1877.

VICTORIA.

REPORT

or THB

INSPECTOR OF LUNATIC ASYLUMS

ON

TH]~ FOR THE INSANE

FOR THE YEAR ENDED 31;';r DECEMBER

18·76.

PJ{ES~~NTED TO BOTH HOUSES OF PARLIAMENT BY HIS EXCELLENCY'S COMMAND

l'UIlSUANT TO ACT 01" PARLIAMEN'r No. 309, SEC. 56.

11)1 ;a ut60tit)1 : JOHN FERRES, GOVERNlIIENT PRINTER, . No.1,. . !.

Al'PROXThfATE COST OF REPoRT. ,£ S'. d. Preparation-Not given; 'l'rilltlng (800 copies) 2815 0

i.'# • DEPARTMENT OF HOSPITALS FOR T.RE INSANE,

Melbourne, 10th May 1877.

SIR,

-In accordance with the provisions of -the 56th section of the

Lunacy Statute, No. 309, I do myself ~he honor to transmit to you the accompanying Report on the state and condition _of the Lunatic

Asylums, Lic~nsed Houses, and Lunacy 'Vards in .the Colony of for the year ended the 31st De~ember 1876. - \

I have the honor to be, Sir,

Y~ur most obedient servant,

E. PALEY,

Inspecto~ of Lunatic Asylums. The Honorable the Chief Secretary.

A2 o R E' P 0 R To

THE total number of 'registered lun~tic patients in the colony of Victoria on the 31st December I 876 was 2,635, an increase of 78 upon that on the 31st December 18 75. ' The increase of the past year is smaller than that of the two preceding years, the number added to the registers in both 1874 and 1875 having been 99. This may be regarded as a satisfactory result, especially when the increased population of the colony is taken into account. , The following return shows the manner in which the 2,635 patients registered at the close of 1876 were distributed :-

-- Males. Female •• Total. . In the Yarra Bend Lunatic,Asylum ...... 475 284 759 Kew ,~ ...... 490 403 893 " Ararat " ...... 21 3 15 1 364 " Beechworth ;," " ...... 28 0 " 4 19 , .474 Out on' probation from Yarra Bend" ... .~ ...... 8 15 23 Kew ...... '" ... 41 46 87 ,." ," " Ararat ...... Z " ...... 7 9 Beechworth ...... ~ ... 4 4 " ~ " £:,-:-~ " " _ • -., Total number of registered .lunatics in public asylums ... 1,5 I 3 1,,100 . 2,613 In the Cremorne Licensed House' ...... " .. . 9 10 .19 In Lunacy, Ward, Castlemaine ...... 2 ... Z Sandhurst ... ~. t ...... I ... I " " Geelong ...... " " . Total number of registered lunatics in t~e colony ... 1,5 Z 5 1,1 ro z,635 '" . The tabulated statistics relating to public lunatic asylums and lunacy wards in hospitals are here given in the same form and order as in previous years. Detailed tables of lunacy wards and the licensed house at Cremorne will be found in the Appendix. . TABLE I.-Showing the Admissions, Re-admissions, Discharges, and Deaths during'the Year r876 in Public Lunatic Asylums.

Males. Females. Total.

In the asylums on r st J annary 1876 .,...... 1,487 1,05 0 Z,537

Males. Females, Total.

6 Admitted {For the first time ...... 331 225 55 ... Re-admitted ..• ...... 19 12 31 Transferred during the year ...... 76 68 IH Retaken ...... ,10 3 I3

Total admitted ...... 436 308 744 Total under care during the year ...... 1,9z3 1,358 3,z81

Males. i Females. Total. Discharged, removed, &c. :- -- Recovered '" '" ...... -;661~ z8r Improved ...... 17 20 37 Not improved ...... Z I 3 Transferred ...... 76 68 IH Escaped .. ' ...... 14- 4- 18 Died ...... 13 0 48 178 . Died while on leave ' ...... ::: ,I S 2 7

Total discharged, died, &c., during the year ...... 410 z5 8 668

Remaining in the asylums on the 31st Dece~ber 1876} (inclusive·,of absent on trial, males and females) 1,5 13 r,loo Z,61 3 Average numbers resident during the year ...... ~4631 1,006 z,471 \ - ' 6

TABLE II.-~Showing the Admission~, Discharges, and Dea~hs, with the Mean Annual Mortality, ILnd Proportion of Recoveries, &c., per Cent. on the Admissions, for the Years 1868 to 1876, in Public Lnnatic Asylums.

1 Discbru:ged. ,: ,'Remninirig on F':.' Axeraf;o ' .. Percentage of I Percentage of ,I Call .. l.lecovered and I Ileaths on the Admitted. ' Died. tbe 31st Decemberi ~umtlers : l{clieved Average N,nmbers ,'- in each Year. ltesident. ltoeovered. /Relieved, Troll,jerred. on Admissions. Re~ldent. Year, I , . ! " 00 ,,; I,,; ., ! w ! '" - ] '. • 'i1 I ..; I1i ~ 00 ~ '~ ...: ~ " -2 '~; g" oj ," I ~ " s " " !l 8 ~' m3 Ol - S " 0 :a 'j 1 ~ ~ ~ ~ " '" 0 ~I!I ;-. g ; 'Ii< E-< :<1 'E-< I , ~, R ~ ~ ~, Ii " .." '" ...0 "< ~~ ~ " t'~~I~ ---_._-~ ~ ~ " ~, ----, "-- --, " ------I8683131945071IOI 6816919 2Ii40 157 171 328 78 20 98 920 636 1556 8681 57 2 ;1441 33'33 45'87 41 '22 8'98 3'49 6'80 1869'310225535,1211042.251217:29 21 15 36 94 34 128 999 7061705 956' 669,1626 42'90 53'77' 47'47 9'83 5'08 7' 87 1870'347219 566'1I9 1092282622'48 55' 41 90 96 39' 135 1094' 755 1849 1025' 7zoi 1745 4 1'78 59'81 4-8"76 9'36 HI 7'73 I87113332I3546/II5 761911617133 33 1 34 101 31 qz II 92 845120371124 77:8,'902 39'33 43'66 41"02 8'98 3'98 6'94 1872 H7 214 571iII6 67183 91120 '32 70 202 108 33 141 1314 949 2263 1260 345, 2I07 :iF,1 36'44 35'55 8·S7.3'90 6'69 1873'36022558511491352841822140175 205 380 liS 40 1681'370 976'23461339' 91612255 4 6'38 69'77 55'37 9'554'36 '7'45 187432.6226552,125 I0022526371()3 7 8 15 114 54 168 14Z7!101l[2438 1339 92812270 46'31 60'62 52'17 8'50 5'8"~ 7'40 18753'49228 577ii52 13 1 28 3 10,515 63 ' 8 71 IZI 51 1721487 1050 z537 1399 976z377 46'42 59'65 51'6+: 8'0,6 5'z:t ;:23 ~8761350 237 58y66!II5 281 '72037 '76 68 144 135 50 185'11513 Iloolz613 1463 10061Z471 52'28 56'961 54'171 9'z:t ,4'97 7'48 .... ,I , , ' .. _.- ,-~,- TABLE ,llr.-Showing ,the' Causes of Death in the P~bIic Lunatie Asylums during tlie Year '1876.

Cause of Death. Males. Females. Total.

Cerebral or spinal diseases:- I , Apoplexy and paralysis, .,. .... '/ '~.. .•• ... 9 1 10 and convulsions •.. ... •.• ... • .. I 5 3 8 General paresis ...... 0 : 5 , ' 5 Maniacal, and melancholic exhaustion or decay • ...... ~ I 3 Inflammation and other diseases of t,he brain, softening, tumors~ &c .... 65 16 81 Thoracic diseases ;- Infla;mmation of the lungs, pleurre, and bronclii I.I 6 17 Pulmonary consumption, ...... 8 10 18 Disease of the heart '" ...... 9 z II . Inflammation of the throat and larynx ...... f ••• I 0 1 ,Abdominal diseases:- , .. Inflammation and ulceration of the stomach, intestines, or peritoneum ... ~ 2 3 Dysentery and diarrhrea ...... 7 , 1 8 Bright's disease...... '...... 2 Z .Liver disease ...... , ...... 2 2 Disease of the uterus and exhaustion from hemorrhaO"e ...... I '~ . I ' , 0 E rySlpe as ...... •.. 1 ... I Cancer ; ',...!... .:., ... Z ... Z Generl1l.debility and oid age .. , ... . •• I 1 Z Accidents ' .. ; ...... '" ••• ,I ... 1 Suicide ...... • .. Z ... , z Died while on 'leave ... •.. ' ... ' ... 5 2 .., Total 135 50 J85

TABLE IV.-Showiug the Length of Residence of those Discharged Rer:overed, and of those who have, Di!'d in the Pnblic Lunatic Asylums during ,the Year 1876; " .. " Recovered. Died. Length of, Residence. , l\!alcs. Females. Total. Males. Fe)llales. Total.

