Skip to main content

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

See other formats


;  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. 


Digitized  by  the  Internet  Archive 

in  2010  with  funding  from 

University  of  IVIassachusetts  Amherst 


http://www.archive.org/details/annualreportoftr120worc 


®()e  Commonrocaltl)  oi  illa00acl)U0ett0» 


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 

1      ^ 

m 

p|5 

§     § 
1     S 

w 

^" 

it 

§  § 
i  i 

1 

1 
< 

ii 

ii 

CO       tB 

i 

n 
O 

t 
1 

^  i 

pq 

Q 


W 


o  '^ 


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 

•sa|Buia^ 

E  ,g|.|,  ...«..88 

i  W" ' 

■saiBH 

o      oqrt-3f      Tj(  CO           .-1                   Ti<m 

< 

3 

•siB^ox 

CO      ^   1  ^   1  «^        1     1     ,  co^   1  ^   1 

§§''''      ' 

•sa^stuaj; 

1       ,^1^1  ^„        ,|||_|„| 

O        O    1      1      1      1            1 

■SB\^n 

"■ "        ■"--'             S      S 

< 
p 

z 
< 

•si^^oj, 

1          COCq^     1    >0.0          1      1      1    (M    1      1    (MCO 

g       g    ,   CO.O    ,        - 

•saiBmaj 

1          1  c,^,    1  o.«        1     1     1  «    I     1  «    1 

22       OO    ,      lO,    ,           1 

■sai^H 

1          CO    1    CO    1    COCO          1      1      1      1      1      i      1    CO 

c^         '       cq 

k 

•STB^ox- 

1,093 

427 
268 
695 
15 
710 
2,403 

99 
102 
84 
23 
96 
168 
632 
1,771 

1  t^s     - 

•saiBraaj; 

C3     .^00l^^!MTi^CO        OO-J^iMCOCOOOCOO 

•saiBM 

^    |S§"||    S|S^f2§|g 

S    §"S^|    2 

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 


rt  00510-H  tOO0t~CO00        1-H 


g"-"  '  '1°^  -'-'--  § 

1       1       1       1        1        I        1     TlHrHCO             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     CO     1     «)             1       1       1       1        1        1        1        1               1 

«   1     1     1     1     1     1  ««cq      ^,1,1^11         1 

1  1  1  1  1  1  1  =^«^    1  I  1  1  1  1  1  1     1 

^    1      1      1      1      1      1    COM    1          ^    1      1      1      1    ^    1      1            1 

COlOQOlO'-HCDOOCVJOOi 


'£i' 


ell  s-S 


oft 


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 


1 

•si^^ox 

•eai^raa^ 

■sai^pt 

•si^^oj, 

•sa^Buiaj 

•sai^H 

•SlB^Oi 

1111 ^  1    ,    1  ^  1    1    1    1 1 111111 

c. 

•sai^uia^ 

1    1'    1    1    1    1    1    1    1    1    1    1    1  -^ 11 1 

- 

•sai^H 

1 

•sii3^ox 

"   ' «^o^^^.^^    llllli-l^lcolllllll^i 

^ 

•sa|T3ra8j[ 

="'''''''''^'''^'''''''^'^'' '^' 

■* 

■sa^BH 

g 

< 

III 

pi 

■si^^ox 

cc 

s 

•sa^Buta^ 

3 

•saitjpi 

'''''''      '^    '°°^    '      '"^    '''      ' 1      1      1      1      1      1      1      If:;- 

S 

i 
1 

•srB:>ox 

'      '      ' «    1-    .      1     l« 1      1      1      1      1« lu,, 

S 

•saiBmaj 

IIIlllllCQIIlllO (MIlllllllOI 

^ 

•saii3H 

1      1      1      1      1      1      1      1    M    1    -^    1      1      1    M    1      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1    lO    1 

3 

5 
s 

•sib:>ox 

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      I      1      1      1      1 

' 

•sai'Buiaj[ 

11''' 1      1      1      1      1      1      1      1      1      1 1      1      1      1      1      1      1      1      1      1      1 

1 

■saiBH 

'''''''' 1      1      1      1      1      1      1 1      1      1      1      1      1      1 

' 

5 

•si^^ox 

-'-'«'  '  '^3S-;^»g2'  '-'  '  '-'S-S'  '  -'  '  '^- 

§ 

•saiBuia^ 

«,-,     1     1    1    loo^^l-^^^,     11,,     ,co,a=f^o ,    ,£;c 

^ 

■saiBM 

-   '  -   '  -   '    1    '  SS^=°2^^-  ,    1  c   ,    1    ,    ,    ,  o   ,  g  1    ,    ,  «   ,    1    ,  ^- 

i 

Pi 

African  (black), 
American  Indian, 
Armenian, 
Bulgarian, 
Chinese,  . 
Cuban,    . 
Dutch  and  Flemish 
East  Indian,    . 
English,  . 
Finnish,  . 
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 

