\
•
Twenty-Sixth Annual Report
'
'
f
I
OF THENew Jersey State-· Institution
for Feeble Minded Women
.
' I
. \
AT
_
Vineland, New J.ersey
For the Vear ending October 31, 1914
.
\(
\
Twenty-Sixth Annual Report
OF THE
New Jersey State Institution
for Feeble Minded Women
AT
Vineland, New Jersey
OFFICERS
BOARD OF MANAGERS
MR. HARRY H. POND, President
MRS. A. C. GILE
MR. GEORGE B. THORN, Treasurer
MR. RICHARD C. JENKINSON
MRS. RICHARD TAYLOR, Secretary
MR. WILLIAM DAWSON
MRS. BLOOMFIELD H. MINCH
Plainfield, N. J.
. East Orange, N. J.
•
Crosswicks, N. J.
Newark, N. J.
. Trenton, N. J.
Wenonah, N. J.
. Bridgeton, N. J.
EXECUTIVE COMMITTEE
MR. RICHARD C. JENKINSON
MR. WILLIAM DAWSON
MR. H. H. POND
MR. GEORGE B. THORN
HOUSE COMMITTEE
MRS. A. C. GILE
MR. BLOOMFIELD MINCH
MRS. RICHARD TAYLOR
MR. WILLIAM DAWSON
MEDICAL DIRECTOR AND SUPERINTENDENT
MADELEINE A. HALLOWELL, M. D.
SUPERJNTFNDE:'IT'S
RESIDENCE,
FOURTH
OF
Board of Managers' Report.
To His Excellency, James F. Fielder,
Governor of New Jersey.
Dear
Sir:-The Board of Managers of the Home for the Care and Train
ing of Feeble-Minded Women at Vineland, N. J., herewith sub
mits its Twenty-sixth Annual Report. Accompanying this are also
the reports of the Superintendent and the Treasurer.
The past year has been one of the most active in the history
of our institution, and much has been accomplished to add to the
health, happiness and comfort of the State's wards.
Our new building for delinquents has been completed and
furnished and is now housing ninety-five girls, most of whom are
new patients who were awaiting admission. With the completion
of the new building for imbeciles, for which funds have been appro
priated, and the new dining hall, kitchen and equipment, we will
be enabled to care for many more during the coming year.
We are now housing some of our patients on the third floor
of our old frame building, which is not properly protected by fire
escapes. Our Board does not wish to accept the responsibility of
sheltering feeble-minded patients under such conditions, and, there
fore, asks for an appropriation for adequate fire escapes.
Our sewage disposal plant has been completed in accordance
with the State's requirements, and we are now operating independ
ently of the Borough of Vineland. Our own water system has also
been installed and is furnishing our supply of pure water, thereby
effecting a large saving to us for water rent.
REPORT OF BOARD OF MANAGERS.
With the growth of our institution comes the necessity of more
land for farm purposes, and an appropriation is asked for the pur
chase of property adjoining us on the north. Our farm has been
very productive and profitable, and could be made even more so by
the acquiring of this additional land.
With a view to effecting the greatest possible saving in admin
istration, we were instrumental in having introduced in the Legis
lature last year a bill providing- for the admission of men to our
institution. These patients we proposed to use to do our hard
manual labor on the farm, sewerage plant and dairy, thus educating
the men in occupations that would not only be instructive, healthful
and beneficial to them, but which would make th�m self-supporting
as well. This bill was passed almost unanimously in both Houses.
We regret that it was vetoed by the Governor without our being
allowed a hearing, for the measure was a good one, and would
undoubtedly have been the means of materially reducing the cost
of maintenance.
One of the aims of our Board is to decrease the cost per capita
for the care of the State's wards, and after giving the matter very
serious consideration, the Board is of the opinion that by increasing
the number of our patients to, say, one thousand, we could care for
them at an expense not exceeding $200.00 per capita. To accom
plish this all that would be necessary for the State to do would be
to appropriate sufficient funds for the erection of plain, inexpensive,
fireproof buildings, which could be put up at a cost not exceeding
IO per cent. more than the cost of frame buildings. By passing the
bill providing for the admission of both sexes, and by appropriating
sufficient for the above buildings, the State would be able to transfer
to us many, if not all, of its feeble-minded, for a large proportion
of whom the per capita cost for maintenance is now $300.00. The
saving to the State would, within a few years, be sufficient to pay
for the new buildings.
