Annual report of the trustees of the Worcester Insane Hospital

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PUBLIC DOCUMENT

. . No. 23.

SEVENTY-FOUETH ANNUAL EEPOET

OF

THE TEUSTEES

OP THE

WORCESTER INSANE HOSPITAL,

AND

TWENTY-NINTH ANNUAL REPORT OF THE TRUSTEES

OF THE

WOKCESTEK INSANE ASYLUM AT WOKCESTEK,

FOR THE

Year ending November 30, 1906.

BOSTON :

WRIGHT & POTTER PRINTING CO., STATE PRINTERS,

18 Post Office Square.

1907.

PUBLIC DOCUMENT .... .... No. 23.

SEVENTY-FOUETH ANNUAL EEPOET

OF

THE TRUSTEES

OF THE

WORCESTER INSANE HOSPITAL,

AND

TWENTY-NINTH ANNUAL REPORT OF THE TRUSTEES

OF THE

WORCESTER INSANE ASYLUM AT WORCESTER,

FOE THE

Year ending November 30, 1906.

Si '"■■ i;

»9u

tfOSTON :

WRIGHT & POTTER PRINTING CO., STATE PRINTERS,

18 Post Office Square.

1907.

flffauA

Approved by
The State Board of Publication.

3

CONTENTS.

Report of Trustees, 7

Report of Superintendent, 10

Report of Treasurer, 21

Statistics, 27

OFFICEES OF THE HOSPITAL.

TRUSTEES.

GEORGE F. BLAKE, Worcester.

T. HOVEY GAGE Worcester.

THOMAS RUSSELL, Boston.

SARAH E. WHITIN, Whitinsville.

FRANCES M. LINCOLN, Worcester.

SAMUEL B. WOODWARD, Worcester.

LYMAN A. ELY, Worcester.

RESIDENT OFFICERS.

HOSEA M. QUINBY, M.D., Superintendent.

THEODORE A. HOCH, M.D First Assistant Physician.

CORNELIA B. J. SCHORER, M.D., . . . Assistant Physician.

EDWARD MELLUS, M.D., Assistant Physician.

ROBERT O. LeBARON, M.D., .... Assistant Physician.

RAY L. WHITNEY, M.D., Assistant Physician.

MASON W. H. PITMAN, M.D., .... Assistant Physician.

FREEMAN A. TOWER, M.D., .... Assistant Physician and

Pathologist.

ANNA C. FARLEY, Superintendent of Nurses.

HENRY R. CENTER, Steward.

LILA J. GORDON, Matron.

JOSEPH T. REYNOLDS Farmer.

NON-RESIDENT OFFICERS.

WILLIAM D. SPROAT, Druggist.

ALBERT WOOD, Treasurer.

GEORGE I. CLARK Auditor.

JESSIE M. D. HAMILTON Clerk.

JAMES DICKISON, Jr., Engineer.

Cnmmotttomlijj 0f iiassarkmiis.

TRUSTEES' REPORT.

To His Excellency the Governor and the Honorable Council.

The trustees of the Worcester Insane Hospital respectfully
submit their seventy-fourth annual report, together with the
reports of the superintendent and treasurer.

The trustees in their monthly inspection and in inspections
made by various members of the Board, at times unannounced,
have always found the institution in good condition, neat and
well managed, the food of excellent quality and sufficient as to
quantity, the patients well cared for, and as comfortable as the
nature of their disease would permit.

They are glad to note that the hospital has been called upon
to care for a continually decreasing number of patients, until
the institution is now for the first time for many years free
from overcrowding. It is a pleasure, also, to record the fact
that the general health of the inmates has been excellent, and
that no serious accident or epidemic has befallen them.

To the layman the most effective means toward contributing
to the good health and general well being of the inmates of
the hospital would seem to be employment of some kind, and
preferably employment in the open air, and the trustees have,
therefore, been specially interested in the efforts to get
patients out of the wards and occupied in some useful work.
That these efforts have met with a great measure of success is
evidenced by the large number of patients whom they have
found employed in the garden and about the grounds when-
ever they have visited the hospital.

In so large a group of buildings as these the matter of repairs
is a subject demanding increasing attention and the constant

8 WORCESTER INSANE HOSPITAL. [Dec.

employment of a considerable force of mechanics. During the
past year a somewhat unusual amount of such work has been
necessary in replacing ceilings and walls, disfigured by wear
and by the installation of the electric lights, and as it was
impossible to vacate the wards for this purpose, it has unavoid-
ably resulted in some dirt, discomfort and confusion.

The building for male nurses we hope to have covered in
during the coming month and ready for occupancy early next
summer. We ask for an appropriation of $5,000 for the fur-
nishing of this building.

We recommend that a ward three stories in height be built
in connection with each of our present excited wards, each to
accommodate 75 patients, to carry out the ideas suggested by
our superintendent, in which we heartily concur, for the care
of the violent insane, the bed-ridden general paralytics and
the phthisical cases. We ask for $50,000 for building one of
these wards the coming year.

We desire to use the basement of the present coal shed for
bathing purposes and devote the remainder of the building to
much needed room for the upholsterer's department and the
manufacture of men's clothing. We ask for $6,000 for this
purpose.

Iron staircases should be put in the administration building,
to replace the wooden ones, for the safety of the employees
who are to occupy the fifth story. An elevator should also be
provided to accommodate this and the other floors of the build-
ing. We ask for an appropriation of $5,400 for the stairs, and
$2,200 for the elevator.

