Annual Report of the Traverse City State Hospital for the Fiscal Year Ending June 30, 1958

Annual Report of the Traverse City State Hospital for the Fiscal Year Ending June 30, 1958

An annual report describing treatments, staff activities, research, and demographics at the Traverse City State Hospital for the period July 1, 1957 to June 30, 1958. Includes statistics, financial records, list of mental disorders, list of staff.

Traverse City State Hospital

1957-1958

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English

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2025.16.1.29

Traverse City, Grand Traverse County, Michigan

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ANNUIAL REPORT of the TRAVIRSE CITY STATE HOSPITAL f or the I lscal year ending June 30i 1958 i DEPARTRENI OF RENTAL HEALTH Charles F. Wagg, Dlrector V.A. Stehman, M.D„ Deputy Dir.ector James C. Hodges, Assistant Director COMMISSIONERS Char'1es M. )58.p.Stim skegon, Mlchigan Harry E. Affstriaie]?agetrol t, Michigan Mr. Max Osnos 1056 Randolph Street, Detrolt 26, Mlchlgan Miss G. Evangellne Sheibley Chatsworth Apartments, 630 Merrick Street, Detr.olt, Michigan Rev. Fr. Ralph M. Richards St. Helen Rectory, Michigan 2006 Deindorfer Street, Saginaw, REDICAL STAFF M. Duane Sommerness, M.D„ Medical Superintendent M.M. Nickels, M.D Assistant Medical Superintendenta Marcus a. Sheffer M.D Acting Clinical Dir'ector William H. Gall ssistant Physician sslstant Physlclan Howard a. Haynes, Assistant Physician Salvatore Randazzo, Charles W. Dunn, M.D Assistant Physician Mac a. Benjamin, M.D Assistant Physician Thomas D. C bell, M.D Assistant Physician Carl 0. Ramzy, Jr„ M.D Assistant Physician John T. Fer'guson, M.D Assistant Physician Ger.aid W. Behan, M.D Assistant Physician S Josef E. Witters, M.D AssistaLnt Physician Fr1thjof T. Sorum, M.D„ Assistant Physician Cyrll J. Curran, M.D Resident Andr.eas Binder, M.D Resident Seilchi Komesu, M.D„ Resident Dayton Salon, M.D„ Neuropsychiatr1st War.ren Cline, M.D„ Cardiologist Wendell Kitchln, D.D.S Dentist John F. MCGovern, D.D.S Dentlst Robert T. Lossman, M.D„ Pathologist Harry L. Weitz, M.D Roentgenologist Donald L. Otto, M.D„ Roentgenologist Louts J. Hlrschman, M.D„ Proctologist Paul M. Beardsley, D.S.C„ Chiropodist Resigned Page 1 t v o, Lr DEPARTMENT HEADS John A. Crawford, Steward Anthony J. Basso, Chief Accountant George Wollam, Chief Engineer Curtls W. Page, Ph.D„ Director of Research and Training Lot.ralne Leroux, R.N„ Superintendent of Nurses Chester W. Krumm, General Supervisor, Male Depar.tment Cllfford L. Lindstrom, irector, Social Service Department Ohmer J. Curtiss, Dlr.ector, Community Relations Department W.A. Schwable, Maintenance Foreman Katherine Wilcox, Ph.D Dir.ector, Psychology Departhent Willard A. Stone, General Farin Stiperlntendent Robert Carpenter, Dairy Far.in Superintendent William a. Strahan, Director, Recr.eational Therapy Department Matilda J. Shunsky, Director, Occupational Ther.apy Department Margaret Zahnow, Chief Dietitian Wllbert P. Lautner, Laundry Foreman Roy MCDonald, Storekeeper Clarence Frye, Pharmacist Kathleen Cockburri, R.N Psychlatric Nurslng Education Director Cecella E. Leymon, R.N„ Instructress of Nurses Jane lmhoff , R.N„ Instructress of Attendants Stanl.ey F. Woods, Personnel Officer c2FrtyTPTxp John a. Milllken, M.D„ Traverse City, Michigan Internal Medicine Joseph G. Zirmerman, M.D„ Traverse City, Michigan Eye, Ear, Nose and Throat John a. Beall, M.D Traverse City, Michigari Eye Frank H. Power, M.D„ Tr'averse City, Michigan Surgery Richard Thir1by, M.D Traverse City, Michigan Ur,010gy a. Edward Stokes, M.D„ Tr'averse City, Mlchlgan Sur.gery Adam C. Mcclay, M.D Traverse City, Michigan Orthopedic Surgery Johnson Wright, M.D Tr'averse City, Michigan Dermto1ogy Carl List, M.D„ Grand Rapids, Michigan Neurosurgery Arthur. L. Stanley, M.D Lansing, Mlchlgan Thoraclc Surgery Bernard Sweeney, M.D Traverse City, Mlchlgan Internal MedicineS Dair'y Farm Discontinued Page 2 I 1 I I I I I Traverse City Annual Report 1957 1958 quprIciqSFpEp4.F.ngHI9fixppr4ngeEi the The Annual Report of the Tr'averse City State Hospital for is the flscal period ending June 30, 1958 1s herewith submitted. This 72nd Annual Report of the operation of the Hospital. pHyslcAIpLAnl The physical plant, especially the older structures, continues to require considerable expenditure to keep it functioning satlsfactorlly. The newer units require but a minimum of mainterrance. Newstruc tur e S The new Administration Building continues to present a serious problem with heating. Work vas completed on the new staff residence and this new home is very satlsfactory. No new building was started dur1ng this year. EsttrqqIres,Ne.I? There continues to be a need for addltlonal housing for medical staff . The four family residence, which vas reported last year as being old and in poor repair, is one year olde" There continues to b a need for a unit for mentally ill children. The need for a chapel continues. A survey regarding remodeling or replacement of the old adminlstratlon btillding was completed but no further action vas taken on this project. RELEPEL.pepTpxpLngTLapTpiHpp A new Bitter proctologlc examlnlng table was purchased and placed ln operation and has proved to be a saving in expenditure of personnel time and has added to the eff iciency of the department of sur.gery. Also purchased were the following Rh Blood Typing View Box, Stangl Microtometray, and Tissue Flotation Bath, for use in the Laboratory Artif lcial Respiration Pump and Electric Stlmulator, for use in the Electroencephalogram Departments Mobile Aspirator for use ln Building trl and Wangensteen Suction System for tise in the Operatlng Room. PERSONNEL Not only did there continue to be a clef inlte and drastic shortag of personnel in an areas, but due to lack of available money, the total nufroer of employees in the hospital was further decreased. The position of Director of Research and Training was establishef and Dr. Curtis W. Page was hired on August 28, 1957 to fill this posi tion, Page 3 SqS raverse City Annual Report 1957 1958 WARE SERVICE ADMINISTRATION Fractures her.e were 80 frtactures this year a decrease of 25 over last year. Too many factors must be considered to ascribe any particular cause for this sharp decline. Accidents to Emplo.vees Nineteen employees experienced minor injuries. One employee sus tained a fracture of the wrist One case of pulmonary tuberculosis was d i scovered . Surger.y There were 86 major surgical procedures and 78 minor during the year. In addition, there were 3L cases of chest surgery. Gynecological Clinic Three hu.ndred and twenty Seven gynecological examinations were performed and llh treatments were given. Cornmunicable Diseases There were no major epidemlcs. Regular 1mmuniatiorL program con tinued. Nine teenage patients and several adult patients received the full series of polio shots The pal di t ?ni? 8ghf397employees was completedemp 1oyees repor ting for on shots. January Immunization for Asian Flu was made available to the employees in March and 262 availed themselves of this opportunity. DiqutrI There were 300 deaths of which 59 came to autopsy (16 23. two patients suicided. a i I. ths i. . i LI.Ii There were 6 uncompllcated births during the year. Antl Luetlc. Therapy Three male patients and i female patient received penicllln treatment. Page Ll Traverse City Annual Report 1957 1958 Electr'oshock Therapy Two hundred and forty seven patients recelved i,012 treatments, Ph.ysio and HydrotheraBy There were 7,109 inductotherm treatments 99 hydro stlmulatlve treatments 6,73h msso therapy and muscle training treatments, making Miiale 32aeEge3 iginrg3gd tE893a us t3113fm?utes of continuous baths. Tube rcu i os isService MIALE FERALE TOTAL cENsus oF TunERcuLosls UNIT, July i, 1957 Home Hos Female Total Coldwater Ionia Lapeer Mt. Pleasant Newherry No r thv i 11 e Pontiac Traverse City 9 from State Sanator1a. Patients f rom Wayne County General Hospital now considered Tr'averse City patients) Ypsllanti PATIENTS ADMITTED TO UINIT DURING YEAR Home Hospital Caro Coldwater Ionia Kalamazoo Lapeer Mt. Pleasant Newberry Nor thv i 11 e Pontiac Traverse City Direct admission to hospital and T.B. Unit Page 5 71 22 93 Traverse City Annual Repor.i 1957 1958 Male Female Total I i Ii1. i from State TB Sanatoria VA Hospital 3ii Convalescent status f I,omsSana Conva 1 esc e nt (1 male 0 female (1 male (0 female p oeorig1y 0 female Transfer f ron nonisolated wards lo male (10 female) Ypsilanti 131 FATIENTs DlsMlssED FROM UNIT DunlNG yEAR Home Hos Coldwater Ionia Kalamazoo Lapeer Mt. Pleasant Newberry Nor thv i 11 e Pontiac Traverse City Convalescent status to Maybury Sanatoria Patlent 3g?ally from Nor.th. (1 male (0 female Convalescent status To Saginaw Sanatoria. Patient orlglnally from TCSH open wards) (0 male (I femal Convalescentsta bus (To Saginaw Sanato Patient igi?) male female Page 6 1L I r rtt Traverse City Annual Report 1957 i958 Escape patient origlna from Northville)(i male (0 fema Convalescent status No n iso 1 a t e d H 3 FT Male Female Torta Ypsllanti RALE FEunLE TOTAL 9312 PATIENTS EXPIRED DURING YEAR From tuberculosis From other causes 31 62 CENsus Or TUBERCULOSIS UNIT, June 30, 1958 Coldvater Ionia halamazoo Lapeer Mt. Pleasant Newherry Northville Pontiac Traverse City 11 patierits fr.om State Sanatoria VA Hospitals Ypstlanti PROCEDUREi L iIi Major. Chest Procedures Lobectomy 10 Resections Segmental and wedge) 13 Pneumonectomy 5 Thoracopl as ty 3 Decor ti ca t 1 on 2 Page 7 96 EJT Traverse City Annual Report 1957 1958 Biopsy of lung Right upper lobectomy and repair of diaphragm hernia Right decortlcatlon and removal of organizing hematoma ln base Resectlon of lelomyof ibroma from the stomach Other hfajor Surgery and Mlnor Procedures Appendectomy i Plaster casts applied 2 Debrldement of wound 1 Incision and drainage 11 Thorax lrrlgated and drained 7 Lacerations sutured 7 Sebaceous cysts removed 2 Corns removed I Sternal puncture and bone marrow biopsy 2 Blppsy, bronchial mass I Scalene biopsy 1 Thoracentes ls 46 Aspratlons 1ncludlng one spinal puncture 8 Pneunoperltoneum 56 Bronchoscopy 8 Bronchogram I Br'onchoscopy and Bronchogram 6 LaLr.yngoscopy i Esophagoscopy 2 Page 8 E rfu ,1 ng i 4 i i f Tr.averse city Annual Report 1957 1958 Fluoroscoples 139 Gastr.ic lavage for culture of acid fast bacilli 515 Sputa for. culture of acid fast bacilli 4 Skin tests and tuberculin histoplasim 127 Units of blood 105 Oxygen tr8. ERG 9 Laboratory procedures 356 X RAY INTERPRETATIONS a Reglster