We were glad to have had a visit during the year from Senator
Hennessy and the Investigating Committee of the Legislature, also
from the Auditor and the Comptroller, who made a thorough inspec
tion of our plant. It was also a source of pleasure to us to have our
visitors arrive unannounced, for by so doing they saw the institu
tion in daily routine condition.
HOME FOR FEEBLE MINDED '\\i'OMEN.
Contracts have been awarded for our new dairy, hennery,
improvements and repairs. The work will be pushed rapidly.
As usual, the health of our patients has been good and the
training and care they have received in the various departments
have made them happy and contented. During the year four of the
girls, who have been trained to be self-supporting since they came
to us, have been placed on the pay-roll at moderate salaries, and
are doing exceptionally good work, illustrating the success with
which our methods have been applied. Our attendants have been
faithful and considerate, and the general condition of the institu
tion testifies to efficient and conscientious work in all of its
departments.
Respectfully submitted,
H. H. POND,
President, Board of Managers.
Vineland, N.
J.,
October 17, 1914.
Treasurer's Report.
CASH RECEIPTS AND DISBURSEMEN'FS.
OCTOBER 31, 1914.
RECEIPTS.
Balance; November 1, 1913 ... $ 389.3 9
From Parents and Guardians ... $ 3 ,83 5.81
From sales and Farm Products... 73 0.04
$4,56 5.85 Received from State Treasurer:
For Pay Rolls ... ; ... $17,613.05 For Schedule of Expenses, including Petty
Cash Refunds ... 46,914.31
Petty Cash Fund... 200.00
64,7 2 7.36
DISBURSEMENTS
Paid State Treasurer... . . . $4,187.70 Pay Rolls ... $17,613.05
Current Expenses, including: _
Petty Payments ... 46,914.31
6 4,52 7.36 Petty Cash Refund... 200.00
6 9,2 9 3.21 $69,6 82.fJO
--- $68,915.06 General Cash Balance, October 31, 1914... 76 7.5 4 $69,6 82.fJO GEORGE B. THORN, Treasurer.
DOMESTIC
Superintendent's and Medical Director's
Report.
To the Board of Managers of the New Jersey State Institution for Feeble Minded Women, Vineland, N. J.
l\Ir. President and Members of the Board:
I respectfully submit my sixth report, which is the twenty-sixth annual report of the Institution.
The ending of the year shows an enrollment of 391 patients, which are legally classified as follows:
Indigent ... 330 Private . . . 9
Semi-private . . . 52
These are represented by counties as follows: Atlantic ... 10 Middlesex ... 16
Bergen ... , .. .. .. .. . 5 Monmouth ... 14
Burlington ... 20 Morris .. .. .. .. . .. . .. .. .. .. .. .. .. 12
,Camden . . . 26 Ocean . . . 3
Cape May . . . 6 Passaic ... 25
Cumberland . . . 18 Salem . . . 8
Essex ... 74 Somerset . . . 3
Gloucester . . . 7 Sussex ... • . 11
Hudson ... 55 Union . . . 4
Hunterdon . .. .. . .. .. .. .. .. .. .. . 5 Warren ... 26
Mercer ... 49 State of Pennsylvania... 2 Ninety-six patients have been admitted during the year.
Three patients were discharged during the year, two of whom were originally cases of retarded mental development, subsequently regaining a normal standard through the training; the third was an alien from New York State, hence not eligible for provision by New Jersey.
There were four deaths during the year. One patient died on vacation; the three additional patients succumbed in the institution from the following causes: 1 acute miliary tuberculosis, 1 chronic interstitial nephritis, 1 pul-monary tuberculosis.
Had it not been for the efficiency of the statute insuring permanent care for all of the mentally deficient women committed to us, the number of discharges would have been far greater than the report states. It is a well known fact the families who have suffered most grievously from the unre strained feeble-minded, and who left no stone unturned to effect an early
REPORT OF BOARD
.OF MANAGERS.
commitment of that unfortunate member, are frequently equally as per sistent in endeavoring to effect a release of the patient from the State's custody after the slightest improvement is noted. They fail to realize that this improvement is the result of constant care and training, and that it will maintain only so long as training similar to that received under the State guardial)ship is continued. We have wrestled long with the problem of attempting to retain our patients against the unwise solicitations of families. The statute which I have above referred to, the enactment of which was effected by our Institution, has overcome this difficulty, and when a family signs the statement on the application blank to the effect that they "hereby waive all right to remove, either permanently or for a limited time, the said patient from said Institution," the State then becomes the dictator in the matter, and protects itself and the unfortunate patient from the many haz ards which menace the feeble-minded in society.
