STATE OF NEVADA

REPORT OF SUPERINTENDENT

OF THE

Nevada Hospital for Mental Diseases

1929=1930

. G. R. SMITIL M.D., Superintendent

CARSON CITY. NEVADA

STATE PRINTING OFFICE • JOE FARNSWORTH. SUP£RINTENDENT

1931

•

t j' •

~ y' ~ ... ', ~ .. :

LETTER OF TRANSMITTAL

CARSO::-O CITY, XEVADA, .Tanuary 1, 1931.

Ho::-o. F. B. BALZAR, (fOl'er1l0r of Nevada. Dear Hir: I haye the honor herewith to transmit the report of the

Huperilltendent of the ~eyada Hospital for Jlental Diseases at Reno, ~f"'ada, for the years 1929 and 1930.

Yours respectfully, GEO. L. PETTYCRE\V,

Sec1'eta1"Y Board of (!otlttiiissione,'s fQt· Cat'e ·of I'1Ulige1~t Insane.

REPORT OF THE SUPERINTE.;.'iDENT

']'0 the IlonfP/'oble Board of Commissiollei'~ fur tIte ('Me of the Indigent Tns(1lle, Cro'8ml C itJj, X c,,'(/(1a,

GEXTLK\1EN: I am privileged to suhmit 11f'rewith, as; provided l)y statute, report of this institution for the bif:'1miurtl 1929-19RO.

During tile past two years many impl"I)"f:'mems have u('{'n made, Repair, replacement, and new building have ~n extensive and have resulted in a pleasiu!! change in appearance, with satisfactol'Y opera­tion of the several departments,

The remoddilJg \,f thi' ~;ld m!li!~ hnilrlillg ha,., be(~n cmnp'iet('(l and It has been reduced from three stm'ies to two, 'fhi;; lUlit nOW provides {luarters in the west half for employees and ('mplorees' dining rooms, while the lower floor of the em;t half fl1rHi~hes rooms for twent~'-fh;e male patients who '\'ork in the kitd1en, laundry, and on the farm. 'rite second floor of the cast half was not fini"hed a!' it did not appear at til(' time that. the additional room ,,'onld he lH'~Uetl. The north wing was reduced to one stOlT and rebuilt into hakf>I"v and comrn.is.<;al"v. In !t" hasement space are two lal")!e cold,stol"a;!!' room.". •

.A )Jew kitchen was 1miit with high eeilill~ and ero,,;; w'ntilatioll at 1 Ill' top, )leat room and food room open off the kitehen and are refril!' (,I'afed, together with basement cold storag". by Fl'igitlaire installation,

Thr kitchen and bakery haw been fitted throul!hout with new equip­lHPJlt.

The electrical work provided for by sppci1Jl approprintion ·was done, 'Phis nccessitated t1w huilding of laq!e drainerl )]lanholes replacin~ small pull boxes, and installation of new ... wite1ws on a switchl)oard llllflPI' lock in thc basement of the north "'ing' of the remodeled main huilding, .

Xf'W tmllsformers were installed bv the ~ie\"ra Pacific Power Com­pany, aud will be maintained by tl\f'II;,

)\rw roofs haw 1wen placed Oil the stolle hou!;(', laundry and the womrn's building,

'l'lte hmndry haf; hel>11 efjniPlwtl with a lW\" Troy washer and lanndry 1n1)8. The floor was raisecl alld drains laii! whieh leave the floor dry. A lIew conc1'etr floor ''liaS laid in thr. l111l11g-le room.

'l'he interior of ('-\Yard huilding waH rpl'ainted and additional haths wen~ illstallerl. This bnillling 1I0W provid!'s ac(~)mmodations for forty­fivp women patients. The two women's wards in "~\" building have hepll repainted ill }lal't,

'I'he old 11igh })1"(';';8111'p boi1('r has lwell l"l'fittf'll with Hew tubes and additiolls han~ hel.'1i macl!' to thp heati1W plant,

COllet'etc walln; have 1)('('11 laifl IIJ1(l Hrp a great improvement. A continuing incfPase in admis!liolls }HlS made TlI'W demanils on the

irlstiintiol1, Admi,;sioll!l havr increafwd frl)m 72 in ]927 to 106 in 19:10, mId th(' averagp daily popnlatioll from 224 in 1927 to :?R6 in 1930, Onr ('stimates of lwl'fls for the IH'xt two years al'!' hase<1 011 the drJllunds of the yell]" lnst past, and additional al}prOlwiatiolls for maintenance wHl be l'equil'ed.

-! REPOR'l' OF' ::\"EVAD,\ HOSPITAL TOll }[E::\"TAL J>ISEASES

EX)lcetrd acti"iti£'s in parts of tllf' State will probably aud greatly to (1111' ('xpclIse in tnlllsportatioll of patiellts.

'l'lif'l'f! is need for additional amI replaeement cquiplrH:lJt jn the lmlll(ln-.

\\'f'~rill l'f>Cluil'(' Hw ward Oll tlw H"(;ond fio(H' of tlU" wOnJr'll's bllild­iuf.!" fiJ[' allY ilJr~I'e<ls~" in the number (Ii WflDWU ]latients. 'fhi..; ward 1nllst hayp. pllUill)ill!! rcpairs, paillting and floors covered with liuoleum oofore itCClIl m' user!'

'I'llf're is a preScllt need for udditionl1llipace for men pal ient;;. ,\~ e have about thirty patient;; iu eXef'HS of (;apaeily without ovcl'erO\nlill1!, \\' e ask. therefol'f'. that the srcoml1io{J[' of tlw i~ast half of the old main building be finis,bed to provide (Juart{~rs for about thirt~'-five male pat i(·lIts. Elitimat(~s are that this can J,.~ dune (llJ(I the ward furnj"h·:rl i'w ;;;::!.'i,OOO.

fl'lIp j!~r.!· "_J:~~ed !~:::-'l;itfd i;Opilla~ i,,;"j, h'i.-..i (}It.:: :i,i uv i~i(JJJ!i or the ia\v as \0 Yaeatiolls. mahr:,~ additional attf-urlants lwcessary. On1' pn'wllt quota of att':lHlauts, a propoJ'tioll of one to twenty patients, j" still i'm- jH'low rccogllizpd n'IJHil'('nH~Ilt;;, ()ne iw;titution for the care of the insane mai Iltaino::cl by public fUlId" n'pOIts a ratio of Olle attend­md 10 six patiP]ltS.

'I'llC' aduNI alJJouut of '\Vork ll1ake,~ the employment of a fnll-tlflJe )il('flical assistant de;;irablt· ill place of the present part-time arrange­lIJPnt.

The supply of furllishill~:; available ior employees' rooms aud for ward ua.\' rooms i:-; mCll!.;'pr aud iu bad condition, aud new fllrlli"hill~S will hay" t() lJP purcliU;Sf't1.

Tlle X-ray equipDlf'llt is illadeqnate fell' proper f'ffieiclIer. ~\. BIH~kr dill plll'ltg'lll and ilitr'n~ifyil1g' serpens should be added,

On the farEl a ]1('W ,;hillglf~ roof is nr~f'ded on the ho1';;(, harn. alld }H'W fp.ll(~eS will hf' rpquirrcl to ],f'pllJ1:e old wooden picket fence;;.

Additional gara~(' i>pace is llcedp(l. _\rlp(pwte watpl' slIpply is at hand 11" I'p,mlt of the eonlleetion with

lhe Uello-:-iparks mclin. lJow('\'CI', to J1Irtk,! this <1';ailalJlp fOl' ih'p pro­tect ion ;:iOn f pet (Jf llt'\\" firp h()~:c Illust be }Hu'chased. 'l'hat w]J iell we llCn'" is old alld Plltirelv u~l'l('ss_

'I'1lf' fI h()"f' illll'l'()\f';lIf'lIts ean JJ!' Tllade (jllt of adtlitional funds I'I!qw!-;t('d 1'01' g-euel'al l't')lairs, with the exception of fiuishillg of the llH'Il"s wal'(L

Exhaustion of ()ur lilll'plns of e1ofhing- auij, lwddillg'. the <11>O\'e­me])tioned desired llPlp, additional f(Jod and other dplllands pxplaill 0111' hndget re!jllPi>t;; fOl' illcreaser! appropriatioml for support.

111 the ('] inica 1 r('pol't w'e 1 isted tIlP Jl)ea~lln'S takf'1l ill trpatllJent. Yisits to the wards are m(HJp cHeh mOl'lJill~ hy 11 physician and the hpad llUesC'. Ph.'·siedl amI mental ex.'lminutiolls, also \\'nssel'man tcs1', <.11'(' l'O1l1 i 11(' 1'01' ])(''1' admissions,

T 11('1'(' eXlJl'('SS my apprpeiation of wOI'k dOllP hy the Htate Hygienic! LHhol'atnl'v ill \rass(,l'lllllll aJl(I other t('sts a]](l II naivs!'s.

\\' (' lJa";' had 110 cas~ of H(,llte infectious 01' cOJlla~iolls disease with 1 he ex(~eptiolJ of two ewo;c!; of erysipelas which responded to autitoxin awl quieklr 1'('('1)\'('1'('(1.

Xo scn-iolls lJf!cid(mts 0)' injUl'ips have OCCI1I'1·pc1. \\'f' 1111\'1' hC'1'11 llllilhlf' to cOlltillue the malarial tl'patJncllt of g'encl'al

1'1I1'ulysis as it has 1Iot been possible to obtain lUaterial fo1' inoculatioll.

Itl!:l'()fi'I' Of' :l\EVADA HOSPITAL HIlt Yf:"-';'l'AL DISEASE.':> 5

III iI few ellst's we }I/H'C :riven prot1'llcted tl"(;'tltllwnt with tr.}1l1tl'i-l;tmide, with al'l'('~t and appal'<!l1t improvement iu tlmt the patient:; WI!f(: wore casilv cared for.

'W'e have bCf'1l lllllch imp]'es~ed by thf~ results in treatment of R few cases of lleHro·~yphil is hy the use fJf JlI'oteiu shock 1'011.0\\'(011 by lwolir"phenallline. ~LJfliciellt t.yphoid tlwrapuutic vacci]\(:', one-half. ,() :! (T, is gin'J1 illtran'nolIs}y to IH'()([W;!'(~ a violent reactioll, The lIl'l,mti\'c phase of the re:wtion bcgills withill a irw miuutes with rj~nr!-; <Iud ~ylUptollls of .shock, which at tinH's 1~)'JltrJach prostration with ('."allos;';. This phase' Im;ts one to two hotH' . .; and if; followed by a Jlosi. • ti,·p 1.lwse with "utrllsion of skill aud nlllW,l!<.; i1Iembl'ancs, bouJl{iin!!' pulse', 1'OY('1' and iwrspil'ation, At tlle jj<:l$!ht of the seecmd phase • . !J gm, l1eoar;..phcnamilll' is giY('n intl'aVl'll(;Il;;ly, .\ notable occurrf:IlC(! i" the iUlTIH'tliatt, relief of all the :;ympt'lHh after the dose of neoar­~pl\l'llCnllille, This phenomenon sll~gp"h ,r,~t th(· 1>l'otC'ill SilOC~ )1v:-;­sihh' I'p:-mlts in 1'e8etiyation of iu(,tic fw;i. IJrrd that the arsenical {,X<:'l'ts the;'rafter its speeifie r[«tion, 'l'hf' tn-I:1I[WIlt has hcell repeated at wt'rkly illtl'ITal;:, Tlw l)l'oet'(lure appf'fH'''; h('\"oic hut iII snch ;:pril)us conditions We' l'e:ru1'd it as just.itiabl,:. (Jut' cast' of paresis of two "yell1''; ;,tandillg' }lW; a ~atisfaetory IJartial rl<fl1i;..<;iol1. Om" patient with tabo-paresis hecamc l1larkedl~' less ataxic. gained thirty-five POUIJ{.h; ill ',wight and was <b.;charp:ed.

'1'he ]'r;;l1lt,; in (hug addiction ar(> ul/satisfactory, It is to be 1'C'g'l'ettpd that tl1\'''t' llaticnts are not rO:-;,!3l"11ed as nwuiev I casps by the law_ .After beilll! takt'll into cllstody th',y an' committed 1'or t1'E'at­llH'nt, ill li(,ll of a jail xentellce, for two j'J four months.

Onr patient,; are taken off the dl'ug-. mllk(~ a ~aiJl of thil-t~, to fifty jloullcls in ,wight, declare their gOOf] int{'lJtioll" for the fuhu'p. (11'('

di'clulq.:-ed. retm'n ill a short time to the dru~ allll may be recommitted undpl' HlIothE'l' lllllllf'.

It is to lw regrettpd that the ('xpCl'inlf'lit eOJlllllcte(l hy Dl'. Willis P. Butler at Shrf'\'('port, La" could lIflt ha\'f~ tlw appro\-al of the X:tl'{'otic Bnrean of the Fed(,I'a1 GO\'f·rmn(,nt. It is 1'NISOnab1(> to }'(';.raJ'll these patif'11ts as of two classes, ('unJhle a\l(l ilJellrablr, and his cxpel'iment aPlleHred to he ~(}lyillg thl' prfJbJ('m fOl' that localitr.

After fift('('1! ~'eal's HIlder tho IIaITi~(j1l Xal'ef}ti(~ T1aw, our ('xperi. em'p Ipads to the helipf that. thr poli(,y of goverlll]]!'llt ;;honld hI' ('ontl'ol of conclitions which m'c l)\'o11ght ahont thro11gh pi'I'sonality fleficil'ncies, rather than punhdlJllPllt fOl' 8(:tS OWl' which the offender has 110 control. I all1 eOllvilJ('C'd that IWf-:-if'nt pl'oepdlJl'(' llndf>1' thr law~ of this State is so lllllCh wHst('(l effort am1 otYers llothing' for tlIP ult imatl' IrOO(/ of thp patient or for socidy in the prevelltion of new e/lXl'S of drug addiction,

I am addi\l;r to this report 1he ::'.liniul1InJ n"ljllir!'ments of the Amrri­('an PS~'ehiatrjc Association for ~tatl' lIospitflls, It pl'ovirlC's a hasis fIJI' ('olllparisolJ ami offpl';; a stll1l(1al'(1 fOl' flUI' HilliS ill hllilding" up an institution of sC'I'viee and yalup to th(' Stah', \\' e a1'f~ eOlltilll1ing' to makp such rfl'Ol't as is possihle with tIl!' fllJ1f]s alJ(I faeilitiC's proyi(]rd.

A('('ol'ding' to PI'f'S('11t law, thp attitude of the Rtate toward that 1!"OUp !lesig-mlt!'(1 as the imiaue is not olle of chal-it.v, JII effect, the.\' are taken in chal'I!(' hy the State in the intf'l'est of public s/lfet~·. not iwcallsc of what tlIP;\' have done hnt hrcalls(~ of what they mi!rht do. H ovel't act!-; have occurred the offenders ha\'e beeJl Ilxcused from the

6 REPORT OF NEVADA HOSPITAL FOR llE:-:TAL DISE....\~ES

penalty. It is true that the judge ofteJl, in a kindly gesture, com­mit'> the patient "for treatment," Intt he is committed by res<lrt to a procedure by which he is depriw/l of his liberty and his civil rights. Provision should be made in the law for admission of the voluntary patient, that certain types of mental disorder may have benefit of tl'eatment in their incipiency. There should aL<;() be provision for admission of patients for obsel,,'ation.

