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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-SEVENTH ANNUAL EEPOET 



THE TRUSTEES 



WORCESTER STATE HOSPITAL 



Year ending November 30, 1919 




BOSTON 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS 

32 DERNE street 

1920 



Public Document No. 23 



"^ EIGHTY-SEVENTH ANNUAL EEPORT 



THE TRUSTEES 



t^, 



WORCESTER STATE HOSPITAL 



FOB THE 



Year ending November 30, 1919 




A_ BOSTON 

WRIGHT & POTTER PRINTING CO., STATEJPRINTERS 
32 DERNE street 
1920 



--^rr^ 



cf^. 



Publication of this Document 

approved by the 
Supervisor of Administration. 






CONTENTS. 



PAGE 

Report of the Trustees, 7 

Report of the Acting Superintendent, 9 

Social Service Report, 22 

Laboratory Report, 25 

Valuation, 28 

Report of Treasurer, 29 

Statement of Funds, 35 

Statistics 37 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 

WILLIAM J. DELEHANTY Wobcester. 

EDWARD F. FLETCHER, . . . . . . . Worcester. 

JOHN E. WHITE Worcester. 

JOHN G. PERMAN Worcester. 

DONALD GORDON, Boston. 

CAROLINE M. CASWELL . . Boston. 

GEORGIE A. BACON Worcester. 



RESIDENT 

B. HENRY MASON, M.D., . 
DONALD R. GILFILLAN, M.D., 
ARTHUR H. MOUNTFORD, M.D. 
ROBERT B. HARRIMAN, M.D. 
WILLIAM J. VIVIAN, M.D., 
ROY C. JACKSON, M.D., . 
ADA F. HARRIS, M.D., 
ELSIE I. RICHARDS, R.N., 
HERBERT W. SMITH, 
LILLIAN G. CARR, 
JOSEPH F. REYNOLDS, 



OFFICERS. 



Acting Superintendent. 

Senior Assistant Physician. 

Senior Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Pathologist. 

Superintendent of Nurses. 

Steward. 

Matron. 

Farmer. 



NONRESIDENT OFFICERS. 

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



Social Service Worker. 

Dentist. 

Druggist. 

Treasurer. 

Engineer. 



®l)e (dommontoealtl) of iltas0acl)usett0 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

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

They desire first of all to express their high appreciation of 
the work of the acting superintendent, Dr. B. Henry Mason, 
who has conducted the affairs of the institution in an efficient, 
progressive and economical manner ever since the death of 
Dr. Scribner in June, 1918. 

The principal event during the past year has been the 
absorption, under General Acts of 1919, chapter 74, of the 
hospital on Summer Street, formerly a part of the Grafton 
State Hospital. This means not only a larger institution but 
the opportunity for greatly extended service through the 
establishment of a psychopathic department. 

Many important needs of the hospital have, by general 
consent, been unfulfilled during the war, but their continued 
postponement will mean (and already does mean) poor economy 
and a serious handicap. Notable among these needs are a 
cold-storage plant, an improved kitchen, and a larger laundry. 
But even more imperative is the call for fireproof stairs and 
an adequate water supply for protection from fire. 

In order to keep the medical tone of such an institution as 
ours upon a high plane, the salaries of resident physicians 
must be raised to a point where they will inevitably attract 



8 WORCESTER STATE HOSPITAL. [Dec. 

young men and women of ability and promise. That end 
has not yet been sufficiently attained. 

The trustees wish to thank all members of the staff and all 
employees for the faithful service rendered by them. 

Respectfully submitted, 

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

Nov. 30, 1919. 



1919.] PUBLIC DOCUMENT — No. 23. 



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, 1919, it being the eighty- 
seventh annual report. 

There remained on the hospital books Oct. 1, 1918, 1,894 
patients, — 1,019 men and 875 women. During the year 
ending Sept. 30, 1919, there were admitted 617 patients, — • 
367 men and 250 women. Six hundred and thirty-eight 
patients — 389 men and 249 women — were discharged from 
the hospital. Of this number, 327 patients — 215 men and 
112 women — were discharged; 245 patients — 133 men and 
112 women — died; 66 patients — 41 men and 25 women — 
w^ere transferred, leaving at the end of the statistical year 
1,873 patients, — 997 men and 876 women. One thousand 
five hundred and fifty-five patients • — 826 men and 729 women 
— ^ were actually in the hospital. Of this number, 1,347 were 
supported by the State, 102 by friends, and 106 as reimbursing 
patients. Of the patients discharged^ 69 were reported as 
recovered, 141 as improved, and 78 as not improved. Twenty- 
nine men and 10 women were discharged as not insane. 
Twenty-nine men and 15 women were transferred by the 
Massachusetts Commission on Mental Diseases to the Gardner 
State Colony; 4 men and 3 women to the Monson State 
Hospital; 3 men and 4 women to the State Infirmary; 2 men 
and 1 woman to the Boston State Hospital; 1 man to the 
Medfield State Hospital; 1 man to Herbert Hall; 1 man and 
1 woman to the Dan vers State Hospital; and 1 woman to the 
Foxborough State Hospital. Twelve men and 7 women were 
removed from the State, and 7 men and 1 woman were 
deported. 



10 WORCESTER STATE HOSPITAL. [Dec. 

There remained in the hospital at the end of the year 6 less 
patients than at the beginning. The smallest number under 
treatment on any day was 1,562 patients, and the largest, 
1,619. The daily average was 1,589.10. 

The percentage of recoveries, calculated upon the number 
of discharges and deaths, was 10.81; calculated upon the 
number of admissions it was 11.18. 

The death rate was 10.2, calculated on the whole number 
of patients under treatment, and 6.3, calculated on the daily 
average number. 

There have been 16 less patients — 4 men and 12 women — • 
admitted during the past fiscal year than there were during 
the year ending Sept. 30, 1918. Two hundred and seven, or 
33.5 per cent of all patients admitted, were suffering from 
dementia prsecox; 10.5 per cent from manic-depressive psy- 
choses; 9.8 per cent from alcoholic psychoses; senile and 
cerebral arteriosclerosis psychoses, each 7.7 per cent; and 6.3 
per cent were adjudged not insane. Thirty-four patients were 
admitted suffering from general paralysis and 34 were mentally 
deficient, of which 19 were psychotic. 

It is an interesting fact that during the first nine months 
we received an average of 53^ patients per month, but from 
July 1 to October 1, during w^hich the wartime prohibition 
was in force, there was a decrease in the admission rate of 
8.25 patients per month. From this showing we might be led 
to believe that alcohol alone played a paramount part in the 
production of mental aberration. In view of the fact, however, 
that there has been a yearly decrease in the number of patients 
admitted to the hospital since 1916, it is evident that there 
are other operative factors. As one of the principal factors 
among these, I would venture to mention the industrial 
success and thrift, which has resulted in less idleness and better 
living conditions. 

Considering the principal forms of disease resulting in the 
death of patients, we find arteriosclerosis predominates, with 
pneumonia, syphilis of the central nervous system, influenza 
with complications, and tuberculosis in the order of their 
frequency. 



1919.] PUBLIC DOCUMENT — No. 23. 11 



Health of the Population. 
The general health of the hospital has been good. A male 
patient died from diphtheria a few days after his admission, 
and two nurses were sent to the isolation hospital suffering 
with the disease. These were sporadic cases and the disease 
was undoubtedly contracted outside of the hospital. Two 
cases of pellagra were admitted. 

SriciDEs AND Sudden Deaths. 
One patient strangulated himself by tying one end of a 
sheet about his neck, the other to a rod at the head of the 
bed, and drew himself down towards the foot of the bed. 
Another patient secured a piece of suspender and committed 
suicide by hanging himself to a bedpost. Attempts at resus- 
citation failed in both cases. In a patient who had passed 
through a protracted illness, the autopsy revealed a few small 
particles of food in the trachea and bronchi. Upon investi- 
gation it was found he had been fed corn chowder about three 
hours before his death. Evidently while trying to swallow the 
nourishment he inspired some which caused sufficient irritation 
in the course of a few hours to extinguish the spark of life that 
remained. These deaths were immediately reported to the 
medical examiner and Dr. Myrtelle M. Canavan of the Massa- 
chusetts Commission on Mental Diseases, and both were present 
at the autopsies and investigated the circumstances which 
resulted in the death of the patients. 

Staff Conferences, 

An effort has been made to hold a clinical staff meeting 
every morning except Sundays and holidays. Saturday morn- 
ings are reserved for a literature meeting at which time ab- 
stracts are read, the articles and other clinical matters dis- 
cussed. A laboratory staff meeting is scheduled to be held in 
the laboratory twice a month, at which time interesting patho- 
logical material is reviewed and a correlation is often made of 
clinical and pathological findings. 

Two hundred and eleven clinical staff conferences were held 
the past year at which 667 cases were presented. All first 



12 WORCESTER STATE HOSPITAL. [Dec. 

admission and readmission cases, showing new features of the 
psychoses, as well as many cases to determine the advisability 
of their return to the community, were presented. A clinical 
meeting consists of reading an abstract by the physician, which 
embraces a summary of the anamnesis, the condition of the 
patient when admitted, the physical and neurological findings, 
including the laboratory reports, the mental status, the social 
service report in many cases, and the psychological in a few; 
a stenographic report of the direct examination of the patient, 
which is included under date as a regular part of the case 
record; and the opinion of each member of the staff and 
visiting physicians present. 

Occupational Training. 
Although we have been without a director of industrial 
therapeutics, the work in that department has been carried 
on in a manner worthy of comment. Under the stimulus of 
intelligent teaching by a tactful person well versed in the 
principles of ergo-therapy, it is certainly gratifying to see 
the improvement that often results in chronic patients through 
a process of re-education and awakening, and the rapid read- 
justment of habits and mental pose in those acutely ill. Our 
annual Christmas exhibition and sale attracted much attention 
in the community. 

Hydrotherapy. 
The hydrotherapeutic department is an important part of 
our therapeutic armament, which has been used extensively 
and with satisfactory results. 

Dental Work. 
The dental clinic has been conducted by Dr. Burton E. 
Loring, who reports the following summary of work done: 
teeth treated, 171; extracted, 520; teeth restored with amal- 
gam fillings, 82; cement fillings, 147; cleaned, 147; bridges 
reset, 2; crowns, 2; inlays, 2; and 1 case operated on for 
necrosed bone. Plates repaired, 12; and 132 patients were 
examined who did not require any dental work. A new 



1919. 



PUBLIC DOCUMENT — No. 23. 



13 



departure has been provided in examining all newly admitted 
cases after it has been determined that their detention in the 
hospital for treatment is necessary. 

Electeotherapeutic Department. 
The electrical treatment room, which includes the X-ray 
machine, has been of much service. There have been 44 
skiagrams taken, filed and indexed of surgical cases and 31 of 
medical cases; 8 dental films; 3 cases of epithehoma and 
puritis treated; and considerable fleuroscopic work done. 
The wall plate has been frequently used for cases in the out- 
patient department. 

Treatment of Syphilitic Cases. 

During the year 24 patients — 17 men and 7 women — have 
received intravenous injections of arsphenamine and intra- 
muscular injections of mercury salicylate. Thirteen have 
received 5 grams or more in weekly doses of .3 to .6 grams. 

The following diagnoses were made : — • 





Men. 


Women. 


Total. 


General paresis 


14 


1 


15 


Cerebrospinal syphilis, 










1 


- 


1 


Congenital syphilis, 










- 


2 


2 


Constitutional inferiority, . 










2 


- 


2 


Dementia praecox, katatonic, 










- 


1 


1 


Acute alcoholic hallucinosis, 










- 


1 


1 


Involutional melancholia, . 










- 


1 


1 


Manic-depressive, depressed. 










- 


' 


1 



Treatments have been given weekly of intravenous injections 
of arsphenamine in doses of .3 to .6 grams and intramuscular 
injections of mercury salicylate 1 gram for ten consecutive 
weeks and again resumed. We have not had ptyalism in any 
instance from ten intramuscular injections of the salicylate. 
Check is kept on these cases by repeated Wassermann reaction 
and the treatment governed accordingly. 



14 



WORCESTER STATE HOSPITAL. 



[Dec. 



Cases Treated. 





Died. 


On Visit. 


Transferred. 


Remaining 
in Hospital. 


General paresis, .... 

Cerebrospinal syphilis, 

Congenital syphilis, .... 


2 


4 


2 
1 


7 
2 



One of the patients on visit reported for a number of weeks 
and becoming worse is being cared for at home. Two are 
employed and are of economic value to their families; 1 is 
improved and able to care for himself. Of those remaining 
in the hospital, 5 have shown no improvement and 2 are 
clinically improved and enjoy parole of the grounds. 

