Report of the Board of Trustees of the Traverse City State Hospital at Traverse City June 30, 1916.

Report of the Board of Trustees of the Traverse City State Hospital at Traverse City June 30, 1916.

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

Psychiatric hospitals.

Report of the Board of Trustees of the Traverse City State Hospital for the biennial period ending June 30, 1916. This report includes the reports of the medical superintendent, treasurer and steward.

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

Original document held by Traverse Area District Library.

Lansing: Wynkoop Hallenbeck Crawford Co., State Printers.

30 June 1916

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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English.

Document.

TCSH0008

Traverse City, Grand Traverse County, Michigan.

REPORT

BOARD OF TRUSTEES

TRAVERSE CITY STATE HOSPITAL

TRAVERSE CITY
JUNE 30, 1916

BY AUTHORITY

LANSING, MICHIGAN
WYNKOOP HALLENBBCK CRAWFORD CO., STATE PRINTERS
1916.

TRAVERSE CITY STATE HOSPITAL.

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 $1,104,925.73. The property consists of 45 buildings, occupying a tract
of land containing 723 acres. It cares for 1,693 patients.
Act No. 21, Public Acts of 1911, provides that the Northern Michigan Asylum
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
M. F. QUAINTANCE
C. D. ALWAY
S. E. NEIHARDT, M. D
C. E. MILLER, M. D

MANISTEE
TRAVERSE CITY
PETOSKEY
TRAVERSE CITY
SOUTH BOAHDMAN
CADILLAC

RESIDENT OFFICERS.

JAMES D. MUNSON, M. D
A. S. ROWLEY, M. D
W. D. MUELLER, M. D
ADAH EPPERSON, M. D
H. V. HENDRICKS, M. D
F. C. MAYNE, M. D

MEDICAL SUPERINTENDENT
ASST. MEDICAL SUPERINTENDENT

N
/
>
\T OFFICERS.

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

ASST. PHYSICIANS

STEWARD
DETROIT, MICH., GYNECOLOGIST

CHAPLAIN.

REV. D. COCHLIN

.TRAVERSE CITY

TREASURER.

A. J. MAYNARD

TRAVERSE CITY

OFFICERS OF THE NORTHERN MICHIGAN ASYLUM FROM ITS
ORGANIZATION IN 1881.
BOARD OF COMMISSIONERS APPOINTED TO SELECT SITE FOR THE NORTHERN
MICHIGAN ASYLUM.
Date of
appointment.

Name.

Residence.

Retired.

Traverse City. Work of board completed Sept. 30, 1882.
Perry Hannah
E. H. Van Deusen. . . Kalamazoo.
M. H. Butler
Detroit.

1881
1881
1881 . . ;

BOARD OF COMMISSIONERS APPOINTED TO ERECT THE NORTHERN MICHIGAN
ASYLUM.
Date of
appointment.

Name.

Residence.

Traverse City
E. H. Van Deusen. . . Kalamazoo.
M. H. Butler
Detroit.
St. Joseph.
H. H. Riley
Thos T Bates

1881
1881
1881
1881
1885

Retired.
1885
Vice Perry Hannah.

The work of the building commission was finished Nov. 10, 1886.
MEMBERS OF THE BOARD OF TRUSTEES OF THE TRAVERSE CITY STATE HOSPITAL.
Date of
appointment.
1885
1885
1885
1885
1885
1885
1887
1887
1889
1891
1891
1889
1895
1897
1897
1889
1901
1901
1902
1901
1903
1905
1907
1909
1913
1915
1917

Name.
C. M. Wells
Alex. Chapoton, Sr . .
J W French
Thos. T. Bates
H. H. Noble
G«o A. Farr. . .
Lorin Roberts
John Benjamin . . .
C. L. Whitney
H. C. Davis. . .
G. A. Hart
W. W Cummer

....

Residence.

Traverse City . . . 1887
Detroit
1887
Three Rivers
1889
Traverse City . .
1913
Elk Rapids .
1897
Grand Haven
1891
M arquette
1893
Traverse City. .
1889
Grand Rapids. . . 1891
Muskegon
1895
Traverse City. . . 1921
Manistee
1897
Cadillac. .
1901
1901
Detroit
1905

C F Backus . . .
H. D. Campbell
Traverse City.. .
W. W. Mitchell. . . . Cadillac
H. D. Brigham
Grand Rapids. . .
D. B. Butler.
Frankfort
G. A. Hart
Manistee
A. F Temple. .
M. F. Quaintance . . Petoskey
E. S. Wager. . .
C D Alway
S E Neihardt.
C E Miller

Term
expires.

Edniore. . .
S Boardman .
Cadillac

1901
1917
1901
1903
1907
1908
1917
1919
1915
1919
1921
1917

President
from to

Remarks.

1885 to 1886.
1886 to 1892.
1907 to 1910.
1892 to 1897.
1897 to 1899.
1899 to 1902.

Present member.

-Died.
1902 to 1907.
1910 to 1912.
1912.. .

Present member.
Present member.
Present member

MEDICAL OFFICERS.
Medical Superintendent:
James D. Munson, M. D., 1885.
Assistant
3. H.
C. G.
A. S.

Medical Superintendents:
Dawson, M. D.—1885 to 1890. Resigned.
Chaddock, M. D.—1890 to 1892. Resigned.
Rowley, M. D.—1895
.

Assistant Physicians:
G. G. Chaddock, M. D.—1885 to 1890. Promoted to Assistant Superintendency.
W. A. Stone, M. D.—1886 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.
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. Purduin, 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
.
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
.
Stewards:
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. G. Puddefoot, 1886 to 1888.
Rev. D. VanAlstin, 1888 to 1890.
Rev. D. Cochlin, 1890

GROUNDS—EAST FROM ADMINISTRATION BUILDING.

REPORT OF THE BOABD OF TRUSTEES.
To the Governor and Legislature of the State of Michigan:
The Trustees of the Traverse City State Hospital have the honor to
submit their report for the biennial period ending June 30, 1916, together
with the reports of the Medical Superintendent, Treasurer and Steward.
Regular meetings of the Board have been held each month. The period
just closed has been an important one in the history of the institution.
The Hospital in all of its departments has been maintained at a high
state of efficiency and it has been enlarged and improved. A general
hospital department has been established and new dining rooms have
been constructed. Some of the problems of public health, such as community health surveys, after care of mental patients, care of delinquent
and backward and feeble-minded children, the establishment of community clinics, district and school nursing, etc., which are thrusting
themselves into public consciousness insisting upon practical solution
have been considered. It is thus briefly shown that the activities of the
hospital are ever widening and that it is taking an increasing part in
the preservation of the public health.
"Preventable diseases and accidents continue to take their huge toll
of human life among us besides imposing prolonged suffering upon millions of our people, and depleting the wealth of the nation." We believe that it should be the duty of institutions of this character1 to disseminate the knowledge of healthful living among the people.
Perhaps one of the greatest economic improvements during the period, if not since the opening of the institution, was the construction of a
railway side-track from the Pere Marquette Railway to the hospital.
Every effort has been made to promote the recovery and welfare of patients. We have not been inattentive to the care and best welfore of the
infirm, the noisy and destructive patient, but in every way have attempted to render their life more comfortable by more skillful nursing,
kindly attentions, by medical supervision, and by useful occupations and
as many pleasing diversions as possible.
The period just closed will mark a greater departure than ever'from
the conservative methods of the closed hospital. Until very recently the
hospital activities were limited to the physical care and a routine treatment of its patients, but now each patient is looked upon as a psychic
problem deserving the most careful study to which is added the wider
activities which aim at the scientific oversight of the mentally ill and
mentally defective and of the general public health.
The cost of maintenance for each year of the period was 50c per patient per day, plus clothing. It is stated by some that the cost of caring for the insane has greatly increased during the last few years, but it
may be seen by consulting in this report, the record of cost of mainte-

8

STATE OF MICHIGAN.

nance since 1885, that the cost for each patient per day is less in 1915-16
than it was in 1885. Further, the cost of maintenance during the last
few years includes officers' salaries and the cost of fire insurance and
workingmen's compensation insurance which amounts to nearly four
cents per patient per day. Such statements, however, are erroneous and
misleading since they gain wide publicity through the press. Every effort has been made to lower the overhead charges in every department
of the hospital. The year 1915 was particularly unfavorable to the agricultural interests of this region. It was marked by frosts, and fruits
and garden and farm products were practically destroyed. This year
promises better results but a severe drouth will greatly shorten all
crops. The failure of crops was a source of much loss and added just
that much to the cost of maintenance.
The joint purchases by the Board of Stewards have increased during
the period and have been quite uniformly satisfactory. It should not
be overlooked, however, that the expenses of this Board—a considerable
sum—must be added to purchase prices before net profits from such purchases can be determined.
We know of the extravagant claims made for the so-called budget system, but do not fully comprehend what reforms are intended to be accomplished by it and what the machinery is to be. No one has more
than generalized upon it, and we feel that specific instances should be
enumerated of extravagance before existing methods in our institutions
are condemned. We favor any system that will increase efficiency, but
we respectfully ask for facts and figures demonstrating present imperfections before condemning the system in use and establishing in its
stead an untried one. We are familiar with joint purchase and find it
as a whole satisfactory in connection with individual institution purchases. An individual institution often purchases at a lower price than
the Board of Stewards. Prices of commodities depend upon conditions
of market, upon the day, and even on the hour, at which a contract is
made.
DIETETICS.

Foods and their preparation continue to be supervised by the dietitian.
Both the food materials and the preparation of foods have been maintained at a high standard and at a low per capita cost. The serving of
food to patients in groups has proved not only practical but of economic
value.
The foods are served upon a ration basis and their values are determined from time to time. The physical health of the patients has been
well maintained and this is largely ascribed to the care that is given to
the dietaries. Dietetics is a mighty factor for good, and nothing adds
more to the health and comfort of patients than good foods. Many patients assist in the kitchens, in the canning of fruits and in the preparation of cake, bread, etc. A large number of women patients have been
engaged in this work, and also quite a large number of men have been
instructed in serving table and in assisting about the kitchens. A class
in home economics has been established and many patients will return to
their homes better fitted than ever to carry on the daily work of their
households because of the training received in the hospital.

TRAVERSE CITY STATE HOSPITAL.

9

DOMESTIC ARTS AND SCIENCE.

The domestic arts and science department continues to be of value, although during the year several changes have occurred by reason of ill
health, resignations, etc. An effort is made to interest every patient in
some useful occupation. Instruction is given in fancy work and other
diversional occupations. Much attention is given to exercise, to amusements and the like. This field offers many possibilities, and undoubtedly
will- grow in usefulness with each succeeding year.
. .

OCCUPATION FOR MEN.

About 50% of the men are engaged in work. The institution has
about 600 acres of land under cultivation. The garden, orchard, and
farm, furnish most of the work, although some patients assist in the
wards, help on the lawns and grounds and in the laundry, etc. During
the summer, Elmwood Avenue was graded and made a most beautiful
street and driveway by the labor of patients,—by men long resident in
the hospital, and who had never before performed outdoor work. They
became greatly interested and found pleasure in it and all were improved in health. We may say that all patients physically able are engaged in some useful work for a few hours every day.
TRAINING SCHOOL FOR NURSES.

The training school for nurses is becoming more valuable with each
succeeding year. It has received much attention from its officers and is
doing good work. More care has been taken in the selection of the pupils
and in their training. There has been a great change in our attitude toward the nursing of mental cases. The old idea of repression, punishment, seclusion, etc. of patients has given way to the care of the sympathetic, enlightened, and unselfish nurse. ,A vast field in civics is opening for the trained mental nurse. 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 about
the surrounding country and often as many as four or five are out at a
time. A constant effort is 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 added to it. If so, the training school will be complete in practical training material and will not have to seek affiliation with other
schools before its pupils can receive the "R. 1ST." degree. The hospital
training school has a large pupil class and one of the 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 workers, etc., to all
the people. We cannot refrain from saying that your Honorable Body
must not be inattentive to the importance of this branch of civics and
by proper legislation you should make it legal for this work to become a
part of the hospital service.

10

STATE OF MICHIGAN.
CLINICAL WORK.

This has been under the general direction of Dr. J. A. Hall and Dr. F.
C. Mayne. The following is a brie! report of the examinations and other
work done in the laboratory:
Examinations:
Urine
Blood
Throat cultures
Culture from hand infection
Ascitic
fluid
Pleuritic
fluid
Smear from eye
Smear from urethra
Sputum
Stomach contents
Faeces
Widal reaction
Necropsies
Pathological specimen
Bloods for Wasserman:
447 men; 285 women;
Positive reaction:
84 men; 26 women;
Doubtful:
14 men; 21 women;
Spinal Fluids:
Boss-Jones
Cell counts
Lange's gold test
Tuberculosis
Wasserman; C. S. F.:
26 men; 2 women;
Positive:
19 men; 1 woman

857
S3
55
1
2
7
1
2
44
2
3
9
13
9
732
110
35
9
10
4
1
28
20

The Wasserman test was given to practically every patient. Positive
reactions were found in 19% of the men and in 9% of the women; and
doubtful reactions in 3.6% of all the cases. About 10% of the admissions were alcoholic and drug habituates. To these factors, i. e., syphilis,
alcohol, and drugs, is due one-fourth of the admissions.
It is evident
that the removal of these causes would effect a vast saving to the state
to say nothing of improved health conditions. In the preface to an article taken from the Boston Medical and Surgical Journal of April, 1915,
published by the Massachusetts Society for Mental Hygiene, by J. Harper Blaisdell, M. D., of Boston, entitled, "The Menace of Syphilis to the
Clean Living Public," it is said, "Not all persons who are infected with
syphilis become insane but the number who do is sufficiently great to
rank syphilis as one of the most immediate factors of the production of
mental disease. The most of these persons suffer from a form of mental
disease that is not curable. They have therefore been lost to the com-

TRAVERSE CITY STATE HOSPITAL.

11

munity and at a time—middle life—when their services to their families
and to society was at its highest value."
"The control of syphilis is essential to the control of mental disease."
The Boston Medical and Surgical Journal of April, 1915, made the following comments on Dr. Blaisdell's paper: "There is no doubt that many
persons contract syphilis innocently and that many more are exposed to
this danger. It has been pointed out that even those who lead the most
sheltered lives are not free from this menace." Must the innocent always be thus endangered, and how great is the risk? It is not known
how many syphilitics there are in our community, how many of them
will endanger their associates, or how many persons with lesions on
their hands are engaged in the preparation of food. These things cannot be known until all cases of syphilis are reported promptly to the
local health authorities. We believe that your Honorable Body should
take this great question under most careful consideration and make
specific diseases reportable to health officers. As Dr. Blaisdell clearly
points out, "The course of every infectious disease may be diagrainatically represented by three links of a chain. The patient at hand corresponds to the middle link with the source of his infection being the
first link, and those to whom he passes the disease being the third. The
stamping out of the disease depends as much upon the control of its
source and the prevention of possible exposure of others, as upon the
proper medical care of the patient himself. Generally speaking, either
in the hospital or private practice, little effort is being made along this
line." As Dr. Blaisdell further points out, "this is a vast field of preventive medicine which is still practically untouched."
THE HARBISON LAW.

Under the operation of the Harrison Law, a large number of drug
habituates have been admitted. The most of these patients are not insane and cannot well be detained in the hospital long enough to effect a
cure. Some special provision should be made for their residence other
than in the ordinary mental ward. The legal control of these individuals should be clearly defined and if segregated it should be, if possible,
separate from the mentally ill. This is a matter of importance not only
to the narcomaniac patients but to the welfare of the institution as well.
As a matter of fact, there is no specific teratment for narcomania. In
many there is not only mental, but physical, unbalance. The treatment
must be varied to suit the case, but elimination should be accomplished
as rapidly as safety to the patient permits. After a comparatively short
time these patients become quite normal mentally and should not be kept
under severe restraint or associated too closely with mental cases. "Experience has proved conclusively that there are scarcely any other diseased conditions which demand a greater range, or even so great a range,
of therapy as does the treatment of narcomania."—Benton. Interstate
Medical Journal.
THE GENERAL HOSPITAL.

The legislature of 1915, Act No. 33, provided for the establishment of a
general hospital department, for the reception and treatment of all
emergency cases, and others seeking medical and surgical relief, other

12

STATE OF MICHIGAN.

than regularly admitted insane patients. Cottage 22 was set apart and
fitted for a general hospital. Under the rules and regulations established for the government of the general hospital department, every physician in good standing in the State may send patients and treat them in
it, and shall have equal rights in the use of operating rooms, laboratory
facilities, or of any and all medical and surgical equipment. The general hospital department was opened June 26th, 1913. Its success has
exceeded expectations. The total admission for the year ending June
30th, 1916, were men 103, women 128, total 231. Of this number 14 died,
or a little over 6%. The death rate was perhaps lower than that of the
best metropolitan hospitals. The following tabulation of the medical
and surgical cases will afford a most comprehensive review of the work
which has been accomplished:

TRAVERSE CITY STATE HOSPITAL.

13

6
2
3
1
1
1

Amputation of breast . . .
Amputation of hand . . . .
Amputation of leg

93
1
2
1

Arthrotomy
Caesarian operation
Cauterization of gun shot wounds . . .

...

Drainage of abscess, appendix. . .
Drainage of abscess, breast . .

....

Drainage of abscess, tonsils
Ectopic gestation
Exploratory laporotomy . .

i
i
1

Lighation of artery left broad ligament . .
Mastoid operation

1
1
5
2
1

1
1

1
1
6
2
1

1
1
6
2
1

Ovariotomy
Plastic operation on lip
Rectal Fistula
Release of intestinal obstruction
Removal of bunions . . . .

1
2
16
1

1

1
1
1
2
10

1

4

2
3
1
3

1

1
1
45
12
1

1
2

1
1
1
3
1
2

'. .

2
93
2
2
1

3
24
1
1
3

1
1
45
12
1

. . .

6
3
3
1
1

3
24
1
1
3

4
2
3
1
2

Hysterectomy

Trachelorrhaphy
Tonsillectbmy . . . .

"o
H

14
2

1
1
1
10

. . .

Removal of cervical polyps
Removal of omental tumor . .
Removal of pelvic adhesions . .
Removal of tuberculous glands of neck
Resection of bowel
Resection of rib

"3

1
14
1
14
2

14

Dilation of cervix

if

3

1
1
5
2
1

Cholecystotomy
Cystocele . .
Crushed foot

Fractured skull . .
Fractured temporal bone .

Improved.

Cured.

Diagnosis.

Unimproved.

SURGICAL.

1
1
4
16
1
1
1
1
3
1

2

2
1
1
2

31
4
1
9

31
4
1
9

1

1

STATE OF MICHIGAN.

14

Alcoholism
Appendicitis .
Births

Improved.

Cured.

Diagnosis.

1

....

Bronchitis, pulmonary . .
1
1
1

Bruises — epigastric
Bruises, lungs.

Unimproved.

MEDICAL.

