MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1943

Appendix to the Journals of the House of Representatives, 1944 Session I, H-07

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1944 NEW ZEALAND

MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1943

Presented to both Houses of the General Assembly pursuant to Section 78 of the Mental Defectives Act, 1911

The Director-General to the Hon. A. H. Nordmeyer, Minister in Charge of the Department of Mental Hospitals Wellington, 17th March, 1944. Sir,— I have the honour to present the annual report on mental hospitals for the year ending 31st December, 1943. In accordance with the wartime requirements, I am presenting only those statistical tables which are essential to the continuity of departmental records, but there are certain other matters which require brief mention. Shortage of Staff Arising from wartime conditions, we have experienced a shortage of female staff which has rendered it almost impossible to maintain that high standard of care and supervision which psychiatric patients require. The extra work and the inability to have leave at regular periods have imposed upon our nurses a burden which has taxed their health, their patience, and their loyalty, and I cannot speak too highly of the way in which the big majority have measured up to their duty in this regard. The senior officers, the Matrons, Head Attendants, and others have loyally accepted added anxieties and responsibilities to a degree which merits the highest praise. Service Patients Exaggerated reports are heard occasionally as to the number of servicemen admitted to the mental hospitals suffering from psychiatric disorders. The following table shows the position from the commencement of hostilities until the end of last year : —

These numbers are not high, and no doubt a large percentage of those remaining will have recovered before this report is printed. Appreciation My thanks are due to my medical colleagues, and to Mr. Sinclair, Chief Clerk, and other officers at Head Office, for loyal co-operation and assistance during the present very difficult conditions. T. G. Gray, Director-General. Table VIII. —Showing the Admissions, Discharges, and Deaths from Ist January, 1876, to 31st December, 1943 (excluding Transfers) M. F. T. In hospital, 31st December, 1875 .. .. .. .. 482 254 730 Admissions .. .. .. .. .. .. .. 27,003 21,717 48,720 Discharged— M. r. T. 27,485 21,971 49,456 Recovered .. .. .. 9,181 8,421 17,602 Not recovered .. .. 3,199 2,894 6,093 Died .. .. .. .. 10,729 6,910 17,639 — — 23,109 18,225 41,334 Remaining on 31st December, 1943.. .. .. .. 4,376 3,746 8,122

Admitted after Overseas Service. Admitted from Camps, &c., in New Zealand. Admitted .. .. ... .. 110 Admitted .. .. .. 127 Discharged recovered .. .. 49 Discharged recovered .. 59 Discharged not recovered .. .. 13 Discharged not recovered .. .. 17 Died .. .. .. .. .. 2 Died .. .. .. 5 — 64 — 81 Remaining .. .. .. .. 46 Remaining .. .. .. 46

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Table IX. —Summary of Total Admissions: Percentage of Cases since the Year 1876

Table I.— Showing the Admissions, Eeadmissions, Discharges, and Deaths in Mental Hospitals DURING THE YEAR 1943 M. T. T. In mental hospitals, Ist January, 1943 .. .. .. •• 4,383 3,693 8,076 M. F. T. Admitted for the first time .. .. •• •• • • 453 516 969 \ ggo 6 58 1,208 Readmitted 142 23i) f Total under care during the year .. .. .. •• •• 4,933 4,351 9,284 Discharged and died— Recovered .. - ■ • • • • • • • • -- ' Not recovered .. .. •• ■ •• •• ' '19 D ied 281 263 544 557 605 1,162 (Not including transfers : Males, 171 ; females, 62.) Remaining in mental hospitals, 31st December, 1943 .. .. •• •• 4,376 3,746 8,122 Decrease from 31st December, 1942 .. .. •• •• 7 •• •• Increase on 31st December, 1942 .. .. .. • • • • • • • • 46 Average number resident during the year .. .. .. •• •• 4,181 3,513 7,694

Table II. —Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries, etc., per Cent, on the Admissions, during the Year 1943.

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. | Males. | Females. | B6th Sexes. Recovered .. . • • • • • • • 33-40 38 -33 35 • 59 Unrecovered .. .. • • •• •• 11-64 13 -17 12 -32 Dior] . .. .. •• 39-04 31-45 35-67 Remaining !! 15-92 17-05 10-42 100-00 100-00 100-00

