13 3 2 5 1 0 1 2 0 2 6 7 13 6 6 12 2 3 5 7 4 11 10 1 2 2 4 10 1 2 13 3 3 6 Oil 112 Oil 2 13 0. 2 2 1 0 1 1 0 1 10 1 1 X 2 Totals 19 15 34 5 2 7 24 17 41 10 4 14 24 20 44 9 8 17 5 5 10 10 1

Nelson. Eecovered re0^ed Nelson. Wellington. Ashburn Hall (Private Asylum). Total. Ages. covered r60^rea | Eecovereaj r60^.e(J Recovered | JJ^ 'rom 5 to 10 years „ 10 „ 15 „ „ 15 „ 20 „ „ 20 „ 30 „ „ 80 „ 40 „ „ 40 „ 50 „ „ 50 „ GO „ „ 60 „ 70 „ 70 „ 80 „ „ 80 „ 90 „ fnknown M. F. T. '.'. ' 0 2 2 .. | ::|o i* i ..011 ■ M. F. T. M. F. T. oil 5 6 11 8 9 17 C 5 11 3 14 10 1 10 1 M. F. T. 0 22 112 0 3 3 H. F. T. oil 2 2 4 112 M. F. T. M. P. T. 10 1 7 4 11 21 20 41 27 30 57 15 21 3G 23 9 32 4 1 5 2 13 112 0 2 2 M. P. T. M. F. T. 10 1 10 10 11 7 4 11 10 1 21 20 41 8 6 9 27 30 57 COG 15 21 3G 5 4 9 23 9 32 8 8 16 4 1 5 2 13 2 1 3 0 11 11 n 2 02 j Oil I •- 0 2 2 112 A £1 Ci 0 2 2 24 24 48 1 7 8 5 4 9 101 89 190{ 01 89 190J 26 21 47 Totals ... 0 4 4 I ••

H.—7.

9

Table VI.—Ages of the Patients who died.

Table VII.—Condition as to Marriage.

2—H. 7.

Ages. Auckland. Christchurch. Dunedin (Soaoliff). Hokitika. Nelson. I Ashburn Wellington.; (p^ te Asylum). Total. H. P. T. M. P. T. M. P. T. M. F, T. M. F. T. M. P. T. M. F. T. M. F. T. ?rom 5 to 10 years „ 10 „ 15 „ „ 15 „ 20 „ „ 20 „ 30 „ „ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ „ 80 „ 90 „ Jnknown 10 1 3 0 3 6 2 8 3 3 6 3 2 5 2 13 10 1 2 13 0 11 5 0 5 2 0 2 0 2 2 3 0 3 112 2 0 2 2 0 2 112 112 7 0 7 10 1 1 1 2 : 2 13 10 1 i i i' 2 2 0 2 10 1 2 13 5 0 5 2 13 3 14 3 2 5 10 1 112 11 2 13 16 3 19 14 7 21 10 3 13 12 5 17 8 19 5 16 10 1 ;404 10 1 10 1 10 1 1 '6 1 Totals 21 9 30 | 15 4 19 14 4 18 5 10 5 0 5 I 17 5 22 10 1 78 23 101

Admissions. Discharges. Deaths. Auckland— Single Married Widowed Unknown m. r, t. 43 10 53 20 20 40 5 6 11 m. p. t. 16 3 19 7 12 19 12 3 St. F. T. 14 2 16 5 6 11 2 13 - ■ Totals 68 36 104 24 17 41 21 9 30 jHBISTCHUBCH— Single Married Widowed Unknown 28 12 40 15 19 34 5 4 9 20 4 24 10 16 26 4 15 7 6 1 1 1 8 3 9 0 1 0 1 Totals 48 35 83 34 21 55 15 4 19 Ddnedin (Seaoliff) — Single Married Widowed Unknown 38 16 51 20 ]8 33 3 6 9 24 4 28 7 24 31 0 2 7 4 3 2 1 1 9 5 4 Totals 61 40 101 33 28 61 14 4 18 ETOKITIKA— Single Married Widowed Unknown 15 1 16 2 4 6 3 2 5 3 2 1 0 5 0 3 7 1 3 2 1 0 4 2 Totals 20 7 27 6 5 11 5 1 6 Kelson— Single Married Widowed Unknown 10 2 0 4 14 4 6 2 2 0 0 0 1 1 2 1 1 2 3 2 0 0 3 2 Totals 12 10 22 0 4 4 5 0 5 Wellington— Single Married Widowed Unknown 33 IS 48 29 24 53 5 0 11 14 10 24 9 18 27 2 3 5 8 8 1 1 9 3 11 1 2 Totals 67 45 112 25 31 56 17 5 22 \.shbubn Hall (Private Asylum)— Single Married Widowed Unknown 3 1 1 4 2 0 7 3 1 4 1 3 1 7 2 1 0 1 Totals 5 6 11 5 4 9 1 0 1 POTALS — Single Married Widowed Unknown 170 62 232 89 91 ISO 22 26 48 81 25 106 36 77 113 10 8 18 42 7 49 26 13 39 9 3 12 10 1 Totals 281 179 460 127 110 237 78 23 101

