%20v, R. A. - s: 2e a Q. Rºt sº - ev tºº. Gº”. *. Legislative Document No. 33. IN SENATE, MONDAY, FEBRUARY 13, 1888. -------- - - - - - - - - - - - - --- - - - - --- - - --- - - - --------- On motion of MR. KENDALL, the following report was ordered printed, and referred to the Committee on Charitable Insti- tutions, viz: - - ExECUTIVE OFFICE, February 11, 1888. Gentlemen of the Senate and House of Representatives : In my communication addressed to you on the 30th December last, I stated my purpose, as soon as investigations then pending were completed, to supplement the brief allusions I then made on the subject of the Lunatic Asylums of the State by a more complete report on those institutions. º I have the honor to transmit this report to the General Assembly as made to me by the Special Auditor, who was appointed under the authority of existing laws, for the purpose of examining into their condition. - The limited time allotted for the discharge of this duty of in- vestigation, necessarily rendered the examination less complete than was desirable, as it was deemed important to place before you the information thus obtained at as early a day as practi- cable. - The very clear and intelligent report of the Special Auditor, which I herewith transmit, renders it unnecessary for me to enter into a detailed statement with reference to these institu- tions. The report will show, however, the necessity of the closest Supervision of the management of these great public charities, with some directing authority to restrain them within the limits of the laws intended for their guidance. The investigations show that the Board of Commissioners in all these Asylums have not hesitated, in many cases, to exceed the limits of their authority as defined by law. // / 3%% Ak4 /14 2 SPECIAL REPORT ON THE [Doc. 33. & In some instances, new buildings have been erected without authority, money has been borrowed by overdraft, and the State has been made to pay interest thereon in violation of the statute, and at one of the Asylums, large areas of land have been purchased and other lands have been alienated, involving the State in an indebtedness which can only be done properly by the authority of the General Assembly. Other abuses are also shown to exist. From the presentation of the facts, I am forced to the conclusion that no effort seems to be made to restrict the expenses to a sum less than the ex- treme limit of the present appropriation, and that if the allow- ances were largely in excess of what is now authorized by law, ways would be discovered to expend it without materially in- creasing the comfort of the patients. I earnestly invite your attention to a careful consideration of the report of the Special Auditor. In this connection I may be permitted to call your attention to a recommendation contained in my annual message. The laws authorize the Executive to make a personal inspec- tion of the books, accounts and management of these Asylums. It is impossible for him, without neglecting equally impor- tant duties, to devote to this object so large a portion of his time as would be necessary to a thorough and constant Super- vision of these institutions. He is, therefore, invested with authority to appoint, from time to time, a Special Auditor for this purpose. Persons qualified to discharge this duty efficiently are gen- erally employed in their own affairs, and can not, without difficulty, be induced to take such temporary employment. Besides, to be effective, supervision must be constant ; other- wise it will be impossible to prevent new abuses, and to sup- press those already found to exist. In addition to this, each newly appointed Auditor must make a special study of the laws and regulations governing these institutions before he can make an intelligent examination of their administration. From these considerations, it appeared to me that the office should be a permanent one, and should be charged, not only with the in- spection of the Lunatic Asylums, but also of the other charita- ble institutions of the State, and should also execute such other Doc. 33.] LUNATIC ASYLUMS OF KENTUCKY. 3 duties of inspection as might be required by the Executive. I therefore recommend that the General Assembly create the office of Inspector of Public Works and Institutions. It will be evident to you that some additional legislation is necessary to prevent existing abuses in these institutions. To the extent of the duties and authority imposed on the Executive by existing laws, an effort will be made to correct these abuses; but legislative action is essential to enforce economy in the administration. Whether this end is to be attained by organizing some new supervisory power with full authority of correction, or by con- tinuing the present limited powers of supervision in the Execu- tive, is for the General Assembly to decide. If sufficient authority and assistance in the way of investigation be given, I can safely recommend that the appropriations for the inmates of these Asylums be reduced by not less than ten dollars per caput, without lessening in any degree their comforts. If the responsibility of this supervision be devolved upon the Executive, it is but just that he be invested with adequate authority, and accorded necessary assistance to enable him to discharge the duty effectively; and if such authority and assistance be withheld, he should be relieved of the responsi: bility of a mere nominal supervision. 