Report of the Board of Trustees of the Northern Michigan Asylum at Traverse City June 30, 1904.

Report of the Board of Trustees of the Northern Michigan Asylum at Traverse City June 30, 1904.

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, 1904. This report includes the reports of the medical superintendent, treasurer and steward.

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

Original document held by Traverse Area District Library.

Lansing: Wynkoop Hallenbeck Crawford Co., State Printers.

30 June 1904

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.

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TCSH0014

Traverse City, Grand Traverse County, Michigan.

REPORT

BOARD

OF

TRUSTEES

TRAVERSE CITY
JUNE 30, 1904.

BY AUTHORITY

1904
WYNKOOP HALLENBECK CRAWFORD CO., OF LANSING, MICH.
STATE PRINTERS.

COTTAGES FOR WOMEN.

OFFICERS OF THE NORTHERN MICHIGAN ASYLUM.

TRUSTEES.

O. A. HART
H. C. DAVIS
CHAS. F. BACKUS
THOS. T. BATES
W. W. MITCHELI
A. F. TEMPLE..

MANISTEB.
TRAVERSE CITY.
DETROIT.
TRAVERSE CITY.
.CADILLAC.
. .MUSKEGON.

!
i

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. H. TASHJIAN, M. D
FREDERIC NEWBERRY, M. D...

MEDICAL SUPERINTENDENT.
ASST. MEDICAL SUPERINTENDENT.
.ASSISTANT PHYSICIANS.

NON-HESIDENT OFFICERS.

C. L. WHITNEY
"W. P. M ANTON, M. D

STEWARD.
DETROIT, MICH., GYNECOLOGIST.

CHAPLAIN.

REV. D. COCHLIN..

..TRAVERSE CITY.

TREASURER.

J. T. HANNAH..,

..TRAVERSE CITY.

REPORT OF THE 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, 1904, together with
the reports of the medical superintendent, treasurer and steward.
Twenty-three meetings of the board were held. As required by law,
monthly visitations of the asylum have been made by a committee of
trustees; once in three months by a majority of the board; and by the
whole board twice each year.
The trustees are pleased to report that the institution has been maintained at a high standard of efficiency and that patients have continued
to receive the most careful treatment. A larger number than usual of
aged patients have been admitted; while the manner of organic cases is
about the same as for former years. Five patients at cottage M. suffered
from typhoid fever during the fall of 1903. This outbreak was probably
due to use of water from the reservoir. This water was analyzed by Dr.
Vaughan of the University of Michigan, and found unfit for domestic use.
The institution has not been overcrowded and no patient has been kept
awaiting admission. During the period 58 patients were transferred to
other asylums, 55 of whom were sent to Newberry. During the last few
months patients have been received from the Eastern Michigan Asylum
district; the overcrowded condition of the asylum at Pontiac preventing
it admitting all cases as they occurred. The women's department of the
asylum is now full but a new cottage for women is nearing completion and
will afford accommodations for some time. On the men's side there are
a few vacancies, and also a cottage almost ready for occupancy. We believe that this additional room will be sufficient to provide for the district
for the next two years.
The recovery rate was slightly greater than during the preceding period,
but the death rate was greater, in fact the largest in the history of the
asylum.
The number of patients treated during the period was: Men,'861;
women, 705; total, 1,566. The number of patients admitted during the
period was: Men, 234; women, 200; total, 434. This is 63 patients more
than during the preceding period. Of this number there were admitted
from each county the following:

STATE OF MICHIGAN.

Alpena
Antrim
Arenac
Alcona
Benzie
Bay
Charlevoix
Clare
Crawford
Cheboygan
Emmet
Gladwin
Grand Traverse
Gratiot
Isabella..,
losco
Ingham
Ionia
Kalkaska
Leelanau..

16
9
8
6
3
2
11
2
4
29
18
7
22
19
19
4
1
24
5
9

Manistee
Mason
Mecosta
-Midland
Missaukee
Montcalm
Montmorency
Muskegon
Newaygo
Oceana
Ogemaw
Osceola
Otsego
Presque Isle
Roscommon
Saginaw
Shiawassee
Washtenaw
Wexford
Wayne

-

Non-resident State
Private

'.
•

-.

24
17
16
18
4
23
3
32
12
18
2
8
4
3
1
3
1
2
18
1
6
34

Of the 434 patients admitted:
16 had been confined in county-houses.
20 had been confined in jails.
16 had been treated in other asylums.
50 were said to have been destructive.
20 had attempted or threatened suicide.
40 were homicidal or had made homicidal assaults.
28 had been confined or restrained at home.
The number of patients confined in county-houses, jails and other asylums
exceeded the last biennial period by 14, while the number of suicidal
patients was less by 27, and the number of homicidal patients less by 46
than for the preceding period.
COST OF MAINTENANCE.

Sec. 38, Act 217, Laws of 1903, in part reads, "The rate of charge per
week * * * for the board and treatment of patients * * * shall not
exceed the actual cost thereof, including officers' salaries and repairs and
excluding all permanent new improvements and additions." This part
of section 38 should be amended so as to clearly define what can be included in the per diem rate fixed by the Joint Board of Trustees for the
cost of maintenance. We have assumed that the cost of maintenance
includes the care and treatment of patients, officers' salaries, repairs to
buildings, farm improvements, such as walks, fences, care of grounds,
replacing worn out furniture, machinery, etc.; damage to furniture and to
buildings by patients, the clothing of patients, all new additions to the asylum
for the accommodation of patients, and the purchase of land, are not in-

NORTHERN MICHIGAN ASYLUM.

7

eluded. We believe that the rate of maintenance fixed by the Joint Board
for the support of patients should include every expenditure necessary to the
proper care of patients; keeping the institution in.perfect repair, and such
necessary expenditures as good business methods might require. We should
favor an, amendment to the lunacy laws defining all expenditures that may be
charged to the maintenance of patients.
The daily cost of maintenance per patient for the last 18 years has been
as follows:
Cents.
1885-6
!
53
1887
52
1888
51
1889
50
1890-1
49
1892-3
48
1894
47
1895
46
1896
44
1897-8
42
1899-1900
44
1901
44
1902
44 .
1903-4 (including officers' salaries)
48
The rate for 1904-5 has been fixed at 49 cents per day, including officers' salaries.
The net increase of patients for each biennial period since the opening
of the institution has been as follows:
From
From
From
From
From
From
From
From
From
From

1886 to
1888 to
1890 to
1892 to
1894 to
1896 to
1898 to
1900 to
1901 to
1902 to

1888
:
1890.
1892
1894
1896
1898, a decrease of
1900, an increase of
1901
1902
1904

,

148
131
123
150
53
4
41
37
45
44

The number of patients discharged during the period was: Men, 232;
women, 158; total, 390. Of this number 31 were discharged recovered^
138 improved, 79 unimproved, 142 died.- The percentage of recoveries on.
the total number under treatment was 1.9; on the number admitted in
1902-1903, 7.8;,and 1901-1902, 4.1 per cent,
The death rate was 44.4 per thousand in 1902-1903 and in 1903-1904,
61 per thousand.
The readmissions for the period were: Men, 25; women, 27; total, 52.
The readmissions from the beginning have been: Men, 166; women, 147;
total, 313, and the total number of admissions, 3,649, therefore represents
but 3,336 individuals.
The daily average number of patients for the period was 1,140. The
number of weeks spent in the institution by patients was 118,883.3. This

8

STATE OF MICHIGAN.

was an increase of 53.4 in the daily average, and an increase of 5,661 weeks,
board over the preceding period.
On June 30, 1904, there were 1,157 patients under treatment at State
expense and 19 at private expense.
There were 253 persons employed at the asylum on June 30, 1904, in
the positions and at the wages given in the schedule accompanying this
report.
IMPROVEMENTS.

The ordinary improvements to buildings, etc., have not differed essentially from former periods. In the spring of 1903 the wages of teamsters
and teams advanced to a prohibitory point for carrying on the garden
and farm work of the institution. It was decided, after most careful consideration, to purchase a sufficient number of teams to do all the teaming
of the asylum. This necessitated building additional stall room. A saving
has been effected since the change was made, in the cost of team work.
Last fall the drive way over the coal cloisters became unsafe and was
replaced; also the artesian well, from which the institution derived its
supply of water, failed and had to be driven deeper. Both these repairs,
while regarded as extraordinary, had to be made immediately. A request
was made of the Governor and State Board of Auditors to pay the cost of
these repairs from the emergency fund of the State. The request was,
however, denied and the expense was paid from the general fund of the
asylum.
The cost of all the repairs to the institution was, however, about
$8,000.00 less than during the previous period.
SPECIAL APPROPRIATION—$24,000.

This appropriation was made by the last legislature (see Act 151, Public
Acts, 1903) "for the erection of one cottage to accommodate sixty male
patients, complete in every particular," and became available May 26,
1903. The work on this cottage was commenced as soon as its plans could
be approved by the State Board of Corrections and Charities, and the State
Board of Health. It is practically a duplicate of the cottages last built.
There are, however, more single rooms, and the dimensions of the building
are somewhat greater. Like all the hospital buildings, it is built of stone
and brick and is provided with every modern appointment, including
electric light, fire protection, steam heating, etc. It is practically ready
for occupancy. Its cost up to June 30, 1904, was as follows:
Wages
Stone and brick
Lumber
Hardware
Paints and oils
Pipe and
Total

fittings

"$8 ,628
5,591
4,258
440
100
1,226

87
91
45
56
00
99

$20,246 78

The balance, $3,753.22, is still in the hands of the treasurer.

NORTHERN MICHIGAN ASYLUM.

SPECIAL APPROPRIATION—$24,000.

This appropriation was made by the last legislature "for the erection
of one cottage to accommodate sixty female patients, complete in every
particular." It is a duplicate of the building above described. It will be
finished by January 1, 1905. There has been expended of this approprition, June 30, 1904, $11,756.73, as follows:
Wages
Stone and brick
Lumber
Paint and oils
Hardware
Pipe and fittings... =

"

$3,774
3,135
3,381
100
162
1,202

Total

43
40
15
00
82
93

$11,756 73

On June 30, 1904, there remained in the hands of the treasurer to the
credit of this appropriation, $12,243.27.
SPECIAL APPROPRIATION—83,325.

This appropriation was passed by the last legislature, "for the construction of a sewer from the asylum to Boardman river." All but 1,500 feet
liave been completed. It was thought the old pipe would be large enough
for this distance, as it was discharging water under 40 feet head. Consequently the new sewer was connected with the old one at about this distance from the sewer outlet. It is now known, however, that the new
sewer will have to be continued to the outlet, as the pressure is so great
that it bursts the small pipe.
SPECIAL APPROPRIATION—$4,500.

This appropriation was granted by the last legislature, "for the construction of four porches in connection with the main asylum building." Two of the
porches will replace smaller ones in the angles between extensions one and
two in front of the main building; the other two will be in connection with
hall two on the men's side and hall eleven on the women's side of the
asylum. They are being constructed with stone foundations and steel
superstructures. The work of construction is progressing, two of them
nearing completion and the other two well under way. They will be not
•only of great practical use in the care of certain classes of patients, but
will add greatly to the comfort and welfare of feeble patients. There has
been extended on account of this appropriation, for
Wages
Stone
Steel beams
Lime and cement...
Total

'
..

$141
603
323
24

57
60
54
00

$1,092 74

There remained to the credit of this appropriation on June 30 1904,
.$3,407.26.
2

10

STATE OF MICHIGAN.
SPECIAL APPROPRIATION—$6,785.

Addition to bakery. This appropriation was granted by the last legislature for the re-modeling of the bakery. Great pains were taken in planning the building to so arrange the rooms and machinery as to economize
labor to the greatest degree. The bakery is a story in heighth, with attic,
where flour is stored. The sifter is also located in the attic directly over
the bread mixing machine. Flour, etc., is carried to the upper story by
an elevator. The first floor is divided into a work room, proof room, bread
room, lavatory, and coat room. As much of the work as possible in bread
and cake making is done by machinery. The oven is a double decker,,
draw plate oven, manufactured by the American Oven Co., of Chicago.
It has been very satisfactory and is a great improvement over the old
peel ovens formerly in use. The other machinery consists of a cake and
bread mixer, flour sifter, cake machine, a bread moulding machine, a
steam dough divider, racks, troughs, etc. The bakery has proved a most
valuable addition to the economy of the institution. The quality of thebread has been improved. A much larger percentage of flour products
enters into the dietary of the institution than formerly. There has been,
expended on account of this appropriation $6,172.15, as follows:
Labor
Stone and brick
Paint and hardware
Oven and pans
Lumber, etc
Cement
Machinery
Beams and ceiling

'

floors

Total

$669
887
65
2,044
343
842
1,221
98

33
34
31
37
38
65
58
19

$6,172 15

There is still in the hands of the treasurer to the credit of this appropriation $612.85.
SPECIAL APPROPRIATION—$3,860.