1 

§ 

■4    . 

is 

•ei^^oi 

(M    I      1      I    (M    1      1      1    ratOU^    1    W51O00U5    1      1^1      1      1    rH    1    t- 

■saiBuia^ 

^    1      1      1      1      1      1      1    CO(Mt-    1      1    (Mt-Tj<    1      1      1      1      1      1    ^    1    CO 

•sapH 

-1    1      1      1    (M    1      1      1    (MTKOO    1    ^m^^    1      1    rt    1      1      1      1      1    T)( 

lad 

O  J 

•SIB^Oi 

ll-H -^1-HlllMllllllllll 

•sajBuiaj 

ll-H|l||lrt|^l|lCO 

•saiEpt 

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 

■siB^ox 

1      1      1      1      1      1      1      1      1    -htH    1      1      1    ,-h 1      1      1      1    rt 

•seiBras^ 

1      I      1      1      1      1      1      1      1    -HCO    I      1      1    ,-1    1      1      1      1      1      1      1      1      1      1 

•sai^I^ 

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

iii 

ill 

■sf:>ox 

1      1      1      1      1      1      1      1      1    ,-1    1      1      1      1    ^ Ill 

■sa|'Buiaj[ 

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

•sai^H 

1      1      1      1      1      1      1      I      1    ,-H    1      1      1      1      1      1      1      1      1      1      1      1      1      1      1 

K  ^ 

■^vs^ox 

1      1      1      i      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1      1 

•sa^Buia^ 

1      1      1      1      1      1      1      1      1      1 1      1      1      1      1      1 

•sapM 

III 1      1      1      1 1      1      1      1 

B  H  g  ■ 

■siB^ox 

'•'''■'' .111.11. 

•saiBraa^j 

''''''''''' '      '      ' 

•saiBM 

6 

3 
o 

•siB^ox 

.....      1      1      .«...,      ,«l      1      ,      1      ,      1      ,      1      IC 

•sai'Bniaj[ 

1        1       1        1        1       1        1        1        1       1        1        1        1       1    «     1        1       1        1       1        1        1        1       1    -H 

•sap3H 

1      1    rt    1      1      1      1      1    CCC<)(M(M    1      1    jH    1      1      1      1      1      1      1      I      1    r-. 

K       g 

•si^^joX 

1      1      1      1      1      1      1      1      .      1    T-<    1      1      1      1      1      1      1      1      1      1      1      1      1      1 

•sapraajj; 

III 1      1      1      1      I      1      1      1      1 

•saiBH 

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

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. 


39 


40 


WORCESTER  STATE  HOSPITAL. 


[Dec. 


d 
o 

1 

1 

1 

m 

'A 

% 

•siB^ox 

1    1     1    1    1    1    1    1  cc-.(N   1  e<i   1  Tnco  1     1  -^  1     1    1    I    1    1 

•saferaa^ 

Illlllll'-'I-Hi^llll 

•sgpspi 

,,,,,,,     ,„.^,.,^„,     ,.,,,,,, 

o 

s 

•siB^ox 

" "    ,-,^,..,    ,,,,,,,,, 

■saYButej 

,,,,,,,,,,.,,     ,o,,    .,,,,,,,     , 

•ssi^M 

'''"'"''"'- "    • 

1 

•sib:>ox 

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

•sai^raaj 

•sai^H 

''''■''     1..,^,^,-,    , ,    ,    , 

B  BO  g 

nil 

•srs^fox 

1          1          1          1          1          1          1          1          !      T-'       1          1          1          1          1          1          1          1          1          1          1          1      ^       1          1 

•sareuia^ 

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

•serBH 

'''''''''-''■'  1 ' ' ' '  i 

<  f- 

•ei^^oj, 

-H     1       1       1       1        1        1        1        1     «^     |_|^1||||||||^ 

•saiBraaj 

-illllllll^llllrtlllllllllrt 

•sapJH 

III ^  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 , , 

•sa^Braa^ 

- ,  1 ,,,,,., , 

•  -sai^H 

'■''■'' ,  1^1 ,,,,,,  11 1 

2   . 

