MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1929.

Appendix to the Journals of the House of Representatives, 1930 Session I, H-07

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1930. NE W ZEAL A N D.

MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1929.

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

The Hon. the Minister in Charge of Department of Mental Hospitals to His Excellency the Governor-General. Sir, — Wellington, Ist July, 1930. I have the honour to submit to Your Excellency the report for the year 1929 of the DirectorGeneral of Mental Hospitals. I have, &c., A. J. Stallworthy, Minister in Charge of Department of Mental Hospitals.

The Director-General to the Hon. A. J. Stallworthy, Minister in Charge of the Department of Mental Hospitals. Sir, — Wellington, Ist July, 1930. 1 have the honour to present the annual report upon the mental hospitals of the Dominion for the year ending 31st December, 1929. The number of persons under care and treatment at the end of the year was 6,348, of whom 6,093 had been committed under a Magistrate's reception order, and 255 had been received upon their own application as voluntary boarders. The net total increase of population at the close of the period under review was 188 persons. The committals numbered 956, or the same as last year, but the applications for voluntary admission were 258, or 32 less. This drop in the number of voluntary boarders is due, I believe, in some measure to the fact that patients who would formerly have come to us in this way are now treated as out-patients at the clinics conducted by our medical officers at the general hospitals. Of the total admissions 21-25 per cent, were on a voluntary basis. During the year 518 patients and voluntary boarders were discharged as recovered, which is 42-6 per cent, calculated upon the admissions. Of the voluntary boarders 88 per cent, recovered and were discharged within twelve months, while the figure in the case of committed patients, whose mental disorder is generally well advanced when they come to the institution, was 30-23 per cent. Method op Committal. Considerable advantage has been taken during the year of the alternative method of committal provided by section 8 of the Mental Defectives Amendment Act. Under this section the magisterial examination of patients takes place at the mental hospital instead of, as formerly, at the Magistrate's Court, and no less than 157, or 16-4 per cent., of the total committals were effected in this way. 1 desire to place on record my appreciation of the co-operative spirit shown by the Magistrates, who have uncomplainingly carried out the extra duty imposed upon them under the Act.

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Probation. I note with, satisfaction that the Medical Superintendents are making more frequent use of section 80 of the Mental Defectives Act, and that at the end of the year 332 patients were residing outside the institutions in the care of relatives and guardians. In the case of patients labouring under the more incurable forms of mental disorder, probation is in effect a holiday spent away from the institution during a relatively well period, but when applied to recent and recoverable cases, it is generally used as a precursor to discharge. The probationary system enables the period of actual residence within the institution to be considerably curtailed, and affords to the medical men and the relatives concerned an opportunity of observing the reaction of the patient to his environment, and of making any adjustments which may be found necessary for the maintenance of his mental health. In one respect I think that the benefits of probation could be enhanced. When a patient leaves an institution on probation the pension which his wife receives under the Widows' Pension Act, 1911, immediately ceases, and until work has been secured the financial stress and attendant worry is increased 'at the very time when it should be avoided. In England there is legislative provision for the granting of a small monetary allowance to patients on probation so as to free them from pecuniary worries during the difficult period of reabsorption into the general community, and our experience in New Zealand points to the desirability in some cases of such aid being made available. I think that this could be best accomplished by continuing the payment of pension to the wife for, say, one month after the date on which the patient leaves the institution, subject to certification by the medical superintendent as to the desirability of such a course in any particular case. Accommodation. In spite of an unexpected decrease in the admission-rate, a high discharge-rate and the granting of probation to an unusually large number of patients, the institutions are still suffering from the serious disadvantages associated with overcrowding. Since the end of the period covered by this report, however, welcome relief has been afforded to Porirua by the transfer of one hundred female patients to the new villas at Tokanui, and I am glad to record that approval has been given for additional buildings at Kingseat, Waitati, Hokitika, and Christchurch. As will be seen from the following summary of expenditure, a capital outlay of £152,000 was incurred last year upon buildings and alterations, but it must be remembered that many of our kitchens, laundries, and other administrative units were designed for a much less number than they are now called upon to serve, and a good deal of expenditure has been involved in rendering these departments adequate for present-day needs. We have still great need for additional accommodation for patients, and I regret that, in spite of the present financial depression, I feel bound to ask for generous provision for this purpose. Alterations, Improvements, and Additions. Our capital expenditure for alterations, improvements, and additions during the year amounted to £152,096, and the following summary shows where the money has been expended, as well as new works contemplated and. in progress : — Auckland, including Kingseat (£2,279). New farm buildings, including piggeries, have been completed at Kingseat, and an addition has been made to the male dining-room to enable a larger number of pioneer patients to take part in the development of the estate. Plans have been approved for two villas to accommodate one hundred male patients, and tenders will be called shortly. The Medical Superintendent's residence at Auckland is far too large for its present purpose, and it is proposed to convert it into a residential clinic with accommodation for about twenty patients. Plans have been prepared for a new residence for the Medical Superintendent. Tokanui (£32,405). Three new villas to accommodate 150 patients have been completed, and have served to diminish the overcrowding on the female side of Porirua. A new nurses' home with sixty bedrooms is in course of erection. Porirua (£9,028). A good deal of subdivision of large dormitories has been carried out, and the old nurses' quarters in the main building have been converted into small dormitories for female patients. The present main hall, kitchen, and stores block is quite inadequate for the large number of patients in residence, and plans are in preparation for considerable alterations. Nelson, with Stoke Farm (£33,250). Three new villas are nearing completion at Stoke Farm, and a new bakehouse-stores block has been built.

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Hokitika (£3,061). The erection of a new laundry and boilerhouse was completed during the year, and a contract has been let for the erection of a new villa for fifty female patients. Christchurch (£35,291). A new boilerhouse and stack have been completed at Sunnyside. At Templeton Farm., Villa No. 1 was completed and No. 2is being erected. A contract will be let early in the year for a third villa. The villas will house approximately 150 patients and twelve of the staff. Seacliff (£34,609). Large new administrative buildings, comprising kitchen, laundry, stores, &c., were completed early in the year. This paves the way for extensive alterations in the main building. Waitati (£2,170). Tenders were called for a new villa for fifty female patients, and it is expected that this will be ready for occupation during the year. The Eugenics Board. The Eugenics Board was created tinder the Mental Defectives Amendment Act, 1928, and its duty as defined by the Act is " to promote the welfare of such mentally defective persons as are not classified as ' persons of unsound mind' or 'persons mentally infirm ' " —in other words, the Board deals with persons who are mentally deficient from birth or an early age. The members of the Board, as at present constituted, are : Mrs. Peter Fraser, Wellington, and Miss Jean Begg, Auckland (appointed by the Governor-General) ; Mr. B. L. Dallard, ControllerGeneral of Prisons ; Dr. Ada Paterson, Director, Division of School Hygiene ; Mr. T. B. Strong, Director of Education ; Dr. John Russell, Psychiatrist to the Board ; and Dr. Theo. G. Gray, Director-General of Mental Hospitals (Chairman). The Board met upon five occasions during the year, and I am glad to report, that much valuable work has been accomplished by the members, who have displayed great interest in the problems relating to mental deficiency. The first important act of the Board was to establish a psychological clinic in Wellington under the direction of my colleague, Dr. John Russell, who has had associated with him Mrs. Dick, as socialservice worker, and Miss Valentine, Supervisor of Special Classes under the Education Department. From the time of its inception in June until the close of the year, 358 cases were referred to the clinic from the following sources : — (1) Department of Education— (a) Children in special classes of day schools .. .. .. 85 (b) Children in the care of the Child Welfare Branch .. . , 26 (c) Children in special schools .. .. .. .. .. .. 108 (2) Department of Health . . .. .. .. .. .. 34 (3) Department of Prisons (referred by Prisons Board or by Controller-General of Prisons) 64 (4) Parents, guardians, and medical practitioners. . .. .. .. 35 (5) The Children's Courts .. .. . . . . .. .. .. 6 Total .. .. .. .. .. .. .. 358 Since the end of the period covered by this report the numbers referred to the clinic have greatly increased. Many of the cases so referred have resided at some distance from Wellington, and it has been recognized that an extension of the work to the other main centres could not be long delayed. On the other hand, it is of cardinal importance that a proper standard of efficiency should be set and maintained from the commencement, and the principle has been adopted that no such extensions would be made until adequate personnel could be obtained and given a short intensive course of training at our central Wellington Clinic. This training is particularly necessary in view of the intention of the Board to undertake, when circumstances permit, a statistical survey of the incidence and setiological factors relating to mental deficiency in New Zealand—a work in which some uniformity of the methods employed would be desirable. We have recently been enabled to start the second of our clinics —in Auckland—under the direction of Dr. Kathleen Todd. After graduation at Otago Dr. Todd entered the New Zealand School Medical Service and later travelled in Great Britain, the Continent of Europe, and America, where she did special research work in neuro-psychiatry and diseases of children. Dr. Todd has had considerable experience in childguidance and similar clinics, and the Department has been fortunate in securing her services for this phase of its work. Rooms have been taken in the Sunday School building in proximity to the Children's Court.

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Templeton Farm Colony. Another important accomplishment on the part of the Board has been the establishment of a farm colony at Templeton, near Ghriatchurch, for children who, while unlikely to profit from the courses provided in the special schools, are yet capable of being trained to some degree in manual work. In a recent report to the Government I pointed out that the problem of training the feeble-minded was very different from that involved in the care and treatment of persons suffering from mental disorder, and I advocated the provision of separate institutions for the former class apart from the existing mental hospitals. The establishment of Templeton Farm marks a distinct advance in this direction. Hitherto the care of mentally defective children has been divided between the Department of Mental Hospitals and the Department of Education, and the decision as to which should assume guardianship has been made upon the rather negative point as to whether or not the child has been " bad enough for the mental hospital." The result has been that the special residential schools under the Education Department have gradually accumulated cases of a custodial grade to the exclusion of those likely to benefit by the educational facilities provided, while many children, who could be trained to be at least partly selfsupporting, have been committed to the mental hospitals, where little or no systematic scheme of training has been possible. In Templeton Farm we have the means of dealing adequately with those children, and so affording relief to both Departments concerned. During the year the clinic visited the Education Department's special residential schools at Richmond and Otekaike, and as the result of examinations made a number of children were transferred to Templeton, thus freeing much-needed accommodation at these schools for educable children. A few higher-grade boys and girls were also removed to Templeton from the mental hospitals. Applications on the part of parents to have their children admitted to Templeton have been in excess of the accommodation yet available, but good progress is being made with the building programme. Two villas, each designed to house forty-eight children and four officers, have been occupied during the year, and a third one will be completed shortly. There are forty-nine boys and twenty-four girls in residence, and a number of cases are under consideration. The members of the Board paid two visits to Templeton during the year. The establishment of this farm colony has aroused much interest amongst social workers and the public generally, and I have had many reports from independent visitors, who have without exception commented favourably upon the devotion and enthusiasm of the staff and the general brightness and happiness of the children—a state of matters which reflects great credit upon Miss Brand and the other institution officers. Medico-psychological Association. Although the matter is not one which comes strictly within the scope of this report, 1 feel that some reference may fairly be made to the recent formation of the New Zealand Medico-psychological Association. Many of those who have been engaged in institutional work for some years have felt that psychiatry in this country has occupied a rather isolated position in relation to general medical practice, and we believed that a closer contact with the practising members of the profession would provide more opportunity for the exchange of views, and stimulate a larger mutual interest in the more scientific aspect of our specialty. With this aim the New Zealand Medico-psychological Association has been formed, with an initial roll of thirty-six members. At the first annual meeting held in Christchurch in February, Dr. Marshall Macdonald, of Dunedin, the president, delivered an interesting presidential address upon the teaching of psychiatry, and the following papers were read : — (1) Psychosis and Physique : Dr. F. R. Martin, of Seacliff. (2) The Treatment of G-eneral Paralysis : Dr. Malcolm Brown, of Sunnyside. (3) Two Cases of Schilder's Disease : Dr. R. H. Baxter, Christchurch. (4) Occupational Therapy : Dr. J. C. D. Macky, Porirua. Obituary. As this report was nearing completion, news came of the disastrous railway crossing accident at Sockburn which resulted in the deaths of Matron Brand, Miss Cameron, Miss Benfell, and Miss Palmer, institution officers at Templeton, and Mr. Ralp~h Smith, chauffeur at Sunnyside. Miss Isabella Duncan Brand, R.R.C., came to us in 1923, with a wide experience in several branches of her profession and a notable record of war service for which she had been decorated. Commencing as sister-in-charge of Braemar Lodge, Nelson, Miss Brand held in succession several of the' most important nursing positions in our Department and acquitted herself with distinction, and when the new farm colony was established at Templeton, Miss Brand was obviously the one to whom the direction of this new venture had to be entrusted. How well she carried out her trust, I have already recorded. Plucky and undaunted even in the face of grave difficulties, possessed of the highest ideals of her noble calling, and deeply imbued with the spirit of loyalty and devotion to duty, Matron Brand will be sadly missed at Templeton. Miss Cameron, Miss Benfell, Miss Palmer, and Mr. Smith were all officers of short service, but were keen, kindly, and popular young people of a type the country can ill-afford to lose, and our deepest sympathy is extended to all their relatives. Appreciation. I desire, in conclusion, to acknowledge my indebtedness to my colleague, Dr. John Russell, Deputy Director-General, the Medical Superintendents, and the Assistant Medical Officers for their unfailing loyalty and help at all times. To Mr. Holder and the staff at the Head Office my thanks are due for good work done during the year. I have, &c., Theo. G. Gray.

