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Yet I believe your Honorable Board would be justified in using any money in the hands of the Treasurer to complete this important work. In this connection, I will also call your attention to the necessity of constructing a dumb waiter for conveying the food to wards one and two, in the rear center building. At present it is necessary to carry it to these wards by hand, which is liable to be dropped upon the floors at any time, and is not only inconvenient, but untidy.
Three additional water tanks, put up since our last report, are of great importance; they add eleven thousand gallons to the storage capacity in the hospital, and have been a comfort and security in the event of fires. On this question of fires, however, I am not yet satisfied that all has been done that prudence would seem to dictate. It should, at least, be looked into by the Board, and such recommendations made as may be deemed proper. A fire engine has been suggested by some observers, while larger pipes, connected with the main supply pipe, is thought best by others.
The expenditure of $12,000 for the purchase of the Coombs' tract of 402-13% acres, for the use of the Asylum, was a more judicious investment than was supposed by many at the time the appropriation was made. The land is far better than I supposed, for agricultural, grazing and fruit growing purposes. The 5000 vines and few fruit trees upon the place, are bearing well this season, and will contribute largely to the gratification, and probably to the health of the patients. Lands are being cleared up on that tract for additional vines to be set out next year, and a few acres should also be planted with the pear and other fruit trees. It should not only be our policy to raise all the fruit that can be judiciously consumed during the season, but also enough to dry, or otherwise preserve for use during the winter months.
THE COTTAGE SYSTEM.
The small house on this tract is now occupied by an attendant and four patients, who have cultivated the vines and fruit trees now upon the place; they are also cultivating a few vegetables for the Asylum, and are clearing lands for additional vines and fruit trees next season. We have thus taken the initiative step in the establishment of the cottage system, so much commended by some writers. If the house was more commodious, twenty patients could be kept and and employed on this place as well as four.
A similar colony might be established by building a suitable house on the Spencer tract. It would be still better, if the houses were of sufficient capacity to accommodate fifty or sixty patients each, to be looked after and directed by three attendants to each building.
It must be borne in mind that this is not the system in vogue at Gheel in Belgium, and in some portions of Scotland. There, persons leet living in the vicinity of the Asylums are induced to take from one to four-never more-patients in their families, and are paid a franc or a shilling per day for boarding and taking care of them, while vay here, the State pays all the expenses of maintenance, and derives
such benefits from their labor as it may be worth by way of aiding in their own support. It is more like the colony "Fitz James," at Clermont in France, than that at Gheel in Belgium, the latter system being entirely impracticable in this country.
STABLE, BARN, AND COW SHEDS.
A stable and hay barn, a cow house and straw shed, are the essentials of every well regulated farm, and should have been built long ago. We need them badly.
The entire farm should be inclosed with a good, substantial fence, and some partition fences are absolutely necessary to separate the cultivated from the pasture lands. Those originally upon the place were built in the most unfarmlike manner, and most of them are falling down from decay.
Many of the wards are sadly in need of a coat or two of paint, not only to prevent the absorption of effluvia, but to render them neater and more attractive in appearance. In addition to this, the outer walls of the south side of the building where exposed to the driving rains of Winter, should be painted; especially is this necessary with the Frear stone coping and trimmings over the windows, and at the ends of the corridors. The sum of $3,000 could be most advantageously expended for this purpose.
LODGE AND GATE.
A neat lodge has been erected for a gatekeeper at the entrance to the avenue. It was mostly constructed from material on the place, and the labor of the patients. Its costs was $300, about half what it would have cost if built by hired labor and of new material. It is f called the "Soldiers' Home," as a patient, Peter Menges, a veteran of i the Mexican war, has taken up his residence there, and makes an attentive and efficient gatekeeper. He asks the Board to erect a liberty pole and furnish a flag to be used on all appropriate occasions.r The erection of this house has furnished room for an additional patient in the Asylum. A light iron fence should be put up across the avenue, and a tasteful gate constructed to correspond.