o  <  o 

S;  K  S 

iii 

•siB^ox 

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    ^ 

•sai^H 

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 

.-H     1       1       1       1       1       1       1       1    =0     1 

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 

C<1 

1       1       I       1       1       1       1       1       1       1       1 

- 

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 

^ 

.saiBuia^ 

1      1      1    £N     1      1      1      1    rt    1      1    CT^t^t^    1      1^1      1      1    ^ 

s 

■saiBH 

, , ,^1 , , ,^, , , , ,«,^^,C^„ 

g3 

s 

^ 

•siB^ox 

■* 

•sa^'Buiaj 

,  ,^^, ,,  ,^, ,,«,..,  ,^, ,  ,^ 

g 

•sa|BM 

S 

S3 

•siB^ox 

'''-''■' 2 '-'-' S? '-■' — 

S 

•saiBuraj 

lll-lllllll-tlllMI-Hll    (Mrt    1 

S 

•saiUH 

IllrllllljolllC^I^IIIII    rt-* 

00 

J 

■siB^ox 

,      ,      ,0,1      ,      1      ,„,^|^,^|      ,^    ,„^- 

'g 

■sajBuia^ 

,,,,,,■,,,«,-,    ^^    ,,,,    ^    ,      , 

2 

■ssYejfi 

,,,o,,,,,«,,,,,r^,     1^1 

g 

1 

•si^^oi 

'    '    • -,    .^Cg^l    ,^^^,« 

|3 

•sai^raa^ 

1       1       1       1       1       1       1       1       1       1       1       1    C<1     1    O     1       I    ^r-lrH     1    Cq 

1=5 

•sai^K 

1       1       1       1       1       1       1       1    TH     1       1    rH     1       1    CO     1       1       1       1    rH     1    CO 

?; 

i 

■SYB^OJ, 

lIllllllllll^loilMlllcq 

s 

.sai^maj 

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

CO 

■sajBH 

1  '  V  '■'''''''"-''"'''  ^ 

=■ 

3 

1 

■s^ox 

,,,,,,,,,,,,,,,,,,,,,, 

1' 

.saiBuiaj 

1   1   1   1   1   1   1   1   1   I   1   1   1   1   1   1   1 

1' 

•sai^I^i 

1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    r    1 

1' 

4 

1 

•SIB^OX 

,  coo^c.  ■  ,  ^g  ,  o,^2;;:^^^;:«S2S 

•* 

.saiBina^ 

l^^^^l    1    |>o  ,c.cooo,g^-«^^oc« 

.sai^H 

l^go-i     l-SI     1-^O.g^^O^O^CO 

s 

i 

1 

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 

,-HNccTt<iO=ot-a3ffio-.?qc22;«2^SSSS5j 

1917.1 


PUBLIC  DOCUMENT  —  No.  23. 


43 


a  6 


C3  g  c3  B +J^ 


mm 


^8 


ftg-S-^ 


■g'gSK^ojoftoisg'gjSoftg'S 


44 


WORCESTER  STATE  HOSPITAL. 


[Dec. 


•si^;ox 

1  cnocn^  1    1    1  M  I 

1  co-^>o  1 

«^c 

.^ 

t^ 

•saiBinaj 

1  lomiM   1    1     1    1    1    1 

1    M    i    t-    1 

^     1    r-.     1       1 

s 

•sai^H 

l-*«r-^   1     1     ic.   1 

I^^CO    , 

O,^^^     1 

^ 

•siB^ox 

1      1    CTC^l    1      1      1      1      1      1 

1        1        1     -H     1 

1       1       1^     1 

to 

•sai^ma^ 

1    1     1    1     1     1     1     1    1     1 



<       1       <       ,       < 

' 

•S9IBH 

.    I««   ,     ,     1    ,     ,     , 

111-^1 

1       1       i    ^     1 

«= 

■i 

•siB^ox 

lo^co,     ,     ,     ,     ,«, 

'--2' 

,       ,       ,       ,C 

s 

•ss^Braa^ 

IC-,  ,  , , , , , 

,c,c.o, 

1       1       1       ,- 

-* 

•S9IBH 

1 IC 1 1 , , 1^  1 

1    1    1  o  1 

1       1       1       1    -. 

o 

if 

•siB^ox 

'  Sg?J  '  '   '  -g5  '  -"=°^g-—  1  ot-c. 

s 

■S81Bra9j[ 

1  ^OOJ  1    1    1     1  N   1  rtcccOTt<^-H   1     1     1  (N«icq 

s 

•sai^M 

1    "5NO0    1      1      1    rtg    1      1      1    CO    1    ^    1    ^^    1    '^IMO 

a 

il 

■SIB^OX 

1    ««^    1      1      1      1    -*    1    ,-<«CO^t;jT-irt>i<^(M    1    to 

. 

•soiBraa^ 

,...,,,     ,.,.,„coco,.«..,c 

J^ 

•saiBH 

CK, 

•SIB^JOJ, 

'— -'  "^ S'  ■"'  '-- 

s 

•safBina^ 

,    «     ,    ^^     ,       ,       ,    ^     ,       >       ,       ,       1    u,     ,       ,    «     ,       ,    -,0, 

2 

•S3IBIVT 

^ 

1 

■si^^^oj, 

'  SS^*^  '  1  -S  1  '^^s^^^'^;^=^2SS 

§ 

■SS|Bra8J 

1  ^Tii-*,-!  1    1     1  lo  1  cqc<3005cOrtrtiOrt-*asoo 

S 

•SGl^M 

'- 

-o^  ,    l-gl    l^^«=o^^o^=o^2 

i 

s 
1 

.2 

03  > 

IS 

i 

J 

i 

1 
©-= 

^  1  1 

llliil 

^o  i,  3  s  2  S 

■1 

11 

si'l 

1 

1 

1 

r-HC^ 

m^ 

>0OIr-00  0- 

S;:322S2S^S2S 

^ 

11 

1917.1 


PUBLIC  DOCUMENT  — No.  23. 


