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

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Public Document No. 23 



SEVENTY-NINTH ANNUAL REPOKT 



THE TRUSTEES 



Worcester State Hospital, 



THIRTY-FOURTH ANNUAL REPORT OF THE TRUSTEES 



WORCESTER STATE ASYLUM AT WORCESTER, 



Year ending November 30, 1911. 




BOSTON: 

WEIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1912. 



Public Document No. 23 



SEVENTY-NINTH ANNUAL EEPOET 



THE TRUSTEES 



\&AA 



Worcester State Hospital, 



THIRTY-FOURTH ANNUAL REPORT OF THE TRUSTEES 



WORCESTER STATE ASYLUM AT WORCESTER, 



Year ending November 30, 1911. 




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BOSTON, 

WEIGHT & POTTER PRINTING CO., STATE PEINTEKS, 

18 Post Office Square. 

1912. 



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VU.JL44 



,^U/P 



Approved by 
The State Board op Publication. 



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CONTENTS 



Report of Superintendent, 
Laboratory Report, 
Report of Treasurer, . 
Statistics, .... 



PAGE 



17 

Report of Trustees, 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 

GEORGIE A. BACON Woecester. 

SAMUEL B. WOODWARD Worcester. 

GEORGE F. BLAKE, Worcester. 

LYMAN A. ELY Worcester. 

T. HOVEY GAGE, Worcester. 

THOMAS RUSSELL, Boston. 

CARRIE B. HARRINGTON, Worcester. 



RESIDENT OFFICERS. 


HOSEA M. QUINBY, M.D., . 


. Superintendent. 


THEODORE A. HOCH, M.D., 


. First Assistant Physician. 


RAY L. WHITNEY, M.D., . 


. Assistant Physician. 


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


. Assistant Physician. 


WILLIAM M. DOBSON, M.D., . 


. Assistant Physician. 


GEORGE A. McIVER, M.D., 


. Assistant Physician. 


PAUL K. SELLEW, M.D., . 


. Junior Assistant. 


HARRY A. CLARK, M.D., . 


. Junior Assistant. 


WALTER M. CRANDALL, M.D., . 


. Junior Assistant. 


IDA A. McNEIL 


. Superintendent of Nurses. 


MULFORD H. CENTER, 


. Steward. 


LILA J. GORDON, 


. Matron. 


JOSEPH T. REYNOLDS, 


. Farmer. 


NONRESIDENT ( 


JFFICERS. 


SAMUEL T. ORTON, M.D., . 


. Pathologist. 


GEORGE E. PARESEAU, 


. Druggist. 


GEORGE L. CLARK, . 


. Auditor. 


JESSIE M. D. HAMILTON, . 


. Clerk. 


JAMES DICKISON, Jr., 


. Engineer. 


CONSULTING S 


URGEON. 


HOWARD BEAL, M.D., 


. Worcester 



®t]e CommontDealtl} of ittasaactniseite 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

In submitting their seventy-ninth annual report, the trustees of 
the Worcester State Hospital would respectfully call attention to 
the fact, that, while the physical needs of the institution are great, 
the most immediate are those which follow : — 

First. — The congestion which has existed for some time con- 
tinues, and causes conditions which would be deplored did they 
affect normal persons, — conditions which, in the case of unfor- 
tunate, dependent members of society seem neither humane nor 
just. 

To meet these conditions the trustees ask for an appropriation 
of $86,100 to build and equip a new ward and to provide said ward 
with an elevator. This would furnish accommodations for 100 
male patients and provide adequate dining facilities for a large 
number of both patients and attendants. 

In connection with this proposed work, alteration of the Salis- 
bury ward is greatly to be desired, and for this the trustees ask 
for an additional $10,000. 

This last amount was granted by the Legislature of 1911. The 
request for this appropriation was based on the supposition that 
the work was to be done in connection with that of a new ward. 
As the appropriation was too small for the work to be done sepa- 
rately, and as the proposed alteration did not seem desirable with- 
out the new building, the trustees have not felt warranted in 
undertaking the work. 

Second. — The arrangement of the roof of the women's ward 
which was completed last year has fully justified its expense, in 
that it has afforded opportunities for out-of-door exercise for 
many patients who otherwise would have received little or none of 
the curative properties of fresh air and sunshine. 



8 WORCESTER STATE HOSPITAL. [Dec. 

These opportunities have been open only to able-bodied patients, 
and in order that they may be extended to the weak, the feeble, 
and the aged, the trustees ask for the sum of $2,100 for the con- 
struction of a passenger elevator for this ward. 

The sum of $4,200 was asked for last year so as to provide two 
elevators, one for this ward and one for the proposed new ward 
for men, and an appropriation not to exceed $2,100 was granted. 
As the granting of this appropriation called for the construction 
of two elevators, and as the amount appropriated was equal to 
one-half of the lowest bid, it could not be used. 

Third. — For a number of years the trustees have urged the 
purchase of land, known as the Putnam and Curtis tracts, which 
adjoins that of the hospital. Within the twelvemonth that is 
past, 7 acres of the former have passed into the hands of the city 
for hospital purposes. An intermediate strip remains, but, in 
view of the fact that the owner has died and the estate is now in 
the courts for settlement, no price upon it can be obtained. 

The trustees do, however, urge the purchase of the Curtis tract 
more strongly than ever. This lot contains 68| acres and is par- 
ticularly well adapted for agricultural purposes. By its purchase 
the food supply of the institution could be increased, employment 
for a large number of patients could be provided, the matter of 
sewage disposal could be developed at much less cost, and the 
proximity of undesirable neighbors on that side of the hospital 
be prevented. To purchase this land the trustees ask for $13,600. 

Fourth. — The question of sewage disposal is a vital issue in the 
life of every institution. During the past seven or eight years the 
trustees have frequently called attention to the problem as it 
relates to the Worcester State Hospital. The constant growth of 
the institution, the ever-increasing size of the surrounding com- 
munity, the installation of a hydrotherapeutic plant, and the 
recent establishment of a congregate bath house have made it 
next to impossible to properly care for the consequent drainage. 
In the light of present conditions and the fact that the problem 
is becoming more serious each succeeding year, the trustees urge 
its immediate solution and ask for an appropriation with instruc- 
tions regarding its expenditure. 

Accompanying this report are those of the superintendent and 
treasurer which contain more detailed statements regarding the 
condition and needs of the institution 



1911.] PUBLIC DOCUMENT — No. 23. 9 

While the trustees wish to give expression to their appreciation 
of the faithful services of the employees and all persons officially 
connected with the hospital, they wish particularly to acknowledge 
their gratitude for the generous, willing services and continued 
interest of the superintendent who consented to continue in that 
capacity pending the appointment of his successor. 