Routine Nonchest Total Eife ife x r.a.ys lJOsp 1 ta I Caro 159 316 0 Coldmater 130 58 0188 117 hl 0158 Kalamazoo ilo 19 0129 Lapeer 182 ?98 1981 9.0 09 Ionia Mt. Pleasant tr? 5 Newherry 359 Nor thvi I 1 e llL0 011h Pontlac 10 0lh6 Ypsllantl 3810 1382 Traverse City lncludes Rec. 667 i37tr 598 Patients ln T.B. Unit ERE EE EEEE 3158 3603 1268 Total Page 9 997 fty3 1999 2639 8029rdh E i Eo?i 'tL Traverse City Annual Report 1957 1958 FART 11 This report for the f iscal year 1957 1958 shows the year beginning with aL census of 71 males and 22 females for a total of 93 pati?nts. At the end of the year, the census was 73 males and 23 females with a total of 96. Although the census of this 106 bed urllt was comparatively small at the beginning and ending of the year, the beds were filled during most of the entire year. However, at the end of the year, a large group of patients were in the process of beingransferred both to and from the Tuberculosls Unit. Durin the year there were 75 patlents admitted to the Tuberculosis Unit ifemalesand6057 patientsL6malesandlhfemales)dlsmissed. males 18 During the course of the year, patients from all of the mental hosPltaLls, except the Kalamazoo State Hospital, were transfer.red to and from the Tuberculosis Unit, with plans being made at the close of the year for transfer of patients from Kalama8oo. By the process of a Cour't Order lt was possible to admit two patients fr.om the Ionia State Tuberculosis Unit and 12 deaths for a total of 72 patients leaving the Tuberculosis Unit. The chart shows the number of patients that were present in a Tuberculosis Unit, with the transfers to and fr.om the unit, separated as to the hospital of their or'iginatlon. The end of the year saw a larger group of patients present in the Tuberculos1s Unit from Newberry, Pontiac, and Ypsilanti State Hospltals, as well as Lapeer State Hospital. By taking this larger group of patients, it was pos slble to close the active Tuberculosis Unit at the Pontiac arid Newberry State Hospitals. The Ypsilanti State Hospital continues to show patients on thelr tuberculosis wards, since this hospital continues to r'eceive a large gr'oup of patients from the Detroit area and the Sanatorium ln that vicinity. The number of patients in the Tuberculosis Unit from the Traverse City State Hospital was largest with a total of 32 patients. However, 11 of these patients were admlssions from State Sanatoria and VA Hospitals. There were 12 deaths during the year 1 n the TuberLciilosl,s UniL Four of these deaths were listed as being due to tuberculos1s with this disease being the under1ylng cause of their. death. Two of these patients died following surgical procedure for their. tuberculous condition, while the other 2 explred shortly after having been admitted with far advarreed reslstent strains of tuberculosis. It should be noted that there were 515 gastric lavages for the purpose of culturing material for acid fast bacilli. During the year a program for the replacement of blood used f or transfusions during the surgical procedures was started in cooperatlon Page 10 .Traverse City Annual Report 1957 1958 with the local Red Cross Chapter and with the Red Cross Chapters at Muskegon and Lanslng With thls program, we have been able to replace a nufroer of the units of blood that was requlred to be used during the surgical procedur'es. It should also be noted that there has been a rather marked increase in the X ray interpretations made at this unit during the past year', with the addition of the active participation of the Kalamagoo and Ionia State Hospitals in the Central Tuberculosts Control Program. A total of 3158 chest X rays wer'e interpreted on patients who are listed on the Centr'al Register. and a total of 3603 chest X rays nterpreted on patients from the various hospitals who are not listed on the Central Register. There has continued to be mor'e interest placed on the tuberculos1s program from all of the participating hospitals, with the ]alamazoo State Hospital being added to the program Thr.oughout the year, all of the hospitals in the Ceritral Tuberculosis Coutrol Program were visited by the Director of Tuberculosls. LABQE4.TQBIESi Clinical Laboratory A total of 15,h85 procedures were carried out. Pa tho I ogy Our surgical speclmens are examined ln this department by a certlf led pathologist. Also post mortem in terial is subject to exam 1 na t 1 a n . Ele.craenLrfua.Ipg.ife A total of 513 procedures were carried orit during the year. This includes hath in patients and out patients.lh2500 was collected and submitted to the Accounting Department this year for BEG.s done on private out patients. Lectur.es were given to each class of student nurses regarding the pr'1nciples of EEC. The same lecture ves given to two attendant nurse classes. Eight one hour lectur'es were given to the f lrst year psychiatrlc residents regarding varLious aspects of electroencephalography. A demonstration on television regarding technique and diagnosis of the electroencephalogram was presented on July 30th over the local television station. In October, 1957 we installed an Edin Spectrum Analyzer and since that time have been analyglng all records. A new office and laboratory Page 11 il in ffi i jI , .RE I i .t i g art G. i i, rmdf . a rf I tqj Traverse City Annual Report 1957 1958 room area was r'emodeled and completed in Aprf I, 1958. Air conditlonlng equipment has been ordered and lt is anticipated that this will grteatly enhance the validity of the Egg records. From July i, 1957 to November 11, 1957 there was a technician and a technician in tralning working ln the department. From November t , I L I , 11 until June 23, 1958 onl one technician was employed in the de partment. From June 23, 19f8 to August 15, 1958, Gordon Wilcox is to be n the department, being paid oat ofr6seaicfi funds ona a niac i basis. His assistance is to permit the completion of an analeptlc study. A research project ls in progress in which we are evaluating the effectiveness, and central nervous system response, of various ana1eptlcs and tranquilizing drugs. This study 1s on the cat brain and the response is recorded on the BEG. We ar.e plannf ng a study in the human, using various drugs and evaluating any change in the br'ain with the analyzed BEG. A certain amount of the preliminary wor'k for this project has been done this ye a I . RESEARCH Previous to July, 1957, research funds were handled in a separate account. Resear.ch funds have now been depos1ted with the State Treasurer and procedures consistent with the routines as outlined by the Department of Administration are observed. A Dlrector of Research was appointed ln September 1957, who is responslble for the coordlrration of all hospital research and ls Chairman of the Research Colnmittee. This Committee was abpointed in October 1957, and is charged with the responslbllity of suggesting needed research, stlmulatlng staff member.s to lnitlate and carry through research, appraising every research project involving the hospital and giving their approval or disapproval thereof, obtalnlng consultants when needed and authorizing the use of all research funds. The Colrmi.ttee has appraised on going research projects in the hospital and has considered and given approval for five additional projects Of these five, thr have been initl3ed and are ongoingi while two are awaltlng outcome of grant appilcatlons.tl Files have been established and are maintained on each project. Page 12 iEiE IAI. fli aas t4 rw Tr[aver.se City Annual Report 195? 1958 A Statement of the ReseaLrch Account is as follows July li 1957 June 30 1958 Gif t Donation 00 .00 00 50000 Amer'ican Home Products Inc. J.T. Fer.guson, M.D. Readers Digest U. S. Vitamin Corp Salaries Suppl i es Tr.avel Expense Equipment $ 39L,70 5j57532 Patient Parties q Balance on Hand Expense ,I .HE ffil5,310'tro Publications of Staff Members are as followss i. Ferguson, J.T„ a Funderburk, W.H. Improvi senile behavior with reserpine and Rltalin. In H. Beckman Fgd .), Year book cu99sSrany 1956 57. Chicago 2. Ferguson, i.T„ Linn, F. V. Z. The Year Book Publishers, A new compound for the sylnptomatlc tr.eatment of tension and anxiety 2 ethylcroto i3s. cc oecn.i oebse ,d8„ 1957. 3 ii. snin'tisf n.ECisfmgt. 4. Ferguson, J, T Chemical control of abnormal behavior. Abstract Amer. Acad. Gen. Pract 1957, 9, 281, 28tr. 5. gm tT f fePre. th, Cia5tTaams. , 1957] 56, 1266 1270. 6. giaoEs sujrI fsA of patients with chronic mental illness Page 13 ') iii t i Tr'averse Clty Annual Report 1957 1958 7. a.gs3,yft.eegFIfa [ . ]r]g aa Ed. The new chemother in mental illness. phlcal Llbrary, I BB NewYork Philoso 8. Ferguson, J. T. Impr.oved behavior patterns in the hospitalized mentally ill with reserplne and Methyl Phenidylacetate. In H. L. Gordon Ed The new chemotherapy n mental illness. New York Philosophical Library$ 1958. 9. Ferguson, J. T. What.s new and usable in the chemical tr'eat ment of abnormal behavior. In H. L. Cordon Ed The newSr88n mental illness. New York Philosophical 10. Sormnerness, M.D„ Lucero, A.J„ Hamlon, J.S„ Mahovald, A.M. sgmaiina L?I sis?i ? i i ia mental illness. New York gn m rg I yoei y3f4gPle Personal i ty. 12 Pappas, W„ Page, C W a Baker J. A controlled study of an intensiv3. tPegrgga?as?1e78gatrlc patients. t3. iiii i JaginTgi Sdnneectlon ltr. Spies, T.D„ Ferguson, J. T Holland, A. H Sebrell, W. H Suar.ez, R. M„ Wilkins, R. W. in internal medlclne. Jolliffe, N„ Nutrition Audio Digest, in press. 15. Ferguson, J. T. Impact of new drugs on treatment and prevention of mental illness. Ment. Hlth Bull„ in pr.ess. 16. Page, C. W Ends, E. J. Psychological changes associated with lncreasng number of group psychotherapy sessions with isized male ingbrlate patients. Psychol. 17. Wllcox, Katherine W. Ed.) Monographs, Proceedings of the twelfth annual scientif lc session of the electroshock research association. Confinia Neurologlca, 1958, in 18. Wllcox, Katherine W Ed. presso Proceedings of the thir'teenth annual sclentif ic session of the electr'oshock research association. Conflnla Neurologica, 1n press. Page ltr ff Traverse City Annual F,eport 1957 1958 19. Wilcox, Katherine W. Ed.) Proceedings of the fourteenth annual scientlf ic session of the electroshock research association. Conflnia Neurologica, in press. 20. Wllcox, P. H„ a Wllcox, Katherine W. Shock therapy. In E. A. Spiegel Ed Progress in neurology and psychiatry. New Yor.k Grune Stratton, 1958, 1n press. Research papers or reports in process are 1. Page, C. W„ a Erids, E. J. A review and synthesis of the literature suggesting a psychotherapeutic technique based on two factor. learning theor'y. Unpublished manuscript, available fr'Dm authors, revision in process). 