The Wassermann test on spinal fluid has been positive in 
13 cases of general paresis and cerebrospinal syphilis and 
negative in 3 cases, but all cases have shown characteristic 
findings of neurosyphilis in fluid. The 3 cases with a negative 
Wassermann on spinal fluid presented other symptoms of 
general paresis and had received treatment before coming to 
this institution. 

Field Work. 

The social service work has been carried on by Miss Jennie 
A. Harrington, who has devoted time and study to the wide 
range of duties embraced in the field, in a commendable 
manner. Her report is appended. 



Training School. 
During the past year the training school has made a very 
creditable showing under the able and energetic guidance of 
Mrs. Elsie I. Richards, the superintendent of nurses. An 
affiliation was arranged with the Boston City Hospital, replac- 
ing the one we formerly had with the Bellevue and Allied 
Hospitals of New York City. This seems of advantage as 
the pupils now receive contagious work in addition to the fact 
that their entire training is received in Massachusetts. A class 
of twelve was graduated in November, several of whom have 



1919.] PUBLIC DOCUMENT — No. 23. 15 

already taken up private nursing or accepted more lucrative 
positions. 

Miss Jennie C. Putnam, valedictorian of the class, was 
appointed assistant superintendent of nurses. 

Employees. 
Much difficulty has been experienced during the year in 
securing sufficient help for the various departments of the 
institution. Although a general wage increase was granted 
last August, it affected only a temporary relief or improvement, 
as the great demand for labor in the industries and the con- 
tinual increase in wages in the community resulted in a large 
percentage of our employees remaining in the service but a 
comparatively short time. Notwithstanding the difficulties 
under which we have been compelled to labor because of our 
inability to secure a full quota of officers and employees, the 
fields which embrace the humanitarian and therapeutic work 
of the hospital have been given energetic attention. That 
the increased demand has been met by conscientious endeavor, 
loyalty to the cause and hearty co-operation is plainly indicated 
by the fact that there have been one hundred and twenty- 
four more patients discharged than there were during the 
preceding year. It is true, however, that if the Commonwealth 
is to continue to maintain the high standard of care for these 
unfortunate individuals, who, because of mental disease, have 
become dependent upon the State for supervision and treat- 
ment, provision must be made which will enable us to offer 
better pay to the nurses and attendants, who often have to 
perform arduous duties that involve self-sacrifice, singleness 
of purpose and a good conscience. 

SuMMEE Street Depaetment. 
Dec. 1, 1919, the institution located on Summer Street will 
become a department of the Worcester State Hospital (General 
Acts of 1919, chapter 74). This will offer an opportunity for 
the fulfillment of one of the most urgent needs of the commu- 
nity or district from which we now receive patients, — the 
establishment of a psychopathic department. There will be 



16 WORCESTER STATE HOSPITAL. [Dec. 

opened to the troubled mind a place where it can seek advice 
and treatment at the mental clinic; and to the individual 
whose power of application has become so affected by reason 
of nervous or mental disease that he can no longer pursue 
his usual occupation, a place to go voluntarily for hospital care 
and treatment. By the expenditure of a small amount of money 
for equipment and minor changes in the interior of the build- 
ings, there would be established a modern institution along 
the lines of a general hospital, where patients could be sent 
for the cure or amelioration of mental disease by intensive 
clinical study and treatment. Medical men in the community 
would be affor'ded an opportunity to attend clinics and staff 
conferences, that they might better understand and apply 
the principles of mental hygiene, foresee and detect early 
mental symptoms, institute preventive or remedial measures 
before the disease process is allowed to progress until it passes 
beyond the reach of human skill. 

The out-patient department will also receive children and 
adults, from the schools, courts, charitable institutions and 
other agencies, who show subnormal mentality, delinquency 
or crime, to have their true mental status determined in order 
to assist the various agencies in choosing a course of action, 
in disposing of the case. Individuals suffering from neuro- 
syphilis may go for intensive treatment, although able to live 
at home and possibly remain a wage earner. Through the out- 
patient and social service departments, also, those persons who 
appear to be misfits in our social organism might receive 
assistance in correcting mental habits or readjusting them- 
selves to new environment, thereby preventing the development 
or progress of mental disease and preserving them as useful 
citizens. 

Pathological Laboratory. 

The report of the pathologist. Dr. Ada F. Harris, giving 
detailed account of the work done in the laboratory the past 
year, is appended. 

In addition to the routine work, special study was made of 
several cases which the autopsy showed to be of unusual 
interest. 

Sixty-two autopsies were performed, being 26 per cent of all 



1919.] PUBLIC DOCUMENT — No. 23. 17 

deaths. The histological work and indexing has been kept 
up to date. 

Five papers were written by members of the medical staff, 
three of which have been published. In order to effect a 
better staff organization and take advantage of the rich 
clinical and pathological fields at the hospital, it appears 
desirable that a clinical and pathological director should be 
appointed. 

Staff Changes. 

We have been seriously handicapped many times in the past 
by not being able to secure or retain in the service many 
assistants that would have been a fine asset to the hospital 
staff, because of our inability to meet the financial inducements 
offered by certain other States; we trust the present Legis- 
lature will legalize a salary schedule that will remove this 
barrier to well-organized scientific advancement. 

We were all pleased to welcome the return on April 25, 
1919, of Maj. Donald R. Gilfillan, who had responded to the 
call of his country nearly two years before and had served 
in the neuropsychiatric unit of the medical department of 
the United States Army both at home and in France. 

Dr. John C. Lindsay, who was on leave of absence, resigned 
July 24, 1919, immediately after receiving his discharge from 
the United States Navy, to become assistant superintendent 
of the Norfolk County Hospital. His wife, Dr. Marie S. 
Lindsay, also a creditable member of our staff, resigned at 
the same time. 

Dr. Helen W. Ham resigned July 1, 1919, after a few months 
of loyal and efficient service, at a time when her work was 
greatly appreciated. It was her intention to prepare for 
public health work. 

Mr. I. Mervyn Webber, a third-year student of the Bowdoin 
Medical School, served as intern from June 27 to Sept. 30, 1919. 

Mr. John F. Corcoran, a third-year student of the medical 
department of the University of Vermont, served as intern 
from August 15 to Sept. 26, 1919. 

Mr. Herbert W. Smith was appointed steward Dec. 18, 
1918, to fill the vacancy that had existed since Sept. 1, 1918. 



18 WORCESTER STATE HOSPITAL. [Dec. 

Farm and Garden. 

The farm and garden crops were unusually good in spite of 
the unfavorable weather conditions. Much care was exercised 
in the purchase of seed potatoes and the yield was heavy, 
but the frequent rains resulted in nearly two-thirds of the crop 
spoiling before or after digging. A Heider tractor and a 2-ton 
truck, which were purchased early in the year, have been of 
material assistance to the farmer in his successful operations. 
A larger number of acres under cultivation and labor shortage 
required the employment of more patients. Occupation out 
of doors of those who require but little supervision is beneficial, 
for the application of the mind of a person suffering with a 
chronic mental disease retards deterioration and hastens the 
return of self-confidence and normal interests in the life of 
recoverable cases. 

Fire. 

Thursday morning, Feb. 6, 1919, a fire was discovered in 
the attic over that section of the hospital known as Washburn s, 
in the northwest wing, which resulted in the destruction of the 
roof, extensive damage to the ward immediately beneath, and 
also considerable damage by water to the ceilings of the wards 
below. An excited patient tore an electric light fixture from 
the ceiling, causing a short circuit which led to the fire starting 
in the attic. All the patients on the various floors were moved 
to a zone of safety and later returned to their respective 
wards without accident or apparent discomfort. As a result 
of the fire, the housing accommodations of 11 patients were 
rendered useless. A special appropriation was granted by the 
last Legislature for the repair of the damages. The work has 
been completed and the ward is now occupied. 

Repairs and Improvements. 
The institution carries a skeleton force of mechanics to 
attend to the ordinary work of repairs and improvements 
that occur during the year. Last spring the department was 
consolidated by the appointment of a foreman mechanic, who 
had charge of the carpenters, painters, masons and plumbers, 
and immediate supervision of all work. The rooms at the 



1919.] PUBLIC DOCUMENT — No. 23. 19 

steward's quarters were thoroughly renovated. Alterations 
were made on the lawn cottage. The employees' cottage, 
farmhouse and the new cottage at Hillside have been painted. 
The greenhouses were thoroughly overhauled and painted. 
A rat-proof room has been established in which flour and so 
forth is now stored. The engineer's cottage, the barn and 
shed at Hillside Farm have been shingled. A large amount of 
work has been done on the wards by our carpenters, painters, 
masons and plumbers. A modern piggery to house sixty-four 
hogs has been built at Hillside. The radiator surfaces of all 
steam pipes have been covered. Two Hays Co2 recorders, 
five draft gauges, and a Republic feed meter have been installed. 
Brick in fire boxes has been renewed and the grates repaired. 
Early in the year a Bell telephone system was installed in all 
the wards and departments of the hospital, and an addition 
was made to the switchboard of the central telephone exchange. 
One hundred and twenty stands and several tables were made 
for the wards, and our workmen, with the assistance of pa- 
tients, have also kept the hospital furniture in good repair. 
Linoleum was laid in two wards, and the number of ornamental 
plants on the wards has been materially increased. In addition, 
the hospital has been its own contractor in making alterations 
on buildings at Hillside (Special Acts of 1919, chapter 153) 
and repairs of damage by fire to the Washburn wards, with 
the exception of replacing the roof and repairing the outer 
walls, which was done by a general contractor. The entire 
repair department has been centralized and located under one 
roof by moving the plumber's and mason's shops from the 
basement to the industrial building. 

Requirements. 
In considering the special needs of the institution for the 
coming year, I desire first to call your attention to the water 
supply. The hospital receives water from the city's high- 
pressure service through an 8-inch main which runs from 
Belmont Street across the property to a point just southwest 
of the female wards, and from there it encircles the buildings. 
As was demonstrated at the fire, and since by testing, the 
volume is not sufficient to maintain pressure enough to be of 



20 WORCESTER STATE HOSPITAL. [Dec. 

any service in case of an emergency, when more than one 
line of hose is in operation. The lives of patients and thou- 
sands of dollars of State property would be in danger should a 
fire once gain headway, for the firemen w^ould be helpless under 
conditions which called for several lines of hose. To install 
another supply main to the present system and make the 
necessary connections, a sum of $17,000 would be required. 

The capacity of the present laundry is not sufficient to take 
care of the work of the Summer Street department. To main- 
tain two laundry units would not be economical. By making 
an addition and certain alterations to the hospital laundry, 
the work- could all be done here, which would effect a con- 
siderable reduction in expenditures for supplies and personal 
services. To build the addition and make the necessary 
alterations the sum of $21,000 would be necessary. 

For several years the main kitchen has been in need of quite 
extensive repairs and alterations. The two brick ovens are 
inadequate to properly handle the amount of w^ork required 
to bake for our greatly increased population. These alterations 
to the kitchen building will require an appropriation of $14,500. 

Last year I called to your attention the fact that our present 
cold storage is inadequate, inefficient and in need of extensive 
repairs. The ice boxes are damp and offer unfavorable refriger- 
ation, which makes it necessary to purchase supplies weekly. 
With a modern refrigerating plant advantage could be taken 
of the market, which would result in a considerable saving in 
buying meat and certain other commodities. For the erection 
of a cold-storage building and equipment, the sum of $45,000 
will be needed. 

There are five wooden stairways in the hospital which should 
be replaced by fireproof iron or cement stairs. This would 
require an appropriation of $11,000. 

The sum of $8,800 will be required to complete the water 
supply at the Shrewsbury Colony. 

Amusements. 
The usual weekly dances, motion picture shows and Satur- 
day afternoon convivial parties have served to amuse and 
entertain the patients. A very interesting musical program 



1919.] PUBLIC DOCUMENT — No. 23. 21 

was given us gratuitously by several young ladies from the 
Mothers Club; also a two-act farce comedy, which was greatly 
appreciated by the patients, was presented by the Girls League 
for Community Service. 

Miscellaneous. 

Religious services have been held regularly by clergymen of 
different denominations. 

Acknowledgments are made to the publisher of the "Fitch- 
burg Sentinel" for copies of his paper, the Worcester Employ- 
ment Society for sewing, and others who have contributed in 
any degree to the comfort of the patients. 

