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Public Document No. 23
Cfje Commonltiealtf) of ^Uf^mttmtm
ANNUAL REPORT
THE TRUSTEES
Worcester State Hospital
Year ending November 30, 1920
Depaktment of Mental Diseases
BOSTON
WRIGHT & POTTER PRINTING CO., STATE PRINTERS
32 DERNE STREET
Public Document No. 23
Ci)e Commontoealtf) of ^assacftugettg
?mj
ANNUAL REPORT
THE TRUSTEES
Worcester State Hospital
Year ending November 30, 1920
Depaetment of Mental Diseases
^
IK
BOSTON
WRIGHT & POTTER PRINTING CO., STATE PRINTERS
32 DERNE STREET
C
K
uiit
^^'tc&i^A^
Publication of this Document
approved by the
Supervisor of Administration.
3
CONTENTS
Heport of the Trustees,
PAGE
. . . 7
Report of the Acting Superintendent,
9
Social Service Department Report,
. 24
Laboratory Report,
. . . 26
Valuation,
. . . 29
Report of Treasurer,
. . . 30
Statement of Funds, . . .■ .
. . . 36
Statistics,
. 41
OFFICERS OF THE HOSPITAL.
TRUSTEES.
Edward F. Fletcher,
JoHx E. White, .
JOHX G. PERiL^A',
LrTHER C. Greexleaf,
CAROLtN'E M. Caswell,
Mae Carlsox,
WlLLL^M J. DeLEHAXTT,
Worcester,
Worcester.
Worcester.
Boston.
Boston.
Worcester.
Worcester.
RESIDENT
B. Hexry Masox, M.D., .
DOXALD R. GiLFXLLAX, M.D.,
Arthur H. Mouxtford, M.D.,
Robert B. HL^rriilyx, M.D.,
Willloi .J. VivL\x, M.D.,
Michael J. O'Meara, M.D.,
Roy C. Jacksox, M.D.,
Ada F. Harris, M.D.,
Elsie I. Rich.a.rds, R. X.,
Maet M. Catox,
Herbert W. Siuth, .
LiLLL^x- G. Care,
Joseph F. Reyxolds,
OFFICERS.
. Acting Superinte'nderd.
Senior Assistant Physician.
. Senior Assistant Physician.
. Assistant Physician.
. Assistant Physician.
. Assistant Physician.
. Assistant Physician.
. Pathologist.
Superintendent of Nurses.
. Head Occupational Therapist.
Steward.
. Matron.
. Farmer.
NONRESIDENT OFFICERS.
JeXXIE a. H.A.RRIXGTOX,
Btjrtox W. Lorixg, D.D.S.,
George W. Pareseai:,
Jessie M. D. HAiULTOx, .
jAilES DiCKISOX, .Jr.,
Social Sercice Worker.
Dentist.
Druggist.
Treasurer.
En{jineer.
Cf)e Commontoealtf) of ^a00acI)U0ett0
TRUSTEES' REPORT.
To His Excellency the Governor and the Honorable Council.
The trustees of the Worcester State Hospital respectfully
submit their eighty-eighth annual report, with the reports of
the acting superintendent and treasurer appended. They ask
that careful attention be given the items presented by the act-
ing superintendent, Dr. B. Henry Mason. The trustees deem
Dr. Mason most efficient, and believe he has the kind of con-
structive business ability which make his plans for the in-
creased usefulness of the hospital worth careful thought.
The construction of the new laundry, now nearly completed,
will give much better facilities for the industrial work, which
is a most valuable factor in the lives of the inmates, but the
cold-storage plant and the alterations in kitchen and bakery,
to which attention has been called for several years, are still
in the future. Fireproof stairs for protection in case of fire
are most essential, and we urge the consideration of this neces-
sity. In the Summer Street Department the renovation of the
air chambers in the basement should have attention unless this
department is to be taken over by the United States in accord-
ance with the follow^ing bill, passed at the last session of the
General Court : — ■
Resolved, That the governor and council be authorized to lease to the
United States of America, for the use of any department thereof, the land
and buildings, or any part thereof, comprising the Worcester State Hos-
pital, for a term not exceeding five years and for such rental as the gover-
nor and council may fix; but no person shall obtain a settlement in this
commonwealth by reason of his residence at said institution during the
period of said lease.
The help situation has been critical at the hospital as else-
where, but rehef seems to be in sight. Many patients have
8 WORCESTER STATE HOSPITAL. [Dec.
helped materially in alleviating the shortage. Better salaries
should be available, however, to increase efficiency. All depart-
ments are in operation, and the various members of the staff
have been faithful to the trust imposed upon them. The trus-
tees thank one and all.
