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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 



EIGHTY-SECOND ANNUAL EEPOET 



THE TRUSTEES 



Worcester State Hospital, 



THIRTY-SEVENTH ANNUAL REPORT OP THE TRUSTEES 



WORCESTER STATE ASYLUM AT WORCESTER, 



Year ending November 30, 1914. 




BOSTON: 

WEIGHT & POTTEE FEINTING CO., STATE PEINTEES, 

32 DEENE STEEET. 

1915. 



M^ 



Public Document No. 23 



. EIGHTY-SECOND AMUAL EEPOET ' 



THE TRUSTEES 



Worcester State Hospital, 



THIETY-SEYENTH ANNUAL REPORT OE THE TRUSTEES 



WORCESTEE state asylum at WORCESTER, 



FOR THE 



Year ending November 30, 1914. 




BOSTON: 
WRIGHT & P0TTJ:R PBINTIiSfG CO., STATF PRINTERS, 
32 DERNE STREET. / 
1915. 



i/M^^4^^ c(fi<^k,CA^C< 



Approved by 
The State Board of Publication. 



3 



CONTENTS 



PAGE 

Report of Trustees 7 

Report of Superintendent, 9 

Laboratory Report, 19 

Products of the Farm, 21 

Farm Account, 21 

Valuation, 24 

Report of Treasurer, 25 

Statement of Funds, 31 

Statistics, 33 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 

EI.LEN A. SHEEHAN Worcester. 

GEORGIE A. BACON, Worcester. 

TIMOTHY J. FOLEY, Worcester. 



RESIDENT 

ERNEST V. SCRIBNER, M.D., 
B. HENRY MASON, M.D., 
GEORGE A. McIVER, M.D., . 
HAROLD C. AREY, M.D., 
ROY C. JACKSON, M.D., 
SIDNEY M. BUNKER, M.D., 
GEORGE E. MOTT, M.D., 

JENNIE G. Mcintosh, m.d., 

R. grant BARRY, M.D., 
ISA M. RICHARDSON, . 
ELSIE I. McKENZIE, 
ARTHUR E. OILMAN, . 
BERTHA M. HARRIS, . 
JOSEPH T. REYNOLDS, 



OFFICERS. 

. Superintendent. 
. First Assistant Physician. 
. Assistant Physician. 
. Assistant Physician. 

Assistant Physician. 
. Assistant Physician. 
. Assistant Physician. 
. Assistant Physician. 

Assistant Physician. 
. Director of Industrial Therapeutics. 
. Superintendent of Nurses. 
. Steward. 
. Matron. 

Farmer. 



NONRESIDENT OFFICERS. 



MARY E. MORSE, M.D., 
HOWARD BEAL, M.D., . 
WALTER W. CAMPBELL, D.D.S., 
GEORGE E. PARESEAU, 
GEORGE L. CLARK. 
JESSIE M. D. HAMILTON, . 
JAMES DICKISON, Jr., . 



Assistant Pathologist. 

Consulting Surgeon. 

Dentist. 

Druggist. 

Auditor. 

Clerk. 



®l)e Olotnmontoealtl) of ittassactjusetta. 



TRUSTEES' REPORT. 



To His ExceUe7icy the Governor and the Honorable Council. 

The trustees of the Worcester State Hospital herewith re- 
spectfully submit their eighty-second annual report. Accom- 
panying it are the reports of thfe superintendent and treasurer, 
which give a more detailed account of the institution, its 
activities, management and needs. 

The Legislatures of 1912 and 1913 appropriated funds for 
the building of an additional wing to accommodate 100 male 
patients, for altering and furnishing the old farmhouse, for 
finishing and furnishing the attic of the female nurses' home, 
and for a cottage for employees. This work has been com- 
pleted and its value already demonstrated. 

The Legislature of 1913 appropriated $7,500 for a new sewer 
pipe line. The terms of the law, whereby this appropriation was 
granted, are such that it has been impossible to make use of the 
available funds, and the sewage disposal problem is still with us. 

It is now a decade since the Legislature's attention was first 
called to this matter. During this time the amount of sewage 
has materially increased and the present method of its disposal 
has become a nuisance, not only to nearby residents, but to 
the thousands of persons who traverse the main highway from 
Worcester to Boston. 

At the present time the hospital is paying the city of Worces- 
ter approximately $6,000 per year for water. It is the opinion 
of the trustees that a private water supply would be a saving 
to the Commonwealth and of inestimable value to the institu- 
.tion. As the only available source is in the immediate vicinity 
of the filter beds, it is highly desirable that these be abandoned. 

In view of these conditions, the trustees most respectfully 
appeal to you, the Chief Executive of the State, and your 
honorable Councillors to take such steps as will solve this long- 



8 WORCESTER STATE HOSPITAL. [Dec. 

standing problem. We, therefore, ask that the terms of the law 
be so changed as to make the appropriation of 1913 available. 

For two years the trustees have asked for an appropriation 
which would provide for the construction of a laundry and 
industrial building, and for the conversion of the old laundry 
into congregate dining rooms. The need for this is even greater 
than two years ago, and the change would not only add to the 
comfort and convenience of patients, nurses and attendants, 
but tend to greater economy and efficiency in the service. To 
make this possible, we renew our request of last year for an 
appropriation of $100,800. 

In order to promote the retention of faithful employees, and 
to create more real home life for those with families, we renew 
our request of former years for suitable accommodations, and 
ask for appropriations of S16,000 and $11,400, the former for 
two cottages, at $8,000 each, to house employees, the latter 
for two bungalows, at $5,700 each, for members of the medical 
staff and their families. 

Food constitutes a large item in the maintenance charges of 
the institution. Economy in this direction can come only by 
the purchasing of supplies in larger quantities and better care 
of the products of farm and garden. To do this adequately, a 
cold-storage plant must be maintained. We, therefore, ask for 
an appropriation for this purpose of $50,400. 

During the year a majority of the trustees felt compelled to 
terminate their relations with the institution. Their resigna- 
tion, after years of faithful, conscientious service, has removed 
from the Board its most valued members, and lost to the State 
servants of unquestionable ability. 

In closing this report the trustees would express their appre- 
ciation of the efforts and co-operation of the superintendent, 
assistants and employees. 

Respectfully submitted, 



ELLEN A. SHEEHAN. 
GEORGIE A. BACON. 

TIMOTHY J. FOLEY. 



Nov. 30, 1914. 



1914.1 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, 1914, it being the eighty- 
second annual report. 

There remained at the hospital Oct. 1, 1913, 1,330 patients, 
— 659 men and 671 women. During the year ending Sept. 30, 
1914, there were admitted 757 patients', — 416 men and 341 
women. Six hundred and sixty-seven patients — 356 men and 
311 women — were dismissed from the hospital. Of this num- 
ber, 338 patients — 171 men and 167 women — were dis- 
charged; 146 patients — 93 men and 53 women — died; 43 
patients — 13 men and 30 women — were transferred; and 
140 patients — 79 men and 61 women — left on visit or escape; 
leaving at the end of the statistical year, 1,420 patients, — 
719 men and 701 women. Of this number, 1,201 were sup- 
ported by the State, 127 by friends, and 92 as reimbursing 
patients. Of the 381 patients discharged and transferred, 92 
(including 2 habitual drunkards, women) were reported recov- 
ered, 95 capable of self-support, 52 improved and 85 not 
improved. Three men and 12 women (including 11 habitual 
drunkards, women) were discharged as not insane. Four men 
and 2 women were transferred by the State Board of Insanity 
to the Danvers State Hospital; 2 men and 4 women to the 
State Infirmary; 2 men and 4 women to the Boston State 
Hospital; 4 women to the Taunton State Hospital; 2 men and 
1 woman to the Medfield State Hospital; 1 man and 1 woman 
to the Westborough State Hospital; 1 man to the Foxborough 
State Hospital; 2 women to the Gardner State Colony; and 1 
man to the Wellesley Nervine. Forty-one men and 16 women 
were removed from the State, and 12 women were boarded out. 