The State Hospital is more a soeial service than a charitable insti­tl1tion. The objective of such a sen'ice must be inten!!ive treatment,

• ]"1'8toration and rehabilitation. and thf~ prevention flf nwntal disOl'd('r, '1'}le mere pl'O\'idillg of additional hedfl for an increasing number of patients is a hopeless outlook. If (,1\1' past experjf~ll(~r. is assurance that we may expect a certain nnmtwl' of people to bef:()UH~ wards of thl' State in the comilll! ~'ears it i~ in the be~t interests of the l-;tatl' to fonnulate a plan and prol!I'am oj' pl'f'veniiull. ;';ueh a plan wuul.1 ultimately make the State Hospital a center for a department of mental hygiene.

('ollsirlerl'd from this larf!er view-point. the prohlem of the insane i~ 110 longer t11at of mcre custodial (~aI'f~. It is obyious that "a llil!gardly parsimony dignified by the nanw of eeonomy" is a short-sighted policy a1ld Ilflt condnch'e to the buihlin~ up of a sen'ice for the ultimate ~ood (If the State.

Our ]Jf'l' capita daily appropriation cost for the biennium 1188 becn ('i::rhty-onl' cpnts. 'l'his reduction frflm previous costs has Tlot l)ren lw desi~ but of llec(>ssitv in ('arill!! for additional patients w"ithin tile appi'opriations availal;le. As a resnlt tlwre have been deficiencies ill supplil'~ and servicp if not ill expeIHlitnl'l'.

1 wish to eXlJl'ess to tIl(' hospital personnel m~' I!ratitnde ft)I· con­tinned loyalty, honest effort awl ellic:il'ncy in th('ir respective positions.

I ('xt!'nd my thanks til thl' Board of Commissioners for their wil­lil1l!nrss to IJrip , their Hlistaiuf'd intf'l'f'st, their support and the pleasure of beillg associated with them in this work,

Hespeetfully !;uuruittoo, G. R. S:mTH, )I.D.,

Supet'illtendent.

REPOR'{' OF XEV.\D.a HOSPITAL Ji'OR :lIE,"''l'AL DLSE..~SES

AMERICAN PSYCHIATRIC ASSOCIATION 1tIINUIUM REQUIRE,MENTS FOR STATE HOSPITALS

'4

(1) ')'he el1h~f ('x('ellti"e otlj(-pl' Illllst 1)(· II \\'"U-!lnalitiell phy;:ki:1l1 and (>xperi-1'11('1'(1 }/sychiatrist whose HPlloiutlllent and l'euu,\'al :-;l1a11 not be (.'OntroJ!ed bJ­pal1:isan polities.

(2) All other ll(!l'SOIlS at the in;:titution ought to he suhordinate to him amI snbjN·t to 1'(,1110\,111 b~' him if they fail to db<:\mr.,e tll['ir duties properly.

(~) The positions anll ndmini~n'ation of tlw jlL-;titution must be fl"ee from t'ontrol fol' the 11l1l1'OSt'S of PHrti:<au I){.litk".

(.1,) There IlIw<t he an adl'(IIHHe I,wdklll ~1l1ff (If well,qualified physit-inns; I he p:~}p~n-t:o:! t!l t(-trrl 1~!!fjA>nt~ -t(, lw~ fli,t I(~s ... thnn 1 to ]z-.t. in addition to the ;<1l11('rinteIHll'llt, ana to the 1l11lul>£'r (If l'ati(~Il(,; :Hhnittf'f1 annually not less than 1 to 40, TIlPl'e Illllst he 0111.' or IIwrl' flll!·tinw <l'mti~t".

(;; j '1'h('I'(' IlIU~t he (\ l-iaff of {:oll"lIltill~ f,l".>(:iali;;t:< at !('u"t in internal 1ll~~1i­('inf', ~en{'ral surger,\', or~anie neul'ol!J:"'Y. diseflS<!S of the f'ye. ear. nose and throat, aud radiolol,.,)". {,,11I1110~'f-d nnder SHell terms as will (,nSUI'e adequaH, ;;I'jTkes.

((j) The Ille,lie:ll !'taff nlll"t he (Ir;.:anbw,l. the servjCf'S \Yell-defined and the ,-Iinieal \\"o}'l, lIlHler the dil'(>(,ti<llI "I a !'taff leader 01' clini('al dil'eetor.

(i) Ea,-h medielll SPITh-e IllII;.:t hp i'1'(Jvil1 .. <1 with lin ollie(' aTIlI an f'xmninin;.: room ('ontainill~ suitahlf' l'oll\'t'llif'H!'es aIlrl f'fJuiplllent for the work to !)(' {lel'­fOl'lllP!l, nn<1 with slll'h I'i('rica! help "I,f'{:iall.\· a""i: • .'1led to tllf' "en-?I'l' m: lIIay be n'fll1ired for thf' !,,!ellin;:( of the IlIl"(]ir:inlll awl admini"rratin, rc('ortl,:,

(.'ij 1'1lf'rp 1ll11"t J", ('al'efull," kl"pt ('lillical hbtories of all patit'llts, ill propel' lileH for rPlul,\' 1'(·fpl'l'lI"(' (In ('11('11 S('I'\'il,('.

(fl) ~tnti"ti('nl data )'('Iatin;.: til I':Wll ,'lltil'llt !IJn~t he l'eeol'tll'd in act;ord:lllce with till' "talltlal'll Hy,.;tl'lIl adoptl'd hy the .\",.,-wiati'JIl,

(HI) Thl' patiPllt" mu"t hf' l'Ia"sifi('d in lWI:(JI'{I:nwe "'ith thl'ir llIf'ntnl anll l'h,\"si/'al l'olHlitiolJ. wit h :IIIPIll11!t(· }>l'oyi"ioll fill' the "'fwdal l'f'llnil'l'llIentH fol' the "tudy allll tn'MIIl('llt IJf th(' ('asp;; ill eH('lI f'ln"~, allli tlH' """pita' must lIot be :<0 ('I'owtlpd :1:-; to Tn'('n'llt atle'ln:ltp <:1as,;ifi('atiIJn and trl'ahlll'nt.

(11) The das:.;ifi(~ation 1IIIIst in('!l1fle a st'parate I'l'c(,ption find intpll"i\'P stmly :11111 tl'('at\llPlIt tleplll'tllll'llt 01' hllilcJilJ~, a "pecia! nllit 1'01' :"'11t(, phy~ir'nJ illl,e;;,.,ps allll "lIl'::!;i('nJ (,'ollrlitiow;, alII! separate units for th,' tlliJPl'enlolls. and tlIP infil'llI :111£1 IIt'!l!'a"t, E:wll of tl"",p unit,; IIlIl~t hI' slIitabl,\' on~allize'l and e<llIiPVed for IIII' l'l'ljllil'PIIlPuh; of tilt, e1:t"s "I' lIat\plIr,.; 111ll1el' tl'eatllll'llt,

(12) 'I'llI' ho"pitnl 11I1I"t hI' ,wO\'icJf'f! with a ('lini('111 and patlJolo;:deal 1ahora­lorr, ef(11!Plk'!l :\1\11 mHIIIIl'd ill :II",ol',lane(' with till' millilllulIJ gtandards I'l'com' lllelHlf'll h~' the COlllmlttee Oil l'atlJolfJ;.:ir-al III\'f.'stigntion,

(l:{) 'The ho"pital 1II\1"t h .. lll'o\"lded with ade(lliutl' X'l'flY 1~>(ll1illllJellt and 1'1111'10,\' a \\'pll"llwlitil'tl radiolll;.:i,t,

(1-l) 'I'hl'l'(, IlII1~t he a worldu;!' lIIPl1ieallihl'nl',\' nlHl j(Hll'nal file. (1;:;) 'I'lw tl'entll)('ut fneilitip" :Iud (~JliillllJ('ut 1lI11st indude: (n) A flllly l>(luiPIJed f'lIl'gieal opl'l'atill;.! 1'00111, (h) A dl'ntnl ofJiel' suppli('(l with (lentnl (.>(,uiplIlPnt, (e) Tillis lind oth(·1' ('""cutinl l'!ll1i[Jlllf"llt for hyul'Otherlll>Y oll\'rate(l I,y 011(.'

Oi' morn trahwd physiotherapists, (11) All{'fJll!Itpl~' 1'(luiPIK'1l I'x:Jlllillatioll l'OOl1l1i fIll' the HIJedaltl(-,; in lIledieille

:tud HIlI';.:ery r('(llIil'ed hy the ,('h('IIIIII', (I') ProvIsion fot, O<'l'1I11llt!ollnl therapy llllil the employment of ~Jlec!IlJly

h'lt hwd h)!~tl'll!'tlJl'~,

(f) Pl'OVIH/OIl for tr('atlllPllt lIy Jlh~'Hleal ('xel'('!&'S fwd glllne>l null the employ· ment of f;pL'(~!aJly truin/'(l iw;tl'l\f't''''H,

(I;) Aue<juute }Jl'o\'i~!oll 1'(11' l't'~'I'I'athl\) alld !iQeial L'llUtl'taliulIl'ut.

j I

,I

8 REPOR'l' OF ,NEVADA HOSPITAL 'FOR llEXTAL D1SEASE."l

i HH U('gnIal' !;taff (1)fJf~l"l'lle('l; mllst hI' he!!l at !pa;.t twiee a WI'.,];; \rIWll tlie work of tIle pllYl<iel:m!l aJl(l the exalllinat\lm aBel tl"f'lltW{'llt of the paUl'nts will be ('U1'efully 1'e.II'\\"e<1. ,lli~lUte:;of tll{' (~(jllrel'cuee lJlilirt tJ{! lif'pt.

(17) 'fh!')"e mllst he one fir lllMI' out·"lItfl·nt eli!iii.,. l>(mr111('t('l) hy't\tt' 110;';­l,it;ll in addition to 'tillY OIl the Iiospiull J)r"Tu\M$. .\.0 ~ade4lUlte: fvl"i:-e of aaiueu social Wlll'kp)"s 1Illlst he NnIl[oy('r1.

(Hn TIt!'!'e IIlllst he an :tl1('(llIat!' 1lI11'"in~ f(IlTf'. ill thl' IH'O),Oltioll of itot ]["';.; "hnll 1 tn S, !\IlIi to tlu. patients of int('II~I\"{- tl'C'.ltnlPnt all II :!ell!t- sir'k nIHl !'Ill'gi(-al unitl< of 1I0t Ie",", thall 1 to 4. l'rovi~ion mu,..t II(' mnde for n,lf'f}lI:tte 1<)',;t('II1:1ti" instrm·tion and training of tIu- IIWln!Jf'r;:: (.f tIle Ilul';;ing forr·(·.

nU) )Iee1ulIlieal restraint aud S('('lw;iIJll, if IIsed at an, must J,.~ 1l11t.lpr ,;tri(·t TP~lIlation~. lind a sp'tCIIl of eflntl'Ol iIllII 1'(,'<:01'<1 b~' tlle pllysil'iuu.'l, aUll lIlu.4 loe liUlit(.'(} to the lllos.t urgent c-ouditlous. '

