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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 



EIGHTT-FOUETH ANNUAL REPORT 



THE TRUSTEES 



WORCESTER STATE HOSPITAL 



Year ending November 30, 1916. 




BOSTON: 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

32 DERNE street. 

1917. 



Public Document 



No. 23 



EIGHTY-rOUETH ANNUAL EEPOET 



THE TRUSTEES 

OF THE 

'- WORCESTER STATE HOSPITAL 



FOR THE 



Year ending November 30, 1916. 




K 



BOSTON: 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

32 DERNE STREET. 

1917. 



Vr 



Publication of this Document 

approved by the 
SuPBEvisoR OF Administration. 



i 



3 



CONTENTS. 



Report of the Trustees, 

Report of SuperxNtendent, 

Laboratory Report, 

Valuation, 

Report of Treasurer, . 

Statements of Fund8, . 

Statistics, .... 



PAGE 

7 
10 
16 
19 
20 
27 
29 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 

DONALD GORDON, Boston. 

ELLEN A. SHEEHAN Worcester. 

GEORGIE A. BACON, r . Worcester. 

WILLIAM J. DELEHANTY, Worcester. 

AMOS B. CHASE, Lynn. 

JOHN G. PERMAN, Worcester. 



RESIDENT OFFICERS. 



ERNEST V. SCRIBNER, M.D., 
B. HENRY MASON, M.D., . 
HAROLD C. AREY, M.D., . 
JENNIE G. McINTOSH, M.D., 
ARTHUR H. MOUNTFORD, M.D 
LILLIAN L. MacPHEE, M.D 
MARIAN K. LIBBY, . 
EMMA J. WRIGHT, 
ARTHUR E. GILMAN, . 
BERTHA HARRIS, 
JOSEPH T. REYNOLDS, 



Superintendent. 

Senior Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Junior Assistant Physician. 

Director of Industrial Therapeutics. 

Superintendent o/ Nurses. 

Steward. 

Matron. 

Farmer. 



NONRESIDENT OFFICERS. 



HAROLD I. GOSLINE, M.D., 
HOWARD BEAL, M.D., 
MARIE L. DONOHOE, . 
WAYNE F. SHIPMAN, D.D.S. 
GEORGE E. PARESEAU. 
JESSIE M. D. HAMILTON, . 
JAMES DICKISON, Jr., 



Pathologist. 

Consulting Surgeon. 

Social Service Worker. 

Dentist. 

Druggist. 

Clerk. 

Engineer. 



^\)t (Hommontoealtl) of illa00ac[)U0ett0, 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester State Hospital herewith present 
their eighty-fourth annual report, and respectfully call your at- 
tention to the appended reports of the superintendent, treasurer 
and pathologist, which furnish a more complete understanding of 
the condition and needs of the institution and its inmates. 

Last year we presented the need of a laundry and industrial 
building which would bring the equipment of the institution 
more thoroughly up to date and allow the present laundry to be 
converted into a congregate dining room, thereby doing away 
with a large number of small ward dining rooms, and providing 
additional space for dormitory purposes. 

We asked for appropriations to construct two cottages and 
two bungalows, that service at the hospital might be strengthened 
through greater possibilities for home life on the part of men 
with famihes. 

We again renewed our request for the installation of a cold- 
storage plant, and we emphasized a solution of the sewage 
problem. 

While these needs are even more urgent than at any time in 
the history of the institution, we hold in abeyance the continued 
presentation of all except that which relates to sewage disposal. 

The Legislature of 1916, according to Special Acts, chapter 
363, endeavored to meet this particular need; but the proponent 
of the measure having failed to thoroughly acquaint himself 
with the situation before presenting his petition, the appropria- 
tion granted was too small and the time limit too short to make 



8 WORCESTER STATE HOSPITAL. [Dec. 

compliance with the act possible. We therefore urge most 
strongly that you lend your influence towards the passage of the 
bill which is to be presented to the Legislature of 1917, and 
which, without doubt, will cover the whole situation. 

A need that has existed for some time, but which we have 
attempted to meet by degrees through our allowance for repairs 
and improvements, is the renewal of plumbing in the main 
building at the hospital proper. 

The constant use of the water sections and their manner of 
treatment by irresponsible persons cause rapid deterioration. 
Many sections are still fitted with antiquated conveniences and 
further depreciation might become a menace to the health of the 
inmates. This need which is most insistent we recommend to 
your thoughtful consideration. 

For many years the institution has ow^ned a farm of some 130 
acres in the town of Shrewsbury. At a distance from the center 
it has provided an ideal place for the hospital's swine and poul- 
trj'. It is there that the non-milk producing herd is kept. 

For a great manj^ years no money has been expended at Hill- 
side except for minor improvements and repairs. Last year, at 
the request of the State Board of Insanity, the Legislature ap- 
propriated the sum of S20,000 for the construction of a building 
to house 50 male patients; this is rapidly nearing completion 
and, when finished, 50 patients, besides employees, will be lo- 
cated there. 

This increase of population makes an adequate water supply 
and facilities for the proper disposal of sewage an immediate 
necessity. We therefore recommend this need to your earnest 
consideration. 

A certain proportion of our patients who pass to the great 
beyond are buried at the expense of the State, and the present 
capacity of the hospital's burial lot at Hope Cemetery is inade- 
quate for the needs of even the immediate future. We there- 
fore urge your approval of the purchase of additional land, that 
a final resting place for these poor unfortunates may be assured. 

The expense of maintaining the State's institutions has as- 
sumed such proportions that it is with some hesitancy that we 
mention the question of w^ages and salaries. 

Institution labor is brought into competition with that in the 



1916.] PUBLIC DOCUMENT — No. 23. 9 

outside world, and our inability to meet the rate of wages paid 
by private enterprises, or in certain instances with that paid in 
other State institutions, makes the securing and retaining of 
employees more and more difficult. We beg that you will 
use your influence towards a satisfactory adjustment of this 
problem. 

Changes occur annually in our medical staff, but the year 
that is past has witnessed an unusual number of resignations. 
The more attractive service of a general hospital, larger pay and 
greater opportunity for advancement have been the reasons 
given. 

Among the resignations of the year which we have accepted 
with regret was that of Miss Elsie I. MacKenzie, superintendent 
of nurses, a woman eminently qualified for the position, and who 
through wise direction brought the nursing force of the institu- 
tion up to a higher standard of efficiency. The call to preside 
over a home of her own made it impossible to retain her services 
for a longer period. 

For two years we have sought an increase in the salary of our 
superintendent, a man of rare skill and judgment, who for more 
than thirty-two years has served the best interests of the State. 
We trust the time is near at hand when his ability can and will 
be recognized by an advance equal to that given men of many 
years' less service. • 

To our superintendent we say, " Well done, good and faithful 
servant;" to the members of his staff and to those who in any 
capacity have been associated with the institution we express 
our appreciation of the services they have rendered. 

Respectfully ^submitted, 

DONALD GORDON. 
ELLEN A. SHEEHAN. 
GEORGIE A. BACON. 
WILLIAM J. DELEHANTY. 



AMOS B. CHASE. 
JOHN G. PERMAN. 

Nov. 30, 1916. 



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 
hospital for the year ending Nov, 30, 1916, it being the eighty- 
fourth annual report. 

There remained at the hospital Oct. 1, 1915, 1,459 patients, 
— 715 men and 744 women. During the year ending Sept. 30, 
1916, there were admitted 872 patients, — 517 men and 355 
women. Eight hundred and twenty-seven patients — 432 men 
and 395 women — were dismissed from the hospital. Of this 
number, 322 patients — 203 men and 119 women — were dis- 
charged; 231 patients — 112 men and 119 women — died; 95 
patients — 13 men and 82 women — were transferred; and 175 
patients — 101 men and 74 women — left on visit or escape; 
leaving at the end of the statistical year, 1,504 patients — 800 
men and 704 women. Of this number, 1,301 were supported by 
the State, 110 by friends, and 93 as reimbursing patients. Of 
the 417 patients discharged and transferred, 43 were reported 
recovered, 91 capable of self-support, 65 improved and 100 not 
improved. Fourteen men and 9 women were discharged as not 
insane. Seven men and 12 women were transferred by the 
Massachusetts Commission on Mental Diseases to the State In- 
firmary; 1 woman to the Danvers State Hospital; 2 men to the 
Boston State Hospital; 30 women to the Grafton State Hospi- 
tal; 1 woman to Dr. Ring's Sanitarium; 1 man and 1 woman 
to the Foxborough State Hospital; 1 man and 35 women to the 
Gardner State Colony; 1 man to the School for Feeble-minded; 
1 man to Pinewood Rest; 1 woman to the Westborough State 
Hospital; and 1 woman to the Medfield State Hospital. Thir- 
teen men and 4 women were removed from the State; and 18 
men and .8 women were deported. 

