Report of the Board of Trustees of the Traverse City State Hospital at Traverse City June 30, 1918.

Report of the Board of Trustees of the Traverse City State Hospital at Traverse City June 30, 1918.

Asylums--Michigan--Traverse City--History.

Psychiatric hospitals.

Report published by the State of Michigan and addressed to the Governor and Legislature of the State of Michigan for the biennial period ending June 30, 1918. This report includes the reports of the medical superintendent, treasurer and steward.

Board of Trustees of the Traverse City State Hospital at Traverse City, Michigan.

Original document held by Traverse Area District Library.

Fort Wayne: Fort Wayne Printing Company.

30 June 1918

State of Michigan.

This document is in the public domain.

See other reports from the Board of Trustees in the "Traverse City State Hospital" Digital Collection.

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TCSH0004

Traverse City, Grand Traverse County, Michigan.

REPORT

OF THE

BOARD OF TRUSTEES
OF THE

TRAVERSE CITY STATE HOSPITAL
AT

TRAVERSE CITY
JUNE 30, 1918

BY AUTHORITY

FORT WAYNE PRINTING

COMPANY

CONTRACTORS FOR MICHIGAN STATE PRINTING

AND

BINDING

TITLE AND ADDRESSES.
THE TRAVERSE CITY STATE HOSPITAL,
TKAVEESE CITY.
Grand Traverse County, Michigan.
ESTABLISHMENT.
The Northern Michigan Asylum for the Insane was organized in 1881, and located
at Traverse City, Mich. Its first cost was $522,430.68, and its present value is
§1,215,409.01. The property consists of 51 buildings, occupying a tract of land
containing 883.5 acres. It cares for 1,G93 patients.
Act No. 21, Public Acts of 1911, provides that the Northern Michigan Asyluiu
shall be hereafter known as the Traverse City State Hospital. This law went into
effect July, 1911.
OFFICERS OF THE TRAVERSE CITY STATE HOSPITAL.

TRUSTEES.

WILLIAM LLOYD
H. C. DAVIS
J. S. WEIDMAN
C. D. ALWAY
S. E. NEIHARDT, M. D
C. E. MILLER, M. D

MANISTEE
TRAVERSE CITY
MT. PLEASANT
TRAVERSE CITY
SOUTH BOARDMAN
CADILLAC

RESIDENT OFFICERS.

JAMES D. MUNSON, M. D
.............................
MEDICAL SUPERINTENDENT
A. S. ROWLEY. M. D
..............................
ASST. MKDICAL SUPERINTENDENT
MARY JANE FOLEY, M. D
.................
~)
H. V. HENDRICKS, M. D
...................
^
.................
ASST. PHYSICIANS
PAUL H. PIPER, M. D
.....................
J

NON-RESIDENT OFFICERS.

G. B. PIKE
W. P. MANTON, M. D

STEWARD
DETROIT, MICH., GYNECOLOGIST

CHAPLAIN.
REV. D. COCHLIN..

..TRAVERSE CITY

TREASURER.

A. J. MAYNARD..

.

. . .TRAVERSE CITY

TITLE AND ADDRESSES.
THE TRAVERSE CITY STATE HOSPITAL,
TRAVERSE CITY.
Grand Traverse County, Michigan.
ESTABLISHMENT.
The Northern Michigan Asylum for the Insane was organized in 1881, and located
at Traverse City, Mich. Its first cost was $522,430.68, and its present value is
$1,215,409.01. The property consists of 51 buildings, occupying a tract of land
containing 883.5 acres. It cares for 1,693 patients.
Act No. 21, Public Acts of 1911, provides that the Northern Michigan Asyluiu
shall be hereafter known as the Traverse City State Hospital. This law went into
effect July, 1911.
OFFICERS OF THE TRAVERSE CITY STATE HOSPITAL.

TRUSTEES.

WILLIAM LLOYD
H. C. DAVIS
J. S. WEIDMAN
C. D. ALWAY
S. E. NEIHARDT, M. D
C. E. MILLER, M. D

MANISTEE
TRAVERSE CITY
MT. PLEASANT
TRAVERSE CITY
SOUTH BOARDMAN
CADILLAC

RESIDENT OFFICERS.

JAMES D. MUNSON, M. D
A. S. ROWLEY. M. D
MARY JANE FOLEY, M. D
H. V. HENDRICKS, M. D
PAUL H. PIPER, M. D

^
>
J

MEDICAL SUPERINTENDENT
ASST. MEDICAL SUPERINTENDENT
ASST. PHYSICIANS

NON-RESIDENT OFFICERS.

G. B. PIKE
W. P. MANTON, M. D

STEWARD
DETROIT, MICH.. GYNECOLOGIST

CHAPLAIN.
REV. D. COCHLIN..

TRAVERSE CITY

TREASURER.

A. J. MAYNARD..

,

TRAVERSE CITY

MEDICAL OFFICERS.
Medical Superintendent:
James D. Munson, M. D., 1885.
Assistant Medical Superintendents:
3. H. Dawson, M. D.—1885 to 1890. Resigned.
C. G. Chaddock, M. D.—1890 to 1892. Resigned.
A. S. Rowley, M. D.—1895
.
Assistant Physicians:
G. G. Chaddock, M. D.—1885 to 1890. Promoted to Assistant Superintendency.
W. A. Stone, M. D.—1880 to 1891. Resigned to accept the Assistant Superintendency of the Michigan Asylum for the Insane.
Henry Hulst, M. D.—1888 to 1889.
I. L. Harlow, M. D.—1889 to 1891.
G. C. Crandall, M. D.—1890 to 1894.
A. S. Rowley, M. D.—1891 to 1895. Promoted to Assistant Superintendency.
M. Rockwell, M. D.—1891 to 1892.
C. G. Speer, M. D.—1892 to 1896.
Robert Howell, M. D.—1893 to 1898.
H. J. Kennedy, M. D.—1894 to 1895.
L. C. Stillings, M. D.—1894 to 1895.
E. L. Niskern, M. D.—1895 to 1898.
G. L. Noyes, M. D.—1895 to 1900.
G. B. Furness, M. D.—1896 to 1897.
F. P. Lawton, M. D.—1898 to 1901.
C. A. Good, M. D.—1898 to 1900.
Fonda Nadeau, M. D.—1898 to 1899.
J. F. Canavan, M. D.—1889 to 1907. Died.
D. L. Harris, M. D.—1899 to 1899.
W. D. Mueller, M. D.—1900 to 1918. Lieutenant U. S. M. R. C.
Minta P. Kemp, M. D.—1900 to 1903.
W. J. Kirkbride, M. D.—1901 to 1902.
F. H. Newberry, M. D.—1902 to 1904.
Beatrice A. Stevenson, M. D.—1903 to 1909.
B. F. Sargeant, M. D.—1904 to 1905.
H. D. Purdum, M. D.—1906 to 1910.
R. E. Wells, M. D.—1907 to 1912.
Guy M. Johnson, M. D.—1908 to 1910.
Adah Epperson, M. D.—1910 to 1918.
E. G. Williams, M. D.—1910 to 1911.
J. A. J. Hall, M. D.—1910 to 1916.
S. C. Niles, M. D.—1911 to 1913.
G. V. Sigler, M. D.—1913 to 1913.
R. F. Wafer, M. D.—1913 to 1915.
H. V. Hendricks, M. D., 1915-—.
F. C. Mayne, M. D.—1916 to 1918.
Mary J. Foley, M. D.—1918.
Paul H. Piper, M. D.—1918.
Steicards:
J. D. Billings, 1885 to 1886.
John Goode, 1886 to 1887.
J. P. C. Church, 1887 to 1894.
C. L. Whitney, 1894 to 1911.
G. B. Pike—1912.
Chaplains:
Rev. W. D. Puddefoot, 1886 to 188S.
Rev. D. VanAlstin, 1888 to 1890.
Rev. D. Cochlin, 1890
.

REPORT OF THE BOARD OF TRUSTEES.
To the Governor and Legislature of the State of Michigan:
The Trustees of the Traverse City Hospital have the honor to submit
their report for the biennial period ending June 30, 1918, together with
the reports of the Medical Superintendent, Treasurer and Steward.
Regular monthly meetings have been held. The period, owing to the
war, was fruitful of new problems of gravest importance. The work of
supervision became more intensive, as new situations developed almost
from day to day. "If a year ago anyone had predicted half that has
come to pass, we should have stoned him as an evil prophet, and declared
his predictions impossible."
The fuel shortage of last winter brought anxiety to many, actual
distress to some, but all of its difficulties were successfully met by the
hearty co-operation of the Government and people.
Control, by the Government, of foods and other supplies was rapidly
established, and our meatless and wheatless days, etc., were accepted
without protest, and without real deprivation. "What is most remarkable is the fact that most of our regulations are extra legal, imposed
for reasons of public welfare, accepted and observed by common consent,
and enforced by public opinion." Coupled with the domestic reorganization, required by these regulations, was an inadequate supply of help,
caused by need of labor in the great manufacturing centers, and the lure
of higher wages paid to men engaged in Government work,—by enlistments, by conscription, etc. Necessity is the mother of invention, and in
trying to meet these new situations, some progress has been made in
hospital management. We are all familiar with the basal facts of the
situation. As a result wages rose rapidly and unequally, and it became
impossible to secure men at former wages. The institution was obliged
to raise its schedule of wages several times, and the end is not yet. We
were obliged to employ help largely outside the military age, and from
all sources from which it offered. Surveys were made of every department, the most rigid economy established, and patients employed to the
fullest extent in the conduct of the institution. Many of the food regulations have come to stay, and many of the food substitutes will become
established articles of diet. It has been demonstrated that we can live
on less meat, butter and sweets without bodily impairment, and in many
instances with benefit to health. At the beginning of the biennial period
it was recognized that efficiency preparedness must be established if the
institution was to be maintained within possible bounds. Active co-operation of the officers and chiefs of departments led to greater economy
and the adoption of new ideas. The experience gained in this way was
of the highest instructive practical value. New problems, and new
aspects of the old problems, received more consideration than ever before,
with the object in view to lessen the burden of the hospital cost as much
as possible. Recovered patients, or quite recovered patients, have been

8

STATE OF MICHIGAN.

employed in various departments of the hospital, and some of the best
workers on the farm, in the store, laundry, bakery, etc., are ex-patients,
a-nd, what is more important, they are happy and contented with their
work. Patients have also acted as ward orderlies and have rendered
excellent service. Great care was taken to adapt the patients as far
as possible to their previous occupations and their mental fitness for
work. The object in the employment of patients was not to exploit their
labor, but to interest them in normal lines of effort, and to side track,
as it were, in this manner, morbid obsessing thoughts. The various
activities of the hospital give quite a range for adaptive occupations.
While all occupations are health-giving, yet they are not of equal
therapeutic value. In general terms, those that excite keen interest and
hold the attention are most useful. "Profit sharing," wherever practical,
is of great value in sustaining "interest" till the work is accomplished.
The environment of the workers is important, and the supervision, no
matter what the occupation, should be educational; instructive and
cheerful. It is the "directive force" that most helps the mental patient
to recovery. All patients are drafted, as it were, into such service as they
are able to perform, and as. a result the institution has no able-bodied
idlers. In this, way, the aggregate cost of labor has been somewhat
reduced, but the average increase in wages was 14.4% greater than
last -year.
The general work of the hospital has been well maintained. The
medical staff has been from two to four members short, and only the
most necessary attention could be given patients. No patient, however,
has been neglected. Our interest in the great problems of public health
is not less than formerly, and we would urge your Honorable Body to
make possible health surveys for the after-care of mental patients, care
of delinquent and backward and feeble-minded children, community
clinics, school nursing and general mental hygiene work. While our
energies are largely bent in the aid of the Government, we are not
unmindful that we must try to control all the causes which lead to
human decay. We believe that the mental hygienist and the social
workers are of prime importance in the control of all forms of degeneracy.
The social worker must be thoroughly well trained, and the mistake must
not be made that an ordinary nurse is fitted to take up this work, for to
be successful in these lines of effort, the person should have a broad
education, at least equal to that required for the profession of medicine.
As Miss Jarrett points out:
"If social case-work is understood to mean the effort to organize all
elements within the individual and his environment, so that he shall be
adapted to social life as successfully as possible, it is clear that it should
always be in some degree psychiatric. In the same way all social casework may be regarded as medical social work, in so far as the bodily
health of the individual is of primary concern in every case. In short,
all matters of individual human life are in some degree the common
factors of case-work, whether the work is being done for dependent families, neglected children, homeless men, unmarried mothers, delinquents,
or sick persons. The distinguishing feature of any specialization is the
emphasis of a point of view, which leads to growth of knowledge along
the line of special interest and to particular skill in dealing with cases

TRAVERSE CITY STATE HOSPITAL.

9

of a certain type. The characteristic, then, of psychiatric social work
is that it approaches social case-work or social research from the standpoint of psychiatric and psychological analysis of personality, and for the
purpose of adding to psychiatric knowledge. It may be carried on in
hospital, court, factory, or social agency. It requires workers with a
training that will fit them to collect social data necessary to psychiatric
diagnosis, to understand the significance of the physician's diagnosis,
and to afford social care that will contribute to medical treatment. It
presupposes training in the general principles and methods of social casework, which, however, may be acquired through clinical work with
psychiatric cases, as well as with any other group of cases, since the
fundamental factors are common to all types of cases, and since also in
the families of psychiatric patients all other types are sure to appear.
Adequate equipment, which is not yet provided by any university or
school, calls for at least two years graduate work with advanced courses
in psychology and sociology, some elementary knowledge of medical
science and psychiatry, and at least a year of experience in case-work."
We hope our Legislature will see its way clear to make it possible to
establish these courses in connection with our training schools. There
is no doubt that with the vast increase in mental cases that will follow
as a result of the great war that there will be a very great demand for
psychiatric nurses, and every effort should be made to bring our training
schools to the highest standard, and to offer proper inducements for young
men and women to enter them. As our soldiers begin to return from
Europe, we shall be brought face to face with serious problems. History
shows that all great periods of stress lead to increased mental and
nervous breakdown.
To quote from an editorial in the Modern Hospital August 19, 1918,
"Now the war is not something that the hospitals can consider solely
from the point of view of the number of stars in their service flags and
the number of Liberty Bonds bought by the employes. In war, of all
times, we cannot tolerate sickness and resulting inefficiency. Now, with
so many of our physicians away at the front, hospitals are more necessary
to the health of the community, even than they are in times of peace.
. . . . We must consider among other topics . . . . the prevention
of the further breaking up of teaching staffs of nursing schools and the
relief of communities which, as a result of the war, are left without
adequate medical and nursing service."
We wish to have our hospital able to do more than its full share in
the medical and nursing care of disabled that will only too surely be
returned to us.
The anti-narcotic laws have saved many people from mental shipwreck, and the anti-alcoholic laws will directly and indirectly save
thousands from mental and physical impairment. Epilepsy, imbecility,
feeble-mindedness and delinquency are largely caused by intemperance,
and we shall have, with the next succeeding generation, a lessening of
these disorders, if the present laws are enforced. It will require at least
a generation to fully demonstrate the value of these laws in the uplift
of the race. We may say that the period just closed has been marked by
much intensive work, in reorganizing and readjustment of many of the
activities, to bring about the best economic result.

10

STATE OF MICHIGAN.

The cost of maintenance for the first half of the period was 53 cents,
for the last year 70 cents per person per day. These charges include
officers' salaries and the cost of fire insurance, and workmen's compensation insurance, which amounts to nearly 4 cents per patient per day. A
record of the per diem cost of maintenance for each year appears on
page 24 of this report.
BOARD OF STEWARDS.

Many supplies of the hospital have been purchased by this Board.
During the last year it was difficult to make contracts, as prices
advanced so rapidly. Coal had to be purchased wherever it could be
found at the price fixed by the Fuel Administrator. The winter of
'17-M8 was severe, and the cost of heating 130% greater than during 1914.
The outlook for the coming year is more favorable for fuel, and we are
glad to report that the institution has a full supply for the coming year.
Nearly all foods cost more. As compared with 1914 the cost of foods
is 30% greater, and the cost of medcal care and nursing 14.4%, and of
the farm 80%. As the larger portion of this increase took place during
the last half of the last fiscal year, i. e., January 1 to June 30, 1918, it
is clear, if present prices prevail, the cost of maintenance will be still
greater than last year.
DIETICS.

Foods and their preparation have received much attention. The value
of this work is recognized as being of the highest economic and therapeutic value. "The medical part of dietics is as much a part of
therapeutics as drug treatment, and can be administered only by the
physician. There is, for example, no heart disease diet or nephritic diet
that can be made out in the form of a list available for the laymen, any
more than there is a heart disease or a nephritic drug list that can be
used in the same way. There are certain general principles of treatment
in each disease, or better, certain general principles of treatment, of
which the dietetic treatment is an inseparable part.". (F. H. McCardin,
Boston Medical & Surgical Journal, July 18, 1918.) But with any individual patient, the diet and the drugs given depend on the condition as
a whole in that particular patient. Among our patients there are many
who are weak, under-nourished and anemic, many who are suffering
from gastric disorders, and who are greatly benefited by scientific regulation of their diet.
Apart from the purely medical value of dietetics, the careful cooking
and serving of foods adds greatly to the health and comfort of patients.
The work of this department is very important. The supervision of
the canning of fruits, of the care of the kitchens, in fact, everything that
relates to the care of foods and their preparation for the table, comes
under the charge of the dietitian. Many patients, both men and women,
assist in the work. A class in home economics continues to be of value,
and many patients return to their homes better fitted for the work of
their households than ever before, by virtue of the training that they
have received here.
During the past two years we have succeeded in making a few changes
in this department, which have proven very beneficial, both from a

TRAVERSE CITY STATE HOSPITAL.

11

standpoint of economy and efficiency. The first is the establishment of
a central station for the distribution of all fruits and vegetables. At
this station potatoes are dressed, washed and sent out to the various
kitchens daily. This is an improvement over the old system, in that there
is none of that waste due to careless paring, which not only wastes
quantities of the vegetable, but much of the valuable mineral matter
found near the outer portion of the potato is also lost. Since the establishment of this system, the waste has been reduced to a minimum.
The milk supply of the institution is also being sent to a central station
for daily distribution by weight to all kitchens. This has eliminated
almost entirely the sour milk problem.
Since we have been called upon to "Hooverize" in the use of certain
food materials (meat, butter, sugar, wheat flour), we have reduced our
dietaries to comply with these conditions.
Although the caloric value seems low, it complies with the best authorities on the subject and has proven itself very adequate.
Following are analyses of the foods used in some of our cottages and
the men's general dining room. These standards are taken from Prof.
Rose's "Feeding the Family," Prof. Rose having made a careful study of
"war" dietaries:
Standard Portion of Protein in Diet 10—15% of day's energy requirement. Standards for fat, one-third of remaining requirement. Standard
for carbo-hydrate, remainder of energy requirement.
Requirement
Requirement
Requirement
Requirement
Requirement
Requirement
Requirement
Collage 38

for man at light muscular exercise
for man at moderate muscular exercise. . 2,700 to
for man at active muscular exercise. . . . 3,500 to
for woman at rest
1,600 to
for woman at sedentary occupations
2,000 to
for woman at light muscular exercise. . . 2,200 to
for woman at moderate muscular exercise 2,500 to
Men at active muscular exercise, standard 3,500—If,000

1011+ grams per patient

143-f grams per patient

Fat

Carbo-hydrate —

3,294 grams per patient

470+ grams per patient

2,500 calories
3,000 calories
4,000 calories
1,800 calories
2,200 calories
2,500 calories
3,000 calories
calories.

daily
daily
daily
daily
daily
daily
daily

Standard 10 — 15% of days
572 calories.

108 — 200 grama

1,422 calories.

Remainder of days energy

1,880 calories.

Total

3 874 calories.
Nutrient ratio 1:6.

12

STATE OF MICHIGAN.
Dining-room for men.—Men at light muscular exercise.—Standard 2,500 calorics.
Standard 10 — 15% of days
1

Fat

328 calories

93 grams

80 —200 grams

Carbo-hydrate . . . 2,912 grams per patient
per week

Total .

416 grams per patient per
day

Remainder of days energy
requirement

..

1,664 calories.

2 712 calories.
Nutrient ratio 1:6+

Cottage 21.

Fat

Women at light muscular evercise.—Standard 2,000—2,200 calories daily.

per week

day

per week

day

Standard 10—15% of days
energy requirement 50 —
80 grams

70—200 grams

Carbo-hydrate

1,713— grams per patient

244.7 grams per patient per

Remainder of days energy

Total

978.8 calories.

2 260 8 calories.
Nutrient ratio 1:6.

Cottage SI (Tuocrcular)
Protein

Women at light muscular exercise.—Standard 2,000—2,200 calories.

569 grams per patient per

81 grams per patient per

Standard 10—15% of days

324 calories.

70— 200 grams

Carbo-hydrate

2,758 grams per patient

394 grams per patient per

Remainder of days energy

1,576 calories.

2 880 calories.

Total
Nutrient ratio 1:7.

It will be observed that at Cottage 38 (working men) 3,874 calories
were supplied per day, or a ratio of 1:6; (light muscular exercise) 2,712
calories were consumed, ratio 1:6-f-; and at the remaining cottage a
ratio in food value of 1:7 was maintained.

TRAVERSE CITY STATE HOSPITAL.

13

DOMESTIC ART AND SCIENCE.

This department continues to be of value. Every effort is made to
interest women patients in some form of useful occupation. It may be
lace-making. It may be some other form of fancy needle-work. At any
rate, much interest is often awakened in patients by the methods
employed, much to their mental and physical well-being. All patients
who are able to perform fancy work share in the proceeds accruing from
the same, and this is a great incitement to effort on their part. If the
interest of the patient can be directed into new lines of effort, with
careful training, the delusional content of mind will gradually fall into
the background and greatly lose in intensity. This work has been interrupted somewhat during the last year by the Assistant Superintendent
entering into the Eed Cross Army service. Every effort is made to keep
the organization in this'department up to a high standard, as it offers
many possibilities and will undoubtedly grow in usefulness and therapeutic value from year to year.
TRAINING SCHOOL FOR NURSES.

