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Full text of "Annual report of the trustees of the Worcester State Hospital"

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University of Massachusetts Amherst 



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Public Document 



No. 23 



SEVENTY-SEVENTH ANNUAL EEPOET 



THE TRUSTEES 



Worcester State Hospital, 



THIRTY-SECOND ANNUAL REPORT OF THE TRUSTEES 



WORCESTER STATE ASYLUM AT WORCESTER, 



Yeah ending November 30, 1909. 




BOSTON: 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1910. 



Public Document No. 23 



SEVENTY-SEVENTH ANNUAL EEPOET 



THE TRUSTEES 



Worcester State Hospitai 



j > 



THIRTY-SECOND ANNUAL REPORT OF THE TRUSTEES 



WORCESTER STATE ASYLUM AT WORCESTER, 



Year ending November 30, 1909. 




^ 



BOSTON: 

WRIGHT & POTTEE PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1910. 






Approved by 
The State Board of Publication. 



mi 

3 



CONTENTS 



PAGE 

Report of Trustees, 7 

Report of Superintendent, 9 

Report of Treasurer, 20 

Statistics, 29 



OFFICERS OF THE HOSPITAL. 



TRUSTEES 



THOMAS RUSSELL, . 
CARRIE B. HARRINGTON, 
FRANCES M. LINCOLN, . 
SAMUEL B. WOODWARD, 
GEORGE F. BLAKE, . 
LYMAN A. ELY, 
T. HOVEY GAGE, 



Boston. 

Worcester. 

Worcester. 

Worcester. 

Worcester. 

Worcester. 

Worcester. 



RESIDENT OFFICERS. 
HOSEA M. QUINBY, M.D., 
THEODORE A. HOCH, M.D., 
RAY L. WHITNEY, M.D., . 
FLORENCE H. ABBOT, M.D., 
WILLIAM M. DOBSON, M.D., 
JOHN R. ROSS, M.D., 
FRANK L. S. REYNOLDS, M.D., 
GEORGE A. McIVER, M.D., 
NELSON G. TRUEMAN, M.D., 
IDA A. McNEIL, 
LILA J. GORDON, 
JOSEPH T. REYNOLDS, . 



Superintendent. 
First Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Junior Assistant. 
Junior Assistant. 
Junior Assistant. 
Superintendent of Nurses. 
Matron. 
Farmer. 



NONRESIDENT OFFICERS. 



GEORGE E. PARESEAU, 
ALBERT WOOD, 
GEORGE L. CLARK, . 
JESSIE M. D. HAMILTON, 
JAMES DICKISON, Jr., 



Druggist. 

Treasurer. 

Auditor. 

Clerk. 

Engineer. 



®t)e (HommcmomUt) of ittctssactjusetts. 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester State Hospital respectfully sub- 
mit their seventy-seventh annual report. 

The reports of the superintendent and of the treasurer are 
annexed hereto, and contain, in detail, statements of the finan- 
cial condition and of the work of the institution, of the training 
school for nurses, and of the changes in the staff of the insti- 
tution. 

The work authorized in 1908 has been carried to substantial 
completion, and the new ward for the treatment of excitable 
female patients is ready for use. 

The trustees recommend most earnestly an appropriation of 
$77,000 for the building of a similar new ward, on the male 
side of the hospital, for the treatment of the violent insane, to 
accommodate 125 patients, with dining rooms for patients and 
attendants, and an appropriation of $7,000 for furnishing the 
same. 

The trustees also recommend an appropriation of $10,000 for 
raising the roof of the Salisbury ward of the hospital, thereby 
giving accommodation for 21 additional patients, and rendering- 
access more easy to the upper stories of the proposed new ward 
for excited male patients. Also an appropriation of $4,200 for 
elevators in connection with the completed ward and the pro- 
posed new ward. 

The trustees again urgently recommend the purchase of the 
Putnam and Curtis tracts of land, adjoining the land of the 
hospital, as recommended in their last three annual reports. 
Every year makes the advisability of making this purchase more 
apparent, and adds to the danger that the land will be used for 
other purposes in such a way as to injure the institution. The 



8 WORCESTER STATE HOSPITAL. [Dec. 

reasons for this purchase have been so abundantly set forth in 
the preceding reports of the trustees and the superintendent that 
they will not be repeated here. The Putnam tract is needed to 
protect the large investment that the State already has in this 
institution, and the Curtis tract can be immediately and profita- 
bly used for farming and gardening purposes, which will not 
only extend the usefulness of the institution in giving outdoor 
employment to the patients, but can be made to return a fair 
profit on the cost of the land to the State. We therefore repeat 
our recommendation for an appropriation of $18,000 for the 
purchase of these two tracts of land. 

On Nov. 20, 1909, Mr. Henry R. Center, the steward of the 
hospital, died. He came to the hospital as steward on Oct. 17, 
1899, and for ten years had been an efficient, capable and faith- 
ful servant of the institution, and will be much missed by all 
connected therewith. The trustees take this means of express- 
ing their appreciation of the value of his services to the hos- 
pital, and through it to the State. 

The superintendent, members of the staff and employees of 
the hospital have, as usual, earned the esteem and appreciation 
of the trustees by their faithful, able and devoted services to the 
institution. 

Respectfully submitted, 

THOMAS RUSSELL. 
CARRIE B. HARRINGTON. 
FRANCES M. LINCOLN. 
SAMUEL B. WOODWARD. 
GEORGE F. BLAKE. 
LYMAN A. ELY. 
T. HOVEY GAGE. 

Nov. 30, 1909. 



1909.] PUBLIC DOCUMENT — No. 23. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Worcester State Hospital. 

I herewith respectfully submit the following report of the 
hospital for the year ending Nov. 30, 1909, it being the seventy- 
seventh annual report. 

There remained at the hospital Oct. 1, 1908, 1,216 pa- 
tients, — 606 men and 610 women. During the year ending 
Sept. 30, 1909, there were admitted 590 patients, — 291 men 
and 299 women. Five hundred and twenty-one patients — 
239 men and 282 women — were dismissed from the hospital. 
Of this number, 199 patients — 92 men and 107 women — 
were discharged ; 173 patients — 96 men and 77 women — 
died ; 78 patients — 16 men and 62 women — were transferred ; 
and 71 patients — 35 men and 36 women — left on visit or es- 
cape, leaving at the end of the statistical year, 1,285 patients — 
658 men and 627 women. Of this number, 1,024 were sup- 
ported by the State, 157 by friends and 104 as reimbursing 
patients. Of the 277 patients discharged and transferred, 59 
(including 10 habitual drunkards, women) were reported re- 
covered, 53 capable of self-support, 31 improved and 131 not im- 
proved. Three were discharged not insane. Thirty-five women 
were transferred by the State Board of Insanity to the State 
Infirmary, Tewksbury, 10 men and 10 women to the Gardner 
State Colony, 1 man and 5 women to the Monson State Hospi- 
tal, 3 men and 2 women to the Westborough State Hospital, 1 
woman to the Worcester State Asylum, 1 woman to the Taunton 
State Hospital, 1 woman to Herbert Hall, and 1 man to the 
Boston State Hospital. Twenty-four men and 20 women were 
removed from the State, and 1 man and 7 women were boarded 
out. 

There remained at the end of the year 69 patients more than 
at the beginning. The smallest number under treatment on any 



10 WORCESTER STATE HOSPITAL. [Dec. 

one day was 1,199, and the largest, 1,285. The daily average 
number was 1,232.45. 

The percentage of recoveries, calculated upon the number of 
discharges and deaths, was 15.8; calculated upon the number of 
admissions it was 10. 

The death-rate was 9.5 calculated on the whole number of 
patients under treatment, and 14 calculated on the daily aver- 
age number. 

During the year the general health of both patients and em- 
ployees has been good. One patient and several nurses had a. 
mild attack of diphtheria, but no serious epidemic followed. 

Our death-rate has been higher this year than for several 
years, an unusual number of general paralytics and senile cases 
having died during the year, while we have received an unusu- 
ally large number who were enfeebled on account of physical 
disease and who died within the first two weeks of hospital resi- 
dence. 

The training school is in a prosperous condition. Thirteen 
nurses will be graduated in December, and there are 45 nurses 
in the junior class. Most of our last year's graduates are tak- 
ing post-graduate work in other hospitals. One graduate has 
returned to the institution after taking a post-graduate course 
in a general hospital and is acting as supervisor. 