H.—7

10

Table VIII.—Native Countries.

Table IX.—Ages of Patients on 31st December, 1893.

Table X.—Length of Residence of Patients who died during 1893.

Countries. Auckland. Christchurch Dunedin (Seacliff). Hokitika. Nelson. 1 1 Wellington. Ashburn Hall (Private Asylum). Total. England Scotland Ireland New Zealand Australian Colonies M. F. T. 112 57 169 26 11 37 66 40 106 44 32 76 10 1 3 0 3 6 3 9 2 0 2 3 0 3 10 1 10 1 4 0 4 8 5 13 13 0 13 M. F. T. 85 76 161 27 25 52 67 63 130 20 23 43 5 3 8 10 1 5 0 5 2 0 2 10 1 10 1 10 1 M. F. T. 65 80 145 93 62 155 83 78 161 37 7 44 3 14 10 1 15 0 15 2 3 5 10 1 2 0 2 2 2 4 12 0 12 10 1 9 0 9 M. F. T. 18 7 25 8 3 11 24 17 41 11 3 14 14 5 M. F. T. 23 15 38 4 4 8 22 9 31 15 17 32 12 3 0 2 2 112 M. F. T. 70 29 99 39 11 50 55 38 93 30 26 56 3 2 5 0 11 6 4 10 0 3 3 5 0 5 4 3 7 10 1 2 0 2 12 3 5 2 7 M. J?. T. 8 8 16 5 5 10 112 2 4 6 12 3 M. F. 381 272 202 121 318 246 159 112 15 14 5 3 37 10 6 6 12 1 10 4 6 2 21 0 10 8 47 11 T. 653 323 564 271 29 8 47 12 13 14 8 21 18 58 France Germany Norway Sweden Denmark Italy China Maoris Other countries 4 '2 6 2 0 2 Oil 10 1 3 0 3 0 1 1 2 0 2 0 11 15 9 24 2 '6 2 2 0 2 10 1 Totals 290148 438 230 200 430 326 233 559 74 37111 70 51 121 221 121 342 18 20 38 1,229 810 2,039

Ages. Auckland. Christchurch. Dunedin w «m-il7o (Seacliff). HokltlkaNelson. Ashburn Wellington. (p^ e Asylum). 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. 1 to 5 years 5 „ 10 „ L0 „ 15 „ L5 „ 20 „ 20 „ 30 „ )0 „ 40 „ 10 „ 50 „ >0 „ GO „ >O , 70 „ '0 „ 80 „ SO „ 90 „ Jnknown 1 0 l' 112 8 3 11 20 20 46 70 36 106 72 37 109 1 70 28 98 30 14 44 9 7 16 1 1 2; 2 13 0 11 0 2 2, 3 5 8 1 23 19 42' 52 52 104 55 57 112 63 38 101 27 15 42 4 5 9 13 4 2 3 5 0 11 3 3 6 8 4 12 38 18 56 59 51 110 86 60 146 88 69 157 33 22 55 8 2 10 0 2 2 3 14 2 13 112 8 1 <J 6 7 18 14 9 23' 29 13 42 11 1 12 0 3 3 10 1 2 1 3 0 1 1 3 0 3 5 10 15, 15 14 29 21 12 33 15 9 24j 9 4 13l 2 1 8 112 4 1 5| .. 6 5 111 1 0 1 32 17 49' 2 3 5 54 40 94, 3 0 3 60 34 94 1 3 6 9 31 13 44 4 8 12 19 5 24 3 3 6 4 3 7 10 1 3 0 3! 1 0 1 7 2 9] .. 4 4 9 9 29 17 134 88 259 200 311 215 300 178 132 64 28 21 7 6 16 8 8 18 46 222 459 526 478 196 49 13 24 Totals 221 121 34218 20 38 290 148 438 230 200 430 326 233 559 74 37 111 70 51 121 1,229 810 2,039

