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BIENNIAL REPORT OF THE STATE HOSPITAL AT RALEIGH RALEIGH, N. C. JULY 1, 1926, to JUNE 30, 1928 RALEIGH Bynum Printing Company 1928 BOARD OF DIRECTORS OF THE STATE HOSPITAL AT RALEIGH, NORTH CAROLINA C. Felix Harvey. President Lenoir County Term expires April 1, 1921) W. G. Clark Edgecombe County Term expires April 1, 1929 I hi. J. C. Batjm Currituck County Term expires April 1, 1929 H. R. Dwire Forsyth County Term expires April 1, 1929 K. (). Burgwyn New Hanover County Term expires April 1, 1929 Dr. Leslie B. Evans Bertie County Term expires April 1. 1929 Daniel Allen Wake County Term expires September 24. 1929 Mrs. Marshall P. Williams Duplin County Term expires September 24. 1929 Dr. Thurman D. Kitchen Wake County Term expires September 24. 1929 EXECUTIVE COMMMITTEE Dr. T. D. Kitchen. Chairman C. Felix Harvey Dan Allen RESIDENT OFFICERS AND STAFF Albert Anderson. M.D Superintendent R. K. Adams, M.D Assistant Physician Julian W. Ashby, M.D Assistant Physician T. M. Jordan, M.D Assistant Physician J. F. Owen. M.D Assistant Physician T. L. Young, D.D.S .* Dentist E. F. McCord Steward SUBORDINATE OFFICERS Mrs. E. F. McCord Bookkeeper Miss Lillie B. Goodwin Steno. to Board and Private Secy, to Supt. Mrs. Pattie Bradshaw, R.N Superintendent of Nurses Mrs. Quessie Miller Matron Miss Annie J. Eagle Druggist R. M. Rothgek Engineer R. M. Brown Carpenter James Adams Florist, Farmer and Gardener LETTER OF TRANSMITTAL His Excellency, Governor A. "W*. McLean, Raleigh, N". C. My dear Sir : I have the honor to submit herewith a report of Dr. Albert Anderson, Superintendent of the State Hospital for the Insane, at Raleigh, North Carolina, for the biennium ending June 30, 1928, together with a copy of the audit. In behalf of the Board of Directors, I thank you for your hearty cooperation and support, as well as for the real interest which you have at all times shown in the Institution and in the welfare of its patients. Yery truly yours, C. F. Harvey, President Board of Directors. SUPERINTENDENT'S REPORT Mr. C. Felix Harvey, President, anil Members of the Board of Direc-tors of the State Hospital at Raleigh, N. C. Gentlemen :—I herewith hand you the biennial report of this Hos-pital from June 30th, 1926, to June 30th, 1928, as follows: STATISTICAL SUMMARY Table No. 1 Patients remaining June 30, 1926 Admitted during last two years (insane) Admitted during last two years (criminal insane) Total number under treatment Average daily population Recovered (insane) Improved (insane) Unimproved (insane) Transferred (insane) Died (insane) Discharged and transferred (criminal insane) Died (criminal insane) Total number discharged and dead Per cent of deaths on number treated Per cent of recoveries and improved on number admitted. Remaining June 30, 1928. Male 750 539 54 ,343 104 210 25 8 109 23 5 484 8.4 53 859 Female 755 451 4 1,210 68 196 48 1 80 2 395 6. 57 815 Total 1,505 990 58 2,553 1,553.5 172 406 73 9 189 25 5 879 7.6 55 1,674 All medical work covers four departments for two years as follows : the insane, epileptic, inebriate and criminal insane. Receiving Building (Female Department), Hospital Building and Dix Hill Training School have been under the medical service of Dr. J. W. Ashby. Receiving Building : Four hundred and thirty-eight patients were admitted during the period. Of this number, 193 were probated, 143 were transferred to other departments, 22 died, two committed suicide and 4 eloped. 68 patients were on hand July 1st, 1928. The two suicides were the first that have occurred in this department. A-ward has been set aside for the dangerous cases and a nurse is in charge all night and every effort is made to safeguard those who are suspected of having suicidal tendencies. 6 State Hospital at Raleigh Since the last biennial report, three rooms have been added to the building. The facilities, however, are inadequate to take care of the in-creasing demands for the admission of women patients. At this time we have 18 applications on file which were received during the month of June and we could not accept as there are not any vacancies. The Receiving Building has a capacity of 66 and transfers to the chronic department are necessary to relieve the congestion and to make space for new cases, but the chronic department has accepted very few trans-fers in recent months. We need additional space on the female depart-ment and in my opinion we should have an additional Receiving Build-ing in which noisy and disturbed patients can be kept and thus offer a more agreeable surrounding for those who have improved and those who are milder types of mental disease. Hospital Building : This building is under the direct supervision of the Superintendent of Curses and is for the care of medical and surgical cases of patients and employees. Each physician of the staff has direct responsibility of the patients from his department. During the two-year period, there were 25 major operations and 27 tonsillectomies. The number is less than usual. The Dix Hill Tkaining School : A training school for nurses is maintained in accordance with the requirements of the North Carolina Board of Nurse Examiners. There were eight graduates at the commencement on May 18th, 1928. The pupil nurses are required to be eighteen years of age and to be high-school graduates. One year affiliation with a general hospital is re-quired. The course of lectures for the school is given by the Superintendent of the Hospital, the staff members and the Superintendent of Nurses, and last year we were assisted by the firm of Drs. Wright, Hicks & Wilkins on Eye, Ear and Nose Nursing ; Dr. Hugh Thompson on Ortho-pedic Nursing, and Miss Welch of Meredith College on Dietetics. This valuable assistance made it possible for the school to comply with the curriculum of the requirements of the North Carolina Board of Nurse Examiners. The Chronic Female Department has been under the medical service of Dr. R. K. Adams since Dr. H. B. Brackin left our service for enter-ing the service of the Central State Hospital, Nashville, Term. The general health of the patients in this department has been good. There have been no epidemics and no suicides during the biennium and no fatal accidents. There has probably been more fractures among the low-grade and aged patients due possibly to the fact that the wards are more congested than formerly. All operations and major treat- State Hospital at Raleigh 7 ments have been given at the Hospital Building. Intravenous and intra-muscular treatments have been given in the Emergency Room on C-ward which is well fitted for this type of work. Repairs : T-ward, which was badly in need of repairs, has been overhauled. The old partitions have been removed, and new ones, of more substantial type, have been built. A new floor has been laid in the T. B. Ward and the second and third floors of the Main Building repainted. The Head Nurse's office has been repainted and the floor laid with linoleum. The porch on K-ward has been screened. Minor repairs, incident to the usual wear in a building of this kind, have been made. ~No new buildings have been built for this department during this period, although a building for low-grade and noisy patients was requested in 1926. New Buildings : This department is full to capacity and is probably too crowded on some wards. It is, therefore, absolutely necessary that additional room be provided within the near future. A new building to accommodate 100 low-grade and noisy patients is badly needed. Low-grade patients accumulate in mental hospitals due to the fact that their mental condi-tion prevents them from being taken home by relatives, and also to the fact that mental deterioration is a process that occurs in most of the psychoses, especially in dementia praecox, which psychosis alone probably constitutes from 20 per cent to 30 per cent of our total ad-missions. The T. B. Ward with a capacity of 18 beds is now filled. This build-ing, which is a frame structure, does not have a sitting room and the patients now either stay on the ward with the patients who are in bed, or else spend the time during the day in the small dining hall. It would be wise to build another ward, just like the present one, to the south of the present dining hall. The dining hall, which would then be between the two wards could be coin erted into a sun parlor and a better dining room constructed on the western side of the building. This building does not have sufficient porches and additional space of this kind should be provided. The Male Department for the mentally sick, both acute and chronic, the Criminal Insane and the Oaks Colony have been under the medical service of Dr. J. F. Owen. The general health of the patients of the Male Department has been good excepting for a minor epidemic of mumps and measles, which occurred during the months of February and March, 1928. These diseases affected a considerable number of our attendants, as well as a small number of patients. The source of this epidemic, as far as the 8 State Hospital at Raleigh measles was concerned, was traced to a newly admitted patient, who showed signs of this disorder after a period longer than the usual incu-bation time. The mumps was thought to have been brought in by an employee. Fortunately there were no complications from these diseases, and every one attacked recovered uneventfully. Vaccination against typhoid fever and smallpox has been carried out not only in all new admissions, but in cases of old patients who having been previously vaccinated, the immunity was thought to be sufficiently lessened as to make the patients liable to contract the above diseases. It is the custom, of course, to vaccinate against these disorders in cases where patients have been here for many years, whenever it is thought necessary. Hydrotherapy in the form of continuous baths has been employed to a certain extent, but we are sorely in need of a trained hydrotherapist. J^ot only is this method of treatment dangerous in untrained hands, but if not given properly, lessens the benefit to be derived. The new building for housing the male patients, erected after the fire, was opened May 31, 1928, and at the present time there remain very few vacancies. There is urgent need for a Receiving Building for the Male Department similar to the one now in use by the Female Depart-ment. This would relieve to a certain extent the crowded condition of the hospital, and would facilitate the handling and caring for newly admitted patients. Although, this is not absolutely necessary at the present time, it is felt that before the end of the next biennial period that additional room will be necessary to provide for the criminal in-sane patients. Owing to the laws governing the Criminal Insane De-partment, the population remains quite stationary, and the present quarters will eventually become inadequate. There has been a gradual increase in the criminal insane patients, so at the present time there are on the rolls 82 male patients and 4 female patients. During the last biennial period only 28 patients were discharged. From June 30, 1926, to June 30, 1928, 164 male patients, who were addicted to the use of drugs or alcohol, were admitted. The majority of these cases were probated after a period of 84 days of treatment, and a great number of them were returned from probation and treated under the same commitment. It may be seen from a perusal of the statistical report that there has been a gradual increase in the number of these patients treated within the past two years. During the months of June, July and August, Mr. Patrick H. Winston, a third-year medical student in the Medical College of Vir-ginia, helped with the work among the male patients and did a distinct service. The Male and Female Epileptic colonies have been under the medical service of Dr. T. M. Jordan. State Hospital at Ealeigh 9 Male Epileptic Colony : Number of patients at beginning of biennium 186 Number of patients admitted during biennium 77 Number of patients died during biennium 24 Number of patients discharged during biennium 33 Number of patients transferred during the biennium 10 Number of patients escaped during the biennium 32 Number of patients returned during the biennium 22 There have been no epidemics. With one case of pneumonia and one of Bright's disease, the prevailing cause of death was epilepsy. All patients immunized against smallpox and typhoid fever. Mental and physical examinations of all new patients have been reported and re-corded, and notations from time to time entered for all patients. In this department, during part of his vacation period, Medical Student, T. M. Goodwin, observed patients with epilepsy with the physician in charge, and made himself quite agreeable and helpful and rendered efficient and valuable service frequently. It is with pleasure I mention this fact, and commend his service. The physical equipment of the department is in good condition, and for the population now on hand is sufficient, except for single rooms for excited patients, and for which rooms heat and guards should be pro-vided. And in connection with this, would advise heightening of the smoke stack at Male Epileptic Colony to prevent the presence of soot that so much hinders the cleanliness of the dining room and attendants' quarters over the dining room and renders each so undesirable. Female Epileptic Colony : Number of patients at beginning of biennium 164 Number of patients admitted during biennium 83 Number of patients died during biennium 14 Number of patients discharged during biennium 33 Number of patients transferred during biennium 10 Number of patients escaped during biennium 4 Number of patients returned during the biennium 3 There have been no contagions. All patients immunized against smallpox and typhoid fever. One case of pellagra recorded, all other cause of death epilepsy. All new patients examined for mental and physical disorders and reports recorded. Notations of all patients re-corded now and then. The physical equipment is good, but there is still needed single rooms with heat for the restraint of excited patients. The following observa-tion is offered. A study of the last two years furnishes us ivith the fol-lowing deductions : Beginning the last biennium there were only twenty vacant beds and these in the Female Epileptic Department. These were soon occupied. 10 State Hospital at Raleigh Since then it has been possible to admit an applicant only upon death or discharge of a patient in either department. This has enabled the institution to provide only for the violent insane and court cases in part. Numbers of them, even at that, remaining in jail. During the last biennium more than fifty applicants have of necessity been denied ad-mission. Therefore, to provide for this annual overflow, even of the class of patients the State is now able to deal with, two hundred beds and accommodations should be early provided for. Then there will re-main that large number of children and young people in our State, incipient epileptics, now insane, and which are treated in schools for epileptics, in other states, and for which our State is yet to be awakened to the need of. Dr. T. L. Young, our Dentist, submits the following report : All new patients are seen soon after they are admitted. All old patients are gone over and all focal infection removed and teeth re-paired. The office is equipped with the Hitter Outfit and Wappler X-ray Machine. The following table will show the work that has been done : Patients seen 2,490 Extractions 2,892 Amalgam fillings 380 Cement fillings 347 Cleanings 980 X-rays 76 Synthetic fillings 116 Plates 53 Plates repaired 14 Bridges 5 The Laboratory work has been done by Miss Catherine D. Cox, our Technician, and she submits the following report : Urine analysis 2,223 Kidney functions 20 Blood counts 1,361 Blood specimens for YVassermann reaction 691 Blood chemistry : Tests for sugar 33 Tests for non-protein nitrogen 22 Tests for urea 12 Tests for chloride 8 Tests for calcium 20 Tests for cholesterol * 5 Tests for sugar tolerance 5 Gastric analysis 16 Sputum examined for tuberculosis 45 Bacterial vaccines 6 I'll Jill m Vmmmtimm. SiPillppllippfWJiBii 1 In^H^H^H^H State Hospital at Raleigh 11 Spinal fluid with cell counts, globulin, Wassermann and Colloidal Gold reactions 48 Feces examination 26 Vaccinations for typhoid and smallpox 725 Basal metabolic ratings 82 The Hospital service in all departments has been going smoothly along with only a few occasional disturbances. The department heads mostly have been loyal and faithful. The combined work of the Insti-tution has put our efficiency on a higher level every year. Many visitors of high authority on hospital work have commended our condition and service in superlative terms. We wish to thank members of our Advisory Board of Surgeons, both general and special, for their prompt and competent service whenever we called. On account of surgical emergencies we have been compelled to use our local members more than any others and they have responded to our calls in such a generous way as to deserve special consideration and thanks. Dr. E. J. Wood of Wilmington, a most distinguished member of our Advisory Board of Doctors, died September 17th, 1928. His death was a great loss to the State, as wrell as our Institution. The following are now members of our Advisory Board of Doctors and Surgeons : Dr. T. M. Green Wilmington Dr. J. F. Highsmith Fayetteville Dr. J. P. Monroe Charlotte h Dr. Foy Roberson Durham Dr. Hubert A. Royster Raleigh Dr. C. A. Woodard Wilson Dr. W. W. Green Tarboro Dr. Hubert Haywood. Jr Raleigh / Dr. T. C. Johnson Lumberton Dr. Chas. O'H. Laughinghouse Raleigh ', Dr. W. B. McNider Chapel Hill Dr. R. S. Beam Lumberton Dr. J. J. Murphy Wilmington Dr. S. D. McPherson Durham Dr. Jas. Parrott * Kinston Dr. Louis West Raleigh Dr. J. B. Wright Raleigh Dr. T. M. West Fayetteville Dr. Julian Baker Tarboro Dr. W. D. James Hamlet Dr. R. L. Pittman Fayetteville Dr. J. V. McGougan Fayetteville Dr. H. M. Baker Lumberton Dr. Jos. Tayloe Washington Dr. R. D. Jones New Bern Dr. T. D. Kitchen Wake Forest 12 State Hospital at Raleigh To the members of our Board of Directors, I wish to acknowledge in this public way my sincere gratitude for their personal friendship and loyal support, not only to the Superintendent, but every member has stood behind every employee writh such encouragement as to get the best possible service. Only in this way and by this spirit can we main-tain our efforts to reach our objective, "To make our Hospital equal to any and surpassed by none." Respectfully submitted, Albert Anderson, Superintendent. REPORT OF ENGINEERS The mechanical equipment work completed under our plans and supervision during the last two years is as follows : Mechanical Equipment Work 1926—Installation of radiators in Seventh Ward to replace those destroyed by tire $. 