,: ,i Cnder I month ...... , 10 5 15 13 10 23, From { to 3 'months ... 58 32 90 16 6 22 ., .. ,24- 68 16 21 3 6; " ...... H 5 : 6 " 9 ...... 23 23 4-6 13 4 17 " " I2 " ... 12 Z " , II " Y " " '" 7 5 9 I 2.years ... ,1 ... II 13 . 24- I9 2 21 " 2. " 3' ...... '6 ' 7 16 5 21 , " " 13 " 3 5: ...... 6 13 12 8 20 " " " 7 , ,. 5 7 ...... 5 I 6 " " JO! " ...... " 7 ". . " .. 9 4 13 ,. 10 ,. 12 ...... 2 .. . , 2 ( 2. " ~, , .. , 15 ...... , ...... " ... .. '" .. ... 0"61' 15 years ...... 1 I 'Died while OB ,leaye ...... 5 z 7 ------, -- . Total ..-. .'.M. .' ... '166· I 15 281 135 50 IS:;

- .. -- 7

TABL~ V.-Sho\~illK the Ages of Admis~ionB, Dischal:ges, and Deaths during the -rear 1876 in Public , . Lunatic Asylums.., I " \ \ Discha.rges.

Adllli5~ions. Deaths. Removed, Relieved or Ages. . Recovered. otherwise.

..---~ ~-~~ .. ~-... ~.- , i . i.M~les. Fe'!'.. l ... : Tot.l. i Males. Females. 1'otal. Males. Females, Total. Males. JFemales. Total, .'.' - I i~~-~- ,,, Under 5 years ... .., ... I-,.. .. ' ... I ... I From 5 to 10 ... 2 3 5 . .... , ...... I I I ... I " I I ... 1 1 2 . J! 10 IS 5 ... 5 ...... " 6 10 15 " 20 ',. ... 18 19 37, 5 3 8 I 2 3 4 " 20 " 0 ... 62 12 25 25 50 16 23 39 13 8 21 " 3 " 65 7 ."" 30 40 ... II9 88 207 52 30 82 28 24 52 24 9 33 " " 'u 8 40 50 '" 107 70 177 41 35 76 33 23 56 37 4S " " 60 " 21 26 10 19 1 . 5 6 50 " ,. ... 50 23 73 9 3 3 " 60 0 . 10 6 .~ 12 2 7 16 " 7 ... 17 27 3 5 9 " " ,,1,0 I - 1 I ',2 6 .70 ,; 80 '" 11', .6 4 I 2 ..... 4 " 80 0 " ...... I I I ...... 2 2 " 9 'L ... 90 and upw~rds" ~ .. .. , .. . ,., ...... '" ...... Unknown ...... 47 "28 75 ts 9 24 17 9 26 10 2 12 . ------281 1-109 202 18 Total ...... 436 308 744 166 I 15 93 -~I---;- 5

TABLE VI.-Show,ing the Adlllis.sio)1s, Rc-admis'sions, Discharges, and Deaths during the Year 1876 in the Lunacy Wards. Males. I Females. Total.

I I In t.he wards on 1St J nnuary 1876 ...... '" ......

-, Males. Females. Total. . {For the first time , .. ; .. 68 28 . 96 Admitted " .. . ,. ", .... . ' Re-admitted , .. '" 2 ... 2 Transferred during the year ...\ ...... , .. Retaken ... ,., . ,';, .. - ...... " Total admitted ...... 0 28 8 ,-- . 7 9 Total under care during the year .. , ... ' ... 71 28 99 ; "

lIfnles. Fem~leg. Total. Discharged, removed,"&c::- 1- RecQvered ...... 24- 12 3,6 Improved ...... , .. '2 2 Transferred ...... 43 13 56 , , Escaped ...... ' n • .., . ... Died ...... I . I 2 ! .. . , Total discharged, died, &c., during the year' .... , .. 68 28 96 I ...... i . , Remaining in the wards on the 31st December 1876} , ... (inclusive of ubsent on'trial, males and females) 3 ... 3 , , , ~--. -

ADMISSIONS. . I , An examination of Table I. shows the fact that 436 males and 308 females were admItted to· the public asylums. Of these, 33I males and 225 females were receiv:ed f~n' the first time; 19 males and 12 females were· re-admitted; 76 males and 68 females were transferred from one asvlum to anoth'er; and 10 males and 3 females who had ~scaped were retaken. ." - . .' ...... The admiss~ons and re-admission~ b~ing 587, and the ~~tiI?ated population, on the 31St December I 876, 840;341, a ratio IS shown of 1 admISSIOn to 1,431 of the p6pulation -:..a result which varies' hqt little from that of the two preceding years, whep-the proportion was. I in 1,463 ana· 1 in 1,427.

I .; ...... DISCHARGES. Recovered,-The total nurhber discharged recovered fr~m the public asylums :w~s 28'r; viz., 166 males and II 5 females, or a proportion of 47'87 in every roo 'of the admissions. In the Report of the Lunacy 'Commissioners for I 875, the percentage of :ecoveries- on adI?issi~ns is st:ited to he 34':28, a result of J 3' 59 per cent, of reco'Veries w.fa~~~.oL~~.e VICtormn~asylums:...... 8

CAUSES OF INSANITY.

RETURN shQwing the assigned Causes of Insanity .of Patients admitted during the Year 1876. I Cauaes lIllSigned. Yarra Booch- Causes n.saigned. Ararat Beech- Bend. Kew. IAraratl worth. I~:~ KG!". worth. ------Absence .of husband ...... I ...... Melancholy ...... 2 ...... Accident '" ... I 6 ...... Medicine ...... 1 ... '" Anxiety ...... 6 .. . , Mental distress ......

This return is introduced for the purpose of showing the causes of insanity in the 556 patients admitt~d for the first time during. the year, as assigned by those on whom devolves the duty of filling up the statement-sheet required by the Lunacy Statute to be forwarded with every' patient who is sent to an asylum. Glancing over the return, it is seen that the cause is unknown in no fewer than 336 out of 556 admissions; 'intemperance is ,the assigneq cause in 7 I cases; hereditar.,y tendency in only 4; stin-stroke in 13 ; disease of the brain in 2 ; and the causation of the remaining instances may be set down as generally unworthy of acceptance, especially in regard to numeri~al exaCtness. ,NoV\' inasmuch as the proper treatment of nearly every case of recent insanity is determined by an accurate knowledge of the causes to which its origin is due, it is much to be desired, in the interests of the patients themselves, that exact information of the kind required by the Statute should be furnished with every one who is sent to an asylum. CRIMINAL LUNATICS.

In my Report for the year 1870, page I7; again in that for 1872, page II ; subsequently in the Report of Dr. Robertson, the Acting Inspector of Asylums, for 1873"page 2'1 ; and lastly, in my Report for 1875, attention was drawn to the want of i)l'oper arrangements for keeping non-criminal patients separate from those of the convict class. The injustice of (fompelling un offending persons afflicted with insanity, but guilty of no offence against the laws, to associate with those who had lost their reason whilst undergoing sentence for crimes of greater or less gravity, was pointed out and suggestions were made for the construction of new buildings which would afford a remedy for the eviL But hitherto nothing has been done. The subject is therefore again brought prominently under notice, 'with a strong recommendation that a matter of su~h moment should have the earliest possible consideration.

PATIENTS ON PROBATION. At the beginning of 1876 there were 51 males' and 61 females on probation from the various asylums; in the course of the year II I males and 123 females were allowed to be absent for periods varying from a week to six months ; and I I I males and 112 females were returned to the asylum by their friends. At the end of the year 51 males and 72 females were still at liberty under the provisions of section 60 of the Lunacy Statute. The effect of change and home association upon patients approaching convalescence is nearly always highly beneficial and oftentimes curative in a marked degree. The benefits of the last-mentioned clause of the Statute might be considerably extended if the law were so amended as to permit a small money 'allowance to the friends of patients who would be willing to receive and take care of them, but are too poor to bear the whole burden of their support. It is believed that many patients might be permanently removed from the asylums under such conditions with material benefit and comfort to themselves and some saving to the Government.

LUNACY WARDS ATTACHED TO HOSPITALS.