•q0)

"c3
0

'S

B

1
1
1
1

1
1
1
2
1

1

1
1
2

Carcinoma, uterus.
.
Colic, renal
Dysentery, amaebic. . . .
Empyema
Erysipelas
Gastritis
....

...

Hypochondriasis

. .

Iritis . . .
Locomotor ataxia
Neuresthenia . . . .
Obstruction of gall bladder
Orchitis .
Pelvic hemorrhage

i

1
2
1
1

....

i

. . .

1

.

Puerperal infection . . .

1

2

Tonsilitis
...

. .

4
1

i
2
1

2
6

I

i
2

2

Peritonitis
Pleurisy

Tubercular hip .

1

1

2
1
1
1
2
1
1
1
2
1
1
1
1
1
2
2
1
4
1
1

1

1

1
1

2

4

2
2

1
1

1
1
1

1

2
6
1

The opening of the general hospital has marked another distinct advance in State Hospitals. Its patients are mentally normal and while
they do not come directly in contact with the mental patients, in a way
they become acquainted with the efforts of the institution, learn of its
good work, and in their home surroundings become interested workers
for the welfare of all patients in the hospital and in their home communities.
The general hospital has been of special advantage to nurses in training. It has afforded much experience to them in the care of acute diseases and surgical cases. It has added strength to the training school.
We earnestly hope that a maternity and a children's ward may be added
to it and our training school for nurses may be complete in itself. The
following table will show the receipts and disbursements 011 account of
the general hospital and it may be observed that there is a handsome
Balance to its credit at the end of the first year:
Total receipts for year ending June 30, 1916
$T,936 52
Total disbursements for same period
4,803 42
Leaving a balance of

$3,133 10

TRAVERSE CITY STATE HOSPITAL.

15

We believe we echo the wishes of the citizens of this great region when
we say that it will be to the interest of the State to foster this general
hospital and make it possible to enlarge it to the extent above suggested.
The problems confronting the State in reference to the mentally ill and
to the public health in general does not so much reside in the care and
treatment of the patients within the hospital as it does in the prevention of causes which lead to mental ill health and various forms of mind
degeneracy. It we cite as examples two etiologic factors,—syphilis and
the drug habit, (including the excessive use of alcoholic drinks)—to
which are due about 25% of the mental diseases in our institutions,
should it not become the urgent duty of the State to locate these cases in
the vicinity and afford them timely treatment? The use of alcoholic liquors is the direct cause of much insanity and the indirect cause of much
more. It aggravates nearly, if not all, the diseases that cause insanity.
A larger proportion of children of the excessive users of alcoholic, liquors are mentally unbalanced and feeble-minded than are children of
temperate parents. When considering the prevention of causes of insanity
and mental degeneracy it should be remembered that anything that decreases the excessive use of intoxicants will decrease the number of insane and mentally deficient. Every such decrease of this class of people decreases the expense of maintenance of state institutions where such
people are cared for. "The distinctive activities arising out of the needs
created by mental disease and mental defect are best correlated in the
comprehensive term, 'mental hygiene.' Although the true alignment of
mental disease and mental defect brings them within the sphere of health
and medical interests, their magnitude is so great, and their requirement
so specialized, as to necessitate separate organizations and autonomy of
action. Close cooperative relations must exist with boards of health, organized charity, reformatory and penal agencies, educational commissions and societies for protection of child life, social uplift and betterment of living and working conditions of the masses, but initiative and
independence should be maintained."—Owen Copp. American Journal
of Insanity, July, 1916.
Would it not be wise for the direction of mental hygiene work to reside
in the hospital? Discharged patients should not from inattention be allowed to drift back into old ways or into insanitary conditions of living.
By timely help, recurrent attacks of mental disease may be prevented. If
this work were made possible through legislative action, boards of insanity, as Dr. Copp suggests, might become boards of mental hygiene, expressive of constructive purpose, instead of simply dealing with mental
disease within the restricted confines of the hospital.
A vast new field is opening up in civics to which Davenport has given
the name of "applied psychiatry." "This applied science has an end of
its own and methods of its own which differentiates it from others. It
requires the securing of a description of the personal history of each important individual; it requires an account of environment,—the stimulus
offered to each individual in order that one may interpret the constitutional idiocyncracies lying back of the reaction; it requires an adequate
picture of the reactions of all who have passed the years of childhood."
—Davenport.
It should be the duty of the hospital to train and supply mental hy-

16

STATE OP MICHIGAN.

gieue workers and to establish out-patient clinics, "especially just now
when we are realizing, almost for the first time, that the care of patients
inside the hospital is one, if not, indeed, a very small part of the duty of
the modern hospital, and that the welfare of the community outside the
walls of the institution is the big obligation that must be met."
As Dr. Copp points out, among the purposes of mental hygiene are,
"interpretation and diffusion of such knowledge for information of the
public and the medical profession itself, as to the magnitude and import
of the problems of the mentally affected, in order that they may be
aroused to consciousness of their obligation and self-interest in promoting with energy the aims of mental hygiene."
The State must not be inattentive to this important work. A neglect
of it on the part of our legislators will mean blocking of scientific progress, and injury to untold numbers yet unborn. We believe the state
should provide authority for the taking of community health surveys by
trained workers, health officers, or officers of a commission, or by those
who have legal supervision of the mentally ill, the criminal and delinquent, the alcoholics, and particularly the feeble-minded.
The hospital training school should be widened in scope and the most
practical instruction given in this domain of civics. The state hospital,
we believe, should become a co-ordinating center from which preventive
work should be directed. With proper provision of law, field workers
should be sent into communities to visit all discharged patients, look
after their continued welfare, and determine what course is best for
them. They should visit the homes of patients and from personal observation determine whether other members of the family may not be in
need of advice. Social workers, child welfare workers, and school nurses
snould also report the results of their observations to the local health
officers or recommend the patient to expert physicians of the out clinic
for examination with the end in view that an intelligent course of
treatment may be planned for every needful case. Mental clinics should
be established in convenient centers in charge of an experienced physician where any one could go for consultation. The patient might be referred from such clinic to their home physician for treatment, at least
some line of care could be recommended for their best welfare. With
such supervision, many patients now confined in the hospitals would become self-sustaining.and happy members of the community. A hospital
with a training school able to equip workers for this field, workers able
to mediate between it and the public health service, is of double value to
the community. In this field which is opening up before us, all that is
needed is clear sighted control to make it a most important tool for the
control of public health. Within the term "prevention may be found
most of the problems which are confronting all legislators. That this
new science may be successful you must identify yourselves with its progressive spirit.
Wherever mental clinics have been established they have proved successful. People have voluntarily availed themselves of their help. Many patients by the advice received at these clinics have been able to live at home.
The out-patient clinics of Massachusetts, New York, and Michigan have
proved themselves of great usefulness. The clinic through field workers
and the cooperation of physicians will bring many patients to it for re-

TRAVERSE CITY STATE HOSPITAL.

17

lief who have spent weeks, months, and even years, under various forms
of treatment, who have not been recognized as psychic cases, and "without any attempt on the part of their physician to even recognize this aspect of the case in order to prevent an impending insanity." The mental
clinic will give to the general practitioner a ready means of becoming
familiar with psychiatric conditions and their treatment.
The problem of the feeble-minded is of great importance and its solution has had a splendid beginning in our State. Dr. W. E. Pernald of
Boston, Mass., says, "The cumulative evidence furnished by surveys,
community studies and intensive group inquiries have now definitely
proved that feeble-mindedness is an important factor as a cause of juvenile vice and delinquency, adult crime, sex immorality, the spread of
venereal disease, prostitution, illegitimacy, vagrancy, pauperism, and
other forms of social evil and social disease."
Mr. Lewis E. Bisch, in the New Republic of August 19, 1916, in an article entitled, "The feeble-minded as criminals," says, of prisoners selected for examination at the psychopathic laboratory in the police headquarters of New York City: "It was found that about one-half of the
persons examined showed marked symptoms indicative of enfeebled
mentality, of a diseased mind, and in addition, there were many whose
judgment, reasoning, memory, and the other higher faculties that make
for good citizenship were affected by such a decay by the use of habit
forming drugs, alcohol, or the result of venereal disease, that efforts at
reform would usually be fruitless unless the subjects were placed in separate institutions and given special care and medical attention. It must
be remembered that this 50% does not represent the proportion of mentally irresponsible persons who pass through the hands of the police each
day, for only those persons were examined who showed either suspicious
symtoms or whose offense was of an unusual nature." He further says,
"There is absolutely no doubt that a certain proportion of all criminals
are definitely feeble-minded or irrational, and placing these individuals
in prisons neither protects society nor benefits the offender. A- feebleminded individual can never be normal, and especially if he displays abnormal tendencies should be placed for life in an institution where he
can be given work suitable to his capacity and where he can be made as
happy and as useful as possible.
It is not known how many feeble-minded people there are in the State
but the number of border line cases is large. It has been estimated that
there are at least three million individuals in the United States that are
on the border line between mental normality and mental abnormality. It
is from these border line cases that so much crime and delinquency and
human degeneracy is recruited. Dr. Fern aid further states: "Many
feeble-minded persons eventually become permanent public charges.
Many run the gauntlet of the police, the courts, the penal institutions,
the alms houses, the tramp shelters, the lying-in hospitals, and often
many private societies and agencies perhaps, eventually to turn up in
the institutions for the feeble-minded. At any given time, it is a matter of chance as to what state or local or private organization or institution is being perplexed by the problems they present. They are shifted
from one organization or institution to another as soon as possible."
If community clinics were established with social and mental workers
3

18

STATE OF MICHIGAN.

trained for the service, these individuals would be gradually picked out
and in connection with health officers, mental expert physicians, etc.,
means would be devised for their best care. In this way, practical means
would be established for the prevention of further spread of human decay.
X-RAY DEPARTMENT.

The board established a laboratory of Roentgenology in June, 1916.
This laboratory was established because we believe every hospital should
be equipped to give its patients the benefit of all means proved useful by
medical science. Koentgenology has proved itself not a medical fad but
a useful asset in the diagnosis and treatment of disease and no hospital
is complete unless it is equipped to make use of it.
The mentally sick are as prone as the mentally normal to fractures,
bone diseases, gastro-intestinal diseases, accidental swallowing of foreign bodies, and many other conditions in which the Roentgen Bay has
been proven invaluable as a diagnostic agent.
Aside from treatment, every institution of this kind should contribute all within its power to medical knowledge. With so vast an amount
of material at hand there are opportunities to make observations which
might prove valuable. At the present time we are making a roentgenographic study of the sella turcica of the epileptic. We have already
studied fifty consecutive cases and shall report our observations within
the near future provided we believe any of them worthy contributions.
And we would remark incidentally, that it is not always the positive findings only that are valuable. Sometimes negative findings are of equal
diagnostic value.
The laboratory is fully equipped with the most modern apparatus. We
have a powerful Wappler transformer, a combination radiographic table
and trochoscope, diagraphoscope, a tube stand for stereroentgenography.
Wheatsone stereoscopic viewing box, Ooolidge tubes, and other small apparatus.
The laboratory rooms are arranged and furnished to facilitate examinations and offer comfort to the patient.
The transformer room is
large enough to accommodate the different appliances but has no waste
space. The reception room is also used for viewing and filing plates.
The dark room is well equipped with tanks and other paraphernalia assisting in turning out work with the least delay. There is a dressing
room and lavatory combined. There are two other rooms which will be
used for photography and storage.
During the first two months, besides establishing a working technique,
we have made over seventy-five different examinations embracing a variety of diseased conditions.
To illustrate the value of roentgenographic examination in our work,
we will illustrate by one instance out of several in our short experience.
Case 45, T. A., age 38, came to us with a diagnosis of gastric ulcer. Extracts from our roentgenological report reads as follows: Examination
of stomach after a barium meal shows no pathology. Six hours after
meal the stomach and small intestines were completely emptied, and the
colon is filled throughout the whole length. The colon appears anatomically normal. There are adhesions about the cecum and the appendix can-

TRAVERSE CITY STATE HOSPITAL.

19

not be visualized from any position. The colon had not emptied itself at
the end of 48 hours. Diagnosis: pathological appendix, probably obliterative appendicitis. The diagnosis was confirmed upon laporatomy
and an appendectomy performed. The patient made a rapid recovery.
Fluroscopic examinations are very valuable in the diagnosis of tuberculous conditions. Even before the patient himself may be aware of approaching lung disease, the fluroscope will show the peculiar changes in
the lung tissue which is so characteristic in tubercular disease. We
might enumerate many other conditions and several very interesting
diagnoses which have been made by means of the X-Eay in the short
time it has been in use.
VIOLENT DEATHS.

Two deaths occurred from suicide and one from cold and exhaustion
in trying to cross a field deeply covered with snow. It was evident that
the last patient became confused and mistook a road leading into a field
for the highway and exhausted herself in trying to find her way out.
TRANSFER OF PATIENTS.

Eight patients were transferred to the Ionia State Hospital. Ninetysix patients were received from the Pontiac State Hospital and two from
other State Hospitals.
INCREASE IN PATIENTS.

The gain in patients during the period was, men 149, women 27, total
176. If the patients received from other hospital districts, one man and
95 women, total 96, are deducted from the total admissions, the net gain
in the district for the last 28 years has been 22.9 per year. Of. the 897
patients admitted, 38 had been confined in county houses, 112 had been
confined in jails, 264 had been treated in other hospitals, 21 were said
to have been destructive, 40 had attempted or threatened suicide, 53
were homicidal or had attempted homicidal assault, and 12 had been confined or restrained at home.
The number of patients confined in county houses, jails, and other hospitals, exceeded the last biennial period by 158. The number of suicidal
cases was greater by 6, and the number of homicidal cases was less by 6.
Since June 30, 1892, these statistics have been regularly kept and show
out of a total of 7,007 admissions that 244 (3.5%) were confined in
county houses; 742 (14% + ) have been confined in jails; 685 (9.7%) have
been treated in other hospitals; 530 (7.5%) were destructive; 430 (6%)
were suicidal; 643 (9.1%) were homicidal; 415 (5.5%) required some
sort of restraint at home.
COST OF MAINTENANCE.

The daily cost of maintenance per patient for the last 30 years has
been as follows:

20

STATE OF MICHIGAN.

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 f5193.93)
51
1915 (Incl. officers' salaries and pro rata of Ins.
fund, $5143.93 and working men's Ins.
1341.37)
50
1916 (Includ. officers' salaries and pro rata of Ins.
fund, |5143.93 and working men's Ins.
1341.37)
50

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

DISCHARGE OF PATIENTS, EEADMISSIONS, ETC.

There were 721 patients discharged during the period; 411 men and
310 women. Of this number 146 were discharged recovered, 181 improved, 56 unimproved and 334 died. The percentage of recoveries on
the whole number under treatment was 6%; on the number admitted,
16%. The death rate was 73 per thousand in 1914-15, and 89 per thousand in 1915-16.
The readmission for the period were, men 65, women 63, total 128. The
readmissions from the beginning have been, men 434, women 419, total
853. The total number of patients admitted 7,007, represent 6,154 individuals.
The daily average of patients for the period was 1630. The number of
weeks spent in the institution by patients was 172,330 3-7. This was an

TRAVERSE CITY STATE HOSPITAL.

21

increase of 158 in daily average, and an increase of 16,731 2-7 weeks'
board over the preceding period.
On June 30, 1916, there were 1657 patients under treatmennt at state
expense and 36 as private expense.
There were 312 persons employed at the hospital on June 30, 1916, in
the positions and at the wages given in the schedule accompanying this
report.
ORDINARY REPAIRS AND IMPROVEMENTS.

During the year ending June 30, 1915, the cost of repairs was $30,285.16 and for the year ending June 30, 1916, $31,124.25. Among the
more important improvements of the period was the reorganization of
the cow stables. New concrete floors and mangers and stanchions with
individual water supply for each animal were installed, and several of
the barns were repainted and reshingled. These improvements were absolutely necessary in order to prevent further decay of the buildings. The
dairy barns are extensive and have a money value of not less than $70,000. In the granary building a small room had been constructed for
milk testing, etc. This room contained a furnace with which warm water
was supplied to the various barns as required in preparing steam foods,
etc., for the cattle. The chimney from this furnace reached out through
the roof of the granery building. The barns caught fire from this chimney in the early part of April last and it was by rare good fortune that
it was discovered and the loss of the barns and stock was prevented by
timely action. These buildings were practically without fire protection
and at the first succeeding meeting of the Board it was directed that a
building be constructed away from the barns for the housing of the furnace, milk testing appliances, milk cooling devices, etc., and thus remove
a great source of danger by fire. This building has been completed and
not only greatly insures against danger from fire, but is very complete in
its appointments, for the care and testing of milk and in waiting rooms
for help.
Considerable outlay was incurred by the renovation of toilet rooms in
the main building and in the replacing of many wood floors with terrazzo
floors. The fixtures in these toilet rooms were worn out and unfit for
service and the floors of these had become insanitary and endangered the
health of the institution. Many other minor improvements were made.
After the new dining room for men was ready, the old dining rooms and
kitchens had to be renovated and made ready for the reception of patients. This also involved a considerable outlay. Experience has demonstrated that it costs between 2 and 2y2% of the value of buildings per
year to keep them in condition.
SPECIAL APPROPRIATION, $38,137.80.

This appropriation was made by the Legislature of 1913 for the construction of a side-track to the hospital. It was finished in 1915 and
during the first year of its operation over 400 cars of freight were delivered to the institution. On June 30, 1916, there remained in the hands
of the treasurer to the credit of this fund, f703.80. We would resr»ectfully request authority to transfer this balance to the credit of the fund

22

STATE OF MICHIGAN.

for the construction of "carpenter and paint shop." This right of way
cost $22,738.46. It crosses a number of city lots and we would respectfully request of your Honorable Body an enabling act to sell portions of
these lots and to apply the funds accruing from any such sales to the
construction of a new general hospital building.
SPECIAL APPROPRIATION, $1,500.

The Legislature of 1913 passed this appropriation for the purchase of
track scales. Only a few dollars have been drawn from this fund and
the scales are not required. On June 30, 1916, there remained in the
hands of the treasurer to the credit of this special fund $1,459.95. We
would respectfully request your Honorable Body to authorize the transfer of this balance to the appropriation for "carpenter and paint shop."
SPECIAL APPROPRIATION, $2,500.

This appropriation was made by the Legislature of 1913, for repairs to
roofs and gutters of the hospital. Many of these repairs have been made.
There remained in the hands of the treasurer to the credit of this fund
on June 30, 1916, $412.66.
SPECIAL APPROPRIATION, $10,000.

