Annual report
Pennsylvania. Board of public charities. [from old catalog] | Pennsylvania. Board of public charities. Committee on lunacy. [from old catalog]
231 S^g$g9^SS39lS2SS|S^9gS$ti5gf3E^S*«|ggSS8a^J|9KSo9g§S$§9SSSS ^)gg£|g|^gSSigg$|giS|§SiSS$8S«*^§|r:$«3§{e9S^ggggS£SS8 8S 8S §§ ss ^8 ii 888 88 §1 88898 SS;^88 §§§§§ 8Si 888 ill S8^ ^8 ^888888 g§§§§§§ 888888 §§§§§§ 88888ig§8gSje8888 i§ii§ig§§g§i§§§ § i"i g 1 1 i If sf S 5 $ §*?? 4 8SS8$8«88 £§IS§i§|g§§§|§ |§¥88sggg|ga8rf 8 stess § il§§ 8 Sgsg S SO S o-S^ 2 © a 80 go 3 sfil - 4) O & gsss Digitized by VjOOQIC 232 FORTY-FIFTH ANNUAL REPORT OF THE Off. Doc. d o Q -00 spaq }0 jaq-aina dSBji^Ay joj spaq JO jaqmna ib^ox •BSdapa^qapn) paxM 'B^aaoiMopas *a)B;8a n»J JO aniBA 5 ^$ )d3s3 ^SS gS$$ :S : :8 s ii i :§ § jS 1 r g i IS 8S SSS §1 ill Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. 233 T3 d QQ E-i o w -soq }o sxvp JO Jdqmaa ib;ox 's^oanBd i£vd JO jaqoinf^ pd)«9J^ 8)n8piKl-Q) JO Jdqmnii 'dVd£ 9m 2m|inp 991} pa^Bdj; s^nai^vd-n) jo jaqoinj^ s^naUBCl-n) jo aaqmna ivi^ox •H€I '^STE £vfi pdfdnooo speq jo jaqoinj^ 9 jSigis :|3S8SJS jjSSegSIS i§§228gl6S8« •0 ; Sis^S i iSSaS :«SS85 g|ag«a^^858S«a5Si?!: : S5l«88 : ifcStef |6«»»5!Sa '.'.'.'.'. 9 h : 1 i ll ; i ; ; :::: :•.«:■.: : : M n l| n i i :::!?::::: M n M 16 Digitized by LjOOQ IC 234 FORTY-FIFTH ANNUAL REPORT OF THE Off Doc. d w o W -Boq JO B£vj} JO jdqojnu ibjox s^aansd Svd jo jaqranx 82iS i g-gg : pa;v9j) B^aanvd-ai jo jaqmn^ •iBel aq; aa|jnp pa;Baj» KjaanBd-ui JO aaqranu ib^ox •H6X nsig ^BK pa^dnooo spaq jo jaqmnx 2g385as?S8'*|Sd!8»SJg8B«S«'aSSi:8S*|5!;S5Sg8 : 1 Q ! .* : I I I r : ; • : .' : : * r '. * i .* : : i • i : : i .* i i i '^ : i : : i i : i ! ! i ! : i : i ! i i ! : : : 6 • : f : ; i : i Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHABITIBS. 235 SS3s§»«i« .:SgS»SSglS«SS||a8§8s|||8gjg-sggi8§g§| mm^n" i jS s|a-||883§9 -Sisagsgggtegiggisg :g§ssgga|g|ggss : igsggagsis SSfe*^Sf3a5S5S*gg5;:ig*|g§?a:JlS5^teSl^Ra^55SfcSgt2JSfeSaJ2gRR« :g««g**«R^9| Digitized by VjOOQIC 236 FORTY-FIFTH ANNUAL REPORT OF THE Off. Doc. I ! m t O a 'B^nanvd ivd jo Jdqain>^ sqnanvd-n) jo jaqmna p^ox >X6I 'ISTiE ^BJV pafdnooo spaq }o jaqiun^ N ^ rH- "" lg jSS^iggSSSSggSS :S C4 .H .Hr^* tH tH 103 30 37 523 3.741 189 465 80 2,294 624 478 388 J»g5§5Sg25gSggtti8g?55»5?F?SS'*fe§?S}SS^??83S > § J 5 > c •5 E a o 1 a c £ rt Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. 237 S A t^ in t> 'f O NSt- 6§3 SSa^lg 8iS i§SgS8S 9 §8:S::g :S : Si ill i : § 3 iiii.g.|ii§§ 8 " r&m §iS 8" i i § sS^-§g IIS 5ig«?:§2^s?S*3a g a|^si?:S5 S5gfc g g •o-o w c c a; o*j «4 b O 03 OS a 0) 0/ o Digitized by VjOOQIC 238 FORTY-FIFTH ANNUAL REPORT OF THE Off. Doc. -vd XjvsnadBfp JO aaqmnx mm^ •aouBMOiiB 9;irjg jo 8999X9 n\ p9pa9€lX9 ^UQOOiy e=fia«:*a 'S^P 99JJ JO ^809 IV)OX ':^n9m)B9xi 99Jj jo ':(n99 ^j *aiaip jaa ^soq jj^ ©J 1H rH rH TO W ea N tH r^ N 1H r-( ^ s^s?:^sss^sssg^s^«S!$3^^s -8oq 99JJ JO J9qiana iv^ox §ll§§Sgg§iig|iS eq<^ <e> Tf eq -^ -^t I ! I O W I Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. 239 s§ Is ! liH I fSi§ is isi§ issgas§ ies i^sigi l \m\ 568 138 1.624 3.559 644 S5 SBHAtsn^S SSS»S : uumii nMin ■: NMU> ^-^V« «v.«a" : ig§§§if§gi§§|ggg§5ggg§giggS§g§Sg§g|§gSigggii§^ggS iiiiiiiiitis§§iiiii§^iiiiii§iifiiiiiiiiifiiiiiiiigiiiii Digitized by VjOOQIC 240 FORTY-FIFTfi ANNUAL REPORT OF TflB Off. D06. •B^uai; -sd iEjvsaadsfp jo jaqmn^i 8890X9 ni p9pa9<lx9 ^QnooiY -8^VP 99J} JO )803 mOX |2 §13 in%^H 8S :SSSSaS«Se9ld)SSSSXS I d d o O I w O W *)a9aq«9J^ 99JJ JO "^090 J9d iiiiiiiiii§iiiiiiiii§iiiliifigsii§^ •^^ -Boq 99JJ JO J9qaina iv^ox yy^mmfnifnlnnmin ; i : ;s : ; : i ; i| ; ; i ; i : ; : : f = i ; : : i f ; i i i IS  No. 16. STATE BOARD OF PUBLIC CHARITIES. ggS ii§»g Bummm 5 241 »* g '^^ s *'** * ^19 S3 a a S5 ^*;:[*' ^* I ft' Si M «e ^ N-^-g go"ii5 **« ^-«g ;* 5 ^ g 5J iS » S 8 S '^ ^" r-te>ie<9r-ie>1r4p4eai-IMMrHf-lrHrHr-lrHNe<]e4rHf-t f-l rH N «e rH tH »-t W ITS mi I 16—16—1915 Digitized by VjOOQIC 242 FORTY-FIFTH ANNUATi REPORT OF THE Off. Doc. O O W 5 a3 as QQ d rt o ^ OQ Is d d d bo d o d a OD *i|99M jad v^idvo jdd i^soq '89Jimpaddx3 doavna^QiVK 's^didodj doa«a9in|«K *889np9)qapni *i[)jadojd }0 aniVA p.iii u)eOoeo<o^OrHO0>ifieo<0(N!rjC4oou> g^OiW^WCgJgW «ftlO OOOO^iO -^ S *^ ^ •O000>04C4C0t^i-«9400l0 ss : :  bii 9 ^ ^|§ SS8S iiii S8S Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. 243 wrHrt'oi 00 ifi lA «o IS *^t^g S3 2S "*^"* "* e^Too © CO »a CO tfTej'orV'oireQw" us'to lA 8S 11 s§ss SS8 SS 8§g §11 SSSS8gSS$SS8S ipjiiiiiiiii ©"© <0 ^<© us"»0 CM 00 00 rH 00 C<r 88 88^88888888888^888888888888888888 ^i§i§iiiliiiiS^ililii§SSiSiS8ig§8 rHCqtf^OSOOO*OOOOUSi-t©iftO»»OOOOOOU30©OOo6i25o U5 tH rH rH i-tr-i^ I-- tiW Digitized by VjOOQIC 244 FORTY-FIFTH ANNUAL REPORT OF THE OIF. Doc. 'siaaii jad v^fdvD jdd )boo 'Bdan^ipnadxa dDQvad^afBK 's^diaaaa aoavud^aftiK 1 1 < o w *88dapd)qdpni '^^aadojd jo aQ|«A a o c4'^coeO'<«<c4'4ic«9o)ooeO'<4>e4cOeoT-i'4*r-tLn'^iHt&eo 'eoN-^Mec-vinr-i 2 ^gj W* eO US*t© lO r4"o>"QO O C^*« oTrH CJ M 00 to C^^ b'tf © ri ■«i« I's't- lo* eJoc^«c M 00 c-^c^cTio'eo'^D VioVoo ^COi-l r-ir sss ill ss sss © o «n o ift o o iS .-< I- sssss^s§ssssgs$ ©t-»o5oKeoo<555oSt- i^To*© inc5e«s«r«rVeoi/5oQ"w'eo sss §i§ Si^'S" C49 OH 5- 6© •o «" o o ft ao *** ooo Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. 245 es^^^ -co .•«»■«& oo «> os m >* c<» • ud co oo <m m t> • » la ■* us m (M r-t c^ ?-• i-t ■<*< c<j us oj rH e<j ihiH • eo <o -^^ co ih eo S "* S ^"S "= ^ ^ gf 5 S "^ S 5 •^""'"gj ^""^ "= S ^*M "* S "^ §§ ^ <^ i8 S * ^ g*53 '^ S3 ** Sgf S J3 S S S * *"* : » ;5'"«' "*'«* si ss §§ ss ?3V S8S3g§S8SS8S28 §o©coe<iooooooootoo 00•TfOOO•^MOl^5©t^-000 888888888 iil^iiiSi 8888 888 §i§ 8SS8SSSS88S^ ii§i§l§§SIS Digitized by VjOOQIC 246 FORTY-FIFTH ANNUAL REPORT OF THE Off. Doc. *3i9aii J9d «)id«3 jaci tjsoo 'Sdjo^ipaadza doavaa^niBjv o W '8)d|a;>9a ddaBaa;iii«K •ssanpat^qapni *^)jadaid jo aniBA oot«oooowdM<-it<-KtoS OCOSOUJ ■*rj Ig N ©« 00 us" SC S : :8 88 : :8 8 §; :i. §§•: is 1 S .' :" -^ : .