Report of the Board of Trustees of the Traverse City State Hospital at Traverse City June 30, 1912.

Report of the Board of Trustees of the Traverse City State Hospital at Traverse City June 30, 1912.

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

Psychiatric hospitals.

Report of the Board of Trustees of the Traverse City State Hospital and addressed to the Governor and Legislature of the State of Michigan for the biennial period ending June 30, 1912. This report includes the reports of the medical superintendent, treasurer and steward.

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

Original document held by Traverse Area District Library.

Lansing: Wynkoop Hallenbeck Crawford Co., State Printers.

30 June 1912

State of Michigan.

This document is in the public domain.

See other reports from the Board of Trustees in the "Traverse City State Hospital" Digital Collection.

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Traverse City, Grand Traverse County, Michigan.

REPORT

BOARD OF TRUSTEES

TRAVERSE CITY STATE HOSPITAL

TRAVERSE CITY
JUNE 30, 1912

BY AUTHORITY

LANSING, MICHIGAN
WYNKOOP HALLBNBECK CRAWFORD CO., STATE PRINTERS
1912

FRONT VIEW OF MAIN BUILDING,

TITLE AND ADDRESSES.
THE TRAVERSE CITY STATE HOSPITAL,
TBAVEBSE CITY.
Grand Traverse County, Michigan.
ESTABLISHMENT.
The Northern Michigan Asylum for the Insane was organized in 1881, and
located at Traverse City, Mich. Its first cost was $522,430.68, and its present
value is $1,071,803.27. The property consists of 42 buildings, occupying a tract
of land containing 728 acres. It cares for 1,398 patients.
Act No. 21, Public Acts of 1911, provides that the Northern Michigan Asylum
shall be hereafter known as the Traverse City State Hospital. This law went
into effect July, 1911.
OFFICERS OF THE TRAVERSE CITY STATE HOSPITAL.

TRUSTEES.

THOS. T. BATES
H. C. DAVIS
W. W. MITCHELL
M. P. QITAINTANCE
W. LLOYD
E. S. WAGAR

TBAVEBSE CITY
TBAVEBSE CITY
CADILLAC
PETOSKEY
MANISTEE
EDMOKE

RESIDENT OFFICEBS.

JAMES D. MUNSON, M. D
A. S. ROWLEY, M. D
W. D. MUELLER, M. D.. .. 1
R. E. WELLS, M. D
j
ADAH EPPERSON, M. D.. >
J. A. J. HALL, M. D
!
S. C. NILES, M. D
j

MEDICAL SUPERINTENDENT
ASST. MEDICAL SUPERINTENDENT
AssT.

PHYSICIANS

NON-RESIDENT OFFICERS.

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

STEWARD
DETROIT, MICH., GYNECOLOGIST

CHAPLAIN.

REV.

D. COCHLIN

TRAVERSE CITY

TREASURER.

A. J. MAYNARD

TRAVERSE CITY

OFFICERS OF THE NORTHERN MICHIGAN ASYLUM FROM ITS
ORGANIZATION IN 1SS1.
BOARD OF COMMISSIONERS APPOINTED TO SELECT SITE FOR THE NORTHERN
MICHIGAN ASYLUM.
Date o!
appointment.

Name.

Perry Hannah
Traverse City.
E. H. Van Deusen. . . Kalamazoo.
M H Butler .
. . Detroit

1SS1 . .
18S1
1881

Retired.

Residence.

Work of board completed Sept. 30, 1882.

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

Name.

Residence.

Perry Hannah
Traverse City.
E. H. Van Densen. . . Kalamazoo.
M H Butler
H. H. Riley
St. Joseph.
Thos T Bates

1881 . .
1881
1881
1881
1885

Retired.

1885.

The work of the building commission was finished Nov. 10, 1880.

MEMBERS OF THE BOARD OF TRUSTEES OF THE TRAVERSE CITY STATE HOSPITAL
Date of
appointment.

Name.

Residence.

Term
expires.

President
from to

1885 . . .
1885
1885
1885

C. M. Wells
Alex. Chapoton Sr. . .
J. W. French
Thos. T. Bates

Traverse City . . .
Detroit
Three Rivers. . . .
Trave-se City . .

1887

1885 to 1886.

1885

H. H. Noble

Elk Rapids

1897

1885
1887
1887
1889
1891

Geo. A. Farr
Varnum B. Cochran..
Lorin Roberts
John Benjamin
C L Whitney

Grand Haven. . .
Marquette
Traverse City. . .
Grand Rapids. . .

1891
189:-!
1889
1891
1895

1891. .
1889
1895
1897
1897

H. C. Davis
G. A. Hart
W. W. Cummer
John Maywood
C. F. Backus

Traverse City . . .
Manistee
Cadillac
Bad Axe
Detroit

1915
1897
1901
1901
1905

H. D. Campbell
W. W. Mitchell
. . H D Brigham
D. B. Butler

Traverse City. . .
Frankfort

1901
1917
1901
1903

Muskegon
Petoskey
Manistee
Edmore
. .

1907
1908
1913
1913
1915

1889
1901
1901
1902

.

1901
1903 .
1905
1907..
1909

G A. Hart
A. F. Temple
M. F. Quaintance. . . .
William Lloyd
E. S. Wager

1889
1913

1886 to 1892.
1907 to 1910.
1892 to 1897.

Remarks.

Present member.

1897 to 1899.
1899 to 1902.

Present member.

Present member.
190° to 1907
1910 to 1912.
1912

Present member.
Present member.
Present member.

MEDICAL OFFICERS.
Medical Superintendent:
James D. Munson, M. D., 1885.
Assistant Medical Superintendents:
3. H. Dawson, M. D.—1885 to 1890. Resigned.
C. G. Chaddock, M. D.—1890 to 1892. Resigned.
A. S. Rowley, M. D.—1895
.
Assistant Physicians:
C. G. Chaddock, M. D.—1885 to 1890. Promoted to Assistant Supermtendency.
W. A. Stone, M. D.—1886 to 1891. Resigned to accept the Assistant Superintendency of the Michigan Asylum for the Insane.
Henry Hulst, M. D.—1888 to 1889.
I. L. Harlow, M. D.—1889 to 1891.
G. C. Crandall, M. D.—1890 to 1894.
A. S. Rowley, M. D.—1891 to 1895. Promoted to Assistant Superintendency.
M. Rockwell, M. D.—1891 to 1892.
C. G. Speer, M. D.—1892 to 1896.
Robert Howell, M. D.—1893 to 1898.
H. J. Kennedy, M. D.—1894 to 1895.
L. C. Stillings, M. D.—1894 to 1895.
B. L. Niskern, M. D.—1895 to 1898.
G. L. Noyes, M. D.—1895 to 1900.
G. B. Furness, M. D.—1896 to 1897.
F. P. Lawton, M. D.—1898 to 1901.
C. A. Good, M. D.—1898 to 1900.
Fonda Nadeau, M. D.—1898 to 1899.
J. F. Canavan, M. D.—1889 to 1907. Died.
D. L. Harris, M. D.—1899 to 1899.
W. D. Mueller, M. D.—1900.
Minta P. Kemp, M. D.—1900 to 1903.
W. J. Kirkbride, M. D.—1901 to 1902.
F. H. Newberry, M. D.—1902 to 1904.
Beatrice A. Stevenson, M. D.—1903 to 1909.
B. F. Sargeant, M. D.—1904 to 1905.
H. D. Purdum, M. D.—1906 to 1910.
R. E. Wells, M. D.—1907
.
Guy M: Johnson, M. D.—1908 to 1910.
Adah Epperson, M. D.—1910
.
E. G. Williams, M. D.—1910.
J. A. J. Hall, M. D.—1910.
Steicards:
J. D. Billings, 1885 to 1886.
John Goode, 1886 to 1887.
J. P. C. Church, 1887 to 1894.
C. L. Whitney, 1894 to 1911.
G. B. PIKE—1912.
Chaplains:
Rev. W. G. Puddefoot, 1886 to 1888.
Rev. D. VanAlstin, 1888 to 1890.
Rev. D. Cochlin, 1890
.

REPORT OF THE HOARD OP TRUSTEES.
To the Governor and Legislature of the State of Michigan:
The Trustees of the Traverse City State Hospital have the honor to
submit their report for the biennial period ending June 30, 1912, together with the reports of the medical superintendent, treasurer and
steward.
The period included in this report lias not been marked by any great
change in the methods of care and treatment of patients. It has been
the endeavor of the officers to keep in touch with the advances in.
psychiatry and in hospital management in general. The cost of livinghas steadily increased, which, coupled with partial failure of farm crops,
and the reduction of a cent a day in the maintenance tariff of each
patient, made it difficult to keep the hospital at the highest state of
efficiency,—in fact, many repairs were carried forward for lack of funds
to make them. The unusual cold winter of 1911 and 1912 added greatly
to the fuel cost, and rendered still more difficult maintenance within the
fixed tariff charges. While the per diem charge was exceeded, yet a
deficiency appropriation will not be requested, since the working capital
of the hospital was sufficient to care for the financial loss to the institution which followed. The rate charged last year was 49 cents per
patient per day. The actual cost was 52.47 cents.
The Stewards of the several state hospitals, acting jointly, constitute
a Board of Stewards, which, among other duties, is empowered to
purchase supplies for the institutions. This plan has worked well. Not
only prices, but quality of supplies, are considered, a'nd are the dominating factors in the purchases.
During the period regular monthly meetings have been held. In
addition regular monthly visitations by committees from the Board
have been made for the purpose of inspecting the hospital in its various
departments and determining many questions looking to its improvement.
TRAINING SCHOOL FOE NURSES.

The training school for nurses continues to be an important factor
in the hospital work. The school was organized in 190G and each year
has increased its efficiency. Its graduates are much sought by the
general hospitals of our large cities. We regret that more of our graduates do not remain in the service of the hospital. A sufficient number of
competent nurses is absolutely essential to the fully successful care of
the insane. The trained nurse is a professional individual, and feels the
same pride in his or her work and in well doing as does the physician
or any other trained professional man. We believe the State must
recognize this fact, and in order to attract to its service suitable men
and women for nurses must pay such salaries and throw about the

STATE OF MICHIGAN.

8

nursing corps of the hospitals such conditions, social and educational,
as will tend to retain them. Surround any order of employes, professional or others, with conditions that show that the work in which they
are engaged is of a high order of importance, and when properly prosecuted it has acquired recognition on the part of the State, and that they
are socially respected because of the character of the service they are
rendering, and the problem will be largely solved.
DIETETICS.

For many years the Superintendent of the Hospital has been interested
in issuing foods to patients upon the plan of a balanced ration; at first
using the United States standard ration for a basis, but more lately the
Atwater standard has been followed as closely as possible. In reviewing
twenty years' experience we believe that it has worked well, securing
a greater variety of foods to patients and at less expense, than the old
fashioned or haphazard plan of furnishing the cheapest kind of foods
without reference to their physiologic value. For several years an
analysis of all foods consumed in certain sections of the hospital has
been made, and in 1912 the months of February, April and August were
selected. The following tables will show the result of these analyses:
FOOD NUTRIENTS USED IN THE TRAVERSE CITY STATE HOSPITAL.
COTTAGE 21.
FOR THE MONTH OF APRIL, 1912. DAYS' BOARD 1680.
Protein

434383 Ibs.

1 17 Km.
per patient

125 gm.
46S calories
Man at moderate from 117 gm.

Fat

589797 Ibs.

159 Km.
per patient
per day

125 gm.

1892033 Ibs.
•

513 Km.
per patient
per day

450 gm.
3000 to 3500
calories

Carbohydrate

1431 calories
from 159 gm.
fat.
2052 calories
from 513 gm.
Total of 3951
calories per
diem.

COTTAGE 28.
FOR THE MONTH OF APRIL 1912. DAYS' BOARD 1624.
Protein

594807 Ibs.

166 gm.
per patient
per day

Atwater's
standard— man
at hard work
150 gm.

664 calories
from 166 gin.
protein.

Fat

516067 Ibs.

150 gm.

Carbohydrate

2300854 Ibs.

144 gm.
per patient
per day
642.34 gm.
per patient
per day

1296 calories
from 144 gm.
fat.
2429 calories
from 642.34
gm. carbohydrate.
Total 4389 cal.
per diem.

•

500 gm.
4000 to 5000
calories

TRAVERSE CITY STATE HOSPITAL.

FOOD NUTRIENTS IN TRAVERSE CITY STATE HOSPITAL.
FOR MONTH OF FEBRUARY, 1912.
Entire Population

Fat

.

Carbohydrate

I 256 employees.
Days' Board 46538.
9/.6S gm.

Atwater's standard (or light exercise.

per patient
per day

Men
1(10 gm.

Women
80 gm.

11682 Ibs.

113.68 gm.
per patient
per day

100 gm.

SO gm.

33787 Ibs.

319.31 gm.
per patient
per day

360 gm.

300 gm.

9401 Ibs.

Protein

;' 1409 patients.

391.2 calories.
1023.12 calories.
1277.24 calories.
2691.56 calories per diem.
2500-2800 calories.

From 97.65 gm. protein
From 113.68 gm. fat
From 319.31 gm. carbohydrate
Total
'
f Man at light work
Standards \ Woman at light work

1SOO-2400 calories.

FOOD NUTRIENTS USED IN THE TRAVERSE CITY STATE HOSPITAL.
COTTAGE 21.
FOR THE MONTH OF AUGUST, 1912.

DAYS' BOARD 1674.

Protein

3S7.9S Ibs.

103.78 gm.
per patient
per day

Calories
125 gm.
Man at moderate 415.1
work — Atwater

Fa.'.

482.38 Ibs.

130.63 gm.
per patient
per day.

125 gm.

Carbohydrate

1586.51 Ibs.

429.54 gm.
per patient
per day.

450 ?m.
3000 to 3500
•calories.

Calories
1.175.
Calories
1,718.18

Total of 3309 calories per diem.
COTTAGE 28.
FOR THE MONTH OF AUGUST 1912.

DAYS' BOARD 1767.

Protein

689.47 Ibs.

177.8 gm.
per patient
per day.

150 gm.
Atwater's
standard for
man at hard
work.

Calories
611.2

Fat

516.58 Ibs.

140.16 gm.
per patient
per day.

150 gm.

Calories
1,261.44

Carbohydrate

1 727.78 Ibs

449.18 gm.
per patient
per day.

500 gm.
4000 to 5000
calories.

Calories
1,796.72

Total of 3,669.36 calories per diem.

STATE OF MICHIGAN.

10

POOD NUTRIENTS USED IN TRAVERSE CITY STATE HOSPITAL.
FOR MONTH OF AUGUST, 1912.
Entire Population
Protein

7 781 Ibs.

/ Patients 44 051 days.
I Officers and Employes 5 159 days.
Total daysrboard 49 210.
71.7 gm.

Atwater's standard for light exercise.

per patient
per day.

Men
100 gm.

Women
80 gm.

Fat

8 571 Ibs.

70.1 gm.
per patient
per day.

100 gm.

80 gm.

Carbohydrate

39 502 Ibs.

344.3 gm.
per patient
per day.

360 gm.

300 gm.

From 71.7 gm. protein
From 70.1 gm. fat
From 344.3 gm. carbohydrate
Total
f Man at light work
Standards ^
I Woman at light work

286.8 calories.
630.9 calories.
1377.2 calories.
2294.9 calories per diem.
2500-2800 calories.
1800-2400 calories.

Governor Osborn has shown interest in this effort and has been helpful
in many ways, especially in calling attention to recent authorities and
in general encouragement in the work.
Our experience has shown that a fixed dietary is not practical for so
large a number of people as is fed in this hospital. The patients must
be graded and their diet regulated. For example, people past middle
life, patients suffering from organic dementia, especially if dne to
arterial degenerations, which usually include organic changes in the
heart, liver, kidneys, etc., a low proteid content of food is beneficial
in their treatment; while other cases,—those suffering from purely
nervous or functional disturbances, or those whose mental trouble is
secondary to an infection, require concentrated, rich foods, of large
proteid content. There is' a class of patients,—feeble minded, epileptic
and others, who can better live on soft foods, and a dietary should be
arranged for them from milk, soups, cooked fruits, cereals, etc., so as to
balance the nutrients at a low average calorie value.
For several years past the hospital has employed a dietitian, and foods
are often especially prepared for feeble and sick patients, both inmates
and employes.
More intelligent study of our dietaries and the criticisms of those who
have been interested in them have led us to believe that the calorie content of our dietary, as shown in the first of those above given, is greater
in proteid value than necessary; while the second is probably over rich
in carbohydrates. At any rate, we have not had sufficient experience
with the calorie standards of Ohittenden, Kubner and others, to determine what the effect would be on the health of the household of a dietary
of a relatively higher percentage of fats and carbohydrates, as may be
found in the second table given above. The subject of dietetics is a very
interesting one and we believe worthy of attention by the management
of all public institutions.
The strictest economy in directing the affairs of the hospital has been
practiced. We believe some advance has been made in many of its

GENERAL DINING ROOM, MALE DEPARTMENT

TRAVERSE CITY STATE HOSPITAL.

11

departments. The new dining rooms have proved of value not only in
the distribution of foods, and better oversight of patients during the
meal hours, but have also reduced the number of employes required in
supervising the dining room work. While the ordinary farm crops were
poor last year, the garden and orchards yielded well. The new cold
storage enabled us to carry fresh, fruits through the year, adding greatly
to the health and comfort of our people. Careful attention was given
to the practical development of the dairy, the gardens, and especially
of the fruit orchards.
It has been the aim of the board to develop a model farm. Dairying,
gardening and orcharding have been carried on in a conservative, but
up-to-date way, and the fruits, vegetables, farm products, and the stock,
have received more than favorable mention wherever shown, either at
home or abroad. "It has been our object to effect a plain, practical
achievement of the very best achievement in horticulture and agriculture
and in, general farming." It is a notable fact that the farm is worth
several thousands a year to the State. Its development, however, has
not cost the people a cent, because the necessary labor has been almost
entirely furnished by able bodied men patients. We would also point
out that the farm is the great natural workshop for men patients, and
indeed for many women patients as well. The farm with its various
departments,—dairying, orcharding, gardening, greenhouses, etc.,—forms
a great industry, and not less than 100 patients and often many more,
are employed in its service.
One of the pressing needs of the State for this hospital is the acquirement of more land. The arable lands of the State domain consist of
about 500 acres, and the hospital could very well work 1,000 or 1,500
acres. We believe it would be the part of wisdom for the State to secure
adjoining farm lands at the earliest possible date.
The same effort has been made to improve the methods of care and
nursing of the patients. The laboratory work both clinical and scientific,
is conducted by Dr. R. E. Wells, of the Medical Staff. He has prepared
vaccines, and secured blood and spinal fluid for the Wassemnan and
other reactions, all of which are of scientific and therapeutic importance.
From the medical standpoint the institution has become thoroughly
hospitalized. The medical treatment, the nursing and the sanitary conditions of the hospital, to be successful, must be carefully supervised.
This requires experienced physicians, trained nurses, pleasing surroundings, the best of hygienic conditions, and pure foods scientifically prepared. A special study of alcohol as an etiologic factor has been made
of patients admitted during the last year. Similar studies have been
made at the other State hospitals, and it is hoped that the collective
study of such a large number of individuals will help to> determine more
accurately the part alcohol plays in the causation of mental disease. The
heredity of patients is carefully taken, but the study of heredity will be
imperfect until field workers are employed by State to trace it. Eugenics
is attracting more and more attention, and the State should supply workers in this new scientific field in connection with its charita.ble institutions, prisons, etc.
A review of the First International Eugenics Congress, by Mr. Raymond Pearl, in the September 12th issue of the New York Independent,
says:

12

STATE OF MICHIGAN.