4 The subject is of such importance, involving, as it does, sö large an expenditure of the public money, that I cannot too earnestly invite you to give it your early consideration. Respectfully, S. B. BUCKNER. FRANKFORT, February 10th, 1888. . . . To His Eaccellency, S. B. BUCKNER, Governor of the Stafe of Kentucky : $ SIR: On the 16th day of December, 1887, I had the honor to: receive from you the following communication : " . MR. R. A. MILLER, Frankfort : DEAR SIR : You are hereby appointed a Special Auditor, under the authority granted in the laws regulating the Lunatic Asylums of this State, and you are instructed to proceed’at 4 SPECIAL REPORT ON THE [Doc. 33. once to discharge the duties of that office as prescribed in sec- tion 11, article 6, and chapter 73, of the General Statutes, it being understood that you are also empowered, as the appointee of the Executive, to make all the examinations, in- vestigations, and inspections which the Governor himself is authorized by law to make. You are directed to examine thor- oughly into the accounts of these Asylums, the modes of pur- chase, the character of the expenses, the condition and amount of personal property ; as to the economy of purchases; as to whether they are made in any case from parties who are forbid- den by law to hold an interest in such purchases; as to the economy of the uses to which purchases are applied ; as to the sufficiency of bonds; as to the character, necessity and pro- priety, as well as legality, of expenses for improvements made, and under what authority and for what purposes; as to the proper attendance of the Commissioners and other officers to their duties, and as to their business qualifications ; as to any expenditures of the public funds for private or illegitimate purposes ; as to the residence of the officers in proper prox- imity to their patients; as to the proper and economical conduct of the farming operations; as to the application of the supplies of the institution to any parties not authorized by law to receive them ; as to the proper care of the animals and other public property, and the restriction of their use to legitimate pur- poses; and as to all matters which the Legislature designed should be looked into by the Executive. Respectfully, etc., S. B. BUCKNER. At the same time I was informed by you that it was impor- tant to have the investigations which I was directed to make, completed as soon as practicable. I proceeded at once to visit and examine, in the order named, the Western, Central, and Eastern Lunatic Asylums, and I very respectfully submit the following statement as my report of such investigations as I could make in the short time allowed for that purpose. For convenience, I shall mention the Asy- lums in the order in which they were visited: Doc. 33.] LUNATIC ASYLUMS OF KENTUCKY. t 5 THE WESTERN ASYLUM. In the main, this institution has been fortunate in securing a wise and conservative financial management. It is deservedly celebrated for the enlightened policy which has enabled it gen- erally to meet the demands against it out of the current receipts of the institution. The Board of Commissioners is composed of men of business experience and ability. They have an admirable system of examination into the claims that are pre- sented for payment. So far as I have been able to investigate, the buying and the furnishing of necessary supplies are con- ducted on sound business and economic principles. The build- ing is warm and well furnished, the patients have good food, and I believe that the patients have a better article of clothing than is found in either of the other Asylums. The cattle belonging to the institution are in good condition, are well used and are well fed. I have not had time to examine the accounts of the Treasurer and Steward except in the most general way. In so far as I have examined them, they are correct. As to the modes of making purchases, I would state that the Steward buys the coal, ‘meat and milk on competitive bids. This institution is furnished with coal, during the current fiscal asylum year, at 7 ºn cents per bushel, delivered ; with meat, at 54% cents per pound, and with milk at 15 cents per gallon. A bond is taken from each contractor for the performance of the contract. The groceries are purchased in Hopkinsville and Louisville—principally in Hopkinsville. The furniture is pur- chased mainly in Louisville, and the dry goods are bought gen- erally in Hopkinsville. I was informed that the greater parts of the supplies are furnished at wholesale prices. The employes receive good wages, and are comfortably quartered in the Asylum. There are three carpenters whose names are on the pay-roll. It may be necessary to have them, but I can not understand how that number can be constantly employed in keeping up the Ordinary repairs. It was suggested to me that these carpenters performed other services besides carpenters’ work. If this be true, it is submitted that the matter resolves itself * 6 SPECIAL REPORT ON THE [Doc. 33. into the question of whether skilled labor need be employed to do work that can be as well done by cheaper labor. I herewith file as part of this report an inventory of the per- sonal property, which is certified by the Steward to be correct. I am glad to report that this property is in good condition. The valuation of this property, fixed by the Steward, is forty-two thousand and thirty-seven dollars and eighty-nine cents. It is estimated that this valuation is twenty-five per cent. less than the original cost. I do not find that any purchases have been made from persons who can not legally contract with the Asylum. The Treasurer and the Commissioners had overlooked that provision of law which requires a renewal of the Treasurer's bond every two years, and I found that this limitation of two years had run against the last bond executed. As soon as I called attention to this fact, the Treasurer renewed his bond, and it was immediately thereafter approved as required by law. I also found that the bond of the Steward was not written according to the provisions of the statute, in that, the liability off his sureties was limited, or attempted to be limited, to four thousand dollars, when the law contemplates a bond with an open covenant for the faithful discharge of the duties of the office. The Steward immediately executed another bond, con- ditioned according to this conception of the statute, which, it is believed, is the true one, and this bond was duly approved. The monthly meetings of the Commissioners are regularly held, and the business is promptly and carefully dispatched. The Commissioners’ visiting register, which is kept at the Asylum according to law, and in which it is made the duty of each visiting Commissioner to write his name, together with the date of each visit, and the result of his inspection, shows, that during the year 1887, Commissioner Randolph visited the Asy- lum on the following days, to wit: January 25th, February 9th, April 20th, July 9th, September 14th, and October 5th ; Com- missioner Feland on February 11th ; Commissioner Trice on February 22d.; Commissioner Mills February 5, March 11th, and September 22d.; Commissioner Meachamp on February 9th, April 10th, April 21st, May 4th, August 15th, September 22d, and October 5th ; Commissioner Thompson on March 2d, April wº I)oc. 33.] LUNATIC ASYLUMS OF KENTUCKY. 