For the purchase of a tract of land jutting into the hospital
property on the west line, and which it is very desirable the
hospital should own, we ask an appropriation of $4,300.

Owing to the failure of the city water supply for two days
this fall, caused by a stoppage in one of the main supply pipes,
the hospital suffered great inconvenience, and it was a cause of
great annoj^ance and anxiety to the officials. It seems to us
most desirable that immediate steps be taken to procure an
emergency supply of water by sinking wells, installing pumps
and erecting storage tanks of sufficient capacity to assure us of
a generous reserve supply.

1906.] PUBLIC DOCUMENT — No. 23. 9

We were sorry to lose the services of Dr. A. I. Noble, whose
integrity, ability and genial personality had won the confi-
dence and esteem of associates and patients. He resigned
Dec. 11, 1905, to accept the superintendency of the Michigan
Asylum at Kalamazoo, Mich.

It is with sorrow we record the death of our former associate,
the Hon. Rockwood Hoar. Few men are privileged to receive
so many marks of esteem from his associates and community.
We herewith record our appreciation of his high character and
ability and the great interest he took in the affairs of the
institution.

We renew our expressions of esteem and appreciation to the
superintendent and the members of the staff, officials and
employees for their faithful and efficient services.

Respectfully submitted,

GEORGE F. BLAKE.
LYMAN A. ELY.
T. HOVEY GAGE.
THOMAS RUSSELL.
SARAH E. WHITEN.
FRANCES M. LINCOLN.
SAMUEL B. WOODWARD.
Nov. 30, 1906.

10 WORCESTER INSANE HOSPITAL. [Dec.

SUPERINTENDENT'S REPORT.

To the Trustees of the Worcester Insane Hospital.

I herewith respectfully submit the following report of the
hospital for the year ending Nov. 30, 1906, it being the
seventy-fourth annual report.

There remained at the hospital Oct. 1, 1905, 1,202 patients,
— 589 men and 613 women. During the year ending Sept.
30, 1906, there were admitted 486 patients, — 263 men and
223 women. Five hundred and ninety-six patients — 279 men
and 317 women — were dismissed from the hospital. Of this
number, 201 patients — 111 men and 90 women — were dis-
charged; 136 patients — 70 men and 66 women — died; 194
patients — 61 men and 133 women — were transferred, and
65 patients — 37 men and 28 women — left on visit and escape,
leaving at the end of the statistical year 1,092 patients, — 573
men and 519 women. Of this number, 852 were supported
by the State, 3 women (habitual drunkards) by towns, 153 by
friends and 84 as reimbursing patients. Of the 395 patients
discharged and transferred, 82 (including 5 habitual drunkards,
women) were reported recovered, 52 capable of self support,
41 improved and 2'24 not improved. Six were discharged as
not insane. Fifty women were transferred by the State Board
of Insanity to the Worcester Insane Asylum, 57 men and 27
women to the State Colony at Gardner, 28 women to the State
Hospital, Tewksbury, 14 women to the Boston Insane Hos-
pital, 1 man each to McLean Hospital and Westborough, and
1 woman to Danvers. Twenty-six men and 13 women were
removed from the State, and 2 men and 14 women were
boarded out.

There remained at the end of the year 110 patients less than
at the beginning. The smallest number under treatment on
any one day was 1,065, and the largest, 1,225. The daily
average number was 1,157.92.

1906.] PUBLIC DOCUMENT — No. 23. 11

The percentage of recoveries, calculated upon the number of
discharges and deaths, was 15.1 ; calculated upon the number
of admissions it was 16.9.

The death-rate was 8, calculated on the whole number of
patients under treatment, and 11.7 calculated on the daily
average number.

We have had no serious accident during the year and no
cases of contagious disease, except a few cases of measles, con-
fined chiefly to the nurses and employees.

In November, 1905, Miss Linda A. J. Richards was obliged,
on account of ill health, to resign her position as superin-
tendent of nurses, and Miss Anna C. Farley was appointed in
her place.

On June 26, 1906, 26 nurses, having completed the pre-
scribed course of study and having successfully passed their
final examinations, were graduated from the training school.
Thirteen of these graduates remain with us as supervisors and
head attendants. Eight are now taking a six months' post-
graduate course in nursing in general hospitals, and others are
planning to do so. This year there are 17 young women in
the senior class and 46 in the junior class.

Aside from the general repairs, we have during the year
repainted the walls and woodwork and taken off and replastered
nearly all of the ceilings on the women's side of the house.
The same is now being done in the male wards.

In our sewing room we have installed eight sewing machines
and a button-hole machine, operated by electric motors, and
are now able to manufacture our men's shirts and women's
wrappers, besides all our bed linen and general household sup-
plies. As soon as the necessary room can be provided therefor
we hope to begin to manufacture our men's clothing.

The building for male nurses, provided for by the last Legis-
lature, is now well under way and will no doubt be covered in
during the coming month, and be completed and ready for fur-
nishing early in the summer. For this an appropriation of
$5,000 will be needed.

