Biennial report of the State Hospital at Raleigh |
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BIENNIAL REPORT OF THE STATE HOSPITAL AT RALEIGH RALEIGH, N. C. FROM JULY 1, 1924, TO JUNE 30, 1926 4 RALEIGH Btnum Printing Company State Printers 1926 Itlr HhHHHhh "tltllilfc """" iiftfr*s^ sis; fit" ::.: i ,;; ''M».%$>; ISilttl siftii .... . 5illisiii tfljj lp§S! ''4Si: : :">:3ti r:;*: lit ^tsppaii l^^i^i^iupi^';r' ! "'- i qfp^lt jf^fif-' H':-^f:^J.. W^^MSl.^ fcgi Sallflipl& «!i*fliliipi i * 'wlHMiliSfllfft IfWiff m ..'"^-M BOARD OF DIRECTORS OF THE STATE HOSPITAL. AT RALEIGH, NORTH CAROLINA C. Felix Harvey, President Lenoir County Term expires April 1, 1929 A. L. James Scotland County Term expires April 1, 1929 Dr. J. C. Baum Currituck County Term expires April 1, 1929 H. R. Dwire Forsyth County Term expires April 1, 1929 Judge W. S. O'B. Robinson Wayne County Term expires April 1, 1929 Dr. Leslie B. Evans Bertie County Term expires April 1, 1929 Jos. G. Brown 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 COMMITTEE' Joseph G. Brown, Chairman C. Felix Harvey A. L. James RESIDENT OFFICERS AND STAFF Albert Anderson, M.D Superintendent R. K. Adams, M.D Assistant Physician Julian W. Ashby, M.D Assistant Physician H. B. Brackin, M.D Assistant Physician T. M. Jordan, M.D Assistant Physician T. L. Young, D.D.S Dentist Miss Mary S. White Stewardess SUBORDINATE OFFICERS Miss Wesley Jordan Bookkeeper Miss Lillie B. Goodwin Steno. to Board and Private Secy, to Supt. Mrs. Pattie Bradshaw, R.N Superintendent of Nurses Mrs. R. B. Hall Matron Miss Annie J. Eagle Druggist H. L. Marlow Engineer R. M. Brown Carpenter James Adams Florist, Farmer and Gardener LETTER OF TRANSMITTAL His Excellency, Gov. A. W. McLean, Raleigh, JS". C. My dear Sir: I have the honor to submit herewith the report of Dr. Albert Ander-son, Superintendent of the State Hospital for the Insane, at Raleigh, North Carolina, covering the operations of the Hospital from July 1, 1924 to June 30, 1926, together with a copy of the audit made by Hon. Baxter Durham, Auditor. The Board of Directors appreciates the cooperation and support accorded it by you and the Council of State at all times, and especially your prompt response to its appeal for assistance when confronted by the emergency arising from the destruction of the West Wing of the Hospital last spring. Very truly yours, C. F. Harvey, President Board of Directors. / SUPERINTENDENT'S REPORT Me. C. Felix Harvey, President, and Members of the Board of Directors of the State Hospital at Raleigh: Gentlemen :—The biennial report of this Hospital from June 30th, 1924, to June 30th, 1926, is submitted as follows : STATISTICAL SUMMARY Table No. 1 Patients remaining June 30, 1924 Admitted during last two years (insane) Admitted during last two years (criminal insane) Total number under treatment Average daily population Restored (insane ) I mproved (insane ) Uni mproved (i nsane ) Transferred (insane) Not 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 of number admitted- Remaining June 30, 1926 _' Male 651 565 78 1,294 61 327 19 8 2 109 15 3 544 8.6 68 750 Female 671 471 6 1,148 174 30 1 101 1 2 393 8.8 54 755 Total 1,322 1,036 84 2,442 1,474.5 145 501 49 9 2 210 16 5 937 8.7 61 1,505 Our reports on the medical work for two years cover four depart-ments— the insane, epileptic, inebriate and the criminal insane. The doctors of my staff have submitted the following reports : (See Dr. Adams' report.) (See Dr. Ashby's report.) (See Dr. Brackin's report.) (See Dr. Jordan's report.) (See Dr. Young's report.) The work of our general hospital service has been satisfactory. The necessary surgical operations have been done by different members of our Advisory Board of Surgeons very promptly when called. Our requests for new buildings and reasons for making them are set out fully in our transmittal letter to Budget Bureau. We wish again to express our appreciation to the Advisory Board of Doctors for responding so promptly to our call whenever we have work for them to do. 6 State Hospital at Raleigh Governor McLean appointed the following physicians of the State on our Advisory Board : Dr. T. M. Green Wilmington Dr. J. F. Highsmith Fayetteville Dr. J. P. Monroe Charlotte 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 Greenville Dr. W. B. McNider Chapel Hill Dr. E. J. Wood.... Wilmington 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. V. Jones New Bern Dr. T. D. Kitchin Wake Forest I am giving below a report from the Architect, C. C. Hook, and of Wiley & Wilson, our Heating Engineers, covering all the work done in the last two years. (See report of Wiley & Wilson.) (See report of Chas. C. Hook.) Our Auditor's report gives the details of money spent in our building program. In conclusion, I wish again to express my sincere thanks to the mem-bers of our Board for the great sacrifices they have made in serving this Institution and the fine spirit of cooperation they have given us in the management of the business affairs and building program of this Institu-tion for the last two years. The officers and employees of this Institution have been loyal and trustworthy and have striven to promote the welfare and care of our patients in every possible way. We are still holding in our mind the same objective that we have always held persistently; that is "to make our Institution equal to any and surpassed by none." Respectfully submitted, Albert Anderson, Superintendent. State Hospital at Raleigh PROFESSIONAL REPORTS July 1st, 1926. Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C. Sir:—Pursuant to your request, I submit herewith the report for the Male Department, covering the biennial period from June 30th, 1924 to June 30th, 1926. The general health of the patients in this department has been good. There has been no epidemic diseases. Vaccination against typhoid and smallpox has been carried out. A few cases of psychosis following encephalitis have been treated with tryparsamide and a few cases of dementia precox have been treated by the production of an aseptic meningitis by the intraspinal injection of sterile horse serum. Sulphar-sphenamine, neosalvarsan bismuth and mercury (both intramuscularly and intravenously) have been employed in the treatment of syphilis. I had hoped during this biennium to treat some cases of paresis with malaria, but have experienced difficulty in securing proper malarial parasites. This work, however, will be carried out during the coming biennial period. There were two suicides during the biennial period. One of these occurred in the Main Building and the other occurred at the Hospital Building. On April 10th, 1926, about 1 :40 P. M., fire broke out in the roof of the Sixth Ward and destroyed the First, Second, Third, Fourth, Fifth and Sixth "Wards and the northern end of the Seventh, Eighth, Ninth and Tenth Wards. The Eleventh Ward was also so badly damaged that it cannot be used until extensive repairs can be made. The patients are being cared for on the porches of the Seventh, Eighth, Ninth and Tenth Wards and on the parts of these wards not destroyed by the fire. Some patients were transferred to Oaks Colony and some were taken home by relatives. Even after the burned building has been rebuilt, the Male Depart-ment will still need additional buildings. There has been no building in the Male Department for housing patients since the Seventh, Eighth, Ninth and Tenth Wards were built about twenty years ago. I would make the following recommendations': A Eeceiving Building with a capacity of 75 to 100 patients, a building for untidy patients to care for 150, and a building for inebriates and drug addicts. The inebriates and drug addicts are now cared for on the wards with the insane. Table One of the statistical report will show that we have admitted more male patients than females, which will show the necessity for a Receiving Building for men, a building of this type having already been provided for the female patients. On January 1st, 1925, the Criminal Insane building was opened, the Legislature having passed an act that patients of this type should be \ 8 State Hospital at Raleigh cared for in this institution instead of the State's Prison. The building was too small due to inadequate appropriation and as soon as the pa-tients were transferred from the State's Prison the building was so crowded as to necessitate the placing of beds in the halls. During the past biennial period the building has been enlarged and its capacity slightly more than doubled. For this building I would recommend an occupational therapy teacher and amusements from time to time such as moving pictures. The functions of a State Hospital should be : 1. To receive as many worthy cases as possible. 2. To restore as many patients as possible to society. 3. To accomplish the two above objects as economically as is com-patible with good treatment. With these objects in view, I think the Male Department has made a creditable showing. By referring to Table One of the Statistical Re-port you will note that more men have been admitted and discharged than women, and by comparison of the payrolls you will note that this has been accomplished very economically. Respectfully submitted, R. K Adams, M.D. Raleigh, N". C, September 20, 1926. Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C. Sir :—I hereby submit the report of the Female Receiving Building : Since the last biennial report three strong rooms have been added to the Female Receiving Building at a cost of about $1,800. This is the only expenditure that has been made to this building since its construc-tion. The three additional rooms have increased the efficiency of the service but the present capacity is not sufficient and three strong rooms would materially increase our comfort. These rooms could be extended from the three rooms constructed two years ago and on the roof of these three rooms, and the three rooms previously mentioned, we should have a sun porch. This would give the patients at the Female Receiving Building the advantages of sunshine and fresh air which they do not at present enjoy in bad weather and winter, and which is a privilege granted to nearly all of the other patients. The expense of this addition should not exceed $6,000. During the past biennial period we have been free from a great deal of sickness, but there was one epidemic of erysipelas which affected an attendant and four or five patients, all of whom recovered. There were no suicides during this period and twelve deaths. Most of these deaths occurred shortly after admission of the patients. Two of them dying one day after admission, another within four days and the longest period State Hospital at Raleigh 9 that any of these patients who died had been in the hospital was fifty-one days. There was also one death which occurred the day after the patient left the hospital after having been in our service for twelve days. There has been a decided decrease in drug addiction patients. For the periods of 1924-1925, we admitted thirty patients; 1925-1926 seventeen patients who were drug addicts. On July 1st, 1924, there were in this service four patients diagnosed drug addiction; July 1st, 1926, only one patient of this class. We are continuing to make a mental and physical examination of all patients as soon as possible after admission ; and we are also vaccinating all patients against smallpox and typhoid fever. The continuous baths and hot packs are being continued with benefit. Respectfully submitted, J. W. Ashby, M.D. Raleigh, N". C, September 17, 1926. Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. 0. Sir :—I herewith submit the report of the Female Department, with the exception of the Receiving Building. There were 533 patients at the end of the biennial period. Illness : All cases of physical illness were sent to the Hospital Building except during the influenza epidemic when it would not take care of all. The general health of the patients has been good except for influenza during January and February, 1926. There were about 150 cases of influenza on this service during that time. Most of the cases had a high elevation of temperature and quite a number had complications. The most fre-quent complications were pneumonia and otitis media. Very few cases were fatal. We have had no cases of contagious disease. There has been no sudden deaths and no suicides. ISTo serious accident has hap-pened. Treatment : The warm continuous baths have been used for excited and noisy pa-tients with good results. Isfeutral wet packs have been used very ex-tensively for noisy and excited patients with benefit to the patient. Progressive ISTotes : All patients on this service have had a complete physical examination during this period and a record of the abnormalities found put in their folder. All patients have also had notes made of their mental condition and a record of it made in their folder. 10 State Hospital at Baleigh Repairs : During the past biennial period G-ward, K-ward, and Female dining room have been painted. No other repairs have been made except ones necessary in an institution of this kind. New Building : There has been one ward built on this service. It has ten rooms and is for violent and excited patients. Two continuous bath tubs were in-stalled on this ward. Recommendations : We are in need of a building for noisy and untidy patients. At the present time G-ward, which accommodates 100, is being used for same but its location is bad for this type of patients. It is on the main drive of hospital grounds and all visitors can see these untidy patients on the porch and hear their profane and obscene language. My suggestion is to build a building for 100 untidy and noisy patients, in the pines across from E. B., away from the road and use G-ward for higher type of patients. The Ternale tubercular building needs a floor and some additional rooms. It stays full all the time and some tubercular patients have to be kept on wards with other patients. My suggestion would be to change the room being used for a dining room, and not suitable for such, into single rooms and build a dining room. Respectfully submitted, H. B. Beackin, M.D. Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C. Sir :—Herewith I hand you the biennial report of the Colonies in the department of my service : Movement and condition of the population of Oaks Colony during the biennial period ending June 30th, 1926 : Number of patients in the institution at beginning of period 169 Number of patients admitted during period 155 Number of patients readmitted during period 15 Number of patients died during period 1 Number of patients escaped during period 47 Number of patients returned from escape 35 Number of patients at large 12 Number of patients transferred 85 Number of patients discharged 42 Number of patients remaining June 30th, 1926 199 All patients have been immunized against smallpox and typhoid fever. There have been no contagions or epidemics. The one death reported was due to heart disease. Examinations of and histories written for these re- "- 4ff &<»"- j^-— - - ~k( *' # ,ttW if-iliiiiiiiiH State Hospital at Raleigh 11 ceived not already so treated. Notations of condition of patients have been recorded and filed from time to time. On account of the sudden influx of patients from Main Building fol-lowing fire, Oaks Colony was, and is now, very much congested, and the number of idle patients, due either to feebleness or too mentally dis-turbed to send out, have added considerably to the problem of oversight, yet these conditions have been met by only an addition of one caretaker to usual force of attendants. Due to the fact that a large part of the population at Oaks Colony is employed upon the farm, opportunities for escape are multiplied. It is very gratifying to record, however, that the number of escapes during this biennium have been decreased above 40% over what occurred during previous two-year period. At Oaks Colony an increased number of properly heated and ventilated strong rooms are needed to meet the needs of present population. There should also be an increased number of single rooms wherein a noisy patient might be kept over night, otherwise a dormitory of thirty or more patients will be broken of their rest at times for a whole night. Recommendations : All strong rooms, bath and toilet rooms should be screened against flies. Dining-room floor should be repaired. Bath-room floors should be of cement and arranged to drain properly. Male Epileptic Colony Movement and condition of population at the Male Epileptic Col-ony : Number of inmates in institution at beginning 88 Number of inmates admitted during term... 182 Number of inmates died during term 14 Number of inmates discharged during term 46 Number of inmates escaped during term 26 Number of inmates returned during term 15 Number of inmates at large during term 11 Number of inmates transferred during term 14 Number of inmates remaining at term 185 There have been no contagions. Mild epidemics of influenza occurred during early months of 1926. No deaths, however, from this cause. All patients have been immunized against smallpox and typhoid fever. The prevailing cause of death has been exhaustion from epilepsy. One death was from pneumonia. Examinations, mental and physical, of all new patients have been made and their histories written. Notations of condition have been made and recorded from time to time. With more than double the population of the previous biennium we have ex-perienced only three more deaths this period than the former report. 12 State Hospital at Raleigh On first and third wards we have had repairs during this biennium of cement floors and wood wainscote, which has enabled cleanliness to be maintained with less labor. Notwithstanding population has increased 100% and more, our caretakers have only been increased 25% in number. Needs : More properly ventilated and heated strong rooms and single bed-rooms are necessary for carefully handling and safeguarding present population. Female Epileptic Colony Movement and condition of the population of the Female Epileptic Colony : Number of inmates in institution beginning of term 90 Number of inmates admitted during term 106 Number of inmates died during term 11 Number of inmates discharged during term 11 Number of inmates escaped during term 1 Number of inmates returned during term , 1 Number of inmates at large during term Number of inmates transferred during term 5 Number of inmates remaining at end of term 164 There have been no contagions. Mild epidemic of influenza occurred during the early months of 1926. No deaths, however, from this cause. All patients have been immunized against smallpox and typhoid fever. The prevailing cause of death has been exhaustion from epilepsy. Two patients died from exhaustion from pellagra. Two patients committed suicide. With a population increased by 117% during the biennium there has been but one escape against four during the previous biennium, and the caretakers have only been increased by one. Examinations of all new patients have been made and their histories written, with nota-tions of changes from time to time filed. Notwithstanding "the popula-tion doubled during the biennium and the fact that there were two suicides as against one in the previous biennium, there was exactly the same number of deaths, as of the previous period. Repairs : On A and C wards during this period we have had new wooden floors and cement wainscote, which enables cleanliness to be maintained with less labor. Needs : More properly ventilated and heated strong rooms and single bed-rooms are necessary for carefully handling and safeguarding the popu-lation. State Hospital at Raleigh 13 A Word About the Epileptic Problem in Our State : It will be noted from the foregoing report that as soon as space was available, that in two years' time as many patients were admitted as had been gathered together during the fourteen years that the State had undertaken to provide for that class of defectives. Of course, when there was no space there could be no admissions. JSTow there is no space again; Male Colony completely full, and Female Colony with less than twenty empty beds. Among the new admissions are a number of children, fifteen years and less of age. Many applications for children have been rejected, for the policy has been to provide for the more urgent, those who being so mentally upset that to be refused would mean lying in jail. The children admitted cannot enter public school. The conclusion is, from the above facts, that if the State meets its obligations to this class of the afflicted more room for the epileptic is an absolute necessity. Because a child is afflicted with epilepsy it should not be denied the educational oppor-tunities that would enable him to enjoy at least the three R's in educa-tional advantage. Again, it is agreed by all, that the more intelligent use and appreciation of any organ the less deterioration there will be — the brain is no exception to this. Thos. M. Jordan, Physician in Charge. Dental Report—June 30th, 1924, to June 30th, 1926. Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C. The Dental Department, which has been under the direction of Dr. T. L. Young since April 21st, 1921, has completed a large amount of work during the past two years. All new patients are seen soon after they are admitted. All focal infection removed and teeth repaired. The office is equipped with the Ritter outfit and Wappler X-ray ma-chine. The following table will show the work that has been done : Patients seen 2,875 Extractions 2,559 Amalgam fillings 475 Cement fillings 483 Cleanings 1,131 Synthetic fillings 119 X-rays made 118 Plates made 45 Plates repaired 9 Bridges made 4 14 State Hospital at Raleigh REPORT OF ENGINEERS Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C. Sir:—In accordance with your request, we are giving you below a statement of the extent and cost of mechanical equipment work which has been done at your institution under our plans and supervision, and completed within the last two years ; the work which is now in progress ; and also the estimated cost of future improvements, which we consider necessary to complete your central plant steam-heating system, provide adequate electric generating equipment, domestic hot water distributing mains, and to safeguard your city water supply system and provide bet-ter fire protection. The estimates for new work include cost of heating equipment for the contemplated new buildings and other minor items, all of which are discussed under the various headings. Mechanical Equipment Work Completed During the Last Two Years The mechanical equipment work completed under our plans and su-pervision during the last two years is as follows : 1924—Extension of hot water heating mains to the Male Tubercular Building, which was moved to a new location. Cost of this work $935.00 1924—Installation of new 8-in. exhaust steam supply main from power house to center of main building, to utilize the exhaust or waste steam in the heating system. Cost of this work $3,314.61 1924—Installation of high-pressure steam connections to new cooking equipment in three kitchens at the Colony Buildings. Cost of this work $632.50 1924—Installation of steam heating equipment in new Criminal Insane Building. Cost of this work $5,867.40 1924—Installation of heating equipment in Superintendent's residence, together with connecting mains from central heating plant. Cost of this work $4,375.00 1925—Installation of heating equipment in Steward's residence, in-dependent plant. Cost of this work $1,160.50 1925—Installation of heating equipment in new addition to Criminal Insane Building and Strong Rooms. Cost of this work $2,992.00 1925—Installation of two new 250 h. p. water tube boilers, together with pipe connections and auxiliaries to take the place of three old boilers removed. Cost of this work $26,763.73 Mechanical Equipment Work Now in Progress The mechanical equipment work now in progress under our plans and supervision is as follows : Installation of two new 350 h. p. water tube boilers with pipe connec-tions, forced draft equipment and necessary auxiliaries. Cost of this work , $41,597.60 State Hospital at Kaleigh 15 These boilers are being installed to take the place of three old boilers and provide additional boiler capacity, sufficient to supply steam to the Colony Group of the buildings, when connecting mains can be installed for this purpose. Heating, ventilating and domestic hot water supply equipment for new West Wing, North and Rear Dormitories, recently de-stroyed by fire. Cost of this work $31,710.80 New underground hot water heating mains extending from power house to Male Tubercular Building and Seventh Ward, on one side, and from power house to Female Tubercular Building and Erwin Building on the other side, also domestic hot water mains leading along the same lines, all of which are to take the place of present mains which have rusted out and have to be renewed. This work is being done by your own repair de-partment as renewals, and the estimated cost is $11,000.00 For Recommendations and Estimates for Future Mechanical Equip-ment Work, see letter of transmittal to Budget Bureau. Respectfully submitted, Wiley & Wilson, Consulting Engineers. REPORT OF ARCHITECT Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C. Sir:—In the past two years, ending with June, 1925, we have made provision for caring for fifty additional inmates in the Criminal Insane department and that building will now accommodate one hundred in-mates. A wing was added to the original building and some changes made in the original building, thus giving us the space for the fifty additional beds and also providing a new dining room and serving room to care for the one hundred inmates, the former smaller dining room having been used for bedrooms by building partitions in same. The required number of shower baths and other toilet facilities were also added and two additional rooms for attendants in charge of this wing of the building. We were successful in getting this project completed within the amount of the appropriation, and the plan is a very satisfactory one, having been arranged so that this wing may be extended in the future without destroying any part of the present building. We took advantage of the ground floor space of the covered way leading from the Erwin Building to the dining room, and built into this space a strong-room wing for women, and provided ten additional strong rooms, well ventilated, lighted and heated; also an attendants' room and double continuous bathroom ; the necessary toilet rooms, store-rooms, etc., were also provided and this piece of work is considered one of the best pieces of construction that we have. The utilization of the space under the covered way saved us about three thousand dollars, and 16 State Hospital at Raleigh this wing is entirely above the ground. This wing, also the Criminal Insane wing, are both of fireproof construction. The old wooden floors of the Seventh Ward were entirely removed and replaced with re-enforced concrete. Concrete floors were also placed in certain parts of the Epileptic Colony building for men where the old wooden floors had decayed. New tile floors were laid in the serving rooms adjacent to the dining rooms for women and men. We awarded contracts July 15th for the rebuilding of that portion of the building that was destroyed by fire on the 10th day of April. The building is now in course of construction, and at the suggestion of Gov-ernor McLean, who deemed it wise to take advantage of the overhead expense in connection with building operations, we enlarged the build-ing and instead of rebuilding for two hundred seventy-five, which was the number of inmates in the burnt portions, we have provided for one hundred additional, or three hundred seventy-five. Our contract pro-vides that this entire project must be completed not later than the 15th day of May, 1927, and that part designated as the rear dormitory, which is a part of this project, will be completed by the 15th of October, this year. This project is to be one of the best in the State. The build-ing will be fireproof, and the plans were given most careful considera-tion, and I conferred with several of the Nation's competent authorities in reference to the building before preparing the working plans. After consulting with the Superintendent as to the urgent needs of the Hospital, I have advised as follows: (See letter of transmittal to Budget Bureau.) Respectfully submitted, Chas. C. Hook, Architect. State Hospital at Raleigh 17 STATISTICAL SUMMARY Table No. 1 Patients remaining June 30, 1924 Admitted during last two years (insane) Admitted during last two years (criminal insane) Total number under treatment Average daily population Restored (insane) Improved (i nsane) Uni mproved (insane ) Transferred (insane ) Not 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 of number admitted Remaining June 30, 1926 Male 651 565 78 1,294 61 327 19 8 2 109 15 3 544 8.6 68 750 Female 671 471 6 1,148 84 174 30 1 101 1 2 393 8.8 54 755 Total 1,322 1,036 84 2,442 1,474.5 145 501 49 9* 2 210 16 5 937 8.7 61 1,505 Table No. 3 Showing the Number op Admissions and Discharges (Including Cures, Improved, Unimproved and Deaths) for Each Year Since the Opening of the Hospital CO a o 'co co "a < Discharged Date o T5 CD >ou a a i—i 73 CD Hu CD CO a Si H CD a co a i—i o 73 CD >ouaa "S co A-^ CD Q O a 'a '3 a CD 1856 90 96 57 83 76 61 44 41 40 41 65 85 72 27 27 44 43 50 44 42 44 52 42 5 15 26 22 23 21 17 9 14 9 15 13 18 7 7 9 14 17 13 16 11 13 14 3 10 7 11 22 4 2 4 7 1 4 5 7 3 4 5 9 6 8 5 6 8 11 2 7 9 10 23 8 15 21 27 45 14 21 17 7 9 8 8 13 16 14 9 15 19 10 38 51 50 73 47 42 41 55 74 47 52 53 19 22 31 55 41 39 40 29 39 54 80 1857 6 9 7 25 14 8 7 7 19 14 13 11 2 2 9 14 5 2 5 3 3 10 138 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 18 State Hospital at Raleigh Table No. 2—Continued Date 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 ... 