The reports of the Steward contain itemized accounts of articles B purchased and consumed during the fiscal years ending June 30, 1881, al and June 30, 1882. They also show the cost of the different depart 0 ments; a monthly statement of the average number of patients daily; average daily expenses; average cost per capita per day, and average cost per month; the aggregate disbursements; and the products of the farm, garden, and dairy. To these tables, Appendices "A" and "B," I invite your special attention; they exhibit, in condensed form, all that pertains to the economical and financial man-bo agement of the institution.
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The per capita expense for the first year, comprised in this report, was forty-two cents per day; that for the last fiscal year, was fortyone cents per day. This remarkably low figure could not have been reached except for the products of the farm, garden, and dairy, which were the fruits of labor mostly done by the patients. Our the male working ward contains about eighty men, who work in various uilt capacities, from four to six hours a day. About half this number of females work in the sewing room and laundry, and deserve great credit for the cheerful manner in which they do their work. These are the best wards in the Asylum; have more liberal and varied diet, and furnish the greatest number of discharges. Thus, while they nce, are helping to support themselves, they are benefited in return. the With these facts before you, my estimate at forty-one cents per capita lace per day, for the appropriation for maintenance for the next two years, must be considered reasonable, and I trust will require no urging to obtain it from the next Legislature. It has cost the State forty-one cents a day for each patient maintained in this Asylum. during the last two years, and will cost as much in the years to come. not It is much less than it costs in nine tenths of the Asylums in other ater States, and yet I believe they are as well cared for as in similar instiiter tutions in the older States or older countries.
DAILY PER CAPITA EXPENSE.
OTHER EXPENDITURES AND INCOME.
In addition to the sum expended for maintenance, $18,407 07 has been expended during the two years under consideration for various other purposes. At the end of the two years the number of patients was 333 more than at the beginning, and $11,249 30 was required to procure furniture for their accommodation. The sum of $3,353 72 was required to pay interest from July to February of each year, when there was no money in the State treasury to cash our warrants; $595 for the purchase of additional cows; $170 for a horse, and $138 90 t is for farming implements and other miscellaneous articles, and $2,000 n of in purchasing trees, shrubs, and flowering plants, water pipe, hose and an sprinklers for the grounds, the erection of a lodge for the gate-keeper, et aand other purposes. On the other hand, the sum of $16,888 90 was ons. received for the board of pay patients, and $2,343 from the Steward's mal sales, being an excess over the extraordinary expenses of $823 28.
The medical treatment of the patients is conducted on the same general principles set forth in my previous reports to your Honorable cles Board, while every effort has been made to occupy, employ, amuse 881, and entertain them, with the view of diverting the mind from gloomy art or distracting thoughts. In my report of 1880 I said:
TREATMENT OF PATIENTS.
Our patients have done a great deal of work, though employed only four hours a day, and many of them seem as much interested in the improvements going on as if the place belonged to them.
But it is not alone upon the grounds that the patients have lent us a helping hand, since by their labor the vegetables are cultured and raised. It is by their help too that most of the work in the laundry and sewing room is done. They aid, too, in the kitchen and bakery, in the boiler house and carpenter shop, in taking care of the horses and milking the cows, in taking
care of the pigs and poultry, and in many and divers ways assist in doing work on the wards.
Believing in the correctness and utility of the foregoing principles, as applied to the moral treatment of the insane, and with a sincere desire to relieve the distress of the unfortunate persons committed to my care, and feeling that I was justified in any reasonable expendi ture in the procurement of beneficial results, I ordered the purchase of an army printing press and some second-hand type, that the minds of some printers among the patients might be pleasantly occupied, and their time employed. In my travels in Europe I visited one asylum at Aversa, Italy, and another at York, in England, where occasional issues of newspapers were published by the patients with good results. There is also one at the Alabama Asylum, at Tusca-i loosa, and another in the Lunatic Asylum on Ward's Island, New York. They have all been commended by those in charge of those institutions, and I can add my testimony to the beneficial results obtained here. One of the editors has recovered, and is now doing business for himself; and others have, at least, been made happy while engaged in writing for the Asylum Appeal, or in setting the type. In addition to this, nearly all the papers in the State generously exchanged with the little "crank" organ, and the result was, I more reading matter for the patients than ever before known. Many g of these exchanges still come to us, notwithstanding the suspension of the publication of the Asylum Appeal, which has been compelled to give up its publication room, in consequence of the crowded condition of the house. Yet I hope to be able to find, in garret or cellar, p some nook or corner where the little foundling may be brought to n light again. Its cost was $185.
