MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1931.

Appendix to the Journals of the House of Representatives, 1932 Session I-II, H-07

11.—7.

1932. NEW ZEALAND.

MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1931.

Presented to both Houses of the General Assembly pursuant to Section 78 of the Mental Defectives Act, 1911.

The Dibectob-Genebal to the Hon. J. A. Young, Minister in Charge of the Department of Mental Hospitals. Sib, — Wellington, Ist July, 1932. I have the honour to present the annual report upon the Department of Mental Hospitals for the year ended 31st December, 1931. At the close of the year there were 7,020 persons on the registers of the mental hospitals of the Dominion, including 47 at Ashburn Hall private licensed institution. The number of persons actually in residence in Government mental hospitals at the end of the year was 6,451, of whom 6,149 were the subjects of reception orders, and 302 were voluntary boarders, while 522 were out on probation to the care of relatives and friends. The number of those on probation is considerably swelled in December by the temporary exodus of many boarders and patients who spend the Christmas holidays with their own people, but who are unfortunately unable to remain permanently outside an institution. I regret that no diminution can be reported in the number who require admission to our hospitals, and during the year 1,406 persons were received, 1,063 under a Magistrate's reception order and 343 as voluntary boarders. Our discharges of patients and boarders totalled 626, or 43-1 per cent, calculated upon the admissions, but this percentage does not unfortunately constitute what might fairly be termed the recovery rate. Of the 1,063 patients whose mental disorder at the time of admission was so advanced as to necessitate committal by a Magistrate, only 23-23 per cent, were ultimately able to be pronounced recovered, while a further 11-1 per cent, showed sufficient abatement of symptoms to permit of discharge, generally after a period of probation. In the case of the 343 voluntary boarders who sought admission at an early stage of the disorder when they were still able to co-operate in their treatment, no less than 261, or 70 per cent., were discharged as " recovered." Taking into account all admissions, voluntary and otherwise, our recovery rate was 36-13 per cent., which is about equivalent to that of other countries whose statistics are available for comparison. Pbogeessive Increase in Mental Hospital Population. Whilst it is satisfactory to learn from the above figures that the results of treatment in our New Zealand institutions do not fall short of those in other comparable countries, it is impossible to view with equanimity the steadily mounting number of patients in our hospitals and their increasing ratio to the general population. The annual reports of our Department go back in their present form to 1876, in which year there were 783 patients, or a ratio of approximately one registered insane person to 383 of population. In the intervening years there has been a steadily progressive increase in the number under care at the end of each year, as shown in the subjoined quinquennial table : — „ . . Average Annual „ . . Average Annual Quinquennium. Increase. Quinquennium. Increase. 1876-1880 .. .. .. 79 1906-1910 .. .. .. 11l 1881-1885 79 1911-1915 11l 1886-1890 .. .. .. 57 1916-1920 .. .. .. 122 1891-1895 .. .. ..83 1921-1925 .. .. ..113 1896-1900 .. .. .. 91 1926-1930 239 1901-1905 .. .. .. 90

I—H. 7.

H.—7.

Ratio of Registered Insane to General Population. That the number of persons seeking the shelter of our institutions has increased out of all proportion to the growth in the general population is seen from the following table setting forth the position every fifth year over a period of forty years : —

It is necessary to utter a caution against the misinterpretation of these tables. These figures are no indication of the amount of mental disorder occurring in New Zealand —a subjectto which I refer later in this report- nor must they form the basis of comparison with other countries whose methods and provisions for dealing with this problem often differ materially from those which obtain here.. , .... What these tables do show is that a progressively larger proportion of our population is being sheltered in our mental hospitals ; and, in view of our increasing shortage of accommodation and the relatively expensive kind of care and treatment provided, the question arises as to whether or not the best and most economical use is being made of our mental hospitals. Prompted by the same considerations which exist now, the late Dr. MacGregor, Inspector-General of Mental Hospitals, wrote in his report for 1895 : " Our peculiar system of local government has the effect of crowding into our asylums an unusually large number of aged people suffering merely from senile decay, people who would anywhere else find refuge in workhouses and other similar institutions. In fact, the proportion depends upon the issue in each case between the local bodies, who are anxious to relieve the rates, and the General Government officers who try to defend the consolidated revenue." As a result of the tendency so deprecated by Dr. MacGregor in 1895 there were in December last over five hundred people in our mental hospitals who were seventy years and upwards in age, and of that number at least 350 do not require the highly organized and expensive form of care provided in the mental hospitals. These people should not occupy so large a share of our infirmary space, but should be housed in buildings of a much less costly, less complexly constructed type, and looked after by a relatively small proportion of staff. The class I refer to are for all practical purposes the same as that cared for in, say, the Ohiro Home, Wellington, where there are 145 inmates with nine of a staff. The legal machinery for the custodial care of these people already exists in the Rest-homes Act, which, however, is non operative for lack of accommodation. Shortage op Accommodation. In view of the prevailing financial stringency, it has been our constant aim to keep all departmental expenditure within due limits, and to avoid making unreasonable demands upon the Government for capital outlay. Nevertheless, it is encumbent upon me to point out how increasingly serious the position is becoming in regard to lack of accommodation, and the need for maintaining a steady programme of building. The discharge-rate is high, and we allow as many patients as possible to be absent on probation— over five hundred were on probation at the end of the year —but our admission-rate continues to rise, and the end of each year sees a substantial and permanent addition to our population. During the past five years the average annual increase has been 239, which means that even to cope with normal increases we should construct not less than five villas per annum in addition to dealing with the problem of the accumulated surplus. The following table shows the position in regard to overcrowding at each institution as at 31st December last: —

2

I „i t ™ i j.- ■ Ratio of Registered Patients Number of Patients and Estimated Mean Population , Tim refers to General Year. Boarders (excluding Maoris) of New Zealand (excluding pipuSn (excluding on our Registers. Maoris). Maoris). 1891 .. 1,849 629,783 | 1:341 1896 .. 2,315 706,434 1:305 1901 .. 2,773 777,968 1:281 1906 .. 3,206 895,594 1:279 1911 .. .. 3,756 1,014,043 I 1 : 270 1916 4,400 1,099,449 1 : 250 1921 !! ..I 4,970 1,223,901 , 1:246 1926 .. .. | 5,637 1,352,927 1 : 240 1931 .. .. ! 6,922 1,444,901 1 1 : 209

_ Accommodation Deficiency of Surplus Institution. provided. Boarders Sclent : ■A.coommodation. | Accommodation. ! | ° ar 6rS resi en ' I ' Auckland (with Kingseat) .. ; 1.170 1,314 144 Tokanui .. .. . ■ 497 573 176 Porirua .. .. .. 1,270 1,447 177 Nelson (with Stoke) .. . . 525 492 . . 33 Hokitika . . .. .. 268 278 10 Christcliureh (with Templeton) .. 912 1,105 193 Seaclifl (with Waitati) .. .. 1,019 1,242 ' 223 Total 5,661 6,451 823

H—7.

The total net deficiency is thus that for 790 patients, or 14 per cent. A vigorous programme of building was initiated in 1926 and carried out during the years immediately following, when residential accommodation was provided for about eight hundred patients as well as nurses' homes and the replacement of obsolete kitchens and other offices. These provisions have prevented an impossible situation from arising, but, unfortunately, the present financial stringency has unavoidably slowed down building operations, and we are not building quickly enough to meet the needs of our increasing population. Although one new institution is very much needed in the South Island, I realize that any request in this direction would be inopportune, but I must strongly urge that new villas be erected at our Stoke, Hokitika, and Templeton Farm institutions, where we have the land available, and where the conformation of the country will permit of the erection in timber of the relatively inexpensive buildings which we refer to as pioneer units. It is also highly desirable that further villas be built at Kingseat to relieve Auckland. Increase in Mental Disorders. The obvious increase in the population of our mental hospitals and the unceasing requests for larger appropriations raise the question as to whether mental disorders are increasing in this country out of proportion to the increase in the general population. Not only in this country, but also in Great Britain and America, the economic situation has brought to the foreground the increasing burden imposed upon the community by the care of its' unfit members, and I have prepared the following table, which gives the proportion of first admissions to the general population, and the ratio per 10,000 of population covering the period 1911-1931

First Admissions, excluding Maoris.

These figures are the true index of occurring insanity, and they show that during the years quoted there has been a definite, although irregularly progressive, increase in the incidence of mental disorder in New Zealand. Alterations, Improvements, and Additions. Our capital expenditure on new buildings and additions and improvements during the year was £45,939, and the following summary shows the principal items making up the total, as well as new buildings in progress but not completed by the 31st March : — Auckland, including Kingseat (£17,054). Old residence for Medical Superintendent converted into a residential clinic for women. Two villas each for fifty male patients completed, furnished, and occupied. Septic tank completed and drainage to two villas installed. Tokanui (£7,164). Nurses' Home completed, furnished, and occupied. Old quarters for nurses renovated, rearranged, and occupied by male staff, whose previous quarters have been made available for male patients.

3

. ! hi Proportion of Ratio of Year Committed | Voluntary T j Mean First Admissions First Admissions Patients. Boarders. I Population. , to Popu]ation . pe r 10,000. 1911 .. 611 .. .. 1,014,043 1,660 6-0 1912 .. 677 23 700 1,039,017 1,484 6-7 1913 .. 648 37 685 1,068,644 1,560 6-4 1914 .. 727 36 763 1,090,328 1,429 6-9 1915 .. 645 32 677 1,099,394 1,624 6-2 L916 .. 719 .36 755 1,099,449 1,456 6-9 1917 .. 700 35 735 1,099,117 1,495 6-7 1918 .. 687 61 748 1,103,022 1,475 6.8 1919 .. 735 70 805 1,142,889 1,420 7-0 1920 .. 707 64 771 1,192,620 1,546 6-5 1921 .. 724 78 802 1,223,901 1,526 6-6 1922 .. 680 85 765 1,251,895 1,636 6-1 1923 .. 656 94 750 1,274,551 1,699 5-9 1924 .. 681 82 763 1,298,635 1,702 5-9 1925 .. 739 123 862 1,329,759 1,542 6-5 1926 .. 767 131 898 1,352,927 1,506 6-6 1927 .. 767 140 907 1,374,439 1,515 6-6 1928 . 798 214 1,012 1,390,684 1,374 7-3 1929 .. 796 165 961 1,406,942 1,464 6-8 1930 .. 918 236 1,154 1,425,067 1,235 8-1 1931 .. 883 264 1,147 1,444,901 1,260 7-9

H.—7.

