SUSSEX 

COUNTY  LUNATIC  ASYLUM 

HAYWARDS  HEATH. 


FIFTEENTH  ANNUAL  REPORTS 

for  1873. 


LEWES: 

PRINTED  BY  GEO.  P.  BACON,  HIGH  STREET. 

1874. 


CONTENTS. 


PAGE 


LIST  OF  THE  COMMITTEE  OF  VISITORS  AND  OF  THE 
OFFICERS  OF  THE  ASYLUM  .  3 

FIFTEENTH  ANNUAL  REPORT  OF  THE  COMMITTEE  OF 
VISITORS  (With  Balance  Sheet,  &c.)  .  5 

FARM  AND  GARDEN  BALANCE  SHEET  FOR  1873  .  9 

AN  ABSTRACT  OF  THE  ANNUAL  RETURN  OF  PAUPER 
LUNATICS  CHARGEABLE  TO  THE  SEVERAL  UNIONS 
AND  PLACES  IN  THE  COUNTY  OF  SUSSEX  .  10 

THE  MEDICAL  SUPERINTENDENT’S  FIFTEENTH  AN¬ 
NUAL  REPORT  .  11 

THE  CHAPLAIN’S  FIFTEENTH  ANNUAL  REPORT  .  28 

METEOROLOGICAL  REPORT  .  29 

THE  REPORT  OF  THE  COMMISSIONERS  IN  LUNACY  .  31 

APPENDIX. 

(1)  THE  TABLES  OF  THE  MEDICO-PSYCHOLOGICAL 

ASSOCIATION,  FOR  1873  .  35 

(2)  FINANCIAL  AND  DOMESTIC  TABLES  .  47 


COMMITTEE  OF  VISITORS  AND  OFFICERS. 

1874 


EASTERN  DIVISION. 

1.  Burrell,  Walter  Wyndham,  Esq.,  Cuckfield. 

2.  *£Campion,  Captain  William  Henry,  Danny,  Hurstpierpoint. 

3.  Carpenter,  Charles,  Esq.,  Brighton. 

4.  Darby,  George,  Esq.,  Markly,  Hawkhurst. 

5.  Day,  John,  Esq.,  Uckfield  House. 

6.  #Godlee,  Burwood,  Esq.,  Lewes. 

7-  Hankey,  John  Alexander,  Esq.,  Balcombe  Place,  Cuckfield. 

8.  *Laurie,  Peter  Northall,  Esq.,  Pax  Hill,  Lindfield. 

9.  Lewis,  Major  William  Rowe,  Hollington,  Hastings. 

10.  #£Meek,  George,  Esq.,  Brantridge  Park,  Balcombe. 

11.  *jNorman,  John  Manship,  Esq.,  Dencombe,  Crawley. 

12.  pilose- Holden,  Colonel  John  Rose,  The  Ferns,  Wivelsfield. 

13.  *JSclater,  James  Henry,  Esq.,  Newick  Park,  Lewes,  Chairman, 

14.  JSergison,  Warden,  Esq.,  Cuckfield  Park. 

WESTERN  DIVISION. 

1.  Aldridge,  Major  John,  St.  Leonards,  Horsham. 

2.  Borrer,  Captain  Cary  Hampton,  Horsham. 

3.  Dickins,  Charles  Spencer  Scrase,  Esq.,  Coolhurst,  Horsham. 

4.  Gibson-Carew  George  Carew,  Esq.,  Sandgate  Lodge,  Steyning. 

5.  Godman,  Joseph,  Esq.,  Sladeland,  Petworth. 

6.  Goring,  Revd.  John,  Clerk,  Wiston  Park,  Steyning. 

7.  #Lloyd,  Colonel  George  Kirwan  Carr,  Lancing,  Shoreliam. 

8.  Wisden,  Major  Thomas  Faulconer,  Broadwater,  Worthing. 

BRIGHTON  BOROUGH. 

1.  Burrows,  Sir  John  Cordy,  Knt.,  Brighton. 

2.  Tatliam,  George,  Esq.,  Brighton. 


OFFICERS. 

Medical  Superintendent. — S.  W.  D.  Williams,  Esq.,  M.D, 

Senior  Assistant  Medical  Officer. — Richard  Greene,  Esq.,  L.R.C.P.E. 
Junior  Assistant  Medical  Officer . — Alfred  H.  Newth,  Esq.,  M.B. 
Chaplain. — Revd.  Thomas  Edw.  Crallan,  M.A. 

Cleric  of  the  Asylum. — Mr.  S.  A.  Mortlock. 

Storekeeper . — Mr.  W.  H.  Sherman. 

Housekeeper.— Mrs.  Stroud. 

Bead  Attendants. — Mr.  T.  W.  Buckle  (Male  Department). 

Miss  Buckle  (Female  Department). 

Treasurer. — George  Whitfeld,  Esq.,  Lewes. 

Clerk  to  the  Visitors. — H.  Jones,  Esq.,  Lewes. 


*Member  of  the  House  and  Finance  Committee. 
{Member  of  the  Farm  Committee. 


Digitized  by  the  Internet  Archive 
in  2018  with  funding  from 
Wellcome  Library 


https://archive.org/details/b30319055 


SUSSEX  COUNTY  LUNATIC  ASYLUM, 
HAYWARDS  HEATH. 


FIFTEENTH  ANNUAL  REPORT  OF  THE 
COMMITTEE  OF  VISITORS. 

To  Her  Majesty's  Justices  of  the  Peace  for  the  County  of 
Sussex,  assembled  in  Quarter  Sessions,  held  at  Lewes ,  in 
and  for  the  Eastern  Division  of  the  said  County,  on 
Monday ,  the  6th  day  of  January,  1874;  and  at  Petworth, 
in  and  for  the  Western  Division  of  the  said  County ,  on 
Thursday ,  the  8th  day  of  January ,  1874. 

The  Committee  of  Visitors  of  the  Sussex  County  Lunatic 
Asylum,  appointed  at  the  Epiphany  Sessions,  1 873,  have 
the  satisfaction  of  reporting,  as  heretofore,  yery  favourably  of 
the  general  condition  and  management  of  the  Asylum. 

They  refer  the  Court  to  the  annexed  Report  of  Dr. 
Williams,  the  Medical  Superintendent,  and  to  the  Statistical 
Tables  appended  thereto,  for  information  as  to  the  details  of 
the  past  year. 

The  numbers  at  present  in  the  Asylum  are  343  males,  and 
391  females,  making  a  total  of  734,  as  against  714  at  the 
corresponding  period  of  last  year.  The  increase,  however, 
would  have  been  greater  but  that  a  large  number  of  patients 
have  been  discharged  during  the  year,  and  18  chronic  and 
harmless  lunatics  have  been  returned  to  Workhouses  or  to 
their  friends. 


Satisfactory  con¬ 
dition  of  Asylum. 


Numbers  in  Asy¬ 
lum. 


6 


Division  of 
Office  of  Clerk 
and  Steward. 


Maintenance 

Rate. 


New  Recreation 
Hall. 


The  Committee  have  found  it  necessary  to  divide  the 
Offices  of  Clerk  and  Steward,  heretofore  held  conjointly  by 
Mr.  S.  A.  Mortlock.  A  new  Storekeeper  has  been  ap¬ 
pointed,  and  the  Office  of  Assistant  to  the  Steward  and 
Storekeeper  has  been  abolished. 

The  Committee  have  pleasure  in  reporting  that,  notwith¬ 
standing  the  continued  high  cost  of  the  necessaries  of  life, 
they  have  been  able,  by  strict  economy,  with  a  due  regard, 
however,  to  the  comfort  of  the  patients,  to  keep  the  rate  of 
maintenance  at  9s.  6d.  per  week  for  each  patient — a  rate 
lower  than  most,  if  not  all,  the  Asylums  within  100  miles  of 
London.  This  satisfactory  result  is  partly  owing  to  the 
profits  derived  from  the  Farm. 

The  Committee  reported  to  the  Court  at  the  last  Easter 
Session  that  the  old  .Recreation  Hall,  designed  originally  to 
hold  300  inmates,  had  been  found  insufficient  for  the  now 
largely  increased  numbers,  and  an  order  was  made,  authoris¬ 
ing  the  Committee  to  build  a  new  Hall  at  a  cost  of  £2,390, 
adapted  to  hold  500  patients,  and  providing  at  the  same 
time  a  commodious  Visiting  Room  for  the  large  number  of 
relatives  and  friends  of  the  patients  who  now  attend  on 
visiting  days.  This  has  been  done,  and  by  the  changes  of 
structure  involved  in  these  alterations,  increased  accommoda¬ 
tion  has  been  obtained,  not  only  for  26  female  patients,  but 
also  for  the  Housekeeper  and  nine  House  Servants,  several 
of  the  latter  of  whom  were  compelled  to  sleep  in  a  room 
in  the  tower  over  the  water  tanks,  which  was  a  most 
unsuitable  place,  and  at  a  long  distance  from  their  employ¬ 
ment,  whereas  now  they  are  placed  close  to  their  work. 
Rooms  have  also  been  provided  for  the  Junior  Assistant 
Medical  Officer,  thereby  removing  the  inconvenience  which 


7 


was  experienced  from  his  residence  being  away  from  the 
Asylum. 

The  Committee  have  also  built  two  semi-detached  cottages,  New  Cottages, 
outside  the  Asylum  gate,  so  as  to  provide  dwellings  for 
artisans  required  to  live  near  at  hand. 

The  Committee  regard  with  satisfaction  the  fact  that  the  Cost  defrayed 

0  out  of  Balance. 

cost  of  these  buildings  has  been  defrayed  under  the  provisions 
of  25  and  26  Viet.,  chapter  111,  out  of  the  surplus  fund  at 
their  disposal,  and  that,  in  carrying  out  these  important 
objects,  it  has  not  been  necessary  to  apply  to  the  Court  of 
Quarter  Sessions  for  any  grant  of  money. 

The  general  conduct  of  the  Officers  of  the  Asylum,  during  Conduct  of 

umcers. 

the  past  year,  has  been  satisfactory. 

The  condition  of  the  Asylum  is  such  as  reflects  great  credit 
on  Dr.  Williams,  who  continues  to  be  indefatigable  in  the 
performance  of  his  duties. 

The  Farm  continues  to  show  very  beneficial  results,  not  Farm, 
only  from  its  improved  cultivation,  but  also  from  the  valuable 
employment  it  affords  to  lunatic  patients,  and  its  returns, 
though  not  yet  complete,  will  contrast  favourably  with  those 
of  preceding  years. 

(Signed)  JAMES  H.  SCLATER, 

Chairman. 

Haywards  Heath, 

20th  December,  1873. 


SUSSEX  LUNATIC  ASYLUM,  HAYWARDS  HEATH. 

BALANCE  STATEMENT  for  the  Quarter  ending  31st  December,  1873. 


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Submitted  to  the  Finance  Committee ,  /7iis  31.s/  day  of  January ,  1874. 

(Signed)  JOHN  MANSHIP  NORMAN.  (Signed) 

GEORGE  MEEK.  S.  A.  MORTLOCK, 

W.  HENRY  CAMPION.  Clerk  of  the  Asylum. 


SUSSEX  COUNTY  LUNATIC  ASYLUM,  II  AY  WARDS  IIEATFI 

INCOME  and  EXPENDITURE  for  the  Year  ending  December  31  st,  1873. 


UsTOOIME- 


EXPENDITTJBE. 


HEADS  OF  INCOME. 

QUARTERS  ENDING 

Year  ending 

31st  March. 

30th  June. 

30th  Sept. 

31st  Dec. 

31st  Dec. 

From  Unions  Contribut¬ 
ing  to  the  Asylum,  for 
Maintenance . 


From  Unions  not  Contri¬ 
buting  to  the  Asylum, 
for  Maintenance  . . 


From  County  Treasurers, 
for  Maintenance  .... 


Private  Patients,  for 
Maintenance . 


Cash  received  from  the 
Farm  in  excess  of  all 
cash  advances  made 
(from  the  Asylum)  to 
the  Farm  . 


Total. 


HEADS  OF 
EXPENDITURE. 


QUARTERS  ENDING 


31st  March. 


30th  June. 


30th  Sept. 


31st  Dec. 


Year  ending 
31st  Dec. 


Total 

of  General 
Heads  of 
Expenditure] 


FROM  WEEKLY  RATE. 

£  s-  <!•  £  s.  d.  £  s.  d 


3357  11  2 


1257  9  3 


84  17  2 


123  4  2 


3480  8  8 


122  3  10 


1230  3  10 


80  5  G 


128  15  11 


3598  15  3 


1306  G  0 


75  11  7 


1G1  0  1 


3504  19  7 


313  5  0 


249  11  11 


Total  from  Weekly  1 
Rate,  &c . ) 


Repairs  and  Alterations, 
&c.,  &c. 

From  County  Treasurers, 
for  Repairs  and  Alte 
rations  . . 


1272  16  2 


74  18  0 


207  5  8 


39  13  8 


£  s.  d. 


13941  9  8 


50GG  15  3 


315  12  3 


G20  5  10 


Provisions. 


£  s.  d. 


13941  9  8 


FROM  WEEKLY  RATE 


5066  15  3 


I  By  Meat  . 

Flour . 

Barley,  Rice,  &c, 

Tea,  Coffee,  and  Cocoa 
Sugar  and  Treacle  . 
Sundry  Groceries. . . 
Tobacco  and  Snuff  . 

Butter . 

Cheese,  Eggs,&c.. . . 
Malt,  Hops  and  Beer 
Potatoes  and  other 
Vegetables. . . 

