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

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Public Document No. 23 



EIGHTY-SIXTH ANNUAL EEPORT 



THE TRUSTEES 



WORCESTER STATE HOSPITAL 



Year ending November 30, 1918 




BOSTON 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS 

32 DERNE street 

1919 



Public Document 



No. 23 



EIGHTY-SIXTH ANNUAL EEPORT 



THE TRUSTEES 



WORCESTER STATE HOSPITAL 



FOH THE 



Year ending November 30, 1918 




BOSTON 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS 

32 DERNE STREET 

1919 

o 
n 



ST^/fiUBRARy OF MASSACHUSETTS 

AUG 8 1919 

U4Ji )tOUS4, BOS?0«. 



Publication of this Document 

approved by the 
Supervisor of Administration. 



0(^ Z .'X' /v\ o 



CONTENTS 



PAGE 

Report of the Trustees, . 7 

Report of the Acting Superintendent, 10 

Laboratory Report, . . 21 

Valuation, 23 

Report of Treasurer, . . - . . . . . . . .24 

Statement of Funds, 31 

Statistics 33 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 



WILLIAM J. DELEHANTY, 
EDWARD F. FLETCHER, 
JOHN E. WHITE, . 
JOHN G. PERMAN, 
DONALD GORDON, 
CAROLINE M. CASWELL, 
-GEORGIE A. BACON, . 



Worcester. 

Worcester. 

Worcester. 

Worcester. 

Boston. 

Boston. 

Worcester. 



RESIDENT 

B. HENRY MASON, M.D., . 
DONALD R. GILFILLAN, M.D., i 
ARTHUR H. MOUNTFORD, M.D., 
JOHN C. LINDSAY, M.D.,i . 
MARIE C. LINDSAY, M.D., 
ROBERT B. HARRIMAN, M.D., 
HELEN W. HAM, M.D., 
WILLIAM J. VIVIAN, M.D., 
ADA F. HARRIS, M.D., 
ELSIE I. RICHARDS, R.N., . 
HERBERT W. SMITH, . 
LILLIAN G. CARR, 
JOSEPH T. REYNOLDS, 



OFFICERS. 

Acting Superintendent. 
Assistant Physician. 
Senior Assistant Physician, 
Assistant Physician. 
Assistant Physician. 
Assista7it Physician. 
Assistant Physician. 
Assistaiit Physician. 
Pathologist. 

Superintejident of Nurses. 
Steward. 
Matron. 
Farmer. 



NONRESIDENT OFFICERS 

JENNIE A. HARRINGTON, . 
BURTON E. LORING, D.D.S., 
GEORGE E. PARESEAU, 
JESSIE M. D. HAMILTON, . 
JAMES DICKISON, Jr., 



Social Service Worker. 

Dentist. 

Druggist. 

Clerk. 

Engineer. 



1 Leave of absence: Capt. Donald R. Gilfillan, M. C, U. S. A., A. E. F.; Lieut. John C. 
Lindsay, M. C, U. S. N. 



®l)e (JlommonrDealtl) of itta00act)xi0£tt0. 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester State Hospital respectfully 
present their eighty-sixth annual report. 

The year has been one of few accomplishments in the way 
of major improvements and repairs, of a keen realization of 
the needs as outlined in the reports of previous years, and a 
year of many changes. The Legislature of 1918 granted but 
one appropriation. This allowed for the renewal of plumbing 
in a small section of the main building. 

The trustees realize that the demands of the world war made 
large appropriations impossible. With a return to more normal 
conditions we trust the means may be forthcoming to make the 
plumbing renewal complete, and to institute those other im- 
provements of which there is great need, namely, the con- 
struction of a laundry and industrial building and the installa- 
tion of a cold-storage plant. 

The building erected at Hillside farm by the former State 
Board of Insanity is as yet unoccupied, owing to conditions 
beyond the control of the trustees and the administrative head 
of the institution. It is our belief that these conditions should 
be removed, and the building made suitable for occupancy at 
an early date. 

The number of deaths from terminal cases and the epidemic 
of Spanish influenza made burial in the lot at Hope Cemetery 
no longer possible. A retired, attractive spot at Hillside farm 



8 WORCESTER STATE HOSPITAL. [Dec. 

has been prepared for the interment of patients without friends 
or family ties. 

The medical staff has been depleted to an even greater de- 
gree than last year owing to the demands of the military service 
and the larger salaries and privileges offered by other States 
and institutions. 

The shortage in nurses, attendants and other employees has 
neared the acute stage at times, the high wages paid in govern- 
mental and industrial pursuits having been a deterrent factor 
in securing such assistance. 

The trustees record with sorrow the death of their superin- 
tendent, Dr. Ernest V. Scribner, on Friday, June 14, 1918. In 
his death both the hospital and the State have lost a faithful 
and efficient servant. For more than thirty years he devoted 
himself to ameliorating the conditions of the insane in every 
way which science and humanity could suggest. To Dr. Scrib- 
ner no inmate of the hospital became a mere case; his warm 
heart and generous sympathy made each an unfortunate human 
being to whom the utmost kindness and consideration should 
be shown. His broad outlook and sound judgment inspired 
confidence in all with whom he came in contact. His quiet 
humor and ability to see both sides of an argument enabled 
him to deal readily with difficult situations. 

The trustees honor the memory of one who was not only an 
able and high-minded official, but under all circumstances a 
loyal, personal friend. 

To his assistant. Dr. B. Henry Mason, now acting superin- 
tendent, we tender our grateful appreciation of the manner in 
which he has assumed the duties and responsibilities so sud- 
denly put upon him. 

To the other members of the staff and to the employees, one 
and all, we render thanks for the faithful services they have 
given. 

In closing, we would voice the thought that has often been 
expressed in our board meetings. The limitations which the 
law now places upon Boards of Trustees seem to make the 
services required almost negligible in their value. The con- 
sideration of matters of routine which call for no initiative. 



1918.] PUBLIC DOCUMENT — No. 23. 9 

little judgment and questionable responsibilit}'^ is not conducive 
to far-reaching results. Responsibility tends to enthusiasm and 
efficiency. Nothing that can be accomplished without enthusi- 
asm and eflficiency is the product of effective service. 

Respectfully submitted, 

GEORGIE A. BACON. 
WILLIAM J. DELEHANTY. 
EDWARD F. FLETCHER. 
JOHN E. WHITE. 
JOHN G. PERM AN. 
DONALD GORDON. 
CAROLINE M. CASWELL. 

Nov. 30, 1918. 



10 WORCESTER STATE HOSPITAL. [Dec. 



ACTING 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, 1918, it being the eighty- 
sixth annual report. 

There remained on the hospital books Oct. 1, 1917, 1,774 
patients, — 924 men and 850 women. During the year ending 
Sept. 30, 1918, there were admitted 633 patients, — 371 men 
and 262 women. Five hundred and thirteen patients — 276 
men and 237 women — were discharged from the hospital. Of 
this number, 239 patients — 140 men and 99 women — were 
discharged; 209 patients — 109 men and 100 women — died; 
64 patients — 26 men and 38 women — were transferred, leav- 
ing at the end of the statistical year, 1,894 patients, — 1,019 
men and 875 women. One thousand five hundred and forty- 
nine patients — 837 men and 712 women — were actually in 
the hospital. Of this number, 1,351 were supported by the 
State, 99 by friends and 99 as reimbursing patients. Of the 
patients discharged, 56 were reported as recovered, 66 as im- 
proved and 75 as not improved. Thirty-two men and 10 
women were discharged as not insane. One man and 31 
women were transferred by the Massachusetts Commission on 
Mental Diseases to the Foxborough State Hospital; 17 men 
to the Gardner State Colony; 2 men to Wellesley Nervine; 
1 man and 6 women to the State Infirmary; 2 men to the 
Westborough State Hospital; 1 man to Dr. Bessey's private 
hospital; 1 man to the Grafton State Hospital; 1 man to the 
Bridgewater State Hospital; and 1 woman to the Medfield 
State Hospital. Ten men and 4 women were removed from 
the State, and 2 men and 2 women were deported. 

There remained in the hospital at the end of the year 8 more 



1918.] PUBLIC DOCUMENT — No. 23. 11 

patients than at the beginning. The smallest number under 
treatment on any one day was 1,547 patients, and the largest, 
1,603. The daily average number was 1,576.17. 

The percentage of recoveries, calculated upon the number of 
discharges and deaths, was 8; calculated upon the number of 
admissions it was 11.2. 

The death rate was 11.5, calculated on the whole number of 
patients under treatment, and 7.5, calculated on the daily aver- 
age number. 

In comparison with the last year we find there have been 83 
less patients admitted, but with an accumulation of 8 more at 
the end of the year. The Massachusetts Commission on Mental 
Diseases has transferred 44 less patients to other institutions, 
and the death rate on the total average number of patients 
shows a reduction over last year of 3.2. About one-fifth of all 
the persons admitted were suffering from dementia prsecox. 

It is interesting to note in the table on marital conditions of 
first admissions that of 154 cases of dementia prsecox admitted 
the past two years, in whom the civil condition was single, 
about two-thirds. of them were men; whereas of the 88 patients 
in this group that were married, nearly 58 per cent, were women. 

In the past six months there has been a noticeable increase 
in the proportion of patients admitted, especially women, past 
middle life. The stress, worry and anxiety concomitant with 
the war may have served as an exciting cause of a mental 
breakdown in persons whose physical condition or state of en- 
vironment would permit of no particular departure from their 
normal way of living. I feel, however, that the law for the 
compulsive employment of all able-bodied persons has been a 
factor worthy of consideration. If so, idleness should be re- 
garded as conducive of mental breakdown, and employment a 
prophylactic as well as a therapeutic agent. 

Pneumonia, general paresis of the insane and tuberculosis 
have been the principal causes of death, being 22, 11 and 9 
per cent., respectively. 

There has been a total of 154 emergency and observation 
admissions during the past year, and of this number only 100 
were regularly committed. The others were discharged as not 
insane or because the reason for their commitment had ceased 



12 WORCESTER STATE HOSPITAL. [Dec. 

to exist. When, we stop to consider that of the total number 
of persons admitted during the last fiscal year 42, or over 6 
per cent., were adjudged not insane by the hospital physicians 
and returned to the community, it would appear that too much 
investigation and stud}'^ of the case could not be exercised by 
the committing physicians. 

It frequently happens that a patient received at the hospital 
as an emergency case readjusts himself before the expiration of 
the ten-day period. By an extension of time to thirty days, 
thereby virtually converting the temporary care into an obser- 
vation period, more patients would be saved the embarrass- 
ment of a regular commitment to an institution for the treat- 
ment of the insane, and there would be also quite a financial 
saving to the county. This would also afford the hospital 
physicians a longer period to observe and study the patient, 
which would be desirable in many doubtful cases. A departure 
from the medieval idea that institutions for the insane are in 
ways of discipline and treatment synonymous with prisons, 
and the adoption and application of the laws of public health 
and hygiene to the extent that persons in need of temporary 
care and treatment could be sent to a State hospital with as 
little trouble as though they were going to an institution for 
the treatment of some physical malady, should be hastened. 

The general health of the hospital has been quite good dur- 
ing the year. One nurse contracted diphtheria and was sent 
to the isolation hospital. When the epidemic of Spanish influ- 
enza first broke out in our district, the institution was placed 
under a fairly strict quarantine. As the disease first appeared 
on the receiving wards we believe it was brought to us by 
newly admitted patients. It spread somewhat to other parts 
of the institution, but at no time reached serious proportions. 
There was a total of 140 cases, with 2 deaths from influenza 
and 31 due to complications from pneumonia. 

One patient suffered from a chronic mental disease and with 
a protracted hospital residence, during which he had not at 
any time shown the least inclination towards self destruction, 
committed suicide by hanging. Another patient, whose physi- 
cal and mental condition had become so enfeebled by the rav- 
ages of his disease that continuous bed treatment had been 



1918] PUBLIC DOCUMENT — No. 23. 13 

necessary for some time, inspired small particles of food while 
being fed, causing him to cough or choke, bringing undue 
strain upon his heart, which caused acute dilation and death. 
These cases were reported to the medical examiner and Dr. 
Myrtelle M. Canavan of the Massachusetts Commission on 
Mental Diseases, both of whom viewed the bodies and inves- 
tigated the cause of death. There was one death from pellagra, 
occurring in a woman who was received a short time before 
from the community. 

There have been 6 patients admitted from the Reformatory 
for Women. Whenever an inmate of the prison for women 
becomes insane, her commitment to one of the hospitals for 
the care and treatment of the mentally ill becomes necessary. 
Patients with criminal instinct and also the so-called defective 
delinquent class interfere seriously with order and discipline on 
the wards of a State hospital, thus subjecting innocent patients 
to certain restrictions of personal liberties and privileges inci- 
dent to the necessity for the maintenance of a discipline suf- 
ficiently rigorous to prevent unpleasant episodes or escape. It 
would be gratifying and to a certain extent help reduce the 
problem, not of the State hospitals alone, but also of the com- 
mitting judges, if the Commonwealth could provide early ac- 
commodations for this class of cases elsewhere. 

Intensive treatment of patients with salvarsan for neuro- 
syphilis has been given by Dr. Arthur H. Mountford, senior 
assistant physician, and Dr. Ada F. Harris, pathologist. Dur- 
ing the year, 26 patients received intravenous injection of diar- 
senol and arsphenamine. Eight have received amounts under 
10 grams, and the remainder amounts varying from 10 to 30 
grams each, in weekly doses of four grams to six-tenths of a 
gram in saline solution. The cases were not selected, but all 
showed evidence that the disease was of quite long standing. 
Four shoAved clinical improvement and were discharged to the 
out-patient department for weekly treatments. One trephine 
operation was performed and five intraventricular treatments 
of 15 cubic centimeters diarsenolized serum reinforced with 5 
milligrams diarsenol were given to one paretic. This man ex- 
hibited a euphoric attitude and entertained many grandiose 
ideas. He was incoherent and rambling in conversation, un- 



14 WORCESTER STATE HOSPITAL. [Dec. 

tidy, noisy and excited in manner at the time of operation. 
While he still retains the clinical symptoms and many of his 
grandiose ideas, the improvement in his condition is marked. 
He has become subdued in manner and enjoys partial parole. 
There is nothing special to be mentioned about the other cases 
treated. 

The X-ray machine which was installed early in the year 
has been of great assistance in determining the diagnosis in 
many medical and surgical cases. 