Since the opening of our building for defective delinquent women we have had a large number of applications for the admission of the disciplinary type of patient whose relatives solicit their commitment for punitive reasons, the invariable outcome being that the families, having placed their own esti mate on the period required to effect this constructive transformation, in a very brief period petition permanent discharge from the Institution. It so happens that a large number of these requests come from parents whose children are really defective delinquents and totally unfit for social liberty. We rejoice that the State has safeguarded itself by this statute insuring permanent care.
There have, however, been a number of patients committed to us who have, through the exigencies of their vicious environment, become the vic tims thereof, but who are not morally defective in the pathological sense of the word. For this reason we are making a very close study of the mental capacity of each ,patient who enters this Institution, a diagnosis in many cases not being possible until after this study has been supplemented by extended field research into the medical, social and educational history. Even then we are, at times, still confronted with the total impossibility of conscien tiously making a final diagnosis and prognosis on some of our border-line delinquent cases.
The relation of mental development to social behavior is as yet illy defined and vague. Nothing short of a trial on probation of our highest type delinquent patient will determine whether or not the apparent correction is real and would permanently ma.intain in a complicated social sphere. For many years we have tabooed the thought of a probation system at this Insti tution, but for many years we largely dealt with simple uncomplicated cases. Since the courts have been forced to dispose of these questionable cases, which call for signal scientific study, we have developed a department in our Institution which should be the nucleus for a clearing house for the observa tion, study, training and further disposition of this type of case. It, there fore, is obvious that we are forced to establish a probation department for a trial period, under less restricted influences, for those patients who have reached the maximum development with us, but whose stability can only be perceived in the final analysis through probation.
With the vast number of such young girls and women in the State, who demand very especial study and training, there is an urgent need for an extended development for this class in this Institution at present, and pos sibly elsewhere later, where those who are only questionably defective can be given the opportunity for rehabilitation in a fitting environment. I mention the possibility of another institution for this class of patients some time in the .future. The question of classification and segregation is a mooted one. It has been unanimously decided by the American Association for the Study of Feeble-Minded that age and sex enter into the matter only in that
·
HOME FOR FEEBLE MINDED
·woMEN.
minded patients of every age and sex should be, for .:,cientific, economic and social reasons, maintained in the same institution. The only type of case which raises a question in this respect is that of the defective delinquent. Until we know more about this type we will possibly maintain them in the institution for the feeble-minded. As the State more fully awakens to the necessity for fittingly providing for all types of its defectives, there will pos sibly be demonstrated, through scientific research work, the necessity for caring for this type of patient in a separate department near the large social centers, possibly under the direction of this Central State Institution, until the subsequent development of a second State Institution for the Feeble Minded in North Jersey, when this unit for the defective delinquent could be annexed to the Northern State Institution as a dis-tinct and separate work ing tentacle. In the meantime we shall develop a unit here, the first com prehensive effort toward the study of this class in this manner. With the larger development of our Institution for the problem universally recognized as pre-eminently ours, these abandoned buildings can be utilized for our dis tinctly feeble-minded type.
The law for which we are working, to open our Institution to all ages, gra<les and sexes, seems radical in the eyes of those who would challeng.e the movement in the name of safety and prudence. It is an interesting fact that but one institution in the United States has a restriction similar to ours in admitting women only, and that all of the most eminent experts in the country, who have handled all ages, grades and sexes in one la,rge institution for years, under no circumstance, either from a scientific, economic or social reason, would change their policy. Our Institution, from the experience of twenty-six years, has demonstrated that, from all of the above-named stand points, it is necessary that New Jersey should maintain a State Institution for the Feeble-Minded; that the nucleus for an ideal development is here; and that from here this extension should be made. We have had but few chal lenge the wisdom of this effort from a scientific or economic standpoint. The conclusions of such a discussion are obvious: The economic value of reciprocal work of the respective occupations of the men and women; the economic value and happiness entailed through the women exercising their maternal instinct in caring for the children; the scientific advantages of an opportunity for unrestricted study of every type of case under uniform con ditions; and the efficiency obtained by this administration through one expertly organized central executive department, are all convincing proofs to the informed mind that such an organization is the only practical one, .at least from the scientific and economic viewpoint. The bugaboo, the handi caps of the social phase of the subject is, however, much over-estimated. In few institutions for the feeble-minded is there any practical division of the sexes. They have separate buildings, but which are, in most instances, con tiguous. They work together, are trained together and play together. A certain amount of watchfulness and supervision is required in excess of those institutions maintained for one sex only. However, any patient of sub-normal mind to be well taken care of must be under constant super vision, which, at the same time, meets this condition under discussion. In every institution where only female patients are maintained, a numbe.r of male workmen are of necessity employed, who are of equal if not more a menace than those in question.
