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Show tie 1111 mm. ReportoPb)eMeciiGQl Superlphepdepb Arerage Monthly Attcn-I Attcn-I dance f Patients Reaches 132. A Lsrge Number of Applications Applica-tions for Admission cf in-sans in-sans Persons Refused. The Crowded Condition Renders Ren-ders FutiJ any Attempt ai Systematic Treatment. To the President and Board of Directors of the Territorial Insane Asylum: Gentlejisx I have the honor to stiumit to yon herewith my annual report, with details of the operating ot the Asylum for the fiscal year ending end-ing November 30, 1S90. Appended to the report will be found tabulated statements of tho movement of patients, and also tabular statements of the receipts, expenses and disbursements disburse-ments of the board and treatment account. ANNUAL SUMMARY OF MOVEMENT OF ' PATIENTS. ( ' x- MAL3S. FBM'S. TOTAXi. Number of patents in Asy. lrnn Deeomber 1, 1S&0... 68 SI 120 Number of ptticnts Rdmit- ted during tho yenr end- . Inff Docflmbor 1, 1830.... 17 2i i Number of patients under care during the year.... 83 SS 171 Number of pr.tiects discharged dis-charged during- the jmr 12 0 3" Number of patients died during the ysar 3 3 9 Number of pntionta dig- i charged end died durinir the year... 15 a, 4, Number of p.m?n ts remaining remain-ing in Asyluin November sl im 70 C9 130 The above summary shows that the 'permanent population oftheAgjIum ,-licreasrjAptWJ..t thiYend nf, My- iscaJLiiru ecn aumittccl"torty-twv aumittccl"torty-twv pstient3 fhi'ty-two have been discharged anrnlne have died- a total of forty -one. The lowest monthly attendance at-tendance of patients during the year has been one hundred ancf thirty, the highest one hundred and thirty-six, or an avc-raga monthly attendance of one hundred and thirty-two. The crowded condition of the Asylum made it ne cessary to cease..-receiving more pattonls, except 3 vacancies occurred from discharge or death; ar.d the limit il:v riLmaaiuii '.u yuui lionoraijie Board) was placed at one hundred and thirty-rive seventy males and sixty-five sixty-five females. Tins number fills the building, causing occupancy of every available spacs wherein a parent can bo placed with any dsurre of safety. I would state, iii this connection, that I have btvn obliged t: refuse a number num-ber of .'.pylic.itiori; for admission of insane per.?on3 to the Asy i tiro, on Iho ground tnat tho hKif'iinn cannot riti. sa-roty iiccommditta uny more at present. The general heslifh of the inmates has been good. No epidemic has prevailed, pre-vailed, iind most of the fatalities have been from causes fust were progressive and which originally produced the mental diseaso with which tbe patient suffered. Thera have been a few cases of fever of a malsrisl character, also some cases of erysipelas, but no deaths from any of these causes. In April last a tragedy occurred whereby a patient, Sing Lee (a Chinaman.) l03fc i his life at the hands of another patient. This was thoroughly investigated at the i time by the coroner, and also brought ' before the board. While no blatae could be attached to any one, yet it serves to illustrate the great danger which exists in the crowding together of such irresponsible ir-responsible beings, especially when there are no facilities to separate tbose whose insane impulses have homicidal tendencies. Fortunately, the new building, now in conrsa of construction, when completed and fitted up, will enable the management to place the administering ot the affairs of the asylum, and the treatment of the patients, upon a new basia, that wiil do away with many, if not all of the features which are at present so detrimental detri-mental to tha physical and mental well-being of the patients and which militate so heavily against any attempt at rational treatment. In fact, thii number of patients, crowded togethe r a3 they must be under present circumstances, circum-stances, renders futile any efforts at ' systematic treatment, and makes the asylum little better than a house of detention de-tention in which wo do the best we can to attend to the physical needs of the patients. Our percentage of discharges was gratifying. Under the circumstances I am satisfied they would have been greater had -we not been subject to so much noise and excitement around the buildings. During the whole of the past summer and fall the great number of men and teams employed about the grounds and buildings, and the noise and contusion incidental lo the progress pro-gress of such work, have had n demoralizing de-moralizing effect cpon the inmates, and have also increased the labors of the attendants very