UC-NRLF 17M 103 STAT YORK I OS PIT AL GO M M I SS I O N ^^araas o^*** l^^^&Sjf <^3y*v.aA&3*f ^<&|g;Mi = = =^i ^^r -^= .1 &fe^ Form 11-s. H. c. STATE OF NEW YORK HANDBOOK STATE HOSPITAL COMMISSION HOSPITALS FOR THE INSANE 1920 STATE HOSPITALS PRESS UTICA, N. Y. DIRECTORY BUREAU OF STATISTICS . HORATIO M. POLLOCK, Ph. D. Statistician and Editor ALBANY Telephone, West 215- W WILLIAM J. NOLAN, A. M. Assistant Statistician ALBANY BUREAU OF TREASURER LEWIS M. FARRINGTON Assistant Secretary and Treasurer ALBANY . COLLECTIONS BUREAU HERBERT B. GRUBER, Counsel Residence, 84 Willet Street ALBANY Telephone, West 3965 INSPECTORS J. L. VAN DEMARK, M. D., Medical Inspector Residence, 464 Hudson Avenue ALBANY Telephone, West 1387-W CHARLES B. Dix, M. E. Inspector of Buildings and Engineering GLENS FALLS JOHN T. NORTON Inspector of Dairy Products Residence, 3675 Broadway, NEW YORK CITY Telephone, Audubon 4213 Office, 90 West Broadway, NEW YORK CITY Telephone, Barclay 4938 JOHN J. RILEY, Inspector ALBANY Telephone, West 704-J DIRECTORY PURCHASING COMMITTEE FOR STATE HOSPITALS Dr. EUGENE H. HOWARD, Chairman, Superintendent, Rochester State Hospital Dr. ISHAM G. HARRIS, Superintendent, Brooklyn State Hospital Dr. MARCUS B. HEYMAN, Superintendent, Manhattan State Hospital GEORGE P. WATSON, Steward, Gowanda State Homeopathic Hospital GEORGE R. FINTON, Steward, Hudson River State Hospital T. E. McGARR, Executive Room 138 Capitol Telephone, Main 5910 NEW YORK OFFICE Hall of Records, Chambers and Centre Streets NEW YORK CITY Telephone, Worth 4424 BUREAU OF DEPORTATION SPENCER L. DAWES, M. D., Medical Examiner Telephone, Worth 4337 ELBERT M. SOMERS, M. D., Deputy Medical Examiner COLLECTIONS BUREAU R. J. CORCORAN, Special Agent Telephone, Worth 4424 6 DIRECTORY PSYCHIATRIC INSTITUTE OF THE NEW YORK STATE HOSPITALS Ward's Island, New York City GEORGE H. KIRBY, M. D., - t Director CLARENCE O. CHENEY, M. D., - Assistant Director CHARLES B. DUNLAP, M. D., Chief Associate in Neuropathology STERNE MORSE, M. D., - Associate in Serology (Vacancy) - - Associate in Bacteriology (Vacancy) Associate in Internal Medicine and Clinical Pathology (Vacancy) Senior Assistant Physician (Vacancy) - - Assistant Physician (Vacancy) Assistant in Neuropathology JOHN T. MACCURDY, M. D., Voluntary Assistant in Psychiatry W. R. VAN KOUGHNET, - Secretary Long Distance Telephone, Harlem 4216 LEGAL DEPARTMENT Under recent action by the State Hospital Commission the Attorney- General of the State of New York, Hon. CHARLES D. NEWTON, now conducts all legal matters for the State hospitals. RETIREMENT BOARD STATE HOSPITAL OFFICERS AND EMPLOYEES Hon. EUGENE M. TRAVIS Hon. CHARLES W. PILGRIM, M. D. Hon. ANDREW D. MORGAN CHARLES G. WAGNER, M. D. RICHARD McHuon Correspondence should be addressed to Retirement Board, State pospital Officers and Employees, care Comptroller, Albany, N. Y. DIRECTORY CENSUS JULY 1, 1920 Number of patients in civil State hospitals 38,291 Number of patients in Dannemora and Matteawan. . . . 1,380 Number of committed patients in private institutions.. 1,101 Grand total 40,772 Certified capacity of civil State hospitals 80,437 Certified capacity of Dannemora and Matteawan 1,115 Medical officers in civil State hospitals 168 Medical officers in Dannemora and Matteawan....... 10 Number of employees in civil State hospitals 6,054 Number of employees in Dannemora and Matteawan. 293 STATE HOSPITAL SYSTEM Admission of Private Patients to State Hospitals Private patients can be admitted to State hospitals only upon consent of the medical superintendents. Rates for private patients range from six to ten dollars per week and if payment is not made in advance a surety com- pany bond must be provided guaranteeing payment of accounts for main- tenance. CIVIL STATE HOSPITALS Hi iiirh DIRECTORY Binghamton State Hospital m, Date of opening, October 19, 1881 Broome Co. Board of Managers MERRITT J. CORBETT, President, HENRY A. STEPHENS, Secretary, Mrs. KATE M. ELY, Mrs. ANNIE DEVEREUX MILLS, BENJAMIN F. WELDEN, WILLIAM H. HECOX, J. ARNOT RATHBONE, Binghamton Binghamton Binghamton Oneida Binghamton Binghamton Elmira Resident Officers CHARLES G. WAGNER, M. D., THEODORE I. TOWNSEND, M. D., HUGH S. GREGORY. M. D., EDWARD GILLESPIE, M. D., JOHN A. PRITCHARD, M. D., R. R. WILLIAMS, M. D., C. H. BELLINGER, M. D., CHARLES E. ROWE, M. D., CARLETON T. BAGLEY, M. D., WALTER E. DEVINE, M. D., (Vacancy) (Vacancy) (Vacancy) (Vacancy) GEORGE H. BLAIS, D. D, S., EDWARD S. GRANEY, SUSAN L. CARPENTER, R. N., - Medical Sup^t First As st. 'Physician Pathologist Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Asst. Physician Asst. Physician Asst. Physician Asst. Physician Medical Interne Me a ica I In terne Dental Interne Steward Principal School of Nursing No. Patients ....... Men 1,500, Women 1,238, Total 2,738 Certified capacity. Men 1,355, Women 1,045, Total 2,400 No. Employees ____ Men 266, Women 192, Total 458 Total acreage of grounds 1,363 Patients admitted from the following counties, which comprise the Binghamton State Hospital District: Broome, Chemung, Chenango, Cortland, Delaware, Madison, Otsego, Schoharie and Tioga. Located on the lines of the Erie; Delaware, Lackawanna and Western, and Delaware and Hudson railways. Electric cars leave the corner of Court and Collier streets every 15 minutes. j Bell Telephone, No. 453 Hosp,tal Long D.stance \ ^ Te , ephonei No 454 Visiting Days : Mondays, Wednesdays and Fridays, two to four p. m. DIRECTORY 9 Brooklyn State Hospital Brooklyn, New York Date of opening, October, 1895 Board of Managers HUGO HIRSH, President, 33 Montgomery Place, Brooklyn MICHAEL F. MCGOLDRICK, - 189 Montague St., Brooklyn Mrs. GRACE WILSON WHITEHALL, Secretary, 438 Quincy St., Brooklyn CHARLES PARTRIDGE, 700 Franklin Ave., Brooklyn Mrs. AGNES DOORMAN DRUHAN, 1195 Ocean Ave., Brooklyn EDWIN H. THATCHER, - - 590 Flatbush Ave., Brooklyn HERBERT F. GUNNISON Eagle Office, Brooklyn Resident Officers ISHAM G. HARRIS, M. D., - Medical Sit ft FRANK R. HAVILAND, M. D., First Asst. Physician DAVID CORCORAN, M. D., Clinical Director ERVING HOLLEY, M. D., Senior Asst. Physician ARTHUR S. SOPER, M. D., Senior Asst. Physician {Vacancy) ^Senior Assi. Physician (Vacancy) Sen ior A sst. Physician ANNA M. AGNEW, M. D.. - Asst. Physician JAMES G. PRATT, M. D., - Asst. Physician OTTOKAR TENOPYR, M. D., - Asst. Physician HARRY JOHNPOLL,,M. D., Medical Interne (Vacancy) Medical Interne HARRY DRESPEL, D. D. S., - Dental Interne HELEN.. V. CLUNE, R. N., - Principal of Training School JOHN R. HEILMAN, - Steward FRANCES C. TANNER, Social Worker MILDRED V. RENWICK, Asst. Social Worker No. Patients, Brooklyn Men 477, Women 139, Total 1,2)6 No. Patients, Creedmoor Men 97, Total 97 Certified capacity. Main bdg. Men 343 Creedmoor . . Men 150 Whitman bdg. Women 400 Reception bdg:, Women 150 Total capacity 1043 No. Employees Men 98. Women 93, Total 191 Total acreage of grounds 210 Patients admitted from County of Kings, which comprises the Brook- lyn State Hospital District. Accessible from New York by subway to Atlantic Avenue; Flat- bush Avenue car; transfer Church Avenue to East Forty-second Street. From Brooklyn Bridge by Fulton Street car ; transfer to Nostrand Ave. State Hospital east of Kings County Hospital on Clarkson Street. Hospital Telephone at Brooklyn, Flatbush 410n Creedmoor branch accessible from New York or Brooklyn by Fulton Street elevated to City Line ; at City Line take Mine.ola trolley to Madison Street, Queens. Telephone, Creedmoor Branch, Hollis6326. Brooklyn Branch -Visiting days Sundays, once in two weeks from one-thirty p. m. to three-thirty p. m. Creedmoor Branch- Visiting days: At any time convenient to visitors. Two out-patient dispensaries for free advice and treatment of incipient mental conditions, viz. : at the State hospital Saturdays at 2 p. m. ; at the Long Island College Hospital Fridays at 2 p. m. io DIRECTORY Buffalo State Hospital Buffalo, Erie Co. Date of opening 1880 Board of Managers PHILIP G. SCHAEFER, President, - 343 Elmwood Avenue, Buffalo Mrs. WALTER PLATT COOKE, Secretary, 155 Summer St., Buffalo HOWARD M. WITBECK, - 468 Locust St., Lockport Dr. HARRY H. EBBERTS, - - 890 Humboldt Parkway, Buffalo Mrs. THEODORE POMEROY, 146 Bryant St., Buffalo Mrs. JOHN D. HAZEL, - 37 Hodge Avenue, Buffalo WILLIAM A. DOUGLAS, - Ellicott Square, Buffalo Resident Officers FREDERICK W. PARSONS, M. D., Medical Sup t WILLIAM W. WRIGHT, M. D., - First Asst. Physician GEORGE G. ARMSTRONG, M. D., - Senior Asst. Physician JOSEPH B. BETTS, M. D., - Senior Asst. Physician CHRISTOPHER FLETCHER, M. D., - Senior Asst. Physician ROBERT KING, M. D., Senior Asst. Physician HELENE J. C. KUHLMANN, M. D., - - Senior Asst. Physician LEONA E. TODD, M. D., - Senior Asst. Physician BARBARA CURTIS, M. D., - Asst. Physician HAROLD C. HAVILAND, M. D., - Asst. Physician HARRY B. MOYLE, M. D., - Medical Interne (Vacancy) - Medical Interne JOHN E. CULP, Steward Miss CHRISTINE M. STEWART, R. N., Principal of Nurses Training School Miss MAUD A. BURNS, R. N., - Social Worker No. Patients (including paroles) Men 1,065, Women 1,279, Total 2,344 Certified capacity Men 680, Women 1,020, Total 1,700 No. Employees Men 153, Women 167, Total 320 Total acreage of grounds 183 Patients admitted from the following counties, which comprise the Buffalo State Hospital District : Erie and Niagara. The hospital is located on Forest avenue, about three and one-half miles from the principal railway stations, accessible via Elmwood avenue, Hoyt street or Forest Michigan trolley lines, at the Erie and New York Central stations, which run directly to the hospital. Telephone Bidwell 2261 Visiting days: Mondays, Wednesdays and Fridays, two to five p. m. DIRECTORY Central Islip State Hospital Central Islip, Suffolk Co. Date of opening February 27, 1896 Board of Managers JAMES MACGREGOR SMITH, President, 32 Nassau St., New York City Rev. WILLIAM H. GARTH, Secretary, - Islip, N. Y. FRANCIS ROGERS, - - 144 East 62d St., New York City Mrs. EDWARD EVERETT HICKS, 1168 Dean St., Brooklyn, N. Y. Mrs. BRADISH G. JOHNSON, . Islip, N. Y. Mrs. ARTHUR F. J. REMY, - 19 West 95th St., New York City Mrs. WILSON R. SMITH, 250 Hancock St., Brooklyn Resident Officers Medical Superintendent First As st. Physician First Asst. Physician Clinical Director Pathologist Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician - Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician D., - Senior Asst. Physician . - . - Asst. Physician Asst. Physician Asst. Physician Senior or Asst. Physician Senior or Asst. Physician Asst. Physician or Medical Interne Asst. Physician or Medical Interne Medical Interne Medical Interne . S., - - . Dental Interne G. A. SMITH, M. D., C. M. BURDICK, M. D., H. G. GIBSON, M. D., G. W. MILLS, M. D., (Vacancy) C. L. VAUX, M. D., G. C. H. BURNS, M. D., T. W. SIMON, M. D., A. E. ULLMAN, M. D., FRANK HINKLEY, M. D., R. G. REED, M. D., *WILLIAM LEAVITT, M. D., D. D. DURGIN, M. D., F. D. STREETER, M. D., W. N. EARNHARDT, M. D., J. F. MCNEILL, M. D., W. A. CONLON, M. D., - G. A. P. BOULDEN, M. D., SARA L. SMALLEY, M. D., VERNIE E. WOODWARD, M. E. H. ENDE, M. D., WM. J. DELANEY, M. D., CHARLES A. KINCH, M. D., (Vacancy) (Vacancy) (Vacancy) - ' (Vacancy) (Vacancy) (Vacancy) MORRIS ROSENBLATT, D. D *On leave of absence. 12 DIRECTORY CENTRAL ISLIP STATE HOSPITAL CONTINUED W. J. McKEE, - - Steward W. B. SCHEIBER, - - Assistant Steward JULIA A. DUFFY, R. N. Principal of Training School Louis STEMPLE, - - Pharmacist MARY E. DUNN, Social Worker (Vacancy) - - Asst. Social Worker (Vacancy) Asst. Social Worker No. Patients Men 3,017, Women 2,560, Total 5,577 Certified capacity. Men 2,369, Women 1,731, Total 4,100 No. Employees Men 434, Women 196, Total 030 Total acreage of grounds 994 Patients admitted from boroughs of Manhattan, Queens and the Bronx, and Counties ,of Nassau and Suffolk, which comprise the Cen- tral Islip State Hospital District. Hospital Long Distance Telephone, 18 Central Islip. Telegraph, Central Islip, Long Island. Visiting days: Tuesdays, Thursdays, Sundays and holidays, ten a. m. to four p. m. City office: Hall of Records, Room 703, cor. Center and Chambers Sts., New York City Thursdays. SCHEDULE OF TRAINS FOR CENTRAL ISLIP WEEK DAYS Leave N. Y. C. A. M. A. M. p. M. p. M. p. M. p. M. p. M. p. M. p. M. p. M. Penn. Sta. 8 03 9 59 i 08* 3 oo 4 06 4 58 5 48 6 49 8 10 n 30 Leave L. I. City, 9 42 2 42 4 42 5 43 8 oo SUNDAYS FOR CENTRAL ISLIP Leave N. Y. C. Penn. Sta., Leave L. I. City, Leave -Central A, Islip, (week days) 5 (Sundays), * Saturdays only. *A. M. 8 28 9 47 FROM , M. A. 44 6 P. M. i 40 i 27 CENTRAL M. A. M. 34 7 13 7 08 ISLIP A. M. 9 23 8 50 P. M. P. M. 4 15 8 20 8 15 P.M. P.M. P.M. 12 58 5 37 6 3 3 58 5 04 7 27 DIRECTORY 13 Gowanda State Homeopathic Hospital Collins, Brie Co. Date of opening August 9, 1898 Board of Managers PETER W. NEEFUS, M. D., President, - 174 East Ave., Rochester Mrs. BERTHA M. BARD, Vice-President, - Gowanda CHARLES H. FELTHOUSEN, Secretary, Brisbane Building, Buffalo Mrs. DOCIA W. LAW, Collins HENRY L. MOENCH, - Gowanda Mrs. ALICE E. SCHLEY, M. D., Buffalo HENRY W. KILLEEN, Esq., - Buffalo Resident Officers CLARENCE A. POTTER, M. D., - Medical Superintendent EARL V. GRAY, M. D., - First Asst. Physician FREDERICK P. SCHENK, M. D., Senior Asst. Physician HERMAN L. RAYMOND, M. D., - Asst. Physician ERWIN H. MUDGE, M. D., - - Asst. Physician AXNE E. PERKINS, M. D., . Asst. Physician WALDEMAR G. RICHTER, M. D, Medical Interne (Vacancy) Dental Interne GEORGE P. WATSON, Steward JAMES D. EDWARDS, - Asst. Steward OLIVE A. CARPENTER, - - Matron ADELLE M. PHILLIPS, R. N., - Principal of School of Nursing AUGUSTA R. KINNER, - - Field Worker and After-Care Agent No. Patients Men 722, Women 552, Total 1,274 Certified capacity. Men 520, Women 480, Total 950 No. Employees.... Men 102, Women 80, Total 182 Total acreage of grounds 700 Patients admitted from the following counties, which comprise the Gowanda State Homeopathic Hospital District: Cattaraugus, Chau- tauqua, Erie and Wyoming; and patients from any part of theBtate for whom homeopathic treatment is desired. Hospital two miles from Gowanda, one mile from Collins on Buffalo and Jamestown branch of Erie railroad. Accessible from Collins by automobile 'bus. Hospital Long Distance Telephone at Gowanda Bell 81 Visiting days: Everyday excepting Saturdays, Sundays and legal holidays, from ten to eleven a. m. and from one to four p. m. i 4 DIRECTORY Hudson River State Hospital Poughkeepsie, E>utctie Co. Date of opening, 1871 Board of Managers FRANK B. LOWN, President, Sunny Fields, Poughkeepsie E. LYMAN BROWN, Secretary, - Wappingers Falls Miss CATHERINE A. NEWBOLD, - - North Road, Poughkeepsie Miss MYRA H. AVERY, - Poughkeepsie J. WILSON POUCHER, M. D., Poughkeepsie DANIEL J. GLEASON, - - Millerton JOSEPH L. SCHWARTZ, - Yonkers Resident Officers WALTER G. RYON, M. D., Medical Superintendent WILLIS E. MERRIMAN, M. D., - - First Asst. Physician (Vacancy) - First Asst. Physician HOWARD P. CARPENTER, M. D., - Pathologist WILLIAM J. CAVANAUGH, M. D., - Senior Asst. Physician CALVIN B. WEST, M. D., - - Senior Asst. Physician THEODORE W. NEUMANN, M. D., - Senior Asst. Physician WILLIAM J. THOMPSON, M. D., - Senior Asst. Physician HENRY L. TRENKLE, M. D., - Senior Asst. Physician BLANCHE DENNES, M. D., - - Senior Asst. Physician (Vacancy) - Senior Asst. Physician or Asst. Physician (Vacancy) Senior Asst. Physician or Asst. Physician HOWARD M. KENYON, M. D., Asst. Physician GERALD R. JAMEISON, M. D., - Asst. Physician HOWARD W. POTTER, M. D., Asst. Physician CLARENCE W. BARTH, M. D., Asst. Physician LEE*M. GREEN, M. D., - Asst. Physician (Vacancy) Asst. Physician LEO R. TIGHE, M. D., - Medical Interne (Vacancy) - Medical Interne ARCHIBALD B. HENDERSON, D. D. S., - - Dental Interne GEORGE R. FINTON, Steward NELLIE A. DOUGHTY, R. N., - Social Worker MARGARET J. GLANCY, R. N., Principal of School of Nursing DIRECTORY 15 HUDSON RIVER STATE HOSPITAL CONTINUED No. Patients Men 1,589, Women 1,970, Total 3,559 Certified capacity. Men 1,275, Women 1,575, Total 2,850 No. Employees.... Men 330, Women 228, Total 558 Total acreage of grounds 894 Patients admitted from the following counties, which comprise the Hudson River State Hospital District: Albany, Columbia, Dutchess, Greene, Putnam, Rensselaer, Washington and Westchester. The hospital is located two miles^iorth of the New York Central railway station at Poughkeepsie. It may be reached by trolley cars (marked Hospital), which fmn on the hour and half hour from the corner of Washington and Main Streets directly to the hospital. The trolley cars connect with the ferry from Highland (West Shore R. R.) and with both railroad stations in Poughkeepsie, (New York Cen- tral and Central New England). Taxicabs may be procured at the stations. Local and Long Distance Telephones Bell Telephone, No. 771-772-773 Visiting days: Mondays, Wednesdays and Fridays, from ten a. m. to four p. m. Visiting is allowed on Sunday only in case of urgent need, such as illness, etc. i6 DIRECTORY Kings Park State Hospital Kings Park, - New York Date of opening October i, 1896 Board of Managers MATTHEW J. TOBIN, President, 34 Warren St., corner Church St., New York City Rev. JOHN C. YORK, Secretary, 409 Linden St., Brooklyn J. B. MORRELL, - ^ - Northport, Long Island ALLIE A. ROGERS, - - Sayville, Long Island RtciNA T. SHERWOOD, - Glen Cove, Long Island ANN W. WHEELER, * 22 Pierrepont St., Brooklyn D. HENRY BROWN, - - Riverhead, Long Island Resident WM. C. GARVIN, M. D., AARON J. ROSANOFF, M. D., RUSSELL E. BLAISDELL, M. D., WALTER H. SANFORD, M. D., CHARLES G. MCGAFFIN, M. D., CHARLES S. PARKER, M. D., J. H. SHUFFLETON, M. D., M. M. GROVER, M. D., HARRY A. STECKEL, M. D., - THOMAS S. CUSACK, M. D., ANNA CRAIG, M. D., ALFRED T. WOOD, M. D., HIRAM G. HUBBELL, M. D., - CHARLES H. BRUSH, M. D., JOHN V. SWIERAT, M. D , HENRY W. ROGERS, M. D., W. J. C. AUBRY, M. D., (Vacancy) (Vacancy) (Vacancy) (Vacancy) (Vacancy) - (Vacancy) EDNA CONDE, D. D. S., IDA M. MARKER, R. N., CHARLES S. PITCHER, Officers Ale die a I Superintendent First Asst. P hysician First Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Woman Physician - Asst. Physician Asst. Physician Asst. Physicivn Asst. Physician Asst. Physician Asst. Physician Asst. Physician Asst. Physician Asst. Physician Asst. Physician - Ale die al Interne Medical Interne - . - Resident Dentist Principal of Training School Steward DIRECTORY 17 KINGS PARK STATE HOSPITAL CONTINUED No. Patients Men 2,081, Women 2,716, Total 4,797 Certified capacity. Men 1.564, Women 2,036, Total 3,600 No. Employees.... Men 357, Women 266, Total 623 Total acreage of grounds 835 Patients admitted from the following boroughs and counties, which comprise the Kings Park State Hospital District: Borough of Kings and counties of Nassau and Suffolk. Forty-five miles from New York city. Accessible by trains on the Long Island railroad. Surface and elevated roads from Grand Central Station, New York, to East 34th Street ferry, connecting with Long Island City station of the Long Island railroad. Also by subway from Grand Central Station to Flatbush avenue, Brooklyn, thence by Long Island railroad via Jamaica; also Pennsylvania Station, yth Ave. and 33d Street, New York City, via Jamaica. The time table is subject to frequent change, but morning trains to Kings Park leave at about nine and eleven a. m. , and returning from Kings Park leave at about four and six-fifty p. m. Sunday trains leave the city at about nine and eleven a. m. and returning leave Kings Park at about, four-twenty, six-thirty, and eight-fifty p. m. Visiting days : Wednesdays, Sundays and holidays, nine a. m. to five p. m. Hospital Long Distance Telephone, 11 Kings Park. New York City office, Hall of Records, Room 703, corner of Center and Chambers Streets. Telephone, 4424 Worth i8 DIRECTORY Manhattan State Hospital Ward's Island, New York City Date of opening 1905 Board of Managers ROBERT ABRAHAMS, M. D., President, 336 West 88th St., New York City GUSTAV SCHOLER, M. D., Secretary, 10 Jumel Terrace, New York City JACOB KATZ, - 315 West 99th St., New York City JACOB OSHLAG, M. D., 1060 Madison Ave., New York City MARTIN COHEN, M. D., - i West 8sth St., New York City Mrs. JULIA KEMP WEST, Hotel Buckingham, soth St. and Fifth Ave., New York City Mrs. THOMAS HUGHES KELLY, Hotel Buckingham, soth St. and Fifth Ave., New York City Resident Officers MARCUS B. HEYMAN, M. D., Medical Superintendent HERMAN C. EVARTS, M. D., First Asst. Physician (Women's Division) JOHN T. W. ROWE, M. D., First Asst. Physician (Men's Division) MORTIMER W. RAYNOR, M. D., WILLIAM J. TIFFANY, M. D., JOHN R. KNAPP, M. D., PHILIP SMITH, M. D., RALPH P. FOLSOM,M. D., ARTHUR M. PHILLIPS, M. D., CHESTER WATERMAN, M. D., JAMES P. KELLEHER, M. D., ISAAC FURMAN, M. D., RAYMOND G. WEARNE, M. D., ELIZABETH S. HELLWEG, M. D., WILLIAM JAMISON, M. D M - Louis S. LONDON, M. D., HENRY C. SZETO, M. D,, MICHAEL P. LONERGAN, M. D., JOSEPH H. GLOBUS, M. D., CARL SCHWAN, M. D., - ANNA E. HUTCHINSON, M. D., ( Vacancy) HOMER L. DAY, M. D., SAMUEL WITT, M. D., JOSEPH H. WELCH, M. D., MENDES S. WECHSLER, M. D., MANUEL D. MOYSE, M. D., Director of Clinical Psychiatry Pathologist Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Asst. Physician Asst. Physician Asst. Physician Asst. Physician Asst. Physician Asst. Physician Asst. Physician Asst. Physician Medical Interne Medical Interne Medical Interne Medical Interne Medical Interne DIRECTORY 19 MANHATTAN STATE HOSPITAL-CONTINUED MARY MACLACHLAN, M. D., - Medical Interne Louis HAUSMAN, M. D., - Medical Interne IRVING SPERBER, D. D. S. Dental Interne AMELIA MASSOPUST, R. N., Director Social Service ELIZABETH PIERCE, R. N., - Social Worker (Vacancy) - Social Worker (Vacancy) Social Worker ANN How, R. N., - Principal of Training School ANNIE F. JESTLEY, R.N., Matron and Director of Women's Industries MICHAEL F. BRADLEY, Steward (Vacancy) - Asst. Steward No. Patients Men 2,584, Women 3,461, Total 6,045 Certified capacity Total 5,230 No. Employees Men 492, Women 263, Total 755 Total acreage of grounds 245 Patients admitted from the following boroughs of Greater New York, which comprise the Manhattan State Hospital District: Man- hattan, Richmond and the Bronx. Visiting days: Mondays, Saturdays and Sundays, from one to two p. in. Accessible by steamer from foot of East n6th Street. Passes can be obtained at the hospital, or at dock, foot of East n6th Street. All official communications in regard to the Manhattan State Hos- pital should be addressed to the Superintendent. Post Office Address, Station U, New York City. Hospital Long Distance Telephone, No. 1869 Harlem. Private Branch Exchange System. New York City Office, Hall of Records Building, corner of Centre and Chamber Streets, Room 703. Telephone, 4424 Worth. DIRECTORY Middletown State Homeopathic Hospital Middletown, Orange Co. Date of opening, 1874 Board of Managers Hon. JOHN C. R. TAYLOR, President, 75 Highland Ave., Middletown FRANK DURLAND, Secretary, - - Chester Hon. ALLEN W. CORWIN, - 169 Wisner Ave., Middletown Mrs. LENA H. TOWNSEND, - 231 Liberty Street, Newburgh Mrs. SUSAN TUCKERMAN, Tuxedo PHILIP H. MINSHULL, - 7 Low Ave., Middletown FLOYD HALSTEAD, - Goshen Resident Officers MAURICE C. ASHLEY, M. D., ROBERT C. WOODMAN, M. D., ARTHUR S. MOORE, M. D., WILLIAM E. KELLY, M. D., WALTER A. SCHMITZ, M. D., RAY W. MOODY, M. D., SAMUEL B. POND, M. D., - (Vacancy) (Vacancy) (Vacancy) (Vacancy) ARCHIBALD K. BENEDICT, M. D., J. HAROLD MORRIS, D. D. S., (Vacancy) AGNES M. VALLEY, R. N., HENRY J. LEONARD, MARY N. SCHMITZ, R. N., MILDRED H. HURLEY, DAN W. RICH, Medical Superintendent First Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Asst. Physician - Asst. Physician Asst. Physician - Asst. Physician . - Medical Interne Dental Interne Medical Interne Principal of School of Nursing - ' Steward Matron Social Worker arid After-Care Agent - Pharmacist No. Patients Men 786, Women 1,391, Total 2,177 Certified capacity Men 616, Women 1,224, Total 1,840 No. Employees.... Men 185, Women 151, Total 336 Total acreage of grounds 543 Patients admitted from the following counties, which comprise the Middletown State Homeopathic Hospital District: Orange, Rockland, Sullivan and Ulster; and patients from any part of the State for whom homeopathic treatment is desired. Middletown is sixty-seven miles from New York City, and may be reached by the following railways: New York, Ontario and Western; Erie ; New York, Susquehanna and Western. Electric cars run between Middletown and the hospital. Public conveyances may be had at the station. Telephone (Long Distance) No. 12 Visiting days: Every day excepting Saturdays, Sundays and legal holidays. DIRECTORY 21 Rochester State Hospital Rochester, Monroe Co. Date of opening, July i, 1891 Board of Managers Mrs. LILLIE B. WERNER, President, 399 Oxford St., Rochester HAROLD P. BREWSTER, Vice-President, Rochester Savings Bank, Rochester JOHN S. BRONK, Secretary, - - 706 Wilder Building, Rochester FREDERICK C. MALLING, - 142 Portland Ave., Rochester WILLIAM D. WOLFF, M. D., - 62 Cumberland St., Rochester Mrs. LILLIAN H. GORSLINE, - 25 East Boulevard, Rochester MORTIMER R. MILLER, 232 Culver Road, Rochester Resident Officers EUGENE H. HOWARD, A. M., M. D., Medical Sup' I EZRA B. POTTER, M. D., - First Asst. Physician WILLARD H. VEEDER, M. D., Senior Asst. Physician IRVING L. WALKER, M. D., - Senior Asst. Physician EVELINE P. BALLINTINE, M. D., - Senior Asst. Physician MARY A. NICKERSON, M. D., - Senior Asst. Physician SARAH G. PIERSON, M. D., - Asst. Physician GRACE H. GRIFFIN, M. D., - - Asst. Physician WILFORD N. WRIGHT, M. D., Medical Interne ANNA L. MACPHERSON, R. N., - - Principal School of Nursing CALVIN L. WEST, Steward ALBERT F. VEEDER, Ph. G., - Pharmacist MINNIE I. GAINEY, - Social Worker No. Patients Men 724, Women 1,048, Total 1,772 Certified capacity . Men 508, Women 752, Total 1,260 No. Employees.... Men 124, Women 164, Total 288 Total acreage of grounds 269 Patients admitted from the following counties, which comprise the Rochester State Hospital District: Genesee, Monroe, Livingston and Orleans. Two miles from railway stations. Accessible by electric cars of the South avenue line. Bell Telephone Chase No. 67 Rochester Telephone Stone No. 3100 Visiting days: Tuesdays and Fridays, two to four p. m. 22 DIRECTORY St. Lawrence State Hospital Ogdensburg, St. Lawrence Co. Date of opening as a State Hospital December 9, 1890 Board of Managers JAMES E. KELLY, President, Ogdensburg ROBERT S. WATERMAN, Secretary, - Ogdensburg Dr. JOHN J. ROBINSON, - Plattsburg Mrs. ANNIE E. DANIELS, - - Ogdensburg Mrs. MARY S. GOODALE, - Watertown H. PUTNAM ALLEN, - Fulton THOMAS DINNEEN, - - Ogdensburg Resident Officers PAUL G. TADDIKEN, M. D., .... MedicaJ. Suft ARTHUR G. LANE, M. D., - First Asst. Physician (Vacancy) - Pathologist HYMAN L. LEVIN, M. D., - Senior Asst. Physician HARRY J. WORTHING, M. D-, Senior Asst. Physician (Vacancy) - Senior Asst. Physician CAROLINE S. PEASE, M. D., - - - Woman Phvsician V. S. W. WORDEN, M. D., ,- - Asst. Physician HAROLD L. GOKEY, M. D., - Asst. Physician CLIFFORD E. MCLWAIN, M. D., - Asst. Physician (Vacancy) - - Asst. Physician PERCY L' SMITH, M. D., - Medical Interne LEO J. PALMER, M. D., - Medical Interne (Vacancy) - Medical Interne CHARLES S. MURPHY, D. D. S., - Dental Interne G. MARION POTTER, R. N., - - Principal, Training School JESSE A. COTTER, - Steward FLORENCE J. FINN, R. N., - Social Service Worker No. Patients Men 993, Women 1,289, Total 2,282 Certified capacity... Men 850, Women 1,100, Total 1,950 No. Employees Men 196, Women 246, Total 442 Total acreage of grounds 1219^ Patients admitted from the following counties, which comprise the St. Lawrence State Hospital District: Clinton, Essex, Franklin, Jefferson, Lewis, Onondaga, Oswego and St. Lawrence. Hospital located three and one-half miles from the centre of Ogdens- burg on the Rome, Watertown and Ogdensburg, and Rutland railways. Accessible by trolley line every twelve minutes. Public carriages may also be obtained at the railway stations. Dispensary for nervous and mental cases referred by physicians in hospital district, and for psychoneurotic cases for psychoanalysis, Saturdays from 9 to 3. Long Distance Bell Telephone. Western Union Telegraph Office at Hospital. Visiting days: Tuesdays and Fridays, one to four p. m. DIRECTORY Utica State Hospital Utica, Date of opening, January 16, 1843 Board of Managers GEORGE E. DUNHAM, President, EDWARD H. COLEY, D. D., Secretary, Mrs. FREDERICK S. KELLOGG, Miss MARY ISABEL DOOLITTLE, - FREDERICK T. PROCTOR, WILLIAM G. MAYER, CLARENCE E. WILLIAMS, Resident Officers RICHARD H. HUTCHINGS, M. D., GEORGE B. CAMPBELL, M. D., CLARENCE L. RUSSELL, M. D., Ross D. HELMKR, M. D., ROBERT F. ZIMMERMAN, M. D., AUGUST E. WITZEL, M. D., CLARA SMITH, M. D., JOHN J. LEARY, M. D., WM. W. ROOT, M. D., RICHARD H. HUTCHINGS, JR., M. D., JOSEPH R, CHARLES, D. D. S., KOPLAND K. MARKOFF, M. D., M^NLEY B. ROOT, M. D., LEWIS WEBB, LENA KRANZ, R. N., EVA M. SCHIED, R. N., WALTER TYLER, Ph. G. Oncicla Co. Utica Utica Utica Utica Utica Waterville Utica Medical Superintendent First As st. Physician Pathologist Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician Senior Asst. Physician - Asst. Physician Asst. Physician -. Asst. Physician Dentist - Medical Interne Medical Inte* ne Steward Principal of Training School Social Worker Pharmacist No. Patients Men 862, Women 967, Total 1,829 Certified capacity. Men 670, Women 730, Total 1,400 No. Employees.... Men 192, Women 174, Total 366 Total acreage of grounds 1,402 Patients admitted from the following counties, which comprise the Utica State Hospital District: Fulton, Hamilton, Herkimer, Mont- gomery, Oneida, Saratoga, Schenectady and Warren. One one-half miles from the Union Railway station. Take electric car at station, transferring at LaFayette Street to Rome, Whitesboro or New York Mills line. Stop at junction of Court and Whitesboro streets. Hospital L^mg- Distance Telephone, No. 945. Visiting days: Mondays and Fridays, except holidays. 24 DIRECTORY Willard State Hospital Willard, Seneca Co. Date of opening, October 16, 1869 Board of Managers FRED J. MANRO, President, - Auburn JOHN M. QUIRK, M. D., Secretary, 200 Seventh Street, Watkins Mrs. ANNIE LAURIE STEWART, 125 E. Buffalo Street, Ithaca CHARLES R. PHILLIPS, - Hornell WILLIAM T. MORRIS, - Penn Yan Mrs. ANNA AUGUSTA HORTON, - Ovid, N. Y. THOS. J. CLARY, Seneca Falls Resident Officers ROBERT M. ELLIOTT, M. D., - - - - Medical Sup '/ THOMAS J. CURRIE, M. D., .- First Asst. Physician WM. H. MONTGOMERY, M. D., - - Senior Asst. Physician Louis T. WALDO, M. D., - Senior Asst. Physician GORDON PRIESTMAN, M. D., - - Senior Asst. Physician RALPH S. PETTIBONE, M. D., Senior Asst. Physician WIRT C. GROOM, M. D., - Asst. Physician HOMER I. REXFORD, M. D., Asst. Physician MARY H. SMITH, M. D., - Asst. Physician CHARLOTTE B. MACARTHUR, M. D., Asst. Physician (Vacancy) - Medical Intcrtit (Vacancy) - Medical Interne F. ERWIN DOWD, Dental Interne FRANK L. WARNE, - - Steivard MARY J. MERRIMAN, R. N., - Principal of Training School HENRY SCHMELZ, - Pharmacist RACHEL FORD, - After-Care Agent No. Patients Men 1,255, Women 1,329, Total 2,584 Certified capacity. . Men 1,016, Women 1,098, Total 2,114 No. Employees Men 254, Women 251, Total 505 Total acreage of grounds 1,217 Patients admitted from the following counties, which comprise the Willard State Hospital District: Allegany, Cayuga, Onondaga, Ontario, Schuyler, Seneca, Steuben, Tompkins, Wayne and Yates. Accessible from the east, by New York Central and Hudson River railway (Auburn branch from Syracuse to Geneva); from the west, via New York Central and Hudson River railway, from Rochester (Auburn branch) to Geneva, or via Lehigh Valley railway ; from the north, Lyons to Geneva, via Fall Brook railway ; from the south, via Lehigh Valley railway. This hospital is most conveniently reached by the Ithaca branch of Lehigh Valley railroad from Hayt's Corners. Hospital Long Distance Telephone, Willard, N. Y. Telegraph office at Hospital. Visiting days: Every day from nine a. m. to five p. m. HOSPITALS FOR CRIMINAL INSANE DIRECTORY 35 Dannemora State Hospital (For male convicts declared insane while serving a sentence for a felony). Under the management of the Superintendent of State Prisons. Dannemora, Clinton Co. Resident Officers JOHN R. Ross, M. D., - Medical Supt BLAKELY R. WEBSTER, M. D., First A sst. Physician HAROLD R. ROBERT, M. D., Senior A sst. Physician THEODORE D. REED, M. D., Asst. Physician (Vacancy) - Medical Interne JAMES H. KURTZ, Steward No. Patients Men 520, Women 0, Total 520 No. Employees Men 102, Women 13, Total 114 Located at Dannemora, N. Y., on the Chateaugay branch of the Delaware and Hudson railroad, 20 miles from Plattsburgh. Long Distance Telephone " State Hospital." Visiting days: Every day except Sundays and holidays, two to four p. in. 26 DIRECTORY Matteawan State Hospital (For insane committed by orders of courts of criminal jurisdiction and for persons convicted of petty crimes or misdemeanors not felons becoming insane while undergoing sentence; also patients in other State hospitals still exhibiting criminal tendencies.) Under the management of the Superintendent of State Prisons. Beacon, (Formerly Fishkill-on-Hudson) Dutche Co. Resident Officers RAYMOND F. C. KIEB, M. D., - Medical Sup' t JOSEPH W. MOORE, M. D., - - - First Asst. Physician GEORGE A. SHARP, M. D., Senior Asst. Physician LEWIS J. SMITH, M. D., - Senior Asst. Physician A. STUART FERGUSON, M. D., - Asst. Physician GEORGE T. POLK, M. D., - Asst. Physician (Vacancy) - Medical Interne W. A. THOMAS, Steward No. Patients Men 738, Women 122, Total 860 No. Employees... Men 139, Women 40, Total 179 Fifty-eight miles from New York city, on the New York Central and Hudson River railway. It is also accessible by the West Shore and the Erie, to Newburg; thence by ferry to Beacon. The institution may be reached from the Hudson River railroad station, by an electric railway, which runs within one-half mile of the hospital; also public conveyances at the station. Telephone, 236. Visiting days: Every day except Sundays and holidays, two to five p. m. LICENSED INSTITUTIONS DIRECTORY 29 Society of the New York Hospital Bloomingdale Hospital, White Plains, N. Y. No. of Patients Men 143, Women 166, Total 309 WILLIAM L. RUSSELL, M. D., Medical Sup V CHARLES I. LAMBERT, M. D., - First Asst. Physician GEORGE S. AMSDEN, M. D., - Second Asst. Physician ROSE PRINGLE, M. D., - Woman Physician KARL M. BOWMAN, M. D., Asst. Physician GEORGE W. HENRY, M. D., - Asst. Physician JOSEPH EIDSON, M. D., Asst. Physician HARRY M. PFEIFFER, M. D., - Asst. Physician JAMES J. WAYGOOD, M. D., - Asst. Physician RAYMOND S. CRISPELL, M. D., - Medical Interne SAMUEL B. LYON, M. D. r Emeritus Medical Sup" t Accessible by Harlem railway, the New York, Westchester and Boston railway, and trolley. Preference given to applications for the admission of curable patients, many of whom are received for less than remunerative rates or free. Voluntary as well as committed patients are received. The hospital is dependent for support almost entirely upon receipts from private patients to whom it offers superior accommodations and care. Long Distance Telephone, No. 2000 White Plains. New York office, 8 W. i6th Street, at noon. New York Telephone, 8700 Chelsea. Dr. Bolton's Home Beacon, - Dutches* Co. JAMES R. BOLTON, M. D., - Physician in Charge A private home for nervous invalids and selected cases of nervous and mental diseases. Only female cases received. Number limited to four. Opposite the city of Newburgh. One and one-half hours from New York City, via the New York Central and Hudson River Railroad. Trains arrive and depart every two hours daily. Long Distance Telephone 30 DIRECTORY Dr. Bond's House 960 North Broadway. Yoiikers, - - Westcliester Co. GEORGE F. M. BOND, M. D., Owner and Physician in Charge ASHLEY SCOVEL, M. D., Assistant Physician On North Broadway overlooking the Hudson river. Accessible in thirty minutes from New York city via N. Y. Central and Hudson River R. R., or by subway. From subway, 2426. Street, New York City, take Park avenue car to Roberts avenue. From R. R. station in Yonkers, take Park avenue trolley to Palisade and Roberts avenue, walk west one block to North Broadway, and north on North Broad- way, a walk of seven minutes. Number of patients limited to eight. Prices for all services, includ- ing hydrotherapy, on application. Local and Long Distance Telephone, 883 Yonkers. . Breezehurst Terrace Whitestonc, ... Long Island, N. Y. City D. A. HARRISON, M. D., - Consulting Physician D. R. LEWIS, M. D., - Physician in Charge S. EDWARD FRETZ, M. D., - Clinical Assistant Direct electric train service from New York City, Pennsylvania Station, time 35 minutes. By motor, Queensboro Bridge. By trolley, Queensboro Bridge and change at Flushing. From Brooklyn, either by trolley to Corona, or Subway to Manhattan, and via Long Island Railroad. Number limited to 35. Voluntary patients (alcoholic and drug habitues) received. Motor sent for patients. The sanitarium is ten minutes from rail- road station. New York office, 58 Central Park West, corner of 66th Street, near Subway. New York City 'phone, 260 Columbus. Sanitarium Telephone, 213-J Flushing. DIRECTORY 3 1 Brigham Hall Hospital Canandaijerna, - Ontario Co. ROBERT G. COOK, M. D., - Physician in Charge HENRY C. BURGESS, M. D., - Assistant Physician Situated on Bristol street, one mile from the New York Central and Northern Central and Rochester and Eastern stations. Accessible by public taxicabs. Number of patients limited to seventy. Telephone, Brigham Hall. Dr. Brooks' House Rye, - .... Westchester Co. SWEPSON J. BROOKS^ M. D., - Physician in Charge A private sanitarium for the care of mental, neurological, alcoholic and drug cases. Number limited to 7. Rates on application. Long Distance Telephone Dr. Combes' Sanitarium Corona, ... New York City E. T. MURRAY, M. D., Physician in Charge J. J. MULCAHY, M. D., ... Asst. Physician The Sanitarium is located at the juncture of Jackson and Astoria Aves., Corona, overlooking Flushing Bay and may be reached as fol- lows : from Manhattan take Flushing or Flushing Bridge trolley car at Queensboro Bridge, sgth Street and 2nd Avenue (loop 2) ; from Brook- lyn take Grand Street trolley car to Jackson Avenue, then Flushing or Flushing Bridge trolley car to Institution. Number of patients limited to 46. Rates on application. Telephone, Newtown 1077. 