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should continue to operate that plant as a training school for
boys. This exchange was proposed in view of the fact that the
State proposed to build a new training school for boys, situated
at some distance from the city, and thus would terminate the lease
on Randall's Island. I would now report that legislation was had
during the last session of the Legislature, with a view to removing
certain objections entertained by the comptroller of the city of
Greater New York to the carrying out of this exchange; but cer-
tain legislation desired by the city to perfect its title to the Sunken
Meadows, a marsh land lying near the House of Refuge property
on Randall's Island, failed of passage owing to stress of legislation
in the last days of the session of 1906, and the comptroller of the
city, feeling that this matter should be properly disposed of at
the same time that the exchange of properties is made, has thus
far declined to consent to the exchange, but states that he will
consent to such exchange as soon as the Sunken Meadow legisla-
tion has been passed and receives executive approval. I shall inake
further reference to this matter under the heading of " Sugges-
tions and future needs."

MATERIAL IMPROVEMENTS
Owing to the contemplated general improvements of the main
hospital buildings that are being planned, very little has been done
under the above heading during the past year.

The usual amount of painting repairs has been carried on and
a number* of wards painted, this having been largely confined to
the women's wing of the building, for the reason that it is ex-
pected to remodel the men's wing before starting the women's de-
partment.

It might be proper to state under this heading that during the
month of February the large unsightly building which was erected
several years ago for an ice house took fire from spontaneous com-
bustion and was burned to the ground with all its contents. The
hospital suffered a loss approximately of $500 for material which
was stored in the building. Subsequently an appropriation of
$533.92 was allowed as an emergency under the appropriation for
extraordinary improvements to build a storehouse of corrugated



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922 Eighteenth Annual Report op the

LONG ISLAND STATS HOSPITAL — ANNUAL REPORT

iron 26 x 60 feet, to be located adjoining the stable for the purpose
of storing such materials and equipment as it was either impossible
or undesirable to store in the basement of the main building. This
building has been completed and is now ready for use.

Another item has been the placing on the amusement hall of a
tar and felt roof, made necessary by the leaky condition of the
tin roof. This is in the nature of a temporary repair to protect
the building for a year or two until a new amusement hall is
erected.

ENTERTAINMENT OF PATIENTS

The following is a list of the principal uses to which our amuse-
ment fund has been put during the past year.

Entertainments were given by the following :

Archie Leon French, impersonator.

Gavin Spence and Flora MacDonald, Scotch songs and recitals
in costuma

iEdward Brigham, songs and recitals.

DuBarrie-Gill Combination, instrumental music, songs and read-
ings.

Besides the above paid entertainments, the hospital is indebted
to the Park Side Presbyterian Church on Lenox road for an in-
teresting entertainment on Christmas night.

The following magazines were subscribed for to supply the
wards :

Harper's and the Century, one copy each.

Munsey's, Cosmopolitan and McClure's, three copies each.

Harper's Bazaar, Delineator and Ladies' Home Journal, one

copy each.
Deaf Mutes' Journal, one copy.

Forty-one men patients were given an opportunity to attend
Bamum and Bailey's circus and 43 women patients visited Coney
Island during the summer.

Candy and peanuts were passed around to all patients at Christ-
mas time and peanuts and lemonade served on the 4th of July.

Considerable orchestra music was purchased as well as music
for pianos on the wards and portfolios for the preservation of same.
A new Kurtzman piano was purchased at a cost of $215 and
$65 was spent for putting in good repair an upright piano for
ward 14, and minor repairs were made to other pianos and musical
instruments.



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State Commission ik Lunacy 923

LONG ISLAND STATS HOSPITAL — ANNUAL REPORT

One hundred and six yards of new brussels carpet was purchased
for the stage in the amusement hall.

Thirty-six framed pictures, 150 Dracena plants, 12 plaster casts,
2% dozen jardeniers, 13 tabourets, six rose bowls, 12 glass flower
vases, 100 rolls of crepe paper for the decoration of the wards, nine
canary birds for the wards and gold fish for aquariums were pur-
chased, and at Christmas time a quantity of ground pine was
purchased for decorating the wards.

iThree hammocks were purchased for use on lawns and materials
were obtained for constructing new back-stops for the tennis court
and three dozen tennis balls were bought, also one-third dozen base
balls and two basket balls.

Seventy-nine volumes have been added to the patients library
during the year and 60 pounds of manila paper purchased for
covering library books. Quartered oak lumber and the necessary
hardware has been purchased for constructing an addition to the
book case for the patients* library, made necessary by the acces-
sion of new books.

