1173 1896. VICTORIA. HOSPITALS FOR THE INSANE. REPORT 011' THlll INSPECTOR OF LUNATIC ASYLUMS FOR THE YEAR ENDED 31sT DECEMBER, 18 9 5. PRESBNTED TO BOTH HOUSES OF PARLIAMENT PURSUANT TO ACT 54 VICT. No. lllS, SECTION 79. ti!} autbotitu: ROBT, S, BRAIN, GOVERNMENT PRINTER, HELBOUBNB, No. 15.-[ls.]_.ll86, APPROXIMATE COST OF REPORT. £ •. d. Preparation-Not giTen. Prilltlng (840 copie•) 12 0 0 1175 REPORT. HosPITALS FOR THE INSANR, Inspector's Office, Melbourne, tst June, 1896. Sm, I do myself the honour to furnish for your information, in complia.nce with the provisions of the Lunacy Act, a Report on the Lunatic Asylunis of Victoria for the year 1895· The numbers and distribution of the insane on 3ISt December, 1895, are shown in the subjoined tabular statement. It will be observed that there were 4,I 51 registered insane persons under official observation on that date, an increase of 35 over the number on 31st December, 1 894· The increase varies annually, and this is the lowest shown in any year since I 88 5, when the number recorded was only 2. The daily average number of patients resident was 3,919, i1S compared with 3, 9 I 2 for the preceding year, being an increase of 1 7. TABLE I.-Showing the Distribution of the Insane on the 31st December, 1895 • - . .. --- MRies. Females. Totai. _...... In the Public Lunatic Asylums at- Yarra Bend ... ... ... ... ... .. 434 367 Sol Kew ... ... ... ... ... .. ... 522 421 943 Kew Idiot Asylum ... ... ... .. ... ... 103 68 171 Ararat ... ... ... ... ... ... .. 380 275 655 Beechworth ... ... ... ... ... ... 373 254 627 Sunbury ... ... ... ... ... ... ... 227 322 549 Ballarat ... ... ... ... ... ... .. 114 98 2IZ Out on probation from- Yarra Bend ... ... ... ... ... .. 14 :Z3 37 Kew ... ... ... ... ... ... ... 36 59 9~ Kew Idiot Asylum ... ... ... ... ... .. 4 :z Ararat ... ... ... ... ... ... ... ... 3 3 Beechworth ... ... ... ... ... .. 3 IO I3 Sunbury ... ... ... ... .. ... ... ... ... ... Ballarat ... ... ... ... ... ... ... .. 5 5 Boarded out from- Yarra Bend ... ... ... .. ... ... .. 3 3 Kew ... ... ... ... ... ... ... 3 9 12 Kew Idiot Asylum ... ... ... ... ... .. 2 I 3 Ararat ... ... ... ... ... ... ... .. 4 4 Beechworth ... ... ... ... ... ... 4 2 6 Sunbury ... ... ... ... ... .. .. 2 I 3 Ballarat ... ... ... ... ... ... ... .. .. ... Total number of registered lunatics on the books of the Public Asylums ... ... ... .. ... 2,221 1,927 4,148 In the lunacy ward at- Castlemaine ... ... ... ... ... ... .. ... ... Bendigo ... ... ... .. ... ... ... z I 3 Geelong ... ... ... ... ... ... ... ... ... ... In licensed house ... ... ... ... ... .. ... ... ... Total number of registered lunatics in the colony ... ... 2.,zz3 t,9z8 4.151 i 4 TABLE H.-Showing the .Admissions, Re-admissions, Discharges, and Deaths in .Asylums during the Year ending 31st December, 1895. -- :Males. Females. Total. Males. Females. Total. In the .Asylums, ISt January, I895 ... ... ... .. z,zos I ,9I I 4,II6 Cases admitted :- First admissions ... ... ... 