The hydrotherapeutic department has been active and of 
much value in the treatment of acute cases. Although we 
have not been able at times to keep the continuous baths in 
operation, they have been, on the whole, extensively used, as 
a therapeutic measure in dealing with patients acutely deluded 
and maniacal, characterized by excitement, unrest and insom- 
nia. Many apathetic, inactive patients, also those in whom 
depression and morbid ideas led to a feeling of inadequacy and 
loss of interest in life, have been stimulated by a course of 
systematic treatment with the cabinet bath, spray, shower and 
Scotch douche followed by general massage and rest. 

One of the jSrst essentials in the treatment of persons men- 
tally ill is to maintain a high standard of efficiency in the 
nursing force. The past year has been an unusually active and 
successful one for our school. Although short much of the 
time, the general presonnel of the ward service has responded 
to the performance of extra duties during this emergency in a 
manner worthy of true patriotic Americans. The superintend- 
ent of the training school. Miss Emma J. W^right, resigned her 
position to go home and care for an invalid mother. This 
vacancy was filled temporarily by the promotion of Miss Laura 
Grouse, who resigned after the school year to enter private 
work. We were exceptionally fortunate in being able to secure 
the services of Mrs. Elsie L Richards, who was formerly at the 
head of the school. 

Miss Marian K. Libby, director of industrial therapeutics, 
resigned during the month of May, later entered the army 
service, and is now in France, The work has been carried on 
under the direction of Mrs. Elizabeth L. March, in the female 



1918.] PUBLIC DOCUMENT — No. 23. 15 

department, and Mr. Fred Corkum, in the male department. 
Early employment of acute cases is a valuable feature of treat- 
ment;' by having their attention taken up with some useful 
occupation, thereby directing their minds along normal chan- 
nels, mental improvement is hastened and mental deterioration 
is retarded or prevented in the subacute and chronic patients. 
An endeavor is made at all times to have the forms of occupa- 
tion as varied as possible, and so chosen for the patient, indi- 
vidually, that it may not become arduous. Our goal idea is 
to cause an amelioration of the mental symptoms by means of 
applying the principals of industrial therapy, bearing in mind 
at all times that the pecuniary results are of secondary im- 
portance. 

Due to the shortage of help we have been seriously handi- 
capped in the continuous operation of the ward industries. It 
is by means of such diversional occupation that certain pa- 
tients, who because of their peculiar ideas would not co-operate 
if they were asked to join a class in the industrial room, are 
reached. 

The work of the social service department has been especially 
active. Many unusual problems have arisen from time to time, 
as a result, of the war, relative to patients leaving the hospital 
on visit, or the necessity for their return. Patients out on trial 
visit are, as a rule, glad to have the social worker call, and a 
word of encouragement or advice often helps them to adjust 
their difficulties. Occasionally derogatory reports about pa- 
tients out on visit, when thoroughly investigated, are found to 
have eminated from the mind of a meddlesome relative or 
neighbor. A system has recently been adopted whereby all 
patients on parole that do not report to the out-patient depart- 
ment shall be visited by the social worker before the expiration 
of their visit. Positions were found the past year for several 
patients who had recovered or improved to such an extent that 
they viewed life from a normal standpoint, but who had no 
friends or relatives sufficiently interested in their welfare to aid 
them. 

Our dentist has visited the hospital Tuesday of each week, 
and reports the following work done for patients who are not 



16 WORCESTER STATE HOSPITAL. [Dec. 

financially able to pay for the attention given: cleanings, 325; 
extractions, 160; amalgam fillings, 325; cement, 150; treat- 
ments, 125; pyorrhoea alveoloris treated, 200. 

War conditions, the urgent demand for labor, large wages 
and the draft so depleted our force of employees, and rendered 
it so difiicult to secure the services of competent people, that 
at one time a serious deficiency seemed to be threatened, 
especially on the ward services. Because of this shortage of 
help the standard of care has suffered greatly, having been 
reduced practically to a custodial one. Under these conditions 
I consider it almost miraculous that severe accidents and even 
homicidal acts haye been avoided. All employees deserve to 
be commended for the service they have given. In the per- 
formance of arduous duties, at times under trying circum- 
stances, they have been co-operative and shown an interest in 
the welfare of the unfortunates for the care and treatment of 
whom they were engaged. 

It is to be hoped the close of the war, the return of condi- 
tions to normal and the adoption of the salary increases, as 
recommended bj^ the Supervisor of Administration in his re- 
port on the standardization of salaries, will be of substantial 
assistance to us in securing the services of a full quota of faith- 
ful and competent people, and enable us to care for our pa- 
tients in a scientific, rather than a merely custodial, manner. 

Since the entrance of the United States into the w^orld war, 
36 people connected with the hospital have entered the service 
of their country. One of this number. Dr. Howard W, Beal, 
who was our consulting surgeon, has made the supreme sacri- 
fice. Not only his skill, but his impressive and pleasing per- 
sonality, won for him a high place in civil as well as military 
life. 

An effort has been made the past year to have an increased 
farm production to assist in the conservation of other food 
supplies. Although confronted at times by obstacles over which 
there appeared to be no control, the operations in general have 
been very productive. Owing to the scarcity of farm labor 
every effort has been made to encourage patients to assist in 
the farm activities. As considerable more land was put into 
vegetables this ye&Y our hay production has been somewhat 



1918.] PUBLIC DOCUMENT — No. 23. 17 

reduced, which will require the purchase of an increased amount 
for the ensuing year, but the crops raised are of much more 
value than the hay would have been. 

The dairy herd has done remarkably well the past year, the 
milk production being slightly in excess of our rational allow- 
ance. 

A large amount of the pork used has been produced from our 
own piggery. We have been supplied with all fresh eggs needed 
from our hennery, which also furnished us with about 2,000 
pounds of excellent young fowl for Thanksgiving. 

In conforming to the wishes of the food administration in the 
conservation of sugar and wheat especially we have been as- 
sisted greatly by the rational allowance as prepared by the 
Massachusetts Commission on Mental Diseases. Some diffi- 
culty has been experienced in keeping within the specified limits 
as regards farinaceous foods. However, with this class of food, 
although issued to a certain scale, it has not been rigidly 
restricted, as any one who complained of not being satisfied 
has been allowed as much bread as he desired. 

The following changes have taken place in the hospital staff: 
April 21, 1918, Dr. Ada F. Harris was appointed pathologist 
to fill the vacancy which had existed for several months. May 
25, 1918, Dr. Clarence A. Bonner resigned to assume a more 
lucrative position in another State. Dr. James T. Adams re- 
signed in July in order that he might give more time to private 
business matters. This vacancy was filled by the appointment 
on October 1 of Dr. Robert B. Harriman. November 1 Dr. 
Helen W. Ham was appointed assistant physician. Dr. Arthur 
H. Mountford was promoted to senior assistant physician dur- 
ing the month of June. Dr. John C. Lindsay was granted a 
leave of absence on Feb. 8, 1918, to enter the service of the 
United States Navy. Now that an armistice has been signed, 
we hope that both Dr. Lindsay and Dr. Donald R, Gilfillan, 
who has been in the medical corps of the United States Army 
since August of last year, will soon be able to return to the 
hospital. The steward, Mr. Arthur E. Gilman, who had ren- 
dered several years of able and efficient service to the institu- 
tion, was transferred to the Boston State Hospital to fill a 
similar position. 



18 WORCESTER STATE HOSPITAL. [Dec. 

One of the urgent needs of our district is a psychopathic de- 
partment where all persons apprehended because of irregular 
conduct due to some mental disturbance could be sent for care 
and observation until recovery takes place of proper disposition 
of the case is made. The institution on Summer Street could 
be converted into a psychopathic hospital at a much less ex- 
pense than would be incurred by the erection of a new building. 
It is well located, which is an essential feature, as such an insti- 
tution should be near the center of population for the conven- 
ience of committing magistrates and officers, and to promote 
frequency of visitation of the friends and relatives of patients. 
It would be easily accessible for medical men in the community 
to attend clinics and become better acquainted with the symp- 
toms of incipient mental disease; and in co-operation with the 
hospital authorities it would be a potent factor in the educa- 
tion of the general public relative to the principles of mental 
hygiene. Not only would great benefit result from the es- 
tablishment of such a department where intensive study and 
scientific investigation could be made of acute cases, but our 
receiving wards would not.be subjected to the confusion and 
disturbance produced by the delirious and turbulent cases that 
make up such a large proportion of emergency admissions. 

The last Legislature granted an appropriation for the pro- 
vision of a water supply at our Shrewsbury Colony. The sur- 
veying has been done and the pipe purchased, but the trench 
work has been left for the coming winter, as the low land 
through which the line will run is covered with surface water 
for a considerable distance and will render work after freezing 
easier and less expensive. Owing to the marked advance in the 
cost of materials the amount appropriated will not be sufficient 
to complete the work, and an additional appropriation should 
be asked for this year to purchase and erect a tank of sufficient 
capacity to provide for domestic purposes and afford adequate 
fire protection. Disposal of the sewage has been made by 
means of surface irrigation. As this flows onto land which is 
a part of the watershed supplying our wells, some method of 
sewerage purification must be provided. The Massachusetts 
Commission on Mental Diseases have under consideration plans 
for the accommodation of more employees, which must be pro- 



1918.] PUBLIC DOCUMENT — No. 23. 19 

vided before the building can be occupied by patients. As the 
appropriation granted by the last General Court for the reno- 
vation of plumbing in eight wards (Resolves of 1918, chapter 
50) was only one-half the amount requested, only one-half of 
the work has received attention. In view of the fact that the 
plumbing is obsolete, unsanitary and a menace to the health of 
the patients, I would request of your Board that an appropria- 
tion of $6,000 be asked from the next Legislature to renovate 
the plumbing in four wards. Although our needs are great, the 
high cost of building materials seems to be sufficient reason for 
procrastination in asking for other special appropriations this 
year. In this connection, I would, however, call your attention 
to one of the most urgent needs of the institution. We have 
no refrigerating plant. Our meat and other rooms used for 
cold storage are cooled by the primitive and expensive method 
of overhead ice boxes. These ice boxes are old and unless other 
means of refrigeration are provided will need extensive repairs. 
Our storerooms are scattered about the property; these should 
be centralized. The erection of a storehouse in close proximity 
to the main kitchen would be of great economic value to the 
institution by increasing efficiency and reducing labor in the 
department. 

The lot at Hope Cemetery, where the bodies of patients 
dying at the hospital have been buried in all cases where there 
were no friends or relatives to assume charge of the remains, 
became filled during the year. After giving this matter careful 
consideration the trustees decided to open a cemetery on the 
grounds of the institution. An ideal tract of land for this pur- 
pose was found at our Shrewsbury Colony. 

Religious services have been held regularly by representatives 
of the Catholic, Protestant and Jewish faiths. 

Dances, entertainments and various diversional activities have 
been held in Sargent Hall. 

I wish to thank the publishers of the "Fitchburg Sentinel" 
for copies of their paper, the Worcester Employment Society 
for sewing, and also friends of the hospital who have sent litera- 
ture and other gifts. 

I desire to thank the staff and heads of departments of the 
institution for their loyal and strenuous services during this 



20 WORCESTER STATE HOSPITAL. [Dec. 

time of stress when the shortage of help rendered the respon- 
sibility of those who remained at their posts to perform the 
valuable and necessary work much harder and at times in- 
volved the sacrifice of their own feelings. 

Early in the morning of June 14, 1918, the institution was 
enclosed in an atmosphere of deep sadness due to the death of 
the superintendent, Dr. Ernest V. Scribner. He was held in 
high esteem by all who knew him, and it was with keen appre- 
ciation and regret that those connected with the hospital felt 
the loss. His executive ability and clinical skill won for him 
the confidence of all officers, and his dignified yet democratic 
and friendly manner their highest respect. 

In conclusion I wish to express my feelings of gratitude to 
the Board of Trustees for their assistance and support in the 
discharge of the responsible duties with which I have been 
entrusted. 

B. HENRY MASON, 

Acting Superintendent. 

Nov. 30, 1918. 



1918.] PUBLIC DOCUMENT — No. 23. 21 



LABORATORY REPORT. 



To the Acting Superintendent of the Worcester State Hospital. 

The following report of the laboratory work for the year 
ending Nov. 30, 1918, is respectfully submitted. 

The laboratory work has been impeded by the urgent demand 
of the assistance of the pathologist on the clinical staff and the 
lack of a trained technician. 

The following work has been completed : — 

Urinary analysis, . . . . 767 

Cerebrospinal fluid examinations, 77 

Sputum examinations, 34 

Throat cultures, 7 

Throat smears, 5 

Post-mortem cultures, ' . .33 

Blood culture, 1 

Blood count, 5 

Examination of fluid from hydrocele, . 1 

Examination of fluid from knee, . 1 

Examination of feces, 1 

Gastric analysis, -- . . 2 

Smears from vagina and cervix, 8 

Total, 942 

Eighty-one autopsies have been performed with the following 
psychiatric and major anatomical diagnoses: — 

Psychoses : — 

Senile, 23 

Dementia prsecox, 12 

General paresis, 19 

Delirium, not insane, . . ■ 1 

Toxic exhaustive, 4 

With cerebral arteriosclerosis, . . 8 

Manic-depressive, 6 



22 WORCESTER STATE HOSPITAL. [Dec. 

Tabo-paresis, 1 

Cerebral spinal syphilis, 1 

Involutional melancholia, 2 

Chronic alcoholic hallucinosis, 1 

Unclassified, 2 

Imbecile, 1 

Total, 81 

The major anatomical diagnoses were : — 

Lobar pneumonia, . . 17 

Broncho-pneumonia, 8 

Pulmonary tuberculosis, ... . 8 

Tuberculous pleuritis, 1 

Tuberculous meningitis, 1 

Cerebrospinal meningitis (not meningococci), 2 

Ulceration of stomach, 1 

Acute ulcerative colitis, . . . ... ... . 2 

Chronic dilatation of stomach, . 1 

Scirrhous cancer of breast, . . . 1 ■ 

Carcinoma of rectum and liver, 1 

Sarcoma, ..."... 1 

Brain tumor, 1 

Acute vegetative endocarditis, 3 

Chronic myocarditis, .4 

Cardiovascular-renal disease, ......... 7 

Coronary thrombosis, . . . . 1 

General arteriosclerosis, 3 

Cerebral hemorrhage, 1 

Atrophic cirrhosis of liver, 2 

Interstitial nephritis c pulmonar^^ adema, 1 

Pysemia (septic dermatitis), '. 1 

Cystitis and pyelonephritis, 1 

General paresis, 8 

Strangulated hernia, 1 

Exophthalmic goiter, 1 

Asphyxiation by food in bronchi, 1 

Suicide by hanging, '. 1 

Total, 81 

A. F. HARRIS, 

Pathologist. 
Nov. 30, 1918. 