« w sssss 888 §§§ Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. 247 P n f o < of o W 'pa^jod -dns Si£vp JO jaqmna iv)ox •T8 ^BH ^ainiBmaj •H6T jaqran^ •paip pUB pai9JBqos)p aaqmnj^ -dns jaqmnn i^iiBp •patjjod ajSBJdAy •^:jpBdBO I SSS : S2S SS s§ Pli IS ag li *«ci : f-li-4 (M t^TM sssgsssss iaSSoSsSoS S§i§lllii^SS^i§miSi§§iS S^"»SgSSSS^iSS|?3?;S?iSas;i353? *'^9S$t^$S3gS^§)|§Si§S3gi3SggSS%^Sg88^g^gS '|*gi«$S5SS888gS'^S5gSS||S«S5?|So55'*'^S S8S8 :Sg§S§^:^^g4::S^§S!$g|S$$SSSS8S|^^ $$»S§^&Si|^^S§SS$g^^ : :S8SS^$S$8S 66 § ir*^ :.9 Digitized by VjOOQ IC 248 FORTY-FIFTH ANNUAL REPORT OF THE OS. Doc. *Xino aoaBud; 'pa^jod •dns Si£«p JO aaqmna iiqox 'P91P paB pa;SjBqDSip aaqmnj^ *pa)aod •dns jaqmna £i\vv aiSBjaAy •2 V f d QQ !^ o '▲';fOvdBO ss §§ SSSSS3S is : is S8 i ill ii ill i .e«. :*» wei : **S*aagS«»a : :S :§5SSg8«5;2!gag8S§F3aS •^ajssassjsss ?2!2'*S»2«> ag^sgg^^^gs^ ^4!S«>:^°SSSi3SS»S :|SS89%$!9?JS!gSgS§$S3SS pjn u o o o u u < o B a a d a a < O 5 M*^ © O O O O © < S' -« "O "O "O "0 13 -0 1 ©•o q fl c a c a f a> ©t^^43t^^t<4 O C U U'ui'u kibl Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. 249 8S§I8S$ SSFlSSSSSSS e^rHeOCMlA •t-0»»H C4 t- to 1-1 to M sss §11 s$ oeo •toi-t S8 ss t« .C410 SS*2 a" a "3 a a"5 8s 8 s'-'a a 8 8 g s s'a" * s "S" a "-'s * s s ? s a ■•"" * s ss 1 §§SS3^S8ga3S|gg3gS^3l3^SS|9S|S§53Ss:^SSSgS^ |53S^2gS|gS^ S :J§ S3 9$^^§SgS '^S2§5PS^3:'^a?3gi*'«§5S'^S^SS ^g«'l8'* :255^'" SS'-SSSS ?3 :a SSSSSSgi:«ag5K«g||§|^?5^«aSS|5?53S$§«S?lg5S§fc J^SSggSg SS J2 :^ S^S$§)S§SgSSaS|§|g|§^^SSS3i33|^SgS^^§S^^$§g3 :g^^§ :|^§|§§ :^ :^ 17 Digitized by VjOOQIC 250 FORTY-FIFTH ANNUAL REPORT OF THE Off. Doc P a o O O QQ of !^ o W 'pa^jod •dna s^vp }0 aaqmaa iB^ox 'paip pnB p9BjBqasip aaqmn>{ *pe:^aod -dns jaqmna i£ilBp aSBJdAy •«JlDBdB3 sssss sssss Aooooe siisii ssss S8 SiSggis ^S!3£S^SSt saii§i •"IgK^S? Iii§§§g§ H t- «© eo »-4 c^ t- 00 gii§l§§ S'^SS**^; S|g2^gg'-J3|^5?8§SS|a|«'|53S|ggJ5gS25| i''"^^g§^sgs?5;i?;ags«|ss|g|^gs«| sggss^^sg ?3SS5S§8?2 l^gsss^l gSgSSBgS g :|SS§§§SS^|g9$ggg3^S3SSS||g^§SS§iS 8 i > s s 1 Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. 251 888 ; P.I i ig :. All '*"2,'566'66' 595 71 : i8S53 i : ills ': ill s 1 g|g :2S585:|5 :g :SSS§^$ :§JS :g|a :g5 3 a ||S :ggS|SS :a :«?3^5!ggS :gS :«*S^ :g ggg jSa^ggS :g i^S :?E a : :S8 :gga :Jg Sil: ss§s gg :| :8S :8 •^ i^§SII^ i^ to d Digitized by VjOOQIC 252 FORTY-FIFTH ANNUAL REPORT OF THE Off. Doc. Summary of Appropriations for 62 Years. Statement showing amount of money appropriated by the various Legislatures from 1850 to 1915 to State, Semi-State and private insti- tutions. First class represents State and Semi-State institutions, second class represents private institutions, such as hospitals, homes, societies, etc. Commencing with 1907-09 the figures above only show appropriations to institutions over which the Board has control and they do not include the special appropriations to the Indigent Insane. or institutions under construction and educational institutions. The special appropriations to the Indigent Insane are shown on the next page. Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. Summary of Appropriations for the Indigent Insane. Census Eeport. 253 Date. Maintenance. 1886-1886 11.060.000 00 900.000 00 800 000 OO 1887-1888 1889-1890 1891-1892 900.000 00 1.015.000 00 1.000.000 00 1.450.000 00 1.700.000 00 1.800.000 00 2.000.000 00 2.100.000 00 2,500.000 00 3.000.000 00 3.443.96S 76 4.720.000 00 $28,378,966 76 1893-1894 1895-1896 1S97-1898 1889-1900 1901-1902 1903-1904 1905-1906 1907-1908 1909-1910 1911-1912 1913-1915 To tal, Digitized by VjOOQIC 254 FORTY-FIFTH ANNUAL REPORT OF THE Census Report. Off. Doc. Of the inmates remaining in the penal, reformatory and other in- stitutions in Pennsylvania, on December 31st, 1914, as reported to the Board of Public Charities ; also the number of persons receiving out- door relief during the year : Penal Institutions. Bastern State Penitentiary, Philadelphia Western State Penitentiary, Pittsburgh Glen Mills Schools, Olen Mills. Pennsylvania Training School, Morganza Pennsylvania Industrial Reformatory, Huntingdon, County Jails, House of Coirection, Philadelphia Allegheny County Workhouse Total, Deaf and Dumb Institutions. Home for the Training in Speech of Deaf Children, Philadelphia... Pennsylvania Institution for the Deaf and Dumb, Mt. Airy. Phila- delphia, Pennsylvania Oral School, Scranton, ., Western Pennsylvania Institution for Deaf and Dumb, Pittsburgh. Total, Males. Females. I,ti5 28 MO 11 756 4n 254 1S7 TBI 1.833 71 4,175 900 602 . 26 10.646 1.6M 40 26 Total. 1.468 961 i.aas 411 761 1.904 6.075 12. 309 53 141 Institutions for Feeble-Minded. Pennsylvania Training School for Feeble-Minded Children, Blwyn, Western Pennsylvania Institution for Fee<ble-Minded. at Polk, Eastern Pennsylvania State Institution for the Feeble-Minded and Epileptic, Spring City Total, Institutions for the Blind. Pennsylvania Institution for the Instruction of tbe Blind, brook, Western Pennsylvania Institution for the Blind, Pittsburgh, Over- Total, Hospitals for the Insane. Total, Hospitals. Homes, Asylums, Etc. Patients in hospitals Occupants of homes Occupants of sanatariums, Total, State H< State He State He State H< State He State H( State H< State H( State H< State He Total, State Hospitals for Injured Persons. .1, Ashland 1, Blossburg 1, Coaldale ,1, Connellsville, I, Hazleton, II, Mercer il, Nantlcoke l1, Philipsburg, 1, Scranton , 1, Sbamokin Number of adults,. Number of children, Total 62(> 575 874 547 1,996 104 788 727 1,616 776 637 677 176 602 60 178 78 11,747 48 120 448 960 604 792 1.666 547 1.296 103 62 3. 292 207 130 166 337 696 684 1.600 729 442 m 476 180 272 146 6,381 6,662 5.662 66 641 101 1.488 1.412 3.146 1.505 97!9 884 175 977 190 450 9.836 19.160 fl7 29.481 179 V GO 22 118 40 M 11 138 81 704 17.390 18.( Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. 