786.00 1927—Installation of two new 350-horse-power water-tube boilers with pipe connections, forced draft equipment and necessary auxiliaries 39,502.75 (This work cost $2,094.85 less than estimate given in our report in 1926, due to use of institutional help and other reductions.) 1927—Installation of heating equipment and connecting mains for new West Wing, North and Rear dormitories 32,303.98 (This work cost $593.19 more than estimate given in our report in 1926, due to extra for change in locations of indirect heaters, etc.) 1927—Installation of new underground hot-water heating mains ex-tending from power house to Male Tubercular Building, Seventh Ward, Female Tubercular Building and Erwin Build-ing, also domestic hot-water mains leading along the same lines, work done by institution's repair department 11,702.02 1927—One additional Patterson-Kelly hot-water heater and storage tank 1,925.00 1928—Installation of new electric generating equipment 16,205.20 1928—Renewal of hot-water lines to East Wing of Main Group, work done by institution's repair department 2,170.97 For recommendations and estimates for future mechanical equipment work, see previous communications on this subject. Respectfully submitted, Wiley & Wilson, Consulting Engineers. State Hospital at Raleigh 13 REPORT OF ARCHITECT Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C. Sir:—In the two years ending with June, 1928, that portion of the Hospital known as the West Wing was rebuilt and enlarged to replace the portion destroyed by fire. In rebuilding an enlargement was made and increased to space allotted to men to care for one hundred more inmates than before the fire, but no increase was made for the space allotted to women. The West Wing was completed on time as required by the contract and within the contract amount. The project is considered by many to be one of the best pieces of construction work belonging to the State. Aside from the rebuilding of the West Wing, I have no construction work to report, but your records will show that some repairs and alterations were made in some of the existing structures. From observation, I am convinced that the Institution is in need of an isolated colony for 100 women, also an enlargement of the Epileptic colonies for both women and men, increasing the capacity for 100 of each sex, and also the building of a general hospital which should be a part of every State institution of this character. Respectfully submitted, Chas. C. Hook, Architect. \ 14 State Hospital at Raleigh STATISTICAL SUMMARY Table No. 1 Patients remaining June 30, 1926 Admitted during last two years (insane) Admitted during last two years (criminal insane) Total number under treatment Average daily population Recovered (insane) Improved (insane) 1 Unimproved (insane) Transferred (insane) Died (insane) Discharged and transferred (criminal insane) Died (criminal insane) Total number discharged and dead Per cent of deaths on number treated Per cent of recoveries and improved on number admitted- Remaining June 30, 1928 Male 750 539 54 ,343 104 210 25 8 109 23 5 484 8.4 53 859 Female 755 451 4 1,210 68 196 48 1 80 2 395 6. 57 815 Total 1,505 990 58 2,553 1,553. 172 406 73 9 189 25 5 879 7. 55 1,674 Table No. 2 Showing the Number of Admissions and Discharges (Including Cures, Improved, Unimproved and Deaths) for Each Year Since the Opening of the Hospital cc C .2 "m oa '1 < Discharged Date 6 >c ft i— o G I. H 03 o3 <* C +^ Q o u ft .5 a: Q "5 o H C '2 £ 9} K 1856 90 96 57 83 76 61 44 41 40 41 65 85 72 27 27 44 43 50 44 42 44 52 42 45 5 15 26 22 23 21 17 9 14 9 15 13 18 7 7 9 14 17 13 16 11 13 14 14 3 10 7 11 22 4 2 4 7 1 4 5 7 3 4 5 9 6 8 5 6 8 11 4 2 7 9 10 23 8 15 21 27 45 14 21 17 7 9 8 8 13 16 14 9 15 19 13 10 38 51 50 73 47 42 41 55 74 47 52 53 19 22 31 55 41 39 40 29 39 54 33 80 1857 6 9 7 25 14 8 7 7 19 14 13 11 2 2 9 14 5 2 5 3 3 10 2 138 1858 141 1859 170 1860 179 1861 193 1862 195 1863 195 1864 189 1865 147 1866 165 1867 198 1868 217 1869 225 1870 232 1871 245 1872 233 1873 242 1874 247 1875 249 1876 264 1877 278 1878 266 1879 277 State Hospital at Raleigh Table No. 2—Continued c _c If. CO £ < Discharged Date 3O c t> o ft £ i— Uu 99 03 uH a C i— o u ft '5 08 aj P e8 c '5 £ 1880 56 49 50 53 106 97 95 74 80 93 75 88 93 97 92 137 160 182 190 169 192 143 163 141 187 151 143 208 137 237 487 336 262 324 372 316 274 222 191 245 182 286 198 865 1,120 1,048 17 10 16 17 27 41 17 17 37 52 30 45 57 46 50 62 96 99 115 105 119 100 150 55 121 15 113 11 160 6 239 31 293 41 280 5 106 7 27 2 8 1 77 156 145 172 7 3 5 43 16 12 36 2 14 9 17 10 12 17 3 7 12 10 6 4 3 5 1 10 12 2 5 6 3 2 3 2 55 2 46 25 230 16 214 48 209 8 140 275 501 406 7 2 18 63 9 9 28 3 11 1 16 2 4 29 23 17 9 11 24 20 8 18 25 26 24 21 28 19 41 44 28 27 53 31 41 33 28 29 16 28 45 41 43 55 64 110 69 82 77 90 79 109 59 51 73 37 203 215 194 60 38 56 132 62 86 101 30 80 87 79 81 94 91 75 114 159 145 161 168 154 147 186 105 240 77 154 75 209 60 324 123 467 127 423 115 432 105 350 114 270 84 309 703 937 879 273 1881 284 1882 278 1883 199 1884 243 1885 254 1886 248 1837 292 1888 292 1889 298 1890 294 18^1 301 1892 300 1893 288 1894_ 3 4 5 8 3 4 1 1 1 4 8 2 4 5 7 5 4 9 13 4 6 3 305 1895 328 1896 2 329 1897__ 364 1898 393 1899 2 390 1900 ._",_.. 424 190L. 420 1902 77 29 5 3 3 1 9 13 3 6 1 4 1 8 1 4 3 6 2 3 11 8 2 1 397 1903 433 1904 1905 380 454 1906 441 1907 574 1908 502 1909 677 1910 842 1911 1 , 055 1912 850 1913 1914 1915 1,057 994 1 , 195 1916_. 1,037 1917 1,154 1918 995 1919 5 1 ' 2 19 57 49 73 1,126 1920 1 1 , 069 1921 1,253 1922 (7 months) 36 8 25 34 4 2 1,160 1922-1924 1,322 1924-1926 1 , 505 1926-1928 1,674 Totals- 11,777 4,614 2,607 258 64 670 2,874 10,077 16 State Hospital at Raleigh Table No. 3 Showing Form of Insanity of Those Admitted During Past Two Years Epilepsy Dementia prsecox Manic-depress ve Senile dementia Psychoneurosis Psychosis due to pellagra Drug addiction and alcoholism Paranoid condition Exhaustive psychosis Toxic psychosis Constitutional psychopathic inferiority Involution melancholia Syphilis General paralysis of the insane Traumat ic psychosis Psychosis (type undetermined) Encephalitis Idi ocy Huntington's chorea Psychosis with other somatic diseases Psychosis with other brain and nervous diseases Psychosis with cerebral arteriosclerosis Psychosis with mental deficiency Without psychosis mental deficiency Korsekoff's psychosis Psychosis with hyperthyroidism Moron Hemiplegia Syringomyelia Psychosis with cardiorenal disease Paraplegia Delirium with pulmonary tuberculosis I mbecile Totals Male 71 89 57 15 4 9 163 6 1 14 22 2 12 1 13 3 2 1 2 1 24 23 3 1 Female 76 90 118 13 10 19 33 3 2 29 5 1 6 2 1 2 30 2 1 1 1 3 1 1 1 539 451 Total 147 179 175 28 14 28 196 6 3 1 16 51 7 13 1 19 5 3 1 2 1 26 53 3 1 2 1 1 1 3 1 1 1 990 Table No. 4 Showing Duration of Insanity of Those Admitted During Past Two Years Male Female Total Not to exceed 1 month .... 55 49 27 48 57 36 79 70 46 16 1 55 66 63 50 30 35 27 47 42 45 15 6 25 121 1 to 3 months .. 112 3 to 6 months .. 77 6 to 12 months . .. . .. 78 12 to 24 months. .. ...... ._______.__. 92 2 to 3 years . . .. . .. 63 3 to 5 years .. .. -- 126 5 to 10 years ._ . - 112 10 to 20 years 91 20 to 30 years . 31 30 to 40 years . 7 Unknown. . .. 80 Totals 539 451 990 State Hospital at Ealeigh 17 Table No. 5 Showing Age When Admitted of Those Admitted During Two Years From 1 to 10 years From 10 to 20 years From 20 to 30 years From 30 to 40 years From 40 to 50 years From 50 to 60 years From 60 to 70 years From 70 to 80 years Totals Malt 3 57 104 130 123 79 38 5 539 Female 451 Total 6 9 42 99 90 194 119 249 119 242 50 129 22 60 3 8 990 Table No. 6 Showing Civil Condition of Those Admitted During Past Two Years Male Female Total Single __ _ ... .- - - - -_ _- 233 276 30 132 269 50 365 Married .- ._.___. - - - 545 Widowed.- -- . _- __. __ - _-...- 80 Totals. 539 451 990 Table No. 7 Showing Residence of Those Admitted During Past Two Years Alamance- Alleghany. Alexander - Anson Ashe Avery Beaufort __ Bertie Bladen Brunswick Buncombe Burke Cabarrus. _ Camden... Carteret..- Caldwell.. Caswell ... Catawba. . Chatham Cherokee.. Chowan... Columbus. Craven 2 Male 14 1 3 8 1 13 2 4 2 7 3 3 1 5 4 2 4 5 2 3 6 Female 11 1 4 2 4 2 7 8 1 2 2 4 1 4 1 7 Total 25 1 4 8 5 2 17 4 11 10 8 3 5 3 9 5 6 5 12 2 3 14 9 18 State Hospital at Raleigh Table No. 7—Continued Clay Cleveland Cumberland Currituck Davie Davidson Duplilin Dare. Durham Edgecombe Franklin Forsyth Gaston Gates Graham Guilford _ . . Granville._ Greene Halfax.-.. Harnett Haywood __ Henderson. Hertford. _. Hoke Hyde.._. Iredell Johnston. Jones Jackson.. Lee Lenoir _ . Lincoln _ Madison Martin.. Macon McDowell Mecklenburg. Mitchell Montgomery Moore Nash New Hanover- Northampton. Onslow Orange Pamlico Pasquotank. . Pender Perquimans-- Person Pitt Polk Richmond ... Randolph Robeson Rockingham- Rowan.. Rutherford... Male 2 15 1 2 5 1 10 17 9 12 10 3 8 16 1 1 17 3 18 2 6 3 6 13 7 1 6 4 4 4 1 5 8 1 1 15 3 3 4 Female 20 1 1 5 22 4 7 2 5 7 10 3 10 19 1 2 3 4 1 17 o 8 12 1 3 5 1 5 9 10 5 1 10 3 3 2 5 8 1 3 14 1 1 Total 2 35 2 1 2 10 1 32 21 16 14 10 12 20 6 18 35 2 3 5 5 3 34 5 13 30 1 1 9 2 11 4 11 22 17 6 7 14 3 7 6 1 10 16 2 4 29 3 4 5 State Hospital at Raleigh 19 Table No. 7—Continued Male Female Total Sampson .. __ - __ 13 7 1 2 1 1 6 12 63 7 6 1 24 2 19 1 16 1 1 1 1 8 10 51 6 2 8 1 15 29 Scotland. . .. - 8 Stanly _. . __ _ 1 Stokes ._ _____ Surry _ .. _ . _ 1 Swain _ . _. _. .. .. 3 Transylvania .. _. _. 2 TyrrelL_ _ 1 Union __ _ .. __ - 14 Vance.. . . . 22 Wake 114 Warren.. ._ .... . . .. .. 13 Washington.. ._ ... ... ... 8 Watauga .. . . _ .. .. 1 Wayne _ _. . ._ ... 32 Wilkes 3 Wilson _.. __ ___ _..._ 34 Yadkin _ _ .___._ ___. ___ .. _ 1 Yancey . __ . . / Totals. __ . 539 451 990 Table No. 8 Showing Nativity of Those Admitted During the Past Two Years Male Female Total North Carolina. ._ ..... . ..... . . . . . . Germany .. _ ... ... ._ _________ 517 1 1 2 8 1 5 1 1 1 1 . 437 1 3 1 6 1 1 1 954 1 Tennessee.. .... . _ . ._ __._ ____ . ... 1 Georgia . _. ... _ __. _ _. _ .. .. 3 Virginia., _ _. .... .... 11 Pennsylvania. __ _ 2 South Carolina _ _ .. _ . ._ France. . . . ... . 11 1 Turkey _______ . ___ .... .. _ .. 1 Missouri ..__.. . . ___ __ _ 1 Delaware _ 1 Greece _ ... . 1 Illinois. ---.-. __. 1 New Hampshire __ _. _ _ 1 Totals 539 451 990 20 State Hospital at Raleigh Table No. 9 Showing Form of Insanity of Those Recovered Manic-depressive psychoses - Drug addict and alcoholism Involution melancholia Psychoneurosis Psychoses with pellagra Exhaustive psychoses Psychoses with psychopathic personality Totals Male 102 1 1 104 Female 33 27 4 1 2 1 68 Total 33 129 4 1 3 1 1 172 Table No. 10 Showing Duration of Insanity of Those Recovered During Past Two Years 1 to 3 months. 3 to 6 months. 6 to 12 months 1 to 3 years 3 to 5 years. .- 5 to 10 years .. 10 to 20 years . 20 to 30 years . Totals- Male 11 2 5 14 31 23 15 3 104 Female 26 11 1 10 10 2 4 4 68 Total 37 13 6 24 41 25 19 7 172 Table No. 11 Showing Cause of Death of Those Who Died During the Past Two Years Pul monary tuberculosis Lobar pneumonia Broncho pneumonia Exhaustion from epilepsy _ Cardio renal disease Cerebral hemorrhage Exhaustion from senile dementia Exhaustion from manic-depressive insanity Pellagra General paralysis of the insane Suicide by hanging Suicide by strangulation Valvular disease of the heart Exhaustion from involutional melancholia . Exhaustion from dementia precox Exhaustion from Huntington's chorea Exhaustion from mental disease Cancer of breast Arteriosclerosis Cerebro spinal syph lis Myocarditis Gastro enteritis Male 3 4 4 12 4 4 4 7 4 2 3 1 4 1 17 4 1 4 1 Female 9 2 2 6 7 2 2 11 1 2 2 1 4 6 1 1 2 Total 12 6 6 18 11 4 6 2 18 5 4 2 3 2 8 1 23 1 5 1 6 1 State Hospital at Raleigh 21 Table No. 11—Continued Diarrhea Hemiplegia Exhaustion following dysentery Hemorrhage and peritonitis Interstiti an nephritis Acute dilatation of heart Acute pulmonary congestion Mitral regurgitation Uremia Multiplesclerosis Psychosis following encephalitis lethargica Peritonitis . _ Neuro-syphilis Intestinal obstruction Exhaustion from psychosis (type undetermined) Cardio respiratory failure .. Killed by train Angina pectoris Hypertrophic cirrhosis of liver Shock following operation for ventral hernia Status epi lepticus Accident—patient fell during convulsion, never rallied Aortic regurgitation Erysipelas Chronic nephritis Fracture of base of skull from fall Ruptured gastric ulcer Totals Male 109 Female 1 2 2 1 1 1 5 1 1 1 1 1 1 80 Total 189 Table No. 12 Showing Form of Insanity of Those Who Died During the Past Two Years Traumatic psychoses Senile psychoses Psychoses with cerebral arteriosclerosis.. General paralysis of the insane. Psychoses with cerebral syphilis Psychoses with other brain or nervous disease Alcoholic psychoses Psychoses due to drugs. Psychoses with pellagra.. Psychoses following encephilitis Psychoses following influenza Manic-depressive psychoses Involution melancholia Dementia prsecox (schizophrenia) Epileptic psychoses Psychoses with psychopathic personality Psychoses with mental deficiency Imbecile Undiagnosed psychoses Totals Male 1 16 8 5 1 1 1 4 1 1 10 8 13 29 2 3 1 4 109 Female 14 2 1 1 1 7 6 6 20 15 2 5 80 Total 1 30 10 6 2 1 1 1 11 1 1 16 14 33 44 2 5 1 9 189 22 State Hospital at Raleigh Table No. 13 Showing the Age at Death op Those Who Died During the Past Two Years From 10 to 20 years From 20 to 30 years From 30 to 40 years From 40 to 50 years From 50 to 60 years From 60 to 70 years From 70 to 80 years From 80 to 90 years Totals Male 109 Female 8 1 9 11 14 25 14 17 31 22 21 43 25 8 33 19 9 28 8 6 14 2 4 6 80 Total 189 Table No. 14 Showing Length of Time Spent in Hospital of Those Who Died Durtng the Past Two Years Male Female Total Less than 1 week. ._ . . . 3 12 10 5 11 15 16 15 10 4 7i 1 5 15 5 4 6 15 5 8 4 8 3 2 8 From 1 to 4 weeks .. 27 From 1 to 3 months - - 15 From 3 to 6 months 9 From 6 to 12 months.. .- ._ ... 17 From 1 to 3 years. .. ... .. 30 From 3 to 5 years . --- -- 21 From 5 to 10 years ... _ . _. 23 From 10 to 15 years - .._. - - _- -- - -- 14 From 15 to 20 years _ -. -- - 12 From 20 to 30 years ... 10 From 30 to 40 years. - _ - - 1 From 40 to 50 years - - - - - -- 2 Totals 109 80 189 Table No. 15 Showing Residence of Those Remaining in Hospital Male Female Total Alamance . - -- 28 1 4 5 4 1 15 5 15 4 6 7 6 1 1 26 2 1 2 4 1 19 13 16 1 9 5 5 3 54 Alleghany .. - 3 Alexander . . - .. . ._ 5 Anson ........ .. - 7 Ashe .. ._ 8 Avery ._ - 2 Beaufort . .. .. 34 Bertie .- 18 Bladen .. 31 Burke . . 5 Brunswick ' 15 Buncombe .. 12 Cabarrus . . 11 Camden 4 Clay.. 1 State Hospital at Raleigh 23 Table No. 15—Continued Male Female Total Carteret . 13 9 3 7 8 1 8 2 10 30 3 1 1 12 4 32 25 16 13 1 1 15 16 5 3 20 17 3 6 5 5 5 32 5 1 6 17 6 6 2 2 17 3 3 4 1 19 23 11 11 8 3 14 6 3 10 9 21 11 9 2 13 2 1 13 15 28 3 3 2 17 31 12 17 4 3 15 8 11 1 19 22 3 6 6 7 3 28 4 10 11 1 9 2 13 4 1 2 1 14 21 9 9. 12 8 5 6 4 8 13 22 24 Caswell . _ . 18 Caldwell 5 Chatham . „ .. 20 Chowan : .. 10 Cleveland . __ 2 Columbus _. .. ... _ . ... ... ... __ . 21 Cherokee . . . .. 2 Craven . . 25 Cumberland _ . 58 Currituck _ _ 6 Dare .. . 4 Davie .... .... 3 Duplin .. 29 Davidson... . _ ... . .. 4 Durham .-...__._ 63 Edgecombe _. .. . .. . . 37 Franklin. ..... .. ...... .. ..... 33 Forsyth ... _ . ....... ._ 17 Gates _ . 1 Gaston .. .. . _ 4 Guilford 30 Granville... ._ _ ..._..._..._.. 24 Greene. ... ... . . . . 16 Henderson. .. .. _. 4 Halifax _. .. . ... . . 39 Harnett,. -.--.. 39 Hertford ._ ... ... . . 6 Haywood. _. ... ... ... 12 Hoke . 11 Hyde . 12 Iredell . . . 8 Johnston: . ... .. . .. . . 60 Jones ............ _ .. 9 Jackson ... ... ... ... _ 1 Lee 16 Lenoir _. . ... ... 28 Lincoln.. 4 Martin .. . . ... . 15 Macon. .. _. 4 McDowell 2 Moore - ....... . . 30 Mecklenburg.. .. 7 Montgomery _ 4 Madison _ . 6 Mitchell 2 Nash .. .. 33 New Hanover _ . ....... 44 Northampton.. _ 20 Onslow. . . ... 20 Orange... 20 Pamlico ... . 11 Pasquotank . .. 19 Pender 12 Perquimans.. . .. . 7 Person 18 Polk Pitt. 22 Robeson 43 24 State Hospital at Raleigh Table No. 15—Continued Male Female Total Rowan _ __ _ __ _ . 2 3 8 7 3 18 3 10 3 2 2 1 2 13 77 12 4 22 2 16 2 3 4 1 5 6 2 1 20 1 9 1 1 1 9 9 68 1 10 2 28 4 20 2 1 2 3 Randolph _________ 8 Rockingham. - 14 Richmond _ _ ______ 9 Rutherford __ _. ____ 4 Sampson. __ _ _ __ ... 38 Stanly ___ _____ - 4 Scotland . _ _ ____ 19 Surry 3 Stokes.. _. _ _ 3 TyrrelL. _ _ __ 3 Transylvania __ __ . _ __ 2 Union _ _ ._ ... _. 