]> <emph>Biennial Report of the State Hospital at Goldsboro: Goldsboro, N.C., July 1, 1924, to June 30, 1926:</emph> Electronic Edition. State Hospital (Goldsboro, N.C.) Funding from the Institute for Museum and Library Services supported the electronic publication of this title. Text transcribed by Apex Data Services, Inc. Images scanned by Tammy Evans Text encoded by Apex Data Services, Inc. and Melissa Meeks First edition, 2002 ca. 110K Academic Affairs Library, UNC-CH University of North Carolina at Chapel Hill, 2002.

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 Biennial Report of the State Hospital at Goldsboro: Goldsboro, N.C., July 1, 1924, to June 30, 1926 State Hospital (Goldsboro, N.C.) 32 p. Raleigh Bynum Printing Company 1926 Call number C362.2 N87sg 1926-1942 (North Carolina Collection, University of North Carolina at Chapel Hill)

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 Library of Congress Subject Headings English State Hospital (Goldsboro, N.C.) Psychiatric hospitals -- North Carolina -- Goldsboro. State hospitals -- North Carolina -- Goldsboro. Mentally ill -- Care -- North Carolina -- Goldsboro. State Hospital (Goldsboro, N.C.) -- Finance. African Americans -- Mental health -- North Carolina -- Goldsboro. African Americans -- Institutional care -- North Carolina -- Goldsboro. Menatlly ill offenders -- Care -- North Carolina -- Goldsboro. 2003-03-12, Celine Noel and Wanda Gunther revised TEIHeader and created catalog record for the electronic edition. 2002-11-15, Melissa Meeks finished TEI-conformant encoding and final proofing. 2002-04-24, Don Chalfant finished TEI/SGML encoding 2002-01-01, Apex Data Services, Inc. finished transcribing the text.

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 BIENNIAL REPORT OF THE STATE HOSPITAL AT GOLDSBORO GOLDSBORO, N. C. JULY 1, 1924, TO JUNE 30, 1926 RALEIGH BYNUM PRINTING COMPANY STATE PRINTERS 1926

BOARD OF DIRECTORS NATHAN O'BERRY, President. . . . .Wayne CountyTerm expires April 1, 1929 DR. J. E. HART. . . . .Anson CountyTerm expires April 1, 1929 DR. R. C. BEAMAN (deceased). . . . .Edgecombe CountyTerm expires April 1, 1929 DR. JOHN D. ROBINSON. . . . .Duplin CountyTerm expires April 1, 1929 E. W. TIMBERLAKE. . . . .Wake CountyTerm expires April 1, 1929 W. P. ANDERSON. . . . .Wilson CountyTerm expires April 1, 1929 C. P. AYCOCK. . . . .Beaufort CountyTerm expires September 23, 1929. L. M. BLUE. . . . .Scotland CountyTerm expires September 23, 1929. R. T. WADE. . . . .Carteret CountyTerm expires September 23, 1929.

EXECUTIVE COMMITTEE NATHAN O'BERRY, Chairman C. P. AYCOCK L. M. BLUE

OFFICERS W. W. FAISON, M.D. . . . . .Superintendent W. C. LINVILLE, M.D. . . . . .First Assistant Physician G. B. MORRIS, M.D. . . . . .Second Assistant Physician F. L. WHELPLEY . . . . . .Clinical Director H. B. BOWDEN, D.D.S. . . . . .Dentist B. R. LACY . . . . .Treasurer Ex Officio F. B. MCKINNE. . . . .Steward MISS SALLIE WOOD. . . . .Steward's Clerk D. R. HOLT. . . . .Engineer MISS LUNA P. BRIDGERS. . . . . Housekeeper J. M. RAGAN. . . . .Storekeeper MRS. LIZZIE MEARES. . . . .Seamstress D. H. NEWELL. . . . .Farmer

LETTER OF TRANSMITTAL OCTOBER 20, 1926. HON. A. W. MCLEAN, Governor, Raleigh, N. C.

DEAR SIR:—I transmit you herewith report of Dr. W. W. Faison, Superintendent, State Hospital, near Goldsboro. I think after reading this report in connection with the State Auditor's for period ending June 30th, 1926, you will be convinced that Dr. Faison is running this institution not only on humane lines and efficiently but economically.

According to the Auditor's report, it has cost 47c. per day per capita to maintain the inmates of this institution. This cost also applies to sixty-five of the criminal insane that are located at this institution. These men and women of course do not work. This institution has to furnish heat, lights, food and clothes, and special guards for these criminal insane, and as they cannot go outside of the building they produce nothing, and this makes an additional expense for maintenance. But for this expense his cost per capita would come down to about 44c. Dr. Faison, as Superintendent of this institution, is running same as far as economy is concerned just as cheaply as possible.