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920.1 1921 1922 (7 months). 1922-1924 1924-1926 Totals Discharged 45 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 10,729 T3 0) U o 14 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 •xi >ou ft a 4 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 4,442 2,201 -a CD 77 29 5 3 3 1 9 13 3 6 1 4 36 25 224 o 1 4 3 6 2 3 11 64 73 o> >o s~ ft aP 2 7 2 18 63 9 9 28 3 11 1 16 2 4 5 7 5 4 9 13 4 6 3 5 1 2 19 57 49 597 03 Q 13 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 2,680 o 33 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 a 'a '5 S 277 273 284 278 199 243 254 248 292 292 298 294 301 300 288 305 328 329 364 393 390 424 420 397 433 380 454 441 574 502 677 842 1,055 850 1,057 994 1,195 1,037 1,154 995 1,126 1,069 1,253 1,160 1,322 1,505 9,198 iSiWtts ,„' " '' :».,.''; WBWm Wmmmmmm Us Wl-m WEBBER WWBBBBESBBBBBBBSmSBBBBEBBBmm HilPsi MliSiSlttlii|i|| .pBStSSBBpil \T fife illlifcAissBii WsSHsL MlsiapiMlwii itf I ,; Ksisil! State Hospital at Raleigh 19 Table No. 3 Showing Form of Insanity of Those Admitted During Past Two Years Epi lepsy Dementia prsecox Manic depressive Senile dementia Psychoneurosis Pellagra Drug addict and alcoholism Undiagnosed Defective mental development Exhaustive psychosis Toxic psychosis Constitutional psychopathic inferiority Involuti onal melancholia Syphilis Paresis Cerel ral hemorrhage Traumatic psychosis Psychosis (type undetermined) Encephalitis Idiocy Tabes Huntington's chorea Psychosis following influenza Psychosis following paralysis Diabetis melitus Multiple sclerosis Post infectious psychosis Puerperal psychosis Not insane Totals Male 115 81 61 45 2 2 190 10 10 6 7 8 1 6 1 3 3 3 2 1 2 3 1 1 1 565 Female 101 93 117 21 10 4 <3 3 24 1 1 1 32 1 1 1 1 3 1 1 5 6 471 Total 216 174 178 66 12 6 233 13 34 1 7 8 40 1 7 1 4 3 4 3 1 2 3 4 1 1 1 5 7 1,036 Table No. 4 Showing Duration of Insanity of Those Admitted During Past Two Years Not to exceed 1 month 1 to 3 months 3 to 6 months 6 to 12 months 12 to 24 months 2 to 3 years 3 to 5 years 5 to 10 years 10 to 20 years 20 to 30 years 30 to 40 years 40 to 50 years 50 to 60 years Unknown Totals ' Male 45 49 39 40 51 26 70 69 59 19 9 2 87 565 Female 49 51 41 52 43 24 41 63 46 12 3 1 45 471 Total 94 100 80 92 94 50 111 132 105 31 12 2 1 132 1,036 20 State Hospital at Raleigh 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 From 80 to 90 years Unknown Totals, Male 4 50 111 128 117 80 42 23 2 565 Female 61 97 124 101 49 22 6 2 1 471 Total 12 111 208 252 218 129 64 29 4 9 1,036 Table No. 6 Showing Civil Condition of Those Admitted During the Past Two Years Male Female Total Single,. _ . _ _ __ 245 265 55 156 258 57 401 Married. 523 Widowed.. . _ . . . 112 Totals 565 471 1,036 Table No. 7 Showing Residence of Those Admitted During the Past Two Years Male Female Total Alamance.. ... ._ . . . .... 16 3 3 1 1 5 5 2 10 7 3 2 2 5 4 4 4 4 17 1 1 1 8 2 7 3 6 3 2 1 1 8 7 • 2 6 33 Alleghany... ...... 1 Alexander . . . ... ___ ... 3 Anson.. ... .... ... 4 Ashe.. ... ... ... ... . . .. 1 Avery ... ._____._.. ... ._.__...... 2 Beaufort. . _____ .. 13 Bertie.. ___..---- _ ._ -_ 2 Bladen. . _________ ..... 12 Brunswick. . .. ... ..... 5 Buncombe _ _ . .___ 16 Burke . Cabarrus... ... .__ _ .... 10 Camden. __.... _. _ . _.___ _. 2 Carteret ... ._ ____ _ _ . 4 Caldwell 3 Caswell .__ _L ________ __ _ _ ______ ____ 10 Catawba. ._ .... _ _ .. 5 Chatham . _ _ _ _..._..._ ___. 11 Cherokee.. . ... _ ___________ _. __ 4 Chowan • ... _______________ _ _ _ __ _ __ 6 Columbus _-_ _- - ------ ._ ___ _ 10 State Hospital at Raleigh 21 Table No. 7—(Continued) Male Female Total Craven - - - 3 2 15 5 7 15 16 13 12 7 17 10 1 15 7 11 1 1 1 11 1 4 15 2 3 1 1 16 1 2 7 20 5 6 7 9 4 2 1 6 15 2 16 3 3 4 5 1 19 1 1 8 28 7 8 6 9 10 7 3 8 18 2 1 3 2 2 11 1 8 9 1 2 1 9 1 9 14 13 4 3 5 2 2 3 1 7 4 1 2 1 16 3 2 2 8 Clay Cleveland _. _ . .. . . . _ .. _. 3 Cumberland - . _ -- . _ . 34 Currituck . . _ . - __- _ . -. 1 Davie ____ _ . . . _ _ 1 Davidson - .--.._ _. - -- 5 Duplin - . - -. ----- 15 Dare . - - ------ - ____ Durham.. ... ., , , . . --------- 43 Edgecombe.. . _. _______ -- 23 Franklin . _. ____ ______ .____. 21 Forsyth -.__. - . - _ 18 Gaston.-. .. - ...... . ..... 16 Gates.. .- _. -- .... Graham . . ... ... Guilford . .. - ..... _______ ___ 27 Granville. - -------- 17 Greene . ___________ ... _____ 4 Halifax ______ ____ ___. 23 Harnett ._ - . _____•__ 25 Henderson.. __ . - _____ 13 Hertford _____ ... ____________ _______ 2 Hoke 4 Hyde 3 Iredell.. ____ - ________ ______ 2 Johnston.. . . .. _ . 22 Jones.. -.. . .- __ -.. 1 Jackson.. ... ___ 1 Lee . .- 12 Lenoir. .. _ . ... _ ... 24 Lincoln ... . _.__ .__ __.__. Madison. .... _•__ 3 Martin. . . 3 Macon ._ ._ .. __ . 3 McDowell... .___..- 2 Mecklenburg .. .. . .__. 25 Mitchell 1 Montgomery. ... ___ ... ._ . - 3 Moore ...... 16 Nash . ._ ... .. _ 34 New Hanover . 18 Northampton. _ . . ._ . .. . 10 Onslow ._ _ . . .. 10 Orange ... . . 14 Pamlico.. .. ... ... ._ 2 Pasquotank ._ . . ...... 6 Pender .___ . . 5 Perquimans . . . .. 2 Person .. . ..... 13 Pitt 19 Polk 1 Richmond ... . ... ... 4 Randolph __ __ . . 1 Robeson .. .. 32 Rockingham . ... ...... .... . . 6 Rowan ..... 5 Rutherford 6 22 State Hospital at Raleigh Table No. 7 — (Continued) Male Female Total Sampson ______ ... . _____ 10 8 6 5 2 1 2 9 69 6 3 1 15 1 15 2 2 13 4 1 3 1 3 11 39 4 1 2 7 3 17 1 23 Scotland ._ __ _ .__ 12 Stanly __ __ ___. _ ___ __ _ _ _ 6 Stokes.. -_-_ _ _ ._ Surry __ __ ___________ __ 6 Swain _ _ _ _____ 5 Transylvania- ______ _ _ 1 Tyrrell. __ ____ _____ _ __ 1 Union___ __ __ _ _ __ _ _ _ _ 5 Vance _ . ___ ___ __ ____ 20 Wake 108 Warren _. _ .-._____ 10 Washington __ _ _ _-_--.___ _ ____ 4 Watauga__ _-.---_ ______ _ _____ 3 Wayne _____ ___---.____ __ __ __ 22 Wilkes.._ 4 Wilson. ___ _ --_ 32 Yadkin _ __ ____.-. 3 Yancey. _____ .. _ __ 2 Totals 565 471 1,036 Table No. 8 Showing Nativity of Those Admitted During the Past Two Years Male Female Total North Carolina. .... . -..-.. 565 462 1 2 1 1 1 1 2 1,027 Georgia. ._ _ ___. 1 Virginia _ ___ ______ ___ 2 West Virginia _ __ _ _ __ 1 New York ._ _ . _ . .. .-_. 1 Pennsylvania. . . . __ _.._ 1 Wisconsin. _ _. _ _. .. 1 England __ _ _ . __ _ _. . . 2 Totals 565 471' 1,036 Table No. 9 Showing Form of Insanity of Those Recovered - Male Female Total Manic-depressive insanity... .__ __ __ 5 56 40 36 5 2 1 45 Drug addict and alcoholism _ _ 92 Involutional melancholia _ _ _ Psychoneurosis _ ____ ________ _ ______ Puerperal psychosis... ... .____ 5 2 1 Totals 61 84 145 State Hospital at Raleigh 23 Table No. 10 Showing Duration of Insanity of Those Recovered During Past Two Years Male Female Total 1 to 3 months .._____ .____ .. - - .--.__. 2 9 19 30 1 7 18 59 2 3 to 6 months, -- - . . . .... 6 to 12 months -...._ . __ _. ... _- .-. 1 to 3 years.. _ ._._. -_ _.. 16 37 89 3 to 5 years ._. __.. .___-_.__ 1 Totals 61 84 145 Table No. 11 Showing Cause of Death of Those Who Died During the Past Two Years Pulmonary tuberculosis Lobar pneumonia Broncho pneumonia Exhaustion from epilepsy Cardio renal disease Cerebra 1 hemorrhage Exhaustion from senile dementia Exhaustion from manic-depressive insanity Pellagra Paresis Suicide by cutting throat Acci dental scald Valvular disease of heart Organic heart disease Exhaustion from involutional melancholia. Exhaustion from dementia prsecox Exhaustion from Huntington's chorea Acute nephritis Cancer of breast Arteri o sclerosis Fractured femur Endocarditis Cerebro spinal syphilis Septicemia Congestion of lungs Hepati c cirrhosis Malignant hypertensi on Myocarditis Gastro enteritis Diarrhea Exhaustion from mental disease Chronic alcoholism and hypothyroidism Exhaustion from acute mania Tabes dorsalis General paralysis Sarcoma Herniotomy Hemiplegia Organic heart disease Ulcer of stomach Pneumonia and endocarditis Male 4 7 5 14 6 5 18 5 6 3 1 1 2 1 1 1 5 1 2 2 1 1 1 4 1 1 1 1 1 1 1 1 Female 18 2 10 8 10 6 2 6 1 4 5 1 1 3 2 1 2 1 1 2 9 1 1 Total 22 9 15 22 16 5 24 7 12 3 1 1 3 1 5 5 1 1 1 8 3 2 1 2 2 1 1 1 1 3 13 1 ] 1 1 1 1 1 1 1 1 24 State Hospital at Raleigh Table No. 11—(Continued) Male Female Total Interstitian nephritis.. 1 1 2 1 1 2 1 Influenza ________ 1 Acute dilatation of heart.. _ . . _ .. 1 Hypostatic pneumonia. ... _._. ___ ______ Cardio valvular disease... _. . .._._____ .. 1 2 Apoplexy 2 Totals 109 101 210 Table No. 12 Showing Form of Insanity op Those Who Died During the Past Two Years Moron Psychosis with Huntington's chorea Defective mental development Dementia prsecox Epilepsy Involutional melancholia Manic-depressive insanity Cerebro spinal syphilis __ __ Pellagra Senile dementia Paresis Hemiplegia Cerebral hemorrhage Arterio sclerosis Drug addict Alcoholism Tabes dorsalis Imbecile Undiagnosed Totals Male 1 1 5 22 3 15 2 31 5 2 1 1 5 1 2 12 109 Female 2 17 10 15 24 1 3 16 1 1 1 0' 10 101 Total 1 1 2 22 32 18 39 1 5 47 5 1 2 2 2 5 1 2 22 210 Table No. 13 Showing the Age at Death of 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 5 7 6 20 23 25 22 1 109 Female 5 11 12 17 20 21 11 4 101 Total 10 18 18 37 43 46 33 5 210 State Hospital at Raleigh 25 Table No. 14 Showing Length of Time Spent in Hospital op Those Who Died During the Past Two Years Male Female Total Less than a week From 1 to 4 weeks... From 1 to 3 months.. From 3 to 6 months. From 6 to 12 months From 1 to 3 years From 3 to 5 years From 5 to 10 years... From 10 to 15 years.. From 15 to 20 years.. From 20 to 30 years.. From 30 to 40 years.. From 40 to 50 years.. Totals 2 3 5 21 19 40 9 4 13 7 7 14 14 7 21 21 17 38 9 5 14 6 14 20 13 11 24 3 7 10 4 5 9 1 1 1 1 109 101 210 Table No. 15 Showing Residence of Those Remaining in Hospital Male Female Total Alamance . . 24 2 2 3 6 3 13 4 14 5 6 8 5 1 2 6 7 1 6 5 1 11 3 7 31 3 3 3 10 5 23 21 28 3 3 2 3 1 17 15 14 3 6 6 3 2 6 9 3 13 2 1 9 15 23 3 3 2 12 30 11 52 Alleghany.. . . ... .... 5 Alexander ..... 5 Anson. ... ... 5 Ashe 9 Avery.. . 4 Beaufort. ._ .. . __ . 30 Bertie .. _ 19 Bladen ... 28 Burke... .. 8 Brunswick _ _ . 12 Buncombe .. 14 Cabarrus ... . 8 Camden . .. 3 Clay 2 Carteret ...... _ 12 Caswell . 16 Caldwell 4 Chatham. .... .......... 19 Chowan. .. . 7 Cleveland _ 2 Columbus... 20 Cherokee 3 Craven . .. 22 Cumberland .. 54 Currituck . 6 Dare. 6 Davie.. ._ 5 Duplin. . .. 22 Davidson.. ._*! 5 Durham 53 Edgecombe .. 32 26 State Hospital at Raleigh Table No. 15—Continued Male Female _ Total Franklin _ _ _ _ __ __ . ____ 15 5 2 4 12 15 7 5 15 13 3 4 2 3 7 23 2 1 3 10 1 8 2 2 14 3 2 5 2 21 16 15 8 10 4 15 6 3 9 2 7 20 6 2 3 4 1 15 4 8 6 5 1 3 1 10 54 18 5 2 13 16 8 2 15 13 4 3 9 5 6 20 5 11 13 1 7 4 1 15 8 1 4 1 12 18 6 14 11 6 5 5 4 6 • 16 25 3 2 6 6 2 15 1 9 1 3 2 1 4 4 • 53 33 Forsyth __ _ __ .. 10 Gates _ ________ 2 Gaston _ ______ 6 Guilford 25 Granville- _ _ _ __ __ _ .___ _ 31 Greene _ . 15 Henderson ____ _ _ _ _ _ _ 7 Halifax __ . __ ______ 30 Harnett _._ _____ _ __.. 26 Hertford, ______ __ _. _ __ _ 7 Haywood_ _ __ _ _ _ __ ____ ___ 7 Hoke 11 Hyde 8 Iredell.-. ------ _-.- - __ ______ 13 Johnston. __ ___ _ __ __ ____ 43 Jones _ . . 7 Jackson ___'_ _ __ ________ 1 Lee _ ____ _____ __ 14 Lenoir _ __ ___ _ _____ 23 Lincoln __ ___ __ _ 2 Martin. _ _ _ _ __ ___ _ _ ___ 15 Macon ______ 6 McDowell 3 Moore, _. _ _ . __ _ _ _ _ __ _ 29 Mecklenburg _ __ _ _ __ 11 Montgomery ._ __ _ _ _____ 3 Madison. _ _____ __ _______ 9 Mitchell 3 Nash _ _ ___ ___ __ __ _ _- 33 New Hanover ___ .-__ ______ 34 Northampton __ _ __ _ 21 Onslow -. _ - _ 22 Orange.. _ __ .__ _..._ 21 Pamlico. --. - _ _ _- _ . 10 Pasquotank - -_ ________ 20 Pender. __ 11 Perquimans ... 7 Person _ _. - --.. _. 15 Polk- 2 Pitt-- 23 Robeson -._ . ___- 45 Rowan. -.. _ - _ ______ 9 Randolph _ - - .... - __._- 4 Rockingham _. ._ __ __ _ _._ 9 Richmond. ... _-.. ... 10 Rutherford ._. -_ - ----- 3 Sampson -- ------- 30 Stanly -. - ------ 5 Scotland - - -- 17 Surry -. .. - .-_ 7 Stokes -- - ------ 8 Tyrrell 3 Transylvania . . - 4 Union _- . .- 5 Vance --. . . _ 14 Wake 107 '''." \y;4ti'}~ State Hospital at Raleigh 27 Table No. 15—Continued Male Female Total Warren _ 10 4 20 1 12 5 4 1 8 24 4 15 2 2 2 18 Washington . .. .. 4 Wayne - - - 44 Watauga . . 5 Wilson ___. 27 Wilkes 7 Yancey.. ... ____ .. . . . . 6 Yadkin.. __ __ ________ __ ________ 3 Totals __ _____ _-...- -_ 750 755 1,505 Table No. 16 Applications on File Insane Epileptic Male Female Male Female Total Alamance.. __ _ 20 19 39 Alexander _ - . 2 1 2 3 Anson.. 1 1 4 Avery ___ . _ . ... _ 2 1 1 2 1 2 Ashe. ... 1 Beaufort... .. Bertie ... _ . 8 4 15 3 5 1 1 1 8 2 11 7 1 1 1 18 8 Bladen 27 Brunswick.. . _ ._ ... 1 11 Buncombe. . ... 5 2 4 3 11 Burke... ... 1 2 3 5 Cabarrus .... 7 Caldwell 7 Camden. 3 9 10 3 Carteret ... _ 5 7 1 5 2 2 1 1 1 16 Caswell _ _ 19 Catawba 2 Chatham. .... 17 23 Cherokee ... _ _ 2 3 Chowan .. _. _ 2 3 5 Clay 1 2 1 Cleveland. ...... 2 Columbus ._ . ... 7 8 25 14 8 24 6 5 26 Craven . 16 Cumberland _ _ 5 1 1 55 Currituck __ 7 Dare.. . ..... 4 1 5 Davidson. __ . . 2 3 1 2 4 6 2 Davie .. .. . ._ 2 5 Duplin. ... 14 28 8 2 11 6 2 10 36 11 7 10 2 4 25 Durham. . 2 1 68 Edgecombe . 24 Forsyth 15 Franklin 3 3 24 Gaston. 4 15 Gates. . 6 28 State Hospital at Raleigh Table> No. 16-—Continued Insane Epileptic Total Male Female Male Female Granville .- . - -. - 21 3 11 16 15 14 8 3 9 18 2 37 Greene - - 11 Guilford 10 2 1 26 Halifax. _ .._._. ... 26 Harnett... - . .. . ... - 1 2 4 34 Haywood . .. _ 2 4 Henderson . _ . .. ..- 4 Hertford 1 7 2 4 4 3 2 5 Hoke 2 1 2 2 14 Hyde 7 Iredell . .. . 3 4 4 7 Jackson.. ... ... 4 Johnston .... .. . .. .. 12 3 9 14 20 1 10 10 2 38 Jones.. . . .. 4 Lee . 19 Lenoir .-._-. 3 1 1 4 27 Lincoln 1 Macon. ... 3 1 4 Madison .. .. .. . 5 Martin . 6 11 2 3 2 1 9 Mecklenburg... 8 2 2 4 4 1 3 2 2 1 1 24 McDowell --------- 7 Mitchell 4 Montgomery.. 5 Moore... . . _____ Nash 7 8 16 6 6 16 5 4 6 6 7 13 17 16 15 6 2 9 2 6 8 6 13 14 29 25 New Hanover. . . ._ 31 Northampton.. . ..... . . . . . Onslow 12 8 Orange.. ... . _ . _ Pamlico 25 7 Pasquotank.. .. . . ..... Pender 10 14 Perquimans - . ... 12 Person 20 Pitt Polk 2 1 2 1 3 2 6 1 1 1 i 2 2 4 1 30 2 3 Richmond 3 Robeson.. .. _ .... 21 1 1 13 9 18 44 Rockingham 7 Rowan ... 8 Sampson 11 7 25 Scotland 16 Stanly 3 5 4 1 1 6 13 2 3 1 3 3 6 7 4 Tyrrell 1 Union 1 8 29 8 4 3 10 Vance 21 Wake... 33' 4 6 2 66 Warren 12 Washington 10 4 2 6 State Hospital at Raleigh 29 Table No. 16—Continued Insane Epileptic Male Female Male Female Total Wayne .. . . . 18 17 2 9 3 2 39 Wilkes 9 Wilson.. -. _ ---_--. 11 9 23 Yancey. ... -- - 3 3 Yadkin. - - ._ 1 1 Totals 551 555 197 85 1,388 Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. 0. Sir:—In accordance with the usual custom I am transmitting to you Biennial Reports from the heads of the various activities of the institu-tion who operate under the supervision of the Steward : Farm, Garden and Dairy, James Adams, Superintendent. Engineering Department, T. A. Holiday, Chief Engineer. Carpenter's Department, R. M. Brown, Head Carpenter. Housekeeping, M. R. Hall, Matron. Clothing, Mrs. Josephine Thomas, Clothing Supervisor. Art Room and Cabinet Shop, Work done by Patients, Ella Thompson and Etta Travis, Directors. A combined report of the audit had of the accounts for the fiscal year ended June 30, 1926, is also submitted. Budget Requests for Maintenance and Permanent Improvement Ap-propriations for the Biennium, beginning July 1, 1927, and ending June 30, 1929, follow the report of audit. Respectfully submitted, (Signed) Mary S. White, Stewardess. Miss Mary S. White, Stewardess, State Hospital, Raleigh, N. C. Madam :—I hereby submit a summary of the past two years, ending June 30th, 1926: The crops have been up to the average. The roads have been hard-surfaced three and a half miles. One more mile would complete our roadways. The dairy has supplied the Hospital with one hundred and fifty gal-lons of milk per day. Respectfully submitted, James Adams, Supervisor. 30 State Hospital at Raleigh REPORT OF FARM AND DAIRY PRODUCTS For Year Ending June 30th, 1925 Quantity Price Amount Apples 185 bushels @ $ 1.25 $ 231.25 Canned apples 254 dozen @ 6.00 1,524.00 Beans, green lima 198 bushels @ 3.20 633.60 Beans, dry lima 43 bushels @, 3.00 129.00 Beans, snap 432 bushels @ 1.00 432.00 Canned beans 482 dozen @ 6.00 2,892.00 Beef 7,200 pounds® .103^ 756.00 Beets 623 bushels @ .60 373.80 Cabbage 40,565 heads @ .08 3,245.20 Collaids 16, 890 heads @ .06 1,013.40 Carrots 25 bushels @ 1.00 25.00 Cantaloupes ll,500eaeh @ .03 345.00 Cucumbers 1 160 bushels @ 1.00 160.00 Chickens 750 pounds @ .25 187.50 Broilers 539 pounds @ .35 188.65 Eggs 2,298 dozen @ .30 689.40 Crapes : 85 bushed @ 1.25 106.25 Leeks 25 busn^s @ 1.00 25.00 Milk 59,511 gallons @ .40 23,804.40 Okra 133 busneis @ .90 119.70 Onions 275 bushels @ 1.00 275.00 Peas, dry 373 bushels @ 3.00 1,119.00 Peas, English 125 bushels @ 3.20 400.00 Peas, green 162 bushels @ 3.20 518.40 Peacr.es '_ 325 bushels @ 1.50 487 50 Canned peaches 62 @ 7.00 434.00 Pork 38,522 pounds @ .15 5,77S.30 Potatoes, sweet , . 4,500 bushels @ 1.50 6,750.00 Potatoes, Iiish 1,200 bushels @ 1.50 1,800.00 Radishes 61 bushels @ 100 61.00 Roasting ears 1,875 dozen @ .25. 468.75 Salads 2.375 bushels @ .75 1,781.25 Salsify 62 bushels @ 1.00 62.00 Squash 615 bushels @ .85 522.75 Squabs 35 pairs @ 1.00 35.00 Strawberries 2,064 quarts © .15 309.60 Tomatoes 413 bushels @ 100 413.00 Turnips 1,500 bushels @ 1.00 1,500.00 Watermelons . 3,225 each @ .10 322.50 Corn 5,438 bushels @ 1.50 8,157.00 Corn, ensilage 415 tons @ 3.50 1,452.50 Corn, stover 125 tons @ 10.00 1,250.00 Hay 325 tons @ 25.00 8,125.00 Wheat 2,020 bushels @ 1.25 2,525.00 Wheat straw 40 tons @ 10.00 400.00 Manure 650 loads @ 2.00 1,300.00 Wool 325 pounds @ .30 97.50 Sales _ 806.50 $ 84,032.70 State Hospital at Raleigh 31 REPORT OF FARM AND DAIRY PRODUCTS For Year Ending June 30th, 1926 Quantity Price Total Apples 428 bushels® $ 1.25 $ 535.00 Snapbeans 722 bushels @ 1.50 1,083.00 Lima beans (green) : 235 bushels © 3.20 752.00 Lima beans (dry) 50 bushels @ 3.00 150.00 Beef 8,966 pounds® A0V2 941.43 Beets 580 bushels @ .60 348.00 Corn 8,500 bushels @ 1.00 8,500.00 Cabbage 25,820 heads @ .10 2,582.00 Collards 20,000 heads @ .08 1,600.00 Corn ensilage 430 tons © 3.50 1,505.00 Corn stover 123 tons @ 10.00 1,230.00 Carrots 18 bushels © 1.00 18.00 Cantaloupes 7,500 © .03 225.00 Cucumbers 150 bushels @ .75 112.50 Chickens 294 pounds @ .25 73.50 Spring chickens 385 pounds @ .35 134.75 Eggs 1,999 dozen @ .35 699.65 Fodder 10 tons © 25.00 6,250.00 Grapes 1 92 bushels © 1.25 115.00 Hay 250 tons © 25.00 6,250.00 Leeks 185 bushels @ 1.00 186.00 Milk 66,348 gallons © .60 39,808.80 Okra A 87 bushels @ .90 78 30 Oats 1,200 bushels @ .80 960.00 Onions 335 bushels © 1.00 335.00 Onion sets 30 bushels © 4.00 120.00 Peas (dry) 385 bushels @ 3.50 1,347.50 Peas, English 150 bushels @ 3.20 480 00 Peas (green) 163 bushels @ 3.20 521.60 Peaches 412 bushels @ 1.25 515.00 Pork 35,000 pounds @ .15 5,250.00 Potatoes, sweet 36,000 bushels © 1.50 5,400.00 Potatoes, Irish 1,525 bushels @ 1.00 1,525.00 Roasting ears 2,300 dozen @ .25 575.00 Salad 2,980 bushels @ .60 1,788.00 Squash 575 bushels @ .80 460.00 Squabs 50 pairs © 1.00 50.00 Strawberries 1,800 quarts © .15 270.00 Tomatoes 575 bushels @ 1.00 575.00 Turnips 635 bushels ® .60 381.00 Wheat 1,425 bushels © 1.25 1,781.25 Wheat straw 30 tons © 10.00 300.00 Watermelons 3,980 @ .10 398.00 Wood 150 cords © 5.00 750.00 Wool 240 pounds © .40 96.00 Manure 1,200 loads © 2.00 2,400.00 Lettuce 875 heads © .05 43.75 $93,500.03 Sales: Sale of hides and livestock $ 65.41 Sale of wood 342.50 Empty sacks 36. 00 Slaughtering cow 75. 00 $ 518.91 DEPARTMENT REPORTS REPORT OF ENGINEER Miss Maey S. "White, Stewardess, State Hospital, Raleigh, N. C. Madam :—I hereby submit a report of the work done in the Engineer-ing Department for two years, ending June 30th, 1926 : We have, besides keeping up the regular repairs, made the following improvements : Connected four cottages with the lighting system and water and con-nected same to the city sewer, and run a storm sewer to the branch. Have run a telephone line under ground from the Superintendent's residence to the gate-keeper's cottage. We have installed two closets in courtyard at Male Epileptic Colony, using 300 feet of l 1/^ in. galvanized pipe and 500 feet of 4-in. terracotta. We have made a new connection to the water main, taking out the old 2-in. connection and putting in a 4-in. connection. This will give a good supply of water to all fixtures. We have repaired electric and telephone lines to colonies, and put up new poles at railroad crossing, raising the wires thirty-eight feet above the rails. We have installed new drinking cups in the dairy and have had new tubes put in boiler at same. We have taken out the old Jones stokers from boilers ~Nos. 1, 2 and 3 and rebuilt the firebox for hand-firing; and have dismantled boilers JNTos. 4, 5 and 6, and taken them out and cut them up for junk. Have cleared out the old foundation ready for new work. We have changed the steam connection on No. 3 boiler from high pressure to the 40-pound line and have put in the heating system until the new boilers are ready. This old boiler was loaned by Dillon Supply Company. We have remodeled the heating system in the greenhouse and installed a cellar drain in the pit to keep out the water. We have moved the water main and telephone line poles out of the way of the annex to the Criminal Insane Building and have run a storm sewer under the railroad to take the water away from this building. We have had to change the electric line also for this building. Two new boilers have been installed in the boiler room, 250 h. p. each. These boilers were fired up and put in use December 25th, 1925. Every-thing was working fine until I got oil in the new boilers and burned out twelve tubes in No. 3, No. 4 and No. 5 boilers; this was caused by too much oil being fed to the cylinders of the engine. These tubes were replaced and I have kept them clean ever since. State Hospital at Raleigh 33 We have installed a pair of scales for weighing coal and ashes in boiler room ; also a cellar drain to keep the water out of the scale pit. We have installed a new mill of the hammer type for grinding our grain. We have installed a transformer of 5 K. W. in a pit back of the Super-intendent's residence, and run a cable from the Hospital Building to this transformer. This was to get better service for electric range. We have made eccentric rod for ISTo. 2 power engine and new piston rings for boiler feed pumps. We have installed in laundry a humatic extractor and a copper starch cooker. We have installed in pump room, on receiving tank, a copper regu-lating valve. This lets in city water when it is needed only. We have put up a new electric line feeding D, E, and F wards, the old line being torn down. On April 10th, 1926, we had a fire which destroyed six wards of the Main Building and four wards that were built during Dr. Kirby's ad-ministration, and stopped at a wall of the Underwood Building built during Dr. Jas. McKee's administration. On the back side of the old building, the dormitory and old dining hall and toilets for six wards were destroyed. This was built by Underwood and was built during Dr. McKee's administration. After the fire, which put all of our steam, hot and cold water lines out of Use on the male side, we made a temporary steam connection, using 400 feet of 2-in. black pipe and 200 feet l^-in. black pipe. We then connected our hot water heating system to domestic hot water sys-tem, but it did not last long and had to be changed. We have put new water end on No. 2 boiler feed pump and new piston rods on same. We have unloaded 245 cars of coal. We have made and given out 1,022,000 pounds of ice. Made and put up railing at Steward's residence. We have repaired brine line in refrigerating plant. Respectfully submitted, T. A. Holliday, Engineer. Miss Mary S. White, Stewardess, State Hospital, Raleigh, N. C. Madam :—I respectfully submit to you the 'record of work done in the Carpenter Department from June 30th, 1924, to June 30th, 1926: Laid maple floors in First and Fourth Ward. Laid and varnished floor in First Ward. Painted interior of Receiving Building. Shoeing horses and mules during year of 1925. Completed finishing work at Superintendent's residence. Painted Colony and Doctor's residence two coats. Converted back porch at Gate Keeper's cottage into room. 34 State Hospital at Raleigh Laid cement walk, built brick wall and partition around pump. Laid cement floor in basement at Twelfth Ward. Laid concrete run-way at Laundry. Built partition for two bathrooms. Laid oak floor in room and two bathrooms in second floor in Center Building. Erected 500 feet shelving in clothes rooms and painted eight rooms at Female Colony. Built cement steps and walk at Colony and Doctor's residence. Built forms for wall and poured same at Boylan Bridge. Assisted with cyclone fence at G-Ward, Male and Female Colony. Cut opening and hung door in Bakery. Laid concrete walk in front of Female Colony. Built shelters in Male and Female Epileptic court-yard 24x50. Covered same with rubber roofing. Built 120 feet lattice fence at G-Ward courtyard. Erected 2,000 feet shelving in storeroom. Built four cottages on Boylan Drive with four rooms and bath and covered same with composition shingles. Ceiled two strong rooms on A-Ward. Put up 1,000 feet chair rail at Hospital Building. Made 125 foot benches for G-Ward courtyard. Made forms and poured concrete bridge at South Street entrance. Sanded and varnished second floor at Center Building. Laid 5,000 feet rift pine flooring at Female Epileptic Colony. Painted tin roof at wheat barn. Sanded and varnished six floors in Center Building. Laid 3,200 feet rift pine flooring at Oaks Colony. Built shelving in clothes room at Female T. B. Cut out two openings and fitted and hung doors at Hospital Building. Built forms and poured concrete bridge at Boylan Bridge. Put new locks on First, Second,' Fourth and Fifth Wards. Made concrete forms and poured cement foundation walls at Steward's residence. Patients dug out basement. Built rim and wired inside corn crib. Laid concrete walk and gutter at west end of Kurses's Home. Ceiled strong room at Female Colony. Built two huts for female patients eight feet square. Assisted with erection of cyclone fence between bridge and Nurses' Home. Put up beaver board in room of kitchen employees. Varnished cork floor in Female Dining Room. Painted interior of Nurses' Home. Sanded and varnished floors. Built arria wall and steps at Steward's residence. Painted window and door at Boiler House. Built room and porch at Dr. Braekin's cottage. Covered same with composition shingles. Laid pine floor in upper hall. Sanded and varnished same at Colony and Doctor's residence. Made desk for Male Colony. Made necessary repairs on female wards caused by damage at time of fire. (Mr. Davidson's men assisted in this work.) Cut down cabinet lockers at Nurses' Home. Put 350 feet sand-screen wire on ventilators on roof at Boiler Room. Built concrete transformer pit at Super-intendent's residence. Built double brick garage at Steward's residence. Made six heavy screen doors for Dairy Barn. Built elevator frame in coal bin. Took down roof on Eleventh Ward that was burned to make ready for new building. :B©,fi| ,7 V] iS »w4§w .:' - WiW^'f§. Tf ,?;?