Report of the Board of Trustees of the Northern Michigan Asylum at Traverse City June 30, 1906.

Report of the Board of Trustees of the Northern Michigan Asylum at Traverse City June 30, 1906.

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

Psychiatric hospitals.

Report of the Board of Trustees of the Northern Michigan Asylum for the biennial period ending June 30, 1906. This report includes the reports of the medical superintendent, treasurer and steward.

Board of Trustees for the Northern Michigan Asylum at Traverse City.

Original document held by Traverse Area District Library.

Lansing: Wynkoop Hallenbeck Crawford Company, State Printers.

30 June 1906

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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English.

Document.

TCSH0013

Traverse City, Grand Traverse County, Michigan.

REPORT

BOARD OF-TRUSTEES

IWIEH MICHIGAN ASYLUM
TRAVERSE CITY
J U N E 30, 1906

BY AUTHORITY

LANSING, MICHIGAN
WYNKOOP HALLENBECK CRAWFORD COMPANY, STATE PRINTERS
1906

OFFICERS OF THE NORTHERN MICHIGAN ASYLUM.

TRUSTEES.

G. A. HART
H. C. DAVIS
THOS. T. BATES
W. W. MITCHELL
A. F. TEMPLE
M. F. QUAINTANCE

MANISTEB
TRAVERSE CITY
TRAVERSE CITY
CADILLAC
MTJSKEGON
PETOSKEY

RESIDENT OFFICERS.

JAMES D. MUNSON, M. D
A. S. ROWLEY, M. D
J. F. CANAVAN, M. D
W. D. MUELLER, M. D
BEATRICE STEVENSON, M. D
H. D. PURDUM, M. D

MEDICAL SUPERINTENDENT
ASST. MEDICAL SUPERINTENDENT

!

;

L

NON-RESIDENT OFFICERS.

C. L. WHITNEY
W. P. MANTON, M. D

:
STEWARD
DETROIT, MICH., GYNECOLOGIST

CHAPLAIN.

REV. D. COCHLIN

. .TRAVERSE CITY

TREASURER.

SAMUEL GARLAND

TRAVERSE CITY

OFFICERS OF THE NORTHERN MICHIGAN ASYLUM FROM ITS
ORGANIZATION IN 1881.
BOARD OF COMMISSIONERS APPOINTED TO SELECT SITE FOR THE NORTHERN
MICHIGAN ASYLUM.
Date of appointment.

Retired.

Residence.

Name.

Work of board completed Sept, 30, 1882.

1881
1881
1881 .

M. H. Butler

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

Residence.

Name.

MICHIGAN

Retired.

1885.

1881
1881
1881
1881
1885

E. H. Van Deusen
M. H. Butler
H. H. Riley .

Detroit.
St. Joseph.

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

MEMBERS OF THE BOARD OF TRUSTEES OF THE NORTHERN MICHIGAN ASYLUM.
Date of
appointment.

Name.

Residence.

Term
expires.

President
from to

1887
1887
1889
1907
1897

1885 to 1886

1885
1885
1885
1885
1885

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

Detroit
Three Rivers
Traverse City
Elk Rapids

1885
1887
1887
1889
1891

Geo. A. Farr

Grand Haven

Lorin R. Roberts

Traverse City

C. L. Whitney

Muskegon

1891...
1889
1895
1897

H. C. Davis
G. A. Hart
W. W. Cummer

Traverse City

1897
1889
1901
1901

C. F. Backus
H. D. Campbell
W W Mitchell
H. D. Birgham

Detroit
Traverse City
Cadillac

1905
1901
1910
1901

1902
1901
1903
1905

D.
G.
A.
M.

Frankfort
Manistee

1903
1907
1908
1911

B. Butler
A. Hart
F. Temple
F. Quaintance

Cadillac
Bad Axe

Petoskey

1891
1893
1899
1891
1895
1908
1897
1901
1901

"1886 to 1892
1892 to 1897

Remarks.

Present member.
Deceased.

1897 to 1899

1899 to 1902

Present member.

Ad. interim appt..

1902 to

Present member.
Present member.

Medical Superintendent:
James D. Mflnson, M. D., 1885.
Assistant Medical Superintendents:
J. H. Dawson, M. B.—1885 to 1890. Resigned.
C. G. Chaddock, M. D.—1890 to 1892. Resigned.
A. S. Rowley, M. D.—1895
.
Assistant Physicians:
C. G. Chaddock, M. D.—1885 to 1890. Promoted to Assistant Superintendency.
W. M. 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.
G. 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.—1899
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 —
B. F. Sargeant, M. D.—1904 to 1905.
H. D. Purdum, M. D.—1906

EEPOET OF BOARD OF TRUSTEES.

To the Governor and Legislature of the State of Michigan:
The trustees of the Northern Michigan Asylum have the honor to
submit their report for the biennial period ending June 30, 1906,
together with the reports of the medical superintendent, treasurer and
steward.
There have been twenty-four regular meetings of the board during
the period, in addition to which regular visitations of the asylum have
been made each month by a committee of trustees as required by law.
The trustees are again pleased to .report that the institution has been
maintained at its high standard of efficiency. The various departments
of the asylum have been carefully managed with excellent results. We
may express our appreciation of the introduction of more thorough
clinical methods in the examination and treatment of patients. The
object of this work is not only to keep pace with the rapid advances in
psychiatry, but to afford to patients treatment in harmony with the
best medical thought of the day. We have felt it our pleasure as well
as our duty to support the staff in these efforts, and believe that ultimately more patients will be benefited and more cured as the result
of more accurate knowledge of diseased mental states. The dietary
has been improved and rather more attention has been given to "amusements and diversions" of patients than in former years. The compensation of nurses has been increased and their hours of labor shortened, notwithstanding that the cost of maintenance of patients has
been materially lessened during the period. We believe we can safely
say that progress has been made in much that pertains to the general
management of the hospital, the sum total of which is expressed by
an increased number of improved and recovered patients and by the
greater apparent happiness and contentment of the household.
No epidemic diseases prevailed in the institution during the period.
Two patients—a man and a woman—committed suicide, and a woman
patient was killed by her room-mate. These accidents were officially
investigated by the coroner and no blame was attached to the asylum
authorities.
During the period fifteen women patients were transferred to the
Upper Peninsula Hospital for the Insane; one male patient was returned to the State of New York by the direction of the Attorney General of the State; one male patient was transferred to the State Asylum
for Dangerous and Criminal Insane by direction of the Governor, and
one male patient was transferred to the Psychopathic Ward at Ann
Arbor.

STATE OP MICHIGAN.

The asylum has been able to receive every patient for whom application was made and also to receive several from the Eastern Michigan
Asylum district, the asylum at Pontiac being unable to promptly care
for them. This has been of very great importance to the State, since
the recovery rate of many forms of mental disease bears a close relationship to the time at which treatment is commenced. This is especially true for the toxic and exhaustion psychoses. We regret to report, however, that the asylum is now practically filled and additional
accommodations will need to be provided for the ever-increasing nurn'ber of the mentally afflicted.
A very small percentage of patients were discharged recovered, but
a very large number was discharged improved. The death rate was
comparatively small.
The number of patients treated during the period was: Men, 921;
women, 796; total, 1,717. The number admitted during the period was:
Men, 292; women, 249; total, 541. This is 107 more admissions than
during the preceding two years.
The several counties committed patients as follows:
Alpena
Antrim
Arenac
Alcona
Benzie
Bay
Charlevoix
Clare
Crawford
Cheboygan
Emmet
Genesee
Gladwin
Grand Traverse
Gratiot
Isabella
losco
Ionia
Jackson
Kalkaska
Kent
Lake
No legal settlement
State
Of the
12
26
10
40
35
12
20

15
14
4
6
16
1
17
7
10
18
27
3
1
26
31
17
5
34
1
10
2
5

Leelanau
Manistee
Mason
Mecosta
Midland
Missaukee
Montcalm
Montmorency
Muskegon
Newaygo
Ottawa
Oceana
Ogemaw
Osceola
Otsego
Oscoda
Presque Isle
Roscommon
Shiawassee
Saginaw
St. Clair
Wexford

541 patients admitted:
had been confined in county-houses.
had been confined in jails.
had been treated in other asylums.
were said to have been destructive.
had attempted or threatened suicide.
were homicidal or had threatened homicidal assaults.
had been confined or restrained at home.

17
34
13
14
16
8
21
1
39
13
1
23
4
14
6
5
6
2
1
9
1
16
2'
5

NORTHERN MICHIGAN

ASYLUM.

9

The number of patients confined in county-houses, jails and other
asylums exceeded the last biennial period by 4, the number of suicidal
cases greater by 15, and the number of homicidal cases less by. 28.
Since June 30, 1892, these statistics have been regularly kept, and
show out of a total of 2,706 admissions:
94
334
211.
332
280
445
329

( 3.5%)
(12.3%)
( 7.8%)
(12.2%)
(10.3%)
(16.4%)
(12.1%)

were confined in county-houses.
had been confined in jails.
had been treated in other asylums.
were destructive.
were suicidal.
were homicidal.
required some sort of restraint at home.

These statistics may be without practical value, but are sufficiently
extensive to establish the averages to be anticipated for the conditions
stated in the insane of this district at least.
COST OF MAINTENANCE.

The daily cost of maintenance per patient for the last 21 years has
been as follows:
Cents.
1886
53
1887
52
1888
51
1889
50
1890
49
1891
49
1892
48
1893
48
1894
48
1895
47
1896
46
1897
44
1898
42
1899
44
1900
44
1901
44
1902
,
44
1903 (The above exclusive of officer's salaries).... 44
1904 (Inclusive of officer's salaries)
48
1905 (Inclusive of officer's salaries)
49
1906 (Inclusive of officer's salaries)
48
INCREASE OF PATIENTS.

The average yearly net increase of patients for a period of 18% years
has been 42. The net increase of patients for the district for the period
ending June 30, 1906, was 151.
There were 409 patients discharged during the period, 222 men and
187 women. Of this number 31 were discharged recovered, 173 im2

10

STATE OF MICHIGAN.

proved, 43 unimproved, and 162 died. The percentage of recoveries on
the whole number under treatment was slightly over two per cent; on
the number admitted slightly over six per cent.
The death rate 73 per thousand 1904-05, and in 1905-6, 47 per thousand.
The readmissions for the period were, men, 30; women, 36; total, 66.
The readmissions from tlie beginning have been, men, 196; women,
183; total, 379,—hence the total number of admissions, 4,190, represents 3,711 individuals.
The daily average number of patients for the period was 1,237. The
number of weeks spent in the institution by patients was 129,049. This
was an increase of 97 in the daily average, and an increase of 10,166
week's board over the preceding period.
On June 30, 1906, there were 1,278 patients under treatment at State
expense and 30 at private expense.
There were 257 persons employed at the asylum on June 30, 1906,
in the positions and at the wages given in the schedule accompanying
this report.
IMPROVEMENTS.

The cost of improvements and repairs for the year ending June 30,
1905, was |13,999.92, and for the year ending June 30, 1906, $16,527.83.
These sums fairly represent the yearly average required to keep the
buildings, walks, fences, machinery, etc., in order. The outlay due
to the replacing of steam.pipes and sanitary fixtures was greater than
usual, and as will be later noted, the cost of completing the electric
rewiring was charged to the repair account. This improvement was
imperatively demanded for the reason that the original wiring was
very defective, and in changing it, it was discovered that the building
had been on fire in several places. It is a mercy that the building
escaped destruction. Several hundred feet of cement sidewalk have
been constructed, and many floors, including main hallway of administration building, have been replaced with tile. Tile is not only more
durable but much more sanitary. A new telephone system has been
installed on a fixed rental basis, and the fire protection has been extended and improved. All other repairs have been minor and too
numerous to catalogue here.
SPECIAL APPROPRIATIONS.

The legislature of 1903 (see Act 117, Public Acts, 1903) authorized
the building of two cottages for 60 patients each. They were in process of construction at the date of our last report, but have since been
finished and are now occupied to their full capacity. The money appropriated (|48,000) was not enough to complete them in every particular. The State Board of Auditors and the Board of Corrections
and Charities authorized the transfer of |951.73 from sewer fund
(unexpended balance after completion of the work) to cottage for females; and f599.35 (unexpended balance of appi'opriation for addition to
bakery) was transferred to cottage for males. Two thousand five hundred
dollars was further appropriated by the last legislature to complete them,

NORTHERN MICHIGAN ASYLUM.

11

bringing their total cost to |52,057.08 or $433.75 per capita. They
were very carefully and economically built, using our own labor to the
fullest extent. Like all the other detached buildings of the asylum,
they are handsome, commodious structures.
NEW SEWER.

The legislature of 1903 appropriated $3,325 for the construction of
a new sewer. It was completed in 1905 and has proved ample. After
the completion' of the work, a balance remained to the credit of the
fund of $951.73, which as above explained was transferred by authority
to "Cottage for Males."
A balance of $118.75 from special appropriation for pathological
laboratory, and a balance of $165.19 from special appropriation for
fire proof vault were, by authority, transferred to appropriation for
"Nurses' Building.''
At the time of our last report there remained to the credit of the
special appropriation of the legislature of 1901 for repairs to roofs and
gutters of the main building of the asylum the sum of $2,405.24. This
balance has been expended. The repairs to roofs should be continued
until they are completed.
SPECIAL APPROPRIATION, $2,500.00.