At the commencement of the year there was I patient in the ward .connected with the Sandhurst , and hetween the 1st January and the 31st December the aggregate admissions to all the wards were 98. Of these, 36 were discharged cured, 2 improved, 56 were transferred to public asylums, and 2 died, leaving 3 under treatment at the end of the year. It is satisfactory to note that by the existence of these w::trds 36 persons were enabled to reach recovery who would otherwise have been unavoidably subjected to the annoyance of being sent to an asylum for treatment; and moreover (though' this must be regarded as a minor consideration), that the shires or boroughs in which they were found lunatic were spared a very considera1)le expense by saving of transit-money for patientS, escorting constables, and nurs~s. The asylum space was like\vise relieved to the extent of the accommodation which . would have been needed for these 36 patients, and. this in the pressure of numbers is no small advantage. So that on' the' whole these wards may be regarded as beneficial in their operations, 'and it is hoped that it way be foq.nd practic~bl~ to ~J{tend their usefulness in the fut~~., , ,

o 10

PRESENT ACCOMMODATION' AND PROVISIC)N FOR THE FUTURE.' At present the Yarra Beild Asylum contains accommodation for ·about 721 patients i Kew, for. 900 ;. Ararat, fo1" 304 ; Beechworth, for 484 ; and the establish~ ment ab9ut ~o ~e. op!'lned at Ballarat foi· idiots and imbeciles will cont:'tin 200~making the total accOimnodation for 2,609 patients. At Kew the accommodation has .been . estimated for a higher nUJ?1ber than is now given, 1!ut after some experience of management 'with a number slightly in. excess of 9oo,.I am satisfied that it is. not advisable to treat any greater number ,th81;e. The total number of patients in all asylums at the end of the year was 2,490. The ave~;age, increase for the pa~t four years is 8 patients per month, and estim~ting at this r,ate ~fincre~se for ~he, futnre, the ,present ayailable space will be ft,lllyoccupied by the. end oLMarch 1878. , ,".'" ,,' Hence, it is evident that after that. date increased accommodation n'mst be provided, and after careful consideration I am led to suggest that the building of cottages and cottage~hospitals' in connection with the asylums at Kew, Ararat, and BeechwOl~th; ,~~th an extension of the system oLcottages at Yarra Bend, will be the Jllost advisable method of supplying the want. ' , ' J would propose that several buildings, each capable of receiving 20 patients, should be' cOlllmen~ed, without any delay -one being placed on each

COST OF MAINTENANCE. TABLE VII.-Showing the Total Receipts and Expenditure of the Department of Hospitals for the ." 'Insane during the Year 1876. ,Receipts. CollectiOn!! made' by' the Master-in~Lu'naey for maintenance of patients :£ 8. d. at'Yal'ra'Bend Lunatic Asylum 1,5 2 3 13 2 Ditto ,,'!Cew .' . " 2,176 10 6 " "Ar~rat 31 3 14 6 " 18 18 " "Beechwol'th " 4 9 Amount of :fines· ... '.!:' , , ...... 46 2 1 s~}es of Government property 6 8 " -----7 ~9 . , .. j 4,321 18 8 ' " 1. (', ~ , , .. ..;, . Expenditure.! " '¥ainte~a~ce,'ya~;'a Be~~ L~~atic Asyl~m, ~. ' . 2,9,940 , 6. 2 II 2,8J,27 I 2.• i '. ','. .,'" '. ,:. ICy'; c .; , " ,~ ". . .. " , " Ararat, J> ", ,I 5,?~ 5, ~7 1 " . B'eech worth' " . 14,7~4 18 4 General expenses , ... , ' .•. .1,6,25 ) I :e,faintenance' of patie~ts. in LUn'a~y' Wards at Castiemaine 'District .. . Hospital... '" .:. .:. .~. '..... 90 3 0 Ditto at Sandhurst District Hospitaf'(fol: six rrtonths')' 4) II. 0 " .n Geelong InfiqIlary,and Benevolent Asylum 29 14 0 ., ' , 't,. , l' " .".: ---.. .' .' ,TotM' ... 89,780 17""7 t •••

, " 11

TABLE Vrn.-Showing the Total Cost of Maintenanc,e agninst each Asylum, the Sums Expended against each Votc, and the Amount of General Expenses for the Year 18 76.

Dally Allowance to Allowance to Provisions and Ayerage 'fotal Cost of Salaries. l!""ecs to Lunatic Asylum. Numbers Maintenance. Official Visitors. Stewards. Chaplain •• Extra Articles. [(csident. ------£ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. Yarra Bend ... 765 29.940- 6 2 II,4861 9 1 ... 65 0 0 65 0 0 8,694 14 4 Kew ...... 901 28,27 1 2I1 91473 2 II ... 35 0 0 65 0 0 9,197 5 3 Ararat ... 366 15,01 5 17 I 5,053 4 6 ...... • 90 0 0 5,I1 1. 2 4 0 0 0 0 0 2 16 8 Beechworth '" 439 14,764 18 '4 5,379 14 0 ... 35 4 5,3 3 General expenses ... 1,62 5 5 I 491 0 0 899 19 10 ...... '-,------Total ... 2,47 1 89,61 7 9 7 31,884 0 6 899 19 10 135 0 0 260 0 0 28,3 26 18 7

Clothing, Bedding, :r:"'uel, J...ight, and Medicines and Lunatic Asylum. Fornge. Incident.1s. and Materials Stares &0. 'Yater. Medicnl Comforts, for Manufacture. ------£, ·S. d. £ s. d. £ s. d. £ 8. d. £ 8. d. £ s. d. Yarra Bend ... 4,695 6 4 87 8 15 ,6 2,954- 19 4 82 7 '5 6 55 14 10. 216 I I 3 Kew.:. ... 5,405 3 0 934 I 0 ,2,02 5 12 0 547 3 II 99 0 0 489 14 10 Ararat . ... 2,28 3 II 10 577 6 9 1,242 9 0 366 16 I I 50 4 6 241 I 3 Beechworth ... 2,II5 12 3 511 16 9 845 3 I 339 0 7 73 16 7 IOC' 18 5 General expenses ... IIO 13 ...... 123 II 6 9 - . Total '" 14,499 13 5 3,012 13 9 7,068 3 5 2,080 6 I I 27 8 IS II I, I 7 I 17 3 ',. ,

TABLE IX.-Showing the Average Weekly Cost of Patients for the Year 1876.

Dally Clothing. Lunatic Asylum. Average Total Cost of Salari... Allowance to AlIowaDce to Provisions fiDd Iled.ling, llnd Numbers lIfuinten.nce, Stewards. ChapllllllS, F.i

Fuel, Light, and Medicines and Lnnatic Asyl~m. Stares. Water. Medical Comforts. Forage. Wec~ly Cost.

±: S; d. £ s. d. '£ s. d, £ s. d. £ s. d. 01. Yarra Bend 0 0 5~ 0 I 0 0 5 0 0 4 o 15 . O~ Kew ... 0 0 4~ 0 0 I 0 0 21 0 0 ok 0 12 O~ Ararat 0 0 7t 0 I 0 0, 42 0 0 o~ 0 15 9j Beechworth 0 0 . 5i 0 0 9 0 0 3! 0 0 of 012 I Total ...... 0 13 8k G.eneral expenses ...... 0 0 3 , Total amount collected by the Master-in-Lunacy for maintenance :- ...... '" £1,523 13 2 Kew Asylum...... 2,176 10 6 , Arar3,t Asylum •.• ...... , 313 14 6 Beechwol,th Asylum .,...... 184 18 9

Total \ ... o 0 7t Average weekly cost of patients in public asvlums, less amounts of maintenance collections and general 'expenses .. ,...... 0 13

From the, foregoing tables it will be seen that £4,321 18s. 8d. has been received .and paid into the general revenue, showing an increase on the receipts of the prevIOUS y~ar to the extent of £884 138. 4d. The total expenditm'e of the asylums and lunacy wards was £89,780 17s. 7d., also ,an increase of £2,145 19s. lOd . .w.l!e~coll!pare~ withJhe year 1875. 12 , .The daily average number of patients who were resident ill the asylums during. the year 1875 was 2,377, and. the numhel; for 1876 was 2,471, showing 94 additional patients for last year.. The to~l cost of maintenance of the 2,471 patients has been £87,992 4s. 6d., which is equal to an average. weekly charge of 13S. 8id. for each patient, 'and after deducting 7{d. on account of the maintenance collection made by the .Master-In-Lunacy, the average weekly cost of each patient is shown as 13S. oid., .the general expenses of Inspector's office, official visitors, and stores being £1,625 5s. Id., or a c!large of 3d. per week for each patient. ' In submitting my Beport for the year 1875, I brought under notice the reduction of expense which could be made by bre\ving beer on the premises, but I was not at that time-in possession of suffici(!nt information to show the exact amount of saving which had been effected. . During the year 1874 medicines and medical comforts cost, £3,205 17s. lId.; ill 1875, £2,815 ISS. 6d.;· and for the year I~76, £2,080 6s. lId. In 1875 only a­ portion of the beer consumed at Yarra Bend could be manuf~ctlU'ed, but in 1876 the entire, qu.antity used at Yarra Bend and 'a portion of the Kew consumption was made. During the year, 2,957 dozen bottles have been made and issued :Z,4II dozen to Yarra Bend and 546 dozen to Kew. The' cost of manufaCturing this quantity has been-for purchase of 676

LUNATIC ASYLUM, YARRA BEND.

TABLE X.-Showing the Admissions, Re-admissions, Discharges, and 1)eaths during the Year 1876.

Males. Females. ToW. '-- In the nsylum on 1st January 1876' ...... 510 '3 02 812 Males. }I'emnles. Tot:>l.