The training school for nurses has been an important factor, not only
in preparing persons for the care of the mentally sick, but in general
medical and community welfare work. Much attention is given to the
school and during the last two years its standards have been advanced
and its teaching improved and extended. Besides the teaching material
furnished by the hospital and General Hospital, which is very great, the
school is in affiliation with the training school for nurses of the University
of Michigan, where the senior pupils finish their course. Here they
receive practical work in pediatrics, infectious diseases, and in maternity
cases. Fourteen nurses graduated in June, 1918, eight of whom have
since passed the examination of the State Board of Nurses, and have
received their R. N. degree. Several of the nurses have enlisted in the
Eed Cross service of the United States and are now awaiting their
assignments.
We quote from our 1916 report: "There has been a great change in
our attempt toward the nursing of mental cases. The old idea of repression, punishment, seclusion, etc., of patients has given away to the
care of sympathetic, enlightened, and unselfish nurses. Not only will
the hospital cases come more than ever under her care and require of
her the most varied accomplishments and great resourcefulness, but she
perforce must become the leader in social work, mental hygiene work,
child welfare work, eugenic work, school and district nursing, and in
the great field of preventive medicine."
During the last year the hospital has supplied nurses to physicians in
the surrounding country, and often as many as four or five are out at
a time. The constant effort is being made to better the teaching; to
widen the scope of instruction, and to graduate competent nurses. It
is hoped that the General Hospital department may have a children's
and maternity ward attached to it. If so, the training school will be
complete in practical training material, and will not have to secure
affiliation with other schools before its pupils can receive the R. N.
degree. The hospital training school has a large class, and one of the

14

STATE OF MICHIGAN.

greatest purposes of the school is to prepare thoroughly trained nurses to
care for patients throughout the institution. It is also hoped that the
institution will be enabled to supply social and mental hygiene nurses,
Red Cross nurses for the United States Army, and for the nursing and
rehabilitation of disabled soldiers as they return from the war. A great
demand is already being made upon the country for nurses, and every
effort will be made by this training school to educate as many as possible
for this special work. We cannot refrain from saying that your Honorable Body must not be inattentive to the importance of this branch of
civics, and by proper legislative measures make it legal for all forms
of preventive work to become a part of the hospital service.
CLINICAL WORK.

The research and clinical laboratory work has been under the general
direction of Doctors H. V. Hendricks and W. P. Stowe. The following
is a brief report of the examinations and other work performed in the
laboratory:
Examinations:
Urines
842
Blood counts
59
Throat cultures
'. . .
29
Sputums
25
Widal test
22
Urethral smears
2
Stomach contents
2
Diazo test
1
Autopsies
10
Pathological diagnoses
12
Wassermann cerebro spinal fluids
45
Men positive
•
31
Men negative
8
Women positive
•
4
Women negative
2
Ross-Jones test
33
Cell count
33
Colloidal gold test
11
Mastric test
10
Wassermann blood total
794
Men positive
60
Men negative
432
Men doubtful
19
Women positive
19
Women negative
242
Women doubtful
12
Percentages:
Men positive
14.25
Men doubtful
4.50
Men negative
81.25
Women positive
7.
Women doubtful
4.50
Women negative
88.50

TRAVERSE CITY STATE HOSPITAL.

15

Out of the 732 Wassermann examinations of the previous biennial
period, positive reactions were found in 19% of the men and in 9% of
the women. If the statistics of the last biennial period are compared
with those of '15-'16, it will be noted that there has been a marked
decline in the number of luetic patients admitted. The Wassermann
blood tests, however, include the very aged as well as the very young
patients. If patients under eighteen and over sixty are excluded, the
percentage of luetic infection would be much greater than reported. We
believe the greatest field of effort for preventive medicine is in the control
of venereal diseases. A large percentage of mental disease is due to
this cause, and with thoroughly organized scientific community survey
work, this fatal factor could be practically eliminated. The stamping
out of the luetic diseases depends upon the control of its source, and
cannot be reached until sanitary laws are made and enforced by trained
medical and social workers. Under the operation of the Harrison Law
and anti-alcoholic laws of the State, it will be found, from a study of the
statistical tables given in this report and compared with previous reports,
that there has been a great falling off in drug cases and also a lessening
in the number of alcoholics. The alcoholic prohibition laws have not
been sufficiently long in operation to show their full value as sanitary
and preventive measures. Unquestionably, however, there will be a
decrease in the number of patients suffering from the psychoses, just as
it will be immediately noticed that there will be a lessening number of
juvenile and delinquent court cases and all other forms of crime.
THE GENERAL HOSPITAL.

The General Hospital is fast becoming indispensable to our institution
and to the people of the surrounding country. Patients are received from
many counties of the State and from other States than Michigan; Iowa,
Virginia, Missouri, Illinois, Ohio, etc., having been represented during
the last two years. About 950 patients have been treated in the hospital
from its beginning, and it has been practically at its full capacity at all
times. The General Hospital, in addition to the teaching facilities it
affords to nurses in training, supplies nurses to outside patients, and the
demand for this service is greater than the supply. Nurses have been
supplied at the request of physicians to both mental and general cases in
many districts in the State, and that without criticism from any source.
On the contrary, many testimonials, expressing appreciation of the kindness and skill of these nurses, have been received. From more extended
experience, we believe that our State Hospitals, with their great equipment, should become standardized General Hospitals for the reception
and treatment of people suffering from all forms of illness, mental,
surgical, infections, etc., as well as maternity and children's diseases.
We respectfully urge upon your Honorable Body to make a sufficient
appropriation to build and equip a modern hospital. Not only would
it be of value to the population at large, but would become the social
and welfare center for the district, and also would be a great factor in
caring for the many soldiers who will be returned to us disabled in
body and mind and who will require medical and nursing care of the
highest order. The hospital training school should be widened in scope,
and the most practical instruction given in this new domain of civics

STATE OF MICHIGAN.

16

which is opening up before us. The State Hospital, we believe, should
become a co-ordinating center from which preventive work should be
directed. There are many problems in sanitary and preventive work
forcing themselves to the fore, and we believe a co-operative effort should
be made by the Legislature, and by all organized societies interested
in public welfare work, to promote preventive measures, particularly in
their relation to feeble-mindedness, insanity, delinquency and to the
suppression of prostitution and syphilis. The problem of the feebleminded is of vast importance. To quote Mr. Bish:
"A feeble-minded person can never be normal, and especially if he
displays abnormal tendencies, should be placed for life in some institution where he can be given work suitable to his competency, and where
he can be made as happy and as useful as possible."
The admissions to the General Hospital for the biennial period ending
June 30, 1918, were as follows:
Men
315
Women .
420
Total
735
Of this number, 173 were medical cases and 562 surgical. Out of
the 735 patients treated in the General Hospital, there were 57 deaths,
or 7.7%. This is a low mortality rate, especially as several patients
were admitted immediately after severe injuries and only lived a short
time after their reception at the hospital.
The following tabulation of medical and surgical cases will afford a
most comprehensive review of the work which has been accomplished:

Improved.

Cured.

Diagnosis.

1

Appendicitis
Arteriosclerosis
Births
Bronchitis
Bruises left thigh
Cardiac dilation
Cardiac—nephritic
Cerebral hemorrhage
Cholecystitis

Unimproved.

MEDICAL BEPOET OF GENERAL HOSPITAL
July 1, 1916 to July 1, 1918.

2

3

1

i

6
1
1

i

i

1

1
2

.'

H

2
1
1
1

,

3o

T)
g

3
1

1
1

1
2
1
2
1
1
1
1
1
1
1
2
2
1
7

i
i
2
1
-

1
1
5
2
1

TRAVERSE CITY STATE HOSPITAL.

17

•d<D

3
1

1
1

Cystitis

Total.

Improved.

Cured.

Diagnosis.

Unimproved.

MEDICAL REPORT—Continued.

2
1

-

1

1

2
2
1
1

1
1

Injuries —internal—abdomen

1
1

Pneumonia—pleuro .
Poisoning—ivy
Puerperal fever
Renal calculi
Retention of urine
Rheumatic fever —acute
Sprained ankle
Tuberculosis—hip
Tuberculosis— pulmonary
Tuberculosis— sacrum
Typhoid fever
Typhoid pneumonia .
Vaginitis . .

1
2
1
1
1

1

1
1
1
1
1

1
1

1

1

1
1

1

....

1
1
9
1
1
1
1
1
2
1

2
1
1

2
1

1
1
1
1
1

Injuries to liver
Insanity— manic depressive ...
Iritis
Neuresthenia
Orchitis
Paralysis^-below first cervical
Peritonitis—general .
.

1

1
1
1
1
1

Hemorrhage—pulmonary

2
1

2
2
1
1
2

2
1
1

Gonorrheal infection — eyes

1
1
1

1

1
1
1

2
3
1

1
1

1

1

1
2
1
1
1
1
1
3
1
12
2
1
2
2
1
1
2
1
2
1
6

2
1
1

14

1
1
1
1
1

2

14
2
1

STATE OF MICHIGAN.

18

SURGICAL REPORT OF GENERAL HOSPITAL.

Improved.

Cured.

Diagnosis.

Unimproved.

July 1, 1916 to July 1, 1918.

4
8
1
9
1

•d

1
o
H

aQ

4

•

1
1

11

11

4
2
4

193
2
2
5
1

3
5
194

1
1

2
1
3

1

1
2
6
5
1

•

1
1
1
44
42

42
4

47
5
1
4
1

1
1
1
2
1

2
1

1
1
1
1
1

1
1
1
1
1

5
4
2

1
1
1

3

2

1
1

2

Fracture of patella

1
2
1
2
3

Fracture of radius
Fracture of skull

1
1

1
1
2
3

•

1
1
1
1
1

1
1

1
3
1
2
22

4
8
1
2
9

1

Gastric ulcer

Herniotomy — inguinal

5
1

1
1
1
44

33
5
1
4
1

Gastrojejunostomy

4

1
1
1

1

2
5
5
1

Fracture (compound) of fibula and tibia

8
2
10
1

1

1

3
1
22
3

TRAVERSE CITY STATE HOSPITAL.

19

Improved.

Cured.

Diagnosis.

Unimproved.

'

SURGICAL REPORT—Continued.

~5
o
H

T3

s
03

2
Q
4
1
4

2

9
4
1

4

1
3
1
Ovariotomy

4

Paracentesis

99
2
1

^

2
3
21
1

2
1

Plastic operation on eyelid

Relief of intussusception of bowels

1
3
1
4
99

2

1

1

4
1

2

2
4
1
47
29

Removal of bullet and cleaning of gun shot

1
1
1
1
1
1

Removal of cyst between peritoneum and

1
5
1
14
3
1
1

6
1
1
1
1
1
1
1
1
1
Removal of tumor from groin

1
1
3

Repair of abdominal wounds and ruptured
bladder

1

1

Watkin's operation

1
1
3
1

75
1
2

1

•

1
5
90
2
1
75
19
1
2

20

STATE OF MICHIGAN.

The following will show the receipts and disbursements on account
of the General Hospital for the period just closed:
Total receipts for the year ending June 30, 191.7
Total receipts for the year ending June 30, 1.918

$12,949 88
12,889 82

Total
Total disbursements for the year ending June 30, 1917
Total disbursements for the year ending June 30, 1918

$25,839 70
f9,163 07
f 6,335 58

Total
Balance to the credit of the General Hospital June 30,1918..

$15,499 25
$15,556 62

X-RAY DEPARTMENT.

This department has become one of great clinical importance. All
doubtful cases of tuberculosis, all cases of gastro intestinal diseases,
diseases of the bones, fractures, dislocations, location of foreign bodies,
etc., etc., are positively diagnosed by this method. Although it has been
in operation for more than two years, yet owing to many conditions
that could not be controlled, a regular operator has not been maintained, consequently the work has not developed rapidly. We now
have, however, a competent roentgenologist, and many outside patients
are coming for clinical examination. We venture to say that this
department will become one of the most valuable in connection with the
institution.
The following is a summary of X-ray cases from June, 1916 to
June, 1918:
Part examined.

Patients.
3

Shoulder

Outside
cases.

3

8

1

Foot
1
Hip

Employes.

7

1

5

0

2

9

12

5

11

6

7

1

Teeth
2

1

Pelvis

1

1

2

2

2

5

5

5

8

8

11

5

12

28

12

6

11

Calculi
Chest

14

6

6

Spinal . . . . .

Total.

32

29
32

TRAVERSE CITY STATE HOSPITAL.

21

LIBRARY.

The accompanying tables give in detail the work of the library for
the past year. Results are not yet what we wish, but substantial advancement has been made along two lines; number of loans in every branch of
our work, and a more general distribution of loans to the several wards.
On July 1, 1917, we had 938 volumes available for loans. Received
during the year by purchase 50, by donation 35. Old library volumes
resurrected 5. Total gains 90. Losses 19 (3 lost or destroyed, 16 worn
out past repair). Net gain 71, or 1,009 volumes now available. The
number of worn out books will increase more rapidly in the future, as
so many are very old.
We have rebound during the year the same number of volumes as last
year—34. Have otherwise repaired 281.
In the librarian's report for last year may be found the following
statement: "We would increase our efficiency from 50 to 100% if a
small sum were expended for the right kind of up-to-date books." That
this is true is shown by a glance at Table No. 2, months of JanuaryMarch as compared with April-June. For the first period the average
of monthly loans of books was 659; for the last three months (after
purchase of 50 new books) the average was 945, a gain of 286, or 43%;
this at an expense of f25 only. We ask for the same amount for fiction;
$25 for juvenile (which, next to fiction, shows the greatest efficiency),
and $25 for travel. In the last two named subdivisions we have nothing
at all late, and but few titles anyway.
If to these were added $25 for 50-cent war books, it would only mean
$100, and would double the number of book loans. Every year makes a
library of less value, aside from the number of books worn out, unless
new material be added. A library never stands still; it must progress
or retrograde.
TABLE No. 1.
Loans classified by catalog sub-division.
Loans.
Biography
Fiction

Travel
Miscellaneous
Total books
Magazines
Material not listed
Aggregate

.

. . . .

Loans
per title.
4
15
3
16

238

56

5,942

380

516

136

1 008

60

175

25

226

26

171

20

596
8,872

230
933

7,962

29

2,552

.

Average No.
titles.

19 386

3
6
8
8

7

•

9
8 6
2.4
9 5
275

STATE OF MICHIGAN.

22

TABLE No. 2.
Loans by months.
,

1917.

In

3

eS
3
0
C3

677
705
293

a
a

ao

g

O

t>

o
0

1

"3

<

644

715

728

674

661

519

584

581

' 626

687

627

69

83

260

228

209

221

Not listed

1918.

.
X

<£
&

V

a

0}

666

o

3

A

h

s

634
700

667 1,007

S>>

cS

c$

§

736
311

247

R

696
354

985
740
306

a
>->
03

844

761
374

ce o
EH

8,872
7 962
2,552
19,386

TABLE No.—3.
Loans by wards.
Books.

Hall.
1
3
5

7
9
11

13
15
17
19

Catalog

21
23
25
27
29

31

North side
^outh side
Employes
Total

Magazines.
314

104
79

Hall.

556
140

62
105
255
275
343

397
73
113
139
287

24
26
28
30

375
267
266
317

' '38
53
192
216

32
34
36
38

48
240
532

277
83

53
18

117
130
47
340
196

54
10

12
14

43
54
174

20

" 247 '
47
86

31

26

192

508
4

121
137

2,464
5 621

16
18

Catalog
192
6

1,268

787

4 657
2,037

8,872

7,962

Material not listed (2,552 loans) not included.

Magazines.
1,235
350
716
116
150

4
6
8
10

42

Books.
1,114

443

2

283

5,621

105

234
247
5

4,657

TRAVERSE CITY STATE HOSPITAL.

23

TABLE No. 4.
Magazine loans.
^American
*Century

310
224
211
369

Literary Digest
McClure's
Modern Priscilla
^Metropolitan

444

Country Gentleman
Delineator
Everybody's
*Harper's

240

379
132
250
203
274
09 (4 mo.)

*Illustrated Review
283
Illustrated World
. ..
384
Ladies' Homo Journal . . ' . . . . 163
46 (6 mo.)

Outlook
*Physical Culture
*Popular Mechanics. . . .
Review of Reviews
Round Table
Sat. Evening Post
Scientific American .
Travel
Woman's Home Conip'n
World's Work

391
259
139
251
288
290

409
18
262
216
18 Quarterly.
456
382
225

147
227

.

7,962

Total magazines (listed) . . .
*Publications not listed 2,552.
* Donated.
FIRE IN LAUNDRY.

On the morning of November 7, 1917, the laundry was practically
destroyed by fire. Unfortunately much new machinery had just been
installed and was badly damaged. The loss, as adjusted by the Fire
Commission, was f 12,301.30. This sum was paid to the institution in
full by the State. The laundry is being restored, and when finished will
be a fire-proof building. The source of the fire is not known, but it is
believed to have been started from overheating of clothing in one of
the dryers. >
VIOLENT DEATHS.

One woman patient committed suicide, and four patients—two men
and two women—died from suffocation during epileptic seizures. These
cases were investigated by the coroner, and death certificates in each
case were signed by him.
TRANSFER OF PATIENTS.

During the year ending June 30, 1917, thirty women were received from
the Pontiac State Hospital,, and twelve patients—five men and seven
women—from other State Hospitals. During the year ending June 30,
1918, one hundred patients—seventy-five men and twenty-five women—
were received from Eloise and thirty-eight patients-^sixteen men and
twenty-two women—from the Kalamazoo State Hospital; and four women
from other institutions. During the fiscal year ending June 30, 1917,
fifteen men were transferred to the farm colony for epileptics at Wahjamega, and four patients—three men and one woman—to other State
Institutions. During the fiscal year ending June 30, 1918, four patients
were transferred to other hospitals—one man to the Pontiac State
Hospital, and one man to the Ionia State Hospital, one man to the
home for the feeble-minded at Lapeer, and one woman to the Newberry
State Hospital.

24

STATE OF MICHIGAN.
INCREASE IN PATIENTS.

The gain in patients during the period was, men 72, women 90, total
162. If the number of patients received from other State Institutions—96 men and 88 women, total 184—less the number of patients discharged
to other State Institutions—-21 men and 2 women, total 28—is deducted
from the admissions, the gain in patients in the hospital district for
the period has been one patient. We may add that the hospital can
comfortably care for one hundred additional patients.
COST OF MAINTENANCE.

1886
1887
1888
1889
1890
1891
1892
1893
1894
1895
1896
1897
1898
1899
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918

Cents.
53
52
51
50
49
49
48
48
48
-.
47
46
44
42
44
44
44
44
(The above exclusive of officers' salaries)...'. 44
(Inclusive of officers' salaries)
48
(Inclusive of officers' salaries)
49
(Inclusive of officers' salaries)
48
(Inclusive of officers' salaries)
47
(Inclusive of officers' salaries)
48
(Inclusive of officers' salaries)
50
(Inclusive of officers' salaries)
50
(Inclusive of officers' salaries)
50
(Inclusive of officers' salaries)
49
(Inclusive of officers' salaries)
50
(Including officers' salaries' and pro rata of
Ins. fund, $5,193.93)
51
(Including officers' salaries and pro rata of
Ins. fund, $5,143.93, and working men's Ins.
1341.37)
50
(Including officers' salaries and pro rata of
Ins. fund, $5,143.93, and working men's Ins.
1341.37)
50
(Including officers' salaries and pro rata of
Ins. fund, |5,844.47, and working men's Ins.,
$745.77)
53
(Including officers' salaries and pro rata of
Ins. fund, $5,280.86)
70

TRAVERSE CITY STATE HOSPITAL.

25

DISCHARGE OF PATIENTS,, READMISSIONS,, ETC.

There were 811 patients discharged during the period; 504 men and
307 women. Of this number, 134 were discharged recovered, 157 improved,
65 unimproved, and 580 died. The percentage of recoveries on the whole
number under treatment was 3 plus; on the number admitted 13.7%.
The death rate was 85 per thousand in 1916-17, and 89 per thousand in
1917-18. The readmissions for the period were men 59, women 47, total
106. The readmissions from the beginning have been men 493, women
466, total 959. The total number of patients admitted 8,365, representing 7,406 individuals. The daily average of patients for the period was
1,753.4. The number of weeks spent in the institution by patients was
182,858 6-7. This was an increase of 123 in daily average, and an increase
of 10,528 3-7 weeks' board over the preceding period. On June 30, 1918,
there were 1,806 patients under treatment at State expense and 49 at
private expense.
There were two hundred eighty-five persons employed in the hospital
June 30, 1918, in the positions, and at the wages given in the schedule
accompanying this report.
ORDINARY REPAIRS AND IMPROVEMENTS.

During the year ending June 30,1917, the cost of repairs was $27,761.28,
and for the year ending June 30, 1918, $23,074.03. Notwithstanding the
increased cost of labor and material, the expenditures for repairs were
$10,754.10 less than for the preceding period. While there were a large
number of minor repairs made during the year, yet none involving large
expenditures of money were undertaken. The principal improvements
were those made to Cottage 32 and in the gardener's residence, the establishment of a garbage cooking vat at the pig pens, and the installation
of a milk aerator in the dairy. The electrical wiring in the main building
was found to be defective and had to be made safe. Owing to the constant
flooding of the ground immediately surrounding the bakery, considerable
grading, cementing and drainage was required to correct this defect.
One of the most important improvements during the period was that
of fire-proofing, as far as possible, the attics of the main building. The
electric wiring and telephone wiring was more perfectly insulated, and
the roof ceiling and floors were given two coats of whitewash. All flues
that opened into the attics were closed with metal, and wherever possible
were dampered, so as to prevent drafts in case of fire. Many of the
porches had to be practically rebuilt, as they had become so weakened
by decay that they threatened collapse. Many minor changes, such as
improvements to the roofs and gutters, to the sanitary appliances, etc.,
etc., were carried out. During the coming period, no doubt, a larger
expenditure will be required to keep the building in order.
SPECIAL APPROPRIATION., $4,232.

This appropriation was granted by the Legislature of 1917 for an
addition to the dining room for women. The addition has been completed and finished, with the exception of the service elevator. The fund
remaining in this appropriation, $343.71, is not sufficient to install this
appliance, and an appropriation will be asked of the coming Legislature
to install a proper elevator for this dining room.

26

STATE OF MICHIGAN.
SPECIAL APPROPRIATION, $2,500.

This appropriation was made by the last Legislature for the purpose
of installing a pump for fire protection. We would respectfully report
that the pump has been installed within the amount of the appropriation,
and has proved to be entirely satisfactory.
SPECIAL APPROPRIATION, $5,000.

This appropriation was granted by the last Legislature for the purchase
of laundry machinery. This machinery was installed within the amount
appropriated, but unfortunately much of it was damaged and some of
it destroyed by the fire in the laundry last November. The insurance
received from the State was, however, sufficient to make good the loss.
SPECIAL APPROPRIATION, $14,461.50.

This appropriation was made by the Legislature of 1917 for the purchase of 1551/2 acres of land. The State entered into possession of this
land immediately after the passage of the act. It is an excellent farm,
and will add greatly to the economy of the institution.
SPECIAL APPROPRIATION, $750.