32 DIRECTORY Craig House Beacon, ... Dutciicss County CLARENCE T. SLOCUM, M. D. ) />/ ^, EDWARD G. STOUT, M. D. [ Physicians in Charge Craig House sanitarium consists of two properties of exceptional beauty, Craig House and Wodenethe, located on the southern edge of Beacon, overlooking the Hudson River. Craig House accommo- dates sixteen patients and Wodenethe has accommodations for fifteen. Both voluntary and committed cases are received. The highest grade of care is provided for mental invalids. Beacon is on the east bank of the Hudson, fifty-eight miles from New York City, on the main line of the New York Central Railroad. The sanitarium is two miles from the railway station. Telephone, 80 and 138 Beacon. New York office: 616 Madison Avenue. Hours: 2 to 4 Monday and Wednesday afternoons. Telephone Plaza 1470. Genesee Sanitarium Syracuse, - - Onondaga Co. HERSEY G. LOCKE, M. D., Physician in Charge CHAUNCEY N. ^GRAVES, - Resident Physician Located at 915 West Genesee street. A private institution for the care of mental and nervous affections, drug and alcoholic addicts. Number of patients limited to 14. Terms on application. Long Distance Telephone, James 1084 Glenmary Owego, ..... Tioga Co. ARTHUR J. CAPRON, M. D., Physician in Charge A private sanitarium for the care and treatment of selected cases of mild mental and nervous diseases. Special treatment for drug addic- tion and alcoholism. Excellent accommodations for feeble-minded cases. Detached cottages for suitable cases. About one mile from railroad stations, where public carriages may be obtained. Accessible by Erie, Delaware, Lackawanna and Western and Lehigh Valley railroads. Number of patients limited to 50. Terms on application. Long Distance Telephone, 77, Owego, N. Y. DIRECTORY 33 Greenmont-on-the-Hudson Post Office, Ossining, - \Vcstclicstcr Co. RALPH WAIT PARSONS, M. D., - Physician in Charge Location, one mile from the New York Central R. R. station at Ossining. Only selected cases of mental or nervous diseases received. Number of patients accommodated limited to three. Only women are admitted. House is conducted on the private family plan. Rates for board, services of special nurse, medical care and treatment, on application. Enquiries may be made, or interviews may be arranged by telephone. P. O. and telegraph address, Ossining, N. Y. Long Distance Telephone, 365, Ossining, N. Y. Interpines Goshen, Orange Co. FREDERICK W. SEWARD, M. D., - - Physician in Charge FREDERICK W. SEWARD, Jr., M. D., - Assistant Physician Licensed to care for fifty-six patients Sixty miles from New York city, on the Erie railway. Long Distance Telephone, Goshen 117. Dr. Kellogg's House Riverclale, New York City THEODORE H. KELLOGG, M. D., - Physician in Charge Located on the corner of Riverdale Lane and Albany Post Road, opposite Van Cortlandt Park parade ground. To be reached by Broadway subway to 242d St. , and then Broadway trolley to 253d St., one block from the house. Number of patients limited to seven. Rates $75 per week, including a trained nurse. Address letters to Dr. Theo. H. Kellogg, Riverdale, New York city. Office phone, No. 36 Kingsbridge, New York City. 34 DIRECTORY Knickerbocker Hall Amityville, Long: Inland WM. T. LOUDEN, - - Proprietor WM. E. SYLVESTER, M. D., Physician in Charge A private sanitarium devoted to the care and treatment of nervous and mild mental affections. Conducted upon the family plan. Number limited to 31. Terms on application. Located on the south side of Long Island on the Great South Bay. Reached from the Pennsylvania Station, 33d St. and yth Ave., N. Y. C., or from E. 34th St. Ferry. N. Y. C. via Long Island City, or from the Flatbush Ave. Station, Brooklyn (Subway terminal). Automobile sent for patients on application. Telephone, 370 Amityville. Long Island Home Amityville, Long Island O. J. WILSEY, M. D., Physician in Charge Thirty-two miles from New York, reached by automobile via Mer- rick Road or by the Montauk division of the Long Island railroad from Flatbush Avenue station, Brooklyn, East 34th street Ferry via Long Island City or from Pennsylvania station, Manhattan. Five minutes from station. Number limited to 138. Long Distance Telephone, No. 2 Amityville. Dr. Lyon's Sanitarium Binghamton, - - Broome Co. CHARLES G. LYON, M. D., Physician in Charge A private sanitarium devoted to the care and treatment of selected cases of mild mental and nervous diseases. Number limited to 10 patients. Terms on application. Long Distance Telephone, 621-W Binghamton, N. Y. DIRECTORY 35 Dr. MacDonald's House Central Valley, - - Orange Co. CARLOS F. MACDONALD, M. D., Proprietor and Physician in Charge T. D. MACDONALD, M. D., Associate Physician One mile from Central Valley Station on the Newburgh branch of the Erie railway, 49 miles from New York City via Hudson Tunnels, Chambers and West 23d Street Ferries and fourteen miles from Bea- con, on New York Central Railway via ferry to Newburgh, and Erie Railway to Central Valley. Harriman, on the main line of the Erie Railway, is but two and a half miles distant. Dr. MacDonald's con- veyance will meet visitors at the railway stations if due notice is given. Only selected cases of mental and nervous diseases received. Num- ber limited to 24. Rates, etc., may be ascertained on application to Dr. MacDonald at his New York office, 15 East 48th Street, on Mondays, Wednesdays and Fridays, 10 to 12 o'clock, and by appointment or at the sanitarium. New York Telephone, Murray Hill 72G1 Long Distance Telephone, No. 63 Central Valley. Western Union Telegraph. Marshall Sanitarium Troy, Rensselaer Co. CHRISTOPHER J. PATTERSON, M. D., - Physician in Charge (Vacancy) - - - - * . Assistant Physician Situated on Linden ave., one mile from Union railway station. Accessible from depot and from all parts of the city by the Albia line of electric street cars. Number of patients limited to 90. Rates on application. Long Distance Telephone. 36 DIRECTORY The Pines Auburn, Cayuga Co. FREDERICK SEFTON, M. D., - Physician in Charge WILFRED SEFTON, B. S., M. D., Assistant Physician Licensed in 1891. Accessible by the New York Central and Hudson River railway, and the Lehigh Valley railway. Two and a half hours by rail from Rochester, four from Albany and Buffalo, seven from New York city. Minimum weekly rate for care, treatment and maintenance, $60.00. Telephone, No. 261. Providence Retreat Buffalo, Erie Co. (Under the charge of the Sisters of Charity.) JOHN J. TWOHEY, M. D., - - Physician in Charge JOSEPH F. SHANAHAN, M. D., - - Assistant Physician Located on Main street, corner of Kensington avenue. Distance from Union railway station, four miles. Accessible by electric street car line. Minimum rate for care and treatment of private patients, $20 per week. Licensed to care for 200 patients. Long Distance Telephone, Crescent 49 River Crest Astoria, L. I., - - New York City WM. ELLIOTT DOLD, M. D., - Physician in Charge WARD SAMPSELL, M. D., Senior Assistant Physician LEONARD M. BROWN, M. D., Junior Assistant Physician A private Sanitarium, situated in Astoria, L. I., opposite the foot of East io8th St., New York City. Very accessible from any part of the Greater City via automobile, subway or elevated raiload. At the Grand Central Station, 42d St., take the Astoria car, Queensboro tube for Ditmars Ave., (terminus of the road.) The Sanitarium is five min- utes walk from this station. River Crest can be quickly reached via the 2d Avenue elevated across the Queensboro Bridge to Ditmars Ave., Address Astoria, L. I. Rates for care and treatment, including hydro- therapy, electrotherapy, etc., on application. Number limited to 132. Sanitarium 'phone, Astoria 820. Automobile sent for patients if desired. New York City office, 616 Madison Avenue, corner of 58th Street, 3 to 4 daily. Telephone, 1470 Plaza. DIRECTORY 37 St. Vincent's Retreat (Under the charge of the Sisters of Charity) Harrison, ... Westchester Co. SWEPSON J. BROOKS, M. D., Physician in Charge LEON E. PEELER, M. D., Associate Physician (Vacancy) - Assistant Physician H. ERNST SCHMID, M. D., - - Consulting Physician For women only. Fifty minutes from New York on the New York, New Haven & Hartford railway. Trains leave Grand Central Station, New York city, for Harrison, every hour, from 9 a. m. to 7 p. m. Number of patients limited to 150. Applications for admission should be made to the Sister in Charge, at St. Vincent's Retreat. Long Distance Telephone, 502 Rye. Sanford Hall Flushing, . - - New York City W. STUART BROWN, M. D., - - Physician in Charge (Vacancy) Assistant Physician Situated about one-fourth of a mile from the Main Street Station of the Long Island railroad, and easily accessible by carriage or auto- mobile from any part of Greater New York. To reach Flushing from Borough of Manhattan, take Long Island railroad from Pennsylvania Station to Main Street, Flushing, or take Flushing trolley from Queensboro Bridge. From the Borough of Brooklyn, the most con- venient route is by the Myrtle Avenue Elevated to Fresh Pond Sta- tion, and from there to Flushing by trolley. Consultation in Borough of Manhattan, by appointment. Number of patients limited to 44. Rates on application. Telephone, 17 Flushing:. 38 DIRECTORY Spring Hill Sanitarium Hastings-on-Hudson, - - Westchester Co. D. W. MCFARLAND, M. D., Superintendent G. F. WASHBURNE, M. D., - Physician in Charge Situated in a private estate of 53 acres overlooking the Hudson River, one mile from station on N. Y. Central lines. Forty minutes from Grand Central station. Entrance on Broadway at Main Street. Easily accessible from New York City via Broadway. Taxi service from station. For the care, treatment and custody of selected cases of mild mental, nervous and habit cases. Number of patients limited to 25. Rates $40 to $100 per week. Inspection invited. Appointments at the sanitarium and in New York City may be arranged by telephone. Western Union telegraph. Telephone, 800 Hastings-on-Hudson. United States Public Health Service Hospital No. 28 (For Discharged Soldiers, Insane Beneficiaries of the Bureau of War Risk Insurance) Dansville, N. Y., - - Livingston Co. DONALD L. Ross, Surgeon (Reserve] in Charge MELVIN J. TAYLOR, - Surgeon (Reserve} PHILIP B. MATZ, Surgeon (Reserve] WM. B. KENNA, - - P. A. Surgeon (Reserve} WM. A. MAC!NTYRE, - - P. A. Surgeon (Reserve} GEORGE R. STALTER, - Acting Assistant Surgeon A. R. PILLS BURY, - Acting Assistant Surgeon WALTER G. DOHERTY, Past Asst. Dental Surgeon (Reserve} First patient admitted May 10, 1919. Census July i, 1920 210 Dansville is located on the main line of the Delaware and Lackawana Railroad from New York to Buffalo. Can also be reached over the Erie and Dansville and Mount Morris Railroads from Rochester. DIRECTORY 39 Waldemere Mamaroneck, - - \VestelicHter Co. E. N. CARPENTER, M. D., - Physician in Charge W. B. CUNNINGHAM, M. D., - Assistant Physician Thirty minutes from New York city on the New York, New Haven R. R. Trains leave New York city on the hour and half hour. Acces- sible also by trolley from New York city. Waldemere is one mile from Mamaroneck depot, where carriages may be taken or local street railway. Number of patients limited to 12. House is conducted on the private family plan and only selected cases of mental and nervous diseases or drug addiction received. Rates may be ascertained on application to Dr. Carpenter at his New York office, 58 Central Park West, (corner 66th street) from 9 to n a. m. (except Sundays) and by appointment, or at Mamaroneck. New York Telephones, 260 Columbus, 2887 Columbus. Mamaroneck Telephone, 31 Mamaroneck. West Hill Ficldntoii Road between Riverdale Avenue and Broadway at 252d Street, . New York City FLAVIUS PACKER, M. D., Physician in Charge HERMAN E. ..SCHORR, M. D., - Assistant Physician AUGUSTUS B. DYKEMAN, M. D., - Assistant Physician A private sanitarium in New York city, opposite and overlooking the Van Cortlandt Park parade ground. Built on the cottage plan. Number of patients limited to twenty-three. Separate cottages if desired. Reached most conveniently by Broadway subway express trains to Van Cortlandt Park station. Short walk or trolley to the sanitarium. Greystone house and cottages of the sanitarium on the hill west of 252d Street. By New York Central Railroad to Riverdale; ten minutes' drive from station. Easily accessible by automobile or carriage from New York or Yonkers. Telegraph and Post Office Address, West Hill, Riverdale, New York City. Telephone : 40 Kingsbridge, New York City. The White Oak Farm, at Pawling, N. Y., is now open for the recep*- tion of patients, under the management of the physicians at West Hill. Cottage plan. Telephone, 20 Pawling THE INSANITY LAW THE INSANITY LAW Revised to July i, 1920 AN ACT in relation to the insane, constituting chapter twenty- seven of the consolidated laws. The People of the State of New York, represented in Senate and Assembly, do enact as follows : Chapter 27 of the Consolidated Laws INSANITY LAW Article i. Short title; definitions ( i, 2). 2. State commission in lunacy ( 3-19) . 3. Institutions for the care, treatment and custody of the in sane ( 4066). 4. Commitment, custody and discharge of the insane (80-99) 5. Retirement of state hospital employees ( 110-122). 6. Matteawan state hospital for insane criminals ( 130-145) . 7. Dannemora state hospital for insane convicts ( 150-163). 8. Pathological hospital and institute ( 170-172). 9. Laws repealed; when to take effect ( 190, 191). ARTICLE I Short Title: Definitions Section i. Short title. 2. Definitions. i. Short title. This chapter shall be known |as the "Insanity Law." 2. Definitions. Poor person. The term u poor person," when used in this chapter, means a person who is unable to maintain himself and having no one legally liable and able to maintain him. Indigent person. The term "indigent person," when used in this chapter, means one who has not sufficient property to support himself while insane, and the members of his family lawfully dependent upon him for support. Institution. The term "institution," when used| in this chapter 42 THE INSANITY LAW means any hospital, asylum, building, buildings, house or retreat, authorized by law to have the care, treatment or custody of the insane. Commission. The term "commission," when used in this chapter, means the state commission in lunacy, designated as the state hospital commission. Patient. The term " patient*" when used in this chapter, means an insane person committed to an institution according to the provisions of this chapter. (Thus amended by chapter 121, Laws of 1912). ARTICLE II State Hospital Commission Section 3. Appointment, qualifications, terms of office and salaries of commissioners. 4. Office and clerical force of commission; medical inspector. 5. Official seal and execution of papers. 6. General powers. 7. General powers as to state hospitals. 8. Official visits. 9. Visitation and inspection of certain institutions. 10. Regulations and forms. 11. Annual report. 12. State hospital districts; how defined. 13. Change of hospital districts and reassignment of patients 14. Record of medical examiners. 15. Record of patients. 16. Institutions to furnish information to commission. 17. Commission to provide for the prospective wants of the insane. 18. Hospital attorneys. (Repealed by Chap. 768, L. 1911.) 19. Bureau of deportation for examination of insane, idiotic, im- becile and epileptic immigrants, alien and non-resident insane, and to attend to the deportation or removal thereof; power and duties. (Thus amended by chapter 121, Laws of 1912). 3. Appointment, qualifications, terms of office and salaries of com- missioners. There shall continue to be a state commission in lunacy, to be designated the state hospital commission, consisting of three members, to be designated state hospital commissioners, all of whom shall be citizens of this state. One of them shall be a reputable phy- sician, a graduate of an incorporated medical college, of at least ten years' experience in the actual practice of his profession, who has had THE INSANITY LAW 43 five years' actual experience in the care and treatment of the insane in an institution for the insane. One of such commissioners shall be a reputable attorney and counsellor-at-law in the courts of this state of not less than ten years' standing. The third commissioner shall be a reputable citizen. The medical commissioner shall receive an annual salary of seven thousand five hundred dollars, and twelve hundred dollars in lieu of his traveling and incidental expenses, payable semi- monthly. Each of the other commissioners shall receive an annual sal- ary of five thousand dollars, and twelve hundred dollars, in lieu of his traveling and incidental expenses, payable semi-monthly. The com- mission shall choose one of its members to be chairman thereof. The medical member of the commission shall hold office during good be- havior. The full term of office of a commissioner other than the medical commissioner shall be six years. Any commissioner may be removed by the governor for cause, stated in writing, after an oppor- tunity has been given him to be heard thereon. The commissioners shall be appointed by the governor, by and with the advice and con- sent of the senate. The commissioners in lunacy now in office shall be continued as state hospital commissioners for the respective terms for which they were appointed. (Thus amended by chapter 121, Laws of 1912). 4. Office and clerical force of commission; engineers, medical and o.ther inspectors. The commission shall be provided by the proper authorities with a suitably furnished office in the state capitol. It may employ a secretary, a stenographer, inspectors, engineers and such other employees as may be necessary. The salaries and reason- able expenses of the commission, inspectors, engineers, experts and of the necessary clerical assistants shall be paid by the treasurer of the state on the warrant of the comptroller, out of any moneys appropri- ated for the support of the insane. The commission may also appoint a medical inspector, who shall be a well educated physician, a graduate of an incorporated medical college, and who shall have had at least five years' actual experience in an institution for the care and treatment of the insane. Such in- spector shall receive an annual salary to be fixed by the commission subject to the approval in writing of the governor and the action of the legislature, not to exceed five thousand five hundred dollars, and all his actual and necessary traveling expenses incurred by him in the performance of -his duties, which shall be audited and paid in the same manner as the other expenses of the commission. He shall, subject to the direction of the commission, visit and inspect the several state hospitals and other institutions for the insane which are subject to the supervision, visitation and inspection of the commission. He shall, 44 THE INSANITY LAW subject to the direction of the commission, make an examination, so far as the circumstances may permit, of the patients confined in such hospitals and institutions, especially those admitted thereto since his preceding visit, giving such as may request it suitable opportunity to converse with him apart from the officers and attendants. He shall perform such other duties as may be prescribed and directed by the commission. The commission may employ such other experts, regu- larly or from time to time, as may be necessary to enable it to advise the purchasing committee and the state hospitals as to purchasing, handling and consumption of supplies; the operation of the farms, and engineering matters. The commission shall furnish the purchasing committee clerical and advisory help. Expenses of the purchasing committee shall be appor- tioned by the commission among the hospitals on such basis as it deems equitable. (Thus amended by chapter 121, Laws of 1912). 5. Official seal and execution of papers. The commission shall have an official seal. Every process, order or other paper issued or executed by the commission, may, by the direction of the commission, be attested, under its seal, by its secretary or by any member of the commission, and when so attested shall be deemed to be duly executed by the commission. 6. General powers. The commission is charged with the execution of the laws relating to the custody, care and treatment of the insane, as provided in this chapter, not including feeble-minded persons and epileptics as such and idiots. They shall examine all institutions, public and private, authorized by law to receive and care for the insane, and inquire into their methods of government and the manage- ment of all such persons therein. They shall examine into the con- dition of all buildings, grounds and other property connected with any such institution, and into all matters relating to its management, For such purpose each commissioner shall have free access to the grounds, buildings and all books and papers relating to any such institution. All persons connected with any such institution shall give such information, and afford such facilities for any such examina- tion or inquiry as the commissioners may require. The commission may, by order, appoint a competent person to examine the books, papers and accounts, and also into the general condition and manage- ment of any institution to the extent deemed necessary and specified in the order. The commission may endeavor to secure legislation from congress to provide more effectually for the removal of alien and non-resident insane and may expend a reasonable sum therefor from the moneys appropriated for the use of the hospitals. The commission may permit any religious or missionary corporation or society to erect THE INSANITY Law 45 a building on the grounds of any state hospital, for the holding of re- ligious services, to be used exclusively for the benefit of the inmates and employees of the state hospital, subject to such conditions as may be imposed by the commission. 7. General powers as to state hospitals. The commission shall, subject to the powers hereinafter granted to boards of managers: 1. Have the general oversight of the state hospitals, and the con- trol of all the property thereof; transfer such old machinery, boilers or equipment as are not needed by the state hospital in which the same is located to some other state hospital having use for such machinery, or sell or dispose of the same or any metal or rags, in the discretion of the commission, the money received therefor to be paid into the state treasury, and see that the purposes of such hospitals are carried into effect by the boards of managers according to law. (Thus amended by chapter 349, Laws of 1916) . 2. Accept and hold in behalf of the state, if for the public interest, a grant, gift, devise or bequest, of money or property, to the state of New York, to the commission in lunacy, or to any state hospital or the managers thereof, heretofore or hereafter made in trust for the main- tenance or support of an insane person or persons in a state hospital or hospitals, or for any other legitimate purpose connected with any such hospital or hospitals. The commission shall cause each said gift, grant, devise or bequest to be kept as a distinct fund, and shall invest the same in the manner provided by the laws of this state as the same now exist, or shall hereafter be enacted, relating to securities in which the deposits in savings banks may be invested. But the commission may, in its discretion, deposit in a proper trust company or savings bank during the continuance of the trust, any fund so left in trust for the life of a single person, and shall adopt rules and regulations governing the deposit, transfer or withdrawal of such fund. The commission shall on the expiration of any trust as provided in any instrument creating the same, dispose of the fund thereby created in the manner provided in such instrument. The commission shall in- clude in its annual report a statement showing what funds are so held by it and the condition thereof. 8. Official visits. The commission, or a majority thereof, shall visit every such state hospital jointly or by a majority of the commis- sion and every such private institution by one member of the commis- sion at least twice in each calendar year. Such visits shall be made on such days and at such hours of the day or night, and for such length of time, as the visiting commissioner may choose. But each commis- sioner may make such other visits as he or the commission may deem necessary. Each visit shall include, to the fullest extent deemed 4 46 THE INSANITY LAW necessary, an inpection of every part of each institution, and all the out-houses, places, buildings and grounds belonging thereto or used in connection therewith. The commissioners shall, from time to time, make an examination of all the records and methods of administration, the general and special dietary, the stores and methods of supply, and, as far as circumstances may permit, of every patient confined therein, especially those admitted since the preceding visit, giving such as may require it suitable opportunity to converse with the com- missioners apart from the officers and attendants. They shall, as far as they deem necessary, examine the officers, attendants and other employees, and make such inquiries as will determine their fitness for their respective duties. At the next regular or special meeting of the commission, after any such a visit, the visiting commissioners shall report the result thereof, with such recommendations for the better management or improvement of any such institution, as they may deem necessary. But such recommendations shall not be contrary to the doctrines of the particular school of medicine adopted by such institutions. The commissioners shall, at least once each year, at a time to be appointed by the commission, meet the managers of such institutions, or as many of the number as practicable, in conference, and consider, in detail, all questions of management and improve- ment of the institution, and they or one or more of them with the managers shall inspect the institution or such parts thereof as they may deem necessary and shall also send to the managers, in writing, if approved by a majority of the commissioners, such recommenda- tions in regard to the management and improvement of the intitu- tion as they may deem necessary or desirable. 9. Visitation and inspection of certain institutions. Any member of the commission or the medical inspector may visit any sanitarium or other institution, wherein sick or infirm persons are received, cared for or treated, for the purpose of ascertaining whether insane persons are confined therein without authority, and contrary to the provisions of law. All persons having charge of, and connected with, any such sanitarium or institution shall permit any member of the commis- sion and the medical inspector to have free access to any portion thereof, and shall give such information and afford such facilities for inspection or inquiry, as the member of the commission, or the medical inpector making such visit and inspection, may require. (Thus amended by chapter 121, Laws of 1912.) 10. Regulations and forms. The commission shall make such regulations in regard to the correspondence of the insane in custody as in its judgment will promote their interests, and it shall be the duty of the proper authorities of each institution to comply with and THE INSANITY LAW ' 47 enforce such rules and regulations. All such insane shall be allowed to correspond without restriction with the county judge and district attorney of the county from which they were committed. The books of record and blank forms for the official use of the hospitals shall be uniform, and shall be approved by the commission. ii. Annual report. The commission shall, annually, report to the legislature its acts and proceedings for the year ending June thirtieth last preceding, with such facts in regard to the management of the institutions for the insane as it may deem necessary for the information of the legislature, including estimates of the amounts required for the use of the state hospitals and the reasons therefor; and also so much of the annual reports made to the commission by the State Charities Aid Association and by the boards of managers of the state hospitals as the commission may deem necessary for the consider- ation of the legislature. The commission shall determine from time to time the capacity of each of the state hospitals and shall incorporate a statement of such capacity in its annual report to the legislature. (Thus amended by chapter 118, Laws of 1916.) 12. State hospital districts; how defined. The state commission in lunacy shall divide the state into as many state hospital districts as there are state hospitals. No county shall be divided in such classification, unless more than one of the existing state hospitals be situated within such county. Whenever the commission shall deem it necessary to more conveniently care for the insane in the various hospitals, it may change the limits of such hospital districts. When a new state hospital shall be established, it shall again divide the state into hospital dis- tricts. Before any change or re-establishment of hospital districts shall be made, the board of managers of each hospital to be affected thereby shall be notified by the commission that they may be heard in regard thereto, at a time and place to be specified in said notice. Such hospital districts shall be so defined that the number of patients in each district shall be in proportion, as nearly as practicable, to the accommodations which are or may be provided by the state hospital or hospitals within such district. The commission may provide for the commitment of patients from any part of the city of New York to any state hospital located in the city of New York, or to the Kings Park State Hospital, or to the Central Islip State Hospital, or to the Mohan- sic State Hospital. (Thus amended by chapter 310, Laws of 1910.) 13. Change of hospital districts and reassignment of patients. When a change or re-establishment of state hospital districts shall be made, or a new state hospital district created, the commission shall make a report thereof, designating the counties included within each -district affected thereby, and file same with the secretary of state, 48 THE INSANITY LAW and send a copy to the managers and superintendent of each state hospital affected by such change, and to each judge of a court 01 record, each county superintendent of the poor, and each count) clerk in the state, affected by such change, to be riled in his office. 14. Record of medical examiners. Any physician who receives i certificate as a medical examiner in lunacy shall file such original cer tificate in the office of the clerk of the county where he resides, anc forward a certified copy thereof to the office of the commission withir ten days after such certificate is granted. The commission shall keej in its office a record showing the name, residence and certificate o: each duly qualified medical examiner, and shall immediately file in it! office, when received, each duly certified copy of a medical examiner'! certificate, and advise the examiner of its receipt and filing. Nc examiner shall be qualified until he has received from the commissior an acknowledgment of the receipt and filing of his certificate. 15. Record of patients. The commission shall keep in its office and accessible only to the commissioners, their secretary and clerk except by the consent of the commission or one of its members, or ai order of a judge of a court of record, a record showing: 1. The name, residence, sex, age, nativity, occupation, civil conditioi and date of commitment of every patient in custody in the severa institutions for the care and treatment of insane persons in. the state, and the name and residence of the person making the petitior for commitment, and of the persons signing such medical certificate and of the judge making the order of commitment. 2. The name of the institution where each patient is confined, th( date of admission, and whether brought from home or another institu tion and if from another institution, the name of such institution, b} whom brought, and the patient's condition. * 3. The date of the discharge of each patient from such institution sine* the fifteenth day of May, eighteen hundred and eighty-nine, whether recovered, improved or unimproved, and to whose care committed. 4. If transferred, for what cause, and to what institution: and i: dead, the date and cause of death. 16. Institutions to furnish information to commission. The authorities of the several institutions for the insane shall furnish tc the commission the facts mentioned in the last preceding section, anc such other obtainable facts relating thereto as the commission may from time to time, in the just and reasonable discharge of its duties require of them, with the opinion of the superintendent thereon, i] requested. The superintendent or person in charge of such institu tions, whether public or private, must, within ten days after the admission of an insane person thereto, cause a true copy of the THE INSANITY LAW 49 medical certificate and order on which such person shall have been received, to be made and forwarded to the office of the commission; and when a patient shall be discharged, transferred or shall die therein, such superintendent or person in charge shall, within three days thereafter, send the information to the office of the commission, in accordance with the forms prescribed by it. 17. Commission to provide for the prospective wants of the insane. The commission shall provide sufficient accommodations for the pro- spective wants of the poor and indigent insane of the state. To pre- vent overcrowding in the state hospitals, it shall recommend to the legislature the establishment of other state hospitals, in such parts of the state as in its judgment will best meet the requirements of such insane. It shall also furnish to the legislature in each year, an esti- mate of the probable number of patients who will become inmates of the respective state hospitals during the year beginning July first next ensuing, and, unless otherwise provided by law, an estimate of the cost of all the additional buildings and equipments, if any, which will be required to carry out the provisions of this chapter relating to the care, custody and treatment of the poor and indigent insane of the state. . No money shall be expended for the erection of additional buildings, or for unusual repairs or improvements of state hospitals, except upon plans and specifications to be approved by the commission and the governor. No municipality of the state shall have the power to modify or change plans or specifications for the erection, repair or improvement of state hospital buildings or the plumbing or sewerage connected therewith. The commission may secure a blanket policy of insurance covering any or all of the buildings, property or fixtures of the state hospitals. (Thus amended by chapter 118, Laws of 1916). 