"Fundamentally there was general agreement among all present as to
certain necessities in the eugenics campaign. First of all is the great
need for education. The young of all classes of society must be taught
the general facts of heredity in such a way as to make it clear that they
are not abstract, impersonal propositions, like the theorems of geometry,
but are real, vital,.human matters which concern every one of us in the
most direct and personal manner. In this way and in no other can a
personal sense of duty to future generations and to the race be made
an intricate part of the individual ego. This new science is a social
problem and can be made practical only by the aid of the State in establishing eugenic workers whose duty it shall be to study the heredity
of all our people and to determine ho\ education can be made to help
the science."
In connection with the study of eugenics, that of the effect of environment on human development should go hand in hand. Whether the race
is degenerating is doubtful, but if preventive measures, both environmental and eugenic, could be applied, nature would have much less
pruning to do.
"It is essential to bear in mind Hie truth, that if the human race is
to continue to progress,—indeed, if it is not to lose some of the ground
so painfully won in the long ages of struggle in the past,—some other
agency, checking the reprodnction of the feeble in body and mind, must
be made to take the place of natural selection, the action of which we
are now in so many ways endeavoring to prevent.7' (L. Darwin.)
We would also report that the heating and ventilating system were
completed, with the exception of the hospital for men, in the main building last year, and have proved satisfactory in operation. Although last
winter was unusually cold, yet no difficulty was experienced in maintaining a temperature of from 08 to 72 degrees. The ventilation, is
always under control. The cost of fuel has apparently been greater with
the new than the old system, but the new has hardly been in use long
enough to determine operating cost. It is true, however, that the building was never before so well heated and ventilated. Formerly there were
always winter days in which it was impossible to maintain a comfortable
degree of temperature.
Witli the new heating system there was installed a complete outfit
for determining the efficiency of the plant viz., the amount of water
evaporated, the amount of steam used in each department, the caloric
value of fuel used, the amount of gases present in combustion chambers,
chimney temperature and draft, etc. This outfit consists of a Ventuii
meter for registering the amount of feed water, steam lio\ meters for
measuring pounds of steam used in each department, viz., laundry, general kitchen, north and south wings, cottages, etc., and automatically
recording the same. The gas analysis apparatus enables the engineer
at all times to determine whether the coal is burned in the most economical way. These appliances soon demonstrated that the boilers, with the
coal in use, were only generating from 45 to 60 per cent of efficiency,
instead of the normal average of TO per cent. This led to an expert
investigation of the plant, and it was found, among other things, that
the boiler furnaces Avere faulty in construction, and that the chimney
draft was not at all times sufficient to economically burn the coal. The
furnaces were rebuilt and the draft improved. The efficiency of the

AUTOMATIC STOKERS

•

"W' ~~ • ,

~

mg >• sSs "?\G

PLANT

TRAVERSE CITY STATE HOSPITAL.

13

boilers has been increased thereby, but whether further alterations will
need to be made in them to secure greater fuel economy cannot be stated
until after they are put to further test. There is no doubt that the cost
of these meters, gas machines, etc., has been more than repaid by the
economy already effected.
It may be of interest to state that coals of the same or practically the
same British thermal unit value varied greatly in efficiency under our
boilers, some evaporating from 20 to 25 per cent more water than others
of the same thermal unit value.
COLD STOEAfJE.

The cold storage plant completed in 1!)11 has proved of economic
value in the care of meats, eggs, butter and fruits. Apples, for example,
were carried till the new crop came, and without loss. The season during which fruits can be used in the fresh state, viz., strawberries, raspberries, cherries, peaches and plums, was lengthened by this storage and
their value to the hospital correspondingly increased. The advantages
of cold storage can scarcely be overestimated, and the cold storage plant
should be enlarged to enable it to care for all kinds of perishable fruits
and vegetables, and for the storage of canned goods, dried fruits and
the like.
PSYCHOPATHIC HOSPITAL.

Our relation with the Psychopathic Hospital continue important.
Many specimens were sent for scientific determination, and the reports
from the Psychopathic Laboratory were of the grestest value in the
diagnosis and treatment of patients. A large number of spinal fluid
and blood specimens were examined for the Wasserman reaction.
E P I D E M I C DISEASES.

With the exception of an outbreak of diphtheria early in June, 1912,
the hospital has been free from epidemic diseases. Diphtheria was
brought into the institution by a young boy patient. He died after1 a
few days' illness. Quarantine Avas established and all those exposed
were given prophylactic treatment with antitoxin. We are not able to
state to what extent the disease will spread but do not apprehend that
many cases will follow.
VIOLENT DEATHS.

One serious accident occurred during the period. Mr. II. K., a patient,
in Hie institution for many years, died from injuries received in a
struggle with an attendant. His death was reported to the coroner and
prosecuting attorney, and an inquest was held. While the verdict was
that the patient came to his death at the hands of the attendant, it did
not hold him responsible for the death of the patient.
Two suicides occurred, one by suspension and one by drowning. Both
were investigated by the coroner and the coroner's inquest attached no
blame to the officers or attendants of the institution for the death of
these patients.
Two patients, epileptics, suffocated in their pillows, and one homicide
occurred, one patient killing another.

14

STATE OF MICHIGAN.
TRANSFER OF PATIENTS.

Two patients were transferred to the Ionia State Hospital, one was
deported to Austria by order of the TJ. S. authorities, one was returned
to Ohio by order of the State authorities, and two were transferred to
the Kalamazoo State Hospital.
The hospital has not only been able to receive all patients of its district, but has been able to receive overflow cases from the Newberry and
Pontiac State Hospital districts.
INCREASE OF PATIENTS.

The net gain in patients during the period was 14,—there were 8 less
women patients under treatment at the close of the period and 22 more
men than at its beginning. While there has been a slight increase in
the population of the district, the number of patients accredited to the
district has decreased. If the patients, received from the other districts
are deducted, there was a total of 524 received. This is a decrease of
12 in the district during the last 2 years. The average net increase of
patients for the last 26 years has been 36.2.
There were 550 patients admitted during the period—310 men and 240
women.
The several counties committed patients as follows:
Antrim
Alcona
Alpena
Arenac
Alger
Benzie
Bay
Cheboygan
Charlevoix
Crawford
Clare
Chippewa
Emmet
Grand Traverse
Gladwin
Gratiot
losco
Isabella
Ionia
Kalamazoo
Kalkaska
Leelanau
Lake

25
14
15
4
2
18
1
17
29
1
8
5
28
44
6
28
6
13
26
1
9
11
5

Moutmorency
Manistee . .'.
Missaukee
Mason
Mecosta.
Midland
Montcalm
Muskegon
Menominee
Marquette
Mackinac
Newaygo
Otsego
Ogemaw
Osceola
Oceana
Presque Isle
Eoscommon
St. Clair
Schoolcraf t
Sanilac
Wexford
Washtenaw

Total
Of the 550 patients admitted:
28 had been confined in county houses.
100 had been confined in jails.
46 had been treated in other asylums.

3
22
9
13
15
13
23
35
5
3
1
7
6
5
10
21
6
2
2
4
1
25
3
550

TRAVERSE CITY STATE HOSPITAL.

15

30 were said to have been destructive.
31 had attempted or threatened suicide.
51 were homicidal or had threatened homicidal assaults.
15 had been confined or restrained at home.
The number of patients confined in county houses, jails and other
asylums exceeded the last biennial period by 56, the number of suicidal
cases was greater by 6, and the number of homicidal cases was greater
by 31. Since June 30, 1892, these statistics have been regularly kept,
and show out of a total of 4.346 admissions:
178 ( 4 %) were confined in county houses.
506 (11.6%) had been confined in jails.
312 ( 7.1%) had been treated in other asylums.
487 (11.2%) were destructive.
356 ( 8.1%) were suicidal.
531 (12,2%) were homicidal.
397 ( 9.1%) required some sort of restraint at home.
COST OP MAINTENANCE.

The daily cost of maintenance per patient for the last 27 years has
been as follows:
Cents.
1886
53
1887
52
1888
51
1889
'
50
1890
49
1891
49
1892
IS
1893
48
1894
48
1895
47
1896
46
1897
44
1898
42
1899
44
1900
44
1901
44
1902
44
1903 (The above exclusive of officers' salaries).... 44
1904 (Inclusive of officers' salaries)
48
1905
"
"
'•
"
49
1906
'•
", ;i
"
48
1907
"
"
"
"
47
1908
';
><
"
"
48
1909
"
"
"
"
50
1910
"
"
"
"
50
1911
"
'•'
"
'•
50
1912
"
"
"
"
. 49

16

STATE OF MICHIGAN.
DISCHARGE OF I ' A T I K X T S . R E A D M I S S I O X S ,

ETC.

There were 536 patients discharged during the period, 288 men and
248 women. Of this number 75 were discharged recovered, 142 improved.
56 unimproved, and 203 died. The percentage of recoveries on the whole
number under treatment was 3.8 per cent; on the number admitted 13.(5
per cent.
The death rale, 78 per thousand, 1010-11, and in 1011-12 (50 per thousand.
The readmissions for the period were, men, 38; women, 43; total, 81.
The readmissions from the beginning have been, men, 314; women, 304;
total, 618,—hence the total number of admissions, 5,830, represents 5,212
individuals.
The daily average number of patients for the period was 1,301. The
number of weeks spent in the institution by patients was 145,402 6-7.
This was an increase of 7 in the daily average, and an increase of
1,130 2-7 weeks' board over the preceding period.
On June 30, 1012, there were 1,308 patients under treatment at State
expense and 26 at private expense.
There were 255 persons employed at the hospital on June 30, 1912. in
the positions and at the wages given in the schedule accompanying this
report.
ORDINARY REPAIRS AND I_\ 1'ROVE.ME.XTS.

During the vear ending June 30. 1011, the cost of repairs was
122,878.57, and'for the year ending June 30, 1012, $18,852.03. The continuation of the heating and ventilating systems in the building necessitated many alterations, in the steam fitting and plumbing, which were
extra to the appropriation and were charged to the account of improvements and repairs. A great many minor repairs were made throughout
the building and a new culvert was built over the asylum creek on
Eleventh Street. This culvert was washed out by the flood of July.
1010. The work of excavation of a new reservoir has been continued
but has not yet been completed for lack of funds. Some fence has been
rebuilt and many minor repairs have been made.
SPECIAL APPROPRIATION,

$90,000.

Extensions to north and south wings. At the close of the last biennial
period there remained in the hands of the treasurer to the credit of
this fund $6,603.39. The furnishing of these buildings has been nearly
completed. There remained in the hands of the treasurer to the credit
of this fund at the close of business June 30, 1012, $7(50.67. The buildings are occupied, and are satisfactory. The general dining rooms, built
in connection with them for each story of the main building, are practical, require less help, and food can be served in them more quickly
and neatly than in the ward dining rooms. They are also more attractive
and better lighted and heated than the old dining rooms.
SPECIAL APPROPRIATION, 32,500.

For a roof over boiler room. This appropriation was granted by the
Legislature of 1909. It was not available until July. 1910. This improvement has been completed and is satisfactory. The roof is constructed of steel and concrete and is fire proof.

KOOH JI'IP.J

TRAVERSE CITY STATE HOSPITAL.

17

SPECIAL APPROPRIATION, $5,000.

The Legislature of 1909 granted $5,000, to which the Legislature of
1911 added $5,000, making an available appropriation of $10,000 for
the construction of a cold storage plant. The cold storage building is
a reconstruction of the former ice and meat house. The building was
enlarged and an elevator built in for lifting fruits and other supplies
to the second story. The contract for the machinery, insulation, etc., was
awarded to the Fred AY. Wolf Mfg. Co. of Chicago, 111., in the sum of
$7,950. The plant consists of a 12-ton Linde ice machine, with chloride
of calcium circulating outfit, brine pumps, condensing apparatus, etc.
As previously mentioned in this report, the cold storage plant has been
of great value to the hospital.
SPECIAL APPROPRIATION, $30,000.

This appropriation was made by the last Legislature for extensions
to the heating and ventilating systems. The contract was let to the
Thomas Heating Co. of Racine, Wis., and the work has been completed
and is satisfactory.
Your honorable body will be requested to. make an appropriation to
complete the heating of the hospital, and of one or more of the cottages.
SPECIAL APPROPRIATION, $2,100.

This appropriation was made by the last Legislature for roofing cottages 28 and 32. When it came to making contracts for the work, it was
found that the appropriation was not sufficient to roof both buildings.
Therefore, it was decided to roof one. The Detroit Cornice & Slate Co.
were awarded the contract for roofing cottage 32, in the sum of $1,400.
The roof is of the best Peach Blossom slate, and is1 a nice piece of work.
There remained in the hands of the treasurer to1 the credit of this fund
on June 30, 1912, $700.
SPECIAL APPROPRIATION, $3,500.

This appropriation was made by the last Legislature for repairs and
painting roofs. Quite a number of repairs have been made, but the
season has been so wet that little work could be done to the roofs. The
work will be pushed forward as fast as possible. There remained in
the hands of the treasurer to the credit of this fund on June 30, 1912,
$2,783.35.
NEEDS OF THE ASYLUM.

We regret that we have to ask of your Honorable Body appropriations for improvements, betterments and extensions to the hospital, but
a large institution such as this, unavoidably presents conditions which
call for State aid, in the form of appropriations. You will bear in mind
that the hospital is growing older as well as larger, and that the outlay
requested may seem large and yet it is only a very small percentage of
the actual value of the institution so far as the cost of upkeep is concerned.
CARPENTER SHOP AND PAINT SHOP.

Your honorable body is respectfully requested to appropriate the sum
of $5,500 for the construction of a building to be used as a carpenter
3

18

STATE OF MICHIGAN.

and paint shop. As reported to previous Legislatures, the blacksmith
shop and carpenter shop have been associated in small rooms connected
with the engine and boiler rooms of the hospital. They are too small
for either purpose. We cannot urge too strongly in the interests of
economy and safety from fire the granting of this building. The present
blacksmith shop and carpenter shop can be converted into a blacksmith
shop and store room for engineering materials.
HEATING PLANT.

Your honorable body is respectfully requested to grant an appropriation of $18,000 to complete the heating and ventilation under the hospital for men and to replace the present system under cottages 24 and 26.
SHED OR BARN FOR STORAGE OF FARM IMPLEMENTS.

Your honorable body is requested to appropriate the sum of |2,500
for a shed or barn for the storage of wagons, sleighs and other farm
utensils. This is a much needed improvement as under present conditions wagons, sleighs, farm implements, etc., are largely stored in the
open.
REPAIRS TO ROOFS AND GUTTERS.

Your honorable body is respectfully requested to grant an appropriation of $2,500 to continue the work of the repair to roofs and gutters of
the asylum building. Last winter was very severe on the roofs and will
necessitate quite a large additional outlay to put them in order again.
FENCING—ENTRANCE GATE.

Your honorable body is respectfully requested to make an appropriation of -|3,000 for iron fencing with cast posts to replace fences on Elmwood Ave., and to build a suitable entrance gate to the hospital, in place
of the wooden one which is nearly worn out. The amount of fence needed
is about 120 rods of ornamental fence and about one mile of ordinary
wire fence.
ARTESIAN WELL.

Your honorable body is respectfully requested to grant an appropriation of $500 for an additional artesian well. During the last year the
existing wells have not supplied water enough. No doubt the cost of
pumping the additional water has been more than another well would
have cost.
ROOFING OF COTTAGES 21, 25, 26 AND 28.

Your honorable body is respectfully requested to grant an appropriation of $6,400 to finish the shingling of cottage 28, and to reshingle
cottages 24, 25 and 26. The estimate of cottages 24 and 26 is $3,500,
and was made by the Detroit Cornice & Slate Co. The reshingling of
25 is a necessity and the amount, $2,000, is a careful estimate of the
cost at which the work can be done. The slate is to be of the best Peach
Blossom variety, similar to the roofs on the institution. The balance,
$900, of the requested appropriation, is to complete the shingling of
cottage 28 and to provide for scaffolding, etc.

TRAVERSE CITY STATE HOSPITAL.

19

E X T E N S I O N TO LAUNDRY A N D ADDITIONAL L A U N D R Y .M A C I I IN 1C It V.

Your Jionovable body is respectfully requested to grant an appropriation of $1,200 for the construction of a general repair room and to enlarge the ironing room of (he laundry. A further sum of }800 is requested for the purchase of washing machines. These improvements
are much needed. The laundry has been in operation since 1895. Much
of (he machinery is worn out. The hospital lias outgrown the laundry
and it should be enlarged as requested.
POUCH FOR COTTAGE 32.

Your honorable body is requested io appropriate (lie sum of ,1600 for
t h e construction of a porch at the tuberculosis coltage for men. This
cottage is without necessary porch room for the outdoor care of invalids.
Outdoor treatment of tuberculous people is everywhere recognized as
of first importance, and for this reason this appropriation is respectfully
requested.
GENERAL DINING ROO.M FOR THE COTTAGES FOR MEN.

An appropriation of flO.OOO is respectfully requested for the construction of a central dining room for the cottages for men. At present there
is a kitchen and a dining room at each of these cottages, which is extravagant in help, in the use, of fuel, and also in floor space. Jf this
appropriation is granted, the existing dining rooms and kitchens can
be converted into dormitories for 1001 additional patients. In other
words, for an outlay of $10,000 the State can secure additional room
for 100 patients and also greatly lessen (lie cost of kitchen and diningroom upkeep.
X-RAY APPARATUS.

Your honorable body is respectfully requested to grant an appropriation of $950 for the purchase of a first-class X-ray outfit for the use
of the hospital. The hospital has never hart such an appliance. The
X-ray is important in diagnostic work, and in the treatment of certain
forms of diseases. The hospital should be furnished with an outfit similar
to what may be found in all first-class general hospitals as well as in
many of the offices of general practitioners of medicine.
A D D I T I O N " TO THE

COLD STORAGE PLANT.

Your honorable body is respectfully requested to grant an appropriation of $4,800 for building an addition to the cold storage plant and
installing necessary machinery for refrigeration purposes. The amount
requested is based on estimates furnished by the Fred \Y. Wolf Mfg.
< V for the machinery and i n s u l a t i o n , and upon estimates of our architect for the cost of (he building.
CULY15RT OR

\\-.\TIi.R\V.\V.