We have completed during the year a new ward for women, 
designed for recent and acute cases and for those of our pa- 
tients who need special care and oversight. The building is 104 
feet long by 44 feet wide, and three stories high, with a flat 
roof. It is joined to the extreme end of the main building, 
with its long axis running north and south. It is divided by a 
corridor 8 feet wide running the length of the building. Be- 
ginning at the south end of the corridor there is on the inner 
side, or the side facing the old wards, a large service room for 
preparing hot packs, drying blankets, etc., a toilet room, an 
iron staircase, enclosing an elevator well, running from the 
basement to the roof, and a veranda. On the opposite side there 
are on each of the two lower floors two dormitories, designed for 
eight beds each, with a bath room between of sufficient size to 
accommodate four bath tubs for continuous baths. ISText to 
these three rooms is an ample clothes room, and next to this is 



1909.] PUBLIC DOCUMENT— No. 23. 11 

a room which may be used either as a day room or a dormitory, 
as our necessities may indicate. The north end of the corridor 
opens upon a second and larger veranda, which with the one 
upon the opposite side will furnish ample facilities for getting 
patients out of doors. 

Dining-room facilities for this building have been provided 
by taking a portion of the portico and one room at the end of 
the old building and making the necessary alterations therein. 

The roof of this building is designed for the use of those of 
our patients who are suffering from phthisis. It is surrounded 
by a parapet wall, and in place of the usual tar and gravel roof 
has a covering of concrete. It is provided with a serving room, 
a toilet room and dressing room, and is reached by the iron 
stairs and elevator already mentioned. The work here is not 
as yet wholly completed, but it is designed to enclose the entire 
roof with a covered colonnade 10 feet wide, screened in front 
with a heavy wire grill. This will not only make it secure, but 
will provide protection from rain, and, what is quite as essential 
on many days in the warmer months, from the heat and glare 
of the sun. We shall thus be able to provide an out-of-door 
ward for from 25 to 30 patients, and with the facilities here 
placed at the patients' disposal there should be only a very few 
days in the year when they cannot enjoy its use. 

The alterations in our old coal pocket, designed to provide a 
bath house for patients, a gymnasium and additional work 
rooms, are nearly completed. Three years have elapsed since 
we asked for and were granted an appropriation for this work, 
and it may seem that there has been an unwarranted delay in 
carrying it on and completing it; but the work has been done 
almost entirely by patients, and has been purposely held back 
as it furnished an opportunity for providing patients employ- 
ment when they could not be employed out of doors. 

Besides routine repairs, we have painted our farm barns, put 
in a new tubular boiler at our farmhouse for heating, and in- 
stalled electric lights on the main avenue to the hospital. At 
the same time we have carried forward the improvements begun 
on the avenue last year, — setting stone curbing, laying gutters, 
putting in the foundation for a granolithic walk, and removing 
the old gateway at the entrance to our grounds, replacing it with 



12 WORCESTER STATE HOSPITAL. [Dec. 

one of cut stone, and more in keeping with the place. All this 
work upon our avenue has been done at very little expense to 
the hospital, except for bare material, — the getting out and 
cutting of the curbing, the laying of the gutters, the cutting of 
the stone piers, and the other stone work necessary for the new 
gateway being done entirely by patients. 

Many other improvements of a similar nature have been car- 
ried on by patients during the year about the grounds ; clearing 
up waste land, building roads, and getting out and preparing 
stone to macadamize those already bnilt. 

Plans for a ward on the men's side of the house, similar to 
that just completed for our women, have been prepared and 
submitted to the Board of Insanity, and have received their ap- 
proval. It is proposed to locate this building at the end of the 
Salisbury wards, and as the hill here slopes away rapidly, the 
building will of necessity be four instead of three stories high. 
In the first or basement story it is designed to fit up two dining 
rooms, a congregate dining room for our Salisbury ward pa- 
tients, and a dining room for our male attendants, the need of 
both of which has long been felt. 

Our male attendants are now obliged to eat upon the ward 
with their patients, an arrangement which is obviously neither 
for the good of the attendant nor the patient. The latter fails 
to get the attention he should have at meal time, while the for- 
mer, aside from the many other disadvantages which such an ar- • 
rangement entails, finds his hours on duty unduly lengthened 
thereby. We have long recognized these unsatisfactory condi- 
tions, but have hitherto been unable to rectify them on account 
of our inability to find any place in the present building where 
we could conveniently and satisfactorily provide a dining room 
for the male attendants. 

The estimated cost of this building, designed to accommodate 
100 patients, together with an open-air ward for 25 consump- 
tives, and a congregate dining room for 125 patients and 80 
attendants, is $77,000. The estimated cost of furnishing is 
$7,000. An elevator should be provided for this building and 
for the ward just completed, and for this an appropriation of 
$4,200 will be needed. 

All our old buildings are four stories high, except the extreme 



1909.] PUBLIC DOCUMENT — No. 23. 13 

wings, and the addition of the new wards makes it desirable that 
these wings should also conform in height to the other wards. 
This would greatly add to our convenience, and could be readily 
accomplished by raising the roof of the Salisbury ward. It 
would give us another ward and an added opportunity for class- 
ification, the necessity for which we are coming to feel more and 
more every year, as our quieter patients are weeded out for 
transfer to other institutions and our large wards are filled with 
the more turbulent class. It is a change which must come 
sooner or later, as a matter of convenience, and it can be done 
best and cheapest in connection with the new work. Now a 
patient going from the upper wards to the roof of the new build- 
ing will first have to be taken down one flight and then up. As 
the State is obliged to provide for additional patients it would 
seem that this might well be done in connection with the exist- 
ing institution, provided it can be done as cheaply and satisfac- 
torily there as elsewhere. This would provide for 21 additional 
patients at an estimated cost of $10,000. 

As to the two tracts of land adjoining the hospital prop- 
erty, — the Curtis land on the east and the Putnam land on the 
west, — the purchase of which has been urged in former re- 
ports, I can only repeat that this land is necessary not only for 
the protection of the hospital but for properly carrying on the 
work of the institution, and if bought could at once be made to 
return to the State a fair interest on the purchase price. If not 
bought by the hospital this year, I am assured that our option 
upon this land will be withdrawn, and that the more desirable 
portions of both tracts will be cut up into house lots and placed 
upon the market. 

In the death of our steward, Mr. Henry R. Center, which oc- 
curred suddenly on Nov. 20, 1909, while he was on his way 
home from his vacation, the hospital has lost a most faithful and 
efficient officer. He was ever on the alert to thoroughly inform 
himself upon all matters pertaining to his department, and was 
painstaking, methodical and untiring in all his work. Through- 
out his long service he served the institution with unquestioned 
integrity and absolute fidelity. 

The following changes have occurred in our staff during the 
past year: Dr. Freeman A. Tower resigned June 12, 1909, 



14 WORCESTER STATE HOSPITAL. [Dec. 

to accept the position of superintendent of Burbank Hospital, 
Fitchburg. Dr. Mason W. H. Pitman left June 23, 1909, to 
take a position in the Maine Insane Hospital at Augusta. Dr. 
Percy L. Dodge left April 12, 1909, to go to the King's Park 
State Hospital, N. Y., and F. G. Campbell left Sept. 11, 1909. 

Dr. Tower had been connected with the hospital five years 
as interne, junior assistant and senior assistant physician, and 
finally as pathologist, and had given the institution faithful, un- 
tiring and valuable service, and in giving up his work here for 
new and wider fields of usefulness he carries with him the best 
wishes of all with whom he was here associated for his future 
success. 

The following appointments were made: Dr. William M. 
Dobson was appointed senior assistant physician Jan. 4, 1909, 
having completed an. eighteen months' service at the State Hos- 
pital, Tewksbury. Frank L. S. Reynolds was appointed junior 
assistant June 3, 1909. Dr. John R. Ross was appointed senior 
assistant physician Aug. 2, 1909. He was formerly at the 
King's Park State Hospital, 1ST. Y. Dr. George A. Mclver was 
appointed junior assistant physician Nov. 8, 1909, and Dr. 
Nelson G. Trueman was appointed Nov. 10, 1909. Both men 
had had previous hospital training. 

Dr. Samuel T. Orton has been appointed pathologist. A 
graduate of the Ohio University, the University of Pennsyl- 
vania and of Harvard, he comes to us after an eighteen months' 
service in the pathological department at the Boston City Hos- 
pital, under Dr. Mallory, and a two years' service as pathologist 
at the Columbus State Hospital, and at the St. Anns Hospital 
Laboratory at Anaconda, Montana. 