The Legislature of 1913 made an appropriation of $10,000 for a dining room for men. After revised plans of this building were perfected it
was found that this sum was not adequate and the Legislature of 1915
made a further appropriation of |14,125.40. We would respectfully report that the building has been finished and occupied and is one of the
most complete congregate dining rooms in the country. A dish washing
machine was added to its equipment at a cost of $615.17, which, strictly
speaking, should not have been charged to the appropriation. We
would respectfully ask your Honorable Body to authorize the hospital to
transfer to this account from its general fund a sufficient amount to meet
any overdraft that may be charged to this appropriation.
This dining room has been in operation since March 1st, 1916, and from
this brief experience we feel warranted in stating that a saving of at
least $2500 a year will be effected. Patients no longer serve themselves
at the table but are helped by attendants which insures proper distribution of food. In connection with the dining room a moving picture machine has been installed (a gift to the State) and is a source of enjoyment to all. The dining room can be readily converted into an assembly
hall, and it comfortably seats from 600 to 800 people. The building is
fire-proof and is a credit to the State.
The completion of the new dining room for men was followed by converting various cottage dining rooms and kitchens into dormitories furnishing additional accommodations for upwards of 120 patients.
The
average cost of a cottage building is about $500 per bed. Therefore, the
expenditure of a little over $25,000 for this new dining room was secured
to the State additional accommodations for patients that would cost at
least $60,000.

MEN'S GENERAL DINING ROOM.

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•» •
mm "mm
—

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:„ :

GENERAL DINING ROOM FOR MEN.

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mm ar?'
— ••«•

TRAVERSE CITY STATE HOSPITAL.

. 23

SPECIAL APPROPRIATION, $2,034.75.

This appropriation was made by the last Legislature for an addition
to the dining rooms of the south wing of the main building. It has been
finished and adds greatly to the usefulness of the rooms. We believe that
there is no system of dining rooms and kitchens that is more practical
or better suited to the needs of a hospital population than may be found
here. The dining rooms are commodious, well ventilated, fire proof, arid
foods are transferred to them directly from the kitchen by power elevators. It only requires a little time to transfer foods from the kitchens
to the various dining rooms. Coffee, tea, and hot foods, reach the tables
in much more palatable condition than was ever before possible. This
dining room addition made some alterations in the connecting parts of
the building necessary, viz: new floors in corridors, toilet rooms, and
new toilet room fixtures. All new floors in these corridors and toilet
rooms were laid in terrazzo. The elevator installed, owing to advanced
prices, cost more than the original estimate. We are sorry to state that
this addition exceeded the appropriation. This was partly due to increased values of building materials as well as of labor and partly by the
alterations in the connecting parts of the building that were required in
order to make the dining room extension practical.
SPECIAL APPROPRIATION, $8,000.

This appropriation was made by the Legislature of 1915 for an industrial building. The money has not been used. In reviewing the estimates of cost of the building, it was found that it could not be built for
the amount appropriated. The cost of the building based upon present
prices will be at least $12,000. We would respectfully ask of your Honorable Body an additional appropriation of $4,000. An industrial building is greatly needed. At present the industrial work is carried on in
basement rooms which are too small for the purpose. You must not be
inattentive to the fact that modern methods of treatment look upon useful and diversional occupations as of the highest therapeutic value. We
believe it would be a matter of true economy to construct this industrial
building at the earliest possible date.
SPECIAL APPROPRIATION, $2,500.

This appropriation was granted by the Legislature of 1915 for the construction of a dairy barn. The barn has been completed. It is a modern, handsome, sanitary structure, and well fitted to the needs of the
great dairy of the institution.
SPECIAL APPROPRIATION, $2,500.

This appropriation was made by the Legislature of 1915 for the purchase of washing machines. We would respectfully report that the machines have been installed and within the amount appropriated.

24

.

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

This appropriation was made by the Legislature of 1915 for the purchase of an automatic chain grate. A Continental Chain Grate has
been installed. This grate is giving the best of satisfaction. We are
pleased to say that the appropriation was sufficient to install it.
SPECIAL APPROPRIATION, $5,000.

This appropriation was made by the Legislature of 1915 for pumps
and other appliances for fire protection of the farm barns. Preliminary
surveys and other work preceding the installation of the plant have
been made. There remained in the hands of the treasurer to the credit
of this special fund on June 30, 1916, .$4,113.31.
SPECIAL APPROPRIATION, $8,452.00.

This appropriation was made by the last Legislature for the construction of a building to be used as a carpenter and paint shop. The building was begun under plans and specifications made nearly two years
ago and is now nearing completion. Owing to the increased cost of material and labor and of machinery, the building will cost at least $4,000
more than the appropriation. On June 30, 1916, there was an overdraft
against this appropriation of $1468.94. Your Honorable Body is respectfully requested to grant an appropriation of $4,000 to finish the
building and equip it with proper machinery. The new building is well
planned and is a much needed improvement. The institution had entirely outgrown its old shops and no doubt the new building will render this department of the hospital much more efficient.
NEEDS OF THE HOSPITAL.

The following requests for appropriations are for buildings and
equipment for the hospital. We would call your attention to the fact
that the hospital is constantly growing, that conditions of care and
treatment are changing, and that the appropriations requested are to
meet absolute requirements. These requests were decided upon after
careful consideration. Several other additions to the hospital should
have been presented for your consideration, e. g., a chapel building, an
amusement hall, but owing to the increased cost of building material,
it was thought an unfavorable time to build and therefore action was
deferred relative to appropriations for them.
ADDITION TO STORE, $7,000.

Your Honorable Body is respectfully requested to appropriate the
sum of $7,000 for enlarging the store building. The institution is lacking in store room space for flour and other supplies if purchased in
large quantities. We cannot too strongly urge the necessity for this
building.

GENERAL DINING ROOM FOR MEN—KITCHEN.

TRAVERSE CITY STATE HOSPITAL.

25

ADDITION TO COLD STORAGE PLANT, $7,215.

Your Honorable Body is respectfully requested to appropriate the
sum of $7,215 to enlarge the cold storage plant. The value of cold
storage can hardly be overestimated since the period of fresh fruits
and vegetables can be nearly doubled if cold storage is afforded for
their care. Eggs, and butter, cheese, meats, etc., can be kept almost
indefinitely and if storage is adequate much money can be saved by the
purchase of such supplies when the market is low. Fruits and garden
products, peas, tomatoes, etc., not consumed in fresh state, are conserved by canning, but the canned goods if they are to be kept indefinitely require cold storage, Excess of fresh fruits and garden vegetables
will exceed 30,000 quarts this year alone and a dead loss if allowed to
waste. The plans and specifications of these buildings were prepared by
the L. Wolfe people two years ago. The same specifications are used but
the estimates of material, etc., are based upon current market prices.
ADDITION TO NORTH DINING ROOM FOR WOMEN, $4,232.

Your Honorable Body is requested to appropriate the sum of $4,232
for the construction of an addition to dining rooms of the north wing
of main building. A similar addition was made to the south wing dining rooms and has proved so valuable that we ask for this appropriation. The existing dining rooms are too small.
ADDITIONAL FIRE PROTECTION,—NEW FIRE PUMP, $2,500.

Your Honorable Body is respectfully requested to appropriate the
sum of $2500 for the installation of a fire pump in the central station
of the hospital. The pump in use was installed in 1885, is too small, is
worn out and liable to go out of commission at any moment. It is imperative that the institution should be supplied with adequate fire protection. We would earnestly solicit your attention to this important
matter.
LAUNDRY MACHINERY, $5,000.

Your Honorable Body is respectfully requested to appropriate the sum
of $5,000 for a power mangle, surface ironers, and the reconstruction of
ironing tables, electric wiring, etc. The present mangle has been in use
since 1895 and is not only obsolete in type but about worn out. It is
thought the installation of surface ironers and the rearrangement of
ironing tables will economize in labor. It is stated by expert authority
that one surface ironer performs the work of from three to five helpers.
We would respectfully urge this appropriation.
FARM PURCHASE, $14,461.50.

Your Honorable Body is respectfully requested to appropriate the
sum of $14,461.50 for the purchase of 155% acres of land. This land is
situated about a half mile west of the hospital grounds and is a valuable property. The purchase price, $93 per acre, is not high. There is
a good farm house, two good barns, besides smaller out-buildings.
There is also a fine orchard of several hundred trees. The hospital has

26

STATE OF MICHIGAN.

a large number of men able to work on the farm. Fruits/, vegetables,
hay and grains are cultivated by them and add to the income of the institution. We most urgently ask your attention to this appropriation.
It is doubtful if the land will again be offered at this price. An option
is held on this property pending your action.
PORCH, $750.

Your Honorable Body is respectfully requested to grant an appropriation of $750 for the construction of a connecting corridor between
Cottage 30 and the congregate dining room for men.
RECAPITULATION OF APPROPRIATIONS REQUESTED.

Addition to store
Addition to cold storage plant
Addition to congregate dining room for women
Fire protection—fire pump
Laundry machinery
Additional lands
Connecting corridor
For building carpenter and paint shop
For building industrial building
Total

$7,000 00
7,215 00
4,232 00
2,500 00
5,000 00
14,461 50
750 00
4,000 00
4,000 00
149,158 50

FARM, GARDEN, STOCK AND GROUNDS.

The following tables show the produce from the farm and garden, and
cash receipts for farm produce, etc., sold during the biennial period:
FARM REPORT FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1916.
Mangels, bushels
Apples, bushels
2 ,271
12,351
59.50
Melons, musk, pounds
3,900
Apples, crab, bushels
Asparagus, pounds
3 ,485
Melons, water, pounds
12,850
Beans, string, bushels
370
Milk, pounds
J ,270,482
Oats, bushels
4,126
Beets, bushels
1 , 246
606
Onions, green, dozens
12,550
Beets, sugar, bushels
Onions, bushels
426
Beef, pounds
12 ,401
Parsnips, bushels
2,004
Cabbage, heads
32 ,463
Peas, bushels
276
Carrots, bushels
3 , 234
745
Pears, bushels
47
Cauliflower, heads
,
387
Peaches,
bushels
44
Celery, heads
28
9
Peppers, bushels
28
Ceienac, bushels
Pigs, pounds
56
Cherries, quarts
12.,003
174
Plums, bushels
Chicken, pounds
1 ,373.50
52,578
90
Pork,
pounds
Cider apples, bushels
1,915
Potatoes, bushels
Corn, green, bushels
1 , 294
Potatoes, sweet, biishels
31
orn, bushels
1 , 120
6.23
10
Pumpkins, food, tons
orn stover, tons
17.03
169
Pumpkins,
stock,
tons
Cucumbers, bushels
9,479
193
Radishes, dozens
Cucumbers, dozens
,394
36
Raspberries, quarts
Ducks, pounds
1,420
861.75
Rhubarb, pounds
Eggs, dozens
1,990
6
Ruta
bagas,
bushels
Egg plant, bushels
680
920
Sage, bundles
Ensilage, tons
235
341
Salsify, bushels
Grapes, bushels
870
400
Spinach, heads
Greens, pounds
7.76
55
Squash,
tons
Green fodder, tons
400
38
Squash, summer, pounds
Hay, clover, tons
3,364
90.50
Strawberries,
quarts
Hay, alfalfa, tons
135
26
Straw, tons
Hay, timothy, tons
145
14
Tomatoes, greenhouse, pounds....
Hay, June grass, tons
40
2.50
Tomatoes, green, bushels
Kohl Rabi, bushels
1,337
Tomatoes, ripe
Lettuce, pounds
9.,715
236.75
Turkeys, pounds
Lumber, hardwood, feet
3 , 033
521
Turnips, bushels
Lumber, softwood, feet
5 512

8

TRAVERSE CITY STATE HOSPITAL.

27

CASH RECEIPTS FROM FARM FOR THJE BIENNIAL PERIOD ENDING JUNE 30, 1916.
Cattle sold
$3,905 75
Prize money on cattle A. R. O
300 00
Sale of apples
3 00
Sale ol milk
13 08
Pedigree of bull
1 00
Sale of gravel
1 30
Sale of roosters
1 25
Sale of hides
310 69
Sale of bones
16 74
Board of horse
2 50
Horse shoes
2 40
Refund freight on feed
3 00
Refund freight on straw
6 75
Refund wages
50
Hauling material
4 00
Freight on hay, refunded
4 40
Sale of cork brick
7 80
$4,584 16

The farm management is divided into the following departments—
Farm, Orchard, Garden and Herd, and the head of each department is
under the direction of the Steward. There are a number of paid employees in each department, but a great deal of the hand labor is performed by parties of patients in charge of attendants.
A number of very important improvements were made during the last
two fiscal years, among which were building a new stock barn, completing the installation of barn equipment in the four main stock barns,
and also in the new barn; said equipment consists of sanitary steel wood
lined stanchions, cork brick floors where the cattle stand, concrete floors
and mangers, individual drinking basins and litter carriers. We have
also installed Empire Milking Machines with present capacity of sixty
cows, the equipment may be extended to milk one hundred cows when
necessity requires.
RECEIPTS AND DISBURSEMENTS.

The total receipts of the hospital for the fiscal year ending June 30.
1915, including cash on hand on special appropriations accounts, were
|328,507.12, and the total disbursements for the same period, including
special appropriations, were $335,044.04. The total receipts of the hospital for the year ending June 30, 1916, including cash on hand and
credits on special appropriations accounts, were $378,439.39, and the
total disbursements for the same period, including special appropriations were $391,333.49.
There was at the close of the biennial period ending June 30, 1916,
$10,885.86, in the hands of the treasurer; $6,813.38 of which amount was
to the credit of the current expense account and the balance of $4,042.48,
unexpended balance to the credit of special appropriations account.
OFFICERS.
In 1915 Honorable H. C. Davis, of Traverse City, Michigan was reappointed to the Board. Mr. Davis had served as a member of the Board
since 1891.
In September, 1914, L. S. Griswold, M. D., of Big Eapids, Michigan,
was appointed a member of the Board to fill the unexpired term of Mr.
E. S. Wager, deceased. Dr. Griswold resigned in December, 1914, much
to the regret of his associates on the Board.

28

STATE OF MICHIGAN.

In January, 1915, S. E. Neihardt, M. D., of South Boardman, Michigan, was appointed to the Board. Dr. Neihardt is a well known physician and his experience will be of value to the hospital.
In December, 1916, C. E. Miller, M. D., of Cadillac, Michigan, was appointed to the Board to fill the tinexpired term of W. W. Mitchell, deceased. Dr. Miller brings a ripe experience as a physician and doubtless will prove a very valuable acquisition to the institution.
J. A. Hall, M. D., who had been connected with the staff since 1910,
resigned his position in January, 1916, to accept an appointment at the
Willard Parker Hospital in New York City. The doctor carried with
him the best wishes not only of the Board but of the staff.
In February, 1915, Dr. H. V. Hendricks, of Worcester, Massachusetts,
was appointed assistant physician to the staff. Dr. Hendricks came to
us highly recommended and has proved a valuable acquisition to the
medical staff.
In January, 1916, Dr. F. C. Mayne, of Charlevoix, Michigan, was appointed assistant physician on the staff. The doctor came to us highly
recommended and is well fitted in every way for the position he occupies.
In July, 1914, the Honorable Edgar S. Wager, of Edmore, Michigan,
who had been a member of the Board of Trustees since 1909, was removed by death. The following is an abstract of resolutions passed by
the Board:
Mr. Wager came to us fully equipped by large business experience and
gave the best of his ripe experience freely for the benefit of the State
of Michigan, as one of the trustees of this hospital. He was deeply interested in the welfare of the institution and was especially valuable as
a member of the Farm Committee, in which capacity he served during
most of his term. It was apparent that he often came to the institution
during the latter months at great personal as well as physical inconvenience. In his death, the State lost a valuable member of the governing
board of the hospital and we all miss him as friends and co-workers.
In November, 1915, Mr. W. W. Mitchell, of Cadillac, Michigan, passed
from the activities of this life. Mr. Mitchell had been a member of the
Board of Trustees of this hospital since 1901. He was a valuable
trustee. The following is abstracted from resolutions concerning him
which form a part of the record of this institution:
Only those who have been intimately associated with Mr. Mitchell
fully appreciated his character. Goodness and riches too frequently have
nothing in common but Mr. Mitchell was well possessed of each. To no
group of persons outside of his immediate family was the death of Mr.
Mitchell a greater shock than to the Trustees and officers of the Traverse
City State Hospital. Mr. Mitchell seemed especially able to reach the
proper solution of a question with great rapidity due to his vast experience in problems of momentous import. His judgment went unerringly
to the essential features. He never lost sight of details, when details
counted, but no mass of unessential things could obscure his view of that
which really mattered. The quiet dignity of Mr. Mitchell and his kindness of heart impressed every one who came in touch with him. He
passed into the great beyond at the height of his activities and is universally truly mourned. By his death the State and institution lost a
valued servant.

TRAVERSE CITY STATE HOSPITAL.

29

In conclusion, we may say that we believe that the officers and employes of the institution have given their best to it. In the conduct of
its affairs we have followed a constructive course and have ever attempted to adopt all that is best and to the highest welfare of the patients and of the hospital. We appreciate the fact that steady progress
is being made in the management of hospitals in general and that the
medical and general care of mental patients is constantly changing for
the better. At the same time we have been deeply interested in the
movements which look to the prevention of all forms of mental disease
and earnestly hope that your Honorable Body will, by the wisdom of its
action, put our State in the front rank in mental hygiene and conservation of the public health in general.
WILLIAM LLOYD,
H. 0. DAVIS,
M. F. QUAINTANCE,
C. D. ALWAY,
S. E. NEIHABDT,
C. E. MILLEE.
Traverse City, Michigan, June 30, 1916.

30

STATE OF MICHIGAN.

TREASURER'S REPORT.
ABSTRACTS.
OF ACCOUNTS CURRENT OF RECEIPTS ANEr DISBURSEMENTS AT THE
TRAVERSE CITY STATE HOSPITAL FOR THE FISCAL YEAR ENDING
JUNE 30, 1915.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse City State Hospital
for the above named period as follows.
JULY, 1914.
CREDITS.

Balance on hand July 1, 1914
....................................
Cash from State Treasurer, current expenses
....................
Cash from other sources
......................................

---

$30,286 88
25 , 500 08
1 , 441 45

$57,228 41

DEBITS.

Account of side track
...........................................
Account of repairs, roofs and gutters
.............................
Account of porch, Cottage No. 32
................................
Account of wagoii and implement shed
...........................
Account of current expenses
.....................................
Balance on hand to new account
.................................

$88 33
82 20
108 31
588 57
19,815 91
36,545 09
-

$57,228 41

AUGUST, 1914.
CREDITS.

Balance on hand August 1, 1914
Cash from State Treasurer, current expenses
Cash from othersources

-

$36,545 09
25,500 08
532 37

$62,577 54

DEBITS

Account of culvert.
Account of side track
Account of repairs, roofs and gutters
Account of porch, Cottage No. 32
Account of wagon and implement shed
Account of current expenses
Balance on hand to new account

..

$120 60
276 31
189 13
200 94
402 54
28,633 11
32,754 91

$62,577 54

SEPTEMBER, 1914.
CREDITS.

Balance on hand September 1, 1914
Cash From State Treasurer:
Current expenses
Laundry extension and dry room
Cash from other sources

$32,754 91
25,500 10
2,000 00
406 16

$60,661 17

DEBITS.