I desire to thalik the officers, heads of departments, nurses, 
attendants and all other employees for their loyal and helpful 
co-operation in the work of the past year. 

I wish to express my appreciation to your Board for the a,id 

and counsel given me in all matters pertaining to the welfare 

of the institution. 

B. HENRY MASON, 

Acting Superintendent. 
Nov. 30, 1919. 



22 WORCESTER STATE HOSPITAL. [Dec. 



REPORT OF THE SOCIAL SERVICE 
DEPARTMENT. 



To the Acting Superintendent. 

I herewith respectfully submit the following report of the 
social service department for the year ending Nov. 30, 1919. 

The main divisions of the social service department consist 
of (a) home visiting; (b) social case work; (c) placing and 
care of patients boarding in private families; {d) investiga- 
tions; (e) securing social and medical histories outside the 
hospital. 

The territory of the Worcester State Hospital covers a large 
district, including three counties, — Worcester, Middlesex and 
Suffolk. At least thirteen cities and towns were visited 
monthly, making a total of one hundred and fifty-eight for 
the past year. 

The year has included two hundred and eighty-nine working 
days, of which two hundred and twenty-five were spent in 
outside work and sixty-four spent in the hospital. The inside 
work consists mainly in record and file work, interviewing 
patients on the ward and other persons, attending staff meet- 
ings, etc. 

A brief description of departmental work is as follows : — • 

(a) Home Visiting. — ■ All patients who leave the hospital 
are automatically turned over to the social service department 
for care. Friendly advice and encouragement are the founda- 
tion principles of the home-visiting work. Special needs 
receive due consideration. One hundred and sixty-one home 
visits were made during the year. 

(&) Social Case Work. — Social case work includes all prob- 
lems of a social order, such as inharmonious family life, relief, 
legal difficulties and child welfare. Social case work is vitally 



1919.] PUBLIC DOCUMENT — No. 23. 23 

important to the welfare of the patient and his family in that 
a possibility of recurrence is to be considered. Eighty-one 
social cases were dealt with during the year. 

(c) Boarding-out Patients. — It has been the policy of the 
State for several years to board certain types of patients in 
private families. These patients are visited quarterly. One 
hundred and seventy-one visits were made on boarding-out 
patients, 6 patients replaced, 12 placed, and 19 returned to 
the hospital. Patients were returned because of the death 
of two caretakers, unsuitable homes, and failure of patients 
to adjust themselves to the surroundings. 

(d) Investigations. — Investigations form a large part of the 
social worker's duties. This may be said to be of five kinds: — 

(1) Investigations of home prior to discharge from hospital: 
This is done to enable the patient to live in an environment 
which has been arranged for his special benefit. Twenty-seven 
of these investigations were made for the year. 

(2) Investigations of complaint relative to patient: This 
type of work makes intelligent treatment possible. Nine 
investigations of complaint were made during the year. 

(3) Investigations of patients to board in private families: 
Ten of these investigations were made. 

(4) Court investigations: Several patients are sent by the 
court for observation and in order to do the patient justice 
a complete story of his life must be known to the physician. 
Twelve court investigations were made during the year. 

(5) Investigations for employment: These investigations 
are made when the patient has no relatives or friends to help 
him. It is not the policy of the hospital to discharge a patient 
into the community without taking an interest in his future 
welfare and without taking into consideration the environ- 
ment and employment. Twelve investigations of this nature 
were made. 

(e) Securing Histories. — When the hospital physician is 
unable to secure a medical history the social worker goes into 
the community to obtain it. These histories include the 
social situation as well as the medical. It often happens that 
cases of need are discovered in this work, and such cases 



24 WORCESTER STATE HOSPITAL. [Dec. 

receive proper attention. Ninety-eight histories were procured 
by the worker during the year. 

This department aims to discover social factors connected 
with mental disorders of the hospital patient and to consider 
them in an eflficient and humane manner. 

Respectfully submitted, 

JENNIE A. HARRINGTON, 

Social Worker. 
Nov. 30. 1919. 



1919.] PUBLIC DOCUMENT — No. 23. 25 



LABORATORY REPORT. 



To the Acting Superintendent of the Worcester State Hospital. 

The following report of the laboratory work for the year 
ending Nov. 30, 1919, is respectfully submitted. 

The following clinical work has been completed : — ■ 

Urine analyses, 1,424 

Cerebrospinal fluid examinations, . 72 

Blood cultures, 3 

Blood coimts, . ... . . . - 8 

Autogenous vaccines, 3 

Gastric analyses, 3 

Examination of feces, 3 

Throat cultures, 11 

Post-mortem smears, 70 

Sputums, 24 

Smears: abscess, eye, ear, 9 

Smears: cervix and vagina, 8 

Total, 1,638 

Histologic examinations have been made of fifty -four autop- 
sied cases and the interesting findings brought to the attention 
of the staff physicians. 

Two cases of pernicious anaemia were worked up in detail, 
and an article prepared by a student intern, Mr. I. M. Webber, 
on "Psychoses associated with Pernicious Anaemia" was 
presented at laboratory staff meeting, the histologic changes 
occurring in the organs being demonstrated by the projecto- 
scope. Two papers have been written by the pathologist: 
"Influenza as a Factor in Initiating Psychoses and Precipitat- 
ing Latent Psychoses;" "Report of a Case of Tuberculosis 
of the Brain." 

Sixty-two autopsies have been performed with the following 
psychiatric and major anatomical diagnoses: — 



26 WORCESTER STATE HOSPITAL. [Dec. 



Dementia prsecox, 13 

Senile, 20 

With cerebral arteriosclerosis, . 8 

Chronic alcoholic hallucinosis, 3 

Korsakow's, . . . ... . . . ■ . . . 1 

Cerebrospinal syphilis, 1 

General paresis, . . . ._.. 12 

With imbecility, 1 

Unclassified, ...:... 3 

Total, 62 

The major anatomical diagnoses were — 

Lobar pneumonia, ........... 6 

Broncho-pnemnonia (primary), 1 

Broncho-pneumonia (terminal), associated with cardiovascular- 
renal, 6 

Empyema following lobar pneumonia, . I 

Empyema and pericarditis, 1 

Chronic pulmonary tuberculosis, 3 

Chronic pulmonary tuberculosis, with tuberculous meningitis, , 1 

Pulmonary edema, 1 

Chronic myocarditis and interstitial nephritis, 8 

Chronic myocarditis with arteriosclerosis, 2 

Fatty myocarditis with arteriosclerosis, 2 

Coronary thrombosis with arteriosclerosis, 1 

General arteriosclerosis, 8 

Acute enteritis with cardiovascular-renal, 3 

Cerebral hemorrhage, 3 

Syphilitic aortitis, 1 

General paresis, 6 

Carcinoma of gall bladder, . . . . ' 1 

Carcinoma of sigmoid and liver, 1 

Carcinoma of uterus and peritonemn, 1 

Pyelonephritis with stones, ......... 1 

Pernicious anaemia, 1 

Strangulated inguinal hernia, 1 

Asphyxiation by food in bronchi, 1 

Suicide by hanging, 1 

Total, 62 



1919.] PUBLIC DOCUMENT — No. 23. 27 

The majority of autopsies have been on elderly people, as 
will be noted from the following table : — 

20-30 years, 1 

30^0 years, 8 

40-50 years, 7 

50-60 years, 12 

60-70 years, 12 

70-80 years, 14 

80-90 years, 8 

The Wassermann reaction on the blood serum on the autop- 
sied cases has been positive in 15 instances, doubtful in 2; 
spinal fluid positive in 12, doubtful in 1. 

A. F. HARRIS, 

Pathologist. 



28 . WORCESTER STATE HOSPITAL. [Dec. 



VALUATION, 

Nov. 30, 1919. 



Real Estate. 

Land (578 acres), . . • ^274,040 00 

BuHdings, 1,634,567 19 

11,908,607 19 

Personal Property. 

Travel, $3,818 71 

Food, 16,416 19 

Clothing, 28,381 52 

Furnishings, 101,478 01 

Medical and general care, 13,902 27 

Heat, light and power, 37,205 43 

Farm and stable, 46,972 16 

Grounds, 5,441 82 

Repairs, 11,625 57 

$265,241 68 

Summary. 

Real estate, $1,908,607 19 

Personal property, 265,241 68 



$2,173,848 87 



1919.] PUBLIC DOCUMENT — No. 23. 29 



TREASURER'S REPORT. 



To the Commissioner of Mental Diseases. 

I respectfully submit the following report of the finances 
of this institution for the fiscal year ending Nov. 30, 1919: — 



Cash Account. 
Balance Dec. 1, 1918, 



Institution 
Board of inmates : — 

Private $38,131 52 

Reimbursements, insane, . . . 24,000 62 



$62,132 14 



Travel, transportation and office 

expenses $19 29 

Food, 301 82 

Clothing and materials, . . . 316 61 

Furnishings and household supplies, . 190 60 

Medical and general care, . . . 21 88 

Farm and stable: — 

Cows and calves, . $2,617 00 

Pigs and hogs, . . 769 00 

Hides 222 66 

Sundries, ... 132 50 

3,741 16 



Repairs, ordinary, 14 57 



Miscellaneous receipts : — 

Interest on bank balances, . . . $930 88 

Sundries, .' 95 08 



1,025 96 



Sales, account of industries. 



Receipts from Treasury of Commonwealth. 
Maintenance appropriations : — 

Bal£lnce of 1918, $17,452 76 

Advance money (amount on hand November 30), 17,502 12 
Approved schedules of 1919 416,312 72 



Special appropriations. 
Less returned. 



67,764 03 
625 67 



$24,591 04 


451,267 60 


17 69 






24,573 35 





Total $547,640 27 



so WORCESTER STATE HOSPITAL. [Dec. 



Payments. 
To treasury of Commonwealth : — 

Institution receipts $67,764 03 

Industries fund 625 67 

Maintenance appropriations : — 

Balance November schedule, 1918 $20,862 38 

Eleven months' schediiles, 1919, 416,312 72 

November advances ($16,837.31 +$42.28), . . 16,879 59 

454,054 69 

Special appropriations : — 

Approved schedules 24,573 35 

Balance Nov. 30, 1919: — 

In bank, $60 45 

In office 562 08 

622 53 

Total $547,640 27 



Maintenance. 

Appropriation, current year $538,500 00 

Balance from previous year brought forward, 665 00 

Total, $539,165 00 

Expenses (as analyzed below), 473,142 72 



Balance reverting to treasury of Commonwealth, . . . $66,022 28 

Analysis of . 