2. Ferguson, J. T. Management of abnormal behavior. Belng prepared at request of the Editors, for publication in Cllnlcal Medicine). 3. Ferguson, J. T. Neuropharmacological agents and abnormal behavior. Being prepar'ed at request of the Editors, for publication ln Medical Times. tr. Ferguson, J. T. hope (a Internati Our Senior. citizensa challenfi with rd red for presentation at the 1entlf ic Assembly, Interstate Post Gr.aduate I, Medical Association, Cleveland, 'Nbvember 12, 1958. published in Post Graduate Medicine). 5. Kropp, D.9 Ferguson, J. I. To be Albustix (Ames) A compara Live study on routine urine testing to determine false giigcontltative POSsibilities. 6. Kropp, D Ferguson, J. T. (fro be presented Ui istlx Ames A comrjara live study on routine urine test,1ng to determine false giicoTnttatVe P°Ss1bilities. To be presented 7 gi hAii.s?Vatnpsegor prbl ica ti on . Curr'ent research projects are i. Woodcock, R. T. An irIvestigatlon of the site of action aLnd effect of three drug compounds on cats as demonstrated by the electroencephalograph. 2. Wllcox, Katherine W. The r'eliability of the Gardner Behavior Chart. Page 15 J,. E Traverse City Annual Report 1957 1958 3. Wilcox, Katherine W. Abstract thinlting ln mental patients and the pr.ediction of clinical outcome. tr. Wilcox, Itatherine W„ a Page, C. W. Mental Health QISort. C. W. 5. Banks, factors Development of a Survey of certain pertinent taLllzed adolescents. 6. git nT i gef c. fw dig.isriitedAnby the analyzed braln wave pattern. 7. Ramzy, C. Study of the utili8ation of different medicatlons for enhancing ease of medication admlnistratlon with mentally ill tubercular patients. 8. Beardsley, P. M„ Behan, a. W a Ferguson, J. T. A double blind study for evaluation to determine ther.apeutic activity of the compound My"B Don (Ames. 9. Per.guson, J. T. Investigation and evaluation of vitaminminerals in relation to abnormal behavior of elderly patients. Planned research projects are I. wiicox, Katheri1e Wiap[gio.f Igeriti ? on schizophrenia. Nationa].Institute of fuental Health. 2. W11cox„ F.aiherine W„ C bell, T. The predictlD.n of irrmediate personality reactions to a,1pha chlor'aloseo Literature a.urvreds design in pr'ocess. 3. Page, C. W„ Co3itburn, Kathleeli.S Preiss, J„ a Leroix Lofraineo ,tels.ri.eit4,cn of role ey.peciatiorLs, ro].e ilfia othr dime,nioris of r.ursing personr el at Travel.se Ci Hospital. Lj.iierature surveyed, design in process). ly. Page, C. W„ Ferguson, i. T. int,ensive tr.eat,ment. with iEio apin 8.filagPerimenfal project. 5. 8i tini°og.ti3?arts1e s , compounds available. 6. 3E T vagedEatga 3sn. ves t i ga ti ons . Page 16 ioTraverse City Annual Report 195? 1958 7. Adler, H Page, C. W„ Leroux, Lor'raine, Cockbur.n, Itathleen, Krumm, C. W„ Cornell, Alta, Nyland, Mag. s Setaurngancn ies?i I °tstudy PSYCHIATRIC RES IDENCY TRA INIRE PRCRERAM The Psychiatric Residency Training Progran at this hospital is approved for one year by the Residency Review Committee for Psychiatry and Neur'ology, representing the Amercan Board of Psychiatry and Neurology and the Council on Medical EducatiorL and Hospitals of the American Medical Association. In addition, an arrangement has been effected with Ypsllantl State Hospital, Ypsilanti, Michigan, to extend the second year of their three year approved program to this hospital. This plan will be initiated July 1$ 1958t ln September, 1957, a full time dir'ector of training was appointed and carries the duties of planning and coordinating all aspects of the pr.ogr.am. rsiiii fi fiiN?) Personality Developmerit General Psychopathology hours Principles Evaluation 29 hours) of pix hs, hours Basic Neurology Clinical Neurology L3 hours Principles of Psychotherapy Social Service Relationships hours hours pf3rgi tgn3Es , 5 hours , Clinical Case Presentation 102 hours Jour.nal Club Seminar 3tr hours In addition, one or more residents attended three Clinical Semirmrs at Ypsilanti State Hospital and presented recordings of these at the Journal Club Seminar. Also, twelve tape recordings of the Lafayette Cl inicts PostgrsigrEspci W ? and used. In the course, lecturers participated, totaling six hour.s. Recruiting actlvltles found eighty five physicians contactlng qs regarding residency positions. Thirty f Eve of these were involved in two or mar.e correspondence contacts. Four were given residency appolntments. Of Twenty three who terminated their applications arld gave reasons for doing so, thirteen stated difficultles 1n securing Mlchlgan licensure, three indicated necessity of accepting position elsewhere to retain their Exchange Visitor Status since they could not be employed at once, and the others gave numerous reasons. Page 17 E 1, . ? qu1 i . n, 1 lt a r , I , rfu 1 ril , Tr'aver'se City Annual Report 1957 1958 In conjunction with the Psychlatrc Resldency Program a plan waty devised for a Summer Externship Program. The names of three applicants were submitted to the Smith, Kline and French Foundation Fellowship Cozrmlttee resulting ln the offer of two stipend grants. These grants could not be accepted due to the lnablllty of the applicants to complete arrangements to join us and we had no further applicants who were qualified senior medical Studentso AS of June 30, 1958, we have five psychiatrlc residents, two of which are starttlng their first year tr.ainlng and three who have comalthough of year. these Three three of are the on fzrmlgratlon vlsas, while the rei1eted the two f lr.st ivg ar.g foreign citizens malning two are U. a. citizens Plans for the future ln general involve enhancement of the pro sg rbPa bI f ?Pr°Val al though the latter depends NUBS ING SERVICES 6 idiha sigisisusisscssii" nursing care prLeblems and progr.am plarming ln the car'e of patients are the usual agenda MDnthly supervisors meetings of registered nurses and attendant "rses are held to discuss pertinent lnformatlon fr.om Bepartment Head and Medical Staff meetings, p 11cles and proce dupes peculiar to our hospital and patient centered problems. Selected professional nursing personnel are given the opportunity to develop greater supervisory skills in order to direct the nan professlonal nurs1ng staff and thus enhance patient care. The halls and cottages housing male patients are gradually being brought under more direct pr'ofess1onal nurse super'vislon Much progress has been made in this area and male attendant nurse suprvlsors ln the Nurslng Office are assuming more responsibllltles not calling for the skllls of a professional nurse. When the pos1tlon ls filled for an Associate Blrector, Nur'sing Service, more direct supervision will be made available to the present attendants ln the nursing office. Negotiations are being completed to obtain a psychiatrically oriented Masterls degree prepar'ed nurse in this position. In the middle of July, a well qualified nurse will join the hospital nursing staff as the Associate Director. This has been a year of transition. With the additlon of new personnel 1n the Nur.sing AdmlnistrLatlon and Nurs1ng Education at tempts are being made to place greater emphasis on therapeutic care of the mentally ill patients rather than perpetuating the custodial orlentaLtlon. As one result of this, many personnel are involved ln a pilot project which ls an outgrowth of a requ'est of male attendaLnt Page 18 . Traver'se City Annual Report 1957 1958 nurse staff on one of the overactlve wards. This pilot study concerns the establishment of a ward patient council. Currently a survey of the literature is being done along with the design of the study being ln process. Better interpersonal relationships are being stressed, resultlng ln attempts on the part of nursing personnel to work with Small groups of patients, besides having an awareness of the to.tal patient population housed on their respective halls or coLtages Another of the bulld ng5 hotislng male patients ls now an open cottage during daytime hour.so The standardi ation of nursing procedures thr.oughout the hospitali ln order to render better nursing ear'e and to famlllar'1ze personnel with current concepts fn psychiatric nur's1ng has materialized Somewhat, with monthly classes being available. Some of these classes in part are the I.esults of introdticlng nursing techniques and procedures in a psychiatric orientation and approach to patients in performing nursing services. The introduction of new charting forms. in essence the composlte of many indLvldual charts for all patients, increased Interest and responsibility of all nursing p rsonnel to chart on the patlentts records, are but some of the activitles In nurs1ng serviceApart frtm direct nurs1ng ther.e are many projects ln which nur.$1ng personnel ar'e involved. Research 1s but one ar'ea, as was mentioned with the pilot pr'oject of a Patient Ward Council. Many members of the staff are participating in investigating the clinical actlvlty of medications being administered to the hospltalizd patlents. There is a professional nurse on the planning committee of soiyciairegigf8rsg?iisPipnoitah The Director of Nurslng Education 1s a member of the Library Cornmlttee. It has been through her efforts and the lnterest of fellow committee members that thereD are am lncrasing mimber of books related to psychatric nursing available. The library itself, now as a centr.al unit for all reading marterials, rather than apart from facilities for priofessional nursing students, has been attracting more nurses and attendants. There ls also nurs1ng representation on the Civil Defense planning cottmlttee. Plans are to involve rLursing personnel ln organlged functions of nursing in Civil Defense preparedness ln the event of f ire or other dlsaster The Dlr.ector of Nursing and Director of Nurs1ng Education have both taken part in the orlentatlon program for the Grey Ladies volunteering their services at the hospital. Both nurses have also had eccaslon to address groups of pastor.S of the Ministerial Association visltlng our hospitalized patients. Page 19 ill iBg,'iiST ,.ri i,t i Traverse City Annual Report 1957 1958 The Dlrector of Nut.Sing was an Instructor and D1scussant at a series of f ive two day Workshops on "Psychiatric Nurs1ng". conducted at the Narthville Shale Hospital. The Workshops were sponsored 3hh8oggrofent pg3sadtSgrrNe esFour Was other nurses from Nursing Service and Nursing Education were par1cipants ln the Wor'kshBp. In teeeping with the revislori