• i I s 1 1 !i»lliii* HHH :k!P^5i - llMili;isE'"" Hill J| talllisHii ' V,. : " State Hospital at Raleigh 35 Laid concrete floor in basement adjoining G-Ward. Hung double doors on porch and also made two screen doors for Nurses' Home. Repairs to wagons. Locks repaired ; glass on wards ; chairs repaired ; mattresses sterilized and made. The chair and mattress work is done by patients. Respectfully submitted, R. M. Brown. REPORT OF MATRON Miss Mary S. White, Stewardess, State Hospital, Raleigh, N. C. Madam :-—I hereby respectfully submit to you a report of the work done in the Matron's Department from June 30th, 1924, to June 30th, 1926: We have, besides keeping up the regular daily duties of the Kitchen, Bakery and Center Building, made the following : Butter 7,521 Lard 4,264 Strawberry preserves 68 Plum jelly 28 Peach preserves 202 Grape jelly 31 Peach pickle 45 Apple jelly 18*2 Watermelon rind preserves 30 Watermelon rind pickle 37 Pear preserves 235 Grape preserves 25 Apple preserves 18 Cucumber pickle 60 Tomato pickle Pear sweet pickle Cucumbers in brine 20 Beans 5,789 Apples 3,050 Peaches 739 Pears 1,245 Tomatoes 211 Okra With the aid of patients in the spring of 1925 we painted the entire Kitchen, including the five Dining Rooms in Kitchen, Vegetable Room and Diet Kitchen. In the spring of 1925 we painted the Meat Room, Broom Room, Vegetable Room, Supply Room, Diet Kitchen and var-nished all the furniture, office fixtures and chairs in Center Building, also painted and enameled all beds in Center Building. Respectfully submitted, M. R. Hall, Matron. )25 1926 Total pounds 6,438 pounds 13, 959 pounds pounds 4,290 pounds 8,554 pounds gallons gallons 68 gallons gallons gallons 28 gallons gallons 246 gallons 448 gallons gallons 54 gallons 88 gallons gallons 48 gallons 93 gallons gallons 68 gallons 86 1 2 gallons gallons 128 gallons 158 gallons gallons 98 gallons 135 gallons gallons 128 gallons 363 gallons gallons 48 gallons 73 gallons gallons gallons 18 gallons gallons gallons 60 gallons gallons 48 gallons 48 gallons gallons 25 gallons 25 gallons barrels barrles 20 barrels gallons 5,438 gallons 11 ,277 gallons gallons 718 gallons 3 ,768 gallons gallons 88 gallons 827 gallons gallons 333 gallons 1 ,578 gallons gallons 2,060 gallons 2 ,271 gallons gallons 285 gallons 285 gallons 36 State Hospital at Raleigh REPORT OF CLOTHES SUPERVISOR Miss Maky S. White, Stewardess, State Hospital, Raleigh, N. C. Madam :—I hereby respectfully submit to you a report of the work done in this department from June 30th, 1924, to June 30th, 1926 : Total number of pieces mended 83,646 Total number of pieces marked 191,957 Total number of bandage made 7,343 Total number of shoes mended, pairs 2,741 Total number of pieces mended at Female Colony 19,424 Average number of patients in mending room 16 Average number of patients in sewing room 22 Average number of patients in laundry 34 Average number of employees in laundry 14 One employee in mending room One employee in sewing room Garments Made: Awni ngs 2 Auto seat covers 3 Aprons, ladies' 260 Aprons, servants' 713 Aprons, butchers ' 6 Aprons, bakers' 40 Aprons, chefs' 140 Aprons, mai d , 12 Aprons , bungalow Burial robes 107 Baby dresses 4 Bonnets 4 Bags, clothes 590 Bags, sand 3 Bags, ice 24 Bathrobes , 20 Caps, nurses' 143 Caps, maids' 6 Caps, chefs' -- . 29 Coats, white 46 Coats, lining 1 Curtains, long 510 Curtains, short • 1, 025 Coffee strainers 36 Covers, chair 29 Covers, mattress 40 Covers, basket 4 Covers, pillow 21 Covers, blanket 1 Covers, broom 6 Chemise, unbleached 2, 420 Dresses, gingham 2, 574 Chemise, bleached 144 Dresses, cheviot 1, 300 Dresses, strong ' 1, 089 Dresses, flannel 33 Dresser scarfs 28 Drawers, ladies' (unbleached) 662 Drawers, ladies' (bleached) 66 Drawers, men's 1 , 725 Gowns, long 265 Gowns, short 931 State Hospital at Raleigh 37 Garments Made—Continued: Gloves, canvass, pairs 4 Garters 640 Many-tail bandage 6 Mattress ticks ' 2,670 Napkins 81 Overalls 1.421 Pri ncess slips 359 Pillow ticks 1,356 Pillow cases (bleached) 298 Pillow cases (unbleached) 4,168 Petticoats, outi ng 99 Petticoats, bleaching 52 Petticoats, baby 2 Pants, white 137 Pants, work 808 Pan holders 66 Rompers, men's 309 Rompers, boys' 112 Straight j ackets 9 Sheets 6,186 Sheets, bleached 202 Screen curtai ns 4 Shower curtains 4 Shirts, work 3,269 Shirts, dress 605 Shirts, under 350 Strainer, jelly 7 Towels, dish 952 Towels, roller 60 Tablecloths 34 Tags, hosiery 121 Underbodies 8 Window draperies 114 Garments altered 52 Total number of pieces made 39,627 Garments Cut for Sewing Room at Female Colony: Aprons, ladies' 20 Aprons, servants' 31 Bonnets 3 Curtai ns, short 8 Curtains, long 16 Chemise 169 Children's petticoats 6 Children's drawers 2 Dresses, gingham 229 Dresses, chevi ot 60 Dresses, strong 27 Dresser scarfs 22 Drawers, ladies' 118 Drawers, men's 506 Gowns, long 539 Gowns, short 277 Girls' rompers 6 Laundry bags 38 Ma ttress covers 12 Mattress ticks 287 Overalls 503 Princess slips 24 Petticoats, domestic 76 38 State Hospital at Raleigh Garments Cut for Sewing Room at Female Colony—Continued: Pants, work 123 Pillow cases .. 138 Rompers, men's 130 Sheets . 400 Table cloths 1 Towels, dish 24 Underbodies 9 Work shirts 1,090 Total 4,894 Number op Yards of Material Cut: Bleaching 1 2,828 Bed ticking 19,843^4 Crash 69 Canvass 404 Canton flannel 1,497 Cotton flannel 945 Cretonne 193^ Chambry 12,838 Cheviot 9,358 Cottonade 6,429 Denims 13,149 Duck 381 Drilling 6,398 Domestic '.. 20,680 Damask, table 141 Elastic 252 Flannel, wool 97 Gingham 12,085 Indi an head 31 Percale 1,831 Shantung 19 Sheeting, bleached 433 Sheeting, unbleached 20, 056 Sateen .. 543 Scrim 353 Toweling 811 Tubing, pillow 206 Total 131,871 Goods Sent to Patients from Home, Cut and Made in Sewing Room: Aprons, ladies' 18 Baby dress 1 B onnets 2 Bl ouses 2 Corset covers 2 Camisole 1 Chemise 13 Dresses 133 Drawers, ladies 30 Gowns, long 24 Gowns, short 2 Garters, pairs 1 Kimonas 2 Petti coats 9 Pri n cess slips 51 Teddies 23 Total 314 State Hospital at Raleigh 39 Private Materials (Yards): Bleaching * 88J/£ Broadcloth, silk 3 Crepe, cotton 54% Crepe de chine 4 Canton flannel 4% Calton plaid 9 J^ Dimity 23 Domestic 183% Elastic 1 Flanned, white 3 Foulard 8 Gingham 391% Indian head 12 Jersey tubing 4 Long cloth 148% Linen 3H Madras 22y2 Outing 33 Plaid, flannel 4 Percale 112 Poplin 10 Rice cloth 4 Sateen 18 Silk, wash 9^ Satin 3 Shantung 5 Taffeta 8 Voile 57M Total 1,228% Mrs. Josephine Thomas, Clothes Supervisor. REPORT OF OCCUPATIONAL THERAPY DEPARTMENTS Miss Mary S. White, Stewardess, State Hospital, Raleigh, N. C. Madam :—We hereby submit to you the biennial report of the Occu-pational Therapy Departments, male and female : No. of Articles Made Female Department: Aprons, child's, embroidered 87 Aprons, ladies', embroidered 124 Aprons, laides', hemmed 211 Broom holder, raffia 9 Boudoir caps, embroidered 8 Baby's bedquilt, tufted 1 Baby's bedquilt, embroidered 1 Baby's kimona, embroidered 1 Baby's sack , embroidered 1 Baby's cap, crocheted 4 Baby's slip, embroidered 1 Baby's bib, embroidered 36 Baby's bibs, with crochet 6 Bird cages of soda straws 61 40 State Hospital at Raleigh No. of Articles Made Female Department—Continued: Bedquilt, patchwork 4 Baby baskets, reed 15 Baby baskets, lined 15 Baskets, reed, large 22 Baskets, reed, small 31 Baskets, waste 22 Baskets, flower 35 Baskets, fruit 7 Baskets , raffia 5 Baskets, pine needle 4 Baskets, reed, doll 6 Bag, laundry, embroidered 12 Bag, canvass and raffia 1 Curtai ns, appliqued. 2 Curtains, hemstitched 24 Curtains, embroidered 4 Cats, rag 5 Centerpieces, embroidered 36 Centerpieces, with crochet 112 Centerpieces, appliqued 2 Centerpieces, with tatting 6 Chairbacks, embroidered 6 Costume, party ^ . 2 Crocheted centerpiece 1 Crocheted i nserts 13 Doil bed sheets 2 Doll bed spread 1 Doll bed pillow case 1 Doilies with tatting 31 Doilies with crochet 125 Doilies, hemstitched 62 Doils , rag 5 Doilies, picoted 8 Doils dressed 8 Doilies, embroidered 40 Dogs, rag 7 Flowers, paper 129 Flowers, waxed 129 Gown with crochet 1 Gown with tatting -- 1 Handkerchiefs, hemstitched " 22 Handkerchiefs, with tatting 19 Hamper, reed 1 Lace, crocheted (yards) 97 Luncheon set, embroidered (pieces) 223 Luncheon set, with crochet (pieces) 416 Luncheon set, with tatting (pieces) 7 Luncheon set, hemstitched 156 Lampshade base, reed 1 Lampshade, lined 1 Masks, face -- 125 Medallions, crocheted 229 Medalli ons, tatti ng 155 Napkins, hemstitched 94 Napkins , embroi dered 36 Napki ns, hemmed 123 Napki ns , picoted 79 Pillow cases, hemstitched 16 Pillow cases, embroidered 50 Pillow cases, with crochet 43 State Hospital at Raleigh 41 No. of Articles Made Female Department—Continued: Pillow cases, hemmed 49 Pillow cases, with tatting 46 Pillows, sofa 13 Pillow tops, embroidered 16 Pillow tops, handpainted . 4 Pin cushions . 8 Rugs, braided 32 Rugs, hooked 53 Rugs, woven 132 Rugs, crocheted 9 Rugs, repaired 1 Scarfs, hemstitched 293 Scarfs, with crochet . 56 Scarfs, with tatting 19 Scarfs, embroidered 100 Sunbonnets, small 10 Towels, hemstitched 118 Towels, embroidered , 93 Towels, with crochet 72 Towels, hemmed 78 Towels, with tatting 6 Trays, pine needle 2 Trays, reed, serving 40 Trays, wi th glass 13 Trays , handpai nted 12 Trays, coaster 29 Table cloths, hemstitched 2 Table cloths, appliqued 1 Table cloths, embroidered 15 Tatting edge (yards) 230 Tatting insertion (yards) 5 Vases, reed 87, Total 5,030 Male Department: Baskets, waste 19 Baskets, medicine 3 Baskets, small souvenir 88 Baskets, large 31 Baskets; varnished 241 Boxes, plain wooden 3 Boxes, cedar, small 7 Boxes, window 31 Boxes, window, painted 31 Boxes, knife, wooden 2 Boxes, knife, reed 4 Bookcase, of spools 1 Bread board 1 Butter molds 3 Brooms (made since April 10, 1926; prior to this date did not make them in this Dept.).. 1,040 Brooms, whisk 150 Brooms, round 76 Chairs, caned 513 Chairs, pai nted 205 Chairs, varnished 196 Doll bedstead 1 Ferris wheel 1 Fernery, reed (painted) 1 Hose reels 2 42 State Hospital at Raleigh No. of Articles Made Male Department—Continued: Hampers, reed 4 Lampshades, reed 16 Lamp bases, reed 8 Lamp bases, varnished 8 Lampshades, varnished . 16 Mattresses made 1,135 Napkin rings, reed 116 Napkin rings, varnished 73 Pillows made » 236 Picture frames 36 Reed toy sunshades 45 Reed toy sunshades, varnished 31 Reed servi ng trays 13 Rugs, woven 30 Rolling pins 3 Repairs reed table r Repaired loom Repaired rug frame Repaired mat frame Repaired milk churn Repaired hinges on cedar chest : Repaired clocks Screen, three panel ..- Screen , painted Settee caned 2 Settee cushi ons 2 Settee cover 2 Settee sofa pillows 2 Settee painted A 1 Stools caned, small 137 Stools caned, large 23 Stools , frames 160 Stools varnished . 106 Stools painted 49 Tables, card (wood) 3 Tables, cedar 1 Tree racks 3 Total 1 4,928 Total number of articles made in Male Department 1 4,928 Total number of articles made in Female Department 5, 030 Grand total 9,958 Entertainments gi ven 6 Respectfully, Ella "N. Thompson, > Etta Travis. iifcili "US II Jiiftf ittiSW lit mimm mm iHB'JSii'iiilii ^iS^BrG'Sg^K THE STATE HOSPITAL AT RALEIGH RALEIGH, N. C. REPORT ON AUDIT FOR THE FISCAL YEAR ENDED JUNE 30, 1926 Honorable Baxter Durham, State Auditor, Raleigh, North Carolina. Dear Sir:—In accordance with your instructions an audit has been made of the records of The State Hospital at Raleigh, Raleigh, North Carolina for the fiscal year ended June 30th, 1926, and the results are disclosed in the various Exhibits and Schedules listed in the Contents and in the following Comments Operation : The operations of the Hospital were carried on during the year with the Permanent Improvement appropriation provided under Chapter 192 of 1925, stated in Exhibit "B" ; and with the revenue for Main-tenance provided by appropriation under Chapter 275 of 1925, a reserve for outstanding accounts payable at June 30th, 1925, and institutional receipts stated in Exhibit "C." Condition : The condition of the funds is reflected in Exhibit "A," Balance Sheet, showing, with respect to each fund, the assets and liabilities and sur-plus or revenue balance which agrees with the balances shown in the respective operating statements. Reconcilement of Cash is shown in Schedule A-l. A balance of $493.10 remains in the Permanent Improvement account which is ex-plained in the schedule as, under the present method of remitting funds by the State Treasurer. Cash should balance. Permanent Improvement : Chapter 192 of 1925 provided appropriations of $73,000.00 for gen-eral improvements and $50,000.00 for additions and alterations to the Criminal Insane building. The fund proceeds to an unexpended balance of $32,801.96. An item of $22.00 included in the expenditures should have properly been charged to Maintenance. This item is credited back to Permanent Improvement, showing a balance of $32,823.96. Encum-brances of uncompleted contracts amounting to $25,525.46 reduce the balance to $7,298.50, which is available for further contracting or proj-ects. Maintenance : Appropriations of $444,000.00 for general maintenance and $27,300.00 for the support of the Criminal Insane patients provided under Chapter 275 of 1925, a reserve of $647.53 for accounts payable outstanding at the beginning of the period withheld from the unexpended balance re-verted to the State General Fund at June 30, 1925, and institutional receipts constitute the revenue. The fund proceeds to a balance of $95,- 004.90, which is increased by a reimbursement to be made by the State Insurance Department for replacement expenditures of $29,582.30 for losses sustained when fire destroyed one wing of the main building. 46 State Hospital at Raleigh Maintenance Fund owes Permanent Improvement Fund $22.00 for a maintenance expenditure charged against the latter. The balance, or excess of revenue for the period is then $124,565.20. Schedule C-l, Analysis of Institutional Receipts, shows a classifica-tion of receipts for the period by functions and in detail, and also in-cludes the unexpended balance of the Sundry Receipts Fund at June 30th, 1925 ; this fund having been abolished by the "Daily Deposit Act," Chapter 128 of 1925, and the balance credited to Maintenance account during the period under review. Schedule C-2 shows a detailed analysis of all expenditures stating separately, the operating expenditures, fire replacement expenditures and expenditures for building contsruction. The latter covered the completion of a building program begun during the preceding period with funds available in the old Sundry Receipts Fund. Expenditures by months are stated in Schedule C-3, and Schedule C-4 states expenditures (operating) by objects. Per Capita Cost : Per capita cost was substantially decreased from year 1924-1925, and is shown in Schedule C-5. In stating the cost, the amount of the reserve withheld at June 30th, 1925, for outstanding accounts payable was prorated and deducted from the operating expenditures. Expenditures to this amount were ap-plicable to the preceding period but it was impossible to identify them, the reserve being largely estimated. Comparison of the two years, 1924-25 and 1925-26, is stated as follows with the above mentioned reserve considered in the figures of the year 1924-25 : 7-1-1924 to 6-30-1925 Average No. Patients 1394 7-1-1925 to 6-30-1926 Average No. Patients 1502 Increase Decrease Office and administration, . _ $ 14.24 96.36 49.14 6.54 15.00 39.47 39.79 45.73 .87 34.50 $ 12.79 77.04 23.65 8.21 15.71 43.67 30.85 19.29 .65 29.77 $ $ 1.45 Subsistence - Housekeeping, Laundering . . Medical and surgical care 1.67 .71 4.20 19.32 25.49 Nursing and attendance - Light, heat, power and water 8.94 Care of buildings, grounds and equipment- _ Recreational 26.44 .22 Agricultural 4.73 Totals Deduct •I 341.64 261.63 $ 261.63 $ 6.58 $ 86.59 6.58 Net decrease ,-.. 1 80.01 $ 80.01 Average cost per capita per month . . $ 28.47 $ 21.80 $ 6.67 Average cost per capita per day. .. ___ _ .. $ .94 $ .72 $ .22 State Hospital at Raleigh 47 In the above statement of comparison consideration should be given to the fact that per capita cost for the year 1924-25 was slightly higher than for the average year, due to the restoring of the Institution's store of supplies to a normal status at the end of the biennium. Per capita cost for the past four years is stated as follows : 1922-23 1923-24 1924-25 1925-26 Total . $ 320.69 $ 305 .48 $ 341.64 $ 261.63 Average per month, _ _. _ . . 26.72 25 .46 28.47 21.80 Average per day . . . _ _ _ _ _ _ . _ . .88 .83 .94 .72 On Food items shown in Schedule C-6, per capita cost decreased $20.45 from the year before. Expenditures decreased $15.20 and Farm Products $5.26. Farm and Dairy : The nominal profit from farm operations was practically the same as that of the year before. Comparison of the two years follows : 7-1-1924 to 6-30-1925 7-1-1925 to 6-30-1926 Farm Operations: Products consumed as food . ____ .__. _ _ _ __ Products consumed on farm.. _ __ . __ . _ Products consumed otherwise . _ . _ . s 59,919.20 23,209.50 904 00 $ 56,662.03 23,296.25 846.00 $ 84,032.70 $ 80,804.28 Less: Cost of Operations: Out of maintenance ... ... _ _ Products consumed on farm . __ . . __ _. _. % 1 48,024.20 23,209.50 71,233.70 44,776.45 23,296.25 68,072.70 Nominal profit from operations. __ _________ » $ 12,799.00 $ 12,731.58 General : Inventories were not taken at the end of the period. It has not been the custom in the past to do so and no request was made in advance that they be taken. Insurance is cared for by the State Insurance Department and none is carried by the Institution. The Steward is surety bonded for $2,500.00. Respectfully submitted, W. E. Easterling, Certified Public Accountant. September 30th, 1926. State Hospital at Raleigh 49 . STATE HOSPITAL AT RALEIGH Raleigh, North Carolina. contents Exhibit "A" Balance Sheet. Schedule A-l Cash Reconcilement. Exhibit "B" Permanent Improvement—Revenue and Expenditures. Exhibit "C" Maintenance—Revenue and Expenditures. Schedule C-l Maintenance—Analysis of Institutional Receipts. Schedule 0-2 Maintenance—Analysis of Expenditures. Schedule C-3 Maintenance—Expenditures by Months. Schedule 0-4 Maintenance—Expenditures by Objects. Schedule 0-5 Maintenance—Per Capita Cost. Schedule C-6 Food Items—Per Capita Cost. Schedule C-7 Salaries and Wages. Exhibit "D" Farm and Dairy. 50 State Hospital at Raleigh Exhibit "A" balance sheet Fiscal Year Ended June 30, 1926 ASSETS Permanent Improvement: Cash—Treasurer Ex-Officio (A-l) State Treasurer—Due on Appropriations: Appropri ati ons Less: Amount made available Charged for bond issue expense. Due from Maintenance ("B") Total Maintenance: State Treasurer—Unexpended Revenue: Appropri ati on Institutional receipts (C-l) Less: Amount made available Settlement requisition for funds for June expenditures State Insurance Department: For reimbursement of fire replacement expenditures ("C") Total Total assets. 90,616.64 74.50 471,300.00 56,116.85 391,096.03 41,315.92 % 123,000.00 90,691.14 $ 527,416.85 432,411.95 493.10 32,308.86 22.00 $ 32,823 96 $ 95,004.90 29,582.30 $ 124,587.20 $ 157,411.16 LIABILITIES AND SURPLUS Permanent Improvement: Contract Obligations ("B") Surplus: Available revenue—Balance ("B"). Total Maintenance: Due Permanent Improvement ("C") Surplus: Revenue—Balance ("C") Total Total liabilities and surplus. 25,525.46 7,298.50 $ 32,823.96 22.00 124,565.20 $ 124,587.20 $ 156,411.16 State Hospital at Raleigh 51 Schedule A-l CASH RECONCILEMENT Fiscal Year Ended June 30, 1926 Treasurer Ex-Officio: Balance .. . $ 3,832.98 Add: Settlement requisitions Maintenance _ _ for funds for June expenditures — $ 41,315.92 2,500.00 1,500.00 Working fund.. ... ... . . .. Payroll fund 45,315.92 Total $ 49,148.90 Deduct: Vouchers Outstanding- Maintenance — Audited Vouchers f Number 942 3r June: 1917.. $ 45,315.92 .47 15.00 .70 22.89 4.09 15.00 3.20 12.00 6.00 381.68 27.25 5.00 6.16 10.00 22.27 4.15 75.18 7.84 92.10 4.37 150.40 582.98 1,891.15 867 258 1021 1918 1922 1924 1046 1924 532 1924 926 1925 3 1925-6 227 445 1925-6 1925-6 983 1000 1925-6 . 1925-6 1007 1925-6 1017 1925-6 1070 1925-6 1086 1925-6 1093 1925-6 1095 1925-6 1096 1925-6 1098 1925-6 1115 1925-6 . . 1123 1925-6 1129 1925-6 >vement ("A"): . 682 entered on both registers., voucher No. 470 entered on $ 48,655.80 Balance—Permanent Imprc Maintenance voucher No $ 492.85 .25 Permanent improvement register... . Amount of voucher... . 2,327.25 2,327.00 ! % 493.10 52 State Hospital at Raleigh Exhibit "B" PERMANENT IMPROVEMENT—REVENUE AND EXPENDITURES Fiscal Year Ended June 30, 1926 Revenue: Appropriations: Chapter 192 of 1925 Chapter 192 of 1925—Criminal Insane. Total revenue Expenditures: Power Plant: Brick settings for new boilers Boiler foundations, air ducts, etc.. Bracing chimney Cutting new flue opening Boiler equipment and installation. Steam piping and connections Draft control equipment Stoker equi pment Coal and ash scales Freight on scales Constructing pit for scales Architect's fees Buildings: Alterations and additions to four buildings Heating—Addition to Criminal Insane Building. Plumbing—Three buildings Architect 's fees Bond issue expense Steward's house—-Painting radiators (contra) Total expenditures Balance—Unexpended—June 30, 1926 Due from Maintenance — Steward's house (contra) Balance—Revenue—June 30, 1926. Encumbrances : Contract Obligations: Wiley & Wilson, Architects—Fees, heating Criminal Insane Building Casey-Hedges Company—Boiler equipment W. P. Rose—Alterations and additions to four build-ings J. A. Haley & Sons—Plumbing, three buildings Chas. C. Hook, Architect—Fees, alterations and addi-tions to four buildings and plumbing three buildings. New Boilers for Power Plant: Combustion Engineering Corp.—Stoker equipment.. Casey-Hedges Company—Boiler equipment Wiley & Wilson—Architect's fees Balance—Available—June 30, 1926 (Exhibit "A"). 4,133 00 1,319.28 185.00 600.00 9,328.75 2,477.61 700.00 4,691.00 442.50 28.59 424.75 2,433.00 53,607.06 2,720.00 5,011.00 2,000.00 5,683.00 12,181.00 1,786.40 $ 26,763.48 63,338 06 74.50 22.00 272.00 .25 3,223.71 673.20 1,705.90 19,650.40 73,000.00 50,000.00 $ 123,000.00 90,198.04 32,801.96 22.00 $ 32,823.96 25,525.46 7,298.50 State Hospital at Raleigh 53 Exhibit "C" MAINTENANCE—REVENUE AND EXPENDITURES Fiscal Year Ended June 30, 1926 Revenue: Appropriations: Chapter 275 of 1S25 $ 444,000.00 Chapter 275 of 1925—Criminal Insane... _. 27,300.00 $ 471,300.00 647.53 Reserved from unexpended balance of 1923-25 appropri-ations at June 30, 1925 for accounts payable Institutional Receipts: Office and administration . _ ._ $ 31.87 28,256.83 9,915.59 166.30 1,442 67 162.39 518.91 S 40,494.56 19,622.29 Subsistence.. ... .. . . _ .. Housekeeping ... Medical and surgical care.. __ . . Nursing and attendance. . . Light, heat, power and water . ..... ..... .. Agricultural. . ... Total institutional receipts for period... _. . Sundry receipts fund balance at June 30, 1925 (fund abolished—Chapter 128 of 1925) Total institutional receipts (C-l).. .. 60,116.85 Total revenue . . ... ... $ 532,064.38 Expenditures: Office and administration . ..... % 19,237.33 115,951.41 35,647.03 12,340.94 23,606.11 65,599.29 46,419.71 29,071.08 975.80 44,776.45 Subsistence Housekeeping . ... .. ... Laundering . ... Medical and surgical care Nursing and attendance. . Light, heat, power and water Care of buildings, grounds and equipment . . Recreational... Agricultural . . Total operating expenditures- ... .. . $ 393,625.15 13,852.03 29,582.30 Building construction .. . . .... Fire replacements.. . . Total expenditures (C-2, C-3, CM) 437,059.48 Balance—June 30, 1926 (excess of revenue over expendi-tures for period) ... .... .. .. . $ 95,004.90 State Insurance Department: For reimbursement of fire replacement expenditures. _. 