Admissions in 1943. Total Number In Mental Hospitals of Mental Hospitals. on Patients 1st January, 1943. Admitted for the Not First Transfers. under Care. First Time. Admissions. _J M F T. M. I'. T, M. F. T, M. F. T. M:. I<\ T. Auckland .. 682 634 1,316 106 113 219 21 34 55 14 17 31 823 798 1,621 Kingseat .. .. 403 325 728 10 11 21 2 3 5 42 3 45 457 342 799 Tokanui 392 616 1,008 32 41 73 7 8 15 9 24 33 440 689 1,129 p orirua 059 376 1,035 127 136 263 24 50 74 10 6 16 820 568 1,388 Nelson .. 581 385 966 59 48 107 3 3 6 33 2 35 676 438 1,114 Hokitika .. 243 279 522 12 6 18 2 2 4 37 .. 37 294 287 581 Christchuroh •• 769 660 1,429 60 101 161 23 23 46 19 8 27 871 792 1,663 Seacliff .. 642 395 1,037 44 51 95 15 19 34 7 2 9 708 467 1,175 Ashburn Hall (private 12 23 35 3 9 12 . . .. 15 32 47 mental hospital) ——— ~~ ' Totals .. 4,383 3,693 8,070 45:1 510 969 97 142 239 171 62 233 5,104 4,414 9,518

Patients Discharged, Transferred, and Died. In Mental Hospitals Mental Hospitals. I _, . , Total discharged, o lotl1 „ "V„. ■,„.,, Discharged Discharged Transferred. Died. transferred, 31st December, 1943. recovered. not recovered. am l ,jied. M F. TV M. V. T. M. F. T. M. 1'. T. M. F. T. M. F. T. Auckland 36 48 84 31 33 64 5 27 32 46 4!) 95 118 157 275 705 641 1,346 Kinmeat ' 4 2 6 2 4 6 9 1 10 19 8 27 34 15 49 423 327 750 Tokanui " 14 23 37 10, 8 18 5 18 23 21 23 44 50 72 122 390 017 1,007 l> orin] „ " 41 79 120 26 19 45 85 3 88 63 65 128 215 166 381 605 402 1,007 " 4 4 8 8 1 9 7 1 8 34 21 55 53 27 80 623 411 1,034 TMritifca, 2 2 8 7 3 10 8 3 11 12 10 22 29 18 47 265 269 534 fihrktohuroh '.'. 20 37 57 33 27 60 46 7 53 43 35 78 142 106 248 729 686 1,415 Ofiaoliff 17 28 45 21 21 42 5 1 6 39 48 87 82 98 180 626 369 995 Lhburn Hall (private . . 3_3 112 4 jl 8- 5 8 13 10 24 34 mental^spito) 138 119 257 171 62 233 281 263 544 728 667 1,395 4,376 3,746 8,122

, „ . Percentage Percentage of Average Sum her of i le( , 0TCrics on Deaths on Average Mental Hospitals. resident during Admissions Number resident tne year. during the Year. during the Year. M. F. T. M. F. T. M. F. T. An-w-nd •■ 639 582 1,221 28-35 32-65 30-66 7-20 8-42 7-78 Br ,„ t .. 426 318 744 33-33 14-29 23-08 4-46 2-52 3-63 TnWiui 377 599 976 35-90 46-94 42-05 5-57 3-84 4-50 p™L, .. 576 356 932 27-15 42-47 35-61 10-9418-2613-73 N,','' .. 590 385 975 6-45 7-84 7-08 5-76 5-45 5-64 TTntirita 257 268 525 14-29 25-00 18-18 4-67 3-73 4-19 rhriitrhurck " -- •• 698 625 1,323 24-10 29-84 27-54 6-16 5-60 5-89 geaoliff .. ..607 356 963 28-81 40-00 34-88 6-4313-48 9-03 Ashburn Hall (private mental hospital) .. 11 24 35 .. .. .. 36-3616-6722-86 Totals.. .. •• •• 4,1813,513 7,694 25-09 33-89 29-88 6-72 7-49 7-07

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Table X.—Showing the Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries per Cent, of the Admissions, for each Year since 1st January, 1896

Excluding transfers between institutions— 3,520 males, 3,019 females.

A pproxvmate Cost of Paper.—Preparation, not given; printing (500 copies), £8.

By Authority: E. V. Paul, Government Printer, Wellington.—l 944. Price 3c?.]