A casual inspection of the s i t e of (he hospital will show that it is
located across ( h e slope of t h e ground. The only provision for the care
of water coining from (he c o u n t r y wesl o! (he h o s p i l a l is a small culvert
w h i c h passes u n d e r ( l i e h o s p i l a l , a n d t h r e e s m a l l sewers placed a t l o w
if 1

20

STATE OF MICHIGAN.

points iu the grounds in the rear of the hospital. These provisions are
adequate for the care of surface water under ordinary conditions, but
during freshets and unusual downpours of rain, they are entirely inadequate and the result is that water overflows into the basements, doing
more or less damage to supplies stored in them, besides soiling them
greatly and rendering them unsanitary. Only recently a cloud burst
of great severity occurred and the water coming from the great water
shed west of the hospital and through the narrow valley which empties
back of the building was so great that it completely filled the subways
and the basements to a depth of nearly three feet. The water did damage
to the pipe coverings, to stored goods, trunks, satchels, etc., to canned
goods, to the bake shop and its machinery, to the boiler room, coal bunkers, etc., all of which were under Avater. The silt and other filth thai
\vas deposited into the basement rendered them unsanitary, and it required weeks of labor to put them iu condition. Immediately after this
flood a culvert was directed to be built of sufficient area to care for as
much water or more, as fell during the recent storm. The estimated
cost of this culvert is fl.OOO, and we most respectfully request your
honorable body to reimburse the hospital in this amount. It was imperative that this culvert be constructed, that such damage to the buildings can never occur again.
SIDE TRACK.

An effort has been made to secure a right of way for a side track from
the Pere Marquette railway to the hospital. All the options have been
secured on the property traversed by this proposed road with the exception of one lot which is estimated to be Avorth $500. The right of
way and the construction of the proposed side track and t h e equipment
of the same will cost as follows:
Grading
One spur trestle bridge
4.350 ties
174 tons 60-lb. rails
Joints
Spikes
Bolts
3 tournonts
Track laying and ballasting
Right of Avay as per options secured
The total cost of the proposed side track, as per above
estimate is

ijSU.oOO 00
120 00
2,392 50
4,350 00
208 80
185 50
56 00
450 00
825 00
22,050 00
45,137 SO

From this may be safely deducted $7,000 from the item labor, which
labor will be furnished by the hospital, and a further deduction from the
cost of the right of way can be made, as the lands crossed by the road
can be sold for at least half as much as they w i l l cost. Monies accruing
from sale of such lands would be returned (o (lie Slate.
If your honorable body grants I h e appropriation for ( h i s greatly
needed utility, it must be understood t h a t each and every r a i l w a y no\
coming into Traverse City, or thai may come i n t o Traverse C i t y in (he
fillure, shall have unrestricted use of ( h i s side track under such regu-

TRAVERSE CITY STATE HOSPITAL.

21

lations as may be approved by the Railway Commissioner of the State
of Michigan, or other proper authority of the State.
Your honorable body is respectfully requested to grant the necessary
appropriation for this road. A side track will be of the greatest
economic importance to the hospital. The amount of tonnage delivered
to the institution is not far from 20,000 a year, and it costs about 30
cents a ton to deliver from side tracks to the hospital. The cost to the
hospital of drayage and cartage exceeds $6,000 a year, which is an interest of three per cent on over |200,000 annually.
HORSES AND MOTOR TRUCKS.

The horses of the hospital average over 15 years old. They will have
to be replaced. Your honorable body is requested to grant an appropriation of |6,000 for the purchase of ten teams of first class heavy
horses, and a further sum of $5,000 for the purchase of a five-ton motor
truck. If a side track is secured only five teams will be required. The
motor truck and the other teams of horses would not be needed.
RECAPITULATION OF APPROPRIATIONS REQUESTED.

Carpenter and paint shop
Completion of heating and ventilating systems
Shed for storage of wagons and implements
Repairs to roofs and gutters
Fencing
Artesian well
Roofing of Cottages 24, 25, 26 and 28
Extension to laundry and laundry machinery
Porch for Cottage 32
"
".
Dining room for cottages for men
X-ray apparatus
Addition to cold storage
Canal or waterway
Side track
Horses and motor truck

$5,500 00
18,000 00
2,500 00
2,500 00
3,000 00
500 00
6,400 00
2,000 00
600 00
10,000 00
950 00
4,800 00
1,000 00
11,000 00

FARM,, GARDEN, STOCK AND GROUNDS.

The asylum real estate comprises 728 acres. As given in the census
of 1910, the estate has 445 acres improved land under cultivation.
The following report shows the quantity of farm and garden produce
raised during the last two years, and also the value of cattle sold.

22

STATE OF MICHIGAN.
FARM REPORT

FOR THE BIENNIAL PERIOD ENDING JUNE 30 1912.
Asparagus l':s
3,300
Peas green bushels
Apples bushels
2,807
Pears bushels
Beans string bushels
482
Peaches bushels
BeeJ Ibs
8,968
Peppers bushels
Beets bushels
935
Potatoes bushels
Beet greens Ibs
105
Potatoes sweet bushels
Cabbage heads
23,675
Pork Ibs
Carrots bushels
6,031
Plums bushels
Cauliflower heads
1,100
Pumpkins tons
Celery heads
28,150
Radishes dozen
Celeriac bushels
6
Rutabagas bushels
Cherries quarts
841
Rhubarb Ibs
Currants quarts
4,081
Raspberries quarts
Chicken Ibs
577
Strawberries quarts
Corn sweet bushels
1,809
Squash tons
Cucumbers, dozen
387
Sage, bunches
Cucumbers, bushels
406
Salsify, bushels
Eggplant, bushels
11
Spinach, Ibs
Fodder, tons
182
Straw, tons
Grapes, bushels
214
Tallow, Ibs
Hay, tons
478
Tomatoes, ripe, bushels
Kohlrabi, bushels
7^
Tomatoes, green, bushels
Lettuce, Ibs
11,830
Turnips, bushels
Mangels, bushels
7,872
Turkey, Ibs
Milk, Ibs
1,206,335
Veal, Ibs
Muskmelons, Ibs
4,900
Watermelons, Ibs
Oats, bushels
3,296
Premiums on cattle
Onions, dozen
16,050
Cattle sold
Onions, bushels
2,189
Hides sold
Parsnips, bushels
810

167
14
1,446
27
9,150
49
25,879
422
16
10,525
1,899
4,025
1,905
5,036
18J
400
120
1,855
59
76
1,170
232
4,931
18
215
14,950
$37.00
S8.553.80
$285.28
=====—.

Few have a comprehensive knowledge of the magnitude of the farm
operations. It really comprises four distinct departments,—the farm
proper, the stock, the grounds, greenhouses and gardens and the
orchards. Each of these constitutes a business of considerable magnitude. All of them are under the general direction of the steward,—each
in turn under the immediate control of a trained superintendent. Mr.
Dennis Kelly is superintendent of the farm, Mr. J. B. Armitage of the
stock, Mr. H. Tobler of the garden, greenhouses and grounds, and Mr.
R. Pennell of the orchards.
The farm -superintendent lias control of the horses, vehicles, farm implements and machinery, and the direction of the farm help, teamsters
and other assistants, the hauling of freight, the planting, cultivation
and care of all crops, and the living or boarding of many of the assistants and some of the patients who work at the barns. To perform all
these duties, at the proper season, without confusion in work or loss
from either misdirection or lack of direction, requires executive ability
of a high order. In fact, from early spring till late fall the carrying
on of the farm work requires many assistants, many patients, and is a
period of constant activity.
What is true of the farm is also true of the stock. Since the first,
the hospital has been interested in the breeding of thoroughbred Hoistein cattle, primarily for dairy purposes. It was soon found, however,
that there was a demand for all excess of thoroughbred stock raised,
and as the years have passed by, more attention has been given to the
development of the cattle, and much higher prices have been received for
stock sold.
The above report shows that over 18,000 worth of cattle were sold
during the last period, Avhile the value of the milk produced by the herd
exceeded $35,000. The feeding and care of the herd requires skilled
oversight, and the registration of the animals, the making and record-

TRAVERSEiCTTY STATE HOSPITAL.

23

ing of pedigrees, requires much clerical work. The health of the stock,
testing for tuberculosis, and the constant struggle against the invasion
of tuberculosis, requires more or less scientific knowledge; the sanitary
care of the milk and the proper preparation of the food rations for the
slock, all require, the application of expert practical knowledge.
Mr. Armitage has had the general management of the herd for a
number of years, and is a very competent man in his field of effort.
The gardens, grounds and greenhouses have been for years under the
management of Mr. H. Tobler. Mr. Toiler's success in all these departments is known the country round, and it is doubtful if a more skilled
man can be found anywhere in this special field. The report shows the
vegetables, etc., produced by the gardens, but it does not show the beauty
o!' the grounds, the great variety of flowers raised, and neither does it
give anv notion of the vast amount of labor, effort and knowledge that
is required to bring success in this great field of usefulness.
The orchards are rapidly coming into value, and for the last few years
have been under the care of Mr. B. Pennell, a trained orchardist. Under
his direction the orchards have more than doubled in value during the
last 1'ew years., and from this time on each and every year will increas<;
the value of their output. Only a trained orchardist can appreciate
ihe amount of effort and skill it requires to maintain general orchards
and small fruit orchards in successful operation. Spraying several
times a year, pruning, thinning of the fruit, search for borers and their
destruction, planting of trees, gathering, sorting and care of the fruit,
a l l of which must be done in a way to make it of most value to the
hospital, is a vast industry, and requires constant supervision to make
it successful. During the last season, frequently 60 to 70 patients
besides assistants, were engaged in harvesting fruit, and during the
canning season, a large number of women patients helped in canning
fruit for winter use. All of these things combined to make the farm
and its branches a very interesting as well as active business. It requires from I'd to 30 paid assistants all the time, and during the working months not less than 100 men patients are employed in carrying on
i i s operations.
There were no voluntary admissions during the period. Many patients
who would avail themselves of this provision of law, are insane, and
cannot be received as voluntaries. We believe that our State hospitals
should be open to the treatment of all forms of nervous and mental
diseases, and that the only requirement for admission should be some
form of guarantee of payment of hospital charges while under treatment. The public feeling toward our State hospitals has greatly changed
in ihe last few years, and more patients seek relief at them, and still
more would do so if there was not so much publicity attached to it. It
would seem the part of Avisdom that the State hospitals with their great
equipment, should be used to the fullest extent for the care and welfare
of the nervous and mentally afflicted, and that without undue publicity.
\Ve believe also that your honorable body should take steps to provide
for the separate care of the feeble-minded and epileptic. Quite a large
number of both these classes of patients are cared for in the hospitals
for the insane. It is unjust to these individuals. We would respectfully
urge upon your honor-able body to devote the institution at Lapeer to
the care of the feeble-minded, and to provide a separate institution for

2-1

S'I'ATK Ol"1 MICHIGAN.

the care of the epileptic. There is a growing belief in the scientific
world that both the epileptic and the feeble-minded should be trained
and cared for in special institutions, and that these institutions should
be on the colony plan, where the home life, schools, industrial training
and social life, could be carried on to their best and highest advantage,
it is a well known fact that the institution at Lapeer is not large
enough to take care of these people, and that our asylums receive many
of them. Measures should be taken for their separate housing and
support.
RECEIPTS AND DISBURSEMENTS.

The total receipts of the hospital for the fiscal year ending June 30,
1911, including cash on hand and credits on special appropriations accounts, were f276,468.26; and the total disbursements for the same
period, including special appropriations, were $297,806.54.
The total receipts of the hospital for the fiscal year ending June 30,
1912, including cash on hand and credits on special appropriations accounts, were $330,489.77; and the total disbursements for the same
period, including special appropriations, were $331,506.68.
There was at the close of the biennial period ending June 30, 1912,
$5,098.85 in the hands of the treasurer; fG9.C9 of which amount was to
the debit of the current expense account and the balance of $5,168.54,
unexpended balance to the credit of special appropriations accounts.
OFFICERS.

In 1911, Hon. M. F. Quaintance, of Petoskey, Mich., and Hon. W. W.
Mitchell, of Cadillac, Mich., Avere reappointed to the Board. Mr.
Quaintance had served as a member of the Board since 1905 and Mr.
Mitchell since 1901.
In July, 1910, J. A. J. Hall, M. IX, and in August, 1910, E, G. C.
Williams, M. I)., were appointed assistant physicians. Both came highly
recommended. Dr. Williams resigned his position in June, 1911, to enter
private practice in Illinois. In August, 1911, Dr. S. C. Niles was appointed assistant physician. Dr. Niles came highly recommended.
It is with great regret that I report the resignation of Mr. C. L. Whitney, who has been steward of the hospital for seventeen years. Mr.
Whitney resigned on account of ill health, after many years of faithful
and efficient service.
The following memorial was presented to Mr. Whitney at the time
of his resignation, and only imperfectly expresses the esteem in which
he was held by the Board, the officers and all others with whom he was
associated at the hospital.
Inasmuch as Mr. Whitney, because of his advancing years and the
inclemency of this northern climate, has found it best to sever his connection with the institution, we can surely predict his greater comfort
and many years of healthfulness in the far distant west.
We remember with much pleasure our association with him as trustee
while he was a member of this Board from the year 1891 to 1894. His
services as steward during the seventeen years of residence in Traverse
City have been of very high order.
While a trustee he became familiar with many needs of the institution,
became impressed Avilh the advantages of a high grade herd of cattle, and

TRAVERSE CITY STATK HOSPITAL.

'J.r>

largely through his efforts (he herd of Ilolsteins of this institution has
become famous throughout the United States. Mr. Whitney lias also
been instrumental in raising the standard of farm products, and the
orchards and the greenhouse work have prospered under his directions.
As a purchasing agent he has devoted his time to the advantage of the
institution. He has been careful, conscientious and at all times laboring
for the economical management of this large institution.
We are very sorry to lose his services and companionship, but realizing
that health and comfort are of supreme importance, our best wishes
go with Mr. Whitney wherever he may reside.
In January, Mr. Geo. It. Pike, of Manistee, Mich., was appointed
steward, to succeed Mr. C. L. Whitney, who had resigned that position.
Mr. Pike came to the institution thoroughly equipped by education and
by training for the duties of the position. He assumed the duties of Jiis
office on February 1, 1.012. He has given eminent satisfaction thus far
in his work.
In closing this report we can say that we believe that each officer and
employe has rendered his best service to the institution. We believe
that the institution has grown in usefulness, and Avould most respectfully ask your honorable body to visit it, inspect it thoroughly, and lend
vour assistance to its further upbuilding.
T. T. BATES,
W. AV. MITCHELL,
H. C. DAVIS,
M. F. QUAIXTANCE,
E. S. WAGAR,
W. LLOYD,
Traverse City, Mich., June 80, 191.2.
Trustees.

Young Salisburia

Young Pecan

Young Coffee
TREES ON GROUNDS

STATE OF MICHIGAN.

TREASURER'S

ABSTRACTS,
OF ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT THE NORTHERN MICHIGAN ASYLUM FOR THE FISCAL YEAR E N D I N G J U N E 30, 1911,
THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of tlie Northern Michigan Asylum
for tlic month ending July SO, 1910.
By balance on hand July I st, 1 !l 10
'Cash from State Treasurer:
Account of current expense
Cash from other sources

$27 ,454 01
22,47S 94
765 OS
$£0,695 06
DTTBIT&.

Account of extension south wing
Account of improvement, heating anil ventilating
Account of current expense
Balance on hand to new account

:

$67
3,087
23,913
23,627

50
31
21
04

$50,695 06

TTIE STATE OF MICHIGAN-, In account with Samuel Garland, Treasurer of lite Northern Michigan Asylum,
for the month ending August ,?.', lOto.
CREDITS.
By balance on hand August 1, 1910
'Cash from State Treasurer:
Account of current expense
('ash from other sources

$23,627 04
22 ,475 94
760 40
DEBITS.

Account of extension to south wing
Account of extension to north wing
Account of improvement, heating and ventilating
Account of current expense
~
Balance on hand to new account

$811
255
73
18,307
27,415

45
2:i
85
14
71

$46,803 38

THE STATE OF MICHIGAN, In Account with Samuel Garland, Treasurer of the Northern Michigan rlsylum,
for the month ending September $0, 191O.
CREDITS.

Balance on hand September 1,1910
Cash from State Treasurer:
Account of current expense
Cash from other sources

Account of extension to south wing.. .
Account of current expense
Balance on hand to new account

827 ,415 71
22,475 94
662 20

$50,553 85

$500 63
22,147 58
27,905 64
.$50,553 85

TRAVERSE CITY STATE HOSPITAL.

27

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for the month ending October 31, 1910. f

By balance on hand October 1, 1910.
Cash from State Treasurer:
Account of current expense
Cash from other sources

827,905 64
21,156 19
1,027 00
$50,088 83

Account of repairs to reservoir
Account of additional fire protection..
Account of extension to south wing...
Account of current expense
Balance on hand to new account

$443 40

1,750
90
25,308
22,495

75
00
85
83

$50,088 83

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum,
for the month ending November SO, 1910.
22,495 83

By balance on hand November 1, 1910.
Cash from State Treasurer:
Account of current expense
Cash from other sources

21,028 63
489 21

Account of repairs on reservoir
Account of extension to south wing..
Account of extension to north wing..
Account of current expense
Balance on hand to new account

$843
258
40
21,966
20,903

82
99
70
27
89

$44,013 67

$44,013 67

THE STATE OF MICHIGAN In a'ccount 'With Samuel Garland, Treasurer of the Northern Michigan Asylum,
for the month ending December 31, 1910.

By balance on hand December 1, 1910
Cash from State Treasurer:
Account of new roof for boiler room
Account of current expense
Cash from other sources

20,903 89
2,500 00
21,028 63
828 37

Account of extension to south wing... .
Account of extension to north wing.. ..
Account of new roof for boiler room . ..
Account of current expense
Balance on hand to new account

$526
129
1,753
24,169
18,682

15
52
66
41
15

$45,260 89

$45,260 89

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum,
for the month ending January 31, 1911.

By balance on hand January 1, 1911
Cash from State Treasurer:
Account of current expense
Account cash from other sources

$18,682 15

Account of extension to south wing..
Account of extension to north wing..
Account of new roof for boiler room .
Account of current expense
Balance on hand to new account....

£60 75

23,652 64
1,072 14

71
17
22,372
20,885

50
00
54
14

$43,406 93

$43,406 93

28

STATE OF MICHIGAN.

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum,
for the month ending February US, 1911.

By balance on hand February 1, 1911
Cash from State Treasurer:
Account of current expense
Cash from other sources

520,885 14
23 ,652 63
1,574 71

846,112 48

DEBITS.

Account of extension to south wing
Account of extension to north wing
Account of improvement, heating and ventilating
Account of current expense
Balance on hand to new account

$130 15
250 71
4,913 70
22,871 96
17,915 96

$46,112 48

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum,
for the month ending March 31,1912,

By balance on hand March 1, 1911
Cash from State Treasurer:
Account of current expense
Cash from other sources

$17,945 96
23,078 35
257 04

841,281 35

DEBITS.

Account of extension to south wing
Account of extension to north wing
Account of current expense
Balance on hand to new account

$88 13
138 57
23,771 43
17,283 22

$41,281 35

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum,
for the month ending April 29, 1912.

By balance on hand April 1,1911
Cash from State Treasurer:
Account of current expense
Cash from other sources

$17,283 22
20,959 91
966 28

$39,209 41

DEBITS.

Account of extension to south wing
Account of extension to north wing
Account of current expense
Balance on hand to new account

$592
592
27,905
10,119

39
39
22
41

$39,209 41

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for the month ending May SI, 1911.

By balance on hand May 1, 1911
Cash from State Treasurer:
Account of current expense
Cash from other sources

Account of current expense
Balance on hand to new account

$10,119 41
20.959 89
817 34

•

$22,508 71
9,387 93

$31,896 64

$31,896 64

TRAVERSE CITY STATE HOSPITAL.