There remained at the end of the year 45 patients more than 
at the beginning. The smallest number under treatment on any 



1916.] PUBLIC DOCUMENT — No. 23. 11 

one day was 1,459, and the largest, 1,539. The daily average 
number was 1,504.87. 

Tte percentage of recoveries, calculated upon the number of 
discharges and deaths, was 7.7; calculated upon the number of 
admissions it was 4.9. 

The death rate was 9.9, calculated on the whole number of 
patients under treatment, and 15.3, calculated on the daily aver- 
age number. 

In considering the movement of the hospital population it is 
of interest to note that 872 patients were admitted, 517 men 
and 355 women, and that the men were largely in excess of the 
women. The number of admissions is the largest of any year 
in the history of the institution. Considering the forms of men- 
tal disease in those admitted for the first time, we find demen- 
tia prsecox largely predominates, followed by organic and senile 
dementia, general paralysis and manic-depressive insanity, given 
in the order of frequency. It will be noted that considerable 
numbers of patients have been transferred to other State institu- 
tions. The general effect of these transfers, while it lessens the 
numbers, is to cause an accumulation here of the feeble, the 
demented and the turbulent. The increase in the temporary- 
care cases, to which your attention was called in the last report, 
has continued, the number in this class having nearly doubled 
within the year. I would again advise that it would be of 
benefit to the community if the time of detention under this act 
should be increased to twenty-one days. 

Alcohol and syphilis are as usual prominent exciting causes 
in the cases admitted, showing the necessity of continued public 
agitation and education on these subjects. 

Pellagra is a little more in evidence, this disease having been 
found in 3 patients newly admitted from the community. Four 
cases of death were due to this cause. 

There have been no cases of contagious disease among the 
patients, which is rather remarkable when we come to consider 
the large numbers admitted and that by far the greatest num- 
ber come from the more congested centers of population. The 
sanitary condition of the institution is good. Pneumonia, heart 
disease and general paralysis have been the chief causes of 
death. 

Our nurses' training school has lost its superintendent, Miss 



12 WORCESTER STATE HOSPITAL. [Dec. 

MacKenzie, who resigned, her position to marry and retire to 
private life. Her work here was appreciated and I wish to 
express my regret at her retirement from the service. The va- 
cancy was filled by the promotion of the assistant superintend- 
ent of nurses, who enters upon her larger field of work with a 
good equipment and every promise of success. The year has 
been an active one in our training course. The members of the 
school have been diligent and eflScient and I wish to commend 
their good and capable work. The affiliation with the New 
York hospitals has added to the interest in the nursing course 
and has done much to encourage our nurses and to retain them 
in the service. 

Considerable difficulty has been experienced in securing and 
retaining in the hospital service not only nurses and attendants 
but all classes of persons employed at the institution. The pre- 
vailing wage of the community has been so much at variance 
with the compensation offered for hospital service that I wonder 
that it has been possible to find persons in numbers sufficient to 
conduct the affairs of the institution. 

The therapeutic industrial work has been continued. Large 
numbers of patients have been interested in employing them- 
selves and thus directing their minds to a contemplation of 
more normal thoughts and activities. Our products have been 
placed in several exhibitions in different parts of the country, 
where they have attracted favorable notice from the com- 
munity. Our pottery w^ork, done wholly by patients, has 
reached quite a high state of proficiency, many of the articles 
produced being justly entitled to consideration as works of art 
of no mean value. The conception under which this thera- 
peutic work is undertaken rather precludes the turning out of 
large quantities of manufactured articles, as a great part of the 
effort is absorbed in the attempt to interest the apathetic and 
demented, — particularly the re-education of the dementia prse- 
cox cases. It is my idea that the -success of this work should be 
judged by the amount of good which has been done for the 
patients, rather than by the number of bales of finished goods 
turned out. It is left for the regular manufacturing depart- 
ments of the institution to turn out the routine products. 

The transfers to the Gardner State Colony absorb to some 



1916.] PUBLIC DOCUMENT — No. 23. 13 

extent the quiet and tractable cases from which we might hope 
to recruit the ranks in our regular manufacturing departments, 
and thus assist to curtail the output. Despite this fact, how- 
ever, the regular industries of the matron's department con- 
tribute in no small measure to lessen the expense of mainte- 
nance. 

I wish to commend the work of the medical staff, the mem- 
bers of which, although a large part of the time working short- 
handed, have given a painstaking care and attention to the 
needs of our patients that has done much in many instances 
for those under treatment. Special attention has been given to 
the treatment of syphilis of the nervous system. A series of 15 
cases has been treated with injections of salvarsan. In many 
instances the improvement^ has been marked. Five of these 
cases have normal reactions and have been able to leave the 
hospital on visit or have returned to regular employment. 
The type of disease which these cases have represented has for- 
merly been considered of the most hopeless character, and it is 
a cause of congratulation that some hope can now be given to 
those suffering from this affliction. Through the activities of 
the staff permission for autopsy has been obtained in a larger 
number of cases than ever before, and the staff members have 
shown a lively interest in the scientific study of their cases. A 
large amount of work has been done in the laboratory in the 
examination of clinical specimens and in the study of diseased 
conditions. The report of the pathologist is appended, which 
gives a more detailed description of the laboratory activities. 

In addition to the regular work of the institution the medical 
staff has visited and examined the boarded-out patients and 
conducted regular clinics for out-patients at the hospital, at 
City Hall and at Spencer. 

I regret that it has not been possible to accord to the mem-- 
bers of the staff such increase in compensation as would bring 
their salaries more nearly to a parity with what is paid in other 
States. Several members of my staff resigned during the year 
to accept more lucrative positions elsewhere. It is in some 
measure a satisfaction to feel that the institution has in its em- 
ploy physicians of such character and capacity that they are 
sought for by other hospitals, but it would certainly be an 



14 WORCESTER STATE HOSPITAL. [Dec. 

added satisfaction to be able to offer such substantial recogni- 
tion here as to keep men of capacity and experience longer in 
the service. 

There is no more arduous or difficult task in the service of the 
Commonwealth than that which is entailed in the proper care 
and treatment of the insane. In all branches of the service it is 
difficult to obtain and still more difficult to retain capable and 
efficient persons at the compensation which the institution man- 
agement is able to offer. I trust that the appropriations of the 
coming year will be sufficiently liberal, to bring the compensa- 
tion of our employees generally to such an amount as will in 
some measure keep pace with the generally increased cost of 
living. 

The farming operations have again proved profitable, both in 
a financial way and in providing suitable healthy out-of-door 
occupation for the more robust of our male inmates. For a 
considerable time following the loss of our herd from the foot- 
and-mouth disease it was found necessary to buy a large part 
of our milk supply. During the summer we have been able to 
make good the numbers of our cattle, though it has been neces- 
sary to buy grade stock largely. Very good animals have been 
secured, however, and now practically all of the milk used here is 
produced on the place, a fact which is a cause for self-congratu- 
lation in these times of high and advancing milk prices. 