This appropriation was made by the last legislature for the completion of two detached cottages. We are pleased to report that the buildings were finished within the amount.
SPECIAL APPROPRIATION, $2,800.00.

This appropriation was granted by the last legislature for an addition to the hospital for tuberculous women. We are pleased to report
that the money was sufficient to increase the accommodations of this
special hospital from 20 to 32 beds. The saving of life since isolated
care of the tuberculous was established has been very great,—the death
rate, from this disease, having diminished from sixteen to four and
six-tenths per thousand of asylum population. From our experience
we feel justified in asserting that no tuberculous case should be received at any public institution unless provisions exist for separate
care and treatment.
SPECIAL APPROPRIATION, $2,000.00.

This appropriation was made by the last legislature to repair the
reservoir. The work has not been commenced. This reservoir holds
about two million gallons and is the sole source of water for fire protection. It was not thought safe to empty it before connection of the
asylum and city mains was effected. Until this is effected we believe
it will be hazardous to attempt to fix the reservoir. We shall refer
to this again under additional fire protection.

12

STATE OF MICHIGAN.
, :

SPECIAL APPROPRIATION, $2,503.00.

This appropriation was made by the last legislature for the installation complete of one 150 h. p. water tube boiler. As the cost of such
a boiler greatly exceeded the amount authorized for its purchase, no
attempt has been made to secure one. This money will be returned to
the State unless a sum is added to it by your honorable body sufficient
to cover the full cost.
SPECIAL APPROPRIATION, $1,000.00.

No part of this appropriation has been used as it would not nearly
cover the cost of a telephone system. As the old telephone plant was
worn out a contract was made with the Michigan State Telephone Co.
for a complete system new throughout, including cable rewiring,
switch-board, long distance booth, etc., at a rental of $31.50 a month
including trunk lines and maintenance. It is highly satisfactory and
we believe its cost to the institution in the end will prove less than
would ownership. The money, if not transferred to some other special
fund, will be returned to the State.
SPECIAL APPROPRIATION, $1,500.00.

This appropriation was authorized by the last legislature to replace
the electric wires of the main building. It was not sufficient to complete the improvement. The old wiring was known to be dangerous,
and in taking it up it was discovered that the building had been on
fire in several places. The risk from fire seemed so great that it was
decided to complete the work of rewiring. This has been done and its
cost charged to repairs which is permissible under the existing laws
governing the asylums. In relaying the electric wires great pains
were taken to have them fire proof and up-to-date in every particular.
SPECIAL APPROPRIATION, $2,500.CO.

This appropriation was granted by the last legislature to improve
the fire protection, to enlarge and extend the mains and to connect
same with water mains of Traverse City. The work has been partly
completed. Six-inch pipe has replaced four-inch in many places, and
an extra six-inch main laid in front of the main building and carried
out as far as the cottages. Numerous cross connections were made
with the old mains so that efficient protection has been acquired. In
order to perfect the system it should be connected with the city. This
was contemplated by the legislature but the appropriation would not
permit it. To complete the work as intended there yet remains to be
laid 1,000 feet ten-inch, and 1,300 feet of eight-inch pipe. There still
remains in the hands of the treasurer, to the credit of this fund,
$1,192.29. To complete the work will cost $1,000 in addition to this
sum. We would respectfully recommend to your honorable body that
the money appropriated by the last legislature for a telephone system
($1,000) (no part of which has been used) be transferred to this
fund. It is of the highest importance ample fire protection should be
provided for the people and property centered here.

NORTHERN MICHIGAN ASYLUM.

13

SPECIAL APPROPRIATION, $1,500.00.

This appropriation was granted by the last legislature for the purpose of driving two artesian wells. The work is in progress, and will
be finished within a comparatively short time. This is a much needed
improvement as the existing wells have not been able to furnish a full
supply of water for domestic uses or for fire protection.
NEEDS OF THE ASYLUM.

At first sight it may appear that the needs of the asylum are unusually numerous, but it must be pointed out that the last legislature
denied all but a few minor appropriations to the institution, hence some
of our requests of your honorable body will be repetitions from a former
period. As will be seen, however, the most of the money solicited is
for the construction of additional accommodations. These are imperatively demanded by the district. The growth in population is great
and there is also an increase in the percentage of the mentally afflicted
to the population. The demand for additional room will continue
to arise from time to time until the population of the State becomes
stationary.
BARN.
We would respectfully request of your honorable body an appropriation of |5,000 for the construction of a carriage barn for the use of the
asylum. The barn now in use is lacking in many necessary appointments, such as properly furnished sleeping rooms for the coachmen,
harness and robe rooms, carriage wash room (in winter usually
covered with ice) and storage room for vehicles. Very few have any
knowledge of the vast and important work that centers at this building. All the express and carriage work of the institution (for nearly
1,600 people) begins and ends here. Teams are going out and coming
in at all times of the day and night in the performance of duty and
we maintain that suitable quarters should be provided for the men
and also for the horses that carry on this important work.
ADDITIONAL FIRE PROTECTION.

We would respectfully suggest to your honorable body the transfer
of the special appropriation of $1,000 by the last legislature for a
telephone system to the fund for additional fire protection (granted by
the last legislature) to complete the work as intended by the act. With
this outlay the asylum and city mains can be joined and ample fire
protection secured.
MORGUE. '

We would most respectfully request of your honorable body an appropriation of $3,500 for the construction of a morgue. A suitable
building should be provided in, which to care for the dead while
awaiting burial. At present bodies a>re taken from the wards in;which
they die to the undertakers'. ; Friends, are' not always pleased to find

14

STATE OF MICHIGAN.

the remains have been removed from the hospital previous to their
arrival. Sometimes, too, they have made arrangements for the burial
with some other undertaker than the one having possession of the remains and this also often adds to their distress. The care of the dead
is an imperative as well as a delicate duty and should be done with
a view to all the properties. With the increasing size of the institution a morgue is becoming more and more of a necessity.
ADDITION TO GREENHOUSE.

An appropriation of $2,100 is respectfully requested of your honorable body for the construction of an additional section to the greenhouses. The greenhouses are of great practical importance in the
economy of the asylum. Here are grown, especially during the winter
months, large quantities of radishes, lettuce, cucumbers and tomatoes,
besides flowers and garden plants are propagated for trans-plantation
when the season is ready. Our summers are too short for the general
culture of melons, tomatoes and many other kinds of plants in the
open. The greenhouses are very profitable and should be increased in
size and efficiency rather than allowed to fall into disuse and decay.
PART OF NEW BOILER.

Your honorable body is respectfully requested to appropriate $2,300,
which sum is to be added to the appropriation of |2,500 made by the
last legislature for the installation of a 150 horse power water tube.
This boiler should be installed at once. If any accident should happen
to any unit of the heating plant the institution could not be properly
warmed. The two new cottages recently opened will overtax the plant
during severe weather and if for any reason a part of the boilers were
thrown out of commission it might prove a serious matter. The money
appropriated is useless to the institution as it would only little more
than half cover the cost of a boiler.
FLAG STAFF, BOOKS, MUSICAL INSTRUMENTS.

We would respectfully renew our request for $500 for a flag staff,
$250 for books, and $500 for musical instruments.
INCREASED ACCOMMODATIONS.

The women's department is occupied to its full normal capacity and
there are only few vacancies left in the department for men. If your
honorable body should provide for an enlargement of the asylum at
least two years from date of appropriation would be required to erect
and equip new buildings. Long before such time, if the present rate
of increase is maintained, the asylum will be overcrowded and unable
to admit nearly all of the occurring cases of the district. This would
bring many hardships to patients, to patients' friends, and what would
be still more serious, make curable cases incurable for want of proper
care and treatment. The trustees believe that the institution can be

NORTHERN MICHIGAN ASYLUM.

15

safely enlarged and at a much less cost per bed than a new institution
could be built. The site at Traverse City, apart from its great natural
beauty of outlook, possesses many natural advantages that should be
considered, e. g., the purest water supplied to all parts of the hospital
by gravity, an equable climate, forest parks and streams, and excellent
water and railroad transportation facilities. The trustees believe that
these advantages should be utilized to the fullest extent before taking
up the consideration of the establishing of a new asylum. We respectfully ask your most earnest consideration of an appropriation of
|45,000 for an extension to the north wing for the accommodation of
100 women patients, and a further sum of |45,000 for an extension to
the south wing for 100 men, both buildings to be complete in every
particular.
PIGGERIES.

We would respectfully request an appropriation of fl,200 for the
removal of the piggeries from their present site and rebuilding them
at a point south of the farm barns. Since these buildings are situated
only a few rods away from the cottages they are offensive and must
be moved. The number of hogs in stock varies from 50 to 300. The
importance of caring for them at a distance from the hospital will be
conceded by all.
ADDITION TO STORE BUILDING.

We would respectfully request of your honorable body an appropriation of $3,500 for an extension to the store building. The institution
has outgrown the present store, and it is necessary that sufficient room
should be provided in which to care for the stock of goods, merchandise,
household supplies, clothing, groceries, etc., that has to be carried.
NEW DRY ROOM FOR LAUNDRY.

We would respectfully request of your honorable body an appropriation of $1,200 for the purpose of replacing the dry room in laundry.
The present room is nearly worn out, and at best out-of date and wasteful. It should be refitted with modern appliances.
LAND.
We would respectfully request of your honorable body an appropriation of f 6,000 for the purchase of sixty acres of, land adjoining the
asylum property on the southwest. This is a very valuable tract of
land and should be acquired by the State. The farm should be enlarged. There is no form of occupation so well fitted for the labor of
patients as that of farm work, and for some time past there has been
more labor than can be employed. It would be well for the State to
acquire at the earliest possible date several hundred acres more land.

16

STATE OF MICHIGAN.
RECAPITULATION OF APPROPRIATIONS REQUESTED.

Addition to store
f 3,500 00
Extension to south wing
45,000 00
Extension to north wing .
45,000 00
Land
6,000 00
Flag staff, books, musical instruments...
1,250 00
New boiler
. ' 2,300 00
Addition to greenhouse . . . . . . . . . . . . . . . .
2,100 00
Morgue
3,500 00
Addition to fire protection
.
1,000 00
Carriage barn
5,000 00
Piggeries
'.
1,200 00
Dry room
1,200 00
Total

1117,050 00

FARM. GARDEN,, STOCK AND GROUNDS.

The real estate of the Northern Michigan Asylum comprises 668
acres. About 400 acres of this are under cultivation in the fields,
gardens, orchards, and meadows, the balance of the land being forest,
parks, lawns, grounds about the buildings, and a few acres of uncleared
and undrained land soon to be made ready for cultivation.
The products of the farm and gardens for the past two years have been
much greater than for any biennial period of the history of the institution. These products have been used as in former years as food for the
inmates or in feeding the live stock upon the premises.
The dairy herd has been much improved by judicious breeding and
careful selection of the best for retention and has become known
through the country as one of the best registered pure bred Holstein
Frisian herds in the country and its members are much sought for by
breeders, until its number have been reduced to the lowest limit consistent with supplying the needed milk for the institution.
The sales of the past year have been great, choice bred animals going
to the best herds of Massachusetts, Ohio, Wisconsin, New York, Minnesota and our own State—many more could have been sold if we could
have spared them.
The census of the herd at the close of the period was 65 cows, including some two-year-olds, two mature bulls, and twenty-four calves under
six months of age. The average number of cows milked during the
period was fifty-two and their product was 1,299,995 pounds of milk,
over 1,800 pounds per day, or thirty-five pounds per cow per day for the
time.
The cash receipts for breeding stock sold during the past two years
has been f6,830, or $2,825 more than all the money paid out in the
twenty years of the institution for pure, bred stock, leaving the value
of the stock on hand greater than ever before in the history of the herd.
The greenhouses and grounds of the asylum are yearly becoming more
important, adding to the success of the gardens and aiding in beautifying the surroundings in which our unfortunate wards must pass so
much of their time.

NORTHERN MICHIGAN ASYLUM.

17

These greenhouses yield weekly, through the entire year, choice
vegetables for the tables of the hospitals, and contribute to the food
products for all. In them are grown the beautiful flowers that cheer
the sick rooms, and the plants that make the lawns attractive in summer. These greenhouses have been in use thirteen years, when the usual
life of such buildings is but ten years. They need immediate repair
or renewal, and while they were sufficient for our needs ten years ago.
they are too small for the present and future, and should have their
capacity increased.
RECEIPTS AND DISBURSEMENTS.

The total receipts of the asylum for the fiscal year ending June 30,
1905, including cash on hand and credits on special appropriations accounts, were $285,515.63, and the total disbursements for the same
period, including special appropriations, were $263,891.69.
The total receipts of the asylum for the fiscal year ending June 30,
1906, including cash on hand and credits on special appropriations
accounts, were $284,759.09, and the total disbursements for the same
period, including special appropriations, were $256,051.99.
There was at the close of the biennial period ending June 30, 1906,
$28,707.10 in the hands of the treasurer, $21,205.63 of which amount
was to the credit of the current expense account, and the balance
of $7,501.47 unexpended balances to the credit of special appropriations
accounts.
OFFICERS.

