NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
21
STATEMENT No. VII.
Showing Ætiological Factors and Associated conditions in the patients
admitted in the Mental Hospital, Nagpur, in the Central Provinces
and Berar during the year 1929.
Ætiological Factors and
associated conditions.
A. HEREDITY—
1. Insane ...
2. Epileptic ...
3. Neurotic ...
4. Marked eccentricity ...
5. Alcoholism ...
B. MENTAL
INSTABILITY
AS
REVEALED BY—
1. Moral deficiency ...
2. Congenital mental defect...
3. Eccentricity ...
4. Previous attack ...
C. DEPRIVATION
OF
SPECIAL
SENSES—
1. Smell or taste ...
2. Hearing ...
3. Sight ...
D. CRITICAL PERIODS—
1. Puberty and adolescence...
2. Climacteric ...
3. Senility ...
E. CHILD BEARING—
1. Pregnancy ...
2. Parturition ...
3. Lactation ...
F. MENTAL STRESS—
1. Sudden ...
2. Prolonged ...
G. DISEASES DUE TO
DISORDER
OF
NUTRITION
OR
METABOLISM—
1 Malnutrition (in early life)
2. Privation and starvation ..
3. Over exertion (Physical) ...
4. Sexual excess ...
Carried over ...
Predisposing cause.
Male.
8
...
1
...
...
...
8
...
14
...
1
...
1
...
8
...
...
...
1
...
1
1
...
...
44
Female.
1
...
...
...
...
...
1
...
5
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
8
Total.
9
...
1
...
...
...
9
...
19
...
1
...
1
1
8
...
...
...
1
...
1
1
...
...
52
Exciting cause.
Male.
...
...
...
...
...
...
1
...
...
...
...
...
7
...
4
...
...
...
11
3
3
2
...
...
31
Female.
...
...
...
...
...
...
...
...
...
...
...
...
2
2
...
...
1
2
2
1
1
1
...
...
12
Total.
...
...
...
...
...
...
1
...
...
...
...
...
9
2
4
...
1
2
13
4
4
3
...
...
43
Total.
Male.
8
...
1
...
...
...
9
...
14
...
1
...
8
...
12
...
...
...
12
3
4
3
...
...
75
Female.
1
...
...
...
...
...
1
...
5
...
...
...
2
3
...
...
1
2
2
1
1
1
...
...
20
Total.
9
...
1
...
...
...
10
...
19
...
1
...
10
3
12
...
1
2
14
4
5
4
...
...
95
NOTE.—Observation cases are excluded from this statement.
22
STATEMENT No. VII.
Showing Ætiological factors and Associated conditions in the patients
admitted in the Mental Hospital, Nagpur, in the Central Provinces
and Berar during the year 1929—concld.
Ætiological Factors and
associated conditions.
Brought forward ...
H. INFECTIVE AND TOXIC—
1. Alcohol ...
2. Opium and morphia ...
3. Cocaine ...
4. Cannabis Indica ...
5. Acute infective diseases ...
6. Tuberculosis ...
7. Syphilis, acquired ...
Syphilis, congenital ...
8. Plague ...
9. Influenza ...
10. Other toxins ...
I. TRAUMATIC—
1. Injuries ...
2. Operations ...
3. Sunstroke ...
J. DISEASES OF THE NERVOUS
SYSTEM—
1. Disease of the brain ...
2. Disease of the spinal cord
and nerves,
3. Epilepsy ...
4. Other defined neuroses ...
K. OTHER
BODILY
AFFLIC-
-----—
1. Diseases of the blood ...
2. Diseases of the circulatory
system. ...
3. Diseases of the valves of
the heart.
4. Diseases of the digestive
system.
5. Diseases of the urinary or-
gans.
6. Diseases of the generative
system
(excluding
syphilis).
7. Other general affections ...
Total ...
L. No. CAUSE ASSIGNABLE—
M. No.
CAUSE
ASCERTAINED—
HISTO Y DEFECTIVE.