It is most fitting to mention the resignation of Miss Georgie
A. Bacon of Worcester, chairman of the Board, who has served
since 1911, and of Mr. Donald Gordon of Boston, secretary of
the Board, who was elected in 1915. Both members w^ere
valuable to the hospital, and will be greatly missed by their
co-workers.
The present Board will do its best to be of service, but the
lack of initiative required and the stereotyped form of work
necessarily done reduce the possibility of achievement to the
minimum. We respectfully call the attention of His Excellency
the Governor and the Honorable Council to the fact that such
service is a sacrifice without adequate compensation in ac-
complishment, and urge the consideration of some plan by
which the ability of the various trustees of all similar institu-
tions can be focalized for the advancement of the great and
important matter of mental hygiene and its relative subjects.
Respectfully submitted,
EDWARD F. FLETCHER.
JOHN F. WHITE.
JOHN G. PERMAN.
LUTHER C. GREENLEAF.
CAROLINE M. CASWELL.
MAE CARLSON.
WILLIAM J. DELEHANTY.
Nov. 30, 1920.
1920.1 PUBLIC DOCUMENT — No. 23.
ACTING SUPERINTENDENT'S REPORT.
To the Trustees of the Worcester State Hosjntal.
I herewith respectfully submit the following report of the
hospital for the year ending Nov. 30, 1920, it being the eighty-
eighth annual report.
There remained on the hospital books Oct. 1, 1919, 1,873
patients, — 997 men and 876 women. During the year ending
Sept. 30, 1920, there were admitted 970 patients, — 506 men
and 464 women. Five hundred and seventy-two patients —
331 men and 241 women — were discharged from the hospital.
Of this number, 300 patients — 184 men and 116 women —
were discharged; 233 patients — 143 men and 90 women —
died; 39 patients — 4 men and 35 women — were transferred,
leaving at the end of the statistical year 2,271 patients, —
1,172 men and 1,099 women. One thousand nine hundred
and seventy-one patients — 997 men and 974 women ■ — ■ were
actually in the hospital. Of this number, 1,769 were supported
by the State, 110 by friends, and 92 as reimbursing patients.
Of the patients discharged, 65 were reported as recovered, 153
as improved, and 56 as not improved. Twenty-six patients —
17 men and 9 women — were discharged as not insane. Twenty-
four women were transferred by the Department of Mental
Diseases to the Gardner State Colony; 2 men and 4 women
to the State Infirmary; 2 men and 1 woman to the Danvers
State Hospital; 3 women to the Foxborough State Hospital;
1 woman to Dr. Wiswall's; 1 woman to the Medfield State
Hospital; 1 woman to the Boston State Hospital. Eleven
men and 3 women were removed from the State, and 12 men
and 11 women were deported.
There remained in the hospital at the end of the year 406
more patients than at the beginning. The smallest number
under treatment on any day was 1,571 patients, and the
largest, 2,046. The daily average was 1,913.93.
10 WORCESTER STATE HOSPITAL. [Dec.
' The percentage of recoveries calculated upon the number of
discharges and deaths was 11.3; calculated upon the number
of admissions, 7.1. In order, however, to make an honest
comparison with last year it is necessary to subtract 433, the
number of chronic cases received by reason of the absorption
of the Summer Street Department, Dec. 1, 1919, from the
total number of admissions for the year, which shows a per-
centage of 12.1, or an increase of .92 per cent over the show-
ing of the preceding year.
The death rate was 8.1 calculated on the whole number of
patients under treatment, and 12.1 calculated on the daily
average number.
Although there was an increase of 324.83 in the daily aver-
age number of patients under treatment over that of 1919, 12
less deaths occurred in the hospital.
Six hundred and seventeen patients w^ere admitted during
1919, and 532 (not including those received by reason of the
Summer Street acquisition) the past year, or a decrease in the
whole number of admissions of 85.
Psychoses of First Admissions.
The accompanying table shows there was a total of 371 ad-
mitted for the first time during 1920, against 379 for the pre-
ceding year (14 of this number, or 3.7 per cent, were suffering
from mental disease due to the excessive use of alcohol), and
43, or 11.3 per cent, for the year 1919, or a decrease of 67.5
per cent in the number of alcoholic admissions during the past
statistical year. These findings should be convincing evidence
that prohibition is a bulwark of mental as well as physical
strength for our fellow beings.