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 their valu- 
able assistance in sewing. 

H. M. QITINBY, M.D., 

Superintendent . 
Nov. 30, 1909. 



1909.] 



PUBLIC DOCUMENT— No. 23. 



15 



PRODUCTS OF THE FARM 

On Hand Dec. 1, 1909, and not delivered at the Hospital. 



Beets, bushels, 
Cabbage, tons, 
Carrots, bushels, 
Celery, boxes, 



11 



768 
825 
508 
491.66 



Leeks, bushels, 
Mangel-wurzels, bushels, 
Parsnips, bushels, 
Turnips, barrels, . 



25 

1,200 

400 

170 



FARM ACCOUNT. 



Dr. 

Bread, $398 47 

Butter, 1,297 09 

Blacksmith and supplies, 495 17 

Carriage and wagon repairs, 562 72 

Current expenses, 1,555 26 

Fertilizer, 663 38 

Fish, 269 48 

Fuel, 591 75 

Furnishings, 198 89 

Groceries, etc., 3,181 30 

Harness and repairs, 364 22 

Hay, grain, etc., 10,717 09 

Ice, 208 91 

Lights, 11 70 

Live stock : — 

Cows, 1,807 50 

Pigs, 248 50 

Horses, 433 50 

Meats, 2,066 79 

Milk, 949 00 

Repairs, 3,216 61 

Seeds, 60 80 

Sugar, 436 17 

Tools, 338 41 

Wages, . . . . 13,493 32 



$43,566 03 



16 



WORCESTER STATE HOSPITAL. 



[Dec. 



Cr. 



Apples, 1,637.5 barrels, 
Asparagus, 7 boxes, . 
Beans, lima, 100.5 bushels, . 
Beans, shell, 32 bushels, 
Beans, string, 125.5 bushels, 
Beef, 30 sides, 8,290 pounds, 
Beets, 339 bushels, 
Blackberries, 358 quarts, 
Cabbage, 21.5175 tons, 
Carrots, 172 bushels, 
Cauliflower, 8 boxes, 
Celery, 1,473.5 boxes, 
Cider, 2,700 gallons, 
Citron, 269 pounds, 
Corn, green, 1,123.5 bushels, 
Cucumbers, 41.25 boxes, 
Cucumbers, pickles, 316 pecks, 
Currants, 176 quarts, . 
Egg plant, 2.33 barrels, 
Feed : — 

Bran, .1 ton, 
Hay, 23.93 tons, . 
Grain bags, sold, 950, . 
Lettuce, 463 boxes, 
Leeks, 84 bushels, 
Manure, 10.5 cords, 
Milk, 317,829 quarts, . 
Oats, 961 bushels, 
Onions, 962.5 bushels, . 
Old wagon frame sold, 
Old iron sold, 
Parsley, 2.06 bushels, . 
Parsnips, 288.5 bushels, 
Pears, 11 bushels, . 
Pears, green, 244 bushels, 
Peppers, 1.5 bushels, . 
Plants sold, 2,550, 
Pork, 24,670.5 pounds, 
Radishes, 85 dozen bunches, 
Rhubarb, 15,805 pounds, 
Rowen rye, 6 tons, 



$4,912 50 

29 75 

150 75 

40 00 

125 50 
580 30 
169 50 

35 80 

430 35 

103 20 

8 00 

1,252 48 

270 00 

2 69 
842 63 

82 50 

126 40 
19 36 

4 66 

3 00 
430 74 

19 00 

347 25 

29 40 

63 00 

15,891 45 

582 59 

824 08 

4 00 
12 00 

1 03 

216 38 

11 00 

244 00 

1 13 

25 50 

1,973 64 

21 25 

316 10 

72 00 



Amount carried forward, 



$30,274 91 



1909.] 



PUBLIC DOCUMENT — No. 23. 



17 



Amount brought forward, 

Squash, summer, 21.70 barrels, 
Squash, winter, 44.725 tons, 
Sand, 122 yards, . 
Scullions, 27.5 bushels, 
Spinach, 223.5 bushels, 
Strawberries, 7,151 quarts, 
Straw, oat, 81.56 tons, 
Straw, rye, 1.5 tons, . 
Swill, 7 lots, 
Tomatoes, 472.5 bushels, 
Tomatoes, green, 39 bushels, 
Turnips, 129.7 barrels, 
Veal, 59 pounds, . 
Wood, 1 cord, 
Wooden cases sold, 32, 
Live stock : — 

Calves, 44, . 

Cows, 1, 

Pigs, 23, 
Hides sold, 18,952.5 pounds, 
Skins, calf, sold, 5, 
Team labor, 1,035 days, 
Patients' labor, 2,722 days, 
Attendants' labor, 1,500 days, 



$30,274 91 


21 70 


1,341 75 


152 50 


13 75 


89 40 


572 08 


1,027 21 


36 00 


84 00 


354 38 


19 50 


162 12 


6 49 


4 50 


10 75 


138 50 


7 00 


115 50 


107 84 


4 00 


4,140 00 


2,722 00 


2,231 00 


$43,636 88 



18 



WORCESTER STATE HOSPITAL. 



[Dec. 



OFFICERS AND THEIR SALARIES. 



Residents. 
Superintendent (per annum), 
First assistant physician (per annum), 
Assistant physician (per annum), 4, at . 
Assistant physician (per annum), 4, at . 
Pathologist (per annum), 
Superintendent of nurses (per annum), 
Steward (per annum), .... 
Matron (per annum), .... 
Farmer (per month), .... 



$3,000 00 

1,500 00 

1,000 00 

400 00 

2,000 00 

900 00 

1,200 00 

800 00 

75 00 



Nonresidents. 



Druggist (per week), . 
Treasurer (per annum), 
Auditor (per annum), . 
Clerk (per month), 
Engineer (per week), . 



$16 00 

500 00 

75 00 

75 00 

25 00 



1909.1 PUBLIC DOCUMENT — No. 23. 19 



VALUATION OF PERSONAL ESTATE. 

Nov. 30, 1909. 



Provisions and groceries, $17,732 25 

Ready-made clothing, 3,158 85 

Dry goods : — 

For clothing, . ' 803 91 

For bedding, etc., 1,128 37 

Furnishings : — 

Beds and bedding in inmates' department, . . .' 34,062 50 
Other furnishings in inmates' department, . . . 22,112 50 
Personal property of State in superintendent's de- 
partment, 14,078 40 

All other property, ' 26,502 58 

Heat, light and power : — 

Fuel, 4,731 24 

All other property, ' 14 80 

Repairs and improvements : — 

Machinery and mechanical fixtures, .... 48,215 09 

All other property, . 1,524 00 

Farm, stable and grounds : — 

Live stock on the farm, ...... 22,450 00 

Produce of the farm on hand, 2,169 47 

Carriages and agricultural implements, . . . 7,870 00 

All other property, 4,860 52 

Miscellaneous : — 

Drugs and medicines, 785 73 

Tobacco, 165 52 

Library, 5,640 68 

Other supplies undistributed, 8,191 00 

$226,197 41 



20 



WORCESTER STATE HOSPITAL. 



[Dec. 



TREASURER'S REPORT. 



To the Trustees of the Worcester State Hospital. 

I respectfully submit the following report of the finances of 
this institution for the fiscal year ending Nov. 30, 1909 : — 





Cash Account. 










Receipts. 




$4,327 


03 


Institution Receipts. 










Board of inmates : — 










Private, . . . . 


$43,825 43 








Reimbursements, 


16,783 94 








Cities and towns, 


1,523 54 


$62,132 91 












Sales : — 










Food, 


$1,327 42 








Clothing and materials, 


760 01 








Furnishings, 


2 65 








Heat, light and power, 


10 20 








Repairs and improvements, 


102 78 








Miscellaneous, 


333 76 


2,536 82 












Farm, stable and grounds : — 










Cows and calves, 


$145 50 








Pigs and hogs, 


148 55 








Hides, 


97 48 








Vegetables, 


50 








Sundries, . 


150 00 


542 03 






Miscellaneous receipts : — 








Interest on bank balances, 


$353 33 








Rent, 


420 00 








Sundries, . 


9 86 


783 19 










65,994 


95 








Receipts from Treasury of 


Commonwealth. 








Maintenance appropriations : — 










Balance of 190S, 




$19,241 73 






Advance money, 




12,000 00 






Approved schedules of 1909, 




266,928 69 


298,170 


42 








Special appropriations, 






57,080 


54 




$425,572 


94 



1909.] 



