MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1944

Appendix to the Journals of the House of Representatives, 1945 Session I, H-07

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1945 NEW ZEALAND

MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1944

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

The Director-General to the Hon. A. H. Nobdmeyer, Minister in Charge of the Department of Mental Hospitals Sir, — Wellington, Ist June, 1945. I have the honour to present my annual report upon the work of the Department of Mental Hospitals for the year ended 31st December, 1944. Statistical There were 8,753 names of persons upon our register at the end of the year, including 34 patients and boarders at Ashburn Hall private licensed institution and 599 patients and boarders who were absent on probation in the care of relatives and friends. In actual residence in our eight State hospitals on 31st December there were 8,120 persons—an increase of 160, compared with the previous year—and of this number 7,760 were subject to a reception order, while 360 were voluntary boarders. There was an increase of 233 in the number of those admitted for the first time, and 428 ex-patients and boarders returned for further treatment. Of all classes of admissions we were able to discharge 961, or 51-92 per cent., calculated upon the number admitted, but no more than 578, or 31-23 per cent., were fully recovered at the time of discharge. This number falls far short of the true recovery rate, as patients who go on probation and do not send a medical certificate or report to the institution require to be discharged as " unrecovered."

Voluntary Boarders

I ■tfiraf TjAt irirat Tntai Transferred Remaining Adffioa. £S. AoffiL. JjBjgg Died. Digged. M. F. T. M. If. T. M. F. T. M. I , . T. M. F. T. 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 0 2 2 18 21 39 2 fi 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 1 10 23 33 9 19 28 1918 .. .. 23 38 61 5 11 16 28 49 77 14 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 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 1932 .. .. 150 85 235 50 40 90 200 125 325 24 32 56 14 5 19 190 108 298 170 141 311 1933 .. ..112 109 221 53 32 85 165 141 306 11 14 25 5 4 9 121 107 228 198 157 355 1934 .. ..132 90 221 56 33 89 188 123 311 7 11 18 10 6 16 152 99 251 217 164 381 1935 .. .. 130 87 217 40 55 95 170 142 312 18 20 38 19 10 29 151 116 267 199 160 359 1936 .. .. 98 99 197 62 44 106 160 143 303 21 20 41 7 10 17 137 111 248 194 162 356 1937 .. ..103 91 194 64 45 109 167 136 303 14 7 21 6 10 16 163 122 285 178 159 337 1938 .. ..Ill 105 216 60 53 113 171 158 329 11 15 26 11 8 19 144 125 269 183 169 352 1939 .. .. 131 103 234 63 72 135 194 175 369 22 21 43 16 15 31 157 130 287 182 178 360 1940 .. .. 128 124 252 65 63 128 193 187 380 18 18 36 10 12 22 176 167 343 171 168 339 1941 .. .. 93 104 197 48 58 106 141 162 303 11 9 20 10 13 23 140 151 291 151 157 308 1942 .. .. 88 108 196 44 74 118 132 182 314 14 15 29 15 8 23 124 160 284 130 156 286 1943 .. .. 95 126 221 66 87 153 161 213 374 2 8 10 13 14 27 115 159 274 161 188 349 1944 .. .. 146 168 314 70 104 174 216 272 488 4 7 11 11 10 21 172 243 415 190 200 390

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Accommodation For many years the shortage of accommodation for patients has been the burthen of annual reports, but in 1936 I was able to say that by the carrying-out of an extensive building programme we had reduced the deficiency from 935 to 514 beds, despite a fairly large net increase in the number of patients resident.

Unfortunately, owing to causes outside the control of the Department, we have been unable to maintain or improve upon that happy position, and the shortage of accommodation is once more very acute, as disclosed in the following table, which shows the position at each hospital at the end of the year : —

These figures do not take account of 265 patients temporarily lodged at The Chateau and Wairakei and for whom other accommodation must be found at an early date, so that there is an actual deficiency of 1,016 beds, or the equivalent of an additional mental hospital. For the most part the shortage can be ascribed to the damage caused at Porirua by the earthquake of 1942, which necessitated the evacuation of 532 patients to The Chateau, Wairakei, and to other mental hospitals, but the problem of overtaking the shortage is greatly accentuated by the urgent need to evacuate other existing accommodation. This refers particularly to Seacliff, where the earth movements of the unstable land has rendered parts of the buildings unsafe, and to Nelson City Mental Hospital, where the old buildings are becoming less serviceable with the passage of time. Our building programme has, of course, been affected to some extent by the shortage of labour and materials arising out of war conditions, but steps are being taken to relieve the situation. Contemporaneously with the rebuilding of Porirua on the villa system, we have made a start with the erection of the new Lake Alice Hospital, near Bulls, which will take admissions from the Taranaki, Manawatu, and Hawke's Bay areas and so diminish the admission rate at Porirua. Lake Alice Hospital will be an advance upon the villa system, in that small cottages will be provided for those who are likely to benefit from association in smaller groups. To replace Seacliff it is proposed to build a new hospital on the Cherry Farm estate, near Waikouaiti, and, after due consultations with geologists as to the stability of the site, plans are being made. When Stoke Farm, near Nelson, was acquired for the purpose of erecting the mental hospital there, now known as Ngawhatu, the original Nelson Mental Hospital was retained as a colony for the lower grades of mentally defective children. This hospital, built in 1874, has deteriorated beyond the limits of economic repair, and it is proposed to transfer the children to an institution which has become available in the North Island. It is desirable that there should be at least one such colony in each of the main provincial districts, and it is proposed to utilize the Orokonui Homo, in Otago, for this purpose, and also to acquire as soon as may be possible an institution near Auckland. Alterations, Additions, and Improvements Capital expenditure on new buildings and additions and improvements amounted to £37,741 during the year, and the following summary shows the principal items making up the total, including new buildings in progress but not completed by 31st March : — Auckland (£2,504) New occupational class-rooms have been erected and a new washhouse provided at the nurses' home. Kingseat (£424) Roading and water-supply services have been extended. Porirua (£20,623) Three new villas have been erected and equipped. Christchurch (£766) A new vegetable-shed has been erected at Templeton Farm and a new transformer-house at Sunnyside.

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Number of , , Patients and AT , Number Hospital. Aooommodo- VoIunt 1*2*17 actuall y Deficiency. Surplus. tl0n. Boarders on jobation. res ident. Register. Auckland .. 1,187 1,479 178 1,301 114 Kingseat .. 780 807 28 779 .. 1 Tokanui .. 710 801 23 778 68 Porirua .. 821 1,163 61 1,102 281 Seacliff .. 879 1,063 68 995 98 Christchurcli .. 1,236 1,525 174 1,351 115 Nelson .. 954 1,077 56 1,021 67 Hokitika 512 553 32 521 9 Total .. 7,097 8,468 622 7,848 752 1