There remained at the end of the year 90 patients more than 
at the beginning. The smallest number under treatment on 



10 WORCESTER STATE HOSPITAL. [Dec. 

any one day was 1,326, and the largest, 1,429. The daily 
average number was 1,385.34. 

The percentage of recoveries, calculated upon the number of 
discharges and deaths, was 19.0; calculated upon the number of 
admissions it was 12.1. 

The death rate was 6.9, calculated on the whole number of 
patients under treatment, and 10.6, calculated on the daily 
average number, a ratio well under that of last year. 

In reviewing the cases admitted, it appears that more than 
half were of foreign birth. If we go back one generation, we 
find that the ancestors of these persons were of foreign birth in 
a much larger ratio. A comparison with previous years, how- 
ever, shows a constantly decreasing ratio in the numbers of the 
foreign born. In connection with this aspect of the situation, 
it may be interesting to know that 26 different foreign countries 
contributed to furnishing the cases. These cases also were 
representative of 60 different occupations. As would be ex- 
pected, laborers, housewives, operatives and domestics fur- 
nished the greater numbers and in the order given. 

In comparison with last year a larger number has been 
admitted and a smaller number discharged, with a consequent 
accumulation amounting to 90 cases. Despite this fact, the 
daily average number has been kept considerably below the 
estimate. Trustworthy conclusions cannot be drawn as to the 
increase or decrease in the ratio of new cases unless we consider 
the statistics of all the hospitals in the State which admit acute 
cases. It is of interest to note that of the first admissions to 
any hospital, the greatest number occurred in persons from 
forty to fifty years of age, while the numbers from fifty to 
eighty years were not far different from those from fifteen to 
forty. 

Realizing that it is not so much the admission of new cases 
as the retention of old ones that is causing the accumulation of 
the insane, a special effort has been made to return to the 
community as many patients as possible, not only the recov- 
ered but also those whose condition permitted a release from 
hospital care without detriment to themselves or to the com- 
munity. Had this policy not been pursued, the accumulation 
would have been greater. The statistics of twenty-seven 



1914.] PUBLIC DOCUMENT — No. 23. 11 

months are available for comparison with the previous twenty- 
seven months. During the first period, 359 cases, out of a 
daily average of 1,369 (about 2f per cent.), were released on 
visit. Of this number, 96 (a little more than one-quarter) had 
to return. During the second period, 635 cases, out of a daily 
average of 1,398 (4| per cent.), were released on visit. Of this 
number, 162, a trifle more than one-fifth, had to return. It 
would seem that with almost twice as great a number given 
leave of absence, there would naturally be twice as great a 
ratio to return. Such, however, has not been the result. From 
the greater ratio of cases released, there has been a distinct 
falling off in the ratio of cases returned. This experience leads 
me to believe that many persons now in institutions, while 
obviously insane, may profitably be returned to the community 
in such numbers as to appreciably affect the necessary provi- 
sion. This is particularly true of many aged and infirm persons 
who have no hope of mental recovery, and for whom the insti- 
tution can do little more than to offer a good home under 
medical supervision. 

The general health of the house has been good. Several cases 
of diphtheria were reported, but in only three or four were 
there decided symptoms, the majority being purely bacterio- 
logical. A close quarantine was established and stamped out 
the disease. The dysentery, which for several years has been 
persistent, has yielded to rigorous sanitary measures and 
the close attention of the staff, and is no longer a serious 
problem. 

Among the causes of death, pneumonia stands first, with 
general paralysis, arteriosclerosis and tuberculosis following. 
It is interesting to note that of the general paralytics but three 
were women. 

The work of the director of industrial therapeutics has 
contributed much to the successful treatment and management 
of cases. Particular attention has been given to the more 
intractable patients, and a special effort has been made to 
arouse interest in those cases of dementia prsecox and other 
mental states which are characterized by a condition of apathy 
and indifference to surroundings. Quite a degree of success has 
been attained in this work. In several instances unpromising 



12 WORCESTER STATE HOSPITAL. [Dec. 

cases have made such progress in our industrial classes that 
they have been promoted to a participation in the work of the 
regular manufacturing departments of the institution. 

The industrial work has not only included the ordinary 
occupations of sewing, fancy work, broom and brush making, 
weaving, carpentry and other familiar industries, but in addi- 
tion a beginning has been made in the manufacture of pottery. 
Some simple articles have already been produced. A kiln for 
firing is now in process of construction, and with its comple- 
tion a new impetus will be given to the interest in this work. 

Much interest in the industrial work has been evinced by 
both patients and employees, and this interest is an increasing 
one. An exhibit and sale has been held of articles manufac- 
tured. This exhibit has attracted considerable attention and 
has been quite successful financially. 

The work of the industrial director has also included a 
general supervision of the games and amusements of the 
patients. Not only have indoor amusements been stimulated, 
but out-of-door games have been arranged for. A baseball 
nine has been organized, and during the summer and fall the 
regular Saturday afternoon game with some visiting club has 
been an event looked forward to and much enjoyed by the 
patients. Indoors, various games in the wards have relieved 
the monotony of existence. In the chapel, afternoon parties 
have been held with cards, dancing and other simple amuse- 
ments. Games and the music of the phonograph have served 
to amuse and entertain those in the wards whose mental or 
physical condition precludes chapel attendance. 

During the colder months of the year regular weekly dances 
and moving-picture shows are held. At irregular intervals 
various other entertainments are given, as plays, lectures, etc. 
In some of the vaudeville exhibitions patients often take part, 
contributing not only to the amusement of their associates, but 
to their own as well. 

The work of the training school has been reorganized. More 
attention is given to probationers, who have regular class work 
and demonstrations. A large number of men are now proba- 
tioners. The general lecture course has been increased and 
more work is required of the juniors and seniors. Instruction 



1914.] PUBLIC DOCUMENT — No. 23. 13 

by the industrial director is now a regular part of the curricu- 
lum of the training school. Ten lessons in handicraft, con- 
sisting of lectures and problems, are given to each probation 
class. There will also be a course for the junior and senior 
clas'ses, with work in the industrial room and practical appli- 
cation on the wards. Each member will have an opportunity 
to finish at least one problem. Instruction will also be given 
to the male attendants. 

There has been a very distinct improvement in the character 
and quality of those employed as nurses and attendants. 
Probably several factors have contributed to bring this about. 
Some small increase in compensation has been given, better 
living accommodations have been provided, efforts have been 
made to make the work more attractive, and last, and perhaps 
by no means least, the prevailing hard times in the community 
have doubtless caused many more applications for places, with 
a consequent larger range of selection. 