Length of Residence. Auckland, Christchurch. Dunedin (Seaclifl). Hokitika. Nelson. Wellington. Ashburn Hall (Private Asylum). Total. M. F. T. 0 2 2 7 0 7 3 0 3 112 IJI. F. T. 10 1 2 13 M. F. 1. 3 14 M. P. I. M. F. T. M. F. T. 112 4 15 3 0 3 M. F. T. M. F. T. 5 4 9 13 2 15 11 0 11 6 17 2 3 5 7 18 10 1 11 5 3 8 4 4 8 3 0 3 3 0 3 2 0 2 6 4 10 10 1 Under 1 month 1 to 3 months .. 3 „ 6 6 „ 9 9 „ 12 1 „ 2 years 2 „ 3 „ 3 „ 5 „ 5 „ 7 „ 7 „ 10 „ .0 „ 12 „ -2 „ 15 „ )ver 15 „ )icd while absent on trial.. 2 0 2 10 1 13 4 10 1 2 0 2 2 0 2 112 2 0 2 2 0 2 112 112 10 1 3 0 3 3 0 3 Oil 112 10 1 2 0 2 2 0 2 Oil 2 0 2 10 1 10 1 1 0 1 112 Oil 3 0 3 3 14 10 1 10 1 10 1 3 3 6 1 '6 1 10 1 2 i 3 10 1 10 1 Totals .. 21 9 30 15 4 19 14 4 18 5 16 5 0 5 17 5 22 10 1 78 23 101

11

H.—7

Table XI.—Length of Residence of Patients discharged "recovered" during 1893.

Table XII.—Causes of Death.

Length of Residence. Auckland. Christchurch. Dunedin (Seaeliff). Hokitika. Nelson. Wellington. Ashburn Hall (Private Asylum). Total. Jnder 1 month I'rom 1 to 3 months „ 3 „ 6 „ „ 6 „ 9 „ „ 9 ,,12 „ „ 1 „ 2 years .. „ 2 „ 3 „ .. „ 3 „ 5 „ .. „ 5 „ 7 „ .. „ 7 ,,10 „ .. „ 10 „12 „ .. „ 12 „ 15 „ .. •ver 15 years M. F. T. 112 4 0 4 7 18 4 G 10 2 3 5 14 5 M. F. T. 6 2 8 8 6 14 5 4 9 3 0 3 0 4 4 M. F. T. 3 2 5 9 4 13 5 11 16 112 3 0 3 2 2 4 M. F. T. 10 1 2 2 4 112 Oil M. F. T. 0 8 3 0 11 M. F. T. 8 2 10 15 6 6 6 12 3 4 7 3 4 7 2 13 0 2 2 M. F. T. 112 2 13 112 10 1 Oil M. P. T. 19 7 26 25 21 46 26 24 50 12 13 25 9 12 21 5 9 14 3 3 6 10 1 2 18 Oil 10 1 1 '6 1 10 1 .10 1 Totals 19 15 34 24 17 41 24 20 44 5 5 10 0 4 4 24 24 48 5 4 9 101 89 190