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Seacliff (£6,526) The water-supply has been improved. The erection of a new villa at Waitati should be completed at an early date. Marion (£6,680) Roading, water-supply, and drainage work have been carried out. It is expected that the building programme will soon be commenced. The Training of Psychiatric Nurses The passing of the Nurses and Midwives Registration Amendment Act, 1944, recognizes the status which is due to those who train to b .come proficient in nursing the mentally afflicted. The Department has provided courses of lectures, tuition, and training since 1907 on a progressively higher standard, but it has been felt that to attach to the diploma the status which it merits we should come into line with other branches of nursing and vest the conduct of the examination in the Nurses and Midwives Registration Board. With the introduction of the more recent methods of treatment, including the various forms of shock therapy and the spread of occupational therapy, throughout our hospitals, there has been instituted a greater individualization of treatment and a corresponding requirement of more knowledge on the part of the nurse, but in this, as, indeed, in all forms of social service the work becomes more congenial and easier in proportion to the intellectual as well as the humanitarian interest which can be brought to bear on it. It is essential for the proper training of nursing staff that our Matrons should hold the double general and psychiatric nursing qualification, and every encouragement is given to our nurses to take further training in the hope that they will return to fill the higher positions in our hospitals. We have, of course, to consider the claims of those of our staff who have given long and faithful service to the Department, but at several of our hospitals we already have doubly trained Matrons and many of our nurses are on special leave for general training. Conversely, with the wider recognition of the psychological aspects of physical illness, no nurse can be described as fully qualified unless she has spent at least some time in nursing psychiatric cases, and the logical result of the recent legislation should be the institution of some means whereby such training can be made available to all nurses. Shortage of Nurses I regret to say that there has been no material change from last year so far as staff shortage is concerned, and the main body of our nurses have to carry an undue burden. I have been greatly impressed upon my visits of inspection by the manner in which our nurses carry out their duties, and this I have pleasure in putting upon record. Service Patients The forecast made in my report of four years ago that there was " no reason to anticipate anything but a small incidence of mental disorders amongst our soldiers on active service overseas " is amply borne out by the figures compiled up to the end of 1944. The movements of service patients and boarders from the beginning of the war until the end of last year are shown in the following table :— Admitted after Overseas Service. Admitted from Camps, &c, in New Zealand. Admitted .. .. .. .. 190 Admitted .. .. .. .. 167 Discharged recovered .. .. .. 82 Discharged recovered .. .. .. 78 Discharged, not recovered .. .. .. 26 Discharged, not recovered .. .. .. 25 Died .. .. .. .. .. 4 Died .. .. .. .. .. 8 — 112 — 111 Remaining .. .. .. .. 78 Remaining .. .. .. .. 56 Our figures are much in accord with the experiences in Great Britain, where several mental hospitals and homes for defectives were taken over for war hospitals. This caused overcrowding in these institutions, " but, fortunately, the demand for beds for certifiable mental cases tended to diminish rather than to increase " (Mackintosh). These figures, it is true, do not tell the whole story, and there are many cases of psycho neurosis which do not come within the purview of this report, although many of the patients are being seen and treated by officers of this Department, but again in respect of the psycho neuroses there is no need for public uneasiness. The psycho neuroses of war are for the most part reactive in character, their treatment is simpler, and the outlook better than those arising from peacetime conditions. Medical Staff The steadily increasing demands upon the Department for psychiatric service outside our mental hospitals, the institution of newer and more intensive forms of treatment, and the immediate prospect of new mental hospitals and institutions for defective children make it necessary for me to ask that attention be given to the need for increasing our medical staff which is at present hopelessly inadequate to maintain a proper standard of treatment and care.

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That the services of our medical officers are greatly in demand is a gratifying sign that the importance of psychiatric treatment and advice is becoming more widely recognized, but we cannot continue to give these services without sacrificing the proper and safe conduct of our hospitals unless a substantial addition is made in the number of medical officers. The amount of extra mural activities has greatly increased during the war years. In addition to the twelve clinics which we conduct at the general hospitals in the main centres and larger provincial towns —and these sessions involve absence from the mental hospital for periods of from a half to two days —our officers are called upon to examine and furnish reports upon pensioners, Service personnel, rehabilitation cases, and prisoners ; to give lectures to medical students and to nurses at their postgraduate courses; and to address various social organizations. Within the mental hospitals the recent introduction of the various methods of shock therapy, occupational therapy, and other modern forms of treatment has increased the demands made by the individual patient upon the doctor and lessened the number to which he can give his effective attention. Since the commencement of the war no less than eight of our assistant medical officers have been induced to leave our service because of the higher incomes which can be obtained under recently developed conditions of private practice, and they have not been replaced. In addition, two of our officers are still overseas on active service. I cannot stress too strongly the urgent need to secure at least fourteen thoroughly competent additional psychiatrists for the Department. The following nurses and attendants passed the Senior Mental Nursing Examination :— Passed top for Dominion : Nurse D. I. Gardiner (Auckland). Auckland — Attendants : W. J. Armstrong, T. I. Brown, W. Croft, W. A. M. McLean. Nurses : J. Arthur-Worsop, D. E. Brown, F. A. Carmichael, A. J. Dawes, P. A. Dutton, *C. J. A. Fletcher, B. Gabrielsen, *D. I. Gardiner, I. M. Hope, E. M. McGuire, E. M. O'Connor, L. Whiu. Papakura— Attendants: E. J. Burrell, G. H. Parker. Nurses : N. E. Hoby, H. B. Johnson, J. I. McPhail, F. G. Woolfield. Tokanui— Attendants : A. H. M. Grenfell, B. McCarthy. Nurse : J. M. Kelly. Porirua — Attendants : 0. G. Christopherson, W. Eodgers. Nelson— Attendants : J. C. Fleming, W. E. Holder, B. B. Pahl, A. J. Parkinson. Nurses : S. M. Brophy, F. G. McDonald, T. P. Von Sturmer. Hokitika— Nurse : F. E. Hunter. Christchurch— Attendant: T. C. Donovan. Nurses : K. M. Brewer, A. J. Coote, *E. M. Fry, A. M. Morel, C. P. O'Grady, M. S. Eussell, A. G. Tooley. Templeton Farm— Institution Officers : N. McDowell, A. E. Prosser, J. Eichmond, L. C. Taylor. Seacliff— Attendant: J. T. Thompson. Nurse : H. T. Manning. Valedictory During the year an unusually large number of our Matrons and Head Attendants retired, notably Miss Mayze, Miss Eedman, Mrs. McLaren, Miss Kelly, Miss Gabrielsen, Miss Finane, and Messrs. Fowlie, Briggs, Morgan, Turner, Beasley, Wicks, and Anderson. Mr. David Eiddle, for many years our Agricultural Overseer, retired on account of ill health. All these officers had given many years of good and faithful service to the Department, and it is fitting that, as an expression of gratitude, I should put their names on record. Appreciation I gladly avail myself of this opportunity to thank Dr. Lewis and my other medical colleagues, Mr. Sinclair, Chief Clerk, and all the Head Office staff, for the unfailing loyalty shown to myself and for the harmonious and efficient way they have worked during a very difficult period. Theo. G. Gray, Director-General. * Passed with distinction.

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Table I. —Showing the Admissions, Readmissions, Discharges, and Deaths in Mental Hospitals DURING THE YEAR 1944 M. F. T. In mental hospitals, Ist January, 1944 .. .. .. .. .. .. 4,376 3,746 8,122 M. F. T. Admitted for the first time .. .. .. .. ..487 622 1,109 \ Rnn -„, . „„„ Readmitted .. .. .. .. 113 141 254> 600 763 I'i6S1 ' i6S Total under care during the year .. .. .. .. .. 4,976 4,509 9,485 Discharged and died— Recovered .. .. .. .. .. .. 137 218 365 Not recovered .. .. .. .. .. .. 101 90 191 Died .. .. .. .. ..327 249 576 1 — — — -^-^—■ 000 00 # I*l. ~ £ (Not including transfers : Males, 107 ; females, 58.) Remaining in mental hospitals, 31st December, 1944 .. .. .. .. 4,411 3,952 8,363 Increase on 31st December, 1943 .. .. .. .. .. .. 35 206 241 Average number resident during the year .. .. .. .. .. 4,231 3,640 7,871

Table II.—Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries, etc., per Cent. on the Admissions, during the Year 1944.