There was quite an increase in the number of cases of cere-
bral arteriosclerosis and general paralysis admitted. Twenty-
six and one-sixth per cent of first admissions were suffering
from dementia prsecox, and 6.1 per cent from manic-depressive
insanity. There was only 1 case of pellagra admitted during
the year. Seven patients — 5 men and 2 women — committed
were not insane. The Wassermann reaction on the blood
serum was positive in 11.32 per cent of the first admissions.
1920.
PUBLIC DOCUMENT — No. 23.
11
Psychoses of First Admissions, 1919-20.
1920.
1919.
Psychoses.
Males.
Fe-
males.
Totals.
Males.
Fe-
males.
Totals.
Traumatic
-
1
1
-
-
_
Senile, .:....
8
25
33
20
24
44
With cerebral arteriosclerosis,
49
27
76
29
4
33
General paralysis
31
3
34
15
2
17
With cerebral syphilis.
1
1
2
2
2
With Huntington's chorea,
1
-
1
-
-
-
With other brain or nervous diseases.
-
-
-
1
2
3
Alcoholic,
14
-
14
37
6
43
Due to drugs and other exogenous
toxins.
With pellagra
:
1
1
-
1
2
1
2
With other somatic diseases.
1
8
9
5
8
13
Manic-depressive, ....
8
15
23
7
16
23
Involution melancholia, .
3
12
15
4
9
13
Dementia prascox
63
36
99
61
47
108
Paranoia and paranoic condition,
3
-
3
-
6
6
Psychoneurosis, ....
2
6
8
1
1
2
With mental deficiency.
10
7
17
7
5
12
With psychopathic personality.
5
3
8
1
2
3
Epileptic,
3
3
6
-
1
1
Undiagnosed,
6
8
14
13
11
24
Not insane,
5
2
7
22
'
29
There were 102 men and 55 women, a total of 157 persons,
admitted as emergency, temporary-care or observation cases,
of which 123 were regularly committed; of the 34 not com-
mitted, 6 regained their normal mental poise, 14 were not in-
sane, 5 were discharged improved, 6 not improved, and 3 died.
There have been several criminals admitted during the year.
One of these cases was an incorrigible girl received from the
Reformatory for Women, who showed no evidence of a psy-
chosis. It should be regarded as most unfortunate that pro-
vision has not been made where rational care and treatment
could be provided for this class of cases. They are a problem
12
WORCESTER STATE HOSPITAL.
[Dec.
which should not have to be dealt with by a hospital for the
insane.
During the year 28 ex-service men were admitted. The fol-
lowing summary shows their mental classification and environ-
mental states at the end of the statistical year, which shows
50 per cent have been returned to the community. There
were 4 soldiers admitted to the hospital as temporary-care or
observation cases that were not committed, making a total of
32 admissions. Of those not committed, but for whom satis-
factory arrangements were made for their care in the com-
munity, 1 was a case of manic-depressive psychosis, one de-
mentia prsecox, and 1 psychopathic personality. The fourth
was a case of encephalitis lethargica, and died after a residence
of five days.
Soldiers mid Sailors, 1920.
Psychoses.
General paralysis,
Alcoholic, .
Dementia prsecox,
Mental deficiency.
Psychopathic personality.
Unclassified,
Not insane.
First
Ad-
missions.
Re-
admis-
sions.
Totals.
Present Status.
In the
Hospital.
On
Visit.
Dis-
charged.
Health of the Population.
The general health of the institution has been good. There
were 2 sporadic cases of parotitis, and 3 of varicella, among
the employees. One attendant, who had been in the service
of the hospital nearly a year, died, after a comparatively short
illness, of tuberculosis of the stomach and liver. A male
patient suffering from manic-depressive psychosis, who had
experienced recurring attacks of depression and excitement, had
apparently recovered from a disturbed period and was under
consideration for dismissal from the hospital when he committed
suicide by hanging. A female patient died from asphyxiation
resulting from larvngeal obstruction bv a bolus of cake which
1920.] PUBLIC DOCUMENT — No. 23. 13
she appropriated in the dining room. Both these deaths were
investigated by the medical examiner and Dr. Myrtelle M.
Canavan of the Department of Mental Diseases.
Peincipal Causes of Deaths.
Twenty-nine and one-tenth per cent of all deaths were due
to arteriosclerosis and cardiovascular renal disturbances; 21 to
pneumonia; IGl-lo to syphilis of the central nervous system;
and 21-^0 to pulmonary tuberculosis.
Staff Changes.