45 


•si^iox 


(Mrt  MIO. 


•E9|'BJ<I 


•sa^Btne^ 


•sre^ox 


>o   I  eqcooc 


>  T-l  M  lO  rt  ■*  to  c 


•sa^Bj^ 


a.tS  S 
5  3  o  p 


S  g  §M^  o  o  o  ft-g  V-g  g-g  o  e  g-g^Mg    ^ 
«  ©  .t;  .t;  .t: . «  o  s  .t; .«  s  5  <u  h  g?.^ . «  3,  c  o 


— ICMCOTtoOOt^OOOSO- 


46 


WORCESTER  STATE  HOSPITAL. 


[Dec. 


i 

1 
1 

•SIB^OJ, 

1       1     --<     1        1       1        1       I     -H      1        1       1       1        1       1       1       1        1       1        1       1        1 

c^ 

•B8IBUI9J 

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

- 

6S 

•saiBH 

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

1 

i 

<• 

u 
i 
1 

o 

•sib:jox 

'=°SS^  '  '  'g  '  i^-^S^^'^  '^-^^^ 

i 

•saiBraaj 

1    MIOMJ    1      1      1      1    rt    1      1    (NOCOM     1      1^1      1    '^    1 

^ 

1 

■sa[T3H 

'"S^^'  '  'S'  '  '^^g — '^"=° 

B 

i 

% 
g 

•sib:>ox 

.oo«,    ,    ,^^,^c.^.-5;,^^,o«2 

S 

•saiBuia^ 

1    -^-^Cn    1      1      1      1    ^    1    rtrHlOCO«    1    rtt-H     1    c<3-*-* 

8 

•sei^H 

I    WStOro    1      1      1    -H-H     1      1    ,-ic^,-,^    1      1    CO    1    M-^00 

s 

1 

■SYe%oj, 

1    jHOOr^     1      1      1    (M    1    ^    1      1      1    COrt    1    U5<NC«0-H5O 

s 

1^ 

•S3IT3tU8J 

1    t-TP(N^     1      1      1      1      1    ^     1      1      1    >«^     1    CO^^^'H 

5 

•sai^M 

1    -*USTh     1      1      1      1    Cd     1      1      1      1      1    m     1      i    (Mt-<(M     1    C<1 

^ 

4 

1 

■si^^ox 

,    OO^C     ,      ,    ^g    ,    C.^2^^C.«;^0.00^ 

§ 

•saiBinej 

1^33^1      1      lO    IC.«OOg-^^^^»C0 

s 

•S8IBH 

l^^o^l    l^«l    i^^cg^^co^o^o 

i 

■I 

o 

tH 

e1 

i 

1 

s" :§■■■ 

i-l ••■I--- 

i.i s..|... 

•1--|-i-M-|-i-il--- 

•iililiiiliUI--- 

y|iiiiiiiifillliiill 

IliliiiilliilllUilll 

H 

,-icciw*iotot-.oocnoj-.ff2S2;S2^222ScqM 

N 

1917. 


PUBLI 

C  DOCUMENT  — No.  23. 

§ 

•sa^Braaj[ 

1  jDioio  1    1    1    1    1    1  -1  1    1    1  o  1    1  rt-H   1  cq   1 

CO 

•sai^H 

1    -HC50CD    Illllll^llOOIIII^Irt 

s 

1 

•si^^ox 

lOOO    1      1      1      Ig    1      1      IM^«    ,      1^    IC^C. 

3 

•sa^Buiaj 

'—   '     ,,,«,,     ,^,o,     ,^,     ICCO 

s 

•saiBH 

1^0.0.    1      ,      1     l«    1      1     IC.^«    ,      ICO    ,«coo 

2 

13 

•s^^ox 

1  ooggsN   1    1  .^  1    1  r^m-iogeqiNTH^^t-MO 

» 

