STATE OF NEW JERSEY DEPARTMENT INSTITUTIONS AND AGENCIES TRENTON MENTAL HOSPITAL PATIENTS IN NEW JERSEY A STATISTICAL SUMMARY OF RECENT TRENDS Contents Int roduct ion 1. Relative Number of Patients in State and County Ment al Hosp it al s 2. Sex Distribution of First Admissions to State and County Mental Hospitals 3. First Admissions to State and County Mental Hospitals By Patients With and Without Mental Disorder 4. Age Distribution of First Admissions to State and Lour-Ly Mental Hospitals 5- Length of Stay of Patients Leaving State Mentai Hos p i t al s 6- Condition on Discharge of Patients from State . Mental Hosp itals 7. Discharge Rates of State Mental Hospital Patients in Selected Psychoses 8. Clinical Diagnosis of First Admissions to State and County Mental Hospitals 9. County Origin of Patients in State and County Ment al Hosp i t al s Division of Statistics and Research April 1949 INTRODUCTION CURATIVE AIMS OF MENTAL HOSPITALS. The sustained alms of those adminis- tering the mental hospitals in New Jersey have been to maintain them as places of active treatment - medical; surgical; psychiatric - with all the allied physical and occupational therapies that modern science has devised. It has been the consistent policy of the New Jersey State Depart- ment of Institutions and Agencies supervising the State mental hospitals to give the -medical officers complete freedom, within the range of financial limitations; to determine and carry out policies of treatment and care. Consequently; the three State mental hospitals have come to place varying emphasis upon therapeutic procedures in their medical and surgical services; dietetic oversight, activity and recreational programs, social service supervision and the like. Thus the mental hospitals have over a period of years served as social and scientific laboratories in the testing and utilization of theories and procedures that have from time to time won the support of reputable medical men who had the respons i b i I i ty for the formulation and conduct of a program that would help their patients to recover from their mental difficult ies. THE MENTAL HOSPITAL IN THE MENTAL HYGIENE PROGRAM. Authoritative statis- t ical data wi 1 I be presented here to show that the results of the curative work of the State mental hospitals are definitely encouraging. The task immediately ahead is: 1. To continue our efforts to transform existing mental hospi- tals into modern treatment and curative institutions. This means the provision of adequate treatment facilities and a trained medical staff with consultants to carry on intensive treatment wc rk, using the approved methods of treatment applicable to these patients, 2. To extend psychiatric social service or follow-up fieUd work, so as to enable mental hosp it al s to parol e early under proper conditions and safeguard .1 greater number of patients who can be satisfactorily adjusted in the community. 3- To extend the system of mental hygiene clinics based on the mental hospitals to serve the communities in the diagnosis of mental and nervous disorders, and to reach potential suf- ferers from nervous or mental disorders before the definite breakdown occurs. There apparently is a long road ahead in society’s efforts to con- quer the problem of mental Illness but research that is in progress and the new techniques which have passed from the stage of research to that of active use provide assurance that we can look forward to a day when further new discoveries will enable physicians and psych 1 atrlsts to achieve results as yet beyond our capacities. I. RELATIVE HUMBER OF PATIENTS IN STATE AND COUNTY MENTAL HOSPITALS IN NEW JERSEY AT ENO OF FISCAL YEAR RESIDENT PATIENT POPULATION PER CENT TOTAL STATE HOSPITALS* COUNTY HOSPITALS** STATE HOSPITALS COUNTY HOSPITALS 1930 1 1,054 6,47 3 " • 4,581 58.6% 41.4% 1935 14, 468 9, 287 5, 181 64. 2, 35.8' i940 16 r 469 10,723 5,746 65. 1 34.9 1945 17,375 1 1,536 5,839 66. 