255 In addition to the foregoing list, the following statement shows the number of persons receiving out-door relief in almshouse districts during the year ending December 31st, 1914. ' How Maintained. Males. Females Total. Number of adults receiving aid, 7,730 12.821 20.551 30.760 Number of children given support '.....'. Total 7,730 ....12,830 51.311 .... Penal Institutions. Institutions. S a 8 s I OB C) -J Eastern Penitentiary Western Penitentiary Pennsylvania Industrial Reformatory, 2,004 1,341 1,210' 534,423 310,203 260,770 $419,803 95 416,263 47 250,668 41 $106, 6&4 35 13S,31& 68 91,269 50 55 $0,786 1.34 0.96 $0,192 0.39 0.85 Digitized by VjOOQIC 256 FORTY-FIFTH ANNUAL REPORT OF THE Off. Doc. Recapitulation. General Summary of Expenditures for the Fiscal Year 1914. — ■ :. 1 a 1 s 2 (4 a State iQstitntions. ^ >t 1 00 8 3 « 8 la- § 5 Si} 1; o >• H ^ ^ Home for the Training in Speech of Deaf Children Before They are of School Age, Philadelphia Eastern Penitentiary, Philadelphia, Western Penitentiary, Pittsburgh, Pennnsylvania Industrial Keformatory, Huntingdon, Pennsylvania Reform School, Morganza Pennsylvania Soldiers' and Sailors' Home, Erie Eastern Pennsylvania State Institution for the Feeble-Minded and EpUeptic. Spring City, State Institution for Feeble-Minded of Western Pennsylvania, Polk, State Hospital for the Criminal Insane, Farview , Homeopathic State Hospital for the Insane, Allentown State Hospital for the Insane, Danville Pennsylvania State Lunatic Hospital, Harrisburg, State Hospital for the Insane, Norristown State Hospital for the Insane, Warren State Asylum for the Chronic Insane, Werncrsville State Hospital for Injured Persons, Ashland Cottage State Hospital, Blossburg, State Hospital of Coaldale, Coaldale Cottage State Hospital, Connellsville, State Hospital of the Middle Coal Field. HaTileton, State Hospital for Injured Persons, Mercer, State Hospital, Nanticoke , Cottage State Hospital, Philipsburg State Hospital of the Northern Anthracite Coal Region, Scranton,... State Hospital for Injured Persons of the Trevorton and Mt. Carmel Coal Fields, Shamokin, Pennsylvania Oral School, Scranton Dixmont Hospital for the Insane, Dixmont, Western Pennsylvania Institution for the Instruction of the Deaf and Dumb, Edgewood Park, Pennsylvania Institution for the Instruction of the Blind, Over- brook, Western Pennsylvania Institution for the Blind, Pittsburgh Pennsylvania Training School for Feeble-Minded, Blwyn, Pennnsylvania Institution for the Deaf and Dumb, Mt. Airy, Glen Mills Schools, Glen Mills Hospitals, Sanatoria, Homes, asylums, etc., County prisons, workhouse and house of correction, Almshouses Almshouses, out-door relief Total $21,717,43$ 06 129.413 31 3&a.64o 28 329,155 13 233,288 83 174.334 91 »2,3U 43 236.O09 96 440,290 58 106,427 88 234,170 42 35&,919 36 3I7.6&6 69 661,881 74 392.196 18 179.311 06 114.128 85 27,29&42 26.514 98 13.564 18 50,135 89 15,061 27 26,248 61 14.708 37 96.147 60 45.9«7 12 69.699 31 236.267 69 84,160 84 93.882 0ft 49,310 64 260,178 54 197,SU 20 520.273 98 7.414,504 90 322.980 66 2,985.600 77 1,121.872 60 3.131,161 00 626.090 07 n 10 23 37 38 62 86 63 61 1 01 61 62 61 61 63 62 152 222 166 183 1 28 821 163 268 202 119 80 67 90 67 200 266 67 66 1,466 912 207 647 1.662 1T2 896 1,448 1.336 2.961 1.440 870 206 31 44 20 107 13 44 17 131 106 100 975 264 130 1.072 686 1.267 10.19Q 483 15.079 Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. 257 State Institutions, Semi-State Institutions, State Hospitals, Hospi- tals, Homes, Asylums, Etc. state Institutions. Value of real estate Maintenance receipts. Maintenance expenses Cost per capita per week Average daily number supported Discharged and died, Number remaining May 31, Normal capacity Year ending May 31st. W2,''26,967 88 2,770,279 21 3 97 U,(fiO 3.236 14,483 12,8^ 1913. $15. 039, 670 29 4,544,190 13 4.204,315 7S 4 78 14,760 3.923 14,868 14,151 in.4. 116,102.098 87 4,295,993 23 4,175,040 59 4 45 15.018 3.830 15.426 12.422 Semi-State Institutions. Value of real estate, Maintenance receipts. Maintenance expenses, Cost per capita per week, Average daily number supported, Discharged and died., Number remaining May 31, .... Normal capacity. Year ending May 31st. 1912. 1913. in.4. $5,926,416 98 $1,190,765 48 $1,168.280 04 $5 98 3.450 1.116 4,550 4,212 $5,965,622 37 $1,428,889 74 $1,381,306 53 $6 26 4,759 1,188 4,542 4,2r7 $5,782,770 66 $1,548,660 51 $1,441,617 83 $5 83 4.440 1.111 4,423 4.222 State Hospitals. Maintenance Receipts. Cash on hand May 31 From patients and friends. From State. Donations and contributions, Investments and interest,. From nurses services, Borrowed money, All other sources, Total receipts, Year ending May 31st. 1912. $350 78 27,735 91 S4,199 71 40 00 6,467 00 1,731 66 $290,525 06 1913. $5,185 11 36.364 99 286,774 87 28 08 45 10 96 00 58,876 4d 3,286 17 $390,665 81 $3,187 M 46.912 10 337,662 29 77 93 24.300 00 2.684 69 $414,824 96 Maintenance Expenditures. Deficit. Provisions, fuel, light, etc Medical and surgical supplies Salaries and wages Repairs, Interest on loans, etc., Ambulance, painting, printing, etc. Total expenditures Year ending May Mst. 1912. 1913. $25, 0^77 84 126.794 90 29,957 14 100.825 63 7.172 M 2,856 g4 I 30.383 73 ; $287,990 85 $372,645 21 $7,929 45 168,466 89 34.170 04 138.271 49 14,141 33 4,452 36 23,023 30 in.4. $23, 167, 43, 158, 24, 3. ,515 34 ,744 18 ,190 29 ,425 65 ,577 09 ,319 59 $429,781 M 17—16—1915 Digitized by VjOOQIC A 2fiB FORTY-FIFTH ANNUAL REPORT OF THE Off. Doc. state Hospital StaUstics. Value of real estate Fixed indebtedness Total number beds, , Mnmber patients treated Number treated free, Total number hospital days Number treated partly free, Number pay patients, Number free days Oost per diem, Average daily number of beds occupied State appropriations NumJber beds occupied May SI, ., Number dispensary patients Total cost of free days Amount expended in excess of appropriation. Amount appropriation unexpended, Tear ending May 31st. 1912. li>18. 