■saiBma^ 

1  ooooo^   1    1    1    1    1  rtco02aJO.^^,-H   1  ThNiO 

2 

•sai^H 

,0.00^^     1,^11,       IC^^r^^C^^CC^^ 

- 

1 

i 

•smox 
•sa^TJuia^ 

S 

' ' ' ' '  1  i ' > ,  1  ,^, , , , 

- 

•sai^H 

1    C^-l     llll Il^ll^lll-H 

Ol 

1 

•smox 

..^o^c  ,    ,  ^g  ,  c^2;;h^..c.^..oo^ 

§ 

•sapjraaj 

1  ^^;*^  1    1    1  .o  1  (ro«oo=g^^.«^^cooo 

s 

■saiBH 

IS^o-l     l-SI     l-^C,g-..0^0^50 

i 

i 
1 

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 

■S3IBH 

1    1    1    1    1    :    1    1    1    1    1    1    1  -  1    1    1    1    1    1    1    1 

- 

0 

o 

a 

•sib:>ox 

i'i'^''''-'iii'^'' 

CO 

•saiBni9j[ 

- 

- 

•sarepi 

1    1    '  -"  1    1    '    '  -^  '    1    '    '    ' '    ' 

(M 

t 

•sib:jox 

11-1,    11,    1111.    1^,1,    111- 

CO 

•sapraa^ 

1    1    1    1    1    1    1    1    1    1    1    1    1    1  "-<  1    1    1    ,    1    1  — 

c. 

•saiBK 

1    1  -  1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1 

-" 

Q 

a 
1 

•si^^oi 

,00,^-1     1      lOl      ,--c.»-l     ,11-- 

§ 

•S8I'Bni9j[ 

,  200,-1     11,1     ,— c,«-,     ,     1     ,— 

g 

•saTBM 

l^r—  1     1    1     ,»   1     1    1     1    1-   1     1    ,    1    1    1     1 

i^ 

1 
1 

•si^^ox 

"^?3S^  '    l-g  l-«««^"-^-'o^o 

s 

•sapsOTG^ 

,«»f-  1    ,    ,     i«  i-c^^r^  ,-co  ,^^i« 

§ 

•saiBH 

"°g2-  '    l-S   '    '    '"-g-   ,c,-«o,r- 

s 

■si'B:jOi 

1  oscc^  ,    1     1    1  2  1  —  —  "5COOO  ,  — t-  — loiojq 

^ 

•saiBuiaj[ 

,    to  — TJ<    ,,,111—1    TCM—    ,      1    CO  — NTOCO 

s 

•sapH 

1    WNO    I      1      1      ,    2    1      1    ^'^    1    E;    '   '^■^    1    M1M05 

s 

1 

■si^^ox 

1  go^c.  ,    ,  -g  1  c.^2-5c.«-«oo^ 

§ 

•saxBraaj; 

1  ^;*;2;'^  ,    1    ,  «n  1  c^cooog  — —  o  — Tt<tooo 

t- 

•sai^H 

'2^^^'  "-S'  ,-^«g  — o-o^2 

i 

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 
g 

•SIB^fOX 

,    1    ,    ,    ,    ,    ,    1    ,    1    1    1    1    1    ,    1    1    1    1    1    i« 

ss 

•sai'Braai[ 

"'""'""'"' - 

o 

•saiBH 

''''■''''''''''''''''- 

" 

i 

•sp^ox 

IIMOTPT      1      I^Ol      1      |Nlffl«^CO-H^,^| 

s 

•saiBuia^ 

'"- -..■-  —  ■ 

?? 

•sapK 

s 

H 

•smox 

1    ,o«^  111-^1    IS=°§'    'S^-^  '    ' 

2 

•sa|Bui9^ 

,      ICO«    1      ,      ,      .^    1      1      I^C^O    ,      IW^O,    ,      1 

g 

•saiBM 

1      1    OO-H    1      1      1    MC<1    1      1    0^;J    1      1    Ot^CO    1      1 

2 

1 

•sib:jox 

1    1     1    1    1    1    1    1  rjHc<i   1  ■neO'M   1    1  CO  1     1    1  co  1 

§ 

•S8iBraaj[ 

,,.,,.,     ,^-,co^«,     ,«,,,,, 

oo 

•sei^H 

'•'■■''  '^-'-- '"' 

1 

■si'b:^ox 

'  "^32-^  '  '  -S""  '  '»s"'2'^'*S"'='"'S 

i 

•sa^BraajT 

1  r-.^co  1    1    1    1  00-1  1  coo^»  1  eo.n-^-*rtO 

2 

•saiBH 

1    '^OW-^    1      1    -Hfflco    1    (N2TlHg5q^^(?q«CCt~; 

?5 

i 

••;••• -J  "I l-i--- 

■  ■%  -^"l  -1  -J  -1  -1  ••!  -gl  •  •  • 

•i-i1i|lililiyi--- 

3 

rt«c<5-<J(lOOt~OOC50-HC^CO-*lOOt-OOOSO— IC<1 

2 

a 

1 

si 

WORCESTER  STATE  HOSPITAL.              [Dec. 