In 1905, Hon. W. W. Mitchell, of Cadillac, Mich., was reappointed
to the board. Mr. Mitchell's asylum experience as well as great business experience both public and private, especially qualify him for
the duties of the position.
In 1905, Hon. M. F. Quaintance, of Petoskey, Mich., was appointed
trustee to succeed Hon. C. F. Backus, whose term of office had expired.
In July, 1904, Dr. F. H. Newberry resigned from the medical staff.
In July, 1904. B. F. Sargeant was appointed to the staff, and in December, 1905, resigned to enter private practice in New York state.
In March, 1906, Dr. H. D. Purdum, of Maryland, was appointed to
the staff. He came to us highly recommended and we feel fortunate in
securing his services.
In conclusion we would express our appreciation of the work of the
officers and all other employes. Whatever of success the institution has
attained during the period has been due to their intelligent and unselfish efforts.
G. A. HART,
T. T. BATES,
H. C. DAVIS,
W. W. MITCHELL,
A. F. TEMPLE,
M. F. QUAINTANCE,
Traverse City, June 30, 1906.
Trustees.

18

STATE OP MICHIGAN.

TREASUBEE'S EEPOET.
ABSTRACTS.
OF THE ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT THE
NORTHERN MICHIGAN ASYLUM FOR THE FISCAL YEAR ENDING
JUNE 30, 1905.

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of the Northern^Michigan Asylum
for month ending July 30, 1904.
CREDITS.

By balance on hand July 1, 1904
Cash from other sources

$42,837 80
258 02

To disbursements:
Account addition to bakery
Account of four porches
Account of cottage for males
Account of cottage for females
Account of current expense
Balance on hand to new account

$13
944
1,528
2,393
20, 968
17,247

50
50
23
07
65
87

$43,095 82

$43,095 82

THE STATE OP MICHIGAN, In account with J. T. Hannah, Treasurer of the Northern Michigan Asylum
for month ending August 31, 1904.
CREDITS.
By balance on hand August 1, 1904
$17,247 87
Cash from State Treasurer:
Account of current expense
^
38,048 24
Cash from other sources
972 ( 2
$56,268 13
To disbursements:
Account of four porches
Account of cottage for males
Account of cottage for females
Account of current expense
Balance on hand to new account

$286
1,485
3,296
19,862
31.337

12
40
65
92
P4

$56,268 13

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of the'Northern Michigan Asylum
for month ending September 30, 1904.
CREDITS.
By balance on hand September 1, 1904
$31,337 04
Cash from State Treasurer:
Account of four porches
2,000 00
Account of current expense
19,024 11
Cash from other sources
430 05
—
$52,791 20
To disbursements:
Account of four porches
Account of cottage for males
Account of cottage for females
Account of repairs, roofs and buildings
Account of current expense
Balance on hand to new account

DEBITS.

$550
680
4,157
67
15,793
31,542
—
—

30
91
18
50
30
01

$52,791 20

NORTHERN MICHIGAN ASYLUM.

19

THE STATE or MICHIGAN, In account with J. T. Hannah, Treasurer oj the Northern Michigan Asylum
for month ending October 31, 1904.
CREDITS.
By balance on hand October 1, 1904
Cash from other sources
To disbursements:
Account of four porches
Account of cottage for females
Account of repairs, roofs and buildings
Account of pathological laboratory
Account of new sewer
Account of current expense
Balance on hand to new account

.-. .

$31,542 01
1,171 22

$32,713 23

DEBITS.

$893
2,034
277
15
81
19,008
10,403
—
•

90
14
27
00
16
01
75

$32,713 23

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of the Northern Michigan Asylum
for month ending November SO. 1904.
CREDITS.
By balance on hand November 1, 1904
Cash from State Treasurer:
Account current expense
Cash from other sources

$10,403 75
35,630 61
1,132 46

To disbursements:
Account of four porches
Account of cottage for males
Account of cottage for females
Account of repairs, roofs and buildings
Account of pathological laboratory
Account of new sewer
Account of fire proof vault
:
Account of current expense
Balance on hand to new account

$697
55
365
156
118
318
165
22,374
22,914

66
18
73
70
73
84
19
62
17

$47,166 82

$47,166 82

THE STATE or MICHIGAN, In account with J. T. Hannah, Treasurer of the Northern Michigan Asylum
for month ending December S I , 1904.
CREDITS.
By balance on hand December 1, 1904
Cash from State Treasurer:
Account of current expense
Cash from other sources

$22,914 17
17,815 31
2,688 29

To disbursements:
Account of addition to bakery
Account of cottage for males
Account of cottage for females
Account of repairs, roofs and buildings
Account of new sewer
Account of nurses' building
Account of current expense
Balance on hand to new account

$599
32
395
359
951
98
18,398
22,582

35
37
47
30
73
70
00
85

$43,417 77

$43.417 77

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of the Northern Michigan Asylum
for month ending January 31, 1905.
CREDITS.

By balance on hand January 2, 1905
Cash from State Treasurer:
Account of current expense
Cash from other sources
To disbursements:
Account of cottage for males
Account of cottage for females
Account of current expense
Balance on hand to new account

:..

$22,582 85
20,841 45
677 18

$145
136
18,989
24,830

25
60
24
39

$44,101 48

$44,101 48

20

STATE OF MICHIGAN.

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of the Northern Michigan Asylum
for month ending February 28, 1905.
CREDITS.
By balance on hand February 1, 1905
Cash from State Treasurer:
Account of current expense
Cash from other sources

$24,830 39
20,841 46
669 55
DEBITS.

$46,341 40

JH

To disbursements:
Account of cottage for females
Account of repairs, roofs and buildings
Account of current expense
Balance on hand to new account

$64
35
21,956
24,283

80
87
85
88

$46,341 40

THE STATE or MICHIGAN, In account with J. T. Hannah, Treasurer of the Northern Michigan Asylum
for month ending March 31, 190S.
CREDITS.

By balance on hand March 1, 1905
Cash from State Treasurer:
Account of current expense
Cash from other sources

$24,283 88
^

20,841 46
797 92

$45,923 26

DEBITS.

To disbursements:
Account of cottage for females
Account of repairs, roofs and buildings
Account of current expense
Balance on hand to new account

$42
47
20,077
25,756

15
25
66
20

$45,923 26

THE STATE or MICHIGAN, In account with J. T. Hannah, Treasurer of the Northern Michigan Asylum
it or month ending April 29, 1905.
CEEDITS.
By balance on hand April 1, 1905
Cash from State Treasurer:
Account of two detached buildings
Account of current expense
Cash from other sources

To disbursements:
Account of cottage for females
Account of four porches
Account of cottage for males
Account of two detached buildings
Account of current expense
Balance on hand to new account

$25,756 20
2,500 00
17,921 13
1,180 62

'

'.

•

$31271
34 78
421 73
541 84
22,975 84
23, 071 05

$47,357 95

$47,357 95

THE STATE or MICHIGAN, In account with J. T. Hannah, Treasurer of the'Northern"Michigan Asylum
for month ending May 31, 1905.
CREDITS.
By balance on hand May 1, 1905
Cash from State Treasurer:
Account of current expense
Cash from other sources

To disbursements:
Account of repairs, roofs and buildings
Account of two detached buildings
Account of current expense
Balance on hand to new account

$23,071 05
17,921 14
522 01

?6
615
19,690
21, 2ul

00
36
85
99

$41,514 20

$41,514 20

NORTHERN MICHIGAN ASYLUM.

21

THE STATE OF MICHIGAN, In account uith J. T. Hannah, Treasurer of the Northern Michigan Asylum
for month ending June SO, 190B.
Balance on hand June 1, 1905
Cash from State Treasurer:
Account of current expense
Cash from other sources

CREDITS.
»

17,921 14
872 44

To disbursements:
Account of repairs, roofs and buildings
Account of nurses' building
Account of two detached buildings
Account of current expense
Balance on hand to new account

;. ;

$21,201 99
$39,995 57

DEBITS.

$227
34
574
17,535
21,623

15
50
34
64
94

SUMMARY.

$39,995 57

; j

THE STATE or MICHIGAN, In account with J. T. Hannah, Treasurer of the Northern!Michigan Asylum
for fiscal year ending June SO, 1905.
CREDITS.
By balance on hand July 1, 1904
Cash from State Treasurer:
Account of four porches
Account of two detached buildings
Account of current expense
Cash from other sources
To disbursements:
Account of addition to bakery
Account of four porches
Account of cottage for males
Account of cottage for females
Account of repairs, roofs and buildings
Account of pathological laboratory
Account of new sewer
Account of fire proof vault
Account of nurses' building
Account of two detached buildings
Account of current expense
Balance on hand to new account

$42,837 80
2,000
2,500
226,806
11,371

00
00
05
78

$612
3,407
4, 349
13,198
1,177
133
1,351
165
133
1,731
237,631
21,623

65
26
07
50
04
73
73
19
20
54
58
94

$285,515 63

DEBITS.

$285,515 63

22

STATE OF MICHIGAN.

ABSTRACTS.
OF THE ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT THE
NORTHERN MICHIGAN ASYLUM FOR THE FISCAL YEAR ENDING
JUNE 30, 1906.

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for month ending July S I , 190S.
CREDITS.
By balance on hand July 31, 1905
Cash from State Treasurer:
Account of repairs on reservoir
Account of electric wiring
Account of additional fire protection
Account of artesian wells
Account of new boilers
Account of new telephones
Account of current expense.
Cash from other sources

821,623 94

kt

To disbursements:
Account of roofs and buildings
Account of two detached buildings
Account of current expense
Balance on hand to new account

2,000
1,500
2,500
1,500
2,500
1,000
20,380
082

00
00
00
00
00
00
43
52

$229
281
16.937
36,538

25
84
52
28

$53,986 89

$53,986 89

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for month ending August 31, 1805.
By balance on hand August 1, 1905
Cash from State Treasurer:
Account of current expense
Cash from other sources
To disbursements:
Account of repairs, roofs and buildings
Account of two detached buildings
Account of nurses' building
Account of electric wiring
Account of nurses' home
Account of current expense
Balance on hand to new account

CREDITS.

$36,538 28
20,380 43
734 01

$57,652 72

DEBITS.

$579
341
150
68
319
18,639
37,552
•

.'

96
93
72
02
95
82
32

$57,652 72

'THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for month ending September 30, 1905.
CREDITS.

By balance on hand September 1, 1905
Cash from State Treasurer:
Account of nurses' home
Account of current expense
Cash from other sources
To disbursements:
Account of repairs, roofs and buildings
Account of electric wiring
Account of nurses' home
Account of artesian wells
Account of current expense
Balance on hand to new account

337,552 32
i.

2,800 00
20,380 43
658 54

$61,391 29

DEBITS.

$175 94
440 02
1,242 33
313 53
16,520 25
42,699 22

$61,391 29

NORTHERN MICHIGAN ASYLUM.

23

THE STATE op MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for month ending October 31, 1905.
CREDITS.
By balance on hand October 2, 1905
Cash (rom State Treasurer:
Account of current expense
Cash from other sources

$42,699 22
20,775 07
685 71

To disbursements:
Account of electric wiring
Account of nurses' home
Account of artesian wells
Account of current expense
Balance on hand to new account

$226
1,116
164
18,959
43,693

28
54
12
19
87

864,160 00

$64,160 00

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for month ending November 29, 1905.
CREDITS.
By balance on hand November 1, 1905
Cash from State Treasurer:
Account of current expense
Cash from other sources

843,693 87
20,717 24
1, 673 48

To disbursements:
Account of repairs, roofs and buildings
Account of electric wiring
Account of nurses' home
Account of artesian wells
Account of current expense
Balance on hand to new account

$37
26
121
39
23,155
42,705

02
00
18
87
02
50

$66,084 59

S66,084 59

THE STATE or MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for month ending December 30, 1905.
CREDITS.

By balance on hand December 1, 1905
Cash from State Treasurer:
Account of current expense
Cash from other sources

$42,705 50
20,717 24
1,298 20

To disbursements:
Account of additional fire protection
Account of current expense
Balance on hand to new account

$7 00
17,430 65
47,283 29

$64,720 94

$64,720 94

THE STATE or MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for month ending January SI, 1906.
CREDITS.
By balance on hand January 2, 1906
Cash from State Treasurer:
Account of current expense
Cash from other sources

To disbursements:
Account of electric wiring
Account of artesian wells
Account of additional fire protection
Account of current expense
Balance on hand to new account

$47,283 29
18,794 67
1,328 50

$104
55
1,034
19,516
46,694

40
60
89
71
86

$67,406 46

$67,406 46

24

STATE OF MICHIGAN.

THE STATE or MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Atylum
for month ending February £8, 1906.
CREDITS.

By balance on hand February 1, 1906
Casl) from State Treasurer:
Account of current expense
Cash from other sources

$46,694 86
18,757 51
1,897 85

To disbursements:
Account of electric wiring
Account of current expense
Balance on hand to new account

$134 20
20,484 10
46,731 92

$67,350 22

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for month ending March SI, 1908.
CREDITS,
By balance on hand March 1, 1906
Cash from State Treasurer:
Account of current expense
Cash from other sources

To disbursements:
Account of electric wiring
Account of current expense
Balance on hand to new account

$46,731 92
'18,757 51
1,062 04

,.
$66,551 47

DEBITS.

$218 32
25,406 47
40,926 68

$66,551 47

THE STATE or MICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for month ending April SO, 1908.
CREDITS.