In no other institution having all types of patients, however, would they think of abandoning their policy for the sake of the slightly increased super vision. However, in the United States there exfats also but one parallel of the physical characteristics of our Institution. We are most happily·endowed with an ideal plan of campus. Our property extends over a large area, in the shape of a figure "eight," running from southwest to northeast, the women's division occupying the southwest loop; a st.retch of woods
REPORT OF BOARD OF MANAGERS.
ing the two loops completely obscures the one from the other, and the northeast loop being reserved at a distance for the division for the men. These men's cottages will be more distant from our development for women than are the most remote cottages for male patients at the Training School across the street.
The questions of size of institution and structure of buildings are the next important and interesting subjects for discussion. The structure and type of buildings is a question of equal importance to any we have discussed, possibly, though it seems to be the least understood to the casual student. It is ideal to conceive of simple one-story structures of unpretentious design, providing for these simple folk in the least inexpensive though fitting man ner. Were these buildings the least inexpensive as a final investment for the State, I am sure there would be no need for further discussion in the mat ter. Certainly a cottage system is ideal from every standpoint, and those who a»e not sufficiently fortunate to afford such a system, at all times are conscious of the handicap. The small cottage and custodial type of insti tution should be prohibitive for a State institution for feeble-minded, for divergent reasons. The custodial type, which is interpreted to mean the large, unwieldy institution, with contiguous and ramifying annexes, is unneces sary, impractical and unsafe from every standpoint. The small cottage· sys tem is most expensive to develop, maintain and administer, and should be reserved in a State program absolutely for issues more hopeful than the feeble-minded. For this class of patients only the large cottage or small congregate, for the central plant, and the colony for the tentacle should be considered. By the former, I mean the building that provides for from 50 to 200 patients separately and distinct from the other group of patients. The nomenclature of this phase of the subject is little understood. A cottage can provide for 200 patients; yet this cottage is necessarily of such dimen sions that in a development consisting of cottages uniformly of that size, it would be more correct to consider that institution on the small congregate plan.
There are many vital factors which must be considered: first cost, the durability of structure, with probability for the necessity for subsequent repairs, efficiency and economy in administration, hygiene and safety. These questions must be considered not only in relation to individual buildings, but in consideration of the whole plant. When I review the history of the development of the many institutions in the country, I realize my good. for tune in falling heir to an institution where, from the first, the thought of the Board of Managers and Superintendent was economy and efficiency. Insti tutions that have been working out an economic solution for years have, as yet, to institute what we have been enjoying from the first, a central unit for the dispensing' of heat, power, food and dining service. This is pre eminently important in the consideration of economic and efficient adminis tration and maintenance.
The six considerations above enumerated would be supplemented by the sentimentalist with reference to the indication of the patient. I purposely omit this. While I feel the cottage system is by far more preferable for every class of people, normal or otherwise, yet I feel equally convinced that it is of much less importance, from the standpoint of its effect upon the feeble minded patient, than on anyother type of State's charitable ward. The question of classification, of course, being thoroughly provided for in the small congregate system. Of course, I do not here include the curative types of retarded mental development. In the instance -of first cost, it is a matter of absolute fact that the most expensive type of structure is a one-story structure, and that the building price decreases as the building
develops skyward. ·
�-It is also equally impossible to build the simplest cottage for a per capita
ORCHESTRA
AND
GYMNASTIC
HOME FOR FEEBLE-MINDED WOMEN.
cost bearing any fair comparative ratio to that of the small congregate type building, such as our building for defective delinquents, which is absolutely fireproof, sanitary and indestructible. The central plant must be constructed for permanent dur.,bility. Those who challenge this idea disclaim the pos sibility of providing, at the pre�ent time, buildings that will, in twenty years, be practical for use. Far-sighted policy will not err so vastly in this respect, and a building that is practical in the eyes of experts today will have it& place in twenty years, especially when we will be forced, in twenty years, to conserve and retain, as we are today, even the most unsanitary and objection able of our antiquated structures. The question of the colony type of build ing can be considered on a less permanent basis and, therefore, of less first cost. It is interesting, however, to note that the first cost of our oft-quoted "palatial structure," our building for deficient delinquents, which is good to see, sanitary, fireproof, indestructible, economic and efficient from all stand points, was built at a per capita of $300, just half the building cost of the average cheapest cottage in existence.