•sai^raaj 

'       '    ' '    '    '    '           '    ' '    ' 

•sai^H 

1       II 1    1    1    1    1           1    1    1    1    J    1 

III 

z;  o 
a 

•siB^ox 

'11           1111       1           1 

•sai'Braaj[ 

1    1    1    1       1           1 

•sai^M 

"  '           '    '    1    '       1           1    1    1    1    1    1 

a  K  J 

•eiB^ox 

1       1    .    1    1    1    1    1    .    1    1    1    1           1111       1           1    ,    ,    ,    1  « 

•saiBtnaj: 

1       1    <    1    <<    1    1    1    1    1    1    1           ,1,1       1           ,1,111 

•sapH 

'       '    '    ' '           '    '    '    '       '           11111^ 

•sib:jox 

1     ^iiii^iiii-.i        ^,2,      ,         ,,^,,, 

•saiBraa^ 

^ •-""'      '         II-.  II 

■saiBpj 

'"'' ^'         ''2'      ' 

ill 

•siB^ox 

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

•satBtna^ 

-^ ^'    '       '           1    1    .    !«- 

•saiBK 

'                ''"'• '«'-             '                    -H.^Cl^ 

si 

■sib:>ox 

,            ,1.11111^^,1                   ,11,             1                -O    1    O,     1      1    CO 

•sa^Braa^ 

yat«M 

'                 1         ' 1     -H^      |.      ,                          ,         ,         ,         ,                  ,                           ,         ,         ,         ,         ,         1 

< 

s 

EH 

•siB^ox 

,      1,1,11^,,,,,          ,   ,   ,   ,       ,          ,11111 

•saiBTn8j[ 

,      1   ,   1   1   ,   ,  -1  ,   1   ,   1   1          1   1   1   1      1          ,   1   ,   ,   ,   , 

■saiBpi 

1      11 1   ,   ,   ,   1          ,   ,   ,   ,      1          ,   ,   ,   ,   ,   1 

< 

1 

•STBiox 

CO       ^«-c.coc.c.«««c.«           ~o.=o^       C           J.-OC,«=, 

•saiTsma^ 

(^c^        ,  -H   ,  NTO^cq^   ,     ,     ,  ^           ^co>n  ,       <m           2  I  "  I  —  =■ 

•sapH 

1       rt   ,  ^   ,  t^^   1     1  ««iM   ,              1  toeo-H        ,            c<i-HmtN   1  CO 

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 


' 

,  1  ,,,,,.,  ,       >    i    .  i  I  <  .       ,  ■    ,         ,      ,    1  1  , 

<  <  ,  .  1  1  .  1  1  ,        ,    1    ,  .  .  ,  1        11    , 

■ 

''"'''''''       '    ' '    '         '      1    '  h 

1  1  - 1  1  1  1  1  1  1         1     1     1  1  1  1  1         111            1       1     1    « 

1  1  1  1  1  1  1  1  1  1         1     1     1  1  1  1  1         111            1       II 

" 

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

- 

1  1  1  1  1  .  1  1  i  1        1    1    ...  1  1        ... 

' 

1  1  1  y  1  1  1  1  1        111111.        Ill          1      1    1 

-^ 

^ .^^1 1 1 1^«       ''"'■''       ' '    '         '      '    '   s 

,  1  1  1  1  1  1  1 «  1         1     .    -  1  1  1  1         II.            1       .1 

" 

-,1^-1.111-        11-11111        111          1      1    1    gj 

,-1-1-.       Ill        -     ,1 

^ 

-l-COl      ,      1      1      .      ,                         1            1            l-l      .      .                         Ill 

;: 

l.ool-l-l 1      1-1,1-1      , .  1      -    II- 

-lO^-l      .-11                         1            1             ...      1      1                         1-1 

« 

1     1  O0<l    11.11.                   111.111                   111                        .               1          1        2 

- 1^«- . ,- 1  .        1111111        1-1          .      II 

- 

,11.111.11        111,111        1,1          .      1    ,    - 

.111.11.11        1111111        111          1      111 

„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 

■SlB^Oi 

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 

a  o  2 

■siB^ox 

,               ,,,,,,,,,,,>                       ,        ,       ,        ,               ,                       ,,,,,, 

■sa^Braa^ 

'        '        '        '               '                       ' 

•saiBM 

1               ,,,,,,,        1        1        ,,       'l                       ,        ,        ,        ,               1                       ,,,111 

< 

■siB^ox 

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

•sai^uiaj 

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

■saiBH 

1               1        ,        ,        1               1                       ,        1        1        ,        ,        , 

«  S  0  i« 

0  H  ^  g 

0  o  S  X 

•si^^ox 

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

•saiBraaj; 

.11,,,,                       , ,        ■        .        ,        , 

■sai^M 

II,,,,        ,  ,  ,  ,      1        1  r  1  1  1  1 

1 

■sib:(OX 

,      ,,,-.i-ii,,i«        >,,,      ,       ^,„,|| 

•sa^'Bniaj[ 

•sa^BK 

,      ,,,,,-1,1,,,        ,,,,      1       -,-,,, 

m 

•sre^ox 

•sapraaj 

,      II,,,,,,,,,,        ,  1  ,  ,      ,        III,,,. 