1914. $1,087,770 00 $1,271,721 00 $1,190,887 00 M. 892 97 IS, 180 74 14.009 00 646 791 798 S,481 11.043 12.146 7,569 9,688 10.862 l»r,808 227.896 262,317 S90 256 640 542 I.IOO 968 172.507 207,636 $2 09 236.961 12 00 $191 512 615 718 $247,260 00 $323,509 00 $323,500 00 469 626 794 11,48» 12,804 $335,362 46 12.665 $266,289 19 $381.165 38 $24,967 78 $68,562 68 $48.728 38 $5,924 54 $9,974 96 $236 24 Private and State Aided Institutions. Maintenance Receipts. Cash on band May 31. 1912: All etate-aided Non-aided. , Received from patients and friends All State-aided, Non-aided Received from State, Donations and contributions: All, State-aided Non-aided Investments and interest: All State-aided Non-aided, Prom nurses' services: All State-aided Non-aided, From di8i>en€ary patients : All State-aided, Non-aided, Borrowed money: All State-aided, Non-aided, From all otber sources: All State-aided, Non-aided, , Total maintenance receipts: All. State-aided, Non-aided, Tear ending May 31st. 1912. $134,061 6S,15a 65.900 2,208,891 2.026,618 177,273 1,977,400 370.764 201.627 169,136 575,871 316.061 269. S19 89,186 86.489 2,616 91,471 87,670 3,800 828,792 294,892 33.900 724,209 376.731 847,471 6.556.662 6,483,633 1,072,028 $84,847 14 28.007 62 56.839 52 2,727,091 20 2,477,790 78 249,300 42 2,172.727 03 414.499 84 278,499 77 136,000 07 749,870 88 360,439 49 399.431 39 91.06131 77.124 76 18,966 55 67.016 74 68,892 72 8,123 02 427.696 26 840.639 84 87,068 91 469.780 10 880,866 06 89.414 06 7.204.611 49 6,159.716 00 1,044,896 49 1914. $26,613 68 21,910 70 8,602 98 2,900.744 11 2,737.494 72 168.249 89 2.304.890 14 270.048 60 222,840 90 47,207 70 455.662 62 848.766 86 111.805 66 61.588 67 66.786 88 5,80Q84 67.489 71 68,Srr 18 8,862 56 508.229 68 506.104 68 2,126 00 592.445 31 411,066 99 181,368 32 7.186.453 37 6,665.635 46 520.817 92 Digitized by VjOOQIC No. 16. STATE BOARD OF PUBLIC CHARITIES. Private and State- Aided Institutions — Continued. 259 Maintenance Expenditures. Total deficit: All State-aided Non-aided , Proviaionfi, fuel, light, drygoods, etc State-aided* " !!!*.!!!!!!!!!!!!!!!!'.!".!! Non-aided Medical and Surgical supplies: State-aided^ i" •*'""*••* •^'" •••"'• • Non-aided, Salaries and wages: All State-aided Non-aided, Repairs: All State-aided, Non-aided, Ambulance, painting, plumbing, etc. State-aided ,*.!..!!*...........!.'.!..!. Non-aided Interest on loans: All State-aided Non-aided. Total expenditures: All State-aided Non-aided Year ending May SLst. 1912. 1665.506 97 639.054 18 17.451 79 2,S14.237 83 2,468.663 19 345.574 64 600.508 15 531.446 11 68,057 04 2,012.863 08 1,770,788 70 242.0r4 33 219.204 75 190.310 63 58.894 12 681,151 14 623.3S6 30 57.764 84 226,221 31 217,988 66 8.282 65 6.586,819 35 5.801.101 63 785,717 72 1913. $208,456 85 194.383 17 9.073 68 3.006.226 76 2.634.528 17 460,698 59 681.581 41 5^,203 67 93,377 74 2.280,786 48 1,943.917 43 336.869 05 336,866 23 267,396 23 59.460 00 582.787 91 502.669 49 80,12S42 227,792 87 222.989 27 4,808 60 7.195.081 66 6,159.688 26 1,085,343 40 1914. 1435.814 51 428.132 92 7,68159 3,425,769 65 3,149.307 73 276,46192 682.929 OS 6G4.227 06 88.702 02 2.337,265 59 2,161.990 70 185,264 89 286.378 35 269.718 04 16,660 91 419.967 86 363.566 24 36,391 62 262.304 37 251.616 80 687 57 7,414.584 90 6,860.426 57 554.168 33 Digitized by VjOOQIC 260 FORTY-FIFTH ANNUAL REPORT OF THE Off. Doc. Private and State- Aided Institutions — Continued. statistics. Number hospitals receiving State-aid Total numtier reported liere, Value of real estate: All, State-aided, Non-aided, Fixed indebtedness of: All State-aided Non-aided, Number of patient l)eds: All State-aided, Non-aided, , Number of in-patients treated during the year All State-aided , Non-aided. Number of in-patients treated free: All State-aied, Non-aided Number part pay: All State-aided Non-aided, Number pay patients: All, State-aided Non-aided Total number liospital days: / All State-aided Non-aided Total free days: AU State-aided, Non-aided, Average cost per diem: All State-aided Non-aided Daily average number beds occupied: All State-aided, Non-aided Number of beds occupied May 31: All State-aided, Non-aided Number of dispensary patients: All State-aided Non-aided Amount received from State Total receipts: All State-aided, Non-aided Year ending May 31st. 1912. 152 $20,696,9&2 51 117,174,664 86 $3,522,1287 65 $4,372,220 99 $4,2il,0e» 99 $in.l31 00 14,773 13.149 l,62A 181;954 164.978 16,976 97.723 87.178 10.545 34.838 33.780 1.068 49,393 44.020 5,373 3,301.179 2^5M0.89S 360,286 1,918,000 1,775.108 142,897 $1 97 $1 98 $1 90 9,^3 8.030 1.213 9.509 8.480 1.029 708.0CO 669,476 38.533 $1,977,400 73 $6,555,562 52 $^ 483, 533 69 $1,072,028 89 1913. 150 lb3 $31.302,»12 02 $28,988.232 33 $2,314,679 69 $4,620,754 34 $4,593,354 34 $27,400 00 16,547 13,808 1,739 2(H,310 185,863 18,447 91.290 12,605 42,900 41,543 1,357 51,160 48,789 2.871 3,670,822 3.278,964 891,858 2,012,572 1,713,909 $196 $198 $184 9,976 8,970 l.OOG 10.244 9,582 797.958 610.082 187,876 $2,332,910 00 $7,2M,611 49 $6,159,716 00 $1,044,896 49 1914. 151 163 $31,336,932 86 $28,896,633 17 $2,440,299 68 $4,522,304 51 $4,511,904 51 $10,400 00 15.108 13.736 i.ses 205,116 191,115 14.001 103.987 96.342 8.645 42.713 4i.eo& 1.106 53.554 51.228 3.696.548 3.373.798 322.750 2.136.996 1.940.348 196.648 $2 00 $2 00 $2 01 10.102 9.306 9.835 9.049 786 6n.572 641.831 35.741 $2,304,890 14 $7,186,463 37 $6,666,635 45 $520,817 92 Digitized by VjOOQIC No 16. STATE BOARD OF PUBLIC CHARITIES. Private and State-Aided Institutions. — Continued. 