REPORT OF DIRECTORS
LONGVIEW
HOSPITAL
CINCINNATI. OHIO
( 9/" -/ 9/ J' ·
FOR THE TRIENNIAL PERIOD
ENDING NOVEMBER 15, 1918
0,
-
REPORT OF DIRECTORS
fOR THE TRI E. NNIAL PE. RIOD E. NDING NOVEMBE. R 15, 1918
T o HIs EXCELLENCY, J AMKS M. COX ,
Governor of Ohio.
Sir:
We herewith submit our report of Longview Hospital ( 57- 58- 59 Annual).
In compliance with law the Superintendent of Longview Hospital will fi le his
report with the State Board of Administration and therein give information
showing the cost per capita of the numner of inmates and the percentage of
d ischarges and cures. Such info rmation is therefore herein omitted .
The expenditures made by the State for maintenance of Longview
Hospital , heing under the control of the Ohio Board of Administration, is
also omitted. It is intended by t his report to deal solely with such matters
which came under the control of the Board of Directors and of matters
affecti ng the gencral welfare of the Hospital.
In our last report we called attention to the over-.{: rowded condition
prevailing at the Hospital. This condition has somewhat been relieved by
t he completion and occupancy of a new building for disturbed males. Many
male and female wards are still over-.{: rowded in violation of physical and
sanitary safety. It must be observed that the female population is about
equal to the male population.
As stated in our former report, t here is in contemplation the erection
of a new buildino: for female p: nients, under the supervision a nd cont rol of
a building commission appointed by the Court of Common Pleas, for that
purpose. Necessary plans and specifications have been prepared and adopted.
T he building commission on two occasions having advertised for bids, found
8uch bids in excess of the estimate of the architects. and owing to war conditions.
the hio: h cost of material and labor, further action for the construction
of such buildino: has been postponed.
We are fu lly aware that owing to the crowded conditions and lack of
build ings t he present classification and segregation of patients is not sat isfactory.
It is hoped t hat upon the completion of this new building a better
classification a nd scgreo: ation of patients can be made. We also desire to
call attention to matters which were recently a subject mat ter for inve~ tiga_
t ion by a Grand Jury of this County. At the time there were many sen ·
sational reports published in the daily press of a lleged cruelty by attendants
upon patients confined at Longview Hospital, to which the attention of this
Grand Jury was directed. The Judge of the Court, by whom the Grand
Jury was summoned seemed to be greatly influenced by information which
he personally solicited and gave to the public, and also by the publication
of information of alleged cruelties obtained by the press, did upon his own
volition, appoint seventy- six physicians and instructed them to proceed 10
Longview Hospital, strip and examine every p.' ltient as to any marks and
bruises, also to get statements of patients and attendants and report the;,
findings to him. The physicians so appointed, who were the most reputable
in the profes.~ ion, made a thorough examination of patients so confined and
reported their result to this Judge. This report was not made public. The
Board of Directors, deeming it of interest to the public, caused to be published
in concise form the result of this investigatioo. We herewith append
a copy of the report as published. The Board of Directors at all times afforded
the Graod J ury every facility for a thorough investigation of all matters
alleged.
The Academy of Mediciae of Cincinnati at this time appointed a committee
consisting of members ' Of the Academy, physicians of the highest
standing in the community, for the purpose of investigating into conditions
at Longview Hospital and to suggest a more scientific treatment of insane
patients. The report of this committee is herewith appended. The Grand
Jury returned an indictment against two attendants for murder in the first
degree and four indictments against attendants for assault to . kill certain
patients. The Board of Directors resolved itself into a committee of the whole,
and after due notice held public sessions from time to time for the purpose of
investigating whether violence had been used by employees of the hospital
upon inmates, and whether attendants and officials were derelict ia their
duties resulting in hmm to patients and detriment to the hospital and to
investigate as to other matters affecting the general welfare of the hospital.
The evidence at these hearings was taken clown by a stcnographer and is on
file for public inspect ion. The committee subsequently made a report in
writing frOIll which we beg now to quote as follows:
" The subject matter first taken up was the death of one Sabin Hollister,
at the time an inmate of the hospital. The undisputed facts are that Hollister
was admitted to the hospital while in good physical condition; that he came
under the immediate care and charge of two a tlendants, to- wit: James E.
Brown and Albert L. Barlow; that on the night of the afternoon of his admission
or early on the following morning he died; a post- mortem eX! lmination
made by the coroner disclosed severe injuries upon his body resulting from
violence and from which death ensued. Without going into further details
we are fully convinced that the injuries were inflicted by these two attendants;
that the altack upon Hollister was withuut justification and was brutal in
the extreme; it deserves the severest condemnation. These two men were
subsequently arrested, indicted for murder in the first degree, and upon a
trial, Brown was convicted of manslaughter.
The death of Hollister W.' lS reported by Brown on the first morning to
the superintendent, as required by the rules of the hospital. In this report
he stated that Hollister died in convulsions rluring the night, but no mention
was made therein of the injuries which he had received. There were no
witneSSC!! to this hrutality except two insane patients who were in the room
at the time, although other patients claimed to have seen the attendants
assault Hollister. We examined every patient who claimed to have witnessed
the occurrence, except Marshall, no longer a patient, and who was not per_
mitted to appear before us."
'' It must be admitted that often force is used by an attendant, sometimes
necessary for his or her protection or the protection of other patients. That
in some instances greater force is user.! than absolutely necessary may also
be conceded. In an altercation which often occurs between insane patients,
the force used in restodng order by an attendant is not a lways measured;
bruises or injuries to a p<' ltient arc often the result, but it must be said in
fairnliSS that a great majority of the attendants were kind and indulgeut,
avoiding as often as possible any force though necessary, preferring milder
means to quiet a patient."
" It is also true that at times an attendant who has brutal instincts ( which
subsequently developes) is employed ; but the evid,: nce discloses that in
every instance when the attention of the superintendent was called to such
attendant, dismissal was prompt, and every doubt was resolved in favor of
the patient. One of the rules of the institution and to which each attendant
subscli\; cs, forbids abuse or neglect of a patient, and any abuse 0 1 neglect
witnessed by another attendant must be reported to the superintendent; a
violation of this rule resulting in the immediate dismissal of such attendant.
This rule wa~ ~ trictly enforced It may follow also that abuse or neglect
by an aHendant is not always rcporteu to the superintendent."
" The criticism which we desire to make, however, in connection with
the death of Hollister, is that the a!! si~ tant physician failed to make an examination
01 his body before it was removed. JJ this had been done the
injuries would have been di;; covcrcd and the t: ause of the patiClnt's death,
disclosing the untruthfulness of the report of the attendant and avoiding the
delay which ensued. It !\ lay also \; c said that when ~ he attent ion of the then
superintendent was called to the causes which Jed to the rlcath of Hollister
by the Probate JlId" e and coroner, he persisted in maintaining that Hollister
had not received the injuries at the hospital, nor did he then take steps to
nvestigate. \ Ve think, in this respect, the superintendent did not display
such promptness which the occasion rcqui, · ed."
" Thomas Broyles, an attendant, was illdicted. to- wit: That on the 16th
day of September, 1917, he ass... . ulted and wounded Rohert Groll, a patient,
with intent to kill. The evidence showf> that all examinaLion was made of
the perllOn of this patknt, by Dr. Bauer and Dr. List, on or about the 16th
day of September, 1917, which disclosed no injuries of any kind. Subsequently
this sam(" pa. tient was again e){ amined by two ph~ sicians, under the order
of the Judge heretofore referred to and they found no injuries. \ Ve are
dccidL'(\ ly of the opinion that this patient was not assaulted or injured hy
this attendant." .
" Bertha Fite, also an attendant, was indicted. It is alleged that on the
23d day of June, 1913, she assaulted SUSiln Crosby, a patient, with intent
to kill. The records of the hospital show that Bertha Fite was not employed
in any capacity at the hospital, on the 23d day of June, 1913: that she did
not become an attendant until August, 1914, a year and two months after
this alleged assault: also that Susan Crosby was not an inmate of Longview
Hospital on the 23d day of June, 1913, and did not become a patient until
the 27th day of April, 1915, one year and ten months after the alleged aSiiault,
and that she was discharged on July 15, 1915. Your committe, nevertheless,
made a careful examination into tbe charge, irrespective as to the dates of
employment of the attendant and admission of the patient, and there is no
evidence that Susan Crosby was ever assaulted by this attendant. This
patient, after her discharge, was in friendly correspondence with this attendant,
expressing in every manner her appreciation of the kindly treatment she
ha d received at the hands of this attendant."
