Dublin Core
Title
Report of the Board of Trustees of the Traverse City State Hospital at Traverse City June 30, 1914.
Subject
Asylums--Michigan--Traverse City--History.
Psychiatric hospitals.
Description
Report of the Board of Trustees of the Traverse City State Hospital for the biennial period ending June 30, 1914. This report includes the reports of the medical superintendent, treasurer and steward.
Creator
Board of Trustees of the Traverse City State Hospital at Traverse City.
Source
Original document held by Traverse Area District Library.
Publisher
Lansing: Wynkoop Hallenbeck Crawford Co., State Printers.
Date
30 June 1914
Contributor
State of Michigan.
Rights
This document is in the public domain.
Relation
See other reports from the Board of Trustees in the "Traverse City State Hospital" Digital Collection.
Format
PDF.
Language
English.
Type
Document.
Identifier
TCSH0009
Coverage
Traverse City, Grand Traverse County, Michigan.
PDF Text
Text
MICHIGAN STATE L1BRAHY
OFFICIAL COLLECTION
REPORT
MICHIGAN DOCUMENTS
BOARD OF TRUSTEES
TRAVERSE CITY STATE HOSPITAL
TRAVERSE CITY
JUNE 30, 1914
BY AUTHORITY
LANSING, MICHIGAN
WYNKOOP HALLENBECK CRAWFORD CO., STATE PRINTERS
1911
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 42 buildings, occupying a tract
of land containing 723 acres. It cares for 1,517 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.
TEUSTEES.
W. LLOYD
H. C. DAVIS
W. W. MITCHELL
M. F. QUAINTANCE
E. S. WAGAR
C. D. ALWAY
MANISTEE
TRAVERSE CITY
CADILLAC
PETOSKEY
EDMOBE
TSAVEBSE CITY
RESIDENT OFFICERS.
JAMES D. MUNSON, M. D
A. S. ROWLEY, M. D
W. D. MUELLER, M. D
ADAH EPPERSON M. D
MEDICAL SUPERINTENDENT
ASST. MEDICAL SUPERINTENDENT
}
J. A. J. HALL, M. D
f
R. F. WAFER, M. D
j
ASST. PHYSICIANS
NON-RESIDENT OFFICERS.
G. B. PIKE
W. P. MANTON, M. D
STEWARD
DETROIT, MICH., GYNECOLOGIST
CHAPLAIN.
REV. D. COCHLIN
.TBAVEBSE CITY
TREASURES.
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.
Retired.
Residence.
Traverse City . Work of board completed Sept. 30, 1882.
Perry Hannah
E. H. Van Deusen. . . Kalamazoo.
Detroit.
M. H. Butler
1881
1881
1881
BOARD OF COMMISSIONERS APPOINTED TO ERECT THE NORTHERN MICHIGAN
ASYLUM.
Date of
appointment.
Name.
Perry Hannah
E H. Van Deusen . .
M. H. Butler
H. H. Riley
Thos. T. Bates
1881
1881
1881
'1881
1885
Residence.
Retired.
Traverse City . 1885.
Kalamazoo.
Detroit.
St. Joseph.
Traverse City . 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
. .
Name.
Residence.
Term
expires.
President
from to
C. M. Wells
Alex. Chapoton, Sr.
J. W. French
Thos. T. Bates
H. H. Noble
Geo. A. Farr
Varnum B. Cochran
Lorin Roberts
C. L. Whitney
H. C. Davis
G. A. Hart
W. W. Cummer
C. F. Backus
H D Campbell
W. W. Mitchell .
H D Brigham
D. B. Butler
Traverse City ...
Detroit
Three Rivers ....
Traverse City...
Elk Rapids
Grand Haven . . .
1887
1887
1889
1913
1897
1891
1893
1889
1891
1895
1915
1897
1901
1901
1905
1901
1917
1901
1903
1907
1908
1917
1919
1915
1919
1885 to 1886.
G. A. Hart
A F Temple
M. F. Quaintance
William Lloyd
E. S Wager
C. D. Alway
Traverse City . .
Muskegon
Traverse City. . .
Cadillac
Bad Axe
Detroit
Cadillac
Frankfort
Traverse City
Remarks.
1886 to 1892.
1907 to 1910.
1892 to 1897.
1897 to 1899
1899 to 1902.
1902 to 1907
1910 to 1912
1912
Present member .
MEDICAL OFFICERS.
Medical Superintendent:
James D. Munson, M. D., 1885.
Assistant Medical Superintendents:
J.-H. Dawson, M. D.—1885 to 1890. Resigned.
C. G. Chaddock, M. D.—1890 to 1892. Resigned.
A. S. Rowley, M. D.—1895
.
Assistant Physicians:
C. 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 Superintendencv
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. Purdum, M. D.—1906 to 1910.
R. E. Wells, M. D.—1907 to 1912.
Guy M. Johnson, M. D.—1908 to 1910.
Adah Epperson, M. D.—1910
.
E. G. Williams, M. D.—1910 to 1911.
J. A. J. Hall, M. D.—1910.
S. C. Niles, M. D—1911 to 1913.
G. V. Sigler, M. D.—1913-1913.
R. F. Wafer, M. D.—1913Stewards:
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.
CJiaplains :
Rev; W. G. Puddefoot. 1886 to 1888.
Rev. D. VanAlstin, 1888 to 1890.
Rev. D. Cochlin, 1890
.
REPORT OF THE BOARD OF TRUSTEES.
To the Governor and Legislature of the State of Michigan:
The Trustees of the Traverse City State Hospital have the honor to
submit their report for the biennial period ending June 30, 1914, together with the reports of the Medical Superintendent, Treasurer and
Steward.
The period has been an interesting one, not only because of discoveries in the treatment of certain conditions, but of increased efficiency in the general management of the hospital. The general application of the Wasserman method,—a positive means of clinical diagnosis
of luetic diseases,—and of recently discovered means for the curative
treatment of these disorders, mark, perhaps, the most important advance in the field of neurological medicine. Helpful advance has been
made in the diagnosis of dementia praecox by the use of the FauserAbderhalden defensive ferment test, and in its treatment by the nucleinate of sodium,—the so-called Lundvall treatment. The Abderhalden
test opens a wide field, and will become a part of the clinical routine in.
the investigation of cases. In the Medical Superintendent's report
brief mention is made regarding the treatment of luetic diseases and of
dementia praecox by recent methods.
Although the cost of living continued high, yet the maintenance rate
was not increased. Notwithstanding that the hospital had to pay its
pro rata (f5,193.93) to the State for insurance on its property, etc., in
accordance with the provisions of Act 388, Laws of 1913, yet the actual
cost of maintenance was within 50 cents per patient per day. The
1914-15 rate has been fixed at 50 cents per patient per day, including
fire insurance and workingmen's liability insurance, as provided by law.
We would respectfully suggest to your Honorable Body that the cost of
fire insurance for State institutions and for workingmen's compensation
under the Liability Law, should be charged against the general fund of
the State and not assessed pro rata among the institutions of the State.
This method would be more business like, more direct, and would afford
a saving in overhead charges.
Every effort has been made to increase the efficiency of the hospital in
all its departments. The orchards, dairy, farm and gardens have grown
greatly in usefulness, and a handsome profit has been derived from
them. The fruits grown supplied the hospital with all its fresh fruits
and with much of its preserved fruits. Their value amounts to a considerable sum. The health value of fruits grown to maturity, and consumed in fresh state, is greater than that of fruits imported from a distance. Imported fruits are usually gathered green, and ripen under
artificial conditions, and are not as healthful as fruits matured at home.
In their possibilities these departments are only at the threshold.
8
STATE OF MICHIGAN.
The "Board of Stewards" has made many joint purchases for the institutions of the State. This plan has thus far worked well, and will
continue to work well so long as quality of supplies is regarded of first
importance. Inferior or "old stock" provisions may cost less, but their
use is ever at the expense of the health of the hospital. A few more
cases of illness in the hospital, traceable to inferior foods, would cost
vastly more than the difference between inferior and first class supplies
would amount to. Expert inspection of foods and the proper cooking of
foods are of great importance to the health of the household.
The cooking is supervised by the dietitian, and foods are prepared not
only more scientifically, but in a more attractive and palatable manner.
Quite recently the patients have been arranged in groups, and foods
prepared and served according to the needs of each group. The first
group includes all those who are physically able to eat in dining rooms
and without special supervision. The second group includes those who
were formerly fed from trays because of untidiness or violence; and
the third group includes those confined to bed. The second group cases
require very special supervision, not only in reference to the kind of
foods they eat, but to have them eat in a proper manner. Eggs, soups,
-cereals, vegetables and fruits enter largely into the dietary of this group.
The menus are varied from day to day and their nutritive value carefully estimated, so that there is a just balance maintained in the proteid, carbohydrate and fat contents. For the third group the dietary is
prescribed by the physicians to meet the needs of each case. Women
patients are instructed by the dietitian in the preparation and service
of foods, and assist in many ways in the preparation and preservation
•of fruits, etc. This is one of the most useful diversional occupations
for women patients. So far this period, women patients have largely
assisted in the preparation of fruits for canning, in cake and special
bread making, etc. Instruction in bread, cake and pastry making will
be extended as fast as suitable room for the purpose can be provided.
DIETETICS.
Each year for several years an analysis of food used in certain portions of the hospital for a given length of time has been made, and the
following tables will show the result of these analyses for several of the
cottages. They are informative of the approximate calorie value of the
food materials furnished,—whether too much or too little proteid, carbohydrate, or fat, etc., etc. These analyses furnish a base on which food
requisitions are made, and in the treatment of many patients are of as
much value as is the determination of calorie content of foods used in
the typhoid, diabetic or nephritic patient. If, for example, the analysis
shows too much fat or too much proteid or too much carbohydrate, it is
comparatively easy to correct any deficiency or excess that may exist in
these elements. The dietetic treatment of mental cases is of just as
much value as it is in general diseases. The body metabolism is impaired in the majority of cases, and the patients are, by reason of their
mental state, unable to cooperate with the physicians in properly eating.
We know in many cases without the utmost care in this direction patients go on to fatal exhaustion. Body metabolism is an extremely
^complicated matter in both health and disease. The value of dietetic
TRAVERSE CITY STATE HOSPITAL.
treatment of the insane can hardly be over-estimated. In conclusion we
may say that in arranging dietaries, the first consideration has been to
give the patients a diet suited to their health needs and at the lowest
possible cost.
The following analyses were made by Miss N. B. Clark, dietitian of
the hospital.
FOOD NUTRIENTS USED IN THE TRAVERSE CITY STATE HOSPITAL.
COTTAGE 21. DAYS' BOARD 1708.
Protein
2654.4 gms.
• per patient
per month
Fat
3004.4 gms.
'Carbohydrate
12796 gms.
94.8 gms.
per patient
per day
107.3 gms.
per patient
per day
453 . 4 gms.
per patient
per day
Total
110 gms.
Woman at moderate
work. —Atwater
379 . 2 calories
95 gms.
966
calories
450 gms.
1813.9 calories
3000-3500 calories
3158.1 calories
per day
COTTAGE 25. DAYS' BOARD 1708.
Protein
2500.4 gms.
Fat
2570.4 gms.
'Carbohydrate
12213. 6 gms.
89.3 gms.
per patient
per day
91.8 gms.
per patient
per day
436.2 gms.
per patient
per day
Total
110 gms.
Woman at moderate
work. —Atwai er
357 . 1 calories
95 gms.
826.6 calories
450 gms.
1746
calories
3000-3500 calories
3029 7 calories
per day
COTTAGE 27. DAYS' BOARD 1932.
Protein
3214. 4 gms.
Fat
3780 gms.
Carbohydrate
10584 gms.
Total
114.8 gms.
per patient
per day
135 gms.
per patient
per day
378 gms.
per patient
per day
110 gms.
Woman at moderate
work. —Atwater
459 . 5 calories
95 gms.
1214.3 calories
450 gms.
1512 .5 calories
3000-3500 calories
3186 3 calories
10
STATE OP MICHIGAN.
COTTAGE 32. DAYS' BOARD 1204.
Protein
Fat
3365. 6 gm.
per patient
per month
5152 gm.
Carbohydrate
11732 gm.
120.2 gm.
per patient
per month
184 gm.
41S.2 gm.
Tola!.. .
Men.
120-125 gm.
per patient
per day
1.50 gm.
500 gm.
3500-4000
4808
calories
1657
1677
caloiies
calories
3814 8 calories
per day
COTTAGE 34. DAYS' BOARD 2072.
Protein
4732 gm.
per patient
per month
Fat
10220 gm.
Carbohydrate
14840 gm.
169 gm.
per patient
per day
365.7 gm.
530.5 gm.
Total
Men.
120-125 gm.
per patient
per day
150 gm.
500 gm.
3500-4000
676 calories
1463 calories
2122 calories
per day
COTTAGE 36. DAYS' BOARD 2024,
Protein
2240 gm.
per patient
per month
Fat
2744 gm.
80 gm.
per patient
per day
298.57 gm.
Carbohydrate
Total
6608 gm.
236 gm.
Men.
100-110 gm.
per patient
per day
150 gm.
400 gm.
320 calories
887 calories
947 calories
per day
COTTAGE 30. DAYS' BOARD 2268.
Protein
2924 gm.
per patient
per month ,
Fat
3682 gm.
11578 gm.
Carbohydrate
Total
108 gm.
per patient
per day
131.5 gm.
413. 5 gm.
Men.
100 gm.
Standard for light
exercise
100 gm.
360 gm.
432 calories
1186 calories
1653 calories
3271 calories
per day
COTTAGE 31. DAYS' BOARD 896.
Protein
3791.2 gm.
per patient
per month
Fat
3262 gm.
Carbohydrate
Total
8680 gm.
135. 4 gm.
per patient
per day
116.5 gm.
per patient
per day
310 gm.
Women .
100 gm.
Standard for light
exercise
531.3 calories
100 gm.
104S.3 calories
360 gm.
1240.3 calories
2S19.9 calories
per day
TRAVERSE CITY STATE HOSPITAL.
11
COTTAGE 24 AND 26. DAYS' BOARD 3276.
Protein
4182. 5 gm.
per patient
per month
146.5 gm.
per patient
per day
125 to 150 gm.
Man at hard work
per patient per day.
—Atwater
Fat
3530 gm.
12922 gm.
126.1 gm.
461.5 gm.
150 gm.
500 gm.
4000-4500 c.
Carbohydrate
Total
.
586.2 calories
1135 calories
1846 calories
3567.2 calories
per day
COTTAGE 28. DAYS' BOARD 1680.
Protein
5644.8 gm.
per patient
per month
Fat
5546.8 gm.
16066.4 gm.
Carbohydrate
201.6 gm.
per patient
per day
198.1 gm.
573.8 gm.
Total
150 gm. Ma,n at
hard work per patient
per day. — Atwater
150 gm.
500 gm.
4000-4500
806.6 calories
1793.2 calories
2294.4 calories
4894 2 calories
per day
COTTAGE 29. DAYS' BOARD 2212.
Protein
Fat
Carbohydrate
4107.6 gm.
per patient
per month
3203.2 gm.
10052 gm.
146.7 gm.
per patient
per day
114.4 gm.
100-110 gm.
Woman at light
work. —Atwater
95 gm.
359 gm.
450 gm.
Total
586 . 9 calories
1050.2 calories
1536.3 calories
3173 4 calories
per day
Added experience confirms the great value of dietetics in nervous and
physical condition of ill health. It opens tip a field for better foods,
better cooking and for the education and employment, especially of
women patients.
DOMESTIC ARTS AXD SCIENCES.
A department of domestic science and arts was established during the
period, not only to increase the efficiency of the working force, but to introduce as fast as practical, the so-called diversional occupations. All of
the dress-making, repair of clothing, etc., falls in this department. An
effort is made to employ, not so much the willing worker, as the depressed, the indifferent, inhibited praecox cases; all those, in fact, who
require urging if they accomplish any useful thing. It is believed that
every patient who is bodily able, will, under proper supervision, perform
some useful work, and in praecox cases, particularly, the march to
dementia arrested, or even the mental condition of the patient improved.
The work of patients is frequently interrupted by luncheons, music, and
games, and diversified by the teaching of fancy work. This field should
be extended, so that every woman patient will be able to add, by her own
industry, to her own well being and to that of others. The room devoted
to this department, in the basement, is not only too small, but in every
way inadequate for the purpose. As will later appear, we shall ask your
12
STATE OF MICHIGAN.
Honorable Body for an appropriation to construct a suitable building
in which to carry on this important work.
OCCUPATION FOR MEN.
To provide occupations for men is not difficult, as the work of the
farm, gardens and grounds are especially suited for all classes of patients. Many men patients work with absorbing interest under the
direction of the orchardist, of the horticulturist, of the herdsman, etc.,
from which they gain not only health and strength, but knowledge
which they can apply in the conduct of their affairs at home. About
one-half of the men are usefully employed every day. Epileptics, imbeciles, seniles, tuberculous and organic patients, are able to do little,
if any, work. With trained nurses and vocational instructors, nearly
every patient save these can be enlisted in work, to their benefit.
TRAINING SCHOOL FOR NURSES.
The training school has been conducted with care, to fit the pupil for
the highest usefulness in mental nursing. Mental nursing is widening
on many lines,—the education of patients, vocational instruction, diversional occupations, various forms of amusements,—all require the highest intelligence and scientific training for their successful attainment.
Because of these demands, more men and women are seeking this special
form of training,—even graduates of general hospital schools are seeking entrance into our school, hoping to gain wider knowledge and to
make a life work of the care of the insane. During the period just
closed there were twenty-eight graduates from the training school.
Many of these nurses, as during former years, severed their connection
with the hospital soon after graduation to enter the training schools
and hospitals of the large cities. As just mentioned, however, graduates of metropolitan schools are seeking post work in our mental
schools, and in this way our service may gain in trained nurses what it
loses.
CLINICAL AND RESEARCH WORK.
This work has been under the general direction of Dr. J. A. Hall.
The following is a brief report of the examinations and other work done.
The Wasserman work has been done in collaboration with the Psychopathic Hospital at Ann Arbor, and it is interesting to note that of the
luetic cases treated, two were discharged cured. These patients were
apparently in normal mental health, and the blood and spinal fluid no
longer gave the Wasserman reaction. It is also interesting to note that
of the total number of cases tested, 15.2% of the men and 7% of the
women gave positive Wasserman reactions. This demonstrates how
vast a place specific disease takes in the etiology of mental disease.
CARS OVER COAL BUNKERS, END OF SIDE TRACK
TRAVERSE CITY STATE HOSPITAL.
13
LABORATORY.
Examinations:
Urine
Blood
Bacterial culture
Sputum
Pleural
fluid
Stomach contents
Faeces
Spinal
fluid
Blood pressures
Widal reactions
Diazo reactions
Necropsies
Lumbar punctures
Wasserman work:
Total bloods sent
Bloods sent Sept. 1, 1913 to July
1, 1914
Positive reaction
% Positive reaction
Treated (Salvarsan)
Cured
Improved
Not improved
Pieces of apparatus added to laboratory
5S6
C3
64
26
2
4
1
37
74
4
17
8
55
299
257
31
12
7
2
4
1
2
Males' 158
Males 24
Males 15.2
Males
7
Females 99
Females 7
Females 7
Females 0
Sterilizer and Water bath.
In addition to the Wasserman work the study of alcohol as an etiologic factor in insanity was carried on. Also the heredity of each
and every patient admitted during the last year was carefully studied,
in collaboration with the Michigan Eugenics Commission.
EPIDEMIC DISEASES.
During the months of September, October and November, 1913, there
was a small outbreak of typhoid fever in the hospital. As soon as the
diagnosis of typhoid was established, suitable rooms for the care and
nursing of the patients were prepared, which were sufficiently isolated
to prevent the spread of the disease. The most interesting question to
consider was its source. How did the germs find their way into the
hospital? Samples of the water used for domestic purposes, and
samples of the milk used in the hospital, were immediately sent to the
State Board of Health. Examination proved these specimens negative.
The State Board of Health was requested to send a representative to
investigate the disease and locate its source, if possible. The Board
very kindly sent Dr. C. C. Slemons, Health Officer of Grand Eapids, to
make the necessary investigations. In view of the negative report on
water and milk, and of the localization of the cases in the hospital, Dr.
Slemons first investigated if a carrier had been admitted. He also
inquired into the nursing of the patients previous to their sickness.
It was found that one nurse had cared for all of them, and that this
14
STATE OF MICHIGAN.
nurse never had had typhoid or been in contact with the disease. Bacteriological examinations showed that she was free from typhoid germs,
—that she was not a carrier. It was thought that there might be a
patient who was a carrier and who might have distributed the germs to
the patients attacked. One patient who had been bed-ridden for gome
months from chronic intestinal trouble was strongly suspected. All
tests of this patient proved negative. The Widal test was made of all
patients admitted to the wards where patients were ill during a period
three weeks previous to September 8th. All examinations proved negative. We may say that every effort made to trace the source of the
disease was without avail. It still remains a mystery.
Within a few days 10 patients were attacked. All recovered but one.
This patient, who was an epileptic, had a very severe convulsion in the
midst of her sickness, and if it was not directly the cause of her death,
it probably hastened it. Prophylactic vaccination with typhoid bactuins of all patients was authorized. About 1,500 of these vaccinations
were made, two for each person. The "first dose was of 5 million bacterins, and the second of 1,000 million bacteria. No serious illness or
reaction followed these vaccinations. Whether without them the disease would have limited itself to the 10 cases cannot be said. At any
rate, no further cases occurred.
. Diphtheria made its appearance in the hospital just previous to the
beginning of the period. The disease was controlled by the use of
antitoxins.
VIOLENT DEATHS.
One homicide occurred. C. B. died of strangulation produced by a
fellow patient. There were no suicides. One patient, an epileptic,
suffocated in his pillow during a convulsion.
TRANSFER OF PATIENTS.
Three patients were transferred to the Ionia State Hospital; one
was deported to Europe; one was transferred to the Kalamazoo State
Hospital; and one was returned to Illinois.
The hospital has been able to care for all patients within its district,
and many from the dewberry and Pontiac State Hospital Districts.
INCREASE OF PATIENTS.
The net gain in patients during the period was, men, 79, women, 40,
total, 119. If the patients received from outside the hospital district,
94 men and 53 women, total 147,—are deducted from the total admissions, the net loss in the district during the period was 29. The average
increase of patients for the last twenty-eight years has been 21.7 per
year.
Of the 700 patients admitted:
23 had been confined in county houses.
124 had been confined in jails.
109 had been treated in other asylums.
22 were said to have been destructive.
34 had attempted or threatened suicide.
F
APPROACH OF SIDE TRACK TO HOSPITAL
TRAVERSE CITY STATE HOSPITAL.
15
59 were homicidal or had threatened homicidal assaults.
6 had been confined or restrained at home.
The number of patients confined in county houses, jails and other
asylums exceeded the last biennial period by 82, the number of suicidal
cases was greater by 3, and the number of homicidal cases was greater
by 8. Since June 30, 1892, these statistics have been regularly kept,
and show out of a total of 5,040 admissions:
206
630
421
509
390
590
403
(4%) were confined in county houses.
(12%) had been confined in jails.
(8.3%) had been treated in other asylums.
(10%) were destructive.
(7%) were suicidal.
(11%%) were homicidal.
(8%) required some sort of restraint at home.
COST OF MAINTENANCE.
The daily cost of maintenance per patient for the last 28 years has
been as follows:
Cents.
1880
53
. 188T
52
1888
51
1889
50
1890
49
1891
49
1892
48
1893
48
1894
48
1895
47
1896
46
1897
44
1898
42
1899
44
1900
44
1901
44
1902
44
1903 (The above exclusive of officers' salaries).... 44
1904 (Inclusive of officers' salaries)
48
1905
'•
•'
"
49
1906
"
"
"
"
48
1907
"
"
"
«
47
1908
"
"
'•
"
48
1909
"
"
"
'•
50
1910
"
"
"- :
«
50
1911
•'
"
'•
. «
50
1912
"
"
«
«
49
1913
"
"
"
'•
50
1914
"
"
'•'
"
(Including pro
rata of State insurance fund $5,193.93)
51
16
STATE OF MICHIGAN.
DISCHARGE OP PATIENTS,, READMISSIONS,, ETC.
There were 581 patients discharged during the period,—337 men and
244 women. Of this number 83 were discharged recovered, 150 improved,
49 unimproved and 299 died. The percentage of recoveries on the whole
number under treatment was 4%; on the number admitted 11.8%. The
death rate was 88 per thousand, 1912-13, and 80 per thousand, 1913-14.
The readmissions for the period, were, men, 55; women, 52; total, 107.
The readmissions from the beginning have been, men, 369; women, 356;
total, 725. The total number of admissions, 6,530, represents 5,805
individuals.
The daily average of patients for the period was 1,492. The number
of weeks spent in the institution by patients was 155,599 1/71. This was
an increase of 101 in daily average, and an increase of 10,196 2/7 weeks'
board over the preceding period.
On June 30, 1914, there were 1,486 patients under treatment at State
expense, and 31 at private expense.
There were 271 persons employed at the hospital on June 30, 1914, in
the positions and at the wages given in the schedule accompanying this
report.
ORDINARY REPAIRS AND IMPROVEMENTS.
During the year ending June 30, 1913, the cost of repairs was $18,329.53, and for the year ending June 30, 1914, $17,435.33. A number of
minor repairs and improvements were made during the period. Among
the more important was the purchase of a flag staff, construction of a
small garage for Steward's use, purchase of new hose and increased
fire protection, electric lighting of main avenue, replacing floors and
general repairs in Administration Building, replacing of stalls and
mangers in cow stables, repairs to Steward's residence, and replacing of
floors and closets in laboratory, fitting up room in basement for domestic science department, repairs and enlargement of gardener's cottage,
spraying utensils for orchards and gardens, and other little repairs too
numerous to mention. Beds and bedding, chairs and other furniture
were required to meet the increase of patients in the hospital.
SPECIAL APPROPRIATION, $38,137.80.
This appropriation was granted by the last Legislature for the construction of a side track from the Peve Marquette main line to the institution. The right of way was purchased by the State at a cost of $22,738.46, and the cost of construction to June 30th, 1914, was $9,580.86.
There still remained in the hands of the treasurer to the credit of this
fund at the close of June 30th, 1914, $5,818.48. The road is nearly completed and well within the appropriation. There will be a large number
of city lots crossed by the track, for sale. Their total market value is
not less than $10,000" Your Honorable Body is respectfully requested
to pass an act enabling the hospital to sell these lots, and to return the
money accruing from such sales either to the State treasury or to the
institution. This road is the most important improvement made at the
institution in years. At this writing, (Sept. 13, 1914), freight is being
delivered at the hospital.
TRAVERSE CITY STATE HOSPITAL.
17
SPECIAL APPROPRIATION, $1500.
This appropriation was provided by the last Legislature for the purchase of track scales. It has not been drawn, and it is not yet fully
determined whether it will be necessary to use it.
SPECIAL APPROPRIATION, $6000.
This appropriation was authorized by the last Legislature for the
completion of the heating plant in the "main building. The contract for
this work was awarded to the Thomas Heating Company of Eacine, Wisconsin, in the sum of $5,535.00. This work was completed within the
amount appropriated, and in a most satisfactory manner. There remained in the hands of the treasurer to the credit of this fund on June
30th, 1914, $160.44.
SPECIAL APPROPRIATION, $2500.
This appropriation was granted by the last Legislature for a shed for
storage of wagons and implements. Work has been commenced on this
building, but it will not be finished till September of this year. There
remained in the hands of the treasurer to the credit of this fund, at the
close of the biennial period, $2,370.70.
SPECIAL APPROPRIATION, $2500.
This appropriation was granted by the last Legislature for repairs to
roofs and gutters of the hospital. A part of the work has been completed. There remained in the hands of the treasurer to the credit of
this fund, on June 30, 1914, $1,741.43.
SPECIAL APPROPRIATION, $500.
This appropriation was granted by the Legislature for sinking an
artesian well. This work is about completed. An excellent flow of
water has been obtained which- will be of the greatest service to the
hospital. There remained in the hands of the treasurer at the close of
the biennial period to the credit of this fund, $53.70.
SPECIAL APPROPRIATION, $6400.
This appropriation was granted by the last Legislature for roofing
cottages 24, 25, 26 and 28. The work of re-roofing these buildings was
done on contract, and in a highly satisfactory manner. The roofs are
of the best Peach Bottom Pennsylvania slate. The work was finished in
November, 1913. There remained in the hands of the treasurer to the
credit of this fund on June 30, 1914, $494.53.
SPECIAL APPROPRIATION, $2000.
This appropriation was made for laundry extension and for laundry
dry room. No part of this money was used during the period, but a contract has been made for a drying machine, and further additions will
be made to the laundry as fast as possible.
SPECIAL APPROPRIATION, $600.
This appropriation was granted by the last Legislature for the construction of a porch at Cottage 32 for tuberculous patients. This porch
3
18
STATE OF MICHIGAN.
was partially completed and at the close of business on June 30th, 1914;
$329.25 remained to its credit in the hands of the treasurer. The porch
will be finished within a few weeks.
SPECIAL APPROPRIATION, $10,000.
This appropriation was granted by the last Legislature for a dining
room for cottages for men. An architect was employed, and it was
found that a building of necessary size to meet the present needs of the
hospital, to say nothing of future needs, was entirely inadequate, and
therefore the appropriation has not been drawn. This is a very much
needed improvement, and we respectfully request your Honorable Body
for an additional appropriation of $14,125.40, to build a dining room
for 500 men patients.
SPECIAL APPROPRIATION, $1,000.
This appropriation was granted by the last Legislature to reimburse
the hospital for culvert built in the rear of the hospital to divert storm
water or flood water around the institution to the north. This money
has been placed to the credit of the hospital to replace money expended
in the purchase of material used in the construction of the culvert.
NEEDS OF THE HOSPITAL.
The hospital is very greatly in need of a building for a chapel and
amusement hall, of additional farm lands, and of a home for women
nurses. We would respectfully call your attention to these needs without requesting appropriations for them. The following requests for appropriations are to meet the absolute needs of the hospital. The hospital is growing in numbers, and conditions of care and treatment are
changing, all of which necessitates improvements.
CARPENTER AND PAINT SHOP.
Your Honorable Body is respectfully requested to appropriate the
sum of $8,452.00 for the construction of a building to be used as a carpenter and paint shop. The present room occupied as a carpenter shop
is entirely inadequate for the purpose. We cannot too strongly urge in
the interests of economy, and safety from fire, the granting of this appropriation. As reported to previous Legislatures, the present blacksmith shop and carpenter shop can be converted into a blacksmith shop
and store room for engineering materials.
GENERAL DINING-ROOM FOR COTTAGES FOR
MEN.
An appropriation of $10,000 was passed by the last Legislature for
the construction of a central dining-room for men. Subsequently the
preparing of plans for the building was placed in the hands of Mr. Wm.
T. Cooper, of Saginaw, Mich. After his plans were drawn and estimates
made, it was found that a dining room such as would meet the needs of
the hospital, would cost $24,125.40. This would necessitate an additional
appropriation of $14,125.40 to complete the building. If this diningroom is authorized, the old dining-rooms and kitchens, store rooms, etc.,
PROTECTIVE CANAL
COTTAGES FOR MEN
TRAVERSE CITY STATE HOSPITAL.
19
in connection with each cottage, can be converted into dormitories, and
additional room made for 140 men patients. If new accommodations
were built for this number of patients, the cost would be about $70,000.00. It may be seen from a purely economic standpoint, that the
construction of the new dining room would be greatly to the advantage
of the State. This dining room, if authorized, would also enable the
institution to abandon the old central kitchen and change it into a
special department for cold storage and domestic science work. The
domestic science work includes the instruction of patients in cooking,
also in the preparation of fruits and vegetables for canning, bread and
cake making, pastry making, etc. Further, the dining room, if authorized, would concentrate the work that is now carried on in a number of
dining rooms, and at less cost for labor, skilled cooks and oversight, etc.
HEATING AND VENTILATING SYSTEMS FOR COTTAGES 24 AND 26.
Your Honorable Body is respectfully requested to grant an appropriaation of f 12,000 for the installation of a new heating and ventilating
system in these buildings. The cost of this work is estimated on bids
that were made for its installation by the Thomas Heating Co., of Racine,
Wis., two years ago.
ADDITIONS TO DINING ROOMS
NORTH AND SOUTH.
Your Honorable Body is respectfully requested to grant an appropriation of $2,394.75, for an addition to the south dining room, and the
same amount for an addition to the north dining room of the main
building. These dining rooms were built from the appropriations made
for the extensions to the north and south wings, and were only intended to provide dining room space for two wards on each floor of the
main building. After they came into operation they were found so useful that all the patients of the wing were crowded in them. The object
of these additions is to make sufficient serving room space for them.
This will require a room about 15x25 feet, and the construction of a new
elevator shaft for each. This is a much needed improvement. We doubt
if there is any more desirable system for the serving of food to a large
hospital population that the one to be found here.
INDUSTRIAL BUILDING.
During the past few years industrial and diversional occupations
have become a very important part in the treatment of patients as well
as in the economy of the hospital. We have been obliged to use for this
department basement rooms. They are much too small and are not as
sanitary as they should be to accommodate large numbers of patients.
The domestic science work is so very important that we feel it imperative to request of your Honorable Body an appropriation of $9,000 to
build a small building in which this work may be properly conducted.
DAIRY BARN.
Your Honorable Body is respectfully requested to grant an appropriation of $5,000 for the construction of a dairy barn. The present barns
are fully occupied. The dairy must be increased if it is to produce all of
20
STATE OF MICHIGAN.
the milk used by the hospital. The number of patients has increased
quite rapidly, and the hospital has been buying milk for some time. We
would strongly recommend this appropriation as an economic proposition.
FENCING.
Your Honorable Body is respectfully requested to grant an appropriation of f 1,500 to construct 1,320 feet of iron fence in front of the hospital grounds. The present fence is built of wood. It has been in use 28
years, and is practically decayed. It must be replaced. The cost of an
iron fence would be only slightly greater than that of a wooden one,
and would be very much more durable.