Last year the Legislature granted an appropriation for the 
erection of a dormitory building at the Hillside farm. This 
building is now in process of construction, and will probably be 
available for use some time next spring. The erection of this 
building will necessitate the provision of a water supply which 
will not onl}' furnish water for domestic use but also prove 
adequate for fire protection. The number of people at the 
Hillside farm has been so small in the past that quite primitive 
methods of sewage disposal have sufficed. Now, however, with 
the proposed large addition to the population there some method 
of sewage purification must be provided which will be adequate 
to the new requirements. Again, when this new^ building is 
occupied, more emploj^ees will be required there than provision 
has been made for. Plans for the housing of the additional per- 
sons should be made at as early a date as possible. The com- 



1916.] PUBLIC DOCUMENT — No. 23. 15 

pletion of the building now under construction will enable us to 
undertake farming operations at Hillside on a larger scale than 
has hitherto been attempted there. 

In considering the special needs of the institution for the 
coming year, in addition to the work pointed out at Hillside, I 
wish to reiterate all of the requests embodied in the last annual 
report which were not granted. I will also call your attention 
to the large amount of plumbing which should be renewed in 
certain of our wards. This work is too extensive to be under- 
taken from maintenance, and in my opinion should be provided 
for by special appropriation. 

The connection of the hospital sewers with the system of the 
city of Worcester, which for so many years has annually figured 
in our hospital reports, although authorized by the last Legis- 
lature, failed of accomplishment because the money appropri- 
ated was insufficient for the work. I trust that the next Legis- 
lature will re-enact the bill, correcting the financial insufficiency. 

The institution has owned a lot in Hope Cemetery where are 
interred all bodies of patients dying here who must have State 
burial. This lot is now filled and it will be necessary to at once 
provide additional burial space. I trust that the purchase of a 
new lot at the cemetery will be authorized at as early a date as 
possible. 

Regular religious services have been held in the chapel. 

The usual weekly dances, movies and miscellaneous chapel 
entertainments have served to amuse the patients. Another 
phonograph and a new piano have been purchased for use in 
the wards. 

The publishers of the "Fitchburg Sentinel" and the "Worces- 
ter Evening Gazette" have continued to contribute copies of 
their papers, and the Worcester Employment Society has given 
assistance in sewing. 

I wish to thank your Board for the kindly support and con- 
sideration which has always so freely been given to me, and to 
express my appreciation of the faithful service of officers and 
employees. 

E. V. SCRIBNER, 

Superintendenl. 
Nov. 30, 1916, 



16 WORCESTER STATE HOSPITAL. [Dec. 



LABORATORY REPORT. 



To tne Superintendent of the Worcester State Hospital. 

The report of the laboratory for the year Oct. 1, 1915, to 
Sept. 30, 1916, is herewith respectfully submitted. 
The following routine work has been completed: — 

Urinalyses, 1,141 

Cerebrospinal fluid examinations, 185 

Post mortem cultures, 496 

Smears from post-mortem cultures, 172 

Sputum examinations, . . . ' 88 

Throat cultures, 15 

Smears from throat, 2 

Pleural exudate, 1 

Blood examinations, . 45 

Stomach contents, '. . 11 

Fecal examinations, '...... 13 

Vaginal smears, 22 

Cervical smears, 5 

Abscess cultures, 2 

Abscess smears, 8 

Ear smears, 2 

Eye smears, 1 

Animal inoculation, . 1 

Total, 2,210 

Between the dates above noted, 85 autopsies were performed, 
representing 36.8 per cent, of the deaths during this period. 
The psychiatric diagnoses in the cases were as follows : — 

Senile dementia, 26 

Senile paranoid condition, 1 

Organic dementia, 16 

General paralysis, . '. . .12 

Cerebrospinal syphUis, • 1 

Brain tumor, 1 

Alcoholic deterioration with senile changes, 1 



1916.] PUBLIC DOCUMENT — No. 23. 17 

Acute alcoholic halluciBosis, ... 

Alcoholic paranoid condition, . . . 

Imbecility, 

Idiocy, 

Toxic psychosis, 

Traumatic delirium, 

Dementia prsecox, .■...-. 15 

Manic-depressive insanity, 5 

General paralj'^sis (?), dementia prsecox i.?), 1 

Total, S5 

The major anatomical diagnoses were : — 

Tuberculosis, 3 

Tubercular pneumonia, 3 

Acute bronchitis, ' . . • 7 

Bronchopneumonia, 1.5 

Lobar pneumonia, 10 

Pulmonary oedema, . " 3 

Pulmonary gangrene, 1 

Hematothorax, 1 

Myocarditis (syphihtic), 1 

Myocardial degeneration, 1 

Chronic myocarditis, 1 

Coronary sclerosis, 2 

Arteriosclerosis, 5 

Pulmonary thrombosis, 1 

Pyelonephrosis, 1 

Acute hemorrhagic pancreatitis, 1 

Acute enteritis, 1 

CoUtis, . 3 

Acute peritonitis, . . . .3 

General paralysis, 3 

Tabo-paresis, 1 

Organic brain disease, 2 

Cerebral hemorrhage, .2 

Meningitis (peDagra), 1 

Fractured skuU, 1 

Pellagra, 4 

Erysipelas, 1 

Septicaemia, 1 

Carcinoma, . 3 

Katatonic exhaustion, ■ 1 

Asphyxiation, 2 

Total, 85 



18 WORCESTER STATE HOSPITAL. [Dec. 

In addition to the routine work of the laboratory, two other 
phases should be mentioned. The first is systematization of 
material, and the second is the publication of results. 

Under the first may be noted the following: — 

A card index of the clinical symptoms in about 500 autopsied 
cases has been completed. Various pathological specimens have 
been mounted. The microscopic slides since the beginning of 
the laboratory have been systematized so that comparative 
studies will be possible in the future. The brains of the past 
years have been stored in crocks for easy access. 

Under the second may be grouped the following : — 

A study of the staining reactions possible on frozen sections 
is near completion. A method has been devised for making 
serial micro-photographs. A freezing microtome disc for total 
brain section and other large sections of tissue was invented. 
A photographic record of the external appearance of the brains 
from the autopsies of 1915 has been completed. Nurses work- 
ing in the laboratory during spare time have prepared brains 
for photographing, and have completed figures and percentage 
comparison of the weights of the organs in 35 autopsies. The 
routine bacteriological diagnosis was instituted and carried out 
on about 65 cases. This work had to be discontinued, as it re- 
quired the entire time of one person. A translation of Kraepe- 
lin's "Paranoid Conditions" was published. A case of brain 
tumor was presented, and proof has been corrected for publica- 
tion. A case of general paresis was presented at a meeting on 
neurosyphilis. Two papers on the relation of tuberculosis to 
dementia praecox are in the hands of the publishers. The ab- 
stracts of several other contributions, based on the work of the 
past year have been written. 

Two autopsies were performed and one body viewed, as 
prosector to the Massachusetts Commission on Mental Diseases. 

Presentations at the literary meetings of the staff and lec- 
tures to nurses completed the work of the year. 

Attendance at autopsies by the physicians and student nurses 
and by physicians from outside the hospital demonstrates an 
active interest in the work of the laboratory, and is greatly ap- 
preciated by the laboratory staff. 

H. I. GOSLINE, M.D., 

Nov. 30, 1916. Pathologist. 



1916.1 PUBLIC DOCUMENT — No. 23. 19 



VALUATION 



Travel, transportation and office expenses, .... $684 00 

Food, ' 5,065 00 

Clothing, 10,977 00 

Fm-nisliings, 79,949 00 

Heat, light and power, , . 8,704 00 

Repairs and improvements 3,623 00 

Farm, stable and grounds, 57,211 00 

Medical and general care, 15,711 00 

Total, $181,924 00 



20 



WORCESTER STATE HOSPITAL. 



[Dec 



TREASURER'S REPORT. 



To the Trustees of the Wotcester State Hospital. 

I respectfully submit the following report of the finances of 
this institution for the fiscal year ending Nov. 30, 1916: — 





C. 


4.SH Account. 






alance Dec. 1, 1915, 




Receipts. 




.^11,258 21 


Institution Receipts. 










oard of inmates: — 










Private, 




$32,686 89 






Reimbursements, insane, 




16,959 73 


$49,646 62 




i-„. 






Food, . 




$288 75 






Clothing and materials. 




429 56 






Furnishings and household sup- 








pKes, 




148 95 






Medical and general care 


, 


10 50 






Farm and stable : — 










Cows and calves, $220 00 








Hides, 


91 99 








Ice, . 