1918.1 PUBLIC DOCUMENT — No. 23. 23 



VALUATION 

Nov. 30, 1918. 



Real Estate. 

Land (578 acres), |274,040 00 

Buildings, . . 1,611,647 54 

$1,885,687 54 
Personal Property. 

Travel, etc., . 14,131 61 

Food, . . 12,328 70 

Clothing, 8,502 82 

Furnishings, 101,607 68 

Medical and general care, 18,311 56 

Heat, light and power, 39,434 88 

Farm and stable, . 54,373 36 

Grounds, ' . . 2,21709 

Repairs, 6,864 10 

Industries, . '. . . . 2,943 12 

$250,714 92 
Summary. 

Real estate, $1,885,687 54 

Personal property, 250,714 92 



$2,136,402 46 



24 



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, 1918: — 



Cash 


Account. 






Balance Dec. 1, 1917, 








$17,609 73 




Receipts. 






Institution Receipts. 










Board of inmates : — 










Private, 




$42,007 09 






Reimbursements, insane, . 




23,402 17 


$65,409 26 










Sales: — 










Travel, transportation and office 










expenses, .... 




$54 97 






Food, 




242 85 






Clothing and materials. 




291 21 






Furnishings and household sup- 










plies, .... 




22 30 


♦ 




Medical and general care, 




86 06 






Farm and stable: — 










Cows and calves, . $2,200 00 










Pigs and hogs, . 1,498 18 










Hides, . . 58 85 










Sundries, . . 400 21 




4,157 24 










Repairs, ordinary, . 


_ 


210 42 


5,065 05 










Miscellaneous receipts: — 










Interest bn bank balances, 




$1,090 01 






Sundries, .... 




92 13 


1,182 U 


















71,656 45 






Sales, account of industries, appropriation. 




410 00 



Receipts from Treasury of Commonwealth. 
Maintenance appropriations: — 

Balance of 1917, 

Advance money (amount on hand November 30) 
Approved schedules of 1918, 

Special appropriations, .... 

Industries appropriation, .... 



Total, 



$5,209 50 

15,000 00 

455,067 27 



475,276 77 

6,666 83 

489 96 


$572,109 74 



1918. 



PUBLIC DOCUMENT — No. 23. 



25 



Payments. 
To treasury of Commonwealth, institution receipts, 



$72,066 45 



Maintenance appropriations: — 
Balance November schedule, 1917, 
Eleven months' schedules, 1918, 
November advances. 



Special appropriations : — 
Approved schedules, 



$22,819 23 

455,067 27 

11,590 38 



489,476 88 



Industries appropriation : — 

Approved schedules, eleven months, 1918, 



489 



Balance Nov. 30, 1918: 
In bank, 
In office. 



$3,012 41 
397 21 



3,409 62 



Total, $572,109 74 



Maintenance. 



Appropriation, current year, 

Balance from previous year brought forward, 

Total, 

Expenses (as analyzed below), 



$498,193 09 
44 33 



$498,237 42 
487,520 03 



Balance reverting to treasury of Commonwealth, 



$10,717 



Analysis of Expenses 
Salaries, wages: — 

Ernest V. Scribner, superintendent, to June 14 

1918 

B. Henry Mason, acting superintendent, from 

June 15, 1918, 
General administration. 
Medical service. 
Ward service (male). 
Ward service (female). 
Repairs, .... 
Farm and stable. 
Grounds, 



$2,144 44 

1,033 33 
44,696 60 
12,395 51 
25,368 97 
29,869 17 
14,814 91 
15,013 97 

1,330 02 



$146,6:6 92 



Religious instruction : — 

Catholic $600 00 

Jewish, 250 00 

Protestant 160 00 

: — 1,010 00 

Amount carried forward, . . . . . . . $147,676 92 



26 



WORCESTER STATE HOSPITAL. 



[Dec. 



Amount brought forward, 



$147,676 



Travel, transportation and office expenses: 
Advertising, . . 

AutomobUe repairs and supplies, 
Postage, .... 
Printing and binding, 
Printing annual report, 
Stationery and office supplies, 
Telephone and telegraph, . 

Travel 

Freight 



Food: — 

Butter, .... 

Butterine, 

Beans, .... 

Bread, crackers, etc.. 

Canned soups. 

Cereals, rice, meal, etc., 

Cheese, .... 

Eggs, . .- . . 

Flour, . 

Fish (fresh, cured and canned). 

Fruit (fresh), . 

Fruit (dried and preserved). 

Lard and substitutes. 

Macaroni and spaghetti, . 

Meats, .... 

Milk (fresh and substitutes), 

Molasses and syrups. 

Potatoes, 

Seasonings and condiments. 

Sugar, .... 

Tea, coffee, cocoa, etc., 

Vegetables (fresh), . 

Vegetables (canned and dried). 

Yeast, baking powder, etc.. 

Sundries, 

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

Furnishings and household .supplies: 
Beds, bedding, etc., . 
Carpets, rugs, etc., . 
Crockery, glassware, cutlery, etc., 



$298 50 


1,472 


72 


945 


26 


570 


51 


. 263 


72 


955 


98 


868 09 


1,099 


92 


15 61 


$2,372 


65 


9,701 


79 


2,641 


89 


182 


29 


3 


60 


6,598 


22 


1,026 64 


7,374 


77 


21,330 


25 


7,027 


18 


866 


52 


] ,762 


49 


2,101 


83 


1,083 


60 


32,632 


60 


83 31 


875 


99 


4,957 


48 


754 04 


3,328 


03 


2,434 


68 


69 


66 


972 


38 


224 


14 


464 


43 


12,100 


81 


4,522 40 


1,325 41 


5,518 


15 


30 


00 


157 


74 


1,013 


4G 


57 


39 


$10,085 


63 


590 


19 


1,085 92 



6,490 31 



110,870 46 



Amounts -carried forward, 



$12,361 75 $279,763 05 



1918. 



PUBLIC DOCUMENT 



Amounts brought forward, . : 

Furnishings and household supplies — Con. 
Dry goods and small wares, 
Furniture, upholstery, etc., 
Kitchen and household Vv'ares, . 
Laundry supplies and materials, 
Lavatory supplies and disinfectants, . 
Table linen, paper napkins, towels, etc., 
Freight, ...... 

Electric lamps, .... 



Medical and general care : — 
Books, periodicals, etc.. 
Entertainments, games, etc., 
I'uneral 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. 
Sputum cups, etc., . 
Tobacco, pipes, matches. 
Water, 
Freight, . 



Heat, light and power: — 
Coal, .... 
Freight on coal and other expens 
Electricity, 

Gas 

Oil, .... 

Operating supplies for boilers and engines, 

Freight, ...... 



Farm and stable : — 
Bedding materials, . 
Blacksmithing and supplies, 
Carriages, wagons and repairs, 
Dairj^ equipment and supplies. 
Fertilizers, 
Grain, etc.. 

Hay, .... 
Harnesses and repairs. 
Other live stock. 
Labor (not on pay roll). 
Rent, .... 
Spraying materials, . 
Stable and barn supplies, . 

Amounts carried forvjard, 



No. 23 27 

$12,361 75 S279,763 05 



495 46 




2,106 82 




3,935 10 




5,465 46 




2,195 83 




1,451 02 




105 87 




642 80 






28,760 10 




$407 10 




560 75 




904 00 




85 61 




294 09 




364 38 




28 31 




3,784 42 




805 86 




6,013 50 




223 52 




34 86 




2,088 67 




6,901 84 




70 43 






22,567 34 




$91,825 67 




10,808 46 




78 82 




788 65 




263 11 




321 16 




10 36 






104,096 23 


$229 22 


626 01 




632 68 




48 50 




992 29 




22,003 71 




5,073 88 




136 90 




635 00 




107 37 




250 00 




87 39 




156 03 




$30,978 98 


$435,186 72 



28 



WORCESTER STATE HOSPITAL. 



[Dec. 



A mounts brought forward, 

Farm and stable — Con. 

Tools, implements, machines, etc. 
Trees, vines, seeds, etc., . 
Veterinary services, supplies, etc.. 
Freight, . . . . 



Grounds : — 

Fertilizers, .... 
Labor (not on pay roll) , . 
Tools, implements, machines, etc.. 
Trees, vines, shrubs, seeds, etc.. 
Freight, ..... 



Repairs, ordinary: — 

Brick, 

Cement, lime, crushed stone, etc., 

Electrical work and supplies. 

Hardware, iron, steel, etc.. 

Lumber, etc. (including finished products) , 

Paint, oil, glass, etc., 

Plumbing and supplies, 

Roofing and materials, 

Steam fittings and supplies. 

Tents, awTiings, etc.. 

Tools, machines, etc., 

Boilers, repairs, .... 

Engines, repairs, .... 

Freight, ...... 

Machinery repairs, .... 



Repairs and renewals: — 

New shell for hot-water heater in boiler house. 
Vegetable steamers, ..... 

Freight, 

Seam dampener, ..... 



Total expenses for maintenance. 



$30,978 98 


§435,186 72 


2,417 


47 




443 


44 




580 05 




447 


47 


34,867 41 






$5 00 




265 


52 




50 


61 




162 


11 




7 


87 


491 11 






$395 43 




85 


88 




376 


78 




2,019 


33 




3,213 


42 




3,978 


64 




696 


97 




1,919 


90 




652 


57 




3 


00 




318 


76 




623 


78 




336 


02 




41 


30 




117 


25 


14,779 03 






$835 00 




1,269 


10 




13 


66 




78 


00 


2,195 76 








$487,520 03 



Special Appbopriations. 

Balance Dec. 1, 1917, $5,135 77 

Appropriations for fiscal year, ....... 16,885 00 

Total $22,020 77 

Expended during the year, . . 6,666 83 

Balance Nov. 30, 1918 $15,353 94 



191S. 



PUBLIC DOCUMENT — No. 23. 



29 



Resources and Liabilities. 



Cash on hand, ....... $3,409 62 

November cash vouchers (paid from advance money) , 

account of maintenance, ..... 11,590 38 

Due from treasury of Commonwealth from avail- 
able appropriation, account of November, 1918, 
schedule (maintenance industries), . . . 17,452 76 

Liabilities. 
Schedule of November bills (maintenance industries), 



$32,452 76 



$32,452 76 



Per Capita. 
During the year the average number of inmates has been 1,575.67. 
Total cost for maintenance, $487,520.03. 
Equal to a weekly per capita cost of $5.95. 
Receipt from sales, $5,475.05. 
Equal to a weekly per capita of $0.0668. 
All other institution receipts, $66,591.40. 
Equal to a weekly per capita of $0.8127. 

Industries. 
Appropriation, . . . 

Expenditures, approved schedules (see statement annexed). 

Balance reverting to treasury of the Commonwealth, 



$500 00 
489 96 











Expenditures. 






Tools and machinery : — 






Awl 


$0 20 




Bitstock, 














2 87 




Hangers, 














10 




Holders, . 














20 




Hooks, . 














19 42 




Hoops, 














40 




Jeweler's saw. 














1 98 




Knives, . 














2 23 




Needles, . 














21 81 




Patterns, 














1 15 




Pens, 














1 40 




Pliers, . 














1 73 




Shuttles, 














85 








$54 34 


Materials: — 




Coir yarn, 


$45 50 




Dresses 


1 18 




Dyes, ....... 


71 21 




Gown, . 














85 





Amounts carried forward, 



$118 74 



$54 34 



30 WORCESTER STATE HOSPITAL. [Dec. 

Amounts brought forward SH8 74 $54 34 

Materials — Con. 
Handkercliiefs, 
Linen, 
Pillows, . 
Pillow cases, 
Ribbons, 
Rings, 
Shades, . 
Stamped material, 
Silk, 

Thread, . 
Thrums, 
Twdne, . 
Waste cotton, . 
Yarn, 
Figures, . 

435 62 



1 50 


10 00 


1 18 


85 


10 19 


51 


1 93 


9 35 


4 25 


199 13 


30 00 


10 


15 00 


27 99 


4 90 



Respectfully submitted, 



$489 



B. HENRY MASON, 

Acting Treasurer. 



Examined and found correct as compared with the records in the office of the 
Auditor of the Commonwealth. 

ALONZO B. COOK, 

Auditor. 



1918. 



PUBLIC DOCUMENT — No. 23. 



STATEMENT OF FUNDS. 



Patients' Fund. 
Balance on hand Nov. 30, 1917, . 

Receipts, 

Interest, 



$6,217 15 

5,894 36 

217 93 



112,329 44 



Eefunded, 

Interest paid to State Treasurer, 



InvestmeMt. 
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, 1918, .... 



$4,491 94 
482 27 



$2,000 00 

1,000 00 

1,000 00 

2,930 15 

425 08 



4,974 21 



$7,355 23 



$7,355 23 



Lewis Fund. 

Balance on hand Nov. 30, 1917, . 
Income, 



Expended for books, etc.. 



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, . 



$1,600 45 
66 99 



$1,667 44 
18 30 

$1,649 14 



$926 36 


349 44 


334 55 


38 79 



$1,649 14 



32 WORCESTER STATE HOSPITAL. [Dec. 1918. 



Wheeler Fund, 
Balance on hand Nov. 30, 1917, .... .$6,089 21 

Income, 174 95 

Worcester National Bank in liquidation, . . 108 00 

$6,372 16 

Expended for books, etc., . 103 91 

$6,268 25 
Investment. 
American 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, 211 50 

Mechanics National Bank, savings department, 377 57 

Third Liberty Loan bonds, 4,000 00 

Balance Worcester Bank and Trust Company, . 230 83 

$6,268 25 

Manson Fund, 
Balance Worcester County Institution for 

Savings, $1,182 45 

Income, 47 76 

$1,230 21 

Expended for entertainment, etc., 83 75 

$1,146 46 
Investment. 
Worcester County Institution for Sa\angs, $1,146 46 



Respectfully submitted, 



Nov, 30, 1918. 



B. HENRY MASON, 

Acting Treasurer. 



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



STATISTICAL TABLES 

As ADOPTED BY AMERICAN MeDICO-PsYCHOLOGICAL ASSOCIATION. 



[Prescribed by Massachusetts Commission on Mental Diseases. 



STATISTICAL TABLES. 