" An indictment was also returned against Mabel Pepper, an attendant,
to- wit: That on the 1st day of December, 1916, she assaulted Jenny Moran,
a patient, with intent to kill. The evidence discloses that Jenny Moran was
a very unruly p;\ tient and at times difficult to restrain: that she would strike
other patiCllts, her attendants and physicians, and that often force had to bc
used to subdue her. The evidence, however, fails to disclose that she at
any time received bruises or marks or that she was evcr assaulted by thj~
attendant."
" An indictment was also returned against Helen Coulter, an attendant.
T he indictment reads, ' that on the 30th day of August, 1917, she assaulted
a Mrs. Schnbert, whose first name is to the Grand Jury unknown, with intent
to kill. ' The records fail to disclose that a patient by the name of Schubert
was ever an inmate of Longview Hospital on the 30th day of August, 1917, or
at any time prior or subsequent thereto."
The Grand Jury had before it all of the records of Longview Hospital
containing the names and dates of admission of every patient and the names
and date of the employment of every attendant.
It is proper to state that thereafter Albert L. Barlow jointly indicted
with James E. Brown for the murder of $.' 1bin Hollister, plead guilty to manslaughter.
That the indictments against Bertha Fite, Mabel Pepper and
Helen Coulter, attendants, were nolled on the statement of the prosecuting
attorney that there was no evidence against either of them and that no conviction
could therefore be had.
The Board of Directors also gave very serious consideration to the report
herewith appended made by the committee appointed by the Academy of
Medicine, consisting of Dr. G. A. Fackler, Dr. J. M. Withrow, Dr. Louis
Schwab, and Dr. David Wolfstein.
We are in full accord with the suggestions therein contained, to- wit:
That a thorough and critical examination should be made of every
patient upon admission, botb as to the physical and mental state of such
patient,
That a complete record of all cases should be kept and case history
revised and kept up to date. This should include particularly the emotional
trends of the influence of important events or occurrences and of all those
occurrences that have determined or induced the determination or tendency
to a mental breakdown.
That there ought also to be a segregation of tubercular and other in~
fectiouscascs.
That a thoroughly trained laboratory worker be employed, who is an
adept in serological, bacteriological and pathological laboratory investigation.
That proper quarters should be provided for the making of autopsies
and the necessary equipment installed, and that wherever possible, autopsies
should be made and their disclosurl" S properly repot · ted; also that research
work should be especially encouragcd.
That provi~ ion be made for the dental care of the inmates.
That there be also maintained a close relationship and cordial co- operation
with the Medical College and the Ceneral Hospital.
In this report ml. ny other things were suggested , looking toward a more
scientific treatment of the insane. This is to be commended.
The Bo.: lTd of Dirccton; arc now and always have been confronted with
conditions of a financial nature, which has made it impo!!- 5ible for them to
carry out to any extent the suggestions made by this committee, involving
the expenditure of a ny large sum of money. The overcrowded condition has
prevented the segrcgation of tubercular and other infectious cases and a
propcrclassi[ u: ation.
The Board of Directors have not been unmindful of t hese conditions.
It was through their efforts that a bond issue of 5500,000 was successfully
voted upon and a building commission appointed, who will in the ncar
future erect new buildings. It must also bc remembered that all appropria~
tions made by t he State are expended by the Ohio State Board of Administra~
tion, and not by the Bnard of Directors of Longview Hospital. Thc appropriations
made by the county and under the control of t his Board have
not been sufficient to carry out to any extent the improvements desired by
this Board.
It is unfortunate that appropriations for the support of the insane in
State hospitals are governed by a definite plan or system, which precludes at
times the carrying out of a better and more scientific system for the treatment
of the insane . There has been, however, no discrimination by the Ohio State
Boatd of Administration against Longview Hospital. The system referred
to affects all institutions of its kind in the State. We hope that the report
made to the Aeadet: ny of Medicine will awaken a public sentiment in order
that belter results may be accomplished in the carc of the insane. It may
also be stated that the Board of Directors havebeeded many of the suggestions
made in the report to the Academy of Medicine, and so far as possible are
adopting them. The rules heretofore existing governing the hospital have also
been amended, modified and revised with a view of avoiding many of the
d ifficulties that have arisen.
Efforts again were made to induce the Ohio State Board of Administration
to agn.' c with the Commissioners of Hamilton County upon terms of sale of
the grollnds and building~ of Longview Hospital, including t he County
I nfirmary in accorda nce with an act passed by the General Assembly, in 19 13.
The subjl-'{; t matters involved were fu lly presented to the Ohio St ate
Boud of Administration by both sides of the controversy. It would make
this report too lengthy to set forth the leg-., Il and constit utional objections
involved and reasons otherwise presented , which make it impossible to carry
out the provisions of the act.
The main reasons urged for such sale to the State, was that Longview
Hospital is a burden on t he peoples of Hamilton County and that the State,
t herefore, ought to relieve the County of this burden. Upon what principle
of justice the Ohio State Board of Ad ministration ought on behalf of t he
other eighty- seven counties assume the burden of Hamilton County in t hat
respect was not answered. The peoples of Hamilton County have hot yt:: t
uecideu that Longv iew Hospital was a burden , or that they arc willing to
sell t he property to lhe State. Longview Hospit al was created by an
Act of the General Assembly in the year 1821, at t he special insta nce
of t he peoples 01 i'la milton County, and they for more than ninety ~ e\' e n
years have enjoyed t he benefits and assumed the responsibilities incident
thereto. At an eady period Longview Hospital was wholly maintained
and supportoo by a tax levy upon the taxable properly in Hamilton
County; subsequently the Stale gave some aid. For the past twent y - five
f years the State has contributed all the funds for the maintenance and support
01 Longview Hospital, while the County gave only the necess..' l. ry fu nds for
grounds, buildings and improvements. For the past twenty years t here
has been no tax levy made for Longview 1Iospital, although the Longview
Hospita l Act provides that the Commissioners of Hamilton County to support
Longview shall levy a tax not exceeding three- tenths of a mill on the dollar
on the taxable property of the County.
The appropriations made by the State for the support of Longview
Hospital are wholly voluntary ; there ex i st~ no legal, at most a moral, obligation
upon the State in that respect. In the case of the State ex rel, etc., against
Oglevee, reportl-'( I in 36 Ohio State Report 211, it was contended that a n
appropliation for the support of Longview Hospital was illegal- the Supleme
Court held that as to such appropriation and the sections relating to Longview
Hospital did not cOIlstitute a " contract" between the State and the
County nora " claim" against the State, upholding, however, theappropriation
under the provisions of Article VI1 , Section 1, of the constitution , which
provides that " inst itutions" for the benefit of the insane, blind, deaf and dumb
shall be fostered and supported by the State ; that Longview was an " institu.
tion" within the meaning of Article VII , Seetii'm 1, of t he consti tution.
Tn the case of Chalfant and others against the State ex rei 31 Ohio State
Reports, page 60, the court held among other things that Longview Asylum
8
was a " public institution" and not a " State institution." The grounds upon
which it was claimed that it was a " State institution" were that the State
had contributed to its support, that it is governed by the laws of the State,
and, moreover, it is made the duty of t he State by the constitution to
foster and support " institutions" for the benefit of the insane, blind, deaf
and dumb.
!: Iut the Court !'. aid; " There's no constitutional inhibition against
authorizing a County or the municipalities of the Stflte establishing such
' instilutions.' All institutions for these purposes arc not required to be State
institutions. Nor do such institutions become State institntions
from the fact that they are ~ ubjectt.'< I to legislative governmeut and control.
AU institutions and corporations created for public purposes are subject to
be thus go\' erned nOT is the character of the institution affected by the fact
that the legislalure has contributed to it9 support. Longview Hospital was
crc. · ned to administer in a particular county" ' public charity,' a nd there is
no inhibition against the General Assembly giving such aid as it may deem
just."