This appropriation was made by the legislature of 1901, "for repairs toroofs and gutters of the main building of the asylum." These repairs
are still in progress, a portion having been done here and there from time
to time as the weather would permit. It is hoped, however, to have them
finished by the coming fall. It has been found that a new roof will have
to be put on a portion of the administration building, but it is hoped the
appropriation will be sufficient to complete these additional repairs. Therehas been expended on account of this appropriation, as follows:
Labor
Roofing
Lumber
Paint and oils...
Total

•
.•
-

$475
568
87
142

75
51
92
58

$1,274 76

There is still in the hands of the treasurer to the credit of this appropriation, $2,405.24.

NORTHERN MICHIGAN ASYLUM.

11

NEEDS OF THE ASYLUM.

We would respectfully request of your honorable body an appropriation
of $5,000.00 for the construction of a carriage barn for the use of the asylum.
The barn now in use for this purpose is too small, and besides, is imperfectly warmed. It is not provided with suitable room for the coachman,
harness room, or any room in which harness can be cleaned and dressed.
Further, it is heated by stoves and the danger from fire is consequently
very great. The storage room for carriages and sleighs is too small and
the wear and tear on vehicles from over crowding is almost as great as
from actual use. There &re from six to ten horses constantly housed in
this barn, besides a number of carriages, sleighs, harness, robes, etc. The
need of such a barn, with special reference to warmth and fire protection
is most urgent.
CEMENT WALKS.

Heretofore it has been considered proper to build walks and charge the
cost of the same to the account of current expenses, but under a strict
construction of the present insanity law it is held that such improvements
are "permanent additions" and as such must not only be authorized,
but a special appropriation made by the legislature to cover the cost of
the same. We regard such expenditures as a part of the cost of maintenance and believe they should be included in the per diem rate annually
fixed for the support of patients. We request of your honorable body an
appropriation of $2,520.00 for the construction of cement walks on the
asylum grounds.
ADDITION TO NURSES' HOME.

We would respectfully request of your honorable body an appropriation
of $2,800.00 for an addition to the Nurses' Home, to accommodate 12 patients. Last year, as there was no other safe place in the women's department, the Nurses' Home was temporarily converted into a hospital for
tuberculous women patients. Its practical advantages in the treatment
of this class of cases have been so apparent, to say nothing of the safety
which comes from a proper isolation of consumptive people, that it is hoped
it may be made a permanent hospital, and that it may be, enlarged to
care for 25 patients. The deaths from consumption have decreased from
16 in a thousand, in 1887-8, to less than 5 in a thousand in 1903-4. We
believe it will need no further demonstration on our part to show the saving of life which comes from a proper isolation of patients suffering from
this disease. Consumption is a very chronic disease process and without
isolation a patient may be a constant source of infection to all others with
whom she comes in contact.
STORAGE ROOMS.

Your honorable body is respectfully requested to make an appropriation
of $1,375.00 for the construction of a small shed in connection with each
of eleven cottages for the storage of coal, wood, ashes, etc. There has
heretofore been no provision for the storage of such material, or any receptacle for the safe care of ashes. It is important that these buildings
be erected for protection against fire, if for too other reason.

12

STATE OF MICHIGAN.

REPAINTING FARM BUILDINGS AND PAINTING AND REPAIRING FENCES.

We would respectfully request an appropriation of $2,000.00 for repainting farm buildings and replacing fences on asylum grounds. The farm
buildings have not been repainted-since they were built and are very much
in need of it.
REPAIRS TO PORCHES.

Several of the small porches covering entrances to. the main building
are broken down through decay of the supports and some have become
dangerous. An appropriation of $600.00 is respectfully asked to repair
them.
REPAIRS TO RESERVOIR.

The reservoir, in which is stored water for fire protection, is imperfect,
since the water "seips" from it much of the time faster than it is supplied.
It also needs cleaning. The water from this reservoir was analyzed last
fall and found unfit for domestic use. It contained disease producing
germs. The overflow from this reservoir passes through the asylum
grounds; hence its pui'ity is a matter of vital importance to the asylum,
as patients are in the habit of drinking from it and can scarcely be prevented from so doing by any surveillance that may be reasonably given
them. We would respectfully ask of your honorable body an appropriation of $2,000.00 to repair the .reservoir and to put it in a sanitary condition. This would include concrete work, flushing pipe, valves, etc.
RENOVATING HALLS.

An. appropriation of $1,500.00 is respectfully requested for renovating
and repairing the walls' and ceilings of the institution and the first floor
hall of the administration building. The walls have not been renovated
since they were put on 19 years ago and many of them are in bad condition.
TELEPHONE.

We would respectfully ask of your honorable body an appropriation of
$1,500.00 for the installation, complete, of a new telephone system for the
asylum. The telephone in use is antiquated, very imperfect, and constantly
out of order. The cost of its repair per year would, we believe, more than
equal a six per cent interest on the cost of a first class plant. Further,
it is absolutely imperative that the administration building be in telephone
connection with every department of the institution at all times, so that
in case of accident or sudden illness of any patient or employee, medical
aid could be obtained at the earliest possible moment. We would respectfully recommend this improvement for your careful consideration.
ELECTRIC WIRING.

We would particularly call the attention of your honorable body to the
dangerous condition of the electric wiring of the asylum and ask an appropriation of- $1,500.00 for rewiring the asylum. The wiring was done 19
years ago and no longer meets the requirements of the underwriters. Sev-

NORTHERN MICHIGAN ASYLUM.

13

eral small fires have occurred from short circuiting, etc., and unless the
wiring is put in proper condition the asylum is in great danger from fire
from this source. We would ask your honorable body to give this matter
your most careful consideration.
ADDITIONAL FIRE PROTECTION.
*

We would further request of your honorable body an appropriation of
$2,500.00 to enlarge the fire mains and to connect the same with the water
mains of Traverse City. The asylum has greatly outgrown its fire protection apparatus. The largest mains are four inches in size. It is proposed to substitute for a portion of this pipe, six and eight inch pipe.
If this were connected with the city mains it would insure ample water
for simultaneous use of our hydrants. The fire protection of an institution
of this kind should be as perfect as it can be made.
REPAIRS TO STEAM HEATING PLANT, PLUMBING,, ETC.

Not only have the return steam pipes, fittings, etc.,
and worthless, but many of the lavatories, water closets,
fixtures have become unsanitary and must be replaced.
we would respectfully ask an appropriation of $3,000.00.
imperative that this appropriation be authorized.

become defective
and dining room
For this purpose
It is absolutely

ARTESIAN WELLS.

We would respectfully ask an appropriation of $1,500.00 for driving
two eight inch artesian wells and connecting the same with the water
mains of the asylum. All the water used by the institution is supplied
by one artesian well. No pumping is required, since the water flows over
the pipe at an elevation of 77 'feet. Last winter this well failed and had
to be driven deeper. In order that an ample supply of water for domestic
purposes may be assured the institution, we would especially urge that
these wells be driven.
MORGUE.
An appropriation of $3,000.00 is respectfully requested for the construction of a morgue. The dead have always been cared for in a basement
room of the administration building. It is wholly unsuited for the purpose.
It is unsanitary and dangerous. A suitable building should be authorized
for the care of the dead while awaiting burial.
GREENHOUSE.

For some time past the greenhouses have been badly out of repair. The
supporting walls are decayed and must be replaced. A new section should
be added to the greenhouse. This would increase its capacity nearly 25
per cent without materially adding to the running expenses of this department. An appropriation -of $2,100.00 is respectfully requested for this
purpose.
NEW BOILER.

The addition of the two new cottages will necessitate the proprotionate
enlargement of the central heating plant. An appropriation of $3,500.00

14

STATE OF MICHIGAN.

is requested for the installation, complete, of one 150 H. P. water tube
boiler.
VENTILATION.

An appropriation of $1,000.00 is requested to complete the ventilation
in cottages N. H. K. and M. The original appropriation was not sufficient
to include this work. It is for sanitarjr reasons, highly important that
this work should be pushed.
MISCELLANEOUS.

A small appropriation of $500.00 should be made for a flag staff.
Another of $250.00 for the purchase of books for the patients' library;
also one, $250.00, for purchase of pictures.
Also one of $500.00 for the purchase of musical instruments for use of
the wards and cottages. The organs originally purchased are long since
worthless, notwithstanding frequent repairs.
An appropriation of $1,000.00 should also be made for the repair and
removal of the hog pens from their present .location in front of the new
cottage to a site south of the Newaygo road.
An appropriation of $300.00 should be granted for the erection of a crematory for burning the garbage and waste of the institution.
A small appropriation of $500.00 should be granted for the construction
of a covered way between the general kitchen and the meat and butter
rooms. This is much needed, as during rainy and bad weather the kitchen
help have no protection in the transfer of supplies from the meat, milk,
and butter rooms to the kitchen.
RECAPITULATION.

i

Carriage barn
9ement walks
Addition to Nurses' Home
Storage rooms
Repainting farm buildingsj etc
Repairs to porches
Repairs to reservoir
Renovating halls
Telephone
Electric wiring.
Additional fire protection.
Repairs to steam heating plant, etc
Artesian wells
Morgue
Greenhouse
New boiler
Ventilation
Miscellaneous
Land
Total

$5,000 0.0
2,520 00
2,800 00
1,375 00
2,000 00
600 00
2,000 00
1,500 00
1,500 00
1,500 00
2,500 00
3,000 00
1,500 00
3,000 00
2,100 00
3,500 00
1,000 00
3,300 00
7,500 00
$48,195 00

NORTHERN MICHIGAN ASYLUM.

15

THE FARM, GARDEN, STOCK, AND GROUNDS.

No additions have been made to the real estate of the institution for
the past two years; the amount remaining the same as given in the last
biennial report, 668 acres. Of this about 400 acres are in meadow, pasture,
cultivated fields, gardens, and orchards; the balance being forest, parks
and grounds, and land being cleared, drained, etc. The value of the farm
..and garden products for the biennial period has been as follows: «
Food used by the institution
Products used in the production of meat, milk,
etc
Products used in maintenance of teams
Wood, poles, posts, etc
Cash sales:
Hides
Thoroughbred cattle
Horses
Cedar logs
Miscellaneous

$1,485
2,584
767
257
70

$61,452 87
8,683 35
1,478 40
308 90

29
50
50
05
44
5,164 78

Total

$77,088 30

The total expenditure for the time was $53,097.72, which includes teams,
'wagons and tools purchased, wages paid, stock purchased and fed, and
cost incurred in making improvements and keeping in order the grounds,
etc. To this sum should be added the value of the products used in the
production of meat and milk, and the maintenance of teams, etc., or
$10,161.75, making the total cost $63,259.47. This taken from the total
receipts would leave a balance of $14,828.83 to the credit of the farm,
.which should be increased by the added value of teams, tools, and stock,
and the improved value of the farm, etc.
During the past two years the dairy herd has been much improved. The
.grades and older cows, and the poorer thoroughbreds have been fattened
and butchered for beef and their places filled by young cows grown upon
. the farm, until the entire herd are registered thoroughbred Holstein Friesians. The herd now numbers 62 milking cows, 13 yearlings, 23 calves,
and 3 bulls; total, 101. The reputation of the herd has been maintained
and improved. The average milk per cow per day for the past year was
38.5 Ibs. for the time milked. The sale of breeding stock from the herd
has been $2,584.50 in the past two years.
During the period just closed 304 head of steers have been purchased,
finished for beef and slaughtered upon the farm, giving a supply of excellent meat when the market was high from any cause. The cost of the steers
bought was $15,678.81. The value of the beef received was $15,609.98;
hides sold, $1,489.29; tallow, etc., $300.00; total receipts, $17,405.27, or
$1,785.29 more than the cost of the steers.
The greenhouses, four in number, each 100 feet in length', have been of
great value to the institution, giving an abundant supply of fresh lettuce,
radishes, etc., for the table every week during the winter season, amount-

16

STATE OF MICHIGAN.

ing in value to over $1,000.00 per year. Tomatoes, cucumbers, and other
vegetables have been secured each spring two or three months before they
could be grown outside. Large quantities of tomato, celery, and other
plants have been grown each year for planting out. Also a supply of bud.ding plants for the ornamentation of the lawns.
• RECEIPTS AND DISBURSEMENTS.

