83 __ ] 1894. VICTORIA. HOSPITALS FOR THE INSANE. REPORT Oll TRE INSPECTOR o·F LUNATIC ASYLUI\18 FOH THE YEAR E~DED 3h;T DECE:YIDER, 18 9 3. -------···-~ l~HRSENTED TO BOTH IIO"CSES OF l'ARLIAMENT PURSUANT TO ACT !i4 VICT. No. 1113, S1WTION 79. ROBT. S. BRAIN, GOVERNMENT PRINTER, liiELBOURNEo No. IH.-(Is.J-5002. - I~ .APPROXIMATE COST OF REPORT. £ s. d. Prepnrat!on-Xot given. l'rlntlng (840 coples) 13 0 0 REPORT. I-J OSPITALS FOR THE INSANE, Inspector's Office, Melbourne, 31st May, I894· Sm, I have the honour, in accordance with the requirements of the Lunacy Act, to report on the Lunatic Asylums of Victoria, as follows :- In Table I. will be found the number and distribution of the insane throughout the Asylums on 3 Ist December, I 893. During the year an increase of 84 has been recorded in the number of registered lunatics, the figures being 4,042 at the end of I 893, as compared with 3,958 at the close of the preceding year. The increase corresponds closely with the increase of the previous year, when the names of 8 7 patients were added to the registers. The daily average number of patients resident was 3,86o, as compared with 3, 72 6 in I 892, or an increase of 1 34· TABU; I.-Showing the Distribution of the Insane on 31st December, 1893· i Males. Females, Total. ! In the Public Lunatic Asylums at­ Yarra Bend 4°3 367 no ICew 475 445 920 Kew Idiot Asylum 89 55 144 Ararat 399 280 679 Beech worth 390 265 6ss Sunbury ... 2.39 267 506 Ballarat 95 Sr I76 Out on probation from­ Yn.rra Bend I6 J9 35 Kew 34 6s 99 Kew Idiot Asylum I I z Ararat 3 9 12 neechworth 6 6 I2 Sunbmy ... 2 Ballarat Boarded out frorn­ Yarra Bend 3 3 Kew 3 f 7 Kew Idiot Asylum Ararat 6 7 Beech worth 3 4 Sunbury ... 3 2 5 Ballarat Total number of registered lunatics on the books of the Public Asylums 2,161 I,s77 In the lunacy ward at- Bendigo 2 Geelong ... I In licensed house I Total number of registered lunatics in the colony I,88I AZ 4 TABLE H.-Showing the Admissions, Re-admission~, Discharges, and Deaths during the Year ending 31st December, 1893, in the Public Lunatic Asylums. -- JIIales. Females. Total. Males. Females. Total. 1--- • In the Asylums, Ist January, 1893 ... ... ... ... 2,136 1,8 I 8 3.954 Cases admitted :- J?irst admissions ... ... ... 48I 369 850 Not first admissions ... ... 62 H 106 Total cases admitted during the year ... ... ... ... 5,43 4I3 956 Total cases under care during the year ... ... ... ... z,679 z,z3 I ·h910 Cases discharged :- Recovered ... ... ... 153 IOZ 255 Relieved .. .. ... ... 25 40 6s Not improved ... ... ... 163 118 281 Died ••. ... ... ... ... 177 94 Z7I Total cases discharged and died dming the year ... ... ... SI8 354 87z Remaining in the Asylums, 31st December, 1893 (including patients on leave and boarded out) ... ... ... 