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MEDICAL SUPERINTENDENT'S REPORTS. AUCKLAND MENTAL HOSPITAL. Dr. Buchanan reports : — I have tie honour to present to you my annual report for the year ended 31st December, 1929. The total number of cases under care during the year has been 1,430, with a weekly average of 1,178. There have been 216 admissions—ll7 males and 99 females. Of this number 174 were admitted for the first time. Sixty-six voluntary boarders were admitted during the year, making a total of 133 under care, and of these 60 were discharged. At the end of the year 74 patients were on probation, 32 on full parole, and 209 on limited parole. The general health of the Institution has been good. The attendance at the Psychiatric Clinic at the Auckland Public Hospital is growing in numbers. At the end of the year it had reached the number of 493. It is gratifying to feel that this clinic is filling a public want, and that the public are showing confidence in its activities. There have been some important changes made during the year. A part of M. 6 has been turned into a hospital ward wherein are gathered the sick from the whole male side of the Institution. It also serves as a half-way ward between M. 9 (Admission Block) and the main building. It is conveniently placed for this object, and by reason of a few alterations has been rendered attractive and self-contained. What was once the head attendant's cottage is now a full-parole villa, which houses nine chronic working-patients. These patients require no more than nominal supervision. They are encouraged to be self-reliant in all their domestic arrangements, and they have responded well to the trust shown in them. A small park has been made by levelling off the mound of clay outside F. 8 Ward. The old ladies there now have a convenient place in which they may enjoy the open air. As an experiment, four swings were erected in the Female Befractory airing-court. These have proved their worth over and over again. They are continually in use, and many of those patients who formerly spent their time destroying their clothing and getting into mischief now expend their energies in healthy vigorous exercise. More swings will be constructed in the coming year. The dormitory in F. 7 has been made a constant observation dormitory. This ensures proper and economic supervision for those cases which just miss being suitable for the Wolfe Home. A violet-ray room has been fitted out in the Wolfe Home, and is in regular use. The results from this treatment are most encouraging. The kitchen alterations are now complete. The boilers are in their new positions, which facilitates the serving-up of food. In November, 1929, twenty of our patients, temporarily transferred to Kingseat, went into an open-air summer camp there. These men have worked well in pioneer work affecting the lay-out of the future Mental Hospital. They have so much enjoyed the change —in spite of adverse weather — that they express reluctance to returning to Auckland at the end of the season. Regular visits have been paid by the Official Visitors. It was with great regret that we learned of the death of the Bev. Mr. Budd, who had visited this Hospital for twenty-five years. His visitations are missed by staff and patients alike. The patients' entertainments have been well catered for throughout the year. The annual picnic took place in February at Henderson, and was thoroughly appreciated. Mr. Smith showed us his usual consideration and courtesy in giving us freedom of his grounds for this event. The Christmas-tree entertainment was voted a great success by the patients. This was largely due, on the one hand to the generous help afforded by the Optimists' Club, and on the other hand to the many attentions and kindnesses rendered voluntarily by the nurses and attendants towards their charges. In conclusion, I would like to record my thanks to my colleagues and the entire staff for their loyal work and help during the time I have been privileged to be in charge of the Institution. TOKANUI MENTAL HOSPITAL. Dr. Pbins reports I have the honour to submit my report for the year ending 31st December, 1929. The total number of cases under care has been 488, with a weekly average of 408. The admissions were 90 (males 56, females 34) ; of these, 37 males and 25 females were admitted for the first time. The general health of the Hospital has been good, except for an outbreak of influenza. The deaths have been 17 (11 males, 6 females), senile decay being the principal cause. Twentyfour patients were discharged, 18 of them being recovered. There were 24 voluntary boarders under treatment during the year, 8 of them new admissions, and 7 were discharged.

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The new amendment to the Act was used in sixteen cases ; no doubt the numbers will increase as the advantages of this procedure become more generally known. The system of parole has been extended and is much appreciated by the patients. The usual recreation has been provided in the way of weekly picture entertainments, dances during the winter, bowls, parties to the races, show, &c. The fancy-dress ball, Christmas entertainment, and annual picnic were all very successful. The Te Awamutu Band and the Salvation Army Band also provided entertainments. The new villas are practically completed, and will shortly be occupied by female patients. During the year a new electric fire-alarm system has been installed, and is now in proper workingorder. The Official Visitors have paid regular visits and have been able to secure various gifts for the use of the patients. Lectures have been given to the junior and senior members of the staff ; and four nurses and five attendants obtained the State certificate for mental nursing. In conclusion, I have to thank all members of the staff for their help and co-operation in the work of the Hospital. PORIRUA MENTAL HOSPITAL. Dr. Williams reports : — 1 have the honour to present my report for the year 1929. The total number of patients under care during the year was 1,789. On the Ist January there were 1,508 patients on the register (820 males and 688 females) ; on the 31st December there were 1,535 (823 males and 712 females). The admissions for the twelve months totalled 281 (.153 males and 128 females). The number discharged during this period was 153, of whom 129 were " recovered." The number of deaths was 101. The number of voluntary boarders admitted during the year was 95, 40 of these were readmissions ; 83 were discharged ; and 10 died. Seventeen persons (9 males and 8 females) were admitted under section 8 of the 1928 amendment of the Mental Defectives Act; all were subsequently committed. If one may judge from the expressions of opinion by relatives of the patients concerned this method of admission has already done much towards becoming a success ; there is little doubt, too, that as the measure becomes more widely known, advantage of its provisions will be taken more frequently. It is the dread of the preliminary visit to the police-court which causes many relatives to defer the admission of a patient until his disorder has become unmanageable, and his treatment correspondingly more difficult. Overcrowding is still of serious dimensions. A measure of relief has been afforded, however, by the opening and occupation of the new Nurses' Home. The quarters vacated by the nurses have been converted into cheerful airy dormitories accommodating some thirty-six patients. The proposed transfer of approximately one hundred female patients to Tokanui early in 1930 will further alleviate our difficulties. Referring again to the Nurses' Home. This is an attractively designed building of handsome dimensions, which will accommodate eighty-six nurses and staff. It is very well and tastefully furnished throughout, and this improved and comfortable dwelling has done much towards promoting the efficiency and keenness of the female staff. During the period under review renovations and painting have been carried out in many of the wards, and the interior, at least, of the Hospital is now almost completed and presents a bright and cheerful sight. The outside, however, particularly of the main building, remains somewhat shabby ; the painting of this is really necessary, and would result in vast improvement to the general appearance. The changes made in the diet scale for patients by Miss Davies, lately dietitian, have been to the patients' good, and they are not uneconomical. The addition, too, of a sister-tutor to the nursing staff has also been productive of much benefit, for not only have teaching-facilities been increased, but also the very nature of the subjects taught has done much to popularize the course of mentalnursing and to make it more interesting. The psychiatric clinic at the Out-patients' Department, Wellington Public Hospital, has grown to such dimensions that it was found necessary last year to allow this two days per week. It would appear now that very soon three days will be necessary, though, to be sure, from our own point of view, this is hardly feasible as yet. Complete records were not kept for the whole twelve months, but since the Ist September there has been an average daily attendance of eight patients, giving a total of 241 consultations for the period named—-that is something over 700 consultations per annum. Patients have been referred to the clinic for diagnosis and advice by city medical practitioners ; by the Social Welfare Department; by the Prisons Board ; by the police ; by the pensions authorities ; and, of course, in addition to in-patients of the Public Hospital, those coming of their own initiative have also been seen and treated. The referring to us by practitioners of Hawke's Bay, Taranaki, Wairarapa, and other districts, of various patients, testifies further to the popularity of the clinic, and to the added spread there is of the knowledge concerning it and its functions. Concerning amusements and recreations for the patients, the usual weekly entertainments, as well as dances at regular intervals, have been given ; also concerts by various amateur and professional artists interested in the welfare of the hospital. Christmas-tree entertainments were held at the main building, at Rauta, and at Nairn ; these functions are, I think, and naturally so, more enjoyed than any others by the patients. My grateful thanks are due to the Welfare Branch of the Women's

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National Reserve, the Wellington Commercial Travellers and Warehousemen's Association, the Warehousemen's Association, the Victoria College Social Service Club, the Wellington East Girls College, the Returned Soldiers' Association, the Red Cross Society, the Salvation Army, and to the many others whom have all helped so generously and so willingly in the above directions. My thanks are due, too, to Mrs. Fraser, Mrs. McVicar, and Messrs. Bothamley and Brady, Official Visitors, for the good work they have done during the year. To the ministers of religion lam also grateful, for all have been most kind in every way, and, without making invidious distinction, I should particularly like to thank the Rev. Mr. Harding for the enormous amount of time ho devotes and the great deal of cheer he brings to everybody here year after year. 1 am greatly indebted to my colleagues and to the staff generally for their loyal support throughout the year. NELSON MENTAL HOSPITAL. Dr. Jeffreys reports :— I. have the honour to submit my report for the year ended 31st December, 1929. At the beginning of the year there were 426 patients on the register (289 males and 137 females), and on the 31st December there were 412. The total number under care during the year was 464, while the weekly average number resident was 404. There were 38 admissions, and of these 33 (27 males and 6 females) were admitted for the first time. Of the 23 voluntary boarders who were under treatment during the year 7 were discharged, 1 died, leaving 15 remaining at the end of the year. During the year 23 patients died, and of these 13 were over sixty years of age, 9 of them being between seventy and ninety. There was a fairly severe outbreak of influenza during the late winter and early spring, and three of the patients who developed pneumonic symptoms died. Otherwise the general health of the patients has been fairly satisfactory. The earthquake of the 17th June caused considerable damage to the buildings at Nelson, particularly at Braemar Lodge, where every ceiling had to be replaced ; and practically every chimney throughout the Institution had to be rebuilt. One unusual result of the earthquake is worthy of note. A patient at Braemar Lodge who appeared to be drifting into a state of chronic neurasthenia and depression, and whose prospects of recovery were regarded as remote, was literally shaken out of herself by the shock, and made a rapid and good recovery. She is now with her relatives in England and from latest advices is continuing to keep well. Two of the new villas at Stoke are nearing completion and the third is well under way, and it is hoped they will be in occupation before the end of the year. The bakehouse is well on the way to completion, and before long we expect to be baking our own bread. Yorks' farm of 600 acres has been acquired during the year. This means that at Nelson and Stoke we now have something like 1,500 acres to work, and with our comparatively small number of working-patients it will be difficult to keep the farm up to the present standard. There are some ideal building-sites on this property, and in view of the necessity for further accommodation it is to be hoped that these sites will be made use of as soon as possible. The accommodation of the nursing staff is becoming a matter of extreme difficulty, and since it has been decided that no action in regard to the Nurses' Home at Nelson be taken, it will be necessary to provide some temporary accommodation to relieve the position. A night-nurses' cottage is the most urgent of staff requirements. Everything has been done throughout the year to give the patients as much in the way of recreation as possible, and the Nelson people have been as usual most generous in assisting us in this direction. Dr. Sadlier, who has been associated with me for the past two years, has been granted twelve months' leave to further his studies in England. I regret losing his services, and desire to place on record my appreciation of his assistance. My thanks are also due to the other officers and staff for their loyal co-operation throughout the year. HOKITIKA MENTAL HOSPITAL. Dr. Hayes reports : — I have the honour to forward my report for the year 1929. On the Ist January there were 205 patients (144 males and 61 females). The total admissions for the year were 67 (46 males and 21 females). The number discharged was 5. The total number under care was 272, and the number of deaths was 16. There were 4 voluntary boarders. During the year 9| acres of virgin ground has been cleared, drained, and left fallow. A new road of 22 chains has been constructed from the site of the new farm buildings to the paddocks. The milk-supply continues to show an increase. A creek through the vegetable-garden to the waterfall has been deviated to Jackson's dam, thus taking the main drainage away from the garden, and from possible future building-sites. The new drain is 17 chains in length. A road of 7 chains has been constructed through the vegetable-garden to the farm road, giving a more convenient access to the new farm-buildings site. A drain of 24 chains in length has also been made, running parallel to the new road from the farm buildings to the paddocks.

