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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



Dixmont State Hospital



The Western Pennsylvania Hospital was founded in Pittsburgh in 1848 as a general hospital that treated all types of illnesses and became the first institution in western Pennsylvania to offer treatment for the insane. When the Insane Department of the Western Pennsylvania Hospital was moved to a new building in Kilbuck Township outside of Pittsburgh in 1862 it was renamed the Western Pennsylvania Hospital for the Insane at Dixmont to honor the memory of Dorothea Dix, an advocate for reforming the treatment of mental patients. The Dixmont Hospital was legally separated from the Western Pennsylvania Hospital in 1907 when it was individually incorporated as the Dixmont Hospital for the Insane. Supported by private contributions since 1852, it was primarily state appropriations that enabled the hospital to expand its facilities and care for an increasing number of mentally ill persons over the first nine decades of its existence. Despite receiving state appropriations, it nonetheless continued to operate as a private corporation until 1945 when it was taken over by the Department of Public Welfare. From that date, it operated under the name Dixmont State Hospital until it closed in July 1984.

Accounts Receivable Papers,
1917-1918, 1938-1940.
(2 folders)

{series #23.49}


Arranged chronologically in reverse date order by month report was prepared.

These papers document the monetary balances that were due on boarding accounts. The accounts were set up for both private and public patients and in the case of private patients only the patient's names are listed. The Commonwealth of Pennsylvania and county agencies funded the care for public patients. Information given includes the name on the account; whether the balance was public or private, any credit balance, the date of the report, the total amount collected from public and private accounts, and the amount recorded in the general ledger.
**Unprocessed materials in this series include: accession #5345, 1917-1918 (1 folder)**

Address File (Includes a National Survey of Mental Hospitals),
1928, 1930-1932, 1936.
(1 folder)

{series #23.50}


Arranged chronologically.

A file containing a miscellany of materials including notices of annual and quarterly meetings of the Board of Directors, a notice of proxy for an annual meeting, two booklets entitled Information For Visitors and Schedule of Lectures for the Training of Attendants, a transcript of an address delivered by H.A. Hutchinson to the nursing staff, and notes compiled for a National Survey of Mental Hospitals by Paul O. Komora of the National Committee for Mental Hygiene.

Admission Books,
1883-1944.
(3 volumes)

{series #23.51}
[RESTRICTED]

Arranged chronologically by date of admission.

Admission books for Dixmont State Hospital and its predecessor hospitals. Information given includes the patient's name, age, race, gender, social class, place of birth, marital status, place of residence, any previous register number, and the dates of the current and any previous admission, discharge and/or death where applicable. Entries also identify the person who ordered the commitment, give the reason for discharge, describe the form and duration of the mental disorder and the number of attacks, the age at first attack, the patient's condition at time of discharge, and any other pertinent remarks.

Annual and Biennial Reports,
1848-1972.
(185 volumes, 2 folders)

{series #23.52}


Arranged chronologically by date of report.

Annual and biennial reports documenting the financial status and activities of the hospital. Information provided includes reports prepared by the superintendent, treasurer, farmer, storekeeper, and head housekeeper, among others. The reports include statistical tables documenting the patient population, hospital expenditures, and production of the farm. In addition, for each year in operation between 1897 and 1934 there is a listing of nurses who graduated from the Dixmont Hospital Training School.
**Unprocessed materials in this series include: accession #5345, 1871-1942 (86 volumes)**

Annual Supply Schedule Book,
1926-1927.
(1 volume)

{series #23.53}


Arranged by numerically item number.

Indexed internally, alphabetically by subject.

Annual Schedule of Supplies ordered by the Commonwealth of Pennsylvania for the fiscal year June 1, 1926 to May 31, 1927. Information given includes the item number, the estimated yearly quantity required, a description of the requested articles, the minimum order size, the maximum and net price per item, and the name of the supplier to which the contract was awarded.

Applications for Parole and Leave of Absence,
1946-1947.
(1 folder)

{series #23.54}


Arranged chronologically by date parole or leave of absence was granted.

Application forms used for the granting of parole or leave of absence to male and female patients at Dixmont State Hospital. Information given includes the name of patient and the name of the person to whose custody the patient was released, the length of the parole, the date parole was granted and the date of the return to the hospital, and the guardian's address. Some forms still retain the attachment that was to be carried by the patient while on parole.

Appropriation Files,
1927-1939.
(1 folder)

{series #23.55}


Unarranged.

Correspondence, cost estimates and copies of legislation put forth by the Pennsylvania House of Representatives and the Senate regarding appropriations to the Department of Welfare for operating the Dixmont Hospital. Information generally found includes lists of items needed by the hospital, the quantity and cost of items, and the date appropriations were approved by an act of the legislature.

Attendants' Daily Reports,
1940-1941.
(4 folders)

{series #23.56}


Arranged in reverse date order, and thereunder by ward number.

Daily reports covering the twenty-four hour period ending at 8 o'clock p.m. each day that were prepared by ward attendants in the Male Department at the Dixmont Hospital. Information provided about each ward includes the name of the ward attendant, the capacity of the ward, both the current number of patients and the number of new patients who were admitted, discharged, died, or escaped. Also found are the number of patients involved in various types of activities, the number patients employed and the locations where they were employed, notes concerning complaints, and the names of patients who died or were received from or transferred to another ward.

Attendants' Night Reports,
1940.
(2 folders)

{series #23.57}
[RESTRICTED]

Arranged in reverse date order.