Board  Wages. . . 

Fish . 


315  12  3 


Vegetables 
Excess  of 
Received . 
Milk  . 


620  5  10 


724  14  5 


•724  14  5 


4945  5  7 


5232  13  11  5391  4  10  5099  13  1 


20668  17  5 


FROM  COUNTY  RATE 


Improvements. 


322  15  8 


310  2  5 


227  10  10 


Total  from  County  Rate 


Total  Income  from 
Weekly  and  County 
Rate  . 


322  15  8 


310  2  5 


492  16  8 


1353  5  7 


227  10  10 


492  1  6  8 


1353  5  7 


5268  1  3 


5542  16  4 


5618  15  8 
Balance 


5592  9  9 
from  Dec. 


22022  3  0 


20668  17  5 


Total  .... 

\House  and  other  Expenses. 

By  Coals,  Coke,  &c . 

Gas  . . 

Soap  . 

Starch,  Soda,  &c.  . . 

Candles . 

Furniture,  Bedding 

Linen,  &c . 

Ironmongery,  &c. . . 
Brooms,  Brushes,  &c 
Earthenware,  Glass 

&c . 

Rates  and  Taxes  .... 
Stationery,  Postage 

&c . 

Printing,  Advertise¬ 
ments,  &e . 

Carriage  of  Goods  and 

Conveyances . 

Funeral  Expenses. . . . 
Periodicals,  Books,  & 
Amusements. . ; . . . 
Retaking  Patients  . . 
Patients  on  Trial .... 

Uniform . 

Keep  of  Horse  {from 
Farm  Account) 
Carting  ..  (Do.). 


£  s.  d. 
84  2  2 
534  15  6 
7  6  0 
115  4  5 
52 'll  9 
28  11  2 
41  8  11 
89  9  8 
68  13  7 
264  11  0 


2  5  0 


£  s. 
46  11 
499  16 
15  6 
150  4 
66  14 
17  10 
38  4 
73  19 
85  7 
228  6 


d. 

9 

0 

6 

10 

1 

2 

11 

2 

0 

5 


46  18  0 
7  17  6 


Total 


Paid  to  Capital  for 
Improvements  . . . . 


By  Clothing . 

Salaries  and  Wages. 


By  Officers  . . 

Attendants  and  Ser 
vants  . 


261  12  5 


Total  . 
Medicine. 


By  Drugs,  Instruments, 

&c . 

Wines,  Spirits,  and 

Porter . 

Essence  of  Beef. . . . 


398  15  0 
57619  6 


975  14  6 


£  s.  d. 

63  16  0 
514  2  7 
14  4  0 
109  6  5 
51  8  2 
19  8  9 
38  1  1 
90  11  0 
72  12  10 
289  4  6 

9  15  3 
10  8  6 


£  s.  d. 

36  4  6 
545  6  7 
6  6  6 
145  10  10 
59  12  6 
49  10  7 
32  II  0 
106  14  7 
71  18  11 
221  17  0 

7  9  0 
1  11  6 


£  8.  d. 
230  14  5 
2  R4  0  8 
43  2  0 
620  6  6 
220  6  6 
115  0  8 
150  5  11 
360  14  5 
298  12  4 
993  18  11 


£  s.  d. 


64 

22 


3  16 

4 

12 

9 

2 

7  12  8 

4 

10  2 

28  8 

896  17 

1 

756 

0 

9 

806  9  4 

942  r 

3 

3401  12 

121  18 

3 

219 

11 

2 

207  17  2 

134  6 

11 

731  7 

169  11 

11 

111 

5 

6 

173  10 

5 

139 

2 

4 

545  16 

34  14 

3 

• 

... 

• 

•  >  • 

• 

•  •  • 

34  14  3 

2505  17  0 

2366 

1 

11 

2478 

8 

8 

2504 

18 

2 

9855  5  9 

378  13 

8 

363 

3 

7 

441 

4 

4 

345 

10 

7 

1528  12  2 

109  17 

5 

16 

18 

0 

21 

18 

4 

124 

0 

0 

272  13  9 

43  17 

0 

37 

1 

0 

41 

15 

0 

52 

4 

0 

174  17  0 

38  17 

9 

48 

0 

8 

36 

4 

7 

51 

8 

1 

174  11  1 

3  1 

6 

1 

14 

0 

•8 

1 

9 

10 

11 

9 

23  9  0 

116  11 

6 

108 

6 

8 

156 

3 

4 

188 

3 

1 

568  4  7 

13  15 

1 

21 

19 

0 

21 

18 

9 

10 

12 

2 

68  5  0 

9  16 

0 

20 

18 

0 

10 

14 

6 

29 

19 

7 

71  8  1 

34  15 

9 

30 

15 

1 

18 

19 

0 

14 

3 

0 

98  12  10 

3  10 

2 

6 

15 

5 

0 

5 

0 

37 

6 

11 

47  17  6 

19  16 

9 

27 

11 

7 

24 

0 

10 

31 

10 

0 

102  19  2 

7  6 

6 

21 

5 

0 

41 

7 

2 

18' 

5 

0 

88  3  8 

17  19 

7 

24 

8 

0 

25 

17 

1 

18 

16 

1 

87  0  9 

11  14 

7 

18  11 

9 

8 

1 

9 

13 

5 

2 

51  13  3 

25  9  11 

23  10 

2 

63 

13 

2 

23 

5 

8 

135  18  11 

1  11 

6 

1 

1 

0 

.  . 

,  , 

2  12  6 

11  17 

8 

16  16  10 

13 

’i 

8 

14 

7 

7 

56  13  9 

52  15 

7 

56  11 

6 

35 

7 

9 

28 

1 

7 

172  16  5 

5  17 

0 

5  1 

7 

0 

5  17 

0 

5  17 

0 

23  8  0 

907  4  11 

851 

4 

0 

O 

975 

1 

°  

1017 

7 

3 

3750  17  5 

.... 

... 

1160 

0 

0 

650 

0 

0 

1810  0  0 

215  15  3 


398  15  0 
578  12  0 


977  7  0 


Total 


By  Incidentals. . . 

Removal  of  Patients 


Total 


Total  from  Weekly  Rate 


1353  5  7 


Repairs  and  Alterations, 

d'C.,  &c. 


24  18  9 
52  17  9 


77  16  6 


44  13  2 


44  13  2 


4772  18  6 


35  1  6 
48  7  3 


83  8  9 


11  16  8 


11  16  8 


9855 


239  8  3 


411  5  0 
578  1  1 


283  16  11 


452  10  10 
575  10  1 


989  6  1 


32  8  0 
51  9  3 


1028  0  11 


22  19  8 
58  13  3 


83  17  3  81  12  11 


20  0  3 
1  18  0 


4505  13  10 


21  18  3 


5947  19  6 


18  14  11 


1000  12  10 


1661  5  10 
2309  2  8 


3970  8  6 


115  7  11 
211  7  6 


3750  17  5 

1810  0  0 
1000  12  10 


3970  8  6 


326  15  5 


326  15  5 


95  5  0 
1  18  0 


18  14  11 


5584  11  1 


97  3  0 


20811  2  11 


20811  2  11 


FROM  COUNTY  RATE. 


1353  5  7 


22022  3  0 


31st,  1872  5482  15  2 
Total.. £  27504  18  2 


By  Labour . 

Timber  . 

Iron,  Lead,  &c . 

Bricks,  Slate,  Cement, 

&c . 

Glass  . 

Paints  and  Paper . . 

Sundries . 

Insurance  and  Taxes 
Carriage  and  Carting 

Total  .. 

Total  from  County  Rate 


Total  Expenditure  from 
Weekly  and  County 
Rates . 


158  16  9 
6  18  5 
44  1  0 

35  6  1 
4  11  10 
10  5  7 
40  7  5 
13  13  6 
8  IS  1 


322  15  8 


322  15  8 


6095  14  2 


158  14  6 

30* ’i  2 

42  13  9 

915  6 
59  8  6 
5  10 
4  2  0 


310  2  5 


310  2  5 


149  15  11 
31  0  5 
5  5  6 

9  12  5 
0  8  11 
12  6  5 
14  13  11 

i’ *7  4 


227  10  10 


227  10  10 


158  13  5 
49  14  6 
49  16  5 

34  15  11 
18  3  2 
24  0  3 
45  19  8 
108  8  3 
3  5  1 


492  16  8 


492  16  8 


626  0  7 
87  13  4 
129  10  1 

122  8  2 
23  3  11 


97  3  0 


56 

160 

127 

29 


7  9 
9  6 
2  9 
O  6 


1353  5  7 


1353  5  7 


4815  16  3 


6175  10  4 


6077  7  9 


22164  8  6 
Balance 

Total..£ 


1353  5  7 


1353  5  7 


22164  8  6 
5340  9  8 


27504  18  2 


Examined  by  the  Finance  Committee,  Janua/ry  31sL  187 1. 
(Signed) 

JOHN  MANSHIP  NORMAN. 

GEORGE  MEEK. 

W.  HENRY  CAMPION. 


(Signed) 

S.  A.  MORTLOCK, 

Clerk  of  the  Asylum. 


Average  Weekly  Expenditure  for  the  Year  for  each  Patient,  from  Weekly  Rate. 

QUARTERS  ENDING 

Average 

for 

the  Year 
1873. 

March  31st. 

June  30th. 

Sept.  30th. 

Dec.  31st. 

Provisions . 

House  and  other  Expenses  . . 

Clothing . 

Salarios  and  Wages  . 

Medicine,  Wine  and  Spirits  . . 
Incidentals  . 

Net  Cost 

Weekly  Rate  charged  to  the  Unions 
contributing  to  the  Asylum..  .. 
Do.  do.  Not  contributing  do. 

Do.  do.  for  Private  Patients . . 

s.  d. 

5  2]} 

1  iii 

0  6J 

2  I* 

0  24 

0  14 

s.  d. 

4  44 

1  94 

0  5$ 

2  0J 

0  24 

0  oj 

8.  d. 

4  6g 

1  Ilf 

0  5f 

2  0J 

0  2 

0  04 

s.  d. 

5  14 

2  1 

0  7 

2  14 

0  2 

0  04 

s.  d. 

4  9J 

1  llg 

0  64 

2  1 

0  2 

0  08 

10  14 

8  94 

9  2| 

10  14 

9  64 

9  6 

14  0 

16  0 

9  6 

14  0 

16  0 

9  6 

14  0 

16  0 

9  6 

H  0 

16  0 

9  6 

14  0 

16  0 

. 


FARM  AND  GARDEN  ACCOUNT. 

From  1st  January  to  31st  December,  1873. 


£ 

s. 

d. 

£ 

s.  d. 

By  Sale  of — 

£ 

s. 

d. 

To  Estimated  Value  of 

Calves . 

18 

5 

0 

Live  Stock  . 

1327 

2 

0 

1  Pig  . . 

5 

0 

0 

Estimated  Value  of 

Hides  and  Skins . 

178 

3 

4 

Dead  ditto  . . 

443 

15 

0 

Rough  Fat,  &c . . 

45 

18 

9 

Tenants’  Valuation 

431 

15 

0 

Wheat  . 

169 

10 

0 

Estimated  Value  of 

W  ool  . 

39 

11 

8 

Provender  . 

572 

13 

0 

Fagots,  Bark,  Poultry, 

2775 

5  0 

&c . . . 

14 

8 

0 

Use  of  Stock . 

15 

4 

0 

Discount  and  Empties . . 

3 

14 

6 

To  Purchase  of— 

Hay  . 

77 

2 

9 

By  Produce  Supplied  to  House 

87  Cows  and  Beasts  .... 

1960 

16 

9 

27,255  lbs.  Beef  ..@-/7| 

880 

2 

H 

274  Sheep . . 

708 

16 

3 

33,702  „  ditto  ..@  -/ 84  1158 

10 

i 

1  Pig . 

13 

0 

0 

21,397  lbs.  Pork  ..@-/7j 

668 

13 

H 

Oil  Cake  . 

233 

0 

0 

Livers,  Bells,  &c. 

36 

18 

8 

Bran  . . 

29 

15 

5 

7,560  lbs.  Mutton  @  -/10.| 

330 

15 

0 

Barley  and  Maize . 

433 

13 

0 

8,041  „  ditto  ..@  -/9f 

326 

13 

4 

Straw . 

307 

17 

2 

—  3 

Seeds  and  Plants  . 
Manure  and  Lime 
Implements 


65  10 
119  1 
19  8 


Wages  of  Bailiff,  Gar- 

36 

99 

Rabbits  @  -/ 10 

1 

10 

0 

dener,  Cowman,  Carter, 

and  other  Servants  em- 

2,748 

bus. 

Cabbage  @1/- 

137 

8 

0 

ployed  on  Farm . 

358 

5 

8 

103 

99 

Onions  ..@  2/- 

10 

6 

0 

Grinding  . 

40 

8 

0 

1276 

99 

Potatoes  @2/8 

170 

2 

8 

Railway  Carriage  .... 

31 

2 

9 

228 

99 

Peas  . . . .  @  2/- 

22 

16 

0 

Thrashing . 

6 

19 

8 

308£ 

99 

Beans  ..@  2/- 

30 

17 

0 

Thatching . 

3 

3 

0 

211 

99 

Carrots  @  2/- 

21 

2 

0 

Valuation . 

7 

7 

0 

316 

99 

Parsnips  @  2/- 

32 

12 

0 

Sundries . 

51 

17 

7 

380 

99 

Turnips  @  — /10 

15 

16 

8 

Rates  and  Taxes . 

