Phoenix, Arizona, June 30, 1313.

I n accordance v i t h P a r a g ~ ? h 287, Revised S t a t u t e s of Arizona,

1901, tho Board of Control h e r e l ~ i t h subii~ito i t o annual repor t f o r t h e f is-

cal yoar ending June j0, 1913, and, as a p a r t thereof , a t t m l i o s the repor t

of tho Suporititondent of tho 'Iospital l o r the Ins~uie , I n d u s t r i a l School,

P ionoors l E~orn; and tho Prison.

Lag-t yea' ao c o u l d n o t r e p o r t g rea t progress beciiuso t ho nsv

p o l i c i e s had not been i n oparat ion long enough t o mako i t pousible t o judge

of t h e i r offoctrj , but the r e s u l t s s e t f o r t h i n the following pages amply JUQ-

t i f y t h e hopes en te r t a ined of tho b e n o f i t s t o be derivod from t h e i r inaugura-

t i c n .

Rvo ma t t e r s conearning a l l t he i n s t i t u t i o n s under t'no j u r i s d i c t i o n

02 tho Boord were ac ted ul>oil t l l i s y8v.r:

I t 1~an decided t o elnploy a d e n t i s t t o v i s i t i n r o t a t i o n t h e i n s t i -

t u t i o n s and inspect and r a p a i r t h e t e e t h of the inmates. Fro~u the time t h i s

t tction vmo taken t o tho end of the f i s c a l year a d e n t i s t has not boen socurod.

The vacat ion time of employes of the i n s t i t u t i o n s wa3 f i x e d at t en

d3,ys a f t e r ollo year of se rv ice and f i f t o e n days a f t e r tvro years i s e rv ice , on

ful l . pay.

STATIC 1IOGPIT.bL POT3 T I E IITSAWE -.--- - .- --- - Tho progress a t the Hospi ta l i u r ing tho p a s t year i n adding t o the

f a c i l i . t i o a and ituproving t h s sorvice htlo bocn grea t . Hydrotlierapeutic ba th

oquipraont was purohasod and will be i n s t a l l e d imnediately. The i n s t a l l a t i o n

of a n in t e roo l i i~u i~ ica t ing telophona systei~i liao bean authorized and w i l l be

%vhich tho S l a t e ]nay be proud. It w i l l furnioh the Executive 1)epartment with

adequate quartero f o r inany years.

&l-oys

One of tho d i f f i c u l t i e f l i n t he mana~ement of t h i s i n a t i t u t i o n i s

found i n t h e i t i n e r a n t ch,?.r&c t o r of t he average Asplwn a t tendant . I t i s de-

a i r ed , a s far ao poss ib le , t o elnploy Inan and v i i o , as inarried people w i l l

s t a y longcr thm s i n g l e oneu. Ta t h i n end, a l so , a l ibrm-y has been i n s t a l -

l a d f o r tho uso of the S s y l l ~ ~ a employes, magasl.nes a r e provided, and a n orc:les-

tra has beon organized moag thorn.

I l lsur~llo . . - e

Tho insurainco on tho I:IaLn Building 171:ae cancel led, and none ! T m

k k o n out on tho Ad~ninistra.tion Sui ld ing , and t h o i r con ten t s were insured f o r

only ono-third value. Protoc t i o n agains ', f i r e 011 tho o ther buildiilgo and

contents wao i'c-z,djuntod i n accordance wi th t i e value and r i s k fro111 f i r e .

The irflproverflonts and repai rn mnade during the y e a r involved t h e ex-

pendi-ture of $61,453.15. The present equipinollt i n t h e way of bui ld ings ,

nupl>lelueiited by tho now din ing h a l l awthorized by t he Pirwt Legie la ture , and

'ouildings t o replace tho non-fireprocf Eas t and Went Cottages w i l l p lace tho

i n s t i t u t i o n i n a very good condi t ion t o rnvet the inc rease i n at tendanoe

s ~ h i c h the fu ture i a suro t o bring.

The &in i ju i ld ing .:;,as f ininhad and. accepted on June 16, 1913. I t

i s a s o l i d l y conatructod, f i r e p r o o f , hygonic, handsome building, vrell adapt- %'

ed .to tho us08 f o r which it is inteniled, and a c r e d i t t o the i n s t i t u t i o n and

tho s t ~ t e .