REPORT OF XEVAJ).\ Ilo..'PIT.ll. FOR 3.l1:.'KT.1L DISUSES

TABULAR STATEMENTS

TABLE 1 General Information (Data Correct ~ End of Hospital Year, December 31, 1929) Vate of opening h8 a hO>"1>ital fct· mental <1isc"""s.... ....................................... 188;) Type .)1' ho~r>itat: Stat ..... ('ounty: t:ndowcd jJrivat~. v!' unf;ndowcd pl"lVatc.. :5tatf> ValUe of hO~;Jital pnJfJ~t-ty-

~~~~~o~~Slt~~dJ~;l~~~~~.~_~.=~~~:~~:~:~:::::~::::::::::::~:::::::::::::.::~:::::::::::::::::::::::::: $&~~:~~~:I~ Total ............ ,., .............................. _ ........................................................ _ ......... $644.114.~'

Total "cr~ag" (If hospital prop<>ny own"tl (Inclu'I<:J; grounds. farm and g-ar{len nnr] site:.; ().(·cu!Jif:'tJ by buil.Hng,;;} .. __ .... _u •• ___ •• __ ••• __ ••••• O# •••••••••• __ ••• -139

A<l<1itional [tel',::iC" r"nt("l ........ _ ..... ~.................................................................... ~~ Total acr(~ag'; un(l(~r cultivation {luring previous year (Incluc](-s land

own.,d an,l n'nted) ..... _ .......... _ ............................................................. __ ..•.. l~~

Officers and Employees Actually in

~Serri"" at End of Year_ :4al"" Females Total

Supf;rint'·n(lr-nt.c:: ....................... ........ 1 1 . .A~si~tant phyHicians ................. n_... 1 1.

Total physicians ......................... __ .... - 2 Stcwar(ls .............. -....... __ ............ --_ .. _- 1 1 Graduate nur:;(~g .................. _ ... __ ....... 1 1 Otlwr nUJ"s('s an,l attemlants ......... 9 7 16 All oth"I' ofllcerri and emp)oyt-t-:5 ••.. S 3 11

Total officers and employee8 .......... ~I) 11 31

Vac.1.ncie.s ~at End of Year~ .!daZe;; l"emale,; Total

1 1

1 1

Census' of .Pa.tient Population at End of Year

~ A ctually in Jlowital -!l!a!es l'emale; '!'"tal

White-In~anc ...................................... 14S 73 ~Zl EpU .. ptlCH ................................ 1 1 )11'ntal rlefcctives................... Ij 6 I:! Alcoholics ............................... 1 1

'fotal ........................................ ~::;G 79 23~

Othe't"l:(lcl!s-In:;;tnf"-! ___ ._ ..... _ .• _ •. ~44~ •• _.4 __ ••••••••• ~. ln ;, l~ Epiloptics ................................ 1 1 Vrug- addictM............................ 1 1

Total .................. _.................... 12 " Ii Grana totaL .................................... 168 81 2;;2

Other patl~ntH "Illployed in gem'raJ wOI'k of hORpltal on

Absent from Ho"pitnl ~ Lut Still on Books -~ Males l'emale. Total

G ~1

1:; 6 21

1

1 7 22

Males Jo'emales T()tal

,Int', of rcPort.......................................................................... 69 Avcmw, dally numbeJ' of Mil vati<:nts actuall.v In "OMl/it,,1

20

7!1.44

89

:!;;S.!!)S dUI'ing )'eal' ............................................................................... 178.&4

10 REPORT OF NEVADA nOSPIT,\L }'On MENTAL DISEASES

TABLE 1 General Information (Data Correct at End ot Hospital Year. December 31, 1930) Date of openin!; as a hospital for lI1ental 'lIH'''';;'fo5l .....•......... _ .......... _............. 1882 Type of hospital; Stat". county. endow(.~1 1)&1\";,t".OI' unen<'lowed private.. State YalU() of hospital prop'"rt}··-

Real (·state. Including bulldlng-s ................................ _ ....... _ ......................... $595.133.76 Pel'sonal pl·or*l'1:y .................................................... _ .... _._._ ..... _............... ~8.980.51

Total ......................................................................... _ ...... _ ............................... $644.114..21 Total acreage of h"".pital prop(.t'ty owned (Includes grounds, fam} and

gar!lcn anti sit!:>< occupied by buildings) ...... _ .. _._ ....... _........................... 139 Ad,litional acreag" rent"" ................................... _................................................. 28 Total ac"cagc un'le .. c:ultivation dUling p .. cvious year (Include.. lan<\

owm:,d and rented}_ ...... __ ........................................... _................................. 148

Officers and Elnployees ~Actually in Service Kt End of Year~ )!aIL'S l'(.omaJ... Total

Superintendents ............................................................... 1 1 Assistant physicians ..... _............................................ 1 1

Tota 1 ph:rsician5 .. ~ ...... _._ .. _ .. _ .... _ ........ _ ............... ____ . ..... 2 2 Stewards ...................... __ .............................. .................. 1 1 Graduate n\lrs~~~ ... __ ................. _., .... _ ...... __ ._ ........ _ .. _u • ........ 1 Other nUr~('H anfl attt:n'lant..(:L_~ ........ _ .............. _ ... H......... 8 . 1ii • :\,11 other officers an(l t:mpioyccli .......... _ ......... _ .. __ ......... __ !) 4 13

'l.'otal offiCers anti {-mployces .................................. _ ....... :!O 12 3:!

Census of Patient Population at Eud of Year

~ Actually in Hr",,,ital­)[ales Female> Total

Abscnt from H""pital ~ but Still on Books --)1aJe;; J,'emales Total

Wit if c-InS:lnt· ................... _ .......... __ .... . Epill'pti('~ ................ * .............. . )I('ntal 'lefectivl:L ................ .. . \ lcohulieg .............................. . Dl'tr/? rt,l,1 iet." ........................... . Xeuro:;yphiJitic5 (\\:ithout

p . ...:;y('ho:-:i~) ..................... . All other' cases ...................... ..

1 1

3

T<)tal ......... _ ............................. 170 Otltei' rt,!r:e.c;-

In:;:ln~ ...... _ .............................. _ Eplle"tk~ ............................... . :Nelll·os~·philltir·~ (without

psychosis) .................... ..

Ii 1

1

Tot"l ................ __ ................. __ ... " Gran'] total ........................ ____ ... __ ... 178

..

S'}

6

Sf,

2 3

250

12 1

1

11 ~64

1

8

8

8

1

9

9

12

1 3

1

17

)lales Otl"'I' patl<:nts pmploYc,1 in /?ennral \yOl'\{ of hospital on

(late of .. epol'1.. ........................ _............................................... 93

Females

24

17

Total

117

286.84 Average ,lally number of all patknts actually I" hospital

during yeal· .................. __ ........................................................... 190.16 96.68

TABLE 2 Financial Statement for the Fiscal Year Ended December 31, 1929

RECEIPTS Balanee on hand from P1"f!\'iOUH fiHcal year ..................... _ ................................ .. P..ecei\"~(l fJ'on1 apprl)priationH- .

Supr'l'jntend(~nt's salary ........................................................... . ~l1l>port ............................. --....................................................... .. Building l'ellairs ....................................................................... ..

$7.21)0.00 160.000.00

13.500.00

RC'epj"('d fr0l11 p;l!>'lng ptttif-nts ............................................................ _ ................ . Heceil'(',1 from all oth~r ROllrct:s-

J10nrl 1f.tf-(lIe .•••...•..••••••.••••••.•••••••••• __ ••••••.•••••••••••••••••.•.••••••••••••••••••• l~on(l redenll.>tlon .......................... _ ............................................ . Interest ....... __ ............................................................ : ................ .

$85,310.00 2:'.000.00 11.235.54

$9.425.04

180.700.01) 8.208.87

121,:;45.54

Total rccelpts .......................................................................................................... $314.879.45

REPORT OF NEVADA HOSPITAL FOR llE.. .... TAL DISEASES

'l'AIlLt; 2---("Jllfifll/(:/! DISBl'RSE!J£NTl>

Expen,litul','s for maintenance of patlents-

~~l~,~;~~~te~~,'{n::'~g~:~~.'?::::::::::::::::::::::::::=:::=::::::::::::::::::::::::::::""$31;688:3:; Pl'Ovisions I f(,(,,' ) ............................................. __ .. __ .... _............... :! 1. 7 61.2 7 l<ilel. light "nil watc'· .................................. _........................... 12.082 .• 7 All other a~,nditures for malntenance .. ___ ...... __ ........ __________ 16,24'.9!

Expe,uUtur.'s for all purpose" other than m"lr.tt·nuncc. including m,w buildings, other additiOflJO and per­manent bett"nnents-

Building fund ...... ____ .. __ ... ____ ..... __ . __ .... _ ... ____ . __ .... __ ........ __ •. _ .... _ ... Rc\\"ugc disJ,losal ..•• _______ .. ____ •.••. _____ ._. ______ . ______ .. 04 ._o,, __ ... _.,,~ .•• _._._._ Building repaird ..... _ .. ___ .. __ .... __ ..•.............. _ ...... __ ...................... .

Expenditures for rcpa,,-ment of loans and interest <m ,. ans--Bon,l I"cdemption .......... __ ....................... _ .... _____ ........... __ ......... .. Interest ._ ... ___ ..... _ .... _ ... _ .... _ .. _ .......... ___ ................... _ ..... .

$89.120 •• 0 .0.30

11,524.89

$25,000.00 11.23ij.54

Total expen(litures ................................ __ ........... _ .. u ••• • •• _ .................... uo •••••••••• ·····_.

_-"mount returne,j tr> Htatf) T"easure,' 01' other officlotlJl ........ _ ....... _ .............. . "".:aii~t vii iHtll·i at.. ciu~ vi 'j.-ea.,--

.lIaintenane&: . __ ._ ......... _ ... _ .... _ ................ _ ... _._ ... _ .. __ "' .... ~ ... _ .............. . Se\vag(! I)j3JJ.()S':t1. •• _ •.• _ •••..••• _ ........ __ ._. ___ ._ ••.• __ ........... .,., ................ . f;upelinten']-,nt'", salary .......................... __ ............ "' ................ . Repair" funt1.. ... _ ........ _ ........................ _ .. ___ ............................ .

$78,219.67 5,544 04 3,600.00 1,975.11

11

~3.GOO,OO

100.ito.lS!}

36.23;;.54

$2~2.331. 7& 3.208.8';

89.338.82

'l'otal <.Ji.sbu .. ""m"nts, including balance on hall'1.. ............................................ $314,879.45

TABLE 2 Financial Statement for the Fiscal Year Ended December 31. 1930

RF.Cf;II'7S Balance on han'l from previous fiscal year-

Rupport ......................... _ ............................................................ .

~':.,~lJI~~(:~~~~f;.:~ .. :~.~~~~:::::::::::::::=::::::::::::::::::::::::::::::::::::::::::: Sewag" d i;;posal .............................. ____ ..................... _ ............... ..

$.8,219.67 3,600.00 1.97~.11 5.6H.O~

Heedn,{] from paying patients ......................... _ ... _ .................. _ ......................... . Rece;n<1 from all nthr,,. gources---

Bon,1 redemption ...................................................... _ ...... _........ $,,:;.000.00 Interest ......................... _ ............................ _ ................ _............ 13,1;;0.00

$89.338.82 6,183.51

68,150.00

Total receipts .......................................................................................................... SlG3,672.3~

DlsBI'r,sEME:-;-rS El;.pf'nditl1J·(~:=; fOT maintenance of pntients--

~up(>l"jnteniJ(:nt·s salary •.•.......• _._ .................... _ .............................................. . Hnlaries an,l ""·a~es ............... _ ....................... ___ ... ~# •• _ •• u ..... # ••• hU. $32.038.45 ] 'rf)visionH (foor]) .... _ ... _ ...... " ......... : .......... _ .............. ~ .. ~ ............ _._. 21.220.:1fr J"uel, light anr1 water ......................... _..................................... 10,924.68 All other ':xpendltur"g (OJ' maintenancf' ..................... _......... 14,034.41

E",pcnditu)"f'g for all 1HJ1'poRes other than rnaint'·nanc~. including nr,w builolings, other additl(}n,~ and pcr­m:UJI.:nt b r·tternumt8--

~(!'\'age dispof:::ll ................. ___ .................................................... . Building repajr·fL ...................................................................... ..

EXIJ{'llrlltur,," for .. "payment of loans and int,;r'~Ht on loano;-

$;',:;10.33 1,975,11

J;on,1 n,demptlon ................................... _................................. $55,000.00 Interest ....................................................................................... 13,1;;0.1)0

$3,600.00

;8.217.89

7,51;;.44

Gg,l~O.OO

Total ('xJ)(·rH1JtuJ'('~._ .... _ .......... _ ...................... ___ ........................................................ $157.483.33 ,\ Tllount n·tul"ned tf) ~tate Tr""Hurel' 01' otbe,' officials.................................... 6,183.51 Balancr: on hand Itt close ot year- •

)'I:illlt('nune(~ _ .... ~........................................................................ $1.78 Hewage dlllJ>ORal.......................................................................... 3.71

»,49

Totlll disburHcTllf!Dt. •. including balance on hand .............................................. $163,672,33

1::!

TABLE 3 Movement of Insane Patient Population,. Years Ending December 31, 1929-1930

In!) Male. Insane patients on books of hosI'ital at

beginning of hospital year-In hospltaL ............. _ .......... _ ... _ ... _ 1.2 On j'a1'ole .......................... ___ ._ ,)

66 238 3 8

Total ............................... ___ ... _ .. _ .... ___ .....•.. __ _ Admissions during year-

First admissions .......... _ .. __ ._._ 46 22 68 Rea·1missions ..... _ .................. _ .. _ 7 4 11 Drug addictlon .......................... _.. ~ 2 'j

Total received dUl'ing yea'· ....... _ ........... _ ......... _ .... , ......... _ ... _ ..

Total on books .during ,·ca1' ..... _ ..... _ ...... _ .............. _ .. _ ........ _._ Discharge'j fl'om books .Iuring Y""' ... 1'-

As recoveretl ................... _ ...... _.... 14 1 15 .\s lmproved ....................... _.......... 6 1 .. Drug atldiction ................. __ ........ 5 ij Escapes ......................... _ .... _........... 11 11 Died dUring }"ear ................. _ .... _. 16 4 20

Total dischargprl, t1'ansferr~d and died during year ............................................ _ ..... _ .... _ .•

Insane patients remainIng on bot>ks of hospital at end of hospital ycar-

In hospitaL ....................... _ ....... _ .... 168 On parole ..................................... _... 15

84 .. 252 22

Total ................................... _ ......................................... _ ..... ..

19./1) Insane patients on h{)(,ks of hospital at

beginning of hospital yc-... r-In hospitaL. •..................................... 16~ On varole.......................................... 15

84 . Total ..................................... _ ...................... , ......................... .

AdllllssfoU/; during )'~ar-Fh"st :!J.flmif:::.sions ... _ ..•...• ________ ...• _.__;;O 20 70 RcadmisHlon~ .......... __ ....... __ .... __ ...... 10 3 13 Drug at1<1ictlon ................... _........... 17 6 23

Total recei\'ed <luring year .......................... _ .............................. .

Tot,,) on boo)", <lm'fng y"ar ...................... , ................................. . Discharge,1 from books during y .. ",r-

i\ ~ ]'eco"en~d ...... u ............... •••••••••••••••• 17 8 25 As improved.................................... 12 4 16 ~\s unimp'·ovp,l ................... _ .. u....... 2 1 3 Drug ad<llction................................ 1:\ :, 18 ERea P"g .,.......................................... 10 1 11 Died during year ................ _.......... 20 6 26

Total (1!scharA"~'l, transferretl and <lIed dUl"ing yea1· .................................................... _ ..... ..

Insane lJatffmt" rf'11lalnlng- on bnok" of hOHpftal at end of hospital ycar-

In h'lgpltai.. ...................................... 178 On parole.......................................... 8 . 86

9 264

17

Total ...................................................................................... ..

117

183

183

77

260

186

69

28

6

91

91

29

120

25

95

20'6

86

58

2.4

274

106

380

99

281

TABLE 4

Nativity of First Admissions. and of Parents of First Admissions, for the Years Ending December 31, 1929-1930 --Patients ---

NATIVITY 1929

l;nlted Stat"!L._ ...... _ ................................. _ ...... _ ...................... . l"")e:!·sia .... _ .................. _._~ ___ ... _. __ •. __ .~H ••••••••• __ •••• __ ••••••••••••• _ •••••••••••••••••