11 Vance _ _ _. . 22 Wake 145 Swain _ ______ 1 Warren __ _. .... 22 Washington.. .... ..... ._ 6 Wayne _. 50 Watauga . ... __ 6 Wilson _ _. 36 Wilkes.. 4 Yancey _ _ .... 4 Yadkin .. .. . 6 Totals 859 815 1,674 Table No. 16 Applications on File Insane Epileptic Total Male Female Male Female Alamance 9 2 4 8 2 19 Alexander _ . 2 Anson 4 Avery _ 2 2 Ashe. . _ . . Beaufort 6 4 3 1 14 Bertie. . _ Bladen 7 2 10 3 1 2 1 2 11 Brunswick. . ._ 5 Buncombe.. 4 1 1 1 16 Burke... . 1 Cabarrus _ 2 1 1 1 4 Caldwell 3 Carteret 4 2 3 3 2 1 9 Caswell 6 Catawba . 6 6 Chatham 2 7 9 Cherokee _ 1 1 Chowan 1 2 3 Clay 1 State Hospital at Raleigh 25 Table No. 16—Continued Insane Epileptic Male Female Male Female Total Columbus 3 5 23 4 3 15 2 7 Craven . . _. 1 2 9 Cumberland- 40 Currituck 2 Dare. Davidson 1 1 Davie. .. 1 1 Duplin. Durham 6 23 4 2 8 7 6 16 3 1 1 13 1 1 2 41 Edgecombe 8 Forsyth.. 5 9 Franklin 3 5 2 7 2 4 5 5 11 Gaston 3 1 16 Gates 2 Granville ... 9 4 15 12 8 16 Greene _ 6 Guilford 3 1 23 Halifax 17 Harnett . 13 Haywood. Henderson 1 1 Hertford 2 3 2 Hoke 4 2 7 Hyde 2 Iredell Jackson 1 1 1 Johnston _. 9 3 1 15 7 1 3 2 3 1 20 Jones ... 6 Lee 4 Lenoir 7 23 Lincoln .. .... Macon... 2 2 1 2 Madison . . 3 Martin . 6 17 4 5 10 Mecklenburg 5 2 2 29 McDowell 2 Mitchell Montgomery ._ 1 1 Moore . .. ... 3 9 14 4 4 2 3 3 1 3 5 12 8 2 3 1 1 2 1 1 12 Nash 1 13 New Hanover 17 Northampton 1 6 Onslow. _. 5 Orange 1 1 6 Pamlico 3 Pasquotank 2 3 2 5 3 5 Pender . 4 Perquimans . 5 Person _ 10 Pitt.. . 1 16 Polk Randolph . .. 2 2 9 Richmond 1 3 Robeson . _ 12 1 10 1 1 22 Rockingham 1 2 3 3 Rowan 3 Rutherford 1 4 2Q State Hospital at Raleigh Table No. 16—Continued Insane Epileptic Total Male Female Male Female Sampson _ _ 7 5 8 3 2 2 3 2 1 1 18 Scotland . 10 Stanly 3 Stokes. 2 Surry ______ _ 1 Swain... .... . . Transylvania- . _ ... 1 1 3 1 Tyrrell 1 Union _____ 4 5 23 4 4 2 2 1 9 Vance ... _ . 7 8 2 1 14 Wake 2 34 Warren . _ _________ 6 Washington... _ . 5 Watauga _. _ _ 2 2 1 4 Wayne ... . . 12 5 18 Wilkes 1 1 3 1 Wilson- 4 8 1 2 14 Yancey. _ ... _.. 5 Totals _ 382 230 98 41 751 • STEWARD'S REPORT Dr. Albert Anderson, Superintendent, and the Honorable Board of Directors, State Hospital at Raleigh. Gentlemen :—I have the honor to submit to you the Biennial Report of the Steward covering the two years ending June 30, 1928. The following reports of the various activities of the institution oper-ating under the supervision of the Steward are attached : Farm, Garden and Dairy—Jas. M. Adams, Superintendent. Engineering Department—R. M. Rothgeb, Chief Engineer. Carpenter's Department—R. M. Brown, Head Carpenter. Housekeeping, Center Building—Mrs. Quessie Miller, Matron. Clothing—Mrs. Josephine Thomas, Clothing Supervisor. Art Room and Cabinet Shop : Work done by patients—Ella N. Thompson and Etta Travis, Directors. A combined report of the audit had of the accounts for the Biennial is also submitted. The above activities were under the supervision of my worthy pre-decessor, Miss Mary S. White, who served this institution creditably for twelve years. I wish to acknowledge and thank you members of the board, for your unfailing interest taken in our work and for your valued council, always so willingly given. To our Executive Committee I extend my sincerest thanks for the interest manifested in our institution and for the courtesies extended to me personally. Eurther, I should like to commend highly our employees, who have been faithful, as a whole, in the discharge of their duties in the various departments, for the loyal and efficient manner in which they have carried on their work. Respectfully, E. F. McCord, Steward. Mr. E. F. McCord, Steward, State Hospital, Raleigh, N. C. Dear Sir :—I hereby submit a summary of the past two years, ending- June 30th, 1928 : Respectfully submitted, James Adams, Supervisor. 28 State Hospital at Raleigh REPORT OF FARM AND DAIRY PRODUCTS For Year Ending June 30th, 1927 Quantity Price Total Apples '_ 950 bushels @ $ 1.25 $ 1,187.50 Lima beans (green) _ 235 bushels @ 3.20 752.00 Snapbeans 1,218 bushels @ 1.00 1,218.00 Beef 7,255 pounds® .11 798.05 Beets 373 bushels® .60 223.80 Cabbage 33,262 heads @ .08 2,660.96 Collards 13,641 heads @ .08 1,091.28 Cantaloupes.. 7,654 @ .03 229.62 Cucumbers 458 bushels @ 1.00 458.00 Chickens... 445 pounds @ .25 111.25 Spring chickens 1 , 105 pounds @ . 35 386. 75 Eggs 2,731 dozen @ .40 1,092.40 Grapes 92 bushels @ 1.50 138.00 Leeks 15 bushels @ 1.00 15.00 Milk . 68,721 gallons @ .40 27,488.40 Lettuce . 2,565 heads @ .05 128.25 Onions 101 bushels @ 1.00 101.00 Peas (English) 111 bushels @ 3.20 355.20 Peas (dry) 1,040 bushels @ 3.00 • 3,120.00 Peas (green) 148 bushels @ 3.20 473.60 Pepper strings 12 @ .15 1.80 Peaches 429 bushels @ 1.00 429.00 Pork 49,864 pounds® .15 7,479.60 Potatoes, sweet 4,055 bushels @ 1.50 6,082.50 Potatoes, Irish 697 bushels @ 1.50 1,045.50 Radishes 35 bushels ® 1.00 35.00 Roasting ears . 2,372 dozen @ .25 593.00 Salads 1 2,237 bushels @ .60 1,342.20 Salsify ._ 10 bushels @ 1.25 12.50 Sage 6 pounds® .60 3.60 Squash 491 bushels @ .60 294.60 Plums 2^ bushels® 1.50 4.25 Strawberries 5, 600 quarts® .15 840.00 Tomatoes 566 bushels @ 1.00 566.00 Turnips . 470 bushels ® 1.00 470.00 Watermelons 4,044 ® .10 404.40 Corn 8,741 bushels® 1.00 8,741.00 Corn (ensilage) 437 tons @ 3.50 1,629.50 Corn (fodder) 10 tons @ 25.00 250.00 Hay.. 275 tons @ 25.00 6,875.00 Wheat 1,600 bushels® 1.25 2,000.00 Wheat straw 30 tons @ 10.00 300.00 Wool 264 pounds @ .40 106.55 Oats 1,200 bushels @ .80 960.00 Onion sets 30 bushels @ 4.00 120.00 Manure 1,270 loads @ 2.00 2,540.00 Sales of hides and livestock... 69.63 Sales of wood 855. 96 Miscellaneous sales 94. 88 Total $ 86,175.53 State Hospital at Raleigh 29 REPORT OF FARM AND DAIRY PRODUCTS For Year Ending June 30th, 1928 Quantity Price Total Apples.... 989 bushels @ $ 1.00 $ 989.00 Snapbeans 1 , 085 bushels @ 1.00 1,085.00 Lima beans (green).. 180 bushels @ 3.20 576.00 Lima beans (dry) 4 bushels @ 3.20 12.80 Beef 11,720 pounds @ .11 1,289.29 Beets 195 bushels© .60 117.00 Corn (roasting ears) 4,458 dozen @ .25 1,114.50 Corn 6,300 bushels @ 1.25 7,875.00 Cabbage 18,778 heads @ .08 1,502.24 Collards 6,865 heads @ .08 549.20 Carrots 10 bushels @ .60 6.00 Cantaloupes. 4,100 @ .03 123.00 Cucumbers 297 @ 1.00 297.00 Chickens , 1,163 pounds® .25 290.00 Chickens (fryers) 840 pounds @ .35 294.00 Eggs 2,688 dozen @ .40 1,075.20 Grapes 178 bushels @ 1.50 267.00 Hay 194 tons @ 25.00 4,850.00 Leeks 418 bushels @ 1.00 418.00 Milk 77,077 gallons @ .40 30,830.00 Okra. 649 bushels @ .60 389.40 Onions 80 bushels @ 1.00 80.00 Onion sets 52 bushels @ 4.00 208.00 Oats 935 bushels @ .80 748.00 Peas (dry) : 307 bushels @ 2.00 614.00 Peas (English) 259 bushels @ 3.20 928.80 Peaches 135 bushels ® 1.00 135.00 Pork 60,228 pounds® .15 9,034.20 Potatoes, Irish 1,066 bushels @ 1.50 1,599.00 Potatoes, sweet . 4,225 bushels @ 1.00 4,225.00 Salad 3,622 bushels @ .75 2,716.50 Squash 1,277 bushels @ .50 638.50 Strawberries 7,232 quarts @ .10 723.10 Tomatoes 1, 151 bushels @ 1.00 1,151.00 Turnips 703 bushels @ 1.00 703.00 Salsify _ 29 bushels @ 2.00 58.00 Plums 5 bushels @ 1.50 7.50 Parsnips 112 bushels @ .60 67.20 Lettuce 2,081 heads @ .10 208.10 Pepper 19 bushels @ 1.00 19.00 Radishes 35 bushels @ 1.00 35.00 Watermelons 2,755 @ .05 137.75 Wool.. 300 pounds @ .40 120.00 Sale of wood 1,126.00 Sales of hides and livestock 1,038.99 Miscellaneous sales 13. 00 Manure 1,285 loads @ 2.00 2,570.00 Total $ 82,854.27 DEPARTMENT REPORTS REPORT OF ENGINEER Mb. E. E. McCoed, Steward, State Hospital, Raleigh, N. C. Deab Sib :—The report of the Engineering Department for the Biennial 1926-28, is completely covered by the several reports of Mr. H. L. Marlowe, Chief Engineer over this period of time, to Miss Mary White, Stewardess. Copies of these reports are attached hereto. Yours very truly, E. M. Eothgeb, Chief Engineer. Miss Maby White, Stewardess, State Hospital, Raleigh, N. C. Deab Madam :—The following is a report of new and major repair work which has been done by the Engineering Department during the six months, ending December 31st, 1926 : 1. Removed old cast-iron sewer main from boiler room which necessi-tated the installation of 250 ft. 6-in. terracotta surface drain line, and 200 ft. 4-in. sanitary sewerage line. Cost of material for these items approximately $ 125.00 2. Put in 160 ft. 6-in. cast-iron water main around basement of North Dormitory. Cost of material for this work 210.00 City Water Department proposed to make this installation for the sum of $300.00. 3. Installed 50 ft. 4-in. cast-iron sewer line under dormitory of Male Epileptic Colony. This work was done with old material sal-vaged from other installations. 4. Installed 60 ft. 5-in. galvanized pipe for underground drain line from blow off tank in boiler room, also necessary underground drip lines in connection with new boiler installation. This work was done by the Engineering Department at a cost of 110.00 5. Installed surface drain in front of Criminal Building and con-nected down spout drains into surface drain line which had not been completed after the construction of this building. Material used : 200 ft. 6-in. terracotta and 100 ft. 4-in. terra-cotta pipe. 6. Renewed 1%-in. steam, 1-in. return, and 1*4 -in. hot water lines from rear of Receiving Building to man-hole in front of Mrs. Brooks' cottage, a distance of 160 ft. Cost of material for this work approximately 180.00 7. Installed elevator for unloading coal. Cost of material 100.00 8. Renewed 140 ft. l^-in. domestic hot-water line in basement of Receiving Building. Cost approximately 80.00 9. Renewed 10 new closets throughout hospital. Cost of fixtures 240.00 10. Cut opening in brick stack in connection with new boiler installa-tion. The proposed contract price of cutting opening was $663.00, whereas the Engineering Department did the work as proposed by contractor, bricked up old opening and patched foundation wall Male T. B. Building at a cost not to exceed.... 100.00 State Hospital at Raleigh 31 11. Made all necessary alterations and installation in connection with electric driven fan unit in boiler room with the exception of switchboard and electric wiring which was furnished and in-stalled under contract. 12. Installed 10 floor drains in basement of T-ward connecting same to sanitary sewer. Cost of material for this work approximately $ 130.00 13. Installed 80 new stanchions in cow barn. 14. Installed 700 ft. underground, 2300 volt, electric line from man-hole near Superintendent's residence to transformer house, rear of Dr. Brackin's residence. Built transformer house and in-stalled transformer. Cost of installation 527.00 15. Completely overhauled engines in three tractors and one truck. 16. Completely overhauled ice plant equipment. 17. Renewed all defective radiator trap bellows in hospital at a cost for material of 254.00 Installation of new hot-water heating system, domestic hot- water lines and steam return lines to Erwin, Male and Female T. B. buildings, and 7th, 8th. 9th, and 10th wards, as per plans and specifications furnished by Messrs. Wiley & Wilson, Consulting Engineers. The cost of the material for the completion of this work was approximately $6,500.00, including labor expendi-ture $368.80. The above work has been done in addition to our regular maintenance work. Respectfully submitted, H. L. Marlowe, Chief Engineer. P. S.—Omitted from above : installed three plumbing fixtures in rear dormitory, connecting same to sewer and running all necessary water pipes. Cost of material $125.00. Price proposed by contractor for material and labor $250,00. Miss Mary White, Stewardess, Stale Hospital, Baleigh, N. C. Dear Miss White :—The following is a report of new and major re-pair work done by the Engineering Department from January 1st, 1927, to December 9th, 1927 : 1. Installed 500 sq. ft. steam radiation on 7th Ward porch. This was an entire new installation. Cost of material for this work $ 400.00 2. Installed 224 sq. ft. steam radiation in sun parlor of Hospital Building. This was a complete new installation. Cost of material for this work 125.00 3. Installed 600 ft. 6-in. cast-iron sewer main and constructed two man-holes for same at Oaks Colony. This installation was done to replace old terra-cotta line which had become unserviceable through years of service. Cost of this work was approximately 400.00 4. Installed two new closets in court yard at Male Colony. Cost of fixtures and plumbing supplies for this work approximately.... 125.00 5. Connected all down-spouts to surface drain lines and laid approxi-mately 1.000 ft. of 4 and 6-in. terracotta pipe around new West Wing. North and Rear dormitories. Cost of material for this work was approximately 385.00 32 State Hospital at Raleigh 6. Installed new 2,000 gal. Domestic hot-water tank in tank room near Machine Shop as per plans and specifications furnished by Wiley & Wilson, Consulting: Engineers. This work completed at a cost of $1,897.24 7. Installed 350 ft. 5-in. domestic hot-water distributing main under Center Building. Cost of material for this work was approxi-mately 554.00 8. Completely overhauled all hot-water radiation in 7th, 8th, 9th, and 10th wards ; also installed four three-section automatic Ebinger range closets, which necessitated changing all sewer lines to a larger size. Cost of material for this work was approximately 900.00 9. Installed four Bailey boiler meters including multi-pointer gauge, etc., in boiler room of Main Plant. Meter equipment was pur-chased under contract. Installation made by Engineering De-partment. 10. Painted engine room and pump room of Main Plant. 11. Have completely overhauled Laundry equipment at a cost for material of approximately 175.00 12. Have completely overhauled Packard and G. M. C. trucks. All labor was furnished by this department with the exception of some carpenter work which was done by others. Cost of material for this work was approximately 170.00 13. Foundation for new Harrisburg engine in power plant is now about 75 per cent complete. This work is being done as per plans and specifications furnished by Wiley & Wilson, Con-sulting Engineers, and is estimated to cost complete 1,000.00 All work is being done by this department. 14. Pole line to outlying colonies is now completed at a cost of 1,500.00 15. Completely overhauled Freek Ice Machine at a cost of 600.00 16. Completely renewed all domestic hot-water lines on Female side as per plans of Messrs. Wiley & Wilson, at a cost of 2,019.00 17. 500 sq. ft. radiation installed in Female T. B. Ward. 18. Completely rebuilt 3 bathrooms : one at G-ward, one at Female Epileptic Colony, one at Oaks Colony. There are numerous small items which the writer has omitted and classified with regular routine of operation and maintenance. Respectfully submitted, H. L. Marlowe, Chief Engineer. CARPENTER'S REPORT Mr. E. P. McCord, Steivard, State Hospital, Raleigh, N. 0. Sir :—I hereby submit to you the record of work done in the Car-penter and Paint Department from June 30, 1926, to June 30, 1928 : Put down pine floor in entrance hall, sanded and varnished same at Receiving Building. Built fence in open shed at dairy barn. Sanded and varnished third floor of Central Building. Screened Cannery. Ceiled strong room and made two window guards at Female Epiletic Colony. State Hospital at Raleigh 33 Laid concrete road between 12th Ward and Male court yard. Laid cement walk at 12th Ward. Built open porch at Laundry Dormitory and painted same. Converted barn on Boylan Drive into three garages. Painted porch deck, also tin roofs at Nurses' Home. Covered roof of tool house with composition shingles. Eemodeled T-ward, built brick walls in hall-way. Made window guards and reinforced doors, laid cement floor in rooms and painted ward. Built forms and poured concrete for fountain at Nurses' Home. Built forms for concrete conduit for heating system from boiler room to Male Tubercular ward and thence to 7th Ward on the Female side from boiler room to Erwin Building, also branching to Female Tubercular Ward. Repaired sills, spliced posts and laid neAv floor in temporary cow shed. Made four window guards at Female T. B. Ward. Built brick transformer house, cement floor and top on Boylan Drive. Fitted frames and sash on 7th Ward porch, also made 90 ft. benches. Poured cement walk and steps at Nurses' Home. Built ten wardrobes for Male Em-ployee's Dormitory. Laid rift pine floors in 16 rooms on A and D Avards. Painted A, D, M, L, R, S and corridors leading to dining room. Fitted 12 sash in boiler room. Laid rift pine flooring at Female Tuber-cular Ward. Side walls of Male Tubercular Ward plastered; wood laths were taken off, replaced same with metal lath. Made cement trough for calf pasture. Made 76 window screens for Male and Female T. B. wards. 14 screens for A-ward; screens made for Central Building. Window guards were made for 10 windows on 7th and 8th wards, heavy wire used. Poured cement floor and roof on Engineers' Office. Made 24 step ladders for male wards. Ceiled blanket room with cedar, 8 feet square ; sanded and varnished floor. Painted operating and drug room. Sanded and varnished floors at Gate Keeper's Cottage. Sanded and varnished dormitories and halls at Receiving Building. Remodeled 7, 8, 9 and 10 wards; hung new doors; plastered 6 rooms; erected shelving in 8 rooms; painted entire building, three coat job. (Prisoners from State Prison helped with this work.) Built hog shelter 25 x 60 feet, covered same with corrugated iron. Painted sitting room furniture and beds, also varnished floors at Hospital Building. Painted metal roofs on all buildings. (Prisoners assisted with this work. ) Replaced joists and poured cement bin in meat room. Built three strong rooms and porches at Receiving Building. Mr. Davidson con-tracted the work. We did all the carpenter, cement and paint work. This work cost about $5,500.00. Made 18 screens and two swings for porches at Receiving Building. Built ten oak tables 3 x 5, covered same with glass tops for Receiving Building. 