■sai^H 

'      1  1  1  1  1  1  1  1  ''  1  1        1  1  1  1      ■        1 

•     1 

Q 

O 

§ 

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 

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

2 

1         1      -H      1         1         1         1         1         1         1                                   1       ■          1                 1         1         1         1         1                                    III                                             1                           II 

« 

''"-"!'''''                       '      '                       '      '           '                             '                 II 

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 

1 

>     1     1     1     .     1     1     1     I     1.                 ,         ,         ,     ,     ,  ^   1                  ,     ,         ,                       ,              1       -   1  c. 

''''''-'■'       ''-^         '      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 

' 

1 

1 

' "  '      "  '       '    '  '  1 ' . 

' ' ' ' 

' 

ll^'i'lll'                -III, 1              ,,c. 

1  ,  «  1  1  ,  1  1  ,  1         1111,11         III            ,       II 

CO 

,  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^ 


•S8[Bra8_i]; 


2  5 


-s—      o 


s 


2  2     od£;f£||g 

^  "jj  c3  S  ^ '3 '3 'S  *5 -tj  •" 
aas-°s  ^  S  fe  3  ffl  g 

fi^  tn  S   -J:^  C3  gj  Ca.^.'r   O 


Hi 


i  2'£.2  o.S 
^  o  ffi  g  M  a 


liiiJ 

moowh 


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     ' 

' 

1 

1 

' 

-^  '  '  '  '  '       i  1  1  1  1  1  1  1  1  1       1  1  1  1  1  

- 

" '       "  "  "  '       "  '       '     '     '  1" 

1  1  1  1  1  1  1 

,,1111       1  1  J  1  1  1  1  1  1  1       Ill       1     1     1  i  ^ 

1 

'''''' 

'•''''       1  1  1  1  1  1  1  1  1  1       111 1     1    " 

^ "      1^ 

' "  '  ""      ' 

- 

IIIIII                   11^ 11 ,             1            ,      1    o, 

1 

" ' '    '  '  '  i ' 

^ 1' 

1' 

' ' ' '  "^    IIIIII 1 1 1 1 1    1 

- 

i " 

1' 

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 

■si^^oj. 

^ER 

STATE  HOSPITAL. 

p 

o 

•S81BUI8J 

'"'-''' -.,,«,,,, 

<o 

•S9IBK 

1-  1  1  1  i«  1  1  1- 1-  1  1  1  1  1  1  1 

•^ 

1 

•si^^ox 

,o,     ,     ,      ,^,     ,      ,-,^,     ,-,     ,     ,     , 

2 

•saptnaj 

ICOIIllllll^llll-Hllll 

in 

i 

•S31GH 

l<olll]'^lllll^lllllll 

CO 

i 

1 

•SIB^OX 

,   =o    ,,,,,,,,,,«,,,,,,     , 

o 

e 

■sa^Braa^ 

,-,,,,,,,,,,  c.   ,,,,,,     , 

c 

1 

•sepH 

,  ^. ,,,,,,,,  11  - 11  ,11.  1 

o. 

•siB^ox 

I-' ^,  ,,,„,,,  , 

CO 

(t 

•SBYBxad^ 

' 11  1  1-  11  1  11  11  1  , 

- 

■2 

•sspM 

'- 1  '  '  1  '  1  '  1 - 1  .  1  1 

- 

i 

i 

•SlB^^Oi 

'-' ^, ,-,,,,., , 

- 

! 

•sajBraaj 

,-.,,,,  11 1 ,,-,,,,,, , 

- 

•sai^H 

1  1  1  ,  1  ,  ,  1  ,- 1 1-  1  1  1  1  1  1  1 

c 

s 

3 

■siB^ox 

A 

•saptna^ 

1 

•sai^M 

Q 

•sF^ox 

1 

■sa^Bina^g; 

•saiBH 

S 
•  5 

i 

•siB^ox 

'^S^CO'^"      1    'HO      1       1    «tO"'!^'=^     1    TiH-H-H(M     1 

§ 

E^ 

•sajBraa^ 

'^S^S  '  '^  '  '  "  '  '  1  22'^2'^  '  "^  '  '^^  ' 

g 

e 

•sa|BM 

1    J^^JgJ^-'    1   -^=°    1      1   '-<^^5'«     1      1    ^-H     1      1      1 

§ 

1 

m 

i 

a 

1 

^ 

1 1  •  •  • 

1  .si  i  1  1  1  1  fl 

llllii  j|i|l|1  ill  J 1 

3 

«CV 

cc^o»t^=ooo-H«„2;ss^2SSc5g5 

[Dec. 