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Admissions in 1944. T . . Nlln . h . P In Mental Hospitals lotal -Number Mental Hospitals. on p ., t 1st January, 1944. Admitted for the Not First tv & _ „ J v, atle J? , First Time. Admissions. Transfers. under Care. I ] M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Auckland .. .. 705 641 1,346 101 132 233 23 35 58 18 13 31 847 821 1,668 Kingseat .. .. 423 327 750 11 27 38 3 3 6 43 4 47 480 361 841 Tokanui .. .. 390 617 1,007 41 56 97 5 6 11 4 17 21 440 696 1,136 Porirua .. .. 605 402 1,007 118 150 268 40 43 83 10 12 22 773 607 1,380 Nelson .. .. 623 411 1,034 68 48 116 0 2 2 2 2 4 693 463 1,156 Hokitika .. .. 265 269 534 8 10 18 2 3 5 13 5 18 288 287 575 Christchurch .. .. 729 686 1,415 86 127 213 21 23 44 13 2 15 849 838 1,687 Seaoliff .. .. 626 369 995 54 71 125 19 26 45 4 3 7 703 469 1,172 Ashburn Hall (private 10 24 34 0 1 1 .. .. 10 25 35 mental hospital) Totals .. 4,376 3,746 8,122 487 622 1,109 113 141 254 107 58 165 5,083 4,567 9,650 Patients Discharged, Transferred, and Died. In Mental Hospitals Mental Hospitals. ivi+oi ,».r.i,.r,»i on 2SS £££&. transferred. Died. 31st December, 1944. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Auckland .. 38 46 84 25 20 45 47 10 57 54 48 102 164 124 288 683 697 1,380 Kingseat .. .. 3 10 J3 4 2 6 9 4 13 18 10 28 34 26 60 446 335 781 Tokanui .. .. 8 21 29 4 9 13 2 10 12 17 27 44 31 67 98 409 629 1,038 Porirua .. .. 47 83 130 13 14 27 15 16 31 72 51 123 147 164 311 626 443 1,067 Nelson .. .. 5 9 14 2 13 5 3 8 49 24 73 61 37 98 632 426 1,058 Hokitika .. .. 2 3 5 2 4 6 4 1 5 24 6 30 32 14 46 256 273 529 Christchurch .. 25 35 60 29 23 52 17 11 28 37 55 92 108 124 232 741 714 1,455 Seaeliff .. .. 9 11. . 20 22 17 89 8 0 8 54 28 82 93 56 149 610 413 1,023 Ashburn Hall (private .. .. 0 3 3 2 0 2 2 3 5 8 22 30 mental hospital) ■—■ Totals .. 137 218 355 101 90 191 107 58 165 327 249 576 672 615 1,287 4,4113,952 8,363 Avnriura Nnmhor Percentage Percentage of „.-,„, „„.,, , rfVvH™ o' Recoveries on Deaths on Average Mental Hospitals. res dent during Admissions Number resident tne lear - during the Year. during the Year. M. F. T. M. F. T. M. F. T. Auckland .. .. .. .. 656 604 1,260 30-65 27-54 28-87 8-23 7-95 8-10 Kingseat .. .. .. .. 423 323 746 21-43 33-33 29-55 4-24 3-10 3-75 Tokanui .. .. .. .. 390 613 1,003 17-39 33-87 26-85 4-36 4-40 4-39 Porirua .. .. .. .. 605 399 1,004 29-75 43-01 37-04 11-90 12-78 12-25 Nelson .. .. .. .. 612 407 1,019 7-35 18-00 11-86 8-01 5-90 7-16 Hokitika .. .. .. .. 256 265 521 20-00 23-08 21-74 9-38 2-26 5-76 Christchurch .. .. .. .. 686 635 1,321 23-36 23-33 23-35 5-39 8-66 6-96 Seacliff .. .. .. .. 595 372 967 12-33 11-34 11-76 9-08 7-53 8-48 Ashburn Hall (private mental hospital) .. 8 22 30 .. 25-00 0-00 6-67 Totals.. .. .. .. 4,2313,640 7,871 22-83 28-57 26-05 7-73 6-84 7-32

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Table IV.— Ages of Patients on 31st December, 1944

Table III.— Native Countries

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Countries. Auckland. Kingseat. Tokanui. Porima. Mson. Hokitika. Chrlatdmrch. Seaclifl. Total. Hospital). France ....101 .. 101 o Germany .. 10 J 10 122 41 i' 2 1 i"- 2 '.'. 1 6' 1 2 6' 2 " 9 4 13 Austria .. -.606707202011101 "... Iβ? 17 Norway ....101404101 .. 101 " ? n ! Sweden .. ..213112 .. 101 .. 1 o' 1 '.[ 2 6' 2 '.'. 7 9 Denmark .... .. .. 224101404101 101 Q2 11 J* al y •• •• 2 0 2 1 1 2 1 0 1 2 0 2 1 1 2 3 0 3 . 10 1 12 China .... 3 1 4 2 0 2 2 1 3 2 1 3 1 0 1 .. Oil " la 1 \l Maons •• •• 22 30 52 10 6 16 16 21 37 32 19 51 13 12 25 1 2 3 6 9 15 " inn qq iqq Other countries .. 40 20 60 25 11 36 12 11 23 19 5 24 5 0 5 4 0 4 4 4 8 4 2' 6 IIS II !«« Unkn0Wn - ■• •• - •■ ■_■ 22_7 29 17 35 52 .. 11 6 17 V. 50 Is 98 Totals .. 683 697 1,380 446 335 781 409 629 1,038 626 443 1,069 632 426 1,058 256 273 529' 741 714 1,455 610 413 1,023 ~8 22 3o" 4,411 3,952 8,363

Ages. Auckland. Kingseat. Tokanui. Porirua. Nelson. Hokitika. Christchurch. Seaclifi. Total. Hospital). From 1 to 5 years ..112 .. 1 0 1 2 0 2 25 15 40 01 1 4 b 4 *t 77 fin „ 5,,1O „ .. 3 1 4 10 1 3 5 8 3 10 13 56 26 82 0 1 1 11 15 26 2 3 5 " n m iS " 10 " 15 » •" 8 3 11 11 2 4 4 8 2 11 13 49 26 75 12 3 50 33 83 3 4 7 " lls 21 " 15 " 20 » ■• 27 20 47 9 4 13 12 11 23 19 18 37 52 27 79 3 4 7 73 54 m J 5 28 1 0 1 m i« SS „ 20 ,,30 „ .. 90 100 190 32 20 52 53 59 112 96 68 164 90 42 132 14 19 33 212 130 342 65 35 100 0 1 ml lw l ?9« " 30 " 40 " ■• 161 214 285 6 ° 58 118 66 92 158 125 76 201 95 60 155 37 24 61 96 115 211 106 56 162 0 3 3 llfi tit '111 „ 40 ,,50 „ .. 130 130 260 84 69 153 71126 197 133 86 219 87 63 150 48 41 89 99 86 185 27 70 197 2 0 2 78? 2??!'^ " 50 " 60 - ■■ U2U5 2 57 HO 81 191 66 143 209 110 71 181 76 73 149 69 81 150 92 118 210 118 81 1QQ 2 5 7 7" 70S ]'-£ „ 60 ,,70 „ .. 94 101 195 95 70 165 83 113 196 95 63 158 56 50 106 58 73 131 69 102 17? 95 93 88 2 6 8 64? «?? J'S« Unknot .. .. 12 13 25 9 3~ 12 6 Y 13 V. 9 2 ' 11 3 5* 8 * 3 . & \\ ° ?. 2 39 Jg Totals .. 683 697 1,380 446 335 781 409 629 1,038 626 443 1,069 632 426 1,058 256 273~ 529 741 714 1,455 610 413 1,023 8~22 30~ 4,411 3,952 8,363