On September 1, with the sanction of the State Board of 
Insanity, an out-patient department was established by the 
institution, to offer advice and treatment to persons suffering 
from insomnia, unusual worry, depression, apprehension and 
other symptoms indicative of incipient mental disease. It is 
believed that early attention and home treatment may some- 
times be able to relieve diseased conditions and in some cases 
to prevent commitment to an institution. These clinics are 
held at the hospital on every Tuesday from 2 to 5 o'clock in 
the afternoon and from 7 to 9 o'clock in the evening. There 
has seemed to be a public interest in this work. Quite a num- 
ber of persons have presented themselves for examination and 
advice, and the interest seems to be a growing one. Once each 
month an out-patient clinic is also held at Spencer. Once 
each month special attention is given to the examination of 
defective children. At this clinic the hospital physicians are 
assisted by a representative from the staff of the School for the 
Feeble-minded. Arrangements have been made with the super- 
visor of school attendance of Worcester schools to bring back- 
ward and mentally defective children to the clinic for 
examination. The establishment of this out-patient service 
has not only been of benefit to the public, but has stimulated 



14 WORCESTER STATE HOSPITAL. [Dec. 

interest in the members of the medical staff, who have one and 
all entered heartily and earnestly into the work. 

For some little time the social service work has been per- 
formed by different members of the medical staff, who have 
many times investigated home conditions where it has been 
sought to place unrecovered patients out in the community 
and have also visited patients out on visit and reported as to 
their findings. The amount and importance of this work has 
been growing rapidly, and, with the opening of our out-patient 
clinic, has assumed such importance that it has been found 
necessary to appoint a special person to this service, who will 
take up the work at an early date. 

All patients dismissed on visit or discharged are given printed 
instructions to return on a certain specified date for conference 
"and continued treatment, if needed. All patients going to 
Boston are requested to report to the Psychopathic Hospital, 
and, if to other districts, to report to that State hospital which 
is nearest and most convenient. 

The hospital is now open to the friends of patients every day 
in the week and to other visitors on every day except Sunday. 

There has been a closer attention given to the nursing serv- 
ice on the male wards. The superintendent of nurses and the 
assistant superintendent make regular visits of inspection to 
the male wards, giving instruction looking to the improvement 
of conditions. The number of female nurses on regular service 
on the male wards has been increased. 

The past year has been one of expansion in the activities of 
the institution. Much has been done to stimulate the service 
and to better the condition of the patients. A more active 
attention to executive detail on the part of the staff has re- 
sulted in a better and more rational classification in the acute 
service, and has, in the past few months, raised the medical 
work to a distinctly higher plane. In our wards for disturbed 
patients, there is a far greater degree of order and contentment 
than ever before. In this connection it is of interest to note 
that the recovery rate of the past year is the highest of any 
for several years. In my opinion, the treatment of the insane 
would be greatly aided by the establishment of a psychopathic 
unit in connection with this institution. 



1914.] PUBLIC DOCUMENT — No. 23. 15 

The hydrotherapeutic and electro-therapeutic apparatus have 
come mto more extensive use. Excellent results from this 
treatment have been obtained in several cases. A large and 
well-lighted room has been set apart and furnished with proper 
equipment for surgical purposes, adding greatly to our facilities. 

The laboratory has been in charge of Dr. Mary E. Morse, 
assistant pathologist, whose report is appended. As will be 
observed, the routine work of the laboratory has been carried 
on efficiently, and special studies of several different problems 
completed. An appointment to the position of clinical director 
and pathologist is now pending, and it is expected that the 
place will be filled at an early date. 

Since the last annual report, the renovation of the old farm- 
house has been completed and the cottage for employees 
erected. Both these buildings are now occupied, and provide 
much needed additional accommodation. The attic of the 
nurses' home has been finished, and has furnished lodging for 
many additional nurses. The building for 100 male patients 
has been completed, and has been for some time fully occupied. 
It is proving well adapted for its purpose. One of the old 
cottages near the main entrance has been thoroughly repaired 
and renovated, and is now occupied by two of our assistant 
physicians with their families. Much work of general repair 
has been accomplished in the various departments. In this, 
the labor of patients has been utilized as fully as possible, and 
in considerable measure lessened the expense. The operations 
of the farm and garden have again been successful, not only 
yielding a large margin of profit, but affording a useful outlet 
for the activities of many of our male patients. 

In considering our material needs, I must again call the 
attention of your Board to the matter of the proper disposal 
of the sewage from this institution. Although the Legislature 
of 1913 appropriated a sum sufficient for connecting our sewers 
with those of the city of Worcester, the grant was made sub- 
ject to requirements with which it has been impossible to com- 
ply, and the appropriation is of no avail. Meanwhile the 
hospital sewage continues to be cared for in the same old 
objectionable way, distributing its offensive odors to the annoy- 
ance of the neighbors and the passers-by. The use of water by 



16 WORCESTER STATE HOSPITAL. [Dec. 

the institution is constantly growing. Tliis water is now pur- 
chased from the city of Worcester for a sum far in excess of 
the interest on the amount which it would cost to provide a 
private supply. No action can be taken in this matter until 
the sewage ceases to be cared for in its present location, I 
recommend that your Board again ask the Legislature for 
relief as to sew^age disposal, either by granting $7,500 under 
such conditions that it will be possible to use it, or by such 
other action as may be deemed fitting. It is my belief, how^- 
ever, that any local surface disposal of sewage would always be 
unsatisfactory, and that the only perfect remedy for existing 
conditions is to connect with the city sewers and merge the 
institution problem with that of the city. 

The proper service of food is of prime importance every- 
w^here and in no place of more consequence than in an institu- 
tion. I believe that for many of our small separate dining 
rooms should be substituted one central dining room where 
food can be served more economically and satisfactorily. 
Accommodation is also needed for our varied and multiplying 
industries. I recommend that your Board ask for $100,800 for 
the purpose of erecting a two-story and basement brick build- 
ing, — the top floor to be used for industrial purposes, the 
other floors for laundry, — and for moving the machinery and 
adapting the present laundry building to the purposes of a 
dining room. These changes are grouped together, as it is one 
problem. 

I consider it of the utmost importance in conducting the 
affairs of the institution to make the conditions of service such 
that good people can be induced to stay here and make it a 
life work. With this end in view I recommend that the sum 
of $16,000 be asked for to erect and furnish two cottages for 
employees, each cottage to provide lodging for 10 employees, 
the lower floor being a home for a man and his family. 

I also recommend that the Legislature be asked for $11,400 
for the erection and furnishing of two bungalows for officers. 

I call your attention to the need of a storage building which 
shall centralize the housing of supplies and furnish refrigeration 
for the more perishable commodities. I recommend that your 
Board ask for $50,400 for the erection of a storage building and 



1914.] PUBLIC DOCUMENT — No. 23. 17 

for the purchase and installation of proper refrigerating ma- 
chinery. 

I deeply regret the retirement from your Board of several 
of its members, and wish to take this opportunity to express to 
them and to you my grateful appreciation of the support and 
counsel that the Board has always given to me. 

Several changes have taken place in the staff. Dr. Ray L. 
Whitney resigned as first assistant physician to enter the 
service of the McLean Hospital. He left the service here with 
the regret of his associates. Dr. B. Henry Mason was promoted 
to the position thus made vacant, and has given earnest and 
energetic work. 

Resignations. 

Dr. Henning V. Hendricks, Jan. 31, 1914. 

Dr. Ray L. Whitney, April 30, 1914. 

Dr. Wallace L. Orcutt, May 16, 1914. 

Dr. Cornelia B. J. Schorer, June 19, 1914. 

Dr. Benjamin F. Andrews, Sept. 12, 1914. 

Appointments. 
Dr. B. Henry Mason, Feb. 1, 1914. 
Dr. Sidney M. Bunker, April 1, 1914. 
Dr. Benjamin F. Andrews, June 20, 1914. 
Dr. William H. MacKay, June 20, 1914. 
Dr. George E. Mott, June 30, 1914. 
Dr. Jennie G. Mcintosh, July 1, 1914. 
Dr. R. Grant Barry, Aug. 11, 1914. 