3 34 State Hospital at Raleigh Repaired windows and doors, built brick curtain wall around house, painted 4 rooms and hall at Matron's house. Built brick curtain wall at Doctor's Residence and at Colony House. Laid cement walk and gutter north end Main Building. Sixteen thousand feet rift pine flooring laid at colonies, new treads on nine stairways, the interior of the three buildings was painted, three coats, laid five cement floors in bathrooms. Built forms and poured cement in male basement from Central Building to 7th Ward annex. Screened K-ward porch. Made 26 window guards for S-ward, rein-forced same with sandscreen wire. Fifty half-screens were made for Oaks Colony. General repairs to buildings; locks repaired, glazing, etc. Chairs repaired by patients; mattresses made by patients, brooms made by patients. Respectfully submitted, R. M. Brown, Carpenter. REPORT OF MATRON Mr, E. F. McCord, Steward, State Hospital, Raleigh, N. C. Sir:—I hereby respectfully submit to you a report of the work done in the Matron's Department from June 30th, 1926, to June 30th, 1928. We have, besides keeping up the regular duties of the Kitchen, Bakery and Center Building made the following : 1927 1928 Total Butter 4,558 pounds 4,728 pounds 9,285 pounds Lard 3,500 pounds 5,300 pounds 8,800 pounds Apple preserves : 80 gallons 90 gallons 170 gallons Strawberries 69 gallons 43 gallons 112 gallons Grapes 60 gallons 125 gallons 185 gallons Pear preserves 90 gallons gallons 90 gallons Peach preserves 100 gallons 50 gallons 150 gallons Apple jelly 40 gallons 38 gallons 128 gallons Grape jelly 20 gallons 3 gallons 23 gallons Cucumber pickles 275 gallons 375 gallons 550 gallons Beans 6,661 gallons 1,165 gallons 7,826 gallons Tomatoes 4,935 gallons 2,923 gallons 7,858 gallons Apples 411 gallons 1,077 gallons 1,488 gallons In the spring of 1928 we painted the rooms, bathrooms, and floors in Center Building, also upholstered chairs in parlor. In the kitchen we bronzed all the pots, trucks and pipes. We painted part of the walls in the Basement and tiled the Bread Room in Bakery. Respectfully submitted, Quessie Miller, Matron. State Hospital at Raleigh 35 REPORT OF CLOTHES SUPERVISOR Mr. E. F. McCord, Steward, State Hospital, Raleigh, N. C. Sir:—I hereby respectfully submit to you a report of the work done in this department from June 30th, 1926, to June 30th, 1928 : Total number pieces mended 1 86,274 Total number pieces marked 235,135 Total number bandages made 7, 164 Total number shoes mended (pairs) 2,917 Total number pieces mended at Female Colony 16,414 Average number patients in mending room 18 Average number patients in sewing room 20 Average number patients in laundry 36 Average number employees in laundry 14 Employees in mending room - 1 Employees in sewing room 1 Garments Made: Aprons, ladies ' 256 Aprons, servants ' 806 Aprons, butchers' 7 Aprons, maids' 68 Aprons, barbers' 30 Aprons, rubber 12 Aprons, chefs' 100 Barber bibs 30 Bandages, many tail 12 Bags, clothes 830 Bags, sausage 26 Bags, sand 2 Bags, ice 50 Bath robes. 29 Breast binders 11 Burial robes 130 Bonnets 35 Caps, nurses' 284 Caps, chefs'. 49 Coats, white 135 Coats, lining 1 Curtains, long 56 Curtains, short 1,893 Curtains, shower : 2 Covers, mattress 50 Covers, chair 33 Covers, basket 4 Covers, cushi on * 109 Chemise, bleached 57 Chemise, unbleached 2, 204 Chair, ticks 82 Capes, ladies' 56 Dresses, cheviot 1,368 Dresses, gingham 1,719 Dresses, strong 326 Dresses, bleached. .. 12 Drawers, ladies' bleached _ 81 Drawers, ladies' unbleached 308 Drawers, men's. 2,181 Gowns, long _ 695 Garters (pairs) 601 36 State Hospital at Raleigh Garments Made—Continued: Mattress ticks , 2, 439 Napkins (table)— 96 Overalls, 1,595 Operating masks 7 Princess slips-v. 676 Pillow ticks 312 Pillow cases 4,610 Pants, white 195 Pants, work 585 Pan holders 587 Rompers, men 's 88 Rompers , boys ' 232 Straight j ackets 2 Shirts, bleached 230 Shirts, unbleached 9,423 Shirts, work 2,866 Shirts, dress 129 Shirts, under _ 624 Strainer, jelly 12 Saline sheets ,, 6 Silencer cloths 4 Towels, dish 1,701 Towels, roller 276 Towels, dentist 203 Table cloths 21 Table covers ' 49 Table scarfs 53 Tags, hosiery 998 Teddies 1,009 Underbodies .. 13 Window draperies 470 Garments altered. 100 Garments Cut for Sewing Room at Female Colony: Aprons, ladies' _ 9 Aprons, servants' 523 Bags , cl othes 53 Covers, mattress 3 Chemise 360 Children's dresses 4 Dresses, cheviot 355 Dresses , gingham 189 Dresses, strong 405 Drawers, ladies ' .•_. 335 Drawers, men's 279 Gowns, long 129 Gowns, short - 209 Overalls 511 Princessslips 93 Pillow cases 171 Petticoats . 27 Pants, work 260 Rompers, men's 140 Rompers, girls ' 4 Shirts 591 Shirts, work 884 Shirts, under 136 Teddies 39 Underbodies - 4 Union suits 298 State Hospital at Raleigh 37 Number of Yards of Material Cut: ' Bleaching 4,298 Bed, ticking 16,750 Broadcloth 9 Crash • 301 Canvas * 51 Canton flannel 4,024 Cretonne 600 Chambray - 13.092 Cheviot —- 8,023 Cottonade 4,687 Denims 16,046 Duck ---- 325 Drilling, unbleached , 7, 623 Drilling, bleached 1,096 Domestic 23, 322 Damask, table 283 Elastic 348 Flannel, wool --- 75 Gingham - 9,319 Indian head 17 Khaki 40 Outing 384 Oilcloth 3 Percale -- 26 Pongee =. - 40 Sheeting, rubber 18 Sheeting, bleached 647 Sheeting, unbleached 27,725 Sateen. 610 Scrim. 1,254 Shirting.. 427 Toweling.... 1,621 Twill, middy 39 Private Materials (Yards): Bleaching 92 Broadcloth 20 Cotton crepe : 7 Crepe de chine . . 10 Canton flannel 5 Dimity 71 Domestic 54 Gingham 488 Long cloth 32 Lingette . 9 Linen.. 9 Madras . 7 Percale 106 Rayon silk 5 Sateen 9 Satin 10 Soisette 4 Voile 16 Goods Sent to Patients from Home, Cut and Made in Sewing Room: Aprons, ladies' 4 B. V. D.'s 8 Dresses _ 154 Drawers, ladies' __ 2 38 State Hospital at Kaleigh Goods Sent to Patients from Home, Cur and Made in Sewing Room—Continued: Gowns, long 3 Kimona l Princess slips . . 53 Shirts, dress _• _ 2 Teddies 43 Mrs. Josephine Thomas, Clothes Supervisor. REPORT OF OCCUPATIONAL THERAPY DEPARTMENTS Me. E. F. McCord, Steward, State Hospital, Raleigh, N. C. Deae Sie :—We hereby submit to you the biennial report of the Occu-pational Therapy Departments, male and female : No. of Female Department: Articles Made Aprons, child's embroidered 186 Aprons, ladies' embroidered 191 Articles hemmed ... 499 Aprons hemmed 377 Broom holders, raffia 16 Broom holders, cloth... . 19 Baby bedquilt, embroidered 1 Baskets lined 4 Baskets, reed, small 83 Baskets, waste 17 Baskets, flower... 35 Baskets, wall 3 Baskets, fruit _ 39 Baskets, raffia 96 Baskets, pine needle 3 Bags, laundry 12 Curtains, embroidered 6 Curtains, outwork 4 Centerpieces, with tatting 117 Centerpieces, with cutwork 8 Centerpieces, with embroidery 153 Centerpieces, with crochet 365 Centerpieces, with hemstitching __•_ 47 Centerpieces, hemmed 179 Doilies, with tatting 26 Doilies, with crochet 49 Doilies, with embroidery 33 Doilies, hemstitched .17 Fan, raffia - 1 Gowns, with crochet - 3 Gowns, with tatting. .- 6 Gowns, with embroidery - 4 Handkerchiefs, with embroidery 12 Hampers, reed - — 7 Inserts, crocheted -- -- 16 Lace, crocheted (yards) . - 33 Luncheon sets, embroidered (pieces) 73 Luncheon sets, with crochet 150 Luncheon sets, with tatting 32 State Hospital at Raleigh 39 No. of Female Department—Continued: Articles Made Luncheon sets, hemmed 182 Luncheon sets, hemstitched - 36 Medallions, tatting 103 Medallions, crocheted 124 Napkins, hemstitched 12 Naplc ns, embroidered 12 Napkins, with crochet 36 Napkins, with cutwork 24 Napkins, hemmed 24 Napki n ri ngs, reed 5 Pillow cases, hemstitched 12 Pillow cases, embroidered 102 Pillow cases, with tatting 12 Pillow cases, with crochet 48 Pillow cases, with cutwork 4 Picture frames, raffia 1 Pincush i ons 14 Pan holders 122 Rugs, braided 91 Rugs, hooked 38 Rugs, woven 123 Rugs, crocheted 9 Rugs, braided weave 18 Rugs, repaired 3 Scarfs, hemstitched 416 Scarfs, with tatting 46 Scarfs , hemmed 191 Scarfs, with crochet 173 Scarfs, embroi dered 200 Towels hemstitched 29 Towels, with embroidery, ... 12 Towels, hemmed 51 Towels, with crochet 6 Towels, with tatting 4 Table covers, card 9 Table covers, hemmed 48 Table cloths, with cutwork 1 2 Trays, reed 19 Trays, decorative 12 Trays, coaster 17 Table cloths , hemstitched 1 Table cloths, embroidered 12 Table cloths, hemmed 12 Tatting edge (yards) 536 Vases, reed _ 172 Total s 6,045 Male Department: Brooms 5,395 Brooms, whisk 103 Brooms, round 54 Boxes, flower 6 Boxes, cedar, repaired 1 Bases, lamp _ 1 Bases, stool 11 Bases, tray 2 Baskets, reed, medicine. 2 Baskets, reed, hampers 11 Baskets, reed, waste 3 40 State Hospital at Haleigh No. of Male Department—Continued: Articles Made Baskets, reed small 12 Baskets, reed, repaired 4 Baskets, reed, varnished . _ 320 Chairs, caned 940 Chairs, painted 286 Chairs, repaired 2 Lamp, reed 1 Mattresses- 1,258 Pillows 174 Pillows, couch 21 Screens, pai nted 2 Settee, caned. 1 Stools, caned _ _ 133 Stools, varnished 55 Tables made. 1 Tables painted 12 Toys, chairs 12 Toys, tables 9 Toys, carts 7 Toys , wheel barrows 3 Toys, wagons 2 Toys, bureaus -- 9 Toys, bedsteads 44 Toys, mattresses -•-- 21 Toys, pillows ... 13 Total 9,211 Total number of articles made in Female Department - 6,045 Total number of articles made in Male Department.. 9,211 Totals.... 15,256 Respectfully submitted, Ella JNT. Thompson, Etta Travis. THE STATE HOSPITAL AT RALEIGH RALEIGH, N. C. REPORT ON AUDITS FOR THE TWO FISCAL YEARS ENDED JUNE 30, 1927, AND 1928 42 State Hospital at Raleigh Exhibit "A" INCOME AND EXPENSE—PERMANENT IMPROVEMENT FUND July 1, 1926, to June 30, 1927 Income: Appropriation: Chapter 192, Public Laws, 1925 $ 123.000.00 Insurance collected ... . 178,408.16 Emergency Fund.. . . . ... . ... . . . . _ ... ._ 317,000.00 Carolina Power & Light Company—Right-of-way -- . - 5,000.00 Total Income. ..... . . $ 623,408.16 Expense: Boiler room equipment and installation ...... $ 52,375.81 68,863.61 448,659.37 41,365.05 Alterations—four buildings. . .. .. .. West Wing.. . . ... .. East Wing . . 611,263.84 Unexpended Balance—June 30, 1927 $ 12,144.32 Encumbrances: W. P. Rose, General Contractor—Additions $ 4,310.28 2,077.74 2,768.00 1,999.75 94.47 1,200.00 655.00 350.00 Dunford & Corn, Plumbing Contractors . . Chas. C. Hook, Architect... Furnishings J. A. Boaman, fire-safing and roofing . ... J. A. Davidson, repairs to exterior John Askew—Painting . Chas. C. Hook, commissions .... . .. .... 13,455.24 Excess Encumbrances Over Unexpended Balance $ 1,310.92 State Hospital at Raleigh 43 Exhibit "B" INCOME AND EXPENSE—PERMANENT IMPROVEMENT FUND July 1, 1927, to June 30, 1928 Income: Unexpended balance, June 30, 1927 Appropriation, Chapter 147, Public Laws, 1927 Deduct: Amount borrowed from Emergency Fund, year 1926-1927. Total Income. Expense: West Wing addition to Center Building Institutional furniture and furnishings. . Repairs to Female Wards - Repairs to Female Receiving Building.. East Wing addition to Central Building. Repairs to 7, 8, 9 and 10 Wards Electric generating unit _ Total Expense. Unexpended balance, June 30, 1928, as per records of Institution. Settlement for June, received in July Unexpended Balance, June 30, 1928, as per Records, Auditor's Office S 335,000.00 317,000.00 $ 10,599.73 3,327.97 2,079.09 5,537.95 1,933.57 7,144.60 17,184.25 $ 12,144.32 38,000.00 $ 50,144.32 47,807.16 $ 2,337.16 1,015.98 $ 3,353.14 State Hospital at Raleigh Exhibit "C" INCOME AND EXPENSE—MAINTENANCE FUND For the Two Fiscal Years Ended June 30, 1927, and 1928 Income: Appropriati ons : Chapter 295, Public Laws, 1925 Chapter 295, Public Laws, 1925 Chapter 79, Public Laws, 1927 Institutional Receipts: Office and administration Subsistence Housekeeping Medical and surgical care Nursing and attendance Care of buildings, grounds and equipment. Agricultural Total Institutional Receipts. Total Income Expense: Office and administration Subsistence Housekeeping Laundering Medical and surgical care Nursing and attendance Light, heat, power and water Care of buildings, grounds and equipment- Recreational Agricultural- Extraordinary and special Fire loss. . Total Expense- June 30, 1928, Institutional Balance, Excess Income Over Expense Fiscal Year 1926-1927 79.79 28,555.94 645.56 123.60 1,475.32 714.00 1,034.15 $ 18,539.02 134,526.09 53,702.73 9,475.17 23,820.56 77,860.27 66,524.74 45,975.98 973.81 44,352.56 38,059.40 118.03 $444,000.00 37,300.00 32,628.36 $513,928.36 513,928.36 Fiscal Year 1927-1928 $ 22,094.32 117,518.72 43,093.95 7,812.93 24,243.89 74,073.88 53,381.86 32,370.06 1,087.90 38,749.25 $ 410,000.00 40,574.49 $ 450,574.49 414,426.76 % 36,147.73 EXPLANATION Subsistence Housekeeping Light, heat, power and water _.. Expendi-tures Year 1927-28 $114,506.06 42,542.56 52,169.36 Add: Inventory June 30, 1927 12,618.27 21,464.99 9,000.00 $127,124.33 64,007.55 61,169.36 Deduct : Inventory June 30, 1928 $ 9,605.61 20,913.60 7,787.50 Actual . Expense Year 1927-28 $117,518.72 43,093.95 53,381.86 Institutional Balance, 6-30-1928, Excess Income Over Expense June 30, 1928, Excess Income Over Expense, as per Records, State Auditor . Difference $ 3,012.66 551.39 1,212.50 $ 36,147.73 $ 40,924.28 State Hospital at Raleigh 45 Exhibit "D" RECEIPTS AND DISBURSEMENTS—MAINTENANCE FUND For the Two Fiscal Years Ended June 30, 1927, and 1928 From B. R. Lacy, State Treasurer I mprest Cash Office and administration Subsistence. Housekeeping. Laundering Medical and surgical care Nursing and attendance Light, heat, power and water Care of buildings, grounds and equipment. Recreational Agricultural Fire loss Extraordinary and special expenditures Total Disbursements- Disbursements in Excess of Receipts. Fiscal Year 1926-27 Receipts $560,141.08 4,000.00 Disburse-ments 22,539.02 134,526.09 53,702.73 9,475.17 23,820.56 77,860.27 66,524.74 45,975.98 973.81 44,352.56 34,566.89 49,823.26 $564,141.08 Fiscal Year 1927-28 Receipts $409,650.21 Disburse-ments 4, 22, 114, 42. 7, 24, 74 52 32 1 38 000.00 094.32 506.06 542.56 812.93 243.89 073.88 169.36 370.06 087.90 749.25 $ 413,650.21 4,000.00 Schedule D-l INSTITUTIONAL RECEIPTS For? the Two Fiscal Years Ended June 30, 1927, and 1928 Office and administration Subsistence Housekeeping Medical and surgical care Nursing and attendance Care of buildings, grounds and equipment Agricultural Fire loss Permanent Improvement Fund I mprest Cash Total Institutional Receipts Fiscal Year 1926-27 79.79 28,555.94 645.56 123.60 1,475.32 714.00 1,034.15 34,448.86 11,763.86 4,000.00 $ 82.841.08 Fiscal Year 1927-28 95.90 36,705.58 950.69 86.98 321.30 27.25 2,386.79 $ 40,574.49 46 State Hospital at Raleigh Exhibit "E" PER CAPITA COST July 1, 1926, to June 30, 1927 Maintenance: Office and administration Subsistence _' Housekeeping - _ Laundering.. Medical and surgical care Nursing and attendance Light, heat, water and power Care of buildings, grounds and equipment. Recreational Agricultural Fire loss Subsistence: 1203-a Meat, fish and fowl .. Dairy products, eggs Cereal food products Vegetables Fruits and nuts Saccharine products Beverages Condiments, flavors, etc. Fats, oils, etc 1203-b 1203-e 1203-d 1203-e 1203-f 1203-g 1203-h 1203-i Farm Products Used as Food. Operating Cost $ 18,539.02 134,526.09 53,702.73 9,475.17 23,820.56 77,860.27 66,524.74 45,975.98 973.81 44,352.56 118.03 Average Number Inmates $475,868.96 $ 44,633.31 6,636.78 14,892.18 6,683.18 9,057.60 9,253.12 6,591.65 983.21 15,155.16 $113,886.19 62,956.78 $176,842.97 1,520 Per Capita Cost per Period 12.20 88.50 35.33 6.23 15.67 51.22 43.77 30.25 .64 29.18 .08 $ 313.07 29.36 4.37 9.80 4.40 5.96 6.09 4.34 .64 9.97 74.93 41.42 Per Capita Cost per Day $ 116.35 $ .0334 .2425 .0968 .0172 .0429 .1403 .1199 .0829 .0017 .0799 .0002 .8577 .0804 .0120 .0268 .0121 .0163 .0167 .0119 .0018 .0273 ,2053 ,1134 .3187 Number of Days. 365 State Hospital at Kaleigh 4' Exhibit "FM PER CAPITA COST July 1, 1927, to June 30, 1928 Maintenance: Office and administration Subsistence. - Housekeeping . . Laundering. Medical and surgical care Nursing and attendance Light, heat, power and water Care of buildings, grounds and equipment. Recreational Agricultural Subsistence: 1203-a Meat, fish and fowl Dairy products and eggs. Cereal food products Vegetables _ Fruits and nuts Saccharine products Beverages Condiments, flavors, etc.. Fats, oils, etc 1203-b 1203-c 1203-d 1203-e 1203-f 1203-g 1203-h 1203-i Farm Products Used as Food. Operating Cost 5 22,094.32 117,518.72 43,093.95 7,812.93 24,243.89 74,073.88 53,381.86 32,370.06 1.087.90 38,749.25 $414,426.76 $ 40,044.65 4,372.29 12,528.35 9,293.09 7,328.33 8,973.59 6.096.13 752.47 11,510.30 $100,899.20 64,305.28 $165,204.48 Average Number Inmates 1,639 Per Capita Cost per Period 13.48 71.70 26.29 4.77 14.79 45.20 32.57 19.75 .66 23.64 $ 252.85 24.43 2.67 7.64 5.67 4.47 5.48 3.72 .46 7.02 Per Capita Cost per Day .0369 .1964 .0721 .0131 .0405 .1238 .0892 .0541 .0018 .0648 61.56 39.23 $ 100.79 .6927 .0670 .0073 .0209 .0155 .0122 .0150 .0102 .0013 .0192 .1686 .1075 .2761 Number of Days. 365 Donott,ea Mx School «f iw: 'W library
Object Description
Description
Title | Biennial report of the State Hospital at Raleigh |
Date | 1926; 1927; 1928 |
Rights | State Document see http://digital.ncdcr.gov/u?/p249901coll22,63754 |
Collection | North Carolina State Documents Collection. State Library of North Carolina |
Type | text |