Reports prepared by ward attendants primarily for the 6th Ward, but also some from other wards in the Male Department. Information provided includes the names of the patients residing in the ward, the names of the night attendant and the day nurse relieved, an hourly account of the nocturnal activity of patients from 8 PM till 3 AM, and the number of patients listed on the ward census at 6 AM.

Autopsy Records,
1920-1939.
(1 folder)

{series #23.58}
[RESTRICTED]

Arranged in reverse chronological order by date autopsy was performed.

Records of autopsies performed on both male and female patients at the Dixmont Hospital. Information given about each patient includes name, age, gender and race; the form of mental disorder from which they suffered; the dates of admission, death and autopsy; the clinical diagnosis and cause of death; the name of the physician who performed the autopsy; and specific details of the postmortem examination.

Bank Deposit Books,
1941-1945.
(1 folder)

{series #23.59}


Arranged by type of account.

Bank deposit books documenting deposits and withdrawals for four accounts maintained by the Dixmont Hospital. One book documents an account opened by J.L. Moore of Dixmont with the Colonial Trust Company, Pittsburgh, the purpose of which is unknown. Two books document accounts opened by Superintendent Henry A. Hutchinson with the Commonwealth Trust Company of Pittsburgh. One of these books was used as a live stock account 1941-1942, and the other was labeled only as account #2, 1942. Account #2 contains two canceled checks that were deposited into this account. The last book is for the Dixmont Hospital Christmas Fund account, 1943-1945.

Bank Statements and Canceled Checks,
1942-1945.
(1 folder)

{series #23.60}


Arranged by type of account and thereunder chronologically by date of statement.

Bank statements and canceled checks documenting payments made for goods and services supplied to the Dixmont Hospital. The statements give the amounts of deposits and withdrawals, the date accounts were debited or credited, and the balance in the account. Information provided from canceled checks includes the name of person receiving payment, the date of payment and the amount paid.

Bills,
1869, 1871.
(13 folders)

{series #23.61}


Arranged chronologically by date.

Bills providing an itemized list of goods, foods, and services purchased. Information provided includes names of companies or persons billing the hospital, a description of the items or the services provided, and the amount due. Examples of goods purchased include coffins, a subscription to The Pittsburgh Gazette, stamps, and medicine.
**Unprocessed materials in this series include: accession #5345, 1871 (1 folder)**

Blueprint of the Pittsburgh, Fort Wayne and Chicago Railway Through Western Pennsylvania Hospital Property,
1908.
(1 item)

{series #23.62}


Blueprint depicting property owned by the Western Pennsylvania Hospital and other individuals through which that the Pittsburgh, Fort Wayne and Chicago Railway obtained a right of way. The blueprint also shows the location of the railway's station house, roads and rivers, and the railway's tracks.

Cash Books,
1897-1930.
(12 volumes)

{series #23.63}


Arranged chronologically by date of entry.

Cash books documenting the cash flow through hospital accounts. Information given includes date of entry; form and amount of payment received or disbursed; and to whom or from whom the money was given or taken. In addition to the Dixmont Hospital's Cash Books, special Cash Books are also included for the Dixmont Hospital Alumnae Association, and the Superintendent's Petty Cash Fund.

Cash Receipt and Disbursement Books,
1924-1948.
(2 volumes)

{series #23.64}


Grouped by function and arranged thereunder chronologically by date.

Cash receipt and disbursement books for Dixmont State Hospital. Each volume is separated into two parts with the first section containing information regarding cash received and the second section documenting cash disbursements. Information contained in the cash received section includes the names of private patients or the counties and poor districts paying on accounts, state appropriations provided for maintenance, the sale of farm produce, interest incurred, burial expenses, and other special expenses. In order to balance at the end of the month, the cash was debited to the treasurer's account and credited to accounts receivable on the general ledger. Information contained in the cash disbursement section includes the name on the account, the voucher number, the amount payable and the total disbursements. In order to balance at the end of the month, accounts payable were debited and the treasurer's account was credited on the general ledger.

Checkbooks,
1917-1919, 1926-1945.
(4 folders)

{series #23.65}


Arranged in numeric succession chronologically by date of check.

Check registers documenting the expenditures for goods and services provided to the Dixmont Hospital. Information provided includes the date the check was written, the name of the person to whom paid, the purpose of the expenditure, and a record of deposits, balances, and overdrafts. A check register for J.L. Moore for the years 1931-1942 is also included in these records.

Confidential Report by the Board of Fire Underwriters,
1930.
(1 item)

{series #23.66}


Report prepared by the Board of Fire Underwriters of Allegheny County to assist in the elimination of recognized fire hazards. The report contains information relating to fire safety in existing buildings and new construction, occupancy regulations, ventilating systems, fire exits, common and special hazards existing in each department, and the underwriters' recommendations. Subjects discussed include the need for an increased number of fire hydrants and fire drills, patient overcrowding, and the need for fire doors and an automatic fire alarm system, and improvements to faulty electrical wiring. Also present is a supplemental report dated February 1935 that was prepared by the Allegheny Division of the Middle Department Rating Association, formerly the Board of Fire Underwriters. This is a follow-up report noting changes made by the hospital to comply with the underwriters' recommendations.

Construction and Renovation Agreements,
1893.
(1 folder)

{series #23.67}


Unarranged.

