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

; I 



Public Document 



No. 23 



EIGHTY-FIFTH ANNUAL EEPOET 



THE TRUSTEES 



W0RCE8TEK STATE HOSPITAL 



Year ending November 30, 1917. 




BOSTON: 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

32 DERNE STREET, 

1918. 



Public Document 



No. 23 



^ EIGHTY-FIFTH ANNUAL EEPOET 



THE TRUSTEES 



H . ', 



WORCESTER STATE HOSPITAL 



Year ending November 30, 1917. 




BOSTON: 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

32 DERNE STREET, 

1918. 



Publication of this Document 

appeoved by the 
Supervisor of Administration. 



¥ 



3 



CONTENTS. 



PAGE 

Report of the Trustees, 7 

Report of the Superintendent, 9 

Laboratory Report, 16 

Valuation, 19 

Report of Treasurer, 20 

Statement of Funds, 27 

Statistics, 31 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 



ELLEN A. SHEEHAN, . 
GEORGIE A. BACON, . 
WILLIAM J. DELEHANTY 
EDWARD F. FLETCHER, 
AMOS B. CHASE, . 
JOHN G. PERMAN, 
DONALD GORDON, 



woecester. 

wobcestee. 

woecestee. 

woecestee. 

Lynn. 

woecester. 

Boston. 



RESIDENT 

ERNEST V. SCRIBNER, M.D., 
B. HENRY MASON, M.D., . 
DONALD R. GILFILLAN, M.D., 
ARTHUR H. MOUNTFORD, M.D 
CLARENCE A. BONNER, M.D., 
JAMES T. ADAMS, M.D., 
JOHN C. LINDSAY, M.D., 
MARIE S. LINDSAY, M.D 
MARIAN K. LIBBY, . 
EMMA J. WRIGHT, 
ARTHUR E. GILMAN, . 
LILLIAN G. CARR, 
JOSEPH T. REYNOLDS, 



OFFICERS. 

Superintendent. 

Assistant Superintendent. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Director of Industrial Therapeutics. 

Superintendent of Nurses. 

Steward. 

Matron. 

Farmer. 



NONRESIDENT OFFICERS. 



HOWARD BEAL, M.D., 
JENNIE A. HARRINGTON, . 
WAYNE F. SHIPMAN, D.D.S., 
GEORGE E. PARESEAU, 
JESSIE M. D. HAMILTON, . 
JAMES DICKISON, Je., 



Pathologist. 

Consulting Surgeon. 

Social Service Worker. 

Dentist. 

Druggist. 

Clerk. 



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in 2010 with funding from 

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®()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 


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1917.1 PUBLIC DOCUMENT — No. 23. 27 



STATEMENT OF FUNDS. 



Patients' Fund. 

Balance on hand Nov. 30, 1916, 15,884 64 

Receipts, . 5,358 50 

Interest accrued and distributed, .... 194 33 



$11,437 47 

Refunded, 5,220 32 



$6,217 15 



hivestment. 
Worcester County Institution for Savings, . 
Worcester Five Cents Savings Bank, . 
Worcester Mechanics Savings Bank, . 
Balance Worcester Bank and Trust Company, 
Cash on hand Dec. 1, 1917 



$2,000 00 

1,000 00 

1,000 00 

1,983 46 

233 69 

$6,217 15 

Lewis Fund, 
Balance on hand Nov. 30, 1916, .... $1,569 53 

Income, 60 77 

— $1,630 30 

Expended for books, etc., 29 85 



$1,600 45 



Investment. 
American Telephone and Telegraph Company 

collateral trust 4 per cent, bond, 
Worcester County Institution for Savings, . 
Mechanics National Bank, savings department. 
Balance Worcester Bank and Trust Company, 

Wheeler Fund. 
Balance on hand Nov. 30, 1916, . 