If we are to get this cost down below where it is now we have got to produce more. Last year where we killed about 30,000 pounds of pork, this year we expect to kill 60,000 pounds. We also expect to increase our herd of cattle so as to increase our milk supply. If this institution is to reduce this cost per capita we must grow more vegetables and more food stuff and produce more butter fat and meat. To that end we must have additional land. This institution has approximately 700 acres of land. Probably 20% of this land is in the river swamps and a good part of it in highland woods. From the latter place the institution gets wood and straw. This part of the land, even if it was cleared, would not be suitable for farm purposes, so it is absolutely necessary that the State purchase more farm land on which to grow more farm products and vegetables. To this end we are going to ask the Legislature to appropriate $10,000.00 to purchase 180 acres of land adjoining our present farm, and I am asking that you use your influence to have this appropriation made, because it is absolutely essential to have this land. We now have about 1,500 inmates in the institution. A good percentage of these can work out on the farm and we must have the land for them to work on so that they can produce at least a part of what they consume. I believe when we have purchased this additional tract of land and are able to work more of the inmates on other lines, possibly the making of mattresses and other things, we will be able to get the cost per capita of this institution down very materially from where it is today.

It is the idea of Dr. Faison, Superintendent, and his Board of Directors to classify the inmates of this institution, make all of them that can possibly do so do some character of work whereby they can produce a certain portion of what they consume. To this end we have erected two Colony Buildings that will care for about 100 patients. These buildings are located about the center of the farm where the inmates work. These buildings cost approximately $15,000.00 or a cost of about $150.00 per capita. The former buildings that were erected near the main buildings cost about $750.00 per capita. No more of these expensive buildings should ever be erected.

As chairman of this board, it gives me great pleasure to say that we have a corps of efficient men at this institution, all working to one end, to give the best service possible at the least cost.

Respectfully submitted, NATHAN O'BERRY, Chairman Board of Directors. SUPERINTENDENT'S REPORT GOLDSBORO, N. C., JULY, 1926. To the Board of Directors, State Hospital at Goldsboro, Goldsboro, N. C.

GENTLEMEN:—As required by law I herewith submit the Superintendent's report for the period of two years, ending June 30, 1926:

Movement of Population   Males Females Total Remaining June 30, 1924 480 743 1223 Admitted 456 444 900 Total under treatment 936 1187 2123 Discharged, as recovered 103 99 202 Discharged, as improved 39 45 84 Discharged, much improved 1 3 4 Discharged, as unimproved 17 1 8 Discharged, as eloped 15 0 15 Discharged, as removed 14 1 15 Died 135 165 300 Total removed 324 314 638 Number on roll, June 30, 1926 612 873 1485 Number present, June 30, 1926 604 854 1458 Percentage of cures on number received     22% Percentage of deaths on number treated     8% Daily average on roll, 1924-25     1322 Daily average present, 1924-25     1278 Daily average on roll, 1925-26     1451 Daily average present, 1925-26     1403

Movement of Population of Criminal Insane   Males Females Total Admitted 73 8 81 Discharged, as recovered 5 1 6 Discharged, as removed 2 0 2 Died 11 0 11 Total removed 18 1 19

Ex-Service Men

Twelve ex-service men were transferred to Tuskegee, Alabama, a Government Hospital. We still have five in the Hospital.

 Movement of Population

The above table shows that the number of patients enrolled on June 30, 1924 was 1223, and the number remaining June 30, 1926, was 1485, an increase of 262 patients.

During the biennium 900 patients were admitted. Quite a number of these were either senile or feeble-minded, and with good care might have been kept at the County Home and thus given more room in the Hospital for acute and dangerous patients.

We had somewhat more sickness than usual. We had an epidemic of influenza, one of gastro enteritis and a number of cases of atypical smallpox. All patients are vaccinated on admission, but in some way a few proved to be unprotected.

On September 10, 1924, fifty-four criminal insane patients, forty-eight men and six women, were brought to this institution from the State Prison at Raleigh. The men were placed in a building prepared especially for them and the women in one of the strong wards for females.

I regret to have to report that during this period three male patients lost their lives by violence—two at the hands of other patients. The other patient, when advancing upon an employee with a club, received a blow, from the effects of which he died. The Coroner was notified at once and investigated each case. These occurrences are much to be deplored but they do occur in institutions of this kind.

During the biennium two hundred additional beds for patients have been provided and we now have 1530, 615 for men and 915 for women.

