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The object of this Supplemental Schedule is to furnish material not only for a complete enumeration of children in Institutions, but for an account of their condition. It is important that every inquiry respecting each case be answered as fully as possible. Enumerators will, therefore, after making the proper entries upon the Population Schedule (No. 1), transfer the name (with Schedule page and number) of every child found in any institution designed for the care of poor or homeless children, or in any poor-house or other asylum for the destitute from Schedule No. 1 to this Special Schedule, and proceed to ask the additional questions indicated in the headings of the several columns. Special attention is called to the questions respecting the child's antecedents, which are designed to bring out the proportion of children in institutions who belong to the respectable and to the vicious classes severally.


1880 Schedules of Defective, Dependent, and Delinquent Classes



PAUPER AND INDIGENT INHABITANTS IN INSTITUTIONS, POOR-HOUSES OR ASYLUMS, OR BOARDED AT PUBLIC EXPENSE IN PRIVATE HOUSE



The object of this Supplemental Schedule is to furnish not only for a complete enumeration of paupers, but for an account of their condition. It is important that every inquiry respecting each case be answered as fully as possible. Enumerators will, therefore, after making the proper entries upon the Population Schedule, transfer the name (with schedule page and number) to the Special Schedule and proceed to ask the additional questions indicated in the headings of the several columns. In case any person enumerated on this Special Schedule is blind, deaf and dumb, insane, or idiotic (see columns 25 to 26 inclusive), the particulars of such case will also be carried on such other Special Schedule, as the case may be. In addition to the enumeration of paupers required in the Schedule, enumerators will also ask the keeper of ever institution designed for the maintenance of the destitute the questions found below, at the bottom of the page, respecting the number of paupers during the year ending May 31, 1880 and record the answers.


Number
taken from
schedule
No. 1
. Residence
when
at
Home (See Note A.)
How supported? . . . . . . . What other
members of this
family are in
this establishment?
. . . .
Number
of
Page
Number
of
Line
Name City or Town County (If in same state) or State (If in some other State) At cost of City or Town At cost of County At cost of State At cost of Institution Is this person able-bodied? Is he (or she) habitually intemperate? Is he (or she) epileptic? Has he (or she) ever been convicted of a crime? If disabled, state form of disability (crippled, consumption, dropsy, old age, lying-in, etc.) Was this person
born in this institution?
Date of admission Husband? Wife? Mother? Father? Sons (How many)? Daughters (How many)? Brothers (How many)? Sisters (How many)? Is this person also blind? Is he (or she) deaf and dumb Is he (or she) insane? Is he (or she) idiotic?
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
?? ?? Edward Livingston - Dodge County - X - - NO NO - - Old age - - - - - - - - - - - - - -
?? ?? James J. Thomas - Dodge County - X - - NO NO - - Rheumatism - - - - - - - - - - - - - -
Dooly County, Poorhouse
65 23 Pipkin, C. - Dooly County, Ga - X - - Yes No No No - - Jany 5 75 - - X - 1 - - - - - - 1
70 25 Hardy, V. - Dooly County, Ga. - X - - Yes No No No - - Nov 76 - - - - - - - - - - - -
70 26 Pipkin, J. - Dooly County, Ga. - X - - Yes No No No - - Dec 71? - - X - - - - - - - - -
70 27 Windham, A. - Dooly County, Ga. - X - - No No No No Old age - Dec 78 - - - - - - - - - - - -
70 28 Gilmore, F. - Dooly County, Ga. - X - - No No No No Invalid from birth - Sep 20 ?? - - - - - - - - - - - -
70 29 Truluck, Wm. - Dooly County, Ga. - X - - No No No No Cancer - Oct 79 - - - - - - - - - - - -
70 30 Turner, James - Dooly County, Ga. - X - - Yes No No No - - Sept 78 - - - - - - - - - - - X
65 32? Windham, T. - - - - - - - - - - - - - - - - - - - - - - - - -
65 29 Pipkin, E. - - - - - - - - - - - - - - - - - - - - - - - - -
There is no other information included on the last two entries



Note A.- Paupers may not be residents of the county or State in which the institution designed for the maintence of the destitute is situated, and in that case their residence when at home, or the place from whence they came to such institution, should be stated, in order that they may be accredited to the State or county to which they properly belong, and that the county in which the institution is situated may not be charged with more than its due proportion of paupers.