Austria .......................................................................................... .. Canada· .......................................................................................... . China .............................................................................................. . England. ....................................................................................... .. Germrtny ..................................................................................... : ... IreJand ............................................................................................ . Italy ................................................................................................ . Jugos)a\·ja .. _ ............................................................................... . Mexico ............................................................................................ . Poland ........................................................................................... .. Scotland ........................................................................................ . Spain ......... _ .......................... _ .................................................... .

TotaL ..................... _ ......................................................... _ .......... .

1!I30

Males 3~

1 1

'J

1 1 1 'J

" 1 1 1 2 1

iil

United Stat(--s .................................... __ ........... .. · ..... _.· __ ... u •••• ___ ••••••• 4~ A ustria............................................................................................ J Canada$.......................................................................................... 1 China ....... __ .. _. __ .. _ .................. ___ ...... __ .................... __ ............ ___ ...... _ 3' Englano:l.......................................................................................... 3 Finland............................................................................................ ] Germany......................................................................................... 1 Greece............................................................................................. 1 Ireland............................................................................................ 2 Italy................................................................................................. 7 :llt::xico............................................................................................. 1 A?ores .... _......................................................................................... 1 Argentine ..................................................................................... .. Hpaln................................................................................................ 1 SWeden............................................................................................ 2

I""",ales ~O

2

24

23

Total ij:;

1 1 1 ')

2 1 1 ? 1 1 1 ., S

75

65 1 1 1: 3 1 2 1 'J

8 1 1 1 1 2

'l'otaL .... ~........................................................................................ 67 26 93 -Includes Newfoundland.

~Parents of Male Patients-&th

Fathers .»othenl P".r~ilta. 30 30 30

1 1 1

l' ~ .

.J

1 1 1 ~ 2 .. , 'J 2 :! 4 4 .\ 1 1 1

0 2 1 i 1 3 :! ., 1 1 f

;';1 51 ~()

3& 39 3& 'J 2 'J ., ., :; 3 3 3 :I ~ 2 1 1 1 1 1 1 1 1 1 3 :\ ?, 7 7 7 1 1 1 1 1 1

2 ? 2 2 2 2

67 61 GG

~Parents of Female Patients-

Fa:he?S 1&

.. 1 ., i

2

21

n

1

26

Yotnpn< IS

1 .1

2

2~

23

1

1 1

1

26

Both Parents

16

2

1 1

2

22

~2

1

1

2i

-C Z.

TABLE 4--A Age of First Admissions Classified with Reference to Nativity, and Length of Residence in the UDited States of the Foreign Born, for

the Years Ending December 31. 1929-1930

Foreign born

Aggregate Parentage Time in United States before admLo;slon

Total Xati\"c 1 Foreii:n ! Mixed 'l'ota! \ {Jnder i; 1 ~~-:';'-lll)-14 years ,-- i5;:;;~s - -\ - Unascer-___________ ; . _._, _______________ ; __ ~~_:_ _ __ I andO"er I. .. t~ne~_

____ i M I~~'I '1' i M; F I '1' 1M. F; T. Y I F_L':... M \ FIT: M' F j T! 1I1 F iT M IF; TIM iF.: 'Ti M IF iT

~g:~~:~r:::::::::! ~ --2-\ ~! ~ :--1-! ~ I--i- --/J __ ~_!:::~ __ ~_ .... __ J,, ___ ,,1 111 ___ LJ ___ ! .. ..!._JJ, __ --'-___ ! ____ ! __ ._l ___ .I, ___ . ____ I! 1 25-29 years __________ 7 2, 9\ 5, 2 i 7 4 l' 6 1 I 2 .... ____ .. __ 21. ___ 1 2 ____ ;. _____ ._ 1 .. -.-1 1 ____ 1 ________ 1, ____ 1 30-3~ yenrs -_________ 4 6 I 10 i 3 4 I 7 2 2 4 1 1 2 -___ 1, 1 1 I 2' 3 ________ '1 ____________ ! ____ , ____ , 2' 2, 1 : ____ : 1 35-39years ------ --- 6 4! 10 I 3' 4 I 7 ~ 3 i 6 ---- ---- ---- ---- 1 i 1 3 ----1 3 ____ , ________ 2 ____ ' 21----'----1---- 1 ____ I 1 40-44 y"ars __________ 81 3 11 6, 3 I 9 " 3 8 1 ____ 1 -______ , ____ 2 ____ 2 ____ , ____ 1. ___ , 1 __ ._ 1 ____ ,_ .. ______ . 1, ____ 1 1

~J ~:~ ::::::~:~: ~ --ii- ~', ~ ,--ii-'\ 1 ~ --2 i ~ :-:: "i- -"}" --i- :::::--1 6 ----: " ---+---1---- 1 1 --- 1 -·--(-1----' 4 .- ___ '14

55-5~ years ------.. -- 3 2 ~,1 1 2 1 1, 2 ----1--· ---- ---- ----l---- 2 11 3 ----1---- ----1---- -- - ---- 1

1----, 1: l' 1 2

60-64 years ---------- 2 ----I 2 I 2 ,----, 2 2 ----I 2 , I I I ' , 65-69 years --- ------ 4 ---- 4 I 4 ,---- 4 4 ----I 4 1 Ii" 70yearsandover _____ 7_-.:. .. ~1~:2:~~._:.,~.:.:...:!=== .:.:.:.:':_="":':=.2 .:.:...:1=-:1=,=:I:.:::I=I=--'I=l=,.2!=:,-2.. __ '_ Total _______________ • 51 24 75/36\20 I' 55 00 15! 45 4 :I 7; 1 2! I 3 ;6! 4! 20 -.-- ---- '---1 51---,\ 5: I! 2 i 3\10 ill! 11 •• __ 1 1

19,~Q I ' 1 ' I ~ : ' : i I I ' Under 15years _____ • 2 _._. 2 2 1·-.' 2 2 ---., 2 '! ' ! iii 16-19 years --.--•• --' 1 ---- 1 1 1 ,-.-, 1 1 '1 !, , i I I I 20-24 years '---"-'-' 4 3 7 4: 3, 7! 3 3' 6 1 ---. 1 I " I" I ' I 25·29 years _ •• __ .____ 2 4 6 'I 2 I 4, 6 2 4, 6 , "" I 3q.S4years ____ • ____ . 4 2 1 6 3, 2: 5 3 2, & ----. __ ._ ... _. ______ \. ___ 1: ____ 1 --.+ ... -_ .. _._ .. -----I---.I ... :-.--j.-- . __ -' .. _.1. __ ., 3,·39 years _. ____ •• __ 14 4 I J8: 10 3 113 9 1 10 1 \.... 1 ___ • 1 1 1 4 1 5 .•••. , __ "_' 1 i- •• _, 1 '. __ ., •• _1.' __ 1 3 I' 40-44 years ..• --. ---- 12 6 , 18: 9 /; I 14 8 G 1 13 1 .• -.' 1 ---. ----, .--- 3 1 4 .. ,- ~ .,-. ___ '1 __ '" ----' -.-.! _. __ :.---' ---', 3, _. __ , 3 4!;-49 years ._._ •.• ___ 4 1, 5: 2 ----, 2 2 1, 3 .... _. __ • ____ •• ___ .\_._. 2, 1 3 .• __ 1 •• _ •• ,-. - ___ 1'._ •. '_. __ : .... , •. __ \'._._ 2 1 i 3

rs:~~~::~: :::::::::: ~ --i';, ~ 1\ ~ i--i-, ~ i -'2; ~ 1'1_"_ 1 ;---..... -- •. 3, ____ ' 3 '---1"-' -.-. 11 ___ '1 1 !--··i·-·-j·· .. ' 1 _"",1

60·64 years _________ • 7 2 9 2 1 3 1 1, 2 I _ ••• 1 ._._ .-.-i.-- 5 1 6 -"_1'_" .---1----: .. --'-.--'-... :----1.--- 4 1 & 1 __ ._ 1 65-69 years ---- ------ 3 '- __ 1 3

1 ____ : ___ 1 ___ .. -- ---.,-.... ---,---... -- ---- --.. \- .. - 3 '--- 3 '-"'--"1'-'_ '-"'-.-- ----'---·,···-1··· , 3, -"-1 3

70yearsandover ____ 7 2 9 4 2 6 4 2: 6 ----,---. ---' ---. - -. -- - 3 ---- 3 '--T--- .--- .- .. ---- ---- ---'1"-""" 3 __ ._ 3 ,

Total.~._ •• ____ •• -- 61\zsl;;3143 l"22 "GsT38 211'-;- st--· ~_~:= __ j 1 24:'(28 =i=-:"-="L2 i=rz,=f-:-~I:=ft9ISI2Z sllT4

REPORT OF NEVADA HOSPITAL FOR ~I!:NTAL DISIUSES 15

'l'ABLE5 Oitizenship 01' First Admission, for the Years Ending December 1929-1930

~---1929 .---' 1930 ----Maks

Citi~.:f'nH by birth ..................•••.•••. __ · ..•• 3Z'.i Citlz"ns by natUl·allzation................ f; AII""9 .................................................. 10

Total ........... _ ................................ _..... al

l"<mUll<;s '1',,1 .. 1 llales Females Total 1:!O &:J 42 :!3

., II 15 2 11 10 1

24 75 67 :!6

65 Ii 11

93

TABLE 6 Psychoses of First Admissions, for the Years Ending December 31. 1929·1930

PSYCHOSES 19~9

Senile p5ycho.sis __ . ____ ._._ .. _ ..... _. __ .. ____ ~ .. ____ . General pnralys!s .... __ ........... ____ .#O ••• __ ••• __ ... _.

Alcoholic p~ychoses. totaL ........ _ ........ Acutc hallucinosis.......................... ~ Oth~r tYI)I:S. acute or chronic...... 'I

PSyChOSf~~ du(' to dl'UgS an(i ot.ner V'{(,g"-nous toxins, totaL ....... .

Oviunl (anrl deri\'ativps). coc~inf.: • • JI'(lfnic1es. chloral, etc •• alone IH' C'OInbined .............•... ______ ...... 1

PsYChO~'H~)04 \\'ith othel" somatic dis .. 4·HH('.'4. total ........................ __ .... .

Otlwt· "bwage~ or conditions........ 1 llanic·d",,,,,·,,, .• I\'c phychoses. totaL .. .

:\Ianlr: type .............. ___ ..................... 2 D{·P)'t.'H~j\"(~ type............................... 1

Involution In.·I"ncholl" __ ....................... . Denlentia l'I'~C:OX (s{'hi~()phn~tnin) ..... __ __ Paranoia and paranoid conditione ........ .. EpileptiC p.;.;yChO:-\f;S ............................. __ • l'Bvchonettl'{)~(·g Hn,l neuroses. totaL ..

. J1y~t""ic,,1 tYlw ................... __ ........ . :..; (>urasth(-nic type.......................... 2

Psychoses v.,-jth pHychopathic pt~I·p.on-ality __ ............... __ . __ ..... __ ...... ____ .......... .

P:.::ycho~._·~ with Inental df:flciency .... _ .. '\Iiithout psycho~i~. totaL .. __ ............. __ .. .

Drug- a,ldiction without psycho-~is .............................................. 5

Otl,crs .... __ ............................. __ ........ .. T'ltal __ . __ .......... __ ...................................... .

1!1.Hi Scnil(: p;:;ycho!-'es ..................................... . Psychos(;s with cerebral arterioscle ...

r()~i:-; ...................................... _ .......... . (;cnera] pa .. aly~is ....................... __ ........ .. PSYChf'HP~ with OtlH'J' hl'ain or ncr\'-

0\19 (lisea.<.!cs, totuL ...... _ ......... ~ Tahes clorsali.':!: ...................... __ ......... 2 Othcr' 'llscas'·~ .................. _............. 1

Alcoholic Il~reh""e;<. total. ................... . Actltp hallu('inogi~.......................... 7 Other typf>s. :t('utp or chronic...... 2

Psychoses with othel' ~omatlc dis-e:lHf'~. total ................... _ .......... ~

rnnllo-I'('nai fliw·a~"s..................... 2 Utl",1' .lise,,"'>" 01' contlltlons........ 2

lIanie·,\t,pl'c"sivc phycho"K's. totaL ... llnn!c trlll'· ...... ·............................... 2 D(·IJI·(·s~i"e type............................... 2

Tn"olutlon melancholia ......................... . D('m('ntl:t PI'1f'COX (schi",."lu·"nla) .... .. PHychn~ .... ~ with l)}l.J,'chopathlc pf!I'HOn-

ality ................................................ .. l'syrhosc~ with nll'ntal <Icflclcncy ...... . \Vlthout p"ychosi". tot" 1.. .................... ..

I':pllcpsy without ""y<:h0"i" ........ .. Dr·tll-: H,hllction without pH~'cho-

Mis ............................................. 18 AI .. nt" I .leflciency without psy-

CI,081. ....................................... 4 'l'otal ....................................................... .

1 1

., ., .,

1

1 1

1

4 1

2

~ 1

9

1

1

;; 3

1 ..

6 1

2

11 3

4 2

3

2

24

4

Males l:!

4 10

1

1

3

~ 1 1

51

7

2 ;;

3

9

4

1 6

67

Females ,(

2 :!

1 4

1

1 2 2

:!4

4

1

1 2 Ii

26

Total 16

6 1~

1

1

b

13 1 1 3

75

11

4

14

6

7

1 b

1 ·1

30

93

TABLE 7 :Bace of First Admissions Classified with Reference to Pr1I1cipal Psychoses. for the Years Ending December 31, 1929·1930 ------ I -~":nhc~~e-------T- --~·------\ViHl~ltbothc~hfalu-JIJ---- . ---!- J".1~t~lt1rn~R I '\'tth(A.~ler

Total Senile bra I arte!;. ~~e:~j~:ls Cerf,I,!al or!'en·ou.: Alcoholic. awl other.' .',matlc Race oscieros.s '.YIIIIIIIs d.seaaes 1<>:0"""0". tOXlDS dl.ea£es 1- ---. ----- ... ----.. -.-.. ' ''' ., _·-·_·-·-1- ... --

; II I FIT ll' FIT II IF! 'I' II .I}", T ; II I piT' II I F I '1' i II I F IT I' II ! F ! 'I' ! II ! },' ! T ! I ' I I I"'" I -1---.--.------.-

2 ; ...•. 2

f ;--2'; 3

~! ~ i

1029 American Indian _ ... __ •• __ .~ .. _. Chinese ... __ ...... __ . __________ .1

English __ • ___ . ____ ... __ .. ______ i

~~-~~-:~::=:::=~:::::::::::::; 4 i ~--- ~ 1 / ____ ,

Italian- ._._~_ ...... __ .~ ________ . Persia __ .... ___ ••• ___ .4. __ .... __ . Mexican ______ • ___ .... ___ .. _____ .'

F-i'i

Total _______________ . ________ .. 51 124\7;' I 12 i 4; 16 :. _____ 1._ .. __ : ______ : 4 21 61 __ .. ; ____ ---- _____ .1··.·· ... \ _____ ., 10: 2112 1 :------1 1. 1 .. __ .' 1

Chjnese ______ ~~~ •. ______ .. __ .. 31 .. _.' al _______ ·!· ___ ! _____ -'--___ ·l· __ -' __ i _______ .L.i. __ L._:. __ .: 1 !"_-.. ! 1 i 1 ...11 ... - •. j.---------- .. '--.. :--..!----E?gl!Bh ... ---.---------------. 3 ---. 31 ____ --.-:----I·---+----r ---· 1 :.--.! 1 \_·--I.---/··--·_·-- t -----I----·· i 1 "'-'1 1 1------:----+----· --.-!---.;----

Total .----. -----------------••• : 67 26 931 71 4: 11 I 2 i '--' --I 21 5 i---- 5 1,--, :::J.:.:J_3_~.:_ 4 9: 5 1 14 1·----·l·----r--··! 4: Z i 6

TABLE 8 Age of First Admissions Classified with Reference to PrinCipal Psychoses, for the Years En.ding December 31, 1929-1930

I I i 15-19 I 20-24 , 2'>-29 . :!II-:~I -I 3.5-3" I i0-44 ' 45-49 I 5fH>! '--r;;:'~~-If,o:.rA 1 t">5-6-,9-'1-70-Y-e-a-r-s PsYcllOiefi L Tota :. }~ar. __ !:~'"-"-, years _ . ,CIU!.'. 1 years :~I years _ years :. y~a!~--' years ___ ~~ ando~er

. III : F : T i:\11 FIT 1 11 I FIT!],I ~~l~ , ~I ' ".! 'I' ! ~ :_~1~.: .:!.l! : 'l' : 11 .l!b:.ex I f'.' ':.3 ~ : ~J 2.1 11! P L~_, 11 ! f-! T ! :' : F ; T Senile ........ ~~:!u ...... _. __ . ...l12Ii 41·161 . ...!.-.·-... : .... ~ ... -. L 1 ... 1 .. L.LL .. !-. ..!.. ! .. I_. i. __ ~_. 1 . .1..1._ . .1.. I .. J .. : ... 1 2112! 1."11 i 4 ._t 11' 2; 9 GeneraJ.paralyolH .... -.... - .. -.' 4 2 6 ,-.... -.... --- ....... -1-. -- -.. '-- .1 ••• , .... -- ,Ii 1 I 2 , 1 ' 3, ... \--., ... 2 ,-.. 2, I 1 I' I . f AlcoholIC ... .. . ........ _ .. 'lIJ 2 12 1_ • ..1._ ....... - --.. -", 1 1, 2 1 ... ' ... .1, .. · 211 1 3 1 ' .. _' 1 ,3 ... , 3 ............. , 2 :.. ' 2 : 1 __ .. 1 I I: 1

~~;:e~'::.St~~~~t~~: ... " ... , 1 i ... 11 L i .... -.-' ... .' .... --'--- _ .. ' . ...i 1 ! .. ..! 1 I I! Iii I I : iii; I ! With other gomatic diseases •• 1 I'" '11 '1 ... 1 ... , .. .I .......... I .. - .... i 1 i·_·

1, 1 , 1 1 ' • i!' ':: ,

Manic~epressive .... : ......... 3 5 8 .... ' ... 1· .... - ......... ' 2 1 3 ___ 1 3 3 - .......... : .... l' 1 11-"1 1 : .' i ' I InvolutIon melancholIa .............. -.'.- -i-- ... , ....... - .... --..... \ ... , .. ' .......... " ... :-..... '''1'-' .... ' 1 . 1 , I I 1 Demen!iapra!cox.: ......... : .. S 14 ISI1/--.. 1 1 --.. 1,1 __ ,1 ... 212 211 3 J 2 i 1 3, I, .... 1 ! .... '---i-•• 1 : ... 1, ' ParanOIa or paran01d conditIon 1 , ••• 1 ' .. ','" --. --_ ....... --.......... 1 ......... 1.. ..... 1 ... 1 II" I . I I Epileptic pSYchos.s ........... 1 ' ... 1 1---1 .... --.'--..... --.',... ..... 1 , .... 1 : ' , i : i : ' : Psychoneuroses and neurose. 2 lIS '"''---1''' --.... --.. 1 -.. 1 ... ' 1 i 1 '-' ----.. 1 ' ... ' 1. 1 I': . 1 '1 I

. With psychopathic personality: 2 1 31 .. .' ......... -.... ,--. 1 '" 1 .• '.-- ... __ .1._ ," ......... 1 \ .... 1 I .... · 1 11. , 1 I ' 1 With mental deficiency ... ______ 1 ... 12 2 , .... I .. · .-... ----j-... ", -- .-- -- : .. .' .. -- I! 1 ....... ' .. _,-- ..... -- ... ! 1 l' Iii i', Without psychosis """--''''J~'':'' .2.1::: :::'::..:. =- -=-,-=-:~:.:... ~'~I:.:..::.!_I~..i::j_:. ~ ::...'_1.' __ i_. __ 1 _________ ' ____ '_ 'l'Otal ...... __ • ___ ..... ___ .. ____ .!51 !124 75\11'-- 1: 1 2, a; 7 i 2 1 9

1'\' 6110 , 61 4\10: 8: a III 161'''1 612 , a: 5: 3 i 2:;; i 2 --.. 214 !.. .. 417! 21 9

Senile .. -- .... ~~~~: ............. : 7 4 11 ', .. L ..... i.J .. ~. __ L.t.L .1.. ..... .1.. .. ' .. .I ....... : .. J. !.. .. : __ .1 __ .. "'1'" : ... ;._1111: 2 ! 3 1 I 4 '1"--11 ...... : 3 1 2 i 5

Withcerebralarteriosclerosis.l 2 ." 2 ... '--......... ! ... --.' ... :--.... .1 .... '--.. 1--.' ... ' ... , .... - .............. ,. __ ... , __ .1 .. __ '1. __ : .... 11 ... 1 1 __ .. 11 I ~~~~\~~'b'~~so~·~;,~,;~s--·i 5 . 5 ," '1

1.-'1"":--+--:---;--'1''' · .. ·I .. ··j .. ·,· .. , 1 I'--! 1 2: .• ! 2 :.--.-- -- : 1 : ___ 11 ... ,--';--'1"'1'" --.!---- .... '--1 1: '--i A~i~~i~s.::::::::::::::::::=:~; ~ I ~ II! :::-.::~.c:i::h ·-i 1::= ::: ::,:'::.r·I::=;',"i'Z'l-S·"z ,-i-:'3 .~ 'i'111'i :::I'i-::::i:::CI ~ .~. ~ :---1-· .. '1 .... 1 "', Wjt~otherso~aticdi8eases.. .. ! 4 2 61---j-'"'''''' '.-... ' .... ; ... J--..... --; ... 1'''1'--1''',21 2 .-. ""-- , I: .... 1, __ +.+ __ 1. __ ....... 11 --_ 1 i 2 ' ... .1 2