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, . . . . ■ $1,911,721 09 
Personal property, . . . . . . . 250,714 92 

Total, $2,162,436 01 

Total acreage of hospital property, 578.15. 
Acreage under cultivation during year, 201i. 

4. Medical service : Men. Women. Total. 

Superintendents (acting), 1 - 1 

Assistant physicians, 2 3 5 

Medical internes, - - - 

Clinical assistants, - , - 

Total, ........ 3 3 6 

5. Employees on pay roll (not including physicians) : — 

Men. Women. Total. 

Graduate nurses, .■ - 14 14 

Other nurses and attendants, .... 54 47 101 

All other employees, 71 69 140 

Total employees, .^ . . . . . 125 130 255 

Men. Women. Total. 

6. Patients employed in-industrial classes or in gen- 

eral hospital work on date of report, . . 226 194 420 

7. Patients in institution on date of report (ex- 

cluding paroles), 819 759 1,578 

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



36 



WORCESTER STATE HOSPITAL. 



[Dec. 



i 

z 
o 
ij 

1 


•SIB^OX 


1,774 

386 
241 
627 
6 
633 
2,407 

56 
66 
75 
42 
64 
209 
1 
513 
1,894 

1,834.84 

1,531.50 

44.67 

258.67 

9 

159 


■sa^Bniaj 


850 

166 
92 
258 
4 
262 
1,112 

23 
. 39 
27 
10 
38 
100 

237 
875 

860.46 

703.48 

44.67 

112.31 

5 

52 


•sapK 


924 

220 
149 
369 
2 
371 
1,295 

33 
27 
48- 

26 

109 

1 

276 

1,019 

974.38 

828.02 

146.36 

4 

107 


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 


■sajBraa^ 


' ' ' ' ' ' 1 1 1 1 1 


•saiBH 




< 


•siB^ox 


CO ,,,,,« ,1,^, I^O.^ og o ,g, , 


•sai^raa^ 


' 1 1 1 1 1 1 1 Ill 1 1 1 1 1 1 


•saiBH 


0, , , 1 1 ,« ,1,^1 l^c,^ og gIg, 1 


1^' 


•sib;ox 


1,771 

386 
241 
627 
6 
633 
2,404 

56 
66 
75 
41 
64 
209 

511 
1,893 

1,831.96 

1,530.20 

44.67 

257.09 

9 

159 


•sapraa^ 


850 

166 

258 

4 

262 

1,112 

39 
27 
10 
38 
100 

237 

875 

860.46 

703.48 

44.67 

112.31 

5 

52 


•sapH 


921 

220 
149 
3-69 
2 
371 
1,292 

33 
27 
48 
31 

109 

274 
1,018 

971.50 

826.72 

144.78 

4 

107 






1. Patients on books of institution Sept. 30, 1917, 

Admissions during year: — 

(o) First admissions, 

(6) Readmissions, .....'''' 
Total admissions, .....'' 
„ ^ ^f ^ Transfers from other institutions for the insane', 

2. Total received during year, ... 

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

Discharged from books during year: — 

(a) As recovered, 

(b) As improved, ......' 

(c) As unimproved 

(d) As not insane 

e) Transferred to other institutions for the insane, 

(/) Died during year, 

i r,. (ff) Nominally dismissed for change of status, 

4. lotal discharged from books during year 

5. Patients remaining on books of institution Sept. 30, 1918, 

Supplementary Data. 
6a. Average daily number of patients on books during the year, 
b&. Average daily number of patients actually in the institution 

during the year, 

7a. Average daily number of patients in family 'care,' .' '. 
76. Average daily number of patients on visit and escape, 
S. Number of voluntary patients admitted during year, . 
9. Number of temporary-care cases admitted during the year, . 



1918. 



PUBLIC DOCUMENT — No. 23. 



37 



gSSSSS^^'-ggl 1 1 1 1 1 1 1 gg 


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


'■'''''''' ' ' ' 




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


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





0. 








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t ■ 


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38 



WORCESTER STATE HOSPITAL. 



[Dec. 



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











Parents 


OP 


Parents 




Patients. 




Male 




OF Female 










P 


\TIENTS. 


Patients. 


Nativitt. 




A 






^ 






i 


























1 
1 


fe 


1 


1 
1 




1 


1 


fe 


1 


United States 


108 


79 


187 


46 


49 


95 


40 


36 


76 


Africa 


_ 


_. 


_ 


_ 


_ 


_ 


_ 


_ 


_ 


Asia 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Atlantic Islands, .... 


- 


- 


_ 


- 


- 


- 


- 


- 


- 


Australia, 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Austria 


4 


'A 


7 


5 


!) 


10 


3 


3 


6 


Belgium, 






- 
















- 


- 


- 


- 


- 


- 


- 


- 


- 


Canada, 


15 


21 


36 


27 


27 


54 


27 


31 


58 


Central America 




















China 


-V 


- 


- 


1 


1 


2 


- 


- 


- 


Cuba, 


- 


- 


_ 




- 


- 


- 


- 


- 


Denmark 


_ 


1 


1 


_ 


_ 


_ 


2 


2 


4 


England, 


7 


4 


11 


8 


7 


15 


9 


6 


15 


Europe, 


- 


- 


- 


- 


- 


- 


- 


- 


- 




10 


4 


14 


10 


10 


20 


4 


4 


8 


France, 


- 




- 


- 


1 


1 


- 


- 


- 


Germany, 


2 


2 


4 


2 


3 


5 


2 


2 


4 


Greece, 


i> 


2 


7 


5 


i) 


10 


2 


2 


4 


Hawaii 












- 


- 


- 




Hplland, 


- 


1 


1 


_ 


_ 


_ 


_ 


_ 


_ 


Hungary, 


- 


- 


- 


- 


- 


- 


- 


- 


- 


India 


_ 


- 


_ 


- 


- 


- 


- 


- 


- 


Ireland, 


25 


19 


44 


54 


49 


103 


28 


30 


58 


Italy . 


7 


3 


10 


7 


7 


14 


3 


3 


6 


Japan, 


- 


- 


- 


- 


- 


- 


- 


- 


- 




- 


- 


- 


- 


- 


- 


- 


- 


- 


Norway, 


3 


- 


3 


3 


3 


6 


- 


- 


- 


Philippine Islands 


_ 


_ 










_ 


_ 


_ 


Poland, 


H 


H 


9 


3 


3 


6 


6 


« 


12 


Porto Rico 












- 






- 


Portugal, 


2 


_ 


2 


2 


2 


4 


_ 


_ 


_ 


Roumania 


- 


- 


- 




- 


- 


- 


- 


- 


Russia 


Y/. 


1H 


25 


13 


13 


26 


13 


13 


26 


Scotland,. . . . . . 


4 


2 


6 


3 


3 


6 


3 


3 


6 


South America, .... 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Spain 


_ 


_ 


_ 


_ 


- 


_ 


- 


_ 


- 


Sweden, ...... 


6 


4 


10 


9 


9 


18 


6 


fi 


12 


Switzerland, 




















Turkey in Asia, .... 


_ 


_ 


_ 


_ 


_ 


_ 


_ 


- 


_ 


Turkey m Europe, .... 


4 


- 


4 


4 


4 


8 


- 


- 


- 


Wales 


- 


- 


- 


- 


1 


1 


1 


1 


2 


West Indies, 


1 


_ 


1 


1 


1 


2 








Other countries, .... 


- 


- 


- 


- 


- 


- 


1 


1 


2 


Born at sea, 


- 


- 


- 


- 


- 


- 




- 


- 


Total foreign born, . 


110 


8,5 


195 


157 


154 


311 


110 


113 


223 


Unascertained, .... 


2 


2 


4 


17 


17 


34 


16 


17 


33 


Grand total, .... 


220 


166 


386 


220 


220 


440 


166 


166 


332 



1918. 



PUBLIC DOCUMENT — No. 23. 



39 



Table 5. — Citizens of First Admissions. 





Males. 


Females. 


Totals. 


Citizens by birth, 

Citizens by naturalization, 

Aliens, 

Citizenship unascertained, 


108 
5 
24 
83 


79 
7 
8 

72 


187 
12 
32 

155 


Total 


220 


166 


386 



Table 6. — Psychoses of First Admissions. 







M 


i 




J 


.3 




-3 


s 


.2 


^ 


i 


^ 




S 


fe 


Eh 


s 


fe 


H 










22 


33 




2. Senile, total, 








55 


(a) Simple deterioration, 

lb) Presbyophrenic type, ...... 


15 


14 


29 








- 


- 










(c) Delirious and confused states, 


_ 


2 


2 








(d) Depressed and agitated states in addition to 














deterioration, 


"2 


3 


5 








(e) Paranoid states in addition to deterioration, . 


5 


14 


19 








3. With cerebral arteriosclerosis, 








17 


g 


23 










20 




28 










2 






6. With Huntington's chorea 








1 




1 


7. With brain tumor, ....... 










_ 




8. With other brain or nervous diseases, total, 








1 


2 


3 


Cerebral embolism, 


_ 


_ 


_ 








Paralysis agitans 


- 


- 


- 








Tubercular or other forms of meningitis, 


_ 


- 


- 








Multiple sclerosis, 


- 


- 


- 








Tabo-paresis, 


1 


- 


1 










- 


_ 


- 








Other conditions, 


_ 


2 


2 








9 Alcoholic, total, .... 








37 


5 


42 


(a) Pathological intoxication, .... 


- 


- 


- 




(b) Delirium tremens, 


4 


- 


4 








(c) Acute hallucinosis 


IS 


2 


20 








{d) Acute paranoid type, 


a 


- 


2 








(e) Korsakow's psychosis, 




1 


1 








(/) Chronic hallucinosis 


1 


2 


8 








(g) Chronic paranoid type, 


8 


- 


8 








(h) AlcohoUc deterioration 


4 


- 


4 








(i) Other types, acute or chronic, 




_ 
























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














alone or combined 


- 


1 


1 








(6) Metals, as lead, arsenic, etc., .... 


- 


- 


- 








(c) Gases, 


- 


- 


- 








id) Other exogenous toxins 


- 


1 


1 








11. With pellagra, 








5 


9 


_ 


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








14 


(a) Delirium with infectious diseases, . 


- 


- 


- 




(b) Post-infectious psychoses, .... 


- 


- 


- 








(c) Exhaustion delirium 


- 


9 


9 








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


- 


- 


- 








(e) Diseases of the ductless glands, 


- 


- 


- 








(/) Cardiorenal disease, 


5 


- 


5 








ig) Cancer 


- 


- 


- 








{h) Pernicious anjemia, 


~ 


" 


~ 









40 



WORCESTER STATE HOSPITAL. 



[Dec. 



Table 6. — Psychoses of First Admissions — • Concluded. 



Psychoses. 


1 


1 


^• 


1 


1 


.2 










2 
62 

1 

5 
5 

3 

28 


9 

11 

50 

5 

2 
4 

5 
11 


16 


(o) Manic type, 

(6) Depressive type, 

(c) Stupor, 

(d) MLxed type, 

(e) Circular type, 


3 
3 

1 


8 


4 
11 

1 


13 












(a) Paranoid type, 

(b) Katatonic type 

(c) Hebephrenic type, 

id) Simple type, _. 


9 
20 
10 


16 
18 
13 
3 


39 
27 
33 
13 














(a) Hysterical type, 

(fe) Psychasthenic type, . . . . 
(c) Neurasthenic type, . ... 


: 


: 


: 




19. With constitutional psychopathic inferiority, . 








2 


20. Epileptic, total 

(a) Deterioration, . . . . . 

(6) Clouded states 

(c) Other conditions, 


i 

3 

1 


1 
3 




9 


22. Not insane, total, ....... 








39 


(a) Epilepsy without psychos"is, .... 
(6) AlcohoHsm without psychosis, 

(c) Drug addiction without psychosis, . 

(d) Constitutional psychopathic inferiority with- 

out psychosis, 

, (e) Mental deficiency without psychosis, 

(/) Others 


12 

4 
10 


2 

5 
3 

1 


14 

9 
13 
1 




Total 








220 


166 


386 













w 


18.] 


PUBLIC DOCUMENT — No. 23. 41 

•sib:jox I I I I I I 1 I I 1 1 I I I I ' I 1 I 1 1 I I I I I I 1 I I I I I ,, , 


, 


■saivm^^ 


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 


•sai^K 


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


' 


to 


•si^^ox 


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


^ 


■sat'Bniaj[ 


''''''' 1 1 1 1 1 1 1 1 1 1 1 , , , , 


~ 


■saiBH 


''''''''''''''''''■'''''''''' - 1 


h 


'i 


•smox 


, ,^,^,^,^, ,,,,,,,,,,,,,,,,, ,„, 


CO 


•sen!raaj[ 


''''''' "^ ''''' ^ 1 1 1 1 1 ,,,,,,, c , 


- 


•saiBH 


'''''''''' '^ ' '^ ' 1 '' 1 1 1 1 1 1 1 1 1 1 


c 


•J 2 

is 

^ 


■sib:jox 


(N 


^ 


•saiBuia^ 


'''''' '^ ' '^ -' 


CO- 


■sapM 


' ' ' ' --I 1 1- . 1 . 1 1 1 1- 1 1 1- , , , , 1 , ,«, 


g 


iil 


•si^^ox 


' •^' ''' '^ '"'''"'''''''■'—' ' -' 


55 


■saiBuia^ 


'''ll'll'll'll-^ll'lll'llll-ll -•'I 


CO 


•sapH 


'"" -.ICOIII.OIII ,^^||||,,,,„, 


1^ 


i 


•SF^ox 


''''''' '"'"""'23"' '''','''""'''■''' '?S' 


^ 


•saiBuia^ 


,,,,,, 1 1^ IC , ICOC. 1 , , 1 , , , ,^^ j^ , 


?s 


•sai^M 


' « 1 <^^- 1 1 =o 1 1 1 1 1 , 1 , 1 ^ 1 1 , 1 1 1 , 1 ir, 1 


?3 


p 


■siB^ox 


' ■ ' ' ' ' ' 


' 


■sai^uiaj; 


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


' 


•sai^H 


1 1 1 1 1 1 1 1 1 1 J 1 1 1 1 1 1 1 1 1 1 1 1 1 1 J 1 1 1 1 j 1 1 1 1 1 


' 


►5 

1 


•si^^ox 


CO 1 cq 1 ^ 1 rH 1 2;2;to^'^mS2 ' ' " ' ' ' " ' S'°s ' ' ' '^'-"-< 1 =>'-' 


i 


•saiBraajj 


T-H I 1 1 1 1 ^ 1 to ^ ■* !N e<i CO j^ CO 1 1 c^ 1 1 1 1 1 wcooo 1 1 1 1 rt 1 1 o:^ 


S 


•saiBH 


.IC^I , ,0000,^00^.1 ,^, , ,«l^„-, , ,^,^,_., 


i 




















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, 
Scotch, . 
Slavonic, 
Spanish, . 
Spanish-American, 
Syrian, . 
Turkish, 
Welsh, . 
West Indian, . 
Other specific races 
Mixed, . 
Race unascertained 


H 



42 



WORCESTER STATE HOSPITAL. 