of the "urse Practice Act with the introduction of the law providing for licensure for qualified psychiatric attendant nurses, a professional psycriiatrlc nurse must serve on the Boar.a of Nurslng. The Director of "ur$1ng, Miss Leroux, was ggg3 et3gcgg 33dt3mNSLngsbfnor w i 1 lams. ]n apsixpEptmRE nrecgrsFtn3odggtosshaenMfagugsa3gen Nursing Education with a major in Curriculuri and Teaching in Psychiatric Nursing. The professlonal t"rslng Student program mag shortened to a 12 week period. The schooLS sending stwdents rernained the same. The breakdown of the number. is as follows Sept.1957 Dec.1957 march,1958 June,1958 Butterworth 57 11 11 Edward W. Sparrow Highland park General Total JL 21 1 making a total of lola students. During the period the curriculum was completely rewritten. Greater emphasis has been placed on Small discusslon groups. Meetings have been held each quarter with repr.esentatlves of the sendlng school8. Dtiring these meetlngs, the backgrourid cotirses for the psychlatr1c experience, the psychiatric currlcultim and the progress of the students have been dlscussedt The agreements between this agency and the sending schools were revised this year as usual. B1 weekly meetings are held with the lnstr.uctors and head nurses to evaluate the progress of the Students and r'eview the pr'oblems concerning the applicaLtion tf theory to clinical practice Page 20 Traverse City Annual Repor.t 1957 1958 and the lqiprovement of ar.gas for clinical experience. The areas used for gxper'1ence have been reduced from three to two areas of six weeks experience on each. This has allowed the Student to more effectively study the formation and conti"ation of a 'r.elatonship. The plans for the future include morg study of all areas of the hospltal to make available wards for student exper'ince on which ther'esa less rapid turnover of patients, thereby allowing for morg lntensve nurs1ng care. It is planned that a more effective tool for evaluation of the clinical eperignce will be formulatgd There is also need for more individual supervision and teaching of the students. We do not plan to increase the pr'ogram in the near future, but antlclpate the ting when there will be adequately prepared teaching and supervisory personnel and clinical areas so that the number of students may be sizeably increased. The ln service educational program for the attendants has continued. An orientation program has b,gen planned for the newly employed person. The six months in service program has been in pro gress with 32 attendants completing the cour'se ln the past year, f lfteen are at present in the pr'ogram The curriculum for the course has been started and it is hoped that this will bg completed n the near future. An educational program to lntrodtice the entire nursing staff to the revised procedures has been started This is called the Procedure of the Month. Four classes of one hour length are held, enabling all per.sornel to attend. The topics covered and the number of persans attending are as follows Procedure of Month Date Title No. attended Marchj 1958 Transfer of patients h66 Undrstandlng patients ,L62 May 1958 Br eakd own i9 June, 1958 Char ting 453 Apt.1l,1958 A class ln how to use the library was held for 58 attendants and persons from other departments. This class attempted to encour'age interested persons ln reading and withdrawing books. The circulation of volumes hale increased and more interest is being shorn. In the library try both the professional and non professional staff . In conjunction with this a bibliography mag prepared to assist the attendant in f lnding rmterlal dealing with various nursing pr'oblems. Page 21 Traverse City Annual Report 1957 1958 This could also be used by attendants preparing for the llcensure exaninaton as a suggested reading list. Weekly educational meetings have been held with the graduate nurses. Reports of meetngs and conferences attended are reviewed. Plans were made f or continuing classes concerned with psychiatr.ic nur.Sing skills. Harrlet handler, R.N. Director of Nursing at Lafayette Clinic, cnnducted a one day workshop on f'Present Trends in PsychiatrIc Ntirslng." This rag well attended. Dr. Jack Preiss, Associate Professor of Sociology and Anthropology, for the Michigan State Unlverslty, conducted discussion groups for the attendants and nurses throughout the year. DENTAL DEPA TRENTi i .I i i Dr. John F. Medovern joined the dental Staff on July 8, 1957. The work of the dental department has increased buL there is stlll a deflnlte need for the addition of another dentist aLnd a dental hygienist so that adequate dental care can be given to our patients. Following is the report of the Dental Depar.tment for the year ending June 30, 1958 NAmber of patient visits to the Dental Bepartment .A 2903 Ntlmber of new patenLs examined Sol Patlents eaml ned on wards over and above those Seen in offlce 581 Denta 1 X r'ays taken ] d . I A w 2233 Local anaesthetlcs number of standard size cartridges used 1551 Extractiofts 1915 Routine 1886 Im.pacted 29 Alveole otomles 3L Fractures reduced Ma nd i bu i a ri 1 Blops ies taken a A I Endodontia cases completed Restoratlons 1 a. A.A.4NAmalgam fty9 a i 1 1 ca te 92 Gold inlays 3 Gold foil 10 Bases used 1?3 Temp Crowns cast A 70 10 Bridges made per ldonta i trea tments i IHrPage 22 Traverse City Annual Report 195? 1958 Prophylaxis Imp re sslons made and models pour'ed Dentur'es Newly bui I i lil IFull .33 par,tlal , 6 Temp . tr RepaLireda Re 1 i ned .b.A . Cases completed M1sce i laneous tree tments Dentures cleaned and case numbered. A Glasses repaired of case numbered IsOcIAL sERvlcE DEPARmffi"T 1 SOC6isoSViSidded during the year, average 5" a 8ssgig ies were written during the year, average 5tr.5 month, c Tfi5 interval social historles added during the year, aver.age 12.3 per month. D 156 interval social histor.ies written during the year, average 13 per month. E 27 additional hlstorlgs were written during the year, average 22 per month. t" i iiisE iit Were active in the social i s 3es3g 88t nth f or a monthly average C Social Service lnservice nterviewss . iiai ts 6dlJ yearlya55a .panthly aver'age 212.9 , Orier.a only 'yearly T 1515 inonthly average i 26.2 . Patients a'nd othersS monthly average a Totals Ill. ietsteAi Sihat were active ln the sOclal workerst caseloads. A Monthly average 3ly68 a 626 patients seen at least once a month for a monthly average of 52.I C Social Servlce convalescent Statu$ 1ntervlews i 38tn e 338 a a ?i8 3. Patients and othersife3 monthl y aver.age tr. Totals Page 23 Traverse City Annual Report 195? 1958 IV. Family Care Programi 95 h irmes rised monthly average 365 beds used monthly averag 17 Vacancies monthly average Number of patients on Family are i i iia1iRE i a 19tr6 vis1ts were made to Family Care homes for a monthly average of 162. F Family Care patients placed and removed Removed covers Return to hospltal phys1cal or mental 11lrLess, placed on vis1t or convalescent status 1neludes worit parole ln Traverse City area, discharge due asirii ity avards. Old Age Assistance a Old patlents previou$1y placed yearly 112, monthly average 9.3 b New patlents yearly 7ah4V).5. c Cld patients r.emoved average 9.5. d New patients removed yearly, 62, monthly average 5 2. Custodial a Old patients previously placed yearly 8Q, monthly average 6.6. S New patients yearly 6 a tT average 5.6. monthly c Old patients removed average 11.7. d New patients removed yearly 65, monthly average 5L. a Family Nurse Actlvitles 8 months, ending March 1, 1958 Yearly I. Pr'escriptions investigated and filled 2. Research of records 3. Patients checked physically Injections given patients Transport of patients to hospital 6 Telephone interviews with patients and therapists 7o Br'ess1ngs 8. Family Care homes visited Page 2L Monthly Average REEL Traverse City Annual Report 195? 1958 V. Medical Records Clerk Yearly Monthly Average A Abstracts written 8 MM20 Forms completed C Dlagnosis made D VnH and insurance forms E Social histories written F Translations made VI. Working patients outslde, downtown placement only A Convalescent Status Patients i i ii a Family Ca re Pati6nts part time empl VII. i. MOTnth y averrage 19.6 Year 2. Monthly average 3. Monthly average 1.2 i.1 Year.Iy Yearly placed terminated placed terminated Out patient cllnlc activities A Interviews 1. New Patientsi a) Patients only yearly 53 b Others only yearly 232 c Patients and others only yearly a) Totals 2. Return Patients Monthly average Monthly average . Monthly average a) Patients only yearly 168 b Others only yearly 155 c Fatlents others yearly Monthly average Monthly average Monthly average d) Totals 8 Histories i. Added year1y 220 2. Wrlttenyearly 211 3. Rgmainlng yearly 9 i s areftitaaE.ina pi lent cl inic B Out County Out Patient Clinics 1. 2 workers No. clinics 5mo no. days$ 7mo. Includes overnight. Page 25 5,0 19.3 2.8I ltr,0 12.9 T Ii 4qwjs E gSrI,. I . A f , Traverse City Annual Report 1957 1958 VIII. Mlscellaneous Actlvities A 13 field tr'ips made. 39 days spent doing f igld work. 157 community contacts made.Director, So6ial Service Department, made 32 speeches to hospital personnel and Outside groups. Three workers spoke to outside groups D Social Service particlpated in weetrly meetings with both bay and girl gr'oups in informal psychodr.ama groups. E Each Student nurse spent I working day with an institu F. At°88[s er398nr 53Eys8tw3a the Staff sit]g r ss.M1hsCfa rELfrurse, terminated employment and we are carrying this vacancy a Weekly hourly confer.ences were held with the workers by Mr. Shrlft or Mr. Lindstr'om. IX. Mileage a Ei ii8 38Slue monthly average 3178.5 c. Ig[e 28.0965 monthly average 23tri.a private i . I I,258 monthly average log.a gaRETrmIrBELAIIg"S.pEBARnIREli Thls mag the first year of activity for the Community Relations Departhent which was authorized March 17, 1957 The organlzatlon of the program has been an extremely busy rocedur'e The variety of act vlties coming into this depa rtmen t ncl des activities which possibly would not be included ln a coounlni y relations department. However, these activlties were lnaugerated y the Director of Community Relations Department be for.e thls epartment was officially A I designated by Civil Service, and the activiti es have been contlnued under this department for lack of better ar'rangements. Burfng the year, the Community Relations Director spoke to seventyslx dlfferent and varied gr'oups these would include PTAts, Farm Bureau groups, civic organizations, schools and colleges, chur'ches and so forth. An Increased inter.est ln Traverse City State Hospital and lt$ 1Arork ln the field of the care and treatment of the mentally Ill has been noted ln the last thro or three years. Colnlnunlty Relations Department liltes to think that a fair proportion of this interest is due to the efforts of this department in dlssemlnating information regarding the hospital and its work Interest, on the part of ccrmunlty groups, 1n the hospltal has been manifested partially by the nunbgr of tours. Burlng the i lscal year, thir.ty f lve such tour.s wer'e Provided Page 26Traverse City Annual Report 195? 