Account of books and musical instruments
Account of side track
Account of repairs, roofs and gutters
Account of reroofing cottages
Account of wagon and implement shed
Account of current expenses
Balance on hand to new account

$21 66
533 37
236 30
1028
654 06
25,935 67
33,269 83
—

$60,661 17

TRAVERSE CITY STATE HOSPITAL.

31

OCTOBER, 1914.
CREDITS.

Balance on hand October 1, 1914
Cash from State Treasurer, current expenses
Cash from other sources

$33,269 83
24,275 50
1,439 11
DEBITS.

Account of repairs on reservoir
Account of side track
Account of extension to heating plant
Account of repairs, roofs and gutters
Account of artesian wells
Account of wagon and implement shed
Account of laundry extension and dry room
Account of current expenses.
Balance on hand to new account

$157
600
60
288
53
256
590
29,454
27,522

86
02
75
49
70
56
00
34
72

$58,984 44

$58,984 44

NOVEMBER, 1914.
„

CREDITS.

Balance on hand November 1, 1914
dash from State Treasurer, current expenses
Cash from other sources

,

Account of repairs on reservoir
Account of books and musical instruments
Account of side trjack
Account of extension to heating plant..:
Account of wagon and implement shed
Account of current expenses
Balance on hand to new account

'

$27,522 72
24,2"75 49
442 63

$48 28
4 69
1,506 65
519
304 52
25,155 68
25,215 83

$52,240 84

$52,240 84

DECEMBER, 1914.
CREDITS.

Balance on hand December 1, 1914
Cash from State Treasurer, current expenses
Cash from other sources

$25,215 83
24,275 49
709 16

Account of side track
Account of wagon and implement shed
Account of current expenses
Balance on hand to new account

$594
164
27,987
21,454
.

98
25
22
03

$50,200 48

$50,200 48

JANUARY, 1915.
CREDITS.

Balance on hand January 2, 1914
Cash from State Treasurer, current expenses
Cash from other sources

$21,454 03
26,953 55
1,625 96

Account of side track
Account of extension to heating plant
Account of current expenses
Balance on hand to new account

$45
94
32,050
17,843

24
50
05
75

$50,033 54

$50,033 54

FEBRUARY, 1915.
CREDITS.

Balance on hand February 1, 1915
Cash from State Treasurer, current expenses
Cash from other sources

$17,843 75
26,95352
793 74

$45,591 01

32

STATE OP MICHIGAN.
DEBITS.

Account of side track
Account of current expenses
Balance on hand to new account

$44 00
26,295 07
19,251 94

$45,591 01

MARCH, 1915.
CREDITS.

Balance on hand M.arch 1, 1915
Cash from State Treasurer, current expenses
Cash from other sources
"

—

$19,251 94
26,953 50
670 21

$46,875 65

DEBITS.

Account of side track
Account of current expenses
Balance on hand to new account

$36 19
28,170 75
18,668 71

$46,875 65

APRIL, 1915.
CREDITS.

Balance on hand April 1, 1915
'
Cash from_State Treasurer, current expenses
Cash from other sources
.
..

$18,668 71
25,152 77
1,393 17

$45,214 65

DEBITS.

Account of side track
Account of current expenses
Balance on hand to new account

$37 65
25,900 80
19,276 20

845,214 65

MAY, 1915.
CREDITS.

Balance on hand May 1, 1915
Cash from State Treasurer, current expenses
Cash from other sources

$19,276 20
25,152 77
953 22

$45,382 19

DEBITS.

Account of culvert
Account of side track
Account of current expenses
Balance on hand to new account

$227
32
29,238
15,883

40
65
93
21

$15,883
25,152
10,000
454

21
78
00
31

$82
30
652
26,974
23,749

80
67
86
01
96

$45,382 19

JUNE, 1915.
CREDITS.

Balance on hand June 1, 1915
Cash from State Treasurer:
Current expenses
Dining room, cottages for men
From othersources

$51,490 30

PEBITS.

Account of repairs, roofs and gutters
Account of side track
Account of dining room, cottages for men
Account of current expenses
Balance on hand to new account

$51,490 30

TRAVERSE CITY STATE HOSPITAL.

33

SUMMARY.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital
for the fiscal year ending June 30, 1915.
CREDITS.

Balance on hand July 1, 1914
Cash from State Treasurer:
Account of laundry extension and dry room
Account of dining room, cottages for men
Account of current expenses
Cash from other sources

$30,286 88
2,000
10,000
305,645
10,861

Account of repairs, roofs and gutters
Account of porch, cottages for men
Account of wagon and implement shed
Account of culverts
Account of side track
Account of reroofing cottages
Account of repairs on reservoir
Account of artesian well
Account of laundry extension and dry room
Account of books and musical instruments
Account of extension to heating plant
Account of dining room, cottages for men
Account of current expenses
Balance on hand to new account

S878 92
309 25
2,370 50
348 00
3,826 06
10 28
20614
53 70
590 00
26 35
160 44
652 86
325,611 54
23,749 96

00
00
63
49

$358,794 00

$358,794 00

ABSTRACT.
OF ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT THE
TRAVERSE CITY STATE HOSPITAL FOR FISCAL
YEAR ENDING JUNE 30, 1916.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the above named period as follows:
JULY, 1915.
CREDITS.

Balance on hand July 1, 1915
Cash from State Treasurer:
Account of current expenses
Account of farm barn
Cash from other sources

Account
Account
Account
Account
Account
Account
Balance

$23,749 96

of repairs, roofs and gutters
of side track
, . ..
of laundry extension and dry room
of dining room, cottages for men
of farm barn
of current expenses
on hand to new account

27,125 61
2,500 00
1,556 06
—

$54,931 63

$107
2
105
939
1,457
31,019
21,299
-

$54,931 63

45
55
70
12
82
86
13

AUGUST, 1915.
CREDITS.

Balance on hand August 1, 1915
Cash from State Treasurer:
Account of dining room, cottages for men
Account of new grates, boiler No. 3
Account of additional laundry machinery
Account of addition, north dining room
Account of current expenses
Cash items from other sources

$21,299 13
5,000
2,500
1,500
2,394
27,125
1,634

00
00
00
75
61
68

$61,454 17

STATE OF MICHIGAN.
Account of side track
Account of laundry extension and dry room
Account of dining room, cottages for men
Account of farm barn
'.
Account of current expenses
Balance on hand to new account

$183 79
398 33
4,383 19
1,042 18
24,053 53
31,393 15

$61,454 17

SEPTEMBER, 1915.
CREDITS.

Balance on hand, September 1, 1915
Cash from State Treasurer, current expenses
Cash from other sources
;

$31,393 15
27,12.5 62
1,164 53

$59,683 30

DEBITS.

Account of side track
Account of laundry extension and dry room
Account of dining room, cottages for men
Account of dining room for men
Account of addition, north dining room
Account of current expenses
Balance on hand to new account

$25
169
4,024
3,196
317
23 ,181
28,769

00
27
83"
12
50
02
56

$59,683 30

OCTOBER, 1915.
CREDITS.

Balance on hand October 1, 1915
Cash from Treasurer, current expenses
Cash from other sources

- .

...

828,769 56
25,930 55
2,161 73

$56,861 84

DEBITS.

Account of repairs, roofs and gutters
Account of laundry extension and dry room
Account of dining room for men
Account of new grates, boiler No. 3
Account of addition to north dining room
Account of carpenter shop
Account of current expenses
Balance on hand to new account

$146 80
292 96
3,576 43
1,343 96
930 40
437 70 •
30,324 97
19,808 62

$56,861 84

NOVEMBER, 1915.
CREDITS.

Balance on hand November 1, 1915
Cashfrom State Treasurer, current expenses
Cash from other sources

$19,808 62
25,930 56
1,358 72

$«7,097 90

DEBITS.

Account of repairs, roofs and gutters
Account of laundry extension and dry room
Account of dining room for men
;
Account 61 new grates, boiler No. 3
Account of carpenter shop
Account of addition to north dining room
Account of current expenses
Balance on hand to new account

$127 00
95 52
1,758 75
366 06
908 90
550 30
28,248 98
15,042 39

$47,097 90

DECEMBER, 1915.
CREDITS.

Balance on hand December 1, 1915
Cash from State Treasurer, current expenses
Cash from other sources

$15,042 39
25,930 57
1,250 75

$42,223 71.

TRAVERSE CITY STATE HOSPITAL.

Account of side track
Account of repairs,"roofs and gutters
Account of laundry extension arid dry ro om
Account of dining room for men
,~.
Account of new grates, boiler No. 3
Account of addition to north dining room
Account of carpenter shop
Account of current expenses
Balance on hand to new account

.

35

$296 90
68 60
105 60
2,717 74
789 98
114 25
1,725 52
27,881 04
8,524 08

$42,223 71

JANUARY, 1916.
CREDITS.

Balance on hand January 2,1916
Cash from State Treasurer:
Current expenses
Carpenter shop
Dining room for men
Cash from other sources, current expenses
Cash from other sources, dining room for men

$8,524
28,745
7,452
9,125
2,504

08
06
00
40
16
42

$56,351 12

DEBITS.

Account of rerooflng cottages
Account of side track
Account of laundry extension and dry room
Account of dining room for men
Account of additional laundry machinery
Account of addition to north dining room
Account of carpenter shop
Account of current expenses
Balance on hand to new account

$484 25
281 63
132 28
2,260 78
1,500 00
482 30
1,544 82
27,654 11
22,010 95

$56,351 12

FEBRUARY, 1916.
CREDITS.

Balance on hand February 1, 1916
Cash from State Treasurer, current expenses
Cash from other sources

•

$22,010 95
28,745 06
2,213 34

$52,969 35

DEBITS.

Account of dining room for men
Account of carpenter shop
Account of current expenses
Balance on hand to new account

$110 34
87 12
24,238 43
28,533 46

$52,969 35

MARCH, 1916.
CREDITS.

Balance on hand March 1, 1916
Cash from State Treasurer, current expenses
Cash from other sources
Account of dining room for men
Account of carpenter shop
Account of current expenses
Balance on hand to new account

$28,533 46
2,8,745 09
1,771 78
$1621
9 14
30,629 75
28,395 23

$59,050 33

$59,050 33

APRIL, 1916.
CREDITS.

Balance on hand April 1, 1916
Cash from State Treasurer, current expenses
Cash from other sources

$28,395 23
25,269 24
2,129 26
.

$55,793 73

30

STATE OF MICHIGAN.

Account of dining room for men
Account of carpenter shop
Account of industrial building
Account of current expenses
Balance on hand to new account

—

$599
1,257
25
33,330
20,580

79
36
00
82
76

$55,793 73

MAY, 1916.
CREDITS.

Balance on hand May 1, 1916
Cash from State Treasurer, current expenses
Cash from other sources

$20,580 76
25,269 24
1,578 50

$47,428 50

DEBITS.

Account of side track
Account of track scales
Account of carpenter shop
Account of current expenses
Balance on hand to new account

$144
40
1,188
32,162
13,893

00
05
50
04
91

$47,428 50

JUNE, 1916.
CREDITS.

Balance on hand June 1, 1916
Cash from State Treasurer:
Current expenses
Fire protection, farm barns
Cash from other sources, current expenses
Cash account of dining room for men

$13,893 91 .
25,269
5,000
2,431
535

28
00
82
30

$47,130 31

DEBITS.

Account of side track
Account of dining room for men (inclusive of $535.30 returned to
account of current expenses, Auditor General's orders, see Voucher
No. 39802 dated March 6, 1916)
Account of carpenter shop
Account of fire protection, farm barns
Account of current expenses
Balance on hand to new account
. . .
..

$358 25
1,152
1,761
886
32,114
10,855

80
88
69
83
86

$47,130 31

SUMMARY.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the fiscal year ending June 30, 1916.
CREDITS.

Balance on hand July 1, 1915
Cash from State Treasurer:
Account of farm barn
Account of dining room, cottages for men
Account of dining room for men
Account of nejt grates, boiler No. 3
Account of additional laundry machinery
Account of addition to north dining room
Account of carpenter shop
Account of fire protection, farm barns
Account of current expenses
Cash from other sources:
Current expenses
Dining room for men

$23,749 96

'.

2,500
5,000
9,125
2,500
1,500
2,394
7,452
5,000
321,211

00
00
40
00
00
75
00
00
49

21,755 33
535 72

$402,724 65

TRAVERSE CITY STATE HOSPITAL.
Account of repairs, roofs and gutters
Account of side track
Account of laundry extension and dry room
Account of addition to north dining room
Account of rerqofing cottages
Account of dining room for men
Account of track scales
Account of dining room, cottages for men
Account of newgr,ates, boiler No. 3
Account of additional laundry machinery
Account of farm barn
Account of carpenter shop
Account of industrial building
Account of fire protection, farm barns
Account of current expenses
%
Balance on hand to new account

$449
1,292
1,299
2,394
484
16,328
40
8,408
2,500
1,500
2,500
8,920
25
886
344,839
10,855

37
85
12
66
75
25
08
05
02
00
00
00
94
00
69
38
86

8402,724 65

We have carefully examined the accounts of A. J. Maynard, Treasurer
of Traverse City State Hospital, for the biennial period ending June 30,
1916, 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.
M. F. QUAINTANCE,
C. D. ALWAY,
WILLIAM LLOYD,
Auditing Committee.

38

STATE OP MICHIGAN.

STEWARD'S REPORT.
For the biennial period ending June 30, 1916.
ANALYSIS OF RECEIPTS AND DISBURSEMENTS.

RECEIPTS.

Maintenance, etc., of State patients
Maintenance, etc., of private patients
Treatment, etc., general hospital patients

$626,857 12
15,2.96 54
7,936 52

Farm:
Cattle sold
Prize money on cattle, A. R. O
Sale of apples
Sale of milk
Pedigree of bull
Sale of gravel
Sale of roosters
Sale of hides
Sale of bones
Board of horse
Horse shoes
Refund, freight on feed
Refund, freight on straw
Refund, wages
Hauling material
. . . .1
Freight on hay, refund
Sale of cork brick

$3,905 75
300 00
3 00
13 08
1 00
130
1 25
310 69
16 74
2 50
2 40
3 00
6 75
50
4 00
4 40
7 80

Sundry accounts
Special appropriations:
Laundry extension and dry room
Dining room, cottages for men
Farm barn
New grates, boiler No. 3
Additional laundry machinery
Addition north dining room
Dining room for men
Carpenter shop
Fire protection, farm barns

4,584 16
4,799 60
2,000
10,000
2,500
2,500
1,500
2,394
14,125
7,452
5,000

00
00
00
00
00
75
82
00
00

$706,946 51

DISBURSEMENTS.

1.

Officers'

2.

Food:
Wages
Meat and
fish
Butter
Flour
Coffee
Miscellaneous, other foods
Tea ..
Sugar
Fuel
Cooks coats

salaries

3.

Clothing:
Wages
Clothing

4.

Laundry:

Wages
Machinery
Starch
Soap making material
Soda
Bluing and ammonite,
Baskets
Acetic acid and wax
Electric irons

$29,227 41
'.

$21,163
54,356
35,618
16,600
4,207
37,847
2,499
14,527
2,486
55

05
40
47
70
21
30
43
97
26
86

$4,721 40
32,067 49
$11,322
230
155
1,962
718
70
148
30
114

41
91
43
12
64
00
69
07
63

189,362 74

36,788 89-

TRAVERSE CITY STATE HOSPITAL.
Laundry—Continued—

Lime
Gas
Washing powder
Soap
Truck repairs
Laundry lists
Extractor
Sprinkler
Tubs, etc

5.

Heating and Light:

6.

Floral, greenhouse and grounds:

7.

Medical department:

8.

Office, stationery, etc.:

9.

10.

$52 17
103 45
41 90
66 50
16 83
4 00
293 96
226
79 90

Wages
Coal and freight
Gas
Electrical supplies
Oil and kerosene
Advertising for coal bids
Heat regulator

$9,641 70
58,077 35
1,413 27
1,443 19
22 94
29 28
2350

Wages
Seeds and bulbs
Plants and trees
Drain pipe
Implements
Spraying
Survey of grounds and map
Garden hose
Fencing
Benches
Fertilizer
Wages
Drugs, etc
Medical supplies
Medical bo'oks
X-Ray machine, etc
Pins for graduate nurses
Gas
Wages
Blank books
Postage
Telephone and telegraphing
Printing, etc
Stationery
Letter and bill
Typewriters
Treasurers stationery

Amusement and instruction:

Music lor patients party
Music
Graduate nurses class:
Ribbons, etc
Two addresses
Tuning piano
Circus tickets
Fair tickets
Games
Books
Moving picture machine supplies
Christmas candy and entertainment

Furniture and household supplies:

Wages
Dry goods
Utensils
Soap
Hardware
Mats, carpet and linoleum
Furniture
Crockery
Brooms
Toilet paper
Mattresses and material
Bedding

39

files

$5,956
390
336
85
128
310
20
153
667
221
44

91
64
57
56
15
34
50
03
15
73
00

$115,762
6,596
1,101
142
2,528
30

88
19
47
6"!
96
00
63

$6,463
144
696
1,252
855
440
83
127
42

55
25
70
02
10
31
88
69
70

$15,413 87

70,651 23

126,162 74

10,106 20

$182 00
85 70
4 88
45 00
20 00
156 75
38 50
129 76
112 17
40 12
205 43
$5,179 59
7,059 80
1,990 49
1,806 13
1,230 88
630 79
1,270 94
1,693 49
697 28
859 09
2,076 35
12,299 50

1,020 31

STATE OP MICHIGAN.

40

Furniture and household supplies—Continued—
Refrigerator
Gas ranges, stores and
fittings
Bedsteads
Polish
Brushes
Dusting oil and mops
Chambers
Baskets, sacks and bags
Fijre hose
Wax shelf and wrapping paper
Roach powder
Clocks
Ladders
Clothes marking machine
Paper towels and blotters
Mirrors
Sponges
Dish washing machine
fittings
Pantosote
11

Carriage barn and vehicles:
Wages
Auto delivery license
Auto delivery trucks
Auto delivery supplies
Four wheel truck
Tire chains. . :
Gasoline and oil
Blacksmithing
Grease

12

Improvements and repairs:
Wages
Oils and paints
Lumber
Lime and cement
Hardware
Glass
Iron pipe, etc
Steel and iron
Wall
Brick and bake oven
Brushes, tools, etc
Plaster
I-beams
Sewer pipe
Radiators
Roofing
Bath tub
Boiler
Tile and the flooring
Water closets and
Wire screens
New electric fixtures and wire
Sawing lumber
Repairs potato peeler
Gas tank
Fire hose
Building tile
Belting
Pasteurizer

13.