29,582.30 Due Permanent Improvement ("A", "B") $ 124,587.20 22.00 Balance—June 30, 1926 ("A") $ 124,565.20 54 State Hospital at Kaleigh Schedule C-l maintenance—analysis of institutional receipts Fiscal Year Ended June 30, 1926 Office and Administration: Telephone and telegraph Subsistence: Pay patients' board (^ prorated). Employees' board {% prorated)... Miscellane ous Housekeeping: Pay patients' board {}/i prorated). Employees' board (34 prorated)... Storeroom sales Art-room sales and prizes. Medical and Surgical Care: Dental work Medical and surgical supplies. Nursing and Attendance: Patients' expenses Employees' fines Pay roll refund Light, Heat, Power and Water: Labor Freight and other refunds Sales of scrap and discard Agricultural: Sales of wood Sales of livestock and hides. Sales of sacks Condemnation of cattle Total institutional receipts for period Sundry Receipts Fund Balance at June 30, 1925 (Fund Abolished Chap-ter 128 of 1925): Reserved for working fund Reserved for pay roll fund Reserved for building construction Cash Interest on savi ngs . Total Institutional Receipts ("C") Deposited with State Treasurer Reserves : Working fund $ Pay roll fund 2,500.00 1,500.00 31.87 27,960.97 293.99 1.87 9,320.32 97.99 201 .08 296.20 156.30 10.00 232.00 1,181.55 29.12 36.73 55.29 70.37 342.50 65.41 36.00 75.00 2,500.00 1,500.00 13,823.95 1,776.62 21.72 $ 56,116.85 4,000.00 31.87 28,256.83 9,915.59 166.30 1,442.67 162.39 518.91 % 40,494.56 19,622.29 S 60,116.85 State Hospital at Raleigh 55 Schedule C-2 maintenance—analysis of expenditures Fiscal Year Ended June 30, 1926 Office and Administration: 1101 Executive salaries 1103 Clerical salaries 1109 Per diems and fees 1201 Office supplies 1210 Library supplies 1301 Postage 1302 Telephone and telegraph 1303 Express, drayage and freight 1401 Hotels and meals 1402 Railroad and other fares 1403 Mileage allowance 1501 Printing: Stationery, office forms, etc 1502 Printing: Reports, bulletins, catalogs, etc. 1504 Multigraphing and mimeographing 1507 Binding 1508 Publication of notices and advertising 1601 Motor vehicles, upkeep 1801 Repairs to equipment and fixtures .1902 Rent: Buildings, offices, land 1905 Miscellaneous expense 2203 Premiums: Official bonds 3101 Office equipment and furnishings Subsistence: 1105 Supervisors' salaries Skilled labor Unskilled labr Per diems an es_. Food: 1106 1107 1109 1203 (a) Meat, fish and fowl (b) Dairy products and eggs (c) Cereal products (d ) Vegetables (e) Fruits and nuts (f) Saccharine products (g ) Beverages (h) Condiments, flavors and pickles (i) Fats, oils and miscellaneous provisions. 3103 Dining room and kitchen equipment. Housekeeping: 1105 Supervisors' salaries 1107 Unskilled labor 1202 Cleaning and household supplies 1204 Sewing supplies and dry goods 1217 Ice and other refrigeration supplies 1221 General supplies and materials 1222 Wearing apparel: Purchased 1223 Miscellaneous fuel 1801 Repairs to equipment and fixtures 3102 Institutional furniture and furnishings. 3104 Bedding and linens 3117 Refrigeration equipment 3119 Plumbing equipment 3120 Electrical equipment 35,554.56 7,225.28 12,740.90 9,883.22 7,616.54 8,179.85 5, 421. 03 924.83 8,253.08 9,600.00 3,795.00 484 .38 333.61 107.69 771.14 732.89 4.03 129.78 569 . 18 836.62 820.99 3.61 17.22 15.50 97.70 137.42 1.25 260.00 365.32 30.00 124.00 2,100.00 7,498.13 7,068.73 72.59 95,799.29 3,412.67 1,770.50 267.06 8,102.05 8,312.29 391.12 113.43 4,233.02 906.31 53.00 4,584.94 6,151.10 409.19 13.10 339.92 % 19,237.33 115,951.41 35,647.03 56 State Hospital at Raleigh Schedule C-3—Continued Laundering: 1105 Supervisors' salaries 1107 Unskilled labor 1205 Laundry supplies 1501 Printing: Stationery, office forms, etc.. 1904 Outside laundering and cleaning 3105 Laundry equipment Medical and Surgical Care: 1102 Professional and technical salaries, 1206 Medical and surgical supplies 1207 Drugs and medicines 1208 Laboratory supplies and materials. 1801 Repairs to equipment and fixtures. 3106 Medical and surgical equipment 3108 Laboratory equipment Nursing and Attendance: 1102 Professional and technical salaries. 1 105 Supervisors' salaries 1107 Unskilled labor 1905 Miscellaneous expense 3110 Library equipment and stock Light, Heat, Power and Water: 1 105 Supervisors' salaries 1106 Skilled labor 1107 Unskilled labor 1218 Power and heating plant supplies 1224 Coal (including freight) 1701 Light, heat, power and water (contractual). 1902 Rent of buildings, offices and lands 3118 Power and heating plant equipment Care of 1105 1106 1107 1213 1219 1220 1221 1801 1802 1902 3113 3121 Buildings, Grounds and Equipment: Supervisors' salaries Skilled labor Unskilled labor Botanical and grounds supplies Plumbing supplies and materials Electrical supplies and materials General supplies and materials Repairs to equipment and fixtures.-- Repairs to buildings and structures-. Rent of buildings, offices and lands.. Constructi on equipment General equipment Recreational: 1 105 Supervisors' salaries 1107 Unskilled labor 1212 Recreational supplies -.- 3112 Recreational equipment- Agricultural: 1105 Supervisors' salaries 1106 Skilled labor 1107 Unskilled labor 1108 Commutation 1214 Farm and dairy supplies. 1,926.84 3,946.61 3,691.64 11.81 2.40 2,761.64 16,514.47 1,732.73 4,631.58 276.34 6.50 211.31 233 . 18 6,944.00 7,617.74 50,980.30 5.00 2.25 1,500.00 2,998.24 5,916.02 3,261.45 25,196.77 5,550.37 7.50 1,989.36 2,285.30 4,710.56 587.63 860.16 629.25 1,977.46 9,077.55 5,401.33 2,175.14 15.00 161.54 1,190.16 355.00 95.63 408.42 116.75 1,759.08 3,207.96 8,642.02 120.00 8,042.07 $ 12,340.94 23,606.11 65,599.29 46,419.71 29,071.08 975.80 State Hospital at Raleigh 57 Schedule C-2—Continued Agriculture: — Continued 1215 Forage and supplies for animals... Motor vehicles, upkeep Repairs to equipment and fixtures. Farm and dairy equipment Li vest ock 1601 1801 3114 3115 Total operating expenditures Building Construction: Porch addition to Female Building. Steward's Residence: Constructi on Hot Water Heating— Installati on . Architect's fees 1,035.00 103.50 Gas range and fixtures. Total building construction. Fire Replacements: Office and Administration: 1401 Hotels and meals 1905 Miscellaneous expense Housekeeping: 1204 Sewing supplies and dry goods 1222 Wearing apparel: Purchased 3102 Institutional furniture and furnishings 3104 Bedding and linens Medical and Surgical Care: 1206 Medical and surgical supplies 1208 Laboratory supplies and materials. 3106 Medical and surgical equipment Light, Heat, Power and Water: 1 107 Unskilled labor Care of 1106 1107 1219 1220 1221 1801 1802 3113 3121 Buildings, Grounds and Equipment: Skilled labor Unskilled labor Plumbing supplies and materials Electrical supplies and materials General supplies and materials Repairs to equipment and fixtures... Repairs to buildings and structures.. Constructi on equipment General equipment Total fire replacements Total expenditures ("C"). $ 7,898.00 1,138.50 189.58 16.50 5.00 529.59 3,379.51 654.76 10,308.75 2.00 33.86 188.70 62.90 207.70 6,502.60 317.81 316.75 923.98 1,746.53 3,089.89 49.50 1,245.97 18,419.69 2,964.34 4.00 1,067.29 550.00 S 4,625.95 9,226.08 21.50 14,872.61 224.56 62.90 14,400.73 $ 44,776.45 $ 393,625.15 13,852.03 29,582.30 $ 437,059.48 58 State Hospital at Raleigh Office and administration Subsistence Housekeeping Laundering Medical and surgical care Nursing and attendance Light, heat, power and water. Care of buildings, grounds and equip-ment Recreati onal Agricultural Total operating expenditures. Building construction Fire replacements Total expenditures ("C"). July 1,452.30 4,471.51 686.72 630.32 1,678.46 5,087.80 981.71 1,258.37 13.00 1,752.81 18,013.00 3,000.00 $ 21,013.00 August Schedule MAINTENANCE—EXPEN Fiscal, Year Ended 1,762.14 8,400.52 958.01 644.09 2,336.96 5,049.82 1,327.22 1,620.32 20.13 2,339.56 24,458.77 1,225.95 $ 25,684.72 September 1,548.46 7,254.41 751.11 852.67 2,075.09 4,995.19 1,362.70 2,267.27 62.50 3,468.15 24,637.55 2, 600 : 00 $ 27,237.55 October 1,800.35 8,347.94 2,552.41 728.66 2,098.80 4,952.98 3,565.53 1,688.09 47.75 3,334.48 29,116.99 3,400.00 $ 32,516.99 November 1,680.96 13,097.18 5,813.16 3,266.97 2,110.76 5,035.98 2,832.85 2,727.62 241.10 5,200.92 42,007.50 2,298.00 $ 44,305.50 State Hospital at Raleigh 59 C-3 DITURES BY MONTHS June 30, 1926 December January February March April May June Total $ 1,429.55 % 1,582.97 $ 1,607.90 ft 1,549.46 $ 1,719.48 $ 1,736.58 $ 1,367.18 $ 19,237.33 12,246.96 11,015.53 8,187.95 11,188.33 7,117.95 11,474.40 13,148.73 115,951.41 3,001.62 3,121.99 4,372.45 5,534.40 3,090.77 1,863.10 3,901.29 35,647.03 433.66 811.11 1,098.76 705.32 1,367.74 760.42 1,041.22 12,340.94 1,600.09 2,423.96 1,556.02 2,042.31 1,638.51 2,138.18 1,906.97 23,606.11 5,528.96 5,780.78 5,853.80 5,830.70 5,958.38 5,641.94 5,882.96 65,599.29 4,289.23 1,505.22 6,427.27 7,039.43 9,151.03 1,400.46 6,537.06 46,419.71 1,227.08 2,017.42 1,674.90 7,289.80 1,115.65 2,512.47 3,672.09 29,071.08 78.50 78.15 40.40 294.67 17.00 73.00 9.60 975.80 4,340.73 3,469.27 5,387.24 4,468.13 3,452.89 2,986.91 4,575.36 44,776.45 $ 34,176.38 $ 31,806.40 $ 36,206.69 $ 45,942.55 $ 34,629.40 $ 30,587.46 $ 42,042.46 $ 393,625.15 1,224.58 103.50 13,852.03 8,629.10 17,679.74 3,273.46 29,582.30 $ 35,400.96 S 31,806.40 $ 36,206.69 $ 46,046.05 $ 43,258.50 $ 48,267.20 $ 45,315.92 $ 437,059.48 60 State Hospital at Raleigh Schedule maintenance—expen Fiscal Year Ended Personal Service Supplies and Materials Postage, Telephone and Telegraph Traveling Expense Printing, Binding and Publicity Office and administration Subsistence . $ 13,879.38 16,739.45 2,037.56 5,873.45 16,514.47 65,592.04 10,414.26 7,583.49 450.63 13,729.06 $ 441.30 95,799.29 22,058.22 3,691.64 6,640.65 $ 1,508.06 $ 1,535.58 $ . 955.02 Housekeeping _ __ Laundering. 11.81 Medical and surgical care . . Nursing and attendance . Light, heat, power and water- 28,458.22 12,544.42 408.42 26,461.76 Care of buildings, grounds and equipment . Recreational.. . .. Agricultural .... Total operating expendi-tures. $ 152,813.79 $ 196,503.92 $ 1,508.06 S 1,535.58 $ 966.83 State Hospital at Raleigh 61 C-4 DITURES BY OBJECTS June 30, 1926 Motor Vehicle Upkeep Light, Power and Water Repairs General Expense Insurance and Bonding Equipment Total $ 137.42 $ $ 1.25 $ 625.32 $ 30.00 $ 124.00 3,412.67 11,498.25 2,761.64 444.49 2.25 1,989.36 1,351.70 116.75 1,617.29 $ 19,237.33 115,951.41 53.00 35,647.03 2.40 12,340.94 6.50 23,606.11 5.00 7.50 15.00 65,599.29 5,550.37 46,419.71 7,576.47 29,071.08 975.80 2,964.34 4.00 44,776.45 $ 3,101.76 $ 5,550.37 $ 7,641.22 $ 655.22 $ 30.00 $ 23,318.40 $ 393,625.15 62 State Hospital at Raleigh 6 •a HmO <£> 1— I HM 2W Ph H < & °£ « Q H H Ph o I ^ O K < h-i rv. 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CD 03 K 3%Z So ti< <5 < 8 « 3 n 03 t-i Is Td 03 03 3 ^3 3 fl Ha ® —1 X -S CD T3 c c 3 03 ^ fH 2 =s rQ CD *» >» a © O rd h, +» 2 « -s ° rfl C3 -h> •C M P d 03 '-r3 03 o3 ? S3 co ft -# ,3 0) (1) > -u h< 03 CD 03 CD hi ft ft a 03 ci 03 fi hi CD -d <-*-! P 03 hi a; rd +3 0" co d CD d C 03 d 9) 1-5 -d -h> +j 03 bO H-> C 0} <\> Tl tH Ci 3 ci H-> +-> 73 +s d d CD aX H ^5 o3 y^i >> - 03 a O 03 +3 +3 a x; 3 rd CD X ci H CD O U3 +j Cfl 09 G O d CD l-H CO , | 5 03 hi CD 03 +-> G 0) 03 C^ O 03 •+J CI cS +J S 03 nd I-H O +3 » 03 +3 hi CD > CD m State Hospital at Raleigh 63 Schedule C-6 FOOD ITEMS—PER CAPITA COST . Fiscal Year Ended June 30, 1926 Food Items Expendi-tures (C-2) Less: Non-Cost Items Cost Average Number of Patients Average Per Capita Cost Meat, fish and fowl . $ 35,554.56 7,225.28 12,740.90 9,883.22 7,616.54 8,179.85 5,421.03 924.83 8,253.08 1 85.10 17.29 30.50 23.66 18.24 19.59 12.99 2.22 19.76 $ 35,469.46 7,207.99 12,710.40 9,859.56 7,598.30 8,160.26 5,408.04 922.61 8,233.32 1,502 $ 23.61 Dairy products and eggs 4.80 Cereal food products .. . 8.46 Vegetables. . _ ... 6.56 Fruits and nuts. 5.06 Saccharine products .. .. . 5.43 Beverages.. . ... . 3 60 Condiments, flavors and pickles. .. ... .62 Fats, oils and miscellaneous provisions .. . 5.48 Totals Farm products consumed as food ("D") $ 95,799.29 $ 299.35 $ 95,569.94 56,662.03 1,502 $ 63.62 37.72 Total—All food items $ 152,231.97 Average per capita cost $ 101.34 64 State Hospital at Raleigh 1 g 73 T3 13 P 1 pi p CCi R1 03 aj CO cc M bS fcC PI 3 3 s- s-i t-t 73 T X cp Jo £ _^; A 03 ( G 73 4> P 'I 1 1 a p x « a * a 4 CD — c c t 73 73 Z ^ P to cd is cd a 73 c — co a. >^ >j >J >» >> >> >> >> >, >> >i >> .+£ bt CUJ t, tn t- c- f. u s- H S-i S-. 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Eggs Grapes Leeks Milk Okra Onions , Peas, dry Peas, English Peas, green Peaches Pork Potatoes, sweet Potatoes, Irish - - Roasting ears Salads Squash Squabs Strawberries Tomatoes Turnips Watermel ons Lettuce Farm Products Consumed on Farm: Corn ._ Ensilage Stover Fodder Hay. Oats Onion sets Wheat Wheat straw Manure Quantity Price Amount 428 bushels $ 1.25 $ 535.00 722 bushels 1.50 1,083.00 235 bushels 3.20 752.00 50 bushels 3.00 150.00 8,966 pounds ioy2 941.43 580 bushels 60 348 .00 25,820 heads .08 2,065.60 20,000 heads .08 1,600.00 18 bushels 1.00 18.00 7,500 each .03 225.00 150 bushels 1.00 150.00 294 pounds .20 58.80 385 pounds .40 154 .00 1,999 dozen .35 699.65 92 bushels 1.50 138.00 186 bushels 1.00 186.00 66,348 gallons .40 26,539.20 87 bushels 1.00 87.00 335 bushels 1.00 335.00 385 bushels 3.50 1,347.50 150 bushels 3.20 480.00 163 bushels 3.20 521.60 412 bushels 1.25 515.00 35,000 pounds .15 5,250.00 3,600 bushels 1.50 5,400.00 1,525 bushels 1.50 2,287.50 2,300 dozen .25 575 .00 2,980 bushels .60 1,788.00 575 bushels .60 460.00 50 pair 1.00 50.00 1,800 quarts .15 270.00 575 bushels 1.00 575.00 635 bushels 1.00 635 .00 3,980 each .10 398.00 875 heads .05 43.75 8,500 bushels $ 1.00 $ 8,500.00 430 tons 3.50 1,505.00 123 tons 10.00 1,230.00 10 tons 25.00 250.00 250 tons 25.00 6,250.00 1,200 bushels .80 960.00 30 bushels 4.00 120.00 1,425 bushels 1.25 1,781.25 30 tons 10.00 300.00 1,200 loads 2.00 2,400.00 Total $ 56,662.03 23,296.25 State Hospital at Raleigh 69 Exhibit "D"—Continued Farm Products Consumed Otherwise: Wool Wood Total- Quantity 240 pounds 150 cords Price .40 5.00 Farm Operations: Farm products consumed as food... Farm products consumed on farm... Farm products consumed otherwise Less: Cost of Operations: Out of maintenance ("C") Farm products consumed on farm.. Nominal profit on operations Amount 96.00 750.00 56,662.03 23,296.25 846.00 44,776.45 23,296.25 Total 846.00 $ 80,804.28 I 80,804.28 68,072.70 $ 12,731.58 70 State Hospital at Raleigh REQUEST FOR PERMANENT IMPROVEMENT APPROPRIATION (BY PROJECTS) For the Biennium 1927-29, Beginning July 1, 1927 Appropriations: 1917-1919, $280,000. 1921, $765,000. 1923, $444,000. 1925, $123,000. Requested PROJECTS* Appropriation 41. Buildings: Project: I. 4102. General Hospital (100 bed capacity) .$ 160,000 Project: II. 4102. Male Epileptic Colony with dining room (100 capacity) 145,000 Project: III. 4102. Female Epileptic Colony with dining room (50 capacity) 70,000 Project: IV. 4102. Female Building for senile and unruly patients with dining room (150 capacity).. 160,000 Project: V. 4102. 3 strong rooms and porch additions to Female Receiving Building 6,000 Project: VI. 4102. 6 cottages for employees 30,000 Total buildings $ 571,000 31. Equipment and Furnishings: Project: VII. 3102. Linoleum for Female Department floors .' $ 12,000 Project: VIII. 3102. Room furnishings for 775 patients (for West Wing and contemplated projects 1- II.-III.-IV.) 38,750 Project: I.-(a) 3106. Medical and surgical equipment for Hospital Building . 25,000 Project: IX. 3118. Soot collecting system. 3,500 Project: X. 3119. Extension of heating mains to Colony Buildings $ 25,700 3119. New hot water mains for east group of Colony Buildings 2,000 27,700 Project: XI. 3120. New electric generating equipment . 15,200 Project: XII. 3121. Water storage tank and pumps 18,000 Project: XIII. 3121. Fire protection sprinkler system for Center Building 14,000 Project: H.-III.-(a) 3121. Heating equipment for New Colony Buildings (contemplated) 15,000 Project: I.-(b) 3121. Heating equipment for New Hospital Building (contemplated) 10,000 Project: IV.-(a) 312,1. Heating equipment for Female Building (contemplated) 10,000 Total equipment and furnishings -$ 189,150 Total request for buildings, equipment and furnishings $ 760,150 *See letter of transmittal, Form BB 106. State Hospital at Raleigh . 71 request for permanent improvement appropriation For the Biennium 1927-29 To the Director of the Budget: There are transmitted herewith Statements IV and V, Request for Permanent Improvement Appropriation (By Projects) and Expenditures for Permanent Improvements. As the space provided in Statement IV for explanation seems to be inadequate to fully explain the necessity and purposes of our contemplated projects we will attempt to describe them as briefly as possible herein. PROJECT: I. (a)—I. (b) In order to administer the necessary medical and surgical treatment to our physically ill and afflicted patients we are requesting a modern hospital building and modern medical and surgical equipment for the same. We are now using a building designed for a receiving building for men for hospital purposes and as soon as we can build a hospital building we expect to use the building that we are now occupying for our male receiving building as was origionally intended. This General Hospital built of fire proof construction and with the necessary room sin addition to those used as wards and individual rooms will cost, according to the cost of our recently constructed buildings, approximately $ 160, 000 The Medical and Surgical Equipment necessary for such a building will cost approx-imately 25,000 The Heating System and Connecting Mains will cost approximately 10,000 The total estimated cost of building and furnishings (100 bed capacity) is estimated to be $ 195,000 PROJECTS: II.—III. and II.—Ill.-(a) The Epileptic Colonies, both Male and Female must be enlarged at once as both of them are now filled to the capacity. We need a building for fifty women and another building for one hundred men in these colonies. These buildings to be built near the present buildings and of fire proof construction and connected with the present buildings with covered ways. The estimated cost of the building for one hundred men, with dining room will be $ 145,000 And the estimated cost for the Female Building with dining room for fifty women will be 70,000 The cost of Heating Equipment for the two proposed colonies will be approximately.-- 15,000 Making a total cost of - % 230,000 PROJECT: IV. and IV.-(a) Our statistical report of October 12th shows that we only have room for about 20 addi-tional female patients of the unruly and senile type, and before the end of the fiscal year we expect to be filled to the utmost capacity. This, of course, necessitates pro-viding additional space before more patients of that type can be admitted after our capacity is filled. As it is the desire of the management of the institution to so class-ify the patients as to be most beneficial to their comfort and treatment, the physician in charge of the female side recommends that we provide a separate building for the class of patients above mentioned instead of enlarging the present building. A great number of this class of patients are too feeble to go to the congregated dining room for their meals and those that are physically able are so unruly that they add greatly to the discomfort of the associated patients. Hence the recommendation for a separate building with dining room. Such a building, modern and of fire proof construction will cost approximately $ 160, 000 The cost of Heating Equipment will be approximately 10,000 Making a total cost of $ 170,000 PROJECT: V. The Receiving Building for Women requires three additional strong rooms and a second story porch and connections for said porch to Main Building. The additional rooms are needed to increase the capacity of the building and the porch is necessary in order to give the patients the proper amount of fresh air and sunshine in seasons when they cannot be admitted to the court yards. This small addition will cost approximately $ 6,000 72 . State Hospital at Raleigh project: vi. As the institution is growing fast and our requirements for more help is greater it will be necessary to provide additional living quarters for our employees, as it has been a time-long custom for the institution to furnish the employees who have families with cottages or other living quarters. This, of course, ,has a two-fold purpose. First, the institution finds it more economical to include this in the employees com-pensation as the cost is not as great to the State as it would be to the individual. And second, years of experience has taught us that it is absolutely essential that our employees reside within the institution. We are in need of six additional cottages for the purpose above stated. The cost will be approximately % 30,000 As this is the first request of this nature for an appropriation we might say for informa-tion that in the past the institution has provided for expenditures of this nature from their Local Cash Receipts which were abolished by the Daily Deposit Act of the General Assembly of 1925. PROJECT: VII. The floors of the East Wing of the Center Building (female side) are badly worn and if not protected will soon have to be replaced. We feel that we will be affecting economies to cover them with linoleum and which will also be more sanitary. This will cost approxi mately $ 12, 000 PROJECT: VIII. In our estimates for new buildings and additions we have provided for 775 additional patients. We estimate room furnishings for these patients at $50.00 each, making a total of $ 38,750 PROJECT: IX. We have a great deal of trouble with soot from the main power house which is located very near our group of buildings, which soot falls on the window sills and other lodg-ing places, and is frequently blown into the rooms. The soot has made it hard to keep the place clean and is especially objectionable at the laundry, which is located very near the power house. Most of the soot falls while blowing and cleaning the tubes of the steam boilers in the power house with steam soot blowers, a method which is necessary for efficient operation of the boilers, but which stirs up the soot and sends it up the power house chimney during the soot cleaning periods. In order to minimize this trouble to the greatest extent, or to practically do away with it altogether, our consulting engineers recommend the installation of suction type soot collectors, which have large pipe connections extending into the soot chambers of the boilers, and which remove by suction the air and entrained soot during the soot blowing operation and send it through underground pipes into a soot collecting chamber located at the rear of the power house. Water sprays are employed to moisten the soot as it is handled in this way, and altogether we consider this the most satis-factory solution of the problem. It also effects some economy in the matter of labor for removing soot from the rear of the boilers by hand. Such a soot collecting system is estimated to cost approximately $ 3,500 It is impossible to state here how urgent the necessity is for mini mizing the soot accumu-lation or eliminating it altogether if possible. PROJECT: X. The extension of a high-pressure Steam Heating Main underground from power house to the first colony building, a distance of 2,750 feet, at a cost of $ 25,700 The three groups of Colony Buildings and Superintendent's residence are now heated through a very complete and practically new underground system of mains extend-ing from the first Colony Building nearest the Power Plant, in which we now have a boiler plant for this purpose. The last two new boilers now being installed in the main power plant include sufficient capacity for the Colony Group, and when the above mains are installed we will be able to dispense with the hauling of fuel to the separate plant and the services of two men who are required to fire and attend it. State Hospital at Kaleigh 73 The Main Power Plant boilers are much more economical in fuel consumption than the smaller separate plant boilers and will provide a more reliable and satisfactory service, as the generation of steam will be under the supervision of a competent Chief Engineer, with coal delivered at a railway siding, instead of by an isolated plant under the care of more or less indifferent help. New Hot Water Distributing Mains to replace present Hot Water Supply pipes extend-ing from the center of the main building, through the east wing and eastern group of buildings. A number of these pipes have rusted out and frequent repairs are being required. The present pipes are too small to give adequate water pressure in the eastern group of buildings and the supply is very unsatisfactory on the east side. Practically all of the hot water supply pipes have and are being renewed and enlarged for the western group of buildings, and when the mains of the eastern group of buildings have been renewed, the entire domestic hot water distributing system will be complete and adequate for many years to come. The new mains for the eastern group above requested will cost approximately $ 2,000 Making a total cost of this project $ 27,700 PROJECT: XI. One new 140 kilowatt electric generating unit, a duplicate of a steam engine driven generating unit of modern type, which was installed in 1922, and which should take the place of two small old fashioned units, which are worn out and no longer suitable for reliable service. This addition will give us two good, reliable units of the most economical type, and of proper capacity to take care of our present load, and to meet the demands for any reasonable increase up to 50% or more, and will complete our permanent electrical generating equipment. According to estimates submitted by our Consulting Engineers this engine and gene-rator, together with switchboard equipment, steam piping and electrical connections will cost approxi mately $ 15, 200 The new generating unit can be installed in the present engine room in the space now occupied by the two smaller units and there will be no additional cost for power house space. PROJECT: XII. The city water pressure at the institution is very unsatisfactory, in that it fluctuates continuously from 20 to 60 lbs., which variation in pressure is very unsatisfactory for the plumbing fixtures and make it almost impossible to operate certain hydraulic regulating equipment which has been installed in the power house. The fluctuation results from some condition in the city mains outside of the hospital grounds, not-withstanding the fact that we have an 8 in. main coming into the institution. , The fluctuation, of course, makes a very unsatisfactory condition for fire protection, as was demonstrated in the recent fire which destroyed the west wing of the Center Building. The water supply has been cut off by the City Water Department at short intervals twice within ten days time. Our Consulting Engineers strongly recommend the installation of a 100,000-gallon elevated tank, mounted on steel tower approx-imately 90 feet high. This tower to be located in the edge of the woods east of
Object Description
Description
Title | Biennial report of the State Hospital at Raleigh |
Date | 1924; 1925; 1926 |
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 | 72 p.; 7.86 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.