Porirua (£1,349). Considerable renovations and completion of electrical change-over to 230 voltage. Nelson and Stoke (£3,339). Alterations to lavatories " El Nido," and general renovations. Completion of reservoir and pipe-line from Poorman's Valley. Hokitika (£8,381). Contract let for No. 2 villa for forty-eight women, and erection proceeding satisfactorily. General renovation's and painting. Christchurch (£4,650). New scullery in main dining-hall completed. Villa B completed and occupied. Extensive renovations at Christchurch and Hornby. SeacliJJ (£4,001). Restoration of workshop store destroyed by fire. Renovations and alterations to old kitchen block —almost complete. New veranda on female side, Seacliff. Extensive general renovations. English Mental Treatment Aot, 1930. In view of past controversy as to the propriety of lessening the legal formalities attendant upon admission to mental hospitals, it is of interest to note that England, in the recently passed Mental Treatment Act, has not only adopted certain provisions already made in New Zealand law, but has gone beyond them in setting aside restrictions which, once necessary in the patients' interests, had become a hindrance to treatment. (1) In this Act provision has been made for the admission of voluntary boarders to public mental hospitals in the manner carried out in New Zealand since 1911. (2) Provision has also been made for the admission without certification of persons who are suffering from mental illness of a temporary nature, but who are for the time being incapable of expressing themselves as willing or unwilling to receive such treatment. All that is necessary is an application by a relative accompanied by two medical certificates, and on these documents the patient may be detained for six months. The procedure is very similar to that legalized in our own Mental Defectives Amendment Act, 1928, but whereas we still require a magisterial order to be issued after the patient's admission, the English Act entirely dispenses with this requirement. Obituary. It is with regret that I record the death in August last of Dr. Jeffreys, Medical Superintendent of Nelson Mental Hospital. Dr. Jeffreys had spent twenty-five years in the service of the Department, and at the time of his death was the senior Medical Superintendent. Possessed of a cheerful, kindly, optimistic disposition, Dr. Jeffreys was very popular with patients and staff, and he will be greatly missed. Appreciation. The unprecedented financial stringency which New Zealand is at present experiencing has necessarily called for economies in the conduct of the institutions, and it reflects great credit upon the medical and clerical staffs concerned that these economies have been carried out without loss of efficiency. I desire to express my indebtedness to my colleague, Dr. Russell, the Medical Superintendents, and the other officers of the service for their unfailing loyalty and help at all times. To Mr. Holder, Chief Clerk of the Department, and the Head Office staff, my thanks are due for work done particularly well during the present difficult times. I have, &c., Theo. G. Gray.

4

11.—7.

MEDICAL SUPERINTENDENTS' REPORTS.

AUCKLAND MENTAL HOSPITAL. Dr. Buchanan reports —■ I have the honour to present to you my annual report for the year ended 31st December, 1931. The total number of cases under care during the year has been 1,564, with a weekly average of 1,254. The admissions have numbered 238 (145 males, 93 females). Of this number 187 "were admitted for the first time. Eighty-nine voluntary boarders were admitted during the year, making a total of 176 under care, and of these sixty-nine were discharged. At the end of the year 141 patients were on probation, 19 on full parole, and 146 on limited parole. One hundred and one patients were admitted under section 8 of the Mental Defectives Amendment Act. During the year the general health of the patients has been good, except for an influenzal outbreak in May. This was confined to the male side of the Hospital. Altogether twenty-seven patients were affected. Unfortunately, of this number eleven died from pneumonic complications. Departmental economy naturally curbed our activities during the year to a considerable extent; consequently few structural changes have been carried out. The old residence of the Medical Superintendent was turned into a residential clinic, and is now in occupation. Great credit is due to the Matron (Miss M. Mayze) for the work and enthusiasm she put into this transformation. The result is an attractively yet economically furnished villa, which is capable of housing twenty-four patients of either the advanced convalescent type, or for the admission of ea.rly border-line cases. A Dutch barn was erected on the farm, with a holding capacity of 98 tons of hay. Other works of a minor character have been confined to the barest maintenance needs. The Kingseat Summer Camp continues in full occupation, and its members are doing a gratifying amount of useful work. The new villas are practically ready for occupation, and will be tenanted early in the new year. The Psychiatric Clinic again shows an increase in attendance. Latterly it has been necessary to increase the number of the sessions. The total number of consultations was 1,041. There were altogether 340 persons who sought advice and treatment. The relative statistics are the subject of a separate report. Thanks to the generosity of many clubs and societies, the usual round of patients' entertainments was provided in spite of the present hard times. My sincere thanks are proffered to them all. I specially wish to put on record my appreciation of the work of Miss Johnston, who along with Mrs. Richmond held classes for girl patients, and trained them in eurythmics and step-dancing. The girls were greatly interested, and the result of Miss Johnston's patience, tact, and training ability was enjoyed by us all at the Christmas-tree entertainment. The Official Visitors paid regular visits, and have been helpful in matters pertaining to the patients' interests. , Finally, I wish to thank my staff for their help and loyal co-operation during the past year.

TOKANUI MENTAL HOSPITAL. Dr. Prins reports— I have the honour to submit my annual report for the year ending 31st December, 1931. The total eases under care during the year has been 648, with a weekly average of 551. The admissions were 85 (40 males, 45 females). Of these, 72 (32 males, 40 females) were admitted for the first time, being an increase of 10 over those cf the previous year. It is disappointing that only 20 patients (6 males and 14 females) were admitted under section 8, the provisions of which cannot be generally known. The general health of the Hospital has been very good. Deaths have totalled 25 (8 males, 17 females, senile decay being the principal cause. Discharges numbered 35 (19 males, 16 females), 25 being recoveries (16 males, 9 females). Transfers numbered 8 (7 males, 1 female). Voluntary boarders treated during the year were 29 (15 males, 14 females), 7 males and 4 females being new admissions. The voluntary boarders discharged numbered 7(4 males, 3 females). During the year the new Nurses' Home has been opened, the old nurses' quarters and mess-room being now occupied by attendants, giving more accommodation for male cases. Further alterations have been made in removing fences and making the front grounds more open and the new recreation-ground will be sown in grass shortly. The swamp in front of the villas has been drained and a start made with a new orchard and vegetable-garden. Work is proceeding in the alterations in the main kitchen. Amusements and recreation have been catered for as usual. There have been weekly dances, some concerts, and visits by bands. There have also been tennis, bowling, swimming, and shopping parties and visits the races. The annual picnic was as usual successful, and much enjoyed. For a time the weekly picture entertainment had to be abandoned as there were no films available, but fortunately a further supply has been secured. Mr. Battson has often visited the Hospital. In conclusion, I wish to express my thanks to all members of the staff for their help and co-operation in the work of the Hospital.

5

H.—7.

PORIRUA MENTAL HOSPITAL. Dr. Williams reports — I have the honour to present my report for the year 1931. The total number of cases under care during the year was 1,933. Of these, 1,727 were committed patients and 206 were voluntary boarders. The number of committed patients on the register on Ist January was 1,458 (855 males and 503 females), and on 31st December there were 1,470 (848 males and 622 females). The number of admissions for the twelve months was 269 (143 males and 126 females), 37 of these were readmissions ; 89 patients were discharged recovered, and 14 unrecovered ; 53 were transferred, 51 males going to Stoke Mental Hospital. There were 101 deaths ; 50 per cent, of these were due to old age. There were 17 deaths within three months of admission, and it is notable that nearly all came from various public hospitals and were in extremely frail health on admission here. Fifty-four patients were admitted under section 8, all being subsequently committed. This number is nearly double that for last year. Two hundred and six voluntary boarders received treatment during the year, a total of 112 entering, 31 of whom were readmissions ; 93 were discharged, and 7 committed. The percentage of recoveries was 83-8, compared with 33-1 of committed cases. Overcrowding continues to be a serious problem, particularly on the male side, but the situation has been considerably eased by the transfer of 51 men to Stoke, while a further 50 are being transferred to Kingseat early in the new year. . . A good deal of reorganization and reclassification of patients has been carried out during the year with the object of increasing freedom and parole facilities, and the results have been uniformly satisfactory. . . The general health of the patients has been good. There have been no epidemics, and no serious or avoidable accidents. _ _ . . The main building has been newly painted and with pleasing results ; electrical rewiring has been carried out, so that the whole hospital system now carries 230 volts ; some new roads have been constructed ; and the piggeries have been renovated at a very small cost. Tree-planting has been continued on various portions of the estate, both for beautifying and for utilitarian purposes. A miniature golf-course arid a ten-liole full-size course have been laid down ; the former particularly seems to be of benefit in creating purpose, interest, and some activity on the part of those apathetic and depressed people whom it is difficult otherwise to stimulate. The Psychiatric Clinic at Wellington Hospital, to which two afternoons a week are allotted, continues to function usefully. During the twelve months the number of consultations was 1,049, and the number of new patients who came for treatment was 315. All classes of major and minor mental disorders were seen and advised upon ; as usual neuroses and minor psychoses formed the bulk of those appearing for the first time. The patients were referred from many sources, and from all parts of the Wellington District. In addition, a number of prisoners were seen on behalf of the Prisons and Justice Departments at Mount Crawford and elsewhere in the Wellington District. Amusements and recreations have been provided in plenty for all. In addition to the regulai cinema evenings and dances, entertainment has been supplied by various persons and societies, principal of whom are the Rev. Harding and the V.U.C. Social Service Club—to all our grateful thanks ase due. I have remarked previously how generous the people of the Wellington District are to this Hospital, and even in these difficult times donations of money, toys, fruit, books, &c., are sent us. To the donors I offer my sincere thanks and the assurance that all their gifts are greatly appreciated and put to good use. My thanks are again due to Mr. L. 0. Hooker, whose untiring and generous efforts on beiiali ot this Hospital have resulted in the formation of a library for the use of all here; it has been very successful and much appreciated. Further wireless sets have been installed. My thanks are due also to the District Inspector (Mr. Treadwell) and to the Official Visitors (Mesdames Fraser and MeVicar, and Messrs. Bothamley and Brady), and to visiting clergymen, who have been of much help. In conclusion, I wish to acknowledge my indebtedness to my colleagues and to the staff generally for the loyal support and co-operation throughout the year.

NELSON MENTAL HOSPITAL. Or. Hayes reports — I have the honour to submit my report for the year ending 31st December, 1931. The total number under care during the year was 555 (406 males, 149 females). At the beginning of the year there were 434 patients (307 males, 127 females) and at the end of the year 501 (366 males, 135 females), while the total number admitted was 121 (99 males, 22 females), of which 58 males were transfers, and 1 female a readmission. The number discharged was 14 (9 males, 5 females) of which 10 were recovered. Seven males transferred. Thirty-one patients died (22 males, 9 females), the principal causes of death being senile decay, heart failure, and epilepsy. Twenty-three voluntary boarders were under treatment during the year males, o lemales) 01 which 8 (6 males, 2 females) were admitted for the first time and three were readmissions (1 male, 2 females). Five males and two females were discharged, while one male was committed and one male died. At the end of the year there were 14 voluntary boarders remaining (8 males, 6 females). No cases were admitted on remand, while 9 males and 10 females were admitted under section 8 and 1 was detained at the beginning of the year. Of these, 18 were committed and two discharged. Dr. Jeffreys died in August and Dr. Russell took charge until the end of October when I took over. Dr. Macky was transferred to Auckland and was succeeded by Dr. A. L. Sheild. Mr. Campbell was succeeded on transfer by Mr. Menzies as Clerk.

6

H—7.

During the year part of Toitoi ward was partitioned off and altered to make a day-room for the older boys and in El Nido the bathroom was altered and improved and a kitchenette constructed. At Nelson the laundry-yard was enlarged and at Stoke a few tubs were installed to cope with woollen washing there. These measures have helped slightly, but laundry facilities for the two hospitals are very inadequate, and a new and larger laundry at Stoke is a necessity. The accommodation for nurses is inadequate and the enlargement of the rooms at Stoke will have to be considered soon. In addition to routine work on the farm the internal fences on Yorks property were renovated and new cow-byres were erected in Nelson in place of the old ones destroyed by fire. The milkingplant was altered and improved at Stoke. Thanks are due to the people of Nelson for their generous donations to the patients' recreation in cash and goods. The Ministers' Association has conducted services both at Nelson and Stoke. In conclusion, I wish to thank the staff generally for their work during the year.