7 7th, and July 9th ; and these are the only entries on the register during the year 1887. The entries show the names and dates, but the result of the inspection is not certainly indicated. I was informed by the Superintendent that this register con- tains a very imperfect account of the number of visits, for the reason that the Commissioners would sometimes neglect this formal part of their duty when visiting the Asylum. The Commissioners are required by the statute to hold their regular monthly meetings in the Asylum building. There is a suitable room provided there for that purpose. Instead of doing this, they hold their meetings in a room in the rear of the Planters' Bank, in the town of Hopkinsville, at a distance of two miles from the Asylum. The room in which they hold their meetings is furnished by them out of the funds belonging to the Asylum. It is entered from the banking rooms, and has no outside entrance. The Commissioners meet once in every month in this room, and that is the extent of their use of it. This room is also used by the officers of the bank. The Commissioners pay to the bank, as the lessee of the bank building, the sum of fifty dollars per annum as rent for this room. The President of the Board of Commissioners, the Treasurer of the Asylum and the Superintendent are stock- holders, and, I believe, officers of the bank. The Commission- ers have used this room for several years, and have paid rent at the same rate during all that time. Before they began to use this room, they occupied another room in the town of Hopkins- ville, for which they paid rent at the rate of one hundred dollars per annum. Indeed, they appear to have always ignored that provision of the statute which requires them to hold their meetings in the Asylum building. I am informed that this is done in order to procure the presence of the Commissioners at these meetings, and that it would be difficult to get them to go to the Asylum to attend to the business of the institution. This can not be said to be a sufficient reason. The law ought to have enough force to procure the presence of the officers of the State at their regular meetings. As a question of expediency, it might be contended that it is best to disregard this statute, but in every other view it is indefensibly wrong. I have found no authority for the action of the Commissioners in taking the 8 SPECIAL REPORT ON THE [Doc. 33. money belonging to the institution and intended for the main- tenance of the patients, and using if in the payment of rent for a room which they can not occupy without violating the law. Under our statute the Commissioners have control of the land and buildings, and, indeed, of all the property belonging to the Asylum, and they are charged with the duty of keeping this property in repair. The Superintendent and Board of Commissioners have thought it proper to build and furnish two cottages in the Asy- lum grounds, detached from the main buidings, at a cost, when furnished, of about six thousand dollars for each cottage. I can not understand how it could have been absolutely necessary to have these cottages. That it is very convenient to have them is evident. It might be reasonably believed that the extra cost of main- taining these detached and separate establishments, in the future, will be a more considerable item than the mere cost of their construction. I have not found any law that authorizes the Commissioners to build these cottages. It is submitted that the most liberal, not to say enlarged, construction of the statute which directs the Commissioners to keep the buildings in repair, would not permit them to erect other buildings to keep in repair. The money necessary to build these cottages was taken, as I am informed, from a fund which has accumulated from year to year in this Asylum, and which represents the excess of re- ceipts over disbursements. As to how long this fund has been accumulating I am not able to report. Under our law no Luna- tic Asylum can accumulate any money, and it is impossible, as I see it, for any such fund to be legally created. The statute provides that “the Auditor shall estimate any unexpended balance reported by the Chairman of the Board of Managers and the Superintendent of any one of these Asylums as a part of its next quarterly allowance, and draw his warrant only for a sum sufficient with said balance to make complete the sum allowed by law for each quarter.” It is also made the duty of these officers to report such balances. From this it will be clearly seen that it was the intention of the Legislature to have any unexpended and reported balance charged against Doc. 33.] LUNATIC ASYLUMS OF KIENTUCKY. 