S9.387 93

By balance on hand June 1, l u l l
Cash from State Treasurer:
Account of current expense
Cash from other sources

20.959 89
843 91

Account of
Account of
Account of
Balance on

2-1,382 53
6,115 76

$31,191 73

$163 25

new roof for boiler room
cold storage
current expense
hand to new account

530 19

$31.191 73

SUMMARY.
THE STATE or MICHIGAN, In account willi Samuel Garland unil A . J. Mai/nanl, Treasurers of the Northern
Michigan Asylum for the fiscal year ending June 30, 1011.
By balance on hand July 1, 1910
Cash from State Treasurer:
Account of new roof for boiler room
Account of current expense
Cash from other sources

Account of repairs on reservoir
Account of extension to south wing
Account of extension to north wing
Account of improvement, heating and ventilating
Account of new roof lor boiler room
Account of cold storage
Account of additional fire protection
Account of current expense
Balance on hand to new account

827,454 04
2,500 00
263,904 58
10,063 68

81,287
3,126
1,478
8.074
1,933
530
I .750

S303.922 30

22
14
62
86
91
19
75

279.624 85

0.115 76

8303,922 30

STATE OF MICHIGAN.

f

ABSTRACTS

OF ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT THE TRAVERSE
CITY STATE HOSPITAL FOR FISCAL YEAR ENDING J U N E 30, 1912.
THE STATE or MICHIGAN, In account with A. J. Maynard, Treasurer of the Northern Michigan Asylum,
for the month ending July S I , 1911.
By balance on hand July 1, 1911
Cash from State Treasurer:
Account of cold storage
Account of completion of cold storage
Account of completion heating and v e n t i l a t i n g
Account of current expense
Cash from other sources

22,511 31
615 03

Account of extension to south wing
Account of extension to north wing
Account of new roof for boiler room. . . .
Account of cold storage
Account of current expense
Balance on hand to new a c c o u n t . . . . . . .

SI 38
169
393
190
19,190
29,160

$6,115 76
5.000 00
5,000 00
10,000 00

3G
10
87
25
20
32

849,242 10

$49,2J2 10

THE STATE OF MICHIGAN, In Account willi, A. .7. Mai/nanl, Treasurer of Traverse City State Hospital,
{or the month ending Auyust S I , 1911.
CREDITS..

By bala net on hand August 1, 1911
Cash from State Treasurer:
Account of repairs! and painting roofs. . .
Account of current expense
Cash from other sources

Account of new roof for boiler room
Account of cold storage
Account of completion cold storage
Account of completion heating and ventilating
Account of repairs and painting roofs
Account of current expense
Balance on hand to new account

$29,160 32
3,500 00
22,511 31
597 19

$172
4,279
2 812
860
132
20.092
27,418

22
56
50
76
92
27
59

$55.768 82

$55,768 82

THE STATE OF MICHIGAN, In account with A. .1. Maynard, Treasurer of Traverse City Stale Hospital,
for the month eiulinu September SO. 1911.
By balance on hand September 1. 1911
Cash from State Treasurer:
Account of current expense
Cash from other sources

Account of extension to south wing
Account of extension to north wing
Account of books and musical instruments. . .
Account of completion of cold storage. . . . . .
Account of completion heating and ventilating
Account of repairs and painting roofs
Account of re-roofing cottages
Account of current expense
Balance on hand to new account

$27,418 59
22,511 30
855 22

S79
79
93
25
7,525

850,785 11

75
75
00
00
63

232 70
1,400 00
18,754 00

22,595 28

$50,785 11

TRAVERSE CITY STATE HOSPITAL.

31

THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse City State Hospital,
tor the month ending October SO, 1911. „
By balance on hand October 1, 1911
Cash from State Treasurer:
Account of current expense
Cash from other sources

$22,595 28
21,452 32
671 66

Account of extension to south wing
Account of extension to north wing
Account of completion cold storage
Account of completion heating and ventilating
Account of repairs and painting roofs
Account of current expense
Balance on hand to new account

$250
470
300
3 ,987
220
29,891
9,599

00
00
00
62
46
21
97

$44,719 26

$44,719 26

THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse City State Hospital,
for the month ending November 29,1911
\.

By balance on hand November 1, 1911
Loan from Traverse City State Bank
Cash from other sources

$9,599 97
10,500 00
406 94

$20,506 91

DEBITS.

Account of completion heating and ventilating
Account of current expense
Balance on hand to new account

$3,210 95
16,802 52
493 44

$20,506 91

THE STATE OP MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse City State Hospital,
for the month ending December SO, 1911.
By balance on hand December 1, 1911
Cash from State Treasurer:
Account of completion heating and ventilating
Account of re-roofing cottages
Account of current expense
Cash from other sources

$493
20,000
2,100
40,904
449
—

44
00
00
62
72

$1,712
10,500
34,156
18,578
—

50
00
56
72

$64,947 78

DEBITS.

Account of completion cold storage
Account of loan paid to Traverse City State Bank
Account of current expense
Balance on hand to new account

$64,947 78

THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse City State Hospitali
for the month ending January 31,
CREDITS.
By balance on hand January 1, 1912
Cash from State Treasurer:
Account of current expense
C sh from other sources

$18,578 72
23 ,018 71
738 06

$42,335 49

DEBITS.

Account of current expense
Balance on hand to new account

$24,940 52
17,394 97

842,335 49

32

STATE OF MICHIGAN.

THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse City State Hospital,
for the month ending February 29,191%.

Balance on hand February 1, 1912
Cash from State Treasurer:
Account of current expense
Cash from other sources

$17,394 97
23,018 70
628 25

$41,041 92

DEBITS.

Account of completion heating and ventilating
Account of current expense
Balance on hand to new account

$9,706 85
23,239 88
8,095 19

$41,041 92

THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse City State Hospital,
for the month ending March SO, 1912.
CREDITS.

By balance on hand March 1, 1912
Cash from State Treasurer:
Account of current expense
Cash from other sources

$8,095 19
23,018 69
2,419 06

$33,532 94

DEBITS.

Account of extension to south wing
Account of completion heating and ventilating
Account of current expense
Balance on hand to new account

$132 00
37 80
25,055 43
8,307 71

$33,532 94

THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse City State Hospital,
for month ending April SO, 191%.
CREDITS.
By balance on hand April 1, 1912
Cash from State Treasurer:
Account of current expense
Cash from other sources

$8,307 71
20,894 40
3,034 64

$32 236 75

DEBITS.

Account of completion heating and ventilating
Account of current expense
Balance on hand to new account

$4,403 55
25,857 19
1,976 01

$32,236 75

THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse City State Hospital,
for month ending May S I , 1912.
CREDITS.
Balance on hand May 1, 1912
Cash from State Treasurer:
It
Account of current expense
f ! Cash from other sources
FH Balance overdrawn to new account
IPpp,
r

V*9

Account of completion heating and ventilating
Account of current expense

$1,976 01
20,894 39
954 47
3,840 83

$27,665 70

DEBITS.

$19 90
27,645 80

$27,665 70

TRAVERSE CITY STATE HOSPITAL.

33

THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse City State Hospital,
for month ending June 29, 191&.
CHEDITS.
By cash from State Treasurer:
Account of current expense... .
Cash from other sources

$20.894 38
389 41)

Balance overdrawn on June 1, 1912.. .
Account of repairs and painting roofs.
Account of current expense
Balance on hand to new account

$21,283 78

$3,840 S3
130 57

12,213 53
5,098 85

$21,283 78

SUMMARY.
THE STATE OF MICHIGAN, In account with A. J. Maynard, Treasurer of Traverse Citi/ State Hospital,
(formerly Northern Michigan Asylum) for the fiscal year ending June 29, 1912.

Balance on hand July 1, 1911
Cash from State Treasurer:
Account of cold storage
Account of completion cold storage
Account of completion heating and ventilating.
Account of repairs and painting roofs
Account of re-rooting cottages
Account of current expense
Cash loan from Traverse City State Bank
Cash from other sources

5,000
5,000
30,000
3,500
2,100
262,630
10,500
11,759

00
00
00
00
00
13
00
64

Account of extension to south wing
Account of extension to north wing
Account of completion heating and ventilating
Account of new roof for boiler room
Account of books and musical instruments
Account of cold storgae
Account of completion cold storage
Account of repairs and painting roofs
Account of re-roofing cottages
»
Account of current expense
Refund of loan, Traverse City State Bank
Balance on hand to new account

S600
718
29,753
566
93
4,469
4,850
716
1,400
277,839
10,500
5,098

11
85
06
09
00
81
00
65
00
11
00
85

$6,115 76

$336,605 53

8336,605 5,3

We have carefully examined the accounts of Samuel Garland and A. J.
Maynard, Treasurers of Traverse City State Hospital (formerly Northern
Michigan Asylum) for the biennial period ending June 30, 1912, and
have compared the same with the books and vouchers and verified the
same by further comparison with the books of the Steward and hereby
certify to the entire correctness of them.
M. F. QTJA1NTANOE,
THOS. T. BATES,
WILLIAM LLOYD,

Auditing Committee.

5

34

STATE OF MICHIGAN.

STEWARD'S REPORT.
FOR THE BIENNIAL, PERIOD ENDING JUNE 30, 1912.
ANALYSIS OF RECEIPTS AND DISBURSEMENTS FOR THE BIENNIAL PERIOD ENDING
JUNE 30, 1912.

Maintenance, etc.. State patients
Maintenance, etc., private patients
Farm
Sundry accounts
Special appropriations:
Re-rooflng cottages
Repairs and painting roofs
Completion heating and ventilating system
Cold storage
Completion of cold storage
New roof for boiler room
Repairs to reservoir

$526,534
10,473
8,877
12,032

71
97
07
55

2.100
3 .500
30,000
5,000
5.000
2,500
339

00
00
00
00
00
00
73

$606,958 03

DISBURSEMENTS.

1.

Officers' salaries

$28,580 02

2.

FoodWages
Meat and
Butter
Flour
Sugar
Coffee
Tea
Miscellaneous foods

$16,489
52,215
29,764
15,616
12 ,626
7,115
2,511
30,703

fish

S. Clothing:
Wages of clerks
Cost of clothing
4.

Laundry expenses:
Wages
Soap making
Starch
Soda
Machine
Electric irons
Tubs and baskets
Indelible ink
Wax

57
89
94
55
26
71
21
15

f 2,756 90
30,200 65
89,911 63
2 ,502 76
183 41
.">80 10
51701
54 42
98 10
16 90
49

fittings

5.

Heating and light:
Wages
Coal and freight on same
Gas
Electric supplies
Lubricating and other oil
Fuel tester
Rent of coal shed

$7,354
67,829
2 ,126
1,252
89
77
IS

6.

Floral, greenhouse and grounds:
Wages
Seeds
Trees
Flower pots and boxes
Glass
Hose
Implements
Survey of grounds

17
79
18
22
36
65
00
.

$4,763
154
178
71
7
167
226
36

17
97
37
38
60
11
56
00

~.

Medical department:
Wages
Drugs
Graduating class pins and diplomas

,
•

$94,946 32
5 873 45
25 00

$23,580 02

167,043 28

32,957 55

13.604 82

78,747 37

5,605 16

100,844 77

TRAVERSE CITY STATE HOSPITAL.
-S.

Office, stationery, etc.:
Wages
Postage stamps
Telegrams, telephone and rent of telephones
Stationery
Printing
Blank books
Filing cases
Index of Joint Board proceedings

3. Amusement and instruction:
Music for entertainments
. Music for patients' parties
Tuning pianos
Christmas candy
Games
Moving picture entertainment
Circus tickets
Medical books
10.

Furniture and household supplies:
Wages
Dry goods
Bedding
Mattresses
Carpet
Furniture
Hardware
Crockery
Kitchen utensils
Bedsteads
Polish
Soap
Brooms
Toilet paper
Baskets and paper sacks
Stoves
Disinfectant

11.

Carriage barn and vehicles:
Wages
Repairs to vehicles
Blacksmithing
Repairs to harness
Feed
Hay

12.

Improvements and repairs:
Wages
Hardware
Iron pipe and
Iron and castings
Paint and oil
Lime and cement
Sewer pipe and tile
Lumber
Tools and implements
Wall paper
Glass

13.

Machinery:
Machine
Valves
Fire and steam hose
Lubricating oil
Belting, etc
Packing and gaskets
Scale dissolvent
Steam charts
Calorimeter
Pump and boiler
Boiler insurance

14.

Farm, garden and stock:
Wages
Feed
Hay
Straw
Cattle
Pigs
Veterinary
Implements
Harness
Fertilizer
Fencing
Paris green
Seeds
Trees and plants
Blacksmithing
Drain tile
Oats
Lime

—

•

$7,755 97
720 00
1,060 80
408 15
673 08
107 73
112 40
125 06
S98
113
11
85
87
20
108
93

:

fittings

60
50
50
31
85
00
80
90

S3,099 24
9,334 09
1,310 55
471 86
108 52
73 38
2,122 32
1.423 77
433 63
12 72
39 20
1,543 93
809 83
510 59
1192
30 4S
66 00
SI ,369
20
67
23
144
164

fittings

35

53
95
94
75
52
60

S30.5S5 12
1,213 94
2 ,542 97
844 53
3 ,460 65
945 42
175 19
1,513 53
123 10
69 97
256 78
8451
556
f>07
298
82
222
277
31
10
155
ISO

98
88
15
73
05
71
87
68
75
29
00
•

SIS, 186 62
13,183 43
5,739 81
601 38
857 78
116 70
196 25
929 14
147 92
92 15
76 03
14 89
773 30
22 85
75 76
57 84
248 64
4 30

$10,963 19

619 46

21,402 03

$1,791 35

41,731 20

2,875 09

36

15.

STATE OF MICHIGAN.

Miscellaneous:
Wages of watchmen
Tobacco
Steward's expenses purchasing supplies, etc
Superintendent's expenses to Joint Board meetings, etc..
Expenses of pathologist
Expenses of examining engineers
Telegrams
Amounts charged back:
Patients' expenses home
Elopement expenses
Purchases for patients
Refunded m oney
Undertakers' fees (burial of patients)
Treasurer's note
Special appropriations:
Repairs and painting roofs
Completion of heating, ventilating and hot water system.
Extension to north wing
Extension to south wing
Completion of cold storage
Re-roofing cottages
New roof for boiler room
Additional fire protection
Cold storage
Repairs to reservoir
Books and musical instruments

$3,416
3,618
235
71
18
219
52

85
16
37
22
71
74
90

227
437
49
796
169
10,500

88
90
76
OS
31
00

$716
37,827
2,197
3,726
4,850
1,400
2,500
1,750
5,000
1,287
93

65
92
47
25
00
00
00
75
00
22
00

§19,813 88

61,349 26
629,313 22

SUMMARY OF INVENTORY, TRAVERSE CITY STATE HOSPITAL, JUNE 30, 1912.
$58,240 00
Farm and grounds
868,200 00
Buildings
29,615 50
Stock on farm
6,115 63
Administration building
Dispensary
1,667 46
1,254 00
Pathological laboratory
1,188 20
Library and chapel
30,750 55
Wards
2,719 05
Cottage 21
552 79
Cottage 23
3,907 27
Cottages 24 and 26
2,110 00
Cottage 25
3,219 54
Cottage 27
1,722 80
Cottage 28
2,818 53
Cottage 29
2,732 93
Cottage 30
1,527 76
Cottage 31
1,377 81
Cottage 32
2,945 20
Cottage 34
3,030 03
Cottage 36
889 18
Cottage 38
8,174 16
Engine room and shops
3,700 27
Kitchen and bakery
Laundry
6.428 64
4,380 48
Farm implements and barn fixtures..
538 25
Store fixtures
5,685 08
Stock—Clothing
1,269 59
Stock—Boots and shoes
6,962 11
Stock—Groceries and provisions
60 03
Stock—Silver plated ware
1.429 29
Stock—Notions
364 95
Stock—Crockery
812 27
Stock—Hardware and miscellaneous.
2,736 44
Stock—Dry goods
• 677 48
Stock—Meats
$1,071,803 27
G. B. PIKE, Steward

TRAVERSE CITY STATE HOSPITAL.

37

REPORT OP MEDICAL SUPERINTENDENT.
To the Board of Trustees:
Gentlemen-—I have the honor to submit for your consideration the
following report of the principal events of the hospital for the biennial
period ending June 30, 1912. The movement of population has been as
follows:
TABLE I.—Patients Admitted and Discharged During the Biennial Period,
Females.

Males.
Remaining June 30, 1910
Admitted during period:
On original commitment:
Public
By transfer from State institutions:
Public
Private
State

Discharged:
Died
Remaining under treatment June 30, 1912

Total.

760

624

291
11
1

213

1.384

22
0

504
33
1

6
0
1

0

11
0
1

1 070

864

1,934

25

78
30
155

50
64
26
108

142
56
263

782

616

1,398

0

75

If these statistics are compared with those of the last period it will
be found that there were 35 less admissions and two less discharges. If
the 26 patients admitted from the Pontiac State Hospital and the Newberry State Hospital districts are counted, there was a net increase of
14 patients under treatment. The percentage of patients discharged
recovered of the whole number under treatment was slightly less than
for the last period. The smallest number of patients under treatment
in any one day was 1,349, and the largest number was 1,412. The death
rate was not so great as for the previous period.
The following table shows the sex, age, form of disease and cause
of death in each case:

STATE OF MICHIGAN.

38

TABLE II.
Sex.
Female

Female

Age

Nativity,

32

Kentucky
New York

92
42
69
85
31
54
80
61

Canada
Ohio

68
65
48
29

England. .

40

Female

71
68

35
47

Form of mental disease.

Senility

Senility

Cause of death.
Cancer of the uterus
Pulmonary tuberculosis
Arterio-sclerosis
Cerebral apoplexy.
Tuberculosis of arm, leg and intestine
Organic heart disease, acute nephritis

New York . . Senility
Cardiac disease.
Arterio-sclerosis
Acute Nephritis.
Indiana . .
Sweden
Manic depressive insanity

99

79
31
32
83
52

Female

54
65
SO
29
69

Germany . . . Organic brain disease., . Brain syphilis.
Senility

45

Female
Female
Female

Female

Female
Female

58
72
41
66
49

6°
59

64
70
52
65
68

55
56
63
36
67

74
66
71
62
60

Female
Female
Female
Female

55
78
60
70
82
48
47
27

86
74

Cardiac disease
Unknown, . . Organic brain disease.. . Gangrene of foot.
Michigan . . . Korsakow
Michigan , . . Dementia praecox
Ohio
Ohio
Germany . , . Senility
Ohio
Indiana . . . . Melancholia
Canada
Paranoid
Dementia praecox
Maine
Ohio
Ohio
Michigan . . . Melancholia
Canada
Senility
Poland
Penn
N Brun. .

Dementia praecox
Melancholia
Senility

Organic brain disease.
Pulmonary tuberculosis

Apoplexy.t
Cardiac disease
Intestinal obstruction.
Intestinal tuberculosis.
Cardiac disease.
General tuberculosis.
Pulmonary tuberculosis.
Cancer of the breast.
Pulmonary tuberculosis.
Pulmonary tuberculosis.
Arterio-sclerosis.
Arterio-sclerosis.
Gastro-enteritis.
Apoplexy.
Acute nephritis.
Acute nephritis.
Strangulation, by another patient.