The time has come, I believe, when better provisions should
be made for our violent insane, our bed-ridden general para-
lytics and our cases of tuberculosis. In the thirty years since

12 WORCESTER INSANE HOSPITAL. [Dec

the hospital was built there has been great progress in all that
pertains to the treatment of the insane, and many of the pro-
visions then considered adequate for their care are now set
aside as antiquated or worse than antiquated. This is especially
true in regard to the violent insane. At the time the hospital
was built it was thought necessary to provide single rooms for
all such patients, as a protection to themselves and others.
Here, when they became disturbed, they could be isolated, or
if they were violent and refused to remain in bed they could
be restrained by mechanical means. If noisy or sleepless, the
recognized treatment was to secure quiet through the use of
drugs. Few, if any, would at that time have regarded it as
possible to treat such cases in a dormitory ward and in the
same manner as a majority of the sick are cared for in a general
hospital.

Experience has proved, however, that the isolation of patients
is almost always followed by untoward results, and leads to
habits and practices not easily corrected, and that dormitory
treatment for the majority of these cases is perfectly feasible.
In place of drugs and mechanical restraint, we now resort to
the hot pack and prolonged bath as a means of allaying excite-
ment and sleeplessness, and instead of isolating such patients
we have come to feel that unless they can be constantly under
the care and observation of a sufficient corps of competent
nurses the best that can be done for them has not been done.
In an overcrowded ward, with no dormitory except an open
corridor, and only a single bathtub, we have found it difficult
in all cases to apply this method of treatment, due regard being
paid (as was necessary) to economy of service. But now after
several years' trial, under these adverse conditions, I have no
hesitancy in adding my testimony to the efficiency of this
method, and in urging that the hospital be equipped with the
means for more effectually and satisfactorily carrying it out.
To do this, and at the same time provide for our general para-
lytics and our cases of tuberculosis, I would recommend that
a ward three stories in height be built in connection with each
of our present excited wards, each to accommodate 75 patients,
and that an appropriation of $50,000 for building one of these
wards be asked for the coming year.

In a large hospital for the insane the proper bathing of its

1906.] PUBLIC DOCUMENT — No. 23. 13

patients is a source of no little anxiety on the part of the
management. It is a matter that requires care, tact and judg-
ment on the part of the nurse if accidents would be avoided,
and especially in the case of a refractory patient. It may be
subject to many abuses, and is not readily supervised when the
bathing is conducted on the wards as now, and it requires,
moreover, a great deal of time which the nurse could better
employ otherwise. A central bath, under the charge of a bath-
ing master and bathing mistress, would insure more satisfactory
service in this direction, and would no doubt be a matter of no
little economy for the institution. This could be provided for
at a relatively small expense in the basement of our present
coal shed, which could be well given up to this purpose, since
it is of but little use for storage of coal, as it will hold only a
very small part of the coal now burned. The remainder of the
building would furnish us the much-needed rooms for our
upholsterer's department and for the manufacturing of our
men's clothing. The estimated cost of these alterations is
$6,000.

To provide quarters for our increasing number of help, the
fifth story of the administration building, left unfinished at the
time the hospital was built, has been cut up into rooms.
Before these rooms are occupied, better methods of exit in case
of fire should be provided. The present wooden staircase should
be removed and iron stairs put in their place. A passenger
elevator should also be provided to accommodate this and the
other floors of the administration building. The estimated cost
of the iron stairs is $5,400, and of the elevator $2,200.

Owing to some accident to the city water supply the hos-
pital was for two days and nights recently without city water,
and obliged to depend upon wells upon the place for drinking-
water and for that used for culinary purposes, and upon water
hauled from the lake to supply our steam plant. While such
an accident may happen only once in a lifetime, the conse-
quences resulting therefrom are so annoying and may easily
be so serious that it would seem that some provision ought to
be made to meet an emergency of this kind.

There is a small tract of land jutting into the hospital prop-
erty on its west line, in close proximity to the women's wards
and recreation grounds, which it is very desirable that the hos-

14 WORCESTER INSANE HOSPITAL. [Dec.

pital should secure. It can now be bought at a reasonable
price, and if not bought by us will be cut up into building lots
and no doubt soon built upon. Its control by the hospital is
all the more desirable now that the remaining land on our west
and northwest line has come into the hands of the city to be
used for the purposes of a park, so that if this small tract is
secured, we shall be forever free from encroachment upon this
side of the hospital property. There are several springs and a
small reservoir on this land which could easily be made of use
to the hospital ; in fact, they might very possibly prove large
enough to furnish a temporary supply of water in cases of
emergency like that above mentioned.

The following changes have taken place in the staff of the
hospital : Dr. A. I. Noble, assistant superintendent, resigned
Dec. 11, 1905, to accept the superintendency of the Michigan
Asylum at Kalamazoo, Mich., and in July and October, 1906,
Drs. Walter C. Haviland, James H. Mackintosh and Harry W.
Hammond left us to enter general practice. Theodore A.
Hoch was promoted from pathologist to first assistant physician,
Freeman A. Tower from assistant physician to pathologist, and
George B. Landers and Robert O. LeBaron from junior to
senior assistants.

In the resignation of Dr. Noble the institution has lost a
most valuable officer. He had served the hospital as assistant
physician and assistant superintendent for eighteen years with
a measure of service of the highest character. The deep in-
terest which he showed for those under his care, his genial
manner and his attractive presence at once won the confidence
not only of his associates but of his patients and their friends.
Although fflad that this well-merited advance has come to him,
and eager to congratulate him upon his appointment to so
responsible and honorable a position, every one connected
with the institution was sincerely sorry to see him go.

We wish to thank the proprietors of the ' ' Worcester Even-
ing Gazette " and the " Fitchburg Sentinel " for copies of their
papers, and the Worcester Employment Society for sewing.