4 33.6 1943 18,048 12,032 6,016 66.7 33.3 ‘Greystone Park, Marlboro and Trenton "‘Atlantic, Burlington, Camden, Cumberland, Esse* and Hudson 2. SEX DISTRIBUTION OF FIRST ADMISSIONS TO STATE AND COUNTY MENTAL HOSPITALS IN NEW JERSEY FISCAL TEAR TOTAL NUMBER number PER CENT MALE FEMALE MALE FEMALE 19-30 27 22 1512 1210 55.5% 44. 5% 1935 3001 1674 1327 55.8 44.2 1940 327 1 1768 1503 54. 1 45.9 1945 3483 1570 1913 45. 1 54.9 )I948 4304 2130 2174 49.5 50.5 3. FIRST ADMISSIONS TO STATE AND COUNTY MENTAL HOSPITALS - IN NEW JERSEY BY PATIENTS WITH AND WITHOUT MENTAL DISORDER FISCAL YEAR TOTAL NUMBER OF FIRST ADMISSIONS NUMBER PER CENT WITH MENTAL DISORDER WITHOUT MENTAL DISORDER WITH MENTAL DISORDER WITHOUT MENTAL DISORDER 1930 2722 2589 135 95. 1% 4.9% 1935 300 1 2771 230 92.3 7.7 1940 327 1 3061 210 93.6 6. 4 1945 3483 3250 233 93.3 6.7 1948 4304 3884 420 90.2 9.8 AGE DISTRIBUTION OF FIRST ADMISSIONS TO STATE AND COUNTY MENTAL HOSPITALS IN NEW JERSEY FISCAL TEAR TOTAL UNDER Y EARS H5-6<+ TEARS 65 TEARS AND OVER NUMB E R 1930 2722 ; 1 1452 787 483 1935 3001 1458 903 640 1940 327 1 1567 880 824 1945 3433 1410 97 1 1 (02 i 9 4-8 4304 1800 1150 1354 PER CENT 1930 100.0% 53.3% 28.9% 17,8% <9 35 100.0 45.6 30. 1 21.3 1940 100.0 47.9 26.9 25.2 1945 100. C 40.5 27.9 31.6 1948 1CO.O 41.8 26.7 31.5 5. LENGTH OF STAY OF PATIENTS LEAVING STATE MENTAL HOSPITALS IN NEW JERSEY LENGTH OF STAY BEFORE LEAVING hospital PER FIRST AOM1SSIONS c E n :t READMISSIONS Less than 6 months 7 4.2% 67.7% Between 6 and l< months 15. 1 15.4 Over 12 months 12.7 16.9 Total 100.0% 100.0% 6. CONDITION ON DISCHARGE OF PATIENTS FROM STATE MENTAL HOSPITALS IN NEW JERSEY FISCAL YEAR PER CENT OF THOSE DISCHARGED AS RECOVERED AND IMPROVED UN IMPROVED 1930 87.0% . 13.0% 1935 92.3 7.7 1940 92.4 7.6 1945 93. 1 6.9 1948 95.2 4.8 7. DISCHARGE RATES OF STATE MENTAL HOSPITAL PATIENTS If SELECTED PSYCHOSES Three Year Period i946- 1948 PSYCHOSIS total ADMISSIONS TOTAL DISCHARGES RATE OF DISCHARGE PER 100 ADMISSIONS Dementia praecox 937 MALES 614 65.5 Manic depressive 378 349 92.3 Paranoia and paranoid cond i t i ons 69 62 89.9 InvoiutionaS melancholia 150 1 1 I 74.0 Psychoneuroses & neuroses 267 229 85.8 F E M A L E S Dement i a p raecox 1440 834 59.4 Manic depressive 856 734 85.7 Paranoia and paranoid cond i t ions 80 67 83.3 1nvo1ut i o n a 1 me 1anc ho 1i a 586 423 72.2 Psychoneuroses & neuroses 111 245 88.4 8. CLINICAL DIAGNOSIS OF FIRST ADMISSIONS TO STATE AND COUNTY MENTAL HOSPITALS IN NEW JERSEY Three Year Period 1946- 1948 01 AGNOSIS NUMBER PER CENT HALE FEMALE MALE FEMALE With Psychosis 4815 5906 100.0% 100.0% Dement I a p raecox • 773 1240 16. 1 21.0 Manic depressive 233 720 5.9 12.2 Paranoia 4 paranoid cond it ions 63 82 1.3 1.4 Involutional melancholia 132 490 2.7 8.3 Psychoneuroses & neuroses 217 235 4,5 4.0 With psychopathic personality M3 68 2.4 1.2 With cerebral arteriosd erosis 1 194 127 5 24.8 21.5 Sen I 1 e 676 1013 14.0 17.2 General paresis 276 109 5.8 1.8 With cerebral syphilis 87 37 1.8 0.6 Alcohol ic 49 2 10 4 10.2 1.8 1 | Other diseases with psychosis 507 533 10.5 9.0 Without Psychosis 808 279 100.0% 100.0% Al coho 1 ism 436 92 54.0 33.0 Psychopathic personality 94 49 1 1.6 17.6 Mental deficiency 54 29 6.7 10.4 Ot hers . 224 109 1 27.7 , 39.0 9. COUNTY ORIGIN OF PATIENTS IN STATE AND COUNTY MENTAL HOSPITALS IN NEW JERSEY COUNTY GENERAL POPULATION (me ESTIMATE) RESIDENT MENTAL HOSPITAL PAT 1 ENTS (Juno 19H8) FIRST ADMISSIONS (Three Year period m6 - me) Tot al 4,453,100 18,048 11,808 Essex 67 9,600 4,782 3,064 Hudson 692, 100 2,805 1,433 Bergen 459,100 1,223 718 Un ion 375,000 1, 17 1 7 14 Passaic 319,800 1,37 1 691 Camd e n 27 6, 100 1,007 764 Mi dd1esex 241,800 942 641 Mercer 200,000 834 604 Monmouth 188,400 763 7 40 Mo rri s 134,900 540 531 At 1 ant i c 1 16, 200 479 396 Burl i ngton 95,300 398 261 Cumbe r1 and 81,100 324 208 G1 oucester 7 9,700 254 209 Some rset 7 1,700 253 172 Warren 52, 100 194 121 Sal em 45,000 148 123 Ocean 39,200 158 141 Cape May 36,100 ( 10 94 Hunterdon 36, 100 168 107 Sussex 33,800 108 70 Out of State 16 6