8orfl.j chitngos have been rflado lookin:: t o in~provon~ent i n the ser-vico.

Tho pay of hoad a t t e n d i ~ n t a han Been increased both i n order t o make i t pos-

s i b l e t o oln~,loy trained nurnon f o r Ch?.t viork and ao an encouragw~~en.t t o the

tendants. The employment of a B a c Z e r i o l o ~ i s t has been authorized, but a

s u i t a b l e m8.n has not as yo-t been found itad the urork is novr being fanned out.

During tho year the vromen p a t i e n t s have been taught t o weave rugs

f o r the use of tho i n s t i t u t i o n , and t o make btzskets which a r e old t o v i s i t -

ors. An indun t r i a l roo:ii i s t o bo included i n t'no now dining h a l l , which

w i l l make it poss ib le t o enlarge t h i s phase of tho norl:. A pool t a b l e has

been placed i n the Convalescon'; 'Nard, a l i b r a r y inet:*lled t o which tho pa-

t i e n t s have accoes, and i . t i s planned t o provide a moving p io ture machine.

The general h e a l t h has been good, only 33 dying as aga ins t 51 f o r

the previous yosr.

The t e s t msdc f o r s y p h i l i s on those adrai-bted, during the year,

shows t h a t 41! 91/100 percent Tiere a f f l i c . t ed with t h a t d isease and t h a t i n a

of the cases i t m e the so lo cause of the mentizl derangalnent.

This high percen.i;ago should be causo f o r thought, and solne attempt t o a r r i v e

a t a so lu t ion of tho problem presented.

There ~4oro i n the Asyl.u~n 011 Jv.ly 1, 1912, 375 p a t i e n t s and on Jun6

30, 1913> 1109, an inci-aase of 14. Tho c o s t of naintonttnce f o r the f i e c a l

yea r ending Juno 30, 1912 \*la8 $67,020.22. The expenditure as shornl i n the

Gtevia.rdls repor t f o r tho f i sc r i l year ending June 30, 1913, i s $100,095.12.

Frorn th io ohould be deduc ted the incoina and v<:lue of suppl ies on hand at tho

cnil of the year, loav ine a not expenditure of $711,102.15, an increase of

$7,081.93, vrhich i s accountsd f o r by the increased number of imc.tes. T h i ~

monns t h a t there has bee11 no increxne per cap i t a i n exponditure, a l t h o the

food, clothi i lg and care ~ i v o n the inmates have a l l been g rea t ly improved;

~ n d as yot tho foundations have jus t been l a i d f o r rt for~vat'd moverneat.

CAPITOL UUIZI)IHG AlW GROUiTDS -. - Tho ineurance on tho contents of the building has been adjus ted

duriny; the pas t yoar: the f i r s t and second f loors 011 a one-third v a l m t i o n ,

~ - ,

OXA ST.

3R THE INSANE

Phoenix, Ariz one., June 30, 1913

T O the Honorable Baud of Control,

Phoenix, Arizona.

Gentlemen:

X r e spec t fu l ly present f o r your cons idera t ion t'ne twenty-oixth

annual repor t of tne Arizona S t a t e 8oa;pital f o r the f i s c a l yea r ending

June 30, 1913.

?10VIC1aE?7T OF POPULILT I OIi --.-- -. ..,--

Thero were en ro l l ed . Ju ly lst , 1912, 375 pat ients ; duriiig the en-

su ing yea r 103 Isfz,los and 34 Females were a&ni.tted; 35 l b l e s and 8 Ferilalea

->!ere discharpsd; 22 3Jalefl annd 1 0 Poluales were paroled; 23 Thlos and 1 0 Fe-

:;lales died; 7 ifalas escaped; n e t ga in f o r the yea r of 23 ?&zles and 11 Fe-

males.

HEALTH -. Except f o r t w o case; of typhoid f s v s r , the genera l h e a l t h through-

out the i n s t i t u t i o n has been good, There vms ons f a t a l accident; a pa-

t i e n t jwped from a a t a i r liulding, f r ac tu r ing the sp ina l c o l m at tho dor-

sal vertebra, a i t h oor~~plete den-truction of the s p i n a l cord.