By balance on hand April 2, 1906
Cash from State Treasurer:
Account of current expense
Cash from other sources.
To disbursements:
Account of electric wiring
Account of current expense
Balance on hand to new account

$40,926 68
18,421 18
2,628 81

$61,976 67

DEBITS.

$209 90
19,815 92
41,950 85

$61,976 67

THE STATE OF MICHIGAN, In account with Samuel Garland, Treasurer of the Northern"Michigan Asylum
for month-ending May 31, 1906.
CREDITS.
By balance on hand May 1, 1906
Cash from State Treasurer:
Account of current expense
Cash from other sources
To disbursements:
Account of electric wiring
Account of additional fire protection
Account of artesian wells
Account of current expense
Balance on hand to new account

$41,950 85
18,421 18
785 61

$61,157 64

DEBITS.

$72
253
57
26,323
34,450

86
29
70
40
39

$61,157 64

NORTHERN MICHIGAN ASYLUM.

25

THE STATE OF MICHIGAN, In account with Samuel Garland. Treasurer of Ihe NcrthtiriMichic.au Aii>Am
for month ending June SO, 1906.
,

CREDITS.

By balance on hand June 1, 1906
Cash from State Treasurer:
Account of current expense
Cash from other sources

$34,450 39
...

To disbursements:
Account of repairs, roofs and buildings
Account of two detached buildings
Account of artesian wells
Account of additional fire protection
Account of current expense.
Balance on hand to new account

18,421 19
675 80

853,547 38

DEBITS.

.. :

$386
144
60
12
24,237
28,707

03
69
00
53
03
10

853,547 38

SUMMARY.
THE STATE OFJMICHIGAN, In account with Samuel Garland, Treasurer of the Northern Michigan Asylum
for fiscal year ending June 30, 190S.
CREDITS.

Balance on hand July 1, 1905
Cash from State Treasurer:
Account of repairs on reservoir
Account of electric wiring
Account of additional fire protection
Account of artesian wells
Account of new boilers
Account of new telephones
Account of nurses' home
Account of current expense
Cash from other sources
To disbursements:
Account of repairs, roofs and buildings
Account of two detached buildings
Account of nurses' building
Account of electric wiring
Account of nurses' home
Account of artesian wells
Account of additional fire protection
Account of current expense
Balance on hand to new account

$21,623 94
2,000
1,500
2,500
] , 500
2,500
1,000
2,800
234,924
14,411
-—
$1,408
768
150
1,500
2,800
690
1,307
247,426
28,707

00
00
00
00
00
00
00
08
07
— $284,759 09
20
46
72
00
00
82
71
08
10

$284,759 09-

We have carefully examined the accounts of Samuel Garland, treasurer of the Northern Michigan Asylum, for the biennial period ending
June 30, 1906, 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.
T. T. BATES,
G. A. HART,
A. F. TEMPLE,
Auditing Committee.
4

26

STATE OF MICHIGAN.

STEWARD'S REPORT.

FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1906.

ANALYSIS OF RECEIPTS AND DISBURSEMENTS FOR THE BIENNIAL PERIOD ENDING
JUNE 30, 1906.

RECEIPTS.

Maintenance, etc., State patients
Maintenance, etc., private patients
Farm
Sundry accounts

"

Special appropriations:
Four porches
Balance fire proof vault account
Balance pathological laboratory
Cottage for males
Cottage for females
Completion of two detached buildings
Repairs reservoir.
Electric wiring
Addition to fire protection
Artesian wells
New boilers
New telephones
Nurses' home, account

$461,730
9,442
10,006
4,498

13
65
90
30

2,000
165
118
599
951
2,500
2,000
1,500
2,500
1.500
2 500
1,000
2,800

00
19
73
35
73
00
00
00
00
00
00
00
00

$505,812 98
$20,135 00 =====
DISBURSEMENTS.

Salaries and wages
Food:
Meat and
Butter
Flour
Sugar
Tea and coffee
Miscellaneous

$141,224 53
fish...

$30,57481
25,572 26
16,332 99
12,731 09
8,908 40
26,956 04

Clothing
Laundry:
Wages
Soap making
Starch, etc
Wax, pins, etc
Electric irons
Baskets
Machinery
Belts
Tubs
Caustic soda
Tallow
Nets and marking pins
Truck

121,075 59
29,449 16

$8,25904
750 06
440 70
27 32
94 24
112 22
29 60
59
2 23
219 89
89 64
6 62
28 50

10,060 65

NORTHERN MICHIGAN ASYLUM.

27

Heating:
Wages
Coal and freight on same

83,934 54
43,639 84

147,574 38

Light:
Wages
Lamps, etc
Electrical supplies
Oil and wicking
Globes

$4,181
16
588
49
3
—•——

10
06
82
81
49
—

4,839 28

Medical supplies:
Drugs, etc

3,835 25

Stationery and printing:
Telephones
Blanks and books
Stationery
Treasurers' account
Printing
Postage stamps
Ledger
Adding machine
Directory

$238 68
153 44
416 84
24 70
359 25
470 00
152 10
300 CO
3 00

r.

•

2,118 01
Amusement and instruction:
Medical books
Music
Entertainment
Circus tickets
Swings
Newspapers
Games
Tuning piano
Christmas tree
Billiard table
Cue tips

•

•

$155
256
92
15
152
2
32
13
39
22

75
75
75
00
98
00
06
00
48
00
35

•

782

12

Household supplies:
Soap
Brooms
Paper
Crockery
Hardware
Roach powder
Stove castings and
Dry goods
Repairs to clock
Baskets
Brushes
Utensils
Insect powder
Glassware
Polish
Sewing machine repairs
Coffee urn

I.

fittings

$911
731
447
1,379
1,640
7
47
4,169
4
4
18
504
22
3
63
5
200

51
49
53
72
26
00
06
95
60
51
91
29
55
06
49
00
00

$1,270
137
455
2
618
7, 538
1,061
26
376
58
252

94
20
70
10
32
93
22
65
79
50
47

10,160 93

Furniture and bedding:
Carpets
Linoleum
Furniture
Oil cloth
Blankets
Bedding
Mattresses, etc
Seats
Beds and springs
Cabinet
Chairs, etc

file

11,798 82

28

STATE OF MICHIGAN.

Improvements and repairs:
Wages...
Hardware
Paints
Ropes
Iron and sinks
Pipe and
Lumber
Lime
Glass
Brick, cement and tile work
Pipe covering...'.
Wall paper and
Castings
Wire screens
Hose
Roofing

$18,301 12
1,318 72
2,130 70
1 26
1,418 00
2,145 37
1,595 86
453 11
109 81
1,518 68
73 78
216 88
150 61
530 06
*
228 60
85 78

:
fittings

finishing

$30,531 75

Tools and machinery:
Tools
Packing
Oil ana cups
Nozzles and valves
Insurance
Steam gauge
Machinery, fittings and repairs
Platform "scale
Belting
Boiler tubes
Calorimeter
Regulator
Clay pipe
Wheels

....
•
.'

$428 68
220 15
163 45
120 49
152 00
6 85
114 17
52 50
17 26
1 20
75 00
19 50
15 00
5 04

1,391 29

Farm, garden, stock and grounds:
Wages
Stock
Paris green
Peed and oats
Trees, seeds and plants
Implements
Harness, etc
Vttennary
Blacksmithing
Fencing
Drain pipe
Tile
Land plaster
Manure
Hay and straw
Advertising and stock registry
Testing cattle, etc
Oil
Horses
Sewer pipe
Cattle for beef

820,968 12
15,501 27
98 65
11,762 17
580 78
895 98
476 74
242 27
434 75
122 81
25 73
27502
141 60
462 65
2,112 97
62 09
163 81
4 75
1,000 00
19 25
8,450 18

63,801 49

Freight and transportation:
Superintendent's expenses to board meetings, etc
Steward's expenses purchasing supplies
Accountant's expenses to Lansing and return

$130 70
229 99
17 53

378 22

Miscellaneous:
Messages, etc
Expenses elopements
Express charges refunded
Expenses home, patients
Refunded money
Miscellaneous
Undertaker's fees
Fruit, etc., for patients
Escort of patients, expenses of
Report on heating system
Tobacco
Repairs, jewelry
Expenses of sidetrack survey

$75 42
166 23
3 80
424 86
584 44
5,726 48
304 40
95 79
30 99
134 44
459 03
2 90
27 50

6,036 19

NORTHERN MICHIGAN ASYLUM.

29

Special appropriations:
Cottage for males
Cottage for females
Four porches
Addition to bakery
Repairs to roofs and buildings
New sewer
Pathological laboratory
Fire proof vault
Nurses' building
Two detached buildings
Electric wiring
Nurses' home
Artesian wells
Additional fire protection
Total

•,.'...

84,349
13,198
3,407
612
2,585
1,351
133
165
283
2,50 J
1,500
2,800
690
1,307

07
50
26
85
24
73
73
19
92
(0
00
00
82
71

$34,886 02
$519,943 68

10

STATK OF MICHIGAN.

FARM REPORT.

FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1906.

Asparagus, pounds
Apples, bushels
Apples, bushels
Beans, bushels
Bedding, tons
Beef, pounds
Beets, bushels
Cabbage, heads
Carrots, bushels
Cauliflower, heads
Celery
Cherries, quarts
Chickens, pounds
Corn, bushels
Corn stalks, tons.
Cucumbers, bushels
Cucumbers, dozens
Currants, quarts
Eggs, vegetable, dozens
Fodder, tons
Grapes, bushels
Hav
Kohlrabi bushels
Lettuce, pounds
Milk, pounds
Mangels, pounds
Onions, bushels
Onions, dozen
Oats, bushels
Parsnips, bushels
Parsnips, cattle, bushels
Peas, bushels
Peaches, bushels
Peppers, bushels
Pork, pounds
Potatoes, bushels
Plums, bushels
Pumpkins, tons
Pumpkins, pounds
Pears, bushels
Radishes, doz,en
Raspberries, quarts
Rhubarb, pounds
Strawberries, quarts
Squash, tons
Squash, pounds
Sage, bunches
Savory, bunches
Salsify, bushels
Straw, tons
Spinach, pounds
Tomatoes, ripe, bushels
Tomatoes, green, bushels
Turnips, bushels
Veal, pounds
Cattle sold
Hides sold

:

i

3,703
357
347
347
6
287,387
1,802
15,842^
12,165 J
988
15,795
1,919
16
1,435
14i
1.262J
18
1,631
13
54i
228
542
11
13,030
1,299,995
6,885
250
1,820
2,494
3,714
1,000
269
268
3
35,455
15,476
55
17i
1,100
4
19,313
4,9061
9,450
916
28
3,850
280
110
439
53
800
1,136i
47H
5,486
3,688
$6,830 00
1,17977

NORTHERN MICHIGAN ASYLUM.

31

SUMMARY.
SUMMARY OF INVENTORY, NORTHERN MICHIGAN ASYLUM, JUNE 30,
Farm and grounds
Buildings
Stock on farm
Farm implements and barn fixtures ,
Administration building
'
Library and chapel
Pathological laboratory
Dispensary
Wards
Cottage 21
Cottage 22
.'
Cottage 23
Cottages 24 and 26
Cottage 25
.
Cottage 27
Cottage 28
Cottage 29
Cottage 30
Cottage 31
Cottage 32
Cottage 34
Cottage 36
Kitchen and bakery
r
Laundry
Engine and shop
Store
fixtures
Stores: Groceries, provisions and meats
Hardware and miscellaneous
Dry goods
Notions
Crockery
Silverware
Boots and shoes
Clothing
Total

1906.
$47,160 00
739,101 00
13,720 00
3,104 59
7,12i) 32
1,122 00
1,075 00
1,119 07
32,229 44
3,106 84
527 21
3,557 22
4,151 44
2,749 64
3,264 70
2,061 42
3,501 75
3,158 74
1,758 13
1,966 84
3,345 95
3,221 36
4,736 92
5,185 09
3,227 27
76 90
8,031 72
1,192 85
4,193 05
2,321 51
403 52
50 86
1,994 91
8,724 10
$922,261 36

STATE OF MICHIGAN.

32

EEPORT OF MEDICAL SUPEKINTENDENT.

To the Board of Trustees•'
Gentlemen—As required by law, I have the honor to submit for your
consideration the following report of the principal events of the asylum
for the biennial period ending June 30, 1906. The movement of population has been as follows:
TABLE I.—For the biennial period.
Patients.

v

Discharged recovered

Males.

Total.

629
292

249

541

921
222

796
187

1 717

699

609

1,308

15
83

16
90

31
173

14
110

Died

Females.

547

29
52

1 176

409

43
162

From the beginning.
Patients.

Died

Remaining under treatment June 30, 1906

Males.

Females.

Total.

2,306

1 884

4 190

272
549
164
622

201
540
137
397

1,089
1,019

1,607

1,275

2 882

699

609

1,308

473
301

NORTHERN

MICHIGAN ASYLUM.