This appropriation was made by the last Legislature for the construction of a porch and covered passageway between Cottage 30 and the
dining room for men. Owing to the enhanced prices of material, etc.,
this improvement could not be made within the amount appropriated.
It has reverted to the State.
NEEDS OF THE HOSPITAL.

The following requests for appropriations are for additions to the
buildings, and for special improvements. We would call your attention
to the fact that the boilers and grates, etc., now in use are worn out
and will soon have t.o be replaced. As the boiler capacity of the institution is not much in excess of its daily needs, it is imperative that
provision should be made at once for the installation of a boiler larger
than we now have in use. The hospital is growing in usefulness and,
while the conditions at the present time are unusual and we are bending
every energy to meet war conditions, we must keep up the institution
so that it may do its part in the service of the commonwealth. The
requests that follow were decided upon after the most careful consideration. You will note that, outside of the additions to the store, no building
operations are contemplated.
ADDITION TO STORE, $28,096.60.

Your Honorable Body is respectfully requested to appropriate the sum
of $28,096.60 for enlarging the store building. The building is inadequate
for the needs of the hospital. A large amount of supplies is stored in
this building, and the danger from loss by fire is great. The store is
too small and overcrowded, and the handling and rehandling of supplies
necessitated adds greatly to the overhead expense for foods, etc. We
cannot too strongly urge this addition.

TRAVERSE CITY STATE HOSPITAL.

27

WATER TUBE BOILERS AND CHAIN GRATE STOKER, $18,000.

This boiler is to replace two small boilers, one of 175-horse-power and
one of 150-horse-power. It is very important that a new boiler be
installed at the earliest possible date, as the old boilers are likely to fail
at any time. The hospital has outgrown them, and no doubt a large
boiler would soon pay for itself in saving of fuel.
ELECTRIC ELEVATOR FOR DINING ROOM FOR WOMEN,, $3,500.

The appropriation made for the dining room, as above reported, was
not sufficient to cover the cost of a mechanical elevator. We would
respectfully ask your Honorable Body to appropriate the sum of $3,500
for the purchase and installation of an electric elevator for this dining
room. The estimates, as prepared by the Otis Elevator Company, provide for an automatic electric elevator, auto-operable from the basement
or stories—one of sufficient power to lift one thousand pounds from the
basement to the third story. All labor and materials are included. This
improvement is very necessary.
ASH CONVEYOR, $2,500.

This machine is to automatically remove ashes from the boiler ash pits
in the sub-basement to a bin outside of the boiler room. The coal consumption per day during the winter months varies from 40 to 60 tons,
and the elevator iii use is too small to handle the coal and the ashes from
the boiler to the dump above. The sub-basement is small and is connected with the outside by a narrow stairway. Consequently the ashes
accumulate, and it is almost impossible, under existing conditions, to
remove them l>y hand. We would strongly urge this improvement, and
believe it would much more than pay for itself within the coming period.
OVERDRAFTS, $6,001.27.

The Legislature of 191.5 made an appropriation of $8,000 for a shop
building. The building was not completed until two years later, and
during that time the cost of labor and material appreciated greatly, so
that the building cost, completed, $4,670.77 more than the appropriation.
This amount was paid from the current expense funds of the institution
and treated as an overdraft against the special appropriation.
There was an overdraft on the dining room for men, of $1,640.60, and
one of $265 for architect's fees against the special appropriation for the
industrial building for women. The total overdraft on account of these
special appropriations was $6,001.27. The overdraft on the industrial
building for women of $265 was paid to the architect. The appropriation
for this building was transferred, by the last Legislature, to the appropriation for addition to store, and has not been drawn from the State
Treasury. We would respectfully -ask your Honorable Body to pass a
deficiency bill to cover these amounts. These buildings were near completion and not to have finished them would have caused inconvenience
and loss to the institution. It was decided, as a business proposition, to
secure the use of them at the earliest possible date, and to ask the Legislature to refund the money spent for their completion.

28

STATE OF MICHIGAN.
REPAIRS TO ROOFS AND GUTTERS, $2,500.

Your Honorable Body is respectfully asked to appropriate the sum of
$2,500 for repairs to the rooms and gutters of the hospital. Every winter
the roofs sustain more or less damage from snow and ice which accumulates on them, and it requires a considerable outlay to keep them in order.
Often it becomes necessary to make scaffolds to reach the cornices and
gutters, and the outlay for this purpose is often as great, if not greater,
than the cost of the repairs themselves. If, however, it becomes the policy
of the State to treat such improvements at the State institution, as a
charge against the general fund, this request will be canceled.
RECAPITULATION

OF APPROPRIATIONS REQUESTED.

Additions to store
Water tube boilers and chain grate stoker....
Electric elevator, etc
Ash conveyor
Eepairs to roofs and gutters
Overdrafts

$28,096 60
18,000 00
35,000 00
2,500 00
2,500 00
6,001 27
,597 87

FARM, GARDEN, STOCK AND GROUNDS.

The farm is in fine condition and is becoming better year after year.
It shows the results of the scientific methods of agriculture, which have
been applied to it. Especial attention is being paid to soil conservation,
to drainage, the use of fertilizers and soilage crops. Rotation of crops
is carried out to the fullest possible extent. It will be seen from the
accompanying table that a tremendous amount of produce is supplied
to the institution by the farm, and when given a money value it represents
a very large amount and is a decided asset and a great saving to the
taxpayers of the State.
During the last two fiscal years there have been no new buildings
constructed on the farm. Considerable woven wire fence has been built,
replacing old board or rail fences, which were in bad condition.
The Legislature of 1916 generously granted the appropriation for the
purchase of 155% acres of additional farm land. This land is proving a
valuable acquisition and was much needed. It is believed that the
purchase of still more land is advisable, as we could easily furnish the
patient labor to till it and, with more land, we could produce more of
the necessities of life and thereby become more nearly self-sustaining and
less of a burden to the taxpayers of the State. During the coining year
we expect to rent a nearby farm of 80 acres, and we aim to be constantly on the watch for desirable farm property that can be purchased
for the hospital.
We regretfully report the death on -February 18,1918, of Mr. Dennis W.
Kelly, former farm manager. Mr. Kelly found employment with the
institution for thirty-two consecutive years, and held the position of
farm manager from October, 1903, to the time of his death. The position
of farm manager was filled by the employment of Mr. L. L. Drake, who
assumed the duties of the position April 17, 1918. Mr. Drake came very

TRAVERSE CITY STATE HOSPITAL.

29

well recommended and fortified by years of experience and college education, being a graduate of the Michigan Agricultural College.
The following tables show the produce from the farm and garden, and
cash receipts for farm produce, etc., sold during the biennial period:
FAKM REPORT FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1918.
Apples, bushels
..............
3,010
Mangels, bushels
4,739
Apples, crab, bushels
..........
151.50
Melons, musk, pounds
4,450
Melons, water, pounds
Asparagus, pounds
...........
3,100
6,950
Beans, string, bushels
.........
407
.1,706,522
Milk, pounds
Benns, navy, pounds
..........
3,231
Oats, bushels
2,086
Onions, green, dozen
15,005
Beans, hog feed, pounds
.......
990
Beef, pounds
..................
35,115
Onions, bushels
820
Beets, bushels
1,768
Parsnips, bushels
1,544
29,005
Peaches, bushels
54
Cabbage heads. . .
6,222
Peppers, bushels
17
Carrots, bushels. . .
Pears, bushels
Cauliflower, heads.
538
66.50
9
Celeriac, bushels. .
Peas, bushels
235
Plums, bushels
370
Cherries, quarts. . .
23,955
1,082
Pork, pounds
Chickens, pounds.
. . 46,111
Potatoes, bushels
Celery, heads
28,950
1,770
Cider, gallons
2,008
Potatoes, bushels, sweet
25
Pumpkins, pounds
60,120
Corn, green, bushels
1,782
Cucumbers, dozen
310.
Radishes, dozens
8,825
Raspberries, quarts
Cucumbers, bushels
515
5,208
Rhubarb, pounds
Currants, quarts
5,648
12,730
Ducks, pounds
90
Rutabagas, bushels
3,668
Eggs, dozen
412%
Rye, bushels
75
Egg plant, bushels
4
Sage, bundles
750
Salsify, bushels
115
Ensilage, tons
1,046
Grapes, bushels
186
Spinach, pounds
5,730
Squash, pounds
Greens, pounds
1,680
61,140
Squash, summer, bushels
206
Green fodder, tons
145.50
Hay, alfalfa, tons
65
Straw, tons
10
Strawberries, quarts
Hay, clover, tons
113
13,191
Hay, mixed, tons
196
Suet, pounds
145
Syrup, maple, gallons
Hay, June grass, tons
28
10
Tallow, pounds
54
Hay, timothy, tons
30
Head meat, pounds
107
Tomatoes, greenhouse, pounds.
3,210
Tomatoes, green, bushels....
88
Hearts and tongues, pounds. . . .
788
692
Kohl rabi, bushels
2
Tomatoes, ripe, bushels
Lettuce, pounds. . .-:
9,560
Turkey, pounds
168.50
Turnips, bushels
Livers, pounds
1,315 .50
1,506
Lumber sawed, feet
3,577
CASH RECEIPTS FROM FARM FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1918.
Young bulls, sold
$5,312 75
133 50
Prize money on cattle A. R. O.
Purchase option on land, refunded.
100 00
Sale of one colt
50 00
Sale of hides
833 08
Sale of wood
189 00
Sale of feed sacks
213 70
225 80
Sale of hay
Sale of buckwheat
9 50
Sale of vegetables
16 27
2 32
Sale of steel fence post
Sale of arsenate of lead
16 00
Sale of hog serum
25 00
Freight on feed, refunded
48 47
$7,325 39
RECEIPTS AND DISBURSEMENTS.

The total receipts of the hospital for the fiscal year ending June 30,
1917, including casli on hand and credits on special appropriations
accounts, were -f397,758.19, and the total disbursements for the same
period, including special appropriations, were |400,720.39. The total
receipts of the hospital for the fiscal year ending June 30, 1918, including
credits on special appropriations accounts, were f505,053.30, and the
total disbursements for the same period, including special appropriations,
were $501,067.25. There was at the close of the biennial period ending
June 30, 1918, $1,023.85 in the hands of the treasurer; $2,649.1.3 being
to the credit of the current expense account and an overdraft of $1,625.28
on account of special appropriations.

30

STATE OF MICHIGAN.
OFFICERS.

In September, 1917, C. E. Miller, M. D., of Cadillac, Mich., was
reappointed to the Board. Dr. Miller has been a valuable member of
the Board, and his reappointment is a just recognition of his services.
F. C. Mayne, M. D., who had been connected with the staff since 1916,
resigned his position in February, 1917, to accept an appointment in an
emergency hospital in Detroit. Dr. Mayne carried with him the best
wishes of all the officers and employes of the institution.
In March, 1918, Dr. W. D. Mueller, who had been connected with the
staff since 1900, received a lieutenant's commission in the Medical Reserve
Corps of the United States Army.
In March, 1918, Dr. Adah Epperson, who had been the woman physician
of the hospital since 1910, resigned to accept a position with the Westinghouse Company of Pittsburgh, Pa. Dr. Epperson has the best wishes of
all connected with the institution for success in her new field.
Hon. C. D. Alway, who had served as a member of the Board for about
five years, received a commission in the Army of the United States. He
became first lieutenant in the Sixtieth United States Infantry and was
assigned to duty at Camp Greene, North Carolina. Subsequently he
went overseas, and has since been serving with his regiment on the battlefields of France. Mr. Alway carried with him the best wishes of his
associates on the Board, and all earnestly pray that he may safely return
to his home and country.
By resolution of the Board of Trustees, officers and employes entering
the military service of the United States are resigstered as temporarily
absent and may resume their positions after the war.
In June, 1918, Dr. Paul H. Piper was appointed as assistant physician
on the staff. He came highly recommended by the medical faculty of
the University.
Dr. W. P. Stowe, who has been acting as roentgenologist, has accepted
a position on the staff, and will begin his duties next month. He comes
from the University Medical School, and is highly recommended.
The following is the roll of honor of the institution:
Dr. W. D. Mueller. .Lt., U. S. Army C. Eoutsong
Army
Win. Coursons
Army H. Denoyer
Army
C. J. Nelson
Army E. Denoyer
Army
E. F. Gray
Army L. King
Army
W. T. Ferguson
Army A. Korb
Army
D. M. McKinstry
Army H. Allen
Army
E. A. Hamberg
Army L. Shelda
Army
E. Hinchell
Army L. Denoyer
Army
G. A. Lenhard
Army P. Hindges
Army
N. F. Young
Army G. Zalin
Army
W. Cruse
Army R. Skiver
Army
N. Parker
Army L. Cornell
Army
A. Elliston
Army C. Priest
Army
G. Bixby
Army H. Wellacker
Army
R. Coleman
Army W. Weiler
Army
F. J. Zenek
Army F. Johnson
Army
L. Schoner
Army I. Yenish
Army
R. Shelda
Army C. A. Banelt
Army

TRAVERSE CITY STATE HOSPITAL.

31

H. Rohr
Army Gail Langworthy
Red Cross
L. Hoxie
Navy Alice J. Thoreson
Red Cross
H. O'Leary
Navy Libbie Howe
Red Cross
M. Couturier
Navy Lula Stieglitz
Red Cross
F. Norris
Navy Grace Stieglitz
Red Cross
F. Hannaford
Navy Hazel Bostrum
Red Cross
H. Fitch
Navy Blanche E. Beitelieu... .Red Cross
Wm. Shields
Navy Marie E. Husby
Red Cross
H. DeWitt
Navy Niva E. Ramsey
Red Cross
C. Farnham
Navy Metta M. Whitson
Red Cross
W. Fahenstalk
Navy Blanche E. Cotton
Red Cross
Julia Leo
Red Cross Katherine Bell
Red Cross
Jessie Keating
Red Cross
In conclusion we may say that there has been the most devoted effort
on the part of the officers and employes of the institution to do their
best for the hospital and their country. In the conduct of the affairs of
the hospital, the heads of the departments have shared more than ever
before in the study of conditions, and carrying out of suggestions for its
welfare. Despite conditions due to the great war, steady progress has
been made in the hospital management, and many things have been
learned from the experiences of the year that will forever stand to the
welfare of the institution.
The patients have not suffered for medical care, and have been supplied
with every comfort necessary to their best welfare. The outlook for the
coming year, with the great drain that is to be made on the man power
of the country, is not so favorable, and yet we believe that as problems
arise they will be successfully met and that we may feel assured that all
will be well with our institution and with our people and our country.
We earnestly desire that your Honorable Body, by the wisdom of its
acts, will make it possible for the State to take high rank in the progressive work of conservation of public health.
WILLIAM LLOYD,
H. C. DAVIS,
C. D. ALWAY,
S. E. NEIDHARDT,
C. E. MILLER,
J. S. WEIDMAN.
Traverse City, Michigan, June 30, 1918.

32

STATE OF MICHIGAN.

TREASURER'S REPORT.
ABSTRACTS.
OF ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT TUB
TRAVERSE CITY STATE' HOSPITAL FOE THE FISCAL
YEAR ENDING JUNE 30, 1917.
THE STATE OF MICHIGAN, In account with A. J. Mayna-rd, Treasurer of the Traverse City State
Hospital, for the above named period, as lolloios:
JULY, 1916.
CREDITS.

Balance on hand July 1, 1916
Cash from State Treasurer :
Account of current expenses
Cash from other sources

$10,855 86
27,979 78
2,685 57
$41,521 21

DEBITS.
Account
Account
Account
Account
Account
Account
Balance

of repairs, roofs and gutters
of side track
of carpenter shop
of industrial building
of fire protection, farm barns
of current expenses
on hand to new account

$15
293
632
120
3,183
28,540
8,736

84
00
52
00
09
70
06
$41,521 21

AUGUST, 1916.
CREDITS.

Balance on hand August 1, 1916
Cash from State Treasurer:
Account of current expenses
Cash from other sources

$8,736 06
27,979 78
1,915 37
$38,631 21

DEBITS.
Account
Account
Account
Account
Account
Balance

of
of
of
of
of
on

side track
carpenter shop
industrial building
fire protection, farm barns
current expenses
hand to new account

$135 00
646 33

120 00
65 69
28,428 13
9,236 06
$38,631 21

SEPTEMBER, 1916.
CREDITS.

Balance on hand September 1, 1916
Cash from State Treasurer :
Account of current expenses
Cash from other sources

27,979 82
1,947 96
$30,163 84
DEBITS.

Account of side track
Account of dining room, men
Account of carpenter shop
Account of fire protection, farm barns
Account of current' expenses
Balance on hand to new account

$180
11
1,185
261
37,375
148

25
70
64
84
70
71
$39,163 84

TRAVERSE CITY STATE HOSPITAL.

33

OCTOBER, 1916.
CREDITS.

Balance on hand October 1, 1916
Cash from State Treasurer :
Account of current expenses
Cash from other sources
Cash loan from Traverse City State Bank

$148 71
27,574 30
2,275 36
7,000 00

$36,998 37

DEBITS.

Account
Account
Account
Account
Balance

of
of
of
of
on

side track
carpenter shop
fire protection, farm barns
current expenses
hand to new account

$95
57
87
34,377
2,380

05
65
29
75
63

$36,998 37

NOVEMBER, 1916.
CREDITS.

Balance on hand November 1, 19.16
Cash from State Treasurer:
Account of current expenses
Cash from other, sources

$2,380 63
55,099 87
2,486 58

$59,967 08

DEBITS.

Account
Account
Accotmt
Balance

of
of
of
on

carpenter shop
fire protection, farm barns
current expenses
hand to new account

$299
515
37,821
21,330

63
40
13
92

$59,967 08

DECEMBER, 1916.
CREDITS.

Balance on hand December 1, 1916
Cash from State Treasurer :
Account of current expenses
Cash from other sources

$21,330 92
20,048 76
1,941 79

$43,321 47

DEBITS.

Account
Account
Account
Balance

of
of
of
on

carpenter shop
fire protection, farm barns
current expenses
hand to new account

$380
21
34,608
8,311

06
90
18
33

$43,321 47

JANUARY, 1917.
CREDITS.

Balance on hand January 1, 1917
Cash from State Treasurer:
Account of current expenses
Cash from other sources

$8,311 33
20,631 30
3,377 42
.

$32,320 05

DEBITS.

Account of current expenses
Balance on hand to new account

$28,500 63
3,819 42

$32,320 05

FEBRUARY, 1917.
CREDITS.

Balance on hand February 1, 1917
Cash from State Treasurer:
Account of current expenses
Cash from other sources.

$3,819 42
20,631 32
2,380 92

$26,831 66

DEBITS.

Account of current expenses
Balance on hand to new account

$22,769 07
4,062 59

$26,831 66

34

STATE OF MICHIGAN.
MARCH, 1917.
CREDITS.

Balance on hand March 1, 1917
Cash from State Treasurer:
Account of current expenses
Cash from other sources

$4,082 59
40,631 32
2,272 70

$46,966 61

CUBITS.

Account of current expenses
Balance on hand to new account

$30,254 72
16,711 89
.

$46,966 61

APRIL, 1917.
CREDITS.

Balance on hand April 1, 1917
Cash from State Treasurer:
Account of current expenses
Cash from other sources

$16,711 89
26,920 77
6,376 10
*

$50,008 76
^^^^^^^^=^=^^

DEBITS.

Account of current expenses
Balance on hand to new account

$36,048 91
13,959 85

$50,008 76

MAY, 1917.
CREDITS.

Balance on hand May 1, 1917
Cash from State Treasurer:
Account of current expenses
Cash from other sources

$13,959 85
26,920 78
8,303 01

$49,183 64

DEBITS.

Account
Account
Account
Balance

of track scales
of fire protection, farm barns
of current expenses
on hand to new account

$1,459
129
36,300
11,293

95
83
34
52

$11,293
26,968
3,033
2,962

52
49
21
20

$49,183 64

JUNE, 1917.
CREDITS.

Balance on hand June 1, 1917
Cash from State Treasurer :
Account of current expenses
Cash from other sources
Balance (overdrawn) to new account

$44,257 42

DEBITS.

Account of current expenses

$44,257 42

SUMMARY.
THE STATE OF MICHIGAN, In account with A. J. Maynara, Treasurer of the Traverse Gity State
Hospital, for the fiscal year ending June SO, 1917.
CREDITS.

Balance on hand July 1, 1916
Cash from State Treasurer :
Account of current expenses
Cash loan from Traverse City State Bank.
Cash from other sources
Balance (overdrawn) to new account

$10,855
349,366
7,000
38,995
2,962

86
29
00
99
20

Account
Account
Account
Account
Account
Account
Account

$150
2,028
3,201
11
240
4,265
399,282

84
25
83
70
00
04
68

of
of
of
of
of
of
of

repairs, roofs and gutters..
side track
carpenter shop
dining room, men
industrial building
fire protection, farm barns.
current expenses

$409,180 34

$409,180 34

TRAVERSE CITY STATE HOSPITAL.

35

ABSTRACTS.
OF ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT THE
TRAVERSE CITY STATE HOSPITAL FOR THE FISCAL
YEAR ENDING JUNE 29, 1918.
THE STATE OF MICHIGAN. In account with A. J. Maynard, Treasurer of the Traverse City State
Hospital, for the al)ove named period, as follows:
JULY, 1917.
CREDITS.

Cash from State Treasurer :
Account of current expenses
Account of addition, dining room, women
Account of fire pump
Account of laundry machinery
Account of farm
Cash from other sources
Balance (overdrawn) to new account

$30,893
4,232
2,500
5,000
14,461
2,816
489

06
00
00
00
50
12
80
$60,392 48

Balance
Account
Account
Account

(overdrawn) June 30, 1917
of addition, dining room, women
of farm
of current expenses

DEBITS.
•.

$2,962
696
14,461
42,271

20
89
50
89
$60,392 48

AUGUST, 1917.
CREDITS.

Cash from State Treasurer :
Account of current expense
Cash from other sources

$45,893 06
1,999 82
$47,892 88
DEBITS.

Balance
Account
Account
Balance

(overdrawn) August 1, 1917
of addition, dining room, women
of current expenses
on hand to new account

$489
488
37,079
9,835

80
16
30
62

$47,892 88

SEPTEMBER, 1917.
CREDITS.

Balance on hand September 1, 1918
Cash from State Treasurer :
Account of current expenses
Cash from other cources

$9,835 62
40,893 06
1,761 83
$52,490 51

DEBITS.
Accoun of addition, dining room, women
Account of current expenses
Balance on hand to new account

$599 03
37,033 33
14,858 15
$52,490 51

OCTOBER, 1917.
CREDITS.

