; I
Public Document
No. 23
EIGHTY-FIFTH ANNUAL EEPOET
THE TRUSTEES
W0RCE8TEK STATE HOSPITAL
Year ending November 30, 1917.
BOSTON:
WRIGHT & POTTER PRINTING CO., STATE PRINTERS,
32 DERNE STREET,
1918.
Public Document
No. 23
^ EIGHTY-FIFTH ANNUAL EEPOET
THE TRUSTEES
H . ',
WORCESTER STATE HOSPITAL
Year ending November 30, 1917.
BOSTON:
WRIGHT & POTTER PRINTING CO., STATE PRINTERS,
32 DERNE STREET,
1918.
Publication of this Document
appeoved by the
Supervisor of Administration.
¥
3
CONTENTS.
PAGE
Report of the Trustees, 7
Report of the Superintendent, 9
Laboratory Report, 16
Valuation, 19
Report of Treasurer, 20
Statement of Funds, 27
Statistics, 31
OFFICERS OF THE HOSPITAL.
TRUSTEES.
ELLEN A. SHEEHAN, .
GEORGIE A. BACON, .
WILLIAM J. DELEHANTY
EDWARD F. FLETCHER,
AMOS B. CHASE, .
JOHN G. PERMAN,
DONALD GORDON,
woecester.
wobcestee.
woecestee.
woecestee.
Lynn.
woecester.
Boston.
RESIDENT
ERNEST V. SCRIBNER, M.D.,
B. HENRY MASON, M.D., .
DONALD R. GILFILLAN, M.D.,
ARTHUR H. MOUNTFORD, M.D
CLARENCE A. BONNER, M.D.,
JAMES T. ADAMS, M.D.,
JOHN C. LINDSAY, M.D.,
MARIE S. LINDSAY, M.D
MARIAN K. LIBBY, .
EMMA J. WRIGHT,
ARTHUR E. GILMAN, .
LILLIAN G. CARR,
JOSEPH T. REYNOLDS,
OFFICERS.
Superintendent.
Assistant Superintendent.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Director of Industrial Therapeutics.
Superintendent of Nurses.
Steward.
Matron.
Farmer.
NONRESIDENT OFFICERS.
HOWARD BEAL, M.D.,
JENNIE A. HARRINGTON, .
WAYNE F. SHIPMAN, D.D.S.,
GEORGE E. PARESEAU,
JESSIE M. D. HAMILTON, .
JAMES DICKISON, Je.,
Pathologist.
Consulting Surgeon.
Social Service Worker.
Dentist.
Druggist.
Clerk.
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TRUSTEES' REPORT.
To His Excellency the Governor and the Honorable Council.
The trustees of the Worcester State Hospital respectfully
submit their eighty-fifth annual report and solicit your careful
consideration of the reports of the superintendent and treasurer
which are appended.
The year's record shows few accomplishments by way of
repairs and improvements, the Legislature having granted
appropriations to meet only one of the institution's needs, —
its sewage disposal.
After years of agitation the hospital's sewage is now a part
of that of the city of Worcester, and all possible menace to the
health of the adjacent community has been averted.
We earnestly call your attention to the needs of the hospital
as outlined in last year's report, the most immediate being the
construction of a laundry and industrial building, the instal-
lation of a cold-storage plant, the renewal of plumbing in the
main building, and sufficient means for an increase in wages
and salaries.
The first ■ — the construction of a laundry and industrial
building — is a vital need in these days of conservation, inas-
much as the present laundry could then be converted into a
congregate dining room. Numerous ward dining rooms, as now
exist, are conducive to waste of material and energy. A con-
gregate dining room tends to better supervision, more efficient
service and greater economy in the distribution and use of food.
The second — the installation of a cold-storage plant — is
another conservation measure. It would allow larger purchases
of supplies at low cost and promote more intensive farming.
8 WORCESTER STATE HOSPITAL. [Dec.
The third — the renewal of plumbing in the main building —
is a crying need, and if delayed too long may cause health con-
ditions which would be deplored.
The fourth — sufficient means for an increase in wages and
salaries — we cannot urge too strongly, as the institution faces
an issue which cannot otherwise be met. The present cost of
living, the demand for skilled workers which far exceeds the
supply, and the calls to service issued by the government in its
hour of need are disturbing factors in a situation that already
has many complications.
The contemplated standardization of salaries threatens to
deplete the medical staff, when promotion of those who have
shown a capacity for excellent work does not bring an adequate
advance, but appointment to the staff of another institution will
secure the proper increase.
One need, stated last year, no longer exists. Through the
generosity of an interested friend funds were provided for the
purchase of additional land at Hope Cemetery. This has
enabled the hospital to care for its unclaimed dead. To this
friend we would express our deep gratification.
The year has brought many changes in our corps of workers.
To those who have left we wish success. To those who have
remained we extend our sincere thanks.
To our devoted superintendent and his staff we tender full
appreciation of their efforts, and express the belief that the
affairs of the institution have been wisely administered.
Respectfully submitted,
ELLEN A. SHEEHAN.
GEORGIE A. BACON.
WILLIAM J. DELEHANTY.
EDWARD F. FLETCHER.
AMOS B. CHASE.
JOHN G. PERMAN.
DONALD GORDON.
Nov. 30, 1917.
1917.1 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, 1917, it being the eighty-
fifth annual report.
There remained on the hospital books Oct. 1, 1916, 1,696
patients, — 917 men and 779 women. During the year ending
Sept. 30, 1917, there were admitted 716 patients, — 409 men
and 307 women. Six hundred and thirty-eight patients — 402
men and 236 women — were discharged from the hospital. Of
this number, 373 patients — 239 men and 134 women — were
discharged; 168 patients — 90 men and 78 women — died; 97
patients — 73 men and 24 women — were transferred, leaving
at the end of the statistical year 1,774 patients, — 924 men
and 850 women. One thousand five hundred and forty patients
— 819 men and 721 women — were actually in the hospital.
Of this number, 1,321 were supported by the State, 109 by
friends and 110 as reimbursing patients. Of the patients dis-
charged 99 were reported as recovered, 162 as improved and 84
as not improved. Twenty men and 8 women were discharged
as not insane. Forty-seven men and 1 woman were transferred
by the Massachusetts Commission on Mental Diseases to the
Grafton State Hospital; 2 men and 6 women to the State
Infirmary at Tewksbury; 22 men and 13 women to the Gardner
State Colony; 1 man to Herbert Hall; 1 man to the Taunton
State Hospital; 1 woman to the Medfield State Hospital; 1
woman to the Westborough State Hospital; 1 woman to the
Northampton State Hospital; and 1 woman to the McLean
Hospital. Nine men and 3 women were removed from the
State, and 9 men and 3 women were deported.
There remained in the hospital at the end of the year 84
patients more than at the beginning. The smallest number
under treatment on any one day was 1,495, and the largest,
1,641. The daily average number was 1,556.65.
10 WORCESTER STATE HOSPITAL. [Dec.
The percentage of recoveries, calculated upon the number of
discharges and deaths, was 15.5 ; calculated upon the number of
admissions it was 13.8.
The death rate was 6.9, calculated on the whole number of
patients under treatment, and 10.7, calculated on the daily
average number.
Though the number of patients admitted during the year has
been appreciably less than that of the year before, the number
remaining in the hospital is greater, due to a lessened number
of discharges. It is pleasant to note that the percentage of
recoveries has been higher and the percentage of deaths lower.
It would be difficult, however, to draw conclusions of much
value from the statistics of a single year. Of the patients
admitted for the first time more than half were foreign born,
some twenty different countries being represented. In type of
disease dementia prsecox leads by a large margin, followed by
senility, alcoholism and general paralysis, in the order given.
Of the general paralytics nearly one-half were women. Con-
sidering the ages at which first attacks of insanity occurred it
seems, as perhaps it would be reasonable to expect, that the
greatest prevalence of insanity is during the periods of the
greatest mental and physical activities. A study of environ-
ment seems to show quite conclusively that general paralysis
is many times more frequent in persons admitted from urban
than from rural communities. This is also true in lesser degree
of dementia prsecox and alcoholism.