9 the next ensuing quarterly allowance. I assume that these balances were reported. If this be true, the fact that a fund was accumulated out of the per capita allowance is more inter- esting and remarkable than the resultant fact that a part of this fund should be appropriated by the Commissioners to the erection of buildings the necessity for which they alone were to estimate and judge. The per capita allowance made by the State is designed solely for the maintenance of the patients, to be used for current expenses, repairs, etc., under existing and well-known conditions, and it is given to the man- agement upon the trust that it will be so applied. It can not be competent for the Commissioners to divert this trust. Any excess that may be on hand at any time is, by the clear intendment of the law, as much within this trust as that portion of the money received that is not merged into such excess. The Legislature fixed one hundred and fifty dollars as the approximate cost of keeping a pauper patient One year, but in the event this proved too much, it is wisely provided that the original character and purpose of the excess should be con- served, and such excess made to do duty in making up the necessary amount to defray the expenses of an immediately ensuing period. The Legislature has evidently reserved the right to decide what new buildings are necessary, and when they are necessary, intending, it is to be presumed, to meet the increased demands of the insane by special appropriations. The Asylum is situated on a public road leading from Hop- kinsville. About nine years ago the Asylum and the County Court of Christian county constructed a turnpike from Hop- kinsville to the Asylum gate. The institution paid three-fifths of the cost and the County Court paid two-fifths. The amount paid by the Asylum was two thousand two hun- dred and fifty dollars. This road is very useful and almost indispensable, but, I am forced to believe, that this expenditure was unauthorized. The Commissioners have also caused to be erected a Steward’s Office and a Receiver’s Office. New boilers have been furnished at considerable cost, but I am informed that the old ones were insufficient, and, at all events, this expenditure can not be classed with the others. While the prudent business management of this institution, 10 SPECIAL REPORT ON THE [Doc. 33. in many particulars, by the Superintendent and Board of Com- missioners can not be too highly commended, it is to be re- gretted that they have slightly underestimated the limitations which the Legislature has placed upon the power of such trus- teeS. It may well be doubted whether the State has been injured in any way or in any degree by either of the acts thought to be unauthorized, but they are dangerous precedents to establish. Such extraordinary powers may be perfectly harmless, or even beneficial, in the hands of the present Board and Superintend- ent, but it would certainly be extremely hazardous to confide them to a management less patriotic or less discreet. It is said that the farm attached to this Asylum is profitable, but it can not be so to any great extent. The greater part of the land was originally sterile, and is still comparatively unpro- ductive. The most careful and thorough cultivation would not yield large results. A visit at this time affords but scant opportunity to judge either of the farm or the system of cultivating it. Improved farming methods have been adopted, and the farm is cultivated in a reasonably successful way. Under the general law the Superintendents of the several lunatic asylums are required to reside in the Asylum buildings. This wholesome rule is based on reasons which are at once obvious and sufficient. The presence of the Superintendent in the Asylum building enforces discipline among the subordinate officers, promotes habits of thrift, industry and economy among the employes, and conduces in many ways to quiet and good order among the patients. It requires very little discernment to understand that these are important objects to attain in an institution where there are such considerable and varied inter- ests, where there are such large daily expenditures for general supplies, and where so much depends on the industry and honesty of employes. On the 31st of March, 1886, however, the Legislature, by a special enactment, authorized the Superintendent of this Asy- lum to reside in the town of Hopkinsville. Acting under the permission thus granted, the present Superintendent changed the place of his residence from the Asylum to the town of Hop- Doc. 33.j LUNATIC ASYLUMS OF KIENTUCKY. 11. kinsville, where he has since resided. His perquisites in the way of table supplies are still received from the Asylum. He informs me that he visits the Asylum every day, and remains there a sufficient time to attend to every duty. While I have found no abuse resulting from this change of residence, I can not perceive either the wisdom or the justice of the policy that permits it. The son of the Superintendent and his wife are officers in the Asylum, and reside in the building, in the apartments formerly occupied by the Superintendent and his family. It might be very reasonably claimed that their presence in large measure compensates for any loss sustained in the Super- intendent’s change of residence. THE CENTRAL ASYLUM. This is the largest Lunatic Asylum in the State, and more money has been appropriated to build and maintain it than has been expended on any other like institution. The buildings and grounds furnish indisputable evidence of the most liberal expenditures, and it occurs to the inexperienced observer that some of these expenditures must have been unwisely made. The original design of the building was imperfect, according to what I have heard of the more modern and enlightened views on this subject, and apparently the subsequent growth of the institution has not been illustrated by that orderly and sys- tematic development which alone could have rendered it sus- ceptible of easy and economical management. It is but just to say that this is in no sense the fault of the present Superintendent or Board of Commissioners. It is simply an unfortunate fact, and it ought always to be con- sidered in estimating the cost of maintaining it. The Commissioners do not exercise that active and immediate control over the affairs of the institution that is so vitally necessary to its prosperity. They attend to their duties in a perfunctory manner. They are men of excellent character and good business qualifications, but the Asylum itself, and the methods that obtain in its control, certainly indicate their failure to properly appreciate a thorough and personal super- 12 SPECIAL REPORT ON THE [Doc. 33. vision. The institution is rather expensively conducted. The power here needs to be centralized. At present there are too many independent sources of au- thority. As the logical result of this condition, there is not Sufficient system in the management of the business of the Asylum. I desire specially