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The new laundry lias been completed, except for the installation of machinery. The water-tower is finished, but will not be ready for use until the pumping-station is completed. There has also been delay in commencing the new farm buildings. The ground in front of Sefton has been levelled and made into a lawn, and a rockery built. The ground round the lighthouse has also been sown and fenced similarly to the bowling-greens, helping to improve the. entrance to the grounds. The annual picnic was held in January, and was greatly enjoyed. During the Christmas season the patients were entertained by visiting parties, and thanks are due to the Rev. Mr. Hayward, Mr. G. Davidson, and the Municipal Band for their kind services. The Official Visitors (Miss M. F. Reynolds, Messrs. A. Clifton, Hon. H. L. Michel, and H. M. Coulson) have paid visits and taken an interest in the patients' welfare. At the end of the year Mr. Dowling, Head Attendant, resigns, after twenty-six years' service. His services will be greatly missed, and he carries the good wishes of the staff in his new venture. I wish to express my thanks to the staff for their good work during the year. CHRISTCHURCH MENTAL HOSPITAL. Dr. McKillop reports :— I have the honour to forward my report for the year ending 31st December, 1929. On the Ist January there were 918 patients on the register. During the year there were 205 admissions —122 males and 83 females. The total number of committed patients under care was 1,123 ; 72 patients were discharged and 38 transferred to other institutions ; 960 patients (inclusive of 56 on probation) remained on the register on the 31st December. Of 87 voluntary boarders who received treatment 51 were discharged to their homes, 4 were committed, and one died. The general health of the patients has been very satisfactory. There were 53 deaths (32 males, 21 females), the principal cause of death being senile decay. A number of important structural alterations have been carried out. Extensive alterations and additions to North House will enable us to use this ward as a separate unit. Our most urgent need is a building to replace " B " Ward, and I am pleased to note that plans are being drawn for this purpose. The work of installing the new boilers was commenced some months ago, but the rate of progress has been very slow. The farm and garden returns have again been very satisfactory. The farm recently purchased at Templeton will prove a decided asset to the institution ; one attendant and twelve patients are now in residence there. I desire to record my appreciation of the co-operation and assistance of Professor Hercus, of Otago, and his staff. They have always been pleased to assist us in research work. At his suggestion two years ago I commenced using iodized salt throughout the institution for all purposes. There has been a noticeable decrease in goitres, and there has been no instance of toxic results. A number of cases of general paralysis have been treated by tryparsamide, and the results have been very satisfactory. I have to tender my thanks to the Deputy Inspector, Mr. Acland; the Official Visitors, Mrs. Williams and Mr. Hanna ; and the clergy of all denominations, for their regular visits, which have been appreciated by patients and staff. I have been very fortunate in having efficient and agreeable medical colleagues, and I have to thank them for their co-operation, and for the live interest they have taken in the progress of the Institution. I have also to thank the office staff, the Matrons, Head Attendants, heads of departments, and the nursing staff for the assistance they have given me in carrying on the work of the Hospital. SEACLIFF MENTAL HOSPITAL. Dr. Childs reports : — I have the honour to submit my report for the year ended 31st December, 1929. At the commencement of the year there were 1,188 patients on the register (649 males and 539 females), and at the year's conclusion 1,186 (657 males and 529 females). The admissions numbered 133 (88 males and 45 females). Forty-two patients were discharged (20 males and 22 females), while 11 males and 2 females were transferred to other hospitals. Eighty patients died during the year (49 males and 31 females), 13 between the ages of eighty and ninety, 17 between seventy and eighty, and one over ninety. At the beginning of the year there were 46 voluntary boarders (25 males and 21 females). Twelve males and 6 females were admitted, 9 males and 8 females were discharged, while I of each sex died. One voluntary boarder was committed. The average weekly number of patients resident during the year was 1,165 (746 males and 519 females). The number placed on probation during the year was 64 (38 males and 26 females). The health of the patients has been uniformly good, but it has been otherwise with the nursing staff, a considerable number having been off duty through sickness often of a serious nature ; and 1 regret to report the deaths of Attendant D. Hendry and Charge Attendant J. W. Churchman. Dr. Gribben was in charge of the hospital until the 24th April, when I took over. Dr. Gribben, although his health was causing some concern, did all he could to make me familiar with the work in the different branches of the Hospital, and the help thus given made the task of taking-over as simple and pleasant as possible.

9

PL-7

A fairly extensive building programme has been in progress throughout the year. The new kitchen and laundry block is now almost ready for occupation, the store indeed being already occupied. The new oil-store and petrol-storage tank were completed early in the year as was a, new bathroom and boilerhouse at Waitati. A new bathroom with boilerhouse attached, and sanitary conveniences for patients and staff were built at Simla. This addition is a particularly pleasing structure and a model of its kind. The day-room at Simla was extended and an extra fireplace added. This addition is much appreciated. Extensive alterations and repairs were completed at the Retreat, Waitati, and the interior of the older portion papered and painted, while improvement was affected in the hot-water supply. New bathrooms, hot-water system, and sanitary conveniences were completed at G Ward early in the year. The boilerhouse at 1) Ward was extended to house an extra electric water-heater, and part of the building converted into a much-needed drying-room. In addition, minor work, such as the building of a new veranda at F 3, the supplying of Cherry Farm with water, the renewal of snow-gratings, the renewal of Clifton House sewer, the renewal of a section of the main sewer below the railway, and the completion of the water-pipe line between the main building and Simla, have been carried out. Works in progress comprise a 6-in.-pipe-line from Double Hill to Seacliff, the excavation of a villa-site at Waitati, a pipe-line to the Neuropathic Unit, repairs to chimney-stacks, and the provision of better lavatory accommodation for Male A Ward and the library. The work on the farm has proceeded steadily under Mr. Gray, the new Farm-manager. In addition to the breaking-in of a small amount of new pasture, the usual routine of top-dressing, fencing, draining, and roadmaking have been proceeded with. The gardens also have been well looked after, and the results achieved show the attention they have received. Work has been carried on as usual at the fishing-station, but the returns have not been very encouraging. The weekly clinic at Dunedin Hospital is being well attended, and a considerable amount of advice given. The Dunedin Hospital at present adopts the policy of keeping suitable patients who show reasonable prospects of recovery in a short time, and in this way some patients have been returned to their homes without admission to the Mental Hospital. Amusements and recreation, as hitherto, have taken their part in the hospital regime : Picture shows weekly, weekly dances during the winter, and occasional concerts being held. Outside amusements such as Summer and Winter Shows, Waikouaiti races, and the circus have been visited, while football, cricket, and croquet have been indulged in in their respective seasons. Although the nursing staff has been considerably depleted at times by sickness, the welfare of the patients has not suffered ; and I would thank the Matrons, Head Attendants, and the nursing staff generally for the way they have carried on, and the good work done under difficult circumstances. The other branches of the staff have also worked well, and I would particularly like to express my appreciation for the assistance the heads of the various branches have given me. My thanks are due to the clergy of different denominations for their regular visits, and to Mr. Gumming, the " Patients' Friend." Mr. Cumming, in addition to his other work, has been instrumental in finding work for patients, and when relatives or friends have been lacking has taken suitable patients out on probation. The hospital is fortunate in its Medical Officers. Their work has reached a high standard, and they have ably assisted me during the year.

STATISTICAL. The patients on the register at the end of the year numbered 6,093 (m. 3,399, f. 2,694), or 191 (m. 125, f. 66) more than at the beginning ; and the daily average under treatment during the year was 5,710 (m. 3,215, f. 2,495), or 131 (m. 95, f. 36) more than in the previous year, while the total under care was 6,948. Patients belonging to the Native race numbered 93 (m. 49, f. 44) at the end of the year. The admissions numbered 956 (m. 549, f. 407), (m. 43 more and f. 43 less) than in the previous year. Of these, 146 had been previously under care, making the proportion of readmissions 15-27 per cent., and 810 patients were admitted for the first time. The ratio to population of all admissions (exclusive of Maoris) was 6-66 (m. 7-54, f. 5-75) to 10,000, and of first admissions 5-65 (m. 6-60, f. 4-67), so that 1,499 persons in the general population contributed one patient, and 1,767 contributed a patient admitted for the first time. The discharges (excluding transfers) numbered 385, or 26 more than in 1928. 96 (or 14- less) harmless unrecovered persons were returned to the care of friends, and 289 (m. 145, f. 144) recovered —40 more than last year, representing a percentage of 30-23 (m. 26-41, f. 35-37) on the total admitted. With voluntary boarders added the percentage rises to 42-67. Altogether, 50-57 per cent, of the inmates admitted were able to leave institutional care. Of a total of 6,948 patients under care, 380 (m. 227, f. 153) died, or 6-65 per cent, on the average number resident. An inquest is held in the case of every death, whatever the cause. The causes are detailed in Table XII, and the following is the percentage of causes mainly contributing: Senile decav, 23-68: disease of the brain and nervous system group, 26-05; heart-disease, 21-84 ; tuberculosis, 5-00.

2 —FT. 7.

H.—7

10

In Table XIII the principal causes assigned for the mental breakdown in the admissions are stated ; but as a matter of fact they are merely approximations, and these, with the small numbers with which we have to deal, show such divergencies from year to year that the proportion assigned to any one cause in any one year cannot be assumed to be our average incidence. Causation is always complex, and the most potent factor is the individual. Hereunder the assigned causations in the table referred to are grouped and shown in their relative proportions : — Males. Females. Total. Heredity .. .. .. .. .. 10-38 11-30 10-77 Congenital .. . . .. .. .. 1.8-94 8-85 14-65 Predisposed by previous attack .. .. .. 11-30 14-74 12-76 Critical periods .. .. .. .. 22-22 29-73 25-42 Child-bearing (puerperal, non-septic, and lactation). . .. 3-19 1-36 Mental stress .. .. .. .. .. 11-84 15-23 13-28 Physiological defect and error ... .. .. 1-64 1-97 1-78 Toxic, including m. f. SBSSr :: :: :: ;• 962 Traumatic .. .. .. .. .. 0-91 .. 0-52 Disorder of nervous system, including— m. f. Epilepsy .. .. .. 4-01 3-19 6-92 5-16 6-17 Other bodily affections .. .. .. . . 0-73 1-23 0-95 No definite cause assigned .. .. . . 1-82 3-93 2-72 100-00 100-00 100-00

Voluntary Boarders.

It will be noted that there were 258 voluntary admissions in the year under review, that 229 were discharged, and that 14 boarders, representing 54 per cent, of the admissions, had to be transferred to the register of patients (having shown mental disorder in degree sufficiently pronounced and sustained to render it improper for them to be continued as voluntary boarders), while the proportion of deaths on average number resident was 7-32 per cent. The column devoted to " Not First Admissions " records readmissions on a return of illness in those previously treated to recovery as voluntary boarders. The average daily number of voluntary boarders in 1929 was 246 (m. 119, f. 127).

First Not First Total Transferred Remaining ! Admission. Amission. , Admissions. Jj * «ied. Discharged. j ~i I j M. P. T. ; M. F. T. M. F. T. M. F. T. M. F. T. j M. F. T. M. F. T. 1912 .. .. 6 17 23 0 0 0 6 17 23 1 3 4 0 0 0 i 4 3 7 1 11 12 1913 .. .. 18 19 37 0 2 2 ! 18 21 39 2 5 7 0 1 1 12 12 24 5 14 19 1914 .. .. 17 19 36 3 2 5 20 21 41 7 5 12 1 1 2 11 15 26 6 14 20 1915 .. .. 15 17 32 1 2 3 16 19 35 3 4 7 0 1 1 8 14 22 11 14 25 1916 .. .. 13 23 36 5 8 13 18 31 49 4 4 8 1 2 3 14 14 28 10 15 25 1917 .. .. 14 21 35 1 13 14 15 34 49 6 6 12 0 1 I 10 23 33 9 19 28 1918 .. .. 23 38 61 5 11 16 28 49 77 1 4 5 2 2 4 15 30 45 19 32 51 1919 .. .. 31 39 70 5 19 24 36 58 94 3 3 6 0 2 2 26 42 68 26 43 69 1920 .. .. 26 38 64 16 12 28 42 50 92 3 4 7 1 2 3 33 33 66 31 54 85 1921 .. .. 39 39 78 11 15 26 50 54 104 2 3 5 5 1 6 38 41 79 36 63 99 1922 .. .. 47 38 85 10 16 26 57 54 111 6 5 11 4 4 8 40 48 88 43 60 103 1923 .. .. 44 50 94 15 21 36 59 71 130 3 6 9 3 • 3 6 47 47 94 49 75 124 1924 .. .. 38 44 82 16 20 36 54 64 118 4 8 12 6 3 9 39 48 87 54 80 134 1925 .. .. 64 59 123 15 34 49 79 93 172 10 15 25 6 3 9 60 63 123 57 92 149 1926 .. .. 71 60 131 11 29 40 82 89 171 10 11 21 7 2 9 49 71 120 73 97 170 1927 .. .. 70 70 140 25 32 57 95 102 197 8 6 14 5 12 17 75 58 133 I 80 123 203 1928 .. .. 120 94 214 37 39 76 157 133 290 8 10 18 10 8 18 102 97 199 117 141 258 1929 .. ..102 63 165 50 43 93 152 106 258 11 3 14 9 9 18 119 110 229 130 125 255

EL— 7

MENTAL NURSES. In December the usual examination was held for the registration of mental nurses, when the following passed :— Auckland : First Grade —Edith Elizabeth Parkerson, Madeline Mary Ryan. Second GradeStanley Harry Baulcomb, Rodger Beattie, Blanche Brunskill, Matilda Lucy Cowen, Jeannie Crawford, Margaret Mary Healy, James Kinnear, Robert McAuley, Joseph Aloysius McGeown, George Markham Mansfield, Samuel Patterson, Thomas William Ramsay, William Familton Renner, William Henry Taggart, Hilda Elizabeth Vint, Charles Oscar Vollmer, Clarence Peter Walker. Tokanui: First Grade —James Colin Verner, Zoe Doris Worth. Second Grade —Thomas Sherrid Bond, William James Bruce, James Crawford, Doris Hazeline Grace Mills, Henrietta Page, Victoria Tunbridge, Charles William Yerner. Porirua : First Grade —Frank Hustler. Second Grade —Florence Elizabeth Andrews, George Frederick Armes, John Herbert Cole, Thomas William Cox, Fred Foster, Leonard Jacques, Mavis Mooring Leitch, John Joseph McGinn, Mary Agnes McGlynn, Neil Murray, John Philip, Ethel Rusbatch, Janet Rutherford, Lavinia Ryan, Arthur James Thompson, Herbert Morris Tweedie. Christchurch: First Grade —Annie Gibson, Rebecca Violet May McConnoohie. Second Grade —William Barron, Lydia Mary Elliott, Flora Jean McLennan, Charles Milne, Una Rose Pawson, Grace Alfreda Adeline Watson. Nelson: First Grade —Margaret Ann McDonald Boyd, Roslie Madge McLean. Second Grade —Ernest Ashton, Harold Dickinson, Mary Eileen McAnulty. Clifton Basmore O'Malley. SeaelifE: First Grade—Ezma May Gibb, Linda May Salton. Second Grade—Eoin Campbell Coutts, Constance Maud Haines, Elizabeth Maude Haywood, Isabella Allison Hood Owens. Hokitika : Second Grade—Minnie Elizabeth Armstrong, Mary Nolan Dale, Veronica Edith May O'Brien, Jessie Isobella Sherriff, George Arnold Thomas, Thomas Frederick Trotter. Highest marks in written paper : E. E. Parkerson, Auckland, 77. Highest total marks for written oral, and practical: Margaret A. Boyd, Nelson, 261. (Average, 87.)

Owens.

11

12

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APPENDIX.

Table I.—Showing The Admissions, Readmissions, Discharges, and Deaths in Mental Hospitals during the Year 1929.

Tabke II. —Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries, etc., per Cent, on the Admissions, etc., during the Year 1929.