Note B.- In making entries in columns 6, 7, 8, 9, 15, 17, 18, 19, 20, 25, 26, 27, and 28, an affirmative mark only will be used, thus: "/." In columns 10, 11, 12, and 13, say "Yes" or "No," as the case may be. Columns 21, 22, 23, and 24 should be filled by inserting the numbers which correctly answer the query: How many sons, daughters, brothers, sisters, respectively, has this person in this institution?--If none, use the zero (0).

ADDITIONAL QUESTIONS to be asked of the chief executive officer of each and all pauper establishments (including homes and asylums for the aged, for the destitute, and for the friendless) in the United States.

Question 1. What is the total number of persons who have been inmates of this institution at any time for a longer or shorter period, during the year ending May 31, 1880?--Answer. Total ________; native white males, _______; native colored males, _______; native white females, _______; native colored females, _______; foreign males, _______; foreign females, _______.

Question 2. What is the total number of days' board furnished to inmates during the year ending May 31, 1880?--Answer.________. (This number is to be found by taking the sum of the number of days' board furnished to each inmate. By days' board is meant the number of days during which each person was retained as an inmate.)

Question 3. If paupers in this establishment are supported at the expense of the town, county, or State, is payment made for their maintence by a weekly or monthly allowance to the keeper?--Answer.______; and if yes, how much is the said allowance?--Answer. $______per______. What was the total amount of such allowance during the year ending May 31, 1880?--Answer. $________.

Question 4. If no such allowance is made, what was the actual cost of maintence of pauper or destitute inmates of the institution during the year ending May 31, 1880?--Answer. $________.

The enumerator in each district will also ascertain, if possible, and state the name (_______________), official title or position (_______________), and post-office address (______________________) of the supervisor, superintendent, overseer, poor-master, or other town, city, or county officer who is charged with the relief of the poor at their own homes or elsewhere outside of institutions, in order that inquiries may be hereafter addressed to them (by mail) respecting the amount and cost of out-door relief.





Supplemental Schedules, Nos 1 to 7, for the Defective, Dependent, and Delinquent Classes
Insane inhabitants in ____________ in the County of ______, State of Georgia, enumerated June, 1880



INSANE



The object of this Supplemental-Schedule is to furnish material not only for a complete enumeration of the insane, but for an account of their condition. It is important that every inquiry respecting each case be answered as fully as possible. Enumerator will, therefore, after making the proper entries upon the Population Schedule (No. 1), transfer the name (with Schedule page and number) of every insane person found, from Schedule No. 1 to this Special Schedule, and proceed to ask the additional questions indicated in the headings of the several columns. Enumerators may obtain valuable hints as to the number of the insane, and their residence, from physicians who practice medicine in their respective districts.



Number
taken from
schedule
No. 1
Residence
when
at
Home
History of Attack Restraint and Seclusion Hospital or Asylum
No. of Page No. of Line Name City or Town County(If in same State), or State (If in some other State). If now an Inmate of an institution. Is this person a pay-patient? Form of Disease. (See Note B.) Duration of present attack, (not including previous attacks.) Total number of attacks, (including the present one.) Age at which first attack occurred. Does this person require to be usually or often kept in a cell or other apartment under lock and key, either by day or at night? Does this person require to be usually or often restrained by any mechanical appliance, such as a strap, strait-jacket, etc? and if yes, state the character of the appliance used. Has this person ever been an inmate of any hospital or asylum for the Insane? If yes, name the said hospital or asylum. What has been the total length of time spent by him (or her) during life in such asylums? Date of discharge (year only.) Is this person also an epileptic? Is this person suicidal? Is this person homicidal?
14 2 Culbreth, Florence - Dooly - Melancholia - 1 15 - - - - - - - -
9 32 Williams, Laura - - - - - - - - - - - - - - -



Note A.- An insane person may be found either at his home or away from it in some institution, such as a hospital, asylum, or poor-house. In the latter case, his residence when at home must be stated, in order that he may be accredited to the State or county to which he properly belongs, and that the county in which the institution is situated may not be charged with more than its due proportion of insane.