Admittcdfor the first time ...... , ...... 4 4 8 Re·admitted '" ...... 3 4 7 , Transferred during tho year ...... 10 1. 12 Retaken ...... , ...... ,-. 2 ... 2 Total admitted •...... 19 10 J 29 Total undor care during the year ...... 529 312 841 i ]\fales. "Females. 'fotal, Discharged, removed, &c,:- Recovered ...... 9 3 12 Improved ...... , ... 10 5 IS Transferred ...... Escliped ...... 2 ... 2 ...... ~ Died ... , ...... ' .. ... 25 5 30 Total discharged, died, &c" during the year ... 46 13 59 Remaining in the asylum .on the 31St December 1876 (inclusive of ab,sent on trial, males u,ud females) ...... " 483 299 782 . Average numbers resident during the year ...... 4,81 ~84 765 13

TABLE XI.-Sh~wing the Admissions, Discharges, Imd Deatlis, with the Mean Annual Mortality and Proportion , of Recoveries, &c., perCent. on the Admissions, for the Years 1848 to 1876.

1 Discharged. Itemuinlng I Average I Percentage of Percentage of Admitted. I ' Died. on the Numbers Cases Recovered and Deaths on the Average 31st December . Itesident. • Relieved Numbers Resident. ; I Recovered. Itolleved, ! Transferred. In each Year, : on Allmissions. Year, I II I .. gj w m I:£ . I I 11 'ill,;! " ei ~ ~1jJ~ ~ ~ ~ '2 d ~ oj .sl j .. 'il I 1\3 - S 8 !l S :s '" s 3 ~ 1$ "~ c; :;; ~,~ :;; F< i;., j ::;;" Ei< );I" I'< " r.-'" ~ ~ " '" ~ ~ ! ~ ~ );I \ ~ ~ ~ ~ i ~ r.------1------I ------'" -- 1848 IZ 13 25 I I 2 I I 2 .. , ,.' ... I ... 1 91 II 20 7 17 116'66 15'38 16'00 14'28 ... 5'88 1849 22 I2 34 I 2 3 1 3 4 .. , ...... 3 I 4 :16' 17 43 13 Ii 25 9'09 4 1'66 20'58 23'07 S'33 16'00 1 1850 10 5 IS 7 I 8 I ... I ... .. ' ... I I 2 27 20 47 25 18 44 80'00 20'00 60'00 4'00 5'55 4'54 18 51 22 19 41 9 .II 20 .. , I I .. , ... .. ' 4 3 7 35 24 59 33 26 59 40'9° 63'1 5 15 1'21 12'12 11'53 II'86 8 ' I 1 1852 9 26 35 2 10 4 2 6 .,. ' .. .., 2 3 36 38 74 36 29 66 66'66 38'46 45'7 277 6'89 4'54 18 53 109 35 144 29 15 44 I 2 3 .. , ... , .. 15 4 19 97 52 149 69 43 113 27'52 48'57 ~J2'63 21'73 9'30 16'81 1854 79 41 120 33 17 5° 3 3 6 .. , .. , ' .. 16 4 20 122 68 190 103 56 160 45'56 48'78 46'66 15'53 7'14 12:5° 18 55 III 48 159 39 20 59 4 2 6 ...... ,,, 23 5 28 162 89 25 1 13 2 74 206 38'73 45'83 40'88 17'41 6'75 13'59 18 56 100 49 149 43 19 62 I 5 6 ,.' .. ' , .. 27 6 33 190 108 298 167 97' 264 44'00 48'9745'63 16'16 6'18, }2'5° 1857 74 65 139 22 27 49 6 I 7 , ...... 25 4 29 208 141 349 194 121 316 37'83 43'°7 40'28 1:\'88 3'30 9'17 1858 160 99 259 44- 33 77 5 7 12 , ...... 48 16 64 267 184 45 1 .. ' ... 412 30'62 40 '40 34'36 ...... 15'53 18 59 167 89 256 34 29 63 61 6 12 ." .. ' ... 55 12 67 337 012 7 564 ... .. , 490 23'95 39'32 29'29 .. , ... 13'67 1860 104 81 185 34 38 72 II 9 20 , .. .. , ... 42 16 58 35 1 245 596 347 244 592 43'26 58'02 49'72 12'10 6'55 9'79 1861 178 , 96274 49 31 80 9 IS 24 ... .. , ... 46 13 59 4 20 282 702 400 266 667 32'58 47'91 37'95 11'50 4'88 8'84 1862 137 76213 25 43 68 16 15 ]1 .~. , ... , .. 49 14 63 464 286 75° 436 285 722 29'92 76'3 1 46'47 11"23 4'91 8'72 1863 158 122 280 51 26 7711 14 25 ... .. ' ... 52 I2 64 501 355 856 493 326 825 39'24 32 '78 36'42 10'44- 3'68 7'75 1864 208 142 350 37 48 85 19 24 43 ...... 88 26 114 562 398 960 539 374 913 26'92 ' 507 0 36'57 16'32 6'95 U'48 1865" 178 13:\ 310 37 42 79 7 13 20 ' .. 59 59 79 23 102 610 393 1,003 587 397 984 24'71 4 1'66 31'93 13'44 5'79 10'36 ,., 1866 80 76 156 26 38 64 IS 13 28 .. ' .. , 5°, 19 69 596 399 995 604 396 I,OOI 51'2 5 67'10 58'97 8'27 4'79 6'89 1867 95 69 164 18 23 41 II 19 30 50 15 65 29 20 49 583 39° 973 599 401 1,001 3°'52 60"86 43'29 4"84 4'98 4'89 1868 142 88230 36 27 63 7 9 16 130 155 28 5 45 12 57 5'2 35° 862 539 347 886 30'28 40'9° 34'34 8'34 3'45 643 1869 193 138 33 52 61 II] 8 8 16 16 6 22 48 23 71 587 399 986 55° 369 920 31'08 50'00 38'97 8'72 6"23 7'71 ' 1870 :142 164 406 82 62144 IS II 26 55 39 94 55 25 80 615 428 1,043 59° 412 1,002 40'08 44'51 41'87 9'32 6'06 7'98 18 71 1.33 16 3 396 66 58 124 13 10 23 73 41 114 56 25 81 641 458 1,099 624 440 1,065 33'90 41'7 1 37'12 8'97 5'68 7'60 1872 281 186 467 81 57 138 5 5 10 121 69 190 67 20 87 662 495 1,157 598 415 1,01 3 30'60 33'33 31'69.1 1'20 4'81 g'58 18 73 245 206 I:t. 14 26 69 147 216 85 ZI 106 634 368 1,002 607473 981 47'34 73"46 57'56 ·14"00 5'63 10'80 18 74 I I 3 I 15 46 zo 29 49 .. , 5 5 32 12 44 55 8 311 869 547 301 849 ...... , ... 5'85 3'98 5'18 18 75 2 5 7 14 8 2:2 5 I 6 23 ,., :23 33 13 '46 510 302 812. 508 286 795 , ...... 6"49 4'54- 5'78 1876 !sr' Il 10 , Z5 82 81 284 6 .., 6 7 8 IS .or'9 3 5 IS ...... 5 30 483 299 7 4 7 5 ...... 5"19 1'7 3'91.

Sta"tistics.-The cases admitted to this asylum since the end of 1873 having been few in number, I have omitted from Table XI. the calculations of recoveries per cent. on the admissions given in previous years, because the conclusions which would be shown could nO,t be brought into comparison with general percentages, and would be fallacious rather than of practical use.' ,The death rate-3'92 per cent, on the average number resident-is very low, by reason of the small number of new patients brought under treatment for the first time, as it is, amongst this class tha.t the largest mortality always takes place. During the year, 841 patients were under treatment. Of this number, 9 males and 3 females were discharged cmed, 10 males and 5 females improved, 2 males escaped, and 25 males and 5 females died ; leaving 782 under care at t'Qe end of the year, 42 being regarded as curable and '740 as incurable cases of insanity. Of the above-mentioned 782 patients, 60 suffer from epilepsy, 178 are imbeciles and idiots, the remainder being classed under various forms and degrees of mental disorder. Only 19 males and lQ females were admitted in the year, of whom 3 males and 3 females were sent to the asylum by their friends, I male was brought by the police, 1 female was received from a gaol, 3 males and 4 females were re-admitted, 10 males and 2 females were transferred from other asylums, and 2 males who escaped were retaken. The number of patients who were allowed to leave on trial was 6 males and 17 females, and 3 male patients were discharged to their friends on bond. Casualties.-The deaths dming the year were aU due to natural causes, except 2'which occurred amongst the male patients: One of these (D. O'C.) committed self­ destruction on the 30th July by placing himself face downward in a few inches of muddy water which had lodged in the" uneven bottom of an open drain. The hody was found after an hour's search, life being quite extinct This patient had resided for some years in one of the asylum cottages, and had never been suspected of any self­ injuring tendency. J. McC., who had been allowed for a long time to have liberty on parole, and used to amuse hiil1self with fishing, was found dead .in the River Yarra, on, the 23rd Dece~ber. At the coroner's inquest the jury came to the conclusion that the dceeased 14