Income, 

Worcester National Bank in Hquidation, 



Expended for books, 

6 shares Worcester National Bank,^ 



349 44 

321 52 

3 13 


$1,600 45 

$7,241 84 
1,152 63 


$5,713 35 

238 49 

1,290 00 


$150 63 
1,002 00 






$6,089 21 



1 Six shares of Worcester National Bank stock held in liquidation. 



28 WORCESTER STATE HOSPITAL. [Dec. 19i: 



Investme^it. 
Amer'can Telephone and Telegraph Company 

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

Worcester County Institution for Savings, . . 332 00 

Worcester Five Cents Savings Bank, . . . 403 85 

Mechanics Savings Bank, 203 30 

Mechanics National Bank, savings department, 435 50 

Second Liberty Loan bonds, 4,000 00 

Balance Worcester Bank and Trust Company, . 2 06 

$6,089 21 

Manson Fund. 
Balance Worcester County Institution for 

Savings, $1,310 47 

Income, 51 08 

$1,361 55 

Expended for entertainments, etc., 179 10 

$1,182 45 
Investment. 
Worcester County Institution for Savings, $1,182 45 

Respectfully submitted, 

E. V. SCRIBNER, 

Treasurer of the Corporation. 
Nov. 30, 1917. 

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



STATISTICAL TABLES 

As ADOPTED BY AMERICAN MeDICO-PsYCHOLOGICAL ASSOCIATION. 



[Phesceibed by Massachusetts Commission on Mental Diseases.] 



Table 1. — General Information. 

1. Date of opening as an institution for the insane: Jan. 18, 1833. 

2. Type of institution: State. 

3. Hospital plant: — 

Value of hospital property: — 

Real estate, including buildings, .... $2,039,566 31 

Personal property, . 204,826 25 



Total, 



12,244,392 56 



Total acreage of hospital property, 578.15. 
Acreage under cultivation during year, 201.25. 

Medical Ser\dce: — Men. Women. Total. 

Superintendents, 1 - 1 

Assistant physicians, 7 1 8 

Medical internes, - - - 

Clinical assistants, 

Total, 8 1 9 

Employees: — Males. Females. Total. 

Graduate musses, 2 25 27 

Other nurses and attendants, . . . '. 103 104 207 

Social workers, - 1 1 

All other employees, 61 58 119 

Total, 116 188 354 



6. Percentage of patients employed during year. 



Men. Women. Total. 

83 79 81 



Table 2. — Financial Statement. 
See treasurer's report for data requested under this table. 



32 



WORCESTER STATE HOSPITAL. 



[Dec. 



ZQ 



o 

« 

o 


•SlB^fOX 


1,696 

431 

270 
701 
15 
716 
2,412 

99 
162 
84 
28 
97 
168 
638 
1,774 


1,746.31 

1,509.66 

47.09 

189.50 

13 

171 

1,510 


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2,403 

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1. Patients on books of institution Sept. 30, 1916, . 

Admissions during year: — 

(o) First admissions, 

(6) Readmissions 

Total admissions, . . . ... 

(r,) Transfers from other institutions for the insane, 

2. Total received during year, 

3. Total under treatment during year, . ... 

Discharged from boolcs during year: — 

(a) As recovered 

(6) As improved, . . . . .... 

(c) As unimproved, 

[d) As not insane, 

(c) Transferred to other institutions for tlio insane, 

(/) Died during year 

4. Total discharged from books during year, .... 

5. Patients remaining on books of institution Sept. 30, 1917, . 


Supplementary Data. 
Oa. Average daily number of patients on books during the year, 
06. Average daily number of patients actually in the institution 

during the year, 

7o. Average daily number of patients in family care, 

76. Average daily number of patients on visit and escape, 

8. Number of voluntary patients admitted during year, . 

9. Number of temporary-care cases admitted during the year, 
10. Number of patients actually remaining in institution Sept. 

30,1917. 



1917.1 



PUBLIC DOCUMENT — No. 23. 



33 



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ell s-S 



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34 



WORCESTER STATE HOSPITAL. 



[Dec. 



Table 4. — Nativity of First Admissions and of Parents of First Admissions. 





Patients. 


Parents of 

M.^LE 

Patients. 


Parents 
OF Female 
Patients. 


Nativity. 




1 


1 


1 


1 


H 


1 


1 


1 


United States 

Africa, 

Asia, 

Atlantic Islands 

Australia, 

Austria, 

Belgium 

Bohemia, 

Canada, 

Central America 

China 

Cuba, 

Denmark, ..... 