Personal services : — 

B. Henry Mason, acting superintendent, . . . $2,490 00 

Medical 8,075 61 

Administration 16,225 84 

Kitchen and dining-room service, .... 8,925 45 

Domestic, 18,120 81 

Ward service (male), 33,458 92 

Ward service (female) 27,803 04 

Industrial and educational department, . . . 2,291 82 

Engineering department, 17,056 85 

Repairs, 13,255 38 

Farm 12,563 96 

Stable, garage and grounds, 2,556 92 

$162,824 60 

Religious instruction : — 

Catholic $600 00 

Hebrew, 260 00 

Protestant 195 00 

1,055 00 

Amount carried forward $163,879 60 



1919.] PUBLIC DOCUMENT — No. 23. 31 

Amount brought forward $163,879 60 

Travel, transportation and office expenses : — 

Advertising $177 84 

Automobiles . 2,554 98 

Automobile repairs and supplies, .... 1,821 70 

Postage, 485 60 

Printing and binding, 650 40 

Printing annual report, 260 04 

Stationery and office supplies 1,500 84 

Telephone and telegraph, 1,219 49 

Travel 1,223 26 

Freight 18 81 

9,912 96 

Food: — 

Flour $25,007 27 

Cereals, rice, meal, etc., . . . . . . 5,627 90 

Bread, crackers, etc 59 74 

Peas and beans (canned and dried) , .... 2,577 02 

Macaroni and spaghetti 869 29 

Potatoes 7,404 86 

Meat 31,966 70 

Fish (fresh, cured and canned), . . . • . . 6,503 89 

Butter, , 2,696 00 

Butterine, etc., 10,794 53 

Peanut butter, 35 

Cheese, 1,224 22 

Coffee 1,360 23 

Coffee substitutes, 277 04 

Tea 830 32 

Cocoa ^ . . . . 105 63 

Milk (whole) 55 07 

Milk (condensed, evaporated, etc.), .... 336 44 

Eggs (fresh), 7,688 55 

Egg powders, etc., 341 55 

Sugar (cane), 5,039 77 

Fruit (fresh), 1,095 76 

Fniit (dried and preserved), 5,562 21 

Lard and substitutes 2,765 83 

Molasses and syrups 1,304 21 

Vegetables (fresh) 554 72 

Vegetables (canned and dried), 511 80 

Seasonings and condiments 611 51 

Yeast, baking powder, etc., 240 97 

Sundry foods, 373 48 

123,786 86 

Clothing and materials: — 

Boots, shoes and rubbers $2,451 21 

Clothing (outer), 5,287 11 

Clothing (under), 1,555 30 

Dry goods for clothing 3,125 19 

Hats and caps, 88 71 

Leather and shoe findings, 156 29 

Socks and small wares, 1,326 45 

Freight, 68 24 

14,058 50 

Amount carried forward, $311,637 92 



32 WORCESTER STATE HOSPITAL. [Dec. 

Amount brought forward $311,637 92 

Furnishing and household supplies: — 

Beds, bedding, etc., $11,160 80 

Carpets, rugs, etc., 692 98 

Crockery, glassware, cutlery, etc 2,282 14 

Dry goods and small wares, 467 14 

Electric lamps, 796 45 

Furniture, upholstery, etc., . . . . . . 980 71 

Kitchen and household wares 4,204 81 

Laundry supplies and materials, 3,135 38 

Lavatory supplies and disinfectants 1,403 71 

Machinery for manufacturing, 11 61 

Table linen, paper napkins, towels, etc., . . . 1,120 24 

Freight, 134 42 

26,290 39 

Medical and general care : — 

Books, periodicals, etc., . . . ... . . $406 72 

Entertainments, games, etc., 763 98 

Funeral expenses 790 00 

Gratmties, 104 78 

Ice and refrigeration 451 35 

Laboratory supplies and apparatus, .... 204 30 

Manual training supplies, 48 41 

Medicines (supplies and apparatus), .... 2,897 79 

Medical attendance (extra), 754 14 

Patients boarded out, . . ' 4,465 94 

Return of runaways, 157 20 

Tobacco, pipes, matches, 2,434 80 

Water, . 6,654 01 

Freight, 52 60 

20,186 02 

Heat, light and power : — 

Coal (bituminous), $27,451 67 

Freight and cartage, . . . . . . . 20,046 88 

Coal (anthracite), 5,014 32 

Wood ■ 14 00 

Electricity 82 45 

Gas, 608 72 

OU 261 05 

Operating supplies for boilers and engines, . . 113 83 

Freight 8 60 

53,601 52 

Farm and stable : — 

Bedding materials, $565 25 

Blacksmithing and supplies, 724 21 

Carriages, wagons and repairs, . . . . . 536 03 

Dairy eqmpment and supplies, 261 65 

Fencing materials, 104 13 

Fertilizers, 612 90 

Grain, etc 17,993 17 

Hay, 8,233 72 

Harnesses and repairs, 247 94 

Amounts carried forward $27,279 00 $411,715 85 



1919.] PUBLIC DOCUMENT — No. 23. 33 

Amounts brought forward $29,279 00 $411,715 55 

Farm and stable — Con. 

Cows, 2,962 00 

Other live stock, 185 00 

Labor (not on pay roll) , 63 00 

Rent, 250 00 

Spraying materials, 68 66 

Stable and barn supplies, 141 94 

Tools, implements, machines, etc 1,457 50 

Trees, vines, seeds, etc., 853 10 

Veterinary services, supplies, etc 715 82 

Sundries, . 3 00 

Freight, . . ' 530 72 

Lime 135 00 

36,644 74 

Grounds : — • 

Road work and materials, $146 25 

Tools, implements, machines, etc., .... 52 80 

Trees, vines, shrubs, seeds, etc., . . : . . 59 35 

Freight, 3 13 

261 63 

Repairs, ordinary: — 

Brick, $7 20 

Cement, lime, crushed stone, etc., .... 450 26 

Electrical work and supplies, 1,425 48 

Hardware, iron, steel, etc 2,808 92 

Labor (not on pay roll) , 20 00 

Lumber, etc. (including finished products), . . 4,247 22 

Paint, oil, glass, etc., 5,258 13 

Plumbing and supplies, 1,506 80 

Roofing and materials, 1,296 96 

Steam fittings and supplies, 723 66 

Tools, machines, etc., 992 03 

Boilers, repairs, 524 54 

Engines, repairs, 48 68 

Freight, 184 61 

19,494 49 

Repairs and renewals : — 

CoUarironer, $300 00 

Press, 365 00 

Covering radiator surfaces, 2,764 48 

BoUer meters, . . . . ■ 531 63 

Feed water meters, 643 50 

Freight 24 89 

4,629 50 

Industries : — ■ 

Tools, machinery, etc $6 37 

Materials, 390 14 

396 51 

Total expenses for maintenance $473,142 72 



34 WORCESTER STATE HOSPITAL. [Dec. 



Special Appropriations. 

Balance Dec. 1, 1918 $15,353 94 

Appropriations for fiscal year, 26,000 00 

/ Total, $41,353 94 

Expended during the year . $25,219 58 

Reverting to treasury of Commonwealth, ... 26 40 

25,245 98 

Balance Nov. 30, 1919, $16,107 96 

Industries Fund. 

Appropriation, $500 00 

Receipts credited, 625 67 

$1,125 67 

Expenditures, approved schediiles, $396 51 

Balance Nov. 30, 1919, 729 16 

$1,125 67 
Resources and Liabilities. 

Resources. 

Cash on hand $622 53 

November cash vouchers (paid from advance money) , 

account of maintenance, 16,879 59 

Due from treasury of Commonwealth from avail- 
able appropriation account November, 1919, 
schedules 39,327 88 

$56,830 00 

Liabilities. 
Schedules of November bills, $56,830 00 

Per Capita. 
During the year the average number of inmates has been 1,590.63. 
Total cost for maintenance, $473,142.72. 
Equal to a weekly per capita cost of $5.72. 
Receipt from sales, $5,231.60. 
Equal to a weekly per capita of $0.0632. 
All other institution receipts, $63,158.10. 
Equal to a weekly per capita of $0.7635. 

Respectfully submitted, 

JESSIE M. D. HAMILTON, 

Treasurer. 

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

ALONZO B. COOK, 

Auditor. 



1919.] 



PUBLIC DOCUMENT — No. 23. 



35 



STATEMENT OF FUNDS. 



Patients' Fund. 

Balance on hand Nov. 30, 1918, .... 17,355 23 

Receipts, 7,157 62 

Interest, 262 62 

Refunded, $6,391 52 

Interest paid to State Treasurer, . . . . 262 62 



$14,775 47 



6,654 14 



Investment. 
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, 1919, .... 



$8,121 33 



$2,000 00 

1,000 00 

1,000 00 

3,921 54 

199 79 



$8,121 33 



Lewis Fund. 
Balance on hand Nov. 30, 1918, .... $1,649 14 
Income, 69 26 



Expended for vault rent. 



Investment. 



American Telephone and Telegraph Company 

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



$1,718 40 
6 00 

$1,712 40 



$926 36 


349 44 


348 11 


88 49 



$1,712 40 



36 WORCESTER STATE HOSPITAL. [Dec. 1919. 

Wheeler Fund. 
Balance on hand Nov. 30, 1918, .... S6,268 25 

Income, 269 25 

$6,537 50 

Expended for books, magazines, etc., 368 20 

$6,169 30 
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, 221 11 

Mechanics National Bank, savings department, 392 89 

Tliird Liberty Loan bonds, 4,000 00 

Balance Worcester Bank and Trust Company, . 106 95 

$6,169 30 

Manson Fund. 
Balance Worcester County Institution for 

Savings Nov. 30, 1918, $1,146 46 

Income, 51 78 

$1,198 24 

Expended for entertainment, 36 00 

$1,162 24 

Investment. 
Worcester Coimty Institution for Savings, $1,162 24 

Respectfully submitted, 

JESSIE M. D. HAMILTON, 

Treasurer. 
Nov. 30, 1919. 

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



STATISTICAL TABLES 

As ADOPTED BY AmEEICAN 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 buHdings, .... $1,908,607 19 
Personal property, 265,241 68 

Total, $2,173,848 87 

Total acreage of hospital property, 578.15. 

Acreage under cultivation during previous year, 201.25. 

4. Medical service: — - Men. Women. Total. 

Superintendents (acting), 1 - 1 

Assistant physicians, 5 1 6 

Medical interns, - - ~ 

Clinical assistants, 

Total physicians, 6 1 7 

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

Men. Women. Total. 

Graduate nurses, - 12 12 

Other nurses and attendants, .... 50 58 108 

All other employees, 80 71 151 

Total employees, 130 141 271 

Men. Women. Total. 

6. Patients employed in industrial classes or in gen- 

eral hospital work on date of report, . . 255 300 555 

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

cluding paroles), 818 723 1,541 

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



40 



WORCESTER STATE HOSPITAL. 



[Dec. 



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1919.1 



PUBLIC DOCUMENT — No. 23. 



41 



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42 



WORCESTER STATE HOSPITAL. 



[Dec. 



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





Patients. 


Parents of 

Male 

Patients. 


Parents 
OF Female 
Patients. 


Nativity. 


1 


j 


i 


1 


1 


1 


1 


i 

1 


1 


United States, 

Africa, 

Asia 

Atlantic Islands 

Australia 

Austria, 

Belgium, 

Bohemia 

Canada, 

Central America, .... 

China, 

Cuba 

Denmark 

England 

Europe, 

Finland 

France 

Germany 

Greece, 

Hawaii 

Holland 

Hungary, 

India, 

Ireland 

Italy, 

Japan, 

Mexico 

Norway, 

Philippine Islands 

Poland 

Porto Rico 

Portugal, 

Roumania, ..... 

Russia 

Scotland 

South America 

i=„, :::::: 

Switzerland, 

Syria 

Turkey in Asia, .... 

Turkey in Europe 

Wales,"^ . . . . .■ . 

West Indies, 

Other countries, .... 
Born at sea 


111 

23 

6 

4 

6 
5 

25 
8 

8 
2 
13 

9 
3 

1 


60 

19 

5 
2 

: 

1 
1 

32 

4 

6 

10 

2 

: 

10 

1 
1 


171 

42 

11 

6 

6 
6 

1 

57 
12 

14 

2 

23 
2 

19 
4 
1 
1 


50 

1 

28 

11 

5 

7 
5 

46 
11 

8 

3 

13 
3 

11 

3 


26 

23 

6 
2 

2 

1 
• _ 

1 

46 
4 

6 

10 

4 

10 

1 

1 
1 


76 

1 
51 

17 

7 
1 
9 
6 

1 

92 
15 

14 
3 

23 

7 

21 

1 
3 
1 

1 
1 
- 


39 

1 
33 

12 

5 
1 
6 
5 

48 
11 

8 
3 

13 

2 

10 

3 
1 


26 

24 

6 

2 

1 
1 

47 
4 

6 

10 
3 

11 
1 

1 


65 

1 

67 

18 

7 
1 
8 
6 

1 

95 
15 

14 

3 

23 
5 

21 

1 
3 

1 

1 


Total foreign born, . 
Unascertained, .... 


113 
1 


94 


207 
1 


157 

18 


118 

1 10 


275 

28 


162 
24 


119 
9 


281 
33 




mh 


154 


379 


225 1 154 


379 


225 


154 


379 








1 





1919. 



PUBLIC DOCUMENT — No. 23. 



43 



Table 5. — Citizens of First Admissions. 





Males. 


Females. 


Totals. 


Citizens by birth, 

Citizens by naturalization, 

AUens, 

Citizenship unascertained, 


Ill 

7 
59 
48 


60 
13 
18 
63 


171 

20 
77 
111 


Total, 


225 


154 





Table 6. — Psychoses of First Admissions. 



1. Traumatic, 

2. Senile, total, 

(a) Simple deterioration, 

(6) Presbyophrenic type, 

(c) Delirious and confused states, 

(d) Depressed and agitated states in addition to 

deterioration, 

(e) Paranoid states in addition to deterioration, . 

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, total, . 

Cerebral emboUsm, 

Paralysis, agitans 

Tubercular or other forms of meningitis. 

Multiple sclerosis 

Tabo-paresis 

Acute chorea, 

Other conditions, 

9. Alcoholic, total, . • . ■ 

(o) Pathological intoxication, .... 

(6) Delirium tremens, 

(c) Acute hallucinosis, 

• (d) Acute paranoid type 

(e) Korsakow's psychosis, 

(/) Chronic hallucinosis, 

(g) Chronic paranoid type, 

(A) Alcoholic deterioration 

(i) Other types, acute or chronic, _ . 