LAUNDRY MACHINERY.
Your Honorable Body is requested to grant an appropriation of
$2,500 for the purchase of five washing machines and for the installation
of the same. The machines we now have have been steadily in use since
1895. They have been repaired and re-built until they can no longer be
made serviceable. They will have to be replaced.
GRATE FOR BOILER NO. 3.
Your Honorable Body is respectfully requested to make an appropriation of $2,500 for the re-setting of Boiler No. 3, and the installation of
an automatic chain grate under same. The present grate is worn out.
Chain grates are in use under the other boilers, are economic and highly
efficient as stokers.
ADDITION TO COLD STORAGE PLANT.
In case your Honorable Body grants the appropriation for a new
dining room for male patients, we would respectfully request an appropriation of $5,500 to re-fit part of the rooms in the old central kitchen
into cold storage rooms. Our cold storage plant is too small. There is
not a proper room at present in which the hospital can store fresh fruits
and vegetables or canned goods which are put up from its gardens and
orchards. At the present writing there are about 10,000 quarts of
canned fruits which have been put up from the farm, and which are
stored in the basement. Additional cold storage is an imperative necessity for the hospital.
FIRE PROTECTION FOR FARM BARNS.
Your Honorable Body is respectfully requested to grant an appropriation of |8,000.00 for the purchase and installation of fire protection for
the farm barns. The farm buildings and the stock have a value of not
less than $75,000, and are practically without fire protection. The
Board especially recommends this appropriation for the installation of
an automatic fire sprinkling apparatus, and for the construction of a
reservoir and purchase of necessary pumps, etc.
TRAVERSE PRINCESS WEG No. 106215. Age 5 years, 4 months, 9 days
TRAVERSE CITY STATE HOSPITAL.
21
RECAPITULATION OF APPROPRIATIONS REQUESTED.
Carpenter and Paint Shop
General Dining Eoom for Cottages for Men
Heating and Ventilating Systems for Cottages 24 and 26.
Additions to Dining Booms, north and south
Industrial Building
Dairy Barn
Fencing
Laundry Machinery
Grate for Boiler No. 3
Addition to Cold Storage Plant
Fire Protection for Farm Barns
|8,452
14,125
12,000
4,789
9,000
5,000
1,500
2,500
2,500
8,000
8,000
00
40
00
50
00
00
00
00
00
00
00
FARM, GARDEN, STOCK AND GROUNDS.
The following report shows the quantity of farm and garden produce
raised during the last two years, and also the value of stock sold.
FARM REPORT
FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1914.
Apples, bushels
4.243J
Onions, dozen
Asparagus, pounds
2,775
Onions, bushels
Beets, sugar, bushels
679
Potatoes, bushels
Beets, bushels
1,289
Peppers, bushels
Beans, string, bushels
552
Pork, pounds
6,567
Parsnips, bushels
Beef, pounds
Currants, quarts
6,268
Pumpkins, food, t o n s . . . .
Cherries, quarts
10,140
Pumpkins, stock, tons....
Cucumbers, dozen
250
Pears, bushels
Cucumbers, bushels
707
Peas, bushels
Cabbage, heeds
25,705
Peaches, bushels
Carrots, bushels
10,629
Plums, bushels
Celeriac, bushels
2
Rye, bushels
Celery, head
27,850
Raspberries, quarts
Cauliflower, heads
415
Rhubarb, pounds
Chicken, pounds
927i
Rutabagas, bushels
Corn, green, bushels
1,153
Radishes, dozen
Ducks, pounds
65 J
Silage, tons
Egg plant, bushels
5
Strawberries, quarts
Grapes, bushels
475}
Straw, tons
Greens, pounds
166
Spinach, pounds
Hay, tons
215
Salsify, bushels
Liver, heart and tongue, pounds.
22
Sage, bunches
Lettuce, pounds
12,925
Squash, tons
Kohlrabi, bushels
1
Sweet potatoes, bushels. .
Milk, pounds
,203,306
Tomatoes, pounds
Mangel, bushels
3,502
Tomatoes, bushels
Melons, water, pounds
5,295
Tomatoes, green, bushels.
Melons, musk, pounds
8,295
Turnips, bushels
Oats, bushels
2,854
Turkeys, pounds
Tallow, pounds
9,950
5506,940
18
26,957
4,679
II
5
199
198J
393 i
174
2,170
7,270
1,002
9,653
930
5,727
53
2,600
147
550
19
8
130
1,038
94
980
268
80
22
STATE OP MICHIGAN.
CASH RECEIPTS FROM FARM
FOR THE BIENNIAL PERIOD ENDING JUNE 30,
Cattle sold
Premiums on cattle:
Dairy show
Holstein-Friesian Association (cows)
Pigs sold
Hides sold
Gravel sold
.
Keep of bull sold
Hog Serum sold
Carrots sold
Eefunded freight charges
Refunded wagon repairs charges
Rent of house on right-of-way
1914.
$7,725 30
191 00
115 50
5 00
173 89
1 30
25 00
3 45
3 00
7 97
4 70
4 00
|8,260 11
The general management of the farm is under the direction of Mr.
G. B. Pike, the Steward, and under him, Mr. Kelley has the management
of the general farming operations, Mr. Tobler of the horticultural department, gardens and grounds, Mr. Pennell of the orchards, and Mr.
Hatch of the dairy and dairy barns. A goodly amount of food supplies
has been raised on the farm. The above report shows that $7,725.30
worth of cattle were sold during the period. The value of milk produced exceeded $35,000.00. The orchards have come into bearing
rapidly, and practically produce all of the fruits used by the hospital
population. We mention as a matter of pride that during the period
the hospital received a silver medal from the exhibition of the International Apple Shippers' Association at Cleveland for the best individual display of fruits; gained 11 prizes for its cattle from the Chicago
cattle show in 1913; and also a blue ribbon from the Boston exhibition
of the International Apple Shippers' Association, 1914.
As previously mentioned in this report, the farm, orchards, etc., form
a vast workshop for men patients, and with their growth, still larger
numbers of patients will find employment in connection with them.
During the last season a large number of men patients were engaged in
gathering the fruit, and quite a number of women patients assisted in
the preparation and canning of fruits.
We regret to report that during the period a thorough test of the
herd for tuberculosis showed that about 20 head of the cattle were infected. These cattle were turned over to the State Live Stock Commission, and through them were slaughtered under the supervision of the
United States Sanitary Inspectors of Detroit. This was a great loss to
the dairy. Every effort is made to prevent the invasion of the disease
among the cattle, and tuberculin tests are made once or twice a year of
the entire herd.
During the last season two sections of the dairy barns have been refitted with modern sanitary stalls. This includes a complete outfit for
caring for calves. The stalls are of iron and concrete, the floors are of
TWIN HEIFER CALVES AT FOUR MONTHS OF AGE
Their dam's A. R. 0. record at 2 years and 9 days old was 20.45 Ibs. of butter from 328.8 Ibs. of milk in 7 days.
TRAVERSE CITY STATE HOSPITAL,.
23
concrete covered with cork brick where the cattle stand. These stables
are perfect in their appointments and sanitation.
There were several voluntary admissions during the period, and we
believe if the law providing for such admissions were more generally
known, that a large number of patients would take advantage of it. We
believe that the hospital should be open to the treatment of all forms
of nervous and mental diseases, and we would especially urge the Legislature to consider the feasibility of establishing a general hospital department in connection with the hospital, where patients suffering from
any form of disease, or in need of care and treatment, would find a suitable place. It seems a pity that the hospital, with its magnificent equipment, should be restricted to the care and treatment of one class of our
afflicted citizens.
RECEIPTS AND DISBURSEMENTS.
The total receipts of the hospital for the fiscal year ending June 30,
1913, including cash on hand and credits on special appropriations
accounts, were f311,954.68; and the total disbursements for the same
period, including special appropriations, were $305,771.12.
The total receipts of the hospital for the fiscal year ending June 30,
1914, including cash on hand and credits on special appropriations
accounts, were $371,113.70; and the total disbursements for the same
period, including special appropriations, were $340,826.82.
There was at the close of the biennial period ending June 30, 1914,
$30,286.88 in the hands of the treasurer; $17,258.06 of which amount
was to the credit of the current expense account, and the balance of
$13,028.82, unexpended balance to the credit of special appropriations
accounts.
OFFICERS.
In 1913, Hon. Wm. Lloyd, of Manistee, Mich., was reappointed to
the Board. Mr. Lloyd had served as member of the Board since 1907,
and was at the time of his reappointment, and is at the present time,
President of the Board.
In 1913, Hon. C. D. Alway, of Traverse City, Mich., was appointed to
the Board. Mr. Alway is a lawyer by profession, and brings with him
much experience in his profession.
In July, 1913, Dr. R. F. Wafer was appointed assistant physician.
He came highly recommended.
Dr. S. C. Mies resigned July 1st, 1913. We regret to state that the
services of Dr. G. V. Sigler, who was appointed to the staff in February,
1913, were dispensed with in June, 1913.
We regret to report the death of Mr. T. T. Bates, who was a member
of the Board for many years. Mr. Bates became a member of the Board
of Building Commissioners of the hospital in 1885, and after the work
of the Building Commission was finished, he was continued as Trustee.
During all those years he was a faithful officer of the State. His general knowledge, together with his information concerning the hospital,
was a source of inspiration to those associated with him, and to the
officers of the hospital. Mr. Bates felt a deep interest in all that pertained to the institution. He was a true and loyal friend to all those
in trouble; he always favored every movement that looked to the better-
24
STATE OF MICHIGAN.
ment of the hospital in every direction. By his death the State and the
institution lost a valued servant.
In closing this report, we can only say that we believe that each and
every Trustee, and each and every officer and employee of the institution, has appreciated the necessity for giving his best to the institution.
We are conscious that steady progress is being made in hospital management, and in the care and treatment of the insane, and we further
believe it is the duty of every employee of the State, from Trustee down,
to direct, as far as possible everything that pertains to the welfare and
improvement of patients.
W. LLOYD,
W. W. MITCHELL,
H. C. DAVIS,
M. F. QUAINTANCE,
E. S. WAGAK,
C. D. ALWAY.
Traverse City, Mich., June 30, 1914.
TRAVERSE CITY STATE HOSPITAL.
25
TREASURER'S REPORT.
ABSTRACTS
OF ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT THE .
TRAVERSE CITY STATE HOSPITAL FOR THE FISCAL YEAR ENDING JUNE
30, 1913.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending July SI, 1912.
CREDITS.
By balance on hand July 1st, 1912
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$5,098 85
46,204 57
974 17
$52,277 59
DEBITS.
Account of repairs and painting roofs
Account of current expenses
Balance on hand to new account
$56 25
29,896 16
22,325 18
$52,277 59
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending August 31, 1912.
CREDITS.
By balance on hand August 1st, 1912
Cash from State Treasurer:
Account current expenses
Cash from other sources
$22,325 18
23,102 17
343 15
$45,770 50
DEBITS.
Account of extensions to north wing
Account of completion of heating and ventilating
Account of repairs and painting roofs
Account of current expenses
Balance on hand to new account
$268
246
60
28,738
16,455
24
94
75
80
77
$45,770 50
THE STATE OF MICHIGAN, In account viith A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending September 30, 1912.
CREDITS.
By balance on hand September 1st, 1912
Cash from other sources
$16,455 77
497 51
$16,953 28
DEBITS.
Account of repairs and painting roofs
Account of current expenses
Balance on hand to new account
$52 87
15,650 79
1,249 62
$16,953 28
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending October 31, 1912.
CREDITS.
By balance on hand October 1st, 1912
Cash from State Treasurer:
Account of current expenses
Loan from Traverse City State Bank
Cash from other sources
By balance overdrawn to new account
$1,249 62
21,986
3,000
1,291
5,227
35
00
75
67
$32,755 39
THE NEW EQUIPMENT IN THE CALF BARN
26
STATE OF MICHIGAN.
DEBITS.
Account
Account
Account
Account
of extension to south wing
of extension to noith wing
of repairs and painting roofs
current expenses
$333 97
167 46
56 32
32,197 64
832,755 39
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Trailerse City Stale Hospital,
for the month ending November SO, 1912.
Cash from State Treasurer:
Account current expenses
Loan from Traverse City State Bank
Cash from other sources
CREDITS.
$21,986 35
4,000 00
404 00
$26,390 35
DEBITS.
Account balance overdrawn November 1st, 1912
Account current expenses
Balance on hand to new account
$5,227 67
20,612 43
550 25
$26,390 35
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending December 31, 191S.
CREDITS.
By balance on hand December 1st, 1912
Cash from State Treasurer:
Account current expenses
Loan from Traverse City State Bank
Cash from other sources
$550 25
21,986 34
10,000 00
614 74
S33.151 33
DEBITS.
Account of current expenses
Loan paid to Traverse City State Bank
Balance on hand to new account
$27,717 76
4,000 00
1,433 57
f
$33,151 33
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending January 31, 1913.
CREDITS.
Balance on hand January 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$1,433 57
32,539 72
1,746 51
$35,719 80
DEBITS.
Account current expenses
Balance on hand to new account
$32,341 42
3,378 38
$35,719 80
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending February 2&, 1913.
*
CHEDITS.
Balance on hand February 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$3,378 38
22,044 89
691 86
$26,115 13
DEBITS.
Account current expenses
Balance on hand to new account
$21,815 76
4,299 37
$26,115 13
TRAVERSE CITY STATE HOSPITAL.
27
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City Slate Hospita
for the month ending March 31, 1913.
Balance on hand March 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$4,299 37
22,106 83
634 67
DEBITS.
Account current expenses
Balance on hand to new account
820,153 78
6,887 09
I"HE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending April SO, 191S.
CKEDITS.
Balance on hand April 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$6,887 09
22,277 61
1,291 66
$30,436 36
DEBITS.
Account current expenses
Balance on hand to new account
$26,170 59
4,285 77
$30,456 36
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending May 31, 191S.
CREDITS.
Balance on hand May 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$4,285 77
22,277 59
562 92
$27,126 28
DEBITS.
Account repairs and painting roofs
Account culvert
Account current expenses
Balance on hand to new account
$311 95
260 75
21,275 34
5,278 24
$27,126 28
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City Slate Hospital,
for the month ending June SO, 1913.
CREDITS.
Balance on hand June 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$5,278 24
22,277 59
2,012 88
$29,568 71
DEBITS.
Account repairs and painting roofs
Account re-roofing cottages
Account culvert
Account current expenses
Balance on hand to new account
....
$770 72
13 30
11125
22,489 88
6,183 56
$29,568 71
28
STATE OF MICHIGAN.
SUMMARY.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the fiscal year ending June SO, 191S.
Balance on hand July 1st, 1912
Cash from State Treasurer:
Account of current expenses
Cash from other sources
Loan from Traverse City State Bank
$5, 098 85
278,790 01
11,065 82
17,000 00
Account of repairs and painting roofs
Account of extension south wing
Account of extension north wing
Account of heating and ventilating
Account of loan Traverse City State Bank
Account of culvert
Account of re-roofing cottages
Account of current expenses
Balance on hand to new account
.-
SI,308 86
333 97
435 70
24G 94
4,000 00
372 00
13 30
299,060 35
6,183 56
$311,954 68
$311,954 68
ABSTRACTS
OF ACCOUNTS CURRENT OP THE RECEIPTS AND DISBURSEMENTS AT THE
TRAVERSE CITY STATE HOSPITAL FOR THE FISCAL YEAR ENDING JUNE 30, 1914.
THE STATE or MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending July S I , I B I S .
CREDITS.
Balance on hand July 1st, 1913
Cash from State Treasurer:
Account of current expenses
Account of culvert
Account of rooflng cottages Nos. 24, 25, 26 and 28
Account of side track
Account of extension to heating p] ant
Account of repairs roofs and gutters
Account of artesian wells
Cash from other sources
Account of repairs and painting roofs
Account of repairs on reservoir
Account of completion of cold storage
Account of current expenses
Balance on hand to new account
$6,183 56
24,845 40
1,000 00
6,400 00
22,050 00
6,000 00
2,500 00
500 00
1,207 52
•
$649
30
150
21,101
48,755
95
00
00
43
10
$70,686 48
$70,686 48
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending August 31, 191?
Balance on hand August 1st, 1913
Cash from State Treasurer:
Account of side track
Account of current expenses
Cash from other sources:
Account of side track
Account of current expenses
$48,755 10
-.
'16,087 80
24,739 40
300 00
499 87
$90,382 17
SHOWING CONCRETE MANGERS IN THE NEWLY EQUIPT COW BARN
TRAVERSE CITY STATE HOSPITAL.
Account of repairs on reservoir
Account of books and musical instruments
Account of roofing cottages Nos. 24, 25, 26, 28
Account of side track
Account of extension to heating plant
Account of repairs and painting roofs
Account of current expenses
Balance on hand to new account
',
29
$85
36
1,647
23,468
1,812
396
21,980
40,955
00
00
72
78
20
50
74
23
$90,382 17
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending September SO, 1913.
Balance on hand September 1st, 1914
Cash from State Treasurer:
Account of current expenses
Account of track scales
Cash from other sources
840,955 23
24,739 40
1,500 00
574 06
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 well
Account of roofing cottages Nos. 24, 25, 26, 28
Account of repairs and painting roofs
Account of current expense
Balance en hand to new account
$10
612
117
263
209
2,627
428
21,801
41,699
00
40
12
02
10
85
04
23
93
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending October S I , 1913.
Balance on hand October 1st, 1913
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$41,699 93
23,174 61
1,762 36
. Account of side track
Account of extension to heating plant
Account of repairs roofs and gutters
Account of artesian wells
Account of re-roofing cottages
Account of roofing cottages Nos. 24, 25, 26 and 28
Account of current expenses
Balance on hand to new account
$409 74
2,82599
282 25
100 00
192 17
667 55
28,244 86
33,914 34
:
$66,636 90
$66,636 90
THE STATE OF MICHIGAN, In account with A. J, Maynard, Treasurer of the Traverse City State Hospital,
for the month ending November 30, 1913.
CREDITS.
Balance on hand November 1st, 1913
Cash from State Treasurer:
Account of current expenses
Cash from other sources
Account of books and musical instruments
Account of side track
Account of extension to heating plant
Account of roofing cottages Nos. 24, 25, 26 and 28
Account of current expenses
Balance on hand to new account
$33.914 34
:.
23,174 60
970 32
$94
943
249
1,456
26,502
28,812
00
65
32
88
99
42
$58,059 26
$58,059 26
30
.
STATE OF MICHIGAN.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending December S I , 1913.
Balance on hand December 1st, 1913
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$28,812 42
23,174 59
1,606 66
$53,593 67
DEBITS.
Account of side track
Account of extension to heating plant
Account of current expenses
Balance on hand to new account
$2,501
834
26,809
23,447
95
93
22
57
$53,593 67
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending January 31, 1914CREDITS.
Balance on hand to January 1st, 1914
Cash from State Treasurer:
Account of current expenses
Cash from other sources:
Account of current expenses
Account of side track.
$23,447 57
26,333 78
1,649 57
1 40
$51,432 32
DEBITS.
Account of side track
Account of repairs roofs and gutters
Account of current expenses
Balance on hand to new account
$2,771
72
24,643
23,944
32
90
71
39
$51,432 32
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending February 218, 1914CREDITS.
Balance on hand February 1st, 1914
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$23,944 39
26,333 78
505 29
DEBITS.
Account of side track
Account of current expenses
Balance on hand to new account
$1,014 44
30,294 26
19,474 76
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending March 31, 1914CREDITS.
Balance on hand March 1st, 1914
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$19,474 76
26,333 76
1.420 45
DEBITS.
Account of books and musical instruments
Account of current expenses
Balance on hand to new account
$22 50
23,399 40
23,807 07
SHOWING STALLS AND STANCHIONS IN THE NEWLY EQUIPT COW BARN
TRAVERSE CITY STATE HOSPITAL.
31
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending April SO, 1914-
Balance on hand April 1st, 1914
Cash from State Treasurer:
Account of current expenses
Account of porch cottage, No. 32
Cash from other sources
$23,807 07
23,219 71
600 00
1,535 18
$49,161 96
DEBITS.
Account of side track
Account of artesian wells
Account of current expenses
Balance on hand to new account
$397
98
22,045
26,619
77
90
62
67
$49,161 96
THE STATE OF MICHIGAN. In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending May 31, 1914CREDITS.
Balance on hand May 1st, 1914
Cash from State Treasurer:
Account of current expenses
Account of wagon and implement shed
Cash from other sources
$26,619 67
23,219 71
2,500 00
496 69
$52,836 07
DEBITS.
Account of culvert
Account of side track
Account of roofs and gutters
Account of artesian wells
Account of current expenses
Balance on hand to new account
$280
162
67
38
21,545
30,742
00
37
50
30
29
61
'$52,83607
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending June SO, 1B14CBEDITS.
Balance on hand June 1st, 1914
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$30,742 61
23,219 75
754 48
DEBITS.
Account of repairs on reservoir
Account of side track
Account of repairs on 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
$8
338
72
290
129
23,589
30,286
59
30
90
75
50
92
88
$54,716 84
32
STATE OF MICHIGAN,
SUMMARY.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the fiscal year ending June SO, 1&14CREDITS.
Balance on hand July 1st, 1913
Cash from State Treasurer:
Account of track scales
Account of culvert
Account of re-roofing cottages Nos. 24, 25, 26, 28
Account of roofs and gutters
Account of extension heating plant
Account of side track
Account of artesian well
Account of porch, cottage No. 32
Account of wagon and implement shed
Account of current expenses
Cash from other sources
$6,183 56
1,500
1,000
6,400
2,500
6,000
38,439
500
600
2,500
292,508
12,982
00
00
00
00
00
20
00
00
00
49
45
$1,474
133
150
152
192
280
446
758
5,839
32,620
6,400
290
129
291,958
30,286
49
59
00
50
17
00
30
57
56
72
00
75
50
67
88
8371,113 70
DEBITS.
Account of repairs and painting roofs
Account of repairs on reservoir
Account of completion cold storage
Account of books and musical instruments
Account of re-roofing cottages
Account of culvert
Account of artesian well
Account of repairs, roofs and gutters
Account of extension heating plant
Account of side track
Account of roofing cottages
Account of porch, cottage No. 32
Account of wagon and implement shed
Account of current expenses
Balance on hand to new account..'
$371,113 70'
We have carefully examined the accounts of A. J. Maynard, Treasurer
of Traverse City State Hospital for the biennial period ending June 30,
1914, and have compared the same with the books and vouchers and
verified the same by further comparison 'with the books of the SteAvard
and hereby certify to the entire correctness of them.
M. F. QUAINTANCE,
C. D. ALWAY,
WILLIAM LLOYD,
Auditing Committee.
TRAVERSE CITY STATE HOSPITAL.
33
STEWARD'S REPORT.
FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1914.
ANALYSIS OF RECEIPTS AND DISBURSEMENTS.
RECEIPTS.
Maintenance, etc., State patients
Maintenance, etc., private patients
$571,298 50
12,836 57
•
Farm:
Cattle sold
Premiums on cattle
Pigs sold
Hides sold
Gravel sold
Keep of bull sold
Hog serum sold
Carrots sold
Refunded freight charges
Refunded wagon repairs charges
Rent of house on right of way
Sundry accounts
$7,725 30
219 65
5 00
173 89
1 30
25 00
3 45
3 00
797
4 70
4 00
Special appropriations:
Porch, cottage No. 32
Track scales
Roofing cottages
Side track
Culvert
Extension heating plant
Repairs roofs and gutters
Artesian well
Wagon and implement shed
8,173 26
20,038 44
600
1,500
6,400
38,439
1,000
6,000
2,500
500
2,500
00
00
00
20
00
00
00
00
00
$671,785 97
DISBURSEMENTS.
1.
Officers'
2.
Food:
salaries
Wages
Meat and
Butter
Flour
Coffee
Tea
Sugar. .
Fuel
Miscellaneous foods
3.
Clothing:
4.
Laundry:
Wages
Clothing
Wages
Machinery
Starch
Soap making tallow
Soda
Lime
Soap
Pins
Blueing and ammonia
Baskets
Wagon
Acetic acid
Felt for mangle
$27,884 14
fish
....
$17,197 43
58,480 82
31,389 59
16,864 92
7,001 28
1,467 70
11,960 71
48 58
34,426 05
$3,574 61
31,657 99
$9.880 35
168 06
274 35
2,034 88
628 21
20 64
36 48
11 12
72 09
119 68
24 00
29 01
5 31
$27,884 14
178,837 08
35,232 60
13,280 18
STATE OF MICHIGAN.
34
5.
Heating and Light:
Wages
Coal and freight
Gas
Electrical supplies
Examining engr. expense
Rent coal shed
Kerosene oil
Advertising for coal bids
$8,023
52,490
2,339
1,534
548
18
12
126
6.
Floral, greenhouse and grounds:
Wages
Implements
Seeds and bulbs
Hose
Spraying outfit and solution
Fence wire
Plants and trees
Flower pots
Flag staff:
Snow plow
$6,314 32
101 54
109 38
138 60
353 95
2775
225 15
38 03
120 00
9 63
7.
Medical department:
Wages
Drugs, etc
Pins for graduate nurses' class
Medical books
8.
Office, stationery, etc.:
Wages
Blank books
Postage
Telegrams and telephones
Printing, etc
Stationery
Filing cases
Typewriters and desk
Adding machines
Recording clock
t).
10.
11.
;
Amusement and instruction:
Games
Circus tickets
Books
Flag
Tuning piano
Fair tickets
Music for patients' parties
Christmas entertainments
Moving picture entertainments
Theatrical entertainments
Hymn books
Address and pins for graduate nurses
Furniture and household supplies:
Wages
Soap
Dry goods
Utensils
Carpets
Hardware
Toilet paper
Furniture
Brooms
Crockery
Gas ranges
Bedding, mattresses, etc
Fire extinguishers
Sewing machines
Stoves and fit! ings
Bedsteads
Polish
Brushes
Chambers
Garbage cans and barrels
Mops and dusting oil
Oil cloth, linoleum and curtains
Carriage barn and vehicles:
Wages
Repairs harness
Repairs express wagon
Blacksmithing
87
71
50
04
50
00
95
13
$101,910
6,823
22
113
29
72
50
50
$6,966
148
697
1,173
830
394
159
232
582
172
•
93
17
00
34
39
15
57
05
25
31
$102 37
75 50
71 23
9 70
14 00
18 00
147 50
157 43
45 00
25 00
9 02
142 50
fittings
$3,745 41
1,724 52
7,043 54
1,002 69
903 36
1,341 36
534 46
658 17
975 77
1,626 34
43 75
7,056 97
75 00
51 20
139 34
922 71
191 68
192 54
259 46
223 34
155 19
324 43
$1,226
7
27
13
50
95
95
90
$65,093 70
7,438 35
108,870 01
11,356 16
817 25
29,191 23
1,276 30
TRAVERSE CITY STATE HOSPITAL.
12.
13.
14.
15.
Improvements and repairs:
Wages
Oils and paints
Lumber
Lime and cement
Hardware
Glass
Iron pipe, etc
Iron
Fire hole track
Brick
Moving small building
Sewer pipe, tile, etc
Brushes, tools, etc
Sawing logs
Calsomine
Polish
Glue
Alcohol
Plastico
Soda ash
Wall finish and blocks
Roofing
fittings
Machinery:
Packing, gaskets and valves
Lubricating oil
Machine
Stoker repairs
Gas apparatus
Gasoline
Belting
Soda ash for
Motors, etc
Steam charts
Thermometers, etc
Dry cells
Fire ladders and hose
Chain hoist
Baler for rags, etc
Sewing machines
Boiler insurance
fittings
filter.
Farm, Harden and stock:
Wages
Fee'd
Registry stock, etc
Spraying
Implements
Harness, blankets
Fertilizer
Drain tile, etc
Seed
Veterinary, etc
Freight on stock, etc
Blacksmithing
Plant boxes
Straw
Hay
Threshing
Horses
Silo and ensilage cutter
Oats
Binder twine
Dairy show exhibit
Cow stalls
Miscellaneous:
.-
Wages. Watchmen
Amounts charged back:
Patients travelling expenses
Patients expenses home
Undertakers' fees
Expenses elopements
Purchases for patients
Collection of delinquent accounts
Storekeeper's travelling expenses
Steward's travelling expenses
Herdman's travelling expenses
Matches
Tobacco
Refunded money
Medical superintendent's travelling expenses
Treasurers' bank loans
Hauling fire engine
Freight on empties
Bus transfer of patients
35
$24,564 28
2,525 15
1,204 10
843 41
710 43
274 69
2,586 46
1,104 23
252 02
721 58
125 00
257 55
101 23
98 42 .
21 95
1 00
1 60
20 24
14 70
67 80
354 78
39 24
$597 40
315 37
463 65
855 87
21 00
279 38
197 28
173 04
137 21
21 01
37 44
3 40
491 80
32 03
94 63
185 76
167 40
$17,569 06
10,210 66
4,043 87
321 15
841 32
208 75
422 50
1112
756 25
188 85
220 50
108 40
11 86
1,988 58
7,006 55
86 85
434 00
1,115 00
2,665 81
36 75
232 32
1,071 14
$3,653 55
75 87
262 10
10 00
366 26
2275
23 49
26 44
176 28
7 55
18 00
3,018 95
649 73
91 96
17,000 00
2 00
1 98
7 50
$35,764 86
4,073 67
49,£51 29
36
STATE OF MICHIGAN.
Miscellaneous—Continued—
Dentistry for patients....
Telegrams, miscellaneous.
Tobacco pipes
Pathologist's salary
Accident insurance
Special appropriations:
Repairs and painting roofs
Completion heating and ventilating..
Extension north wing
Extension south wing
Culvert
Re-roofing cottages Nog. 28, 32
Cold storage
Repairs reservoir
Side track
Roofing cottages Nos. 24, 25, 26, 28.
Books and musical instruments
Extension heating plant
Repairs roofs and gutters
Artesian well
Poich, cottage No. 32
Wagon and i mplement shed
$15
10
47
80
00
34
23
00
$2,783
246
435
333
652
205
150
133
32,620
6,400
152
5,839
758
446
290
129
35
94
70
97
00
47
00
59
72
00
50
56
57
30
75
50
785 22
$26,352 20'
51,578 QN
$646,597 94
SUMMARY OF INVENTORY OF THE TRAVERSE CITY STATE HOSPITAL TAKEN AT
THE CLOSE OF THE FISCAL YEAR ENDING JUNE 30, 1914.
Land
Buildings
Stock on farm
Administration building, furniture and fixtures
Dispensary
Pathological laboratory
Library and chapel
Wards: Furniture and fixtures
Cottage 21, furniture and fixtures
Cottage 23, furniture and fixtures
Cottages 24 and 26, furniture and fixtures
Cottage 25, furniture and fixtures
Cottage 27, furniture and fixtures
Cottage 28, furniture and fixtures
Cottage 29, furniture and fixtures
Cottage 30, furniture and fixtures
Cottage 31, furniture and fixtures
Cottage 32, furniture and fixtures
Cottage 34, furniture and fixtures
Cottage 36, furniture and fixtures
Cottage 38, furniture and fixtures
Engine room and shops
Kitchen and bakery
Laundry
Farm and barns
Sewing room
Store fixtures
Stock: Dry goods, clothing, boots and shoes
Stock: Groceries and meats
Stock: Notions
Stock: Hardware
Stock: Crockery
Stock: Silver plated ware
$58 ,240 00
883 ,100
44 ,631
6,662
1 ,946
1 ,293
1 ,188
32 ,551
2 ,641
243
3,618
1 ,970
3 ,142
1 ,549
2 ,881
2 ,926
1 ,439
1,378
2 ,835
2 ,814
824
,403
,270
,908
,648
464
611
,492
,787
,167
830
408
50
00
50
50
83
50
60
91
74
91
15
68
81
05
80
87
71
69
06
50
51
48
95
97
30
02
43
62
15
35
48
04
62
$1,104,925 73:
TRAVERSE CITY STATE HOSPITAL.
37
EEPORT OP MEDICAL SUPEBINTENDENT.
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 30, 1914. The movement of population has been
as follows:
TABLE I.—Patients Admitted, and Discharged During the Biennial Period.
Males.
Remaining June 30, 1912 .
Admitted during period:
On original commitment :
Public
Private
By transfer from State institutions:
Public
Private
State
Discharged :
Died
Remaining under treatment June 30, 1914
Females.
Total.
782
616
1,398
353
241
11
594
32
2
21
2
10
6
1
30
25
16
1
55
1 ,198
• 900
2 098
38
91
31
177
52
52
18
122
90
143
49
299
861
656
1,517
If these statistics are compared with those of the last period it will
be found that there were 150 more admissions and 46 more discharges.
If the patients admitted from the Pontiac and the Newberry State
Hospital districts are counted, there was a net gain of 119 patients
under treatment in the hospital. The percentage of patients discharged
recovered on the whole number under treatment was slightly greater
than for the last period. The smallest number of patients under treatment in any one day was 1,398, and the largest number was 1,535. The
death rate was slightly greater than for the previous period.
38
STATE OF MICHIGAN.
The following table is an attempt to classify the causes of death: '
TABLE II.—SUMMARY.—Showing
Causes of Death.
Male.
General Diseases:
15
1
Tubercular peritonitis
i
Diabetes . . . .
2
Pyemia
1
Diseases of Nervous System:
Cerebral hemorrhage. . .
.
Insanity— exhaustion from . . . .
Syphilis o f brain. . . .
Transverse Myelitis. . .
Diseases of the Respiratory
Lobar pneumonia
System:
Diseases of Circulatory System:
Organic heart disease
Acute dilatation
Diseases of Digestive System:
Dysentery
Appendicitis
Diseases of Genit o- Urinary System:
Violence:
Totals
Female.
.
.
31
3
2
4
3
Total.
