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Pennsylvania Historical and Museum Commission
Bureau of Archives and History
Pennsylvania State Archives


RG-23

Records of the DEPARTMENT OF PUBLIC WELFARE

Series Descriptions



Harrisburg State Hospital



The Harrisburg State Hospital was created as the Pennsylvania State Lunatic Hospital and Union Asylum for the Insane in 1845 (P. L. 440) to provide care for mentally ill persons throughout the Commonwealth of Pennsylvania. Under this legislation, a nine-member board of trustees was empowered to appoint a superintendent, purchase land, and construct facilities near Harrisburg. In 1848 the name of the hospital was changed to the Pennsylvania State Lunatic Hospital when $50,000 was appropriated to begin construction. When the first patient was admitted on October 6, 1851, every poor district was charged a $2.00 weekly maintenance fee for the care of each indigent patient. The boarding charges for private patients were scheduled to vary between $3.00 and $10.00 based upon ability to pay. In 1869 the Board of Public Charities was created to inspect all public and voluntary charitable institutions in the Commonwealth and to report to the legislature with recommendations concerning their operation. For four decades this unpaid Board and its small staff had no authority to correct the conditions it found. Nonetheless, by persuasion and publicity they were able to improve the quality of care in public institutions. A major objective was the removal of the insane from almshouses to the Pennsylvania State Lunatic Hospital and other state hospitals. A Committee on Lunacy was created within the Board of Public charities in 1883 to oversee the operations of these mental institutions. In 1921 the name of the hospital was changed to the Harrisburg State Hospital. In that year, the Board of Public Charities was abolished and in 1921 the Department of Public Welfare was created to administer all state hospitals. Up until 1955 certain administrative responsibilities, such as the selection of the hospital Superintendent and the enactment of rules and regulations governing the hospital, were vested in the Board of Trustees of the Harrisburg State Hospital. In 1955 an amendment to the Administrative Code authorized the Department of Public Welfare to assume administrative responsibilities for the Harrisburg State Hospital, relegating its Board of Trustees to specific advisory duties. This act also provided for the appointment of a Commissioner of Mental Health in the Department of Public Welfare who assumed overall responsibility for Pennsylvania's mental health program.

Account of Clothing Issued to Female Patients,
1851-1862.
(2 volumes)

{series #23.136}


Arranged chronologically by admission date.

A record of clothing issued to female patients. Information given includes each patient's name, registration number, admittance date and a list of the clothing items issued to her. For related records see Account of Clothing Issued to Male Patients, 1851-1858 {series #23.137}.

Account of Clothing Issued to Male Patients,
1851-1858.
(2 volumes)

{series #23.137}


Arranged chronologically by date of admittance.

Indexed internally by surname.

A record of clothing issued to male patients. Information found includes the patient's name, registration number, admittance date and a list of the clothing items issued to him. For related records see Account of Clothing Issued to Female Patients, 1851-1858 {series 23.136}.

Admission Card File,
1885-1952.
(3 cartons)

{series #23.138}
[RESTRICTED]

Arranged numerically by admission number.

A record of individuals admitted to the Pennsylvania State Lunatic Hospital and the Harrisburg State Hospital. The 5 x 8 index cards list the patient's name, admission date, physician's name, the case and admission number, age, marital status, number of children, nativity of patient and patient's parents, and year of arrival in United States where applicable, citizenship status of both the patient and his or her parents, race, educational level, occupation, religious affiliation, social and economic, place of residence and the length of time spent in the state. Also noted are etiological factors other than heredity; psychosis number, group, and type; temperamental and intellectual characteristics, any family history of mental or nervous diseases, mental deficiency, or inebriety; whether the patient was an abstainer, temperate, or intemperate with regard to the use of alcohol; and accompanying physical diseases not related to the psychosis; and the duration and number of the present attacks prior to admission.

Admission Registers,
1851-1969.
(8 volumes)

{series #23.139}
[RESTRICTED]

Arranged chronologically by date of admission and thereunder alphabetically by patient surname.

A record of patients admitted to the Pennsylvania State Lunatic Hospital and the Harrisburg State Hospital. For the years 1851-1956, the hardback bound books list patients number, name, admission date, age, race, whether indigent or private pay, nativity marital status, number of children and living brothers and sisters, occupation, and the county, city, and township of previous residence. Also given is the name of the person by whose authority sent, the date and signature appearing on the medical certificate, the name of the disorder if identified, the symptoms of the supposed sign of insanity, any complication, and whether the patient was suicidal, homicidal, paralytic or a congenital idiot. Where applicable, notations the date of discharge, whether the patient died or did not improve, the period of residence in years, months, and days, and other remarks. Information provided for years 1956-69 includes the patient's registration number, name, date of admission, whether indigent or private pay, county of residence, type of commitment form, date of discharge or death where applicable, and remarks.

Advancement Requisitions, Appraisals, and Treasurer's Quarterly Statements,
1916-1926, 1928-1931.
(1 folder)

{series #23.140}


Unarranged.

A record of appraisals and valuations of real estate and personal property owned by the Harrisburg State Hospital for years. Included are advancement requisitions, appraisals of land, Treasurer's Quarterly Statements, real estate valuation estimates, statements of valuations placed on personal property, inventories of personal property and statements of valuation placed on state-owned property.

Alphabetical Registers of Patients,
1851-1895.
(2 volumes)

{series #23.141} [RESTRICTED]

Arranged alphabetically by patient surname.

Registers of patients admitted to the Pennsylvania State Lunatic Hospital providing each patient's name, number from the general register, page number upon which the patient's name appears in the county register, the name and address of person to be notified in case of emergency, the name and address of the person responsible for payment, and the date of discharge.

Annual and Biennial Reports,
1851-1928, 1954-1956.
(4 volumes, 2 booklets, 1 binder)

{series #23.142}


Arranged chronologically by date of board meeting.

Annual and biennial reports presented to the State Lunatic Board of Trustees. Information provided includes the names of the trustees present, the superintendent's year end report, the treasurer's report enumerating annual expenditures, a water supply and sewage report, and a record of admissions, discharges and deaths. Also present are instructions to the counties regarding the admission of patients into lunatic asylums.
**Unprocessed materials in this series include: accession #4811, 1921-1923, 1926-1928, 1954-1956 (2 booklets, 1 binder)**

Annual Financial Statements of Pennsylvania State Lunatic Hospital to Board of Charities,
1898-1921.
(1 box)

{series #23.143}


Arranged chronologically by date of report.