Language | English |
Digital Characteristics-A | 54 p.; 4.91 MB |
Digital Collection | North Carolina Digital State Documents Collection |
Digital Format | application/pdf |
Pres File Name-M | pubs_pubh_reportstatehospital19161928.pdf |
Pres Local File Path-M | Preservation_content\StatePubs\pubs_pubh\images_master |
Full Text | BIENNIAL REPORT OF THE STATE HOSPITAL AT RALEIGH RALEIGH, N. C. JULY 1, 1926, to JUNE 30, 1928 RALEIGH Bynum Printing Company 1928 BOARD OF DIRECTORS OF THE STATE HOSPITAL AT RALEIGH, NORTH CAROLINA C. Felix Harvey. President Lenoir County Term expires April 1, 1921) W. G. Clark Edgecombe County Term expires April 1, 1929 I hi. J. C. Batjm Currituck County Term expires April 1, 1929 H. R. Dwire Forsyth County Term expires April 1, 1929 K. (). Burgwyn New Hanover County Term expires April 1, 1929 Dr. Leslie B. Evans Bertie County Term expires April 1. 1929 Daniel Allen Wake County Term expires September 24. 1929 Mrs. Marshall P. Williams Duplin County Term expires September 24. 1929 Dr. Thurman D. Kitchen Wake County Term expires September 24. 1929 EXECUTIVE COMMMITTEE Dr. T. D. Kitchen. Chairman C. Felix Harvey Dan Allen RESIDENT OFFICERS AND STAFF Albert Anderson. M.D Superintendent R. K. Adams, M.D Assistant Physician Julian W. Ashby, M.D Assistant Physician T. M. Jordan, M.D Assistant Physician J. F. Owen. M.D Assistant Physician T. L. Young, D.D.S .* Dentist E. F. McCord Steward SUBORDINATE OFFICERS Mrs. E. F. McCord Bookkeeper Miss Lillie B. Goodwin Steno. to Board and Private Secy, to Supt. Mrs. Pattie Bradshaw, R.N Superintendent of Nurses Mrs. Quessie Miller Matron Miss Annie J. Eagle Druggist R. M. Rothgek Engineer R. M. Brown Carpenter James Adams Florist, Farmer and Gardener LETTER OF TRANSMITTAL His Excellency, Governor A. "W*. McLean, Raleigh, N". C. My dear Sir : I have the honor to submit herewith a report of Dr. Albert Anderson, Superintendent of the State Hospital for the Insane, at Raleigh, North Carolina, for the biennium ending June 30, 1928, together with a copy of the audit. In behalf of the Board of Directors, I thank you for your hearty cooperation and support, as well as for the real interest which you have at all times shown in the Institution and in the welfare of its patients. Yery truly yours, C. F. Harvey, President Board of Directors. SUPERINTENDENT'S REPORT Mr. C. Felix Harvey, President, anil Members of the Board of Direc-tors of the State Hospital at Raleigh, N. C. Gentlemen :—I herewith hand you the biennial report of this Hos-pital from June 30th, 1926, to June 30th, 1928, as follows: STATISTICAL SUMMARY Table No. 1 Patients remaining June 30, 1926 Admitted during last two years (insane) Admitted during last two years (criminal insane) Total number under treatment Average daily population Recovered (insane) Improved (insane) Unimproved (insane) Transferred (insane) Died (insane) Discharged and transferred (criminal insane) Died (criminal insane) Total number discharged and dead Per cent of deaths on number treated Per cent of recoveries and improved on number admitted. Remaining June 30, 1928. Male 750 539 54 ,343 104 210 25 8 109 23 5 484 8.4 53 859 Female 755 451 4 1,210 68 196 48 1 80 2 395 6. 57 815 Total 1,505 990 58 2,553 1,553.5 172 406 73 9 189 25 5 879 7.6 55 1,674 All medical work covers four departments for two years as follows : the insane, epileptic, inebriate and criminal insane. Receiving Building (Female Department), Hospital Building and Dix Hill Training School have been under the medical service of Dr. J. W. Ashby. Receiving Building : Four hundred and thirty-eight patients were admitted during the period. Of this number, 193 were probated, 143 were transferred to other departments, 22 died, two committed suicide and 4 eloped. 68 patients were on hand July 1st, 1928. The two suicides were the first that have occurred in this department. A-ward has been set aside for the dangerous cases and a nurse is in charge all night and every effort is made to safeguard those who are suspected of having suicidal tendencies. 6 State Hospital at Raleigh Since the last biennial report, three rooms have been added to the building. The facilities, however, are inadequate to take care of the in-creasing demands for the admission of women patients. At this time we have 18 applications on file which were received during the month of June and we could not accept as there are not any vacancies. The Receiving Building has a capacity of 66 and transfers to the chronic department are necessary to relieve the congestion and to make space for new cases, but the chronic department has accepted very few trans-fers in recent months. We need additional space on the female depart-ment and in my opinion we should have an additional Receiving Build-ing in which noisy and disturbed patients can be kept and thus offer a more agreeable surrounding for those who have improved and those who are milder types of mental disease. Hospital Building : This building is under the direct supervision of the Superintendent of Curses and is for the care of medical and surgical cases of patients and employees. Each physician of the staff has direct responsibility of the patients from his department. During the two-year period, there were 25 major operations and 27 tonsillectomies. The number is less than usual. The Dix Hill Tkaining School : A training school for nurses is maintained in accordance with the requirements of the North Carolina Board of Nurse Examiners. There were eight graduates at the commencement on May 18th, 1928. The pupil nurses are required to be eighteen years of age and to be high-school graduates. One year affiliation with a general hospital is re-quired. The course of lectures for the school is given by the Superintendent of the Hospital, the staff members and the Superintendent of Nurses, and last year we were assisted by the firm of Drs. Wright, Hicks & Wilkins on Eye, Ear and Nose Nursing ; Dr. Hugh Thompson on Ortho-pedic Nursing, and Miss Welch of Meredith College on Dietetics. This valuable assistance made it possible for the school to comply with the curriculum of the requirements of the North Carolina Board of Nurse Examiners. The Chronic Female Department has been under the medical service of Dr. R. K. Adams since Dr. H. B. Brackin left our service for enter-ing the service of the Central State Hospital, Nashville, Term. The general health of the patients in this department has been good. There have been no epidemics and no suicides during the biennium and no fatal accidents. There has probably been more fractures among the low-grade and aged patients due possibly to the fact that the wards are more congested than formerly. All operations and major treat- State Hospital at Raleigh 7 ments have been given at the Hospital Building. Intravenous and intra-muscular treatments have been given in the Emergency Room on C-ward which is well fitted for this type of work. Repairs : T-ward, which was badly in need of repairs, has been overhauled. The old partitions have been removed, and new ones, of more substantial type, have been built. A new floor has been laid in the T. B. Ward and the second and third floors of the Main Building repainted. The Head Nurse's office has been repainted and the floor laid with linoleum. The porch on K-ward has been screened. Minor repairs, incident to the usual wear in a building of this kind, have been made. ~No new buildings have been built for this department during this period, although a building for low-grade and noisy patients was requested in 1926. New Buildings : This department is full to capacity and is probably too crowded on some wards. It is, therefore, absolutely necessary that additional room be provided within the near future. A new building to accommodate 100 low-grade and noisy patients is badly needed. Low-grade patients accumulate in mental hospitals due to the fact that their mental condi-tion prevents them from being taken home by relatives, and also to the fact that mental deterioration is a process that occurs in most of the psychoses, especially in dementia praecox, which psychosis alone probably constitutes from 20 per cent to 30 per cent of our total ad-missions. The T. B. Ward with a capacity of 18 beds is now filled. This build-ing, which is a frame structure, does not have a sitting room and the patients now either stay on the ward with the patients who are in bed, or else spend the time during the day in the small dining hall. It would be wise to build another ward, just like the present one, to the south of the present dining hall. The dining hall, which would then be between the two wards could be coin erted into a sun parlor and a better dining room constructed on the western side of the building. This building does not have sufficient porches and additional space of this kind should be provided. The Male Department for the mentally sick, both acute and chronic, the Criminal Insane and the Oaks Colony have been under the medical service of Dr. J. F. Owen. The general health of the patients of the Male Department has been good excepting for a minor epidemic of mumps and measles, which occurred during the months of February and March, 1928. These diseases affected a considerable number of our attendants, as well as a small number of patients. The source of this epidemic, as far as the 8 State Hospital at Raleigh measles was concerned, was traced to a newly admitted patient, who showed signs of this disorder after a period longer than the usual incu-bation time. The mumps was thought to have been brought in by an employee. Fortunately there were no complications from these diseases, and every one attacked recovered uneventfully. Vaccination against typhoid fever and smallpox has been carried out not only in all new admissions, but in cases of old patients who having been previously vaccinated, the immunity was thought to be sufficiently lessened as to make the patients liable to contract the above diseases. It is the custom, of course, to vaccinate against these disorders in cases where patients have been here for many years, whenever it is thought necessary. Hydrotherapy in the form of continuous baths has been employed to a certain extent, but we are sorely in need of a trained hydrotherapist. J^ot only is this method of treatment dangerous in untrained hands, but if not given properly, lessens the benefit to be derived. The new building for housing the male patients, erected after the fire, was opened May 31, 1928, and at the present time there remain very few vacancies. There is urgent need for a Receiving Building for the Male Department similar to the one now in use by the Female Depart-ment. This would relieve to a certain extent the crowded condition of the hospital, and would facilitate the handling and caring for newly admitted patients. Although, this is not absolutely necessary at the present time, it is felt that before the end of the next biennial period that additional room will be necessary to provide for the criminal in-sane patients. Owing to the laws governing the Criminal Insane De-partment, the population remains quite stationary, and the present quarters will eventually become inadequate. There has been a gradual increase in the criminal insane patients, so at the present time there are on the rolls 82 male patients and 4 female patients. During the last biennial period only 28 patients were discharged. From June 30, 1926, to June 30, 1928, 164 male patients, who were addicted to the use of drugs or alcohol, were admitted. The majority of these cases were probated after a period of 84 days of treatment, and a great number of them were returned from probation and treated under the same commitment. It may be seen from a perusal of the statistical report that there has been a gradual increase in the number of these patients treated within the past two years. During the months of June, July and August, Mr. Patrick H. Winston, a third-year medical student in the Medical College of Vir-ginia, helped with the work among the male patients and did a distinct service. The Male and Female Epileptic colonies have been under the medical service of Dr. T. M. Jordan. State Hospital at Ealeigh 9 Male Epileptic Colony : Number of patients at beginning of biennium 186 Number of patients admitted during biennium 77 Number of patients died during biennium 24 Number of patients discharged during biennium 33 Number of patients transferred during the biennium 10 Number of patients escaped during the biennium 32 Number of patients returned during the biennium 22 There have been no epidemics. With one case of pneumonia and one of Bright's disease, the prevailing cause of death was epilepsy. All patients immunized against smallpox and typhoid fever. Mental and physical examinations of all new patients have been reported and re-corded, and notations from time to time entered for all patients. In this department, during part of his vacation period, Medical Student, T. M. Goodwin, observed patients with epilepsy with the physician in charge, and made himself quite agreeable and helpful and rendered efficient and valuable service frequently. It is with pleasure I mention this fact, and commend his service. The physical equipment of the department is in good condition, and for the population now on hand is sufficient, except for single rooms for excited patients, and for which rooms heat and guards should be pro-vided. And in connection with this, would advise heightening of the smoke stack at Male Epileptic Colony to prevent the presence of soot that so much hinders the cleanliness of the dining room and attendants' quarters over the dining room and renders each so undesirable. Female Epileptic Colony : Number of patients at beginning of biennium 164 Number of patients admitted during biennium 83 Number of patients died during biennium 14 Number of patients discharged during biennium 33 Number of patients transferred during biennium 10 Number of patients escaped during biennium 4 Number of patients returned during the biennium 3 There have been no contagions. All patients immunized against smallpox and typhoid fever. One case of pellagra recorded, all other cause of death epilepsy. All new patients examined for mental and physical disorders and reports recorded. Notations of all patients re-corded now and then. The physical equipment is good, but there is still needed single rooms with heat for the restraint of excited patients. The following observa-tion is offered. A study of the last two years furnishes us ivith the fol-lowing deductions : Beginning the last biennium there were only twenty vacant beds and these in the Female Epileptic Department. These were soon occupied. 10 State Hospital at Raleigh Since then it has been possible to admit an applicant only upon death or discharge of a patient in either department. This has enabled the institution to provide only for the violent insane and court cases in part. Numbers of them, even at that, remaining in jail. During the last biennium more than fifty applicants have of necessity been denied ad-mission. Therefore, to provide for this annual overflow, even of the class of patients the State is now able to deal with, two hundred beds and accommodations should be early provided for. Then there will re-main that large number of children and young people in our State, incipient epileptics, now insane, and which are treated in schools for epileptics, in other states, and for which our State is yet to be awakened to the need of. Dr. T. L. Young, our Dentist, submits the following report : All new patients are seen soon after they are admitted. All old patients are gone over and all focal infection removed and teeth re-paired. The office is equipped with the Hitter Outfit and Wappler X-ray Machine. The following table will show the work that has been done : Patients seen 2,490 Extractions 2,892 Amalgam fillings 380 Cement fillings 347 Cleanings 980 X-rays 76 Synthetic fillings 116 Plates 53 Plates repaired 14 Bridges 5 The Laboratory work has been done by Miss Catherine D. Cox, our Technician, and she submits the following report : Urine analysis 2,223 Kidney functions 20 Blood counts 1,361 Blood specimens for YVassermann reaction 691 Blood chemistry : Tests for sugar 33 Tests for non-protein nitrogen 22 Tests for urea 12 Tests for chloride 8 Tests for calcium 20 Tests for cholesterol * 5 Tests for sugar tolerance 5 Gastric analysis 16 Sputum examined for tuberculosis 45 Bacterial vaccines 6 I'll Jill m Vmmmtimm. SiPillppllippfWJiBii 1 In^H^H^H^H State Hospital at Raleigh 11 Spinal fluid with cell counts, globulin, Wassermann and Colloidal Gold reactions 48 Feces examination 26 Vaccinations for typhoid and smallpox 725 Basal metabolic ratings 82 The Hospital service in all departments has been going smoothly along with only a few occasional disturbances. The department heads mostly have been loyal and faithful. The combined work of the Insti-tution has put our efficiency on a higher level every year. Many visitors of high authority on hospital work have commended our condition and service in superlative terms. We wish to thank members of our Advisory Board of Surgeons, both general and special, for their prompt and competent service whenever we called. On account of surgical emergencies we have been compelled to use our local members more than any others and they have responded to our calls in such a generous way as to deserve special consideration and thanks. Dr. E. J. Wood of Wilmington, a most distinguished member of our Advisory Board of Doctors, died September 17th, 1928. His death was a great loss to the State, as wrell as our Institution. The following are now members of our Advisory Board of Doctors and Surgeons : Dr. T. M. Green Wilmington Dr. J. F. Highsmith Fayetteville Dr. J. P. Monroe Charlotte h Dr. Foy Roberson Durham Dr. Hubert A. Royster Raleigh Dr. C. A. Woodard Wilson Dr. W. W. Green Tarboro Dr. Hubert Haywood. Jr Raleigh / Dr. T. C. Johnson Lumberton Dr. Chas. O'H. Laughinghouse Raleigh ', Dr. W. B. McNider Chapel Hill Dr. R. S. Beam Lumberton Dr. J. J. Murphy Wilmington Dr. S. D. McPherson Durham Dr. Jas. Parrott * Kinston Dr. Louis West Raleigh Dr. J. B. Wright Raleigh Dr. T. M. West Fayetteville Dr. Julian Baker Tarboro Dr. W. D. James Hamlet Dr. R. L. Pittman Fayetteville Dr. J. V. McGougan Fayetteville Dr. H. M. Baker Lumberton Dr. Jos. Tayloe Washington Dr. R. D. Jones New Bern Dr. T. D. Kitchen Wake Forest 12 State Hospital at Raleigh To the members of our Board of Directors, I wish to acknowledge in this public way my sincere gratitude for their personal friendship and loyal support, not only to the Superintendent, but every member has stood behind every employee writh such encouragement as to get the best possible service. Only in this way and by this spirit can we main-tain our efforts to reach our objective, "To make our Hospital equal to any and surpassed by none." Respectfully submitted, Albert Anderson, Superintendent. REPORT OF ENGINEERS The mechanical equipment work completed under our plans and supervision during the last two years is as follows : Mechanical Equipment Work 1926—Installation of radiators in Seventh Ward to replace those destroyed by tire $. 