PUBLIC DOCUMENT — No. 23. 



21 



Payments. 

To treasury of Commonwealth, institution receipts, 

Maintenance appropriations : — 

Balance November schedule, 1908, 
Eleven months' schedules, 1909, . 
November advances, . ' . 

Special appropriations : — 
Approved schedules, . 



Balance Nov. 30, 1909 
In bank, 
In office, 



Total, 



Appropriation, . 

Expenses (as analyzed below), 



Maintenance . 



Balance reverting to treasury of Commonwealth, 



Analysis of Expenses 
Salaries, wages and labor : — 

General administration, . 

Medical service, . . . 

Ward service (male), . 
Ward service (female), 
Repairs and improvements, 
Farm, stable and grounds, . 



Food 



Butter, 

Beans, 

Bread and crackers, 

Cereals, rice, meal, etc 

Cheese, 

Eggs, 

Flour, 

Fish, 

Fruit (dried and fresh) 

Meats, 

Milk, 

Molasses and syrup, 

Sugar, 

Tea, coffee, broma and 

Vegetables, 

Sundries, . 



cocoa, 



Clothing and materials : — 

Boots, shoes and rubbers, 
Clothing, 

Amounts carried forward, 



$65,994 95 

23,568 76 

266,928 69 

3,403 72 



$7,855 42 
740 86 



$359,896 12 
57,080 54 

8,596 28 
$425,572 94 



$298,612 00 
296,744 81 

$1,867 19 



$26,895 21 


11,115 


61 


19,690 


87 


20,052 


98 


14,803 


84 


15,296 


54 




<ai H7 8^ n^i 




ijpXU / jOOO uo 


$14,614 61 


1,136 


40 


457 


55 


2,051 


57 


* 857 


12 


5,512 


90 


10,043 


74 


3,488 


06 


2,707 


41 


22,180 


12 


5,140 


64 


523 


74 


5,780 


07 


1,601 


60 


4,963 


47 


3,007 


20 




"34 Ofifi 90 




UTjUUU — >yJ 


$2,287 


52 


4,160 


30 



5,447 82 $191,921 25 



22 



WORCESTER STATE HOSPITAL. 



[Dec. 



Amounts brought forward, 



3,447 82 $191,921 25 



Clothing and materials — Con. 

Dry goods for clothing and small wares, 
Furnishing goods, . . . . 

Hats and caps, . . . . . 

Leather and shoe findings, . 
Sundries, ...... 

Furnishings : — 

Beds, bedding, table linen, etc., 

Brushes, brooms, 

Carpets, rugs, etc., 

Crockery, glassware, cutlery, etc., 

Furniture and upholstery, . 

Kitchen furnishings, 

Wooden ware, buckets, pails, etc., 

Sundries, ..... 

Heat, light and power : — 

Coal, ..... 

Gas, ...... 

Oil, 

Sundries, ..... 



Repairs and improvements : — 
Brick, 

Cement, lime and plaster, 
Doors, sashes, etc., 
Electrical work and supplies 
Hardware, 
Lumber, 

Machinery, etc., . 
Paints, oil, glass, etc., 
Plumbing, steam fitting and suppl 
Roofing and materials, 
Sundries, . 

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

Other live stock, 
Rent, 

Tools, farm machines, etc., 
Sundries, . 



Miscellaneous : — 

Books, periodicals, etc., 

Chapel services and entertainments, 

Freight, expressage and transportation, 



Amounts carried forward, 



3,083 


32 




2,829 


02 




166 


19 




48 


05 




84 


65 


12,659 05 






$7,221 


43 




621 


05 




480 


45 




940 


33 




1,062 


90 




248 


97 




142 


22 




724 


91 


11,442 26 


$19,125 


18 


406 


47 




350 


51 




978 


75 


20,860 91 






$532 


15 




794 


94 




573 


64 




3,306 


99 




1,217 


57 




2,672 


71 




262 


19 




2,912 


41 




2,703 


13 




632 


51 




4,688 


82 


20,297 06 






$1,158 03 




1,455 


90 




968 


45 




11,131 


91 




429 


89 




1,258 


50 




1,957 


50 




233 


50 




305 


00 




639 


73 




1,249 


92 


20,788 33 






$469 62 




573 


65 




1,650 


83 




$2,694 


10 


$277,968 86 



1909.] 



PUBLIC DOCUMENT — No. 23. 



23 



Amounts brought forward, 



2,694 10 $277,968 86 



Miscellaneous — Con. 








Funeral expenses, .... 


219 


00 




Gratuities, ..... 


38 


70 




Hose, etc., ..... 


50 


42 




Medicines and hospital supplies, . 


1,876 44 




Medical attendance, nurses, etc. (extra), 


355 


41 




Postage, ...... 


370 


40 




Printing and printing supplies, 


301 


47 




Printing annual report, 


267 


29 




Return of runaways, .... 


128 


74 




Soap and laundry supplies, . 


2,982 


59 




Stationery and office supplies, 


1,156 


59 




School books and school supplies, 


100 


82 




Travel and expenses (officials), 


130 


71 




Telephone and telegraph, 


268 


23 




Tobacco, ...... 


1,004 


74 




Water, ...... 


5,284 


86 




Sundries, ...... 


1,545 


44 


18,775 95 








Total expenses for maintenance, 


$296,744 81 



Special Appropriations. 

Balance Dec. 1, 1908, 

Expended during the year (see statement annexed), 

Balance Nov. 30, 1909, .... 



$59,195 44 
57,080 54 

$2,114 90 



Resources and Liabilities. 
.Resources. 

Cash on hand, $8,596 28 

November cash vouchers (paid from advance money), 3,403 72 

Due from treasury of Commonwealth account 

November, 1909, schedule, .... 17,816 12 



J,816 12 



Liabilities. 



Schedule of November bills, 



),S16 12 



24 



WORCESTER STATE HOSPITAL. 



[Dec. 





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1909.] PUBLIC DOCUMENT — No. 23. 25 



STATEMENT OF FUNDS. 



Patients' Fund. 

Balance on hand Nov. 30, 1908, .... $4,045 32 

Receipts, 2,284 26 

Interest on bank balance, 106 06 



Interest paid to State Treasurer, . . . $106 06 
Refunded, 2,266 36 



$6,435 64 

2,372 42 
$4,063 22 



Investment. 
Worcester County Institution for Savings, 
Worcester Five Cents Savings Bank, . 
Balance Mechanics National Bank, 
Cash on hand Dec. 1, 1909, . 

Lewis Fund. 
Balance on hand Nov. 30, 1908, . 
Income, ....... 



Expended for books, etc., 



. $2,000 00 




. 1,000 00 




850 71 




212 51 






$4,063 22 




. $1,350 24 




55 51 






$1,405 75 






71 34 



$1,334 41 



Investment. 
Chicago, Burlington & Quincy Railroad bond, 
Worcester County Institution for Savings, . 
Balance Mechanics National Bank, 

Wheeler Fund. 

Balance on hand Nov. 30, 1908, . 

Income, 

Expended for books, etc., .... 



, $926 36 

342 60 

65 45 


$1,334 41 




. $5,005 75 
209 12 


$5,214 87 
179 32 


■ 



$5,035 55 



26 



WORCESTER STATE HOSPITAL. [Dec. 1909. 



Investment. 
3 shares Worcester National Bank, 
American Telephone and Telegraph Company 
bond, ...... 

Worcester County Institution for Savings, 
Worcester Five Cents Savings Bank, . 
Mechanics Savings Bank, 
Balance Mechanics National Bank, 



Lawn Fund. 
Balance Mechanics Savings Bank, Nov. 30, 190S, 
Income, 



Expended for plants, etc., 



$570 00 



712 50 




. 1,600 00 




. 1,719 47 




148 22 




285 36 






$5,035 55 




, $677 44 




27 10 






$704 54 






69 36 



$635 18 



Investment. 



Mechanics Savings Bank, 



$635 18 



Manson" Fund. 
Balance hi Worcester County Institution for 

Savings, Nov. 30, 1908, 

Income, ........ 



Expended, 



Investment. 
Worcester County Institution for Savings, . 

Respectfully submitted, 



$1,418 53 
57 28 



$1,475 81 
30 00 

$1,445 81 



$1,445 81 



Nov. 30, 1909. 



ALBERT WOOD, 

Treasurer of Corporation. 

Worcester, Mass., Dec. 14, 1909. 