COURT-HOSPITAL FOE, MEN

LAKE AND COTTAGES FOR WOMEN

TRAVERSE CITY STATE HOSPITAL.
TABLE II.—Continued.
Sex.

Age.
28

43
49
73

Female
Female

41
82
37

Female

82
43
75

Female
Female
Female

Nativity.

Unknown.. . Dementia praecox
Michigan . . . Organic brain disease.. .
Organic brain disease.. .
Italy
Ohio
Canada
Russia

New York . . Organic brain disease... Apoplexy.

Organic brain disease.- . Apoplexy.
Ohio
Gastroenteritis.
Senility
Acute dilatation of the heart.
Norway . . . . Paranoid

71
67
84
22
68

Senility
New York . . Paranoid

Pernicious anemia.
Cardiac disease.

Wisconsin . . Manic depressive
Ohio
Senility

Cancer of the uterus.

Michigan . . . Dementia praecox
Canada
Senility
Paresis
Manic depressive
Ohio

Pulmonary tuberculosis.
Apoplexy.
Paretic seizures.
Exhaustion from delirium.

Sweden
Ireland
Michigan . . .
Germany. . .

Cardiac disease.
Cardiac disease.
Apoplexy.
Intestinal obstruction.

34
74
47
34
48

Female

59
38
70
47

Art erio- sclerosis

46

Female
Female . . .
Female
Female
Female
Male
Male

Exhaustion and delirium.
Manic depressive
General paresis. . . . . . . . Paretic seizures.
Status Epilepticus.
Epilepsy

48
58
69
51

Female . . .

Female

Arterio-sclerosis.
Septicemia following childbirth.
Pulmonary tuberculosis.

Canada
Canada

57

Female
Female

Senility
Toxic
Dementia praecox

Pulmonary tuberculosis.
Pulmonary tuberculosis.
Organic brain disease.
Organic brain disease.
Cardiac disease.

3^
39
38
35

fi<>

Female

Cause of death.

Form of mental disease.

36
38
59
63

Senility
Manic depressive
Paranoid
Dementia praecox
Dementia praecox .

Michigan . . Dementia praecox
Unknown. . . Manic depressive
Michigan . . . Dementia praecox

71

Ohio

73
40
60
39

New York. . Senility
Ohio
Scotland.. . . Manic depressive
New York. . Paresis

Apoplexy.

Pernicious anemia.
Organic heart disease.
Acute dilatation of the^heart.

Paranoid
Apoplexy.
Pulmonary tuberculosis.
Paretic seizure

68

Michigan . . . Epilepsy
New York, - Arteno-sclerosis

Male
Male
Male
Male
Male

34
80

Male
Male
Male
Male
Male . -

71
58
62
53
61

Male .
Male
Male
Male
Male

85
73
54
77

73

Poland. . . . Organic brain disease.. . Organic brain disease.
Arterio-sclerosis
Canada
Organic brain disease.

Male
Male
Male
Male
Male

43
51
21

Michigan . . . Paresis

32
76
59

. .

37
69

Epileptic seizure.

Senility
Paresis
Holland. . . Senility

Canada

Organic brain disease.. .

Paretic seizure.

STATE OF MICHIGAN.

4.0

TABLE II.—Continued.
Sex

Male .
Male
Male
Male
Male
Male
Mal<;
Male .
Male

Age
51
64

:. 77
23
81

Nativity.

Form of mental disease.

Cause of death.

Michigan . . .
Canada
Senility

Chronic bronchitis.

England.. . . Senility

Cardiac disease.

New York . . Senility
New York . . Manic depressive

Bright 's disease

76
29
41
59

60

59

Male
Male
Male
Male
Male

24
66

Michigan . . . Epilepsy.. .

Suffocation during convulsion.

. . . 44

Male
Male
Male
Male
Male

82
50
40
78
68

Unknown.. . Arterio-sclerosis

Cardiac disease.

Male
Mole
Male

63

56

71
75
54

Male

. . . 41

Male
Male
Male
"Male
Male

63
64
. . . 50
54
69

Male

51
65

Male
Male
Male

61
38
58

Male

72
42
47
25
26

Male
Male
Male
Male
Male

80
38

Male

72
55
74

Male
Male
Male

64
44
41

N. Carolina. Organic brain disease.. . Bright 's disease.
Norway . . . . Organic brain disease.. . Lobar pneumonia.
Wisconsin . . Organic brain disease.. . Apoplexy.
Senility
Suicide by banging.
Sweden
Dementia praecox
Cardiac disease.
Organic brain disease.
Maine

Organic brain disease.. . Organic brain disease.

Paretic seizure.
Canada
Paresis
Michigan . . . Exhaustive influences. . Cardiac disease.
New York. . Organic brain disease.. . Bright 's disease.
Organic brain disease.
Unknown. . . Arterio-sclerosis
Canada. . . . . Paranoid

Intestinal obstruction.

Michigan . . , General paresis

Paretic seizure.

Organic brain disease.
Paretic seizure.
Cardiac disease
Arterio-sclerosis
Perm
New York. . Organic brain disease.. . Arterio-sclerosis.
Apoplexy.
Michigan . . . Manic depressive
Organic brain disease.. . Apoplexy.
Holland
Pulmonary tuberculosis.
Michigan . . . Paranoid
Ohio

Senility

84
56

Male
Mal^
Male
Male
Male
Male

35
69
48
49

Male
Male
Male
Male
Male

50
25
32
30

Male
Male
Male
Male
Male

Michigan . . . Organic brain disease.. . Organic brain disease.
Canada
Arterio-sclerosis
Organic brain disease.
Vermont . . . . Arterio sclerosis
Bright 's disease.

63

66

50
81
70

61
25

Paretic seizure.
Michigan . . . Epilepsy
Norway . . . . Senility
Michigan . . . Paresis
Exhaustive influences . .

Organic brain disease.
Pulmonary tuberculosis.
Organic brain disease.
Paretic seizure.
Bright 's disease.

Unknown.. . Paranoid
S Dakota . . Epilepsy
Michigan . . . Paresis
Organic brain disease.. .

Organic brain disease.
Pulmonary tuberculosis.
Pulmonary tuberculosis.
Paretic seizure.
Internal hydrocephalus^

Sweden

Senility
Dementia praecox

Paretic seizure.
Organic brain disease.
Acute dilatation of heart.
Dilatation of the colon.
Pulmonary tuberculosis.

TRAVERSE

CITY STATE HOSPITAL.

41

TABLE II.—Continued.
Sex

Age.

Nativity.

Form of mental disease.

Cause of death.

Male
Male
Male
Male
Male

31
76
53
76
83

Michigan . . . Imbecility
Brain abscess.
New York . . Senility
Killed by fall when attempting to escape.
Canada
Organic brain disease.. . Bright's disease.

Male

57
83
49

Paresis
New York . . Senility

Senile exhaustion.

Male

68
64

Scotland.. . . Senility

Senile exhaustion.

Male
Male
Male
Male
Male

33
72

Michigan . . . Dementia praecox
Ohio
Senility .

Pulmonary tuberculosis.
Cardiac disease

77
49

Bohemia . . . . Senility

Cardiac disease.

Male .
Male
Male
Male
Male .

63
32'
55
70

85

Vermont.. . .
New York . .
Sweden
Norway . . . .
Denmark . .

Cardiac disease.
Exhaustion from delirium.
Status Epilepticus.
Pulmonary edema.
Suffocation during convulsion.

Male
Male
Male ,
Male
Male

66
28
68
49

59

Illinois

Male .
Male
Male
Male
Male

54
63
51

Denmark . . Organic brain disease.. .
Norway . . . . Manic depressive . . . . . .
New York . . Arterio-solerosis
Organic brain disease.. Canada

Male
Male ,
Male
Male
Male

35

Male
Male
Mate
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
MalP . .
Male...
Male
Male
Male
Male
Male
Male
Male
Male
Male.
Male
Male
Male

70

69

70
40
71

56
24

New York. . Organic brain disease.. . Organic brain disease.

Ohio

Senility..
Manic depressive
Epilepsy
Dementia praecox
Epilepsy
Senilif v
Arterio-sclerosis

Acute dilatation of heart.
Oangrene.

Senility

Senile exhaustion.
Arterio-sclerosis.
Lobar pneumonia.
Organic brain disease.
Brain syphilis.

Lobar pneumonia.
Ohio
. . . Organic brain disease.. . Apoplexy.
Manic
depressive
Cardiac disease.
Indiana . . . .
Tuberculosis, intestinal.
Dementia praecox

97

Michigan . . . Epilepsy
Finland
Michigan . . . Arterio-sclerosis

Pulmonary tuberculosis.

89
50

Holland.. .. Arterio-sclerosis
Arterio-sclerosis
Canada

Organic brain disease.
Organic brain disease.

36

Paretic seizure
Holland . . . . Paresis
Arterio-sclerosis
Organic brain disease.
Exhaustive influences. . Bright 's disease.
Cardiac disease.

22
40
63

Epileptic sei/ures.
Organic brain disease.

3S
60

Ohio
Michigan . . .
!
75
80
48

Michigan . , . Paresis
Michigan . . . Dementia praecox

Paretic seizure.
Pulmonary tuberculosis.

65
78

Ohio

Bright 's disease

55
63
5°

Senility
Arterio-sclerosis

63
84
42
59

Canada

40

Unknown. , . Paresis

63
35

Organic brain disease.

Denmark. . . Organic brain disease.. . Apoplexy.
Michigan , . . Organic brain disease.. . Brain syphilis.
Paretic seizure.
Apoplexy.
Pulmonary tuberculosis.

STATE OF MICHIGAN.

42

TABLE II — Concluded.
Sex.
Male
Male
Male
Male

Age.
63
38
35

10

Nativity.

Form of mental disease.

Cause of death.

New York . . Paresis

Paretic seizure.

Wisconsin . . Dementia praecox
Michigan . . . Epilepsy

Cardiac disease.
Diphtheria

TRAVERSE CITY STATE HOSPITAL.

43

SUMMARY.—Showing Causes of Death.
Male.
General Diseases:
Pulmonary tuberculosis . .

37
i
•i

General tuberculosis.. . .
Diabetes

i

Exophthalmic goitre

Diseases of Circulatory System:
Arterio-sclerosis
...

r.

31
3

I

1

1
3

10

1

...

General paralysis

14

-.

Diseases of Respiratory System:
Lobar pneumonia

Total.

3

Diseases of Nervous System:
Paresis
Cerebral hemorrhage
Epilepsy
Insanity—exhaustion from.
Syphilis of brain
Septo-meningitis
Aphasia
Post apoplectic
Hydrocephalus

Acute dilatation

Female.

1
9

->•

4

1
1
{

19

13

,s

97
10

Diseases of Digestive System:
Dysentery
Diarrhea and enteritis
Intestinal obstruction
Diseases of Genito-Urinary System:
Acute nephritis
Chronic nephritis
Cancer of uterus
Special Senses:
Mastoiditis...
Violence:
Suicide by hanging
Suicide by drowning
Suffocation—convulsion...
Homicide—other patient...
Fall from window—escape.
Totals.

1US

2t;:i

44

STATE OF MICHIGAN.

One hundred forty-nine patients or 56% of those who died were over
55 years old, 19 were between 80 and 90, and 1 was over 90. The deaths
from tuberculosis were 14.1% of the deaths from all causes,—2.6% less
than during the former two years. The fact that there were 8 less deaths
from tuberculosis than during the former biennial period is encouraging
to greater preventive efforts. Syphilis caused nearly as many deaths
as tuberculosis, and arterial degenerations and organic disease consecutive to it (heart, kidneys, etc.) caused 33% of the deaths. Disease of
the circulatory organs is the cause of much of the mental disease seen
in our patients beyond the age of 50. A glance at the above summary
will show that nearly 90% of all the deaths were due to organic and
incurable diseases.
The following table showing the forms of mental disease is no longer
in use, but is inserted to show the classification of patients up to June
30, 1906, since which time a modification of the well known classification of Kraepelin has been in use in all the asylums of Michigan.

TABLE III.
From the beginning to July 1,
1906.

Forms of insanity.

Males.

insanity (dementia monomania)
< ?' Delusional
Dementia (terminal)

31
162
117

216
158

378
275

29
58

1
2

30
60

Syphilitic
f 3>
General paralysis
{ bc.- Dementia from gross brain lesions (apoplexy, tumors, etc.)
i d. Dementia of senility
[c. Delirium grave

16
212
HI
180
17

8
36
53
124
16

24
248
194
304
33

f a . Neurasthenia
J b. Hysteria
Hypochondria
Id. Kpilepsia

161
3
13
191

233
85
6
113

394
88
19
304

( a . Periodical insanity
Reasoning insanitv
<
Paranoia
Moral insanity

104
1
425
1

117

II. Primary forms

299'
6

221
1
724
7

III. Arrest of development

j » ' Imbecility
Idiocy

140
4

81
1

221
5

1

1

1,884

4,190

A Incident to the normal brain
II. Secondary
I. Toxic (jilcoliol opium)

.

B. Incident to the normal and the degenerate brain
II. Symptomatic of organic disease of the brain

C Incident to the degenerate brain

206
94

422
182
1
54

T
P r1i m
i. 1
11 ui niiir y

r

f a . Melancholia
Mania
Dementia
Id! Hallucinatory delirium (primary confusions! insanitv) . .

I. Developed on the neuroses

/ a Acute.
\- Chronic

c.

U

•

-.

D Not insane voluntary cases

Total

Total.

216
88
1
23

'

.

JA^ •

Females.

2,306

TABLE IV.—Showing the forms of insanity of patients admitted.
From the beginning.

For the biennial period.
Males. Females.

1. Alcohol

Thyrogeme insanity

p
Manic depressive
Arrested mental development

Total

...

Total.

9
22
31
1
8
1
10
1
72
12
41
89
128

9"
1
19
5
25
24
51

9
24
31
2
11
1
19
2
91
17
08
113
179

87
122
18
10
33
65
27
19
13
45
2

22
55
66
7
54
138
72
27
21
25
1

109
177
84
17
87
203
99
46
34
70
3

4

| (2) Arterio-sclcrotic brain disease
20
6
(4) Other forms related to neurology '. . . '.
18
30
(5) General paralysis
31
. (6) Senile insanity
$ Cretinism.. .' ! . . . . 1 ! ! ! ! . ! ! ! ! ! ! ! ! ! !
f (1) Hebephrenic forms
22
44
3
[ (3) Katatonic forms
3
J (1) Classic type
16
21
(1) Manic state
7
. . . - (2) Depressed state
10
[ (3) Mixed state
6
26
{§) Idiocy0'.^' "]"[\]'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.

6
3
11
6
21

26
9
29
36
52

7
23
15
3
15
45
25
8
11
11

29
67
18
6
31
06
32
18
17
37

1

1

5

5

17

16

33

62

52

114

1

1

2

6

11

17

1

2

3
7

3
1
6
Organic brain disease (definite structural changes)

Males. Females.

2
9
7
1
5
1
10

\. Acute alcoholic hallucinosis
1_ c . Alcoholic paranoid conditions

2
8
7

Total.

1
1
2

2'
1
3

2

4

6

3

4

310

240

550

988

702

1,640

TRAVERSE CITY STATE HOSPITAL.

47

Table 4 shows that 27% of the patients admitted were suffering from
organic diseases, 20% from dementia praecox, 6.7%. from paranoia and
paranoid states, G%. from epilepsy, 21% from manic depressive insanity,
3.5% from alcoholic insanity, and 6.4% from arrested mental development. This analysis does not show that there has been any marked
increase in the various forms of insanity classified, save perhaps in the
imbecile group. It is becoming increasingly evident that the segregation of the feeble minded is a matter of the utmost importance to the
social welfare, and that a most definite economy would be secured by
providing adequate accommodations.
Your honorable body has suggested the desirability of increasing the
accommodations at Lapeer and the desirability of establishing separate
care for the epileptic and feeble minded, and there can be no doubt that
both these classes of patients should receive care in institutions especially
devoted to their education and training.
During the period a great deal of clinical laboratory work has been
done as well as some more important work along research lines. The
Wasserman test, which was just coming into use at the close of the last
period, has become a part of the routine in the examination of certain
patients. It is of the utmost value in the diagnosis of paresis and other
diseases of Inetic origin. During the last period there were 379 urine
analyses made. Of these analyses, nephritis was found 50 times, glucosuria 14 times, pus 53 times and red blood cells 12 times.
There were 93 blood examinations made, in which secondary anemia
was found 14 times, pernicious anemia 3 times, surgical leukocytosis
7 times and polycythemia once. The blood pressure was taken in 206
patients. Hyper tension was found 80 and hypo tension 10 times. Of
the very many sputum examinations the tubercle bacillus, pneuinococcus, influenza bacillus, were found in a number of cases, and
coccidia was found in one patient. The patient in whom the coccidia
was found presented many of the symptoms of tuberculosis, but upon
examination was found to be suffering from this peculiar infection. He
had been in the habit of caring for rabbits and it is supposed that he
contracted this infection from these animals.
Forty bacteriological examinations were made. In smears streptococcus pyogum were found in 6, staphylococcus 5, pneumococciis 3,
colon bacillus 3, tubercle bacillus 2, diphtheria bacillus 1, gonococcus 2,
unidentified 2.
CULTURES.

Streptococcus pyogum 5, staphylococcus 6, pneumococciis 1, colon
bacillus 2, diphtheria bacillus 1, unidentified 1.
There were 20 autopsies made during the period. Organs from each
case were examined pathologically. Brains and spinal cords were sent
to Ann Arbor for examination. The Wassermau blood examination
was made 108 times. Positive reaction 37. Negative 46. Doubtful 25.
Wasserman, spinal fluid, was made 32 times, positive 21, negative 12
times. Spinal fluid examinations 35, lymphocytosis was found in 22
cases, increase of albumin in 22, Nonne-apelt reaction 22. Negative 10.
There were 4 stomach analyses made. Achlorhydria was found in 2,
normal in 2. WidaPs test was made in 2, both negative. Vaccines were
prepared from staphylococcus, streptococcus and colon bacillus.

48

STATE OF MICHIGAN.

During the period the following surgical operations were performed:
Xo. of cases.
Appendectomy
1
Cataract ...'.
1
Cellulitis
12
Cervical abscess
1
Circumcision
2
Empyema
,.
1
Fracture (ribs)
2
Fracture (humerus)
1
Fracture (femur1')
5
Fracture (Colles)
,
3
Hemorrhoids
2
Laparotomy for tuberculous peritonitis
1
Necrosis of malar bones
1
Thyroideetomy
1
Tonsillotomy
8
Varicocele
1
During the period there were two obstetrical cases and 65 gynecological examinations.
The work in the training school for nurses has been carried on with
increased effort. The courses of instruction have been extended and
the teaching has improved with the increased experience of the staff.
There were 21 graduates, from the school in 1911 and 9 in 1912. A
roster of the graduates of the school is appended to this report.
The work in each of the departments of the hospital has never been
more carefully supervised or more strict economy practiced in their
management. The medical care of patients has been thoughtful, and
nothing has been left undone that was believed would promote the recovery or wellbeing of an individual. The scientific work, as before
mentioned, has been pursued with interest, and we believe that as much
has been done for patients as could be reasonably demanded.
The following tables will present a brief analysis of the forms of
mental disease of the patients admitted during the period. Each group
of the insanities is shown, with the number admitted, men and women.
the percentage of each sex to total admission, and other statistics that
may prove of clinical interest.
MANIC DEPRESSIVE

INSANITY.