AA!JJSEMElaT AITD EIE~IPLOYI~E~JT

Thruugh lack of f a o i l i t i e e i C has Been impossible 'to fu rn i sh the

p a t i e n t s n i t n anusements 8nd divoroions t o which they s r e e n t i t l e d , and

?rhich no doubt would be of g rea t benef i t t o them.

For the ~ama reason it has not been poss ib le t o c a r r y out a l l of

the i n d u s t r i a l work deuired.

Eurlilg the p s t year vreaving of rugs and baslcot making have been

introduced. The rugs a r e used on tho \mrds, and the baskets so ld t o v ia i tors . '

appropr i a t ion has been made, ample room f o r those purposes will be providod.

There i s t o be an i n d u s t r i a l room i n t h i s norr bu i ld ing wild the o l d Dining

I I a l l can be u t i l i z e d f o r moving p i c t u r e s and o ther enter tainments .

A l i b r a r y f o r the p a t i e n t s and ut tendtlnts has been estcsblished, t o

tyhich books v i l l be added frmii t ime .to t h e .

ALCOHOLIC .N~~~C+-+XA~~TA

I do not be l i eve it is wi.tllin tho scope of an i n s t i t u t i o n of t h i s

c h s r a c t e r t o t r e a t t h i s c l a s s of pa t i en t s . We a r e not equippod f o r t h e i r

propor manageinent . Thoy a r e cons t a n t l g coinplaiuing and f a u l t f inding, which has

a n unfavorable in f luence ovor the o the r p a t i e n t s , mith whom they coine i n con-

t a c t .

LABORATORY

The Hosp i t a l ha not 8.t presont a Pa tho log i s t and Bac te r io log i s t ,

consequently we have been obl.iged t o dvpeild upoa outs ide help. This work h a s

been incoinplolo, b u t s o f a r as car rv iad otit, is very s a t i s f a c t o r y . It i s hoped

t h a t w i th in tha nea r f u t u r e our l abora to ry w i l l be i n s t a l l e d .

Tho labora tory f indings i n regard t o the Vaaseman rrnd Nog~~ch i t e s t s

i n S y p h i l i s a r e of s u f f i c i e n t importctnce t o deserve b r i e f mention.

This work as a rout ino w a s no t undertaken at the beginnins Of t h e

f i u c a l year, hence 23 p ~ t i e n t s wei-Q e i t h e r p ~ ~ r o l a d , discharged o r died before

t e a t could be made, l eav ing of t he year ' s adiaissions 1 , p lus 4* who vrere re-

turned frai l parole , o r 118 vrho were examined wi th tlho fo l lov lng r e s ~ ~ l t f l :

HALE8 FElW,ES TOTAL T o t a l Lxa~nined ........................... 87 31 118

P o ~ i t i v 0 ................................. 33 a4 53

Negative ................................. 48 17 65

P a r c o n t a p S y p h i l i t i c .......,............ $44 9l/l004*0

Tho f s c t t h a t %$ of the p a t i e n t s a r e suf fs r i i lg froid sjrphilin, which

i n t h e major i ty of cases is tine s o l e cause of t h e mental derangement, i s one

t h a t should i!npress and i n t e r e s t no? only the physicians, but t h e gonel-a1

Through proper co-0peratj .m it is hop03 t h z t t he next L e g i s l a t i v e

Assen~bly may ba induced t o pass more r i g i d inarriaga laws, and o the r praventa-

Live meaaures t o a i d i n stamping ou t t h i s d isease .

MEDICAL SERVICZ -.--- A s t h i s should be a n i n s t i t u t i o n f o r c a r e ;md treatment , i ' t has be-

came a nocossi ty, i f tno vork i s proporly c a r r i o d o u t , t o qmploy one inore as-

sistant physician, lVitli t h i s additional. a s s i s t a n c e it 17111 be posaiblu t o es-

t a b l i s h a t i -aiuiag school f o r nurses.

NEY! BUILDIJC~ -- .. I ~ Q R O V E : ~ ~ T S - .-

The AdmS.nis.tr%bj.on Building a f f o r d s arnple roc3 f o r tho exacutive de-

partment and vras completed and first occupied on Hovember 26, 1912.

The ground f l o o r is use4 f o r t he o f f i cos ; the second s t o r y as

Suporintendont 'u quar te rs ; and t h e basmient, having two l a r g e rooms, i s used

by t h e attend?.nts, one as a read ins anA tho o t h e r as a genera l r ec rea t ion room.