Note B.- It is not necessary to make minute subdivisions, but to ascertain the number suffering from certain marked forms of insanity--mania, melancholia, paresis (general paralysis), dementia, epilepsy or dipsomania.

Note C.- An insane person may have more than on attack of insanity: he may recover and afterward become again insane. It is important to know at what age the first attack occurred; how many distinct attacks the patient has had; and the duration of the present attack. If he has not had more than one attack, which still continues, insert the figure "1" in column 9. The duration of the present attack may be stated in years or months, thus: "1 yr." or "3 mos."

Note D.- The object of the inquires in columns 11 and 12 is to ascertain approximately the proportion of the insane who cannot be trusted with their personal freedon. In column 11, if the patient is usually or often locked in a room or other apartment in the day-time, say "yes;" if not, say "no;" but if locked at night and not by day, say "night." In column 12, if usually or often mechanically restrained, state the mode of restraint, thus: strait-jacket, camisole, muff, strap, hand-cuffs, ball and chain, crib-bed, etc. If, instead of mechanical restraint, the patient has a constant personal attendant, say "attendant."

Note E.- In column 13 name all the hospitals or asylums for the insane (not jails or poor-houses) in which the patient has been for a longer or shorter time an inmate, and in column 14 state the entire number of months or years spent in such institutions (whether in one institution or more).





IDIOTS



The object of this Supplemental Schedule is to furnish material not only for a complete enumeration of the idiots, but for an account of their condition. It is important that every inquiry respecting each case be answered as fully as possible. Enumerators will, therefore, after making the proper entries upon the Population Schedule (No. 1>, transfer the name (with Schedule page and number) of every idiot found, from Schedule No. 1 to this Special Schedule, and proceed to ask the additional questions indicated in the headings of the several columns. The word "idiot" has a special meaning which it is essential for every enumerator to know. An idiot is a person the development of whose mental faculties was arrested in Infancy or childhood before coming to maturity. It is sometimes difficult ot distinquish between the stupidity which results from idiocy and that which is due to the loss or deterioration of mental power in consequence of insanity. The latter is not true idiocy, but dementia or imbecility. The enumeration desired for the the Census is of true idiots only. Demented persons should be classed with the insane. Enumerators may obtain valuable hints as to the number of idiots, and their residences, from physicians who practice medicine in their respective districts.



Number
taken from
schedule
No. 1
Residence
when
at
Home
Hospital or Asylum
No. of Page No. of Line Name City or Town County(If in same State), or State (If in some other State). Is this person self-supporting, or partly so? Age at which Idiocy occurred. Supposed cause of Idiocy (If acquired) Size of head. (Large, small, or natural.) Has this person ever been an inmate of a training school for idiots? If yes, name the said training school. What has been the total length of time spent by him (or her) during life in any such training school or training schools. Date of discharge. (Year only.) Is this person also insane? Is he (or she) also blind? Is he (or she) also deaf? Is he (or she) also an epileptic? Is he (or she) paralyzed and if yes, on which side?
- Right Left
65 30 Turner James - - - - - - - - - - - - - - -
65 33 Pipkin E. - - - - - - - - - - - - - - -
26 24 Lewis, Mittie - Dooly No B - Natural - - - - - - - - -
11 5 Bedingfied, James - - - - - - - - - - - - - - -
18 12 Bullard, Charles - - - - - - - - - - - - - - -
20 7 Fleming, Rolland - - - - - - - - - - - - - - -
27 4 Bullard, Melinda - - - - - - - - - - - - - - -
70 23 B????, Nancy - - - - - - - - - - - - - - -
15 43 Brown, Charley - Dooly Yes B - Natural None - - - - - - - -
15 44 Brown, Wm R. - Dooly Yes B - Natural None - - - - - - - -
15 45 Brown, Rice - Dooly Yes B - Natural None - - - - - - - -
20 37 Akins, Harriet - - - - - - - - - - - - - -



Note A.- An idiot may be found either at his own home or away from it in some institution, such as a training school, asylum, or poor-house. In the latter case, his residence when at home must be stated, in order that he may be accredited to the State or county to which he properly belongs, and that the county in which the institution is situated may not be charged with more than its due proportions of idiots.