FROM JULY 1, 1924, TO JUNE 30, 1926
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BOARD OF DIRECTORS OF THE STATE HOSPITAL. AT
RALEIGH, NORTH CAROLINA
C. Felix Harvey, President Lenoir County
Term expires April 1, 1929
A. L. James Scotland County
Term expires April 1, 1929
Dr. J. C. Baum Currituck County
Term expires April 1, 1929
H. R. Dwire Forsyth County
Term expires April 1, 1929
Judge W. S. O'B. Robinson Wayne County
Term expires April 1, 1929
Dr. Leslie B. Evans Bertie County
Term expires April 1, 1929
Jos. G. Brown 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 COMMITTEE'
Joseph G. Brown, Chairman
C. Felix Harvey A. L. James
RESIDENT OFFICERS AND STAFF
Albert Anderson, M.D Superintendent
R. K. Adams, M.D Assistant Physician
Julian W. Ashby, M.D Assistant Physician
H. B. Brackin, M.D Assistant Physician
T. M. Jordan, M.D Assistant Physician
T. L. Young, D.D.S Dentist
Miss Mary S. White Stewardess
SUBORDINATE OFFICERS
Miss Wesley Jordan Bookkeeper
Miss Lillie B. Goodwin Steno. to Board and Private Secy, to Supt.
Mrs. Pattie Bradshaw, R.N Superintendent of Nurses
Mrs. R. B. Hall Matron
Miss Annie J. Eagle Druggist
H. L. Marlow Engineer
R. M. Brown Carpenter
James Adams Florist, Farmer and Gardener
LETTER OF TRANSMITTAL
His Excellency, Gov. A. W. McLean,
Raleigh, JS". C.
My dear Sir:
I have the honor to submit herewith the report of Dr. Albert Ander-son,
Superintendent of the State Hospital for the Insane, at Raleigh,
North Carolina, covering the operations of the Hospital from July 1,
1924 to June 30, 1926, together with a copy of the audit made by Hon.
Baxter Durham, Auditor.
The Board of Directors appreciates the cooperation and support
accorded it by you and the Council of State at all times, and especially
your prompt response to its appeal for assistance when confronted by
the emergency arising from the destruction of the West Wing of the
Hospital last spring.
Very truly yours,
C. F. Harvey,
President Board of Directors.
/
SUPERINTENDENT'S REPORT
Me. C. Felix Harvey, President, and Members of the Board of Directors
of the State Hospital at Raleigh:
Gentlemen :—The biennial report of this Hospital from June 30th,
1924, to June 30th, 1926, is submitted as follows
:
STATISTICAL SUMMARY
Table No. 1
Patients remaining June 30, 1924
Admitted during last two years (insane)
Admitted during last two years (criminal insane)
Total number under treatment
Average daily population
Restored (insane )
I mproved (insane )
Uni mproved (i nsane )
Transferred (insane)
Not 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 of number admitted-
Remaining June 30, 1926 _'
Male
651
565
78
1,294
61
327
19
8
2
109
15
3
544
8.6
68
750
Female
671
471
6
1,148
174
30
1
101
1
2
393
8.8
54
755
Total
1,322
1,036
84
2,442
1,474.5
145
501
49
9
2
210
16
5
937
8.7
61
1,505
Our reports on the medical work for two years cover four depart-ments—
the insane, epileptic, inebriate and the criminal insane.
The doctors of my staff have submitted the following reports
:
(See Dr. Adams' report.)
(See Dr. Ashby's report.)
(See Dr. Brackin's report.)
(See Dr. Jordan's report.)
(See Dr. Young's report.)
The work of our general hospital service has been satisfactory. The
necessary surgical operations have been done by different members of
our Advisory Board of Surgeons very promptly when called.
Our requests for new buildings and reasons for making them are
set out fully in our transmittal letter to Budget Bureau.
We wish again to express our appreciation to the Advisory Board
of Doctors for responding so promptly to our call whenever we have
work for them to do.
6 State Hospital at Raleigh
Governor McLean appointed the following physicians of the State on
our Advisory Board
:
Dr. T. M. Green Wilmington
Dr. J. F. Highsmith Fayetteville
Dr. J. P. Monroe Charlotte
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 Greenville
Dr. W. B. McNider Chapel Hill
Dr. E. J. Wood.... Wilmington
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. V. Jones New Bern
Dr. T. D. Kitchin Wake Forest
I am giving below a report from the Architect, C. C. Hook, and of
Wiley & Wilson, our Heating Engineers, covering all the work done in
the last two years.
(See report of Wiley & Wilson.)
(See report of Chas. C. Hook.)
Our Auditor's report gives the details of money spent in our building
program.
In conclusion, I wish again to express my sincere thanks to the mem-bers
of our Board for the great sacrifices they have made in serving this
Institution and the fine spirit of cooperation they have given us in the
management of the business affairs and building program of this Institu-tion
for the last two years.
The officers and employees of this Institution have been loyal and
trustworthy and have striven to promote the welfare and care of our
patients in every possible way.
We are still holding in our mind the same objective that we have
always held persistently; that is "to make our Institution equal to any
and surpassed by none."
Respectfully submitted,
Albert Anderson, Superintendent.
State Hospital at Raleigh
PROFESSIONAL REPORTS
July 1st, 1926.
Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C.
Sir:—Pursuant to your request, I submit herewith the report for
the Male Department, covering the biennial period from June 30th,
1924 to June 30th, 1926.
The general health of the patients in this department has been good.
There has been no epidemic diseases. Vaccination against typhoid and
smallpox has been carried out. A few cases of psychosis following
encephalitis have been treated with tryparsamide and a few cases of
dementia precox have been treated by the production of an aseptic
meningitis by the intraspinal injection of sterile horse serum. Sulphar-sphenamine,
neosalvarsan bismuth and mercury (both intramuscularly
and intravenously) have been employed in the treatment of syphilis. I
had hoped during this biennium to treat some cases of paresis with
malaria, but have experienced difficulty in securing proper malarial
parasites. This work, however, will be carried out during the coming
biennial period. There were two suicides during the biennial period.
One of these occurred in the Main Building and the other occurred at the
Hospital Building.
On April 10th, 1926, about 1 :40 P. M., fire broke out in the roof of
the Sixth Ward and destroyed the First, Second, Third, Fourth, Fifth
and Sixth "Wards and the northern end of the Seventh, Eighth, Ninth and
Tenth Wards. The Eleventh Ward was also so badly damaged that it
cannot be used until extensive repairs can be made. The patients are being
cared for on the porches of the Seventh, Eighth, Ninth and Tenth
Wards and on the parts of these wards not destroyed by the fire. Some
patients were transferred to Oaks Colony and some were taken home
by relatives.
Even after the burned building has been rebuilt, the Male Depart-ment
will still need additional buildings. There has been no building in
the Male Department for housing patients since the Seventh, Eighth,
Ninth and Tenth Wards were built about twenty years ago. I would
make the following recommendations': A Eeceiving Building with a
capacity of 75 to 100 patients, a building for untidy patients to care
for 150, and a building for inebriates and drug addicts. The inebriates
and drug addicts are now cared for on the wards with the insane. Table
One of the statistical report will show that we have admitted more male
patients than females, which will show the necessity for a Receiving
Building for men, a building of this type having already been provided
for the female patients.
On January 1st, 1925, the Criminal Insane building was opened, the
Legislature having passed an act that patients of this type should be
\
8 State Hospital at Raleigh
cared for in this institution instead of the State's Prison. The building
was too small due to inadequate appropriation and as soon as the pa-tients
were transferred from the State's Prison the building was so
crowded as to necessitate the placing of beds in the halls. During the
past biennial period the building has been enlarged and its capacity
slightly more than doubled. For this building I would recommend an
occupational therapy teacher and amusements from time to time such
as moving pictures.
The functions of a State Hospital should be
:
1. To receive as many worthy cases as possible.
2. To restore as many patients as possible to society.
3. To accomplish the two above objects as economically as is com-patible
with good treatment.
With these objects in view, I think the Male Department has made
a creditable showing. By referring to Table One of the Statistical Re-port
you will note that more men have been admitted and discharged
than women, and by comparison of the payrolls you will note that this
has been accomplished very economically.
Respectfully submitted,
R. K Adams, M.D.
Raleigh, N". C, September 20, 1926.
Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C.
Sir :—I hereby submit the report of the Female Receiving Building
:
Since the last biennial report three strong rooms have been added to
the Female Receiving Building at a cost of about $1,800. This is the
only expenditure that has been made to this building since its construc-tion.
The three additional rooms have increased the efficiency of the
service but the present capacity is not sufficient and three strong rooms
would materially increase our comfort. These rooms could be extended
from the three rooms constructed two years ago and on the roof of
these three rooms, and the three rooms previously mentioned, we should
have a sun porch. This would give the patients at the Female Receiving
Building the advantages of sunshine and fresh air which they do not at
present enjoy in bad weather and winter, and which is a privilege
granted to nearly all of the other patients. The expense of this addition
should not exceed $6,000.
During the past biennial period we have been free from a great deal
of sickness, but there was one epidemic of erysipelas which affected an
attendant and four or five patients, all of whom recovered. There were
no suicides during this period and twelve deaths. Most of these deaths
occurred shortly after admission of the patients. Two of them dying
one day after admission, another within four days and the longest period
State Hospital at Raleigh 9
that any of these patients who died had been in the hospital was fifty-one
days. There was also one death which occurred the day after the
patient left the hospital after having been in our service for twelve days.
There has been a decided decrease in drug addiction patients. For the
periods of 1924-1925, we admitted thirty patients; 1925-1926 seventeen
patients who were drug addicts. On July 1st, 1924, there were in this
service four patients diagnosed drug addiction; July 1st, 1926, only one
patient of this class.
We are continuing to make a mental and physical examination of all
patients as soon as possible after admission ; and we are also vaccinating
all patients against smallpox and typhoid fever.
The continuous baths and hot packs are being continued with benefit.
Respectfully submitted,
J. W. Ashby, M.D.
Raleigh, N". C, September 17, 1926.
Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. 0.
Sir :—I herewith submit the report of the Female Department, with
the exception of the Receiving Building. There were 533 patients at
the end of the biennial period.
Illness :
All cases of physical illness were sent to the Hospital Building except
during the influenza epidemic when it would not take care of all. The
general health of the patients has been good except for influenza during
January and February, 1926. There were about 150 cases of influenza
on this service during that time. Most of the cases had a high elevation
of temperature and quite a number had complications. The most fre-quent
complications were pneumonia and otitis media. Very few cases
were fatal. We have had no cases of contagious disease. There has
been no sudden deaths and no suicides. ISTo serious accident has hap-pened.
Treatment :
The warm continuous baths have been used for excited and noisy pa-tients
with good results. Isfeutral wet packs have been used very ex-tensively
for noisy and excited patients with benefit to the patient.
Progressive ISTotes :
All patients on this service have had a complete physical examination
during this period and a record of the abnormalities found put in their
folder. All patients have also had notes made of their mental condition
and a record of it made in their folder.
10 State Hospital at Baleigh
Repairs :
During the past biennial period G-ward, K-ward, and Female dining
room have been painted. No other repairs have been made except ones
necessary in an institution of this kind.
New Building :
There has been one ward built on this service. It has ten rooms and is
for violent and excited patients. Two continuous bath tubs were in-stalled
on this ward.
Recommendations :
We are in need of a building for noisy and untidy patients. At the
present time G-ward, which accommodates 100, is being used for same
but its location is bad for this type of patients. It is on the main drive
of hospital grounds and all visitors can see these untidy patients on the
porch and hear their profane and obscene language. My suggestion is to
build a building for 100 untidy and noisy patients, in the pines across
from E. B., away from the road and use G-ward for higher type of
patients.
The Ternale tubercular building needs a floor and some additional
rooms. It stays full all the time and some tubercular patients have to
be kept on wards with other patients. My suggestion would be to change
the room being used for a dining room, and not suitable for such, into
single rooms and build a dining room.
Respectfully submitted,
H. B. Beackin, M.D.
Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C.
Sir :—Herewith I hand you the biennial report of the Colonies in the
department of my service
:
Movement and condition of the population of Oaks Colony during
the biennial period ending June 30th, 1926
:
Number of patients in the institution at beginning of period 169
Number of patients admitted during period 155
Number of patients readmitted during period 15
Number of patients died during period 1
Number of patients escaped during period 47
Number of patients returned from escape 35
Number of patients at large 12
Number of patients transferred 85
Number of patients discharged 42
Number of patients remaining June 30th, 1926 199
All patients have been immunized against smallpox and typhoid fever.
There have been no contagions or epidemics. The one death reported was
due to heart disease. Examinations of and histories written for these re-
"- 4ff
&<»"-
j^-—
-
- ~k(
*' #
,ttW
if-iliiiiiiiiH
State Hospital at Raleigh 11
ceived not already so treated. Notations of condition of patients have
been recorded and filed from time to time.
On account of the sudden influx of patients from Main Building fol-lowing
fire, Oaks Colony was, and is now, very much congested, and the
number of idle patients, due either to feebleness or too mentally dis-turbed
to send out, have added considerably to the problem of oversight,
yet these conditions have been met by only an addition of one caretaker
to usual force of attendants.
Due to the fact that a large part of the population at Oaks Colony
is employed upon the farm, opportunities for escape are multiplied. It
is very gratifying to record, however, that the number of escapes during
this biennium have been decreased above 40% over what occurred during
previous two-year period.
At Oaks Colony an increased number of properly heated and ventilated
strong rooms are needed to meet the needs of present population. There
should also be an increased number of single rooms wherein a noisy
patient might be kept over night, otherwise a dormitory of thirty or more
patients will be broken of their rest at times for a whole night.
Recommendations :
All strong rooms, bath and toilet rooms should be screened against
flies. Dining-room floor should be repaired. Bath-room floors should
be of cement and arranged to drain properly.
Male Epileptic Colony
Movement and condition of population at the Male Epileptic Col-ony
:
Number of inmates in institution at beginning 88
Number of inmates admitted during term... 182
Number of inmates died during term 14
Number of inmates discharged during term 46
Number of inmates escaped during term 26
Number of inmates returned during term 15
Number of inmates at large during term 11
Number of inmates transferred during term 14
Number of inmates remaining at term 185
There have been no contagions. Mild epidemics of influenza occurred
during early months of 1926. No deaths, however, from this cause.
All patients have been immunized against smallpox and typhoid fever.
The prevailing cause of death has been exhaustion from epilepsy. One
death was from pneumonia. Examinations, mental and physical, of all
new patients have been made and their histories written. Notations
of condition have been made and recorded from time to time. With
more than double the population of the previous biennium we have ex-perienced
only three more deaths this period than the former report.
12 State Hospital at Raleigh
On first and third wards we have had repairs during this biennium of
cement floors and wood wainscote, which has enabled cleanliness to be
maintained with less labor. Notwithstanding population has increased
100% and more, our caretakers have only been increased 25% in number.
Needs :
More properly ventilated and heated strong rooms and single bed-rooms
are necessary for carefully handling and safeguarding present
population.
Female Epileptic Colony
Movement and condition of the population of the Female Epileptic
Colony
:
Number of inmates in institution beginning of term 90
Number of inmates admitted during term 106
Number of inmates died during term 11
Number of inmates discharged during term 11
Number of inmates escaped during term 1
Number of inmates returned during term , 1
Number of inmates at large during term
Number of inmates transferred during term 5
Number of inmates remaining at end of term 164
There have been no contagions. Mild epidemic of influenza occurred
during the early months of 1926. No deaths, however, from this cause.
All patients have been immunized against smallpox and typhoid fever.
The prevailing cause of death has been exhaustion from epilepsy. Two
patients died from exhaustion from pellagra. Two patients committed
suicide. With a population increased by 117% during the biennium
there has been but one escape against four during the previous biennium,
and the caretakers have only been increased by one. Examinations of
all new patients have been made and their histories written, with nota-tions
of changes from time to time filed. Notwithstanding "the popula-tion
doubled during the biennium and the fact that there were two
suicides as against one in the previous biennium, there was exactly the
same number of deaths, as of the previous period.
Repairs :
On A and C wards during this period we have had new wooden
floors and cement wainscote, which enables cleanliness to be maintained
with less labor.
Needs :
More properly ventilated and heated strong rooms and single bed-rooms
are necessary for carefully handling and safeguarding the popu-lation.
State Hospital at Raleigh 13
A Word About the Epileptic Problem in Our State :
It will be noted from the foregoing report that as soon as space was
available, that in two years' time as many patients were admitted as
had been gathered together during the fourteen years that the State
had undertaken to provide for that class of defectives. Of course, when
there was no space there could be no admissions. JSTow there is no space
again; Male Colony completely full, and Female Colony with less than
twenty empty beds.
Among the new admissions are a number of children, fifteen years
and less of age. Many applications for children have been rejected, for
the policy has been to provide for the more urgent, those who being so
mentally upset that to be refused would mean lying in jail. The children
admitted cannot enter public school. The conclusion is, from the above
facts, that if the State meets its obligations to this class of the afflicted
more room for the epileptic is an absolute necessity. Because a child
is afflicted with epilepsy it should not be denied the educational oppor-tunities
that would enable him to enjoy at least the three R's in educa-tional
advantage. Again, it is agreed by all, that the more intelligent
use and appreciation of any organ the less deterioration there will be
—
the brain is no exception to this.
Thos. M. Jordan, Physician in Charge.
Dental Report—June 30th, 1924, to June 30th, 1926.
Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C.
The Dental Department, which has been under the direction of Dr.
T. L. Young since April 21st, 1921, has completed a large amount of
work during the past two years. All new patients are seen soon after
they are admitted. All focal infection removed and teeth repaired.
The office is equipped with the Ritter outfit and Wappler X-ray ma-chine.
The following table will show the work that has been done
:
Patients seen 2,875
Extractions 2,559
Amalgam fillings 475
Cement fillings 483
Cleanings 1,131
Synthetic fillings 119
X-rays made 118
Plates made 45
Plates repaired 9
Bridges made 4
14 State Hospital at Raleigh
REPORT OF ENGINEERS
Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C.
Sir:—In accordance with your request, we are giving you below a
statement of the extent and cost of mechanical equipment work which
has been done at your institution under our plans and supervision, and
completed within the last two years ; the work which is now in progress
;
and also the estimated cost of future improvements, which we consider
necessary to complete your central plant steam-heating system, provide
adequate electric generating equipment, domestic hot water distributing
mains, and to safeguard your city water supply system and provide bet-ter
fire protection.
The estimates for new work include cost of heating equipment for
the contemplated new buildings and other minor items, all of which
are discussed under the various headings.
Mechanical Equipment Work Completed During the Last
Two Years
The mechanical equipment work completed under our plans and su-pervision
during the last two years is as follows
:
1924—Extension of hot water heating mains to the Male Tubercular
Building, which was moved to a new location. Cost of this
work $935.00
1924—Installation of new 8-in. exhaust steam supply main from power
house to center of main building, to utilize the exhaust or waste
steam in the heating system. Cost of this work $3,314.61
1924—Installation of high-pressure steam connections to new cooking
equipment in three kitchens at the Colony Buildings. Cost of
this work $632.50
1924—Installation of steam heating equipment in new Criminal Insane
Building. Cost of this work $5,867.40
1924—Installation of heating equipment in Superintendent's residence,
together with connecting mains from central heating plant. Cost
of this work $4,375.00
1925—Installation of heating equipment in Steward's residence, in-dependent
plant. Cost of this work $1,160.50
1925—Installation of heating equipment in new addition to Criminal
Insane Building and Strong Rooms. Cost of this work $2,992.00
1925—Installation of two new 250 h. p. water tube boilers, together
with pipe connections and auxiliaries to take the place of three
old boilers removed. Cost of this work $26,763.73
Mechanical Equipment Work Now in Progress
The mechanical equipment work now in progress under our plans and
supervision is as follows
:
Installation of two new 350 h. p. water tube boilers with pipe connec-tions,
forced draft equipment and necessary auxiliaries. Cost
of this work , $41,597.60
State Hospital at Kaleigh 15
These boilers are being installed to take the place of three old boilers
and provide additional boiler capacity, sufficient to supply steam
to the Colony Group of the buildings, when connecting mains
can be installed for this purpose.
Heating, ventilating and domestic hot water supply equipment for
new West Wing, North and Rear Dormitories, recently de-stroyed
by fire. Cost of this work $31,710.80
New underground hot water heating mains extending from power
house to Male Tubercular Building and Seventh Ward, on one
side, and from power house to Female Tubercular Building
and Erwin Building on the other side, also domestic hot water
mains leading along the same lines, all of which are to take
the place of present mains which have rusted out and have to
be renewed. This work is being done by your own repair de-partment
as renewals, and the estimated cost is $11,000.00
For Recommendations and Estimates for Future Mechanical Equip-ment
Work, see letter of transmittal to Budget Bureau.