18. (Repealed by chapter 769, Laws of 1911, and by chapter 121 Laws of 1912) . Bureau of Deportation 19. Bureau of deportation for examination of insane, idiotic, imbe- cile and epileptic immigrants, alien and non-resident insane, and to attend to the deportation or removal thereof; powers and duties. There shall be established by the commission a bureau of deportation for the examination of insane, idiotic, imbecile and epileptic immi- grants, and alien and non-resident insane, and to attend to the depor- tation or removal thereof, which shall consist of a medical examiner and such number of medical or lay deputies as may be necessary, to be appointed by the commission. The medical examiner shall be a repu- table physician, a graduate of an incorporated medical college, of at least ten years' actual experience in the practice of his profession, and 50 THE INSANITY LAW of at least five years' experience in the care and treatment of the com- mitted or alleged insane in the New York state hospitals, or elsewhere. The medical examiner shall receive an annual salary of five thousand dollars, to be paid in the same manner as the salaries of the assistants and clerks of the commission in lunacy. The medical examiner shall hold office during good behavior, and be removable by the commission for cause, stated in writing, after an opportunity to be heard has been given. The medical examiner and deputies shall devote their entire time to the performance of the duties hereby imposed upon them. The commission shall endeavor to arrange for the continued official recog- nition of such bureau by the proper authorities of the United States and other states for carrying out the purposes of this section. Ar- rangements may be made by the commission for suitable offices in the city of New York for the accommodation of such bureau, and the em- ployment of such other persons as may be deemed necessary by them for the proper carrying into effect of the provisions and intent of this section. Such bureau shall maintain a careful inspection and observa- tion of the methods and facilities for examining immigrants for men- tal disease and defect at the port of New York, and shall, from time to time, report to the commission upon the methods employed, and their efficiency, and shall render reports regarding the prevalence of insanity among aliens and the foreign born population of the state and shall make suitable recommendations as to means by which insane, idiotic, imbecile and epileptic aliens may be deported or returned. And such bureau shall examine and inspect alien and non-resident insane per- sons, and alleged insane persons in the state hospitals, other public institutions and elsewhere where such insane persons and alleged in- sane persons may be, for the purpose of determining whether they are suitable cases for deportation under the immigration law, or removal under the provisions of this section to other countries or states. The superintendents, or persons in charge of such hospitals, institutions or other places shall notify such bureau of all such cases coming under their jurisdiction and shall furnish all aid and information possible to accomplish the deportation or removal of such aliens and non-resi- dents. The bureau shall notify the proper authorities having control of the enforcement of the immigration laws at the ports of entry of such immigrants as are found to be insane, idiotic, imbecile or epilep- tic, and such insane aliens as are or become public charges, or who are in the country in violation of law, and shall arrange for their deporta- tion in accordance with the provisions of such laws. And in the case of non-residents they shall notify the state commission of the location of the same and in all suitable cases the commission shall grant the board the necessary authority for the investigation and removal of such THE INSANITY LAW 51 non-resident insane persons. The bureau may, upon the request of any indigent insane persons, or the written consent of their relatives, legal representatives, or qualified friends, subject to the approval of the commission, remove such patients to any country, state or place to which they may properly belong. In making such transfers and re- movals the bureau shall, so far as is practicable, employ nurses and shall employ female nurses or attendants to accompany female patients unless it is certified by the medical superintendent that such patients are in condition to travel alone with safety. The duties hereby im- posed upon such bureau shall be performed under the supervision of the commission, and in accordance with rules adopted by it. The commission may impose such other duties on such bureau as it may deem necessary and proper for carrying out the general purposes and intent of this section, and may also from time to time, when necessary, detail the medical examiner or a medical deputy of said bureau to per- form the duties of the medical inspector. The medical examiner and deputies of such bureau shall be empowered to administer an oath when necessary to persons giving information relative to cases under investigation. The chief examiner and examiner now members of the board of alien- ists shall be continued as the medical examiner and a deputy examiner of the bureau of deportation, at the same salaries now received by such examiners. (Thus amended by chapter 121, Laws of 1912). 20. Powers of commission as to detention of insane or apparently insane persons prior to commitment. The commission is charged with the duty of seeing that the laws relating to the detention, care and treatment of insane or apparently insane persons who are under examination as to their sanity or who are detained or confined pending commitment and prior to their transfer to institutions for the insane, are executed. The commission shall: 1. Make recommendations to and advise with health officers and other officers having duties to perform in respect to the detention, care and treatment of such insane or apparently insane persons, as to the per- formance of such duties and as to the requirements of places in which such persons are to be detained, and. relating generally to the pro- tection and promotion of the physical and mental welfare of such persons. 2. Visit or cause to be visited and inspected buildings rooms or other places permanently established in any city, village or town, as provided by law, for the detention or confinement of insane or*appar- ently insane persons, pending an examination as to their sanity, and prior to their transfer to an institution for the insane. 3. Examine into the qualifications of persons employed as provided 52 THE INSANITY LAW by law in the care of insane or apparently insane persons, pending their examination, commitment and transfer, and recommend the discharge, for reasons stated in writing, of persons so employed who are found by the commision to be imcompetent. 4. Employ a medical inspector and such other persons as may be necessary to carry into effect the purposes of this section. If upon an inspection, made as authorized by this section, it shall be ascertained that any building, room or place established and regularly used in any city, town or village for the detention and confinement of insane or apparently insane persons pending examination and commit- ment, and prior to transfer, does not conform to the requirements of law, or if the care and treatment of persons confined therein are inadequate, the commission shall make a recommendation in writing to the board or officer of the town, village or city whose duty it is to establish and maintain such building, room or place, describing the defect or failure and stating how the same shall be remedied. It shall be the duty of such board or officer to cause such defect or failure to be remedied so as to conform to such recommendations. If such .defect or failure is not so remedied within a reasonable time, the com- mission may apply to a justice of the supreme court at special term in the judicial district in which such building, room or place is situated for an order directing that such defect or failure shall be remedied as provided therein. At least ten days' notice of such application shall be given to the board or officer to whom such recommendation was made. If upon a hearing of such application it shall be ascertained that the recommendation of the commission is reasonable and in accordance with law, and has not been complied with, an order shall be granted directing such board or officer to make such alterations and provide such changes in the building, room, place, or methods of care and treatment complained of in the application, and describing specifically the alterations and changes directed to be made by such order. For the purpose of carrying into effect the provisions of this section, each commissioner, and any duly authorized agent of the commission, shall have free access to the buildings, rooms and places provided for the detention or confinement of insane or apparently insane persons, pending an examination as to their sanity and prior to their transfer to an institution for the insane. All persons connected with any such building, room or place shall give such information, and afford such facilities for examination and visitation thereof as the commission may desire. If any health officer or superintendent of a state hospital has knowledge of any violation of the law relating to the detention or confinement, care and treatment of an insane or apparently insane person on the part of a police officer or any other THE INSANITY LAW 53 municipal officer, he shall report the same to the commission, who may take such action in respect thereto as it shall deem proper. Pro- vided that nothing in this section shall apply to pavilion F of the Albany Hospital located in the city of Albany. (As amended by chapter 306, Laws of 1914) . ARTICLE III Institutions for the Care, Treatment and Custody of the Insane Section 40. State hospitals for the poor and indigent insane. 4o-a. Mohansic State Hospital. 41. Managers of state hospitals and their terms of office. 42. Appointment and removal of managers. 43. General powers and duties of boards of managers. 44. Officers. 45. General powers and duties of superintendent. 46. Special provisions relating to Long Island State Hospi- tal, Kings Park State Hospital, Central Islip State Hos- pital and Manhattan State Hospital. 47. Purchasing steward for Long Island State Hospital, Kings Park State Hospital, Manhattan State Hospital, and Central Islip State Hospital. 48. Meetings of superintendents. 49. Salaries of officers and wages of employees. 50. Salaries of certain officers and wages of certain employees prescribed. 51. Quarterly estimates of expenses; emergency fund. 52. Powers and duties of superintendent as treasurer. 53. Monthly statement of receipts and expenditures ; vouchers. 54. Action to recover mone^ys due the hospital. 55. General powers and duties of the steward. 56. Purchases and contracts. 57. Official oath. 58. Actions against commissioners in lunacy, managers or officers of state hospitals. 59. Private instittitions for the insane. 60. Recommendations of commission. 61. Visitors to state hospitals. 62. Manhattan State Hospital; lease of property. 63. Manhattan State Hospital; docks, ferry boats and removal of dead bodies. 54 THE INSANITY LAW 64. Acquisition of property for use of state hospitals by condemnation and otherwise. 65. Erection, alteration, repairs and improvements of state hospital buildings. 66. Streets and railroads through hospital lands. 40. State hospitals for the poor and indigent insane. There shall continue to be the following hospitals for the care and treatment of the poor and indigent insane of the state, who are citizens thereof, which are hereby declared to be corporations; but other insane persons, who are citizens of the state, may be admitted when there is room therein for them: 1. Utica State Hospital, in the city of Utica, in the county of Oneida. 2. Willard State Hospital, in the town of Ovid, in the county of Seneca. 3. Hudson River State Hospital, near the city of Poughkeepsie, in the county of Dutchess. 4. Buffalo State Hospital, in the city of Buffalo, in the county of Erie. 5. Middletown State Homeopathic Hospital, in the city of Middle- town, in the county of Orange. 6. Binghamton State Hospital, in the city of Binghamton, in the county of Broome. 7. Rochester State Hospital, in the city of Rochester, in the county of Monroe. 8. Saint Lawrence State Hospital, in the city of Ogdensburg, in the county of Saint Lawrence. 9. Gowanda State Homeopathic Hospital, in the town of Collins, in the county of Erie. 10. Brooklyn State Hospital, at Flatbush, in the borough of Brooklyn, in the city of New York. (Amended by Chapter 608, Laws of 1916) . 11. Manhattan State Hospital, on Ward's Island, in the city of New York. 12. Kings Park State Hospital, "at Kings Park, in the county of Suffolk. 13. Central Islip State Hospital, at Central Islip, in the county of Suffolk. 14. Mohansic State Hospital, at Yorktown Heights, in the county of Westchester. (Thus amended by chapter 121, Laws of 1912). 4o-a. The Mohansic State Hospital, at Yorktown, in the county of Westchester, is hereby established. The governor shall appoint, within ten days after the taking effect of this section, a board of managers for such hospital, to consist of seven members, of whom not less than two shall be women. The managers first appointed THE INSANITY LAW 55 hereunder shall serve for terms of one, two, three, four, five, six and seven years, respectively, from January first, nineteen hundred and ten, and their successors shall be appointed for full terms of seven years, as provided in the insanity law. The governor in making such first appointment shall designate the terms for which each manager is appointed. All the provisions of the insanity law relating to state hospitals for the insane shall apply to the hospital hereby established, except as herein otherwise provided, to the same effect and extent and in the same manner as such provisions apply to the other state hospitals for the insane. (Added by chapter 57, Laws of 1910.) 41. Managers of state hospitals and their terms of office. Each state hospital shall be under the control and management of a board of managers, subject to the statutory powers of the commission. The governor shall appoint such board to consist of seven members, of whom not less than two shall be women, for each state hospital. The terms of office of the members of the several boards as now con- stituted, of one, two, three, four, five, six and seven years, shall re- spectively expire on the thirty-first day of December in each year, dating from the year nineteen hundred and five. After the expira- tion of such terms managers shall be appointed for terms of seven years. If a vacancy occur otherwise than by expiration of term, the appointment of a manager to fill such vacancy shall be for the unexpired term of the manager whose office became vacant. 42. Appointment and removal of managers. The members of the boards of managers shall be appointed by the governor, by and with the advice and consent of the senate, as often as a vacancy shall occur by expiration of term, or otherwise; and they may severally continue in office until their successors are appointed and have qualified; and they shall be subject to removal by the governor after having been notified in writing of the reasons for the proposed removal, and hav- ing been given an opportunity to be heard. All managers shall reside in the hospital district in which the hospital is situated for which they are respectively appointed. At least a majority of the managers of the Central Islip State Hospital, and of the Kings Park State Hospital, shall be residents of the city of New York. No person shall be eligible to the office of manager who is either an elective state officer or a member of the legislature, and if any such manager shall become a member of the legislature or an elective state officer, his office as manager shall thereupon be vacant. The managers of the Middletown State Homeo- pathic Hospital and of the Gowanda State Homeopathic Hospital may be appointed from any portion of the state, and shall be adherents of homeopathy. If any manager fails for a period of six months to attend the regular meetings of the board of which he is a member, the secre- 56 THE INSANITY LAW tary of the board shall notify the governor of such absence, with any : explanation thereof which may be submitted by such manager, and unless the governor shall, within thirty days thereafter, notify the secretary that he has excused such manager for such absence, the office of such manager shall thereupon be deemed to be vacant; and if any manager fails for one year to attend such regular meetings, his office shall become vacant. When any such vacancy shall occur, the board by resolution shall so declare and a certified copy of such resolution shall forthwith be transmitted by the board to the commission and to the governor. In the month of January of each year the secretary of the board of managers shall transmit to the governor a statement showing the record of attendance of each manager at meetings of the board, the number and dates of visits to the hospital, with a state- ment of any other work for the hospital, performed by such manager, which such manager may request to have transmitted to the governor. 43. General powers and duties of boards of managers. Subject to the statutory powers of the commission, boards of managers shall have the general direction and control of all the property and internal affairs of the institutions for which they are respectively appointed, except as otherwise provided by law. The managers shall not receive any compensation for their services, but shall receive actual and necessary traveling and other expenses, to be paid after audit as other current expenditures of the hospital. Each board shall, in October of each year, elect from among its members a president and a secretary. The superintendent shall personally submit, at each monthly meeting of the board of managers, a report showing changes in population, health of patients, officers and employees; accidents, suicides, unusual sickness, infectious diseases; important occurrences relating to the welfare of the patients and to the management and discipline of the employees, and such other matters as the board may specify. Each board shall : 1. Take care of the general interests of the hospital and see that its design is carried into effect, according to law, and the by-laws, rules and regulations, made as hereinafter provided. 2. Maintain an effective inspection of the hospital, for which purpose the board, or a majority of its members, shall visit and inspect the hospital at least once each month. Each board shall make a written report to the commission and to the governor within ten days after each inspection, such report to be signed by each member making the inspection. Such report shall state in detail the condition of the hospital and of its inmates, and such other matters pertaining to the management and affairs thereof as in the opinion of the board should be brought to the attention of the commission or the governor, and THE INSANITY LAW 57 may contain recommendations as to needed improvements in the hos- pital or in its management. 3. Keep in a book provided for that purpose, a fair and full record of their doings, which shall be open at all times to the inspection of the governor of the state, the state hospital commissioners or any per- son appointed by the governor, the commission, or either house of the legislature to examine the same. 4. Hold regular meetings at least once each month, and cause to be typewritten within ten days after each such meeting, the minutes and proceedings of such meeting, and cause a copy thereof to be sent forthwith to each member of such board, to the commission and to the governor. 5. Enter in a book, kept at the hospital for that purpose, the date of each visit of each manager. 6. Make to the commission, in July of each year, a detailed report of the results of their visits and inspection, with suitable suggestions and such other matters as may be required of them by the com- mission, for the year ending on the thirtieth day of June preceding the date of such'report. Such report shall be prepared by a commit- tee of the board, subject to the approval of the board. (Thus amended by chapter 118, Laws of 1916). 7. Investigate, hear and determine the truth of all charges made against the superintendent or other officer or employee of a hospital, issue subpoenas and take and hear testimony in respect to such charges. A witness attending before such board shall be entitled to the same fees as a witness attending before a court of record or a judge thereof, which shall be paid as other hospital charges. The resident officers shall admit such managers into every part of the hos- pital and its buildings, and exhibit to them on demand all the books, papers, accounts and writings belonging to the hospital, or pertaining to its business, management, discipline or government, and furnish copies, abstracts and reports whenever required by them. (Thus amended by chapter 121, Laws of 1912). 44. Officers. The commission in lunacy, pursuant to the civil service .law and the rules and regulations of the state civil service commission, shall appoint, subject to the approval of the board of managers for each hospital, as often as a vacancy shall occur therein, a superin- tendent. Whenever a vacancy shall occur in the office of superintend- ent of any state hospital, the commission in lunacy, with the approval of the board of managers of such hospital, may transfer to such position the superintendent of any other state hospital, subject to the civil service law, and subject to the consent of the board of managers of such other state hospital. The superintendent shall be a well educated 58 THE INSANITY LAW physician and a graduate of an incorporated medical college, of at least five years* actual experience in an institution for the care and treatment of the insane. The superintendents and all assistant phy- sicians of homeopathic hospitals for the insane shall be homeopathic physicians, but such homeopathic physicians shall not be eligible to appointment in or transfer to state hospitals that are not for homeo- pathic treatment. Each superintendent shall be the treasurer of the state hospital for which he is appointed, unless the commission shall designate a person to act as treasurer as hereinafter provided, and before entering upon his duties as such treasurer shall file with the comptroller of the state his undertaking to the people in an amount .and with sureties to be approved by the state comptroller, to the effect that he will faithfully perform his trust as such treasurer. The super- intendent may be removed by a vote of a majority of the board of managers for cause stated in writing, after an opportunity has been given him to be heard thereon, and such action, when approved by the commission, shall be final. Pending the investigation of any charges against a superintendent, and the decision thereon, the board of managers may suspend such superintendent. The commission may prefer charges of misconduct or incompetency against any superin- tendent to the board of managers of the hospital of which he is super- intendent, and the board shall thereupon investigate the truth of such charges. The powers and duties of treasurer in each of the state hospitals may be conferred upon the superintendent thereof, or the 'Commission may designate a person in its office to act as treasurer for all the hospitals, who shall have the powers, and perform the duties of treasurer as to such hospital, as prescribed in this chapter, and shall perform such other duties as the commission may impose. The person -so designated, before entering upon the performance of his duties as such treasurer, shall file with the comptroller his undertaking in an amount and with sureties to be approved by him, to the effect that he will faithfully perform his trust as such treasurer. 45. General powers and duties of superintendent. The superin- tendent of each hospital shall be its chief executive officer, and in his .absence or sickness, the first assistant physician or other officer designated by the superintendent shall perform the duties, exercise the powers, and be subject to the responsibilities of the superintend- ent. Subject to the by-laws and regulations established as hereinaf- ter provided under the provisions of paragraph twelve of this section, the superintendent shall have general superintendence of the buildings, grounds and farm, together with their furniture, fixtures and stock, and the direction and control of all persons therein, and subject to such by-laws and regulations shall: THE INSANITY LAW 59 1. Personally maintain an effective supervision and inspection of all parts of the hospital and generally direct the care and treatment of the patients. To this end the superintendent shall make or cause to be made an examination of the condition of each patient, within five days after his admission to the hospital, and shall regularly visit all of the wards or apartments for patients at such times as the rules and regulations of the hospital shall prescribe. 2. Appoint such officers, including a woman physician and such employees as he may think proper and necessary for the economical and efficient performance of the business of the hospital, and prescribe their duties and, for cause stated in writing, after an opportunity to be Heard, discharge any of such employees in his discretion. The number of such officers and employees shall be determined from time to time by the commission. The commission may, with the approval of the governor, abolish the office of any such officers or employees. The superintendent may remove any officer, for cause stated in writing, after an opportunity to be heard, and such action shall be final. Upon any such removal he shall make a record thereof, with the reasons therefor, under the appropriate head in one of the books of the hospital. The commission may authorize the superin- tendent to appoint as officers a dentist, pharmacist, and the principal of the training school. The pharmacists already in the hospital ser- vice and participating in the benefits of the retirement fund for employees of the state hospitals as created by chapter fifty-nine of the laws of nineteen hundred and twelve, are hereby authorized to remain employees and continue to participate in the benefits of this act if they notify the retirement board as constituted by chapter fifty-nine, laws of nineteen hundred and twelve, within thirty days of the passage , of this amendment of their desire to continue as participants in such fund. The superintendent, assistant physicians, including the woman .physician, steward and matron shall constantly reside in the hospital, or on the premises, except as provided in section forty-nine of this chapter, and shall be designated the resident officers of the. hospital. The assistant physicians, including the woman physician, shall be graduates of an incorporated medical college, and shall possess such other qualifications as may be required by law. (Thus amended by chapter 618, Laws of 1915.) 3. Transmit, by mail, to the commission and to the president of the board of managers, within five days after any such discharge, in- formation of such discharge, and of the cause thereof. The commis- sion shall preserve the name of such officer, or employee, with the facts relating to his discharge, in a book provided for that purpose. 60 THE INSANITY LAW 4. Designate hospital attendants or employees to act as special police- men, whose duty it shall be, under the orders of the superintendent, to arrest and return to the hospital insane persons who may escape therefrom, and to preserve peace and good order in such hospital and to fully protect the grounds, buildings and patients. Such attendants and employees, acting as policemen, shall possess all the powers of peace officers on the grounds and premises of such hospital and to the extent of one hundred yards beyond such grounds. The desig- nation of such attendants and employees as special policemen, in pur- suance hereof, shall not be deemed to supersede, on the grounds and premises of such hospital, the authority of peace officers of the juris- diction within which such hospital is located. 5. Give such orders and instructions as he may deem best calculated to insure good conduct, fidelity and economy in every department of labor and expense. 6. Maintain salutary discipline among all who are employed in the institution and enforce strict compliance with his instructions and uniform obedience to all rules and regulations of the hospital. 7. Establish and supervise a training school for attendants and nurses, under rules and regulations of the hospital. 8. Shall cause to be held at least two meetings of the medical staff each week, at which the condition of patients, especially those recetttly admitted, shall be considered, and matters of medical service generally shall be given attention. The superintendent shall cause a complete clinical record to be made of each patient, to be kept in such form and to comprise such matters as the commission may direct. 9. Cause full and fair accounts and records of the entire business and operations of the hospital, to be kept regularly, from day to day, in books provided for that purpose. 10. See that all such accounts and records are fully made up to the last day of June in each year, and that the principal facts and results, with his report thereon, are presented to the board of managers within thirty days thereafter, who shall incorporate it in their report to the commission. The commission may prescribe the form of and the subjects to be embraced in such reports. Such superintendent shall make other reports at such times, in such manner and in respect to such matters as the board of managers or the commission may direct. (Thus amended by chapter 118, Laws of 1916). 11. Keep a book, in which he shall cause to be entered at the time of reception of any patient, his name, residence and occupation, and the date of such reception, by whom brought and by what authority and on whose petition committed, and an abstract of all orders, war- INSANITY LAW 61 rants, requests, petitions, certificates and other papers accompanying: such persons. u-a. Establish and maintain in connection with his hospital, sub- ject to the approval of the state hospital commission, one or more out-patient departments or dispensaries within the hospital district of such state hospital, and assign to duty in any such department or dispensary members of the medical staff, nurses or other employees of the hospital, and make such necessary expenditures as may be re- quired therefor, subject to the approval of the commission. (Thus amended by chapter 626, Laws of 1913). 12. A committee consisting of three superintendents to be appointed by the commission shall establish by-laws, rules and regulations gov- erning the appointment and duties of officers and employees of all the state hospitals, and for the internal government, discipline and man- agement of the same. Such by-laws, rules and regulations shall be subject to the approval of the commission and of the quarterly confer- ence of superintendents and managers with the commission as provided in section forty-eight -of this act. Such by-laws, rules and regulations shall be uniform for all the state hospitals, and shall not be inconsistent with the provisions of this chapter nor with the pro- visions of the civil service law and the rules and regulations established thereunder. The by-laws, rules and regulations established by the state commission in lunacy and in force* on the first day of April, nine- teen hundred and five shall continue in force except as they may here- after be modified, amended or repealed as provided by this chapter. (Thus amended by chapter 121, Laws of 1912.) 46. Special provisions relating to Brooklyn State Hospital, Kings Park State Hospital, Central Islip State Hospital, and Manhattan State Hospital. The hospital heretofore known as the Long Island State Hospital is divided into two parts. The part located at Kings Park shall be known as Kings Park State Hospital; the part located at Flatbush in the borough of Brooklyn, city of New York, shall be known as Brooklyn State Hospital. The hospital heretofore known as the Manhattan State Hospital is divided into two parts. The part located on Ward's Island, in the city of New York, shall be known as Manhattan State Hospital. The part located at Central Islip shall be known as Central Islip State Hospital. Each part of each of such hospitals shall, except as otherwise provided in this chapter, be deemed a separate and independent state hospital and all the provisions of this chapter relating to the management, maintenance and control of state hospitals and the appointment of resident officers, attend- ants and employees therein shall apply to each such state hospital. Patients shall be committed to and' received at the Brooklyn State 5 62 THE INSANITY LAW Hospital, the Kings Park State Hospital, the Central Islip State Hos- pital, and the Manhattan State Hospital in accordance with rules to be established by the state hospital commission. The commission may also adopt rules regulating the transfer of such patients from one to another of such hospitals. (Thus amended by chapter 608, Laws of 1916). 47. Purchasing steward for Brooklyn State Hospital, Kings Park State Hospital, Manhattan State Hospital, and Central Islip State Hospital. The office of purchasing steward for the Brooklyn State Hospital, Kings Park State Hospital, Manhattan State Hospital and Central Islip State Hospital, as heretofore established by the commis- sion, is hereby abolished. The resident steward or the assistant steward of each of such hos- pitals shall become the steward of the respective hospital which he now serves and his rank in the service shall be reckoned as though he had occupied the office of steward during the time that he has served as resident steward or assistant steward, and he shall possess all the powers and perform all the duties conferred or imposed on stewards of state hospitals by this chapter. (Thus amended by chapter 608, Laws of 1916.) 48. Meetings of superintendents. The superintendents or other officers of the several state hospitals designated by them shall meet, at least once in every three months, upon the call of the commission, at the office of the commission in Albany, or at such other place as may be designated by it, to consult with such commission with refer- ence to matters relating to the care and operations of the state hos- pitals and particularly with reference to the care and treatment of the insane. Each board of managers may, in its discretion, send one or more of its members to such meetings. (Thus amended by chapter 121, Laws of 1912.) 49. Salaries of officers and wages of employees. The state hospital commission, from time to time shall fix, subject to the approval of the legislature the annual salaries of the resident officers of the state hos- pitals, which shall be uniform for like service. They shall classify the other officers and employees into grades, and, except as provided by section fifty of this chapter, shall determine, subject to the approval of the legislature, the salaries and wages to be paid in each grade, which shall be uniform in all the hospitals. The salaries and wages shall be included in the estimates and paid in the same manner as other expenses of the state hospitals. Food supplies shall be allowed to officers and employees and the families of the superintendent, first assistant physicians, directors of clinical psychiatry, pathologists and stewards, and where quarters are available in the judgment of the THE INSANITY LAW 63 superintendent, such maintenance may also be allowed senior assistant physicians, assistant physicians, and assistant stewards, at state hos- pitals having not less than four thousand patients, subject to the approval of the commission. Such families shall consist only of the wives and minor children of such officers. No other persons, except those regularly employed, shall be allowed rooms and maintenance, ex- cept at a rate to be fixed by the commission ; such supplies shall be drawn from the supplies provided for general hospital use. With the approval of the commission, officers or employees of state hospitals may be permitted to live outside of such hospitals, and shall receive such sums in lieu of the quarters or supplies furnished by the hospitals, as may be equitable. (Thus amended by chapter 797, Laws of 1920.) 