2,161 I,877 ... .. ... ' 4·038 Average number resident during the year ... ... ... ... z,I I 2 1,748 3,86o Persons under care during the year ... ... ... ... 2,518 2, I 10 4,6z8 Persons admitted ... ... ... ... ... ... 382 Z9Z 674 Persons recovered ... ... ... ... ... ... I 51 IOZ 253 Transferred from one asylum to another ... ... ... ... 14I I I I 25Z Escaped ... ... ... ... ... ... ... 22 7 Z9 Retaken ... ... , .. ... ... ... ... I8 6 Z4 ~ TABLE III.-t::!howing the Previous Attacks among Persons Admitted during the Year I 893 to the Public Lunatic Asylums. Persons. Number of Previous Attacks. -~------ - ll1ales. FemoJes. Total. Have had one attack ... ... ... .. ... ... 46 33 79 Have had two attacks ... ... ... ... ... 7 8 IS Have had three attacks ... ., ... ... ,. ... 4 7 11 Have had five attacks ... .. ... ... ... ... I I z Have had six attacks ... ... .. ... ... .. I I 2 ~--- TABLE IV.-Showing the Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries per Cent. of the Admissions, for ~ !882. Discharged. Averag-e Number Percentage of Recoveries Remaining jist Decem Iter on Admissions. Died. in each Yeo.r. I Uod~lDnf Admitted. I Year. I I m 00 I m.. "' .... .. ~ ~ "ii ; 2l -;;" E '" lli " 3 'i! s 0 ~ 30 d"' § 0 " ~ ~ I s d ~ " I'< iii ~ I I'< I ~ s ~ " ~ iii I'< iii "' I I'< I ! "'"' I'< "' "' - "" 54"I91 c I 6·82 I 2,899 ·64 8·.<L~ ... I3ii 198 I,732 I,4I 5 g,If7 I,636 ,263 I882 ... 246 2I9 f65 I I 7 I35 252 '3 8 2I 2,936 46·66 s·s 3 6·43 lfO I89 1,7SO I,f43 3· I93 1,640 I,296 I883 282 I98 f80 I07 II7 22f II 3 If ... s·oo 6·97 ... I I,66o 1,3 3 8 2,998 IfS S3'0I 8·s 5 I2 ... 142 209 I,7f9 I,f79 3,228 1884 ... 298 249 547 IfS IfS 290 8 + 8·86 7'36 Q1 I,6 1,370 3,030 f8'I2 57'96 52'f0 s· 5+ I2 ... ... .. If7 76 223 I,7f3 I,f87 3,230 ss 293 226 5 I9 If I I 3 I 272 7 5 1 7'17 P7 1 6·38 r,69f I,f2 [ ~TT" 28·A~ 4_~'80 4.0'84 IO ... ..... 125 74 199 I,8 I8 I,s6o 3.378 r886 ... 333 262 595 !28 I I 5 2f3 7 3 ~ 8 ... ... 158 8o 238 1,88-t- i I,632 3,516 I,767 I I,f94 I887 ... 372 290 662 138 I37 275 6 z ... ... ... 127 2I7 1,966 1,666 3,632 1,81 I I 1,513 I888 ... 38I 267 648 171 136 307 f + 8 ... 90 1,980 1,647 3,627 1,882 I 1,543 fOI 26f 66s 169 !26 295 s6 71 127 ... ... ... 153 8f 237 ... 161 103 264 2,o66 1,703 3.769 1·954 1,;88 1890 ... 438 3fl 7f9 168 126 29f 17 2f fl ..... g,868 1 1,630 ... ... ... 201 92 293 2,090 1,778 ·993 1891 ... f27 318 745 170 137 307 25 16 fl 2,0f5 1,681 20 22 ... 283 2,136 I ,818 3.95f 1892 ... 399 3°7 706 1f2 14f 286 f2 181 II02 27! 2,16 [ 1,877 f,038 38f 296 68o I 153 102 255 2' 40 6~ ... 177 94 1- Totals and Averages . CO Ol 6... 