HOSEA M. QUINBY, M.D.,

Superintendent.
Worcester, Nov. 30, 1906.

1906.]

PUBLIC DOCUMENT — No. 23.

15

PRODUCTS OF THE FARM

On Hand Dec. 1, 1906, and not delivered at the Hospital.

Beets, bushels, .

200

Kale, bushels,

50

Cabbage, pounds,

. 35,000

Leeks, bushels, .

10

Carrots, bushels,

300

Parsnips, bushels,

275

Celery, dozens, .

115

Turnips, bushels,

100

FARM ACCOUNT.

Dr.

Bread, .

Butter,

Blacksmith,

Carriages, wagons and repairs,

Current expenses,

Fertilizer,

Fish, .

Fuel, .

Furniture,

Groceries,

Harness and repairs,

Hay, grain, etc.,

Ice,

Lights,

Live stock :

Bulls,

Cows,

Horses,

Hogs,
Meats, .
Milk, .
Repairs,
Seeds, .
Sugar, .
Tools, .
Wages,
Water,
Net gain for year ending Nov. 30, 1906,

$393

75

973

54

403

75

1,100

36

1-.816

67

674

04

244

29

516

61

79

56

2,884

95

318

96

9,370

66

68

77

394 78

27

00

2,535

00

825

00

529

00

2,377

19

773

18

1,460

33

244

21

439

23

459

59

11,691

34

414

47

3,200

78

1,217 01

WORCESTER INSANE HOSPITAL.

[Dec.

Cr.
Apples, No. 1, 983 barrels,
Apples, No. 2, 549 barrels,
Artichokes, 82 pounds,
Aspai'agus, 184 pounds,
Beans, lima, 86.50 bushels,
Beans, shell, 58 bushels,
Beans, string, 120 bushels, .
Beef, forequarters, 40 (4,739 pounds),
Beef, hindquarters, 40 (6,633 pounds),
Beets, ....
Bones, sold, 6,560 pounds,
Brussels sprouts, 73 pounds
Cabbage, 34,316 pounds,
Carrots, 88 bushels, .
Cauliflower, 833 pounds,
Celery, 7,418 pounds, ,
Chard, 957 pounds,
Cider, 4,537 gallons, .
Corn, green, 292£ dozen,
Cucumbers,
Cucumber, pickles,
Currants,

Dressing, 40 pounds, .
Egg plants, 325 pounds,
Egg plants, sold, 120 pounds,
Feed, corn, 1,600 pounds,
Feed, ground, 200 pounds,
Grease, sold, 350 pounds,
Hay, 32,165 pounds,
Hides, 1,792 pounds,
Hides, calf, 18 pounds
Ice, 1,275.9 tons,
Kale, 2,875 pounds,
Leeks, 16 bushels,
Lettuce, 2,165 dozen,
Live stock sold : —

Bull, 1,

Calves, 53, .

Cows, 6,

Hogs, 11, .
Milk, 459,465 quarts,
Mushrooms, 27£ pounds,
Oats, 739.5 bushels,
Onions, 335 bushels,
Parsley, 6£ pounds,

Amount carried for ward,

1906.]

PUBLIC DOCUMENT — No. 23.

17

Amount brought forward, .

Parsnips, 368£ bushels,

Pears, 20.7 bushels, .

Peas, 243.5 bushels, .

Peppers, 43.75 pounds,

Plants, sold, tomato, .

Pork, sold, 45,473 pounds,

Pumpkins, 120 pounds,

Radishes, 417 pounds,

Rhubarb, 16,356 pounds,

Rhubarb, sold, 4,983 pounds,

Raspberries, red, 9 quarts,

Sand, 261.5 yards,

Scullions, 18 bushels, .

Spinach, ....

Squash, summer, 5,013 pounds,

Squash, winter, 88,660 pounds,

Stone, 13 loads, .

Straw, oat, 33,785 pounds, .

Strawberries, 5,472 quarts,

Strawberries, sold,

Tomatoes, 363 bushels,

Tomatoes, sold, 1.5 bushels,

Tomatoes, green, 53 bushels,

Turnips, 80.25 bushels,

Veal, forequarters, 30 (553 pounds),

Veal, hindquarters 30 (800 pounds),

Wood, sold, 9 loads, .

Farm attendants (extra), 1,220 days,

Labor, men, 1,821 days,

Teams, 804.25 days, .

Total receipts,

$29,428 29

337

68

15 88

279 75

1

15

11

35

3,521

61

60

82

14

227 81

48 43

1

35

281

37

16 50

49 75

126

15

1,329

90

19

50

327

01

547

20

22

07

453

50

75

26 50

35

28

58 38

81

61

17

00

1,830 50

1,821

00

3,217

00

$44,217 01

18

WORCESTER INSANE HOSPITAL.

[Dec.

LIST OF PEKSO^TS

Employed in the Worcester Insane Hospital Nov. 30, 1906.

Superintendent, per year, .

Assistant physician, per year.

Assistant physicians (2), each, per year,

Assistant physicians (2), each, per year,

Junior assistant physicians (4), each, per year,

Pathologist, per year, .

Assistant in laboratory, per month,

Steward, per year,

Matron, per year, .

Clerk, per month, .

Treasurer, per year,

Auditor, per year,

Stenographers (3), per month,

Superintendent of nurses, per year, .

Supervisors (4 men), each, per month,

Supervisors (5 women), each, per month,

Marker of clothing, etc., per month, .