HOKITIKA MENTAL HOSPITAL. Dr. Hart reports — I have the honour to submit my report for the year ending 31st December, 1931. On the Ist January, 1931, there were 285 patients on the register. During the year 23 patients were admitted, 5 were discharged, and 1 transferred. The total number under care was 308, and 290 (178 males and 112 females) remained on the register at the close of the year. At the beginning of the year there were on the register 2 voluntary boarders. Eight were admitted during the year, and of these 4 were discharged, 2 were committed, leaving 4 on the register on 31st December, 1931. The general health of the patients has been good, deaths numbering only 12 during the year. Developmental work has continued on the farm, and during the year 9 chains of roads have been constructed and 15 acres of virgin ground cleared, drained, ploughed, and left fallow. To the forestry has been added approximately a thousand red cedars, whilst much work has been done in the nursery raising cedars, Pinus insignis, and shrubs for future planting and shelter-belts round the paddocks. Additions have been made to the Matron's cottage and the Hospital garage. The old farm buildings have been demolished, and the new structures occupied. Fire mains have been carried to Huia, and water-mains to the farm buildings. Work commenced in the new laundry in April, and with the installation of the necessary pumpingmachinery we have now our own water-supply. The latter, as well as being more economical, ensures an adequate supply in case of fire. The fire-station has been reorganized and moved to a better site. It is hoped to have the new female villa ready for occupation in March, 1932. In February, 1931, a monthly clinic was opened at the Greymouth Hospital, and during the year 47 separate cases were referred for investigation and advice. The usual bowling and tennis tournaments were held during the year, and the annual picnic to Kokatahi was enjoyed by all. We are much indebted to many people of Hokitika for their gifts at Christmas time. Thanks are due also to the Municipal Band and church choirs for their frequent visits, and to those who have so willingly given time and talent in arranging concerts and plays for our entertainment. I regret to have to report the death of Mr. A. Clifton, who as Official Visitor has been associated with the Hospital for twenty-five years. He had always shown the greatest interest in the patients' welfare, and will be greatly missed. The Official Visitors have paid regular visits. In conclusion, I wish to thank the staff for the good work done during the year.

CHRISTCHURCH MENTAL HOSPITAL. Dr. McKillop reports — I have the honour to forward my annual report for the year ending 31st December, 1931. On the Ist January, 1931, there were 1,051 patients on the register. During the year 275 patients (150 men and 125 women) were admitted, 69 patients were discharged, and 14 were transferred to other institutions. The total number of committed patients under care during the year was 1,326, and 1,169 remained on the 31st December, 1931. Voluntary boarders received during the year numbered 133, and 54 were discharged, 4 died, and 7 were committed. The general health of the patients has been very satisfactory. There were 74 deaths (29 men and 45 women), the chief cause of death being senile decay. Although the new villa completed last year has relieved to a certain extent the congestion on the male side of the institution, we are still overcrowded, more particularly on the female side, where the erection of a villa for old people has become very necessary. The economic situation has been responsible in many instances for the admission of aged and infirm cases who previously had been looked after privately. The problem of finding accommodation for patients suffering from general physiological decay will have to be faced, and it will probably be found more economical to build separate institutions for this class of patient. The recovery-rate compared with the number of admissions has been less than usual, but this is accounted for by the great percentage of incurable cases admitted —no less than 107 of the 275 admissions being congenitally weakminded,

7

H. —7.

The Mental Hospital buildings and property have been kept in a satisfactory state of repair by our own artisan staff, and extensive alterations and renovations have been carried out. A large sunveranda has been completed at the female reception-house, and is now m occupation A new and up-to-date scullery has" been built adjoining the main dining-hall, and alterations to the ventilation of the main kitchen have proved most satisfactory. The farming returns for the early part of the year were very satisfactory, but the drought experienced during the summer will adversely affect the later returns. During the past year over a thousand fat lambs were sold from the institution farms. Tryparsamide therapy in cases of general paralysis has been continued, and results have been wonderfully good, particularly with the early cases. Three cases who received treatment over a year ago reported here within the past few weeks. They have kept well since discharge, and have been able to resume their ordinary occupations. In this connection I have again to record my thanks to Professor Hercus and his staff for their assistance. The recreation of the patients has been arranged on the usual lines : the picture entertainments are greatly enjoyed and your help in having them resumed has been much appreciated. To the District Inspector (Mr. H. D, Acland), to the Official Visitors (Mrs. Williams and Mr. H H. Hanna), and to the clergy of all denominations I tender my thanks for their regular visits and for their I desire to record my thanks to my colleagues and all members of the staff for their loyal and efficient assistance.

SEACLIFF MENTAL HOSPITAL. Dr. Childs reports — I have the honour to submit my annual report for the year ending 31st December, IVMJ. At the beginning of the year there were 1,221 patients on the register. The changes clurmg the period under review were : Admissions, 139 ; discharges, 47 ; transfers to other institutions, 2 ; and deaths, 60 ; leaving our population 1,251 at the end of the year. Twenty-three of those who died were over seventy vears of age. During the year 31 voluntary boarders were admitted, 21 were discharged, 7 died, and I were committed. . ~ , , A modified building programme has been m progress during the year, but a considerable amount of work of a minor nature lias been accomplished. Alterations to the old kitchen block have been proceeded with, and certain portions have been finished. Accommodation has been provided for a Medical Officer,' and a number of rooms have been occupied by the domestic staff. When this work is completed it'will be a pleasing addition to the main building besides giving further accommodation to the staff It will also provide a male dav-room and a dining-room for the better type of male patient, and a sewing-room for the female patients. This new addition will in some small measure relieve the problem of overcrowding on the male side which at present is acute and gives concern. A new veranda has been added to F. 4 Ward, which allows of patients being nursed in the open air. F 4 Ward is now used as an -admission ward for female patients who cannot be admitted to the cottage, and is a considerable improvement on the ward previously in use for this The, workshop stores and garage which were destroyed by fire have been rebuilt, and accommodation for the Fire Brigade apparatus has been provided. The old boot-house adjoining the male airing-park has been remodelled and converted into a small day-room. This will relieve somewhat the overcrowding which is so apparent on wet days. The old main-service reservoir has been reconditioned and a new roof built on concrete foundations. In addition, other work of a minor nature has been carried out, and a deal of maintenance work done. The painting gang has done good work during the year, and the institution both inside and out shows a brighter and more cared-for appearance. The work on the farm has proceeded in the usual efficient way, and the farm at present is looking in verv good condition. A considerable amount of fencing has been done, while the usual routine of top-dressinff draining, and roadmaking has been carried out. Attention has also been given to the improvement of the dairy herd and to the breeding of stock generally. The gardens and grounds are in good condition and bear a well-cared-for appearance. Two additional acres of ground have been made into a vegetable-garden to ensure a plentiful supply of vegetables being available for the increasing population. The weekly clinic at Dunedin and the monthly clinic at Invercargill have been carried out as usual during the year. _ Amusements and recreation as usual have taken their part m the Hospital routine, and the reintroduction of the weekly pictures has been much appreciated. _ Dr. Tizard retired from the Superintendency of the Orokonui Home m April. Dr. Martin, one of the senior Medical Officers, resigned in November and has returned to England. Dr. Martin proved himself to be a capable, reliable, "and efficient Medical Officer during his three years connection with the Hospital, and his departure is regretted. The work of the Medical Officers has been of a high standard, ancl I would thank them for the able way that they performed their duties throughout the yoal 'l wish to tender my thanks to the staff for the good work they have done during the year. Each department has worked well and all have made the welfare of the Hospital their concern. I would also thank Mr. Gumming for the evident interest he takes in the welfare of the patients and the Hospital generally. My thanks are also due to the clergy of the different denominations for their regular visits, to the Red Cross Society for supplies of tobacco, and to the various bands and concert parties who provided entertainment.

8

H.-7.

STATISTICAL. The patients on the register at the end of the year numbered 6,661 (m. 3,753, f. 2,908), or 278 (m. 181, f. 97) more than at the beginning; and the daily average under treatment during the year was 6,199 (m. 3,503, f. 2,696), or 267 (m. 161, f. 106) more than in the previous year ; while the total under care was 7,446. Patients belonging to the Native race numbered 98 (m. 51, f. 47) at the end of the year. The admissions numbered 1,063 (m. 587, f. 476), or 32 less than in the previous year. Of these, 157 had been previously under care, making the proportion of readmissions 14-77 per cent., and 906 patients were admitted for the first time. The ratio to population of all admissions (exclusive of Maoris) was 7-18 (m. 7-77, f. 6-56) to 10,000, and of first admissions 6-11 (m. 6-73, f. 5-46), so that 1,392 persons in the general population contributed one patient, and 1,636 contributed a patient admitted for the first time. The discharges (excluding transfers) numbered 365, or 17 less than in 1930. 118 (or 2 more) harmless unrecovered persons were returned to the care of friends; and 247 (m. 127, f. 120) recovered—l 9 less than last year —representing a percentage of 23-37 (m. 21-64, f. 25-21) on the total admitted. With voluntary boarders added the percentage rises to 36-13. Altogether, 44-52 per cent, of the inmates admitted were able to leave institutional care. Of a total of 7,446 patients under care, 420 (m. 221, f. 199) died, or 6-76 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 decay, 28-12; disease of the brain and nervous system group, 31-25 ; heart-disease, 28-75 ; tuberculosis, 7-18. 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 divergences 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 .. .. .. .. .. 8-86 9-03 8-93 Congenital .. .. .. .. .. 21-97 15-12 18-91 Predisposed by previous attack .. .. 10-90 15-75 13-07 Critical periods .. .. .. .. 19-42 30-25 24-27 Child-bearing (puerperal, non-septic, and lactation) .. 2-52 1-13 Mental stress .. .. .. 19-93 13-65 17-12 Toxic, including— m. f. Syphilis .. .. .. 5-45 1-47"| Alcohol .. .. .. 4-43 0-63 10-05 2-93 6-86 Drug habit .. .. .. 0-21J Traumatic .. .. ... .. .. 0-34 .. 0-19 Disorder of nervous system, including— M. p. Epilepsy .. .. .. 3-23 2-72 6-80 6-09 6-49 Other bodily affections .. .. .. 1-19 3-15 2-07 No definite cause assigned .. .. .. 0-54 1-51 0-96 100-00 100-00 100-00

Voluntary Boarders.

2—H. 7.

9

Vmr First Not First Total ?' ra Sl f 5I ed ! n . . . . Bomaining Admission. Admission, Admissions. ? : Died. Discharged. on of Patients. I 31st December. ! j j M. F. 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 ! 4 3 7 1 11 12 1913 .. . . | 18 19 37 j 0 2 2 18 21 39 2 5 7 0 1 1 12 12 24 5 14 19 1914 .. .. j 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 Oil 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 5] 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 i 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 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 1930 .. .. 152 84 236 41 35 76 193 119 312 15 9 24 8 6 14 130 79 209 170 150 320 1931 .. .. 166 98 264 43 36 79 209 134 343 11 14 25 11 7 18 159 102 261 198 161 359

H.—7.

It will be noted that there were 343 voluntary admissions in the year under review, that 261 were discharged, and that 25 boarders, representing 7-2 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 5-5 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 1931 was 327.