In considering the type of mental disease in the readmitted
cases dementia prsecox stands easily first, with manic-depressive,
alcoholism and general paralysis following.
Pneumonia has been by far the greatest cause of death, fol-
lowed by different forms of heart disease, general paralysis and
tuberculosis.
The general health of the house has been good. A few cases
of contagious disease have developed, all of which had a favor-
able outcome. Strict quarantine quickly controlled the spread
of disease and no general outbreak occurred.
With the increasing number of patients has come increased
work and responsibility for the medical staff; this, too, at a
time when the national demands are imperative and must be
1917.] PUBLIC DOCUMENT — No. 23. 11
met. Although lessened in numbers, the whole staff has
responded to the emergency in a way which is most gratifying
and commendable.
The use of salvarsan in the treatment of general paralysis and
other syphilitic affections has been continued, in many instances
with very gratifying results. The experience which we have
had with the use of this remedy here has been that while it has
not proven to be quite such a specific in the treatment of
syphilis as was at first hoped for, still very great improvement
often follows its use, and, in the light of our present knowledge,
it seems the drug which exercises the greatest curative effect.
In treating our patients here we suffer one great handicap in
the element of time. The vast majority of cases received here
represent the failures in outside practice, and do not reach us
until in an advanced state of disease. To have the best results
salvarsan like many another drug should be administered as
early as possible in the course of the disease, before too serious
injury has been inflicted on the nervous system.
In furtherance of the medical work a complete outfit of X-ray
apparatus has been purchased, which will soon be installed and
is expected to add much to our ability to more accurately diag-
nose and treat many cases which have hitherto been obscure.
The work of the therapeutic industries has prospered and has
done much to interest our patients and to assist in promoting
recovery. I regard this work as one of the most important
remedial agencies that we have at hand with which to combat
that apathy and lack of interest which is too often prominent
in cases of mental disease. The Christmas sale of articles man-
ufactured by the patients in this department was quite success-
ful. Quite a little work has also been done by our patients in
aid of the Red Cross.
An unusual number of changes have occurred in the staff
during the past year, in some instances due to the fact that
positions could be had in other institutions at considerably
increased salary, and in others to the exigencies of the military
service.
Early in the year the pathologist. Dr. Gosline, resigned his
position to accept an appointment on the staff of an institution
in another State. Dr. Herbert E. Thompson, pathologist at the
12 WORCESTER STATE HOSPITAL. [Dec.
State hospital in Bangor, Me., was secured to fill the vacancy.
Dr. Thompson entered upon his work with every promise of
becoming a valuable man. After a residence of only a few
months another position was offered him in Maine at such a
substantial increase in salary that it could not be met here. It is
to be regretted that when a man of Dr. Thompson's experience
and attainments has been secured a more ample compensation
cannot be offered. A successor to Dr. Thompson has not yet
been found. The work of the laboratory is now being carried
on by an experienced and competent assistant, who is making
the examinations of clinical specimens and classifying and pre-
paring for study the autopsy material.
Dr. Gilfillan was granted indefinite leave of absence to enter
the medical service of the United States Army. Much as we
needed his services here it was felt that his country needed him
more. It is my hope that he may at some time return to us.
The resignations of Dr. Arey and his wife were given that they
might enter the service of another institution whose staff had
been depleted by the demands of the military service. I have
been fortunate in securing capable and well-recommended per-
sons to fill some of the vacancies, but the medical staff is still
short of our customary number. Our social worker, Miss
Donohoe, who has given faithful and efficient service, resigned
to accept a more lucrative position at the Boston State Hos-
pital. Miss Jennie Harrington, who is a woman of experience
and comes well recommended, has been appointed to fill the
vacancy. The position of matron has been filled by the pro-
motion of Miss Lillian G. Carr.
A'ppointments.
Dr. Harry J. Hagerty, Dec. 1, 1916.
Dr. Clarence A. Bonner, Dec. 27, 1916.
Dr. Herbert E. Thompson, March 1, 1917.
Dr. James T. Adams, June 6, 1917.
Dr. John C. Lindsay, Sept. 17, 1917.
Dr. Marie S. Lindsay, Sept. 17, 1917.
1917.1 PL^LIC DOCUMENT — No. 23. 13
Resignations.
Dr. Harold I. Gosline, Dec. 31, 1916.
Dr. Lillian L. MacPhee, Feb. 1, 1917.
Dr. Harry J. Hagerty, March 31, 1917.
Dr. Harold C. Arey, Sept. 3, 1917.
Dr. Jennie Mclntosh-Arej^, Sept. 3, 1917.
Dr. Herbert E. Thompson, Sept. 25, 1917.
The large wages and the demand for workers in almost all
lines of industrial effort in the community have made it unusu-
ally difficult to secure and retain in the service faithful persons
who are competent to do the work. It has been found possible
to make some small increases in wages which have helped in
some measure to stay the exodus of our employees. It is to be
hoped that the report of the standardization board to the
incoming Legislature will recommend such substantial salary
increases as will make the institution service more attractive.
Sixteen persons who were in the employ of this hospital have
resigned and enlisted in the United States service. I am greatly
gratified at the loyal attitude of these men, and feel that they
will give a good account of themselves. I hope that all may
return to us.
On the farm, as in other departments, it has been difficult,
much of the time impossible, to secure, at the wages which we
have been able to offer, farm laborers in sufficient numbers to
properly carry on the work there. More than ever have we
been dependent upon the assistance derived from the labor of
patients. Notwithstanding this handicap the farm has been
very productive and profitable in its general operations. The
abundant supply of fresh vegetables has contributed in no small
way to the maintenance of our large family, and has very
materially assisted in the conservation of our other food supplies.
Our general dietary has been altered to so far as possible
co-operate with the efforts of the food conservator to so control
home consumption as to interfere as little as possible with the
proper feeding of our national armies. A special effort has
been made to reduce our consumption of meat, sugar and wheat.
A generous diet has still been found possible, even with a limi-
tation in the use of the above-mentioned articles of diet. It is
14 WORCESTER STATE HOSPITAL. [Dec.
highly probable that our food conservation experiences will
have valuable lessons, which, when once learned, will teach us
how to permanently conserve our food supplies, even when the
urgency of the present national emergency has passed. That
our farm products can be made to contribute more largely to
our support I am well persuaded.
It gives me great gratification to be able to report that the
proper disposal of the hospital sewage, which for more than a
decade has agitated the hospital authorities and the neighboring
public, has at last been satisfactorily accomplished by con-
necting our system with that of the city of Worcester, so that
now all sewage from the institution flows into the city mains.
After advertising for bids no contractor could be found who
would name a price for which he would undertake to perform
the work that would come within the appropriation. Under
these conditions it became necessary for the institution to
become its own contractor. The trenching was done largely by
the labor of patients. By this means it has been found possible
to accomplish the work very satisfactorily, and a very sub-
stantial sum from the appropriation will revert to the State
treasury.
I again call your attention to the requests for special appro-
priations as outlined in the reports of the last two years. The
same needs exist, even intensified. If the exigency of the times
forbids attention to all our wants, perhaps the congregate dining
room and the ward plumbing are among the most urgent at
the main institution.
The new building for 50 men at Hillside has been completed,
but as an adequate water supply has not yet been provided,
nor sewage disposal arranged for, it will probably not be ready
for occupancy before spring. For a time, while the amount
remains small, the sewage can well be taken care of by surface
irrigation. As a permanent means of sewage disposal this
method would hardly suffice. With the necessary increase in
the numbers of employees at this farm colony additional hous-
ing facilities should be provided for them. This can be accom-
plished either by alteration and enlargement of the existing
farm buildings or by the erection of a new building near the
present structures.
1917.] PUBLIC DOCUMENT — No. 23. 15
I wish to thank officers and employees for the faithful service
which they have rendered.
I am pleased to report that, through the generosity of an
anonymous friend, additional land has been acquired at Hope
Cemetery, enlarging the hospital lot to such an extent as to
provide for present needs and those of the immediate future.
To this unknown friend the thanks of the institution are due.
Regular religious services have been held every Sunday.
Thanks are due to the publishers of the ^'Fitchburg Sentinel"
for a copy of their paper and to the Worcester EmplojTuent
Society for sewing done.