For information as to whether Longview Hospital is a bmden upon the
p<! oples of Hamilton County, we append herewith a statement showing the
amounts appropriated by the State and amounts appropriated hy the Cou nty
during the p..' lSt eigh teen fiscal years. It will be seen from this statement
that during that period the State contributed $. 1 ,908,306.15, while the County
contrihnted $ 606,849.46, out of which sum $ 603,420.76 was expended for
lands, huildings, improvements, etc., of which the Cou nty is the owner.
Longview Hospital is on the exempt tax duplicate, asscs.' lCd as foHows:
On grounds, $ 123,400.00; on buildings, $ 1 ,225,800.00, a total of $ 1,349,200.00.
The property of Longview Hospital is tnday a valuable asset to the County
of Hamilton and is used as a basis of " credit" under the geneta! authority to
issue bonds for all county purposes.
That it is a proper governmental function for this County to own and
maintain Longview Ilospita! was decided by our Supreme Court as stated,
it ii'l on a parity with the ownership of the County of a court house, an
infIrmary and other County buildings, and on a p" rity with lhe City of
Cincinnati of a Genera! Hospital, infirmary, and other city buildings. There
is this difference as to their maintenance: all county and city institutions" rc
maintained and Sllpported by the peoples of the city and county without aid
from the state. while Lon~ viell' Hospital, a county institution. and a public
charity, is wholly maintained and supported by the state; the p<! oples of
Hamilton County thereby, amI in other respects, receiving advantages and
benefits which no other people in any county in tllC state receive.
The term of Dr. F. W. Harmon, Superintendent of Lon,,; view Hospital,
expired on April 15, 1918. Owing to ill health he was not an applicant for
reappointment. The Board thereupon appointed Dr. Emer. o~ on A. North
superintendent. The tcrms of D. L. Carpenter and I · Terman P. Goebel, a~
directors, having expired, they were by the proper authorities reappointed.
It is proper for us to say that the relations between the Ohio State Board
of Administration and the Board of Directors of Longview HOIipital have
been in every respect pleasant and harmonious. We take great pleasure
also in saying that in the discharge of thc onerous duties, the Board of Administration
has dealt justly aod fairly with Longview Hospital. We desire
to express our appreciation to Hon. William H. Lucdcrs, judge of the Probate
COllrt of this county, for the aid given and interest taken in matters peltaining
to Longview Hospital.
A statement of the County appropriations and eltpenditures of the s. 1me
under our control is herewith appended also the report of the Superintendent.
Respcctfully submitted ,
10
D. L. CARPENTER,
j. A. OBERHELMAN,
JOHN H. ALLEN,
ARNOLD G. WEBB,
I'[ ERMAN P. GOEBEL,
Directors of Longview IIospito. l.
REPORT OF SUPERINTENDENT
To TII~ BOARD OF DIRECTORS 01' LO~ GYlEw HOSHTAL:
Gilnllemen:
In presenting this report to your Honorable Boord, I wish first to cal
attention that in t he fifty- ninth annual report we show in " Table of Movement
of Population" a decrease of onc hundred and ten. This decrease
is due largely to two factors, one of which only changes the number as shown
by the table and not the actual number of patients confiued. It has been the
custOin for some years past to carry all those who left without le. 1. vC on the
records, as if they were sti ll present in the. institution. In order to have OUT
, ecords correspond to the actual number present, we eliminated forty_ three
names. These names rep,- escnt patients who left without leave during the
past five or six years.
We have just gone through one of the most severe epidemics of influenm
ever lrnown in the history of the institution, and equally severe
throughout the civilized world. During this epidemic we had among the
patients and employes three hundred and thirty- nine cases. Of this total
number of cases, one hundred , and eight were complicated by pneumonia,
either lobar or hroncho in type. Out of the total number sick ( 339) there
were fifty- five death~. Fifty of these were complicated by pneumonia and
five were complications other than pneumonia,
Considering now the forty- three names taken from our records as absent
without leave, and the fifty- five cases of death, as the result of the epidemic,
makes a total dccrt' 3SC of ninety- eight. This leaves a decrease of twelve from
natural causes as against an increase of four patients forthetwopreviousyears.
Soon after my appointment as superintendent, your Honorable Board
instituted a method for discharge of patients through which any p..' ltieot,
relative, friend or guardian of patient can file application for release. Through
this the medical staff has const antly been active in presenting cases sufficiently
recovered to be discharged, slightly increasing the number of discharged
dudng this period. I suggest the serious consideration of a trial
visit plan, by which patients may be! finally discharged after having ~ n
released for a speci lied number of days on trial visit. To determine the patients
fitted for such visits, I would recommend that they be presented to the medical
staff of the hospital at confcrencesat sufficient intervals. During this trial
visit, all patients so visiting should be required to report at the hospital at
cert~ in intervals for ObSCl vation. Persons under such release are still patients
11
of the institution and anyone failing to report must be returned . Should
doubt exist as to the final discharge upon action at any time, recourse may
be had to the Board of Directors.
During; the past winter it was my good fortune to wait upon a committee
appointed by the Academy of Medicine, whose purpose was to thoroughly
in vest ig3te conditions at Longview Ho~ pital and to make a report to the
Academy of any changes or improvements that should or could be made to
increase efficiency in the medical dep.- l. rtmenL All parts of the institution
were examined and I am glad to say that in their final report many recommendations
were made which had been suggested by myself to your Honorable
Board dnring all investigation held by the Board .
Many of the changes suggested are being carried out; we believe in the
main that the others should be, but we arc forced to say that to modernize
an old building, particularly of the Kirkbride type, in order that it meet all
t he requirements of t he present ide .. of inst itutional management, is almost
an architectural a. nd fmandal impossibility. In fact, an institution for the
insane should be sub- divided into its respective component parts, eacb of
which mu~ t fill its particu lar needs to the whole.
The two chief purposes of an iustitution of this character, regardless
of what may be said or hoped for, from an idealistic viewpoint, are largely
cllstoo; al and re- educationa1. \ Vitb this knowledge from a fmancial viewpoint
before us it is not expected to ra ise our present lype of buildings to the
height of prescntday ideas of a hospital for the ins," lne.
Therefore, lhe changes which we have tbus far made have been those
which we have felt to be consistent with our present conditions.
We have installed a completely equi pped laboratory with a thoroughly
t ra ined assistant under the personal supervision of the SUfK'rintendent. All
of the routine work of a laboratory nature for the entire institution is done
here. Examination~ aTe made of the blood, fluids, urine, faeces, sputum
a nd pathological tissues. Also research work is carried out that might in
any way be beneficial to ollr patients or those to come. Complete records of
all such work are kept on special blanks for that purpose, and filed with the
prttient's history.
A new method of keeping history of patients has been installed and a
competent clerk placed in charge of this dcp.." lrtment. Rooms have been set
apart where all records arc kept, including old records. The new records
consist of a series of individual envelopes containing one main histo ry ~ heet,
injury blanks, commitment papers, all communications relative to palient,
laboratory slip and any letters written by the pati~ nt which in any way may
show ! lOme of the mental peculia. rities or abnormalities. This in a complete
form follows from tillie of commitment till discharge or death. The main
history blank rccnrds the Probate Court findings, the life history and family
h istory in as far as it is possible to obtain. The physician also records on
this blank his findings of physical, mental and neurological cnminalion.
F rom lime to time arc added t hose t bings which the ward physician may
12
observe, showing the unfolding of the emotional trends, the influence of
important events or crises and the general reaclion to the different environOIent.
On the whole we shall have in concise form all matters relative to
such patient.
\ Ve have on the male side, in Cottage 2, a hospital ward which
satisfactorily cares for the male sick from aU wards on that side. We are
now remodeling ia the main building, in order to f,] rnish accommodations for
part of the fem< l1c employes; when this change has been marie we will convert
\ Vard 15 ( female) into a hospital ward for the female patieots. It if! al50
our plan to construct and properly equip an operating room where a11 necessary
surgery can be done for male and female patients. The post-() perative
cases ( female) wi\! be kept on Ward 15 and the male cases will be carer! for
on Ward 9 Imtil they can be safely transferred to the regular hospital ward .