Respectfully submitted, 

GEORGIE A. BACON. 
SAMUEL B. WOODWARD. 
GEORGE F. BLAKE. 
LYMAN A. ELY. 
T. HOVEY GAGE. 
THOMAS RUSSELL. 
CARRIE B. HARRINGTON. 

Nov, 30, 1911. 



10 WORCESTER STATE HOSPITAL. [Dec. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Worcester State Hospital. 

I herewith respectfully submit the following report of the hos- 
pital for the year ending Nov. 30, 1911, it being the seventy-ninth 
annual report. 

There remained at the hospital Oct. 1, 1910, 1,384 patients, — 
694 men and 690 women. During the year ending Sept. 30, 1911, 
there were admitted 636 patients, — 349 men and 287 women. 
Six hundred and seventy-three patients — 369 men and 304 
women — were dismissed from the hospital. Of this number 246 
patients — 127 men and 119 women — were discharged; 153 
patients — 84 men and 69 women — died; 169 patients — 90 
men and 79 women — were transferred; and 105 patients — 68 
men and 37 women — left on visit or escape, leaving at the end 
of the statistical year 1,347 patients, — 674 men and 673 women. 
Of this number, 1,096 were supported by the State, 145 by friends, 
and 106 as reimbursing patients. Of the 415 patients discharged 
and transferred, 76 (including 10 habitual drunkards, women) 
were reported recovered, 76 capable of self-support, 27 improved, 
and 223 not improved. Two women were discharged as not 
insane. Fifty-four men and 54 women were transferred by the 
State Board of Insanity to the Worcester State Asylum, 24 men 
to the Gardner State colony, 6 men and 3 women to the Monson 
State Hospital, 2 men and 2 women to the State Infirmary, Tewks- 
bury, 2 women to the Northampton State Hospital, 1 man and 1 
woman to the Westborough State Hospital, 1 man and 1 woman 
to the Medfield State Asylum, 1 man and 1 woman to the McLean 
Hospital, 1 woman to the Wellesley Nervine, 1 man to the Boston 
State Hospital, and 1 woman to the Danvers State Hospital. 
Thirty-two men and 18 women were removed from the State, and 
14 women were boarded out. 

There remained at the end of the year 37 patients less than at 
the beginning. The smallest number under treatment on any 



1911.] PUBLIC DOCUMENT — No. 23. 11 

one day was 1,319, and the largest, 1,412. The daily average 
number was 1,376.19. 

The percentage of recoveries, calculated upon the number of 
discharges and deaths, was 13.6; calculated upon the number of 
admissions it was 11.9. 

The death rate was 7.5 calculated on the whole number of 
patients under treatment, and 11.2, calculated on the daily aver- 
age number. 

Training School for Nurses. 

There are 5 nurses in this year's graduating class. While we 
have been able to get a satisfactory number of probationers, we 
have experienced greater difficulty in obtaining suitable young 
women to train, and fewer nurses have been permitted to complete 
the course. We have endeavored to maintain a high standard for 
our graduates, and almost without exception they have availed 
themselves of postgraduate courses in general hospitals in Worces- 
ter, Boston, and elsewhere, after which they have established 
for themselves good practices in the field of private nursing. A 
number of our graduates also have positions of responsibility in 
institutions. 

During the past year 8 male attendants entered the training 
school, but before the end of the year all had dropped out for 
some reason. The training is open to all male attendants who 
care to avail themselves of the opportunity. 

The senior class will be much larger next year than the present 
one, and about 65 will be enrolled in the junior class. 

During the past year there were no epidemics of contagious 
diseases among patients or employees. During the summer 
months there were a number of cases of dysentery, confined to a 
few wards, but the disease did not take on the epidemic character 
of the year before. An important factor in preventing a more 
serious epidemic was undoubtedly due to additional screening of 
windows, and to the efforts to prevent fly breeding. 

Meetings of the staff are held every Tuesday and Thursday at 
11 A.M. 

Weekly conferences and demonstrations have been given by 
the pathologist in the laboratory, consisting of a course in the 
anatomy and pathology of the nervous system, with demonstra- 



12 WORCESTER STATE HOSPITAL. [Dec. 

tions of specimens, both gross and microscopic. At the meetings 
the autopsy material is also presented in its final and complete 
form, slides are thrown upon a screen and the microscopical sec- 
tions are demonstrated. These demonstrations have been attended 
by members of the staff, as well as by a number of physicians from 
Worcester. 

At our clinical staff meetings it has been our custom to 
present only special cases of importance or interest; cases with 
questionable diagnosis, of unusual symptomatology or unexpected 
recovery. At times special groups of cases are taken up for com- 
parison and discussion, and again typical cases of mental disease 
are shown for purposes of instruction. 

Owing to the manner in which our clinical work is conducted, 
every case appears for discussion and an interchange of opinions, 
as the first assistant physician examines every patient admitted 
to the hospital in the presence of the senior and junior physician. 
At these times the case is discussed and directions are given for 
the proper preparation of the records. The case is again brought 
to the first assistant physician when completed, etc., and the 
patient is examined by him before final discharge. In this man- 
ner, though every patient is not brought before the whole staff, 
the diagnosis has been passed upon by at least three of its mem- 
bers. 

Our system resolves itself practically into a daily bedside clinic, 
the first assistant making daily round with various members of 
the staff. 

Early in the year we opened a tailor shop in one of the new 
work rooms adjacent to the laundry, and several of our male 
patients have been regularly employed, under the instruction and 
oversight of a journeyman tailor, in repairing and pressing men's 
suits as they come from the wash. We hope soon to be able to 
extend this work and eventually to cut and make all of the outside 
clothing used by our men. 

The exterior woodwork of all the hospital buildings has been 
repainted during the year, together with the walls in many of the 
wards. The ceilings in the Lincoln and Appleton wards have 
been removed and replaced. The work of enlarging the dining 
rooms in the Lincoln wards, laying terrazzo floors, and putting 
in a new food lift, with drying closets, etc., has been completed. 



1911.] PUBLIC DOCUMENT — No. 23. 13 

A granolithic walk has been laid from the main entrance of the 
hospital grounds to the center building. 