The recons t rdc t ion of t h e msin h o a p i t a l bu i ld ing has beon completed,

providing hygienic surroundings f o r many of t h e pa t i en t s . Ths l a rgo celltent

porches a r e i d e a l , and m k e it poss ib le f o r p a t i e n t s t o be i n tho open a i r nekir-

17 t h e e n t i r e day.

APPROPRIATION -.---. FOR ElTBUIITG T!lO YEARS

$50,000.00: To e r e c t and equip Dining Room, Kitchen, Bakery, I ce

and Cold Storago Plant .

$1OJ000.00:a yea r f o r t w o years: To be used f o r tho fo l lwr ing pur-

poses:

I n s t a l l a t i o n of I-Ij.?rothorapeutic. Apparatus, l a ~ v Roof on Inf i r ~ a s r y %ilding, Repair of f s t e r Tank, In torcannunica t in= Talephons System, &O Horse Povrar Bo i l e r , Fu rn i tu re f o r F4ardu, Musical I n s t m o n t s , IBoving P ic tu re Machine, Lltboratory Equipment, Diet Kitchen i n I l o q ~ i t a l , Minor Improvomentn.

It 18 my des i r e t o thank tho heads of the d i f f e r e n t departlnonta

f o r t h e i r co-operation and a s s i s t a n c e i n t h s managerueat of .the Hospital.

I ?.In0 v i s h t o express my apprec ia t ion t o 7012, t h e Honarable Bozrd of can-

t r o l , f o r the advico given me ;%nd t h e i n t e r e s t shown.

Very r e spac t fu l ly ,

A. C. XI;TGSLPY,

Suporintondent.

3r. d . C. KingeLny, Bugarlai:endcnt,

Arizona 8% a t e B e c p l t a l f o r tho Insaae,

Phzonix, .lri B cnz.

Deer S i r :

The f o!.I.orr?.ng t s b z l ~ . t o d atatexoii t 17iI.l

show t h e t r ansac t ions o f t he I n d u s t r i s i flopo.r",l:iant,

tho Fanu and the aubdivisiona theroof , c o s t of pro-

duct3.cn and Yfie uall;e in asccef? cf c o s t of groduc-

t i o r ; . I t slso n h w s %?d.r;?ora~if, oxpcndec! f o r ii;aiatolmnca,

fo r2 a2di t ionz YBL: ilktt~iz?!~n:.a mado Buring the yoar.

S a l a r i e s P ts t ionory , P r in t ing , Office Susp l i e s Telaplione and Telegraph Insvrezso Yostage Care Horses and Vehj.cles

T!aga 8

TnnfJpvr t~ l t ion Discharge Fees Id i sc~ l l aneous Itsas

FUEL, LIGHT Pc P9l"ER:

Light f i e 1 P o:ve r

SURSISTEWCE:

Bleats Brends t r~f f s Groceries Veqetables Dairy Products F r u i t s Ice

IZedical Household Dining Hall a.nd Kitchen 7,eundry Engine Roord l i iscel laneoue Items

?fagen Caro of Stock Seed Repairs , Tools and Ir?7le!nents

WPA IHS:

Buildings Machinery Miscellaneous Items

GROSS OPERATI i?G EXPENSES:

Gross Per Capita

Gross Daily Per Capita

LIVE STOCK!

Ilorses - Elules Cow-Calves B u l l s Hags-Fovls

FURN. FIXT. ABD EQUIP!

Off i c e Wouae:lold Surg ica l Dining H a l l and Kitchen Laund Engine Boom Wagons, Vohic les and Harness Pa& lmp:i arnents Tools F&scollaneous I t e n s

REAL EBPATE BUILDINGS, ETCr

Buildings Pences Grounds

GROSS OPERATING EXPENSES, TOTAL

ADDITIOIJS AAD BBEIPTE~NTS:

Gross P e r Capita , i n c l u d i n g Addit ions and B a t t e m e n t s

Gross Daily P e r Capi ta

Sale of Produce 1597.54 Sale of Live Stock 202.80 Psaturo Ren ta l s llk7.40 Pay P a t i e n t s 1981. 63 Miscellaneous Items Produce Consumed 16123.11 398v02

Tota l ................ . $ 20450.85

Net Pe r Capita , Yearly

Net Per Capita, Daily