Machinery:
Packing and gaskets
Lubricating oil
Machine
Stoker repairs
Gasoline
Belting
Soda ash
Motors
Boiler, sections, etc
Steam charts:
Gauges and valves
Fire, hose, etc
Sewing machines
Tools
Pipe cutter
Elv. rope
Truck car wheels, etc
Sewertraps
Standard wagon scale
Concrete mixer

J97 02
871 06
1,692 75
240 89
214 37
337 30
325 98
143 48
218 05
246 48
5131
64 50
29 45
Ill 40
83 73
25 08
204 98
1092
61 99
$1,413 00
1105
526 00
176 23
36 75
3 50
343 83 '
7 90
275

finish

fittings
fittings
fixtures

fittings

."

$33,391 39
2,555 33
1,455 96
580 33
1,344 55
389 86
4,191 18
1,958 40
198 10
1,587 46
445 42
83 63
641 00
165 92
530 49
563 22
94 46
180 73
3,852 66
5,585 54
613 69
421 86
31 43
15 00
140 00
87 71
199 29
11 90
102 90
$459 49
360 82
521 78
727 80
15>9 61
258 97
357 37
10 90
161 93
2 9 26
472 61
47 56
135 32
14 75
434 52
44 17
160 51
26 73
155 00
455 00

841,825 07

2,521 01

61,409 41

4,994 10

TRAVERSE CITY STATE HOSPITAL.
14.

15.

Farm, garden and stock:

Wages
Feed
Testing and registering of stock
Spraying
Implements
Harness, etc
Fertilizer
Veterinary
Seed and trees
Blacksmithing
Straw
Hay
Oats
Threshing
Cattle stalls
Fencing
Advertising stock
Binder twine
Stock and horses
Bran
Dairymens suits
Blood meal
Gal meal ~
Oil meal
Dairy ration feed
Land plaster
Milking machine
Pedigree blanks
Herdsman's expenses, H. F. Ass'n
Rent of new land...
Lime stone
Sanitary pig troughs

-.

Miscellaneous:

Wages—Watchmen
Amount charged back:
Patients expenses home
Expenses elopments
Refunded money
Patients travelling expenses
Purchases for patients
Undertakers fees
Travelling expenses, purchasing carptes
Traveling expenses medical superintendent
Traveling expenses steward
Travelling expenses storekeeper
Express on apples, Manistee fair
Matches
Tobacco pipes
Tobacco
Pro rata State Fire Insurance

General Hospital:

Sanitary and pipe
Operating tables, etc
Hardware
Sterilizer
Tableware
Refunded money
Cement blocks
Furniture
Gas
Fruit, etc
Telephone
Drugs, etc
,
Lumber.. •.
Paint
Auto hire
Wages

$17,191 09
6,603 67
1,142 95
125 03
864 17
181 53
347 68
259 99
784 51
73 34
2,536 17
9,047 64
2,892 48
104 55
540 70
4 40
413 36
37 87
2,,210 83
1,601 64
66 71
9 21
253 63
552 45
498 75
92 34
623 62"
15 25
12 70
296 30
125 91
405 00
•

$49,915 58

$3,934 47
271 48
42 28
641 21
318 11
1 50
19 00
10 30
183 45
326 14
8 00
41
25 50
48 57
3,407 78
10,729 23

fittings

$155 02
331 71
21 87
103 70
3 07
139 70
10 50
101 80
64 14
11 77
339
159 08
10 50
1 10
8 00
1,595 00

Special appropriations:

Side track
Porch, cottage No. 32
Wagon and implement shed
Repairs, roofs and gutters
Culvert
Books and musical instruments
Reroofing cottages No. 28 and No. 32
Repairs, reservoir
Extension heating plant
Artesian well
Laundry extension and dry room
Dining room for cottages for men
Farm barn

41

1

——
$5,118 18
309 25
2,370 50
1,328 77
348 00
26 35
494 53
206 14
160 44
53 70
2,000 00
10,000 00
2,500 00

20,017 43

2,720 35

42

STATE OF MICHIGAN.

Special appropriations—Continued—
Dining room for men
Addition north dining room
New grates boiler No. 3
Carpenter shop
Addition laundry machinery
Industrial building
Track scales
Carpenter shop, new account
Fire protection, farm barns
Dining room, men, new account

$14,125
2,394
2,500
7,452
1,500
25
40
1,468
886
607

Total

82
75
00
00
00
00
05
94
69
50

$55,926 61
$726,377 53

SUMMARY OF INVENTORY OF THE TRAVERSE CITY STATE HOSPITAL TAKEN AT
THE CLOSE OF THE FISCAL YEAR ENDING JUNE 30, 1916.
Buildings
Land
Side track and right of way
Stock on farm
Dispensary
Pathological laboratory
Library and chapel
Administration building
Wards, furniture and
Cottage 21, furniture and
Cottage 23, furniture and
Cottage 24. furniture and
Cottage 25, furniture and
Cottage 26, furniture and
Cottage 27, furniture and
Cottage 28, furniture and
Cottage 29, furniture and
Cottage 30, furniture and
Cottage 31, furniture and
Cottage 32, furniture and
Cottage 34, furniture and
Cottage 36, furniture and
Cottage 38, furniture and
General hospital
Sewing room
Store
Kitchens and bakery
Dining room, men
Laundry
Engine room and shops
Farm and barns
Clothing
Boots and shoes
Dry goods
.
Notions
Hardware
Silverware, paints and oils
Groceries and crockery
Meats

fixtures

fixtures
fixtures
fixtures
fixtures
fixtures
fixtures
fixtures
fixtures
fixtures
fixtures
fixtures
fixtures
fixtures
fixtures
:
fixtures

..

$916,850 00
58,24 00
28,000 00
26,432 60
2,580 09
3,788 00
1,130 65
6,531 06
31,918 75
2,785 91
2,257 58
1,807 77
1,765 29
1,614 36
2,797 06
1,249 27
3,072 81
2,069 15
1,518 57
1,447 08
2,251 97
2,483 51
769 25
1,489 09
976 90
932 63
5,292 63
3,996 53
6,897 63
5,476 03
4,846 93
7,193 62
1,682 28
4,46669
2,711 65
1,098 50
346 29
9,612 55
2,102 72
$1,162,483 40

TRAVERSE CITY STATE HOSPITAL.

43

EEPOET OF MEDICAL SUPERINTENDENT.
To the Board of Trustees:
Gentlemen: I have the honor to submit for your consideration the following report of the principal events of the hospital for the biennial
period ending June 30th, 191G. The movement of the population has
been as follows:
TABLE I.—Movement of population in 1014-1915 and 1915-1916.
Male.
Number in institution June 30, 1914
Admitted:
Original a n df i r s tcommitments ....

. . .

Female.

861

656

1 517

160
30

111
26

25

8
94
21

271
56
10
94
46

217

260

477

35
47
15
97

40
34
9
50

75
81
24
147

2

4

6

196

137

333

882

779

1 661

174
27
6
1
32
4

115
26
7
1
9
2

289
53
13
2
41
6

244

160

404

39
54
13
103

28
32
16
85

67
86
29
188

1

1

2

210

162

372

916

777

1 693

2

As voluntary patients
Total admissions . .
Discharged :
To homes as improved
Died
Removed to other states
Transferred to State Psychopathic Hospital
Transferred to other Michigan institutions
As not insane

Number in institution June 30, 1915
Admitted :
Original and first commitments ....

...

By transfer from other Michigan institutions
As voluntary patients

Discharged:
To homes as recovered
To homes as unimproved
Died
Deported . .

...

Transferred to other Michigan institutions

Census June 30, 1916

Total.

STATE OP MICHIGAN.

44

Comparing these statistics with those of the last biennial period, it is
found that there were 197 more admissions and 55 more discharges. If
the patients transferred from other hospitals, exclusive of the Psychopathic Hospital, are included, there was a net gain of 55 men, 121
women, total 176 patients under treatment in the hospital. If from this
number those admitted from other hospitals are deducted, and likewise
the drug habituates, a net gain in the district will be shown of 22 men,
17 women, total 39 under treatment in the hospital.
The following table is an attempt to classify the causes of death:
TABLE II.—SUMMARY.—Showing causes of death.
Year ending June
30, 1915.

General Diseases:

Males. Females .

Total.

10
1
1
1

21

11

Pernicipus Anemia

2

2'
2
1
Diseases of Nervous System:
Paresis . . .

18
3

I5

Post apqpletic

Diseases of Respiratory System:
ChTonic bronchitis . . .
Diseases of Circulatory System:

Diseases of Digestive System:

1

Males. Females .

13

0

10

22

2

7'

4
10
3
12

1

' 'i'

i

1
4
1
1

1
2

3

1
5

32
12
1

IS
5
3

50
17
4

i
i

4

11
2
2

32
9
4

4

2
2

6
2

1

1

T
5
1
1

1

2

1

1

1
1
Totals . .

97

147

7
12
1
7

29
12
3
8

7

12
2
1

2
1
1

1

2
1

2
1

2
3
1

1

1
1

85

18S

1

1
1
50

2

2
1

Diseases of Genito-Urinary System:

Violence:

28
2

2

21
7
2

1

15
2'

Total.

o
3
1

i

1
A
...

Year ending June
30, 1916.

103

TRAVERSE CITY STATE HOSPITAL.

45

Two hundred and twelve patients, or 65% of those who died were over
55 years old; and 36 of the number were over 80 years old. The deaths
from tuberculosis were 15% of the deaths from all causes, a decrease of
4% during the last two years. We may say that every effort is made to
prevent the spread of tuberculosis in the institution.
Isolation hospitals are maintained for each sex.
Syphilis caused 15%+ of the deaths or slightly more than tuberculosis. Arterial degeneration and consecutive organic diseases caused
45% of the deaths. Diseases of the circulatory system are the cause of
a large percentage of mental disease. An analysis of the above summary shows that 81%+ of all the deaths were due to organic and incurable diseases.
The following table showing the forms of mental disease is no longer in
use, but is inserted to show the classification of patients up to June 30,
1906, since which time a modification of the well known classification of
Kraepelin has been used in all the hospitals in Michigan:

TABLE

#..
02

III.
From the beginning to July 1,
1906.

Forms of insanity.
Males.

I. Primary
•

II. Secondary-

•
B. Incident to the normal and the degenII. Symptomatic of organic disease of the brain

Total. .

. .

.

...

a. Melancholia
b. Mania
c.
d. Hallucinatory delirium (primary confusional insanity) —

206
94

Females.

Total.

31

216
88
1
23

422
182
1
54

a. Delusional insanity (dementia monomania)
b.
a. Acute
b. Chronic

162
117
29
58

216
158
1
2

378
275
30
60

a.
b.
c.
d.
e.
a.
b.
c.
d.

16
212
141
180
17
161
3
13
191

8
36
53
124
16
233
85
6
113

24
248
194
304
33
394
88
19
304

a.
b. Reasoning insanity
c.
d.

104
1
425
1

117
6

221
1
724
7

a. Imbecility
b.

140
4

81
1
1

221
5
1

Syphilitic
Dementia from gross brain lesions (apoplexy, tumors, etc.)

Hysteria
Hypochondria

2,306

1,884

4,190

02

$1
o
"3

k

1—1
Q
ffi
hH

O

>
z

The following table represents the classification in use from the flrstof July, 1906, to the first of July, 1914:
TABLE IV.—Showing the forms of insanity of patients admitted.
For the biennial period.

Males. Females.

1. Alcohol
Insanity due to intoxications

Organic brain disease (definite structural changes)

{ b. Acute alcoholic hallucinosis
[ c. Alcoholic paranoid conditions

-j 3. Morphinism

[ (2) Arterio-sc/ erotic brain disease
. . ( ^i ?ffihl ll! ° f braln: 'A 1
"i

ThvroEenic insanity

1 (6) Senile insanity
( (,1! M^.°edema

Dementia praecox . . .

-j (2) Paranoid forms

T)
•
Paranoia

1(1) Classic type
{ )0( p0,.OTlrt'Ji + 0 + D
( (3) Mixed state

Arrested mental development

Total

{ ffi X*;lllty

. .

From the beginning.

Total.

Males. Females .

4

3

7

ii)'

2

12'

27
7
17
36
56

2
2
15
8
25

29
9
32
44
81

9
31
51
1
12
1
20
1
99
19
58
125
184

31
23
5
6
35
24
16
14
1
30
1

10
30
20
1
26
48
43
9

41
52
25
7
61
72
59
23
1
47
1

118
l-A
23
15
70
89
43
33
' 14
75
3

27
9
1
7

19
1

46
9
1
8

416

284

700

9
20

3'

17

9
23

Total.

ii
1
21
7
40
33
75

9
33
54
2
18
1
31
2
120
26
98
158
259

89
15
2
10

32
81
86
8
84
186
115
36
21
42
1
5
71
11
2
5

150
225
109
23
154
275
158
69
35
117
4
5
160
26
4
15

1,354

986

2,340

-'2
3
1
6

STATE OF MICHIGAN.

48

TABLE V.—Showing the forms of insanity in patients admitted and discharged
during biennial period.
Year ending June
30, 1915.
Admitted.

Paranoia . .
Melancholia involutional

Syphilis

81
42
21
5

28
21
12
1

2

1

1

3

1

1

1

3

2

2

1

17
12

9

19

28

. . . . 20
31

20
7

4
8
14
19

1

1

_o>

1
3
2

13
S
V

"rf
"o
H

"^
S

52
9
7

85
30
19
1

27
15
14
2

4

4

1

1

3

4
3
3
2 ' '3'

2

5

1

OJ

OS

h

57
14
9

1

2

2

7

33
8

1

34
8

23
7

1

24
7

7-

14

21

6

8

14

5

11

16

40
38

11
20

6
2

17
22

15
30

12
12

27
42

19
26

6
10

25
36

1
15
18

5
23
32

8
10
22

"e'

8

27

'is'

13
1
2

8
16
35
1
1-7

1
6
22
11
32

3
7
18
1
10

4
2
13 "6' 4
40 13 16
12
2
1
42 33 12

2
13
29'
3
45

1
1

1
1
1

1
1

1

1

2

1

1

1

"s'

2
1
3

2
2

1

2

3

1

3

4

i
1
1

1

i
1
1
1

1

1
1

1

84
29
23
2'

14

1
1

1
1.

"o
H

3

1

1

'as

1

1

1

217 260 477 196

' 'i'
i
i

1

2

2

2

• 'Y

r
i

1

1

2

i

1
2

2

4

1

4

2
5

1

1

1

1

2

333 244 160 404 210 162

372

1

3
2
3

i • 'Y

1

2

2

2

3

2

i

1
2
1

137

1

1

1
7

1

1

1

1

2

1

"3'

1

1

1

Non-insane conditions, juvenile:

Totals . . . .

~C3

~&

1
13
7

1

Basedow's disease

Non-insane conditions, adult:

55
18
2
3

2

Cerebral tumor
Multiple sclerosis

Delirium, unclassified . .
Post infectious psychoses

f*

26
24
19
2

2

Delirium, infectious. . .

S

98
88
27
10

Constitutional criminalities
Phsychopathic personalities, adult . . .
Psychopathic personalities, juvenile. .
Alcohol habituates
16
12

Traumatic insanity
:. ..
Psychoses associated with pernicious
anemia
Psychoses associated with articular
rheumatism
Psychoses associated with myxoedema
Psychoses associated with paralysis

£

78
50
15
9

Sexual perversions

Senile insanity . .
Presenile mental disorders

_a>

20
38
12
1

O

Discharged.

JC

'rf
o
H

H

3

.

'ci

I

Neuraesthenia

Admitted.

V

"5
4a

s

Hysteria .

Morphine intoxication. . . .
Cocaine intoxication .
Heroin intoxication
Imbecility
General paresis. .

Discharged.

0)
'c3
S

®
"3

Insane conditions:

_oj
"rf

Year ending June
30, 1916.

2

2

1

1

1

TRAVERSE CITY STATE HOSPITAL.

49

Table V shows, as all previous compilations of this kind, that a large
proportion of the patients admitted were suffering from organic and incurable forms of mental disease. There is a constantly increasing number in the imbecile group and a large amount of occurring insanity is
recruited from the border line cases or the feeble-minded. With field
and social workers and community surveys, these cases would be determined and proper measures taken for their education and medical care.
It should be the duty of the State to see that these unfortunates are not
only properly cared for but that they should be held in suitable institutions.
A great deal of clinical work has been performed and we would respectfully refer you to the report of laboratory work in connection with
the Trustees' report.
In June, 1916, an X-Eay department was established. It is fitted up
with every convenience and promises to be of great value in the diagnosis and treatment of not only mental cases but of general hospital
cases. Every effort is made to maintain the medical work at a high
state of efficiency and to include in the medical care of patients all that
is new and best in medical and surgical methods. The detailed reports
presented herewith demonstrate that the strictest economy has been
practiced in all departments and that the aim of the officers has been
to maintain the hospital at a high standard.
The following is the analysis of the different types of mental disease
classified according to the recent further modification of Kraepelin's
classification which has been adopted by all the State Hospitals of Michigan:
MANIC DEPRESSIVE INSANITY.

In this group are 48 men and 130 women, total 202, comprising 20.2%
of all the cases admitted during the biennial period:
Women.

Men.
No.

Per cent.

461
48

No.

Per cent.

420
10.4

130

Total.
No.

Per cent.

881
30.9

178

20.2

STATE OF MICHIGAN.

50

Age at time of admission.
Women.

Men.

15 to
20 to
25 to
30 to
35 to

19 years
24 years
29 years
34 years
39 years

Total.

4

1

1

7

8

9

14

23

1

9

10

5

18

23

5

6

12

18

3

15

18

4

17

21

8

19

27

3

8

11

3

8

11

1

1

2

1

1

60 to 64 years .
65 to 69 years

Heredity.
Direct.

Atavistic.

.2

|

1
o>
fc

o

18

23

1

2

3

1

1

2

7

9

2

2

2

4

6

1
§
Apoplexy or paralysis . . .

le

s

o
H

1

1

2

3

1

Brothers
and
sisters.

Collateral.

|

a
£ •sH

'=3

7

4

4

Total.

1

Is

a

£

o
H

"e3

S

pq

10

14

13

33

2

2

4

5

9

14

2

3

1

o
46

2

5

7

7

13

20

29

68

97

Results of treatment.
Women.

Men.

Recovered

Died

Total.

11

31

42

18

25

43

3

3

3

7

10

16

64

80

TRAVERSE CITY STATE HOSPITAL.

51

DEMENTIA PRAECOX.

This group consists of 59 men and 59 women, total 118, or 13.4% of
the number admitted during the biennial period:
Women.

Men.

Total admissions . . . .

No.

Per cent.

461
59

12.7

No.

Total.

Per cent.

No.

14.0

881
118

420
59

Per cent.

13.4

Age at time of admission.
Women.

Men.

Total.

15 to 19

....

4

1

5

20 to 24

....

20

3

23

....

18

....

9

13
11

31

30 to 34
35 to 39

....

3

8

11

2

7

9

10

10

5

8

1

1

25 to 29.

...

.

40 to 44
45 to 49

3

50 to 54

20

55 to 59
60 to 64

Heredity.

Apoplexy or paralysis . . .
Psychopathic
Alcoholism
None

5

5

7
3
10
10

3
1
3

2

5
1
3

oi
"3

2

6

8

3

£
"3

a

1

_q5
"3

Total.