.was accidentally drowned. In neither case was blame ·atta.. ched~? any officers. of the asylum. ' The only C!ther serious casualty of the 'year occurred, on the .I 4th December to E. H., an epileptic patient; WflO fell down in a fit and fi'actured both bones:;of-the leg. She ,made a g09d recovery, though the treatment of the case 'was rendered difficult by the complication of :epilepsy, of which she suffeI~ed" attacks of uimsual' frequency ;:tnd severity.. ., ,.'. Work.,-. Large.nuinbers of ' male patients l~ave been employed' as usual' on .the fann and gardens as well as in' the, woi'kshops of the -asylum: . The results of their l~b()r will be fou~ld in Appendix A. Many female patients ;have also been Gonstantly engaged in the sewing-I'oom, in the laundry, and in the wards. 'Some of the iesul~s of their work are furnisp.ed in a tabulated form. ' ," Amusement~ ....:.-A large number of patients attend 'the various am~lsements. provided, which consist principally of conce,rts, dances, billiards, and cricket, besides. a variety of indoQr and outdoor games. ': . ' ':" ~. " jn8pection.-,Thi~ asylum is, regtll~rlyvisit~d by the :Members of th~ Boara ~f .official Visitors for the M¢~bourne district, and they furnish to the Government 'quarterly reports C?f tlW state and condition of the building and the patients; In addition to'tp.e quarterly inspection, visits are fi:eguelltly made'by the indivi9,ual members 'of the Board without notice, ·and, at various hours, to all parts of the. building appi'opri~ted to. the use of patients. '; '"

LUNATWAsYLUM, KEW. , " TABLl'iXU;-Showing th~ Admission~; Rc-admissiorts; DischaTges~ and Deaths' during 'the Year 1876. • I" , • , . " , Males. Fem'lles. I Total: .--- ' . Inthe asylum 011 the Ist'January 1876 ... , ...... 53 0 460 990 .. Males, Females, Total. " " '. , Admitted for the first' time '... ,; ...... , ~, \ t " , II .' Re-admit~ed ... ". '" ...... Transferred during the year ...... ,,, 2' Retaken ... ' ... ' ...... 2 Total admitted ...... ••• ! , '" Total under care during the year:

" " lIrales, j l·em~les. 'Total. . "~'Yo Discharged, removed, &c. :- Recovered .•. •...... q6 99 235 "Improved ,'" ...... , .. ' " , ... f IO 14 .1l1. Not improved ...... '" ... 2 I 3 Transferred...... , ...... 71 64 135 .. Escaped ... '" ...... 5 ... 5 ; Died ...... B' ...... 29 108 Died while ,on leave ...... ' .. 5 2 7 .: ., ' , , 'rotal disc)larged, died, &c., during the year "', ••. ••• 302 • ' 205 597 Remaining in th~ asylum on the 31st December ,1876 (inclusive of - absent on tnal, males and females) ••...... 53 1 449: 980 ,

/1. verage numb~rs resident during the. year 499 401 9ClI

!

'", &4 ,', TABLE Xln.-Showi~g' the Admissions, Discharges, and Deaths, ~ith th~ Mean' :Anu'u!ll Mortali'ty' ;aiJ.a· Proportion of Recoveries, &0., per Cent. ~n the Admissions, for the Years 187Z to 1876.' '" ,

, I l!emalnlni A Percentage 01" ' Percentage of , • Dlsch,arged" . on the I verage Cases Recovered and Deaths on tho AdmItted. , I DIed. 31St December Nu,:,bers Relieved Average Numbers' Year. ,m I l!eco~r~~~_1 Re1h:ved •. ,I Trans:errcd, I ~' In,ealc~ Year,! nelS j'dent. on Adl]mlSSlonS'R les Jigent: ' ~~ om"3 "crl'; 'cn~l .~'a 'wd 'm • oi • en • -a I- ~ ~ ~ ~ ~ ~ I~' ~ .; I ~ I ~ ~ 5 ~ ~ ~ ~ ~ ~ ~ ~ -a ,~ --~~...::...~~...::... ~ ....::...... ::...~....::...I..:..,;..~...::... ~ ;-"'::"'I~I-:-":"~I_'_~+_'_~ 181Z •• 1.. .. 8 , • 9 .. .. •. 1 , 8 3 I 4 137 106 2 43 '52 84, 236 .... '1-97' 1'19' 1'69 1813 59 43 102 17 11 34 I 3 4! I 1 2 15 II z6 333 321 654 "29 206 435 30'50 46'5'i 37'25 ' 6'55 Sill ;'97 1874 Z71I· 196 469 ' 76 7°,.,46 2 6 8 6 1 7 61 32 93 458 413 871 392 346 739 .8'57 ,8'77 32'S3 1S'56 9'24 a's8 1875 3°1,'00 50' III III'" 4 I 5 39/· 8 47 72 32\ 104 53°1460 9')0 480 410 890 38-z0 i 56'00 45'30 15'00 7'80 11'68 1876 299 I Igl 490 136 9') "15 4 i 10 I '4 71 64 135 84 31 IIS 531 449 980 :499 401' 9"0 46'82' 51'06 50',81 16'83 7'13 12'77 c"--'-__-'--...;.,.-'-_'-' 1 :-- ____~ I, I I , 15 Statistics.-On the 1St January there were 990 l'egistered patients in the asy lum, and during the year, 288 males arid 188 females were admitted for the first time, 1 1 males and 3 females were re-admitted, 2 males and 3 f~males were transferred from o,ther asylum,s, and 2 ma}es w40 escaped were recaptured, thus showing a total of .~,;48.7~erso~~,1l.n.~dementia, the remainder being variously classified as to their mental state. ,The number of patients allowed to leave the asylum on trial was 94 males and 83. females-and 2 males and 3 females were discharged on bond. Casualties.-· Of the 108 deaths which occurred during the year, only 1 was due to other than natural causes. In this case a male patient recently admitted, and who appeared to be improving, strangled himself in his own room at night, in a manner which showed unusual determipation to effect self-destruction. After a full and very searching enquiry into all the circumstances, the coroner's jury returned a verdict of suicide when o( unsound mind, but they attached no blame to any officer of the asylum .. Work.-' The various works in the gardens and shops have been carried on .as usual, and the results will be found in Appendix A .. Strenuous efforts have been made to improve the general appearance .of the grounds and airing courts, by planting a larrge and varied assortment of ornamental trees and shrubs. A cricket ground is also bein& formed, but up to the present no material progress has been made wi.th the ,farm. 'I he preliminary work of-fencing and clearing the land set apart for tillage has, however, been carried out, and in the ensuing winter it is hoped the ground will be broken up, and root and other crops sown. . '. . . Inspection.-Visits were made by me to this asylum. on the dates given in Appendix C. Those gentlemen who visit at Yarra Bend' also visit the .Kew Asylum, and furnish the Government "rith quarterly reports of the state and condition of the building and patients. They have directed attention from time to time to the want of proper accommodation at this establishment; and for a portion of the year it was possible to give some relief by transfers to Beeehworth, but towards the close of the year the wards again became overcrowded, and no reduction of numbers has yet taken place, as after the Beechworth A,sylum became filled there was no available space for additional patients in any of the other· buildings.· There is; however, prospect of early relief being given by transferring certain idiot an d imbecile patients' to the establish- ment formerly occupied as an ~ndustrial school at Ballarat. .

LUNATIC ASYLUM, ARARAT. TABLE XIV.-Showing the Admissions, Re-admissions, Discharges, and Deaths during the Year 1876.

Males, Females,! Tottl.l. ------"-- In the asylum on 1St ,January 1876 ~:....~~ Admitted for the first time ...... 7.7. 19 41 Re-admitted ...... I .Transferred during the year Retaken ...' ...... ::: I '.. ..~ .~ . Total admitted 22 45 Total under care during the year ...... , .. , M!>les, Females, Total. Discharged, removed, &0. :­ Recovered 6 8 14 Improved 3 7. 5 Transferred .. , I 1 Escaped 3 4: Died ... 10 6 16 Total'discharged, died, &c., during the y ear ... .,. 20 7.0 Hemaining in the asylum 011 the 3ISt December ]876 (inclusive .'of . absent on trial, mnles IUli\ females) Average numbers resident during the yenr 1.6

TABLE XV.-:-Showillg the Admissio~s, Discharges, a~d Deaths, with the Me!Ll1 Annual MortaJityand Prop,ort,ion of Recoveries, &c., per Cent. on the Admissions, for the Years 1867 to 1876.