Note B.- If self-supporting, say "yes;" if partly self-supporting, say "partly;" if not, say "no." Indicate all inmates of institutions who are maintained or treated at their personal expense (not at the expense of any town, county, or State, nor of the Institution) by the word "Pay."

Note C.- If an idiot from birth, say "B," if idiocy occurred after birth, state the age at which it occurred. Special pains should be take to indicate all idiots from birth.

Note D.- The causes of idiocy are such as the following: scarlet fever, measles, menigitis, etc., blow on head, fall, etc., fright, etc.

Note E.- In making entries in columns 13, 14, 15, 16, 17. and 18, an affirmative mark only will be used, thus: /




DEAF-MUTES



The object of this Supplemental Schedule is to furnish material not only for a complete enumeration of the deaf-mutes, but for an account of their condition. It is important that every inquiry respecting each case be answered as fully as possible. Enumerators will, therefore, after making the proper entries upon the Population Schedule (No. 1>, transfer the name (with Schedule page and number) of every deaf-mute found, from Schedule No. 1 to this Special Schedule, and proceed to ask the additional questions indicated in the headings of the several columns. Care must be taken not to enumerate persons who are deaf only (hard of hearing) or dumb only (tongue-tied) as deaf-mutes. A deaf-mute is one who cannot speak, because he cannot hear sufficiently well to learn to speak.Enumerators may obtain valuable hints as to the number of idiots, and their residences, from physicians who practice medicine in their respective districts, also from school-teachers. Great assistance may be drived from questions addressed to deaf-mutes themselves: Do you know any deaf-mutes in this neighborhood? The class feeling of the deaf and dumb, arising from their isolated state, is so great that they seek each other out for the sake of companionship, and ordinarily know every deaf-mute for miles around.



Number
taken from
schedule
No. 1
Residence
when
at
Home
See Note D. Institution Life. See Note E.
No. of Page No. of Line Name City or Town County(If in same State), or State (If in some other State). Is this person self-supporting, or partly so? Age at which deafness occurred. Supposed cause of deafness, if known. Is this person semi-mute? Is he (or she) semi-deaf? Has this person ever been an inmate of an institution for deaf-mutes? If yes, give the name of such institution. What has been the total length of time spent by him (or her) in any such institution? Date of his (or her) discharge. (year only) Is this person also insane? Is he (or she) also Idiotic? Is he (or she) also blind?
3 42 Gunn, Charles - - - - - - - - - - - - -
16 32 Ammons, Thomas - - - - - - - - - - - - -
53 41 Turner, Debes - - - - - - - - - - - - -
58 41 Wallace, Thomas - - - - - - - - - - - - -
80 10 Jones, Ella - - - - - - - - - - - - -



Note A.- A deaf mute may be found either at his own home or away from it in some educational institution, asylum, or poor-house. In the latter case, his residence when at home must be stated, in order that he may be accredited to the State or county to which he properly belongs, and that the county in which the Institution is situated may not be charged with more than its due proportion of deaf-mutes.

Note B.- If self-supporting, say "yes;" if partly self-supporting, say "partly;" if not, say "no." Indicate all inmates of institutions who are maintained or treated at their personal expense (not at the expense of any town, county, or State, nor of the Institution) by the word "Pay."

Note C.- If a deaf-mute from birth, say "B;" If not, state the age at which deafness occurred. Special pains should be take to indicate all deaf-mutes from birth.