4&
4
7
1
6
8
1
30
13
2
15
1
1
12
1
1
13
10
6
6
1
1
4
5
1
35
13
3
3
3
7
38
20
10
3
4
2
2
4
1
8
3
1
1
3
1
1
177
1
2
1
2
43
23
8
21
1
1
17
1
1
1
4
1
3
3
3
4
6
1
1
1
1
122
299
One hundred fifty-three patients or 51% of those who died, were over
55 years old; 21 of the number were over 80 years old. The deaths from
tuberculosis were 19% of the deaths from all causes, an increase of
4.9% during the last two years. We are unable to account for this increase. It is possible that more patients were admitted suffering from
the disease during the period, and it may be due to causes entirely acci-
TRAVERSE CITY STATE HOSPITAL.
39
dental. We do not believe that there has been appreciable increase in
the occurring cases in the institution. As during many years past every
effort is taken to prevent the development or spread of the disease in
the hospital. Separate departments for each sex are maintained for the
care and treatment of tuberculous cases. Syphilis caused 14.6% of
deaths, nearly as many as tuberculosis. Arterial degenerations and
consecutive organic disease caused 51% of the deaths. Diseases of the
circulatory organs are the cause of a large percentage of mental disease. An analysis of the above summary would show that nearly 90%
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 asylums of Michigan.
TABLE Hi.
From the beginning to July 1,
1906.
Forms of insanity.
Males.
206
94
a.
I. Primary
c'
d'. Hallucinatory delirium (primary confusional insanity) . . . .
II. Secondary
j g;
Acute
Chronic
B. Incident to the normal and the degen-
C. Incident to the degenerate brain
fa.
b.
II. Symptomat c of organic disease of the brain . . . . { c. Dementia from gross brain lesions (apoplexy, tumors, etc.)
d.
[e.
fa.
Hysteria
Hypochondria
Id.
II. Primary forms
fa.
'
d.
Imbecility
Idiocy
Total.
31
216
88
1
23
422
182
1
54
162
117
29
58
216
158
1
2
378
275
30
60
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
104
1
425
1
117
299'
6
221
1
724
7
140
4
81
1
1
221
5
1
2,30fi
1,884
4,190
D Not insane voluntary cases
Total
Females.
TABLE IV.—'Showing the forms of insanity of patients admitted.
From the beginning.
For the biennial period.
Males. Females
c. Alcoholic paranoid conditions
Organic
f definite HumbuiiuiimiiBtt,/
structural changes)
vsigium brain
.J.C.U1 disease
I.LMIWK lueiiuiu:
Thvroeemc
insanity
inyrogemc insanity
Paranoia. .
(2) Arterio-sclerotic brain disease
S
°^ ^airi
; neurology
-.
^ &P^¥
Other forms
relatedv to
(5) General paralysis
'^(2°
) Myxpedoma
Cretinism
1 (1) Hebephrenic .forms .
( (3) Katatonic forms
<J> Classic type
Manic depressive
v (2) Denressed state
[ (3) Mixed state
Arrested mental development
< [Jj Jjbeclllty
Total
9
20
3'
Total.
9
23
Males. Females .
9
31
51
1
12
1
20
1
99
• 19
58
125
184
11
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
80
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
4
3
7
10
2
12
27
7
17
30
56
2
2
15
8
25
29
9
32
44
81
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
"•"ii&
27
9
1
7
19
46
9
1
8
416
284
700
17'
i'
Total.
144
23
15
70
89
43
33
14
75
3
2'
3
1
0
42
STATE OF MICHIGAN.
Table IV shows that 27.8% of the patients admitted were suffering
from organic diseases, 17% from dementia praecox, 9.7% from paranoia
and paranoid states, 6.5% from epilepsy, 22% from manic depressive
insanity, 5.5% from alcoholic and drug insanity, and 11% from
arrested mental development. This table does not show that there
has been any marked increase in the various forms of insanity other
than that in the imbecile group. During the previous two years 6.4%
of the patients admitted were classified as mentally defective. This
shows an increase of nearly 5% in the admissions of the imbecile class.
As mentioned in our last report, it is becoming increasingly evident
that the segregation of the feeble-minded is a matter of the utmost importance to the social welfare, and that a most definite economy would
be secured by providing adequate accommodations. Undoubtedly, the
opening of the colony for epileptics at Wahjamega will relieve the stress
at Lapeer and that institution will be able to receive a much larger
number of feeble-minded than has heretofore been possible. It should
be the duty of the State to see that adequate provisions are made for
the care and safeguarding of this class. "Poverty and crime grow in
direct proportion to the freedom the State gives to feeble-minded, subnormals and morons." The State should attend that these individuals are not only properly cared for but that they should be heldin suitable institutions. We also hope that the colony at Wahjamega
will soon be able to relieve the hospital of many of its epileptic patients.
A great deal of clinical work has been performed during the last two
years, and arrangement is being made to introduce the Abderhalden
method of diagnosis of dementia praecox and other nervous statesOther research work is being carried out in collaboration with the
Eugenics Commission of the State, and with the Psychopathic Hospi'tal
at Ann Arbor, Mich. You have incorporated in your report an outlineor summary of the work accomplished in the laboratory during theperiod; therefore, it will not be necessary to repeat it. About the usual
number of surgical operations was performed during the period, and
there was one obstetrical case.
The work in the training school for nurses was carried on with enthusiasm, and successfully. The field of instruction has been enlarged,,
and the teaching has improved with the increased experience of thestaff. There were 14 graduates from the school in both 1913 and 1914.
A list of the graduates is appended to this report.
The medical work is carried on as carefully as possible, and effort is
made to keep pace with the most modern methods of treatment. The
detailed reports presented herewith will demonstrate that the strictest
economy has been practiced in all departments, and that the aim has
been to maintain the highest efficiency in the hospital.
The following tables will give a brief analysis of the clinical forms of
mental diseases admitted during the period. These statistics have been
presented in this form for several years, and are of increasing value for
comparative purposes. We are enabled from these statistics, accumulated from each of the hospitals of Michigan, to determine with considerable accuracy the percentage of each of these types of mental disease to the total population of the State. The principal lesson learned:
from the past two years is that luetic diseases and alcoholic derangements are two of the principal causative factors of insanity and degen-
TRAVERSE CITY STATE HOSPITAL.
43
eracy. The constantly increasing numbers in the imbecile group all
show the great necessity for supervision of marriage, and the necessity
for careful eugenic statistics. All these matters require the most careful thought from our Legislators, teachers, social workers and professional men, and from all those interested in the upbuilding of the race.
From the Wasserman tests made on patients in the State of Michigan
during the last year, the astonishing fact is revealed that about 15%
of all patients admitted to the institutions are infected with luetic
disease.
ALCOHOLIC INSANITY.
In this group are 29 men and 3 Avomen, comprising 4.5% of the cases
admitted during the biennial period.
Women.
Men.
Alcoholics
No.
Per cent.
416
29
6.97
Total.
Per cent.
No.
284
No.
Per cent.
700
3
1.05
32 j
4.57
The 29 men constitute 6.9% of the males admitted; the females a little
over 1% of the women received.
The 32 cases were placed as follows:
Women.
Men.
Alcoholic paranoid conditions
No.
Per cent.
9
20
31.0
69.0
No.
Total.
Per cent.
100
3
No.
9
23
Per cent.
28.1
71.9
Age at time of admission.
Men.
Women.
Total.
20 to 24
2
2
25 to 29
2
3
30 to 34
1
;
1
35 to 39 ....
40 to 44 ...
6
45 to 49
2
50 to 54
4
6
1
3
4
6
55 to 59
4
60 to 64 ..
2
2
65 to 69 .. -
1
1
2
STATE OF MICHIGAN.
44
Heredity.
Direct.
Atavistic.
.
.
1 1
o
1
1
2
2
2
2
5
1
1
£
Brothers
and
sisters.
Collateral.
Total.
OJ
o
H
i
'<K
I
I
H
=3
O
1
H
1
1
i
I
2
2
2
2
2
5
6
5
13
OJ
Ba
2
1
6
2
15
5
2
15
13
5
Results of treatment.
Women.
Men.
Recovered
Improved
Unimproved
Died
Total.
„
1
8
10
2
12
1
1
11
11
Act 84, Public Acts of 1912, made provision for the reception in the
State Hospitals of cases of inebriety and of drug addiction. We
have had sent to us a few patients under this Act. There is no
special form in the classification for their reception, and they have been
placed in the alcoholic group under alcoholic paranoid conditions.
There were 11 men committed by the various counties, principally
Grand Traverse, and 2 women. A few of the cases of chronic alcoholism
were committed on regular insane orders.
MORPHINISM.
There were received into the hospital during the past biennial period
4 men committed because of addiction to the vise of opium. Of these
four, two had been with us on one or more previous occasions; the
other two were committed for the first time. One after a short residence was discharged, and has remained well up to date. The fourth
patient is still with us and shows other mental involvement than that
due to the use of opium.
There were three women entered because of the use of opium in one
form or another. One of the three had been a patient here on two previous occasions, and after a residence of about 6 months was discharged.
Thus far she has remained well as far as we have been able to learn.
One of the other two has been away from the institution for over a vear
TRAVERSE CITY STATE HOSPITAL.
45
and is perfectly free from any indications of the return of the habit.
The third woman remained with us but a short time, less than a week,
and was taken home improved. She has not been heard of since.
INSANITY DUE TO INFECTIVE AND EXHAUSTIVE INFLUENCES.
This group comprises 10 men and 2 women, or 1.7% of the admissions
for the biennial period.
Total.
Women.
Men.
No.
Per cent.
No.
Per cent.
416
10
2.4
284
2
.7
Per cent.
No.
700
12
1.7
Age at time of admission.
Male.
24 to
30 to
35 to
40 to
1
29
34
39
44
45 to 49 ....
50 to 54
55 to 59
60 to 64
Total.
Female.
1
2
2
1
1
1
1
1
2
2
2
2
2
2
'
65 to 69
Heredity.
£3
g
Insanity
Apoplexy or paralysis
Psychopathic . . .
Alcoholism
Unknown
2
CD
-3
§
w
Total.
o>
oi
0>
"c8
%
o>
•3
"ce
o
EH
0
•-
43
•a
a
'cS
a
8
fq
"cS
O
H
2
1
1
Brothers
and
sisters.
Collateral.
Atavistic.
Total.
Direct.
1
1
....
\D
1
1
oi
'rf
s
IS
a<B
fe
. "(8
o
[-1
«i
«
s
"s
"cS
fe
"o
EH
2
2'
2
2
1 ....
1
1
1
4
2
STATE OP MICHIGAN.
46
Results of treatment.
Male.
Recovered
Female.
Total.
1
........
1
1
1
7
Died
7
1
2
3
ORGANIC GROUP.
This group in all its forms, comprises 27.8 per cent of the admissions
for the biennial period.
Women.
Men.
No.
Total admissions . .
Total.
Per cent.
No.
Per cent.
No.
34.3
284
52
18.3
700
195
416
143
Per cent.
27.8
The cases were placed as follows:
Women.
Men.
No.
1
27
Syphilis of brain and cord ...
...
Other forms related to neurological changes. .
General paralysis
Senility
7
16
36
56
Per cent.
00.7
18.9
4.9
11.2
25.2
39.1
Total.
No.
Per cent.
No.
2
3.8
3.8
28.9
15.4
48.1
29
9
1
2
15
8
25
31
44
81
Per cent.
00.5
14.9
4.6
15.9
22.6
41.5
47
TRAVERSE CITY STATE HOSPITAL.
Age at time of admission.
Male.
Total.
Female.
Up to 24
25 to 29
30 to 34
35 to 39
40 to 44
3
1
8
.
5
4
9
..........:
12
6
]8
9
2
11
13
45 to 49
50 to 54
•55 to 59
<60 to 64
65 to 69
70 to 74
3
7
...
75 and upwards. .
8
5
10
4
14
15
6
21
12
8
20
30
9
39
32
7
39
..
Heredity.
Brothers
Direct.
and
Collateral.
Atavistic.
Total.
sisters.
3
9
3
3
1
4
2
4
3
a
o
EH
16
5
4
o
C3
20
30
17
33
12
29
64
5
12
12
8
8
3
None. .
i
Female.
10
Q
•3
g
Female.
Psychopathic . . .
Alcoholism . . . .
8
13
13
12
"o
H
Female.
3
'3
10
1
10
Insanity
£
0
t-i
'. '.
Female.
7
Apoplexy or paralysis . .
•3
Female.
Male.
.
"o
H
37
20
37
15
38
93
7
3
4
3
9
29
"1
s
15
Arteriosclerosis.
3
1£
•*
S
p£
1
Forms
related to
neurological.
Brain
syphilis.
«
•3
"^
1
N
Senility.
fe
af
2
3
4
1
2
16
10
11
14
"3
1
General
Paralysis.
Female.
Biain
tumor.
Female.
Results of treatment.
1
S
1 "ea
Total.
JD
j
s
c
-
£
"«
2
Recovered
2
1 • 1
2
Died
Remaining
1
1
Unimproved. .
21
1
. ...
1
4
2
23
8
4
4
1
3
9
5
5
7
1
5
. 6
2
5
4
20
17
3
17
23
1
5
18
68
20
86
56
27
83
7
13
5
8
7
24
17
45
8
STATE OF MICHIGAN.
48
In explanation it may be said that 12 cases were treated with neosal=
varsan from January 1, 1914. Cases include general syphilis, cerebrospinal syphilis, and general paresis. These cases received intensive
treatment of neosalvarsan. Method of treatment consisted of the intravenous administration of neosalvarsan, given weekly, from 6 to 12
doses being given. In addition, 3 cases of general paresis received intradural injections of autoserosalvarsan, bi-weekly, according to
method of Swift-Ellis, in all 8 injections being given in each case.
Three cases of general paresis received intradural injections of from
8 to 12 milligrams of neosalvarsan, according to the method of Bavaut,
two injections being given in each case, systemic treatment being carried out in all cases, as mentioned above.
In the cases of general syphilis and cerebro spinal syphilis, all showed
subsidence of specific symptoms and improvement in general health. In
the cases of general paresis treated by the Swift-Ellis method, two cases
showed marked improvement, complete restoration of mental faculties,
with, however, a persistence of the physical signs of lesser degree. Onecase, late in the disease, showed pronounced remission for several
months with later a return of the symptoms.
One case of general paresis treated by Eavaut method has shown improvement mentally. Two cases have shown no especial change.
In two of the cases of general syphilis the patients at time of discharge did not react to the Wasserman test.
DEMENTIA PRAECOX.
There were 119 patients placed in this group, or 17% of the admissions.
Men.
Women.
Total.
•
No.
Per cent.
416
Dementia Praecox
Per cent.
No.
700
284
59
14.1
60
1
No. | Per cent.
21.1
|
119 |
i
17
The following represents the type of dementia praecox:
Women.
Men.
•
Hebephrenic
Katatonic
No.
Per cent.
No.
Total.
Per cent.
No.
Per cent.
31
52.5
10
16.7
41
34.5
23
38.9
30
47.5
53
44. £
5
8.4
20
33.8
25
21.0
TRAVERSE CITY STATE HOSPITAL.
49
Age at time of admission and beginning of disease.
Age at beginning.
Female.
Male.
15 to 19
20 to 24
25 to 29
30 to
35 to
40 to
45 to
50 to
55 to
34
39
44
49
54
59
.
14
19
42
3
3
2
1
6
1
Age on admission.
Total.
5
1
15
34
68
13
8
7
2
9
15
15
26
10
5
Male.
5
13
33
7
11
3
3
1
Total.
Female.
1
6
5
15
9
11
9
3
2
2
18
48
16
22
12
6
3
2
Ol
Hereditary Factors.
Direct.
o
Atavistic.
Collateral.
Brothers and sisters.
Total.
Hebe.
1 1 le§
JJ
Apoplexy or paralysis
Alcoholism
Unascertained
0
2
1
1
4
1
Kata.
Para.
4
5
"o
H
6 10
3
3
3
3
<5
1
Hebe.
•3 •3
"o
EH
a
Para.
Kata.
j
15
1
1 E~< 1
1 2
2
2
1
1
1
1
2
2
1
I
_?. —
1 Female.
2
Para.
Hebe.
a
"S
1 -i
!1
5
7
2
d
s
|
1
4
4
Hebe.
Kata.
2
Para.
Kata.
-S
.2
I
3
1
3
6
a
i
-3
&i o
B
I
1
2
3
5
7
H
5
4
9
%
H
21
18
42
7
13
20
50
7
...
1
1
...
...
13
tl
1 1 Ho S
Ol
O
O
a
o
t>
i—i
:
| Female.
TRAVERSE CITY STATE HOSPITAL.
51
Average age at beginning.
Male.
Female.
25
30
23
29
19
28
Results of treatment.
Died
3
2
1
3
2
2
24
9
4
33
§
"=3
o
H
7
3
6
3
3
1 2
1
15 23 38
<D
•3
s
4
I
3
3
7
3
17
5
3
44
3
5
12
£
1
Female.
£
"3
Total.
Katatonic.
Female.
3
"oi
"o
H
Paranoid.
Female.
1
s
Female,
Hebephrenic.
6
4
6
44
•a
3
H
13
9
9
88
During the last few months the treatment of dementia praecox by the
so-called Lundvall remedy has been used. Treatment consists of the
use of sodium nucleinate for the production of hyperleucocytosis. In
all, five cases of dementia praecox (hebephrenic form) are receiving
treatment. Subcutaneous injections of the following solution are given:
Sodium nucleinate 10.000; arsenous acid 0.005; sodium cinnamate
1.000; distilled water 40.000. From 2 to 15 c. c. of the solution are
given at intervals of 4 days. A moderate rise in temperature from 2 to
4 degrees of from 2 to 3 days' duration, is usually noted. In one case,
on several occasions temperature reached 105 degrees, with nausea and
vomiting. In three cases no notable change in leucocyte count; in one
case moderate leucocytosis up to 12,000. In one case leucocyte count
reached 18,000.
All cases have been under treatment for several months. All show
some loss in appetite and weight. No noticeable improvement in
mental condition.
It goes without saying that this experience is not wide enough to
justify any conclusions in regard to the value of the Lundvall remedy.
As before mentioned, the Abderhalden tests are being applied and
further treatment of cases will be continued with the nucleins as well
as with the hormones. We anticipate that there are many cases that
will be benefitted by these newer methods of treatment of dementia
praecox.
STATE OF MICHIGAN.
52
PARANOIA AND PARANOID STATES.
In this group 41 men and 27 women were placed, representing 9.7%
of all cases admitted.
Men.
No.
Total admissions
Paranoia and paranoid states
Women.
Per cent.
416
41
9.8'
Total.
No.
Per cent.
No.
284
27
9.5
700
68
Per cent.
9.7
The 68 cases were classified as follows:
Women.
Men.
Paranoia
Paranoid states
No.
Per cent.
6
35
14.6
85.4
No.
Total.
Per cent.
No.
3.7
96.3
61
1
26
7
Per cent.
10.2
89.8
Age at time of. admission.
Female.
Male.
25 to
30 to
35 to
40 to
45 to
Total.
29
34
39
44
49
2
2
4
4
1
9
7
2
9
3
11
14
50 to 54
55 to 59
60 to 64
8
5
13
3
3
6
3
2
5
65 to 69
1
3
4
2
2
TRAVERSE CITY STATE HOSPITAL.
53
Heredity.
"o
H
1
&
2
]
1
1
1
2
3
3"o
r-i
o5
'cS
§
1
Is
O
E-l
1
%
4
4
3
1
2
2
1
2
3
Total:
c3
*c3
O
H
I
3
5
2
5
5
15
11
1
3
1
Female.
'cS
£
03
a
i
Female.
JD
"3
Brothers
and
sisters.
Collateral.
Female.
dj
Atavistic.
Female.
Direct.
3o
El
5
1
10
1
5
6
21
25
1
6
14
Paranoid
states.
1
g
Improved
Unimproved
Died
,
4
1
1
B
8
4
12
10
4
1
1
2
1
4
]8
|'S%d5
2
2
5
Total.
Female.
Paranoia.
Female.
Results of treatment.
o5
£rf
"eg
s
fe
1
4
5
i
i
25
17
42
29
"o
H
14
2
5
47
MANIC DEPRESSIVE INSANITY.
There were admitted 54 men and 100 women who were placed in this
group, representing 22 per cent of all cases admitted.
Men.
No.
Per cent.
416
Manic degressive insanity. ..
. .
54
Total.
Women.
13.0
i
No. i Per cent.
|
284 i
100 1
No.
Per cent.
700
35.2
154
22.0
54
STATE OF MICHIGAN.
The group was further divided into the following forms:
Men.
Mixed
Women.
Total.
No.
Per cent.
No.
Per cent.
No.
24
16
14
44.4
29.6
48
43
9
48
43
9
59
23
26.0
Per cent.
72
46.8
38.3
14.9
Age at time of admission.
Male.
15 to
20 to
25 to
30 to
19
24
29
34
35 to
40 to
45 to
50 to
39
44
49
54
55 to 59
60 to 64
65 to 69
70 to 74
Female.
Total.
2
3
5
6
11
17
6
13
19
3
14
17
9
9
18
6
16
22
4
9
13
7
11
18
3
7
3
6
10
9
3
1
4
2
2
Heredity.
Apoplexy and paralysis.
3
None
12
1
4
10
21
3
5
d5
'S
S
2
3
1
3
"=5
o
H
5
3
1
«
sa
5
0)
.*»
o
EH
•a
3
5
4
'cS
Total.
"3
o
H
o5
•a
§
11
16
15
5
2
2
2
13
15
14
B'emale.
ID
EH
Female.
*o3
Brothers
and
sisters.
Collateral.
Female.
9
2
1
Atavistic.
Female.
s1
Female.
Direct.
31
1
6
10
20
32
3
1
46
6
8
13
35
46
TRAVERSE CITY STATE HOSPITAL.
55
Results of treatment.
Died
EH
7
10
17
7
22
29
2
1
3
4
3
7
4
12
16
_o5
^
s
3
8
1
4
1
"a
1
4
5
18
26
6
6
7
13
Female.
3o
Mixed.
Male.
Female.
a!
3
§
Female.
Depressive.
Manic.
3
Total.
6
•3
d>
"3
+a
s £•
I
7e
o
EH
5
15
11
26
9
21
43
64
3
7
10
5
1
1
2
5
9
14
17
2
5
7
10
30
40
MELANCHOLIA.
One male patient was diagnosed as a case of melancholia, the first
attack of insanity occurring late in life, about 50, characterized by the
usual ideas of personal unworthiness and many visceral delusions.
This patient, according to the latest ideas, might have been placed in
the manic depressive group.
DEFECTIVE DEVELOPMENT.
Imbeciles and Idiots.
In this group were placed 31 men and 17 women, representing 6.8%
of the cases admitted.
Women.
Men.
No.
Total admissions
Per cent.
Per cent.
284
416
31
No.
Total.
7.4
17
No.
Per cent.
700
6.0
48
6.8
56
STATE OF MICHIGAN.
Age on admission.
Male.
15 to 19
20 to 24
25 to
30 to
35 to
40 to
Female.
10
6
29
34
39
44
4
Total.
3
3
13
2
7
1
5
1
4
3
3
3
3
1
2
9
1
1
3
45 to 49
50 to 54
55 to 59
60 to 64
1
65 to 69
1
]
Heredity.
'
Direct.
Brothers
and
sisters.
Collateral.
Total.
1
2
1
3
3
6
3
5
9
3
1
8
4
4
•3
o
.En
a
Female.
1
i
•i
^o5
a 1
Insanity
Atavistic.
«j
•3
a
1
i
2
8
2
1
1
o
H
1
2
3 •aoi
a
10
2
3
3
2
!
1
3"o
H
14
2
2
6
6
17
Results of treatment.
Male.
Improved . . . .
Unimproved . .
Died. . .
Remaining
Female.
Total.
1
1
1
5
1
26
14
40
4
2
1
TRAVERSE CITY STATE HOSPITAL.
57
EPILEPSY.
In this group are 27 men and 19 women, representing 6.5% of the
cases admitted during the biennial period.
Men.
Total.
Women.
No.
Per cent.
416
27
6.5
No.
Per cent.
No.
6.7
700
46
284
19
Per cent.
6.5
Age at time of admission.
Male.
10 to 14
15 to 19
20 to 24 .
25 to 29.
30 to 34
Female.
1
1
7
7
2
1
1
1
2
3
2
3
5
3
7
6
2
1
3
2
1
5
.....
2
35 to 39.
40 to 44
45 to 49
50 to 54
55 to 59
60 to 64 .
Total.
3
8
3
3
3
i
i
1
65 to 69
1
-
Heredity.
.
..."..
3
1
1
1
3
""
3
4
3o
H
£
S
1
3
1
1
3
6
•'
j
Female.
3
s
Female.
3
Total.
s
<u
"3
Total.
Female.
Unknown
3
2
oi
«
'eS
O
H
Brothers
and
sisters.
Collateral.
co
2
Apoplexy or paralysis . .
Psychopathic
Alcoholism
None. . .
Female.
1
$
Female.
Atavistic.
Direct.
•a
1
5
4
3
3
7
5
1
1
10
5
4
2
5
7
6
9
12
'4dS
<D
•3
I
§
1
1
STATE OF MICHIGAN.
58
Results of treatment.
Male.
Recovered •
Improved
Unimproved
Died
Remaining
Female.
4
2
3
18
Total.
1
2
2
14
5
4
32
PSYCHOPATHIC STATES.
In this group are 9 men and no women, representing 1.28% of the
cases admitted during the biennial period.
Men.
No.
Women.
Per cent.
No.
Total.
Per cent.
No.
!
Total admissions
Psychopathic
Per cent.
!_
416
9
284
700 |
0
2.16
1.28
i
Age at time of admission.
Male.
20 to 24
25 to 29
35 to 39
55 to 59
60 to 64
.,.
Female.
Total.
1
2
1
2
3
2 |
1
3
2
1
HEREDITY.
The hereditary factors in this gronp consist of one maternal immediate insane, one whose mother was nervous, maternal grandmother
senile dementia, one whose mother was alcoholic. The remainder either
negative or unknown.
Results of treatment.
Male.
Improved
Remaining
Female.
4
5
Total.
4
5
TRAVERSE CITY STATE HOSPITAL.
59
UNCLASSIFIED GROUP.
Seven men and one woman were not classified during the biennial
period.
Two men were with us but a short time, were defective criminals, and
escaped.
One' man was a foreigner, and was deported by order of the United
States authorities.
One man was a syphilitic case and came before the officials of a neighboring county for repeated thefts, undoubtedly a case of kleptomania.
He improved very much under specific treatment and was finally discharged.
The other cases were not sufficiently clear to be placed in any of the
groups of our classification.
NOT INSANE.
One patient, a Pinlauder, committed from the Upper Peninsula following a state of illness or debauch, not clear, who did not appear to be
mentally involved while in the institution. He was therefore classified
as not insane and discharged about one month after he came.
TABLE V.—Showing the occurrence o/ heredity in patients admitted.
Psychopathic
7
34
Total heredity
108
£
1
72
27
22
57
10
70 178
1
(0
2
4
2
4
2
16
1 17
14
4
0
"e§
3 73
|
|
p£
11 8 13
13
Total.
s
Female.
8
15
23
_oj
1
90
27
11 18
1 34
59
8
19
24,
149
35
37
58
57 169 110
84 44
163 130
279
128
293
416 284
700
Female.
24
Insanity
"a
Brothers
and
sisters.
Collateral.
Total.
48
Apoplexy and paralysis. 19
o5
«
Atavistic.
Female.
a
Female.
Direct.
3
•ac5
| I
21
4
24
21
2
7
4
1
27
31
26
45
'I
STATE OF MICHIGAN.
60
TABLE VI.—'Showing the age of patients admitted.
Biennial period ending
June 30, 1914.
Male.
From 10 to 14 years
From 15 to 19 years
25
From 20 to 24 years
35
From 25 to 29 years
37
From 30 to 34 ye^rs
32
From 35 lo 39 years
|
From 40 to 44 years
46
43
From 45 to 49 years
23
From 50 to 54 years
35
From 55 to 59 years
29
From 60 to 64 years
26
From 65 to 69 years
20
From 70 to 74 years
32
From 75 and upwards
33
I
|
Total
416
Female.
Total.
1
10
17
29
1
35
52
66
31
29
39
34
29
18
63
75
82
57
64
47
18
12
9
44
32
41
41
284
700
TABLE VII.—Showing civil condition of patients admitted.
Biennial period ending
June 30, 1914.
Civil condition.
Male.
Female.
Total.
Single
169
Married
173
172
345
Widowed
42
36
78
Divorced
18
10
28
Unascertained.
14
Total. .
416
235
14
284
700
TRAVERSE CITY STATE HOSPITAL,.
61
TABLE VIII.—Showing the degree of education of patients admitted.
Biennial period ending
June 30, 1914.
Degree of education.
Male.
Female.
Collegia! e
10
Academic
24
Common school.
249
Read and write.
39
7
Read only
Unascertained...
32
55
Total. . . .
416
No education. . .
Total.
13
39
15
215
20
3
24
464
59
10
4
56
59
284
700
TABLE IX.—Shoiving the occupation of patients admitted.
Biennial period ending
June 30, 1914.
Male.
Professional:
Architects, clergymen, engineers, surveyors, journalists, lawyers,
musicians, physicians and surgeons, teachers (school), etc.. . .
Clerical and official:
Bookkeepers, clerks, copyists, bankers, brokers, collectors,
auctioneers, agents, etc
Mercantile and trading:
Commercial travellers, merchants,^pharmacists, peddlers, etc...
Female.
Total.
11
18
14
9
23
13
10
23
Public entertainment:
Hotel and boarding house keepers, saloon keepers, liquor dealers,
bartenders, restaurant keepers
10
Personal service, police and military:
Barbers, hairdressers, janitors, sextons, policemen, watchmen,
detectives, soldiers, sailors, marines (U. S.), etc
11
19
30
Laboring and servant:
Laborers (not agricultural), servants
93
55
148
63
19
82
164
13
34
113
277
15
28
27
61
416
284
700
;
Manufacturing and mechanical industry:
Bakers, blacksmiths, butchers, cabinetmakers, carpenters, cigarmakers, jewelers, printers, engineers and firemen (not
locomotive), coopers, machinists, masons, millers, painters,
plasterers, plumbers, tailors^ tinners, etc
Agriculture, transportation and other outdoor:
Boatmen, draymen, hackmen, farmers, farm laborers, gardeners,
florists, livery stable keepers, lumbermen, sailors, fishermen,
steam railroad employees, stock raisers, etc
None
Unascertained
Total
62
STATE OF MICHIGAN.
TABLE X.—Showng tine nativity of patients admitted.
Biennial period ending
June 30, 1914.
Nativity.
Male.
Female.
175
107
Finland
3
2
5
3
1
Norway
Poland
Switzerland
Sweden. . . .
8
1
Unascertained
Total
,
Total.
126
76
Total United States
3
46
5
10
3
14
1
4
Female.
Male.
282
202
484
109
75
184
25
7
32
416
284
700
5
28
1
1
18
6
2
5
4
1
3
1
TABLE XI.—Showing the nativity of parents.
Biennial period ending
June 30, 1914.
Male.
124
169
51
72
Total . . .
416
Female.
86
141
Total.
28
29
210
310
79
101
284
700
TRAVERSE CITY STATE HOSPITAL.
63
TABLE XII.—Showing the residence of patients admitted.
Biennial period ending
June 30, 1914.
County.
Male.
Alcona . . .
Alpena. . .
Arenac. . .
Benzie
Bay. . . . . .
Cheboygan . . .
Charlevoix
Crawford .
Clare
Chippewa
Delta
Emmet ...
'
.
.
Grand Traverse . .
Glad win..
Gratiot ...
losco
Isabella . . .
Ionia
....
Kalamazoo . .
Kalkaska ...
Kent
Leelanau . .
Lake
M ontmorency
Monroe . . .
Manistee
...
...
Missaukee
Mason. . .
Midland..
Menominee
Otsego . . .
Oscoda
Ogemaw
Osceola . .
Oceana
Presque Isle . . . .
Roscommon
Saginaw
St. Clair.
Shiawassee
Wexford
Washtenaw
Wayne
Total
.
...
...
Female.
13
2
9
6
1
3
66
14
13
3
4
2
1
8
37
1
13
6
13
28
2
4
10
2
4
1
14
7
4
11
16
20
11
2
4
2
4
10
11
3
Total.
11
2
6
4
24
4
15
10
1
5
43
4
9
3
2
8
109
18
22
6
6
3
•1
22
54
4
21
10
20
44
2
1
8
1
1
14
17
3
8
4
7
16
1
4
1
6
1
2
19
3
5
8
9
6
17
2
4
1
4
8
2
2
4
1
2
1
14
3
3
1
13
1
416
284
i
16
3
6
1
33
10
9
15
20
22
37
13
6
5
2
8
18
13
5
4
1
3
2
27
4
3
700
STATE OF MICHIGAN.
64
TABLE XIII.- -.Showng the form of insanity of patients discharged and the
results of treatment.
Recovered.
Unimproved.
Improved.
Total.
Died.
Forms of insanity.
"e3
•1
S
Insanity due to infective and exhaustive in-
la
"rt
"S
EH
la
s
I
tS
^ "cs
1
5
1
6
12
2
1
14
1
3
1
4
1
2
3
1
1
1
1
4
12
5
7
30
17
3
1
42
22
10
1
1
3
1
1
1
3
4
7
5
10 "\2
5
22
5
2
2
4
19
14
11
4
3
""•>'
1
14
7
4
2
5
5
7
7
2
1
1
3
5
i'
"i
i
1
2
89
"3
1 27
1
2
3
6
2
14
31
31
91
3
i£ £
19
5
3
1
22
6
4
3
7
1
6
7
1
8
31
31
5
36
12
13
2
25
43
44
3
15
37
42
1
15
13
15
4
30
50
57
4
'ii
2
3
3
5
3 11
1
5
8
14
1
10
17
3
4
4
18
19
14
35
22
4
1
5
3
4
1
1
"4'
8
i
3
2
4
7
13
6
3
5
12
20
30
9
11
2
13
12
42
34
7
3
9
32
72
43
18
5
22
2
1
11
"i'
2
3
8
5
2
1
2
2
4
1
1
i
54 145
32
16
1
52
•a
3
5
3
1
7
9
37
1
2
5
6
"i'
1
5
1
Total
£
i
i
3
4
7
1
"c3
2
5
1
3
6
1
"3 _o
1
1
4
1
&
6
5
6
2
3
8
'is'
6
14
4
24
1
23
1
1
32
6
1
5
47
43 177 122 299 337 244
?81
1
1
1
11 22
1
1
2
1 21 '2i' 42
1
1
i
TRAVERSE CITY STATE HOSPITAL.
