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Psychoses of voluntary cases:

General paresis, 1 male; alcoholic, 1 female; dementia praecox, 1 male; paranoic conditions, 1 male; unclassified, 1 male and 1 female.

MEDICAL SERVICE

Number of physicians, 2.

Ratio of all physicians to patients, 1 to 3.

Hydrotherapeutic procedures:

Hot and cold packs, drip sheets, hot and cold shower baths, spinal douche, etc.

Laboratory work:

Urinalysis, examinations of blood and sputum, gastric contents.

EMPLOYEES

Employees, 4 males and 7 females.

Ratio of employees to patients, 1 to 1.

Number of graduates of State hospital training schools, 1 female.

IMPROVEMENTS

New heating plant. Papering and painting.

SUMMARY OF THE ANNUAL REPORT OF WEST HILL, LOCATED AT RIVERDALE, NEW YORK CITY

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General arteriosclerosis, 1 male; general paralysis, 1 male.

*Exclusive of transfers.

MEDICAL SERVICE

Number of physicians, 2.

Ratio of all physicians to patients, 1 to 10.33.

Hydrotherapeutic procedures:

Continuous bath, hot and cold packs.

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During the year efforts have been made to interest patients in useful occupations more particularly the dementia praecox cases, three of whom are now actively employed at the farm. We have also had a raffia teacher, and French teacher for a considerable period. Many of the patients have been industriously working for the Belgian societies.

IMPROVEMENTS

During the year the State Hospital Commission granted the institution a license to care for patients at the White Oak Farm, Pawling, N. Y.

CHANGES IN THE MEDICAL STAFF

During the early part of the fiscal year Doctor Baker was away from the sanitarium in Europe. During that time Dr. Herman E. Schorr was on duty.

STATISTICAL REPORT

SUBMITTED BY HORATIO M. POLLOCK, PH.D., STATISTICIAN AND EDITOR

To the State Hospital Commission:

I beg to submit the following statistical report for the year ending September 30, 1914:

To the Bureau of Statistics is assigned the editorial, statistical and exhibit work of the Commission. In addition to the statistics. included in this report, a comprehensive statistical study of 1,739 patients with alcoholic psychoses was completed during the year and published in the State Hospital Bulletin for August, 1914. This study furnishes more complete data concerning cases of alcoholic insanity than is elsewhere available and should prove of value in the treatment and prevention of these diseases.

The need of more data concerning the causes leading up to the alcoholic psychoses has been met by adding to the statistical card used in reporting alcoholic cases the following questions:

At what age did patient become addicted to the use of alcoholic liquors?

What liquors did he drink?

To which was he especially addicted?
Was he a regular or periodic drinker?
What quantity of liquor did he drink?

Did he become intoxicated? If so, how often?

Did his drinking cause him to lose time from his regular occupation? If so, to what extent?

Did his drinking affect his general health? If so, how?
Has he had delirium tremens? If so, how many times?
Other previous attacks of alcoholic insanity?

Did he use morphine, opium or cocaine? If so, which and to what extent?

Was alcohol the principal or a contributory cause of patient's insanity?

Was patient's mental condition the cause of his inebriety?

When a sufficient number of these cards has been received to form the basis of a statistical report a clearer understanding of the etiology of alcoholic insanity should be obtained. It is noteworthy that the number of alcoholic cases admitted annually is

gradually decreasing. Whether this is due to better diagnoses or to the actual lessening of these diseases is uncertain.

Complete tables of race and economic condition of first admissions have this year been made possible by the use of the new statistical card by all the hospitals.

An effort has been made to make the statistics relating to patients as well as those relating to the finances, operations and management of the State hospitals more useful this year than ever before. Comparisons with previous years and summaries of tables are submitted whenever practicable.

During the year the exhibit work received special emphasis owing to the necessity of preparing a suitable exhibit for the Panama-Pacific Exposition. An allotment of $10,000 was made by the State Panama-Pacific Exposition Commission for our exhibit, and Mr. William J. Nolan was employed for a period of six months to assist the statistician in the compilation of statistical data and the preparation of charts and models. The exhibit was well underway at the close of the fiscal year. An outline of the exhibit as planned is given elsewhere in this report. The Bureau also prepared and conducted the Commission's exhibit at the Baltimore meeting of the American Medico-Psychological Association in May, 1914, and the customary exhibit at the State Fair at Syracuse in September, 1914.

The statistics of the year classified under their several departments are herewith submitted.

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