'cS 1

p£

5

8
^

1

OJ

•3

Female.

a

Total.

4
2
6

'd
"o
EH

Female.

3
1
4

a

Female.

a

"cS
^

Brothers
and
sisters.

Collateral.

Atavistic.

Total.

<p
"3

Female.

Direct.

'S

1

a
11

17

2

2

4

4

6

10

28

9

5

14

26

10

36

7

19

26

52

STATE OF MICHIGAN.
Results of treatment.
Men.

Women.

Total.

2

2
9

29

Unimproved

6

11

Died

1

1

43

75

20

32

PARANOIA AND PARANOID CONDITIONS.

The paranoia group is unusually large for the number of admissions,
but is due to the fact that it represents a number transferred directly
to this hospital from the Pontiac State Hospital. There were ,2
men and 9 women, total 11, or 1.2% of the admissions for the biennial
period.
In the group of paranoid states there are 24 men and 22 women, total
46, or 5.2% of the admission for the biennial period.
Men.

No.

Women.

Per cent.

461

No.

Total.

Per cent.

420

No.

Per cent.

881

2

.4'

9

2.1

11

1.2

24

5.2

22

5.2

46

5.2

Age at time of admission.
Men.

Women.

Total.

25 to 29

4

30 to 34

4

35 to 39

3

3

6

40 to 44

2

3

5

45 to 49

3

5

8

50 to 54

7

7

14

55 to 59

2

1

3

60 to 64

1

4
4

8

65 to 69

3

3

70 to 74

2

2

TRAVERSE CITY STATE HOSPITAL.

53

Heredity.
Direct.

o>

to

"3

g

r®
ft

3

Atavistic.

o>
|
|
o
H
§

•a
£

Brothers
and
sisters.

Collateral.

<&
a

0)

'S

o
H

cs
|
1

a
Sft

"rf

3

4

fH

a
1

Total.

o5
ce
|

'S

V

s

5

9

14

2

1

3
4
4

3

1

1

i

1

2

1

1

3

1

4

3

1

3

1

4

3

1

4

2

"3
o

g

6

4

S

9

9

14

23

Results of treatment.
Men.

Recovered .
Improved
Unimproved
Died

Women.

8

5

2
16

Total.

13
2

26

42

HYSTERIA.

There were 6 women admitted during the period classified as hysterical on the basis of certain anesthesias found in existence on physical
examination. One of these was transferred from the State Psychopathic
Hospital, one from the Pontiac State Hospital, and the other 4 were admitted directly from different counties in our district. One case was a
young unmarried girl in a pregnant state who remained with us but a
few months and was discharged just before confinement. Another case,
with a number of anesthetic areas and certain palsies that by elimination of all other possible conditions, was diagnosed hysteria. The ages
of these cases ranged from 24 to 43 years. Two of the cases apparently
recovered and the other 4 are still under observation.
NEURESTHENIA.

Seven cases of neuresthenia, 4 men and 3 women, make up this group.
The ages of the men range from 27 to 47 years. All these cases were so
classified because of the predominence of a nervous element without
adequate corresponding physical states as a basis. The ages of the
women range from 23'to 69 years. Two were voluntary cases and remained in the hospital but a short time. The other is still cared for in
the hospital.

54

STATE OP MICHIGAN.
ANXIETY NEUROSES.

Three men were classified as belonging to the type of anxiety neuroses. One had before been a patient in the hospital. All three are
still under treatment. Their ages range from 28 to 45 years.
SEXUAL PERVERSION.

Five cases of sexual perversion were admitted during the period, 4
men and one woman. All 5 were more or less defective in character with
the sexual perversion manifested in a pronounced degree in each instance. The 4 men were discharged on trial at the request of authorities
or friends interested. The woman is still under observation.
PSYCHOPATHIC PERSONALITIES.

During the biennial period 4 women were admitted, one transferred
from the Pontiac State Hospital, one who had been at Eloise several
times and various other hospitals, one from the State Psychopathic Hospital. Their ages range from 35 to 59 years. One was allowed to go
home on trial, and the other 3 are still under observation.
ALCOHOL HABITUATES.

During the last bienniel period the hospital has received a large number of men committed in accordance with an act of the recent legislature.
There were 49 men and 2 women, total 51, admitted, of 5.7% of the admissions. Most of these cases have remained away from the hospital;
a few have fallen into their former habits and have been returned. An
effort has been made to keep a record of these cases after they have left
us and in accordance with information received we feel confident that
the hospital has done considerable good in this respect.
Women.

Men.

Total.

No.

Per cent.

No.

Per cent.

No.

461
49

10.6

420
2

.4

881
51

Per cent.

5.7

TRAVERSE CITY STATE HOSPITAL.

55

Age at time of admission.
Women.

Men.

Total.

20 to 24 ..

..

1

1

25 to 29 .

..

3

3

30 to 34

.

.

. .

...

..

35 to 39.

.

.

..

.

.

40 to 44.

.

..

..

9

9

..

1

6
9

9

10

10

4

4

...

45 to 49 . .

7

50 to 54

1

4

55 to 59 .

..

..

3

60 to 64 .

...

..

1

1

65 to 69.

...
3

3

70 to 74

Heredity.

Alcoholism

11

1

12

2

Unknown

2

13
3
33

1
1

14
3
34

Results of treatment.
Men.
35
2

Women.
2

Total.
37
2

Unimproved
Died
12

12

56

STATE OF MICHIGAN.
ALCOHOLIC MENTAL DISORDERS.

In addition to the cases of inebriety there have been received 20 men
or 2.2% of the admissions whose mental condition was directly traceable to the inordinate use of alcohol in some form or another.
Men.

Alcholic mental disorders

Women.

No.

Per cent.

461
20

4.3

Total.

Per cent.

No.

Per cent.

No.

881
20

420

2.2

Age at time of admission.
Women.

Men.
20 to 24
25 to 29
30 to 34
35 to 39
40 to 44
45 to 49
50 to 54
55 to 59
60 to 64

Total.

1

1

2

2

1

1

2

2

3

3

1

1

2

2

5

5

.

65 to 69
70 to 74

1

1

2

2

Heredity.

Apoplexy or paralysis. . .

'rf
o
H

ai
*&

s

Brothers
and
sisters.

Collateral.

"33
4=a
0

EH

Female.

S

Female.

<B
C3

Female.

Atavistic.

Direct.

_0

"rf

%

oi

g"3

rotal

<K
"eS

1
&

H

J2
"^

s

d
'S

&

'ci
o
E-i

i
i

1
1

1

1

3

3

3

3

5

5

5

5

8

8

1

1

1

1

\.

3

3

TRAVERSE CITY STATE HOSPITAL.

57

Results of treatment.
Women.

Men.

Total.

3

3

5

5

1

1

11

11

Died

MORPHINE INTOXICATION.

Since the Harrison Law became operative there have been quite a number of morphine cases sent to this hospital for treatment. During the
biennial period there were 15 men and 27 women, total 42, admitted, or
4.7% of all the admissions. A large majority of these cases were
greatly benefited and because of the difficulty in obtaining the drug after
leaving the hospital we feel confident that most of them have been restored to active and useful lives.
Wojnen.

Men.

Morphine habituates

Total.

No.

Per cent.

No.

Per cent.

No.

461
15

3.2

420
27

6.0

881
42

Per cent.

4.7

Age at time of admission.
Men.

Women.

Total.

25 to 29

1

2

3

30 to 34.
35 to 39
40 to 44 .
45 to 49
50 to 54 .

2

4

6

2

2

3

3

2

2

6
4

60 to
65 to
70 to
75 to

64
69
74
79

.

.

1
3

4
3

2

2

4

2

4

6

3

2

2

2

2

STATE OF MICHIGAN.

58

Heredity.

1

1

1

1

1

s
1

1

2

oj

"S

"o
H

1

1

Female.

0)

1

Total.

%

Total.

Female.

2
2

"ee

Female.

2
1

1

Psychopathic

0

H

Brothers
and
sisters.

Co llateral.

: : : : : :

3

Female.

1

Atavistic.

Female.

Direct.

3
0

i

1
3
1

....

10

6
2
33

23

Results of Ureatmenl.
Women.

Men.
11

Total.

23

34
1

2

2

2

3

1
2

2

Died
1

IMBECILITY.

There were classified as imbeciles 67 cases, 35 men and 32 women or
7.6% of the admissions.
Men.
No.

Women.

Per cent.

No.

Per cent.

No.

7.6

420
32

7.6

881
67

461

Imbecility. . . .

35

Total.
Per cent.

7.6

TRAVERSE CITY STATE HOSPITAL.

59

Age at time of admission.
Men.
15 to 19.

..

20 to 24

.

....

Women.

Total.

1

2

3

9

3

12

6

4

10

4
1

6
4

10
5

3

8

45 to 49

4

4

50 to 54

2

4

8
6

3

2

5

25 to 29 .

...

..

30 to 34

...

....

35 to 39
40 to 44

:

55 to 59
60 to 70

Heredity.
Direct.

*

Apoplexy or paralysis . . .
Psychopathic.

Atavistic.

1

o>

-S
§

§

r^
fe

"3.

Brothers
and
sisters.

Collateral.

oj

qj
"3

s

&

2

2

3o

4J

•3

.s

I

Total.

s

i
o

§

1
I
a;
h

7

12

'rf

a

P

4

„

11

2

1

3

2

1

2

3

5

2

3

[

2

6

2

o
H

o
H

H

4

1

3

4

0

1C

8

3

j
1

10

11

2

8

6

None

Results of treatment.

Men.
Recovered
Improved
Unimproved . .
Died

.
. .

Women.

Total.

10

1

5

3

8

1

3

4

19

25

44

11

60

STATE OP MICHIGAN.
EPILEPSY.

About the usual number of epileptics have been received, 36 in all, 14
men and 22 women, or 4% of all the admissions.
Men.

Women.

Total.

No.

Per cent.

No.

Per cent.

No.

461
14

3.0

420
22

5.0

881
36

Per cent.

4.0

Age at time of admission.
Women.

Men.

Total.

10 to 14

1

1

15 to 19

3

3

20 to 24
2

25 to 29
30 to 34

5

35 to 39
40 to 44

..

45 to 49 .

....

50 to 54

.

. .

55 to 59

.

..

60 to 64

....

. .

1

2

6

6

2

4

3

3

2

7

2

2

1

1

3

4

2

2

1

3

Heredity.
Direct,

Atavistic.

Brothers
and
sisters.

Collateral.

Total.

i

*
cS

s

QJ

2

3o

aj
"3

2

1

H

"cS
O

1
fa

EH

1

2

1
1

2

2

6

7

J2

d

•a

s
i
i

I
1 ;

sa
fa

1

o

2

1

1

£cs

1
S

4

2

fH

1

o
EH

6

2

2

4

1

6

7

4

1

!

11
3

14

TRAVERSE CITY STATE HOSPITAL.

61

Results of treatment.
Women.

M'en.

Improved
Unimproved
Died
Remaining

Total.

3

3

,

,

1

2

1

2

3
3

9

18

27

ORGANIC GEOUP.

The organic group, representing those cases in which definite degenerative changes are noticeable, has, as heretofore, comprised a large percentage of all the admissions. There were 245 cases, 166 men, and 79
women, or 27.5% so classified.
Women.

Men.
No.

Per cent.

Tabes dorsalis.

461
61
5
36
11
51
2

36.7
3.0
21.7
6.7
30.7
1.2

Total

166

Total admissions
Cerebral syphilis

No.

Per cent.

420
19
4
36
1
18
1
79

24.1
5.1
45.6
1.2
22.8
1.2

Total.
No.

881
80
9
72
12
69
3
245

Per cent.

32.7
3.7
29.3
4.9
28.1
1.3

62

STATE OF MICHIGAN.
Age at time of admission.
Men.

Women.

Total.

1

1

20 to 24
25 to 29

4

4

5

1

6

35 to 39

10

3

13

40 to 44

15

8

23

45 to 49 .

19

5

24

50 to 54 .

15

5

20

55 to 59.

15

3

18

60 to 64.

15

4

19

65 to 69 .

22

11

33

70 to 74.

18

19

37

75 to 79. ..

20

10

30

9

16

30 to 34

.

80 to 89.
1

90 to 95.

1

Heredity.

8

3

11

Psychopathic
Alcoholism

12

12

3

3

10

4

14

s
1

3?
H

1
§

1

1
1

Total.

^
"o
H
1
1

_o>
'«

g
9

3o

®
Us

H

3

Female.

Apoplexy or paralysis . .

£C8

and

sisters.
Female.

Female.

1

oi

Brothers

Collateral.

Female.

•a
s

Female.

Atavistic.

Direct.

5

14

18

9

1

14

1 ....

1

11

O

H
27
14

3
1

'oS

3
4

15

None.

47

9

56

Unknown

73

57

130

TRAVERSE CITY STATE HOSPITAL.

63

Results of treatment.

Improved

6

2

8

Unimproved. . .

2

1

3

1

Died

29

7

36

3

1

Remaining

24

9

33

1

2

1

"(3

H

*ci
"o
EH

3

1

4

1

2

3

4

6

15

21

3

26

18

44

2

S

2

9

13
H
^

1
1

1

13

4

1

1

3

4

7

34

8

42

i

72

32

104

16

9

25

2

78

39

117

qj
e3
S

2

1

10

Total.

Tabes.

Female.

J
|
S

.A rterio.

Pre-seniles.

Female.

c£

Female.

i

"3

Senility.

Syphilis.

Female.

General
paralysis.

1

"I
'cS

£

1
2

1 "03

£

01

&

5

£

17

HUNTINGTON'S CHOREA.

Two cases of hereditary or Huntington's chorea, one male and one
female, were admitted. Their ages were 38 and 44 years, respectively.
Both cases are still under treatment.
BASEDOW S DISEASE.

One woman, aged 36 years, Avas a patient in the hospital but eleven
days. There were definite symptoms of exophthalmic goitre. She
passed through an attack of excitement, became clear, and has since resided at home with comparative comfort. The exophthalmos is still noticeable and also the rapid heart's condition.
TRAUMATIC INSANITY.

One man, aged 68 years, was admitted under symptoms of mental trouble following soon after a head injury and directly traceable thereto.
After two weeks' treatment in the hospital he apparently regained his
normal mental health and was discharged.
PERNICIOUS ANEMIA.

Two men and 2 women were received at the hospital subject to pernicious anemia and the mental condition was doubtless the result thereof. One of the women had been transferred from the Pontiac State Hospital. One man and one woman were in feeble condition at the time of
their admission and died shortly afterwards. The ages of these cases
range from 38 to 52 years.
PSYCHOSES ASSOCIATED WITH ARTICULAR RHEUMATISM.

One woman, aged 31 years, was admitted in a state of delirium following an acute attack of articular rheumatism. She had been treated at
home by the administration of the bee sting which may or may not have
had to do with the developing delirium. She died about three weeks
after her admission to the hospital.

64

STATE OF MICHIGAN.
DELIRIUM, INFECTIOUS.

There were three cases of infectious delirium, two men and one woman. The latter's condition developed following confinement. She made
a complete recovery in a short time. One of the men died two weeks
after admission from exhaustion; the other man developed lobar pneumonia and died in a few days.
DELIRIUM, TOXIC.

There were 8 cases of toxic delirium, 1 man and 7 women. The man
came in a state of delirium which resembled delirium tremens from
which he made a complete recovery in a few weeks' time. The 7 females
admitted were distinctive cases of severe delirium known as delirium
grave or Bell's delirium and in most instances represented the second
or third attack of mental disease. These cases were comparatively young
individuals with the exception of two and in each instance there was a
fatal outcome.
DELIRIUM, COLLAPSE.

Three women were admitted in a state of delirium and classified as
above. The delirium represented the outcome of prolonged mental excitement not as characterized by the high temperature of ataxic variety.
Each case proved fatal.
DELIRIUM, UNCLASSIFIED.

One case was admitted, without adequate history, in a state of delirium and passed away two days after. The nature of the delirium was
not clear.
POST INFECTIOUS PSYCHOSES.

There were 5 cases, 3 men and 2 women, admitted as post infectious
psychoses. Two of the men were far advanced in tuberculosis and one
was a cancer case. All three passed away. One woman developed a
psychoses following typhoid fever and one following acute intestinal disturbance. One case apparently recovered. The other is still in the hospital.
UNCLASSIFIED CONDITIONS.

There were three men and 5 women whose mental condition was not
satisfactorily diagnosed. Two of the women manifested but little mental trouble but they had either become involved in family affairs or as
the result of coming in contact with the law and were shortly discharged after observation. One case was transferred from the Pontiac
State Hospital to this place and died shortly afterwards. Another case
died quite suddenly, shortly after her admission, from acute dilatation
of the heart.
SYDENHAM'S CHOREA.
There were two cases of Sydenham's chorea admitted during the biennial period. One died after residence of a few months and the other was
taken home on trial.

TRAVERSE CITY STATE HOSPITAL.

65

SYPHILIS.

There was one case of syphilitic infection admitted as not insane, and
because of inability to provide suitable treatment at large. His condition responded promptly to treatment and after residence of a few
months was discharged recovered.
JUVENILE CRIMINALS.

One boy aged 17 years belonged doubtless in the criminal class. He is
still a resident in the hospital.
NOT INSANE.

There was one case admitted whose mental condition did not appear
to justify his retention and he was discharged after a short period of
observation.
TABLE VI.—Showing the number admitted each month, during biennial period.
JULY 1, 1914, TO JUNE 30, 1915.
7.
Male. .
Female ...

Total

. . .

6.

Total.

23

18

217

21

14

260

49

44

32

477

3.

4.

5.

6.

Total.

12.

1.

2.

3.

4.

5.

10

22

28

11

17

25

19

44

10

6

18

24

29

66

38

17

35

2.

8.

9.

10. 11.

23

14

16

10

16

65

11

12

39

79

27

22

JULY 1, 1915, TO JUNE 30, 1916.

Male

Total

7.

8.

9.

10. 11.

12.

1.

25

14

16

16

27

22

19

?0

15

24

?0

244

13

12

10

11

8

14

15

16

160

39

39

32

30

28

29

39

36

404

16

22

24

9

41

36

30

25

26

STATE OF MICHIGAN.

66

TABLE VII.—Showing occurrence of hereditary factors in patients admitted during biennial period.

5

24

1

1

Psychopathic conditions. 17

20

37

1

1

Alcholism

17

36

2

2

2

7

5

"3
~c

_oj
c3
§

13

18

13

19

'sS

^

s

32

34

54

15

10

25

18

23

41

21

17

38

88 104

192

Total.

31

10

«a

Total.

Female.

20

14

OJ

Female.

11

Apoplexy and paralysis

EH

2

Total.

Female.

Insanity

^o5
'ea

Female.

s

3o

_o>
"rf

Brothers
and
sisters.

Collateral.

Total.

Atavistic.

Female.

Direct.

Year ending June 30,
1915.