Discharged, flemn!n!ng on Percentage of Percen tnge of Admitted, Died, Average Numo<:r.j c~cs l{ecovercd auti De"ths on the eU:icrn ber Resident, Relteved Average N urn bers Recovered. i Relieved. ~ Trans .. --;- ferrell, on Admissions. Resident. 1 ! Year, I .. .. 00 .. .'!l ~ 01 ~ d 01 '" , 00 I ~ 00 " ~ d ? 'm '~" g ri ...: ~ d 'ii d ? S d" .:: S " d ~ ] ~ " " S ~ ~ ! ~ 3 ~ ~ ~ ~ e!" i ~ " 0 ;;:; r!i ,~ ::s " ~ ~ ~ ,~ ~ "~ ~ ~ ~ E-i f:. ~ ~ E-< ;:;; I '" ~ ;;;1 " ... I~ "" --I-"" 1-:-1-- - 1-;---i-.-:- .-,--- --" - -- g,gg '" 1867 37 14 51 I I 2 .. , 2 .. , I " I 85 17 102 64 8 72 8'10, ,., 1'56 , .. 1"38 1868 82 53 135 27 ,22- 49 7 3 II .. , .. , .. , 15 ~ 18 158 1I2 270 127 90 2).7 41'46 4]'16 43'70 II'SI 3'33 8'29 1869 63 46 109 37 18 55 I 7 8; ... '" 26 8 34 15 6 12 5 281 154 II7 27 1 60'31' 54'34 5779 16'88 6'83 12'54 1870 89 44 133 27 34 61 10 3 13( .. .. , 19 12 31 200 141 341 174 127 301 41'57 84'09 55'63 10'91 9'44 10'29 1871 74 42 II6 39 IS 54 2 5 7· .. ' •• 25 2 27 206 161 367 204 iSI 356 5'5'40 47'61 52'5 8 12'25 1'32 7'58 1872 41 19 60 13 2 15 7, ...... 16 8 24 21 5 167 382 206 162 369 41'46 26'3 1 36'66 7'76 4'93 6;5 0 18 26 10 I 211 161 2 '208 68 0 73 13 39 IS 25 : ~ 9 I '" 9 5 14 37 159 3 73' 7 II 5'38 87'18 4'3 2 3'14 3'80 18 74 32 18 50 9 9 18 2 I 2 3 12 9 21 21 9 15 8 377 210 156 367 JI'25 55'55 40'00 5'71 5'76 5'72 1875 21 15 36 17 11 28 3 I .. , I 10 3 13 212 15 6 368 216 15 1 368 80'95 93'33 86'11 4'62 1'98 3,53 1876 22 19 41 6 8 14 ;1 i 5 .. , I I 10 6 16 21 5 158 373 212 153 366 4°'90 52:63 +6'34 4'71 3'92 4'37

Statistics.-There were 413 patients un'der treatment at this" asylmn during the year; 14 were discharged cured, 5 improved, I transferred, 4 escaped, and 16 died, leaving the number remaining on the 31st December, 373. Only 2'5 of this number are .returned as .curable, 18 are epileptics, 17 harmless imbeciles and idiots, the remainder being inclU'able cases of various' descriptions. The number of p'atients allowed to leave the asylum on trial is 22, and 3 were removed on bo~d by their friends. Of the 41 patients admitted for the first time, 3 I were forwarded by' or through the police, and 10 were sent' by their friends. - . , An average of 155 males and 70 females took part in amusements of various kinds, and about 63 males and 50 females attended Divine service. ' Work.-The usual farm, garden, and miscellaneous works have been carried on during the year. In ,Appendix A the average numbers employed are givqn, a~ well as the resrilt of their labors. On account of the exposed aspect of the building it was found necessary to make an extensive plantation of quickly growing forest trees around the outside of the boundaey wall. The work done has been under the direction of the. Inspector of State F ol'ests, and I was glad to observe on the occ:lsion of each of my visits that the work was being vigorously carried on. There can he no doubt that great improvement will be effected by it in the course of a few years. Casualties.-J. C. was stabbed by another patient (C.), 'who had been regarded as a harmless man and was employed in the store. ,J. Q. had, a narrow escape, but eventually recovered. . ~. G., an old woman sufferin$ from s,eni1e~ementia, fell out of her bed on the mg-ht of ,the 24th June and fractured two of her nbs. ' U " The Medical J onrnal records several minor casualties, such as bruises and scratches inflicted by patients on each other, but no serious consequence ensued in any case.

Inspection.-This asylum JUtS been regulady visited by the- local Board of Visitors, who have furnished reports of th~ir several inspections to the Govern­ ment. I made visits to the asylu111 on the 3rd March, on the 20th July, on the 2 I st September, ana on the 30th November. The general health of the pa~ie.nts I always , fOlU1Cl good, and, with a few exceptions, they were orderly and n'ee f1'0111 e:x;citemel1t. At the time of my first visit 4 men and 2 women were in hed; at the time of my second visit only a few feeble persons were in bed, more on account of the cold weather than from active dise::tse: When I visited in September, 5 men and 5 women were in bed sufieril1~ from diseases of wasting and debility, and in Novemher there were but few, confined, to bed, and very little sickness of any kind. The amollnt of seclusion' has been small, but there ar~ several cases of restraint recorded in .the Medical Journal of patients who wore camisoles and glove~ to repress homicidal and destructive tendencies. I have alw::tys made careful enquiry into this tren,tment, and am satisfied that i~ has been judieiollsly ndministered. 17

LUNATIC ASYLUM, BEECHWORTH. TABLE ·XVI.-Showing the Admissions, Re-admissions, Discharges, and Deaths during the Year 1876•

, :Males, Females, t Total.

In th!il asylum on 1St January IS7? ...... "...... ~ 2.35 132. - I~I Femaies, I~ Admitted for the :first time ••• ...... Re-admitted ...... :::, I~ I' I~ I :~ Transferred during the year ,., n...... \' 64 63 Il7 Retaken ...... '" 5 ,... 5 TotaJ. admitted ...... ,------" 91 173 TotaJ. under care during the year ... : 32.6 2.I4 ' 540

&<. ,- .... -". I D"'b..,..,.RSlcovered """""'. ••• ... .., ... ••• ' ... ~ 15~ 5 '''''"I2.0 I Improved ••• ...... 3 3 , Transferred...... 5 3 8 'scaped ...... ••• 6 1 7 I Died .•• '" ...... ••• I 16 8 ~ 2.4 Total discharged, died, &c" during the year •• , ", .. , 2.0 Remaining in the asylum on the 31St December 1876 (inclusive of absent on trial, males and females) n, ...' ...

Average numbers resident during the year 439

TABLE XVII.-Showing the Admissions, Discharges, and Deaths, with the lfean Annual Mortality and Proportion of Recoveries; &c" per Cent. oil the Admissions, for the Years 1867 to 1876. '

I DischArged, I Re~.lning Percentage or Admitted. ,-.-----c-----;----.~-' Died, on the l,st Average Numbers Cases Recovered and . Deaths_'!n December in Residenl, Relieved A.ve~~.e. Recovered, ,Relieved. Transferred, , each Year, on Admissions.

Year. ,; m ~ gj gj iii ...: ,; '" .:l! 'iii ,; ~ 'ii gj .. ,.:l! .:l!.. ::i ~ ~ .. .. ~ IS 3 'iii S ~ -a ~ "S 3 IS IS 8 'iii 8 0 1l .. i ¢ .. ~, 1l I )1 .. ;;j r:; ~ )1 .. ~ r:; ~ ~ '" &:1 Eo< ~ ! r- :ii &: Eo< iI1 &: ... '" I ~ " Eo< '" - --- - '" '"' ------'"' '" '"' ---- '"' - '" - , 1867 17 4 21 ' ...... , .. ' .. ' .. .. , .., .., I .. , I 55 16 71 25 9 34 .. ' .. ... 4'00 ... 2'90 1868 19 10 2.9 6 4 10 ... I I ...... 7 .., 7 176 119 295 129 83 212 31'57 50'00 39'73 5'40 ... 3'30 1869 19 12 31 II 5 16 2 2 4 I I ' 2 9 2' II 17 1 127 298 173 127 300 68'41- 58'33 64'5 1 5'20 1'57 3'66 1870 16 ' II 27 5 5 10 ... 5 5 1 1 2 6 I 7 176 127 303 171 126 297 31'25 9°'9° 55"55 3"50 °79 2'33 1871 2.7 8 35 10 3 13 I 2 3 ... .. , ... , 8 2 10 184 128 312 177 126 304 40'74 62'50 45'7 1 4'51 1'58 3'28 1872. 36 9 45 14 7 21 ... 3 3 3 ... 3 II 3 14 191 124 315 189 I25 315 38'88 I1I'II 53'33 5'88 :qo ~F44 18 73 30 II 41 13 6 19 I .. , 1 .. , , .. .. , 14 3 17 192 126 318 ,190 122 313 46'66154' 54 48'78 7'36 2'45 5'43 1874 21 II 32 9 6 15 3 1 4 ' .. .. , 9 I' 10 192129321\ 190 125 315 57'14,63'63.59'37 4"73 0'80 3'17 I II , , ..' 2 12 2 1875,25" 8 33 . 10 I .. 1 ". .. '.' 6 3 9 235 13 367 195 9 3 4 44'00 12'50 36'36 3'07 2'32,2'77 1876, 22 19 '41 I 15 5 20, .. , 3 3 5 3 8 , 16 8 24 284194478 271. 168 439, 68' 181 42'10 56'09 5'90 4'7 61 5'46 Statistics.-On the 1St Jaliu~ry there were 367 patients under care in this asylum. "During the year 3 I fresh patients were admitted, 10 were re-admitted, 127 were transferred from Kew, and 5 escaped patients were re-taken, giviI1g a total of 540 patient~ under care during 1876. The discharges from the asylum we~e as follow :-Recovered, 20; improved, 3;' transferred, 8; escaped, 7; died, 24; leaving in the establishment on the 3 I st December, 284 males and 194 females. Of the number remaining, 29 are retumed as curable cases, I I epil~ptics, 70 harmless imbeciles, and 4 idiots. The total number of admissions and re-admissions was 41 ;' and of these, 9 were placed under care by their friends and relatives, the remaining 32 having been r~ceived through the police. The number of patients who were allowed leave of absence was 12-3 males and 9.females; and 3 females were discharged to the care of their friends on bond. ' . The average numbers attending amusements were. 125 males and 44 females ; ..and 90 males and 46 females attended Divine service. Casualties.-The general health of the patients has been good during the'year; the m.ortality, though /Slightly'!n adva;nce of previous years, still continuing low. The dIseases were all of an ordmary kmd, and the absence of a well-rparked case of general paralysis is deserving of notice. The Medical Joumal contains records of various minor casualties to the patients, but nothing of a nature sufficiently sedou.s to call for special remark, with the exception of the two following cases, viz. :- M. R. sustained a fracture of the thigh, and her death would appear to have' been somewhat hastened thereby. It is supposed that the injury was accidentally (',,3,used, and at the inquest no blame was attached to any person. ,J. H. was und<1r treatment at the time of my visit in July, fi)i a fi'acture of the' neck of the femur, cal1sed by another patient (T. H.) pushing her down in the ward. The matron and a warder were present at the time, but aHhough both saw what took place, they were not near enough to prevent the injury. No, Ii. B , I

