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Ocm39986872-1918-HB-0217.Pdf (686.1Kb) HOUSE No. 217 Cfie Commontocalth of Massachusetts. RECOMMENDATIONS OF THE COMMISSION ON MENTAL DISEASES. State House Boston, Jan. 2, 1918. To the General Court of Massachusetts. The Massachusetts Commission on Mental Diseases re- spectfully presents herewith an abstract of its second annual report, as required by section 6, chapter 18, Revised Laws, as amended by chapter 269 of the General Acts of 1915. The Commission has general supervision of all public and private institutions for the insane, feeble-minded, epileptic, and of persons addicted to the intemperate use of narcotics or stimulants, exclusive of the Norfolk State Hospital and the Hospital Cottages for Children at Baldwinsville. On Oct. 1, 1917, there were under care 19,134 persons, of whom 15,330 were insane, 2,971 feeble-minded, 737 epileptic (sane), 81 inebriate, and 15 voluntary (sane). The increase in the number of these classes was 416. 9 COMMISSION ON MENTAL DISEASES [Jan. The following table shows in detail the various classes under the supervision of the Commission, the institutions, and the number under the care of each: ■— rt CO Location Worcester State Hospital, . • 1,584 1 1,585 - Taunton State Hospital, . 1,412 1,412 Northampton State Hospital, . 978 - 978 - - Danvers State Hospital, . 1,536 1,536 - - - Westborough State Hospital, . 1,251 40 1,291 - Boston State Hospital, .... 1,570 1 1,571 Mental wards, State Infirmary, . 716 - 716 - Grafton State Hospital, .... 1,938 1,938 Medfield State Hospital, . 1,633 - 1,633 Gardner State Colony, .... 832 832 - - - Monson State Hospital, .... 305 737 1,042 Bridgewater State Hospital, . 845 - 845 Foxborough State Hospital, . 333 ----- 333 - - Family care, under Commission, ~ 47 - - 47 Massachusetts School for the Feeble- - 1,574 - 1,574 minded at Waltham - Wrentham State School, .... 1,097 - 1,097 - McLean Hospital, 208 - 1 1 210 Twenty-three other private institutions, 142 1 - 12 40 195 44 - Elm Hill Private School and Home for 44 - - - 44 the Feeble-minded - - Terrace Horae School, 12 - - 12 - - Almshouses, 243 1 - 243 Total under care, 2 .... 15,330 2,971 737 15 81 19,134 s 44 Viz, Public care, 14,980 2,914 737 2 40 18,673 Institutions and family care under 14,933 2,671 737 2 40 18,383 trustee - - - Family care under Commission, 47 - 47 - - - Almshouses, 243 - 243 Private care, 350 57 - 13 41 451 44 - McLean Hospital, .... 208 1 1 210 - Twenty-five private institutions, . 142 57 12 40 251 44 1916; figures Taken from reports of overseers of the poor, March, for 1917 not yet available. Includes temporary care ca; 3 Includes patients placed in family care by trustees. 1918.] HOUSE No. 217. 3 The number of such persons under public care was 18,673; their increase for the year, 396; their average annual increase for the past five years, 510. THE INSANE UNDER CARE OF STATE INSTITUTIONS on Oct. 1, 1917, numbered 14,933, being 1 insane person to every 257 of the estimated population of the State. This is in- clusive of the insane placed in family care by the trustees. Their increase under care for the year was 304. THE INSANE AND EPILEPTIC (SANE). On Oct. 1, 1917, there were in public institutions for the insane and at the Monson State Hospital, which cares for epileptics, both sane and insane, 15,434 patients, an increase of 380 for the year. This figure includes voluntary (sane), tem- porary-care patients, and women inebriates at the State in- stitutions. The figure 15,434 is exclusive of patients placed in family care by the trustees. The capacity of these institutions is now 14,402 patients. There is, however, at the present time an overcrowding of 1,032. There are no new buildings under process of construc- tion. It will thus be seen that, provided there is an increase for the coming year of 430, the average for the last five years, there will be, at the close of 1918, an overcrowding of 1,462, while any accommodations granted by the present Legislature will not be available until from one and one-half to two years later, when the institutions will, no doubt, be obliged to care for patients incapacitated by reason of the war, and when the over- crowding will he considerably greater. It is therefore imperative that appropriations for accommoda- tions for 839 patients and 212 nurses planned for this year be granted. [Jan. 4 COMMISSION ON MENTAL DISEASES. ESTIMATES FOR SPECIAL APPROPRIATIONS for the State institutions under the supervision of this Commis- sion have been prepared, and are classified below: Worcester State Hospital. Sewage-disposal system for Shrewsbury Colony, $9,000 Renovating plumbing, eight wards, 11,000 Constructing and furnishing congregate dining room, 135,000 $155,000 Taunton State Hospital. Spur track and trestle, $21,735 Horse barn at Raynham Colony, 4,250 Concrete bridge, . 