1958 to a variety of groups for a total of well over a thousand persons. The number of tours included here dogs not include tours provided for our National Mental Health Week Open House or our Christmas Open House The Community Relations Department has made definite efforts to e8aagafoSyunSditnge3sgi[fgscfi8Se ae ties were provided by outside groups for patients on our wards and cottages. These were birthday parties, special day parties, etc. One of our very busy activltles coming under the direction of the Cofzmunlty Relations Department 1s the prtint shop This shop provides many many hours of important therapy activlLles fort patients. twent three patients have benef ited by this patient a.ctlvity. Better than per cent of all hospital prirLtlng 1sflone in this department. Much of the weak ls for'ms used by the hospital for years and has been done on paper furnished by paper manufacturers at no cost to the instltutlon. At the present time we have f lve presses of varf ous slzes, a very good assortment of type, an automatic punch press with an assortment of dies and cutters, and many other pieces of equipment and Supplies that have been donated to us by interested indlvlduals. The Community Relations Department was very haLppy this year to have been instrumental 1n contactlng Butterf leld Theater Corporation of Michigan after our projector equipment had failed to the point wherLe repairs were no longer possible, As a result of contacts with16,GOO worth of riSietewEt 18 gpg projectors CQmplete with retlfiefs, lenses and all necessary sound equipment, some of which imas rebuilt at the companyls expense to fit Our speclflc needs here at the hospltal Our projector booth was enlarged to house the equipment, and we are now presenting some of the very flnest movies, 1ncludlng clnemascope. In response to our appeals, thousands of pieces of clothing, jewelry, cosmetics, games, arts and crafts supplies, etc„ were received by the hospltal for the benefit of pall.ents. At Christmas time, approximately six thousand new Christmas gif ts were received and wrapped by the Gray Ladles and sent to the various wards for patients who otherwise would have gone unremembered. Approximately fifteen hundred of our three thousand patients fall into the category of the "forgotten peoplet', or those indlvidtals whowould not be I.emembered by members of their families or friends. In Februar'y, 1957 a very interesting and hopefully bereflclal music therapy program was begun Following a workshop under the dlrectlon of the State Federation of Music Clubs with Michigan State Unlverslty consultants here at the hospital, the program was set up in Such a way that approximately six to eight members from Cadillac Phllharmonlc Club and a compar.able rmmber from the Traverse City Page 27 Traverse city Annual Report 1957 1958 Muslcale would appear each month at the hospital to provide a music therapy program. From February until the end of the f iscal year eighty such sess1ons were pr.ovided on as many wards. In addition, two pr.ofessional piano teachers gave two hundred and thirty private piano lessons. In April another war.kshop was held to further discuss the development of this particular activity. The Community Relations Department made arrangements dur.1ng the National Cherry Festival to have concerts, parades etc pr'esented S the hospltal for patients who could nat get downtown. Three outstanding grDups made appearances The U S. Havy Great Lakes Naval Training Station Band presented a cancer.i CDchrants Majorettes from Ohio gave an outstanding concert and drill and on the last day of the festival, a caravan of sixty valuable antique automobiles paraded to the hospital par.king lot and remained on display so the patients might have le oppor'tunity to see these automobiles and to ask questions about them. of one hundred and sixty seven hours each month to the hospital. apprige t 3a thygi gr eg enSuan i Bed adult tours throughout the lnstitutlon and on Saturday, May 3, entertained five hundred and ten, four to fourteen year old children, who toolt part ln the First Annual Fishing Derby on the hospital grounds. On this same day the creek, which has been known by more than a don thnggeei 3 gSitK8Sr a. 3fiiyoa a3f i Supervisors, the Mayor and members of the county who judged the creek naming contest, took part ln the program of re dedication. In addition to the cash awards which were given to the three patgnts econd, ri submlttlng the best three ramgs for the creeit, for the f i who and thlrdaward 123 prizes were given to as many boys and took part in the f lshlng derby. Another arrangement that comes under the direction of the Community Relations De'partmeut is the chaplainls activities. Since the hospital does not have a regularly employed chaplain, 1t ls rlecessary for us to depend upon local and area ministers to fill the need in this particular area. The Community Relations Department arranged for and conducted a chaplainls woritshop. Chaplain Ballenger. of the University of Michigan wias the main speaker and discussion leader and Page 8Traver.Se City Annual Report 1957 1958 a very prLof ltable day iAras provided twenty one of the ministers. These chaplalns at the time, d8cfdd to spend four afternoons each week ln the institution. They elected cme of their members to act as the coordinator and a very satisfactory arrangement has been achieved During the fiscal year, twelve separ'ate T programs were presented on WPBN TV, us1ng many members of the hospital staff in presenting to the public various phases of the hospital program. Writing material for daily and weekly nevyspapers, some arttlcles for professional publicat,lens, etc„ is another of the r'espons1blli ties of the Community R1ations Department. We must continually strive to keep before the public that kind of mater'ial which increases knowledge of and interest in the care and treatment of the mentally ill. Many news items were produced including educational materials, items of local interest outlining the various programs and endeavors of the lnstltutlon, and at times notif led the ptiblic of retiring of men atid women who have given the best years of their lives in the service of Traverse City State Hospital. Thousands of pieces of mall were sent out in appeals for Chrlstnas gifts, special rgquests 1n behalf of our patients, many letters of srmpattry, condolances, get well wishes, and letters of thanks which go out each time a gift is receved. Many r'equests for liter'ature Come to this office concerning the care and treatment of the mentally ill. These are always filled to the best of our abllltyo Colnmunlty Relations Department ls ln the process of setting up a photograph file which ls fast becoming one of the real points of interest. Photographs are used fort many different purposes some being used for display during National Mental Health Week or at Nor'thwesterLn Michigan Fair some wer[e sent to publications for use in conjunction with news articles others wet.a used in the hospital lobby to better acquaint citizens with the hospital procedures some wer'e used far training ptirposes. Several hundred photographs of various have been taken and we have a rather sizable and important fll fp8s x 10 material on hand at a momentls notice. Often these items are used ln our TV presentations. In some instances they have been loaned i8haa hnde g ugfthfp3P ?1e° IEC. slldes and have many of these complete at the pr'esent time. During the year, the hospital was requested to send representatlves to one high school career day and three high School goverrm.ent day prograLms. Under recreation actlvlties, in addition to the eighty f Eve parties provided on mar]y of our wards throughout the year, the Community Relations Department also made arrangements for a special teacher of square dancing to teach several classes during the summer months , Page 29Traverse City Annual Report 1957 1958 As we move forward into the second year of the existence of the Community Relations Depar'tment, we do so with the understanding that r.esponslbllities are bound to become greater and greater and that it whll either necessitate providing additional per.sonnel for this par.tlcular. depar'tment or to elininate some of the activities that now fall under. its drectlon. grELHoLQgLPEp4iBorLRTH The activities of the Psychology Depar.tment were divided between psychodiagnosis, therapy, lectures and research. Other responsibilities were carried for Jour.nat Club administratton and in the Journal Club, resear.ch, library, and mental health week commltfees. The number of psychologists on duty was four, on educational leave, one. There were 80 hours of lectures presented during the year 21 to the f irst year residents ln paychiatry, 18 to the nurses and nursing students. and trl to other profess1onal or community groups. Preliminary worlt was done on organizing a r'esear'ch project involving the development of a comprehensive, multilingual annotated blbllography on schlzophr'enia. Foundation financing for this project has not been obtained. Research ln process included the development ne3toe5segmggeaogysjasag gig Chlatrsts, and ministers for their Significance in the evaluation of mental health attitudes. Close agreement was obtalngd between all of the crlterian judges. Prelinitrary testing was car.ried out with two groups of high school seniors and a group of similar age from one Church orgarLization, Next steps in standar'dlzation will involve use of the scale with various clinical groups, particular1y rellgious paranoids then eventually with candidates for rellglous vocatlons. Indlvldual psychotherapy involved 9ld hours for the year, 736 with ln patients and 208 with out patients. Fifty one group therapy sessions were held with in patient adolescent bnys. and gir'ls. in.paEF Shtg8ttmgt3tnr°innsim3rBys The nature of the tests given was as follows Intelligence tests 386S Personality tests .11.1.9 ghlgsS,ais2gr2a. Tests of iinpalrment558 Bender