Balance on hand October 1, 1917
Cash from State Treasurer :
Account of current expenses
Cash from other sources

$14,858 15
31,776 55
3,150 25
$49,784 95

DEBITS.
Account of repairs, roofs and gutters
Account of addition, dining room, women
Account of fire pump
Account of current expenses
Balance on hand to new account

$81
507
58
38,624
9,508

00
46
14
80
55
$49,784 95

36

STATE OP MICHIGAN.
NOVEMBER, 1917.

Balance on hand November 1. 1917.
Cash from State Treasurer :
Account of current expenses...
Cash from other sources

$9,508 55

Account
Account
Account
Account
Account
Balance

$624
189
4,771
973
40,442
6,513

of
of
of
of
of
on

41,776 55
2,230 67

addition, dining room, women.
fire pump
laundry machinery
laundry fire repairs
current expenses
hand to new account

93
62
67
OS
70
77

$53,515 77

$53,515 77

DECEMBER, 1917.
CREDITS.

Balance on hand December 1, 1917. .
Cash from State Treasurer :
Account of current expenses...
Account of laundy fire repairs.
Cash from other sources

$6,513 77

Account
Account
Account
Account
Balance

$208
57
3,394
34,034
20,223

of
of
of
of
on

36,776 58
12,361 30
2,267 24

addition, dining room, women.
fire pump
laundry fire repairs
current expenses
hand to new account

$57,918 89

98
07
62
95
27
$57,918 89

JANUARY, 1918.
CREDITS.

$20,223 27

Balance on hand January 1, 1918.
Cash from State Treasurer :
Account of current expenses. .
Cash from other sources

Account
Account
Account
Account
Account
Balance

of
of
of
of
of
on

65,810 27
3,955 25

$455
5
36
209
32,305
56,977

addition, dining room, women.
fire pump
laundry machinery
laundry fire repairs
current expenses
hand to new account

46
00
00
54
25
54

$89,988 79

$89,988 79

FEBRUARY, 1918.
CREDITS.

Balance on hand February 1, 1918.
Cash from State Treasurer :
Account of current expenses...
Cash from other sources

Account
Account
Account
Account
Balance

of
of
of
of
on

addition, dining room, women.
fire pump
laundry repairs
current expenses
hand to new account

$56,977 54
15,810 27
1,822 46
$74,610 27

$234
1,027
463
29,976
42,909

20
25
35
26
21

$74,610 27

TRAVERSE CITY STATE HOSPITAL.

37

MARCH, 1918.
CREDITS.

$42,909 21

Balance on hand March 1, 1918.
Cash from State Treasurer :
Account of current expenses.
Cash from other sources

Account of
Account of
Account of
Account of
Balance on

35,810 30
2,422 08

addition, dining room, women.
fire pump
laundry lire repairs
current expenses
hand to new account

$2
874
126
49,697
30,440

10
64
88
13
84

$81,141 59

1,141 59

APRIL, 1918.
CREDITS.

$30,440 84
31,612 38
3,281 04

Balance on hand April 1, 1918. . . .
Cash from State Treasurer :
Account of current expenses.
Cash from other sources

Account
Account
Account
Balance

of
of
of
on

$61
70
45,027
20,173

addition, dining room, women.
fire pump
current expenses
hand to new account

95
94
64
73

$65,334 26

$65,334 26

MAY, 1918.
CREDITS.

Balance on hand May 1, 1918. ..
Cash from State Treasurer :
Account of current expenses.
Cash from other sources. .. .

31,012 38
3,219 42

Account
Account
Account
Account
Balance

$315
9
1,988
47,440
5,252

of
of
of
of
on

repairs, roofs and gutters. .. .
addition, dining room, women.
laundry fire repairs
current expenses
hand to new account

82
13
36
10
12

$55,005 53

$55,005 53

JUNE, 1918.

Balance on hand June 1, 1918.. ..
Cash from State Treasurer :
Account of current expenses.
Cash from other sources

$5,252 12
26,612 51
2,295 _35

Account
Account
Account
Account
Balance

$217
1,074
192
31,652
1,023

of
of
of
of
on

fire pump
laundry fire repairs. . .
laundry machinery. . . .
current expenses
hand to new account.

34
19
33
27
85

$34,159

$34,159 98

38

STATE OP MICHIGAN.

SUMMARY.
Tim STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the traverse City State
Hospital, for the fiscal year ending June %9, 1918.
CREDITS.
Cash from State Treasurer :
Account of addition, dining room, women
$4,232 00
Account of fire pump
2,500 00
Account of laundry machinery
5,000 00
Account of farm
14,401 50
Account of laundry fire repairs
12,361 80
Account of current expenses
435,276 97
Cash from other sources
31,221 53
$505,053 30
DEBITS.

Balance (overdrawn) July 1, 1917
Account of repairs, roofs and gutters
Account of addition, dining room, women
Account of fire pump
Account of farm
Account of laundry machinery
Account of laundry fire repairs
Account of current expenses
Balance on hand to new account

-. .

$2,962
396
3,888
2,500
14,461
5,000
5,230
466,590
1,023

20
82
29
00
50
00
02
62
85

'$305,053 30

We have carefully examined the accounts of A. ,J. Maynard, Treasurer
of Traverse City State Hospital, for the biennial period ending June 30,
1918, and have compared the same with the books and vouchers and
verified the same by further comparison with the books of the Steward,
and hereby certify to the entire correctness of them.
H. C. DAVIS,
S. E. NEIDHAKDT,
C. E. MILLEK,
Auditing Committee.

TRAVERSE CITY STATE HOSPITAL.

39

STEWARD'S REPORT.
For the biennial period ending June 80, 1918.
ANALYSIS OF RECEIPTS AND DISBURSEMENTS.

RECEIPTS.

Maintenance, etc., of State patients
Maintenance, etc., of private patients
Treatment, etc., general hospital patients
Farm:
Prize money for A. R. O. records, Holstein
cows
Refund of amount paid on purchase option
on land
Freight on feed refunded
Sale of:
Bulls
Colt
Hides
Wood
Feed sacks
Hay
'
Buckwheat
Vegetables
Steel fence post
Arsenate of lead
Hog serum

$784,64;! 26
23,110 37
25,839 70
$233 50
100 00
48 47
5,312 75
50 00
883 08
189 00
213 70
225 80
0 50
16-27
232
16 00
25 00

Sundry accounts

7,325 39
12,321 38

Special appropriations:
Fire protection, farm barns
Addition, dining room for women
Fire pump
Laundry machinery
Farm
Laundry fire repairs (insurance)

151
4,232
2,500
5,000
14,461
12,361

73
00
00
00
50
30

$891,955 63

DISBURSEMENTS.

1.

Officers'

salaries

2.

Food:
Wages
Meat and
Butter
Flour
Coffee
Tea
Sugar
Other provisions
Fuel for cooking

$28,352 10
fish

$23,793
55,227
44,034
42,097
5,628
2,382
18,105
66,471
4,994

76
52
91
00
94
75
48
68
84

3.

Clothing:
Wages
Clothing and material

$4,477 17
47,396 01

4.

Laundry:
Wages
Gas
Soap and soap-making material
Electric irons
Baskets
Machine
fittings
Duck and felt
Washing soda
Starch
Blue

$9,421
138
4,236
51
133
47
300
1,903
136
28

80
76
33
61
68
19
04
47
03
62

262.736 88

51,873 18

16,397 53

STATE OF MICHIGAN.

40
5.

Heat'mq and Light:
Wages
Coal and
Kerosene
Electric supplies

freight

6.

Floral, greenhouse and (/rounds:
Wages
Survey and map of grounds
Implements
Seed
Trees and plants
Hose
Fencing

7.

Medical department:
Wages
Drugs
Medical supplies, etc
Medical books

8.

Office, stationery, etc.:
Wages
Postage
Telephone and telegraph
Blanks and forms
Stationery
Typewriters
Filing eases

9.

Amusement and instruction:
Wages, librarian
Books
Flags
Pins for graduate nurses
Tickets to circus and fair for patients
Moving picture
films
Games, etc
Tuning pianos
Music for patients' parties.,

10.

Furniture and household sup-plies:
Wages
Soap
Polish, etc
B^loor oil
Brooms, brushes, etc
Furniture
Bedsteads
Bedding
Carpets, rugs, etc
Dry goods
Stoves
Hardware
Utensils
Baskets and tubs
Crockery
Wrapping paper
Toilet paper
Matches
-.

11.

Carriages, barn and vehicles:
Wages
Auto trucks
Automobile supplies and repairs
Gasoline
Lubricating oil
Registration of trucks
Dray
•

12.

Improvements and repairs:
Wages
Electric supplies
Hardware
Lime and cement
Glass
Roofing
Rope
Implements
Paints and oils
Brick

,

$9,964
112,819
16
632

64
08
10
95

$7,753
761
342
214
172
172
578

26
05
69
19
42
68
85

$135,749
3,459
3,022
18

41
25
03
00

$7,588
830
1,314
261
1,158
126
123

16
70
64
43
41
90
42

$405
159
102
31
125
47
254
10
86
— -

00
55
33
72
62
73
66
50
00

$3,897
2,812
238
120
2,289
743
1,450
17,056
655
4,749
259
449
3,005
72
2,229
232
1,229
66

53
26
89
88
35
80
60
67
23
18
58
39
09
98
62
97
45
82

$2,286
1,879
687
1,021
59
24
50

80
20
56
31
48
00
00

$31,007
1,023
1,400
1,658
445
422
154
374
2,897
192

14
99
43
62
96
81
91
68
94
10

$123.432 77

9,995 14

142,248 69

11,403 66

1,223 11

41,560 29

6,008 35

TRAVERSE CITY STATE HOSPITAL.
12. Improvements and repairs—Continued:
Asphalt and shingles
Tin
Wire porch panels
Lumber
Sash and doors
Iron pipe and fittings
Iron and castings
Boiler repairs
Steel rails, etc
Water closets
Sewer pipe
Radiators
Machine repairs
Belting
Pump . and motor
Stoker repairs
Driving well
"
Refrigerators
Gas
13.

14.

15.

Machinery:
Lubricating oil
Vegetable paring machines
Packing
Soda ash
Fire hose
Stoker parts
Machine fittings, etc
Boiler insurance

.

>
.-.

Farm, garden and stock:
Wages:
Teamsters, etc
Barnmen
Registry and testing stock
Advertisinfl stock
Hay
Straw
Feed
Calf meal
Oil meal
Corn
Oats
Spraying material and paris green
".....
Limestone
Land plaster
Fertilizer
Implements
Milking machine
Boiler
Binder twine
Dairymen's coats
Blacksmithing
Shavings and sawdust
Horses
Harness
Veterinary
Bull purchased
Hogs purchased
Disinfectant
Hog serum
Rent of land
i
Seed and trees
Express and freight on stock sold
Freight on cow to Marquette and return
Traveling expenses inspecting and purchasing stock...
Miscellaneous:
Wages
Traveling expenses :
Medical Superintendent
Steward
Pathologist
Engineer
Assistant Physician
Alcohol bond
Tobacco
Fire insurance premium
Accident insurance premium
Firemen's coats
Services of Traverse City Fire Department
Redemption of taxes on side track lots
Recording deeds of side track lots

41
$156
33
42
1,307
79
4r,4Sl
1,380
303
179
336
151
299
127
286
807
254
175
787
6

80
74
50
94
19
68
31
36
24
07
47
58
68
69
00
61
00
00
87
—

$411 12
625 00
136 43
483 35
180 00
144 84
7730
171 00

$14,449 39
7,013.54
1,821 75
808 98
13,138 26
4,130 81
19,194 64
391 56
915 46
1,642 18
4,034 93
785 14
360 01
123 20
1,554 56
1,283 15
243 40
62 45
72 00
37 73
110 81
197 65
3,403 19
406 64
478 40
200 00
40 02
80 21
165 62
787 39
1,500 94
93 16
55 60
82 54
$3,638 23
114
188
12
4
14
10
5,279
11,125
745
55
25
203
3

50
70
36
00
00
00
48
33
77
50
00
19
75

$50,835 31

2,229 04

79,665 31

42

STATE OF MICHIGAN.

15.

Rtiscellvncovs—Continued:
Half-tones for report
Attorney's fees for collection of delinquent accounts...
Settlement of damage to fruit trees by patient
Patients' expenses home, elopements, etc
Refunded money
Purchases for patients
:

16.

General Hospital:
Wages
Drugs
X-ray supplies, etc
Gas
Refunded money
Furniture
Electric fans
Sterilizer
Electric current
Architect's plans
Telephones

17.

Special appropriations:
Side track
Repairs, roofs and gutters
Fire protection, farm barns
Farm
Addition, dining room for women
Fire pump
Laundry machinery
Dining room for men
Carpenter shop
Industrial building
Laundry fire repairs
Total

$22
50
75
1,054
775
11

45
00
00
88
66
84

$4,789
101
1,252
242
566
27
133
90
64
166
66

28
74
96
39
65
80
82
50
26
00
90

$703
412
4,265
14,461
3,889
2,500
5,000
11
3,201
240
8.230
.

30
66
04
50
29
00
00
70
83
00
02

$23,409 64

7,502 30

42,914 34
$901,787 64

SUMMARY OF INVENTORY OF THE TRAVERSE CITY STATE HOSPITAL TAKEN AT
THE CLOSE OF THE FISCAL YEAR ENDING JUNE 30, 1918.
Buildings
$916,850 00
Land
70,680 00
Side track and right of way
28,000 00
Stock on farm
48,819 50
Dispensary
:
2,654 40
Pathological laboratory
3,813 50
Library and chapel
835 13
Office fixtures, etc
2,456 43
Administration buildings 2, 3 and 4
4,382 22
Wards, furniture and
fixtures
36,875 40
Cottage 21, furniture and
fixtures
2,849 05
Cottage 23, furniture and
fixtures
2,990 15
Cottage 24, furniture and
fixtures
1,973 63
Cottage 25, furniture and
fixtures
1,737 29
Cottage 26, furniture and
fixtures
2,054 05
Cottage 27, furniture and
fixtures
3,010 10
Cottage 28, furniture and
fixtures
1,280 60
Cottage 29, furniture and
fixtures
3,397 59
Cottage 30, furniture and
fixtures
2,789 53
Cottage 31, furniture and
fixtures
1,679 41
Cottage 32, furniture and
fixtures
,
1,644 06
Cottage 34, furniture and
fixtures
2,506 67
Cottage 36, furniture and
fixtures
,
2,744 36
Cottage 38, furniture and
fixtures
733 79
General hospital
1,741 81
Sewing room
1,262 16
Industrial building
1,392 07
Kitchens and bakery
5,056 48
Dining room, men
3,918 40
Laundry
10,104 36
Engine room . . . . '.
39,250 72
Store
fixtures
743 13
Farm and barns
5,176 02
Groceries
24,798 20
Meats
4,178 40
Clothing
20,359 11
Boots and shoes
4,878 05
Notions
5,372 06
Dry goods
10,713 51
Crockery
1,027 32
Silver and plated ware
106 01
Hardware
1,654 78
$1,288,498 45

TRAVERSE CITY STATE HOSPITAL.

43

REPORT OF THE MEDICAL SUPERINTENDENT.
To the Board of Trustees:
Gentlemen: The following statistical tables of the hospital during the
biennial period ending June 30, 1918, have been prepared under more or
less difficulty. The American Medico-Psychological Association, which
represents the most scientific work along the lines of mental diseases, has
recognized that the statistics from the various hospitals throughout the
United States have been so various and varied that it has been difficult
to secure anything like uniformity. A committee appointed by this
organization eventually adopted a uniform classification and recommended its use in all the hospitals of this country. This classification
of mental diseases, together with the accompanying tables, was adopted
after the close of our biennial period, and it necessitated going back over
the two years' work, reclassifying and completely remodeling our former
statistical tables. In the future we anticipate that the change will be of
great benefit, not only to the American Medico-Psychological Association,
but to each individual hospital caring for nervous and mental cases.
The forms for these tables have been furnished for use and publication
by the Bureau of Uniform Statistics, The National Committee for Mental
Hygiene. All information requested on these tables cannot be furnished
at the end of this biennial period. In future years, with our books modified to meet the demands, it may be possible to provide uniform information.
TABLE I.—GENERAL INFORMATION.—Data correct at end of institution year,
June 30, 1911.
Date of opening as an institution for the insane, November 30, 1885.
Type of institution: State, county, endowed private, or unendowed private? State.
Hospital plant—
Value of hospital property—
Real estate including buildings
$1,003,040.00
Personal property
157,488 51
Total.
31,160,528 51
Total acreage of hospital property (includes grounds, farm and garden and sites occupied
by buildings)
Acreage under cultivation during previous year
Men.

Medical service—

883
560

Women. Total.
1

1

4

1

5

5

1

6

Clinical assistants
Total physicians

...

....

STATE OF MICHIGAN.

44

TABLE I—GENERAL INFORMATION—Concluded.
Men.
Employes on pay roll (not including physicians)—
Graduate nurses
Other nurses and attendants.
All other employes

Women.
12
83
20

18
147
105

155

115

270

50 %
916

35 %
816

1,732

64
85

Total employes
Patients employed in industrial classes or in genera.1 hospital work
on date of report
Patients in institution on date of report (excluding paroles)

Total.

TABLE II.—Financial statement for the fiscal year ending June 30, 1917.
RECEIPTS.

For maintenance of patients—
Balance on hand from previous fiscal year
From appropriations—public patients
From paying patients—private patients
From all other sources

Total receipts for maintenance
For all purposes other than maintenance including new buildings,
additions, improvements, etc.—
Balance on hand from previous fiscal year
From all other sources

$ 6,813
349,366
9,632
34,751

38
29
89
42
$400,563 98

$

4,042.48
151 73 $

Total receipts

4,194 21

$404,758 19
DISBURSEMENTS.

Expenditures for maintenance of patients—
Salaries and wages
Provisions
Farm and garden
Clothing
Furniture and furnishings
Fuel and light
Ordinary repairs and shops
Medical supplies
Transportation of patients
Miscellaneous, including general supplies, lawns, roads, grounds,
etc
Total expenditures for maintenance
.'
Expenditures for all purposes other than maintenance including
new buildings, additions, improvements, etc

$145 ,300 37
115,008 04
32,174 54
23,28B 75
11,370 18
37,113 31
10,280.16
2,997.32
593 74
21,158 27

$399,282 68
8,437 71

Total expenditures
Amount returned to state treasurer or other officials less overdraft
Total disbursements, less overdraft

$407,720 39
2,962 20
$404,758 19

TABLE III.—Movement of INSANE patient population for year beginning June
SO, 1916, and ending June 30, 1917.
Includes all patients admitted as insame who are on books of institution regardless of the
method of admission, whether voluntary, committed, emergency, temporary care, for obaservation or otherwise; but does not include those who are only dispensary or out-patient cases.
Males. Females.
Insane patients on books of institution at beginning of institution
rear
Admissions during year—
a. First admissions
b. Eeadmissions
Total admissions
c.

Transfers from other institutions for the insane..

Total received during year
Total under treatment durig year.

Total.

916

777

1,693

177
43

102
31

279
74

220

133

5
42
2
9

37

42
42
7

278
1,194

179
956

457
2,150

13

45

TRAVERSE CITY STATE HOSPITAL.
TABLE III.—Concluded.—Movement of insane patient population.
Males. Females.
Discharged from books during year—

e. Transferred to other institutions for the insame

Insane patients remaining on books of institution at end of insti-

Totals.

21
41
14
66

16
33

37

18
118

1
68

19
186

278

140

418

916

816

1 732

74
29
73

15
7

TABLE IV.—Nativity of first admissions and of parents of first admissions for the
year ending June SO, 1917.

156
1
1

'

2

Belgium
1

26

China
Cuba
Denmark . .
England
*Europe
Finland
France
Germany
Greece
Hawaii
Holland

....

.

...

India
Ireland
Italy
Japan
Philippine Islands
Poland
Porfco Rico

238
1
1

101

' '2'

4

3

3
9

4
35

22

82

1
6

1
6

1

*Not otherwise specified.

52

61

113

2

4
2
6
26

28

50

2
9

4
23
4
6
34

' '4'
1
1
9

1

5
1

2

6
2

1

7
1
7
2

3

3

6

8

9

1

2

3

4

6

7

"d
o

' 3
13

1
1

6

1
5
2
1
15

1

1

2

17

3

5

8

5

9

2

2

4

7

14

3

3

6

2
3
14
1
10
2

21

2

1

4

1
2

i

1
3

2
3

1
6

3
9

5

1

6

7

4
1

11
1

10
1

9
1

19
2

5

5

10

1

1

2

....

EH

2
2
3
13

1

Wales
tWest Indies
Total

~5
g

i

99 200
1
1
1
2
3
6
1
1
1
2

i

2
14
2
3
20
1
11
2

6

Scotland
South America
Spain

~3
§

0
EH

Females.

Africa
*Asia

w
V

"S

Totals.

Males.

Females.

Nativity.

Females.

Parents of male Parents of female
patients.
patients.

Patients.

230

111

•

2

12

14

26

5

6

11

341

230

230

460

111

111

222

flncludes Newfoundland.

(Except Cuba and Porto Kico.

46

STATE OP MICHIGAN.
TABLE V.—Citizenship of first admissions for the year ending June 30, 1917.
Males.

Citizens b y birth
. . . .
Citizens by naturalization
Aliens
.

...
....

Total

Females.

Total.

117

71

188

26

22

48

3
33

1
6

4
39

179

100

279

TABLE VI.—Psychoses of first admissions for the year ending Juno 30, 1917.
Psychoses
Senile psychoses, total
(d) Depressed and agitated states in addition to deteriorate) Paranoid states in addition to deterioration
Psychoses with cerebral arteriosclerosis
-.

Alcoholic psychoses, total

Males.

Females.

26
18
1
1
6
26
29
2

Total.

13
6
2
1
1
3
8
5
1

39
24
2
2
2
9
34
34
3

1

1

1

1
11

11
2
. _ .

2

3
1
1
4

1
1

4
(a) Opium (and derivatives), cocaine, bromides, chloral,

4

6

24
8
11

28
13
11

5

4

9

14
3
8
1
2

2
35
5
8
20
2

1

(h)

2

1
1
1
1
1
1
52
21
22

1

1
1

2
21
2
19

i
1

TRAVERSE CITY STATE HOSPITAL.

47

TABLE VI.—Concluded.—Psychoses of first admissions.
Psychoses. .
Paranoia and paranoic conditions . .
(a) Deterioration . .
( c ) Other conditions
....
....
( a ) Hysterical type . .
. . .
....
(c) Neurasthenic type
Psychoses with constitutional psychopathic inferiority
Undiagnosed psychoses
(a) Epilepsy without psychosis
(c) Drug addiction without psychosis
(d) Constitutional psychopathic inferiority without
chosis
(e) Mental deficiency without psychosis . .
(f) Others

Males.
....
...
....
....
....
....
....
psy-

Females.