GRAND TOTAL ...
Predisposing cause.
Male.
44
...
...
...
...
...
...
1
...
...
...
...
...
...
...
1
...
2
...
...
...
...
...
...
...
...
48
31
79
Female.
8
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
8
13
21
Total.
52
...
...
...
...
...
...
1
...
...
...
...
...
...
...
1
...
2
...
...
...
...
...
...
...
...
56
44
100
Exciting cause.
Male.
31
...
...
...
5
...
...
1
...
...
...
...
...
...
...
...
...
6
...
...
...
...
...
...
...
...
43
35
78
Female.
12
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
12
5
17
Total.
43
...
...
...
...
5
...
...
1
...
...
...
...
...
...
...
...
...
6
...
...
...
...
...
...
...
...
55
40
95
Total.
Male.
75
...
...
...
5
... ...
2
...
...
...
...
...
...
...
1
1
8
...
...
...
...
...
...
...
...
91
...
66
157
Female.
20
...
...
...
...
...
...
...
... ...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
20
18
38
Total.
95
...
...
...
5
...
... 2
...
...
...
...
...
...
...
1
...
8
...
...
...
...
...
...
...
...
111
84
195
NOTE.—Observation cases are excluded from this statement.
NOTE.—As each new admission had more than one cause both predisposing and exciting.
the total does not tally with total number of admissions.
23
STATEMENT No. VIII.
Cash Account of the Mental Hospital, Nagpur, in the Central Provinces and Berar for the year 1929 and
Provincial totals for two previous years 1928—1927.
Name of Mental
Hospital.
1
Nagpur ...
Provincial
Totals.
1928 ...
1927
...
Receipts.
Received from
treasury.
2
Rs.
88,825
80,518
81,572
a.
0
13
0
p.
0
3
0
Received from
paying
patients.
3
Rs.
13,593
10,118
11,555
a.
0
6
0
p.
0
9
4
Value of stores
received from
the manufac-
turing depart-
ment less
cost of
raw
materials.
4
Rs.
12,879
10,431
10,087
a.
0
7
9
p.
0
0
6
Book receipts,
i.e., the
total of
expenditure
entered in
columns 19,
20 and 21.
5
Rs.
38,345
23,495
7,461
a.
0
1
2
p.
0
0
6
Miscellaneous
receipts.
6
Rs.
2,783
2,192
2,464
a.
0
15
15
p.
0
3
3
Total.
7
Rs.
1,56,425
1,26,756
1,13,140
a.
0
11
11
p.
0
3
7
Charges.
Establishment.
Establishment,
proper.
8
Rs.
23,984
26,966
26,773
a.
0
5
7
p.
0
1
0
Superin-
tendence.
9
Rs.
7,731
1,800
2,252
a.
0
0
4
p.
0
0
0
24
STATEMENT No. VIII.
Cash Account of the Mental Hospital, Nagpur, in the Central Provinces and Berar for the year 1929 and
Provincial totals for two previous years 1928—1927—contd.
Name of Mental
Hospital.
1
Nagpur ...
Provincial
Totals.
1928 ...
1927 ...
Charges -contd.
Diet.
10
Rs.
43,996
37,115
36,393
a.
0
3
15
p.
0
0
0
Clothing and
bedding.
11
Rs.
5,455
6,877
4,958
a.
0
6
13
p.
0
0
0
Bazar
medicines.
12
Rs.
1,439
25
28
a.
0
4
0
p.
0
0
0
Contingencies
proper.
13
Rs.
17,476
15,509
18,330
a.
0
2
2
p.
0
3
6
Repairs and
maintenance.
14
Rs. a. p.
...
...
...
Rates and
taxes.
15
Rs.
1,623
2,657
2,923
a.
0
0
0
p.
0
0
0
Remitted to
treasury on
account of
paying
patients, etc.
16
Rs.
13,593
10,118
11,555
a.
0
6
0
p.
0
9
4
25
STATEMENT No. VIII.