The total receipts of the asylum for the fiscal year ending June 30, 1903,.
including cash on hand and credits on special appropriations' accounts,,
were $252,040.99; and the total disbursements for the same period, including special appropriations, were $221,684.87.
The total receipts of the asylum for the fiscal year ending June 30, 1904,.
including cash on hand and credits on special appropriations' accounts,
were $310,383.42; and the total disbursements for the same period, including special appropriations, were $267,544.62.
There was at the close of the biennial period ending June 30, 1904,
$42,837.80 in the hands of the treasurer, $20,585.31 of which amount was
to the credit of the current expense account, and the balance of $22,252,49'
unexpended balances to the credit of special appropriations' accounts.
OFFICERS.
In 1903, Hon. H. C. Davis, of Traverse City, was reappointed as trustee,
Mr. Davis has long been connected with the board and it is gratifying that
the asylum will continue to have his valuable services.
In 1903, Mr. A. F. Temple, of Muskegon, was appointed to the board to
succeed Mr. D. B. Butler, whose term of office had expired. Mr. Temple
brings to his duties not only a large business experience but also a wide
experience in public affairs.
In December, 1902, Dr. W. J. Kirkbride resigned, and in May, 1903, Dr.
Minta P. Kemp resigned, to enter private practice.
In July, 1902, Dr. F. H. Newberry, of Petoskey, was appointed assistant
physician, and in July, 1903, Dr. Beatrice A. Stevenson, of Detroit, was
appointed assistant physician.
In June, 1904, Dr. H. H. Tashjian, a dental graduate of the University
of Michigan, was appointed to the staff. He has devoted all his time to
the patients. Dental work for patients has heretofore been done by the
city dentists, consequently only a very small number received any dental
treatment.
In conclusion, we only have words of commendation for the work of
the medical superintendent, the officers, and all other employees of the
institution.
G. A. HART,
T. T. BATES,
H. C. DAVIS,
C. F. BACKUS,
W. W. MITCHELL,
A. F. TEMPLE,
Trustees.
Traverse City, June 30, 1904.

NORTHERN MICHIGAN ASYLUM.

17

TREASURER'S REPORT.

ABSTRACTS.
OF THE ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT THE
NORTHERN MICHIGAN ASYLUM FOR THE FISCAL YEAR ENDING
JUNE 30, 1903.

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending July S I , 1902.
CREDITS .
By balance on hand July, 1 1902
Cash from State Treasurer:
Account of officers' salaries
Cash from other sources
To disbursements:
Account of officers' salaries
Account of current expense
Balance on hand to new account

$36,315 08
2,662 SO
4,318 36

$43,29594

DEBITS.

$2,662 50
18,161 21
22,472 23

$43,295 94

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending August 31, 1902.
CREDITS.
By balance on hand August 1, 1902
822.472 23
Cash from State Treasurer:.
Account current expense
29,797 70
Cash from other sources
1,770 46
$54,040 39
To disbursements:
Account of repairs roofs and buildings
Account of current expense
Balance on hand to new account

DEBITS.

$5850
16,298 32
37,683 57

$54,040 39

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending September 30, 1902.
CREDITS.
By balance on hand September 1, 1902
$37,683 57
Cash from State Treasurer:
Account of current expense
14,898 85
Cash from other sources
1,008 92
'— $53,591 34
To disbursements:
Account of current expense
Balance on hand to new account

DEBITS.

$14, 002 26
39,589 08

$53,591 34

18

STATE OF MICHIGAN.

THE STATE or MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending October 31, 1902.
CREDITS.
By balance on hand October 1, 1902
Cash from State Treasurer:
Account of officers' salaries
Account of currency expense
Cash from other sources
To disbursements:
Account of officers' salaries
Account of repairs roofs and buildings
Account of current expense
Balance on hand to new account

$39,589 08
2,929 93
13,563 94
4, 306 85

$60,389 80

DEBITS.
$2,929
166
21,692
35, 600

93
54
49
84

$60,389 80

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
,
for month ending November SO, 1902.
CREDITS.

By balance on hand November 1, 1902
Cash from State Treasurer:
Account of current expense
Cash from other sources
To disbursements:
t,
Account of current expense...:
f Balance on hand to new account
= .taaj.. •

Ls f£ '•,"; r^*?-

$35,600 84
13,563 95
1,921 30

$51,086 09

DEBITS.

$14,430 71
36,655 38
$51,086 09

''

===^==

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending December 31, 1903.
CREDITS .
By balance on hand December 1, 1902
Cash from State Treasurer:
Account of current expense
Cash from other sources
To disbursements:
Account of nurses' building
Account of current expense
Balance on hand to new account

$36, 655 38
13, 563 93
882 21

:

$322 74
19,052 55
31, 726 23

BSHH&&;
•

$51,101 52

DEBITS.

$51,101 52

=

B*$3

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending January 31, 1903.
CREDITS.
By balance on hand January 1, 1903
Cash from State Treasurer:
Account of officers' salaries
Account of current expense
Cash from other sources
To disbursements:
Account of officers' salaries
Account of nurses' building
Account of current expense
Balance on hand to new account

$31.726 23
2,910 32
15,361 25
6,772 86
,- $56,770 66
DEBITS.

$2,910
49
16,812
36,998

32
50
48
36

$56,770 66

NORTHERN MICHIGAN ASYLUM.

19

•THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
month ending February 28, 1903.
CREDITS.
By balance on hand February 1, 1903
$36,998 36
Cash from State Treasurer:
Account of current expense
15,516 30
Cash from other sources
1,753 81
$54,268 47
•To disbursements:
Account of current expense
Balance on hand to new account

DEBITS.

$18,866 93
35.401 54

$54,268 47

-THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
^
for month ending March 31, 190S.
U.

CREDITS.

•By balance on hand March 1, 1903
Carh from State Treasurer:
Account of current expense
Cash from other sources
.

•To disbursements:
Account of nurses' building
Account of current expense
Balance on hand to new account

$35,401 54
15,361 25
921 51

$51,684 30

DEBITS.

$36 25
14,280 91
37,367 14

$51,684 30

-THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending April SO, 1903.
CREDITS.
JJy balance on hand April 1, 1903,.
$37,367 14
Cash from State Treasurer:
Account of officers' salaries
2,837 50
Account of current expense
12,808 03
Cash from other sources
4,601 18
$57,613 85
DEBITS.
-To disbursements:
Account of officers' salaries
$2,837 50
Account of current expense
20,080 86
.Balance on hand to new account
34,695 49
$57,613 85
•THE STATE ,OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending May S I , 1903.
CREDITS.
By balance on hand May 1, 1903
$34,695 49
Cash from State Treasurer:
Account of current expense
12,808 03
Cash from other sources
2,577 34
$50,080 86
•To disbursements:
Account of current expense
iBalance on hand to new account

DEBITS.

$15,945 35
34,135 51

$50,080 86

20

STATE OF MICHIGAN.

•THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending June SO, 1903.
CREDITS.

By Balance on hand June 1, 1903
Cash_from State Treasurer:
Account of officers' salaries
Account of current expense
Cash from other sources

$34,135 51
,

;

To disbursements:
Account of officers' salaries
Account of new sewers
Account of addition to bakery
Account of repairs, roofs and buildings
Account of pathological laboratory
Account of fireproof vault
Account of current expense
Balance on hand to new account

2,713 90
12,808 03
785 70

$2, 713
407
59
177
2
32
16, 693
30,356

90
58
15
92
50
40
57
12

$50,443 14

$50,443 14

SUMMARY.
THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for fiscal year ending June SO, 1903.
CREDITS.
By balance on hand July 1, 1902
Cash from State Treasurer:
Account of officers' salaries
Account of current expense
Cash from other sources
To disbursements:
Account of officers' salaries
Account of new sewers
Account of addition to bakery
Account of repairs ,ropfs and buildings
Account of nurses' building
Account of pathological laboratory
Account of fireproof vault
Account of current expense
Balance on hand to new account

$36,315 OS
,

11,340 25
170,051 26
31,620 50

$249,327 09

DEBITS.

$11,340
407
59
402
408
2
32
206,317
30,356

25
58
15
96
49
50
40
64
12

$249,327 09

NORTHERN MICHIGAN ASYLUM.

21

ABSTRACTS.
OF THE ACCOUNTS CURRENT OF THE RECEIPTS AND DISBURSEMENTS AT THE
NORTHERN MICHIGAN ASYLUM FOR THE FISCAL YEAR ENDING
JUNE 30, 1904.
THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum,
for month ending July 81, 1903.
CREDITS.
By balance on hand July 1, 1903
$30,356 12
Cash from State Treasurer:
Account of addition to bakery
6,785 00
Account of new sewers
2,325 00
Account of four porches
2,500 00
Account of cottage for males
5,000 00
Account of cottage for females
5,000 00
Cash from other sources
3.881 80
855,847 92
To disbursements:
Account of repairs, roofs and buildings
Account of addition to bakery
Account of new sewers
Account of cottage for males
Account of cottage for females
Account of current expense
Balance on hand to new account

DEBITS.

$14
436
1,548
178
44
16,055
37,570

00
62
89
00
05
39
97

855,847 92

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum,
for month ending August S I , 1903.
CREDITS.
By balance on hand August 1, 1903
Cash from State Treasurer:
Account of current expense
Cash from other sources
To disbursements:
Account of repairs roofs and buildings
Account of addition to bakery
Account of new sewers
Account of cottage for males
Account of cottage for females
Account of current expense
Balance on hand to new account

$37,570 97
29,080 04
3,241 24

$69.892 25

DEBITS.

$283
1,793
16
1,899
249
15,456
50,194

06
59
80
25
10
21
24

S69.892 25

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum,
for month ending September 30, 1603.
CREDITS.
By balance on hand September 1, 1903
Cash from State Treasurer:
Account of current expense
Cash from other sources
To disbursements:
Account of pathological laboratory
Account of nurses' building
Account of repairs, roofs and buildings
Account of 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

•

$50,194 24
14,540 01
1,153 25

$65,887 50

DEBITS.

$25
172
317
159
87
3,130
1,232
15,272
45,487

10
55
81
94
90
97
65
67
91

865,887 50

22

STATE OF MICHIGAN.

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylumt
for month ending October 31, 1903.
CREDITS.
By balance on hand October 1, 1903
Cash from State Treasurer:
Account of new sewers
Account of cottage for males
Account of current expenses
Cash from other sources

$45,487 91

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

1,000
19,000
16,669
606

00
00
59
15

$111
918
2,486
405
19,662
59,178

49
91
92
13
74
46

$82,763 65'

$82,763 65

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending November SO, 1903.
CREDITS.

By balance on hand November 1, 1903
Cash from State Treasurer:
Account of current expense
Cash from other sources

$59,178 46
16,669 59
1,067 18

$76,915 23

DEBITS.

To disbursements:
Account of fireproof vault
Account of pathological laboratory
Account of addition to bakery
Account of cottage for males
Account of cottage for females
Account of current expense
Balance on hand to new account

•

$20
93
224
1,685
539
28,927
45,424

80
74
74
16
23
36
20

$76,915 23'

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum,
for month ending December 31, 1903.
CREDITS .
By balance on hand December 1, 1903
Cash from State Treasurer:
Account of current expense
Cash from other sources
To disbursements:
Account of repairs, roofs and buildings
Account of addition to bakery
Account of cottage for males
Account of current expense
Balance on hand to new account. .

$45,424 20
:

16,669 59
983 42

$63
1,478
4,131
18,87S
38,524

64'
05
71
46
35

$63,077 21

$63,077 21

NORTHERN MICHIGAN ASYLUM.

23

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum,
for month ending January 31, 1904.
CREDITS.

By balance on hand January 1, 1004
Cash from State Treasurer:
Account, of current expense
Cash from other sources
To disbursements:
Account of addition to bakery
Account of current expense
Balance on hand to new account

$38,524 35
19,172 59
1,342 94

859,039 88

DEBITS.

$727 78
16, 627 01
41, 685 09

$59,039 88

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer nf Northern Michigan Asylum'
for month ending February 29, 1904.
CREDITS.