14

6

4
2
2

4

5

5

4
2

4
1

20
8
2
3
10
2

1
53

3
10
2
9

7
1
5
16
3
62

42
2

5

42
7

2
2

3
8
2

2
6

3
6

3

Total.

TABLE VII.—Race of first admissions clasiified with reference to principal psychoses, for the year ending June 30, 1917.
Traumatic.

Total.

With
cerebral
arteriosclerosis.

Senile.

General
paralysis.

With
cerebral
syphilis.

J!
1 fe I

t

With
Huntington's
chorea.

Race

1i

3

3
1

12
112

Greek
Hebrew
Irish

jj
fS

3
£

jj

I
1

J

& 1

3
iS S

a

1I

I

i& I

8
1

A
&
s, I 1

9

1

13

S

£ I

1i

i
i

8

1
3

1

1
4

17
4

7
2

24
6

3
11

2

2

7 25 16

3 19

13

54 166
1 1
11
35
•>
1
19

8
24
2
1
11

i

With
Due to
With
other brain
drugs and
brain
or nervous Alcoholic. other exotumor . diseases.
genous
toxins.

16

4 20 18
2

•>:

2

5

3

"3

3
2

i

1

7

1

1
i i

3
3
1

1

i

2

9,

1
2
1

1
2
1

^

2

Italian*

Scotch

1

1 1 2

1
1

i

2
1

i

i

1

S

fe

i
f

10

8

18

1

15
q

13
1

28
10

3
2

3

1

1

6

3

3

'

Turkish
Welsh
"West Indian §
Mixed

Total

'10 111 341

9

',

96 13 31 'B

s

2
1

9
1

14 ")

5 34

1

1

1

1

'

*Includes "North" and "South."
tNorwegians, Danes and Swedes.
tincludes Bohemian, Bosnian, Croatian, Dalmatian, Herzegovinian, Montenegrin, Moravian, Polish, Russian, Ruthenian, Servian, Slovak, Slovenian.

§Except Cuban.

1
1

1
1

2

i

§

i»
CO

H
O

ffl

O

S3

TABLE VII.—Continued.—Race of first admissions classified with reference to principal psychoses.
1Vith
pe lagr a

With
other
somatic
diseases.

With conParanoia
With
Unand
Epileptic Psychoneu- stitutional
mental
diagnosed
paranoic psychoses. roses and psychoneuroses.
pathic
deficiency.
psychoses.
conditions.
inferiority.

Involution Dementia
Manicdepressive. r melanpraecox.
cholia.

Not
insane.

Race.
1
S f£

3
$

j
I

3
j£ S

8
1

S

£

1

1

i

& I

1
a tS
1

H

1

I

1

i

1
£

J
1

1

s

S 1

S

eS 1 1 (S £

"rt

S
[=i I

J

1

1£

H

1£ I

i

1

American Indian

3
£

Bulgarian
Cuban

2
East Indian
English
Finnish

i

1

2 12

1
n

2

2

1

1

8

7 15

4

3

f
1 5

3

1 4

1

1

2
5

2

1 4
2

5

1

2
Greek
Hebrew
Irish

3
23

3

4
1

1

1

7

i

3

4

4

3

7

1
1

1 1

1

2

3

1 .23

— 7
4 27

2
5

'i a

1 1

2

2

1 1

7

5 8

1 1 1 "2

i

"i i

2

Italian*

Scandanavianf
Scotch

ii

1
1

i

1

1

1 1

3
1

2

5
1

2

1 3

1

1 1 2
1

1

i

1

1

1

"i

7
1

o

2

I

1

9

3

1

9,

3

3

3

1

1

1

1

1

1

1

1

1

1 •>

?

4

3
2

1

4
?

Turkish
Welsh
West Indian?

1

Mixed

1
2

Total . .

...

4

f,

3

6 •>4 ffl

9

^»

2

9

n

14

11

14

6

?o

4

4

S

5

5 10

9

9

2

9

1
1

3

3

5

ft

m

16

*Includes "North" and "South."
fNorwegians, Daaea and Swedes.
^Includes Bohemian, Bosnian, Croatian, Dalmatian, Herzegovinian, Montenegrin, Moravian, Polish, Russian, Ruthenian, Servian, Slovak, Slovenian, '

1
1

9

3 53

^Except Cuban.

q «'

fel

O
M
H

H
OB

w

o
02

52

STATE OF MICHIGAN.
TABLE VIII.—Age of first admissions classified with reference
Under
15 years.

Total.

15—19
years.

20—24
years.

30—34
years.

25—29
years.

Senile
26
With cerebral arteriosclerosis . . . 26
29
With cerebral syphilis
2

I

13
8
5

39
34
34
3

1

1
11

1 "03

-5
"o
H

M
s

j!
fa

JS
"rt

I

Females.

1

13

Females.

m
03

Females.

Psychoses.

1

s J
3

1
1

1

4
1

With Huntington's chorea
With other brain or nervous
11

1

1

1

Due to drugs and other exoWith pellagra
With other somatic diseases

4
24
2
21

2
28
14

6
52
2
35

Paranoia or paranoic conditions 14
Epileptic psychoses
4
Psychoneuroses and neuroses. . 5
With constitutional psycho2
pathic inferiority
With mental deficiency
6

6
4
5

20
8
10

2

3
10

5
16

2

1
53

2
9

Undiagnosed psychoses

Total

1

2

3 ....
62

230 111 341

1

2

1

1

. . . . "4'

2

10

2

3

1

3

1

4

2
5

3

2
8

i

7

2

9

6

6

12

2

2

1
1

1
1

2

2
....

3

1
1

i

2

1
1

1
1

"4'

"a

12

12

7

1

6

6

"3'

i

'"4

1
2

1
2
7

2

6

1

7

5

2

19

22

16

38

15

10

25

53

TRAVERSE CITY STATE HOSPITAL.

"f

45—49
years.

i
fe

1 1

....
"«'

6
1

1

1

"§' "9 '12'
"2" 4 "e"
i 4
3
1

2
1

3
1

1
1

1

2
1

1
8 "2

1

27

21

2

1
3

•3

3
£

1

tS

1

"<>'

1
5
1

2

1
....
3 "3'
1
5
1

1

1

1

'"i

48

21

jg

7
1

5

1

3

3

1
5

1 "§'

1

4

2
1

4
1

1
1

2

7

1

1
1 1

1

2

4

2
2

1
2

2

1

9

3
1

2
1

1

3
1

60—64
years.

S

"i
2

4
7
2

2

1

1

1

i

2

i

3

2

i

3

1

70 years and
over.

69—65
years.

js

J

I

2

1

1 £

I

4

10

4
9
2

6
3

1

1

1
1

«

A

_QJ
«

"o3

1 1 ta

3
2
1

3

&-

16
12

I

g
3

24
15

2

2

1

1

1

3

3

1

1

10

55—59
years.

"•>'

2
2

1

50—54
years.

Females.

s1

40—44
years.

Females.

35—39
years.

Females.

to principal psychoses, for the year ending June 80, 1917.

1
7

4

1

5

7

1

8

3-

i

4

30

20

7

27

20

8

28

21

7

28

1
1

....

1

4

1
1

1
5

1

20

5

25

11

5

1

1

16

29

1

14

43

STATE OP MICHIGAN.

54

TABLE IX.—Degree of education of first admissions, classified with reference
principal psychoses, for the year ending June SO, 1917.
Illiterate. Reads and
writes.

Total.

High
school.

Common
school.

With other brain or nervous diseases . . .
Due to drugs and other exogenous toxins
With pellagra

Dementia praecox
Paranoia or paranoic conditions
Paychoneuroses and neuroses
With constitutional psychopathic inferiority
Undiagnosed psychoses

Total

£

1 1 fo

26 13 39 3
26 8 34
29 5 34 "2
2 1 3

ii

1

1

4
2

i
11 "2

4 2 6
24 28 52
i
2
21 14 35

•3 "rt
1 £I

1 2 3
53 9 62

3

1
1 "i

'e

1

"3

230 111 341 13

i 'i

3
5

1J
"ca
&* $

i
i

4
6

2 2
1
8 'ie 15 31
i
1 4 11 10 21

4

"4

8

5

2

7

i

1
.1
1

4 '5

3 13

'is

11
I
i

4

5 16
2 5
4 g
2
5

i

i i

i "i

i

i

"2

rS
_f

6

1 1
2 3 "5
3

i "i

'

-3
£ £

4 "7 'is "7 25
1 4 18 5 23
2 2 19 2 21
9
i

2

14 6 20
4 4 8
5 5 10
2 3 5
6 10 16

"3

I

1

Females.

03

Senile
With cerebral arteriosclerosis
General paralysis
With cerebral syphilis

8

3

m

"ca

i

1 1 2
1 1
1 1

i
i
i

"i "2

3 16 29 18 47 143 70 213 27 11 3g

jj
^ •a8
£ s fe
2
2

7

"3

i
i
"i

^
3
1
3
1

i

i

i

i

i i i

i

i '3 i

i

11

4 15

"1

"2 "2

3
9

1 2 3
27 g 35 "7

Unascertained

College

Psychoses.

to

1

"i i
1 i "2

i
i

5 12

TRAVERSE CITY STATE HOSPITAL.
TABLE X.—Environment of first admissions, classified with reference to principal
psychoses, for the year ending June SO, 1911.
Total.

Urban.

Unascertained.

Rural.

Psychoses.
J
"3

Senile

26
26
29
2

General paralysis

J
&

1 1

13
g
5
1

39
34
34
3

11
10
11
1

£
7
3
3

t£

18 ' 9
13 16
14 17
1
1

'5' ii'

....
With other brain or nervous diseases
Alcoholic

'li
4
24
2
21
14
4
5
2
6
1
53

With constitutional psychopathic inferiority

1

2

28
14
6
4
5
3
10
2
9

11 "5"

"ji' "i'

5
2

1

88

48 136 113

H

21
19
1

|
fe H
. . . . '_' 7

6

....

1

1

....
4

2
6
2
52 10 16 '26 14 12
2
1 "3' 1
35
6
9 i2 "8
2
20
3
5 10
3
8
3
2
5 ...
1
4
2
10
3
7
2
5
1
1
1
16 "T 2
3
2
5
1
3
2
3
62 22
5
3 25 24

230 111 341

Total

1

I

"2"

'"2

4
2
26 . . . .
20
3
13
2
1
1
3 ....
3
7
3

2

i

3

Y

6
2
2

"3

6

i

29

7

i

8

53 166

29

10

39

TABLE XI.—Economic condition of first admissions, classified with reference to
principal psychoses, for the year ending June 30, 1917.
Dependent.

fotal.

Marginal.

Comfortable.

j§

£

Unascertained.

Psychoses.

|

|

H

s

'20' is'
8
5
1

39
34
34
3

16
15
7

1

1
11

i

s
Senile
With cerebral arteriosclerosis
General paralysis

26
29
2

£

&

"9

3
3
1

H

&

"8'
'25'
18 10
10 21
1
1

"i

4
1

1

$

S £

S

"3
i
i

"J'
2
2
1

i

1
1

"9
14
22
1

2
1
1
1

9

'Y

|
&

£

With Huntington's chorea

it
With pellagra

9

....

4
24
Manic-depressive
2
Involution melant-holia
21
Dementia praecox
14
Paranoia or paranoic conditions
4
Epileptic psychoses
Psychoneuroses and neuroses
5
With constitutional psychopathic inferiority . . . 2
6
With mental deficiency
Undhgnosed psychoses
1
53
Total

1

2
28

ii

6
4
5
3
10
2
9

6
"5' 3
2 "3
18
52
2
2
"8 16
35 "3
2 12
1
20
8
2
6
4
4
10
"3 '3
2
5
4
9 13
2
16
1
1
1
3
62 '22' 4 26 30

230 111 341

yi

75

44 119 139

2
20
'9
4
1
4

i
i

4

5
38
2
25
16
1
8
2
3
2
34

52 191

"3 5
Y
i i
i
i i
i
13

....
15

1
8
.... ....
2
1
2

....
1

"i

2
28

3

3

56

STATE OP MICHIGAN.

TABLE XII.—Use of alcohol by first admissions, classified with reference to
principal psychoses, for the year ending June 30, 1S1.1.
Total.

Abstinent.

Temperate.

Intemperate.

Unascertain ed.

Psychoses.

Senile
General paralysis
With cerebral syphilis

jj

t
J -a
1

1

H

26
26
29

13
8
5

39
34
34

2

1

3

1

1
11

11

|

3
4
6
4

p£

I

11
8
1

15
14
5

1

&

1

2
20

2
25

1
6
2
4

14

11

20

14
4
5
Psychoneuroses and neuroses
With constitutional psychopathic inferiority . . . 2
6

6
4
5
3
10

1
20
8 ....
10
5
16

4
3
3
1
9

5
3
4
1
9

1
53

2
9

3
62 "i'

1
6

1
10

2

i

81 115

38

15

34

5
1

J

4
2
14

12
13
9

i
1

7
....

1
2
2

1

1

"3' '45'
53

84

3
"o
B
12
13
9

1

2

"i'

' "3
12

11

3

7

7

fe

1

1
13 "2'
2
1 5
1

6
52 "5
2
9
35

230 111 341

i

11

2
28

Total

&K

1

4
24
2
21

Paranoia or paranoic conditions

H

6 "z "S " 4
5 "3" 5 2
6 13
3
1

1

•a g|
1
"o

"2' 11

i
....
3

1

7

2

9

1
2
2

2
1
1
2

2

5
2
2
2
4

7
3
3
4
4

'46'

1
2

1
1

2
3

87

74

12

86

TRAVERSE CITY STATE HOSPITAL.

57

TABLE XIII.—Marital condition of first admissions, classified with reference
principal psychoses, for the year ending June SO, 1917.
Total.

Single.

Married.

Widowed.

J

S

to

Unascertained.

Separated. Divorced.

~csi
Senile
With cerebral arteriosclerosis
General paralysis

With brain tumor
With other brain or nervous diseases. . .

ji

Is 8
"s3
fe 1

26 13 39
26 8 34
29 5 34
2 1 3

ii

1 1
11

Due to drugs and other exogenous toxins

Females.

Psychoses.

ssS

£
"S

3 2 5 14
1 1 2 21
4
4 20

"i

£

2

1 2

"3

s

H

3 17
3 24
4 24

1
3

J
o "3

6

i

6

3
o

"ea

~o
& E-<

S & H

8 8 16
4 4 8
3 - 1 4

'i

1

'i

i

J
&

"S

J
"ea

1 1 £I

1

1

"i i

i

Paranoia or paranoic conditions
Psychoneuroses and neuroses
With constitutional psychopathic in-

4 2 6
3 1 5
24 28 52 'io "2 i2 11 21 32 3
1
2
2
1
21 'ii 35 i9 "s 27 2 "5 7
14
4
5

6 20
4 8
5 10

2 3 5
6 10 16

Not insane
Total . . .

5
2
3

3

5 8
2 -2
6 2

1 1 2
5 8 13

1 2 3
59 9 62 "l4 ' 2

1
33

1
1

1

6

1
1

5 13
3 5
1 3
1
1

3

1
1

2 3
4 37 '2

1

1

1

2
1

EH

i

With pellagra
Manic-depressive
Involution melancholia
Dementia praecox

3
o

i
i 1
i •1
i
i i
1
i 1

i

"i

i. "i

2

i

1 2

i

2

3

2

2

230 111 341 70 28 98 126 56 182 23 18 41

3

4

5

5 10

3

3

'ie

7

58

STATE OF MICHIGAN.
TABLE XIV.—Psychoses of readmissions for the year ending June 30, 1917.
Males.

Traumatic psychoses

,

(a) Simple deterioration

Females.

Total.

3
2

3

1

1

2

(d) Depressed and agitated states in addition to deteri3
2

General paralysis

2

3
4

Tabes
3

3

(d) Acute paranoid type

1

1

(f) Chronic hallucinosis

1
1

1
1

Alcoholic psychoses, total
(a) Pathological intoxication .

(a) Opium (and derivatives), cocaine, bromides, chloral,

(d) Other exogenous toxins

..

Manic-depressive psychoses, total

9

(d) Mixed type
(e) Circular type
Involution melancholia .

2

(a)
(b)
(c)
(d)

Paranoid type
Katatonic type
Hebephrenic type
Simple type

.

.

....

15
6
1
8

18
8

27

2
1

4
1

6
1

21

3
1
1
1

4

15

7

7

3
1

9
1
1
3
1

2

2

1

2

(d) Anxiety neuroses
1

(b) Alcoholism without psychosis
(d) Constitutional psychopathic inferiority without psychosis
(f) Others

7

7

4

4

1

1
2

2

TRAVERSE CITY STATE HOSPITAL.

59

TABLE XV.—Discharges of patients, classified with reference to principal psychoses
and condition on discharge, for the year ending June 30, 191T.
Recovered.

Total.
Psychoses.

1
s
Traumatic
Senile
With cerevral arteriosclerosis
With cerebral syphilis

4
3
1
1

Unimproved.

i

J,

J

jg

&

I

i

5
6
3
2

3
2
1

Improved.

1

J

—

i£

i

J

1

1

1

3
2

3
1 1 &

1
2

'3'
3
2
1

1

1
6

' 1

i
i

Not insane.
|
| •a

H

S

(^

"o
f

67

7

'74

67

7

74

1

"2
2
1
1 1

2

With Huntmgton'a chorea

1

With other brain or nervous diseases
12

1
1'

4

15

4

6

14

29

6

2

2

"'S

Due to drugs and other exogenous toxins
With pellagra
22

30

52

15

11

26'

Paranoia or paranoic conditions
5
Kpileptic psychoses
17
Psychoneuroses and neuroses
8
With constitutional psychopathic inferiority . . . 2

5
3
6

2 "2

Total

160

i

3

4
4
2
2
6
6
1
2 "2

7

4

5

7

6

is

8
4
12
1
4

1
15
1
1

1
1

2
16
1

1

74

72 232

....

"2

ii

1

1

67

10
20 . . . .
14
2
4

i2 is'

"2

21

16

37

41

33

74

31

1

16

47

STATE OF MICHIGAN.

60

TABLE XVI.—Causes of death of Patients, classified with re
Total.

With
cerebral
arteriosc erosis.

Senile.

General
paralysis.

Alcoholic.

Manicdepressive.

J

1

General diseasesMalaria
Smallpox

i

3
S

™
1.

Females.

1

Females.

Causes of death.

Jj

I

8
1

(S

i&

J8
1
S £

•a 1 3 •aS
1 iS (5 s f£ I

1

Scarlet fever
Diphtheria
Dysentery
Pellagra
Acute articular rheumatism
Other forms of tuberculosis
Spyphilis (non-nervous forms)
Diabetes
Other general diseases

2
3
2

2

i

4
3
3

13

6
1

19
1

9

2

1

1

Nervous system—
Cerebro-spinal meningitis
Diseases of spinal cord
Apoplexy (cerebral hemorrhage). . . . "§ 'is" '2!'
General paralysis of insane
26
6 32
Cerebro-spinal syphilis
1
1 2
Exhaustion from other mental diseases
9 11 20
Brain tumor
Other diseases of brain
Epilepsy
5 11
6
Chorea
Other diseases of nervous system . . .
1 1
Circulatory system—
Acute myocarditis
Chronic pericarditis
Acute endocarditis
Chronic endocarditis
Total

1
1

2

5

5

1

1
1

i

1

5

19

12

1
4

1

55

8

2

2 "2
84

2

7

2

....

'e'

7

1
11

139 14

i

1
2

2

i

L

i

'i'
2
1

2
1

2

2

8

8

1

1

15

16

2

•i' ' 4

1
4

•y

1
-1

2

14

26

29

6

5

32

35

1

«0

(£•

to

*-*-:::

• •

Males.

Females.

Males.

Total.

Females.

- : : : : : : : : : : : : : : : : : :

to- • •

Total.

Females.

Males.

Totals*

Females.

Males.

Total.

to

• • • • to

cc •

**

.,_,..

Females.
Total.

Females.

-

•

i--

Males.

Total.

~

•

: : : : : : : :

. . . i—i

: : : : : : „ : :

CO

Males.

Crt-

• • i--- •
.

• • ^- • •

• • to.

•

: :

h-i •

• • to-

: :

•

;

CO

*-

*••

ES

: : : : :

-

Females.

:

: : :

tO

Males.
to •

•

•

1—> •

CO

ID

Total.

Females.

Males.

ill

*i ""^

g-3
8- IT
s-sS
o

B _,

62

STATE OP MICHIGAN.
TABLE XVI—Continued.—Causes of deaths of patie
With
cerebral
arteriosclerosis.

Senile.

Total.

General
paralysis.

Alcoholic. depressive.

Circulatory System — Continued.
Arteriosclerosis

18

£
8

i

S

J

s

1

&*i

H

S

26

4

2

6

12

2
2

2
2

10
....

2

*oi

I

6

18

2

2

2

1

1

S

•a
S

a I
1

TO

S
3 "=3
1
fc< £

Females.

J

Females.

8
*e3

Females.

Causes of death.

1

Other diseases of circulatory system.
Respiratory system —

2
2

2
2

Other diseases of the respiratory
Digestive system —
Other diseases of the stomach (cancer excepted)

Other diseases of digestive system
(cancer and tuberculosis excepted)
Genito-urinary system —

7
Other diseases of kidneys and annexa

3

"i"

1

3

2
....

1

1

1

Other diseases of genito-urinary sysDiseases of the skinOther diseases of the skin
Diseases of the bones and locomotor
system (tuberculosis and rheuma-

i

Violence—

Total

1

i

1

1
1

2

1

3

118

68 186

1

1

25

8

33

27

8

35

29 ^(T 35

3

—

3

1

1

2 16

18

TRAVERSE CITY STATE HOSPITAL.

63

Involution
melancholia.

Paranoia
or paranoic
conditions.

Dementia
pracox.

j
1& 11

13

$
1
£

9

~o
H

J
"«

22

*lncludes group 22 "not insane."

j
&

4

3
1

4

Epileptic
psychoses.

J5
1 ta

I

1

1

1

1

2

1

3

13

9

22

Psychoneuroses and
neuroses.

With constitutional
psychopathic
inferiority.

Females.

nts classified with reference to principal psychoses.

s*rt

•3

*C3

£

1 1

£

J
*ca

I 1

1

1

With mental
deficiency.

i

2

•3

"o
H

1

1

1

3

'All other
psychoses.

J
2

4

1
"o

1 H

1

1

6

10

STATE OF MICHIGAN.

64

TABLE XVII.—Age of patients at time of death, classified
Under
15 years.

