BIENNIAL REPORT
OF THE
STATE HOSPITAL
AT RALEIGH
RALEIGH, N. C.
FROM JULY 1, 1924, TO JUNE 30, 1926
4
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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-
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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
'''."
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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.
iifcili
"US
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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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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
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68 State Hospital at Raleigh
Exhibit "D"
farm and dairy
Fiscal Year Ended June 30, 1926
Farm Products Consumed as Food:
Apples
Beans, snap
Beans, green lima
Beans, dry lima
Beef
Beets
Cabbage
Collards
Carrots
Cantaloupes
Cucumbers
Chickens
Chickens, spring.
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