65
TABLE XIV.—Showing tne duration of residence in months of all cases discharged.
Recovered.
4
_oj
£
£,
.2
a
1 5
iS
s
fe
®
Died.
•3
•3
1
Total.
.8
Jjeg
1
"3
£
I
S
fe
1
3
6
9
3
7
10
7
2
9
14
9
23
27
24
51
14
20
34
21
19
40
5
4
9
22
14
36
62
57
119
13
11
24
32
6
38
4
3
7
16
8
24
65
28
93
7
6
13
12
10
22
J
4
7
14
4
18
36
24
60
1
2
3
2
3
5
2
2
14
1
15
19
6
25
2
2
8
4
12
4
4
15
9
24
27
15
42
1
1
1
1
12
8
20
13
10
23
4
4
9
1
3
2
5
23
22
45
35
30
65
3
2
2
4
8
19
27
13
21
34
1
1
1 39
28
67
40
29
69
52 143
31
49 177 122 299 337 244
58t
1
38
52
90
91
1
11
2
3
Totals
Unimproved.
Improved.
18
TABLE XV.—Showing the age of patients discharged
recovered.
For the biennial period ending
June 30, 1914.
Male.
From 20 to 24 years . . .
From 35 to 39 years
From 40 to 44 years
Frcm
From
From
From
From
From
50 to 54 years
55 to 59 years
€0 to 64 years
65 to 69 years
70 to 74 years
75 and upwards. .
Total . . . .
...
. . .
Female.
Total.
1
2
3
6
5
11
1
8
9
4
9
13
6
3
9
4
7
11
3
5
8
3
3
6
4
7
11
3
1
4
1
1
2
2
1
3
38
80
66
STATE OF MICHIGAN.
TABLE XVI.—See Summary of Deaths, page 38.
TABLE XVII.—Showing the age of patients who died.
Biennial period ending
June 30, 1914.
Male.
Female.
Total.
1
9
11
5
16
11
1
3
4
20
21
17
26
14
34
24
35
10
12
8
13
27
30
30
48
177
122
299
3
2
11
11
2
9
From 30 to 34 years . .
.
....
10
8
15
9
18
From 60 to 64 years . .
13
17
18
22
...
Total .
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 additional appropriation for completion of dining room to be erected on the hospital
grounds; for heating and ventilating systems in Cottages 24 and 26; for
addition to dining rooms, north and south, for carpenter and paint
shop; for an industrial building; for farm barn; for fencing; for additional laundry machinery; for new grate under boiler ~No. 3; for addition to cold storage plant; and for the installation of fire protection for
farm barns.
I.
DINING ROOM.
37,000 cu. ft. of excavating
@ $0 02
4,700 cu. ft. concrete for basement walls
20
35,000 common brick laid
15 00
68,000 pressed brick laid for exterior face work.... 35 00
Hollow "Jumbo" tile as per estimate of Trussed
$74
940
525
2,380
00
00
00
00
TRAVERSE CITY STATE HOSPITAL.
67
Concrete Co. f. o. b. Traverse City
Mortar and laying for the above "Jumbos"
8,294 sq. ft. 3x12x18" Book tile for roof f. o. b.
Traverse City
Mortar and labor setting Book tile
2,710 sq. ft. 7-Rib Hy Eib 28 guage Suspended ceiling f. o. b. Traverse City per estimate Trussed
Concrete Co
8,800 sq. ft. 7-Rib Hy Rib 24 guage, for floor First
Floor
Labor setting Hy Rib
176 pcs. 1,4x3/8 steel plates
2,011ft
60 8" I-Beams coped and riveted....
18,766ft
76 Castiron bearing plates
3,912ft
265 6x4 and 4x4 connecting angles riveted
4 to 6" long
1,500ft
16 8" channels copped and riveted
2,300ft
300ft 3/3" rivets, driven in angles
300ft
29 10" I-Beams
8,702ft
14 4" I-Beams
874ft
6 7" I-Beams
l,92ffi
30 5" I-Beams and 5" channels
4,840ft
696 %" connecting bolts for angles
187 21/4x2% Tees fitted for wire
23,635ft
120 6" I-beams and 6" channels, coped
22,940ft
2 12" I-beams
1,340ft
7 28" special 28" Both. I-Beams
36,750ft
1 Built-up 6" H I Beam Col
1,200ft
f 1,419 00
1,175 00
f0 07
580 58
290 29
341 28
02y2
02y2
02y2
497 21
437 00
50 28
469 15
97 80
04
02y2
05
02%
02i/2
02%
02y4
04
023^
02y2
02y4
02i/2
03
6000
5750
15 00
19580
2185
2682
108 90
27 84
650 00
573 50
30 15
918 75
36 00
130,262ft
Annealed wire for fastening Tee ceiling
3,000 yds. plastering
30
260 ft. lin. Concrete Stone grade course
50
295 ft. lin. Concrete Stone window sills
40
22 ft. lin. Concrete Stone door sills
1 00
325 ft. lin. Concrete Stone coping
70
260 ft. lin. Concrete Stone water-table
40
190 ft. lin. Vitrified Wall coping, set
25
8,100 sq. ft. Concrete floor in Basement
07
8,100 sq. ft. Terrazzo floor Main
floor
30
81 sqs. 4-ply Gravel Composition Roofing
4 00
29 windows finished complete main dining room... 23 00
3 windows finished complete women's dining room. 23 00
2 windows finished Store Room and Pantry
20 00
10 windows finished com. Kitchen
12 00
1 window finished com. Basement entrance
38 windows finished com. Basement
9 00
2 Front entrance doors and frames with hoods over
1 Outside door and frame com. Kitchen
1 Outside door and frame com. Women's Dining room
1 Outside door and frame com. Basement entrance
1 pair outside steps with rail complete Kitchen entrance....
6 00
900 00
130 00
118 00
22 00
227 50
104 00
4750
567 00
2,430 00
324 00
681 50
70 50
40 00
120 00
12 00
342 00
100 00
18 00
18 00
1200
75 00
68
STATE OF MICHIGAN.
1 Porch and Steps Women's dining room
3 Metal Sky-lights complete
3 doors and frames complete
first
floor
7 doors and frames complete basement
319 ft. lin. Cal. Iron cornice
@ $1 50
Electric wiring
Heating
Plaster finish for one column in dining room
2 Iron stairways dining room to basement
2 Front basement entrance stairs
1 set of concrete steps, steamer room to basement
1 balcony railing and steps
8,100 sq. ft. concrete slab work for first floor @ fO 05
Erecting 65 tons of steel
12 00
Plumbing and sewer work, etc., sinks, closets, tea and coffee
urns, ranges, tables, steamers, sewer connections, e t c . . . .
|250 00
210 00
120 00
105 00
478 50
350 00
862 50
30 00
400 00
80 00
65 00
125 00
405 00
780 00
1,500 00
$24,125 40
II.
HEATING AND VENTILATING SYSTEMS COTTAGES 24 AND 26.
Heating and ventilating systems, Cottages 24 and 26 .... $12,000 00
III.
ADDITIONS TO DINING BOOMS
48 M Brick in wall
600 ft. concrete wall
600 ft. tile
9 windows
12 doors
1,000 Ibs. steel
800 ft. concrete
325 ft. roof
2,000 ft. lumber
Labor
Elevator
NORTH AND SOUTH.
floor
@ |0 15 $720 00
20
120 00
50
300 00
15
135 00
15
180 00
02i/2 25 00
80 00
15
4875
18
36 00
150 00
600 00
$2,394 75
Addition to South Dining room
IV.
$2,394 75
CARPENTER AND PAINT SHOP.
105 M Brick in wall
2,800 ft. concrete in basement
3,840 ft. concrete floor in basement
3,800 gravel roof
Excavating and grading
Windows and doors
46 M hemlock lumber
5,000 ft. maple
floor
6 M matched pine
floor
1 M matched pine
floor
@ $0 .15 $1,575 00
560 00
10
384 00
190 00
400 00
500 00
18
82800
40
200 00
30
180 00
40
40 00
TRAVERSE CITY STATE HOSPITAL.
Carpenter work labor, nails and hardware
Machine belting and shafting
1 motor 30 H. P
Sewer connection
Wiring, electric lights
Heating and plumbing
69
$995 00
1,200 00
500 00
150 00
150 00
600 00
$8,452 00
V.
INDUSTRIAL BUILDING.
135 M brick in wall
2,770 ft. concrete wall
1,400 yds. plastering
2,400 ft. gravel roof
34 windows
16 windows
12 doors and frames
2,200 ft. cement
Excavating and grading
6 M ft. maple
flooring
3 M ft. matched pine
21 M ft. hemlock lumber
Painting
Carpenter work and labor
3 M finishing lumber
Sewer connections
Heating and plumbing
Hardware and incidentals
Wiring, electric lights,
floor
v
fixtures
@ $0 15 $2,025 00
20
554 00
35
490 00
120 00
15
520 00
05
80 00
15
170 00
08
176 00
125 00
45
270 00
30
90 00
20
420 00
200 00
1,200 00
50
15000
150 00
1,700 00
260 00
300 00
|9,000 00
VI.
FARM BARN.
46 M Brick in wall
4,400 ft. 6" tile surface
2,736 ft. cement
floor
3,500 ft. matched
flooring
26,000 ft. hemlock lumber
1,000 ft. lumber
40 Sqs. slate roof
1,500 ft. concrete wall
Painting
Cement plastering on walls
Hardware and incidentals
Carpenter work
Windows and' doors
Steel stalls, cork floor, mangers, etc
Ventilation
Electric lighting
Piping and drainage
@ $0 15
10
10
30
20
40
12 00
20 00
$690 00
440-00
273 00
105 00
520 00
40 00
480 00
300 00
125 00
100 00
150 00
500 00
125 00
850 00
200 00
50 00
52 00
$5,000 00
70
STATE OF MICHIGAN.
VII.
FENCING.
1,320 ft. iron fence in front of grounds
VIII.
f 1,500 00
LAUNDRY MACHINERY.
5 Washing Machines
Shafting, belting, installation, etc
$2,000 00
500 00
$2,500 00
IX.
GRATE FOR BOILER NO. 3.
1 chain grate for Boiler No. 3
$1,800 00
Ee-setting of Boiler and installation of grate, piping, labor,
etc. . . . . . . . . . . . . . . . . . . . . . .
700 00
$2,500 00
X.
ADDITION TO COLD STORAGE PLANT (ESTIMATES FRED W. WOLF CO.)
"One No. 2y2 brass fitted brine circulating pump, 3^" suction, 2%"
discharge, complete with base and directly connected to a 5 H. P.,
120-volt 1,100 R. P. H., D. C. motor.
We will include all brine mains between the three new rooms and the
new brine pump, also between new rooms and the present brine tank.
The old connections between pump and tank to be increased to suit the
new pump. A 3%" brine strainer will be furnished on pump suction.
Insulation for the three rooms as follows:
Watts: Against all outside brick or tile walls, except the front wall
of Boom "C" and on the partition walls, separating Rooms "A" and
"B," and "C", we will erect two course of 2" pure cork board in Portland Cement mortar.
On the front wall of Room "C", we will furnish and erect two course
of 3" cork board, both courses erected in Portland cement mortar.
Floors: The floors of the three rooms will be insulated with two
course of 2" pure cork board, laid in hot asphalt. All joints in the
second course will be broken with respect to all joints in the first course.
The upper surface will be flooded with hot asphalt, about %" thick
and a wearing concrete floor laid down directly on top. The floor will
consist of 2" of rough concrete and V of Portland cement finish, laid
directly on the top of the cork board.
Ceilings: The ceilings of the three rooms will be insulated with two
layers of water-proof insulating paper applied on the sheated ceiling, all
edges lapped at least 3", against which will be securely nailed one
course of 2" cork board, all transverse joints being broken. A second
course of 2" cork board will then be erected against the first in hot
asphalt cement and additionally secured to the first with galvanized
wire nails. All joints in the second course shall be broken with respect
to all joints in the first course. A Portland cement plaster finish will
be applied, approximately %" thick.
Plastering: All exposed surfaces of the cork board on the walls, partitions and ceiling, will be plastered with Portland cement mortar,
about V2" thick.
TRAVERSE CITY STATE HOSPITAL.
71
Dbors: We will furnish and set six cold storage doors 3' wide x 6'6"
high, Jones or equal, you to furnish the necessary door supports in the
tile walls.
All exposed brine mains will be insulated with approved cork covering.
Our price for the above material, delivered and installed, is four thousand seven hundred and seventy-five ($4,775.00) dollars."
In addition we estimate that brick work, electric lighting, sewer connections, water supply, labor, etc., will be about $725.00, making the
total cost for proposed cold storage |5,500.00.
XI.
INSTALLATION OF FIRE PROTECTION FOR FARM BARNS.
$8,000 00
RECAPITULATION.
Dining room
$14,125 40
Heating and Ventilating systems Cot. 24 and Cot. 26
12,000 00
Addition to dining room, north
2,394 75
Addition to dining room, south
2,394 75
Carpenter and paint shop
8,452 00
Industrial building
9,000 00
Farm barn
5,000 00
Fencing
1,500 00
Additional laundry machinery
2,500 00
New grate under Boiler No. 3
2,500 00
Addition to Cold Storage Plant
5,500 00
Fire protection for farm barns
8,000 00
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 OP CORRECTIONS AND CHARITIES,,
LANSING, MICHIGAN, November 6, 1914.
Dr. James D. Munson, Medical Superintendent, Traverse City State
Hospital, Traverse City, Michigan:
Dear Sir—The estimates of appropriations for the Traverse City
State Hospital for the biennial period ending June 30, 1917, as presented to the members of this board at the time of the inspection of
your Hospital on September 10, 1914, have been approved with the exception of item No. 7, the same being a request for an appropriationi
of $1,500 for 1,320 feet of iron fencing for front of grounds.
By order of the board.
Verv respectfully,
" JNO. N. McCORMIOK, .
Chairman.
72
STATE OF MICHIGAN.
CHAPEL SERVICES.
Religious services have been conducted regularly by the Chaplain, Kev.
D. Cochlin, assisted by Eevs. Mr. Slade, Mr. Irving, Mr. Lay and Mr.
Coates, all of Traverse City.
ACKNOWLEDGMENTS.
To all those who have in any way contributed to the welfare and comfort of our patients our best thanks are extended.
CONCLUSION.
In conclusion we may say that our relations with the State, with
other hospitals, with the county officials, etc., have been harmonious,
and there has been cordial cooperation between the institution and the
county and state officials in everything that pertains to the best interest
of the hospital.
As a Board, you have given unusual attention to the hospital and its
management, and it was due to your efforts largely that the right of
way for the side track was secured and railway connection accomplished between the hospital and the railroads entering Traverse City.
I am not unmindful of my obligations to you and to my associates on
the staff and to all the employes of the hospital. It is a matter of
great gratification to me to be able to state that there have been few
occurrences during the last two years that have required special attention at your hands. The hospital was never at a higher standard of
efficiency than it is at this time.
All of which is respectfully submitted.
J. D. MTJNSON,
Medical Superintendent.
Traverse City State Hospital, October, 1914.
TRAVERSE CITY STATE HOSPITAL.
73
OFFICERS AND EMPLOYES
OF THE TRAVERSE CITY STATE HOSPITAL, AND THE WAGES OR SALARIES PAID EACH, JUNE 30, 1914, AS REQUIRED BY SECTION
2, ACT 206, LAWS 1881.
Service.
Name.
A S Rowley
W D Mueller
G B. Pike
T. H. A. Tregea
Carl W. Nesbitt
C
B
0
S.
M Prall
P Burns
S Woodruff
G. Howard
Blanche Clark
Period.
Rate.
Medical superintendent
Asst medical superintendent
Assistant physician
Assistant physician
Assistant physician
S3 600 00
2,800 00
1 700 00
1 200 00
1 200 00
A=sistant physician
Steward
Chaplain
. . . Accountant
Assistant accountant
1 200 00
2,000 00
260 00
10G 00
85 00
Per month.
Chief engineer
Chief carpenter
1 600 00
1 200 00
90 00
70 00
1,200 00
Per annum. Non-resident.
Suoerin ten dent of nurses
Storekeeper
Edna Skinner
Dietitian
Druggist
Stenographer
Stenograph er
Stenographer
60
80
65
40
50
00
00
00
00
00
George Howarth
Clothing clerk
Clothing clerk
Isabel Vincent
Telephone operator
Telephone operator
40
40
36
18
18
00
00
00
00
00
Jennie E. Beals
Supt. of domestic art
Sewing room assistant
50
35
25
H
H
00
00
00
00
00
14
25
34
30
40
00
00
00
00
00
A
Attendant
. ,, , ,
Attendant
28
19
32
34
50
00
00
00
00
00
AtfaL™t
30
38
28
18
19
00
00
00
00
00
30
45
18
35
35
00
00
00
00
00
28
35
28
20
19
00
00
00
00
00
Carrie Fuller
Stella Swan
Rhea Hinsdill
Domestic
.
Housekeeper
Hattie Allen
L. E. Burt
Attendant
Attendant
Ilah Brittain
E. Gertrude Cook
Arthur J. Clark
Roy Carns
Nettie Cutting.
Essie M. Covev
Attendant
Aft rl t
Attendant
Attendant
Attendant
Attendant
Attendant
Attendant
Attendant
' '
Non-resident.
Per month. Non-resident.
Per month.
Non-resident.
Per month.
Resident.
Per month. Resident.
Per month.
Resident.
Per month.
Resident.
Per month.
Resident.
Per month. Resident.
Per month.
Per month.
Per month.
Per month.
Resident.
Resident.
Resident.
Resident.
STATE OF MICHIGAN.
OFFICERS AND EMPLOYES.—Continued.
Service.
Name.
Geo C Dell
Robt Dell
D S. Dean
G J Droat
Cook
Ray Elliott
Ethel Edwards
Clint Fox
Geo. Fate .
Bert Glass
Alvin Gilbert . . . .
Glen Ginther
Helen Glazer ...
W. J. Getchell
Edw. Guilfov
Gladys Hilton
Margai et E. Heator
Earl Hudson .
Libbie Howe
Attendant
Mrs. G. B. Howe
R. J. Hamilton
Birden Hubel
J. D. Hamlin
L.J.Hier...
. .
fifin. Hrrniriftfi
Katbryn Huff
Geo. R. Hockin
Clarence Horton
Lena Knight
Judith Kidder
Clara Krone
Ed. Krause
Hilda Moran
Blossom Morse
Attendant
Howard Lewis
Otis Leland
Cook
Period.
Rate.
Per month.
Resid
$20
56
26
51
20
00
00
00
00
00
45
46
30
35
18
00
00
00
00
00
65
50
20
26
50
00
00
00
00
00
46
22
32
38
26
00
00
00
00
00
36
61
50
20
46
00
00
00
00
00
32
32
20
32
19
00
00
00
00
00
Per month. Resid
19
24
32
20
20
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Resid
Resid
Resid
Reside
Resid
18
30
28
18
42
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Resid
Reside
Resid
Reside
Reside
40
28
20
46
18
00
00
00
00
00
Per month. Resid
Per month. Reside
18
28
50
46
18
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Reside
Reside
Reside
Reside
Reside
' 28
50
30
24
26
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Reside
Reside
Reside
Reside
Reside
40
30
18
18
19
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Reside
Reside
Reside
Reside
Reside
20
50
26
36
26
00 Per month. Reside
00 •Per month. Reside
00 Per month. Reside
00 Per month. Reside
00 Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Resid
Per month. Resid
Per month. Reside
TRAVEiRSE CITY STATE HOSPITAL.
75
OFFICERS AND EMPLOYES.—Continued.
Service.
Name.
P^ate.
Period.
$24 00
18
34
26
19
00
00
00
00
26
18
20
19
26
00
00
00
00
00
26
55
26
19
20
00
00
00
00
00
32
24
18
26
33
00
00
00
00
00
Glen Parks
30
55
26
32
42
00
00
00
00
00
Charlie P Randall
18
22
30
32
26
00
00
00
00
00
26
26
35
45
36
00
00
00
00
00
32
24
28
18
20
00
00
00
00
00
18
20
20
45
18
00
00
00
00
00
24
20
18
26
24
00
00
00
00
00
26
50
18
40
36
00
00
00
00
00
32
28
18
20
18
00
00
00
00
00
70
70
55
24
19
00
00
00
00
00
Mary McGill
. .
Edwin T Peterson
Daisy E. Slater
Mabel Miller
Eva O'Rorke
Mable Weiss
W E Vezina
Bertha C Peterson
V. A. Patrick
Cook
Will R. Steiglitz
. .
Frank H Snyder
Robert Shalda
Earl Sanford
Lvla Stieo-Htz
Inez Strickler
Lena M. Smith
C. P. Tobey
Charles E. Wilson
William J Weiler
Gladys Wing
Hattie Walsh . .
D. E. Ward
.
.
Cook
Alfred Walker
Winifred Westbrook
W. Bellau
Chef
Baker
STATE OF MICHIGAN.
76
OFFICERS AND EMPLOYES—Continued.
Name.
Robt F Herkner
Service.
Rate.
Butcher
Emery G Smith
Wayne Steele
Cook
Claude W Nelson
Cook . . .
Celia White
Mabel Schlei
Ethel Rinehart
Hazel White
Ida Richie
Hazel Wilbur
G E Ball
Pipefitter
Pipefitter
W Eraser
Plumber
Pipefitter
H Butrick
Pipefitter
.
....
Period.
$19
65
26
26
34
00
00
00
00
00
26
26
26
26
26
00
00
00
00
00
26
35
26
26
45
00
00
00
00
00
70
40
22
23
22
00
00
00
00
00
24
22
28
22
15
00
00
00
00
00
21
25
21
23
22
00
00
00
00
00
13
20
50
2
45
00
00
00
00
00
40
50
50
2
2
00
00
00
75
25
65 00
50 00
1 75
2 70
30 00
C C Cooper
Libbie Kelley
J 0 Edwards
J B King
R L Pennell
2
64
75
2
2
S H McMichael
Hans W Tobler
Hans Tobler
2 70
1 00
80 00
2 70
1 75
Albert Clous
C D Lyon
C Gabriel
Teamster
Teamster
John McGill
G W Burrett
.
00
90
00
70
70
29
60
29
46
41
00
00
00
00
00
Per month Non-resident
Per month Resident
Per month. Non-resident.
Per month Non-resident.
32
29
29
29
31
00
00
00
00
00
Per
Per
Per
Per
Per
month
month.
month
month.
month
Resident
Resident.
Resident
Resident.
Resident •
TRAVERSE CITY STATE HOSPITAL.
77
OFFICERS AND EMPLOYES.—Concluded.
Service.
Name.
T. P. Redding
S. Edgerley
D. W. Kelley
0. E. Hatch
Frank Steele
B. R. Mallory
...
....
J. W. Rinehart
R. W. Loeding
Homer Hall
Harland Beck
Carpenter
Period.
Rate.
$38
31
38
33
50
00
00
00
00
00
Per month.
Per month.
Per month
Per month.
Per month.
Non-resident,
Resident.
Non-resident.
Resident.
Resident.
29
60
29
29
29
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Resident.
Resident.
Resident.
Resident.
Resident.
29
33
29
29
2
00
00
00
00
70
Per month.
Per month.
Per month.
Per month.
Per day.
Resident.
Resident.
Resident.
Resident.
Non-resident.
1 75
2 70
2 70
1 75
1 75
60 00
Per day
Per day.
Per day
Per day.
Per day
Per month.
Non-resident.
Non-resident.
Non-resident.
Non-resident.
Non-resident.
Non-resident.
STATE OP MICHIGAN.
78
GEADUATES OF THE TEAVERSE CITY STATE HOSPITAL
TRAINING SCHOOL FOE NURSES.
1908.
Harry Baker.
Laura M. Bigbee.
Bennett P. Burns.
Lena Aldrich Covey.
Sadie L. Dockerty.
Anna Carrow Evans.
Mary Louise Fink.
Wesler 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 Eoest.
Lurene Shryer.
Lillian Faith Walsh.
Anna M. Warner.
Lucinda Hazel Wilson.
1909.
Margaret Clark.
Edna Crandall.
Gertrude Eamon.
Anna Hanson.
Thea Hanson.
Flora Hollister.
Cora Laisy.
Howard Lewis.
Euth Merrifleld.
1910.
Ray H. Buttars.
Loura 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 Angie 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 Eeynolds.
Mina Odolla Shearer.
1911.
Martha Clara Kitscher.
Nora Belle Eamon.
Lena Amelia Eude.
Matilda Delvena Send.
Alice Julia Thoreson.
Bertha Cornelia Peterson.
Hazel Erveilia Edgerley.
Marie Esther Orvis.
Gertrude Margaret Orvis.
Ada Julia Hall.
Eosetta Alston.
Essie Marie Johnson.
Grace Belle Alexander.
Effle Florence Grissinger.
George Oliver Zeigler.
Lee S. Swan.
George W. Ashby.
Leo. S. Chamberlain.
Perry A. Tobey.
Stephen H. Young.
TRAVERSE CITY STATE HOSPITAL.
1912.
_ T. , „
„., ,
Judith Evans Kidder.
Frances Edith SOBS.
Wilhelmma L. Oldenburg.
Daisy M. Lahr.
Alice A. Smith.
Mabel Cowles Willard.
Alma E. Leggett.
Emma Thum.
Otis H. Leland.
Pearl LaFern Emory.
Pearl Emily Tyler.
Laura M. Rude.
Julia Belle Carsten.
E. Margaret Mortenson.
Stephen A. Covey.
Anna Paulina Smith.
Nettie Beulah Nickerson.
Leonard A. Wright.
Emma E. Davis.
Effie Leona Bixby.
Glen L Ginther/
Hi]dur Hedenskog.
MatMa R Henschell.
1914.
Florence L. Vivian.
Ethel M. Edwards.
Lena N. Smith.
Kathryn B. Huflf.
Lyla Stieglitz.
Maggie E. Heator.
Matie Estelle Vincent.
Catherine Paffhausen.
Alice E. Hanes.
Euby Dale MacLean.
Grace L. Stieglitz.
Libbie Howe.
Flora Dorthy Goynon.
Dora Gordon Seaton.
79
APPENDIX.
11
ADMIRAL WALKER COLANTHA, No. 84481
Senior Herd Sire of the Traverse Herd
His weight at 3 years, 10 months, 2300 Ibs. The record cf his four nearest dams average:
Butter, 7 days, 32.83 Ibs.
Butter, 30 days, 131.85 Ibs.
APPENDIX.
The asylums of Michigan are organized and governed under organic law.
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 j
Trustees. (Section 8.) The counties comprising the district
of the Traverse City State Hospital are:
Alpena
Arenac
Antrim
Alcona
Benzie
Charlevoix
Clare
Crawford
Cheboygan
Emmet
Gladwin
Grand Traverse
Gratiot
Isabella
losco
Ionia
Kalkaska
Lake
Leelanau
Manistee
Mason
Mecosta
Midland
Missaukee
Montcalm
Montmorency
Muskegon
Newaygo
Oceana
Ogemaw
Osceola
Otsego
Oscoda
Presque Isle
Roscoinmon
Wexford
Provision is made by Section 7 for the transfer of patients Transfer from'
„
-i
i
ji
,
TJ_.
i
i one district to
from one asylum to another when conditions make such another.
transfer desirable.
12
84
Insane to be
committed to
asylum of
their district.
Classes of
patients.
Voluntary
patients.
Public and
private
patients.
Order void
after thirty
days.
Bonds.
Advance
payment.
New bonds.
Temporary
orders.
Transfer from
private to
public.
Non-resident.
Provisional
discharge and
readmission of
patients.
STATE OF MICHIGAN.
A patient is not to be committeed to an asylum of a district other than that of which he is a resident unless the
court adjudicates that there is no room in the latter, and
that there is in the former. (Section 8.)
Patients are divided into three classes: Public'patients,
private patients, and voluntary patients. (Section 13.)
Voluntary patients are patients who are not insane. They
are kept and maintained without expense to the State, but
cannot be received so long as there may be applications for
the admission of public or private patients not cared for because of lack of room. In other words, there must be room
for all others seeking admission before any voluntary patients can be received.
Sec. 14, Act 155, Laws 1911, as amended by Act 94, Laws
1913, "Provides that such persons as may have been or may
hereafter be adjudged to be so addicted to the excessive use
of intoxicating liquors, or narcotic or noxious drugs, as to be
in need of medical and sanitary treatment and care, for
whose person a guardian has or may be appointed with
power to restrain his said ward in some suitable hospital or
asylum for treatment."
Both public and private patients can be received only on
an order from a probate court declaring the patient insane
and stating the method of support,—whether public or private. Such an order is void unless patient is sent to the asylum within thirty days after it is issued. (Section 16.)
Besides the order of commitment from the court, there
must accompany a private patient a bond guaranteeing the
payment of his bills. The law (Section 16) makes it incumbent upon the court to see that this bond is furnished.
Until this bond is furnished the patient is regarded as a
public charge. There is also required an advance payment
of fifty dollars. Future payments are made at the close of
each quarter.
New bonds may be called for at any time by the medical
superintendent, and the law requires the court to see that
such new bonds are provided. (Section 16).
Provision is made (Section 16) for the reception of both
public and private patients on temporary orders wherever
conditions demand immediate attention.
Section 21 provides for the transfer of a patient from private expense to public expense where conditions warrant such
a change.
Section 30 provides for the temporary reception and care
of insane who are not residents of this State.
Section 32 provides for the return to the asylum without a
new order of patients who have been discharged on trial,
where the duration of the temporary absence does not exceed
six months.
TRAVERSE CITY STATE HOSPITAL.
85
The attention of county officers is particularly called to the insane women
provisions of Section 40 regarding the state of bodily cleanli'
ness and the clothing of patients brought to the asylum, and
more particularly to that clause of the section providing for
a female attendant for insane women.
In conveying a patient to the asylum do not deceive him. Removal of
Truth should not be compromised by professing a visit to the gome"ts 'rom
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 asylum 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 drawers, 4 pairs hose, 3 night-dresses, 3 cotton-flannel
skirts, 6 handkerchiefs, 4 collars, 1 pair shoes, 1 pair slippers,
1 shawl or cloak, 1 hat, hood or nubia, 4 aprons.
The outfit should be liberal when circumstances permit.
As nearly all the patients go regularly into the open air each
day, it is desirable that they be furnished with clothing of a
character to enable them to go comfortably in all weather,
and also to appear at little social gatherings. When desired,
articles of clothing, etc., will be furnished at the institution.
Jewelry should not be brought with patients. // such articles
are left in their possession the asylum cannot be responsible
for their safe keeping.
All letters concerning patients, from individuals having con-espondthe right to make inquiry, will be answered at once; and encefriends 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 reforded, 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
86
Visiting
patients.
Application
for admission
of patients.
STATE OF 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 brought to the asylum. A blank will be furnished
the friends which provides for a complete history of the patients trouble.
All correspondence in reference to patients should be addressed to Dr. James D. Munson, Northern Michigan Asylum,
Traverse City.
TRAVERSE PRINCE INKA LAD, No. 124590
Junior Herd Sire of the Traverse Herd
At 18 months of age, weight 1350 Ibs
His dam's 7 day record is 29.03 Ibs. of butter from 615.5 Ibs. of milk. Her semi-official yearly record is 940.8 Ibs. butter from 19,412.8 Ibs. of milk
INDEX.
THE NINE MISSES WALKER
First daughters of Admiral Walker Colantha, No. 84481
Their ages at time of photo ranged from 12 to 15 months
INDEX.
Accounts, abstract of
Accounts, current
Accounts, current, summary of
Acknowledgments
Additions to dining room
Admission of public patients
Admission of private patients
Admission of voluntary patients
Admissions and discharges. Table
Age of patients. Table
Age of patients discharged recovered. Table
Age of patients who died. Table
Alcoholic insanity
Appendix
Appointments, resignations, etc
Appropriations, report of
Carpenter and paint shop
Chapel
Civil condition. Table
Clinical and research work
Clothing
Cold storage plant, addition to
Cost of maintenance
Daily average of patients
Dairy barn
Deaths, causes of, etc
'
Death rate
Dementia praecox
Dietetics and food analysis
Domestic arts and sciences
Duration of residence of patients discharged. Table
Discharge of patients, readmissions, etc
Education. Table
Epidemic diseases
Epilepsy
Estimates of special appropriations
Farm and garden
P^encing
Fire protection for farm barns
Form of disease. Table
General dining room for cottages for men
Grate for boiler
Graduates of Training School
Heating and ventilating systems for cottages 24 and 26
Heredity. Table
Imbeciles and idiots
Improvements
Increase of patients
Industrial building
Infection and exhaustion psychoses
Insanity of patients discharged. Table
Inventory, summary of
'.
Page
25
28
32
74
19
84
84
84
37
60
65
66
43
83
23
21
18
71
60
12-13
85
20
15
16
19
38
16
48
8-9
11
65
16
61
13
57
66
21
20
20
41
18
20
78
19
59
42-55
16
14
19
45
64
36
90
INDEX.
Laboratory work
Laundry machinery
Lundvall treatment
Manic depressive insanity
Melancholia
Morphinism
Movement of population. Table
Names of officers and employes. Table
Nativity of patients. Table
Nativity of parents. Table
Needs of hospital
Neosalvarsan
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
Psychopathic states
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
Silver medal
Summary of causes of death. Table
Title and addresses
Training school for nurses
Transfer of patients
Tuberculosis in cattle.... :
:
Unclassified group
.-
Page
13
20
51
,.