materially. We are anxiously looking forward to the time when quietudo will again prevail around the outside of the institution, feeling certain that it will be conducive condu-cive of a greater degree of quietude within. Some of the patients .discharged during the past year have been, by my advice, permitted to go upon parol to the care of their friends, with the understanding un-derstanding that, should it become neefssary, they could be returned at once, These were eases that had F.iade considerable progress toward lecovery. and, in my judgment, simply needed the quiet of home surroundings surround-ings and friends to complete the cure. I am pleased to be able to state that this method has proved successfftl in ail of the cases paroled, and none have be e a returned. In socio cares, where 1 deemed it for the patient's good,l have counseled the ootaiping of an order cf the court for the removal of patients lo the guardianship of their friends. There were patients of whose eventual cure I felt less sure than I did of the cases released upon parole, and therefore was not willing to talis upon myself the responsibility. One of the cases has been returned; but some have gone on to perfect recovery, and I feel satisfied they would not have done so had thej remained here. There are a great many matters pertaining per-taining t the present condition of the asylum that I might bring before the board in this report, but I realize that many ofjthe objectionable features a; e being remedied as speedily as is within the power of the board, or that they cannct be remedied until the additions ad-ditions to the asylum are completed. The sanitary condition f the asylum building has been good, considering the over-crowded condition. The abundant supply .'of water furnished by the pumping plant enables us to keep the closets and sinks thoroughly flushed, thus removing at once all deleterious matter, preventing any I accumulation of filth and keeping the sewer pipes from fouling. The financial condition of the board and treatment fund will be found stated in table 4, in connection with the ledger balance sheet attached. Hie cost per capita per diem for care and treatment for the past year has been 54.9-10 cents. FATIM AND DAIRY. Statement of products of the farm will be found in table Xo. 7; also sea table 8 for separate statement of dairy (which is included in that of the farm). The Jersey herd ,has done fairly well, and kept the asylum supplied with a sufficiency of a superior article of butter and milk. Our stock and teams have done well during the past year. We have had an abundance of vegetables vege-tables for the table all through the seasons, and will have a sufficiency nntil the spring time. The total produce pro-duce from the fatm. at mark-Pt v7na was $8,319.50, the cost for labor on i?ri?JLlcIu5lve of that ot patients) 81.3L. o. The products of the dairv m milk and butter was, at market values, $2,182.94; the expense for help hay and grain, etc., was $1,634.23 (see table 8). x LAUNDRY. In view of the fact that we are soon to have a new laundry building, and improved machinery for that very important im-portant and, to an institution of this kind, lndispensible department, I forbear saying anything about the present arrangements, except to staff i tjiat t ho old .'mii n-i ye nave, auout worn out, causing the work demanded de-manded of it to be done in a very laborious and unatisfactory manner. THE ELECTRIC LIGHT. As in the past vear,the electric light has given gotd satisfaction, but will require, at an early date, a thorough thor-ough overhauling and repairing. The many improvements made in this class of lighting (tending to efficiency, : safety and economy) since our plant was put in, renders this necessary. So far, however, I have no word3 but t.hosn nf rnmmpnrfaUnn tn-r tV.i. ,1. partment. The cost per hour per 18-candle 18-candle power lamp has been 12-10 cents. CONCLUDING REMARKS. The coming year bids fajr to be one of increasing care and anxiety to the management of the asylum, owing to the many changes that must be made to bring this institution from its present pres-ent eond'timi to that of an asylum in the t ali h-::,i of the word, yet I do not doubt that this will be successfully accomplished, knowing that the members mem-bers of the board will give all the assistance, as-sistance, encouragement and advice that is within their power, as they have done in the ;past and for which I wish to express at this time my most sincere thanks and appreciation, Respectfully submitted, 'Walter It. Pike, M. D., Medical Superintendent. Provo. November 30, 1890. |