387 29% 679 Not first admissions ... ... 53 53 106 Total cases admitted during the year ... ... ... .. 440 345 785 Total cases under care during the year ... ... ... .. z,645 z,zs6 4·901 Cases discharged :- Recovered ... ... ... 115 106 ZZI Relieved ... ... ... ... 25 41 66 Not improved ... ... ... 73 68 141 Died ... ... ... ... ... 2II I14 325 Total cases discharged and died during the year ... ... .. 424 329 753 Remaining in the .Asylums, 31st December, 1895 (including those absent on trial and boarded out) ... ... ... ... .. .. z,z2 I I,927 4·148 Average number resident during the year ... ... ... ... z,us 1,804 3·929 Persons under care during the year ... ... ... .. 2,579 2,187 4·766 Persons admitted ... ... ... ... ... ... 374 276 6so Persons recovered ... ... ... ... ... .. I I4 I05 219 Transferred from one .Asylum to another ... ... ... ... 52 67 119 Escaped ... ... ... ... ... ... .. z; I 24 Retaken ... ... ... ... .. ... ... 11 I I2 - TABLE III.-Showing the Previous .Attacks among Persons .Admitted during theY ear I895· Persons. Number of Previous Attacks. Males. Females. Total. Have bad one attack ... .. ... ... ... ... 48 so 98 HaTe had two attacks ... ... ... ... .. ... 7 9 I6 Have had three attacks ... ... ... .. ... ... z 3 5 Have had four attacks ... ... ... ... ... ... J I 2 Have had five attacks ... ... ... ... ... ... ... I I Have had nine attacks ... ... ... ... ... .. I .. I 'faBLE IV.-Showing the Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries per Cent. of the Admissions, for each Year sinee the Ist January, I88z. Discharged, Percentage of Recoveries Percentage of Admitted. Died. Remaining list December I Average Number Deaths on the A:verage in each Y car. ltesldeut. on Admissions. Not Number Resident. Recovered. Relieved. Year. Improved. --~-----;--- -- ~--~ ~ ~- 1-~ ~-~ :!l ~~~,; ~~~ i ~ ..:,;~~,; ~..: :l ~..: .. ~,; ~..:,; ~- o; ~ :s .; ~ ~ ~ -a ~ ~ -a ~ ~ ~ ~ ~ iii ~ ~ .; ~ ~ ~ JJ ~ ~ ~ ~ I _"-__r;;__ _:__r><_i __r;; __ :<l ___ .. ___ r;;_!:_~~~-f'<---r;;-_:__ __... ___ r;;_ :<l [;< :<l _r><__ r;;__ :::; _ ... ___r;;_ I882 2f6 ZI91 465 Il7 I351 Z5Z I3 8 2I '" ••• ••• I38 60 I98 I,73Z l,fi5 3,If7 1,636 , 1,z63 z,899 47'56 6I'6f 54'19 8•43 4'75 6·82 1883 28z 198 480 107 117 \ 224 I I 3 If ... ... ... IfO 49 I89 I,750 I,f43 3,I93 r,64o I,z96 2,936 37'94 59·o9 46·66 8·53 37816·43 r884 298 249 1 547 1 I45 1 145 ! z9o 8 4 12 ... ... ... 142 67 209 I,7+9 1,479 3,228 1,66o 1,338 2,998 48·65 58·23 53'oi 8·55 s·oo 6·97 1885 2 519 14I 131 Z72 93 1 226 I I 7 5 1 12 , .•. , ... , ... 1 x47 1 76 1 223 1 1, 743 1 1,487 13,230 I x,~ 5 sl x,37o 13,030 148·u157'961sz·4o 18·8615'54\7'36 ~ 1886 333 I 262 5951118 1151' 2f3 7 3 1 xo 1· .. 1· .. 1· .. 