50. Salaries of certain officers and wages of certain employees prescribed. The officers or employees of the state hospitals now or hereafter classified as occupying offices or positions specified in the schedule at the end of this section shall hereafter receive the salaries or wages per month indicated opposite the name or title of such officer or position, except that where a minimum and maximum rate per month is prescribed, advancement from the minimum to the maximum shall be in accordance with the length of service, as prescribed in such schedule. If a minimum and maximum rate per month is not prescribed in such schedule, the salary or wages per month of such officer or employee shall be the amount indicated opposite the name or title of such office or position. Where an in- crease of salary or wages is allowed at a certain rate per month or otherwise for continuous service, continuous service performed prior to the time this section, as hereby amended, takes effect, in the same position or employment, shall be deemed a part of the continuous ser- vice in determining the salary or wages to which such officer or em- ployee shall be entitled under this section. When employees are allowed to board and lodge away from the hospital on account of lack of accommodations in the institution a uniform rate of not less than twenty-four dollars per month shall be allowed in addition to the regular monthly wages, and this amount shall be apportioned at the rate of six dollars per month for each meal and six dollars per month for lodging. Heads of families living outside of the institution shall be allowed an additional sum of eight dollars per month, which shall apply to lodging only. Such employees shall, subject to the approval of the commission, be allowed the privileges granted to employees residing in the hospital. In all cases where a minimum and maxi- mum rate of wage is scheduled for any given position, the increase from minimum to maximum will be made at the rate of four dollars per month for each six months of continuous service, and the first of 64 THE INSANITY LAW the month nearest the date of employment shall be the date from which the first six months of employment shall be reckoned. Where a telegraph office is maintained in an institution an extra compensation of ten dollars per month shall be allowed to the person performing the service of operator. When an employee is promoted to a position where the maximum wage of the position from which he goes equals the minimum wage of the position to which he goes, the time served in the lower position at the maximum wage shall count as time served in the higher position at the minimum wage, provided that if the minimum wage of therjosi- tion to which an employee is transferred or promoted is less than the maximum wage of the position from which the employee is transferred the employee shall receive no less than the maximum wage of the position from which the employee was transferred. SCHEDULE OF SALARIES AND WAGES i. ADMINISTRATION DEPARTMENT PORTION Wages per month Minimum Maximum Stenographer, first grade $8400 $10000 Stenographer, second grade 72 oo 84 oo Stenographer, special attendant. 62 oo 70 oo Secretary and stenographer 100 oo Clothing clerk 75 oo Clothing clerk's assistant 62 oo 70 oo Watchman 62 oo 70 oo Policemen , 62 oo 70 oo Barber 75 oo Coachman 80 oo Driver 48 oo 56 oo Page or messenger 30 oo Chief transfer agent 7400 8200 Chauffeur, first grade 80 oo Motor truck driver, special attendant 62 oo 70 oo Only one secretary and stenographer and one clothing clerk allowed in any institution. Only one male and one female chief transfer agent will be allowed in any hospital. 2. FINANCIAL DEPARTMENT POSITION Wages per month Minimum Maximum Bookkeeper $11000 $126 oo Bookkeeper paymaster 120 oo 136 oo Accountant 100 oo 11600 Voucher and treasurer's clerk 84 oo 96 oo Storekeeper 84 oo 100 oo Assistant storekeeper 62 oo 70 oo Stenographer, first grade . . . , 84 oo 100 oo Stenographer, second grade 72 oo 84 oo Stenographer, special attendant 62 oo 70 oo Page and messenger 3000 THE INSANITY LAW 65- 3. WARD SERVICE POSITION Chief supervisor Supervisor Charge or registered nurse. Nurse Charge attendant Attendant Special attendant Wages per month Minimum Maximum $96 oo 86 oo 74 oo 64 oo 64 oo $84 oo 74 oo 62 oo 56 oo 56 oo 44 oo 62 oo 56 oo 70 oo Special attendants shall be assigned to skilled work only. Only one male and one female chief supervisor will be allowed in any hospital. An attendant, nurse or supervisor performing night service shall be entitled to four dollars per month in addition to the regular wages. POSITION 4. DOMESTIC 'SERVICE Wages per month Minimum Maximum Housekeeper $56 oo $64 oo Waitress and chambermaid 44 oo 56 oo 5. KITCHEN SERVICE Wages per month Minimum 'Maximum Chef, or dietitian $125 oo Head cook 8& 06 Cook 60 06 Assistant cook 56 oo Kitchen helper , $44 oo 56 oo 6. BAKERY SERVICE pom-rmv Wages per month Minimum Maximum Head baker $90 oo Baker ' 70 oo Bakers' helper $4400 . 5600 7. MEAT CUTTERS POSITION Wages per month Minimum Maximum Meat cutter -. $90 oo Meat cutter's assistant, special attendant.. $6200 70 oo Only one meat cutter allowed in any institution. 66 THE INSANITY LAW 8. LAUNDRY SERVICE POSITION Wages per month Minimum Maximum Laundry supervisor $11000 Laundry overseer 90 oo Launderer $50 oo 62 oo Head laundress 52 oo 64 oo Laundress 44 oo 56 oo Only one laundry supervisor allowed in any institution. 9. ENGINEER'S DEPARTMENT POSITION Wages per month Minimum Maximum Chief engineer $14400 $16000 Assistant engineer, first grade 96 oo 112 oo Assistant engineer, second grade 82 oo 90 oo Electrical engineer : 1 10 oo 126 oo Assistant electrical engineer, first grade.. 9600 11200 Assistant electrical engineer, second grade. 8200 9000 Electrical worker -82 oo Assistant electrical worker 72 oo 80 oo Linemen 62 oo 70 oo Plumber and steam fitter 9200 10800 Assistant plumber 72 oo 80 oo Assistant steam fitter 72 oo 80 oo Plumber and steam fitter's helper 62 oo 70 oo Fireman 72 oo 80 oo 10. BUILDING DEPARTMENT Wages per month Minimum Maximum Master mechanic $144 oo $160 oo Supervising carpenter 1 10 oo 126 oo Head carpenter 92 oo ^108 oo Carpenter. 82 oo 90 oo Head painter 92 oo 108 oo Painter 82 oo 90 oo Assistant painter, special attendant 62 oo 70 oo Mason .'.... 1 10 oo 126 oo Plasterer 92 oo 108 oo Roofer or tinsmith 92 oo 10800 THE INSANITY LAW 67 ii. INDUSTRIAL DEPARTMENT Wages per month Minimum Maximum Shop foreman $8200 $9000 Tailor 82 oo 90 oo Shoemaker 82 oo 90 oo Photographer 72 oo 80 oo Helpers in the mechanical and industrial departments may be appointed from the grades of attendants and special attendants. 12. FARM AND GROUNDS DEPARTMENT Wages per month Minimum Maximum Farm supervisor $11000 $126 oo Farm manager 92 oo 108 oo Head farmer and charge ol grounds 92 oo 100 oo Head farmer 82 oo 90 oo Dairyman 72 oo 80 oo Farmer 5 68 oo Herdsman 56 oo 6800 Poultryman 62 oo 74 oo Gardener 72 oo 80 oo Florist 7600 9000 Driver 4800 5600 Laborer 48 oo 56 oo Blacksmith 82 oo 90 oo 13. MARINE SERVICE, MANHATTAN STATE HOSPITAL POSITION Dockmaster $100 oo Assistant dockmaster. . . 80 oo 14. RAILROAD DEPARTMENT, WILLARD STATE HOSPITAL Wages per month Minimum Maximu: Trackman $62 oo $70 oo 68 THE INSANITY LAW 2. The sum of one million one hundred arid twenty thousand dollars ($1,120,000.00) or so much thereof as may be necessary, is hereby appro- priated out of any moneys in the state treasury not otherwise appro- priated, to carry out the provisions of this act. The moneys appropriated shall be paid out by the state treasurer on the warrant of the comp- troller in the mariner provided by law for the payment of moneys appropriated for the compensation of employees affected by this act. (Thus amended by chapter 697, Laws of 1920.) 51. Quarterly estimates of expenditures; emergency fund. The superintendent of each of the state hospitals shall, once in each three months as the commission may determine, cause to be prepared tripli- cate estimates in such detail, as may be required by the commission, of the expenditures required by the hospital of which he is the superintendent, for the ensuing three months. He shall submit two of such triplicates to the commission and file the third copy in the office of the superintendent. The commission may revise esti- mates for supplies or other expenditures either as to quantity, quality, or the estimated cost thereof, and shall certify that it has care- fully examined the same and that the expenditures contained in such estimates, as approved or revised by it, are actually required for the use of the hospital, and shall thereupon present such estimate and certificate to the comptroller. Upon the revision and approval of such estimate by the commission, the comptroller shall authorize the superintendent as treasurer, or such other officer as the commission may designate as provided in this chapter, to make drafts on the comptroller, as the money may be required for the purposes mentioned in such estimates, which drafts shall be paid on the warrant of the comptroller, out of the funds in the treasury of the state held for the care of the insane and the maintenance of state hospitals. In every such estimate, there shall be a sum named, not to exceed one thousand dollars, as an emergency fund for which no minute detailed statement need be made. No money shall be expended for the use of any of the state hospitals, except as provided in this sec- tion. And except that a sum not exceeding two thousand dollars may, when authorized by the comptroller, be set apart by the commission to each hospital as a commutation ticket fund, to be used under the direction and control of the superintendent for the purchase of com- mutation tickets. Such tickets shall be sold at cost under the direction of the superintendent, for the use of the hospital. The amount received from the sale of such tickets shall be paid into such fund and shall be available for the purchase of additional tickets as above provided. Libraries may be furnished to any state hospital by the regents of the University of the state of New York, THE INSANITY LAW 69 subject to regulations adopted by them and the commission, the expense of which shall be included in the quarterly estimates of the hospitals. Any general expenses necessarily incurred by the commission for or on account of the state hospitals shall be apportioned to such hospitals on the basis of the number of patients, and included in the estimates of such hospitals, made as provided in this section under the direction of the commission. (Thus amended by chapter 768, Laws of -1911.) 52. Powers and duties of superintendent as treasurer. The super- intendent as treasurer of such hospital, or such officer as may be des- ignated as treasurer by the commission as provided in this chapter, shall, subject to the rules and regulations of the commission,, per- taining to his duties as treasurer: 1. Have the custody of all moneys received from the comptroller on account of estimates made by the superintendent and revised and approved by the commission, and keep an accurate account thereof. 2. Have the custody of all bonds, notes, mortgages and other securi- ties and obligations belonging to the hospital. 3. Receive all money for the care and treatment of private and reimbursing patients and other sources of revenue of the hospital; but where a designation of a person as treasurer is made as provided by this chapter, the steward shall receive all such money and transmit the same, once each week, to the person so designated as treasurer, and report the amount so transmitted to the superintendent. 4. Deposit all money received from :the comptroller on account of estimates in a bank designated by the comptroller in his name as treasurer, and send each month to the comptroller and to the com- mission a statement, showing the amount so received and deposited, and from whom and for what received, and when such deposits were made. Such statement of deposit shall be certified by the proper officer of the bank receiving such deposit. The superintendent as treasurer, or other officer designated as treasurer by the commission, as provided in this chapter, shall make an affidavit to the effect that the sum so deposited is all the money received by him, from any source of hospital income, to the date of the last deposit appearing on such statement. A bank designated by the comptroller to receive such deposits shall, before any deposit is made, execute a bond to the people of the state, in a sum approved by the comptroller, for the safe , keeping of the funds deposited. 5. Pay out the money deposited for the uses of the state hospital, upon the voucher of the stewafd; where a person has been designated as treasurer, as provided in this chapter, such voucher shall be countersigned by the superintendent. 70 THE INSANITY LAW 6. Keep full and accurate accounts of all receipts and payments, in the manner and according to books and forms prescribed and fur- nished by the commission. 7. Balance all accounts on his books, annually, for the year ending on the last day of June, and make a statement thereof and an abstract of the receipts and payments of the past year and deliver the same, within thirty days, to the commission. (Thus amended by chapter 118, Laws of 1916). 8. Render an account of the state of the books and the funds and other property in his custody, whenever required by the commission. 9. Execute a release and satisfaction of a mortgage, judgment or other lien or debt in favor of the hospital, when paid. 10. Receive all moneys for or on account of the sale of lands of the hospital of which he is the treasurer. 53. Monthly statement of receipts and expenditures; vouchers. The superintendent as treasurer of each state hospital, or such other officer as may be designated as treasurer by the commission, as pro- vided in this chapter, shall, on or before the fifteenth day of each month, make to the comptroller and to the commission a full and perfect statement of all the receipts and expenditures, specifying the several items, for the last preceding calendar month. Such state- ment shall be verified by the affidavit of the treasurer attached thereto, in the following form: I, , treasurer of the state hospital, do solemnly aver that I have deposited in the bank desig- nated by law for such purpose, all the moneys received by me on account of the hospital during the last month, and I do further swear that the foregoing is a true abstract of all the moneys received and payments made by me or under my direction as such treasurer during the month ending on the day of , 19 ... There shall also be forwarded to the commission the affidavit of the steward, to the effect that all goods and other articles for which vouchers are rendered were purchased and received by him, or under his direction, at the hospital; that the goods were purchased at a fair cash market price and paid for in cash, or on credit, not exceed- ing sixty days, and that he, or any person in his behalf, had no pecuniary or other interest in the articles purchased; that he received no pecuniary or other benefit therefrom in the way of commission, percentage, deductions or presents, or in any other manner whatever, directly or indirectly; that the articles for which vouchers are ren- dered were received at the hospital; that they were conformed in all respects to the invoiced goods received and ordered by him, both in quality and quantity. Such vouchers shall be examined by the com- THE INSANITY LAW 71 mission and compared with the estimates made for the month for which the statement is rendered, and if found correct shall be endorsed and forwarded by the commission, with the statement, to the comptroller. If any voucher is found objectionable, the comp- troller shall endorse his disapproval thereon, with the reason therefor, and return it to the commission, who shall present it to the superintend- ent for correction, and when corrected return it to the comptroller. All such vouchers shall be filed in the office of the comptroller. 54. Action to recover moneys due the hospital. The superintend- ent or treasurer of any state hospital may bring an action or a special proceeding in the name of the hospital, to recover for the use thereof: 1. The amount due upon any note or bond in his hands belonging to the hospital. 2. The amount charged and due for the support of any patient therein, or for actual disbursements made in his behalf for necessary clothing and traveling expenses, and to enforce any liability created by statute for the care and support of the insane. 3. Upon any cause of action accruing to the hospital. (Thus amended by chapter 389, Laws of 1910.) 55. General powers and duties of the steward. The steward, under the direction of the superintendent, and subject to the rules and regu- lations of the hospital, shall be accountable for the careful keeping and economical use of all furniture, stores and other articles pro- vided for the hospital, and under the direction of the superintendent, and subject to such rules and regulations, shall : 1. Make all purchases for the hospital, except as otherwise provided in this chapter, and preserve the original bills and receipts thereof, and keep full and accurate accounts of the same. 2. Prepare and keep the pay-rolls of the hospital. 3. Keep the accounts for the support of patients and expenses incurred in their behalf, and furnish the treasurer statements thereof as they fall due. 4. Notify the treasurer of the death or discharge of any reimbursing or pay patient, within five days after such death or discharge. 5. Where agricultural products are raised on grounds under the jurisdiction of the state hospital commission, the hospital, subject to the approval of such commission, may exchange such products for canned products of canning factory in the town in which such agricul- tural products are raised. (Thus amended by chapter 293, Laws of 1915.) [The following section while not definitely repealed has been practi- cally superseded by Chapter 400, Laws of 1918.] 56. Purchases and contracts. All purchases of supplies for the use 72 THE INSANITY LAW of the hospital shall be made for cash or on credit or time, not exeeedr ing sixty days; every voucher shall be duly filled out, and with every abstract of vouchers paid, there shall be proof on oath that the voucher was properly filled up and the money paid. No expenditure for sup- plies or other purposes shall be made for the benefit of such hospital, by contract or otherwise, unless in conformity with the provisions of this chapter in relation to estimates. No member of the commission, manager or officer of a hospital shall be interested, directly or indi- rectly, in the furnishing of material, labor or supplies for the use of the hospital, nor shall any such manager or officer act as attorney or counsel for such hospital. The commission shall from time to time appoint a purchasing committee, to consist of three superintendents and two stewards, who shall serve as such purchasing committee and, subject to the approval of the commission^ shall determine what arti- cles of supplies it is practicable and desirable to purchase by .joint contracts for the state hospitals, also the character and qualities of such supplies; and, subject to the approval of the commission, draw specifications and enter into contracts for the supplies to be purchased jointly and have' samples and supplies tested chemically or otherwise for the purpose of determining their quality. Contracts shall be let to the lowest responsible bidder. All bids may be rejected. The purchasing committee shall determine the period for which such con- tracts shall be let, except that no contract shall be let for a period longer than one year. A determination to purchase any article by joint contract shall be binding upon all the hospitals, except that any hospital may be exempted by the commission from the requirement to purchase any such article. Such contracts shall not be let except in conformity with the provisions of this chapter relating to estimates. The state hospitals may manuf acture such supplies and materials to be used in any of such hospitals as can be economically made therein. All goods for the use of the hospitals shall be bought, as far as prac- ticable, of manufacturers or their immediate agents. All contracts, if let, shall, subject to the provisions of section fifty-one relating to esti- mates, be awarded to the lowest responsible bidders. A member of the commission or an officer, manager or employee of a state hospital shall not receive a gift or reward for himself or the hospital from any person, firm or corporation dealing in goods, or supplies suitable or necessary for the -use of the hospital. All purchases and contracts made and executed in pursuance of law, prior to June first, nineteen hundred and five, shall thereafter be given full force and effect, not- withstanding the change in the management of the state hospitals. (Thus amended by chapter 768, Laws of 1911.) '>'- 57, Official oath. Each superintendent affd steward- of a hospital, THE INSANITY LAW 73 before entering upon his duties as such, shall take the constitutional oath of office and file the same in the ofnce of the secretary of state. 58. Actions against'State hospital commissioners, managers or offi- cers of state hospitals. No civil action shall be brought in any court against the commission or a state hospital commissioner, or an officer or a manager of a state hospital, for alleged damages because of any act done or failure to perform any act, while discharging his official duties, withotit leave of a judge of the supreme court, first had and obtained. Any just claim for damages against such commission or commissioner, officer, manager, or employee for which the state would be legally or equitably liable, may be paid out of any moneys appropriated for the care of the insane. (Thus amended by chapter 121, Laws of 1912.) 59. Private institutions for the insane. No person, association or corporation shall establish or keep an institution for the care, cus- tody or treatment of the insane, for compensation or hire, without first obtaining a license therefor from the commission. Nor shall an insane patient be received and retained for treatment for compensation or hire in any institution for the care and treatment of persons suffering from diseases other than mental, unless such a license shall have been so obtained. Every application for such a license shall be accompanied by a plan of the premises proposed to be occupied, describing the capacity of the buildings for the uses intended, the extent and location of grounds appurtenant thereto, and the number of patients proposed to be received therein, with such other information, and in such form, as the commission may require. The commission shall not grant any such license without first having made an examination of the premises proposed to be licensed, and being satisfied that they are substantially as described, and are otherwise fit and suitable for the purposes for which they are designed to be used, and that such license should be granted. The commission may, at any and all times, examine and ascertain how far a licensed institution is conducted in compliance with the license therefor, and after due notice to the institution and opportunity for it to be heard, the commission having made a record of the proceeding upon such hearing, may, if the interests of the inmates of the institution so demand, for just and reasonable cause then appearing and to be stated in its order, amend or revoke any such license by an order to take effect within such time after the service thereof upon the licensee, as the commission shall determine. This section shall not apply to a public general hospital making pro- vision in a pavilion or special wards for the care, nursing and observa- tion or temporary detention of alleged insane patients, or patients pending commitment to a state hospital or an institution licensed by 74 THE INSANITY LAW the state commission in lunacy. (1?hus amended by chapter 329, Laws of 1910.) 60. Recommendations of commission. The authorities of each institution for the insane shall place on file in the office of the institu- tion, the recommendations made by the commissioners as a result of their visits, for the purpose of consultation by such authorities, and for reference by the commissioners upon their visits. 61. Visitors to state hospitals. Justices of the supreme court are authorized to appoint visitors to state hospitals, upon nomination of the state charities aid association, as provided by law. 62. Manhattan State Hospital; lease of property. The transfer of the institutions, formerly known as the New York City Asylums for the Insane, to the custody and control of the Manhattan State Hospital, made pursuant to chapter two of the laws of eighteen hundred and ninety-six, and the lease and conveyance described in section two of such chapter are hereby ratified and confirmed. The lease of the island known as Ward's Island, together with all the buildings and improve- ments thereon and the equipment, fixtures "and furniture of the asylums for the insane located on such island, executed as prescribed in section two of chapter two of the laws of eighteen hundred and ninety-six, shall continue and remain in full force and effect until the same shall either be surrendered by the state or terminated by the city of New York. Such lease may be surrendered at any time by the state, or the same may be terminated by the city of New York by fif- teen years' notice, in writing, signed by the mayor of such city, to the comptroller of the state. If such lease is terminated by the city of New York, the city shall pay to the state, the value, at the time of such termin- ation, of all buildings that may have been erected and of all improve- ments that may have been made by the state on the premises as to which the lease is terminated. The amount so to be paid shall be determined by appraisement of five competent, disinterested persons, two of whom shall be named by the governor, two by the mayor of the city of New York, and the fifth by the four persons so named. In case such lease is surrendered or terminated, as provided in this section or otherwise, adequate provision shall thenceforth be made by the state for the care and custody of all insane persons who may be inmates of the institu- tion affected. 63. Manhattan State Hospital; docks, ferry boats and removal of dead bodies- After notice has been given to the board of managers of the Manhattan State Hospital and an opportunity has been afforded them for a hearing, the commission is hereby authorized to acquire by purchase or by lease, for the use of the Manhattan State Hospital in the city of New York, at some point as nearly opposite Ward's Island THE INSANITY LAW 75 as may be available, a dock which shall be suitable for the purpose of a landing and a depot for the general use of the hospital; also to purchase or lease one or more suitable steamboats to be used for the conveyance of patients and supplies to and from such hospital. Until the state provides a cemetery for the use of the hospital the commis- sioner of public charities of the city of New York shall continue to remove the dead bodies of insane patients from Ward's Island, and to provide for the burial of the unclaimed dead as prescribed by law prior to the passage of chapter two of the laws of eighteen hundred . and ninety-six, and also to afford transportation by their steam ferry boats for such bodies as are claimed by friends at the hospital, such removal to be made within twenty-four hours after receipt of notice from the superintendent of the Manhattan State Hospital. 64. Acquisition of property for use of state hospitals by condemna- tion and otherwise. The state hospital commission may acquire, under the condemnation law, such real estate, right or interest therein as may be necessary for the construction, maintenance and accommo- dation of a state hospital, if unable to agree with the owner thereof for its purchase. The proceedings for the purpose of acquiring such real estate, right or interest therein, shall be instituted and maintained in the name of the people of the state of New York, by the attorney- general or by such counsel as the governor or attorney-general may designate for that purpose, upon the certificate of such commission as to the necessity of acquiring such real estate, right or interest therein, approved and endorsed by the governor. The commission may acquire and hold in the name of and for the people of the state of New York, by grant, gift, devise or bequest, property to be applied to the maintenance of insane persons in and for the general use of a hospital. (Thus amended by chapter 121, Laws of 1912). 65. Erection, alteration, repairs and improvements of state hospital buildings. All plans and specifications for the erection, alteration, repairs and improvements of state hospital buildings shall be pre- pared by the state architect, but the supervising engineer of the state commission in lunacy may, when directed by the commission, prepare plans and specifications for the installation, alteration, repairs and improvements of the mechanical appliances and fixtures in the existing state hospitals, which before adoption shall be approved by the state architect. The state commission in lunacy shall adopt or reject any such plans or specifications and no such work shall be begun until the plans and specifications therefor have been adopted, but before the adoption thereof the commission shall submit the same to the board of managers of such hospital, and shall allow such board a period of not less than fifteen, and not more than sixty days in which to submit a 76 THE INSANITY LAW statement of their opinions and suggestions in regard thereto. i Con- tracts for such erection, alteration, repairs and improvements as may be let by the commission, subject to the approval of the governor and comptroller, for the whole or any part of the work to be performed, and in the discretion of the commission such contracts may be sublet. Special orders for such work in amounts less than one thousand dollars may be issued by the state architect upon authorization by the commission. The commission shall determine to what extent and for what length of time advertisements are to be inserted in newspapers for proposals for the erection, alteration, repairs or improvements of state hospital buildings. . A preliminary deposit, or certified check drawn upon some legally incorporated bank in this state shall in all cases be required as an evidence of good faith upon all proposals for buildings, alterations, repairs or improvements, to be deposited with the treasurer of the hospital for which the work is to be performed, in an amount to be determined by the state architect, but the work done by special orders in an ajnount less than one thousand dollars need have no such deposit or check provided payment is to be made only after the work is completed and approved. All contracts in an amount greater than one thousand dollars shall have the performance thereof secured by a sufficient bond or bonds to be approved by and filed with the commission. In all cases in which the contracts to be let are for the purpose of connecting any such institution with the system or line or lines maintained or operated by any public service corporation or repairing or improving any such connection, such public service corporation shall not be required to make the preliminary deposit or to give the certified check upon submitting its proposal as hereinbe- fore provided, nor to give any bond for the performance of the work, nor shall any advertising for proposals be necessary where the public service corporation is to perform the work. The work or erection, alteration, repairs or improvements of any building or plant may be done by the employment of inmate or outside labor, either or both, and by the purchase of materials in the open market whenever in the opinion of the commission and state architect such course shall be more advantageous to the state, but no compensation shall be allowed for the employment of inmate labor. Where money is appropriated for any specific purpose other than maintenance and the work, materials, furniture, apparatus or other supplies are not to be performed or purchased pursuant to contract or special order duly made therefor, such money shall be expended pursuant to special fund estimates made to the commission by the superintendent of the hospital for which such appropriation is made. The law governing the revision of estimates of the expenditures THE INSANITY LAW 77 required for the state hospitals for the insane shall apply to such esti- mates, and when such work is to be performed in accordance with the plans and specifications prepared by the state architect or is to be paid for from appropriations for the erection, alteration, repairs or improve- ments of buildings or plant, such estimates shall also be subject to his approval. Except as above specified all such work shall be done by contract or special order. The form of the contract or special order shall be prescribed by the state architect. All payments on contracts or special orders shall be made on the certificate of the state architect approved by the commission as the work progresses or the purchase of material is made and upon bills duly certified. No item of an appro- priation made for the performance of such work shall be available except for advertising unless one or more contracts, special orders or special fund estimates shall first have been made for the completion of such work within the appropriation therefor. All contracts for the erection, alteration, repairs or improvements of hospitals shall contain a clause that the contract shall only be deemed executory to the extent of the moneys available, and no liability shall be incurred by the state beyond the moneys available for the purpose. If an appropriation be made for the erection, alteration, repairs or improvements of buildings or plant in an appropriation act specifying two or more objects for which the appropriation is made and any one of such objects shall have been accomplished for a sum less than the amount specified in the act, the unexpended balance shall be applicable to the completion of any other work specified in the act, provided that after due advertisement no bids shall have been received within the amount specifically appro- priated therefor. (Thus amended by chapter 768, Laws of 1911.) 66. Streets and railroads through hospital lands. No public street or road for railroad or other purposes shall be opened through the lands of a state hospital, unless the legislature by special law consents thereto. ARTICLE IV Commitment, Custody and Discharge of the Insane Section 80. Order for commitment of an insane person. 81. Medical examiners in lunacy; certificates of lunacy. 82. Proceedings to determine the question of insanity. 83. Review of proceedings and order of commitment. 84. Costs of commitment. 85. Liability for care and support of poor and indigent insane. 86. Liability for the care and support of the insane other than the poor and indigent. 6 78 THE INSANITY LAW 87. Duties of local officers in regard to their insane. 88. Duty of committee and others to care for the insane ; appre- hension and confinement of a dangerous insane person. 89. Patients admitted under special agreement. 90. Entries in case book. 91. Transfer of patients, when hospital is overcrowded. 92. Investigation into the care and treatment of the insane. 93. Habeas corpus. 94. Discharge of patients. 95. Clothing and money to be furnished discharged patients. 96. Transfer of non-resident patients. 97. Insane Indians. 98. Sale of unclaimed personal property of discharged or deceased patients. 99. Voluntary patients in state hospitals. 80. Order for commitment of an insane person. A person alleged to be insane, and who is not in confinement on a criminal charge, may be committed to and confined in an institution for the custody and treatment of the insane, upon an order made by a judge of a court of record of the city or county, or a justice of the supreme court of the judicial district, in which the alleged insane person resides or may be, adjudging such person to be insane, upon a certificate of lunacy made by two qualified medical examiners in lunacy, accompanied by a veri- fied petition therefor, or upon such certificate and petition, and after a hearing to determine such question, as provided in this article. The commission shall prescribe and furnish blanks for such certificates and petitions, which shall be made only upon such blanks. An insane person shall be committed only to a state hospital, a duly licensed institution for the insane, or the Matteawan State Hospital, or to the care and custody of a relative or committee, as hereinafter provided. No idiot shall be committed to or confined in a state hospital. But any epileptic or. feeble-minded person becoming insane may be com- mitted as an insane person to a state hospital for custody and treat- ment therein. 81. Medical examiners in lunacy; certificates of lunacy. The certificate of lunacy must show that such person is insane and must be made by two reputable physicians, graduates of an incorporated medical college, who have been in the actual practice of their profes- sion at least three years, and have filed with the commission a certified copy of the certificate of a judge of a court of record, showing such qualifications in accordance with forms prescribed by the commission. Such physicians shall jointly make a final examination of the person alleged to be insane within ten days next before the granting of the THE INSANITY LAW 79 order. The date of the certificate of lunacy shall be the date of such joint examination. Such certificate of lunacy shall be in the form prescribed by the commission, and shall contain the facts and circum- stances upon which the judgment of the physicians is based and show that the condition of the person examined is such as to require care and treatment in an institution for the care, custody and treatment of the insane. Neither of such physicians shall be a relative of the person applying for the order, or of the person alleged to be insane, or a manager, superintendent, proprietor, officer, stockholder, or have any pecuniary interest, directly or indirectly, or be an attending physician in the institution to which it is proposed to commit such person. 