Annual report of the trustees of the Worcester State Hospital

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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.

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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

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"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

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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

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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

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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.

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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

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ee

^

5

St

Total Dis-
charges and
Deaths.

H

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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

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40

WORCESTER STATE HOSPITAL.

[Dec.

"53

g
e

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Involution

Mel-
ancholia.

•SIB^OX

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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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o

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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

o

42

WORCESTER STATE HOSPITAL.

[Dec.

t3

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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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