The following materials have been paid for out of the amuse-
ment fund for the use of the fancy work class; for women
patients:

Linen thread,
Embroidery silk.
Embroidery cotton.
Lawn,
Linen, .
Ribbon.

Three dozen artist's crayons were purchased for the use of a
patient who enjoys drawing.

In connection with the entertainment of patients I might add
that a modem carpet loom was purchased during the year to give
employment to women patients. Although this was not paid for
from the amusement fund, it might properly come under the
above heading.

SUGGESTIONS AND FUTURE NEEDS
In considering changes and improvements at this hospital, the
following conditions should be borne iH mind. The annex is to
be given up within a few days and therefore it does not concern
us. The buildings under consideration are the main building, with
a normal capacity of 655, now holding a population of 706, and



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924 Eighteenth Annual Repoet of the

LONG ISLAND STATE HOSPITAL — ANNUAL REPORT

the buildings situated contiguous thereto, namely, boiler house,
laundry, kitchen, and several old, dilapidated, wooden buildings,
among which are the amusement hall, dynamo room, an old build-
ing used for patients industries, and another for shops.

Taking up the main building, we have an imposing brick struc-
ture, built some 40 or 50 years ago in a very substantial manner.
In fact, the main construction of this building is of superior char-
acter, such as would be exceedingly expensive to duplicate to-day.
As an instance of this kind of construction, I would refer to the
main outside walls. These brick walls have not deteriorated, are
18 inches in thickness, with a two-inch air space. I need hardly
say that this is a superior kind of construction with regard to
warmth, exclusion of dampness and durability, and that with the
ruling wages for masons in Greater New York of $6 per day, and
the price of building material, this ccmstruction represents a
very valuable asset. This building is three stories in height, with
cross wings of four stories, and is 664 feet in length.

In the interior the arrangement of partitions and rooms is in
accordance with ideas of hospital construction w^hich prevailed
some 40 or 50 years ago. As a result of this arrangement, the
available floor space is not utilized to the best advantage, either
from a medical or from an economical standpoint. The floors
throughout need renewal. Some of the wooden trim will have to
be renewed, but a considerable amount of it can be saved. The
plumbing and sanitary arrangements are antiquated, badly placed
and inadequate. The heating arrangements and hot and cold
water service are unsatisfactory and insufficientw The electric
lighting lines require renewal, and a portion of the building re-
quires remodelling along modem lines.

The end cross wings, which I propose to use for employees'
quarters, will require practically no remodelling, and can well be
fitted for employees wUh a comparatively small expenditure, and
will, I believe, provide as satisfactory quarters for our employees,
apart from the patients' wards, as have been provided in any of
the nurses' homes recently constructed in the State hospitals of
this State.

The remodelling should consist mainly in taking out the parti-
tions dividing the south side of the ward into single rooms, thus
throwing all this space in with the long corridors, and this space
can be very satisfactorily and economically used, for large, sunny
day rooms and dormitories. The old, narrow, wooden stairways



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State Commission in Lunacy 925

LONG ISLAND STATE HOSPITAL — ANNUAL REPORT

should be removed and be replaced by commodious iron stairways.
The partitions along the north side of the wards can be, in the
main, retained and the amount of remodelling there necessary will
be slight Sun verandas, in order to provide a sufficient amount
of light, sunny, day-room space, should be constructed on the south
ends of the cross wings. This remodelling will provide all the
necessary medical and administrative features required in pro-
viding modem facilities for the care and treatment of the insane.

As I stated before, some of the main construction of the build-
ing is of a character- superior to the brick construction now com-
monly specified in hospitals for the insane. When this is taken
into account, and also the fact that the changes proposed will give
satisfactory facilities for the treatment of the insane along modern
lines, I believe, that if these changes should be carried out, we
would have a State hospital for the insane in this borough su-
perior in many respects to anything which could possibly be built
here for $500 per capita; and it should be borne in mind that
this is the maximum per capita allowed by the insanity law in
the construction of hospital buildings for the insane; and it
should further be borne in mind that the changes I have outlined
contemplate the use of this building largely in the treatment of
acute cases.

The normal capacity of the building is at present 655, with an
actual population of 706. The changes I have recommended will
provide much more space than has been available hitherto. If we
estimate according to the old standard under crowded conditions,
the extra space to be provided would accommodate 200 more pa-
tients. If in accordance with the normal standard for the class
of cases hithereto cared for here the increase in capacity would
amount to 150 patients.

But taking into account the situation of the hospital and the
propriety as generally conceded of using it largely for acute cases
requiring a large amount of space and medical care it may seem
best that the matter of normal capacity should receive further
attention from the State Commission in Lunacy.