Yearly report of the Pennsylvania State Lunatic Hospital presented to the Board of Public Charities. Information given includes a list of committee members of the Board of Public Charities, a valuation of real and personal property, an itemized list of receipts and expenditures, the amount of cash on hand, and an account summary.

Annual Reports of the Board of Public Charities,
1870-1882, 1885-1906.
(32 volumes)

{series #23.144}


Arranged chronologically by date of report.

Annual reports of the Board of Public Charities of the State of Pennsylvania. The Board's mission was to gather information on the conditions of all charitable and correctional institutions in the State, to inspect financial records, and to observe and criticize procedures. Information given includes a list of the names of the officers, a report specifying the powers and duties of the board, minutes of the meetings, a list of the names of institutions visited, and a record of expenditures. The Secretary and General Agent's Report provide more detailed information concerning the charitable institutions, almshouses and county homes visited. Also present are statistical on penitentiaries, reformatories, criminal courts, county jails, alms-houses, the township poor, and medical charities that were placed at the end of each yearly report from 1873 through 1906.

Annual Reports of the Harrisburg State Hospital,
1851-1922.
(70 volumes, 35 booklets)

{series #23.145}


Arranged chronologically by year of report.

Annual Reports of the trustees and superintendent of the Pennsylvania State Lunatic Hospital. Information provided for each year includes a list of hospital officers (board of trustees, superintendent, physician, assistant physician, steward, matron, and treasurer), a narrative report by the superintendent, a summary statement of receipts and expenditures, and the steward's annual statement. Reports after 1852 include a report by the physician of the female department. Statistical charts at the end of each report document admissions and discharges for the year. Statistical information includes the number of patients each age category admitted; the nativity, residence, occupation and civil condition of those admitted; how they were supported (private or indigent); the assumed cause of insanity, the form of disease and complications of those admitted; and the number of attacks, admissions, and the duration of insanity before entrance to the hospital. Additional information on disease and recovery includes the age and nativity of those recovered; the number of discharged recovered; the duration of the disease before treatment; the duration of treatment; and the form, cause and total duration of the disease among those who recovered.
**Unprocessed materials in this series include: accession #4811, circa 1852-1922 (35 booklets)**

Architectural Drawings,
[ca. 1900-1937]
(18 items)

{#series 23.146}


Unarranged.

Architectural drawings for the construction of the Harrisburg State Hospital showing dimensions, elevations, and layouts. Included are drawings of the Department for the Chronic Insane, First Floor Plan, by Addison Hutton [ca. 1900]; the entrance to the Pennsylvania State Lunatic Hospital, by J. G. Basinger (1913); Plot Plan showing the Ground Floor Plans of the buildings of the State Lunatic Hospital, by Addison Hutton and J. A. Dempwolf, (1908); the Male Recreation Building-Foundation, First Floor and Roof, (undated); the Solarium (undated); and the Medical Center (Chapel and Main Building- 1, 2, 3 floors), (undated).

Bailey Fund Account Book and Bank Statements,
[ca. 1931-1937, 1951].
(1 folder)

{series #23.147}


Arranged chronologically by date of entry.

A record of debit and credit entries posted to the Bailey Fund Account of the Occupational Therapy Department, Harrisburg State Hospital.

Biennial Reports of the Harrisburg State Hospital,
1921-1958.
(8 volumes)

{series #23.148}


Arranged chronologically by date of report.

A record of biennial reports of the Harrisburg State Hospital. Reports from June 1, 1921 to May 31, 1923 and June 1, 1926 to May 31, 1928 are in published form while reports from 1946 to 1958 are mimeograph copies. Each report includes a list of the names of members of the board of trustees and consulting staff, reports from the board of trustees and superintendent, and statistical data compiled by the hospital.

Blotters.
1891-1921, 1926-1971.
(13 volumes)

{series #23.149}


Arranged chronologically by month.

A monthly record of female and male patients who were admitted, discharged, or returned to the Pennsylvania State Lunatic Hospital. Also listed are the names of patients who were paroled or on trial.


Correspondence Concerning Dr. Clery Rutan Treat,
1916-1918.
(1 folder)

{series #23.151}


Arranged chronologically by date of letter.

Correspondence pertaining to the employment and eventual dismissal of staff member Dr. Clery Rutan Treat. The letters are written to and from Dr. H. L. Orth, Superintendent and Physician of the Pennsylvania State Lunatic Hospital. Most of the correspondences are signed mimeograph copies or are typed. Among these are hand written letters from Dr. Treat to Dr. Orth applying for employment.

Correspondence Regarding the Ordering of Supplies,
1896-1919.
(1 folder)

{series #23.152}


Arranged chronologically by date of letter.

Correspondence received and sent by Dr. H. L. Orth and Dr. W. M. Green with reference to the supply and delivery of perishable foods to the Pennsylvania State Lunatic Hospital.

Correspondence with Dr. Henry I. Klopp, Superintendent of the State Homeopathic Hospital, Allentown, Pennsylvania,

1912-1922.

(1 folder)

{series #23.372}

Arranged chronologically by date of letter.

Correspondence received and sent Dr. Henry I. Klopp concerning the establishment of an occupational room for women at the Pennsylvania State Lunatic Hospital, the need of a special supply account for supplies, employee wage increases, hospital rate charges, out patient clinics, and the price of animals, farm equipment and household supplies.

Correspondence with the Pennsylvania Railroad Company,

1901-1913.

(1 folder)

{series #23.153}

Arranged chronologically by date of letter.

Correspondence written to Dr. H. L. Orth from the Pennsylvania Railroad Company, pertaining to an estimate made by the Railroad Company on a steel and concrete coal trestle for the Pennsylvania Lunatic Hospital.

County Register,

1851-1918.

(1 volume)

{series #23.154} [RESTRICTED]

Arranged alphabetically by county and thereunder by surname of patient.

Register of patients admitted to the Pennsylvania State Lunatic Hospital by individual county governments. Information provided includes the patient's name, the county patient number, the admission register number, the date of admission, whether indigent or private pay, date of discharge, and whether improved. The register was first compiled in the 1870s and 1880s and reflects those patients who were admitted in the 1850s and still living in the hospital at that time.