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

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

alone or combined, 

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

(c) Gases, 

(d) Other exogenous toxins 

11. With pellagra, 

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

(a) Delirium with infectious diseases, . 

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

(c) Exhaustion delirium, . . 

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

(e) Diseases of the ductless glands, 

(/) Cardiorenal disease, 

Ig) Cancer 

(h) Pernicious anajmia, 



44 



WORCESTER STATE HOSPITAL. 



[Dec. 



Table 6. — Psychoses of First Admissions — Concluded. 



Psychoses. 


1 


J 
1 


H 


1 


1 
1 












7 

4 
61 

1 

7 
1 

13 

22 


16 

9 

47 

6 

1 

5 
2 

1 

11 

7 


23 


(a) Manic type, 

(6) Depressive type, 

(c) Stupor 

{d) Mixed type, 

(e) Circular type, 

14. Involution melancholia, 

15. Dementia prsecox, total, 

(a) Paranoid type, 

(6) Katatonic type 

(c) Hebephrenic type, 

id) Simple type, 

16. Paranoia and paranoic conditions 

17. Psychoneuroses, total, 

(a) Hysterical type, 

(6) Psychasthenic type, 

(c) Neurasthenic type 


3 

1 

■ 27 
8 
20 
6 

1 


8 
6 

2 

16 
16 
9 
6 

i 


10 
9 

3 

1 

■ 43 
24 
29 
12 

i 

1 


13 

108 

6 
2 

12 


19. With constitutional psychopathic inferiority, . 








3 


20. Epileptic, total, • 

(o) Deterioration, 

(6) Clouded states, 

(c) Other conditions, 


-_ 


i 


i 


1 


22 Not insane total, 








29 


(a) Epilepsy without psychosis, .... 
(6) Alcoholism without psychosis, 
(c) Drug addiction without psychosis, 
((£) Constitutional psychopathic inferiority with- 
out psychosis, 

(e) Mental deficiency without psychosis, 

(/) Others (influenza), 


2 
5 

7 


1 

2 

2 
2 


3 

7 

9 
8 
2 




Total 








225 


154 


379 



1919. 



PUBLIC DOCUMENT — No. 23. 



45 



s 




•sF^ox 






•SBi-Brae^ 






•sai^H 








•si^^ox 






■sa^'Bniej 






•S8IBM 






§■0 


•sits^ox 


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


« 


•S9pra9j[ 


' ,,■,,,,.,.,, 


' 


■saiBpt 




N 


vJ 2 


■sp^ox 


Ill ^ 1 CO 1 1 -H^ 1 1 1 -H 1 1 1 1 1 1 1 1 1 t- 1 


^ 


•sajBraa^ 




« 


•S8IBK 




IC 


< 

§ B pq 


•siti^ox 


'''•''' '^'"^' '" -' ' S^ 


?? 


•sspra8j[ 


'I'l ^,,^,,,,1, l||,,l,«, 




•sai^H 


^ 1 «^ 1 1 t^ 1 1 ^ 1 1 1 1 1 1 1 1 1 c^-* 


s 


1 


•sitj^ox 


^111,11 ,r~^^«, ,«^| , , , , 1 1 ic^, , 1 1 1 , , It-I 


^ 


•saiuina^ 




s 


•sai^H 


^,11,11 ICO^^C ll^ll, ^,,1111111^1 


1 


i 


•sp^ox 


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


1 


•sapma^ 


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


1 


•saii3K 


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


1 


i 

1 


•siB^ox 


^ 1 1 1 1 1 rt 1 r~tou5cotoir-jHjn i 1 m 1 1 1 M 1 g^^g^ 1 1 ^ -^ 1 ' 1 g'* 


5 


•saiBraaj[ 


CO 11 1 1 , - 1 oo^coc^co^ 11^11,11 o^s ,,..,, 1 1 oc 


s 


•saiBH 


^,11,11 ,j;;^^^««^-, ICOl , ICOI^C^U,, ,«^, 1 IC,^ 


~ 




c 


^ 


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 

Kace unascertained. 


1" 



46 



WORCESTER STATE HOSPITAL. 



[Dec. 





is 
11 


•sF^ox 


r" " " '— "^-' '-' ' ■-'- 


•Sait3TO9j[ 


^, , , , , , ,^^^,^,^^^, ,c., , , , ,0. 


•sai^H 


' ' ' "^" 1— OOO 1 l« 1 1 ,« ICO 


is 


•si^^ox 




•saiBraa^ 


' , 1 ICO, , loo, , 1 , , , , , ,.- 


•S9IBH 


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


1i 




•sinox 


1 1 1 1 , 1 , , 1 , _ , ^ 1 ^^ 1 1 ^ 1 1 1 1 1 ^ 


•sajBraaj 


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


•S91BH 


llllllllll-^lillC^llTHIlllll 


m 


•sib:(ox 


^, , , , ,^, , ,^,^^^, ,,,,,,, ,^ 


•S8IBOT9J 


^,, l.l-l ,,-,,, CO, ,,,,>,, ,- 


■sai^H 


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




•siB^ox 


1 1 1 1 1 1 1 1 - 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 


•sapraa^ 


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


•saiBH 


1 1 > I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


sip 

p < s 


•siB^jox 


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


•saiBuna^ 


1 1 1 1 1 1 1 1 II 


•sai^H 


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


§ 


•sinox 


,,,,,,, ,co,c,^^,05«, .11.1-11 


•sai^raa^ 


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


•sai^H 


, , , , 1 , . lO, .CO^-H I2«l 1 1 1 1 1- 1 1 


1 §« 


•siB^ox 


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


•sa^Braa^ 


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


■saiBH 


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




i 




African (black), .... 
American Indian, .... 

Armenian, 

Bulgarian, 

Chinese 

Cuban 

Dutch and Flemish, 

East Indian, 

English 

Finnish 

French, 

German, 

Greek 

Hebrew, 

Irish 

Italian 

.Tapanese 

Korean, 

Lithuanian, 

Magyar, 

Mexican, 

Pacific Islander 

Portuguese, 

Roumanian, 

Scandinavian, .... 



1919.] PUBLIC DOCUMENT — No. 23. 



47 



-S' '"^' ' 's- 


S 


1 t^ 1 1 1 1 1 1 1 m 1 


-* 


^00 1 1 N-^ 1 1 1 ^'^ s 


,-1 1 1 1 1 1 1 1 1 «> 1 


3 


^ , 1 1 1 1 1 1 1- 1 


05 




^ 


^^, , , , , , ICO^ 


?5 


rtm 1 1 1 1 1 1 1 'O^ 


to 


1 rt 1 1 1 1 1 1 1 <^> : 


= 


, , , 1 : 1 1 1 1" , 






1 1 1 1 1 1 1 1 1 « 1 


« 


T^r^^^p^ 


111111111-^1 


" 


1 1 1 1 1 1 1 1 1 1 1 


' 


, 1 1 1 1 1 1 1 1 -■ 1 


-^ 


I 1 1 1 1 1 1 1 1 -^ 1 


'-' 


1 1 1 1 1 1 1 1 1 1 1 


' 


1 CO 1 1 1 1 1 1 1 o 1 


" 


11 11^1 


<o 


1« 1 1 1 1 1 1 l~ 1 


^ 


1 , 1 , 1 1 1 1 IC 1 


CO 


" '"' 1" 




- 














rican, 
races. 





IIIIBlllll 



48 



WORCESTER STATE HOSPITAL. . [Dec. 



s 
& 


< 

2; 


•sp^ox 


1 1 1 O 1 >o i 1 ^'^ 1 1 1 1 1 1 1 1 1 ^ 


•saiBtnaj 


liliilll-Hi-illieollli 1 


•sapH 


1 1 1 1 1 1 1 1 o, 1 ^ 1 1 -.-H 1 1 1 1 1 1 1 1 1 ^ 


a 

o 
o 

3 

z; 

P 


•SlB^Oi 


,1,11,1 ,-.^co ,c. ,^ ,,,,,,, 1 ,t- 


•saiBuiaj 


1 , 1 , , , 1 1 1 -M^ , , , o. 1 , , , , , , 1 , ,,< 


■saiBjii 


l,,,,,,,«l<Mlc<.icq,lilllll,co 


a 


•sib;ox 


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


•saiBra8j[ 


1 , 1 , 1 , , , 1 , , 1 1 , , J , 1 , , 1 , , 1 , 


■saiBH 


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




•smoX 


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


•sa|Binaj 


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


•saiBj^ 


, 1 , 1 , 1 1 1 , i , 1 , , , , , 1 , , I , , , <-H 


ii 

P 


■siB^ox 


^,1111.11,^,1,1,1,11,1,1^ 


•saiBraaj 


-< 1 1 1 1 1 1 1 J 1 ,-< 1 ,,,,,, 1 , 


•sapiii 


1 1 1 1 1 1 1 i I 1 1 1 1 1 1 1 1 -< 




•SIB^OX 


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


•saiBTnaj 


1 1 1 1 1 1 1 1 , , 1 1 , 1 1 1 I 1 1 , 1 , 1 , , 


•saiBH 


,,,,11111,1 11,1111,1 


ill 
ill 

<! 


•SIB^OX 


1 1 1 1 1 1 1 1 C. 1 1 1 1 1 CO 1 1 1 1 , 1 1 1 1 1 


•saiBraaj[ 


1 1 1 1 1 1 1 1 CC 1 1 1 1 1 CO 1 , 1 1 1 1 1 1 1 1 


•saiBj^ 


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



1919.1 



PUBLIC DOCUMENT — No. 23. 



49 



,^, ,-1 , , ,o- 


s 


1 « 1 1 1 1 1 1 1 1 -1 


■^ 


1 CO 1 1 -< 1 1 1 1 Oi 1 


^ 


«,,..,,,,«, 


s 


^ 1 1 1 1 1 1 1 I « 1 


- 


1 1 1 1 1 1 1 1 1 CO 1 


2 


1 1 1 1 1 1 1 1 1 « 1 


^ 


r 1 1 1 1 1 1 1 1 -^ r 


^ 


1 1 1 1 1 1 1 1 1 1 1 


1 


1 1 1 1 1 1 1 1 1 ^ 1 


CO 


1 1 1 1 1 I 1 1 1 « 1 


c 


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


11 1 1 1 rt 1 1 1 1 t- 1 


^ 


1 1 1 1 ^ 1 1 1 1 N 1 


o 


rt 1 1 1 1 1 1 1 1 « 1 


t. 


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


cc 


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 


CO 


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


o 


1 1 1 1 1 ] 1 1 1 1 1 


' 










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


H 



50 



WORCESTER STATE HOSPITAL. 



[Dec. 



i 

H 


i 


•smox 




1^1 1 1 1 ■* 1 1 C^rtCOOO-H 1 « 1 1 -HN 




II 


•saiBraaj 




1 1 1 1 1 1 1 1 1 -H.-CO.O« 1 « 1 1 TM 1 


2 


•sai^M 




1-1,1, ^,l-,,«,,^,,l« 


2 


i 


•sii3^ox 




, M , 1 , cqt- 1 , Cvl^ 1 2 1 1 (Nl-^-HC-JM 


5 


■saiBtnaj 




'-' ' '--' '--'-' i-^--.- 


S 


■sai^K 






S 


^ 
S 


•sib;ox 




,-,,,,», ,-..,^, ,-, ,-„ 


^ 


•saiBTna^ 




, 1 ,,,,,, , .-1— 1 O 1 , 1 , , T-rt 


^ 


■sai^H 




1— ,l,to=,,,,i2li'-<l,ic^ 


S 


t 


•sinoi 




1 -H 1 1 , 1 (Mrt 1 .-HCO 1 O 1 «(M« , r-HCO 


!5 


•sajBraaj 




,,,!,,, rHll^lO, -nil, «(M 


2 


•saiUH 




, -1 , 1 , , (N 1 , rt<M ,211 =^'-' ' ' "^ 


•a 




•s^ox 






, ,c.co,=o, ,«, , ,^ 


S 


•sa^BTnaj 




,,,,,, 


,, -co , ^ ,,,,., , 


- 


•saiBH 




,,,,,. 


