Public Document No. 20 ®Ije Qlntnmotmipaltl} nf iMaisHarijuseits ANNUAL REPORT OF THE TRUSTEES OF THE '.AAS , Danvers State Hospital FOR THE YEAR ENDING NOVEMBER 30, 1931 Department of Mental Diseases n Publication of this Document approved by the Commission on Adjwi^iIstration and, Finance 500. 4-32. Order 5229. OCCUPATIONAL PRINTING PLANT DEPARTMENT OF MENTAL DISEASES GARDNER STATE COLONY GARDNER, MASS. DANVERS STATE HOSPITAL TRUSTEES Mr. S. Herbert Wilkins, Chairman, Salem Mr. James F. Ingraham, Peabody Dr. Arthur C. Nason, Newburyport < Mr. William W. Laws, Beverly Mrs. Anna P. Marsh, Danvers Mrs. Annie T. Flagg, Andover Mr. Albion L. Danforth, Winchester RESIDENT OFFICERS Clarence A. Bonner, M.D., Superintendent Edgar C. Yerbury, M.D., Assistant Superintendent Salomon Gagnon, M.D., Senior Physician Henry A. Tadgell, M.D., Senior Physician Anna M. Allen, M.D., Senior Physician, Pathologist Carol Schwartz, M.D., Assistant Physician. Charles C. Joyce, M.D., Assistant Physician Velma H. Atkinson, M.D., Assistant Physician Doris M. Sidwell, M.D., Assistant Physician H. Archer Berman, M.D., Assistant Physician Martha G. Wilson, M.D., Assistant Physician Evelyn Alpern, M.D., Assistant Physician Hugh Wilson O'Neill, M.D., Assistant Physician Philip F. Hilton, M.D., Assistant Physician Myer Bloom, M.D., Assistant Physician HEADS OF DEPARTMENTS Mr. Arthur E. Reed, Supervisor, Male Department Miss Olive F. Estey, R.N., Principal of School of Nursing Miss Mary H, Holland, Head Social Worker Miss Grace Manning, R.N., Supervisor, Female Department Mr. Samuel A. Clark, Chief Engineer Mr. William Gordon, Head Farmer Mr. Carlton B. Mosher, Foreman Mechanic Miss Gwynne Dresser, Head Occupational Therapist Mr. Adam D Smith, Steward Miss Gladys E. Leach, Treasurer CONSULTING PHYSICIANS S. Chase Tucker, M.D., Surgeon Philip R. Pwyer, M.D., Ophthalmologist John D. Adams, M.D., Orthopedic Surgeon Ralph E, Stotne, M.D., Internist TRUSTEES' REPORT To His Excellency the Governor and the Honorable Council: Regular meetings of the Board have taken place the second Thursday of each month. At these meetings a careful review of all activities are presented by the Superintendent and regular visits are made to the wards. It has been the policy of the Institution to pursue continually a progressive program of upkeep, and thus we find all buildings in a good state of repair. The wards have all been freshly painted and all outside buildings in need have been repainted. Last year we were enabled to report the completion of a new Nurses' Home which was a very much needed and valuable addition. This year it is our pleasaure to report the completion of a new kitchen, dining room for patients, and another for employees. The building is well constructed and food service to the patients and employees will be markedly improved. It will be several months before the equip- P.D. 20 ment can be procured but we are now assured of excellent kitchen and dining room facilities to be operated in cafeteria style. A new officer's cottage also has been completed and will soon be ready for oc- cupancy. Other achievements are the renewal of lighting lines, the installation of an electrical clock system, repair of all roadways and the relocation and replacement of hydrants which were too close to the building. Two wards have been recon- structed with fireproof floors and new linoleum. The medical service has been active in its supervision and care of the patients and a new X-ray machine has been procured which is very satisfactory and also a newly equipped physical therapy department. The staff has cooperated with the courts in the examinations required and has also instituted out-patient clinics in the towns in its district. Again we feel that the patients have been given kindly and efficient care and that the hospital has creditably fulfilled its obligations. / Respectfully submitted, S. Herbert Wilkins, Chairman Mr. W. W. Laws Dr. Arthur C. Nason Mrs. Anna P. Marsh Hon. James F. Ingraham Miss Annie T. Flagg Mr. Albion L. Danforth SUPERINTENDENT'S REPORT To the Board of Trustees of the Danvers State Hospital: The fifty-fourth annual report of the Superintendent for the fiscal year ending November 30, 1931 is respectfully submitted. The clinical reports and statistics relating to patients are for the period including September 30, 1931. Movement of Popularion The hospital year opened on October 1, 1930 with 2,073 patients in the hospital, 287 on visit, 13 on escape, and 14 in Family Care, making a total of 2,392. The year ended on September 30, 1931 with 2,053 patients in the hospital, 245 on visit, 11 on escape, and 13 in Family Care, making a total of 2,322. The number of admissions during the year: 488 male; 372 female; total 860., an increase of 42 over the preceding year. There were 4 voluntary patients admitted during the past year; 3 male, and 1 female; 29 patients were transferred from other institutions; 106 men and 37 women were admitted on temporary care papers; and 73 men and 34 women were admitted on 35-day observation papers, with no other status. First Admissions There were 644 patients admitted to this or any hospital for the first time, which is an increase of 9 over the preceding year. Daily Population The total average population for the year ending September 30, 1931 was 2,035, an increase of 38.4 over last year. There were 3,252 patients treated during the year, as compared with 3,047 in 1930. 