Court Order Books,

1883-1924.

(19 volumes)

{series #23.155} [RESTRICTED]

Arranged numerically by admission number.

A record of patients declared insane by the Courts of Common Pleas and the Courts of Quarter Sessions of various counties. Information found includes the patient's name, admission number and date the patient was brought before the court.

Daily Registers,

1851-1969.

(6 volumes)

{series #23.156} [RESTRICTED]

Arranged chronologically by date of entry. A daily record of the number of patients at the Pennsylvania State Lunatic Hospital and Harrisburg State Hospital. Information given includes the date and day of the week, the average number of males and females admitted per day, the average number of males and females who were admitted, paroled and discharged per month and the number of patients who recovered or died during the month. The registers from 1880-1895 only list female patients while registers from 1881-1905 and 1905-1930 list only male patients.

Death, Discharge and Transfer Card File,

1947-1958.

( 2 cartons)

{series #23.157} [RESTRICTED]

Arranged numerically by admission number.

Card file documenting deaths, discharges and transfers from the Harrisburg State Hospital. For each patient the 3x8 inch cards lists the name, case number, age at admission and age at time of departure, nativity, citizenship status of the patient and of his or her parents, place of residence at time of admission and the date of last admission. Also given is the nature of the psychosis (number, group, type), duration of last psychosis before admission and the number of previous attacks, the duration of last hospital residence, the total duration of hospital stay, the patient's condition at the time of discharge or transfer and the cause of death where applicable. If the patient was discharged, the name of the person to whose custody he was delivered is given together with their address. In the case of death, date of death and the results of the autopsy are given.

Electroshock Treatment Record Book,

[ca. 1941-1958].

(4 volumes)

{series #23.158} [RESTRICTED]

Arranged alphabetically by patient surname.

A record of patients treated with electroshock therapy at the Harrisburg State Hospital. Information found includes the patient's name, date of treatment, and the voltage administered. A large majority of the patients listed in the electroshock therapy books are female.

Employee Index,

1893-1894.

(1 volume)

{series #23.159}

Grouped alphabetically by first letter of surname and then chronologically by date of hire.

A record of employees at the Harrisburg State Hospital. Entries give each employees name and date of hire and serve as an index to the Employment Record Card File, 1892-1908 {series #23.161}.

Employers' Reports of Industrial Injury,

1961-1964.

(1 volume)

{series #23.160}

Arranged chronologically by date of accident.

A record of industrial accidents at the Harrisburg State Hospital. Reports of industrial injuries had to be filed with the Department of Labor and Industry within 48 hours of every injury that resulted in death and with 15 days after the date of injury for all other injuries covered by the Workmen's Compensation Act. Exceptions were made for injuries resulting in disability continuing less than the day or shift in which the injury occurred. Information given about each accident includes the employer's name, office address and nature of business; the date and place where accident occurred; the date disability began and whether the injury was paid in full for the day. Employee information includes the employee's name, age, date of birth, address, marital status, number of children under 18 years of age. occupation, length of employment with the hospital, number of hours worked per day and the number of days worked per week. Information on the causes of accidents includes what the employee was doing at time of accident, how the accident occurred, whether or not the accident could of been prevented, the nature of the injury or occupational disease, the name of the attending physician and hospital, the date of the report, and the name of the Director of Nursing. For related employee information see the Employment Record Card File, 1892-1908 {series 23.161}.

Employment Record Card File,

1892-1908.

(4 boxes)

{series #23.161}

Arranged alphabetically by surname of employee.

Indexed externally in Employee Index, 1893-1894 {series #23.159}.

A record of employees at the Harrisburg State Hospital. Information given includes name, age, height, weight, nationality, educational level occupation, date of application, position applied for, date of employment and position filled.

Exhibit Documents,

1851-1910.

(10 items)

{series #23.162}

Unarranged.

Oversized copies of documents mounted and framed for an exhibit. Includes a request for Admission and Bond, October 6, 1851; a letter from Simon Cameron to Miss D. L. Dix, April 23, 1861; a letter from R. C. Wood to Miss Dorothea L. Dix, May 20, 1861; a letter from Miss Dorothea L. Dix to Edwin M. Stanton; an Order in relation to the service of Miss Dix signed by Edwin M. Stanton; a letter from Gerald M. C. Margs to the Adjutant General in regards to a flag for Miss Dix, Dec. 4 1866; a letter from Miss Dorothea L. Dix to General E. D. Townsend, January 25, 1867; a certificate from the United Daughters of the Confederacy to Mrs. Ann Craig Green, December 5, 1910; and the Rules and Regulations of the Committee on Lunacy of the Board of Public Charities.

History File,

1851-2000.

(2 boxes, 1 folder)

{series #23.163}

Unarranged.

A series of newsletters, pamphlets, magazine articles, and booklets relating to the history of the Harrisburg State Hospital. Items include Know Your Hospital (a series of bulletins edited by the Social Service Department); Heard On The Hill (a series of bulletins published by the Harrisburg State Hospital); a report written by George R. Bedinger titled, "Pennsylvania's Greets Public Need"; Senate Bill No. 104 (New York State) titled "An Act to amend an act entitled "An act to organize the State Lunatic Aslum for insane convicts"; "The Harrisburg State Hospital: Nursing Program"; two maps of the grounds of the Harrisburg State Hospital; a brochure relating the history of the Harrisburg State Hospital; letters, programs, and newspaper articles relating to the Cherry Blossom Festival held at the hospital on May 1, 1980; newspaper articles on retired superintendent, Dr. H. C. Eaton; Rules and Regulations of the Pennsylvania State Lunatic Hospital, 1851; by-laws of the Pennsylvania State Lunatic Hospital, 1890; two articles, written by Dr. H. C. Eaton, on the history of the Harrisburg State Hospital; photographs of retired employees at the Harrisburg State Hospital labeled "Memento to Retired Employees"; newspaper photographs of the grounds of the State Hospital; and various magazine articles on the 125th anniversary of the Harrisburg Hospital in 1976.
**Unprocessed materials in this series include: accession: #1477, 1895-1974 (1 long box); accession #4811, circa 1920-2000 (1 folder)**

Incidental Expense Account Book,

1951-1908.