[Dec. 



i 
g 

1 




•sib;ox 


(M 1 1 1 1 1 1 1 (MtOC»-H^050>« 1 1 (M 1 1 1 eq I « 


•saxBOTBj; 


^ 1 1 1 1 1 1 1 rtCOM 1 T^lOtO 1 1 1 « 1 1 1 1 1 rt 


•eappt 


- 1 1 1 I , 1 ,^«=O.H«^0,« 1 ,^ 1 1 IC^ ,^ 




•siB^oX 


' ' "-"'^' 1 l-i 1 1 1 1 i 1 1 1 1 


■S9|Bm9j[ 


III'''' 1-^- 1 1 1- 1 1 


•saiBpt 


1 1 1 1 1 1 1 1 1 'H 1 1 1 1 1 1 1 1 1 1 1 1 , 1 1 


Q 


•sFlox 


, ■ , 1 , , , 1^ ICOI^CO^^I ,,,,,,,, 


•sa|Biii9^ 


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


•saiBpi 


1 1 1 1 1 1 1 1 1 1 - 1 --. 1 ^ 1 1 1 1 1 1 1 1 1 


iii 

„ S la 

in 


•si^^ox 


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


•sapnia^ 


'1 , , ,«^, ,^1 , ^ 


•saiBpi 


11111114^1-111-111,111,1. 


< 


■gp^ox 


,,,,,,,,,,.,,,,,.,,,,,., 1 


•sapjraa^ 


,,,.,,,,,,,,., I ,,,.,,,, 1 , 


•sai^K 


1 1 1 ' 1 1,1,1 1 , 


S K ° 5 
Q R Z !5 


•siB^ox 


.111,1 1 , 


•sapma^ 


,,.,,,,,.,,. 


•sai^pi 


1 ,,,.,,,,.,.,,,, 1 , 1 ,,,,, , 


i 


•si^^ox 


,,,,,,,, ,-co, , ,o-, ,-,,,, ,vo 


•saiBraaj 


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


•saiBH 


. , 1 , , . , 1 , — (M 1 1 . O— , 1 , 1 , , 1 1 ITS 


1 p • 


■sib;ox 


' ' ' .,,,,,,,,,,,,.,,. 


•ssj-eraaj 


,,,,, 1 ,.,.,,.,■,,,,, , 


•saiBH 


I'll'' , 1 1 , 1 , , . , 1 1 , , 












African (black), 
American Indian, 
Armenian, 
Bulgarian, 
Chinese, . 
Cuban, . 
Dutch and Flemisl 
East Indian, . 
English, . 
Finnish, . 
French, . 
German, 
Greek, . 
Hebrew, . 
Irish, . 
Italian, . 
Japanese, 
Korean, . 
Lithuanian, . 
Magyar, . 
Mexican, 
Pacific Islander, 
Portuguese, . 
Roumanian, . 
Scandinavian, 



i 



1918. 



PUBLIC DOCUMENT — No. 23. 



43 



^"' ' ' "^'-' 


2 


-^ 1 1 1 1 1 1 ic, 1 


S 


ICO 1 , 1 1 1- 1^ 1 


S 


1 1 1 1 I 1 1 1 1 00 1 


2 


1 ■ 1 1 1 1 1 1 It^ 1 


;^ 


1 1 1 1 1 1 1 1 1 - 1 


« 


' ' '-' 


S 


, , , 1 , , , , IC 


OJ 


' '" ' 


t- 


, , 1 1 , , , , , « , 


s 


,.,,,,, 1 1^1 


OS 




« 




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 1 -.-H 


c 




« 


l 1 1 1 1 1 1 1 1 1 1 


' 


C.OC , , , , 1 , , ^ 1 


s 


IC, , , , , , 1^1 


o 


«tO 1 1 1 1 1 1 1 O 1 


" 


1 -H 1 1 1 1 1 1 1 O, 1 


CO 


1 ^ 1 1 1 ! 1 1 1 ^ 1 


c^ 


1 1 1 1 1 1 1 1 1 ^ 1 


-- 


Scotch 

Slavonic, 

Spanish, ..... 

Turkish 

Welsh, 

West Indian 

Other specific races. 

Mixed, 

Race unascertained, 


3 



44 



WORCESTER STATE HOSPITAL. 



[Dec. 



1 


5 
g 


•smox 


rt 1 ^ 1 rt , rt 1 ^COT)l 1 1 t-^ 1 1 -H 


•sajBraa^ 


llllllrHlr-II^II^IIIIIIIIIIrt 


•saiBM 


rt 1 -1 1 rt 1 1 1 1 com 1 1 CO-H II 


a 

2; 

o 

3 

2; 
D 


•sF^ox 


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


■S9i'Binaj[ 


''''''''''^''"'^'''' 


•sai^M 


' ' ' ' 1 ' ' ^^ 1 1 1 1 


i 

1 


■SIB^OX 


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


•S9|Bra9^ 


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


•S9IT3H 


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




•sIb:>ox 


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


•S9lBni9j[ 


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 


•S9PPI 


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


►J . 


•si^^ox 


1 1 1 1 ' 1 1 1 1 1 1 1 1 1 <^ 1 1 1 ' 1 1 1 1 1 1 


•sapsraa^ 


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 


■S91BK 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 <^> 1 1 1 1 1 1 1 1 1 1 


si 


•SlB:^oX 


1 1 1 1 1 1 1 1 1 1 1 


■S9JBin9J 


''''''''''!'''' ' ' ' 


•saiTspi 


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


ill 


•si^^tox 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 <M 1 1 1 1 1 1 1 1 1 1 


•saiBinaj 


III 1 1 1 1 1 CC, 1 1 1 1 1 1 i 1 1 1 


•saiBH 


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


i 








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, . 



1918. 



PUBLIC DOCUMENT — No. 23. 



45 



II S ' 


a> 


1 1 1 1 1 1 1 1 1 » 1 


- 


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


^ 


' ' ' ^ ' 


00 


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


« 


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


CO 


1 J 1 1 1 1 1 1 1 CO 1 


ffl 


1 111^1 


T)< 







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


« 


1 1 1 1 1 1 


' 


1 1 1 1 1 -H 1 1 1 1 1 


« , 


1 1 1 1 1 1 1 1 1 >o 1 


■^ 


1 , 1 1 1 1 1 1 IC 


^ 


1 1 1 1 1 1 1 1 1 « 1 


« 


III 


' 


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« , 


to 


1 1 1 1 1 1 -< 1 1 <M 1 


" 




'^ 










Scotch, . 
Slavonic, . 
Spanish, . 
Spanish-American, . 
Syrian, . 
Turkish, . 
Welsh, . 
West Indian, . 
Other specific races. 
Mixed, 
Race unascertained. 


3 



46 



WORCESTER STATE HOSPITAL. 



[Dec. 



i 
>< 


^ 
s 


•smox 


1 1 1 o 1 1 1 1 m 1 1 .-.rtcom^ 1 1 1 1 coio 


s 


■sajBrna^ 


,,,«,,,,,, ,^,«^^, ,, ,«c. 


h 


•sai^M 




h 


i 


■si^^ox 


, , 1^1 , , ,o, ,^co^2:' '-'«'- 


§ 


•saiBma^ 


1 1 1 c^ 1 1 -H<^^«t- 1 1 rt 1 1 1 (M 


s 


•sapM 




s 


si 


•siB^ox 


'''"'''--''--'§''--'-- 


1 "^ 


•saiBuia^ 




N 


•saiBpt 


, . 1- , ( , .^l , , , l«, ,«.. , ,« 


lg 


^ 


■si^^ox 


-Il^lg,ll-lll^ 


1" 

1 °° 


•sa|Bma^ 


Illl-H||-H|t01 


•sapH 


CO|t-||,-H|||^ 


|s 


I 


•eiB^oi 


-'^ "Nil 


•sa|Braaj 




1= 


•sai^H 


IIIIIIIIIIIIi-Hltnlllli-ilio 


l« 


1 


•sib:jox 


' ' ' '- --';5' i^.^io, 


;3 


■saiBuia^ 


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


- 


■saiBpi 


1 1 1 1 1 1 l-l^-, l«l . ,- 


s 




•siB^ox 




- 


•sai^raa^ 


1 1 > 1 1 . 1 > 1 1 1 . . 


1 


■saiBK 


1 1 1 1 1 1 1 1 1 1 1 1 <-< 1 1 


- 


i 


•siB^ox 


,gc,oo»^ ,««« '3222=° l-^°^°°g 


s 


•sai^raa^ 


1 McoooTi< 1 1 (Muscq 1 005-HOU5 1 eq | t«.o^ 


§ 


•saiBH 


'?3^§--"-?;' ,«^~«g^,««««oo 


<>5 


1 


Traumatic, 

Senile, 

With cerebral arteriosclerosis, . . . . . 

General paralysis, 

With cerebral syphilis, 

With Huntington's chorea, 

With other brain or nervous diseases 

Alcoholic 

Due to drugs and other exogenous toxins, . 

Manic-depressive, . _ 

Involutional melancholia 

Dementia praecox, 

Paranoia and paranoic conditions, .... 
Psychoneuroses, . . . . . 

With mental deficiency, 

With constitutional psychopathic inferiority, 

Epileptic 

Undiagnosed, 

Not insane, 


1 


«NM-*iO«51>.00»OrtCqM^'»50t^00050«(M 





1918.1 



PUBLIC DOCUMENT — No. 23. 



47 



' i 

t 




•si^^ox 




- 


-'-'''''''' • ' 






■sai'Bniaj 




CO 


■sai^H 


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





% 


•siB^ox 


I.O>rt 1 1 1 1 1 ^ 1 1 1 1 1 1 




■sai^ma^ 


1 CO <-H 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




■sai^W 


1 n 1 1 1 1 1 1 ^ 1 1 II 


, 


^ 
g 


•si^iox 


1 ^IM 1 1 1 1 1 1 1 1 ~< 1 1 1 1 1 1 1 1 1 1 


. 


•sai^Tnaj 


1 o> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




•sai^K 


"°^ " " " ' 


0. 


t 


•siB^ox 


,3=0.., , , ,.,., ,,.,,,,,, 


s 


•saiBtnaj 


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


3 


•sai^H 


1 t-eq^rt 1 1 1 1 1 1 -H 1 1 1 1 1 


2 


i 


•sib:>ox 


'«-'--' ic, ,-^,^, , . , , ,^ 


?5 


•sgxBtna^ 


1 lO-H |-<||||l||.-.|-l||||lll 


01 


•sai^H 


1 m=o iirtiic^ilrtlll rt 


-# 




•sp:jox 


1 1 0-*N 1 1 <m'cO 1 1 N 1 ^rt-H 1 1 1 1 -HIM 


^ 


■saiBin9^ 


,,,„„, ,^^, ,„,„^^, , , ,^, 





•S9IBK 




2: 


i 


•si^^ox 


1 1 1 t- 1 1 1 101 1 (M-.^-.^ 1 1 1 CO-HO 


S 


•S9pni9j[ 


1 1 1 CO „„„«-( 1 1 1 <M 1 <M 


S 


•S9IBH 


I.I^IIIICOII^I^IIIl I^^CC 


^ 


i 


■si^^ox 


, , ,^^, , ,oc, l^^^^.., , l^^co 


^ 


•saiunia^ 


, , ,^, , , ,„, I^^CC-I , ,^ IC 


2 


•sai'BM 


1 1 1 CO-H 1 1 1 t- 1 1 1 1 «<Mr-H 1 1 1 1 -H-( 


^ 


i 
I 


•J 


1 


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, 

Involutional melancholia 

Dementia pracox, 

Paranoia and paranoic conditions, .... 

Psychoneuroses, 

With mental deficiency, 

With constitutional psychopathic inferiority. 


"3 -u 
51 


3 




=^ 


oOTt<w>totr-(»eftO-Hffqoo2>2S^22S 







48 



WORCESTER STATE HOSPITAL. 



[Dec. 



II 


•SIB^OX 




mU5U5rt 1 1 -HtO 


1 1 


^ro^OC, 


1 1 ^ 


- 


c 


§ 




•sajBuia^ 


1 ojcqcc 1 1 1 -H 1 1 1 1 ^ 1 co(Ni 1 1 1 1 1 ^ 


- 


•S81BH 


1 coco<N'^ 1 1 1 =o 1 1 cqcq-(ro i i i i ^ -h ^ 


^ 


i 

8 


•sib:>oi, 


l-HI cql^illllll 


•* 


■saiBra9j[ 


1 -H 1 1 1 1 1 r-l 1 1 1 1 1 1 1 1 1 


" 


•S9IBH 


II 1 1 1 1 -H 1 ^ 1 


« 




■SIB^OX 


,^^^, , ,^^, ,^^ ,^, , , , , ,o 


^ 


•sa(Bma^ 




- 


■ -sapH 


1 1 ^co 1 1 1 1 ^ 1 1 1 - 1 „. m 


S 


° O 


•SlB^Oi 


■- 


« 


•sai^maic 




g 


•saiTiH 


ICC.-.I..^, IC.C....I ic^^co^s 


1 


ii 


•siB^ox 


1 fflcococq 1 1 1 CT 1 1 rt^cqoo 1 1 « 1 N 1 t- 


s 


•sa^BTnaj; 


IMI |Cq| 1 1^1 1 1 rtC^O 1 1 rt 1 cq 1 -< 


?3 


■sapi^ 


1 tocoM 1 1 1 l-Hi 1^1 )oi| icqi 1 Ito 


3 


i 


■smox 


1 t^^ 1 1 1 1 1 o 1 1 .-<c^^^M 1 crq-^cdc^o 


^ 


•saiBina^ 


1 «> 1 1 1 1 1 1 M 1 1 .l^rHOOtNl 1 « 1 rtr^lM 


?5 


•saiBK 


1 rtrt 1 1 1 1 1 eq 1 1 1 rt 1 t-T-H 1 ^rtrt^eo 


g 


< 
1 


•siB^ox 


1 gg^gco- 1 cogo. 1 2;s2^=° ' ^«»"=? 


i 


•sa^Bina^ 


1 ^^cc^ 1 1 «^c. 1 ote-o« 1 c, , ^^^ 


1 


•saiBpi 


1 <Mi^oc-q— 1 1 i-ii^ 1 1 u5t~(Ni(rqrt 1 >0(Miocooo 


1 


1 


£ 

1 


•llllll 


1 

§ 
1 


1 '-S ■ o 

S 1 .1 

lilies 

■llllll 

llllll 


-.2 

■| 
^1 
■2 -3- 
■II 
^■^ 

Ui 
III 


J 


i 


1 




■- 


<N M n- m CO t- CO a 


2^2S^2S^S2§ 


c5 


S3 


II 



1918. 