I cannot close this report without expressing, in the warmest terms, b my gratitude and thanks to our generous friends in the executive M and legislative departments of the State government, who procured G for us an appropriation for an additional water supply for this Asy G lum. I am thankful to the Board for the judicious manner in which E these funds were expended, under the wise counsel of H. Schussler R and Mr. Chabot, and other distinguished engineers, who generously G gave us the benefit of their knowledge and experience without charge to the State. I thank God for the purity and abundance of this fo water, which has added so much to the comfort and safety of the H Asylum, and to the beauty of the grounds. Green lawns and beau M tiful shrubs, like the oasis in the desert, add their charms to the 0 scene; while the sweet odors of lovely flowers perfume the air, and ar in silent eloquence express their praise. In the expressive language m of Governor Perkins, when he saw the success of the enterprise, B "You have struck a bonanza!" and we are all happy with the result B A sprinkling wagon is still needed to keep down the dust on the gi
ards. do to
drives about the house and grounds, and I will ask that one be furnished for the next dry season.
For maintaining 1,235 patients during the thirty-fifth fiscal year, at 41 cents per
For maintaining 1,360 patients during the thirty-sixth fiscal year, at 41 cents per
$388,341 75 40,000 00
These expenditures, aside from the maintenance fund, would enavith ble us to take care of 120 additional patients, or a little less than the increase for one year. Should no arrangement be made for the New establishment of an Asylum for San Francisco, then $30,000 should lose be appropriated for erecting buildings for the accommodation of ults each one hundred patients to be cared for on these premises.
3,000 00 2,000 00 1,000 00
We are under renewed obligations to Rev. W. Leacock, Rev. A. J. Wells, Rev. V. A. Lewis and others who have favored us with reliany gious service in our chapel. Also to Rev. Father Slattery for his sion frequent visits and for the interest he has manifested in the affairs lled of the Asylum.
The Wyman Dramatic Company and the local dramatic comllar, panies of Napa have each favored us with one of their entertaint to ments. The manager of Robinson's circus extended an invitation to as many of the patients, as could do so, to attend an afternoon performance of the circus at Napa, and quite a number enjoyed the privilege.
We are under obligations to the following persons for donations of rms, books, papers, etc., viz.: Dr. B. Shurtleff, Henry Brown, Close & itive Mount, Mrs. J. A. McClelland, Miss Augusta Stevens, E. E. Pogue, ured G. T. Smith, R. H. Sterling, J. S. Howard, West Bros., Rev. E. De Asy Geller, S. L. Haas, J. De Boom, Dr. S. C. Brown, A. W. Robinson, B. hich E. Hunt, S. E. Holden, William Sharp and others, of Napa; J. M. ssler Rathchild and Mrs. J. W. Stowe, of San Francisco; and George A. usly Goodell, of Haywards.
arge Our thanks are due, and hereby tendered, to the publishers of the this following newspapers, for copies of the same, viz.: Commercial the Herald, Woman's Herald of Industry, Grocer and County Merchant, Deau Monitor, The Occident, California Staats Zeitung, New Age, Hebrew the Observer, California Christian Advocate, Chronicle, Call, Mining and and Scientific Press, Pacific Rural Press, Vanity Fair and the Geruage man Post, of San Francisco; the Press and Independent, of Santa >rise, Barbara; Democrat, Nevada, Missouri; The Occident and The sult Berkeleyan, of Berkeley; Gazette, Galt; Mining News, Nevada; Virthe ginia Chronicle, Nevada; California Post, Herald and Weekly Mir