Total

Under
15—19
years.

20—24
years.

30—34
years.

25—29
years.

Senile
25
With cerebral arterosclerosis . . . 27
General paralysis
29
With cerebral syphilis
1
With Huntington's chorea

1

J
1

^J

& 11

£

"rt
"o
H

J
1

"55
"o
H

a
<U

1

8 33
8 35
6 35
1 2
2
2

Females.

1

•3

Females.

J

Females.

Psychoses.

-/,
1

1

1

2
3

"i
"2
i

7

7

1 —

£

2

•3
"o
H

2

4

3

3

With other brain or nervous

3

S

With pellagra
With other somatic diseases
Dementia prfpcox
Paranoia or paranoic conditions
Epileptic psychoses,

tote-

Due to drugs and other exo"l"
"i
16 18

13

9 22
4
4
9 •22

is

....

1
2
1

1

1

2

1
"2'
2
1

....

2 '"3

With constitutional psycho2
Not insane

Total

1

118

1
1
1

1
3
1
1

68 186

i

1

1

1

4

3

7

3

7

10

TRAVERSE CITY STATE HOSPITAL.
with reference

1

&

9

to principal psychoses, for the year ending June 30, 1917.

40—44
years.

35—39
years.

|
1j
9

6

65

1
1
2

45—49
years.

50—54
years.

i

i

*3
|
H

7
1
2

1

[S

6

1

"(>'

•a

2
2

55—59
years.

S

3

£ 5

"i'

2
3

60—64
years.

|
1

I

3
2

1
2

1

1 S

4
4

1
1

65—69
years.

70 years
and over.

J

£

1

H

2
1

1
5
8

(S
1
1

1 S
6
9

20
13

11
7
5

3

^

1
"3'

1

1

1

2

1
1

3
1

13

1
3

3

1
3

1

1

2

1

4

3

1
3

2

4

3

4

2

i

1

1
1

1
1

1
1

1
1

i

3

1
1

2

3
1

2
1

2
1

1

1

7

9

1

16

3

T

2
1
1

1

7

9

16

13

5

18

9

3

12

9

5

14

2

14

6

27
18

3

1
1

2

1

1

2

38

18

56

2
1
1

1

1

20

1

66

STATE OF MICHIGAN.
TABLE XVIII—Concluded.—Total duration of hospital life of patients
Less than
1 month

Total.

1—3
months.

4—7
months.

1
I

1

8—12
months.

1—2
years.

Psychoses.
g

1

3

tS

Senile
25
With cerebral arteriosclerosis. . . 27
29
1

J

J8
|
1 £

8 33
8 35
6 35
1 2
2
2

5
9
2

S

I

3

5
9
2

4
6
5
1

£

I

1

1

i

5
8
5
1

3
5
8

'i

2

1

•a
£

j§
"rt

as
1
£

4
3 2
5 . 5 3
9 2

I
5
8
2

i

j|
"rt

"ea

4
1
10

2
3
4

£

1
1

I
6
4
14
1
1

With other brain or nervous
<t

1

2

2

Due to drugs and other exWith pellagra
With other somatic diseases... .

Paranoia or paranoic conditions

2
2

2
16

4
18

13

9
4
9

22
4
22

1
1
1

1
3
1
1

'is'

With constitutional psycho2
1

Total

118

68 186

1
1

18

2
9

1

3
10

1

1

1

1

13

31

1

16

3

19

18

i
2

5

1
1

1

1

3

23

10

7

1

1

17

1

18

1

1

1

2
2

1
2
3

1

1

18

36

TRAVERSE CITY STATE HOSPITAL.

67

dying in hospital classified according to principal psychoses.
9—10

1

1

2

1

1

2

1

£

I
1
1

1

*60

[£

1
1

1

I

2
1

fS
1

13—14
years.

years.
«

J
"rt

1

11—12

years.

years.

3 1
1

iS

I

S

1 fe

20 year
andsover.

15—19
years.

I

"efl

Females.

1 2
i
i

7-8

5—6
years.

3—4
years.

8

I

"s

J
£

1

"3'
1

1

1
1

i

1

2

2

2

2

4

1

1

3

1

1
4

1

1

1

5

2

3

12

9

2

7

5

2

7
fc

1

1

1

3

1
2

1

1

9

1

1

5

1

1

4

9

1

1

2

2

3

1

1

1
1

3
1

3

i

1

1

1

4
1

7
1
1

2

2

1

3

1

1

2

2

3

5

8

2

6

14

69

TRAVERSE CITY STATE HOSPITAL.

TABLE I.—GENERAL INFORMATION.—Data correct at end of institution year,
June 30, 1918.
Date of opening as in institution for the insane, November 30, 1885.
Type of institution: State, county, endowed private, or unendowed private? State.
Hospital plant
Value of hospital property—
Real estate including buildings
$1,015,530 00
Personal property
272,968 45
Total
»1,288,498 45
Total acreage of hospital property
Acreage under cultivation during previous year

883
560
Women.

Men.

Medical service—
Assistant physicians
Total physicians

1
3

1

1
4

4

1

5

Women.

Men.

Employes on pay roll—
Other nurses and attendants . . . .

Patients employed in idustrial classes or in general hospital
Patients in institution on date of report (excluding paroles) .

Total.

Total.

19
77
24

26
142
112

160

120

280

50%
988

35%
867

1,855

7
65
88

70

STATE OF MICHIGAN.
TABLE II.—Financial statement for the fiscal year ending June SO, 1918.
RECEIPTS.

For maintenance of patients—
Balance on hand from previous fiscal year
From appropriations—public patients
From paying patients—private patients
From all other sources
Total receipts for maintenance
For all purposes other than maintenance including new buildings,
additions, improvements, etc.—
Overdraft from previous fiscal year
From all other sources

$ 2,741
435,276
13,486
17,735

25
97
48
05
$469,239 75

$ 5,703 45
38,554 80

Total receipts

32,851 35
$502,091 10

DISBURSEMENTS.

Expenditures for maintenance of patients—
Salaries and wages
Provisions
Farm and garden
Clothing
Furniture and furnishings
Fuel and light
Ordinary repairs and shops
Medical supplies
Transportation of patients
Miscellaneous, including general supplies, lawns, roads, grounds,
etc
Total expenditures for maintenance
Expenditures for all purposes other than maintenance including
new buildings additions, improvements, etc

$147,707 31
121,419 52
37,439 92
24,109 26
11,811 55
82,073 68
10,366 91
3,413 55
461 14
27,787 78
$466,590 62
34,476 63

Total expenditures
Amount returned to state treasurer or other officials
Balance on hand at close of year

$501,067 25
None
1,023 85

Total disbursements, including balance on hand

$502,091 10

TRAVERSE CITY STATE HOSPITAL.

71

TABLE III.—Movement of insane patient population for year beginning June
SO, 1917, ana ending June 30, 1918.
Includes all patients admitted as insane who are on the books of institution regardless of the
method of admission, whether voluntary, committed, emergency, temporary care, for observation or otherwise; but does not include those who are only dispensary or out-patient cases.
Males.
Insane patients on books of institution at beginning of inAdmissions during year—

c. Transfers from other institutions for the insane

Females.

916

816

1 732

132
41

113
33

245
74

173

146

319

91
34

51
21

142
55

298

218

516

1 214

1 034

2 248

Females.

Males.
Discharged from books during year—

e. Transferred to other institutions for the insane
Total discharged and died during year
Insane patients remaining on books of institution at end of

Total.

Total.

15
41
13
34
4
119

23
28
15
17
1
83

38
69
28
51
5
202

226

167

393

988

867

1 855

939
6
12
9

941
12
2

1 780
18
14

g

15
3
5

SUPPLEMENTARY DATA
Average daily number of Insane patients actually in instiNeurological cases
Epileptics (not feebleminded)
Feebleminded cases (not epileptics)
Feebleminded epileptics

3
4

1

STATE OF MICHIGAN.

72

TABLE IV.—Nativity of first admissions and of parents of first admissions for the
year ending June SO, 1918.
Parents of male Parents of female
patients.
patients.

Patients.
Nativity.
S

United States
Africa
*Asia
Australia
Belgium
Bohemia
tCanda
Central America
China
Cuba
England
*Europe
Finland
France
Greece
Hawaii
Holland
Hungary
Ireland
Italy .
Japan
Mexico
Norway
Philippine Islands
Poland
Porto Rico
Portugal
Roumania
Russia
Scotland
Spain
Sweden
Turkey in Asia
Turkey in Europe
Wales
JWest Indies
Other countries
Unascertained
Total
*Not otherwise specified,

1

£

I

1

§t

1

69

74

143

59

68

127

4

2

2

4

3

3

6

1
11

1
36

24

24

48

1
19

1
15

2
34

1

1
5

3
3
4
1
20
1

3
4
4
2
17
1

6
7
8
'3
37
2

1
3

2

1
5

1
13

1
11

2
24

1

1

107

95

202

1

3

25

1
4

3

3

10
1

...

«

1

1
5

1
15
1

1

1

2

2

4

2

2

4

2
2

2
2

4
4

1

1

2

10

5

15

8

6

14

3

1

4

5

3

8

1

1

2

5

2

7

6

6

12

3

3

6

1

4

8

12

7
1

3
1

4

7
1

6
1

6
1

12

1

1

2

1

2

166

5
.1

2

4

4

7

6

13

11

12

23

134

300

166

166

332

134

134

268

flncludes Newfoundland {Except Cuba and Porto Rico.

TRAVERSE CITY STATE HOSPITAL.

73

TABLE V.—Citieenship of first admissions for the year ending June 30, 1918.
• Males.
Citizens by birth

..

Citizens by naturalization

Females.

Total.

106

95

201

30

24

54

24

15

39

166

134

300

6

Aliens
Citizenship unascertained
Total

6

TABLE VI.—Psychoses of first admissions for the year ending June 30, 1918.
Psychoses.

Females.

Males.

Traumatic psychoses
Senile psychoses, total

31

(d) Depressed and agitated states in addition to deterior(e) Paranoid states in addition to deterioration
Psychoses with cerebral arteriosclerosis
Psychoses with cerebral syphilis

4

1

2
3

2
3

4
6

23
19

is

38
26
1

i

Alcoholic psychoses, total
(a) Pathological intoxication
(c) Acute hallucinosis
(e) Korsakow's psychosis
(f) Chronic hallucinosis
(g) Chronic paranoid type

Manic-depressive psychoses, total
(a) Manic type . .
(b) Depressive type
(c) Stupor
(d) Mixed type
.
.
(e) Circular tvpe
Involution melancholia
(a) Paranoid type
(b) Katatonic type
(c) Hebephrenic type
Paranoia and paranoic conditions
(a) Deterioration
Psychoneuroses and neuroses, total

6
1
2
1

1

1

1

1

2
1
1

2
1
1
44

1
21
8
1
11
1
14
3
3
1

2
24

(c) Drug addiction without psychosis
(d) Constitutional psychopathic inferiority without psy-

2

1
2
1

1

(d) Anxiety neuroses

7
1
1

6

8
2
6

.

18
12

49
34
5

22

(b) Presbyophrenic type

Total.

3
12
6
4
9

36
15

14
2

4
1

13

4
5

3
1

17

20
2

4
1
1
34

12
6
14
2

8
6
1
5

22
9
4
5

3

4

1
21

1
55

5
1

1
2

2
12
1

6

6
1

1
4

3
14
18

5
15

74

s
3

e
•3

T
j-4
^

Due to
drugs and
other erogenoua
olic,

I!

il

5.2

With
other brai
or nervous
diseases.

•mi

•mi

•

(M-*

•

•

-<N

-i-l

i^
CO g -

S

C4OS

STATE OF MICHIGAN.

-N

• 10

• g •*

•C^ffH

•CON

1«

1

1

1

18
9

41
14

3
3

166 114

inn

q

7

1

2

1

1

2

1
2

f)

1
f>

1

1

1

1

1

1

fi

It

Turkish
Welsh
West Indian§
Mixed

Total
"Includes "North" and "South".
Ruthenian, Servian, Slovak, Slovenian.

1
'S
5

fNorwegians, Danes and Swedes.
§Except Cuban.

1
1

4
<j

11 1R 4<t '1 IS 18 1Q

1
1

1

1

1

7 'fi

1

1

1

1

?

(Includes Bohemian, Bosnian, Croatian, Dalmatian, Herzegovinian, Montenegrin, Moravian, Polish, Russian,

H

O

M
H

H
oo

B
O

TABLE VII—Concluded.—Race of first admissions classified with reference to principal psychoses.

With
pellagra.

With
other
somatic
diseases.

Manic- Involution
depressive. melancholia.

With
constituParanoia
UnPsychoneuWith
tional
and
diagnosed
Not
Epileptic
mental
paranoic psychoses. roses and
psychopsychoses.
insane.
neuroses.
deficiency.
pathic
conditions.
inferiority.

Dementia
praecox.

Pace.

J
•as 1
£ £ S

I

o>

J

w

1 cS

1
|
1s

H

J

1

J

ri ^

S 1 .—
1
|"3 .— —
S £
b 12 &
g S '", H

&

a
^

i

i^ i

n
—

1 iS

I

s
I

I£

S

. ._

1 i
Cuban
Dutch and Flemish ,
East Indian
Finnish

9

1

1

9

French

2

Greek

4

1 4

Irish

2

4 13 17
Females.
„

4

6
f

1

4

3

7

1 1 2
4 3

"i

2
4

5 8 13

1

1

1

2

1 1 2

1 1
1

1 1

2

i

ii

2

12

11

23

1
4

1
1

2
5

4

2 "fl

1

3
2

Italian*

1 1

1

1 1
1 1

VFemales.
1

1

1 2

1

Portuguese

j
Scotch...

' . . . . ' .

1

1

?,

2

Turkish

4

9

4

9

9

1

1

9

2

1

1

....
I

Welsh
West Indian §
Mixed

1

1

4
?,

Total . .
"Includes "North" and "South".
Ruthenium, Servian, Slovak, Slovenian,

?,

2

4
9

8 31) 44

fNorwegians, Danes and Swedes.
§Eicept Cuban.

4

1

1

>i

3

1 •>1 13 34 14

?,

5

R ?,?,

?

3

2

6

4

q

1

5

a

1
?

7

1

1
1

1

1

9

4

1

1 34

K
1

'1

1'
1

55

{Includes Bohemian, Bosnian, Croatian, Dalmatian, Herzegovinian, Montenegrin, Moravian, Polish, Russian,

as
H

Q
i—I

H
Kl

a
Wo

02

STATE OF MICHIGAN.

78

TABLE VIII.—Age of first admissions classified with reference
Under
15 years.

Total.

15—19
years.

20—24
years.

25-29
years.

30—34
years.

-^

I

1

3
£

18 49
15 38
7 26
1 1
1 1 2

31
With cerebral arteriosclerosis. . . 23
19
With Huntington's chorea. . . .

J
"rt

2

Females.

1 1

J
•a
E£ 1 s

Females.

$
«

Females.

Psychoses.

I

1

3

J

J
&H

I

2

2

With other brain or nervous
fi

fi

Due to drugs and other exWith pellagra

2
8
1
21
Paranoia or paranoic conditions 14
3
Psyche-neuroses and neuroses. . 1
With constitutional psycho-

Total

36
13
8
6
5

2
44
1
34
22
9
6

i
i

1

1

1
1

2

3

3

2

5

1

6

3

9

4
1

5

1

1

2

9
1

1

1

2

2
4
2
1 1
'si' 21 55

i

i

4

4

3

166 134 300

i

i

6

6

12

6

7
1

3

3

2
"21

9
1
2
1

0

3

4

1

5

4

3

7

18

16

10

26

14

11

25

TRAVERSE CITY STATE HOSPITAL.

79

to principal psychoses, for the year ending June 30, 1918.

1 1

1

2

9 "2

2
2

2
4

jjj

"rt

£

1

3

2

5

i

55—59
years.

ji

•a
S f£

I

1

1

2

2

1

1

2
1

"i'

2
1
1

1 fc

5

5

1

4

5

2

5

7

5

5

1
1

"i

3
3
1
1

1 "2'
2
1
1

1
4
1
1

2
1
2
1

2
2
2
1

1

1

1

1

4

3

7

4

2

6

3

5

8

3

1

15

13

28

17

13

30

6

21

27

11

9

"i

3

1

H
1
5
2

1

1

5
2
2
1

4
2

1

1
6

"i'

S3

8

1
7

60—64
years.
Females.

p£

J8

1

50-54
years.

45—49
years.
Females.

40—44
years.

35—39
years.

65—69
years.

70 years
and over.

_•

J

H

1 l£

H

a

1

2
3

10
8

21
6

16
8

37
14

1

1

1

1

26

53

1
7

1

1

i
ii
i

4

1
5
1

1

2

4

4

3
1

2

5
1

4

2

1
2

1
4

i

1

2

20

13

10

23

13

7

20

8
5

1

fx<

&

1
1

1

1

2

3

15

8

23

1

1

27

STATE OF MICHIGAN.

80

TABLE IX.—Degree of education of first admissions, classified with reference to
principal psychoses, for the year ending June 30, 1918.
Illiterate. Reads and
writes.

Total.

High
school.

Common
school.

College. \« Unascertained.

jj

6

6

?
8
1
21
14
3
1

36 44
1
13 34
8 22
6 9
5 6

Due to drugs and other exogenous

With constitutional psychopathic inferi-

2 2 4
.1 1
34 21 55 "6
Total

9

1
1 1 1 4
1
1

166 134 300 10

tS

i

S

"c3

1

5 1 6 22 8 30
2
6
6 12 11 23
1 "i 2 18 5 23
1 1
1 1 1

2
4

2

?

Js
13

a

£

31 18 49 1 i
23 15 38 2 2
19 7 26
1 1
1 1 2

Senile

11
1
fe I

1
1
1

1
1 "4

1 6

1

Females.

1

8
"1
I S

Females.

S

Females.

Psychoses.

i 1
11& H

2 2 4
1 1 2

2

1

1

1

1

1

t

t

8 14 13 27 10

1

1 1

2

3 5 i
1 1
1 1

3

1

1 4 5
2 1 3
1 1

1

1

1 1
1
f
6 '27 33
1
1
] 15 7 22
6 6 12
} 2 2 4
1 5 6

JS

J!

9

2

2

2
?

"2
2

1

2

1 1
~1 1

2 12

2

2

5 15 24 15 39 102 86 188 17 12 •29

7

4 11

6 12 18

TABLE X.—Environment of first admissions, classified with reference to principal
psychoses, for the year ending June 30, 1918.
I
Jrban

Potal

Unasc grtaiD ed.

]feral

s

"ea

Tra
Senile

.11
?.1
19

1

Females.

Psychoses.

3
£

S

i£

1

18
15
7
1
1

4t
18
?6
1
?,

11

q
15

14
1°
7

'!
91
22

1

1

?

n

6

2
44
1
34
??

1
S
1
1?

6
f,

8
1
21
14
3
1

If)

f,

t,
\

11
8
6
5

34

Total

lid

111

q
f>

J3

J
13

q
1

1

a

£

11
11

4
3

3
1

1

?3
16
4
1

1
5

'1

1
'«

q
7
2
1

6
5
1
?

15
1?
1
3

6

11

4

M

•3

J

[£

1
1

1

1
1

6

I1!
7
6
S
S

1
18
1
11
11)

n
i

4
1
W

1

9

s

1

97

11

4'

7

100

17

S7 184

fi7

1

51 118

9

1

1

i

1

TRAVERSE CITY STATE HOSPITAL.

81

TABLE XI.—Economic condition of first admissions, classified with reference to
principal psychoses, for the year ending June 30, 1918.

Psychoses.
$

jl

"=3

PM

Senile

Dependent.

1 1

18 49
4
15 38 10
7 26
2
1
I
1 1

6

'.'«' ".?'-

With brain tumor

2
8 36
1
21 13
14
8
3
6
1 5

Total...

eS

3
2

i
i

•>,
44
2
1
34
1
22
5
' 2
9
6 "l
1

2

2
1

34

21

4
1
55

6

1

166 1,14

inn

34

1

1 S
2
3
8

7
2
3

i

7
12
2
2
2

£

"a

25
10
9

8 33
11 21
4 13
1 1

3 "3'

"3

2

1
5

1 20
5 8
2
3
2

1
3 'i?'
1
9 '29' . . . .
4
& 13
3
4
7
4
4

'i?'

1
2
3
1 1
4 10 24 15

18

Comfortable.

»
OJ

1
F*4

31
23
19

Marginal.

Females.

Total.

52

log

1
22

3
£
9
5
11

....
20
I,
4

1
39

4

2

7R 187

23

38

fil

TABLE XII.— Use of alcohol ~by first admissions, classified with reference to
principal psychoses, for the year ending June 30, 1918.
Total. •

Abstinent.

Temperate.

Intemperate.

J

1

Unascertained.

Psychoses.

Senile
General paralysis
With cerebral syphilis

J

iS S

fe

i
£

18 49
15 38
7 26
1 1
1 1 2

8
8
2

13
8

21
16

Tota'

~S

31
23
19

6

Psychoneuroses and neuroses

J
"^
S

J
"3
§

2
8 36
1
21 13
14
8
3 6
1 5

2

6
2
44
3 '36' 'S3'
1
34 "5' 'l2' 'i?'
22
3
7 in
9
3 5 8
2
6
2

TO

~S
1
S 1
&i

s

4
24

2
4

6
2
8

1

g 3
iS 1

S

1

8
1
9

8 11
1 12
6
9

1

1

1

1

5

5

1
2 "i
1
4 "i
1 1
1
3

1
6 "l
1
5 7
2
3
1
3

'r

1

1

7
3

iS S
3
7
1
1
1

14
19
7
1
1

1
2 "2"

1
4

5
7

5
7

1

1

2 2
4
1 1
'34' 21 55

1

2

3

2

16

18

6

2

8

16

2

18

'in'

1
1

'"i
11

sno

35

95 130

26

18

44

52

2

54

55

17

72

166 134

STATE OF MICHIGAN.

82

TABLE XIII.—Marital condition of first admissions, classified with reference to
principal psychoses, for the year ending June 30, 1918.
Total.
Psychoses.

s
1 &a

"3
|

Married.

Single.

i

1

i
1 s E£
"(3

1 "3
B
PH

31 18 49 1 2 3 14
23 15 38 3 1 4 13
11 5
19 7 26 11
1 1
1 1 2 "i

Senile

i

6

Alcoholic
Due to drugs and other exogenous

Paranoia or paranoic conditions
Psychoneuroses and neuroses
With constitutional psychopathic inferiority

Total

6

3

4
6
5
1

3
&

Widowed. Separated. Divorced.