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Table V.—Length of Residence of Patients discharged "Recovered" during 1944

length of Besidenee. Auckland. Kingseat, Tokanui. Porirua. Nelson. Hokitika. Chrlstchurch. Seacliff. Ashbnrn Hall. Totals. TT , M - r - T - M - *■■ 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 ..123.. 011235 369 From 1 to 3 months 6 5 11 1 0 1 0 3 3 13 17 30 '.'. '.'. 6 i' 7 1 5" 6 27 31 58 " 3 „ 6 „ .. 2 3 5 0 3 3 0 1 1 14 26 40 .. .. 2 0 2 2 2 4 '.'. 20 35 55 » o » 9 „ .. 8 11 19 2 3 5 0 4 4 9 15 24 0 2 2 .. 6 7 13 2 2 4 27 44 71 >, S „ 12 „ . 9 5 14 .. 4 6 10 2 7 9 1 0 1 1 0 1 2 9 11 1 0 1 '.'. 20 27 47 „ 1 „ 2 years .. 8 10 18 0 1 12 3 5 2 11 13 2 4 6 12 3 4 7 11 2 2 4 21 40 61 „ 2 „ 3 „ .. 18 9 .. 13 423 512 3 01 104 410 1 .. 6 21 27 .. 3 „ o „ .. . 2 2 4 02 2 10 1011 .. .. 35 8 .. .. 6 10 16 ,. 6. .7 „ .. 1 0 1 0 1 1 .. 10 1 .. .. 112 .. .. 3 2 5 >. 7 „ 10 „ .. .. .. 2 0 2 10 1 .. 0 11 .. .. 3 14 " |0 ,,12 „ .. .. .. .. 0 11 .. 10 1 .. .. 112 Over 15 years Totals .. 38 46 84 3 10 13 8 21 29 47 83 130 5 9 14 2 3 5 25 35 60 9 11 20 .. 137 218 355~

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Table VI.—Causes of Death, 1944

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Cauaes - Auckland. Kingseat, Tokanui. Porirua. Nelson. Hokitika. Christchurch. Seaclifl. (MvateM?ntel Tot«l Hospital). I.—General Diseases 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 it rTuberculosis — ' " *• rGenial 101 .. .. .. .. .. 202 101 404 L ™gs 426 022 011 213 516 .. 022 112 12 10 22 Intestines ............ .. .. .. .. 112 " 119 Cancer 4 5 9 3 0 3 .. 2 13 2 2 4 1 '6 1 0 5 5 1 1 2 ■ ,! , gphotf :::::::::::: 2 ? f :: :: 213101213 11! :: S3 Diabetes .. .. .. .. .. ..123 .. .. .. .. .. " 190 Baeillary dysentery ........ ..101 .. .. .. [. '' " 1 ft 1 Pernicious anaemia .. .. .. .. .. .. .. .. ,. 011 nil II. —Diseases of the Nehvotjs System Exhaustion .. .... .. .. .. .. 213 .. .. 033 .. .. 24.fi Exhaustion of mania .. .. .. .. ..112 .. .. 314 .. 101 >? 9 7 Exhaustion of melancholia .. .. .. ..022 .. .. 123 .. .. 022 1 fi 7 General paralysis of the insane .. .. .. ..202 .. 112 202 011 101 2 0 2 8 ' in Cerebral haemorrhage .. .. .. .. ..224 213 011 011 112 101 426 404 ,- j , Cerebral thrombosis .. .. .. .. ..202 .. 022 246 112 112 " fisil Epilepsy 10 1 .. 0 11 6 0 6 8 19 .. 3" 1 4 20 4 24 Post encephalitic Parkinsonism ........ .. .. 011 .. .. .. Oil Organic brain-disease .. .. .. .. .. .. .. .. 202112 .. 101 4 1 i Meningitis .. .. .. .. .. .. .. .. .. .. .. \\ 011 \\ \\ 011 III. —Diseases of the Respiratoby System Pneumonia — Broncho 6 10 16 .. 0 2 2 4 7 11 3 2 5 112 12 3 1, ,, , q Hypostatic 12 3 .. 0 114 4 8 .. 3 0 3 1 0 1 1 2 3 1 '6 1 11 9 20 Lobar 112 112 .. 2 2 4 .. 10 10 11 .. 5 5 To Bronchitis .. .. .. 10 15 3 8 10 1 .. .. 7 q in Pulmonary cedema ........ ..202 .. .. 202 " 40 4 Empyema 0 11 .. .. .. " 1 '6 1 '.'. '.'. 119 Pulmonary embolism .. .. .. .. .. .. .. .. 011 .. .. Oil IV. —Diseases of the Circulatory System Heart-disease .. .. .. .. .. .. 9 5 14 4 2 6 10 10 20 18 9 27 3 0 3 10 2 12 5 7 12 16 16 32 7*. SI 19fi Arterio-sclerosis 4 3 7 2 13 .. .. 112 .. 1 0 1 13 0 13 9? k fa Coronary occlusion .. .. .. .. ..101 404 022 246 112 .. 101 .. "9 7 16 V.—Diseases of the Digestive System Enteritis .. .. .. .. .. .. .. .. .. 12 3 505 .. .. 202 82 in Colitis .. .. .. 0 11.. I! 1 0 1 11 *o Intestinal obstruction ..........112 .. .. .. .. .. 112

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VI.—Diseases of the Ukinaby System Uraemia ........ l 1 o „ , , rife " :: :: :: :: 0 i i :: ° .! ' :. :: III VII. —Old Age Senile decay 5 5 10 Oil 549 13 10 23 9 4 13 101 12 23 35 448 101 50 51101 VIII. —External Causes :: ° X J •• 0 •: - 0 11112 0 11 .. 14 5 Fracture of skull .. .'. V. 1 o 1 " " Oil .. .. 022 Dislocated vertebra; .......... " 1 "6 1 IX.-Died whilst ON Peobation 4 15 Oil .. 213 303 .. 448 213 .. 15 8 23 Totals 54 48 102 18 10 28 17 27 44 72 51123 49 24 73 24 6 30 37 55 92 ~54 28 82 2 0 327 249 576~

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Table VII.—Principal Assigned Causes of Insanity, 1944