53
55
44
37
73
62
62
18
48
59
12
61
5-6
46
52
14-15
14-15
58
21-71 .
25
85
17
37
71
7-24
25
33
32
63
64
22
38
3
12
14
22
59
OFFICIAL COLLECTION
REPORT
MICHIGAN DOCUMENTS
BOARD OF TRUSTEES
TRAVERSE CITY STATE HOSPITAL
TRAVERSE CITY
JUNE 30, 1914
BY AUTHORITY
LANSING, MICHIGAN
WYNKOOP HALLENBECK CRAWFORD CO., STATE PRINTERS
1911
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 42 buildings, occupying a tract
of land containing 723 acres. It cares for 1,517 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.
TEUSTEES.
W. LLOYD
H. C. DAVIS
W. W. MITCHELL
M. F. QUAINTANCE
E. S. WAGAR
C. D. ALWAY
MANISTEE
TRAVERSE CITY
CADILLAC
PETOSKEY
EDMOBE
TSAVEBSE CITY
RESIDENT OFFICERS.
JAMES D. MUNSON, M. D
A. S. ROWLEY, M. D
W. D. MUELLER, M. D
ADAH EPPERSON M. D
MEDICAL SUPERINTENDENT
ASST. MEDICAL SUPERINTENDENT
}
J. A. J. HALL, M. D
f
R. F. WAFER, M. D
j
ASST. PHYSICIANS
NON-RESIDENT OFFICERS.
G. B. PIKE
W. P. MANTON, M. D
STEWARD
DETROIT, MICH., GYNECOLOGIST
CHAPLAIN.
REV. D. COCHLIN
.TBAVEBSE CITY
TREASURES.
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.
Retired.
Residence.
Traverse City . Work of board completed Sept. 30, 1882.
Perry Hannah
E. H. Van Deusen. . . Kalamazoo.
Detroit.
M. H. Butler
1881
1881
1881
BOARD OF COMMISSIONERS APPOINTED TO ERECT THE NORTHERN MICHIGAN
ASYLUM.
Date of
appointment.
Name.
Perry Hannah
E H. Van Deusen . .
M. H. Butler
H. H. Riley
Thos. T. Bates
1881
1881
1881
'1881
1885
Residence.
Retired.
Traverse City . 1885.
Kalamazoo.
Detroit.
St. Joseph.
Traverse City . 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
. .
Name.
Residence.
Term
expires.
President
from to
C. M. Wells
Alex. Chapoton, Sr.
J. W. French
Thos. T. Bates
H. H. Noble
Geo. A. Farr
Varnum B. Cochran
Lorin Roberts
C. L. Whitney
H. C. Davis
G. A. Hart
W. W. Cummer
C. F. Backus
H D Campbell
W. W. Mitchell .
H D Brigham
D. B. Butler
Traverse City ...
Detroit
Three Rivers ....
Traverse City...
Elk Rapids
Grand Haven . . .
1887
1887
1889
1913
1897
1891
1893
1889
1891
1895
1915
1897
1901
1901
1905
1901
1917
1901
1903
1907
1908
1917
1919
1915
1919
1885 to 1886.
G. A. Hart
A F Temple
M. F. Quaintance
William Lloyd
E. S Wager
C. D. Alway
Traverse City . .
Muskegon
Traverse City. . .
Cadillac
Bad Axe
Detroit
Cadillac
Frankfort
Traverse City
Remarks.
1886 to 1892.
1907 to 1910.
1892 to 1897.
1897 to 1899
1899 to 1902.
1902 to 1907
1910 to 1912
1912
Present member .
MEDICAL OFFICERS.
Medical Superintendent:
James D. Munson, M. D., 1885.
Assistant Medical Superintendents:
J.-H. Dawson, M. D.—1885 to 1890. Resigned.
C. G. Chaddock, M. D.—1890 to 1892. Resigned.
A. S. Rowley, M. D.—1895
.
Assistant Physicians:
C. 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 Superintendencv
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. Purdum, M. D.—1906 to 1910.
R. E. Wells, M. D.—1907 to 1912.
Guy M. Johnson, M. D.—1908 to 1910.
Adah Epperson, M. D.—1910
.
E. G. Williams, M. D.—1910 to 1911.
J. A. J. Hall, M. D.—1910.
S. C. Niles, M. D—1911 to 1913.
G. V. Sigler, M. D.—1913-1913.
R. F. Wafer, M. D.—1913Stewards:
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.
CJiaplains :
Rev; W. G. Puddefoot. 1886 to 1888.
Rev. D. VanAlstin, 1888 to 1890.
Rev. D. Cochlin, 1890
.
REPORT OF THE BOARD OF TRUSTEES.
To the Governor and Legislature of the State of Michigan:
The Trustees of the Traverse City State Hospital have the honor to
submit their report for the biennial period ending June 30, 1914, together with the reports of the Medical Superintendent, Treasurer and
Steward.
The period has been an interesting one, not only because of discoveries in the treatment of certain conditions, but of increased efficiency in the general management of the hospital. The general application of the Wasserman method,—a positive means of clinical diagnosis
of luetic diseases,—and of recently discovered means for the curative
treatment of these disorders, mark, perhaps, the most important advance in the field of neurological medicine. Helpful advance has been
made in the diagnosis of dementia praecox by the use of the FauserAbderhalden defensive ferment test, and in its treatment by the nucleinate of sodium,—the so-called Lundvall treatment. The Abderhalden
test opens a wide field, and will become a part of the clinical routine in.
the investigation of cases. In the Medical Superintendent's report
brief mention is made regarding the treatment of luetic diseases and of
dementia praecox by recent methods.
Although the cost of living continued high, yet the maintenance rate
was not increased. Notwithstanding that the hospital had to pay its
pro rata (f5,193.93) to the State for insurance on its property, etc., in
accordance with the provisions of Act 388, Laws of 1913, yet the actual
cost of maintenance was within 50 cents per patient per day. The
1914-15 rate has been fixed at 50 cents per patient per day, including
fire insurance and workingmen's liability insurance, as provided by law.
We would respectfully suggest to your Honorable Body that the cost of
fire insurance for State institutions and for workingmen's compensation
under the Liability Law, should be charged against the general fund of
the State and not assessed pro rata among the institutions of the State.
This method would be more business like, more direct, and would afford
a saving in overhead charges.
Every effort has been made to increase the efficiency of the hospital in
all its departments. The orchards, dairy, farm and gardens have grown
greatly in usefulness, and a handsome profit has been derived from
them. The fruits grown supplied the hospital with all its fresh fruits
and with much of its preserved fruits. Their value amounts to a considerable sum. The health value of fruits grown to maturity, and consumed in fresh state, is greater than that of fruits imported from a distance. Imported fruits are usually gathered green, and ripen under
artificial conditions, and are not as healthful as fruits matured at home.
In their possibilities these departments are only at the threshold.
8
STATE OF MICHIGAN.
The "Board of Stewards" has made many joint purchases for the institutions of the State. This plan has thus far worked well, and will
continue to work well so long as quality of supplies is regarded of first
importance. Inferior or "old stock" provisions may cost less, but their
use is ever at the expense of the health of the hospital. A few more
cases of illness in the hospital, traceable to inferior foods, would cost
vastly more than the difference between inferior and first class supplies
would amount to. Expert inspection of foods and the proper cooking of
foods are of great importance to the health of the household.
The cooking is supervised by the dietitian, and foods are prepared not
only more scientifically, but in a more attractive and palatable manner.
Quite recently the patients have been arranged in groups, and foods
prepared and served according to the needs of each group. The first
group includes all those who are physically able to eat in dining rooms
and without special supervision. The second group includes those who
were formerly fed from trays because of untidiness or violence; and
the third group includes those confined to bed. The second group cases
require very special supervision, not only in reference to the kind of
foods they eat, but to have them eat in a proper manner. Eggs, soups,
-cereals, vegetables and fruits enter largely into the dietary of this group.
The menus are varied from day to day and their nutritive value carefully estimated, so that there is a just balance maintained in the proteid, carbohydrate and fat contents. For the third group the dietary is
prescribed by the physicians to meet the needs of each case. Women
patients are instructed by the dietitian in the preparation and service
of foods, and assist in many ways in the preparation and preservation
•of fruits, etc. This is one of the most useful diversional occupations
for women patients. So far this period, women patients have largely
assisted in the preparation of fruits for canning, in cake and special
bread making, etc. Instruction in bread, cake and pastry making will
be extended as fast as suitable room for the purpose can be provided.
DIETETICS.
Each year for several years an analysis of food used in certain portions of the hospital for a given length of time has been made, and the
following tables will show the result of these analyses for several of the
cottages. They are informative of the approximate calorie value of the
food materials furnished,—whether too much or too little proteid, carbohydrate, or fat, etc., etc. These analyses furnish a base on which food
requisitions are made, and in the treatment of many patients are of as
much value as is the determination of calorie content of foods used in
the typhoid, diabetic or nephritic patient. If, for example, the analysis
shows too much fat or too much proteid or too much carbohydrate, it is
comparatively easy to correct any deficiency or excess that may exist in
these elements. The dietetic treatment of mental cases is of just as
much value as it is in general diseases. The body metabolism is impaired in the majority of cases, and the patients are, by reason of their
mental state, unable to cooperate with the physicians in properly eating.
We know in many cases without the utmost care in this direction patients go on to fatal exhaustion. Body metabolism is an extremely
^complicated matter in both health and disease. The value of dietetic
TRAVERSE CITY STATE HOSPITAL.
treatment of the insane can hardly be over-estimated. In conclusion we
may say that in arranging dietaries, the first consideration has been to
give the patients a diet suited to their health needs and at the lowest
possible cost.
The following analyses were made by Miss N. B. Clark, dietitian of
the hospital.
FOOD NUTRIENTS USED IN THE TRAVERSE CITY STATE HOSPITAL.
COTTAGE 21. DAYS' BOARD 1708.
Protein
2654.4 gms.
• per patient
per month
Fat
3004.4 gms.
'Carbohydrate
12796 gms.
94.8 gms.
per patient
per day
107.3 gms.
per patient
per day
453 . 4 gms.
per patient
per day
Total
110 gms.
Woman at moderate
work. —Atwater
379 . 2 calories
95 gms.
966
calories
450 gms.
1813.9 calories
3000-3500 calories
3158.1 calories
per day
COTTAGE 25. DAYS' BOARD 1708.
Protein
2500.4 gms.
Fat
2570.4 gms.
'Carbohydrate
12213. 6 gms.
89.3 gms.
per patient
per day
91.8 gms.
per patient
per day
436.2 gms.
per patient
per day
Total
110 gms.
Woman at moderate
work. —Atwai er
357 . 1 calories
95 gms.
826.6 calories
450 gms.
1746
calories
3000-3500 calories
3029 7 calories
per day
COTTAGE 27. DAYS' BOARD 1932.
Protein
3214. 4 gms.
Fat
3780 gms.
Carbohydrate
10584 gms.
Total
114.8 gms.
per patient
per day
135 gms.
per patient
per day
378 gms.
per patient
per day
110 gms.
Woman at moderate
work. —Atwater
459 . 5 calories
95 gms.
1214.3 calories
450 gms.
1512 .5 calories
3000-3500 calories
3186 3 calories
10
STATE OP MICHIGAN.
COTTAGE 32. DAYS' BOARD 1204.
Protein
Fat
3365. 6 gm.
per patient
per month
5152 gm.
Carbohydrate
11732 gm.
120.2 gm.
per patient
per month
184 gm.
41S.2 gm.
Tola!.. .
Men.
120-125 gm.
per patient
per day
1.50 gm.
500 gm.
3500-4000
4808
calories
1657
1677
caloiies
calories
3814 8 calories
per day
COTTAGE 34. DAYS' BOARD 2072.
Protein
4732 gm.
per patient
per month
Fat
10220 gm.
Carbohydrate
14840 gm.
169 gm.
per patient
per day
365.7 gm.
530.5 gm.
Total
Men.
120-125 gm.
per patient
per day
150 gm.
500 gm.
3500-4000
676 calories
1463 calories
2122 calories
per day
COTTAGE 36. DAYS' BOARD 2024,
Protein
2240 gm.
per patient
per month
Fat
2744 gm.
80 gm.
per patient
per day
298.57 gm.
Carbohydrate
Total
6608 gm.
236 gm.
Men.
100-110 gm.
per patient
per day
150 gm.
400 gm.
320 calories
887 calories
947 calories
per day
COTTAGE 30. DAYS' BOARD 2268.
Protein
2924 gm.
per patient
per month ,
Fat
3682 gm.
11578 gm.
Carbohydrate
Total
108 gm.
per patient
per day
131.5 gm.
413. 5 gm.
Men.
100 gm.
Standard for light
exercise
100 gm.
360 gm.
432 calories
1186 calories
1653 calories
3271 calories
per day
COTTAGE 31. DAYS' BOARD 896.
Protein
3791.2 gm.
per patient
per month
Fat
3262 gm.
Carbohydrate
Total
8680 gm.
135. 4 gm.
per patient
per day
116.5 gm.
per patient
per day
310 gm.
Women .
100 gm.
Standard for light
exercise
531.3 calories
100 gm.
104S.3 calories
360 gm.
1240.3 calories
2S19.9 calories
per day
TRAVERSE CITY STATE HOSPITAL.
11
COTTAGE 24 AND 26. DAYS' BOARD 3276.
Protein
4182. 5 gm.
per patient
per month
146.5 gm.
per patient
per day
125 to 150 gm.
Man at hard work
per patient per day.
—Atwater
Fat
3530 gm.
12922 gm.
126.1 gm.
461.5 gm.
150 gm.
500 gm.
4000-4500 c.
Carbohydrate
Total
.
586.2 calories
1135 calories
1846 calories
3567.2 calories
per day
COTTAGE 28. DAYS' BOARD 1680.
Protein
5644.8 gm.
per patient
per month
Fat
5546.8 gm.
16066.4 gm.
Carbohydrate
201.6 gm.
per patient
per day
198.1 gm.
573.8 gm.
Total
150 gm. Ma,n at
hard work per patient
per day. — Atwater
150 gm.
500 gm.
4000-4500
806.6 calories
1793.2 calories
2294.4 calories
4894 2 calories
per day
COTTAGE 29. DAYS' BOARD 2212.
Protein
Fat
Carbohydrate
4107.6 gm.
per patient
per month
3203.2 gm.
10052 gm.
146.7 gm.
per patient
per day
114.4 gm.
100-110 gm.
Woman at light
work. —Atwater
95 gm.
359 gm.
450 gm.
Total
586 . 9 calories
1050.2 calories
1536.3 calories
3173 4 calories
per day
Added experience confirms the great value of dietetics in nervous and
physical condition of ill health. It opens tip a field for better foods,
better cooking and for the education and employment, especially of
women patients.
DOMESTIC ARTS AXD SCIENCES.
A department of domestic science and arts was established during the
period, not only to increase the efficiency of the working force, but to introduce as fast as practical, the so-called diversional occupations. All of
the dress-making, repair of clothing, etc., falls in this department. An
effort is made to employ, not so much the willing worker, as the depressed, the indifferent, inhibited praecox cases; all those, in fact, who
require urging if they accomplish any useful thing. It is believed that
every patient who is bodily able, will, under proper supervision, perform
some useful work, and in praecox cases, particularly, the march to
dementia arrested, or even the mental condition of the patient improved.
The work of patients is frequently interrupted by luncheons, music, and
games, and diversified by the teaching of fancy work. This field should
be extended, so that every woman patient will be able to add, by her own
industry, to her own well being and to that of others. The room devoted
to this department, in the basement, is not only too small, but in every
way inadequate for the purpose. As will later appear, we shall ask your
12
STATE OF MICHIGAN.
Honorable Body for an appropriation to construct a suitable building
in which to carry on this important work.
OCCUPATION FOR MEN.
To provide occupations for men is not difficult, as the work of the
farm, gardens and grounds are especially suited for all classes of patients. Many men patients work with absorbing interest under the
direction of the orchardist, of the horticulturist, of the herdsman, etc.,
from which they gain not only health and strength, but knowledge
which they can apply in the conduct of their affairs at home. About
one-half of the men are usefully employed every day. Epileptics, imbeciles, seniles, tuberculous and organic patients, are able to do little,
if any, work. With trained nurses and vocational instructors, nearly
every patient save these can be enlisted in work, to their benefit.
TRAINING SCHOOL FOR NURSES.
The training school has been conducted with care, to fit the pupil for
the highest usefulness in mental nursing. Mental nursing is widening
on many lines,—the education of patients, vocational instruction, diversional occupations, various forms of amusements,—all require the highest intelligence and scientific training for their successful attainment.
Because of these demands, more men and women are seeking this special
form of training,—even graduates of general hospital schools are seeking entrance into our school, hoping to gain wider knowledge and to
make a life work of the care of the insane. During the period just
closed there were twenty-eight graduates from the training school.
Many of these nurses, as during former years, severed their connection
with the hospital soon after graduation to enter the training schools
and hospitals of the large cities. As just mentioned, however, graduates of metropolitan schools are seeking post work in our mental
schools, and in this way our service may gain in trained nurses what it
loses.
CLINICAL AND RESEARCH WORK.
This work has been under the general direction of Dr. J. A. Hall.
The following is a brief report of the examinations and other work done.
The Wasserman work has been done in collaboration with the Psychopathic Hospital at Ann Arbor, and it is interesting to note that of the
luetic cases treated, two were discharged cured. These patients were
apparently in normal mental health, and the blood and spinal fluid no
longer gave the Wasserman reaction. It is also interesting to note that
of the total number of cases tested, 15.2% of the men and 7% of the
women gave positive Wasserman reactions. This demonstrates how
vast a place specific disease takes in the etiology of mental disease.
CARS OVER COAL BUNKERS, END OF SIDE TRACK
TRAVERSE CITY STATE HOSPITAL.
13
LABORATORY.
Examinations:
Urine
Blood
Bacterial culture
Sputum
Pleural
fluid
Stomach contents
Faeces
Spinal
fluid
Blood pressures
Widal reactions
Diazo reactions
Necropsies
Lumbar punctures
Wasserman work:
Total bloods sent
Bloods sent Sept. 1, 1913 to July
1, 1914
Positive reaction
% Positive reaction
Treated (Salvarsan)
Cured
Improved
Not improved
Pieces of apparatus added to laboratory
5S6
C3
64
26
2
4
1
37
74
4
17
8
55
299
257
31
12
7
2
4
1
2
Males' 158
Males 24
Males 15.2
Males
7
Females 99
Females 7
Females 7
Females 0
Sterilizer and Water bath.
In addition to the Wasserman work the study of alcohol as an etiologic factor in insanity was carried on. Also the heredity of each
and every patient admitted during the last year was carefully studied,
in collaboration with the Michigan Eugenics Commission.
EPIDEMIC DISEASES.
During the months of September, October and November, 1913, there
was a small outbreak of typhoid fever in the hospital. As soon as the
diagnosis of typhoid was established, suitable rooms for the care and
nursing of the patients were prepared, which were sufficiently isolated
to prevent the spread of the disease. The most interesting question to
consider was its source. How did the germs find their way into the
hospital? Samples of the water used for domestic purposes, and
samples of the milk used in the hospital, were immediately sent to the
State Board of Health. Examination proved these specimens negative.
The State Board of Health was requested to send a representative to
investigate the disease and locate its source, if possible. The Board
very kindly sent Dr. C. C. Slemons, Health Officer of Grand Eapids, to
make the necessary investigations. In view of the negative report on
water and milk, and of the localization of the cases in the hospital, Dr.
Slemons first investigated if a carrier had been admitted. He also
inquired into the nursing of the patients previous to their sickness.
It was found that one nurse had cared for all of them, and that this
14
STATE OF MICHIGAN.
nurse never had had typhoid or been in contact with the disease. Bacteriological examinations showed that she was free from typhoid germs,
—that she was not a carrier. It was thought that there might be a
patient who was a carrier and who might have distributed the germs to
the patients attacked. One patient who had been bed-ridden for gome
months from chronic intestinal trouble was strongly suspected. All
tests of this patient proved negative. The Widal test was made of all
patients admitted to the wards where patients were ill during a period
three weeks previous to September 8th. All examinations proved negative. We may say that every effort made to trace the source of the
disease was without avail. It still remains a mystery.
Within a few days 10 patients were attacked. All recovered but one.
This patient, who was an epileptic, had a very severe convulsion in the
midst of her sickness, and if it was not directly the cause of her death,
it probably hastened it. Prophylactic vaccination with typhoid bactuins of all patients was authorized. About 1,500 of these vaccinations
were made, two for each person. The "first dose was of 5 million bacterins, and the second of 1,000 million bacteria. No serious illness or
reaction followed these vaccinations. Whether without them the disease would have limited itself to the 10 cases cannot be said. At any
rate, no further cases occurred.
. Diphtheria made its appearance in the hospital just previous to the
beginning of the period. The disease was controlled by the use of
antitoxins.
VIOLENT DEATHS.
One homicide occurred. C. B. died of strangulation produced by a
fellow patient. There were no suicides. One patient, an epileptic,
suffocated in his pillow during a convulsion.
TRANSFER OF PATIENTS.
Three patients were transferred to the Ionia State Hospital; one
was deported to Europe; one was transferred to the Kalamazoo State
Hospital; and one was returned to Illinois.
The hospital has been able to care for all patients within its district,
and many from the dewberry and Pontiac State Hospital Districts.
INCREASE OF PATIENTS.
The net gain in patients during the period was, men, 79, women, 40,
total, 119. If the patients received from outside the hospital district,
94 men and 53 women, total 147,—are deducted from the total admissions, the net loss in the district during the period was 29. The average
increase of patients for the last twenty-eight years has been 21.7 per
year.
Of the 700 patients admitted:
23 had been confined in county houses.
124 had been confined in jails.
109 had been treated in other asylums.
22 were said to have been destructive.
34 had attempted or threatened suicide.
F
APPROACH OF SIDE TRACK TO HOSPITAL
TRAVERSE CITY STATE HOSPITAL.
15
59 were homicidal or had threatened homicidal assaults.
6 had been confined or restrained at home.
The number of patients confined in county houses, jails and other
asylums exceeded the last biennial period by 82, the number of suicidal
cases was greater by 3, and the number of homicidal cases was greater
by 8. Since June 30, 1892, these statistics have been regularly kept,
and show out of a total of 5,040 admissions:
206
630
421
509
390
590
403
(4%) were confined in county houses.
(12%) had been confined in jails.
(8.3%) had been treated in other asylums.
(10%) were destructive.
(7%) were suicidal.
(11%%) were homicidal.
(8%) required some sort of restraint at home.
COST OF MAINTENANCE.
The daily cost of maintenance per patient for the last 28 years has
been as follows:
Cents.
1880
53
. 188T
52
1888
51
1889
50
1890
49
1891
49
1892
48
1893
48
1894
48
1895
47
1896
46
1897
44
1898
42
1899
44
1900
44
1901
44
1902
44
1903 (The above exclusive of officers' salaries).... 44
1904 (Inclusive of officers' salaries)
48
1905
'•
•'
"
49
1906
"
"
"
"
48
1907
"
"
"
«
47
1908
"
"
'•
"
48
1909
"
"
"
'•
50
1910
"
"
"- :
«
50
1911
•'
"
'•
. «
50
1912
"
"
«
«
49
1913
"
"
"
'•
50
1914
"
"
'•'
"
(Including pro
rata of State insurance fund $5,193.93)
51
16
STATE OF MICHIGAN.
DISCHARGE OP PATIENTS,, READMISSIONS,, ETC.
There were 581 patients discharged during the period,—337 men and
244 women. Of this number 83 were discharged recovered, 150 improved,
49 unimproved and 299 died. The percentage of recoveries on the whole
number under treatment was 4%; on the number admitted 11.8%. The
death rate was 88 per thousand, 1912-13, and 80 per thousand, 1913-14.
The readmissions for the period, were, men, 55; women, 52; total, 107.
The readmissions from the beginning have been, men, 369; women, 356;
total, 725. The total number of admissions, 6,530, represents 5,805
individuals.
The daily average of patients for the period was 1,492. The number
of weeks spent in the institution by patients was 155,599 1/71. This was
an increase of 101 in daily average, and an increase of 10,196 2/7 weeks'
board over the preceding period.
On June 30, 1914, there were 1,486 patients under treatment at State
expense, and 31 at private expense.
There were 271 persons employed at the hospital on June 30, 1914, in
the positions and at the wages given in the schedule accompanying this
report.
ORDINARY REPAIRS AND IMPROVEMENTS.
During the year ending June 30, 1913, the cost of repairs was $18,329.53, and for the year ending June 30, 1914, $17,435.33. A number of
minor repairs and improvements were made during the period. Among
the more important was the purchase of a flag staff, construction of a
small garage for Steward's use, purchase of new hose and increased
fire protection, electric lighting of main avenue, replacing floors and
general repairs in Administration Building, replacing of stalls and
mangers in cow stables, repairs to Steward's residence, and replacing of
floors and closets in laboratory, fitting up room in basement for domestic science department, repairs and enlargement of gardener's cottage,
spraying utensils for orchards and gardens, and other little repairs too
numerous to mention. Beds and bedding, chairs and other furniture
were required to meet the increase of patients in the hospital.
SPECIAL APPROPRIATION, $38,137.80.
This appropriation was granted by the last Legislature for the construction of a side track from the Peve Marquette main line to the institution. The right of way was purchased by the State at a cost of $22,738.46, and the cost of construction to June 30th, 1914, was $9,580.86.
There still remained in the hands of the treasurer to the credit of this
fund at the close of June 30th, 1914, $5,818.48. The road is nearly completed and well within the appropriation. There will be a large number
of city lots crossed by the track, for sale. Their total market value is
not less than $10,000" Your Honorable Body is respectfully requested
to pass an act enabling the hospital to sell these lots, and to return the
money accruing from such sales either to the State treasury or to the
institution. This road is the most important improvement made at the
institution in years. At this writing, (Sept. 13, 1914), freight is being
delivered at the hospital.
TRAVERSE CITY STATE HOSPITAL.
17
SPECIAL APPROPRIATION, $1500.
This appropriation was provided by the last Legislature for the purchase of track scales. It has not been drawn, and it is not yet fully
determined whether it will be necessary to use it.
SPECIAL APPROPRIATION, $6000.
This appropriation was authorized by the last Legislature for the
completion of the heating plant in the "main building. The contract for
this work was awarded to the Thomas Heating Company of Eacine, Wisconsin, in the sum of $5,535.00. This work was completed within the
amount appropriated, and in a most satisfactory manner. There remained in the hands of the treasurer to the credit of this fund on June
30th, 1914, $160.44.
SPECIAL APPROPRIATION, $2500.
This appropriation was granted by the last Legislature for a shed for
storage of wagons and implements. Work has been commenced on this
building, but it will not be finished till September of this year. There
remained in the hands of the treasurer to the credit of this fund, at the
close of the biennial period, $2,370.70.
SPECIAL APPROPRIATION, $2500.
This appropriation was granted by the last Legislature for repairs to
roofs and gutters of the hospital. A part of the work has been completed. There remained in the hands of the treasurer to the credit of
this fund, on June 30, 1914, $1,741.43.
SPECIAL APPROPRIATION, $500.
This appropriation was granted by the Legislature for sinking an
artesian well. This work is about completed. An excellent flow of
water has been obtained which- will be of the greatest service to the
hospital. There remained in the hands of the treasurer at the close of
the biennial period to the credit of this fund, $53.70.
SPECIAL APPROPRIATION, $6400.
This appropriation was granted by the last Legislature for roofing
cottages 24, 25, 26 and 28. The work of re-roofing these buildings was
done on contract, and in a highly satisfactory manner. The roofs are
of the best Peach Bottom Pennsylvania slate. The work was finished in
November, 1913. There remained in the hands of the treasurer to the
credit of this fund on June 30, 1914, $494.53.
SPECIAL APPROPRIATION, $2000.
This appropriation was made for laundry extension and for laundry
dry room. No part of this money was used during the period, but a contract has been made for a drying machine, and further additions will
be made to the laundry as fast as possible.
SPECIAL APPROPRIATION, $600.
This appropriation was granted by the last Legislature for the construction of a porch at Cottage 32 for tuberculous patients. This porch
3
18
STATE OF MICHIGAN.
was partially completed and at the close of business on June 30th, 1914;
$329.25 remained to its credit in the hands of the treasurer. The porch
will be finished within a few weeks.
SPECIAL APPROPRIATION, $10,000.
This appropriation was granted by the last Legislature for a dining
room for cottages for men. An architect was employed, and it was
found that a building of necessary size to meet the present needs of the
hospital, to say nothing of future needs, was entirely inadequate, and
therefore the appropriation has not been drawn. This is a very much
needed improvement, and we respectfully request your Honorable Body
for an additional appropriation of $14,125.40, to build a dining room
for 500 men patients.
SPECIAL APPROPRIATION, $1,000.
This appropriation was granted by the last Legislature to reimburse
the hospital for culvert built in the rear of the hospital to divert storm
water or flood water around the institution to the north. This money
has been placed to the credit of the hospital to replace money expended
in the purchase of material used in the construction of the culvert.
NEEDS OF THE HOSPITAL.
The hospital is very greatly in need of a building for a chapel and
amusement hall, of additional farm lands, and of a home for women
nurses. We would respectfully call your attention to these needs without requesting appropriations for them. The following requests for appropriations are to meet the absolute needs of the hospital. The hospital is growing in numbers, and conditions of care and treatment are
changing, all of which necessitates improvements.
CARPENTER AND PAINT SHOP.
Your Honorable Body is respectfully requested to appropriate the
sum of $8,452.00 for the construction of a building to be used as a carpenter and paint shop. The present room occupied as a carpenter shop
is entirely inadequate for the purpose. We cannot too strongly urge in
the interests of economy, and safety from fire, the granting of this appropriation. As reported to previous Legislatures, the present blacksmith shop and carpenter shop can be converted into a blacksmith shop
and store room for engineering materials.
GENERAL DINING-ROOM FOR COTTAGES FOR
MEN.
An appropriation of $10,000 was passed by the last Legislature for
the construction of a central dining-room for men. Subsequently the
preparing of plans for the building was placed in the hands of Mr. Wm.
T. Cooper, of Saginaw, Mich. After his plans were drawn and estimates
made, it was found that a dining room such as would meet the needs of
the hospital, would cost $24,125.40. This would necessitate an additional
appropriation of $14,125.40 to complete the building. If this diningroom is authorized, the old dining-rooms and kitchens, store rooms, etc.,
PROTECTIVE CANAL
COTTAGES FOR MEN
TRAVERSE CITY STATE HOSPITAL.
19
in connection with each cottage, can be converted into dormitories, and
additional room made for 140 men patients. If new accommodations
were built for this number of patients, the cost would be about $70,000.00. It may be seen from a purely economic standpoint, that the
construction of the new dining room would be greatly to the advantage
of the State. This dining room, if authorized, would also enable the
institution to abandon the old central kitchen and change it into a
special department for cold storage and domestic science work. The
domestic science work includes the instruction of patients in cooking,
also in the preparation of fruits and vegetables for canning, bread and
cake making, pastry making, etc. Further, the dining room, if authorized, would concentrate the work that is now carried on in a number of
dining rooms, and at less cost for labor, skilled cooks and oversight, etc.
HEATING AND VENTILATING SYSTEMS FOR COTTAGES 24 AND 26.
Your Honorable Body is respectfully requested to grant an appropriaation of f 12,000 for the installation of a new heating and ventilating
system in these buildings. The cost of this work is estimated on bids
that were made for its installation by the Thomas Heating Co., of Racine,
Wis., two years ago.
ADDITIONS TO DINING ROOMS
NORTH AND SOUTH.
Your Honorable Body is respectfully requested to grant an appropriation of $2,394.75, for an addition to the south dining room, and the
same amount for an addition to the north dining room of the main
building. These dining rooms were built from the appropriations made
for the extensions to the north and south wings, and were only intended to provide dining room space for two wards on each floor of the
main building. After they came into operation they were found so useful that all the patients of the wing were crowded in them. The object
of these additions is to make sufficient serving room space for them.
This will require a room about 15x25 feet, and the construction of a new
elevator shaft for each. This is a much needed improvement. We doubt
if there is any more desirable system for the serving of food to a large
hospital population that the one to be found here.
INDUSTRIAL BUILDING.
During the past few years industrial and diversional occupations
have become a very important part in the treatment of patients as well
as in the economy of the hospital. We have been obliged to use for this
department basement rooms. They are much too small and are not as
sanitary as they should be to accommodate large numbers of patients.
The domestic science work is so very important that we feel it imperative to request of your Honorable Body an appropriation of $9,000 to
build a small building in which this work may be properly conducted.
DAIRY BARN.
Your Honorable Body is respectfully requested to grant an appropriation of $5,000 for the construction of a dairy barn. The present barns
are fully occupied. The dairy must be increased if it is to produce all of
20
STATE OF MICHIGAN.
the milk used by the hospital. The number of patients has increased
quite rapidly, and the hospital has been buying milk for some time. We
would strongly recommend this appropriation as an economic proposition.
FENCING.
Your Honorable Body is respectfully requested to grant an appropriation of f 1,500 to construct 1,320 feet of iron fence in front of the hospital grounds. The present fence is built of wood. It has been in use 28
years, and is practically decayed. It must be replaced. The cost of an
iron fence would be only slightly greater than that of a wooden one,
and would be very much more durable.
LAUNDRY MACHINERY.
Your Honorable Body is requested to grant an appropriation of
$2,500 for the purchase of five washing machines and for the installation
of the same. The machines we now have have been steadily in use since
1895. They have been repaired and re-built until they can no longer be
made serviceable. They will have to be replaced.
GRATE FOR BOILER NO. 3.
Your Honorable Body is respectfully requested to make an appropriation of $2,500 for the re-setting of Boiler No. 3, and the installation of
an automatic chain grate under same. The present grate is worn out.
Chain grates are in use under the other boilers, are economic and highly
efficient as stokers.