M. F. T. M. F. T. In mental hospitals, 1st January, 1929 .. .. .. .. 3,274 2,628 5,902 Admitted for the first time .. .. .. .. 480 330 810 \ rAn Af .„ Readmitted 69 77 146 ./ 54<J 407 956 Total under care during the year .. .. . . 3,823 3,035 6,838 Discharged and died— Recovered .. .. .. .. .. .. 145 144 28!) Relieved .. .. .. .. .. .. 30 28 58 Not improved .. .. .. .. .. 22 16 38 J)ied . . .. .. .. .. .. 227 153 380 (Not including transfers —Males, 67 : females, 23.) 424 341 765 Remaining in mental hospitals, 31st December, 1929 .. .. 3,399 2,694 6,093 Increase over 31st December, 1928 .. .. .. . . ! 125 66 191 Average number resident during the year .. .. .. .. 3,215 2,495 5,710

Admissions in 1929. Tntal Nnmhov i In Mental Hos- lotai xjumber Mental Hospitals. pitals on . p .9* 1st January, 1929. Admitted for the Not First Transfers under Cai^ | First Time. Admission. iranBters. under Gaie. I M. F. T. M. F. T. M. F. T. ! M. F. T. M. F. T. Auckland .. .. 660 554 1,214 89 85 174 23 13 36 | 5 1 6 777 653 1,430 Christchurch .. .. 442 476 918 100 62 162 12 20 32 j 10 1 il 564 559 J, 123 Dunedin (Seacliff) .. 649 539 1,188 82 40 122 3 2 5 3 3 6 737 584 1,321 Hokitika .. .. 144 61 205 11 7 18 1 1 2 34 13 47 190 82 272 Nelson .. .. 289 137 426 27 6 33 2 3 5 . . 318 146 464 Porirua .. .. 820 688 1,508 129 97 226 21 27 48 3 4 7 973 816 1,789 Tokanui .. .. 256 142 398 37 25 62 7 8 15 12 1 13 312 176 488 Ashburn Hall (private 14 31 45 5 8 13 0 3 3 . . 19 42 61 mental hospital) 1 , : Totals .. 3,274 2,628 5,902 480 330 810 169 77 146 67 23 90 3,890 3,058 6,948 Patients discharged, transferred, and died. , i n Mental Hos Mental Hospitals. | | i Total discharged 'i 1 sMh'I-.-n! h<-1 | SMS? Died. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. I M. F. T. Auckland .. .. .14 29 43 19 16 35 4 2 6 48 37 85 85 84 169 692 569 1,261 Christ-church .. 26 20 46 13 13 26 25 13 38 32 21 53 96 67 163 468 492 960 Dunedin (Seacliff) .. 10 15 25 10 7 17 11 2 13 49 31 80 80 55 135 657 529 1,186 Hokitika .. .. 4 1 5 .. .. 11 5 16 15 6 21 175 76 251 Nelson .. .. 6 10 16 1 1 2 11 0 11 16 7 23 34 18 52 I 284 128 412 Porirua .. .. 74 55 129 6 3 9 12 3 15 58 43 101 - 150 104 254 ! 823 712 1,535 Tokanui .. 11 7 18 2 4 6 3 1 4 11 6 17 27 18 45 1 285 158 443 Ashburn Hall (private 0 7 7 101 12323 5 1 4 12 16 15 30 45 mental hospital) , ! Totals .. 145 144 289 52 44 96 67 23 90 227 153 380 1491 364 855 3,399 2,694 6,093 Avm-asp Nnmhpi- Percentage Percentage of Mental Hospitals rlsidfnt du™ n- of Recoveries on Deaths on Average Mental Hospitals. resident oui Admissions ; Number resident during the Year. during the Year. M. F. T. M. F. T. M. F. T. Auckland .. .. .. .. .. 659 519 1.178 12-50 29-69 20-47 7-28 7-26 7-21 Christchurch . . .. .. . . .. 418 463 881 23-21 24-27 23-70 7-65 4-53 6-01 Dunedin (Seacliff) .. .. .. .. 646 519 1,165 11-76 35-91 19-69 - 7-64 5-97 6-86 Hokitika .. .. .. .. 154 62 216 33-33 12-50 25-00 7-14 8-06 7-40 Nelson .. .. .. .. .. .. 283 121 404 20-69111-11 42-10 5-65 5-78 5-69 Porirua .. .. .. .. .. 776 637 1,413 49-33 44-35 47-08 ! 7-48 6-75 7-14 Tokanui .. .. .. .. .. 265 143 408 25-00 21-21 23-38 4-15 4-19 4-16 Ashburn Hall (private mental hospital) .. .. - 14 31 45 0-00 63-63 50-00 14-28 9-67 11-11 Totals .. .. .. .. j3, 215 2,495 5,710 j 26-41 35-37 30-23 7-06 6-13 6-65

13

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Table III.—Ages of Admissions.

Table IV.—Duration of Disorder on Admission.

Dunedin Ashburn Hall Ages. Auckland. Christchurch (Seacliff) Hokitika. ; Nelson. Porirua. Tokanui. (Private Mental Total. | | Hospital). M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Under 5 years .. .. .. .. Oil 3 0 3 1 0 1 .. 1 0 1 ] 1 2 .. .. 628 From 5 to 10 yeais .. .. .. .. 415 1 0 1 .. 404 224 .. .. 113 14 „ 10 „ 15 .. .. .. 0 1 1 12 2 14 0 1 1 0 1 1 5 0 5 4 3 7 3 2 5 .. 24 10 34 „ 15 „ 20 „ .. .. .. 10 2 12 14 4 IS 7 2 9 2 1 3 2 0 2 15 4 19 2 0 2 .. 52 13 65 „ 20 „ 30 „ .. .. .. 16 15 31 21 9 30 19 5 24 1 2 3 1 2 3 21 16 37 10 7 17 0 2 2 89 58 147 „ 30 „ 40 „ .. .. .. 16 19 35 21 21 42 17 11 28 2 1 3 4 1 5 30 28 58 5 5 10 1 2 3, 96 88 184 „ 40 „ 50 „ .. .. .. 27 25 52 16 18 34 10 12 22 3 0 3 4 2 6 29 29 58 5 10 15 0 4 4 94 100 194 „ 50 „ 60 „ .. .. .. 15 15 30 | 11 14 25 8 6 14 2 1 3; 0 3 3 22 19 41 9 5 14 1 1 2 68 64 132 „ 60 70 „ .. .. .. 8 7 15 4 7 11 8 3 11 1 0 1 3 1 4 14 13 27 3 2 5 1 0 1 I 42 33 75 „ 70 „ 80 „ .. .. .. 10 8 18 4 6 10 10 2 12 0 2 2:3 1 4 6 2 8 5 1 6 1 1 2 39 23 62 „ 80 .. 90 „ .. .. .. 6 3 9 2 0 2 2 0 2 1 0 1 1 0 1 6 6 12 1 0 1 Oil 19 10 29 „ 90 „ 100 „ .. .. .. .. 10 1 .. .. .. .. 10 1 2 0 2 Unknown .. .. .. .. 426 .. 101 .. .. Oil 112 .. 64 10 Transfers .. .. .. .. 5 1 6 10 1 11 3 3 6 ; 34 13 47 .. 3 4 7 12 1 13 .. 67 23 90 Totals .. .. .. 117 99 216 122 83 205 i 88 45 133 ' 46 21 67 29 9 38 153 128 281 56 34 90 5 11 16 616 430 1,046

r > _q • j Ashburn Hall Auckland. Christchurch. Hokitika. Nelson. Porirua. Tokanui. (Private Mental Total. (Seaclifr). . Hospital). M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. First class (first attack and within 3 months 46 38 84 30 31 61 39 26 65 4 4 8 3 2 5 86 60 146 25 15 40 0 3 3 233 179 412 on admission) Second class (first attack above 3 months and 13 11 24 4 3 7 6 6 12 1 1 2 1 1 2 22 22 44 5 1 6 4 1 5 56 46 102 within 12 months on admission) Third class (not first attack, and within 12 23 22 45 1 23 21 44 11 1 12 2 1 3 1 5 6 17 29 46 7 13 20 0 4 4 84 96 180 months on admission) Fourth class (first attack or not, but of more 30 27 57 55 27 82 29 9 38 5 2 7 24 1 25 25 13 38 7 4 11 1 3 4 176 86 262 than 12 months on admission) Transfers •• -- .. 5 1 6 10 1 11 3 3 6 34 13 47 .. 3 4 7 12 1 13 .. 67 23 90 Totals .. .. .. 117 99 216 122 S3 205 88 45 133 46 21 67 29 9 38 153 128 281 56 34 90 5 11 16 616 430 1,046

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14

Table V.—Ages of Patients Discharged "Recovered" and "Not Recovered" during the Year 1929.

Table VI.—Ages of Patients who died.

Ages. Auckland. Christchurch. ; Dunedin (Seacliff). Hokitika. Nelson. I Porirua. Tokanui. hb ? n \S 1 l Total. (xTivate JM.li.). M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Under 5 years From 5 to 10 years .. .. .. .. .. 101 .. 202 .. 303 „ .10 „ is" „ .. .. 202 .. .. oil *.*. 213 „ 15 „ 20 „ .. .. .. 112 10 1 . . .. 10 1 10 1 .. .. 4 15 „ 20 „ 30 „ 3 0 3 Oil 1 1 2 .. .. 2 3 5 .. .. 6 5 11 „ 30 „ 40 „ .. .. .. 6 17 112 Oil 0 2 2 .. 7 3 10 1 0 1 .. 15 8 23 „ 40 „ 50 „ .. .. .. 5 8 13 6 5 11 7 1 8 1 0 1 2 1 3 7 3 10 1 2 3 Oil 29 21 50 „ 50 „ 60 „ .. .. .. 8 7 15 9 2 11 7 6 13 3 0 3 2 2 4 11 8 19 1 3 4 1 1 2 42 29 71 „ 60 „ 70 „ .. .. .. 12 5 17 5 7 12 14 8 22 2 1 3 2 2 4 16 3 19 3 1 4 Oil 54 28 82 „ 70 „ 80 „ .. .. .. 8 10 18 8 2 10 9 8 17 2 1 3 4 1 5 7 11 18 3 0 3 1 0 1 42 33 75 „ 80 „ 90 „ .. .. .. 5 4 9 1 3 4 7 6 13 1 1 2 2 1 3 7 8 15 2 0 2 .. 25 23 48 „ 90 „ 100 „ .. .. .. .. 1 0 1 1 0 1 .. 1 0 1 0 2 2 .. • .. 3 2 5 Unknown .. .. .. .. Oil .. .. 202 .. Oil .. .. 224 Totals .. .. .. .. 48 37 85 32 21 53 49 31 80 11 5 16 16 7 23 58 43 101 11 6 17 2 3 5 227 153 380 . : I j I •

Auckland. ' Christehureh. Dunedin (Seaclifl). Hokitika. Nelson. Porirua. i Tokanui. (PrivateiOI 1 ) Total. Ages. ! | I j I I i '"I Re- Hot re- Re- Not re- Re- Not re- Re- Not re- j Re- Not re- ! Re- Not re- 1 Re- Not re- Re- Not re- t> „ Not covered, covered, j covered, covered, covered, covered, covered, covered. ; covered. covered, covered, covered, covered, covered, covered, covered. recovered. recovered. . .. ~ 1' J I : ■' j I I : : : I ; ; I ■ I I ' I ' j M. F. T. M. F. T. M. F. T. M. F. T.j M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. I M. F. T. Under 5 years .. .. .. .. .. .. 101.. .. .. .. .. .. .. .. .. .. .. 10 1 Prom 5 to 10 years .. .. .... .. ! .. .. .. .. .. .. .. .. .. .. .... „ 10 „ 15 „ .. .. .. .. .. .. .. .. .. .. .. .. .... „ 15 „ 20 „ .. 0 2 2 1 2 3 0 1 1.. 0 1 1.. .. 0 2 2.. 1 4 5.. 1 1 2.. .. 3 11 14 0 2 2 „ 20 „ 30 „ .. 03322473 10 62 8123516101 .. 3 2 5 .. 16 7 23 0 1 1 2 1 3 1 0 1 0 2 2 .. 30 20 50 14 6 20 „ 30 „ 40 „ ..1 7 8 5 3 8 4 3 7 2 2 4 2 3 5 .. 1 0 1 .. 1 2 3 .. 13 9 22 3 0 3 1 0 1 0 1 1 0 2 2 1 0 1, 23 26 49 11 6 17 40 „ 50 „ .. 8 8 16 4 2 6 6 6 12 4 1 5 3 5 8 2 1 3 1 0 1 .. 0 2 2 .. 22 17 39 1 0 1 2 4 6 0 3 3 0 2 2 .. ! 42 44 86 11 7 18 „ 50 „ 60 „ .. 3 5 8 2 2 4 7 3 10 0 3 3 3 4 7 0 1 1 1 1 2 .. 1 1 2 0 1 1 15 12 27 2 1 3 4 1 5 1 0 1 0 1 1 .. 34 28 62 5 8 13 .. 60 „ 70 „ .. 1 2 3 3 4 7 1 2 3 1 2 3 1 1 2 2 2 4 .. 0 1 1.. 5 5 10 1 0 1.. .. 9 11 20 6 8 14 ,, 70 „ 80 ,, .. .. 123011022 .. 011 .. .. 101 .. 213 .. .. .. .. .. 325156 „ 80 „ 90 „ .. 0 11.. .. .. .. .. .. .. 101.. 011.. .. . . .. .. 123 „ 90 „ 100 .. .. .. .. .. | .. .. .. .. .. .. Unknown .. ..123202.. .. .. .. .. .. | .. .. .. .. .. .. .. .. 123202 Transfers .. .. .. 4 2 6 .. 25 13 38 .. 11 2 13 .. .. j .. 11 0 11 .. 12 3 15 .. 3 1 4 .. 1 2 3 .. 67 23 90 Totals .. 14 29 43 23 18 4ll26 20 46 38 26 64 10 15 25 21 9 30 4 1 5 .. j 6 10 1612 1 13 74 55 12918 6 2411 7 18 5 5 10 0 7 7 2 2 4 145 144 289119 67 186 I I I I !