3 00 








Sundries, . 


46 82 


QR1 CI 







Repairs, ordinary, . 

Miscellaneous receipts : — 
Interest on bank balances, 
Sundries, 



Sales, account of industries fund. 



20 74 



$534 86 



51,510 55 
216 40 



Receipts from Treasury of Commonivealth. 
Maintenance appropriations : — 



Balance of 1915, 


$10,496 74 




Advance money (amount on hand November 30) , 


25,000 00 




Approved schedules of 1916, . $340,466 58 






Less returned, ... 48 00 


340,418 58 












375,915 32 






Special appropriations 




43 28 


Industries fund, 




197 09 


Total 


$439,140 85 



1916. 



PUBLIC DOCUMENT — No. 2.3. 



21 



Payments. 



To treasury of Commonwealth : — 

Institution receipts, 

Industries fund, 
Maintenance appropriations : — 

Balanoe November schedule, 1915, 

Eleven months' schedules, 1916, 

November advances. 

Special appropriations: — 
Approved schedules, 



$21,754 95 

340,418 58 

12,559 33 



$51,510 55 
216 40 



374,732 



43 28 



Industries fund : — 
Approved schedules, 



197 09 



Balance Nov. 30, 
In bank. 
In office. 



$11,621 14 
819 53 



Total, 



$439,140 85 



Maintenance. 



Appropriation, current year, 
Expenses (as analyzed below), 



Balance reverting to Treasury of Commonwealth, 



$378,462 00 
373,835 67 



$4,626 33 



Analysis of 



Salaries, wages : — 

E. V. Scribner, superintendent, 

General administration. 

Medical service. 

Ward service (male). 

Ward service (female) , 

Repairs, 

Farm and stable, . 

Grounds, 

Religious instruction: — 
Catholic, 
Jewish, . 
Protestant, . 



Travel, transportation and office expenses: 
Advertising, .... 
Automobiles, 

Automobile repairs and suppUes, 
Postage, s . 
Printing and binding. 
Printing annual report, . 
Stationery and office supplies, . 
Telephone and telegraph. 

Travel 

Freight, .... 



$3,000 00 
37,690 24 
14,649 16 
29,579 09 
29,314 85 
20,446 05 
11,842 29 
1,775 48 



$600 00 
260 00 
195 00 



$139 89 

2,180 00 

1,241 80 

661 90 

589 62 

263 52 

982 01 

863 13 

1,383 47 

53 64 



$148,297 16 



1,055 00 



Amount carried forward, 



$157,711 04 



22 



WORCESTER STATE HOSPITAL. 



[Dec. 



Amount brought forward. 

Food: — 

Butter, .... 

Butterine, 

Beans, .... 

Bread, crackers, etc., 

Canned soups. 

Cereals, rice, meal, etc., . 

Cheese, 



Flour, 

Fish (fresh, cured and canned) 
Fruit (fresh). 

Fruit (dried and preserved) , 
Lard and substitutes. 
Macaroni and spaghetti, 
Meats, .... 
Milk (fresh and substitutes). 
Molasses and sjoiips. 
Peanut butter, pie filling, etc.. 
Potatoes, 

Seasonings and condiments, 
Sugar, .... 
Tea, coffee, cocoa, etc., . 
Vegetables (fresh), . 
Vegetables (canned and dried), 
Yeast, baking powder, etc.. 
Freight, 



Clothing and materials: — 
Boots, shoes and rubbers, 
Clothing (outer), . 
Clothing (under), . 
Dry goods for clothing, . 
Hats and caps. 
Leather and shoe findings. 
Socks and small wares, . 
Freight, 



Furnishings and household supplies: — 
Beds, bedding, etc.. 
Carpets, rugs, etc.. 
Crockery, glassware, cutlery, etc.. 
Dry goods and smallwares, 
Fire hose and extinguishers. 
Furniture, upholstery, etc., 
Kitchen and household wares, . 
Laundry supphes and materials, 
Lavatory supplies and disinfectants, 
Machinery for manufacturing, 
Table linen, paper napkins, towels, etc.. 
Freight, ..... 



. $157,711 04 


$5,157 95 


5,846 43 


1,518 64 


205 45 


15 95 


2,634 79 


676 27 


6,609 08 


12,122 18 


3,027 53 


1,410 05 


1,204 66 


2,363 69 


575 36 


22,213 13 


12,064 33 


521 85 


25 


8,563 67 


582.57 


8,686 44 


, 2,008 37 


762 91 


632 03 


184 14 


404 87 

rtn nnn en 




$1,425 38 


2,024 76 


625 42 


1,656 26 


12 00 


87 19 


514 55 


48 70 






$8,556 18 


1,681 89 


1,586 11 


440 27 


34 00 


1,657 12 


2,661 93 


2,300 31 


964 05 


141 66 


2,402 37 


91 55 


OO KIT A A 





Amount carried fofward, ....... $286,615 33 



1916.] PUBLIC DOCUMENT 


— No. 23. 


23 


Amount brought forward 


$286,615 33 


Medical and general care: — 




Books, periodicals, etc., $458 08 




Entertainments, games, etc., . 






604 20 




Funeral expenses, . 






581 GO 




Gratuities 






52 65 




Ice and refrigeration. 






280 45 




Laboratory supplies and apparatus, 






704 59 




Manual training supplies, 






575 22 




Medicines (supplies and apparatus), 






3,050 78 




Medical attendance (extra), 






910 00 




Patients boarded out. 






6,052 05 




Return of runaways, •. ■ 






155 93 




Sputum cups, etc., . 






19 00 




Tobacco, pipes, matches. 






1,354 00 




Water, 






6,513 31 




Freight 






83 78 








21,395 04 




Heat, light and power: — 




Coal $32,014 47 




Electricity 287 04 




Gas, 611 47 




Oil 217 56 




Operating supplies for boilers and engines, . 335 45 




Freight 6 76 








33,472 75 




Farm and stable: — 




Bedding materials $122 86 




Blacksmithing and supplies, . 






532 84 




Carriages, wagons and repairs. 






707 56 




Dairy equipment and supplies. 






92 14 




Fencing materials, . 






82 73 




Fertihzers, 






409 47 




Grain, etc., ' . 






6,559 51 




Harnesses and repairs, . 






313 06 




Horses, . . . . 






600 00 




Cows, 






6,705 00 




Other live stock, ... 






317 38 




Labor (not on pay roll) , . 






138 80 




Spraying materials, 






77 86 




Stable and barn supplies, 






233 23 




Tools, implements, machines, etc.. 






548 95 




Trees, vines, seeds, etc., . 






201 65 




Veterinary services, supplies, etc.. 






507 23 




Freight, .... 






60 03 








18,210 30 




Grounds: — ^ 




Fertilizers, $42 93 




Road work and materials. 






192 31 




Tools, implements, machines, etc.. 






91 65 




Trees, vines, shrubs, seeds, etc., 






121 36 




Freight 






2 74 








450 99 




Amount carried forward, . . . . . 


$360,144 41 



24 



WORCESTER STATE HOSPITAL. 



[Dec. 



Amount brought forward, .... 


• 


$360,144 41 


Repairs, ordinary: — 






Brick 


$177 75 




Cement, lime, crushed stone, etc., . 


342 32 




Electrical work and supplies, . 


891 69 




Hardware, iron, steel, etc., 


1,483 47 




Labor (not on pay roll) 


158 96 




Lumber, etc. (including finished products). 


2,766 57 




Paint, oil, glass, etc., ..... 


3,885 32 




Plumbing and supplies 


1,279 95 




Roofing and materials, .... 


940 85 




Steam fittings and supplies. 


870 93 




Tools, machines, etc., .... 


274 31 




Boilers, repairs, 


498 15 




Engines, repairs, ..... 


85 45 




Freight 


35 54 


13,691 26 






Total expenses for maintenance, . 


$373,835 67 


Special Appkopbiations. 




Balance Dec. 1, 1915, .... 


. 


$4,000 00 


Expended during the year (see statement annexed 


), . . . 