Cash Account of the Mental Hospital, Nagpur, in the Central Provinces and Berar for the year 1929 and
Provincial totals for two previous years 1928—1927—concld.
Name of Mental
Hospital.
1
Nagpur ...
Provincial
Totals.
1928 ...
1927 ...
Charges—concld.
Miscellaneous
items.
17
Rs.
2,783
2,192
2,464
a.
0
15
15
p.
0
3
3
Total of columns
8 to 17.
18
Rs.
1,18,080
1,03,261
1,05,679
a.
0
10
9
p.
0
3
1
Book charges.
Charges on
account of work
done by the
Public Works
Department.
19
Rs.
37,521
23,375
6,941
a.
0
10
12
p.
0
0
6
Cost of
printed forms
and
stationery.
20
Rs. a. p.
...
...
...
Cost of
English stores,
medicines, etc.
21
Rs.
824
119
519
a.
0
7
6
p.
0
0
0
Total of columns
18 to 21.
22
Rs.
1,56,425
1,26,756
1,13,140
a.
0
11
11
p.
0
3
7
Remarks.
23
NOTE.—Figures exhibited include observation cases.
26
STATEMENT No. IX.
Showing the sanctioned establishments of the Mental Hospital, Nagpur, in
the Central Provinces and Berar as they stood on the 31st December 1929.
1
Establishment.
Superintendent
...
...
Assisant Medical Officers
...
...
Allowance of
Do.
...
...
Clerks
...
...
Compounders
...
...
Chief head attendant
...
...
Head assistants 30, 30, 28, 26
...
...
Attendants at Rs. 19 each
...
...
Do.
do. 18 do. ... ...
Do.
do. 17 do.
...
...
Do.
do. 16 do.
...
...
Do.
do. 15 do. ... ...
Matron ... ...
Female head attendant
...
...
Female attendant at Rs. 19 each ... ...
Do
do
do. 18 do. ... ...
Do.
do
do. 16 do. ... ...
Do.
do
do. 15 do.
...
...
Blacksmith
...
...
Cooks at Rs. 15 each ... ...
Gowli at Rs. 18 do. ... ...
Barber at Rs. 20 do. ... ...
Dhobi at Rs. 20 do. ... ...
Farm hand at Rs. 16 each ... ...
Milkers at Rs. 16 each ... ...
Male sweepers at Rs. 15 each ... ...
Female sweepers at Rs. 11 each ... ...
Total ...
Daily average number of males including observation cases...
Do.
do.
females
do.
do.
Total ...
2
Number.
1
2
...
2
1
1
4
16
3
5
6
7
1
1
5
1
1
5
1
3
1
1
1
2
2
9
6
88
335.50
93.38
428.88
3
Monthly wages.
Rs.
650
200
75
135-8-0
45
40
114
304
54
85
96
105
100
30
95
18
16
75
25
45
18
20
20
32
32
135
66
2,630-8-0
Proportion of
Male Head warders to males ...
Male warders to males ...
Female Head Warders to females ...
Female warders to females
67.10
9.07
93.38
7.78
27
STATEMENT No. X.
Showing receipts and expenditure on account of manufactures in the Mental Hospital Nagpur, in the Central
Provinces and Berar during the year 1929 and Provincial totals for two previous years 1928—1927.
1
Name of Mental
Hospital.
Nagpur
...
Provin-
cial
Totals.
1928
1927
2
3
4
5
6
7
8
Credits.
Mean population.
Male.
333.57
320.40
324.60
Female.
92.87
91.36
86.36
Total.
426.44
411.76
110.96
Cash paid
into the
treasury or
articles sold.
Rs.
2,689
2,192
2,464
a.
0
15
15
p.
0
3
3
Value of
manufac-
tured goods
made over
to Mental
Hospital
to Mental
Hospital
purposes.
Rs.
12,879
10,431
10,087
a.
0
7
9
p.
0
0
6
Value of
raw mate-
rials in store
at the end
of the year.
Rs.
