2
Forms of Insanity.—The principal types of insanity treated in this institu-
tion during the triennium are mania (330 against 231 with recoveries 35
against 39), melancholia (56 against 68 with recoveries 8 against 10), mental
stupor (27 against 26 with recoveries 10 against 4), insanity due to cannabis
indica and alcohol (33 against 38 with recoveries 6 against 8), dementia
præcox 15 and (errors of development) imbecility 7 and idiocy 4, total 11.
Causes of Insanity.—The chief ætiological factors and associated condi-
tions of those admitted in this institution during the triennium under notice
were ganja, alcohol, toxic causes: critical periods of life and mental stress
played an important part in the ætiology of the disease.
Establishment.—During the triennium Lt.-Col. C. E. Sunder, M.D., B.S.,
I.M.S., from January to March 1921 and Lt.-Col. B. R. Chatterton, M.D.,
F.R.C.S., I.M.S., from April 1921 to March 1922, were Superintendents : during
the later part of the triennium the office of the Superintendent in the Patna
mental hospital was held by Lt.-Col. H. R. Dutton, M.R.C.P. (Lond), D. T. M.
and H. (Camb.), I.M.S.
During the greater part of the triennium temporary civil assistant
surgeon Dr. P. Gupta, M.B., held the office as Deputy Superintendent; Civil
assistant surgeon Dr. P. C. Das, M.B., was Deputy Superintendent from
16th May 1922 to 27th August 1922. During the later part of the triennium
civil assistant surgeon Dr. A. T. Brahmachari, M.B., was Deputy Superin-
tendent from 15th August 1923 to the end of the triennial period under
report.
Sub-assistant surgeon Dr. Jogesh Chandra Guha was the sub-assistant
surgeon on duty throughout the period under report.
The general establishment of the Patna mental hospital remained
unaltered during the triennium under report.
Finance.—The total amount spent at this mental hospital was Rs. 58,887
in 1923, Rs. 64,061 in 1922 and Rs. 57,117 in 1921, excluding the amount
received from the paying patients, i. e. total of Rs. 1,80,065 against Rs. 1,50,786
in the previous triennium. The increase in 1922 is due to the payment of
arrears of pay on revised scale of the keeper staff, payment of grain compen-
sation allowance to them, food materials were purchased at a higher rate and
the higher charges on account of works done by the Public "Works Department
owing to quadrennial repairs.
Excluding the Public Works Department charges, the average cost per
head per annum was Rs. 211-11-7 for 1923, Rs. 222-10-5 in 1922 and
Rs. 203-9-9 in 1921.
Manufacture.—The value of the sale of the articles manufactured in the
Patna mental hospital during the triennium was Rs. 2,758 against Rs. 1,162 in
the previous triennium. The value of manufactured goods made over to the
mental hospital for mental hospital purposes was Rs. 6,432 in 1923, Rs. 5,980
in 1922 and Rs. 6,796 in 1921, value of the plants and machinery in store at
the end of the year in 1923 was Rs. 506, in 1922 Rs. 809, and in 1921 Rs. 1,219.
Profit in 1923 was Rs. 2,430, in 1922 Rs. 1,926, and in 1921 Rs, 2,874, i.e.
average profit in the triennium under report of Rs. 2,410 as against Rs. 3,254
of the previous triennium. The decrease is due to curtailment of works in the
manufacturing departments for want of funds during the year 1922.
General.—The lunatics confined in this mental hospital were well looked
after and well fed. The scale of diet has been increased and meat is supplied
twice a week. The convalescent, weak and infirm were well kept under special
care and were given extra food and clothing whenever required. The suicidal,
epileptic and dangerous patients were kept under proper watch and care,
Amusement.—Amusements were provided at this mental hospital during
the years 1921, 1922 and 1923. The literate lunatics were provided with
books.