Gestalt i62, others 96. Educational and vocational tests 25. The total nurnber of tests given was 2088. The tine of testing for in patierlts fs usually during the f irst month after hospital admlsslon. Selected referrals are made by the psychatrists on the two admission services. Page 30 Traverse City Annual Report 1957 1958 The Journal Club, Which has been an admlnistrative responsibllity of the Psychology Department Since August 1951, now has an inter'discl pllnary steering committee to establish polly and help maintain closer contact with the varied areas of interest, STAFF LIBRARYs In October 1957 a Staff Llbrar.y Committee composed of represen tatlves of major areas 1n the hospital was appointed by the Medical Superintendent with the Director of Research and Tralnlng as Chairman of the Committee. Previous to this, the Director of the psychology Department had functiongd as coordinator of the library. It has been the duty of the Committee to formulate pollcles and procedures, Order books and journals, determine needs for and.order other equipment, and generally supervise the funetloning of the Staff Library. PoLlcle3 and pr.ocedures for the use of the library were determined and circulated to personnel in February, 1958. These included drectlons for obtaining des 'ed books and jaur'nals, loan ar.rangements, pr.ocedure on overdue books and details of inter library loan service, An inter library loan relationshi was establlshed with North western Michigan College in March, 195i. and we consider this a real accomplishment in furthering our goal of enhancing library facllitles for our gntlre Staff . There were 30 inter library loans completed through the University of Michigan Library. year rgSy five Professional journals were ordered for the calendar There were 3tro boolts ordered during the year ln all major areas. Approxlmatedy two thlrds of these wre on speclflc r'equest as texts or references in the on going Psychlatrlc Resideney Training Program, the Nursing Education Progr'am, and other ln service educational pro9 rams , New shelving was arranged for and installed in the Staff Library and at this time plans for more shelving in both the library and the annex are being made. A system of baotr classif ication has been devel oped and approved which complements the Dewey Decimal System now ln use This classification ls based on color ceding of majort areas with books Shelved alphabetically ln sub headings of the major area. BBEAII.9ngLTHERApy The Recreation Depar tment continues to operate with four employees Mrs. Donna Egeler, Attend?nt Mrs, Mfargaret Schwable, Recreation Instructor Mr, Dorrald Faust, Musical Instrtictor, and your Recreation Director, Mr. Wllllam SLrahan. Page 31 Traverse City Annual Report 195? 1958 Catholic and Protestant Servlces are held regularly each weelt, with Chrlstan Science Services held every other week With the donation of the 35 zrmi projectops, we are able to have movies ln the Audltorlun. Everything is ln good working order and the Audltorlun hag been repainted and the stage remadeled Sixteen mzn movies have been shown on the various wards during the winter months. Besides the 35 rm projector.si Butter fleld Theaters have donated some stage dr'apes for our stage. We have ballroom dancing eve Audltorlum and outslde ln the par have had square danlng and lea t. I 1day evening in the General i dur1ng the hot weather. We the advancedI groups T3. I ,'r every other Wednesday evenlns. We„ONe],ing3e k iaanesJ mixed gyin, amateur nights, recreation fn the Auditorium for both men and women. The Fourth of July was celebrated with a field day at the ball field and a dance ln the evening. During Christmas there ls a Chrlsinas program and our Choircarpl on the vards. as well as outsld groups come up and sng on the various "rds. Our Chrlstmas program mas held ln the Audltorlun and twenty sl patients took an ctlv part. Also twenty six patients toolt an active part ln the Minstrel Show this Past year. Every patient who ls able and well ls tatren to the picnic grounds for a day at the beach. The lunch 1S furnished ty the Dietary Bepart ment. At this time patients are allomed to go swirmlng with the exceptien of our new patients from Recelvlng Hcrspital. We feel that we de not knew these patients well enough yet and maybe in the future we can have a boat for emergencies and then we may be able to tatre more chances with these patlents. The beach has been bulldozed out and this enables our patients to do more madlng than befoe. A telephone has been installed at the Picnic Gr'ounds which may be very useful. We now have ten picnic tables ther'e which are le for our needs. wi th Sat n sgrgaie gfrgWhaSwefiged try the Detary Department for all occasions wheft requested. A number of our "1e and fermle patients were taken down to the High School to attend Travelogues. During National Popcorn Week enough popcorn was popped for all the patients attending the dancing party and some for the working cottages. The pianos were ttined thr'oughout the hospital. No new pianos were purchased this past year. The Auxiliary of the V.F.W. has donated records and nusic for our patlentst entertalrment also cigarettes, a portable comblnatSon electric and battery radio, a transcription player and mike,and favors for New Years parties. Page 32 rf Tr.averse City Annuat neport 1957 1998 We have had two other. donations of records and two pianos, which were placed on the wards. We have purchased one 60 passenger bus, three portable victr 1as which were placed on the wards, one floor scrubber and polisher to be used ln the General Auditorium, and two por'table floor fans to be used in the General Auditorium. The following outside entertainments have been available for our patients this past year Bill Plckens and Don Day donated their time for calling square dances, The Great Lakes Navy Band gave Our patients a morning lawn concer't. The Majorettes from Ohio gave our patients a drill demonstration. The Asbury Methodist Church Choir gave our patients a concert. The V.F.W. Auxiliary have given our veterans a party each month. The Muslcale from Cadillac, Michigan gave our patients an hour long concert Free Conservation films were shown on the wards. Mr. Zlrmnerman brought up Some film he took in Africa and showed them to the patients one afternoon and evening ln the Auditorium. Mlchlgan State University of East Lansing gave our patients a concert. There have been numerous parties on the various wards given by outside groups which are enjoyed ver'y much. Central Lake FIT.A. prgsented our patients with a Stage play. The patientsl library, which is located in the Old Chapel, is gpen fr'om one otclock until two thirty Monday through Friday. There have been numerous donaLione of books and magazines, also ptozales. The old stretcher room in Re elvng Hospital was converted into a Magazine Room. From here the magagings are placed on the wards, via the Post Off lee. There are 418 copies of the patients monthly magazine, the Obsrver, printed each month. OCCUEATIORAL "ERAPY During this period our. department continued to function in our ustial manner. For the Cherry Festival, we help to decorate a float. In August for the Fair, we xhlbited and displayed many of the patlentsl cr'afts. In October, the patients made many costurnes for the Halloween dance. During the Holiday Season we made many Christmas wreaths for the gntir.e lnstitutlon. We $1sa made many decor'ations and ornaments. Besides we planned, designed, cut out and painted the majority tf outdoor scenes. During Mental Health Week we not only helped the patients with materials for projects, but got them started on crafts for the display. We also arranged a very large display of crafts at Receiving Hospital we helped with the doi^m, town exhibit kept open house for. an evening arid Saturday after'noon. Page 33 Traverse City Annual Report 1957 1958 In the fall the Director of the Department attended the "atlonal a Conventlon ln Cleveland. Total number of paLlents enr.011d for the year wJrverage nunber of patfentsnrolld per monShAverage number of wtimennrolld per motith Average mimbep of men enro11d per month w Average daily attendance In comparlsarn to our last statStlcal report, our resultg for the E st year look very favBrable Cur patient enro1lmerlt has Increased by a people thus our daily attendance has also ncrasd. EgrEp.sEELi.GEi The total rmmber of meals Served to patients and exployees during the fiscal year was 3,302,527 56,8tr6 of which were meals served at the Employee Cafeteria. The average number of meals served monthly at the hospl.tat rag 275,all. of whT gsi8i SoP,v i5p1 eyrS.3978 for purchased food. Special diets totaled 93,636 for the twelve month period with an average of 7,803 each month This tras an average increase of 399 trays per month. The most Common varlations from the no[mal diet were high protein,high calorie, restricted calorie, restricted Salt, llquld, medical and mechanical soft, low fatS ttlcer, bland, low residue and diabetic. Plcnlc luinhes were prepared aftd serLt tai the pf cnlc grounds during the summer for each iArard and Cottage i,n the h spital Thar were also several plcnlcs prepared for wokng groups who were nat able to go with thatr ward Qr cottage group. The worte on the ln Srvcg Tranng manual far Food Set.vice Employees has been finlshgd. It has been typed for proof reading and will then be pr'esented t the cofwhlttee when we ape able to have a meeting for approval and will then be printed for. use in the State Hospitals. Our dairy herd was Sold in December and We began pur.chasing milk ln two quar't containers on December 11. It haspbved to be a very Satisfactory and Sanitary way to handle ourt mlltr 1he kitchen at Cottage 38 was closed on D?ceinber 20 because of the decrease ln farm per'sonnel due to the Selling of the dairy herd Previously, the employ es and patients working ln the barns and on the farm had been fed at CottaLge 38 Page 3 Traverse City Annual Report 1957 1958 In the fall the Brector of the Department attended the National a.T. Convention in Cleveland. Total nounber of patlents enr.011gd for the year ffverage number of pat nts enr01ld per mc,nthAverage number of women enrolled per month Aver'age nunbef of men enrtilled per month Average da ly attendance IA In comparisqrrL to our last statlstlcal report, otir results for the year look very favgr'able tiuf patient enrollment has Increased by 0 people thus Our dally attendan has also irLcreasd. 