E. V. SCRIBNER,
Siiperinte7ident.
Nov. 30, 1917.
16 WORCESTER STATE HOSPITAL. [Dec.
LABORATORY REPORT.
To the Superintendent of the Worcester State Hospital.
I respectfully submit the report of the laboratory work for
the year ending Nov. 30, 1917.
The following routine work has been completed: —
Urinalysis, 1,063
Cerebrospinal fluid examinations, 188
Post-mortem cultm"es, 80
Smears from post-mortem cultm-es, 26
Smears from lung, post mortem, 18
Smears from middle ear, post mortem, 2
Smears from scalp, post mortem, ........ 1
Smears from heart, post mortem, 3
Smears from peritoneal cavity, post mortem, . . ... . 2
Smears from kidneys, post mortem, 2
Smears from gall bladder, 2
Sputimi examinations, 46
Throat cultures, 10
Smears from tliroat, 8
Eye smears, . 1
Abscess smears, "^3
Vaginal smears, 13
Stomach contents, 4
Fecal examinations, 9
Blood examinations, 15
Total, 1,496
Seventy-two autopsies were performed, and the following
psychiatric diagnoses of the cases follow: —
Psychoses: —
Senile, 15
Cerebral arteriosclerosis, 18
Dementia prsecox, 5
Manic-depressive, ,. . . . 8
Paranoid condition 1
1917.] PUBLIC DOCUMENT — No. 23. 17
General paralysis, . 16
Alcoholic, 4
Exhaustion delirium, 1
Huntington's chorea, 2
With constitutional psychopathic inferiority, 1
With mental deficiency, 1
Total . • . . 72
The major anatomical diagnoses were: —
Tuberculosis, 7
Acute bronchitis, 2
Broncho-pneumonia, 11
Lobar pneumonia, 10
Pulmonary oedema, 1
Pulmonary abscess, 1
Chronic myocarditis, . 2
Pernicious anemia, . . ^ 1
Cardiac paralysis, 1
Cardiac thrombosis, ' . . . .2
Cardio vascular renal disease, 2
Arteriosclerosis, 5
Chronic endocarditis, 1
Cohtis, 1
Acute gastritis, 1
Acute gastric dilatation, 1
Cholelithiasis; empyema of gaU bladder, 1
Ulcerative proctitis and sigmoiditis, 1
Carcinoma of stomach, 1
Septicaemia, .1
Formaldehyde poisoning, 1
General paralysis, 12
Cerebrospinal syphilis, 2
Cerebral hemorrhage, 2
Huntington's chorea, 1
Acute dilatation of stomach, 1
Chronic nephritis, 1
Total, 73
Though the resignation of Dr. Thompson has made the labo-
ratory work more difficult, autopsies, urinalyses, sputum and
cerebrospinal fluid examinations have been made as usual.
Besides the regular routine work considerable time has been
18 WORCESTER STATE HOSPITAL. [Dec.
devoted to the study of special cases, such as Huntington's
chorea, general paralysis and older cases of brain tumor. Photo-
micrographs of interesting specimens have been made and filed
with the case histories.
Papers on "Dementia Prsecox" and on "Interpeduncular
Tumors" were written by Dr. Gosline. Dr. Thompson also
pubhshed, a paper on "Brain Tumors."
J. H. STEAN,
Laboratory Assistant.
Nov. 30, 1917.
1917.1 PUBLIC DOCUMENT — No. 23. 19
VALUATION
Nov. 30, 1917.
Real Estate.
Land (578 acres), $427,080 00
BuUdings, 1,612,486 31
$2,039,566 31
Personal Property.
Travel, etc., S7,390 19
Food, 9,161 33
Clothing, 13,467 16
Furnishings, 93,850 27
Heat, light and power, 5,712 35
Repairs and improvements, 5,378 94
Farm, stable and grounds, 49,341 25
Medical and general care, 18,602 78
Industries, 1,921 98
$204,826 25
Summary.
Real estate, $2,039,566 31
Personal property, 204,826 25
$2,244,392 56
20
WORCESTER STATE HOSPITAL.
[Dec.
TREASURER'S REPORT.
To the Trustees of the Worcester State Hospital.
I respectfully submit the following report of the finances of
this institution for the fiscal year ending Nov. 30, 1917: —
Cash Account.
Balance Dec. 1, 1916, .
Receipts.
Institution Receipts.
Board of inmates: —
Private, .
$32,369 25
Reimbursements, insane
19,807 52
$52,176 77
Sales: —
Travel, transportation and office
expenses, .
$52 25
Food, .
595 71
Clothing and materials,
185 56
Furnishings and household sup-
plies,
209 27
Medical and general care,
8 15
Heat, light and power.
6 49
Farm and stable : —
Cows and calves,
$462 75
Hides,
46 65
Vegetables, .
150 00
Sundries, .
132 59
791 99
2 40
Repairs, ordinary, .
1.851 82
$12,440 67
Miscellaneous receipts : —
Interest on bank balances,
Sundries, ...
Sales, account of industries fund.
$520 86
166 95
Receipts from Treasury of Commonwealth.
Maintenance appropriations: —
Balance of 1916,
Advance money (amouiit on hand November 30) ,
Approved schedules of 1917, . $395,851 52
Less returned, ... 32 50
Special appropriations,
Industries fund, .
Total . $506,236 87
.
54,716 40
289 30
$8,417 09
30,000 00
395,819 02
434,236 11
4,327 74
226 65
1917.
PUBLIC DOCUMENT — No. 23.
21
Payments.
To treasurj^ of Commonwealth : —
Institution receipts, . . . . .
Industries fund, . . . . .
Maintenance appropriations: —
Balance November schedule, 1916,
Eleven months' schedules, 1917,
November advances, . . . .
Special appropriations : —
Approved schedules,
$20,857 76
395,819 02
12,390 27
$54,716 40
289 30
4,327 74
Industries fund : —
Approved schedules,
226 65
Nov. 30, 1917:
In bank,
In office,
$16,790 16
819 57
17,609 73
Total $506,236 87
Maintenance.
Appropriation, current year.
Expenses (as analyzed below) ,
$431,365 00
431,028 52
Balance reverting to treasury of Commonwealth,
Analysis of Expenses.
Salaries, wages: —
$336 48
Ernest V. Scribner, M.D.,
superintendent.
$3,526 88
General administration, ....
41,403 39
Medical service,
14,068 37
Ward service (male).
30,804 39
Ward service (female) ,
32,093 58
Repairs, .
16,293 04
Farm and stable,
14,207 38
Grounds,
1,296 77
$153,693 80
Religious instruction : —
Catholic, $600 00
Jewish, 260 00
Protestant 190 00
1 o'lO no
Travel, transportation and office expenses: —
Advertising, $254 97
Automobile repairs and supplies,
1,393 59
Postage,
752 05
Printing and binding.
679 61
Printing annual report.
191 97
Stationery and office supplies, .
1,341 72
Telephone and telegraph, .
772 54
Travel
1,196 25
Freight
12 82
6,595 52
Amount carried forward, .......
$161,339 32
22
WORCESTER STATE HOSPITAL.
[Dec.
Amomit brought forward,
. $161,339 32
Food: —
Butter, $6,501 61
Butterine,
6,881 62
Beans, ....
2,257 22
Bread, crackers, etc..
360 48
Canned soups,
41 29
Cereals, rice, meal, etc., .
4,521 45
Cheese, ....
509 36
Eggs
10,422 22
Flour, ....
19,935 13
Fish (fresh, cured and canned).
6,234 24
Fruit (fresh) , .
1,052 07
Fruit (dried and preserved).
2,217 33
Lard and substitutes,
2,557 02
Macaroni and spaghetti, .
887 16
Meats, ....
31,464 81
Milk (fresh and substitutes) ,
99 47
Molasses and syrups.
665 89
Potatoes,
8,293 62
Seasonings and condiments,
753 91
Sugar, ....
6,041 08
Tea, coffee, cocoa, etc.,
2,263 83
Vegetables (fresh), .
375 70
Vegetables (canned and dried) ,
907 55
Yeast, baking powder, etc..
220 84
Freight, ....