6 TABLE V.-Slwwiug the History of the Annual Admissions since the opening of the first Asylum in I 84-8. I Admissions. Number. Number per xoo of Admissions. Mules. }'emales./ Total. &ales. Females. Total. Males. Females.] Total, Discharged:- R ecovered ... ... ... ... ... f,Q39 3·392 • 7.431 29'48 35'QQ 31'77 R elieved ... ... ... ... .. .. 517 548 I,Q6s 3'77 5·66 4'55 N.,. ot improved ... ... ... .. .. 2,874 2,Q3Q: 4·9Q4 20'98 2Q'95 2Q'97 D ied ... ... ... ... ... ... f,IQ9 I,8fJ 5·95 2 29'99 I9'Q2 25'45 On pr obation and boarded out 3 Ist De eember, 1893 ... ... ... ... .. 71 II7 I88 '52 I '2 I ! ·So Rem a ining in the lunatic asylums : on 31st December, I893 ... l ... ... ... 2,090 1,760 3,85o I5'261~ I6•t6 i ------- Total ... ••. I J3,700 I 9,69Q i 23,390 I 3,700 9,69o I 23,390 I OQ'OO \I oo·oo II oO'QO - ·····------.. -~ TABLE VI.-Showing the Length of Residence in those Discharged Recovered, and in those who have Died, during the Year I893· . RecoYet'ed • Died. Len11th ol I!esideuce. Males. Total. Males. li''emales. Total. Under I month ... ... ... IQ I7 J6 7 2.3 I month and under 3 months ... ... 32 49 ZI 8 29 3 months , 6 ... ... 37 54 19 7 z6 6 9 " ... ... 22 42 I6 7 23 " " I2 ,," ... ... 18 6 I8 9 " " 32 I:Z I year and under 2 years ... ... 24 4I 25 8 33 2 years ... ... 2.2 " 3 " 5 7 I 3 9 3 , 5 ... ... 3 8 7 8 IS " " ... I 5 " " 7 ... 2 9 5 I4 7 IO " ... ... ... 2 4 6 IQ IO " " I2 " ... ... ... 2 I " " .. 3 I2 I 5 " ... ... ... .. 4 IQ If I5 " " 2Q " ... " .. ... ... IO 5 IS 20 " 25 " ... ... I I 9 3 IZ 25 " " 30 " ... ... ... 2 " " " ... 7 9 30 " " 35 " ... ... ... ... 2 2 4 35 " " 40 " ... ... ... ... I ... l Total ... ... ... I)3 255 I77 94 271 TABLE VII.-Showing in Quinquennial Periods the of those Admitted, Recovered, and Died during the Year 1893, and of those 1st December, I The Deaths. Ages. Males. Total. Under 5 yenrs ... I I 5 years .and nnder IQ years 4- 5 2 I 3 13 z6 IO 2 22 " IS 4 13 Z3 45 IS 2.0 ," I3 z6 5 IQ IS 2 4 6g 57 126 20 ", 6o 18 128 86 25 " I Of I 5 33 3 9 214 25 ,, 30 , 6s Il2 24 17 41 5 l I 192 I7Q 362 3Q , 35 , 74 55 I29 19 II 30 I7 3 20 23I I8f 415 35 fQ 44 35 79 I6 9 25 I3 6 19 I7I 175 346 40 ," " ,j-8 72 12 s 8 I6 IOI 161 2 45 " 24 5 17 35 45 , so 2S 19 47 9 IO 19 II 4 I 5 If34 IS3 367 , " IO 22 2 so 55 " 37 38 75 7 I7 I 3 9 2I5 214 4 9 55 , 6Q , 3+ 34 68 6 3 I8 2 20 221 I6z 383 6Q 9 " 65 " 46 25 7I 14 4 I8 26 13 39 155 12.3 278 6s 70 I8 I 2 30 4 4 I 5 12. Z7 75 69 IH 7Q " ," 18 " 75 I7 35 4 z 6 I 3 8 2I 33 41 74 75 8o , If z I6 I 3 4 I7 3Q 22 52 So " 8 6 12 I Z ss " 4 4 5 24 ss " 90 3 2 2 IO 4 14 90 " lOO " I Unkuowll " " IQ 7 17 208 178 386 I Total I I77 I 7 TABLE VIII.-Return of Patients on Probation Juring 1893.