H.—7

15

Table VII. —Condition as to Marriage.

j Admissions. | Discharges. j Deaths. Auckland m. f. t. m. f. t. m. f. t. Single .. .. .. .. .. .. 53 35 88 11 18 29 22 12 34 Married .. .. .. .. . . 40 47 87 17 23 40 17 16 33 Widowed .. .. .. .. .. 9 13 22 1 4 5 8 9 17 Unknown .. .. .. .. .. 10 3 13 4 0 4 1 0 1 Transfers .. .. .. .. .. 5 16 426 Totals .. .. .. .. .. 117 99 216 37 47 84 48 37 85 C HKISTCHUECH— Single .. .. .. .. .. .. 78 35 113 23 18 41 15 10 25 Married .. .. .. .. .. 28 33 61 15 13 28 14 9 23 Widowed .. .. .. .. .. 6 14 20 1 2 3 3 2 5 Unknown Transfers .. .. .. .. .. 10 1 11 25 13 38 Totals .. .. .. .. .. 122 83 205 64 46 110 32 21 53 Dunedin (Seaclijt)— Single.. .. .. .. .. .. 66 20 86 11 8 19 28 10 38 Married .. .. .. .. .. 13 16 29 6 12 18 18 14 32 Widowed .. .. .. .. .. 6 6 12 3 2 5 3 7 10 Unknown Transfers .. .. .. .. .. 336 11 2 13 Totals .. .. .. .. .. 88 45 133 31 24 55 49 31 80 Hokitika— Single .. .. .. .. .. .. 84 12 303 819 Married .. .. .. .. .. 426 1 1 2 1 34 Widowed .. .. .. .. .. 022 .. 112 Unknown .. .. .. .. .. .. .. 10 1 Transfers .. .. .. .. .. 34 13 47 1 I Totals .. .. .. .. .. 46 21 67 4 1 5 11 5 16 Nelson — Single.. .. .. .. .. .. 24 3 27 6 4 10 10 3 13 Married .. .. .. .. .. 448 1 78 64 10 Widowed .. .. .. .. .. 12 3 Unknown Transfers .. .. .. .. .. .. 11 011 Totals .. .. .. .. .. 29 9 38 18 11 29 16 7 23 PORIBUA Single .. .. .. .. .. .. 87 44 131 48 20 68 28 12 40 Married .. .. .. .. .. I 51 64 115 31 28 59 23 15 38 Widowed .. .. .. .. . 9 16 25 1 10 11 7 16 23 Unknown .. ■. .. .. ..303 Transfers .. .. .. .. ..3 4 7 12 3 15 Totals .. .. .. . . .. 153 128 281 92 61 153 58 43 101 Tokanui — Single .. .. .. .. .. .. I 24 9 33 6 2 8 5 1 6 Married .. .. .. .. .. 15 21 36 7 7 14 3 4 7 Widowed .. .. .. .. ..5 3 8 0 2 2 3 1 4 Unknown .. .. .. .. Transfers .. . . .. .. .. 12 1 13 3 14 Totals .. .. .. .. .. 56 34 90 16 12 28 II 6 17 Ashburn Hall — Single .. .. .. .. .. .. 369 1 341 0 1 Married .. .. .. .. .. 1 4 5 0 4 4 0 11 Widowed .. .. .. .. .. 112 .. 12 3 Unknown Transfers .. .. .. .. .. .. 1 2 3 ( Totals .. .. .. .. .. 5 11 16 2 9 11 2 3 5 Totals — Single .. .. .. .. .. 343 156 499 109 73 182 117 49 166 Married . . .. .. .. .. 156 191 347 78 95 173 82 66 148 Widowed .. .. .. .. .. ; 37 57 94 6 20 26 26 38 64 Unknown .. .. .. .. .. 13 3 16 4 0 4 2 0 2 Transfers .. .. .. .. .. 67 23 90 67 23 90 Totals .. .. .. .. .. 616 430 1,046 264 211 475 227 153 380

H.—7.

Table IX.—Ages of Patients on 31st December, 1929.

Table VIII.—Native Countries.

16

Countries. Auckland. Christchureh (Seac5?ff? Hokitika. Nelson. Porirua. Tokanui. (Private"^^ 1 ) Total. j_ J_ | J j I _l ] M. F. T. M. F. T. j M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T England and Wales .. .. .. 118 96 214 68 80 148 81 51 132 34 8 42 17 17 34 164 112 276 60 21 81 4 4 8 546 389 935 Scotland .. .. .. 30 17 47 25 17 42 | 67 44 111 7 3 10 18 3 21 39 31 70 18 6 24 3 0 3 207 121 328 Ireland .. .. .. 45 33 78 20 28 48 41 38 79 17 6 23 10 1 11 54 52 106 15 14 29 .. 202 172 374 New Zealand .. .. ..344 341 685 335 340 675 427 358 785 83 54 137 220 98 318 457 445 902 147 102 249 8 24 32 2,021 1,762 3.783 Australian States .. .. 40 26 66 11 14 25 17 27 44 12 3 15 8 6 14 29 26 55 14 5 19 0 2 2 131 109 240 France .. .. .. ..01 1 .. .. 101 .. 011202 .. 325 Germany .. .. .. ..61 711230 3112101437314 .. 19 7 26 Austria .. .. .. .. 29 3 32 0 2 2 1 0 1 .. 2 0 2 .. 4 0 4 . . 36 5 41 Norway .. .. . . ..6 0 6 0 1 1 2 0 2 1 0 1 .. 3 1 4 1 0 1 . . 13 2 15 Sweden .. .. .. ..41 520230 3303101426 .. .. 17 3 20 Denmark .. .. .. 2 0 2 2 0 2 11 2 202 101 82 10 202 .. 18 3 21 Italy .. .. .. ..2 1 3 .. 1 0 1 3 0 3 .. 4 2 6 2 0 2 .. 12 3 15 China .. .. .. -. .. .. 101101 .. 213101 .. 5 16 Maoris .. .. .. 20 22 42 j 2 0 2 .. 1 0 I 5 2 7 18 12 30 3 8 11 .. 49 44 93 Other countries .. .. 24 13 37 ! 2 9 11 7 6 13 7 0 7 1 1 2 ; 18 6 24 13 1 14 .. 72 36 108 Unknown .. .. .. 22 14 36 .. 5 4 9 2 1 3 .. 19 16 35 .. . . 48 35 83 Totals .. .. ..1692 569 1,261 468 492 960 657 529 1,186 175 76 251 284 128 412 823 712 1,535 285 158 443 15 30 45 13,399 2,694 6,093 _ : l I I ■ ; I

A£es. Auckland. Cliristchurch. | Hokitika. | Nelson. Porirua. Tokanui. , (pr^vat^M^H^) Total. M. F. T. ! M. F. T. M. F. T. M. P. T. M. F. T. | M. F. T. | M. F. T. M. P. T. M. F. T. From 1 to 5 vears .. .. ]1 2 30332 5 .. 101 •• j .. .. 8 311 5 „ 10 " „ .. .. 0 2 2 ! 6 5 11 1 3 4 .. 33 0 33 1 12 13 1 2 3 .. 42 2-t 66 „ 10 „ 15 „ .. 3 6 9 18 11 29 1 2 3 0 3 3 46 1 47 8 16 24 ; 5 3 8 .. 81 42 123 „ 15 „ 20 „ .. .. 23 11 34 28 10 38 16 12 28 2 3 5 36 5 41 28 21 49 j 6 3 9 .. 139 65 204 20 „ 30 „ .. .. 75 72 147 67 38 105 93 31 124 12 7 19 £7 16 43 106 74 180 27 16 43 0 1 1 407 255 662 „ 30 „ 40 „ .. .. 120 99 219 89 69 158 110 82 192 15 8 23 26 12 38 160 151 311 ] 33 18 51 1 2 3 554 441 995 „ 40 „ 50 „ .. .. 161 134 295 106 121 227 146 123 269 54 15 69 34 28 62 i 204 156 360 67 46 113 3 8 11 775 631 1.406 „ 50 „ 60 „ .. .. 148 117 265 | 73 127 200 124 126 250 39 23 62 30 22 52 1 163 133 296 1 83 35 118 1 5 6 661 588 1,249 „ 60 „ 70 „ .. 82 72 154 39 71 110 81 100 181 39 10 49 34 26 60 94 92 186 38 20 58 8 7 15 415 398 813 „ 70 „ 80 „ . . .. 48 34 82 34 33 67 59 38 97 6 3 9 12 10 22 49 32 81 16 12 28 2 6 8 226 168 394 80 „ 90 „ .. 10 9 19 ' 5 6 11 13 8 21 4 2 6 3 5 8 9 24 33 2 2 4 0 1 1 46 57 103 Upwards of 90 „ . . I 0 1.0 1 1 1 0 1 0 1 11 0 1 1 0 1, .. .. 4 2 6 Unknown .. .. . 20 12 32 .. 92 11 4 1 5 1 34 0 1 l|7 1 8 .. 41 20 61 Totals .. .. ..692 569 1.261 468 492 960 657 529 1,186 175 76 251 284 128 412 j 823 712 1,535 \ 285 158 443 15 30 45 3,399 2,694 6,093

17

H.—7

Table XI.—Length of Residence of Patients discharged "Recovered" during 1929.

Table X.—Lenght of Residence of Patients who died during 1929.

3 —H. 7.

, j I ' I I I I Length of Residence. Auckland. Christchureh. (SeaclSf? Hokitika. Nelson. Porirua. Tokanui. (Private'l^H 1 ) j Total. j | j 1 ~ M. P. T. M. F. T. M. F. T. M. F. T. ' M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Under 1 month .. .. . . .. 6 3 9 3 1 4 2 3 5 . . 1 2 3 Oil 1 3 4 1 0 1 14 13 27 Prom 1 to 3 months .. .. .. 617 202 224 .. 202 96 15 4 0 4 10 1 1 25 10 35 3 „ 6 „ .. .. . . 1 4 5 5 3 8 7 3 10 1 0 1 ; 2 0 2 8 2 10 1 0 1 .. 25 12 37 „ 6 „ 9 „ .. .. .. 235 224 202 .. .. 516 .. .. 11 6 17 „ 9 „ 12 „ .. .. .. 112 101 314 .. .. 123101 .. 7 4 11 1 „ 2 years .. .. .. 38 11 213 426 101 404 55 10 011 .. 19 17 36 2„ 3 „ .. .. .. 3 2 5 5 0 5 5 2 7 1 0 1 2 0 2 7 4 11 .. 0 1 1 23 9 32 „ 3 „ 5 „ .. .. 729 123 358 033 101 49 13 112 .. 17 22 39 5 „ 7 „ .. .. .. 1 0 1 .. 3 4 7 1 0 1 3 1 4 3 0 3 .. .. 11 5 16 7 10 „ .. .. .. 4 5 9 3 4 7 0 1 1 .. 0 1 1 2 1 3 0 1 1 ' .. 9 13 22 „ 10 „ 12 „ .. .. .. 2 2 4 i 1 0 1 1 0 1 .. .. 1 2 3 .. .. 5 4 9 „ 12 „ 15 „ .. .. .. 325 022 112 101 123 101 011 78 15 Over 15 years . . .. .. .. 7 4 11 6 6 12 15 7 22 6 1 7 1 3 4 10 7 17 2 0 2 1 0 1 48 28 76 Died while absent on trial .. .. 202 101 101 011 .. 213 .. ■ .. 628 Totals .. .. .. 48 37 85 32 21 53 : 49 31 80 11 5 16 16 7 23 58 43 101 11 6 17 2 3 5 227 153 380 I

Length of Residence. Auckland. Christchurch. Hokitika. Nelson. Porirua. Tokanui. | fpri^vate Total. _J . j I I I I ■ I ' I I 1 SI M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Under 1 month .. .. .. .. 112 .. 112 101 .. 101 0 22 448 From 1 to 3 months .. .. .. 145 64 10 202 101 022 617 224 022 18 15 33 „ 3 „ 6 ., .. .. .. 4 6 10 8 7 15 2 4 6 0 1 1 1 1 2 14 11 25 2 1 3 0 2 2 31 33 64 „ 6 „ 9 „ .. .. .. 4 6 10 4 3 7 1 3 4 .. 1 1 2 12 11 23 3 1 4 .. 25 25 50 9 „ 12 „ .. .. .. 1 3 4 3 1 4 0 2 2 .. 1 1 2 7 9 16 0 3 3 0 1 1 12 20 32 „ 1 „ 2 years .. .. .. 3 5 8 4 3 7 2 1 3 .. 1 3 4 21 12 33 3 0 3 .. 34 24 58 2 „ 3" „ .. .. .. Oil 1 1 2 1 1 2 2 0 2 0 1 1 8 4 12 .. .. 12 8 20 3 „ 5 „ .. .. .. 0 2 2 0 1 1 0 2 2 .. 0 1 1 3 5 8 .. .. 3 11 14 5„ 7 „ .. .. .. .. •• .. .. 202 123 .. 325 7 „ 10 „ .. .. .. 0 11 •• 0 11 .. .. .. .. .. 0 2 2 „ 10 „ 12 „ .. .. .. .. •• 10 1 .. •• 10 1 .. .. 2 0 2 „ 12 „ 15 „ Over 15 years .. .. .. .. .. •• .. .. -• 101 .. .. 1101 Totals .. .. •• 14 29 43 26 20 46 10 15 25 4 1 5 6 10 16 74 55 129 11 7 18 0 7 7 145 144 289

H.—7.

Table XII. —Causes of Death, 1929.