PUBLIC DOCUMENT — No. 23. 



49 



•sapnia^j 



(MTtl«OC<l 



jomort 



-*l^-(^^OT-^ 






a-s'-s 









^^cS^^^P^^ollllplfSUHlSI 



1-1 (M CQ Th lO CD t 



50 



WORCESTER STATE HOSPITAL. 



[Dec. 





< 

i 

1 


•siB^ox 


' ' ' ^, ,,,,,,,,,,, , 


- 




■sajBtaaj 


' ,,,,,. 1 1 


' 




•saiBH 


1 1 '' 1 1 1 1- 1 1 1 1 1 1 1 1 


- 




M 
O 

o 
O 


■siB^ox 


'=""--^- —"'"-""= 


S 




•sa^'Braaj 


,.=.„_, ,„,„,.«„2^, , ,_„« 


s 




•saiBM 


■■-^=="""^ "-""-'- = 


§ 




i 


■siB^ox 


1 lOOSrtrH 1 1 cqoO-H 1 I:~CX>t~CDCO 1 --H <M N CO 05 


2 




■Sa|EOT8J 


,000.^,., ,^«^,co^^,«co, , l^c.« 


t~ 




•saiBK 


.^r-t^l , l^co, l^^ljH 1 ,^„^^3 


§ 




1 
ft 

2i 

Q 


•si-B^ox 


Igj^^C, , IC, , .^^O, I^ICO,^ 


S 




•saiBtna^ 


" 


^ 




■sai^H 


'»'-' 1 1 l-i ' i-i-' .coi^.co 


S 




i 


•s^ox 




i 




•sa^Buia^ 


1 MOOOtH 1 1 (M«3(M 1 OJOl^OlO 1 <M 1 ^ O -J 


1 




•saiBM 


|g.f,OC.^ I^J5 , ,U=t~Cg^ ,«C.«„CO 


i 




g 

1 


Traumatic, 

Senile, 

With cerebral arteriosclerosis, 

General paralysis, 

With cerebral syphilis, 

With Huntington's chorea, 

AlcohoUe 

Due to drugs and other exogenous toxins, 

With pellagra 

With other somatic diseases, 

Manic-depressive, 

Involution melancholia, 

Dementia prfficox, 

Paranoia and paranoic conditions, .... 

Psyohoneuroses, 

With mental deficiency, . . - , ; 
With constitutional psychopathic inferiority, . 

Epileptic 

Undiagnosed, 

Not insane, 


1 




1 ^«c,^«»,^-«,o=o-««^«2^S2§SS 





1918.1 



PUBLIC DOCUMENT — No. 23. 



51 



a 

H 

< 


•SF^Oi 


1 ^totoc 






-s"-' 


' 


.c 


s 


•saiBraa^ 


' — ' " ' " '-'^"'-' ' — 


^ 


■S8PK 




to 


1 


•siB^ox 


,..,.,,.,,,...,.,.,.,, 


s 


■sax^ras^ 


'-'-' . ,««, , , :o.^-, , ,^,^ 


s 


•S9IEH 


l^^t,^ , i^j. , ,^^ 1^^ ,^ ,^ 1^ 


S; 


CM 


•siB^ox 


1 0«t-N 1 1 1 1 (M 1 OJJOg-l 1 M«t0t~0 


2 


•S3IBni8^ 


lOO^O, , 1 , ,« lOOOCOJO-. ,^ ,„^00 


2 


■S31BK 


,f-oo« 111,1, ,«^^o , ,c.c.«c,2 


o 


1 

i 


•SIB^OX 


''■"--'-'''--'-''-■-'- 


;5 


•saiBraaj 


,,,,-,,-,,,-,,,,,,,,,, 


c 


■sai^H 


'''"'-''''"--'-''-'-'- 


00 


1 


•sitj^ox 




i 


■saiBinajf 


, MCOOO^ , , C^«CV) , 0J01-.OU5 1 (M , ■* ^ ^ 


§ 


•sai^K 


, ^^o«- ' -55 ' ' "''-^S- ' ««««oo 


8 






.2 

'■I 

ill 


1 

i 


'■V 

III 

III. 

<6c^a6a- 


I-- 
1 . . 

nil 


a" 


• ■ -1 

c 

'1 ill 

Ijiil 

liil 


J 

T 
t3 


1 









52 



WORCESTER STATE HOSPITAL. 



[Dec. 



1 ^ 


•sib;ox 


1 1 1 >H 1 1 1 1 1 1 1 1 1 1 1 1 1 


- 


•saiBuiaj 


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


' 


•S31BH 


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


-^ 


c 
> 

Q 


•slB:^ox 


1- 1 1 1 1 1 1- 1 1 1 1 1-^ 1 ■ 11 1 1 


■* 


•saiBmajj 


'-''''''■ 1 ' 1 ' 1"-^ 


CO 


•S9IBH 


11 1 - 1 1 1 1 1 1 1 1 1 1 1 1 1 


"-^ 


Q 

K 

H 
CO 


■sib:jox 


1 ^ 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 


-' 


•S3lBni9^ 


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


-- 


•S8I13K 


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


' 




•smoi 


IJ^OC^I ICO, l^l-^l , , , , It^ 


§ 


•s9tBraa^ 


,^^^^, ,..,, ,c. ,-«,,,,, ,„ 


01 


•S3IBM 


1 t~OMrt 1 1 ^tO 1 1 <N 1 1 1 1 1 1 1 1 1 -* 


s 


a 


•si^^ox 


1 cqroo-cw 1 .-.rocq i t-;:;o^co 1 ^^THir-to 


§ 


■sai^rae^ 


,^^^^, ,^«c. ICO^COJMC, , ,«^^ 


s 


■S8IBH 


1 OOOOM 1^1 1 ■* 1 1 rt-*(Mb-jrH 1 rtrtCMCTN 


SS 




•smox 


'2™' "2' .co^^gco^.^s 


s 


•saiBraaj[ 


'"-'" ^c.^c,.,.,. 


3 


•saiBjn 


,t^««^ 1 , lO 1 l«« l« 1 I^^CO^C. 


s 


►J 
1 


•sib;ox 


, jc„=o=o^ ,cog« 12:22^=° '^^O"^^ 


»■ 


•satTsma^ 


1 MtOOO-* 1 1 C^iOlM 1 CBO>-JOm 1 N 1 ^«,--. 


s 


•sai^H 


' g^^S--- "-i^ ' .«.-«g^,«c.«„oc 


i 


i 
s 

5 


_ _ ^ . . . 

1 '1 

■ '1 -J 'I -J -1 •;! -2 •&! • • • 
so '^i '5 T3 '0 'o § ^ 

• -sg-al^i •agiil|-^i25 ■-€■ 
|\l-llliol|l||.j^ill.«ii 


3 . 


.^««^OOt^COO>0;HJ,„^22t-=020jH=. 





1918. 



PUBLIC DOCUMENT — No. 23. 



53 



Table 14. — Psychoses of Readmissions. 



Psychoses. 


1 


1 


1 


J 


i 

1 


£ 




S 


{=^ 


H 


g 


^ 


Eh 
















2. Senile, total, 








3 


3 


6 


(a) Simple deterioration, 


1 


- 


1 








(6) Presbyophrenic type, 


- 


- 


- 








(c) Delirious and confused states, 


1 


1 


2 








((/) Depressed and agitated states in addition to 
deterioration, 














_ 


_ 


_ 








(e) Paranoid states in addition to deterioration, . 


1 


2 


3 








3. With cerebral arteriosclerosis, 








6 


3 


9 


4. General paralysis, 








19 


3 


22 










4 


2 


6 


6. With Huntington's chorea, 










7. With brain tumor 








1 


- 


_ 


8. With brain or nervous diseases, total. 








1 


Cerebral embohsm, 


. _ 


_ 


_ 








Paralysis agitans 


_ 


_ 


_ 








Tubercular or other forms of meningitis. 


- 




- 








Multiple sclerosis, 


_ 


- 


_ 








Tabo-paresis 


1 


_ 


1 








Acute chorea 




_ 










Other conditions 


_ 


_ 


_ 








9. Alcoholic, total, 








20 


1 


21 


(a) Pathological intoxication, .... 




_ 


_ 




(6) Delirium tremens 


1 


1 


2 








(c) Acute hallucinosis, 


9 




9 








(d) Acute paranoid type, ..... 


2 


_ 


2 








(e) Korsakow's psychosis, 




_ 










(/) Chronic hallucinosis, 







2 








(s) Chronic paranoid type 


3 


_ 


3 








(h) Alcoholic deterioration, 


3 


_ 


3 








(i) Other types, acute or chronic, 




_ 










10. Due to drugs and other exogenous toxins, total. 








- 


- 


- 


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














alone or combined, 


- 


- 


- 








(6) Metals, as lead, arsenic, etc 


- 


_ 


_ 








(c) Gases 


_ 


_ 


_ 








(d) Other exogenous toxins 


- 


- 


- 








11. With pellagra, 








- 


- 


- 










- 


- 


_ 


(a) Deliri\mi with infectious diseases, . . > . 


_ 


_ 


_ 




(6) Post-infectious psychoses, .... 


- 


_ 


_ 








(c) Exhaustion delirium, 


_ 


_ 


_ 








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


_ 


_ 


_ 








(e) Diseases of the ductless glands, 


- 


- 


- 








(/) Cardiorenal disease 


_ 


_ 


_ 








(ff) Cancer 


_ 


_ 


_ 








(h) Other diseases or conditions 


- 


- 


- 








13. Manic-depressive, total, 








7 


20 


27 


(a) Manic type, 


3 


9 


12 








(b) Depressive type, 


3 


9 


12 








(c) Stupor 




_ 










(d) Mixed type, 


1 


2 


3 








(e) Circular type, 


- 


- 


- 








14. Involution melanchoha, 








- 


5 


5 


15. Dementia prsecox, total, 








67 


40 


107 


(a) Paranoid type, 


20 


19 


39 








(6) Katatonic type 


11 


1.5 


26 








(c) Hebephrenic type 

id) Simple type, 


26 


6 


32 








10 




10 








16. Paranoia and paranoic conditions, .... 








1 


2 


3 


17. Psychoneuroses, total, ...... 








- 


- 


- 


(a) Hysterical type, 


_ 


_ 


_ 








(6) Psychasthenic type, 


- 


- 


- 








(c) Neurasthenic tvpe, 


_ 


- 


- 








18. With mental deficiency, 








3 


3 


6 


19. With constitutional psychopathic inferiority, . 








1 


1 


2 


20. Epileptic, total, 








6 






(o) Deterioration, 


2 


1 


3 








(b) Clouded states 


4 


1 


5 








(c) Other conditions 




- 











54 



WORCESTER STATE HOSPITAL. 



[Dec, 



Table 14. — Psychoses of Readmissions — Concluded. 



Psychoses. 


J 

1 


^ 


1 


1 


1 


H 


21. Undiagnosed, 








5 
6 


4 
3 


9 










9 


(a) Epilepsy without psychosis, .... 
(6) AlcohoUsm without psychosis, 

(c) Drug addiction without psychosis, 

(d) Constitutional psychopathic inferiority with- 

out psychosis, 

(e) Mental deficiency without psychosis, 

(/) Others 


2 

1 
3 


1 
2 


2 

2 
5 




Total, 








149 


92 


241 













1918. 



PUBLIC DOCUMENT — No. 23. 



55 



i 
1 


•si^^ox 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 g 


3 


•saiBma^ 


1 1 1 1 1 1 1 1 1 1 1 1 1 ' ' ' s 


2 


•sai^H 




?? 


1 


•sii3:jox 


'-«-' ' ,-.c^-,o.55, ,0=^0^, 


t2 


•saiBuia^ 


''--'""--'--;:' '-— ' 


- 


•sai^K 


1 rt^M 1 1 1 ,-.« 1 1 1 --Irtto 1 1 t~ 1 ^ 1 1 


^ 




•si^^ox 


1 1 COtH 1 1 1 1 O 1 1 rtWCOCO i 1 •* 1 CCi-l 1 


S 


•sai^raa^ 


,,«,,., ,«, ,^C..«, ,«,„, , 


S 


•sai^K 


" 


?3 


a 

8 


•si^^ox 


1 1 , , , , , ,o, ,.,--«, , , , , 1^1 


g 


•saiBniaj[ 


1 1 ,-, I-2-' ' " ' '-' 


?5 


•saiBpi 


<M '^"~' 


. 


1 


•si^iox 


1 rtj-jiO 1 1 1 ^M_^cCj^cDg 1 1 COr-.o:-*N 


i 


■saiBma^ 


1 1 TH.H 1 1 1 1 ^rtrtCM^-a(jH 1 1 -^^lamo 


§ 


•sai^K 


l^t.^ 1 1 l-g 1 l-=oc.« 1 ,o= l^^g. 


S 






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 somatic diseases 

13. Manic-depressive, 

14. Involutional melancholia, 

15. Dementia precox, 

16. Paranoia and paranoic conditions 

17. Psycho neuroses, 

18. With mental deficiency 

19. With constitutional psychopathic inferiority, . 

20. Epileptic 

21. Undiagnosed 

22. Not insane 


3 



56 



WORCESTER STATE HOSPITAL. 