82. Proceedings to determine the question of insanity. i. Any per- son with whom an alleged insane person may reside or at whose house he may be, or the father or mother, husband or wife, brother or sister, or the child of any such person, or the next of kin available, or the committee of such person, or an officer of any well-recognized charita- ble institution or home, or any overseer of the poor of the town, or superintendent of the poor of the county in which any such person may be, may apply for such order, by presenting a verified petition containing a statement of the facts upon which the allegation of insanity is based, and because of which the application for the order is made. Such petition shall be accompanied by the certificate of lunacy of the medical examiners, as prescribed in the preceding section. No- tice of such application shall be served personally, at least one day before making such application, upon the person alleged to be insane, and if made by an overseer or superintendent of the poor, also upon the husband or wife, father or mother or next of kin of such alleged insane person, if there be any such known to be residing within the county, and if not, upon the person with whom such alleged insane person may reside, or at whose house he may be. The judge to whom the application is to be made may dispense with such personal service, or may direct substituted service to be made upon some per- son to be designated by him. He shall state in a certificate to be attached to the petition his reason for dispensing with personal service of such notice, and if substituted service is directed, the name of the person to be served therewith. The judge to whom such application is made may, if no demand is made for a hearing in behalf of the alleged insane person, proceed forthwith to determine the question of insanity, and if satisfied that the alleged insane person is insane, may immediately issue an order for the commitment of such person to an institution for the custody and treatment of the insane. If, however, it appears that such insane 8o THE INSANITY LAW person is harmless and his relatives or a committee of his person are willing and able to properly care for him, at some place other than such institution, upon their written consent, the judge may order that he be placed in the care and custody of such relatives or such com- mittee. Such judge may, in his discretion, require other proofs in addition to the petition and certificate of the medical examiners. Upon the demand of any relative or near friend in behalf of such alleged insane person, the judge shall, or he may upon his own motion, issue an order directing the hearing of such application before him at a time not more than five days from the date of such order, which shall be served upon the parties interested in the application and upon such other persons as the judge, in his discretion, may name. Upon such day, or upon such other day to which the proceeding shall be regularly adjourned, he shall hear the testimony introduced by the parties and examine the alleged insane person if deemed advisable, in or out of court, and render a decision in writing as to such person's insanity. If it be determined that such person is insane, the judge shall forthwith issue his order committing him to an institution for the custody and treatment of the insane, or make such other order as is provided in this section. If such judge can not hear the application he may, in his order directing the hearing, name some referee, who shall hear the testimony and report the same forthwith, with his opinion thereon, to such judge, who shall, if satisfied with such report, render his decision accordingly. If the commitment be made to a state hospital, the order shall be accompanied by a written statement of the judge as to the financial condition of the insane person and of the persons legally liable for his maintenance as far as can be ascertained. The superin- tendent of such state hospital shall be immediately furnished with such commitment, and he shall, at once, make provisions for the transfer of such insane person to such hospital. The petition of the applicant, the certificate in lunacy of the medical examiners, the order directing a further hearing as provided in this section, if one be issued, and the decision of the judge or referee, and the order of commitment shall be presented at the time of the commit- ment to the superintendent or person in charge of the institution to which the insane person is committed and verbatim copies shall be forwarded by such superintendent or person in charge and filed in the office of the state hospital commission and in the office of the clerk of the county in which the insane person resides. The judge, how- ever, shall order all such papers so filed in the county clerk's office sealed and exhibited only to the parties to the proceedings, or some- one properly interested, upon order of the court. The relative, or committee, to whose care and custody any insane person is committed, THE INSANITY LAW 81 shall forthwith file the petition, certificate and order, in the office of the clerk of the county where such order is made, and transmit a cer- tified copy of such papers, to the commission and procure and retain another such certified copy. The superintendent or person in charge of any institution for the care and treatment of the insane may refuse to receive any person upon any such order, if the papers required to be presented shall not comply with the provisions of this section, or if in his judgment, such person is not insane within the meaning of this statute, or if received, such person may be discharged by the commission. No person shall be admitted to any such institution under such order after the expiration of ten days from and inclusive of the date thereof. Notwithstanding the requirements of this section that an alleged insane person be duly committed by an order of the court, in a case where the condition of such person is such that it would be for his benefit to receive immediate care and treatment, or where there is no other proper place available for his care and treatment, or if he is dangerously insane so as to render it necessary for public safety that he be immediately con- fined, he shall be forthwith received by a state or licensed private institution authorized by law to care for the insane. In such case such insane person shall be so received by such institution upon a certificate of lunacy, executed by two medical examiners in lunacy after the examination and in the manner provided in the preceding section, and upon a petition made by the person authorized by this section to apply to a court for an order of commitment. By virtue of such certificate of lunacy and such petition such insane person may be retained in such institution for a period not to exceed ten days. Prior to the expiration of such time an order for his commit- ment must be obtained in the manner provided by this section. The certificate of lunacy executed by such physicians must contain ade- quate reasons why the insane person should be immediately received in an institution for the insane for treatment. The superintendent or person in charge of any such institution may refuse to receive such in- sane person upon such certificate and petition, if in his judgment the reasons stated in the certificate are not sufficient or the condition of the patient is not of such character, as to make it necessary that the patient should receive immediate treatment. (Thus amended by chapter 506, Laws of 1919). 2. The superintendent of any state hospital for the insane may, when requested by a health officer, receive and care for in such hos- pital as a patient, for a period not exceeding ten days, any person who needs immediate care and treatment because of mental derangement other than delirium tremens or drunkenness. Such request foradmis- 82 THE INSANITY LAW sion of a patient shall be in writing and shall be filed at the hospital at the time of his reception, together with a statement in a form pre- scribed or approved by the state hospital commission giving such information as said commission may deem appropriate. Any such patient who is deemed by the superintendent not suitable for such care shall, upon the formal request of the superintendent, be removed forthwith from the hospital by the health officer requesting his recep- tion, and, if he is not so removed, the town, city or county in which the patient has a legal settlement as provided by article four of chap- ter forty r six of the laws of nineteen hundred and nine, and in case such person has gained no legal settlement then the county in which such person may be previous to the time of admission, shall be liable forthwith for all reasonable expenses incurred under the provisions of this subdivision on account of such patient. Unless the patient shall sign a request to remain as a voluntary patient under the provisions of section ninety-nine of this chapter, the health officer making applica- tion shall cause such patient to be examined by two medical examiners in lunacy, qualified as provided in the preceding section, and it found insane shall cause him to be duly committed by any judge of a court of record, or, if found sane, shall cause him to be removed therefrom before the expiration of said period of ten days. Reasonable expenses incurred for the examination of the patient and his transportation to and from the hospital shall be allowed and certified by the judge or justice ordering the commitment and shall be a charge upon the town, city or county as provided in this subdivision. A report of the admis- sion of a patient for observation under the provisions of this sub- division, together with copy of formal statement of health officer shall be mailed to the state hospital commission within twenty-four hours after such admission. (Thus amended by chapter 307, Laws of 1914). 83. Review of proceedings and order of commitment. If a person ordered to be committed, pursuant to this chapter, or any relative or friend in his behalf, be dissatisfied with the final order of a judge or justice committing him, he may, within thirty days after the making of such order, obtain a rehearing and a review of the proceedings already had and of the order of commitment, upon petition to a justice of the supreme court other than the justice making the order of com- mitment, who shall cause a jury to be summoned as in the case of proceedings for the appointment of a committee for an insane person where the question of fact arising upon the competency of the person is tried by a jury, and shall try the question of the insanity of the per- son so committed in the same manner as provided in said proceedings. If such petition for rehearing and review be made by any other than THE INSANITY LAW 83 the person so committed or the father, mother, husband, wife or child of such person or the person with whom the person committed was residing at the time of such commitment or accustomed to reside, be- fore such rehearing or review shall be had, the petitioner shall make a deposit or give a bond, to be approved by a justice of the supreme court, for the payment of the costs and expenses of such rehearing, review and determination of the question of insanity by a jury as aforesaid, if the order of commitment is sustained. If the verdict of the jury be that such person is sane, the justice shall forthwith dis- charge him, but if the verdict of the jury be that such person is in- sane, the justice shall certify that fact and make an order of recommit- ment as upon the original hearing. Such order shall be presented, at the time of the recommitment of such insane person, to, and filed with, the superintendent or person in charge of the institution to which the insane person is committed and a copy thereof shall be forwarded to the commission by such superintendent or person in charge and filed in the office thereof. Proceedings under the order shall not be stayed pending an appeal therefrom, except upon an order of a justice of the supreme court, and made upon a notice and after a hearing, with pro- visions made therein for such temporary care or confinement of the alleged insane person as may be deemed necessary. If a judge or jus- tice shall refuse to grant an application for an order of commitment of an insane person proved to be dangerous to himself or others, if at large, he shall state his reasons for such refusal in writing, and any person aggrieved thereby may obtain a rehearing and review and the determination of the question of insanity by a jury in the same manner and under like conditions as from an order of commitment. (Thus amended by chapter 155, Laws of 1909.) 84. Costs of commitment. The costs necessarily incurred in de- termining the question of the insanity of a poor or. indigent or other person under this chapter, or under section twenty-six of chapter four hundred and forty-six of the laws of eighteen hundred and seventy- four, including the fees allowed by the judge or justice ordering the commitment to the medical examiners or medical witnesses called by him and other necessary expenses, and in securing the ad- mission of such person into a state hospital and the expense of provid- ing proper clothing and proper medical care and nursing, for such person in accordance with the rules and regulations adopted by the commission, shall be a charge upon the town, city or county securing the commitment; but in the city of New York all fees of medical examiners and medical witnesses appointed or called by a judge of any court in said city for the purpose of determining the question of the insanity of any such person, and not heretofore paid, may be audited 84 THE INSANITY LAW and allowed in the first instance either by the judge or justice appointing the medical examiners or by the comptroller of said city and shall be paid by the chamberlain of said city on the warrant of the comptroller from the court fund and charged to the proper county within said city. If the person sought to be committed is not a poor or indigent person, the costs and expenses of the proceed- ing to determine his insanity and secure his commitment paid by any town, city or county may be collected by it from the estate of such per- son, or from the persons legally liable for his maintenance, and the same shall be a charge upon the estate of such person, or the same shall be paid by the persons legally liable for his maintenance. The compensation or fees and expenses of health officers for duties per- formed in respect to the examination, confinement, care and treat- ment of insane or alleged insane persons, as required by this act, shall in each case be determined and allowed by the judge or justice order- ing the commitment or hearing the application, and shall be a charge upon the town, city or county in which such persons reside or maybe. If the fees and expenses so determined and allowed are a charge upon the county or town, such judge or justice shall issue a certificate stating the amount thereof, to whom to be paid, and whether a charge upon the county or a town, and if the latter, the name of the town, which shall be presented to the county treasurer and be paid by him out of any moneys available for such purpose. The county treasurer shall report the amount paid by him on account of such fees and ex- penses to the board of supervisors, and the amount thereof which is chargeable against any town in the county shall be levied against the taxable property thereof in the same manner as other town charges are levied. If there is no money in the county treasury available for the payment of such fees and expenses, the county treasurer is hereby authorized and directed to borrow on the credit of the county a sum sufficient to pay such fees and expenses, and may issue certificates of indebtedness therefor, the principal and interest of which, at a rate not exceeding six per centum, shall be binding upon the county, and shall be paid in the same manner as other county obligations. If the com- pensation or fees and expenses of health officers as so determined and allowed are a charge upon a city they shall be paid in the same manner as the other expenses of the health department or bureau in such city. (Thus amended by chapter 608, Laws of 1910, in effect October i, 1910.) 85. Liability for care and support of poor and indigent insane. All poor and indigent insane persons not in confinement under crim- inal proceedings, shall, without unnecessary delay, be transferred to a state hospital and there wholly supported by the state. The costs necessarily incurred in the transfer of patients to state hospitals shall THE INSANITY LAW 85 be a charge upon the state. The commission shall, except as herein- after provided, secure from the patient's estate and from rela- tives or friends who are liable or may be willing to assume the costs of support of inmates of state hospitals supported by the state, reimbursement at the rate fixed by the commission, in whole or in part, of the money thus expended, either directly or through the superintendents or treasurers of the respective hos- pitals, as provided in section fifty-four of this chapter. The commis- sion may, in its discretion, waive the whole or a portion of the claim of the state for the cost of the support of a patient against the estate of such patient, whenever the court by which a committee was appointed shall have directed such committee to apply any part of the patient's estate for the maintenance of his family. The commis- sion may appoint agents, whose duty it shall be to secure from relatives and friends who are liable therefor, or who may be willing to assume the cost of support of any inmate of a state hospital who is being supported by the state, reimbursement, in whole or in part, of the money so expended. The compensation of each agent shall be fixed by the commission on either an annual or per diem basis, provided that the annual compensation shall not exceed twenty-five hundred dollars, nor the per diem compensation eight dollars a day. Each agent shall receive his necessary traveling and other incidental expenses incurred by him, to be approved by the comptroller. The commission may fix the rate to be paid for the support of an inmate of a state hos- pital by the committee of such inmate or by relatives liable for such support or by those not liable for such support, but willing to assume the cost thereof; but such rate shall be sufficient to cover a proper proportion of the cost of maintenance and of necessary repairs and improvements. The maintenance of any inmate of a state hospital committed thereto upon a court order arising out of any criminal action, shall be paid by the county from which such inmate was committed. 2. The sum of nineteen hundred dollars ($1,900) is hereby appro- priated out of any moneys in the state treasury not otherwise appropriated, for the purpose of carrying into effect the provisions of this act. (Thus amended by chapter 488, Laws of 1919, in effect July i, 1919.) 86. Liability for the care and support of the insane other than the poor and indigent. The father, mother, husband, wife and children of an insane person, if of sufficient ability, and the committee or guardian of his person and estate, if his estate is sufficient for the purpose, shall cause him to be properly and suitably cared for and maintained. The commission and the health officer of the city, town or village 86 THE INSANITY LAW where any such insane person may be, or in the city of New York and in the county of Albany, the commissioners of public charities, may inquire into the manner in which any such person is cared for and maintained; and if, in the judgment of any of them, he is not properly or suitably cared for, may apply, or cause application to be made, to a judge of a court of record for an order to commit him to a state hospital under the provisions of this article, but such order shall not be made unless the judge finds and certifies in the order that such insane person is not properly or suitably cared for by such relative or committee, or that it is dangerous to the public to allow him to be cared for and maintained by such relative or committee. The costs and charges of the commitment and transfer of such in- sane person to a state hospital shall be paid by the committee, or the father, mother, husband, wife or children of such person, to be re- covered in an action brought in the name of the people by the com- mission, or in the name of the county, city or town, where such insane person resides or may be, by the proper officer thereof, or in the city of New York or in the county of Albany in the name of the commis- sioner of public charities. In all claims of the state upon relatives liable for the support of a patient, or upon moneys or property held by said patient, the state shall be deemed a preferred creditor. (Thus amended by chapter 608, Laws of 1910, in effect October 1/1910.) 87. Duties of local officers in regard to their insane. All county superintendents of the poor, overseers of the poor, health officers and other city, town or county authorities, having duties to perform relating to the poor, are charged with the duty of seeing that all poor and in- digent insane persons within their respective municipalities, are timely granted the necessary relief conferred by this chapter. The poor officers or authorities above specified, except in the city of New York and in the county of Albany, shall notify the health officer of the town, city or village of any poor or indigent insane or apparently insane per- son within such municipality whom they know to be in need of the relief conferred by this chapter. When so notified, or when otherwise informed of such fact, the health officer of the city, town or village, except in the city of New York and the county of Albany, where such insane or apparently insane person may be, shall see that proceedings are taken for the determination of his mental condition and for his commitment to a state hospital. Such health officer may direct the proper poor officer to make an application for such commitment, and, if a qualified medical examiner, may join in making the required cer- tificate of lunacy. When so directed by such health officer it shall be the duty of said poor officer to make such application for commit- ment. When notified or informed of any poor or indigent insane or THE INSANITY LAW 87 apparently insane person in need of the relief conferred by this chapter, such* health officer shall provide for the proper care, treatment and nursing of such person, as provided by law and the rules of the com- mission, pending the determination of his mental condition and his commitment and until the delivery of such insane person to the attend- ant sent to bring him to the state hospital, as provided in this chapter. In the boroughs of Manhattan and the Bronx, in the city of New York, it shall be the duty of the trustees of Bellevue and allied hospitals, and in the boroughs of Brooklyn, Queens and Richmond, in the city of New York and also in the county of Albany, it shall be the duty of the commissioner of public charities to see that all poor and indigent insane or apparently insane persons in such boroughs or county, re- spectively, are properly cared for and treated. It shall also be the duty of such trustees of Bellevue and allied hos- pitals, or the commissioner of public charities of the city of New York or the county of Albany, to see that proceedings are taken for the de- termination of the mental condition of any such person in the boroughs or county mentioned, who comes under their observation or is reported to them as apparently insane, and, when necessary, to see that pro- ceedings are instituted for the commitment of such person to an insti- tution for the care of the insane; provided that such report is made by any person with whom such alleged insane person may reside, or at whose house he may be, or by the father, mother, husband, wife, brother, sister, or child of any such person, or next of kin available, or by any duly licensed physician, or by any peace officer, or by a representa- tive of an incorporated society doing charitable or philanthropic work. When the trustees of Bellevue and allied hospitals are thus informed of an apparently insane person, residing in the boroughs of Manhattan or the Bronx, or when the commissioner of public charities of the city of New York is thus informed of an apparently insane person residing in the boroughs of Brooklyn, Queens or Richmond, it shall be the duty of these authorities, respectively, to send a nurse or a medical examiner in lunacy, attached to the psychopathic wards of their respective insti- tutions, or both, to the place where the alleged insane person resides or is to be found. If, in the judgment of the chief resident alienist of the respective psychopathic wards or of the medical examiner thus sent, the person is in immediate need of care and treatment or obser- vation for the purpose of ascertaining his mental condition, he shall be removed to such psychopathic ward fora period not to exceed ten days, and the person or persons most nearly related to him, so far as the same can be readily ascertained by such trustees, or commissioner, shall be notified of such removal. When an order of commitment has been made as provided in this 88 THE INSANITY LAW chapter, such health officer, or, in the city of New York and in the county of Albany, the authorities above specified in their respective boroughs or county, shall see that such insane persons are, without unnecessary delay, transferred to the proper institutions provided for their care and treatment as the wards of the state. Before sending a person to any such institution, they shall see that he is in a state of bodily cleanliness and comfortably clothed with suitable or new cloth- ing, in accordance with the regulations prescribed by the commission. Each patient shall be sent to the state hospital, within the district em- bracing the county from which he is committed, except that the com- mission may, in its discretion, direct otherwise, but private or public insane patients, for whom homeopathic care and treatment may be desired by their relatives, friends or guardians, may be committed to the Middietown State Homeopathic Hospital, or the Gowanda State Homeopathic Hospital, from any of the counties of the state, in the discretion of the judge granting the order of commitment; and the hospital to which any patient is ordered to be sent shall, by and under the regulations made by such commission, send a trained attendant to bring the patient to the hospital. Each female committed to any in- stitution for the insane shall be accompanied by a female attendant, unless accompanied by her father, brother, husband or son. The commission may, by order, direct that any person it deems unsuitable therefor shall not be so employed or act as such attendant. After the patient has been delivered to the proper officers of the hospital, the care and custody of the municipality from which he is sent shall cease. . In no case shall any insane person be confined in any other place than a state hospital or duly licensed institution for the insane, for a period longer than ten days, nor shall such person be committed as a disorderly person to any prison, jail or lock-up for criminals. Except in the city of New York and the county of Albany, the health officer of the town, village or city wherein an insane or alleged insane person may be shall see that such person is cared for in a place suitable for the comfortable, safe and humane confinement of such person, pending the determination of the question of his sanity and until his transfer to a state hospital or some other proper institution for the insane as pro- vided in this chapter. Such person, shall not be confined in any such place without an attendant in charge of him, and the said health officer shall select some suitable person to act as such attendant. The proper authorities of any such town, city or county may provide a permanent place for the reception and temporary confinement, care and nursing of insane or alleged insane persons which shall conform in all respects to the rules and requirements of the commission; all poor and indigent insane persons received at any such place for investigation THE INSANITY LAW 89 of their mental condition or pending commitment and transfer to a state hospital shall be maintained therein at the expense of such town, city or county. Any person, apparently insane, and conducting him- self in a manner which in a sane person would be disorderly, may be arrested by any peace officer and confined in some safe and comfortable place until the question of his sanity be determined, as prescribed by this chapter. The officer making such arrest shall immediately notify the health officer of the town, village or city, except in the city of New York and in the "coimty of Albany, who shall forthwith take proper measures for the determination of the question of the insanity of such person, and for his proper care and treatment as provided in this section, pending his transfer to an institution for the insane. Whenever in the city of New York an information is laid before a magistrate that a per- son is apparently insane the magistrate must issue a warrant directed to the sheriff of the county in which the information is made, or any marshal or policeman of the city of New York, reciting the substance of the information, and commanding the officer forthwith to arrest the person alleged to be insane, and bring him before the magistrate's court out of which the warrant was issued. If iipon arraignment it appears to the magistrate presiding that the person so arraigned before him is apparently insane it shall be the duty of the magistrate, if such informa- tion is laid in the boroughs of Manhattan and the Bronx, to commit such apparently insane person to the care and custody of the board of trustees of Bellevue and allied hospitals at Bellevue hospital, and therein kept in a safe and comfortable place until the question of his sanity be determined as prescribed by this chapter, and in the boroughs of Brooklyn, Queens and Richmond the said magistrate shall commit such apparently insane person to the care of the commissioner of public charities who shall keep such person in a safe and comfortable place until the queston of his sanity be determined as herein prescribed. Whenever in the city of New York a person is committed as apparently insane as above provided it shall be the duty of the board of trustees of Bellevue and allied hospitals or the commissioner of public charities, as the case may be, to forthwith take proper measures for the deter- mination of the question of the insanity of such person. (Thus amended by chapter 380, Laws of 1919) . 88. Duty of committee and others to care for the insane; appre- hension and confinement of a dangerous insane person. When an insane person is possessed of sufficient property to maintain himself, or his father, mother, husband, wife or children are of sufficient ability to maintain him, and his insanity is such as to endanger his own person, or the person and property of others, the committee of his person and estate, or such father, mother, husband, wife or children must pro- vide a suitable place for his confinement, and there maintain him in QO THE INSANITY LAW such manner as shall be approved by the health officer of the town, village or city where he is confined, and in accordance with the rules of the commission. The health officers of towns, villages and cities, or in the boroughs of Manhattan and the Bronx in the city of New York the board of trustees of Bellevue and allied hospitals, and in the boroughs of Brooklyn, Queens and Richmond in said city, and also in the county of Albany, the commissioner of public charities are re- quired to see that the provisions of this section are carried into effect in the most humane and speedy manner. Upon the refusal or neglect of a committee, guardian or relative of an insane person to cause him to be confined, as required in this chapter, the officers named in this section shall apply, or cause appli- cation to be made, to a judge of a court of record of the city or county, or to a justice of the supreme court of the judicial district in which such insane person may reside or be found, who, upon being satisfied, upon proper proofs, that such person is dangerously insane -and improperly cared for or at large, shall issue a precept to one or more of the officers named, commanding them to apprehend and con- fine such insari^ person in some comfortable and safe place; and such officers in apprehending such insane person shall possess all the powers of a peace officer executing a warrant of arrest in a criminal proceeding. Unless an order of commitment has been previously granted, such officers shall forthwith make, or cause to be made, application for the proper order for his commitment to the proper institution for the care, custody and treatment of the insane, as author- ized by this chapter, and if such order is granted, such officer shall take the necessary legal steps to have him transferred to such insti- tution. Pending such transfer the health officer of the proper town, village or city, and, in the city of New York and the county of Albany, the officers above named for the respective boroughs or county shall see that such insane person is cared for in a suitable place and is pro- vided with proper medical care and nursing. The cost and expense incurred by the health officer in the performance of his duties under this section shall, when allowed by the judge or justice ordering the commitment, be a charge against the town, city or county liable for the costs of the commitment of an insane person under this chapter and shall be paid in the manner prescribed by section eighty-four of this chapter. 88-a. Expenses where patient is found sane or not committed. All costs, expenses, compensation and examiners' or medical fees, to- gether with the fees of health officers, incurred under the foregoing sections eighty-two, eighty-four, eighty-seven and eighty-eight shall be determined, allowed and paid in the manner therein specified whether the patient be found sane or insane and whether or not the patient be committed. (Added by chapter 598, Laws of 1920.) THE INSANITY LAW 91 89. Patients admitted under special agreement. The commission may authorize the superintendent of a state hospital to admit thereto under special agreement, insane patients, who are residents of the state, other than poor and indigent insane persons, when there is room for such insane therein. But no patient shall be permitted to occupy more than one room in any state hospital. Such patients, when so received shall be subject to the general rules and regulations of the hospital'. The commission shall fix the rates to be charged for the maintenance of such insane persons in a state hospital, the payment of which shall be secured by a surety company bond, which shall be approved by the commission, or by payment in advance in the discretion of the commis- sion, and bills therefor shall be collected monthly. The superintend- ent may recommend to the commission the removal of such insane patients to duly licensed private institutions and the commission shall have power in its discretion to compel such removal. (Thus amended by chapter 568, Laws of 1918.) 