Table VIII.- Showing the Admissions, Discharges, and Deaths from Ist Januaey, 1870, to 31st December, 1944 (excluding Transfers) m . s. t. [n hospital, 31st- December, 1875 .. .. .. .. 182 254 7;j(i Admissions .. .. .. .. .. .. .. 27, l>o3 22,480 50,083 28,085 22,734 50,81!) Discharged m. f. t. Recovered .. .. .. 0,318 8,03!) 17,957 Not recovered .. .. .. 3,300 2.984 (i,284 Died .. .. .. .. 11,050 7,159 18.215 23,674 18,782 42,450 Remaining on 31st December, 1911 .. .. 4,411 3,952 8,303

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

10

! a!* S ■ |_ ,J ae S u S 1 I I I I 1 I i 111 i * ~ — W ffl S tf? -1< £ j^ M- I'- M. r. M. 1-. M. V. M. !■'. M. F. M. F. M. F. M. P. M. I'. Alcohol .. ..22.. ..21 21 (i ) Arterio-solerosia .. I !) 10 0 1 10 2 7 r> 17 Congenital .. 11 12 5 r> 7 3 22 9 4!) 22 I 0 27 Xi 9 i) 13] <);s Climacteric . . . . . . 020209 14 . . 0 :S 20 Constitutional .. f>0 22 0 8 I 1(1 38 4.'i .. I :i Hi 1 106 93 Epilepsy .. ..13 0 142 65 L 1 4 2 2 2 18 16 Ill-health .. ,.51 .. .. . 0 I I) I - - 53 Involution .. .. 3 26 .. 0 1 12 .. 18 16 2 4 8 42 Encephalitis. . ..01,. .. .. 01 Heredity .. .. 0 1 0 1 5 24 4 10 6 6 0 2 '.'. 15 44 Mental stress .. 0 12 2 4 15 6 17 20 :i 2 25 :S4 17 32 79 110 Organic brain-disease., 4 2 .. 0 10 5 0 12 0 i> <) Previous attack .. 23 83 3 3 I 0 40 43 0 r> 3 I r> 18 19 2(> 0 1 94 135 Puberty or adolesenoe.. 0 2.. 12 0 1 2 10 2 3 s Puerperal .. ..04010207 01 0 15 Senility .. ..20 31 4 6 10 9 24 3(> 9 7 2 I 22 43 20 14 III I4(i Syphilis .. ..40 .. I I 2 0 0 1 .. .. ■> 0 92 Toxic .. ..04 . . II .. .. .. ~ 15 Trauma .. .... .. .. I 0 10.. •» i) Transfers .. .. 18 13 43 4 4 17 10 12 2 2 13 f> 13 2 4 3 107 58 Totals .. 142 180 57 34 50 79 168 205 70 52 23 18 120 152 77 100 0 1 707 821

Hales. Females, Moth Sexes. Recovered .. .. .. .. .. 33 -17 38-00 35-33 Unreoovered .. .. .. .. ... 11-75 13-13 12-37 Kiod .. .. .. .. .. .. 39.37 :j|-4!) 35-84 Remaining .. .. .. .. .. 15-71 17-38 16-46 100-00 100-00 100-00