Respectfully submitted,
Wiley & Wilson, Consulting Engineers.
REPORT OF ARCHITECT
Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. C.
Sir:—In the past two years, ending with June, 1925, we have made
provision for caring for fifty additional inmates in the Criminal Insane
department and that building will now accommodate one hundred in-mates.
A wing was added to the original building and some changes
made in the original building, thus giving us the space for the fifty
additional beds and also providing a new dining room and serving room
to care for the one hundred inmates, the former smaller dining room
having been used for bedrooms by building partitions in same. The
required number of shower baths and other toilet facilities were also
added and two additional rooms for attendants in charge of this wing of
the building.
We were successful in getting this project completed within the
amount of the appropriation, and the plan is a very satisfactory one,
having been arranged so that this wing may be extended in the future
without destroying any part of the present building.
We took advantage of the ground floor space of the covered way
leading from the Erwin Building to the dining room, and built into this
space a strong-room wing for women, and provided ten additional
strong rooms, well ventilated, lighted and heated; also an attendants'
room and double continuous bathroom ; the necessary toilet rooms, store-rooms,
etc., were also provided and this piece of work is considered one
of the best pieces of construction that we have. The utilization of the
space under the covered way saved us about three thousand dollars, and
16 State Hospital at Raleigh
this wing is entirely above the ground. This wing, also the Criminal
Insane wing, are both of fireproof construction.
The old wooden floors of the Seventh Ward were entirely removed
and replaced with re-enforced concrete. Concrete floors were also placed
in certain parts of the Epileptic Colony building for men where the old
wooden floors had decayed. New tile floors were laid in the serving
rooms adjacent to the dining rooms for women and men.
We awarded contracts July 15th for the rebuilding of that portion of
the building that was destroyed by fire on the 10th day of April. The
building is now in course of construction, and at the suggestion of Gov-ernor
McLean, who deemed it wise to take advantage of the overhead
expense in connection with building operations, we enlarged the build-ing
and instead of rebuilding for two hundred seventy-five, which was
the number of inmates in the burnt portions, we have provided for one
hundred additional, or three hundred seventy-five. Our contract pro-vides
that this entire project must be completed not later than the 15th
day of May, 1927, and that part designated as the rear dormitory,
which is a part of this project, will be completed by the 15th of October,
this year. This project is to be one of the best in the State. The build-ing
will be fireproof, and the plans were given most careful considera-tion,
and I conferred with several of the Nation's competent authorities
in reference to the building before preparing the working plans.
After consulting with the Superintendent as to the urgent needs
of the Hospital, I have advised as follows: (See letter of transmittal
to Budget Bureau.)
Respectfully submitted,
Chas. C. Hook, Architect.
State Hospital at Raleigh 17
STATISTICAL SUMMARY
Table No. 1
Patients remaining June 30, 1924
Admitted during last two years (insane)
Admitted during last two years (criminal insane)
Total number under treatment
Average daily population
Restored (insane)
Improved (i nsane)
Uni mproved (insane )
Transferred (insane )
Not 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 of number admitted
Remaining June 30, 1926
Male
651
565
78
1,294
61
327
19
8
2
109
15
3
544
8.6
68
750
Female
671
471
6
1,148
84
174
30
1
101
1
2
393
8.8
54
755
Total
1,322
1,036
84
2,442
1,474.5
145
501
49
9*
2
210
16
5
937
8.7
61
1,505
Table No. 3
Showing the Number op Admissions and Discharges (Including Cures, Improved, Unimproved
and Deaths) for Each Year Since the Opening of the Hospital
CO
a
o
'co
co
"a
<
Discharged
Date
o
T5
CD
>ou
a
a
i—i
73
CD
Hu
CD
CO
a
Si H
CD
a
co
a
i—i
o
73
CD
>ouaa
"S
co A-^
CD
Q
O
a
'a
'3
a
CD
1856 90
96
57
83
76
61
44
41
40
41
65
85
72
27
27
44
43
50
44
42
44
52
42
5
15
26
22
23
21
17
9
14
9
15
13
18
7
7
9
14
17
13
16
11
13
14
3
10
7
11
22
4
2
4
7
1
4
5
7
3
4
5
9
6
8
5
6
8
11
2
7
9
10
23
8
15
21
27
45
14
21
17
7
9
8
8
13
16
14
9
15
19
10
38
51
50
73
47
42
41
55
74
47
52
53
19
22
31
55
41
39
40
29
39
54
80
1857 6
9
7
25
14
8
7
7
19
14
13
11
2
2
9
14
5
2
5
3
3
10
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
18 State Hospital at Raleigh
Table No. 2—Continued
Date
1879
1880
1881
1882
1883
1884
1885
1886
1887
1888
1889
1890
1891
1892
1893
1894
1895
1896
1897
1898
1899
1900
1901
1902
1903
1904
1905 ...
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920.1
1921
1922 (7 months).
1922-1924
1924-1926
Totals
Discharged
45
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
10,729
T3
0) U
o
14
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
•xi
>ou
ft
a
4
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
4,442 2,201
-a
CD
77
29
5
3
3
1
9
13
3
6
1
4
36
25
224
o
1
4
3
6
2
3
11
64
73
o>
>o
s~
ft
aP
2
7
2
18
63
9
9
28
3
11
1
16
2
4
5
7
5
4
9
13
4
6
3
5
1
2
19
57
49
597
03
Q
13
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
2,680
o
33
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
a
'a
'5
S
277
273
284
278
199
243
254
248
292
292
298
294
301
300
288
305
328
329
364
393
390
424
420
397
433
380
454
441
574
502
677
842
1,055
850
1,057
994
1,195
1,037
1,154
995
1,126
1,069
1,253
1,160
1,322
1,505
9,198
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State Hospital at Raleigh 19
Table No. 3
Showing Form of Insanity of Those Admitted During Past Two Years
Epi lepsy
Dementia prsecox
Manic depressive
Senile dementia
Psychoneurosis
Pellagra
Drug addict and alcoholism
Undiagnosed
Defective mental development
Exhaustive psychosis
Toxic psychosis
Constitutional psychopathic inferiority
Involuti onal melancholia
Syphilis
Paresis
Cerel ral hemorrhage
Traumatic psychosis
Psychosis (type undetermined)
Encephalitis
Idiocy
Tabes
Huntington's chorea
Psychosis following influenza
Psychosis following paralysis
Diabetis melitus
Multiple sclerosis
Post infectious psychosis
Puerperal psychosis
Not insane
Totals
Male
115
81
61
45
2
2
190
10
10
6
7
8
1
6
1
3
3
3
2
1
2
3
1
1
1
565
Female
101
93
117
21
10
4
<3
3
24
1
1
1
32
1
1
1
1
3
1
1
5
6
471
Total
216
174
178
66
12
6
233
13
34
1
7
8
40
1
7
1
4
3
4
3
1
2
3
4
1
1
1
5
7
1,036
Table No. 4
Showing Duration of Insanity of Those Admitted During Past Two Years
Not to exceed 1 month
1 to 3 months
3 to 6 months
6 to 12 months
12 to 24 months
2 to 3 years
3 to 5 years
5 to 10 years
10 to 20 years
20 to 30 years
30 to 40 years
40 to 50 years
50 to 60 years
Unknown
Totals '
Male
45
49
39
40
51
26
70
69
59
19
9
2
87
565
Female
49
51
41
52
43
24
41
63
46
12
3
1
45
471
Total
94
100
80
92
94
50
111
132
105
31
12
2
1
132
1,036
20 State Hospital at Raleigh
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
From 80 to 90 years
Unknown
Totals,
Male
4
50
111
128
117
80
42
23
2
565
Female
61
97
124
101
49
22
6
2
1
471
Total
12
111
208
252
218
129
64
29
4
9
1,036
Table No. 6
Showing Civil Condition of Those Admitted During the Past Two Years
Male Female Total
Single,. _ . _ _ __ 245
265
55
156
258
57
401
Married. 523
Widowed.. . _ . . . 112
Totals 565 471 1,036
Table No. 7
Showing Residence of Those Admitted During the Past Two Years
Male Female Total
Alamance.. ... ._ . . . .... 16
3
3
1
1
5
5
2
10
7
3
2
2
5
4
4
4
4
17
1
1
1
8
2
7
3
6
3
2
1
1
8
7
• 2
6
33
Alleghany... ...... 1
Alexander . . . ... ___ ... 3
Anson.. ... .... ... 4
Ashe.. ... ... ... ... . . .. 1
Avery ... ._____._.. ... ._.__...... 2
Beaufort. . _____ .. 13
Bertie.. ___..---- _ ._ -_ 2
Bladen. . _________ ..... 12
Brunswick. . .. ... ..... 5
Buncombe _ _ . .___ 16
Burke .
Cabarrus... ... .__ _ .... 10
Camden. __.... _. _ . _.___ _. 2
Carteret ... ._ ____ _ _ . 4
Caldwell 3
Caswell .__ _L ________ __ _ _ ______ ____ 10
Catawba. ._ .... _ _ .. 5
Chatham . _ _ _ _..._..._ ___. 11
Cherokee.. . ... _ ___________ _. __ 4
Chowan • ... _______________ _ _ _ __ _ __ 6
Columbus _-_ _- - ------ ._ ___ _ 10
State Hospital at Raleigh 21
Table No. 7—(Continued)
Male Female Total
Craven - - - 3
2
15
5
7
15
16
13
12
7
17
10
1
15
7
11
1
1
1
11
1
4
15
2
3
1
1
16
1
2
7
20
5
6
7
9
4
2
1
6
15
2
16
3
3
4
5
1
19
1
1
8
28
7
8
6
9
10
7
3
8
18
2
1
3
2
2
11
1
8
9
1
2
1
9
1
9
14
13
4
3
5
2
2
3
1
7
4
1
2
1
16
3
2
2
8
Clay
Cleveland _. _ . .. . . . _ .. _. 3
Cumberland - . _ -- . _ . 34
Currituck . . _ . - __- _ . -. 1
Davie ____ _ . . . _ _ 1
Davidson - .--.._ _. - -- 5
Duplin - . - -. ----- 15
Dare . - - ------ - ____
Durham.. ... ., ,
,
. . --------- 43
Edgecombe.. . _. _______ -- 23
Franklin . _. ____ ______ .____. 21
Forsyth -.__. - . - _ 18
Gaston.-. .. - ...... . ..... 16
Gates.. .- _. -- ....
Graham . . ... ...
Guilford . .. - ..... _______ ___ 27
Granville. - -------- 17
Greene . ___________ ... _____ 4
Halifax ______ ____ ___. 23
Harnett ._ - . _____•__ 25
Henderson.. __ . - _____ 13
Hertford _____ ... ____________ _______ 2
Hoke 4
Hyde 3
Iredell.. ____ - ________ ______ 2
Johnston.. . . .. _ . 22
Jones.. -.. . .- __ -.. 1
Jackson.. ... ___ 1
Lee . .- 12
Lenoir. .. _ . ... _ ... 24
Lincoln ... . _.__ .__ __.__.
Madison. .... _•__ 3
Martin. . . 3
Macon ._ ._ .. __ . 3
McDowell... .___..- 2
Mecklenburg .. .. . .__. 25
Mitchell 1
Montgomery. ... ___ ... ._ . - 3
Moore ...... 16
Nash . ._ ... .. _ 34
New Hanover . 18
Northampton. _ . . ._ . .. . 10
Onslow ._ _ . . .. 10
Orange ... . . 14
Pamlico.. .. ... ... ._ 2
Pasquotank ._ . . ...... 6
Pender .___ . . 5
Perquimans . . . .. 2
Person .. . ..... 13
Pitt 19
Polk 1
Richmond ... . ... ... 4
Randolph __ __ . . 1
Robeson .. .. 32
Rockingham . ... ...... .... . . 6
Rowan ..... 5
Rutherford 6
22 State Hospital at Raleigh
Table No. 7
—
(Continued)
Male Female Total
Sampson ______ ... . _____ 10
8
6
5
2
1
2
9
69
6
3
1
15
1
15
2
2
13
4
1
3
1
3
11
39
4
1
2
7
3
17
1
23
Scotland ._ __ _ .__ 12
Stanly __ __ ___. _ ___ __ _ _ _ 6
Stokes.. -_-_ _ _ ._
Surry __ __ ___________ __ 6
Swain _ _ _ _____ 5
Transylvania- ______ _ _ 1
Tyrrell. __ ____ _____ _ __ 1
Union___ __ __ _ _ __ _ _ _ _ 5
Vance _ . ___ ___ __ ____ 20
Wake 108
Warren _. _ .-._____ 10
Washington __ _ _ _-_--.___ _ ____ 4
Watauga__ _-.---_ ______ _ _____ 3
Wayne _____ ___---.____ __ __ __ 22
Wilkes.._ 4
Wilson. ___ _ --_ 32
Yadkin _ __ ____.-. 3
Yancey. _____ .. _ __ 2
Totals 565 471 1,036
Table No. 8
Showing Nativity of Those Admitted During the Past Two Years
Male Female Total
North Carolina. .... . -..-.. 565 462
1
2
1
1
1
1
2
1,027
Georgia. ._ _ ___. 1
Virginia _ ___ ______ ___ 2
West Virginia _ __ _ _ __ 1
New York ._ _ . _ . .. .-_. 1
Pennsylvania. . . . __ _.._ 1
Wisconsin. _ _. _ _. .. 1
England __ _ _ . __ _ _. . . 2
Totals 565 471' 1,036
Table No. 9
Showing Form of Insanity of Those Recovered
- Male Female Total
Manic-depressive insanity... .__ __ __ 5
56
40
36
5
2
1
45
Drug addict and alcoholism _ _ 92
Involutional melancholia _ _ _
Psychoneurosis _ ____ ________ _ ______
Puerperal psychosis... ... .____
5
2
1
Totals 61 84 145
State Hospital at Raleigh 23
Table No. 10
Showing Duration of Insanity of Those Recovered During Past Two Years
Male Female Total
1 to 3 months .._____ .____ .. - - .--.__. 2
9
19
30
1
7
18
59
2
3 to 6 months, -- - . . . ....
6 to 12 months -...._ . __ _. ... _- .-.
1 to 3 years.. _ ._._. -_ _..
16
37
89
3 to 5 years ._. __.. .___-_.__ 1
Totals 61 84 145
Table No. 11
Showing Cause of Death of Those Who Died During the Past Two Years
Pulmonary tuberculosis
Lobar pneumonia
Broncho pneumonia
Exhaustion from epilepsy
Cardio renal disease
Cerebra 1 hemorrhage
Exhaustion from senile dementia
Exhaustion from manic-depressive insanity
Pellagra
Paresis
Suicide by cutting throat
Acci dental scald
Valvular disease of heart
Organic heart disease
Exhaustion from involutional melancholia.
Exhaustion from dementia prsecox
Exhaustion from Huntington's chorea
Acute nephritis
Cancer of breast
Arteri o sclerosis
Fractured femur
Endocarditis
Cerebro spinal syphilis
Septicemia
Congestion of lungs
Hepati c cirrhosis
Malignant hypertensi on
Myocarditis
Gastro enteritis
Diarrhea
Exhaustion from mental disease
Chronic alcoholism and hypothyroidism
Exhaustion from acute mania
Tabes dorsalis
General paralysis
Sarcoma
Herniotomy
Hemiplegia
Organic heart disease
Ulcer of stomach
Pneumonia and endocarditis
Male
4
7
5
14
6
5
18
5
6
3
1
1
2
1
1
1
5
1
2
2
1
1
1
4
1
1
1
1
1
1
1
1
Female
18
2
10
8
10
6
2
6
1
4
5
1
1
3
2
1
2
1
1
2
9
1
1
Total
22
9
15
22
16
5
24
7
12
3
1
1
3
1
5
5
1
1
1
8
3
2
1
2
2
1
1
1
1
3
13
1
]
1
1
1
1
1
1
1
1
24 State Hospital at Raleigh
Table No. 11—(Continued)
Male Female Total
Interstitian nephritis..
1
1
2
1
1
2
1
Influenza ________ 1
Acute dilatation of heart.. _ . . _ .. 1
Hypostatic pneumonia. ... _._. ___ ______
Cardio valvular disease... _. . .._._____ ..
1
2
Apoplexy 2
Totals 109 101 210
Table No. 12
Showing Form of Insanity op Those Who Died During the Past Two Years
Moron
Psychosis with Huntington's chorea
Defective mental development
Dementia prsecox
Epilepsy
Involutional melancholia
Manic-depressive insanity
Cerebro spinal syphilis __ __
Pellagra
Senile dementia
Paresis
Hemiplegia
Cerebral hemorrhage
Arterio sclerosis
Drug addict
Alcoholism
Tabes dorsalis
Imbecile
Undiagnosed
Totals
Male
1
1
5
22
3
15
2
31
5
2
1
1
5
1
2
12
109
Female
2
17
10
15
24
1
3
16
1
1
1
0'
10
101
Total
1
1
2
22
32
18
39
1
5
47
5
1
2
2
2
5
1
2
22
210
Table No. 13
Showing the Age at Death of 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
5
7
6
20
23
25
22
1
109
Female
5
11
12
17
20
21
11
4
101
Total
10
18
18
37
43
46
33
5
210
State Hospital at Raleigh 25
Table No. 14
Showing Length of Time Spent in Hospital op Those Who Died During the Past Two Years
Male Female Total
Less than a week
From 1 to 4 weeks...
From 1 to 3 months..
From 3 to 6 months.
From 6 to 12 months
From 1 to 3 years
From 3 to 5 years
From 5 to 10 years...
From 10 to 15 years..
From 15 to 20 years..
From 20 to 30 years..
From 30 to 40 years..
From 40 to 50 years..
Totals
2 3 5
21 19 40
9 4 13
7 7 14
14 7 21
21 17 38
9 5 14
6 14 20
13 11 24
3 7 10
4 5 9
1 1
1 1
109 101 210
Table No. 15
Showing Residence of Those Remaining in Hospital
Male Female Total
Alamance . . 24
2
2
3
6
3
13
4
14
5
6
8
5
1
2
6
7
1
6
5
1
11
3
7
31
3
3
3
10
5
23
21
28
3
3
2
3
1
17
15
14
3
6
6
3
2
6
9
3
13
2
1
9
15
23
3
3
2
12
30
11
52
Alleghany.. . . ... .... 5
Alexander ..... 5
Anson. ... ... 5
Ashe 9
Avery.. . 4
Beaufort. ._ .. . __ . 30
Bertie .. _ 19
Bladen ... 28
Burke... .. 8
Brunswick _ _ . 12
Buncombe .. 14
Cabarrus ... . 8
Camden . .. 3
Clay 2
Carteret ...... _ 12
Caswell . 16
Caldwell 4
Chatham. .... .......... 19
Chowan. .. . 7
Cleveland _ 2
Columbus... 20
Cherokee 3
Craven . .. 22
Cumberland .. 54
Currituck . 6
Dare. 6
Davie.. ._ 5
Duplin. . .. 22
Davidson.. ._*! 5
Durham 53
Edgecombe .. 32
26 State Hospital at Raleigh
Table No. 15—Continued
Male Female _ Total
Franklin _ _ _ _ __ __ . ____ 15
5
2
4
12
15
7
5
15
13
3
4
2
3
7
23
2
1
3
10
1
8
2
2
14
3
2
5
2
21
16
15
8
10
4
15
6
3
9
2
7
20
6
2
3
4
1
15
4
8
6
5
1
3
1
10
54
18
5
2
13
16
8
2
15
13
4
3
9
5
6
20
5
11
13
1
7
4
1
15
8
1
4
1
12
18
6
14
11
6
5
5
4
6
•
16
25
3
2
6
6
2
15
1
9
1
3
2
1
4
4 •
53
33
Forsyth __ _ __ .. 10
Gates _ ________ 2
Gaston _ ______ 6
Guilford 25
Granville- _ _ _ __ __ _ .___ _ 31
Greene _ . 15
Henderson ____ _ _ _ _ _ _ 7
Halifax __ . __ ______ 30
Harnett _._ _____ _ __.. 26
Hertford, ______ __ _. _ __ _ 7
Haywood_ _ __ _ _ _ __ ____ ___ 7
Hoke 11
Hyde 8
Iredell.-. ------ _-.- - __ ______ 13
Johnston. __ ___ _ __ __ ____ 43
Jones _ . . 7
Jackson ___'_ _ __ ________ 1
Lee _ ____ _____ __ 14
Lenoir _ __ ___ _ _____ 23
Lincoln __ ___ __ _ 2
Martin. _ _ _ _ __ ___ _ _ ___ 15
Macon ______ 6
McDowell 3
Moore, _. _ _ . __ _ _ _ _ __ _ 29
Mecklenburg _ __ _ _ __ 11
Montgomery ._ __ _ _ _____ 3
Madison. _ _____ __ _______ 9
Mitchell 3
Nash _ _ ___ ___ __ __ _ _- 33
New Hanover ___ .-__ ______ 34
Northampton __ _ __ _ 21
Onslow -. _ - _ 22
Orange.. _ __ .__ _..._ 21
Pamlico. --. - _ _ _- _ . 10
Pasquotank - -_ ________ 20
Pender. __ 11
Perquimans ... 7
Person _ _. - --.. _. 15
Polk- 2
Pitt-- 23
Robeson -._ . ___- 45
Rowan. -.. _ - _ ______ 9
Randolph _ - - .... - __._- 4
Rockingham _. ._ __ __ _ _._ 9
Richmond. ... _-.. ... 10
Rutherford ._. -_ - ----- 3
Sampson -- ------- 30
Stanly -. - ------ 5
Scotland - - -- 17
Surry -. .. - .-_ 7
Stokes -- - ------ 8
Tyrrell 3
Transylvania . . - 4
Union _- . .- 5
Vance --. . . _ 14
Wake 107
'''."
\y;4ti'}~
State Hospital at Raleigh 27
Table No. 15—Continued
Male Female Total
Warren _ 10
4
20
1
12
5
4
1
8
24
4
15
2
2
2
18
Washington . .. .. 4
Wayne - - - 44
Watauga . . 5
Wilson ___. 27
Wilkes 7
Yancey.. ... ____ .. . . . . 6
Yadkin.. __ __ ________ __ ________ 3
Totals __ _____ _-...- -_ 750 755 1,505
Table No. 16
Applications on File
Insane Epileptic
Male Female Male Female
Total
Alamance.. __ _ 20 19 39
Alexander _ - . 2 1
2
3
Anson.. 1 1 4
Avery ___ . _ . ... _ 2
1
1
2
1
2
Ashe. ... 1
Beaufort... ..
Bertie ... _ .
8
4
15
3
5
1
1
1
8
2
11
7
1
1
1 18
8
Bladen 27
Brunswick.. . _ ._ ... 1 11
Buncombe. . ... 5
2
4
3
11
Burke... ... 1
2
3
5
Cabarrus .... 7
Caldwell 7
Camden. 3
9
10
3
Carteret ... _ 5
7
1
5
2
2
1
1
1
16
Caswell _ _ 19
Catawba 2
Chatham. .... 17 23
Cherokee ... _ _ 2 3
Chowan .. _. _ 2 3 5
Clay 1
2
1
Cleveland. ...... 2
Columbus ._ . ... 7
8
25
14
8
24
6
5 26
Craven . 16
Cumberland _ _ 5
1
1 55
Currituck __ 7
Dare.. . ..... 4 1 5
Davidson. __ . . 2
3
1
2
4
6
2
Davie .. .. . ._ 2 5
Duplin. ... 14
28
8
2
11
6
2
10
36
11
7
10
2
4
25
Durham. . 2
1
68
Edgecombe . 24
Forsyth 15
Franklin 3
3
24
Gaston. 4 15
Gates.
.
6
28 State Hospital at Raleigh
Table> No. 16-—Continued
Insane Epileptic
Total
Male Female Male Female
Granville .- . - -. - 21
3
11
16
15
14
8
3
9
18
2 37
Greene - - 11
Guilford 10 2
1
26
Halifax. _ .._._. ... 26
Harnett... - . .. . ... - 1
2
4
34
Haywood . .. _ 2 4
Henderson . _ . .. ..- 4
Hertford 1
7
2
4
4
3
2
5
Hoke 2 1
2
2
14
Hyde 7
Iredell . .. . 3
4
4
7
Jackson.. ... ... 4
Johnston .... .. . .. .. 12
3
9
14
20
1
10
10
2 38
Jones.. . . .. 4
Lee . 19
Lenoir .-._-. 3
1
1
4
27
Lincoln 1
Macon. ... 3
1
4
Madison .. .. .. . 5
Martin . 6
11
2
3
2
1
9
Mecklenburg... 8
2
2
4
4
1
3
2
2
1
1
24
McDowell --------- 7
Mitchell 4
Montgomery.. 5
Moore... . . _____
Nash
7
8
16
6
6
16
5
4
6
6
7
13
17
16
15
6
2
9
2
6
8
6
13
14
29
25
New Hanover. . . ._ 31
Northampton.. . ..... . . . . .
Onslow
12
8
Orange.. ... . _ . _
Pamlico
25
7
Pasquotank.. .. . . .....
Pender
10
14
Perquimans - . ... 12
Person 20
Pitt
Polk
2
1
2
1
3
2
6
1
1
1
i
2
2
4
1
30
2
3
Richmond 3
Robeson.. .. _ .... 21
1
1
13
9
18 44
Rockingham 7
Rowan ... 8
Sampson 11
7
25
Scotland 16
Stanly 3
5
4
1
1
6
13
2
3
1
3
3
6
7
4
Tyrrell 1
Union 1
8
29
8
4
3 10
Vance 21
Wake... 33'
4
6
2 66
Warren 12
Washington 10
4 2 6
State Hospital at Raleigh 29
Table No. 16—Continued
Insane Epileptic
Male Female Male Female
Total
Wayne .. . . . 18 17 2
9
3
2 39
Wilkes 9
Wilson.. -. _ ---_--. 11 9 23
Yancey. ... -- - 3 3
Yadkin. - - ._ 1 1
Totals 551 555 197 85 1,388
Dr. Albert Anderson, Superintendent, State Hospital, Raleigh, N. 0.
Sir:—In accordance with the usual custom I am transmitting to you
Biennial Reports from the heads of the various activities of the institu-tion
who operate under the supervision of the Steward
:
Farm, Garden and Dairy, James Adams, Superintendent.
Engineering Department, T. A. Holiday, Chief Engineer.
Carpenter's Department, R. M. Brown, Head Carpenter.
Housekeeping, M. R. Hall, Matron.
Clothing, Mrs. Josephine Thomas, Clothing Supervisor.
Art Room and Cabinet Shop, Work done by Patients,
Ella Thompson and Etta Travis, Directors.
A combined report of the audit had of the accounts for the fiscal
year ended June 30, 1926, is also submitted.
Budget Requests for Maintenance and Permanent Improvement Ap-propriations
for the Biennium, beginning July 1, 1927, and ending
June 30, 1929, follow the report of audit.
Respectfully submitted,
(Signed) Mary S. White, Stewardess.