261 Homes, Asylums, Etc. Number receiving State-aid, For cMldren For women and children For males For females, For men and women, Number private taome^. For children For women and children For males, For females For men and women Value of property: All homes reported, State-aided homes Non-aided homes, Indebtedness: All State-aided Non-aided , Maintenance receipts: All, State-aided, Non-aided, Maintenance expenditures : AU, State-aided, Non-aided, Average cost per capita: All State-aided Non-aided Capacity: All State-aided Non-aided Average daily number supported: All, ■State-aided Non-aided Number discharged and died: All State-aided Non-aided, Number remaining at end of year: All State-alood Non-aided, Total number days supported: All State-aided Non-aided Amount received from State by all aided. Year ending May SUt. 1912. 1913. 1914. 117 117 100 50 4& 46 6 7 6 13 12 11 27 28 29 Zl 2i 18 70 102 "* t>» S2 42 3 4 1 8 10 7 11 19 9 17 21 21 111,079,256 86 $11,472,067 61 $10,489,191 17 $7,691,967 36 $5,694,841 17 $7,362,463 64 13,387,299 50 $5,777,226 44 $3,136,727 53 1,160.260 93 1,308,883 87 i,i5d.i22 oe 1,015,076 81 1,016,770 86 1.036.438 46 145,184 12 282,113 02 122.683 63 2,712,953 85 3,513,942 71 2,908,966 02 1,569,965 41 1,732,147 13 1.669.266 45 1,142,988 44 1,781,796 58 1,239.690 57 2,712.953 85 3.381,341 70 2.986.609 77 1,741,948 85 1,765.758 88 1.823.476 4d 971,006 00 1.015,582 82 1,162,133 28 32» 3 71 4 01 306 3 47 360 366 399 360 16.288 24,601 15.466 12.254 10,584 10,467 4,034 14.017 4.999 44,289 24.661 15.079 10,408 16.584 11,394 3.880 9.077 3.775 11.448 23.086 11.828 8.525J 19,422 9,191 2.926 3.664 2,6SS 15.685 22.236 19.160 11.754 15,830 14.752 8,931 6.406 4.417 5.1f^^9fl3 8.586,103 4.533.430 3,813,997 5,626,280 3.191.763 1,339.936 2.958.823 1.341.667 $427,000 00 $422,976 01 $411,154 59 Digitized by VjOOQIC (262) Digitized by VjOOQIC BOARD OF PUBLIC CHARITIES Report of Committee on Lunacy ( 263 ) Digitized by LjOOQ IC COMMISSIONEKS. ISAAC JOHNSON, P. J., Media, Delaware County. GEOKGE W. RYON, Shamokin. P. C. BOYLE, Oil City, Venango County. CYEUS B. KING, M. D., Pittsburgh, Allegheny County. EDWARD K. ROWLAND, Philadelphia. FRANK WOODBURY, M. D., Secretary, Office of Committee on Lunacy, 717 Bulletin Building, Philadelphia. (261) Digitized by VjOOQIC OFFICIAL DOCUMENT, No. 16. EEPORT OF THE CHAIRMAN OF THE COMMITTEE ON LUNACY. To the Board of Public Charities : Gentlemen: — Following the requirement of the law, the Committee on Lunacy presents its annual report for the term ending May 31, 1914. The provisions of the act of May 8, 1883, among the duties of this Committee include the preparation of reports on the condition of the insane in the Commonwealth, and on the management of the Hospitals, public and private, almshouses, and all other places in which the insane are kept for care and treatment, or detention, and that this report shall be presented on or before the first day of No- vember of each year The present constitutes the thirty-second annual report of this Committee since its organization on August 20th, 1883. At the close of the year the institutions for the insane, of all classes, reported 19,085 patients who were then receiving care and treatment. Of these 17,717 were classed as indigent, being supported partly or entirely by the Poor authorities of the State and County. This number includes 335 criminal insane, and 265 insane convicts. On account of the delay in completing the State Hospital for the Criminal Insane, at Farview, only two wards of this institution are available and are now in operation, with a capacity of 174 patients of this class. As it is desirable to remove the criminal and dangerous patients from the other State and County Hospitals, the Committee recommends the completion of the State Hospital at Farview as soon as he means can be conveniently provided by the Assembly. Efficiency and economy will both be served by completing this work as the per capita cost of maintaining a population of less than 200 patients in such an institution is necessarily much higher than if it contained six times as many patients, with about the same overhead charges. The several State Hospitals report also 398 reimbursing and private patients, and 106 of this class are in the County Hospitals for the Insane. In Private Hospitals, there are 864 who have been com- mitted as insane, making a total of 1,368 patients who are not indi- gent. It is believed that if systematic investigation into the means of support were made in each case applying for admission to the State Hospitals for the Insane, a much larger number would be found who could reimburse the State, than, at present, are so classi- fied. Measures should be taken to protect the State from imposition of this kind by systematic inquiry. The net increase in the total number of the insane, who are re- ported as receiving institutional care and treatment at the end of the year as compared with the beginning of the year, was 443, which is less than the usual increase. It is not believed, however, that these figures warrant the inference that insanity is decreasing to any no- table extent in the community. On the contrary, it is asserted by able authority that the explanation is rather to be found in the (265) 18 Digitized by VjOOQIC 266 THIRTY-SECOND ANNUAL REPORT OF THE Off. Doc. fact of the overcrowded wards in our State Hospitals, for the lack of accommodations for more cases naturally tends to reduce the number of admissions. The result is a greater number of the insane at large in the community, who are a menace to others as well as to themselves. This is a powerful argument in favor of the erection of more hospitals by the State, and adding wards to existing State Hospitals. Two new hospitals located in the southwestern and south- eastern portions of the State, should be built by the Commonwealth, and additional wards be constructed in the present existing State Hospitals, to make provision for relief of the present crowding with as little delay as possible, and also to provide for future increase. Indeed, the restricted accommodations in the State Hospitals, the overcrowding amounting to over 30 per cent., give us great concern. It is the only serious criticism that can be made against the standard of care and treatment uniformly prevailing in