Concentration of these forms in central buildings means possible economy of construction and certain economy of maintenance.

Separation of classes in detached and widely separated cottages means some possible increased first cost of construction and a continued increased cost of maintenance, but where it is justified by the results to be obtained, and which are more likely to be obtained by separation, then the increased cost is justified.

With the chronic insane of either class, where results can not reasonably be expected, the whole proposition comes down to one of economy in construction and more particularly in maintenance.

By economy of construction is not meant cheap buildings. Their buildings must be just as safe, just as fire-proof, and just as sanitary as our buildings for special classes, but they can be closely grouped and so near the supply departments as to materially lessen the cost of supplying heat, light, water, and food.

The first building of a permanent character needed at Agnews is a kitchen or commissary building, to contain kitchen, bakery, diningrooms for officers and employés, a steward's department and store-room for supplies on the first floor, and a second floor in which might be located the chapel and sewing-room.

The other buildings for the quartering of patients should follow as speedily as possible.

We refrain from estimating on the probable cost of rebuilding Agnews, for the character of the construction advised is of such a nature that careful estimates are necessary from those competent to figure on the expense.

At the session of the Legislature requests for appropriations will be made based on conservative estimates from competent men.

We will endeavor to present estimates for its reconstruction and equipment to accommodate at least 1,000 patients, and would recommend the authorization of the entire amount necessary to complete the work, the provision being made that the appropriation be made available in yearly amounts for three years.

Provision was made by the extra session of the Legislature for the building and equipment of two cottages, one at Napa State Hospital, and one at Mendocino State Hospital, for the treatment of acute cases. These treatment hospitals should be installed, as soon as the way seems clear, at all our hospitals. They provide a means of giving better medical and nursing attention and more scientific treatment than can possibly be given in the ordinary wards of a large hospital. It is in the early stages of insanity that treatment offers the best hope of success. Such cottages will be more expensive to construct and to maintain than ordinary buildings, but early restoration of the afflicted individual is true economy and should be made a constant study and a never-ending effort.