3
1&

2 2 4 2 2 4
1 1
'34 21 55 '20 "3 23 13 14 27

1
1
1

1
1
1

2

2

1

1

1

1

3

3

i

1

8

8

i

3

& £

i

i i

1 1

i

2 28 30
1
1
4 4 8
6 3 9
3 3
"i 4 5

s

$
8 •a
'oS 8 3 •a
1 E£ B
fa H

3o

18 15 12 27
19 5 8 13
1 1
10
1

3

1
2
2 1
8 '36 44 4 3 7
1
]
21 13 34 16 9 25
14 8 22 4
4
3 6 9 2 2 4
1 5 6

j2

Unascertained.

i

i
i

2

5

7

i
i
i

5 6
1 2

t

4

1 1

4

166 134 300 68 22 '90 59 72 131 27 37 64

4

1 5

"i "i
2

2

TABLE XIV.—Psychoses of readmissions for the year ending June 30, 1918.
Psychoses.

Males.

Females.
1
1

Psychoses with cerebral syphilis
(a) Acute hallucinosis
(b) Depressive type
.
(d) Mixed type
Involution melancholia
(a) Paranoid type
(c) Hebephrenic type
Epileptic psychoses, total
.
Clouded states
Psychoses with constitutional psychopathic inferiority
(a)
(b)
(c)
(d)
(e)
(f )

Epilepsy without psychosis
Alcoholism without psychosis
Drug addiction without psychosis
Constitutional psychopathic inferiority without psychosis
Mental deficiency without psychosis
Others

2

1
1
1

2
1
1

16
10

5

18
11
6
1

1
1

5
2
1
2
3
1
1
1
2

7
1

4

7
3
4
1
1
1
1
3

i

2

Total.
2
2
2
1
2
1
1
34
21
11
1
1
1
12

5
5

2
4
2
2
1

3
10
1
5
2

1

1

1

1

TRAVERSE CITY STATE HOSPITAL.

83

TABLE XV.—Discharges of patients, classified with reference to principal psychoses
and condition on discharge, for the year ending June 30, 1918.

2
6

With other brain or nervous diseases
Due to drugs and other exogenous toxins

1
3
1

4
3
7

1

1
5

"&'
2

25 35
1
15 'ii
7
5
3
"5
With constitutional psychopathic inferiority . . . 2
2
•?
3

1
34

Total

107

17

1

3
£

j§
I
2

5

2

2

84 191

15

23

38

41

3

i£ S

1
1

2
1
5

"i'

"i'

1

3

3

1
1 1
2
60 11 '22' 33 14
1
.„. 1
6
26
"i
12
4
1
3
5
4
2
2
6
1 1
1
51

Unimproved.

1
24
1
13
7
1
4
4
1 3
2
4

io'
•y
3

28

69

I

1
2
1

2
2
2

1

1

Not insane.
Females.

Senile. .

3
tS

Improved,

Females.

•a

Females.

Psychoses.

Recovered.

Females.

Total.

1

34

17

"jii

34

17

51

$

J

"3' "3'

"9"
3
2

i

17

3
2
1
1
1

16

12
5
2
1
1
2

33

STATE OF MICHIGAN.

84

Total.

With
cerebral
arteriosclerosis.

Senile.

General
paralysis.

Alcoholic.

Manicdepressive.

JS

Females

TABLE XVI—Causes of death of patients classified wilh reference

^

s

&

8
1 ~s

I

J^
1

Females.

8

Females.

Causes of death.

I

S

1

"rt

I

00

I

1
1

I

General diseasesMalaria
Smallpox
Measles
Diphtheria

1
Acute articular rheumatism. .
Tuberculosis of lungs
Other forms of tuberculosis . .
Syphilis (non-nervous forms)
Cancer
Tumor (non-cancerous) ....
Other general diseases
Nervous system—
Cerebro-spinal meningitis

....

1

3

1
1

2
4

8
3

13

21
3

"2

1

1

1

Apoplexy (cerebral hemor-

Exhaustion from other mental diseases
11

"3
Other diseases of nervous
system

1

17
27
1

i

10

21

3

3

2
1

"5'
1

1
1

1
1

1

3

4

2

6

8

'l9' "8

1

1

1

1

27

5

1

"5
1

1

^
5

7

12

1

1
1

13

21

1

Circulatory systemAcute myocarditis
Chronic myocarditis
Acute pericarditis
Chronic pericarditis

2
3

Chronic endocarditis

2

2

72

52 124

Total

....

10
8
1

Other diseases of brain

1

1
1

"s "i'

1

7
General paralysis of insane . . . 19

1

"i
i

2
1

4
4

1

i

"i
9

3

12

4

1
1

i

1

7

11

20

8

28

1

1

3

3

8

TEA VERSE CITY STATE HOSPITAL.

85

to principal psychoses, for the year ending June 30, 1918.
Involution
Melancholia.

8
•3

Paranoia or
paranoic
conditions.

Dementia
praeeox.

8

J

1

i£

3

*C3

I

fe

sS

1
&

I
\

5

4

9

2

2

1

1

T

1

2

3

1

Psychoneuroses and
Neuroses.

Epileptic
psychoses.

I

•a

iS

1
1 "l

3
H

^

3
1

CO

1
fe

I

With mental
deficiency.f

1

fe

1

1

2 '2

1

,;
1

With constitutional
psychopathic
inferiority.

i

2

2

3

•All other
psychoses

•a
^

iS

i

1

:

1

0

\

2

1

1

'"i

""i

i
i

i
""i

i
i
i
i

i

5
3

2

5

i
i

14

1

8

1
1

22

"a"

"2

1

2

3

1

6

7

*Includcs group 22 "not insane."

"a
4

4

8

3

H

3

"2'

6

6

2

8

86

STATE OF MICHIGAN.
TABLE XVI—Concluded.—Causes of death of patients

S

Respiratory system—
Bronchitis
Bronehopneumonia

&H

I

22

51

2
2 ....

2
2
1

Pleurisy
Gangrene of lungs
Other diseases of the respiratory system
Digestive system—
Ulcer of stomach
Other diseases of the stomach
(cancer excepted)
Diarrhea and enteritis
4
Appendicitis
Intestinal obstruction ...
1
Other diseases of intestines. . .
Cirrhosis of liver
Other diseases of liver
1
Other diseases of digestive
systen (cancer and tuberculosis excepted}
Genito-urinary system—
Acute nephritis
Chronic nephritis
Other diseases of kidneys
and annexa
Diseases of bladder
Diseases of genital organs ....
Other diseases of genito-urinary system

3
$

«

6

19

12

2
1 ....

2
1
1

J5

"3

Circulatory System — Contd.
Arteriosclerosis
29
Other diseases of the arteries .
Other diseases of circulatory
system

Females.

Causes of death.

2

J
13

13

I

11

23

General
paralysis.

8
13

6

1

1

1

1

1

2

2

Females.

With
cerebral
arteriosclerosis.

Senile.

Females.

Total.

"e5

Alcoholic.

Manicdepressive.

J

J

J
"c3

&J

H

1

3
£

1

i

2

dS

l

3
g
3

i '"i

1

1
6 '3

1
9

1

1

2

2

fi

6

2

2

17

27

Diseases of the skin-

Diseases of bones and locomotor system (tubercu!f p losis and rheumatism exf f cepted) '
Violence—
Suicide
Fractures
Dislocations
! Homicide
Other external violence

F Total...

1

119

1

1

1

83 199

26

in

3fi

20

18

38

20

a

28

10

TRAVERSE CITY STATE HOSPITAL.

87

1

1

1

fa

i

3

Paranoia or
paranoic
conditions.

Epileptic
psychoses.

i
§
1

2

1 "rt
H

3o
EH

1

Psychoneuroses and
neuroses.

I

J
"ea

J
"g
^

With constitutional
psychopathic
inferiority.

With mental
deficiency.

£

J

13

03

a
£

I 1

•AH other
purposes.

Females.

Dementia
praecox.

Females.

1

Females.

Involution
melancholia.

Females.

classified with reference to principal psychoses.

3
S

J

a

iS

5

8

6

2

H

3

1

1

4

1

1

2

2

1

1
1

1

1

1

5

9

—
21

9

30

3

'Includes group 22 "not insane"

9

12

4

3
«•

8

88

STATE OF MICHIGAN.
TABLE XVII.—Age of patients at time of death classified with
1 M-i
Total.

Under
15 years.

15—19
years.

25—29
years.

20—24
years.

30—34
years.

Traumatic
With cerebral arteriosclerosis. .
With cerebral syphilis
With other brain or nervous

£
13
S

J

&J

•a"o

H

J
"rf

J
1 "^
H S

Females.

3
•as$
f£ §

Females.

Psychoses.
n

"o

El

3,
"3
tS

3
"o

S3
1
1

£

1

4

2

1
1

"i'

H

ID
R

's'fT

26' 10
20 18 38
20
8 28
1
1
1
1

1
6

1

a

1
6

Due to drugs and other exoWith other somatic diseases ....

1

1
1
1Q 'l?' 27
21

9

30

3
4

9
5

12
9

3

5

8

i

....
""2

9

Paranoia or paranoic condiEpileptic psychoses
With constitutional psycho-

Not insane

Total

4

4

119

83 202

..„

1

1

1

1

1

2

2

4

11

1

.1

4

i

5

7

TRAVERSE CITY STATE HOSPITAL.

89

reference to principal psychoses, for the year ending June 30, 1918.

S

6

•a
&H

2

3
£

S

8

3

2 "2:
1

1

1

i'

::3
"2

fe

i

2

3
£

3
1

6

i

2

2 "3 "5

.... . . . .

1

6

13

1

1

2

1
1

g
rt

6

12

5

9

14

I

60—64
years.

f

3o

C3

"c3

tS f-l

1

1 "3

3
3

1

1

1

1

2

1

2

2

7

7

i "2"

3

i
i

1

2

18

9

1

i

1

6

2

6

'3

12

2
1

3

5
4

4

S
«
I
1 1
&H

1

1
2

2

6

1
2

3

4

1
1
1

J

•a

s
e'

4

1

3

i

3

i

1

2

2

'3

1
1

1

1

27

8

7

70 years
and over.

65—69
years.

1

2

1

6

55—59
years.

OT

i i
1 S

3

50—54
years.

i

1

7

"s

Pq

45—49
years.

15

15

8

1

Females.

g

40—44
yeara.

6 '26'
9
7

Eo'

35—39
years.

3
^

1
30
20

....

1

1

3

2

1

"3

2

7

1

8

3

"i'
i

"2'

"i
1

..„

....

23

43

"i' '"i

i
16

69

STATE OF MICHIGAN.

90

TABLE XVIII.—Total duration of hospital life of patients dying in hospital
Less than
X month.

' Total.

1—3
mouths.

4—7
months.

8—12
months.

1—2
years.

Psychoses.
J
13
26
With cerebral arteriosclerosis . . . 20
20
With other brain or nervoua

"3
PH

3
£

10 36
18 38
8 28
1 1
1 1

1
fi

1
A

1
10

1
27

3
4

9
5

30
12
9

3

5

8

J
"ea
"c3

2
5

1

fe

"e'

I

~a

2
11
1

5
6
4

I nvolution melancholia
Paranoia or paranoic conditions
Psychoneuroses and neuroses . . .
With constitutional psycho-

Total

i?'
2! "9'

4

4

119

83 202

3
3
2

1

Due to drugs and other CKOWith pellagra
With other somatic diseases ....

- [§

1

3

"7

1

1

8
9
6

5
1
5

(S
2
5
1

1

s iS

1

7
6
6

1 ....
"2' 2

1
1
4

1

3

1

1
(S

5
4
8

2
1
3
1

2

i

26

16

11

27

11

9

20

5

7
5
11
1

1
1

2

4

1

1

1

1

2

22

11

33

1

i
14

"I

1
1

1

12

&
'rt

1

3

10

1
H 3

nj

J

A

S

1

3

8

TRAVERSE CITY STATE HOSPITAL.

91

classified according to principal psychoses, for the year ending June 30, 1917.

4
1

1

2
2

6
3

1
1

1

1

1

1

2

8

2
1

1

1

1
1

1

3
1
1

2

1

1

2

1

2

21

9

2

2

5

J
P=H

I

i

1 &

1

i
i
1

3

1

J

1

J

I
1

i

4
1

2

3
£

i

1

'i

20 years
and over.

15—19
years.

13—14
years.

....

1

1

1

2
1
2

3'
1

1

1

3

2
1

13

3
"^

2
1

1

1

3
1

11—12
years.

9—10
years.

Females.

3
£

Females.

33
J_ &*

7-8
years.

5—6
years.

Females.

3—4
years.

1

1

3
ES

fu

i >s

1
1

1

1

1 "i'

1

1

3
S

1

'"i

1

1 i

2

3

2
3
1

3
3
1

14
2
2

1
3

15
5
2

1

1

2
5

14

4

1

5

3

1

4

2

1

3

2

1

3

4

7

11

21

6

27

92

STATE OF MICHIGAN.
ESTIMATES OP SPECIAL APPROPRIATIONS.

The following are the estimates of special appropriations requested by
the Board of Trustees and submitted to the State Board of Corrections
and Charities for its approval:
TRAVERSE CITY STATE HOSPITAL

Traverse City, Mich., Sept. 17, 1918.
To the State Board of Corrections and Charities:
Gentlemen: As required by Section 28, Compiled Laws of 1897, I
submit herewith approximate estimates of special appropriations
requested by the Board of Trustees of the Traverse City State Hospital,
for a fire-proof addition to store building, for a 500 horse power boiler
and automatic stoker, for an electric elevator for dining room for women,
for overdrafts on special appropriations, for an ash conveyor and for
repairs to roofs and gutters of hospital.
I.

ADDITION TO STORE.

The last Legislature transferred the appropriation of |8,000.00 made
by the Legislature of 1915 for an industrial building, less architect's fees
(1265.00), to the appropriation to addition of store. In addition to this
sum, |28,09(!.60 will be required to construct the building. Plans and
estimates of cost for this addition are being prepared by the architect
and will be sent to you as soon as completed. From $20,000.00 to
$30,000.00 worth of goods are cared for in the present store, and the
danger to them from fire is unusually great. The building is also inadequate for the needs of the hospital. Goods are stored in various parts
of the basement, which renders their safeguarding more difficult. The
overcrowding of the store adds to the cost of handling the supplies. The
present store has no provision for the care of dried fruits, eggs, butter
and other foods that require cold storage if they are to be carried in
stock in any great quantity. The proposed building will include cold
storage equipment for the care of such supplies.
II.

WATER TUBE BOILER,, CHAIN GRATE STOKER, ETC.

This boiler is to replace two small boilers—one of 175 h. p. and the
other of 150 h. p. The estimated cost of these improvements is as follows:
Boiler
$9,947 00
Setting
4,000 00
Stoker
3,000 00
Erection of stoker
1,053 00
Total
$18,000 00
This equipment is very important, since the small boilers are old and
likely to fail at any time. They are too small to use fuel economically.
A large boiler would be not only much more efficient, but would save
each year in amount of coal consumed a fair percentage of their cost.
III.

ELECTRIC ELEVATOR FOR DINING ROOM FOR WOMEN.

The amount requested for this improvement is based upon estimates
furnished" by the Otis Elevator Company. It provides for an automatic

TRAVERSE CITY STATE HOSPITAL.

93

electric elevator, automatic operation for either basement or stories, and
of sufficient power to lift one thousand pounds from basement to third
story. The cost of this machine is $3,500.00. All material and labor
are included. This improvement is imperative.
IV.

ASH CONVEYOR.

This machine is to automatically remove ashes from the boiler ash
pits in the sub-basement to a bin outside of the boiler room. An ash
conveyor is almost imperative, since during the winter months the hoist
in use for conveying coal and ashes to and from the boilers is not of
sufficient capacity to do the work. Last winter much difficulty was
experienced in removing the ashes fast enough. The consumption of
coal is from forty to sixty tons per day, and the hoist can scarcely more
than handle this amount. Consequently the ashes would accumulate in
the pits, as they could not well be removed by hand. We would strongly
urge this improvement. The cost will be as follows:
Conveyor, etc
,
f 1,650 00
Ash bin
600 00
Labor . . . . . . . .
250 00
Total

|2,500 00
V.

OVERDRAFTS.

The Legislature of 1915 appropriated $8,000.00 for a shop building.
Owing to the appreciation in the cost of labor and material, the cost of
the building when finished was $12,670.77, or $4,670.77 more than the
appropriation. This sum was paid from the current expense funds of
the institution, and has been treated as an overdraft against the special
appropriation. There is also an overdraft on the appropriation for
dining room for men of f 1,164.60, and one of $265.00 for architect's fees
against special appropriation for industrial building. The total overdraft on account of these special appropriations is f 6,001.27. We would
respectfully request your Honorable Body to approve of a deficiency
bill in the coming Legislature to repay the institution the money it
advanced on account of these special appropriations.
VI.

REPAIRS TO ROOFS AND GUTTERS.

There are many repairs needed for the roofs and gutters of the hospital. As their cost would be a large drain on its maintenance fund, a
special appropriation of $2,500.00 is asked for these repairs. Should
it become the policy of the State to treat such improvements at the
State institutions as a charge against the general fund, this request will
be omitted.
I would respectfully add that the institution has many other needs,
but, owing to the unusual economic conditions of our country, our
requests have been limited to those which seem to us absolutely necessary. We do not believe it would be wise to bar the institution from
the improvements above specified, and believe it will be to the best
interest of the State in the long run to supply the funds to install them.

94

STATE OF MICHIGAN.
RECAPITULATION.

Addition to store
Water tube boiler and chain grate stoker
Electric elevator, etc
Ash conveyor
Repairs to roofs and gutters
Overdrafts
Total •
All of which is respectfully submitted.

$28,096 60
18,000 00
3,500 00
2,500 00
2,500 00
6,001 27
160,597 87

J. B. MUNSON,
Medical Superintendent.
MICHIGAN BOARD OF CORRECTIONS AND CHARITIES.
LANSING,, MICHIGAN,
November 1, 1918.
Dr. James D. Munson, Medical Superintendent, Traverse City State
Hospital, Traverse City, Mich.
My Dear Sir: At a recent meeting of this Board your estimates for
appropriations for special purposes for the ensuing biennial period were
given final consideration.
It is the opinion of this Board that appropriations should be made
for items number 4 and 5 in the sum of $8,501.27, the same being for an
ash conveyor $2,500.00, and for overdrafts f6,001.27.
Item number 6 for the sum of $2,500.00 for repairs to roofs and gutters
being an expenditure for upkeep, should, in our judgment, be treated
as a current expense item.
It is believed that appropriations for the other items may be deferred,
and the estimate is therefore approved in the sum of $8,501.27 instead
of $60,607.87.
Very respectfully,
JNO. N. McCORMICK,
Chairman.
M. T. MURRAY, Secretary.
CHAPEL SERVICES.

Religious services have been conducted regularly by the Chaplain,
Rev. I). Cochlin, assisted by the Revs. Mr. Coolege, Mr. Kruse, Mr. Brown,
Mr. Columbus, Mr. Ford and Mr. Elliott.
ACKNOWLEDGMENTS.

To the many friends of the hospital who have contributed in any way
to the comfort of patients, our best thanks are extended.
CONCLUSION.
The period just closed has been one of great activity, and one associated with much anxiety, owing to the great war and the rapidity with

TRAVERSE CITY STATE HOSPITAL.

95

which our country prepared itself to meet the great struggle. The man
power of the country was rapidly enrolled in the service of the United
States, and as a result, during much of the time for the last two years,
the hospital has been short of help and has been obliged to recruit as much
of its help as possible from men outside the military age. It has been
stated that 25% of the male population of this particular region is either
in actual service in the Army and Navy, or is engaged in Governmental
work. The Council of National Defense and the Red Cross organizations
have been of service in organizing and helping in public service work,
and have heartily co-operated with the institution in its efforts to maintain the high standard of care for its patients. Your Honorable Board
has taken an intense and active interest in the institution, and I am
glad to say that every employe has given their best for its safety and
welfare. Many of the economic measures of the period incident to the
unusual conditions of the country have proved of great service, and
will in the end add much to the progress made in hospital management.
The co-operative work between the Board, the Officers and heads of
departments has been more general and has proved its value in almost
every direction of our effort. I thank each and every member of the
Board and every employe of the hospital for personal aid and support
and for the patriotic efforts that have been made in behalf of the
institution.
All of which is respectfully submitted.
J. D. MUNSON,
Medical Superintendent.
Traverse City State Hospital, Traverse City, Mich., November 27, 1918.

STATE OF MICHIGAN.

OFFICERS AND EMPLOYES.
OF THE TRAVERSE CITY STATE HOSPITAL, AND THE WAGES OR SALARIES PAID EACH, JUNE 30, 1918, AS REQUIRED BY
SECTION 2, ACT 206, LAWS 1881.
Name.

Service.

A.S.Rowley
H V Hendricks
Paul H. Piper
Mary Jane Foley

2nd Asst. Physician
Woman physician

G. B. Pike
D Cochlin
C. W. Nesbitt

Accountant

Ina Hardy

Stenographer

Pearl Mahn

Stenographer

B.P.Burns
Marie Moon

General supervisor

C M Prall
S G Howard

Phi f

Anthony Klaasen

Assistant store keeper

Asst. Medical superintendent

t

Hans Tobler
C. D. Lyon
Mrs. Ella Sargent
Gertie Flack
Helene Johnson
Rose McGill
Jessie Tweddle
W. G. Dobson
J. Aniskonski
Clayton M. Allen

Su e ' - '
Asst. supt. sewing room
Attendant

Hattie Allen

Hildred Brown

Ruby Boulby

Henry Bowles
M E Baird

W R Carmien

Attendant

Period.

Rate.
$3,800 00
2,900 00
1 800 00
1,200 00
1,200 00
2 500
260
1,500
65
50

00
00
00
00
00

50
50
75
100
55

00
00
00
00
00

105 00
70 00
I 800 00
1 350 00
125 00

Per annum. Non-resident.
Per annum. Resident.
Per annum. Resident.

Per annum. Non-resident.
Per month. Non-resident.
Per month. Non-resident.

Per month. Resident
Per month. Resident.

60
55
2
100
80

00
00
00
00
00

Per month. Non-resident.

14
24
16
14
24

00
00
00
00
00

Per month. Resident.

45
2
40
68
50

00
00
00
00
00

45
22
20
38
20

00
00
00
00
00

40
20
26
20
65

00
00
00
00
00

20
45
58
49
20

00
00
00
00
00

20
22
38
46
68

00
00
00
00
00

Per day.

Non-resident.

Per month. Non-resident.

Per month.

Resident.

Per day.

Non-resident.

Per month. Resident.
Per month. Resident.
Per month. Resident.
Per month. Resident.
Per month. Resident.