This arrangement, we feel, will care for the hospital needs of the institution.
Bec..' luse of conditions it had been necessary to discontinue the amusements
and Sunday services. We are glad to again be able to resume these.
On alternate Friday nights we have a dance and moving pidure show. On
each Sunday morning we have a short religious service, Catholic one Sunday
and Protestant the next . We want to thank the clergy for their eo- operation
in this undertaking.
There arc other changes yet to be made, which for reason have not been
made.
Our morgu'" should be remodeled, plans for the same I have under consideration
. It should be so remodeled that proper quarters be furnished for
the makiug of autopsies. All findings upon such autopsies should be recorded
and a careful study made. Tissues of diseased organs should be carefully
preserved and sent to the laboratory for further and microscopic study, a
record of which should also be kept and filed with the other findings and
general history of the respective case. In which manner such cases could
be observed and studied in their entirety.
We have considered also the construction and equipping of a well regulated
dental room. We believe this is a very important phase of institutionfll
management and medical treatment. In the patient there is no part of their
physical being so totally neglected as the teeth. It is a lmost impossible
to furnish tooth brushes for all, and I believe in the majority of cases it would
be unhygienic. We believe by such effort more harm would be done by
transmitting dise. ues than good by cleanliness. \ Ve should have a room
where all necessary work could be done and a competent dentist placed in
charge.
An X- ray room and 1! quipment would bean added adjunct to t he medical
equipment, particularly in the diagnosis and treatmen t of dis location~ and
fraclures. It no doubt would be of dedded value in many ways.
Perhaps the most important divisioll of institutional construction is the
reception division, where patients can be properly receivccl, ex.' lmincd and
classified.
13
Wedonotfeelthatitisconsistentwithourpresentconditionstoperfect
this department to the height it properly deserves. For this reason 1 wish
here to offer some suggestions for future consideration.
The plans and specifications for the new building, contemplated to be
built on the high ground south of Cook Avenue, which is to accommodate
some three hundred women patients and thereby relieve the overcrowded
condition on the female sidecl{ the " min- building, contemrlate pr;) Viiion
for operating room, laboratory, independent heating system~ dePc ndent
lighting plant and an independent refrigerating plant. It occurs to me
that it would be economy of operation il IIOme of these independent
systems were worked into the old plant with the ultimate object of one central
, plant for the entire group of buildings. The operating and laboratory rooms
I in the new building could be utilized for other purposes.
Realizing the importance of the receiving ward and the utter impoaaibility
01 using any of our present buildings for such purpose, I would suggest
a change of the present plans so that this new building would contain a receiv_
ing ward for male and female. For plans and ideas of tiuch type of building
I refer you to a building dcsclibed by Dr. Arthur H. Harrington, of Howard,
R. I., before the American Medico Psychological Association at its meeting
in New York City, May and June, 1917.
A newly committed patient into a large public institution lor the mentally
sick should receive .111 the attention possible. Upon his first and early inl_
pres. sions largely hinge the degree of usefulness of the institution to the patient
and adds much to the satisfaction of the public. T he place, manner of reception
and the general routine of reception should have a pleasing effect upon
the patient. A certain number of cases admitted will be of the paretic or
demented ty pe, to whom not much prospect for recovery or improvement
can be orfered. A certain number will be curable and should have every
facility possible to promote care; a certain number will be cascs of neurasthenia,
psychasthenia or hypocllOndriasis and not true psychoses. There should be
a physician on duty in this building every hour of the day and night. T here
should be a thoroughly trained nurse with a competent corp of male and
female attendants or nurses in training. It should be thc purpose of lhe
rea: iving physician to make a physical, mental and neurological examination
of every patient within one or two hours after admission, and records made
of !; arne. The type of neuroses or psychoscs determined as accurately as
possible and the patient placed in surroundings and given treatment best
suitedtohisorherpartiClllarneeds.
This building being equipped with all modern appliances for treatment
the curable cases would be kept on the observation wards, the doubtful cases
would be under similar conditions till all doubt was removed. The untidy
and absolutely chronic aud hopeless cases should be distributed through the
older buildings best suited for their care. The size of this building should
be in proportion to the number of admissions for one year.
The advantages of sueh system are many:
14
1. It will create a better impression uJXlnthe patient and the public.
2. It presents the real hospital idea and not of the old asylum.
It will prevent many of the chronic and institutionalized patients
from remaining on the receiving wards as under present methods.
4. It simpli fies and economizes by maintaining one well equipped building
for treatment, instead of spreading over a large terr itory through the
entire group.
5. OffeT!! better faciiitica for the study and c1assi6cation of new patients.
6. Opens up the JXlssibilitics for more efficient means of training school
for nurses.
7. Is an inspiration for medical staff and nurses.
8. Offers a means for closer affiliation with the Medical Co1\ ege through
its JXlssibilities for insttuction in psychiatry.
The sedentary life of a large bulk of our JXlpulation, with the tendency
to negativism and the characteristic attitude of many forms of psychoses,
prediRJXlscs to tuberculosis, more perhaps than we have heretofore considered.
The segregation and treatment of such cases, as well as other communicatable
diseases should be provided for. We believe the safest and most So. 1. tisfactory
way to accomplish the best results for such cases is in an inexpensive building
constructed especially for such cases. Such a building to accomodate our
needs would care for from fi fty to one hundred cases.
We believe occupational therapy should be more universally used in
connection with the t reatment and re- cducation of the more chronic cases.
Many pernicious habits can be corrected and the finaL termal period of permanent
dementia potitJXlned if not definitely prevented.
Our loc.. 1. tion to the city of Cincinnati is such that we arc grad ually
out- growing the space as far as farm land is concerned. Our dairy today
is far short of what it ought to be, in order to furnish sufficient milk supply.
Our garbage is being practically wasted by not being situated where it can be
util ized as feed for hogs. The acreage available for farming and truck gardening
is scarcely enough to grow crops sufficient to carry us through the summer
or growing period , though the amount produced in proportion to the ground
that can be and is tilled has ~ n veLY high. In order to aid materially
toward t he maintaining of the institution and at the same time furnish good
wholesome and healthy occupation for a certain number of our patients, it
would be practical and economical to purchase a body of farm land within a
convenient distance of the present inst itution . A building could be erected
on this land to accomOlodate one hundred patients who would assist in the
farm work in some capacity. With such buildings accommodation would
be at hand for patients admitted to the institution for OIany years to come.
I had been associated with Dr. Harmon, late superintendent , for three
and one · hall years as assistant physician, from June 15, 1908, to September
15
IS, 1911 . I feel that the expenence gained under his most excellent management
has been one of the greatest help to me, not only in my work at the
hm p; t: l l, but through : III of my undert: lkings since leaving the hospital ; n
1911. To know Dr. I · Jarmon as I do is to admire his ability and executive
qualities.
J was indeed sorry when his illness l: ame, which necessitated his withdrawal
and to take a much needed rest. Since my appoin tment we have
had many d ifficult tasks before us; the war very seriously ha ndicapped
us in the way of help and many competent clnploycs were called to the colors.
I want to express my apprcdalion of the hearty co- opcration and assistance
of your Honorable Board.
I want a lso to express my thanks and appreciation to our medical staff
and ent ire corps of employes who so faithfully assisted under the most trying
ciscumstanccs.
Respectfully submitted,
16
EMERSON A. NORTH,
Sup~ r;" tendellt LongVimu Tfol pital.
APPENDIX
REPORT OF COMMITTEE TO THE ACADEMY
OF MEDICINE
Your committee considered its proper function to be the determination
of lhe medical needs only of Longview Hospital, and the suggestion of measures
the adoption of which would insure the satisfactory conduct of the medical
& crviccof the institution.