A detailed account of all permanent improvements will be found in the report of the Building Committee, which is attached.

The erection of a new mule and hay barn and a Colony Building for thirty male patients, at a more central part of the farm has proved very satisfactory. These are metal-covered, brick buildings, and are semi-fireproof. The Colony Building is a one-story, nicely constructed and equipped with modern conveniences. An additional building of similar construction is now being erected at the Colony to accommodate fifty more male patients who will work on the farm.

The State Insurance Commissioner has recently had all the electric light wiring at this institution inspected. The wiring in a number of the old buildings was condemned. A full report was made to the Commissioner and the Governor has been informed of the situation.

Besides the ordinary repairs being kept up the growth of the institution has required additional equipment in the Power House, the Laundry and at the Pumping Station. All of these improvements are shown in the Engineer's report.

 Recommendations

During the time covered by this report our patient population has increased 262. More room should be provided here as soon as practicable, and the erection of the following buildings is suggested for the consideration of the Board:

1. That the two old wooden buildings for tuberculous patients be taken down and replaced by fire-proof buildings, at more suitable locations. The building for men to have forty beds and the one for women sixty beds.

2. A dormitory building for women, with capacity for 150 patients.

3. A dormitory building for men, with capacity for 100 patients. Both of the above buildings to be fire-proof.

4. A one-story, two-room building in which to prepare fish and vegetables.

5. A small addition to the Laundry.

6. An apartment house for employees.

7. Two cottages for attendants.

 Farm and Dairy

The crops of 1924 were practically destroyed. The crops of 1925 were good, and the growing crops are very promising. The Farmer's Report, which is attached, gives a detailed account of the farm and dairy operations.

Needs for the Next Two Years For maintenance for 1927-28 $290,000.00 For maintenance for 1928-29 300,000.00

For Permanent Improvements Building for tubercular males 37,500.00 Furnishing for same 1,600.00 Building for tubercular females 47,500.00 Furnishing for same 2,400.00 Dormitory building for males 10,000.00 Furnishing for same 2,000.00 Dormitory building for females 25,000.00 Furnishing for same 4,000.00 Building for preparing vegetables and fish 3,000.00 Apartment house for staff 10,000.00 Two cottages for attendants 2,000.00 Addition to Laundry building 3,000.00 For rewiring old buildings 20,000.00 Dairy, barn, fixtures and silos 25,000.00 For overhead irrigation system 6,000.00 For purchase of land 10,000.00

I wish now to express my sincere thanks to the Board, the Staff and employees for their loyal support in carrying on the work here.

Respectfully submitted, W. W. FAISON, M.D. Superintendent.

Table No. 1SHOWING MOVEMENT OF PATIENTS FOR THE PERIOD OF TWO YEARS ENDING JUNE 30, 1926   1924-25 1925-26 TOTALS   Male Female Total Male Female Total Male Female Total Remaining June 30, 1924 480 743 1,223 —— —— —— —— —— —— Admitted 242 213 455 214 231 445 456 444 900 Total under treatment 722 956 1,678 792 1,064 1,856 936 1,187 2,123 Discharged, as recovered 53 38 91 50 61 111 103 99 202 Discharged, as improved 14 16 30 25 29 54 39 45 84 Discharged, much improved 0 0 0 1 3 4 1 3 4 Discharged, as unimproved 6 1 7 11 0 11 17 1 18 Discharged, as eloped 7 0 7 8 0 8 15 0 15 Discharged, as removed 7 0 7 7 1 8 14 1 15 Died 57 68 125 78 97 175 135 165 300 Total removed 144 123 267 180 191 371 324 314 638               Male Female Total Number on roll, June 30, 1926             612 873 1,485 Number present, June 30, 1926             604 854 1,458 Percentages of cures on number received                 22% Percentages of deaths on number treated                 8% Daily average on roll, 1924-25                 1,322 Daily average present, 1924-25                 1,278 Daily average on roll, 1925-26                 1,451 Daily average present, 1925-26                 1,403

SHOWING MOVEMENT OF CRIMINAL INSANE FOR TWO YEARS ENDING JUNE 30, 1926   1924-25 1925-26 TOTALS   Male Female Total Male Female Total Male Female Total Admitted Sept. 10, 1924 48 6 54             Admitted since 9 2 11 14 0 14 23 2 25 Total under treatment 57 8 65 65 8 73 71 8 79 Discharged, as recovered 1 0 1 4 1 5 5 1 6 Discharged, as removed 2 0 2 0 0 0 2 0 2 Died 5 0 5 6 0 6 11 0 11 Total removed 8 0 8 10 1 11 18 1 19