I take this occasion to thank the members of the medical 
staff for the earnest and efficient work which they have done. 

Failing health compelled the resignation of Miss Mary F. 
Dudley from the position of matron. Miss Bertha M. Harris, 
assistant matron, was promoted to the place, and has success- 
fully conducted the affairs of her department. 

In May Mr. Mulford H. Center resigned his position as 
steward to enter another line of business. The institution has 
been fortunate in securing as his successor Mr. Arthur E. 
Gilman, whose long experience in hospital work particularly 
fitted him for the place. The affairs of his department have 
been ably managed. 



18 WORCESTER STATE HOSPITAL. [Dec. 

To the other officers and employees I am grateful for the 
good service which they have rendered. 

Regular religious services have been held by clergymen of 
different denominations. 

I wish again to thank the publishers of the "Worcester 
Evening Gazette" and the "Fitchburg Sentinel" for copies of 
their papers. The Worcester Employment Society has con- 
tinued to assist in sewing, and different friends have remem- 
bered the institution with gifts of various useful articles. 

E. V. SCRIBNER, 

Superintendent. 
Nov. 30, 1914. 



1914.1 PUBLIC DOCUMENT — No. 23. 19 



LABORATORY REPORT. 



To the Superintendent oj the Worcester State Hospital. 

I herewith submit the report of the laboratory for the current 
year. 

The laboratory work has been continued on the same general 
plan as during the previous year. 

The following routine work has been done : — 

Urinalyses, 734 

Blood examinations (red, white and differential counts), ... 26 

Bacteriological examinations (exclusive of throat cultures), . . 274 

Throat cultures, 1,105 

Gastric analyses, 11 

Animal inoculations, 6 

Cerebrospinal fluid examinations, 97 

Total, 2,253 

Forty-five autopsies have been performed during the year, 
representing 30 per cent, of the deaths during the same period. 

The psychiatric diagnoses in the autopsied cases were as 
follows : — 

Senile psychosis, 15 

General paralysis, 9 

Organic dementia, 8 

Dementia prsecox, 5 

Alcoholic psychoses, 4 

Manic-depressive insanity, 2 

Epileptic insanity, .1 

Unclassified, 1 



The major anatomical diagnoses were: — 

Lobar pneumonia, 7 

Broncho pneumonia, 6 

Hypostatic pneumonia, 1 

Abscesses of lung, 3 



20 WORCESTER STATE HOSPITAL. [Dec. 

Pulmonary oedema, 2 

Pulmonary thrombosis, 2 

Empyema, 1 

Cardiovascular, 1 

Myocarditis, 2 

Chronic nephritis, 4 

Pyonephrosis, 1 

Congenital cystic kidnej^s, 1 

Acute colitis, \ . 1 

Acute enteritis, 1 

Carcinoma of colon, 1 

Septicaemia, . ... . . 3 

Septic decubiti, 2 

Exhaustion of general paralj^sis, ' . . .2 

Ansemia (pernicious), 1 

Subdural hemorrhage, 1 

Status epilepticus, 1 

Strangulation (suicide), 1 

The following special studies have been completed : — 

Correlations of Cerebrospinal Fluid Examinations with Psychiatric Diag- 
noses. A study of 140 cases. Boston Medical and Surgical Journal, 
Vol. CLXX, No. 11, p. 373. 

Hemiatrophy of the Cerebellum in a Case of Late Catatonia (in collabora- 
tion with Dr. A. E. Taft). The Journal of Nervous and Mental Disease, 
Vol. 41, No. 9, September, 1914. 

A Study of the Spinal Cord in a Case of Isolated Atrophy of the Intrinsic 
Muscles of the Hands. 

Thalamic Ghosis in Dementia Prsecox. 

During the past six months fortnightly meetings have been 
held in the laboratory, at which the work of the laboratory 
has been presented to the clinical staff, and autopsies of special 
interest, as well as other subjects having both a clinical and 
pathological bearing, have been discussed. 

M. E. MORSE, M.D., 

Assistant Pathologist. 
Nov. 30, 1914. 



1914. 



PUBLIC DOCUMENT — No. 23. 



21 



PRODUCTS OF THE FARM. 

On Hand Dec. 1, 1914, and not delivered at the Hospital. 



Apples, barrels, 


. 250 


Onions, bushels. 


644 


Beets, bushels^ 


. 300 


Parsnips, bushels. 


330.5 


Cabbage, tons. 


25 


Pumpkins, pounds, . 


424 


Carrots, bushels, 


. 450 


Squash, winter, tons. 


13.05 


Celery, boxes, . 


. 150 


Turnips, bushels. 


500 



FARM ACCOUNT. 



Dr. 

Blacksmith and supphes, . . $358 80 

Bread, 435 65 

Butter, . 1,171 25 

Carriage and wagon supplies, . . . . . . . 103 88 

Clothing, 888 95 

Current expenses, 1,976 56 

Fertilizer, 6,361 51 

Fish, 301 38 

Fuel, 1,283 33 

Furnisliings, 319 51 

Groceries, 2,612 61 

Harness and repairs, 44 60 

Hay, grain, etc., 23,684 26 

Ice, 222 00 

Live stock : — 

Chickens, 72 00 

Cows, 690 00 

Meat, 3,134 24 

Milk, . . . . . ... . . . . 1,973 98 

Repairs, 635 81 

Seeds, 345 26 

Amount carried forward, . . .|46,615 58 



22 WORCESTER STATE HOSPITAL. [Dec. 

Amount brought forward, $46,615 58 

Sugar, 508 41 

Tools, 893 58 

Wages, 14,375 41 

Water, 306 56 

Net gain for \^ear ending Nov. 30, 1914, 11,535 18 

$74,234 72 
Ce. 