~~~l~~~~~r':;~~:."nech~iia::::::::i ~ !l'~ I :::::::: :::I.~.I.~J: r I.~ .. : .!:::Il'~· .~.,::' !:J:::'i ,::.'-i , 1 __ "11 1'-- '---1-- :1 .. "1' ... , .... 11

' ... , __ ". __ \1 '1--" 1, : I, Dementia pr:ecox ............ 6 2 8 '"'1''' '" --.' ... -- , .. ·1·--· ... 1 .. ,,\1 ' 1 , 1 1 2 i 2 : 1 I 3 .......... ' 2 : ... \ :t I ! With psychopathic personality --- 1 1 --. '._- --- --. _ .. - -- .:-- --- -- :- .. --- ___ I._ --_L--'---i 1 IIi,': I' I ' W!thmentllldefi~iency .. __ •• __ ~2 2 4j· .. I· .. , .. ,1 ... 11 .. ,11

1"""""1 ... 1 ... ;., ... ; ...... Ill, ,i' . "

WIthout psYchOSIS ........ ---- ·t~.,~ 30 :.!'I::_'~ ..:. .!. ~. ~,~_ ~I~:.!' ~. ,..s..':.:::I..s..,~-'.!..!~-.-=-:.:...":" ~ ::...'.!. ::: . .!_,,!,, __ ,_, __ , __ i_. __

TOtal .... ______ • ______ ........ __ :67 1261931 1 I''''! 1 : 4: a~l:...: ~_61 4\21 6 ;uL~1~;~I~J~~.~~!±~·16' .112l~! 71219\31 .... 3\7! 21 9

'lll3O. under 1(; years-l male patient, with wcntal deflciency; 1 male patient. without psycbQ/jl .. tota12.

..... 00

TABLE 9

Degree of Education of First Admissions Classified with Reference to Principal Psychoses, for the Years EJiding December, 1929-1930 R~~f'nrl Common I

PSYCHUSES ~Totai- ~Il1itcya_ -\\rrites~ r-sChool- _Hl~h scholJi_ ---wj'~t!-I!J~9 ~1 :F T 1.1 F' T !l1 F T ]\I F T !If F' 'r M jo' T

S',ni!p .............................................................................................. 12 4 16 1 1 1 1 9 4 13 1 J

Xi~;hgU~~:.~I:.:~~~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ·1 ;; 6 1 ~ " 2 4 1 1 H. ., 12 ~ 6 ., 8

Du[· to drug's and othH ('xogenous toxinH ............... ~ .......... I J 1 "'ith oth,·r somatic dls"ases ................................................... 1. J 1 :\Ianic:·u.'prN'sive ......................................................................... 3 5 8 2 3 " 1 ;l 1 Involution mf'lancholia .............................................................. 1 1 "1 "1 1 1 Demr-ntia Pl'CCf"ox .....••••...•. __ ..•......•.. , ..••.••.••.•••••.••••. _ ..................... D ~ 13 1 5 6 ., 2 4 .)

Paranoia and paranoid conditions .......................................... 1 1 "1: i Epileptic p~}·('ho~{'s ......... _ ......... _ ..... _ •........ _ •. _ ............................. 1 1 1 PsYC-hOnHIl'Oe;(>s and nt·tlr<Jsf·~ ... ~ .• _~~ •. u •• _. __ ...... __ ....................

., ~ 1 1 .,

~~ll~ ~;~~i~~P3~n~1e~~~~.~.~~~I.~.:.::::::::::: .. :::::::.:.: .. ::: .... ::::::::::::::::::: t ~ I 1 t ., 1 \Vithout psychosis ............... _ ...................................... _ ...... _ ..... ;; 7 -'3 3 1 1 Z 2

Total.. .............................................................................................. ~1 .:.!4 75 6 1 Iii ., 17 :!5 16 41 ;; 9

1!f.;O Sf'nile ............................................................................................... 7 11 1 3 3 6 With c"relJl'al artf:rio~clt".r08is ........................... _ .. _ ............. _ ... , .,

~ :! :l GenHai paralysi'L ....................................................................... 5 "i' s fi 5 With other brain or nt>n'ous diseases ................................... 3 ., 1 1 " 1 1 "\l~ohollc ......................................................................................... 9 r, I·' 1 .. 1 ii ;; 3 8 1 'Vith OthPT somatic dls<:ases .................................................... 4 • 6 ., ., ., 1 3 ~Iantc-df"prf·gsive ........... __ ... ~ ... _ ..................................................... 4 3 7 1 1 1 1 1 1 :l 3 1nvo] lit ion mJ,In.ncholia .................... __ ........................................ 1 1 1 1 nf.!m(~ntia prrecox ........... __ ...................... _ .................... _ ................ 6 ., 8 ., ., 1 1 1 q 3 :l :l 'Vith psyehopathie p"Tsonality ............................................... i 1 "1 1 t 'Vith m')ntai (!pflc;ency .............................................................. 2 !l I ., 1 1 'Vlthout psychosi!l ....................................................................... 2·' 6 30 5 r, " ;; 13 6 19 1

Total.. ........................................................................... · .................. 67 26 93 11 3 H 18 ., 20 32 I, 49 4 3 7 2 1 3

TABLE 10 Environment of First Admissions C1assi1ied with Reference to Principal Psychoses, for the Years Ending December 31, 1929-1930

PSYCHOSes ~Total-- ~-Urban-- --RumJ-~ _TJ~ined-. 19i9 M. F T :II F T :.\ F T II 1<' T

Senile ............. __ .... _ .......................................... , ............................... 12 4 16 ?, 6 9 1 10 General pal'alysis. ___ .... __ ._ .................................................. _....... ·1" ;! 6 :1 oJ!i 1 1 .... \lcoholic .............. __ ...... _ .............. __ ....... · ............... u ••••••••••••••••••••••• 10 .) It r," 7 ;; r, Due to drugs and othl!" <,xogenolU' toxins............................... 1 1 1 1 ~\I'itl! 0dther so!"atic dis.,ases.................................................. ~ • 1"2 6 1 "1" ~ • ame- cpr(·sslw' ................... _._ ... _............................................., ,,~_ 1_ IDnvolution ffi~lanCholia'''''''''''''''''''''''''''''''''''''''''''_'''''''''''''''''!J 1 1~ --;',,' .. 1

6 em{!ntia pr~cox ... _ ... __ .. _ ......... _ ............ _ ... _ .. _.............................. ·1 ~ .., 6 Paranoia and paran(>ld conditions ..................... __ .................. 1 1 1 1 Epi leptic psychose"..................................................................... 1 1 PByrhoneuroses and neuroses ... ___ ........................ ____ ............. 2 1 3 \Vith psychopathic pHsonality...............................................·, 1 ::

~~li~o~te~~ic~~~~.~~:~:::::::::~::::::~:::::::::::~:::::::::~::::::::::::::::::;; ~ ¥ Total ........... _ ...... _. __ ................................................. _................ a 1

1[1.)0 S(~nile._ .......... __ ..... _ ........ _ ....... _ ......... _ ................... ___ .......................... 7 \Vi lh c{,rehral art.'riosclerosis.................................................. 2 Gf·nc-ral paralysis .......................................................... __ ............ 5 'Vith other brain or nervous dis~ases.H ... _ .... __ ._ ..... u............. 3: Alcoholic ................................................................ _....................... 9 ,\Vith oth!'I' somatic diseases ................... __ .............................. 4 ~Ian ic-deprpsgh·" ............................................................... _......... 4 In \'olution ffi',laneholia............................................................. 1 Dementia pr~cr,x ...... _._ ....... __ ... _ .............. __ ........................ u •• h •••••• • 6

~~::~ ~~~ra~P~!~;;'i<:~~~:~~~.~~~~:::::::::::::::::::::::::::::::::::::::::::::::: ., 'Vithout psychosis. .......... __ .• __ ..... _ ...... _ ...... _ ...... _ ................. 2·1

TotaL.._ .............. _ ....................... _ .................................................. 67

24

. , i ., S

26

11 2 ij 1

11 6 7 1 ~ 1 1

30

93

1 2 2

.'r; "i' !l

26 II!

1

I 3 "4 6 1 :! 3 2

"3 ., .. .,. 1

1 11; 6

43 u

1 ~ 1 1 ., 1 1 1 1 1 7

H 2-1 (; 30 1

5 0 3 6 ., ., '1 ?,

1 "i 1 1

1/1 ., 1 -I .. .. ?, 5 1 1 2

1 1 r • :: 3 1 " 24 1 1 '. G 6

62 ~i 7 31

r", o

TABLE 11 Eoollomic CGnditioIl of Firot Admissions Classified with Reference to Principal Psycho!!e>l, far Years Ending December 31, 1.929·1930

PSYCHOSES ~TotaJ--192!I )t

8enilc ........................... _ .•............. : .................................. _ .............. 12

~rcno'J;~l(p~~~~:.~~.H:::::.::::::::::::::::.::::::::::::::::::::::::::::::::::::::::::::::::: 11, Due to dl'ult" and bth',r ~xogenou>! ~Q"in"............................ 1 ,yith olh',r flornntlc dis'!ases ............... _ .......................... _...... 1 ~Ianic .. dcprr:H~j\'(~ .... _ ....... _ ......... _._ .. _.O#._ ...... _ ... __ ... __ ....................... 3 Involution m~laneholia ............................................ _ ............... . Dement ia prf:eCOX ..................................... " .•.. __ ....•........ _ ...... u.... !J Paranoia and paranoid conditions ............... _........................ 1 Epileptic ps~·~hos'·s.................................................................... 1 Ps}"chon('uroses and n .. uroses ........... _ ...... _ .. _ ............... _........ 2 ,vith p~~·chopathic personality. __ .................... O#. __ : ••••••••• __ ••••• 2 \Vith mental d .. tlcit'ncy .................. _ ......•.......... _ .................... . \Vlthout psychosis ... _ ......•....... _ .......... _...................................... "

Total ............... _ ...... _ ............................................................. _....... 51

19.10 Senile............................................................................................... 7 \\,ith c(-rebral arteriosclerosis ............................... _................ 2

~Vi~hl"~~h~~r~~~r!sor .. n~r¥OUs .. d.i;;ease.s·:.: .. :: .... 4.:::: .. :::: .... :::::::: .. ::: ... ~~ 5 Alcohollc ..... _ ..................................... :............................................ ~ 'Vlth Qthpr somatic diseases ........................................... _....... 4 Jllani"·depressiv<: .............. : .... _..................................................... 4 Involution melancholia ....................................................... _..... 1 Dem(mtia prrecox......................................................................... 6 \Vith psychopathic personality .............................................. . \\'Ith mental ddieJency.............................................................. ~ '''Ithout I>sychosm ... _ .•.. _ ........ _ •..•••.......•..•.... __ ....•..........•....... 21

'l'otal ............... _ ............................... _ .......... _ ........................ _ ........ 67

F' 4 2 2

;, 1 4

., 2

1 .5 ., 3 ., i '>

G 26

T I/; 6

12 I 1 h 1

1" 1 1 ?, 3 :! 7

7S

11 ., r, 4

H 6 7 1 fi 1 I

30

~-Dei>endent;--M F ,.