ADDITION TO COLD STORAGE PLANT.
In case your Honorable Body grants the appropriation for a new
dining room for male patients, we would respectfully request an appropriation of $5,500 to re-fit part of the rooms in the old central kitchen
into cold storage rooms. Our cold storage plant is too small. There is
not a proper room at present in which the hospital can store fresh fruits
and vegetables or canned goods which are put up from its gardens and
orchards. At the present writing there are about 10,000 quarts of
canned fruits which have been put up from the farm, and which are
stored in the basement. Additional cold storage is an imperative necessity for the hospital.
FIRE PROTECTION FOR FARM BARNS.
Your Honorable Body is respectfully requested to grant an appropriation of |8,000.00 for the purchase and installation of fire protection for
the farm barns. The farm buildings and the stock have a value of not
less than $75,000, and are practically without fire protection. The
Board especially recommends this appropriation for the installation of
an automatic fire sprinkling apparatus, and for the construction of a
reservoir and purchase of necessary pumps, etc.
TRAVERSE PRINCESS WEG No. 106215. Age 5 years, 4 months, 9 days
TRAVERSE CITY STATE HOSPITAL.
21
RECAPITULATION OF APPROPRIATIONS REQUESTED.
Carpenter and Paint Shop
General Dining Eoom for Cottages for Men
Heating and Ventilating Systems for Cottages 24 and 26.
Additions to Dining Booms, north and south
Industrial Building
Dairy Barn
Fencing
Laundry Machinery
Grate for Boiler No. 3
Addition to Cold Storage Plant
Fire Protection for Farm Barns
|8,452
14,125
12,000
4,789
9,000
5,000
1,500
2,500
2,500
8,000
8,000
00
40
00
50
00
00
00
00
00
00
00
FARM, GARDEN, STOCK AND GROUNDS.
The following report shows the quantity of farm and garden produce
raised during the last two years, and also the value of stock sold.
FARM REPORT
FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1914.
Apples, bushels
4.243J
Onions, dozen
Asparagus, pounds
2,775
Onions, bushels
Beets, sugar, bushels
679
Potatoes, bushels
Beets, bushels
1,289
Peppers, bushels
Beans, string, bushels
552
Pork, pounds
6,567
Parsnips, bushels
Beef, pounds
Currants, quarts
6,268
Pumpkins, food, t o n s . . . .
Cherries, quarts
10,140
Pumpkins, stock, tons....
Cucumbers, dozen
250
Pears, bushels
Cucumbers, bushels
707
Peas, bushels
Cabbage, heeds
25,705
Peaches, bushels
Carrots, bushels
10,629
Plums, bushels
Celeriac, bushels
2
Rye, bushels
Celery, head
27,850
Raspberries, quarts
Cauliflower, heads
415
Rhubarb, pounds
Chicken, pounds
927i
Rutabagas, bushels
Corn, green, bushels
1,153
Radishes, dozen
Ducks, pounds
65 J
Silage, tons
Egg plant, bushels
5
Strawberries, quarts
Grapes, bushels
475}
Straw, tons
Greens, pounds
166
Spinach, pounds
Hay, tons
215
Salsify, bushels
Liver, heart and tongue, pounds.
22
Sage, bunches
Lettuce, pounds
12,925
Squash, tons
Kohlrabi, bushels
1
Sweet potatoes, bushels. .
Milk, pounds
,203,306
Tomatoes, pounds
Mangel, bushels
3,502
Tomatoes, bushels
Melons, water, pounds
5,295
Tomatoes, green, bushels.
Melons, musk, pounds
8,295
Turnips, bushels
Oats, bushels
2,854
Turkeys, pounds
Tallow, pounds
9,950
5506,940
18
26,957
4,679
II
5
199
198J
393 i
174
2,170
7,270
1,002
9,653
930
5,727
53
2,600
147
550
19
8
130
1,038
94
980
268
80
22
STATE OP MICHIGAN.
CASH RECEIPTS FROM FARM
FOR THE BIENNIAL PERIOD ENDING JUNE 30,
Cattle sold
Premiums on cattle:
Dairy show
Holstein-Friesian Association (cows)
Pigs sold
Hides sold
Gravel sold
.
Keep of bull sold
Hog Serum sold
Carrots sold
Eefunded freight charges
Refunded wagon repairs charges
Rent of house on right-of-way
1914.
$7,725 30
191 00
115 50
5 00
173 89
1 30
25 00
3 45
3 00
7 97
4 70
4 00
|8,260 11
The general management of the farm is under the direction of Mr.
G. B. Pike, the Steward, and under him, Mr. Kelley has the management
of the general farming operations, Mr. Tobler of the horticultural department, gardens and grounds, Mr. Pennell of the orchards, and Mr.
Hatch of the dairy and dairy barns. A goodly amount of food supplies
has been raised on the farm. The above report shows that $7,725.30
worth of cattle were sold during the period. The value of milk produced exceeded $35,000.00. The orchards have come into bearing
rapidly, and practically produce all of the fruits used by the hospital
population. We mention as a matter of pride that during the period
the hospital received a silver medal from the exhibition of the International Apple Shippers' Association at Cleveland for the best individual display of fruits; gained 11 prizes for its cattle from the Chicago
cattle show in 1913; and also a blue ribbon from the Boston exhibition
of the International Apple Shippers' Association, 1914.
As previously mentioned in this report, the farm, orchards, etc., form
a vast workshop for men patients, and with their growth, still larger
numbers of patients will find employment in connection with them.
During the last season a large number of men patients were engaged in
gathering the fruit, and quite a number of women patients assisted in
the preparation and canning of fruits.
We regret to report that during the period a thorough test of the
herd for tuberculosis showed that about 20 head of the cattle were infected. These cattle were turned over to the State Live Stock Commission, and through them were slaughtered under the supervision of the
United States Sanitary Inspectors of Detroit. This was a great loss to
the dairy. Every effort is made to prevent the invasion of the disease
among the cattle, and tuberculin tests are made once or twice a year of
the entire herd.
During the last season two sections of the dairy barns have been refitted with modern sanitary stalls. This includes a complete outfit for
caring for calves. The stalls are of iron and concrete, the floors are of
TWIN HEIFER CALVES AT FOUR MONTHS OF AGE
Their dam's A. R. 0. record at 2 years and 9 days old was 20.45 Ibs. of butter from 328.8 Ibs. of milk in 7 days.
TRAVERSE CITY STATE HOSPITAL,.
23
concrete covered with cork brick where the cattle stand. These stables
are perfect in their appointments and sanitation.
There were several voluntary admissions during the period, and we
believe if the law providing for such admissions were more generally
known, that a large number of patients would take advantage of it. We
believe that the hospital should be open to the treatment of all forms
of nervous and mental diseases, and we would especially urge the Legislature to consider the feasibility of establishing a general hospital department in connection with the hospital, where patients suffering from
any form of disease, or in need of care and treatment, would find a suitable place. It seems a pity that the hospital, with its magnificent equipment, should be restricted to the care and treatment of one class of our
afflicted citizens.
RECEIPTS AND DISBURSEMENTS.
The total receipts of the hospital for the fiscal year ending June 30,
1913, including cash on hand and credits on special appropriations
accounts, were f311,954.68; and the total disbursements for the same
period, including special appropriations, were $305,771.12.
The total receipts of the hospital for the fiscal year ending June 30,
1914, including cash on hand and credits on special appropriations
accounts, were $371,113.70; and the total disbursements for the same
period, including special appropriations, were $340,826.82.
There was at the close of the biennial period ending June 30, 1914,
$30,286.88 in the hands of the treasurer; $17,258.06 of which amount
was to the credit of the current expense account, and the balance of
$13,028.82, unexpended balance to the credit of special appropriations
accounts.
OFFICERS.
In 1913, Hon. Wm. Lloyd, of Manistee, Mich., was reappointed to
the Board. Mr. Lloyd had served as member of the Board since 1907,
and was at the time of his reappointment, and is at the present time,
President of the Board.
In 1913, Hon. C. D. Alway, of Traverse City, Mich., was appointed to
the Board. Mr. Alway is a lawyer by profession, and brings with him
much experience in his profession.
In July, 1913, Dr. R. F. Wafer was appointed assistant physician.
He came highly recommended.
Dr. S. C. Mies resigned July 1st, 1913. We regret to state that the
services of Dr. G. V. Sigler, who was appointed to the staff in February,
1913, were dispensed with in June, 1913.
We regret to report the death of Mr. T. T. Bates, who was a member
of the Board for many years. Mr. Bates became a member of the Board
of Building Commissioners of the hospital in 1885, and after the work
of the Building Commission was finished, he was continued as Trustee.
During all those years he was a faithful officer of the State. His general knowledge, together with his information concerning the hospital,
was a source of inspiration to those associated with him, and to the
officers of the hospital. Mr. Bates felt a deep interest in all that pertained to the institution. He was a true and loyal friend to all those
in trouble; he always favored every movement that looked to the better-
24
STATE OF MICHIGAN.
ment of the hospital in every direction. By his death the State and the
institution lost a valued servant.
In closing this report, we can only say that we believe that each and
every Trustee, and each and every officer and employee of the institution, has appreciated the necessity for giving his best to the institution.
We are conscious that steady progress is being made in hospital management, and in the care and treatment of the insane, and we further
believe it is the duty of every employee of the State, from Trustee down,
to direct, as far as possible everything that pertains to the welfare and
improvement of patients.
W. LLOYD,
W. W. MITCHELL,
H. C. DAVIS,
M. F. QUAINTANCE,
E. S. WAGAK,
C. D. ALWAY.
Traverse City, Mich., June 30, 1914.
TRAVERSE CITY STATE HOSPITAL.
25
TREASURER'S REPORT.
ABSTRACTS
OF ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT THE .
TRAVERSE CITY STATE HOSPITAL FOR THE FISCAL YEAR ENDING JUNE
30, 1913.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending July SI, 1912.
CREDITS.
By balance on hand July 1st, 1912
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$5,098 85
46,204 57
974 17
$52,277 59
DEBITS.
Account of repairs and painting roofs
Account of current expenses
Balance on hand to new account
$56 25
29,896 16
22,325 18
$52,277 59
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending August 31, 1912.
CREDITS.
By balance on hand August 1st, 1912
Cash from State Treasurer:
Account current expenses
Cash from other sources
$22,325 18
23,102 17
343 15
$45,770 50
DEBITS.
Account of extensions to north wing
Account of completion of heating and ventilating
Account of repairs and painting roofs
Account of current expenses
Balance on hand to new account
$268
246
60
28,738
16,455
24
94
75
80
77
$45,770 50
THE STATE OF MICHIGAN, In account viith A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending September 30, 1912.
CREDITS.
By balance on hand September 1st, 1912
Cash from other sources
$16,455 77
497 51
$16,953 28
DEBITS.
Account of repairs and painting roofs
Account of current expenses
Balance on hand to new account
$52 87
15,650 79
1,249 62
$16,953 28
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending October 31, 1912.
CREDITS.
By balance on hand October 1st, 1912
Cash from State Treasurer:
Account of current expenses
Loan from Traverse City State Bank
Cash from other sources
By balance overdrawn to new account
$1,249 62
21,986
3,000
1,291
5,227
35
00
75
67
$32,755 39
THE NEW EQUIPMENT IN THE CALF BARN
26
STATE OF MICHIGAN.
DEBITS.
Account
Account
Account
Account
of extension to south wing
of extension to noith wing
of repairs and painting roofs
current expenses
$333 97
167 46
56 32
32,197 64
832,755 39
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Trailerse City Stale Hospital,
for the month ending November SO, 1912.
Cash from State Treasurer:
Account current expenses
Loan from Traverse City State Bank
Cash from other sources
CREDITS.
$21,986 35
4,000 00
404 00
$26,390 35
DEBITS.
Account balance overdrawn November 1st, 1912
Account current expenses
Balance on hand to new account
$5,227 67
20,612 43
550 25
$26,390 35
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending December 31, 191S.
CREDITS.
By balance on hand December 1st, 1912
Cash from State Treasurer:
Account current expenses
Loan from Traverse City State Bank
Cash from other sources
$550 25
21,986 34
10,000 00
614 74
S33.151 33
DEBITS.
Account of current expenses
Loan paid to Traverse City State Bank
Balance on hand to new account
$27,717 76
4,000 00
1,433 57
f
$33,151 33
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending January 31, 1913.
CREDITS.
Balance on hand January 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$1,433 57
32,539 72
1,746 51
$35,719 80
DEBITS.
Account current expenses
Balance on hand to new account
$32,341 42
3,378 38
$35,719 80
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending February 2&, 1913.
*
CHEDITS.
Balance on hand February 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$3,378 38
22,044 89
691 86
$26,115 13
DEBITS.
Account current expenses
Balance on hand to new account
$21,815 76
4,299 37
$26,115 13
TRAVERSE CITY STATE HOSPITAL.
27
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City Slate Hospita
for the month ending March 31, 1913.
Balance on hand March 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$4,299 37
22,106 83
634 67
DEBITS.
Account current expenses
Balance on hand to new account
820,153 78
6,887 09
I"HE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending April SO, 191S.
CKEDITS.
Balance on hand April 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$6,887 09
22,277 61
1,291 66
$30,436 36
DEBITS.
Account current expenses
Balance on hand to new account
$26,170 59
4,285 77
$30,456 36
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending May 31, 191S.
CREDITS.
Balance on hand May 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$4,285 77
22,277 59
562 92
$27,126 28
DEBITS.
Account repairs and painting roofs
Account culvert
Account current expenses
Balance on hand to new account
$311 95
260 75
21,275 34
5,278 24
$27,126 28
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City Slate Hospital,
for the month ending June SO, 1913.
CREDITS.
Balance on hand June 1st, 1913
Cash from State Treasurer:
Account current expenses
Cash from other sources
$5,278 24
22,277 59
2,012 88
$29,568 71
DEBITS.
Account repairs and painting roofs
Account re-roofing cottages
Account culvert
Account current expenses
Balance on hand to new account
....
$770 72
13 30
11125
22,489 88
6,183 56
$29,568 71
28
STATE OF MICHIGAN.
SUMMARY.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the fiscal year ending June SO, 191S.
Balance on hand July 1st, 1912
Cash from State Treasurer:
Account of current expenses
Cash from other sources
Loan from Traverse City State Bank
$5, 098 85
278,790 01
11,065 82
17,000 00
Account of repairs and painting roofs
Account of extension south wing
Account of extension north wing
Account of heating and ventilating
Account of loan Traverse City State Bank
Account of culvert
Account of re-roofing cottages
Account of current expenses
Balance on hand to new account
.-
SI,308 86
333 97
435 70
24G 94
4,000 00
372 00
13 30
299,060 35
6,183 56
$311,954 68
$311,954 68
ABSTRACTS
OF ACCOUNTS CURRENT OP THE RECEIPTS AND DISBURSEMENTS AT THE
TRAVERSE CITY STATE HOSPITAL FOR THE FISCAL YEAR ENDING JUNE 30, 1914.
THE STATE or MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending July S I , I B I S .
CREDITS.
Balance on hand July 1st, 1913
Cash from State Treasurer:
Account of current expenses
Account of culvert
Account of rooflng cottages Nos. 24, 25, 26 and 28
Account of side track
Account of extension to heating p] ant
Account of repairs roofs and gutters
Account of artesian wells
Cash from other sources
Account of repairs and painting roofs
Account of repairs on reservoir
Account of completion of cold storage
Account of current expenses
Balance on hand to new account
$6,183 56
24,845 40
1,000 00
6,400 00
22,050 00
6,000 00
2,500 00
500 00
1,207 52
•
$649
30
150
21,101
48,755
95
00
00
43
10
$70,686 48
$70,686 48
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending August 31, 191?
Balance on hand August 1st, 1913
Cash from State Treasurer:
Account of side track
Account of current expenses
Cash from other sources:
Account of side track
Account of current expenses
$48,755 10
-.
'16,087 80
24,739 40
300 00
499 87
$90,382 17
SHOWING CONCRETE MANGERS IN THE NEWLY EQUIPT COW BARN
TRAVERSE CITY STATE HOSPITAL.
Account of repairs on reservoir
Account of books and musical instruments
Account of roofing cottages Nos. 24, 25, 26, 28
Account of side track
Account of extension to heating plant
Account of repairs and painting roofs
Account of current expenses
Balance on hand to new account
',
29
$85
36
1,647
23,468
1,812
396
21,980
40,955
00
00
72
78
20
50
74
23
$90,382 17
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending September SO, 1913.
Balance on hand September 1st, 1914
Cash from State Treasurer:
Account of current expenses
Account of track scales
Cash from other sources
840,955 23
24,739 40
1,500 00
574 06
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 well
Account of roofing cottages Nos. 24, 25, 26, 28
Account of repairs and painting roofs
Account of current expense
Balance en hand to new account
$10
612
117
263
209
2,627
428
21,801
41,699
00
40
12
02
10
85
04
23
93
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending October S I , 1913.
Balance on hand October 1st, 1913
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$41,699 93
23,174 61
1,762 36
. Account of side track
Account of extension to heating plant
Account of repairs roofs and gutters
Account of artesian wells
Account of re-roofing cottages
Account of roofing cottages Nos. 24, 25, 26 and 28
Account of current expenses
Balance on hand to new account
$409 74
2,82599
282 25
100 00
192 17
667 55
28,244 86
33,914 34
:
$66,636 90
$66,636 90
THE STATE OF MICHIGAN, In account with A. J, Maynard, Treasurer of the Traverse City State Hospital,
for the month ending November 30, 1913.
CREDITS.
Balance on hand November 1st, 1913
Cash from State Treasurer:
Account of current expenses
Cash from other sources
Account of books and musical instruments
Account of side track
Account of extension to heating plant
Account of roofing cottages Nos. 24, 25, 26 and 28
Account of current expenses
Balance on hand to new account
$33.914 34
:.
23,174 60
970 32
$94
943
249
1,456
26,502
28,812
00
65
32
88
99
42
$58,059 26
$58,059 26
30
.
STATE OF MICHIGAN.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending December S I , 1913.
Balance on hand December 1st, 1913
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$28,812 42
23,174 59
1,606 66
$53,593 67
DEBITS.
Account of side track
Account of extension to heating plant
Account of current expenses
Balance on hand to new account
$2,501
834
26,809
23,447
95
93
22
57
$53,593 67
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending January 31, 1914CREDITS.
Balance on hand to January 1st, 1914
Cash from State Treasurer:
Account of current expenses
Cash from other sources:
Account of current expenses
Account of side track.
$23,447 57
26,333 78
1,649 57
1 40
$51,432 32
DEBITS.
Account of side track
Account of repairs roofs and gutters
Account of current expenses
Balance on hand to new account
$2,771
72
24,643
23,944
32
90
71
39
$51,432 32
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending February 218, 1914CREDITS.
Balance on hand February 1st, 1914
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$23,944 39
26,333 78
505 29
DEBITS.
Account of side track
Account of current expenses
Balance on hand to new account
$1,014 44
30,294 26
19,474 76
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending March 31, 1914CREDITS.
Balance on hand March 1st, 1914
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$19,474 76
26,333 76
1.420 45
DEBITS.
Account of books and musical instruments
Account of current expenses
Balance on hand to new account
$22 50
23,399 40
23,807 07
SHOWING STALLS AND STANCHIONS IN THE NEWLY EQUIPT COW BARN
TRAVERSE CITY STATE HOSPITAL.
31
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending April SO, 1914-
Balance on hand April 1st, 1914
Cash from State Treasurer:
Account of current expenses
Account of porch cottage, No. 32
Cash from other sources
$23,807 07
23,219 71
600 00
1,535 18
$49,161 96
DEBITS.
Account of side track
Account of artesian wells
Account of current expenses
Balance on hand to new account
$397
98
22,045
26,619
77
90
62
67
$49,161 96
THE STATE OF MICHIGAN. In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending May 31, 1914CREDITS.
Balance on hand May 1st, 1914
Cash from State Treasurer:
Account of current expenses
Account of wagon and implement shed
Cash from other sources
$26,619 67
23,219 71
2,500 00
496 69
$52,836 07
DEBITS.
Account of culvert
Account of side track
Account of roofs and gutters
Account of artesian wells
Account of current expenses
Balance on hand to new account
$280
162
67
38
21,545
30,742
00
37
50
30
29
61
'$52,83607
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the month ending June SO, 1B14CBEDITS.
Balance on hand June 1st, 1914
Cash from State Treasurer:
Account of current expenses
Cash from other sources
$30,742 61
23,219 75
754 48
DEBITS.
Account of repairs on reservoir
Account of side track
Account of repairs on 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
$8
338
72
290
129
23,589
30,286
59
30
90
75
50
92
88
$54,716 84
32
STATE OF MICHIGAN,
SUMMARY.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of the Traverse City State Hospital,
for the fiscal year ending June SO, 1&14CREDITS.
Balance on hand July 1st, 1913
Cash from State Treasurer:
Account of track scales
Account of culvert
Account of re-roofing cottages Nos. 24, 25, 26, 28
Account of roofs and gutters
Account of extension heating plant
Account of side track
Account of artesian well
Account of porch, cottage No. 32
Account of wagon and implement shed
Account of current expenses
Cash from other sources
$6,183 56
1,500
1,000
6,400
2,500
6,000
38,439
500
600
2,500
292,508
12,982
00
00
00
00
00
20
00
00
00
49
45
$1,474
133
150
152
192
280
446
758
5,839
32,620
6,400
290
129
291,958
30,286
49
59
00
50
17
00
30
57
56
72
00
75
50
67
88
8371,113 70
DEBITS.
Account of repairs and painting roofs
Account of repairs on reservoir
Account of completion cold storage
Account of books and musical instruments
Account of re-roofing cottages
Account of culvert
Account of artesian well
Account of repairs, roofs and gutters
Account of extension heating plant
Account of side track
Account of roofing cottages
Account of porch, cottage No. 32
Account of wagon and implement shed
Account of current expenses
Balance on hand to new account..'
$371,113 70'
We have carefully examined the accounts of A. J. Maynard, Treasurer
of Traverse City State Hospital for the biennial period ending June 30,
1914, and have compared the same with the books and vouchers and
verified the same by further comparison 'with the books of the SteAvard
and hereby certify to the entire correctness of them.
M. F. QUAINTANCE,
C. D. ALWAY,
WILLIAM LLOYD,
Auditing Committee.
TRAVERSE CITY STATE HOSPITAL.
33
STEWARD'S REPORT.
FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1914.
ANALYSIS OF RECEIPTS AND DISBURSEMENTS.
RECEIPTS.
Maintenance, etc., State patients
Maintenance, etc., private patients
$571,298 50
12,836 57
•
Farm:
Cattle sold
Premiums on cattle
Pigs sold
Hides sold
Gravel sold
Keep of bull sold
Hog serum sold
Carrots sold
Refunded freight charges
Refunded wagon repairs charges
Rent of house on right of way
Sundry accounts
$7,725 30
219 65
5 00
173 89
1 30
25 00
3 45
3 00
797
4 70
4 00
Special appropriations:
Porch, cottage No. 32
Track scales
Roofing cottages
Side track
Culvert
Extension heating plant
Repairs roofs and gutters
Artesian well
Wagon and implement shed
8,173 26
20,038 44
600
1,500
6,400
38,439
1,000
6,000
2,500
500
2,500
00
00
00
20
00
00
00
00
00
$671,785 97
DISBURSEMENTS.
1.
Officers'
2.
Food:
salaries
Wages
Meat and
Butter
Flour
Coffee
Tea
Sugar. .
Fuel
Miscellaneous foods
3.
Clothing:
4.
Laundry:
Wages
Clothing
Wages
Machinery
Starch
Soap making tallow
Soda
Lime
Soap
Pins
Blueing and ammonia
Baskets
Wagon
Acetic acid
Felt for mangle
$27,884 14
fish
....
$17,197 43
58,480 82
31,389 59
16,864 92
7,001 28
1,467 70
11,960 71
48 58
34,426 05
$3,574 61
31,657 99
$9.880 35
168 06
274 35
2,034 88
628 21
20 64
36 48
11 12
72 09
119 68
24 00
29 01
5 31
$27,884 14
178,837 08
35,232 60
13,280 18
STATE OF MICHIGAN.
34
5.
Heating and Light:
Wages
Coal and freight
Gas
Electrical supplies
Examining engr. expense
Rent coal shed
Kerosene oil
Advertising for coal bids
$8,023
52,490
2,339
1,534
548
18
12
126
6.
Floral, greenhouse and grounds:
Wages
Implements
Seeds and bulbs
Hose
Spraying outfit and solution
Fence wire
Plants and trees
Flower pots
Flag staff:
Snow plow
$6,314 32
101 54
109 38
138 60
353 95
2775
225 15
38 03
120 00
9 63
7.
Medical department:
Wages
Drugs, etc
Pins for graduate nurses' class
Medical books
8.
Office, stationery, etc.:
Wages
Blank books
Postage
Telegrams and telephones
Printing, etc
Stationery
Filing cases
Typewriters and desk
Adding machines
Recording clock
t).
10.
11.
;
Amusement and instruction:
Games
Circus tickets
Books
Flag
Tuning piano
Fair tickets
Music for patients' parties
Christmas entertainments
Moving picture entertainments
Theatrical entertainments
Hymn books
Address and pins for graduate nurses
Furniture and household supplies:
Wages
Soap
Dry goods
Utensils
Carpets
Hardware
Toilet paper
Furniture
Brooms
Crockery
Gas ranges
Bedding, mattresses, etc
Fire extinguishers
Sewing machines
Stoves and fit! ings
Bedsteads
Polish
Brushes
Chambers
Garbage cans and barrels
Mops and dusting oil
Oil cloth, linoleum and curtains
Carriage barn and vehicles:
Wages
Repairs harness
Repairs express wagon
Blacksmithing
87
71
50
04
50
00
95
13
$101,910
6,823
22
113
29
72
50
50
$6,966
148
697
1,173
830
394
159
232
582
172
•
93
17
00
34
39
15
57
05
25
31
$102 37
75 50
71 23
9 70
14 00
18 00
147 50
157 43
45 00
25 00
9 02
142 50
fittings
$3,745 41
1,724 52
7,043 54
1,002 69
903 36
1,341 36
534 46
658 17
975 77
1,626 34
43 75
7,056 97
75 00
51 20
139 34
922 71
191 68
192 54
259 46
223 34
155 19
324 43
$1,226
7
27
13
50
95
95
90
$65,093 70
7,438 35
108,870 01
11,356 16
817 25
29,191 23
1,276 30
TRAVERSE CITY STATE HOSPITAL.
12.
13.
14.
15.
Improvements and repairs:
Wages
Oils and paints
Lumber
Lime and cement
Hardware
Glass
Iron pipe, etc
Iron
Fire hole track
Brick
Moving small building
Sewer pipe, tile, etc
Brushes, tools, etc
Sawing logs
Calsomine
Polish
Glue
Alcohol
Plastico
Soda ash
Wall finish and blocks
Roofing
fittings
Machinery:
Packing, gaskets and valves
Lubricating oil
Machine
Stoker repairs
Gas apparatus
Gasoline
Belting
Soda ash for
Motors, etc
Steam charts
Thermometers, etc
Dry cells
Fire ladders and hose
Chain hoist
Baler for rags, etc
Sewing machines
Boiler insurance
fittings
filter.
Farm, Harden and stock:
Wages
Fee'd
Registry stock, etc
Spraying
Implements
Harness, blankets
Fertilizer
Drain tile, etc
Seed
Veterinary, etc
Freight on stock, etc
Blacksmithing
Plant boxes
Straw
Hay
Threshing
Horses
Silo and ensilage cutter
Oats
Binder twine
Dairy show exhibit
Cow stalls
Miscellaneous:
.-
Wages. Watchmen
Amounts charged back:
Patients travelling expenses
Patients expenses home
Undertakers' fees
Expenses elopements
Purchases for patients
Collection of delinquent accounts
Storekeeper's travelling expenses
Steward's travelling expenses
Herdman's travelling expenses
Matches
Tobacco
Refunded money
Medical superintendent's travelling expenses
Treasurers' bank loans
Hauling fire engine
Freight on empties
Bus transfer of patients
35
$24,564 28
2,525 15
1,204 10
843 41
710 43
274 69
2,586 46
1,104 23
252 02
721 58
125 00
257 55
101 23
98 42 .
21 95
1 00
1 60
20 24
14 70
67 80
354 78
39 24
$597 40
315 37
463 65
855 87
21 00
279 38
197 28
173 04
137 21
21 01
37 44
3 40
491 80
32 03
94 63
185 76
167 40
$17,569 06
10,210 66
4,043 87
321 15
841 32
208 75
422 50
1112
756 25
188 85
220 50
108 40
11 86
1,988 58
7,006 55
86 85
434 00
1,115 00
2,665 81
36 75
232 32
1,071 14
$3,653 55
75 87
262 10
10 00
366 26
2275
23 49
26 44
176 28
7 55
18 00
3,018 95
649 73
91 96
17,000 00
2 00
1 98
7 50
$35,764 86
4,073 67
49,£51 29
36
STATE OF MICHIGAN.
Miscellaneous—Continued—
Dentistry for patients....
Telegrams, miscellaneous.
Tobacco pipes
Pathologist's salary
Accident insurance
Special appropriations:
Repairs and painting roofs
Completion heating and ventilating..
Extension north wing
Extension south wing
Culvert
Re-roofing cottages Nog. 28, 32
Cold storage
Repairs reservoir
Side track
Roofing cottages Nos. 24, 25, 26, 28.
Books and musical instruments
Extension heating plant
Repairs roofs and gutters
Artesian well
Poich, cottage No. 32
Wagon and i mplement shed
$15
10
47
80
00
34
23
00
$2,783
246
435
333
652
205
150
133
32,620
6,400
152
5,839
758
446
290
129
35
94
70
97
00
47
00
59
72
00
50
56
57
30
75
50
785 22
$26,352 20'
51,578 QN
$646,597 94
SUMMARY OF INVENTORY OF THE TRAVERSE CITY STATE HOSPITAL TAKEN AT
THE CLOSE OF THE FISCAL YEAR ENDING JUNE 30, 1914.
Land
Buildings
Stock on farm
Administration building, furniture and fixtures
Dispensary
Pathological laboratory
Library and chapel
Wards: Furniture and fixtures
Cottage 21, furniture and fixtures
Cottage 23, furniture and fixtures
Cottages 24 and 26, furniture and fixtures
Cottage 25, furniture and fixtures
Cottage 27, furniture and fixtures
Cottage 28, furniture and fixtures
Cottage 29, furniture and fixtures
Cottage 30, furniture and fixtures
Cottage 31, furniture and fixtures
Cottage 32, furniture and fixtures
Cottage 34, furniture and fixtures
Cottage 36, furniture and fixtures
Cottage 38, furniture and fixtures
Engine room and shops
Kitchen and bakery
Laundry
Farm and barns
Sewing room
Store fixtures
Stock: Dry goods, clothing, boots and shoes
Stock: Groceries and meats
Stock: Notions
Stock: Hardware
Stock: Crockery
Stock: Silver plated ware
$58 ,240 00
883 ,100
44 ,631
6,662
1 ,946
1 ,293
1 ,188
32 ,551
2 ,641
243
3,618
1 ,970
3 ,142
1 ,549
2 ,881
2 ,926
1 ,439
1,378
2 ,835
2 ,814
824
,403
,270
,908
,648
464
611
,492
,787
,167
830
408
50
00
50
50
83
50
60
91
74
91
15
68
81
05
80
87
71
69
06
50
51
48
95
97
30
02
43
62
15
35
48
04
62
$1,104,925 73:
TRAVERSE CITY STATE HOSPITAL.
37
EEPORT OP MEDICAL SUPEBINTENDENT.
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 30, 1914. The movement of population has been
as follows:
TABLE I.—Patients Admitted, and Discharged During the Biennial Period.
Males.
Remaining June 30, 1912 .
Admitted during period:
On original commitment :
Public
Private
By transfer from State institutions:
Public
Private
State
Discharged :
Died
Remaining under treatment June 30, 1914
Females.
Total.
782
616
1,398
353
241
11
594
32
2
21
2
10
6
1
30
25
16
1
55
1 ,198
• 900
2 098
38
91
31
177
52
52
18
122
90
143
49
299
861
656
1,517
If these statistics are compared with those of the last period it will
be found that there were 150 more admissions and 46 more discharges.
If the patients admitted from the Pontiac and the Newberry State
Hospital districts are counted, there was a net gain of 119 patients
under treatment in the hospital. The percentage of patients discharged
recovered on the whole number under treatment was slightly greater
than for the last period. The smallest number of patients under treatment in any one day was 1,398, and the largest number was 1,535. The
death rate was slightly greater than for the previous period.
38
STATE OF MICHIGAN.
The following table is an attempt to classify the causes of death: '
TABLE II.—SUMMARY.—Showing
Causes of Death.
Male.
General Diseases:
15
1
Tubercular peritonitis
i
Diabetes . . . .
2
Pyemia
1
Diseases of Nervous System:
Cerebral hemorrhage. . .
.
Insanity— exhaustion from . . . .
Syphilis o f brain. . . .
Transverse Myelitis. . .
Diseases of the Respiratory
Lobar pneumonia
System:
Diseases of Circulatory System:
Organic heart disease
Acute dilatation
Diseases of Digestive System:
Dysentery
Appendicitis
Diseases of Genit o- Urinary System:
Violence:
Totals
Female.
.
.
31
3
2
4
3
Total.
4&
4
7
1
6
8
1
30
13
2
15
1
1
12
1
1
13
10
6
6
1
1
4
5
1
35
13
3
3
3
7
38
20
10
3
4
2
2
4
1
8
3
1
1
3
1
1
177
1
2
1
2
43
23
8
21
1
1
17
1
1
1
4
1
3
3
3
4
6
1
1
1
1
122
299
One hundred fifty-three patients or 51% of those who died, were over
55 years old; 21 of the number were over 80 years old. The deaths from
tuberculosis were 19% of the deaths from all causes, an increase of
4.9% during the last two years. We are unable to account for this increase. It is possible that more patients were admitted suffering from
the disease during the period, and it may be due to causes entirely acci-
TRAVERSE CITY STATE HOSPITAL.