203
864
540
a.
0
0
0
p.
0
0
0
Value of
manufac-
tured goods
in store at
the end of
the year.
Rs.
182
136
341
a.
0
0
15
p.
0
0
6
Value of
plant and
machinery
in store at
the end of
the year.
Rs.
5,630
5,754
5,325
a.
0
0
0
p.
0
0
0
Total credits
Rs. a.
21,583
19,378
18,759
0
6
3
p.
0
3
3
9
Value of
manufac-
tured goods
in store on
1st January.
1929.
Rs.
136
341
659
a.
0
15
4
p.
0
6
0
10
Value of
raw mate-
rials in store
on 1st Janu-
ary 1929.
Rs.
864
540
803
a.
0
0
0
p.
0
0
0
28
STATEMENT No. X.
Showing Receipts and Expenditure on account of manufactures in the Mental Hospital, Nagpur, in the Central
Provinces and Berar during the year 1929 and Provincial totals for two previous years 1928—1927.
1
Name of Mental
Hospital.
Nagpur ...
Provincial
Totals.
1928
1927
11
12
13
14
15
Debits—concld.
Value of
plant and
machinery
in store on
1st Janu-
ary 1929.
Rs. a.
p.
5,754
5,325
5,120
0
0
0
0
0
0
Raw
meterials
purchased.
Rs a.
p.
41
741
395
0
15
12
0
6
0
Contin-
gencies of
manufac-
ture.
Rs. a.
p.
7,521
6,631
5,491
0
0
4
0
3
0
All other
charges.
Rs.
a. p.
2,054
1,270
1.280
0
5
14
0
0
0
Total debits.
Rs. a.
p.
16,370
14,850
13,750
0
4
2
0
3
0
16
17
Results.
Excess of
credits or
profits.
Rs. a.
p.
5,213
4,528
5,009
0
2
6
0
0
3
Excess of
debits or
loss.
Rs. a. p.
...
...
...
18
Remarks.
Employed on manu-
facture.
Male.
10.06
15.73
15.86
Fe-
male.
...
...
...
Total.
10.06
15.73
15.86
Employed on
gardening.
Male.
89.26
84.44
82.78
Fe-
male.
9.87
9.83
9.17
Total.
99.13
94.27
91.95
NOTE.—Figures exhibited exclude observation cases.
GPN—2719-L—IGCH—20-5-30—216.
Annual Report on the
Mental Hospital in the
Central Provinces and
Berar (Nagpur) for the
Calendar year 1930
BY
LT.-COL. W. TARR,
M.D., F.R.C.S.E., D.P.H., I.M.S.,
Offg. Inspector-General of Civil Hospitals,
Central Provinces.
NAGPUR:
PRINTED AT THE GOVERNMENT PRESS
1931
[Price—Re. 1-4-0.]
Annual Report on the
Mental Hospital in the
Central Provinces and
Berar (Nagpur) for the
Calendar year 1930
BY
LT.-COL. W. TARR,
M.D., F.R.C.S.E., D.P.H., I.M.S.,
Offg. Inspector-General of Civil Hospitals,
Central Provinces.
NAGPUR:
PRINTED AT THE GOVERNMENT PRESS
1931
Agents for the sale of Publications issued by the Central
Provinces Government.
[NOTE.—Appointments of all official Agents in the United
Kingdom and on the Continent for the sale of Government
Publications have been terminated with effect from the 1st April
1925.
All publications in future are obtainable either direct from
the High Commissioner for India, India House, Aldwych
London, W. C. 2, or through any bookseller.]
INDIA.
AKOLA:
The Proprietor, Shri Ramdas Stores,
Tajnapeth.
ALLAHABAD:
Mr. Ram Narain Lal, Publisher,
etc., 1, Bank Road.
The Superintendent, Nazair Kanun
Hind Press.
AMRAOTI:
Thakur & Co., Booksellers.
BARODA:
Mr. M. C. Kothari, Bookseller and
Publisher, Raopura Road.