By balance on hand February 1, 1904
Cash from State Treasurer:
Account of current expense
Cash from other sources..To disbursements:
Account of cottage for females
Account of current expense
Balance on hand to new account

$41,685 09
19,172 59
478 71

$61,336 39

DEBITS.

$287 75
20,532 72
40,515 92

861,336 39

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending March S I , 1904CREDITS.

By balance on hand March 1, 1904
Cash from State Treasurer:
Account of current expenses
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

540,515 92
19,172 59
374 80

$60,063 31

DEBITS.

$813
728
21,044
37,476

98
46
85
02

$60.063 31

24

STATE OF MICHIGAN.

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum,
for month ending April SO, 1904.
CREDITS.
By balance on hand April 1. 1904
Cash from State Treasurer:
Account of cottage for females
Account of current expense
Cash from other sources
To disbursements:
Account of addition to bakery
Account of cottage for males
Account of cottage for females
Account of current expense
Balance on hand to new account

$37,476 02

.

19,000 00
16,974 19
1,715 71

875,165 92

DEBITS.

$75,165 92

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

$50,806 27
16, 974 19
7 00
3,460 16

To disbursements:
Account of 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

$264
323
1,125
1,949
16,872
48,711

20
57
55
43
89
98

$69,247 62

$69,247 62

THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum
for month ending June SO, 1904.
CREDITS.
By balance on hand June 1, 1904
Cash from State Treasurer:
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 current expense
Balance on hand to new account

$48,711 98
16,974 19
1,034 78

$101
681
3, 208
4,449
15; 442
42,837

97
27
18
43
30
80

$66,720 95

$66,720 95

NORTHERN MICHIGAN ASYLUM.

25

SUMMARY.
THE STATE OF MICHIGAN, In account with J. T. Hannah, Treasurer of Northern Michigan Asylum,
for fiscal year ending June SO, 1904,
CREDITS.
By balance on hand July 1, 1903
Cash from State Treasurer:
Account of addition to bakery
Account of new sewers
Account of four porches
Account of cottage for males
Account of cottage for females
Account of current expense
Cash from other sources:
Account of cottage for females
Account of current expense
To disbursements:
Account of fireproof vault
Account of pathological laboratory
Account of nurses' building
Account of repairs, roofs and buildings
Account of addition to bakery
Account of new sewers
Account of four porches
Account of cottage for males
Account of cottage for females
Account of current expense
Balance on hand to new account

•
r

$30,356
6,785
3,325
2,500
24, 000
24,000
202,069
7
17,340

12
00
00
00
00
00
16
00
14

$20
118
172
790
6,113
1,565
1,092
20, 250
11,760
225,660
42,837

80
84
55
00
00
69
74
28
23
49
80

$310,382 42

DEBITS.

$310,382 42

We have carefully examined the accounts of J. T. Hannah, Treasurer of
the Northern Michigan Asylum, for the biennial period ending June 30,
1904, and have compared the same with the books and vouchers; and verified the same by further comparison with the books of the steward and
Tiereby certify to the entire correctness of them.
T. T. BATES,
G. A. HART,
W. W. MITCHELL,
Auditing Committee.
4

26

STATE OF MICHIGAN.

STEWARD'S

REPORT.

FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1904.

ANALYSIS OF RECEIPTS AND DISBURSEMENTS FOR THE BIENNIAL PERIOD ENDING;
JUNE 30, 1904.

RECEIPTS.

Maintenance, etc., State patients
Maintenance, etc., county patients
Maintenance, etc., private patients
Farm
Sundry accounts
SPECIAL APPROPRIATIONS :
Officers' salaries
New sewer
Four porches
Addition to bakery
Cottage for females
Cottage for males

:

$371,965
30,176
7,310
5,295
6,332

36
78
47
75
70

14,054
3,325
2,500
6,785
24,007
24,000

15
00
00
00
00
00

•

$495,752 21

DISBURSEMENTS.
SALARY AND WAGES
FOOD:
Meat and
Butter
Flour
Sugar
Tea and coffee
Miscellaneous

8125,277 04
fish

$33,432
21,389
10,821
7,069
7,137
25,786

CLOTHING
LAUNDRY :
Wages
Starch
Soda
Machinery
Baskets
Irons
Wax and gasoline
Laundry wagon
HEATING:
Wages
Coal

41
49
84
39
79
18

105,637 10
21,319 48

$7,419
438
2,088
578
US
14
36
28
.

29
81
22
27
39
45
96
50

$3,654 11
42,542 74

10,722 83
46,196 85

NORTHERN MICHIGAN ASYLUM.
LIGHT:
Wages
Electrical supplies
Oil
Globes and lamps
Wicks and candles
Gas
MEDICAL SUPPLIES:
Drugs
STATIONERY AND PRINTING:
Postage
Telephones
Stationery
Printing
Blanks and books
Letter copier
Directory

$3,424
403
44
153
1

fixtures

15
54
62
42
16
60

$3,172 97

AMUSEMENT AND INSTRUCTION:
Medical books
Entertainment
Games
Repairs to piano
Hymnals
Music
Circus tickets
HOUSEHOLD SUPPLIES:
Utensils
Hardware
Dry goods
Brooms
Crockery
Soap
Sewing machines
Paper
Refrigerators
Stoves and ranges
Polish
Carpet tacks
Insect powder
Filin? case
.Repairs to clocks
Brushes and sponges
Pictures and mouldings
Baskets
FURNITURE AND BEDDING:
Oilcloth
Carpets
Blankets
Furniture,
Bedding
Feathers
IMPROVEMENTS AND REPAIRS:
Wages
Hardware
Cement walks
Lumber
Pipe and
Iron, etc
Paints and oils
Brick
Glass
Grate
Cement and lime
Pipe covering
Hose
Shingles
Wall paper
TOOLS AND MACHINERY:
Tanks
Wheelbarrows
Well
Valves
Steam gauge
Tools
Packing
Belt
Machine
Oil

27

$430
196
412
474
194
67
3

00
25
37
21
17
61
00

$82
225
69
39
6
43
39

70
00
93
93
00
05
00

$481
1,433
6,224
563
1,380
724
160
427
48
330
9
31
74
2
108
178
6

56
76
72
52
33
82
00
14
42
50
00
40
04
74
75
21
61
28

$2 16
2,312 88
742 54
1,150 43
4,301 94
58 5.6

fittings

"
fittings

$18,557
1,322
1,606
3,070
3,262
1,064
1,877
455
69
54
269
148
152
73
9

36
03
16
71
75
38
20
07
76
85
31
01
49
35
35

$661
12
729
58
6
365
131
16
235
152

03
39
40
44
75
85
96
07
27
57

$4,027 49
3,172 97'

1,777 61

505 61

12,185 80'

8,568 5!

31,992 78

2,369 73

28

STATE OF MICHIGAN.

FARM, GARDEN, STOCK AND GROUNDS:
Wages
..........................................................
$17, 834 16
Implements ...................... .
...............................
1 , 193 36
Hay
............................................................
372 71
Pigs
...............................
.............................
59 35
Steers
...........................................................
15,629 96
Horses
..........................................................
4,049 41
Registry of stock
..................................................
47 25
Feed
............................................................
10, 440 44
Harness
.........................................................
601 32
Trees, seeds and plants
............................................
623 96
Drain pipe
................................
......................
.
159 03
Veterinary and medicine
...........................................
279 80
Manure
.......................
.
..................................
598 15
Blacksmithing
....................................................
495 23
Straw
...........................................................
232 82
Fencing
.........................................................
299 40
Dynamite
.............................
•.
.........................
24 25
Paris green
......................................................
15 00
Land plaster
.....................................................
69 25
Flower pots
.......................................
*.
..............
8 37
Hose
............................................................
64 50
- $53,097 72
FREIGHT AND TRANSPORTATION:
Superintendent's expenses to board meetings
.........................
$68 39
Steward's expenses purchasing supplies
..............................
172 80
Delivery of new teams
............................................
45 22
--286 41
MISCELLANEOUS :
Messages
........................................................
$104 46
Undertaker's fees..
................................................
494 32
Refunded money
.................................................
387 56
Expenses elopement
..............................................
175 13
Expenses to Newberry
............................................
343 10
Expenses home
...................................................
1 23 46
Escort of patients
................................................
50 29
Renewed lunacy law
..............................................
198 80
Medical examinations ......... .
...................................
10 00
Dentistry
........................................................
2 00
Analysis of water
.................................................
20 00
Miscellaneous. . .
.....................................
2,931 02
—- 4,840 14
SPECIAL APPROPRIATIONS:
Officers' salaries
...........................
'.
......................
$14, 054 15
Repairs to roofs and buildings
......................................
1 , 129 32
Nurses' building
..................................................
581 04
Addition to bakery
...............................................
6, 172 15
Pathological laboratory
............................................
184 98
Fireproof vault
...................................................
53 20
New sewer
.......................................................
1,973 27
Cottage for females
...............................................
11, 763 73
Cottage for males ........ "
.........................................
20,246 78
_57,25L36
$489,229 49

NORTHERN MICHIGAN ASYLUM.

29

FARM REPORT FOR THE BIENNIAL PERIOD ENDING JUNE 30, 1904.
Quantity.

Asparagus, pounds
Asparagus, pounds

5, 245
17

Apples, bushels
Apples, bushels
Apples, bushels

258^
144
25

Beans, bushels

392

Beets, bushels
Beets, bushels
Beets, bushels

1,069
1,175
69i

Beef,
Beef,
Beef,
Beef,
Beef,
Beef,
Beef,

Price.

Amount.

Total.

$0 10
25

1524 50
4 25

30
40
50

$47 55
57 CO
12 50
$313 60

15
25
50

S528 75

117 65
313 80

S160 35
293 75
34 75

pounds
pounds
pounds
pounds
pounds
pounds
pounds

25,094
25,440
9,111
8,043
90,999
9,126
29,036

Corn, bushels

863

80

S6SO 40

Cabbage, heads
Cabbage, heads
Cabbage, heads

26,625
4,682
36

04
05
10

$1,0(15 00
234 10
3 60

Carrots, bushels
Carrots, bushels
Carrots, bushels

5,799
1,143
.45

15
25
50

$569 85
285 75
22 50

13,060

02

S261 20

210
396
42
3

50
50
75
1 00

Chickens, pounds
Chickens, pounds
Chickens, pounds

53
22
27

12
12
16

S3 36
2 75
4 32

Currants, quarts

830

08

. 40

25
1,475

05
10

$1 25
147 50

1,471
701

07

S102 97
56 08

15
15
14
16
16
17
17
18
20
22
23

S3 95

3

2 00

$6 00

a oo

67i

6 00

$403 50

403 50

Celery, heads
Cucumbers,
Cucumbers,
Cucumbers,
Cucumbers,

dozen
bushels
bushels
bushels

Cauliflower, heads
Cauliflower, heads

;

Cherries, quarts
Cherries, quarts
Eggs, dozen
Eggs, dozen
Eggs, dozen
Eggs, dozen
Eggs, dozen
Eggs, dozen
Eggs, dozen..
Eggs, dozen
Eggs, dozen
Eggs, dozen
Eggs, dozen

26}
25
105f
51|
27 5-6
10|
38J
19 7-12
40 7-12
9}
10J

07
07|
'07i
07J
08
OSi
09

SI,756
1,907
683
603
7,279
775
2,613

«105
198
31
3

58
99
32
22
92
71
24

00
00
50
00

15,619 98

690 40

1,302 70
1,178 10
261 20

337 50
13 43
66 40
148 75
159 05

3 75
14 79
8 18
4 45
1 81
6 54
3 52
8 12
2 09
2 41

59 61
Eggs, (vegetable) bushels
Fodder, tons
Grapes, bushels

217

1 00

$217 00

217 00

Hay, tons
Hay, tons

6
632i

600
8 00

$36 00
5,058 00

5,094 00

Lettuce,
Lettuce,
Lettuce,
Lettuce,

pounds
pounds
pounds
pounds

1,220
6,045
1,220
3,525

10
15
20
25

$122
906
244
881

00
75
00
25

2,154 00

STATE OP MICHIGAN.
FARM REPORT.—Continued.
Quantity.

logs, feet

,

Milk, pounds

Amount.

Price.