Probably the most profitable manner in which our object might be
realized was to follow the patient from the time of admission into the house
until his final disposal, either by indefinite residence, discharge for certain
reasons, including possible improvement or cure, or by death.
a. Provision for reception and examination of new patients:
A thorough and critical examination should be made immediately upon
admission, both of the physical and mental state of each new patient to
determine: All physical defects, funetiolw, 1 or organic lesions, and to
establish, if possible, any cau!; Ul relationship of snch conditions to the snspected
mental disease and especially to diseases of the central nervous ~ ystem. A
proper study of the psychoses must illclude not only careful clinical study, but
especial stress must be placed upon accurate laboratory investigation.
b. Observation ( lUarters should be provided therefore for all patienh
not classed as incurably insane, i. 1:., those who may be suspected of belonging
tu the class of neurasthenia, of psychasthenia, or of the rnilderand inherently
more hopeful types of the psychoses. Further, there should here be investigated
and determined t he presence of remote lesions; mechanic'll or toxic in
character, of new growths, di~ turbances of the circulation, of the kidneys
and particularly of the organs of reproduction.
c. Provision for the sepOLration of distinctly curable from the distinctly
ncurable cases and the avoidance if possible of the living together of these.
d. Complete records of all cases should be kept and such case histories
revised and kept up to date.
Special emplmsis should be placed upon case histories. Careful investigation
of the life- histories of the insane. particularly the unfolding of emotional
trellds, of the influence of important events, or crises; minute observance
of all these occurrences which may have determined or in<. 1uced the evolution
of the tendency to a mental break- down arc nowhere so essential as in the
study of these cases. Cursory. or inadequate case- records a~ e here absolutely
17
inacceptahle. \ Ve recommend, therefore, that some system be inaugurated
by means of which intensive study of each casc may be undertaken and
properly recorded.
e. Naturally a very large percentage of the cases are definitely incurable
and will be beyond the aid of the psychiatrist, but which will nevertheless
still require careful and c0113tant medical obscrvation. Medical care of
such ca~ es will, therefore, include proper sanitary and hygienic provision
for their Il: eneral health and comfort. Unfortunately, an ideal norma! situation
cannot be established under the existing linanciallimitatiOlls of. the institution.
B& ause of this restricted income, and for this reason only, we found the wards
very overcrowded, strikingly in evidence in the sleeping quarters. This is a
distinct menace to the health of all inmates and indeed so marked is this
condition that doubling the floor and air space of the institution would but
barely provide the sufficient normal requirements for the 1,600 resident
inmates.
It is r& 01nmended, therefore, that the State be importuned to make the
necessary appropriations for the erection of buildings, not only to secure the
normal hygienic demand of the individual inmate, but also to provide for
the care of the overflow.
f. The proper therapy of the insane, if we wish to conform to accepted
modern standards, demands not only proper and separate buildings large
enough to satisfy the above requirements, but provision should be made for
recl1' ation, lor scientifically supervised employment and occupational therapy
and for adequate hydro- therapeutic agencies.
g. Segregation of tubercular and other infectious cases is imperative
and can not be carried out under existing conditions.
h. Especially essential, and only secondary to ample floor and air space,
is the proper care of each inmate. This requires, in order that each patient
may receive scientific and sympathetic supervision. a corps of properly
trained nurscs or attendants. Here also, under the existing financial status,
the director and medical starr of the institution have not been in the position
to conform to the standard which they recognized was absolutely indispensable
to this end . The State should accordingly provide adequate funds for this
purpose and the dirC1: tor should be allowed to secure and properly train such
a nursing body.
i. The medical staff, in order that the above recommendations may be
carried out adequate provision for the proper medical control must be insured.
This requires, at the teast, a controlling chief meclicat director and, we think,
aile aRsistants. Under the present status it is absolutely impossible, and a
task beyond performance. One of these attending physicians should be,
must be a thoroughly troined laboratory worker, competent to furnish all
the indispensable data, obtainable only through accurate laboratory examination,
so essential to the diagnosis of the psychoses. He must be an adept in
serological, bacteriological and pathological laboratory investigation, and
18
& hould a lso himself have received the proper psychiatric training to under •
• tand the practical relationship between laboratory and c1inic.- tl observation~ .
j. Proper quarters should be provided for the making of autopsies, and
the necessary equipment installed. Wherever possible, autopsies should be
made, their disclosures properly recorded and mrn; t careful study should be
undertaken of all cases where organic disease of the central system is suspected:
especially the aphasias, focal lesions, agenesias and other important cases.
k. Research work should be especially encouraged. The chief medical
director ought especially to insist that all of his assistants should work in the
laboratory and devote their spare time to the elucidation of interesting prob ·
lemsintheir field of mcdicine.
l. 5.1. laries of the physicians. Competent medital service can not be
l! eCured or expected unless the State will recognize the necessity for adequate
recompcn. se. Salaries should be increased to equal, or if necessary to secure
the right person, even to ellceed those paid to men in similar positions in or
out of institutional work. The right sort of medical service having been
secured , the chief medical director will be in position to establish a proper
esprit du corps and to maintain the high scientific spirit which makes for
elevated ideals, scientific achievement and faitMul service. The plesent
status of things is naturally far short of til is ideal status, but if due consideration
be given to the meager provisions which have been made for mooical
service, we feel that the physicians have done as well as could reasonably be
expected. inasmuch as the institution has been forced to work under great
financial restrictions the employment of adequate medical assistance, such awe
have above recommended, was not fe. 1Sible; therefore, resort was of neces ·
sity had to the enlistment of recent graduates with insufficient monetary
recompense. These accepted the positions merely as a temporary measure
to tide them over a brief period of time before entering upon the practice of
their profession elsewhere. In other words, such men did not, and could not
be expected to have that attitude of mind and interest in psychiatric medicine
which would create in thcm the wish to devote themselves perhaps permanently
to this useful and important branch of medicine. This procedure
should therefore, not be encouraged. However, if there should be established
proper working conditions, and thcre existed the right kind of scientific
atmosphere and facilities, recent graduates with hospital experience and
laboratory training would find here a fertile field for future life work, and
could enter the institution assured of the necessary further training to properly
equip them. Under such circumstances recent graduates might be encouraged
to enter the institution, but only under the condition that a sufficient salary
and genuine scientific opportunity be provided as to warrant their service for
long periods of time. Both the institution and the physician would be thereby
benefitted.
Should it be possible to carry out this plan not only would the insane
be provided with scientific t reatment, in complete harmony with the best
modem demands, but the institution would also train workers fitted to
undertake similar occupation c1sewhere.
19
m. Provision should also be made for the dental care of the inmates.
The exact method in which this might be done would have to be further
worked out, pelhaps a resident dental interne, or competent men opelating
part of the time might accomplish the dcsilcd result. Modern study has
revealed the important role whicll t he diseases of the teeth and gums, and of
the mouth play in the infcctious processes; perhaps occasionally, too, in the
acute psychoses. In so Inrge a number of inmatcs as are housed at Longvicw,
the need for dental inspection must be manifest to all.
n. Longview Hospital should be something male than a boardin8. house
for the unfortunate inmates. They ~ hould receive fi;: St the ve, y best physica l
care; scL'Ond, the most effieient medical t, eatment, amI, third, as in every
other hospital, there should be especially emphasized the great opportunity
for pedagogic and research purposcs. \ Ve recommend, therefore, that there
be maintained a close relationship, and cordial co- opcration with the Medical
College and the General HospitaL Systematic instruction in psychiatry
ihould be part of the obligatory curriculum for the regular medical student.
Furthermore, it would be of great advantage if there might be instituted a
lOystem whereby the internes of the City Hospital might scrve a part or their
time at Longview Hospital. The psychopathies and the various psychoses
are 50 wide- spread, and of such importance that their study ought to constitute
part of the melltal equipment of all medical mcn.
o. In closing this report the committee feels that they must express
their great pleasure and 5.1tisfaction with the hospital from the administrative
viewpoint. Consid ering the unavoidable overcrowding and the financial
limitations we can hardly ovcrp;:; it;! theprescnt iimnagement - for the truly
remarkable physical condition of the plant. Cleanliness literally reigns
supreme; ill this respect the institution may well be regarded as perfect.
Respectfully submitted,
20
G. A. FACKLER, Chairman ,
J. M. WITHROW,
LOUIS SCHWAB,
DAVID WOLFSTEIN, Swelary.