1 125 1 7f 1 199 I,8x8 1,56o 3,378 1,b94 1,421 3,II5 38·43 43·89 40'84 7'37 P7!6·38 I887 372 I 29o 66z I38 I37 275 6 2 8 1... 1... 1 ... I I 58 I So I 238 I 1,884 I 1,632 I 3.516 I 1,767 I 1,494 l3,z61 137'09147'241 41'541 8'9415'40 l7'3o 1888 267 4 I 8 .... , ... , ... 381 648 171 I36 307 4 127 90 2171 1,9661 I,66613,632 I 1,811 I,5I313'3Zfl44'88150'93147'371 7'01 15'9416'71 1889 401 26f 665 169 126 2 95 56 71 II27 ........... 153 84 237 I,980 1,647 3,627 I 1,882 1,543 3,425 4Z'I4 4-Tn 44•36 8·13 5'44 6·92 I890 438,3II 7+9 I I68 I 126 I 294 j 17 I 2414I 1'"1'''1"'1 16I ,. 103126412,o661 1,70313,7691 1,9541 1,58813,54:t 138'35140'51 139'Z5I8'2416·481 7'45 I891 f27 3 I 8 745 1 I7o 1 137 1 307 1 25 1 16 41 ... ... ... 201 92 293 z,o9o 1,778 3,868 1,993 r,63o 3,623 39·81 43·o8 41·21 Io·o8 5·64 8·o9 1 1892 3991307! 706 IfZ 144 286 20 !22 42 ... ... ..• 181 I102 283 2,136 t,8t8 3,954 z,o45 1,681 !3,726 35'59 46·9o f0'5I 8·85l6·o71 7'59 1893 384 296 68o I53 I02 255 25 fO 65 ••• ••• ... 177194 271 2,I6I 1,877 4,038 2,112 1,748 3,860 39'84 34·46 37'50 8•38 5'3717'02 IS9f 402 I 293 I 695 124 97 2U 21 43 64 ... ... ... 207 'II8 325 2,205 I,911 f,116 2,119 1,793 3,912 30'84 33'1I 3I'80 9'77 6·58 8'31 1895 377 J 2771 654 liS I06 22I 25 41 66 ... ... ... zii 1114 325 2,z21 I I,927 4,14.8 2,125 1,804 3,9z9 30·5o 38•z6 33'79 9'93 16·3zl8·z7 Total ••• 5,033 ,3,777 8,81o 1,988 1,754l3•74z 245 z86 531 ... ... 2,26S)t,2o3 ;,471 - ••-. ••-. --- ..-.- z6,o96!21,482 47,580 'I 1 -~- m;-1~;~"8-6;~~~~ ~...,_ ~ -.....:] 6 TABLE V.-History of Annual Admissions since the of the first Asylum in I S48. 1 A.dmiseious. Numbers;: _I Number per 100 of Admissions. 1 • I Mules. : E'cmales. : Total. Males. Females. Total. Mnles. i Females. I Total. Dischargcd:- I Recovered .•• . .. 4·27S 3,595 J,S73 29'24 34'54 3 1'44 :Relieved... ... ... 563 632 I, I 95 rs 5 6'07 4'77 Not improved ... •. 3,0.p 2,1 SI 5,223 20'79 20'95 2o·S6 Died ... ... .. 4,527 2,075 6,602 3°'94 19'93 26·36 Out on trial and boarded out on 3 Ist December, I S95 ... · ·· 6S 122 190 '46 I '17 '76 1,sos 1 2 1 -s 1 Remaining .. ... ... ~ __._ ..__ .~ ___·_··--1----I·---.----I·---;--- 2,I 53 3·95S 4'7 17'34 5 1 1 i -'· Total ... • .• ti4,63I 10,410 I 25,041 14,631 10,410 25,o.p 100'00 '00 lloo·oo TABLE VI.-Showing the Length of l{esidence iu those Discharged Recovered, and in those who havo Died, during the Year IS95· Recovered, Died. Length of Uesidence. Males~ Females. Total. Males. Females. Totnl. Under I month ... ... ... 3 ... 3 20 4 24 I mont.h and under 3 months ... ... 22 I I 33 IS 10 2S 3 months 6 " , ... ... 25 26 51 15 5 20 6 9 , ... ... 14 16 30 22 4 26 " " 12 ... ... t8 10 8 IS 9 " " I 5 33 I year and under 2 years" ... ... IS 17 35 27 15 42 2 years 3 , ... ... s 9 17 19 12 31 ,, " ... ... 12 21 IS 3 " 5 " 7 5 I 39 5 , 7 ... ... I 2 3 II 5 16 7 " to " ... ... ... .. ... I6 6 2l!. 10 " " I2 " ... ... .. I I 6 2 I 8 I2 " " IS ," ..