these institutions, in which more than half the insane are at present receiving treatment. The management of our State institutions in the minds of un- prejudiced observes compares very favorably with that of institutions of the same character, in other States of the Union. Some of the larger County Hospitals for the insane are excellently conducted and maintain a standard of care which is nearly if not quite equal to that of the State Hospitals. On the other hand, in some of the smaller County Homes, the equipment is below the standard; the chronic insane receive merely custodial care and in a few of these institutions the medical oversight is of a perfunctory character. The number in almshouses not licensed to receive the in- sane is 102, which is 187 less than one year ago. As soon as the State shall supply more hospital accommodations for this class, the insane inmates of almshouses and small county asylums can be transferred to more suitable quarters. For tiiis reason the increase in size of the State Hospital for the Chronic Insane, at Wernersville, is urgently needed and an appropriation for this ex- tension is recommended, so that it may ultimately accommodate 2,000 or more of the chronic insane, which in fact constitute more than 80 per cent, of those now under treatment. It is suggested for con- sideration that a similar institution shall be established in the south- western part of the State where the counties are clamoring for more hospital accommodation. Dixmont Hospital has reached its limit of growth, with only normal capacity for 700, and a present population of 979 patients. Owing to its location it cannot be much enlarged. Moreover, it is not owned by the State; but by a Corporation, which operates it as a semi-State institution, so that it receives the same consideration from the Legislature as the State Hospitals proper. The establishment of psychopathic wards in the general hospitals, which was provided for by an act approved June 9, 1911, has large possibilities for usefulness in reducing the number of commitments to hospitals for the insane, and it is recommended that the appropria- tion for this purpose may be renewed for the next two years. The detailed report containing the usual statistics of the year, are appended. ISAAC JOHNSON, Ghairman. Digitized by VjOOQIC No. 16. COMMITTEE ON LUNACY. 267 REPOKT OF THE SECRETARY. To the Committee on Lunacy: Gentlemen: — Herewith, I beg to respectfully present my report as Secretary for the year ending May 31, 1914. During the twelve months, 31 visits have been made to the State Hospitals for the Insane and the Institutions for the Feeble-Minded and Epileptic. In making these visits the several members of the Committee participated when special investigations were required, as well as on other occasions when convenient. The Secretary de- sires to acknowledge the great assistance rendered by the Chairman of the Committee, and also by other members, in visiting institutions under the supervision of the Committee on Lunacy, and by other mem- bers of the Board of Public Charities. State institutions were visited on the following dates : Harrisburg State Hospital, December 10, 1913, March 11th and 25th, 1914, May 5th and 20th. Danville State Hospital, December 10th, 1913, June 12th, 1914. Norristown State Hospital, June 5th, 1913, August 7th and 29th, October 20th, January 21st and 29th, 1914, AprH 4th and 19th. Warren State Hospital, July 7th, 1913, September 16th and April 29th, 1914. Wernersville State Asylum, May 20th, 1914. Allentown State Hospital, August 12th, 1913, January 5th, 1914, and April 6th. Farview State Hospital, September 6th and 30th, 1913, October 5th, January 14th, 1914, April 4th. Dixmont Hospital, June 16th, 1913, October 23rd, February 7th, 1914. Institution for Feeble-Minded and Epileptic, Spring City, October 8, 1913. The visits to the several County Hospitals for the Insane operating under the County Care Acts, were 48, and to unlicensed County Homes, 5. Private Hospitals and Sanitaria received 15 visits. During the period 251 patients were interviewed by request, and nine were discharged by order of the Committee after examination on account of their having recovered suflSciently to no longer re- quire institutional care, or on account of recovery (State Hospital at Danville, 4; Philadelphia Hospital, 5.). Four others were dis- charged in a moribund condition at the request of relatives. The over-crowding of State Hospitals previously reported still continues, and is a source of anxiety to all of those who are responsi- ble for the treatment of the insane. Both Norristown and Dixmont have been obliged to refuse to receive patients for months at a time for sanitary reasons as well as for the personal safety of the inmates which is menaced by over-crowding. The Hospital for the Chronic Insane at Wernersville, and that for the Criminal Insane, at Farview, are filled to capacity and will not receive any new cases. The Phila- Digitized by VjOOQIC 268 THIRTY-SECOND ANNUAL REPORT OF THE Off. Doc. delphia Hospital has reduced its population to fif^ per cent, excess over capacity, and the result has been a great benefit to the patients in the standard of care and in reducing the number of accidents. The over-crowded condition of the insane department at Retreat (Central Poor District of Luzerne County) was reported by the Secretary, as a menace to the health and safety of the inmates, the population being 634 with a normal capacity of 530. The secretary was empowered to make arrangements for the transfer of patients to the State Hospital at Danville. On July 13th fifty patients were transferred without accident. During the year, the Secretary has, by order of the Committee, visited the State Hospital Commission in New York, the State Board of Charities, at Columbus, Ohio, and the State Lunacy Committee of Maryland, at Baltimore, to make arrangements for the return of