Contracts for renovations to the barn and the erection of horse stalls for the Western Pennsylvania Hospital for the Insane by the contracting firm of John A. Trimble & Brother on July 15, 1893 according to plans prepared by architect J.L. Osterling. Information given includes title and location of the project; names of the owner, architect and builder; date entered, length, and conditions of contract; and amount paid each project. Also included is a call for bids on architectural specifications for a water closet extension to the hospital.

Construction Plans and Specifications,
1929.
(1 folder)

{series #23.68}


Loosely arranged chronologically by date.

Construction plans and specifications dated October 31, 1929 for the Pitt Construction Company to construct a reinforced concrete reservoir, rising main and appurtenances at the Dixmont Hospital according to designs prepared by J.N. Chester Engineering. Information given includes title and location of the project; the names of the person for whom the plans were prepared, the engineer and the contractor; the date the contract was prepared and the length and other conditions of the contract; and the amount to be paid to the contractor. Also includes initial Pitt Construction Company estimates for the project, a bond statement prepared by the Hartford Accident and Indemnity Company, the general specifications of the project and the resolution by the Board of Directors granting approval for the project.

Daily Journals,
1859-1955.
(17 volumes)

{series #23.69} [RESTRICTED]


Arranged chronologically by date of entry.

Daily journal of persons admitted to or discharged from Dixmont State Hospital and all its predecessor hospitals. Information given includes the name of patient, the date of admission or discharge, by whose authority or request the patent was committed, the name of the person to whom patient was released, the names of the physicians who certified the commitment, and whether the care was paid under a public or private arrangement.

Daily Registers of Patients,
1908-1972.
(2 volumes)

{series #23.70}


Arranged chronologically by date.

Registers providing daily patient population census information for The Dixmont State Hospital and its predecessor hospitals. Entries are grouped by gender give the total number of public and private patients and the number admitted and discharged. A summary was provided at the end of the month giving for each gender the number of admissions, the conditions of patients who were discharged, the names of persons by whom patients were committed, and causes of any deaths that occurred.

Day and Night Report Books,
1936-1937.
(6 volumes)

{series #23.71}
[RESTRICTED]

Arranged chronologically by date of report.

Reports on the daily and nightly activities of female patients. Information given includes names of patients who were transferred or admitted, names of patients who had seizures or required special attention, the total number of patients on the census, the names of attendants, and the date and time of day covered by the report.

Death Cards,
1922-1936.
(1 folder)

{series #23.72}
[RESTRICTED]

Arranged alphabetically by decedents' surname.

Death cards providing a partial record of patient deaths at the Dixmont Hospital. Information given includes the patient's name, sex, and age at the time of death, the patient's citizenship status the citizenship status of his or her family; the number of prior attacks and hospital admissions, date and cause of death, the duration of the patient's stay in the hospital, the county and city of residence when admitted, the form of mental illness, and the name of the person who had patient committed. Cards only include patients' surnames from Sa-Z.

Death Certificates,
1909-1912.
(1 folder)

{series #23.73}
[RESTRICTED]

Arranged chronologically by date of death.

Certificates documenting deaths of patients at the Dixmont Hospital. Information given includes decedent's name, sex, race, dates of birth and death, age at time of death, marital status, occupation, names of parents, the places of birth of both decedent and parents, cause of death, date and county of burial, and the name of the undertaker and the attending physician.

Death Discharge Notices,
1897-1906.
(2 folders)

{series #23.74}
[RESTRICTED]

Arranged chronologically by date of death or discharge.

Death and discharge notices given to the Committee on Lunacy by the Western Pennsylvania Hospital for the Insane at Dixmont. Different portions of he same notice form were used for both death and discharge. The patient's name and date of admission is given for both deceased and discharged patients. For patients who were released, the date of release is given and the name of the person by whose authority the patient was discharged. In the case of death, the date of death, the name of the attending physician, and the cause of death are given.

Discharge Books,
1883-1930.
(3 volumes)

{series #23.75} [RESTRICTED]


Arranged chronologically by date of discharge or death.

Discharge books listing names of patients released from the hospital by reason of death or discharge. Information given includes the patient's name and register number, the date of admission, discharge, or death, the age at time of discharge or death, the patient's race, gender, and social class, the patient's condition at time of discharge and results of treatment, the cause of death, and the name of the institution to which a patient may have been transferred.

Discharge Cards,
1922-1943.
(8 folders)

{series #23.76}
[RESTRICTED]

Arranged alphabetically by patient's surname.

A set of 5" by 8" cards that were prepared at the time of patients' discharge from the Dixmont Hospital. Information generally found includes the nature of the patient's of mental disorder, age at the time of discharge, the name of the person by whose authority the patient was committed, the patient's citizenship status as well as the citizenship status of the patient's family, county and city of residence at time of admission, the number of previous attacks and admissions, date of parole or discharge, and the name of the person into whose custody patient was discharged.

Employees' Wage Books,
1880-1908.
(4 volumes)

{series #23.77}


Arranged chronologically by date wages were paid.

Wage books documenting employment in various positions including male and female attendants, firemen, laundresses, cooks, chambermaids, and other miscellaneous positions. Information about each employee is listed by month includes the employee's name and rate paid, the amounts paid to each employee, the amount paid out in wages per job classification and the total amount paid in wages.

Employees' Agreement Books,
1891-1939.
(6 volumes)

{series #23.78}


Arranged chronologically by date of agreement.