33

From this table it may be shown that the number of admissions and
the number of discharges were much greater than during any previous
period. If it is pointed out that the admissions for the last two years
exceeded by forty-one the original capacity of the asylum, the great
growth of population of the district and the number mentally afflicted
becomes forcibly apparent.
The net increase of patients, counting those transferred to other
asylums and deported, was 151. The institution is nearly to its full
capacity, and long before additional accommodations can be provided,
it will, for lack of room, be unable to promptly care for all of the
occurring cases. If the provisions you have recommended to the coming legislature are granted by that body, only the net increase of
patients for the district for the next two years will be provided for.
Very few realize, in more than a general way, the distress it brings
to families and friends in time of need to be deprived of asylum room,
to say nothing of the general apprehension which arises when a large
number of insane are improperly safeguarded. Very few, indeed, estimate at true value the medical care, the nursing and the general oversight bestowed upon patients in our asylums. To many the aggregate
cost seems unduly great—in reality, however, the cost is small if everything that is done for each individual is taken into consideration.
The percentage of patients discharged recovered was small, but when
it is recalled that about half of all admitted have regained a degree of
health which permits them to remain at home and to a greater or lesser
extent support themselves, the results of hospital care are far from
disheartening.
The smallest number of patients under treatment on any one day
was 1107, and the largest 1310.
The death rate for the year ending June 30, 1905, was 7.3 per cent;
and for the year ending June 30, 1906, 4.7 per cent. There were 162
deaths during the period. The following table gives the sex, age, form
of disease and cause of death in each case.
5

STATE OF MICHIGAN.

34

TABLE II.
Sex.

81
59
48
35
84
88
60
82
51
80

Female .

50
67
49
80
66
68

Female

Nativity.

Age.

23
57

Ohio

Sweden

56
37
27
40

Cause of death.

B. II, Senility
C. I, Neurasthenia

Intestinal tuberculosis.

A. I, Melancholia
B. II, Senility

Pulmonary tuberculosis.

B II Senility
A. II, Dementia
B. II, Senility

Ileo-colitis.

Poland

Ileo-eolitis.
B. II, General paralysis
"R. TT Roaiiit-y

C. II, Periodical
Sweden

C. "I, Neurasthenia

Pulmonary tuberculosis.

B. 11 Senility
B II Senility

60
72

Female

Form of disease.

Michigan

C. Ill, Imbecility

Pulmonary tuberculosis.

Ireland

A. II, Delusional

Gastro-enterit i s .

New York

C. Il] Periodical

Pulmonary tuberculosis.

34

Female

72
31
73
75

Female

41
70
46
61

Female
Male
Male
Male
Male
Male
Male

49
65

....
....

B *II Senility
New York

42
48

85
63
70

Male
Male
Male
Male
Male

74
70

Male
Male
Male
Male
Male

82
87
39
70

Male
Male
Male
Male
Male

31
84
53
78
54

Male
Male
Male
Male
Male

44
48
44
73

Male
Male
Male
Male
Male

64
69
48

72
63

Sweden

Ohio
New York

Michigan
Poland

B II Senility
A. I, Melancholia.. . . ._

Pernicious anemia.

C IL Paranoia
B II Senility

B
B
B.
B

II
II
II,
II

Senility
Senility
Organic brain disease
Senility

Cystitis.

B.
B
B.
B

II,
II
II,
II

Senility
Senility
Delirium grave
Senili+v

Exhaustion.

B

II Senility

Acute enteritis.

71

33

Ohio

New York

New York
Unknown

B II Senility
B. II, Organic brain disease

Gangrene of foot, apoplexy.

A. II, Dementia
C III Imbecility

Cardiac disease.
S

NORTHERN MICHIGAN ASYLUM.

35

TABLE II.—CONTINUED.
Age.

Sex.

Male
Male
Male
Male
Male

60
73
34

. . .

"ij"

Nativity.

Form of disease.

Ohio

B. II Senility

Unknown

B. II, Organic brain disease

Male
Male
Male
Male
Male

23
59
27
50
27

C. Ill Imbecility

Male
Male
Male
Male
Male

77
40
64

B. II Senility
B. II Syphilis

Male
Male
Male
Male
Male

37
47
"45"

. .

76
32
69
28
42

Male

69
31
53
69
29

22
85

71
23

Intestinal obstruction.
Cellulitis of neck.

Unknown

B. II, Organic brain disease

Locomotor atasia.

B. II Senility

B

B. II Senility
C. Ill, Imbecility

41
85

Male
Male
Male
Male
Male

A. I, Melancholia
B. II Senility
C. Ill, Imbecility

Ohio

23
26
45
43
42

Male

II Senility

B. II Senility
Poland

53
84
36

A. II Delusional

66
63
. . . .

. . .

.

. ... ...

C. Ill, Imbecility
C. III, Imbecility

24

Male
Male .
Male
Male .
Male

Apoplexy.

Unknown
Unknown

73
55
Fema e

Male
Male
Male
Male
Male

. .

27

Male
Male
Male
Male
Male

Male
Male
Male
Male
Male

Cause of death.

.

.

.

71
68
42
68
78

B

62
80
35
75
96

B. II Senility

55
71
55
52
79

B. II, Senility
A. II Delusional

Ohio

II Senility

Pulmonary tuberculosis.

STATE OF MICHIGAN.
TABLE II.—CONCLUDED.
Se,

Age.

Nativity.

Cause of death.

Form of disease.

Male
Male
Male
Male
Male

75
75
40
39
55

England

B. II, Organic brain disease
B. II Senility

Michigan
New York

C. I, Epilepsia
B. II, Delirium grave

Male
Male
Male
Male
Male

60
55
64

Michigan
Ohio
Michigan

B. II, General paralysis
B. II, Organic brain disease
B. II, Senility

,

Arterio-sclerosis.
Diabetes mellitus.
Acute delirium.
Status epilepticus.
Exhaustion.

39

Michigan

B. II, General paralysis

Paretic seizure.
Bright's disease.
Arterio-sclerosis.
Cardiac disease.
Paretic seizure.

Male
Male
Male
Male
Male

38
47
85
71
65

Canada
Unknown
Vermont

C.
B.
B.
B.
B.

Status epilepticus.
Paretic seizure.
Arterio-sclerosis.
Arterio-sclerosis.
Paretic seizure.

Male
Male
Male
Male
Male

70
62
74
36
70

Michigan
Canada
Michigan

. . . .

. .

Male
Male
Male
Male

80
65
73
76

Canada
New York

Male
Male
Male
Male

34
29
38
40

Michigan

37
38
76

Canada
Austria

Male....
Male
Male
Male

Michigan

I,
II,
II,
II
II,

Epilepsia
General paralysis
Organic brain disease
Senilitv
General paralysis

B. II, Organic brain disease
C. I, Epilepsia
B. II, Organic brain disease
B. II, Senility

Serofibrinous pleurisy.
Paretic seizure.
Acute dilatation of heart.
Suffocation during conv'ion.
Arterio-sclerosis.

B. II, Organic brain disease
B. II Senility
. .

Apoplexy.
Paretic seizure.
Apoplexy.
Arterio-sclerosis.

C. I, Epilepsy
C. Ill, Imbecility

Status epilepticus.
Status epilepticus.
Status epilepticus.
Acute dilatation of heart.

A. II, Dementia
C. Ill, Imbecility
B. II, Organic brain disease

Pulmonary tuberculosis.
Pulmonary tuberculosis.
Pulmonary tuberculosis.
Exhaustion.

.. .

NORTHERN MICHIGAN ASYLUM.

37

SUMMARY.
Females.

Males.

General paralysis
Pulmonary tuberculosis
Cardiac disease
Exhaustion
Apoplexy

19
5
11
8
15

Pneumonia
Status epilepticus
Pernicious anemia
Suffocation
Bright's disease

10
2
3

Arterip-sclerosis
Intestinal obstruction
Hep-colitis
Suicide
Homicide

3
11
4
2

1

15
2
5
1

4
1
6
1
1

Edema of lungs
Intestinal tuberculosis
Gangrene
Castro-enteritis
Cerebral embolism

1
1

1
1
2
1
1

Chronic rheumatism
Cystitis
Septicemia
Chronic bronchitis
Uremia

1
1
2
2
1

Erysipelas
Exophthalmic goitre
Diabetes meilitus
Serofibrinous pleurisy

Total

,

'.„

.•

'.
.^

Total.

22
16
15
16
17
2
12
1
2
3
19
3
11

1
2
1
1

110

52

T62

Ninety-two of the patients who died were over 55 years old, and 17
were over 90. The deaths from tuberculosis were less than during the
preceding period, and particularly less during the last year. Arterial
degenerations were frequent causes of death, and organic diseases of
brain and other organs claimed many victims.

TABLE III.
For the biennial
period.

From the
beginning.

Form of insanity.

I
B. Incident to the normal and the dc-

I. Toxic (alcoli ol- °Pilim>

I. Developed G i the neuroses

C. Incident to the degenerate brain.... • n prhnary

fo]

III. Arrest of (

Total

fa

200
94

422
182
1
54

31
8

43
13

d. Hallucinatory delirium (primary confusiooal insanity)

8

7

15

31

216
88
1
23

3

2
12

5
12

102
117

210
158

878
276

29
58

1
2

30
60

\b. Chronic
a. Syphilitic

[ II, Symptomat c of organic disease of the brain . . . .

3
1

a

5

f a. Delusional insanity (dementia monomania).

[ II. Secondary.

t
-A

b. Mania

12
1

8

•a
£

•h

°el
S

c' De^tia from gr°SS brain lesions

^P16^ tllmors'

j £• ^j^
[ d. Epilepsia

ms

j c. Paranoia

levekpment

{ »• j^™y

:

"

•'.'..' .'.....:

1
35

1
4

2
39

10
212

8
36

24
248

30
44
4

13
21
4

49
65
8

141
180
17

53
124
10

194
304
33

4
1
1
30

27
13

31
14

"'is'

r

45

161
3
13
191

233
85
6
113

394
88
19
304

117

20
1
44
1

"'so'
1

50
1
74
2

104
1
425
1

299
6

221
1
724
7

40
2

29
1

69
3

140
4

81
1

221
6

1

1

292

30

249

541 2,306 1,884

4,190

NORTHERN MICHIGAN ASYLUM.

39

The above table, although very imperfect in many ways, is not without interest. It shows that out of 541 patients admitted,
the prognosis for recovery was favorable in only 13 per cent. Thirty
per cent were organic, and 57 per cent were insanities "Incident to the
Degenerate Brain." In this last group are to be found the "ManicDepressive" and the "Dementia Precox" cases of Kraepelin. It was
thought to group the admissions of the period in accordance with Kraepelin's scheme, but after careful consideration it was thought more suitable to wait until we had a clearer conception of Kraepelin's work
before changing from the valuable classification now in use. Uniformity
of classification does not exist in the Michigan asylums, but steps are
now being taken to bring about this most desirable plan. A brief experience in the examination of patients in harmony with the most
recent clinical methods has been sufficient to demonstrate the difficulty
in establishing a diagnosis in many mental conditions. There are, at
best, many cases in which we confess our lack of knowledge by calling
them "unclassifiable." We believe there has been marked improvement
in the quality of our medical work since the psychiatric department of
the Michigan asylums was established at the University. Dr. Barrett,
superintendent of the psychopathic ward, has been very helpful not
only in pointing out the value of recent clinical methods, but of confirming them in our work. Further your plan of sending each year the
Medical Superintendent and the Assistant Medical Superintendent to
asylums outside our State, and to laboratories, is to be one commended.
In this way our institution becomes acquainted, to a certain extent at
least, with the achievements of the best workers in our special field.
By these means our work has been improved and the institution more
and more hospitalized. In all modesty it may be said that the asylum
was never at a higher standard of usefulness.
Besides this broadening out of the medical work, more attention has
been given to the nursing of patients, and more pains taken in the
selection of food stuffs and in their preparation. Many patients suffer
profound disturbances of nutrition. The metabolic functions are often
greatly impaired. For all such patients it is absolutely necessary, if
the result of treatment is to be satisfactory, that highly nourishing and
skillfully prepared foods shall be prescribed. We believe there has
been some advance all along the line in asylum management, and that
our knowledge of mental diseases and their treatment has become somewhat more comprehensive.
The surgical work is performed by the staff. Although the number
of cases has not been large, the results have been uniformly good. Among
the more important operations have been those for inguinal hernia,
ventral hernia, recto-vaginal fistula, cervical and perineal lacerations of
varying degree, amputation of breast and many minor operations.
I need not enter into details concerning the improvements made to
the asylum during the period. Since you directed them and are familiar
with all of them, it would be superfluous to describe them to you.
In your report you have fully considered the needs of the asylum,
and in this connection I would briefly call your attention to a matter
already provided for by law, that has a bearing on the question of the
necessity for additional accommodations for patients. You know that
a. recent legislature enlarged the scope of the hospital in the "voluntary

40

'

STATE OF MICHIGAN.

