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APPENDIX B. COVERAGE

HOSPITALS FOR MENTAL DISEASE

State, veterans' neuropsychiatric, and psychopathic hospitals.—Each of these types of hospitals for mental disease constitutes a clearly defined group. For each year between 1936 and 1945 the coverage is substantially complete, or, for most years, a statement as to hospitals from which schedules were not received is made in the report for that year. In 1945, regular reports were not received from the following State hospitals: Insane Department, Men's Reformatory, Anamosa, Iowa; Eastern State Hospital, Knoxville, Tennessee; Rusk State Hospital, Rusk, Texas; Montana State Hospital, Warm Springs, Montana; New Mexico State Hospital, Las Vegas, New Mexico; and Morningside Hospital, Portland, Oregon. Telegraphic reports on the movement of population were received, however, in varying degrees of detail from each of these hospitals. The report on the movement of population for Montana State Hospital was complete in all details, and for the remaining hospitals, estimates were made for the items of information not covered by the report. In the tables presenting statistics on the diagnosis of first admissions and discharges, figures for these hospitals are carried in the class, "Mental disorder not reported." Similarly, in the historical tables, estimates of this type are included for 2 State hospitals in 1943 and 1942 and 3 State hospitals in 1940. The statistics presented for 1943, include, for State hospitals in Maryland, Massachusetts, and New York, figures covering a nine-month period adjusted to an annual basis. Administrative statistics are generally less completely reported than statistics on other subjects, and the statistics presented on administration are based on the number of hospitals reporting them in each year.

The 1945 statistics for State hospitals are based on reports from 190 hospitals. This figure, although it is the same as that for 1944, represents a loss of two hospitals—The Central Oklahoma State Hospital Annex, which was closed, and the Monson State Hospital in Massachusetts, which was re classified as an institution for epileptics—and the addition of two hospitals classified as an institution for epileptics— Tiffin State Hospital in Ohio, and Sault Ste. Marie State Hospital in Michigan. The statistics presented for veterans' neuropsychiatric hospitals include figures for the United States Public Health Service Hospitals at Fort Worth, Texas, and Lexington, Kentucky, but do not cover neuropsychiatric patients in other types of Veterans Administration hospitals. Those presented for 1945 and 1940 include estimates for the United States Veterans' Hospital at Tuskegee, Alabama. The statistics for 1945 presented here cover the Veterans Administration neuropsychiatric hospitals at Togus, Maine, and Wadsworth, Kansas, in addition to the 31 hospitals covered by the 1944 report.

The nine psychopathic hospitals for which statistics are presented here for 1945 include eight of the nine hospitals covered in 1944 and one additional hospital—the Youngstown Receiving Hospital in Ohio, which was opened on November 26, 1945. No reports were received from the Illinois Neuropsychiatric Institute for 1945.

County, city, and private hospitals.—Although there are some county and which are in every way comparable to State hospitals for mental disease, there are a considerable number of county institutions which are only partially devoted to the care of psychiatric patients. It is quite possible that in various years schedules were not sent to all of the latter institutions. Similarly, in those States in which there is no central State city hospitals

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