43 28 


Balance Nov. 30, 1916, 


$3,956 72 



Resources and Liabilities. 
Resources. 

Cash on hand, $12,440 67 

November cash vouchers (paid from advance 

money), account of maintenance, . . . 12,559 33 

Due from treasury of Commonwealth from avail- 
able appropriation accoupt, November, 1916, 
schedule, 8,417 09 



Liabilities. 



Schedule of November bills. 



$33,417 09 



$33,417 09 



Per Capita. 
During the year the average number of inmates has been 1,507.' 
Total cost for maintenance, $373,835.67. 
Equal to a weekly per capita cost of $4.7683. 
Receipt from sales, $1,260.31. 
Equal to a weekly per capita of $0,016. 
All other institution receipts, $50,250.24. 
Equal to a weekly per capita of $0.6409. 



Industries Fund. 



Balance Dec. 1, 1915, 
Receipts credited. 



$23 81 
216 40 



$240 21 



Expenditures, approved schedules (see statement annexed), 
Balance Nov. 30, 1916 



$197 09 
43 12 



$240 21 . 



1916.1 



PUBLIC DOCUMENT — No. 23. 



Industries. 
Expenditures. 



Tools and machinery: 
Needles and hooks, 



Materials: — 
Dry goods, 
Glazings, 
Glass, . 
Labor, . 

Lessons in basketry 
Linen, . 
Paints, . 
Patterns, 
Silk, . 
Tape, . 

Thread and cotton, 
Twine, . 



$13 46 


5 02 


85 


33 90 


4 00 


46 60 


4 62 


3 36 


2 35 


11 79 


62 25 


6 11 



194 31 



$197 09 



26 



WORCESTER STATE HOSPITAL. 



[Dec. 





CO 

II 


s 


|i 


?^ 


i 


■gi 

■a 


i 


?5 

i 


1 


8 




i 
<3 


2 

CO 

1 . 

o 

o 
<1 


H 

s 

o 


1 


1 





i 


i 




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o ^ 
O ^ 




^ 


^ 




o 










m 




P^ 






o 




o 






s 




CA2 






o 


'Td 


> 








^ 










-M 


m 








'a 






^ 




^ 






^ 




s 






15 
1 




>i 




















3 






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g 





^ 



1916. 



PUBLIC DOCUMENT — No. 23. 



27 



STATEMENT OF FUNDS. 



Patients' Fund. 

Balance on hand Nov. 30, 1915, .... $4,628 80 

Receipts, 3,964 10 

Interest, 152 07 

Interest paid to State Treasurer, .... $82 06 

Refunded, 2,778 27 



Investment. 
Worcester County Institution for Savings, 
Worcester Five Cents Savings Bank, . 
Worcester Mechanics Savings Bank, . 
Balance Worcester National Bank, 
Cash on hand Dec. 1, 1916, . . 

Lewis Fund. 
Balance on hand Nov. 30, 1915, . 
Income, 



Expended for books, etc.. 



Investment. 
American Telephone and Telegraph Company 

collateral trust 4 per cent bond, 1929, 
Worcester County Institution for Savings, . 
Balance Worcester National Bank, 

Wheeler Fund. 
Balance on hand Nov. 30, 1915, .... 
Income, 

Expended for books, etc., 



$8,744 97 





2,860 33 




$5,884 64 


$2,000 00 




1,000 00 




1,000 00 




1,663 99 




220 65 






$5,884 64 




$1,519 63 




57 90 






$1,577 53 






8 00 



SI, 



53 



$926 36 
349 44 
293 73 



$5,573 39 
246 90 



$1,569 53 



$5,820 29 
106 94 



$5,713 35 



28 



WORCESTER STATE HOSPITAL. [Dec. 1916. 



Investment. 

6 shares Worcester National Bank, . . . $1,002 00 
American Telephone and Telegraph Company 

collateral trust 4 per cent bond, 1929, . . 712 50 

Worcester Countji' Institution for Savings, . . 1,632 00 

Worcester Five Cents Savings Bank, . . . 1,753 85 

Mechanics Savings Bank, . . . . . 195 42 

Balance Worcester National Bank, . . . 417 58 



^5,713 35 



Manson Fund. 
Balance on hand Nov. 30, 1915, .... $1,411 72 
Income, 57 00 

Expended for entertainments, etc., 



$1,468 72 
158 25 



$1,310 47 

Invest7nent. 
Worcester County Institution for Savings, $1,310 47 

Respectfully submitted, 

E. V. SCRIBNER, 

Treasure!' of the Corporation. 
Nov. 30, 1916. 



N. B. — The values assigned to the above securities are their 
respective purchase prices. 



STATISTICAL TABLES 



[Form pkesceibed by State Board of Insanity.^ 






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sss 



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2^S 




32 



WORCESTER STATE HOSPITAL. 



[Dec. 



i 

§ 


1 


1,504 

1,457 

47 

1,491 

6 

7 

1,.301 

93 

110 

2,196 

746 

713 
705 

611 
42 

90 

1,455.32 

49.55 

1,504.87 

1,296.11 

98.05 

110.71 

9 

6.70 

143 

5.61 


a| 


704 
658 
46 
695 

5 
4 
572 
63 
69 
1,042 
303 

344 

262 
11 

36 
675. 22 
48.20 
723. 42 
590. 69 
64.83 
67.90 
4 

■42 
1.72 


1 


800 
799 

1 
796 

1 
3 
729 
30 
41 
1,154 
443 

424 
361 

349 
31 

54 

780. 10 

1.35 

781.45 

705.42 

33.22 

42.81 

5 

1.82 

101 


i 
8 


1 


coco 1 CO 1 1 1 CO 1 1 coco CO 1 II It-.] ^-^- 1 1 1 1 1 1 


.*! 


1 1 1 1 1 1 1 1 1 1 1 1 11 11 1 1 I 1 1 1 1 1 1 1 1 


1 


coco 1 CO 1 1 1 CO 1 1 COCO CO 1 II 1 t-| 1 t-;t~; 1 1 1 1 1 1 


o 

§ 


1 


r-wi 1 1 It-t- 1 1^;* ^« «co coglggi 1 , 1 1 1 


^-1 


^^ , , , , ^^ , , J.05 JJCO C.C. -cj 1 C2g 1 1 1 I 1 . 


1 


coco, , 1 icoco. 100 00 0;. ^glggl 1 , 1 1 , 


1^ 

S 
1 


i 


llllllllll-Hl 1,-. rtl llllllllllj 


^'1 


1 1 1 1 1 1 1 1 1 1 1 1 II II II Ill 


1 


1 t 1- 1 1 1 1 1 1 1 -4 1 1 M ,-1 1 1 1 1 1 1 1 1 1 1 1 1 




H 


1,494 

1,447 

47 

1,488 

6 

1,291 
93 

110 
2,145 

699 

666 
661 

568 
29 

84 

1,449.54 

49.55 

1,499.09 

1,290.33 

98.05 

110.71 


i| 


700 
654 
46 
695 

5 

568 

63 

69 

1,025 

272 
331 

250 
9 

35 
673. 50 
48.20 
721.70 
588. 97 
64.83 
67.90 


1 


794 
793 

793 

1 

723 

30 

41 

1,120 

413 

394 
330 

318 
20 

49 
776. 04 
1.35 
777. 39 
701.36 
33.22 
42.81 






Patients under care Sept. 30, 1916, 

In hospital, 

In family care 

Viz.: regularly committed, . : . . 

emergency, 1 

voluntary 

temporary care, 

supported as State patients, 

as reimbursing patients, . 
as private patients, . 
Number of different persons within the year, 
Number of different persons admitted. 
Number of different persons admitted from the 

community, 

Number of different persons dismissed. 
Number of different persons dismissed to the com- 
munity, 

Number of different persons recovered, 
Number of different persons capable of self- 
support 

Daily average number in the hospital. 
Daily average number in family care, . 
Daily average number under care. 

Viz.: State patients, 

reimbursing patients, .... 

private patients, 

Whole number of voluntary admissions. 
Daily average number of voluntary patients, 
Whole number of temporary-care admissions. 
Daily average number of temporary-care patients, 



1916.] 