[Dec. 





i 
§ 

s 


H 


•sp^ox 


1 1 1 III III II 1 I 1 1 1 1 1 II II 




•sapraa^ 


1 1 1 III III II 1 1 1 1 1 1 1 II 11 




•saiBH 


1 1 1 III III II 1 1 1 1 1 1 1 II II 




ill 


•eiB^ox 


1 1 1 III III II 1 1 1 1 1 1 1 II II 




•saiBinaj[ 


1 1 1 III III II 1 1 1 1 1 1 I II II 




•saiBH 


1 1 1 III 111 II 1 1 1 1 1 1 1 II 1 f 






•siB^oj, 


' ' ' ' ' 1 1 1 1 1 1 1 II II 




•saiBtnaj 






•saiBH 


1 1 1 III III II 1 1 1 1 1 1 1 II II 






•smox 


1 I^IIMIII II 1 lllll l-HI (Ml 




•sai^ma^ 


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




,™ 


1 I^IICOIII II 1 lllll IrtI II 




'ill 


■SIB^OX 


1 1 1 III III 1 1 ^ 1 1 1 1 1 1 II i •« 




•saiBmaj 


1 1 1 1 11 1 1 II 1 ^ 




•sspH 


1 1 1 III III 1 1 >-< 1 1 1 1 1 1 II 1 CO 




1 


•s^^ox 


l-^l ll<MI-^l 11 1 lllll 1 11 l<M 




•sai^raajc 


1^1 11<M1-H| II 1 lllll 1 II 1^ 




•sapH 


1 1 11 11 1 lllll 1 II 1 ^ 




2 


•si^^ox 


1 1 1 111 III 11 1 lllll 1 II II 




•sai^raa^ 


1 1 1 111 111 11 1 lllll 1 II II 




•saiBH 


1 1 1 111 111 11 1 lllll 1 II II 




.3 


•siB^ox 


^ 2 ^ „^ 




•saitsinaj 


, ^^^ , ^, , , , 




•saiBpj 








Cause of Death. 




General Diseases. 

Facial erysipelas, . . 

Septicaemia following infection of 
right arm (self-inflicted scratches). 

Septicaemia, general, from infec- 
tion of right knee, 

Septicffimia from mastitis of left 
breast, 

Pellagra 

Pulmonary tuberculosis. 

Pulmonary and intestinal tubercu- 
losis, 

Carcinoma of face. 

Carcinoma of breast. 

Carcinoma of breast with metas- 
tasis to abdomen, 

Carcinoma of pylorus, . 

Carcinoma with metastasis of the 
rectum and liver, 

Sarcoma of pleura and lungs with 
metastasis to liver. 

Diabetes 

Exophthalmic goiter. 

Pernicious anasmia. 

Exhaustion from inanition, . 

Malnutrition due to refusal and 
regurgitation of food, . 

General peritonitis following per- 
foration of gastric ulcer. 

Atrophic cirrhosis of liver, . 

Diseases of the Nervous System. 

Spinal meningitis from broken- 
down gummata 

Cerebral hemorrhage, . 



I 



1918.1 



PUBLIC DOCUMENT — No. 23. 



57 



























-I--I '' lllllll -111 1 ^Illl 1 , , ,, 


^ 


1 1-H 1 1 1 lllllll 1 1 1 1 1 1 1 1 1 1 - 1 1 1 1 1 1 1 II 


c 


-111 11 lllllll - 1 1 1 1 1 1 1 1 1 1 1111 1 1 1 11 


« 


«,,-l. lllllll r--,i 1, .11111111 


■* 


«' ' ' ' ' ' ' ' ' 1 1 1 1 1 - 1 


« 


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


^ 


1 — 1 1 II 1 — 1 1 —CD-* COCO— 1 1— III— 1 llll 1 1 CO 11 


S 


1— II 11 1— IIIWI — N— 1 1. IlllrtI llll 1 1 « 11 


2; 


llll 11 llll — — -*< N— II 1 — 1 1 1 1 1 llll 1 1 ■ CQ II 


2 


llll II — 1 to 1 — OOiO t--* II _ |. 1 CO 1 1 1 1^11 1 1 c^ II 


>o 


llll II — 1 CO 1 —CO— COCJ II — 1 1 CO 1 1 1 llll 1 1 1 II 


s 


llll 11 lllllll -^^ 1 1 1 1 1 1 1 1 1 1-11 1 , c 11 


■* 


'''''■ ' ' ' ' 1 , 1 , , 1 1 1 1 . , 1 , 


' 




' 


' ' ' ' ' ' ' ' ' ' 1 1 1 1 1 1 1 1 1 II 


1 


_.« — — .-co^s oo«— - — cc c. o — 


i 




§ 


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


i 


General paralysis of the insane, . 
Brain tumor, . ■ . 

Neurosyphilis 

Tabo-paresis 

Exhaustion following epileptic ex- 
citement 

Exhaustion from katatonia, . 

Diseases of the Circulatory System. 
Acute vegetative endocarditis. 
Acute ulcerative endocarditis. 
Chronic valvular heart disease. 
Chronic endocarditis, 
Chronic myocarditis, 
Arteriosclerosis, . _ . 
Cardiovascular renal disease, 

Diseases of the Respiratory System. 
Broncho-pneumonia, 
Lobar pnemnonia. 
Tuberculous pleuritis, . 
Pulmonary oedema. 

Diseases of the Digestive System. 

Ulceration of stomach, . 

Acute gastric dilatation with car- 
diac paralysis, .... 

Chronic dilatation of stomach. 

Acute enteritis, .... 

Acute enterocolitis. 

Acute ileoooUtis, .... 

Acute ulcerative colitis. 

Hemorrhagic ulcerative enteritis, 
colitis and prostatitis, 

Chronic enteritis 

Strangulated inguinal hernia. 

Cholecystitis and cholelithiasis, . 

Intestinal obstruction (peach 
stones), 

Intestinal obstruction (fecal matter 
and gaseous distension), 

Diseases of the Genitourinary 
System. 
Chronic interstitial nephritis, 

Accidents, Violence and Sudden 
Deaths. 
Suicide by hanging, 
Accidental asphyxiation from food. 


^- 



58 



WORCESTER STATE HOSPITAL. 



[Dec. 





is 


•si^^ox 


1 1 1 IIOO^II II I.HIIII-HII IM 


•saiBraaj 


1 1.1 lllOrtll II 1.11111 1 II |rt 


■saii^H 


1 1 1 ll<?^ llll-HII |« 


ii 


•siB:fox 


1 1 1 1 1 'H 1 1 1 1 -Hi II 11 


•saiBoiaj 


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


•sat^H 




ii 


■si^^ox 


- 1 1 |«^ 1 1 , .1 1 1^1,1 , 1 , ,^ 


■saiBinajf 


- 1 1 1^^ 1 1 1 II , 1 1 1 1 1 1 II 1 . 


■saiBUi 


1 1 1 III 111 II 1 1 -. 1 1 1 . 1 1 1^ 




•si^^ox 


, 1 1 - l« 1 1 1 1^1 1 I..I , 1 1 , 


•saiBoia^ 


Ill^lC^IIII^III^IIIII 11 


■saiBH 


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


g 


■smox 


1 1 1 ,11 II. ,11 1 1 1 1 1 1 1 1 1 . 


■sai^raajc 


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


•saiBH 


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




■spctox 


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


•safema^ 


- 1 1 - 1 1 1 1 11 


■sai^K 


1 1 1 111 111 II 1 III,, , , , II 


i 

"1 


■sF^ox 


1 1 1 ,11 1,1 II 1 111,1 , , , 


•saiBraa^ 


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


•sai^H 


I 1 1 III III II 1 1 1 1 1 1 1 II 11 


1 §° 


•SIB:^ox 


' ' ' ' ' ' ' ' ' ' 


•saiBmaj 


1 1 1 II, , 1 1 , , , , 1 , , , 1 II II 


■sai^H 


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




Q 
o 

1 




General Diseases. 

Facial erysipelas, .... 

Septicemia following infection of 
right arm (self-inflicted scratches). 

Septicemia, general, from infec- 
tion of right knee. 

Septicemia from mastitis of left 
breast, 

Pellagra 

Pulmonary tuberculosis. 

Pulmonary and intestinal tubercu- 
losis 

Carcinoma of face, 

Carcinoma of breast. 

Carcinoma of breast with metas- 
tasis to abdomen. 

Carcinoma of pylorus, . 

Carcinoma with metastasis of the 
rectum and liver, 

Sarcoma of pleura and lungs with 
metastasis to liver, . 

Diabetes 

Exophthalmic goiter. 

Pernicious anemia. 

Exhaustion from inanition, . 

Malnutrition due to refusal and 
regurgitation of food, . 

General peritonitis following per- 
foration of gastric ulcer, 

Atrophic cirrhosis of liver, . 

Diseases of the Nervous System. 
Spinal meningitis from broken- 
down gummata, .... 
Cerebral hemorrhage, . 



1918.] PUBLIC DOCUMENT — No. 23. 



59 



"" '- " "-" ■ """ ' '— ' ' - " 


S3 


" • ' "^ ...III- -^-.1 1 I.e., ,^,- , , 


2 


ri 1 1 1 II 1 1 1 1 1 1 - CCKM 1 1 1 1,^,11 , 1 CCI 1 , 1 ^ 11 


2 


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


- 


''•'''' ' 1 , 1 1 . 1 


(M 


''''•' ' ' ' ' ' ' ■ 1 1 1 1 1 1 . 1 II 


1 


,,,, II ll^l^l^ c^ll 1 ,,,,.l,^,,l , , 


2 


■'1' II ll-llll Clll 1 111-11 llll 


^ 


1111 11 , 1 1 1 „ 1 ^ --,11 1 1 1 1 1 1 1 - 1 1 I 1 1 - - 1 


o 


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


- 


,,11 11 Ill-Ill 1-11 1 l-llll llll 1 1 - II 


02 


I 1 1 1 II 1 1 1 1 1 1 - llll 1 111 1 1 - II 


^ 


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


'II' II 11,11,1 , , , , 1 , 1,1, , , 1 , , 


1 


I'll 1 1 ' 1 . 1 1 . , 1 , 


- 


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


c. 


,11111 1 , , , , 1 , , , , 1 1111111111,11 1 II 


1 


.1,1 1 , 1 1 1 ICI- —1- , 11,1,1 , , , , 1 1 


» 


1 1 1 i 11 , ; 1 1 1 1 1 1 - , , , ,,,,,, 1 , < , , , 1 II 


- 


'III II ,111^1- -,,- 1 ,11111 llll , 1 1 II 


« 


111-11 II,,,,, - , , , 1 .,,,,, , , , , , , , , 1 , 


c 


' 1 1 ' 1 1 1 1 1 1 1 1 1 llll , , , , , 


1 


1,1-11 ,,,,,,, - , , , , ,,,,,, ,1,1 1 1 1 II 


<M 


General paralysis of the msane, . 

Brain tumor, 

Neurosyphilis, .... 

Tabo-paresis, 

Exhaustion following epileptic ex- 
citement, 

Exhaustion from katatonia, . 

Diseases of the Circulatory System . 
Acute vegetative endocarditis. 
Acute ulcerative endocarditis, 
Chronic valvular heart disease, . 
Chronic endocarditis, . 
Chronic myocarditis. 

Arteriosclerosis 

Cardiovascular renal disease. 

Diseases of the Respiratory System. 
Broncho-pneumonia, 
Lobar pneumonia. 
Tuberculous pleuritis, . 
Pulmonary oedema. 

Diseases of the Digestive System. 

Ulceration of stomach, . 

Acute gastric dilatation with car- 
diac paralysis, .... 

Chronic dilatation of stomach. 

Acute enteritis, .... 

Acute enterocolitis. 

Acute iliocolitis, . . . 

Acute ulcerative colitis, 

Hemorrhagic ulcerative enteritis, 
colitis and prostatitis, 

Chronic enteritis, .... 

Strangulated inguinal hernia, 

Cholecystitis and cholelithiasis, . 

Intestinal obstruction (peach 
stones), 

Intestinal obstruction (fecal matter 
and gaseous distension), 

Diseases of the Genitourinary 
System. 
Chronic interstitial nephritis, 

Accidents, Violence and Sudden 
Deaths. 
Suicide by hanging, 
Accidental asphyxiation from food. 


3 



60 



WORCESTER STATE HOSPITAL. 



[Dec. 



g 

g 


i 


•si^^ox 




•S9IBni9^ 




•sei^pi 




§ 

3 


■s^ox 




•S9iT3nia^ 




•sai«w 




1 

El 


•SlB^Oi 


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


•saiBtnaj 


' ' 1 1 1 1 1 1 1 1 1 1 . l.> ,«, 


•S9IBK 




m 
m 


•siB^ox 


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


•S9I'BUI9J 


1 1 1 1 1 1 1 1 1 -. 1 1 1 1 1 1 1 1 II III 


•S9IBH 






■sit!:^ox 


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


•S9iBra9^ 


1 1 1 1 1 - i 1 1 1 1 1 1 1 1 1 1 1 1 1 III 


•saiBj\[ 


1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1- III 


6 H 


•sib:>ox 




•S9I'BUI9J 




•S9IBK 




it 

Z K S 


•sib:>ox 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1- 1 1 1 . 1-1 


- •S9IBra9^ 


1 1 1 1 1 1 1 1 , 1 1 1 1 1 l-H 1 1 II l-H 1 


•S9IBH 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 . 1 1 1 II 


H 
H 
<! 

P 

O 
H 

o 


General Diseases. 

1 erysipelas, 

csemia following infection of right arm (self- 

icted scratches) 

ctemia, general, from infection of right knee, . 
Cffimia from mastitis of left breast, . 

gra 

onary tuberculosis, 

onary and intestinal tuberculosis, . 

noma of face, 

noma of breast, 

noma of breast with metastasis to abdomen, . 

noma of pylorus, 

noma with metastasis of thfe rectum and liver, 
ma of pleura and lungs with metastasis to liver, 

etes, 

hthalmic goiter 

cious antemia 

ustion from inanition, 

utrition due to refusal and regurgitation of food, 
ral peritonitis following perforation of gastric 

er, 

phic cirrhosis of liver 

Diseases of the Nervous System. 
il meningitis from broken-down gummata, 

aral hemorrhage 

ral paralysis of the insane 


•s'i'SUt^^^ § 2 g 2 2 2^ g-S^-i S-2 o H 2 1 



1918.] PUBLIC DOCUMENT — No. 23. 