At the farm the old farmhouse which for several years had been 
used as a storehouse for garden tools has been enlarged and the 
exterior painted. The interior is now being rearranged to adapt 
it for the use of our farmer and those of our farmhands, who are 
now obliged to find lodgings off the grounds. The rough and 
unsightly bank in the rear, heretofore used as a dumping place for 
the refuse of the hospital, has been cleaned up and a retaining 
wall built. Back of this cellars have been constructed for the 
storage of vegetables, and the whole has been covered with an 
enclosed shed 90 feet long for the housing of our farm tools. 

In our reports of 1909 and 1910 certain plans were presented for 
obviating the crowded condition of the hospital, and for furnish- 
ing better dining-room facilities for our patients and attendants. 
These plans provided for the building of a ward adjoining the 
Salisbury ward, and for the raising of the Salisbury roof in order 
to make this new building more accessible. Two elevators were 
also asked for, one for the new ward, and one for the women's 
ward then just completed. The Legislature of 1910 appropriated 
$10,000 for altering the Salisbury wards, and $2,100 "for the con- 
struction of two passenger elevators." 

By thus selecting for approval a part of our plan, and rejecting 
the remainder, the Legislature has placed us in something of a 
dilemma, as no alteration in the Salisbury wards is desirable 
except as a part of the entire plan proposed, and if desirable could 
not be made separately, for the sum appropriated. 

The amount appropriated for elevators is also inadequate, 
being only one-half of their estimated cost. 

For the above reasons it seemed best not to attempt work in 
either of these directions this year, or until the whole matter could 
be referred back to the Legislature for further consideration, and 
I would, therefore, respectfully advise that our great need be 
again called to the attention of the Legislature, with the request 
that we be allowed to carry out the improvements outlined in 
reports of 1909-10, and that the necessary appropriation be made 
therefor. I would also renew the request for an appropriation for 
the purchase of the Curtis land. 



14 WORCESTER STATE HOSPITAL. [Dec. 

The matter of the disposal of the hospital sewage is still in 
abeyance, and should be settled at once. 

The following changes occurred on the medical staff during the 
year: — 

Resignations. 
Dr. Frank L. S. Reynolds, Jan. 31, 1911. 
Dr. Frank H. Matthews, Feb. 23, 1911. 
Dr. John Striegel, Oct. 7, 1910. 
Dr. James H. Cook, June 6, 1911. 
Dr. Harry Hagerty, Sept. 1, 1911. 

Appointments. 
Dr. George A. Mclver, senior assistant physician, Feb. 1, 1911. 
Dr. Harry Hagerty, junior assistant physician, Jan. 2, 1911. 
Dr. Paul K. Sellew, junior assistant physician, Oct. 18, 1911. 
Dr. Harry A. Clark, junior assistant physician, Nov. 13, 1911. 
Dr. Walter M. Crandall, junior assistant physician, Nov. 20, 1911. 

We wish to thank the proprietors of the "Worcester Evening 
Gazette" and the "Fitchburg Sentinel" for copies of their papers, 
and the Worcester Employment Society for their valuable assist- 
ance in sewing. 

HOSEA M. QUINBY, 

Superintendent. 
Nov. 30, 1911. 



1911.] PUBLIC DOCUMENT — No. 23. 15 



LABORATORY REPORT. 



To the Superintendent of the Worcester State Hospital. 

The laboratory work for the current year, Oct. 1, 1910, to Oct. 
1, 1911, has been carried on according to the plan outlined in the 
last report. 

The routine examination of all cases except those reserved for 
more complete study has embraced the gross and microscopic 
examination of all of the trunk organs, a bacteriological examina- 
tion of material from three or four organs and an examination of 
the brain by three methods for the display respectively of the 
nerve cells, nerve fibers and neuroglia from six areas of each hemi- 
sphere; one of the cerebellum, one of the medulla and three levels 
of the cord, thus offering as comprehensive a review of the patho- 
logical conditions as seems feasible for routine examination of all 
cases. 

An efficient addition to the laboratory equipment has been 
made in the form of specially designed porcelain baskets for 
embedding sections which have proven of value in the routine 
and special work. A mercury vapor lamp giving a constant light 
factor has been installed for use in gross photographs. 

A photographic study of facial asymmetry in a variety of psy- 
choses has been begun. One evening of each week has been 
assigned to a laboratory staff meeting at which points of interest 
occurring in the course of routine microscopic examinations are 
demonstrated by means of lantern slides and micro-projection. 
At first this work undertook only the demonstration of specimens 
as they occurred in the regular autopsy series, but in order to 
render the points illustrated more readily appreciable the routine 
demonstrations have been supplanted for the time by a course 
of lectures and demonstrations on the gross anatomy, histology 
and histopathology of the central nervous system. 



16 WORCESTER STATE HOSPITAL. [Dec. 

At the completion of this course the routine autopsy examina- 
tions will again be taken up for consideration, but it is planned to 
offer these only on alternate weekly meetings, while the inter- 
vening hours will be filled with lectures on general pathology in 
order to render the lesions encountered in the trunk organs more 
easy of interpretation. 

A meeting of the pathologists of the various State hospitals 
was held in this laboratory in April of this year and an organiza- 
tion formed to further a co-operative interchange of material and 
ideas. 

The fly problem has received more attention during the sum- 
mer and the results seem to justify the hope that the pest may be 
practically eradicated next year. The pigpens have been removed 
and the cleaning up of the refuse has excluded one of the most 
active sources of fly production. Attention to the prompt spread- 
ing of barley malt and other fertilizers has also aided in reducing 
the available breeding places. Two places remain, however, and 
toward one of these attention has been chiefly directed this sum- 
mer. This is the pit at the stable. This is a masonry pit with 
a wooden floor, and during the summer of 1910 was found to be 
only a limited producer on account of its comparative fly tight 
construction. During the early part of the summer of 1911 there 
were very few flies about the stable, but in July they began to be 
noticeable, and examination showed that the year's wear has 
resulted in the appearance of a number of cracks in the floor allow- 
ing the flies easy access to the manure. These were stopped up 
and a specially constructed fly trap erected and emptied daily 
and counts made of the catch, in the hope that rendering the pit 
tight would reduce or abate the breeding. It was soon found, 
however, that unless the manure was removed from the stalls 
into the bin as soon as it was dropped the flies had sufficient access 
to thoroughly impregnate it with eggs, so that the pile in the 
bin was receiving a daily seeding, while the opening of the trap- 
doors gave opportunity for the escape of many of the new genera- 
tion. For this reason a trap was constructed to be mounted on 
the door of the bin in such a way that it admitted a broad band 
of light to attract the flies and yet trapped them and held them to 
die by starvation. This trap has a large capacity and the advan- 
tage that it requires no care except an occasional emptying, and 



1911.] PUBLIC DOCUMENT — No 23. 17 

yet in an otherwise light-tight bin serves as an ample attraction 
without baiting. Between August 1 and October 5 this trap, 
with no attention, caught and killed over a gallon of flies. This 
experiment was so successful that its enlargement to meet the 
conditions at the farm barn was attempted. The farm barn 
offered the only remaining breeding place, and toward the end 
of the summer was producing flies at a tremendous rate. Eight 
large traps were constructed and the doors to the manure cellar 
closed and made tight. The result of this closing of the doors, 
however, was to give origin to so much steaming of the manure 
piles as to necessitate their reopening for ventilation. This con- 
dition might probably be remedied by the installation of a system 
of drains to withdraw the excess of water and leave the piles dry. 
Tight closure of the cellar would then in all probability serve to 
greatly reduce the number of flies, while properly distributed traps 
would effect the destruction of the reduced brood. 