PUBLIC DOCUMENT — No. 23. 



33 



£. — Family-Can 


Department. 






Males. 


Females. 


Totals. 


Remaining Sept. 30, 1915 




2 


45 


47 


Admitted within the year 




1 


33 


34 


Whole number of cases within the year, 




3 


78 


81 






2 
2 


32 

27 


34 


Viz.: returned to institution, .... 




29 








2 




died 




- 






visit 




- 


1 


1 


escaped, . . ... 






2 


2 


Remaining Sept. 30, 1916, 




1 


46 


47 








37 


37 


Private 




5 


5 


Self-supporting, 


■ 


1 


4 


5 


Number of different persons within the year. 




2 


73 


75 


Number of different persons admitted, 




1 


31 


32 


Number of different persons dismissed, 




2 


28 


30 


Daily average number 




1.35 


48.20 


49.55 


State, 




91 


39.58 


40.49 


Private, 




44 


3.92 
4.70 


3.92 


Self-supporting, 




5.14 



3. — 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, 

Fourth to this hospital, 

Fifth to this hospital, . . ... 

Eleventh to this hospital 

Fifteenth to this hospital 


364 
25 
4 
1 

1 


238 
23 

8 
2 
1 
1 
1 


602 
48 
12 
3 
2 
1 
1 


Total cases, 

Total persons, 

Never before in any hospital for the insane. 


395 
394 
327 


274 
272 
203 


669 
666 
530 



34 



WORCESTER STATE HOSPITAL. 



[Dec. 



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





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


1 


1 


J 


1 


1 


1 
1 


1 


1 


1 
1 


Massachusetts, .... 


116 


34 


40 


61 


19 


20 


177 


53 


60 


Other New England States, . 


25 


22 


22 


15 


13 


11 


40 


35 


33 


Other States 


19 


10 


14 


13 


7 


7 


32 


17 


21 


Total native 


160 


66 


76 


89 


39 


38 


249 


105 


114 


Other countries: — 




















Armenia, 


2 


2 


2 


- 




- 


2 


2 


2 


At sea 




- 


- 


1 


- 


- 


1 


- 


- 


Austria 


1 


1 


1 


4 


4 


4 


5 


5 


5 


Barbadoes 


- 


- 


- 


2 


2 


2 


2 


2 


2 


Canada 


27 


45 


41 


19 


22 


23 


46 


67 


64 


Cape Verde Islands, 


2 


2 


2 


- 


- 


- 


2 


2 


2 


China, . . ^ . 


3 


3 


3 


- 




_ 


3 


3 


3 


England, . . . 


13 


16 


14 


9 


13 


13 


22 


29 


27 


Finland 


8 


8 


8 


3 


3 


3 


11 


11 


11 


Germany, . . . - . 


4 


6 


7 


5 


9 


7 


9 


15 


14 




4 


4 


5 


2 


2 


2 


6 


6 


7 


Holland, 


- 


- 


- 


- 


_ 


1 


- 


- 


1 


Italy 


12 


12 


12 


4 


4 


4 


16 


16 


16 


Ireland 


32 


64 


64 


37 


57 


57 


69 


121 


121 


Japan, 


1 


1 


1 


- 


- 


- 


1 


1 


1 


Lithuania 


- 


- 


- 


1 


1 


1 


1 


1 


1 


Madeira Islands 


2 


2 


2 


- 


- 


- 


2 


2 


2 


Malta 


1 


1 


1 


- 


- 


- 


1 


1 


1 


Mexico 


1 


1 


1 


- 


- 


- 


1 


1 


1 


Newfoundland 


1 


1 


1 


- 


- 


- 


1 


1 


1 


New Brunswick 


1 


1 


2 


2 


2 


2 


3 


3 


4 


Norway 


2 


3 


3 


- 


1 


1 


2 


4 


•4 


Nova Scotia 


4 


6 


4 


4 


5 


6 


8 


11 


10 


Poland 


5 


6 


6 


2 


2 


2 


7 


8 


8 


Portugal 


- 


1 


1 


- 


- 


- 


- 


1 


1 


Prince Edward Island, . 


2 


3 


2 


2 


2 


2 


4 


5 


4 


Roumania 


1 


- 


- 


- 


- 


- 


1 


- 


- 


Russia, 


22 


24 


24 


8 


9 


9 


30 


33 


33 


SicUy 


- 


- 


- 


1 


1 


1 


1 


1 


1 


Scotland, . . . . . . 


3 


6 


3 


1 


2 


1 


4 


8 


4 


Sweden 


8 


12 


12 


4 


5 


5 


12 


17 


17 


Switzerland, 


1 


1 


1 


1 


1 


1 


2 


2 


2 


Turkey 


3 


3 


2 


- 


- 


- 


3 


3 


2 


Wales 


- 


- 


- 


- 


1 


- 


- 


1 


- 


West Indies 


- 


- 


- 


1 


2 


2 


1 


2 


2 


Total foreign 


166 


235 


225 


113 


150 


149 


279 


385 


374 


Unknown, 


1 


26 


26 


1 


14 


16 


2 


40 


42 


Totals 


327 


327 


327 


203 


203 


203 


530 


530 


530 









1916.] 



PUBLIC DOCUMENT — No. 23. 



35 



5. — Residence of Insane Persons admitted from the Community. 





First admitted 
TO Any Hospital. 


Otheb 
Admissions. 


Totals. 


PLACES. 


1 


1 

1 


1 

e2 


i 
1 


1 

i 


1 


1 


J 


1 


Massachusetts (by counties): — 

Middlesex, 

Norfolk 

Suffolk 

Worcester 


80 

5 

71 

171 


70 
6 
40 

87 


150 
11 
111 

258 


23 

- 
17 

27 


22 

18 
29 


45 

35 

56 


103 
5 

198 


92 

6 

58 

116 


195 
11 
146 
314 


Totals 

Cities or large towns (10,000 or over). 
County districts (under 10,000), 


327 

277 
50 


203 
179 
24 


530 
456^ 
74 


67 
55 
12 


69 
55 
14 


136 
110 
26 


394 
332 
62 


272 
234 
38 


666 
566 
100 



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





Males. 


Females. 


Totals. 


Unmarried, 


151 


76 


227 


Married 


124 


84 


208 


Widowed, . . . . ... . ... 


39 


40 


79 


Divorced 


6 


2 


8 


Totals, 


320 


202 


522 


Unknown, 


7 


1 


8 


Totals 


327 


203 


530 



36 



WORCESTER STATE HOSPITAL. 



[Dec. 



Occupation of Insane Persons first admitted to Any Hospital. 



Females. 



Actress, . . . . . 1 


Operatives, .... 22 


Bookbinder, . 






1 


Seamstress, . 






1 


Clairvoj^ant, . 






1 


Stenographers, 






2 


Clerks, . 






2 


Students, 






2 


Cook, 






1 


Tailoress, 






1 


Domestics, 






36 


Teachers, 






2 


Dressmakers, . 






4 


Waitresses, 






3 


Housekeepers, 






9 


No occupation. 






45 


Housewives, . 






67 


Total, . 






202 


Laiindress, 






1 


Unknown, 






1 


Nurse, 






1 


Total, . 






203 



Males. 



Accountant, .... 1 


Chemist, .... 1 


Actor, 








1 


Cigar maker. 






• 1 


Agents, . 








2 


Clergjnnan, 






1 


Artists, . 








2 


Clerks, . 






10 


Bakers, . 








3 


Cobbler, . 






1 


Barbers, . 








4 


Contractor, 






1 


Bartender, 








1 


Coopers, . 






2 


Blacksmitlis, 








2 


Coremaker, 






1 


Bookbinder, 








1 


Designer, 






1 


Bookkeeper, 








1 


Druggists, 






2 


Brakemen, 








2 


Elevator man. 




1 


Carpenters, 








16 


Farmers, 




9 



1916. 



PUBLIC DOCUMENT — No. 23. 



37 



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



Males — Concluded. 


Firemen, .... 2 


Picture framer, 


1 


Foreman, 






1 


Plumber, 


1 


Gardener, 


..^ 




1 


Porter, .... 