786.00 1927—Installation of two new 350-horse-power water-tube boilers with pipe connections, forced draft equipment and necessary auxiliaries 39,502.75 (This work cost $2,094.85 less than estimate given in our report in 1926, due to use of institutional help and other reductions.) 1927—Installation of heating equipment and connecting mains for new West Wing, North and Rear dormitories 32,303.98 (This work cost $593.19 more than estimate given in our report in 1926, due to extra for change in locations of indirect heaters, etc.) 1927—Installation of new underground hot-water heating mains ex-tending from power house to Male Tubercular Building, Seventh Ward, Female Tubercular Building and Erwin Build-ing, also domestic hot-water mains leading along the same lines, work done by institution's repair department 11,702.02 1927—One additional Patterson-Kelly hot-water heater and storage tank 1,925.00 1928—Installation of new electric generating equipment 16,205.20 1928—Renewal of hot-water lines to East Wing of Main Group, work done by institution's repair department 2,170.97 For recommendations and estimates for future mechanical equipment work, see previous communications on this subject. Respectfully submitted, Wiley & Wilson, Consulting Engineers. State Hospital at Raleigh 13 REPORT OF ARCHITECT Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C. Sir:—In the two years ending with June, 1928, that portion of the Hospital known as the West Wing was rebuilt and enlarged to replace the portion destroyed by fire. In rebuilding an enlargement was made and increased to space allotted to men to care for one hundred more inmates than before the fire, but no increase was made for the space allotted to women. The West Wing was completed on time as required by the contract and within the contract amount. The project is considered by many to be one of the best pieces of construction work belonging to the State. Aside from the rebuilding of the West Wing, I have no construction work to report, but your records will show that some repairs and alterations were made in some of the existing structures. From observation, I am convinced that the Institution is in need of an isolated colony for 100 women, also an enlargement of the Epileptic colonies for both women and men, increasing the capacity for 100 of each sex, and also the building of a general hospital which should be a part of every State institution of this character. Respectfully submitted, Chas. C. Hook, Architect. \ 14 State Hospital at Raleigh STATISTICAL SUMMARY Table No. 1 Patients remaining June 30, 1926 Admitted during last two years (insane) Admitted during last two years (criminal insane) Total number under treatment Average daily population Recovered (insane) Improved (insane) 1 Unimproved (insane) Transferred (insane) Died (insane) Discharged and transferred (criminal insane) Died (criminal insane) Total number discharged and dead Per cent of deaths on number treated Per cent of recoveries and improved on number admitted- Remaining June 30, 1928 Male 750 539 54 ,343 104 210 25 8 109 23 5 484 8.4 53 859 Female 755 451 4 1,210 68 196 48 1 80 2 395 6. 57 815 Total 1,505 990 58 2,553 1,553. 172 406 73 9 189 25 5 879 7. 55 1,674 Table No. 2 Showing the Number of Admissions and Discharges (Including Cures, Improved, Unimproved and Deaths) for Each Year Since the Opening of the Hospital cc C .2 "m oa '1 < Discharged Date 6 >c ft i— o G I. H 03 o3 <* C +^ Q o u ft .5 a: Q "5 o H C '2 £ 9} K 1856 90 96 57 83 76 61 44 41 40 41 65 85 72 27 27 44 43 50 44 42 44 52 42 45 5 15 26 22 23 21 17 9 14 9 15 13 18 7 7 9 14 17 13 16 11 13 14 14 3 10 7 11 22 4 2 4 7 1 4 5 7 3 4 5 9 6 8 5 6 8 11 4 2 7 9 10 23 8 15 21 27 45 14 21 17 7 9 8 8 13 16 14 9 15 19 13 10 38 51 50 73 47 42 41 55 74 47 52 53 19 22 31 55 41 39 40 29 39 54 33 80 1857 6 9 7 25 14 8 7 7 19 14 13 11 2 2 9 14 5 2 5 3 3 10 2 138 1858 141 1859 170 1860 179 1861 193 1862 195 1863 195 1864 189 1865 147 1866 165 1867 198 1868 217 1869 225 1870 232 1871 245 1872 233 1873 242 1874 247 1875 249 1876 264 1877 278 1878 266 1879 277 State Hospital at Raleigh Table No. 2—Continued c _c If. CO £ < Discharged Date 3O c t> o ft £ i— Uu 99 03 uH a C i— o u ft '5 08 aj P e8 c '5 £ 1880 56 49 50 53 106 97 95 74 80 93 75 88 93 97 92 137 160 182 190 169 192 143 163 141 187 151 143 208 137 237 487 336 262 324 372 316 274 222 191 245 182 286 198 865 1,120 1,048 17 10 16 17 27 41 17 17 37 52 30 45 57 46 50 62 96 99 115 105 119 100 150 55 121 15 113 11 160 6 239 31 293 41 280 5 106 7 27 2 8 1 77 156 145 172 7 3 5 43 16 12 36 2 14 9 17 10 12 17 3 7 12 10 6 4 3 5 1 10 12 2 5 6 3 2 3 2 55 2 46 25 230 16 214 48 209 8 140 275 501 406 7 2 18 63 9 9 28 3 11 1 16 2 4 29 23 17 9 11 24 20 8 18 25 26 24 21 28 19 41 44 28 27 53 31 41 33 28 29 16 28 45 41 43 55 64 110 69 82 77 90 79 109 59 51 73 37 203 215 194 60 38 56 132 62 86 101 30 80 87 79 81 94 91 75 114 159 145 161 168 154 147 186 105 240 77 154 75 209 60 324 123 467 127 423 115 432 105 350 114 270 84 309 703 937 879 273 1881 284 1882 278 1883 199 1884 243 1885 254 1886 248 1837 292 1888 292 1889 298 1890 294 18^1 301 1892 300 1893 288 1894_ 3 4 5 8 3 4 1 1 1 4 8 2 4 5 7 5 4 9 13 4 6 3 305 1895 328 1896 2 329 1897__ 364 1898 393 1899 2 390 1900 ._",_.. 424 190L. 420 1902 77 29 5 3 3 1 9 13 3 6 1 4 1 8 1 4 3 6 2 3 11 8 2 1 397 1903 433 1904 1905 380 454 1906 441 1907 574 1908 502 1909 677 1910 842 1911 1 , 055 1912 850 1913 1914 1915 1,057 994 1 , 195 1916_. 1,037 1917 1,154 1918 995 1919 5 1 ' 2 19 57 49 73 1,126 1920 1 1 , 069 1921 1,253 1922 (7 months) 36 8 25 34 4 2 1,160 1922-1924 1,322 1924-1926 1 , 505 1926-1928 1,674 Totals- 11,777 4,614 2,607 258 64 670 2,874 10,077 16 State Hospital at Raleigh Table No. 3 Showing Form of Insanity of Those Admitted During Past Two Years Epilepsy Dementia prsecox Manic-depress ve Senile dementia Psychoneurosis Psychosis due to pellagra Drug addiction and alcoholism Paranoid condition Exhaustive psychosis Toxic psychosis Constitutional psychopathic inferiority Involution melancholia Syphilis General paralysis of the insane Traumat ic psychosis Psychosis (type undetermined) Encephalitis Idi ocy Huntington's chorea Psychosis with other somatic diseases Psychosis with other brain and nervous diseases Psychosis with cerebral arteriosclerosis Psychosis with mental deficiency Without psychosis mental deficiency Korsekoff's psychosis Psychosis with hyperthyroidism Moron Hemiplegia Syringomyelia Psychosis with cardiorenal disease Paraplegia Delirium with pulmonary tuberculosis I mbecile Totals Male 71 89 57 15 4 9 163 6 1 14 22 2 12 1 13 3 2 1 2 1 24 23 3 1 Female 76 90 118 13 10 19 33 3 2 29 5 1 6 2 1 2 30 2 1 1 1 3 1 1 1 539 451 Total 147 179 175 28 14 28 196 6 3 1 16 51 7 13 1 19 5 3 1 2 1 26 53 3 1 2 1 1 1 3 1 1 1 990 Table No. 4 Showing Duration of Insanity of Those Admitted During Past Two Years Male Female Total Not to exceed 1 month .... 55 49 27 48 57 36 79 70 46 16 1 55 66 63 50 30 35 27 47 42 45 15 6 25 121 1 to 3 months .. 112 3 to 6 months .. 77 6 to 12 months . .. . .. 78 12 to 24 months. .. ...... ._______.__. 92 2 to 3 years . . .. . .. 63 3 to 5 years .. .. -- 126 5 to 10 years ._ . - 112 10 to 20 years 91 20 to 30 years . 31 30 to 40 years . 7 Unknown. . .. 80 Totals 539 451 990 State Hospital at Ealeigh 17 Table No. 5 Showing Age When Admitted of Those Admitted During Two Years From 1 to 10 years From 10 to 20 years From 20 to 30 years From 30 to 40 years From 40 to 50 years From 50 to 60 years From 60 to 70 years From 70 to 80 years Totals Malt 3 57 104 130 123 79 38 5 539 Female 451 Total 6 9 42 99 90 194 119 249 119 242 50 129 22 60 3 8 990 Table No. 6 Showing Civil Condition of Those Admitted During Past Two Years Male Female Total Single __ _ ... .- - - - -_ _- 233 276 30 132 269 50 365 Married .- ._.___. - - - 545 Widowed.- -- . _- __. __ - _-...- 80 Totals. 539 451 990 Table No. 7 Showing Residence of Those Admitted During Past Two Years Alamance- Alleghany. Alexander - Anson Ashe Avery Beaufort __ Bertie Bladen Brunswick Buncombe Burke Cabarrus. _ Camden... Carteret..- Caldwell.. Caswell ... Catawba. . Chatham Cherokee.. Chowan... Columbus. Craven 2 Male 14 1 3 8 1 13 2 4 2 7 3 3 1 5 4 2 4 5 2 3 6 Female 11 1 4 2 4 2 7 8 1 2 2 4 1 4 1 7 Total 25 1 4 8 5 2 17 4 11 10 8 3 5 3 9 5 6 5 12 2 3 14 9 18 State Hospital at Raleigh Table No. 7—Continued Clay Cleveland Cumberland Currituck Davie Davidson Duplilin Dare. Durham Edgecombe Franklin Forsyth Gaston Gates Graham Guilford _ . . Granville._ Greene Halfax.-.. Harnett Haywood __ Henderson. Hertford. _. Hoke Hyde.._. Iredell Johnston. Jones Jackson.. Lee Lenoir _ . Lincoln _ Madison Martin.. Macon McDowell Mecklenburg. Mitchell Montgomery Moore Nash New Hanover- Northampton. Onslow Orange Pamlico Pasquotank. . Pender Perquimans-- Person Pitt Polk Richmond ... Randolph Robeson Rockingham- Rowan.. Rutherford... Male 2 15 1 2 5 1 10 17 9 12 10 3 8 16 1 1 17 3 18 2 6 3 6 13 7 1 6 4 4 4 1 5 8 1 1 15 3 3 4 Female 20 1 1 5 22 4 7 2 5 7 10 3 10 19 1 2 3 4 1 17 o 8 12 1 3 5 1 5 9 10 5 1 10 3 3 2 5 8 1 3 14 1 1 Total 2 35 2 1 2 10 1 32 21 16 14 10 12 20 6 18 35 2 3 5 5 3 34 5 13 30 1 1 9 2 11 4 11 22 17 6 7 14 3 7 6 1 10 16 2 4 29 3 4 5 State Hospital at Raleigh 19 Table No. 7—Continued Male Female Total Sampson .. __ - __ 13 7 1 2 1 1 6 12 63 7 6 1 24 2 19 1 16 1 1 1 1 8 10 51 6 2 8 1 15 29 Scotland. . .. - 8 Stanly _. . __ _ 1 Stokes ._ _____ Surry _ .. _ . _ 1 Swain _ . _. _. .. .. 3 Transylvania .. _. _. 2 TyrrelL_ _ 1 Union __ _ .. __ - 14 Vance.. . . . 22 Wake 114 Warren.. ._ .... . . .. .. 13 Washington.. ._ ... ... ... 8 Watauga .. . . _ .. .. 1 Wayne _ _. . ._ ... 32 Wilkes 3 Wilson _.. __ ___ _..._ 34 Yadkin _ _ .___._ ___. ___ .. _ 1 Yancey . __ . . / Totals. __ . 539 451 990 Table No. 8 Showing Nativity of Those Admitted During the Past Two Years Male Female Total North Carolina. ._ ..... . ..... . . . . . . Germany .. _ ... ... ._ _________ 517 1 1 2 8 1 5 1 1 1 1 . 437 1 3 1 6 1 1 1 954 1 Tennessee.. .... . _ . ._ __._ ____ . ... 1 Georgia . _. ... _ __. _ _. _ .. .. 3 Virginia., _ _. .... .... 11 Pennsylvania. __ _ 2 South Carolina _ _ .. _ . ._ France. . . . ... . 11 1 Turkey _______ . ___ .... .. _ .. 1 Missouri ..__.. . . ___ __ _ 1 Delaware _ 1 Greece _ ... . 1 Illinois. ---.-. __. 1 New Hampshire __ _. _ _ 1 Totals 539 451 990 20 State Hospital at Raleigh Table No. 9 Showing Form of Insanity of Those Recovered Manic-depressive psychoses - Drug addict and alcoholism Involution melancholia Psychoneurosis Psychoses with pellagra Exhaustive psychoses Psychoses with psychopathic personality Totals Male 102 1 1 104 Female 33 27 4 1 2 1 68 Total 33 129 4 1 3 1 1 172 Table No. 10 Showing Duration of Insanity of Those Recovered During Past Two Years 1 to 3 months. 3 to 6 months. 6 to 12 months 1 to 3 years 3 to 5 years. .- 5 to 10 years .. 10 to 20 years . 20 to 30 years . Totals- Male 11 2 5 14 31 23 15 3 104 Female 26 11 1 10 10 2 4 4 68 Total 37 13 6 24 41 25 19 7 172 Table No. 11 Showing Cause of Death of Those Who Died During the Past Two Years Pul monary tuberculosis Lobar pneumonia Broncho pneumonia Exhaustion from epilepsy _ Cardio renal disease Cerebral hemorrhage Exhaustion from senile dementia Exhaustion from manic-depressive insanity Pellagra General paralysis of the insane Suicide by hanging Suicide by strangulation Valvular disease of the heart Exhaustion from involutional melancholia . Exhaustion from dementia precox Exhaustion from Huntington's chorea Exhaustion from mental disease Cancer of breast Arteriosclerosis Cerebro spinal syph lis Myocarditis Gastro enteritis Male 3 4 4 12 4 4 4 7 4 2 3 1 4 1 17 4 1 4 1 Female 9 2 2 6 7 2 2 11 1 2 2 1 4 6 1 1 2 Total 12 6 6 18 11 4 6 2 18 5 4 2 3 2 8 1 23 1 5 1 6 1 State Hospital at Raleigh 21 Table No. 11—Continued Diarrhea Hemiplegia Exhaustion following dysentery Hemorrhage and peritonitis Interstiti an nephritis Acute dilatation of heart Acute pulmonary congestion Mitral regurgitation Uremia Multiplesclerosis Psychosis following encephalitis lethargica Peritonitis . _ Neuro-syphilis Intestinal obstruction Exhaustion from psychosis (type undetermined) Cardio respiratory failure .. Killed by train Angina pectoris Hypertrophic cirrhosis of liver Shock following operation for ventral hernia Status epi lepticus Accident—patient fell during convulsion, never rallied Aortic regurgitation Erysipelas Chronic nephritis Fracture of base of skull from fall Ruptured gastric ulcer Totals Male 109 Female 1 2 2 1 1 1 5 1 1 1 1 1 1 80 Total 189 Table No. 12 Showing Form of Insanity of Those Who Died During the Past Two Years Traumatic psychoses Senile psychoses Psychoses with cerebral arteriosclerosis.. General paralysis of the insane. Psychoses with cerebral syphilis Psychoses with other brain or nervous disease Alcoholic psychoses Psychoses due to drugs. Psychoses with pellagra.. Psychoses following encephilitis Psychoses following influenza Manic-depressive psychoses Involution melancholia Dementia prsecox (schizophrenia) Epileptic psychoses Psychoses with psychopathic personality Psychoses with mental deficiency Imbecile Undiagnosed psychoses Totals Male 1 16 8 5 1 1 1 4 1 1 10 8 13 29 2 3 1 4 109 Female 14 2 1 1 1 7 6 6 20 15 2 5 80 Total 1 30 10 6 2 1 1 1 11 1 1 16 14 33 44 2 5 1 9 189 22 State Hospital at Raleigh Table No. 13 Showing the Age at Death op Those Who Died During the Past Two Years From 10 to 20 years From 20 to 30 years From 30 to 40 years From 40 to 50 years From 50 to 60 years From 60 to 70 years From 70 to 80 years From 80 to 90 years Totals Male 109 Female 8 1 9 11 14 25 14 17 31 22 21 43 25 8 33 19 9 28 8 6 14 2 4 6 80 Total 189 Table No. 14 Showing Length of Time Spent in Hospital of Those Who Died Durtng the Past Two Years Male Female Total Less than 1 week. ._ . . . 3 12 10 5 11 15 16 15 10 4 7i 1 5 15 5 4 6 15 5 8 4 8 3 2 8 From 1 to 4 weeks .. 27 From 1 to 3 months - - 15 From 3 to 6 months 9 From 6 to 12 months.. .- ._ ... 17 From 1 to 3 years. .. ... .. 30 From 3 to 5 years . --- -- 21 From 5 to 10 years ... _ . _. 23 From 10 to 15 years - .._. - - _- -- - -- 14 From 15 to 20 years _ -. -- - 12 From 20 to 30 years ... 10 From 30 to 40 years. - _ - - 1 From 40 to 50 years - - - - - -- 2 Totals 109 80 189 Table No. 15 Showing Residence of Those Remaining in Hospital Male Female Total Alamance . - -- 28 1 4 5 4 1 15 5 15 4 6 7 6 1 1 26 2 1 2 4 1 19 13 16 1 9 5 5 3 54 Alleghany .. - 3 Alexander . . - .. . ._ 5 Anson ........ .. - 7 Ashe .. ._ 8 Avery ._ - 2 Beaufort . .. .. 34 Bertie .- 18 Bladen .. 31 Burke . . 5 Brunswick ' 15 Buncombe .. 12 Cabarrus . . 11 Camden 4 Clay.. 1 State Hospital at Raleigh 23 Table No. 15—Continued Male Female Total Carteret . 13 9 3 7 8 1 8 2 10 30 3 1 1 12 4 32 25 16 13 1 1 15 16 5 3 20 17 3 6 5 5 5 32 5 1 6 17 6 6 2 2 17 3 3 4 1 19 23 11 11 8 3 14 6 3 10 9 21 11 9 2 13 2 1 13 15 28 3 3 2 17 31 12 17 4 3 15 8 11 1 19 22 3 6 6 7 3 28 4 10 11 1 9 2 13 4 1 2 1 14 21 9 9. 12 8 5 6 4 8 13 22 24 Caswell . _ . 18 Caldwell 5 Chatham . „ .. 20 Chowan : .. 10 Cleveland . __ 2 Columbus _. .. ... _ . ... ... ... __ . 21 Cherokee . . . .. 2 Craven . . 25 Cumberland _ . 58 Currituck _ _ 6 Dare .. . 4 Davie .... .... 3 Duplin .. 29 Davidson... . _ ... . .. 4 Durham .-...__._ 63 Edgecombe _. .. . .. . . 37 Franklin. ..... .. ...... .. ..... 33 Forsyth ... _ . ....... ._ 17 Gates _ . 1 Gaston .. .. . _ 4 Guilford 30 Granville... ._ _ ..._..._..._.. 24 Greene. ... ... . . . . 16 Henderson. .. .. _. 4 Halifax _. .. . ... . . 39 Harnett,. -.--.. 39 Hertford ._ ... ... . . 6 Haywood. _. ... ... ... 12 Hoke . 11 Hyde . 12 Iredell . . . 8 Johnston: . ... .. . .. . . 60 Jones ............ _ .. 9 Jackson ... ... ... ... _ 1 Lee 16 Lenoir _. . ... ... 28 Lincoln.. 4 Martin .. . . ... . 15 Macon. .. _. 4 McDowell 2 Moore - ....... . . 30 Mecklenburg.. .. 7 Montgomery _ 4 Madison _ . 6 Mitchell 2 Nash .. .. 33 New Hanover _ . ....... 44 Northampton.. _ 20 Onslow. . . ... 20 Orange... 20 Pamlico ... . 11 Pasquotank . .. 19 Pender 12 Perquimans.. . .. . 7 Person 18 Polk Pitt. 22 Robeson 43 24 State Hospital at Raleigh Table No. 15—Continued Male Female Total Rowan _ __ _ __ _ . 