Apples, 767 barrels, $1,534 00 

Apples, crab, .8 barrel, 1 80 

Asparagus, 85 boxes, 340 00 

Beans, Lima, improved, 39 bushels, 62 40 

Beans, shell, 22 bushels, 18 70 

Beans, string, 366 bushels, 311 10 

Beef, steer, 14,064 pounds, . 1,758 00 

Beets, 558.25 bushels, 334 95 

Beet greens, 51 bushels, 20 40 

Blackberries, 1,749 quarts, ........ 20988 

Cabbage, 25.775 tons 335 08 

Carrots, 609.5 bushels, 365 70 

Calfskins, 1 44 

Cauliflower, 31 bushels, 17 05 

Celery, 423.4 boxes, . . . 317 55 

Chicken, 1,139.5 pounds, 273 48 

Cider, 2,292 gallons, 343 80 

Citron, 2,466 pounds, 24 66 

Corn, green, 1,356 bushels, 813 60 

Cucumbers, 131.5 boxes, 131 50 

Cucumbers, pickle, 320 pecks, 112 00 

Currants, 384 quarts, 19 20 

Eggs, 3,405t'2 dozen, 851 27 

Egg plant, 1 . 57 barrels, 5 89 

Fodder: — 

Cabbage, 11 tons, 55 00 

Corn, green, 55 tons, 275 00 

Corn, stalk, sweet, 22 tons, 110 00 

Ensilage, 500 tons, 2,500 00 

Millet, 55 tons, 275 00 

Oats and peas, 77 tons, 385 00 

Rye, green, 66 tons, 330 00 

Gooseberries, 10 quarts, 1 00 

Grease, 5 26 

Amount carried forward, $12,139 71 



1914.] PUBLIC DOCUMENT — No. 23. 23 

Amount brought for loard, $12,139 71 

GraiD bags, 585, 17 40 

Hay, 328 tons, 6,806 00 

Hides, 1,415 pounds, . . 192 35 

Ice, 1,200 tons, . . . . . . . . . . 3,600 00 

Kale, 200 bushels, 50 00 

Lettuce, 678.5 boxes, 169 63 

Live stock : — ■ 

Calves, 483 00 

Cows, 92 50 

Mangel-wurzels, 400 bushels, 100 00 

Manure, 950 cords, 5,700 00 

Milk, 470,291 quarts, 26,649 83 

Muskmelons, 34 crates, 34 00 

Oats, 480 bushels, 240 00 

Onions, 1,385 bushels, 831 00 

Parsley, 6.75 bushels, 2 36 

Parsnips, 474.5 bushels, 308 43 

Pears, 6 bushels, 4 50 

Peas, green, 242 bushels, 484 00 

Peppers, 1.75 bushels, 88 

Pork, 33,856 pounds, 4,062 72 

Pumpkins, 2,826 pounds, 42 39 

Radishes, 160.33 bushels, 120 25 

Raspberries, 174 quarts, 31 32 

Rhubarb, 20,205 pounds, 202 05 

Squash, summer, 78 barrels, 46 80 

Squash, winter, 11.914 tons 238 28 

Salsify, 8 bushels, 8 00 

Sculhons, 66 bushels, 16 50 

Spinach, 386.5 bushels, 135 28 

Strawberries, 8,464 quarts, 1,015 68 

Tallow, 168 pounds, 5 04 

Tomatoes, green, 59 bushels, 59 00 

Tomatoes, ripe, 884 bushels, 884 00 

Turnips, 1,052.5625 bushels, 789 42 

Labor of patients, 2,154 days, . . . . . . . 2,154 00 

Labor of farm attendants, 1,045 days, 1,030 68 

Labor of teamsters, 1,077.5 days, ...... 991 84 

Board of resident employees, 2,122.5 days, .... 1,255 88 

Teaming, 1.077.5 days, 3,232 50 

Registration refunded, 27 50 

$74,234 72 



24 WORCESTER STATE HOSPITAL. [Dec. 



VALUATION OF PERSONAL PROPERTY. 



Food, $6,754 35 

Clothino;, ■ ; . . . . 11,726 86 

Furnishings, 76,236 40 

Heat, light and power, 3,889 49 

Repairs and improvements, . . ... . 2,615 91 

Farm, stable and groimds, . 48,795 93 

Miscellaneous, 12,150 44 

Industries, 1,586 00 

Total, $163,755 38 



I 



1914.1 



PUBLIC DOCUMExXT — No. 23. 



25 



TREASUItER'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, 1914: — 



Cash Account. 






Balance Dec. 1, 1913, . 


Receipts. 




$7,350 68 


Institution Receipts. 








Board of inmates : — 








Private, .... 


$37,697 44 






Reimbiirsements, insane, 


17,249 81 


$54,947 25 










Sales: — 








Food, 


$975 62 


• 




Clothing and materials, . 


406 31 






Furnishings 


3 69 






' Repairs and improvements, 


12 95 






Miscellaneous, 


88 58 






Farm, stable and grounds: — ■ 








Cows and calves, $555 50 








Pigs and hogs, . 5 26 








Hides, . . 193 79 








Sundries, . . 56 90 


811 45 














2,298 60 




Miscellaneous receipts : — 






Interest on bank balances. 


$635 95 






Rent, 


168 00 






Sundries, .... 


84 33 


888 28 
















58,134 13 






Sales, account of industries fund. 






18 83 


Receipts from Treasury of Commonwealth. 






Maintenance appropriations : — 








Balance of 1913, . 




$14,918 33 




Advance money (amount on hand November 30) , 


22,000 00 




Approved schedules of 191-^ 


$336,927 07 






Less returned, 


13 55 


336,913 52 
















373,831 85 






Special appropriations. 






18,271 34 


Total 


$457,606 83 



26 



WORCESTER STATE HOSPITAL. 



[Dec. 



Payments 



To treasury of Commonwealth : — 
Institution receipts, . . « 

Industries fund, 

Maintenance appropriations: — 
Balance November schedule, 1913, 
Eleven months' schedules, 1914, 
November advances. 

Special appropriations : — 
Approved schedules, 



$22,269 01 

336,913 52 

9,222 96 



$58,134 13 
18 83 



368,405 49 



18,271 34 



Balance Nov. 30, 
In bank, 
In office, 



$12,676 68 
1,100 36 



Total, 



$457,606 



Maintenance. 
Appropriation, $362,500; brought from 1913, $0.85; deficiency, 1913, 

$255.61, $362,756 46 

Expenses (as analyzed below) , 359,408 80 



Balance reverting to treasury of Commonwealth, 



$3,347 66 



Analysis of Expenses. 
Salaries, wages and labor : — 



Ernest V. Scribner, Superintendent, 






$3,000 00 


General administration, . 






35,627 48 


Medical service. 








14,804 80 


Ward service (male). 








29,029 64 


Ward service (female). 








31,828 59 


Repairs and improvements. 








18,955 01 


Farm, stable and grounds, 








16,318 69 « 




f HO ^61 ^1 1 




Food:— 1 


Butter, $15,124 71 | 


Beans, . 










306 62 1 


Bread and crackers. 










193 38 1 


Cereals, rice, meal, etc.. 










1,477 77 1 


Cheese, 










1,068 36 


Eggs, . 










6,210 86 


Flour, . 










8,286 98 


Fish, . 










3,440 58 


Fruit (dried and fresh). 










2,723 38 


Lard, . 










1,427 14 


Meats, . 










32,832 40 


MUk, . 










1,391 54 


Molasses and syrup. 










499 90 


Spices, seasonings, salt, e 


c, 








453 82 



Amounts carried forward, 



$75,437 44 $149,564 21 



1914. 



PUBLIC DOCUMENT 



Amounts brought forward, 



No. 23. 27 

$75,437 44 $149,564 21 



Sugar 


4,908 76 






Tea, coffee, broma and cocoa, . . . . 


1,830 23 






Vegetables 


5,707 42 






Yeast, 


72 93 






Sundries, . . . . '■ . 


628 53 










88,585 


31 






Clothing and materials : — 








Boots, shoes and rubbers. 


$2,795 27 






Clothing, 


3,484 13 






Dry goods for clothing and small wares, . 


2,455 80 






Furnishing goods, ..... 


221 53 






Hats and caps, 


76 59 






Leather and shoe findings. 


72 69 






Materials and machinery for manufacturing, 


119 11 






Sundries, ...... 


129 31 










9,354 


43 






Furnishings : — • 








Beds, bedding, table linen, etc.. 


$9,723 31 






Brushes, brooms, ..... 


300 03 






Carpets, rugs, etc., .... 


352 73 






Crockery, glassware, cutlery, etc., 


1,148 57 






Furniture and upholstery. 


1,919 48 






Kitchen furnishings, .... 


1,093 29 






Materials and machinery for manufacturing, 


379 58 






Wooden ware, buckets, pails, etc.. 


110 10 






Sundries, 


1,488 97 










16,516 


06 






Heat, light and power: — 








Coal 


$31,424 54 






Gas 


394 27 






Oil 


241 59 






Sundries, ...... 


144 05 










32,204 


45 


Repairs and improvements : — 




Brick, 


$94 08 






Cement, lime and plaster. 


442 79 






Doors, sashes, etc.. 


6 01 






Electrical work and supplies, . 


1,363 24 






Hardware, 


1,507 83 






Lumber, ...... 


2,070 95 






Machines (detached), .... 