Naturally the question of durability is an important matter for the State to consider in its central institution, and not at all to be ignored _in its colony development. The State should provide in its central institution a perma nent structure as a paying investment. The budget of improvements and repairs in our annual and supplemental bill is devoted entirely to the upkeep of our flimsy buildings.
Efficiency and economy in administration is facilitated in the larger building. It is, however, intended to convey that the 200 patients residing in this building are separated in divisions of sixty-six patients. One matron Jiving in the building, with the attendant staff and patents directly under her observation, insures efficiency. The limited number of employees required to man such a building, together with the above referred to central dispensing plant, insures economy in administration.
Hygiene and sanitation are no less important questions. It is out of the question to consider the building of a fireproof and sanitary structure in cottage or colony form; the price is prohibitive. For a permanent invest ment, the building· under consideration must be hygienic. If it is hygienic, it must be practically indestructible, the construction cost of which demands that it be at least three stories high, all of which is fireproof. While it is ideal to dream of other solutions of the matter, the concrete result for the central plant must be as above stated, if the maximum efficiency is desired.
The structure of the colony buildings is a matter that has been worked out partially, but offers a wide range of experimentation in the future. If the colony is to be a permanent one,__however, the first cost must also be somewhat secondary to the consideration of the same factors which influence the central plant construction.
The former subject, size of institution, was thoroughly discussed by all of the experts in the country at one of the annual meetings of the National Association for the Study of Feeble-Minded. There were many divergent opinions in this matter. It was, however, the general opinion of experts that the efficiency of providing for 750 or 3,000 patients was determined entirely by the executive ability of the superintendent. One of the best experts of the country states that his institution presents no greater prob lems or anxieties, with a community of 1,500 inmates and 250 employees, than it did with a total population of 500, and that the progressive spirit of a larger organization insures scientific, economic and effective administration. This is undoubtedly true. It is safe to deduce that a central plant, with accommodations for permanent residence for 1,250 patients, can efficiently adrr.inister many colonies for all types of patients who may need segregating for industrial and social reasons. vVith the colony system as tentacles to the central State institution, being as it is in the experimental stage as far
REPORT OF BOARD OF MANAGERS.
as extensive colonization is concerned, I do not believe we can definitely dictate any limit as to the maximum size of a modern State institution. Our efforts should rather be toward the development of the ideal system. Experi ence will shape the situation in the final analysis.
MEDICAL REPORT.
The health of our patients during the past year has been excellent, call ing for little radical interference. The list of bed and dispensary cases com prises largely work of a minor and prophylactic nature. The intensive medi cal and psychological study of each individual case has given us a fair esti mate of the mental and physical status of our patients, resulting in their welfare through timely instituted prophylactic treatment. Our excellent pro visions for surgical, medical, hydro-therapeutic and dispensary work of all kinds, together with our facility for segregating the worst, but unfor tunately not all, of our tubercular patients, render this department our most perfectly equipped unit of the institution. The following is a resume of the work entailed: 370 beds for medical cases were used during the year, 5,026 dispensary cases were treated, 330 urinalysis made, 154 sputum examinations, 60 blood tests, 75 Wassermann tests, 15 major operations, including appendec tomies oopherectomies, selpomgectomies; 45 tonsilectomies, 27 adenoidec tomies.
DENTAL.
The dental work included: Teeth cleaning, 170; teeth extractions, 80; teeth abscesses, 4; teeth fillings, 630; teeth refillings, 35; teeth plates, 5; teeth examined, 450.
SCHOOL REPORT.
Our school system embraces all of our training departments. Every patient in the Institution is scheduled for a full day's training, or for that part of a day of which he is physically able to take advantage. Unfortunately our lack of a school building makes it imperative that a large part of this training be carried on in the day rooms of the special buildings. It is, never theless, carried on intensively and successfully. We have, however, an excel lently equipped gymnasium, which accommodates eight regular gymnastic classes daily. All patients who are unable to receive training in the gymnasium are given this instruction and exercise in their respective departments. Spe cial attention is given the cripples and physical defectives through the ortho pedic gymnastic class. The high-grade patients respond wonderfully to military tactics and drills, which have a most beneficial, moral and physical effect on the patient, and is reflected in an important measure in the disci pline of the Institution. Folk dances, apparatus work and competitive games are also prescribed in relation to the patient's capacity and needs. We con sider the gymnastic department the least dispensable of any in the school.