MENTAL NURSES. In December the usual examination was held for the registration of mental nurses, when the following passed : — „ ~ , Auckland : First Grade —Olive May Garwood-Challis. Second Grade—William Callaghan, Geoffrev Leonard Chappell, Alfred Gibson, James Taylor Hamilton, Hugh Hanna, William Joseph Judd, Michael Joseph Lardner, Hannah Margretta Agnes Logan, Daniel Ritchie McGladdery, Mary Agnes Myers, Norah Teresa Myers. Tokanui: Second Grade—James ■ Barr Barclay, William James Bruce, Winifred Hazel Clements, Violet May Durie, Frederick Erastus Lehndorf, Joseph Anthony Marquis, Johanna Christine Winifred Simonsen, Thomas Graham Smith, Mary Young. Porirua : First Grade—Henry Colin Campbell. Second Grade—Constance Yioletta Allcock, Rosina Annie Brown, Jane Chapman, John Fairless Egglestone, Annie Agnes Glengarry, John Emerson Henderson, Athol James Kelly, Christina Margaret McDonald, Hose McGuigan, Ambrose Patrick O'Sullivan, Barbara Nancy Trevor, James Trewick Nelson: First Grade—Grace Gold Phairn. Second Grade—Alma Elizabeth Brown, Catherine Mary Browne, Constance Margaret Annie Davies, Margaret Joyce Desaunais, Ellen May Hobday, Doris Mary Walsh, Jane Calder Sinclair, Winifred Fanny Williams. Hokitika : Second Grade—Melva Louise Benyon, Dora Amelia Dense, Alice Eleanor Mary Dixon, Leslie Henry Graham, Mary Cecilia Wood. Christchurch : First Grade—Mona Teresa Beri, Tui Elliott Croxford. Second Grade—-Irene Agnes Daly, Arthur Norman Dalzell, Thomas Charles Richard Dawe, Leslie Randall Gordon, Pattie Rose Hollands, Ellen Rose O'Boyle, Winifred Mary Quinn, Elizabeth Satterthwaite, Jessie Willis Walker, Elinor Mary Webster, James Albert White. Seaclifi : Second Grade—Maggie Elizabeth Florence Elliott, Rosetta Francis Elliott, Mary Sibbley Little, Isabel Cooke Lothian, Gladys Irene Marshall, Thelma Olive Mack, Leah Constance O'Brien, Frederick Joseph Panting, William Hugh Shearer, Hazel Margaret Spratt, Adelina Patricia Thomas, Irene Marian Walter. Highest marks in written paper : Grace Gold Phairn, Nelson, 84 per cent. Highest total marks for written, oral, and practical: Tui Elliott Croxford, 265 (Average, 88 per cent.)

10

H.—7.

APPENDIX.

Table I. —Showing the Admissions, Readmissions, Discharges, and Deaths in Mental Hospitals during the Year 1931.

Table II.—Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries, etc., per Cent. on the Admissions, etc., during the Year 1931.

11

M. [F. T. M. F. T. In mental hospitals, 1st January, 1931 .. .. •• 3,572 2,811 6,383 Admitted for the first time .. .. .. .. 508 398 906 \ 47g | 063 Readmitted .. .. .. .. • ■ . • 79 78 157 / Total under care during the year .. .. .. 4,159 3,287 7,446 Discharged and died — Recovered .. .. .. .. -. • . 127 120 247 Relieved .. .. .. .. .. • • 29 30 59 Not improved .. .. .. .. ■ • 29 30 59 Died .. .. .. .. .. •• 221 199 420 J 406 379 785 (Not including transfers —Males, 90 ; females, 9.) — Remaining in mental hospitals, 31st December, 1931 ... .. 3,753 2,908 6,661 Increase over 31st December, 1930 .. .. .. • • 181 97 278 Average number resident during the year .. .. .. .. 3,503 2,696 6,199

Admissions in 19S1. Total Number In Mental Hos- i o; f Mental Hospitals. pitals on ; , Patients 1st January, 1931. Admitted for the Not First Transfers. ! under Oare. First Time. Admission. M. F. T. M. P. T. M. F. T. M. F. T. M. F. T. Auckland .. .. 731 595 1,326 112 75 187 23 16 39 10 2 12 876 688 1,564 Christchurch .. .. 529 522 1,051 122 107 229 20 17 37 8 1 9 679 647 1,326 Dunedin (Seaclifi) .. 658 563 1,221 66 36 102 13 18 31 4 2 6 741 619 1,360 Hokitika .. .. 176 109 285 12 8 20 2 1 3 190 118 308 Nelson . . .. 307 127 434 41 21 62 .. 1 1 58 .. 58 406 149 555 Porirua .. .. 855 603 1,458 121 103 224 16 21 37 6 2 8 998 729 1,727 Tokanui .. .. 299 264 563 32 40 72 5 3 8 3 2 5 339 309 648 Ashburn Hall (private 17 28 45 2 8 10 .. 1 1 1 .. 1 20 37 57 mental hospital) Totals .. 3,572 2,811 6,383 508 398 906 79 78 157 90 9 99 4,249 3,296 7,545 Patients discharged, transferred, and died. h q s- ; pitals on Mental Hospitals. j Total discharged, 31st December, Discharged Discharged Transferred. Died. transferred, 1931. recovered, not recovered. an( j a j e( | M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. 4uckland .. .. 19 22 41 23 22 45 5 4 9 75 37 112 122 85 207 754 603 1,357 Christchurch .. 24 23 47 13 9 22 14 0 14 29 45 74 80 77 157 599 570 1,169 Dunedin (Seaclifi) .. 11 14 25 9 13 22 2 0 2 30 30 60 52 57 109 689 562 1,251 Hokitika .. 505 .. 101 66 12 12 6 18 178 112 290 Nelson .. .. 8 4 12 3 1 4 7 0 7 22 9 31 40 14 54 366 135 501 Porirua .. 42 47 89 7 7 14 51 2 53 50 51 101 150 107 257 848 622 1,470 Tokanui .. 16 9 25 3 7 10 7 1 8 8 17 25 34 34 68 305 275 580 Ashburn Hall (private 2 1 3 0 1 1 3 2 5 1 4 5 6 8 14 14 29 43 mental hospital) ; — Totals .. 127 120 247 58 60 118 90 9 99 221 199 420 496 388 884 3,7532,908 6,661 . .. , Percentage Percentage of Average Number of Recoveries on Deaths on Average Mental Hospitals. resident during Admissions Number resident the i ear. during the Year, during the Year. M. F. T. I M. F. T. M. F. T. Auckland .. .. .. .. .. 703 551 1,254 I 14-07 24-17 18-14 10-66 6-71 8-93 Christchurch .. .. .. .. 535 521 1,056 ! 16-90 18-54. 17-67 5-42 8-64 7-00 Dunedin (Seaclifi) .. .. . .. 646 538 1,184 i 13-92 25-83 18-80 4-64 5-33 4-79 Hokitika .. .. .. .. -• 170 104 274 i 35-71 .. 21-73 3-53 5-77 4-37 Nelson .. .. .. .. .. 340 130 470 19-51 18-18 19-05 6-47 6-92 6-59 Porirua .. .. .. .. ■ 803 563 1,366 30-66 37-90 34-10 6-25 11-04 13-52 Tokanui .. .. .. .. 291 260 551 43-08 20-93 31-25 2-75 6-53 4-54 Ashburn Hall (private mental hospital) .. 15 29 44 j 100• 00 11-11 30-00 6-66 13-79 11-36 Totals .. .. .. 3,503 2,696 6,199 21-64 25-21 23-23 6-31 7-39 6-76

H.—7.

Table IV.—Duration of Disorder on Admission.

Table III.— Ages of Admissions.

12

I : Asliburn Hall Ages. Auckland. Christchurch (SeaoUfl). j Hokitika. Nelson. | Porirua. Tokanul. : (Prwate_Mental Total. M. F. T. M. F. T. M. P. T. M. F. T. M. 1". T. M. P. T. M. F. T. M. F. T. M. F. T. Under 5 years .. .. .. .. •• 2 6 8 .. .. 4 0 4 .. .. •• 6 6 12 From 5 to 10 years .. .. •• Oil 11 4 15 3 0 3 .. 9 1 10 .. 1 0 1 .. 10 15 1 1 2 18 6 24 1 3 4 1 0 1 4 3 7 0 2 2 0 2 2 .. 25 17 42 " 15 " 20 " . .. 9 6 15 17 13 30 7 2 9 1 1 2 8 3 11 5 10 15 2 6 8 2 0 2 51 41 92 " 20 30 .. ■ • 23 14 37 18 23 41 22 5 27 3 0 3 2 2 4 26 22 48 10 9 19 .. 104 75 179 " HO " 40 . .. 38 16 54 16 15 31 9 8 17 2 1 3 5 4 9 19 24 43 5 8 13 0 1 1 94 /7 1-1 " 40 " 50 " - •• 21 20 41 25 19 44 12 11 23 1 3 4 1 4 5 29 28 57 9 5 14 0 4 4 98 94 192 " 50 " 60 " '! .. 20 16 36 18 20 38 11 10 21 3 3 6 2 3 5 21 24 45 5 8 13 0 3 3 80 87 167 " 60 " 70 " 12 8 20 8 8 16 8 5 13 1 0 1 3 1 4 | 19 7 26 4 4 8 .. 55 33 88 " 70 " 80 " " '! • • 6 7 13 6 7 13 4 8 12 1 1 2 2 1 3 11 4 15 1 0 1 0 1 1 31 29 60 " 80 " 90 " 4 1 5 1 2 3 1 1 2 1 0 1 .. 6 2 8 0 1 1 .. 13 7 20 ;; 9I!;; 100 ;; :: 213 .. .. 112 .. Ill ?Se™ :: :: :: 10 \ 12 8 '1 9 lie v. ->s o .-,s <•, '2 8 3 '2 5 1 'o 1 90 9 99 Totals .. .. .. 145 93 238 150 125 275 83 56 139 14 9 23 99 22 121 143 126 269 40 45 85 3 9 12 677 485 1,162

Ashburn Hall ! Auckland. Christchurch. Hokitika. Nelson. Porirua. Tokanui. (Private Mental Total. loeacimj. 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 65 37 102 44 29 73 26 10 36 4 3 7 2 7 9 84. 68 152 20 22 42 2 6 8 247 429 Second class (first attack above 3 months and | 37 10 811 19 75 12 123 437 9 11 20 I 459 011 36 45 8l within 12 months on admission) j oi oj nc Third class (not first attack, and within 12 , 19 20 39 19 24 43 7 6 13 4 3 7 3 5 8 20 28 48 9/16 0 1 1 months on admission) i -.m,* qkk Fourth class (first attack or not, but of more 29 23 52 71 60 131 39 33 72 5 1 6 32 7 39 24 17 41 4 9 13 0 1 1 204 151 355 than 12 months on admission) tt l 1Q 4 .. .. •• l.i 1 -•> Transfers " •' ! . 10 2 12 8 1 9 4 2 6 .. 58 0 58 6 2 8 i 3 2 5 1 0 1 90 9 99 Totals .. .. .. | 145 93 238 150 125 275 j 83 56 139 14 9 23 99 22 121 143 126 269 40 45 85 3 9 12 677 485 1,162

H.—7

Table V.— Ages of Patients discharged "Recovered" and "Not Recovered" during the Year 1931.

Table VI.— Ages of Patients who died.