The quarters now used in this main building by the superinten-
dent's family and by the medical officers are insufficient and unsat-
isfactory and, moreover, this space is needed for other purposes in-
volved in the remodelling of the building; therefore, following
the policy generally adopted throughout the State hospital sys-
tem, a superintendent's house should be erected on the grounds, and



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926 Eighteenth Annual Repoet of the

LONG ISLAND STATE HOSPITAL — ANNUAL REPORT

a staff house should also be erected for the use of a portion of the
members of the medical staff, including one married physician
and his family, and the resident steward and his family.

A portion of the basement is at present used for storeroom pur-
poses. This arrangement is unsatisfactory, and moreover the space
thus used will be needed for dining room purposes if these changes
are carried out Therefore, a storehouse should be erected con-
taining a cold storage and ice making plant. There should also be
erected a building for shops and patients' industries.

The present laundry is an old building, constructed partially of
brick and partially of wood, and when funds are available it should
be replaced by a new laundry.

Practically the same statement may be made in regard to the
present kitchen, except that this building is entirely of brick. The
present boiler house is suitably placed, and with certain changes
and repairs will be satisfactory.

The old wooden amusement hall, formerly used as a dining
hall, is in a dilapidated condition and should be replaced by a
new amusement hall when funds are available.

A new dynamo plant should be installed, but a new building
in place of the old one will probably not be necessary, as it is
.believed this plant can be installed in a portion of the space used
for a boiler room.

In connection with the boiler house, suitable provision should
be made for the storage of coal.

The water supply of the hospital has been in the past, as at
present, obtained from the Flatbush water works at an average
annual cost of $3,376.89 during the last five years. I would
recommend that driven wells be sunk and a water supply obtained
on our own property.

Preliminary sketches and estimates have been made by the State
architect providing for the improvements suggested in this report
at a cost of $450,000, and the Legislature of 1906 was requested
to provide funds for making these changes. The outcome of this
request was the following item in the supply bill, chapter 686,
Laws of 1906 :

" Long Island State Hospital
" For construction, heating, plumbing, lighting and equipment,
the sum of two hundred twenty-nine thousand, six hundred and
sixty-nine dollars ($229,669), being one-half the sum required
to reconstruct and equip the Long Island State Hospital.



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State Commission in Lixagy 927

LORG ISLAND STAIE HOSPITAL — ANNUAL REPORT

^' For surgical equipment, one thousand five hundred and sixty-
five dollars ($1,565).

" For hydrotherapeutic installation, three thousand one hun-
dred dollars ($3,100).

" 1^0 portion of the appropriation hereby made for the Lon^
Island State Hospital ghall be available for any purpose until
the City of New York has, by satisfactory conveyance, trans-
ferred to the State of If ew York, the real estate, tenements, here-
ditaments and appurtenances of said Long Island State Hospital,
and all other property thereunto belonging."

It will be noted that one-half the sum estimated by the State
architect was allowed.

Assuming that the city authorities will shortly carry out the
terms of the exchange, whereby the title of this property will
pass to the State, I would iTcoinmend that the Legislature be re-
quested to appropriate the remaining half required to reconstruct
tJie hospital, and provide the necessary additional buildings as
outlined in the State architect's prc4iminary estimates and sketches,
namely $229,669.

Referring again to the delay on the part of the city authorities
to carry out the terms of the exchange of properties above men-
tioned, owing to the fact that the legislation to perfect the city's
title to the Sunken Meadow property, did not pass the Legislature
of 1906, I would recommend that this legislation w^hich simply
provides for removing a cloud on the city's title to Sunken
Meadow, be passed ad early as possible during the coming session.

The changes and new construction which I have outlined above,
together with certain additions to our equipment, which I will
refer to later, will provide for the great population of the borough,
an up-to-date hospital with the necessary facilities for the modem
treatment of the acute insane. This hospital will be conveniently
situated, as nearly all our commitments come to us through the
city receiving ward connected with the Kings County Hospital,
which is situated closely adjacent to our main building.

Our list of requirements will therefore be as follows:

One-half the sum required to reconstruct the main
building and to provide the necessary new con-
struction and equipment as estimated by the
State architect, the other half having been ap-
propriated by the Legislature of 1906 $229,669 00

59



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928 Eighteenth Annual Report of the

LONG ISLAND STATE HOSPITAL — ANNUAL REPORT

Furniture for employees' quarters, wards of the
main building as reconstructed, the staff house,
superintendent's house, and the additional

equipment necessary for new kitchen $30,000 00

Additional equipment for new laundry 6,500 00

Equipment for shops, including lathe, ];)and-saw

rip-saw for carpenter shop, with all connections. 700 00

Electrical apparatus for high frequency current. . . 525 00

New plants and shrubbery for the grounds 350 00

Water lines about grounds for watering lawns. . . . 250 00

Ambulance 510 00



All of these items and the entire amounts asked for are neces-
sary for the establishment of this hospital on a proper basis, and
when it is considered that it is proposed to maintain and equip
this hospital for the acute curable insane of the borough of Brook-
lyn, that the conditions here are now primitive and of the old
asylum type, nothing having been spent on the plant of this hos-
j)ital with a view to bringing it up to date since it has been in
the State care for the past 10 years, I trust that no reduction
will be made in the above amounts.