452 77
Clothing and materials : —
Boots, shoes and rubbers, .... $2,097 34
Clothing (outer),
3,052 61
Clothing (under),
909 96
Dry goods for clothing.
2,992 28
Hats and caps.
51 25
Leather and shoe findings.
125 13
Socks and small wares.
719 41
Freight
50 97
fjaao »o
Beds, bedding, etc., ...... $10,533 78
Carpets, rugs, etc., ....
1,846 49
Crockery, glassware, cutlery, etc.,
2,368 07
Dry goods and small wares.
339 66
Fire hose and extinguishers.
19 00
Furniture, upholstery, etc..
1,030 59
Kitchen and household wares, .
3,632 21
Laundry supplies and materials.
1,958 94
Lavatory supplies and disinfectants, .
1,446 17
Machinery for manufacturing, .
1 85
Table linen, paper napkins, towels, etc..
4,003 91
Freight
127 73
Electric lamps, ....
448 09
Amount carried forward, ....
... $315,012 43
1917.1
PUBLIC DOCUMENT — No. 23.
23
Amount brought forward.
$315,012 43
Medical and general care: —
Books, periodicals, etc.,
Entertainments, games, etc..
Funeral expenses,
Gratuities, ....
Ice and refrigeration.
Laboratory supplies and apparatus.
Manual training supplies.
Medicines (supplies and apparatus),
Medical attendance (extra) ,
Patients boarded out.
Return of runaways.
Tobacco, pipes, matches.
Water, .
Freight, .
Heat, light and power: —
Coal
Gas,
Oil,
Operating supplies for boilers and engines.
Freight,
$547 79
836 55
536 00
77 95
407 21
710 33
237 83
6,371 32
835 20
5,635 22
116 88
1,551 35
7,323 87
48 94
$50,143 08
619 69
227 12
211 49
11 83
25,236 44
Farm and stable : —
Bedding materials, .
Blacksmithing and supplies.
Carriages, wagons and repairs.
Dairy equipment and supplies
Fencing materials, .
Fertilizers,
Grain, etc..
Hay,
Harnesses and repairs,
Horses, .
Cows,
Other live stock.
Labor (not on pay roll) ,
Rent,
Spraying materials, .
Stable and barn supplies.
Tools, implements, machines, etc
Trees, vines, seeds, etc..
Veterinary services, supplies, etc
Freight, .
Grounds : —
Fertilizers, ....
Road work and materials.
Tools, implements, machines, etc.
Trees, vines, shrubs, seeds, etc..
Freight,
$205 40
594 82
356 35
48 25
77 49
465 55
13,421 02
689 38
312 50
1,600 00
1,990 00
423 50
77 09
250 00
56 94
308 27
2,022 20
220 01
173 56
34 07
$49 77
281 61
91 01
105 35
3 44
23,326 40
531 18
Amount carried forward.
$415,319 66
24 WORCESTER STATE
HOSPITAL.
[Dec.
Amount brought forward, . ...
.
$415,319 66
Repairs, ordinary: —
Cement, lime, crushed stone, etc.,
$288 19
Electrical work and supplies.
998 43
Hardware, iron, steel, etc..
1,595 86
Lumber, etc. (including finished products) ,
3,627 73
Paint, oil, glass, etc., ....
3,710 65
Plumbing and supplies, ....
2,657 97
Roofing and materials, ....
621 25
Steam fittings and supplies.
869 36
Tents, awnings, etc., ....
22 50
Tools, machines, etc., ....
1,037 66
Boilers, repairs,
220 34
Engines, repairs,
9 50
Freight .
49 42
15,708 86
Total expenses for maintenance.
$431,028 52
Special Appeopeiations.
Balance Dec. 1, 1916 $3,956 72
Appropriations for fiscal year, ....... 5,000 00
Total, . $8,956 72
Expended during the year ("see statement annexed) , . . . 4,327 74
Balance Nov. 30, 1917, $4,628 98
Resoueces and Liabilities.
Resources.
Cash on hand, .......
November cash vouchers (paid from advance money) ,
account of maintenance, .....
Due from treasury of Commonwealth from avail-
able appropriation, account of November, 1917,
schedule, .......
$17,609 73
12,390 27
Liabilities.
Schedule of November bills,
$35,209 50
$35,209 50
Pee Capita.
During the year the average number of inmates has been 1,569.80.
Total cost for maintenance, $431,028.52.
Equal to a weekly per capita cost of $5.2802.
Receipt from sales, $1,851.82.
Equal to a weekly per capita of $0.0226.
All other institution receipts, $52,864.58.
Equal to a weekly per capita of $0.6476.
1917.
PUBLIC DOCUMENT — No. 23.
25
Industeies Fund.
Balance Dec. 1, 1916,
Receipts credited, .......
Expenditures, approved schedules (see statement annexed),
Balance Nov. 30, 1917,
Expenditures.
Tools and machinery:
Crochet hooks,
Embroidery hoops,
Frames, .
Knitting needles,
Needles, .
Patterns,
Shuttles,
StUettos,
Freight, .
Materials : —
Cones,
Electric wiring.
Glass,
Glazing, ,
Seeds,
Tapestry,
Tatting thread.
Thread, .
$8 30
74
2 00
94
2 50
4 28
70
47
6 01
$21
83
7
41
1
00
11
22
2
15
2
20
75
154
15
$43 12
289 30
$332 42
$226 65
105 77
$332 42
$25 94
Total,
200 71
$226 65
26
WORCESTER STATE HOSPITAL.
[Dec.
i
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1917.1 PUBLIC DOCUMENT — No. 23. 27
STATEMENT OF FUNDS.
Patients' Fund.
Balance on hand Nov. 30, 1916, 15,884 64
Receipts, . 5,358 50
Interest accrued and distributed, .... 194 33
$11,437 47
Refunded, 5,220 32
$6,217 15
hivestment.
Worcester County Institution for Savings, .
Worcester Five Cents Savings Bank, .
Worcester Mechanics Savings Bank, .
Balance Worcester Bank and Trust Company,
Cash on hand Dec. 1, 1917
$2,000 00
1,000 00
1,000 00
1,983 46
233 69
$6,217 15
Lewis Fund,
Balance on hand Nov. 30, 1916, .... $1,569 53
Income, 60 77
— $1,630 30
Expended for books, etc., 29 85
$1,600 45
Investment.
American Telephone and Telegraph Company
collateral trust 4 per cent, bond,
Worcester County Institution for Savings, .
Mechanics National Bank, savings department.
Balance Worcester Bank and Trust Company,
Wheeler Fund.
Balance on hand Nov. 30, 1916, .
Income,
Worcester National Bank in Hquidation,
Expended for books,
6 shares Worcester National Bank,^
349 44
321 52
3 13
$1,600 45
$7,241 84
1,152 63
$5,713 35
238 49
1,290 00
$150 63
1,002 00
$6,089 21
1 Six shares of Worcester National Bank stock held in liquidation.
28 WORCESTER STATE HOSPITAL. [Dec. 19i:
Investme^it.
Amer'can Telephone and Telegraph Company
collateral trust 4 per cent, bond, . . . $712 50
Worcester County Institution for Savings, . . 332 00
Worcester Five Cents Savings Bank, . . . 403 85
Mechanics Savings Bank, 203 30
Mechanics National Bank, savings department, 435 50
Second Liberty Loan bonds, 4,000 00
Balance Worcester Bank and Trust Company, . 2 06
$6,089 21
Manson Fund.
Balance Worcester County Institution for
Savings, $1,310 47
Income, 51 08
$1,361 55
Expended for entertainments, etc., 179 10
$1,182 45
Investment.
Worcester County Institution for Savings, $1,182 45
Respectfully submitted,
E. V. SCRIBNER,
Treasurer of the Corporation.
Nov. 30, 1917.
N. B. — The values assigned to the above securities are their
respective purchase prices.
STATISTICAL TABLES
As ADOPTED BY AMERICAN MeDICO-PsYCHOLOGICAL ASSOCIATION.
[Phesceibed by Massachusetts Commission on Mental Diseases.]
Table 1. — General Information.