H.—7

Table X.—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, 1897

11

Discharged. Year. Admitted. ra - ,. Remaining, Average Number* Percentage Percentage of Deaths iprnmH u l ■ -i wtT j • 31st December in of Recoveries on on Average Numbers Keco\ered. Relieved. Not Improved. each Year. resident. Admissions. resident. 1898 ' IS 2?2 4fifi nl I Jn £5 Jo I j "o | *". H> "> 5 I X *H 9o1 2^430 U "e* 4 2^ 55 3 5 ; 92 37-8 2 j 7-44 ; 4*55 6*28 18W " j 2W 1QQ 1-s 4! IS « S 36 ! o ! * 8 88 60 148 1,472 1,008. 2.480i 1,438 973; 2,411 44-88 51-89 1 48-07! 6-12 6-17 6-14 1900 im o« Oα on In 34 I 2 I J » 114 i 43 157 1.612 l.Mo' 2,657 1,487. 1.004 1 . 2,491 33-98 49-49. 40-83 7-67 4-28 6-30 1901 " : 320 mi £« 9?' im ; III M " i J 4 99 ; 46 145 1,581 1,091 2,672 1,534 1,049! 2,583 34-33 47-54j 39-64 6-45 : 4-38 5-61 902 " '■ lit ' HI 1 nil ISM no '' of Oβ I 7 37 ;A 2 2 102 ! 72 174 l>654 1,119; 2,773 1,622 1,094 2,716 39-06 46-64 1 42-17 6-29 | 6-58 6-41 903 " IS III S? ,m ! ! 22 o^ 1 41 10 2 19 12 °: 55 175 L™* l>133 1 1,671 1,114 2,785! 38-35 51-56 43-01! 7-18 ! 4-94 ! 6-28 1904 " 332 j -«8 i I 44 n« ' ofit ! 9A ?f ! 5 ° I •; 2 2 ! 129 U 173 X ' 771 J ' 188 2 ' 959 i J ' 741 i 30 2 ' 90li 4 °- 56 446 9 42-17 7-41 ! 3-79 I 5-96 lqoi " ! lo : m? !!q ; 12? Ifj OQ « 35 - ! I 120 70 190 ! 1,801 1,237 3,038 l,780; l,198i 2,978i 47-59 44-91 46-30 6-74 5-84 6-38 1906 " [ w 964 ; mq It? I !,« ! ; 1 S: " •; ■: 147 67 ' 214 : L 836 1.276 3,112 1,796 1,232 41-39 48-21 44-19 8-18 5-44 , 7-07 1«T i ?W ; if fiOO fiO ! Iqq II T* 50 i •• 1 1 : 146 85 i 231 ; l,900 l,306 3,206 1,823 1,265 3,088 39-75 47-73 42-94 8-01 fi-71 ! 7-48 1908 " ! 426 ! qfs '■ -22 J!fi ; ?Q Jo ! 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 1909 " t 2 q ! 111 ] 't 4 ! Itq 4 n 55 £ !? Si } " J U * ™ '< 222 | L997 1,417 3,414 1,894 1,346; 3,240 42-25| 45-91 43-82 7-81 5-50 ! 6-85 mo ' til vL\ lit \ll 122 S 28 l| ..| 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 wii " : Hi In Iμ ! 4 « ? 2 i 9Q ( ?I 55] 1 -i ■■; J 186 97 ■ 283 2,16 ° 1>51 ° 3 ' 670 2 ' 028 : ' 445 3 - 473 38 - 40 46 - 18 41 -so ••" 6-71 s-i5 9 2 " ; t 4 8 W III \m i2? S- i ?? ! J? 39 ' if ! I 6 ; 198 105 303 2 ' 22) 3 ' 736 2 ' 105 1 ' 496 3 ' 601 3fi38 53 -°° 43 " 27 9- 41 ' 7 ' 02 S -« 1913 ! 466 III : ill \™\ R9 : w « Is 6 ii } ; 5 J 2 193 87 28 0 2,273 1,640 3,913 2,146 1,551 3,697 40-17 37-01 38-74! 8-99 5-61 I 7-57 9 4 : 509 Is9 : 868 90? l «9 ' Ifl » 9Q 1 0 , 6 196 U1 3 ° 7 2 ' 332 ' 1>632 3 ' 964 2 ' 252 X ' 597 3 ' 849 37 ' 55 5 °- 94 42 " 98 ! 6>96 7 " 98 1915 ! 450 ; ll\ In ! 909 ! 9A l 00 ° 6 ,n ! ,? o 5 193 88 281 2 ' 408 1 ' 703 i 4 ' 1H 2 ' 1 ' 6il \ 3 ' 950 4 °67 45-12 42-51 8-36 ! 5-36 7-11 916 " 5?8 j II 1 l\l fro I7I qq? f* t , U a 21 172 : 112 284 2 - 448 1.7521 4,200! 2,391 1,703; 4,094! 44-89 43-21 44-88 7-19 ! 6-58 i 6-94 1917 ' ; 470 I ml ' si! ; ?? III i S on 69 I 8 15 ; 209 : 8 <> ! 28 » 2.555J 1,8201 4,375! 2,483; 1,768 4,251! 30-89 47-37 37-66 8-42 ! 4-52 ! 6-80 1918 " ! 4W 402 It 4 U9 > f '< HI I ?, I o2 52 I ,S ,5 " 205 ! 113 : 318 ' 2 ' 611 ! i' 904 4 ' 2 ' 543 ! L 8 25 4,368! 36-38 40-64 38-27! 8-06 ! 6-19 I 7-28 19 9 l 5?2 OT : IS IS W. II 2S f? 1 a H ™ 2?4 174 448 2 '603; 1,943 4,546 2,602 1,899 4,50l! 32-49! 35-07 33-73 10-53 9-16 ! 9-95 1920 " ! «5 87- !£' Q?n 9- o 4 i 81 ? ! 22 2I2 ! 130 342 2.667 1 1,980 4,647 2,620 1,907 4,527 37-11 39-62! 38-17 8-09 6-82 7-55 1921 '* ItI I02 88? ! Ito lit [ w? S !J 6 fi .! X a ' 15 21 ° 166 376 2,717, 2,037 4,754 2,674 l,98 0 l 4,654 35-6 3 ! 35-32! 35-51 7-85 8-40 8-08 1922 "' isS 386 : III -7" Hq w £ £ 2 « 201 ' U7 318 ! 2 ' 772 i 2 .099 4,871 2,723; 2,031 4,754 37 23! 47-88 42-lli 7-38 5-76 6-69 1923 "* 442 S66 Sns IfiS ' 1« Ui 2? «! 52 ! J2 5 2U 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 1924 " ! Hβ W }« ■ os S 2 8 ° J Q ,f o° 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 ]Q2 4 " t« «0 OT? ■ If I 2 " ??2 ! 9Q f 2 : ?2 o 9 ! JS 2 ° 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 6-37 926 " ; W8 fIf i mi IS 1 9 S ? j f 9 ?I 6 t 2 £ 4 ° 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 9 2 7 " S? 4?1 q!b Jw 98 ; oil S 5 Jf ■ S 20T U7 354 j 3,044 2,423 5,467! 2,926 2,287 5,213, 26-18 30-75; 29-67 6-16 ! 6-42 6-77 1928 "" 506 «0 ! qS Hfi IS 1 Sq i In f 82 ' , 9 i 23 21? 132 349 3,147 2,526 5,673: 3,022! 2,373! 5,393: 29-56 30-91! 30-16! 7-17 5-65 6-47 19OT "\ 549 to?' 2S J« lfl ! 9 j o« 8 o ' 99 i If 3 ° 2 ° 7 161 368 I 3,274: 2 j6 28 3,120 2,459 5,579; 22-72 29-77 : 26-04! 6-63 | 6-55 6-59 930 " f 4 ? !?I 1 nqf lt|l l ifii 98 I S -9 JJ S 22? 153 ! 380 ; 3.39U 2,694 6,093 3,215 2,495 5,710' 26-41 35-37! 30-23 7-06 I 6-13 6-65 1OT1 " 587 4TO il'ran 1OT l9n I!- fa on ! 62 i oa ! II 54 i 251 i 172 ' ! 3 ' 5 72 2,811 6,383; 3,342 2,590; 5,932 22-22; 27-00! 24-29! 7-51 6-64 7-15 1932 "' 58? 'SSI'S?? II : Jm m fa A9 5? S !? 59 221 ! 199 42 « ! 3,753 2,908 6,66i; 3,503 2,696 ! 6,199 21-64 25-2i: 23-37? 6-31 7-39 6-76 llll I 56i 55I }'m m 122 Ifil l f> 4 7 22 S 219 169 388 3,903 2,980' 6,883 3,681 2,738 6,419 24-02 33-05 28- 10i 5-97 6-17 6-06 1934 1 4?9 «E '$83 III lit io ; m 79 3\ 5 ° j I 2 ! 124 345 i 4 . 065 , 3 ,217 7,282 3,809 2,932 6,741; 20-78! 25-99 23-36 5-80 I 4-23 5-16 19M ' 667 502 il 069 117 itfi IS « IS' 33 2 ° 3 436 4 ' 133 3,300' 7,433 3,899 3,039! 6,938 23-80 28-97 26-45 5-98 6-68 6-28 936 " 553 556 l'?0Q 2I l!q 910 ■« ofi ,m 2 ° 6 435 4 ' 282 3,405 7,687! 4,0C3 3,lll! 7,114! 20-63 27-09 23-67J 5-72 6-62 6-11 19W ■" 557 567 I'Ia2 180 i ]ll> f'l ,£ 2 ol 252 2X3 465 4 ' 3 " 3,503 7,860; 4,093 3,195! 7,288! 21-88 26-80 26-76! 618 6-66 6-38 938 " 527 5?T I'lof 70 I i Ho £ 261 236 497 4 ' 352 3 . 5 *5! 7,897 4,112! 3,27 2 ! 7,384! 32-32J 31-57 31-94I 6-35 7-21 6-73 II9 " 603 595 I"l98 ill] m S28 ml \lt V£ " " " 2?3 274 347 4 . 3 -501: 7,797 4,129! 3,287! 7,416 32-26 36-52 34-48 6-61 ! 8-33 7-38 1940 " 553 « ' M )%\ Iss W IS «J, "I - " ' 2 ° l 2 ° 9 46 ° i 4 ,369 3,581 7,950 4,106| 3,320' 7,426 24-38 30-42 27-38 6-11 6-30 6-19 1941 " 605 63? }'?« Iffl 12? Itl Itni , fl ■ '■ ■■ I •• 281 215 496 4 '353 3,678 ! 8,031 4,168 ! 3,4221 7,590 27-67! 3t-60 29-70 6-74 0-28 6-53 1942 " 563 ' Ufi! }2? oil | 3 " }?° ■ • •• 297 J 260 557 4,404 3,738 8,142* 4,192 3,474 7,666 21-12! 29-09 25-20 7-08 7-48 7-27 1943 " 550 658 1'Ios 38 III W ?a oJ? " " " 313 343 656 4 ' 383 ' 3 ,693 : 8,076 4,189| 3,498 7,687 25-09! 30-56 28-41 7-47 9-81 8-53 1944 ■' 600 TOT }'w m l?8 |n? i "n 2 « 7 " •■ ■■ 281 263 544 4,376 3,746 8.122 4181 3 513 76941 25-09 33-89 29-88 6-72 7-49 7-07 1944 .. 600 <63 1,363 137 218 j 355 101 | 191 ■• ■■ .. 327 j 249 576 i 4,411; 3,952 8,363: 4,23l! 3,640; 7,871 22-83 28-57 26-05J 7-73 6-84 7-32 27,32422,32249,6469,214 8,568 |l7,7833, 276 l2,96r6,243 | ■ ■ 1~~) 7T|lO,97ol7,127 18,097!~ _ i~7~. .. i .~; _ TT" _ ! _ 7 ~ ~ 1 Excluding transfers between institutions —3,627 males, 3,077 females.