18

i | III Cause9 - I 1 II I d i I I-sf 13 2 2 -a £ .£ * -o >w os o -rj a M .2 X3 M +2 3 J3 3 o ® o O 5 ft, «S O •< O P W Z; EL, H <ej s H 1. General Diseases. Tuberculosis— m. f. m. F. m. f. m. p. m. e. m. e. m. e. m. e. m. p. General .. .. .. .. .. 0 1 .. .. 4 3 .. .. 4 4 Of lungs .. .. ..2111201010 .. .. .. 72 Of brain .. .. ..10 .. .. .. .. .. .. .. 10 Of spine .. .. .. .. .. 01 .. .. .. .. ..01 Typhoid fever .. .. .. 10 .. 02 .. .. .. .. 12 Dysentery .. .. .. 01.. .. .. .. .. .. .. 01 Cancer .. .. ..11 1001 1 001 20 .. 0 1 5 4 Influenza .. .. .. .. 0 10 3 .. .. 0 1 .. .. 0 5 Toxaemia .. .. .. .. .. .. .. .. 10 .. .. 10 Pernicious anaemia .. .. .. 01 .. .. .. .. .. .. 01 Septicaemia .. .. .. .. .. .. .. .. 0 1 .. .. 0 1 II. Diseases oe the "Nervous System. Mania, exhaustion from ..2210 .. .. .. 11 .. .. 43 Melancholia, exhaustion from ..0 2 1 1 2 2 .. .. 1 1 .. .. 4 0 Cerebral syphilis .. .. .. .. .. .. 01 .. .. .. 01 General paralysis of insane .. 6 0 7 0 6 0 .. 1 0 13 1 3 0 . . 36 1 Organic brain-disease .. ..20 .. 01 .. .. .. .. .. 21 Epilepsy .. .. .. 43 2340 .. .. 4201 .. 14 9 Meningitis .. .. ..10 .. .. .. 10 .. .. .. 20 Cerebral haemorrhage .. 35 20:22 .. 10 10 .. .. 97 III. Diseases oe the Respiratory System. Pneumonia .. .. 43 1 0 22 10 13 24 01 01 11 14 Bronchitis .. .. .. .. .. 10 .. .. 12 .. .. 2 2 Empyema .. .. .. .. .. .. .. .. 0 1 .. . . 0 1 IV. Diseases oe the Circulatory System. Heart-disease .. .. 9 5 2 4 16 10 1 0 2 1 14 14 1 3 1 0 46 37 Arterio-sclerosis .. .. 1 001 .. 10 .. 0310 .. 34 Gangrene .. .. .. .. .. .. 10 .. .. .. .. 10 Thrombosis .. . . .. .. .. .. .. . . 10 .. .. 10 V. Diseases op the Digestive System. Intestinal obstruction .. .. .. .. .. 10 .. .. .. 10 Cholaemia .. .. .. .. .. .. .. .. 01 .. .. 01 Peritonitis .. .. .. .. 1101 .. .. ., .. .. 12 VI. Diseases oe the Genitourinary System. Nephritis .. .. ..0 1 .. .. .. .. 1010 .. 21 Ovarian cyst .. .. .. .. 0 1 . . .. . . .. .. 0 1 Urtemia .. .. .. .. 10 .. .. 10 .. 01 .. 21 VII. Old Age. Senile decay .. .. .. 10 13 9 8 13 0 5 2 5 1 10 7 5 0 1 1 58 32 VIII. External Causes. Eracture of skull .. .. .. 10 .. .. .. .. .. .. 10 Shock from scalds .. .. .. .. .. .. 10 .. .. .. 10 Fractured femur .. .. .. .. .. .. 10 .. .. .. 10 I IX. Died while on Trial. 20 10 1601 .. 2 1 .. .. 6 8 Totals .. .. 48 37 32 21 49 31 11 5 16 7 58 43 11 6 2 3 227 153

H.—7

19

Table XIII.—Principal Assigned Causes of Insanity, 1929.

Causes. Auckland, j(Seaclffl? Hokitika. Nelsou. Porirua. I Tokauui. Hall Total. 1 ' i ' 1 ! L ! ' ' " i M. F. M. F. M. F. M. F. M. F. M. F. M. F. M. F. M. F. Heredity .. .. 9 7 24 20 9 2 .. 5 3 7 7 3 2 0 5 57 46 Congenital .. .. .. 9 7 38 13 22 2 2 0 8 1 18 8 , 7 5 .. 104 36 Previous attack .. .. 20 11 6 10 11 6 3 1 .. 21 27 [ 1 3 0 2 62 60 Puberty or adolescence 6 5 11 3 3 0 1 31.. 18 8 5 2 .. 44 21 Climacteric .. .. 0 11 0 12 0 6 0 1 ! 0 16 0 1 .. 0 47 Senility .. .. .. 19 15 8 9 15 4 2 2 14 1 19 19 9 2 1 1 77 53 Involution .. .. ..10 .. .. .... .. .. .. 10 Lactation .. .. .. .. .. .. .. .. .. .. 0 10 1 Puerperal .. .. .. 04 .. 0 1 .. .. 03:02 .. 010 Pregnancy .. .. .. .. .. .. .. .. 0 2!.. .. 02 Mental stress, prolonged 23 23 7 6 1 2 .. 3 3 25 21 i 6 7 .. 65 62 Alcohol .. .. 42 62 9 1. 30 40 13 3 S 1 0 40 8 Syphilis .. .. ..9 0 5 3 3 1 1 0 . . 10 4 3 1 .. 31 9 Post-operative .. ..01 .. .. .. .. .. .. 0102 Traumatic .. .. ..10 .. .. .. 2020 .. .. 50 Epilepsy .. .. ..9 5 3 3 4 2 .. .. 6 1 0 1 0 1 22 13 Encephalitis .. .. ..012010 .. .. .. .. .. 31 Influenza .. .. .. .. .. .. .. .. 21 .. .. 21 Phthisis .. .. ..01 .. .. .. .. 10 .. .. 11 111 health .. .. .. .. .. 20 .. .. 3 113 .. 64 Toxic .. .. .. .. .. .. .. .. .. 22 .. 22 Cerebral haemorrhage .. .. .. .. .. .. 10 10 .. 1030 Arterio-sclerosis .. .. .. 21 .. .. .. 1131 .. 63 Organic brain-disease .. ..11 .. 32 .. .. .. .. .. 4 3 Solitude .. .. .. .. .. .. .. .. .. .. 10 10 Heart-disease .. .. .. .. 01 .. .. .. .. .. 01 Hysteria .. .. .. .. .. .. .. .. 01 .. .. 01 Diabetes .. .. ..01 .. .. .. .. .. .. .. 01 Privation .. . . .. .. .. .. •. .. 3 0 .. .. 3 0 Insomnia .. .. .. .. .. .. .. 01 .. .. .. 01 Drug habit .. .. ..01 .. .. .. .. 01 .. .. 02 Unknown .. .. .. 12 .. 2 12 01 20 .. 41 10 10 16 Transfers .. .. 5 1 10 1 3 3 34 13 .. 3 4 12 1 .. 67 23 Totals .. .. 117 99 122 83 88 45 46 21 29 9 153 128 56 34 5 11 616 430

H.—7.

Table XIV. —Former Occupations of Patients.

20

a b S PH £ Cb o w a — >2 efl pi aS O ® O <D *"Z3 Occupations. . * m a Occupations. g co 5 rrj £5 "" . . rH 'C 2 "~T j " a fj .2 5 • c3 '3 a 3 "8 -2 • ce '3 a O < o Q w a &. _H JH Mams. Aotor .. . . ! .. 1 ..' . . .. 1 [ Journalists .. 1 .. | 1 .. .. 2 Agents .. .. 2 .. .. .. 2 I Labourers .. .. 35 33 ,39 .. 0! 53 11 .. 177 Apprentice .. .. 1 .... 1 | Machinist .. . • I I Auctioneer .. .. .. .. li ..' .. .. .. .. 1 Manager .. 1 1 Baker .. 1 .... 1 Meter-inspector . . 1 .. 1 Bank-manager I . . . . 1 Milk-tester . . ! 1 .. 1 Barman .. 1 ..! ,.i .. .. 1 Miners .. .. 2 .. 2| 1 1 6 Basketmaker .. .. .. 1 .. ' .. .. 1 Motor-drivers.. .. I .. 1 .. .. 2 Boatbuilcler .. 1 1. Motor-mechanics .. j 1 L 1 1.. 4 Boilermaker .. i .... 1 Painters .. .. i .1 2 .. 3 Boardinghouse-keeper ! 1 .. 1. Pensioners .. 1 3 3 3 ..! 2 .. .. 12 Bookseller .. 1 .. .. 1 Plumbers .. .. | .. 1 .1 . 2 Bootmaker .. 1 .. .. I Porters .. . . ! 3 .. .. 3 Blacksmiths .. .. .. 1.... 1 2 .... 4 Presser .. .. .. 1 ' 1 Brickmaker .. .. 1 ■ 1 Printer .. . . . . 1 i. 1 Bushman .. 1 ..' 1 ! Prisoners .. .. 6 1 .. .. 7 Butcher .. 1 ! 1 Rabbiter .. .. .. I ..[ 1 Caretakers .. .. .. 2 2 Railway-employees .. 1 : 1 1.. 3 Carpenters .. .. 6 I 1 .. . . J 5 .. i .. 13 Reader .. . . .. 1 1 Carriers .. .. 2 2 .. .. I l| .. 6 I Saddlers .. .. .. 1 1.... 2 Chemist .. 1 .. .. 1 Salesmen .. . . 3 .. 3 Civil servants .. .. 1 .3 .. .. 4 School-teacher 1 . . 1 Clergyman .. ! . . 1 Seamen .. .. 2 2 11 .... 2 ...: 7 Clerks .. .. 4 5.... 9 Shearer .. 1 .. .. 1 Confectioners 1.. .. 1.. .. 2 Shepherd .. 1 1 Contractor .. 1 .. .. 1 Soldier .. 1 .. .. 1 Dealers .. .. 1.. 1 j .. 2 Solicitor .. 1 ,. .. 1 Drill instructor .. .. 1 | .. 1 | Stable hand .. 1 1 Driver .. ., ... 1 1 .. 1 Steward .. . . .. 1 j 1 Drovers .. 1 li ... 2 Storemen .. ..11 1 1 1 ..! 1 .. .. 5 Electrician .. ...... 1 1 H Students .. .. .. 1 3.... 1,... 5 Engineers .. 2 .. .. 4| 6 j. Surveyor j j .. 1 1 Engine-driver.. 1 .. .. 1 Tailors .. ... 2 2 Factory hands .. .. 1 1 .. .. 2 Taxi-proprietor .. I .. 1 1 Farmers .. .. | 13 6 5 1 2 15 6 3i 51; Timber-workers .. j ' 2 .. .. 2 Farm hands . . .. .. 1 3 .. 5 .. 4 .. 13 Travellers .. .. 1 1 2 Fireman .. 1 .. I .... 1 Watchmaker .. 1 1 Fisherman .. 1 ! .. 1 Wool-classers .. 1 I .. .. 2 Fruiterers .. 2 .. 2 No occupation .. 21 36 13 2 12 21 11 .. 116 Gardeners .. .. .. 5 5 .. 1 11 Unknown .. .. 1 .. 1 2 Grocer .. j .. .. 1 .. ... 1 [ Transfers .. .. 5 10 3 34 .. 3 12 .. 67 Gum-diggers .. .. 3 3 > Hairdresser .. .■ 1 .. .. 1 j Totals .. 1.17122 88 46 29153 56 5 616 Insurance agents .. . . 2 2 Females. Advertising-agent 1, .. .. 1 .. | 1 Pensioners .. .. .. 3 .. .... 3 Artist .. .. 1 ! 1 School-teacher 1 1 Civil servant .. 1 .. . . 1 Shop-assistant 1 .. 1 Clerk .. .. | 1 .. ..! .. .. j 1 Traveller .. .. 1 .... .. Cook .. .. 1 .. .. 1 Typists .. .. 1 1 1 3 Domestic duties .. ; 68 65 32 4 6.117 29, 6 327 Students .. .. I .. .. I 2 Dressmakers .. .. .. 3 1 1 j 5 No occupation .. 22 6 4 2. .. 3 3 2 42 Journalist .. .. .. 1 1 Unknown .. .. 1 . J 1 .. 31 5 Laundress .. I .. .. 1 Transfers .. .. 1 1 3 13; .. 4 1 .. 23 Milliner .. . . . . 1 1 , Music-teachers . . 1 1 2 Totals .. 99 83 45 21 9128 34 11 430 Nurses .. ..122.... 1 . . 17 _

H.~.

21

Table XV.—Showing the Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries per Cent. of the Admission, for each Year since 1st January, 1876.