In spite of the noticeable reduction of the total number of flies 
about the institution in the early months of the summer, the total 
number of cases of bacillary dysentery was large. In the investi- 
gation of 1910 the fly was believed to be the chief factor (though 
not necessarily the only one) in the distribution of this infection. 
If these conclusions be correct the cases of this summer suggest 
that while the pest was reduced it was still present in numbers 
sufficient to distribute the contagion. In 1910 there were 136 
cases and 22 deaths. The statistics for 1911 cover a slightly 
longer period and show 99 cases with 14 deaths. This yields a 
morbidity percentage, calculated against the daily average popu- 
lation, of 9.9+ for 1910, and 7.2+ for 1911 and a mortality per- 
centage, calculated against the number of cases of dysentery, of 
16.1+ for 1910 and 14.1+ for 1911. 

The lack of a more serious outbreak this summer when repaint- 
ing required the removal of all the ward screens for some time 
argues well for the efforts at fly eradication and promises a great 
reduction when this line of attack is prosecuted as far as possible. 

The proportion of autopsy permissions to total deaths for the 
past year has been discouraging. In 1910, with 176 deaths, the 
number of autopsies was 85, or 48+ per cent.; in 1911, with 153 
deaths, 47 or 30 + per cent. This reduction parallels the experi- 
ence of many laboratories in this part of the country. 



18 WORCESTER STATE HOSPITAL. [Dec. 

The psychiatric diagnoses of autopsied cases were : — 

General paralysis, ~ 13 

Senile psychoses, 11 

Organic dementia, 5 

Alcoholic psychoses, 4 

Dementia praecox, 4 

Involution melancholia, 3 

Epileptic insanity, 2 

Manic-depressive insanity, 2 

Paranoid condition, 2 

Acute delirium, 1 

The major anatomical diagnoses were : — 

Cardiorenal, 6 

Lobar pneumonia, 4 

Broncho-pneumonia, 4 

Cerebral softening, 3 

Acute colitis, 3 

Valvular heart disease, 3 

Pulmonary tuberculosis, 2 

Pulmonary embolism, 2 

Cerebral hemorrhage, 2 

Tumor of brain, 2 

Carcinoma, 2 

Acute pyelonephritis, 

Acute nephritis, 

Subdural hemorrhage, 

Chronic internal hemorrhagic pachymeningitis, 

Cholecystitis, 

Lesions of tj^phoid fever, 

Empyema, 

Multiple fractures, 

Gangrene of leg, 

Cellulitis of leg, 

Exhaustion of general paralysis, ........ 

Osteitis deformans, 

Acute hemorrhagic encephalitis, 

Septicaemia from fractured ribs, 

SAMUEL T. ORTON, 

Pathologist. 
Nov. 30, 1911. 



1911. 



PUBLIC DOCUMENT — No. 23. 



19 



PRODUCTS OF THE FARM 

On Hand Dec. 1, 1911, and not deliveked at the Hospital. 



Apples, barrels, 


858 


Mangel-wurzels, bushel 


3, . 1,600 


Beets, bushels, 


620 


Onions, bushels, . 


. 320 


Cabbage, tons, . . . 


19 


Parsley, bushels, . 


4 


Carrots, bushels, . 


450 


Parsnips, bushels, . 


. 325 


Celery, boxes, 


200 


Squash, winter, tons, 


. 11.5 


Cucumbers, pickle, pecks, 


584 


Turnips, barrels, . 


. 303 


Cauliflower, boxes, 


12 






FA 


RM ACCOUNT. 





Dr. 

Bread, $366 47 

Butter, 1,027 60 

Blacksmith and supplies, 560 57 

Carriage and wagon repairs, 98 73 

Current expenses, 1,275 14 

Fertilizer, 386 59 

Fish, 231 71 

Fuel, • . 1,013 65 

Furnishings, 826 03 

Groceries, etc., . 3,021 42 

Harness and repairs, 51 30 

Hay, grain, etc., 9,019 98 

Ice, 255 60 

Live stock: — 

Bulls, 78 00 

Horses, 650 00 

Pigs, 35 00 

Meats, 2,175 79 

Milk, 1,543 68 

Repairs, 531 26 

Seeds, 216 42 

Sugar, 498 90 

Tools, 125 36 

Wages, 14,929 86 

Water, 315 74 

Net gain for year ending Nov. 30, 1911, 11,556 73 

$50,791 53 



20 WORCESTER STATE HOSPITAL. [Dec. 

Cr. 