18

Work.~l'here is nothing new to record respecting occupations, which are carried on, as in former years;," About I 5'7 males and 107 females are' const~tly engage,d, tn various useful works throughout the ,establishment, the gardens, and the farm; . --Appendix A shows the results of dieIT labors, and the returns of the farm and '.garden appear to give evidence of careful and skilful management. , : ,Inspectio'(t.-The local Board of Visitors inspect the asylum and 'patients at least once a,month, and I do not find that they have at any time directed att~ntio,:p. to matters now requiringspeciaJ ohservation from me. . .. , I visited the establishment on'the 9th

I' E . . PALEY, Inspector of Lunatic Asylums~ I '

..

, '

/ 19 APPENDIOES.

APPENDIX A.

RETURN the Numbers of Patients Employed during the Year 1876. - " :!t1ales. Females ... Beech- Yarra. Beech- Occupations. I Yarra Kow. Arora!. Occupations. Bend. Kow. Ararat. worth. ' , llend. worth.

Farm and Garden Labor.•. . 96 89 5z 83 FancyWork ...... 'Z ... 10 ... Household Work ... 159 137 53, 54· Household Work ... 75 7° 20 47 Workshops ...... 15 8 4 9 Laundry Work ... 46 45 12 18 Miscellaneous 42 20 ... II Sewing 15° ~o 20 42 '" '" I ... '" 31z 254 [09 [57 273 195 62 107 Total 832 'l'otal ... 637 '" ." ...

RETURN of Clothing Made up and :::"l'w«-ld by Male Patients during the Year 1876.

Yarra Bend. i Kew. ! Ararat. Beechworth. Item. :!trade up. Ilepu!red. Malie Ujl. IIepaired. :Made up. ltepaired. JlIade up. l{epaired. --'------v------I----..,I--,--I-----"-----I-----I,-----l---~- --- Boots-Men's...... 4 " "Soled '" " "Soled and Heeled 395 Women's ... " Soled ... II " " Soled & Heeled 13 'I .15 C~~vas Cap~ 6 19 14 " Dresses ... 34 23 13 35 ,," Jumpers 3 " Rugs ... " Slippers ... Z " Trousers '" .•. 4 Coats .•• ...... 4 8 Gloves-Canvas and Leather 25 18 " Straps for ... Hair Beds ...... 15 Knee Pads ...... I Trousers ...... 15 1,851 8 2,813 93 Vests...... 5 266 8 591 25 Woollen Rugs...... I

RETURN of Clothing Made up and Repaired by Female Patients during the Year 1876.

Yarra Bend. Kow. I Ararat. ~echwortb. Item. J Made up. Itepaired. !trade up. Rejlaired. Made up. i Repaired. Made,up. Repaired. ------Aprons ... '" ...... , .,. 39 .. , ...... Blinds-Holland ...... 23 .. , ...... Blankets ...... 30 ...... 121 ... ; 44 Bonnets-Sun ...... 122 2,534 360 1,177 IS° 419 253 1,944 Cap Covers ...... , ." ...... 9 ... Coats ...... 292 ... 840 Dresses-Canvas .. , ... 2 28 ... 427 12 3Il ... 973 Chemises-Cotton ...... 3,162 854. 3.024 202 925 27° 2,702 Flannel ... 195 26 7 258 1,052 239 700 56 1,431 Dresses-Linsey" and Print 57 1 3,651 1,131 3,039 356 887 333 3,776 Drawers ...... 176 ... 36 341 25 ... 40 .. . Gowns-Night ...... 163 ...... 21 20 ... Jumpers-Canvas ...... 341 ... 333 .. . 479 Laundry Cloths ...... '" .. , 10 ... Mattresses-Hair ... i' ...... " .. . 37 ...... I, ... Cases '" 16 ...... Paillasses" ...... 4 ...... , ...... Petticoats-Cotton ... 106 2,724 586 928 283' 872 133 Z,096 Flannel 26 " 2,507 439 1,343 381 1,041 14'5 2,037 Pinafores ...... ioo '" ...... Pillows-Hair ...... , .. . 31 ...... Pillowslips ... 276 333 680 348 275 82 430 1,368 Rugs ...... 27 ! ...... ' .'" 5° . ~hroud8 ...... 24 ... Sheets ...... 1,008 3,1 07 1,070 2,01 9 523 135 874 1,986 Shirts-Cotton ...... 1,03 6 4,IIl 1,228 7,9 1 4 25° 1,956 720 1,239 Serge ... 10 287 10 622 166 " ... 4 435 '759 3 354- Socks and Stockings ...... 9,179 .., 3,591 ... 5,262 ... . 3,57z .. Tablecloths '" .,. 81 45 77 224 80 .., 46 204 Ticks-Bed '" ... 220 56 232 • ... 173 81 27 1 1,237 Pillow ...... 142 102 ... 103 39 171 ... Towels'" ...... 408 .18 161 ... .100 ... 186 214 Trousers ...... 2,332 ... 3,476 Vests ... '" ...... " ...... ·5°5 ... 376 Flannel . " ... '" ... 37° ,ZI 'zoo 60 332 178 ... Wool Jackets ... '" ... 655 .., 512 ... 39 ... 142 20 RETURN of Produce. from the Asylum Farms during the Year 1876.

Item. ·1 Yarra. Bend. Kew: Ararat. Item. I Yarra Ben,d. Kew. Arumt. I ~."~Chworth. , ---- , Darley ... 45 bshls. 10 bshls. ... Oats ... 140 bshls .. ... , ...... '" Deans ... i6 ...... Peas ~. ~ , ...... 929 1bs. 170 bshls . " - Deef .•...... 655 1bs. ... i 755 lbs. Pork ... 4,886! lbs. 7,956 lbs. 2,5 69 2,1651bs. " Dutter ... 1,772Ibs...... Potatoes ... 61,673 ...... 22,.'200 " " Canary Seed . 25 ...... , small 8,300 ... 3,564 " " ... " Carrots ...... 2,1041bs. ... Poultry ... 141 .. , ... 63 , " . Eggs ... 4,188 doz. ... 247ij doz. 161j~ doz. Rye ...... 8 bshls. .. . Firewood ...... 14 tons' Straw 8 tons .. . 3 tons ., . Green Food 17,866bMls. ... 84 tons 24 Turnips ...... , .. 40 " " •• Hay .. : 45 ton's ... 64 18 Veal ... 5401bs. ., ,. ... ' ... ". " ... . Mangold ... 100 tons ... 90 8 Wheat .. ~- ...... 24 bahls. 24 bshls. " " Milk ... 64,955 qts. 5:1.,009 qts. 18,003 qts. 8,493 qts. ,.

RETURN of Produce from the Asylum Gardens during the Year 1876.' ! I i Item. i Yarm Bend. i Kew. Ararat.\ Beech worth. Item. Y1ll"!'aIl

APPENDIX B.

CASTLEMAINE DISTRICT HOSPITAL. ,­ TABLE showing the Admissions, Re-admissions, Discharges, and Deaths during the Year 1876 in 'the Lunacy Ward.

:M:nleo. Fe~ale8. Total. I n the ward on 1st January 1876 ...... l\IAJes. Femt1.les. Total.

Ad.ed for the first time during the year ...... 31· II 43 Re-admitted ...... 2 .. . 2. Transferred dUring the year ...... ' ... taken' , Re ,":<. '" ... , ," ...... II Total admitted, ...... '" 34 4"5 I , Total under care during the year ...... 34 II 45

IIIAl ••. Female •. Total. Discharged, removed, &c. :- Recovered ... ' ...... 17 5 2:1- . Improved ...... 2 2 Transferred ...... 14 3 17 Escaped ...... ' ...... Died' ...... I I 2 Total discharged, died, &c., during the year ...... 3:1- II 43 . ReIl:lRining in the ward on the 31st December 1876 (inclusive of absent i on trial, males and females) ...... '" 2. ... 2 21 BENDIGO GOLD DISTRICT HOSPITAL,' SANDHURST.