The department of music consi:sts of an orchestra of sixteen pieces, a band of fourteen pieces and many choral societies. This music is a most happy and necessary training and recreational feature. Our Annual Day
HOME FOR FEEBLE MINDED ·woMEN.
hibit consists, in the afternoon, of demonstration work of all of the gymnastic classes, together with general industrial display, and in the evening of an operetta under the trees; where the training results of the music and gym nastic departments of the year evidens;e themselves.
The industrial department consists of sewing, Navajo rug making, rag carpet making, lace making, hammock weaving, basketry, cane and raffia and embroidery of all sorts, mending, laundry work, mattress making, dairy work, farming, chicken raising, cooking, baking, gardening, trucking, can ning and preserving. All of the work of the Institution is accomplished by patients as a result of their particular training and fitness in that given branch.
It is interesting here to note that our Kindergarten Department is not the least of our important work consisting of patients young in mental age, though not necessarily young in years. The oft-repeated question, "How does it pay to train continuously the old chronic cases," can be answered only through comparison by the eye-witness of a group of low-grade patients existing under primitive conditions, and those living in an atmosphere of constant training and attention. The Montessori system, combined with the other well-known forms of sense training, is .a valuable asset in the early educational steps of mental development, and in the majority of cases the preventive against the grim tendency toward insidious dementia.
WORK ACCOMPLISHED.
The work accomplished during the year was directed mainly to carry out our scheme for future development rather than improvements and repairs to the existing structures. It is a great satisfaction to find that our new buildings, being of such durable construction, need very few repairs, and will as time goes on. The expenditures from the improvement fund have gone toward the renovation of our old buildings, whose flimsy type of construction requires many and oft repeated financial outlays.
These minor repairs include new roofs on the stable and elsewhere, plaster repairs 1.o the main building, gutters and leaders generally throughout the Institution, general remodeling of a small cottage on the premises for the accommodation of an employee's family, windows and closets placed �n many various departments, and a11 of the buildings painted in their entirety, with the necessary woodwork repairs.
Our new sewerage disposal system is working very satisfactorily, and has saved us a great deal of unnecessary expenditure to the civic authorities.
We are now independent in our water supply, having the most abundant supply of elegant water, the analysis of which is: Turbidity, 0; total solids, 33; mineral residue, 10; loss on ignition, 23; appearance on ignition, N. C.; free ammonia, .010; albuminoid ammonia, .012; nitrites, 0; nitrates, 1.12; chlorine, 3.5; alkalinity, 2.0; hardness, total, 4.8; iron, 0.; B. coli (indicated) absent in 5 cc.
A watchman's clock system has been installed, and our fire protection has been largely extended otherwise through an abundant supply of extinguishers, hose, etc., and every contingency has been thought of to assist in case of an emergency by fire.
We have still further added to the efficiency of our hospital building through the equipping of a dispensary, clinic and drug room in the basement of the hospital, to save wear and tear on the operating room floor.
We have made still further extensions in our building for defective delinquents; this being of three-story construction, is so designed that each floor gives every facility consistent with cottage Ii fe. The class of patients
REPORT OF BOARD OF MANAGERS.
in this building requires that they be classified as thoroughly as possible. Therefore, the three floors are separated one from another, as though three distinc� cottages. For this reason the change was made of separating the corridors from the main areaways. This building will accommodate 200 patients, a great relief to our over-taxed waiting list. The furniture was immediately installed after completion; our old patients took great delight in equipping it comfortably for the newcomers, making all of the necessary clothing for the building, making and hanging the dainty white scrim cur tains, embroidering pillow and table covers, and adding those painstaking touches which bespeak their sincere love and appreciation for their home.
An incendiary fire started in our laundry on July 26th, which was dis covered immediately and extinguished before extensive damage was done, but not before much apprehension was maintained for the other vulnerable buildings adjacent. The prompt response to our call for assistance is a glow ing tribute to the local Fire Departments.