APPENDIX
PUBLISHED STATEMENT OF BOARD OF
DIRECTORS TO THE PUBLIC
During a recent investigation by a Grand Jury of this County, of matteT!
pertaining to Longview Hospital and . its management, Judge A. K. Nippert,
then presiding in the Criminal Division of the Court of Common Pleas, upon
his own volition, summoned beraTe him seventy- six ( 76) physicians a nd
twenty- two ( 22) nurses, and instructed them to proceed to LoII!\ view Hospital
and there strip every patient of clothing, carefully c- xamine him or her, and
ascertain whether such patient bore external marks of violence; and to further
investigate and examine into other matters to which he called their attention,
and thereafter report to him t he result of such examination and thei r finding.
thereon .
The instrllctions in every respect were carried out, a nd in due t ime
det ailed written reports were m~ de to Judge Nippert. AI no lim~ were Iheu
reports made public.
It is proper for us to say that the physicians so appointed were of the
highest standing in their profession and in this community, and that they
performed their duties comscientiously and fearle8Sly.
In view of the criticism which had been made duri ng the investigation by
this Grand Jury of the management by the superintendent and Bo,: u d of
Dire(: ton of Longview Hospital, as to p... . ticnts, also of publications made in
the public pre9! l of the " horrible conditions," of patients as descrihed by Judge
Nippert, and s... . id to plevail at the hospital, and the publicity given to " information"
of abu! IC of patients by attendants, we deem it proper that the public
be now informed of the physical condition of such patients as fou nd by t he
physicians 110 appointed by Judge Nippert .
The reports show t hat at the time of this examination there were confined
at Longview Hospital 1,476 patients; t hat 1,441 patients were 50 examined;
that 29 patients were either " trusties" or out on leave of absence and not
examined; that of the 1,447 iusane persons so examined, only 40 patients were
found to bear external marks or bruises; the examining physicians making note
of the slightest bruise or fi ngermarks, stating in their reports that such marka
or bruises may have lx'en infl icted either by the patients bearing them, by
accident, or by another patient, and were of minor character. In but one or
21
two c: a.. Ye" t.. m brvitN other tban of a millOl" chanw: ter. The u. miniD(
pbywiciaa. further ltate that a number 01 pattenb.~ IUfferiDI from pbytka\
a. iImenb the natUJ" e of . hich reuden their ne. b liabkl to di. eolon. tion from
tbelli( bte. t touch.
We DOW. ppeDd without further comment and in conc: i.. e forro • detailed
. taWDmt of tbe~. made.
22
D. L. CARPENTER,
JOHN H. ALLEN,
JOHN A. OBERHELMAN,
A. G. WEBB,
HERMAN P. GOEBEl.,
VirtdOfI lArIpe. HoJpiksJ.
\ l:
~?~ r': f
APPENDIX
CONDENSED REPORT OF PHYCIANS APPOINTED BY JUDGE NIPPERT
Eu. miningPhy. ician.
patlen'"!-----, _ _ __ I
E" t., nal Marb
Sanitary Condition of
\\ lard D~ ri': t!:: f:~ oll
Nu: rbct PbY!~ a~~~~ tion ~ O:~ t~£:
_ I in Ward Good I Fair I Poor ~;:!:~. I\\~~~ t
I- Male Drs. E. W. Walkr: r Ij 79 43 32 4 · - ~ I--==--~--~--
~ Male
A' Kood a. c; ln bc =~ te<; l
in cr~~~~ n~~~~ tion
Vtry; ood
R. a> mmend employment
of additional and more
intellillenlhelp.
VerYllood
Good, but toofe ..
Good, but toofe ..
15]~ H ]~ ]~] 5~ g]~
•] 1~ 1! ,
25
W NGVIEW HOSPITAL
MOVEMF. l. i'T OF POPULATION DURING TRIENNIAL PERIOD
Admilliom- Mak! I . . .
• Fema8 .. ............. ..
Total .. ........... ........... •..
Deatbt- Malt. .. .
• Fe~ ..................... . .
Toul
.................... 1.8' 3." 28.02 255 ...
951 " I
Total •••••...•.•......•......................... ...... 14.92
At beginnina: 01 period, toeal. . ................................... 1585
Admittld..... .. . . . ...... . . . . ........... _. . . .. ... .. . .. . . . .. 1382
Total treated •........................ ....•.. .. ......... 2967
• ~ ........... .. ..........• • ............ 1.92
~ d~ r~~;~.~~~ .................................. . l~ r~
Total . .. , .............. . • .
26
75' 781
. ........... . ....... 1533
APPENDIX
STATEMENT OF APPROPRIATION BY STATE AND COUNTY
Year
1900 ..
1901..
1902 ....
1903 ..
1904 ....
1905 ..
19U6 .....
1907 ..
1908 . ..
1909.
1910.
1911 ..
1912_ ...
1913 . .
1914 ........ __ .. .
1915 to June 30th,
1916 ..
1917 .... .. .
1918 ... .
State
Appropriation
$ 160,000.00
160,000.00
172,500.00
175,000.00
185,823.18
180,000.00
185,000.00
18li, 000. OO
206,979.05
~~~:~~~: rl
237,700.00
248,! lOO. 00
241, Sl! l. 26
226,190.00
336,153.75
247,570.66
287,665.44
$ 3,883,970.08
County
Appropriation
189\ l-- Balancc... $ 27,371.86
1900.... 24,603.74
190L.. 36,810.68
1902.. 25,707.22
1903..... 20,448.66
1904.... 26,455.90
1906. ... 26,951,87
1006.. 27,607.13
igg~ ............... :.......... ~~:~~ t ~~
HI09 31,413.93
1910. 29,862 . 60
1911. . .. .. ...... 30,654.10
~~ g. Noapr~~ K£~~ t~ ln
1914.. 60,000.00
1915............ 14,858.63
1916 No appropriation
1917 ........... . Noappropriation
1918toJune15th.. 8,325.73 .
$ 509,230.91
Sa~ euc:~~~ c.,~~ i) rf~ Satj:~~ t~, y- f9&-
1918.. 24,33{ L07 toI910 ........ . 42,52S. 22
55,0! l0.33 1---- 1
To~\: tg:~ r: i~. t. i~~ $ 3,908,306.15
COUNTY FUNDS:
ProL- eeds sale bonds
Totaiappropriation
by the County .. $ 606,849.46
Expended for new buildings .. .......... . .. . ....... . $ 396,915.79
" " land . .
Betterments, etc ..
Cashon hand.
27
. ........ 23,380.63
. .. 183,124.34
$ 603 ,420.76
27,764.77
4C-?.. { 2. I, l,..' J...
~
.$, t, ltV- · l- J
STATEM. ENT SHOWING THE CONDITION OF TIlE FUNDS OF
LONGVIEW HOSPITAL UNDER THE OONTROL OF THE
BOARD OF DIRECTORS FOR THE YEAR ENDING
l'OOVEMBER 15, 1916
Balance NoYt; mbu 15,11115 ................ 1 $ 3. f., m. 43
~:: ~ heto~ n~ j ~~ fon~ nHt~
year IOI&- Saleofbonds................ 5,000.00
Depo. itJI, _ Ie of by. producta, and mi. aol1a-
DmUI di. o. rded anides foc year eoWnl
No'l/' e11l~ 16, I! H~.. 3, m. 72
Total Fundt.................... r---- t~, c -:,,'-,.,.=-., c,: -
Amount eJ< ptndci ( fee Expenditurft).. . ............ ~
BalanceNovemb « 15, 1016 . $ 30,879. 11
Ba. lance Credit General Fund .............. $ 15,718. C6
Babooe. Credit Bond I. ue.. 14, 403. 72
Dalalla in Ballk. . 756. 74 1----+-,-"-,. 0,-,-"'-'.,-,
28
STATEMENT SHOWING THE CONDITION OF THE FUNDS OF
LONGVIEW HOSPITAL UNDER THE CONTROL OF THE
BOARD OF DIRECTORS FOR THE YEAR ENDING
NOVEMBER 15, 1911
Balance November 15, 10UL .. ....... $ 30,879.11
Deposited, sale of by- products and miseella-neous
discarded articles for year ending
November 15, 1917. 1,115.19
Total Funds .................. .
Amount expended ( see Expenditures) ..
$ 31,994.30
5,(){)( j. 87
Balance November 15, 1917 .
Balance credit General Fund ..
Balance credit Bond Issue.
Balance in bank ..