commitment law" to include border-line and neurological cases. Voluntary patients are patients who are not insane. Any person suffering
from nervous disease can secure hospital treatment in any of our asylums if able to maintain himself without expense to the State. This is
doubtless a wise law and well in keeping with the advanced demands
of psychiatry and neurology. There are many neuroses that are complicated with insanity, and Dubois "does not hesitate to place the neuropsychoses of every form alongside the insanities under the name
psychoses." Punton says, "Nervous and mental diseases are closely allied, indeed, they are to be regarded as being almost synonymous, so
that the study of one depends on the study of the other, and as all parts
of the human organism are subject to nervous control or innervation,
it follows as a logical sequence that the entire human organism is concerned at times in their clinical manifestations."
Doctor Henry Stedman says, "Evidences have accumulated on every
hand to show that the gap between the neurologist and the alienist, as.
to the nature of their work, which is, and always has been a largely
artificial one, is fast closing up, and it should be equally plain that this
increased scope of legitimate duties brings with it increased responsibility for the neurologist as regards the insane." Further, "We do not
sufficiently realize that there is a department, so to speak, of practical
psychiatry, which is as yet undeveloped. It comprises the outside, nonhospital cases, some of them insane, others defective, breaking down or
hopelessly weakened mind and others on the borderland of vice, crime
and mental unsoundness. Their needs are distinct in great measure from
those of hospital patients with the developed disease, for whom sequestration in the hospital is recognized as the only practical and humane
provision. In meeting the problems that arise in dealing with this
class in a just, humane, economic and practical manner" our asylums
ought to take a large part. There are very many neurasthenics, psychaesthenics, and cases of mental enfeeblement less than actual insanity,
for whom there is no adequate place of treatment other than that prpvided by the "voluntary commitment law" at the asylums. If the provisions of this law were generally known, doubtless many persons would
avail themselves of its privileges, and the demand for room would be
greatly increased.
In recent years the scope of the asylums has been much enlarged. In
the first part of my asylum career the feeble-minded, aged dements,
post-hemiplegic wrecks and many forms of organic dementia were not
admitted. Practically the asylums now care for all the senile, most of
the organic dementias, and in connection with the Lapeer institution,
all the imbecile class.
The increased accommodations you have requested are not excessive,
and if the hospital treats any considerable portion of the classes above
referred to, the urgency for more room becomes greater. The State
will need to make generous appropriations if it is to afford ample and
proper care for its insane. I believe it will be the part of wisdom for
the State to maintain and give its hearty support to the high standard
of work it has established. We cannot stand still. As Kraepelin says,
"To stand still is to fall behind. In the conduct of the affairs of an
asylum the pressing demands of the day do not allow us to rest upon
the laurels we have already won. New questions arise and the solving

41

NORTHERN MICHIGAN ASYLUM.

of old problems constantly demands new expedients. The needs of the
care of the insane have grown to an extent which compel us to discover ways and means by which the evils can be met most efficiently.
Preeminent in the foreground must stand the education and the maintenance of a capable and trustworthy class of alienists, since this class
alone is able to weld and wield the weapons in the battle against the
march of insanity."
The establishment of the psychiatric department of the asylums at
the university at Ann Arbor some years ago was a very advanced step
in psychiatry. It meets, from an educational standpoint, the requirements pointed out by Kraepelin. It not only affords special training
for members of the medical staffs, but facilities for teaching to the
medical students of the university, mental medicine. Very little attention has been given to the study of insanity by the general practitioner.
With trained men in this special field, borderline and early cases will
be promptly recognized and treated and many of them be saved from
mental shipwreck.
Herewith are appended the usual statistical tables:
TABLE IV.—Degree of heredity:
For tlie biennial period.

Males.

Paternal intermediate

Total

Females.

From the beginning.

Total.

Males.

Females.

Total.

5
20
9
15
8

4
12
8
25
15

9
32
17
40
23

30
101
72
145
SI

29
117
60
195
105

59
218
132
340
186

31
12
91
101

30
5
48
102

61
17
139
203

154
59
616
1.048

172
51
570
585

326
110
1,186
1,633

202

249

541

2,306

1,884

4,190

42

STATE OF MICHIGAN.
TABLE V.—Occupation of those admitted.
For the biennial period.

Females,

Males.

1
1

3
2
3

f»

12

Farm hbore

Laundrvn

and 1 undrew

I ivervmpn stillpmpn ind iopkpvs
Locomotive engineers, firemen and trainmen
*» i • • i CTiinsmiths locksmiths
MT iif^H-'' ' ^- '' ' n ' Trip 1 ts
Mirinp e ffinppr^ firpmpn si'lfrs
M sons r! 1 t
^
'

5
3
4
9
1

13
7
5
5

18
10
9
14
1

1

4

2
3

2
5
3

39
11
5
41
6

19
11
8
19
1

58
22
13
60
7

3
4
59
2

3
12
145
5
3

3

3

5

17

1
1
26

3
3
80

1

...

1
5
6
2
809

2
86

1
2
8
665

5

10

15

6

5
3

0

5

2

i

1
1
1

1
2
3

3

4

7

9
15
2
35

1
4
3
2

1
6
6
6
2

7
12
4
16

1
1
2

Totil

8
86
3
3

1
8
189

3
2
1
1
2

Total.

3
3

1

2
3
4
2

tpl m

Females.

1

1
15

fi

Males.

1
6
103

2

Ph T V
Plumbers
Pol'pp rip
SawPlers '

Total.

2
2

1

2
2
54

From the beginning.

3
20
1

2
1
22
2
1
'"&'

9

5

3
1
35
1

76'
80

3
4
1
1
3

17
15
1
2
2

22
2
2
1
8

16
1
20

4
7
1
335
1

1
9
13
3
1,144

v 4
501

1
1
2
12
1,166

10
4
151
1
1

15
7
151
6
1

1
5
12
4
31

1
14
27
6
66

1
4
25
2
7

1
11
37
6
23

10
13
39
98

15
13
109
178
4

4

3
8
1
1

20
23
1
3
3

44

151
2
30
1
64
17
4
398
1
49

151
2
14

45

1
18

1
63

8
3
204

3

4

7

26

9
1
194
1
23

292

249

541

2,306

1,884

4,190

NORTHERN MICHIGAN ASYLUM.

43

TABLE VI.—Nativity of patients admitted.
From the beginning.

For the biennial period.

Males.

Females.

29

1
1
21

2
1
50

2
5

4

2
9

1

A tr'
Belaium
P nadfl

4
2
2
7
2
3

Holland

Males.

Total.

2
2

1
21
1
303

8
5
222

1
1
29
6
525

4
30
1
77
7

3
25
1
49
4

7
55
2
126
11

3
12

5
19
2
10

67
154
23
93
7

33
138
17
73

100
292
40
166
9

15
6
1
1
3

27
16
6

70
30
9
2
10

••y
8
3
1
1
1
1

•

'"&

43
14
3
2
2

3
1
1
219

7
5
2
523
4

8
6
1
522
1

15
11
3
1,045
5

4
38
2
3
5

38
3

4
76
5
3
7

"'iio'

1
1

3

4
1

2

1

3

New York

26

20

1

46
1

Ohio

18

16

34

226
2
1
104

4
3

1
2

5
5

51
17

5

8

13

4
151

1

1

2

21

....

Poland
Rhode Island

South Dakota

'r

. .

1
7
1
1

Utah

Wales

. . .

Total

1

6
2

1
109

Norway

Total.

2

Italy

7
3
1

Females.

2

'"l07

1
401
4
1
211

41
IS
1
1
122

92
35
1
5
273

13
2

34
2
1
17
2
1

1
175
2

10
1

55

3
9
4
26
2
236

127

5
21
5
48
2
363

541

2,306

1,884

4,190

1
1
5

3
3

5
1
8

41

14

292

249

2
12
1
22

Recapitulation.

Total

355
131
55

2,017
1,810
363

541

4,190

STATE OP MICHIGAN.

44

TABLE \ll.—Clinical group.
For the biennial period.

Males.

Females.

From the beginning.

Total.

Males.

Females.

Total.

41

6
1
8
7
28

0
35
39
1
69

13
167
115
6
157

37
4
53
100
82

50
171
168
106
239

1
26

7
15

8
41

14

30

44

14
176
22
107
422

18
108
19
B
407

32
284
41
113
829

3

23
2
4
5

26
2
32
6

221
2
170
18
1

335
8
28
23

556
10
198
41
1

Senile

3
12
4
22

8
12
5
57

39

1
35

13
179

24
193
38
126

63
193
51
305

Traumatic
Toxic

5
18
4
45

2
7
8
55

7
25
12
100

67
66
103
228

19
22
35
199

86
88
138
427

Total

292

249

541

2,306

1,884

4,190

"'34'
31

Paretic . .
Phthisical
Post febrile.

28
1

5

.

TABLE VIII.—Duration of disease previous to admission.
For the biennial period.

Males.

Total

Females.

From the beginning.

Total.

Males.

Females.

Total.

63
24
17
9
25

39
32
16
6
12

102
56
33
15
37

411
217
128
37
243

334
190
115
37
159

745
407
243

33
22
]4

13
72

20
12
12
10
90

53
34
26
23
162

326
187
172
122
463

282
196
194
104
273

608
383
366
226
736

292

249

541

2 306

1 884

4 190

74

402

NORTHERN MICHIGAN ASYLUM.

45

TABLE IX.—Civil condition.
From the beginning.

For the biennial period.

Males.

Females.

Unascertained

117
120
21
10
24

155
57
23
12
2

Total

292

249

Total.

•

Males.

Females.

Total.

272
177
44
22
26

902
1,085
128
53
138

1,213
410
183
57
21

2,115
1,495
311
110
159

541

2.306

1.884

4,190

TABLE X.—Age of patients.
From the beginning.

For the biennial period.

Males.

16
21
26
31

to
to
to
to

20
25
30
35

36 to
41 to
46 to
51 to

40
45
50
55

56 to 60
61 to 70

Total

.
. ..

.

..

.

. . .

Females.

Total.

Males.

Females.

Total.

1
21
19
33
25

2
14
25
32
46

3
35
44
65
71

15
131
242
314
250

13
101
184
250
262

28
232
426
564
512

32
23
IS
24

29
24
19
16

61
47
37
40

255
238
156
141

254
205
171
116

509
443
327
257

16
22
27
31

9
17
15
1

25
39
42
32

110
159
103
192

91
105
62
70

201
264'
165
262

249

541

2,306

1,884

2f)2

4,190

STATE OF MICHIGAN.

46

TABLE XI.—Probable^exciting cause.
For the biennial period.

Males.

19
18
3
32

Females.

Total.

8
7

"'is'
7

Fright
Ill health

Phthisis

From the beginning.

Total.

27
25
3
50
7

03
82
8
92
84

99
36
37
27
52

162
118
45
119
136

11
35
182
4
45

22
125
113
5
22

33
160
295
9
67

8
181
255
22

18
307
6
3
18

26
488
261
25
30

25
15

30
41
1
6

12
33
7
1

37
1
1

49
33
8
2

6
1

2
6
2
7
13

2
12
3
7
13

1
40
5
3

2
29
14
21
202

3
78
19
32
202

1

6
3

6
4

3
5
65

23
28
10
16

23
31
15
81

2
8

3
1

5
9
1
8

36
90
"'26'

54
21
5
8

90
111
5
34

14
13
74
2

18
1
04
3

32
14
138
5

121
58
607
153

100
9
424
20

221
67
1,031
173

292

249

541

2,306

1,884

4,190

Syphilis

S

Total

Females.

5
26
1
6

. . -

Senility

Males.

12

TABLE XII.—Residence of patients admitted.
From the beginning.

For the biennial period.

Males.

Clinton

.
'

Total.

Males.

68
52
25
11

8
8
3
1

7
6
1
5

15
14
4
6

9

7
1
6

16
1
17

7
6

4

7
10

27
15

10

8

18

75

11
Clare

Females.

1
11
27
44

Females.

Total. ,

61
60
13
19
1

129
112
38
30
1

5
29
13
35

1
16
56
13
79

13
14
1
49

40
29
1
124

NORTHERN MICHIGAN ASYLUM.

47

TABLE XII.—CONCLUDED.'
For the biennial period.

Females.

Males,

From the beginning.

Total.

Males.

3

26
31

7
20
99
103
97

4
21
74
105
60

11
41
173
208
157

17
5

44
31

2
1
45
27
1

2
1
89
58
3

34
1
10

10
70
1
28
8

3
68
19
8

13
138
1
47
16

3
15
44
2

1
2
25
36
3

1
5
40
80
5

11
92
87
43

1
13
73
57
54

1
24
165
144
9V

11

27

3

3

1

1

12
15

14
16

7
3

10
2

•
T IP Rovile
Isabella

Kalka<*ka

Kent
Jjake

Pt Chir

Wexford
State

Total .

15
23
22
58

2

7
15
9
53

Total.

22
38
31
111
2
3

Delta

16

Females.

2

15
1
5

19

2
3
11

...„
6

2
5
17

16

18

34

5

8

13

8

6

14

9
6

7
2

16
8

77
88
48
31

57
31
62
20
1

134
119
11C
51
I

9
1
23
8
1

12
16
5

21
1
39
13
1

130
10
156
50
1

103
4
144
51

23;
14
sot
101
1

10
1

13
3

23
4

8
2

14
6

57
11
6
53
14

IK
25

6
4

53
17
7
51
12

4
3
2
1

1
3

5
6
2
1

8
13
11
5

1
8
9
2

!
2
2(

6
1

3

9
1

7
3
20
1

6
2
7
2

2;

11

5

i;

10'
2(

1,

5

16

2
2

3

2
5

51
7
107
51

48
2
24
54

13
10,

9<

292

249

541

2,306

1,884

4,19(

l

48

STATE OF MICHIGAN.
ESTIMATES OF SPECIAL APPROPRIATIONS.