Causes. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Wellington. Ashburn Hall (Private Asylum). Total. M. F. T. 10 1 10 1 M. I\ T, M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. 10 1 10 1 2 0 2 112 0 11 5 4 9 19 4 23 10 1 Abscess of brain .. Abscess of liver and peritonitis Alcoholism Apoplexy Asphyxia Asthenia Brain-disease Brain-disease and bronchitis Brain-disease and disease of spinal cord Brain-disease and peritonitis Brain-disease and pneumonia Bronchitis Dancer Derebral embolism Derebral tumour Degeneration of the brain Disease of the lungs and pleura Spilepsy leart-disoaso jiflucnza and old age Nephritis Daralysis (general) Pneumonia Puerperal fever Senile decay Suicide (while absent on trial) Syncope Syphilis tuberculosis Pyphoid fever 0 11 112 8 2 10 10 1 10 1 10 1 10 1 Oil 0 1 1 2 2 4 4 15 10 1 .. 2 6' 2 oil 10 1 1 0 1 10 1 1 'l 2 1 0 1 7 18 o i 2 10 1 10 1 10 1 10 1 0 11 2 2 4 0 11 10 1 10 1 Oil 6 0 6 2 0 2 10 1 2 0 2 11 0 11 3 14 Oil 8 2 10 10 1 10 1 10 1 5 3 8 Oil 3 0 3 Oil 10 1 10 1 10 1 101 1 0 1 10 1 2 0 2 2 o a 3 0 3 1 0 1 112 4 0 4 1 0 1 2 0 2 0 1 1 3 0 3 2 13 10 1 2 'l 3 1 0 1 10 1 1 0 1 10 1 1 1* 2 Oil 10 1 2 2 4 Totals .. 21 9 30 15 4 19 14 4 18 5 16 5 0 5 17 5 22 10 1 78 23 101

12

H.—7

Table XIII.—Causes of Insanity.

Auckland. <g*lj£ j D— JHokitika. Nelson. Wellington. Ashburn Hall (Private Asylum). Total. Causes. M. F. T. 3 0 3 M. F. T. a o 2 M. F. T. 3 14 M. F. T. 10 1 M. F. T. 2 0 2 M. F, T. 10 1 M. F. T. 10 1 M. F. T. 12 1 13 10 1 8 3 11 Oil 2 13 Oil 112 112 2 0 2 0 14 14 17 8 39 33 72 Oil 0 3 3 3 14 17 42 9 51 11 4 15 13 4 4 7 11 10 1 10 1 Oil 10 1 3 4 7 17 2 19 6 5 11 10 1 2 0 2 10 1 10 1 Oil 10 1 7 3 10 Oil 13 1 14 5 5 10 2 0 2 0 2 2 7 4 11 2 0 2 10 1 10 1 0 2 2 77 43 120 3 14 Accident Adolescence Adverse circumstances Amenorrhcea Apoplexy Arrest of mental development .. Brain-disease.. Cerebral embolism .. .. Cerebral turnout Child-bearing'.. Climacteric Congenital and hereditary Debauchery Debility Domestic trouble Drink Epilepsy Fright Grief Heart-disease Homesickness Hysteria and chorea Ill-health Love Masturbation Mental anxiety Morphia Overstudy Panophthalmitis Paralysis Pride Privation Religion Seduction Senile decay Sequelco of acute disease Sexual excess Shock Solitude Sunstroke Syphilis Training Uterine disturbance Unknown Not insane 2 18 i 6' i l i" 2 Oil Oil 23 12 35 0 1 1 Oil 0 7 7 10 1 11 112 l i' 2 101 0 2 2 0 3 3 7 2 9 Oil 3 3 0 10 2 12 2 13 10 1 10 1 10 1 oil 3 14 5 2 7 0 11 2 0 2 0 3 3 0 11 4 8 12 0 4 4 11 3 14 2 13 1 6' 1 2 2* 4 2 0 2 i i' a oil 3 2 5 2 18 2 0 2 0 11 Oil 10 1 i 6' i 112 Oil Oil 112 0 6 5 1 8 9 Oil 8 2 10 3 0 3 0 3 3 2 6 8 10 1 112 5 0 5 2 3 5 10 1 Oil 112 Oil 3 i' 4 3 0 3 i 6' i 3 03 Oil 112 10 1 10 1 1 6' 1 10 1 Oil 101 .. i i" 2 12 3 5 0 5 Oil 1 0 li 3 14 12 3 1 0 1 i 6' i 2 0 2 2 0 2 2 8 6 10 1 0 11 3 2 5 2 0 2 5 0 5 10 1 0 i' 1 Oil oil 4 6' 4 Oil 13 16 29 Oil 10 1 10 1 Oil 33 11 44 8 i 12 3 0 3 16 8' 24 5 2 7 12 3 10 1 Totals (38 36 104 48 35 83 61 40 101 20 7 27 12 10 22 67 45 112 5 0 11 281 179 461

13

H.—7

Table XIV.—Former Occupations of Patients.