39
dental. We do not believe that there has been appreciable increase in
the occurring cases in the institution. As during many years past every
effort is taken to prevent the development or spread of the disease in
the hospital. Separate departments for each sex are maintained for the
care and treatment of tuberculous cases. Syphilis caused 14.6% of
deaths, nearly as many as tuberculosis. Arterial degenerations and
consecutive organic disease caused 51% of the deaths. Diseases of the
circulatory organs are the cause of a large percentage of mental disease. An analysis of the above summary would show that nearly 90%
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 asylums of Michigan.
TABLE Hi.
From the beginning to July 1,
1906.
Forms of insanity.
Males.
206
94
a.
I. Primary
c'
d'. Hallucinatory delirium (primary confusional insanity) . . . .
II. Secondary
j g;
Acute
Chronic
B. Incident to the normal and the degen-
C. Incident to the degenerate brain
fa.
b.
II. Symptomat c of organic disease of the brain . . . . { c. Dementia from gross brain lesions (apoplexy, tumors, etc.)
d.
[e.
fa.
Hysteria
Hypochondria
Id.
II. Primary forms
fa.
'
d.
Imbecility
Idiocy
Total.
31
216
88
1
23
422
182
1
54
162
117
29
58
216
158
1
2
378
275
30
60
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
104
1
425
1
117
299'
6
221
1
724
7
140
4
81
1
1
221
5
1
2,30fi
1,884
4,190
D Not insane voluntary cases
Total
Females.
TABLE IV.—'Showing the forms of insanity of patients admitted.
From the beginning.
For the biennial period.
Males. Females
c. Alcoholic paranoid conditions
Organic
f definite HumbuiiuiimiiBtt,/
structural changes)
vsigium brain
.J.C.U1 disease
I.LMIWK lueiiuiu:
Thvroeemc
insanity
inyrogemc insanity
Paranoia. .
(2) Arterio-sclerotic brain disease
S
°^ ^airi
; neurology
-.
^ &P^¥
Other forms
relatedv to
(5) General paralysis
'^(2°
) Myxpedoma
Cretinism
1 (1) Hebephrenic .forms .
( (3) Katatonic forms
<J> Classic type
Manic depressive
v (2) Denressed state
[ (3) Mixed state
Arrested mental development
< [Jj Jjbeclllty
Total
9
20
3'
Total.
9
23
Males. Females .
9
31
51
1
12
1
20
1
99
• 19
58
125
184
11
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
80
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
4
3
7
10
2
12
27
7
17
30
56
2
2
15
8
25
29
9
32
44
81
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
"•"ii&
27
9
1
7
19
46
9
1
8
416
284
700
17'
i'
Total.
144
23
15
70
89
43
33
14
75
3
2'
3
1
0
42
STATE OF MICHIGAN.
Table IV shows that 27.8% of the patients admitted were suffering
from organic diseases, 17% from dementia praecox, 9.7% from paranoia
and paranoid states, 6.5% from epilepsy, 22% from manic depressive
insanity, 5.5% from alcoholic and drug insanity, and 11% from
arrested mental development. This table does not show that there
has been any marked increase in the various forms of insanity other
than that in the imbecile group. During the previous two years 6.4%
of the patients admitted were classified as mentally defective. This
shows an increase of nearly 5% in the admissions of the imbecile class.
As mentioned in our last report, it is becoming increasingly evident
that the segregation of the feeble-minded is a matter of the utmost importance to the social welfare, and that a most definite economy would
be secured by providing adequate accommodations. Undoubtedly, the
opening of the colony for epileptics at Wahjamega will relieve the stress
at Lapeer and that institution will be able to receive a much larger
number of feeble-minded than has heretofore been possible. It should
be the duty of the State to see that adequate provisions are made for
the care and safeguarding of this class. "Poverty and crime grow in
direct proportion to the freedom the State gives to feeble-minded, subnormals and morons." The State should attend that these individuals are not only properly cared for but that they should be heldin suitable institutions. We also hope that the colony at Wahjamega
will soon be able to relieve the hospital of many of its epileptic patients.
A great deal of clinical work has been performed during the last two
years, and arrangement is being made to introduce the Abderhalden
method of diagnosis of dementia praecox and other nervous statesOther research work is being carried out in collaboration with the
Eugenics Commission of the State, and with the Psychopathic Hospi'tal
at Ann Arbor, Mich. You have incorporated in your report an outlineor summary of the work accomplished in the laboratory during theperiod; therefore, it will not be necessary to repeat it. About the usual
number of surgical operations was performed during the period, and
there was one obstetrical case.
The work in the training school for nurses was carried on with enthusiasm, and successfully. The field of instruction has been enlarged,,
and the teaching has improved with the increased experience of thestaff. There were 14 graduates from the school in both 1913 and 1914.
A list of the graduates is appended to this report.
The medical work is carried on as carefully as possible, and effort is
made to keep pace with the most modern methods of treatment. The
detailed reports presented herewith will demonstrate that the strictest
economy has been practiced in all departments, and that the aim has
been to maintain the highest efficiency in the hospital.
The following tables will give a brief analysis of the clinical forms of
mental diseases admitted during the period. These statistics have been
presented in this form for several years, and are of increasing value for
comparative purposes. We are enabled from these statistics, accumulated from each of the hospitals of Michigan, to determine with considerable accuracy the percentage of each of these types of mental disease to the total population of the State. The principal lesson learned:
from the past two years is that luetic diseases and alcoholic derangements are two of the principal causative factors of insanity and degen-
TRAVERSE CITY STATE HOSPITAL.
43
eracy. The constantly increasing numbers in the imbecile group all
show the great necessity for supervision of marriage, and the necessity
for careful eugenic statistics. All these matters require the most careful thought from our Legislators, teachers, social workers and professional men, and from all those interested in the upbuilding of the race.
From the Wasserman tests made on patients in the State of Michigan
during the last year, the astonishing fact is revealed that about 15%
of all patients admitted to the institutions are infected with luetic
disease.
ALCOHOLIC INSANITY.
In this group are 29 men and 3 Avomen, comprising 4.5% of the cases
admitted during the biennial period.
Women.
Men.
Alcoholics
No.
Per cent.
416
29
6.97
Total.
Per cent.
No.
284
No.
Per cent.
700
3
1.05
32 j
4.57
The 29 men constitute 6.9% of the males admitted; the females a little
over 1% of the women received.
The 32 cases were placed as follows:
Women.
Men.
Alcoholic paranoid conditions
No.
Per cent.
9
20
31.0
69.0
No.
Total.
Per cent.
100
3
No.
9
23
Per cent.
28.1
71.9
Age at time of admission.
Men.
Women.
Total.
20 to 24
2
2
25 to 29
2
3
30 to 34
1
;
1
35 to 39 ....
40 to 44 ...
6
45 to 49
2
50 to 54
4
6
1
3
4
6
55 to 59
4
60 to 64 ..
2
2
65 to 69 .. -
1
1
2
STATE OF MICHIGAN.
44
Heredity.
Direct.
Atavistic.
.
.
1 1
o
1
1
2
2
2
2
5
1
1
£
Brothers
and
sisters.
Collateral.
Total.
OJ
o
H
i
'<K
I
I
H
=3
O
1
H
1
1
i
I
2
2
2
2
2
5
6
5
13
OJ
Ba
2
1
6
2
15
5
2
15
13
5
Results of treatment.
Women.
Men.
Recovered
Improved
Unimproved
Died
Total.
„
1
8
10
2
12
1
1
11
11
Act 84, Public Acts of 1912, made provision for the reception in the
State Hospitals of cases of inebriety and of drug addiction. We
have had sent to us a few patients under this Act. There is no
special form in the classification for their reception, and they have been
placed in the alcoholic group under alcoholic paranoid conditions.
There were 11 men committed by the various counties, principally
Grand Traverse, and 2 women. A few of the cases of chronic alcoholism
were committed on regular insane orders.
MORPHINISM.
There were received into the hospital during the past biennial period
4 men committed because of addiction to the vise of opium. Of these
four, two had been with us on one or more previous occasions; the
other two were committed for the first time. One after a short residence was discharged, and has remained well up to date. The fourth
patient is still with us and shows other mental involvement than that
due to the use of opium.
There were three women entered because of the use of opium in one
form or another. One of the three had been a patient here on two previous occasions, and after a residence of about 6 months was discharged.
Thus far she has remained well as far as we have been able to learn.
One of the other two has been away from the institution for over a vear
TRAVERSE CITY STATE HOSPITAL.
45
and is perfectly free from any indications of the return of the habit.
The third woman remained with us but a short time, less than a week,
and was taken home improved. She has not been heard of since.
INSANITY DUE TO INFECTIVE AND EXHAUSTIVE INFLUENCES.
This group comprises 10 men and 2 women, or 1.7% of the admissions
for the biennial period.
Total.
Women.
Men.
No.
Per cent.
No.
Per cent.
416
10
2.4
284
2
.7
Per cent.
No.
700
12
1.7
Age at time of admission.
Male.
24 to
30 to
35 to
40 to
1
29
34
39
44
45 to 49 ....
50 to 54
55 to 59
60 to 64
Total.
Female.
1
2
2
1
1
1
1
1
2
2
2
2
2
2
'
65 to 69
Heredity.
£3
g
Insanity
Apoplexy or paralysis
Psychopathic . . .
Alcoholism
Unknown
2
CD
-3
§
w
Total.
o>
oi
0>
"c8
%
o>
•3
"ce
o
EH
0
•-
43
•a
a
'cS
a
8
fq
"cS
O
H
2
1
1
Brothers
and
sisters.
Collateral.
Atavistic.
Total.
Direct.
1
1
....
\D
1
1
oi
'rf
s
IS
a<B
fe
. "(8
o
[-1
«i
«
s
"s
"cS
fe
"o
EH
2
2'
2
2
1 ....
1
1
1
4
2
STATE OP MICHIGAN.
46
Results of treatment.
Male.
Recovered
Female.
Total.
1
........
1
1
1
7
Died
7
1
2
3
ORGANIC GROUP.
This group in all its forms, comprises 27.8 per cent of the admissions
for the biennial period.
Women.
Men.
No.
Total admissions . .
Total.
Per cent.
No.
Per cent.
No.
34.3
284
52
18.3
700
195
416
143
Per cent.
27.8
The cases were placed as follows:
Women.
Men.
No.
1
27
Syphilis of brain and cord ...
...
Other forms related to neurological changes. .
General paralysis
Senility
7
16
36
56
Per cent.
00.7
18.9
4.9
11.2
25.2
39.1
Total.
No.
Per cent.
No.
2
3.8
3.8
28.9
15.4
48.1
29
9
1
2
15
8
25
31
44
81
Per cent.
00.5
14.9
4.6
15.9
22.6
41.5
47
TRAVERSE CITY STATE HOSPITAL.
Age at time of admission.
Male.
Total.
Female.
Up to 24
25 to 29
30 to 34
35 to 39
40 to 44
3
1
8
.
5
4
9
..........:
12
6
]8
9
2
11
13
45 to 49
50 to 54
•55 to 59
<60 to 64
65 to 69
70 to 74
3
7
...
75 and upwards. .
8
5
10
4
14
15
6
21
12
8
20
30
9
39
32
7
39
..
Heredity.
Brothers
Direct.
and
Collateral.
Atavistic.
Total.
sisters.
3
9
3
3
1
4
2
4
3
a
o
EH
16
5
4
o
C3
20
30
17
33
12
29
64
5
12
12
8
8
3
None. .
i
Female.
10
Q
•3
g
Female.
Psychopathic . . .
Alcoholism . . . .
8
13
13
12
"o
H
Female.
3
'3
10
1
10
Insanity
£
0
t-i
'. '.
Female.
7
Apoplexy or paralysis . .
•3
Female.
Male.
.
"o
H
37
20
37
15
38
93
7
3
4
3
9
29
"1
s
15
Arteriosclerosis.
3
1£
•*
S
p£
1
Forms
related to
neurological.
Brain
syphilis.
«
•3
"^
1
N
Senility.
fe
af
2
3
4
1
2
16
10
11
14
"3
1
General
Paralysis.
Female.
Biain
tumor.
Female.
Results of treatment.
1
S
1 "ea
Total.
JD
j
s
c
-
£
"«
2
Recovered
2
1 • 1
2
Died
Remaining
1
1
Unimproved. .
21
1
. ...
1
4
2
23
8
4
4
1
3
9
5
5
7
1
5
. 6
2
5
4
20
17
3
17
23
1
5
18
68
20
86
56
27
83
7
13
5
8
7
24
17
45
8
STATE OF MICHIGAN.
48
In explanation it may be said that 12 cases were treated with neosal=
varsan from January 1, 1914. Cases include general syphilis, cerebrospinal syphilis, and general paresis. These cases received intensive
treatment of neosalvarsan. Method of treatment consisted of the intravenous administration of neosalvarsan, given weekly, from 6 to 12
doses being given. In addition, 3 cases of general paresis received intradural injections of autoserosalvarsan, bi-weekly, according to
method of Swift-Ellis, in all 8 injections being given in each case.
Three cases of general paresis received intradural injections of from
8 to 12 milligrams of neosalvarsan, according to the method of Bavaut,
two injections being given in each case, systemic treatment being carried out in all cases, as mentioned above.
In the cases of general syphilis and cerebro spinal syphilis, all showed
subsidence of specific symptoms and improvement in general health. In
the cases of general paresis treated by the Swift-Ellis method, two cases
showed marked improvement, complete restoration of mental faculties,
with, however, a persistence of the physical signs of lesser degree. Onecase, late in the disease, showed pronounced remission for several
months with later a return of the symptoms.
One case of general paresis treated by Eavaut method has shown improvement mentally. Two cases have shown no especial change.
In two of the cases of general syphilis the patients at time of discharge did not react to the Wasserman test.
DEMENTIA PRAECOX.
There were 119 patients placed in this group, or 17% of the admissions.
Men.
Women.
Total.
•
No.
Per cent.
416
Dementia Praecox
Per cent.
No.
700
284
59
14.1
60
1
No. | Per cent.
21.1
|
119 |
i
17
The following represents the type of dementia praecox:
Women.
Men.
•
Hebephrenic
Katatonic
No.
Per cent.
No.
Total.
Per cent.
No.
Per cent.
31
52.5
10
16.7
41
34.5
23
38.9
30
47.5
53
44. £
5
8.4
20
33.8
25
21.0
TRAVERSE CITY STATE HOSPITAL.
49
Age at time of admission and beginning of disease.
Age at beginning.
Female.
Male.
15 to 19
20 to 24
25 to 29
30 to
35 to
40 to
45 to
50 to
55 to
34
39
44
49
54
59
.
14
19
42
3
3
2
1
6
1
Age on admission.
Total.
5
1
15
34
68
13
8
7
2
9
15
15
26
10
5
Male.
5
13
33
7
11
3
3
1
Total.
Female.
1
6
5
15
9
11
9
3
2
2
18
48
16
22
12
6
3
2
Ol
Hereditary Factors.
Direct.
o
Atavistic.
Collateral.
Brothers and sisters.
Total.
Hebe.
1 1 le§
JJ
Apoplexy or paralysis
Alcoholism
Unascertained
0
2
1
1
4
1
Kata.
Para.
4
5
"o
H
6 10
3
3
3
3
<5
1
Hebe.
•3 •3
"o
EH
a
Para.
Kata.
j
15
1
1 E~< 1
1 2
2
2
1
1
1
1
2
2
1
I
_?. —
1 Female.
2
Para.
Hebe.
a
"S
1 -i
!1
5
7
2
d
s
|
1
4
4
Hebe.
Kata.
2
Para.
Kata.
-S
.2
I
3
1
3
6
a
i
-3
&i o
B
I
1
2
3
5
7
H
5
4
9
%
H
21
18
42
7
13
20
50
7
...
1
1
...
...
13
tl
1 1 Ho S
Ol
O
O
a
o
t>
i—i
:
| Female.
TRAVERSE CITY STATE HOSPITAL.
51
Average age at beginning.
Male.
Female.
25
30
23
29
19
28
Results of treatment.
Died
3
2
1
3
2
2
24
9
4
33
§
"=3
o
H
7
3
6
3
3
1 2
1
15 23 38
<D
•3
s
4
I
3
3
7
3
17
5
3
44
3
5
12
£
1
Female.
£
"3
Total.
Katatonic.
Female.
3
"oi
"o
H
Paranoid.
Female.
1
s
Female,
Hebephrenic.
6
4
6
44
•a
3
H
13
9
9
88
During the last few months the treatment of dementia praecox by the
so-called Lundvall remedy has been used. Treatment consists of the
use of sodium nucleinate for the production of hyperleucocytosis. In
all, five cases of dementia praecox (hebephrenic form) are receiving
treatment. Subcutaneous injections of the following solution are given:
Sodium nucleinate 10.000; arsenous acid 0.005; sodium cinnamate
1.000; distilled water 40.000. From 2 to 15 c. c. of the solution are
given at intervals of 4 days. A moderate rise in temperature from 2 to
4 degrees of from 2 to 3 days' duration, is usually noted. In one case,
on several occasions temperature reached 105 degrees, with nausea and
vomiting. In three cases no notable change in leucocyte count; in one
case moderate leucocytosis up to 12,000. In one case leucocyte count
reached 18,000.
All cases have been under treatment for several months. All show
some loss in appetite and weight. No noticeable improvement in
mental condition.
It goes without saying that this experience is not wide enough to
justify any conclusions in regard to the value of the Lundvall remedy.
As before mentioned, the Abderhalden tests are being applied and
further treatment of cases will be continued with the nucleins as well
as with the hormones. We anticipate that there are many cases that
will be benefitted by these newer methods of treatment of dementia
praecox.
STATE OF MICHIGAN.
52
PARANOIA AND PARANOID STATES.
In this group 41 men and 27 women were placed, representing 9.7%
of all cases admitted.
Men.
No.
Total admissions
Paranoia and paranoid states
Women.
Per cent.
416
41
9.8'
Total.
No.
Per cent.
No.
284
27
9.5
700
68
Per cent.
9.7
The 68 cases were classified as follows:
Women.
Men.
Paranoia
Paranoid states
No.
Per cent.
6
35
14.6
85.4
No.
Total.
Per cent.
No.
3.7
96.3
61
1
26
7
Per cent.
10.2
89.8
Age at time of. admission.
Female.
Male.
25 to
30 to
35 to
40 to
45 to
Total.
29
34
39
44
49
2
2
4
4
1
9
7
2
9
3
11
14
50 to 54
55 to 59
60 to 64
8
5
13
3
3
6
3
2
5
65 to 69
1
3
4
2
2
TRAVERSE CITY STATE HOSPITAL.
53
Heredity.
"o
H
1
&
2
]
1
1
1
2
3
3"o
r-i
o5
'cS
§
1
Is
O
E-l
1
%
4
4
3
1
2
2
1
2
3
Total:
c3
*c3
O
H
I
3
5
2
5
5
15
11
1
3
1
Female.
'cS
£
03
a
i
Female.
JD
"3
Brothers
and
sisters.
Collateral.
Female.
dj
Atavistic.
Female.
Direct.
3o
El
5
1
10
1
5
6
21
25
1
6
14
Paranoid
states.
1
g
Improved
Unimproved
Died
,
4
1
1
B
8
4
12
10
4
1
1
2
1
4
]8
|'S%d5
2
2
5
Total.
Female.
Paranoia.
Female.
Results of treatment.
o5
£rf
"eg
s
fe
1
4
5
i
i
25
17
42
29
"o
H
14
2
5
47
MANIC DEPRESSIVE INSANITY.
There were admitted 54 men and 100 women who were placed in this
group, representing 22 per cent of all cases admitted.
Men.
No.
Per cent.
416
Manic degressive insanity. ..
. .
54
Total.
Women.
13.0
i
No. i Per cent.
|
284 i
100 1
No.
Per cent.
700
35.2
154
22.0
54
STATE OF MICHIGAN.
The group was further divided into the following forms:
Men.
Mixed
Women.
Total.
No.
Per cent.
No.
Per cent.
No.
24
16
14
44.4
29.6
48
43
9
48
43
9
59
23
26.0
Per cent.
72
46.8
38.3
14.9
Age at time of admission.
Male.
15 to
20 to
25 to
30 to
19
24
29
34
35 to
40 to
45 to
50 to
39
44
49
54
55 to 59
60 to 64
65 to 69
70 to 74
Female.
Total.
2
3
5
6
11
17
6
13
19
3
14
17
9
9
18
6
16
22
4
9
13
7
11
18
3
7
3
6
10
9
3
1
4
2
2
Heredity.
Apoplexy and paralysis.
3
None
12
1
4
10
21
3
5
d5
'S
S
2
3
1
3
"=5
o
H
5
3
1
«
sa
5
0)
.*»
o
EH
•a
3
5
4
'cS
Total.
"3
o
H
o5
•a
§
11
16
15
5
2
2
2
13
15
14
B'emale.
ID
EH
Female.
*o3
Brothers
and
sisters.
Collateral.
Female.
9
2
1
Atavistic.
Female.
s1
Female.
Direct.
31
1
6
10
20
32
3
1
46
6
8
13
35
46
TRAVERSE CITY STATE HOSPITAL.
55
Results of treatment.
Died
EH
7
10
17
7
22
29
2
1
3
4
3
7
4
12
16
_o5
^
s
3
8
1
4
1
"a
1
4
5
18
26
6
6
7
13
Female.
3o
Mixed.
Male.
Female.
a!
3
§
Female.
Depressive.
Manic.
3
Total.
6
•3
d>
"3
+a
s £•
I
7e
o
EH
5
15
11
26
9
21
43
64
3
7
10
5
1
1
2
5
9
14
17
2
5
7
10
30
40
MELANCHOLIA.
One male patient was diagnosed as a case of melancholia, the first
attack of insanity occurring late in life, about 50, characterized by the
usual ideas of personal unworthiness and many visceral delusions.
This patient, according to the latest ideas, might have been placed in
the manic depressive group.
DEFECTIVE DEVELOPMENT.
Imbeciles and Idiots.
In this group were placed 31 men and 17 women, representing 6.8%
of the cases admitted.
Women.
Men.
No.
Total admissions
Per cent.
Per cent.
284
416
31
No.
Total.
7.4
17
No.
Per cent.
700
6.0
48
6.8
56
STATE OF MICHIGAN.
Age on admission.
Male.
15 to 19
20 to 24
25 to
30 to
35 to
40 to
Female.
10
6
29
34
39
44
4
Total.
3
3
13
2
7
1
5
1
4
3
3
3
3
1
2
9
1
1
3
45 to 49
50 to 54
55 to 59
60 to 64
1
65 to 69
1
]
Heredity.
'
Direct.
Brothers
and
sisters.
Collateral.
Total.
1
2
1
3
3
6
3
5
9
3
1
8
4
4
•3
o
.En
a
Female.
1
i
•i
^o5
a 1
Insanity
Atavistic.
«j
•3
a
1
i
2
8
2
1
1
o
H
1
2
3 •aoi
a
10
2
3
3
2
!
1
3"o
H
14
2
2
6
6
17
Results of treatment.
Male.
Improved . . . .
Unimproved . .
Died. . .
Remaining
Female.
Total.
1
1
1
5
1
26
14
40
4
2
1
TRAVERSE CITY STATE HOSPITAL.
57
EPILEPSY.
In this group are 27 men and 19 women, representing 6.5% of the
cases admitted during the biennial period.
Men.
Total.
Women.
No.
Per cent.
416
27
6.5
No.
Per cent.
No.
6.7
700
46
284
19
Per cent.
6.5
Age at time of admission.
Male.
10 to 14
15 to 19
20 to 24 .
25 to 29.
30 to 34
Female.
1
1
7
7
2
1
1
1
2
3
2
3
5
3
7
6
2
1
3
2
1
5
.....
2
35 to 39.
40 to 44
45 to 49
50 to 54
55 to 59
60 to 64 .
Total.
3
8
3
3
3
i
i
1
65 to 69
1
-
Heredity.
.
..."..
3
1
1
1
3
""
3
4
3o
H
£
S
1
3
1
1
3
6
•'
j
Female.
3
s
Female.
3
Total.
s
<u
"3
Total.
Female.
Unknown
3
2
oi
«
'eS
O
H
Brothers
and
sisters.
Collateral.
co
2
Apoplexy or paralysis . .
Psychopathic
Alcoholism
None. . .
Female.
1
$
Female.
Atavistic.
Direct.
•a
1
5
4
3
3
7
5
1
1
10
5
4
2
5
7
6
9
12
'4dS
<D
•3
I
§
1
1
STATE OF MICHIGAN.
58
Results of treatment.
Male.
Recovered •
Improved
Unimproved
Died
Remaining
Female.
4
2
3
18
Total.
1
2
2
14
5
4
32
PSYCHOPATHIC STATES.
In this group are 9 men and no women, representing 1.28% of the
cases admitted during the biennial period.
Men.
No.
Women.
Per cent.
No.
Total.
Per cent.
No.
!
Total admissions
Psychopathic
Per cent.
!_
416
9
284
700 |
0
2.16
1.28
i
Age at time of admission.
Male.
20 to 24
25 to 29
35 to 39
55 to 59
60 to 64
.,.
Female.
Total.
1
2
1
2
3
2 |
1
3
2
1
HEREDITY.
The hereditary factors in this gronp consist of one maternal immediate insane, one whose mother was nervous, maternal grandmother
senile dementia, one whose mother was alcoholic. The remainder either
negative or unknown.
Results of treatment.
Male.
Improved
Remaining
Female.
4
5
Total.
4
5
TRAVERSE CITY STATE HOSPITAL.
59
UNCLASSIFIED GROUP.
Seven men and one woman were not classified during the biennial
period.
Two men were with us but a short time, were defective criminals, and
escaped.
One' man was a foreigner, and was deported by order of the United
States authorities.
One man was a syphilitic case and came before the officials of a neighboring county for repeated thefts, undoubtedly a case of kleptomania.
He improved very much under specific treatment and was finally discharged.
The other cases were not sufficiently clear to be placed in any of the
groups of our classification.
NOT INSANE.
One patient, a Pinlauder, committed from the Upper Peninsula following a state of illness or debauch, not clear, who did not appear to be
mentally involved while in the institution. He was therefore classified
as not insane and discharged about one month after he came.
TABLE V.—Showing the occurrence o/ heredity in patients admitted.
Psychopathic
7
34
Total heredity
108
£
1
72
27
22
57
10
70 178
1
(0
2
4
2
4
2
16
1 17
14
4
0
"e§
3 73
|
|
p£
11 8 13
13
Total.
s
Female.
8
15
23
_oj
1
90
27
11 18
1 34
59
8
19
24,
149
35
37
58
57 169 110
84 44
163 130
279
128
293
416 284
700
Female.
24
Insanity
"a
Brothers
and
sisters.
Collateral.
Total.
48
Apoplexy and paralysis. 19
o5
«
Atavistic.
Female.
a
Female.
Direct.
3
•ac5
| I
21
4
24
21
2
7
4
1
27
31
26
45
'I
STATE OF MICHIGAN.
60
TABLE VI.—'Showing the age of patients admitted.
Biennial period ending
June 30, 1914.
Male.
From 10 to 14 years
From 15 to 19 years
25
From 20 to 24 years
35
From 25 to 29 years
37
From 30 to 34 ye^rs
32
From 35 lo 39 years
|
From 40 to 44 years
46
43
From 45 to 49 years
23
From 50 to 54 years
35
From 55 to 59 years
29
From 60 to 64 years
26
From 65 to 69 years
20
From 70 to 74 years
32
From 75 and upwards
33
I
|
Total
416
Female.
Total.
1
10
17
29
1
35
52
66
31
29
39
34
29
18
63
75
82
57
64
47
18
12
9
44
32
41
41
284
700
TABLE VII.—Showing civil condition of patients admitted.
Biennial period ending
June 30, 1914.
Civil condition.
Male.
Female.
Total.
Single
169
Married
173
172
345
Widowed
42
36
78
Divorced
18
10
28
Unascertained.
14
Total. .
416
235
14
284
700
TRAVERSE CITY STATE HOSPITAL,.
61
TABLE VIII.—Showing the degree of education of patients admitted.
Biennial period ending
June 30, 1914.
Degree of education.
Male.
Female.
Collegia! e
10
Academic
24
Common school.
249
Read and write.
39
7
Read only
Unascertained...
32
55
Total. . . .
416
No education. . .
Total.
13
39
15
215
20
3
24
464
59
10
4
56
59
284
700
TABLE IX.—Shoiving the occupation of patients admitted.
Biennial period ending
June 30, 1914.
Male.
Professional:
Architects, clergymen, engineers, surveyors, journalists, lawyers,
musicians, physicians and surgeons, teachers (school), etc.. . .
Clerical and official:
Bookkeepers, clerks, copyists, bankers, brokers, collectors,
auctioneers, agents, etc
Mercantile and trading:
Commercial travellers, merchants,^pharmacists, peddlers, etc...
Female.
Total.
11
18
14
9
23
13
10
23
Public entertainment:
Hotel and boarding house keepers, saloon keepers, liquor dealers,
bartenders, restaurant keepers
10
Personal service, police and military:
Barbers, hairdressers, janitors, sextons, policemen, watchmen,
detectives, soldiers, sailors, marines (U. S.), etc
11
19
30
Laboring and servant:
Laborers (not agricultural), servants
93
55
148
63
19
82
164
13
34
113
277
15
28
27
61
416
284
700
;
Manufacturing and mechanical industry:
Bakers, blacksmiths, butchers, cabinetmakers, carpenters, cigarmakers, jewelers, printers, engineers and firemen (not
locomotive), coopers, machinists, masons, millers, painters,
plasterers, plumbers, tailors^ tinners, etc
Agriculture, transportation and other outdoor:
Boatmen, draymen, hackmen, farmers, farm laborers, gardeners,
florists, livery stable keepers, lumbermen, sailors, fishermen,
steam railroad employees, stock raisers, etc
None
Unascertained
Total
62
STATE OF MICHIGAN.
TABLE X.—Showng tine nativity of patients admitted.
Biennial period ending
June 30, 1914.
Nativity.
Male.
Female.
175
107
Finland
3
2
5
3
1
Norway
Poland
Switzerland
Sweden. . . .
8
1
Unascertained
Total
,
Total.
126
76
Total United States
3
46
5
10
3
14
1
4
Female.
Male.
282
202
484
109
75
184
25
7
32
416
284
700
5
28
1
1
18
6
2
5
4
1
3
1
TABLE XI.—Showing the nativity of parents.
Biennial period ending
June 30, 1914.
Male.
124
169
51
72
Total . . .
416
Female.
86
141
Total.
28
29
210
310
79
101
284
700
TRAVERSE CITY STATE HOSPITAL.
63
TABLE XII.—Showing the residence of patients admitted.
Biennial period ending
June 30, 1914.
County.
Male.
Alcona . . .
Alpena. . .
Arenac. . .
Benzie
Bay. . . . . .
Cheboygan . . .
Charlevoix
Crawford .
Clare
Chippewa
Delta
Emmet ...
'
.
.
Grand Traverse . .
Glad win..
Gratiot ...
losco
Isabella . . .
Ionia
....
Kalamazoo . .
Kalkaska ...
Kent
Leelanau . .
Lake
M ontmorency
Monroe . . .
Manistee
...
...
Missaukee
Mason. . .
Midland..
Menominee
Otsego . . .
Oscoda
Ogemaw
Osceola . .
Oceana
Presque Isle . . . .
Roscommon
Saginaw
St. Clair.
Shiawassee
Wexford
Washtenaw
Wayne
Total
.
...
...
Female.
13
2
9
6
1
3
66
14
13
3
4
2
1
8
37
1
13
6
13
28
2
4
10
2
4
1
14
7
4
11
16
20
11
2
4
2
4
10
11
3
Total.
11
2
6
4
24
4
15
10
1
5
43
4
9
3
2
8
109
18
22
6
6
3
•1
22
54
4
21
10
20
44
2
1
8
1
1
14
17
3
8
4
7
16
1
4
1
6
1
2
19
3
5
8
9
6
17
2
4
1
4
8
2
2
4
1
2
1
14
3
3
1
13
1
416
284
i
16
3
6
1
33
10
9
15
20
22
37
13
6
5
2
8
18
13
5
4
1
3
2
27
4
3
700
STATE OF MICHIGAN.
64
TABLE XIII.- -.Showng the form of insanity of patients discharged and the
results of treatment.
Recovered.
Unimproved.
Improved.
Total.
Died.
Forms of insanity.
"e3
•1
S
Insanity due to infective and exhaustive in-
la
"rt
"S
EH
la
s
I
tS
^ "cs
1
5
1
6
12
2
1
14
1
3
1
4
1
2
3
1
1
1
1
4
12
5
7
30
17
3
1
42
22
10
1
1
3
1
1
1
3
4
7
5
10 "\2
5
22
5
2
2
4
19
14
11
4
3
""•>'
1
14
7
4
2
5
5
7
7
2
1
1
3
5
i'
"i
i
1
2
89
"3
1 27
1
2
3
6
2
14
31
31
91
3
i£ £
19
5
3
1
22
6
4
3
7
1
6
7
1
8
31
31
5
36
12
13
2
25
43
44
3
15
37
42
1
15
13
15
4
30
50
57
4
'ii
2
3
3
5
3 11
1
5
8
14
1
10
17
3
4
4
18
19
14
35
22
4
1
5
3
4
1
1
"4'
8
i
3
2
4
7
13
6
3
5
12
20
30
9
11
2
13
12
42
34
7
3
9
32
72
43
18
5
22
2
1
11
"i'
2
3
8
5
2
1
2
2
4
1
1
i
54 145
32
16
1
52
•a
3
5
3
1
7
9
37
1
2
5
6
"i'
1
5
1
Total
£
i
i
3
4
7
1
"c3
2
5
1
3
6
1
"3 _o
1
1
4
1
&
6
5
6
2
3
8
'is'
6
14
4
24
1
23
1
1
32
6
1
5
47
43 177 122 299 337 244
?81
1
1
1
11 22
1
1
2
1 21 '2i' 42
1
1
i
TRAVERSE CITY STATE HOSPITAL.