During the year the only change in the personnel of the resi-
dent officers was the appointment of Dr. M. Boland as medical
interne on December 11, 1905.

In addition to the monthly visits of the board of managers
and the visits of the State Commission in Lunacy, I have to men-
tion the following:

Dr. Maddren and Dr. Van Cott, members of the consulting
staff; G. L. ITeins, State architect; F. E. Corwith, represen-
tative of the State architect; Dr. Rogers, Brooklyn; W. P.
Byrne, C. B., W. II. Dickinson, H. B. Donkin, E. R. C. P.,
J. C. Dunlop, F. R. C. P., and IMrs. Hume Pinsent, members of
the Royal British Commission on the Care and Control of the
Fo(ble Minded; Dr. John F. Fitzgerald, superintendent Kings
County Hospital; Dr. Schultz, Brooklyn; Rev. Wm. J. White,
A. E. Orr, Norman S. Dike, ^Mrs. John H. Burtis, James
^Ic^Fahon, iliss Louisa Man Wingate, members of the board of
managers; Dr. John L. IMaoumber and Dr. Dooling of Brook-
IjTi; John Q. Deubert, New York; Dr. J. A. Pritchard,



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State Commission in Lunacy 929

LONG ISLAND STATE HOSPITAL — ANNUAL REPORT

Willard, N. Y. ; Hon. John Kooney, Brooklyn ; Dr. West, Brook-
lyn; Mrs. Annie L. Stewart, Williard, N. Y.; Hon. Otto G.
Foelker, Brooklyn; Dr. R. M. Elliott, Willard, N. Y.; Mr.
Charles P. Bible, Brooklyn ; Dr. James Cole Hanco6k, Dr. Brown-
ing, Dr. Barber, Dr. Ross, Dr. McNaughton and Dr. Shattuck,
members of the consulting staff ; Dr. William L. Russell, medical
inspector; A. J. Newton and Mrs. Arnold G. Dana, visitors
of the State Charities Aid Association; F. J, H. Kracke;
Congressman Waldo; Senator Cooper; Assemblymaz^ Lee; Mr.
Geoghen, representative of the Brooklyn Daily Eagiy,* Dr.
Jonett, Brooklyn ; Hugo Hirsh, member of the board of managers >
Dr. George Zeller, Peoria, 111., Goodwin Brown, New York;
members of the Municipal Club ; Hon. Wm. H. Friday, Brooklyn ;
Edmund Fischer, secretary Flatbush Trust Co. ; Comptroller Metz,
New York ; J. Edward Swanstrom, member of board of managers.
For magazines and other reading matter, the hospital is in-
debted to the following residents of Brooklyn : — Miss Hook, M. M.
Bassett, E. H. Gane, Mrs. W. M. Seymour, Mrs. Potter, Miss
Potter, Rev. Lindsay Parker, Mrs. Sammis, Dr. Walter Truslow,
Mrs. R. C. Van Cott, Mrs. S. Maxon, Mrs. I. G. Thursby, Mrs.
H. E. Gates, Mrs. Arthur Plobard, Clara C. Mousees, secretary
Tompkins Avenue Congregational Church, Mrs. M. F. Johnson,
Mrs. W. R. Adams, Charles E. Newton, C. L. Darrow, Chas. D.
Baker, W. E. Mead, E. Stewart, Mrs. J. L. White, :Mrs. J. H.
Teed, E. H. Brown, Dr. IL P. Dewey, Mrs. Catherine Perry,
Mrs. F. E. Turner, Mrs. Woods, Mrs. A. C: Perkins, Mrs. G. C.
Blanke, Mrs. Rngg, Mrs. L. C. Edgerton, Mrs. A. E. Bunting,
Mrs. O. Leavens, A. L. Ripton, H. H. Haight, L. Cadraan,
Church & Co., Mrs. A. Filers, Miss M. E. Shirly, Mrs. M. E.
Steel, Mrs. Van Vranken, Mrs. E. J. Reed, IMrs."' A. W. Ward,
Mrs. J. M. Bissel, Mrs. H. B. Bum, M. Roberts, Grace Church
parish house, Madge Gay, secretary Simshine Circle of Kings
Guild, E. S. Still, L. S. Marcellus, Mrs. J. A. Farrington, Miss
Libby, Mrs. F. E. Edmunds, Miss E. E. Barnes, E. D. Horton,
Mrs. J. Crowell, William Mackey, W. Pell, E. C. Neale, Mr. R.
Ritchie, A. Marples, Mrs. W. C. Peckham, R. D. Van Name,
South Congregational Sunday School, Miss Minnie A. Hurd, Mrs.
M. M. Bassett, Mrs. W. H. Martin, H. H. Hollingshead, Mrs.
Hall, Mrs. J. L. White, F. H. Dana, Rev. A. Blum, J. A. Smith,
Mrs. Beards and the Brooklyn Citizen.