1800  Bushels  of  Grains, 

at  4d.  per  Bushel - 

Estimated  Rent  of  Land 


47  17  6 


4467  4  11 


30 

150 


227  17  6 


Balance  in  favour  of 


£  s.  d. 


489  15  3 


15,335  galls.  Milk  ..@  -/U 
4,082  No.  Eggs  .  .@  -/I 
100  „  Poultry  @  2/- 


702 

17 

10 


17  0 
0  2 
0  0 


731  7  2 


2,160  No. Cauliflower®  -/ 2 

Other  Vegetables . 

Fruit  and  Rhubarb  .... 
Vegetables  and  fruit 
supplied  to  Medical 
Superintendent . 

Keep  of  House  Horse  . . 

By  Estimated  Value  of 

Live  Stock  . 

Dead  ditto  . . 
Tenants’  Val¬ 
uation  . 

Provender  .. 


18 

30 

31 


0  0 
16  10 
17  6 


24  1  10 


23  8  0 


545  16  6 
23  8  0 


99 

99 


1568 

464 

719 

508 


17  0 
12  6 

4  4 
0  0 


Farm  . 

985 

5 

9 

-  3260 

13 

10 

£8,455 

13 

2 

£8,452  13  2 

ESTIMATED 

VALUE 

OF  FARM  STOCK:— 

1872.  December  31:  — 

£ 

s. 

d. 

1873.  -  December  31  :  — 

£ 

s. 

d. 

29  Cows,  Fatting  Beasts  and  Calves 

626 

18 

0 

26  Cows,  Fatting  Beasts,  and  Calves  588 

0 

0 

70  Sheen  . 

181 

8 

0 

103  Sheep  . 

299 

5 

0 

6  Horses . 

259 

10 

0 

6  Horses  . . . 

0 

0 

143  Head  of  Swine . 

242 

10 

0 

190  Head  of  Swine  . . 

19 

0 

170  Head  of  Poultry . . 

16 

1 

0 

10?  Head  of  Poultry  . . 

9 

0 

Ferrets  . 

0 

15 

0 

8  Ferrets  . 

1 

4 

0 

1327 

2 

0 

1,568 

17 

0 

Dead  Stock,  Implements,  &c . 

433 

15 

0 

Dead  Stock,  Implements,  &c.... 

12 

6 

Tenants’  Valuation  . .  ...  . 

431 

15 

0 

Tenants’  Valuation . 

.  ..  719 

4 

4 

Provender  . 

572 

13 

0 

Provender  . 

...  598 

0 

0 

£2,775 

5 

0* 

£3  260 

13 

10* 

Examined  by  Farm  Committee , 
January  31  st,  1 874. 


J.  MANSIllP  NORMAN. 

GEO.  MEEK. 

W.  HENRY  CAMPION. 

(Signed)  S.  A.  MORTLOCK,  Clerk  of  the  Asylum. 
These  Valuations  were  made  by  Mr.  Thos.  Bannister,  Haywards  Heath. 


10 


An  Abstract  of  the  Annual  Returns  of  Pauper  Lunatics  chargeable  to 
the  several  Unions  and  places  in  the  County  of  Sussex ,1st  Jan.,  1874. 


CHARGEABLE  TO 
UNIONS 

AND  COUNTY. 

In 

County 

Asylum. 

In 

Private 

Asylum. 

In 

Asylums 
in  other 
Counties. 

In 

Work- 

houses. 

In  Lodg¬ 
ings  or 
Boarded 
out. 

With 

Friends. 

Total. 

M. 

F. 

M. 

F. 

M. 

F. 

M. 

F. 

M. 

F. 

M. 

F. 

M. 

F. 

Battle  . 

9 

13 

1 

1 

3 

1 

2 

5 

14 

21 

Brighton . 

71 

81 

47 

51 

•  • 

8 

6 

126 

138 

Chailey . 

11 

9 

1 

«  • 

1 

3 

4 

16 

13 

Chichester  (Incorporatn) 

10 

7 

1 

1 

1 

3 

12 

11 

Cuckfield . 

10 

16 

4 

5 

i 

3 

6 

17 

28 

Eastbourne . 

8 

12 

i 

1 

4 

.  # 

1 

9 

18 

East  Grinstead  . 

11 

7 

l 

11 

9 

1 

5 

23 

22 

East  Preston  . 

9 

12 

1 

7 

5 

8 

15 

27 

Hailsham . 

10 

12 

i 

4 

5 

3 

6 

18 

23 

Hastings  . 

25 

25 

i 

2 

6 

2 

2 

30 

33 

Horsham . 

12 

24 

5 

9 

7 

14 

24 

47 

Lewes  ' . 

5 

12 

i 

2 

3 

1 

8 

16 

Midhurst . 

9 

12 

2 

2 

i 

2 

4 

7 

16 

23 

N  ewh  a.ven  . 

5 

5 

2 

6 

7 

11 

Petworth . 

7 

6 

i 

2 

4 

1 

1 

11 

11 

Rye  . 

9 

9 

5 

6 

3 

5 

17 

20 

Steyning  . 

9 

19 

4 

6 

4 

7 

17 

32 

Thakeham  . 

5 

8 

i 

2 

1 

•  • 

2 

8 

11 

Ticehurst . 

12 

14 

5 

8 

i 

2 

2 

20 

24 

Uckfield  . 

11 

13 

2 

3 

2 

6 

9 

21 

25 

Westbourne . 

4 

10 

1 

1 

2 

2 

7 

13 

Westfirle  . 

2 

1 

1 

] 

3 

Westhampnett  . 

22 

16 

4 

6 

3 

6 

29 

28 

County -Eastern  Division 

6 

5 

•  • 

.  . 

,  , 

,  . 

6 

5 

Do.  Western  do. 

1 

•  • 

•• 

•• 

•  • 

1 

•  • 

Totals . 

291 

349 

2 

•  • 

4 

2 

109 

146 

6 

3 

61 

103 

473 

603 

SUMMARY. 


Years 

In  Asylums 

In 

Workhouses. 

With  Friends. 

Totals 

• 

M. 

F. 

M. 

F. 

M. 

F. 

M. 

F. 

M-&.F 

1st  January,  1855. 

92 

127 

79 

54 

45 

85 

216 

266 

482 

1st  January,  1868. 

242 

301 

95 

107 

62 

84 

399 

492 

891 

1st  January,  1869. 

250 

318 

102 

110 

67 

84 

419 

512 

931 

1st  January,  1870. 

246 

326 

109 

108 

72 

83 

427 

517 

944 

1st  January,  1871 

275 

348 

116 

120 

79 

101 

470 

569 

1039 

1st  January,  1872. 

264 

341 

111 

141 

84 

120 

459 

602 

1061 

1st  January,  1873. 

284 

343 

122 

140 

79 

109 

485 

592 

1077 

1st  January,  1874. 

297 

351 

109 

146 

67 

106 

475 

603 

1078 

S.  A.  MORTLOCK, 

Clerk  of  the  Asylum. 


THE 


MEDICAL  SUPERINTENDENT’S 

FIFTEENTH  ANNUAL  EE  POET. 


The  Medical  Superintendent  has  the  honour  to  submit  the  Fifteenth 

Annual  Report. 

Fifteenth  Annual  Report  to  the  Committee  of  Visitors. 

On  the  31st  December,  1872,  the  numbers  in  the  Asylum  Numbers  on  the 
were,  Male  332,  Female  383.  Total  715.  3istDec.,  1872. 

The  admissions  during  the  year  have  been,  Male  100,  Admissions. 
Female  104.  Total  204. 


The  discharges  during  the  year  have  been,  Male  45,  Discharges. 
Female  71.  Total  116. 

The  deaths  during  the  same  period  have  been,  Male  45,  Deaths. 
Female  25.  Total  70. 

The  mean  population  resident  during  the  year  has  been,  Mean  Annual 
Male  337.3,  Female  392.7.  Mean  average  730.  Population. 

The  numbers  in  the  Asylum  this  day  (31st  December,  Numbers  this 
1873)  are,  Male  342,  Female  391.  Total  733.  desist  Dec.. 

The  several  numerical  results  are  summed  up  in  the  first  Numerical  re- 
Table  in  Appendix  A  to  this  Report.  °  eyear* 

The  Numerical  Results  of  the  year  1873  yield  the  follow-  Annual  per  cent- 

ages  for  1873. 

mg  per  centages  : — 


12 


Mean  Annual 
Mortality. 


Classification  of 
Patients. 


Numbers  charge¬ 
able  to  Sussex. 


Presen  “•  accom¬ 
modation. 


(a.)  The  Discharges  (including  the  cases  Relieved)  are 
56.8  per  cent,  on  the  admissions  of  the  year.  Excluding 
those  cases  Relieved,  the  per  centage  of  Recoveries  on  the 
admissions  stands  at  Male  30.0,  Female  41.  Average  35.7. 
On  the  mean  number  resident  it  is  Male  8.8,  Female  11. 
Average  10. 

(■ b .)  The  mean  Annual  Mortality  is  Male  13.0,  Female 
6.6.  Average  9.5. 

The  Patients  in  the  Asylum  may  be  classified  as  follows  :  — 


M. 

F. 

T. 

Chargeable  to  Unions  and  Boroughs  in  Sussex  ... 

289 

348 

637 

Chargeable  to  out  County  Unions  and  Boroughs 

48 

29 

77 

Private  Patients  . . 

5 

14 

19 

Total . 

342 

391 

733 

It  will  thus  be  seen  that  the  number  of  Patients  in  the 
Asylum  at  the  present  time  chargeable  to  Sussex  is  289 
Males  and  348  Females — Total,  637 — which  is  much  as  it 
has  been  for  the  last  four  years. 

The  accommodation  in  the  Asylum  is  for  376  Males  and 
440  Females — Total,  816.  So  that  we  have  still  87  beds  for 
Males  and  91  beds  for  Females— Total,  178 — at  the  disposal  of 
the  county,  which,  looking  at  the  crowded  state  of  nearly  all 
the  other  County  Asylums  in  England,  is  a  matter  for  con¬ 
siderable  congratulation  to  the  ratepayers  of  Sussex.  In  all 


human  probability  it  will  be  many  years  before  they  will  be 
called  on  to  contribute  any  further  money  to  the  erection  of 
additional  accommodation  for  their  insane  poor. 

It  must  not  be  inferred,  however,  that  this  satisfactory  state 
of  affairs  is  due  to  there  being  less  insanity  in  this  county  than 
in  the  rest  of  England.  A  glance  at  the  table  on  the  tenth 
page  will  show  that  this  is  not  the  case.  On  the  contrary, 
insanity  in  Sussex,  as  that  table  demonstrates,  is  steadily  on 
the  increase,  pari  passu  with  the  increase  of  the  population. 
Moreover,  the  admissions  this  year  have  been  unusually 
numerous,  and  of  a  very  unsatisfactory  character.  The  plan, 
however,  of  discharging  chronic  and  harmless  lunatics  to  their 
relations  has  been  continued,  still  with  the  most  satisfactory 
results,  and  many  patients  of  the  same  class,  but  who  have 
no  relations  able  or  willing  to  take  charge  of  them,  have  been 
discharged  to  their  respective  Union  Workhouses.  (Eighteen 
were  thus  discharged  in  one  batch  last  September.)  These 
cases  do  not  require  the  expensive  arrangements  of  a  hos¬ 
pital.  The  accommodation  at  the  Union  House  is  amply 
sufficient  for  them,  and  they  can  there  be  maintained  at  a 
much  less  cost  than  here,  which  is  so  far  a  relief  to  the  heavily 
burdened  ratepayer.  These  are  the  means  by  which  it  has 
been  possible  for  some  years  past  to  preserve  the  numbers  in 
the  Asylum  from  increase.  The  Medical  Superintendent  is 
aware  that  the  plan  of  sending  such  cases  to  Workhouses  has 
been  found  to  fail  in  some  other  counties,  but  as  yet  it  has 
answered  satisfactorily  here,  as  none  of  the  eighteen  cases 
sent  to  the  Workhouses  last  .September  have  yet  returned, 
and  letters  have  been  received  from  several  of  them  express¬ 
ing  their  satisfaction.  Moreover,  as  a  rule,  the  patients 
themselves  prefer  being  returned  to  their  Unions,  as  they  are 


14 


Admissions. 


then  near  their  friends  and  relations,  and  can  be  yisited 
much  more  frequently  than  when  in  the  Asylum.* 

The  Admissions  may  be  classified  as  follows 


M. 

F. 

T. 

From  Unions  and  Boroughs  in  Sussex . 

80 

91 

171 

From  Out  County  Unions  . . 

15 

1 

16 

Private  Patients  . 

5 

12 

17 

Total . . 

100 

104 

204 

They  were  of  a  more  than  usually  unfavourable  class,  and 
only  80  out  of  the  number  could  be  deemed  at  all  curable  ; 
40  were  cases  of  Progressive  Paralysis  and  brain  softening  ; 
26  were  over  sixty  years  of  age,  and  12  over  seventy. 