There were admitted 38 men and 78 women who were placed in this
group, representing
of all cases admitted.
Women.

Men.
No.

Total admissions
Manic depressive insanity

Per cent.

310
38

No.

Total.

Per cent.

78

Per cent.

550

240
12.2

No.

32.5

116

21

to
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.

O

to

^

O

H-t
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M

~-J

Cn

t^
*—'

GO

tO

01

Total.

Female.

Male.

Total

Female.

o

H*

Male.

Oi

•

h-"

Male.

Total.

Female.

Male.

Total.

Female,

Male.

Oi

CO

•

H-J

1

Total.

to

h-

: ~

O"

.

.

:

CO M

M

:

Ci

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IO

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71 '

.

.

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PJ

STATE OF MICHIGAN.

50

Iii 65 of the 116 cases belonging to this group, hereditary predisposition was present. In 25 heredity was denied, and in 26 it was unknown.
Heredity was present in 56% of the cases in which this factor could
be determined. Therefore it becomes one of the more important predisposing causes of this type of insanity. The percentage corresponds
closely with our records of the previous biennial period, and quite closely
with the statistics of others both at home and abroad.
The following table shows the result of treatment:
MANIC DEPRESSIVE INSANITY.
Results of treatment.

OJ

B

^
^
Recovered . .

.

.

. . .

6
5

Unimproved
Died

Is3

a

s<5

h

EH

28

11

3
2

8

2

2
8

12

21

4

|
S3
a^

2

3

6

8

2

1

1

4

4

1

12

i.

4

1
1

i

aj

oj

_o;
oj

22

1
9

o

Total.

Mixed.

DepresrDepressive.

Manic.

1

7

g

C3

"5
o

o3
O
H

B

fe

4

10

24

34

2

9

9

18

E-

3

3

1

9

11

13

1.1

17

31.

48

Of the 38 men admitted suffering from manic depressive insanity
26.3% were discharged recovered, 23.6% improved, 5.2% died and 44.7%
remain in the hospital. Of the 78 women admitted 30.7% were discharged recovered, 11.5% improved, 4% unimproved, 14.1% died and
3i).6% remain under treatment. Of the 116 cases, 30% were discharged
recovered, 15.5% improved, 2.3% unimproved. 11.2% died, and 41.3%
remain under treatment.
ALCOHOLIC IN«ANITY.

In this group 16 men and 1 woman were placed, comprising 3.9% of
the cases admitted during the biennial period.
Women.

Men.

No.

Per cent .

Per cent.

5.1

1

No.

Per cent.

550

240

310
1C

No.

Total.

.4

17

3.9

These 16 men constituted 5.1% of the males admitted; the females
.4% of the women received.

TRAVERSE CITY STATE HOSPITAL.

51

The 17 cases were placed as follows:
Men.
No.

Acute alcoholic hallucinosis
Alcoholic paranoid conditions

Total.

Women.

Per cent.

9

12 5

7

43 . 75

7

43 . 75

Per cent.

No.

1

Per cent.

No.

100

2

11.7

8

47.1

7

41.2

Age at time of admission.
Women,

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

Total.

2

2

4

4

1

1

9

9

•}

3

I

1

3

3

1

1

In only 6 cases were there positive hereditary factors. Three cases
had no hereditary taint. The remainder are classed under the head
unknown.

*s

J3
c3

Jsl

1
Apoplexy or paralysis. . .

4

"ee
o
H

_o5
"eS
S

CO

1

OJ

s«

Female.

<g
c3
S

Total.

1

1

4

4

1

1

!

; .'

S

H

Female.

*e3

Brothers
and
sisters.

Collateral.

Female.

Atavistic.

Female.

o
«

!§3

Female.

Direct.

3

J_
i
4
1
3

1

STATE OF MICHIGAN.

52

Results of treatment.
_

Recovered

Women.

Men.

Total.

.
5

i

Died
Remaining 1

..

. . .

3

1
1

4

KOKSAKOW S PSYCHOSIS.

One woman with the following history, appeared to be a fairly typical
case of Korsakow's psychosis.
She was a widow 65 years of age. Father died at the age of 55 of
epilepsy. Mother died at the age of 88 from senile deterioration. The
causative agent was typhoid, which occurred nine years previous to her
commitment. She had evidently had neuritis. The reflexes were abolished. Mental characteristics: Marked memory disturbance for recent
events. She died after a residence of a little over six months in the
hospital. Autopsy was not permitted.
MORPHINISM.
There were received four men and two women with a history of having
been addicted more or less to the use of opium. One of the men had
been here several times previous. The other three were first admissions.
Two of the four men were physicians. One Avas a very old man, aged
76, a farmer, who had taken opium in small quantities for a great many
years. The other a young man, 26 years of age, who, as the result of
ill health, had been addicted to the use of morphine and occasionally
cocaine. All four men, after a short stay in the institution, were discharged apparently up to their standard.
Two women, aged respectively 42 and 33, married; the former, with
a history of the father having been an excessive drinker of whiskey,
and strong tubercular strain in the family, had been a user of morphine
more or less for a number of years. After remaining in the institution
three months she left apparently without any desire for the drug. The
latter, aged 33, had used opium more or less for some time. She was
discharged after a year's residence very much improved.
One patient, a male, had been addicted to the use of cocaine for a
great many years. He had had some chronic affection of the throat and
by the use of the drug his voice had been more or less rendered husky,
so that he was unable to articulate clearly. On three occasions he had
been discharged, and after a short time returned. He is still a patient
in the institution.

O

fj1

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to

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**

: : : : : > -

•

: : - : ' : > -

:
:

Total.

Female.

Male.

Total.

Female.

Male.

Total.

Female.

Male.

Total.

Female.

Male.

Total.

Female.

Male.

i

f : 3 | o •

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54

STATE OF MICHIGAN
Results of treatment.
Male.

Died

Female.

Total.

i

2

3

1

1

9

4

1

5

ORGANIC GROUP.

This group in all its forms, comprises 27.8 per cent of the admissions
for the biennial period.
Women.

Men.
No.

Per cent.

310
106

34.2

No.

Total.

Per cent.

240

No.

Per cent.

550
15.4

47

153

27.8

The cases were placed as follows:
Women.

Men.
No.

Per cent.

21

19.8

6
18
30

5.7
16.9
28.3
29.3

No.

Total.

Per cent.

No.

12.8
6.4

27
9

23.4
12.8
44.6

29
36
52

Per cent.

1
Other forms related to neurological changes . .
Senility

. . . .

31

6
3
11
6
21

17.7
5.9
18.9
23.5
34

TRAVERSE

CITY STATE

55

HOSPITAL.

Age at time of admission.
Male.

Total

Female.

1

Up to 94

1

25 to 21

4

4

30 to 34

4

2

6

35 to 39

9

3

12

1

S

0

2

8

7

1

8

12

5

17

13

5

18

9

6

15

15

8

23

19

10

29,

40 to 44
45 to 49
50 to 54

.

55 to 59
60 to 64
65 to 69

. .

70 to 74

s

Heredity.

i
I

Direct.

Brothers

Atavistic.

and

Collateral.

S

a.'

_J

is
d

"3
S

£

£

H

a
2

Insanity

6

6

12

Apoplexy or paralysis. . .

8

2

10

9

9

9

8

6

Total.

sisters.

|

_•
^
H

a

J£

s

2

6

F—j

fc(
2

8

2

•ap
oi

£

o

•4^

^j
-S

,2

o
H

5

2

•

£

M

s

£

7

16

13

29

2

10

2

12

2

3

1

Unknown

O

H

6

2

61

25

86

12

4

16

Results of treatment.
Arteriosclerosis.

Brain
tumor.

A

1

i
1
cS

£ i

Forms related to
neurological.

Brain
syphilis.

,

S

i
£

M

£i

3

-ag

H

S

1

pq

General
paralysis.

S
#

S

1

1

Senility.

1 S
^

Total.

|
1 &

3
1 S

•i

•

cS

1

i2
11

Recovered

1

4

1

1

i

1

1 13

2

15

2

i

1
1
s

5

2

7

1

2

3

3

Improved
Unimproved. . .
Died
Remaining

....

2

1
4
8 I 3 11 10
1

8

7

15

16

1

4

1

5

10

2

2

2

(i

5

1

5

1

11

q

12 ! 21
I

42

19

4

20

18

6 i 24

48

21

61
69

STATE OP MICHIGAN.

56

DEMENTIA PUAECOX.

There were 114 patieids placed in this group or' 20.7'/< of the admissions.
Men.

Women.

No. I Percent.
Total admissions

No.

Total.

Percent.

240

311)

Dementia praecox

No.

Percent

550

45

18.7 I

114

The following represents the types of dementia praeoox:
Men.

IKatatonic

,

Women.

No.

Per cent.

Total.

No.

Per cent.

No.

Per cent.

22

31.8

15.5

29

25.4

44

63 . 8

23

51.2

07

58.8

3

4.4

15

33 - 3

18

15.8

Age at time of admission and at beginning of disease.
Age at beginning.
Female.

Male.
15 to 19

. . .

20 to 24

. . .

25 to 29
30to 34

. . .

Total.

Male.

Female.

1

S

7

1

12

26

13

7

10

9

19

10

8

18

15

10

10

20
23

8

40 to 44

23

17

6

1

3

3

6

1

4

5

4

9
.
4

3

.50 te 54

2

2

4

55 to 59

1

1

2

1
2

2

1

.
6

8

20

1

45 to 49

60 to 67

Total.

14

16

35 to 39

Age on admission.

6

12

1

5

1

s

s

3

i

OS

5
M

I
W

rt

CO
CO

CO

o

t-H

IO

I

c;

Tt<

TRAVERSE CITY STATE HOSPITAL.

wx

•aprasji I

$

4 1" 1

57

STATE OF MICHIGAN.
Average age at beginning.
Male.

Female.

25 6

29

31 4

34 1

94

28 8

Results of treatment.
'. Paranoid.

£

H

I

Female.

Hebephrenie .

3

9

15

12

_oj

Katatonic.

13
9

o
H

Recovered
Improved
Unimproved . .
Died

6

...

2

Total.

'tf

"o
H

^

s
2

2

19

42
19

o

2

4

6

23

H

4

1

5

7

5

12

1

2

12

7

2

1

3

3

1

4

3

3

5

5

10

12

19

5

24

5

5

29

12

41

10

1

2

PARANOIA AND PARANOID STATES.

In this group 20 men and 18 women were placed, representing 6.9%
of all cases admitted.
Men.
No.

Women.

Per cent.

Total.

Per cent.

No.

240

310
20

6.4

No.

Per cent.

550

18

7.5

6.9

38

The 20 men constituted 6.4% of the males admitted, the 18 women
7.5% of the females received during the biennial period.
The 38 cases were classified as follows:
Men.
No.

VCornell.

Per cent.

Fetal.

No.

Per cent.

No.

16J
83i

6

16

32

84

3

15

3

17

85

15

Per cent.

TRAVERSE CITY STATE HOSPITAL.

59

Age at time of admission.
Male.
25 to 29
30 to 34
35 to 39
40 to 44
45 to 49

Female.

Total.

1

; .

1

1

1

4

50 to 54
55 to 59
60 to 64

3

7

2

6

2

5

7

4

2

6

4

7

1

1

3

65 to 69

1

1

1

1

Heredity.

2

1
2

6

4

6

1

5
3

30
EH

s

"03
"o
H

4

2

6

1

"3

g

3

1

4

_0

"3

1 S

Female.

3
3

o5

srt

Total,

Female.

Insanity
Apoplexy or paralysis. . .
Psychopathic

13
1

Brothers
and
sisters.

Collateral.

Female.

I*H

Female.

d

3

Female.

Atavistic.

Direct.

10

5

_OJ

13

"5
"o
H
15

3

2
8
10

]

3

1

1

2

2
4

6

8
10

Recovered.
Improved
Unimproved
Died

..
..
...

*c3
"o
H

Paranoid
states.

Total.

1
1 g

Female.

<D

1

Female.

Paranoia.

Female.

Results of treatment.

5
1

5

10

2

3
2

12

11

23

OJ

1

•3

13
1

1

^

,
..

.
. .

i
i

2
1

4

1

4
2

2

i

2

3

11

9

8
2
2
20

STATE OF MICHIGAN.

60

MELANCHOLIA.

There were admitted 2 men and 12 women who were placed in this
group, representing' 2.5% of the whole admissions.
Men.
No

Women.
No.

Per cent.

310

Per cent.

No.

240

2

Melancholia

Total.

550

12

.6

Per cent .

14

5

2.5

Age on admission.
Male.

Female.

1

1
1

3
5

5
5

1

1

1

I

1

40 to 44
45 to 49 . . .

Total.

.

50 to 54

2

.

55 to 59
60 to 64
65 to 69

,
Heredity.
Brothers

<U
~

"rf

7s
1

Insanity

1

1

Apoplexy or paralysis. . .

1

1

Unknown

jU
r*t

T5

1

JH
1

1

Total.

sisters.

3
<3
H

1

ci
Is
§

Female.

"3

and

Collateral.

Female.

jg
"as
H

Female.

Atavistic.

Direct,

2

"3 ^o5
Ta
1
2

1
1

0)
c8

C3

£ J_
4

4

1

1

4

5

3

4

TRAVERSE CITY STATE HOSPITAL.
Results of treatment.
Female.

Male.
Recovered
Improved
Unimproved
Died
Remaining

1

.
1

Total.

1

1

4

5

2

2

2

3

3

3

DEFECTIVE DEVELOPMENT.

Imbeciles and Idiots.
In this group were placed 26 men and 11 women, representing 6.7%
of the cases admitted.
Women.

Men.
No.

Per cent.

310
26

S.4

No.

Total.

Per cent.

240
11

No.

Per cent.

550
4.5

6.7

Age on admission.
Male.
10 to 14
15 to 19
">0 to 24
?5 to °9
30 to 34
35 to 39
40 to 44
45 to 49
50 to 54
55 to 59
60 to 64

Fern ale.
1

1

6

6
2

9

1

3

2
2
3
3

Total.

3
2

1

4

2

3

1

4

1

1

1

1

62

STATE OF MICHIGAN.
Heredity.
Atavistic.

Direct.

0

r&

i

«

a
is

i

•3
o

o>
3

S3
6

Brothers
and
sisters.

Collateral.

•3

<p

9

"3

<D

cs

P

H

En

H

«

N

1

1

2

0)

2

H

a

1

1j

H

1

6

6

6

1

3

1

6

G

6

16

10

6

7f
o

i

6

10

P
fe

a

2

1

None

•3
o

J

1

Total.

I

2
6
C

16

Results of treatment.
Female.

Male.

Total.

NO

8

Died

1

9

10

26

2

9

16

EPILEPSY.

In this group are 17 men and 16 women, representing 6% of the cases
admitted during the biennial period.

No.

Per cent.

17

No.

Per cent.

5.4

16

No.

Per cent.

550

240

310

Epileptics

Total.

Women.

Men.

6.6

33

6

TRAVERSE CITY STATE
Age at time of

63

HOSPITAL.

admission.
Male.

-

Female.

Total.

10 to 14. .

2

2

15 to 19

2

2

20 to 24

^
2

25 to 29.

4

7

2

4

30 to 34

3

35 to 39

2

40 to 44

1

45 to 49

5

. .

1

2

2

4

50 to 54

2

2

55 to 59

1

1

60 to 64

. .

65 to 69

1

1

Heredity.

Apoplexy or paralysis. . .

l
2

1

1

3
1

<j>

^ 3
|
3

2

1

Collateral.

"03
I

JH
"rf
§

Female.

Female.

JP
"cs
g

Female.

Atavistic.

Direct.

'rt

Brothers
and
sisters.

Total.

o5

4)

1
.§ cu1 3
53
o1 s3
o

~'
"rf

fc

1

1

1

E-i

§

1

4
1

tt

H

]

1

f
]

1

4

3

4

2

1

1

4

9

6

13

Results of treatment.
Female.

Male.

Total.

Recovered . .
Improved.

1

3

4

13

27

Unimproved .
Died
Remaining

2

2 '
14 |

64 j

STATE OF MICHIGAN.
PSYCHOPATHIC STATES.

In this group are 3 men and 1 woman, representing .7% of the cases
admitted during the biennial period.
Women.

Men.
No.

Per cent.

No.

310

Psychopathic

3

.9

Total.

Per cent.

No.

.4

550
4

240
1

Per cent.

.7

Age at time of admission.
Female.

Male.

1

30 to 34
35 to 39
50 to 54

1
9

Total.
1
1
2

HEREDITY.

In only one of these 4 cases was there given any history of hereditary
taint. One male, aged 52, had a half brother who was demented. This
same patient has a daughter now a patient in the hospital.
RESULTS OF TREATMENT.

All four patients were discharged more or less improved. The woman
went back to be tried for a crime and was convicted and sent to Detroit.
HYSTERICAL INSANITY.

Only one case was thus diagnosed during the period, a girl 21 years
of age, with a history of insanity on the father's side, and a brother and
sister temporarily insane, but recovered. Early life rather uneventful.
The beginning of trouble illness; characterized by sudden outbreaks of
excitement and destructiveness. The diagnosis was made on the basis of
anaesthetic areas. She was a great care because of periodical and
stormy attacks of excitement. Remained in the institution but a short
time and was taken home on trial.
UNCLASSIFIED GROUP.

Two men and three women were placed in the unclassified list.
The first: Male. Maternal aunt insane, maternal grandparents
cousins. Was admitted to the institution in a condition of great weakness as a result of chronic interstitial nephritis. He died 7 days after
his admission.
The second: Male. Aged 58. No insane history. Remained in the
institution but 28 days, was taken home on trial. Mental condition not
clear. Phvsicallv very feeble and anemic.

TRAVERSE CITY STATE HOSPITAL.

65

The third: Female. Aged 35. No hereditary taint. Very feeble in
body as the result of intestinal tuberculosis. Hallucinated. Remained
in the institution about 6 weeks and was taken home to> die.
The fourth: Aged 56. Female. Xo insane history. For a time at
State Psychopathic. Case not clear there. Afterwards transferred to
this institution. There has been no particular improvement but her
mental peculiarities are not characteristic of any particular type.
The fifth: Female. Aged 54. Mother died of extreme old age.
Father's history unknown. Patient had led a rather irregular life. Used
morphine and had had one or two peculiar attacks of fainting, not
strictly epileptic in character. Mental characteristics approached nearer
to Korsakow's than am 7 thing. She is still in the institution.
TABLE V.—Snowing the occurrence of heredity in patients admitted.

29
Apoplexy and paralysis.. 19
Psychopathic

10

41
6
12

0

70
25
22

Alcoholism

18

15

Total heredity

76

74 150

Negative

'

Total.

1

2,

^S

1

22

36
2

63

80

143

2

24

6

30

2

2

13

13

26

21

15

36

40 121 114

235

74

52

126

115

74

189

0

__;

O
H

Brothers
and
sisters.

Collateral.

Atavistic.

Female.

1

Female.

Direct.

W

|
•3

o

S

5

< £

4

7

2

2

1

33

9

I
3

16

*&

£

1

I

14

30

14

1
1

1

1

1

2

1

12

IS

1

15

33

18

22

310 240 550

66

STATE OF MICHIGAN.
TABLE VI.—Showing the age of patients admitted.
Biennial period ending
June 30, 1912.