alien indigent mental defectives to their places of legal settlement. Under the Act of June 22, 1897, persons have been returned, at the expense of the State, to their homes in New York, Ohio, Maryland, North and South Carolina. Keports of the abuse of patients have been remarkably rare, and but few were of serious character. We have to record, however, a very unfortunate occurrence at Marshalsea, where a young woman, named Goldie Herman, died under unusual circumstances. The Coroner gave a verdict of "Death from shock and exhaustion due to being kept in a straight-jacket while insane.'' A committee consisting of Commissioners P. C. Boyle, and S. E. Gill, and the Secretary, was appointed to make an investigation. The report stated that on ac- count of the illness and death of Dr. Miller, the physician in chief of Marshalsea, the superintendent, Mr. M. F. Larkin, had assumed the duties of the physician to a large extent in admitting, paroling, or discharging patients, and ordering restraint, and detailing for work. This extended over a few months until Dr. F. Proescher, Chief Phy- sician, was appointed. When he came on duty he found this dis- turbed patient in a camisole, which had been worn for six weeks. The doctor ordered the head nurse to remove the jacket and give the patient a warm bath. After the bath, blisters formed upon the body and thighs, and the skin came off, giving the impression that the bath had been too hot. The patient died a few hours later. The Committee found that the treatment was improper yet the prolonged state of ex- citement for six weeks, without sleep, undoubtedly had produced a condition of extreme exhaustion which of itself might produce death. The Committee recommended radical changes in the management and in the control of the patients, and in the rules for bathing, etc., which were all adopted and have since been carried out. Dr. Clyde K. McKinniss, Chief Physician, to the Male Department of the State Hospital, at Norristown, has since been appointed Chief physician at Marshalsea, with full control of the patients and attendants. A visiting Board of alienists consisting of Dr. Theodore Diller, T. L. McKennon, and Edward H. Myer, was created in order to improve the standard of care in the institution. The ultimate result of this regrettable occurrence, — the death of Goldie Herman — ^has been that Marshalsea is now elevated to the first rank among county institu- tions of the kind in the State. At the Pennsylvania Hospital, the death of a man by suffocation was investigated by the Secretary, October 20, 1913. It was found that he had choked on a piece of meat while eating dinner. Trache- Digitized by VjOOQIC No. 16. COMMITTEE ON LUNACY. 28i> otomy was promptly performed, but without avail. The Coroner ex- onerated the Hospital and pronounced the death accidental. By request of the Chairman of the Committee, the Secretary, on February 2, 1914, visited a farm house in Delaware County, in which an insane woman was confined by her family. It was learned that a neighboring physician was in attendance and that the patient was properly cared for. She was found to be in a moribund condition and died shortly afterward. The condition of 16 persons confined as insane in the Dauphin County Poor-house was found to be unsatisfactory and the patients were transferred to the State Hospital, at Harrisburg. At the request of Dr. H. L. Orth, an investigation into an alleged case of maltreatment of a patient by an attendant at the State Luna- tic Hospital was made on December 10, 1913, by the Secretary. The patient was examined and found to have a fracture of the nose and contusions upon the face. He denied that it had been caused by an attendant and made light of the injury, which he said was caused by a blow from a swinging door, in going out of the dining room, and the Secretary so reported. In the Westmoreland County Home, a woman died April 3, 1914, who was found to have bruises on her body which gave rise to charges of abuse by attendants. The Secretary reported that after visiting the hospital and the undertaker, he could find no cause for suspecting that the patient had suft'ered any bad treatment. She had been con- fined to bed for months with paresis and several times had fallen in attempting to get out of bed. No complaint was ever made by rela- tives regarding the treatment. At the same time, the report stated that the standard of care in this institution is unsatisfactory, be- cause of overcrowding of wards, lack of employment and diversion for the inmates, and of outdoor exercise. The diet was poor, and there are no night attendants on duty. On motion of Mr. Boyle, the payment of the quarterly accounts of the Westmoreland County Homes was ordered to be delayed until better conditions are supplied for the indigent insane. A letter was received from the St. Francis Hospital, announcing that the Psychopathic Ward was in operation, and requesting in- formation with regard to the admission of indigent patients. A Committee consisting of Commissioners Eyan and Boyle and the Sec- retary was appointed to call on the Auditor General, and obtain an expression of opinion from him. The Committee reported December 10th, 1913, that the Auditor General would require a copy of the Court Commitment, with a certificate of indigency of the patient, signed by the hospital authorities, for all cases admitted for observation, care and treatment, and would pay the account of the hospital for the insane, at the rate of |2.00 per day, for a period not to exceed thirty days. Plans were approved by the Committee, as follows: December 16, 1913, Philadelphia Hospital, Psychopathic Wards, approved. December 20, 1913, St. Francis Hospital, Psychopathic Wards, approved. March 14, 1914, Marshalsea, two new ward buildings. April 13, 1914, Farview, new ward and infirmary building. April 13, 1914, Wernersville, extension of infirmary building Digitized by VjOOQIC 