The following are the estimates of special appropriations requested
by the Board of Trustees and submitted to the State Board of Corrections and Charities for its approval:
To the State Board of Corrections and Charities:
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 Northern Michigan Asylum for the enlargement of
the store buildings; for the erection and furnishing of extensions to the
north and south wings of main building; for purchase of land, flagstaff, books, musical instruments, new boiler; for addition to greenhouse, construction of a morgue, carriage barn, dry-room; removal and
repair of pig pens, and additional fire protection.
I.

CARRIAGE BARN.

18 cords of stone, in wall, at f 12.00
125,000 brick, in wall, at $12.00
4.000 feet concrete floor, at 9 cents
5',000 feet matched pine flooring, at $25.00
5,000 feet matched ceiling, at $25.00
50,000 shingles, at $3.00
30,000 feet "lumber at $13.00
6,000 feet lumber, at $30,00
10 windows, complete, at $10.00
15 windows, complete, at $3.00
6 doors and frames, at $10.00
3 doors, at $15.00
200 yards plastering, at 20 cents
1,200 yards painting, at 20 cents
Hardware, etc
Labor and carpenter work
Electric wiring, sewers, etc

'.

$216 00
1,500 00
360 00
125 00
125 00
150 00
390 00
180 00
100 00
45 00
60 00
45 00
40 00
240 00
300 00
624 00
500 00
$5,000 00

H.

ADDITION TO STORE.

65,000 brick, in wall, at $11.00
15 cords of stone, in wall, at $14.00
14.000 ft. hemlock lumber, at $17.00
4,000 ft. maple flooring, at $32.00
9 windows, at $11.00
9 windows, at $8.00
21 squares of roof, at $6.00
700 yards of plastering, at 20 cents
6,000 ft. pine lumber, at $35.00
4 doors, at $10.00.
2,000 ft. pine lumber, at $45.00

$715
210
238
128
99
72
126
140
210
40
90

00
00
00
00
00
00
00
00
00
00
00

NORTHERN MICHIGAN ASYLUM.

Painting
Carpenter work
Cut stone sills
Heating and plumbing
Hardware and trimmings
Electric wiring and

49

f 75 00
500 00
40 00
500 00
55 00
262 00

fixtures

|3,500 00
III.

EXTENSION TO SOUTH WING.

74 cords of stone, in wall, at $14.00
Excavation
1,200 M. brick, laid in wall, at $11.00
Concrete and cement work
55 M. feet joist and rafters, at $17.00
50 M. feet 1-inch hemlock, at $18.00
22 M. feet maple flooring, at $32.00
88 squares of slate roof, at $9.00
524 feet galvanized iron cornice, at $2.00
1 galvanized iron ventilator
200 feet galvanized iron moulding, at 25 cents
15 squares tin roof, at $9.00
21 cast iron columns, at $30.00
200 feet of cresting on ridge, at 80 cents
Steel beams
98 wire window guards, at $3.50
Wire porch guards
31 basement windows, at $6.00
122 ward windows, at $15.00
5 attic windows, at $10.00
09 doors and frames complete, at $13.00
4 doors and frames complete, at $18.00
5,863 yards of plastering, on walls, at 25 cents
1,680 yards of plastering, on ceiling, at 40 cents
400 yards of painting and sanding
Painting, varnishing.and finishing hardwood
Working 131,000 ft. lumber, at $10.00
3,600 ft. of base, at 1.5 cents
Carpenter and foreman Avork
Hardware, locks, knobs and hinges
5,000 ft. finishing lumber, at $50.00
Stairs
Cut stone caps, sills, belt course and water table
Bedding and furniture
Heating and plumbing
Electric wiring and electric
fixtures
Carpenter work
Ventilation and fire protection

:

$1,035 00
100 00
13,200 00
600 00
935 00
900 00
704 00
792 00
1,048 00
3C4 00
50 00
135 00
630 00
160 00
200 00
343 00
350 00
186 00
1.830 00
50 00
897 00
72 00
1,465 75
672 00
120 00
500 00
1,310 00
540 00
1,100 00
400 00
250 00
150 00
1,535 50
4,911 00
4,500 00
1,000 75
865 00
1,000 00
$45,000 00

50

STATE OF MICHIGAN.
IV.

EXTENSION TO NORTH WING.

74 cords of stone, in wall, at $14.00
Excavation
1,200 M. brick, laid in wall, at $11.00
Concrete and cement work
55 M. feet joist and rafters, at $17.00
50 M. feet 1-inch hemlock, at $18.00
22 M. feet maple flooring, at $32.00
88 squares of slate roof, at $9.00
524 feet galvanized iron cornice, at f2.00
1 galvanized iron ventilator
200 feet galvanized iron moulding, at 25 cents
15 squares tin roof, at $9.00
21 cast iron columns, at $30.00
200 feet of cresting on ridge, at 80 cents
Steel beams
98 wire window guards, at $3.50
Wire porch guards
31 basement windows, at $6.00
122 ward windows, at $15.00
5 attic windows, at f 10.00
69 doors and frames complete, at $13.00
4 doors and frames complete, at $18.00
5,863 yards of plastering, on walls, at 25 cents
1,680 yards of plastering, on ceiling, at 40 cents
400 yards of painting and sanding
Painting, varnishing and finishing hardwood
Working 131,000 ft. lumber, at $10.00
3,600 ft. of base, at 15 cents
Carpenter and foreman work
Hardware, locks, knobs and hinges
5,000 ft. finishing lumber, at $50.00
Stairs
Cut stone caps, sills, belt course and water table
Bedding and furniture
Heating and plumbing
Electric wiring and electric
fixtures
Carpenter work
Ventilation and fire protection

v.
72,000 bricks, at $1,200
20 cords of stone, at $12.00
6 floors, at $15.00
12 windows, at $8.00
1 watercloset
1 slop sink

$1,035 00
100 00
13,200 00
600 00
935 00
900 00
704 00
792 00
1,048 00
364 00
50 00
135 00
630 00
160 00
200 00
343 00
350 00
186 00
1,830 00
50 00
897 00
72 00
1,485 75
672 00
120 00
500 00
1.310 00
540 00
1,100 00
400 00
250 00
150 00
1,535 50
4,911 00
4,500 00
1,000 75
865 00
1,000 00

MORGUE.
$864 00
240 00
9000
96 00
25 00
20 00

NORTHERN MICHIGAN ASYLUM.

2 lavatories
Ice box
15,000 feet lumber, at $18.00
20,000 shingles, at $3.00
1,500 feet Granolithic
Sewer connection
Heating
Electric wiring, etc
Hardware
Labor

51

floor

......

.

$60 00
250 00
270 00
60 00
765 00
75 00
225 00
110 00
50 00
300 00
$3,500 00

VI.

GREENHOUSES.

REPAIRS AND NEW SECTION.

2,200 feet cement wall, at 25 cents
2,000 feet glass
Heating apparatus, labor, painting, etc
Repairs to roofs and gutters, including labor

$800 00
750 00
200 00
350 00
$2,100 00

VII.

LAND.

60 acres of land, at $100.00

$6,000 00

VIII.

FLAG STAFF,, ETC.

Flag staff
Books . .
Musical instruments

,,

$500 00
250 00
500 00
$1,250 00

IX.

PART OF NEW BOILER.

To complete the purchase of 1 150 H. P. water-tube boiler... $2,300 00
X.

ADDITIONAL FIRE PROTECTION.

1,300 feet of cast iron water pipe, fittings, lead, labor, e t c . . . . $1,000 00
If the money appropriated by the last legislature for the installation
of a telephone system can be transferred to this account, the appropriation requested would not be required.
XI.

For removal and repair of pig pens

PIGGERY.

$1,200 00

52

STATE OP MICHIGAN.
XII.

DRYING ROOM.

For repairing the present drying room with an up-to-date
system
fl,200 00
RECAPITULATION.

Carriage barn
Addition to store
Extension to south wing
Extension to north wing
Morgue
Greenhouses
Land
Flag staff, etc
Part of new boiler
Additional fire protection
Piggery
Drying room
Total

-.

f5,000
3,500
45,000
45,000
3,500
2,100
6,000
1,250
2,300
1.000
1,200
1,200

00
00
00
00
00
00
00
00
00
00
00
00

1117,050 00

All of which is respectfully submitted.
JAMES D. MUNSON,
Medical Superintendent.
The following is the report of the State Board of Corrections and Charities on the above requests for appropriations:
Nov. 5, 1906.
James D. Munson, M. D., Medical Superintendent Northern Michigan
. Asylum, Traverse City, Mich.:
Dear Sir—Your communication to the State Board of Corrections and
Charities, submitting for its consideration and opinion the proposed appropriations for the Northern Michigan Asylum for the years 1907 and
1908, was duly received. The asylum was visited and its "conditions
and needs investigated," The Board has carefully considered the appropriations proposed, and respectfully submits herewith its opinion of the
same.
Carriage barn

f5,000

In the opinion of the Board the old barn which has done service for
many years, needs to be replaced with one more suitable to housing the
teams and equipment of the State, and the item is approved.
Addition to store

f 3,500

NORTHERN MICHIGAN ASYLUM.

53

The present store is entirely inadequate; built several years ago, the
asylum has entirely outgrown it; this addition, in the opinion of the
Board, should be made; the item is approved.
Extension of the south wing
Extension of the north wing

f 45,000
45,000
190,000

The intention of these extensions is to increase the capacity of the
asylum one hundred each, for male and female patients, a total of two
hundred. In the opinion of the Board, this is required and the items are
approved.
Morgue

|3,500

This Board does not think it advisable for the State to go into the
undertaking business, as it is understood this item contemplates; and
therefore does not approve of this item.
Greenhouse (repairs and new section)

$2,100

The value of the greenhouse at the asylum has been demonstrated. The
repairs contemplated are needed, and a new section very desirable. The
item is approved.
•

Land

$6,000

Approved.
New boiler

.•

$2,300

This is asked to supplement the appropriation of 1905, which was not
used because the amount was insufficient for the purpose. The item is
approved.
Additional fire protection

$1,000

This should be provided, but as the appropriation of 1905, for a telephone
system of $1,000 was not used, and will now not be required, the Board
would recommend that this amount of $1,000 for a telephone system be
transferred by the legislature to additional fire protection, and no special
appropriation be made for it.
Piggery

$1,200

The removal of this building further away from the cottages is very
desirable, and the item is approved.

54

STATE OF MICHIGAN.

Drying room

11,200

The old drying room, unsafe and dilapidated, should, in the opinion
of the Board, be replaced by an up-to-date one. The item is approved.
Yours respectfully,
GEO. D. GILLESPIE,
L. C. STORES,
Chairman.
Secretary.
CHAPEL SERVICES.

Religious services have been regularly conducted by the chaplain, Eev.
D. Cochlin, assisted by Eevs. W. T. Woodhouse, 0. T. Stout, Hugh Kenedy, and L. B. Bissell. Services, as in the past, have been largely attended, but the asylum chapel is entirely too small for th*e uses of the institution, and steps" should be taken to have it enlarged.
ACKNOWLEDGMENTS.

The institution would renew its thanks to the editors of the following
papers for donations of their journals for the use of the patients:
Germania
Native Copper Times
Big Eapids Herald
Der Sonntagsbote, of Grand Eapids
Michigan State Democrat
Alpena Argus
Grand Traverse Herald
Cheboygan Tribune
Deaf Mute Mirror
' Triumphs of Faith
Huron Tribune
To Mr. and Mrs. W. O. Holden and to others who have in any way contributed to the comfort of the patients our thanks are especially due.
I am under renewed obligations to the members of the staff, and to all
employees of the institution for personal kindnesses. I believe each and
everyone has put forth his best effort for the welfare of the institution.
I would speak of the interest that each and everyone of you as trustees
have taken in the upbuilding of the hospital. The work has not at any
time been a matter of perfunction to you, but of personal pride and
interest. Without your efforts the labors of the asylum would have
been at a standstill and retrogressive.
All of which is respectfully submitted.
JAMES D. MUNSON,
Medical Superintendent.
Northern Michigan Asylum, Sept., 1906.

55

NORTHERN MICHIGAN ASYLUM.

OFFICERS AND EMPLOYEES

;

OF THE NORTHERN MICHIGAN ASYLUM, AND THE WAGES OR SALARIES
PAID EACH, JUNE 30, 1906, AS REQUIRED BY SECTION
2, ACT 206, LAWS 1881.

Service.

Name.

Asst. medical superintendent. .

A. 8. Rowley
W D Mueller
H D Purdum

Steward

T H 4 Tregea

Period.

Rate.

S3 500 00
2,200 00 Per annum. Resident.
1 600 00
1,400 00
1 000 00
800 00
1 800 00
280 00
500 00
106 00
35
1,400
1,400
60
35

00
00
00
00
00

65
75
28
50
65

00
00
00
00
00

Hattie Mien

30
17
16
34
22

00
00
00
00
00

Effie Bixbv

17
22
30
22
42

00
00
00
00
00

22
26
36
42
16

00
00
00
00
00

26
22
24
16
24

00
00
00
00
00

24
22
26
17
17

00
00
00
00
00

17
22
36
17
28

00
00
00
00
00

C. M. Prall

Chief carpenter

Hilda Cokeen

Stenographer

A W Hamel
•S. G. Howard
Floy Theobald
E C Kent
Hans Tobler

Cterk

. . .

. . .