Female.

Male.

From 20 to 24 years

. .

Total

4

4

15

3

18

25

30

55

From 25 to 99 years

25

19

44

From 30 to 31 years

22

31

53

From .35 to 39 years

40

28

68
38

23

15

From 45 to 49 years

26

28

54

From 50 to 54 years

31

IS

49

From 60 to 6i years
From 65 to 69 years

22

17

39

25

15

40

17

. .

Total

17

34

15

9

24

20

10

30

310

240

550

TABLE VII.—Showing civil condition of patients admitted.
Biennial period ending
June 30, 1912.
Civil conditions.
Male.

Single

Fem ale.

123

55

178

114

145

259

39

32

71

16

8

24
18

18

Total

Total.

310

240

550

TRAVERSE CITY STATE HOSPITAL.

67

TABLE VIII.—Showing the degree of education of patients admitted.

Biennial period ending
June 30, 1912.
Degree of education.
Male.

Read and write.

Total

Female.

Total.
9

6
13
193
24
14
30
30

3
14
164
34
1
19
5

27
357
58
15
49
35

310

240

550

TABLE IX.—Showing the occupation of patients admitted.
Biennial period ending
June 30, 1912.
Male.
Professional:
Architects, clergyman, engineers, surveyors, journalists, lawyers,
musicians, physicians and surgeons, teachers (school), etc. . . .
Clerical and official:
Bookkeepers, clerks, copyists, bankers, brokers, collectors,
auctioneers, agents, etc
.
Mercantile and trading:
Commercial travellers, merchants, pharmacists, peddlers, etc. . .
Public entertainment:
Hotel and boarding house keepers, saloon keepers, liquor dealers,
bartenders, restaurant keepers
Personal service, police and military:
Barbers, hairdressers, janitors, sextons, policemen, watchmen,
detectives, soldiers, sailors, marines (XT. S ), etc
Laboring and servantLaborers (not agricultural), servants
Manufacturing and mechanical industry:
Bakers, blacksmiths, butchers, cabinetmakers, carpenters, cigarmakers, jewelers, printers, engineers and firemen (not
locomotive), coopers, machinists, ma.sons, millers, painters,
plasterers, plumbers, tailors, tinners, etc
Agriculture, transportation and other outdoor:
Boatmen, draymen, hackmen, farmers, farm laborers, gardeners,
florists, livery stable keepers, lumbermen, sailors, fishermen,
steam railroad employees stock raisers etc
None
Unascertained. . . .
Total

Female.

Total

18

13

31

10

5

15

9

8

17

2

2

4

6

7

13

83

54

137

28

12

40

120
9

99

219
40

25

31
9

310

240

550

34

68

STATE OF MICHIGAN.
TABLE X.—Showing the nativity of patients admitted.
Biennial period ending
June 30, 1912.
Female.

Male.
Michigan
Other states

136

80

Male.

! Female.

Total.

110
58

Total United States..

216 j

168

:!S4

78

61

139

IB

11

27

310

240

550

1
1

1

36
1

22
4

1

2

1

2

1

9

7

1
1
3

7

3

1

2

4

1

Italy

Poland

1

1

1

3

2

1

8

3

5

2

Unascertained
Total

*

TRAVERSE CITY STATE

HOSPITAL.

TABLE XI.—Showing the nativity of parents.
Biennial period ending
June 30, 1912.
Male.

Foreign born
Native and foreign born .
Unascertained
Total

K 3

....

Female.

Total.

105
119
27
59

92
100
22
26

49
85

310

240

550

197
219

70

STATE OF MICHIGAN.
TABLE XII.—Showing the residence of patients admitted.
Biennial period ending
June 30, 1912.
County.
Male.

Bay

Female.

13
11
6
3
2

12
3
9
1

10

g
1

15
17
1

19

Total.

14

20
1

4

Clare

5

1G
25
2

12
1()

17
3

11

16
1

10

4

3
Q

4
3
4
3
14
6
4

9
9
13
19
5
3
1

1

3
9
6
4

10
16
5

9
11
5

9
13
15
13
23
35
5
3
1

4

2

6

2
1

3
9

5
10

6

15
2

21
6

2
2

....

g
13
26
1

g

2

4

St Clair
Schoolcraft

s

44
(3

4

T>

2

Wexford
Washtenaw

12

1
13
3

4
1
25
3

Total

310

240

550

TRAVERSE CITY STATE HOSPITAL.

71

TABLE XIII.—Showing the form of insanity of patients discharged and the.
results of treatment.
Recovered.

Unimproved.

Improved.

Died.

Total.

Forms of insanity.

©
"e3

£

"i
I
EH

i

i

5
2

Insanity due to infective and exhaustive in-

3 oj
1 i
6
1

1

3

2

2

4

1

1

1

2

2

6

1

1
1
3
6

1
1
2

3 9
12 27
4 7
1 3

4
7
1

1
1

5
6
2
3
3
2

1

"i'
2
2

Total

25

50

75

78

3
£

3

1
2

"2'
7
2
1
4

64 142

8^ 2

i
i
"i' i
i

"3
I
fe

2
6
9
"3'

"i'
2

1
&
2
6
9
1
5

5
1
20

2

6
1
22

8
4
1 "4"
24

12
1
28

3
16
31
29

2
5
2
24

5
21
33
53

6
18
36
34

2
5
2
29

8
23
38
63

1
5
5 12
1 2

2
3

1
1
3

3
4
3

12
25
4
2

5
18
10
1

17
43
14
3

2
2
2

2
2
2

3

3
7

2
1
1 7
2
5
1 "5"
1
6
3

7
3
8 14
5
7
1 8
4
6
9 15

13
47
23
3
13
6

20
61
28
11
17
21

"3'

"a"
i i
i

2
2

"s

10 15
6 12
5 7
2 5
5 8
3 5 "?'

"a"

.2
03

1 £

1

1

7 32 39
1 11 12
4
1 5

&H

6

4

6
15
3
2

"03
1

1

2

2

1

"cS
3

1

3
5

2

£

i

i

5
2

2

5

PH

1
i

"i'

3 "5

30

26

2
4

13

14

27 '19' 17
1
1
1
37

36
4
1
3
58

56 155 108 263 288 248

536

1
8

1
1
16 '30

3

1
1 "2
46 21

72

STATE OF MICHIGAN.

Improved.

Female.

Unimproved.

Died.

Total.

Female.

R covered.

Female.

TABjLE XIV.—snowing the duration of residence in months of all cases discharged.

3
£

6

8

14

8

3

11

3

2

5

17

13

30

34

26

60

6

12

18

12

15

27

6

6

12

19

10

29

43

43

86

5

15

20

18

9

27

6

2

8

11

11

22

40

37

77

3

4

7

11

8

19

2

5

7

2

9

24

16

40

2

3

5

7

8

15

2

2

4

13

3

16

24

16

40

1

4

5

6

10

16

1

1

17

2

19

25

16

41

2

2

6

6

2

1

3

9

3

12

11

12

23

1

3

9

5

14

5

3

8

29

13

42

45

22

67

1

1

4

4

2

3

5

14

19

33

20

23

43

3

•i

5

5

19

32

51

22

37

59

78

64 142

56 155 108 263 288 248

536

13
S

5

£ "Sa

a •a

"ca

1

I

EH

QJ

£

°ca
g

^

1 &

3

2

25

Total

50

75

30

26

3

iS

TABLE XV.—Snowing the age of patients discharged recovered.
For the biennial period ending
June 30, 1912.
Male.

Fern ale.

1

From 25 to 29 years

Total

Total.

3

4

9

9

4

8

5

12

2

4

6

1

6

4

2

5

4

5

9

2

2

4

4

1

5

2

1

3

1

1

46

75

29

7

TRAVERSE CITY STATE HOSPITAL.

73

•

TABLE XVI.—See Summary of Deaths page —.
TABLE XVII.—Shouting the age of patients who died.
Biennial period ending
June 30, 1912.
Female.

Male.

Total.
1

1
From 20 f o 24 years

5

1

6

From 25 to 29 years

7

4

11

6

10

16

12

8

20

13

6

19

6

12

18

17

5

22
26

From 30 to 34 years

From 60 to 64 years
From 65 to 69 years

Total

. . . .

. .

. . . .

. .

....

14

12

20

10

30

13

13

26

13

15

28

28

12

40

155

108

263

ESTIMATES OF SPECIAL APPROPRIATIONS.

The following are the_e»timafes^of special appropriations requested
by the Board of Trustees and submitted to the-State Board of Corrections and Charities for its approval:
To the State Board of Corrections and Charities:
Gentlemen: As required by Section 2228, Compiled laws of 1897, I
submit below estimates of special appropriations requested by the Board
of Trustees of the Traverse City State Hospital for carpenter and paint
shop; for completion of heating and ventilating systems; for shed for
storage of wagons and implements; for repairs to roofs and gutters;
for fencing; for artesian well; for roofing of cottages 24, 25, 26 and 28;
for extension to laundry and additional laundry machinery; for porch
to cottage 32; for dining room to cottages for men; for X-ray apparatus;
for addition to cold storage plant; for canal or water-way; for sidetrack ; for horses and motor truck.

74

STATE OF MICHIGAN.
I.

CARPENTER AND PAINT SHOP.

Excavation, 2,000 cubic yards, at 25 cents
Stone and concrete work
Gravel roof
Lumber
Doors and windows, door j'ams, window jams, complete....
Shafting and belting
Electric motor, 30 H. P
Sewer connection
Electric wiring and electric light
fixtures
Heating and plumbing
Carpenter work, labor nails, hinges, sash and door locks..

$500 00
1,000 00
200 00
500 00
500 00
500 00
550 00
150 00
100 00
600 00
900 00
$5,550 00

II.

HEATING PLANT.

For vacuum system, automatic temperature regulation,
radiators, etc., for the hospital for men and cottages 24
and 6, installation of heating system complete
For ventilating system, hospital for men and cottages
24 and 6
".

$10,000 00
8,000 00
$18,000 00

III.

SHED FOR STORAGE OF WAGONS AND IMPLEMENTS.

Concrete foundation and floor, 125 cu. yds. at $5.00
Lumber, 15,000 ft
".
Painting
Roofing 33 sqs. at $5.00
Eave trough and drainage
Grading 1,000 cu. yds. at 25c
Hardware and trai'eling crane
Carpenter work

$625 00
500 00
150 00
185 00
150 00
250 00
290 00
350 00
-_$2,500 00

IV. REPAIRS TO ROOFS AND GUTTERS.

Material, labor, scaffolding, etc

$2,500 00

V. FENCING.

Ornamental gate for entrance to grounds
1,320 ft. of iron fencing in front of grounds
500 rods wire fencing

$500 00
1,500 00
1,000 00
$3,000 00

VI. ARTESIAN WELL.

Estimated cost of pipe, driving shoe, cap, pipe connections, etc

$500 00

TRAVERSE CITY STATE HOSPITAL.
VII.

75

ROOFING COTTAGES 21, 25, 26 AND 28.

Completion of cottage 28
Hoofing cottages 24 and 26, 300 sqs. of slate
Roofing cottage 25, 160 sqs. slate laid complete
Scaffolding, material and labor

$800 00
3,500 00
1,800 00
300 00
|6,400 00

VIII. LAUNDRY EXTENSION

AND LAUNDRY MACHINERY.

Concrete, brick and stone work; window frames, door
frames, doors, windows, sewers, sewer connections, electric lighting, plumbing, carpenter work and labor
Washing machines, largest size

$1,200 00
800 00
$2,000 00

IX.

PORCH FOR COTTAGE 32.

Steel beams and columns
Cement and concrete work
Wire guards
Labor

$200
200
100
100

00
00
00
00

|600 00
X.

DINING ROOM FOR COTrAGBS FOR MEN.

Excavation
Cement and concrete work
152,000 brick in walls at $10 per M
Steel ceilings, 60 squares
6,000 ft. tile
floor
60 sqs. gravel roofing
Columns and steel beams
Plastering
Painting
Hardware and tin work
Heating and plumbing
Carpenter work and labor
14 windows, complete at $12 each
8 doors, complete, at $15 each
Lumber
Ranges, kitchen utensils, electric lighting, sewer connections
, ., . / . . . . /
,,,.,,

$150 00
700 00
1,520 00
480 00
2,400 00
300 00
262 00
200 00
150 00
150 00
800 00
1,500 00
168 00
120 00
400 00
700 00
$10,000 00

76

STATE OF MICHIGAN.
XI. X-RAY APPARATUS.

X Kay apparatus

f 950 00
XII. ADDITION TO COLD STORAGE.

Excavation
Concrete foundation
40,000 brick in wall at f 10 per M
10 sqs. slate roof at $12
3,000 ft. lumber at $16 per M
6,000 ft. lumber at $25 per M
2,500 Ibs. steel beams at 2c per Ib
Painting, carpenter work and labor
Nails and hardware
Sewer, sewer connections and electric lighting
90 ft. cornice complete
Pipe and piping for brine circulating system, Nonpareil
insulation, labor and everything complete, as per estimate
of the P. W. Wolf Mfg. Co

$100 00
25 00
400 00
120 00
48 00
150 00
50 00
150 00
60 00
100 00
97 00
3,500 00
$4,800 00

XIII.

CULVERT OR WATERWAY.

Cement, labor, lumber, etc
XIV.

$1,000 00

HORSES AND MOTOR TRUCK.

10 span of first class heavy work horses at $600
One 5-ton motor gasoline truck

$6,000 00
5,000 00
$11,000 00

XV.

SIDE TRACK.

RECAPITULATION.

Carpenter and Paint Shop
Heating plant
Shed for storage of wagons and implements
Repairs to roofs and gutters
Fencing
Artesian well
Eoofing cottages 24, 25, 26 and 28
Laundrv extension and laundry machinery
Porch for cottage 32
Dining room for cottages for men
X-Ray apparatus
Addition to cold storage
Culvert or waterway
Horses and motor truck
Side track

$5,500 00
18,000 00
2,500 00
2,500 00
3,000 00
500 00
6,400 00
2,000 00
600 00
10,000 00
950 00
4,800 00
1,000 00
11,000 00
45,137 SO

All of which is respectfullv submitted.
J. D. HUNSON,
Medical Superintendent.

TRAVERSE1 CITY STATE HOSPITAL.

77

The following is the report of the State Board of Corrections and
Charities on the above requests for appropriations:
MICHIGAN BOARD OF CORRECTIONS AND CHARITIES,
LANSING. October 31, 1912.
Dr. J. I). Munson, Medical Superintendent. Traverse City State Hospital,
Traverse City, Michigan:
Dear Sir—At a, meeting of the State Board of Corrections and Charities held on the 24th instant, your estimates for appropriations for the
biennial period ending June 30, 1913, were given final consideration.
The several items as submitted by you under date of October 15, 1912,
were approved with the exception of item No. 11. Your estimate of $11.000.00 for "Horses and Motor Truck" was approved in the sum of
$3,000.00, providing appropriation for "Side Track" is made; otherwise
the item is approved in full.
Very respectfullv,
DAYTON PARKER,
Chairman.
CHAPEL SERVICES.

Religious services have been conducted by chaplain, Rev. D. Cochlin,
assisted by Revs. Mr. Curran, Mr. Chapin, Mr. Erwin, Mr. Lay and Mr.
Allington, all of Traverse City.
ACKNOWLEDGMENTS.

To all those who have in any way contributed to. the welfare or comfort of our patients our best thanks, are extended.
CONCLUSION.
It is gratifying to be able to report that the relations of the hospital
to the State and to the counties which it serves, have been harmonious,
and that there has been cordial cooperation between State and County
officials and the hospital in everything relating to the best interests of
the institution and its patients. The summation of all branches of industry of the hospital forms a vast business, and requires direction by
men and women constantly on the ground and in intimate association
with its aims and purposes. You have given more than usual attention
to its management, and have fostered every effort having for its object
better care and treatment of patients, improved and more economical
business methods, and betterments of all kinds. I am sensible of my
obligations to you, to my associates on the staff, and to all employes,
for many personal kindnesses. I believe that every one has tried to do
his full duty and that there have been very feAV occurrences during the
last two years that have required special attention at your hands. It
has been my best endeavor to maintain the hospital at a high standard
of usefulness.
All of which is respectfully submitted.
J. D. MUNSON,
Medical Superintendent.
Traverse City State Hospital, Sept. 1912.

STATE OF MICHIGAN.

78

OFFICERS AND EMPLOYES
OF THE TRAVERSE CITY STATE HOSPITAL, AND THE WAGES OR SALARIES PAID EACH, JUNE 30, 1912, AS REQUIRED BY
SECTION 2, ACT 206, LAWS 1881.
Service.

Name.

James D. Munson
A. S. Rowley
W.D.Mueller
R. E. Wells

,

Medical superintendent
Asst. medical superintendent..
Assistant physician

James A. J. Hall
S. C. Niles. . . .
G B Pike
T. H. A. Tregea
C. W. Nesbitt. . .
C.M. Frail
A. Newman
S. G. Howard...
B.P.Burns

Chief carpenter
Chief engineer
Storekeeper
General supervisor

Period.

Rate.

S3, 500
2,800
1,700
1,500
900

00
00
00
00
00

Per annum. Resident.
Per annum. Non-resident.
Per annum. Resident.

1,000 00
1,000 00
1 800 00
260 00
106 00

Per annum. Resident.

75 00
1,500 00
1,600 00
1 200 00
85 00

Per
Per
Per
Per
Per

month.
annum.
annum.
annum.
month.

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

72
60
65
45
35

00
00
00
00
00

Clerk . . .
Clerk

40
36
35
25
30

00
00
00
00
00

Per month.

Resident.

HansTobler....
Win. J. Wetter

Gardener
Dav watchman
Attendant

70
75
45
24
14

00
00
00
00
00

Per
Per
Per
Per
Per

month.
month.
month.
month.
month.

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

John Aniskonski

Attendant

26
25
17
35
17

00
00
00
00
00

Per
Per
Per
Per

month.
month.
month.
month,

Resident.
Resident.
Resident.
Resident.

37
28
24
40
28

00
00
00
00
00

Per
Per
Per
Per
Per

month.
month.
month.
month.
month.

Non-rent.
Resident.
Resident.
Resident.
Resident.

22
24
24
24
28

00
00
00
00
00

Per month. Resident.
Per month. Resident.

14
15
14
14
38

00
00
00
00
00

Per
Per
Per
Per
Per

month,
month.
month.
month.
month.

Resident.
Resident.
Resident.
Resident.
Resident.

17
17
28
18
17

00
00
00
00
00

Per
Per
Per
Per
Per

month.
month.
month.
month.
month.

Resident.
Resident.
Resident.
Resident.
Resident.

*- '

Nettie Blank

Effa Baatz
Cook
Effie L Bixby
Homer Brown

Attendant

Leslie Brown

Attendant
Attendant

John Bryan
Ethel Russell

Helen G. Callahan
Arthur J Clark
Gertrude Coddington

Attendant

Domestic

Attendant
Attendant

Per month. Resident.
Per month.
Per month.

Non-resident.
Non-resident.

Per month.

Non-resident.

Per month. Resident.

TRAVERSE CITY STATE HOSPITAL.

79

OFFICERS AND EMPLOYES.—Continued.
Service.