19

3

3

88

i

Total heredity

61

67 128

9

2

11

5

13

18

13

22

35

Negative

47

15

62

Unknown

82 141

223

Total

217 260 477

Year ending June 30,
1916.
Insanity

14

Apoplexy and paralysis.

11

14

11

4
1

1

12 ' 20

12

4

7

5

11

3

3

1

1

2

2

1

1

Psychopathic conditions. 10

3

13

Alcolohism

21

7

28

56

24

80

Total heredity

14
1

28

3

7

5

25
1

37

33

70

4

21

7

29
136

16

5 17
1 22

16

92

44

48

25

73

Unknown . .

104

91

195

244 160

404

Total.

12

10

Negative. .

9

3

5

32

TRAVERSE CITY STATE HOSPITAL.

67

TABLE VIII.—Showing age of patients admitted during biennial period.
Year ending June
30, 1915.
Male.

From 50 to 54 years

8
17
28
17
22
19
22
21

From 80 to 84 years

12
16
9
9
4
5

From
From
From
From

20 to
25 to
30 to
35 to

24 years
29 years
34 years
39 years

From 95 to 99 years

Female.

Total.

2
19
24
21
31
28

10
36
52
38
53
47

29
30
17
15
19
8
6
11

51
51
29
31
28
17
10
16

... .

...

Male.

1
6
14
23
22
18
28
23
20
18
17
21
16
8
7
1

Female.

Total.

1
2
8
11
14
16
17

8
22
34
36
34
45
43
34
32
24
34
27
17
10
1

20
14
14
13
11
9
3

1

1
1

160

404

1
8

Totals

Year ending June
30, 1916.

217

8
477

260

244

TABLE IX.—Civil condition of patients admitted during biennial period.
Year ending June
30, 1915.

Widowed . .

Total

..

Year ending June
30, 1916.

Male.

Female.

Total.

Male.

Female.

94
94
16
7
6

73
135
39
9
4

167
229
55
16
10

74
131
22
13
4

25
89
37
9

99
220
59
22
4

217

260

477

244

160

404

Total,

STATE OP MICHIGAN.

68

TABLE X.—Showing degree of education of patients admitted during biennial
period.
Year ending June
30, 1915.
•

Collegiate

.

Academic

Total

Male.

Female.

Year ending June
30, 1916.

Total.

Male.

Female.

Total.

4

2

6

5

16

21

37

18

17

35

133

168

301

160

103

263

17

27

44

18

16

34

1

4

5

2

1

3

12

14

26

12

9

21

34

24

58

29

14

43

217

260

477

244

160

404

5

TABLE XI.—Showing occupation of patients admitted during biennial period.
Year ending June
30, 1915.

Personal service, police and military

Manufacturing and mechanical industry . . .
Agriculture, transportation, and other out-

Student

Total

Year ending June
30, 1916.

Male.

Female.

Total.

Male.

Female.

8

13

21

8

4

4

8

12

4

4

8

10

6

16

8

6

14

11

9

20

9

9

18

8

14

22

6

5

11

44

61

105

64

27

91

33

12

45

28

8

36

85

69

154

103

59

162

5

5

8

8

1

1

2

1

2

3

2

35

37

1

8

9

11

27

38

12

20

32

217

260

477

244

160

404

Total.

12

TRAVERSE CITY STATE HOSPITAL.

69

TABLE XII.—Showing nativity of patients admitted during biennial
Year ending June
30, 1915,

Year ending June
30, 1916.
Total.

Male.

District of Colunlbia . . . .
Illinois
Kentucky
Massachusetts

2
1
3

Male.
1

1

6

12

18

1

5

6

1
1

1
2

105

116

221

2

1
1
19

3
1
31

13
1
6
1

25
1
10
1

2
1

2
2
I
2

4

1
1
1

Total.

1
4
2
8

2
1

12

Female.

1
2
1
5

2
3
2
6
5

4

Virginia
West Virginia

Total.

1
2
2
4
4

12

Ohio

Female.

i

4
3
8
5

167
1
1

388
1
4
1
63

1
2

105
1
1

62

21
23

11
16

39

7

2
1

9
1

64
1
19
2

4

2
2
1
6

32

1

Total United States

157

176

333

174

109

283

606

2

2
1
22
2
1

4
1
36
3
4

2
1
21
3
3

8
3
43
6
9

12
4
79
9
13

2
7
1
5

1
18
3
5
1
2

3
25
4
10
1
2

1
14
1
4
1
3

4
49
5
14
2
5

2
2

1
2
1
3

3
4
1
11
1
1

6
2
22
3
6
1
8
1
2
1
3
3
1
2
3

5
3
2

8
7
3
18
2
1

49

65

114

64

47

111

235

11

19

30

6

4

10

40

217

260

477

244

160

404

881

14
1
3

Wales

Total .

1
1
22
2
14

8
1
1

6
2

2

2

4
1

1

STATE OF MICHIGAN.

70

TABLE XIII.—Shoiving nativity of parents of patients admitted during biennial
period.
Year ending June
30, 1915.

One parent foreign born
One parent native, one unknown
Both parents unknown . .
Total

Year ending June
30, 1916.

Male.

Female.

Total.

85
23
60
11

110
33
72

195
56
132

38

5
40

217

260

Male.

Female.

Total.

16
78

98
25
84
9
28

72
15
42
4
27

170
40
126
13
55

477

244

160

404

TRAVERSE CITY STATE HOSPITAL.

71

TABLE XIV.—Showing residence of patients admitted during biennial period.
Year ending June
30, 1915.

Year ending June
30, 1916.
Total.

Arenac
Antrim
Bay
Clare

Male.

Female.

4
6
2
6
11
4

1
5
5
11
1

1
9
4

Delta
Gratiot

7
3
18
1

Genesee

5
11
4
3

Ionia
losco

7

Macomb
Manistee . . . .

Otsego .
Presque Isie
Roscommon

3
16
8
7
2
9
17
5
4
6
5
2
3'
1

St Clair. .
Shiawassee . .
Tuscola
Wayne
Wexford . .

4
12

Montcalm

Total. .

....

217

Total.

6
2
5
6
6
4
1
14
5
4
7
11
2
2
7
1
5
2
4
4
7
7
3
4
9
8
1
1
4
3
3
1
2
2
1
1
25
2
14
1
19
11
10

5
11
2
11
22
5
6
3
14
10
13
11
4
32
6
4
12
22
6
5
7
1
12
2
4
7
23
15
10
6
18
25
6
1
8
9
8
3
2
5
2
1
25
2
14
1
19
15
22

260 i

477

Male.

Female.

3
7
2
6
17
7

1
7

Total.
4
14
2
12
30
10
1
2

15
32
7
4
6
5

5
9
4
1
9
7
10
3
2
4
8

2
1
1

i'
i

11
18
8
3
16
22
42
10
6
10
13
2
2
2

5
3

9

5
12

9
25
4
23
52
15
1
8
3
24
17
1
26
24
9
77
8
4
22
42
10
13
7
3
19
2
4
18
41
23
13
22
40
67
16
1
14
19
21
5
4
7
2
1
25
2
14
1
19
20
34

244

160

404

881

1

9
2
6
10
3
33
1

6'
13
3
1
1
1
?
7
3
2

12
1

5
12
1
4

5
8
3
4

2
4

3'

6
9
4
2
7

10
7
1
13
13
5
45
2
10
20
4
8
2
7

STATE OF MICHIGAN.

72

TABLE XV.—Showing form of insanity of
Year ending June 30, 1915.

Recovered.

1
2
Insane conditions:

9
1

Improved.

_«
fa

25

13
•§

34
1

£
"a
S
10

11
3

fa

Unimproved.

3o •S •a
H

17
9

27
20
3
1 1

1

a t£

i

3
3
1

4
5

6

13

3

3

3

19

1

1

4
4

r

1
Prp-'pnilp mpntal 'ILsorders

"r

3
4

5
8
3
1

I
6
913
1

9
4
2
2

15
13
15
3

1

1

1

1

1

1

4
1

7
16

3
12
1
1

9
30

1

1

1

1
1

5
5

4
1

1

5
3
1 15

2

1
5
4

1

1

2

7
6
18

1

14

1

la
1 o
H
fa

1

1

3

'3
"o
EH

Died.

1

15

1

i

1
1

1

1
1

3

3

..1
1

1
1

Pspchoses associated with articular rheumatism

1
1

1

2
1

1
1

1

1

1

1

....

Not insane conditions, adult:

1
3

1
2

1

1

1

1

Not insane conditions, juvenile:

Totals

22

40

62

45

34

79

17

12

29

97

50

147

TRAVERSE CITY STATE HOSPITAL.

73

patients discharged and results of treatments.
Year ending . une 30, 1916.

03
^

3
o
H

03

Recovered.

4X 4& 1
93

s

fa

jo
H

26
24
19
2

55
18
2
3

81
42
21
5

1

1

1

1

2

1

3

"el

1

9
2

18

Unimproved.

Improved.

27
2

"el

12
8
5

"ca
~o
E-t

o3
•3

22 34
1 9 "i'
1
3
8

Female.

4
s

Totals.

Female.

Not insane.

2
2

-2

"o
EH

2
6
1

03

1

2

6
1
8

1
l£

15
11
6

9

1

1

2

4

Not iusai e.

Died.

21
12
14
2

•a

I

5

&

1

1

TotaK

"03
o
EH

oj

....

1

1

3

1

"3
S

c£

1

27
15
14
2

57
14
9

84
29
23
2

1

1

3

2

5

3

3

l
'l3

1

14

1

1

13
7

1

14
7

T

7

14

21

4

11
20

6
2

17
22

6
13
1
2

8
16
35
1
17

8
10
.22

15
1

1
1

10

3

3

14
9
2
1
2
2
2

1
2

10
4

4
2

3
1

7
3

6
22

1

1
1
3
2

1
1

1
2

2
3

7
10

i

1
1

1
1

1

1
1

i

15

1

1

24

1

1

23
7

1

24

16

1

5

11

2
7

8
29

19
26

6
10

25
36

1
1
3 10
13 23
1
1
12 43

9
13
2
33

2
4
16
1

2
13
29
3
45

1

1

1

2

1

2

2

i
i

1

1

2

2

1

2

3

2

1

1

1

1

1

2
....

i

1

1

1

2

7

12

1

1

2

2

1
2

1

3
2
3

1

7

1

2
1
2 '3'

1

1

23

1

1

1

'si'
1

2

1

1

3

3
1

1

1

1

1

1

1 •y

1
7

1

1

2

2

1
2

1

....

i

4

"i'

5
"2

2

1

16 196 137 333

16

28

44

54

36

90

14

12

26 103

85 188

23

1

24 210 162

372

STATE OF MICHIGAN.

74

TABLE XVI.—Showing the duration o/ residence of all cases discharged during
biennial period.
Recovered .

Improved.

!sj
Year ending June 30, 1915.
Under one month
1 to 3 months .

9
9
6
4
1
3
1

1 year to 18 months
18 months to 2 years

2

13

I
1113

2
6
2
3
1
2

®
73

_cp

CD

.2

Unimproved.

le
o

o5
"3

20
«g
10
3
6

3
5
13
10
4
5

2
4

3
2

EH

"3
3
pH

s

6
9
5
3
2
6
1
2

3o
EH

9
14
18
13
6
11

*

"cd
§

'i
4

4
4

5
1
1

1

1

' 2'

1

1

i
3
1
3

3
5
7
2
1
6
2
2
2

2
1
1
1
1

25 to 30 years
30 to 35 years
Total .

.

Year ending June 30, 1916.
Under 1 month
3 to 6 months
6 to 9 months
9 months to 1 year

35

40

75

47

34

81

6
18
8
6
1

2
12
6
3
1

8
30
14
9
2

7
14
15
6
5

2
9
5
6
4
2

9
23
20
12
9

1

1

2
1

2

t
2 j
....

15 to 20 years

.

3

6
1
5

1

1

Total

28

67

54

j 32

86

s

10
10
9
2
4
11
5
17
11
4
3
2
7
.... 2

"3
!£-

"d
o

7
4
2
2
4
4

17
14
11
4
8
15

1
7
4
3

6
24
15

6
2
3
1

7
9
4
10
3

13

30

97

50

147

1
5
3
2

4
3
3
1
1
2
1
2

5
8
6
3
1
4
1
2
1

8
9
9
6
4
8
11
17
11
6
2
3
5
4

15
6
4
6
4

7
2
3
1

23
15
13
12
8
13
22
25
18
12
9
5
8
5

31 105

85

188

2

::::
I
i

.... ....

39

oi

17

..

25 to 30 years
30 to 35 years

JV
C3
O

En

Died.

14

17

5
11
8

7
6

75

TRAVERSE CITY STATE HOSPITAL.
TABLE XVII.—Showing ages of patients discharged recovered during
period.

Year ending June
30, 1916.

Year ending June
30, 1915.
Male, i Female.
From 15 to 19 years
From 20 to 24 years
From 25 to 29 years
From
From
From
From
From

30 to
35 to
40 to
45 to
50 to

34 years
39 years
44 years
49 years
54 years

From
From
From
From

55 to
60 to
65 to
70 to

59 years
64 years
69 years
74 years

Totals

Total. I Male.

Female.

Total

7
12
6
10
10

11
8
7
8
10
6
4
7
4
2
35

biennial

39

28

67

76

STATE OF MICHIGAN.
TABLE XVIII.—Showing age of patients who died during biennial period.
Year ending June
30, 1916.

Year ending June
30, 1915.
Male.

Female.

2

From 20 to 24 years

3
5
3
5
3
9
6
13
8

From 30 to 34 years . . .
From 35 to 39 years

From
From
From
From
From
From
From

65 to 69 years
70 to 74 years
75 to 79 years
80 to 84 years
85 to 89 years
90 to 94 years
95 to 99 years . . . .

Totals

16
7

2
2
4
4
2
2
5
3
2
5
5

5

8

8
3
1

4
2

97

50

Total.

Male.

2
5
7
7
9
5
11
11
16
10
21
12
13
12
5
1

...
147

1
1
1

Female.

3

4

1

9
6
10
6
7
5
18
13
10
7
3
1
1

6

103

2
11
5
10
13
12
11
5
2
2

Total.

1
1
4
5
15
8
21
11
17
18
30
24
15
9
5

2

3
1

85

188

ESTIMATES OF 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:
To the State Board of Corrections and Charities:
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 an appropriation for the purchase of land, for the construction of an addition to
store, for an addition to cold storage plant, for addition to congregate
dining room for women, for new fire pump, and for laundry machinery;
to complete carpenter and paint shop, and industrial building:

TRAVERSE CITY STATE HOSPITAL.
I.

77

ADDITION TO STORE.

2,000 ft. concrete wall
80,000 brick laid in wall
18 windows
8 doors and frames
20 squares gravel roofing
12,000 feet lumber
6,000 feet lumber
2,000 feet concrete floor and areas
6,000 feet
flooring
Excavations, sewers, grading, etc
Nails and hardware
Wall coping and window sills
3,800 ft. steel ceiling
Carpenter work, painting, labor
Electric light, wiring, fixtures, labor
Heating and plumbing
400 squares plastering
One power elevator
Stairways, store shelving

@

$
16
20
20
5
22
40

20
00
00
00
00
00
00
10
40 00

08

25

f400 00
1280 00
360 00
160 00
100 00
264 00
240 00
200 00
240 00
250 00
160 00
75 00
304 00
800 00
500 00
500 00
100 00
750 00
317 00
|7000 00

II.

ADDITION TO COLD STORAGE PLANT.

Using the same specifications as were approved by your Board two years ago, but adding
30% for advance in cost of materials, etc.
Cost of this improvement would be
III.

$7215 00

ADDITION TO CONGREGATE DINING ROOM' FOR WOMEN.

50,000 brick in wall
@
750 ft. concrete wall
1350 ft. tile
floor
12 windows
12 doors
1,000 fibs, steel beams
1,350 ft. concrete
600 ft. roofing
4,000 ft. lumber
Labor
Power elevator, complete
Plumbing, sinks, piping, etc
Electric wiring,
fixtures
Painting, labor, and materials

$16 00
20
50
20 00
22 00
03y2
10
20
22 00

$800 00
150 00
675 00
240 00
264 00
35 00
135 00
120 00
88 00
300 00
825 00
375 00
150 00
75 00
$4232 00

IV.

Fire Pump, installed

FIRE PROTECTION.

$2500 00

78

STATE OF MICHIGAN.
V.

LAUNDRY MACHINERY.

Power mangle, surface ironers, reconstruction
of ironing tables, electric wiring, etc.
VI.

FARM.

For purchase of land, 155y2 acres
VII.

$5000 00

@

$93 00

PORCH.

For porch at Cottage 28 and connecting way
from Cottage 30 to new dining room for men
VIII.

f 750 00

CARPENTER AND PAINT SHOP.

To complete carpenter and paint shop
IX.

$14461 50

$4000 00

INDUSTRIAL BUILDING.

To complete industrial building

$4000 00

RECAPITULATION.

Addition to store
Addition to cold storage plant
Addition to congregate dining room for women
Fire pump
Laundry machinery
Farm .'
.'
Porch
To complete carpenter and paint shop
To complete industrial building

$7,000 00
7,215 00
4,232 00
2,500 00
5,000 00
14,461 50
750 00
4,000 00
4,000 00
$49.158 50

All of which is respectfully submitted,
J. D. MUNSON,
Medical Superintendent.
The following is the report of the State Board of Corrections and
Charities, on the above requests for appropriations:
STATE BOARD OF CORRECTIONS AND CHARITIES.
LANSING, MICHIGAN,
November 10, 1916.
Dr. James D. Mum-son, Medical Superintendent, Traverse City State Hospital, Traverse City, Midi.:
Dear Sir:
propriations
proved with
purchase of

At a recent meeting of this Board your estimates for apfor the biennial period beginning July 1, 1917. were apthe exception of item number six, the same being for the
155% acres of land at $93.00 per acre. With the present

TRAVERSE CITY STATE HOSPITAL.

79

acreage of the Hospital, and the amount involved in the purchase of the
proposed tract, it is our opinion that the item may be dispensed with.
Your estimate therefore is approved in the sum of $34,697.00, instead
of f49,158.50.
Regarding your over-draft of $1,100.00, we recommend the passage of
an Act which will make it possible to use the surplus in other funds to
meet the over-draft.
Very respectfully,
JOHN N. McCaRMicK,
Chairman.
By order of the Board.
M. T. MURRAY,
Secretary.
CHAPEL SERVICES.

Religious services have been conducted regularly by the Chaplain,
Eev. D. Cochlin, assisted by Kevs. Mr. Slade, Mr. Irving, Mr. Brown, Mr.
Columbus, Mr. Stout, Mr. Thurston, Mr. Ellis, and Mr. Betts, all of
Traverse City, Michigan.
ACKNOWLEDGMENTS.