'E st F99a.SEftyICFii The total number of fnals Served to patierLts and employees durlng the fiscal year was 3,302,527, 56,8tr6 of which werg meals served at the Employee Cafeteria The average qLudeer of meals served monthly at the hospl.tal rag 275i2ll. The per capita feeding cast per day Was.536 for the yeart S.078 of which wras surplusommodity foeds,leaving n expenditure of S.usa for purchased food. Special diets totaled 93.636 for the twelve month period with an adyerage of 7,803 each month. This ms an average increase of 399 trays per month. The most Common variations fr'oth the normal diet were high proteinhlgh calor1e, restricted calorie, restricted salt, 1lquld, medical and mechanical soft, low fat, tilcer, bland, low residue and diabetic. Plcnlc lunches were prepared afid serit ta. the picnLe greunds during the strmer for each ward and cottage irL the h spital There were also several plcnlcs prapard for woklrLg groxps who were act able to go with thatr ihrard art co tags group. ^ The worte on the ln Sgrvlc Training nthnual for Food Service Employees has been finlshgd. It has been typed far proof reading and will then be pfesentgd to the co"ittee when we are able to have a meeting for approval and will then be printed for use in the State HOspltals. Our dalry hertd was Sold in December and We began purchas1ng milk ln two quar.t coatainers on December 11. It has proved to be a very satisfactory and sanitary way to handle our mllk 1.he kitchen at CQttagB 38 was closed on Dceiner ae because of the decrease ln farm personnel due to the Selling of the dairy herd Previously, the employees and patients working in the barns and on the farm had been fed at Cottage 38 Page 3tr ij fSS, SS rat Traverse City Annual Heport 1957 1958 The Employeeafetrla waslosfti on enay 30 of ths f lsal year and employee ffeditlg was transferred t'p Building 41 kiLhen This change caused the dmotion of Sevn of our employees and the lay Off of four others. , (A I Two new toaters were installed and put into use at Waments Dining fioom during the year so the eight hundred patients who come to the dining room to gal can flow have toast for bt eakfast ift the morningqm Several other pees 8f equipment have been rved dur'ng the year. Among these imas an eletrl Sll8r tS replace hand slicing of meat, etc„ at Wtmen.s Blnng Roomo Wa have also received a potato peeler, two three compartment Sinks, two Coffee urns, One automatic dlshwasher that have not been lnstaled bcaus of shartage of labor. our CL INIC SERVICE roTIAL PATIENT cONTACTs New cases Increase ove r Percent of ife Increase 1665 per 25. 2i 532 93 17.tr8 1133 328 as. 95 All other cases Transfers InI. . IReJOpen Transfer InReulopened Return.in. Paroled Hospital PatientsI n Pa t i en ts,. I.I A .I .Interview o7n C1,osd Cas S Advlc Wi thout AceptaLnceNot accepted P3tlents who withdrew prler niii iiiE TOTAL COLLATERAL CQNTACTS Parents301 Spouse. 162 Other I A262 Page 35 58 725 rfe Traverse City Annual Report 1957 1958 mTIENTS TESTD tpsYCHBLCRElcALL 390 Psychological tests administered h 3'58 9 16.98 8 2 BEG.S adminStered our Lylme cOMfithENlfty cL iNlcs12 day C1 Alpena1o 3 day1 i Cad 1 I i ac . onml[ I , . 4.A 1 Manlstee. nwilH 1 Ludington.in. 1 ic i y Gllnic Atlanta i day fl ihic FEES COLLECTED 1 a ig 83aig ga ttSfeinaaagEgingkethf has been collected ftr E therapy ntrurs. ELREEFRTTgrEpe nur8gv feAg gTngeirda 1 aS the leaders and instructors, Fire drills are herd rggulariy ong a week for morning personnel and once a month for night fthprtyes. Drillsonelst of tuT'rilng ri the fire alarm, responding ta the laeaLtlor with the fire fighting equipment, tahlng changed lines into the butldng and eauatlon of We have been able ta eompleLely evacuate gasInfr3 itbif8ih8 h minutes, bet t rmst be r'emembergd that the patients ar'e up and fully dressed if we were to have to evacuate a bulldlng during a f ire at night when the patients are asleep and ln bed, it would take considerably longer. There were f lf teem incipient f ares during the period covered by thls report Seven of these small fires can be attributed to carelessness of patients and enployses ln the dlspesal of cigar'ette butt$3 they were all quicfty extinguished and caused oftly minor damage, Such as Smoke. These fires occured in ventilating shafts, waste basItets and behind r'adiators Five were grass f irs, one f irte spread from our dump grounds and burned over about one acre of grass. One grass f ire VIs ln a large rleld near the creek bank and it is thought lt was star.ted accldently by a fisherman. Three of these fires were in the woods, caused by someone]s carelessness ln the disposal af cigarette bu ts. Three of the above mentioned incipient flres were electrical, caused by short circuits. Two of these fires cost less than $5.00 Page Traverse City Annual Report 195? 1958 to repair damage The third involved a light fixture transformer, damage to Ceiling tile removed to get at paper covering that was gLngtr?8o?he lnsulatlon batts this complete cost of repa r ng ursisssitt n c°st sgnagenrelved One employee attndd the Flr Inspector Conference at East Lansing, 1n September 1957. One enploye attended the Fire CBntrol Semln r at University of Mlchlgan ln November, 195?. Four. suesEesgi srnfie]svtai We have recharged and inspected the below llsfed fquipments 187 Soda Acid f ire etlnguishersE3riiii irs Inspected and flushed 47 fire trydrants and 19 0 feet of 2 inch rubber lined fire hose testgd with water pressur. At this time we are again requesting thestabllshmeftt of a Safety Department of at least ten men. This would enable tis to carry out an effective educational f ire prevention program. Also, we would have properly trained personnel, capable Sf supervlslng and handling the equipment we neni^r have The f ire equipment ls inspected and serviced by personnel fromthe nurslng servlce as time will permit. Eighteen attendant nurses are urgently needed on the night shif i so We can have 24 hour coverage on all urLits housing patlents At the present time some units hous1ng 75 to 100 patients do not have fulltime coverage. The outside door.s are locked. The only supervision ls hourly rounds made by attendants from other mards, at least a block away,leaving their ward unsupervised while they are away during the night The tal has two old fire trucks, one a 1929 Reo pumprS 1tion, capacl i a gal. per minute. This truck ls in fairly good cond r1t 1s e'qu i'ppea with a 35 foot extension ladder and 700 feet of 2 rubber lima a fire hose, This pumper 1s used to provide emergency Tr'aversei ty Annual R8pSft 1957 19 rubber lined fir? h seS and 5$0 feet of 1 i,nch fog lines. The truck 1s iArorn out. It dyas statond at the Travers City Fire BepartmerLt for several years. "ey used t on all runs both in the city and county. We do not feel ittwould be dependabi in Case Df fire, so we are requesting a new loco gal pumper as a replacement. We are also requesting three portable walkie taltrigs radio so we can communicate With the local city firLe department while they are respondlng to a fire alarm here at the hospital, suH as glvlng them dlrectlons of approach and placement ofqufpment. Suggestions have been made to improve our alarm System by installing signal bells ln ras where employes are unable to hea.r h fire whlstle. This Ls necessary to get valunteers at pres6rLt they do not hear the flrg whlstl abev the ward art television programs. such as rado EuslREss EXEcuTlveis REpORT3 We completBd our oper'atloas for the year with a per capt3 Eost of $4.477. This IS apprtxlmat1y .3 rf per caLpita greater theft the previous year and is due primarily to Steadily lncrte sd casts. We had under drafts of3,800.00 fi Our Perstfial Service Account, S$2,gas,OO ln Food Account, $19,320.00 ir the Fgl Account, wh h mag due prlmarlly to the mf ld winter weath wg xprien ed this year, and Str83.OO in our other Supplies and Mater'als Account. Bus to the curtailing of equlpmnt purchases because of the States financial condltlon, we had a balance of $5,93200 in this account, Sio53?8otahige3uI8wasPgrgotuogaoEti Department of Mental Health fund. In the area of capital outlay, due to the Statefsf inancial condition, there were no new buildings or projects started during this fiscal year. This year saw the hospital make one of the biggest changes ln its hlstory, that of doing away with the dairy herd and beginning a pr'ogram of pur'chas1ng milk. The herd dfspersa sale was held December llth and lath and 200head of cattle wer.g auctloned off for a total of $5h$992.OO. With the elimination of this function, 1t was possible to reduce tiur farm personnel by nine positlons which will be used to nurse patients rather than cows. By making this change the hospital has reduced its miltr cost by approximately a per pound on ever.y pound used, this being the difference between what lt cost the hospital to produce and the cost to purLchase. If our preserLt planning goes along as scheduled, we will be out of the piggery and orchard business sometlm in the next f lscal year Page 31 raverse City Annual Report 195? 1958 resulting ln further savings. Doing away with the piggery operation hinges on whether garbase dlsposals and lncinerators ln various locatlons can be installed in time to eliminate Lhis functlGn. Our present planning calls for a small department to he kifeown as GrSunds and Gardens to be formed, made up of one of the former farm pfrs It will be the duty of this departrent to handle the Care of our ShrubberyS snow remtival, roads and Our garden opertation, The usual detailed Statements pfpratlng costs and f inancial condition accompany this report Page 39traberse City Report for Fiscal Year 195? 1958 Page to t traverse city Anrmal Repert 1957 1958 Operating of the Institution mstribution of each donar spent for operating Fiscal Tear 1957 1958 Page 41 , '"1 Lr fi iTE , travorse City Anr"1 Repert 1957 1958 Operating of the Institution mstrlbution of each donar spent for operating Fiscal rear 1957 1958 Page 41 F D Traverse City Report for Fiscal Year 1957 1958 Operating Statement Salaries Wages Food Fhel Clothing Clothing neaterial Other Supplies Contractual Service Other Operating Expense Total Gross Amount Per capita 3,826,585.09 49229.30 139,169.60 3.561 ody58 '130 0?8 83,386.Oo 256,396.32 106'71?o20 238 '099 32.g28o55 Cr. 4,871.954.96 Fan Produce 4tr534 lo1.383.13 Cr. Net Operating Expense 4.?70.571.83 Q8 Cr. 4ftyo Patient Days Average a.944.1 paLtieut population "Cr. 1,074'602 Farm Production "ansferred to Stores Amount Per Capifa Other Supplies fi .i)tJiJ .it3 Q.S3.9 .063 .010 II I Total 78,124.71 .eyR3 Food Meals served to patients 3,229i507 Heals ser.ved to enpleyees 68,5rfu Page 42 1 traverse City Report for Fiscal Year 1957 1958 Surplus Foods Beans fetter Bun Butter Print Corrmeal Cheese Brick Cheese Natnral ELour 21,200 I bs 39,000 I bs. 1,66ky IJbs. 17,500 IJbs. 10,926 Ifos. 30i722 Lbs. 390.30o I bs. Amount Per Capita 2'120'00 26'910,00 1$148.16 00 0020 o0250 00n . 