The following changes have taken place on the staff of the
institution : —
Dr. George K. Butterfield, senior assistant physician, and
Dr. Michael J. O'Meara, assistant physician, formerly on the
staff of the Grafton State Hospital, stationed at the Summer
Street Department, became members of our staff Dec. 1, 1919.
Dr. Roy C. Jackson, a former member of the staff, returned
to the service Dec. 1, 1919.
Dr. George K. Butterfield was transferred to the Danvers
State Hospital July 10, 1920, and Dr. William J. Vivian was
transferred from the main hospital to fill the vacancy.
Several vacancies still remain unfilled.
Miss Ahce M. Flint resigned Oct. 7, 1920, to accept the
position as head dietitian at St. Luke's Hospital, New Bedford,
beginning at a salary considerably more than we could offer
her. Miss Gladys E. Johnson was appointed head dietitian
Nov. 1, 1920, to fill the vacancy.
Five third-year medical students served as internes during
the summer: —
Miss India Hunt of the Women's College of Pennsylvania,
from June 24, 1920, to Aug. 18, 1920.
- Miss Sarah Mu Jin Ching of the Women's College of Penn-
sylvania, from June 24, 1920, to Sept. 29, 1920.
Mr. Charles H. Griffin of Tufts Medical College from June
1, 1920, to Sept. 4, 1920.
Mr. Leo V. Conlon of Tufts Medical College from June 1,
1920, to Sept. 4, 1920.
14 WORCESTER STATE HOSPITAL. [Dec.
Mr. John J. Dunphy of Harvard Medical College from June
28, 1920, to Sept. 4, 1920.
Arrangements have been made with Miss Marjorie Bates, a
student at Clark University, to do the psychological work for
the hospital during her college year.
Medical and Psychiatric Work.
During the year 238 staff meetings were held at which 687
cases were presented. The same routine has been observed in
the presentation of patients, and at the literature and labora-
tory conferences, as was described in last year's report. The
several vacancies on the staff led to the greatest amount of
our energy being consumed in the performance of the necessary
routine work of both the clinical and pathological departments.
However, our assistants deserve credit for the conscientious
manner in which they have cared for over 532 admissions, a
daily population of nearly 2,000 patients, and 97 autopsies.
Five papers have been prepared. An increasing amount of
clinical work has been carried on through our out-patient de-
partment; and through the co-operation and assistance of the
superintendent of schools, Mr. Thomas F. Gibbons, a mental
clinic was established in Clinton during the month of October.
The work of the pathological department is given in detail in
the report of the pathologist, which is appended.
The rapid progress made in psychiatry the past few years
by systematic study and research, and the general recognition
which it received during the late war, places it on a scientific
plane equivalent to medicine and surgery. In order to meet
the responsibilities and maintain the prestige as one of the
major departments of the healing art, it is imperative that
conditions should be so effected that it will be possible to se-
cure and organize a staff of competent workers that will be
energetic and skillful in making complete observations and
examinations of living patients; scientific correlation of the
clinical and pathological findings; and a force in teaching and
promulgating the principles of mental health. It may be pos-
sible to demonstrate the modus operandi of cures when we have
become more enlightened and skilled in the therapy and path-
ology of the endocrine disturbances, but I would venture to
1920.] PUBLIC DOCmiENT — No. 23. 15
suggest that in the field of mental hygiene the greatest strides
in psychiatry will be made in the immediate future b}' coming
more directly into daily contact with the community through
closer and better co-operation with the dispensaries, general
hospitals, social agencies, neurologists and the psychologists.
We must be ever cognizant of the fact that hospitals offer op-
portunities which private practice can never afford. For this
reason it would appear that it becomes the duty of the State
and of us, as public servants, to offer inducements that will
encourage undergraduates and physicians to avail themselves
of the advantages of State hospital work and affiliation.
Syphilitic Clinics.
The treatment of syphilitic patients, showing involvement of
the central nervous system, has been carried on by Dr. Ada
F. Harris.
Three weekly clinics have been held, 2 at the Summer Street
Department and 1 at the main hospital. Sixty-nine patients
received treatment, 1,298 intravenous injections of arsphen-
amine, 573 intramuscular injections of mercury salicylate, and
7 intraspinous injections of arsphenimized serum being given.
All of the cases of paresis have been in the latter stages of
the disease, where little can be anticipated from treatment ex-
cept to make the patient less destructive or excited, and a
more comfortable hospital case. Four patients improved to
such an extent they were able to go out on visit and report
weekly for treatment. The following table w^ill show diagnosis
and disposition of cases, and emphasizes the fact that diag-
nosis of syphilis should be made early, and thorough treatment
given before the disease has ravaged the central nervous
system : —
16
WORCESTER STATE HOSPITAL.