I hereby certify that I have this day compared the treasurer's statement of 
funds for the year ending Nov. 30, 1909, with the books kept at the Worcester 
State Hospital, and find it correct. I have also inspected the securities represent- 
ing the investments and find their value is as stated. 

GEO. L. CLARK, 
Auditor of Accounts. 



STATISTICAL TABLES. 



[Form prescribed by State Board of Insanity.] 



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30 



WORCESTER STATE HOSPITAL. 



[Dec. 



2. — Insane received on First and Subsequent Commitment. 



NUMBER OF THE COMMITMENT. 



Cases 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, 

Eighth to this hospital 

Tenth to this hospital, .... 

Total cases, 

Total persons, 

Never before in any hospital for the insane, 



221 
19 
4 
3 
2 



249 
248 

202 



198 

20 

5 

6 

1 
1 
1 



232 
232 
181 



419 
39 
9 
9 
2 
1 
1 
1 



481 
480 
383 



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

Hospital. 





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


"3 


£ 


£ 


"S 


u 




fl 


£ 


£ 




.2 

PL, 


fa 


-a 
o 


.2 
'-2 

Pm 


fa 


o 


4> 
I 

fa 


fa 


-a 
1 


Massachusetts, .... 


86 


37 


39 


58 


19 


25 


144 


56 


64 


Other New England States, . 


19 


19 


22 


20 


17 


15 


39 


36 


37 


Other States, 


12 


6 


6 


14 


12 


13 


26 


18 


19 


Total native 


117 


62 


67 


92 


48 


53 


209 


110 


120 


Other countries: — 




















Armenia, ...... 


1 


- 


- 


2 


2 


2 


3 


2 


2 


Austria, 


- 


- 


- 


1 


1 


1 


1 


1 


1 


Canada, ...... 


12 


19 


17 


5 


11 


13 


17 


30 


30 


Cape Breton, 


- 


- 


- 


1 


1 


1 


1 


1 


1 


Denmark, ..... 


2 


2 


2 


- 


- 


- 


2 


2 


2 


England, 


7 


11 


8 


5 


8 


7 


12 


19 


15 


Finland, 


4 


4 


4 


5 


5 


5 


9 


9 


9 


France, ...... 


- 


1 


- 


1 


- 


- 


1 


1 


- 


Germany, 


1 


2 


1 


5 


5 


5 


6 


7 


6 


Ireland, ...... 


26 


49 


50 


36 


59 


55 


62 


108 


105 


Italy, 


4 


4 


4 


4 


4 


4 


8 


8 


8 


New Brunswick, .... 


2 


3 


2 


4 


1 


1 


6 


4 


3 


Newfoundland, .... 


1 


1 


1 


1 


1 


1 


2 


2 


2 


Norway, ...... 


1 


1 


1 


- 


1 


- 


1 


2 


1 


Nova Scotia, 


2 


4 


5 


3 


2 


1 


5 


6 


6 


Prince Edward Island, . 


- 


- 


- 


- 


1 


1 


- 


1 


1 


Russia, ...... 


9 


10 


9 


6 


6 


6 


15 


16 


15 


Scotland, ...... 


4 


5 


6 


2 


3 


3 


6 


8 


9 


Spain, ...... 


- 


- 


1 


- 


- 


- 


- 


- 


1 


Sweden 


6 


7 


8 


6 


7 


7 


12 


14 


15 


Turkey, 


- 


1 


1 


- 


- 


- 


- 


1 


1 


West Indies, 


1 


1 


1 


- 


- 


- 


1 


1 


1 


Total foreign, .... 


83 


125 


121 


87 


118 


113 


170 


243 


234 


Unknown, ..... 


2 


15 


14 


2 


15 


15 


4 


30 


29 


Totals 


202 


202 


202 


181 


181 


181 


383 


383 


383 



1909.] 



PUBLIC DOCUMENT — No. 23. 



31 



4. — Residence of Insane Persons admitted by Commitment. 









First Admitted 
to Ant Hospital. 


Othek 

Admissions. 


Totals. 


PLACES. 




m 






m 






m 






"o3 


"3 

s 

© 

fa 


"3 

o 


"o3 


"e3 

s 

fa 


73 
o 


"3 


03 

s 

fa 


"3 

o 


Massachusetts (by counties) : — 




















Berkshire, ..... 


1 


- 


1 


- 


- 


- 


1 


- 




Essex, 






- 


- 


- 


1 


- 


1 


1 


- 




Hampden, 






1 


- 


1 


- 


- 


- 


1 


- 




Middlesex, 






42 


45 


87 


11 


13 


24 


53 


58 


111 


Norfolk, . 






4 


3 


7 


- 


- 


- 


4 


3 




Suffolk, . 






54 


37 


91 


7 


7 


14 


61 


44 


105 


Worcester, 






100 


96 


196 


27 


31 


58 


127 


127 


254 


Totals, 


202 


181 


383 


46 


51 


97 


248 


232 


480 


Cities or large towns (10,000 or over), 


167 


144 


311 


33 


37 


70 


200 


181 


381 


Country districts (under 10,000), 


35 


37 


72 


13 


14 


27 


48 


51 


99 



Three patients committed as insane found to be sane. 



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



Males. 



Females. 



Totals. 



Unmarried, 
Married, . 
Widowed, 
Divorced, 

Totals, 
Unknown, 

Totals, 



200 
2 



202 



181 



146 
169 

58 



381 



383 



32 



WORCESTER STATE HOSPITAL. 



[Dec. 



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



FEMALES. 


Cook, 1 


Operatives, . . . .11 


Domestics, 








33 


Teachers, 2 


Housekeepers, 








18 


Waitress, 1 


Housewives, 








58 


No occupation, ... 43 


Laundresses, 








4 




Milliner, . 








1 


Total, . . . .178 


Missionary, 








1 


Unknown, .... 3 


Musician, . 








1 




Nurses, 








3 


Total, . . . .181 


Nun, . 








1 




MALES. 


Baker, 


Organ tuner, 1 


Barber, 








1 


Overseer, . 






1 


Bartender, 








1 


Painters, . 






6 


Beamer, . 








1 


Peddlers, . 






2 


Blacksmith, 








1 


Photographer, . 






1 


Cabinet makers, 






2 


Physician, 






1 


Captain and pilot, 






1 


Plumbers, 






2 


Carpenters, 






3 


Policeman, 






1 


Carriage makers, 






2 


Printers, . 






3 


Caterer, 






1 


Rag dealer, 






1 


Chiropodist, 








1 


Railroad conductor, 






1 


Cigar maker, 








1 


Seaman, . 






1 


Clerks, 








7 


Ship caulker, . 






1 


Cooper, 








1 


Shoemakers, 






4 


Engineer, . 








1 


Storekeepers, . 






3 


Farmers, . 








12 


Student, . 






1 


Harness maker, 








1 


Tailors, 






3 


Horse trainer, 








1 


Teamsters, 






3 


Ice dealer, 








1 


Upholsterer, 






1 


Journalist, 








1 


Waiters, . 






3 


Laborers, . 








46 


Watchman, 






1 


Lawyer, 








1 


Wood dealer, . 






1 


Machinists, 








7 


Woodworker, . 






1 


Meat cutter, 








1 


No occupation, 






39 


Mechanics, 








2 










Milk dealer, 








1 


Total, 






199 


Motorman, 








1 


Unknown, 






3 


Moulder, . 








1 




Operatives, 








16 


Total, ■ . . . .202 



1909.] 



PUBLIC DOCUMENT — No. 23. 



33 





Q 
P 


w 

EH 
<! 

P 
s» 

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H 

2 

B 

EH 


"3 
o 


I | HHOMCCOiOfflOiO 
i— 1 i— H i— 1 CO ^P C» i— 1 


<M 1 1 

i—l 


172 

57.4 




"3 

s 

CI 

(if 


1 | 1 HfflcdiONHOTH© 

r-i <M i— 1 


CO 1 1 


CO CO 




"3 


1 i h i I t- oo oo -* os 10 ^ 

<N <M i-H 


CO 1 1 
OS 


CO CO 

OS 




M 
o 

«! 
Eh 
Eh 

•<! 