1 6 1 1 1 .,

2 •. ~

.>

3 3 -, 1

2 ()

31)

I "1" 1 1

1

"1

1 1

13

;; 1

31

~·-Ma!'J..;nal-­l.! I" T 628 3 ii' r, 8 i 9 1 1 1 1 ~ 4 7

6 1 1

39

:l 1 2

"s 1 2 1 :l

1 1 4 1Q

17

3

1 3 2 2

2 1 1 4

19

1 1 3 2 1 6

56

6 1 2 1 9 3 4 1 5 1 1

19

53

~Comf()rtable-U F ,. 1 1 2

1

1

1

1 1

:I

1

2

1

1

1

1

6

'> j 1

G

TABLE 12 I"

. Use of Alcohol. by First Admissions Classiiied with Referenca to Pri..ncipa! Psychoses, for the Years Ending December 31, 1929·1930 t':l "C

T'IIYCHOSES ~Total--- -Abiotinent-· ~Temperate--. -Inlempe .... k- -l;~rtaiGed-. ~ In!} 11 F T II F T M F T 11 f' T M Jo' T .., Spnile ............... _ .... ".6 ..• _ •••••• ____ ...•••••••.•.• _ •••• __ •••••••••• __ · 12 4 16 3 -l 'i -l ~ 3 3 ~ 2 General paralYHI~ .................................................. .\ ~ 6 1 1 " 3 1 1 2 0 Alcoholic .............. HI 2 12 Iii 12 "!l Du(' to drugs and (~t:11:;r·~~og~.:n-ous-to~rns:=~:::~ I 1 "1 1 1 Z \Yith other gomatic tliscases .... _ .......................... 1 1 1 ::l ~1anic·depr"ssin' .................................................... 3 [, R " ., ;; 1 '2 Illvolutlon melancholia ......................................... 1 1 1 1 ;.. Dem('ntla prlecox .................................................... ~ 4 13 ., 4 6 3 3 0 Paranoia and paranoitl conllitions .......... _ .......... __ 1 1 1

;.. Epll~ptic psychos"'s ............................................... 1 1 :t I Jsych(lnf'tlros('~ and ne-u roses ...... H .................. ____ 2 1 ~ 1 1 2 0 \\'it h psyehopa thic p'·rsonality ........................... 1 3 1 1 " .,

~ \Yith mo·ntal d~ficiency ........................................ ~ :! ., .,

~ \Ylthout psychosis ................................................. G 2 7 1 i : - 5 ;.. Tota 1.. ......... _ ............................................................. iiI 24 75 8 I. :!a 11 l~ 2!1 ;; 31 :: C"

19JO "!l C

S~nilc ............... _ ....................................................... 'j 1 11 2 .. 1 2 1 1 ;:.: \Vith cH('bral art.·riosclerosis ............................ 2 2 1 1

~ G<!neral paralysis ................................................... 5 r, ., ., 1 1 2 2 \Yith other brain or nervolls diseases ................ 3 1 4 2 3 1 1 r-: Alcoholic .................................................................. 9 5 11 II f. H Z \Vith oth.·1' somatic <liseases ............................... 4 :) 7 2 ., ., ., 1 1 ., 1 J

.., ~Ianie-df"pr(·ssivf· ............... __ ........ __ ._ ... u._, ___ ... _._._ .• 4 2 6 1 1 1 ., 2 2 1 1 ~ Involution melan'·holia ....................................... _ J 1 --2 1

t;; l)('m('ntia prree/'x ............................ __ ...... __ .............. 6 2 8 2 4 2 2 2 2 ..... \Vith p!;~·ch()lIa'hi<; IH·rsonality .......................... 1 1 --1 1 1 (fJ

\\,ith m"ntal 'j'·n"l'·ncy ............................ : ........... ., 2 I !! :) 1 1 t':l \Vithout psyChosJs ................................................. 24 6 31) 6 6 9 3 12 g "3 11 1 1

;.. UJ - - bl Total.. ........................................................................ 67 26 !13 11 !I !!(J 23 6 :!~ 24 11 3" !I 9

TABLE 13 ::: Marital Condition of First Admissions Classified with Reference to Principal Psychoses. for the Years Ending December 31, 1929·1930 ~

}'sVCIIOSLS ~Total-- ~SingJe..-.- ~MaTried- ~Widnwed-- ~Scpar,.t0d- .--Divorced-. C ::: J!I;!9 M F T l! F T 1>1 F T 1I 1" T U P T U F T ..,;

SenU" ............................................................................................... 12 4 16 6 1 'j 3 1 -1 3 " .. "" G('n~ral paralyllis ........................................................................ 4 2 6 2 ., 1 1 1 1 1 ., os; Alcohol ie ... , ., ................ , .... , ............................................................ If! 2 I!! 6 6 :l 2 1 1 1 1 :: 1 1 DuO' to druf:~ "nd other I:xogenous toxins ............................... 1 1 1 1 Z 'With other r-::ornatie; diseases ...........•.•. ___ ••.. _ •...•. _ ..................... t I 1 1 ,', ::Ilanic·depr'·""j\'e ......... , ................................................................ 3 E; " 1 1 ., 1 <: Involut!on /)1(·lancholiR .............................................................. 1 1 1 :--Demf'ntia ptlCcOX ......... , ........... " .................................................. 9 ~ 1?- "7 7 1 "3 1 '= ;;. Paranoia and paranoid conditions ............................................ 1 1 1 Epileptic pRJ.·chosf's ................... __ u ••••• __ • __ u •••••••• _ •• ____ ••• u •••••••••••••• 1 1 1 1 :t I'gychon(:ul"osf's;, and nf·uroses .... __ ._ ... H •• __ .................................

., 1 :: ~ ., 1 1 C

\\'ith psychopathic p~rsonality ................................................. ., 1 :l l: 2 ~ \\'ith mental {li~fi (,:iency •............. n .................. ••••••••• _ •••••••••••••••••• ., ., 2

Without psychosis ................... _ ................................................... 5 ., 'i ;; 5 1 1 .., E: Total ............................................... _ ...................... _ ....................... ;;1 :!4 ,;; 34 4 38 'j to I, ~ ;; 10 :I - ;; 2 3 ;; ~

19JO ~ R'·nilp. 'j 11 2 4 "1 1 - 3 :! \Vith c(:r;:br;;l··al:t;:ri~s~i·ei:Qsj·s~·:.~·.~~~~:·.~~~~~::~:::~:::~:::~:: .. ::: .... :: .. ::.: ...... ~ ., 2 1 1 1 1 !::: Genf!l'al pa ... alyRis .......................................................................... 5 a 1 1 2 ? 1 1 "1' i r:: \\'ith other brain or nE!T\'OUS diseade.E-................................... _. 3 1 I 3 3 Z Alcoholic ......................................................... _ ............................. 9 5 11 6 6 :! :) 1 2 ., 2 1 1 '" With other somatic diseases ...................................................... 4 2 6 2 2 2 ?, 1 ;;-~lan ie·depress} n' .......................................................................... 4 3 'j 2 ., 2 3 ;; t"' Im'olution m(·lancholia ........................... _ .......................... _ ...... 1 t "5 "f 1 g Dementia prreco" .......................................................................... G 2 8 5 1 1 1 1 \Yith psychopathic personality ................................................. 1 1 1 1 (fl

\\'ith mental deficiency ............................................................... 2 2 -} 2 "I "3 1 t"! "3 ;;-

\Vlthout psychosis ................................... _ ............................. _ .... 24 6 30 19 II) 7 1 1 1 2 1 1 rJl

Total ............................................................................................... 61 26 !13 H 2 46 10 15 25 S :I 11 ;; 4 2 6 e2

TABLE H. PSYCHOSES OF READMISSIONS For the Years Ending December 31. 1929-1930

PSYCHOSES 19 Z9 ::.Iales Females

Psychoses with cerebral artetioS<::l"rosis......................................... 2 Alcoholic psychoses .......................... _ ............................................... _ .... 1 Psychoses with othel' somatic d~..<iSes............................................ 1 .... lIIanic-depr"s~i\·e psychoses ......... __ .............................................. 1 2 Dementia prleCOx ....•........... _ ....... __ ............. _..................................... 1 1 ~·ithout psychosis ........................ _ ....... _ ............................... _ ...... _ 2

Total ..... _ ................. _ •...... _ .......................................... _ ................ __ 7 4

19.10

~:::,~c;,~\':1.'r;i~~; .. :.~~.~~:::::::::::~::=:::::::::::::::::::::::::::::::::::::::::::::: ~ -3 Epileptic p~ychoses.............................................................................. 1 P8~'choses with mental deficlency ... __ ................. _........................... 1 \Vithout psychosis ......... _ .............. _ ................................................. _. 1

Total ......... _ ....... _ .... _ ....... _ ........... _ .. _ ... _._ .. _ •.. _ .... ___ .. _ .. 11) 3

Tobl

1 1 3 ,>

11

4 6 1 1 1

13

TABLE 16 Ca.uses of Death of Patients Classified with Reference to Principal Psychoses. for the Years Ending December 31, 1929-1930

I Total i Lui F

Senile 1 ~~~lha~i~~'. '.: General A\cOhO. lie I Dementia ! J-:~'I~el'tie :Witbmental: All othe! , osclerosls ' paralysis i pr.ecox ! PliYCb06e6 deficiency PSYCh06IS

1'1' :-1l-c1:-F--:--1 T-: 1I1 FIT i ld!F IT iMr;IT-1 II iF i ,';:.1 iF i-T'jY i'~;rT i 1.1 I ~' IT

EPI}~~~~~to!'i~~}Ct~F~:!~r~~~~~~~;;;;\~l 1 !. __ .11 L.'I.J1 ... t--'----'-J, .. -.I ....... tJ.J ... ll 1,.---' 1 'I "" I !, I 1-1---GENERAL I!15£AHEH NOT INCLUDED IN CLASS 1, iii "i I , I ~ 1 I I I I I

DlS:l;~~o~:r~~~·N~eR~~~r~~~~F.i'··· .. ····r··: 1 i 1 l····'I·····I .... ,·---I· .. ·:····i--·-I-.. · "-'1' '.1 1 ill' 1, ii" i I Cerebral hemorrhage. apoplexy ............. 3 iI, 4, 1 ''''. 1 1, 1 1 2

1

.... 1 ............. 1 .... 1. __ • 1 .. -- 11 1 I ' GeneralparaIy.is oftheinsane •...... __ " .. ' 1 I···.! 1 I .... L ... : .... __ ... ! .... , .... 1 '1" __ 1 i " I . 1

DlS~1~:~ ~~!~~~~~nu~~~~~~"SYiiTEil"""" 2 !--~'i 2 i'''+'''' .. -- ·· .. ! .... I .. r··, .. ·· ""'''''1'''' ---- '--'1"" "-'1"" ""j'" :"''1'''' .... 2.... 2

Endocanhtis~nd myOCarditis ............... ! 3 I' 1 51 2! 1 I 3 .... , ... ,";' .... 1--.. ----1 .... '---- --.. 11----1 II"" .... '----\ .... 1· .. · .... .... 1 Arterlosclerosl .......... --." ............... 2 --.. 2 , ........ .1 __ .. 2 ' ..... 2 I I

~~!HEti~:SE~~;~~i : I:::! : i-' 1::::1-'1---'--1--1-1 ,i ' I Ii I I I Nephritis .................................... :.-2.:=:.'.-2.'=:.':.:=::.:= :.:=1:....:.:.:.:=':':= I=:. =:".:::.:!:.:='.:::.:.-2. ::::1,2,. __ :_:_1 ____ _

TotaL. ............... ~~~~ ...................... ; 16 1 "120 51 1 1 6 i 31 1 I" 1 '''' Ill! l' Z 4 .... I 41 ........ 1 .... 1 .. "1....... 2 1 3

EPIDEMIC. ENDEMIC AND IN~'ECTIOUS DISEASES I ' I I I ! Tuberculosisofthere.piratory.ystem ..... 1 1 "" 1 ........ 1 .... • ............................ , ........ 1 .... 1 'I

DIS~~~~~I~F(;~';;n~r;~~gt~~~T>;,;i······ .... ~.... 1 1 .... ''',\" .. ; .... "'-i'''' .... 1 ........ I .... " ............................ 1........ 1 1

Tabes dorsalis (Jl)Comotor ataxia) """" ,..I 1 .... 11 ............. ' .... 1 .... 1 ........ '''' ........................ --......... L... .... ........ 1 I"" Ce~ebral hemorrhage. apoplexy, ........... : 1 ...• 1 \ .... , .... ! ............. 1\ ......... ".. .... .... .... .... 1 .... 11 I I

D,s~l'~~es"~~,THE·cji;cui:AT(;Ry·SysTEii ...... I 2 .... , z \ .... 1 ........ I ....... - ............ "-1''''\'''- ........ -... -.. 1 ""r 1 1 .... 1 I Endl)Carditis and myOCarditiS,·· .... · .... · .. l 5 1 61 1 11 I 2, 1 .... 1 .... '" .............. ". 2 .... 2 ........ I.... •••• ........ 1 I'.·.. 1

DIS::i~~~"i~~SiRf:~;.·IR"TORY·SYSTE"·--.... · 5 .... I D 1 " .... • !'''' .................... 1 .................. ··' .... 1· .. · .... I.... ............ 1,.... 1

DIS~~~~~o:;~'!:m&~~~STIVE·SYSTEM· .. · .... ··i.... 21 2 !--...... 1 .... 1 ........ I .. ·· .... ... .... .... .... ........ 1 1 ......................... "" 1

No~~~';;'~~n:l~'bn;~~~~ Gi:iiiTO:ijiiiN"R·y .. I· .. • 1 1 I· .. · ........ : ........................................ 1 1 I Nepl)ritis .. • .. •·· ...... • .. • ...... · .... ·• .... i 211 I 3 ; ........ I ............ : .................... · .. ·1·· .... -- 1 1 ............ 1 .... 1 .. ··.... 2 .... 2

OTH~~rD:'s°~E:<i· .... · .... · .... ··· .... · ........ ; 1 ""1 ~, I .... ! 1 ! 1 I I I 1

Exhauitlon ................................ 2 1,,,, 2 ' ................ i .... "","" .... I .. · ..•.... -- .. , 2 ''''1 2, : , " .