*  Overcrowded  Asylums  and  the  Remedy. —Whether  insanity  be 
increasing  in  a  greater  ratio  than  population  is  a  moot  point.  But  that  it 
increases  at  an  equal  rate  with  population  is  admitted.  And  the  conse¬ 
quence  is  that  in  some  counties  the  asylums  are  overcrowded.  A  very  in¬ 
teresting  correspondence  on  this  subject  is  published  in  the  Sussex  Ad¬ 
vertiser  between  Dr.  S.  W.  D.  Williams,  of  the  County  Asylum,  Hayward’s- 
heath,  and  the  Guardians  of  Hailsbam.  Dr.  Williams  holds  that  the  only 
way  of  keeping  the  tendency  to  fill  asylums  and  the  consequent  demands 
upon  the  ratepayers  within  reasonable  limits  is  to  weed  the  asylums  of 
harmless  and  chronic  cases,  sending  them  back  to  their  friends,  or  to  the 
workhouses,  according  to  circumstances.  He  has  found — contrary  to  the 
usual  opinion — that  the  poor  are  more  w  lling  and  anxious  to  have  the 
personal  care  of  their  insane  relatives  than  those  in  higher  classes  of  life. 
Scarcely  a  week  passes  but  he  is  earnestly  solicited  to  relegate  patients  to 
the  care  of  relatives.  Acting  upon  this  experience,  100  chronic  lunatics — 
nearly  15  per  cent. — have  been  returned  to  their  homes  or  to  workhouses 
over  and  above  those  discharged  as  cured.  In  this  way,  though  insanity 
increases  with  population  in  Sussex,  the  numbers  of  the  asylum  do  not  in¬ 
crease.  It  will  be  interesting  to  learn  how  far  a  further  experience  will 
justify  Dr.  Williams’s  system.  One  question  arises  of  interest,  in  addition 
to  the  risk  of  entrusting  insane  patients  to  the  care  of  relatives  probably 
otherwise  fully  employed — viz.,  the  effect  upon  relatives  themselves  of  the 
constant  association  with  the  demented.  This  cannot  be  advantageous. 
It  should  be  said  that  Dr.  Williams  urges  upon  the  Guardians  and  all  con¬ 
cerned  the  importance  of  placing  acute  and  recent  cases  under  asylum 
treatment  with  as  little  delay  as  possible. —  The  Lancet,  Feb.  28th,  1874. 


15 


A.  H.,  admitted  on  March  8th,  was  in  a  very  precarious 
condition,  being  in  a  state  of  acute  mania,  and  having  very 
considerable  effusion  into  the  pleura.  Paracentesis  thoracis 
was  performed  the  next  day,  and  four  pints  of  fluid  were  re¬ 
moved.  He  made  a  rapid  recovery,  and  was  discharged  in 
three  months. 

W.  L  ,  was  admitted  on  April  21st  with  a  self-inflicted 
incised  wound  of  the  throat ;  and  J.  B.,  on  December  4th,  in 
much  the  same  condition.  The  former  was  discharged  re¬ 
covered  in  about  four  months,  and  the  latter  is  convalescent. 

W.  M.,  an  old  chronic  lunatic,  who  had  been  taken  care  of 
by  his  relations  for  many  years  ;  attempted  to  chop  off  his 
hand  with  a  hatchet,  and  was  admitted  into  this  Asylum  on 
October  4th.  After  admission  the  disease  of  the  brain 
assumed  an  acute  form,  and  he  died  on  the  15th  of  the  same 
month. 

Reviewing  the  admissions,  and  noting  the  fact  that  by  far 
the  greater  majority  were  in  a  chronic  condition  as  to  their 
mental  disease,  it  cannot  but  strike  an  impartial  observer  as 
a  subject  for  much  regret  that  when  persons  become  acutely 
insane  they  are  not  at  once  sent  to  the  Asylum.  In  some  of 
the  unions  of  this  county  the  insane  are  often  taken  to 
the  workhouses  prior  to  being  taken  to  the  Asylum. 
Thereby  much  valuable  time  is  lost.  All  authorities  on 
lunacy  are  agreed,  and  their  belief  is  borne  out  by  ample 
statistics,  that  if  acute  insanity  is  to  be  cured  it  must 
be  placed  under  treatment  at  once.  Every  hour  is  of  the 
utmost  importance.  The  Medical  Superintendent  ventures 
urgently  to  press  this  question  on  the  attention  of  Boards  of 
Guardians  as  being  worthy  of  their  earnest  consideration, 
both  from  a  humanitarian  and  a  financially  economical  point 


16 


Deaths. 


of  view.  If  it  be  granted  that  an  insane  person,  placed  at 
the  commencement  of  his  attack  under  treatment,  is  more 
likely  rapidly  to  recover  than  if  skilled  attention  to  his  case 
be  delayed,  humanitarianism  is  served  by  his  early  return  to 
health  and  his  family,  and  economy  is  furthered  by  his  being 
chargeable  to  the  ratepayers  for  a  shorter  period.  Whereas 
if  he  is  allowed  to  remain  in  the  union  or  at  large  until  his 
case  assumes  a  chronic  phase,  he  becomes  probably  perma¬ 
nently  a  burden  on  the  ratepayers,  and  his  services  are  lost  to 
the  family  circle.  One  reason  for  the  hesitation  with  which 
cases  are  sent  here  is  that  there  is  doubtless  a  widespread 
belief  abroad  that  persons  sent  to  asylums  are  seldom  dis¬ 
charged  unless  cured.  Whatever  may  be  the  custom  else¬ 
where,  the  Medical  Superintendent  begs  Boards  of  Guardians 
in  Sussex  to  disabuse  themselves  of  this  prejudice  as  regards 
this  Asylum.  It  has  already  been  shown  that  within  the  last 
four  years  one  hundred  chronic  lunatics,  nearly  15  per  cent, 
of  the  inmates,  have  been  returned  to  the  union  houses  or  to 
their  relatives  over  and  above  the  patients  discharged  in  the 
ordinary  way  as  recovered,  and  the  Medical  Superintendent 
assures  them  that  he  considers  it  one  of  his  most  important 
duties  carefully  to  watch  the  chronic  cases,  in  order  that  he 
may,  from  time  to  time,  recommend  those  that  have  shown 
themselves  to  be  harmless,  and  not  likely  to  be  benefited  by 
further  treatment,  to  the  Committee  for  discharge.  This  line 
of  conduct  he  hopes  in  the  future,  as  in  the  past,  carefully  to 
pursue.  He  asks  in  return  that  the  Boards  of  Guardians  will 
direct  their  officials  to  send  all  duly  certified  acutely  insane 
persons  at  once  to  the  Asylum,  in  order  that  he  may  have  a 
fair  chance  in  the  arduous  fight  with  the  disease. 

There  is  nothing  to  call  for  special  notice  amongst  the 
deaths,  the  majority  of  which  have  been  from  organic  brain 


17 


disease.  The  percentage  is  below  the  average.  Post-mortem 
examinations  have  been  performed  in  twenty- eight  cases, 
and  would  have  been  held  in  many  more,  but  that  the  relatives 
so  frequently  object,  and  no  examination  is  ever  made  with¬ 
out  first  acquainting  them,  and  giving  them  the  opportunity 
of  refusing.  It  is  a  matter  for  much  regret  that  so  many  do 
object,  but  the  feeling  appears  to  be  very  strong  in  this 
county  against  such  examinations  ;  stronger  apparently  than 
in  most  other  counties.  More  than  once  this  objection  has 
been  traced  to  a  promise  extorted  by  the  patient  before 
death. 

J.  H.  tl),  a  patient,  who  was  nearly  convalescent,  escaped  Escapes, 
from  the  walking  party  on  January  26th,  and  walked  to 
London,  where  his  father  resides.  The  Head  Attendant 
brought  him  back  on  the  81st. 

J.  H.  (2),  who  had  been  for  some  time  trusted  to  do  odd 
jobs  alone  on  the  farm,  being  harmless  and  quiet,  took 
advantage  of  being  beyond  supervision,  and  walked  away. 

This  was  on  April  9th.  The  next  day  information  was  sent 
to  the  Asylum  that  he  had  wandered  as  far  as  Shore  ham, 
from  whence  the  Head  Attendant  fetched  him. 

There  has  been  a  more  than  usual  immunity  from  accidents  Accidents, 
during  the  past  year,  notwithstanding  the  increase  in  our 
population,  and  consequently  in  troublesome  cases.  The 
most  important  were  the  following  : — 

1.  A.  B.,  who  works  with  the  Butcher,  accidentally  let  a 
heavy  weight  fall  on  his  foot,  fracturing  one  phalanx. 

2.  W.  1ST.,  a  troublesome  case,  suffering  from  progressive 
paralysis,  ran  up  against  an  irritable  epileptic,  who  imme¬ 
diately  struck  him  a  severe  blow  in  the  lower  part  of  the 


18 


Inquests. 


axillary  region  of  the  chest  on  the  right  side.  The  Medical 
Superintendent  saw  the  blow  struck,  and,  on  examination, 
found  the  seventh  rib  fractured.  This  patient  died  from  the 
paralysis  on  March  25th,  and  the  post-mortem  examination 
revealed  a  most  brittle  and  diseased  state  of  the  ribs,  which 
were  easily  broken  by  a  force  of  131bs. 

3.  M.  D.,  an  old  woman  of  87  years,  and  in  very  feeble 
health,  fell  accidentally  on  7th  November,  and  fractured  the 
neck  of  the  thigh  bone  within  the  joint. 

There  have  been  two  Inquests  during  the  year  : — 

1.  — B.  D.,  who  was  admitted  on  July  18th  from  Brighton 
in  a  moribund  state,  and  died  in  twelve  hours.  The  evidence 
before  the  Coroner  proved  to  the  satisfaction  of  himself  and 
the  jury  that  the  man,  who  had  been  furiously  maniacal  for 
some  days  previously,  appeared  quite  strong  enough  to  be  re¬ 
moved  here  when  he  started  from  Brighton,  but  that  during 
the  journey  sudden  exhaustion  came  on  without  any  warning, 
as  will  frequently  happen  in  such  cases,  and  he  never  rallied. 

2. - — E.  S.  was  found  dead  in  bed  by  the  night  nurse  on 
August  11th,  having  evidently  died  during  an  epileptic 
seizure,  to  which  she  was  subject.  A  verdict  was  returned  in 
accordance  with  these  facts.  This  death  occurred  during  my 
absence  from  home.  The  following  correspondence,  which 
explains  itself,  took  place  respecting  it  with  the  Commis¬ 
sioners  in  Lunacy  : — 

[copy.] 

Office  of  Commissioners  in  Lunacy, 

19,  Whitehall  Place, 

August  21,  1873 

Sir, — Referring  to  the  statutory  notice  received  at  this  Office  of  the 
death  of  E.  S.,  a  patient  in  Sussex  Asylum,  from  epilepsy,  between  4 
p.m.  and  6  a.m.  of  the  11th  inst.,  the  Commissioners  direct  me  to  in- 


19 


quire  whether  she  was  then  in  an  associated  dormitory,  or  where,  and 
under  what  special  supervision,  and  when  last  seen  alive  by  any  and 
what  attendant.  You  will  be  good  enough  to  give  full  particulars 
of  the  death,  and  as  to  the  night  watching  of  the  patient. 

I  am,  Sir, 

Your  obedient  servant, 

(Signed)  THOS.  MARTIN 

(For  the  Secretary). 

Richard  Greene,  Esq. 


(COPY.) 

Sussex  Lunatic  Asylum, 

August  22,  1873. 

Sir, — In  answer  to  your  letter  of  the  21st  inst.,  referring  to  the 
death  of  E.  S.,  I  beg  to  inform  you  that  she  died  between  the  hours 
of  4  a.m.  and  6  a.m.  on  the  11th,  and  not  between  4  p.m.  and  6  a.m. 
as  stated  in  your  letter. 

She  slept  in  a  three-bedded  room,  and  the  other  beds  were  occupied 
by  patients,  from  one  of  whom  I  learned  that  she  had  a  fit  between  10 
and  11  p.m.  on  the  10th. 

Patient  was  put  to  bed  by  the  second  day  nurse  at  8  p.m.  on  the 
10th,  and  was  regularly  visited  by  one  of  the  night  nurses  every  two 
hours  ;  was  last  seen  alive  at  4  a.m  on  the  11th  by  the  charge  night 
nurse,  was  next  visited  by  the  second  night  nurse  at  5.30,  when  patient 
was  apparently  asleep,  though  I  have  no  doubt  she  was  then  dead, 
judging  at  least  from  the  temperature  of  the  body,  when  I  saw  it 
three-quarters  of  an  hour  later. 

She  was  then,  about  6.15,  lying  on  the  left  side,  and  had  died  with¬ 
out  any  struggle,  as  the  bedclothes  were  not  disarranged. 

Beyond  the  regular  visits  of  the  night  nurses,  she  was  under  no 
special  supervision,  as  she  was  in  her  usual  state  when  put  to  bed  on 
the  evening  of  the  10th. 

I  enclose  a  copy  of  my  letter  to  the  Coroner. 

I  am,  Sir, 

Your  obedient  servant, 

(Signed)  RICHARD  GREENE. 

To  the  Secretary  of  the 

Commissioners  in  Lunacy. 


(COPY.) 

Office  of  Commissioners  in  Lunacy, 

19,  Whitehall  Place, 

23rd  August,  1873. 

Sir, — I  am  directed  by  the  Commissioners  to  inform  you  that  they 
have  had  under  consideration  the  circumstances  attending  the  death 
of  E.  S. 

The  Commissioners  desire  me  to  say  that  the  case  only  confirms  the 
view  which  they  have  independently  formed,  that  in  all  Asylums  it 


20 


would  be  productive  of  the  greatest  benefit  if  arrangements  were 
made  for  the  care  of  epileptic  and  suicidal  patients  at  night  in  special 
wards,  under  the  constant  supervision  of  night  attendants  having  no 
other  duties. 