Table No. 2 SHOWING CAUSE OF DEATH   1924-25 1925-26 Total   Male Female Male Female   Exhaustion from senile dementia 3 13 13 6 35 Exhaustion from mania 5 2 2 7 16 Exhaustion from melancholia 1 0 0 0 1 Mitral regurgitation of the heart 2 9 0 2 13 Mitral insufficiency of the heart 0 2 0 2 4 Mitral stenosis 0 1 0 1 2 Myocarditis 0 0 0 1 1 Acute cardiac dilatation 0 0 0 1 1 Ruptured heart 0 0 1 0 1 Aortic aneurism 0 0 0 2 2 Cardiac asthma 1 0 0 0 1 General paralysis of the insane 12 5 26 8 51 Paresis 3 5 1 8 17 Pulmonary tuberculosis 4 15 10 19 48 Tuberculosis of the omentum 0 0 1 0 1 Chornic parenchymatous nephritis 0 1 0 1 2 Chronic interstitial nephritis 2 2 2 1 7 Pellagra 4 3 8 12 27 Lobar pneumonia 2 2 0 3 7 Epilepsy 9 1 8 8 26 Status epilepticus 0 1 2 2 5 Influenza 1 0 2 0 3 Hypostatic pneumonia 1 0 0 0 1 Media stinal abscess 0 1 0 0 1 Gastro enteritis 0 2 1 6 9 Entero colic hemorrhage 1 0 0 0 1 Inanition and scurvy 0 1 0 0 1 Cerebro spinal meningitis 0 0 1 0 1 Gumma of liver 0 0 0 1 1 Senile gangrene 0 0 0 1 1 Amœbic dysentery 0 0 0 2 2 Smallpox 0 0 0 1 1 Intestinal intussusception 0 0 0 1 1 Lymphovenus septicemia 1 0 0 0 1 Hyperthyroidism 0 1 0 0 1 Carcinoma of the breast 0 1 0 0 1 Diabetes 1 0 0 0 1 Cancer of the stomach 1 0 0 0 1 Fractured skull 3 0 0 0 3 Puerpurial sepsis 0 0 0 1 1 Total 57 68 78 97 300

Table No. 3 SHOWING PSYCHOSES OF PATIENTS ADMITTED   1924-25 1925-26 Total   Male Female Male Female   Senile Psychoses           Simple deterioration 12 19 31 12 74 Depressed and agitated 0 6 0 7 13 Pre-senile 0 3 0 0 3 Paranoid 1 0 2 0 3 Manic Depressive           Manic type 44 64 40 68 216 Depressed type 8 9 5 6 28 Mixed type 1 3 0 2 6 Dementia Prœcox           Hebephrenic type 23 19 3 7 52 Simple type 56 0 40 0 96 Paranoid type 5 5 4 6 20 Catatonic type 0 3 0 0 3 Psychosis with cerebral syphilis 14 9 5 0 28 Psychosis with syphilis 24 34 19 61 138 Psychosis with epilepsy 18 9 17 8 52 Psychosis with pellagra 4 9 7 19 39 Psychosis with tuberculosis 3 0 0 3 6 Psychosis with flu 1 1 1 1 4 Psychosis with mental deficiency 10 5 20 4 39 Psychosis with constitutional psychopathic inferiority 3 3 2 7 15 Psychosis with menopause 0 6 0 8 14 Psychosis with pregnancy 0 1 0 1 2 Psychosis with goiter 1 2 1 4 8 Psychosis with hysteria 0 0 0 1 1 Psychosis with cardio-renal disease 2 0 0 0 2 Psychosis with catamenia 0 0 0 1 1 Psychosis with arterio-schlerosis 0 1 0 0 1 Psychosis, delirium with infectious disease 1 0 0 0 1 Psychosis with childbirth 0 0 0 2 2 Traumatic psychosis 5 0 3 0 8 Alcoholic psychosis 5 0 1 0 6 Narcotic psychosis 0 0 0 1 1 Post infectious psychosis 1 2 0 0 3 General paralysis 0 0 11 0 11 Paresis 0 0 0 1 1 Paranoia or paranoic conditions 0 0 2 0 2 Not insane 0 0 0 1 1 Total 242 213 214 231 900