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030 Eighteenth Annual Report of the

LONG ISLAND STATE HOSPITAL — ANNUAL REPORT

The usual statistical tables, financial statement, and reports from
the various industrial departments are appended to this report
In conclusion I desire to express my appreciation of the aid and
co-operation which have been extended to me by the members of
the board, by the State Commission in Lunacy and to the officers
and employees of the hospital for their loyal and efficient service.
Respectful! V submitted,

O. M. DEWING

Superintendent



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State Commission in Lunacy 931

LONG ISLAND STATE HOSPITAL — ANNUAL REPORT

QAEDEN PRODUCTS

Asparagus, 348 bunches

Beets, 1731/4 bushel.

Beet greens, 8 bushels

Beans, Lima, 28 bushel

Beans, string, 182^/2 bushel

Cabbage, 22,455 pounds

Cauliflower, 540 heads '

Celery, 3,836 heads

Cucumbers, 9 bushel

Carrots, 4 bushel

Com, 11,999 ears

Celery tops, 4^/^ bushel

Egg plant, 694 lbs

Horse radish, 30 bunches

Kale, 156 bushel

Leeks, 1,602 lbs

Lettuce, 197l^ bushel

Mint, 32 bushels

Onions, 61 bushel

Onions, 5,574 bunches

Parsnips, 16^/4 bushel

Peas, 5OV2 bushel

Pumpkins, 2,228 lbs

Parsley, 504^/4 bunches

Peppers, green, 3 pecks

Potatoes, 2821/2 bushel

Radishes, 29^2 bushel

Radishes, 69 bunches

Rhubarb, 9,331 bunches .

Spinach, 97 bushel

Squash, 1,719 lbs •

Strawberries, 164 quarts

Turnips, 98% bushel

Tomatoes, 277 bushel

Tomatoes, green, 1 bushel



$24 36


51


98


2


00


21


00


91


25


112


28


32


40


115


08


4


50


1


20


90


00




90


20


82


1


80


78 00


48 06


39 00




96


36


60


111


48


6


50


37 88


5


57


15


13




57


141


25


22


13


2


76


466


55


24


25


17


19


13


12


24


69


110


80




25



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El€EHTlDfTH AsrSTAL RePOBT OF THE
use M**" SIATS. KOSPITAL— AHHUAL SEPOKT

Ji^f.^].^ ^«^Q

T«r«: ^^'^''^ ^^

FARM STOCK OX HAND
7



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State Commission in Lunacy 933

LONG ISLAND STATE HOSPITAL — ANNUAL REPORT

STATISTICAL TABLES



TABLE No. I
Showing movement of population for the year ending September 30, 1906



Men ' Womrn



ToTal



Remaining October 1, 1905

On original commitments:

From residences

By transfers from other institutions for insane!



414

160
13



Daily average population .
Capacity of institution. . .



439
333



Discharged during year:

As recovered

As improved

As unimproved

As not insane

Died



Whole number discharged during year.
Remaining October 1, 1906



659

246

68



Total number under treatment during year. . 587 | 973



751
672



350 755



1,073

106
81



1,560



1,190
1,005



i
31


87


118


24 ,


41


65


109 1


13


122


1


3


4


72 :


74


146


237


218


455



l,10f



TABLE No. 2

Temporarily discontinued



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Eighteenth Annual Repokt of the

LONG ISLAND STATE HOSPITAL — ANNUAL REPORT

Milk, 5,256 quarts $170 83

Beef, 597 lbs 36 60

Total $1,979 74



FARM STOCK OX HAND

Horses 7

Cow 1



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State Commission in Lunacy 933

tONG ISLAND STATE HOSPITAL — ANNUAL REPORT

STATISTICAL TABLES



TABLE No. I
ShowinK movement of population foi the year ending September 30, igo6 '



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