2 3 8 7 3 18 3 10 3 2 2 1 2 13 77 12 4 22 2 16 2 3 4 1 5 6 2 1 20 1 9 1 1 1 9 9 68 1 10 2 28 4 20 2 1 2 3 Randolph _________ 8 Rockingham. - 14 Richmond _ _ ______ 9 Rutherford __ _. ____ 4 Sampson. __ _ _ __ ... 38 Stanly ___ _____ - 4 Scotland . _ _ ____ 19 Surry 3 Stokes.. _. _ _ 3 TyrrelL. _ _ __ 3 Transylvania __ __ . _ __ 2 Union _ _ ._ ... _. 11 Vance _ _ _. . 22 Wake 145 Swain _ ______ 1 Warren __ _. .... 22 Washington.. .... ..... ._ 6 Wayne _. 50 Watauga . ... __ 6 Wilson _ _. 36 Wilkes.. 4 Yancey _ _ .... 4 Yadkin .. .. . 6 Totals 859 815 1,674 Table No. 16 Applications on File Insane Epileptic Total Male Female Male Female Alamance 9 2 4 8 2 19 Alexander _ . 2 Anson 4 Avery _ 2 2 Ashe. . _ . . Beaufort 6 4 3 1 14 Bertie. . _ Bladen 7 2 10 3 1 2 1 2 11 Brunswick. . ._ 5 Buncombe.. 4 1 1 1 16 Burke... . 1 Cabarrus _ 2 1 1 1 4 Caldwell 3 Carteret 4 2 3 3 2 1 9 Caswell 6 Catawba . 6 6 Chatham 2 7 9 Cherokee _ 1 1 Chowan 1 2 3 Clay 1 State Hospital at Raleigh 25 Table No. 16—Continued Insane Epileptic Male Female Male Female Total Columbus 3 5 23 4 3 15 2 7 Craven . . _. 1 2 9 Cumberland- 40 Currituck 2 Dare. Davidson 1 1 Davie. .. 1 1 Duplin. Durham 6 23 4 2 8 7 6 16 3 1 1 13 1 1 2 41 Edgecombe 8 Forsyth.. 5 9 Franklin 3 5 2 7 2 4 5 5 11 Gaston 3 1 16 Gates 2 Granville ... 9 4 15 12 8 16 Greene _ 6 Guilford 3 1 23 Halifax 17 Harnett . 13 Haywood. Henderson 1 1 Hertford 2 3 2 Hoke 4 2 7 Hyde 2 Iredell Jackson 1 1 1 Johnston _. 9 3 1 15 7 1 3 2 3 1 20 Jones ... 6 Lee 4 Lenoir 7 23 Lincoln .. .... Macon... 2 2 1 2 Madison . . 3 Martin . 6 17 4 5 10 Mecklenburg 5 2 2 29 McDowell 2 Mitchell Montgomery ._ 1 1 Moore . .. ... 3 9 14 4 4 2 3 3 1 3 5 12 8 2 3 1 1 2 1 1 12 Nash 1 13 New Hanover 17 Northampton 1 6 Onslow. _. 5 Orange 1 1 6 Pamlico 3 Pasquotank 2 3 2 5 3 5 Pender . 4 Perquimans . 5 Person _ 10 Pitt.. . 1 16 Polk Randolph . .. 2 2 9 Richmond 1 3 Robeson . _ 12 1 10 1 1 22 Rockingham 1 2 3 3 Rowan 3 Rutherford 1 4 2Q State Hospital at Raleigh Table No. 16—Continued Insane Epileptic Total Male Female Male Female Sampson _ _ 7 5 8 3 2 2 3 2 1 1 18 Scotland . 10 Stanly 3 Stokes. 2 Surry ______ _ 1 Swain... .... . . Transylvania- . _ ... 1 1 3 1 Tyrrell 1 Union _____ 4 5 23 4 4 2 2 1 9 Vance ... _ . 7 8 2 1 14 Wake 2 34 Warren . _ _________ 6 Washington... _ . 5 Watauga _. _ _ 2 2 1 4 Wayne ... . . 12 5 18 Wilkes 1 1 3 1 Wilson- 4 8 1 2 14 Yancey. _ ... _.. 5 Totals _ 382 230 98 41 751 • STEWARD'S REPORT Dr. Albert Anderson, Superintendent, and the Honorable Board of Directors, State Hospital at Raleigh. Gentlemen :—I have the honor to submit to you the Biennial Report of the Steward covering the two years ending June 30, 1928. The following reports of the various activities of the institution oper-ating under the supervision of the Steward are attached : Farm, Garden and Dairy—Jas. M. Adams, Superintendent. Engineering Department—R. M. Rothgeb, Chief Engineer. Carpenter's Department—R. M. Brown, Head Carpenter. Housekeeping, Center Building—Mrs. Quessie Miller, Matron. Clothing—Mrs. Josephine Thomas, Clothing Supervisor. Art Room and Cabinet Shop : Work done by patients—Ella N. Thompson and Etta Travis, Directors. A combined report of the audit had of the accounts for the Biennial is also submitted. The above activities were under the supervision of my worthy pre-decessor, Miss Mary S. White, who served this institution creditably for twelve years. I wish to acknowledge and thank you members of the board, for your unfailing interest taken in our work and for your valued council, always so willingly given. To our Executive Committee I extend my sincerest thanks for the interest manifested in our institution and for the courtesies extended to me personally. Eurther, I should like to commend highly our employees, who have been faithful, as a whole, in the discharge of their duties in the various departments, for the loyal and efficient manner in which they have carried on their work. Respectfully, E. F. McCord, Steward. Mr. E. F. McCord, Steward, State Hospital, Raleigh, N. C. Dear Sir :—I hereby submit a summary of the past two years, ending- June 30th, 1928 : Respectfully submitted, James Adams, Supervisor. 28 State Hospital at Raleigh REPORT OF FARM AND DAIRY PRODUCTS For Year Ending June 30th, 1927 Quantity Price Total Apples '_ 950 bushels @ $ 1.25 $ 1,187.50 Lima beans (green) _ 235 bushels @ 3.20 752.00 Snapbeans 1,218 bushels @ 1.00 1,218.00 Beef 7,255 pounds® .11 798.05 Beets 373 bushels® .60 223.80 Cabbage 33,262 heads @ .08 2,660.96 Collards 13,641 heads @ .08 1,091.28 Cantaloupes.. 7,654 @ .03 229.62 Cucumbers 458 bushels @ 1.00 458.00 Chickens... 445 pounds @ .25 111.25 Spring chickens 1 , 105 pounds @ . 35 386. 75 Eggs 2,731 dozen @ .40 1,092.40 Grapes 92 bushels @ 1.50 138.00 Leeks 15 bushels @ 1.00 15.00 Milk . 68,721 gallons @ .40 27,488.40 Lettuce . 2,565 heads @ .05 128.25 Onions 101 bushels @ 1.00 101.00 Peas (English) 111 bushels @ 3.20 355.20 Peas (dry) 1,040 bushels @ 3.00 • 3,120.00 Peas (green) 148 bushels @ 3.20 473.60 Pepper strings 12 @ .15 1.80 Peaches 429 bushels @ 1.00 429.00 Pork 49,864 pounds® .15 7,479.60 Potatoes, sweet 4,055 bushels @ 1.50 6,082.50 Potatoes, Irish 697 bushels @ 1.50 1,045.50 Radishes 35 bushels ® 1.00 35.00 Roasting ears . 2,372 dozen @ .25 593.00 Salads 1 2,237 bushels @ .60 1,342.20 Salsify ._ 10 bushels @ 1.25 12.50 Sage 6 pounds® .60 3.60 Squash 491 bushels @ .60 294.60 Plums 2^ bushels® 1.50 4.25 Strawberries 5, 600 quarts® .15 840.00 Tomatoes 566 bushels @ 1.00 566.00 Turnips . 470 bushels ® 1.00 470.00 Watermelons 4,044 ® .10 404.40 Corn 8,741 bushels® 1.00 8,741.00 Corn (ensilage) 437 tons @ 3.50 1,629.50 Corn (fodder) 10 tons @ 25.00 250.00 Hay.. 275 tons @ 25.00 6,875.00 Wheat 1,600 bushels® 1.25 2,000.00 Wheat straw 30 tons @ 10.00 300.00 Wool 264 pounds @ .40 106.55 Oats 1,200 bushels @ .80 960.00 Onion sets 30 bushels @ 4.00 120.00 Manure 1,270 loads @ 2.00 2,540.00 Sales of hides and livestock... 69.63 Sales of wood 855. 96 Miscellaneous sales 94. 88 Total $ 86,175.53 State Hospital at Raleigh 29 REPORT OF FARM AND DAIRY PRODUCTS For Year Ending June 30th, 1928 Quantity Price Total Apples.... 989 bushels @ $ 1.00 $ 989.00 Snapbeans 1 , 085 bushels @ 1.00 1,085.00 Lima beans (green).. 180 bushels @ 3.20 576.00 Lima beans (dry) 4 bushels @ 3.20 12.80 Beef 11,720 pounds @ .11 1,289.29 Beets 195 bushels© .60 117.00 Corn (roasting ears) 4,458 dozen @ .25 1,114.50 Corn 6,300 bushels @ 1.25 7,875.00 Cabbage 18,778 heads @ .08 1,502.24 Collards 6,865 heads @ .08 549.20 Carrots 10 bushels @ .60 6.00 Cantaloupes. 4,100 @ .03 123.00 Cucumbers 297 @ 1.00 297.00 Chickens , 1,163 pounds® .25 290.00 Chickens (fryers) 840 pounds @ .35 294.00 Eggs 2,688 dozen @ .40 1,075.20 Grapes 178 bushels @ 1.50 267.00 Hay 194 tons @ 25.00 4,850.00 Leeks 418 bushels @ 1.00 418.00 Milk 77,077 gallons @ .40 30,830.00 Okra. 649 bushels @ .60 389.40 Onions 80 bushels @ 1.00 80.00 Onion sets 52 bushels @ 4.00 208.00 Oats 935 bushels @ .80 748.00 Peas (dry) : 307 bushels @ 2.00 614.00 Peas (English) 259 bushels @ 3.20 928.80 Peaches 135 bushels ® 1.00 135.00 Pork 60,228 pounds® .15 9,034.20 Potatoes, Irish 1,066 bushels @ 1.50 1,599.00 Potatoes, sweet . 4,225 bushels @ 1.00 4,225.00 Salad 3,622 bushels @ .75 2,716.50 Squash 1,277 bushels @ .50 638.50 Strawberries 7,232 quarts @ .10 723.10 Tomatoes 1, 151 bushels @ 1.00 1,151.00 Turnips 703 bushels @ 1.00 703.00 Salsify _ 29 bushels @ 2.00 58.00 Plums 5 bushels @ 1.50 7.50 Parsnips 112 bushels @ .60 67.20 Lettuce 2,081 heads @ .10 208.10 Pepper 19 bushels @ 1.00 19.00 Radishes 35 bushels @ 1.00 35.00 Watermelons 2,755 @ .05 137.75 Wool.. 300 pounds @ .40 120.00 Sale of wood 1,126.00 Sales of hides and livestock 1,038.99 Miscellaneous sales 13. 00 Manure 1,285 loads @ 2.00 2,570.00 Total $ 82,854.27 DEPARTMENT REPORTS REPORT OF ENGINEER Mb. E. E. McCoed, Steward, State Hospital, Raleigh, N. C. Deab Sib :—The report of the Engineering Department for the Biennial 1926-28, is completely covered by the several reports of Mr. H. L. Marlowe, Chief Engineer over this period of time, to Miss Mary White, Stewardess. Copies of these reports are attached hereto. Yours very truly, E. M. Eothgeb, Chief Engineer. Miss Maby White, Stewardess, State Hospital, Raleigh, N. C. Deab Madam :—The following is a report of new and major repair work which has been done by the Engineering Department during the six months, ending December 31st, 1926 : 1. Removed old cast-iron sewer main from boiler room which necessi-tated the installation of 250 ft. 6-in. terracotta surface drain line, and 200 ft. 4-in. sanitary sewerage line. Cost of material for these items approximately $ 125.00 2. Put in 160 ft. 6-in. cast-iron water main around basement of North Dormitory. Cost of material for this work 210.00 City Water Department proposed to make this installation for the sum of $300.00. 3. Installed 50 ft. 4-in. cast-iron sewer line under dormitory of Male Epileptic Colony. This work was done with old material sal-vaged from other installations. 4. Installed 60 ft. 5-in. galvanized pipe for underground drain line from blow off tank in boiler room, also necessary underground drip lines in connection with new boiler installation. This work was done by the Engineering Department at a cost of 110.00 5. Installed surface drain in front of Criminal Building and con-nected down spout drains into surface drain line which had not been completed after the construction of this building. Material used : 200 ft. 6-in. terracotta and 100 ft. 4-in. terra-cotta pipe. 6. Renewed 1%-in. steam, 1-in. return, and 1*4 -in. hot water lines from rear of Receiving Building to man-hole in front of Mrs. Brooks' cottage, a distance of 160 ft. Cost of material for this work approximately 180.00 7. Installed elevator for unloading coal. Cost of material 100.00 8. Renewed 140 ft. l^-in. domestic hot-water line in basement of Receiving Building. Cost approximately 80.00 9. Renewed 10 new closets throughout hospital. Cost of fixtures 240.00 10. Cut opening in brick stack in connection with new boiler installa-tion. The proposed contract price of cutting opening was $663.00, whereas the Engineering Department did the work as proposed by contractor, bricked up old opening and patched foundation wall Male T. B. Building at a cost not to exceed.... 100.00 State Hospital at Raleigh 31 11. Made all necessary alterations and installation in connection with electric driven fan unit in boiler room with the exception of switchboard and electric wiring which was furnished and in-stalled under contract. 12. Installed 10 floor drains in basement of T-ward connecting same to sanitary sewer. Cost of material for this work approximately $ 130.00 13. Installed 80 new stanchions in cow barn. 14. Installed 700 ft. underground, 2300 volt, electric line from man-hole near Superintendent's residence to transformer house, rear of Dr. Brackin's residence. Built transformer house and in-stalled transformer. Cost of installation 527.00 15. Completely overhauled engines in three tractors and one truck. 16. Completely overhauled ice plant equipment. 17. Renewed all defective radiator trap bellows in hospital at a cost for material of 254.00 Installation of new hot-water heating system, domestic hot- water lines and steam return lines to Erwin, Male and Female T. B. buildings, and 7th, 8th. 9th, and 10th wards, as per plans and specifications furnished by Messrs. Wiley & Wilson, Consulting Engineers. The cost of the material for the completion of this work was approximately $6,500.00, including labor expendi-ture $368.80. The above work has been done in addition to our regular maintenance work. Respectfully submitted, H. L. Marlowe, Chief Engineer. P. S.—Omitted from above : installed three plumbing fixtures in rear dormitory, connecting same to sewer and running all necessary water pipes. Cost of material $125.00. Price proposed by contractor for material and labor $250,00. Miss Mary White, Stewardess, Stale Hospital, Baleigh, N. C. Dear Miss White :—The following is a report of new and major re-pair work done by the Engineering Department from January 1st, 1927, to December 9th, 1927 : 1. Installed 500 sq. ft. steam radiation on 7th Ward porch. This was an entire new installation. Cost of material for this work $ 400.00 2. Installed 224 sq. ft. steam radiation in sun parlor of Hospital Building. This was a complete new installation. Cost of material for this work 125.00 3. Installed 600 ft. 6-in. cast-iron sewer main and constructed two man-holes for same at Oaks Colony. This installation was done to replace old terra-cotta line which had become unserviceable through years of service. Cost of this work was approximately 400.00 4. Installed two new closets in court yard at Male Colony. Cost of fixtures and plumbing supplies for this work approximately.... 125.00 5. Connected all down-spouts to surface drain lines and laid approxi-mately 1.000 ft. of 4 and 6-in. terracotta pipe around new West Wing. North and Rear dormitories. Cost of material for this work was approximately 385.00 32 State Hospital at Raleigh 6. Installed new 2,000 gal. Domestic hot-water tank in tank room near Machine Shop as per plans and specifications furnished by Wiley & Wilson, Consulting: Engineers. This work completed at a cost of $1,897.24 7. Installed 350 ft. 5-in. domestic hot-water distributing main under Center Building. Cost of material for this work was approxi-mately 554.00 8. Completely overhauled all hot-water radiation in 7th, 8th, 9th, and 10th wards ; also installed four three-section automatic Ebinger range closets, which necessitated changing all sewer lines to a larger size. Cost of material for this work was approximately 900.00 9. Installed four Bailey boiler meters including multi-pointer gauge, etc., in boiler room of Main Plant. Meter equipment was pur-chased under contract. Installation made by Engineering De-partment. 10. Painted engine room and pump room of Main Plant. 11. Have completely overhauled Laundry equipment at a cost for material of approximately 175.00 12. Have completely overhauled Packard and G. M. C. trucks. All labor was furnished by this department with the exception of some carpenter work which was done by others. Cost of material for this work was approximately 170.00 13. Foundation for new Harrisburg engine in power plant is now about 75 per cent complete. This work is being done as per plans and specifications furnished by Wiley & Wilson, Con-sulting Engineers, and is estimated to cost complete 1,000.00 All work is being done by this department. 14. Pole line to outlying colonies is now completed at a cost of 1,500.00 15. Completely overhauled Freek Ice Machine at a cost of 600.00 16. Completely renewed all domestic hot-water lines on Female side as per plans of Messrs. Wiley & Wilson, at a cost of 2,019.00 17. 500 sq. ft. radiation installed in Female T. B. Ward. 18. Completely rebuilt 3 bathrooms : one at G-ward, one at Female Epileptic Colony, one at Oaks Colony. There are numerous small items which the writer has omitted and classified with regular routine of operation and maintenance. Respectfully submitted, H. L. Marlowe, Chief Engineer. CARPENTER'S REPORT Mr. E. P. McCord, Steivard, State Hospital, Raleigh, N. 0. Sir :—I hereby submit to you the record of work done in the Car-penter and Paint Department from June 30, 1926, to June 30, 1928 : Put down pine floor in entrance hall, sanded and varnished same at Receiving Building. Built fence in open shed at dairy barn. Sanded and varnished third floor of Central Building. Screened Cannery. Ceiled strong room and made two window guards at Female Epiletic Colony. State Hospital at Raleigh 33 Laid concrete road between 12th Ward and Male court yard. Laid cement walk at 12th Ward. Built open porch at Laundry Dormitory and painted same. Converted barn on Boylan Drive into three garages. Painted porch deck, also tin roofs at Nurses' Home. Covered roof of tool house with composition shingles. Eemodeled T-ward, built brick walls in hall-way. Made window guards and reinforced doors, laid cement floor in rooms and painted ward. Built forms and poured concrete for fountain at Nurses' Home. Built forms for concrete conduit for heating system from boiler room to Male Tubercular ward and thence to 7th Ward on the Female side from boiler room to Erwin Building, also branching to Female Tubercular Ward. Repaired sills, spliced posts and laid neAv floor in temporary cow shed. Made four window guards at Female T. B. Ward. Built brick transformer house, cement floor and top on Boylan Drive. Fitted frames and sash on 7th Ward porch, also made 90 ft. benches. Poured cement walk and steps at Nurses' Home. Built ten wardrobes for Male Em-ployee's Dormitory. Laid rift pine floors in 16 rooms on A and D Avards. Painted A, D, M, L, R, S and corridors leading to dining room. Fitted 12 sash in boiler room. Laid rift pine flooring at Female Tuber-cular Ward. Side walls of Male Tubercular Ward plastered; wood laths were taken off, replaced same with metal lath. Made cement trough for calf pasture. Made 76 window screens for Male and Female T. B. wards. 