Remaining, Averae-e Number? Percentage Percentage of Deaths Year. Admitted. Died. i 31st December in i resident of Recoveries on on Average Numbers -Recovered. | Believed. Not Improved. | each Year. ! ' Admissions. resident. M. F. T. M. F. 1. M. I:'. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. 1875 j .. 482 254! 736 1876 .. 221 117 338 129 79 208 17 8 25 2 8 10 36 12 ! 48 519 264! 783 491 257 748 54-53 66-01 57-56 8-21 3-58 6-70 1877 .. 250 112 362 123 57 180 20 5 25 3 2 5 42 21 i 63 581 291 872 541 277 818 49-20 50-80 49-72 7"76 7-58 7-70 1878 .. 247 131 378 121 68 189 14 14 28 4 4 8 51 17 68 638 3191 957 601 303 904 48-98 51-90 50-00 8-48 5-61 7-52 1879 .. 248 151 399 112 76 188 15 13 28 9 4 13 55 16 71 695 3611 1,056 666 337 1,003 45-16 50-33 47-11 8-25 4-74 7-07 1880 .. 229 149 378 100 67 167 36 25 61 5 2 7 54 20 74 729 396 1,125 703 371 1,074 43-66 44-96 44-17 7-68 5-39 6-89 1881 .. 232 127 359 93 65 158 41 36 77 9 2 11 49 14 63 769 406 1,175 747 388 1,135 40-08 51-10 44-01 6-29 3-60 5-55 1882 .. 267 I 152 419 95 59 154 49 32 81 5 6 11 60 19 79 827 442! 1,269 796 421 1,217 35-58 38-81 36-75 7-53 4-51 6-49 1883 .. 255 166' 421 102 78 180 13 20 33 10 9 19 65 18 83 892 483: 1,375 860 475 1,335 40-00 46-98 42-75 7-55 3-78 6-21 1884 .. 238 153 391 89 77 166 17 9 26 18 12 30 68 24 92 938 514 1 1,452 911 497 1.408 37-39 50-32 42-45 7-46 4-82 6-53 1885 .. 246 133 379 95 76 | 171 10 5 15 25 2 27 73 22 95 981 542 1,523 965 528 1,493 38-62 57-14 45-12 7-56 4-16 6-36 1886 .. 207 165 372 99 60 159 11 17 28 12 7 19 57 19 76 1,009 604 1,613 984 559 1,543 47-82 36-36 42-74 5-79 3-39 4-91 1887 .. 255 161 416 103 78 181 34 17 51 74 27 101 1,053 643 1,696 1,034 613 1,647 40-39 48-75 43-61 7-15 4-40 6-13 1888 .. 215 146 361 116 92 208 31 28 59 2 3 5 78 26 104 1,041 640 1,681 1,045 641 1,686 53-95 63-01 57-62 7"56 4-05 6-16 1889 .. 230 161 391 93 53 146 31 30 61 3 1 4 70 30 100 1,074 687 1,761 1,046 660 1,707 40-43 32-92 37-34 6-69 4-54 5-86 1890 .. 230 160 390 98 88 186 23 17 40 12 5 17 76 35 111 1,095 702 1,797 1,078 685 1,763 42-61 55-00 47*69 7-05 5-11 6-29 1891 .. 234 171 405 88 74 162 33 24 57 14 .. 14 79 41 120 1,115 734 1,849 1,089 699 1,789 37-61 43-27 40-00 7-25 5-86 6-71 1892 .. 231 158 389 89 76 165 21 17 38 8 2 10 74 34 108 1,154 763 1,917 1,125 714 1,839 38-53 48-10 42-42 6-58 4-76 5-87 1893 J. 179 . 460 101 89 190 17 12 29 10 8 18 78 23 101 1,229 810 2,039 1,172 758 1,930 35-94 49-72 41-30 6-66 3-03 5-23 1894 27*0 176 446 107 76 183 15 11 26 5 4 9r I 64 35 99 1,308 860 2,168 1,241 812 2,053 39-63 43-13 41-03 5-16 4-31 4-82 1895 .. 252 165 417 105 77 182 24 19 43 1 2 3 101 42 143 .1,329 885 2,214 1,313 849 2,162 41-67 46-66 43-64 7-69 4-94 6-61 1896 .'. 278 159 437 104 70 174 25 16 41 2 1 3 86 32 118 1,390 925 2,315 1,347 882 2,229 37-41 44-02 39-13 6-38 3-63 5-29 1897 .. : 284 193 477 102 73 175 17 12 29 10 .. 10 105 43 148 1,440 990 2,430 1,411 944 2,355 35-92 37-82 36-69 7-44 4-55 6-28 1898 .. 254 212 466 114 110 224 13 23 36 7 1 8 88 60 148 1,472 1,008 2,480 1,438 973 2,411 44-88 51-89 48-07 6-12 6-17 6-14 1899 .. 259 199 458 88 99 187 15 19 34 2 1 3 114 43 157 1,512 1,045 2,557 1,487 1,004 2,491 33-98 49-49 40-83 7-67 4-28 6-30 1900 .. 300 202 502 103 96 199 29 10 39 4 4 99 46 145 1,581 1,091 2.672 1,534 1,049 2,583 34-33 47-54 39-64 6-45 4-38 5-61 1901 320 223 543 125 104 229 20 17 37 2 2 102 72 174 1,654 1,119 2.773 1,622 1,094 2,716 39-06 46-64 42-17 6-29 6-58 6-41 1902 .. 352 192 544 135 99 234 26 15 41 10 9 19 120 55 175 1,715 1,133 2,848 1,671 1,114 2,785 38-35 51-56 43-01 7-18 4-94 6-28 1903 .. 355 226 581 144 101 245 26 24 50 2 2 129 44 173 1,771 1,188 2,959 1,741 1,160 2,901 40-56 44-69 42-17 7-41 3-79 5-96 1904 .. 332 236 568 157 106 263 24 11 35 1 1 120 70 190 1,801 1,237 3,038 1,780 1,198 2,978 47-59 44-91 46-30 6-74 5*84 6-38 1905 .'. 360 251 611 149 121 270 29 24 53 147 67 214 1,836 1,276 3,112 1,796 1,232 3,028 41-39 48-21 44-19 8-18 5*44 7-07 1906 .. 395 264 659 157 126 283 28 22 50 1 1 146 85 231 1,900 1.306 3,206 1,823 1,265 3,088 39-75 47-73 42-94 8-01 6-71 7-48 1907 .i. 359 241 600 160 139 299 22 13 35 168 64 232 1,909 1,331 3,240 1.851 1,285 3,136 44-29 57-68 49-84 9*08 4-98 7-39 1908 .. 426 318 744 180 146 326 9 12 21 1 .. 1 148 74 222 1,997 1,417 3,414 1,894 1,346 3,240 42-25 45-91 43-82 7-81 5-50 6-85 1909 .. 419 297 716 179 170 349 17 11 28 1 1 136 68 204 2,083 1,465 3,548 1,970 1,404 3,374 42-72 57-24 48-74 6-90 4-84 6-00 1910 .. 474 314 J 788 182 145 327 29 27 56 186 97 283 2,160 1,510 3,670! 2,028 1,445 3,473 38-40 46-18 41-50 9-17 6-71 8-15 1911 .. 448 317 765 163 168 331 23 16 39 4 2 6 198 105 303 2,220 1,536 3,756 2,105 1,496 3,601 36-38 53-00 43-27 9-41 7-02 8-41 1912 .. 458 381 839 184 141 325 17 44 61 11 5 16 193 87 280 2,273 1,640 3,913 2,146 1,551 3,697 40-17 37-01 38-74 8-99 5-61 7-57 1913 .. 466 318 784 175 162 337 35 48 83 1 5 6 196 111 307 2,332 1,632 3,964 2,252 1,597 3,849 37-55 50-94 42-98 8-70 6-96 7-98 1914 .. 509 359 868 207 162 369 27 29 56 6 9 15 193 88 281 2,408 1,703 4,111 2,309 1,641 3,950 40-67 45-12 42-51 8-36 5-36 7-11 1915 .. 450 361 811 : 202 157 359 26 32 58 10 11 21 172 112 284 2,448 1,752 4,200: 2,391 1,703 4,094: 44-89 43-21 44-88 7-19 6-58 6-94 1916 .. 518 361 879 : 160 171 331 35 34 69 7 8 15 209 80 289 2,555 1,820 4,375' 2,483 1,768 4,251! 30-89 47-37 37-66 8-42 4-52 6-80

H.—7.

Table XV.—Showing the Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries per Cent. of the Admissions, for each Year since 1st January, 1876—continued.

22

: , , . Discharged. Remaining, Average Numbers Percentage Percentage of Deaths Year. Admitted. \ Died. 31st December m resident of Recoveries on on Average Numbers Recovered. Relieved. Not Improved. each Year. c i Admissions. resident. j ; ; ; >' I I ij 1 I n ! hi j — r I M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T M F T 1917 .. 470 374 844 171 152 323 32 20 52 6 5 11 205 113 318 2,611 1,904 4,515 2,543 1,825 4.368 36-38 40-64 38-27 8-06 6-19 7-28 1918 .. 437 402 839 142 141 283 17 36 53 12; 12 24 274 174 448 2,603 1,943 4,546 2,602 1,899; 4,501 32-49 35-07 33-73 10-53 9-16 9-95 1919 .. 512 371 883 190 147 337 37 44 81 9 13 22 212 130 342 2,667 1,980 4,647 2,620 1,907 4,527 37-11 39-62 38-17 8-09 6-82 7-55 1920 .. 455 418 873 162 148 310 27 37 64 6 10 16 210 166 376 2,717 2,037 4,754 2,674 1,980 4,654 35-63 35-32 35-51 7-85 8 40 8-08 1921 .. 479 402 881 178 193 371 30 21 51 15 9 24 201 117 318 2,772 2,099 4,871 2,723 2,031 4,754 37-23 47-88 42-11 7-38 5-76 6-69 1922 .. 453 386 839 156 157 313 32 20 52 10 8 18 211 184 395 2,816 2,116 4,932 2,747 2,062 4,809 34-44 40-67 37-31 7-67 8-92 8-21 1923 • 442 366 808 168 151 319 42 38 80 15 5 20 194 131 325 2,839 2,157 4,996 2,789 2.079 4,868 38-00 41-25 39-48 6-95 6-30 6-67 1924 .. 446 377 823 152 128 280 30 42 72 9 11 20 221 95 316 2,873 2,258 5,131 2,808 2,146 4,953 34-08 33-95 34-02 7-87 4-42 6-37 1925 .. 445 430 875 144 175 319 29 37 66 23 17 40 201 123 324 2,921 2,336 5,257 2,830 2,203 5,033 32-36 40-69 36-45 7-45 5-57 6-43 1926 .. 508 439 947 136 145 281 27 35 62 15 25 40 207 147 354 3,044 2,423 5,467 2,926 2,287 5,213 26-18 30-75 29-67 6-16 6-42 6-77 1927 .. 531 414 945 157 128 285 40 42 82 14 9 23 217 132 349 3,147 2,526 5,673 3,022 2,373 5,395 29-56 30-91 30-16 7-17 5-65 6-47 1928 ; 506 450 956 115 134 249 40 40 80 17 13 30 207 161 368 3,274 2,628 5,902 3,120 2,459 5,579 22-72 29-77 26-04 6-63 6-55 6-59 1929 ..I 549 407 956 145 144 289 30 28 58 22 16 38 227 153 380 3,399 2,694 6,093 3,215 2,495 5,710 26-41 35-37 30-23 7-06 6-13 6-65 19,087 13,893 32,980 7,244 6,074 13,318 1,377 1,258 2,635 i 403 297 700 7,146 j3,824 10,970 j .. ~ " i ! ! l i ..... J_ I i Excluding transfers between institutions —1,639 males, 1,064 females.

H— 7

23

Table XVI. —Showing The Admissions, Discharges, and Deaths from Ist January, 1876, to 31st December, 1929 (excluding Transfers). M. F. T. In hospitals, 31st December, 1875 .. .. .. .. 482 254 730 Admissions .. .. .. .. .. .. .. 19,087 13,893 32,980 19,569 14,147 33,716 Discharged— m. v. t. Recovered.. .. .. 7,244 6,074 13,318 Relieved .. .. .. 1,377 1,258 2,635 Not improved . . .. 403 297 700 Died.. .. .. .. 7,146 3,824 10,970 16,170 11,453 27,623 Remaining on 31st December, 1929 .. .. .. 3,399 2,694 6,093

Table XVII. —Summary of Total Admissions: Percentage of Cases since the Year 1876.

Males. Females. Both Sexes. Recovered . . .. .. .. .. 37-95 43-72 40-80 Relieved . . .. . . .. .. 7-21 9-05 7-99 Not improved .. .. .. .. .. 2-11 2-14 2-12 Died .. .. .. . . .. .. 37-44 27-52 33-26 Remaining .. .. . . . . 15-29 17-57 15-83 100-00 ! 100-00 100-00

H.--7.