Apples, 673 barrels, . $1,682 50 

Asparagus, 21 boxes, 73 50 

Beans, Lima, improved, 69.5 bushels, Ill 20 

Beans, string wax, 48 bushels, 38 40 

Beans, string green, 47 bushels, 42 30 

Beef, 6 sides, 1,944 pounds, 116 64 

Beets, 433.25 bushels, 259 95 

Blackberries, 284 quarts, 39 76 

Bran, 100 pounds, 1 50 

Cabbage, 24.9205 tons, 623 01 

Carrots, 286.25 bushels, 214 69 

Cauliflower, 62.5 boxes, 78 12 

Celery, 354.25 boxes, 318 83 

Cider, 3,066 gaUons, 306 60 

Citron, 112 pounds, 112 

Corn, green, 875 bushels, 875 00 

Cucumbers, table, 122.5 boxes, 91 88 

Cucumbers, pickle, 584 pecks, 175 20 

Currants, 194 quarts, 21 34 

Grain bags, 1,585, 31 70 

Hay, 4.5 tons, 94 50 

Hides, 270 pounds, 28 01 

Ice, 1,200 tons, 3,600 00 

Lettuce, 438.83 boxes, 219 42 

Live stock: — 

Bulls, 3, 310 00 

Calves, 56, 721 00 

Cows, 7, 370 00 

Horses, 2, 200 00 

Pigs, 161, 872 52 

Manure, 30 cords, 180 00 

Milk, 393,746 quarts, 23,624 76 

Muskmelons, 19 crates, 33 25 

Oats, 630 bushels, 283 50 

Onions, 381.25 bushels, 419 38 

Parsley, 9.25 bushels, 4 62 

Parsnips, 385.5 bushels, 28 91 

Peas, green, 115 bushels, 230 00 

Peppers, 1.5 bushels, 11 25 

Plants, celery and tomato, 4,027, 35 27 

Pork. 39,156 pounds, 3,414 22 

Potatoes, 96 bushels, 86 40 

Radishes, 154 dozen bunches, 46 20 

Amount carried forward, $39,916 45 



1911.] PUBLIC DOCUMENT — No. 23. 21 

Amount brought forward, 139,916 45 

Rhubarb, 10,730 pounds, 214 60 

Sand, 311 yards, 370 00 

Skins, calf, 3, ...._..... 4 90 

Squash, winter, 16.91 tons, 591 85 

Squash, summer, 48.83 barrels, . . . . . . . 48 83 

Spinach, 164 bushels, 65 60 

Straw, 1,500 pounds, 7 50 

Strawberries, 5,050 quarts, 606 00 

Tomatoes, ripe, 427 bushels, 320 25 

Tomatoes, green, 24 bushels, 12 00 

Turnips, 165.36 barrels, 181 90 

Veal, 215 pounds, 23 65 

Labor of patients, 2,552 days, 2,552 00 

Labor of farm attendants, 1,600 days, 2,400 00 

Teaming, 869 days, 3,476 00 

$50,791 53 



22 WORCESTER STATE HOSPITAL. [Dec. 



VALUATION OF PERSONAL ESTATE. 

Nov. 30, 1911. 



Provisions and groceries, $4,659 32 

Clothing and clothing material, 17,160 87 

Furnishing, 111.624 24 

Heat, light and power: — 

Fuel, 4,408 72 

All other property, 1,381 98 

Repairs and improvements: — 

Machinery and mechanical fixtures, 3,803 88 

All other property, . . 4,080 04 

Farm, stable and grounds: — 

Live stock on the farm, 25,914 50 

Produce of the farm on hand, 5,433 25 

Carriages and agricultural implements, . . . . 11,172 55 

All other property, 9,549 55 

Miscellaneous, 18,795 25 

$217,984 15 



1911. 



PUBLIC DOCUMENT — No. 23. 



23 



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, 1911: — 





Cash Account. 






Balance Dec. 1, 1910, 


Receipts. 




$7,628 22 


Institution Receipts. 








Board of inmates: — 








Private, 


$43,937 30 






Reimbursements, insane, 


18,001 36 






Cities and towns, 


120 71 


$62,059 37 










Ssles: — 








Food, 


$1,910 87 






Clothing and materials, 


482 91 






Furnishings, 


12 17 






Heat, light and power, 


35 75 






Repairs and improvements, 


258 84 






Miscellaneous, 


274 32 






Farm, stable and grounds: — 








Cows and calves, 


1,353 50 






Pigs and hogs, 


922 52 






Hides, 


29 81 






Sundries, 


294 49 


5,575 IS 




Miscellaneous receipts: — 






Interest on bank balances, 


$544 04 






Rent, 


420 00 







964 04 



Receipts from Treasury of Commonwealth. 
Maintenance appropriations: — 

Balance of 1910, . . . . 

Advance money (amount on hand November 

30) 

Approved schedules of 1911, $276,918 00 

Less returned, ... 58 81 



$24,935 48 
12,000 00 

276,859 19 



68,598 59 



Total, $390,021 48 



24 



WORCESTER STATE HOSPITAL. 



[Dec. 



Payments. 
To treasury of Commonwealth, institution receipts, 
Maintenance appropriations: — 

Balance November schedule, 1910, 

Eleven months schedules, 1911, 

November advances, ..... 



$32,563 70 
276,859 19 

3,489 14 



$68,598 59 



312,912 03 



Balance Nov. 30, 1911: — 

In bank $8,035 66 

In office, 475 20 

8,510 86 

Total, . $390,021 48 

Maintenance. 

Appropriation, $303,000 00 

Expenses (as analyzed below), ....... 302,932 94 



Balance reverting to treasury of Commonwealth, 



$67 06 



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, . 



Clothing and materials: — 
Boots, shoes and rubbers, 
Clothing, ..... 
Dry goods for clothing and small wares, 



Amounts carried forward, 



$28,775 16 




13,645 09 




24,178 39 




24,163 41 




20,409 02 




17,091 94 






$128,263 01 




$14,543 81 




968 09 




433 41 




1,440 72 




775 30 




5,551 15 




8,458 10 




4,269 67 




2,723 81 




20,369 27 




486 00 




498 84 




6,147 83 




1,949 49 




4,191 85 




2,088 62 






74,895 96 




$2,248 84 




3,480 45 




2,366 12 




$8,095 41 


$203,158 97 



1911. 



PUBLIC DOCUMENT 



Amounts brought forward, 

Clothing and materials — Con. 
Furnishing goods, 
Hats and caps, . 
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 
Roofing and materials, 
Sundries, . 



supplies, 



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, 
Funeral expenses, . . . 



No. 23. 25 

$8,095 41 $203,158 97 



383 83 
172 51 
48 51 



$6,051 


55 




586 40 




357 82 




559 


02 




736 63 




444 


82 




59 44 




1,055 


62 


9,851 30 






$24,661 


65 




328 


17 




240 


20 




294 


26 


25,524 28 






$278 85 




1,266 


08 




633 


54 




1,651 


22 




1,549 


8b 




2,992 


72 




65 


30 




6,523 


54 




1,834 


94 




58 


00 




4,189 


35 


21,043 40 






$820 


65 




841 


90 




901 


21 




9,772 


28 




165 


13 




650 


00 




78 


00 




35 00 




288 


91 




298 03 




2,255 


86 


16,106 97 






$582 


35 




706 


20 




616 


77 




554 


00 





Amounts carried forward, 



$2,459 32 $284,385 18 



26 



WORCESTER STATE HOSPITAL. 



[Dec. 



Amounts brought forward, 

Miscellaneous — Con. 
Gratuities, . 
Hose, etc., . 