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


2 




■siis^ox 




1,1,1, 


'-'-'-' — ''" 


ca 


■sa^Buiaj 




, 


,,, O, , CO ,,--,, , 


- 


•sai^Pi 




,11,1, 


, 1 ,CTi«s,r^i 1 1 leo 


S 


i5 

m 
a 


•smox 




I , , 1 , , 


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


' 


■sa|Braaj[ 




.,.,>, 


,>,,,,,.,,,,, 


' 


•sai^K 




1 , 1 , , 1 




' 


hi 
< 


•sp^ox 


,^«r-^l 1 c,««c.=oc,„goc.=3««^o 


s 


•saiBraaj[ 


1 ^^c^ 1 1 1 cqOrHJ^^oomo5^tOT^^5cslrt-H^, 


s 


•sai^H 


' ggS^ ' 1 "S? ' ' ""-^S ' "^-^ ' S?3 


s 


(S 


■J 


With cerebral arteriosclerosis, 

General paralysis 

With cerebral syphilis, 

With Huntington's chorea 

With brain tumor 

With other brain or nervous diseases 

Alpnhnlin 


Due to drugs and other exogenous toxins, . 

With pellagra, 

With other somatic diseases, 

Manic-depressive, 

Involution melancholia, 

Dementia praicox, 

Paranoia and paranoic conditions 

Psychoneuroses, 

With mental deficiency 

With constitutional psychopathic inferiority, 

Kpileptic, 

Undiaenosed, 

Not insane, 


3 
eS 




,-IC^ 


COTt<"5«5t-»Cr 


2;3S2^SS^SSg«g3 


II 



1919. 



PUBLIC DOCUMENT — No. 23. 



51 





K 
O 


•sf:JOX 


'S 


«...,,,,,,, ,^, ,,,,, , 


2 




•sa^Binaj 


1 O 1 1 1 1 1 1 1 1 1 1 1 1 rt 1 1 1 1 1 1 , 






•saiBK 


1 INK) 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


. 






•sinox 


1 ^Hirj 1 1 1 1 1 1 J 1 1 1 1 1 1 1 1 1 1 1 1 


2 




■sai'BTnaj[ 


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


CO 




•sai^M 


1 >OU3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


2 




s 
g 


•s^ox 


'^-' 1 1 1 l-l l-l 1 . 1 1 1 i 1^^ 


§ 




•saiBinaj 


"*''"'' , 1 1 ,,>.,, . 


^ 




■sapH 


loo^l , , , 1^, 1^, , , , , , , ,^^ 


2 




i 


■sF^ox 


1 rHOrt 1 1 1 J -H 1 1 1 1 1 1 1 1 1 1 1 1 1 


2 




•sapraa^ 


1 IM'-' -H 1 1 1 1 1 1 1 1 1 1 1 1 1 


- 


^ 


•sai^H 


I^CO^, ,,,,,,,,,,,,,,,,, 


=3 






•smox 


'--'-'''-'■'-'--''''"- 


. 




•saiBraajj 


1 w-l 1 1 1 1 1 1 1 1 1 1 1 1 rt 1 1 1 1 «> 1 


^ 




•sai^M 


1 CO-* l-H| 1 |>0| 1 IrHl^l 1 ] 1 1 I-, 


to 






•sib:>ox 


, ,^„, , , ,„,„e,,«c., , , , ,o« 


?^ 




•sai'Braa^ 


,,.,,,,,, ,^^, ,«,,,, ,«, 


o 




•sapH 


1 1 ^C^ llll-l|l«l-H|ll|]| -*co 


2 




in 

s 


■si-B^ox 


1 1 (MM 1 1 1 r-Tt. I 1 THN^cqco 1 cq 1 1 .om 


SJ 




•saiBuiaj 


'■-■'''-' "--"--'-' '-- 


w 




•saii3M 


i 1 ^n 1 1 1 1 Tt< 1 1 1 1 ^^ 1 1 -< 1 1 Tl<CN 


- 




:3 


•si^^ox 


1 1 ,-<u-^ 1 1 1 ^ 1 ,-,,^_,oeort 1 r.M 1 1 *co 


CI 




•sa|Braaj[ 


, ,„^, , , ,„,^„,„„^,^, ,^^ 


2 




•sai^H 




?5 


i 
g 
s 

1 


•1 

1-1 
He? 


With cerebral arteriosclerosis 

General paralysis, 

With cerebral syphilis, ....... 

With Huntington's chorea 

With brain tumor, 

With other brain or nervous diseases. 

Alcoholic, 

Due to drugs and other exogenous toxins, . 

With pellagra 

With other somatic diseases 

Manic-depressive, 

Involution melancholia, . . . . ■ . 

Dementia pnticox 

Paranoia and paranoic conditions, 

Psychoneuroses, 

With mental deficiency, 

With constitutional psychopathic inferiority. 

Epileptic 

Undiagnosed 

Not insane 


1 




^c 


CO^«Of-COOO;:J««;2;SSS22gj5?5 





52 







FORCES 


TE] 


R 


STATE 


HOSPITAL 

rHio 1 ;::| 1 1 1 1 


ir 


CO 


5 






•se^Bina^ 


1 « 1 1 1 1 1 i-l,-< 1 1 ^-^ 1 ,o 1 




oc^ 


?3 




•S9IBPI 


1 (MOOCO 1 1 1 ^t- 1 1 1 ,-1 1 03 1 




co^ 


?5 






•SIB:^ox 


II -^ --I 






« 




•sa^Btna^ 


' ' ' ' ' ' 






' 


CO 


■seiBM 






' ' 


^ 


1 


§1 


•siB^ox 


,C,,^, , , ,^,^,„^^^ 


1 -. 


-^ 


S5 


•sai^raa^ 




,- 


1- 


S 


^ 


•S91BH 


""'"' ' ' ""' ' l-l"l 


' ' 


^co 


- 


t 




■siBijox 


,^0^«, ,^CO^^O=^^5;«^««^J.t, 


i 




■S8IBni9j[ 


,...,, ,.c...=ooo.««,...o« 


g 




•eaiBpi 


1 ^-^qo(^< 1 1 1 to i 


eceOTtiN 1 ^tH,-i I co^ 


lO 


a 

il 


•sIB:^Oi 


ICOOO.., , , 1^1 


""-S3'^^ , ,^^ 




g 


■S8I'Bra9j[ 


1 O 1 rt 1 1 1 INI 


rt^rtt- 1 rtN 1 1 oq 1 


?5 




•sai^H 


1 0OO0t-< I 1 I I O I 


<MrH 1 in 1 1 (M 1 1 <M-# 


S 


1 

^ 


1 


•sinox 


1 t-'M 1 1 1 1 1 TK 1 


1 CQ 1 g 1 1 CO 1 1 (Nth 


g 


1 


•sox^rae^ 


1 "5 1 1 1 1 1 1 -< 1 


1 rt 1 CO 1 1 (M 1 1 «r-. 


^ 




. -saiBH 


1 (M-H 1 1 1 1 1 CO 1 


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


S 


1 


9 
1 


•si^Oi 


i^S^^i i"^-"Sg52|=°^J3"^SS 


i 


•sai^maj 


1 ^'fi:^ 1 1 1 <McOrtcqQoma.t-tOrtiocq«,-4t- 


s 




•saiBi^[ 


'ggS-' '^£5' 1 «t,^s 1 -r^- 1 «g. 


i 


I 

e3 


n 


.2" 

1 


•1 

li 

II 

|| 


■ ■ • oT 

•••1 

11 si 
illl 


.1 

s 

1 

o 
-a 

cj 

as 

11 


I.I 

" 1 ■§ 

ill III 

'ili-PS 

111 ill 


1 

• -^ 
a 

1 

. ft 

•II 

33 

cm, 

all 

m 


■1 

c 

;3 




1 






«<N 


corh 


>O«Dt>00O> 


2SSSSSS^22g 


s 


Sq 


n 



[Dec. 



1919.] 



PUBLIC DOCUMENT — No. 23. 



53 



o 
a 

2; 

i 

1 


•si'b:»ox 




1 1 1 


1 1 1 


,^ 


1 1 


1 1 




' 


' 


- 




•sa[i3maj 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 J 


' 


•sapH 


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


1 


P 
f^ 


•siB^jox 


IOGOr^-11,1 lOI lT)^«05lg-^T-^OrH«^5^) 


s 


•sai'Bniai[ 


l-HN ^1 IMtNC^tr-i-lC-l-Hrtr-,-, 


in 


•sapH 


1 ^CO-H-H 1 1 1 O 1 1 -.rtr-lOO r -M^ 1 1 (MO 


5 


K 
13 


•siB^oj, 


1 roOO^ 1 1 MM-HO^SnOOMO-HON 1 J^ CO 


1 


•saiBtnaj 


" 


S 


•sapH 


,»«2;- 1 1^5^ , l^oco« , l«- l-r; 


g 


1 


•sp^ox 


, ^jot... , , co«^cco««|Oo.2»^^» 


i 


•saiBui9j[ 


,^^.MI 1 , c^^c^cc^ct^^^^c,^^^ 


3 


•saiBH 


'gSS" ''"£;' "-•'^'^s 1"^- is?5 


i 


s 




..2 

•If 

III 


i 


ll 
II 


1 
i 

ll 

}l 


'■B 
.2 

II 

11 
5 ^ 


Involution melancholia, 

Dementia pr;T;cox 

Paranoia and paranoic conditions, 

Psychoneuroses, 

With mental deficiency, 

With constitutional psychopathic inferiority 

Ti^nilfintin. 


5 


1 


1 






^M^ 


lOtOO 


00 a> 


2d?JS^"S2^S2g 


s^ 




11 



54 



WORCESTER STATE HOSPITAL. 



[Dec. 



&q 



o 

z 

g 
2; 


•SIB^OX 


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


1 


•saiBuia^ 


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


1 


•saiBjAi 


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


' 


g 


•sib;oj, 


1 oooc^ 1 ! 1 og«oqTKj-<co-^^««rt«CTCQ 


§ 


•sai'Bnia^ 


.^c-, , , ,„„„=,„„.,„„, „,™ 


g 


•sai^H 




s 




■spijox 


'===='"""""="=-'-- '=^ g 


•sajBuiaj 


1 I^M-1 1 1 1 C-JCO 1 1 lOt-^CO-l 1 -Hrt 1 O^ 


CO 


■sai^w 


1 ^-^a i 1 1 «0 1 1 COTiH«QO 1 rtO 1 1 O-J 


1 


1 

Q 


•smoi 


1 «=0-H 1 1 1 1 IM 1 1 rt« 1 Or-i 1 ^r-l 1 r-(C^ 


^ 


•sajBraa^ 


1 O 1 1 1 1 1 1 -< 1 1 -Hrt 1 .0-( 1 CO-H 1 « 1 


o 


■sai^H 


'S--' ''"-''-''-''-'' '- 


g5 




•qB:^ox 


I^TO^^I ICOTO^O^COTOCOgOCCJTO^^g 


i 


•sai'Bniaj[ 


,^^o,, , ...O^^OOOC^O^^.,^^^ 


2 


•sapK 




i 


£ 

s 


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. 

Manic-depressive 

Involution melancholia, 

Dementia prrecox, 

Paranoia and paranoic conditions 

Psychoneuroses 

With mental deficiency, 

With constitutional psychopathic inferiority, . 

Epileptic 

Undiagnosed 

Not insane, 




«MeOTH«)ffi>t^c»020-HC^TOTfiosDi>-Qoo=o-He<i 





1919.1 



PUBLIC DOCUMENT — No. 23. 



55 



Q 

1 


•s^ox 


1 ^JlJM 1 1 1 CO 1 1 1 ^OC^OM 1 Tf( 1 1 0=0 


g 


•saiButa^ 


l>ol 1 1 1 1^1 1 lco»co2;=->lcoi l>«l 


?s 


•sai^H 


l-HNCOl 1 l-Hl 1 1^1 (MOI |r-,| |Tt<0 


t^ 


t 
S 


•ei^^oj, 


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


1 

8 


•sapuiaj 


'--■''''- '- 


o 


•sapW 


l«COt~^ , 1 If;^, , lO, , J. , ,^1 ,^o 


s 


i 

i 


•e^^oi 


l^owir-(| 1 1 1 ic^cqoi-oc^3.H|co-<lcooo 


s 


•saiBuiaj 


--'-' " " ,o,«co.o.,^, ,^« 


•« 


•saiBM 


1 IOOCOt-h I I I I I I ^CO-HC^ 1 1 (N-^ 1 T(HCO 


5 


1 


•sinoj. 


1 ot-cq 1 1 1 ,-. 1 TH 1 ^-mco^coo^-^!MrtCow 


g 


•saiBina^ 


iroCOl'l 1 1 r-< 1 « 1 ^t-(NCOCO-Hr-<OJ.-.(Mr-< 


s 


•eaiBM 


1 r^TjlC^l 1 1 1 1 1 1 1 COCOi-HW 1 « 1 1 1 «^ 


" 


1 


•BinojL 


I^COt.^, 1 C„^C.COCOCOg««C.CO-H^g 


i 


•eaiBma^ 


l^^C 1 IMO^COOOO^^O^^M^^t^ 


s 


•eai^H 


'SSS-' '"?5' .—SI -^--.-§5 


i 


Psychoses. 