14 screens for A-ward; screens made for Central Building. Window guards were made for 10 windows on 7th and 8th wards, heavy wire used. Poured cement floor and roof on Engineers' Office. Made 24 step ladders for male wards. Ceiled blanket room with cedar, 8 feet square ; sanded and varnished floor. Painted operating and drug room. Sanded and varnished floors at Gate Keeper's Cottage. Sanded and varnished dormitories and halls at Receiving Building. Remodeled 7, 8, 9 and 10 wards; hung new doors; plastered 6 rooms; erected shelving in 8 rooms; painted entire building, three coat job. (Prisoners from State Prison helped with this work.) Built hog shelter 25 x 60 feet, covered same with corrugated iron. Painted sitting room furniture and beds, also varnished floors at Hospital Building. Painted metal roofs on all buildings. (Prisoners assisted with this work. ) Replaced joists and poured cement bin in meat room. Built three strong rooms and porches at Receiving Building. Mr. Davidson con-tracted the work. We did all the carpenter, cement and paint work. This work cost about $5,500.00. Made 18 screens and two swings for porches at Receiving Building. Built ten oak tables 3 x 5, covered same with glass tops for Receiving Building. 3 34 State Hospital at Raleigh Repaired windows and doors, built brick curtain wall around house, painted 4 rooms and hall at Matron's house. Built brick curtain wall at Doctor's Residence and at Colony House. Laid cement walk and gutter north end Main Building. Sixteen thousand feet rift pine flooring laid at colonies, new treads on nine stairways, the interior of the three buildings was painted, three coats, laid five cement floors in bathrooms. Built forms and poured cement in male basement from Central Building to 7th Ward annex. Screened K-ward porch. Made 26 window guards for S-ward, rein-forced same with sandscreen wire. Fifty half-screens were made for Oaks Colony. General repairs to buildings; locks repaired, glazing, etc. Chairs repaired by patients; mattresses made by patients, brooms made by patients. Respectfully submitted, R. M. Brown, Carpenter. REPORT OF MATRON Mr, E. F. McCord, Steward, State Hospital, Raleigh, N. C. Sir:—I hereby respectfully submit to you a report of the work done in the Matron's Department from June 30th, 1926, to June 30th, 1928. We have, besides keeping up the regular duties of the Kitchen, Bakery and Center Building made the following : 1927 1928 Total Butter 4,558 pounds 4,728 pounds 9,285 pounds Lard 3,500 pounds 5,300 pounds 8,800 pounds Apple preserves : 80 gallons 90 gallons 170 gallons Strawberries 69 gallons 43 gallons 112 gallons Grapes 60 gallons 125 gallons 185 gallons Pear preserves 90 gallons gallons 90 gallons Peach preserves 100 gallons 50 gallons 150 gallons Apple jelly 40 gallons 38 gallons 128 gallons Grape jelly 20 gallons 3 gallons 23 gallons Cucumber pickles 275 gallons 375 gallons 550 gallons Beans 6,661 gallons 1,165 gallons 7,826 gallons Tomatoes 4,935 gallons 2,923 gallons 7,858 gallons Apples 411 gallons 1,077 gallons 1,488 gallons In the spring of 1928 we painted the rooms, bathrooms, and floors in Center Building, also upholstered chairs in parlor. In the kitchen we bronzed all the pots, trucks and pipes. We painted part of the walls in the Basement and tiled the Bread Room in Bakery. Respectfully submitted, Quessie Miller, Matron. State Hospital at Raleigh 35 REPORT OF CLOTHES SUPERVISOR Mr. E. F. McCord, Steward, State Hospital, Raleigh, N. C. Sir:—I hereby respectfully submit to you a report of the work done in this department from June 30th, 1926, to June 30th, 1928 : Total number pieces mended 1 86,274 Total number pieces marked 235,135 Total number bandages made 7, 164 Total number shoes mended (pairs) 2,917 Total number pieces mended at Female Colony 16,414 Average number patients in mending room 18 Average number patients in sewing room 20 Average number patients in laundry 36 Average number employees in laundry 14 Employees in mending room - 1 Employees in sewing room 1 Garments Made: Aprons, ladies ' 256 Aprons, servants ' 806 Aprons, butchers' 7 Aprons, maids' 68 Aprons, barbers' 30 Aprons, rubber 12 Aprons, chefs' 100 Barber bibs 30 Bandages, many tail 12 Bags, clothes 830 Bags, sausage 26 Bags, sand 2 Bags, ice 50 Bath robes. 29 Breast binders 11 Burial robes 130 Bonnets 35 Caps, nurses' 284 Caps, chefs'. 49 Coats, white 135 Coats, lining 1 Curtains, long 56 Curtains, short 1,893 Curtains, shower : 2 Covers, mattress 50 Covers, chair 33 Covers, basket 4 Covers, cushi on * 109 Chemise, bleached 57 Chemise, unbleached 2, 204 Chair, ticks 82 Capes, ladies' 56 Dresses, cheviot 1,368 Dresses, gingham 1,719 Dresses, strong 326 Dresses, bleached. .. 12 Drawers, ladies' bleached _ 81 Drawers, ladies' unbleached 308 Drawers, men's. 2,181 Gowns, long _ 695 Garters (pairs) 601 36 State Hospital at Raleigh Garments Made—Continued: Mattress ticks , 2, 439 Napkins (table)— 96 Overalls, 1,595 Operating masks 7 Princess slips-v. 676 Pillow ticks 312 Pillow cases 4,610 Pants, white 195 Pants, work 585 Pan holders 587 Rompers, men 's 88 Rompers , boys ' 232 Straight j ackets 2 Shirts, bleached 230 Shirts, unbleached 9,423 Shirts, work 2,866 Shirts, dress 129 Shirts, under _ 624 Strainer, jelly 12 Saline sheets ,, 6 Silencer cloths 4 Towels, dish 1,701 Towels, roller 276 Towels, dentist 203 Table cloths 21 Table covers ' 49 Table scarfs 53 Tags, hosiery 998 Teddies 1,009 Underbodies .. 13 Window draperies 470 Garments altered. 100 Garments Cut for Sewing Room at Female Colony: Aprons, ladies' _ 9 Aprons, servants' 523 Bags , cl othes 53 Covers, mattress 3 Chemise 360 Children's dresses 4 Dresses, cheviot 355 Dresses , gingham 189 Dresses, strong 405 Drawers, ladies ' .•_. 335 Drawers, men's 279 Gowns, long 129 Gowns, short - 209 Overalls 511 Princessslips 93 Pillow cases 171 Petticoats . 27 Pants, work 260 Rompers, men's 140 Rompers, girls ' 4 Shirts 591 Shirts, work 884 Shirts, under 136 Teddies 39 Underbodies - 4 Union suits 298 State Hospital at Raleigh 37 Number of Yards of Material Cut: ' Bleaching 4,298 Bed, ticking 16,750 Broadcloth 9 Crash • 301 Canvas * 51 Canton flannel 4,024 Cretonne 600 Chambray - 13.092 Cheviot —- 8,023 Cottonade 4,687 Denims 16,046 Duck ---- 325 Drilling, unbleached , 7, 623 Drilling, bleached 1,096 Domestic 23, 322 Damask, table 283 Elastic 348 Flannel, wool --- 75 Gingham - 9,319 Indian head 17 Khaki 40 Outing 384 Oilcloth 3 Percale -- 26 Pongee =. - 40 Sheeting, rubber 18 Sheeting, bleached 647 Sheeting, unbleached 27,725 Sateen. 610 Scrim. 1,254 Shirting.. 427 Toweling.... 1,621 Twill, middy 39 Private Materials (Yards): Bleaching 92 Broadcloth 20 Cotton crepe : 7 Crepe de chine . . 10 Canton flannel 5 Dimity 71 Domestic 54 Gingham 488 Long cloth 32 Lingette . 9 Linen.. 9 Madras . 7 Percale 106 Rayon silk 5 Sateen 9 Satin 10 Soisette 4 Voile 16 Goods Sent to Patients from Home, Cut and Made in Sewing Room: Aprons, ladies' 4 B. V. D.'s 8 Dresses _ 154 Drawers, ladies' __ 2 38 State Hospital at Kaleigh Goods Sent to Patients from Home, Cur and Made in Sewing Room—Continued: Gowns, long 3 Kimona l Princess slips . . 53 Shirts, dress _• _ 2 Teddies 43 Mrs. Josephine Thomas, Clothes Supervisor. REPORT OF OCCUPATIONAL THERAPY DEPARTMENTS Me. E. F. McCord, Steward, State Hospital, Raleigh, N. C. Deae Sie :—We hereby submit to you the biennial report of the Occu-pational Therapy Departments, male and female : No. of Female Department: Articles Made Aprons, child's embroidered 186 Aprons, ladies' embroidered 191 Articles hemmed ... 499 Aprons hemmed 377 Broom holders, raffia 16 Broom holders, cloth... . 19 Baby bedquilt, embroidered 1 Baskets lined 4 Baskets, reed, small 83 Baskets, waste 17 Baskets, flower... 35 Baskets, wall 3 Baskets, fruit _ 39 Baskets, raffia 96 Baskets, pine needle 3 Bags, laundry 12 Curtains, embroidered 6 Curtains, outwork 4 Centerpieces, with tatting 117 Centerpieces, with cutwork 8 Centerpieces, with embroidery 153 Centerpieces, with crochet 365 Centerpieces, with hemstitching __•_ 47 Centerpieces, hemmed 179 Doilies, with tatting 26 Doilies, with crochet 49 Doilies, with embroidery 33 Doilies, hemstitched .17 Fan, raffia - 1 Gowns, with crochet - 3 Gowns, with tatting. .- 6 Gowns, with embroidery - 4 Handkerchiefs, with embroidery 12 Hampers, reed - — 7 Inserts, crocheted -- -- 16 Lace, crocheted (yards) . - 33 Luncheon sets, embroidered (pieces) 73 Luncheon sets, with crochet 150 Luncheon sets, with tatting 32 State Hospital at Raleigh 39 No. of Female Department—Continued: Articles Made Luncheon sets, hemmed 182 Luncheon sets, hemstitched - 36 Medallions, tatting 103 Medallions, crocheted 124 Napkins, hemstitched 12 Naplc ns, embroidered 12 Napkins, with crochet 36 Napkins, with cutwork 24 Napkins, hemmed 24 Napki n ri ngs, reed 5 Pillow cases, hemstitched 12 Pillow cases, embroidered 102 Pillow cases, with tatting 12 Pillow cases, with crochet 48 Pillow cases, with cutwork 4 Picture frames, raffia 1 Pincush i ons 14 Pan holders 122 Rugs, braided 91 Rugs, hooked 38 Rugs, woven 123 Rugs, crocheted 9 Rugs, braided weave 18 Rugs, repaired 3 Scarfs, hemstitched 416 Scarfs, with tatting 46 Scarfs , hemmed 191 Scarfs, with crochet 173 Scarfs, embroi dered 200 Towels hemstitched 29 Towels, with embroidery, ... 12 Towels, hemmed 51 Towels, with crochet 6 Towels, with tatting 4 Table covers, card 9 Table covers, hemmed 48 Table cloths, with cutwork 1 2 Trays, reed 19 Trays, decorative 12 Trays, coaster 17 Table cloths , hemstitched 1 Table cloths, embroidered 12 Table cloths, hemmed 12 Tatting edge (yards) 536 Vases, reed _ 172 Total s 6,045 Male Department: Brooms 5,395 Brooms, whisk 103 Brooms, round 54 Boxes, flower 6 Boxes, cedar, repaired 1 Bases, lamp _ 1 Bases, stool 11 Bases, tray 2 Baskets, reed, medicine. 2 Baskets, reed, hampers 11 Baskets, reed, waste 3 40 State Hospital at Haleigh No. of Male Department—Continued: Articles Made Baskets, reed small 12 Baskets, reed, repaired 4 Baskets, reed, varnished . _ 320 Chairs, caned 940 Chairs, painted 286 Chairs, repaired 2 Lamp, reed 1 Mattresses- 1,258 Pillows 174 Pillows, couch 21 Screens, pai nted 2 Settee, caned. 1 Stools, caned _ _ 133 Stools, varnished 55 Tables made. 1 Tables painted 12 Toys, chairs 12 Toys, tables 9 Toys, carts 7 Toys , wheel barrows 3 Toys, wagons 2 Toys, bureaus -- 9 Toys, bedsteads 44 Toys, mattresses -•-- 21 Toys, pillows ... 13 Total 9,211 Total number of articles made in Female Department - 6,045 Total number of articles made in Male Department.. 9,211 Totals.... 15,256 Respectfully submitted, Ella JNT. Thompson, Etta Travis. THE STATE HOSPITAL AT RALEIGH RALEIGH, N. C. REPORT ON AUDITS FOR THE TWO FISCAL YEARS ENDED JUNE 30, 1927, AND 1928 42 State Hospital at Raleigh Exhibit "A" INCOME AND EXPENSE—PERMANENT IMPROVEMENT FUND July 1, 1926, to June 30, 1927 Income: Appropriation: Chapter 192, Public Laws, 1925 $ 123.000.00 Insurance collected ... . 178,408.16 Emergency Fund.. . . . ... . ... . . . . _ ... ._ 317,000.00 Carolina Power & Light Company—Right-of-way -- . - 5,000.00 Total Income. ..... . . $ 623,408.16 Expense: Boiler room equipment and installation ...... $ 52,375.81 68,863.61 448,659.37 41,365.05 Alterations—four buildings. . .. .. .. West Wing.. . . ... .. East Wing . . 611,263.84 Unexpended Balance—June 30, 1927 $ 12,144.32 Encumbrances: W. P. Rose, General Contractor—Additions $ 4,310.28 2,077.74 2,768.00 1,999.75 94.47 1,200.00 655.00 350.00 Dunford & Corn, Plumbing Contractors . . Chas. C. Hook, Architect... Furnishings J. A. Boaman, fire-safing and roofing . ... J. A. Davidson, repairs to exterior John Askew—Painting . Chas. C. Hook, commissions .... . .. .... 13,455.24 Excess Encumbrances Over Unexpended Balance $ 1,310.92 State Hospital at Raleigh 43 Exhibit "B" INCOME AND EXPENSE—PERMANENT IMPROVEMENT FUND July 1, 1927, to June 30, 1928 Income: Unexpended balance, June 30, 1927 Appropriation, Chapter 147, Public Laws, 1927 Deduct: Amount borrowed from Emergency Fund, year 1926-1927. Total Income. Expense: West Wing addition to Center Building Institutional furniture and furnishings. . Repairs to Female Wards - Repairs to Female Receiving Building.. East Wing addition to Central Building. Repairs to 7, 8, 9 and 10 Wards Electric generating unit _ Total Expense. Unexpended balance, June 30, 1928, as per records of Institution. Settlement for June, received in July Unexpended Balance, June 30, 1928, as per Records, Auditor's Office S 335,000.00 317,000.00 $ 10,599.73 3,327.97 2,079.09 5,537.95 1,933.57 7,144.60 17,184.25 $ 12,144.32 38,000.00 $ 50,144.32 47,807.16 $ 2,337.16 1,015.98 $ 3,353.14 State Hospital at Raleigh Exhibit "C" INCOME AND EXPENSE—MAINTENANCE FUND For the Two Fiscal Years Ended June 30, 1927, and 1928 Income: Appropriati ons : Chapter 295, Public Laws, 1925 Chapter 295, Public Laws, 1925 Chapter 79, Public Laws, 1927 Institutional Receipts: Office and administration Subsistence Housekeeping Medical and surgical care Nursing and attendance Care of buildings, grounds and equipment. Agricultural Total Institutional Receipts. Total Income Expense: Office and administration Subsistence Housekeeping Laundering Medical and surgical care Nursing and attendance Light, heat, power and water Care of buildings, grounds and equipment- Recreational Agricultural- Extraordinary and special Fire loss. . Total Expense- June 30, 1928, Institutional Balance, Excess Income Over Expense Fiscal Year 1926-1927 79.79 28,555.94 645.56 123.60 1,475.32 714.00 1,034.15 $ 18,539.02 134,526.09 53,702.73 9,475.17 23,820.56 77,860.27 66,524.74 45,975.98 973.81 44,352.56 38,059.40 118.03 $444,000.00 37,300.00 32,628.36 $513,928.36 513,928.36 Fiscal Year 1927-1928 $ 22,094.32 117,518.72 43,093.95 7,812.93 24,243.89 74,073.88 53,381.86 32,370.06 1,087.90 38,749.25 $ 410,000.00 40,574.49 $ 450,574.49 414,426.76 % 36,147.73 EXPLANATION Subsistence Housekeeping Light, heat, power and water _.. Expendi-tures Year 1927-28 $114,506.06 42,542.56 52,169.36 Add: Inventory June 30, 1927 12,618.27 21,464.99 9,000.00 $127,124.33 64,007.55 61,169.36 Deduct : Inventory June 30, 1928 $ 9,605.61 20,913.60 7,787.50 Actual . Expense Year 1927-28 $117,518.72 43,093.95 53,381.86 Institutional Balance, 6-30-1928, Excess Income Over Expense June 30, 1928, Excess Income Over Expense, as per Records, State Auditor . Difference $ 3,012.66 551.39 1,212.50 $ 36,147.73 $ 40,924.28 State Hospital at Raleigh 45 Exhibit "D" RECEIPTS AND DISBURSEMENTS—MAINTENANCE FUND For the Two Fiscal Years Ended June 30, 1927, and 1928 From B. R. Lacy, State Treasurer I mprest Cash Office and administration Subsistence. Housekeeping. Laundering Medical and surgical care Nursing and attendance Light, heat, power and water Care of buildings, grounds and equipment. Recreational Agricultural Fire loss Extraordinary and special expenditures Total Disbursements- Disbursements in Excess of Receipts. Fiscal Year 1926-27 Receipts $560,141.08 4,000.00 Disburse-ments 22,539.02 134,526.09 53,702.73 9,475.17 23,820.56 77,860.27 66,524.74 45,975.98 973.81 44,352.56 34,566.89 49,823.26 $564,141.08 Fiscal Year 1927-28 Receipts $409,650.21 Disburse-ments 4, 22, 114, 42. 7, 24, 74 52 32 1 38 000.00 094.32 506.06 542.56 812.93 243.89 073.88 169.36 370.06 087.90 749.25 $ 413,650.21 4,000.00 Schedule D-l INSTITUTIONAL RECEIPTS For? the Two Fiscal Years Ended June 30, 1927, and 1928 Office and administration Subsistence Housekeeping Medical and surgical care Nursing and attendance Care of buildings, grounds and equipment Agricultural Fire loss Permanent Improvement Fund I mprest Cash Total Institutional Receipts Fiscal Year 1926-27 79.79 28,555.94 645.56 123.60 1,475.32 714.00 1,034.15 34,448.86 11,763.86 4,000.00 $ 82.841.08 Fiscal Year 1927-28 95.90 36,705.58 950.69 86.98 321.30 27.25 2,386.79 $ 40,574.49 46 State Hospital at Raleigh Exhibit "E" PER CAPITA COST July 1, 1926, to June 30, 1927 Maintenance: Office and administration Subsistence _' Housekeeping - _ Laundering.. Medical and surgical care Nursing and attendance Light, heat, water and power Care of buildings, grounds and equipment. Recreational Agricultural Fire loss Subsistence: 1203-a Meat, fish and fowl .. Dairy products, eggs Cereal food products Vegetables Fruits and nuts Saccharine products Beverages Condiments, flavors, etc. Fats, oils, etc 1203-b 1203-e 1203-d 1203-e 1203-f 1203-g 1203-h 1203-i Farm Products Used as Food. Operating Cost $ 18,539.02 134,526.09 53,702.73 9,475.17 23,820.56 77,860.27 66,524.74 45,975.98 973.81 44,352.56 118.03 Average Number Inmates $475,868.96 $ 44,633.31 6,636.78 14,892.18 6,683.18 9,057.60 9,253.12 6,591.65 983.21 15,155.16 $113,886.19 62,956.78 $176,842.97 1,520 Per Capita Cost per Period 12.20 88.50 35.33 6.23 15.67 51.22 43.77 30.25 .64 29.18 .08 $ 313.07 29.36 4.37 9.80 4.40 5.96 6.09 4.34 .64 9.97 74.93 41.42 Per Capita Cost per Day $ 116.35 $ .0334 .2425 .0968 .0172 .0429 .1403 .1199 .0829 .0017 .0799 .0002 .8577 .0804 .0120 .0268 .0121 .0163 .0167 .0119 .0018 .0273 ,2053 ,1134 .3187 Number of Days. 365 State Hospital at Kaleigh 4' Exhibit "FM PER CAPITA COST July 1, 1927, to June 30, 1928 Maintenance: Office and administration Subsistence. - Housekeeping . . Laundering. Medical and surgical care Nursing and attendance Light, heat, power and water Care of buildings, grounds and equipment. Recreational Agricultural Subsistence: 1203-a Meat, fish and fowl Dairy products and eggs. Cereal food products Vegetables _ Fruits and nuts Saccharine products Beverages Condiments, flavors, etc.. Fats, oils, etc 1203-b 1203-c 1203-d 1203-e 1203-f 1203-g 1203-h 1203-i Farm Products Used as Food. Operating Cost 5 22,094.32 117,518.72 43,093.95 7,812.93 24,243.89 74,073.88 53,381.86 32,370.06 1.087.90 38,749.25 $414,426.76 $ 40,044.65 4,372.29 12,528.35 9,293.09 7,328.33 8,973.59 6.096.13 752.47 11,510.30 $100,899.20 64,305.28 $165,204.48 Average Number Inmates 1,639 Per Capita Cost per Period 13.48 71.70 26.29 4.77 14.79 45.20 32.57 19.75 .66 23.64 $ 252.85 24.43 2.67 7.64 5.67 4.47 5.48 3.72 .46 7.02 Per Capita Cost per Day .0369 .1964 .0721 .0131 .0405 .1238 .0892 .0541 .0018 .0648 61.56 39.23 $ 100.79 .6927 .0670 .0073 .0209 .0155 .0122 .0150 .0102 .0013 .0192 .1686 .1075 .2761 Number of Days. 365 Donott,ea Mx School «f iw: 'W library |
OCLC Number-Original | 33296386 |