10,000 $35,985 Nwthampton Stale Hospital , Constructing and furnishing two homes to accommodate 50 nurses each, at $54,000 each, $lOB,OOO Purchase of house and barn, and 4J acres of land, 5,000 $113,000 Danvers State Hospital. Constructing coal trestle $lO,OOO Constructing two verandas for 90 patients each, 18,500 Alterations at Middleton Colony, to provide accommodation; for 60 additional patients 8,000 $36,500 Westborough State Hospital. Constructing and furnishing infirmary building for 150 men, $200,000 Renovation of wards 2 and 5 25,000 New standpipe and changes in water system, 36,240 Constructing and furnishing two officers’ cottages, at $5,000 each, 10,000 Constructing horse barn, 8,500 $279,740 Boston State Hospital Constructing and furnishing superintendent’s residence, $15,000 Constructing and furnishing male infirmary, to accommodate 324 patients and 30 nurses, 390,000 Constructing and furnishing nursi home, east group, t commodate 82 nurses, . 70,000 Purchase of one boiler, 9,000 $484,000 1918.] HOUSE — No. 217. 5 Grafton State Hospital. Constructing coal trestle and track scales $lO,OOO Sewage connections, power house, carpenter shop and store- house, Grafton department, 2,300 Purchase of one boiler, blowers and grates 8,000 Fire protection, 12,745 Constructing barns for cows and horse 35,000 168,045 Medfield State Hospital. Installation of a high-pressure steam main, . 110,000 Constructing and furnishing officers’ cottage, 5,000 $15,000 GardnerState Colony. Constructing and furnishing laundry building, $25,000 Constructing and furnishing building for 10 disturbed patients. 7,500 Changes in heating plant, 5,500 Constructing two verandas on receiving wards, at $l,OOO each 2,000 Constructing and furnishing hospital building for 50 patients and 3 nurses, 50.000 Underpass, . 14.000 Constructing and furnishing chapel and assembly hall 23.000 $127,000 Foxhorough State Hospital. Constructing and furnishing acute male receiving ward, to ac commodate 75 patients, $105,000 Purchase of farm land, 10,500 Purchase of Hearn property, 2,850 $118,350 Massachusetts School for the Feeble-minded. At Waverley Two buildings for 12 tubercular patients, at $3,000 each, $6,000 Coal trestle and side track, 25,000 At Templeton Colony: Hay barn at colony, . 3,500 Evaporating and canning plant 1,000 $35,500 6 COMMISSION ON MENTAL DISEASES. [Jan. Wrenlham State School Constructing and furnishing assembly hall, . 163,000 Constructing and furnishing industrial building, 30,000 Brick chimney for heating plant, 5,500 Purchase of land, 2,200 $100,700 Proposed School at Belchertown. Water supply $50,000 Summary of Recommendations for Special Appropriations. Insane. Constructing, furnishing and equipping buildings for patients and nurses, $957,000 . Number of patients provided for, . 839 Average per capita cost, .... $BB9 09 . Number of nurses provided for, . 212 Average per capita cost, . $995 52 . Patients and nurses provided for, . 1,051 . Average per capita cost, . $9lO 56 Land, buildings for officers and employees and for admin- istrative purposes, including furnishing and equipment, improvements and repairs, 474,635 Total, $1,431,635 Feeble-minded. Constructing, furnishing and equipping buildings for patients and nurses, $6,000 Number of patients provided for, . 12 Average per capita cost, .... $5OO 00 Number of nurses provided for, Average per capita cost, Patients and nurses provided for, . 12 Average per capita cost, .... $5OO 00 Land, buildings for officers and employees and for admin- istrative purposes, including furnishing and equip- ment, improvements and repairs, 180,200 Total, $186,200 1918.] — HOUSE No. 217. 7 All Classes. Constructing, furnishing and equipping buildings for patients , and nurses, 1963,000 i\ umoer oi patients Number of patients providedprovided lor,for, . ggi Average per capita cost, . 1883 61 Number of nurses provided for, . 212 per Average capita cost, .... $995 52 Patients and nurses provided for, . 1^63 Average per capita cost, .... |905 93 Land, buildings for officers and employees and for admin- istrative purposes, including furnishing and equip- ment, improvements and repairs, 654,835 Tota1’ 11,617,835 The Commission submits the following summary of recom- mendations for legislation; 1. To provide for the transfer of women inebriates to the Norfolk State Hospital. 2. To place the Hospital Cottages for Children under the supervision of the Massachusetts Commission on Mental Dis- eases. 3. Relative to the construction and improvement of build- ings at State institutions. 4. Relative to a water supply for the proposed school for the feeble-minded at Belchertown. 1918. 8 COMMISSION ON MENTAL DISEASES. [Jan. ON ESTIMATES BY THE MASSACHUSETTS COMMISSION MENTAL DISEASES, 571,013 For salaries of officers and employees, ...... For traveling, office and contingent expenses, including the 14 • 885 printing and binding of the annual report, ’ For transportation and medical examination of State charges 8,500 under the supervision the Commission, .... under For the support of State'oharges boarded out in families the supervision of the Commission, or temporarily absent authority of same, • • 9,100 under , Cot- ■ For the support of epileptic State charges in the Hospital tages for Children, 14,000 For investigation as to the nature, causes, results and treat- ment of mental diseases and defect, and the publication of the results thereof, 1,21b $124,773 Respectfully submitted, GEO.
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