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NORTHERN HOSPITAL FOR INSANE-LOGANSPORT.

Dr. Joseph G. Rogers, Superintendent.

Real estate, 293 acres. Capacity, 1,000. On October 31, 1906, the hospital had 935 patients enrolled; 180 were added and 146 withdrawn during the year, leaving the enrollment 969 at the close of the period. Of these, 868 were actually present. There was an increase in the daily average attendance of inmates from 848.6 in 1906, to 859.05 in 1907. The average number of officers and employes for the year was 181.12.

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The per capita cost of maintenance, based on the regular operating expenses and the daily average attendance for the year, amounted to $160.95.

The value of the farm products grown on the institution farm and used during the year is estimated at $9,995.70, or $11.64 per capita, and the cost of producing it at $5,641.39.

The institution has been visited at various times during the year and has invariably been found in good condition. Owing to the state of his health, the superintendent for the past two or three years has not been able to give the hospital the personal inspection it formerly received from him. We are pleased to learn; however, that his health has improved the past year.

The customary repairs and minor improvements have been kept up the past year. The $80,000 appropriated by the Legislature of 1905 for the erection of two cottages, proved insufficient by $8,000,

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and the work on the buildings has in consequence been greatly delayed. The shortage in funds was due, the superintendent says, to the increase in the cost of labor and material since the appropriation was made. Through his contingency fund the Governor wisely came to the relief of the institution, and it is now thought the cottages will be ready for occupany early in the fall. They will add 150 to the hospital's present capacity—-75 men and 75 women-and will fill the requirements of the district for some time to come. The cottage for men is a very interesting structure and will doubtless be of great value to both the patients and the hospital. It is of the type of a farm colony building, having its own kitchen and dining

It is to be occupied by the men patients employed about the farm and the grounds. These buildings have separate heating plants.

The food has been examined at various times and always found good and attractively served. The health of the inmates is generally good. During the year Dr. Adele Russell Emerson retired from the service of the hospital, leaving no woman on its medical staff

EASTERN HOSPITAL FOR INSANE-RICHMOND.

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Dr. S. E. Smith, Superintendent.

Real estate, 323.23 acres. Capacity, 742. Beginning the year with an enrollment of 751 patients, the hospital received 117 additional patients and dismissed 116, making the enrollment at the end of the year 752; and of this number all but 16 were actually present. The daily average attendance of patients decreased from 731.14 in 1906 to 730.17 in 1907. The average attendance of officers and employes for the year was 150.3.

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The per capita cost of maintenance, based on the operating expenses and the daily average attendance for the year, was $161.91. The value of the produce grown on the institution farm and consumed during the year is estimated at $12,398.10, or $16.98 per capita, and the cost of producing it at $5,311.56.

A law passed by the legislature of 1907 enables this hospital to effect a crossing over the Pennsylvania Railroad tracks by condemning a right of way, and with the appropriation of $2,500 which became available April 1st of this year, the work is going forward. The property is in a good state of repair. Every unsatisfactory conditon is promptly reported to the superintendent, and if the matter is urgent, special orders are at once issued for its correction. We have inspected every part of the buildings and have found conditions orderly and clean. The percentage of patients who are given outdoor employment or recreation is notably large. Few. are secluded or restrained. The food is good and is well served, and the quiet of the dining room is noticeable.

The population of the eastern district increases rapidly and the number of insane needing hospital treatment tests the capacity of the hospital to the utmost. The last legislature appropriated $60,000 for additions to the two hospital cottages, to become available October 1, but it will be some time before they can be made ready for occupancy. Meanwhile there are many urgent cases seeking admission.

In our hospitals for the insane we find the two extremes of dormitory and single rooms. Originally ten per cent. of the rooms at the Eastern Hospital were single, but the new construction increases this proportion to 25 per cent. The plans of the new Southeastern Hospital provide for 30 per cent. single rooms. With the insane perhaps more than any other public wards, thorough classification is essential. Consequently a considerable number of single rooms is necessary.

SOUTHERN HOSPITAL FOR INSANE-EVANSVILLE.

Dr. Charles E. Laughlin, Superintendent.

Real estate, 160 acres. Capacity, 664. Number of patients enrolled October 31, 1906, 697; September 30, 1907, 701. The number of patients actually present on the last day of the fiscal year was 651. The average attendance for the year was 655.33, or 11.45 greater than for the preceding year. The average number of officers and employes for the year was 119.36.

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The per capita cost of maintenance, based on the operating expenses and the daily average attendance for the year, was $166.18. The value of the produce grown on the institution farm and used during the year is estimated at $4,363.42, or $6.66 per capita, and the cost of producing it at $769.25.

This year, as last, considerable has been done to put the institution into better physical condition. A new bakery has been erected and an addition to the store room built. The suit brought against the hospital authorities on account of the sewage disposal plant ended in the court deciding it a nuisance. The legislature of 1907 appropriated $13,500 for a new plant and this is in process of construction. The trustees also have under consideration plans for two congregate dining rooms, for which they have an appropriation of $40,000, available October 1, 1907.

On February 1st the laundry was destroyed by fire. The legislature was in session at the time. It responded promptly by making an appropriation of $12,000 for a new building, and the bill was passed under a suspension of the rules. The laundry was built this summer and is now occupied. It is a very good building.

Considerable work has been done the past summer toward the installation of a new heating plant. Three 300 horse-power boilers are being put in. In making these changes the hot water heater was disconnected and since the middle of July the hospital has been without hot water for either bathing or household purposes.

It is to be regretted that the conditions at the Southern Hospital are no better than they are. While from year to year we note improvement in the grounds and the exterior needs of the institution, the organization and administration of the hospital are not

what they should be. Conditions at the time of several visits the past year were very unsatisfactory. We very much wish this hospital could be brought up to a proper standard.

STATE SOLDIERS' HOME-LAFAYETTE.

Col. R. M. Smock, Commandant.

Real estate, 187 acres. Capacity, 875. At the beginning of the year the Home had 1,136 members enrolled. During the year 275 were added to the number enrolled and 229 withdrawn, leaving the enrollment on the last day of the 1907 fiscal year, 1,182. Of these, 786 were present September 30, 1907. The daily average attendance increased from 706 to 749. The attendance of officers and employes for the year averaged 148.25, but of this number 99.25 were members of the Home on salary.

Under the law creating this Home, all honorably discharged soldiers, sailors and marines and their wives and widows, residents of Indiana, are eligible to admission. Under a law enacted in 1905 army nurses may also be received. The State appropriates $12.50 per month for each member, officer and employe for current expenses, and is reimbursed to the extent of $100 a year, allowed by the United States Government for every soldier maintained in a State Home.

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