1 


Gun maker, 






1 


Printer, .... 


1 


Hostleirs, 


. 




3 


Railroad yard master, . 


1 


Inventor, 






1 


Real estate dealer. 


1 


Janitor, . 






1 


Registrar, 


1 


Laborers, 


. 




83 


Seamen, .... 


3 


Lather, . 






1 


Slater, .... 


1 


Laundryman, 


• 


1 


Stationary engineers, . 


6 


Letter carrier, 




1 


Stone mason, . 


1 


Locomotive engineers. 




3 


Student, .... 


1 


Machinists, . 




13 


Tailor, . . . 


1 


Manufacturer, 




1 


Teachers, . . . 


2 


Mechanics, 




2 


Teamsters, 


6 


Merchant, 


. 




1 


Tinsmiths, 


2 


Messenger, 






1 


Traveling salesman, 


1 


Moulders, 






4 


Upholsterer, . . . . 


1 


Musician, 






1 


Waiters, 


4 


Operatives, 






48 


Watchmen, . . _ . 


2 


Painters, 






7 


No occupation. 


30 


Peddlers, . . 






2 


Total, . . . . 


317 


Phj'sician, 






1 


Unknown, . . . . 


10 


Piano action maker. 




1 


Total, . . . . 


327 


Piano tuner, . 


• 


1 







WORCESTER STATE HOSPITAL. 



[D^ 



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1916. 



PUBLIC DOCUMENT — No. 23. 



39 







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Physi 
Adolescence, . 
Alcohol, . 
Arteriosclerosis, . 
Cerebral hemorrhage. 
Congenital, . 
Consanguinity and ad 
Constitutional defect. 
Epilepsy, 

Heat prostration, . 
Heredity, 

111 health, . . 
Involutional changes. 
Lead poisoning, . 
Masturba/tion, 
Menopause, . 
Opium, . 

Organic brain disease. 
Overwork, 

Overwork and worry, 
Pellagra, 
Pregnancy, . 




o 













40 



WORCESTER STATE HOSPITAL. 



[Dec. 



1 "* (M ■ 1 O rH 



I ^ 1 (N I 



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CO T-H 00 I O 



CO T-l CO I t^ 



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1916. 



PUBLIC DOCUMENT — No. 23. 



41 



10. — Probable Duration of Mental Disease before Admission. 













First admitted to Ant Hospital. 




Males. 


Females. 


Totals. 


Congenital, . 








10 


15 


25 


Under 1 month, . 








67 


21 


88 


From 1 to 3 months, 








57 


22 


79 


3 to 6 months. 








30 


15 


45 


6 to 12 months. 








24 


16 


40 


1 to 2 years, . 








27 


26 


53 


2 to 5 years, 










43 


22 


65 


5 to 10 years, 










12 


17 


29 


10 to 20 years. 










10 


7 


17 


Over 20 years, 










4 


1 


5 


Totals, . 


284 


162 


446 


Unknown, 










37 


37 


74 


Not insane, . 










6 


4 


10 


Totals, . 


327 


203 


530 


Average known duratic 


n (ir 


I yea 


rs), 




3.04 


4.11 


3.57 



42 



WORCESTER STATE HOSPITAL. 



[Dec. 



i 


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., ...„, ,..^, , ,^.. „.-.. 


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-' "I--I '-I-' 1 'S'- --' ' ' 


a' 


■sF^oi 


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


•saiBM 


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




•sF^oi 


II ll-H|l^l<MOIII««lt- Tjtll^rt 


•sai^ma^ 


II lllllll|0|||,-llCO coil -HrH 


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,, ll^ll^l«^lll^l^ ^llll 


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11 1 1 1 1 1 1 1 1 as 1 1 1 .1 1 1 os-H 1 1 1 


•sai^H 


rt 1 1 c^ 1 1 1 1 1 1 ««^ 1 1 1 1 --^ -HCO 1 1 1 


It 


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^ 1 I^KJCI ,^^j.| 1 ICI^ ««^, , 


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rt 1 1 1 1 C^ 1 1 (M-HQO 1 1 1 1 1 1 CO-H^ 1 1 


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«> 1 1 .-IO-< lllMIMIIIMIr.^ I-9<III 


8 


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OM 1 1 1 1 1 1 1 1 1 1 1 1 1 -H 1 M(M 1 1 1 


•saiBtnajc 


^1 lllllllllllll-tl 1<MIII 


•saiBH 


05M 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 M 1 1 1 1 


1 

5 


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^« oot^.^^c<.««^^^^^gor5 §3''« 


•saiBtna^ 


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i 
< 

3 

o 
s 

g 


A. — First admitted to any hospital: — 
Alcoholic psychosis, acute: — 

Alcoholic hallucinosis, .... 

Delirium tremens, 

Alcoholic psychosis, chronic: — 

Alcoholic deterioration, .... 

Alcoholic hallucinosis, .... 

Alcoholic paranoid condition, . 

Korsakow's psychosis, .... 
Arteriosclerotic brain disease, 

Cerebrospinal syphilis, 

Constitutional inferiority, .... 

Defective delinquent 

Dementia prascox, 

Epileptic equivalent, 

Epileptic psychosis, 

Exhaustion psychosis 

General paresis 

Hysterical psychosis 

Imbecility, . . . . . 
Manic-depressive psychosis: — 

Depressed form, 

Manic form 

Manic-depressive psychosis, allied to, . 

Melancholia, senile 

Moron 



1916.1 



PUBLIC DOCUMENT — No. 23. 



43 



^--"-s^- '— -^-^ 


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t~-H<M 1 1 1 ffl'^N 1 — 1 e« 1 1 -i< 


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w 1 rt 1 1 '^>2S 1 ' coeoNN-Ht^ 


ffi 1 CO<M-H« 1 05'^'^« 1 1 -^«» 1 1 1 CO 


OOICOI 1 looc ,« , , 1 , 1 


g 1 llllioilcoil eoM-H 1 1 CO 


^'«' ' i:?-^^ I-. , 1 , , 


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S; 1 1 1 1 1 .^ 1 1^ 1 1 ICC , 1 ICO 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ^ 


- , 1 1 1 1 1 1 1 1 1 1 I .11.11 


■ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ■* 


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Organic psychosis 

Paranoid condition, . . . , . 
Paranoid condition, senile, .... 

Pellagra 

Psychoasthenia, 

Psychopathic personality 

Senile dementia, 

Senile dementia, arteriosclerotic type, . 

Tabo-paresis 

Toxic psychosis, acute: — 

Delirium, 

Hallucinosis 

Traumatic psychosis, . . . . 

Unclassified, 

Unclassified depression, .... 

Unclassified paranoid condition, . 

Not insane, 


s 

• 1 • -i i---^-- 

■ I.JgJi J...l-. 

■ffliniifiiiii.j-i 

1 lilillll||flililHiig| 

o 
1 

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44 



WORCESTER STATE HOSPITAL. 



[Dec. 



m 

Hg 


•s^ox 


"-'"' --^ 


§11 


•saiBra9j[ 


1,1-1 C IC 


° i i 


•saiBK 


--H 1 - 1 1« 1 


s i i 


■< 
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i 

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^ i i 


•saiBuraj; 


11,-1 11, 


22 2 2 


•S01BJ5 


1,111 1-1 


. 1 8 




•sF^ox 


■ ' 




•saiBtasj 


, . 1 1 , 1 . , 


, ^ ^ 


•saiepi 


1 1 1 1 1 111 




si 


•qB^oX 


1- 1-1 - 1 > 


?5 S.S 


•saisTna,j 


1 I 1 1 1 - 1 1 


o t^ t- 


•saiBH 


1-1-1 1 1 1 


2 S S 




•smox 


, , 1 . , -, 1 


c^J S S 


•saiBraa^ 


11.,. -, , 


°= ^ S 


•sai^K 


II... Ill 


S S g 


n 


•si^iox 


— 1 1 1 1| 1 1 IM 


S S S 


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3 SS S§ 


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;: § g 


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a 


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B. — other admissions — Con. 