(1 volume)

{series #23.165}

Arranged chronologically by date of transaction.

A record of incidental expenses from the Pennsylvania State Lunatic Hospital. The hardbound ledger lists the entry date and the nature of the expense for such items as food, clothing, material, parts for small appliances and the petty cash reserve. Incidental Prescriptions, 1881-1883. (2 volumes) {series #23.166} Arranged chronologically by date of prescription. A record of prescriptions given to patients at the Pennsylvania State Lunatic Hospital. The two hardbound ledgers list the patient's name, the date the prescription was given, and the type of prescription.

Index to Register of Patients,

1851-1881.

(1 volume)

{series #23.167}

Arranged alphabetically by surname.

A partial index to the Register of Female Patients,1852-1884{series #23.198} and Register of Male Patients 1851-1895 {series #23.199}.

Information found is the name of the patient and the date of admission.

Indexes of Persons to be Notified,

undated.

(3 volumes)

{series #23.168}

Arranged alphabetically by surname of patient.

A record of relatives and individuals who were to be notified in case of patient emergencies. The hardback volumes list the patient's name and the name and address of the individuals to be notified.

Journal of John Curwen,

1851-1885.

(1 volume)

{series #23.169}

Arranged chronologically by date of entry.

A record of daily accounts written by Dr. John Curwen at the Pennsylvania State Lunatic Hospital. The hardback volume includes the date and a brief entry on daily occurrences at the hospital. For related material on individual patients see the Letter Press Book of John Curwen, 1853-1854 {series 23.175}.

Ledger,

1875-1885.

(1 volume)

{series #23.170}

Arranged chronologically by date of entry.

A ledger of accounts at the Pennsylvania State Lunatic Hospital for the dairy, farm, stable garden, and improvements and repairs. For related expense information see: Ledger and Journal of Bills Rendered and Received, 1851-1852, 1871-1875 {series #23.171}.

Ledger and Journal of Bills Rendered and Received,

1851-1852, 1871-1875.

(1 volume)

{series #23.171}

Grouped by type of account and arranged thereunder chronologically by date of transaction. Ledger accounts for bills rendered and received at the Pennsylvania State Lunatic Hospital for clothing, room, board and for damages incurred by patients. Information includes the date of the transaction, the name of the patient, the amount charged, and the total amount received.

Ledger of Patient Accounts,

1851-1866.

(1 volume)

{series #23.172}

Arranged alphabetically by surname of patient and thereunder chronologically by payment date.

A record of patient accounts for the Pennsylvania State Lunatic Hospital. For each account the name of the individual responsible for payment is given together with the patient's name, the amount of the payment for room and board, and the amounts charged for items purchased. The ledger also lists unsettled accounts for those patients who left the hospital. A folder at the back of the ledger contains several items relating to the Pennsylvania State Lunatic Hospital such as blank circulars, two copies of Women's Act No. 466, several receipts, and a statement of stock operations for the months October - December 1887 and January - July 1888.

Letter Press Book of J. Z. Gerhard,

1883.

(1 volume)

{series #23.173} [RESTRICTED]

Arranged chronologically by date of letter.

Letter Press book kept by Hospital Superintendent J. Z. Gerhard. Information typically found includes the date of the letter, the name and address of the individual to whom the letter was sent, and a short paragraph concerning the mental or physical condition of a particular patient.

Letter Press Book of J. B. Livingstone, Steward,

1890-1895.

(1 volume)

{series #23.174}

Arranged chronologically by date of letter.

The letter press book of Hospital Steward J. B. Livingstone documenting the contents of approximately thirty letters sent to various merchants who supplied the hospital with provisions. Many of the letters are so faded as to be illegible.

Letter Press Book of John Curwen,

1853-1854.

(1 volume)

{series 23.175} [RESTRICTED]

Arranged chronologically by date of letter.

Letter press book documenting the condition of various patients. The hardbound volume shows the date of each letter, the address of the individual to whom the letter was sent, and one or two paragraphs concerning the mental or physical condition of a particular patient. Many of the letters are illegible due to fading. For a record of daily accounts kept by John Curwen see also the Journal of John Curwen, 1851-1885, {series #23.169}.

Malarial Treatment and Anti-Typhoid Vaccine Record Book,

1924-1950.

(1 volume)

{series #23.176} [RESTRICTED]

Arranged chronologically by date of inoculation.

This book records the number of malarial treatments and anti-typhoid vaccines given to patients between the years 1924 and 1950. The hardbound book lists each patient's name, the date inoculated, the body temperature and the date quinine or tryparsamide was injected. In some cases notes record whether the patient improved, was in fair condition, or died.

Medical Case Book,

1851-1867.

(1 volume)

{series #23.177} [RESTRICTED]

Indexed by patient surname.

Medical case book for male and female patients at the Pennsylvania State Lunatic Hospital. Information given includes name, age, sex, occupation, marital status, appearance of the patient upon admission, and physical characteristics and temperament. Also included is a description of the mental disorder; the manner and period of the attack, any changes produced in the patient's temper or disposition, and whether the patient exhibited any failure of memory or understanding, symptoms of epilepsy, paralysis, tremulous movements of the tongue, defects in articulation, or weakness or unsteadiness of gait. The case book also usually gives what was believed to be the predisposing cause of the attack, notes whether the patient had experienced any former attacks, reveals whether the most recent attack had been preceded by any premonitory symptoms such as restlessness, unusual elevation or depression of spirits, or any deviation from ordinary habits and conduct. Finally, any previous treatment are noted and whether the was subject to personal restraint.

Medical Case Books of the Female Department,

1880-1922.

(30 volumes)

{series #23.178} [RESTRICTED]

Arranged chronologically by admission number.