England 

Europe, 

Finland, 

France 

Germany, 

Greece 

Hawaii, 

Holland 

Hungary, 

India, 

Ireland 

Italy, 

Japan 

Mexico, 

Norway, 

Philippine Islands, .... 

Poland, 

Porto Rico, 

Portugal, 

Roumania, 

Russia 

Scotland 

South America, .... 

Spain, 

Sweden, 

Switzerland, 

Turkey in Asia, .... 

Turkey in Europe 

Wales, 

West Indies, 

Other countries 

Born at sea, 


114 

6 

31 
2 

1 
10 
1 
5 
10 

21 
6 

7 
28 
5 

1 


85 

1 
1 

15 

7 

4 

1 

1 

27 

4 

1 

2 

7 
5 

7 

1 


199 

1 

7 

1 

46 

9 

1 
14 

5 
11 

48 
10 

8 

2 

35 
5 

12 

1 


60 

6 

43 

2 

6 

1 
10 
1 
8 
10 

42 

1 
7 

29 
1 

7 

1 

1 


54 

6 

45 
2 

4 
1 
10 
2 

10 
10 

44 
6 

2 

7 

29 
2 

6 

1 
1 


114 

12 

88 
4 

10 
2 

20 
3 

IS 

20 

12 

3 
14 

58 
3 

13 

2 


45 

1 

1 
1 

17 

4 

4 

1 

1 

47 
4 

1 
3 
9 

10 

1 


45 

1 

1 
1 

21 

7 

4 

1 

1 

43 

4 

1 

3 

9 
5 

10 

1 


90 

2 

2 
38 

11 

8 
2 

2 

90 

8 

2 

6 

18 
11 

20 

2 


Total foreign born, . 
Unascertained, .... 


137 
2 


85 
4 


222 
6 


182 
11 


188 
11 


370 

22 


111 

18 


113 
16 


224 
34 


Grand total, .... 


253 


174 


427 


253 


253 


506 


174 


174 


348 



1917. 



PUBLIC DOCUMENT — No. 23. 



35 



Table 5. 


— Citizens of First Admissions. 






Males. 


Females. 


Totals. 


Citizens by birth, ........ 


114 
23 
73 
43 


85 
1 
17 

71 


199 






Aliens, ....... 


90 


Citizenship unascertained, . 




114 


Total 


253 


174 









Table 6. — Psychoses of First Admissions. 



Psychoses. 


1 


1 


i 


J 


J 


1 

"8 




s 


f^ 


H 


s 


li' 


H 










12 


24 




2. Senile, total, 








36 


(a) Simple deterioration, 


1 


9 


10 




(6) Presbyophrenic type, 


1 












(c) Delirious and confused states. 


3 


in 


13 








(d) Depressed and agitated states in addition to 














deterioration, 


2 


- 


2 








(e) Paranoid states in addition to deterioration, . 


5 


5 


10 








3. With cerebral arteriosclerosis, 








36 


14 


50 










30 


14 


44 


5. With cerebral syphilis, 








1 


1 




6. With Huntington's chorea 












_ 










1 


- 


_ 


8. With other brain or nervous diseases, total. 








1 


Cerebral embolism, 


_ 


_ 


_ 








Paralysis agitans, 


_ 


- 


_ 








Tubercular or other forms of meningitis, 


- 


- 


- 








Multiple sclerosis, 


_ 


_ 


- 








Tabes 


1 


_ 


1 












_ 










Other conditions, 


_ 


_ 


_ 








9. AlcohoHc, total, 








53 


5 


58 


(a) Pathological intoxication, .... 


_ 


_ 


_ 








(6) Delirium tremens, 


8 


- 


8 








(c) Acute hallucinosis, 


31 


2 


33 








(d) Acute paranoid type, 


1 


_ 


1 








(e) Korsakow's psychosis, 


3 


- 


3 








(/) Chronic hallucinosis, 




_ 


1 








(g) Chronic paranoid type, 


3 


- 


3 








(h) Alcoholic deterioration, 


6 


3 


9 








(i) Other types, acute or chronic. 