0010 tooth 13,210.46 o0123 lour VAeat Rice Total Page 43 .0063 h,i [prH tr ? t )t q ti t EIRE r tramerse Citgr Reperd for Fiscal Year 1957T1958 F ro IIEl tsg OuO Page th I i L RE i I 4i.LT ill TL iFrttilt LJLi L r I.tTLd,I .T 1 OBEE Traverse City Annual Report 1957 1958 ACENOWLEDGERENTS We wish to expr'ess our appreciation to the Department of Mental Health for thelr cooperatlon and helpfulness in dealing with the various problems that confront this lnstltutlon at times. We also wish to thank the local citigens and the many clubs, socletles, organizations, and business organizations, who have given so freely and gener.ously of their. time and material to the activitles and programs of the patients and the hospitaLl. I also wish to express my appreciation to the employees of this institution for their fine Sense of duty ln carrying out the heary load of thelr wor.it during this year. Respectfully submitted, M. Duane Sommerness, M.D. Medical Superintendent. ves i 1w Page h5 rovIMBNT oF populATION TRAVERSE clrv STATE HcisplTAL July 191957June 30S1958 roTAL ITEM FERALE .1i Patients on Books Beglnnlng of Year ln Hospital On trial visit ln family care Otherwise absent Total on Books at Beginning of Year Admlsslons During Year First Admissions Readnisslons Transfers from Other Hospitals Total Admisslons T°toncnuS AdmlssIons Separatous During Year D1scharges direct from hospital D1scharges while on trial vlslt Dlscharges from family care Discharges while otherwlse absent Transfers to other Hospitals Deaths ln Hospital Deaths on Trial V1slt Deaths ln Family Care Deaths while other.'wise absent Total Separatlons Patients on Books all End of Year ln HOspital On trial vlslt ln family care Otherwise absent Total on Books at End of Year Stin of Total Separatlons plus Total on Books at End of year should equal Admlsslous plus Total on Books at Beglnnlng of Year Average daily resident patient population during year 29LLL 5163 2530 2633 Rated Capac158f HOsPltaLPage tr6 I 3r I , E i IH g i a, I a,FT REE iRE rt f fj 11 i I, i't I i g. S, ERE ti TRAVERSE CITY STATE rosplTAL RALE FIRST ADvllssIONS BYAGE ARE MENTAL DISORDER (I, Juy ltl957June 30$1958 USNTAL DISORDERS Tot Acute Brain Syndromes SSOC Alcohol Intoxlcatlon Total Acute Brain Chronic Brain Menlngoencephalitlc 2 Syphl 11sAlcohol Intoxication Blr.th Tr'auma 2ha 1 Cerebral ArterlosclerOs s Other Clrculator.y Dlsturbance Convulsive Dlsorder Senile brain disease Other dist. of metabollsm,gr.owth and nu t r 1 i 1on lntracranial neoplasm Dls. of unk. and uncertain cause Chr.onic brain syndrome of unk. cause Total Chronic Brain 51 22 5 11 3 26 30 4 i 22 1 4 31 112 E 129 I 1 5 6 19 13 30 th 10 Ps.ychotic Disor.ders lnvolutional psychotlc reactlorL 2 Manic depressive react. 5 Psychotlc depr'essive I.eac tl on 9 Schigophrenic react. 37 Paranoid r.eactions 2 rota I 11 32 121131 i 13 12 tr 6 I 11 chotic 55 i 13 13 6 Psychophyslologic Autonomic visceral disorders 1 Psychoneurotlc Reactlonsl I 12 5 3 2 1 15 Page il7 2 2 Ageunk.) I '. M ? A E.1 ch lr 'er'4'. ," new gil ftyFTiferobit ai.eeiribe ? . tr t 1, TRAVERSE CITY STATE HOSPITAL RALE FIRST ADMISSIONS BY AGE ARE FffiNTAL DISORDER July I,1957June 30,1958 RENTAL D ISORDERS Tot. Under. 15 25 35 15 to to to fl EL Personality Disord?rs Personality disturtbance pattertn Personality trait 12 d istu rba nee Antisocial r'eaction Dyssocial reaction Sexual devlatlon Alcoholism Drug addiction ELfgseirty Tr'anslent Sltuational Personality Distur'bance ha lil Mental Deficiency 8 tr 1 I 1 26 36 26 Ii GRAND TOTAL 2h6 4 i9 3tr (Age Unit 1) Page L8 tr6 io i TRAVERSE CITY STATE HOSPITAL FERALE FIRST ADMISSIous BY AGE AND NENTAL DISOREER July ltl957June 30,1958 usNTnL D ISORDERS Tot. Under 15 15 to 25 to 35 to ff fl fi EL Acute Brainsndromes Assoc Drug or poison 1 ntox 1 ca i 1 on Convulsive dlsorder All other conditions 3 12 1 1 21 TPL5 ?Tflm 6113 Chronic Brain S.yndr.omes Asso1ted W 1th.I I II.i i i. Diseases and condltlons due tD prenatal lnf. Other lntr.aLcranial lnfectlons Alcohol intoxlcatlon Birth trauma Other trauma Cerebral arterldsclerosis 2 1 1 3 1 9 Age unknown 1 3? Other clrculator3r d I a turba nee 8 1 Convulsive dlsorder 2 11 Senile brain disease Other. distb. of meta 3 11 20 8 26 30 16 bo 1 1 sin, growth , a nd nu t I, i t i a n 3 Diseases of unknown and uncertain cause 311 Chronic brain syndrome of unknown cause lil Total Chrtonic Brain s jEiaiafiEi 3 101 I 5 3 16 Age unitnown 1) sg[choticDisorders T Involutional psychotlc r.eac tl on Manic depressive 5 reaction Pa.ge h9 tr I 1 nRAVERSE clTy STATE HOsplTAL FEfiIALE FIRST ADMISSIONS By AGE Arm ueNTAL DlsoRDER July 1,1957June 30]1958 MENTth DISORDERS Tot. Under 15 15 to 25 to 35 to h5 to Years 3k 3k th Psychotlc depresslve reaction 11 Schizophrenic reactions Paranoid reactlons Total Psychot1c BLt 65 6 tr 17 7 15 18 13 9 Psychophyslologic AutBnomic and I visceral dlsorders Psychoneurotic Reacts. 30 2 5 I 3 10 h Personatitgr D1sorders Personality pattern disto Personality trait dist, Antlsoclal reaction ftyssocial reaction J2 i 23tr I Alcoholism 11 11 Drug addiction Total Personallt soraers 8?5T Transient Sltuational Personality dlstb. 32 Mental Deficiency 221 GRARE TOTAL 2h3 126 Page 50 32e kn3n 3] 6 TRAveRsf clTy sTAma H splTAL RALE REAnMlssloNs 8 AGE ARE RENTAL DISORDER July 1,1957June JO,1958 RENTAL DISOREEHS I Chronic Brain 5ndramgs jT5BoclaeLdLLHife Alcohol intoicasion Other tr.auna (Age unkt.I) L 2 1 Cerebral ar'terloScler osls Other clrculatc]ry d istu rba nc e lh 10 1 a Senile brain dise'as Other disturbance of metabolism, growth, and nutr.1tlon Dls. of unknown and (Age uut'1) i 2 uncertain cause 11 Chronic brain syrLdrrme of unknown cause Total Chronic Brain 2 23 I 817$31 AgB uJrfu.2 Psvchotlc DlsordSts InvolutiorLal paychcti reaction 3 12 6 tr2 Manlcndepressive reaction Psychotlc depresslve reaction Schl2ophrenic r.eact Paranoid reactions alps chotic isorders 2 hag 11 1 3 12 19 3Personality trait d 1stu rba nc e Sexual deviation Alcoholism Total Pers.Disor'ders I Tr'a ns .s1 t. Pe r.s . D i GRAND TOTAL 97 I LAge6un2)25 Page 51 2TRAueRSE clTy STATE HOspl"L FERALE RRADMISS IONS BY AGE AND PvffNTAL DISOREER July i, 1957June 30t 195S USNTEL DISORERS Tot. Under 15 25 35 h5 15 to to LD to I i. Years. I fl ife EL fl Chronic Brain Syndromes ESS9iatieavypi Meningoencephalltic syphi 1 i a Cerebral ar'terlosclerosls Convulsive disorder Senile brain disease Chr'onic brain syndrome of unltnown cause sii ap 1 r4 10 21 9 1tr1 1 1 22 31 22581 Ps.vchotlc Disorderss Involutlonal psychotlc reaction 38 11 Manic depressve reaction Psychotic depressive reactlon Schlzophrenlc react. Par.anoid reactions Total Ps chotic 8 122 69 1tr 9 19 22 1 92 Psychoneurotic Reacts. all 3 i 1tr tr 1 9 18 22 22 37 21 161 Eersonatity D1sorde a Pers. pattern distb. Pers trait distb. Dyssocial reaction 2 312 21 Alcoholism Dr.ug addiction Total PerLs.Disorde 1 525 Transient Situational Personal ity Disturbance Mental Def lciency GRARE TanAL 12 11 151 15 Page 52 31 38 26 22 10 TRAveRSE clTy sTA" HesplTAL VALEREslDEnlT FHTIE"rs 8 Ace AT Era OF yEAR ARE RERTnL DISoRBER usN"L DlsaRERs Acute Bra Tot. ndromes Alcohol intoxication Convulsive disorder 3 h a All other condtlons To tal Acute Brain 9 Chr.onlc Braln SyndrQme AisLsEig wng Pis. and Conds. due to prenatal Imf luence Meni ngoencepha 1 1 tic syphilis Other CNS syphilis Epldemlc encephalit Other lntr'acranial 1nfectlons 5 oIkoxication h3 Other trauma 8 Cerebral arterlos o162 sis Other circulatory d 1 a turbance Convulsive disortdeF Senile brain disease Other dlstb.of metabolism,growth,and nutri i 11 tion 2 lntracranial neoplasm Disj. of unk. and uncer1h tain cause 5 tr 1 1 5h22 Chronlc br.aln syndrome of unk. cause 8 11211 Total Chronic Brain tr$3 1 5 11 36 Psyghotic D1sorders Involutlonal Psychtti Reaction Manic depresslve 32 reaction 5 Page 53TRAusRSE CITY STATE HOSPITAL RALE RESIDENT PATIENTS By AGE AT ERE OF yEAR ARE iusNTAL nlsoRDER usnlTAL DISoREERs Psychotlc depressive reaction Schlzophr.enic reactlons Paranold r'eactions Other Total Fs chotic orders psychDptrysioi09ic autonomlc and visceral disorders 1221 739 2 itr 65 itro 2Oi 161 120 32 Ageunknown33 8 16 28 2 853 5 9 2 2 Ag un f 19S 165 tr? 2 tr 1 1 Psychoneurotic Rcactionsll 11252 PersonalitH Disorders Per.sonality pattern d i a turbance Personality trait 121 2.I d 1stu rba nc a Antisocial reaction Dyssocial reaction 5222 Alcoholism Drug addlctlon Special symptom 61 3 Ageund.I reaction Total Personallt 1sord ers ? Transient Situatlonal Personality Disturbance 5 12 h 3 6 17 5 3 3e 3kn3g? 327 308 168 2 21 6 13 23 30 Age unknown i) Mental Def icerL y GRARE TOTAL 5 Age unknown 1 153 L Page 5L 2Q rty i C I ap Ji 4 a H TRAvaRSE CITY STATE HosPITIAL FERALEREslDENT pATIENrs 8 AGE AT Era oF YEAR ARE avENTAL DlsoRDER ueNTAL BIsOREERs a.E1Ein ,rones Alcohol intoxication All other conditions To tal Acute a rain anaromes Menlngoencephalitic i syph111s Other C"S syphilis Epldemlc encephalltls Other intr.acranial lnfectlons Alcohol intoxication Birth trauma Other tratma Cer.ebral ar.ter.ioscler.osls Other clr.culatorLy dlsturbarice Convulsive disorder tr 11 9 23 I 1 11 L12 2 21 12 12 93 a 31 31 39 11 21131 3 5 I .I 6 2 5 27 Age unknoun 1 Senile brain disease Other disturbance of 107 metabolism, growth, and nutritlon lntracranial neQplasm 16 r1 ? I 1 Dls of unknown and uncertain cause 59 187323 r Chronic brain syndrome of unknown cause Total Chronic Brain 4 337 13 6 i2 22 36 tr5 79 lop 29 8 18 21 10 I 3 2i 32 itr 2Age unknown 1 Psychotic Dlsorders Involutlonal psychotlc reaction Manic depressive reaction Psychotlc depressive reaction 2 3 1311 PaLge 55 i, L i i fi f it i I TRAveRSE clTy STATE HOsplTAL FERALERESIDENT PATIENTS By AGE AT Era OF yEAR ARE USNTAL DlsoREER usNTnL DISOREERS Schlzophrenic ii reactions 68 i26 159 i5T i3tr 51 Age unknown 3 10 I,I 12 12375 Paranoid reactions Otherl Total Ps chotic 1sorders 11 212206 70130 9315 Age unknown Psychcphyslologic Autonomic and 23 Visceral Disorders Psychoneurotlc reactions 28 2 1 6 tr tr 3 1 io 2 3 Personal lty patter.n d Isturba nee Personality tr'ait a istu rba nce Antisocial reaction Dyssocial reaction 22 12 lil Alcchollsm Total Personalit 3 Transient Situatlonal Personallty Distb. 1 I Mental Deficiency 122 tr wlTHciuT maNTAL DISoRDER GRADE TOTAL Page 56 th