Note D.- The word "semi-mute" has a technical meaning, and denotes a deaf-mute who lost his or her hearing after having acquired at least a partial knowledge of spoken language. Some semi-mutes retain the ability to speak imperfectly, others lose it entirely. If a deaf-mute has ever learned to speak, he is a semi-mute; (unless he was artificially taught to speak in an institution for deaf-mutes.) By a semi-deaf person is meant one who cannot hear sufficiently well to comprehend what is said to him, but who hears very loud sounds, such as thunder, & etc.

Note E.- In making entries in columns 14, 15, 16, an affirmative mark only will be used, thus: /.




BLIND



The object of this Supplemental Schedule is to furnish material not only for a complete enumeration of the blind, but for an account of their condition. It is important that every inquiry respecting each case be answered as fully as possible. Enumerators will, therefore, after making the proper entries upon the Population Schedule (No. 1), transfer the name (with Schedule page and number) of every blind person found, from Schedule No. 1 to this Special Schedule, and proceed to ask the additional questions indicated in the headings of the several columns. In this enumeration will be included not only the totally blind, but also the semi-blind. No person will be carried on this Schedule, however, who can see sufficiently well to read. For the distinction between the totally blind and the semi-blind, see Note E; it is of the greatest importance to note this distinction with care, by making the proper entry in column 10 or 11.


Number
taken from
schedule
No. 1
Residence
when
at
Home
See Note F. Institution Life. See Note F.
No. of Page No. of Line Name City or Town County(If in same State), or State (If in some other State). Is this person self-supporting, or partly so? Age at which blindness occurred. (See Note C.) Form of blindness. (See Note D.) Supposed cause of blindness, if known. Is this person totally blind? (See Note E.) Is this person semi-blind? (See Note F.) Has this person ever been an inmate of an institution for the blind? If yes, give the name of such institution. What has been the total length of time spent by him (or her) in any such institution? Date of his (or her) discharge? (year only) Is this person also insane? Is he (or she) also idiotic? Is he (or she) also deaf-mute?



Note A.- A blind person may be found either at his own home or away from it in some educational institution, asylum, or poor-house. In the latter case, his residence when at home must be stated, in order that he may be accredited to the State or county to which he properly belongs, and that the county in which the Institution is situated may not be charged with more than its due proportion of the blind.

Note B.- If self-supporting, say "yes;" if partly self-supporting, say "partly;" if not, say "no." Indicate all inmates of institutions who are maintained or treated at their personal expense (not at the expense of any town, county, or State, nor of the Institution) by the word "Pay."

Note C.- If blind from birth, say "B;" If not, state the age at which blindness occurred. Special pains should be take to indicate all deaf-mutes from birth.

Note D.- Where practicable, get a statement from attending physician.

Note E.- The totally blind are unable to distinguish forms or color; the partially blind can distinguish forms or colors, but cannot see toread, or at least not without much effort as to make reading practically impossible.

Note F. - In making entries in columns 10, 11, 15, 16, and 17, an affirmative mark only will be used, thus: /.




HOMELESS CHILDREN



Number
taken from
schedule
No. 1
Residence
when
at
Home
Antecedents (See Note B.)
No. of Page No. of Line Name City or Town County(If in same State), or State (If in some other State). Is this child's father deceased? Is this child's mother deceased? Has this child been abandoned by his (or her) parents? Has this child's parents surrendered the control over him (or her) to the institution? Was this child born in the institution? If not so born, state year when admitted. Is the child illegitimate? Is this child separated from his or her (living) mother? Has he (or she) ever been arrested? If yes, for what alleged offense? Has he (or she) ever been convicted or sentenced? Has the origin of this child been respectable? Has he (or she) been rescued from criminal surroundings? Is this child blind? Is he (or she) a deaf-mute? Is he (or she) an idiot?
65 25 Hardy V. Dooly In Co. Poor house - - - - - - - - - - - - - - -
65 26 Pipkin, J. Dooly In Co. Poor house - - - - - - - - - - - - - - -



Note A.- Children in institutions may not be residents of the county or State in which the institution is situated, and in that case their residence when at home should be stated, in order that they may be accredited to the State or county to which they properly belong, and that the county in which the institution is situated may not be charged with more that its due proportion of dependent children.

Note B.- In making entries in columns 18, 19, and 20, an affirmative mark only will be used, thur: /.




INHABITANTS IN PRISON



The object of this Supplemental Schedule is to furnish material not only for a complete enumeration of prisoners, but for an account of their condition. It is important that every inquiry respecting each case be answered as fully as possible. Enumerators will, therefore, after making the proper entries upon the Population Schedule (No. 1), transfer the name (with schedule page and number) to this Special Schedule, and proceed to ask the additional questions indicated in the headings of the several columns. In addition to the enumeration of prisoners required in this Special Schedule, enumerators will also, in all cases (even though there should not be any prisoners in confinement upon the first of June), ask the warden of every prison, station-house, or lock-up in their respective districts the questions found below, at the bottom of the page, respecting the numbers of prisoners in confinement during the year ending May 31, 1880, and record the answers.


Number
taken from
schedule
No. 1
Residence
when
at
Home
Why in prison (See Note B.) Sentence.
No. of Page No. of Line Name City or Town County(If in same State), or State (If in some other State). Place of imprisonment: (State penitentiary or prison, county penitentiary or jail, workhouse, house of correction, city prison, station-house, lock-up, or calaboose.) Is this person a United States, State, or city prisoner? (If United State, say "U.S.") Is he or she awaiting trail? Is he or she serving a term of imprisonment? Is he or she serving out a fine? Is he or she awaiting execution (death)? Is he or she sentenced to some higher prison and awaiting removal? Is he or she held as a witness? Is he or she imprisoned for debt? Is he or she imprisoned for insanity? Date of incarceration, (Give day of month and the year, the latter in two figures, thus: Jan 15, 79.) Alleged offense Amount of fine imposed. Number of days in jail or work-house Number of years in penitentiary. Is this prisoner at hard labor? If yes, what? (Shoe shop, cigar shop, cooper shop, stone cutting, prison duties, mining, labor on farm or plantation, etc.) If at hard labor, is he or she working inside or outside the prison walls? Is his or her labor contracted out?



Note A.- Prisoner may not be residents of the county or State in which the prison, station-house, or lock-up situated, and in that case their residence when at home, or the place where they were arrested or tried, should be stated, In order that they may be accredited to the State or county to which they properly belong, and that the county in which the prison, station-house, or lock-up is situated may not be charged with more than its due proportion of prisoners.

Note B.- In making entries in columns, 8, 9, 10, 11, 12, 13, 14, and 15, an affirmative mark only will be used, thus: /.


ADDITIONAL QUESTIONS to be asked of the chief executive officer of each and all prisons in the United States.


Question 1.- What is the total number of persons who have been imprisoned in the _____________, in the county of ____________, State of _______________, ending May 31, 1880? Answer: ___________.
Question 2.- Of this total number, how many have been imprisoned in the said prison to serve out sentences imposed for crimes and misdemeanors? Total _______. Native white males, ________; native colored males, ________; native white females, _________; native colored females, _______; foreign males, ________; foreign females, _________.
Question 3.- How many have been held upon other grounds, as debtors, witnesses, insane, or pending trial, without having been convicted of any offense? Total ______. Native white males, ______; native colored males, _______; native white females, _______; native colored females, _______; foreign males, ________; foreign females, ________.
Question 4.- What is the total number of days imprisonment during the year ending May 31, 1880, of all persons who have been confined in this prison? __________. (This number is to be found by adding the number of days' imprisonment of each prisoner and stating the same.)
Question 5.- Is payment made for maintence of prisoners by a per diem allowance to the sheriff, jailer, or keeper? _____, and if yes, how many cents a day? _____; what was the total amount of this per diem allowance during the year ending May 31, 1880? $_______. If no such allowance is made, state the ???? cost of maintence of prisoners during the year. $_______.









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