Occupations. Auckland 0 ™^ Dunedin (Seaolifl). Hokitika. Nelson. Wellington. Ashburn Hall (Private Asylum). Total. Males. Aboriginal natives Architect Barman Blacksmiths Bookmaker Bootmakers Builder Bushmen Butchers Carpenters, cabinetmakers, &c. Darters, expressmen, &c. Clerks Coaolidriver Commercial travellers Commission agent Compositors Cook Currier Drapers Dyer Engineers Farmers Farm-hands, shepherds, &c. Firemen Fisherman Foundry-workers, &c. Fruiterer Gardeners Gumdiggers Hawkers Hotelkeepers Island-trader Jockey Labourers Medical practitioners Message-boys Miners Music-teacher Night-watchman Painter Platelayer Police officer Presser Rabbiters Sawyer School-teachers Seamen Settlers Shop-assistants Station cadet Station-manager Stationmaster Storekeepers Storeman Surveyors' assistant Sweep Tailors Telegraphist Undertakers Vagrant Waterman Woolsortor No occupation Unknown M. P. T. 4 0 4 II. P. T. M. F. T. M. P. T. M. P. T. M. P. T. M. P. T. M. P. T. 4 0 4 10 1 10 1 2 0 2 10 1 5 0 5 10 1 3 0 3 3 0 3 7 0 7 3 0 3 10 0 10 10 1 2 0 2 10 1 4 0 4 10 1 10 1 3 0 3 10 1 5 0 5 29 0 29 11 0 11 2 0 2 10 1 2 0 2 10 1 5 0 5 11 0 11 2 0 2 2 0 2 10 1 10 1 72 0 72 2 0' 2 2 0 2 16 0 16 10 1 10 1 10 1 10 1 10 1 10 1 2 0 2 10 1 3 0 3 6 0 6 5 0 5 2 0 2 10 1 10 1 10 1 2 0 2 10 1 10 1 10 1 2 0 2 10 1 2 0 2 10 1 10 1 10 1 17 0 17 3 0 3 10 1 i '6 i 2 '6 2 i '6 i 1 0 l! 3 0 3 10 1 10 1 ' ' 10 1 10 1 2 0 2 10 1 4 0 4 i '6 i 10 1 10 1 10 1 4 0 4 2 0 2 2 0 2 j 10 1 2 '6 2 1 0 1 10 1 10 1 10 1 10 1 10 1 10 1 10 1 10 1 10 1 1 '6 1 10 1 2 0 2 10 1 10 1 3 0 3 4 0 4 5 0 5 10 1 6 0 6 2 0 2 10 1 4 0 4 3 0 3 2 0 2 2 0 2 10 0 10 101 3 0 3 1 '6 1 101 101 101 2 0 2 11 0 11 2 '6 2 1 '6 1 10 1 101 101 101 10 1 10 1 12 0 12 17 0 17 10 1 16 '6 16 4 '6 4 2 '6 2 21 '6 21 101 2 0 2 10 1 10 1 3 0 3 9 0 9 10 1 2 0 2 10 1 10 1 161 101 10 1 2 '6 2 1 '6 1 10 1 10 1 10 1 2 0 2 10 1 2 0 2 10 1 101 101 101 3 0 3 10 1 1 '6 1 10 1 1 '6 1 10 1 10 1 10 1 10 1 101 10 1 1 '6 1 101 2 0 2 10 1 10 1 4 0 4 5 0 5 10 1 4 0 4 10 1 2 0 2 10 1 2 '6 2 101 Females. Aboriginal native Barmaids Domestic duties Domestic servants Dressmakers, milliners, &c. Housekeepers Laundress Paper-ruler Prostitutes Saleswoman Shopkeepers .. Tailoresses ■ .. Teachers Vagrant No occupation Unknown 0 11 0 15 15 0 4 4 0 2 2 0 2 2 0 11 Oil Oil Oil 0 2 2 Oil 0 26 26 0 4 4 0 29 29 0 4 4 0 7 7 0 "l 7 0 '2 2 oil 0 35 35 0 'i 1 0 4 4 0 11 0 2 2 0 123 123 0 12 12 0 4 4 0 2 2 0 11 0 11 0 2 2 0 11 0 3 3 0 3 3 0 2 2 0 11 0 15 15 0 6 6 0 'i 1 oil Oil 0 'i 1 0 2 2 0 4 4 0 2 2 0 3 3 oil 0 4 4 Oil 0 '3 3 0 4 4 Totals 68 36 104 48 35 83 61 40 lOll 20 7 27 12 10 22 67 45 112 5 6 11 281 1'