Eh 
to 

5 
S 

Eh 


"3 
o 
H 


HNH©lNN<NNOOOOiO 
i— I i— 1 i— 1 t-h CO ^ cs 


i— 1 i—l | 
i—l 


172 
51.1 




a 


i-< <N |COOSOOCOCO<MCOCOCO 
i-H <M 


CO 1 1 


CO 00 

os 




"3 


l i HconoiosiHON'^N 

T— 1 <M 1— 1 1— 1 


lO i-H 1 

o 


CO CO 

OS 

i—i 
lO 




l5 
■< 

s 

IS 

o 

K 

< 

o 

H 

P 

H 
H 

H 

2 
P 
<! 

Eh 
Mi 

K 

(5 


P 

m 

Eh 
EH 

S 
p 
•<! 

S5 

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w 


"3 

o 
H 


1 NOKMOOONNCOfflOlM 


OS I-H CO 

CO 


383 
43.3 




CQ 

S 

o 


I HtO^TtfffiHOOOHOO 


OS 1 <M 

i—l 


181 
41.0 




01 


1 i— ICOOOCOOSCOOOIOOOOCD 
HHHHHCOMHIM 


O i— I i— I 

o 


202 
44.4 




M 
o 

<i 

Eh 
EH 
«1 
Eh 

K 

Eh 
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"3 
o 


Ot)<COCO»OCiONMN(NCOCO 
(N i—l CO CO CO CO CO "* CO <N 


CO 


383 
41.3 




"3 

a 

fa 


OM^ffiNOiOffiCOCOHM 
i— 1 t— If- 1 C<1 i— iNHr- li— ( 


lO -tf <N 

CO i— l 


181 
40.2 




"3 


i— i i— li— li— li— iCOCOi— li— I 


OS CO 1 
00 i—l 


202 

52.9 






f 

c 


d 

El 


Congenital, 

15 years and less, 

From 15 to 20 years, 

20 to 25 years, 

25 to 30 years, 

30 to 35 years, 

35 to 40 years, 

40 to 50 years, 

50 to 60 years, 

60 to 70 years, ..... 

70 to 80 years, 

Over 80 years, 


Unknown, 

Not insane, 


Totals, 

Mean known ages (in years), 



34 



WORCESTER STATE HOSPITAL. 



[Dec. 



o 



13 



13 



<«. 





H 


2; 


"3 


^ ^H 


1 1 00 1 1 


CN H <N 1 1 |H |H | 
















« 


H 










P< 
























<D 


l>r1 I 1 


1 1 1 1 1 


1 1 1 1 1 1 1 1 1 1 






03 










g 


s 












11 











3 


fe 




















X 




hJ 
•3 


DQ 


0)0 1 1 


1 1 00 1 1 


CM T-H CM 1 1 1 T— 1 1 1 — 1 1 






CO 1— 1 










m 


CO CO CM <M 


1— 1 r~- t^ -<hh co 


1 rHCbOO^COlHro^CNrH 


H 


£ 


o3 


1—1 


1— 1 


CM T-H 















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fc 


Eh 








<! 


S 

a 










U 










O 


m 


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MH | (N 


HCiMN 


IO | IO T-H CO r-H | CO 1 t-H 


S5 


oj 






t-H 






a 




















Ph 





& 








M 










Q 


P 




iO(M(N 1 


| HCOHH 


1 CD CO CO CO 1 1 CO t-h CN 1 


« 
Ph 


15 


13 


1— 1 


1-H 


t-H 






"3 


iO 1 1— 1 1— 1 


1 (NNHH 

T— 1 


IOOiO^C3COC3CNt-h 1 1 




H 
O 
S5 


H 




















& 


a> 


1 1 |H 


It — 1 1— I I 1 


1 OS 1 CO 1 CO t-h | 1 1 1 

T-H 




a 


a 










< 


ta 




















H 


ni 


1(3 1 H I 


1 1— 1 7— I T-H T—l 


1 OilOHN 1 HMH 1 1 




« 


0> 




1— 1 






H 


o3 










K 


a 









3 

3 

o 



CDr-HCNrtlC^OO^CO'^cNOO'OOOOCDCO'^OOiO-* 
•>* t— I t-HCO CM t— i T-H t-H 



1>t-h I ^ CM <M OS tF CM I OS I -tf rH ■* CM IO 1^ 



ffiOCN I I CO iO M IM (N CR >0 ■* O (N H ■* M »0 
CO t— 1 <M t-h 









co 




CD 








d 




o3 


^ 


O 







s 



u ° 

' S-l d 

CD o3 
■+3 .2 

■ O "co 

^ 2 

* o - 



_T, 1 CO f-, Fl 



2-2 |S 

O CD ^ 

i"i -4J .rH 

H-9 



rHr-j H,1h J 



+3 

'to 

• 

CO 

CD 
Fh 


co 
CD 
02 

03 

O 

Fh 

CD 




CD 
CO 

. d 

o3 



Fh 

• CD 


CD 
CO 

. d 

03 

O 

'rn 

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-d 


other caus 

isease, 
isease and 


^ 


+3 






O 





T3M^^ 


" 'S 


- T3 


„ 


d 


d 


• d d d d " 

- ^ d'o3'S 


T-T O 

o3 *S 

d +^ 

cu "43 
bJO co 

d a 

00 


Epilepsy, 
Epilepsy ai 
Exhaustior 
Heredity, 
Heredity a 
111 health, 
111 health a 


Involution 
Involution 
Lead poiso 
Organic br 
Organic br 
Overwork, 



1909. 



PUBLIC DOCUMENT — No. 23. 



35 



1 Tt<H(M 1 I CM 


- — i 1 1 1 1 


CM 1 1 


CM 






00 


00 


1 1 1 1 1 1 1 .-Mill 


Oi l_ 1 


as 


| -* i-H CM 1 1 CM 


1 1 1 1 1 


CO ! 1 


CO 






I> 


t^ 


i— I I> O O 1 H 1 


(MMiMH^ 


CO 00 1 


tH 


i— I 




lO 


CO 






I—l 


1—1 


HHJ5N 1 1 1 


CM 1 CM i-H CO 


CO lO 1 


1—1 






CO 


t^ 


1 ffiNN 1 H 1 


1 CM 1 1 i-H 


O CO 1 


CO 






C3 


G5 


1 CO CM CM 1 H 1 


HIM 1 H | 


CM 1 1 


CM 






00 


00 


| -P i | T 1 | | | 


Hi I H I 


CO 1 1 


CO 






CO 


CO 


1 CM CM i— I 1 H I 


1 CM 1 1 1 


Ci 1 1 


OJ 






■^ 


"* 


CO i— 1 TtH 00 i—l TjH CO 


NNMNO 


00 CO CM 


CO 


(NCOH 


T— 1 


CO ^ 


00 






CO 


CO 


(MNiOiQ I I I 


CM 1 CO CD 00 


t^ CM CM 


1—1 






T^ CO 


00 






T— 1 


1—1 


HfflfflMH^CO 


1 CM 1 tH CM 


i—l i-H ] 


<M 


i— 1 i—l 




C5 i-H 


o 






i—l 


CM 


co 






i 
1 


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co m cc oq 






1 


cau 

1180 

use 
use 


1 gf '■ • • s 

<^> P- co 








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55 w ° ° 


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1-1 ' 'r-l ' *"l ' ^ 


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go o 








-H += ns 


03 „ 05 


03 


^ o3 =3 oj 


.Sra • • ^ 


Hi ~ 5 


o3 


'erwor 

nility, 

nility 

philis, 

philis 

auma, 

auma 


3.2 =3 

O-, 05 sT S^ 
Sri " ^ ■ 

ai o3 *S C C 

co S •- O O 


^ 43 

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P£ 


O 

H 


JC" 05 05 p-\ p-# *-i Sh 

O 02 CO £72 00 H H 


flSo^ 


! 



36 



WORCESTER STATE HOSPITAL. 



[Dec. 



9. — Probable Duration of Mental Disease before Admission. 





First admitted to Any Hospital. 


PREVIOUS DURATION. 










Males. 


Females. 


Totals. 


Congenital, 


13 


16 


29 


Under 1 month, ...... 


41 


35 


76 


From 1 to 3 months, .... 


25 


21 


46 


3 to 6 months, .... 


18 


19 


37 


6 to 12 months, .... 


14 


11 


25 


1 to 2 years, 


21 


15 


36 


2 to 5 years, 


29 


25 


54 


5 to 10 years, 


18 


13 


31 


10 to 20 years, 


7 


8 


15 


Over 20 years, 


3 


2 


5 


Totals, 


189 


165 


354 




13 


14 


27 


Not insane, 


- 


2 


2 


Totals, 


202 


181 


383 


Average known duration (in years), 


3.8 


4.5 


4.2 



1909.] 