Our constructive work of this year has been largely restricted by our limited appropriation of last year. The appropriations in the Annual Bill of this year will, however, assist us greatly in the development of a more per fect unit, and in the extension toward providing for the additional appli cants whose cases are so urgent. The appropriations received are herewith enumerated :
SUPPLEMENT AL APPROPRIATION.
Furnishing new building for deficient delinquents ... . Dairy barn, stable and equipment ... .
Repairs and improvements ... . Repairs and improvements to drug department, including dispensary, clinic rooms and storeroom, also moving electric switchboard and enclosing this with grills and gateways for protection of patients .. . Additional allowance for research work ... . Hennery and brooder house ... .
ANNUAL APPROPRIATION.
Maintenance ...•... Research ... · ... . Complete boiler house, 1 additional boiler ... _-... . New building for 100 imbeciles ... . Dining hall and kitchen and equipment ... . Recreation bungalow for employees ... .
RECOMMENDATIONS. $6,000 13,000 2,000 2,000 1,000 1,000 $91,000 1,000 30,000 40,000 50,000 5,000
Despite the interested attitude of the Legislature in our work, we feel that ample and generous annual provision must be made for many years to come if we will keep pace with the demands made upon us for provision. Our �eeds not only include financial aid, but recognition and relief from the present policy which is hindering our development through the statute under which we are now existing, and to which I previously referred in my report.
INDUSTRIAL
WORK
AND
HOME FOR FEEBLE MINDED "WOMEN.
The following budget, which we propose to present to the Legislature for their consideration, is a meagre-effort toward any 11ractical solution of the matter. It will allow us to slowly develop and barely provide for but the most urgent cases on our waiting list. We pray for a convincing under standing of this subject by the body politic, whose convictions will lead to the effectual accomplishment, speedily, of a comprehensive and all-inclusive provision. To enumerate the requirements for such provision would be fatal at this time; the following recommendations for extension are but a step toward an ideal. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. SUPPLEMENTAL APPROPRIATION. Maintenance ... . Insurance ... . Furnish new building ... . Furnishing bungalow for employees ... · Furnishing for tuberculosis shack ... . Furnishing dietetic department ... . Repairs and additions to farmers' cottages ... . Additional farm land, adjoining ... . Research ... . Stock and farm equipment ... . Fire escapes, per order of State Labor Commission ... . General improvements ... .
ANNUAL APPROPRIATION.
1. Maintenance ... .
2. New building for admission of 100 patients ... .
3. Laundry building and equipment. ... .
$17,250 1,100 7,000 2,500 1,000 2,500 1,500 17,300 2,000 3,000 2,500 5,000 $172,000 40,000 15,000
4. Ren?vating _laundry building, to school and industrial building,
with eqmpment . . . 5,000
5. Additional farm land for growing grain, vegetables and fruit. . 17,500 6. General repairs and improvements. . . 5,000 7. Research . . . 2,000 8. Insurance . . . 2,000
9. Ext<"nsion to piggery... 1,000
10. Colony for feeble-minded men . . . 40,000
It is with much gratification that we are able to proceed with the plans for our new dairy barn, for which we have been asking for so many years. This work, together with our various items of improvements and repairs, our new boiler house, building for 100 imbeciles, central dining hall and kitchen, will enable us to clarify many complicated administrative puzzles made
more difficult through our rapid growth in population with no increased administrative facilities.
The recreation bungalow for employees will enable our assistants, for the first time; to indulge in the pleasures of a diversional club.
vVe have long hoped that our patients could find a profitable industry in poultry raising. In our new department here we hope to make this a practical and self-supporting industry.
Our laundry building was primarily used in its entirety for laundry pur poses. The pressure for accommodations for industrial work became so
REPORT OF BOARD OF MANAGERS.
critical that it was necessary to concentrate the laundry work on one floor of the laundry, to make available the remaining space for other industrial outlets. The rapid increase in growth now taxes our present laundry space critically. This building is not at all practical for a laundry, and stands in an ideal site for a school and assembly building. This building could be remodeled into a school building, capable of further extension to an assembly hall and additional school annex. For this reason, we recommend the build ing of a laundry building east of the power house, and of the subsequent remodeling of our old laundry building into a unit for our school department.
We are presuming that the law governing our Institution will be amended toward the provision for all types of patients. We realize that economic development depends upon colony extension for our trained and studied cases. Anticipating the change of our statute, we will make a sincere effort to obtain an appropriation for the development of a colony for feeble-minded men as an initial step in the comprehensive scheme. In considering these various appropriation items, we have taken into consideration the final cen tral plant development of a complete central institution, which will, for the present, stand for the central training school, laboratory or clearing house, as you wish, for the entire State, and later, as I before mentioned, in the event of its reaching its maximum central and colony development, remain as the official State department in this work for the southern half of New Jersey.