539 37 






Paints, oil, glass, etc.. 


3,246 68 






Plumbing, steam fitting and supplies. 


2,916 15 






Roofing and materials, .... 


398 65 






Sundries, ...... 


2,647 85 










15,233 


60 


Farm, stable and grounds: — 




Automobile and supplies, ... 


$796 26 






Blacksmith and supplies. 


541 48 






Carriages, wagons, etc., and repairs. 


1,019 04 






Fertihzers, vines, seeds, etc., . 


921 61 






Hay, grain, etc., ..... 


14,232 73 







» 



Amounts carried forward, 



$17,511 12 $311,458 06 



28 



WORCESTER STATE HOSPITAL. 



[Dec. 



Amounts brought forward, 



$17,511 12 $311,458 06 



Farm, stable and grounds — Con 
Harnesses and repairs. 
Horses, . 
Cows, 

Other live stock. 
Rent, . 

Tools, farm machines, etc 
Sundries,. 

Religious services. 



368 30 
175 00 
690 00 

72 00 

94 58 

949 46 

1,624 46 



21,484 92 
1,290 70 



Miscellaneous : — 

Books, periodicals, etc., . 

Entertainments, ..... 

Freight, expressage and transportation, 

Funeral expenses. 

Gratuities, 

Hose, etc.. 

Ice, 

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, . 

Travel and expenses (officials). 

Telephone and telegraph. 

Tobacco, ..... 

Water, 

Sundries, ..... 



Total expenses for n3.aintenance, . 

Special Appropriations 

Balance Dec. 1, 1913 

Expended during the year (see statement annexed) 
Reverting to treasury of Commonwealth, 



$591 98 




337 70 




880 62 




219 00 




80 80 




47 92 




362 70 




3,714 31 




1,286 43 




590 66 




647 22 




195 32 




262 18 




2,632 88 




1,436 66 




764 75 




761 02 




1,363 00 




5,996 92 




3,003 05 






25,175 12 






$359,408 80 


s. 


$28,741 13 


$18,271 34 




9,557 58 






27,828 92 





Balance Nov. 30, 1914, 



$912 21 



Resources and Liabilities. 
liesources. 

Cash on hand, $12,777 04 

November cash vouchers (paid from advance 

money), account of maintenance, . . . 9,222 96 

Due from treasury of Commonwealth, account 

of November, 1914, schedule, .... 2.495 28 



Liabilities. 



Schedule of November bills. 



$25,495 28 
$22,495 28 



1914.] PUBLIC DOCUMENT — No. 23. 29 



Per Capita. 
During the year the average number of inmates has been 1,398.66. 
Total cost for maintenance, $359,408.80. 
Equal to a weekly per capita cost of $4.94. 
Receipt from sales, $2,298.60. 
Equal to a weekly per capita of $0.0316. 
All other institution receipts, $55,835.53. 
Equal to a weekly per capita of $0.7677. 

Industries Fund. 

Balance Dec. 1, 1913, 

Receipts credited, . $18 83 

Balance Nov. 30, 1914 $18 83 



30 



WORCESTER STATE HOSPITAIv. 



[Dec. 












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1914.] PUBLIC DOCUMENT — No. 23. 31 



STATEMENT OF FUNDS. 



Patients' Fund. 
Balance on hand, Nov. 30, 1913, .... .$4,614 66 

Receipts, 3,536 63 

Interest, 154 71 

■ — — $8,306 00 

Paid to State Board of Insanity, ..... $706 61 
Interest paid to State Treasurer, . . . 154 71 

Refunded, 3,356 52 

4,217 84 

$4,088 16 
Investment. 
Worcester County Institution for Savings, . . $2,000 00 
Worcester Five Cents Savings Bank, . . . 1,000 00 

Balance Worcester National Bank, . . . 814 02 

Cash on hand Dec. 1, 1914, 274 14 

~ $4,088 16 

Lewis Fund. 
Balance on hand Nov. 30, 1913, .... $1,.508 86 

Income, 59 74 

— $1,568 60 

Expended for vault rent, 6 00 

$1,562 60 

hivestnient. 
American Telephone and Telegraph Company 

bond, $926 36 

Worcester County Institution for Savings, . . 349 44 

Balance Worcester National Bank, . . . 286 80 

■ $1,562 60 

Wheeler Fund. 
Balance on hand Nov. 30, 1913, . . . . $5,356 31 

Income, 287 61 

— ■ $5,643 92 

Expended for books, 82 59 

$5,561 33 



32 



WORCESTER STATE HOSPITAL. [Dec. 1914. 



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

bond, 

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



Lawn Fund. 



Balance on hand Nov. 30, 1913, 
Income, 



Expended for plants, etc., 



Mechanics Savings Bank, 



Investment. 



$1,002 00 




712 50 




1,632 00 




1,753 85 




180 58 




280 40 






$5,561 33 




$470 96 




19 00 






$489 96 






332 62 



$157 34 



$157 34 



Manson Fund. 
Balance on hand Nov. 30, 1913, ... 
Income, 

Expended for entertainments, etc.. 



Invest7nent. 
Worcester County Institution for Savings, 



$1,636 57 
66 10 



$1,702 67 

345 75 

$1,356 92 

$1,356 92 



Respectfully submitted, 

E. V. SCRIBNER, 

Treasurer of the Corporation . 



Nov. 30, 1914. 



WoKCESTER, Mass., Dec. 8, 1914. 
I hereby certify that I have this day compared the treasurer's statement of 
funds for the year ending Nov. 30, 1914, with the books kept at the Worcester 
State Hospital, and find it correct. I have also inspected the securities repre- 
senting the investments and find their value is as stated. 

GEORGE L. CLARK, 

Auditor of Accounts. 



STATISTICAL TABLES 



[Form prescribed by State Board of Insanity.] 



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36 



WORCESTER STATE HOSPITAL. 



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1914. 



PUBLIC DOCUMENT — No. 23. 



37 



— -Insane received on First and Subsequent Commitment. 



NUMBER OF THE COMMITMENT. 



COMMITTED. 



Males. Females. 



First to this hospital 

Second to this hospital, 

Third to this hospital, .... 

Fourth to this hospital. 

Sixth to this hospital, .... 

Seventh to this hospital. 

Tenth to this hospital 

Eleventh to this hospital. 
Thirteenth to this hospital, . 

Total cases, 

Total persons, 

Never before in any hospital for the insane. 



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





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 






















■g 


fc." 


ft 


■g 


u 


o 


■g 


c 


o 




1 


1 




1 


1 


1- 


fS 


1 




Massachusetts, .... 


88 


30 


37 


48 


21 


16 


136 


51 


53 


Other New England States, . 


^3 


31 


23 


19 


12 


16 


42 


43 


39 


Other States, 


18 


12 


11 


16 


7 


10 


34 


19 


21 


Total native, .... 


129 


73 


71 


83 


40 


42 


212 


113 


113 


Other countries: — 






















1 


1 


1 


- 


- 


- 


1 


1 


1 


Asia Minor, 


1 


1 


1 


- 


- 


- 


1 


1 


1 


Austria, 


4 


4 


4 


- 


- 


- 


4 


4 


4 










1 


1 


1 


1 


1 


1 


Canada, 


25 


31 


35 


20 


21 


20 


45 


52 


55 


China 


2 


2 


2 


- 


- 


- 


2 


2 


2 


Egypt 

England 


1 


- 


- 


- 


- 


- 


1 


- 


- 


11 


14 


12 


7 


9 


6 


18 


23 


18 


Finland 


9 


9 


9 


3 


3 


3 


12 


12 


12 




- 


1 


- 


- 


- 


- 


- 


1 


- 


Germany, « 


1 


2 


2 


1 


1 


3 


2 


3 


5 


Greece, ...... 