1. Date of opening as an institution for the insane: Jan. 18, 1833.
2. Type of institution: State.
3. Hospital plant: —
Value of hospital property: —
Real estate, including buildings, .... $2,039,566 31
Personal property, . 204,826 25
Total,
12,244,392 56
Total acreage of hospital property, 578.15.
Acreage under cultivation during year, 201.25.
Medical Ser\dce: — Men. Women. Total.
Superintendents, 1 - 1
Assistant physicians, 7 1 8
Medical internes, - - -
Clinical assistants,
Total, 8 1 9
Employees: — Males. Females. Total.
Graduate musses, 2 25 27
Other nurses and attendants, . . . '. 103 104 207
Social workers, - 1 1
All other employees, 61 58 119
Total, 116 188 354
6. Percentage of patients employed during year.
Men. Women. Total.
83 79 81
Table 2. — Financial Statement.
See treasurer's report for data requested under this table.
32
WORCESTER STATE HOSPITAL.
[Dec.
ZQ
o
«
o
•SlB^fOX
1,696
431
270
701
15
716
2,412
99
162
84
28
97
168
638
1,774
1,746.31
1,509.66
47.09
189.50
13
171
1,510
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1. Patients on books of institution Sept. 30, 1916, .
Admissions during year: —
(o) First admissions,
(6) Readmissions
Total admissions, . . . ...
(r,) Transfers from other institutions for the insane,
2. Total received during year,
3. Total under treatment during year, . ...
Discharged from boolcs during year: —
(a) As recovered
(6) As improved, . . . . ....
(c) As unimproved,
[d) As not insane,
(c) Transferred to other institutions for tlio insane,
(/) Died during year
4. Total discharged from books during year, ....
5. Patients remaining on books of institution Sept. 30, 1917, .
Supplementary Data.
Oa. Average daily number of patients on books during the year,
06. Average daily number of patients actually in the institution
during the year,
7o. Average daily number of patients in family care,
76. Average daily number of patients on visit and escape,
8. Number of voluntary patients admitted during year, .
9. Number of temporary-care cases admitted during the year,
10. Number of patients actually remaining in institution Sept.
30,1917.
1917.1
PUBLIC DOCUMENT — No. 23.
33
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ell s-S
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34
WORCESTER STATE HOSPITAL.
[Dec.
Table 4. — Nativity of First Admissions and of Parents of First Admissions.
Patients.
Parents of
M.^LE
Patients.
Parents
OF Female
Patients.
Nativity.
1
1
1
1
H
1
1
1
United States
Africa,
Asia,
Atlantic Islands
Australia,
Austria,
Belgium
Bohemia,
Canada,
Central America
China
Cuba,
Denmark, .....
England
Europe,
Finland,
France
Germany,
Greece
Hawaii,
Holland
Hungary,
India,
Ireland
Italy,
Japan
Mexico,
Norway,
Philippine Islands, ....
Poland,
Porto Rico,
Portugal,
Roumania,
Russia
Scotland
South America, ....
Spain,
Sweden,
Switzerland,
Turkey in Asia, ....
Turkey in Europe
Wales,
West Indies,
Other countries
Born at sea,
114
6
31
2
1
10
1
5
10
21
6
7
28
5
1
85
1
1
15
7
4
1
1
27
4
1
2
7
5
7
1
199
1
7
1
46
9
1
14
5
11
48
10
8
2
35
5
12
1
60
6
43
2
6
1
10
1
8
10
42
1
7
29
1
7
1
1
54
6
45
2
4
1
10
2
10
10
44
6
2
7
29
2
6
1
1
114
12
88
4
10
2
20
3
IS
20
12
3
14
58
3
13
2
45
1
1
1
17
4
4
1
1
47
4
1
3
9
10
1
45
1
1
1
21
7
4
1
1
43
4
1
3
9
5
10
1
90
2
2
38
11
8
2
2
90
8
2
6
18
11
20
2
Total foreign born, .
Unascertained, ....
137
2
85
4
222
6
182
11
188
11
370
22
111
18
113
16
224
34
Grand total, ....
253
174
427
253
253
506
174
174
348
1917.
PUBLIC DOCUMENT — No. 23.
35
Table 5.
— Citizens of First Admissions.
Males.
Females.
Totals.
Citizens by birth, ........
114
23
73
43
85
1
17
71
199
Aliens, .......
90
Citizenship unascertained, .
114
Total
253
174
Table 6. — Psychoses of First Admissions.
Psychoses.
1
1
i
J
J
1
"8
s
f^
H
s
li'
H
12
24
2. Senile, total,
36
(a) Simple deterioration,
1
9
10
(6) Presbyophrenic type,
1
(c) Delirious and confused states.
3
in
13
(d) Depressed and agitated states in addition to
deterioration,
2
-
2
(e) Paranoid states in addition to deterioration, .
5
5
10
3. With cerebral arteriosclerosis,
36
14
50
30
14
44
5. With cerebral syphilis,
1
1
6. With Huntington's chorea
_
1
-
_
8. With other brain or nervous diseases, total.
1
Cerebral embolism,
_
_
_
Paralysis agitans,
_
-
_
Tubercular or other forms of meningitis,
-
-
-
Multiple sclerosis,
_
_
-
Tabes
1
_
1
_
Other conditions,
_
_
_
9. AlcohoHc, total,
53
5
58
(a) Pathological intoxication, ....
_
_
_
(6) Delirium tremens,
8
-
8
(c) Acute hallucinosis,
31
2
33
(d) Acute paranoid type,
1
_
1
(e) Korsakow's psychosis,
3
-
3
(/) Chronic hallucinosis,
_
1
(g) Chronic paranoid type,
3
-
3
(h) Alcoholic deterioration,
6
3
9
(i) Other types, acute or chronic.
-
-
-
10. Due to drugs and other e.xogenous toxins, total,
-
-
-
(o) Morphine, cocaine, bromides, chloral, etc.,
alone or combined,
-
-
-
(6) Metals, as lead, arsenic, etc
-
-
-
(c) Gases
_
_
-
(d) Other exogenous toxins,
-
-
-
11. With pellagra,
_
?.
2
12. With other somatic diseases, total, ....
1
3
4
(a) Dehrium with infectious diseases, .
-
-
-
(6) Post-infectious psychoses
_
_
_
(c) Exhaustion delirium, .....
-
2
2
(d) Delirium of unknown origin, ....
-
-
-
(e) Diseases of the ductless glands,
-
-
-
(/) Cardiorenal disease,
-
-
-
(g) Cancer
_
-
-
(h) Pernicious ana?mia, ......
^
^
^
36
WORCESTER STATE HOSPITAL.
[Dec.
Table 6. — Psychoses of First Admissions — Concluded.
PSTCHOSES.
1
fe
m
1
1
fe
1
10
(o) Manic type,
2
7
(6) Depressive type
2
7
(c) Stupor,
-
-
id) Mixed type
-
-
(e) Circular type
-
-
14. Involution melancholia,
2
y
11
15. Dementia praecox, total
78
66
144
(a) Paranoid type,
34
74
(6) Katatomc type
21
36
(c) Hebephrenic type,
14
24
id) Simple type,
9
10
16. Paranoia and paranoic conditions, ....
1
1
2
17. Psychoneuroses, total
1
1
2
(o) Hysterical type,
-
i
ib) Psychasthenic type,
-
-
(c) Neurasthenic type,
1
1
18. With mental deficiency,
6
5
11
2
20. Epileptic, total,
6
4
10
(o) Deterioration, . . . . .
4
5
(6) Clouded states,!
1
4
(c) Other conditions,
1
1
4
16
6
8
10
22. Not insane, total,
24
(a) Epilepsy without psychosis, ....
1
-
1
(b) Alcoholism without psychosis.
4
5
(c) Drug addiction without psychosis, .
-
-
id) Constitutional psychopathic inferiority with-
out psychosis,
ie) Mental deficiency without psychosis,
6
11
if) Others
2
3
Total ....
253
174
427
1917.
PUBLIC DOCUMENT — No. 23.
37
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French, .
German,
Greek, .
Hebrew, .
Irish, .
Itahan, .
Japanese,
Korean, .
Lithuanian, .
Magyar, .
Mexican,
Pacific Islander,
Portuguese, .
Roumanian, .
Scandinavian,
Scotch, .