9,258

$8 00

$74 06

1,228,263

02

$24,565 26

Mangels, bushels

5,173

15

$775 95

Onions,
Onions,
Onions,
Onions,

5,300
117
750
46

10
1 00

$530
58
600
46

Oats, bushels
Oats, bushels

1,400
921

35
40

$490 00
368 40

Peas, bushels

544

80

$435 20

75
1 00

$0 75
3 60
16 50

8,711
5,854

35
40

$3,048 85
2,341 60

19,242
920
8,425

07
07*
08

$1,346 94
69 00
674 00

dozen
bushels
bushels
bushels

Plums, bushels
Plums, bushels
Plums, bushels
"Potatoes, bushels
Potatoes, bushels
Pork, pounds
Pork, pounds
Pork, pounds

-.-

50
80

1
4£
16J

80

00
50
00
00

Peaches, bushels
Peaches, bushels
Peaches, bushels

92
589
447

70
75
80

$04 40
441 75
357 60

Parsnips,
Parsnips,
Parsnips,
Parsnips,

244
605
163
400

25
30
40
50

$31
181
05
200

12

1 00

$12 00

OOf
01
200

$15 00
60 00
6 00

bushels
bushels
bushels.;
bushels

Peppers, bushels
Pumpkins, pounds
Pumpkins, pounds
"Pumpkins, loads
Poles, telephone
Posts
Raspberries, quarts
Raspberries, quarts
Radishes, dozen
Radishes, dozen
Rhubarb, pounds
Rhubarb, pounds
Rye, tons
Rye, tons
Rutabagas, bushels
Rutabagas, bushels
P^tabagas, bushels
Strawberries, quarts
Strawberries, bushels

2,000
6,000
3
20

1 00

523

00
50
20
00

$20 00
$41 84

2,949
1,716

08
10

S235 92
171 60

2,709
14,325

04
06

$108 36
859 50

8,400
605

02
04

$168 00
24 20

4 00
6 00

$40 00
345 00

15
25
40

$21 15
216 25
16 40

10
2 50

$652 40
250 00

10
57i
1-41
865
41
6,524
100
1

Squash, pounds
Scraash, pounds
Sage, pounds

2,000
12,000

001
01}

$15 00
180 00

120

05

$6 00

Savory, pounds

90

05

S4 50

Straw, tons
Straw, tons

57 3-5
2

5 00
6 00

$288 00
12 00

50

$82 50

•Salsify, bushels

165

}

NORTHERN MICHIGAN ASYLUM.

31

FARM REPORT—Concluded.

Price.

Quantity.

Amount.

191
742
134

$0 50
1 00
2 00

1 1Q2
1 100

15
25
40
50

153
323

2 551

-

173

09
10
1 00

: Stock, sold
Hides sold
Logs, sold

Total.

815 50
742 00
268 00
$178
275
2
76

80
00
40
SO

532 70

$29 07
255 10
$173 00
173 00
$3,362 44
1 485 29
257 05
66 00
5 164 78

Total

$77,088 30

.

SUMMARY.
SUMMARY OF INVENTORY, NORTHERN MICHIGAN ASYLUM, JUNE 30, 1904.
Tarm and grounds
Buildings
Stock on farm
Produce from farm and garden
Parm implements and barn fixtures
-Administration building
Pathological laboratory
Dispensary, stock and fixtures
Library and chapel
Wards
•Cottage A
Cottage B
Cottage C
Cottage D
Cottage E
Cottages F and G
Cottage
age .H
Cottage K.
Cottage M
Cottage N
Cottage N. H
Kitchen and bakery.
Laundry
Engine room and shops
Store fixtures
Stores: Groceries and provisions
Stores : Notions
'Stores : Dry goods
Stores: Hardware and Miscellaneous.
•Stores : Crockery
•Stores: Boots and shoes
Stores : Clothing
Stores : Silver-plated ware
•Stores: Meats
I Corrected summary
..............
,

$47 160
684, 601
13 471
71 923
3 561
7 825
1 079
1 196
1 247
30 514
2 155
1 940
2 713
3 591
1 012
4 077
2 922
2 772
3 085
3 164
1 368
5 991
4 877
540
69
265
820
264
786
326
060
538
71
260

..........................................

00
00
00
52
76
22
00
90
35
66
88
37
06
24
77
74
23 '
00
95
36
01
58
91
15
68
13
81
29
37
38
22
13
72
50

8923,256 89

STATE OF MICHIGAN.

32

REPORT OF THE MEDICAL SUPERINTENDENT.

To the Board of Trustees:
Gentlemen—In compliance with the statutory requirements, I have
the honor to submit the following report of the principal events of the
asylum for the biennial period ending June 30, 1904. The movement of
population has been as follows:
TABLE I.—For the biennial period.
Patients.

Died

.

Males.

...

Females.

Total.

627
234

505
200

1 132
434

861
232

705
158

1,566
390

629

547

1,176

15
69
56
92

16
69
23
50

31
138
79
142

From the beginning.
Patients.

Total admitted

Died

Total discharged

Males.

Females.

Total.

2,014

1,635

3,649

257
466
150
512

185
450
108
345

442
916
258
857

1,385

1,088

2,473

547

1 176

629

NORTHERN MICHIGAN ASYLUM.

On June 30, 1902, there remained under treatment 1,132, and 011 June
30, 1904, 1,176 patients, an increase of 44 for the period. If to this number is added 58, the number transferred to other asylums, it will be seen
that the increase far the district during the last two years was 102. The
anticipated increase for the district was placed at 100 by the last legislature. This has been practically the. rate of increase for the district for
several periods and doubtless the State will need to provide for about 50
additional patients each year, if all occurring cases of insanity are to receive prompt treatment.
The number of admissions, 434, exceeded that of the preceding period
by 63. This is the largest number of patients ever received during a biennial period. The discharges, as may be seen from Table I, were proportionately large.
The smallest number of patients under treatment on any one day was
1,104; the largest, 1,176.
The women's department is practically full and on the male side there
is room for but a few more. The buildings under construction will, however, nearly provide asylum room for the district for the next two years.
The death rate for the first half of the period was 4.4 per cent; for the
last half, 6.1 per cent. This is the largest death rate in the history of the
hospital. During the prolonged, severe cold of February and March, 1904,
the mortality among the aged, and patients suffering from heart and kidney
diseases, was unusually great.
There were two deaths from typhoid fever and two from suicide. Suicide is always a most distressing event, and in these instances marked a
sad ending to sad lives. Guard as we may against such accidents they
are sure to occur, as they usually happen in patients little suspected of
harboring suicidal tendencies.
There were 144 deaths during the period and of this unmber 77 were
more than 50 years of age.
The following table will show the sex, age, form of disease, and cause
of death of those who died:
TABLE II.
Age.

Sex.

39
50
65
66
53

Male
Male
Male
Male

28
47

Male
. . .

82

Male
Male
Male
Male
Male

52

79
73
37
24

Cause of death.

B. II Senility
Canada

71
72
45
78

Male

Form of disease.

B. 11, Senility
B. II Senilitv

65
65
33

Ma'e
Male
Male
Male
Male

Male

Nativity.

C. II, Paranoia

Tuberculosis.

B. II, Senility
Canada

New York

B. II Senility
B. II, Senility

Arterio-sclerosis.

STATE OP MICHIGAN.

34

TABLE II.—CONTINUED.
Age.

Sex.

59
Female
Male

. , .

40
25
48
39
51
81
26
76

Male
Male

Male.
Male
Male
Male

26
46
50

Male
Male

75

Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male

. .

72
51
71
44
35

68

Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male

Paretic seizure.

C. Ill Imbecility
Paretic seizure.
B. II Syphilis

Apoplexy.

Holland

Apoplexy.

B. II, Senility

Ohio.

B. II Senility
B. II, Syphilis

. .
'.

New York
Holland

C.

I, Epilepsia

Intestinal obstruction.

England

C.

I, Epilepsia

Status epilepticus.

A. II, Dementia
New York

43
36
67
54
19

Male
Male

Male

B. II, General paralysis

71
63
32
44

Male

Male

Cause of death.

30

42
67
50

Male
Male

Unknown

40
58
40

Form of disease.

Nativity.

Paretic seizure.
B. II. Senility
Pericarditis
B. II Senility
New York
New York

65
65
78
70
64
27
65
57
74

Nephritis.

Ohio.

B. II, Senility

Cardiac disease.

B. II, Senility
Apoplexy.

New York
Ohio

82
51
68

B. II Senility

38

B. II, General paralysis

76
46
49
58
46
29
58
39
59

Chronic enteritis.
Paretic seizure. ,
Apoplexy.

B. II, General paralysis
B. II, Senility

.

....

Paretic seizure.
Paretic seizure.

New York
England

G. II, Paranoia
C. I, Epilepsia

Germany

A. II, Delusional

Cancer of breast.

:

Tuberculosis.
Status epilepticus.
Pernicious anemia
Cardiac disease.

C. Ill, Imbecility

Tuberculosis.
Cardiac disease.

B. II, Organic brain

Intestinal obstruction.

NORTHERN MICHIGAN ASYLUM.

35

TABLE II.—CONCLUDED.
Ag,

Sex.

54
Male
Male
Male
Male

.. .

Male

Scotland
Unknown ...

76
44
52
43
64

Hale

B. II, Senility
New York

. . . .

B. II Delusional
Sweden

B. II, Senility.

Male

32
66
74
45
70

Male
Male
Male

B . I I , Senility .

45
83
69
43

TJale

Male.

. ..

44

Male

Male

Pa re tic seizure.

38
62
79

THale
Male
Male
Male

Male
Male
Male
Male
Male

B. II, General paralysis

59
43

32

Male

Male
Male
Male
Male

Cause of death.

Form of disease.

"73"

79
65
83

Male

Nativity.

....

. . .

B. II, Senility

64
78
52
58
76

B. II, Senility
B. II

Senility

33
34
44
39
S4

New York

B. II Senility

42
fi6
43
13

C. Ill, Idiocv..

71

B. II, Senility

52

C. Ill Imbecility

C.

"Male

44
72
65

Male

50

.

....

England
I Epilepsia

New York
Canada

C. II, Periodical
B. II, General paralysis

Paretic seizure.

England
Canada

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

Apoplexy.
Paretic seizure.

51

55
Male
Male

53
54

STATE OP MICHIGAN.

36

Summary.
Males.

General paralysis
Pulmonary tuberculosis
Cardiac disease
Cancer
Exhaustion

21
7
9
9

Apoplexy
Pneumonia
Status epilepticus
Pernicious anemia.
Suffocation

„

Bright's disease
Arterio-sclerosis
Marasmus
Gastritis
Bronchitis
Fracture
Osteomyelitis
Appendicitis
Intestinal obstruction
Erysipelas
Influenza
Septicemia
Pericarditis
Enteritis
Diabetes mellitus

Females.

'..

9
1
8
2
1
-14
1

:

:

1
~ ......
1
2
3
...

1
1
1

Ileo-colitis
Hemorrhage of lungs
Cirrhosis of liver
Suicide

Total...,

•

Total.

2
9
5
1
6

23
16
14
1
15

3
1
1
1
1

12
2
9

1
2

2
16
1
1
4

1
3
2
1
1
1
1
1
2
'
1
2

92

50

142

TABLE III.
For the biennial
period.

From the beginning.

Form of insanity.
$

_!__
n

b. Mania

r i.

| d. Hallucinatory delirium (primary confusionol inL
sanity)
, ."
'
'

A. Incident to the normal brain
II

Secondary

^ a" ^e'us'ona' insanity (dementia monomania)

H

f a. Syphilitic

l IT Symptomatic of organic disease of the brain..... j c ' Dementia from

' I.

C. Incident to the degenerate brain

• II

I n

gross brain

lesions (apoplexy,

a

fei

194
89

185
30
1

7

21
2

32
0

8

3

11

23

16

39

12
1

3
6

15
7

159
117

214
146

373
263

29
58

1
2

30
60

I.

B. Incident to the normal and the de-

•a
I

jj.

"3

%

379
169
1

'-£

"'4'

4
14

15
177

7
32

22
209

28
35
2

• 8
22
2

36
57
4

105
136
13

40
103
12

145
239
25

32
2

42
24

19

'"16

74
26
3
29

157
2
12
161

206
72
6
98

363
-., 74
' -18
259

12

6

18

84

87

171

22

36
1

58
1

381

269
5

.' 650
5

25
1

9

34
1

100
2

52

152
2

1

1

1

1

'
Total

234

200

434 2,014

1,635

3,049

38

STATE OF MICHIGAN.