13

_ — . * jjjivjjjo-' xi/rjuv v _cjj_\,_nixy ±j u rvii> vx x xx Hj x Hi a xv xffx. Auckland. Ohristohtirch. Dunediu (Seacliff). Hokitika. Nelson. Porirua. Tokanui. j Total. Ages. ~~~~ ~~~j i j j i j : _ Re- Notre- Re- Notre- j Re- Notre- Re- j Notre- Re- Notre- Re- j Notre- Re- j Notre- Re- j Notre- „ Mnt co\ered. covered. covered, covered, j covered, covered. covered. | covered, covered. covered. covered, j covered. covered, covered, covered, covered. Recovered. recovered. Under 5 t. m. f. t. m. f. t. m. f. t. 1 m. f. t. 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. tJ m. f. t. m. f. t.J m. f. t. m f t From 5 to • 10 years .. .. .. .. j [" " !!:'!! '' [' " " " ....... .. . „ 10 15 „ .. .. .. . 112' .. .. .. .. .. 10 1 .. !! " I* j " " o 'i o " ™ " " •■ •0122430 3101022 .. [ .. .. 2 0 2; 2 1 3 .. 22 4| 01 l'lOl .. 8 5 13! 6 3 9 " ?n " " •' *2 6 43 7 76 13 31 4j 41524610 1 .. 0 I I .. 6 11 17 2 0 2 2 0 2 : 2 2 4: 0 1 1 .. 24 22 46 13 10 23 " 40 " to " " in! ! : 9 ! 1 " 2 0 21 0 1 9 16 25 02223503 3! 101 .. 24 31 55 i 10 13 23 » 40 „ 50 „ .. 3 10 13 5 5 10 5 5 10 2 2 4 2 1 3 3 1 4 .. ; .. 2 0 21 0 1 8 7 15 3 2 5 5 2 7 .. .. .. 25 25 50: 14 10 24 " " ■■ 7 4 11 3 2 5 7 5 12 .. 1 6 7 1 3 4 4 0 4; .. 1 1 3 4 .. 12 8 20 2244261 1 2' .. 36 *8 64i 7 8 15 " ™ " ••0 1 1 2 4 6 0 1 1 3 2 5 0 3 3 2 1 3 .. ! .. ! 1 0 l| .. 5 3 8 0 1 1 1 0 1 .. .. " 7 1 isl 1 8 15 ,, /0 „ 80 „ .. .. 0 3 3 .. .. .. . . .. . . .... .. Oil n ± A " 80 ,, 90 „ .. 112.. 011.. .. .. .. oil 011 n " I | ... i „ 90 „ 100 „ .. .. .. .. .. .. . I i " " " " " 0 1113 4 Unknown .. .. .. .. .. ..101 ' " " " " " " " " 1 "o 1 ■• •• 5 4 9 .. 14 0 141 .. 2 0 2.. l" 0 1 " 7 'Ô 7j " 5l"2 53 " j 7 "i sj !! 3 '2 5 .. 90 '9 99 Totals ..,19 22 4128 26 54 24 23 47 27 9 36:11 14 2511 13 24 5 0 5 1 0 1 6 4 ]0 ! 12 1 13: 42 47 89 58 9 6716 9 25jl0 8 18 2 1 3 3 3 6 125 120 215 150 69 219

A S es - Auckland. Christchurch. Dunedin (Seacliff). J Hokitika. Nelson. Porirua Tokaimi Ashbiirn Hall ! _ . . _ I ' (Private M.H.). * I j ~ " : ~ Under 5 years m. f. t. m. f. t. m. f. t. ! m. jp. t. m. f. t. m. f. t. m. f. t. m. f. t. m. f. t. From 6 to 10 years .. .. " 0 1 1 Oil i! | !! 4 'Ô 4 !! " " 4 "2 6 » if' 20 ;; :: :: :: j ] 3 0 '3 3 1 '0 1 j :: I 0 I 0 i 1 0 'i 1 :: ? <j J » f - " •• :: :: j 1 £ lit ill :: ī \ I I II III :: j 4 s " in" m " !i O on 3 9 12 3 14 Oil 2 1 3 8 10 18 0 2 2 .. 26 29 55 " " l,[ " ■■ •• 14 8 22 6 7 13 5 7 12 2 1 3 1 1 2 7 9 16 0 5 3 0 2 2 35 40 75 " 70 " 80 " Jo I 6 8 14 6 7 13 1 2 3 2 1 3 13 12 25 1 1 2 1 1 2 48 34 82 " sn " 90 " a n Jo 11 13 24 8 7 15 2 1 3 4 2 6 10 10 20 3 4 7 0 1 1 50 43 93 " on " inn " " " " 67 13 202 246 112 224 84 12 213 .. 23 19 42 „ yu „ iuu „ ...... .. 0 11112! .. j i o q Unknown .. 112 .. .. I .. .. " ;; " 112 Totals " •• •• •• 75 37 112 29 45 74 30 30 60 6 6 12 j 22 9 31 50 51 101 8 17 25 1 4 5 J 221 199 420

H.—7.

Table VII. —Condition as to Marriage.

14

Admissions. Discharged. ; Deaths. ,MT,_ M. F. T. M. F. T. M. F. T. • 86 39 125 25 12 37 45 21 66 Married " " " - 40 41 SI 16 24 40 21 8 29 WMowed I 10 17 189 I « '? Unknown .. .. ■■ A n Transfers .. •• •• •• ■■ 10 2 12 o 4 9 - Totals 145 93 238 47 48 95 75 37 112 CHN CT 0H — •• 95 77 172 23 19 42 11 23 34 Ed' :: :: :: .. •• 40 si n n 11 24 15 n 32 Widowed 7 16 23 1 2 3 3 5 8 Unknown .. • • • • • • • • • • _ , , '' , . Transfers 8 1 9 14 •• Totals .. .. •• ..150 125 275 j 51 32 83 29 45 74 DTO sfnrie (SEACLOT> ~ •• i 55 2 * 79 15 9 24 21 10 31 Married " .. .. 21 19 40 5 15 20 5 12 17 widowed :: 3 11 14 0 3 3 4 8 12 Unknown .. .. ■■ •• •• •• " Transfers 4 2 6 2 0 2 .. Totals .. .. ■ • ■ • • • 83 56 139 22 27 49 30 30 60 H0K Singte~ 11 2 13 2 0 2 4 4 8 Married 2 7 9 3 0 3 2 1 3 widowed :: :. i o i .. o i i Unknown .. . • • • ■ • • ■ • • '' . Transfers .. .. • • • • • ■ 1 U 1 Totals j 14 9 23" 6 0 6 6 6 * 2 NB Xde .. .. 31 13*44 6 2 8 15 5 20 iaSed j 8 7 15 5 3 8 6 2 8 Widowed :: J 2 3 .. 0 11 Unknown .. .. •• •• •• J- ® j- " _ Transfers .. • • • • • ■ • • 58 0 58 7 — Totals .. .. ■■ •• 99 22 121 18 5 23 22 9 31 P0 ™-T .. 66 50 116 29 21 50 20 12 32 55 57 112 20 28 48 24 22 46 widowed :: :: :: .. .. i« n 33 055 en 23 Unknown .. .. •• •• Transfers .. .. ■■ •• 6 2 8 51 w 53 „ Totals .. ■ • • • • • 143 126 269 100 56 156 50 51 101 TOKA sKl7 ■■ .. 22 13 35 11 4 15 3 5 8 Married' " .! 13 23 36 7 12 19 4 8 12 Widowed .. .. .. • • • • 2 ' 9 10 1 1 4 ō Unknown j •• " Transfers .. .. •• •• 3 L 5 /is. Totals .. .. .. 40 45 85 26 17 43 8 17 25 AS Th3e HALL ~ 2 6 8 2 2 4 1 0 1 Married .. .. •• •• •• n J ? " 0 4 4 Widowed .. .. •• •• 0 2 Unknown • o ' Ô Transfers .. .. •• 1 0 1 6 i a !___ Totals 3 9 12 5 4 9 1 4 5 T ° TA 4wd P 368 224 592 113 69 182 1 120 80 200 .. 179 186 365 69 93 162 77 70 147 widowed :: :: 37 65 102 3 is 21 19 48 S :: :: :: :: :: 90 9 99 90 -9 99 Tota j g ,. .. . . .: 677 485 1,162 275 189 -464 221 199 420

H. —7.

Table IX.—Ages of Patients on 31st December, 1931.

Table VIII.— Native Countries.

15

I i 'M-' ■ : ' Countries. j Auckland. | Ohrxstohnrch. (Seaoll S). j Hokitika. Nelson. Porirua. Tokanui. Totol. 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. England and Wales .. .. 122 92 214 73 71 144 83 50 133 39 13 52 26 13 39 162 93 255 60 36 96 3 3 6 568 371 939 Scotland .. .. .. .. 30 11 41 27 18 45 53 40 93 6 2 8 20 6 26 41 29 70 18 6 24 2 1 3 197 113 310 Ireland .. .. .. .. 51 39 90 27 26 53 36 38 74 17 8 25 13 3 16 51 39 90 21 22 43 1 0 1 217 175 392 New Zealand .. .. .. 395 370 765 455 426 881 476 391 867 86 74 160 275 99 374 488 406 894 163 183 346 7 23 30 2,345 1,972 4,317 Australian States .. .. .. 40 28 68 10 14 24 16 26 42 10 5 15 7 6 13 36 19 55 13 11 24 1 2 3 133 111 244 France .. .. .. ..011 .. .. .. .. 011202 .. 224 Germany .. .. .. .. 31 4 11 2 3 0 3 101 101 4 2 6 314 .. 16 5 21 Austria .. .. . 33 5 38 0 2 2 1 0 1 .. 2 0 2 .. 4 0 4 .. 40 7 47 Norway .. .. .. ..3 03 .. .. 101 .. 303202 .. 909 Sweden .. .. .. .. 22 420 2 30 320210141 5011 .. 14 4 18 Denmark .. .. .. .. 10 1 10 1 11 220210152 7202 .. 13 3 16 Ital y •• •• •• •• 21 3 .. 10 12 0 201132 5101 .. 9 4 13 China .. .. .. .. 10 1 .. 202101 .. 426 .. .. 82 10 Maoris .. .. .. 20 23 43 1 2 3 .. 1 0 1 5 1 6 20 10 30 4 11 15 .. 51 47 98 Other countries .. .. 26 12 38 2 10 12 6 6 12 6 0 6 2 1 3 27 16 43 12 4 16 .. 81 49 130 Unknown .. .. .. 25 18 43 .. 8 10 18 4 10 14 13 5 18 .. .. .. 50 43 93 Totals .. .. .. 754 603 1,357 599 570 1,169 689 562 1,251 178 112 290 366 135 501 848 622 1,470 305 275 580 14 29 43 3,753 2,908 6,661

•Ages. Auckland. Christchurch. (SeaoUfl). Hokitika. Nelson. Porirua. Tokanui. | (p^v^e^H) Total. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. From 1 to 5 years .. .. 6 7 13 1 2 3 .. 10 0 10 2 2 4 .. .. 19 11 30 5 „ 10 „ .. .. 0 2 2 22 12 34 8 2 10 .. 32 1 33 0 5 5 3 2 5 .. 65 24 89 „ 10 „ 15 „ .. 2 4 6 58 35 93 5 5 10 ; 1 2 3 47 5 52 7 18 25 1 2 3 .. 121 71 192 „ 15 „ 20 „ .. .. 25 17 42 45 32 77 26 13 39 3 4 7 67 9 76 22 30 52 10 10 20 .. 198 115 313 20 „ 30 ,, . 80 67 147 82 55 137 111 31 142 11 9 20 41 17 58 110 70 180 29 31 60 .. 464 280 744 ». 30 „ 40 ,, .. .. 164 108 272 105 75 180 118 92 210 17 14 31 30 19 49 159 105 264 35 48 83 3 1 4 631 462 1,093 „ 40 „ 50 „ .. .. 160 126 286 122 126 248 146 130 276 55 27 82 34 21 55 221 160 381 69 69 138 2 10 12 809 669 1,478 „ 50 „ 60 „ .. .. 157 137 294 82 122 204 131 141 272 38 33 71 46 18 64 174 113 287 83 60 143 1 6 7 712 630 1,342 » 60 „ 70 „ .. .. 87 76 163 40 77 117 86 98 184 37 13 50 37 27 64 92 74 .166 49 38 87 4 7 11 432 410 842 „ 70 „ 80 „ .. .. 49 47 96 . 32 23 55 41 35 76 7 4 11 14 12 26 45 34 79 17 11 28 3 4 7 208 170 378 „ 80 „ 90 „ .. 13 6 19 I 3 5 8 7 10 17 4 1 5 3 5 8 14 10 24 3 0 3 1 1 2 48 38 86 Upwards of 90 years .. ..1012131010 11 .. 213 .. .. 639 Unknown .. . . .. 16 13 29 j .. 8 3 11 5 4 9 5 1 6 .. 6 4 10 .. 40 25 65 Totals .. .. ..754 603 1,357 599 570 1,169 689 562 1,251 178 112 290 366 135 501 848 622 1,470 305 275 580 1 14 29 43 3,753 2,908 6,661

H - 7.