Seamstresses (4), each, per month,

Attendants (60 men), each, per month,

Attendants and nurses (80 women), each, per month

Baker, per hour, ....

Assistant baker, per hour, .

Steward's assistant, per month, .

Kitchen men (2), each, per hour,

Cooks (4), each, per month,

Laundry men (2), each, per week and month

Laundress, per month, .

Laundry girls (8), each, per month,

Kitchen girls (6), each, per month,

House girls (20), each, per month,

Office girl, per month, .

$3,000 00

1,300 00

1,000 00

800 00

400 00

1,000 00

30 00

1,200 00

600 00

60 00

500 00

75 00

30 00

800 00

$30 00 to 45 00

25 00 to 27 00

20 00

18 00

$23 00 to 28 00

14 00 to 22 00

22

17

30 00

$0 09 and 10&

22 00 to 55 00

12 00 and 28 00

25 00

$16 00 to 18 00

14 00 to 18 00

14 00 to 16 00

18 00

1906.]

PUBLIC DOCUMENT — No. 23.

19

Carpenters (6), each, per day,

Painters (2), each, per day,

Masons (4), each, per day,

Tender, per day, .

Steam fitter, per day, .

Plumber, per month, .

Engineer, per week,

Assistant engineers (3), each, per day

Firemen (2), each per month,

Night fireman, per day,

Farmers (2), each, per month,

Housekeepers (3), each, per month,

Farm laborers (9), each, per hour,

Farm laborers (9), each, per month,

Florist, per month,

Coachman, per hour,

Expi'essman, per month,

Basement and yard attendant, per month,

Basement and yard attendant, per hour,

Butcher, per month,

Electrician, per day,

$2 50 and 3 00

2 50

3 25
2 25
2 50

75 00

25 00

2 25

40 00

2 00

45 00 and 75 00

20 00 to 25 00

09£ and 10j|

25 00 and 28 00

75 00

09

25 00

25 00

Hi

28 00
2 75

20 WORCESTER INSANE HOSPITAL. [Dec.

VALUATION OF PERSONAL ESTATE

Nov. 30, 1906.

Provisions and groceries, $10,310 56

Ready-made clothing, 2,552 29

Dry goods : —

For clothing, . . . ... . . . 783 22

For bedding, etc., 1,293 92

Furnishings: —

Beds and bedding in inmates' department, . . . 32,516 50

Other furnishings in inmates' department, . . . 24,053 30

Personal property of State in superintendent's department, 14,368 98

All other property, 23,522 76

Heat, light and power : —

Fuel, 6,136 00

Repairs and improvements : —

Machinery and mechanical fixtures, 55,910 81

All other property, 1,500 00

Farm, stable and grounds : —

Live stock on the farm, . 19,347 00

Produce of the farm on hand, 9,209 62

Carriages and agricultural implements, .... 8,890 40

All other property, 1,569 55

Miscellaneous : —

Drugs and medicines, 751 85

Tobacco, 250 65

Library, 6,015 99

Other supplies undistributed, 6,348 46

$225,331 86

1906. J

PUBLIC DOCUMENT — No. 23.

21

TREASURER'S REPORT.

To the Trustees of the Worcester Insane Hospital.

I hereby submit my annual report on the finances of the

Worcester Insane Hospital for fourteen months ending Nov.

30, 1906.

Receipts.

Cash on hand Sept. 30, 1905,

Received from cities and towns for support of patients,

from individuals for support of patients,

from individuals for support of patients, reimburse-
ments,

from interest on bank balance,

from farm and farm products, .

from sales from store,

from sale of sundries,

from Commonwealth for current expenses,

from Commonwealth from special appropriations,

Total receipts,

$6,021

29

558

51

59,517

51

12,342 03

166

89

5,186

49

1,318

14

2,999

28

309,083

66

20,162 58

. $417,356

38

Expenditures.
Pay roll $111,217 24

Food : —

Beans, $1,115 74

Bread and crackers, . 631 93

Butter, 13,785 79

Cereals, rice, meal, etc., 2,004 25

Cheese, . . . . 761 84

Eggs, 7,208 87 .

Fish . . . . 4,548 50

Flour, 10,142 52

Fruit, \ 3,839 63

Meats, . 24,600 22

Molasses, etc., . 697 30

Sugar, ' . . 6,479 34

Tea, coffee, etc., ...... 1,988 92

Vegetables, 5,823 53

Sundries, 3,186 78

86,815 16

Amount carried forward, $198,032 40

22

WORCESTER INSANE HOSPITAL.

[Dec.

Amount brought forward,

Clothing and clothing material : —
Boots, shoes, etc.,

Clothing,

Dry goods for clothing, etc.,
Furnishing goods,
Hats and caps, ....
Leather and shoe findings,
Sundries,

Furnishings : —
Beds, bedding, table linen, etc.,
Brushes, brooms, etc.,
Carpets, rugs, etc., .
Crockery, glassware, cutlery, etc.,
Furniture and upholstery,
Kitchen furnishings,
Woodenware, etc.,
Sundries,

Heat, light and power : —

Coal,

Gas,

Oil,

Sundries,

Repairs and improvements : —

Bricks,

Cement, lime, etc.,
Doors, sashes, etc., .
Electrical work and supplies, .
Hai'dware, ....

Lumber,

Machinery, etc.,

Paints, oils, glass, etc.,

Plumbing, steamfitting and supplies

Roofing and materials,

Sundries,

Farm, stable and grounds : —
Blacksmith and supplies, .
Carriages, wagons and repairs,
Fertilizers, seeds, etc.,
Hay, grain, etc.,
Harness and repairs,
Horses, .....
Cows, ......

