. The institutional care of the insane in the United States and Canada . The medical service was similarly reclassified. The positionof clinical director was created. The clinical director is the per-sonal representative of the superintendent in the wards, and itis his primary business to look after the medical work of the hos-pital and, to a certain extent, to relieve the superintendent on theone hand and the first assistant physician on the other, who mustbe prepared to take the superintendents place in his absence. A scientific department was also organized. The nucleus of thisdepartment pr


. The institutional care of the insane in the United States and Canada . The medical service was similarly reclassified. The positionof clinical director was created. The clinical director is the per-sonal representative of the superintendent in the wards, and itis his primary business to look after the medical work of the hos-pital and, to a certain extent, to relieve the superintendent on theone hand and the first assistant physician on the other, who mustbe prepared to take the superintendents place in his absence. A scientific department was also organized. The nucleus of thisdepartment previously consisted of a pathologist and a clinicalpathologist only. There were added a psychologist, histopathol-ogist, and various assistants from time to time, and the wholework was organized under a scientific director. During the pastfour years the research work of this department has been publishedannually as a bulletin from the hospital. In addition to the work of reorganizing the institution, thehospital sought to extend its usefulness into many other GOVERNMENT HOSPITAL FOR THE INSANE I5I Accordingly it took surgeons from the Public Health and MarineHospital Service for training for work on Ellis Island in dis-covering insane immigrants. The hospital also brought the sub-ject of military psychiatry to the attention of the Army and Navy,and has had for some years surgeons from the army and navystationed at the institution to study psychiatry in order to apply itsresults for the betterment of their respective services. The institution also has gone on growing, increasing at the rateof nearly lOO patients per annum, until to-day there are 2946patients. The hospital spends approximately $750,000 per being an institution of only local reputation, its influencenow has wide ramifications. It receives patients from the militaryorganizations stationed throughout the United States and, sincethe war with Spain, from our island possessions. The growth ofscient


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpsychiatrichospitals