The courts, and especially the court of domestic relations, finds that the hospital is a great aid in solving some of the problems submitted to them by families whose breadwinners have become neglectful or abusive, as a result of excessive drinking. In such cases, a sentence may be imposed, which carries with it a recommendation for such treatment as the defendant may need. When he has responded to treatment, and the proper disposition is shown toward his family, the court is made aware of the fact, and he is released. In a normal physical condition, he is very apt to realize his possibilities as the head of a family and avoid the courts in the future. I can best describe the different classes of cases brought to the Sceleth Hospital by using the words of the Medical Superintendent, in a report made to me by him, which is as follows: “I wish to emphasize the importance of a higher medical and surgical standard for the treatment of prisoners in our penal institutions. “The officials controlling the Medical Department in ninety-five per cent. of our prisons and workhouses do not provide a proper equipment or staff of trained surgical and medical specialists, and they fail to recognize the importance of the medical department in educational and reform work. “The proper care of prisoners and the remedying of bodily defects through such treatment as modern surgery and medicine can give, will decrease the prison population. There is not a day that we do not receive unfortunates who are compelled to beg or steal, because of their inability to earn a living on account of some physical infirmity which is readily cured by proper surgical or medical treatment. “The Chicago House of Correction to-day is looked upon by the police department, the judges, and part of the public, as a city emergency hospital and sanitarium for all the alcoholics, drug habitues, epileptics, chronic incurables, cripples, blind and helpless beggars, cranks, perverts, and general mental and moral defectives who require special medical and surgical attention. Fully twenty per cent. of the cases that we receive are sent here by the judges for medical and surgical care. During last September four hundred and thirty-six cases were treated in the male hospital alone, with eleven deaths. Almost one hundred of these were ‘no paper’ cases, admitted to the Sceleth Emergency Hospital for treatment and observation. Among the cases that have been sent to us as alcoholics, we have found unfortunates suffering from skull fractures, syphilis, softening of the brain, delirium of pneumonia, brain tumors, acute dementia and other forms of insanity.