Table No. 4 SHOWING DURATION OF INSANITY ON ADMISSION   1924-25 1925-26 Total   Male Female Male Female   Less than 1 month 43 47 41 56 187 From 1 to 3 months 28 30 27 24 109 From 3 to 6 months 17 21 12 18 68 From 6 to 12 months 7 18 20 23 68 From 1 to 2 years 12 16 24 14 66 From 2 to 3 years 14 12 10 9 45 From 3 to 4 years 5 10 3 13 31 From 4 to 5 years 1 4 7 4 16 From 5 to 10 years 13 17 7 16 53 From 10 to 20 years 11 6 8 10 35 From 20 to 30 years 0 4 0 4 8 From 30 to 40 years 1 1 1 0 3 From 40 to 50 years 1 0 1 0 2 From 60 to 70 years 0 0 1 0 1 Not stated 89 27 52 40 208 Total 242 213 214 231 900

Table No. 5 SHOWING SOCIAL RELATION   1924-25 1925-26 Total   Male Female Male Female   Single 91 61 102 61 315 Married 72 107 76 131 386 Widowed 10 28 15 29 82 Divorced 2 6 2 4 14 Not stated 67 11 19 6 103 Total 242 213 214 231 900

Table No. 6 SHOWING DURATION OF RESIDENCE IN HOSPITAL OF THOSE CURED   1924-25 1925-26 Total   Male Female Male Female   Less than 3 months 2 1 2 0 5 From 3 to 6 months 17 9 21 18 65 From 6 to 12 months 19 19 19 20 77 From 1 to 2 years 12 5 4 19 40 From 2 to 3 years 2 0 2 2 6 From 3 to 4 years 1 3 0 1 5 From 4 to 5 years 0 1 1 0 2 From 5 to 10 years 0 0 1 1 2 Total 53 38 50 61 202

Table No. 7 SHOWING DURATION IN HOSPITAL OF THOSE WHO DIED   1924-25 1925-26 Total   Male Female Male Female   From 1 to 5 days 1 1 3 0 5 From 5 to 30 days 12 9 11 21 53 From 1 to 3 months 8 8 14 12 42 From 3 to 6 months 5 7 9 7 28 From 6 to 12 months 9 7 13 4 33 From 1 to 2 years 8 7 10 10 35 From 2 to 3 years 3 8 10 8 29 From 3 to 4 years 4 1 1 7 13 From 4 to 5 years 0 3 1 9 13 From 5 to 10 years 1 9 4 9 23 From 10 to 15 years 2 3 1 4 10 From 15 to 20 years 2 3 1 4 10 From 20 to 30 years 2 2 0 2 6 Total 57 68 78 97 300

Table No. 8 SHOWING AGE WHEN ADMITTED   1924-25 1925-26 Total   Male Female Male Female   From 5 to 10 years 0 2 1 3 6 From 10 to 20 years 30 14 32 22 98 From 20 to 30 years 57 62 47 62 228 From 30 to 40 years 23 50 34 56 163 From 40 to 50 years 31 34 32 44 141 From 50 to 60 years 19 14 22 17 72 From 60 to 70 years 8 10 19 10 47 From 70 to 80 years 5 10 10 10 35 From 80 to 90 years 2 2 1 1 6 From 90 to 100 years 1 0 0 0 1 Not stated 66 15 16 6 103 Total 242 213 214 231 900

REPORT OF THE CLINICAL DIRECTOR DR. W. W. FAISON, Superintendent State Hospital, Goldsboro, N. C.

DEAR SIR:—I herewith submit the following report of this department for the year from July 1st, 1925, to June 30th, 1926:

The regular custom of giving each patient a careful physical and mental examination as soon after admission as possible has been adhered to, and the results recorded.

We have continued our special efforts in the diagnosis and treatment of syphilis with the most gratifying results. Quite a number of patients who were admitted apparently afflicted with dementia præcox, cleared up very nicely under anti-syphilitic treatment and went home apparently perfectly restored. Practically all these cases, upon being restored, gave a personal history of some rather chronic physical ailment, such as persistent headaches, “nervousness,” chronic indigestion, rheumatism, etc., and all went home rejoicing that they felt better than they had for years.

Nearly three thousand doses of intra-venous treatments were administered during the year, besides many thousand tablets of mixed treatment.

For some unaccountable cause we have had more cases of pellagra, both among the male and female patients, this year than for several years past. Many of them of a very severe form. Practically all the cases were admitted to the Hospital with the trouble—not developing in the institution. Besides dietary means, we have found yeast to give the best results in the treatment of the disease.

We have found but few cases of hook worm. These were treated with carbon tetrachloride with good results. We have not had as many cases of round worm as we did last year, probably due to the very extensive treatment at that time.

Post-mortems were performed on seven occasions for diagnostic purposes during the year, and the findings recorded and specimens preserved.

The following work was done in the pathological laboratory during the past year:

Urinalysis 1506