to call your attention to the following facts: On the 15th day of May, 1880, the Commissioners pur- chased from L. L. Dorsey, a tract of land in Jefferson county containing one hundred and seventy and three-fourth acres for a consideration of eleven thousand one hundred and forty- eight dollars and seventy-five cents, which was paid in cash, . and the further consideration of the conveyance by the Com- missioners to Mr. Dorsey of twenty-five and one-half acres of land which belonged to the State. The Commissioners accepted from Mr. Dorsey and his wife a deed for this one hundred and Seventy and three-fourth acres, which attempted to pass the title to the Asylum. By the terms of this deed the grantors had the right to remove all buildings from the land conveyed. The deed from Mr. Dorsey and his wife was lodged by the Commissioners for record in the Clerk’s office of the Jefferson County Court, where it was duly recorded. A certified copy of this deed is herewith filed. On the 19th day of October, 1881, the President of the Board of Commissioners executed, ac- knowledged and delivered to Mr. Dorsey, a paper purporting to be a conveyance to him of the twenty-five and one-half acres. He accepted this paper, and caused it to be recorded in the Clerk’s Office aforesaid. On the 13th day of April, 1886, the Commissioners purchased from William M. Geiger a tract of land in Jefferson county, containing one hundred acres, for a consideration of six thou- sand dollars. Of this sum they paid two thousand dollars in cash, and for the balance they executed and delivered two obli- gations of the Asylum, signed by the President of the Board, and secured by a lien on the land, for two thousand dollars each, due in one and two years, and bearing interest from date. They accepted from Mr. Geiger and his wife a deed for this land to the Asylum, and caused it to be recorded in the Clerk’s Doc. 33.] LUNATIC ASYLUMS OF KENTUCKY. 13 office. A duly attested copy of this deed is filed as part of this report. On the first day of February, 1887, the Commissioners pur- chased from S. L. Gaar, one of the Commissioners, seven-tenths of an acre of ground for a cash consideration of one hundred and twenty-five dollars. The Commissioners accepted from Mr. Gaar and his wife a deed for this land, which was also duly recorded in said Clerk’s office. On the 19th day of April, 1887, the Commissioners purchased fro.n Wesley Whips a tract of land in Jefferson county, con- taining 54% ºf acres, for a consideration of five thousand four hundred and ninety-one dollars. They paid four thousand nine hundred and ninety-one dollars in cash, and the balance of the consideration was deferred. They accepted a deed from Mr. Whips and his wife to the Asy- lum, and it, like the others, was duly recorded in the Clerk’s office. A certified copy of this conveyance is here with filed and made part of this report. * It will be seen that the Commissioners have assumed the right to buy and sell land. If they can buy, they may sell. If they can buy and use the credit of the State, and pledge its faith to the payment of the debts which they contract, where is the limit to this power? If they can sell twenty-five and one- half acres and make a good title to the purchaser, they can sell the whole Asylum. The law does not give them any such rights. It is presumed that these Commissioners have acted in good faith, and with the best intentions, but their actions amount to positive usurpations of authority. The statute provides that the Commissioners shall not con- tract any debt for any purpose beyond the amount received from the Treasury and from pay patients. The debts con- tracted for this land were beyond the amounts so received. It provides that no Commissioner or other officer shall sell any thing to the Asylum, nor make any contract in which he is directly or indirectly interested. They have not hesitated to make a contract with one of their own number for the purchase of a portion of his land. It does not confer upon them the power to buy or sell land. They have repeatedly ignored this 14 SPECIAL REPORT ON THE [Doc. 33. want of authority. It may be that questions of some gravity will arisé concerning the title to these several tracts of land. Assuming the land exchanged to be equal in value per acre to the land purchased, the Commissioners paid for the Dorsey land about seventy-five dollars per acre; for the Geiger land they paid sixty dollars per acre; for the Whips land they paid one hundred dollars per acre; and for the small portion of land purchased from Commissioner Gaar they paid at the rate of $178* per acre. I was informed that these prices are higher than are usual in this part of Jefferson county; but it is en- tirely possible that the value of land in this vicinity has materi. ally increased since it has become known that the Asylum, sustained by the inexhaustible credit of the State, has entered the market as a purchaser. The accounts of the several officers were correct as far as ‘I had time to examine them, and the modes of purchase are much the same as at the Western Asylum. There were one hundred and twenty-seven officers and em- ployes whose names were placed on the last December pay-roll, and they drew from the State in salaries and wages the sum of $2,957 fºr for their services during the month of December. Besides a full complement of officers and attendants, there are on this pay-roll a supervisor, a supervisor of the kitchen, an outside supervisor, five cooks, Seven Scullions, three bakers, seven dining-room servants, a laundress, a machine man, nine washers and ironers, two chambermaids, a seamstress and two assistants, two engineers, five firemen, a blacksmith, a steam- fitter, three night watches, two carpenters, a gardener, a garden hand, two dairy men, a butcher, two painters, a gate-keeper, a florist, a teamster, two car drivers, an office boy, a plasterer, a stone mason, a railroad agent, and four chaplains. Several items of expense on this pay-roll could be eliminated without injury to the Asylum. One of the most novel and interesting things connected with . this pay-roll is the item of