BILASPUR:
Mr. M. A. Subhan, Bookseller and
Publisher.
BOMBAY:
D. B. Taraporevala, Sons & Co.,
190, Hornby Road, Fort.
Radhabai Atmaram Sagoon.
Sunder Pandurang, 25, Kalbadevi
Road.
Thacker & Co., Ltd.
CALCUTTA:
The Book Company, 4/4-A, College
Street.
Butterworth & Co. (India), Ltd.,
8-2, Hastings Street.
The Indian School Supply Depôt.
M. C. Sircar & Sons, 75, Harrison
Road.
Newman & Co.
R. Cambray & Co.
S. K. Lahiri & Co.
Thacker, Spink & Co.
COOCH BEHAR:
Babu S. C. Taluqdar, Proprietor,
Students & Co.
DELHI:
The Oxford Book and Stationery
Co
JUBBULPORE:
The Manager, General Book Depôt
KARACHI:
The Standard Bookstall
KHANDWA:
The Proprietor, Shri Ramdas Stores
Khandwa Branch.
LAHORE:
The Punjab Sanskrit Book Depôt.
Rai Sahib M. Gulab Singh & Sons
LUCKNOW:
The Proprietor, Newal
Kishore
Press.
The Upper India Publishing House,
Ltd., 41, Aminabad Park.
MADRAS:
Higginbotham & Co.
S. Murthy & Co., Post Box
No. 152.
The Proprietor, The City Book
Co., Post Box No. 283.
NAGPUR:
Aidan Binzani, Proprietors, Kar-
mavir Book Depôt, Mahal.
Mr. G. G. Khot, Walker Road.
Mr. G. A. Shastri, Bookseller and
Publisher, Hislop College Road.
The Manager, General Book Depôt.
The Manager, "The Hitavada".
The Proprietor, Bhisey Brothers.
Booksellers and Publishers.
PATNA:
The Patna Law Press Co.
POONA:
The Proprietors, New Kitabkhana.
RANGOON:
The
Superintendent,
American
Baptist Mission Press.
SIMLA:
Thacker, Spink & Co.
Annual Report on the Mental Hospital in the Central
Provinces and Berar (Nagpur) for the year 1930.
Administration.
1. Dr. J. ROY, M.B., D.P.M. (Eng.), was in charge
throughout the year except for
the period he was on leave from
15th April 1930 to 26th June 1930, when Major
J. M. R. Hennessy, I.M.S., Civil Surgeon, Nagpur,
held the charge.
STATEMENT NO. I.
Population.
2. The number of patients resident at the hospital
at the beginning of the year was 340
males and 91 females, or a total of
431. The admissions (including 1
readmission and 1 voluntary boarder) during the year
were 79 (66 males and 13 females) against 90 (76 males
and 14 females) in the preceding year. There was 1
case of readmission against the same number in the
preceding year. The total population of the hospital
during the year was 510 against 504 in the previous year,
giving an increase of 6. This hospital receives patients
only from the Central Provinces and Berar and from
Central India. Of the new admissions, the Nagpur
district as usual contributed the largest number, i.e.,
20 (13 males and 7 females) against 38 (28 males and 10
females) in the preceding year. The daily average
strength of the total population, excluding the observa-
tion cases, was 423.54 (332.99 males and 90.55 females)
against 426.44 (333.57 males and 92.87 females) in the
previous year. Including the observation cases the daily
average strength was 425.76 against 428.88 in the pre-
vious year. The ratio per cent of cases " cured " to
daily average strength was 11.71 males and 5.52 females,
total 10.38 for both sexes against 8.09 males and 8.61
females, total 8.20 for both sexes in the previous year.
The ratio per cent of cases " cured " to new admis-
sions was 22.72 males and 15.38 females, total 21.51
against 17.10 males and 35.72 females, total 20.00 in the
previous year.
Accommodation.