Table XI.—Length of Residence of Patients discharged "Recovered" during 1931.

Table X.—Length of Residence of Patients who died during 1931.

16

Length of Residence. Auckland. Chilstchurch. (Seaclfff?. Hokitika. Nelson. Porirua. Tokanul. Tota1 ' M F T 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. Under 1 month j *4 3 7 3 8 11 4 3 7 .. 4 0 4 2 7 9 i 2 3 .. 18 23 41 From 1 to 3 months ! 4 3 7 2 1 3 1 3 4 . 0 1 1 9 8 17 0 1 1 ■ ■ * ' 0 a . .. .. 426 64 10 32 5 112 202j448 022 Oil 20 16 36 6 " 9 •• 224 224 112 .. 2 0 2 628 .. .. 13 7 20 9 " 12 . .. 224 314 011 .. 1 0 1 202 .. .. 84 12 1 " 2 years 134 369 224 101:30 3 549 101 .. 16 15 31 '■ o " o y " " .. 022 011 101' .. 1538 235 .. 89 17 " 3 " 5 " 84 12 358 325 .. ! 3 0 3 189 112 011 19 21 40 " 5 " 7 " . .. 5 0 5 3 3 6 2 3 5 .. 1 0 1 1 3 4 .. .. 12 9 21 " 7 " 10 437 .. 022 .. 224 224 022 011 8 12 20 " 10 " 12 " " 1 1 2 .. 1 1 2,0 1 1 2 0 2 0 1 1 0 1 1 .. 4 5 9 12 15 " 6 2 8 0 2 2 1 1 2 1 2 3 .. 0 3 3 .. 1 0 1 9 10 19 Over 15 years !! !! .. 31 7 38 3 11 14 11 7 18 1 2 2 4 2 5 7 8 . 5 13 0 5 5 0 1 1 57 43 100 Died while absent on trial .. ... 358 101 112: .. 011 5 1 6 3 0 3 - l3 8 Totals .. .. ■■ 75 37 112 29 45 74 30 30 60 6 6 12 j 22 9 31 50 51 101 8 17 25 1 4 5 221 199 420

Length of Residence. Auckland. Christchurch. (Seaclfffl. Hokitika. Nelson. Porirua. Tokanui. (PriTOte^H. 1 ). Total M F T M. F. T. ! M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Under 1 month 11 1 2 .. .. 1 0 1 3 0 3 1 0 1 1 0 1 1 0 1 8 1 9 From 1 to 3 months 3 14 3 14 ! 1 1 2 1 0 1 1 0 1 3 4 7 7 3 10 .. 19 10 29 6 3 2 5 5 6 11 ! 1 2 3 .. 0 1 1 11 5 16 2 2 4 .. 22 18 40 " 6 " 9 " " " • • 5 3 8 3 5 8 3 1 4 1 0 1 2 1 3 7 10 17 1 2 3 .. 22 22 44 n " no " " 4 7 11 4 2 6 2 1 3 .. .. 3 5 8 0 1 1 1 0 1 14 16 30 " I " 2 veara ! 3 5 8 6 7 13 3 6 9 2 0 2 1 0 1 8 10 18 3 0 3 0 1 1 26 29 55 " o" 3 " •• 112 0 11 .. 1 4 5 1 0 1 .. 3 6 9 " Q " 5 " " " 0 2 2 1 0 1 0 1 1 .. 1 1 2:2 5 7 1 0 1 .. 5 9 14 " 5 " 7 " " " 0 1 J 0 1 1 0 1 1 .. 0 1 1 2 3 5 0 1 1 .. 2 8 10 " 7" 10 " " :: .. .. 101 .. .. .. 202 .. .. 303 " 10" 12 " .. .. . • •• • • • • ■• 112 .. .. 112 ;; isis ;; .. ■ <> > •• * ° 1 •- 202 Over 15 j'ears .. .. .. • • • ■ • ■ • • ■ ■ - ■ • • • ' '' "■ Xotals 19 22 41 24 23 47 11 14 25 j 5 0 5 8 4 12 | 42 47 89 16 9 25 2 1 3 127 120 247

īt.—l

Table XII.—Causes of Death, 1931.

3 —H. 7,

17

•§ 1 « •d e 1 Wg£ Causes. g ■§ a& |j d 4 '3 g£ f 3-% V- S 0 & a ps «is • c . 8 3 -2 H 3 ' ££ w * H 2 ■» a> C~ -w 5 5 k2 Ê5 ® r® Sew 5 ?® o p H « Ph H H I General Diseases. Tuberculosis — m. f. m. e. m. e. m. e. m. f. m. e. m. e. m. f. m. fGeneral .. .. .. .. 0 1 .. .. 10 .. • ■ • • 11 Of lungs .. .. -.76012 0 .. 0 302 .. .. 9 12 Cancer .. .. ..22101231 .. 2001 11 10 7 Diabetes .. .. .. .. 0110 .. .. 10010123 Cellulitis .. .. ..01 .. 10 .. .. .. .. 11 Toxaemia .. .. .. .. .. 10 .. .. .. .. .. 10 Typhoid fever .. .. .. 01 .. .. .. .. 01010 3 Pernicious anaemia .. .. .. .. 10 .. .. .. .. .. 10 Influenza .. .. .. .. .. .. .. 10 .. •• 10 II Diseases oe the Nervous System. Mania, exhaustion from ..01 .. .. .. .. 1401 .. 16 Melancholia, exhaustion from ..100 1 .. .. .. 25 .. .. 36 Confusional insanity, exhaustion 01 .. .. .. 01 .. 02 .. 04 from General paralysis of insane .. 808201 .. 108301 .. 25 7 Tabo-paresis .. .. ..10 .. .. .. .. .. .. .. 10 Organic brain-disease .. .. .. .. 01 .. 1001 .. .. 12 Epilepsy .. .. ..5 2 0 4 3 2 .. 6 0 2 I I 1 .. 17 10 Cerebral haemorrhage .. ..01 23 4 2 .. .. II .. .. 77 Cerebral thrombosis .. .. .. .. .. 02 .. 10 .. .. 12 III. Diseases of the Respiratory System. Pneumonia .. .. 16 2 2 2 .. .. 1 1 4 4 .. 0 1 23 10 Bronchitis .. .. ..60 .. 01 .. .. 3301 .. 95 IV. Diseases oe the Circulatory System. Heart-disease .. 7 2 38 69 1 1 5 1 13 15 02 .. 35 38 Arterio-sclerosis .. 10 4 0 1 .. .. .. 2 2 .. .. 12 7 V. Diseases of the Digestive System. Colitis .. .. .. .. .. .. .. .. 10 .. .. 10 Enteritis .. .. .. .. .. .. .. 2 0 .. .. .. 20 VI. Diseases of the Genitourinary System. ' Nephritis .. .. ..22010301 .. .. .. .. 27 Cystitis .. .. .. .. .. .. ,, .. 10 .. .. 10 Uraemia .. .. .. .. .. 10 .. .. .. .. .. 10 VII. Old Age. Senile decay .. .. 78 12 18 87 21 42 39 45 .. 40 50 VIII. External Causes. Asphyxia .. .. .. .. .. 10 .. .. .. .. .. 10 Suicide .. .. .. .. 01 .. .. .. .. .. .. 01 Exposure .. .. .. .. .. .. .. .. .. 01 .. 01 IX. Died while on Trial ..35 1002 .. 01 51 3 0 .. 12 9 Totals .. .. 75 37 29 45 30 30 6 6 22 9 50 51 8 17 1 4 221 199

H.-7

Table XIII. —Principal Assigned Causes of Insanity, 1931.

18

. j Ashburn Causes. Auckland, Dunednj Hokitika . Nelson . rorirua. Tokanui. (p Hj« ( Total. M. F. M. F. M. F. M. F. M. F. M. ī. M. F. M. F. M. F. Heredity .. .. 8 11 11 12 10 5 3 0 .. 18 6 1 5 1 4 52 43 Congenital 18 12 48 34 22 5 3 1 27 7 6 8 5 5 129 72 Previous attack .. 16 13 12 12 14 17 2 2 4 5 15 22 1 - 0 2 .64 75 Puberty or adolescence .. 63 18 10 22 .. 1 0 69 j* 10 6 Climacteric .. .. 0 8 0 23 .. 0 1 0 2 0 13 0 3 .. 0 o Senility 10 10 15 18 10 11 3 1 3 2 29 12 4 3 0 1 74 58 Involution 0 1 0 1 2 1 1 5 ° 6 n" I n 19 Puemeral .. ..0 2 0 4 0 1 .. • • 04 .. 0 1 0 12 Mental stress. 45 17 15 5 11 1 2 2 0 1 33 32 11 6 0 1 117 65 Alcohol 8 1 7 0 2 0.. 1 ° 4 2 4 0 .. 2o 3 Syphilis 9 1 11 2 1 1 .. 10 2 1 1 .. 32 7 Cerebral haemorrhage .. .. .. 3 0 .. .. 11 •• •• Arterio-sclerosis .. ..8 5 1 0 5 3 1 4 ... 15 12 Organic brain-disease .. .. .. •• 01 •. 10 * * '' " i « Post-operative .. • • • • • • • • • ■ •» 12 .. o ft Traumatic .. .. •• 2 0 .. .. •• •• •• •* Epilepsy 4 4 5 4 3 2.. 1 0 4 3 2 0 .. 19 13 Encephalitis .. .. ..01 •• • • •• •• ? i " 10 Huntingdon's chorea .. .. .. •• •• - • • •• 10 .. *" ' i A Phthisis 10 .. .. •• .. •• 10 111 health .. .. ..01 .. 03 1003 1343 | 6 13 Goitre 0 10 1 .. .. 0 2 Toxic 110 2 .. 13 £ ra g, habit 01 i" o :: 1 o Privation .. . • • • * • • • • • • • * * x r ■EST :: :: :: i! i »" i »2 :: «r o . »'2 r. w S Totals .. .. 145 93 150 125 83 56 14 9 99 22 143 126 40 45 3 9 ,677 485

H.—7.

Table XIV.—Former Occupations of Patients.

4—H. 7.