11.—7

Table XI.—Debits for the Financial Year, 1944-45

12

Auckland. Kingseat. Tokauui. Porirua. Nelson. Hokitika. J Christchurch. Seacliff. Head Office. Totals. „ , . . , £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. A. £ s. d. £ s. d. £ s d. •paries, including overtime .. .. 72,35112 9 36,238 17 5 54,632 16 2 83,260 15 6 56,510 14 9 32,034 5 6 83,860 11 2 77,504 12 7 9 156 1 8 505 550 7 6 Official visitors .. .. 52 10 0 .. .. 14 11 8 .. 1111 0 25 4 0 .. .. ' 103 16 8 Advertising, books, &c 5 3 6 17 13 0 9 5 7 6 17 9 4 15 9 5 6 7 6 3 1 4 111 178 17 9 938 14 1 Bacteriological research .. .. 266 7 6 13 10 6 10 10 0 152 7 6 32 13 6 51 10 4 533 1 7 Bedding and clothing .. .. 6,405 0 1 7,085 19 8 3,466 14 3 9,714 8 1 6,059 9 6 3,743 10 6 5,81111 3 5,512 5 11 47 798 19 3 Buildings, including additions, tec. .. 800 10 4 648 13 7 957 6 11 523 9 5 478 9 9 357 14 5 935 10 1 1 071 8 1 5 m 2 7 Dental services 15 0 0 15 0 1 14 0 17 1110 30 19 9 6 13 6 30 19 1 ' 13 10 0 "l03 8 2 Farms, maintenance of .. .. 1,842 17 9 1,897 19 3 4,456 16 6 3,049 14 10 1,55115 7 591 6 2 1,605 17 2 3,050 5 9 18 046 13 0 Fencing, draining, and reading .. 26 13 1 13 7 6 88 12 4 160 9 10 33 16 5 18 0 10 77 19 5 99 10 3 518 9 8 Freight, cartage, and transport .. 11113 5 487 9 7 769 12 8 397 9 9 317 18 8 78 2 7 306 10 1 105 13 8 '.'. 2 574 10 5 J uel, light, water, &c 7,693 15 10 4,079 16 4 7,568 5 4 9,534 3 7 9,769 1 3 3,038 14 5 9.568 16 3 5.829 4 8 3o' 4 4 57 117 2 0 Funeral expenses 41 5 0 87 10 0 72 5 0 80 0 0 221 10 0 123 10 0J 102 0 0 112 15 0 840 15 0 lurmture and fittings .. .. 156 11 8 492 10 2 432 18 7 484 9 9 627 0 2 296 11 4 913 13 0 508 15 11 "siO 0 3 918 0 7 Gardens and shrubberies, .. .. 59 0 4 157 17 1 67 18 8 155 9 7 27 19 6 56 11 6 1 148 16 3 4"> 2 8 715 15 7 Jf?*y 267 6 10 254 4 10 351 12 6 402 12 7 276 3 7 77 4 0 ! 596 3 9 468 4 2 " 2 693 12 3 Machinery, repairs, and stores .. 160 12 11 312 17 6 550 9 1 19113 10 18112 10 106 13 7 2">4 15 4 223 10 4 I'Si 5 Medical fees 662 0 1 76 12 2 192 9 8 738 10 5 153 16 6 61 0 6 56118 1 325 7 0 '.'. 2 77114 5 Motor- vehicles — ' Maintenance of .. .. .. 26 6 6 104 8 3 446 12 6 190 3 11 101 6 0 36 14 8 322 1 3 -'47 4 4 1 471 17 5 Purchase of .. 140 9 3 470 3 4 .. .. 515 6 4 l i«s ia 11 Xursing staff uniforms .. .. 577 15 11 148 2 4 287 5 10 237 0 11 515 0 11 251 8 3 449 18 2 417'fj 4 2MB 17 8 Office equipment 2 12 0 1 15 0 9 11 0 3 18 2 0 4 0 8 19 6 0 12 6 3 11 4 4110 9 72 14 3 Patients, expenses connected with— ** Friends Gratuities 2 5 0 .. 1 12 6 66' 0 0 143' 7 9 .'. " 25*19 1 <"W 4 4 Recreation 1,152 1 1 710 12 4 795 18 11 1,140 12 2 759 9 5 484 12 9 1,116 19 8 1,030 13 11 7 191 0 3 Transfer . .. .. 37 8 3 5 13 10 7 18 7 71 6 11 12 2 3 26 5 10 35 8 9 15 7 3 " 21111 8 Postages, telegrams, &o 129 14 3 77 5 7 276 5 10 238 10 9 106 19 4 43 17 5 183 111] 165 8 3 7?' 8 10 1 294 2 2 Printing and stationery .. . 154 15 6 120 8 10 145 14 7 242 19 10 147 14 11 98 19 6 179 11 7 139 1110 97 17 7 l'3*7 14 2 * at f ls , 2 M61 110 11,446 6 4 14,092 5 3 20,968 13 8 13,723 12 0 8,345 19 10 21,530 18 3 16,026 13 2 128 595 10 4 Rents and rates 5 14 0 .. 1,192 16 10 .. 7 12 4 518 16 8 30 0 0 574 5 3 2 Sβ 5 1 f° res •• ■ •■ ■ 2,158 9 1 1,592 19 4 2,018 18 1 2,280 19 8 1,916 10 10 805 13 2 3.051 3 3 1.915 12 7 15741 6 0 .Surgery and dispensary, drugs, &e. .. 1,062 0 9 806 4 6 699 16 9 969 6 3 i 808 7 2 318 17 3 1159 16 6 1179 13 0 7*004 » 2 Telephone services 94 4 7 161 8 2 178 2 5 207 5 9 I 111 14 10 37 6 8 'l42 9 3 '2I8 9 5 125' 6 2 K276 7 3 Transfer and removal expenses .. 14 0 9 69 15 11 29 0 4 60 4 10 i 131 10 4 42 9 9 38 5 1 350 18 6 8 2 5 '744 7 11 Travelling-allowances .. .. 155 1 6 130 12 2 259 5 10 26 19 6 74 11 10 38 2 3 131 ' 8 4 414 6 7 297 11 6 1 527 19 6 Travelling-expenses .. .. 296 2 5 42 8 10 294 6 5 105 17 6 47 16 11 6 6 7 48 8 11 1S7 14 4 7 0 l'253 8 11 Treatment in general hospitals — Patients .. .. .. 29 5 0 24 0 0 32 8 6 52 10 0 0 12 6 2 10 0 9 2 6 150 8 6 Staff .. . 5 7 0 110 51 2 6 0 10 6 37 5 6 26 5 0 0 10 6 9 17 0 '.'. 13119 0 Compensation under the Workers' .. .. 28 0 0 625 0 0 km n n Compensation Act Grants to widows or relatives of deceased 62 4 8 .. .. 105 5 1 .. 100 q 0 9g 7 g 9 officers Contingencies and miscellaneous .. 30 7 2 9 16 0 51 12 6 140 SO 34 0 5 5 15 0 105 4 0 4 3 6 381 6 7 Totals 119,362 3 4 67,459 1 3 94,998 5 9 136,618 9 4 94,957 16 9 51,184 9 10 134,360 19 3 11 3 10,817 3 3 827,128 0 0