Miss Mary S. White, Stewardess, State Hospital, Raleigh, N. C.
Madam :—I hereby submit a summary of the past two years, ending
June 30th, 1926:
The crops have been up to the average.
The roads have been hard-surfaced three and a half miles. One more
mile would complete our roadways.
The dairy has supplied the Hospital with one hundred and fifty gal-lons
of milk per day.
Respectfully submitted,
James Adams, Supervisor.
30 State Hospital at Raleigh
REPORT OF FARM AND DAIRY PRODUCTS
For Year Ending June 30th, 1925
Quantity Price Amount
Apples 185 bushels @ $ 1.25 $ 231.25
Canned apples 254 dozen @ 6.00 1,524.00
Beans, green lima 198 bushels @ 3.20 633.60
Beans, dry lima 43 bushels @, 3.00 129.00
Beans, snap 432 bushels @ 1.00 432.00
Canned beans 482 dozen @ 6.00 2,892.00
Beef 7,200 pounds® .103^ 756.00
Beets 623 bushels @ .60 373.80
Cabbage 40,565 heads @ .08 3,245.20
Collaids 16, 890 heads @ .06 1,013.40
Carrots 25 bushels @ 1.00 25.00
Cantaloupes ll,500eaeh @ .03 345.00
Cucumbers 1 160 bushels @ 1.00 160.00
Chickens 750 pounds @ .25 187.50
Broilers 539 pounds @ .35 188.65
Eggs 2,298 dozen @ .30 689.40
Crapes : 85 bushed @ 1.25 106.25
Leeks 25 busn^s @ 1.00 25.00
Milk 59,511 gallons @ .40 23,804.40
Okra 133 busneis @ .90 119.70
Onions 275 bushels @ 1.00 275.00
Peas, dry 373 bushels @ 3.00 1,119.00
Peas, English 125 bushels @ 3.20 400.00
Peas, green 162 bushels @ 3.20 518.40
Peacr.es '_ 325 bushels @ 1.50 487 50
Canned peaches 62 @ 7.00 434.00
Pork 38,522 pounds @ .15 5,77S.30
Potatoes, sweet , . 4,500 bushels @ 1.50 6,750.00
Potatoes, Iiish 1,200 bushels @ 1.50 1,800.00
Radishes 61 bushels @ 100 61.00
Roasting ears 1,875 dozen @ .25. 468.75
Salads 2.375 bushels @ .75 1,781.25
Salsify 62 bushels @ 1.00 62.00
Squash 615 bushels @ .85 522.75
Squabs 35 pairs @ 1.00 35.00
Strawberries 2,064 quarts © .15 309.60
Tomatoes 413 bushels @ 100 413.00
Turnips 1,500 bushels @ 1.00 1,500.00
Watermelons . 3,225 each @ .10 322.50
Corn 5,438 bushels @ 1.50 8,157.00
Corn, ensilage 415 tons @ 3.50 1,452.50
Corn, stover 125 tons @ 10.00 1,250.00
Hay 325 tons @ 25.00 8,125.00
Wheat 2,020 bushels @ 1.25 2,525.00
Wheat straw 40 tons @ 10.00 400.00
Manure 650 loads @ 2.00 1,300.00
Wool 325 pounds @ .30 97.50
Sales _ 806.50
$ 84,032.70
State Hospital at Raleigh 31
REPORT OF FARM AND DAIRY PRODUCTS
For Year Ending June 30th, 1926
Quantity Price Total
Apples 428 bushels® $ 1.25 $ 535.00
Snapbeans 722 bushels @ 1.50 1,083.00
Lima beans (green) : 235 bushels © 3.20 752.00
Lima beans (dry) 50 bushels @ 3.00 150.00
Beef 8,966 pounds® A0V2 941.43
Beets 580 bushels @ .60 348.00
Corn 8,500 bushels @ 1.00 8,500.00
Cabbage 25,820 heads @ .10 2,582.00
Collards 20,000 heads @ .08 1,600.00
Corn ensilage 430 tons © 3.50 1,505.00
Corn stover 123 tons @ 10.00 1,230.00
Carrots 18 bushels © 1.00 18.00
Cantaloupes 7,500 © .03 225.00
Cucumbers 150 bushels @ .75 112.50
Chickens 294 pounds @ .25 73.50
Spring chickens 385 pounds @ .35 134.75
Eggs 1,999 dozen @ .35 699.65
Fodder 10 tons © 25.00 6,250.00
Grapes 1 92 bushels © 1.25 115.00
Hay 250 tons © 25.00 6,250.00
Leeks 185 bushels @ 1.00 186.00
Milk 66,348 gallons © .60 39,808.80
Okra A 87 bushels @ .90 78 30
Oats 1,200 bushels @ .80 960.00
Onions 335 bushels © 1.00 335.00
Onion sets 30 bushels © 4.00 120.00
Peas (dry) 385 bushels @ 3.50 1,347.50
Peas, English 150 bushels @ 3.20 480 00
Peas (green) 163 bushels @ 3.20 521.60
Peaches 412 bushels @ 1.25 515.00
Pork 35,000 pounds @ .15 5,250.00
Potatoes, sweet 36,000 bushels © 1.50 5,400.00
Potatoes, Irish 1,525 bushels @ 1.00 1,525.00
Roasting ears 2,300 dozen @ .25 575.00
Salad 2,980 bushels @ .60 1,788.00
Squash 575 bushels @ .80 460.00
Squabs 50 pairs © 1.00 50.00
Strawberries 1,800 quarts © .15 270.00
Tomatoes 575 bushels @ 1.00 575.00
Turnips 635 bushels ® .60 381.00
Wheat 1,425 bushels © 1.25 1,781.25
Wheat straw 30 tons © 10.00 300.00
Watermelons 3,980 @ .10 398.00
Wood 150 cords © 5.00 750.00
Wool 240 pounds © .40 96.00
Manure 1,200 loads © 2.00 2,400.00
Lettuce 875 heads © .05 43.75
$93,500.03
Sales: Sale of hides and livestock $ 65.41
Sale of wood 342.50
Empty sacks 36. 00
Slaughtering cow 75. 00
$ 518.91
DEPARTMENT REPORTS
REPORT OF ENGINEER
Miss Maey S. "White, Stewardess, State Hospital, Raleigh, N. C.
Madam :—I hereby submit a report of the work done in the Engineer-ing
Department for two years, ending June 30th, 1926
:
We have, besides keeping up the regular repairs, made the following
improvements
:
Connected four cottages with the lighting system and water and con-nected
same to the city sewer, and run a storm sewer to the branch.
Have run a telephone line under ground from the Superintendent's
residence to the gate-keeper's cottage.
We have installed two closets in courtyard at Male Epileptic Colony,
using 300 feet of l 1/^ in. galvanized pipe and 500 feet of 4-in. terracotta.
We have made a new connection to the water main, taking out the
old 2-in. connection and putting in a 4-in. connection. This will give
a good supply of water to all fixtures.
We have repaired electric and telephone lines to colonies, and put up
new poles at railroad crossing, raising the wires thirty-eight feet above
the rails.
We have installed new drinking cups in the dairy and have had new
tubes put in boiler at same.
We have taken out the old Jones stokers from boilers ~Nos. 1, 2 and
3 and rebuilt the firebox for hand-firing; and have dismantled boilers
JNTos. 4, 5 and 6, and taken them out and cut them up for junk. Have
cleared out the old foundation ready for new work.
We have changed the steam connection on No. 3 boiler from high
pressure to the 40-pound line and have put in the heating system until
the new boilers are ready. This old boiler was loaned by Dillon Supply
Company.
We have remodeled the heating system in the greenhouse and installed
a cellar drain in the pit to keep out the water.
We have moved the water main and telephone line poles out of the
way of the annex to the Criminal Insane Building and have run a storm
sewer under the railroad to take the water away from this building.
We have had to change the electric line also for this building.
Two new boilers have been installed in the boiler room, 250 h. p. each.
These boilers were fired up and put in use December 25th, 1925. Every-thing
was working fine until I got oil in the new boilers and burned
out twelve tubes in No. 3, No. 4 and No. 5 boilers; this was caused by
too much oil being fed to the cylinders of the engine. These tubes were
replaced and I have kept them clean ever since.
State Hospital at Raleigh 33
We have installed a pair of scales for weighing coal and ashes in
boiler room ; also a cellar drain to keep the water out of the scale pit.
We have installed a new mill of the hammer type for grinding our
grain.
We have installed a transformer of 5 K. W. in a pit back of the Super-intendent's
residence, and run a cable from the Hospital Building to
this transformer. This was to get better service for electric range.
We have made eccentric rod for ISTo. 2 power engine and new piston
rings for boiler feed pumps.
We have installed in laundry a humatic extractor and a copper starch
cooker.
We have installed in pump room, on receiving tank, a copper regu-lating
valve. This lets in city water when it is needed only.
We have put up a new electric line feeding D, E, and F wards, the
old line being torn down.
On April 10th, 1926, we had a fire which destroyed six wards of the
Main Building and four wards that were built during Dr. Kirby's ad-ministration,
and stopped at a wall of the Underwood Building built
during Dr. Jas. McKee's administration. On the back side of the old
building, the dormitory and old dining hall and toilets for six wards
were destroyed. This was built by Underwood and was built during
Dr. McKee's administration.
After the fire, which put all of our steam, hot and cold water lines
out of Use on the male side, we made a temporary steam connection,
using 400 feet of 2-in. black pipe and 200 feet l^-in. black pipe. We
then connected our hot water heating system to domestic hot water sys-tem,
but it did not last long and had to be changed.
We have put new water end on No. 2 boiler feed pump and new piston
rods on same.
We have unloaded 245 cars of coal.
We have made and given out 1,022,000 pounds of ice.
Made and put up railing at Steward's residence.
We have repaired brine line in refrigerating plant.
Respectfully submitted,
T. A. Holliday, Engineer.
Miss Mary S. White, Stewardess, State Hospital, Raleigh, N. C.
Madam :—I respectfully submit to you the 'record of work done in the
Carpenter Department from June 30th, 1924, to June 30th, 1926:
Laid maple floors in First and Fourth Ward. Laid and varnished
floor in First Ward. Painted interior of Receiving Building. Shoeing
horses and mules during year of 1925. Completed finishing work at
Superintendent's residence. Painted Colony and Doctor's residence two
coats. Converted back porch at Gate Keeper's cottage into room.
34 State Hospital at Raleigh
Laid cement walk, built brick wall and partition around pump.
Laid cement floor in basement at Twelfth Ward. Laid concrete run-way
at Laundry. Built partition for two bathrooms. Laid oak floor
in room and two bathrooms in second floor in Center Building.
Erected 500 feet shelving in clothes rooms and painted eight rooms
at Female Colony. Built cement steps and walk at Colony and Doctor's
residence. Built forms for wall and poured same at Boylan Bridge.
Assisted with cyclone fence at G-Ward, Male and Female Colony.
Cut opening and hung door in Bakery. Laid concrete walk in front of
Female Colony. Built shelters in Male and Female Epileptic court-yard
24x50. Covered same with rubber roofing. Built 120 feet lattice
fence at G-Ward courtyard. Erected 2,000 feet shelving in storeroom.
Built four cottages on Boylan Drive with four rooms and bath and
covered same with composition shingles.
Ceiled two strong rooms on A-Ward. Put up 1,000 feet chair rail
at Hospital Building. Made 125 foot benches for G-Ward courtyard.
Made forms and poured concrete bridge at South Street entrance.
Sanded and varnished second floor at Center Building. Laid 5,000 feet
rift pine flooring at Female Epileptic Colony. Painted tin roof at
wheat barn. Sanded and varnished six floors in Center Building. Laid
3,200 feet rift pine flooring at Oaks Colony. Built shelving in clothes
room at Female T. B. Cut out two openings and fitted and hung doors
at Hospital Building. Built forms and poured concrete bridge at Boylan
Bridge. Put new locks on First, Second,' Fourth and Fifth Wards.
Made concrete forms and poured cement foundation walls at Steward's
residence. Patients dug out basement.
Built rim and wired inside corn crib. Laid concrete walk and gutter at
west end of Kurses's Home. Ceiled strong room at Female Colony. Built
two huts for female patients eight feet square. Assisted with erection
of cyclone fence between bridge and Nurses' Home. Put up beaver board
in room of kitchen employees. Varnished cork floor in Female Dining
Room. Painted interior of Nurses' Home. Sanded and varnished floors.
Built arria wall and steps at Steward's residence. Painted window and
door at Boiler House. Built room and porch at Dr. Braekin's cottage.
Covered same with composition shingles. Laid pine floor in upper hall.
Sanded and varnished same at Colony and Doctor's residence. Made
desk for Male Colony.
Made necessary repairs on female wards caused by damage at time
of fire. (Mr. Davidson's men assisted in this work.) Cut down cabinet
lockers at Nurses' Home. Put 350 feet sand-screen wire on ventilators
on roof at Boiler Room. Built concrete transformer pit at Super-intendent's
residence. Built double brick garage at Steward's residence.
Made six heavy screen doors for Dairy Barn. Built elevator frame in
coal bin. Took down roof on Eleventh Ward that was burned to make
ready for new building.
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State Hospital at Raleigh 35
Laid concrete floor in basement adjoining G-Ward. Hung double doors
on porch and also made two screen doors for Nurses' Home. Repairs to
wagons. Locks repaired ; glass on wards ; chairs repaired ; mattresses
sterilized and made. The chair and mattress work is done by patients.
Respectfully submitted,
R. M. Brown.
REPORT OF MATRON
Miss Mary S. White, Stewardess, State Hospital, Raleigh, N. C.
Madam :-—I hereby respectfully submit to you a report of the work
done in the Matron's Department from June 30th, 1924, to June 30th,
1926:
We have, besides keeping up the regular daily duties of the Kitchen,
Bakery and Center Building, made the following
:
Butter 7,521
Lard 4,264
Strawberry preserves 68
Plum jelly 28
Peach preserves 202
Grape jelly 31
Peach pickle 45
Apple jelly 18*2
Watermelon rind preserves 30
Watermelon rind pickle 37
Pear preserves 235
Grape preserves 25
Apple preserves 18
Cucumber pickle 60
Tomato pickle
Pear sweet pickle
Cucumbers in brine 20
Beans 5,789
Apples 3,050
Peaches 739
Pears 1,245
Tomatoes 211
Okra
With the aid of patients in the spring of 1925 we painted the entire
Kitchen, including the five Dining Rooms in Kitchen, Vegetable Room
and Diet Kitchen. In the spring of 1925 we painted the Meat Room,
Broom Room, Vegetable Room, Supply Room, Diet Kitchen and var-nished
all the furniture, office fixtures and chairs in Center Building,
also painted and enameled all beds in Center Building.
Respectfully submitted,
M. R. Hall, Matron.
)25 1926 Total
pounds 6,438 pounds 13, 959 pounds
pounds 4,290 pounds 8,554 pounds
gallons gallons 68 gallons
gallons gallons 28 gallons
gallons 246 gallons 448 gallons
gallons 54 gallons 88 gallons
gallons 48 gallons 93 gallons
gallons 68 gallons 86 1
2 gallons
gallons 128 gallons 158 gallons
gallons 98 gallons 135 gallons
gallons 128 gallons 363 gallons
gallons 48 gallons 73 gallons
gallons gallons 18 gallons
gallons gallons 60 gallons
gallons 48 gallons 48 gallons
gallons 25 gallons 25 gallons
barrels barrles 20 barrels
gallons 5,438 gallons 11 ,277 gallons
gallons 718 gallons 3 ,768 gallons
gallons 88 gallons 827 gallons
gallons 333 gallons 1 ,578 gallons
gallons 2,060 gallons 2 ,271 gallons
gallons 285 gallons 285 gallons
36 State Hospital at Raleigh
REPORT OF CLOTHES SUPERVISOR
Miss Maky S. White, Stewardess, State Hospital, Raleigh, N. C.
Madam :—I hereby respectfully submit to you a report of the work
done in this department from June 30th, 1924, to June 30th, 1926 :
Total number of pieces mended 83,646
Total number of pieces marked 191,957
Total number of bandage made 7,343
Total number of shoes mended, pairs 2,741
Total number of pieces mended at Female Colony 19,424
Average number of patients in mending room 16
Average number of patients in sewing room 22
Average number of patients in laundry 34
Average number of employees in laundry 14
One employee in mending room
One employee in sewing room
Garments Made:
Awni ngs 2
Auto seat covers 3
Aprons, ladies' 260
Aprons, servants' 713
Aprons, butchers ' 6
Aprons, bakers' 40
Aprons, chefs' 140
Aprons, mai d , 12
Aprons , bungalow
Burial robes 107
Baby dresses 4
Bonnets 4
Bags, clothes 590
Bags, sand 3
Bags, ice 24
Bathrobes , 20
Caps, nurses' 143
Caps, maids' 6
Caps, chefs' -- . 29
Coats, white 46
Coats, lining 1
Curtains, long 510
Curtains, short • 1, 025
Coffee strainers 36
Covers, chair 29
Covers, mattress 40
Covers, basket 4
Covers, pillow 21
Covers, blanket 1
Covers, broom 6
Chemise, unbleached 2, 420
Dresses, gingham 2, 574
Chemise, bleached 144
Dresses, cheviot 1, 300
Dresses, strong ' 1, 089
Dresses, flannel 33
Dresser scarfs 28
Drawers, ladies' (unbleached) 662
Drawers, ladies' (bleached) 66
Drawers, men's 1 , 725
Gowns, long 265
Gowns, short 931
State Hospital at Raleigh 37
Garments Made—Continued:
Gloves, canvass, pairs 4
Garters 640
Many-tail bandage 6
Mattress ticks ' 2,670
Napkins 81
Overalls 1.421
Pri ncess slips 359
Pillow ticks 1,356
Pillow cases (bleached) 298
Pillow cases (unbleached) 4,168
Petticoats, outi ng 99
Petticoats, bleaching 52
Petticoats, baby 2
Pants, white 137
Pants, work 808
Pan holders 66
Rompers, men's 309
Rompers, boys' 112
Straight j ackets 9
Sheets 6,186
Sheets, bleached 202
Screen curtai ns 4
Shower curtains 4
Shirts, work 3,269
Shirts, dress 605
Shirts, under 350
Strainer, jelly 7
Towels, dish 952
Towels, roller 60
Tablecloths 34
Tags, hosiery 121
Underbodies 8
Window draperies 114
Garments altered 52
Total number of pieces made 39,627
Garments Cut for Sewing Room at Female Colony:
Aprons, ladies' 20
Aprons, servants' 31
Bonnets 3
Curtai ns, short 8
Curtains, long 16
Chemise 169
Children's petticoats 6
Children's drawers 2
Dresses, gingham 229
Dresses, chevi ot 60
Dresses, strong 27
Dresser scarfs 22
Drawers, ladies' 118
Drawers, men's 506
Gowns, long 539
Gowns, short 277
Girls' rompers 6
Laundry bags 38
Ma ttress covers 12
Mattress ticks 287
Overalls 503
Princess slips 24
Petticoats, domestic 76
38 State Hospital at Raleigh
Garments Cut for Sewing Room at Female Colony—Continued:
Pants, work 123
Pillow cases .. 138
Rompers, men's 130
Sheets . 400
Table cloths 1
Towels, dish 24
Underbodies 9
Work shirts 1,090
Total 4,894
Number op Yards of Material Cut:
Bleaching 1 2,828
Bed ticking 19,843^4
Crash 69
Canvass 404
Canton flannel 1,497
Cotton flannel 945
Cretonne 193^
Chambry 12,838
Cheviot 9,358
Cottonade 6,429
Denims 13,149
Duck 381
Drilling 6,398
Domestic '.. 20,680
Damask, table 141
Elastic 252
Flannel, wool 97
Gingham 12,085
Indi an head 31
Percale 1,831
Shantung 19
Sheeting, bleached 433
Sheeting, unbleached 20, 056
Sateen .. 543
Scrim 353
Toweling 811
Tubing, pillow 206
Total 131,871
Goods Sent to Patients from Home, Cut and Made in Sewing Room:
Aprons, ladies' 18
Baby dress 1
B onnets 2
Bl ouses 2
Corset covers 2
Camisole 1
Chemise 13
Dresses 133
Drawers, ladies 30
Gowns, long 24
Gowns, short 2
Garters, pairs 1
Kimonas 2
Petti coats 9
Pri n cess slips 51
Teddies 23
Total 314
State Hospital at Raleigh 39
Private Materials (Yards):
Bleaching *
88J/£
Broadcloth, silk 3
Crepe, cotton 54%
Crepe de chine 4
Canton flannel 4%
Calton plaid 9 J^
Dimity 23
Domestic 183%
Elastic 1
Flanned, white 3
Foulard 8
Gingham 391%
Indian head 12
Jersey tubing 4
Long cloth 148%
Linen 3H
Madras 22y2
Outing 33
Plaid, flannel 4
Percale 112
Poplin 10
Rice cloth 4
Sateen 18
Silk, wash 9^
Satin 3
Shantung 5
Taffeta 8
Voile 57M
Total 1,228%
Mrs. Josephine Thomas,
Clothes Supervisor.
REPORT OF OCCUPATIONAL THERAPY DEPARTMENTS
Miss Mary S. White, Stewardess, State Hospital, Raleigh, N. C.
Madam :—We hereby submit to you the biennial report of the Occu-pational
Therapy Departments, male and female :
No. of
Articles Made
Female Department:
Aprons, child's, embroidered 87
Aprons, ladies', embroidered 124
Aprons, laides', hemmed 211
Broom holder, raffia 9
Boudoir caps, embroidered 8
Baby's bedquilt, tufted 1
Baby's bedquilt, embroidered 1
Baby's kimona, embroidered 1
Baby's sack , embroidered 1
Baby's cap, crocheted 4
Baby's slip, embroidered 1
Baby's bib, embroidered 36
Baby's bibs, with crochet 6
Bird cages of soda straws 61
40 State Hospital at Raleigh
No. of
Articles Made
Female Department—Continued:
Bedquilt, patchwork 4
Baby baskets, reed 15
Baby baskets, lined 15
Baskets, reed, large 22
Baskets, reed, small 31
Baskets, waste 22
Baskets, flower 35
Baskets, fruit 7
Baskets , raffia 5
Baskets, pine needle 4
Baskets, reed, doll 6
Bag, laundry, embroidered 12
Bag, canvass and raffia 1
Curtai ns, appliqued. 2
Curtains, hemstitched 24
Curtains, embroidered 4
Cats, rag 5
Centerpieces, embroidered 36
Centerpieces, with crochet 112
Centerpieces, appliqued 2
Centerpieces, with tatting 6
Chairbacks, embroidered 6
Costume, party ^
.
2
Crocheted centerpiece 1
Crocheted i nserts 13
Doil bed sheets 2
Doll bed spread 1
Doll bed pillow case 1
Doilies with tatting 31
Doilies with crochet 125
Doilies, hemstitched 62
Doils , rag 5
Doilies, picoted 8
Doils dressed 8
Doilies, embroidered 40
Dogs, rag 7
Flowers, paper 129
Flowers, waxed 129
Gown with crochet 1
Gown with tatting -- 1
Handkerchiefs, hemstitched " 22
Handkerchiefs, with tatting 19
Hamper, reed 1
Lace, crocheted (yards) 97
Luncheon set, embroidered (pieces) 223
Luncheon set, with crochet (pieces) 416
Luncheon set, with tatting (pieces) 7
Luncheon set, hemstitched 156
Lampshade base, reed 1
Lampshade, lined 1
Masks, face -- 125
Medallions, crocheted 229
Medalli ons, tatti ng 155
Napkins, hemstitched 94
Napkins , embroi dered 36
Napki ns, hemmed 123
Napki ns , picoted 79
Pillow cases, hemstitched 16
Pillow cases, embroidered 50
Pillow cases, with crochet 43
State Hospital at Raleigh 41
No. of
Articles Made
Female Department—Continued:
Pillow cases, hemmed 49
Pillow cases, with tatting 46
Pillows, sofa 13
Pillow tops, embroidered 16
Pillow tops, handpainted . 4
Pin cushions . 8
Rugs, braided 32
Rugs, hooked 53
Rugs, woven 132
Rugs, crocheted 9
Rugs, repaired 1
Scarfs, hemstitched 293
Scarfs, with crochet . 56
Scarfs, with tatting 19
Scarfs, embroidered 100
Sunbonnets, small 10
Towels, hemstitched 118
Towels, embroidered , 93
Towels, with crochet 72
Towels, hemmed 78
Towels, with tatting 6
Trays, pine needle 2
Trays, reed, serving 40
Trays, wi th glass 13
Trays , handpai nted 12
Trays, coaster 29
Table cloths, hemstitched 2
Table cloths, appliqued 1
Table cloths, embroidered 15
Tatting edge (yards) 230
Tatting insertion (yards) 5
Vases, reed 87,
Total 5,030
Male Department:
Baskets, waste 19
Baskets, medicine 3
Baskets, small souvenir 88
Baskets, large 31
Baskets; varnished 241
Boxes, plain wooden 3
Boxes, cedar, small 7
Boxes, window 31
Boxes, window, painted 31
Boxes, knife, wooden 2
Boxes, knife, reed 4
Bookcase, of spools 1
Bread board 1
Butter molds 3
Brooms (made since April 10, 1926; prior to this date did not make them in this Dept.).. 1,040
Brooms, whisk 150
Brooms, round 76
Chairs, caned 513
Chairs, pai nted 205
Chairs, varnished 196
Doll bedstead 1
Ferris wheel 1
Fernery, reed (painted) 1
Hose reels 2
42 State Hospital at Raleigh
No. of
Articles Made
Male Department—Continued:
Hampers, reed 4
Lampshades, reed 16
Lamp bases, reed 8
Lamp bases, varnished 8
Lampshades, varnished . 16
Mattresses made 1,135
Napkin rings, reed 116
Napkin rings, varnished 73
Pillows made » 236
Picture frames 36
Reed toy sunshades 45
Reed toy sunshades, varnished 31
Reed servi ng trays 13
Rugs, woven 30
Rolling pins 3
Repairs reed table r
Repaired loom
Repaired rug frame
Repaired mat frame
Repaired milk churn
Repaired hinges on cedar chest :
Repaired clocks
Screen, three panel ..-
Screen , painted
Settee caned 2
Settee cushi ons 2
Settee cover 2
Settee sofa pillows 2
Settee painted A 1
Stools caned, small 137
Stools caned, large 23
Stools , frames 160
Stools varnished . 106
Stools painted 49
Tables, card (wood) 3
Tables, cedar 1
Tree racks 3
Total 1 4,928
Total number of articles made in Male Department 1 4,928
Total number of articles made in Female Department 5, 030
Grand total 9,958
Entertainments gi ven 6
Respectfully,
Ella "N. Thompson,
> Etta Travis.
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THE STATE HOSPITAL
AT RALEIGH
RALEIGH, N. C.
REPORT ON AUDIT
FOR THE FISCAL YEAR ENDED JUNE 30, 1926
Honorable Baxter Durham, State Auditor, Raleigh, North Carolina.