This table is of interest since it shows that only 12 per cent of all cases
admitted were primarily curable, i. e., patients in whom a cure could be
expected. It further shows that the number of organic cases was larger,
with the exception of general paresis, which was 60 per cent less than for
the preceding period. We are unable to explain the decrease in this disease, but cannot believe that it will continue over the coming period. It
will also be observed that the number of organic brain and senile cases
was very large, reaching nearly 22 per cent of the admissions. Over 50
per cent of all those admitted fall in the group of the classification, "Incident to the degenerate brain." Here are placed the hebephrenise, katatonics, and paranoiacs; in fact all the cases of dementia praecox, and all
cases in which there is a constitutional defect of the mental mechanism.
Many neurasthenics regain quite a comfortable degree of health, but permanent recovery is rare. Relapses, after an interval of a few months or
years, invariably occur and dementia always follows.
I have briefly called your attention to these facts relative to the character of the admissions for the period to show how very few are really curable. It must not be inferred, however, that the great majority will receive
no benefit from hospital treatment. Quite a percentage will regain a comfortable degree of mental health and will become self-supporting for at
least a portion of their remaining years.
I cannot speak of any innovations in the care or treatment of patients,
save perhaps more attention has been given to gynecology than formerly.
Seventy-two patients have been examined and treated by Dr. Beatrice
A. Stevenson, the woman physician. She reports the following facts in
regard to these patients.
Report of gynecological examinations made from July 1, 1903, to July 1,
1904:
Number of examinations made
72
Conditions found:
Prolapses of uterus
1
Prolapses of rectum
2
Umbilical hernia
1
Pregnancy
3
Recto-vaginal
fistula
1
Hemorrhoids
3
Urethral caruncle
3
Uterine
fibroids
2
Uterine displacements
15
Cervical lacerations
37
Perineal lacerations
22
In surgery only a few major operations were performed; in fact there
were, outside of minor cases, very few surgical diseases requiring treatment.
During the latter part of June, 1904, Dr. Tashjian, a dentist, was employed, and found an interesting field of labor. There is hardly a patient
not in need of dental care, and improvement in the health may be expected
to follow such treatment.
I need not more than mention the new buildings and general improvements. You have kept pace with them so closely that it would be almost
superfluous to make any report at this time. There are two cottages
under construction, each for 60 patients, which have been fully described
in your report. I will only add that they are more commodious than former

NORTHERN MICHIGAN ASYLUM.

cottages, accommodating a larger number of patients without a proportionate increase in cost. These buildings will be ready for occupancy about
January 1, 1905, by which time all the present room in the asylum will
be occupied.
The addition to the bakery has been finished and the asylum now has
one of the most complete bakeries in the state.
The other special work, as provided for by appropriations, has been
finished as specified by the legislature and with the amounts appropriated.
The improvements to the barns and coal sheds were imperative.
The farm has been very productive and is in excellent condition, as will
be seen from the steward's report. The results of the farm operations
have been most satisfactory. In this connection I would call your attention to the need of adding another section to the greenhouse. I need not
speak of the great value of the greenhouse, not only in flower culture, but
in the growing of vegetables as well. During the winter season several
thousand pounds of lettuce and a large number of radishes are grown, to
say nothing of flowers and the propagation of plants for transplanting in
the garden, such as tomatoes, strawberries, melons, etc., all of which is
necessary if .these products are to be successfully grown in this climate.
The asylum now owns its teams and during the last year a much greater
amount of teaming was done than heretofore and at a less cost. Only
one familiar with the asylum can form an accurate idea of the vast amount
of teaming there is to be done. The transfer of 6,000 tons of coal a year
from the side track to the asylum, a distance of over a mile, keeps several
teams employed six months of each year. The garden and farm operations
also require many teams during the working season.
TUBERCULOSIS.

I am glad to report that the deaths from tuberculosis were less than for
any previous period. The conversion of the Nurses' Home into a hospital
for tuberculous women patients has undoubtedly been of great value in
controlling the spread of the disease. It is also true that nearly all the
patients have improved since being treated there. I trust the coming legislature will make this a permanent hospital for tuberculous women, and
enlarge it sufficiently to accommodate 25 patients.
The following are the usual statistical tables:
TABLE IV.—Degree of heredity.
From the beginning.

For the biennial period.

Males.

Females.

Total.

Males.

Females.

Total.

Paternal remote

3
4
6
16
12

7
7
18
15

8
11
13
34
27

25
81
63
130
73

25
105
52
170
90

5»
18$
115.
300'
163

Dissolute parentage

21
6
71
95

23
7
56
62

44
13
127
157

123
47
525
947

142
46
522
483

265
93
1,047
1,430

434

2,014

1,035

3,649

Parental and maternal

Unascertained

'.

.
Total

234

200

40

STATE OF MICHIGAN. _--..
TABLE V.—Occupation of those admitted.
From the beginning.

For the biennial period.

Males.

Females.

Baker

I
'"2i
ii
j
Fditor

2
1

2

3
5

• 1

1

1
3

5

3
1
8
64

1
1

4
1

1
10
1

1

2

'•"§'
1

1

21

45

126

561
3

1

1

40

40

14
1

70

.1
56

1 '"•
1

'"]'
3'

4

Miller

"•'S
5

5
1
3
13
10

"'9'
129
5

1
9
129
8
1

1
. 18
1.
414
4

. 1
39
, H

1
2
2
145
1

,2
2
4
145
6

309
4
4
19
1

1,064
12
6
42
1

7
22
JO
1

21
5
31
- ' , . .13
1

69
1
4
65

39
2
3
78
2

108
3
7
143
2

2

755
8
• 2
23
14
5
9
3

16
1

29

1
1

1
1

2
2

2
14
3
1
1

2
3
1
.....

4
17
4
1
2

1
3

1
5
1
4
1

13
11
S
36
13

6
9
4
18
11

19
20
12
54
24

2
1
3
1

1

.....

1
Tailor
Teacher

4
48
6

13
1
12
1,12
10

13

Printer

Soldier

10

0

2

Sailor

2
2
9
11
47

1

Florist

Total.

2
1
3
6
14

1
6
5
33

10
2

i
81

Females.

• Males.

2
1;

2

Cook

Total.

3
"'3'

"'i'
3
1
...__..

1
15
7
5
8
7

•

1 .
11
8
4
9
27

• ... ' 2
26
15
9
17
34

NORTHERN MICHIGAN ASYLUM.

41

TABLE t.—Concluded.
From the beginning.

For the biennial period.

Males.

Tinsmith

Females.

i

52

Total

234

41

200

Total.

1
93

434

Males.

3
4
159
"'3'
1

2,014

Females.

""m

1
2

1,635

Total.

3
4
335
5
1

3,649

STATE OP MICHIGAN.

42

TABLE VI.—Nativity of patients admitted.
For the biennial period.

Males.

Females.

From the beginning.

Males.

Total.

Females.

1

i

1
31

is

44

2

4

6

4
1

Holland
Ireland
Italy

4
1

1
20
1
274

7
4
201

1
1
27'
5.
475

2
25
1
73
5

3
21
1
47
4

5
46.
2
120
»

14
6
4

13
1
7

27
7
11

65
147
21
90
7

30
126
17
66
2

95
273
3S
156
9-

2
2

8

10
2
2

20
13
5

3

3

6

35
11
3
1
1

55
24
8
1
T

1
1
58

66

1
1
124

5
5
1
414
4

7
5
1
412
1

12
10
2
826
5

2

1
3
2

4
37
1
3
3

35
3

4
72
4

i

4

. . .

1
3

2'

Nebraska...,
New York

21

19

40

Ohio

12

ii

23

200
2
1
86

7
2

5
2

12
4

47
14

8

12

20

4
146

Poland
Rhode Island

20

Scotland
South Dakota

Utah

1

1

1

1

1

1

Recapitulation.

Total

1
7
1

1
155
1

a

1

91

3553
1
177

40
16
1
1
114

87
30'
1
5
260-

12
2

32
2
1
IT
2-

io

1

1

1
3
7
3
21
2

2
9
1
19

5
164
40*
2

3

2

5

44

33

77

195

113

308:

234

200

434

2,014

1,635

3,649»

Wales

Total

Total.

229
128
77

1,662"
1,679308

434

3,649

NORTHERN MICHIGAN ASYLUM.
TABLE VII.—Clinical group.
For the biennial period.

Males.

Females.

27

6
10
35
1
36

17

10

27

30

49

79

29

38

67

io

4
3

14
3

38

1
4
10
21

7
4
10
59

7
8
10
17

3
2
29

7
11
12
46

234

200

434

1

6

Toxic

Total

Total.

6
1
9
1
9

9
26

Paretic
Phthisical

From the beginning.

Males.

Females.

Total.

13
133
84
6
116

31
3
45
93
54

44136
129
99
170-

13
150
22
107
408

11
93
19
6
377

24243
41
113
785

218
2
142
17
1

312
6
24
18

530
816635
1

34
12
144

21
181
34
104

55
181
46
248

62
48
99
183

17
15
27
144

79
63
126
327

2,014

3,649

1,635

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

Males.

Total

Females.

From the beginning.
«

Total.

Males.

Females.

Total.

59
16
10
5
17

46
15
11
3
21

115
31
21
8
38

348
193
111
28
218

295
158
99
31
147

643351
210
59
365

26
15
11
15
60

34
17
12
12
29

60
32
23
27
89

293
165
158
109
391

262
184
182
94
181

555
349
340
203
572

234

200

434

2,014

1,635

3,649-

STATE OF MICHIGAN.

44

TABLE IX.—Civil condition.
For the biennial period.

Males.

Females.

From the beginning.

Total.

Males.

Females.

Total.

Single
Widowed

99
95
18
6
16

106
61
23
8
2

205
156
41
14
18

785
965
107
43
114

1,058
353
180
45
19

1,843
1,318
267
88
133

Total

234

200

434

2,014

1,635

3,649

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

For the biennial period.

Males.

16 to 20
21 to 25..
26 to 30
31 to 35
36 to 40
41 to 45
46 to 50
51 to 55
56 to 60
Cl to 70

Total

....

Females.

Total.

Males.

Females.

Total.

3
14
19
20
20

1
13
21
23
19

4
27
40
43
39

14
110
223
281
225

11
87
159
218
216

25
197
382
499
441

15
15
24
21

12
28
27
10

27
43
51
31

223
215
138
117

225
181
152
100

448
396
290
217

14
29
22
18

11
11
14
10

25
40
36
2S

94
137
76
161

82
88
47
69

176
225
123
230

234

200

434

2,014

1,635

3,649

NORTHERN MICHIGAN ASYLUM.

45

TABLE'XI.—Probable existing cause.
For the biennial period.

Males.

Fright
Ill-health

Females.

Males.

10
11
1
9
3

21

2
8
17

3
21
9

5
29
26

9

2

11

1
22
18
2

1
38
1

2
60
19

3

I

4

11

8
8

8
«

1
5
2
13
1

Phthisis
2
2
4

Total

Total.

11
17
5
22

7

Senility

From the beginning.

Females.

Total.

44
04
5
60
84

91
29
37
9
45

135
93
42
69
129

. 11
30
156
3
39

22
100
98
5
22

33
130
254
8
61

8
169
222
15
.11

18
270
6
2
17

26
439
228
17
28

4J
4
3

"'23'
12
22
189

1
66
16
25
189

1
5
2
2

3
4
65

23
22
7
16

23
25
11
81

15

34
82

85
102
4
26

1
31
3

10

1

11

18

51
20
4
8

32
5
35
3

16
1
20
2

48
6
61

107
45
533
151

82
8
360
17

189
53
893
168

234

200

434

2,014

1,635

3,649

STATE OF MICHIGAN.

46

TABLE XII.—Residence of patienK 'admitted.
For the biennial period.

Males.

Females.

Females.

Males.

114
98
34
24
1

5'
22
12
29

1
16
40
12
62

13
10
1
41
7

33
19
1
106
22

15
9
42
2
3

38
31
84
2
10

20
87
88
97

21
60
89
60
2

41
147
177
157
2

1
35
25
1
3

1
72
53
3
13

49
14
8
1
2

104
37
16
1
3

11

23
30
3
1
13

35
63
5
1
24

55
57
46
51
31

131
144
84
120
119
94
43
1
212
13

16
9
8
6

1

2
2
6

3
2
11

33'

2

1
2

2
4

20
9

20

9

29

65
15

7

11

18

5

2

7

7

1

...