$2,459 32 $284,385 18 



Medicines and hospital supplies, . 
Medical attendance, nurses, etc. (extra) 
Postage, ..... 
Printing and printing supplies, 
Printing annual report, 
Return of runaways, . 
Soap and laundry supplies, . 
Stationery and office supplies, 
School books and school supplies, . 
Travel and expenses (officials), 
Telephone and telegraph, 
Tobacco, ..... 

Water, 

Sundries, ..... 



Total expenses for maintenance, 



50 60 




11 00 




306 00 




2,762 07 




86 97 




414 40 




34S 11 




175 20 




119 00 




2,932 80 




646 41 




128 52 




219 67 




354 06 




1,262 35 




5,184 82 




1,086 46 






18,547 76 






$302,932 94 



Special Appropriations. 
Appropriations for fiscal year, ....... $12,100 00 

Balance November 30, 1911 $12,100 00 

Resources and Liabilities. 
Resources. 

Cash on hand, $8,510 86 

November cash vouchers (paid from advance money) , 3 ,489 14 
Due from treasury of Commonwealth account 

November, 1911, schedule 14,073 75 



Liabilities. 



Schedule of November bills, 



$26,073 75 



$26,073 75 



Per Capita. 
During the year the average number of inmates has been 1,370.55. 
Total cost for maintenance, $302,932.94. 
Equal to a weekly per capita cost of $4.24. 
Receipts from sales, $5,575.18. 
Equal to a weekly per capita of $0.0780. 
All other institution receipts, $63,023.41. 
Equal to a weekly per capita of $0.8819. 



1911.1 



PUBLIC DOCUMENT — No. 23. 



27 



a 
n 


$10,000 00 
2,100 00 


o 
o 

o 
o 


Is 
8* 


' ' 


l 


-a! 


i i 


1 


a 

I 


$10,000 00 
2,100 00 


o 

o 

o 
o 


1 
s 

M 



o 

«! 


Res. 1911, chap. 510 
Res. 1911, chap. 510 


1 
eg 
O 


Altering and repairing Salisbury ward, . 

Two passenger elevators, 







>H 






8 




PQ 


,* 




^ 




£ 


bs 




^ 




I— i 






| 




P 








C 






4 e 




a 








'* 


w 






1.1 












a 






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<5 -^ 


3 








£ 










w 


J2? 






d 


ti 
ti 


3 






S 


-sj 


4) 






o 





« 



28 WORCESTER STATE HOSPITAL. [Dec. 



STATEMENT OF FUNDS. 



Patients' Fund. 
Balance on hand Nov. 30, 1910, . . . . $4,460 77 

Receipts, 3,066 50 

Interest on bank balance, 165 69 

$7,692 96 

Interest paid to State Treasurer, . . . $165 69 

Refunded, 2,523 76 

2,689 45 

$5,003 51 

Investment. ~~ 

Worcester County Institution for Savings, . $2,000 00 
Worcester Five Cents Savings Bank, . . . 1,000 00 
Balance Worcester National Bank, . . . 1,838 22 
Cash on hand Dec. 1, 1911, 165 29 

$5,003 51 

Lewis Fund. = 

Balance on hand Nov. 30, 1910, .... $1,384 11 
Income, 103 20 

$1,487 31 

Expended vault rent, 6 00 

$1,481 31 
Investment. — 

American Telephone and Telegraph Company 

bond, $926 36 

Worcester County Institution for Savings, . 342 60 

Balance Worcester National Bank, . . . 212 35 

$1,481 31 

Wheelee Fund. 
Balance on hand Nov. 30, 1910, .... $5,151 37 
Income, 239 10 

$5,390 47 

Expended for books, 103 20 

$5,287 27 



1911.] PUBLIC DOCUMENT — No. 23. 29 

Investment. 

3 shares Worcester National Bank, . . . $570 00 

American Telephone and Telegraph Company 

bond, 

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



712 50 




1,600 00 




1,719 47 




160 40 




524 90 






$5,287 27 



Lawn Fund. 
Balance Mechanics Savings Bank, Nov. 30, 1910, $552 17 

Income, 19 56 

$571 73 

Expended for plants, etc., 136 59 

$435 14 

Investment. 
Mechanics Savings Bank, $435 14 

Manson Fund. 
Balance Worcester County Institution for Sav- 
ings, Nov. 30, 1910, . " $1,504 19 

Income, 60 46 

$1,564 65 



Investment. 
Worcester County Institution for Savings, .... $1,564 65 



Respectfully submitted, 



H. M. QUINBY, 

Treasurer of the Corporation. 



Nov. 30, 1911. 



Worcester, Mass., Dec. 7, 1911. ' 
I hereby certify that I have this day compared the treasurer's statement of 
funds for the year ending Nov. 30, 1911, 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 



[FOHM PRESCRIBED BY STATE BOARD OF INSANITY. 





1 

1 

s 



a 
PS 

< 


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Patients in the hospital Sept. 30, 1910, 
Viz.: regularly committed, 
emergency, 
voluntary, 
temporary care, 
Admitted within the year, 
Viz.: by regular commitment, . 
emergency, 
temporary care, 
viz.: observation, . 
others, . 
by transfer, 
from visit, 
from escape, 
Nominal admission for discharge, 
Viz.: from visit, . 
from escape, 
Whole number of cases within the year 
Dismissed within the year, . 
Viz.: discharged, 

as recovered, 

as capable of self support, 
as improved, 
as not improved, . 
as not insane, 
died, .... 
transferred, 

escaped, .... 
on visit Oct. 1, 1911, 
Nominal dismissals for commitment, 



34 



WORCESTER STATE HOSPITAL. 



[Dec. 





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issed 


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OS 

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are, 

3 State patien 
s reimbursing 
s private pati; 
persons withi 
persons admi 
persons adm 

persons dism 
persons dism 


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patients, 
nts, 

ergency admi 
!untary admis 
er of voluntai 
nporary care : 
er of tempora 






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a ° o 

111 

111 

>* <B 0> 


voluntary, 
temporary 
supported 

r of differen 
r of differen 
r of differen 

r of differen 
r of differen 


r of differen 
r of differcn 
verage num 
State patier 
reimbursing 
private pati 
lumber of ei 
lumber of v 
verage num 
lumber of t( 
verage num 








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1911. 



PUBLIC DOCUMENT — No. 23. 



35 



2. — Insane received on First and Subsequent Commitment. 





Cases committed. 


NUMBER OF THE COMMITMENT. 


Males. 


Females. 


Totals. 