twenty dollars paid to the railroad agent at the Asylum depot. If there is any authority of law for such use of the public funds, I have not found it. The depot, a neat brick structure, is exclusively used by the rail- road as a local station and shipping point. The Asylum fur- Doc. 33.] LUNATIC ASYLUMs of KENTucky. ' 15 nished the brick for the building, and assisted largely in its construction in the way of the labor of patients and employes. The institution has no control over this depot, and, apparently, has no connection with it except to make the monthly contribu- tion of twenty dollars to the railroad agent to pay for Services performed for the railroad. That no special favors in the way of low rates are received, is indicated by the fact that the Asylum paid to the railroad $1,371+ºr in cash for freight, during the year 1887, besides large amounts paid in increased prices for coal, etc., occasioned by extortionate rates that con- tractors were forced to pay to the railroad. The railroad com- pany is enabled successfully to extract this twenty dollars per month by the pretext, that unless their demands are acceded to, the trains will cease to stop at this depot. In addition to the very considerable business done by this depot for the Asylum, I was informed, that by reason of its locality and character, it is used by outside local shippers more than any other station on this part of the road, and this fact is submitted as being pertinent to the qtlestion of whether the railroad is candid in its threat to refuse to stop its trains at this point. The other special features of this pay-roll are the car drivers, the carpenters, the painters, the office boy, the florist, and the supervisors; the number of cooks, dining room servants, wash- ers and ironers, chambermaids, and firemen. In a building heated throughout, at great cost, by steam, I have not been able to see how five firemen could be constantly employed. There are several tenant houses inside the asylum grounds which are occupied by employes. The Asylum receives no rent in any form for these houses, and they are simply expensive and unnecessary conveniences for such employes as have fami- lies and are fortunate enough to secure them. The outside Supervisor (an officer created by the Board, and paid fifty dollars per month, and who seems to have control of the farm and all outside affairs) called my attention to a new tenant house that he had recently caused to be erected for the use of an outside attendant. Besides involving the unauthorized use of public funds, this system of tenant-house building is, in my judgment, a vicious 16 SPECIAL REPORT ON THE [Doc. 33. and hurtful policy. The houses will always be occupied, and some of the occupants will inevitably be, in a certain sense, quartered on the State. They are so many centers of expense, and are a fungus growth on the institution. The Superintendent and Board of Commissioners permit young physicians, who desire to do so, for the training it affords, to stay in the Asylum and practice their chosen pro- fession among the patients, under the direction of the regularly appointed physicians. They receive no wages, except in the way of board and washing, which are furnished to them with- Out COSt. I investigated the question of whether the needs of the patients require the services of these young men in addition to the three physicians provided by law and paid by the State, and I was informed that the regular physicians can ordinarily give to the patients all necessary medical attention. If this is not true, and more medical aid is required, it is believed that the responsible position of physician in an insti- tution like this should always be filled by" one who is ap- pointed under the authority of law, and paid by the State, and who, therefore, the more appreciates the duties which he is expected to discharge. I heard of three contracts that were made with parties who are forbidden by law to make contracts with the institution. One I have already mentioned. The other two were bills of goods that were purchased from a Commissioner. It is proper to say that I was informed that the Steward did not make these purchases. The law directs the Commissioners to hold regular meetings, one in every month, for the transaction of the business of the Asylum. No claim cah be paid until it has been examined and approved in one of these regular meetings. It will be at once seen that the prompt payment of demands against the Asylum, and, consequently, the reasonableness of prices for supplies, depend absolutely on the regularity with which these meetings are held. These meetings have not always been regularly held, nor have they been held always in the Asylum building as required by law. T)uring the year 1887, three of these meetings were held in Louisville. Doc. 33.] LUNATIC ASYLUMS OF KIENTUC KY. 17 The statute provides that the Commissioners “shall maintain a vigilant inspection of the Asylums, for which purpose one of them shall visit them every week, two in every month, a majority in each quarter, and the whole Board once in every six months, in the manner and at times prescribed by the by- laws. The visiting Commissioners shall note in a book, kept for that purpose, the date of each visit, the condition of the house, patients, etc., with such remarks as may be deemed nec- essary. Any Commissioner who can not or will not comply with his duty as visitor for three months shall vacate his office, and the President shall report the same to the Governor, who shall fill the vacancy.” The Commissioners’ visiting register shows that Commissioner Gaar and Commissioner Brown visited the Asylum on the 5th day of July, 1887, and these are the only entries on the register since October 25, 1884. They have generally held their monthly meetings in the building, but I do not suppose that these are visits of inspec- tion in the meaning of the law. A meeting of the Commissioners without a legal quorum was held on the 3d day of August, 1887. I herewith submit as part of this report an inventory of all the personal property, which is certified by the Steward to be COI’I’éCt. The