Amounts carried forward, .

$198,032 40

$2,598 26

6,354 37

3,704

24

1,761

24

242 81

64

25

3

25

14,728 42

$5,697

36

564 77

506

02

804 97

484 07

563

41

53

43

1,250

39

9,924 42

$24,153

16

2,661

48

316

80

91

60

27,223 04

$340

00

970

99

841

17

4,531

56

1,116 48

2,404 43

2,086

19

2,391

70

2,526

62

555

07

2,353

45

19,617 66

$696

62

1,639

50

950

26

9,344 52

678

61

825

00

2,535

00

$16,669 51

$269,525 94

1906.] PUBLIC DOCUMENT — No. 23.

23

Amounts brought forward, .

$16,669 51

$269,525 94

Other live stock, ....

556 00

Labor (not on pay roll), .

271 95

Rent,

80 00

Tools, farm machines, etc.,

516 13

Sundries,

1,874 74

19,968 33

Miscellaneous : —

Books, periodicals, etc.,

$435 72

Chapel services and entertainments,

592 60

Freight, expressage, etc.,

295 37

Funeral expenses, . . .

601 50

Gratuities,

70 65

Hose, etc.,

26 25

Ice,

569 63

Labor (not on pay roll), .

25 77

Medicines and hospital supplies,

1,982 46

Medical attendance, ....

235 22

Postage,

341 67

Printing and printing supplies,

471 38

Return of runaways,

319 83

Soap and laundry supplies,

2,983 90

Stationery and office supplies, .

523 04

School books and school supplies, .

245 77

Travel and expenses (officials),

218 70

Telephone and telegraph,

168 89

Tobacco,

1,623 13

Water

6,636 57

Sundries,

1,221 34

19,589 39

Total

$309,083 66

Paid out of special appropriations, .

20,162 58

Receipts paid to State Treasurer,

88,110 14

Total expenditures, .

$417,356 38

Resodrc

ES.

Balance at State treasury (for maintenan

ce), ....

$18,788 23

Balance at State treasury (for special ap

propriations), .

47,125 37

Total resources, ....

$65,913 60

LlABILITl

ES. •

Due for salaries and wages,

.

$7,551 08

Due for all other current expenses,

. ■

11,128 12

Due for special appropriations,

....

8,311 32

Total liabilities,

$26,990 52

24

WORCESTER INSANE HOSPITAL.

[Dec.

Special Appropriations.

Object.

Resolves.

Whole
Amount.

Expended

since

Sept. 30,

1905.

Expended

to

Date.

Balance

Dec. 1,

1906.

Electric lighting,

Alterations in administration
building.

Laundry and laundry machin-
ery.

Alterations in farm buildings,
etc.

Piggery

Male nurses' home,

1902, chap. 118,
1904, chap. 59,

1904, chap. 59,

1905, chap. 91,

1905, chap. 91,

1906, chap. 500,

$16,000 00

11,000 00

4,500 00

4,500 00

1,500 00

55,000 00

$27 45
5,619 04

333 33
2,436 71

11,746 05

$15,604 02
9,191 87
4,276 28
2,436 71

1,808 13

223 72

2,063 29

1,500 00

43,253 95

Patients1 Funds.

Balance on hand Sept. 30, 1905, . . . $2,822 84

Receipts 3,609 99

Interest on bank balance, .... 68 53

Refunded,

Balance on hand Nov. 30, 1906, . . .

Respectfully submitted,

$6,501 36
2,965 08

$3,536 28

ALBERT WOOD,

Treasurer.

Dec. 1, 1906.

1906.]

PUBLIC DOCUMENT — No. 23.

25

STATEMENT OF FUNDS.

Lewis Fund.

Balance on hand Sept. 30, 1905,
Income,

Expended for vault rent,

Investment.
Chicago, Burlington & Quincy Railroad bond,
Worcester County Institution for Savings,
Cash on hand Nov. 30, 1906, ....

Wheeler Fund.
Balance on hand Sept. 30, 1905,
Income,

Expended for books,

Investment.
Three shares Worcester National Bank, .
Five shares Boston & Philadelphia Steamship

Company,

Worcester County Institution for Savings,
Worcester Five Cents Savings Bank,
Mechanics Savings Bank,
Cash on hand Nov. 30, 1906, .

Lawn Fund.
Balance in Mechanics Savings Bank Sept. 30,

1905,

Cash on hand,

Income,

Expended for seedlings,

L,340 85
51 96

$570 00

712 50

1,600 00

1,719 47

78 36

88 59

$899 29

30

34 68

$1,392 81
6 00

$1,386 81

$926 36
342 60
117 85

$1,386 81

$4,874 48
208 28

$5,082 76
313 84

$4,768 92

$4,768 92

$934 27
5 00

$929 27

26 WORCESTER INSANE HOSPITAL. [Deo. 1906.

Investment.
Mechanics Savings Bank, ....

Cash on hand Nov. 30, 1906, ....

Manson Fund.
Balance in Worcester County Institution for
Savings Sept. 30, 1905, . . . .
Income,

$928 97
30

$929 27

$1,320 17
45 70

$1,365 87

$1,365 87

Investment.
Worcester County Institution for Savings,

Land Account.
Balance on hand Sept. 30, 1905, $27 52

Balance in bank Nov. 30, 1906, $27 52

Respectfully submitted,

ALBERT WOOD,

Treasurer of Corporation.
Dec. 1, 1906.