First to this hospital 

Second to this hospital, 

Third to this hospital 

Sixth to this hospital, 

Eleventh to this hospital, 


260 
22 

1 


202 
11 

7 

1 


462 
33 

8 

1 


Total cases, 

Total persons 

Never before in any hospital for the insane, 


288 


222 
227 
190 


505 
515 
429 



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





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 




fl 




■g 


^ 






^ 






.2 
1 


1 


1 


.2 
I 


& 


o 


.2 




o 


Massachusetts, .... 


87 


24 


27 


51 


26 


28 


138 


50 


55 


Other New England States, . 


22 


17 


21 


19 


17 


17 


41 


34 


38 


Other States 


13 


, 7 


8 


8 


7 


8 


21 


14 


16 


Total native, . . 


122 


48 


56 


78 


50 


53 


200 


98 


109 


Other countries: — 




















Armenia, 


2 


2 


2 


- 


- 


- 


2 


2 


2 


Austria 


1 


- 


- 


3 


3 


3 


4 


3 


3 


Azore Islands 


1 


» 


3 




1 


1 


2 


4 


4 


Canada 


14 


20 


17 


15 


17 


17 


29 


37 


34 


Denmark, 


_ 


- 


- 




1 


1 


1 


1 


1 


East Indies 


1 


- 


- 




- 


- 


1 


- 


- 


England 


5 


6 


8 




14 


12 


14 


20 


20 


Finland, 


4 


4 


4 




2 


2 


6 


6 


6 


France, 


_ 


2 












2 


- 


Germany, 


3 


5 


4 




1 


1 


4 


6 


5 


Greece, 


1 


1 


1 




1 


1 


2 


2 


2 


Holland, 




1 


1 




1 


1 


- 


2 


2 


Ireland 


38 


87 


85 


43 


61 


58 


81 


148 


143 


Italy 


8 


7 


7 




4 


4 


12 


11 


11 


New Brunswick, .... 


7 


5 


7 




2 


2 


13 


7 


9 




- 


- 


- 




- 


1 


1 


- 


1 


Norway, 

Nova Scotia, 


_ 


1 


_ 




1 


1 


1 


2 


1 


4 


2 


1 


5 


6 


7 


9 


8 


8 


Prince Edward Island, . 


3 


2 


2 


_ 


- 


1 


3 


2 


3 


Poland 


4 


3 


3 


1 


1 


1 


5 


4 


4 


Russia 


10 


10 


10 


8 


7 


7 


18 


17 


17 


Scotland, 


2 


8 


5 


3 


5 


3 


5 


13 


8 


Sweden, 


5 


6 


6 


5 


6 


6 


10 


12 


12 


Turkey, 


2 


2 


2 


- 


- 


- 


2 


2 


2 


Total foreign 


115 


177 


168 


110 


134 


130 


225 


311 


297 


Unknown, 


2 


14 


15 


2 


6 


7 


4 


20 


22 


Totals 


239 


239 


239 


190 


190 


190 


429 


429 


429 



36 



WORCESTER STATE HOSPITAL. 



[Dec. 



If.. — Residence of Insane Pe 


rsons 


admitted j 


rom the Community. 






First admitted 

to Any 

Hospital. 


Other 
Admissio 


NS. 


Totals. 


PLACES. 






















1 


1 


1 


1 


"3 

s 


1 

s 


"3 




£ 

o 


Massachusetts (by counties) : — 




















Berkshire, 


- 


1 


i 


- 


- 


- 


- 


1 


1 


Bristol, . 








1 


- 


i 


- 


- 


- 


1 


- 


1 


Hampden, 








- 


" 


- 


1 


- 


1 


1 


" 


1 


Middlesex, 








85 


66 


151 


17 


13 


30 


102 


79 


181 


Norfolk, . 








4 


3 


7 


2 


1 


3 


6 


4 


10 


Suffolk, . 








49 


37 


86 


8 


6 


14 


57 


43 


100 


Worcester, 








100 


83 


183 


21 


17 


38 


121 


100 


221 


Totals, 


239 


190 


429 


49 


37 


86 


288 


227 


515 


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


197 


167 


364 


43 


32 


75 


240 


199 


439 


County district 


s (un 


der 1 


0,000), . 


42 


23 


65 


6 


. 5 


11 


48 


28 


76 



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





Males. 


Females. 


Totals. 


Unmarried 


121 


73 


194 


Married, 


91 


77 


168 


Widowed 


24 


37 


61 


Divorced, 


1 


3 


4 


Totals 


237 


190 


427 


Unknown, 


2 


- 


2 


Totals 


239 


190 


429 



1911.] PUBLIC DOCUMENT — No. 23. 37 

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



Candy maker, 1 


Seamstresses, 


. . 2 


Clerk, 








1 


Stenographer, 


. . . 1 


Companion, 








1 


Student, . 


. . . 1 


Copyist, . 








1 


Tailoresses, 


. . . 3 


Domestics, 








32 


Teacher, . 


1 


Housekeepers, 








13 


No occupation, 


. 44 


Housewives, 








73 







Laundresses, 








4 


Total, 


. . . 190 


Milliner, . 








1 


Unknown, 





Nurses, 








2 







Operatives, 








9 


Total, 


. . . 190 



Males. 



Acrobat, .... 


1 


Florist, 1 


Barbers, .... 


2 


Gardener, . 






1 


Blacksmiths, . 


4 


Glass worker, . 






1 


Butchers, .... 


2 


Grocer, 






1 


Carpenters, 


16 


Harness maker, 






1 


Chauffeur, 


1 


Hostler, 






1 


Chair worker, . 


1 


Janitor, 






1 


Chemist, .... 


1 


Junk collectors, 






2 


Christian Science healer, 


1 


Laborers, . 






50 


Clerks, .... 


14 


Laundryman, . 






1 


Coachmen, 


2 


Machinists, 






4 


Comb makers, . 


2 


Managers, 






3 


Cook, .... 


1 


Mechanic, 






1 


Cooper, .... 


1 


Merchants, 






2 


Dentist, .... 


1 


Moulders, 






3 


Druggist, .... 


1 


Operatives, 






27 


Electricians, 


2 


Painter, 






1 


Engineers, 


3 


Paper boy, 






1 


Errand boy, 


1 


Pedler, 






1 


Farmers, .... 


11 


Piano workers, 






2 


Fireman, .... 


1 


Piano tuner, 






1 


Fisherman, 


1 


Plumber, 






1 



38 



WORCESTER STATE HOSPITAL. 



[Dec. 



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



Males — Concluded. 


Printers, . 


3 


Umbrella maker, 


1 


Rabbi, 






Waiter, 


1 


Railroad conductor, 






Watchmen, 


. . 2 


Sea captain, 






Wire workers, . 


