Estabrook: The Indiana Survey 



157 



A CO. B CO. 



Insane in institutions 49 57 



Insane outside of institutions. . 29 24 



78 81 



Feelile-minded in institutions. . 31 35 

 Feeble-minded outr.ide of insti- 

 tutions 254 219 



285 252 



Total number of defectives in two counties 

 (subtracting duplications, where one per- 

 son showed two of the defects studied: 4 

 in A county and 17 in 5 county): 



In institutions 179 



Not in institutions 598 



These figures get significance only 

 from the total population of the counties. 

 It is to be noted, then, that in A 

 county the epileptics are 1.8 per 1,000 

 of the general population and in B 

 county 1.9 per 1,000. 



The insane are 3.8 per 1,000 in A 

 county and 2.4 in B county. 



The feeble-minded represent 13.9 per 

 1,000 population in .4 county and 7.6 

 in B county. 



Total defecti\'es, subtracting duplica- 

 tions, are 19 per 1,000 population hi .4 

 county and 11.5 in 5 county. 



As the above facts are the significant 

 ones, they will bear further discussion. 



EPILEPTICS 



The ratio of 1.8 epileptics per 1,000 

 population in .4 county is so close to 

 that of 1.9 in B county, that it is prob- 

 able that the figure of 1.85 epileptics 

 in every 1,000 people indicates the true 

 amount of epilepsy in Indiana. Some 

 of these epileptic cases show insanity 

 and also feeble-mindedness, and a 

 small proportion are now in some 

 institution. In .4 county the investi- 

 gators estimated that 14 epileptics, 

 8 males a:id 6 females, are m such condi- 

 tion physical!}' or mentally as to need 

 some sort of custodial care. In B 

 county 15 epileptics were found in 

 need of and without care. Asstiming 

 that the ratio of 1.85 per 1,000 popula- 

 tion is true for the whole State, there 

 would be 4,995 epileptics in the State. 

 (Population of Indiana, 1910 census, 



2,700,000.) The number in the State 

 needing institutional care could only be 

 found out by a comjjlete survey, but 

 an estimate would place it at about 

 1,000. 



INSANE 



The insane from A county numbered 

 78, or 1 to 263 of the population. 

 This figure is very close to the ratio of 

 1 to 279 found in Massachusetts in 

 1909; 1 to 282 in England in 1907 and 

 1 to 300 in New York in 1907. In B 

 county there was found only one insane 

 person to every 408 of the population, 

 a ratio much less than in A county. No 

 explanation for this difference is appar- 

 ent. It is difficult to estimate the 

 ntimber of insane in the State from these 

 two ratios and this difference shows 

 that further information on the mental 

 condition of the people of the State is 

 necessary before the problem of the 

 mental defective is fully known. 



Asstiming that the A county ratio 

 holds for the whole State, there would 

 be 10,000 insane in the State while the 

 B county ratio of 1 to 408 would call 

 for 6,617 insane in the State. 



Thirteen insane in A county and 13 

 in B county are now in need of institu- 

 tional care, a total of 26 in the two 

 counties. The population of A and B 

 counties together is about one-fiftieth of 

 that of the whole State and this ratio 

 carried out would indicate that there 

 are about 1,300 insane in the State now 

 needing and without institutional care. 



FEEBLE-MINDED 



Until within a few years the problem 

 of the feeble-minded has been less 

 clearly recognized and understood by 

 either the medical man or the social 

 worker. The general public had no 

 idea of its extent. It really is very 

 large. 



The methods used in determining the 

 mentality of those tabulated above 

 have been the regular mental tests, the 

 individual school ability and power to 

 learn, and also the reaction to the 

 environment which is the real and final 

 test of anyone's mental capacity. 



We found 285 feeble-minded persons 

 in .4 county, or 13.9 per 1,000 of the 