Name.

Rate.

Period.

$26
46
18
24
42

00
00
00
00
00

28
37
38
42
40

00
50
00
00
00

Per month.
Per month.

Resident.
Non-resident.

Per month.

Non-resident.

Nellie Edwards

24
17
28
65
17

00
00
00
00
00

Per
Per
Per
Per
Per

Minnie Flint

Night nurse.

18
28
20
50
37

00 Per month. Resident.
00
00 hPcr month. Resident.
00
00 Per month. Non-resident. '

Minnie Greilick
Bert Glass
Marvin Gillis

Attendant

18
34
24
18
32

00
00
00
00
00

Per month. Resident.

46
38
24
40
29

00
00
00
00
00

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

IS
24
26
17
36

00
00
00
00
00

Per month. Resident.
Per month. Resident.

26
42
38
18
25

00
00
00
00
00

18
24
32
40
17

00
00
00
00
00

23
24
30
26
24

00
00
00
00
00

35
18
18
20
26

00
00
00
00
00

31
18
29
23
24

00
00
00
00
00

40
26
34
20
17

00
00
00
00
00

George C. Dell

Night nurse

Wm. L. Bernard
Robert Dell

Attendant

H. W.Dickinson
D S Dean
Gill Drost
Ray Elliott

Night nurse.

Attendant

Alvin Gilbert .

. .

C. R. Griffith .
Willard Getchel
Hildur Hedenskog

...
Night nurse

Tillie Henschell
Edw. Guilfoy

L. J. Hicr

Night nurse

Daisy L. Graves. . . .
Ada Hall

Attendant

Margaret E. Heator. . . . "
Harrv Hibbard
R. G. Johnson

Attendant

W. H. Keyes
Fred Krone. .
G. L. Kirby
Ed. Krausc . . .

Attendant
Attendant

Caroline Kcyes. . . .
Anna Kropp

Clare Krone
Alma Leggett
Julia Leo
W. H. Lyons .
R. L. Lyons
OtisLeland
Esther Lardie.

Attendant

Attendant

Per month.

Non-resident.

Per month. Resident.

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

Per month. Residen .
Per month. Resident.
Per month. Resident.
Non-resident.
Resident.
Resident.
Non-resident.
Non-resident.

Per month. Resident.

Per month. Non-resident.
Per month. Resident.
Per month. Resident.
Per month. Resident.
Per month. Resident.
Per month.

Resident.

Per month. Resident.
Per month. Resident.

Per month. Resident.
Per month. Resident.

Per month. Non-resident.

Per month.

Resident.

so

STATE OF MICHIGAN.
OFFICERS AND EMPLOYES.—Continued.
Name.

Night supervisor

R. H. McKenzie

Franc O'Dell.

Attendant

Bertha C. Peterson
V. A. Patrick
Anna Patrick
F. G. Park

Attendant
Attendant

....

Glen Parks. .
Attendant
John Scaton.
Fred Sawdy .
Lee S. Swan .

Attendant

Anna Smith .
E. Strickler.
Pearl E. Tyler
Perry Tobey.
Mabel Willard
Elsie Wilson
Stanley Tobin
Fannie Soss..
Philip Tobin
Robt. Tobey
J W Stevens
D. E. Ward..
L. A. Wright

. ..
Attendant

Attendant
Cook. .

.

.

Alildred Ziglcr
Eunice Walsh.
Hattie Walsh
Thos. Whitfield
Helen J. Whitfield
W. Bellaw

Chef ..
Baker

S. A. Conrad.
Geo J Dell

Robt F Herkner
Robert Shalda
Fred Willsey

Butcher

C W Scott
William Heimforth
Walter Beckwith
Elmer Bagnel

Rate.

Service.

Assistant cook

Period.

$17
46
23
17
23

00
00
00
00
00

18
27
40
20
23

00
00
00
00
00

18
25
40
26
44

00
00
00
00
00

28
26
17
25
33

00
00
00
00
00

28
24
32
23
18

00
00
00
00
00

Per m

24
28
20
18
36

00
00
00
00
00

Per m
Resident.
no nt h. Resident.
Per m
Resident.
Resident.
Per m(
Resident.

18
18
24
29
24

00
00
00
00
00

Per m<
Resident.
Per ni(.onth. Resident.
Resident.
Per m<
Non-resident.
Resident.

28
34
24
34
45

00
00
00
00
00

31
18
31
31
44

00
00
00
00
00

Per m
Per m
nonth.
nonth.
Per m
iionth.

39
18
17
70
70

00
00
00
00
00

Per me
nonth. Non-resident.
Resident,
Per me
Resident.
Resident.
Per m(
Non-resident.

55
34
18
17
17

00
00
00
00
00

Per m(

65
24
26
32
24

00
00
00
00
00

Per me
Per me
Per me

24
28
24
26
28

00
00
00
00
00

Per me
Per me

Per m

Per m

Per m
Per m

Per m

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

Per m
nonth. Resident.
Resident.
Resident.
Resident.
Per m
Resident.

Per me
Per m(

Per me
Per m(

Per me

Per me
Per me

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

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

TRAVERSE CITY STATE HOSPITAL.

81.

OFFICERS AND EMPLOYES.—Continued.
Name.

Service.

Cook
Claude W Nelson
A[mon Covey

Laundryman

John Alston

Assistant laundryman

Period.

Rate.

§35
24
24
40
66

00
00
00
00
00

37 00
14 00

Celia White
Violet Irish

22 00

Edna Meteor.
Helen McCalium. . .
Ethel White

23
21
14
28
21

00
00
50
00
00

13
24
25
22
23

00
00
00
00
00

50
2
40
50
50

00
00
00
00
00

1
2
2
65
50

75
75
00
00
00

Per month. President.
Per month. Resident.
Per month. Resident.
Per month. Resident.

20 00
13 00

Ethel Edwards
May Stricklin
Flora White
Ina Crandall

Laundress

E. Stamvick
J. Lotharius

Fireman

Jim Lutes
W Frascr
Emil Nelson

Laborer

H. Butrick

Pipeman

R. Blazek

Fireman

Pipeman

J 0 Edwards
J. B. King .

50 00
1 75
1 75
1 75
50 00
2
2
2
2
2

A. H. Bennett
J. G. Loeding
R. W. Loeding

25
25
25
70
50

Per month.

Non-resident.

Per month.

Non-resident.

Per month.

Non-resident.

Per month. Non-resident.

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

Non-resident.

Per month.

Non-resident.

Per month. Non-resident.

Per day.

Non-resident.

Per day

Non-resident.

2 70
2 70
2 70
70 00
1 75

S. W. McMichael

John Trcmaine
T P Reddin°S. Edgerley -

U. Bruce
C Gabriel
Win. Shane
John MeGill
G. W. Burrctt
L. A. Cunningham
D. W. Kelley
J. M. Murphy
M. ITarig

Barnman
Barnman

11

2
37
31
31
33

00
00
00
00
00

60
29
32
29
29

00
00
00
00
00

70
29
32
31
29

00
00
00
00
00

31
50
33
29
29

00
00
00
00
00

Per month. Resident.

Per
Per
Per
Per

month. Resident.
month. Resident.
month. Resident.
month. Resident.

STATE OF MICHIGAN.

82

OFFICERS AND EMPLOYES.—ConclbCed.
Service.

Name.
M?*j
Frank Steele
Glenn Hobbs

Teamste .
....

....

Rate.

$29 00
29 00
29 00
1 50
29 00
29 00

Period.

GBADU> rr'T~

OF THE TRAVERSE CITY STATE HOSPITAL
CHAINING SCHOOL FOR NURSES.

1908.
Harry Baker.
Laura M. Bigbee.
Bennett P. Burns.
Lena Aldrich Covey.
Sadie L. Docherty.
Anna Carre'" Evans.
Mary Louise Jink.
Wesler H. Herriman.
John O. Hoppes.
Raymond G. Johnson.
Esther V. Keller.
Louise Kitscher.
Dora P 11 Lewis.
Maria Margaret McDonald.
Louise E. McGivern.
Catherine MeKinnon.
Amy Orcutt.
victor A. Patrick.
Hattie Holmes Parr.
Florence Helen Roest.
Lurene Shryer.
Lyllian Faith Walsh.
Anna M. Warner.
Lucinda. Hazel Wilson.
1909.
Margaret Clark.
Edna Crandall.
Gertrude Eamon.
Anna Hanson.
Thea Hanson.
Flora Hollister.
Cora Laisy.
Howard Lewis.
Ruth Merrifield.

;

1910.
Ray H. Buttars.
Loura Lela Cronkwright.
Leonard A. Cluley.
John F. Donovan.
Nellie Taube Ellsworth.
Anna Maude Grissinger.
Ethel Beatrice Hanes.
Albert James Howard.
Ethel Lillian Johnson.

1910.
Jesse Angie Keating.
Gertrude A. Kerry.
Juliana Mary Leo.
Gail Langworthy.
C. Harold Leutholtz.
Tressie A. Miller.
Cleo Von Miller.
Ella Orvis Miller.
Archie Miller.
Anna Thoreson Newman.
Idylia Reynolds.
Mina Odolla Shearer.
1911.
Martha Clara Kitscher.
Nora Belle Eamon.
Lena Amelia Rude.
Matilda Delvena Send.
Alice Julia Thoreson.
Berina Cornelia Peterson.
Hazel Erveilia Edgerley.
Marie Esther Orvis.
Gertrude Margaret Orvis.
Ada Julia Hall
Rosetta Aiston.
Essie Marie Johnson.
Grace Belle Alexander.
Effie Florence Grissinger.
George Oliver Zeigler.
Lee S. Swan.
George W. Ashby.
Leo. S. Chamberlain.
Perry A. Tobey.
Stephen PL Young.
1912.
Judith Evans Kidder.
Frances Edith Soss.
Wilhelmina L, Oldenburg.
Daisy M. Lahr.
Alice A. Smith.
Mabel Cowles Willard.
Alma E. Leggett.
Emma Thura.
Otis H. Leland.

APPENDIX.

APPENDIX.
The asylums of Michigan are organized and governed under Organic law.
an act known as Act 217, Laws of 1903. This act has for its
title "An Act to revise and consolidate the laws organizing
asylums for the insane and to regulate the care, management
and use thereof, and to provide for the apprehension of persons believed to be insane, and for their care and custody."
The above act was modified in no essential respect as regards commitment of patients by the Laws of 1907, but Section 72, Public Acts of 1907, contains very important provisions regarding the care of persons who are not legal residents of the State of Michigan. The act is too long to
justify its insertion, but all officers and persons interested
in the commitment of patients, whose residence is in doubt,
are requested to study the different sections of this act.
The government of asylums is vested in boards of trustees Government,
appointed by the Governor. (Section 3.)
The State is divided into districts by the Joint Board of Asylum
Trustees. (Sections.) The counties comprising the district
of the Traverse City State Hospital are:
Alpeua
Arenac
Antrim
Alcona
Benzae
Charlevoix
Clare
Crawford
Cheboygan
Emmet
Gladwin
Grand Traverse
Gratiot
Isabella
losco
Ionia
Ka 1 kaska
Lake

Leelanau
Manistee
Mason
Mecosta
Midland
Missaukee
Montcalm
Montmorency
Muskegon
Newaygo
Oceana
Ogemaw
Osceola
Otsego
Oscoda
1'resque Isle
Roseommon
Wexford

Provision is made by Section 7 for the transfer of patients Transfer from
from one asylum to another when conditions make such another1™0' *°
transfer desirable.
A patient is not to be committed to an asylum of a dis- insane to be
trict other than that of which he is a resident unless the as^™m"0e{d to
court adjudicates that there is no room in the latter, and tfceir district.
that there is in the former. (Section 8.)

86
Classes of
patients.
Voluntary
patients.

Public and
private
patients.
Order void
after thirty
days.
Bonds.

Advance
payment.

New bonds.

Temporary
orders.
Transfer from
private to
public.
Non-resident.
Provisional
discharge and
readmission of
patients.
Insane women
to be accompanied by
female attendant.

Removal of
patients from
home.

STATE OF MICHIGAN.

Patients are divided into three classes: Public patients,
private patients, and voluntary patients. (Section 13.)
Voluntary patients are patients who are not insane. They
are kept and maintained without expense to the State, but
cannot be received so long as there may be applications for
the admission of public or private patients not cared for because of lack of room. In other words, there must be room
for all others seeeking admission before any voluntary patients can be received.
Sec. 14 as amended by Act 155, Laws 1911, "Provided that
such persons as may have been or may hereafter be adjudged
to be so addicted to the excessive use of intoxicating liquors,
or narcotic or noxious drugs, as to be in need of medical
and sanitary treatment and care, for whose person a guardian has or may be appointed with power to restrain his said
ward in some suitable hospital or asylum for treatment."
Both public and private patients can be received only on
an order from a probate court declaring the patient insane
and stating the method of support,—whether public or private. Such an order is void unless patient is sent to the asylum within thirty days after it is issued. (Section 16.)
Besides the order of commitment from the court, there
must accompany a private patient a bond guaranteeing the
payment of his bills. The law (Section 16) makes it incumbent upon the court to see that this bond is furnished.
Until this bond is furnished the patient is regarded as a
public charge. There is also required an advance payment
of fifty dollars. Future payments are made at the close of
each quarter.
Xew bonds may be called for at any time by the medical
superintendent, and the law requires the court to see that
such new bonds are provided. (Section 10.)
Provision is made (Section l(i) for the reception of both
public and private patients on temporary orders wherever
conditions demand immediate attention.
Section 21 provides for the transfer of a patient from private expense to public expense 'where conditions warrant sucli
a change.
Section 30 provides for the temporary reception and care of
insane who are not residents of this State.
Section 32 provides for the return to the asylum without a
new order of patients who have been discharged on trial,
where the duration of the temporary absence does not exceed
six months.
The attention of county officers is particularly called to the
provisions of Section 40 regarding the state of bodily cleanliness and the clothing of patients brought to the asylum, and
more particularly to that clause of the section providing for
a female attendant for insane women.
In conveying a patient to the asylum do not deceive him.
Truth should not be compromised by professing a visit to the

TRAVERSE CITY STATE HOSPITAL.

institution, and, on arrival, suggesting to the patient the idea
of staying, when his admission has already been decided
upon; nor should patients be induced to come and "stay a few
days to see how they like it," under the impression that they
can leave at pleasure. This course not only destroys confidence in friends, but also in the officers of the asylum, by
giving patients an impression that they are parties to the
deception.
Removal to the asylum should never be attempted when the
patient is much prostrated or laboring under severe bodily
illness, and care should be taken that the excitement attending acute mental disease be not mistaken for physical
strength.
As friends of patients are often in doubt as to what articles Clothing.
of clothing it is necessary to provide the following suggestions are made:
Male patients require 3 new shirts. 1 new and substantial
coat and vest, 2 pairs of pantaloons, 3 pairs socks, 2 pairs
drawers, 2 undershirts, 1 hat or cap, 1 cravat, 3 collars, 6
handkerchiefs, 1 pair of shoes or boots, 1 pair slippers, 1
overcoat.
Female patients should have 3 calico dresses, 3 chemies, 3
pairs drawers, 4 pairs hose, 3 night-dresses, 3 cotton-flannel
skirts, C handkerchiefs, 4 collars, 1 pair shoes, 1 pair slippers,
1 shawl or cloak, 1 hat, hood or nubia, 4 aprons.
The outfit should be liberal when circumstances permit. As
nearly all the patients go regularly into the open air each day,
it is desirable that they be furnished with clothing of a character to enable thorn to go comfortably in all weather, and
also to appear at little social gatherings. When desired, articles of clothing, etc., will be furnished at the institution.
Jewelry should not be brought with patients. If such articles
are left in their possession the asylum cannot be responsible
fo;r their safe keeping,
All letters concerning patients, from individuals having corre
the right to make inquiry, will be answered at once; and cncefriends are promptly advised of any severe illness, accident,
or event of moment or interest. The postofflce and telegraphic addresses of one correspondent in each case are recorded, to whom such communications are sent. Letters are
frequently received to which replies cannot be mailed, for the
reason that the postoffice address is not clearly given. A
little care on the part of friends will often save them disappointment and the asylum unmerited censure. Information
concerning inmates will not be given to casual visitors, except at the written request of friends.
Where relatives of patients desire friends who are not mem- visiting
bers of the family to visit patients, they should, in every in- patients stance, furnish these friends with a letter of introduction,
authorizing the interview.

87

88

Application
of patients.0

STATE OP MICHIGAN.

Application for admission should be. made before the putient -is brought to the asylum. A blank will be furnished the
friends which provides for a complete history of the patient's
trouble.
All correspondence in reference to patients should be addressed to Dr. -Tames D. Mnnson. Northern Michigan Asylum.
Traverse City.

INDEX

INDEX.
Accounts, abstract of
Accounts, current
Accounts current, summary of
Acknowledgments
Admission of public patients
Admission of private patients
Admission of voluntary patients
Admissions and discharges. Table
Age of patients. Table
Age of patients discharged recovered. Table
Age of patients who died. Table
Alcoholic insanity
Appendix
Appointments, resignations, etc
Appropriations, report of
Artesian well
Carpenter and paint shop
Chapel
Civil condition. Table
'
Clothing
Cold storage plant, addition to
Cost of maintenance
Culvert
Daily average of patients
Deaths, causes of, etc
Death rate
Dementia praecox
Duration of residence of patients discharged. Table
Dietetics and food analysis
Education. Table
Epilepsy
Estimates of special appropriations
Extension to laundry and additional laundry machinery
Farm and garden
Fencing
Form of disease. Table
General dining room for cottages for men
Heating plant
Heredity. Table
Holstein-Friesian herd
Hysterical insanity
Horses and motor truck
Imbeciles and idiots
Improvements
Increase of patients
Infection and exhaustion psychoses
Insanity of patients discharged. Table
Inventory, summary of
Korsakow's Disease
' laboratory work
Manic depressive insanity
Melancholia
Morphinism

Page
26
30
33
77
86
86
86
37
66
72
73
50
83
24
,
16
18
17
77
66
87
19
15
19
16
38
16
56
72
8
67
62
73
19
21
18
46
19
18
65
22
64
21
61
16
14
53
71
33
52
47
48
60
52

92

INDEX.
Page

Movement of population. Table
Names of officers and employes. Table
Nativity of patients. Table
Nativity of parents. Table
Needs of hospital
Occupation. Table
Officers, names of
Organic group
Paranoia and paranoid states
Patients treated in county houses, jails, etc
Patients, suicidal, homicidal, etc
Porch for cottage 32
Psychopathic states
Recapitulation
,
Receipts and disbursements
Removal of patients to hospital
Repairs to roofs and gutters
Report of medical superintendent
Report of State Board of Corrections and Charities
Report of trustees
Report of treasurer
Report of steward
Report of auditing committee
Residence of patients committed
Residence of patients. Table
Results of treatment ol patients discharged. Table
Re-roofing cottages 21, 25, 26, 28
Shed for storage of wagons and implements
Sidetrack
Summary of causes of death. Table
Surgical operations
Title and addresses
Training school for nurses
Unclassified group
X-Ray apparatus

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,

37
78
68
69
17
67
5-6
54
58
15
15
19
64
21-76
24
86
IS
37
77
7-25
26
34
32
14
70
71
18
18
20
43
48
3
7
64
19