aggregate value of this property, according to his esti- mates, is thirty-six thousand six hundred and thirty-seven dol- lars and twenty-five cents. The property is in good condition as far as I could examine it. The Treasurer of this Asylum, like the Treasurer of the Western, had failed to renew his bond as the law requires. I was informed by this officer that he would at once execute a new bond, but I am not advised as to whether this has been done. * The bond of the Steward contained the same inaccuracy that was mentioned in connection with the bond of the Steward of the Western Asylum. At my instance, this officer executed a new bond, which was duly approved. When I came to examine the books of the Treasurer, I found that he had none. The accounts of the Treasurer are kept in the books of the bank, in which he is the cashier, •) & 18 SPECIAL REPORT ON THE [Doc. 33. The law provides that the Treasurer “shall keep true and complete books of account of all his financial transactions, in- cident to the management of the Asylum, specifying whence received, and for what expended, and of all sums receivable and payable.” Instead of paying the officers and employes the amounts due them at the end of each month, the Treasurer pays to the Stew- ard the full amount of money due on the pay-roll. The Steward then distributes the money among the officers and employes. The statute makes it the duty of the Treasurer to receive and pay out all money belonging to the institution. Some of the principal improvements have been made by special appropriations, but others have been made without any such special authority. The depot has been built, a railroad constructed from the depot to the Asylum, a plant of two hundred and fifty electric lights, which cost four thousand five hundred dollars, has been purchased and put in, the water supply has been increased, adequate fire protection has been secured, and many other last- ing and valuable improvements have been made. I know of no instance in which the funds or the supplies have been used for private purposes. The horses, mules and herds are well fed and in good condi- tion. The farm here is said to be profitable. It is rather vigor- ously cultivated, affording proper and necessary exercise for the patients, and it yields fair returns. * The apartments of the officers are well appointed, and com- fortably furnished. The patients live very comfortably, are kindly treated by the Superintendent and his family and the other officers, and seem to receive every necessary attention. The two daughters of the Superintendent, who have been appointed to fill the positions of Matron and Assistant Matron, take quite a friendly interest in the patients and in the affairs of the institution as well. THE EASTERN ASYLUM. At one time various local differences threatened disastrously to affect the large and important interests of the State that were T}oc. 33.] LUNATIC ASYLUMS OF KENTUCKY. 19 confided to the keeping of this institution. There are some scattered and fugitive evidences of this unhappy condition that survive it, but the present management has done much to restore harmony and systematize the business of the asylum. I examined the accounts of the several officers in the same general way in which the accounts of the other asylums were investigated, and found them to be correct. The modes of purchase are quite similar to those adopted in the other asylums. The supplies are purchased in Lexington, and I heard of no purchases that were made from any of the officers. I found that the bond of the Treasurer had been executed on the 31st day of May, 1884, and that the Commissioners had neglected to require him to renew it as provided by law. As soon as the attention of the Treasurer was directed to this matter, he executed a new bond, which was duly and promptly approved. The bond of the Steward had been properly exe- cuted, and the sufficiency of his sureties was shown by an exam- ination of their tax lists. There were ninety-five persons whose names were on the last December pay-roll, and for their services during that month they were paid in salaries and wages two thousand four hun- dred and thirty-five dollars and eighty-one cents. Besides officers and attendants, there are on this pay-roll four supervisors, two engineers, a farmer and gardener (who is paid sixty-two dollars and one-half per month), a carpenter, a florist, a dairyman, a butcher, a gas-maker, a coachman, a night watch, a gate-keeper, a baker, a painter, a house girl, a Superintend- ent's house girl, a State parlor girl, five laundry women, three special ironers, a chief cook, a Superintendent’s cook, two cooks for patients, an employes' cook, an assistant cook, a special diet cook, a seamstress, a fireman, a “roustabout,” a porter, and a servant for the Steward. b The statute provides that the Superintendent and the Steward shall receive stated salaries, shall have comfortably furnished quarters at or near the Asylum, and they, together with the family of the Superintendent, shall be entitled to take their meals in the Asylum at the expense of the State. It further provides that “no commutation however shall be allowed in 20 SPECIAL REPORT ON TEII. [Doc. 33. lieu of said meals and quarters, nor shall said officers be enti- tled to or receive, either directly or indirectly, any other further perquisites or compensation for their services.” It is not believed that the Commissioners are authorized to use the funds of the institution in paying the wages of servants for either of these officers. * I file herewith an inventory of all the property, real and per- Sonal, belonging to the Asylum. The aggregate value of this property is fixed by the Steward at five hundred and sixteen thousand and twenty-two dollars and eighty-six cents, and he estimates the personal property to be worth one hundred thousand nine hundred and forty-seven dollars and eighty-six cents. * The principal improvement latterly made in this Asylum is the new building which was erected by a special appropriation. As this work was done by a special commission, I have not sup- posed that it is my province to report