19

• w - w " « a g a • 1 * • i S ® S a a - Occupations. g co a Occupations. S ô « a' ! .3 £ ■ * '3 a a ! .3 £ . j 'S a ■S-S'SSaSSs. 3 .2 S "3 S •- 3 5 °> 3 .2 ® -a S -S § J -3 a^SOcooO'^ 0 H <i o Q m ■ x (u P jg g Males. Accountant .. .. .. 1 ..! [ .. .. 1 Laboratory assistant .. .. ] ! 1 .. 1 Agents .. .. 2 1 1 .. .. 3 Labourers .. .. 58 38 24 7 5 46 12 .. 190 Baker .. .. .. 1 1 Masseur .. .. 1 1 Bank teller .. 1 .. .. 1 Mason .. .. 1 1 Barmen .. .. 1 .. 1 2 Master mariner 1 1 Billiard-markers 2 .. .. 2 Mechanic .. .. .. 1 1 Blacksmiths .. .. 1 1 1.. 3 Merchant .. 1 1 Boilermakers.. .. 1 1 2 Messengers .. .. .. 2 2 .... 4 Bootmakers .. .. .. 3 3 Metallurgist .. .. 1 1 Bricklayer .. .. 1 1 Miners .. .. 3: .. 2 1 6 Butchers .. .. 1 1.... 2 Motor-drivers .. 1.. 2 3 Canvassers .. .. 2 1 .. 3 Moulders .. .. .. 1 1.. 2 Carpenters .. .. 1 3 .. 1 1 6i .. .. 12 Music-teacher 1 .. .. 1 Caretakers .. .. 2| 2 Orchardist .. 1 .. .. 1 Carrier .. .. .. I 1 .. . . 1 Painters .. .. 1 1 1.. 3 Cheesemaker .. .. .. I .. 1 I Pensioners .. .. 2 4 1 1 .. 4 .... 12 Compositor .. .. .. 1 1 Plasterer .. 1 .. .. 1 Cooks .. .. 11.... 1 2 .... 5 Plumber .. 1 .. .. 1 Clerks .. .. 4 1 2 .... 3 .... 10 Polishmaker .. 1 .. .. 1 Cutter .. ,. .. 1 1 Printers .. .. 1 1 1 1.. 4 Clergymen .. 2 .... 2 Prisoner .. 1 .. .. 1 Coal-merchant 1 .. . . 1 Ranger .. .. 1 1 Collector .. .. .. 1 1 Saddlers .. .. 1 1 2 Company-manager .. 1 1 Salesmen .. .. 1 1.... 2 Contractors .. .. .. 1 2 .... 3 Sawmillers .. 1.. 1 .. 2 Dentist .. 1 1 School-teachers .. 1 1.. .. 2 Diver .. .. .. 1 1 Seamen .. .. 5 2 2 1 .. 10 Drivers .. 2 .... 2 Shepherds .. .. .. ] 2 .... 3 Drapers .. .. .. 2 2 Solicitors .. 2 .... 2 Electrician .. 1 .. . . 1 Storemen .. 1 .. .. 2 .... 3 Engineers .. .. 2 1 1 .. 4 Student .. 1 1 Engine-driver .. 1 1 Surveyor .. .. 1 1 Factory worker 1 1 Taxi-proprietor ] 1 Farmers .. .. 11 8 7 1 2 15 8 1 53 Tinsmiths .. .. .. 1 1.... 2 Farm hands .. .. .. 2 3 .. .. 4 3 .. 12 Tobacconist .. 1 .. .. 1 Fireman .. 1 .. 1 Travellers .. 1 1.. 2 Fitter .. 1 .. .. 1 Warehouseman 1 .. .. 1 French-polishor .. 1 j 1 Wireman .. .. .. 1 1 Fruiterer .. ; 1 .. .. 1 Wireless operator .. 1 1 Gardeners .. .. .. 2 1 .. .. ] .3 .. .. 6 Wool-carder .. .. 1 1 Groom .. 1 ..j 1 No occupation .. 18 56 26 2 28 16 3 .. 149 Hairdressers .. .. 2 1 1 4 Transfers .. .. 10 8 4 .. 58 6 3 1 90 Horse-trainers .. .. 1 1 2 Jockey .. 1 .. .., 1 Totals .. 145450 83 14 99 143 40 3 677 Journalist .. .. 1 .. i 1 1 1 ' Females. Clerks .. .. 21 1 ! 1 ..! .. 4 Nurses .. .. .. 2 ll 1 .. 4 Cook .. .. .. .. 1 | .. 1 Pensioners .. .. 3 5 1 .. 9 Domestics .. .. 65 87 47 8 12114 39 6 378 School-teachers .. 2 1 1.. 3 7 Dressmakers .. 1 1 2 Shop-assistants .. 1 1 .. .. 2 Factory workers .. 1 1 .. .. 2 Typists .. .. 1.. 1.... 1 .. .. 3 Furrier .. .. .. I 1 No occupation .. 15 26 3 1 8 4 3 .. 60 Hawker .. 1 1 Transfers .. .. 2 1 2 .. .. 2j 2 .. 9 Journalist .. .. .. 1 j .. I 1 , Music-teacher .. .. 1 j .. 1 Totals .. 93125 56 9 22 126, 45 9 485 i I I ' ...

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.

20

Discharged. Remaining, N„ m h„r= Percentage Percentage of Deaths Year. Admitted. i Med. ! 31* December in "'SSn, 0 " ° "Sent " Recovered. | Relieved. Not Improved. each Year. Admissions. resident. ~ - 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. 1S7 K 482 254 736 901 117 33» 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 6-70 877 " 1 250 112 362 123 57 180 20 5 25 3 2 5 42 21 63 58] 291 872 541 277 818 49-20 50-80 49-72 7-76 7-58 7-70 1878 " 947 131 378 121 68 189 14 14 28 4 4 8 51 17 68 638 319 957 601 303 904 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 71 695 361 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 939 127 359 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 5-55 882 ■' 267 52 419 95 59 54 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 6-49 883 " 955 66 tn 102 78 80 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 ■' 1 53 39 89 77 66 17 9 26 18 12 30 68 24 92 938 514 1,452 911 497 1,408 37-39 50-32 42-45 7-46 4-82 6-53 885 " 246 33 379 95 76 71 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 lg89 930 161 391 I 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 " 934 m 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 I 281 179 460 101 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 970 176 446 107 76 183 15 11 26 5 4 9 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 I 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 J 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 I: 259 199 458 88 99 187 15 19 34 2 1 3 114 43 157 1,5121 1,045 2,557 1,487 1,004 2,4»1 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! Ī25 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 6-28 903 " 355 226 581 1 144 101 245 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 i 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 1 149 121 270 29 24 53 147 I 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 I 6-71 7-48 1907 .. 359 241 600 160 139 299 22 13 35 168 j 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 i 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 I 297 716 i 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 _ 474 314 788 ; 182 145 327 29 27 56 186 ; 97 283 2,160 1,510 3,670 2,028 1,4451 3,473 38-40 46-18 41-50 9-17 6-71 8-15 1911 .. 448 317 765 i 163 ! 168 331 23 16 39 4 2 6 198 ] 105 303 2,220 1,538 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 I 87 280 2,273 1.640 3,913 2,146 1,551! 3,697 40-17 37-01 38-74 8-99 5-bl 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 i 509 359 868 j 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 1 209 80 ' 289 2,555 1,820 4,375 2,483 1,768 4,251 30-89 47-37 37-66 8-42 4-5- 6-80

11. -7.

Excluding transfers between institutions— 1,754 males, 1,223 females.

21

!»Ja " M 17 i 1S ? 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 1Q1Q " r?I 071 ion fof H ?! !? 24 274 174 448 2 ' 603 1> 943 4 > 546 2 ,602 M" 4,501 32-49 35-07 33-7310-53 9-16 9-95 I;!, 1 ,;' •• 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-ll ! 39-62 38-17 8-09 6-82 7-55 Jno? " ™ io If 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 J 92 * •• 479 402 178 193 371 30 2 1 SI 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 Iqoq " ' OCR one !®o 3 ! 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 " !!! o™ i? ™ f 9 4 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 inft " ff « 42 72 9 11 20 221 95 316 2 ' 873i 2 "258 5,131 2,808 2,146 4,953 34-08 33-95 1 34-02 7-87 4-42 6-37 ® •• I 4 ® 430 87 ® 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 - - <>08 4 39 94/ 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 ];[ 27 ' 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 1 929 •• 549 497 9 f>6 145 144 289 30 28 58 22 16 38 227 153 380 3,399 2,694 6,093 3,215 2,495 5,710 26- 4li 35-37 30-23 7-06 6-13 6-65 1930 .. 621 474 1,095 138 128 266 28 34 64 31 23 54 251 172 423 3,572, 2,811 6,383 3,342 2,590 5,932 22-22' 27-00 24-29 7-51 6-64 7-15 1931 .. 587 476 1,063 127 120 247 29 30 59 29 30 59 221 199 420 3,753; 2,908 6,661 3,503 2,696 6,199 21-64 25-21 23-37 6-31 7-39 6-76 j20,295 14,843 35,138 7,509 6,322 13,831 1,434 1,322 2,756 ! 463 350 813 7,618 4,195 11,813 ~ j ~ .. | I I ' ! | "

H. —7.

Table XVI.— Showing the Admissions, Discharges, and Deaths from Ist January, 1876, to 31st December, 1931, (excluding Transfers). m. F. T. In hospitals, 31st December, 1875 .. .. • • - • 482 254 736 Admissions .. .. .. •• •• •• •• 20,295 14,843 35,138 20,777 15,097 35,874 Discharged— m. f. t. Recovered.. .. .. 7,509 6,322 13,831 Relieved .. .. .. 1,434 1,322 2,756 Not improved .. .. 463 350 813 Died .. .. -• •• 7,618 4,195 11,813 17,024 12,189 29,213 Remaining on 31st December, 1931 .. .. •• 3,753 2,908 6,661

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

22

J Males. { Females. Both Sexes. j Recovered .. .. .. . • •• 36-09 41-87 38-55 Relieved .. .. . • • • • • 6-90 8-75 7-66 Not improved .. .. .. • • • • 2-23 2-32 2 • 26 Died .. .. .. .. •• .. 36-63 27-78 32-92 Remaining .. .. .. •• •• 18*15 19-28 18-61 100-00 100-00 100-00

H.—7.

Table XVIII.— Debits for the Financial Year, 1931-32.