Case books for female patients at the Pennsylvania State Lunatic Hospital and Harrisburg State Hospital give the patient's name, age, sex, occupation, marital status, the appearance of the patient upon admission, habits and temperament, the appearance of the eyes, any unusual expressions, any peculiarity in the form of the head, and the physical state of the vascular, respiratory, and abdominal organs. The pulse, tongue, skin, were urine were tested and the presence of bruises or other injuries noted. Also included is a description of the mental disorder; the manner and period of the attack, a minute account of the symptoms and the changes produced in the patient's temper or disposition, whether the malady displayed itself in illusions or irrational conduct, morbid or dangerous habits or propensities, and whether it had occasioned any failure of memory or understanding or was connected with epilepsy, paralysis, tremulous movements of the tongue, defects in articulation of speech, or weakness or unsteadiness of gait. Possible predisposing causes are given such as former illnesses or whether the present illness had been preceded by any premonitory symptoms such as restlessness, unusual elevation or depression of spirits, or any remarkable deviation form ordinary habits and conduct. Previous treatments are noted as well as whether the patient subject to personal restraint. During the first month after admission, entries were to be made at least once in every week or, in certain cases, when the nature of the case required it. In all cases, an accurate record was to be kept of the medicines administered and other remedies employed, the outcome of the treatments, and any injuries or accidents.

Medical Case Books of the Male Department,

1881-1924.

(42 volumes)

{series #23.179} [RESTRICTED]

Arranged chronologically by admission number.

Medical case books for male patients at the Pennsylvania State Lunatic Hospital and Harrisburg State Hospital. Information given includes the patient's name, age, sex, occupation, marital status, the physical appearance of the patient upon admission, habits and temperament, the appearance of the eyes, facial expression, and any peculiarity in the form of the head. Also given is the condition of the vascular and respiratory systems, the abdominal organs and their respective functions, the state of the pulse, tongue, skin, urine etc. and whether any bruises or other injuries were visible upon admission. There is a brief description of the nature of the mental disorder, the manner and period of the attack, and any changes in the patient's temper or disposition. The presence of delusions or irrational conduct, morbid or dangerous habits or propensities any failure of memory or understanding, symptoms of epilepsy, paralysis, tremulous movements of the tongue, defect of articulation, or weakness or unsteadiness of gait are noted as well. The book lists other physical afflictions that might have been predisposing causes of the illness and whether the illness had been preceded by any premonitory symptoms such as restlessness, unusual elevation or depression of spirits, or any remarkable deviation form ordinary habits and conduct. Any treatments for such symptoms that were previously tried are given and whether the patient was subject to personal restraint. During the first month after admission, entries were to be made once in every week or when the nature of the case required it. In all cases an accurate record was to be kept of the medicines administered and other remedies employed, together with the results they produced and of any injuries or accidents that occurred.

Medical Journals,

1922-1936.

(6 volumes)

{series #23.180}

Arranged chronologically by date of entry.

Weekly journals documenting the total number of male and female patients who were sent to the Harrisburg State Hospital and the conditions for which they were admitted. Information given for each week includes the date, the total number of both indigent and private patients in the hospital, and the number of patients who were employed, restrained, secluded and under medical treatment, violent or had died.

Medical Reference Books,

1844-1971.

(26 volumes)

{series #23.181}

Unarranged.

Medical reference books pertaining to the topic of charitable institutions and institutions for the insane. Book titles are as follows:

* Miss Dix's Memorial.

* Hospital Reports (1844-1847): Maryland, North Carolina, South Carolina, District of Columbia, Alabama, Louisiana, Maine (1845-1854).

* Hospital Reports: Michigan (1862-1874).

* Addresses and Reports on Insanity (1868-1880).

* On the Construction, Organization and General Arrangements of Hospitals for the Insane with Some Remarks on Insanity and its Treatment by Thomas S. Kirkbride (1880).

* Memoir of Thomas Kirkbride by John Curwen, Charles H. Nichols, and John H. Collender (1885).

* State Prisons, Hospitals, Soldiers' Homes and Orphan Schools controlled by the Commonwealth of Pennsylvania Embracing their History, Finances and the Laws by which they are Governed (1897)

* Charitable Institutions of Pennsylvania which Received State Aid in 1897 and 1898, Embracing their History and the Amount of State Appropriations which they Received (1898), 2 vols.

* German Psychological Warfare, Survey and Bibliography edited by Ladislas Farago (1941).

* The Pennsylvania Medical Journal, Vol. 5, No. 1, (October 1946). Mental Hospitals, Volume VI, Number V, Published by the Association of Medical Superintendents of American Institutions of the Insane, (May 1955).

* Working in a Mental Hospital a Guide for Ward Personnel by Edith M. Stern (undated).

* Factors Affecting Leave Planning for Geriatric Patients in the Harrisburg State Hospital for the Mentally Ill by William E. Kissinger, (1964).

* A Study of the Injuries Made and the Harrisburg State Hospital Out-Patient Clinic: their Nature, Source and Disposition by Katherine L. van Adken (undated).

* The Admission Ward Experience of Transferred Patient by Edward V. McDonough (1966).

* The Crazy World of Mental Health or Towards Saying What Doesn't Get Said by Deborah Juran, (1971).

* Annual Reports of the Trustees of the Willard Asylum for the Insane (1871-1874).

* Annual Reports of the Medical Superintendent of the New York City Asylum for the Insane, (2 vols.) (1878).

Medical Record of Prescriptions,

1889-1892.

(2 volumes)

{series #23.182} [RESTRICTED]

Arranged alphabetically by patient surname.

A record of prescriptions given to patients at the Pennsylvania State Lunatic Hospital. Information provided includes each patient's name, the date the prescription was written, and a description of the medication prescribed.

Minute Books of the Board of Trustees of Harrisburg State Hospital,

1851-1861, 1895-1928.

(4 volumes)

{series #23.183}

Arranged chronologically by date of meeting.

Minutes of monthly meetings of the Board of Trustees of the Pennsylvania State Lunatic Hospital and Harrisburg State Hospital. The handwritten notes reveal names of the council members present, the time and date of the meeting, and a brief summary of the discussion and of the business transacted. Topics include the reports of the treasurer, superintendent and steward; financial matters; the engineering status of the physical plant; plans for a water works; institutional policies and procedures; the status of patients admitted and discharged; the mental and physical state of patients; the status of the industrial shop; the number of deaths and their causes; and fluctuations in the patient population.

Minute Book of Commissioners of the State Lunatic Hospital and Union Asylum,

1845-1853.

(1 volume)

{series #23.184}

Arranged chronologically by date of meeting.