- 


- 


- 








10. Due to drugs and other e.xogenous toxins, total, 








- 


- 


- 


(o) Morphine, cocaine, bromides, chloral, etc., 














alone or combined, 


- 


- 


- 








(6) Metals, as lead, arsenic, etc 


- 


- 


- 








(c) Gases 


_ 


_ 


- 








(d) Other exogenous toxins, 


- 


- 


- 








11. With pellagra, 








_ 


?. 


2 


12. With other somatic diseases, total, .... 








1 


3 


4 


(a) Dehrium with infectious diseases, . 


- 


- 


- 








(6) Post-infectious psychoses 


_ 


_ 


_ 








(c) Exhaustion delirium, ..... 


- 


2 


2 








(d) Delirium of unknown origin, .... 


- 


- 


- 








(e) Diseases of the ductless glands, 


- 


- 


- 








(/) Cardiorenal disease, 


- 


- 


- 








(g) Cancer 


_ 


- 


- 








(h) Pernicious ana?mia, ...... 


^ 


^ 


^ 









36 



WORCESTER STATE HOSPITAL. 



[Dec. 



Table 6. — Psychoses of First Admissions — Concluded. 



PSTCHOSES. 


1 


fe 


m 

1 


1 


fe 


1 












10 




(o) Manic type, 


2 




7 








(6) Depressive type 


2 




7 








(c) Stupor, 


- 




- 








id) Mixed type 


- 




- 








(e) Circular type 


- 




- 








14. Involution melancholia, 








2 


y 


11 


15. Dementia praecox, total 








78 


66 


144 


(a) Paranoid type, 


34 




74 








(6) Katatomc type 


21 




36 








(c) Hebephrenic type, 


14 




24 








id) Simple type, 


9 




10 








16. Paranoia and paranoic conditions, .... 








1 


1 


2 


17. Psychoneuroses, total 








1 


1 


2 


(o) Hysterical type, 


- 




i 








ib) Psychasthenic type, 


- 




- 








(c) Neurasthenic type, 


1 




1 








18. With mental deficiency, 








6 


5 


11 














2 


20. Epileptic, total, 








6 


4 


10 


(o) Deterioration, . . . . . 


4 




5 








(6) Clouded states,! 


1 




4 








(c) Other conditions, 


1 




1 
















4 
16 


6 
8 


10 


22. Not insane, total, 








24 


(a) Epilepsy without psychosis, .... 


1 


- 


1 








(b) Alcoholism without psychosis. 


4 




5 








(c) Drug addiction without psychosis, . 


- 




- 








id) Constitutional psychopathic inferiority with- 














out psychosis, 

ie) Mental deficiency without psychosis, 














6 




11 








if) Others 


2 




3 








Total .... 








253 


174 


427 













1917. 



PUBLIC DOCUMENT — No. 23. 



37 



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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. 



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1 

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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 


- 




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 


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


ss 


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"'""'""'"' - 


o 


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" 


i 


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IIMOTPT 1 I^Ol 1 |Nlffl«^CO-H^,^| 


s 


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'"- -..■- — ■ 


?? 


•sapK 




s 


H 


•smox 


1 ,o«^ 111-^1 IS=°§' 'S^-^ ' ' 


2 


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


g 


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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 


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


2 


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


?5 


i 


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■ ■% -^"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 - ,-««^ 


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-^ ^' ' ' 1 1 . !«- 


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' ''"'• '«'- ' -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 


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


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


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1 


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(^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 


"^ 


•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 

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 


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


« S i« 

H ^ g 

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« >,,, , ^,„,|| 


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


m 


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, 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 


« 


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lO 


1 1 - 1 1 1 1 1 1 1 1 1 1 1 1 1 1 III , II 


^ 


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


c 


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 




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<o 




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1- 1 1 1 i« 1 1 1- 1- 1 1 1 1 1 1 1 


•^ 




1 


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,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 


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


o. 






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CO 


(t 


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' 11 1 1- 11 1 11 11 1 , 


- 


■2 


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


- 


i 


i 


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- 


! 


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- 


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


c 


s 


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1 


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Q 


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S 
• 5 


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


§ 


E^ 


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


g 


e 


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§ 


1 

m 


i 

a 

1 




^ 

1 1 • • • 

1 .si i 1 1 1 1 fl 

llllii j|i|l|1 ill J 1 


3 




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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