6 


1 


■ ' "1' 




'I'll 1 1 1 1 1 ' 1 1 - 1 1 1 1 1 1 1 1 1 III 1 


- 




, , . , , ,,11,11 -1,1 1 1 ,c., , , , 1 , 1 , . , 11 „ 




' 1 . 1 1 1 . . ' . ',,1111 1 1 1 ' 1 1 , II 


' 




I'll' 1 -Hill , 1 1 <M 1 , , 1,11, , 1 II 


« 




, , ,-, 1,111,, «l 1 , 111,1,, , . . 1 1 , , 11 CO 




1 




1,1,1 ,111111 ^111 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 , 1 ,1 , 




' ' ' ' ' I'll- 11,1,1,111, , , , 1 c 




111,1 ,1,1111 1,11 ,111111 1 1 1 1 1 1 1 II-, 




" ' ^ " ' '1^' 




' ' ' ' ' ' ' I'll,, 1 III 




' ' ' ' ' 1 1 1 1 1 1 1 'III 1 1 1 1 . 1 1 , 1 1,1 






' 




1111, 1 , 1 1 1 1 1 1 (M 1 1 1 1 1 1 1 1 1 1 1 1 1 1 , 1 1 1 1 tH 




' ' ' ' ' 1 1 1 1 1 1 1 l«l 1 III 11,11 






1 1 1 1 1 ' 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 II 1 




Brain tumor, 

Neurosyphihs 

Tabo-paresis 

Exhaustion following epileptic excitement, 
Exhaustion from katatonia 

Diseases of the Circulatory System. 

Acute vegetative endocarditis, 

Acute ulcerative endocarditis, 

Chronic valvular heart disease, .... 

Chronic endocarditis 

Chronic myocarditis 

Arteriosclerosis, . 

Cardiovascular renal disease, 

Diseases of the Respiratory System. ,- 

Broncho-pneumonia, 

Lobar pneumonia 

Tuberculous pleuritis 

Pulmonary oedema, 

Diseases of the Digestive System. 

Ulceration of stomach 

Acute gastric dilatation with cardiac paralysis. 

Chronic dilatation of stomach, .... 

Acute enteritis, 

Acute enterocolitis 

Acute ileocolitis, 

Acute ulcerative colitis, 

Hemorrhagic ulcerative enteritis, colitis and pros- 
tatitis 

Chronic enteritis 

Strangulated inguinal hernia, 

Cholecystitis and cholelithiasis, 

Intestinal obstruction (peach stones). 

Intestinal obstruction (fecal matter and gaseous 
distension . 

Diseases of the Genitourinary Systetn. 
Chronic interstitial nephritis, 

Accidents, Violence and Sudden Deaths. 

Suicide by hanging, 

Accidental asphyxiation from food, 


i 





62 



WORCESTER STATE HOSPITAL. 



[Dec. 



i 
< 


1 


•sib;ox 




-;: ^«,^, , , , , 


^' 1 


E5 


■saiBina^ 


1 1" 1 1 -c 1^ , , , , , , 1 


3> 


■saiBK 


1 1 '- 1 1 ' 1 ' ' 1 ' 1- 1 


^ 


1 


•siBCfox 


,,, 0> ,,,,-«,, ^ , CO ,,,,,, , 


S 


•sai'Braaj[ 


,1, -,.,(,-,, -1-1,.,,,, 


- 


•saiBjv 


IIIOOIIII'HillllCillllllll 


^ 


i 


•sii3;ox 


IIIMII1IIII«IIMIIIIIII 


t~ 


■sajBTOaj; 


,,,«,,,,,,,-, ,^, ,,,,, , 


- 


•saiBH 


'''■''' <^.l 1 1 . 1 1 , 


« 


J, 


■stB:(ox 


, , ,^, , , , , , , ,^,«, , , , , , , 


>o 


•sai^raa^ 


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


1 


•saiBM 


Ill-Hllllllll-HIMIIIIIII 


>0 


s 

s 


•s^^ox 


, , , , , , , , , 1 1^1 i-i ,«, 1 ( 1 


c 


■saiBuiaj 


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


- 


•sat^H 


' 1 ' ' ' ' 1 1 1- 1 1 1 1 1 1 1 


- 


s 

s 


■sp^ox 


- 1 


- 


•saxBuia^ 


-'"" 1 


- 


•sai^M 


1 


' 


i 


•si^^oX 


' ' ' ' , 1 , , , 1 , 1 , 


' 


•saiBina^ 


'. 1 , , , . . , 


1 


•saiBK 


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


1 


i 


•siB^ox 


1 ^o^-* 1 1 (Nocq 1 ^-jOMNTji 1 co-HCoro-H 


i 


•sajBraa^ 


^^^^<^< 1 i^co^^^s-' — ' ' 


§ 


•saiBH 


1 ^co»c? 1 1 Oka 1 1 c<ia> i « i i in i ««-> 


§ 


i 

a 


II 


With cerebral arteriosclerosis, 

General paralysis, ........ 

With cerebral syphilis 

With Huntington's chorea, 

With brain tumor 

With other brain or nervous diseases, .... 

Alcohohc, 

Due to drugs and other exogenous toxins. 

With pellagra, 

With other somatic diseases 

Manic-depressive, 

Involutional melancholia, 

Dementia prcecox, 

Paranoia and paranoic conditions, .... 

Psychoneuroses, 

With mental deficiency 

With constitutional "psychopathic inferiority, 
Enilentic 


II 




«M 


«-w.not-ooOJO--.NC2^ocot-oooio 


MOJ 



1918. 



i 


PI 

s 


UBLIC 


DOCUMENT — No. 23. 

1 -;cc 1 1 1 1 1 r-, |. 1 1 1 1 1 1 1 1 1 1 1 1 




H 


•S91BUI3^ 


1 »«'>« II 1 1 1 1 1 1 1 r 1 1 1 1 


t- 


•S9IBIV 


1 «=-H 1 1 1 1 1 „ 1 1 1 1 1 1 1 1 


00 


i 


•si^;ox 


1 ON 1 1 1 1 1 « 1 1 1 « 1 1 « 1 1 1 « 1 1 


tr^ 


•S9iBra9j 


loc^, ,,,,„,,,,, ,^ ,,,,, , 


2 


•S91BM 


- 


- 


t 


•si^^oj, 




g 


■S9lBtn9^ 




^ 


•sapH 


if^coi-illiiiirii-tiilicoiiii 


OJ 




•smox 


1 ^X^r-, 1 1 1 Nrt 1 N« 1 (N 1 1 1 1 1 1 1 


g 


•sapraa^ 


1 oon 1 1 1 1 1 1 Ti 1 ^^ 1 e<i 1 1 1 1 1 1 1 


to 


■S91BPJ 


1 TOW--. 1 1 1 cq 1 1 -H-, 1 1 II 


s 




•si^^ox 


1 ^iO^- 1 1 1 1 1 1 1 « 1 w^ 1 1 1 1 1 1 


s 


•S9IBni9j[ 


.««,-, , 1 , 1 1 ,„|C.«I , 1 1 , 1 


s 


•S9IBK 


'-"-^' 1 i^lc,, 1 , 1 1 1 , 


2 


i 


•sp^tox 


1 l.^l , l«„l 1^1 1^„, , , , , 1 


Y' 


•sai'Bmgj 




^ 


•S9IBK 


1 l(Mt,| 1 |«^| 1^1 |«| 1 1 1 1 1 1 


2 


i 


•sib:jox 


1 1 MTOCM 1 1 rt 1 1 1 ^n„n 1 1 1 1 1 « 1 


"^ 


•S9IBTn9^ 


1 l-l-l 1 1 , 1 ,^,-cl 1 1 , 1 1 , 


» 


•89IBK 


1 l««-,l ,^, 1 , ,«, 1 1 1 1 1 ,«l 


2 


i 


■siB^ox 


1 ,«^-, , , , , , ic.i««, , 1 1^^^ 


•^ 


•S9IBni9j[ 


1 ,--! , , . 1 , ,.. ,«« , 1 , ,«, , 


oo 


■sai^H 




o 




I 
1 




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 . . . 

11. With pellagra ' '. '. '. 

12. With other somatic diseases 

13. Manic-depressive, 

14. Involutional melancholia, 

15. Dementia prtecox, 

16. Paranoia and paranoic conditions, .... 

17. Psychoneuroses, 

18. With mental deficiency 

19. With constitutional psychopathic inferiority, 

20. Epileptic 

21. Undiagnosed 

22. Not insane, 


1 
^ 





63 



64 



WORCESTER STATE HOSPITAL. 



[Dec. 



■ i 


: 


•siB^ox 


'--"' 1 . I-I 1 1 . .o, ,^, , , , 


55 


•saiBuiaj 


1 CON-H 1 1 i 1 1 1 1 1 1 1 -* 1 1 -H 1 1 1 1 


:: 


•sai^H 


l<MII^~llll^lllllf<llllllll 


S3 


:? 


•sF^ox 


'-=3S' 1 l-l 1 1 1^ 1=0, , , ,^, , 


^ 


■sai^majc 


'----' , , , 1 1 . ,- 1^ 1 1 1 ,-, ( 


s 


•saiBM 


l««^ 11(^,111^1^1 


s 


o 


2 


•siB^ox 




S3 


■saiBtna^ 


,«„„, , , , , , 1^^,-^, , , , , , , 


2 


•sai^H 


1 1 mCM 1 1 1 ^-H 1 1 1 1 1 <^) 1 1 1 1 1 1 1 


o= 


2 


•sib:jox 


1 U5C<5T)-rt 1 1 1 1 1 1 1 -^ 1 -H 1 1 1 1 1 1 1 


s 


•sai^raaj 


1 -K^ 1 -H 1 1 1 1 1 1 1 1 1 rt 1 1 1 1 1 1 1 


'- 


•sappi 


1 ^(M'S^ 1 1 1 1 1 1 1 1 « 1 1 1 1 


oo 


7 


•sp^ox 


1 «5«<X)<M 1 1 1 1 -H 1 rt 1 rtrt 1 1 1 1 rt-H 1 


^ 


•saiBniaj[ 


1 n^^ 1 1 1 1 1 -H 1 1 1 rt^ 1 1 1 1 -1 1 1 


O! 


•saiBH 


ICONt-IMIIIIII-Mllllllll^l 


s . 




■si^iox 


,=o«o«, , I^^IO..-, , ,-,..«« 


?^ 


sai^raa^ 




2 


•saiBH 


I«^« 1 1 ' 1- ' 1 — 1 1 1 1- l"«- 


2 


< 


•sib;ox 


' :Sm^^ ' ' "'-°'^ ' ^S'^m'' ' ">"'^'!"^ 


1' 


•saiBraaj[ 


|r-.^.ocq| 1 i^MIOitxMO-*!'^'-'^^! 1 


§ 


•sai^H 


l^cog^ , l«« 1 I^O l« 1 ic. ,^„^ 


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, 

Due to drugs and other exogenous toxins. 

With pellagra 

With other somatic diseases 

Manic-depressive, 

Involutional melancholia, 

Dementia prcccox, ...... 

Paranoia and paranoic conditions, 

Psychoneuroses, 

With mental deficiency 

With constitutional psychopathic inferiority, . 

Epileptic, 

Undiagnosed 

Not insane 


1 


«<MCOT|.U5QDt-a>fflO;-.CQm;*S2^2SgN§3 





1918. 



PUBLIC DOCUMENT — No. 23. 



65 



i 
< 


s 
•k 


•siB^ox 


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


- [ 


•S9IBUia^ 


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


' 


•S91BH 


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 1 1 1 1 1- 


- 


•S9lBUI9j[ 


1 1 > 1 > < I , 1 1 1 . 1 > 1 1 . > I > 1 > 


1 


■S91BM 


• 


'-' 


i 


•sp^ox 


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


CO 


•S9iBra9j 


' ' 1 1 1 1 1 1- 1 1 1 1 1 1 1 




•S91BK 


, 1 1 1 1 1 1 1 C. 1 > , 1 1 , , 1 1 1 1 1 1 


<N 


i 


•siB^ox 


111' 1 1 , 1 ^ 1 ^^ 1 1 1 


n 


•S9iBnia^ 


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


c 


•sapH 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <-< 1 1 1 1 


'^ 


i 


•si'B^^ox 


llllllll-<lll^l-KIIIIIII 


CD 


•saiBuia^ 


llllllll^lll^lCOlllllll 


^ 


•sai^H 


1 1 1 1 1 1 1 1 1 « 1 1 1 1 1 1 1 « 


V 


•si^^ox 


1 CO 1 1 1 1 1 1 1 1 1 1 <N 1 COIN 1 1 1 1 1 1 


a. 


•sa^Buia^ 


1^1 1 1 f 1 1 1,1 1 1 -H 1 CO(M 1 1 1 1 1 1 


^ 


•sax^H 


I ^ 1 1 1 1 1 1 1 1 1 1 ^ 1 1 1 1 1 1 1 1 1 


cc 


J. 


•smox 


'-''''''''''■"'■" -^ ' 


S 


■saiBuia^ 


'-''''' -I«-1 1 1 1 . 1 


CO 


•sai^H 


1 T« 1 1 1 1 1 1 1 1 1 I "*< 1 <M 1 1 1 1 1 1 1 


° 






I 


1. Traumatic 

2. Senile, 

3. With cerebral arteriosclerosis, .... 

4. General paralysis 

5. With cerebral syphilis, 

6. JVith 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 somatic diseases, .... 

13. Manic-depressive, 

14. Involutional melancholia 

15. Dementia praecox, 

16. Paranoia and paranoic conditions, 

17. Psychoneuroses, 

18. With mental deficiency 

19. With constitutional psychopathic inferiority, . 

20. Epileptic, 

21. Undiagnosed, 

22. Not insane, ........ 


1 



66 



WORCESTER STATE HOSPITAL. [Dec. 1918. 



Table 19. — Family-care 


Department. 






Males. 


Females. 


Totals. 


Remaining Sept. 30, 1917, 


- 


45 


45 


Admitted within the year 


- 


24 


24 ■ 


Nominally returned from visit for discharge. 


- 


- 


- 


Whole number of cases within the year, 


- 


69 


69 


Dismissed within the year, 


- 


26 


26 


Returned to institution 


- 


16 


16 


Discharged, . . . ' 


- 


- 


- 


Died, 


- 


5 


5 


Visit, . • 


- 


4 


4 


Escaped 




1 


1 


Remaining Sept. 30, 1918 




43 


43 


Supported by the State, 


- 


33 


33 


Private 


- 


7 


7 


Self-supporting 


- 


3 


3 


Number of different persons within the year. 




61 


61 


Number of different persons admitted, 


- 


16 


16 


Number of different persons dismissed, 


- 


26 


26 


Daily average number, 


- 


44.67 


44.67 


State 


- 


32.55 


32.55 


Private, 


- 


7.10 


7.10 


Self-supporting, 


- 


5.02 


5.02