60
44
22
10
1
11
18

23
22
42

13
11

9
8

22
19

11
2

8
2
1

19

4
1

37
28
2
10

13
2

11
3

24
5

55
23
8

12
33
2

Isle Royal

Kent

Total.

54
54
12
14
1

9
3
1
2

5

.

Total.

7
6
7
4

Bay...

Delta

From the beginning.

1
6

3

9

15

9

24

4

8

13
8

17
16

76
87
38
69
88

10
3

8
1

18
4

39
25

11
3

12

23
3

121
9

55
18
1
91
4

19
6
7
2

13
6
11

32
12
18
2

133
42
43
16
7

128
46
44
8
6

261
88
87
24
13

3

5
4

8
4

45
12

1

2
1

3
1

45
8
4
10
9

90
20
4
15
18

5
9

NORTHERN MICHIGAN ASYLUM.

47

TABLE XII.—Concluded.
For the biennial period.

Males.

"Sh;awassee
St. Clair

Wexford
Wayne
rState

Total .

Females.

1

1
2

From the beginning.

Total.

Males.

3

Females.

Total.

4
1
2
20
1

2
3
2
7
2

6
4
4
27
3

1

1

2

10
1
6

8

18
1
6

40
7
105
49

43
2
24
51

83
9
129
100

234

200

434

2,014

1,635

3,649

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 erection and furnishing of an addition to the nurses' home; the construction of a carriage barn;
storage rooms for cottages; the construction of cement walks; for repainting buildings; construction of new fences; repairs to porches, and reservoir; for renovating halls; the installation of a new telephone system;
•rewiring the asylum buildings; additional fire protection; repairs to steam
heating plant; artesian wells; the construction and equipment of a morgue;
^addition to, and repairs to greenhouses; one 150 H. P. water tube boiler;
ventilation, and miscellaneous purposes.

48

STATE OF MICHIGAN.
I.

CARRIAGE BARN.

18 cords of stone, in wall, at $12.00
125,000 brick, in wall, at $10.00
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 wring, 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

II.

CEMENT WALKS.

4,000 yards cement walk at 63 cents
III.

$2,520 00

ADDITION TO NURSES' HOME.

Excavation
9 cords of stone, laid, at $15.00
80,000 brick, laid, at $10.00
."
13,000 feet lumber at $14.50
20,000 shingles at $3.00
2,000 feet lumber at $30.00
3,000 feet maple flooring at $31.00
14 doors and frames, complete, at $12.00
16 windows at $12.00
1,675 yards plastering at 25 cents
Painting and varnishing
Labor
Hardware, etc
Electric wiring and fixtures, heating and plumbing

$25. 00
135 00
800 00
184 00
60 00
60 00
93 00
168 00
192 00
168 75
75 00
300 00
150 00
389 25
$2,800 00

IV.

ELEVEN STORAGE ROOMS.

Stone and brick work, laid
Lumber, doors windows, hardware and labor

$100 00
25 00

Each

$125 00

Total

$1,375 00

NORTHERN MICHIGAN ASYLUM.
V.

49

REPAINTING FARM BUILDINGS, FENCE BUILDING, AND PORTION OF ASYLUM BUILDING.

6,000 yards painting at 20 cents
800 rods of fence at $1.00

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

Repairs to porches

$600 00
VII.

REPAIRS TO RESERVOIR.

1,500 square yards cement work at $1.00
Teaming
Cast iron pipe
Valves
Labor

$1,500
200
125
50
125

00
00
00
00
00

$2,000 00
VIII.

RENOVATING HALLS.

Repairs to walls and woodwork
Painting 6,000 square yards at 20 cents

$300 00
1,200 00
$1,500 00

IX.

NEW TELEPHONE.

Installing 53 telephones, complete, with wiring and switchboard
X.

REWIRING ASYLUM.

Wire, switches, cut outs, etc., and labor
XI.

8-inch pipe, 2,370 feet
Lead
6-inch pipe, 800 feet
Laying
Valves and

$1,500 00

$1,500 00

ADDITIONAL FIRE PROTECTION.

'....
fittings

$1,350
160
340
500
150

00
00
00
00
00

$2,500 00
XII.

REPAIRS OF STEAM HEATING PLANT, PLUMBING, ETC.

1,000 feet 4-inch pipe
654 feet 3i-inch pipe..,
1,500 feet 3-inch pipe
1,236 feet 2^-inch pipe
1,280 feet 2-inch pipe
Fittings
Labor
30 water closets at $25.00
30 slop sinks at $19.56

fc

$250 00
155 00
300 00
192 00
116 00
150 00
500 00
750 00
587 00
$3,000 00.

SO

STATE OF MICHIGAN.
XIII.

ARTESIAN WELLS.

600 feet of 8-inch drive well pipe and couplings at 55 cents
perfoot
2 steel shoes at $10.00
Cost of driving at $1.92

$330 00
20 00
1,150 00
$1,500 00

XIV.

MORGUE.

72,000 brick at $10.00
20 cord of stone at $12.00
6 doors at $15.00
12 windows at $8.00
1 water closet
1 slop sink..'.
2 lavatories
Ice box
15,000 feet lumber at $13.00
20,000 shingles at $3.00
1,500 feet Granolithic
Sewer connection
Heating
Electric wiring, etc
Hardware
Labor....

$720 00
240 00
90 00
96 00
25 00
20 00
60 00
250 00
195 00
60 00
765 00
50 00
159 00
70 00
25 00
175 00

floor

$3,000 00
XV.

GREENHOUSES.

Repairs and new section.
2,600 feet cement wall at 25 cents
Repairs to roofs and gutters, including labor

.-..

Total for repairs

$650 00
350 00
$1,000 00

600 feet wall, cement, new section
2,000 feet glass
Heating apparatus, labor, painting, etc

150 00
750 00
200 00
$2,100 00

XVI.

NEW BOILER.

1 150 H. P. water tube boiler, installed complete with steam
connections, etc.,
XVII.

$3,500 00

VENTILATION.

4 000 feet wrought iron pipe for ventilating flues, including
installation

$1,000 00

NORTHERN MICHIGAN ASYLUM.
XVIII.

51

MISCELLANEOUS.

Flag staff
Books for patients' library
Pictures
Musical instruments
.'
Moving pig pens and repairing same
Garbage burner
For construction of covered way between general kitchen and
meat and butter room
-

$500
250
250
500
1,000
300

00
00
00
00
00
00

500 00
$3,300 00

XIX.

LAND.

60 acres of land at $125.00 per acre

$7,500 00

RECAPITULATION.

Carriage barn
Cement walks
Addition to Nurses' Home
11 storage rooms
Repainting farm buildings, fence building, and portion of asylum building
Repairs to porches
Repairs to reservoir
Renovating halls
New telephone
Rewiring asylum
Additional fire protection
Repairs of steam heating plant, plumbing, etc
Artesian wells
.
Morgue
Greenhouses
New boiler
Ventilation
Land
Miscellaneous
Total

$5,000
2,520
2,800
1,375

00
00
00
00

2,000
600
2,000
1,500
1,500
1,500
2,500
3,000
1,500
3,000
2,100
3,500
1,000
7,500
3,300

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

$48,195 00

All of which is respectfully submitted,
JAMES D. MUNSON,
Medical Superintendent.
Northern Michigan Asylum.
The following is the report of the State Board of Corrections and Charities on the above requests for appropriations:

52

STATE OF MICHIGAN.

STATE OF MICHIGAN,
Lansing, October 31, 1904.
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 1905 "and
1906, 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

$5,000 00

In the opinion of this Board the old barn is sufficient to meet present
wants, and this item is therefore not approved.
Cement walks

'

$2,520 00

The board is convinced of the need of these walks to complete those already constructed for the use of patients, and for the replacing of old plank
walks badly out of repair. The amount asked is to cover this work for
two years, and, in the opinion of this board will be required. This item
is therefore approved.
Addition to Nurses' Home (formerly so known;
now used as hospital for tuberculous patients)
$2,800 00
The value of this hospital, and the enlargement of it as here contemplated,
are in the opinion of this board beyond question. The item is therefore
approved.
Storage rooms
$1,375 00
The present conveniences for storing wood, coal, etc., are inadequate,
dangerous and, unsightly, and should be replaced by the small buildings
contemplated by this item. The cost of each of the eleven asked is but
$125.00; and the item is approved.
Repairing farm buildings, fences and portions of
the asylum building
-.

$2,000 00

The proper care of this State property requires that this work should
be done. The amount asked covers two years, and, in the opinion of this
board, will be required. This item is approved.
Repairs to porches

$600 00

Approved.
Repairs to reservoir

$2,000 00

Approved.
Renovating halls
Approved.

1,500 00

NORTHERN MICHIGAN ASYLUM.

New telephone system

53

$1,500 00

The present system in use in the asylum is one that was placed in the
asylum originally, added to from time to time as additional halls were provided. Ci It is a patched one, imperfect, and inadequate for the needs of
the asylum. The amount asked is required for the installation of a proper
up-to-date system, and is approved.
Rewiring the asylum

$1,500 00

This work in the opinion of this board is imperative. The original work
was done some nineteen years ago, in a manner then in use, which has long
since been abandoned because of its being unsafe. The board is informed
that your institution has not escaped the bad results. The amount asked
will, in the opinion of this board, be required to do this work. The item
is approved.
Additional fire protection

$2,500 00

The original four inch fire mains which were designed for an institution
caring for five hundred people, are certainly inadequate for the protection
of the State property which has since increased to a capacity of 1,300, and
with hydrants necessarily placed quite distant from the center. The proposition to substitute these for a six inch main, and connect this with the
city water system, is favored by this board. The amount asked, in the
opinion of this board, will be required, and the item is approved.
Repairs to steam heating plant, plumbing, etc...

$3,000 00

The rusted steam pipes, and the old worn out, unsanitary lavatories
and water closets which it is designed to repair and replace, should have
the attention contemplated by this item. The detail estimate of cost submitted seems to necessitate the amount asked. The item is approved.
•

Artesian wells

$1,50000

The failure of your present well, and the disastrous result of such failure
by the use of other water while it was being repaired, should certainly be
prevented in the future. The additional wells contemplated by this item
are to insure you against the recurrence of such disaster. The amount asked,
will, in the opinion of this board, be required. The item is approved.
Morgue

$3,000 00

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.
Repairs to greenhouses, one new section

$2,100 00

These have proved a source of real profit to the institution in supplying
the patients with proper vegetable food. They are in need of repair and
enlargement; the amount asked will, in the opinion of this board, be required. The item is approved.

54

STATE OF MICHIGAN.

New boiler

$3,500 00

The addition of several buildings for patients since any addition has been
made to the heating plant, seems to make necessary an additional boiler.
The amount asked includes its installation complete with steam connections; and is based on prices already paid by the institution for like work.
The item is approved.
Ventilation

$1,000 00

Contemplates the perfecting of ventilation so necessary in an institution
of this kind, and is approved.
Miscellaneous

$3,300 00

The items which compose this amount are approved by this board; except the garbage burner, $300.00, which, in the opinion of this board, is
not necessary.
Yours respectfully,
GEO. D. GILLESPIE,
L. C. STORKS,
Chairman.
Secretary.
CHAPEL SERVICES.

Religious services have been regularly conducted by the chaplain, Rev.
D. Cochlin, assisted by Revs. W. T. Woodhouse, C. T. Stout, and W. K.
Wright. These services have been largely attended. I would again call
your attention to the fact that the chapel room is entirely too small and
that steps should be taken to have it enlarged.
ACKNOWLEDGEMENTS.

The institution would renew its thanks to the editors of the following
papers for donations of their journals for the use of patients:
Germania
Big Rapids Herald
Michigan State Democrat
Grand Traverse Herald
Deaf Mute Mirror
Huron Tribune

Native Copper Times
Der Sonntagsbote, of Grand Rapids
Alpena Argus
Cheboygan Tribune
Triumphs of Faith

and to all others who have contributed in any way to the comfort and
pleasure of the patients.
I am under renewed obligations to the trustees, the members of the staff,
and to all the employees of the institution. I believe each and every one
has put forth his best effort for the welfare of the institution.
All of which is respectfully submitted,
JAMES D. MUNSON,
Medical Superintendent.
Northern Michigan Asylum, October, 1904.

NORTHERN MICHIGAN ASYLUM.