Slavonic,
Spanish,
Spanish- American,
Syrian, .
Turkish,
Welsh, .
West Indian, .
Other specific races
Mixed, .
Race unascertained
H
38
WORCESTER STATE HOSPITAL.
[Dec.
i
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German,
Greek, .
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Japanese,
Korean, .
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Magyar, .
Mexican,
Pacific Islander,
Portuguese, .
Roumanian, .
Scandinavian,
1917.
PUBLIC DOCUMENT — No. 23.
39
40
WORCESTER STATE HOSPITAL.
[Dec.
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1 i 1 1 1 1 1 1 1 1 -H 1 1 1 1 1 1 1 1 1 1 1 1 i rt
•saxButaj;
1 1 I 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 1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1
African (black),
American Indian,
Armenian,
Bulgarian,
Chinese, .
Cuban, .
Dutch and Flemish,
East Indian, .
English, .
Finnish, .
French, .
German, .
Greek,
Hebrew, .
Irish,
Italian, .
Japanese, .
Korean, .
Lithuanian,
Magyar, . .
Mexican, .
Pacific Islander,
Portuguese,
Roumanian,
Scandinavian, .
1917.] PUBLIC DOCUMENT — No. 23.
41
1 CO 1 1 1 1 1 1 1 >o 1
S
1 ^ 1 1 1 1 I 1 1 ^ 1
00
1 cq 1 1 1 1 1 1 1 -1 1
s
rH 1 1 1 1 1 1 1 1 !M 1
o
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o
1 1 1 1 1 1 1 1 1 1 1
■*
1 1 1 1 1 1 1 1 1 m 1
o
1 1 1 1 1 1 1 1 1 ^ 1
-
1 1 1 1 1 1 1 1 1 -H 1
o
1 1 1 1 1 1 1 1 1 1 1
-
1 1 1 1 1 1 1 1 1 1 1
-
1 1 1 1 1 1 1 1 1 1 1
-
t-C^ 1 1 1 1 1 1 1 CO 1
^
1-1 1 1 1 1 1 1 1 1 1 1
in
1 ^ I 1 1 1 1 1 1 CO 1
o
,,,,,,,,,,,
1 1 1 1 1 1 1 1 1 1 1
-
1 1 1 1 1 1 1 1 1 1 1
-
1 1 1 1 1 1 1 1 1 1 1
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1 1 1 1 1 1 1 1 1 1 1
-
Scotch, .
Slavonic, .
Spanish, .
Spanish-American, .
Syrian,
Turkish, .
Welsh, .
West Indian, .
Other specific races.
Mixed, . . .
Race unascertained,
1
42
WORCESTER STATE HOSPITAL.
[Dec.
I
■srB^ox
1 1 1 t~ 1 1 1 1 OO 1 1 (M^r~0 1 ^(M 1 (Mt-htK
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Traumatic
Senile
With cerebral arteriosclerosis
General paralysis
With cerebral syphilis,
With Huntington's chorea
With brain tumor
With other brain or nervous diseases
Alcoholic,
With other somatic diseases,
Manic-depressive,
Involution melancholia,
Dementia precox
Paranoia and paranoic conditions, ....
Psychoneuroses,
With mental deficiency,
With constitutional psychopathic inferiority,
Epileptic
Undiagnosed
Not insane,
H
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1917.1
PUBLIC DOCUMENT — No. 23.
43
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44
WORCESTER STATE HOSPITAL.
[Dec.
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1917.1
PUBLIC DOCUMENT — No. 23.
45
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46
WORCESTER STATE HOSPITAL.
[Dec.
i
1
1
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1 1 --< 1 1 1 1 I -H 1 1 1 1 1 1 1 1 1 1 1 1 1
c^
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1917.
PUBLI
C DOCUMENT — No. 23.
§
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1 jDioio 1 1 1 1 1 1 -1 1 1 1 o 1 1 rt-H 1 cq 1
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i
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Traumatic
Senile,
With cerebral arteriosclerosis
General paralysis
With cerebral syphilis,
With Huntington's chorea,
With brain tumor
With other brain or nervous diseases,
Alcoholic,
Due to drugs and other exogenous toxins.
With other somatic diseases
Manic-depressive,
Involution melancholia,
Dementia prsccox,
Paranoia and paranoic conditions, ....
Psychoneuroses,
With mental deficiency,
With constitutional psychopathic inferiority, .
Epileptic
Undiagnosed
Not insane
3
«««^«ot^«>a.o-««2;SS^22§^g3
47
WORCESTER STATE HOSPITAL.
[Dec.
l!
■si^^ox
, ,^1 ,,,,.,,,,--,,,,,, ,
•sai'Bm3j[
(M
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1 1 1 1 1 : 1 1 1 1 1 1 1 - 1 1 1 1 1 1 1 1
-
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Psychoses.
1 r ■ ■
. .| JJ,-S .| .^ J J .|l . . .
1 .i HtisMjIlB 1 111.2 i 1
3
— lMC0->J<u3tDI>.00C»O — (Mm-*iCCOt^c0 030 — gj
1917.
PUBLIC DOCUMENT — No. 23.
49
Table 14. — Psychoses of Readmissions.
Psychoses.
i
1
4
i
1
i
s
fe
^
%
fa
^
2. Senile, total,
5
2
7
(a) Simple deterioration
(6) Presbyophrenic type,
1
-
1
-
-
-
(c) Delirious and confused states.
4
1
5
{,d) Depressed and agitated states in addition to
deterioration,
-
-
-
-
1
1
3 With cerebral arteriosclerosis, .....
8
2
16
10
24
5. With cerebral syphilis
6. With Huntington's chorea
1
-
1
1
1
_
8. With brain or nervous diseases, total.
2
Cerebral embolism
-
-
Paralysis agitans,
-
-
-
Tubercular or other forms of meningitis,
-
1
1
Multiple sclerosis,
-
-
-
Tabes
1
-
1
Acute chorea,
-
-
-
Other conditions,
-
-
9. Alcoholic, total,
27
1
28
(a) Pathological intoxication, ....
-
-
-
(6) Dehrium tremens
2
-
2
(c) Acute hallucinosis,
13
-
13
id) Acute paranoid type,
-
-
-
(e) Korsakow's psychosis,
3
1
4
(/) Chronic hallucinosis
-
-
-
{g) Chronic paranoid type,
3
-
3
(h) Alcoholic deterioration,
6
-
6
(i) Other types, acute or chronic.
-
-
-
2
2
(o) Morphine, cocaine, bromides, chloral, etc.,
alone or combined,
-
2
(6) Metals, as lead, arsenic, etc., ....
-
-
-
(c) Gases
-
-
-
id) Other exogenous toxins,
-
-
-
11. With pellagra,
-
-
-
-
~
_
(a) Delirium with infectious diseases, .
-
-
_
(6) Post-infectious psychoses, ....
-
-
-
(c) Exhaustion delirium,
-
-
-
(d) Delirium of unknown origin
-
-
-
(e) Diseases of the ductless glands,
-
-
-
(/) Cardiorenal disease,
-
-
-
(3) Cancer,
-
-
[h] Other diseases or conditions, ....
-
-
-
13. Manic-depressive, total
13
27
40
(a) Manic type,
7
13
20
(&) Depressive type
6
12
18
(c) Stupor,
-
-
-
(d) Mixed type
-
1
(e) Circular type,
-
1
64
3
62
3
126
(a) Paranoid type,
25
33
58
(h) Katatonic type,
23
23
46
(c) Hebephrenic type
14
19
id) Simple type
2
3
16. Paranoia and paranoic conditions, ....
1
1
2
17. Psychoneuroses, total
-
-
-
(a) Hysterical type,
_
-
(6) Psychasthenic type,
-
-
' (c) Neurasthenic type
-
-
18. With mental deficiency,
6
4
10
2
20. Epileptic, total
1
3
4
(0) Deterioration,
1
2
(6) Clouded states,
-
2
(c) Other conditions,
-
-
50
WORCESTER STATE HOSPITAL.
[Dec.
Table 14. — Psychoses of Readmissions — Concluded.
Psychoses.
i
1
1
i
1
1
1
4
2
(a) Epilepsy -ivithout psychosis, ....