.. ..... ' s'ii; S26: 97 $ 26,087.43
14,403.72
756.74
S 26,987.43
29
STATEM. FJI." T SHOWING THE OONDITlON OF THE FUNDS OF
LONGVIEW HOSPITAL UNDER THE CONTROL OF TIlE
BOARD OF DIRECTORS FOR THE YEAR ENDING
NOVEMBER Hi, 1918
BalaDCe Nowmbet 16, HI17 ................ $ 2e, 987.43
A~~:: ~~~ .. l'. lbe.~ i~ tyr:/\~ T
I. nd plaCId to credit 10Jr.. .............. 16,880." 7
I> ep:. ited, aM: of by- product. I. nd m. i. tc: ella
neout dilc: arded I. rticles for year endi"
NOYeII!. ber 16, IIUg... . 1--, 65_'_."'-+ __ _
TotaIFuDdI ..................................... 44 ,52". 98
~"~:=~:=:~;;~ :.::::: :::::::.:::::~
Balance < ndit GeDtn.! Fund.. • 20,5W. 3(
Balance< ndit Rood h" It .. 14,403.72
Balance ill bank. . 756. i ..
1----+:,- """'"',," 1' 0'"'.,,,::-
30
APPENDIX
EXPENDITURES FOR YEAR ENDING
NOVEMBER 15, 1916
To Whom
MONTH ENDING NovRMBER 15, 1[ 115.
The Leyman- Buick Co ..
Total for month.
MONTH ENDING OlOCE) IUER 15, 1915.
Roche · Bruner Building Co ..
Peoples Gas Fixture Co ..
~~~~ r~ t. S~ 1. ICo' .
C. D. Green ..
The Webb · Biddle Co
H. Milton Foss.
Total for Month.
MONTIJ ENDING JANUARY 15, 1916.
The Union Gas & Electric Co ..
H. Milton Foss ..... .
O. L. Carpenter" .
John H. Allen ..
Herman P. GoebeL.
Arnold G. Webb.
J. A, Oberhelman ..
Total for Month .
MONTH ENDING FEIIRUARY 15, 1916.
H. Milton Foss ..
31
Article
Automobile, tire pump
and extra tire ..... . $ 1,400.00
Cash book .. , . 8.00
Order book. . . . 5.25
Cement walk . 21.75
Salary. 27.25
Cottage, disturbed males,
Est. No. 11 .......... $ 489.00
300.00
138.25
Cottage, disturbed males,
gas fixture ... .
Auto insurance ..... . .. ,
Transferring patients to
Lima State Hospital ..
TrLi~~: rs~~ fe ) i~~~;~ l ~~
Cards for notification of
transfer ..
Salary ..
2! J5.15
3.8<\
2.75
27.00
. ... , ..... S 1,255.95
Serviccpipc ... " ..... S 167.20
~ bry. ............ . 27.00
DIrectors expense for 6
months,........ .. 125.00
Directors expense for 6
months.... . . . .. .... 125.00
Directors expense for 6
months.... . . .. . .... 125.00
Directors expense for 6
months.... . . .. ... . . 125.00
Directors expense for 6
months.. 125.00
$ 819.20
Salary .. . S 27.25
APPENDIX
EXPENDITURES FOR YEAR ENDING. NOVEMBER 15. 191i- Cont ·
To Whom Anicle Amount
MOMTH E: f01:( G MUCH 15, 1916-
EIJ;~ a: Anderwon .. ......... . Arc: hittcts, cottage. di.
turbod males....... 2,500.00
The Webb- Biddle Co.. Prinlinc reportS... 93.50
11. Milton FOIl.... S. lary.. 27.00
Total foc Montb ..
MOllTH ENPo( G APIlL 15, 1916.
Elmer-. tAndera> n ....
The Hanford Steam Boiler Inspec
t ion a: InlUranoeCo ..
Donn. t Co ....... .
1- 1, Milton Fa. ..
Total for Montb ..
MOMTH ENDIYG MAY 15, 1916-
. ... $ 2,620.50
Arc: hitect. l, cottage, di ...
turlled malet.. . $ I, M2. 18
Boiler iMuranoe.. 203.00
Crushed atone.. 106.21
Salary .............. ~
... $ 1,878.39
Oon. n. t Co ...•............... Crwbed ItOlle.. 866.33
H. Miltoa Foa. ............. Salary. 71.25
Tot. alfOl" Montb. . . ........... ~
MOlml ExPtNG 1"'''' 15. 1916-
~. tCo ....
H. Milton Fa. ..
Total for Month ..
MONTI! ENDING J ULY 15, 1916.
Cruabed atone.. . ... $ 905.62
SaJary .... :::::::::::~
Doran. t Co. . ............... CI'UIbed 1tOne. ••.•••••. $ 1,548. 24
Henry Niems.. Bath tub . upplies and
1t2d ~ M.. • 69.83
H. MiltonF........ s.. lary................ Zi. OO
Arnold C. Webb.. Dincton apemot for
montbL............. 125. 00
John II. Alle: n... Difl'! CtOrJ ex~ for
mootla. ~
Total foc Montb .. ......... ......... 1,885. 07
MOMTlJ ENDING AUGUST 15, 1916. Herman
P. Goebel ..
J. A. Ober~ lman ..
Total for Month ...
32
Directon expel1lle for
months.............. 125 .00
Directon upense for
month.. 125. 00
.................. ~
APPENDIX
EXPENDITURES FOR YEAR ENDING
NOVEMBER 15, 1916- Contlnucd
To Whom Article Amount
~ Mo-",- n~ E'- m- NG~ sc- c"-'"-'''-''- 15-,,,~,,- · II--------~
Ferd Ritter & Son .
Doran & Co ... .
H. Milton Foss ... .
D. L. Carpenter..
Total for Month ..
MONTH ENDING OCTOBER 15, 191G.
11. & H. Cordes ..
H. Milton Foss.
Total for Month
Total expenditures for year ..
33
Cement walks... S 281.38
Crushed stone..... 34.70
Salary, 2 months _ , .. .. 54.25
Directors expense for 6
months.. 125.00
$ 495.33
D~~~ r done cow by $
Salary.
20.00
27.00
$ 47.00
$ 12,557.04
APPENDIX
EXPENDITURES FOR YEAR ENDING
NOVEMBER 15, 1911
To Y.' hom Amount
MO> ml ENDING NOVUltlU 16, 11116.
Edw. E. Sbi'* r. ..... ....... Auto inlUfllllCC.. . ..... $ 148.24
H · ~: OQf::~ th.. . .... ~ ry .. ::::::::::::::~
MoYI" H ENDING I) aaMSU 16. 11116.
~ r! eFl~~~: ::::::::::::::::.::: e; rv:~~ r, r.:::. $ 2, gI:::
U. s.. CaatIIl) llPipc&: FoundryCo. Waterpipeandlittinp. 520.37
~ ii{,~~. r;;;; ;!:!=~:: 37.'"
27.00
TotalfocMontb ... psfixture.:::::::::~
MOMTIJ E:"" nING jANUAIY 15, H117.
H. Milton Fo. ...
D. L Urpenter ..
............ Salary ............... . 27.00
Herman P. Goebel ..
JohnH. A11en
A. G. Webb ...
j. A. Oberhelman ..
Total foc Mooth ..
MONTH E. · mUoiG FEUl:. U.,.. 16, 1917.
Directon expente fOC"
mont!............... 12.5.00
Dincton exlM'rute for
mont!............... 125.00
Directotl expen. e for
montha......... ..... 125.00
Directon expente for month............... 125.00
Oin! cton expelUe for
month.::::::::.::::~
~ i. ttl~:~~ c:.~. t. i:: :::::::::::: ~:;~ f.~~~::...... J:~
Total for ~ onth .. . .............. S3O: 4o
MOImJ E.,( DING MUCH 15, 1917.
H. MiltonFo... .. . ......... . ... Salary ............... $ 27.00
Mol'mJ ErmlNG ApUL 15, 11117.
H. MiltonFoa ............... Salary ..........•... $ 27.00
34
APPENDIX
EXPENDITURES FOR YEAR ENDING
NOVEMBER 15, 1917- Continued
To Whom Article Amount --------------- 1---------- 1
MONTII ENDING MAY 15, 1917.