Paranoid condition, 

Paraphrenia, 

Psychopathic personality 

.Senile dementia 

Senile dementia, arteriosclerotic type, . 
Toxic psychosis, chronic: — 

Hallucinosis, 

Traumatic psychosis, 

Unclassified 


Totals 

Aggregate cases, 

Aggregate persons, 



1916. 



PUBLIC DOCUMENT — No. 23. 



45 



% 

o 


•si^^oi 


S 5 - - - 


III 


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g . „ , . 


i ^ ^ 


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2-^11 


i ^ i 


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g t- , , , 


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1 1 s 


CD 


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S ' ' ' ' 


s « « 


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^ ^ ^ 


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t~ 1 1 1 1 


t- c~ t- 




•siB^ox 


C» •H 1 n* 1 


s s g 


•sai'WLuaj 


o r, , , , 


?; s; s 


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S ^ ' - ' 


S S 5 




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25 o « -, « 


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S - ' ' - 


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S ?? S5 




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g « c, , , 


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g 

Si 
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....«..•& 


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1 ! 1 i 1 

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46 



WORCESTER STATE HOSPITAL. 



[Dec. 





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1 1 rt 1 N I (M« 1,11' '-"" 1 1 • 


. . . 1 1 i« 1 1- . 1 














1^ 

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1 1 1 1 1 1 1 .-irt 1 1 1 1 1 1 1 1 


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1 1 1 1 rHT^ 1 « 1 1 .^ 1 1 1 1 1 1 


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^1 


•saiBraaj 


,.1.^.1^.1-11111. 










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. . . 1 . -H . rt 1 1 1 1 1 . 1 1 1 


1 . — . 1 . 1 1 1 1 1 1 




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1 . 1 1 1 1 . 1 . . 1 1 . 1 n . 1 


1 .-,.... 00 1 1 1 


i^ 






















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1 1 . 1 1 ...... 1 . 1 . 1 1 


1 . 'I 1 . 1 1 1 t~ . . 1 


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1916.] 



PUBLIC DOCUMENT — No. 23 



iS,-crt I rt 



(MCOrtOON 



I I I I I 



47 



oe-iOcocciMrt .-no»-*ON.-iooq eqi-cN-^-HM -ne 



5M-* I i-H I .-I rtiMN I oca 1 -Ht 



»-i I <o«ie<io> 



ii 



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goo fi o^ bSiS'-rt c£ 



48 



WORCESTER STATE HOSPITAL. 



[Dec. 



in 


•siB^oj, 




•saiBtnajc 


-'"""" ' " " 


•sai^pj 


,,,,.,,,, 1^, ,,,,, 1 ,,,,,,,,,,,. 


1 i 


•sje^ox 


1 1 1 1 1 1 1 1 <-l 1 1 1 1 1 1 


•saicraaj 


1 1 1 1 1 1 1 1 1 1 < 1 1 1 1 1 1 


■saiBM 


,,,,,,,,,,.,,.,-, ,,,.,,,,,,,, 


ill 
IM 


■si^iox 


,,,, ^ ,,,,,,,,,,, , ^ ,-,,,,,,, ^ , 


•saiuraa^ 


1 1 1 1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 .H 1 1 1 1 1 1 1 r 1 1 1 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ^ 1 1 1 1 1 1 1 ^ 1 


22 • 

Hi 


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,,.,,,,,,,, , , , ,^, , 


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


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111 


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1 ' ,., , ,^, , , ,^ 1 , 1 1 , 1 1^1 , , 1 




i 

o 

CO 

o 


I. General diseases: — 

Carcinoma of breast, 

Carcinoma of face 

Carcinoma of gall bladder 

Carcinoma, gastric, 

Carcinoma of intestines, . . 

Carcinoma of right orbit with metastasis to the intestines. 

Carcinoma of sigmoid, 

Erysipelas, 

Gangrene of right foot, 

Gangrene of right hand'and forearm and double lobar pneumonia. 

Gangrene of left leg, 

Heat exhaustion 

Pernicious anajmia, 

Pellagra, . . ' 

Septicemia from decubiti, 

Septicemia resulting from erysipelas _. . 

Suppurative parotiditis, otitis media and lobar pneumonia, 

11. Diseases of the nervous system: — 

Alcoholic polyneuritis, 

Brain tumor, 

Cerebral hemorrhage 

Cerebral thrombosis 

Cerebral oedema and bronchopneumonia, . . ... 

Epileptic exhaustion, 

Exhaustion during katatonic excitement 

Exhaustion during manic excitement, 

General paresis of the insane, 

Meningitis and pellagra, 

Organic brain disease 

Tabo-paresis, 



1916.1 PUBLIC DOCUMENT — No. 23. 



49 





1,111, 1 1^1 1 1 1 , , 1 , , , 1 , , , ,1111 


" I 


1 1 1 1 1 1 1 1 1 ^ 1 1 1 1 1 1 IIIIII II 1 1 1 1 1 


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- 


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' 1 1 '-' ■ 1^1,^,1,1 1,1 


- 


1 1 1 1 1 1 1 ,1111,111 11,111 1 , ,111 1 


- 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 , 1 IIIIII II 1,11 1 


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- 


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lO 


1 1 1 1 , , 1 1 1 1 1 -H 1 1 1 1 1 II 1 1 1 1 rt 


» 


ii 


Arteriosclerosis and other causes 

Cardiovascular-renal disease 

Chronic endocarditis, 

Chronic myocarditis, 

Chronic valvular heart disease, 

Coronary sclerosis and cholelithiasis, 

IV. Diseases of the respiratory system : — 

Abscess of lung following pneumonia, 

Acute bronchitis, 

Pneumonia, broncho 

Pneumonia, hypostatic 

Pneumonia, lobar, . . . ■ 

Pneumonia, tubercular 

Pulmonary thrombosis, 

Pulmonary tuberculosis, 

Pulmonary oedema 

V. Diseases of the digestive system: — 

Colitis, entero, 

Colitis, chronic 

Enteritis, acute, .......... 

Enteritis, gastro, 

Intestinal obstruction and acute peritonitis 

Purulent peritonitis from retro-appendicial abscess, . 

VI. Diseases of the genito-urinary system: — 

Acute cystitis and pyelonephritis, . . . . . 
Acute nephritis 

VII. Accidents, violence and sudden deaths: — 

Acute hemorrhagic pancreatitis, coronary thrombosis (found 
dead), 

Asphyxiation due to inhalation of foreign body into trachea, . 

Asphyxiation from food in larynx, 

Cardia asthma (found dead) 

Multiple injuries, fracture of pelvis, internal injuries, etc. (acci- 
dentally run over) 


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PUBLIC DOCUMENT — No. 23. 



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III. Diseases of the circulatory system : — 

Arteriosclerosis 

Arteriosclerosis and other causes 

Cardiovascular-renal disease, 

Chronic endocarditis, . . 

Chronic myocarditis, 

Chronic valvular heart disease 

Coronary sclerosis and cholelithiasis 

IV. Diseases of the respiratory system: — 

Abscess of lung following pneumonia 

Acute bronchitis, 

Pneumonia, broncho 

Pneumonia, hypostatic, 

Pneumonia, lobar 

Pneumonia, tubercular, 

Pulmonary thrombosis 

Pulmonary tuberculosis, 

Pulmonary oedema, 

V. Diseases of the digestive system: — 

Colitis, entero 

Colitis, chronic 

Enteritis, acute, 

Enteritis, gastro, 

Intestinal obstruction and acute peritonitis, .... 
Purulent peritonitis from retro-appendicial abscess, . 

VI. Diseases of the genito-urinary system: — 

Acute cystitis and pyelonephritis, 

Acute nephritis, 

VII. Accidents, violence and sudden deaths: — 

Acute hemorrhagic pancreatitis, coronary thrombosis (found 
dead) 

Asphyxiation due to inhalation of foreign body into trachea, . 

Asphyxiation from food in larynx, 

Cardia asthma (found dead), 

Multiple injuries, fracture of pelvis, internal injuries, etc. (acci- 
dentally run over), 


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10 to 20 years. 
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B. — Died: — 

Under 1 month, . 
From 1 to 3 months, 
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6 to 12 months, 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
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