Handwritten draft minutes of monthly meetings of the Commissioners of the State Lunatic Hospital and Union Asylum. The minutes give the names of the commission members present, the date of the meeting, and a summary of the discussion and business transacted. Topics include the establishment of a Board of Trustees composed of county committee members for the Pennsylvania State Lunatic Hospital and Union Asylum, the purchase of the Ridgeway Farm for the erection of the Asylum, a resolution for the building of an Lunatic Hospital, a Supplement to the Act to establish an Asylum for the Insane Poor of the Commonwealth of Pennsylvania, the hiring of an architect and builder for the Hospital, the collection of subscriptions for partial payment of the Hospital, and financial reports.

Minute Book of the Executive Committee of the Harrisburg State Hospital,

1925-1934.

(1 volume)

{series #23.185}

Arranged chronologically by date of meeting.

Minutes of the monthly meetings of the Executive Committee of the Harrisburg State Hospital. The hand written drafts reveal the names of the commission members present, the time and date of the meeting, and a summary of the discussion and the business transacted. Topics include a discussion of House Bill No. 382 relating to the sale of surplus products of State Institutions, supply and construction contracts, a plan to increase the capacity of the ice manufacturing plant, the purchase of additional land for the hospital, the engineering status of the physical plant, and financial reports.

Minute Book of the Executive, Local and Visiting Committees of the Board of Trustees,

1851-1924.

(1 volume)

{series #23.186}

Arranged chronologically by date of meeting.

Minutes documenting monthly meetings of the Executive, Local and Visiting Committees of the Board of Trustees of the Pennsylvania Lunatic Hospital and Harrisburg State Hospital. The hand-written minutes give the date the meeting was held and a summary of the discussion that occurred. Topics include the status of the physical plant, the welfare and condition of the patients, supply and construction contracts, and employment. Among these is a request Superintendent Dr. Curwen to visit the Army of the Potomac during the Civil War.

Minutes and Other Records of the Transitional Living Program,

1966-1968.

(1 box)

{series #23.187} [RESTRICTED]

Minutes and group therapy notes are arranged chronologically by month. The Dictaphone tapes and other miscellaneous papers on the Horizon House Rehabilitation Program are unarranged. Minutes, group therapy notes, Dictaphone tapes and miscellaneous papers documenting the monthly meetings of the Transitional Living Program of the Harrisburg State Hospital. The typed minutes reveal the names of committee members present, the times and dates of meetings, and a summary of the discussion. Topics include the mental and physical fitness of patients, and the status of patient employment and patient interaction. Information in the group therapy notes include each patient's name, case number the therapist's names and patient evaluations. The Dictaphone recordings of patients document the therapy sessions and are accompanied by lists of patients who took part in the program. The miscellaneous folder on the Horizon House Rehabilitation Program contains the following papers: "A Community-Based Behavioral Milieu for Psychotic Men," by John D. Denderson and Pascal E. Scoles, Jr.; "The Special Contributions of A Hospital Halfway House," by George J. Wayne, M.D. (1963); "Goals and Problems of Psychiatric Rehabilitation Research," by Armin Loeb, Ph.D. (1964); "Psychiatric Studies & Projects," published by the Mental Hospital Service of the American Psychiatric Association (1964); "Patient Government: A New Form of Group Therapy," by Robert W. Hyde, M.D., and Harry C. Solomon, M.D. (1950); "Horizon House Highlights," (1965); "Ex-Mental Patients in Halfway Houses," (1964); "Proposal for Agreement between Threshold of Berks County, Inc. and the Bureau of Vocational Rehabilitation for the purpose of Providing Halfway House Rehabilitation Services," (1967).

Miscellaneous Plans and Reports,

1932-1973.

(19 volumes)

{series #23.188}

Unarranged.

Various plans and reports relating to the Harrisburg State Hospital. Included are an evaluation of the Harrisburg State Hospital, 1933; an account by the Public Charities Association of Pennsylvania on the State Welfare Building Program in Pennsylvania, 1933; a booklet titled, A Pictorial Report on Mental Institutions in Pennsylvania (1947); The Hospital Plan for Pennsylvania: Revision for Fiscal Year, 1950, a comprehensive program centered around the physical plant of Pennsylvania Insane Institutions; The Harrisburg State Hospital Plan for Program Development, a report on the approaches to the care and treatment of the mentally ill; The Mental Health Act of 1951: Act of June 12, 1951, P.L. 533, as amended through 1963 and other related statutes; The Comprehensive Mental Health Plan, Prepared by The Governor's Advisory Committee for Comprehensive Mental Health Planning, 1965; Community Services for the Mentally Retarded and the Mentally Ill in Cumberland, Perry and Dauphin Counties, Pennsylvania, prepared and compiled by the Tri-County Welfare Council, 1967; Transitional Living and gateway Program of the Harrisburg State Hospital, July 15, 1967-November 1, 1968; A Description of Three Treatment Models for the Long-term Psychiatric Patient, Harrisburg State Hospital, 1968; Proposal for Geographic Unit Organization of the Harrisburg State Hospital, 1968; Harrisburg Hospital Mental Health Center, a descriptive report on the Mental Health Center at the Harrisburg Hospital; Harrisburg State Hospital: Proposal for the Development of a System of Rehabilitation Programs, 1969; Proceedings of the Fourth Annual Psi Chi Colloquium at Gettysburg College, 1969; Harrisburg State Hospital: Annual Report of the Cumberland-Perry Unit, July 1, 1970-June 30, 1971; The Psychiatric Treatment Center Program, 1973; a brief report of the physical condition of the Harrisburg State Hospital (photographs and a topographical map are included).

Monthly Census Reports,

1922-1956.

(1 box)

{series #23.189}

Arranged chronologically by month.

Monthly census reports for the Harrisburg State Hospital. Information provided includes the name of institution, the population of the Hospital at the beginning of month, number of patients on visit and parole at the beginning of month (including escapes), first admissions, re-admissions, and removals during the month (recovered, improved, unimproved, without psychosis, transferred, and died). Also given is the total number discharged, transferred or deceased during the month; population remaining at the end of the month; the number of patients on visit and parole (including escapes); special characteristics of the patients (indigent insane, private insane, voluntary cases, habit cases); and any special characteristics of patients remaining in the hospital (indigent, private, voluntary, habitual cases, children under sixteen, mental defectives: idiots, imbeciles, morons, not insane, criminally insane, convict insane, tuberculoses). Also shown in the report are occupations of patients (ward work, dining room work, kitchen, laundry, sewing and fancy-work, farm and garden shops, labor, other), the total number of patients employed, the total employed in the preceding month; a record of recreational activities (chapel, motion picture, dances, other); daily average number of patients under restraint; the daily average number of patients secluded; the character of the restraints and the reasons for their use; and the names of indigent mental patients received during month who were not citizens of Pennsylvania and their places of supposed legal residence and the address of a relative or correspondent.