Traumatic, 

Senile, 

With cerebral arteriosclerosis 

General paralysis, 

With cerebral syphilis 

With other brain or nervous diseases. 

Alcoholic 

Due to drugs and other exogenous toxins. 

With pellagra 

With other somatic diseases, 

Manic-depressive, 

Involution melancholia, 

Dementia prascox, 

Paranoia and paranoic conditions, .... 

Psychoneuroses, 

With mental deficiency, 

With constitutional psychopathic inferiority, . 

Kpileptic, 

Undiagnosed 

Not insane, 


H 




i-ioqco-*io»i>odo50-H<Mco-*'Otgt2jooojoj^g) 


11 



56 



WORCESTER STATE HOSPITAL. 



[Dec. 





•sib:^ox 


. , 1 , , , , 1 > 


1 


■S9lT3ra9i[ 


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


' 


■sapi^ 


1 1 1 1 1 1 J 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


' 


i 

o 
> 


•siB^ox 


1 1 1 1 1 1 1 1 ^ 1 1 M 1 W<M 1 1 1 1 I 1 (M 


I^ 


•sspuiaj 


1I||]||||II-H|I— llllll-H 


c 


•saiBM 


I ] 1 1 1 1 1 1 ^ 1 1 1 1 ^ -. 1 1 1 1 1 1 -H 


^ 


i 

K 


•siBCfOx 


1 ^ 1 ^ I 1 1 1 1 1 1 1 -HI 1 1 1 1 1 1 1 1 


« 


•seiBraa^ 


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


' 


•S81BH 


iT-Hl-Hllllllll-Hlllllllll M 


1 


•sib;ox 


,^o^ 1 1 1 100 I^^CO^O^ 1^ , l«^ o 


•saiBinaj 


1 t-M 1 1 1 1 1 CO 1 -HCJtN 1 «,rt I (M 1 1 eON 


5i 


•S8IBH 


ir-o-Hl 1 1 1 .rj 1 1 CTrH-i 1 1 1 1 1 1 Nco 


g 


S 
13 
<! 


•sib;ox 


,«ooc., ,„^. ,...g..., ,oo 


g 


■sa^BHiaj 




g 


•S8IBH 


,o.oco« , 1^2 ' I-"I2' '^' '°=^ 


^ 




•siB^ox 


lO^^I 1 , ,M^^«^t,C.^^0O«^COC. 


§ 


•sapnisj 


,„ ,„ , , , l^^^^o,^^^ l=^««^^ 


s 


•sai^pi 


,c,^«. 1112' 1^^^^ i-»- i^S 


§ 


1 


•si^^oi 


|^??^«' '"^--^SSSg^^S^^SS 


g 


•sepraaj 


1 ^tH(M I 1 1 C<ltO.-IC^OOCOCn^tOT-<«!C^rH-Ht- 


s 


■sapi^ 


,oo«^, 1^5^, ,^^^3,^^~^,«g. 


i 


H 


g .3 g . ..2 . . . 

;S § .9 :S 

..|.i.i.|.|.|,y..-. 

■liiililililslr'' 


1 


r^(Mco-a;"5=ot~oooowc;qco2«;°J::;«2;°N?3 





1919. 



PUBLIC DOCUMENT — No. 23. 



57 



Table 14. — Psijchoses of Readmissions. 



Traiimatic, 

Senile, total, . . . 

(a) Simple deterioration, 

(6) Presbyophrenic type 

(c) Delirious and confused states, 

((£) Depressed and agitated states in addition to 
deterioration, . _ 

(e) Paranoid states in addition to deterioration, . 

With cerebral arteriosclerosis, 

General paralysis 

With cerebral syphilis, 

With Huntington's chorea, 

With brain tumor, 

With brain or nervous diseases, total, 

Cerebral embohsm, 

Paralysis agitans, 

Tubercular or other forms of meningitis. 

Multiple sclerosis, 

Tabo-paresis 

Acute chorea, 

Other conditions, 

Alcoholic, total, 

(a) Pathological intoxication, .... 
(6) Delirium tremens, 

(c) Acute hallucinosis 

(d) Acute paranoid type, 

(e) Korsakow's psychosis, 

(/) Chronic hallucinosis 

(g) Chronic paranoid type, 

(h) Alcoholic deterioration, 

(i) Other types, acute or chronic. 

Due to drugs and other exogenous toxins, total, 
(o) Morphine, cocaine, bromides, chloral, etc., 
alone or combined, 

(b) Metals, as lead, arsenic, etc 

(c) Gases, 

(d) Other exogenous toxins, 

With pellagra, 

With other somatic diseases, total, .... 

(a) Delirium with infectious diseases, . 

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

(c) Exhaustive deliriimi, 

id) Delirium of unknown origin 

(e) Diseases of the ductless glands, 

(/) Cardiorenal disease, 

(g) Cancer, 

(h) Other diseases or conditions (myoidema). 

Manic-depressive, total 

(a) Manic type 

(6) Depressive type, 

(c) Stupor, 

(d) Mixed type, 

(e) Circular type, 

Involution melancholia. 



Dementia prrecox, total, 

(o) Paranoid type, 

(6) Katatonic type, .... 

(c) Hebephrenic type, 

(d) Simple type, 

. Paranoia and paranoic conditions, . 

. Psychoneuroses, total, .... 

(a) Hysterical type, .... 

(6) Psychasthenic type, 

(c) Neurasthenic type, .... 
. With mental deficiency, .... 
. With constitutional psychopathic inferiority, 
. Epileptic, total, 

(o) Deterioration 

(6) Clouded states, .... 

(c) Other conditions, .... 



58. 



WORCESTER STATE HOSPITAL. 



[Dec. 



Table 14. — Psychoses of Readmissions — Concluded. 



Psychoses. 


1 


1 


1 


1 


1 


1 










7 
■ 6 


1 
4 


8 


22. Not insane, total, 

(a) Epilepsy without psychosis, .... 
lb) Alcoholism without psychosis, 

(c) Drug addiction without psychosis, 

(d) Constitutional psychopathic inferiority with- 

out psychosis, 

(e) Mental deficiency without psychosis, 

(/) Others 


2 

4 


1 

3 


3 

7 


10 


Total 








135 


91 


226 













1919.] 



PUBLIC DOCUMENT — No. 23. 



59 



•si^^oi 



icnc^rt thcot 



•S^B^OX 



« O.^^CO<MO 



lOMrt I TOOTO^'-HC^I I —Irt': 



!S^^ig 



3 o s 



a a » 1=1 -2 
■S S e o -e 



; •«; io CO !>: oo o d ^' w' TO ;* 2 2 ^ s' 2" § S ?3 



60 



WORCESTER STATE HOSPITAL. 



[Dec. 



1 


H 
IS 


•eiB^ox 




•saiBuiaj[ 




•saiBK 




g S o 

w 


■siB^ox 




•saiBraaj[ 




•saiBH 




w « 3 


•smox 


1 ' ' 1 111-^1 1 1 1 CO 1 


•saiBraaj 


1 1 1 1 1 1 1 > 1 1 1 1 1 1 1 1 i« 1 


■saiBH 


1 II 1 1 1 1 - 1 1 1 1 -< 1 


IS fH 


•siB^ox 


, , , , , 1 I < , , , ,«, , -^5, , 


•saiBraa^ 


1 1 1 I 1 J 1 1 1 1 1 1 -1 1 1 -^O 1 1 


■sai^K 


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


1^1 


■si^^ox 


' ' ' ' ' ' ' ' ' ' "' ' ' 


•saiBuiaj 


' ' "' ' ' 


■sai^M 


' ' 1 1 1 1 1 1 1 1 I'll 




•s^oX 


, ,,,-.,,, , ,,!.., , .., , , 


•sapmaj[ 


1 III- 1 "III 


•saiBj^i 


' ' ' ^ ' ' ^ ' ' ' 


i 


•si'B^ox 


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


■saiBuia^ 


' 1 1 1 1 1 1 1 'Ill 


■saiBH 


, 1 < , > 1 1 1 1 1 1 1 1 1 1 1 1 < 1 


i 
1 


■siB^ox 


„ ^^^„^^^ ^ ^^c.«^ - -r^c^ 


•saiBuiaj: 


„ ,^^^ 1 ,^ ^ ,«-c , ^ =00,^^ 


•saiBH 


, „ , ,o«^ 1 , ^ i^c.^' 1 05.-, , 




1 

i 




General Diseases. 

Facial erysipelas, .... 

Septic£emia following traumatic in- 
fection of elbow, .... 

Pyemia with multiple abscesses, . 

Pellagra 

Tuberculosis, pulmonary. 

Carcinoma of gall bladder, . 

Carcinoma of liver. 

Carcinoma of stomach, . 

Carcinoma of uterus and perito- 
neum with effusion, . 

Exhaustion following delirium tre- 
mens, 

Exhaustion following influenza, . 

Influenza, 

Influenza and broncho-pneumonia. 

Diphtheria, 

Thrombosis of right femoral vein 
with gangrene of right leg. 

Diseases of the Nervous System. 
Cerebral hemorrhage, . 
General paralysis of the insane, . 
Cerebrospinal syphilis, . 
EncephaUtis 



1919. 



PUBLIC DOCUMENT — No. 23. 



61 



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




' ' ' ' ' 


, 


1 1 1 1 1 1 1 111 111 1 1 1 1 III 


, 


1 1 1 1 1 1 1 III III 1 1 1 1 III 




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




1 1 1 1 1 1 1 111 111 1 1 1 1 III 




' 1 1 1 ' ' 1 " I'll ' ' ' 






M 




« 




03 


1 1 1 1 1 1 1 ^11 Mil 1 1 1 1 III 


o 


- « 1 1 111 1 IMM Ml, 


s 


1 1 l^c 1« ^11 Ml, 1111 1 1 , 


s 


(^ 


1 1 IM. 1. Ill 1 1 1 1 1 1 1 1 1 lU 


iMMg^ MC ^COI ^M, 11,1 1 1 1 |S 


IM 1 J. , M 1 ^„ 1 t-M , 1111 111 


J5 


1 IMO^ ,<>, , , 1 II, 11,1 III 


^ 


1 1 1 1 1 1 1 111 1 1 1 1 1 1 1 1 1 1 1 


" " " ' " ' 


' ' ' ' ' ' ' ' ' 


--»S- -2 S = - ^-- — i 


1 0«0 1 MCO ;2;m , M^M MM , « , II 


Si 


M^Cg.^ 1^ ^IM CI , 


B 


Diseases of the Circulatory System. 
Acute vegetative endocarditis, 
Chi'onic valvular heart disease, . 
Chronic myocarditis. 
Arteriosclerosis, .... 
Cerebral arteriosclerosis. 
Fatty myocarditis and coronary 
sclerosis, ..... 
Cardiovascular-renal disease, 

Diseases of the Respiratory Syste7n. 
Broncho-pneumonia, 

Lobar pneumonia 

Pulmonary oedema, 

Diseases of the Digestive System. 

Acute enteritis 

Chronic enteritis 

Mucous diarrhoea 

Diseases of the Genitourinary 
System. 
Acute nephritis, .... 
Pyelonephritis, .... 
Chronic interstitial nephritis. 
Chronic parenchymatous nephritis. 

Accidents, Violence and Sudden 
Deaths. 

Asphyxiation: food in bronchi, . 

Strangulation with a piece of sus- 
pender, 

Suicide by hanging. 


, 



62 



WORCESTER STATE HOSPITAL. 



[Dec. 