3. Four wards for 8 paying patients were taken
over from the Public Works Depart-
ment early in the year, thus the total
accommodation provided was 470 (344 males and 126
females), against 462 (336 males and 126 females),
in the previous year.
The proposal of further increase in the accom-
modation, for paying and better class of patients in the
2
female section, which was under consideration, has been
held over on account of financial stringency.
The maximum number resident in the hospital on any
one night was 436 (341 males and 95 females) against 439
(346 males and 93 females) in the previous year. There
was no overcrowding.
Discharges.
4. Sixty-one patients were discharged against 45 in
the previous year, 44 as cured, 10
improved, and 7 discharged other-
wise. Of those " discharged otherwise" 5 who were
criminal
patients escaped,
of whom 3
were
" recovered" insane criminals and were employed as
supervisors in charge of patients working in outside
fields and gardens. They broke their parole and escaped.
The remaining 2 and the 10 improved cases were taken
over by their relatives.
Cases under observa-
tion.
5. One case remained under observation on 1st
January 1930, 39 were sent for
observation against 61 last year. Of
these 40, 23 were certified as insanes, 2 were discharged
by the Court on security, 6 were uncertified as they
exhibited no symptoms of insanity and 5 not being
dangerous were not certified, 4 remained at the close of
the year.
Sickness and mortality.
6. The mortality during the year was 36 against
28 last year, giving a percentage
of 8.49 against 6.56 last year. The
causes of deaths were—heart failure from acute mania 1,
heart failure from acute infective exhaustive psychoses 4,
pneumonia 5, syncope 3, cachexia secondary to leprosy
2, old age (debility) 7, pernicious anaemia 1, ankylos-
tomiasis 1, dysentery (bacillary) 3, acute diarrhoea 1,
intestinal haemorrahage 1, acute nephritis 1, acute
rheumatism 1, encephalitis lethargica 1, status epilepticus
3, septicaemia 1.
The following table shows the period of stay in hos-
pital of these patients :
Over
Between
„
„
„
„
„
Period.
30 years ...
20 to 30
„
...
15 to 20 „ ...
10 to 15 „ ...
5 to 10 „ ...
2 to 5 „ ...
1 to 2 „ ...
One year and under
Total.
1
4
4
3
5
4
8
7
3
Out of 7 deaths under 1 year's stay, 6 were received
in a very bad state of health, and the physical condition of
the other was indifferent.
The general health of the patients during the year
was good. The daily average sick was 22.51 against
34.96 last year. All the patients and the staff were
vaccinated against small-pox and were inoculated against
cholera as prophylactic measures.
During the hot
weather and the monsoons the drinking water was
chlorinated. Potassium permanganate was also used.
There was no epidemic disease.
The death rate per cent for 1930 in mental hospitals
in other provinces in India was 9.02 in the Punjab, 8.1
in Bombay, 7.41 in Madras, 6.92 in the European Mental
Hospital, Ranchi, 6.46 in the United Provinces, 6.09 in
Burma, 3.94 in Assam and 2.07 in the Indian Mental
Hospital, Ranchi.
Ankylostome infection.
7. Of the new admissions, 12.66 per cent were
already infected against 4.44 per cent
in the previous year
Routine
examination of stools of all patients was carried on periodi-
cally and 29 patients were found to have been infected
with ankylostome while resident in the hospital against 19
last year. As noted in the previous year, infection from
ankylostome and dysentery (bacillary) was common
amongst the patients working in the garden. In spite of
every care and supervision some of these patients get
the infection from their coprophagic and geophagic
habits. Other helminths found were ascaris lumbricoids
19, trichurus trichura 8, oxyuris vermicularis 4.
STATEMENT NO. II.
Criminal insanes and
insane criminals.
8. The number of criminal insanes and insane
criminals at the beginning of the year
was 125 (113 males and 12 females).
The number admitted during the year
under review was 18 including 1 readmission against 23
in the preceding year. Twenty were discharged and 6
died and the number remaining under care and treat-
ment towards the close of the year was 117 against 125
last year. Out of these 117 patients, 11 males and 1
female recovered but they could not be discharged as
their cases are governed by the principles laid down in
Book Circular Part V-I Appendix II.