4 


4 


4 


- 


- 


- 


4 


4 


4 


Ireland, 


27 


54 


54 


29 


54 


51 


56 


m 


105 


Italy, 


9 


9 


9 


7 


8 


8 


16 


17 


17 


Japan 


1 


1 


1 


- 


- 


- 


1 


1 


1 




- 


- 


- 


1 


1 


1 


1 


1 


1 


Norway, 


2 


2 


2 


1 


1 


1 


3 


3 


3 


Poland 


4 


6 


4 


- 


- 


- 


4 


6 


4 


Portugal, 


1 


2 


1 


2 


2 


2 


3 


4 


3 




16 


16 


16 


11 


11 


11 


27 


27 


27 


Scotland, 


1 


4 


4 


g 


9 


9 


7 


13 


13 


Spain, 






1 


_ 






_ 




1 




6 


6 


6 


3 


5 


7 


9 


11 


13 


Switzerland 


1 


1 


1 


- 


- 


- 


1 


1 


1 


Turkey 


4 


5 


5 


_ 


_ 


- 


4 


5 


5 


West Indies, 


1 


1 


1 


- 




- 


1 


1 


1 


Total foreign, .... 


132 


176 


175 


92 


126 


123 


224 


302 


298 


Unknown, 


- 


12 


15 


- 


9 


10 


- 


21 


25 


Totals, 


261 


261 


261 


175 


175 


175 


436 


436 


436 



38 



WORCESTER STATE HOSPITAL. 



[Dec. 



4- — Residence of Insane Persons admitted from the Community. 





FlEST ADMITTED 

TO Ant 
Hospital. 


Other 
Admissions. 


Totals. 


PLACES. 


1 


1 


•i 


1 


1 


1 


1 


1 




Massachusetts (by counties) : — 




















Berkshire 


- 


- 


- 


- 


1 


1 


- 


1 


1 


Middlesex, 


78 


47 


125 


18 


13 


31 


96 


60 


156 


Norfolk 


5 


4 


9 


1 


1 


2 


6 


5 


11 


Suffolk 


61 


40 


101 


15 


19 


34 


76 


59 


135 


Worcester, 


117 


84 


201 


26 


24 


50 


143 


107 


250 


Totals, 


261 


175 


436 


60 


57 


117 


321 


232 


553 


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


221 


154 


375 


43 


51 


94 


264 


205 


469 


Country districts (under 10,000), . 


40 


21 


61 


17 


6 


23 


57 


27 


84 



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




Males. 


Females. 


Totals. 


Unmarried 


112 


72 


184 


Married, 


107 


68 


175 


Widowed 


33 


32 


65 


Divorced, 


5 


1 


6 


Totals 


257 


173 


• 430 


Unknown, 


4 


2 


6 


Totals, 


261 


175 


436 



I 



1914.1 



PUBLIC DOCUMENT — No. 23. 



39 



6. — Occu'pation of Insane Persons first admitted to Any Hospital. 



Females. 



Book folder, 


1 


Nurses, 2 


Clerks, ... 


3 


Operatives, .... 20 


Cooks, 


2 


Stenographer, . . . . 1 


Domestics, 


32 


Student, 1 


Dressmakers, . 


3 


Washerwoman, . . . 1 


Housekeepers, . 


. 12 


No occupation, . . 35 


Housewives, 
Illustrator, 
Interior decorator, . 


49 
1 
1 


Total, 169 

Unknown, .... 6 


Laundresses, . 


5 


Total, 175 



Males. 



Agents, 2 


Gardener, 1 


Baker, 






1 


Hack driver. 








1 


Barber, 






1 


Hostlers, . 








3 


Brakeman, 






1 


Janitor, 








1 


Butchers, .. 






3 


Jeweler, . 








1 


Cabinet makers. 






2 


Journahst, 








1 


Carpenters, 






8 


Laborers, . 








69 


Carriage maker, 






1 


Laundryman, 








1 


Clerks, . . 






8 


Machinists, 








12 


Conductor, 






1 


Masons, 








2 


Cooks, 






2 


Motorman, 








1 


Dentist, 






1 


Operatives, 








48 


Draftsman, 






1 


Painters, . 








9 


Engineers, 






4 


Physician, 








1 


Farmers, . 






11 


Plasterer, . 








1 


Fireman, . 






1 


Plumber, . 








1 



40 



WORCESTER STATE HOSPITAL. 



[Dec. 



Occupation of Insane Persons first admitted to Any Hospital 
eluded. 



Con- 



Males — 


- Concluded. 




Polisher, 


1 


Tailor, . . . 




Printers, .... 


3 


Veterinary surgeon. 




Railroad mail clerk. 


1 


Waiters, .... 




Restaurant keeper, . 


1 


Watchman, .... 




Sailor, .... 


1 


No occupation, 


24 


Singer, .... 
Students, .... 
Teamsters, 


1 

2 
6 


Total, .... 
Unknown, 


. 252 

9 


Teacher, .... 


1 


Total, .... 


. 261 



1914. 



PUBLIC DOCUMENT — No. 23. 



41 







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42 



WORCESTER STATE HOSPITAL. 



[Dec. 









£ 


-* 


IIMt^COI^Or-HC^COl 1^1 Ir-Hl 






f"^ 


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lO T-H 








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<< 



1914. 



PUBLIC DOCimiENT — No. 23. 



43 



i CO --I I o 1 :ro 



1-1 T-H ^ i (^3 



\ 



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^^ 



44 



WORCESTER STATE HOSPITAL. 



[Dec. 



9. — Probable Duration of Mental Disease before Admission. 



PREVIOUS DURATION 




First admitted to Ant Hospital. 




Males. 


Females. 


Totals. 


Congenital, . 








19 


6 


25 


Under 1 nionth, . 








46 


30 


76 


From 1 to 3 months, 








49 


37 


86 


3 to 6 months, 








20 


14 


34 


6 to 12 months, 








35 


9 


44 


1 to 2 years, 








12 


20 


32 


2 to 5 years, 








18 


23 


41 


5 to 10 years, 








21 


15 


36 


10 to 20 years. 








11 


11 


22 


Over 20 years, 








- 


2 


2 


Totals, . 


231 


167 


398 


Unknown, 








29 


7 


36 


Not insane, . 








1 


1 


2 


Totals, . 


261 


175 


436 


Average known duration (in years) , . 


4.23 


3.57 


3.95 



1914. 



PUBLIC DOCUMENT — No. 23. 



45 





h" 


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s 




A. — First admitted to any hospital: — 

Acute hallucinosis, 

Alcoholic insanity, acute: — 

Alcoholic depression, 

Alcoholic hallucinosis 

Delirium tremens, 

Alcoholic insanity, chronic: — 

Alcoholic deterioration 

Alcoholic hallucinosis 

Alcoholic paranoid condition, .... 

Korsakow's psychosis, 

Cerebrospinal syphilis, 

Constitutional inferiority, 

Delirium, acute, 

Dementia prsecox, 

Dementia prsecox, allied to, .... 

Epileptic insanity, 

General paralysis of the insane, .... 

Hysterical insanity, 

Imbecility, 

Manic-depressive insanity: — 

Depressed form, 

Manic form, 

Manic-depressive insanity, allied to, . 