Worcester, Mass., Dec. 4, 1906.

I hereby certify that I have this day compared the treasurer's statement of
receipts and disbursements for fourteen months ending Nov. 30, 1906, with the
books kept at the Worcester Insane Hospital, and find it correct. I have also
inspected the securities representing the invested funds of the institution and find
that their market value is as stated.

GEO. L. CLARK,

Auditor of Accounts.

STATISTICAL TABLES.

[Form prescribed by State Board of Insanity.]

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,43 3

30

WORCESTER INSANE HOSPITAL.

[Dec.

2. — Insane received on First and Subsequent Commitment.

NUMBER OF THE COMMITMENT.

Cabes committed.

Males. Females. Totals

First to this hospital,

Second to this hospital

Third to this hospital, .

Fourth to this hospital

Fifth to this hospital,

Seventh to this hospital, .

Total cases

Total persons,

Never before in any hospital for the insane.

218

162

380

18

16

34

4

4

8

1

5

6

1

3

4

-

1

1

242

191

433

242

191

433

203

145

348

3. — Nativity and Parentage of Insane Persons first admitted to Any

Hospital.

Males.

Female

s.

Totals.

PLACES OF NATIVITY.

Sh

u

C

u

C

H

a

Si

S3

a>

si

Si

a

Si

si

Ph

OS

O

a!

Ph

a
ft

o

S3

o

Massachusetts, ....

77

19

28

43

19

19

120

38

47

Other New England States, .

16

13

12

8

11

11

24

24

23

Other States

13

8

8

10

6

6

23

14

14

Total native

106

40

48

61

36

36

167

76

84

Other countries : —

Austria,

1

-

-

-

-

-

1

-

-

Canada,

10

16

15

6

9

7

16

25

22

China, .

1

1

1

-

-

-

1

1

1

England,

4

9

10

6

5

4

10

14

14

Finland,

6

5

5

4

4

4

10

9

9

Germany,

3

8

4

3

4

7

10

12

Greece,

-

1

-

-

-

-

1

1

India, .

-

-

-

-

1

-

-

1

Italy, .

5

5

-

-

-

5

6

5

Ireland,

27

62

57

41

56

56

68

118

113

Lithuania,

1

1

-

-

-

1

1

1

New Brunswick

2

2

2

-

-

4

2

2

Newfoundland, ....

1

1

-

-

-

1

2

1

Nova Scotia, ....

2

6

3

3

2

5

9

8

Poland,

2

1

-

1

1

2

2

2

Portugal

2

2

-

-

-

2

2

2

Prince Edward Island,

1

1

-

-

-

1

1

1

Russia, .....

8

8

4

4

4

12

12

12

Scotland, .....

1

2

4

6

7

5

9

9

Spain,

1

1

-

-

-

1

1

1

Sweden,

12

12

12

7

7

7

19

19

19

Switzerland, ....

-

-

1

1

1

1

2

1

Syria,

1

-

-

-

-

1

-

-

Turkey,

1

1

-

-

-

1

1

1

Wales,

-

1

-

~

~

~

1

1

Total foreign

92

149

141

82

91

98

174

248

239

Unknown, .....

5

14

14

2

10

11

7

24

25

Totals,

203

203

203

145

145

145

348

348

348

1906.]

PUBLIC DOCUMENT — No. 23.

31

4. — Residence oj

Insane Persons admitted by Commitment.

FlBST ADMITTED

to Any Hospital.

Other

Admissions.

Totals.

PLACES.

OQ

"3

s

"3

a
fa

m

"3
o
Eh

m
"3
8

0)

3

a
fa

3
o

Eh

00

3

a

3
S

Q>
fa

a
o
Eh

Massachusetts (by counties) : —

Barnstable,

-

-

-

-

1

1

-

1

Berkshire,

-

-

-

1

-

1

1

-

Bristol, .

-

-

-

1

-

1

1

"

Essex,

-

1

1

-

-

-

-

1

Hampden,

i

-

1

-

-

-

1

"

Middlesex,

40

41

81

6

11

17

46

52

98

Norfolk, .

6

3

9

1

-

1

7

3

10

Suffolk, .

24

30

54

6

6

12

30

36

66

Worcester,

132

70

202

24

28

52

156

98

254

Totals,

203

145

348

39

46

85

242

191

433

Cities or towns,

156

121

277

36

33

69

192

154

346

Country districts,

47

24

71

3

13

16

50

37

87

'5. — Civil Condition of Insane Persons first admitted to Any

Hospital.

Males. Females. Totals.

Unmarried,
Married,
Widowed,
Divorced,
Unknown,
Totals,

161
137
41
6
3
348

32

WORCESTER INSANE HOSPITAL.

[Dec.

6. — Occupation of Insane Persons first admitted to Any Hospital.

FEMALES

Boarding-house keeper, . . 1

Music teacher, .... 1

Bookkeeper,

1

Operatives, .... 5

Coremaker,

1

Storekeeper, .... 1

Domestics,

35

Student, 1

Evangelist,

1

No occupation, .... 35

Housekeepers,

5

Housewives,

48

Total, . . . .143

Housework,

6

Unknown, .... 2

Laundress,

1

Matron, .

1

Total, . . - . .145

MALES.