H. MiitonFoss .... .
John Mingcs& Co ......... .
The Jos. R. Peebles' Sons Co
The H. J. Cain Co
The Dow Drug Co .. .. . ....... .
The Flach Bros. Grocery Co.
The John C. Roth Packing Co . .
The Newton Tca & SpiccCo
The Cincinnati Abattoir Co ..
1. N. Price & CO
Total for Month
MONTn ENDING JUl'IE 15, 1917.
H. MiltoIlFoss ..
A. G. Webb.
Total for Month ..
MONTI! ENDING JULY 15, 1917.
H. Milton Foss ....
John H. Allen ..
, Herman P. Goebel.
J. A. Oberheiman.
Total for Month.
MONTH ENDING AUGUST 15, 1917.
H. Milton Foss ..
MONTH ENDING SEPTEMBER 15, 1917.
H. Milton Foss .. . . .
D. LCarpenter .. .
Total for Month.
MONTI! ENDING OCTOBER 15,1917.
H. MiltonFoss.
Total expenditures for year ..
Salary ..
Vegetables ..... .
Mise. groceries . ....... .
Fish, oysters and turkey.
Cigars ....... .
Canned goods ..
Meats .. .
Coffee .... .
Springlamb.
Cabbage
27.25
5.80
21.79
29.95
4.00
28.18
9.74
1. 65
9.00
9.00
$ 146.36
Salary .......... . ..... $ 27.00
Directors expense for 6
months. 125 . 00
$ 152.00
Salary ........... . .... $ 27.00
Directors expense for 6
months.............. 125.00
Directors expense for 6
months.......... .... 126.00
Directors expense for 6
months.. 125.00
$ 402.00
Salary. 27.25
Salary ................ $ 27.00
Directors expense for 6
months.. 125.00
.$ 152.00
Salary ............... $ 27.00
. ........... $ 5,006.87
APPENDIX
EXPENDIT URES FOR YEAR ENDING NOVEMBER 15, 1918
____ T: .,:_ W:.: h.': o:.,: :____ I ___ A:.: rti:.:"''---__ 1 Amount
MONTH ENDING NOVEMBER 15, 1917
Crane Co ........ .
H. Milton Foss ..
Total for Month ..
MONTH ENDING DECEMBER 15, 1917.
H. Milton Foss
Bertha Fite ..
Total for Month ..
MONTH ENDING JANUARV Hi, 1918.
H. Milton Foss, .. , . ,
Douglas A. Brown ..
Herman P. Goebel..
J. A. Oberhelman ..
John H. Allen . .
A. G. Webb ..
Total for Month.
H. Milton Foss ....
JamesJ . Ferry ..
Edward E. Shipley,
D. L. Carpenter ..
Total for Month
MONTH ENDING MARCil 15, 1918.
H. Milton Foss ..
MONTH ENDING Al'lUL Hi, 1918.
Wm, P. Flynn,
Wm. P. Flynn
H. Milton Foss ..
Douglas A. Brown ..
Total for Month .
Pipe and fittings ..... $ 13.68
Salary 27 . 25
. S 40.93
Salary .... , ....... ",$ 27.00
Traveling expenses.. 3 .84
$ 30.84
Salary. . . . . . . . . . . . . . $ 27.00
Fees reporting investiga-tion
and transcript of
testimony .... . . . , 107.00
Directors expense for 6
months.............. 125.00
Directors expense for 6
months............. 125.00
Directors expense for 6
months . . _........... 125.00
Directors expense for 6
months 125.00
, ............. $ 094.00
Salary ............... $ 27.25
O:;:~ fo~; l~! ti~ l~ t¥ rbo~; ti~ e~
ports of physicians . . 50.00
Auto insurance. . . . . 148.24
Directors I! Xpcnsc for 6
months 125.00
...... ,., ............. $ 350.4! l
36
Salary.
Pavi" lf coal pit, building
retallling wall and IXIV'
27.00
ing around scales ..... $ 5,808.33
Improvement a r 0 u n d
storehousc. 100.00
Salary . . ............. 27.00
Carbon N. lpies for press
and copies of indict ·
ments. 23.50
. ....... $ (;, 018.83
- iPPENDIX
EXPENDITURES FOR YEAR ENDING NOVEMBER 15, 1915- Cont.
To Whom
MONTH ENDING MAY 15, 1918.
H. Milton Foss
MONTH ENDING J UNE 15, 1918.
H. Milton Foss . . ...
The Webb · Biddle Co.
Elzner & Anderson.
Herman P. Goebel. .. .
J. A. Oberhelman .. .
John H. Allen.
A. G. Webb ..
Total for Month.
MONTI! ENDING J ULY 15, 1918.
H. Milton Foss.
E. A. North ..... .
D. L. Carpenter ..
Total for Month ...
MONTH ENDING AUGUST 15, 1918.
H. Milton Foss . .
E. A. North ..
Total for Month.
MONTH ENDING SI'PTEMBER 15, 1918.
H. Milton Foss ...
E. A. North ..
Total for Month ..
MONTli ENDING OcTOBER 15, 1918.
H. Milton Foss ..
E. A. North .. ....... .
The Earls- Blain Co .
Total for Month ...
Total expenditures for year ...
37
Article Amount
Salary. . 27.25
Salary. . . .. . 27 . 00
Minute book.......... 16.17
Plans, specifications and
superintending ~ ving
eoal pit and bUIlding
retaining wall. . ... .. . 293.42
Directors expense for Il
months .. .... ' ..... ' . 125.00
Directors expense for Il
months.... . . ... .. 125.00
Directors expense for 6
months...... ... ..... 125.00
Directors expense for 6
months.. 125.00
Salary.. 27.00
Salary........ . ..... 275.00
Directors expense for 6
months 125.00
... $ 427 .00
Salary ..
Salary ..
Salary ...
Salary ..
Salary ..
Salary . ........... .
Premium on bond ..
27.25
91.67
$ l1S. 92
27 .00
91.67
. $ llS .67
27 .00
91.66
5.00
. .......... $ 123.66
.. $ 8, S14.18
\
I
PRODUCTS 01<' FARM AND DAIRY FOR THE TRIENNIAL PERIOD
ENDING NOVEMBER 15, 1918
Year Year Year
Name of Article Measure Hl10 1917 1918 ------
Asparagus, ... ,. , .. Lbs. 307 330 182
~::~!:~~ I. l:: .... Bo. 393 452 413~
Bo. 63 49 23M
Beets. " .. Bo. 327 582 740U
Cabbage Lbs. 28,537 32,780 75,906
Carrots " 0. 36 " 170Yt
Celery .. · . Bunch 4,884 12,307 5,214
Cucumbers .. Doz. 146 30 303
Endive .. Lbs. 2,907 07 8, 160
Fodder ........ Too 3 6X 13 »
H~~ ary: l, rt! i~ mi~ oft~ h: y: .,.. . Ton 174'. ' S6Y;' 32X
Too 37
LI.. 6,930 5,100 8,362
Lettuce. Lb.. 2,839 8,657 5, 157
Leek .. Bunch 787 1,237 1,112
r-. lilk ... : .. Lbs. 276,920 270,691 237,265
Onions Bunch 23,119 20, 467 9,725
Onions.: ...... . Bo. 259 520 33874'
Oy> sterplant .. " 0. 38 18 4
Parsley ... Lbs. 626 493 303
Parslllp5 .. " 0. 121 501 122Yt
Peas,. , . . ... . .... Bo. ...... 70 12~
Peppers, mango . . Bu. , 33 24
Potatoes, Irish ... " 0. 764 655 1,410
Potatoes, sweet. Bu. 73 192 235%
Pumpkins ... Lbs. 7,058 2, 111 9,695
Radishes Bunch 15,412 12,996 14,613
Rhubarb .. , ... Lbs. 13,393 15 ,040 8,2138
Roasting ears. Doz. 2,162 875 2,691
~~ il~~~~~: " 0. 34 49 .. · .. 773 .. Bu. 848 438
Turnips .. ..... Bo. 609 503 40674'
Put up Kraut. Bbl. 60 27
38
...
State Lib Oh State Hospitals