Per month. Resident.

TRAVERSE CITY STATE HOSPITAL.
Name.

Service.

97
Period.

Rate.

Arthur J. Clark
Earl Clark
William Courson
James Coyne
Wm. Cosier

$50
40
60
40
45

00
00
00
00
00

Per month. Resident.
Per month. Resident.
Per month. Resident.

Essie M. Covey
Mabel Carmien
Wm. Childs
Blanch E. Cotton

24
48
22
40
30

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.

24
22
20
65
73

00
00
00
00
00

Per month. Resident.
Per month. Resident.

63
24
50
40
22
20

00
00
00
00
00
00

Per month. Non-resident.

Geo. C. Dell
R Dumbrifle
James E. Elder
Charles L. Easterday
Ruth Fife

73
40
45
80
20

00
00
00
00
00

Per month. Non-resident.

Geo Fate
Erma Favreau
J A Ford
Cena Flanders

65
40
40
22
38

00
00
00
00
00

Per month. Resident.
Per month. Resident.

Wilma Gilson
Bert Glass
Alvin Gilbert
Glen Ginther
James McGarry

22
65
50
68
40

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

Resident.
Resident.
Resident.
Resident.
Resident.

Bertha Glaesmer

38
48
22
24
30

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

Resident.
Resident.
Resident.
Resident.
Resident.

58
24
48
22
40

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

Resident.
Resident.
Resident.
Resident.
Resident.

32
45
65
40
40

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

Resident.
Resident.
Resident.
Resident.
Resident.

22
40
22
22
40

00
00
00
00
00

Per month. Resident.
Per month. Resident.
Per month. Resident.
Per month. Resident.
Per month. Resident.

20
38
20
40
24
40

00
00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.
Per month.

38
30
45
65
38

00
00
00
00
00

Per month. Resident.
Per month. Resident.

Evelyn M. Clark
Mabel Case
D. S. Dean
G.J. Drost
Roy Dobson

Night Watchman

A. S. Dobson
Millie Day

Attendant

Marjorie GiHett
Hazel Groesser

Attendant

Harry Ginther
Grace Holly
Margaret Heator
Claribel L. Hawkins

Attendant
Attendant

Atte~f"Attendant

Mrs. G.B.Howe
L J Hier
W. B. Hamilton
Loyd Haltley

Attendant

Nellie Hill
John H. Hine
Edith Hermal
Cramer Judd

Attendant

Anna Johnson
Waldemar J. C. Muehling

Mary E. Knapp
Charlotte Knauf
Fred Krone

Attendant

,
Attendant
Attendant

*.

Resident.
Resident.
Resident.
Resident.

Per month. Resident.
Per month. Non-resident.

Per month. Resident.
Per month. Resident.
Per month. Resident.

Per month. Resident.
Per month. Non-resident.
Per month. Resident.

Per month. Resident.
Per month. Resident.

Resident.
Resident.
Resident.
Resident.
Resident.
Resident.

Per month. Resident.
Per month. Resident.

STATE OF MICHIGAN.
Name.

Rate.

Service.

Ruby Lane
Clarence Lautncr
Norma LaRue
E. Lehn

$26
20
40
20
58

00
00
00
00
00

22
40
50
28
68

00
00
00
50
00

30
22
30
52
20

00
00
00
00
00

26
'26
40
20
20

00
00
00
00
00

Per month. Resident.

22
40
65
38
29

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

40
65
24
63
35

00
00
00
00
00

Per month. Resident.

30
20
40
22
38

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

Resident.
Resident.
Resident.
Resident.
Resident.

24 00
40 00
24 00
. 38 00
40 00

Per month.
Per month.
Per month.
Per month.
Per month.

Resident.
Resident.
Resident.
Resident.
Resident.

73
22
24
20
20

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

Non-resident.
Resident.
Resident.
Resident.
Resident.

50
24
40
45
40

00
00
00
00
00

Per
Per
Per
Per
Per

month.
month.
month.
month.
month.

Resident.
Resident.
Resident.
Resident.
Resident.

55
50
50
50
45

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

Resident.
Resident.
Resident.
Resident.
Resident.

38
24
22
24
40

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

Resident.
Resident.
Resident.
Resident.
Resident.

22
40
20
38
30
40

00
00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.
Per month.

Resident.
Resident.
Resident.
Resident.
Resident.
Resident.

Attendant

Esther Lewis
R. E. Lackey
Cecile M. LaFayette

Attendant

Esther Moran
J. Mason, Jr
Irma MacMichael
Erzella McMillan
Esther Miller. .
Ethel McGuire

Attendant

Edna Morton
D. S. Martin
Chas. McGregor
Dorothy Moser
Hazel Mason

Attendant
.*

Attendant

A. "W. Nelson

Jennie Nelson

Attendant

Agnea Nostirk
Myrtle Oler
Loraine OToole
John Pekarik
Tena Peterson
Edith Pascoe .
S. M. Perry
F.G Park
Anna Perria
Pearl Rohr

Flora Resell. . .
Frank Rosell

E. E. Sauter...
F. T. Smith

.

Attendant . . . .

Marie Skellet. .

Attendant .
Attendant
Attendant

Tillie Thoreson

*. . . .

Period.

'

Per month. Resident.
Per month. Resident.
Per month. Resident.
Per month. Resident.

Per month. Resident.
Per month. Resident.
Per month. Resident.
Per month. Resident.

Resident.
Resident.
Resident.
Resident.
Resident.

Per month. Resident.

Per month. Resident.

TRAVERSE CITY STATE HOSPITAL.
Name.

Service.

Perry Tobey
Stanley Tobin
Gladys Tharp

Rate.

Period.

868
24
40
22
40

00
00
00
00
00

Per month. Resident.

W. Weiler

Attendant

Milton Walker

Attendant

65
38
45
61
22

00
00
00
00
00

G. M. Yenish

Attendant
Chef
Baker

40
24
80
80

00
00
00
00

eo oo

Per month. Non-resident.

00
00
00
00
00

Per month.

Resident.

Cook
Cook
Cook

30
30
65
60
45

Per month.

Resident.

65
55
35
35
35

00
00
00
00
00

30
30
40
30
40

E.G. Davidson
Bessie Dalzeil

Cook
Cook

..

A C Cline
Ross Shannon

Assistant cook

R J Quick
Delbert Orcutt
Karl A. Ufcr
Theodora Benson

Telephone operator

Dr. Sobie Ide
Alraan Covey

Laundryman

Alice Smith
Esther Phelps
Alice Millet

Laundress

Adah Clark
Mattie Smith

E. D. Clakins

S N McMichael
R. W. Loeding
J B King

T P Redding

Assistant engineer

Carpenter

Per month. Resident.
Per month.
Per month.

Resident.
Resident.

Per month.

Resident.

Per month. Resident.
Per month.
Per month.

Resident.
Resident.

00
00
00
00
00

Per month.

Resident.

30
35
40
35
15

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

78
65
21
15
17

00
00
00
00
00

Per month. Non-resident.
Per month. Resident.
Per mouth. Non-resident.
Per month. Resident.

21
18
28
23
28

00
00
00
00
00

Per month.
Per month.
Per month.
Per month.
Per month.

Non-resident.
Resident.
Non-resident.
Non-resident.
Non-resident.

70
80
70
65
65

00
00
00
00
00

Per
Per
Per
Per
Per

month.
month.
month.
mouth.
month.

Non-resident.
Non-resident.
Non-resident.
Non-reisdent.
Non-resident.

2
3
2
2
3

50
50
50
50
25

Per
Per
Per
Per
Per

day.
day.
day.
day.
day.

Non-resident.
Non-resident.
Non-resident.
Non-resident.
Non-resident.

3
3
3
3
3

25
60
00
00
00

Per day.
Per day.
Per day.

Non-resident.
Non-resident.
Non-resident.

Per day.

Non-resident.

3
2
2
2
60

35
00
50
50
00

Per day.
Per day.

Non-resident.
Non-resident.

Per day.

Non-resident.

Per month. Resident.
Per month. Resident.
Per month. Resident.
Resident.
Resident.
Non-resident.
Non-resident.
Non-resident.

100

STATE OF MICHIGAN.

Name.

Service.

L L Drake

Rate.

Period.

$100
35
70
60
50

00
00
00
00
00

40
40
40
40
40

00
00
00
00
00

40
40
40
40
40

00
00
00
00
00

40
40
40
40
40

00
00
00
00
00

Chas. Denstaedt

40
40
40
47
40

00
00
00
00
00

0. C. Ballard
Paul Stenke
Walter Stenke
George Leibrock
JohnMcGill..

40
40
43
2
45

00
00
00
50
00

L. L, Moulton
E. Stanwick. .
W. Frazer
Mike Brooder.

2
2
90
3
55

00
00
00
25
35

G. M. Burrett
A. Whaley....
David Russell

,

Teamster

Teamster

Martin Laskey. ,
Ed Phillips
A. S. Mock. . .
Joseph Rombach

....

Per month. Resident.

TRAVERSE CITY STATE HOSPITAL.

101

GRADUATES OP THE TRAVERSE CITY STATE HOSPITAL
TRAINING SCHOOL FOR NURSES.
Anna Maude Grissinger.
1908.
Ethel Beatrice Hanes.
Harry Baker.
Albert James Howard.
Laura M. Bigbee.
Ethel Lillian Johnson.
Bennett P. Burns.
Jessie Angie Keating.
Lena Aldrich Covey.
Gertrude A. Kerry.
Sadie L. Dockerty.
Juliana Mary Leo.
Anna Carrow Evans.
Gail Langworthy.
Mary Louise Fink.
C. Harold Leutholtz.
Wesley H. Herriman.
Tressie A. Miller.
John O. Hoppes.
Cleo Von Miller.
Raymond G. Johnson.
Ella Orvis Miller.
Esther V. Keller.
Archie Miller.
Louise Kitscher.
Anna Thoreson Newman.
Dora Bell Lewis.
Idylia Reynolds.
Maria Margaret McDonald.
Mina Odella Shearer.
Louise E. McGivern.
Catherine McKinnon.
1911.
Amy Orcutt.
Victor A. Patrick.
Martha Clara Kitscher.
Mattie Holmes Parr.
Nora Belle Eamon.
Florence Helen Roest.
Lena Amelia Rude.
Lurene Shryer.
Matilda Delvena Send.
Lillian Fiath Walsh.
Alice Julia Thoreson.
Anna M. Warner.
Bertha Cornelia Peterson.
Lucinda Hazel Wilson.
Hazel Erveilia Edgerley.
Marie Esther Orvis.
1909.
Gertrude Margaret Orvis.
Ada Julia Hall.
Margaret Clark.
Rosetta Alston.
Edna Crandall.
Essie Marie Johnson.
Gertrude Eamon.
Grace Belle Alexander.
Anna Hanson.
Effle Florence Grissinger.
Thea Hanson.
George Oliver Zeigler.
Flora Hollister.
Lee S. Swan.
Cora Laisy.
George W. Ashley.
Howard Lewis.
Leo S. Chamberlain.
Ruth Merritield.
Perry A. Tobey.
Stephen H. Young.
1910.
Ray H. Buttars.
Loura Lela Cronkwright.
Leonard A. Cluley.
John F. Donovan.
Nellie Taube Ellsworth.

1912.
Judith Evans Kidder.
Frances Edith Soss.
Wilhelmina L. Oldenburg.

102

Daisy M. Lahr.
Alice A. Smith.
Mabel Cowles Willard.
Alma E. Leggett.
Emma Thnm.
Otis H. Leland.
1913.
Pearl LaFern Emory.
Pearl Emily Tyler. "
Laura M. Rude.
Julia Belle Carsten.
E. Margaret Mortenson.
Steven A. Covey.
Anna Paulina Smith.
Nettie Beulah Nickerson.
Leonard A. Wright.
Emma R. Davis.
Effle Leona Bixby.
Glen L. Ginther.
Hildur Hedenskog.
Matilda R. Henschell.
1914.
Florence L. Vivian.
Ethel M. Edwards.
Lena N. Smith.
Kathryn B. Huff.
Lyla Stieglitz.
Maggie E. Heator.
Matie Estelle Vincent.
Catherine Paffhausen.
Alice E. Hanes.
Ruby Dale MacLean.
Grace L. Stieglitz.
Libbie Howe.
Flora Dorthy Goynon.
Dora Gordon Seaton.
1915.
Rose Boyd.
Agnes Dumbrille.

STATE OF MICHIGAN.

Minnie Greilick.
Hazel Irish.
Maude Irish.
Francis Martin.
Mabel Miller.
Icel Northup.
Evt O'Rorke.
Johanna Schwartzrock.
Inez Strickler.
1916.
Winifred Baggiore.
Hazel Bostrum.
J. Madeline Clifford.
Nettie Cutting.
Marie Goodrich.
Muriel Hanes.
Celia Johnston.
Lena Knight.
Hilda Moran.
Mary Stedrnan.
Lora Walsh.
Winifred Westbrook.
1918.
Blanche B. Bertleson.
Blanche E. Cotton.
Marie E. Husby.
Charlotte M. Knauf.
Bertha L. Larson.
Erzella B. McMillan.
Esther L. Miller.
Irene M. Moran.
Clara M. Nelson.
Mna E. Ramsey.
Mae Tompkins.
Metta M. Whitson.
Naoma R. Winters.
Edith E. Zimmerman.

TRAVERSE CITY STATE HOSPITAL.

103

APPENDIX.
The State hospitals of Michigan are organized and governed Organic lawunder an act known as Act 217, Laws of 1903. This act has
for its title "An Act to revise and consolidate the laws organizing asylums for the insane and to regulate the care, management and use thereof, and to provide for the apprehension
of persons believed to be insane, and for their care and custody."
The above act was modified in no essential respect as
regards commitment of patients by the Laws of 1907, but
Section 72, Public Acts of 1907, contains very important
provisions regarding the care of persons who are not legal
residents of the State of Michigan. The act is too long to
justify its insertion, but all officers and persons interested
in the commitment of patients, whose residence is in doubt,
are requested to study the different sections of this act.
The government of asylums is vested in boards of trustees Government.
appointed by the Governor. (Section 3.)
The State is divided into districts by the Joint Board of
Trustees. (Sections.) The counties comprising the district
of the Traverse City State Hospital are:
Alpena
Lake
Arenac
Leelanau
Antrim
Manistee
Alcona
Mason
Bay
Mecosta
Benzie
Midland
Charlevoix
Missaukee
Clare
Montcalm
Crawford
Montmorency
Cheboygan
• Muskegon
Clinton
Newaygo
Emmet
Oceana
Gladwin
Ogemaw
Grand Traverse
Osceola
Gratiot
Otsego
Isabella
Oscoda
losco
Presque Isle
Ionia
Roscommon
Kalkaska
Wexford
Provision is made by Section 7 for the transfer of patients one'Sstrict0
from one asylum to another when conditions make such trans- to another.
fer desirable.

104
Insane to be
committed to
hospital of
their district.
Classes of
patients.
Voluntary
patients.

Public arid
private
patients.
Order void
after thirty
days.
Bonds.

Advance
payment.

New bonds.

Temporary
orders.
Transfer from
private to
public.
Non-resident
Provisional
discharge and
readmission
of patients.

STATE OF MICHIGAN.

A patient is not to be committed to a hospital of a district
other than that of which he is a resident unless the court
adjudicates that there is no room in the latter, and that there
is in the former. (Section 8.)
Patients are divided into three classes: Public patients,
private patients, and voluntary patients. (Section 13.)
Voluntary patients are patients who are not insane. They
are kept and maintained without expense to the State, but
cannot be received so long as there may be applications for
the admission of public or private patients not cared for
because of lack of room. In other words, there must be room
for all others seeking admission before any voluntary patients
can be received.
Sec. 14, Act 155, Laws 1911, as amended by Act 94, Laws
1913, "Provides that such persons as may have been or may
hereafter be adjudged to be so addicted to the excessive use
of intoxicating liquors, or narcotic or noxious drugs, as to be
in need of medical and sanitary treatment and care, for whose
person a guardian has or may be appointed with power to
restrain his said ward in some suitable hospital or asylum
for treatment."
Both public and private patients can be received only on
an order from a probate court declaring the patient insane
and stating the method of support,—whether public or private. Such an order is void unless patient is sent to the
asylum within thirty days after it is issued. (Section 16.)
Besides the order of commitment from the court, there
must accompany a private patient a bond guaranteeing the
payment of his bills. The law (Section 16) makes it incumbent upon the court to see that this bond is furnished. Until
this bond is furnished the patient is regarded as a public
charge. There is also required an advance payment of fifty
dollars. Future payments are made at the close of each
quarter.
New bonds may be called for at any time by the medical.
superintendent, and the laws requires the court to see that
such new bonds are provided. (Section 16.)
Provision is made (Section 16) for the reception of both
public and private patients on temporary orders wherever
conditions demand immediate attention.
Section 21 provides for the transfer of a patient from private expense to public expense where conditions warrant such
a change.
Section 30 provides for the temporary reception and care
of insane who are not residents of this State.
Section 32 provides for the return to the hospital witKout
a new order of patients who have been discharged on trial,
where the duration of the temporary absence does not exceed
six months.

TRAVERSE CITY STATE HOSPITAL.

The attention of county officers is particularly called to the
provisions of Section 40 regarding the state of bodily cleanliness and the clothing of patients brought to the hospital, and
more particularly to that clause of the section providing for
a female attendant for insane women.
In conveying a patient to the hospital do not deceive him.
Truth should not be compromised by professing a visit to the
institution, and, on arrival, suggesting to the patient the idea
of staying, when his admission has already been decided
upon; nor should patients be induced to come and "stay a few
days to see how they like it," under the impression that they
can leave at pleasure. This course not only destroys confidence in friends, but also in the officers of the asylum, by
giving patients an impression that they are parties to the
deception.
Removal to the hospital should never ~be attempted when the
patient is much prostrated or laboring under severe bodily illness, and care should lie taken that the excitement attending
acute mental disease be not mistaken for physical strength.
As friends of patients are often in doubt as to what articles of clothing it is necessary to provide, the following suggestions are made:
Male patients require 3 new shirts, 1 new and substantial
coat and vest, 2 pairs of pantaloons, 3 pairs socks, 2 pairs
drawers, 2 undershirts, 1 hat or cap, 1 cravat, 3 collars, 6
handkerchiefs, 1 pair of shoes or boots, 1 pair slippers, 1
overcoat.
Female patients should have 3 calico dresses, 3 chemises, 3
pairs of drawers, 4 pairs hose, 3 night-dresses, 3 cotton-flannel
skirts, 6 handkerchiefs, 4 collars, 1 pair shoes, 1 pair slippers,
1 shawl or cloak, 1 hat, hood or nubia, 4 aprons.
The outfit should be liberal when circumstances permit.
As nearly all the patients go regularly into the open air each
day, it is desirable that they be furnished with clothing of a
character to enable them to go comfortably in all weather,
and also to appear at little social gatherings. When desired,
articles of clothing, etc., will be furnished at the institution.
Jewelry should not be brought with patients. // such articles
are left in their possession the hospital cannot be responsible
for their safe keeping.
All letters concerning patients, from individuals having
the right to make inquiry, will be answered at once; and
friends are promptly advised of any severe illness, accident,
or event of moment or interest. The postoffice and telegraphic addresses of one correspondent in each case are
recorded, to whom such communications are sent. Letters
are frequently received to which replies cannot be mailed, for
the reason that the postoffice address is not clearly given. A
little care on the part of friends will often save them disappointment and the asylum unmerited censure. Information
concerning inmates will not be given to casual visitors, except
at the written request of friends.

105
Insane women
to be accompanied by
female
attendant.
Removal of
patients from
home.

Clothing.

Correspondence.

106
Visiting
patients.

Application
for admission
of patients.

STATE OF MICHIGAN.

Where relatives of patients desire friends who are not
members of the family to visit patients, they should, in every
instance, furnish these friends with a letter of introduction,
authorizing the interview.
Application for admission should be made before the patient
is brought -to the hospital. A blank will be furnished the
friends which provides for a complete history of the patient's
trouble.
All correspondence in reference to patients should be
addressed to Dr. James D. Munson, Traverse City State Hospital, Traverse City.

INDEX

INDEX.

Accounts, abstract of
Accounts, current, summary of
Acknowledgments
Admission of drug habituates
Admission of public patients
Admission of private patients
Admission of voluntary-'patients
Age of first admissions—Table 8
Age of patients at time of death—Table 17
Alcoholic first admissions—Table 12
Analysis of foods
Appendix
Appointments, resignations, etc
Appropriations, report of
Board of Stewards
Boiler
Chapel
Clinical work
Clothing
Community work
Correspondence. . .'
Cost of maintenance
Citizens of first admissions—Table 5
Causes of death—Table 16
Daily average of patients
Deaths, violent
Death rate
Dietetics and food analysis
Discharge of patients—Table 15
Domestic arts and science
Degree of education—Table 9
Establishment
Estimates of special appropriations
Electric elevator
Environment—Table 10
Economic condition—Table 11
Fire in laundry
Financial statement—Table 2
Graduates of training school
General Hospital
General information—Table 1
Harrison Law
Improvement
Increase of patients
Index
Inventory, summary of
Laundry machinery
Library, report of
Movement of insane population—Table 3
Marital condition of patients—Table 13
Names of officers and employes

%

:

„

Page
32
32-34
94
104
104
104
104
52-53-78-79
64-65-88-89
56-81
11-12
103
30
25-28
10
27-92
94
14
105
8-9
106
24
46-73
6O-61-62-63-84-85-86-87
25
23
25
10-12
59-82
13
54-80
3
92-94
27-92
'. . 55-80
55-81
23
44-70
101-102
15-20
43—44—69
9
25
•. .. .
24
107
42
26
21-23
44—45-71
57-82
96—100

110

INDEX.
Page

Nativity of parents—Table 4
Nativity of patients—Table 4
Needs of hospital
Overdrafts
O fficers, names of
Porch
Public health
Psychoses of first admissions—Table 6
Psychoses of readmissions—Table 14
Recapitulation
Receipts and disbursements
Removal of patients to hospital
Repairs to roofs and gutters
Report of Medical Superintendent
Report of State Board of Corrections and Charities
Report of Board of Trustees
Report of Treasurer
Report of Steward
Report of Auditing Committee
Roll of Honor
Race of first admissions—Table 7
Store, addition to
Social work.
Total duration of hospital life—Table 18
Visiting patients
7
Wassermann reactions
X-Ray department

,

'.

-

45-72
45-72
26
27
5—6
26
8
46-47-73
58-82
28-94
29
105
28
43
94
7-31
32-38
39-42
38
30
48-51-74-77
•. 26-92
8-9
66-67-90-91
106
15
20