H.— 7.

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

Table XV.— Showing the Expenditure for the Year 1893.

14

Asylums. Provisions. Salaries. Bedding and Clothing. Fuel and Light. Surgery and Dispensary. Wines, Spirits, Ale, &a. Farm. Necessaries, Incidental, and Miscellaneous. Total Cost per Patient. Repayment for Maintenance. Total Cost per Head, less Repayments for Maintenance. Total Cost per Head, less Receipts of all;kinds. Total Cost per Head, less Receipts of all kinds previous Year. Decrease in 1893. Increase in 1893. Auckland Christcliurch Dunedin (SeaolifE) Hokitika Nelson Wellington (including Porirua) .. & s. a. 8 4 2 7 5 Oi 7 6 7J 7 13 8J 7 16 llj £ s. d. 9 12 5| 8 19 10| 9 5 41 13 12 6J 11 4 9| £ s. d. 2 12 10J 3 0 4| 1 17 2J 1 9 0J £ s. d. 1 15 7 1 13 11J 0 14 10 0 12 10 18 5 £ s. d. 0 2 9 0 6 8J 0 2 11,} 0 4 7| £ s. d. 0 0 4J 0 1 5J 0 0 8J 0 1 OJ £ s. a. 1 5 8| 1 11 6 1 0 8| ! £ s. d. 4 9 of 2 8 5£ 8 6 9f 2 2 10 2 16 4f £ s. d. £ s. d. 28 3 5 4 6 i| 24 5 10| 5 6 9J 30 2 10 4 10 llf 26 2 9 1 13 5J 26 2 7J 6 10 2£ 29 15 . 7| 6 3 5 £ s. d. 23 17 3J 18 19 1 25 11 10f 24 9 3} 19 12 5 £ s. d. £ s. d. 23 8 8§ 21 17 10J 16 6 9§ 17 11 9J 25 4 7| 20 16 2| 24 5 6J 26 11 9£ 18 8 10§ > 18 12 11J & s. a. 1 4 11| £ s. d. 1 10 10 4 8 4^ 114 2 6 3 0 4 1 7 18 3f 11 0 7J 2 10 1 1 9 6£ 0 5 2J Oil 1 12 1|| 4 18 7| 23 12 2J 22 17 3 20 5 0|2 12 % Averages 7 13 0 9 18 8J 2 10 2| 16 9 0 4 4J 0 0 9§ i 1 5 0 4 18 8J 27 17 6| J 4 18 01 22 19 6J 21 19 9| 20 7 9| 1 12 0, Note. —Includins the fi] :st four item! in Table XV., the net cost ier latient is £23 7s. 4d. as aj 'ainst £21 16s. ffi .for th< irevious ear.