H.—7

Table XIa.—Credits for the Financial Year, 1944-45

Table XII.— Average Cost of each Patient per Annum

13

Auckland. Kingseat. Tokamii. Porirua. Nelson. Hokitika. (liristcliurch. Seacliff. Head Office. Total. i J £ s. d. £ s. d. £ s. d. £ s. d. £ s=. d. ! £ s. d. £ s. d. £ s. d. j £ s. d. £ s. d. Receipts from maintenance* .. 2,181 3 6 1,128 16 6 754 8 3 923 11 11 3(58 17 2 421 5 7 1,396 17 3 1.032 15 1 .. 8,207 15 5 Contribution from Social Security Fund 30,899 2 6 ! 17.593 8 9 j 23,828 0 0 25,025 5 0 23,760 8 9 ! 11,976 8 9 31,869 7 i> 22.990 .. 187.942 2 6 Receipts from farms .. .. 1,130 4 10 l,69fi 14 8 j 4,275 2 7 2,192 18 11 i 2,413 7 7 223 1 7 3,703 3 1 3,621 5 7 i .. 19,255 18 10 Miscellaneous .. .. .. 6,989 15 2 3,213 2 5 I 4,988 1 5 ] 10,085 17 3 j 5,297 14 4 2,365 19 2 7,837 18 0 7,389 2 8 8 11 7 48,176 2 0 Totals .. .. .. 41,200 6 0 23,632 2 4-33,845 12 5 38,227 13 1 31,840 7 10 14,986 15 1 44,807 5 10 35,033 4 7 8 11 7 263,58118 9 * Outstanding accounts as at 31st March. 1030.

, „ . , -Number Bedding Buildings Fuel, light, Surgery ,_ . f' tions from °*^ er NetOost . S(stCost Decr ease Increase Mental Hospital. Hesident Salaries. and and Farm. Water, anil Provisions. and -uiacei- P« Social ,, l '? ; Prevlone in in (inclusive of | ClotMng. Repairs. Cleaning. Dispensary. laneous - Pa , tle . nt - Security Wmente. Patient, i ™££" ]9W » 45 Boarders). I ("I Fund.' ' ' ' ' . ,, £ s. cl. £ s. ,1. £ s . d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. <V £ s. d. £ s. d. Auckland .. .. .. 1,356 53 7 1 4 14 6 0 11 10 1 7 2 5 13 6 16 11 3 0 15 8 4 19 6 88 <> (i 22 15 10 5 IP 9 59 4 1] 56 11 6 2 13 5 Ivmgseat .. .. .. 772 46 18 10 9 3 7 0 16 10 2 9 2 5 5 8 14 16 6 1 0 11 6 16 2 87 7 8 22 15 10 6 7 2 58 4 8 51 16 5 .. 6 8 3 I'okanui .. .. .. 1,046 52 4 7 3 6 3 0 18 4 4 5 3 7 4 8 13 9 5 0 13 5 8 14 6 90 16 5 22 15 10 8 17 1 59 3 6 59 6 5 0 2 11 Porirua .. .. 1,099 75 15 3 8 16 9096 2 15 6 8 13 6 19 1 7 0 17 8 7 16 6 [124 6 3 22 15 10 11 3 5 90 7 0 82 11 0 7 16 0 Nelson •• •• ■• 1.042 54 4 8 5 16 4 0 9 2 I 1 9 9 9 7 6 13 3 5 0 15 6 5 16 3 91 2 7 22 15 Id 7 8 0 60 18 9 52 9 9 .. 8 9 0 Hokitika .. .. .. 626 61 05 727 0 13 8126 5 15 9 16 17 11 0 12 2 5 4 11 97 9 11 22 15 10 ! 4 18 S 69 15 5 68 18 4 .. 0 17 1 Ohnstehurch .. .. 1,398 59 10 8 4 3 2 0 13 6 1 3 0 6 16 11 15 8 0 0 16 7 7 15 96 2 2 22 15 10 8 5 1 65 1 3 59 14 9 [566 Seacllff ■• ■• 1.008 76 17 10 594 113306 5 15 8 15 18 0 1 3 5 7 2 9 116 8 9 22 15 10 10 18 6 8' 14 5 75 6 2 7 8 3 Head Office .. .. .. 8,246 12 3 .. .. .. 0 0 1 .. .. 0 3 11 1 6 3 .. .. 16 3 15 0 0 13 Total average cost .. 8.246 61 6 2 5 15 11 0 14 0 2 3 9 6 18 6 15 11 11 j 0 17 0 6 18 10 100 6 1 22 15 10 8 3 7 69 6 8 64 4 8 5^0 Notes. — (a) Cost does not include interest and depreciation on land, buildings. &c. (b) " Receipts from Maintenance " shown in Table XIa not included.

H.—7

14

Table XIII. —Expenditure of Public Works Fund on Mental Hospital Buildings, etc., during the Financial Year ended 31st March, 1945

ended 31st March, 1!>4:>. £ Auckland .. .. .. .. .. .. .. .. .. 2,504 Christchuroh .. .. .. .. .. .. .. .. .. 76(3 Hokitika .. .. .. .. .. .. .. .. .. I 180 Nelson and tstoke .. .. . . . . . . .. .. . . ,"!7 Porirua .. .. .. .. .. .. .. .. .. 20,02:5 Kingseat .. .. .. .. .. .. .. .. .. 424 Suaoliff . . .. .. .. . . . . . . .. .. 6 520 Tokanui .. .. .. .. .. .. .. .. .. 1 Marton .. .. .. .. .. .. .. .. .. 0.680 37,741

H.-7

Table XIV.-Expenditure of Public Works Fund for Building and Equipment at each Mental Hospital from 1st July, 1877, to 31st March, 1945

Bγ Authority: B. V. Paul, Government Printer, Wellington.— 1945.

Approximate Cost of Paper.— Preparation, not given; printing (503 copies), £40.

Price 6d.]

15

Mental HosDjtaN l tf77- l'i'"i iqqk -t,- -ww,. >-, „-, Total Net Expenditure. ' 1S " ' ■•'•'■ 19S5-S6. 1936-37. 1937-38. 19S8-30. 1939-*0. 1940-41. 1041-42. 1942-43. 1943-44. 1944-45. 1st July, 1877. to 31st March, 1945. Auckland .. .. 233,815 307 842 f«»7 7*118 £ 885 %i l"<Wi / S0 4 057005 S 1 S'I« 2,7:!! ' 7,58 ° -' 0!,T i:uo 36 ' 793 ! 1,:,:233 23 ' 944 3;84 - : - 5 18 ° 16 «'^ Motnihi Island !! !! j '501 " " " • ■ •• ■ 11,102 Napier .. 147 '' ■ • ■ ■ ■ ■ • ■ ■ • '5^1 Wellington .. ' \ '.'. '.'. " " " " " "' "" ' i,345 38,666 Wdlin?ton(Pori™a) 346,529 eiolO 23; 9 48 j 7J91 , 8 3 ;253 I 529^78 '■ II ■_[ ■■ • •• •• •• .. .. 519 (5,680 7,199 Totals.. .. 1,896,512 69,858 | 142,109 102,457 128,816 175,426 79,827 15,531 88,732 ~ "~ 37,741 9,863 653 _