Hattie Booth

G. C. Bigler

Attendant

Ray Cowles

Attendant

Ella J. Carpenter

Attendant

•Clara Caldwell
Ben Caldwell
M Decker

Per annum. Non-resident.
Per month. Non-resident.

Per month. Resident.

Per month.

Resident.

Per month. Resident.

STATE OF MICHIGAN.

56

OFFICERS AND EMPLOYEES.—CONTINUED.
Name.

Service.

Anna Fitzpatrirtk

Attendant

W W Fountain
Geo. Fate

Attendant

M. Fink
S. Fletcher

Attendant
Attendant

i

Rate.

$32
26
32
32
16

00
00
00
00
00

17
24
17
17
26

00
00
00
00
00

38
28
36
32
34

00
00
00
00
00

26
40
24
22
16

00
00
00
00
00

Period.

Per month.

Resident.

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

Rose Fletcher

Attendant

Ralph J. Gilbert

Attendant

Susie Gray

Attendant

F. M. Hale

Attendant

36
26
30
17
24

00
00
00
00
00

Per month. Resident.

Anna Hansen

Attendant

Attendant

00
00
00
00
00

Per month. Resident.

M. Herriman

17
36
26
24
26
36
36
24
2fi
17

00
00
00
00
00

19
26
24
38
28

00
00
00
00
00

14
14
21
12
17

00
00
00
00
00

24
24
17
22
17

00
00
00
00
00

38
17
36
30
16

00
00
00
00
00

22
22
19
32
17

00
00
00
00
00

22
44
24
17
16

00
00
00
00
00

\ Busted

'

Esther Keller
Louise Kitscher
Libbie Kelley
Jerome KoepeHe
A. B. Kennedy
C H Kimpel

Attendant
Attendant
Attendant
Attendant

Nettie Blank

W M Laskv
Bertha E. Lawr

Attendant

Helmer Leutholtz

Attendant

R. AV. Loeding

Attendant

Ella H McDonald
Etta L. Minor

Attendant

Jessie E. Markham

-. Attendant

ohl Morri
R. H. MeKenzie

Attendant

Flora McLeod

Attendant

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

Per month. Resident.

Per
Per
Per
Per

month.
month.
month.
month.

Resident.
Resident.
Resident.
Non-resident-

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

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

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

NORTHERN MICHIGAN ASYLUM.

57

OFFICERS AND EMPLOYEES.—CONTINUED.
Name.

Marie McDonald

Service.

Attendant

D. J. McMeekan
Fred C Nevill
Gust Nitz
May Orth

Eate.

Period.

0
0
0
0
0

Per
Per
Per
Per
Per

month.
month.
month.
month.
month.

Resident.
Resident.
Resident.
Resident.
Resident.

22 0
28 0
' 28 0
36 0

Per
Per
Per
Per
Per

month.
month.
month.
month.
month.

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

2fi
30
28
17
16

0
0
0
0
0

Per
Per
Per
Per
Per

month.
month.
month.
month.
month.

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

22 0
24 0
24 0

month.
month.
month.
month.
month.

Resident.
Resident.
Resident.
Resident.
Resident.

$16
16
24
26
32

22 n

V 4 Patrick
Nettie Paff hausen
Hattip H Parr
Mabclle Porter

J A Slack

36 0

Per
Per
Per
Per
Per

0 G Taylor
Joe Tithof

17
22
16
22
24

0
0
0
0
0

Per
Per
Per
Per
Per

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

17
17
28
34
26

0
0
0
0
0

Per
Per
Per
Per
Per

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

22
30
24
17
30

0
0
0
0
0

Per
Per
Per
Per
Per

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

30
42
16
34
24

0
0
0
0
0

Per
Per
Per
Per
Per

month.
month.
month.
month.
month.

17
45
)6
22
70

0
0
0
0
0

Per
Per
Per
Per
Per

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

15 P
1 100 0
70 0
52 5
15 0

Per
Per
Per
Per
Per

month.
annum.
month.
month.
month.

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

month.
month.
month.
month.
month.

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

D. A. Striffler

00 (|

Hat-tie Walsh
Thos. Whitfield
Elva White
E. N. Walter
William J. Weiler

Attendant
Attendant

Geo E White
B. P. Burns

General supervisor

Earl Tuller
C J Leland

Chef

Frank Wilhelm

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

E. F. Herkner

Assistant cook

20 0
20 0
45 0

W. Williamson

Assistant cook

33 0

Per
Per
Per
Per
Per

Joseph Kutnahorsky

Assistant cook

35
25
25
22
22

C
0
0
0
C

Per
Per
Per
Per
Per

month.
month.
month.
month.
month.

Resident.
Resident.
Resident.
Resident.
Resident.

Adolph Kutnahorskv
L Griffith
Harry Biddings

Assistant cook

S. A. Conrad

Assistant baker

22
22
22
22
35

C
C
C
C
C

Per
Per
Per
Per
Per

month.
month.
month.
month.
month.

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

Assistant cook

24 n

*

58

STATE OF MICHIGAN.
OFFICERS AND EMPLOYEES.—CONTINUED.
Service.

Name.

h

Rate.

Period.

$20
35
70
18
28

00
00
00
00
00

21
18
18
22
19

00
00
00
00
00

Ella Tuller

21
18
18
14
36

00
00
00
00
00

Addie Miller
Beulah Miller

18
18
12
19
21

00
00
00
00
00

Barnman

50
35
33
34
34

00
00
00
00
00

B

34
34
35
2
1

00
00
00
00
75

W. A. Westen

Laundryman

J. E. Holliday

Assistant laundryman

Jva Kellogg

Laundress

Anna Eitniear
Maud Dalzell

Laundress

.

.

Alfred Arraitage
B P Savre

A F. Hopkins
James L. Gunton

Assistant gardener

Archie B. Odion

Assistant gardener

M. A. Umlor

A^istant engineer

W. H. McDonald

Fireman
. .

Peter Sklazak

Pipem an

0. S. Ayers
W. Fraser
Frank Hartley

Pipeman

S. H. McMichael...
Ola Nelson
C. J. Garnett
Geo. Anderson

Carpenter

H. E. Carr
C. C. Cooper
J. B King
Chas. Peterson
W. Vanderlip

Non-resident.

Per month

Non-resident.

Per month.

Non-resident.

Per month. Non-repident.

Per day.
Per day.

Non-resident.
Non-resident.

1 50
1 50
1 75
1 75
1 75

F. Nagel

P. P. Dumbolton

1 75
1 40
1 50
1 50
1 50

Per month.

Per month. Resident.

Blacksmith

Carpenter

Painter
Painter
Mason

1
35
56
35
56

50
00
00
00
00

45 00
1 50
37 00
1 50
1 75
1 75
33 00
2 00
2 25
2 25
2
2
2
2
2

70
70
70
70
00

2 (H)
2 00
2 00
2 00
3 60

Per month. Non-resident.

Per month.

Non-resident.

Per day. Non-resident.
Per day.

Non-resident.

Per day.

Non-resident.

Per day. Non-resident.
Per day.

Non-resident.

Per day. Non-resident.
Per day. Non-resident.

NORTHERN MICHIGAN ASYLUM.

59

OFFICERS AND EMPLOYEES.—CONCLUDED.
Service.

Name..

A 11 Boll
D. W. Kelley

.

. .

R. Edgerton
Team
Wm Wildfong
William Van Stee

Milton Walker

Period.

Rate.

$4 50
45 00
30 00
29 00
3 50
29 00
29
35
33
31
30

00
00
00
00
00

29
29
35
35

00
00
00
00

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 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. (Section 8.) The counties comprising the district distnctsof the Northern Michigan Asylum are:
Alpena
Antrim
Arenac
Alcona
Benzie
Charlevoix
Clare
Crawford
Cheboygan
Emmet
Gladwin
Grand Traverse
Gratiot
Isabella
Tosco
Ionia
Kalkaska
Lake

Leelanau
Manistee
Mason
Mecosta
Midland
Missaukee
Montcalm
Montmorency
Muskegon
Newaygo
Oceana
Ogemaw
Osceola
Otsego
Oscoda
Presque Isle
Koscommon
Wexford

,

Provision is made by Section 7 for the transfer of patients Transfer from
from one asylum to another when conditions make such trans- a£otheSrtnct to
fer 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^Im^lnheir
court adjudicates that there is no room in the latter, and that district.0
there is in the former. (Section 8.)
Patients are divided into three classes,: Public patients, classes of
private patients, and voluntary patients. (Section 13.)
patients.

APPENDIX.

64

Voluntary

Voluntary patients are patients who are not insane. They
are kept and maintained without expense to the State, but
cannot be received so long as there may be applications for
the admission of public or private patients not cared for because of lack of room. In other words, there must be room
for all others seeking admission before any voluntary patients
can be received.
Public and pri Both public and private patients can be received only on
vate patients.
i
j.
i
I T j_i
±, •"
an order
from
a probate
courtL declaring
the
patient
insane
and stating the method of support, — whether public or priorder void vate. Such an order is void unless patient is sent to the asyatter thirty lum witllin thirty days after it is issued. (Section 16.)
Bonds.
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
Advance
payment.
public charge. There is also required an advance payment
of fifty dollars. Future payments are made at the close of
each quarter.
New bonds.
New bonds may be called for at any time by the medical
superintendent, and the law requires the court to see that
such new bonds are provided. (Section 16.)
Temporary
Provision is made (Section 16) for the reception of both
public and private patients on temporary orders wherever conditions demand immediate attention.
Section 21 provides for the transfer of a patient from priTransfer from
va^e expense to public expense where conditions warrant
such a change.
Section 30 provides for the temporary reception and care of
insane who are not residents of this State.
Section 32 provides for the return to the asylum without a
Provisional
refdmifstorfof new order- of patients who have been discharged on trial,
patients.
where the duration of the temporary absence does not exceed
six months.
insane women The attention of county officers is particularly called to the
m^^Ternaie ProvJsi°ns of Section 40 regarding the state of bodily cleanliattendant.
ness and the clothing of patients brought to the asylum, and
more particularly to that clause of the section providing for
a female attendant for insane women.
In conveying a patient to the asylum do not deceive him.
Removal of
nts fr°m Truth should not be compromised by professing a visit to the
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 muoU prostrated or laboring under .severe bodily
1

NORTHERN MICHIGAN ASYLUM.

65

illness, and care should be taken that the excitement attending- acute mental disease be not mistaken for pliysical
strength.
As friends of patients are often in doubt as to what articles Clothingof 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 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 chemises, 3
pairs drawers, 4 pairs hose, 3 night-dresses, 3 cotton-flannel
skirts, 6 handkerchiefs, 4 collars, 1 pair shoes, 1 pair slippers,
1 shawl or cloak, 1 hat, hood or nubia, 4 aprons.
The outfit should be liberal when circumstances permit. As
nearly all the patients go regularly into the open air each day,
it is desirable that they be furnished with clothing of a character to enable them to go comfortably in all weather, and
also to appear at little social gatherings. When desired, articles of clothing, etc., will be furnished at the institution.
Jewelry should not be brought with patients. If such articles
are left in their possession the asylum cannot be responsible
for their safe keeping.
All letters concerning patients, from individuals having correspondthe right to make inquiry, will be answered at once; and ence friends are promptly advised of any severe illness, accident,
or event of moment or interest. The postoffice and telegraphic addresses of one correspondent in each case are 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- Patientsstance, furnish these friends • with a letter of introduction,
authorizing the interview.
Application for admission should be made before the patient Application
if! brought to the asylum. A blank will be furnished the f0°frpaadt™stssion
friends which provides for a complete history of the patient's
trouble.
All correspondence in reference to patients should be addressed to Dr. James 1). Munson, Northern Michigan Asylum,
Traverse City.

INDEX

INDEX.

Addition to library
Addition to store building
Accounts, classification of
Accounts, current
Acknowledgments
Additional buildings, recommendations for
Additional buildings built
Admission of private patients
Admission of indigent and pauper patients
Admissions and discharges
Age of patients. Table
Appropriations, report on
Barns
Civil conditions. Table
Clinical groups. Table
Classification. Table
Correspondence
Cost of maintenance
Clothing
Chapel services
Deaths, causes, etc
Duration of disease. Table
Dry room
Estimates of special appropriations
Electric wiring
Exciting causes. Table
Farm and garden products
Farm and garden
Fire protection
Form of disease. Table
Flag staff
Greenhouse
Government of asylum
Heredity. Table
Improvements
Increase of patients

,..:
,,

Page.
14
15
.26
17-25
54
14-15
11
64
64
32
45
54
13
45
44
38
65
9
'..
65
54
34-36
44
15
48-52
12
46
30
16
13
38
14
14
63
41
10
7

70

INDEX.

Increased accommodations
Inventory, summary of
Land, purchase of
Movement of population. Table
Morgue
Nativity of patients. Table
Names of officers and employees, etc
Needs of the asylum
New boiler
New sewer
Nurses' building, special appropriation
Officers
Occupations. Table
Piggeries
Report of trustees
Report of treasurer
Report of medical superintendent
Report of steward
Report of auditing committee
Report of State Board of Corrections and Charities
Removal of patients to asylum
Repairs to reservoir
Receipts and disbursements
Residence of patients. Table
Recapitulation
Special appropriations
Support of patients by counties
Telephone
'

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j . 52--S4
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