Such  special  wards  have  been  established  in  several  Asylums  with  the 
best  results,  and  it  has  been  found  practicable  to  establish  a  constant 
watch  even  where  the  patients  occupy  single  rooms. 

I  am  to  request  that  you  will  draw  the  attention  of  the  Visiting 
Committee  to  this  expression  of  the  Commissioners’  opinion. 

I  am,  Sir, 

Your  obedient  servant, 

(Signed)  THOS.  MARTIN, 

For  the  Secretary. 

Richard  Greene,  Esq, 


(COPY.) 

TO  THE  COMMITTEE  OF  VISITORS. 

Gentlemen, — I  lay  before  you  a  correspondence  which  has  taken 
place  during  my  absence,  between  the  Assistant  Medical  Officer  and  the 
Commissioners  in  Lunacy,  respecting  the  death  of  E.  S.,  in  this  Asy¬ 
lum,  on  the  11th  inst.,  and  I  have  the  honour  to  submit  the  following 
remarks  on  it  for  your  information. 

“  Special  Supervision  ”  of  suicidal  patients  at  night,  as  recommended 
by  the  Commissioners,  already  exists  here  for  suicidal  patients,  it  hav¬ 
ing  been  my  invariable  custom  ever  since  I  have  acted  as  Medical 
Superintendent  of  this  Asylum,  wdienever  I  have  had  suicidal  cases 
under  my  charge,  to  specially  tell  off  an  attendant  (independently  of 
the  ordinary  night  attendant)  to  watch,  and  never  leave  these  cases , 
and  this  often  continues  for  many  weeks  at  a  time. 

It  may  also  be  said  that  the  majority  of  our  epileptics  are  under 
very  constant  supervision,  because  the  night  nurses,  when  not  going 
their  rounds,  sit  in  the  ward  for  epileptics,  and  mvst  hear  any  unusual 
sounds.  Independently  of  which  they  are  instructed  to  satisfy  them¬ 
selves  every  two  hours  that  each  individual  case  is  all  right. 

I  have,  however,  long  felt  that  even  more  constant  supervision  than 
this  would  be  advisable,  and  with  a  view  to  laying  the  question  before 
you,  have  carefully  considered  how  some  such  a  scheme  as  the  Com- 
missioners  propose  could  be  carried  out,  but  have  hitherto  failed  to 
solve  the  difficulties,  and  for  these  reasons  :  — 

We  have  40  epileptics  of  each  sex  in  this  Asylum,  and  I  should  view 
with  alarm  the  collecting  40  epileptics  in  one  ward  with  one  nurse  to 
look  after  them  ;  and  it  is  a  question  whether  the  expense  of  keeping- 
two  or  three  extra  night  nurses  would  be  justifiable. 

But  independently  of  this,  we  have  no  ward  in  which  we  could 
collect  so  many  cases  so  as  to  be  constantly  under  supervision,  and  the 
structural  arrangements  of  the  building  are  such  that  no  adjunct 
could  possibly  be  built  to  the  epileptic  wards. 

The  Commissioners  say  that  such  special  wards  have  been  esta¬ 
blished  in  some  Asylums,  but  I  imagine  they  must  be  small  or  new 
Asylums,  wherein  the  number  of  epileptics  is  small. 


21 


Again,  the  Commissioners  seem  to  recommend  that  both  epileptics 
and  suicidal  cases  should  be  classed  together  for  the  purposes  of 
“  constant  supervision.”  But  in  my  humble  judgment  this  would  be  a 
most  undesirable  arrangement,  because  suicidal  patients  are  generally 
of  the  acute  and  curable  class.  To  shut  them  up  all  night  with  a  lot 
of  incurable  and  disgusting  epileptics  would  scarcely  tend  to  their 
peace  of  mind  or  recovery. 

The  only  improvement  I  can  suggest  would  be  for  a  third  night 
attendant  to  be  appointed  on  each  side,  whose  sole  duty  it  shall  be  to 
pass  to  and  fro  between  the  epileptics  all  night. 

I  am.  Gentlemen, 

Your  obedient  servant, 

(Signed)  S.  W.  D.  WILLIAMS, 

Medical  Superintendent. 

Sussex  Lunatic  Asylum, 

August  30th,  1873. 


[copy.] 

Sussex  Lunatic  Asylum, 

19th  October,  1873. 

Sib, -  With  reference  to  the  correspondence  with  your  office  arising 
out  of  the  death  of  E.  S.,  in  which  the  Commissioners  suggested 
an  alteration  in  the  night  nursing  of  this  Asylum,  I  beg  to  enclose 
you,  for  their  information,  the  regulations  for  the  extra  attendants 
who  have  been  appointed. 

We  have  now  six  night  attendants  (three  male  and  three  female)  on 
duty  every  evening,  independently  of  any  extra  attendants  who  may 
be  told  off  from  time  to  time  to  watch  specially  suicidal  or  acute 
cases. 

It  is  the  sole  duty  of  one  of  these  attendants  on  each  side  to  watch 
the  epileptics.  He  sits  in  the  epileptic  ward  with  all  the  doors  open, 
and  satisfies  himself  by  minute  inspection  every  hour  that  each  indi¬ 
vidual  case  is  alive  and  well. 

The  ward  contains  two  dormitories  (each  of  six  beds)— one  three- 
bedded  room  and  five  single  rooms  (one  padded).  In  this  ward  all  the 
worst  epileptics  -are  collected.  The  remaining  epileptics  sleep  in  an 
adjacent  dormitory,  which  also  receives  a  bed-to-bed  inspection  every 
hour. 

These  hourly  visits  are  independent  of  the  visits  of  the  ordinary 
night  nurses  every  two  hours. 

I  trust  that  these  arrangements  will  meet  the  wishes  of  the  Com¬ 
missioners. 

I  am,  Sir, 

Your  obedient  servant, 

(Signed)  S.  W.  D.  WILLIAMS,  M.E., 

Medical  Superintendent. 


The  Secretary 

Commissioners  in  Lunacy. 


22 


Death  of  Mrs. 
Barker. 


Visit  of  the  Com¬ 
missioners  in 
Lunacy. 


Alterations  and 
Improvements. 


[COPY.] 

Office  of  Commissioners  in  Lunacy, 

19,  Whitehall  Place, 

October  28th,  1873. 

SIR,  —  I  have  laid  before  the  Board  your  letter  of  the  19th  inst., 
transmitting  for  their  information  the  new  regulations  for  the  extra 
night  attendants  appointed  at  the  Sussex  Lunatic  Asylum. 

I  am  to  express  the  Commissioners’  satisfaction  at  the  increase  of 
the  staff,  and  to  intimate  that  the  new  regulations  are,  in  their 
opinion,  a  considerable  improvement  upon  the  previous  arrangements  ; 
but  at  the  same  time,  I  am  to  observe  that  the  system  of  night  watch¬ 
ing  which  the  regulations  and  your  letter  particularise  is  not  a  system 
of  continuous  night  watching  such  as  has  been  introduced  with  good 
results  at  Prestwich  and  elsewhere,  and  which  the  Commissioners  con¬ 
sider  alone  effectual  for  the  prevention  of  the  casualties  in  question. 

I  am,  Sir, 

Your  obedient  servant, 

(Signed)  CHAS.  SP.  PERCIVAL, 

Secretary. 

S.  W.  D.  Williams,  Esq.,  M.D. 

Mrs.  Barker,  the  wife  of  the  Hall  Porter,  and  who  herself 
assisted  in  the  work  of  the  centre  offices,  was  suddenly  taken 
with  uraemic  poisoning  on  7th  April,  and  died  on  the  10th. 

She  was  respected  in  the  establishment  as  a  quiet,  un¬ 
assuming,  reliable  person,  and  her  death  was  a  subject  of 
general  regret. 

The  Commissioners  in  Lunacy  visited  the  Asylum  on 
January  29th  and  30th,  inspected  all  parts  of  the  establish¬ 
ment,  and  saw  all  the  patients.  Their  report  will  be  found 
at  page  31. 

The  following  additions,  alterations,  and  improvements 
have  been  made  to  the  fabric  during  the  year: — 


1.  The  erection  of  a  very  fine  Recreation  Hall,  with  a 
fixed  Proscenium  and  Stage  at  one  end.  The  old  Hall, 
which  was  built  when  the  Asylum  was  erected,  had,  owing 
to  the  great  increase  in  our  numbers,  become  much  too  small, 
and  when  we  had  entertainments  many  patients  were  debarred 


23 


from  being  present,  owing  to  want  of  space.  The  new  Hall 
will  accommodate  500  people.  It  will  be  a  great  boon  to  the 
patients,  and  will  be  the  means  of  developing  more  fully  a 
now  well-recognised  agent  in  the  successful  treatment  of  the 
insane.  The  records  of  psychological  medicine  are  full  of 
cases  wherein  the  first  sign  of  mental  amelioration  has  been 
traced  to  some  innocent  amusement,  and  there  is  now  no 
first-class  asylum  without  its  spacious  Recreation  Hall. 

2.  Another  very  urgent  want  in  this  Asylum  for  many 
years  has  been  accommodation  for  the  Junior  Assistant 
Medical  Officer,  the  Housekeeper,  and  the  Kitchen  Servants. 
The  Junior  Assistant  Medical  Officer  has  hitherto  lodged  out 
of  the  House,  and  the  Kitchen  Servants  have  occupied  rooms 
belonging  to  the  patients  in  the  midst  of  the  Females’  De¬ 
partment,  and  a  long  way  from  their  work,  the  inconvenience 
of  which  need  scarcely  be  insisted  on.  The  Visiting  Room 
shares  the  same  fault  as  the  old  Recreation  Hall,  and  is  much 
too  small.  It  has,  therefore,  been  taken  down  and  rooms 
built  on  its  site  for  the  above-named  officers.  These  rooms 
are  contiguous  to  the  Kitchen.  The  ground-floor  will  be 
occupied  by  the  Kitchen  Servants,  and  the  first  floor  by  the 
Housekeeper  and  Junior  Assistant  Medical  Officer.  By  this 
arrangement  the  Kitchen  Servants  will  be  close  to  their  work, 
and  the  Housekeeper  will  be  at  hand  to  supervise  them. 

The  new  Recreation  Hall  will  serve  for  the  two-fold  pur¬ 
pose  of  recreation  and  visiting. 

3.  Two  semi-detached  Cottages  are  in  course  of  erection 
opposite  the  Entrance  Gates.  One  of  these  is  to  be  occupied 
by  the  Engineer,  it  being  imperatively  necessary  that  this 
officer  should  reside  on  the  premises,  so  as  to  be  immediately 
on  the  spot,  in  case  of  any  emergency  from  fire,  the  breaking 


24 


down  of  machinery,  or  wot  not.  He  has  hitherto  occupied 
the  Lodge  at  the  entrance,  which  is,  however,  much  too 
small  for  a  large  family  to  reside  in  with  any  regard  to 
proper  sanitary  arrangements. 

4.  The  day-room  space  in  F.  6  Ward  has  been  increased 
so  as  to  accommodate  sixty  patients  instead  of  forty-six. 
This  ward  receives  the  acutely  maniacal  cases,  and  now  that 
our  numbers  have  increased  so  greatly,  was  not  large  enough 
to  hold  the  augmented  proportion  of  such  cases.  The  original 
plan  of  the  ward  was  a  large  day-room,  with  a  corridor  run¬ 
ning  from  it,  on  each  side  of  which  were  bedrooms  and  offices. 
This  arrangement  is  a  radically  bad  one,  and  the  increased 
accommodation  has  been  obtained  by  gutting  one  side  of  the 
corridor,  and  throwing  it  into  the  day-room.  There  is, 
therefore,  now  a  fine  large  day-room  with  a  long  west  frontage 
opening  into  the  Garden.  This  plan,  however,  involved  the 
destruction  of  a  certain  number  of  beds  that  could  ill  be 
spared.  Therefore  the  old  vegetable  room,  which  adjoins 
the  ward,  has  been  converted  into  a  dormitory,  holding  12 
beds,  with  three  single  rooms  opening  into  it,  and  a  double- 
bedded  nurses’  room  beyond,  which  contains  a  window  by 
which  supervision  of  the  dormitory  can  be  obtained.  The 
whole  of  the  materials  required  for  this  rather  large  work 
cost  under  thirty  pounds.  The  labour  has  been  entirely 
effected  by  patients,  directed  by  the  Asylum  staff  of  artisans 
and  attendants.  Considerable  credit  is  due  to  them  for  the 
way  in  which  the  work  has  been  executed. 

5.  A  new  meat  larder  has  been  built  detached  from  the 
building.  The  old  meat  larder  was  an  excavation  under  the 
kitchen,  and  was  so  damp  and  close  that  meat  could  not  be 
kept  in  it.  The  new  larder  wTas  built  in  the  spring,  and 
answers  its  purpose  admirably. 


25 


6.  The  old  larder  has  been  converted  into  a  vegetable 
room  ,  and  being  close  to,  indeed  under,  the  kitchen  has  been 
found  very  convenient  for  that  purpose.  The  former  vege¬ 
table  room  was  in  the  midst  of  the  Females’  Wards,  a  long 
way  from  the  kitchen,  which  was  very  inconvenient;  more¬ 
over,  the  smell  of  the  vegetables  often  pervaded  the  Females’ 

Wards.  It  has  been  converted,  as  detailed  above,  into  a 
dormitorv  for  F  6  Ward. 

Both  these  latter  works  have  also  been  effected  by  our  own 
staff,  and  at  a  very  trifling  cost. 