90. Entries in case book. Every superintendent or other person in charge RULES AND REGULATIONS Ward admission record (24 Med.) Ward notes (25 Med.) Temperature charts (26 Med.) Monthly record of pupil nurses (29 Med.) Record of pupil nurses, junior year (30 Med.) Record of pupil nurses, senior year (31 Med.) Record of physical examinations (34 Med.) Clinical record of examination of eyes (35 Med.) Gynecological charts (36 Med.) Card record of patients on ward (37 and 38 Med.) Voluntary applications (41 Med.) Record of blood examinations (42 Med.) Record of hydrotherapeutic treatments (43 Med.) Dentist's daily record (45 Med.) Card record of patients admitted (46 or 55 Med.) Detailed monthly report of patients on ward (47 Med.) Card record of paroles (50 or 51 Med.) Attendant's daily report (58 Med.) Night attendant's report (59 Med.) Supervisor's daily report (60 and 61 Med.) Physician's daily report (62 and 63 Med.) Prescription record (89 Med.) Laboratory examination of urine (100 Med.) Daily restraint and seclusion record (102 Med.) Autopsy record (103 and 104 Med.) STEWARD'S RECORDS Titles and Form Numbers Quarterly estimates (2, 3, 4 Std.) Estimates for extraordinary improvements (5 Std.) Order blanks (10, 11, 12, 13 Std.) Record of goods received (15 Std.) Record of outgoing shipments (16 Std.) Vouchers (18, 19, 20 Std.) Requisition on storekeeper for merchandise (22 Std.) Requisition on storekeeper for clothing (23 Std.) .Exchange requisitions (24 Std.) Repair orders (25 Std.) Daily summary of requisitions (26 Std.) RULES AND REGULATIONS 201 Weekly summary of requisitions (27 Std.) Merchandise ledger (28 Std.) Record of work in process (29 Std.) Foreman's receipt (30 Std.) Daily record of articles produced (31 Std.) Employees' record card (33 Std.) Employees' salary vouchers (34, 36, 36, 37 Std.) Record of charges patients accounts (42 Std.) Cash book (43 Std.) Reimbursing patients' ledger (44 Std.) Report of receipts from reimbursing patients (46, 47 Std.) Report of moneys received by steward (48 Std.) Steward's report of refunds and sale of uniform material (49 Std.) Voucher register (50 Std.) Record of garden produce (52 Std.) Consumption of farm products (53, 54, 55 Std.) Farm accounting, debit sheet (56 Std.) Farm accounting, credit sheet (57 Std.) Register of farm accounts (58 Std.) Meat cutters daily report (61 Std.) Daily report of bakery (62 Std.) Mechanics' daily employment record (63 Std.) Farm accounting, daily time report (64 Std.) Farm accounting, time summary for month (65 Std.) Cook's daily report (66 Std.) Record of patient's property (67 Std.) Engineer's report (69 Std.) Report of waste and usable food returned from dining room and kitchen (71 Std.) Steward's receipt of articles delivered to relatives of patient .(73 Std.) Receipt forms for cash deposited for patients (74 Std.) Storekeeper's report of merchandise received (78 Std.) Steward's "Quotation Sheet" (79 Std.) Receipts and disbursements of manufacturing department (83 Std.) Report of manufacturing department (84 Std.) Record of incoming private packages (88 Std.) 202 RULES AND REGULATIONS Report of reimbursing and private 'patients (89 Std.) Weekly milk record (91 Std.) Yearly milk record by months (92 Std.) Retirement card (94 Std.) Weekly dietary (95 Std.) Proposal for furnishing supplies (96 Std.) Record of sales for patients re-education fund (97 Std.) Patients' fund ledger (98 Std.) Dynamo station report (99 Std.) Farm accounting and monthly summary of credits from daily reports (101 Std.) Electric light station, daily report (103 or 104 Std.) Coal analysis (106 Std.) GENERAL, ORDER No. 44 STATE HOSPITALS Reports to be submitted by State hospitals 1. An annual report of the operations of the hospital in the form prescribed by the Commission shall be submitted at the close of each year. 2. Statistical data cards of admissions, discharges and deaths shall be forwarded monthly to the statistician of tfre Commission. Such cards shall be prepared in accordance with the directions given in the " Statistical Guide " issued by the Commission. (General Order No. 6.) 3. A morithly report of the movement of patients shall be submitted to the Commission within ten days after the close of each month. (Form 103 Adm.) (General Order No. 6.) 4. A yearly report of the movement of patients shall be submitted to the Commission within twenty days after the close of the fiscal year. (Form 4 s. H. c.) (General Order No. 6.) 5. Each hospital shall submit classified estimates in detail of the expenditures required for the quarterly periods beginning' October 1, January 1, April 1, and July 1 of each year. Forms 2, 3 and 4 Std.) Such estimates shall be submitted at least one month prior to the day on which they are to become effective. (General Order No. 7.) 6. Special funds estimates for additions and improvements other than those paid for from maintenance appropriations shall RULES AND REGULATIONS 203 be submitted and approved before work thereon is undertaken. (Form 5 Std.) (General Order No. 7.) 7. An inventory of all maintenance supplies on hand at the close of the fiscal year shall be submitted to the auditor of the Commission within twenty days thereafter. (Form 122 Adm.) (General Order No. 7.) 8. An annual farm census report for the calendar year as outlined ,in form supplied by the Department of Agriculture shall be submitted to the auditor of the Commission as soon after December 31 as possible. (General Order No. 7.) 9. A monthly report of hospital population including officers, employees, and patients shall be submitted to the auditor of the Commission not later than the fifth of the succeeding month. (Form 26 Adm.) (General Order No. 7.) 10. A report of the quarterly consumption of farm products shall be submitted to the auditor of the Commission not later than the tenth of each month following the close of the quarterly period covered. (Forms 53 and 54 Std.) (General Order No. 7.) 11. Steward's monthly reports of receipts shall be submitted to the treasurer of the Commission on the third of each month. (Form 46 Std.) (General Order No. 8.) 12. Steward's monthly reports of payrolls shall be submitted to the treasurer of the Commission not later than the fifth of each month. (Form 47 Std.) (General Order No. 8.) 13. A report of the service of legal papers on patients together with a copy of such papers shall be reported to the collection attorney of the Commission immediately after such service. (General Order No. 9.) 14. A report of all patients whose accounts are delinquent shall be submitted to the collection attorney of the Commission at the end of each month. (General Order No. 9.) 15. Accidents, injuries and escapes shall be reported in duplicate to the Commission immediately after their occurrence. (Form 159 Adm.) (General Order No. 12.) 16. Absences of superintendents from the hospital of twenty-four hours or more shall be reported immediately upon their return. (General Order No. 20.) 204 RULES AND REGULATIONS 17. A report of^ all new cases of communicable disease occurring in the hospital during the month shall be submitted to the Commission at the close of each month. (Form 37 s. H. c.) (General Order No. 24.) 18. A report giving data concerning alien and nonresident patients shall be submitted to the Bureau of Deportation promptly after the admission of such patients. (Form 133- Adm.) (General Order No. 30.) 19. A list of the patients admitted each month shall be sent in triplicate to the Commission and one copy to the Bureau ot Deportation, at the close of the month. (Form 45-Adm.) (General Order No. 30.) 20. A list of all patients discharged during each month shall be submitted to the Commission at the close of the month. (General Order No. 31.) 21. A quarterly report of all cases of restraint and seclusion shall be submitted to the Commission at the end of each quarter. (Form 102-Med.) (General Order No. 34.) 22. The discharge of any officer or employee shall be reported promptly to the Commission. (General Order No. 36.) 23. General statistical repofts of the finances and operations of the hospitals shall be submitted at the close of each fiscal year on blanks to be furnished by the Commission. 24. Each hospital shall report to the Purchasing Committee the estimated quantity of certain supplies required for the period covered by the contract to be made by such committee. (Form 19 s. H. c.) 25. Each hospital shall report to the Purchasing Committee the completion of every contract entered into by the committee, together with a statement concerning the manner in which the contract has been fulfilled. 26. Each hospital shall report to the Purchasing Committee every failure on the part of a contractor to fulfill an agreement entered into with such committee. 27. A monthly report of the activities of the out-patient department of each hospital shall be submitted to the Commission at the close of each month. (Form 50 s. H. c.) (General Order No. 45.) 28. A copy of the monthly report of the social worker of RULES AND REGULATIONS 205 each hospital shall be submitted to the Commission at the close of each month. (Form 51 s. H. c.) (General Order No. 46.) 29. A copy of the weekly report of the chief engineer shall be submitted to the Commission at the end of each week. (Form 121-Std.) (General Order No. 47.) 30. A report of the service ratings of the employees in the competitive class in each hospital shall be submitted to the Commission at the close of the four-month periods ending October 31, February 28, and June 30 of each year. (Form 43 S. H. c.) (General Order No. 48.) GENERAI, ORDER No. 45 STATE HOSPITALS Out-patient departments The superintendent of every State hospital maintaining an out-patient department shall cause adequate records to be kept of the activities of such department, and shall submit a monthly report thereof to the Commission on Form 50 s. H. c., giving the date and place of each clinic held, and information concerning visitors, purpose of visits, and other matters as outlined by such form. GENERAL, ORDER No. 46 STATE HOSPITALS Reports of social workers The superintendent of every State hospital employing a social worker shall require her to make a report at the end of each month on Form 51 s. H. c., giving a summary of her activities during the month, as follows : Visits to paroled patients. Visits to other patients outside hospital. Other visits on behalf of patients.' Visits on behalf of preventive cases. Situations obtained for patients. Situations obtained for preventive cases. Clinics attended. Persons interviewed at office. Other work. Agencies to whom cases have been referred during month. Other items as may be required by the superintendent or Commission. 14 206 RULES AND REGULATIONS Such report shall be made in duplicate ; one copy shall be sent to the State Hospital Commission, and one copy kept on file in the office of the hospital. GENERAL, ORDER No. 47 STATE HOSPITALS Reports of chief engineers The superintendent of every State hospital shall cause adequate records to be made concerning the operations of the healing plant, cold storage plant and electric light plant of the hospital and shall require the engineer in charge thereof to prepare in duplicate a weekly report of the operations of such plants, on Form 121-Std. One copy of such report shall be sent to the Commission and the other kept on file in the office of the hospital. GENERAL ORDER No. 49 STATE HOSPITALS Business and correspondence with other State Departments The official business of the State hospitals with other State departments is to be conducted with the full knowledge and approval of the Commission. Correspondence relating to such business is to be conducted through the Commission's office. This order does not refer to routine reports required of the State hospitals by any State department. FORMS AUTHORIZED FOR USE IN THE STATE HOSPITALS ADMINISTRATION Form No. . Title 1 Adm. 2 " Certified information as to patient, single sheet. 3 " Certified information as to patient, bound with stub. 4 " Pass to employees (Man.) Emp. Steamer pass (Supt.> 5 " Pass to employees (Man.) night boat, (ferry) pass (Steward). 6 " Pass to employees (Man.) ferry pass Emp. (Steward). 7 " Pass to employees (Man.) night boat ferry Emp. (Supt.) 8 " Pass to employees (Man.) night boat ferry (Supt.) 9 *' Pass to employees (Man.) Emp. ferry pass (Supt.) 10 " Permit to visit by steamer (Supt.) 11 " Permit to visit by ferry (Man.) (Supt.) 12 " Permit to visit by ferry (Man.) brown pass ferry (Supt.) 13 " Go on duty slip. 14 " Ward pass visitor's address. 15 " Pass by steamer Nautilus, in pads, 16 Indentification card, writing or visiting (C. I.) 17 " Visit patient at once (C. I.) sick notice. 18 " Visit patient at once (K. P.) sick notice. 19 " Visit patient at o'nce (Man.) sick notice. 20 " library slip (loan). 21 " Permit to visit. 22 " Permission to use 'phone. 23 " Superintendent's memo. 24 " Employees' agreement sheet 8"xlO^". 25 " Superintendent's order for steward to pay services. 26 " Monthly average daily population. 27 " Envelopes No. 9, detained letters of patients. 28 " Notice of transfer within hospital. 29 " Application for special pass. 30 " Order for patient to be sent to office. 31 " Application leave of absence, in book. 32 " Ward laundry list, men. 33 " Ward laundry list, women. 34 " Leave of absence slip. 35 " L,eave of absence card, salmon. 36 " Visitor's ward pass (Br.) 36a " Visitor's pass, 3 months. , 37 " Visitor's ward pass (H. R.) 38 " Visitor's ward pass (K. P.) 39 " Visiting record card. 40 " Individual laundry books, men. 41 " Individual laundry books, women. 2o8 FORMS AUTHORIZED FOR USE IN THE STATE HOSPITALS 42-Adm. Cards, rule for visiting. 43 " Card permit to visit Sunday. 44 " Patients admitted during month private institutions. 45 " Patients admitted during month. 46 " Alphabetical list of patients in wards. 47 " Night watchman's clock record. 48 " Nativity and citizenship card, male first admission. 49 " Nativity and citizenship card, female first admission. 50 " Nativity and citizenship card, male readmission. 51 " Nativity and citizenship card, female readmission. 52 " Discharge certificate. 53 Social worker's card paroles. 54 Social worker's, information paroles. 55 " Mortuary record and order, bound with stub. 56 " Application for commitment. 57 " Record of deaths, bound book. 58 " Pamphlets of rules and regulations, cloth bound. 59 " Extract from regulations. 60 " Extract from regulations, 5^4" x 8" (Man.) 61 " Letterhead with extract from regulations, 8".x 10 j". 62 " Extracts from regulations with letter, 8"xlOJ^" (K. P.) 63 " Certificate of death. 64 " Certificate of discharge. 65 " Employment card, gray. 66 " Employees' resignation blank. 67 " Application for leave of absence without pay (black ink). 68 " Certificate of insanity of patient. 69 " Requests for vacations. 70 " Return of writ of habeas corpus. 71 " Laundry list, staff. 72 " Patients' clothing list. 73 " Patients' library label. 74 " Notice to S. H. C. of admission of voluntary patients 75 " Care medicine closet. 76 " Circular of information (Utica). 77 " Rules and regulations, officers and employees. 78 " Rules and regulations, employees? only. 79 " Don't book. 80 " Application blanks. 81 " Daily census, paper. 82 " Census card, daily. 83 " Census slip, 7 P. M. 84 " Monthly return of patients. 85 " Bond of committee. 86 " Hospital card paroles. 87 " Notification to S. H. C. of transfer of patient. 88 " Memo, by superintendent. 89 " Manager's letter head. FORMS AUTHORIZED FOR USE IN THE STATE HOSPITALS 209 90-Adm. Superintendent's letter head. 91 " Report of night watchman. Return of employees. 92 " List of patients examined by medical inspector. 93 " Coffin card. 94 " Telephone message blank. 95 " Notice of death, letter form. 96 " Letter in re patient in need of clothing (Bing.) (blk. ink.) 97 " Letter in re patient in need of clothing (Utica) (copying ink.) 98 " Measurement for clothing, men, in pads. 99 " Measurement for clothing, women, in pads. 100 " Daily census book, 7"xl5^". 101 " Station memo. (Central Islip) in pads. 102 103 " Report of movement of patients monthly. 104 " Record of paroled patients, book. 105 " Record book, admission and discharges. 106 " Admission book. 107 " Commitment, death and discharge book. 108 " Visitor's card, rules on back. 109 " Letters to friends of patients leaving hospital. 110 " Vttard capacity 6"x9^" (H. R.) 111 " Report of Board of Managers. 112 " Service of legal process. 113 " Bill head, traveling expenses. 114 " Record of admission book. 115 " Census book, men and women. 116 " Telephone bulletin. 117 " Monthly time report summary. 118 " Ward employees time record. 119 " Application for transfer of patients. 120 " Slip record of admissions. 121 " Slip record of discharges. 122 " Inventory blanks. 123 " Application paper. 124 " Report of noncompetitive examination. 125 " Monthly time record. 126 " Temporary leave of absence. 127 " Report of discharge to Bureau of Deportation. 128 " Instructions to applicants. 129 " Letter soliciting gifts for Christmas. 130 " List of desirable articles. 131 " Addressed label for Christmas packages. 132 " Card for list of patient's private clothing. 133 " Hospital report of alleged alien or nonresident. 134 " Receipt for library books. 135 " Request for leave of absence. 136 " Monthly class record. 137 " Summary, pupils record. 210 FORMS AUTHORIZED FOR USE IN THE STATE HOSPITALS 138-Adm. Letter head, Binghamton. 139 Clothing transfer, men. 140 Clothing transfer, women. 141 Appointments, removals, etc. 142 " Assigned to duty. 143 " Resigned or discharged. 144 Notice to steward of employment. 145 Notice to steward of resignation. 146 Acknowledgment of receipt of package. 147 " Reference as to applicants. 148 " Permit to visit, card, one person. 150 " Card Patients' clothing, buff. 151 " Patients' clothing record sheet. 152 " Night Temp, of ward St. L. 153 " Circular letter, parole patients. 154 Certificate of military service. 155 Certificate of oath. 156 Constitutional oath. 157 " Superintendent's memo, pads C. I. 158 Report to superintendent of accidents and injuries. 159 Accident and injury report to Commission. 160 *' Clothing record card Utica. 163 * Photographic record, 8" x 10*4". 164 " Bill for war risk patient. MEDICAL Form No. Title 1-Med. History on admission by examining physician, single sheet, blue. 2 " Notice of admission to relatives, letter form. 3 " Statistical data cards, male, white, black ink, first admission. 4 " Statistical data cards, female, white, red ink, first admission. 5 " Statistical data cards, male, buff, readmission, black ink. 6 " Statistical data cards, female, buff, readmission, red ink. 7 " Statistical data cards, male, salmon, discharge, black ink. 8 " Statistical data cards, female, salmon, discharge, red ink. 9 " Statistical data cards, male, gray, transfer, black ink. 10 " Statistical data cards, female, gray, transfer, red ink. 11 " Statistical data cards, male, blue, death, black ink. 12 " Statistical data cards, female, blue, death, red ink. 13 " Alcoholic psychosis data cards, male, white, first admission, black ink, printed on back. .FORMS AUTHORIZED FOR USE IN THE STATE HOSPITALS 211 14-Med. Alcoholic psychosis data cards, female, white, first admission, red ink, printed on back. 15 Alcoholic psychosis data cards, buff, readmission, male, black ink, printed on back. 10 Alcoholic psychosis data cards, buff, readmission, female, red ink, printed on back. History sheet, 4 pages. Envelope for mailing data cards. Card record of physical diseases. " Statistical data sheet, white, chart on back. " Statistical data sheet, blue, chart on back. " Ward admission record. " Ward notes, red ink. " Temperature chart, green ink. 27 " Circular for information of nurses. 28 " Training school calendar. 29 " Monthly record of pupil nurses. 30 Yearly record of pupil nurses, junior year. 31 " Yearly record of pupil nurses, senior year. 32 Training school certificate, 2 years. 33 Training school certificate on training school, 1 year. 34 Physical examination guide, 4 pages. 35 " Clinical record, examination of eye. 36 " Gynecological chart. 37 " Ward card, description of patient, plain back. 38 Ward card, description of patient, printed on back (Visits.) 39 Higher scale of mental measurement. 40 Circular letter to family physician. 41 Application for admission, voluntary patient. 42 " Blood chart, printed both sides. 43 Record of hydrotherapy, ruled both sides. 44 " Mental chart report Binet-Simon test. 45 " Dentist's daily record. 46 Index card, blue, admission by number, etc. 47 " Detailed monthly report of wards. 48 " Pamphlet, outline theoretical training. 49. " Statement and particulars to coroner. 50 " Parole card, buff (Man.) 51 " Parole card, fawn (all other hospitals.) 52 " Parole card, yellow (Special limit.) 53 " Special diet order. 54 " Notes. 55 " Patients index card. 56 " Chief supervisor's daily report. 57 " History of patient, unruled, 15 Ib. 58 " Daily report, attendant. 59 " Daily report, night attendant. CO Daily report, supervisor, men. 212 FORMS AUTHORIZED FOR USE IN THE STATE HOSPITALS 61-Med. Daily report, supervisor, women. G2 " Daily report, assistant physician. 63 " Daily report, woman physician. 88 " Patients record card. 89 Prescription record. 90 Method of using formaldehyde, etc. 91 " Waid prescriptions, pads. 92-99 " Isabels. 100 " Laboratory examination of urine. 101 " Restraint and seclusion order, pads. 102 " Daily restraint and seclusion record. 103 " Autopsy record, single sheet. 104 " Autopsy record, 8 pages. 305 " Card Number, name, diagnosis. 106 " Pupils eligible for R. N. degree. 107 " Patient's record card (white) H. R. 108 " Employee's record card (yellow) H. R. 109 " Employee's record card (blue) H. R. 110 " Employee's record card (white) H. R. 111 " Statistical record clinic case. 112 " Statistical card clinic case. 113 " Record of social service case. 114 " Record of out-patient clinic. 115 " Daily record of social worker. 116 " Admission memo card. 117 " Admission memo paper in pads. 118 " Medical report of nose, pharynx, larynx and ears. 120 " Admission Residence County (blue card). J21 " Case book record of admissions (yellow card). 12 " Dental chart. 123 " Record card (white) microscopical examination. 124 " Clinical summary (blue, 8x10^) K. P. 125 " Social history. STEWARD Form No. Title 1-Std. Scratch sheets for estimate. 2 " First sheet, est. 3, capacity, etc. 3 " Revised estimate blank for est. 1-14 inclusive. 4 " Revised estimate blank for all re and sup. estimates. 5 " Special fund estimate blank. 6 " Estimate sheet (all hospitals.) 7 " Supt's certificate re-estimates. 8 " Certificate slip. FORMS AUTHORIZED FOR USK IN THE STATE HOSPITALS 213 9-Std. Temporary binders, plain, for estimates (all hospitals). 10 " Steward's order blank, orig., white. 11 " Steward's order blank, buff. 12 " Steward's order, second sheet, white. 13 " Steward's order, second sheet, buff. 14 " Enclosed orders, slip. 15 " Merchandise received from boat. 16 Outgoing shipment book, 500 leaves. 17 " Tag, rejected. 18 General fund voucher, white, long. 19 Manufacturing fund voucher, yellow, long. 20 Special fund voucher, white, red ink, long. 21 " Slips to attach to vouchered receipts. 22 " Requisition on storekeeper. 23 " Clothing requisitions. 24 " Exchange requisitions. 25 " Repair order. 26 " Daily summary of requisitions. 26a " Daily summary of requisitions, unprinted. 27 " Weekly summary of requisitions. 28 " Merchandise ledger. 29 " Work in process. 30 " Foreman's report. 31 " Daily report, industrial. 32 " Work tags. 33 " Card 5" x 8" employees' agreement. 34 " Voucher, officers' salaries, part 1.-, 35 " Voucher, officer's salaries, part 2. 36 " Voucher, wages, est. 2, part 1. 37 " Voucher, est. 2, part 2. 38 " 39 " Notice to steward to supply funds for transportation of patients. 40 " Directions for attendants going for patients. 41 " Bill for care and maintenance. 42 " Carbon copy of 41. 43 " Cash bcok 15J4" x 263^", 300 pages (two sizes). 44 " Reimbursing patients' ledger, loose sheet. 45 " Reimbursing patient's ledger, bound book. 46 " Weekly report of receipts. 47 Statement of receipts and expenditures. 48 " Transmission of receipts to treasurer. 49 " Sale of uniform materials, refunds to treasurer. 50 " Voucher register, loose leaf. 51 " Price list, coffee and spice (Utica). 52 " Gardener's report of produce. 53 " Consumption of farm products, part 1. 54 " Consumption of farm products, part 2. 5 " Consumption of farm products (estimate No. 5.) 214 FORMS AUTHORIZED FOR USE IN THE STATE HOSPITALS 56-Std. Farm accounting, debit sheet. 57 " Farm accounting, credit sheet. 58 " Register of farm accounts. 59 " Memo, by steward, in pads. 60 " Bill head (accounts receivable). 61 " Meat cutter's daily report. 62 " Baker's daily report. 63 " Mechanic's daily employment record. 64 " Daily report (time &heet) farm. 65 '* Summary time sheet, monthly, farm. 66 " Cook's daily report. 67 " Record of patients' pioperty book. 68 " Report filter plant (Binghamton). 69 " Engineer's report, coal consumed. 70 " Receipt for general use. 71 " Daily report waste foods. 72 " Memo, of purchases. 73 " Receipt for patient's property. 74 " Receipts for patient's cash. 75 " Duplicate card, material in car. 76 " Scales book, four to page. 77 " Official receipt, outgoing freight (Man,) 78 " Storekeeper's report, merchandise received, white and yellow, bound book. 79 " Quotation sheet. 80 " Circular letter, check enclosed. 81 " Reimbursing patient's card. 82 " Invoice manufacturing department, (Utica). 83 " Receipts and expenditures, manufacturing. 84 " Ledger, manufacturing department, loose sheet. 85 " Daily report, soap factory. 86 " Cost card, soap factory. 87 " Dist. and stock ledger, manufacturing (Rochester). 88 " Incoming private packages (book). 89 " Monthly report, private and reimbursing patients. 90 " Record of dairy, daily 9" x 28". 91 " Record of dairy, daily 9"xl5}4". 92 " Report of dairy, yearly by months. 93 " IvCtter head, steward 20" Ib. bond, printed black. 94 " Retirement card 3" x 5". 95 " Dietary, general. 96 " Proposals, requests for quotations. 96a " Proposals, requests for quotations, second sheet. 97 " Sales slip, re-educational fund book 50 white ^and 50 yellow. 98 " ledger of patients' accounts. 99 " Dynamo station report. 100 " Mechanic's daily report, printed on back. 101 " Farm accounting, monthly summary of credits. FORMS AUTHORIZED FOR USE IN THE STATE HOSPITALS 215 102-Std. Steward's receipt pay order white. 102a " Steward's receipt pay order white. ]02b " Steward's receipt pay order buff. 102c " Steward's receipt pay order blue. 103 " Engineer's daily report electric light station. 104 " Engineer's daily report electric light station (H. R.) 105 " Bill heads (accounts payable). 106 " Coal analysis. 107 " Summary of requisitions (Kings Park). 108 " Milk record, Orchard House, Binghamton. 109 " Milk record, Parkhurst, Binghamton. 110 " Egg record, Plymouth Rock, Binghamton. 111 " Daily dietary. 112 " Blank Employee leaving service. 113 " Boiler room record Binghamton. 114 " Water supply record Binghamton. 115 Electric power and light record. 116 " Power house daily work and accident report (Bing.) 117 " Steam coal receiving record, book 250 pp. white and 250 pp. yellow. 118 Complete card record, book 250 pp. white and 250 pp. yellow. 119 Slip to attach to vouchers. 120 Power plant, monthly record. 121 Chief engineers weekly report. 122 " Butcher's, certif. (H. R.) 123 " Reimb. and Priv. Pats. Ledger, loose sheet (H. R.) 124 " Steward's daily report. 125 " Billhead Exp. bringing patients to hospital (H. R.) 126 " Food supplies distribution sheet ruled and printed both sides. 127 " Voucher Extraordinary improvements. 128 " Steward to undertaker. 129 " Statement of balances, etc. 130 " " Notice." Arrears in reimbursing. 131 " Log Readings. Change in form number with change in form, to 140 " L,og Readings. Change in form number with change in form. 142 " Card ash. 143 " Card coal. 144 " Report of ice plant (Man.) 145 " Report of farm products exchanged. 146 " Analysis ledger (Bing.) 147 " Farm accounting daily report. 148 " Storekeeper's report of merchandise received, 8" x 5*4". 149 " Coal certificate, S^xS^". 150 " Miscellaneous receipts, 8" x 5^4". 216 FORMS AUTHORIZED FOR USE IN THE STATE HOSPITALS STATE HOSPITAL COMMISSION Form No. Title 1-s. H. c. Certificate of service retirement fund. 2 " Retirement fund certificate. 3 " Retirement fund voucher, pink. 4 " General statistics for year. 6 " General statement. 7 " General fund check, blue. 8 " Special fund check, white. 9 Manufacturing fund check -(blue). 10 " Official directory, State hospitals (green). 11 " Official handbook, red leather. 12 " Abstract of accounts, treasurer. 13 " Abstract of accounts, treasurer, intermediate sheet. 14 " Abstract of accounts, treasurer, final sheet. 15 " Certificate of analysis (Chemical Laboratory, Binghamton). 16 " Tabulation sheet (Purchasing Committee). 17 " Gummed label (Purchasing Committee). 18 " Better head (Purchasing Committee) 20 pound bond. 19 " Advance estimate for 6 months supplies. 20 " Proposals and specifications. 21 " Certificate of analysis, coal (Chemical Laboratory, Bing- hamton). 22 . " Minutes of purchasing committee meeting. 23 " Residence of patients by counties. 24 " Bond, purchasing committee. 25 " Acknowledgment for corporation, purchasing committee. 26 " Acknowledgment for individual, purchasing committee. 27 " Agreement, 2 parts. 37 " Report of new cases of communicable diseases. 42 " Daily attendance record. 43 " R^poit of service ratings. 45 " Check register special. 47 " Chapter, laws and title blanks, 8^"xll". 50 " Monthly report out-patient department. 51 " Monthly report of social worker. 52 " Memo, by secretary, red ink. 53 " Memorandum by Commission in pads. 54 " Record of estimates and expenditures. 61 " Special ruled paper 14" x 21". 66 " Psychoses 10" x 20". 76 " Special fund vouchers. 80 " Special fund payments. 83 " Record of military or naval insane in N. Y. state hospitals. 87 " Card admission, transferred, deported, 3" x 5". CLASSIFICATION OF MENTAL DISEASES ADOPTED^BY THE AMERICAN MEDICO-PSYCHOLOGICAL ASSOCIATION MAY 30, 1917, AND BY THE NEW YORK STATE HOSPITAL COMMISSION JULY i, 1917 1. Traumatic psychoses. ( a ) Traumatic delirium. . ( b ) Traumatic constitution. ( c ) Post-traumatic mental enfeeblement. 2. Senile psychoses. ( a ) Simple deterioration. (b) Presbyophrenic type. ( c ) Delirious and confused states. (d) Depressed and agitated states in addition to deterioration ( e ) Paranoid states. ( f ) Presenile types.. * 3. Psychoses with cerebral arteriosclerosis. (This includes psychoses following cerebral softenings or hemorrhage if due to arterial disease.; 4. General paralysis. ( a ) Tabetic type. ( b ) Cerebral type. 5. Psychoses with cerebral syphilis. 6. Psychoses with Huntingtori 1 s chorea. 7. Psychoses with brain tumor. 8. Psychoses with other brain or nervous diseases. (The following are the more frequent of these diseases and should be specified in the diagnosis): Cerebral embolism. Paralysis agitans. Meningitis, tubercular or other forms (to be specified)* Multiple sclerosis. Tabes. Acute chorea. Other conditions (to be specified). 218 CLASSIFICATION OF MENTAL DISEASES 9. A Icoholic psychoses. (a) Pathological intoxication. ( b ) Delirium tremens. ( c) Korsakow psychoses. (d) Acute hallucinosis. ( e ) Chronic hallucinosis. (f ) Acute paranoid type, (g ) Chronic paranoid type, (h) Alcoholic deterioration. ( i ) Other types, acute or chronic. 10. Psychoses due to drugs and other exogenous toxins. (a) Opium (and derivatives), cocaine, bromides, chloral, etc., alone or combined (to be specified). (b) Metals-, as lead, arsenic, etc., (to be specified). ( c) Gases (to be specified). . (d) Other exogenous toxins (to be specified). 11. Psychoses with pellagra. 12. Psychoses with other somatic diseases. ( a ) Delirium with infectious disease (specify). ( b ) Post-infectious psychoses. ( c ) Exhaustion delirium. ( d ) Delirium of unknown origin. ( e ) Cardio-renal diseases. ( f ) Diseases of the ductless glands. (g) Other diseases or conditions (to be specified). 13. Manic-depressive psychoses. ( a ) Manic type. (b) Depressive type. ( c ) Stupor. . (d) Mixed type. ( e ) Circular type. 14. Involution melancholia. 15. Dementia prcecox. ( a ) Paranoid type. (b) Catatonic type. ( c ) Hebeprenic type. (d) Simple type. CLASSIFICATION OF MENTAL DISEASES 219 16. Paranoia or paranoic conditions. 17. Epileptic psychoses. (a) Deterioration. (b) Clouded states. ( c ) Other conditions (to be specified) . 3.S. Psychoneuroses and neuroses. ( a ) Hysterical type, (b) Psychasthenic type. ( c ) Neurasthenic type, (d) Anxiety neuroses. 19. Psychoses with psychopathic personality . 20. Psychoses with mental deficiency. 21. Undiagnosed psychoses- -22. Not insane. (a) Epilepsy without psychosis. (b) Alcoholism without psychosis. ( c ) Drug addiction without psychosis. (d) Psychopathic personality without psychosis. ( e ) Mental deficiency without psychosis. (f ) Others (to be specified.) Daily Ration Allowance In 1901, after conducting experiments with hospital dietaries for four years, Professor W. O. Atwater, a distinguished Government food expert, recommended a series of dietaries for patients and attendants in the State hospitals and the establishment of a daily ration. The following allowances are based upon these recommenda- tions slightly modified after practical experience. The amounts stated are used by the Commission as the basis for the quarterly food estimates for officers, employees and patients. MEATS 9 oz. FARINACEOUS FOODS... 13 " POTATOES .10 " EGGS ... K egg and y* egg additional for Wfo of population MII.K 1 pint and 1 pint additional for 20 $> of population BUTTER l/^ oz. and .05 oz. additional for of population CHEESE 3-io oz. SUGAR..... 2 l /s " TEA X " COFFEE /4 " FRUIT * 10 cents per week per patient APPROPRIATIONS CHAPTER 165, LAWS OF 1920. GENERAL APPROPRIA- TION BILL Personal service Commission's Office Medical commissioner $7,500 oo Legal commissioner 5,000 oo Lay commissioner 5,000 oo Medical inspector 5,000 oo Secretary .5,000 oo Assistant secretary and treasurer 3,500 oo Inspector of buildings and engineering 3,500 oo Inspector of dairy products 3,500 oo Inspector 3,ioo oo Statistician and editor 3,500 oo Assistant statistician 2,000 oo Auditor 5,ooo oo Assistant auditor 3,350 oo Assistant auditor 3,ooo oo Accountant 3,000 oo Confidential accountant 4,250 oo Counsel 3,000 oo Chemist 600 oo Agent 2,500 oo Agent, 4 at $8 per day, 300 days each 9,600 oo Agent, 280 days at $8 per day 2,240 oo Indexer 1,400 oo Clerk and stenographer r,8oo oo Voucher clerk 2,200 oo Voucher clerk, 2 at $1,800 3,600 oo Clerk, 2 at $1,800 3,600 oo Clerk , 1,600 oo Clerk 1,500 oo Clerk, 2 at $1,380. 2,760 oo Clerk, 4 at $900 3,600 oo Junior clerk and relief telephone operator 780 oo Stenographer 1,440 oo Stenographer 1,380 oo Stenographer 1,320 oo Stenographer, 3 at $1,200 3,600 oo 222 LAWS RELATING TO INSANE AND INSTITUTIONS Stenographer $900 oo Telephone operator 900 oo Salaries, temporary For vacation relief and extra work 1,500 oo Bureau of deportation Medical examiner Deputy examiner General interpreter Transportation agent Interpreter Stenographer Stenographer Psychiatric institute Director ; . . . Assistant director Chief associate in neuropathology Assistant in neuropathology Senior assistant physician Assistant physician Associate in serology Associate in bacteriology Associate in internal medicine and clinical pathology Secretary Medical stenographer Stenographer Stenographer Laboratory helper Laboratory helper Laboratory helper Laboratory helper Laboratory worker Photographer Attendant Cook. Waitress Maintenance and operation Printing General printing Departmental reports and bulletins Advertising "...... Equipment and supplies LAWS RELATING TO INSANE AND INSTITUTIONS 223 Traveling expenses Commissioners (as provided by chapter 27 of the consolidated laws) $3,600 oo Employees, not more than $900 of which .may be used for traveling outside the state 12,000 oo For transfer of patients from one hospital to another to relieve overcrowding, and for the return to other states and countries of nonresident and alien insane 40,000 oo Communication : 4,200 oo Fixed charges and contributions Commutation 3,240 oo General plant service '. 2, 100 oo Rent 750 oo Deficiency appropriation Maintenance and operation Printing 50000 Traveling expenses , 800 oo Traveling expenses incurred prior to July i, 1919 57 44 To reimburse George LeTellier for moneys advanced for maintenance of Mortimer LeTellier, a patient in the Hudson River State Hospital, in accordance with advice of the attorney-general 213 02 BINGHAMTON STATE HOSPITAL . Personal service $344,225 33 Maintenance and operation 606,200 oo CONSTRUCTION AND REPAIRS Extension of electric lines to farm buildings and electric wiring 8,000 oo Bakery machinery ^* 2,500 oo Sidewalks i ,000 oo Service lines 10,000 oo Renewals of electric wiring 7,000 oo Laundry equipment, including elevator 12,000 oo Deficiency appropriation Maintenance and operation Food, incurred prior to July i, 1919 17 15 Farm and garden 2,500 oo 224 LAWS RELATING TO INSANE AND INSTITUTIONS Construction and repairs: To pay to the Peter Keeler Building Company balance due on contract for building for chronic patients at Binghamton State Hospital $60 oo BROOKLYN STATE HOSPITAL Personal service $216,462 66 Maintenance and operation 314,500 oo CONSTRUCTION AND REPAIRS For construction of additional accommodations for patients, including necessary outside service connections: Authorized Appropriated Chap. 181, Laws 1917. $300,000 $100,000 Chap. 151, Laws 1918. 125,000 Chap. 177, Laws 1919. 400,000 175,000 An additional appropriation of eighty-five thousand dol- lars ($85,000) is hereby made 85,000 oo Grading, walks and grounds 4,000 oo Painting interior walls, new buildings 5,000 oo Additional refrigeration equipment 15,000 oo Additional power house equipment 6,000 oo Addition to laundry building: Authorized Appropriated Chap. 177, Laws 1919. $50,000 $25,000 An additional authorization of thirty-three thousand, seven hundred fifty dollars ($33,750) is hereby made, and an ad- ditional sum of thirty thousand dollars (30,000) is hereby appropriated 30,000 oo Equipment for additional accommodations. 