Record books of employee contractual agreements that had to be signed before pay could be received hospital staff. The information provided includes employees' name and title, date agreement was signed, and amount paid to employees per month. These volumes primarily represent the agreements with the hospital and male attendants. Only one volume, 1905-1908, represents the employment of females and males in a wide variety of positions around the hospital.

Expenditure Books,
1879-1941.
(7 volumes)

{series #23.79}


Arranged chronologically by date of expenditure.

Record books providing a detailed listing of expenditures of the Dixmont Hospital for household articles (including food and clothing supplies), furniture, medicine, insurance, money refunded, amusements, sundry accounts, repairs, salaries and wages, farm expenses, and miscellaneous. Information found in each account includes the type of account, the quantity and cost of items purchased per month, the quantity and cost brought forward per item, and the total amount expended.

Farm Account Order Book,
1893-1896.
(1 volume)

{series #23.80}


Arranged chronologically by date of requisition order.

A log of requisition orders on the farm account of the Western Pennsylvania Hospital for the Insane, Dixmont, Pennsylvania. The entries list the order number, the date the order was placed, and the items purchased. No prices are given.

Farm Record Book,
1910-1920.
(1 volume)

{series #23.81}


Arranged chronologically by date of expenditure or production entry.

A monthly record of expenditures for Dixmont Hospital Farm and a record of farm and garden produce per month. The type of information found includes the type of expense or the name of the farm product produced, the unit of measure, the expended or produced quantity, the amount brought forward and the total, the price per unit of measure, values assigned to items, the amount brought forward, and the total, and the total amounts expended and generated during the month.

Farm Wage Book,
1894-1908.
(1 volume)

{series #23.82}


Arranged chronologically by date wages were paid.

A monthly record of wages paid to persons employed at the Farm at the Western Pennsylvania Hospital for the Insane at Dixmont. Information found includes the name of the employee and the job title, the rate of pay per month, the total amount paid in wages to the employee, the number of days worked per month, and the day of pay disbursement. Also present are the employees' signatures.

Female Patients' Clothing and Property Book,
1890-1908.
(3 volumes)

{series #23.83}


Arranged chronologically by date of admission.

Indexed internally, alphabetically by surname of patient.

A record of the belongings of female patients in the care of the Western Pennsylvania Hospital for the Insane at Dixmont. Information provided regarding each patient's property includes the name of the patient, the date of admission and the items on their person at that time, dates and names of additional items that were acquired, where the additional items were acquired, and where the property was stored. Also present are receipts for items that were placed in the safe or were transferred to another institution.
**Unprocessed materials in this series include: accession #5342, 1903-1908 (2 volumes)**

Financial Reports,
1929-1945.
(1 folder)

{series #23.84}


Arranged chronologically by date of report.


Audited financial reports prepared by Willison Audit & System Company, Pittsburgh, Pennsylvania. These reports were prepared on each May 31, which was the end of the hospital's fiscal year. Each report contain's the auditor's comments, exhibits and schedules for the following types of information: statement of assets and liabilities, statement of operations, accounts receivable, and distribution of expenses by departments. Additional information present is a Summary of Farm Operations (1929) and Financial Statements (1933-1934).

Financial Statements,
1910-1923, 1935-1938.
(3 folders)

{series #23.85}


Arranged chronologically by date of statement.

Financial statements providing a record of earnings and expenditures at the Dixmont Hospital. Information given includes the amount of earnings generated from the Commonwealth, the counties, private patients, and other sources, and expenditures for payroll, transportation, communication, and food supplies, and a balance statement.

First Admission and Re-Admission Cards,
1891-1935.
(8 folders)

{series #23.86}


Arranged alphabetically by surname of patient.

Cards documenting both first admissions and re-admissions of male and female patients to Dixmont Hospital. Information given included the patient's the name, date of admission, nature of mental illness, age at admission, marital status and number of children, occupation, race, religious affiliation, places of birth both the patient and parents, the patient's county and city of residence at time of admission, a brief family medical history, information concerning both the present and any past attacks, and the name of the person by whose authority the patient was committed.

General Correspondence,
1896-1933.
(30 folders)

{series #23.87}
[RESTRICTED]

Organized in three distinct arrangements. Arranged chronologically by date of correspondence. Arranged alphabetically by patients' surname. And lastly arranged by topic for patients who were World War I veterans.

Correspondence includes letters written between the Superintendent of the hospital, Dr. Henry A. Hutchinson, and the members of patients' families and other professionals. Information contained includes inquiries into patients' condition; requests for clothing and other articles for patients; inquiries as to whether persons were patients at the hospital; as well as, administrative and financial activities. Also contains correspondence between the Superintendent of Dixmont Hospital for the Insane and various agencies with federal and state government in regard to World War I veterans. This correspondence covers the years from 1919 to 1922 and covers a variety of topics from venereal disease to requests for payment.

General Correspondence,
1885-1940.
(56 folders)

{series #23.88}
[RESTRICTED]

Arranged in two distinct groupings. The first group is arranged alphabetically by subject or by surname of correspondent and the second is arranged chronologically by date of correspondence.

General correspondence file that includes the correspondence of Hospital Superintendents H.A. Hutchinson and Dr. Thomas M. Barrett, Hospital President David A. Reed, and Music Director Miss Frances Weller. Correspondents include members of the Pennsylvania House of Representatives, the Jones & Laughlin Steel Company, Bernstein Manufacturing Company of Philadelphia, Henry Buhl Dry Goods of Pittsburgh, James B. Clow and Sons, and the Department of Health. Subjects include applications for employment, letters of recommendation, inquiries into the condition of patients from families and county institutions, and the appropriation of state funds.