Order, Statement and Certificate Books,

1889-1903.

(11 volumes)

{series #23.190} [RESTRICTED]

Arranged chronologically by date of admission.

Record boks containing orders, statements, and certificates relating to the admission and certification of patients at the Pennsylvania State Lunatic Hospital. Documents that may be found for each patient include an Order for the Reception of the Patient giving the name of the patient and the name of the person who authorized the admission, the date of admission. The Statement Concerning the Patient gives the patient's name, sex, age, residence, occupation, the names of the parents, the name of the spouse, the name of any children, the names and places of residence of any siblings, a statement concerning the nature of the insanity, and the name and address of all medical attendants. Certificate of Physician shows name of the physician who certified the patient insane. The Certificate of Magistrate or Judicial Officer gives the name of individual who officially asked to have the patient certified as insane.

Parole Book,

1962-1973.

(1 volume)

{series #23.191}

Arranged chronologically by date of parole.

A record of patients paroled from the Harrisburg State Hospital. Information given includes the name of the patient, the date of the parole, and whether the patient was subsequently discharged or had returned to the hospital.

Patient History Books,

1893-1916.

(19 volumes)

{series #23.164} [RESTRICTED]

Arranged numerically by admission number.

A record of patient histories at the Pennsylvania State Lunatic Hospital. Information given includes each patient's date of admission, registration number, case book number; name, age, sex, weight, height, hair and eye color, temperament, marital status, birthplace, occupation, educational level, family history, past history, present state of mind, whether violent or suicidal, and whether an alcoholic. Also noted is whether the patient was infected with syphilis, whether he exhibited any drug dependency, unusual facial expression, or difficulty in articulating speech. Such physical characteristics as skull conformation, ear measurements, palate abnormalities, motor function of muscles, reflexes, secretions, special senses, trophic disturbances, unusual color or odor in the urine samples, body temperature, pulse rate, circulatory or respiratory problems, and the results of any sugar level, tongue, and albumin tests are given. Finally, the patient's mental state and the clinical diagnosis are given.

Patient Register,

1930-1932.

(1 volume)

{series #23.192}

Arranged numerically by admission number.

Register of patients admitted to the Harrisburg State Hospital. Information includes the patient's name and registration number; date of parole, return, final discharge, death or transfer; and daily record.

Pennsylvania Hospital Report Books,

1817, 1845-1897.

(37 volumes)

{series #23.193}

Unarranged

Annual reports from various insane hospitals and asylums in Pennsylvania. Each report includes a list of the members of the hospital's board of trustees and consulting staff and may include both reports by the Superintendent and hospital statistical data. Hospitals that are represented are the State Hospital for the Insane at Warren, the Western Pennsylvania Hospital for the Insane at Dixmont, the State Hospital for the Insane for the South-Eastern District of Pennsylvania at Norristown, the State Hospital for the Insane at Danville, the Butler Hospital for the Insane at Butler, the Friends Asylum for the Insane in Philadelphia, and the Pennsylvania Epileptic Hospital and Colony Farm at Philadelphia.

Graphic Images of Harrisburg State Hospital,

[ca. 1848-1981].

(1 carton, 1 flat box, 2 oversized folders, 1 tube, 2 folders)

{series #23.194}

Unarranged.

Photographs, engravings, drawings and postcards of varying sizes depicting the hospital facilities, hospital staff going about their duties, and patients receiving treatment. Many of the items are second-generation copies made about 1970 for an exhibit on the hospital's history. Also present is the Charles Johnson Collection, 1900-1927, consisting of 58 images depicting hospital staff, patients, and interior and exterior views of buildings, most of which were taken by J. W. Roshon or LaRue Lemer. A salted paper print by Langenheim Brothers depicting the hospital's Board of Directors is dated May 20, 1851.
**Unprocessed materials in this series include: accession #4885, circa 1848-1981 (2 oversized folders, 1 tube); accession #4811, circa 1890-1980 (2 folders)**

Quarterly Account Book,

[ca. 1851-1869].

(1 volume)

{series #23.195}

Arranged chronologically by date of entry.

Quarterly account book containing debit and credit entries posted by the Pennsylvania State Lunatic Hospital for the purchase of household items, furniture, and building maintenance, farm and garden operations, and medicines. Also included are receipts for patients admitted to the hospital. Receipt Book, 1880-1884. (1 volume) {series #23.196} Arranged chronologically by date of receipt. A record of moneys received by D. W. Gross, Treasurer of the Pennsylvania State Lunatic Hospital, and by Superintendents Dr. John Curwen and Dr. J. Z. Gerhard. Information given is the patient's name and the amount received.

Register of Discharges, Removals and Deaths,

1851-1892, 1927-1964.

(5 volumes)

{series #23.197} [RESTRICTED]

Arranged numerically by discharge or death number.

Register of patients who were discharged or died at the Pennsylvania State Lunatic Hospital and Harrisburg State Hospital. Information given is the patient's name, the date of discharge or death, the date last admitted to the hospital, and the admission number.

Register of Female Patients,

1852-1884.

(1 volume)

{series #23.198} [RESTRICTED]

Arranged chronologically by admission number.

Partially indexed externally in the Index to Register of Patients, 1851-1881 {series #23.167}.

Register of female patients admitted to the Pennsylvania State Lunatic Hospital. Information given includes the patient's name, registration number, admission date, civil condition, age, nativity, place of residence and occupation. Also recorded is the duration of attack prior to admission, type of commitment and financial arrangement, the apparent cause and form of the disease, the nature of any complications and the outcome, the date of discharge, the total period of residence at the hospital and any remarks.

Register of Male Patients,

1851-1895.