The larger vision of work ahead is interpreted with understanding esti mate by my able assistants, who have worked so nobly in the gallant struggle against many difficult handicaps, and it is to your just consideration that
I commend their enthusiastic and steadfast efforts.
To my Board of Managers, through whose advice, confidence and influ ence this whole movement is sustained and furthered, I hereby extend my deepest sense of sincere appreciation.
Respectfully submitted,
MADELEINE C. HALLOWELL, Superintendent.
Industrial Department.
Attendants' caps . . . 56
Attendants' cuffs . . . 60
Table cloths . . . 72
Patients' gym. suits . . . 24
Shirt waists . . . 62
Pads for beds. . . 80
Middy suits ... ; . . . 10
Hospital gowns . . . 12
Middy blouses . . . 17
Names sewed on. . . 2,168 Bureau covers . . . 70
Kimonas . . . .. ... ... .. .... . .. . . .. . ... ... .. .. .. ... 20
New waist on old skirts. . . 720
Dresses . . . 930
Petticoats . . . 450
Drawers . . . 534
Button holes . . . 8,263 Buttons sewed on. . . 6,520 Winter night gowns... 480
Summer night gowns... 360
Corset covers . . . 150 String aprons . . . 340 Pinafores . . . 298 Sheets . . . ... ... . . 750 Curtains . . . 230 Pillow cases . . . 460 Burial suits . . . 4
Articles for play.. . . 172
Napkins . . . 610 Towels . . . 390
Mending Department.
Stockings ... 8,763 Shirts ... 3,275 Dress skirts . . . 170 Ferris waists . . . 60 Button holes . . . 1,290 Large flags . . . 4 Petticoats . . . 2,820 Pinafores ... 2,65019
REPORT OF BOARD OF MANAGERS.
Drawers ... ·. . . 2,840 Aprons . . . 172 Night gowns . . . 220 Corset covers . . . 350 Shirt waists . . . 185 Towels . . . .. . . .. . . .. . . 65 Dresses . . . 4,930 Uniforms ... · ... 3,754 Men's clothing . . . 1,760 Men's socks ... 1,285 Spreads . . . 76 Sheets . . . ... . . 250 Table covers . . . 18 Pillow slips . . . 154Farm Report.
Apples ... . Corn, field ... . Parsnips ... . Peas ... . Potatoes, sweet ... . Potatoes, white ... . Pears ... . Peaches ... . Beets ... . Beans, string ... . Beans, lima ... . Onions ... . Squash ... . Beans, wax ... . Tomatoes, yellow ... . Peppers . , ... . Beets, spinach ... . Scullions ... . Asparagus ... . Corn, fodder ... . Celery ... . Parsley ... . Rhubarb ... . Corn, fodder ... . 40 bus. 450 " 90 " 130 " 140 " 750 " 220 ,, 100 " 160 bas. 200 " 180 " 50 " 150 " 300 " 50 . ,, 45 " 400 bun. 2,000 " 1 200 " 6'500 " 1:200 " 400 " 100 " 2,000 ,, Pumpkins . . . .. . .. . .. .. .. 600 Carrots . . . 80 " Cucumbers . . . 60 " Corn, sweet . . . 400 " Egg plants . . . 50 " Grapes . . . 100 " Melons, musk . . . 125 " Peppers . . . 25 " Radishes . . . 125 " Spinach . . . 40 " Turnips . .. .. .. .. .. . .. .. . 160 " Tomatoes . . . 450 " Cabbage ... 3,200 hds. Lettuce . . . 2,000 " Melons . . . 350 Currants . . . 75 qts. Gooseberries . .. . . 250 " Blackberries . . . 800 "Mixed hay . . . 15 tons
Alfalfa . . ... . . 8 " Rye straw .. .. .... .. . .. .. 6 " Cow peas . . . 25 " Clover, crimson . . . 2 " Silage . . . 80 " MILK DEPARTMENT. 127,376 ... pounds of milk
CANNED FRUITS AND VEGETABLES.
Tomatoes ... . Peaches ... . Jelly, grape ... . Peach butter ... . Currants ... . 1,250 gals. 420 " 27 " 30 " 60 "