(6) Alcoholism wdthout psychosis,
(c) Drug addiction without psychosis, .
id) Constitutional psychopathic inferiority with-
out psychosis
(e) Mental deficiency without psychosis,
(/) Others,
1
1
2
1
1
1
3
Total
150
118
268
1917.
PUBLIC DOCUMENT — No. 23.
51
1
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ss
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WORCESTER STATE HOSPITAL. [Dec.
•sai^raaj
' ' ' ' ' ' ' ' ' ' '
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III
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Cause of Death.
General Diseases.
Facial erysipelas
Septicaemia from gangrene of left
Septicemia from cellulitis of face,
Septica3mia from decubitus, .
Pellagra
Tuberculosis of the lungs.
Miliary tuberculosis.
Carcinoma of intestines.
Carcinoma of uterus.
Carcinoma of tongue, .
Multiple epithelial carcinomata, .
Heat exhaustion, ....
Toxic delirium (due to alcohol), .
Diseases of the Nervous System.
Syphilitic cerebrospinal meningitis.
Cerebral hemorrhage, .
General paralysis of the insane, .
Hemorrhage into medulla, .
Exhaustion during manic excite-
ment
Diseases of the Circulatory System.
Chronic endocarditis.
Acute myocarditis.
Chronic myocarditis.
Arteriosclerosis
Cardio-thrombosis,
Cardiovascular renal disouso.
1917.]
PUBLIC DOCUMENT — No. 23.
53
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, 1 ,,,,,., , > i . i I < . , ■ , , , 1 1 ,
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„o.g5=c — ^-- c.^- c.
OO
-lOool 1 , 1-1 1 1 11 . - - g
..^O — ^.- --1,-1 „ , , g
Diseases of the Respiratory System.
Acute bronchitis, ....
Chronic bronchitis.
Broncho-pneumonia,
Lobar pneumonia.
Tubercular pneumonia.
Pleurisy with effusion, .
Pulmonary abscess.
Pulmonary oedema.
Pulmonary infarct.
Pulmonary syphilis.
Diseases of the Digestive System.
Acute indigestion and chronic ne-
phritis,
Gastric dilatation with cardiac pa-
Capillary hemorrhage of the stom-
ach
Enterocolitis
Intestinal obstruction, .
Biliary calculi, ....
Suppurative cholecystitis,
Diseases of the Genitourinary
System.
Acute nephritis, . . .
Chronic interstitial nephritis,
Ulcerative prostatitis and myocar-
dial degeneration.
Accidents, Violence and Sudden
Deaths.
Asphyxiation (food in trachea and
bronchi)
Formaldehyde poisoning and lobar
pneumonia (suicidal attempt pre-
vious to commitment),
Multiple injuries (suicidal attempt
previous to commitment), .
J"
^
54
WORCESTERiSTATE HOSPITAL.
[Dec.
1
I
I
0 "^
•sF^ox
« lllioDiriiiii i-^ii 1 c-jiiiii
■saiBraa^
rt 1 1 1 1 ^ 1 1 1 1 1 1 1 1 -. 1 1 1 (M 1 1 1 1 1
•sai^H
' 1 1 1 1 -^ 1 1 1 1 1 1 1
z ;3
0 J
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1 ' ' 1 1- 1 " II 1 - 1" 1 1 1
•sai^raaj
1 i I < > > I 1 1 1 1 1 1 1 1 1 1 1 -.11,1,
•seiBK
, ,111-^11,,,,, , , , , 1 ,,„,,,
is
■SIB^OX
^ ,^,-^,1-1,,, ,^,, « ,-H,,,,
•sai^raa^
'-'^'^"''^'''' '-11-^
•saiBK
' 1 1 1 1 - 1 1 1 1 1 1 1 1 -1,1,
hi
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, ,,,,,,,,,,,> , , , , , ,,,,,,
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1 ,,,,,,, 1 1 ,, 'l , , , , 1 ,,,111
<
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, 1 , , 1 1 1 , , , , , , ,111 ,
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, , 1 1 , , , , , 1 1 1 1 , , , , , ,,,111
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1 1 , , 1 1 , 1 1 , , ,
« S 0 i«
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, ,,,,,,, 1 1 , 1 , , , , , 1 ,,,111
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.11,,,, , , ■ . , ,
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II,,,, , , , , 1 1 r 1 1 1 1
1
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, ,,,-.i-ii,,i« >,,, , ^,„,||
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m
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O
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General Diseases.
Facial erysipelas
Septicemia from gangrene of left
Septicemia from cellulitis of' face!
Septicemia from decubitus, .
Pellagra
Tuberculosis of the lungs.
Miliary tuberculosis.
Carcinoma of intestines.
Carcinoma of uterus,
Carcinoma of tongue, .
Multiple epithelial carcinomata, .
Heat exhaustion, ....
Toxic delirium (due to alcohol), .
Diseases of the Nervous System.
Syphilitic cerebrospinal meningitis.
Cerebral hemorrhage, .
General paralysis of the insane, .
Hemorrhage into medulla, .
Exhaustion during manic excite-
ment,
Diseases of the Circulatory System.
Chronic endocarditis.
Acute myocarditis,
Chronic myocarditis,
Arteriosclerosis
Car d io-th rombosis ,
Cardiovascular renal disease,
, ,^«, , , , , , , , , ,^, , , , , , ^ ,
1
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2
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lO
1 1 - 1 1 1 1 1 1 1 1 1 1 1 1 1 1 III , II
^
1 1 1 -H 1 1 1 1 1 1 1 1 1 1 1 1 1 III 1 II
c
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''''''-'■' ''-^ ' 11^
1 1 1 1 1 1 1 1 1 1 1 1 1 1 . 1 1 - , , 1 11^
11,11,111, 1,11 1 , , 1 ,
1
^
111,11,111 1 1 , , 1 1 1 III 1 1 1 1 1
1
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' " ' " ' ' ' ' 1 ' .
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'
ll^'i'lll' -III, 1 ,,c.
1 , « 1 1 , 1 1 , 1 1111,11 III , II
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, le. , 1 1 , , 1 1 - , 1 , , 1 1 III 1
CO
1 1 -t II 1,11-11 III 1 II
--
'''''''''' ' ' '
'
' ' ' "^
"
Diseases of the Respiratory System.
Acute bronchitis
Chronic bronchitis.
Broncho-pneumonia,
Lobar pneumonia,
Tubercular pneumonia.
Pleurisy with effusion, .
Pulmonary abscess,
Pulmonary oedema.
Pulmonary infarct.
Pulmonary syphilis,
Diseases of the Digestive System.
Acute indigestion and chronic ne-
phritis,
Gastric dilatation with cardiac pa-
ralysis,
Capillary hemorrhage of the stom-
ach,
Enterocolitis,
Intestinal obstruction, .
Biliary calculi, ....
Suppurative cholecystitis,
Diseases of the Genitourinary
System.
Acute nephritis
Chronic interstitial nephritis,
Ulcerative prostatitis and myocar-
dial degeneration.
Accidents, Violence and Sudden
Deaths.
Asphyxiation (food in trachea and
bronchi),
Formaldehyde poisoning and lobar
pneumonia (suicidal attempt pre-
vious to commitment),
Multiple injuries (suicidal attempt
previous to commitment), .
1
56
WORCESTER STATE HOSPITAL.
[Dec.
^ o «>
c <o
•sa^Bj^
•siB^ox
■sa^Bina^j
•S9fBpj
•siB^ox
•sa^Btaa^
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liiiJ
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17.] PUBLIC DOCUMENT -No. 23.
1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 III 1 1 1
, [
'''''' ' ' ' ' ' ' ' ' ' '
'
' ' ' ' 1 1 1 1 1 1 1 11' 1 1 '
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Diseases of the Circulatory System.
Chronic endocarditis,
Acute myocarditis,
Chronic myocarditis,
Arteriosclerosis,
Cardio-thrombosis,
Cardiovascular renal disease,
Diseases of the Respiratory System.
Acute bronchitis
Chronic bronchitis,
Broncho-pneumonia,
Lobar pneumonia, .......