PUBLIC DOCUMENT — No. 23. 



37 



Total Dis- 
charges AND 
Deaths. 


H 


i-< ^HCOCO !OHiOlOHiO©010HlflHMH HrtiOlOWN'* 10O CO 1 IN 
•*,-< ■* MHH CM--I ■* 


CXI 

OS 


h 


1-1 ( t— 1 | | |MrHH^(NnMH-*r^HTH l-H-~O300i-Ht~t~|-H< 1 1 « 


CO 


a 


1 ~H CXI CO !DHM^ 1 H^ON 1 H | rt | | ^CONrtlCN 1 ■* CO 1 1 
CXI CO i-H CX] 


m 


a 
m 
o 

« 
o 

Q 


to 

a 

< 
H 






1 I 1 ^H 1 |th«h 1 NMO IN | 1 | iH(MCOO)«W^ 1 lO 1 1 1 T* 
CO 03 "■* ■<# 


1 III [(|l . — t 1 <N -tf ~H — 1 1 MNCO , *rHN'* | cq 1 | | CO 


s 


1 | | t — 1 II^HCXl|||CO-HH|COIII 1 1 1 lOrtifl [ |M III. — 1 
<N i-H <M 00 


H 

2 « 

Z to 


H 


1 III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <M <M 


fe 


1 III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <N <N 


§ 


1 III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


Q 
H 

2 o 

2 K 

a 


H 


1 III (NIcoll-^l-Hrti-^i^i 1 1 1 1-1 1 1 exi | cq 1 1 1 i-i 

CO W3 


fr 


1 III lloqiicolcq-Hiexiill llllllllr-i III 


3 


a 


1 III N|H| IHIQI |n|H| III^H||(N|^H 1IIO 
i-H CO 




d 

H 
S> 

o 
a 

& 
a 


h 


I ill |h | | | | lie 1 I'eOHHi imsim I in |h .-h i I 


CXI 
CXI 


h 


1 III 1 1 1 1 1 1 1 •* 1 1 1 <- li-ll INNM 1 |H Irt III 


** 


s 


1 III li-Hllllli-IIICOIII 1 1 1 i — 1 1 1 - — 1 1 1 i-H 1 1 O0 


ft Pa 
<! J 

o H 

ffi 


H 




■* 


PR 




00 


s 


1 III i* 1 H« | | iHCOCC 1 1 1 1 1 1 COi-t 1 1 1 -* | | i-f 1 I 


CO 


Q 

« 

> 
o 
o 
H 

K 


H 


-1 rfMm IlllllCOIIi-tllll IONIIIIII i-H 1 1 <M 




-h i^-Hi i i t ■ ■ i i t ■ -. — ■ iiit i oiQ I I I I I I lll |^; 


1 h«o 1 1 | 1 1 1 CO 1 1 1 1 1 1 1 1 i-hcxi 1 1 1 1 1 1 i-l 1 1 


»o 


Q 

H 

B 

a 
a 

O 

D 


r". 1 i— 1 rt< CO *0 iflWNNiHh.iOOO'HiHOOHN | i— I CO *-h CO | MNCiiC CO(N(M CO 
1 1 CO 


r " 1 1-4 1 "tf 1 H | N | HTftWCOOHOJHN | HO^O |COtJ(htH i-H|<Nt-i 
W 1-flO i-Hi-Hl— l(M CO 


a 


1 ^* CIO iJIWON 1 MtOOW 1 OJ IO 1 1 ONN 1 NQOIO-I NN 1 CXI 
t-h -HH C5 i-l ^H (M O 

1 <N 




H 

02 
CO 

s 

1=) 

O 

« 
o 




A. — First admitted to any hospital: — 

Acute hallucinosis, 

Alcoholic insanity, acute: — 

Alcoholic insanity, chronic: — 
Alcoholic deterioration, ..... 

Alcoholic paranoic condition, .... 

Epileptic insanity, 

Exhaustion psychosis, 

General paralysis of the insane, .... 

Hysterical insanity, 

Imbecility, . 

Manic depressive insanity: — ■ 

Manic form, ....... 

Melancholia, involution 

Paranoic condition, 

Paranoic condition, senile, ..... 

Toxic insanity, acute: — 

Traumatic insanity, 


"cl 

o 



38 



WORCESTER STATE HOSPITAL. 



[Dec. 



73 

PI 

O 

O 
i 
I 






o 

ee 






^ 



5 



St 



Total Dis- 
charges and 
Deaths. 


H 


—HIM •* rf ,-( «* ,-H •* •* | HIOO INHBM 1 "*r-H 


CD CO CD 
CO CO 


fa 


-* 1 t-ni 1 co-<hh cm 1 1 h-^co In l«M in 1 


00 CO CO 

co r>- t~ 


a 


1 oq co ^ ~h *-h t~ cm -<t< 1 1 cm co 1 1 ,-t i-i ,-h | ,-i »-h 


^H 00 00 

CO oo oo 


a 

H 
O 

« 

H 

o 
to 




0} 

w 

Eh 
"4 
H 

B 


fa 


1 | rH | ^rtlOCO^t | | «H | HH«rt | ■* | 00 CM CM 

cm t-~ t~- 


II 1 1 1 ^H CM CM 1 1 l|,-l|~H|CM*-H|CO|eo co CO 

^h **- r-- 


a 


II H | H | COH^ | | Ol 1 | | -, — 1 i — 1 | | i — ' l "° CD CD 


8 "* 

a 03 

15 


H 


II 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 | | T-H 


i-H CO CO 


fa 


II 1 1 1 1 1 1 1 1 1. 1 1 1 1 1 1 1 1 1 1 1 1 CM CM 


a 


II llllllll 1 1 1 1 1 1 1 1 1 1 i-H TH rH rt 


a 

s 

H !> 
O O 

Ph 


H 


II l^-Hl^H-^lll IICNtlllll-tlllOS O O 

CO CO 


fa 


II I I I I cm I I I I I cm I I I I I I I I -* ia >o 


a 


II 1 »H | -HCM III 1 1 1 1 1 1 1 i-H 1 1 1 


lO »0 lO 

CO CO 


fl 

H 
s> 


PS 
Ph 
g 


H 


II -h i i eq I I I I l|rt|rt||iii|io t- t— 

CM CM 


fa 


11 i — ! 1 [ C^l 1 1 1 1 II^H|~H||||||lO Oi OS 


a 


II llllllll 1 1 1 1 1 1 1 1 1 1 1 


1 00 00 


°o 

"■p 

ft ft. 
-<! P 
o H 

02 


H 


II n M | MH M |CN^H||||i-H||| 


a> o o 
*o to 


fa 


II llllllll 1 CM-* llllllll 


h* CM CM 
CM CM 


a 


II N 1 1 INX 1 1 lllllllllll 


kO 00 00 
CM CM 


B 

H 
B 

m 
s> 
o 

o 

H 
« 


H 


>-h<m llllllll hpih ijiirillf <r — m a> 

— 1 -H h* Tt< 


fa 


<-i| llllllll HMOOI 1 1 1 l_l 1 1 


CM OS OS 
i-t CM CM 


a 


1 <M llllllll 1 1 CO 1 | | 1 | | | | 


>o O O 

CM CM 


H 
H 

s 
s 
o 

o 


H 


CO TJH « 1 ^N10«N>0 1 EDCO^n 1 «COH<MH OT O -H 
CO -« OS 00 OO 

1 -*J< ^< 


fa 


1 ! (Ml 1 CM CO ,-< CM CO 1 nonn 1 «©HH 1 -« CM CM 
-* »o CO CO 


a 


co ■<* M^l CiTHioCT |co^jil|llll^(T-it>- oo os 

1 CM CM 




fa 

CO 

<! 

fa 

CO 

P 

fa 

O 

a 

P3 
O 

fa 




B. — Other admissions: — 

Alcoholic insanity, acute: — 
Alcoholic hallucinosis, 

Alcoholic insanity, chronic: — 

Alcoholic deterioration, 

Alcoholic hallucinosis, .... 

Alcoholic paranoic condition, .... 
Constitutional inferiority, . 
Dementia praecox, 
Epileptic insanity, 

General paralysis of the insane 

Imbecility, . 
Manic-depressive insanity: — 

Circular form, . 

Depressed form, 

Manic form, 

Mixed form, 
Melancholia, involution, 
Melancholia, senile, 
Organic dementia, 
Paranoic condition, 
Paranoic condition, senile, . 
Senile dementia, . 