All  these  various  additions,  alterations,  and  improvements 
were  much  needed,  and  have  added  very  materially  to  the 
efficiency  of  the  working  of  the  various  departments  of  the 
establishment.  They  have  not  cost  the  County  of  Sussex 
one  penny,  as  the  expenses  attendant  on  their  completion 
have  been  completely  met  by  savings  effected  on  private  and 
out-county  patients.  They  are  all  about  finished,  and  will, 
with  the  opening  of  the  new  year,  be  in  thorough  working 
order. 

The  amusements  of  the  patients  during  the  early  part  of  Amusements, 
the  year  and  the  summer  were  carried  on  much  as  in  former 
years,  and  included  dances,  concerts,  readings,  lectures, 
theatricals,  cricket,  croquet,  footballs,  pic-nics,  &c. ;  but 
during  the  last  three  months  they  have  been  somewhat  inter¬ 
fered  with  by  the  erection  of  the  new  Hall  and  the  various 
other  structural  alterations  goingon.  With  the  opening  of 
the  new  year  it  is  intended  to  renew  them  with  increased 
vigour. 

Some  four  years  ago  it  was  a  constant  subject  of  reproach  Medical  Notes, 
by  the  Press,  both  medical  and  general,  that  so  little  was 


26 


Weekly  Rate. 


Office  of  Clerk 
and  Steward — 
Division  of. 


done  to  advance  the  knowledge  of  mental  diseases  in  the 
Comity  Asylums.  An  endeavour  was,  therefore,  made  in 
this  Asylum  to  help  to  clear  away  this  reproach  by  pub¬ 
lishing  an  Appendix  to  the  Annual  Report,  containing  a 
record  of  cases  treated  during  the  year.  At  the  last  meeting 
of  the  Medico-Psychological  Association,  however,  it  was 
determined  to  devote  a  portion  of  each  number  of  the  Journal 
of  the  Association  to  the  publication  of  the  most  interesting 
of  such  cases  collected  from  all  the  Asylums  in  England, 
and  the  co-operation  of  the  Medical  Officers  of  this  Asylum 
was  solicited.  This  will,  therefore,  obviate  the  necessity  for 
a  medical  appendix  to  the  annual  report,  the  “  Journal  of 
Mental  Science  ”  being  a  much  more  appropriate  and  con¬ 
venient  vehicle  for  the  publication  of  such  records. 

The  weekly  maintenance  rate  per  patient  has  been  9s.  6-Jd.* 
During  1872  it  was  9s.  8^d.  The  Unions  have  been  charged 
9s.  6d.,  so  that  for  the  last  two  years  the  patients  chargeable 
to  Sussex  have  been  maintained  at  a  considerable  loss.  This 
deficit  has  been  met  by  the  balance  accruing  from  the  out 
County  and  Private  Patients.  It  cannot  but  be  considered 
very  satisfactory  that  notwithstanding  the  great  increase  in 
the  cost  of  all  provisions  and  necessaries  of  life,  the  mainten¬ 
ance  cost  is  less  than  last  year.  There  are  forty-five  County 
Asylums  in  England.  In  only  four  of  these  besides  the 
Sussex  was  the  cost  less  this  year  than  last.  In  most  the  in¬ 
crease  has  been  very  considerable. 

In  July  last  Mr.  S.  A.  Mortlock,  who  with  much  zeal  and 
honesty  of  purpose  had  acted  as  clerk  and  steward  of  the 
Asylum,  since  its  opening,  signified  his  desire  to  become 
married.  Unfortunately,  however,  the  construction  of  the 

*  The  average  weekly  maintenance  for  the  rest  of  the  County  Asylums  in 

England  was  10s.  3d. 


27 


administrative  block  does  not  admit  of  accommodation  for 
married  officers ;  moreover,  now  that  the  Asylum  has  doubled 
in  size,  the  work  of  the  combined  offices  of  clerk  and  steward 
had  become  almost  too  much  for  one  officer,  even  though 
aided,  as  Mr.  Mortlock  had  been,  by  a  clerk.  Therefore,  at 
the  July  meeting  of  the  Committee,  it  was  determined  to 
divide  the  office  of  clerk  and  steward  held  heretofore  by  Mr. 
Mortlock;  to  make  Mr.  Mortlock  clerk  of  the  Asylum,  and 
to  create  a  new  office,  the  occupant  of  which  was  to  be  called 
storekeeper.  This  appointment  was  duly  advertised,  and  Mr. 

W.  H.  Sherman,  deputy-master  of  the  Hackney  Union,  was 
elected  at  the  meeting  of  the  Committee,  in  September.  He 
entered  on  his  duties  on  October  20th.  The  office  of  clerk’s 
assistant  was  abolished.  The  retention  to  the  institution  of 

the  services  of  so  efficient  and  reliable  a  financier  as  Mr. 

* 

Mortlock  was  a  matter  of  much  satisfaction  to  me,  as  was 
also  the  increase  of  the  salary  of  so  excellent  an  officer  as  the 
Senior  Assistant  Medical  Officer,  Dr.  Greene,  from  £150  to 
£200  a  year. 

The  working  of  the  institution  during  the  year  has  been  Conclusion, 
carried  on  by  the  officers,  as  heretofore,  with  perfect  har¬ 
mony  ;  and  in  concluding  his  report,  it  only  remains  for  the 
Medical  Superintendent  to  thank  them  for  their  cordial  co¬ 
operation. 


(Signed), 

S.  W.  D.  WILLIAMS,  M.D., 

Medical  Superintendent. 

Haywards  Heath, 

December  31st,  1873. 


THE  CHAPLAIN’S  FIFTEENTH  ANNUAL 

REPORT. 


Fifteen!  h.  An. 
nual  Report. 


The  Chaplain  presents  his  customary  Report  to  the  Com¬ 
mittee  of  Visiting  Magistrates  for  the  past  year,  the  fifteenth 
since  the  opening  of  this  Asylum. 


Sunday  Services.  The  services  on  Sunday  and  on  Christmas  Day  and  Good 
Friday  in  the  Chapel  and  in  the  wards  have  been  carried  out 
as  usual. 


Administration  The  Holy  Communion  has  been  administered  on  the  usual 

of  Holy  Com-  J 

munion.  Sundays  in  the  Chapel,  and  from  time  to  time  in  the  Female 

Infirmary. 


Daily  Prayers.  The  Morning  Prayers  in  the  dining  halls  have  been  read  re¬ 
gularly,  and  the  patients  have  appeared  orderly  and  attentive. 

Library.  The  Circulating  Library  for  the  household  and  the  hooks 

in  the  wards  have  been  much  used  by  those  for  whom  they 
are  intended,  and  appear  to  be  valued. 

Visits,  &c.  The  Chaplain  has  visited  the  infirmaries,  wards,  &c.,  at 

the  appointed  times,  and  on  other  occasions,  and  his  visits 
seem  to  be  welcomed  by  many  of  the  patients. 

Commemoration.  The  Commemoration  Festival  was  kept  on  July  25th. 

The  sermon  was  preached  by  the  Rev.  R.  E.  Sanderson, 
M.A.,  Head  Master  of  Lancing  College;  the  lessons  were 
read  by  the  Rev.  H.  J.  Rush,  M.A. 

Burials.  48  Burials  and  2 1  Removals  have  taken  place  during  the  year. 

Conclusion.  The  Chaplain  desires  to  thank  all  the  members  of  the  staff 

for  their  support  in  the  execution  of  his  duties. 


(Signed)  THOMAS  E.  CRALLAN,  M.A., 

Chaplain. 


Haywards  Heath, 

December  31st,  1873. 


METEOROLOGICAL  REPORT. 


The  year  1873  has  been  an  average  year  on  all  points. 
There  was  neither  excessive  heat  or  cold,  nor  extreme  wet  or 
drought. 

The  month  of  April  was  dry  and  cold.  The  frost  on  the 
18th  of  that  month  injured  the  pears,  cherries,  and  plums. 
Other  fruits  escaped,  and  the  apple  crop  was  abundant. 

October  was  the  wettest  month  in  the  year,  having  a  rain¬ 
fall  of  4T0  inches.  December  was  the  driest  month,  its 
rainfall  amounting  to  only  *68  inches. 

The  greatest  cold  occurred  on  December  10th,  when  the 
minimum  thermometer  on  the  grass  recorded  a  temperature 
of  17-0°. 

The  greatest  heat  was  recorded  on  June  16th,  the  black 
bulb  thermometer  in  the  sun  standing  at  138-0°. 

The  greatest  rainfall  in  twenty-four  hours  took  place  on 
July  13th,  and  amounted  to  IT 6  inches. 

The  usual  table  is  annexed. 

(Signed),  THOMAS  E.  CRALLAN. 


Meteorological  Observations  taken  at  the  County  Lunatic  Asylum  during  1873. 


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Mean  or 
Total  for  the 
Year. 

(Signed)  THOMAS  E.  CK ALLAN 


REPORT  BY  THE  VISITING  COMMISSIONERS 

IN  LUNACY. 


Sussex  County  Asylum, 

29 th  and  30 th  January ,  1873. 

Since  the  visit  of  our  colleagues,  on  the  20th  of  June  last 
year,  the  following  changes  have  taken  place  amongst  the 
Patients,  viz.  : — 


M. 

F. 

Total. 

Admitted 

.  94 

60 

154 

Discharged  . 

.  24 

33 

57 

Died 

.  25 

20 

45 

Leaving  the  total  numbers  on  the  books  at  332  in  the  Male, 
and  384  in  the  Female  Division. 

Of  these  49  patients  belong  to  Maidstone  and  29  to  St. 
Pancras  parish  in  London.  There  are  also  2  women  belong¬ 
ing  respectively  to  Bath  and  Dover.  Amongst  the  present 
inmates  there  are  3  males  and  9  females  of  the  private  class. 

The  weekly  charges  are  now  9s.  6d.  for  paupers,  14s.  for 
out-county,  and  16s.  for  private  patients. 

At  our  visits  yesterday  and  this  morning  we  have  seen  all 
the  inmates  except  a  woman  away  on  leave,  and  a  man  who 
escaped  two  or  three  days  ago,  and  has  not  yet  been  recap¬ 
tured.  We  have  been  much  pleased  with  the  very  excellent 
condition  in  which  we  found  the  whole  establishment.  The 


32 


utmost  cleanliness  and  good  order  prevailed  throughout,  and 
all  the  wards  for  the  worst,  as  well  as  for  the  most  orderly 
classes,  were  equally  well  supplied  with  books,  games,  and  a 
profusion  of  flowering  plants.  The  success  which  attends 
this  mode  of  treating  the  patients  was  shown  in  their  con¬ 
tented  and  orderly  demeanour,  whilst  we  are  assured  that 
scarcely  a  flower  had  been  broken  or  a  book  destroyed.  The 
supply  of  flowers  has  been  greatly  facilitated  by  the  erection 
of  an  excellent  greenhouse  in  connection  with  the  new  gar¬ 
dener’s  cottage.  The  personal  condition  of  the  patients  was 
very  satisfactory. 

Their  linen  is  changed  twice  a  week,  and  we  are  informed 
that  they  have  also  two  baths  in  the  same  period.  The 
bedding  was  well  attended  to  and  sufficient  in  quantity ;  but 
we  thought  the  upper  dormitories  very  cold,  and  suggested 
that  the  stoves  should  be  lighted  during  the  present  cold 
weather. 

We  saw  the  dinners  served  in  the  Women’s  Dining  Room 
yesterday,  which  were  very  good. 

Upwards  of  300  patients  were  present,  and  all  were  per¬ 
fectly  quiet  and  well  behaved. 

The  sanitary  state  of  the  Asylum  seems  to  be  satisfactory, 
and  the  general  health  during  the  autumn  has  been  good. 

The  following  were  the  assigned  causes  of  the  45  deaths 
which  have  taken  place  since  the  20th  of  June,  viz.  :  — 
Epilepsy,  6;  softening  of  the  brain,  5 ;  phthisis,  7  ;  gangrene 
of  lungs,  1 ;  pneumonia,  2  ;  general  paralysis,  7  ;  decay  of  old 
age,  2  ;  meningitis,  1 ;  disease  of  heart,  8  ;  abscess  of  liver,  1 ; 
apoplexy,  1  ;  bronchitis,  1  ;  accidental  poisoning,  1  ;  melan¬ 
cholia,  1  ;  diarrhoea,  1. — Total,  45. 


83 


Inquests  were  held  in  two  cases — 1st,  that  of  the  man 
who  died  from  accidental  poisoning  by  carbolic  acid,  the  par¬ 
ticulars  of  which  were  fully  reported  to  the  Board  at  the 
time,  and  the  second  that  of  a  man  whose  death  was 
sudden,  the  cause  being  aneurism  of  the  heart.  Post-mortem 
examinations  have  been  made  in  27  cases. 

There  was  no  patient  in  seclusion  during  our  visit,  nor  was 
any  one  restrained  ;  but  since  the  last  visit  5  men,  and  15 
women  have  been  secluded,  the  former  on  10  and  the  latter 
on  46  occasions. 

“  Wet  Packing  ,5  is  entered  in  the  Medical  Journal  as 
having  been  employed  in  the  cases  of  8  males  on  19  occasions, 
and  8  females  on  54  occasions.  Dr.  Williams  continues  to 
have  great  confidence  in  the  efficiency  of  this  mode  of  treat¬ 
ment  in  certain  forms  of  insanity. 