270 THIRTY-SECOND ANNUAL REPORT OF THE Off. Doc. Among the improvements in administration introduced during the year, is the employment of an experienced Field Worker, by the Warren State Hospital. The duty of this oflBcial, who is a woman trained for the work, is to visit paroled patients in their homes and keep an oversight over their treatment and condition while out of the hosiHtal. Dr. Mitchell reports this work as being very satis- factory and useful. It enables the superintendent to parole a larger proportion of the patients and keep in touch with them by frequent reports. A similar arrangement is in force at the Philadelphia Hos- pital, and several other hospitals have it in consideration. By request of the Board of Pardons on January 23rd, 1914, the Secretary examined John Shushinski, a prisoner in the Schuylkill County Jail, at Pottsville, lying under sentence of death for murder. He was found to be insane and suffering from epileptic psychosis, and so reported to the Board. The Secretary attended a meeting of the American Medico-Psycho- logical Association at Niagara Falls, June 10 to 13th, and read a paper on "Dr. Benjamin Kush, Patriot, Physician and Psychiater.'' More attention has been given to the diversional and useful em- ployment of patients than in previous years, and a table is ap- pended showing the kind of work done and the percentage of patients employed in the several State Hospitals. In another table the number of patients regularly employed in the County Care Hospitals is shown, and their proportion to the entire number under treatment. New tables relating to the County Hospitals have also been intro- duced in this report to which attention is invited as they communi- cate useful information. This report would be incomplete without a word of appreciation of the faithful and very efficient services of the Chief Clerk, Miss Annie J. Vernon, who is now entering upon her eleventh year of use- fulness in the office of the Committee. In her responsible and import- ant position in keeping the records of more than 18,000 patients, in preparing the statistics for the annual report, she has only one as- sistant. Miss Lillian J. Riddle, (who is also the stenographer) whose exemplary attention to her duties is also gratefully acknowledged by the writer, who takes pleasure in recording this testimony, and bring- ing it to the attention of the Committee. All of which is respectfuly submitted. FRANK WOODBURY, Secretary. May 31, 1915. Digitized by VjOOQIC No. 16. COMMITTEE ON LUNACY. 271 The following table shows the progressive increase in the number of insane patients from 1870 to 1914, in comparison with the general population of Pennsylvania, according to the United States Census reports : JL aS s OQ « ST •*-> o Tear. ^ n A 1. 5-2 ^Z^ ¥ pi a* 1870 1880 1890,* 1900 1901 1902 190S 1904 1905 1906 1907 1908 1909 1910 1911 (only 8 months), 1912 1913 1914 3.521.951 4,282,891 5,258,014 6,302,115 7,665 111 2,401 2,892 7,399 11,?49 11,748 12,066 12.732 13,209 13,826 14,211 14.808 15.466 16,061 16.629 16.992 17,596 18,641? 19.0S5 •On May 8, 1883, the "Lunacy Law" was enacted by the Legislature, which created the Com- mittee on Lunacy of the Board of Public Charities and gave it supervision over places where the Insane are cared for. Since that date, the records and statistics of insanity in this State hare been systematically kept. In 1896 and 1897, the first County Care Acts were passed, and many of the indigent insane in the poorhonses, were investigated and regularly committed, end many of them were removed to State Hospitals for the Insane by the Lunacy Committee. In return, some of the chronic Insane were transferred from these State Institutions to the care of the county authorities, which had accepted the provisions of the County Care Acts, which were re-enacted in 1909. Admissions of Insane Patients During the Year. State Hospitals, 2,235 County Care Hospitals, 2,244 Almshouses, 11 Jails, 5 Private Hospitals, 815 Institution for Feeble-Minded, 3 Total number of admissions of insane pa- tients, for year ending May 31st, 1914, . . 5,313 This table includes the number of patients transferred by the Com- mittee on Lunacy, from one institution to another, without recommit- ment which aggregated 636, leaving the new admissions 4,677. Digitized by VjOOQIC 272 THIRTY-SECOND ANNUAL REPORT OF THE STATE HOSPITALS. Off. Doc. On May 31st, 1914, eight State Hospitals for the insane contained 10,561 patients distributed as follows: state Lunatic Hoepital, Harrisburg, State Hospital for Insane, Danville, State Hospital for Insane, Norristown, State Hospital for Insane, Warren Dixmont Hospital for Insane, Dixmont, State Asylum for Clironic Insane, Wemersville, Homeopathic State Hospital, Rittersville State Hospital for Criminal Insane, Farview,. Total Males. Females. 728 684 788 695 1,546 1.600 77S 729 537 442 677 207 502 475 175 5,729 4.832 Total. 1.412 1,483 8.140 1,606 979 884 977 175 PKIVATE HOSPITALS. On May 31st, 1914, there were 864 patients reported in private hos- pitals and sanitaria as follows: Pennsylvania Hospital for Insane, Philadelphia, Friends' Hospital. Frankford, Philadelphia St. Francis Hospital, Pittsburgh Burn Brae Sanitarium, Primas, Other Sanitaria, Total. Males. Females 178 272 60 130 51 92 18 13 » 41 316 548 Total. 450 190 143 31 51 INSANE IN STATE INSTITUTIONS FOR FEEBLE-MINDED AND EPILEPTIC. Western Pennsylvania State Institution for the Feeble-Minded at Polk reported as insane — Males, 9; Women, 15; total, 24. Digitized by VjOOQIC No. 16. COMMITTEE ON LUNACY. 273 NUMBEK OF PATIENTS IN STATE, COUNTY, AND PRIVATE HOSPITALS FOR THE INSANE, ALMSHOUSES AND JAILS ON MAY 31ST, 1914. state Hospitals,* CJounty Care Hospitals, Private Hospitals and Sanitaria, Almshouse,t Jails and Penitentiaries, Western State Institution for Feeble-Minded, Total, Males. Females. 5,729 4,832 4,045 3,457 816 549 44 58 30 2 9 15 10,173 S.912 Total. 