Agents (insurance), . . 2

Liquor dealer, .... 1

Agent (real estate),

Machinists,

15

Apprentice (undertaker's

).

Mechanics,

2

Armorer, .

Mei-chants,

2

Artist,

Mill operatives,

8

Barbers, .

Moulder, .

1

Blacksmith,

Painters, .

6

Bleacher, .

Paper maker, .

1

Bookbinder,

Photographer, .

1

Bookkeeper,

Printers. .

2

Brakeman,

Printer's help, .

1

Butchers, .

Retired,

1

Cabinet maker,

Screen maker, .

1

Carpenters,

Shoe cutter,

1

Clerks, .

Shoemakers,

6

Coachman,

Superintendent (mil

I),

1

Cook,

Surveyor, .

1

Cooper, .

Tailors,

2

Currier, .

Teamsters,

6

Druggist, .

Telegrapher, .

1

Drummer,

Turner,

1

Dyer,

Undertaker,

1

Electricians,

Waiter,

1

Engineers,

Weavers, .

3

Expressman,

Wire makers, .

5

Farmers, .

11

Watchman,

1

Grocers, .

Wheelwright, .

1

Janitor,

No occupation,.

21

Junk collector,

Laborers, .

54

Total,

202

Laundry man,

Unknown,

1

Lawyer, .

Letter carrier,

Total, . . . .203

PUBLIC DOCUMENT — No. 23.

33

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Physical.
Alcohol, ....
Alcohol and other causes,
Cerebral hemorrhage, .
Childbirth, ....
Childbirth and other causes,
Consanguinity,
Constitutional inferiority, .
Epilepsy, ....
Epilepsy and other causes, .
Heredity, ....
Heredity and other causes, .
Ill health, ....
Ill health and other causes, .
Lead poisoning, .
Menopause, ....
Menopause and other causes,
Morphinism,

Overwork, ....
Overwork and other causes,
Pregnancy, ....

1906.]

PUBLIC DOCUMENT — No. 23.

35

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WORCESTER INSANE HOSPITAL.

[Dec.

9. — Probable Duration of Mental Disease before Admission.

First admitted to Any Hospital.

PREVIOUS DURATION.

Males.

Females.

Totals.

Congenital,

6

2

8

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32

38

70

From 1 to 3 months.

31

14

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. 3 to 6 months,

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7

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131

307

Unknown,

27

14

41

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203

145

348

Average known duration in years,

1.5

2.4

1.9

1906.]

PUBLIC DOCUMENT — No. 23.

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Alcoholic paranoic condition, .

Delirium tremens, ....

Constitutional inferiority,
Delirium (Infectious, toxic and
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Epileptic insanity, ....

General paralysis of the insane, .
Imbecility, ......

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Katatonia, ......

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Manic form, .....

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Neurasthenic irritability,

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Paranoic condition, ....

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Senile dementia, .....

Traumatic insanity

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Alcoholic insanity : —
Alcoholic depression,
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Alcoholic paranoic condition,
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Constitutional inferiority,

Delirium (infectious, toxic
sesthenic),

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General paralysis of the insane,

Imbecility

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Katatonia, ....

Manic-depressive insanity : —
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Melancholia, ....

Organic dementia,

Paranoic condition,

Polyneuritic psychosis,

Senile dementia, .

Traumatic insanity,

Not insane

Totals, ....

Aggregate persons,
Aggregate cases,

1906.]

PUBLIC DOCUMENT — No. 23.

39

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Pulmonary tuberculosis

Pulmonary tuberculosis with cardiac disease,

Exhaustion from general paralysis

Exhaustion from excitement, .....

Exhaustion from senility, ......

II. Diseases of the nervous system : —

III. Diseases of the circulatory system : —

Myocarditis with acute dilatation, ....
Acute dilatation of heart, ......

Arterio sclerosis and aortic stenosis, ....

Anasarca from cardiac and renal disease,

IV. Diseases of the respiratory system : —

Lobar pneumonia and heart disease

Lobar pneumonia and cerebral hemorrhage,

1906.]

PUBLIC DOCUMENT — No. 23.

41

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V. Diseases of the digestive system : —

Peritonitis from perforating duodenal ulcer,
Entero-colitis and inanition, ......

VI. Diseases of the geuito-urinary system : —

VII. Violence: —

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Pulmonary tuberculosis

Pulmonary tuberculosis with cardiac disease,

Cancer of stomach,

Cancer of uterus,

Cancer of breast, ........

Sarcoma of jaw,

Pernicious anaemia

Exhaustion from general paralysis

Exhaustion from excitement,

Exhaustion from senility

II. Diseases of the nervous system : —

Basilar meningitis, .......

Cerebral hemorrhage,

Cerebral embolism,

Brain tumor,

Status epilepticus,

Ill Diseases of the circulatory system : -

Pericarditis, .........

Myocarditis with acute dilatation, ....

Valvular heart disease

Acute dilatation of heart,

Ruptured heart

Arterio sclerosis

Arterio sclerosis and aortic stenosis, ....

Aortic stenosis

Anasarca from cardiac and renal disease,
IV. Diseases of the respiratory system : —

Broncho-pneumonia, .......

Lobar pneumonia,

Lobar pneumonia and heart disease, . . . .

Lobar pneumonia and cerebral hemorrhage,

Hypostatic pneumonia,

190(5.]

PUBLIC DOCUMENT — No. 23.

43

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V. Diseases of the digestive system : —

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VI. Diseases of the genito-urinary system : —

VII. Violence: —

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