8 



chosen originally bccansc of g-ood physical condition. Again, the}'' 

 seemed to be, as a rule, patients of rather a milder typo than is gen- 

 erally found in State hospitals, the proportion of violent and untidy 

 patients being comparatively small. They appeared also to be rather 

 above the average as regards education and general intelligence. The 

 women patients were of about the same class as is found in most pub- 

 lic institutions of a similar character. 



In general, it might be expected that the patients here would be 

 better clothed, better fed, and have more comforts and privileges than 

 patients in State institutions, a large proportion of whom are paupers, 

 and such was believed to be undoubtedly the case. Taken as a whole, 

 it ma}' be said that the amount of work done by the patients in this 

 institution was smaller than that in the public State hospitals. The 

 institution, however, makes a large quantity of clothing and mattres- 

 ses, but no goods are made for sale outside the hospital, and much of 

 the work which, in other institutions, is commonly done by patients 

 is done here by hired helpers. Moreover, a large number of the 

 patients who do work receive wages, which is not generally the case 

 in similar institutions elsewhere in the United States. 



OFFICERS AND ATTENDANTS. 



The officers and attendants of the institution numbered about G60, of 

 whom about 215 were women. The stati' of attendants is well ordered 

 and organized and seems to be particularly well fitted for the care of 

 the patients. The school for trained nurses furnishes thoroughly 

 competent men and women nurses, while there can be no doubt as to 

 the high ability of the physicians in attendance. 



Too much credit can not be given to the attendants and subofficers 

 for the kind and careful assistance rendered during the progress of 

 these studies. It was gratifying to feel that the cooperation of the 

 whole force could be relied upon and that they were genuinely inter- 

 ested in the success of the studies. The kitchen help also rendered 

 most efficient and willing service. 



HOSPITAL BUILDINGS. 



The grounds of the institution are large and very beautifully laid 

 out. The hospital buildings are modern, and at the time of the inves- 

 tigations consisted of the following: The Toner group, comprising the 

 Toner and Oaks building and the Toner general kitchen; the Howard 

 Hall department, comprising Howard Hall, West Lodge, and the 

 annex building; the west side department, comprising all the male 

 wards situated in the Garfield, Dawes, and center buildings; the east 

 side department, which had the care of all the female patients of the 

 institution; the Allison buildings, for sic!; and decrepit patients; and 