TABLE showing the Admissions, Re-admissions, Discharges, and Deaths ~Ill'ing the Year 1876 in the Lunacy Ward. , Total Males ' Females ---- In the ward on ut January 1876' ...... " I ... 1 .- Males. Females. TotA!. I ------Admitted for the drst time '" ...... '" '" 6 20 Re-ailmitted ...... Transferred during the year ...... • Retaken ...... I~

Total admitted ...... 14 6 20 ------1'-'- Total under care during the year ...... IS 6 , :n

Males. Females'iI Total. Discharged. removed, &c. :- -- Recovered '...... '" I ••• ... 6 4 • 10 Improved ...... Transferred ... '" ...... 8 2 10 Escaped ...... ! Died ...... ~ .. ' ...... , ! Total dischnrged, dicd. &c., during. the year ...... 14 6 I ·2.0 Remaining in the ward on thc 31st D!1cember 1876 (inclusive of absent on trial, males and females) '" ...... I ... I J

GEELONG INFIRMARY AND BENEVOLENT ASYLUM.

TABLE showing the Admissions, Be-admissions, Discharges, and Deaths during the Year 1876 in the Lunacy Ward.

I Moles. Females. Total.

In the wand on 1St January 1876

Males. Females. TotaL

Admitted for the first time ... If 33 Re-admittea ••• ... Transferred during the year Retaken......

Total admitted :u II

.Total nnqer care during the year II'

Male.. ,Females. TotaL Discharged, remoTed, &c.:- Recovered ' .. . 3 Improved ... •.. Transferred to public lIlIylums ••• 21 8 Escaped ••• ...' ... Died ...... •.. ...0,

Total discharged, died, &c., during the year I-=:. ___I_I_ 33 Remaining in the ward on the 31st December 1876 (inclusiTeof absent 1- on trial, males and feffi!i.les) . I APPENDIX: C.

TABLE sho:wing:the Number of Patie.nts Visited and the Number of Miles Travelled by the Inspector of Lunatic Asylums dU~'ing the Year 1876. I Number of Number of Mlles ~atients at time 'rravelled. Place Visited and Date of Visit. of Visit. Place Visited and Date of Visit.

Number. Total .. INumber. Tot<\l. Number. Total. Kumber:: Tot~l. ------Yarra Bend.'" A;~~aidarCh ... ••• I~~- --.-.. --1-:--..-.- Rew: 20th July...... 366 ... '. 328 .. . ind February 928 2 ... 21St September ... I 366 ... 328 .. . " 28th March ... 91 7 2 30th November '" 366 . ... I 3'28 .. . 30th March .•. 920 2 Beechworth:· ,--'- 1,464 --- 1,312 20th June ... 892 2 9th March ... ". 413 ... 355 .. . 25th July 9II 2 28th July...... 444 ... 355 .. . 11th September 884 2 14th September ... 463' ... i 355 .. . 27th September ... 874 2 ,28th September 873 ... \ 2 C!e:o~~~iTc~~~edHou~~: 472 1;;~2 .355, ;:420 6th October / 885 2 jIst :March ...... 29 ... 6 ... 24th October 890 2 14th August ... 17 '" 6. ••• 26th October ... i 89 2 2 , 18th December .•• 17 ... 6 ... 20th November ... I 895 2 63 --- 1·8 Totals ... 14,080 2,774

• Vlslted by Board of 'Offici"l Visitors--:Tbe Hon. J. T. Smith, M.P., Chairman; Drs. Barker, Campbell, and You!; and·James Farrell, Esq., lI['P.

, . APPENDIX D.

. ".; : ; . . ;, ..! ,) , LICENSED HOUSE FOR THE INS~E, CREMORNE. /TABLE't;-Showirig tho.Admissions, Re-admissions, Dischai'ges,'and Deaths duriDg'th~ Year iS76 . .. Maic's, Femmes. '.Total. .. -- In the_asylumo.n IstITanuary 1876 .,...... , ... . . 10 9 19

lIr.tIcs. ! Females. Total. . i Admitted for the first time ...... h, ... 30 12 42 . Re-admitted ...... , 6 ... 6 Transferred during the year ...... ' ~ .... 2. ". '2 Retaken ...... " . ." '; ~ ...... I ." .. .

Total admitted ... "...... 38 I2 , " i 50• ,. .. Total under care during',the year , .. 21 ...... 69 i ~ \ Males, Females. Total. Discharged, removed, &c, :~ .. . Recovered , ...... - ...... , 32 10 42 . . I .. , Improved ...... ' .. ~ 5 --6 Transferred ...... ~...... 2 ... 2 Escaped ...... , ...... ~ ~ .. Died ,," ...... I .. Totn.l.discharged, died, &c., during the year ...... 39 II 50 . ------Remaining in thc asylum on the 31St Decemher 18 76 (inclusive' . .of absent on trial, males and females) ...... , ·9 10 19

I ------~ Average numbers resident during' the yen.r ...... 9 8 17 .

I 23 LICENSED HOUSE FOR THE INSANE, CREMORNE. TABLE 2.-Showing the Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries, &c., per Cent .. on the the Years 1867 to 1876.

I Percentage of and Deaths Oil the Admitted. Average Numbers Recovered, Resident. Year. ~ i :g gj '" ~ 'd ~ Cl d'" S 'i! IS ~ 3 "<> 0 ~ ~ ~ 0 ;:;J ... f; " f; ;:;l" f; --- '" '" --- - - '" 1867' 3 4 7; 3 .. 5 ., i I I 73 78 6 73 79 1868 '1.5 10 lS .... 6 '1.8 3 ; '1.0 '1.3 .. 51 51 6 5 '1.3 '1.8 1869 33 '1.0 53 '1.3 IS 38 I '1. 3 I 4 4 8 "'5 7 7 14 57'14 14''1.8 35'71 1870 36 IS 51 '1.5 '4 39 '1. .. '1. 4 6 ,'" .. 2 10 7 17 8 7 IS 2.5"00 12'50 1871 37 7 44 ",8 6 34 4 .. .4 S '" 6 '1. .. 7 9 IS 8 7 IS '1.5'00 13'33 187'" 35 47 "'S II 36 '1. .. '1. 4 5 '" 10 8 18 7 7 15 14''1.8 6'66 1873 "'9 ''''6 3S '1.6 8 34 4 I 5 8 4 1'1. 8 6 '4 1874 4' IS S6 4' 8 49 .. '1. '1. .. I 7 9 16 7 6 13 '4'20 7"69 1875 '1.5 1'1. 37 '9 9 ",8 '1. I '1. I, ,I 10 9 '9 7 7 14 14''1.8 T'4 1~76 36 I1. 48 32 10 4'1. 6 .. .. 1- 9 10 19 9 8 17

LICENSED HOUSE FOR THE INSANE, CREMORNE. TAB;LE 3.-Showing the Causes of Death during the Year 1876.

Nil.

LICENSED HOUSE FOR THE INSANE, CREMORNE. TABLE f.-Showing the Length of Residence of those Discharged Recovered and of those who have Died during the Year t 876.

Recovered. Died.' Length of Residence, Males. Females. Total. ----ltlales. Females. Total. Under I month 14 I IS From 1 to 3 months IS 7 zz ,,3,,6 " Z ,,6,,9 " Z " 9" Il. " ". I" Z years " 2" 3 " ,,3,,5 .. " 5" 7 " " 7,) 10 " "'1... " 10" 12 " " 12." IS " Over 15 years Tl'tal ••. ~~: i-----3-Z----'I-----I-O-----I-----4'-Z------·---,------J------

LICENSED HOUSE FOR THE INSANE, CREMORNE. TABLE ,.-Showing the Ages of Admissions, Discharges, and Deaths during the Year 1876. . DIscharges • Admissions. I Deaths. Ages. Recovered. Removed. Relieved or i otherwise.

lIrale •• FeD11lles, ,I Total. lIIaJes. Females. Total. 1 MlIles. Females. Total. Males. FemaJes. 1 Total. ------I~ From S to 10 years ...... 10 IS ...... " IS " ZO " Z Z Z Z ...... '" ...... " zo " 0 " 6 " 3 " ... Iz 4 4 3 7 z ... z ...... 30 " 40 ... is 5 zo 14 6 zo z ... z ...... " " 50, " II ] " 40 " ", ... 17 z 19 IZ Z ... Z ...... 50 60 ... Z ... Z I ... I ] ... I ...... " 60 " 0 " ... 7 ...... I I ...... I ] ...... " 70 " 80 " ...... " 80 " 0 " '" ...... 9 ...... '" ...... 90 "and upwards" " ...... '".. Unknown '" ...... ••• ! - •• ...... ------7-1-1' Total IZ -;-,--1-0-1--:;:;- ---- ...... I~ So 8

By Authority: J OBN' hImES. GoverDlUent Printer. Melbourne.