40,000 oo Lighting grounds 1,000 oo Elevators 20,000 oo Deficiency appropriation Personal service ^ Special services, incurred prior to July i, 1919 167 50 BUFFALO STATE HOSPITAL Personal service $279,563 33 Maintenance and operation 465,000 oo CONSTRUCTION AND REPAIRS Additions and alterations to central heating plant the sum of one hundred and twenty-five thousand dollars LAWS RELATING TO INSANE AND INSTITUTIONS 225 ($125,000) is hereby authorized, of which the sum of seventy-five thousand dollars ($75,000) is hereby appro- priated $75,000 oo Additional accommodations (300 patient building) the sum of three hundred and twenty-five thousand dollars ($325,000) is hereby authorized, of which the sum of one hundred thousand dollars ($100,000) is hereby appropri- ated 100,000 oo Alterations to administration building 15,000 oo CENTRAL ISLIP STATE HOSPITAL Personal service $ 606,258 33 Maintenance and operation 1,093,400 oo CONSTRUCTION AND REPAIRS For additional accommodations for patients: Authorized Appropriated Chap. 151, Laws 1918. $150,000 $25,000 Chap. 177, Laws 1919. 50,000 An additional authorization of five hundred seventy-eight thousand dollars ($578,000) is hereby made, of which four hundred fifty thousand dollars ($450,000) is hereby appro- priated 450,000 oo Quarantine building: Authorized Appropriated Chap. 177, Laws 1919. $20,000 $10,000 An additional appropriation of ten thousand dollars ($10,000) is hereby made : 10,000 oo Fire alarm system: Authorized Appropriated Chap. 177, Laws 1919. $15,000 $7,500 An additional appropriation of seven thousand five hun- dred dollars ($7,500) is hereby made 7, 500 oo For new central heating and lighting plant : Authorized Appropriated Chap. 181, Laws 1917. $150,000 $50,000 Chap. 151, Laws 1918. 50,000 100,000 Chap. 177, Laws 1919. 135,000 125,000 An additional appropriation of sixty thousand dollars ($60,000) is hereby made 60,000 oo Refrigerating unit for kitchen 8,000 oo Additional water supply 5,ooo oo Furniture and equipment for new buildings 23,000 oo 226 LAWS RELATING TO INSANE AND. INSTITUTIONS Cold storage plant and equipment: An authorization of one hundred thousand dollars ($100,000) is hereby made, of which twenty-five thousand dollars ($25,000) is hereby appropriated , $25,000 oo Addition to wagon and implement shop 2,500 oo Open air pavilion for use and protection of patients 4 r ooo oo Service connections, laundry building 27,000 oo Emergency repairs to coal trestle 4,000 oo GOWANDA STATE HOMEOPATHIC HOSPITAL Personal service $169, 179 32 Maintenance and operation . . . 286,850 oo CONSTRUCTION AND REPAIRS Dairy barn and silo 20,000 oo Water supply and equipment 20,000 oo Deficiency appropriation . Maintenance and operation Fuel, light, power and water, incurred prior to July i, i9 J 9 !24 5 1 Farm and garden (for rental of the Dodman farm to December i, 1919, including interest for one year in accordance with advice of the attorney-general) 837 17 HUDSON RIVER STATE HOSPITAL Personal service $440,021 33 Maintenance and operation 840, 150 oo CONSTRUCTION AND REPAIRS Addition to carpenter shop and equipment 15,000 oo Service connections .. 3,600 oo Furniture and equipment, new tuberculosis pavilion 10,000 oo Mortuary and laboratory equipment 5,000 oo Employees' home, for cottages and new T. B. group: An authorization of one hundred sixty-five thousand dol- lars ($165,000) is hereby made, of which the sum of seventy- five thousand dollars ($75,000) is hereby appropriated. . . 75,000 oo For improvement of water supply: Authorized Appropriated Chap. 177, Laws 1919. $25,000 $5,ooo LAWS RELATING TO INSANE AND INSTITUTIONS 227 An' additional authorization of twenty thousand dollars ($20,000) is hereby made, and an additional sum of thirty thousand dollars ($30,000) is hereby appropriated $30,000 oo Emergency repairs to dam 3,000 oo Deficiency appropriation Maintenance and operation Fuel, light, power and water, incurred prior to July i, 1919 541 10 KINGS PARK STATE HOSPITAL Personal service $535,852 oo Maintenance and operation 958,000 oo CONSTRUCTION AND REPAIRS For construction of additional accommodations for pa- tients: Authorized Appropriated Chap. 177, Laws 1919. $350,000 $150,000 An additional authorization of five hundred and ten thou- sand dollars ($510,000) is hereby made, of which the sum of three hundred thousand dollars ($300,000) is hereby appropriated.. 300,000 oo Dining room and kitchen building for tuberculous patients 85,000 oo Changes in electric system 2,000 oo Deficiency appropriation Personal service Deficiency in salary of special attendant, prior to July 1,1919 3000 Deficiency in salary of first assistant physician 58 33 MANHATTAN STATE HOSPITAL Personal service $724,799 oo Maintenance and operation 1.349,600 oo CONSTRUCTION AND REPAIRS Bakery building and equipment: Authorized Appropriated Chap. 177, Laws 1919. $75,ooo $60,000 An additional appropriation of fifteen thousand dollars ($15,000) is hereby made 15,000 oo 228 LAWS RELATING TO INSANE AND INSTITUTIONS For coal trestle and equipment: Authorized Appropriated Chap. 151, Laws 1918. $34,000 $10,000 An additional appropriation of twenty-four thousand dol- lars ($24,000) is hereby made $24,000 oo New dining room accommodations for patients in main building : Authorized Appropriated Chap. 151, Laws 1918. $100,000 $70,000 An additional appropriation of thirty thousand dollars ($30,000) is hereby made 30,000 oo Exhaust fans laundry 1,000 oo Outdoor comfort stations 3,000 oo Bathing accommodations, ward 25 2,500 oo Completing boilers 6 and 7 1,500 oo Circulating hot water system 10,000 oo Sterilizer for laundry 5,000 oo Furniture and equipment for new dining rooms 5,000 oo New boat. 40,000 oo Bathing accommodations nurses' home 2,500 oo Gallery in heating plant and alterations to west power house to adapt it for shDp building 34,000 oo Additional electric machinery 20,000 oo Fly screens 3,000 oo Alterations to east building 75,ooo oo Alterations and reconstruction work necessary to adapt the U. S. Naval Hospital Group for State use 90,000 oo Deficiency appropriations Personal service Attendant, prior to July i, 1919 10 09 Deck hand, 4 at $i, 185 (4 months) 1,580 oo For payment to employees of boat service, the differ- ence in rates provided by the appropriation bill and those provided by the schedule of the United States Shipping Board, from March i, 1919, to June 30, 1920 2,500 oo Maintenance and operation: Clothing 15,000 oo MIDDLETOWN STATE HOMEOPATHIC HOSPITAL Personal service $294,251 oo Maintenance and operation 436,900 oo LAWS RELATING TO INSANE AND INSTITUTIONS 229 CONSTRUCTION AND REPAIRS Laboratory and mortuary building: Authorized Appropriated Chap. 177, Laws 1919. $35,000 $10,000 An additional authorization of two thousand five hundred dollars ($2,500) is hereby made and an additional sum of twenty-seven thousand five hundred dollars ($27,500) is hereby appropriated $27,500 oo Storehouse : Authorized Appropriated Chap. 177, Laws 1919. $20,000 $10,000 An additional appropriation of ten thousand dollars ($10,000) is hereby made 10,000 oo For the construction and equipment of a new building at Middletown State Homeopathic Hospital, including necessary heating, water supply and sewage disposal system- Authorized Appropriated Chap. 238, Laws 1917. $369,000 $100,000 Chap. 177, Laws 1919. 50,000 An additional appropriation of two hundred and eighty- five thousand dollars ($285,000) is hereby made 285,000 oo For construction of additional accommodations, an author- ization of four hundred thousand dollars ($400,000) is hereby made, of which the sum of one hundred thousand dollars ($100,000) is hereby appropriated 100,000 oo Furniture and equipment at Comfort Farm 4,000 oo Service connections, laboratory and mortuary building. . . . 5,800 oo Electric motors for laundry and laundry machinery 7,000 oo Equipment, mortuary building 8,000 oo Removal and rebuilding of barn 10,000 oo Deficiency appropriation Personal service Deficiency in salary of special attendant prior to July i, 19*9 3 26 Deficiency in salary of chambermaid prior to July i, 1919 12 10 ROCHESTER STATE HOSPITAL Personal service $233,534 oo Maintenance and operation 380,450 oo 230 LAWS RELATING TO INSANE AND INSTITUTIONS Construction and repairs : Sewage disposal pump and piping. $4, coo oo Steam line to main kitchen i ,500 oo Reconstruction of roof north building 1,000 oo ST. LAWRENCE STATE HOSPITAL Personal service $278,773 oo Maintenance and operation 472,700 oo Construction and repairs: Additions and alterations to central heating plant 4,100 oo Silos. 5,ooo oo Additional vegetable cellar 3,500 oo UTICA STATE HOSPITAL Personal service $260, 180 oo Maintenance and operation 390,250 oo Construction and repairs Mortuary and laboratory Authorized Appropriated Chap. 151, Laws 1918. $35, coo $10,000 Chap. 177, Laws 1919. 20,000 An additional appropriation of five thousand dollars ($5,000) is hereby made , . 5,000 oo New bakery and equipment : Authorized Appropriated Chap. 151, Laws 1918. $20,600 $2,000 Chap. 177, Laws 1919. 10,000 An additional appropriation of four thousand dollars ($4,000) is hereby made 4,000 oo Additions to equipment in pump and engine room 7,400 oo Road to power plant 7,600 oo Equipment, mortuary and laboratory 8,000 oo Emergency repairs and electric lift, printing shop ... 5,700 oo For the construction and equipment of new buildings on the Marcy site in connection with the Utica State Hos- pital, including necessary heating, water supply and sewage disposal system: Authorized Appropriated Chap. 238, Laws 1917. $1,250,000 $300,000 Chap. 177, Laws 1919. 750,000 400,000 LAWS RELATING TO INSANE AND INSTITUTIONS 231 An additional authorization of one million, six hundred and ninety thousand dollars ($1,690,000) is hereby made, of which one million, three hundred thousand dollars ($1,300,000) is hereby appropriated for continuing con- struction of which not more than twenty thousand dollars ($20,000) may be available for the collection of data, the preparation of plans, specifications and super- vision of work $i ,300,000 oo Deficiency appropriation Personal service Special service 280 oo Maintenance and operation Office expenses 200 oo WILLARD STATE HOSPITAL Personal service $342,573 oo Maintenance and operation 530,200 oo Construction and repairs : Accommodations for tubercular patients: Authorized Appropriated Chap. 177, Laws 1919. $35,000 $20,000 An additional authorization of five thousand dollars ($5,000) is hereby made and an additional sum of fifteen thousand dollars ($15,000) is hereby appropriated 15,000 oo Dining room floors at Edgemere 5,000 oo Emergency roof repairs 4,000 oo Deficiency appropriation Personal service Railway To meet provisions of Adamson law, relating to rates and hours of employment 3,652 92 REAPPROPRIATIONS CHAPTER 165, LAWS OF 1920, GENERAL APPROPRIATION BILL STATE HOSPITAL COMMISSION By chapter 151 of the laws of 1918, for: Equipment John Horn and Sons (re. $46.00) 232 LAWS RELATING TO INSANE AND INSTITUTIONS BINGHAMTON STATE HOSPITAL By chapter 151 of the laws of 1918, for: Remodeling heating system (re. $1,442.46) Drainage, farm lands (re. $544.90) Extension of dormitory, scullery and equipment, east building kitchen (re. $4,300.00) Fencing (re. $2,500.44) Fire escapes (re. $2,428.00) BROOKLYN STATE HOSPITAL By chapter 151 of the laws of 1918, for: Additional power house equipment (re. $8,658.85) Elevators, new buildings (re. $2,326.00) Equipment, buildings at Creedmoor (re. $1,009,65) Equipment, chronic and reception building (re. $1,437.22) Hospital development commission, development of plans and studies, Creedmoor (re. $9,995.00) Laundry and equipment (re. $3,284.86) Lighting of grounds (re. $1,000.00) Sewage plant for Creedmoor (re. $5,630.62) CENTRAL ISLIP STATE HOSPITAL By chapter 151 of the laws of 1918, for: Additional accommodations for patients (re. $20,266.35) Extension to laundry and equipment (re. $949.44) Hospital development commission development of plans and studies (re. $732.83) New central heating and lighting plant (re. $12,969.35) GOWANDA STATE HOSPITAL By chapter 151 of the laws of 1918, for: Lighting rear group of buildings (re. $480.53) HUDSON RIVER STATE HOSPITAL By chapter 151 of the laws of 1918, for: Additional accommodations for tubercular patients (re. $11,284.93) By chapter 571 of the laws of 1918, for: Alterations and additions to water supply system (re. $5,000.00) Repairs to dam and filling swamp (re. $235.00) LAWS RELATING TO INSANE AND INSTITUTIONS 233 KINGS PARK STATE HOSPITAL By chapter 151 of the laws of 1918, for: Steel ceiling, plastered side walls, etc. (re. 824.97) Additional accommodations for tubercular patients (re. $75,000.00) Additional fire protection (re. $529.69) Extension of sewage disposal pjant (re. $470.89) Furniture and equipment (re. $498.83) Kitchen and dining-room accommodations, tuberculosis pavilions (re. $19,000.00) Water storage reservoir (re. $10,000.00) Hospital development commission, plans and studies (re. $193.14) MANHATTAN STATE HOSPITAL By chapter 151 of the laws of 1918, for: Painting (re. $2,252.55) Repairs to ward floors, doors and trim (re. $742.73) Additional accommodations for disturbed patients (re. $94,528.09) Coal and ash handling apparatus (re. $9,060.77) Coal trestle and equipment (re. $10,000.00) Dining-room accommodations for patients, main building (re. $19,949.92) Additional accommodation (re. $48,185.81) By chapter 571 of the laws of 1918, for: Repairs and renewals to heating, plumbing, etc. (re. $1,430.70) MIDDLETOWN STATE HOSPITAL By chapter 151 of the laws of 1918, for: Building for tubercular patients (re. $1,440.06) Cottage for patients, Comfort Farm (re. $2,063.19) Heating, plumbing, lighting, etc., tubercular cottage (re. $5,125.69) Silos and barns (re. $8,475.96) ROCHESTER STATE HOSPITAL By chapter 151 of the laws of 1918, for: Galvanized ventilating ducts (re. $2,000.00) ST. LAWRENCE STATE HOSPITAL By chapter 151 of the laws of 1918, for: Replacing boiler, stone crusher plant (re. $1,500.00) 234 LAWS RELATING TO INSANE AND INSTITUTIONS Breeching to connect boilers (re. $728.44) Hospital development commission, development of plans and studies, water supply (re. $500.00) UTICA STATE HOSPITAL By chapter 151 of the laws of 1918, for: Repairs and installation of blowers for boilers (re. $2,238.65) Bakery and equipment (re. $2,000.00) Hospital development commission, development of plans and studies, Marcy division (re. $5,555-45) WILLARD STATE HOSPITAL By chapter 151 of the laws of 1918, for: Chlorinating plant (re. $488.30) SUMMARY OF GENERAL APPROPRIATION BILL CHAPTER 165, LAWS OF 1920 Personal service Commission's office $i 17,020 oo Bureau of deportation 15,960 co Psychiatric Institute 33,799 Total, personal service $166,779 oo Maintenance and operation 79 I 9o oo Total, Hospital Commission $245,969 oo For State hospitals (see table, page 236) Personal service $4,725,772 30 Maintenance and operation 8,124,200 oo Total $12,849,972 30 Construction and repairs 3,830,700 oo Total for State hospitals $16,680,672 30 Total in Chapter 165, for Department for 1920-1921 16,926,641 30 DEFICIENCY APPROPRIATIONS FOR USE IN 1919-1920 State Hospital Commission Maintenance and operation $1,570 46 State hospitals Personal service $ 8,294 20 Maintenance and operation 19,219 93 Construction and repairs 60 oo Total $27,574 13 Total deficiency appropriations 29,144 59 SUMMARY OF APPROPRIATIONS M 55 co 2 o 2 M ^ CO fc o o Ill ST | ?88888888888 ? vO O lO CO IO vO t^ O TH fO C^J CO ^ 888888888888 coococococoo OOOOOO oooooo CM -i-H rH CM rH I cT co oo s o SUMMARY OF APPROPRIATIONS 237 REAPPROPRIATIONS STATE HOSPITAL TOTAL AMOUNT Commission's office $ 46 oo Binghamton " 11,215 80 Brooklyn 33,342 20 Central Islip 34,9*7 97 Gowanda 480 53 Hudson River 16,519 93 Kings Park 106,517 52 Manhattan 186, 150 57 Middletown 17,10490 Rochester 2,000 oo St. Lawrence 2,728 44 Utica 9,794 10 Willard -. , 488 30 Total $421,306 26 CHAPTER 34, LAWS OF 1920 APPROPRIATIONS FOR STATE HOSPITAL DEPARTMENT FOR USE IN 1919-1920 QTATW TTnoufTAT Maintenance ITAL and operation Commission's office $ 15,000 oo Binghamton 78,040 oo Brooklyn 14,478 80 Buffalo 29,216 19 Central Islip 191 ,535 10 Gowanda 38,500 oo Hudson River 152,800 35 Kings Park 109,000 oo Manhattan , 403,000 oo Middletown * 23,750 oo Rochester 50,000 oo St Lawrence 55,813 49 Utica 38,554 95 Willard 68,240 99 Total $1,267,930 27 Manhattan State Hospital: Personal service 20, 178 oo 16 238 SUMMARY OF APPROPRIATIONS CHAPTER 697, LAWS OF 1920 Salaries of State hospital employees as provided by new schedule. $1,120,000 oo CHAPTER 582, LAWS OF 1920 APPROPRIATIONS FOR STATE HOSPITAL DEPARTMENT FOR USE IN 1919 T 1920 Central Islip State Hospital Maintenance and operation Fuel, light, power and water $15,000 oo Clothing 12,000 oo Furniture, furnishings and household supplies. . 17,00000 Traveling expenses. 700 oo Kings Park State Hospital Maintenance and operation Food $20,000 oo Roads, grounds and walks 15,000 oo Manhattan State Hospital Maintenance and operation Farm and garden $1,500 oo Willard State Hospital Maintenance and operation General administration prior to July i, 1919 $140 36 Traveling expenses 400 oo Total for use in 1919-1920 $81,740 36 FOR USE IN 1920-1921 Binghamton State Hospital Personal service Accounting and stores Voucher and treasurer's clerk $840 oo Manhattan State Hospital Construction and repairs Repairs to assembly hall $30,000 oo Equipment for assembly hall 10,000 oo Total for use in 1920-1921 $40,840 oo SUMMARY OF APPROPRIATIONS 239 CHAPTER 20, LAWS OF 1920 Brooklyn State Hospital, Creedmoor Division Construction of buildings and plant and develop- ment of grounds $500,000 oo CHAPTER 860, LAWS OF 1920 Psychiatric Institute Development of plans, soil surveys test pits models, etc $25,000 oo SUMMARY OF ALL APPROPRIATIONS FOR THE STATE HOSPITAL DEPARTMENT MADE BY THE LEGISLATURE OF 1920 FOR USE IN 1920-1921 Commission's office, bureaus and Psychiatric Institute Personal 'service $166,779 Maintenance and Operation 79,190 oo Construction and repairs 25,000 oo $ 270,969 oo State hospitals Personal service .$5,846,612 30 Maintenance and operation 8,124,200 oo Construction and repairs 4,370.700 oo $18,341,512 30 FOR USE IN 1919-1920 Commission's office, bureaus and Psychiatric Institute Maintenance and operation $ 16,570 46 State hospitals Personal service $ 28,472 20 Maintenance and operation 1,353,890 56 Construction and repairs.. 60 oo $ 1,382,422 76 Total appropriations for Department $20,011,474 52 Reappropriations 421 ,306 26 2 4 GENERAL STATEMENT O g 3 2 C/f J CO O H U D Q O OS CU h O w D J 0*13 sa El W H fa O r 55 W 52; w O , '^ -i- ^cc??ot^wt-^--^oao t~G<5'9ie$ci5'if7i ' i[vo '' O II 0) rt *- O "C *d S c p. ^3-^ bfl- EMPLOYEES IN STATE HOSPITALS 241 11*3 1^2! ATT 1 ft OS O N iO * O CO kO I-* O GO TH OS - w .j-'j- s-ss-sliSsil w H < H cc . IB 242 COMPARATIVE STATEMENT PH b o IP 2s 00 q O 1 1 " ^i ef fcJ M73' O c- o t Kc W2 S3 a; 7lf5 CCOSO5 J" -i i *C J> i i OOO CO I 7 "" 1 " - o coot t. 'S g' 4 tf5 5 ' gf 10 ^ ^ S oo S S S' SCOS OS A JS100 TH *3S g T*G* OO Ci I- CO ^5 TH(M ocs o C -TH ?OTH TH5O COCO DTH yD-rHOOaSW * O * t- <9 L-OQOM' <- T-J O -HTH CO THTH l-Tt (M OTH CO"^< 00 (MTJ-TH g r} O 1OOOOO(M (NOiOO-rH 1-iOOSOS D Oi GO O OS TH O O5 CC O CO O CO 1O Tf : t^ 10 CO -*i TH t- t>-if 00 TfiQI . o o .s? tc : o 'O I : ft o i c x v o ba 00 5^ 8 S S 00 t-00 TH OiCO OOOJ O "^ THf^ TH 10 CO j^oso'^f oooocfi 10 to r-i " COGOlOO? rP t- OS OS CO CO COt- t ^ 1O CS i- C *" 0100 J>iO OJ TH co j> OS 10 IS SZ STH2 SCO 1O?>O OCcOt-TH OO? t-COOiO OS OrH GOOCOt- OS P co 10 TH o t- oo S ^c 8SSS3 g S THTHTH COl> TH CO . - v OJOi" |S o.^bftS * c "u f^g a c C^-Q S| og s^ a . 'S k H.:>I C-MC^j-rJv-a)^^ KtS J3 M 5 c3 0) C O)^ p4-i o3 CX*} ctf ^Jn 01 05 O P413OO&4 fec^Si-3 O S 244 COMPARATIVE STATEMENT Q G V 51 J P- ^ w of o TH 00 TH T-I TH ff _ __ c u '5 I t- OKMt- THTHTHt-THTH t-TH 00 O O TH Ifi CO t- -TJ f* OS 1-1 tO 00 CO TH 00 C Q & T-I f5 TI TH T530 sssgs^-fcis sss?sssssl SSI w a w'S W a] DG ft CJOS SI THTH1O TH O CO "" ts's'* ^ 8- cj I. CAPACITY OF STATE HOSPITALS 245 CAPACITY OF STATE HOSPITALS AND NUMBER OF PATIENTS, JULY i, 1920 HOSPITAL CAPACITY Binghamton .......................... 2,400 2,738 Brooklyn ............................. 1,043 T >3 J 3 Buffalo ............................... 1,700 2,344 Central Islip ................... '. ...... 4,100 5*577 Gowanda ....... : ..................... 950 1*274 Hudson River ........................ 2,850 3,562 Kings Park ........................... 3,600 4,797 Manhattan ............................ 5,230 6,045 Middletown .......................... . 1,840 2,177 Rochester ............................ 1,260 1,772 St. Lawrence ......................... 1,950 2,282 Utica ................................. 1,400 1,829 Willard ............................... 2,114 2,584 Total 3,437 38,294 INDEX SEC. PAGE ACCIDENTS, injuries and escapes, report of 182, 203 Accounts furnished treasurer by steward 55, 3 71 of committees of incompetent persons, L. 1915 130 or public officers, L. 1920 160 of State hospitals 45, 9 60 form of, to be prepared by State comptroller 143 Acquisition of property for use of State hospitals by con- demnation and otherwise 64 75 Actions at law, against Commission, managers or officers of State hospitals 58 73 for support of poor or indigent insane, L. 1898 123 to recover moneys due the hospital 54 71 Additions and improvements, special fund estimates for 178, 203 Administration department, State hospitals, classification and wages 50 64 Admission of patients. (See also commitment), application for 82 79 88 90 for persons not suitably cared for 86 85 poor and indigent 82 79 costs 84 83 86 86 dangerous insane 82 80 examination preliminary to 81 78 New York City, patients from 12 47 order for 80 78 papers to accompany 82 80 private, to State hospitals 7 records of 15 48 by Commission 15 48 by superintendent 45, 11 60 requirements 82 80 review of proceedings 83 82 to State hospital in district 87 88 under special agreement 89 90 voluntary patients ' 99 95 Advertisements relating to State hospital buildings deter- mined by Commission 65 76 Agents for securing reimbursement for support of insane 85 85 Agreement between New York and Massachusetts , 164 Agricultural law, amendment relative to State farms and in- stitutions, Chap. 211, L. 1917 138 amendment to relative to use of condensed milk, L. 1920. 161 Alien and non-resident patients, report of. ...... 190, 294 2 4 8 INDEX SEC. PAGE Alien insane- Immigration law 162 removal of, legislation for 6 44 transfer 96 94 Alienists, Board of. See Bureau of Deportation 19 49 Allowance, ration 176, 230 Almshouses, power of Commission to visit 92 92 Amityville. (See Knickerbocker Hall, and Long Island Home, p. 34.) Annual report of Commission 11 47 to include statement of trust funds 7, 2 45 of managers of State hospitals 43, 6 57 of superintendents 45, 10 60 of treasurer 52, 7 70 Annuities paid from retirement fund 112 98 Application blanks for retirement 121 102 Application for order of commitment 82 79 Appropriations annual appropriation bill 221 for buildings, unexpended balance may be used to com- plete other work 65 77 for construction, improvements, repairs and equipments at various State hospitals 223 for new buildings at Marcy site 135 for new building at Middletown 135 reappropriations ^ 231 summary of 239 Arrangement for exchange of insane between New York and Massachusetts 164 Arrest of apparent insane 88 90 Assistant auditor, name % 3 Assistant physicians- duties in absence of superintendent 45 58 families, supplies for 49 63 qualifications 45, 2 59 salaries of 171 to reside in hospital 45, 2 59 Assistant principals of training achools, salaries of 173 Assistant secretary, name 4 Assistant social workers, salaries of 173 Assistant statistician, name 4 Assistant steward, salaries of 172 Astoria. See Rivercrest 36 Asylums, private, directory 28 inspection of, by Commission 6 44 by Commission or medical inspector.. 9 46 license for 59 73 maintaining, without license a misdemeanor 158 INDEX 249 SEC. PAGE Attendants, may be disapproved by Commission 87 88 classification and wages 50 65 gifts or supplies, not to receive 56 72 may live outside 49 63 special policemen, duties as 45, 4 60 training school for 45,7 60 162 transfer of patients to State hospitals 87 88 wages : 50 63 increase 50 63 Attorney-General, investigation by deputy 92 92 proceedings for acquiring real estate for hospitals 64 75 Attorneys for State hospitals, manager or officer not to act as. 56 72 Auburn. See Pines, The.. 36 Auditor, name 3 assistant 3 information to be sent to 178, 202 monthly report of hospital population, to be submitted to. 178, 203 report of inventory of maintenance supplies at close of year to be submitted to 178, 203 report of quarterly consumption of farm products to be sent to 203 BAKERY service, State hospitals, wages 50 65 Bank balances, steward's statement of r 179 Beacon. See Dr. Bolton's Home 27; also Craig House 31, 32 Beekman, lands to be under control of commission 159 Bids for State hospital buildings 65 76 for supplies, lowest to be accepted 56 72 Binghamton. See Dr. Lyon's sanitarium 34 Binghamton State Hospital- appropriations in annual appropriation bill, L. 1920 223 directory 8 Blank forms for hospitals, to be uniform 10 47 Blanks, application for retirement 121 102 Bloomingdale Hospital, White Plains 29 Board of alienists. See Bureau of Deportation 19 49 Board of managers 41 55 actions against 58 73 appointment and removal 42 55 contracts, not to be interested in 56 72 gifts or supplies, not to receive 56 72 meetings 43, 4 57 with Commission 8 46 not to act as attorney for hospital 56 72 powers and duties 43 56 books of record 43,3 55 buildings, examination of plans for 65 76 2 5 o INDEX SEC. PAGE Board of managers, (continued) inspection of hospital 43, 2 56 investigate charges against State hospital officials. ... 43, 7 57 report, annual 43, 6 57 report on inspection of hospital 43, 2 56 superintendents of hospitals, approval of appointment 44 57 removal of 44 58 suspension of 44 58 president 43 56 secretary.. 43 56 terms of office 41 55 Bolton's Home, Dr., Beacon /. 29 Bond's House, Dr., Yonkers 30 Bonds, not to be required of public service corporations for contracts in certain cases 65 76 Books of record- case books 90 91 Commission to keep 15 48 in State hospitals, uniform 10 47 managers to keep 43, 3 57 superintendents to keep 45, 11 60 Breezehurst Terrace, Whitestone 30 Brigham Hall Hospital, Canandaigua 31 Brooklyn State Hospital appropriations in annual appropriation bill, L. 1920 224 for buildings at Creedmoor 159 directory 9 resident steward to become steward . . .';' 47 62 special provisions relating to ; 46 -61 Brooks' House, Dr., Rye 31 Buffalo. See Providence Retreat 36 Buffalo State Hospital- appropriations in annual appropriation bill, L. 1920 224 directory 10 Building department, State hospitals, classification and wages 50 66 Buildings- private institutions for insane 59 73 religious corporations 6 44 State hospitals, appropriations for 65 76 contracts 65 76 erection, alteration, repairs and improvements 65 76 estimated cost 17 49 examination by Commission 6 44 fire protection, L. 1895 122 plans for 65 76 superintendent to have supervision of 45 58 Buildings and engineering department, inspector 4 Bureau of Deportation, directory 5 INDEX 251 SEC. PAGE Bureau of Deportation, information to be sent to 190, 204 powers and duties 19 49 By-laws, rules and regulations for officers, employees, etc., of State hospitals 45, 12 61 CANANDAIGUA. See Brigham Hall Hospital 31 Capacity of State hospitals, Commission to report on 11 47 table of 245 Case-books 45, 11 entries in 90 91 evidence in habeas corpus proceedings 93 92 Census, June 1, 1919 7 Central Islip State Hospital appropriations in annual appropriation bill, L. 1920 225 commitment of patients to 12 47 directory 11 district 12 47 established 46 61 managers 42 55 resident steward to become steward 47 62 special provisions relating to 46 61 Central Supply Committee- act creating. . ... . 149 powers and duties of - 150 Central Valley. See Dr. MacDonald's House 35 Certificates of lunacy... 80,81 78 accompany petition 80 78 dangerous insane 82 81 Chief engineers, reports of 205, 206 City officers, duties regarding insane ; 87 86 Civil State hospitals, directory 9 Classification of mental diseases 217 Clothing furnished to patients on commitment, cost of 84 83 duties of local officers 87 86 on discharge 95 94 Code of criminal procedure, extracts from 156 Collection attorney, information to be furnished to 179, 203 Collins. See Gowanda State Homeopathic Hospital 13 Combes' Sanitarium, Dr., Corona 31 Combustibles, storage and use of 122 Commission, defined 2 42 monthly reports of communicable diseases to be sub- mitted to 192, 204 monthly report of discharged patients to be sent to 193, 204 monthly report of movement of patients to be submitted to 177, 202 statistical information to be submitted to 177, 202 Commission, Hospital Development (see Hospital Develop- ment Commission) 133 25 2 INDEX SEC. PAGE Commission to examine insane person in confinement, ap- pointment of and duties 156 Commissioner of Agriculture to examine food products 138 to supervise farms 139 Commissioners in lunacy. See State Hospital Commis- sioners 42 Commitment of insane 80 78 costs of 84 83 86 86 dangerous insane 82 81 88 89 defendant 157 examination preliminary to 81 78 expenses where patient is found sane or not committed. . . 88a 90 inebriates 173 116 New York city, patients from 12 47 order for 80 78 application for . 82 79 88 90 for persons not suitably cared for , 86 85 poor or indigent 87 86 papers to accompany 82 81 records of, by Commission 15 48 by superintendent 45, 11 60 requirements 82 79 review of proceedings ... 83 82 to jail prohibited 87 88 to State hospital in district 87 88 Committee, Central Supply (see'Central Supply Committee).. 149 Committee of person and property, appointment of, L. 1895. . . 123 bonds in proceedings for the disposition of real property. 127 care of harmless insane 82 80 compensation of, L. 1915 133 inventory and account, L. 1915 130 powers and duties of 88 90 L. 1914 149 security to be given by, L. 1915 128 Communicable disease, report of new cases of 192, 204 Communications with patients 145 109 163 114 Commutation for board and lodging of employees 50 63 175 Commutation ticket fund 51 68 Complaints, investigation of 43, 7 57 Comptroller, State, member retirement board 119 102 form of accounts and contracts to be prepared by 143 powers and duties of, re. contracts 144 Condemnation of property for State hospitals 64 75 Condensed milk containing oil, use of, L. 1920 161 INDEX 253 SEC. PAGE Conferences of superintendents with Commission 48 62 Confinement, persons in, when insane, L. 1910 141 unlawful of idiots and insane persons 158 Contracts, State hospital buildings 65 76 liability of State for . . . 65 77 supplies. 56 72, 151 officers not to be interested in 56 72 to be approved by and filed in office of State Comptroller, 144 Contracts for State hospital supplies. 187 Convicts, insane, discharge of 139 107 160 113 on recovering, transfer to prisons 140 107 161 114 restrictions on superintendents, in regard to 94 93 retention of, after terms expire 159 113 State hospitals for 130 103 150 110 Convicts, transfer of 185 transfer to Matteawan State Hospital 138 106 142 108 under sentence of death, L. 1910 139 Corona . See Dr. Combes' Sanitarium 31 Correspondence, of insane A 10 46 of patients 181 with other State departments 206 Cost of any commission in lunacy 157 Counsel, name 4 Craig House, Beacon - 32 Creedmoor, appropriation for buildings at, L. 1920 159 Criminal code, extracts from 156 Criminal liability , 158 Criminals, insane. See convicts. DANGEROUS insane, apprehension and confinement 88 90 commitment 82 81 order of, refusal of judge to grant 83 88 Dannemora State Hospital- communications with patients 163 114 convicts certificate of conviction to be delivered to medical superintendent 162 114 discharge of, after expiration of term 160 113 retention of, after expiration of term 159 113 transfer to prison on recovery of 161 114 directory 25 establishment and purpose 150 110 medical superintendent , +. 152 1 10 as treasurer of 153 110 . certificate of conviction to be delivered to 162 114 254 INDEX SEC. PAGE Dannemora State Hospital, (concluded) powers and duties , 155 111 removal of 157 112 monthly estimates 156 112 officers 25 patients, communicating with 163 114 salaries of resident officers. 154 111 superintendent of State prisons to make rules and regu- lations for 151 110 transfer of prisoners in State prisons, reformatories and penitentiaries to 158 112 Dansville. See United States Public Health Service Hospital 38 Deceased patients record-of 15, 4 48 sale of unclaimed property of 98 94 Defendant, commitment and detention of insane 158 Definitions 2 41 Dentists, salaries of 171 Deportation, bureau of. See Bureau of Deportation 19 49 Deportation of alien insane, U. S. immigration law 163 Directors of clinical psychiatry, salaries of 170 Discharge of employees 45 176, 204 of insane f. 94 92 record of 15, 3 48 of person imprisoned or restrained in his liberty, act rela- tive to 144 Discharged patients, care of 94, 3 93 clothing and money furnished to 95 94 personal property, sale of unclaimed 98 94 report of 176, 204 Dispensaries in connection with State hospitals. 45, lla 61 Districts, State hospital 12 47 changes in 13 47 Domestic service, wages 50 65 Drug addicts, commitment of 191 Drunkards. See also inebriates 116 committee of person and property, L. 1895 123 real estate, partition and sale, L. 1905 129 Duties of committee and others to care for insane 88 89 of local officers in regard to insane 87 86 ELECTRICAL engineers, classification and wages 50 66 Emergency commitments 82 81 Emergency fund, State hospitals 51 68 Employees, in State hospitals, all- classification 49 62 INDEX 255 SEC. PAGE Employees commutation for board and lodging of 175 date of employment of 176 discharge of 45 59, 176 to be reported to Commission 198, 204 families, supplies for 49 62 general rules relative to 174 gifts or supplies, not to receive 56 72 hours of labor, L. 1913 145 increase of wages of 176 laundry allowance of 175 may live outside 49 63 number of 176 privileges allowed to .' 50 63 probationary service of 175 re-employment of 176 report of dismissal of 198, 204 retirement , 111 98 definition 109 96 for disability caused by injury 113 99 forfeiture of right to annuity by default in making contributions 117 101 payments in case of death 116 1 01 repayments where retirement is without fault of em- ployee 116 101 temporary employees 118 101 rules and regulations governing 43 56 schedule of wages of 174 service records of 196 special policemen, duties as 45, 4 60 table of 241 term of service, how computed 114 99 training school for 45, 7 60 transfer of 176 uniforms prescribed for 193 vacations and absence from duty of 174 vaccination of 188 wages 49 62 50 63 Employees' families, supplies for members of 175 Employment, date of. 176 Engineer's department, State hospitals, classification and wages 50 66 Epileptics, commitment to State hospitals 80 78 discharged from State hospitals 94, 3 93 immigrants 19 49 Escape of patients 45, 4 60 256 INDEX SEC. PAGE Estimates, of expenses for State hospitals, Commission to report upon 11 47 quarterly 51 68 to be submitted to auditor 176 to legislature, concerning number of patients 17 49 Examinations of institutions, by Commission 6 44 8 45 by managers 43, 2 56 by medical inspector 4 43 of private institutions 8 45 9 46 by special examiners 6 44 Examiners, in lunacy 80, 81 78 fees 84 84 of immigrants. 19 49 of insane convicts 138 106 record of 14 48 Examining physicians appointment of '.'.' 148 compensation of 148 may be sworn as a witness 148 Execution of papers by Commission 5 44 Expenditures, State hospitals- apportionment of general expenses 51 69 classified estimates of, to be submitted for quarterly periods monthly statement 53 per capita quarterly estimates 51 Expenses incurred in sending defendant to asylum Experts, Commission may employ 4 Explosives, storage, and use of . FAMILIES, of officers, denned 49 62 169 Farm and grounds department, State hospitals, classification and wages 50 67 Farm census, to be submitted to auditor annually 178, 203 Farm products, report of quarterly consumption of, to be submitted to auditor. 203 Farms- Commissioner of Agriculture to supervise, I/. 1917 138 purchase of, to be approved by Commissioner of Agricul- ture. 139 Federal legislation re. alien insane, Commission to secure 44 Feebleminded- commitment to State hospitals 80 78 segregation of .'.' .