Organic dementia, 

Paranoid condition, 

Paranoid condition, senile, 

Psychoneurosis, 

Senile dementia, 

Senile melancholia 

Toxic insanity, acute: — 

Delirium, 

Hallucinosis, 

Traumatic insanity, 

Unclassified, 

Unclassified depression, 

Not insane, 


1 



46 



WORCESTER STATE HOSPITAL. 



[Dec. 



iii 


H 


^u, 1^ ,,-.0- ,» , ^.000 i«5«^ 1^ ^ , 


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Ph 


II III -H«'^ 1 M 1 "^t^S ' '^'-"^ 1 " '1 


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B. — Other admissions: — 

Alcoholic insanity, acute: — 

Alcoholic depression, 

Alcoholic hallucinosis, _ 

Alcoholic insanity, chronic: — 

Alcoholic deterioration, ..... 

Alcoholic paranoid condition, .... 

Constitutional inferiority, 

Delirium, acute 

Dementia prsecox 

Dementia praecox, allied to, .... 

Epileptic insanity, 

General paralysis of the insane, .... 

Imbecility 

Manic-depressive insanity: — 

Circular form 

Depressed form 

Manic form, 

Manic-depressive insanity, allied to, . 

Organic dementia . 

Paranoid condition, ...... 

Paraphrenia, 

Psychopathic personality, 

Senile dementia, 

Toxic insanity, acute: — 

Delirium, 

Unclassified depression, 


Totals, 

Aggregate cases, 

Aggregate persons, 





1914.1 



PUBLIC DOCUMENT — No. 23. 



47 



I 





i 


■BIB^OX 


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48 



WORCESTER STATE HOSPITAL 



[Dec. 



!3 
w o 

1 


•spiox 


1 1 1 1 1 1 1 1 II 1 1 1 1 1 1 1 1 1 


■sapuiaj 


' ' ' ' ■ ' ' ' ' 


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•saiBH 


1 1 1 1 ^-^ 1 1 1 1 1 1 - 1 1 1 - 1 1 « 1 1 I 1 1 1 1 




•sinoi 


1 1 "- 1 „<M--. 1^,,,,^ l^lllllll 


•eaiBraa^ 


' ' '-^ "^^^ '^ ' '- 


•sapK 


ll-l|l(MII^|rt|-l|lll^ III 1 




•sii3:jox 


-^ 1 1 1 1 1 1 1 1 1 1 1 -Hrt 1 «rt 1 1 1 1 OO 1 1 1 1 1 


•eaiBraa^ 


^ 1 1 1 1 1 1 1 1 1 1 1 - 1 1 1 1 1 1 1 1 « , 1 1 1 , 


•sai^H 




1 


•sF^ox 


^ ^^c. «^«-c.« -0.^2 


•saiBoiaj 


^- 1^ ,^C.« 1- 1 III,, ^O^C 1- 1 1 1 


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, ,^ ,^« , ,^ ,„ ,„ ^„ |^|j2^i^^„ 




i 


I. General diseases: — 

Carcinoma of breast, 

Carcinomatous obstruction of sigmoid. 

Cellulitis of right arm, 

Colitis, acute, 

Cholelithiasis 

Dysentery 

Enteritis, chronic, 

Exhaustion and decubitus 

Exhaustion from senile dementia. 
Facial erysipelas, . . • . 

Gangrenous appendix, 

Malignant abdominal tunaor, 

Pernicious anaemia, 

Peritonitis, general, 

Sarcoma of right hip, 

Septicffimia, general, 

Septicaemia from decubiti 

Strangulated hernia, 

II. Diseases of the nervous system : — 

Brain tumor, 

Cerebral hemorrhage, 

Exhaustion from organic brain disease. 
General paralysis of the insane, . 

Korsakow's psychosis, 

Myelitis 

Polyneuritis, alcoholic, .... 

Status epilepticus, 

Tubercular meningitis, .... 



1914. 



PUBLIC DOCUMENT — No. 23. 



49 



» 



'-''''' ' ' ' ' 




II 


1 1 1 f 1 1 1 1 1 1 1 1 1 1 1 1 1 1 111 1 1 


1 


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2 


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g 








^ 
^ 




losia 
m: — 


III. Diseases of the circulatory system: 

Acute dilatation of heart. 

Arteriosclerosis, 

Cardiac asthma, . 

Cardiovascular-renal disease. 

Endocarditis, 

Myocarditis, .... 

Pulmonary thrombosis, 

IV. Diseases of the respiratory system : 

Abscess of lung, . 

Empyema 

Multiple abscess of lung, 
CEdema of lungs, . 
Pneumonia, broncho, . 
Pneumonia, hypostatic. 
Pneumonia, lobar, 
Pneumonia, tuberculous. 
Pulmonary embolism, . 
Pulmonary tuberculosis, 
Pulmonary and intestinal tuberci 

V. Diseases of the digestive system: — 
Gastroenteritis, acute, . 
Gastroenteritis, chronic, 
Intestinal obstruction, . 

VI. Diseases of the genito-urinary syste 
Chronic interstitial nephritis, 

VII. Violence: - 

Suicide by hanging. 



50 



WORCESTER STATE HOSPITAL. 



[Dec. 



■1 


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. , 1 , . 1 , , < , , 1 , 1 . , . , ,,,,,,,,-. 


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III 


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2>: 

III 


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1 1 , , 1 , , , , , 1 , 1 1 , 1 1 . ,1,111,11 


ii 


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1 , 1 , 1 , 1 , , , , , 1,1,1,111 


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, , 1 , 1 , , , 1 , 1 , 1 I 1 1 1 1 1 " 1 


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ail 


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,iii---jjyiiH 

iiiiiiiiiiiiiiriiiiliiyii 

llllll illll l|-3.^ 8f|! i-Sjl ill III 
O Q 



1914. 



PUBLIC DOCUMENT — No. 23. 



51 



■I I 



>>t: 



illlllli 



lllilii sii^iiiiiili 

p 



So °3 o a 



"S a a =3 



I il ^ 






S'3 -S 
^1 ^ 



52 



WORCESTER STATE HOSPITAL. 



[Dec. 



i 

s 

o 

§ 

1 

< 


iif 

WOK 


•SlBiOX 


1 -H TH CO lO =0 ^ 1 1 






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, , ^ ^ ^ „ ^ , , 


c. 


f:^ 


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''-"-'-"' ' ' 


S ' 


o o 




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1 1 C^ tX 00 =0 (M 1 1 


55 -^ 


g3 g? 


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S ^ 


2 g 


•S8IT3H 




S ' 


o g 


Eh 




I 

< 

I 


H 
O 
M 


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- s - s - - - ' ' 






•saitjuiaj 


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S ' 


s g 


•saiBH 


^ _. ^ „ « — , , 


5? -^ 


CO 


2 




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1 


§ ' 


g § 


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g s 

o 


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w « o ^ , c , , , 


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s ■* 


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o o= « O C , 1 1 , 


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. - s J 


PERIOD. 






■ » ^ 


s 


A. — Recovered; — 
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. 


i! 


< 



I 



1914. 



PUBLIC DOCUMENT — No. 23. 



53 



,„..„. o - - 


^ ' 




'--'---' ' 


= ' 


7i S 


, ^ , „ ^ ,o ,, 


CO , 


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m - 


§ 




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2 - 


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2 - 


3 


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1 ' 


1 S 


c^^ooow-^ , 


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53 


2222^="'"''" 


§ ' 




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2 = 


g f= 


^^co^ooc^o, , 


" " 


2 tS 


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S «> 


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^ 


1 


s 


B. - Died: - 

Under 1 month, . 

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

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
Over 20 years. 


II 

t3 


1 

li 

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