24

Table XVIII.—Debits for the Financial Year, 1920-30.

| Auckland. Christchurch. j Dunedin. Hokitika. Nelson. Porirua. Tokanui. Head Office. Total. __ _ . _ j £ a. d. £ ■ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. Salaries .. .. .. .. 41,299 19 6 45,063 7 1 56,807 7 2 16,142 1 9 20,895 19 0 54.035 19 8 22,108 0 2 6,695 15 8 263,048 10 0 Official visitors . . .. •. • • ■ • ! 50 8 0 18 18 0 .. 9 9 0 .. 27 1 8 25 0 0 .. 130 16 8 Advertising books, &c. .. .. . .. j 3 14 9 11 17 5 21 7 0 26 9 9 4 18 3 27 4 3 18 7 3 7 6 5 121 5 1 Bacteriological research .. .. . • ■ • ! • • 12 17 6 0 1 0 ■ . 1 5 6 12 13 4 2 2 0 .. 28 19 4 Bedding and clothing .. .. .. .. 6,272 13 8 4,149 2 4 5,994 14 11 1,144 18 11 1,859 14 10 6,670 13 7 2,841 7 6 .. 28,933 5 9 Buildings including additions, &c. .. .. .. 1,465 8 10 1,411 17 0 1,583 3 1 299 6 6 361 7 10 1,079 13 5 695 1 11 .. 6,895 18 7 Dental services .. .. .. .. •• i 15 0 111 17 10 17 13 6 0 17 6 72 12 8 113 14 10 6 10 0 .. 324 11 4 Developmental .. .. .. ■. • • • • • • ■ • • ■ • • ■ • 285 6 1 .. 285 6 1 Farms, maintenance of .. .. .. 1,309 15 1 1,725 8 7 1,613 1 6 256 8 0 2,112 11 6 2,062 17 10 4,601 2 10 .. 13,681 5 4 Fencing, draining, and roading .. •. • • 116 18 4 227 14 7 38 4 6 51 0 4 101 8 2 134 19 1 394 6 9 . . 1,064 11 9 Freight cartage and transport .. .. .. 81 10 5 178 0 3 509 10 6 29 11 4 181 15 2 211 16 5 141 8 10 0 2 8 1,333 15 7 Fuel, light, water, &e. .. .. .. .. 6,237 15 5 6,796 13 3 5,390 0 9 1,023 13 10 2,533 12 0 6,487 10 6 2,478 4 6 59 9 2 31,006 19 5 Funeral expenses .. . ■ • • • - 63 15 0 58 0 0 55 8 0 11 5 0 29 10 0 122 12 6 39 5 0 •. 379 15 6 Furniture and furnishings .. .. .. .. 1,039 9 9 547 16 0 522 19 2 86 3 4 252 12 4 635 12 6 347 12 8 14 3 9 3,446 9 6 Expenses of Eugenics Board .. .. • • • ■ * • • • • - ■ • • • • • 86 18 10 86 18 10 Gardens and shrubberies, expenses of • ■ • • 66 5 3 124 2 6 30 9 3 6 11 6 17 8 9 55 14 11 8 1 7 .. 308 13 9 Grants to officer on retirement .. .. ■ ■ .. • • 250 5 0 .. .. .. .. .. 250 5 0 Laundry .. .. .. .. • • 312 9 11 333 16 8 1,527 10 3 909 10 1 62 5 1 407 7 3 154 0 1 .. 3,706 19 4 Legal and inquiry costs .. .. • ■ • • •. 1 15 0 .. 1 2 0 0 10 6 59 19 0 ■. • ■ 63 6 6 Machinery, repairs, and stores .. .. . 152 2 0 225 2 10 284 4 10 6 18 7 109 19 7 119 10 1 117 10 1 . . 1,015 8 0 Medical fees .. .. .. .. .. 551 1 6 461 8 0 286 12 0 46 0 6 54 18 S 631 11 6 162 18 0 .. 2,194 10 2 Motor-vehicles, maintenance of .. .. .. 14 18 4 171 15 4 197 16 0 15 19 3 120 13 5 99 17 11 164 3 8 .. 785 3 11 Motor-vehicles, purchase of .. .. .. .. 229 15 0 ■ • .. .. •. 224 15 0 . . 454 10 0 Nursine staff uniforms .. .. .. .. 377 9 3 316 18 8 425 14 3 131 19 10 90 18 7 363 18 3 115 15 1 .. 1,822 13 11 Office equipment .. .. .. .. .. 0 10 7 26 2 9 45 12 5 3 8 0 1 19 0 0 14 0 I 12 5 36 1 4 116 0 6 Patients, expenses connected with — Gratuities .. .. .. .. .. 116 15 10 16 4 11 113 5 2 36 10 4 141 0 8 145 0 3 44 18 10 .. 613 16 0 Patients' friends .. .. ■ . . . .. .. 100 0 0 .. .. .. .. .. 100 0 0 Recreation .. .. .. .. .. 1,143 10 5 982 17 10 1.132 2 9 356 1 5 533 8 3 1,43S 3 9 684 1 3 .. 6,270 5 8 Transfers .. .. .. .. .. 7 6 7 81 17 9 32 19 7 0 6 4 52 13 1 207 7 9 12 13 2 .. 395 4 3 Postages and telegrams .. .. .. .. 94 14 0 95 15 6 108 10 2 15 0 0 38 10 11 133 6 1 47 17 9 179 15 11 713 10 4 Printing and stationery .. .. .. .. 293 18 9 228 18 5 217 4 7 68 6 2 82 12 11 198 16 6 88 14 9 129 13 5 1,308 5 6 Rations.. .. .. .. .. .. 16,988 5 9 11,787 16 7 20,722 1 10 4,454 17 7 5,900 4 1 22,997.10 7 4,543 11 7 .. 87,394 8 0 Rents and rates .. .. .. .. .. .. 2.298 4 6 179 11 4 .. .. .. .. 778 10 0 3,256 5 10 Stores .. .. .. .. .. .. 687 3 5 721 18 2 840 8 2 154 0 0 199 2 10 946 5 10 460 2 10 .. 4,009 1 3 Surgery and dispensary — Drugs and instruments .. .. .. .. 507 15 3 396 14 5 402 8 1 81 19 4 217 11 3 551 0 9 129 17 1 ... 2,287 6 2 Wines, spirits, ale, and porter .. .. .. .. 7 19 11 19 6 0 .. 1 15 0 23 0 10 .. .. 52 1 9 Telephone services .. .. .. .. 30 13 7 108 18 0 184 8 0 34 13 8 93 ' 7 4 161 8 8 55 13 4 98 14 5 767 17 0 Transfer and removal expenses .. .. .. 38 6 10 4 13 7 175 18 1 95 4 10 .. 45 4 8 34 4 3 45 4 8 438 16 11 Travelling-allowances .. .. .. .. 32 0 0 53 8 0 58 16 9 .. 103 11 10 2 10 4 42 8 9 263 17 1 556 12 9 Travelling-expenses .. .. .. .. 81 11 3 81 15 1 206 5 4 31 2 3 36 15 2 88 8 8 60 13 1 307 9 0 893 19 10 Treatment and maintenance in general hospitals — Patients .. .. .. .. .. 36 19 0 22 0 0 131 2 0 43 17 6 103 7 0 78 3 0 0 9 0 .. 415 17 6 Staff .. .. .. .. .. .. 6 17 6 40 4 0 123 - 9 0 10 10 0 .. 26 12 3 1 1 0 .. 208 13 9 Contingencies .. .. .. .. .. 4 14 5 5 13 9 0 11 0 226 8 13 6 980 .. 8 12 0 39 15 2 Total expenditure .. .. .. 79,488 3 2 79,139 7 0 100,350 2 11 25,587 6 11 36,378 14 8 100,413 10 5 41,138 18 1 8,711 14 4 471,207 17 6 Credits .. .. .. .. .. 28,062 13 5 31,567 2 0 35,105 3 2 4,176 2 5 11,408 6 1 39,334 8 1 14,509 18 9 4 4 0 164,167 17 11 Net expenditure .. .. .. 51,425 9 9 47,572 5 0 65,244 19 9 21,411 4 6 24,970 8 7 61,079 2 4 26,628 19 4 8,707 10 4 307,039 19 7

11.-7

25

4-H. 7

Table XX.—Expenditure, out of Public Works Fund, on Mental Hospital Buildings, ETC., DURING THE FINANCIAL YEAR ENDED 31ST MARCH. 1930, AND LIABILITIES AT THAT Date. Mpnt.fll Hnmiitnls Net Expenditure for Year Liabilities Mental Jiospitals. ended 31gt March 1930 on ;31st Mareh? 1930 . £ £ Auckland •• •• •• •• •• •• 2,279 335 Christchurch (Sunny side) .. .. .. .. 35,291 1,207 Hokitika.. •• •• •• •• 3,064 774 Nelson and Stoke.. •• .. .. .. .. 33,250 2,553 Porirua .. •• •• •• •• •• 9,028 34 Seacliff .. •• •• •• •• •• 34,609 5,934 Tokanui .. •• •• •• •• •• •• 32,405 1,015 Waitati .. •• •• •• •• •• .. 2,170 387 Total .. .. .. .. .. 152,096 12,239

Table XVIIIa.—Credits for the Financial Year, 192930.

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

Auckland. J Christchurch. Dunedin. Hokitika. Nelson. Porirua. Tokanni. ! Head Office. Total. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. Receipts for maintenance .. .. .. .. 22,628 19 4,22,302 4 2 24,833 7 8 2,176 19 6 I 7,760 12 4 31,910 9 5 8,563 11 8 .. 120,176 4 1 Receipts for farms .. -• .. 535 9 6 3,480 8 7 2,397 7 10 61 1 1 1,296 17 5 892 6 0 3,243 0 10 .. 11,906 11 3 Miscellaneous .. .. •• • • 4,898 4 7 5,784 9 3 7,874 7 8. 1,938 1 10 2,350 16 4 6,531 12 8 2,703 6 3 4 4 0 32,085 2 7 Totals .. .. .. .. .. 28,062 13 5 31,567 2 0 35,105 3 2 4,176 2 5 11,408 6 1 39.334 8 1 14,509 18 9 4 4 0 164,167 17 11 j 1 j ■ ; !

Average .'"-I'll Den-iv I Number Bedding Buildings I Fuel, Light,; Surgery i win „„ wised Total Cost „„„{, j™ | Other Net Cost \ Net Cost Decrease I Increase Mental Hospital. resident Salaries. and and Farm. Water, and Provisions. and snlrits Woiis 5 er Main Ke " 5 er previous in ! in (inclusive of Clothing. Repairs. ; Cleaning. Dispensary. Patient. teuance ' P' l >' ment,s - Patient. Year. 1929-30. 1929-30. Boarders). : j £ s. d. £ s. d. i £ s. d. j £ s. d. £ s. d. £ s. d. £ s. d. £ a. d. £ s. d. i £ s. d. £ s. d. £ s. d. , £ s. d. £ s. d. ; £ s. d. £ s. d. Auckland 1 255 32 18 2 4 19 11 1 3 4 1 0 11 4 19 5 13 10 9 0 6 4 .. 4 6 2 63 6 9 18 0 7 4 6 7 40 19 6 39 12 11 .. 1 6 7 Christchurch '925 48 14 4 4 9 9 1 10 6 1 17 4 7 6 11 12 14 11 0 8 7 0 0 2 8 8 8 85 11 1 24 2 2 10 0 4 51 8 7 54 8 10 3 0 3 Dunedin (Seacliff) 1 201 47 6 0 4 19 10 1 6 4 ! 1 6 10 4 9 9 17 5 1 0 6 8 0 0 4 6 10 2 83 11 1 20 13 7 8 11 1 54 6 6 i 54 4 11 .. 0 1 7 TTnlrit.il™. 236 68 8 0 4 17 0 1 5 4 1 1 9 4 6 9 18 17 6 0 6 11 .. 9 5 1 108 8 5 9 6 4 8 9 5 90 14 6 104 11 1 13 16 7 Nelson 419 ! 49 17 5 4 8 11 0 17 3 i 5 0 10 6 0 11 14 1 8 0 10 5 0 0 1 5 19 2 86 16 5 18 10 7 8 14 1 59 1 1 11 58 12 7; .. 0 19 4 Porirua 1 475 36 12 8 4 10 5 0 14 8 1 8 0 4 8 0 15 11 10 0 7 6 0 0 4 4 8 2 68 1 6 21 12 8 5 0 8 41 10 0 40 11 6 .. 0 18 6 Tokanui .. .. '445 49 13 8 6 7 8 1 11 3 10 6 10 ; 5 11 5 10 4 2 0 5 10 .. 8 8 2 92 8 11 19 4 11 13 7 3 59 16 10 67 10 10) 7 14 0 Head Office, Welling- ; .. 12 6 .. .. ■ • ■ • • • ■ • ..0 6 9 1 9 3 .. .. 1 9 3 1 10 0, 0 0 9 ton . 1 1 , 1 1 : , ■■ Totals .. 5,956 44 3 4 4 17 2 1 3 2 2 5 11 5 I I I I 13 6 0 7 8 0 0 2 : 6 7 4 79 2 4 20 3 7 7 7 9 1 51 11 0 52 5 10 0 14 10

H.— 7.

Table XXI.—Total Expenditure, out of Public Works Fund, for Buildings and Equipment at each Mental Hospital from 1st July, 1877, to 31st March, 1930.

By Authority : W. A. G. Skinner, Government Printer, Wellington.— 1930.

Approximate Cost of Paper.—Preparation, not given ; printing (600 copies). £38 10s.

Price 9d.]

26

Total Mental Hospitals. 1877-1921. 1921-22. 1922-23. 1923-24. 1924-25. 1925-26. j 1926-27. 1927-28. J 1928-29. 1929-30. S?y MOT 8 ' to 31st March, 1930. £ £ £ £ £ ££ £ £ £ £ Auckland .. .. .. .. 160,285 9,013 777 5,188 2,393 2,073 19.988 12,213 12,461 2,279 226,670 Ohristchurch (Sunnyside) .. 190,473 3,494 . 2,245 1,497 6,272 2,901 7,229 10,164 7,777 35,291 267,343 Dunedin (The Camp) .. .. .. 4,891 .. .. .. .. .. .. .. .. .. 4,891 Hokitika .. .. .. .. 3,727 984 4,789 10,216 16,013 8,034 1,745 141 401 3,064 49,114 Hornby .. .. .. .. 8,298 2,682 122 .. .. .. .. .. .. . . 11,102 Motuihi Island .. .. .. 561 .. .. .. .. .. .. .. .. .. 561 Napier .. .. .. .. 147 .. . . .. • ■ •. ■. .. . . . . 147 Nelson .. .. .. .. 29,749 3,316 1,929 1,429 2,389 1,182 805 .. 956 127 41,882 Richmond .. .. .. .. j 1,097 .. .. .. .. .. .. .. .. . . 1,097 Seacliff .. .. .. .. 183,739 3,389 1,602 1,246 3,016 4,767 17,888 9,408 27,132 34.609 286,796 Stoke .. .. .. .. •• 337 1,450 3,905 12,568 2,691 753 .. 33,123 54,827 Tokanui .. .. .. .. 85,721 9,774 515 2,743 16,076 8,097 1,658 2.124 19.887 32,405 179,000 Waitati .. .. .. .. 13.403 3,217 848 194 .. .. 627 .. 853 2,170: 21,312 Wellington .. .. .. .. 29,641 •• .. .. .. .. .. .. .. .. 29.641 Wellington (Porirua) .. .. .. 207,161 5,969 688 2,578 18,374 38,213 16,004 j 16,315 27,315 9,028 | 341,645 Totals .. .. •• 918,893 41,838 13,852 26,541 68,438 ! 77,835 68,635 1 51.118 96,782 152,096 1 1,516,028 1 1 ! ' 1 1 1 I [ 1