4
STATEMENT NO.
III.
Religion, sex and re-
sidence.
STATEMENT NO.
IV.
Previous occupation.
STATEMENT NO. V.
Age.
9. These need no special comment.
STATEMENT NO. VI.
Types of insanity.
10. Mania under its various sub-heads was as usual
the commonest type of insanity.
Admissions and discharges under this
head were 40 and 29 against 41 and 27, respectively,
last year. Next was melancholia with 8 admissions and
10 discharges and exhaustion psychoses with 8 admissions
and 5 discharges. Under dementia praecox, the admis-
sions were 14, errors of development 4, and 1 each
under paranoia, infective and toxic insanity, dementia
secondary to organic cerebral disease other than syphilis
STATEMENT NO.
VII.
Aetiological factors and
associated conditions.
11. The principal predisposing and exciting causes
amongst the new admissions were :—
Heredity ...
Mental instability ...
Deprivation of special senses ...
Critical periods ...
Child bearing ...
Mental stress ...
Diseases due to disorders of nutrition
and metabolism.
Infective and toxic ...
Diseases of the nervous system ...
No cause ascertained history defective ...
Predisposing.
9
32
1
1
...
1
2
5
...
31
Exciting.
...
3
1
13
4
25
4
5
4
23
Dental treatment.
12. During the year under review, the Dentist,
Mr. C. Baretto, visited the hospital
twice a week regularly and carried
out dental and oral treatment of all patients. Card
registers were maintained and periodical inspections of
each patient were made.
Treatment of
mental
conditions.
13. (i) Occupational Therapy.—Strenuous
efforts
were made during the year to develop
this form of therapy which is con-
sidered as the only rational form of treatment for sub-
acute and chronic cases. Only such occupations were
selected which were likely to prove beneficial to the
patients as well as to the hospital. Cultivation was there-
fore the main form of occupation chosen. Heretofore
5
cultivation had not been done on any large scale due
firstly to the fact that the hospital land being unfenced
the crop and other farm produce could not be protected
from depredations by cattle, and secondly due to
inadequacy of staff. Owing to the general financial
stringency there was little hope of monetary assistance.
So the Superintendent without waiting for the better times
undertook to fence in the arable land in plots with cactus
and other thorny plants. During the year under review
a plot of over 40 acres was thus adequately protected and
cultivated entirely with the help of the patients. The
result has been very satisfactory : regulated exercise and
outdoor work improved the general health of patients
and there was an increase in the percentage of cures. In
addition a stock of one month's consumption of juwar
and toor dal, about 30 maunds of cotton and a large
quantity of fodder for cattle has been raised which will
be used for the hospital next year.
Weaving work was also undertaken but owing to the
absence of expert supervision, much could not be done.
(ii) Hydrotherapy
(prolonged bathing). For want
of staff, this form of treatment could not be done in a
systematic way.
(iii) Psychotherapy by psychoanalysis.
Two cases
were treated by psychoanalysis, one of whom a voluntary
boarder suffering from anxiety hysteria recovered
completely and went home. From later reports it was
learnt that she continued to remain perfectly well
The
other case suffering from conversion hysteria recovered
sufficiently to be able to return to her home.
Amusements
and
ames.
These were provided in the shape of in and out-door
games, music by gramophones and
special feasts during the Hindu,
Muhammadan and Christian festivals.
STATEMENT No.VIII.
Finance.
14. The total amount spent for the up-keep of the
Mental Hospital was in round figures
Rs. 1,18,582 against Rs. 1,56,425 in
the previous year. The decrease is mainly due to less
expenditure by the Public Works Department which was
Rs. 5,247 against Rs. 37,521 in the previous year.
The average cost of "diet and clothing" per patient
per annum was Rs. 117 against Rs. 115 last year, i.e.,
an increase of about 3 annas per patient per month.