295 patients died in the institution during the year, which is 31 more than the preceding year. Dismissals 456 patients were discharged from the institution during the past year; 270 men and 18'6 women. Classified as to their condition on discharge: 62 as recovered; 268 as improved; 40 as unimproved; and 86 as not insane. The figures for the preceding year were as follows: 40 as recovered; 238 as improved; 34 as unim- proved; and 57 as not insane. On September 30, 1931 there were 245 patients on trial visit, in care of friends, or under hospital supervision, as compared with 287 in 1930. Since the organization of the hospital, 30,442 patients have been admitted, and 28,120 discharged. 4 P.D. 20 Medical Administration The following changes in personnel of the Staff occurred during the year: Appointments Dr. Doris M. Sidwell, appointed assistant physician June 20, 1931 Dr. Carol Schwartz, appointed assistant physician August 17, 1931 Dr. H. Archer Berman, appointed assistant physician October 1, 1931 Dr. Charles C. Joyce, appointed assistant physician November 18, 1931 Dr. Henry A. Tadgell, promoted to senior physician October 15, 1931 Dr. Anna M. Allen, promoted to senior physici,an pathologist, November 1, 1931 Resignations Dr. Martha G. Wilson, resigned June 13, 1931 Dr. Evelyn Alpern, resigned July 17, 1931 Dr. Hugh Wilson O'Neill, resigned July 22, 1931 Dr. Philip F. Hilton, transferred to senior physician at the Metropolitan State Hospital, August 31, 1931 Dr. Myer Bloom, resigned November 30, 1931 Clinical Assistants Roland Viger, June 1, to August 2, 1931 Peter Brikiatis, June 15 to September 12, 1931 Francis J. Awdziewicz, June 25 to August 9, 1931 Charles Verstanig, August 11 to September 5, 1931 Medical Service This service has continued to function on the same level as during previous years and no important changes have been made except in personnel. All patients are seen at least twice daily and special ward visits have been continued at frequent intervals at night. There has been a slight rise in the death rate owing to the fact that many of our patients are in their senium on admission. While no epidemics are reported, there has been a large increase in the number of accident cases brought in from the community for first aid treatment. Our consulting physicians and surgeons have continued to serve willingly and promptly when called in consultation and should be highly praised for their in- valuable assistance. I appreciate the interest they have shown and am grateful to them. Hydrotherapy and Physiotherapy Department During the past year the hydrotherapy department has been functioning actively and a large percentage of the total population has received some form of hydro- therapeutic treatment. The system of teaching the new nurses and attendants has continued with the result that after several lessons and practical demonstra- tions they are better equipped to administer the various forms of treatment as prescribed by the physicians. Overactive and disturbed patients respond fairly promptly to the sedative effect of the continuous baths and packs, while marked improvement has been seen in the depressed and underactive types by the adminstration of tonic bath treatments. A summary of a report of this department shows that 764 patients were treated by the application of wet sheet packs. This represents the administration of 16,533 packs or 48,662 hours of treatment. In spite of the fact that there still exists a deficiency of facilities for continuous bath treatment, 388 patients were treated for 16,980 hours. The total number of continuous baths given was 4,433. Tonic bath treatments, which are, by far, one of the most valuable means of stimulation, were prescribed for 514 patients. The total number of tonic baths given were 5,867. During the year two Zoalite Infra-red lamps and one Burdick air cooled mercury arc lamp were installed and have been in constant use since then. While these have been used temporarily in the Female Hydrotherapeutic Suite, more suitable quarters are to be provided for during the coming year. As several new pieces of physiotherapy apparatus have been ordered it is expected that we will soon be equipped to give treatments with diathermy, autocondensation and the Morse sine wave currents.