Items. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Wellington (including Porirua). Total. £ s. d. £ s. d. £ s. d. £, s. d. £ s. a. £ s. a. £ s. d. 1,200 0 0 220 0 0 868 8 6 317 11 5 350 0 0 2,607 10 0 339 15 5 740 4 6 527 11 0 14,231 14 11 14,474 8 8 2,530 4 5 4,751 12 7 413 3 2 77 13 9 2,364 18 5 9,336 9 2 Inspector* Clerk* .. Medical fees* Contingencies* Visiting Medical Officers Superintendents Assistant Medical Officers 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 0 121 13 4 85 0 0 3,119 10 9 3,349 5 5 725 14 11 1,078 1 5 56 5 4 7 13 0 524 17 9 1,825 11 8 600 0 0 18 2 10 180 0 0 85 8 4 2,947 5 0 3,089 8 0 723 3 1 939 10 11 57 18 8 5 13 6 670 17 7 1,031 10 7 600 0 0 144 17 7 190 0 0 95 0 0 3,845 1 11 3,856 7 5 389 18 9 1,588 2 9 176 1 5 37 13 0 543 19 5 4,387 5 10 150 0 0 300 0 0 85 0 0 895 14 2 806 19 10 67 7 9 195 6 6 15 11 4 3 13 0 200 0 0 157 10 0 70 0 0 842 13 6 886 18 5 160 12 0 164 1 6 25 19 4 5 18 6 120 10 8 318 12 7 350 0 0 176 15 0 248 11 2 1.07 2 8 2,581 9 7 2,485 9 7 463 7 11 786 9 6 81 7 1 17 2 9 504 13 0 1,548 12 0 224 16 6 Totals Repayments, sale of produce, &c. 11,493 13 7 1,932 6 7 10,348 18 6 3,388 0 6 15,854 8 1 2,583 9 0 i 2,744 9 1 195 7 9 2,952 16 6 868 15 0 i 9,351 0 3 2,172 4 7 55,351 5 11 11,140 3 5 Actual cost 9,561 7 0 6,960 18 0 13,270 19 1 2,549 1 4 2,084 1 6 7,178 15 8 44,211 2 6 * Not included in Table XVI.

H.—7

15

Table XVII. —Expenditure, out of Immigration and Public Works Loan, on Asylum Buildings during the Financial Year ended 31st March, 1894, 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, 1894.

Approximate Cost of Paper.— Preparation, not given ; printing (1,615 copies), £16.

Authority: Samuel @ostald, Government Printer, Wellington.—lB94.

Price 6d.]

Asylums. Net Expenditure for Year ended 31st March, 1804. Liabilities on 31st March, 1894. Liickland 'orirua Ihristchurch )unedin (Seacliff).. Jelson £ s. a. 1,033 19 3 15,272 2 3 545 4 5 1,881 19 8 223 8 1 £ s. a. 426 0 0 4,988 0 0 1,211 0 0 403 0 0 Totals 18,950 13 3 7,028 0 0

Asylums. 1877-86. 1886-87. 1887-88. 1888-89. 1889-90. Auckland Wellington Wellington (Porirua) Christchurch Duneain .(Seaeliff). Napier Hokitika.. Nelson £ s. a. 49,061 10 5 19,617 12 4 2,750 0 0 52,384 15 1 103,559 5 0 147 0 0 1,059 10 7 1,470 2 6 £ s. a. 2,728 7 4 241 1 10 1,466 7 0 6,107 2 7 1,744 15 11 £ s. a. 11,474 18 9 £ s. a. 3,205 4 2 16 8 4 £ s. a. 90 19 6 1,381 2 7 9,808 19 5 176 2 1 3,94315 5 2,876 14 7 10,962 18 11 4,400 13 7 1,40611 1* 206' 0 Of 206' 0 0 62 0 0 200 0 0 Totals .. 23,107 2 10 230,049 15 11 13,694 5 9 10,242 2 6 15,716 12 0 Asylums. 1890-91. 1891-92. 1892-93. 1893-94. Total Net Expenditure, 1st July, 1877, to 31st March, 1894. Aucklana Wellington Wellington (Porirua) Christchurch Duneain (Seaeliff) Napier Hokitika.. Nelson £ s. d. 1,663 8 9 83 10 1 £ s. a. 1,411 7 8 & s. a. 1,076 4 10 £ S. a. 1,033 19 3 £ s. a. 71,746 0 8 19,958 18 7 39,325 13 9 94,207 18 0 117,837 16 0 147 0 0 1,164 19 8 5,110 9 4 5,39010 4 1,387 11 9 12,474 18 0 2,014 5 3 500 0 0 5,981 3 11 2,990 6 7 1,310 13 10 15,272 2 3 545 4 5 1,881 19 3 43' 9 1 361 1 9 51416 3 528' 9 8 223 8 1 Totals .. 11,880 18 10 18,956 13 3 349,498 16 0 8,929 17 9 16,915 7 2 * Includes £100 chargi id as unauthoris. >a. t Includes £200 charged ,h unauthorised.