The  means  taken  to  promote  industrial  occupation  amongst 
the  patients  continues  to  be  very  satisfactory.  A  large  pro¬ 
portion  of  the  inmates  are  employed,  and  many  have  been 
instructed  in  trades  and  occupations  of  which  they  had  pre¬ 
viously  no  knowledge.  The  result  is  that  all  the  clothes, 
shoes,  bedding,  mats,  matting,  and  furniture  are  made  on  the 
premises. 

Liberal  arrangements  are  made  for  recreation.  Pic-nics 
were  frequently  held  during  the  summer,  and  there  were 
weekly  drives  and  excursions  to  Brighton.  A  new  covered 
van  has  been  provided  for  this  purpose. 

In  the  autumn  and  winter  months  there  have  been  frequent 
balls  and  concerts,  with  readings  and  other  entertainments. 

The  arrangements  for  the  performance  of  Divine  Service 


34 


remain  as  before.  There  are  three  services  on  Sunday,  at 
which  245  men  and  303  women  are  present. 

The  Chaplain  holds  school  classes  twice  a  week,  at  which 
25  patients  of  each  sex  usually  attend,  and  the  result  is 
stated  to  be  very  beneficial  to  them. 

There  are  now  25  attendants  of  each  sex,  and  we  are  glad 
to  find  that  since  the  1st  of  January  their  wages  have  been 
increased,  the  ordinary  male  attendants  now  commencing  at 
£24,  and  increasing  to  £30,  and  the  charge  attendants 
beginning  at  £30  and  increasing  to  £40.  The  nurses  of  the 
same  classes  commence  at  £15  and  £20  respectively,  and 
increase  to  £20  and  £25.  The  men  are  each  supplied  with 
a  suit  of  uniform,  and  the  nurses  are  also  partially  supplied 
with  dresses. 

In  addition  to  the  staff  of  attendants,  there  are  20  paid 
artizans  and  farm  labourers. 

It  will  be  seen  from  the  above  Report  that  the  Asylum 
continues  to  be  maintained  in  a  very  satisfactory  manner,  and 
that  the  welfare  of  the  patients  is  in  all  respects  most  care¬ 
fully  attended  to. 


W.  G.  CAMPBELL,  "i  Commissioners 
JAMES  WILKES,  J  in  Lunacy. 


APPENDIX. 


CONTAINING  THE 


TABLES  OF  THE  MEDICO-PSYCHOLOGICAL 

ASSOCIATION,  &o. 


The  Medical  Superintendent  desires  to  acknowledge  the  services  ren¬ 
dered  to  him  by  the  Clerk  of  the  Asylum  (Mr,  S.  A „  Mertlock )  in 
the  compilation  of  these  Tables . 


CONTENTS  OF  APPENDIX. 


NO.  PAGE, 

I.  The  Admissions,  Discharges,  and  Deaths  .  37 

II.  The  Admissions,  Discharges,  and  Deaths  since  the 

Opening  of  the  Asylum,  25th  July,  1859  .  38 


III.  Showing  the  Admissions,  Discharges,  and  Deaths, 
with  the  mean  annual  Mortality  and  proportion 
of  Recoveries  of  each  year  since  the  Opening  of 
the  Asylum .  39 


IV.  Showing  the  History  of  the  Annual  Admissions 
since  the  Opening  of  the  Asylum,  and  the  num¬ 
ber  of  each  year  remaining  on  the  31st  December, 


1873 


...  40 


V.  Showing  the  Causes  of  Death  during  the  year  ...  41 

VI.  Showing  the  length  of  Residence  in  those  Dis¬ 
charged,  Recovered,  and  Died  during  the  year  42 

VII.  Showing  the  Duration  of  the  Disorder  on  Admis¬ 

sion  in  the  Admissions,  Discharges  and  Deaths 
during  the  year .  43 

VIII.  Showing  the  Ages  of  the  Admissions,  Discharges, 

and  Deaths  during  the  year  .  44 

IX.  Condition  as  to  Marriage  in  the  Admissions,  Dis¬ 
charges,  and  Deaths  during  the  year .  45 

X.  Showing  the  probable  Causes,  Apparent  or  As¬ 

signed,  of  the  Disorders  in  the  Admissions,  Dis¬ 
charges,  and  Deaths  during  the  year .  46 

XI.  Patients’  Daily  State  and  Employment .  47 


XII.  The  Establishment  .  48 

XIII.  Provisions  Consumed .  49 

XIV.  The  Diet  Table  . 50-51 


37 


TABLE  1. 


Showing  the  Admissions,  Re- Admissions,  Discharges ,  and 
Deaths  during  the  Year  1873. 


In  the  Asylum,  1st  January,  1873 


M. 

F. 

T. 

Admitted  for  the  first 

time  during  the  year 

88 

85 

173 

Re  -  Admitted  during 

the  year  . 

12 

19 

31 

Total  Admitted 


Total  under  care  during  the  year  . 

Discharged  or  Removed : 


M. 

F. 

T. 

Recovered . 

30 

43 

73 

Relieved  . 

14 

26 

40 

Not  Improved 

1 

2 

3 

Died . 

45 

25 

70 

Total  Discharged  and  Died  during  the 
year  . 

Remaining  in  the  Asylum,  Dec.  31st, 
(inclusive  of  absent  on  trial), 
1  Male  . 

Average  numbers  resident  during  the 
year  . | 


Male. 

Female. 

332 

383 

100 

104 

432 

487 

90 

96 

342 

391 

337.3 

392.7 

Total. 


715 


204 

919 


186 


733 


730. 


38 


TABLE  II. 


Showing  the  Admissions ,  Re- Admissions,  and  Discharges ,  /w  the 
Opening  of  the  Asylum  to  the  present  date ,  31<s£  December ,  1873. 


Admitted  during  the  Period  of  141 
years  . . . . . . . . 

Re-Admissions  .  . . . 

Total  of  Cases  Admitted  . 

Discharged  or  Removed  : 


M. 

F. 

T. 

Recovered...... 

255 

371 

626 

Relieved  . 

91 

97 

188 

Not  Improved 

117 

43 

160 

Died . 

462 

354 

816 

Total  Discharged  and  Died  during  the 
14|-  years  . . . . . . . 

Remaining,  December  31,  1873  .. — 

Average  numbers  resident  during  the 
14 \  years  . . . 


Male. 

Female. 

Total. 

1194 

1139 

2333 

73 

117 

190 

1267 

1256 

2523 

925 

865 

1790 

342 

391 

733 

252 

290 

542 

TABLE  III. 

Showing  the  Admissions ,  Discharges ,  and  Deaths ,  with  the  Mean  Annual  Mortality  and  'proportion  of  Recoveries  per 
cent,  of  the  Admissions  for  each  Year  since  the  Opening  of  the  Asylum ,  July  25,  1859. 


Per  centage 

of  Deaths 

on  average 

Nos.  Resident 

•sexeg 

H  rj  o  oo  cd  H  H  cq  oo*  ©"  ad  ©  ©  os 

>H  HHrfH  r— It— 1 

: 

oOiOcocqoo,cPc^r~!G0|rOc>.loo  coo 

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; 

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cd  GO  so"  os"  r-5  cd  lO  o’  H  OS  O  00  ©q  1-H  cd 

r— !  » — 1  r-HrHi-HrHT-H  rH  i-H  rH  rH 

• 

Per  centage 
of  Recoveries 
on 

Admissions. 

•S9X9CJ 

OS  CO  H  (SI  KS  O  O  05  O  O  NCO  Ot>. 

h’okcogsk  ©*  o'  ad  id  co  o'  #  A  id 
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HCOSCIQOHCClcqCSI'CpCOCOLO  CO  ^1 

• 

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h  o  cd  co  cq  h  cd 'd  i’  r-ad  ■d  to  o  o 
r— i  cqcqcqcqcqcqHCOcoao  h  co 

: 

Average 

No. 

Resident. 

•pm 

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SOOSHOOOSNOCOlOHifiNTf  COCO 

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542 

Tj  HKOCOOHCDCqcOCO^UO  OS  CO 

cqooqTjiousooosT— icqcOTjtTfi  coos 
i— ir— icqcqcqcqcqcqcococococo  coco 

290 

”9PM 

oo  co  cq  cq  ao  co  i>.  © -^  ©  ©  cq  t?  10  n 
ocooscocooqoqcoTfoscqcoo  osco 
t— (Hi— icqcqcqcqcqcqcqcococo  cqco 

252 

Remaining 

31st 

Dec.  in 
each  year. 

'PPP 

mOJCSOcOHOcONNO'-icq  ao  co 
COOJiOOtOOHTjCDTfUOCi©  H  CO 
cqco'^io’^uninioiocooocr 

• 

• 

•  9 

©NHOOcooNco>oiocqcaH  eon 

lONCOKS^NNOHOICOlO^I  COOS 

Hcqcqcqcqcqcqcocococococo  coco 

• 

t— « 

1  © 

aooqcocqoiocoooqcqcoosi— i  cqoq 
coNci^fcqcqcoTjuocqHcoo  co 
h  i — (  oq  oq  cq  oq  oq  cq  cq  co  co  co  oq  coco 

• 

Died. 

•pm 

©  t?  ao  i— i  co  ao  o  cq  cq  tji  t>.  os  t>.® 

I— 1  co  Tjl  r?  Tfl  ns  ©  a0  ©  ao  ©  ©  t>. 

816 

©©©cou5h©©1>.tji©©h i  cq  a0 
h  rH  h  oq  oq  co  co  cq  oq  oq  co  cocq 

354 

*0PM 

Tjia0©c0CO©©©a0CQa0COCO  ao  as 
Gqcqoqcqcoco^eooqcooqco  eo  hp 

_ 

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Discharged. 

I 

;Not  Improved 

•pm 

oqiccoo'^coaoi— uocqio  :os  coco 
cq  i— i  co  .  ^ 

© 

© 

H 

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r— 1  •  •  « 

CO 

Y? 

•QPM 

H^IONCO^IHHHCqiU  :  CO  cq  rH 
l—1  CO  •  Tfl 

117 

| 

Relieved. 

*Pm 

•O^NHNCQCOOSOON^  COO 
•  rH  H  H  Hi — 1  rH  Cl  rH  Hji 

00 

00 

H 

•9['Btn9l£ 

•COHOCICIOOOCOIO^CIQO  iH  CO 

•  rH  rH  CM 

© 

•9PK 

•COCOHCJiOOiOCOiOCOlOO 

•  rH  rH 

91 

Recovered. 

•PPP 

©©05©cqHFcocqcqco©>— ico  t>»  co 
cocqcococqco^HP^Tji©©  ©  t>. 

626 

Tf  CO  Cq  ©  ©  ©  t>.  lO  Tfl  ao  oq  lO  Tjl  CO 

HdHHHHcqoqwtacoeo  tf 

371 

•9pM 

CQCQl>.TflCOHFCDt>.LOHj!rHOCO  COO 
rH  rH  rH  rH  rH  rH  rH  rH  CQ  CM  OQ  CQ  CO 

255 

Admitted. 

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©co©cqcoeocqao©©cq©H  ©© 

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•9^131119^ 

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©©©©cqx>.©co©t>.©oo©  co  © 

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H  rH  H  H  — r 

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CQ 

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Year. 

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©©©©©©©©©©©t^i-^  !>. 

CO  00  00  CO  CO  CO  00  co  00  00  00  CO  CO  00  00 

HHHHi — IHHHHi — li — IHH  HH 

Total . 

*  This  apparently  low  per  centage  of  recoveries  is  due  to  the  admission  of  nearly  100  chronic  Lunatics  from  St.  Pancras  and  Maidstone.  The  recoveries 

on  the  admissions  from  the  County  are  at  the  rate  of  35.6  per  cent. 


TABLE  IV. 

Showing  the  History  of  the  Annual  Admissions  since  the  Opening  of  the  Asylum ,  with  the  Discharges  and  Deaths , 

and  the  Numbers  of  each  year  remaining  on  the  31  st  December ,  1873. 


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TABLE  Y. 


Showing  the  Causes  of  Death  during  the  Year . 


CAUSES  OF  DEATH. 

Male. 

Female. 

Total. 

Cerebral  or  Spinal  Diseases. 

Inflammation  and  other  Diseases 
of  the  Brain,  Softening,  &c. 

8 

0 

8 

Epilepsy  . . . 

5 

4 

9 

Progressive  Paralysis  of  the  Insane 

14 

0 

14 

Maniacal  or  Melancholic  Exhaus¬ 
tion  . . . .  0  .....  . 

3 

2 

5 

Thoracic  Diseases. 

Inflammation  of  Lungs,  and  Pleurae 

1 

0 

1 

Pulmonary  Consumption . . 

5 

4 

9 

Disease  of  the  Heart  . . . 

4 

9 

13 

Pericarditis  . . . . 

1 

0 

1 

Abdominal  Diseases. 

Disease  of  Kidneys  . . . 

0 

1 

1 

Diarrhoea  . . . . . 

0 

1 

1 

Decay  of  Old  Age  . . . 

4 

4 

8 

Total . . 

45 

25 

70 

42 


TABLE  VI. 


Showing  the  length  of  Residence  of  those  Discharged  Recovered , 
and  in  those  who  have  Died  during  the  year  1873. 


Length  of  Residence. 

RECOVERED. 

DIED. 

Males. 

Females. 

F  c3 

-M 

O 

H 

Males. 

Females. 

Total. 

