St. Charles' Certified Institution. Inspected 30th June and 4th November, 1926. (Average number of patients resident during year, 86.5.) The transference of this institution from its former congested quarters in Glasgow to its present location at Carstairs House has resulted in an obvious improvement in the health of the inmates. All the female patients reside in the original Mansion House while the male patients are accommodated in an annexe. The alterations and improvements which have been made in the annexe reflect the highest credit on those who have had the burden of administration. The dormitories are bright and well ventilated, comfortably heated and furnished with beds and bedding of the most approved and modern description. The sanitary arrangements have been made with consideration for the peculiar needs of the patients while the arrangements in the sittingrooms for the education and for the occupation of the patients in their leisure hours meet with complete approbation. The kindly care and thoughtfulness which is expended on the patients has been frequently referred to in previous reports and still meets with warm commendation. St. Joseph's Certified Institution. Inspected 13th May and 30th December, 1926. (Average number of patients resident during year, 47.0). This Roman Catholic institution was found at both visits to be in good order and the children residing in it are in every way comfortably provided for. The inmates looked happy and contented and were all well dressed and clean and tidy in their personal appearance. The majority of the children receive instruction in school, while the others are employed at appropriate tasks either inside or out of doors. The management of the whole institution is carried on with commendable efficiency and with much success. Stoneyetts Certified Institution. Inspected 5th March and 23rd July, 1926. (Average number of patients resident during year, 367-5). In previous reports special reference has been made to the Company of Girl Guides in this institution and it is noted with satisfaction that a Patrol of Boy Scouts has also been formed. This new Patrol was inspected at both visits, and from what was seen it is evident that it will be as successful as the Girl Guides. Healthy occupations and interesting activities of every kind are directed to the welfare and improvement of the patients by a keenly interested management. The varied and well-instructed range of work for the female patients is noteworthy and was demonstrated in an indirect way by the fact that many of the girls in the Company of Girl Guides have proficiency badges in domestic subjects. The boys are chiefly occupied at farm and garden work while a number are of considerable assistance to the tradesmen. The tinsmith's shop, a year after its inception, is turning out a steady supply of wellmade goods which are being sent to other institutions under the management of the District Board. Rug-weaving and mattress making are engaged in by a number of the male patients with marked success. It has been suggested that some form of amusement such, for instance, as gramophones, wireless apparatus, or even a pianoforte, might be introduced into some of the villas, but at the same time it is only fair to state that the general amusements of the patients are numerous and of a high standard. All parts of the institution were found in excellent order in all respects. Waverley Park Certified Institution. Inspected 2nd March and 23rd July, 1926. (Average number of patients resident during year, 80-0.) All the patients in residence in this institution gave evidence in their general appearance of good health and of excellent care as regards food, clothing and attention to their material wellbeing. The new buildings which have been in course of erection were nearing completion at the time of the second visit, and will not only accommodate twenty additional patients, but also give facilities of a modern description in respect of bathing and lavatory accommodation. The school training of those girls who are suitable for instruction is in the hands of most competent and devoted teachers, while the older girls are employed at various domestic duties as well as in the garden. The marked progress which is being made in developing to the fullest extent possible the capabilities of the girls merits warm commendation of the staff in charge of them. Defectives under Guardianship. During the year ended 31st December, 1926, 1 private and 109 aided mental defectives were certified and placed under guardianship (including 16 dealt with by judicial order and 2 by order of the Secretary of State for Scotland), 1 private and 50 aided patients were discharged from guardianship and 22 aided patients died. The following table shows the class and sex of the defectives certified during the year:— The Board notes with interest and satisfaction the development of the Scottish Association of Care Committees and anticipates excellent results from its work. XII.-EXPENDITURE FOR MAINTENANCE OF AIDED The approved expenditure of Local Authorities on the maintenance of aided mental defectives for the year ending 15th May, 1926, was as follows: : For the maintenance of and provision of accommodation for certified aided defectives who were under care for longer or shorter periods during the year in certified institutions and under guardianship, and for other expenses connected with them, a total sum of £121,058 was expended. Of this expenditure £4,042 was recovered from private sources, £160 thereof being in respect of expenditure in previous years on which grant had already been paid, and £58,508 was contributed from Treasury funds in terms of Section 37 of the Mental Deficiency and Lunacy (Scotland) Act, 1913. The net expenditure by Local Authorities was accordingly £58,508. We have the honour to be, SIR, Your most obedient humble Servants, H. ARTHUR ROSE, Chairman. J. R. N. MACPHAIL. HAMILTON C. MARR. A. D. WOOD, Secretary, EDINBURGH, 12th July, 1927. APPENDIX.-TABLE I.* A. † The Population and the proportion of Registered Lunatics. B. The Numbers of Private, Pauper, and Criminal Lunatics, distinguishing between the sexes, and the different modes of disposal of Private and Pauper Lunatics. A B A small number of certified lunatics, inmates of certified institutions, are not included in this Table. †The number of Lunatics is taken at the 1st January of each year. The calculations are made on the Population of the previous year-e.g., the calculations for 1926 are made on the Population for 1925-the Population being that of the middle of the year, as estimated by the Registrar-General. Not registered Lunatics. APPENDIX.-TABLE II. A. Number of Lunatics on Register at 1st January of each year. The numbers placed on, and removed from, the Register, during each year. The excess of Lunatics placed on the Register over the number removed. B. The numbers of Lunatics registered each year, who had never previously been registered. A Number of Lunatics removed B Number of Lunatics registered who had never previously been registered. Percentage Average of Deaths Register at 1st January. Register Recovered, during etc. Died. Total. placed on Register. Private. Pauper. Total. Lunatics on Register during year. 18,418-7 8-5 |