Totals, .... 

Aggregate persons, 

Aggregate cases, 



1909.] 



PUBLIC DOCUMENT — No. 23. 



39 



ID 

m 

«( 
o 

H 
K 


<tj 


•sp^ox 


<M (M OS CO CM i— I CM 

i-H CO 

CO 


i-H i-H CM 
CO CD OS 
CO CO CM 


•sal's ui9j; 


to 00 lO i— I CM i— 1 t-h 

Tfl i-H 
1— 1 


CO CO to 
t— t — CO 

t-H i-H r-t 


•SajBJfl 


t^ ■* ^ CM I 1 t-h 

CD T-H 

T-H 


GO 00 1> 

00 00 to 

T-H T-H T-H 


B 
H 

p 


•BJBiOX 


CM lO <M CM I 1 tH 

tO T-H 


CM CM TfH 

T-H T-H 1— 1 


•sarBina^ 


CO t^ CM t- 1 1 1 1 

CO 


CO CO CO 
I> t~- CO 


•sarej\[ 


CD 00 1 i-H 1 1 i-H 
00 


CO CO i— 1 

as os oo 


a 
Iz 
-<! 

m 
Z 

O 


•ejB^ox 


CM 1 t-H | | | | 


CO CO CM 


•sajBraa^ 


<N 1 1 1 I | | 


CM CM CM 


•sa[Bj\[ 


1 1 tH 1 | | | 


i-H i-H | 


Q 

H 
i> 
O 
K 

g 

H 

O 


•stb^oj, 


l> CO 1 1 I | | 


O O i-H 

CO CO tO 


■sajBiuaj; 


TH t-H 1 | | | | 

CM 


tO to i-H 
CM CM CM 


■sajB^ 


CO CM 1 ! 1 I | 

CO 


to iO o 

CO CO CO 


Q 
H 
S> 
O 
« 

Pu 

s 

l-H 


•sjb^ox 


CO CO 1 1 t-H | | 
CM 


b- b- CM 
CM CM CM , 


•sajBuia^ 


IO CO 1 1 i-H | | 
T-H 


OS OS Tji 
i— 1 i— 1 t-H 


•sap3j^ 


00 1 1 1 1 I I 


00 00 00 


°§ 

» b 

^ & 
M & 

<j to 
A. J, 
<! 3 
O H 
TJ1 


•spnox 


CO CD t-h I | | | 


O O i-H 


•safeuia^ 


OS CO 1 1 I I I 

i-H 


CM CM 00 

CM CM i-H 


•sai^pi 


TH CO T-H | I I | 
<M 


00 00 CO 
CM CM CM 


Q 

H 
K 
H 
r> 
o 

o 
H 


•Sfe^ox 


IO IO IO t-H i-H t-H t-H 
CO 


OS OS CM 


•sajBuiaj 


OS TjH CO 1 t-H i-H i-H 

i— 1 


OS OS b- 
CM CM i-H 


■saji3j\[ 


CD i-H CM tH 1 I | 

1— 1 


O O lO 
CM CM i-h 




m 

w 

Ph o 

o £ 
« Q 


tT ±2 =3 ."S ^3 'cs ^ 

5 a .■§ ft $ -g .-a 

•Th go q. cg -t-i ■:-< ft 

| ^ § i § cf § 

^ to -^ co ^ ,£) — < 
m S .§ ^ n w .§ 

3 o £ ^ g a £ 

2 § .§ 3 £ h3 -g 

.fa g ja o £! .a t§ 

pJH 02 H pt, pu &Q <i 


c 

oj 
O 

H-3 

to" 
oT o t3 

CD CO CD 

CO U +? 

r° r° 'ft 

H Eh ^ & 



40 



WORCESTER STATE HOSPITAL. 



[Dec. 






"53 

g 
e 

"3 





Involution 

Mel- 
ancholia. 


•SIB^OX 


CM 1 1 1 1 1 lllll 1 1 1 1 1 <-l I <N 1 1 1 <M 1 




•sareuia^ 


- — • ■ 1 1 1 - I lllll 1 1 1 1 |H|ri ||| rt | 




•sarej^ 


^ 1 1 1 1 1 lllll 1 1 1 1 1 1 1 rH | | | _, | 






•stb^oj, 


H 1 1 1 rH | ll-H|| rt||||rt|| ||| rt | 




•Bareniaji 


llllll 1 1 ~ 1 1 - — • till ^ — 1 1 1 lllll 




•sarej\[ 


•■ — i i i I - — ■ r iiiii iiiiiiii i i i t-i i 




5° 

fc Eh 
«| 


•srKjoj, 


iiiiii iiiii iiiiii >-i<m i i i — ■ i i 




•sarBraa^ 


llllll lllll 1 1 1 1 1 1 «-<<N ll"-i|l 




•saris j^ 


IIIIII lllll IIIIIIII lllll 




Wt5 


•sriKjoj, 


llllll llll^ — ■ 1 ' — 1 ' — • IIIII 1 1 1 TH | 




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I. General diseases: — 

Exhaustion, 

Exhaustion from delirium, .... 
Exhaustion from general paralysis, 
Gangrene of leg, 

II. Diseases of the nervous system : — 
Chronic cerebro-spinal meningitis, 

Status epilepticus 

III. Diseases of the circulatory system : — 

Acute dilatation of heart, .... 

Myocarditis, 

Myocarditis and nephritis, . 

Organic heart disease, .... 

Chronic adhesive pericarditis, 

Valvular heart disease, . 

IV. Diseases of the respiratory system: — 

Broncho pneumonia, ..... 
Broncho pneumonia and acute cholecystitis, 

Hypostatic pneumonia 

Lobar pneumonia, 

Tubercular pneumonia with sepsis, . 



1909.] 



PUBLIC DOCUMENT — No. 23. 



41 



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Pulmonary tuberculosis, .... 
Pulmonary oedema, ..... 

V. Diseases of the digestive system: — 

Carcinoma of intestines 

Colitis, ....... 

Hemorrhagic ileo-colitis, .... 

Acute hemorrhagic enteritis, 
Gastro-enteritis, ..... 
Acute peritonitis, ..... 
Peritonitis from perforation of gastric ulcer, 
Peritonitis from appendicitis, 
Peritonitis from rupture of chronic duo- 
denal ulcer, ..... 

VI. Diseases of the genito-urinary system: — 

Acute interstitial nephritis, 
Chronic interstitial nephritis, 
Diabetic coma, ..... 

VII. Violence: — 

Accidental drowning in syncope, 
Asphyxia during epileptic seizure, 
Asphyxia from vomitus, .... 
Suicide by drowning, 


13 

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I. General diseases: — 

Exhaustion, 

Exhaustion from delirium, . 
Exhaustion from general paralysis, 

Septicemia 

II. Diseases of the nervous system: — 

Acute meningitis, 

Chronic cerebro-spinal meningitis, 
Cerebral hemorrhage, ..... 

Status epilepticus, 

III. Diseases of the circulatory system: — 

Acute dilatation of heart, .... 
Arteriosclerosis, ...... 

Acute endocarditis, 

Myocarditis, . . .... 

Myocarditis and nephritis, .... 

Organic heart disease, . . . . - . 

Chronic adhesive pericarditis, 
Valvular heart disease, ... 

IV. Diseases of the respiratory system: — 

Broncho pneumonia and acute cholecystitis, 
Hypostatic pneumonia, .... 

Tubercular pneumonia with sepsis, 



1909.] 



PUBLIC DOCUMENT — No. 23. 



43 



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Pulmonary tuberculosis, .... 
Pulmonary oedema, ..... 

Pyo-pneumo-thorax, ..... 

V. Diseases of the digestive system: — 
Carcinoma of intestines, . . 

Hemorrhagic ileo-colitis, .... 

Acute hemorrhagic enteritis, 
Gastro-enteritis, ...... 

Acute peritonitis, ...... 

Peritonitis from perforation of gastric ulcer, 
Peritonitis from appendicitis, 
Peritonitis from rupture of chronic duodenal 
ulcer 

VI. Diseases of the genito-urinary system: — 

Acute interstitial nephritis, .... 
Chronic interstitial nephritis, 

VII. Violence: — 

Accidental drowning in syncope, . 
Asphyxia during epileptic seizure, 
Asphyxia from vomitus, .... 
Suicide by drowning, ..... 


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1909.] 



PUBLIC DOCUMENT — No. 23. 



45 



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B. — Died : — 

Under 1 month, . 

From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
Over 20 years, 


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