Under  1 

month 

•  • 

>> 

2 

2 

6 

1 

7 

From 

1 

to 

3 

months 

•••••• 

6 

4 

10 

5 

3 

8 

77 

3 

>> 

6 

77 

9 

15 

24 

11 

1 

12 

77 

6 

77 

9 

77 

••••«« 

7 

3 

10 

77 

1 

1 

77 

9 

77 

12 

77 

•••••• 

5 

9 

14 

5 

77 

5 

77 

1 

77 

2 

years 

•  •  •  •  •  • 

2 

6 

8 

3 

3 

6 

77 

2 

77 

3 

77 

•  C  •  •  •  «■ 

1 

2 

3 

1 

1 

2 

77 

3 

77 

•  5 

77 

77 

77 

77 

3 

2 

5 

77 

5 

77 

7 

77 

77 

77 

77 

1 

2 

3 

77 

7 

77 

10 

77 

77 

1 

1 

2 

D 

7 

77 

10 

77 

13 

77 

. 

77 

1 

1 

6 

3 

9 

77 

13 

77 

16 

77 

. 

77 

77 

77 

2 

3 

5 

Total 

30 

43 

73 

45 

25 

70 

TABLE  VII. 

Showing  the  Duration  of  the  Disorder  on  Admissions,  Discharges ,  and  Deaths  during  the  Year  1873. 


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TABLE  VIII. 

Showing  the  Ages  of  the  Admissions ,  Discharges ,  and  Deaths  during  the  Year  1873. 


44 


The  Deaths. 

•RDOR 

:  :  ;COO(MONOHHiO 

•  •  •  H  rl  H  rH 

o 

:  :  ;co^^io(miohh  ; 

•  •  •  • 

lO 

CM 

‘©I'BM 

:  ;  :loocohioio  : 

•  •  •  rH  •  • 

45 

The  Discharges. 

Removed.  Relieved, 
or  otherwise. 

•RR°h 

:  :  ;n-iioo>mcoh  ; 

•  •  •  rH  • 

CO 

'©pTno^ 

:  :  : « co ’i? «o N n h  :  co 

co 

CM 

•0FK 

:  ;  jiocohcohh  ;  ;t-i 
•  •  •  •  • 

lO 

1—1 

Recovered. 

‘m°h 

:  :  tJI  lO  O)  CO  CO  00  CM  :  •  r-H 

.  .  hh  h  h  :  : 

73 

opui©^ 

:  :  rH  o  o  i— i  oo  io  cq  :  ;  • 

:  :  fh  r-i  :  :  : 

43 

•9PM 

:  ;coiooNio»  ;  ;  ;  >— i 

•  •  •  • 

o 

CO 

The  Admissions. 

‘pnoh 

ICOOCqCi^HK^l  •  •  CO 

•  rH  Tj’l  CO  CO  rH  rH  •  • 

204 

‘©jmu©^ 

•Hioioo^ococ ON  :  ;  co 

•  04  C4  rH  rH  • 

104 

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100 

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CD  c6 

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1001000000000(0 

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13 

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1 — 1 

Condition  in  Reference  to 
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a 

I3 

r 

a 

HD 

i 

D  a 

£ 

HD 

a 

£ 

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£ 

HD 

a 

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£ 

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46 


TABLE  X. 


Showing  the  probable  Causes,  Apparent  or  Assigned,  of  the  Disorders 
in  the  Admissions,  Discharges,  and  Deaths  of  the  year. 


Causes. 

The 

Admissions. 

The  Dis 

Recovered. 

charges. 

Removed,  Re¬ 
lieved  or 
otherwise. 

The  Deaths. 

Male. 

Female. 

Total. 

|  Male. 

Female. 

Total. 

Male. 

Female. 

Total. 

Male. 

Female. 

Total. 

MORAL. 

Religion  . 

3 

6 

9 

•  • 

1 

1 

•  • 

•  . 

•  • 

•  • 

1 

1 

Family  Trouble . 

6 

9 

15 

4 

4 

8 

•  • 

.  . 

•  • 

6 

1 

7 

Love . 

2 

2 

4 

1 

1 

2 

1 

•  • 

1 

•  . 

1 

1 

Fright,  . 

2 

2 

1 

1 

PHYSICAL. 

Climacteric  . . 

4 

4 

3 

3 

Intemperance . 

4 

2 

6 

0 

2 

7 

1 

1 

2 

o 

O 

3 

Weakness . 

1 

•  • 

1 

•  • 

1 

1 

2 

2 

•  . 

2 

2 

Fever . 

1 

•  • 

1 

• . 

1 

1 

1 

1 

•  • 

•  . 

•  • 

Disease  of  the  Brain . 

4 

5 

9 

2 

2 

Injury  to  Head  . 

5 

3 

8 

3 

,  . 

3 

2 

#  , 

2 

.  , 

Puerperal  State . 

4 

4 

4 

4 

Epilepsy  . 

3 

1 

4 

1 

1 

#  , 

•  • 

2 

2 

4 

Hereditary  Tendency  . . . 

3 

3 

6 

•  • 

•  . 

.  .. 

1 

1 

1 

1 

2 

Overwork . 

2 

1 

3 

1 

1 

Sunstroke . 

2 

2 

,  , 

.. 

#  # 

1 

1 

Old  Age  . 

1 

I 

2 

Syphilis  . 

•  • 

•  • 

,  , 

1 

,  # 

1 

Not  ascertained . 

63 

61 

124 

16 

26 

42 

10 

22 

32 

29 

17 

46 

Totals  . 

100 

104 

204 

30 

43 

73 

15 

28 

43 

45 

25 

70 

47 


TABLE  XI. 

Patients’  Daily  State  and  Employment.  Average . 

(Compiled  from  the  Daily  State  Book,  which  is  made  up  from  the 

Ward  Returns.) 


OCCUPATION  OR  TRADE. 


Male  Patients. 

w  I*  f  With  the  Gardener  and  out-door  Attendants. 

r  mg  j  ]?arm  Attendants . 

r  (.With  the  Cowman . 

With  the  Carpenter . . . 

5,  Bricklayer . . . 

Upholsterer  . 

Basketmaker  . . 

Tailor . . . . . . 

Shoemaker  . 

Matmaker . . 

Painter  . . . 

Engineer  . . . 

Baker . . . . . 

House  Attendant  . . . 

B  ath  , ,  . . . 

In  the  Dining  Hall  . . . 

a.  Steward’s  Stores,  Brewhouse,  &c . 

3,  Wards  (cleaning)  . 


33 
3  3 
33 
33 
33 
33 
33 
3  3 
33 


Daily  Average  number  Employed 


Female  Patients. 

In  Laundry  and  Wash-house . 

Kitchen  . 

Dining  Hall  . 

Wards,  &c.  (Cleaning)  . 

,,  (Needlework)  . 

,,  Vegetable  Room  . 


Daily  Average  Number  Employed 


Daily  Aver¬ 
age  No.  of 
Patients. 


55 

14 
4 
2 
3 
2 
3 

15 
12 
12 

6 

3 

3 

4 
3 
8 
3 

66 


218 


60 

10 

16 

45 

135 

14 


260 


DAILY  ATTENDANCE. 

Attendance  at— 

M. 

F. 

TOTAL. 

,,  Sunday  Chapel  . . 

220 

280 

600 

,,  Weekday  ,,  . 

250 

306 

556 

„  School  . . 

48 

50 

98 

,,  Weekly  Ball  . . . 

110 

125 

235 

,,  Other  Entertainments . 

120 

140 

260 

Walk  about  Grounds  . 

170 

240 

410 

,,  beyond  ,,  . . 

90 

110 

200 

, ,  on  Terraces  . 

300 

325 

625 

Night  Report. 

Number  of  Wet  Cases . 

5 

4 

9 

,,  Dirty  ,,  . 

*5 

•5 

1 

,,  Noisy  (at  Night) . 

3 

6 

9 

Average  number  Resident) 

( mean  Annual  Population )  ( 

337 

393 

730 

48 


TABLE  XII. 

THE  ESTABLISHMENT. 

OFFICERS. 

Medical  Superintendent  . £6(J0  j  Furnished  Apartments,  Coals, 

(  Vegetables,  and  Laundry, 

Chaplain  .  200  4 

Clerk  to  Visitors .  150  >  None. 

Clerk  of  Asylum .  250  j 

Senior  Asst.  Med.  Officer .  2001 

Junior  Assistant  Medical  Officer  SO  | 

Storekeeper . .  75  !  Lodging,  Board,  Washing,  and 

Housekeeper  .  60  f  Attendance. 

Head  Attendant  (Female  Depart-  | 

ment)  .  70  J 

Ditto  (Male  ditto) .  100  House,  Coals,  and  Gas. 

ATTENDANTS  AND  SERVANTS. 

Male  Attendant  (Night)  65  0  O' 


Ditto  Ditto 

Ditto  Ditto  ... 

Organist  &  Schoolmaster 

Board ,  Lodging , 


None. 


Washing:- 


1  Male  Attendant  (Dining 

1  Head  Laundry  Maid 

...  23 

0 

0 

Hall)  .... 

.  40 

0 

0 

1  Laundry  Maid  . . 

.  ..  20 

0 

0 

3  Ditto 

.  37 

0 

0 

1  Ditto  . 

....  17 

0 

0 

1  Ditto 

.  36 

0 

0 

1  Ditto  . 

....  15 

0 

0 

2  Ditto 

.  35 

0 

0 

1  House  Porter  . 

...  37 

0 

0 

1  Ditto 

.  34 

0 

0 

1  Cook  . 

....  30 

0 

0 

2  Ditto 

.  33 

0 

0 

1  Dairy  Maid  . . 

....  18 

0 

0 

2  Ditto 

.  30 

0 

0 

1  Kitchen  Maid  . . 

....  15 

0 

0 

1  Ditto 

.  21 

0 

0 

3  Housemaids .  ... 

....  12 

0 

0 

1  Ditto 

.  28 

0 

0 

1  Farm  Attendant  . 

....  31 

0 

0 

3  Ditto 

.  25 

0 

0 

1  Ditto  . . 

....  25 

0 

0 

4  Ditto 

.  24 

0 

0 

1  Store  and  House  Porter  24 

0 

0 

1  Female  Attendant 

1  House  Attendant  ..... 

...  30 

0 

0 

(Night)  ..., 

.  20 

0 

0 

1  Vegetable  Room  Maid  12 

0 

0 

2  Ditto 

. .  18 

0 

0 

1  Ditto 

(Dining 

Hall)  .... 

. .  20 

0 

0 

House ,  Coals ,  Vegetables,  Sec. 

✓ 

2  Ditto 

.  25 

0 

0 

3  Ditto 

.  23 

0 

0 

per  Week. 

1  Ditto 

.  22 

0 

0 

1  Engineer  . . . 

....  1 

16 

0 

1  Ditto 

.  21 

0 

0 

1  Bailiff  . . . . 

....  1 

5 

0 

3  Ditto 

.  20 

0 

0 

1  Gardener  . . 

....  1 

2 

0 

5  Ditto 

.  18 

0 

0 

1  Ditto 

. . .  17 

0 

0 

4  Ditto 

.  15 

0 

0 

1  Ditto  (Workroom)  24 

0 

0 

per  Week. 

per ' 

Week. 

Tailor . 

. .  1 

4 

0 

Bricklayer’s  Labourer 

...  0 

18 

0 

Shoemaker  ... 

. .  1 

4 

0 

Painter  and  Glazier  ... 

....  1 

11 

0 

Ditto 

.  1 

4 

o 

Blacksmith  . 

....  1 

6 

0 

Mat  Maker  ... 

. . .  1 

4 

0 

Stoker  . 

....  1 

0 

0 

Basket  Maker 

. .  1 

4 

0 

Ditto  . 

...  0 

18 

0 

Upholsterer  ... 

11 

0 

Cowman  . 

...  0  17 

0 

Baker . 

6 

0 

Cow  Boy  . 

...  0 

6 

0 

Butcher . 

. . .  1 

3 

0 

Carter  . 

...  0  17 

0 

Under  Garden  Attendant  1 

1 

0 

Carter’s  Boy  . 

...  0 

2 

6 

Carpenter _ 

11 

0 

Assistant  Carter . 

...  0  16 

0 

Bricklayer . 

11 

0 

Stock  Man  . . 

...  0  12 

0 

TABLE  XIII. 

Contract  Prices  of  the  Principal  Articles  of  Consumption  for  the  Year  1873. 


49 


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At  8.0  a.m. 

Females. 

•90jpoo 

-H  t-H  r— 1  r— 1  rH  rH  rH  r— 1 

ft 

•j0^ng; 

tgj  rD[oo  roloo  >o|oo  tofoo  nice  *o|oo  pojao 

O 

iO|CC 

CM 

ICO 

CO 

•pne.ig 

nio  io  xa  uo  io  uo  to 
o 

Males. 

•poooq 

.4J3  rH  t-H  t-H  — H  r— 1  rH  »H 

ft 

•pp0.ig 

OZ. 

6 

6 

6 

6 

6 

6 

6 

CM 

Sunday . 

Monday  ... 

Tuesday  ... 

Wednesday 

Thursday... 

Friday  . 

Saturday  ... 

Weekly  Tl. 

TABLE  XIY.  Continued . 

DIMMER. 


51 


Meat  Stew  Ditto  25  lb.  Meat,  in  a  Stew  with  Potatoes  and  other  Vegetables  mixed  with  Rice  and  Barley. 

Plum  Pudding  100  lbs.  weight.  Flour,  46|  lbs.,  Suet,  6J  lbs.,  Raisins,  7|  lbs. 

(Signed)  S.  W.  D.  WILLIAMS,  M.D., 

Haywards  Heath,  31st  December,  1873.  Medical  Superintendent. 