- 136 Fees of examiners and witnesses 84 84 INDEX 257 SEC. PAGE Final order for discharge of prisoner or patient 144 Finances, State hospitals 52 69 accounts of State hospitals 45, 9 60 furnished treasurer by steward 55, 3 71 estimates of expense for State hospitals, Commission to report upon 11 47 quarterly i 51 68 to legislature, concerning number of patients 17 49 statistical report of, to be submitted at close of year 204 Financial department, State hospitals, classification and wages 50 t 64 Financial statement, receipts and expenditures 53 70 Fire alarm systems and fire extinguishing equipment, in- stallation and maintenance of 122 escapes, construction, maintenance and regulation of 122 prevention and protection against, L . 1895 '.'. 122 First assistant physicians, salaries of 170 Fiscal year, changes in, Chap. 118, L. 1916 153 Flushing. See Sarif ord Hall 37 Food products, Commissioner of Agriculture to examine 138 Food supplies for officers and employees 49 62 Forfeiture of right to annuity by default in making contribu- tions (retirement fund) 117 101 Forms authorized for use in State hospitals- administration 207 medical 210 steward. 212 GENERAL orders of Commission, to be filed in separate binder 167 General rules relative to employees ", . 174 General statement of the State hospitals 240 Genesee Sanitarium, Syracuse 32 Gifts, of property for insane 64 75 to State hospitals 7, 2 45 Gifts or supplies, officers not to receive -. 56 72 Glenmary, Owego 32 Goshen . See Interpines 33 Governor, appointments and removals of State Hospital Commissioners 3 43 managers of State hospitals, appointment 41 55 42 55 inspection of records of 43,3 57 removal 42 55 person under sentence of death but insane, duty 140 plans for State hospital buildings, approval of 17 49 65 76 salaries of officers, approval of 49. 62 258 INDEX SEC. PAGE Gowanda State Homeopathic Hospital appropriations in annual appropriation bill, L. 1920 226 commitment to 87 88 directory 13 managers 42 55 Grants to State hospitals 7, 2 45 for maintenance of insane 64 75 Greenmont-on-the-Hudson 33 Guardians, appointment of, Chap. 440, L. 1916 128 HABEAS corpus 93 92 Harmless insane 82 80 Harrison. See St. Vincent's Retreat 37 Health officers, care of insane pending commitment 87 86 compensation 84 84 88a 90 supervision of insane not in State hospitals 88 90 to apply for commitment 86 85 Homeopathic hospitals, commitment to 87 88 superintendent and physicians 44 57 Homeopathic treatment 168 Hospital attorney, manager or officer not to act as 56. 72 Hospital Commission. See State Hospital Commission. Hospital Development Commission act creating, L. 1917 133 amendment to, L. 1918 136 expenses of 134 powers and duties of 134 Hospital districts 167 Hospital population, monthly statement of, to be submitted to auditor 178, 203 Hospitals, total and per capita cost of maintenance 242 Hours to constitute a day's work 145 Hudson River State Hospital- appropriations in annual appropriation bill, L. 1920 226 directory 14 IDIOTS, commitment to State hospitals forbidden 80 78 committee of person and property, L. 1895 123 discharged from State hospitals 94, 3 93 immigrants, examination of 19 49 real property, partition and sale, L. 1905 129 Immigrants, insane 19 49 removal of 6 44 19 50 transfer 96 94 Immigration law, extracts from 162 INDEX 259 SEC. PAGE Incompetents, committee of, appointment 123 care of harmless insane 82 80 duties 88 89 powers and duties, L. 1914 146 inventory and account, L. 1915 130 real property, partition and sale of, L. 1905 129 Increase in wages of employees 50 63 Indians, insane 97 94 Indigent insane accommodation for 17 49 care and support 85 84 commitment, costs of 84 83 denned 2 41 discharged from State hospitals 94, 3 93 local officers, duties of 87 86 maintenance... 125 126 State hospitals for 40 54 transfer , 96 94 Industrial department, State hospital, classification and wages 50 67 Inebriates commitment of 173 116 application for order of 174 117 review of order of 175 118 committee of person and property, L. 1895 123 habeas corpus proceedings 176 118 real property, partition and sale of, L. 1905 127 Insane- admission, date to be recorded 15 48 under special agreement 89 91 voluntary patients 99 95 alien, (see alien insane) apparent, arrest of , 88 90 care of, by relatives or committee ; 82 79 inquiry into 86 86 investigation of 92 91 certificate of lunacy '. . 80, 81 to accompany petition 82 79 commitment. See commitment of insane. committee o'f person and property, appointment of 123 care of harmless insane 82 80* duties of, to care for 88 89 inventories and accounts 130 convicts. See convicts, insane. correspondence of insane . 10 46 criminals. See convicts, insane. dangerous, apprehension and confinement 88 90 2 6o INDEX. SEC. PAGE Insane, (continued) commitment 82 80 refusal of judge to grant order for commitment 83 83 death of, reports 15, 4 48 deceased, sale of unclaimed personal property 98 94 discharge of 94 93 discharged, care of 94, 3 93 clothing and money furnished to , 95 94 from licensed institutions 94, 4 93 personal property, sale of unclaimed 98 94 dispensaries for, in connection with State hospitals 45, lla 61 duties of local officers in regard to 87 86 escape of 45, 4 60 examination of patients in State hospitals by Commission, 8 45 medical inspector 4 43 superintendent. . . . 45, 1 64 gift for maintenance 7, 2 45 habeas corpus proceedings 93 92 harmless . ".............. 82 80 homeopathic care. .*. '.'.'.', 87 88 immigrants, examination of 19 49 removal of .... 6 44 transfer 96 94 Indians ;......... 97 94 indigent. See poor and indigent. information relating to, to be given Commission by super- intendent 16 48 institution, defined ..'....... 2 41 investigation into care and treatment of 92 91 jails, not to be confined in 87 88 liability for care and support of. . . 86 86 maintenance. See maintenance of insane. meeting of superintendent and me'dical staff to consider condition 45, 8 60 non-resident 19 49 removal 6 44 19 50 transfer 96 94 number in hospitals, estimated 17 49 orders for commitment of 80 78 parole of . . 94, 3 93 pending commitment, care of 87 88 * person in confinement, L. 1910 139 under sentence of death^ L. 1910. 139 poor and indigent- accommodations for 17 49 care and-support of, liability for. .".-.-.- .' 85 85 defined 2 41 discharged from State hospitals 94,3 93 INDEX 261 SEC. PAGE Insane, (concluded) Jocal officers, duties of 8? 86 maintenance 125 126 transfer 96 94 private patients, admission to State hospitals 7 89 91 revenue from 52, 3 69 proceedings to determine the question of insanity 82 79 proceedings when person in confinement appears to be insane 189 real property, partition and sale, L. 1905 129 record of, kept by Commission 15 48 clinical 45, 8 60 in State hospitals 45, 11 60 casebook 90 91 relatives. See relatives of insane. review of proceedings, commitment. 83 82 service of legal process on 179 temporary provision for 91 91 transfer, costs 85 84 86 86 from home to State hospital 82 79 by trained attendants 87 88 from one State hospital to another 46 62 non-resident patients. 96 94 from overcrowded hospitals. 91 91 voluntary patients, in private institutions 99 95 in State hospitals 99 95 Insanity law 41 Insanity of person under sentence of death, L. 1910 139 Insanity, proceedings to determine the question of 82 79 Inspection, of institutions by Commission 6 44 8 45 188 by managers 43, 2 56 by medical inspector 4 43 of private institutions 8 '45 9 46 Inspector- name 4 dairy, name 4 medical, name 4 duties 4 43 of buildings, name 4 Inspectors 4 43 Institutions, defined 2 41 for care, treatment and custody of insane 53 to furnish information to Commission 16 48 See also private institutions; State hospitals. 262 INDEX SEC. PAGE Insurance, State hospitals 17 49 I nterpines, Goshen . 33 Inventory and account of committee of incompetent per- son, L. 1915. 130 Inventory of supplies on hand, to be submitted to auditor. . . . 178, 208 Investigations 43,7 57 92 91 JAILS, insane not to be confined in 87 88 Judge, apprehension and confinement of dangerous insane. .. 88 90 commitment of insane. 80 78 82 79 discharge of patients 94, 3 93 to serve notice on insane 82 79 KELLOGG'S House, Dr., New York City 33 Kings Park State Hospital- appropriations in annual appropriation bill, L. 1920 227 directory 16 district 12 47 established 46 61 managers 42 55 resident steward to become steward 47 62 special provisions relating to , 46 61 Kitchen service, State hospitals, classification and wages 50 65 Knickerbocker Hall, Amity ville 34 LABOR, hours of, State hospital employees, L. 1913 145 Lands, acquired by condemnation 64 75 Laundry allowance of employees 175 Laundry service, State hospitals, classification and wages 50 66 Laws repealed, list 190 119 Legal department 6 Legal papers, notice of when served, to be submitted to col- lection attorney 179, 208 Legal process, service of, on insane patients 179 Letters of insane v . 10 46 Liability for care and support of indigent insane 85 84 actions at law, L. 1898 124 of estate, for support of patients 84 84 of relatives, for support of dependent insane 86 86 State a preferred creditor 86 86 Libraries for State hospitals 51 68 Licensed institutions 27 patients, discharge of, from 94, 4 93 parole of 94, 4 93 Local officers, duties of, in regard to^insane 87 86 Long Island Home, Amityville 34 INDEX 263 SEC. PAGE Long Island State Hospital (See Brooklyn State Hospital) Lyon's, Sanitarium, Dr., Binghamton 34 MACDONALD'S House, Dr., Central Valley 35 McFarland's Sanitarium, Dr. (see Spring Hill Sanitarium) ... 38 Maintenance of insane, accounts 55, 3 71 action to recover for.. 54 71 cost, rate fixed by Commission 85 85 gifts to State hospitals, for 7, 2 45 other than poor or indigent 88 90 89 91 poor or indigent 85 85 L. 1898 125 property for 64 75 relatives liable for 86 86 L. 1898 125 security required for when admitted under special agree- ment 1 95 State hospitals, appropriations for 221 total and per capita cost of in State hospitals 242 Maintenance supplies, inventory of, to be submitted to auditor, 178, 203 Mamaroneck. See Waldemere 39 Managers of State hospitals 41 55 actions against 58 73 appointment and removal 42 55 attorney for hospital, not to act as 56 72 contracts, not to be interested in 56 72 gifts or supplies, not to receive 56 72 meetings 43, 4 57 with Commission 8 46 48 62 powers and duties 43 56 books of record 43, 3, 5 57 buildings, examination of plans for 65 76 inspection of hospital 43, 2 56 investigate charges against State hospital officials. ... 43, 7 57 report, annual j. 11 47 43,6 58 report on inspection of buildings 43,2 56 superintendents of hospitals, approval of appointment, 44 57 removal of 44 58 suspension of 44 58 president 43 56 removal of 42 * 55 secretary 43 56 terms of office 41 55 - to reside in hospital district 42 55 264 INDEX SEC. PAGE Manhattan State Hospital- appropriations in annual appropriation bill, L. 1920 ..... 227 dead bodies, removal ot. 63 75 directory 18 docks, etc 63 75 established 46 61 lease of property 62 74 marine service . . 50 67 resident steward to become steward 47 62 specia: provisions relating to...... ! 46 61 Manufactures in State hospitals 56 72 Marcy site, contracts for new buildings at 134 Marine service . . . . " 50 9 Marshall Sanitarium, Troy 35 Massachusetts, arrangement with 164 Matrons, to reside in hospital 45, 2 59 salaries of . 172 Matteawan State Hospital certificate of conviction to be delivered to superintendent of -..... 141 108 communications with patients 145 109 convicts on recovery to be transferred to prison 140 107 directory.. . ..'... 26 disposal of insane convicts after expiration of term of imprisonment 139 107 establishment and purpose. 130 103 medical superintendent, appointment of 132 104 as treasurer of 133 104 monthly estimates of 136 106 powers and duties of . ... Y .." 135 105 removal of 137 106 tenure of office of 144 109 patients- authority to recover for support of 143 108 communications with 145 109 resident officers, salaries of 134 104 superintendent of State prisons to make rules and regula- tions for 131 104 transfer of insane convicts to 138 106 transfer of patients to, from State hospitals 142 108 Meat cutters, in State hospitals, wages 50 65 Mechanics, act in relation to, L. 1913 145 Medical and dental internes, salaries of 172 Medical examiners in lunacy 81 78 fee's 84 84 88a 90 of immigrants 19 49 insane convicts 138 106 record of... 14 48 INDEX 265 SEC. PAGE Medical inspector 4 4tJ duties in relation to State hospitals 189 examiner of Bureau of Deportation may be detailed to perform duties of 19 51 name 4 qualifications 4 43 visitation of private institutions 9 46 Medical staff- assistant physicians, duties in absence of superintendent.. 45 58 classification of 169 families, defined 49 58 food supplies 49 62 gifts or supplies, not to receive 56 72 legal qualifications 45 59 Medical superintendents. See superintendents State hospitals. Middletown State Homeopathic Hospital- appropriations in annual appropriation bill, L. 1920 228 contracts for new buildings at 135 directory 20 managers 42 55 Milk specifications 191 Monarisic State Hospital- establishment of 40a 54 district 12 47 Moneys, due hospital, action to recover 54 71 furnished to discharged patients 95 94 of State hospitals, superintendent to have custody of 52,1 69 Municipalities, cost of commitment to be a charge against ... 84 84 officers to act in committing insane 87 88 may provide place for temporary confinement of insane. 87 88 NEW YORK CITY, apprehension and confinement of insane, 88 90 commitment of patients from 12 47 dangerous insane, care of 88 90 fees of medical examiners 84 84 see also Combes, Dr., Sanitarium 31 Kellogg, Dr., House of 33 Manhattan State Hospital, Ward's Island 18 River Crest 36 West Hill 39 New York City asylums for insane, transfer of 62 74 Non-resident insane 19 49 agreement between New York and Massachusetts 162 legislation for removal of 6 44 transfer 96 94 Nurses and attendants families, supplies for 49 62 gifts or supplies, not to receive 56 72 2 66 INDEX SEC. PAGE Nurses and attendants,' (concluded) may live outside 49 63 special policemen, duties as 45, 4 60 training i.chool for 45, 7 60 uniforms prescribed for 193 wages. 50 65 OATH of office, State hospital officials 57 72 Occupational instructors, salaries of 173 Officers, local, duties of, in regard to insane 87 66 Officers. See also medical staff, physicians, steward, super- intendent, etc. Officers, State hospitals- actions against 58 73 appointment 44 57 attorney for State hospitals, shall not serve as 56 72 charges against. 43, 7 57 classification 49 62 contracts, not to be interested in 56 72 food supplies 49 62 gifts or supplies, not to receive 56 72 inspection of institutions by 188 may be transferred 44 57 number of 169 oath of office ; 57 72 report of discharge of 198, 204 residence.. 45, 2 59 retirement Ill 97 for disability caused by injury 113 99 forfeiture of right to annuity by default in making contributions 117 101 payments in case of death 116 101 repayments where retirement is without fault of employee 116 101 temporary officers 118 101 salaries .- 49 62 50 63 schedule of salaries of 168 service records of 196 Official oath 57 72 Official seal : 5 44 Official visits 8 45 Ogdensburg . See St. Lawrence State Hospital 22 Order, filial, to be conclusive evidence 144 Order of commitment, review of 83 82 Ossining. See Greenmont-on-the-Hudson 33 Out-patient departments, reports of 205 Overcrowding of State hospitals, to be relieved by transfers. 91 91 INDEX 267 SEC. PAGE Overseers of poor, duties regarding insane 87 86 application concerning maintenance of poor or indigent insane, L. 1898 124 commitment of insane, application for order of.. 82 79 Owego. See Glenmary 32 PAROLE and escape of patients 94, 3 93 185 Parole book to be kept at hospital 186 Parole cards to be filed at hospital 186 Paroled patients, records of. 186 Pathological Institute. See Psychiatric Institute. Pathologists, appointment of 170 salary 115, 171 Patients. See also insane admitted under special agreement 89 91 clothing and money to be furnished 95 ' 94 correspondence of 181 defined 2 42 discharge of : . 94 93 discharged during month, list of, to be submitted 176, 204 information to be given to, on admission 191 list of admitted during month to be submitted to Bureau of Deportation ? 176, 204 list of, to be submitted to collection attorney 179, - 03 mechanical restraint and seclusion of 196 non-resident 96 94 parole and escape of. 185 re-assignment of, and change of State hospital districts. . 13 47 record of 15 48 report of financial condition of, to be submitted to col- lection attorney 179 sale of unclaimed property, of discharged or deceased 98 94 security required for maintenance of those committed under special agreement 195 transfer of, application for 185 transfer of, rules to be observed by superintendent 183 transfer of, to be accompanied by attendants 184 vaccination of 188 voluntary 99 95 when hospital is crowded 9 . 91 91 Payrolls, State hospitals, kept by steward 55, 2 71 steward's monthly reports of, to be submitted to treas- urer 179, 203 Penal law, extracts from 157 Per capita cost of maintenance 242 Personal property, temporary custody of, of insane patients. 100 95 of discharged or deceased patients, sale of 98 94 268 INDEX SEC. PAGE Petition for commitment of insane , 80 78 82 79 committee of person and property, L. 1895 123 Pharmacists, salaries of 173 Physicians. See also medical staff, officers. assistant, duties in absence of superintendent 45 58 families,' supplies for 49 62 qualifications. 45, 2 59 to reside in hospital.. 45,2 59 " certificates of lunacy made by , 81 78 examining, appointment ot 148 women, in State hospitals 45, 2 59 Pines, the, Auburn 36 Plans for State hospital buildings 17 49 65 76 Plumbers, classification and wages 50 66 Policemen, powers and duties of employees who act as 45, 4 60 Poor and indigent insane. See indigent insane. Poor, county superintendents of, duties 87 86 discharged patients, care of 94,3 93 Poor, overseers-. See overseers, poor. Poor person, defined 2 41 support of, L. 1898 125 Poor-houses, power of Commission to visit 92 92 Population, hospital, monthly report to be submitted to auditor 178, 203 Poughkeepsie. See Hudson River State Hospital 14 Powers, general as to State hospitals, of State Hospital Com- mission 7 45 managers, board of 43 56 superintendents 45 58 Presents, officers and employees, not to receive, etc 56 72 Prevention of fires 122 Principals of training schools, salaries of 172 Prisons, insane not to be confined in 87 88 Private institutions, directory 27 inspection of by Commission or medical inspector.. 8 45 9 46 license for.... '. .'. 59 73 maintaining, without a license, a misdemeanor.. 158 to report changes in population 16 49 Private patients, admission to State hospitals revenue from. 52, 3 69 Privileges allowed to employees 50 63 Probationary service of employees .... 175 Proceedings to determine the question of insanity. '. 82 79 when person in confinement appears to be insane. 139 when person under sentence of death is declared insane. . 143 INDEX 269 SEC. PAGE Property, committee. See committee of person and prop- erty. Property of insane, personal, of discharged or deceased patient, sale of 98 94 real, partition and sale, L. 1905 129 temporary custody of 100 95 Property of State hospitals, acquisition of 64 75 Proposals for State hospital buildings 65 76 for supplies, lowest to be accepted 56 72 Protection against fire , 122 Providence Retreat, Buffalo 36 Psychiatric Institute 170 115 director of, duties, etc 172 115 directory 6 hospital and out-patient department 172a 116 maintenance of 171 115 medical staff, residence and maintenance of ,. . 172 115 Public service corporations, bonds not to be required in cer- tain cases 65 76 Purchases by State departments, boards and commissions from United States government, Chap. 83, L. 1919 169 in State hospitals 56 72 made by steward 55, 1 71 of supplies, preference to be given State product, L. 1899. 129 Purchasing committee, joint- clerical and advisory help 4 43 directory 5 duties of 198 expenses of, apportioned among hospitals 4 44 experts to assist.. 4 44 how constituted and appointed 56 72 powers and duties f 56 72 report of completion of contract to be submitted to 204 report of failure on part of contractor to fulfill agreement, 204 to draw specifications and enter into contracts for sup- plies 198 to have samples of supplies tested 198 Purchasing steward, office abolished 47 62 QUARTERS, employees 49 62 officers 49 62 Quarterly estimates of expenditures emergency fund 51 68 RAILROAD department, Willard 50 67 Railroads through hospital lands 66 77 Rate for reimbursing patients 85 85 Ration allowance ... 179 220 18 2 7 o INDEX SEC. PAGE Real property of incompetents, partition and sale of, L. 1915. 127 Receipts, monthly statement of 53 70 Receipts, steward's monthly reports of, to be submitted 203 Recommendations of Commission 60 74 Record of patients, Commission to keep 15 48 managers to keep 43, 3 57 State hospitals, in, examination of by Commission 8 45 superintendents to keep. 45, 11 60 case books. 90 91 Records to be kept by State hospitals- administration 198 medical 199 steward 200 Re-employment of employees 176 Registration districts for vital statistics, Chap. 321, L. 1917.. . . 137 "Regulations and forms 10 47 Regulations, by-laws and rules for officers, employees, etc. . . 45, 12 61 Reimbursing rate 85 85 Relatives of insane, commitment of insane to, care of. .'. 80 78 duty to care for insane 88 89 filing of records 82 81 harmless insane, custody of 82 80 liability for support of insane '. .. 85 84 86 85 actions at law, L. 1898 125 maintenance of insane after discharge 94, 3 93 Religious corporations, buildings on hospital grounds 6 44 Removal of employees 45 59 of officers 45 59 Repatriation 96 94 Reports accidents, injuries and escapes 182, 203 annual, of operations of hospital 202 to include statement of trust funds 7, 2 45 Commission, annual ; 11 47 managers, State hospital, annual 11 47 43, 6 57 on monthly inspection 43, 2 56 monthly, of movement of patients. 177, 202 statistical 177 superintendents, annual 45, 10 60 monthly to managers 43 56 to be submitted by State hospitals 202 treasurer, annual 52, 7 70 yearly, of movement of patients 177, 202 Resident officers. See officers, State hospitals Restraint and -seclusion, mechanical quarterly report to be submitted Retirement board created.... 7 119 INDEX 271 SEC. PAGE Retirement board of State hospital employees 6 Retirement fund.. 110 96 contributions to 115 100 expenses of administration of 122 102 payment in case of death 116 101 forfeiture of right to annuity by default in making contri- butions 117 101 re-instatement in 122 102 repayments where retirement is without fault of officer or employee 116 101 temporary officers and employees 118 101 Retirement of officers and employees Ill 97 173 annuities paid 112 98 application blanks for 121 102 custody and control of fund 110 96 definition of 109 96 for disability caused by injury 113 99 fund created 110 96 medical examiners 120 102 proceedings for 112 98 term of service, how computed 114 99 Review of proceedings and order of commitment 83 83 River Crest, New York City 36 Riverdale. See Dr Kellogg's House 33 Roads through State hospital lands 66 77 Rochester State Hospital appropriations in annual appropriation bill, L. 1920 229 directory 21 Rules, by-laws and regulations for officers, employees, etc. . . 45, 12 61 * ST. LAWRENCE STATE HOSPITAL appropriations in annual appropriation bill, L. 1920 230 directory 22 St. Vincent's Retreat, Harrison 37 _JJalaries and wages, schedule of 50 Jj3, 64^ Salaries, Bureau of Deportation 19 50 Commissioners, State hospital 3 42 increase of 169 medical inspector 4 of assistant principals of training schools 173 of assistant social -workers 173 of assistant steward 172 of occupational instructors 173 of pharmacists 173 of principals of training schools 172 of social workers or after-care agents 173 of stewards 172 272 INDEX SEC. PAGE Salaries, (concluded) officers, State hospital 49 62 Psychiatric Institute, director of 172 1 15 schedule of officers' . 168 Sale of real property, Laws of 1905 129 old machinery, etc 7, 1 45 unclaimed personal property of patients 98 95 Sanford Hall, Flushing 37 Schedule of salaries and wages 50 68, 64 School for trained attendants 162 Seal of Commission 5 44 Secretary of Commission, 4 43 attestation of papers 5 44 name 3 Secretary of State, approval of salaries of officers 49 62 Senior assistant physicians, salaries of 171 Service of legal process on patients personal, prior to com mitment 82 79 Social workers or after-care agents- reports of 204, 205 salaries of 1?3 Society of New York Hospital See Bloomingdale Hospital.. 29 Spring Hill Sanitarium 38 State, a preferred creditor 86 86 State Architect, State hospital buildings- plans for 65 76 powers in regard to 65 76 State Charities Aid Association, annual report 11 47 nominates visitors to State hospitals 61 74 State Comptroller, salaries of officers approved by 49 62 State hospital buildings, approval of contracts for 65 76 State Hospital Commission, names 3 actions against 58 73 annual report 11 47 appointment of , by governor 3 43 appointments of agents to receive reimbursement. 85 85 engineers 43 examiners, Bureau of -Deportation 19 50 medical inspector 4 43 superintendents, State hospitals 44 57 appropriations for 221 chairman 3 43 clerical force 4 43 control of lands at Beekman 159 Commissioners, appointment of 3 42 names 3 qualifications , 3 42 INDEX 273 SEC. PAGE State Hospital Commission, (continued) salaries 3 43 terms of office 3 43 contracts not to be interested in 56 72 defined 2 42 duties of medical inspector in relation to 189 engineers, may employ 4 43 execution of papers 5 44 experts, may employ 4 44 forms authorized for use in 207 general powers 6 44 general powers as to State hospitals 7 45 gifts or supplies, not to receive 56 72 meetings with managers 8 46 with superintendents 48 62 names of Commissioners 3 office 4 43 official seal . 5 44 official visits 8 45 powers , 6 44 attendants, approval of 87 88 buildings 65 76 approval of plans for 17 49 employment of labor for erection 65 76 certificate of lunacy and petition, to furnish blanks for. 80 78 commitment of insane, action to recover costs and charges. 86 86 application for order of . . . . 86 86 patients from New York City , 12 47_ rules for 46. 61* correspondence of insane 10 47 discharge of patients 94 92 execution of papers 5 44 expenditures, revise estimates 51 68 immigrants, insane 19 50 inspection of institutions; 6 44 private institutions 9 46 investigation into care and treatment of insane 92 91 managers of State hospitals, records 43, 3 57 medical examiners-, record of 14 48 non-resident insane, removal 6 44 transfer 96 94 official records and blank forms, approval of 10 46 patients, record of 15 48 poor and indigent insane 17 49 prospective wants of insane, to provide for 17 49 rate of support of insane, fixed by .'.'.'.'. . . 85 85 recommendations of ... 60 74 8 46 274 INDEX SEC. PAGE State Hospital Commission, (concluded) record of medical examiners 14 48 record of patients 15 48 regulations and forms 10 46 religious corporations, buildings on hospital grounds. 6 44 report, annual 11 47 salaries and wages 50 63 sale of property 71 45 seal 5 44 secretary 4 43 5 44 name 3 State hospital districts 12 47 change of and re-assignment of patients 13 47 State hospitals, powers as to 7 45 acquisition of property for 64 75 reports 45, 10 60 steward's vouchers 53 70 superintendents, charges against 44 57 supervising engineer, plans prepared by 65 76 transfer of patients from overcrowded hospitals 91 91 to Matteawan State Hospital 130 103 treasurer of State hospitals, may designate person to act as 44 57 trust funds 7, 2 45 visitation and inspection of certain institutions 9 46 change of, and reassignment of patients 13 47 defined 12 47 State hospital employees, table of 341 State hospital retirement board 6 State hospital system 7 State hospitals See also various main heads acquisition of property for use of 64 75 buildings, erection, repairs and improvements 65 76 capacity of, table 245 commitment of insane, order for 80 78 contracts 56 72 emergency fund 51 68 employees- schedule of salaries 50 63, 64 wages of 49 62 50 63, 64 expenditures, quarterly 51 68 general statement for the year 1919 240 location 40 54 maintenance, total and per capita, for year 1919 242 managers of 41 55 powers and duties 43 56 removal of . 42 55 INDEX 275 SEC. PAGE State hospitals, employees, (concluded) mechanics working in 145 names of 40 54 new, establishment of 17 49 officers- appointment of 44 57 oath of office of 57 72 schedule of salaries of 50 64 poor and indigent insane 40 54 purchases 56 72 records to be kept by 198 reports to be submitted by 202 streets and railroads through lands of 66 77 superintendents, powers and duties of 45 58 subpoena of 147 to send monthly report of discharged patients to Com- mission 176. 204 to submit monthly reports of communicable diseases 192, 204 to supply data to Bureau of Deportation 192,204 visitors to 61 74 voluntary patients 99 95 State prisons, superintendent of Dannemora hospital, by-laws for 151 110 government of 151 110 superintendent, appointment 152 110 to make rules and regulations 151 110 Matteawan hospital, by-laws for government of 131 104 superintendent, appointment 132 104 removal 137 106 State products, preference to be given in purchase 129 Statement of bank balances 179 Statistician, name 4 Statistical data cards- shall be forwarded monthly 177, 202 to be forwarded to statistician 177 Statistical reports 177, 202 Statistical tables 240 Statistics, vital, registration districts for 187 Statutes, subsidiary and unrepealed, relative to insane 122 Stewards, accounts of patients, to keep 55, 3 71 affidavit of 53 70 appointment of 45, 2 59 clothing and money to be furnished to discharged patients by 95 94 contracts for supplies 56 72 duties and powers 55 71 food supplies 49 62 may receive money and forward it to State Treasurer 52, 3 69 276 INDEX SEC. PAGE Steward's accounts of patients, (concluded) . oath of office 57 72 payrolls, prepare and keep 55, 2 71 powers and duties 55 71 purchases for hospital, to make 55, 1 71 purchasing, abolished 47 62 removal 45, 2 59 reports of payrolls to be submitted to treasurer 179 reside in hospital 45, 2 59 salaries of 172 Steward's receipts to be submitted to treasurer. 178 Streets through hospital lands . ... 66 77 Subpoena (duces tecum) requiring records, L. 1915 152 Summary of appropriations 239 Superintendents of poor, duties 87 86 commitment of insane, application for order of. , 82 79 discharged patients, care of . . 94, 3 93 Superintendents of State hospitals absence from hospital of 187, 203 actions against 58 73 appointed by Commission.. 44 57 bond as treasurer 44 58 charges against 43, 7 57 44 58 committee of, to establish by-laws, rules and regulations. 45,12 61 duties See powers and duties. food supplies for families 49 62 meetings, at least once in three months 48 62 with medical staff, at least two weekly. 45, 8 60 oath of office 57 72 powers and duties 45 58 accounts and records of hospital ; 45, 9 60 action to recover moneys due hospital 54 71 alien and non-resident insane 19 50 annual report 45, 10 60 appoint dentist, pharmacist and principal of training school 45, 2 59 appointment and discharge of officers 45, 2 59 book of record of patients 45,11 60 buildings, estimates for 65 76 buildings and grounds, superintendence of 45 58 chief executive 45 58 commitment to State hospitals, notification of 82 80 committee of person and property, may present peti- tion for, L. 1895 123 commutation ticket fund 51 68 daily accounts and records 45, 9 60 discharge of employees 45, 3 59 of patients 94 93 INDEX 277 SEC. PAGE Superintendents of State hospitals, (concluded) discipline, maintain 45, 6 60 dispensary or out-patient department, may establish 45, lla 61 employees' wages .' 49 62 50 63 estimates, quarterly in triplicate 51 68 evidence in habeas corpus proceedings 93 92 examination of patients within five days of admission. . 45, 1 59 expenditures, estimates of 51 68 inspection of hospital 45, 1 59 maintain a training school 45,- 7 60 may make transcript of records in compliance with subpoena 147 medical certificate and order of commitment, to for- ward to Commission within ten days 16 48 out-patient department or dispensary, may establish... 45, lla 61 parole of patients 94, 3 93 patients, refusal to receive 82 81 record of 45, 8, 11 CO case book 90 91 policemen, special, designation of 45, 4 60 quarterly estimate in triplicate 51 68 record removal of resident officers and employees 45, 2 59 removal of resident officers 45, 2 59 report to managers 45, 10 60 to State Hospital Commission 45, 10 60 reside in hospital 45, 2 59 salary of 170 secure good conduct 45, 5 60 special policemen, appointment 45, 4 60 staff meetings 45, 8 60 to act as registrar of vital statistics 137 to make effective directions issued by Commissioner of Agriculture 139 to notify Commission of transfer of patients 185 training school for nurses 45, 7 60 treasurer of State hospitals 44 58 duties as 52 69 53 70 voluntary patients 99 95 qualifications 44 57 removal from office, by majority of board of managers. . 44 58 suspension of, by board of managers 44 58 Supervising engineer to prepare plans 65 76 Supplies, contracts for 187 estimates for ; 51 68 for officers and employees 49 62 families 49 62 175 278 INDEX SEC. PAGE Supplies, (concluded) purchase of 55, 1 71 56 72 from United States government, L. 1919 158 State products preferred, L. 1899 129 Purchasing Committee to purchase by joint contract 198 report of estimated quantities of, required for period covered by contract 204 Support of insane, accounts , . . 55, 3 71 action to recover for 54, 2 71 cost, rate fixed by the Commission 85 85 gifts to hospital for 7, 2 45 other than poor or indigent 88 90 89 90 poor and indigent 85 84 L. 1898 125 property for 64 75 relatives liable for 86 85 L. 1898 125 Supreme court justices, apprehension and confinement of dangerous insane, precept for 88 90 care and treatment of insane, approval of order concerning, 92 91 commitment of insane, order of, made by.. 80 78 review of proceedings, order of 83 82 stay of proceedings, order for 83 83 visitors to State hospitals, appointment of 61 74 Syracuse. See Genesee Sanitarium 32 TEMPORARY custody of personal property of insane patients 100 95 Temporary employees 118 101 Temporary provision for insane 91 91 Terms of service, how computed . 114 99 Training schools, graduates of 175 Training schools for attendants and nurses 45, 7 60 Transfer of employees 176 Transfer of insane- application for 185 clothing to be provided for 183 costs , 85 84 86 86 from home to State hospital. 82 82 by trained attendants 87 88 from one State hospital to another 46 61 of non-resident patients 96 94 overcrowded hospitals 91 91 prisoners in State prisons, etc., to Dannemora hospital, 158 112 to Matteawan hospital 138 106 record of 15, 4 48 rules to be observed by superintendent 183 to be accompanied by attendants 184 INDEX 279 SEC. PAGE Treasurer of State hospitals Commission may designate person to act as 44 51 matters to be submitted to 178 name 4 superintendent to act as 52 69 bond 44 58 powers and duties of superintendent as 52 69 receipts and expenditures, monthly statement 53 70 recover money due hospital 54 71 Troy. See Marshall Sanitarium 35 UNIFORMS, prescribed for nurses and other employees 193 United State Public Health Service Hospital, Dansville, No. 28 38 Utica State Hospital- appropriations in annual appropriation bill, L. 1920 230 contracts for new buildings at Marcy site 134 directory 23 VACATIONS and absence from duty of employees 174 Vaccination of patients and employees 188 Visitation and inspection of institutions, by Commission. . . "6 44 8 45 92 92 managers 43, 2 56 medical inspector 4 43 private institution s 8 45 9 46 Visitors to State hospitals 61 74 Vital statistics registrar of 137 registration district for, L. 1917 137 Voluntary patients, in licensed institutions- admission 99 in State hospitals 99 Vouchers, State hospitals 53 steward 52, 5 to be sent to treasurer WAGES of mechanics in State institutions, L. 1913 Commission to fix 49 increase of prescribed 50 schedule 50 Waldemere, Mamaroneck Ward service, State hospitals, classification and wages 50 Ward's Island. See also Manhattan State Hospital Psychiatric Institute f 2 8o INDEX SEC. PAGE West Hill, 39 White Plains. See Bloomingdale Hospital 29 Whitestone. See Breezehurst Terrace 30 Willard State Hospital- appropriations in annual appropriation bill, L. 1920 231 directory 24 Witnesses, examination of, in investigations 92 92 before board of managers 43, 7 57 fees of medical witnesses 84 83 Women, on board of managers of State hospitals 41 55 nurses or attendants, wages 50 65 patients to have women attendants 87 88 physicians 45, 2 59 qualifications 45, 2 59 reside in hospital 45, 2 59 salaries of 171 YEAR, fiscal 11 47 Yonkers, see Bond, Dr., House of 30 - : Naw York (l r^otl^ ?t a ta) Stat* N7A3 1920 hospital Uo n /i Y> /^ /\if cosad.39ion IOLOGT ^ ^ ficin\AUUQ& "A