23

f I " " j Auckland. Obibtoharch. Dunedin. Hokitika. Nelson. Porirua. Tokanui. Head Office. Total. „ , . £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s d '•.. •' •• '• 39>082 11 7 42,254 18 10 51,187 14 7 14,996 12 1 19,415 15 3 50,306 18 6 21,957 7 1 7,162 10 5 246 364 7 4 Official Visitors ■ • j 38 0 9 23 2 1 .. 11 11 2 .. 16 17 6 .. .. ' 89 11 6 Advertising, books, &c 1 13 8 4 19 9 6 9 6 3 10 9 4 3 6 5 1 6 2 2 0 15 15 10 43 16 6 Bacteriological Research .. 2 17 0 011 .. 0 10 6 1936 .. .. 22 12 1 Bedding and clothing .. .. .. .. 4,755 15 6 5,045 18 0 5,321 4 7 1,218 10 1 2,384 12 8 6 080 1 6 2,558 7 7 27 364 Q 11 Buildings, including additions, &c. .. .. ... 612 13 10 1,039 10 2 518 9 2 272 13 1 542 8 5 1 080 4 8 583 11 10 11 9 Dental services 4 0 2 13 4 8 21 13 3 8 2 6 8 12 3 ' 20 4 6 17 3 10 !' ' 93 1 9 Farms, maintenance of .. .. .. 877 17 7 1,289 18 10 1,487 16 8 275 10 6 1,379 19 5 1 574 4 3 9 919 6 3 9 804 13 6 Fencing, draining, and roading .. .. .. 61 6 10 198 6 7 158 17 0 24 0 9 149 12 8 '246 3 8 297 14 10 l'lSfi 2 4 Freight, cartage, and transport .. .. .. 41 6 9 247 9 5 443 2 1 5 2 9 251 16 4 353 5 2 189 6 1 0 16 6 1' r.09 r. , Fuel, light, water, &c 5,587 4 8 5,990 9 5 7,130 18 11 1,165 11 9 2,950 18 10 6,761 4 11 3,042 0 9 47 15 2 32'676 4 5 Funeral expenses .. .. .. .. j 150 0 0 52 10 0 49 0 0 7 10 0 46 7 6 72 7 6 46 0 0 '423 15 0 Furniture and furnishings j 275 9 6 507 16 3 304 1 5 47 15 5 181 10 11 128 10 0 184 5 4 0*12 0 1 630 10 10 Gardens and shrubberies .. .. .. .. 8 12 10 86 8 2 13 4 9 1 7 11 27 7 7 59 4 8 57 9 1 '253 15 0 Laundry 608 12 6 263 12 4 560 19 10 322 8 5 226 5 8 366 10 8 206 8 11 !! 2 554 18 4 Legal and inquiry costs .. .. .. .. 410 40 80 676 .. 41 0 570 60 4 6 Machinery, repairs, and stores .. .. .. 83 17 3 179 4 0 101 12 0 22 6 8 99 19 0 62 18 1 67 1 1 " 616 IS 1 Medical fees i 552 16 10 506 18 3 239 7 4 32 15 9 54 3 9 591 6 7 178 2 2 " | 2 155 10 8 Motor-vehicles, maintenance of j 52 9 4 323 12 8 209 0 2 11 5 10 477 0 3 157 18 8 133 15 9 l'365 2 8 Motor-vehicles, purchase of .. .. .. | .. .. _ _ 15 0 *' 811 0 Nursing staff uniforms .. .. .. .. 284 17 8 93 14 2 275*0 2 72* 18 0 66' 2 8 194*14 9 43 15 3 " 1031 9 8 Office equipment .. 082 324 .. 0 15 0 1 19 11 35 0 120 5* 82 16 1 7 Patients, expenses connected with — Gratuities .. .. .. .. .. 46 13 4 0 10 5 33 10 6 20 1 2 173 6 5 98 14 4 0 8 0 373 4 2 Friends .. .. 90 0 0 .. .. .. .. 90 0 0 Recreation .. .. .. .. .. 1,774 3 9 1,305 13 5 1,461 12 10 213 13 1 489 8 1 2,528 19 1] 868 7 10 .. 8 64] 18 11 Transfers 8 11 5 2 13 2 .. 2 19 8 1 6 0 195 11 5 8 18 9 .. ' 2 20 0 5 Postage, telegrams. &c 121 2 7 148 18 2 143 17 5 17 10 0 51 0 5 207 17 5 101 6 0 316 9 9 1 108 1 < Printing and stationery 182 15 0 196 15 4 111 13 10 46 12 0 97 16 4 144 12 11 78 12 11 91 18 7 '950 16 11 Rations 13,103 1 7 12,727 19 2 12,523 17 0 3,904 3 4 5,396 8 0 18,178 4 8 5,140 18 3 .. 70 974 12 0 Rents and rates .. 825 8 3 4 2 6 .. 2 5 1 .. 805 10 10 l'637 6 8 ! tores 527 14 7 907 1 4 902 5 8 152 0 3 325 1 9 835 13 10 435*15 8 .. 4'085 13 1 burgery and dispensary — ' ' Drugs and instruments .. 261 13 10 354 3 4 295 10 1 67 6 0 160 17 5 444 8 7 128 13 7 1 712 12 10 Wines, spirits, &c 6 19 10 9 4 1 .. .. 5 8 0 11 18 8 .. !! 33 10 7 Telephone services 53 18 10 107 7 9 191 17 10 24 13 7 59 9 7 109 15 8 74 19 1 107 18 2 730 0 6 Transfer and removal expenses 118 13 10 1 15 9 83 5 7 16 19 7 145 12 7 8 3 10 23 5 0 1 14 6 399 10 8 Travelling-allowances 97 19 8 90 16 11 206 17 5 26 15 6 167 4 3 8 2 0 78 13 5 192 0 5 868 9 7 Travelling-expenses .. .. 64 18 6 44 19 6 152 2 6 12 10 8 31 10 7 73 0 11 29 0 6 136 11 0 544-14 2 lreatment and maintenance m general hospitals — Patients .. .. .. .. .. 244 2 0 28 13 3 138 17 0 10 15 0 1 110 2 0 106 7 0 13 8 0 .. 652 4 3 S * aff • •. • • ■ • ■ • • ■ • • 2 2 0 2 2 0 61 13 0 3 3 0! 0 7 6 24 3 0 .. .. 93 10 6 Contingencies 1 10 0 3 10 8 5 4 9 1 15 0 | 8 1 3 3 17 8 5 8 6 7 7 3 36 15 1 69,699 17 2 74,925 13 5 84,441 7 11 j 23,021 6 3 i 35,498 13 4 91,085 4 5 40,284 10 4 8,892 8 7 427,849 1 5

H— .

24

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

Table XVIIIa.— Credits for the Financial Year, 1931-32.

Auckland. Christcliurch. Dunedin. Hokitika. j Nelson. j Porirua. | Tokanrn. Head Office. Total. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. Receipts for maintenance 25,263 9 8 24,899 9 9 j 21,791 16 6 2,896 3 1 7.608 15 1 29,768 17 4 9,932 18 2 .. 122,151 9 7 Receints for farms .. 256 6 8 2,437 3 6 719 17 5 66 4 0 631 5 5 /99 12 10 3,649 3 1 .. 8,559 12 11 Miscellaneous .. .. .. .. 5,268 11 11 5,632 18 3 j 7,963 18 9 1,931 2 7 2,617 18 8 6,743 9 3 3,273 16 8 13 1 1 33,444 17 2 Totals .. .. .. .. •• 30,788 8 3 32,969 11 6 : 30,475 12 8 4,893 9 8 10,857 19 2 37,30119 5 16,855 17 11 13 1 1 164,155 19 8

S Bedding Buildings Fud, Light, .. Surgery wlneg Miscel J meXL Ne " ost ®T ĀT Mental Hospital. Salaries. Farm. Provis . spirits. laneous. , Patieilt . payments . Patient . TeaT . 1931-32. 1931-32. Boarders). | j 1 ' £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ .=. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. Auckland 1 314 29 14 10 3 12 5 0 9 4 0 13 4 4 5 1 9 19" 5 0 4 0 0 0 1 4 2 4 53 0 10 19 4 6 4 4 1 29 12 3 35 10 3 5 18 0 Ckristchurch " 1 139 37 2 0 4 8 7 0 18 3 1 2 8 5 5 2 11 3 6 0 6 3 0 0 2 5 9 1 65 15 8 21 17 3 7 1 8 36 16 9 48 17 8 12 0 11 teSwfi) " 1 235 41 8 11 4 6 2 0 8 5 1 4 1 5 15 6 10 2 10 0 4 9 .. 4 16 9 68 7 5 17 12 11 7 0 7 43 13 11 54 9 3 10 15 4 .. Hokitika " i 4 19 7 0 19 9 4 3 7 13 19 10 0 4 10 .. 4 0 4 82 10 3 10 7 7 7 3 2 64 19 6 83 10 2 18 10 8 .. Nelson " " 498 38 19 9 4 15 9 1 1 9 2 15 5 5 18 6 10 16 9 0 6 6 0 0 3 6 11 0 71 5 8 15 5 7 6 10 6 49 9 7 57 3 5 7 13 10 .. VoAua " " 1 461 34 8 8 4 8 3 0 14 9 1 1 7 4 12 7 12 8 10 0 6 1 0 0 2 4 11 0 62 6 11 20 7 5 5 3 3 36 16 3 40 13 3 3 17 0 .. n u i (includes 611 35 18 9 4 3 9 0 19 1 4 15 7 4 19 7 8 8 3 0 4 3 .. 6 9 5 65 18 8 16 5 2 11 6 7 38 6 11 45 7 6 7 0 7 .. .. .. 1 1 11 ■■ •• 0 0 1 » •_ •• 0 5 2 17 2 -■ 1 7 2 1 14 1 0 6 11 .. Totals .. 6,537 37 13 9 439 0 14 3 1 10 0 500 10 17 1 053 001 54 10 65 90 18 13 9 686 40 69 48 12 2 855

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, 1932.

Table XX.—Expenditure, out of Public Works Fund, on Mental Hospital Buildings, etc., during the Financial Year ended 31st March, 1932, and Liabilities at that Date.

By Authority : W. A. G. Skinneb, Government Printer, Wellington.— 1932.

Approximate Cost of Paper.—Preparation, not given; printing (565 copies), £35 10s.

Price 9ā.]

25

j Total Mental Hospitals. 1877-1923. 1923-24. 1924-25. 1925-26. 1926-27. 1927-28. 1928-29. 1929-30 1939-31 1931-32 Net Ex P endi ture, 1st July, 1877; ! j to 31st March, 1932. j ; ~ £ £ £ £ ££££££ £ ok i™ d , • ™>!"o 5 ' 188 2,393 2 ' 073 19 ' 988 12 < 213 12 > 461 2,279 3,372 621 230 663 Christchurch (Sunnyside) .. .. 196,212 1,497 6,272 2,901 7,229 10,164 7,777 35,291 23 993 4,650 295 986 Dunedin (The Camp) .. .. .. 4,891 .. .. .. _ 4 SQl Hokitika .. .. .. 9,500 10,216 16,013 8,034 1,745 141 401 3,064 14,764 8 381 72'259 Hornby .. .. .. .. 11,102 .. .. .. .. ii'irw MotuiM Island .. .. .. 561 .. .. .. " " " «u Napier .. .. . . . . 147 .. ., " " " " '' * * rji Nelson and Stoke 36,428 2,879 6,294 13,750 '753 '956 33',250 26',494 3',339 127,639 .runitahi .. .. .. .. .. .. # 16 433 32*563 SeaeM .. .. 188,730 1,246 3,016 4,767 17,888 9,408 27,i32 34,609 3'o65 298'775 Tokanrn .. .. .. .. 96,010 2,743 16,076 8,097 1,658 2,124 19,887 32,405 27,787 7,164 213'951 Wellington " " " !! ll[Z . 627 - 853 2 ' 1TO 9 «» 3l!805 Wellington (Porirua) .. .. .. 213,818 2,578 18,374 38,213 16,004 16,315 27,315 9,028 346^123 Totals .. .. .. 974,583 26,541 68,438 77,835 68,635 51,118 96,782 152,096 134,140 45,938 1,696,106

Mental Hospitals. Net Expenditure for Year : Liabilities ended 31st March, 1932. ! on 31st March, 1932. I £ £ Auckland .. .. .. .. .. . . 6 2i 89 Christehurch (Sunnyside) .. .. .. .. 4,650 107 Hokitika .. .. .. .. .. .. 8;381 587 Nelson and Stoke .. .. .. .. .. 3,339 Porirua •• •• •• .' ! l',U9 'io Puhitahi .. . . .. .. .. . 16 433 97 Seacliff | 3 Tokanui .. .. .. .. .. .. 7jl64 93 waitati .. .. .. .. _ j 93g Total .. .. .. .. .. 45,938 983