To the many friends of the hospital who have contributed in any way
to the welfare and comfort of patients, our -best thanks are extended.
CONCLUSION.
In closing this report we may say that the relations of the hospital
with the State, with sister institutions, with county officials and all
others, have been harmonious, and that there has been cordial cooperation between the institution and the county and state officials in all that
pertains to the best interest of the hospital. As a Board you have given
more than usual attention to its management; you have devoted much
time and thought to the development of the newer and advanced methods
of treatment; you have supported in every proper manner the development of preventive measures so far as they pertain to mental disease and
to the public health. I believe that earnest work has been done in all
directions by the Board, by the staff, and by all employes of the institution and it is largely due to this esprit that the institution has steadily
advanced in usefulness and taken its place along with the most progressive. It affords me great pleasure to be able to report that there have
been very few occurrences during the last two years that have required
your special attention.
All of which is respectfully submitted,
J. D. MUNSON,
Medical Superintendent.
Traverse City State Hospital, Traverse City, Michigan, Oct.. 1916.

STATE OF MICHIGAN.

80

OFFICERS AND EMPLOYES
OP THE TRAVERSE CITY STATE HOSPITAL, AND THE WAGES OR SALARIES PAID EACH, JUNE 30, 1916, AS REQUIRED BY SECTION
2, ACT 206, LAWS 1881.
Name.

Service.

$3
2
1
1
1

A. S. Rowley
W. D. Mueller . .
H. V. Hendric-ks
F C Mavne
Camp C. Thomas
G- B. Pike
D Coehlin
T. H. Tregea

Rate.

Assistant physician
Accountant

C W Nesbitt
Edna Skinner
Addie McMulIen

Stenographer
Stenographer

Vernon S. Pavton

Pharmacist

Katherine BeH
B P Burns
Marie Moon

Asst. superintendent of nurses

Alfred Newman
C M Prall
S. G. Howard

Chief engineer

Dietitian

Hans Tobler
Ray L Pennell

Period.

800 00
900 00
800 00
200 00
300 00

900
1,820
2 500
260
106

00
00
00
00
00

Per annum
Per annum.
Per annum
Per annum
Per mouth.

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

95
70
55
40
50

00
00
00
00
00

Per inonth
Per month
Per month.
Per month.
Per month

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

85
85
65
100
50

00
00
00
00
00

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

Non-resident.
Resident.
Resident.
Resident
Resident.

1,600
12 00
110
43
43

00
00
00
00
00

Per annum.
Per annum
Per month
Per month
Per inonth

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

80 00
1 000 00
14 00
34 00
16 00

Ruth C Adams

30 00
42 00
32 00
40 00
1 25

Clayton M Allen
Hattie Allen

Per a,-™ ^.^
Per annum Non-resident
Per annum Resident
Per annum Resident
Per annum Resident

Per month Non-resident.
Per annum Non resident
Per month Resident
Per month Resident
Per month Resident
Per month Resident.
Per month Resident
Per month Resident
Per month. Resident.
Per day
Non-resident.

Sewing room assistant
Attendant

Non-resident.
1 25 Per day.
20 00 Per month. Resident.
20 00 Per month. Resident.
28 00 Per month. Resisent.
18 00 Per month. Resident.

Blanche Baertelsen

Attendant

19
28
36
28
45

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

Henry Bowles
James Burno
Arthur H Bell

Attendant
Attendant

18
26
28
26
26

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

50
25
38
36
26

00
00
00
00
00

Per month.
Per month.
Per month
Per mointh.
Per month.

Resident.
Resident.
Resident.
Resident.
Resident.

May Mallory
Winnie Baggiore
Norme D. Frost

4 J Clark
W. E. Cruse

Attendant

TRAVERSE CITY STATE HOSPITAL.

81

OFFICERS AND EMPLOYES.—Continued.
Service.

Name.

Nettie M. Cutting

Attendant

Eva M. Slover

Housekeeper

Jennie Dempsey
George C. Dell

Attendant

Evelyn Emerson

Attendant

Rate.

Period.

$35
28
35
35
20

00
00
00
00
00

26
24
56
34
18

00
00
00
00
00

50
56
20
45
30

00
00
00
00
00

70
26
55
20
36

00
00
00
00
00

18
26
32
55
26

00
00
00
00
00

Attendant

26
18
18
50
40

00
00
00
00
00

Attendant

61
50
32
56
42

00
00
00
00
00

47
30
30
20
18

00
00
00
00
00

J.'G. Klafsky

22
30
26
26
32

00
00
00
00
00

Mrs G B Howe
C W. Foreman

22
28
27
26
20

00
00
00
00
00

50
26
28
28
30

00
00
00
00
00

35
26
18
50
24

00
00
00
00
00

24
20
26
26
32

00
00
00
00
00

D. S. Dean
G J Drost
R. G. Davidson
Blanche E. Cotton

Cook
Night supervisor

Charles L. Easterday
Rav Elliott
Tillie Thoreson

.

....

Chet Dillon
F. G. Connor
Enna Eavreau

Attendant

Mary Fitzgerald
Bert Glass
Alvin Gilbert

Attendant

Glen Ginther
WillardJ Getchel
George Fuller

Marie Goodrich

Attendant

L. J Hier
T H. Griffiths

Lena Knight

Attendant

Myrtle Hartle

Lora A. Walsh
Martin J. Wilson
C. J. Nelson

.

. . .
Attendant.

11

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.

Per month.

Non-resident.

Per month.

Resident.

Per month.

Resident.

Per month.

Resident.

STATE OF MICHIGAN.

82

OFFICERS AND EMPLOYES—Continued.
Service.

Name.

Rate.

Period.

Wm C Linn

$50
28
26
45
26

00
00
00
00
00

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

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

R E Lackey

22
18
26
30
32

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

18
20
38
19
24

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

35
22
19
19
30

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

18
32
28
26
20

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

55
42
26
26
38

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

28
19
28
30
18

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

19
34
36
20
26

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

25
19
18
26
18

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

Attendant

19
18
36
42
26

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

Attendant

42
18
26
32
22

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

26
26
50
18
28

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

24
35
19
20
50

00
00
00
00
00

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

Resident.
Resident.
Resident.
Resident.
Resident.

Mildred Pepper

Attendant

Erzella McMillan
Mary L. Reynolds
Edwin ILenschell

Attendant . .-.

Gep. R. Newman
Vernon Miller
John H Miller
Ed. McKeller

Nina Ramsey
Hazel Potter

Attendant
Attendant

Meta Whitson
Ernest Storrs
Bernice vSmith
David N. Ledbetter

Assistant cook
Attendant

Mary E Smith
W.E.Bedford
Edna Reed
F T Smith

Chas. Sirnonson
Edna S Smith

C. P. Tobey
....
Charlotte Knauf
Anna Shane
William J. Weiler

Attendant

TRAVERSE CITY STATE HOSPITAL.

83

OFFICERS AND EMPLOYES.—Continued.
Service.

Name.

Attendant

$18
18
19
26
26

00
00
00
00
00

Per month.

18
18
22
19
18

00
00
00
00
00

Per month.

Resident.

Per month.

Resident.

19
19
19
18
50

00
00
00
00
00

Per month. Resident.

75
70
55
26
28

00
00
00
00
00

26
19
65
26
26

00
00
00
00
00

35
35
26
38
35

00
00
00
39
00

26
26
35
38
26

00
00
87
00
00

Laundrynian

26
24
30
43
73

00
57
00
00
00

Per month. Non-resident.

Lau,n dress

50
21
22
24
22

00
00
00
00
00

Per month. Non-resident.

21
24
21
30
21

00
00
00
00
00

Per mouth. Non-resident.

23
23
26
21
24

00
00
00
00
00

21
23
22
55
2

00
00
00
00
00

1
35
2
50
50

75
00
70
00
00

Attendant
II G Penry
Attendant
Winifred Westbrook
Esther Miller

Attendant

Reah Strickler
Shirley Hartle

Attendant

Helen Whitson
E.G. Park

Watchman

W Bellaw

Chef
Baker

C W Schwartz
Wm Snell
D Hoxie

Baker
Baker

Attendant

Walter Czarniak
Robt F Herkner
Theodore Payne

Cook
Harold L. Allen
Bessie Dalzell

Cook

Assistant cook
Philip Richard

Assistant cook
Assistant cook
Telephone operator

Almon Covey

Grace Edwards

Laundress

Sylvia Wilson

Laundress

Ethel Rinehart

Elizabeth Ruttan

Laundress

Katie Homrieh
G. E. Ball

Laundress

Ira Smith

Period.

Rate.

Pipefitter

Resident.

Per month. Resident.

Per month.

Resident.

Per month.

Non-resident.

Per month. Resident.

Per month. Resident.

Per month. Non-resident.
Per month.

Non-resident.

STATE OF MICHIGAN.

84

OFFICERS AND EMPLOYES—Concluded.
Name.

Service.

W Eraser
Plumber
Pipefitter

H Butrick
J K Hager
C E Mull
C. C. Cooper . .
J B Kin"

Rate.

Period.

$2 75
2 50
70 00
2 00
1 75
3 IS
2 70
2 70
59 SO
2 70

....

2
2
2
3
2

70
00
00
00
70

S H MeMiehael
Hans W. Tobler

2 70
1 00
1 75
1 75
50 00

N W Hill
Geo N.Hill
John McGill

5
5
40
29
29

20
20
00
00
00

29
29
29
29
29

00
00
00
00
00

29
29
29
29
29

00
00
00
00
00

29
52
31
38
30

00
00
00
00
00

50
4
31
29
33

00
00
00
00
00

Bernard Wert

Abe Whaley
\ Nelson
Clint Copeland

Teamster
Teamster

T. P ReddinoG W Burrett

D W Kelley
J. E. Curtis
J W Palmer
\ E Zodv
Frank Steele
D M Blodgett

Teamster

Barnman

1 80
2 00
2 00
2 00
2 00

Joe Brief

R W Loeding
J D Smith
J 0 Edwards

35 00
33 00
75 00
39 00
1 80

Pipefitter

2
2
2
2
65

70
00
80
25
00

Per month. Resident.

Per day.

Non-resident..

Per month. Resident.

TRAVERSE CITY STATE HOSPITAL.

GRADUATES OF THE TRAVERSE CITY STATE HOSPITAL
TRAINING SCHOOL FOR NURSES.
1908.
Harry Baker.
Laura M. Bigbee.
Bennett P. Burns.
Lena Aldrich Covey.
Sadie L. Dockerty.
Anna Carrow Evans.
Mary Louise Fink.
Wesley H. Herriman.
John O. Hoppes.
Raymond G. Johnson.
Esther V. Keller.
Louise Kitscher.
Dora Bell Lewis.
Maria Margaret McDonald.
Louise E. McGivern.
Catherine McKinnon.
Amy Orcutt.
Victor A. Patrick.
Hattie Holmes Parr.
Florence Helen Roest.
Lurene Shryer.
Lillian Fiath Walsh.
Anna M. Warner.
Lucinda Hazel Wilson.
1909.
Margaret Clark.
Edna Crandall.
'Gertrude Eamon.
Anna Hanson.
Thea Hanson.
Flora Hollister.
Cora Laisy.
Howard Lewis.
Ruth Merrifleld.
1910.
Ray H. Buttars.
Tioura Lela Cronkwright.
Leonard A. Cluley.
John F. Donovan.
Nellie Taube Ellsworth.

Anna Maude Grissinger.
Ethel Beatrice Hanes.
Albert James Howard.
Ethel Lillian Johnson.
1910.
Jessie Angle Keating.
Gertrude A. Kerry.
Juliana Mary Leo.
Gail Langworthy.
C. Harold Leutholtz.
Tressie A. Miller.
Cleo Von Miller.
Ella Orvis Miller.
Archie Miller.
Anna Thoreson Newman.
Idylia Reynolds.
Mina Odella Shearer.
1911.
Martha Clara Kitscher.
Nora Belle Eamon.
Lena Amelia Rude.
Matilda Delvena Send.
Alice Julia Thoreson.
Bertha Cornelia Peterson.
Hazel Erveilia Edgerley.
Marie Esther Orvis.
Gertrude Margaret Orvis.
Ada Julia Hall.
Rosetta Alston.
Essie Marie Johnson.
Grace Belle Alexander.
Erne Florence Grissinger.
George Oliver Zeigler.
Lee S. Swan.
George W. Ashley.
Leo S. Chamberlain.
Perry A. Tobey.
Stephen H. Young.
1912.
Judith Evans Kidder.

85

86

STATE OF MICHIGAN.

Frances Edith Soss.
Wilhelmina L. Oldenburg.
Daisy M. Lahr.
Alice A. Smith.
Mabel Cowles Willard.
Alma E. Leggett.
Emma Thum.
Otis H. Leland.
1913.
Pearl LaFern Emory.
Pearl Emily Tyler.
Laura M. Eude.
Julia Belle Oarsten.
E. Margaret Mortenson.
Stephen A. Covey.
Anna Paulina Smith.
Nettie Beulah Nickerson.
Leonard ,A. Wright.
Emma II. Davis.
Effie Leona Bixby.
Glen L. Ginther.
Hildur Hedenskog.
Matilda E. 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.
Eose Boyd.
Agnes Dumbrille.
Minnie Greilick.
Hazel Irish.
Maude Irish.
Francis Martin.
Mabel Miller.
Icel Northup.
Eva ORorke.
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 Stedman.
Lora Walsh.
Winifred Westbrook.

APPENDIX.

APPENDIX.
The state hospitals of Michigan are organized and governed Organic law.
under 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 Asylum
Trustees. (Section 8.) The counties comprising the districtdistnctsof the Traverse City State Hospital are:
Alpena
Leelanau
Arenac
Manistee
Antrim
Mason
Alcona
Mecosta
Benzie
Midland
Charlevoix
.
Missaukee
Clare
Montcalmn
Crawford
Montmorency
Cheboygan
Muskegon
Emmet
Newaygo
Gladwin
Oceana
Grand Traverse
Ogemaw
Gratiot
Osceola
Isabella
Otsego
losco
Oscoda
Ionia
Presque Isle
Kalkaska
Eoscommon
Lake
Wexford
Provision is made by Section 7 for the transfer of patients Transfer from
from one asylum to another when conditions make such trans- another"0 to
fer desirable.

90

STATE OF MICHIGAN.

A patient is not to be committeed 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.)
Classes of
Patients are divided into three classes: Public patients,
patients.
private patients, and voluntary patients. (Section 13).
Voluntary
Voluntary patients are patients who are not insane. They
patients.
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 nor 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."
Public and
Both public and private patients can be received only on
private
an order from a probate court declaring the patient insane
patients.
and stating the method of support,—whether public or private. Such an order is void unless patient is sent to the asyOrder void
after thirty
lum within thirty days after it is issued. (Section 16.)
days.
Bonds.
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 incumAdvance
bent
upon the court to see that this bond is furnished. Until
payment.
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.
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).
Temporary
Provision is made (Section 16) for the reception of both
orders.
public and private patients on temporary orders wherever
conditions demand immediate attention.
Transfer from
Section 21 provides for the transfer of a patient from priprivate to
vate expense to public expense where conditions warrant such
public.
a change.
Non-resident.
Section 30 provides for the temporary reception and care
of insane who are not residents of this State.
Provisional
Section 32 provides for the return to the hospital without a
discharge and
new order of patients who have been discharged on trial,
readmission
of patients.
where the duration of the temporary absence does not exceed
six months.
Insane to be
committed to
hospital of
their district.

TRAVERSE CITY STATE HOSPITAL.

91

The attention of county officers is particularly called to the insane women
provisions of Section 40 regarding the state of bodily cleanli- panted°bym"
ness and the clothing of patients brought to the hospital, and *t?^ant
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. Removal of
m j - i . ^ i j j . - C
• j T.
*
• -j. j j-i patients from
Truth should not be compromised
by professing
a visit
to the home,
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 be 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 arti- clothing,
cles 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 chemise, 3
pairs of drawers, 4 pairs hose, 3 night-dresses, 3 cotton-flannel
skirts, C 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 Jt&eping.
All letters concerning patients, from individuals having Correspondthe right to make inquiry, will be answered at once; and ence '
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

92

Visiting
patients.

Application
•for admission
...ol patients.

STATE OP MICHIGAN.

concerning inmates will not be given to casual visitors, except at the written request of friends.
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,
authorising the interview.
Application for admission should ~be made before the patient is braitght 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
Admissions of drug habituates
Admissions by months
Admission of public patients
Admission of private patients
Admission of voluntary patients
Age of patients discharged recovered. Table
Age of patients who died. Table
Alcoholic Habituates
Alcoholic mental disorders
Appendix
Appointments, resignations, etc
Appropriations, report of
Carpenter and paint shop
Chapel
Civil condition. Table
-Clinical work
Clothing
Cold storage plant, addition to
Community clinics
Correspondence
Cost of maintenance
Daily average of patients
Deaths, causes of, etc
Deaths, violent
Death rate
Dementia praecox
Delirium. Infectious, toxic, collapse, unclassified
Dietetics and food analysis
.'.
Dining room for men
Dining room for women, addition to
Discharge of patients, readmissions, etc
Domestic arts and sciences
Duration of residence of patients discharged. Table
Education. Table
Epilepsy
Estimates of special appropriations
Farm and garden
Farm purchase
Feeble minded
Fire protection, addition to
Form of disease. Table
Grate for boiler
Graduates of Training School
General Hospital
Heredity

:

»

Page
80
33-36
70
90
C5
90
90
90
75
76
54-55
56-57
87
27-28
21-24
24
79
67
10
91
25
10
91
19-20
20
44
39
20
51-52
64
8
22
25
20-21
9
74
.
68
60-61
76-78
26
25
IT
25
46-48
24
85-86
11-15
66

96

INDEX.

Huntington's chorea

Page63

Hysteria
Harrison Law
Imbecility
Improvements
Increase of patients
..
Industrial building
,
Inventory, summary of
Juvenile criminals
Laundry machinery
Manic depressive insanity
Morphinism
Movement of population. Table
Names of officers and employees. Table
Nativity of parents. Table
Nativity of patients. Table
Needs of Hospital
New problems in civics
Neurasthenia
Neurosis, anxiety
Not insane
Occupation for men
Occupation. Table
Officers, names of
Organic group
Paranoia and paranoid states
Patients treated in county houses, jails, etc
Patients, suicidal, homicidal, etc
Pernicious enemia
Porch
Psychopathic personalities
Psychosis associated with articular rheumatism
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
,
Residence of patients. Table
Results of treatment of patients discharged. Table
Sexual perversions .
Store, addition to
Social work
Syphilis
Syphilis, control of
Sydenham's chorea
Traumatic insanity
Title and addresses
Training school for nurses
Transfer of patients
Unclassified group
Visiting patients
X-Ray department

53
11
58-50
21
19
23
.42
05
25
49-50
57-58
43
80-84
70
69
24
15-17
53
54
65
9
68
5-6
61-63
52-53
19
19
63
2&
54
63
26-78
27
01
22
43
78-79
7-20 •
30-37
38-42
3T
71
72-73
54
24
3 5-17
65
11
64
63
3'
9
19-90*
64
92:
18-1 £»

.'

,

I