2 


Stenographer, . 






No occupation, 


. . 25 


Student, . 











Tailor, 






Total, . •. 


. 229 


Teamsters, 




8 


Unknown, 


. . 10 


Tinsmith, . 




1 







Traders, . 




3 


Total, 


. . 239 



1911. 



PUBLIC DOCUMENT — No. 23. 



39 



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40 



WORCESTER STATE HOSPITAL. 



[Dec. 



lOiOHcqio 



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1911. 



PUBLIC DOCUMENT — No. 23. 



41 



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42 



WORCESTER STATE HOSPITAL. 



[Dec. 



9. — Probable Duration of Mental Disease before Admission. 



PREVIOUS DURATION. 

Congenital, 
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, 

Totals, . 
Unknown, 
Not insane, . 

Totals, . 
Average known duration (in years). 



First admitted to Ant Hospital. 



12 
49 
43 
32 
17 
20 
25 
14 
3 

215 
23 
.1 

239 
3.13 



16 

43 

27 

7 

13 

13 

28 

16 

5 

3 

181 



190 
4.52 



28 
92 
70 
49 
30 
33 
53 
30 



396 

32 

1 

429 

3.79 



1911. 



PUBLIC DOCUMENT — No. 23. 



43 



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A. — First admitted to any hospital: — 

Acute hallucinosis, 

Alcoholic insanity, acute: — 

Alcoholic delirium, ...... 

Alcoholic depression, 

Alcoholic hallucinosis 

Delirium tremens, ...... 

Alcoholic insanity, chronic: — 

Alcoholic deterioration, 

Alcoholic hallucinosis, 

Alcoholic paranoic condition, .... 

Polyneuritic psychosis, 

Constitutional depression, 

Constitutional inferiority 

Delirium, acute, 

Dementia praecox, 

Epileptic insanity 

Exhaustion psychosis, 

General paralysis of the insane, 

Hysterical insanity, 

Imbecility, 

Involution psychosis 

Manic-depressive insanity: — 

Circular form, 

Depressed form, 

Manic form 

Manic-delirious form, 

Mixed form, 

Melancholia, senile, 

Organic dementia, 

Paranoic condition, 

Paranoic condition, senile, . 

Senile dementia, 

Toxic insanity, acute: — 

Delirium, ........ 

Hallucinosis 

Traumatic insanity, 

Not insane 


| 



44 



WORCESTER STATE HOSPITAL. 



[Dec. 



! *b. 

i *1« 


EH 


t-i C<I CO i-H 1 IIOOOCNtjh | | <M CO CO i-H ,-t CNI t-1 


to s s 

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B. — Other admissions: — 

Alcoholic insanity, acute: — 

Alcoholic depression, 

Alcoholic hallucinosis, 

Delirium tremens 

Alcoholic insanity, chronic: — 

Alcoholic deterioration, 

Alcoholic paranoic condition, .... 

Constitutional inferiority 

Dementia precox, 

Epileptic insanity, ...... 

General paralysis of the insane, .... 

Hysterical insanity, 

Imbecility, 

Manic-depressive insanity: — 

Circular form, 

Depressed form, 

Manic form, ....... 

Melancholia, senile, 

Organic dementia, 

Paranoic condition 

Senile dementia, 


Totals 

Aggregate cases, 



1911. 



PUBLIC DOCUMENT — No. 23. 



45 



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46 



WORCESTER STATE HOSPITAL. 



[Dec. 



< 

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1911.] 



PUBLIC DOCUMENT — No. 23. 



47 



' ' '- ! i- ' < ' ' ' 


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Empyema, 

Pulmonary infract, 

Pulmonary tuberculosis 

V. Diseases of the digestive system: — 

Carcinoma (stomach), .... 
Cholangitis and cholelithiasis, . 

Acute enteritis, 

Dysentery, . 

Ulcerative enteritis 

Colitis, 

Entero-colitis, . . . 

Acute hemorrhagic ileo-colitis, 

Intestinal obstruction, .... 

VI. Diseases of the genito-urinary system: — 

Acute cystitis, 

Chronic interstitial nephritis, 

Chronic nephritis and valvular heart dis- 

Chronic nephritis and other causes, . 
Parenchymatous nephritis, . . - . 

VII. Violence: — 

Asphyxia from food 

Burns of both feet, and shock, . 
Multiple injuries and shock, 


4 



48 



WORCESTER STATE HOSPITAL. 



[Dec. 





1 

1 


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I. General diseases: — 

Carcinoma (breast), 

Convulsions of general paralysis, 

Diabetes 

Diabetic gangrene of foot, .... 
Exhaustion from general paralysis, 
Exhaustion from heat, .... 
Infection from fractured rib, 
Osteitis deformans and broncho-pneumonia, 

Sarcoma (jaw), 

Septicaemia from abrasion of hand, 
Septicaemia from gangrenous decubitus, 
Septicaemia from septic leg, 

II. Diseases of the nervous system : — 
Acute hemorrhagic encephalitis, 

Brain tumor, 

Cerebral hemorrliage 

Exhaustion from organic dementia, . 
Sub-dural hemorrhage, .... 
Tabes dorsalis, 

III. Diseases of the circulatory system: — 

Arteriosclerosis 

Arteriosclerosis and other causes, 

Myocarditis, . • 

Septic thrombosis and gangrene of the leg, . 
Valvular heart disease, .... 
Vegetative endocarditis, .... 

IV. Diseases of the respiratory system : — 

Broncho-pneumonia 

Broncho-pneumonia and facial erysipelas, . 



1911.1 



PUBLIC DOCUMENT — No. 23. 



Ill- 1 t 1 


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Empyema, 

Pulmonary infract 

Pulmonary tuberculosis, .... 

V. Diseases of the digestive system: — 

Carcinoma (stomach), 

Cholangitis and cholelithiasis, 

Acute enteritis 


JJysentery 

Colitis 

Entero-colitis 

Acute hemorrhagic ileo-colitis, . 

VI. Diseases of the genito-urinary system: — 
Acute cystitis, . . 
Chronic interstitial nephritis, 
Chronic nephritis and valvular heart dis- 
ease, 

Chronic nephritis and other causes, . 
Parenchymatous nephritis 

VII. Violence: — 

Asphyxia from food, 

Burns of both feet, and shock, . 
Multiple injuries and shock, 







50 



WORCESTER STATE HOSPITAL. 



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A. — Recovered: — . 

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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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Totals, .... 

Average of known cases (in 

months, 



1911. 



PUBLIC DOCUMENT — No. 23. 



51 



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