General Orientation File,
1915, 1967.
(1 folder)

{series #23.89}


Unarranged.

Orientation packet given to new employees and new student nurses and hospital attendants. Topics covered include fire and safety regulations, personnel policies, emergency measures, and outlines of the functions of various departments. Accompanying the packets is a Report and Directory of the Training School for Nurses (1915), Outline of Theoretical and Practical Training for Attendants (1915), and Rules and Regulations of the Dixmont Hospital for the Insane (1915). These booklets provide basic instruction and guidance for nurses and attendants, general background information about the program, and a listing of scheduled courses for the year.

Hospital Record Books,
1856-1895.
(3 volumes)

{series #23.90}
[RESTRICTED]

Arranged chronologically by date of admission.

A record of admissions to and discharges from the Western Pennsylvania Hospital for the Insane. Information given includes the patient's name and register number, age, race, gender, marital status, occupation, place of residence, duration of illness before admission, presumed cause and nature of insanity, number of attacks, name of the person by whom committed, the reason for discharge, the length of time in the hospital, and dates of admission, discharge and death.

Hydro-Therapy Reports,
1913-1923.
(3 folders, 6 volumes)

{series #23.91}
[RESTRICTED]

The reports contained in the volumes are arranged in chronologically by year and thereunder alphabetically by patient's surname. Reports contained in folders are loose papers arranged in reverse date order by date of treatment.

These records document hydro-therapeutic treatments performed at the Dixmont Hospital. The volumes record treatments for female patients while the loose folders record treatments for both the male and female wards. Information given includes the patient's name, date of treatment, type and extent of treatment given, and remarks noting how the patient responded to the treatment. Monthly reports detail the type and number of treatments applied to patients.

In-Patient Record Cards for World War I,
1919-1920.
(1 folder)

{series #23.92}
[RESTRICTED]

Arranged alphabetically by surname of patient.

These 5"x8" cards provide a record of World War I soldiers who were provided mental treatment at Dixmont Hospital. Information given includes each patient's name and address and the name and address of the nearest relativen, the patient's veteran compensation number, rank, military organization, age at time of admission, gender, race, religion, occupation, place of birth, clinical diagnosis, whether patient was transferred or released and their condition at that time, and the dates of admission, transfer or release.

Indigent Patient Cards,
1893-1916.
(5 folders)

{series #23.93}


Grouped alphabetically by name of agency.

Indigent Patient Cards provide the name of the agency that paid for the treatment of indigent patients, the patient's name and the dates of admission, discharge or death.

Insurance File,
1901, 1915.
(1 folder)

{series #23.94}


Arranged chronologically by date.

Records documenting the valuation of hospital buildings and their contents by the Ogden M. Edwards Insurance Agency. Also included is correspondence from the Board of Fire Underwriters containing recommendations for reducing potential fire hazards.

Invoice Book,
1903-1908.
(1 volume)

{series #23.95}


Arranged chronologically by date invoice was received.

Invoice book for clothing, stationary, and hygienic supplies provided to the Western Pennsylvania Hospital for the Insane at Dixmont. Information includes type of account, the date the invoice was received, the type and quantity of goods purchased, the unit price, and the total amount covered by the invoice.

Journals,
1852-1945.
(12 volumes)

{series #23.96}


Arranged chronologically by date of entry.

Journals of income and expenses for the Western Pennsylvania Hospital for the Insane and The Dixmont Hospital providing an itemized listing of bith the expenses for goods and services provided to the hospital and of income derived from services provided by the hospital.

Ledgers,
1852-1945.
(6 folders, 15 volumes)

{series #23.97}


Each volume is arranged alphabetically the patient's name and thereunder chronologically by date of entry.

Ledgers documenting the charges and credits made to patient's accounts at the Dixmont Hospital and all its predecessor hospitals. For each account, a quarterly bill documents the date payment was received and gives a brief explanation of the charge, the number of the folio in which the charge was recorded, and the form of payment used. A special ledger contains accounts for household supplies and the relief fund.

Letter Press Books,
1917-1945.
(15 volumes)

{series #23.98}
[RESTRICTED]

Arranged chronologically by date of letter.

Indexed internally.

Letter press books of correspondence sent by Dixmont Hospital Superintendent H.A. Hutchinson concerning the physical and mental condition and patient histories compiled by Dixmont and other institutions. Other topics discussed include placing an advertisement in the American Medical Association's journal, letters of recommendation for nurses, and orders placed for flowers, live chickens, and electroshock equipment.

Male Patients' Property and Clothing Books,
1895-1908.
(3 volumes)

{series #23.99}


Arranged chronologically by admission date.

Indexed internally, alphabetically by surname of the patient.

Record books of personal property belonging to patients in the care of the Western Pennsylvania Hospital for the Insane at Dixmont. Information provided the patient's name and race, date of admission and a list of the items in his or her possession, the dates and a list of additional items acquired during the patient's stay, and notes revealing from where the additional items were obtained and where they were stored. Also included are receipts for items that were placed in the safe or were transferred to another institution.

Medical Lecture Notebook of Dr. Hutchinson,
1875-1877.
(1 folder)

{series #23.100}


Arranged by date of lecture.

