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The series consists of a photograph album created by the Dept. of the Provincial Secretary sometime between 1920 and 1940. The album contains 215 black and white prints of varying sizes showing the buildings, grounds and patients at the Public Hospital for the Insane at New Westminster, Essondale and Colony Farm. The photographs are captioned but not dated.

Several of the exterior shots of the buildings and grounds were taken by professional photographers and have been connected together to show panoramas. There are also exterior photos of farm activities and labour performed by patients. The majority of the photographs are of the patients themselves. These photographs illustrate various pathological types that were treated at the hospitals. They include men, women and children; shown as individuals and in groups.