•' 


u 

p 


•sFlox 






•sai'Buia^ 


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




•S9I13H 


■'"''"''' ' ' '^2- 


^ 


li 


•SITS^OX 


- 1 1 1 1 1 1 1 1 Ill 





•sai^raa^ 


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


fl 

rS 


•S8IBH 


' """ ' 


I 


as 

■< y 

a 


•siB^oj, 


1 iiicii , iiici^ ^,,1 


■S8|13ra3J 




0" 


•saiBUi 


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


I 


Hi 
III 


•smox 


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




•ssi-eme^ 


1 1 1 1 1 1 1 1 1 1^111 1 1 1 1 1 


5 


•S8113H 


1 1 ■ 1 n 1 1 1 1 > 1 . I 1 1 1 , 1 


?> 


' si 
1 


•siB^ox 


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


1 


•seiBtne^ 


1 1 1 -H 1 1 1 1 1 11 


•S31BM 


' ' ' ' 'I'll 1 I'll 


1 




■sib:}Ox 


' 1 ' 1 ' ' 1 1 1 ' > 1 ' ' 


•B81Bm9J 


' ' ' ' ' ' 


•saiBjM 


' 1 ' 1 1 • 1 1 1 1- 'III 


1 


•si^^ox 


, , , ic^^i , ^, ,^, , ^, ,^ 


as 


•S9IBUISjt[ 


' iiiiii -1 1 -1'- 


-> 


_-saiBH 


1 III cq^^ 1 1 ^ll^l 1 colli 




•sib:}Ox 


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


1 


•S9i.u:e^ 


1 .,,,,,. , , , , , , , ■ , , , 


•sei^K 


1 1 1 1 - 1 1 1 1 1 






Q 

O 

■<; 
o 




:s i -g ^ cf § " i » 

l-.i:l-P/iili^i-fi5|i?i- 

lllillllll 1 lllljl 11111 



1919.] PUBLIC DOCUMENT — No. 23. 



63 



1 (Ni-Hco 1 1 CO t-o-i «)cq-H «rt 1 rt 1 1 rt 


.11 


1 r.l-lM 1 1 Oq (N.CO 1 C^CS^ ^^ 1 _ 111^ 


l-l^l 1- «,^ „l, ,,,, , ,^o 


1 1 --< 1 1 -H .^11 , 1 , 1 , 1 „ 1^1 


t:~ 


"^^' '^ ^ ' "h 


1 1 1 1 1 II <-< 1 1 III 1 1 1 1 1^1 


« 


1 1 ^^ I 1 1 N'l 1 III 1 1 1 1 1 1 j -H 


C^-l 1 III 1 1 1 1 III 


tr~ 


' ""^ ' ' I'll 111^ 


1 =^ 1 1 1 1 -■ III III 1 1 1 1 1 II 


-* 


1 <M Ill III 1 1 1 1 I II 


CO 


1 1 1 1 1 1 -< III III 1 1 1 1 1 II 


'^ 


1 Ill III 1 1 1 1 1 II 


- 


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


- 


' i 


Ill III 1 1 1 1 I II 


1 


1' 


1 1 1 1 1 1 1 III III 1 1 1 1 III 


1 


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


' '-^ ' ' ' 1 1 1 o 


''•'''' " ' ' ' ' ' ' ' 


S3 


"-" " - ■ " ' ' " 1" 


11-11'' - '-' ' ' ' 


^ 


" " ' " " 


- 


Diseases of the Circulatory System. 
Acute vegetative endocarditis. 
Chronic valvular heart disease. 
Chronic myocarditis. 
Arteriosclerosis, .... 
Cerebral arteriosclerosis. 
Fatty myocarditis and coronary 

sclerosis 

Cardiovascular-renal disease, 

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

Diseases of the Digestive Systetn. 
Acute enteritis, .... 

Chronic enteritis 

Mucous diarrhoea 

Diseases of the Genitourinary 

System. 

Acute nephritis, .... 

Pyelonephritis 

Chronic interstitial nephritis, 
Chronic parenchymatous nephritis. 

Accidents, Violence and Siidden 
Deaths. 
Asphyxiation: food in bronchi, 
Strangulation with a piece of sus- 
pender, 

Suicide by hanging. 


■3 
1 



64 



WORCESTER STATE HOSPITAL. 



[Dec. 



o 





2 


•SJB^OX 






•saiBuiaj 






•saiBH 






O 
Q 


•S|b:joj, 


11.1,111,1,,,, , -. , , , 




■sajBraa^ 






•saiBH 


,,,,,,,,,,,,,, , -HI,, 




2 


■siB^ox 






•saiBina^ 






•saiBpf 




. 


m 

11 


•smoi 




o 


•sai'eoiajj 




s 


•sai^H 






ii 


•sib:}oj, 


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




•sai^raa^ 






•sai^pi 


, , , , 1 , 1 , 1 , 1 , « , , ,1,1 




ii 

I? 


•sib:>ox 






•saiBtna^ 






•sai^pi 






g . 

Ill 

Z K H 
<1 -< " 


•sib:>oj, 






■saiBmaj 






•saiBH 






i 

s 

02 

< 




General Diseases. 

Facial erysipelas, 

Septicaemia following traumatic infection of elbow. 
Pyemia with multiple abscesses, .... 

Pellagra 

Tuberculosis, pulmonary, 

Carcinoma of gall bladder, 

Carcinoma of liver 

Carcinoma of stomach, 

Carcinoma of uterus and peritoneum with effusion. 
Exhaustion following delirium tremens, . 
Exhaustion following influenza, .... 

Influenza, 

Influenza and broncho-pneumonia, .... 

Diphtheria, 

Thrombosis of right femoral vein with gangrene of 
right leg 

Diseases of the Nervous System. 
Cerebral hemorrhage, . . . . - . 
General paralysis of the insane, .... 

Cerebrospinal syphilis, 

Encephalitis, 



1 1 1 1 1 1 1 1 <-< 1 III 1 1 1 1 III 


iNO. 


1 1 1 1 1 1 1 1^1 III 1 1 1 1 III 


" 


1 1 1 1 1 1 1 III III 1 1 1 1 III 


' 


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


« 


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


c 


1 1 1 1 1 1 -^ "^11 11 Ill 


« 


1 -"-^ 1 1 1 1 111 1 Ill 


c 


' ' ' ' ' ' ' ' ' ' ' 


' 


'^-^ Ill 1111 111 


^ 




1 


' ' ' ' ' ' ' ' ' ' ' 






1 


■ -■iiiii -'11 "-1 II 


^ 




o, 


1 1 1 1 1 1 1 -■ I 1 111 1 


o, 


1 .1 1 1 1 1 1 111 111 1111 111 


' 


11.1111 111 111 1111 1 1 1 


1 


1 1 1 1 1 1 1 111 111 1111 111 


' 


1 1 1^ 1 1 1 111 111 1111 111 


- 


1 1 1 ^ 1 1 1 111 III 1 1 1 1 111 


- 


1 1 1 1 1 1 1 111 III 1 1 1 1 111 


1 


Diseases of the Circulatory System. 

Acute vegetative endocarditis 

Chronic valvular heart disease, .... 

Chronic myocarditis, 

Arteriosclerosis, 

Cerebral arteriosclerosis, 

Fatty myocarditis and coronary sclerosis. 
Cardiovascular-renal disease, 

Diseases of the Respiratory System. 

Broncho-pnteumonia, 

Lobar pneuinonia, 

Pulmonary oadema 

Diseases of the Digestive System. 

Acute enteritis, 

Chronic enteritis 

Mucous diarrhcEa 

Diseases of the Genitourinary System. 
Acute nephritis, 

Chronic interstitial nephritis, 

Chronic parenchymatous nephritis. 

Accidents, Violence and Sudden Deaths. 
Asphyxiation: food in bronchi, .... 
Strangulation with a piece of suspender, 
Suicide by hanging 


i 



65 



WORCESTER STATE HOSPITAL. 



[Dec. 



i 
< 


i 


•sF^^ox 


1 1 lOOl 1 1 l,-l| l-^l IQOI I.-I1 IMI 


g 


•saxBxna^ 


"■" -'- -■ 


00 


•saiBK 


iiiwiiiii^iiirioiirtiiii 


^ 




•SlBiOi 


''■--"'--'''-'-''''•-' 


s 


•sajBuia^ 


''"-'''-''• ■-'«' .1111. 


CO 


•saiBin 


,, ,^-, i-^i ,,,,«,,,, ,^, 


2 


n 


•si^iox 


'■'-'''"''' '-'- 


2 


•saiBinaj 


II ^iiii-^Itkiiiiiii 


CO 


•saiBH 


1 1 1 <M 1 1 1 1 1 >0 1 1 1 1 1 1 1 


tr- 




■s^ox 


'''"'•'' «l ICI , 1^ 


^ 


s 
s 


•saiBTna^ 


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


00 


■saiBH 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 oo 1 1 ^ 1 1 1 1 


en 


s 
s 


•sp^ox 


' ' ' ' ' ' ' ' '- 


- 


•saxBinaj 


II 1 1 1 1 1 1 1 1 1 1 


' 


•saiBH 


"=11.111, 


- 


^ 


•siBiox 


' ' ' 1 1 ' ' ' > «l , , , , , , 


- 


•saxBinaj 


' ' ' • ' 


' 


•saiBit 


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


- 


in 

a 


■sib;ox 


111,111.1,1,1,1,1,1,11 


- 


■saxBtaaj: 


'■''''''' ' 


' 


•saiBH 


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


' 


< 




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'SSS-' .«»:;, ^^^H^CO^,^,..^^ 


§ 


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b. 
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 

10. Due to drugs and other exogenous toxins, . 

11. With pellagra 

12. With other somatic diseases 

13. Manic-depressive, 

14. Involution melancholia, 

15. Dementia prajcox 

16. Paranoia and paranoic conditions, .... 

17. Psychoneuroses, 

18. With mental deficiency, . . . . 

19. With constitutional psychopathic inferiority, 

20. Epileptic 

21. Undiagnosed, 

22. Not insane, 


H 



1919.1 



PUBLIC DOCUMENT — No. 23. 



67 



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h 


With cerebral arteriosclerosis, 

General paralysis, 

With cerebral syphilis 

With Huntington's chorea, 

With brain tumor, 

With other brain or nervous diseases, .... 
Alcoholic 


Due to drugs and other exogenous toxins, . 

With pellagra, 

With other somatic diseases, 

Manic-depressive 

Involution melancholia, 

Dementia prcecox, 

Paranoia and paranoic conditions, .... 

Psychoneuroses 

With mental deficiency, 

With constitutional psychopathic inferiority, 
F.nilpntid. 


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11 



«68 



WORCESTER STATE HOSPITAL. 



[Dec. 



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P 


Traumatic, 

Senile 

With cerebral arteriosclerosis 

General paralysis, 

With cerebral syphihs, 

With Huntington's chorea, .... 

With brain tumor, 

With other brain or nervous diseases. 

Alcoholic, 

Due to drugs and other exogenous toxins. 

With pellagra, 

With other somatic diseases, .... 

Manic-depressive 

Involution melancholia, 

Dementia precox, 

Paranoia and paranoic conditions, 

Psychoneuroses, 

With mental deficiency, 

With constitutional psychopathic inferiority, 

KSIfosed. ::::::: 

Not insane, 


1 


— (NcSTt-moir^ooOiO — cqM^io=o^2S°?q=^ 





1919. 



PUBLIC DOCUMENT — No. 23. 



6^ 



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i 
I 

1 


Traumatic 

Senile , . . . 

With cerebral arteriosclerosis, .... 

General paralysis, 

With cerebral syphilis, 

With Huntington's chorea, .... 

With brain tumor, 

With other brain or nervous diseases. 

Alcoholic 

Due to drugs and other exogenous toxins. 

With pellagra, 

With other somatic diseases 

Manic-depressive, 

Involution melancholia 

Dementia praecox, 

Paranoia and paranoic conditions, 

Psychoneuroses, 

With mental deficiency 

With constitutional psychopathic inferiority, . 

Epileptic, . . 

Undiagnosed 

Not insane, 


H 


r-;(McoTt<i««i^-coo50T-<Nco2;;52^«3g^g:j 





70 



WORCESTER STATE HOSPITAL. [Dec. 1919. 



Table 19. — Family-care Department. 





Males. 


Females. 


Totals. 


Remaining Sept. 30, 1918 


- 


43 


43 


Admitted within the year, 


2 


14 


16 


Nominally returned from visit for discharge, 


- 


- 


- 


Whole number of cases within the year. 


2 


57 


59 


Dismissed within the year, 


1 


23 


24 


Returned to institution 


1 


22 


23 


Discharged, 


- 


- 


- 


Died 


- 


1 


1 


Visit, 


- 


- 


- 


Escaped 


- 


- 


- 


Remaining Sept. 30, 1919, 


1 


34 


35 


Supported by the State 


- 


23 


23 


Private 


- 


7 


7 


Self-supporting 




4 


5 


Number of different persons within the year. 




50 


51 


Number of different persons admitted. 




14 


15 


Nimiber of different persons dismissed, 




21 


22 




.51 


37.45 


37.96 


State 




26.67 


26.67 


Private, 


- 


6.78 


6.78 


Self-supporting 


.51 


4.00 


4.51 



V