65
TABLE XIV.—Showing tne duration of residence in months of all cases discharged.
Recovered.
4
_oj
£
£,
.2
a
1 5
iS
s
fe
®
Died.
•3
•3
1
Total.
.8
Jjeg
1
"3
£
I
S
fe
1
3
6
9
3
7
10
7
2
9
14
9
23
27
24
51
14
20
34
21
19
40
5
4
9
22
14
36
62
57
119
13
11
24
32
6
38
4
3
7
16
8
24
65
28
93
7
6
13
12
10
22
J
4
7
14
4
18
36
24
60
1
2
3
2
3
5
2
2
14
1
15
19
6
25
2
2
8
4
12
4
4
15
9
24
27
15
42
1
1
1
1
12
8
20
13
10
23
4
4
9
1
3
2
5
23
22
45
35
30
65
3
2
2
4
8
19
27
13
21
34
1
1
1 39
28
67
40
29
69
52 143
31
49 177 122 299 337 244
58t
1
38
52
90
91
1
11
2
3
Totals
Unimproved.
Improved.
18
TABLE XV.—Showing the age of patients discharged
recovered.
For the biennial period ending
June 30, 1914.
Male.
From 20 to 24 years . . .
From 35 to 39 years
From 40 to 44 years
Frcm
From
From
From
From
From
50 to 54 years
55 to 59 years
€0 to 64 years
65 to 69 years
70 to 74 years
75 and upwards. .
Total . . . .
...
. . .
Female.
Total.
1
2
3
6
5
11
1
8
9
4
9
13
6
3
9
4
7
11
3
5
8
3
3
6
4
7
11
3
1
4
1
1
2
2
1
3
38
80
66
STATE OF MICHIGAN.
TABLE XVI.—See Summary of Deaths, page 38.
TABLE XVII.—Showing the age of patients who died.
Biennial period ending
June 30, 1914.
Male.
Female.
Total.
1
9
11
5
16
11
1
3
4
20
21
17
26
14
34
24
35
10
12
8
13
27
30
30
48
177
122
299
3
2
11
11
2
9
From 30 to 34 years . .
.
....
10
8
15
9
18
From 60 to 64 years . .
13
17
18
22
...
Total .
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 additional appropriation for completion of dining room to be erected on the hospital
grounds; for heating and ventilating systems in Cottages 24 and 26; for
addition to dining rooms, north and south, for carpenter and paint
shop; for an industrial building; for farm barn; for fencing; for additional laundry machinery; for new grate under boiler ~No. 3; for addition to cold storage plant; and for the installation of fire protection for
farm barns.
I.
DINING ROOM.
37,000 cu. ft. of excavating
@ $0 02
4,700 cu. ft. concrete for basement walls
20
35,000 common brick laid
15 00
68,000 pressed brick laid for exterior face work.... 35 00
Hollow "Jumbo" tile as per estimate of Trussed
$74
940
525
2,380
00
00
00
00
TRAVERSE CITY STATE HOSPITAL.
67
Concrete Co. f. o. b. Traverse City
Mortar and laying for the above "Jumbos"
8,294 sq. ft. 3x12x18" Book tile for roof f. o. b.
Traverse City
Mortar and labor setting Book tile
2,710 sq. ft. 7-Rib Hy Eib 28 guage Suspended ceiling f. o. b. Traverse City per estimate Trussed
Concrete Co
8,800 sq. ft. 7-Rib Hy Rib 24 guage, for floor First
Floor
Labor setting Hy Rib
176 pcs. 1,4x3/8 steel plates
2,011ft
60 8" I-Beams coped and riveted....
18,766ft
76 Castiron bearing plates
3,912ft
265 6x4 and 4x4 connecting angles riveted
4 to 6" long
1,500ft
16 8" channels copped and riveted
2,300ft
300ft 3/3" rivets, driven in angles
300ft
29 10" I-Beams
8,702ft
14 4" I-Beams
874ft
6 7" I-Beams
l,92ffi
30 5" I-Beams and 5" channels
4,840ft
696 %" connecting bolts for angles
187 21/4x2% Tees fitted for wire
23,635ft
120 6" I-beams and 6" channels, coped
22,940ft
2 12" I-beams
1,340ft
7 28" special 28" Both. I-Beams
36,750ft
1 Built-up 6" H I Beam Col
1,200ft
f 1,419 00
1,175 00
f0 07
580 58
290 29
341 28
02y2
02y2
02y2
497 21
437 00
50 28
469 15
97 80
04
02y2
05
02%
02i/2
02%
02y4
04
023^
02y2
02y4
02i/2
03
6000
5750
15 00
19580
2185
2682
108 90
27 84
650 00
573 50
30 15
918 75
36 00
130,262ft
Annealed wire for fastening Tee ceiling
3,000 yds. plastering
30
260 ft. lin. Concrete Stone grade course
50
295 ft. lin. Concrete Stone window sills
40
22 ft. lin. Concrete Stone door sills
1 00
325 ft. lin. Concrete Stone coping
70
260 ft. lin. Concrete Stone water-table
40
190 ft. lin. Vitrified Wall coping, set
25
8,100 sq. ft. Concrete floor in Basement
07
8,100 sq. ft. Terrazzo floor Main
floor
30
81 sqs. 4-ply Gravel Composition Roofing
4 00
29 windows finished complete main dining room... 23 00
3 windows finished complete women's dining room. 23 00
2 windows finished Store Room and Pantry
20 00
10 windows finished com. Kitchen
12 00
1 window finished com. Basement entrance
38 windows finished com. Basement
9 00
2 Front entrance doors and frames with hoods over
1 Outside door and frame com. Kitchen
1 Outside door and frame com. Women's Dining room
1 Outside door and frame com. Basement entrance
1 pair outside steps with rail complete Kitchen entrance....
6 00
900 00
130 00
118 00
22 00
227 50
104 00
4750
567 00
2,430 00
324 00
681 50
70 50
40 00
120 00
12 00
342 00
100 00
18 00
18 00
1200
75 00
68
STATE OF MICHIGAN.
1 Porch and Steps Women's dining room
3 Metal Sky-lights complete
3 doors and frames complete
first
floor
7 doors and frames complete basement
319 ft. lin. Cal. Iron cornice
@ $1 50
Electric wiring
Heating
Plaster finish for one column in dining room
2 Iron stairways dining room to basement
2 Front basement entrance stairs
1 set of concrete steps, steamer room to basement
1 balcony railing and steps
8,100 sq. ft. concrete slab work for first floor @ fO 05
Erecting 65 tons of steel
12 00
Plumbing and sewer work, etc., sinks, closets, tea and coffee
urns, ranges, tables, steamers, sewer connections, e t c . . . .
|250 00
210 00
120 00
105 00
478 50
350 00
862 50
30 00
400 00
80 00
65 00
125 00
405 00
780 00
1,500 00
$24,125 40
II.
HEATING AND VENTILATING SYSTEMS COTTAGES 24 AND 26.
Heating and ventilating systems, Cottages 24 and 26 .... $12,000 00
III.
ADDITIONS TO DINING BOOMS
48 M Brick in wall
600 ft. concrete wall
600 ft. tile
9 windows
12 doors
1,000 Ibs. steel
800 ft. concrete
325 ft. roof
2,000 ft. lumber
Labor
Elevator
NORTH AND SOUTH.
floor
@ |0 15 $720 00
20
120 00
50
300 00
15
135 00
15
180 00
02i/2 25 00
80 00
15
4875
18
36 00
150 00
600 00
$2,394 75
Addition to South Dining room
IV.
$2,394 75
CARPENTER AND PAINT SHOP.
105 M Brick in wall
2,800 ft. concrete in basement
3,840 ft. concrete floor in basement
3,800 gravel roof
Excavating and grading
Windows and doors
46 M hemlock lumber
5,000 ft. maple
floor
6 M matched pine
floor
1 M matched pine
floor
@ $0 .15 $1,575 00
560 00
10
384 00
190 00
400 00
500 00
18
82800
40
200 00
30
180 00
40
40 00
TRAVERSE CITY STATE HOSPITAL.
Carpenter work labor, nails and hardware
Machine belting and shafting
1 motor 30 H. P
Sewer connection
Wiring, electric lights
Heating and plumbing
69
$995 00
1,200 00
500 00
150 00
150 00
600 00
$8,452 00
V.
INDUSTRIAL BUILDING.
135 M brick in wall
2,770 ft. concrete wall
1,400 yds. plastering
2,400 ft. gravel roof
34 windows
16 windows
12 doors and frames
2,200 ft. cement
Excavating and grading
6 M ft. maple
flooring
3 M ft. matched pine
21 M ft. hemlock lumber
Painting
Carpenter work and labor
3 M finishing lumber
Sewer connections
Heating and plumbing
Hardware and incidentals
Wiring, electric lights,
floor
v
fixtures
@ $0 15 $2,025 00
20
554 00
35
490 00
120 00
15
520 00
05
80 00
15
170 00
08
176 00
125 00
45
270 00
30
90 00
20
420 00
200 00
1,200 00
50
15000
150 00
1,700 00
260 00
300 00
|9,000 00
VI.
FARM BARN.
46 M Brick in wall
4,400 ft. 6" tile surface
2,736 ft. cement
floor
3,500 ft. matched
flooring
26,000 ft. hemlock lumber
1,000 ft. lumber
40 Sqs. slate roof
1,500 ft. concrete wall
Painting
Cement plastering on walls
Hardware and incidentals
Carpenter work
Windows and' doors
Steel stalls, cork floor, mangers, etc
Ventilation
Electric lighting
Piping and drainage
@ $0 15
10
10
30
20
40
12 00
20 00
$690 00
440-00
273 00
105 00
520 00
40 00
480 00
300 00
125 00
100 00
150 00
500 00
125 00
850 00
200 00
50 00
52 00
$5,000 00
70
STATE OF MICHIGAN.
VII.
FENCING.
1,320 ft. iron fence in front of grounds
VIII.
f 1,500 00
LAUNDRY MACHINERY.
5 Washing Machines
Shafting, belting, installation, etc
$2,000 00
500 00
$2,500 00
IX.
GRATE FOR BOILER NO. 3.
1 chain grate for Boiler No. 3
$1,800 00
Ee-setting of Boiler and installation of grate, piping, labor,
etc. . . . . . . . . . . . . . . . . . . . . . .
700 00
$2,500 00
X.
ADDITION TO COLD STORAGE PLANT (ESTIMATES FRED W. WOLF CO.)
"One No. 2y2 brass fitted brine circulating pump, 3^" suction, 2%"
discharge, complete with base and directly connected to a 5 H. P.,
120-volt 1,100 R. P. H., D. C. motor.
We will include all brine mains between the three new rooms and the
new brine pump, also between new rooms and the present brine tank.
The old connections between pump and tank to be increased to suit the
new pump. A 3%" brine strainer will be furnished on pump suction.
Insulation for the three rooms as follows:
Watts: Against all outside brick or tile walls, except the front wall
of Boom "C" and on the partition walls, separating Rooms "A" and
"B," and "C", we will erect two course of 2" pure cork board in Portland Cement mortar.
On the front wall of Room "C", we will furnish and erect two course
of 3" cork board, both courses erected in Portland cement mortar.
Floors: The floors of the three rooms will be insulated with two
course of 2" pure cork board, laid in hot asphalt. All joints in the
second course will be broken with respect to all joints in the first course.
The upper surface will be flooded with hot asphalt, about %" thick
and a wearing concrete floor laid down directly on top. The floor will
consist of 2" of rough concrete and V of Portland cement finish, laid
directly on the top of the cork board.
Ceilings: The ceilings of the three rooms will be insulated with two
layers of water-proof insulating paper applied on the sheated ceiling, all
edges lapped at least 3", against which will be securely nailed one
course of 2" cork board, all transverse joints being broken. A second
course of 2" cork board will then be erected against the first in hot
asphalt cement and additionally secured to the first with galvanized
wire nails. All joints in the second course shall be broken with respect
to all joints in the first course. A Portland cement plaster finish will
be applied, approximately %" thick.
Plastering: All exposed surfaces of the cork board on the walls, partitions and ceiling, will be plastered with Portland cement mortar,
about V2" thick.
TRAVERSE CITY STATE HOSPITAL.
71
Dbors: We will furnish and set six cold storage doors 3' wide x 6'6"
high, Jones or equal, you to furnish the necessary door supports in the
tile walls.
All exposed brine mains will be insulated with approved cork covering.
Our price for the above material, delivered and installed, is four thousand seven hundred and seventy-five ($4,775.00) dollars."
In addition we estimate that brick work, electric lighting, sewer connections, water supply, labor, etc., will be about $725.00, making the
total cost for proposed cold storage |5,500.00.
XI.
INSTALLATION OF FIRE PROTECTION FOR FARM BARNS.
$8,000 00
RECAPITULATION.
Dining room
$14,125 40
Heating and Ventilating systems Cot. 24 and Cot. 26
12,000 00
Addition to dining room, north
2,394 75
Addition to dining room, south
2,394 75
Carpenter and paint shop
8,452 00
Industrial building
9,000 00
Farm barn
5,000 00
Fencing
1,500 00
Additional laundry machinery
2,500 00
New grate under Boiler No. 3
2,500 00
Addition to Cold Storage Plant
5,500 00
Fire protection for farm barns
8,000 00
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 OP CORRECTIONS AND CHARITIES,,
LANSING, MICHIGAN, November 6, 1914.
Dr. James D. Munson, Medical Superintendent, Traverse City State
Hospital, Traverse City, Michigan:
Dear Sir—The estimates of appropriations for the Traverse City
State Hospital for the biennial period ending June 30, 1917, as presented to the members of this board at the time of the inspection of
your Hospital on September 10, 1914, have been approved with the exception of item No. 7, the same being a request for an appropriationi
of $1,500 for 1,320 feet of iron fencing for front of grounds.
By order of the board.
Verv respectfully,
" JNO. N. McCORMIOK, .
Chairman.
72
STATE OF MICHIGAN.
CHAPEL SERVICES.
Religious services have been conducted regularly by the Chaplain, Kev.
D. Cochlin, assisted by Eevs. Mr. Slade, Mr. Irving, Mr. Lay and Mr.
Coates, all of Traverse City.
ACKNOWLEDGMENTS.
To all those who have in any way contributed to the welfare and comfort of our patients our best thanks are extended.
CONCLUSION.
In conclusion we may say that our relations with the State, with
other hospitals, with the county officials, etc., have been harmonious,
and there has been cordial cooperation between the institution and the
county and state officials in everything that pertains to the best interest
of the hospital.
As a Board, you have given unusual attention to the hospital and its
management, and it was due to your efforts largely that the right of
way for the side track was secured and railway connection accomplished between the hospital and the railroads entering Traverse City.
I am not unmindful of my obligations to you and to my associates on
the staff and to all the employes of the hospital. It is a matter of
great gratification to me to be able to state that there have been few
occurrences during the last two years that have required special attention at your hands. The hospital was never at a higher standard of
efficiency than it is at this time.
All of which is respectfully submitted.
J. D. MTJNSON,
Medical Superintendent.
Traverse City State Hospital, October, 1914.
TRAVERSE CITY STATE HOSPITAL.
73
OFFICERS AND EMPLOYES
OF THE TRAVERSE CITY STATE HOSPITAL, AND THE WAGES OR SALARIES PAID EACH, JUNE 30, 1914, AS REQUIRED BY SECTION
2, ACT 206, LAWS 1881.
Service.
Name.
A S Rowley
W D Mueller
G B. Pike
T. H. A. Tregea
Carl W. Nesbitt
C
B
0
S.
M Prall
P Burns
S Woodruff
G. Howard
Blanche Clark
Period.
Rate.
Medical superintendent
Asst medical superintendent
Assistant physician
Assistant physician
Assistant physician
S3 600 00
2,800 00
1 700 00
1 200 00
1 200 00
A=sistant physician
Steward
Chaplain
. . . Accountant
Assistant accountant
1 200 00
2,000 00
260 00
10G 00
85 00
Per month.
Chief engineer
Chief carpenter
1 600 00
1 200 00
90 00
70 00
1,200 00
Per annum. Non-resident.
Suoerin ten dent of nurses
Storekeeper
Edna Skinner
Dietitian
Druggist
Stenographer
Stenograph er
Stenographer
60
80
65
40
50
00
00
00
00
00
George Howarth
Clothing clerk
Clothing clerk
Isabel Vincent
Telephone operator
Telephone operator
40
40
36
18
18
00
00
00
00
00
Jennie E. Beals
Supt. of domestic art
Sewing room assistant
50
35
25
H
H
00
00
00
00
00
14
25
34
30
40
00
00
00
00
00
A
Attendant
. ,, , ,
Attendant
28
19
32
34
50
00
00
00
00
00
AtfaL™t
30
38
28
18
19
00
00
00
00
00
30
45
18
35
35
00
00
00
00
00
28
35
28
20
19
00
00
00
00
00
Carrie Fuller
Stella Swan
Rhea Hinsdill
Domestic
.
Housekeeper
Hattie Allen
L. E. Burt
Attendant
Attendant
Ilah Brittain
E. Gertrude Cook
Arthur J. Clark
Roy Carns
Nettie Cutting.
Essie M. Covev
Attendant
Aft rl t
Attendant
Attendant
Attendant
Attendant
Attendant
Attendant
Attendant
' '
Non-resident.
Per month. Non-resident.
Per month.
Non-resident.
Per month.
Resident.
Per month. Resident.
Per month.
Resident.
Per month.
Resident.
Per month.
Resident.
Per month. Resident.
Per month.
Per month.
Per month.
Per month.
Resident.
Resident.
Resident.
Resident.
STATE OF MICHIGAN.
OFFICERS AND EMPLOYES.—Continued.
Service.
Name.
Geo C Dell
Robt Dell
D S. Dean
G J Droat
Cook
Ray Elliott
Ethel Edwards
Clint Fox
Geo. Fate .
Bert Glass
Alvin Gilbert . . . .
Glen Ginther
Helen Glazer ...
W. J. Getchell
Edw. Guilfov
Gladys Hilton
Margai et E. Heator
Earl Hudson .
Libbie Howe
Attendant
Mrs. G. B. Howe
R. J. Hamilton
Birden Hubel
J. D. Hamlin
L.J.Hier...
. .
fifin. Hrrniriftfi
Katbryn Huff
Geo. R. Hockin
Clarence Horton
Lena Knight
Judith Kidder
Clara Krone
Ed. Krause
Hilda Moran
Blossom Morse
Attendant
Howard Lewis
Otis Leland
Cook
Period.
Rate.
Per month.
Resid
$20
56
26
51
20
00
00
00
00
00
45
46
30
35
18
00
00
00
00
00
65
50
20
26
50
00
00
00
00
00
46
22
32
38
26
00
00
00
00
00
36
61
50
20
46
00
00
00
00
00
32
32
20
32
19
00
00
00
00
00
Per month. Resid
19
24
32
20
20
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Resid
Resid
Resid
Reside
Resid
18
30
28
18
42
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Resid
Reside
Resid
Reside
Reside
40
28
20
46
18
00
00
00
00
00
Per month. Resid
Per month. Reside
18
28
50
46
18
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Reside
Reside
Reside
Reside
Reside
' 28
50
30
24
26
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Reside
Reside
Reside
Reside
Reside
40
30
18
18
19
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Reside
Reside
Reside
Reside
Reside
20
50
26
36
26
00 Per month. Reside
00 •Per month. Reside
00 Per month. Reside
00 Per month. Reside
00 Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Reside
Per month. Resid
Per month. Resid
Per month. Reside
TRAVEiRSE CITY STATE HOSPITAL.
75
OFFICERS AND EMPLOYES.—Continued.
Service.
Name.
P^ate.
Period.
$24 00
18
34
26
19
00
00
00
00
26
18
20
19
26
00
00
00
00
00
26
55
26
19
20
00
00
00
00
00
32
24
18
26
33
00
00
00
00
00
Glen Parks
30
55
26
32
42
00
00
00
00
00
Charlie P Randall
18
22
30
32
26
00
00
00
00
00
26
26
35
45
36
00
00
00
00
00
32
24
28
18
20
00
00
00
00
00
18
20
20
45
18
00
00
00
00
00
24
20
18
26
24
00
00
00
00
00
26
50
18
40
36
00
00
00
00
00
32
28
18
20
18
00
00
00
00
00
70
70
55
24
19
00
00
00
00
00
Mary McGill
. .
Edwin T Peterson
Daisy E. Slater
Mabel Miller
Eva O'Rorke
Mable Weiss
W E Vezina
Bertha C Peterson
V. A. Patrick
Cook
Will R. Steiglitz
. .
Frank H Snyder
Robert Shalda
Earl Sanford
Lvla Stieo-Htz
Inez Strickler
Lena M. Smith
C. P. Tobey
Charles E. Wilson
William J Weiler
Gladys Wing
Hattie Walsh . .
D. E. Ward
.
.
Cook
Alfred Walker
Winifred Westbrook
W. Bellau
Chef
Baker
STATE OF MICHIGAN.
76
OFFICERS AND EMPLOYES—Continued.
Name.
Robt F Herkner
Service.
Rate.
Butcher
Emery G Smith
Wayne Steele
Cook
Claude W Nelson
Cook . . .
Celia White
Mabel Schlei
Ethel Rinehart
Hazel White
Ida Richie
Hazel Wilbur
G E Ball
Pipefitter
Pipefitter
W Eraser
Plumber
Pipefitter
H Butrick
Pipefitter
.
....
Period.
$19
65
26
26
34
00
00
00
00
00
26
26
26
26
26
00
00
00
00
00
26
35
26
26
45
00
00
00
00
00
70
40
22
23
22
00
00
00
00
00
24
22
28
22
15
00
00
00
00
00
21
25
21
23
22
00
00
00
00
00
13
20
50
2
45
00
00
00
00
00
40
50
50
2
2
00
00
00
75
25
65 00
50 00
1 75
2 70
30 00
C C Cooper
Libbie Kelley
J 0 Edwards
J B King
R L Pennell
2
64
75
2
2
S H McMichael
Hans W Tobler
Hans Tobler
2 70
1 00
80 00
2 70
1 75
Albert Clous
C D Lyon
C Gabriel
Teamster
Teamster
John McGill
G W Burrett
.
00
90
00
70
70
29
60
29
46
41
00
00
00
00
00
Per month Non-resident
Per month Resident
Per month. Non-resident.
Per month Non-resident.
32
29
29
29
31
00
00
00
00
00
Per
Per
Per
Per
Per
month
month.
month
month.
month
Resident
Resident.
Resident
Resident.
Resident •
TRAVERSE CITY STATE HOSPITAL.
77
OFFICERS AND EMPLOYES.—Concluded.
Service.
Name.
T. P. Redding
S. Edgerley
D. W. Kelley
0. E. Hatch
Frank Steele
B. R. Mallory
...
....
J. W. Rinehart
R. W. Loeding
Homer Hall
Harland Beck
Carpenter
Period.
Rate.
$38
31
38
33
50
00
00
00
00
00
Per month.
Per month.
Per month
Per month.
Per month.
Non-resident,
Resident.
Non-resident.
Resident.
Resident.
29
60
29
29
29
00
00
00
00
00
Per month.
Per month.
Per month.
Per month.
Per month.
Resident.
Resident.
Resident.
Resident.
Resident.
29
33
29
29
2
00
00
00
00
70
Per month.
Per month.
Per month.
Per month.
Per day.
Resident.
Resident.
Resident.
Resident.
Non-resident.
1 75
2 70
2 70
1 75
1 75
60 00
Per day
Per day.
Per day
Per day.
Per day
Per month.
Non-resident.
Non-resident.
Non-resident.
Non-resident.
Non-resident.
Non-resident.
STATE OP MICHIGAN.
78
GEADUATES OF THE TEAVERSE CITY STATE HOSPITAL
TRAINING SCHOOL FOE NURSES.
1908.
Harry Baker.
Laura M. Bigbee.
Bennett P. Burns.
Lena Aldrich Covey.
Sadie L. Dockerty.
Anna Carrow Evans.
Mary Louise Fink.
Wesler 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 Eoest.
Lurene Shryer.
Lillian Faith Walsh.
Anna M. Warner.
Lucinda Hazel Wilson.
1909.
Margaret Clark.
Edna Crandall.
Gertrude Eamon.
Anna Hanson.
Thea Hanson.
Flora Hollister.
Cora Laisy.
Howard Lewis.
Euth Merrifleld.
1910.
Ray H. Buttars.
Loura 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 Angie 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 Eeynolds.
Mina Odolla Shearer.
1911.
Martha Clara Kitscher.
Nora Belle Eamon.
Lena Amelia Eude.
Matilda Delvena Send.
Alice Julia Thoreson.
Bertha Cornelia Peterson.
Hazel Erveilia Edgerley.
Marie Esther Orvis.
Gertrude Margaret Orvis.
Ada Julia Hall.
Eosetta Alston.
Essie Marie Johnson.
Grace Belle Alexander.
Effle Florence Grissinger.
George Oliver Zeigler.
Lee S. Swan.
George W. Ashby.
Leo. S. Chamberlain.
Perry A. Tobey.
Stephen H. Young.
TRAVERSE CITY STATE HOSPITAL.
1912.
_ T. , „
„., ,
Judith Evans Kidder.
Frances Edith SOBS.
Wilhelmma L. Oldenburg.
Daisy M. Lahr.
Alice A. Smith.
Mabel Cowles Willard.
Alma E. Leggett.
Emma Thum.
Otis H. Leland.
Pearl LaFern Emory.
Pearl Emily Tyler.
Laura M. Rude.
Julia Belle Carsten.
E. Margaret Mortenson.
Stephen A. Covey.
Anna Paulina Smith.
Nettie Beulah Nickerson.
Leonard A. Wright.
Emma E. Davis.
Effie Leona Bixby.
Glen L Ginther/
Hi]dur Hedenskog.
MatMa R Henschell.
1914.
Florence L. Vivian.
Ethel M. Edwards.
Lena N. Smith.
Kathryn B. Huflf.
Lyla Stieglitz.
Maggie E. Heator.
Matie Estelle Vincent.
Catherine Paffhausen.
Alice E. Hanes.
Euby Dale MacLean.
Grace L. Stieglitz.
Libbie Howe.
Flora Dorthy Goynon.
Dora Gordon Seaton.
79
APPENDIX.
11
ADMIRAL WALKER COLANTHA, No. 84481
Senior Herd Sire of the Traverse Herd
His weight at 3 years, 10 months, 2300 Ibs. The record cf his four nearest dams average:
Butter, 7 days, 32.83 Ibs.
Butter, 30 days, 131.85 Ibs.
APPENDIX.
The asylums of Michigan are organized and governed under organic law.
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 j
Trustees. (Section 8.) The counties comprising the district
of the Traverse City State Hospital are:
Alpena
Arenac
Antrim
Alcona
Benzie
Charlevoix
Clare
Crawford
Cheboygan
Emmet
Gladwin
Grand Traverse
Gratiot
Isabella
losco
Ionia
Kalkaska
Lake
Leelanau
Manistee
Mason
Mecosta
Midland
Missaukee
Montcalm
Montmorency
Muskegon
Newaygo
Oceana
Ogemaw
Osceola
Otsego
Oscoda
Presque Isle
Roscoinmon
Wexford
Provision is made by Section 7 for the transfer of patients Transfer from'
„
-i
i
ji
,
TJ_.
i
i one district to
from one asylum to another when conditions make such another.
transfer desirable.
12
84
Insane to be
committed to
asylum of
their district.
Classes of
patients.
Voluntary
patients.
Public and
private
patients.
Order void
after thirty
days.
Bonds.
Advance
payment.
New bonds.
Temporary
orders.
Transfer from
private to
public.
Non-resident.
Provisional
discharge and
readmission of
patients.
STATE OF MICHIGAN.
A patient is not to be committeed to an asylum of a district other than that of which he is a resident unless the
court adjudicates that there is no room in the latter, and
that there is in the former. (Section 8.)
Patients are divided into three classes: Public'patients,
private patients, and voluntary patients. (Section 13.)
Voluntary patients are patients who are not insane. They
are kept and maintained without expense to the State, but
cannot be received so long as there may be applications for
the admission of public or private patients not cared for because of lack of room. In other words, there must be room
for all others seeking admission before any voluntary patients can be received.
Sec. 14, Act 155, Laws 1911, as amended by Act 94, Laws
1913, "Provides that such persons as may have been or may
hereafter be adjudged to be so addicted to the excessive use
of intoxicating liquors, or narcotic or noxious drugs, as to be
in need of medical and sanitary treatment and care, for
whose person a guardian has or may be appointed with
power to restrain his said ward in some suitable hospital or
asylum for treatment."
Both public and private patients can be received only on
an order from a probate court declaring the patient insane
and stating the method of support,—whether public or private. Such an order is void unless patient is sent to the asylum within thirty days after it is issued. (Section 16.)
Besides the order of commitment from the court, there
must accompany a private patient a bond guaranteeing the
payment of his bills. The law (Section 16) makes it incumbent upon the court to see that this bond is furnished.
Until this bond is furnished the patient is regarded as a
public charge. There is also required an advance payment
of fifty dollars. Future payments are made at the close of
each quarter.
New bonds may be called for at any time by the medical
superintendent, and the law requires the court to see that
such new bonds are provided. (Section 16).
Provision is made (Section 16) for the reception of both
public and private patients on temporary orders wherever
conditions demand immediate attention.
Section 21 provides for the transfer of a patient from private expense to public expense where conditions warrant such
a change.
Section 30 provides for the temporary reception and care
of insane who are not residents of this State.
Section 32 provides for the return to the asylum without a
new order of patients who have been discharged on trial,
where the duration of the temporary absence does not exceed
six months.
TRAVERSE CITY STATE HOSPITAL.
85
The attention of county officers is particularly called to the insane women
provisions of Section 40 regarding the state of bodily cleanli'
ness and the clothing of patients brought to the asylum, and
more particularly to that clause of the section providing for
a female attendant for insane women.
In conveying a patient to the asylum do not deceive him. Removal of
Truth should not be compromised by professing a visit to the gome"ts 'rom
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 asylum 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 drawers, 4 pairs hose, 3 night-dresses, 3 cotton-flannel
skirts, 6 handkerchiefs, 4 collars, 1 pair shoes, 1 pair slippers,
1 shawl or cloak, 1 hat, hood or nubia, 4 aprons.
The outfit should be liberal when circumstances permit.
As nearly all the patients go regularly into the open air each
day, it is desirable that they be furnished with clothing of a
character to enable them to go comfortably in all weather,
and also to appear at little social gatherings. When desired,
articles of clothing, etc., will be furnished at the institution.
Jewelry should not be brought with patients. // such articles
are left in their possession the asylum cannot be responsible
for their safe keeping.
All letters concerning patients, from individuals having con-espondthe right to make inquiry, will be answered at once; and encefriends 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 reforded, 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
86
Visiting
patients.
Application
for admission
of patients.
STATE OF 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 brought to the asylum. A blank will be furnished
the friends which provides for a complete history of the patients trouble.
All correspondence in reference to patients should be addressed to Dr. James D. Munson, Northern Michigan Asylum,
Traverse City.
TRAVERSE PRINCE INKA LAD, No. 124590
Junior Herd Sire of the Traverse Herd
At 18 months of age, weight 1350 Ibs
His dam's 7 day record is 29.03 Ibs. of butter from 615.5 Ibs. of milk. Her semi-official yearly record is 940.8 Ibs. butter from 19,412.8 Ibs. of milk
INDEX.
THE NINE MISSES WALKER
First daughters of Admiral Walker Colantha, No. 84481
Their ages at time of photo ranged from 12 to 15 months
INDEX.
Accounts, abstract of
Accounts, current
Accounts, current, summary of
Acknowledgments
Additions to dining room
Admission of public patients
Admission of private patients
Admission of voluntary patients
Admissions and discharges. Table
Age of patients. Table
Age of patients discharged recovered. Table
Age of patients who died. Table
Alcoholic insanity
Appendix
Appointments, resignations, etc
Appropriations, report of
Carpenter and paint shop
Chapel
Civil condition. Table
Clinical and research work
Clothing
Cold storage plant, addition to
Cost of maintenance
Daily average of patients
Dairy barn
Deaths, causes of, etc
'
Death rate
Dementia praecox
Dietetics and food analysis
Domestic arts and sciences
Duration of residence of patients discharged. Table
Discharge of patients, readmissions, etc
Education. Table
Epidemic diseases
Epilepsy
Estimates of special appropriations
Farm and garden
P^encing
Fire protection for farm barns
Form of disease. Table
General dining room for cottages for men
Grate for boiler
Graduates of Training School
Heating and ventilating systems for cottages 24 and 26
Heredity. Table
Imbeciles and idiots
Improvements
Increase of patients
Industrial building
Infection and exhaustion psychoses
Insanity of patients discharged. Table
Inventory, summary of
'.
Page
25
28
32
74
19
84
84
84
37
60
65
66
43
83
23
21
18
71
60
12-13
85
20
15
16
19
38
16
48
8-9
11
65
16
61
13
57
66
21
20
20
41
18
20
78
19
59
42-55
16
14
19
45
64
36
90
INDEX.
Laboratory work
Laundry machinery
Lundvall treatment
Manic depressive insanity
Melancholia
Morphinism
Movement of population. Table
Names of officers and employes. Table
Nativity of patients. Table
Nativity of parents. Table
Needs of hospital
Neosalvarsan
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
Psychopathic states
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
Silver medal
Summary of causes of death. Table
Title and addresses
Training school for nurses
Transfer of patients
Tuberculosis in cattle.... :
:
Unclassified group
.-
Page
13
20
51
,.
53
55
44
37
73
62
62
18
48
59
12
61
5-6
46
52
14-15
14-15
58
21-71 .
25
85
17
37
71
7-24
25
33
32
63
64
22
38
3
12
14
22
59
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Paper booklet.
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