1917. 


PUBLIC  DOCUMENT  —  No.  23. 


59 


i 

a 
o 

■SIB^OX 

1  i> 

«,,,,,, 

, , , ,  ,^^, , , , 

s 

•sai^raa^ 

'"-'■'''''''''--' 

o 

•saien 

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

00 

i 

•siB^ox 

'--''' ,^,^,    ,    ,    ,^,    , 

o> 

•sa^Braa^ 

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

- 

•saiBpi 

•-"'''''' 

■* 

i 

■si^^Oi 

1  ocq    1     1     1     1     1     1     1     1     1  ^    1     1     1     1     1     1     1     1     1 

s 

•sapuia^ 

'»" '  ' -,  ,  ,  ,  1  ,  ,  ,  , 

2 

•saiBH 

,.^o,      ,      .      1      .>      1      1      1     ,      1      1      ,,,,,,     1 

2 

i 

•si^^oi 

,o«,      ,,,,,,,      I^C.,      ,,,,,,     , 

s 

■ssivvaB^ 

1  -K  1   1   1   1   1  -1   1   1   1   1  <?^  ^  1   1   1   1   1   1   1   1 

- 

•sai^H 

'-""''  1 - .  ,  ,  1  ,  ,  ,  , 

00 

i 

■sib:>ox 

— --' '-"' ' '  — '  .^1,1. 

s 

•saiBraa^ 

—  '''■'-'''-'- 

s 

•sai^H 

= 

4 

•siB^oX 

''--''''-'' '  — ' ' '  '-■ 

2 

■sa|Buiaj[ 

,,  ^^   ,,,,,,,,«,,  ^   ,,,,  c,   , 

00 

•sarBK 

1  1-  1  1  1  1  1-1 1  1  l«^-H  1  1  1  1  1  1  1 

m 

•STE^Oi 

'-"-'-' '-' ' '"-"'  i  '-I '  i 

S 

•saii!raa^ 

,^ , , 1 1 , ,^ , 1 l^^„  1  ,  ,  ,  ,  ,  1 

^ 

•saiBj^ 

::! 

i 

•siT3:j0X 

.     .^-,     ,,     ,c,     ,,,,,,,,,,,     , 

o 

•saiBuiaj 

- 

•sai^M 

,      ,-o,     ,,     ,^,     ,,,,,,,,,,,      , 

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 

1 

rne^ 

CO  ■*  o  to  t^  00  CO 

OjHeMeo-*iratDt~oooso 

;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 

•saiBuiajc 

I<N1       1       Ir^l       Ir-.|        1       1    ^,-<rtrt     1    -^     1        1       1        1 

o 

•sai^M 

1      1    mci    1      1      1      1   -i     1      1      1      1    -(    1      1      1    «^     1      1      1 

Ol 

i 

•siB^ox 

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 

•SIB:^oX 

1  .*  coco    1     1      1     t     1      1     1      1   <-l    1     1      1     1     1     1     1     1     1 

- 

•sai'Baiaj 

« 

•sai^H 

CO 

i 

•siT3:>ox 

ICOCO^,      ,,,,,,,,      Id      ,,,,,      , 

a. 

■sa|Bni3^ 

1^-  1  1  1  1  1  1  1  1  1  1  1  -  1  1  1  1  1  1  1 

CO 

•sai'bM 

"^"^'-'  1  '  1  1  1  1  1  1  1  1  -- 1  1  1  1  1  1  1 

o 

i 

•sib:>0X 

1    OOOO    1      1      1      1      1      1      1      1    IM    1      1      I      1      1      1      1      1      1 

s 

•sa|'Buiaj[ 

,c^^    ,,,,,,,,-,,,,,,,,, 

05 

•sai^H 

1  cot>io    1     1      1     1      1     1      1     1   Tl    1     1     1      1     1     1     1     1      1 

s 

•SIB^Oi 

1    to^cO,-H-,    1      1    ^     1      1    rtT)<    1    «    1      1    r^     1      1    O)     1 

g 

■saiBma^; 

1  o-i-^   1    1     1     icoi     1    Icoicqi     |,-H|    ic-ji 

- 

•sai^H 

1  rtcoca-HrH   1    1  CO   1     1  «rt   1    J     1     1     1     1    1     1     1 

s 

►3 

< 

•sib:j6x 

'^CoSco'^'^    1   -HOI    1      1   rtO«5t~(M    1   ^rHrt<M    r 

s 

■saiBuiaji 

'"'2^12    '  '^    '     '  "    '     '     '  2'=^2'^    '  "^    '  """^    ' 

g 

•saiBi\[ 

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 

^ 

•siB^ox 

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 

•si'B^cti;, 

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 

^ 

•STB^ox 

-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