Tubercular pneumonia,
Pleurisy with effusion,
Pulmonary abscess,
Pulmonary csdema,
Pulmonary infarct
Pulmonary syphilis
Diseases of the Digestive System..
Acute indigestion and chronic nephritis.
Gastric dilatation with cardiac paralysis.
Capillary hemorrhage of the stomach.
Enterocolitis
Intestinal obstruction,
Biliary calculi,
Suppurative cholecystitis,
Diseases of the Genitourinary System.
Acute nephritis,
Chronic interstitial nephritis,
Ulcerative prostatitis and myocardial degeneration,
Accidents, Violence and Sudden Deaths.
Asphyxiation (food in trachea and bronchi), .
Formaldehyde poisoning and lobar pneumonia
(suicidal attempt previous to commitment).
Multiple injuries (suicidal attempt previous to com-
mitment)
3
H
57
58
i
W(
DRCES1
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^ER
STATE HOSPITAL.
p
o
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in
i
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l<olll]'^lllll^lllllll
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o.
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[Dec.
1917.
PUBLIC DOCUMENT — No. 23.
59
i
a
o
■SIB^OX
1 i>
«,,,,,,
, , , , ,^^, , , ,
s
•sai^raa^
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o
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00
i
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o>
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-
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i
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1 ocq 1 1 1 1 1 1 1 1 1 ^ 1 1 1 1 1 1 1 1 1
s
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2
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2
i
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,o«, ,,,,,,, I^C., ,,,,,, ,
s
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1 -K 1 1 1 1 1 -1 1 1 1 1 <?^ ^ 1 1 1 1 1 1 1 1
-
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00
i
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— --' '-"' ' ' — ' .^1,1.
s
•saiBraa^
— '''■'-'''-'-
s
•sai^H
=
4
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''--''''-'' ' — ' ' ' '-■
2
■sa|Buiaj[
,, ^^ ,,,,,,,,«,, ^ ,,,, c, ,
00
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1 1- 1 1 1 1 1-1 1 1 l«^-H 1 1 1 1 1 1 1
m
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S
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,^ , , 1 1 , ,^ , 1 l^^„ 1 , , , , , 1
^
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i
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o
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-
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CO
i
s
(5
i
With cerebral arteriosclerosis,
General paralysis,
With cerebral syphilis,
With Huntington's chorea,
With brain tumor,
With other brain or nervous diseases
Alcoholic
Due to drugs and other exogenous toxins, .
With pellagra,
With other somatic diseases
Manic-depressive,
Involution melancholia,
Dementia prsecox
Paranoia and paranoic conditions, ....
Psychoneuroses,
With mental deficiency
With constitutional psychopathic inferiority,
F.nilentic
If
^1
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rne^
CO ■* o to t^ 00 CO
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;5?^
II
60
WORCESTER STATE HOSPITAL.
[Dec.
."&
i
i
•sib;ox
1 C<1C01M 1^1 1 <NI 1 1 1 rtCKlrtrt 1 MrH 1 1 1
oo
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o
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1 1 mci 1 1 1 1 -i 1 1 1 1 -( 1 1 1 «^ 1 1 1
Ol
i
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1 rJIOCq 1 1 1 1 <M 1 1 1 COMrt 1 1 rH 1 1 1 1
^
•saiBuiaj;
1 Mc^m 1 1 1 1 1 1 1 1 (rq 1 1 J 1 1 1 1 1 1
o
•saiBH
Irt^OI 1 1 |C<1| 1 l^MrMI 1^1 1 1 1
s
o
i
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1 .* coco 1 1 1 t 1 1 1 1 <-l 1 1 1 1 1 1 1 1 1
-
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«
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i
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a.
■sa|Bni3^
1^- 1 1 1 1 1 1 1 1 1 1 1 - 1 1 1 1 1 1 1
CO
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"^"^'-' 1 ' 1 1 1 1 1 1 1 1 -- 1 1 1 1 1 1 1
o
i
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s
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05
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s
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g
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s
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s
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g
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1 2^j;:;g^-"-' 1 '^» 1 1 -H^com 1 1 c<i^ 1 i 1
§
P
i
g
E
->
B
1. Traumatic,
2. Senile
3. With cerebral arteriosclerosis, ....
4. General paralysis
5. With cerebral syphilis
6. With Huntington's chorea, ....
7. With brain tumor,
8. With other brain or nervous diseases,
9. Alcoholic
10. Due to drugs and other exogenous toxins,
11. With pellagra,
12. With other sonaatic diseases
13. Manic-depressive, ......
14. Involution melancholia,
15. Dementia prsecox,
16. Paranoia and paranoic conditions,
17. Psychoneuroses,
18. With mental deficiency,
19. With constitutional psychopathic inferiority, .
20. Epileptic,
21. Undiagnosed,
22. Not insane
3
1917.]
PUBLIC DOCUMENT — No. 23.
61
i
3
•spiox
1 ' ' ' ' ' ' '- '1
-
■saiBmaj;
1 1 1 1 1- 1 1 1 1 1 1 1
-
•saiBK
1 I I 1 1 1 1 < 1 1 1 1 > 1 1 1 1 1 1 1 1 1
'
i
•siB^ox
1 1 1 1 1 1 1 1 1 1 1 I > 1^ 1 . 1 1 1 1 1
-
•sai^raaj
' ' 1 1 1 1 i« 1 1 1 1 1 1 1
"
•saiBiv[
' ' 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
'
t
^
•si^^oi
1 1 1 1 1 1 ' 1- 1 1 1 1 1 '
-
•saiBraaj
'■'■''' 1 1 1 . 1 . 1
■sajBH
1 1 1 ' 1 1 1 1 '-' 1 1 1 1 1 1 1
"
S
^
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1 1 1 1 1 1 1 1 1 1 . 1^ 1 1 1 1 1 1 1 1 <
-
•sai'Braaj[
1 1 1 1 1 1 1 1 1 1 1 1 l-H 1 1 1 I t 1 1 1 1
-
■sai^M
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 J 1 1 1 1 1 1
1
t
•eiB^ox
1 1 1 1 1 1 1 1 1 1 1 1 1 1 'H 1 1 1 1 1 1 1
-
•SaiBUI3j[
1 1 1 1 1 1 1 1 1 'H 1 1 1 I 1 1 1
-
•sapsH
r 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
'
i
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1 1 -H 1 1 1 C^ 1 -J--! 1 1 1 1 1 1
CO
•saiBuiaj
, ,^, ,,,,,,, ,^, «-,,,,, ,
»
•sai^H
1 1 1 1 1 1 1 1 1 1 1 1^ 1^ 1 1 1 1 1 1 1
^
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-CO^.., , ,^, , , 1..^^, , , ,^, ,
S5
•saiBuiaj[
-^^"^ --'^ ,,.,-..
s
•sai^IAi
IC^^ ,, 1^ ,,,,,,«,,,,,, ,
t^
1
Traumatic,
Senile
With cerebral arteriosclerosis
General paralysis,
With cerebral sypbiHs
With Huntington's chorea, ....
With brain tumor
With other brain or nervous diseases,
AlcohoUc,
Due to drugs and other exogenous toxins.
With pellagra
With other somatic diseases, ....
Manic-depressive,
Involution melancholia
Dementia prsecox,
Paranoia and paranoic conditions, .
Psychoneuroses,
With mental deficiency,
With constitutional psychopathic inferiority, .
Epileptic,
Undiagnosed
Not insane,
3
H
-(M«.Tj.U50t,COOO-«CO^mtOt^QOOOjHC^
62
WORCESTER STATE HOSPITAL. [Dec. 1917.
Table 19. — Family Care Department.
Remaining Sept. 30, 1916, ....
Admitted within the year, ....
Nominally returned from visit for discharge.
Whole number of cases within the year,
Dismissed within the year, ....
Returned to institution, ....
Discharged,
Died,
Visit
Escaped
Remaining Sept. 30, 1917, ....
Supported by the State
Private
Self-supporting,
Number of different persons within the year.
Number of different persons admitted.
Number of different persons dismissed.
Daily average number, . . . * .
State
Private,
Self-supporting,
-
2
-
45
-
31
-
8
-
6
4
69
3
24
4
27
23
46.86
-
34.55
-
5.88
23
6.43