Lecture notes of Dr. H.A. Hutchinson, the Superintendent of the Western Pennsylvania Hospital for the Insane at Dixmont. Information given includes the name of the physician presenting the lecture, the date of the lecture, and notes citing specific chemical experiments and surgical and medical procedures.

Meeting Notices and Notes,
1931-1941.
(1 folder)

{series #23.101}


Unarranged.

Records of various types of meetings such as the annual meetings, regular monthly meetings of the Executive Committee, and the quarterly and special meetings held by the Board of Directors. Meeting notices provide the dates, times and places of the meetings, minutes provide summaries of the business conducted the names of those present, and financial statements and bill vouchers provide documentation of financial transactions.

Meeting Proceeding Books,
1878, 1910-1911, 1916.
(5 volumes)

{series #23.102}


Arranged chronologically by date of meeting.

An assortment of meeting proceedings books labeled as follows: Proceedings of the Medical Society of the State of Pennsylvania in Relation to the Hospital for the Insane at Dixmont (1878) and four volumes labeled Proceedings of the Semi-Annual Meeting of the Association of Trustees and Medical Superintendents of the State and Incorporate Hospitals for the Insane and Feeble-Minded of Pennsylvania dated May 1910, June 1911, May 1916, and October 1916 respectively. Information provided includes the names of association officers and transcripts of addresses delivered.

Minute Book of the Building and Executive Committee,
1866-1870.
(1 volume)

{series #23.103}


Arranged chronologically.

Minutes of monthly and weekly meetings giving the names of committee member present, the date and place where the committee met, and a summary of the business conducted and of expenses authorized to be paid. Also included is a list of expenses authorized by the committee to be paid. Some of the issues discussed by the committee include improvements and renovations made to the hospital buildings and the condition of individual patients either before or after transfer or when their accounts became delinquent.

Minutes of the Executive Committee and Board of Directors,
1885-1945.
(1 volume, 9 folders)

{series #23.104}


Loosely arranged in chronological order by date of meeting.

The minutes of the Executive Committee and Board of Directors document administrative decisions concerning the daily operations of the hospital. Information given includes names of the members of the committee, the number of patients on the census, expenses paid, and general discussions of hospital affairs. Of interest to scholars studying women's history is a resolution in the 1885 volume stating that "the number of diseases women is so few that the appointment of a female physician ...is not needed; and when such cases do occur, the females would prefer...a male physician, because they insist that they are more sympathetic and, in their treatment, more considerate of their feelings, than female physicians."

Miscellaneous Account Books,
1857-1861, 1869-1907.
(5 volumes)

{series #23.105}


Arranged chronologically by date of entry.

An assortment of volumes containing different types of account information. The volume labeled 1857-1861 lists all types of accounts for Western Pennsylvania Hospital for the Insane, including improvement, expense, boarding, cash, and individual accounts giving patients' names the names of companies. All of these accounts include the name on the account, the dates of bills and payments, and the balance on the accounts. The volume labeled 1869-1879 kept by the Executive Committee includes information on salaries and wages, insurance, the amusement fund, buildings, state appropriations, bills payable, and donations. Information given includes the name on the account, the date a warrant was drawn, the warrant number, and the amount of the warrant. The volume labeled 1898-1904 documents the income generated by the hospital for any particular day in silver, currency, and by check. The two volumes covering the period 1900-1907 contain documentation on patient boarding accounts that were updated quarterly in February, May, August and November. Information includes name of patient, date of admission, number of weeks for which the county or poor district was billed, the quarterly charges for room and board, and the total amount owed.

Miscellaneous Accounts,
1902, 1920, 1939-1940.
(1 folder)

{series #23.106}


Arranged chronologically by date of entry.

This is a miscellaneous grouping of documentation for various financial accounts. Information found includes monetary charges to the counties and districts for the support of patients, deductions from employee wages, patient account statements, payroll data sheets from the Hospital Council of Allegheny County.

Miscellaneous Papers,
1857-1899, 1914-1916.
(1 folder)

{series #23.107}


Unarranged.

An assortment unrelated items including newspaper clippings and photographs of Thomas C. Bell, a copy of a letter written by Dorothea Dix, miscellaneous programs, laundry lists, requisition orders, a death certificate, and information on Dixmont's contribution to the War Farms Gardening Committee.

Monthly Balance Sheet Books,
1882-1945.
(6 volumes, 1 folder)

{series #23.108}


Arranged chronologically.

Books containing monthly balances income and expenses on the general account ledger, a record of credits due to the hospital and debits owed against the hospital's accounts, an itemized list of operating expenses and earnings, and the month account balance.

Monthly Record of Wards,
1912-1914.
(7 folders)

{series #23.109}


Arranged chronologically in reverse date order by monthly report and thereunder randomly by ward.

A monthly record of activities of patients residing in the male and female wards of the Dixmont Hospital for the Insane. Information given includes the patient's name, a daily activity report for each patient, and the ward number. Activities covered include work on and off the ward, whether sick in bed, whether fed by a nurse, simply on the ward, whether restrained, any dirty habits such as wetting or soiling the bed, and notations indicating the occurrence of any fits and whether the patient was secluded or required a special diet. Also records transfers, deaths and admissions into each ward.

Nurses' Lecture Roll Book,
1930-1933.
(1 folder)

{series #23.110}


Arranged by class title topics.

Rool book for student nursing classes conducted at Dixmont providing the class title, the dates and length of lectures delivered, the laboratory period, and recitation instructions. Also given are the names of the instructor and the students attending each class, the topics covered by the lectures, the grades scored on examinations and the final grade of each student, and a record of student attendance.