55

OFFICERS AND EMPLOYEES
OF THE NORTHERN MICHIGAN ASYLUM, AND THE WAGES OR SALARIES
PAID EACH, JUNE 30, 1904, AS REQUIRED BY SECTION 2,
ACT 206, LAWS 1881.

Rate.

Service.

Name.

James D. Munson
A. S. Rowley

Medical superintendent

William D. Mueller

$3,500
2,600
1,500
1,200
900

00
00
00
00
00

Per annum.
Per annum.
Per annum.

700
35
1,600
250
400

00
00
00
00
00

Per
Per
Per
Per
Per

106
70
1,400
1,400
45

00
00
00
00
00

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

45
7o
35
50
65

00
00
00
00
00

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

Non-resident.
Non-resident.
Non-resident.
Cottage.

36 00
17 00
30 00
19 00
30 00

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

Cottage.
Resident.
Resident.
Resident.
Resident.

17
42
16
24
34

00
00
00
00
00

Per month.

Resident.

Per month.

Resident.

26
38
17
22
17

00
00
00
00
00

24
36
26
17
30

00
00
00
00
00

16
24
22
40
24

00
00
00
00
00

H. H. Tashjian...
C, L. Whitney
D. Cochlin
J. T. Hannah
T. H. A. Tregea
G. D. Kenney
C. M. Frail

Asst- accountant

Charles J. Elton

Stenographer

A. W. Hamel
S. G. Howard
Charles M. Corbett
E.C.Kent

Asst. storekeeper
,

^

Hattie Allen
Mabel Barager
Hattie Booth....

E. L.Butler

I). E. Cox

Attendant

Attendant

Period.

Resident.
Non-resident.
Resident.

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

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

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

Per month. Non-resident.

Per month. Resident.

STATE OF MICHIGAN.

56

OFFICERS AND EMPLOYEES.—Continued.
Name.

Service.

Pearl Decker.

Evan T. Evans....
Grace M. Ettinger
Ray Elliott .
Willis G. Frost
Helen J. Finton
Minnie Flint

Fred M. Hale
John F. Hickey
Flora Hollister

Libbie Kelley
J. J. Kelley

Attendant

Attendant
E H- McKenzie
Arthur Maxwell

William 0 McConacha
Frank Miller

Attendant

Period.

Rate.

§22
24
30
28
24

00
00
00
00
00

22
24
16
45
17

00
00
00
00
00

24
22
38
22
36

00
00
00
00
00

21
30
22
36
24

00
00
00
00
00

24
21
36
26
26

00
00
00
00
00

26
36
36
24
20

00
00
00
00
00

36
26
22
26
17

00
00
00
00
00

19
16
16
22
22

00
00
00
00
00

26
28
28
21
26

00
00
00
00
00

16
32
16
26
30

00
00
00
00
00

24
24
28
17
17

00
00
00
00
00

42
22
24
30
2S

00
00
00
00
00

24
30
10
24
22

00
00
00
00
00

Per month. Resident-

Per month. Resident.

Per month. Resident.

NORTHERN MICHIGAN ASYLUM.

57

OFFICERS AND EMPLOYEES.—Continued.
Service.

Name.

Period.

Rate.

$28
16
28
17
36

00
00
00
00
00

22
22
24
16
24

00
00
00
00
00

19
19
12
12
17

00
00
00
00
00

16
16
24
34
38

00
00
00
00
00

19
19
26
16
17

00
00
00
00
00

28
24
22
26
19

00
00
00
00
00

17
26
24
24
22

00
00
00
00
00

]6
17
16
24
17

00
00
00
00
00

22
30
36
30
30

00
00
00
00
00

George E. White

42
36
24
17
38

00
00
00
00
00

Percy Holliday
Elsie Middleton

24
22
22
16
42

00
00
00
00
00

Frank Pes'iik . .
T. A. Patrick .
-Tharles T. Magee
Hattie Parr
Harriet Philp . .

C. W. Spangler
Attendant
"Hattie Salefsky
F. G. Sutherland.

. . . .

Emma Sutherland

Attendant

F. R. Spealman
R. E. Snider
Tern VanWie
Floy Theobald
Ruth Troutwine

Attendant

Attendant

LessieE. Tisdale
Ervin Ullom

Attendant

Prank Tatro

Per month. Resident.

Per month. Resident.

Per month. Resident.

Per month. Resident.
Per month.

Resident.

Per month. Resident.

Per month. Resident.

•S

Lucy Wilford

.. .

John Weldien
Ella Willis
H. A. Walker

.

Hattie Walsh
'Thomas Whitfield...
William C. Walker..

B. P. Burns
Ernest F. Holcomb

Asst. telephone operator
General supervisor
Telephone operator
Chef
Baker

Frank Wilhelm,..

R.F.Herkner
M. B. Snow
George R.. Mathew . . . .

Assistant cook
Assistant cook
Assistant cook. . .

60 00
20 00
SO 00
70 00
50 00
15 00
15 00
40 00
40 00
30 00

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

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

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

Resident.
Resident.
Resident.
Resident.

STATE OF MICHIGAN.

58

OFFICERS AND EMPLOYEES.—Continued.
Service.

Name.

George Babcock

Assistant cook

Edwin O'Neil
Fred Cressy

Assistant baker

William A. Westen

Laundryman

Olive Nelson

Laundryman assistant

Maud Dalzell

Period.

Rate.

'

Per month.

Resident.

Per month.
Per month.

Resident.
Resident.

00
00
00
00
00

Per month.

Resident.

65
3G
19
16
20

00
00
00
00
00

Per mouth. Non-resident.Per month. Non-resident.

19
19
18
21
10

00
00
00
00
00

Per month. Non-resident-

16
12
14
12
21

00
00
00
00
00

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

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

833
22
25
22
24

00
00
00
00
00

22
22
22
22
18

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

Per month.
Per month.

Non-resident.
Non-resident.

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

Gertrude Ddl
Vina McTaggart

Laundryman assistant
Laundryman assistant

Emma Olds
Sadie Dockerty

Laundryman assistant

Lucy Haggard

Laundryman assistant

Louise Kent
Effie Morse . .

Laundryman assistant

14
18
18
18
35

00
00
00
00
00

Per month.
Per month.
Per mon-th.
Per month.
Per month.

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

Assistant herdsman

26
32
28
29
26

00
00
00
00
00

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

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

Fred Donner
Guy Gitchell
Edward Kilpatrick

-.

32 00
30 00
20 00
1 75
1 75
Sanford Scott
B. S. Savre
Allen Elliott
S.W.Elliott

T C- Bates
F. Nagel
Assistant engineer

Lynn Hewitt

Pioe fitter
Peter Skluzak
S H McMichael
B. Chervenka
Neil Livingston
J B King

Pipefitter
Painter
\

75
75
75
75
50

Per dav.
Per day.
Per day.
Per day.
Per day.

Non-resident. .
Non-resident..
Non-rcsidentNon-resident...
Non-resident-

1 50
1 50
1 65
1 75
1 75

Per day.
Pcr day.
Per day.
Per day.
Per day.

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

1
1
1
1
1

. . .

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

1 50
33 00
56 00
33 00
53 00

Per
Per
Per
Per
Per

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

45
33
2
2
35

00
00
00
25
00

Per
Per
Per
Per
Per

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

1
2
2
2
2

75
70
70
00
00

Per day.
Per day.
Per dav.
Per day.
Per dav.

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

NORTHERN MICHIGAN

ASYLUM.

OFFICERS AND EMPLOYEES.—Concluded.
Name.

A.H.Bennett,...
D.W.Kelley

Milton Walker

D. 8. Paden

.r

Service.

. . ..
. ...

Period.

Rate.

$2 00
2 00
2 25
3 60
45 00

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

29
29
29
29

Per month.
Per month*
Per month.
Per month.

00
00
00
00

35 00
29 00
2 25
31 00

Resident.
Resident.
Resident.
Resident.

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

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 Trus- Asylum
tees. (Section 8.) The counties comprising the district of the lstrictsNorthern Michigan Asylum are:
Alpena
Antrim
Arenac
Alcona
Benzie
Charlevoix
Clare
Crawford
Cheboygan
Emmet
Gladwin
Grand Traverse
Gratiot
Isabella
,
losco
Ionia
Kalkaska
Lake

Leelanau
Manistee
Mason
Mecosta
Midland
Missaukee
Montcalm
Montmorency
Muskegon
Newaygo
Oceana
Ogemaw
Osceola
Otsego
Oscoda
Presque Isle
Roscommon
Wexf ord

Provision is made by Section 7 for the transfer of patients J£f(f4e1frict'to
from one asylum to another when conditions make such transfer another,
desirable.
A patient is not to be committed to an asylum of a district Insamf4°db(0
other than that of which he is a resident, unless the court ad-asylum of their
judicates that there is no room in the latter, and that there is dlstnct:in the former. (Section 8.)
Patients are divided into three classes: Public patients, classes of
private patients, and voluntary patients. (Section 13.)

64
Vatientsry

APPENDIX.

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 an
vate patients. or(jer f rom a probate court declaring the patient insane and
stating the method of support,—whether public or private.
Order void
Such an order is void unless patient is sent to the asylum within
after thirty thirty dayg after jt jg issue(i. (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
Advance
furnished the patient is regarded as a public charge. There ispayment.
ajgQ re q U j rec j an aclvance 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 puborders.
jjc and pr}vat,e patients on temporary orders wherever conditions demand immediate attention.
Transfer from
Section 21 provides for the transfer of a patient from private
public? t0
expense to public expense where conditions warrant such a
change.
Non-resident.
Section 30 provides for the temporary reception and care of
insane who are not residents of this State.
Provisional
Section 32 provides for the return to the asylum without a
readmissloTof new order of patients who have been discharged on trial, where
patients.
the duration of the temporary absence does not exceed six
months.
insane women The attention of county officers is particularly called to the
r3edebyCfeniaie provisions of Section 40 regarding the state of bodily cleanliness
attendant.
an j ^he clothing of patients brought to the asylum, and more
particularly to that clause of the section providing for- a female
attendant for insane women.
Removal of
In conveying a patient to the asylum do not deceive him.
Eome?tsfr " a 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 much prostrated or laboring under severe bodily illness,
and care should be taken that the excitement attending acute mental
disease be not mistaken for physical strength.

NORTHERN MICHIGAN ASYLUM.

05

As friends of patients are often in doubt as to what articles clothing,
of clothing it is necessary to provide, the following suggestions
are made:
Male patients require 3 new shirts, 1 new and substantial
coat and vest, 2 pairs 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 should1 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 arc left
in their possession the asylum cannot be responsible for their safe
keeping.
All letters concerning patients, from individuals having the Correspondright to make inquiry, will be answered at once; and friends ence'
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 instance pat"'""
furnish these friends with a letter of introduction, authorizing
the interview.
Application for admission should be made before the patient Application
is brought to the asylum. A blank will be furnished the friends o°Vati™nts°n
which provides for a complete history of the patient's trouble.
All correspondence in reference to patients should be addressed
to-Dr. James D. Munson, Northern Michigan Asylum, Traverse
City.

INDEX

INDEX.

Page.
Addition to library
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
Cement walks
Civil conditions. Table
Clinical groups. Table
Classification. Table
Correspondence
Cost of maintenance
Clothing
Chapel services
Deaths, causes, etc
Duration of disease. Table
Estimates of special appropriations
Electric wiring
Exciting causes. Table
Farm and garden products
Farm and garden....'
Fire protection
Form of disease. Table
Flag staff
Garbage burner
Greenhouse
Government of the asylum
Heredity. Table
Improvements
Increase of patients
Inventory, summary of
Land, purchase of
Movement of population. Table
Morgue
Miscellaneous appropriations
,

'

14
26
17-25
54
52
8-10
64
64
32
44
52
11
44
43
37
65
6
C5
54
33
43
47
12
45
29-30-31
15
13
37
14
14
13
63
39
8
7
31
14
32
13
14

70

INDEX.

Musical instruments
Nativity of patients. Table
Names of officers and employes, etc
Needs of the asylum
New boiler
Officers
".
Occupations. Table
Pavillion
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 buildings, porches and reservoir
Receipts and disbursements
Residence of patients. Table
Renovating halls
Repairs to steam heating, etc
Recapitulation
Special appropriations
Storage room
Support of patients by counties
Telephone
Tuberculosis
Ventilation .

:

Page.
14
42
55
11
13
3-16
40
14
•5
17
32
20
25
52
64
12
16
46
"•
12
13
14
8-9-10
11
6
12
39
14