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a J : Discharged. Remaining, Averaee Numbers Percentage i Percentage of Deaths Year. Admitted. I i i Died. 31st December in Sident of Recoveries on I on Average Numbers Recovered. Relieved. Not Improved. each Year. * Admissions. resident. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. 1896 .. 278 159 437 104 70 174 25 16 41 2 1 3 86 32 118 1,390 925 2,315 1,347 882 2,229 37-41 44-02 39-13 6-38 3-63 5-29 1897 .. 284 193 477 102 73 175 17 12 29 10 .. 10 105 43 148 1,440 990 2,430| 1,411 944 2,355 35-92 37-82 36-69 7-44 4-55 6-28 1898 .. 254 212 466 114 110 224 13 23 36 7 1 8 88 60 148 1,472 1,008 2,48oi 1,438 973 2,411 44-88 51-89 48-07 6-12 6-17 6-14 1899 .. 259 199 458 88 99 187 15 19 34 2 1 3 114 43 157 1,512 1,045 2,557 1,487 1,004 2,491 33-98 49-49 40-83 7-67 4-28 6-30 1900 .. 300 202 502 103 96 199 29 10 39 4 4 99 46 145 1,581 1,091 2,672i 1,534 1,049 2,583 34-33 47-54 39-64 6-45 4-38 5-61 1901 .. 320 223 543 125 104 229 20 17 37 2 2 102 72 174 1,654 1,119 2,773 1,622 1,094 2,716 39-06 46-64 42-17 6-29 6-58 6-41 1902 .. 352 192 544 135 99 234 26 15 41 10 9 19 120 55 175 1,715 1,133 2,848 1,671 1,114 2,785: 38-35 51-56 43-01 7-18 4-94 6-28 1903 .. 355 ! 226 581 144 101 245 26 24 50 2 2 129 44 173 1,771 1,188 2,959 1,741 1,160 2,901 40-56 44-69 1 42-17 7-41 3-79 5-96 1904 .. 332 236 568 157 106 263 24 11 35 1 1 120 70 190 1,801 1,237 3,038 1,780 1,198 2,978 47-59 44-91; 46-30 6-74 5-84 6-38 1905 .. 360 j 251 611 149 121 270 29 24 53 147 67 214 1,836 1,276 3,112 1,796 1,232 3,028 41-39 48-21 44-19 8-18 5-44 7-07 1906 .. 395 i 264 659 157 126 283 28 22 50 .. 1 1 146 85 231 1,900 1,306 3,206 1,823 1,265 3,088 39-75 47-73 42-94 8-01 6-71 7-48 1907 .. 359 241 600 160 139 299 22 13 35 168 64 232 1,909 1,331 3,240 1,851 1,285 3,136 44-29 57-68 49-84 9-08 4-98 7-39 1908 .. 426 318 744 180 146 326 9 12 21 1 1 148 74 222 1,997 1,417 3,414 1,894 1,346 3,240 42-25 45-91 43-82 7-81 5-50 6-85 1909 .. 419 297 716 179 170 349 17 11 28 1 1 136 68 204 2,083 1,465 3,548 1,970 1,404 3,374 42-72 57-24 48-74 6-90 4-84 6-00 1910 .. 474 314 788 182 145 327 29 27 56 .. .'. .. 186 97 283 2,160 1,510 3,670 2,028 1,445 3,473 38-40 46-18 41-50 9-17 6-71 8-15 1911 .. 448 317 765 163 168 331 23 16 39 4 2 6 198 105 303 2,220 1,536 3,756 2,105 1,496 3,601 36-38 53-00 43-27 9-41 7-02 8-41 1912 .. 458 381 839 184 141 325 17 44 61 11 5 16 193 87 280 2,273 1,640 3,913 2,146 1,551 3,697 40-17 37-01 38-74 8-99 5-61 7-57 1913 .. 466 318 784 175 162 337 35 48 83 1 5 6 196 111 307 2,332 1,632 3,964 2,252 1,597 3,849 37-55 50-94 42-98 8-70 6-96 7-98 1914 .. 509 359 868 207 162 369 27 29 56 6 9 15 193 88 281 2,408 1,703 4,111 2,309 1,641 3,950 40-67 45-12 42-51 8-36 5-36 7-11 1915 .. 450 361 811 202 157 359 26 32 58 10 11 21 172 112 284 2,448 1,752 4,200 2,391 1,703 4,094 44-89 43-21 44-88 7-19 6-58 6-94 1916 . 518 361 879 160 171 331 35 34 69 7 8 15 209 80 289 2.555 1,820 4.375 2,483 1,768 4,251 30-89 47-37 37-66 8-42 4-52 6-80 1917 .. 470 374 844 171 152 323 32 20 52 6 5 11 205 113 318 2,611 1,904 4,515 2,543 1,825 4,368 36-38 40-64 38-27 8-06 6-19 7-28 1918 .. 437 402 839 142 141 283 17 36 53 12 12 24 274 174 448 2,603 1.943 4,546 2,602 1,899 4,501 32-49 35-07 33-7310-53 9-16 9-95 1919 .. 