>Order Book,
1936-1937.
(1 volume)

{series #23.111}
[RESTRICTED]

Arranged chronologically by date prescription was ordered.

Order book for prescriptions ordered for female Ward 6 providing the name of the patient, the name of the physician issuing the prescription, the date and time when the medication was ordered, the type and amount of the medication, and the name of the person by whom the medication was administered.

Patient History Books,
1859-1950.
(64 volumes)

{series #23.112}
[RESTRICTED]

Arranged chronologically by date of admission.

Books documenting the medical history of patients and their families. Information provided about each patient includes name, age, gender, race, religious affiliation, occupation, place of birth, place of residence, marital status, number of children, places of residence and of birth of parents, names of the physicians who certified the commitment, the diagnosis of the mental disorder, any other personal characteristics, the date of admission and the name of the agency or persons who committed the patient.

Patient Population Statistical Tables,
1936-1946.
(3 folders)

{series #23.113}


Grouped by year.

Statistical tables documenting the patient population on an annual basis. The information relates primarily to patients' first admissions and documents population demographics by race, age, degree of education, economic condition, use of alcohol, marital status, cause of death, age at time of death, total duration hospital stay, country of birth, citizenship status, and financial information. Also listed are the number and gender of officers and employees and a list of names of private patients who became wards of the Commonwealth when the state assumed responsibility for the hospital in 1945.

Payrolls,
1919-1946.
(11 folders)

{series #23.114}


Arranged chronologically.

Payroll records documenting salaries paid to employees at Retreat State Hospital. These books also show salary and staffing changes over the years. They do not include the salaries for the Superintendent or for physicians. Patient's names were included on the payroll including the work performed and the wages paid. Information may include the employee's name and position, the number of days worked and amount paid per month, and the total amount spent on salaries for the month.

Photographs,
1908-1940.
(1 folder)

{series #23.115}


Unarranged.

Includes thirty-four prints, mostly 8x10, of Dixmont facilities, the staff going about their duties, and patients receiving treatment that were taken by various local photographers. Typical examples are two views of Dixmont's Red Cross Nurses participating in a parade with the Boy Scouts, ca. 1917.

Prints of the Western Pennsylvania Hospital for the Insane, Dixmont, and the Western Pennsylvania Hospital, Twelfth Ward, Pittsburgh,
[undated]
(1 folder)

{series #23.116}


Arranged by subject of the prints.

A group of multiple prints taken of the exterior of the Western Pennsylvania Hospital for the Insane at Dixmont. Ten of these produced by Armor, Feurhake & Company, Pittsburgh, depicts a front view of the hospital showing a horse and buggy and the railroad line. Four copies of a print of the Western Pennsylvania Hospital's Twelfth Ward were produced by J.W. Kerr, Architect and shows people walking around a prominent fountain in front of the building.

Proceeding Book of the Committee on the Ninth Ward Hospital,
1870-1871.
(1 volume)

{series #23.117}


Arranged chronologically by date of meeting.

Proceeding book of the Committee of the City General Hospital, Ninth Ward that was organized on February 4, 1870 with the Bank of Pittsburgh. In addition to the members from City General Hospital, the committee was made up of members from the Executive Committee of the Hospital at Dixmont and members of the Board of Managers of the Soldier's Home. According to the proceeding book, the committee primarily discussed the issue of overcrowding in the hospitals and arranged for the transfer of patients to other institutions to ensure better care.

Public Patients Boarding Accounts,
1938-1940.
(3 folders)

{series #23.118}


Arranged in reverse date order, thereunder alphabetically by patients' former county of residence.

Accounts providing information on each county as to the agencies paying for the care of the insane, the number of patients from each county, and the names of the counties represented at the Dixmont Hospital. Accounts for patients supported at Commonwealth expense are also listed. Information given about each patient includes name, number of days at the hospital, amount charged to the agencies per day, and the amount the agency owed to the hospital.

Record of Condition of Female Patients When Received,
1876-1904.
(16 volumes)

{series #23.119} [RESTRICTED]


Arranged chronologically by date patient was received.

Record of the physical condition and outward physical appearance of female patients at the time of their arrival. Information found includes the patient's name, the date they were received, the cleanliness of their clothing and hair, their physical condition such as whether they had bruises or carried lice, and the name of supervisors and assistants.

Record of Distribution of Expenditures,
1921-1945.
(1 folder, 2 volumes)

{series #23.120}


Unarranged.

Records of accounts for building materials, clothing and dry goods, salaries and wages, farm production, food supplies, medical supplies, household supplies, laundry supplies, and plumbing supplies. Each account reveals the nature of the items or services provided, the unit price, and the amount spent.

Record of Patients on Parole and Furlough,
1939-1953.
(1 folder)

{series #23.121}
[RESTRICTED]

Unarranged.

A record of patient paroles or furloughs. Information given includes the patient's name, the date of parole, the date of return and expiration, the time limit on the parole, and any conditions applying at the time of parole.

Record of Payment for Isolated Hospital Buildings,
1906.
(1 folder)

{series #23.122}


Unarranged.

This series contains correspondence, bills, and receipts pertaining to the construction of an isolated building on the grounds of the Western Pennsylvania Hospital for the Insane, Dixmont, Pennsylvania. The correspondence was exchanged between Dr. Hutchinson, Mr. Townsend, and Rose & Fisher, Contractors and Builders who constructed the facility at a total cost of $5279.86.