TOtal .. ·· .. ·•·· .. ·• .. ·•·· .. • .. · .......... ·· .. · .. j20Ts;"26161117111=1li=r=F~I=r=l=r6 ar;\1\=11 11 11 'I ! 1 1 6

CaUlleY 01 deatb

TABLE 17 Age 01 J>atients at Time of Death Classified with Reference to :Principal J>sychoses., for the Years Ending December 31. 1929-1930

'I Total 'I ;i;;;:a i :;-,;:. ;~~:r~ '\ :ra~~ ~~~s i;a~~ I ~:;~;8 ! ~t:;?" II ~~'~~~r ~'cboses i ' ' ' !_..,-___ -;--:-_

!~-;r;T;-TFfTI-;-:~iT-; 111 F 1'1: 111 }.! '1' :-~~,r;.;-TlITFG'ruT~-r;·ll1l F I '1' M I F I '1' -----'-I I--! --I--'~!-;--"'-'T-l 1-'-'1-1-,-':--1-: ! 1 I I I ! I I I I Senl·le.19~,9 ... _ ... __ .. ,_ .. ' ." 'I' , ,I , " 'I' I Withce;,eb-;.aJarteriosClero.'i~_=== 5 1

1

6 .--.,.--.'----'--.. 1--...... '---.•. --. "--,--" ..... .' .... ,-- .. '.---'----'--.... - .. , •••. , .... ,--•. , •• _.--.......... \5111 6

~~~~,;~ __ ~c:: 1 !::!I ; ,:~::i::~:·;::;I~::~;,:~:,~.-'I,;;:I'I::I __ ;:::,::IJ::i : :::! : I::JJ __ JJJ_J : L:I : W,thout P~·ChOS13 .....••. _ ••. __ .-: .... ' 1 1 :·-··1 1 Iii I .;:: I' I ' I 1 I I ! '

Total. __ ............. __ •••• _ ••• _ ••• 1sj~'20"=ljll'=l'l!ll~-:-ll''21:=:2i-=:=C:-:-:4'I=:I' ""4C:-:-Jl i1"=:I=\'=I-;i11;.1o " ' '. ,,' , ( I 'I I" ,

1930 i 'i'!'!! 1 , I ; : ; :' ! I ! ! ! i 'I ~u~ec~~ebr..i·a~teri';~ie;:o~is·===: f: .. ~. i' :.:. ~:::: :::: :::: ::::, ::::' :::}:: I:::: I ::::1:::: :::: ::::' :::: I:::: ::::: ::::c: ::::':::: i:·:·: .. ~.i::::I .. ~:1 r j .. ~.: f Wi~h other brain or nervous - ': I! 1, I ' ! I I ':! I;! 1 - - 'I l 1 ~ i

dlsea5€S •• ........... • ••• • ••• __ -1 1 •• -. 1 ' •••• ' •••••••• , •••• ' ••• - .......... --1 •• -., •• -., ••• , ......... - •• - •••••••• - .. ,.... 1 I' .. ' 1 i I : , ' Withother50lnaticdiseases __ .. __ : 4, 1 5 ,- •. -' ....... 1 •••••••••••••••• 1 I 1

1

_. __ , ......... 1 .• __ 1 1, __ ...... _. __ •• _ .•••• 1 .... 2, •• __ . 2 I 1 •. _ .. ; De!"en~ia Prreco", .... ----.-- .• -.. 6 i 3 9, .... : ..• - '.--, 1 .... ' 1: .-•. --.-j-... 1 I' .... 1 i 1 , .••• , 1 ,.-.. 1 I 1 .••• ····1·--· 1 1 .. --1 1 I 21 :I i Ep.leptlc psychos.s .. -•. --.--..... 1 ••.. 1 1 ;-... 1 I I I "I I, I ) I I I " I With mental deficiency ...••..• -.,- ... , 1 1 , .... ; 1, 1 ii' ! ' , " I Without PSlTehosis. ___ ______ .• ___ J 1 1____ l' 1 ~ ___ ! 1, 'I " 1!: ,; I I : I, 1

TOtal··--··-·---·--····---~---·-··i20r61~L21 1..3 1 ~i==: _ ~J.:~·.·I ~L~._~ l::J 1 L~.;~~j2 ;--J ~Ll 11f:-i-l1-4F-r4(9Pl~

f~ -I

TABLE 19 Movements of Population Since Opening of the Hospital-Gains, Lo3sas, Daily Averages, and Dally Costs per Pa.tient

'reID) Supcrintendent • '" ...; ~ 8" ~ ~ ;

'" , ". !:. ~. " I !:. P ? --I HB! 31 !

3 ! 23 . 27 4 16 ! 78 I (j() 8

~I -- I 47 7 "<.l ! 67 ! 41 • 10

14 &I' 43 7 (j 2: 2 0

89.0') 74.m ___ . __________ A. Dnwson.1I.D.

~~:~ , ~Ul ::::::::::::::::~: m~~~~: ~1:K 80.~1 63.S6 _______________ So Bishop. ~l.{). 65.31 . 57.37 ______ • ____ .. ___ S. Hi,hop, M.D. BLSI; 61.37 ____ • __________ .S. Bishop, ~.!.D.

12 661 51 15 18 64 I 41 14'

61.77 . 49.26 ____ ... _. ___ G. H. Tl.oma. M.D. 50.31 . __________ • ________ • ___ G. H. Thoma. ~l.D.

17 65 ~ 46 16 22 62 I 49 19 12 46 ! 38· 11 18 65 i as 10 18 :1 52 17

21 62 27 27 • 98

1

6~ 17 28 : J17 67 27 20 i 104 81 16 26 . 115 to:) 30 26 .

1241 79 21

42 ! 146 Il8, U 2·\ . 96 a~ , 19 30 . 109 SO 28 38 I ggl 93 ' 28

~~ I 89 35 )·11 116 31

49 162 IIJ>S 26 i I

48.17 .... __ ._. _____ '_'_''' ___ H. Bergstein. M.D. 49.19 ..... __ • __ ._ ... ______ .. __ H. Berl<stein. M.D. 52.01 ...... __ ........ _. ______ W. H. Patterson. M_O. 60.79 .' __ ' __ ' __ '_' ...... _ .. W. H. Patterson. M.D.

52.72 • "'- ......... : :::::: :~: ~~: ~~~i~~~~: ~:K 5~.91 .. ___ ... ____ . ____ •. _ .. _ ... S. C. Gibson. M.D. 08.12 ... -...... _ .. ' . __________ .. _S. C. Gibson. M.O. 56.07 .. _. ______ .. _. __ . __ , ... _ .S. C. Gibson. M.D.

~~:~I :::::::::::::.::::.::::::::~:~: t::-;:i~: ~~:K 51.11 __ •. __ ._. ___ .. John J. Sul1i~an, A.M .. M.D. 60.33 ... _ ......... __ John·J. Sullivan. A.M .• M.D. 78.00 ... _ .... ____ ••• _ .... _R. H. Richardson. M.D. 9C.OO , ..... ___ ......... _ •• R. H. Richardson. M.D. 91.00 ......... _. __ ._ •• _._;_R. H. Richardson. M.D. 91.0') : "' __ " ___ ' ........ It-H. Richardson. M.D. 9(,.f/J I' ... ---...... '-.-."- .. _ ... G. R. Smith,lII.D. 81.toO •• _._ .... _-: ......... ___ .. G. R..Smith,M.D. --,.-~---.. -- ..

I!. (.0

30 REPORT OF NEVADA HOSPITAL }'OR 1IE.."\:.Ii'.\L D~

TABLE 20 Residence by Counties of Patients Admitted During the Two Years. January 1,

1929. to December 31, 1930. and of All Patients Eema.ining December 31, 1930

1-~dm;~~-';U~lJg ~b~-~;:-r T~I;I~l~~~~~~~~i:i·-l000 Counts /-- -----, -- -- -- -- -. I Men Wc.mer: Total I Men i women: Total

7 2 4 : 10 5:3 4: 5 1 __________ ; 1 : 3

4, 7' 29 1 2;;

1 ' 3 20 8 2

13 3

15 23 10 7

Wa~hoe.-------------------------------- 72 i 32 i 102 i 621 381 10~ WhttePme ... _______________________ ____ 1. , 6 I 18 i. 19! 61 25

Total ________________ • ------ ------------_~~L ... ~~. (lwf1ssf951---m

REPORT OF NEVADA HOSPITAL FOR ~ENTAL DISEA!:i.I::S 31

CLINICAL REPORT

SURGICAL Extirpation male genitals (Carcinoma) ................................... _._ ... _._._ ....... _ ..... ~._ Ischio-reetal abscess .............. _ .. _ .. _ ... _ .•.. _ •......• _ ........ _ ...•..•. _ .. _ ..... _ .... _ ...... __ ..•...... 1 Epithelioma of ear ................................... _ .. _ .... _ ................................. _ ...... _...................... 1 Carbuncle of face ............................ _ .................. _................................................................. 2 Carbuncle of neck ........................................................................... __ .... __ ._............... 1 ;;rultip]c abscesses .............................................................................. _ .. _ .. _...................... 1 Abscesg of thigh ........................ _._ ................................................. ,.................................... 2 1. .. aeer:'ttf:(1 ,,·o1.1.n rl. !"caJp ...... ~ ..... _ .. _. __________ ... _ .. _ ..... _ ... __ ._ ..• _ ............ _ ...... ___ .......... ___ .. ___ .••. 6 I~1.cerate(l wound. hancl .............. _ ........ _ ........................................................ _..................... 6 Self-inflictcd incise,l wounds ............................................................ _ ......... _ ...... _.......... ~

Infecterl woun:l, scalp ................................................................... _ ........ _ .. __ .................. 1 Infected wound. ann._ ............................................... _ ............................ __ ..... _................. 1 Infection of hand ........................................................................... _ ...... __ ..... _................. 9 Infection of le!; ... __ ......... ___ ... ___ .. _______ ............ __ ................ ____ .... _ ............ __ .... __ . ___ . ___ ......... ::! Infection of foot...................................................................................................................... 6 Superficial infection neek ......................................................................... _........................... 1 Superficial btu·ns ...................................................................................... _........................... 'j

Foreign b()d~' auditol')!" canal. .......................... _ ................................................ _................ 1 Impacted cercumen ........... _................................................................................................... 1 Spinal drainage ............... _..................................................................................................... 7 Dressings 502

MEDICAL, LABORATORY AND PHYSIOTHERAPY RoentJ;"enography ........................... _ ................................... _ ............................................... .. T:ranaly"is chemical.. .................................................................................... _....................... 12 Erysipelas antItoxin............................................................................................................... 2 General paralysis treate(\ with foreign protein and neoarsphenamine...................... 3 i'poarRphenamine arlmlnlstrations ............................... _ .............. _ .................. _ .......... _... ;;8 Tf"}"parsamide a(11nini~trations.~ .. _ .................... __ .. _._ ......... 0 .......................................... _ ........... 209 Bismuth a<lmlnistrations .......................................................................................... _ ........... 131 Foreign protein arlminiHtrations........................................................................ ................. 29 Patients gh'pn antl-hletic treatment.................................................................................. 23 Patients given hydrotherapy ....... _....................................................................................... 1 j i'umber of hplro-th,)rapeutlc baths ........................................................................... _ ...... 278 General anaesthesia ............................................................................................................ ..

DENTAL Number of patients treatdd .................................................................................................. li9 Teeth extracted ..................................................................................................................... 607 Filling~ ................................................................................................................... _ .............. 161 Cieanlng- .................................. ................................................................................................ 97 P~·orrh"a. tre:ttmpnt .............................................................................................................. 4 Dentures, comp1"tc ................................................................................................................. 12 Dentures, repairer. ................................................................................................................ 10

NOTP.-Bloor] count. 'Vlrlnl t""t, 'Wnssrrm;Jn tp"t, t1r:m"l~'''ls (compkt(·), watl'r analysis, milk anaJYliis were made at the Nevada State Hygienic Labol·atory.

32 REPORT OF NEVADA .HOSPITAL }'OH ~u\TAL DISEASES

FINANCIAL STATEMENTS

STATEMENT I To appro!,,-ifltion, 1()~9-1930 ............................. _ ................................................. . ,sl!pedlttcndf'uf"'s (.t.('Si<lf.:iUC-

\\"ag"cs. (lOJlll.:stte ........•...•..... ----.............. -.................. . R\.'sid0nce c.xpen::::e~ ....•........•... _ ...... __ ......•... _ ............ . . A "..lt0l1l0bile t!xpens::: .. _. ___ . _____ . __ .. _ ... _. _______ ._ .. ~ .. ___ l:quipnlent. furnishings lor r(·:;iuence .................... . Sta.te boan.l t:xpcnst' ......................... ___ ...... _ .............. .

Qf/iCl? (tlul 1'lLl'clutsiny ..:l{)cl'li-H;:l}a.ri(;s ..................... u_ ••••••••••• __ •••••••• __ .................... ..,

()fficc f· ..... pen;:;\.! •.••. _._ ... _ •.. _ .• __ ._ •••.•. _ •...... _ ................ ~ .• #O

Office equipment .............. , ........................... _ .......... . Au'[onloLile OXpcnB& ~ ........ ~ ... ~._ .•. ~ ..• _ ... _ ........... .

At tem! (/II fs (Ill" f; U'''·/I.~-Halar~' -of nlatron ................. _ ..................................... S:!.I'j~u.QO \\'aJ;cs _ •.•. 4 .............. _.~ •••• _._ .......... ~ ........................... _ ••• S:.!,OS8. .. :;!

O(J1nmi.~.~(I1·!J-'\'''g"cs (co(.k>;. baJ'~r$. <-tc., .................................... . :.'>1£,,,,, (provisions. meats. (:te. } .......................... _ •.••• FUel (coal) ............................................................ _ .. _. Equipmt:nt. utensils. etc .... _ .........•............................

JIeat. [,j'1ht {/)Ill l'Qwer-\"'\'ugeR ........................... _ ........... ~ ................................. . FU"I (oil) ..................................................................... . EIf·..,tric current ........................................................ . Elc,nric suppliea .•............... _ ................................... . 'Water rental ............................................................. .

e~.638.1:.! ::6.107.68 ~.~ 1().Uf)

79!l.tiS ----$4.%·1.38 1&08';6.81(

-1. 91 Q':-,7 5~2.77

1.BOOJJO

$7.141.70

7.Gl'"i.8G

H.!t85.H

----- 26.1H.80 11081);1([1-

,,\tt('tHling phYRicinn ..... _ .............. _ ........................... ~!!.~S3.88 Dr-llgS a.nd inst .. urnent$ .............. #O............................. 1.-t:;!~.!J2

---~.- 3~80G.'30 Ger,e]'tll-

Clothing and beddin)::' ............................................... . 'l'Oh:lCCO ......................................... ~ .... _ ...... _ ............ _ .. . Tt"ansportntion. inmatl'!'~ ............ ~ .................... ~ ....... . R,,1i~f i,lIsch"l"g" or parol") ................................... . f:anitation (fumlgAI1t.,. <'te.) .............................. " ... . L"lIn<lry (wages amI expenseH) ............................. . Auto tmcl, ............................................. _ .................. . .I' l}lUSenlf'nts ....................... ~ ...................................... . (,I", pIll Ins .................................................................. _ R(!fJairs. general ............... ~ .......... _ ................. _ ........ _ f.tl1)'lJllies ...................................................................... . Other eXllense ...........................................................•

$S,:;Z7.0:i 4.672.02 2.838.22

20.00 945.41