Dear Sir:—In accordance with your instructions an audit has been
made of the records of
The State Hospital at Raleigh, Raleigh, North Carolina
for the fiscal year ended June 30th, 1926, and the results are disclosed in
the various Exhibits and Schedules listed in the Contents and in the
following
Comments
Operation :
The operations of the Hospital were carried on during the year with
the Permanent Improvement appropriation provided under Chapter
192 of 1925, stated in Exhibit "B" ; and with the revenue for Main-tenance
provided by appropriation under Chapter 275 of 1925, a reserve
for outstanding accounts payable at June 30th, 1925, and institutional
receipts stated in Exhibit "C."
Condition :
The condition of the funds is reflected in Exhibit "A," Balance Sheet,
showing, with respect to each fund, the assets and liabilities and sur-plus
or revenue balance which agrees with the balances shown in the
respective operating statements.
Reconcilement of Cash is shown in Schedule A-l. A balance of
$493.10 remains in the Permanent Improvement account which is ex-plained
in the schedule as, under the present method of remitting funds
by the State Treasurer. Cash should balance.
Permanent Improvement :
Chapter 192 of 1925 provided appropriations of $73,000.00 for gen-eral
improvements and $50,000.00 for additions and alterations to the
Criminal Insane building. The fund proceeds to an unexpended balance
of $32,801.96. An item of $22.00 included in the expenditures should
have properly been charged to Maintenance. This item is credited back
to Permanent Improvement, showing a balance of $32,823.96. Encum-brances
of uncompleted contracts amounting to $25,525.46 reduce the
balance to $7,298.50, which is available for further contracting or proj-ects.
Maintenance :
Appropriations of $444,000.00 for general maintenance and $27,300.00
for the support of the Criminal Insane patients provided under Chapter
275 of 1925, a reserve of $647.53 for accounts payable outstanding at
the beginning of the period withheld from the unexpended balance re-verted
to the State General Fund at June 30, 1925, and institutional
receipts constitute the revenue. The fund proceeds to a balance of $95,-
004.90, which is increased by a reimbursement to be made by the State
Insurance Department for replacement expenditures of $29,582.30 for
losses sustained when fire destroyed one wing of the main building.
46 State Hospital at Raleigh
Maintenance Fund owes Permanent Improvement Fund $22.00 for a
maintenance expenditure charged against the latter. The balance, or
excess of revenue for the period is then $124,565.20.
Schedule C-l, Analysis of Institutional Receipts, shows a classifica-tion
of receipts for the period by functions and in detail, and also in-cludes
the unexpended balance of the Sundry Receipts Fund at June
30th, 1925 ; this fund having been abolished by the "Daily Deposit Act,"
Chapter 128 of 1925, and the balance credited to Maintenance account
during the period under review.
Schedule C-2 shows a detailed analysis of all expenditures stating
separately, the operating expenditures, fire replacement expenditures
and expenditures for building contsruction. The latter covered the
completion of a building program begun during the preceding period
with funds available in the old Sundry Receipts Fund.
Expenditures by months are stated in Schedule C-3, and Schedule C-4
states expenditures (operating) by objects.
Per Capita Cost :
Per capita cost was substantially decreased from year 1924-1925,
and is shown in Schedule C-5.
In stating the cost, the amount of the reserve withheld at June 30th,
1925, for outstanding accounts payable was prorated and deducted from
the operating expenditures. Expenditures to this amount were ap-plicable
to the preceding period but it was impossible to identify them,
the reserve being largely estimated.
Comparison of the two years, 1924-25 and 1925-26, is stated as follows
with the above mentioned reserve considered in the figures of the year
1924-25 :
7-1-1924 to
6-30-1925
Average No.
Patients
1394
7-1-1925 to
6-30-1926
Average No.
Patients
1502
Increase Decrease
Office and administration, . _ $ 14.24
96.36
49.14
6.54
15.00
39.47
39.79
45.73
.87
34.50
$ 12.79
77.04
23.65
8.21
15.71
43.67
30.85
19.29
.65
29.77
$ $ 1.45
Subsistence -
Housekeeping,
Laundering . .
Medical and surgical care
1.67
.71
4.20
19.32
25.49
Nursing and attendance -
Light, heat, power and water 8.94
Care of buildings, grounds and equipment-
_
Recreational
26.44
.22
Agricultural 4.73
Totals
Deduct
•I 341.64
261.63
$ 261.63 $ 6.58 $ 86.59
6.58
Net decrease ,-.. 1 80.01 $ 80.01
Average cost per capita per month . . $ 28.47 $ 21.80 $ 6.67
Average cost per capita per day. .. ___ _ .. $ .94 $ .72 $ .22
State Hospital at Raleigh 47
In the above statement of comparison consideration should be given to
the fact that per capita cost for the year 1924-25 was slightly higher than
for the average year, due to the restoring of the Institution's store of
supplies to a normal status at the end of the biennium. Per capita cost
for the past four years is stated as follows
:
1922-23 1923-24 1924-25 1925-26
Total . $ 320.69 $ 305 .48 $ 341.64 $ 261.63
Average per month, _ _. _ . . 26.72 25 .46 28.47 21.80
Average per day . . . _ _ _ _ _ _ . _ . .88 .83 .94 .72
On Food items shown in Schedule C-6, per capita cost decreased
$20.45 from the year before. Expenditures decreased $15.20 and Farm
Products $5.26.
Farm and Dairy :
The nominal profit from farm operations was practically the same as
that of the year before. Comparison of the two years follows
:
7-1-1924
to
6-30-1925
7-1-1925
to
6-30-1926
Farm Operations:
Products consumed as food . ____ .__. _ _ _ __
Products consumed on farm.. _ __ . __ . _
Products consumed otherwise . _ . _ .
s 59,919.20
23,209.50
904 00
$ 56,662.03
23,296.25
846.00
$ 84,032.70 $ 80,804.28
Less: Cost of Operations:
Out of maintenance ... ... _ _
Products consumed on farm . __ . . __ _. _.
%
1
48,024.20
23,209.50
71,233.70
44,776.45
23,296.25
68,072.70
Nominal profit from operations. __ _________
»
$ 12,799.00 $ 12,731.58
General :
Inventories were not taken at the end of the period. It has not been
the custom in the past to do so and no request was made in advance
that they be taken.
Insurance is cared for by the State Insurance Department and none
is carried by the Institution.
The Steward is surety bonded for $2,500.00.
Respectfully submitted,
W. E. Easterling, Certified Public Accountant.
September 30th, 1926.
State Hospital at Raleigh 49
. STATE HOSPITAL AT RALEIGH
Raleigh, North Carolina.
contents
Exhibit "A" Balance Sheet.
Schedule A-l Cash Reconcilement.
Exhibit "B" Permanent Improvement—Revenue and Expenditures.
Exhibit "C" Maintenance—Revenue and Expenditures.
Schedule C-l Maintenance—Analysis of Institutional Receipts.
Schedule 0-2 Maintenance—Analysis of Expenditures.
Schedule C-3 Maintenance—Expenditures by Months.
Schedule 0-4 Maintenance—Expenditures by Objects.
Schedule 0-5 Maintenance—Per Capita Cost.
Schedule C-6 Food Items—Per Capita Cost.
Schedule C-7 Salaries and Wages.
Exhibit "D" Farm and Dairy.
50 State Hospital at Raleigh
Exhibit "A"
balance sheet
Fiscal Year Ended June 30, 1926
ASSETS
Permanent Improvement:
Cash—Treasurer Ex-Officio (A-l)
State Treasurer—Due on Appropriations:
Appropri ati ons
Less: Amount made available
Charged for bond issue expense.
Due from Maintenance ("B")
Total
Maintenance:
State Treasurer—Unexpended Revenue:
Appropri ati on
Institutional receipts (C-l)
Less: Amount made available
Settlement requisition for funds for June
expenditures
State Insurance Department:
For reimbursement of fire replacement expenditures
("C")
Total
Total assets.
90,616.64
74.50
471,300.00
56,116.85
391,096.03
41,315.92
% 123,000.00
90,691.14
$ 527,416.85
432,411.95
493.10
32,308.86
22.00
$ 32,823 96
$ 95,004.90
29,582.30
$ 124,587.20
$ 157,411.16
LIABILITIES AND SURPLUS
Permanent Improvement:
Contract Obligations ("B")
Surplus:
Available revenue—Balance ("B").
Total
Maintenance:
Due Permanent Improvement ("C")
Surplus:
Revenue—Balance ("C")
Total
Total liabilities and surplus.
25,525.46
7,298.50
$ 32,823.96
22.00
124,565.20
$ 124,587.20
$ 156,411.16
State Hospital at Raleigh 51
Schedule A-l
CASH RECONCILEMENT
Fiscal Year Ended June 30, 1926
Treasurer Ex-Officio:
Balance .. . $ 3,832.98
Add:
Settlement requisitions
Maintenance _ _
for funds for June expenditures
—
$ 41,315.92
2,500.00
1,500.00
Working fund.. ... ... . . ..
Payroll fund
45,315.92
Total $ 49,148.90
Deduct:
Vouchers Outstanding-
Maintenance
—
Audited Vouchers f
Number 942
3r June:
1917..
$ 45,315.92
.47
15.00
.70
22.89
4.09
15.00
3.20
12.00
6.00
381.68
27.25
5.00
6.16
10.00
22.27
4.15
75.18
7.84
92.10
4.37
150.40
582.98
1,891.15
867
258
1021
1918
1922
1924
1046 1924
532 1924
926 1925
3 1925-6
227
445
1925-6
1925-6
983
1000
1925-6 .
1925-6
1007 1925-6
1017 1925-6
1070 1925-6
1086 1925-6
1093 1925-6
1095 1925-6
1096 1925-6
1098 1925-6
1115 1925-6 . .
1123 1925-6
1129 1925-6
>vement ("A"):
. 682 entered on both registers.,
voucher No. 470 entered on
$
48,655.80
Balance—Permanent Imprc
Maintenance voucher No $ 492.85
.25
Permanent improvement
register... .
Amount of voucher... .
2,327.25
2,327.00
!
% 493.10
52 State Hospital at Raleigh
Exhibit "B"
PERMANENT IMPROVEMENT—REVENUE AND EXPENDITURES
Fiscal Year Ended June 30, 1926
Revenue:
Appropriations:
Chapter 192 of 1925
Chapter 192 of 1925—Criminal Insane.
Total revenue
Expenditures:
Power Plant:
Brick settings for new boilers
Boiler foundations, air ducts, etc..
Bracing chimney
Cutting new flue opening
Boiler equipment and installation.
Steam piping and connections
Draft control equipment
Stoker equi pment
Coal and ash scales
Freight on scales
Constructing pit for scales
Architect's fees
Buildings:
Alterations and additions to four buildings
Heating—Addition to Criminal Insane Building.
Plumbing—Three buildings
Architect 's fees
Bond issue expense
Steward's house—-Painting radiators (contra)
Total expenditures
Balance—Unexpended—June 30, 1926
Due from Maintenance
—
Steward's house (contra)
Balance—Revenue—June 30, 1926.
Encumbrances
:
Contract Obligations:
Wiley & Wilson, Architects—Fees, heating Criminal
Insane Building
Casey-Hedges Company—Boiler equipment
W. P. Rose—Alterations and additions to four build-ings
J. A. Haley & Sons—Plumbing, three buildings
Chas. C. Hook, Architect—Fees, alterations and addi-tions
to four buildings and plumbing three buildings.
New Boilers for Power Plant:
Combustion Engineering Corp.—Stoker equipment..
Casey-Hedges Company—Boiler equipment
Wiley & Wilson—Architect's fees
Balance—Available—June 30, 1926 (Exhibit "A").
4,133 00
1,319.28
185.00
600.00
9,328.75
2,477.61
700.00
4,691.00
442.50
28.59
424.75
2,433.00
53,607.06
2,720.00
5,011.00
2,000.00
5,683.00
12,181.00
1,786.40
$ 26,763.48
63,338 06
74.50
22.00
272.00
.25
3,223.71
673.20
1,705.90
19,650.40
73,000.00
50,000.00
$ 123,000.00
90,198.04
32,801.96
22.00
$ 32,823.96
25,525.46
7,298.50
State Hospital at Raleigh 53
Exhibit "C"
MAINTENANCE—REVENUE AND EXPENDITURES
Fiscal Year Ended June 30, 1926
Revenue:
Appropriations:
Chapter 275 of 1S25 $ 444,000.00
Chapter 275 of 1925—Criminal Insane... _. 27,300.00
$ 471,300.00
647.53
Reserved from unexpended balance of 1923-25 appropri-ations
at June 30, 1925 for accounts payable
Institutional Receipts:
Office and administration . _ ._ $ 31.87
28,256.83
9,915.59
166.30
1,442 67
162.39
518.91
S 40,494.56
19,622.29
Subsistence.. ... .. . . _ ..
Housekeeping ...
Medical and surgical care.. __ . .
Nursing and attendance. . .
Light, heat, power and water . ..... ..... ..
Agricultural. . ...
Total institutional receipts for period... _. .
Sundry receipts fund balance at June 30, 1925 (fund
abolished—Chapter 128 of 1925)
Total institutional receipts (C-l).. .. 60,116.85
Total revenue . . ... ... $ 532,064.38
Expenditures:
Office and administration . ..... % 19,237.33
115,951.41
35,647.03
12,340.94
23,606.11
65,599.29
46,419.71
29,071.08
975.80
44,776.45
Subsistence
Housekeeping . ... .. ...
Laundering . ...
Medical and surgical care
Nursing and attendance. .
Light, heat, power and water
Care of buildings, grounds and equipment . .
Recreational...
Agricultural . .
Total operating expenditures- ... .. . $ 393,625.15
13,852.03
29,582.30
Building construction .. . . ....
Fire replacements.. . .
Total expenditures (C-2, C-3, CM) 437,059.48
Balance—June 30, 1926 (excess of revenue over expendi-tures
for period) ... .... .. .. . $ 95,004.90
State Insurance Department:
For reimbursement of fire replacement expenditures. _. 29,582.30
Due Permanent Improvement ("A", "B")
$ 124,587.20
22.00
Balance—June 30, 1926 ("A") $ 124,565.20
54 State Hospital at Kaleigh
Schedule C-l
maintenance—analysis of institutional receipts
Fiscal Year Ended June 30, 1926
Office and Administration:
Telephone and telegraph
Subsistence:
Pay patients' board (^ prorated).
Employees' board {% prorated)...
Miscellane ous
Housekeeping:
Pay patients' board {}/i prorated).
Employees' board (34 prorated)...
Storeroom sales
Art-room sales and prizes.
Medical and Surgical Care:
Dental work
Medical and surgical supplies.
Nursing and Attendance:
Patients' expenses
Employees' fines
Pay roll refund
Light, Heat, Power and Water:
Labor
Freight and other refunds
Sales of scrap and discard
Agricultural:
Sales of wood
Sales of livestock and hides.
Sales of sacks
Condemnation of cattle
Total institutional receipts for period
Sundry Receipts Fund Balance at June 30, 1925 (Fund Abolished Chap-ter
128 of 1925):
Reserved for working fund
Reserved for pay roll fund
Reserved for building construction
Cash
Interest on savi ngs .
Total Institutional Receipts ("C")
Deposited with State Treasurer
Reserves
:
Working fund $
Pay roll fund
2,500.00
1,500.00
31.87
27,960.97
293.99
1.87
9,320.32
97.99
201 .08
296.20
156.30
10.00
232.00
1,181.55
29.12
36.73
55.29
70.37
342.50
65.41
36.00
75.00
2,500.00
1,500.00
13,823.95
1,776.62
21.72
$ 56,116.85
4,000.00
31.87
28,256.83
9,915.59
166.30
1,442.67
162.39
518.91
% 40,494.56
19,622.29
S 60,116.85
State Hospital at Raleigh 55
Schedule C-2
maintenance—analysis of expenditures
Fiscal Year Ended June 30, 1926
Office and Administration:
1101 Executive salaries
1103 Clerical salaries
1109 Per diems and fees
1201 Office supplies
1210 Library supplies
1301 Postage
1302 Telephone and telegraph
1303 Express, drayage and freight
1401 Hotels and meals
1402 Railroad and other fares
1403 Mileage allowance
1501 Printing: Stationery, office forms, etc
1502 Printing: Reports, bulletins, catalogs, etc.
1504 Multigraphing and mimeographing
1507 Binding
1508 Publication of notices and advertising
1601 Motor vehicles, upkeep
1801 Repairs to equipment and fixtures
.1902 Rent: Buildings, offices, land
1905 Miscellaneous expense
2203 Premiums: Official bonds
3101 Office equipment and furnishings
Subsistence:
1105 Supervisors' salaries
Skilled labor
Unskilled labr
Per diems an es_.
Food:
1106
1107
1109
1203
(a) Meat, fish and fowl
(b) Dairy products and eggs
(c) Cereal products
(d ) Vegetables
(e) Fruits and nuts
(f) Saccharine products
(g ) Beverages
(h) Condiments, flavors and pickles
(i) Fats, oils and miscellaneous provisions.
3103 Dining room and kitchen equipment.
Housekeeping:
1105 Supervisors' salaries
1107 Unskilled labor
1202 Cleaning and household supplies
1204 Sewing supplies and dry goods
1217 Ice and other refrigeration supplies
1221 General supplies and materials
1222 Wearing apparel: Purchased
1223 Miscellaneous fuel
1801 Repairs to equipment and fixtures
3102 Institutional furniture and furnishings.
3104 Bedding and linens
3117 Refrigeration equipment
3119 Plumbing equipment
3120 Electrical equipment
35,554.56
7,225.28
12,740.90
9,883.22
7,616.54
8,179.85
5, 421. 03
924.83
8,253.08
9,600.00
3,795.00
484 .38
333.61
107.69
771.14
732.89
4.03
129.78
569 . 18
836.62
820.99
3.61
17.22
15.50
97.70
137.42
1.25
260.00
365.32
30.00
124.00
2,100.00
7,498.13
7,068.73
72.59
95,799.29
3,412.67
1,770.50
267.06
8,102.05
8,312.29
391.12
113.43
4,233.02
906.31
53.00
4,584.94
6,151.10
409.19
13.10
339.92
% 19,237.33
115,951.41
35,647.03
56 State Hospital at Raleigh
Schedule C-3—Continued
Laundering:
1105 Supervisors' salaries
1107 Unskilled labor
1205 Laundry supplies
1501 Printing: Stationery, office forms, etc..
1904 Outside laundering and cleaning
3105 Laundry equipment
Medical and Surgical Care:
1102 Professional and technical salaries,
1206 Medical and surgical supplies
1207 Drugs and medicines
1208 Laboratory supplies and materials.
1801 Repairs to equipment and fixtures.
3106 Medical and surgical equipment
3108 Laboratory equipment
Nursing and Attendance:
1102 Professional and technical salaries.
1 105 Supervisors' salaries
1107 Unskilled labor
1905 Miscellaneous expense
3110 Library equipment and stock
Light, Heat, Power and Water:
1 105 Supervisors' salaries
1106 Skilled labor
1107 Unskilled labor
1218 Power and heating plant supplies
1224 Coal (including freight)
1701 Light, heat, power and water (contractual).
1902 Rent of buildings, offices and lands
3118 Power and heating plant equipment
Care of
1105
1106
1107
1213
1219
1220
1221
1801
1802
1902
3113
3121
Buildings, Grounds and Equipment:
Supervisors' salaries
Skilled labor
Unskilled labor
Botanical and grounds supplies
Plumbing supplies and materials
Electrical supplies and materials
General supplies and materials
Repairs to equipment and fixtures.--
Repairs to buildings and structures-.
Rent of buildings, offices and lands..
Constructi on equipment
General equipment
Recreational:
1 105 Supervisors' salaries
1107 Unskilled labor
1212 Recreational supplies -.-
3112 Recreational equipment-
Agricultural:
1105 Supervisors' salaries
1106 Skilled labor
1107 Unskilled labor
1108 Commutation
1214 Farm and dairy supplies.
1,926.84
3,946.61
3,691.64
11.81
2.40
2,761.64
16,514.47
1,732.73
4,631.58
276.34
6.50
211.31
233 . 18
6,944.00
7,617.74
50,980.30
5.00
2.25
1,500.00
2,998.24
5,916.02
3,261.45
25,196.77
5,550.37
7.50
1,989.36
2,285.30
4,710.56
587.63
860.16
629.25
1,977.46
9,077.55
5,401.33
2,175.14
15.00
161.54
1,190.16
355.00
95.63
408.42
116.75
1,759.08
3,207.96
8,642.02
120.00
8,042.07
$ 12,340.94
23,606.11
65,599.29
46,419.71
29,071.08
975.80
State Hospital at Raleigh 57
Schedule C-2—Continued
Agriculture:
—
Continued
1215 Forage and supplies for animals...
Motor vehicles, upkeep
Repairs to equipment and fixtures.
Farm and dairy equipment
Li vest ock
1601
1801
3114
3115
Total operating expenditures
Building Construction:
Porch addition to Female Building.
Steward's Residence:
Constructi on
Hot Water Heating—
Installati on
. Architect's fees
1,035.00
103.50
Gas range and fixtures.
Total building construction.
Fire Replacements:
Office and Administration:
1401 Hotels and meals
1905 Miscellaneous expense
Housekeeping:
1204 Sewing supplies and dry goods
1222 Wearing apparel: Purchased
3102 Institutional furniture and furnishings
3104 Bedding and linens
Medical and Surgical Care:
1206 Medical and surgical supplies
1208 Laboratory supplies and materials.
3106 Medical and surgical equipment
Light, Heat, Power and Water:
1 107 Unskilled labor
Care of
1106
1107
1219
1220
1221
1801
1802
3113
3121
Buildings, Grounds and Equipment:
Skilled labor
Unskilled labor
Plumbing supplies and materials
Electrical supplies and materials
General supplies and materials
Repairs to equipment and fixtures...
Repairs to buildings and structures..
Constructi on equipment
General equipment
Total fire replacements
Total expenditures ("C").
$ 7,898.00
1,138.50
189.58
16.50
5.00
529.59
3,379.51
654.76
10,308.75
2.00
33.86
188.70
62.90
207.70
6,502.60
317.81
316.75
923.98
1,746.53
3,089.89
49.50
1,245.97
18,419.69
2,964.34
4.00
1,067.29
550.00
S 4,625.95
9,226.08
21.50
14,872.61
224.56
62.90
14,400.73
$ 44,776.45
$ 393,625.15
13,852.03
29,582.30
$ 437,059.48
58 State Hospital at Raleigh
Office and administration
Subsistence
Housekeeping
Laundering
Medical and surgical care
Nursing and attendance
Light, heat, power and water.
Care of buildings, grounds and equip-ment
Recreati onal
Agricultural
Total operating expenditures.
Building construction
Fire replacements
Total expenditures ("C").
July
1,452.30
4,471.51
686.72
630.32
1,678.46
5,087.80
981.71
1,258.37
13.00
1,752.81
18,013.00
3,000.00
$ 21,013.00
August
Schedule
MAINTENANCE—EXPEN
Fiscal, Year Ended
1,762.14
8,400.52
958.01
644.09
2,336.96
5,049.82
1,327.22
1,620.32
20.13
2,339.56
24,458.77
1,225.95
$ 25,684.72
September
1,548.46
7,254.41
751.11
852.67
2,075.09
4,995.19
1,362.70
2,267.27
62.50
3,468.15
24,637.55
2, 600 : 00
$ 27,237.55
October
1,800.35
8,347.94
2,552.41
728.66
2,098.80
4,952.98
3,565.53
1,688.09
47.75
3,334.48
29,116.99
3,400.00
$ 32,516.99
November
1,680.96
13,097.18
5,813.16
3,266.97
2,110.76
5,035.98
2,832.85
2,727.62
241.10
5,200.92
42,007.50
2,298.00
$ 44,305.50
State Hospital at Raleigh 59
C-3
DITURES BY MONTHS
June 30, 1926
December January February March April May June Total
$ 1,429.55 % 1,582.97 $ 1,607.90 ft 1,549.46 $ 1,719.48 $ 1,736.58 $ 1,367.18 $ 19,237.33
12,246.96 11,015.53 8,187.95 11,188.33 7,117.95 11,474.40 13,148.73 115,951.41
3,001.62 3,121.99 4,372.45 5,534.40 3,090.77 1,863.10 3,901.29 35,647.03
433.66 811.11 1,098.76 705.32 1,367.74 760.42 1,041.22 12,340.94
1,600.09 2,423.96 1,556.02 2,042.31 1,638.51 2,138.18 1,906.97 23,606.11
5,528.96 5,780.78 5,853.80 5,830.70 5,958.38 5,641.94 5,882.96 65,599.29
4,289.23 1,505.22 6,427.27 7,039.43 9,151.03 1,400.46 6,537.06 46,419.71
1,227.08 2,017.42 1,674.90 7,289.80 1,115.65 2,512.47 3,672.09 29,071.08
78.50 78.15 40.40 294.67 17.00 73.00 9.60 975.80
4,340.73 3,469.27 5,387.24 4,468.13 3,452.89 2,986.91 4,575.36 44,776.45
$ 34,176.38 $ 31,806.40 $ 36,206.69 $ 45,942.55 $ 34,629.40 $ 30,587.46 $ 42,042.46 $ 393,625.15
1,224.58 103.50 13,852.03
8,629.10 17,679.74 3,273.46 29,582.30
$ 35,400.96 S 31,806.40 $ 36,206.69 $ 46,046.05 $ 43,258.50 $ 48,267.20 $ 45,315.92 $ 437,059.48
60 State Hospital at Raleigh
Schedule
maintenance—expen
Fiscal Year Ended
Personal
Service
Supplies
and
Materials
Postage,
Telephone
and
Telegraph
Traveling
Expense
Printing,
Binding
and
Publicity
Office and administration
Subsistence
.
$ 13,879.38
16,739.45
2,037.56
5,873.45
16,514.47
65,592.04
10,414.26
7,583.49
450.63
13,729.06
$ 441.30
95,799.29
22,058.22
3,691.64
6,640.65
$ 1,508.06 $ 1,535.58 $ . 955.02
Housekeeping _ __
Laundering. 11.81
Medical and surgical care . .
Nursing and attendance .
Light, heat, power and water- 28,458.22
12,544.42
408.42
26,461.76
Care of buildings, grounds
and equipment .
Recreational.. . ..
Agricultural ....
Total operating expendi-tures.
$ 152,813.79 $ 196,503.92 $ 1,508.06 S 1,535.58 $ 966.83
State Hospital at Raleigh 61
C-4
DITURES BY OBJECTS
June 30, 1926
Motor
Vehicle
Upkeep
Light,
Power
and
Water
Repairs
General
Expense
Insurance
and
Bonding
Equipment Total
$ 137.42 $ $ 1.25 $ 625.32 $ 30.00 $ 124.00
3,412.67
11,498.25
2,761.64
444.49
2.25
1,989.36
1,351.70
116.75
1,617.29
$ 19,237.33
115,951.41
53.00 35,647.03
2.40 12,340.94
6.50 23,606.11
5.00
7.50
15.00
65,599.29
5,550.37 46,419.71
7,576.47 29,071.08
975.80
2,964.34 4.00 44,776.45
$ 3,101.76 $ 5,550.37 $ 7,641.22 $ 655.22 $ 30.00 $ 23,318.40 $ 393,625.15
62 State Hospital at Raleigh
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OCLC Number-Original | 33296386 |