Record of People to be Notified,
1855-1952.
(8 volumes)

{series #23.123}
[RESTRICTED]

Arranged chronologically, and thereunder alphabetically by surname of patient.

These volumes provide a record of contact persons or organizations in case of death or emergency. Information provided includes the name and race of each patient, the patient register number, the date of admission, how they came to be committed, whether patient was transferred, escaped, paroled, or died, and the name, address and relationship of nearest relative. If no relative was listed, the agency that committed the patient was notified.

Record of Requisitions Directed to Purchasing Agent,
1893-1914.
(3 volumes)

{series #23.124}


Arranged chronologically by date of requisition order.

These volumes were compiled to log requisition orders for the Dixmont Hospital. The entries list the order number, the date the order was placed, and the nature of the items purchased. No prices are given. In addition to regular hospital supplies, other items ordered include dynamite, beer, tennis balls, and hard shelled clams.

Reports on the Cost of Indigent Insane,
1908, 1919-1926.
(13 folders)

{series #23.125}


Arranged chronologically by date report was filed, and thereunder alphabetically by county.

Reports documenting the cost of care and treatment of the indigent insane at the Dixmont Hospital. Information given includes the patient's name, the amount charged per patient per day, and the respective amounts charged to the county agencies, poor districts, and the Commonwealth.

Superintendent's Reports,
1911-1912, 1917-1918, 1921, 1928-1934, 1945.
(18 folders)

{series #23.126}


Arranged chronologically by date of report.

Monthly reports prepared for members of the Executive Committee by the Superintendent detailing hospital activities. Information found includes tables showing admissions, discharges and deaths; statistical data on the male and female departments; and a breakdown of the productive output of the Arts and Crafts Department, Farm and Garden Department, and Male Industrial Department.
**Unprocessed materials in this series include: accession #5345, 1911-1912, 1917-1918, 1921, 1930-1931, 1933-1934, 1945 (13 folders)**

Supervisor's Daily Reports,
1938-1940.
(5 folders)

{series #23.127}


Arranged chronologically in reverse date order.

Daily reports for the 24 hours ending at 8:30 p.m. which includes information on all the male and female wards. Information provided about each ward includes the number of patients, the number of patients employed and where they were employed, the number of patients involved in other activities, and the number of attendants and nurses.

Treasurer's Books,
1879-1940.
(4 volumes)

{series #23.128}


Arranged chronologically.

Records of daily financial transactions maintained by the treasurers of the Western Pennsylvania Hospital and for Dixmont Hospital. Information found includes name on the account, the account number, the amount owed or paid, and which account on the general ledger was debited or credited. On September 30, 1933, the keeping of treasurer's books were discontinued but the volume continued to be used as a cash and voucher record.

Voucher Record Books,
1917-1922, 1898-1947.
(8 volumes)

{series #23.129}


Arranged chronologically by date of entry.

Records documenting that expense vouchers had been paid. Information provided includes the name of person or company receiving payment, voucher and warrant number, the amount credited to accounts payable, the type of account debited (general expense, salaries, ordinary repairs, grounds, livestock, etc.), and the date of payment.
**Unprocessed materials in this series include: accession #5342, 1917-1922 (1 volume)**

Ward Inventory Book,
1859-1968.
(1 folder)

{series #23.130}


Arranged chronologically by year inventory was conducted, and thereunder by hospital ward.

Ward inventory book providing a detailed inventory of furniture and equipment in each wards, the basement and the hospital kitchen. Information is given on the cooking and food service operations, cleaning, laundering, patient bathing, heating and lighting, furniture and carpeting, and bedding. Examples of specific items mentioned are spittoons, a piano, and thermometers.

Warrant Books,
1867-1906.
((7 volumes)

{series #23.131}


Arranged chronologically by date of warrant.

Warrant book providing a record of authorized payments from accounts maintained at the Bank of Pittsburgh. The warrants give the warrant number, date, amount to be paid, to whom the warrant was issued, which account was to be debited, and the reason for the warrant.

Will Book of Charles Brewer,
1860-1878.
(1 volume)

{series #23.132}


Arranged by type of material.

Charles Brewer was born in Taunton, Massachusetts, moved to Pittsburgh in 1814, and died in Allegheny County in 1860 at the age of 76 years. Mr. Brewer bequeathed over $6,000 to both the Western Pennsylvania Hospital and the Western Pennsylvania Hospital for the Insane and the total amount of contributions Mr. Brewer gave to various institutions over his lifetime totaled over $370,000. This volume was compiled from the court records of Allegheny County by John B. McFadden, one of the Managers of the Western Pennsylvania Hospital and a member of the Committee of Managers for the Distribution of the Annual Income Accruing from the Brewer Fuel Fund Amongst the Poor of the Cities of Pittsburgh and Allegheny. It outlines assets, gives the names of the executors and of the persons or institutions to which Mr. Brewer left bequests and the amount of the bequest per annum, a summary of sums in several accounts, a recapitulation of amounts received and dispersed by the executors, a summary of bequests and payments to institutions, a listing of institutions in Allegheny County to which he bequeathed funds and the total amount they received. Some of the other institutions he supported included the Young Men's Bible Society, The Protestant Orphan Asylum of Pittsburgh and Allegheny County, The Pennsylvania Colonization Society, the Seamen's Aid Society, and the Association Mission of Minnesota Among the Indians.


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