concerning it. I will be permitted, however, to say that the building is not only unfin- ished, but is apparently built of cheap and inferior materials. Although considerable sums have been expended in its construc- tion, it is just such a building as must always be a disappoint- ment to the State. sº It appears that the improvements made by the present man- agement have consisted of ordinary and necessary repairs. The Superintendent and Board of Commissioners have adopted what I conceive to be the true theory with regard to the pur- pose of the per capita allowance which I had the honor to mention in a former part of this report. The Commissioners’ visiting register shows that, during the year 1887, Commissioner Clay visited the Asylum on the follow- ing days, to-wit : February 3d, February 9th, March 9th, and May 12th ; Commissioner Williams on February 23d, March 9th, September 28th, and December 20th ; Commissioner Pat- terson on March 9th and December 20th ; Commissioner Fou- shee on March 9th and December 12th ; Commissioner Todd on March 9th, August 12th, August 19th, August 24th, and August 31st ; Commissioner Kimbrough on April 26, May 12th, August 3d and December 3d ; Commissioner Scott on May 12th ; and Commissioner Gibbons on the 12th day of May ; and these are the only visits of inspection which appear on the register. Doc. 33.] LUNATIC ASYLUMS OF KENTUCKY. 21 The Commissioners are men of good business ability, but they do not maintain that vigilant inspection over the Asylum that the statute requires. I have found no instance of the use of the funds or supplies of the institution for private purposes. The live stock of this Asylum are well cared for in every par- ticular. The farm here is more fertile than either of the other farms, and is in a higher state of cultivation. It is prudently managed, and is very productive. The Steward’s statements of the pro- ducts of the farm and garden do not show their net profits, and it is, therefore, difficult to ascertain the correct results of the farming operation. The Steward has been relieved of some of his duties by the appointment of an officer called the Farmer and Gardener. There are several tenant houses inside the Asylum grounds, which are occupied by employes. These houses are as objec- tionable here as at the Central, and for the same reasons. The Commissioners have, paid considerable sums of money to a bank in Lexington in the way of interest on overdrafts on the Asylum's account. The patients are well provided for in all essential particulars, and the apartments of the officers are well furnished. It may not be uninteresting to add a few comparative esti- mateS. During the last Asylum year, the daily average number of patients in the Western Asylum was about five hundred and eighty; in the Central the daily average number was seven hundred and thirty-eight, and in the Eastern, six hundred and thirty-five and thirty-four one hundredths. According to the statement of the Steward, the expenses of the Western Asylum for the year beginning November 1st, 1886, and ending November 1st 1887, amounted to the sum of ninety-four thousand two hundred and eighty-two dollars and ninety-five cents, which is equal to one hundred and sixty-two dollars and fifty-five cents for each patient. In addition to this, the products of the farm and garden furnished the Asylum were valued at four thousand nine hun- dred and twenty-six dollars and ninety-six cents. 22 SPECIAL REPORT ON THE [Doc. 33. The expenditures of the Central Asylum for the same period amounted to the sum of one hundred and thirty-five thousand seven hundred and forty-four dollars and ninety-nine cents, which is equal to one hundred and eighty-three dollars and ninety-three cents for each patient. I have not sufficient data to accurately state the value of the products of the farm and garden for this period, but the value of such products could not be an inconsiderable sum. The total expenses of the Eastern Asylum for the same period amounted to one hundred and six thousand three hun- dred and twenty-five dollars and ninety-nine cents, which is equal, to one hundred and sixty-seven dollars and thirty-five cents for each patient. The amount of expenses for this period should be increased by the value of the products of the farm and garden furnished the Asylum. This value can not be certainly stated. It must, however, be greater than the value of the products of either of the other farms. The three pay-rolls for December, 1887, show that there were twenty-one attendants in the Western Asylum, forty-seven in the Central, and forty-four in the Eastern. During the year 1887, the Western Asylum consumed seventy thousand bushels of coal; the Central one hundred and thirteen thousand three hundred and ten bushels, and the Eastern fifty- two thousand bushels. It will be observed that the estimated value of the personal property in the Eastern Asylum exceeds the aggregate esti- mated valueof the personal property in the other two Asylums. In each of these Asylums, horses, vehicles and drivers are kept for the use of the officers. In one respect, there has been a complete departure in each of these Asylums from the original theory of the duties of the Medical Superintendent. Except in rare instances, this officer no longer performs professional services for the patients. The medical work is done almost exclusively by the assistant physi- cians. The Superintendent is distinctively a man of affairs. His efficiency is not measured by his professional skill, but he is regarded as a good or a bad officer according to his business qualifications and executive ability. Doc. 33.] LUNATIC ASYLUMS OF KIENTUCKY. 23 It is a pleasure to say that I am indebted to the various offi- cers in these asylums for many courtesies and for very many valuable suggestions. It is not pretended that my hurried investigations have been thorough. It would not be possible to make a thorough inspec- tion of one of these institutions in the whole time allowed me for all. It is only hoped that this statement will be in some degree responsive to your written instructions. Respectfully, R. A. MILLER.