3.00rl.O.1 S.39

49.90 470.0n

2.012.l~7 3.66·1.33

!lO.O~ ----- 2'.303.62

Farlll. Vrli,.u nn" Gm'de>l-'\'"ge.~ ......................................................................... . ~f·r:(ls ........... ~ ... _ ... ~ ..... ~ .......... ~ ...................... _ ............. . J4~(!c(l ........................................................................... _ Toot!i :\nt) f;ftuipm(!nt ................. ., .............................. . Rer'HirR ....................................................................... . Farm 8uJllJli~H .........................•............................. _ .. . ])nl 1'). (,xl)('np:.~ ....... 04 ...... ¥.~ ................. ~ ..... __ •••• <# .......... .

POllltry C'xpI'118e •...................•.................................. Other eXIJ'.'nsc ....•.........................•.... _ ...................... .

$<i.G2G.7Q 379.72

4.01';.14 137.4:; 12S.SfJ 2~8·~Z d"'~'J

4.01) 232.00 ---- 11.919.72

~1GD.u()\).OO

-----Total Ilisbursemcnt ................................................................................................. $1~9.9~8.~2

Fnrm 'In'\ garllen Ilroduct~ ................................................................ $15.9:;4.29 D,dl"y products ...................................................................................• 15,004.92

Total $30.9:;9.21

STATEMENT II Recapitulatioll of Appropriations and Expenditures, 1929.19:ID

ApPl"opriaUon Expended For ~uP!JQl"t ...................................................... $160,000.00 $1~9,~9 8.n

Average CQ~t ','<:" month ..................... _ ............................... $6,666.;'9 Cost per 'lay.......................................................................... 219.1~ Cost llel' patient PCI' oa>· •......................... _......................... .S1

.h'c·rag", co;,t w,r 'Honth (year 1'2') ............................... $6,81;;.03 Cost Pd' da:,\- (1929) ._ ............ ·.· ........ h. __ ............................... !!24.0fi Co~t I'{:'" f;atif,nt pel' <la}' (1929) ................. _.................... .87

.\\"cragf· co~t PH llIonth (year 19~O) ............................... $5,~18.16 Cost PI:'" fla;' (930) ......................... _................................. 2H.30 Coat per patient tIC!" day (193l') .................................. _... .76

Balanc~ $l.7~

34 REPORT OF ;s'EV.ADA HOSPITAL Jo'OR :ME..~TAL DISEASES

STATEMENTm Farm Con~ent Fund

ReceijJu 'l'o .. ".le of ,·"~(:tablcs ................................................................................ . '1'0 saJp of hirlt!!i ..... __ ....... __ .... __ .. __ .....•• u •• __ u ••• ___ ......... uu. ______ •• __ .oh ..... ____ .... ..

'l°l) ~al(: of <:OV/8 ..••• __ . ____ . ___ •••••• ___ •.••. ____ .•• __ •• 0# • .__._ ........ ~u ____ • __ ••• ___ ._ •• _. __ .... __ •

'}'o "ale of hogs ..............•......................................................•... _ .............. . '}'o "ale of buU" .......................................................................................... . To Sill£: of "·heat ............. __ .. ____ .... ___ . _____ .. ___ ._. __ .......... ___ . __ . _______ ... ____ ._ ... __ H_

To Bah: of junk .................................................................................. _ ...... . To refunds .......................................... _ .................................................... . To rcnt of Highway Depm"tment.. ........................................................ .. To leas~ of gravel pit ........................................................................... _ .. To salp of empt~· egg cases ..................................................................... . To sale of ducks ........................................................................................ . Clmrchill County. care of chi1fl patient ............................................. _ . X"\'ada State Plison. care of oT><:rativ!: ca'* .................................. _ .. . Drugs addicts .......................................................................................... . Pf'rshing County. cart: of inconlpetent.'3. ___ ........ " .. , •.......... _ ... ~ ............. _ .. To rent of farm ~rounfL ........................................................................ .. '.'.!'"::.:;~~~ C~!!:-:.t:.·. ~:!.:.~ .-,f ii-I\;UUIj.X:tt'i-I~ ............ "' •••••••••••• _ •• _I ............ ~. Board of Education pMlents ....................................................... _ ........ ..

Di8buYSJemeutlf '\·a>.(f:H, poultryman .................................................................... : ............ . Con}Co1i(lHte(l 'VarehouRc COlllpany. chick~n and hog feed ..... _ ...... _. ('cIOHolhlatf:(l ""arf:housc Conlpany, s~eds ...... #O •••••• _ •••••• ___ .. _ ............ _ •••

('),('l'u(:r-Erikson and CornlJany, Ea(:k5 ................................................ _ ... . Cn'nll":J'-Brikson and Conlpnny. chickf..:n and hot; feed ...... _._ .. _ .... ~ ... . Crf:l'ner-Etikson and Company, seeds ..... _ ..•....• u ............. __ ..... _ ........... ..

H. H. Bailey. hay ....................................................................................... . G"or~e H. Allison •• !itch t'·nc1er. wages ................................................. . ,,'. E. I,yon;:. eh;ctrical .. epail's ............................................................... . "\. T. E,·eleth. lumbcl· ........................................................................ _ .. .. "'. H. Corbett. farm repair" an.1 implem~ntg ..................................... . Con~o1hlat~{1 ,\VarchOl.1RC Conlpany. E::acks and twine .... _ ................... .. J. R. Rra(lh:"Y ("ompany. farn1 ~upplif:·s ............... __ ........ _ .. _ ........ __ ..... _ ... . T. O. Burru;:. thr('sl1ing- wheat.. ............................................................. . Dr. Gf'or~'; E. Balnbel'g(~r. yet("l~inary sC:r\'iees .......... ~ ...... ____ ...... _ ...... . DJ', H . ..t\. Rf':ag-or. veterinary gerviccs ....... __ ... __ .......... ~_ ............. ~ .......... . Brl.ln(li~(··s. farn1 rppnir~ ............................................. _ .......................... .. (:(>ol'ge Emf,ry, gnnlen hlllhs anfl plant3 ............... __ ...... _ .................. . "'iJ1lam Henry ~Iaule Company. g-arder. '*"'<1s ................................... . H. E. ~a\'i(!l's :lnll Ron, fanl1 repairs ...... _ ...................................... _ .... . '''prnon Ennol·. ha~· ............................................................... _ .................. . "'IIII,,m '''a "or:r. plumbing-..................................................................... . l'nion :\Im amI Lumber ('ompany. lumber ........................................... . >:outhprn Pacillc ('ompan~·. fn'i"ht ... n ",,"<1 ................................. _ .... .. Rpno :\Iprcantilp. Con1Jlany. falTJI supplies .......................................... .. "'. B. (';oulfl, hfl) ..................................................................... _ ................ .. "'. C. ~hort. ft h ec1 potatoer-: ................................... _ .................................. . It. R. Ha\\·croft. g'HT"rl£'n !-=peds ......................... _ .................. _ .................. . (ioT11nlf"T"cinl Harc1'\vH1"f' eon1pan~·. farm 5UI1))11(:14 .............................. .. Rf'no ').If'J"cantilC" ('!ompany. w~efl ........................................................... . Xcyacln. Engin{~erlng- Hntl Supply Con1pany, tann supplies, repair~ .. .. F. :\lel7.r-l. bahy (>hlcl''' ............................................................................ .. .T. L. Raff,·tto. hay ................................................................................... . l\pn('flck an(1 Ror)t, farm .. "pal .. s ........................................................... . Hamp·Thom"" H" ... lwar .. ('omp"n~·. farm SUlipllpll amI equipment.. lJanlp-Thomaf-t J-Ial'flwnl'(' ("ompany. g-ragg fH!f!cl, .............. _ ................ . :\Iutual ('on I Company. ~calp~ wl'i!:hln~ hay ....................................... .

. JTr.q. E. 1..1. Portpr. gn l'(l(>n plantE! ............... n ........ ,..u .............................. ..

. Paul Tholl, wh· ... f"npin" ......................................................................... . :\[J"s. GpOl'g-e H. HnJ"k<,I'. g-arflpn plants ................................................ .. .T"hn Arblco. g-II)'(I{,II plant" ................................................................... . 'I'o\\"n"I1('n.1 J{,.y Company. fal'l1l repairs an(1 flupplles ..................... . .T. R. TameI'. hay ...................................................................................... . 1 .. ni\·(~r8it'· of Nf!vf1fln. on" bllll ............................................................. . lIonnt Ro!,;:(10 XUl'ftr-n.'. H("otC'h plnro tI'I'P8 ........................ ~ ...................... . J\. T. Ev(·lf'>th Lllnlhf't" C"rnnpnny, buttf>r marlier ............................... . .T. T ,. Raff.·tto. hIOl!ing- wh,,"t ................................................................. . >:ollthprn 1'ndflc ('om pam'. ]'('ntlll of gl"otln(I ....................................... . .. \. Lf'vy nn(l .J. Z(lntnf'r Conlpany, seed potatocH .............................. .. (~. 1logonlftl'Hino. 11ft) .................................................................................. . .T. ~r-nnn\"ln(). rhi(!kenR ......................... _ ................................................... . I •. 1'11I1I."ntnl. f1"lr~' fN"L ......................................................................... . .,\ nl:,·10 00010. hay ................................................... ~ ................................. . "\11g-,,10 Opplo. ~tmw ............................................................................... .. :\llsceJlancouH supplle .............................................................................. .

$28!!.55 188.9.

80.00 4!!.60

150.00 2~'.61

99.50 332.82 720.00 120.00

18.65 7.20

";"31.00 14.70

1.137.60 218.00

7:'.00 .41" 1\(1

234:i5ii

$140. 0 0 781.59 30.96

1.80 194.7. 122.':i 12.00 46.45

141.86 6.70

207.8:1 6.3::! c,- ~.,

_.l ..... ,)

3ii.()O 15.00 92.00

287.97 5.00

136.52 7.40

112.00 84.31 16.95

9.88 102.96 390.00

92.:;9 10.00 36.26 59.1S s.;;o

84.50 156.46

20.60 24.68 13.1" 10.7:; 30.63 20.;0 24.00 3;.40 43.9;)

15.t.9~ 120.00

4:;.00 12.80 3;;.00 10.00

72~.26 2~r..a3 1013.7:; 4:lR.Oo

22.36 44.00 39.71

. .'~

STATEMENT IV Stock and Poultry Slaughtered

650~ Ib!!. of beef .................................................................. _ .............. _ .. 5118.40 6.413¥ I/)s. of veal.. ....................... _ ............................................................ 1.299.-18

2ii.9~3~ Ib8. of pork ......................................................................... _ .......... 3.92!.27 892~ Ibs. of chickens .................................................................. _........... 28;;.39 IS" Ib8. of 'lllCks .............. _ ................................................ _................. Z1.40 236 Ibs. of rabbit.................. . ................................................ _....... G9.08

124 cases of eggs ..................................................................... _ ..................... .. $5.748.0~ $1.416.&6

Vegetables Raised Dw:ing Term 1929-1930 20 tons potatoes 3.000 heads lettuce ~ ~~~~ ~~~~~: and pUllll>kin !!.¥,g~ l~~: ~~~';,1a".;fns

10 tons tllJ7Jips 1.000 1/)". cucumber,; 16 tons beets iiOO 1/)5. green P'i:PP"'"

3 tons rhubarb 1.000 Ib8. green pea~ 15 tons cabbage 800 lb •. spInach lQ tons dry onions 1.0()0 Ibs. watermelon

" tons parsnips 1 O.Ot)O bunche~ rac1ii'hfO" 7;; doz... cauHflowPJ" 2n,OOO bunch~:R green t)nion:4

FABM INVENTORY, DECEMBER 31, 1930

Live Swelt Oll Hand i wo,·k horses

~8 milk cows 1 bull

12 heifers 13 calves 60 small pigs Ii/) iathOgs

10 ~O\':s 1 boar

190 laying hens 40 roosters 30 .lupks !IO rabbits

Farm Tools and Implements on Ha.nd 2 mowers 1 two-hoI's" hayrak,' ;{ haywn~onR ;, l.:". S. ranch wagon~ I 011 wagon '10,1 tank 1 ,hlD1P cart 1 com planteI' 1 potato <!lggc,' 1 potato plantel' 1 fOIlI'-hol''''' 'Ioublc ,liRe 3 garden culth'ato,'s 3 gllrd"n plows 3 garden planters 2 garden Cl1ltiVa.tol·S. sllIall 1 grain seede,'

I two·hol"" han'o\\' 1 four· hoI's" Fresno s<:mper ] t wo-horR'1! Fr~gn(, scraper 1 three·hot.qr, two· way plow ., two·horFe walking plows .j ~;t·ts h.a rnf'!-'.t: 1 .. n"l111 ge cutt',r 'J ('flnwnt mixers 1 IlH'l'keJ" 1 ']('I'rl(;k I fiw··footJackson hayfork

] 2 f'}]{)\'pIH 18 fo.-kH 17 hOf'H

1 bigtl'Ucli.

UST OF OI·'I?ICERS

BOARD OF COMMISSIONERS FOR THE CARE OF THE INDIGENT INSANE

F. B. BALZAR fGon'rllill·) ........................................ ('arson {'ity. ~evada E. ('. P(;,/,ER:<O~ (:o;tatf' (·rmtrollf·l") .......................... Carson City, Nevada fh:o. B. Un.;sELL (!'tMI> T1'f'a~nl'('r) ......................... ('arsoll City. Nevada (TEO. J" PETTYCIlEW I~retar;:} ............................ ('al'soll City. Xevada

HOSPITAL STAFF (T. R. ~:lII'rH. ~1.J) .. ... 1'1,·rrinfrl!rlf';Ii. ..................................... Rello. Nevada .A. E. L.\XDERi:i, ::'ILD .. ASRid(/ilt Phy.~icia1l... ....................... Rf'Jlo. Xevada F. A. l{OIlIX:';OX, Sinl'f/rd. .. ........................................ RelJO. N('vada EL."TE 1~. ~IIl.LEH. Sfn/(J!j/'(/pJI(:.r .......... ................................. Reno, Nevada )L\rW,\RE'r BrR;\s. JI(lfru/I . .................................................. Reno. Nevada )L\I\GARF.'J' AxnEH;;o:,,\, n.:\' .. Ifend A'llr.~c .............................. Heno, Nevada .]un:\; I). EAf;l'OX. E11!JiJII'er .................................................. ReJlo, N('vadu .J. .A. BAILE\', Farm 8ufJl'n·;.<f)i· .......... ................................. Reno, !'evada