512 371 883 190 147 337 37 44 81 9 13 22 212 130 342 2,667 1,980 4,647 2,620 1,907 4,527 37-11 39-62 38-17 8-09 6-82 7-55 1920 .. 455 418 873 162 148 310 27 37 64 6 10 16 210 166 376 2,717 2,037 4,754 2,674 1,980 4,654 35-63 35-32 35-51 7-85 8-40 8-08 1921 .. 479 402 881 178 193 371 30 21 51 15 9 24 201 117 318 2,772 2,099 4,871 2,723 2,031 4,754 37-23 47-88 42-11 7-38 5-76 6-69 1922 .. 453 386 839 156 157 313 32 20 52 10 8 18 211 184 395 2,816 2,116 4,932 2,747 2,062 4,809 34-44 40-67 37-31 7-67 8-92 8-21 1923 .. 442 366 808 168 151 319 42 38 80 15 5 20 194 131 325 2,839 2,157 4,996 2,789 2,079 4,868 38-00 41-25 39-48 6-95 6-30 6-67 1924 .. 446 377 823 152 128 280 30 42 72 9 11 20 221 95 316 2,873 2,258 5,131 2,808 2,146 4,953 34-08 33-95 34-02 7-87 4-42 6-37 1925 .. 445 430 875 144 175 319 29 37 66 23 17 40 201 123 324 2,921 2,336 5,257 2,830 2,203 5,033 32-36 40-69 36-45 7-45 5-57 6-43 1926 .. 508 439 947 136 145 281 27 35 62 15 25 40 207 147 354 3,044 2,423 5,467 2,926 2,287 5,213 26-18 30-75 29-67 6-16 6-42 6-77 1927 .. 531 414 945 157 128 285 40 42 82 14 9 23 217 132 349 3,147 2,526 5,673 3,022 2,373 5,395 29-56 30-91 30-16 7-17 5-65 6-47 1928 .. 506 450 956 115 134 249 40 40 80 17 13 30 207 161 368 3,274 2,628 5,902 3,120 2,459 5,579 22-72 29-77 26-04 6-63 6-55 6-59 1929 .. 549 407 956 145 144 289 30 28 58 22 16 38 227 153 380 3,399 2,694 6,093 3,215 2,495 5,710 26-41 35-37 30-23 7-06 6-13 6-65 1930 .. 621 474 1,095 138 128 266 28 34 62 31 23 54 251 172 423 3,572 2,811 6,383 3,342 2,590 5,932 22-22 27-00 24-29 7-51 6-64 7-15 1931 .. 587 476 1,063 127 120 247 29 30 59 29 30 59 221 199 420 3,753 2,908 6,661 3,503 2,696 6,199 21-64 25-21 23-37 6-31 7-39 6-76 1932 .. 587 484 1,071 141 160 301 39 42 81 38 41 79 219 169 388 3,903 2,980 6,883 3,681 2,738 6,419 24-02 33-05 28-10 5-97 6-17 6-06 1933 .. 563 554 1,117 117 144 261 35 27 62 28 22 50 221 124 345 4,065 3,217 7,282 3,809 2,932 6,741 20-78 25-99 23-36 5-80 4-23 5-16 1934 .. 479 504 983 114 146 260 64 72 136 233 203 436 4,133 3,300 7,433 3,899 3,039 6,938 23-80 28-97 26-45 5-98 6-68 6-28 1935 .. 567 502 1,069 117 136 253 72 55 127 229 206 435 4,282 3,405 7,687 4,003 3,111 7,114 20-63 27-09 23-67 5-72 6-62 6-11 1936 .. 553 556 1,109 121 149 270 105 96 201 252 213 465 4,357 3,503 7,860 4,093 3,195 7,288 21-88 26-80 26-76 6-18 6-66 6-38 1937 .. 557 567 1,124 180 179 359 121 110 231 261 236 497 4,352 3,545 7,897 4,112 3,272 7,384 32-32 31-57 31-94 6-35 7-21 6-73 1938 .. 527 575 1,102 170 210 380 140 135 275 273 274 347 4,296 3,501 7,797 4,129 3,287 7,416 32-26 36-52 34-48 6-61 8-33 7-38 1939 .. 603 595 1,198 147 181 328 132 125 257 .. .. .. 251 209 460 4,369 3,581 7,950 4,106 3,320 7,426 24-38 30-42 27-38 6-11 6-30 6-19 1940 .. 553 595 1,148 153 188 341 135 95 230 281 215 496 4,353 3,678 8,031 4,168 3,422 7,590 27-67 31-60 29-70 6-74 6 28 6-53 1941 .. 605 637 1,242 128 186 314 130 130 260 297 260 557 4,404 3,738 8,142 4,192 3,474 7,666 21-12 29-09 25-20 7-08 7-48 7-27 1942 .. 563 648 1,211 146 197 343 126 152 278 313 343 656 4,383 3,693 8,076 4,189 3,498 7,687 25-09 30-56 28-41 7-47 9-81 8-53 1943 .. 550 658 1,208 138 223 361 138 119 257 281 263 544 4,376 3,746 8,122 4,181 3,513 7,694 25-09 33-89 29-88 6-72 7-49 7-07 27,00221,71848,7209,181 8,421 17,6023,200 2,893 6,093 10,7296,910 17,639