(1 volume)

{series #23.199} [RESTRICTED]

Arranged chronologically by admission number.

Partially indexed externally in the Index to Register of Patients, 1851-1881 {series #23.167}.

Register of male patients admitted to the Pennsylvania State Lunatic Hospital. Information given includes the patient's name, registration number, admission date, civil condition, age, nativity, place of residence and occupation. Also recorded is the duration of attack prior to admission, type of commitment and financial arrangement, the apparent cause and form of the disease, the nature of any complications and the outcome, the date of discharge, the total period of residence at the hospital and any remarks.

Staff Conference Record Books,

1941-1969.

(75 volumes)

{series #23.200} [RESTRICTED]

Arranged chronologically by date of patient evaluation. Indexed externally in Staff Conference Record Books Index, 1941-1969 {series #23.201}.

Record books pf staff conferences concerning patient evaluations conducted by the medical staff of the Harrisburg State Hospital. Information given includes each patient's name, admission number, the date of the evaluation and the diagnosis.

Staff Conference Record Books Index,

1941-1969.

(10 drawers)

{series #23.201}

Arranged alphabetically by patient surname.

A set of index cards that corresponds to the Staff Conference Record Books, 1941-1969 {series #23.200}. The 3x5 inch cards list each patient's name, date of evaluation, and the volume and page upon which the evaluation record can be found.

Staff Diagnosis Books Relating to Parole,

1942-1966.

(5 volumes)

{series #23.202} [RESTRICTED]

Arranged chronologically by month and thereunder numerically by case number.

Record books containing diagnoses of patients who were subsequently placed on parole. Information given includes the date, the name of the patient, the case number, the county of residence, the date of return, and the medical diagnosis.

Staff Meeting Record Books,

1918-1932.

(5 volumes)

{series 23.203} [RESTRICTED]

Arranged chronologically by date of meeting.

Record books of staff meetings concerning the diagnoses of individual patents at the Harrisburg State Hospital. Information includes date of the diagnosis, the name of the patient, the admission number, and the diagnosis.

Telegram Books,

1903-1911, 1919-1925.

(2 volumes)

{series #23.204} [RESTRICTED]

Arranged chronologically by date of telegram.

A record of telegrams sent from the Pennsylvania State Lunatic Hospital and Harrisburg State Hospital pertaining to individual patients. Information includes the date and time the telegraphic message was sent, the name of the person sending the telegram, the content of the message and the name of the person to whom the telegram was sent.

Veterans' Fund Bank Statements,

1950-1951.

(1 folder)

{series #23.205}

Arranged chronologically by date of entry.

A record of debit and credit entries posted to the Veterans' Fund of the Harrisburg State Hospital. The origin of the fund is not known nor how it relates to individual hospital accounts.

Visitor Record and Prescription Book,

1881-1882.

(1 volume)

{series #23.206} [RESTRICTED]

The visitor section is arranged chronologically by date of visitation while the prescription section is alphabetical by surname.

Rrecord book of visitations and of the prescriptions written for patients at the Pennsylvania State Lunatic Hospital. Visitation information includes the date of the visitation, the patient's name and the name of the visitor. Information given in the prescription book is the date the prescription was written, the patient's name and the type of medication prescribed.

Voucher Register for Departmental Accounts and Expense Recapitulation Book,

1928-1931.

(1 volume)

{series #23.207}

Arranged chronologically by check number.

Voucher register and recapitulation expense book providing documentation of business transactions between the Harrisburg State Hospital and various individuals and companies. The volume is divided into three parts: the Voucher Register, Departmental Accounts and the Recapitulation of Expenses under Budgetary Code. The voucher register gives the voucher number, the name of the person for whom the voucher was in favor, the date of the voucher, the check number and the type of individual debit account (stores, administration, household, operation of plant and care of grounds, repair and upkeep, shoes and clothing, professional care of patients, auxiliary agencies and sundry activities, agricultural activities and industrial activities). The individual debit account ledger is an administration account of the salaries of the superintendent and assistants, administrative salaries, office supplies, printing, newspaper advertising, insurance, interest on short term loans, wages of garage employees, traveling expenses, gas, freight, express and cartage, and rent. The household account covers salaries and wages, general supplies, bedding, supplies, groceries, vegetables, fruit, dairy products, and meat products. The operation of plant and care of grounds account covers the wages of engineers and other employees, fuel and gas costs, light and power costs, water and ice, oil, waste and engineers supplies, sewage disposal supplies, seeds and plants, and fertilizers). The repair and upkeep account covers salaries and wages, materials and supplies, replacements and improvements, motor equipment expenses and repairs, motor, office, and miscellaneous expenses. The shoes and clothing account covers the cost of boots, shoes and rubbers and cobbler supplies, the salaries and wages of tailors, the salaries and wages of seamstresses, and the cost of items purchased or made. The professional care of patients account covers salaries, fees, and supplies for the x-ray, hydrotherapy, occupational therapy, dental therapy,electrotherapy, and laboratory departments. The auxiliary agencies and sundry activities account covers books, supplies, salaries of principal, clerks,and teachers, traveling expenses, the transfer of patients or inmates and gratuities to departing inmates). The agricultural activities account covers salaries and wages, fees, seeds, plants, fertilizers, spraying materials, small tools and supplies, repair and maintenance of motors, fuel, food and forage for live stock, miscellaneous equipment, and live stock. The recapitulation account lists salaries and wages, fees, office supplies, printing costs, stationery and postage costs, traveling expenses, telephone and telegraph expenses, passenger car maintenance expenses, newspaper advertising, light, power and water charges, freight, express and cartage charges, rent, food, insurance, replacements and improvements, subsidies, office equipment and motor equipment.

Weekly Operation Report Book of the Sewage Disposal Plant,

1918-1923.

(1 volume)

{series #23.208}

Arranged chronologically.

Weekly record of the operations of the sewage disposal plant of the Pennsylvania State Lunatic Hospital and Harrisburg State Hospital. Information given is the number of hours of pumping and the number of gallons pumped, which settling tanks were in use, which sprinkling filters were in use, the number of hours the sludge bed was in use, the source of sludge dose, dose in gallons), the amount of precipitation in inches, and the results of the putrescibility tests for raw sewage, settling tank effuent, sprinkling filter effluent, and final settling tank effluent).


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