[Dec.
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1920.] PUBLIC DOCUMENT — No. 23. 17
Stimulated by a philanthropic motive to be of the greatest
possible service to those unfortunate fellow beings suffering
with a loathsome disease, and who, without skillful and in-
tensive treatment, have a life expectancy of about three years,
during which they must pass through a period of increasing
degradation, when the citadel of reason and physical strength
will be seen to totter and finally succumb to death, arrange-
ments have been made for a representative of the hospital to
visit the venereal clinic which is held at the City Hospital, out-
patient department, at least once a month, in the capacity of
a consultant. By this arrangement, which will aid the officers
of the clinic in effecting a complete routine neurological and
serological examination of the cases, those having early in-
volvement of the central nervous system will be detected, and
the progress of the disease checked in its incipiency by the
administration of specific treatment according to the individual
requirements of the case.
Occupational and Industrial Therapy.
We were fortunate to secure the services of Miss Mary M.
Caton on Nov. 1, 1920, as head occupational therapist. For
nearly two years she was in the United States Army, engaged
in reconstruction and occupational work.
The arrangement of the work in this department as organized
at the present time consists of three main divisions, — arts
and crafts, diversional activities, and re-education or habit
forming.
The vocational instructor consults wdth the physicians rela-
tive to the early selection of cases and the type of work best
suited to the patient. Many of the patients go to the male
and female industrial rooms, and classes are also held on the
various wards; among the acute cases this requires much in-
dividual attention. Idleness is even more conducive to mental,
moral and physical deterioration in the individual who is men-
tally deranged than in the person with a normal psychological
rating. Wholesome exercise and employment, which serves to
stimulate the functions of the body, is an essential requisite
for all beings.
18 WORCESTER STATE HOSPITAL. [Dec.
Miss Julia Cooper, R.N., who has been in charge of the
work in the female department, and Mr. Fred Corkum of the
male department deserve mention for the creditable manner in
which they have carried on the work the past year.
Our annual Christmas exhibition and sale attracted an un-
usually large attendance.
Social Service.
Miss Jennie A. Harrington has demonstrated a great capacity
for w^ork and untiring effort by her activities in this depart-
ment of the hospital, which is much too large for one person
to cope with satisfactorily. The assistance of another field
worker and a volunteer worker are urgently needed to meet
the demands of the institution. Miss Harrington's report is
appended.
Training School.
The administrative duties and guidance of the work in the
school has continued under the successful supervision of Mrs.
Elsie I. Richards, who has experienced difficulties at times,
owing to the lack of qualified applicants to fill vacancies, and
our inability to offer sufficient inducements to retain many of
our graduates in the service. All members of the intermediate
class were sent to the Boston City Hospital for their affiliating
work, and the curriculum somewhat increased.
A class of 7 seniors was graduated Oct. 30, 1920. After the
exercises, a reception and dance was held for the class and their
friends. The resignation of Miss Jennie C. Putnam, assistant
superintendent of nurses, who had shown both energy and
efficiency as an instructor, was accepted with regret. The
vacancy was filled by the appointment of Mrs. Merle Mauls-
bury, a graduate of the Memorial Hospital of Worcester.
Hydrotherapy and Electrotherapy.
The hydrotherapeutic department has been active under the
supervision of a married couple experienced in nursing and
hydrotherapy. All treatment is carried out in accordance with
a prescription written by the physician in charge of the case.
1920.1
PUBLIC DOCUMENT — No. 23.
19
The wall plate and portable apparatus have been of service in
a few cases during the year.
Dr. Arthur H. Mountford has done the X-ray work and kept
the records of that department. He reports that 17 fluoro-
scopic examinations have been made and a total of 37 treat-
ments for epithelioma given to three patients. One hundred
and five skiagraphs were taken, as follows: — ■
Hip, . . .
. 3
Wrist, . .
. . . 3
Foot, .
. 9
Head, .
. 11
Knee, .
. 6
Teeth, .
Shoulder,
Chest, .
Pituitarj^,
Bullet wound,
16
5
22
12
1
The need and importance of a Roentgen ray examination of
many of our admissions as an aid in ascertaining the cause,
making a diagnosis and prescribing treatment is plainly evident,
but the pressure of routine duties would not permit of more
time being given to this work.
Dentistry.
Our dentist, Dr. Burton E. Loring, has visited the main hos-
pital one day a week, and reports the following w^ork done: —
Extractions,
. . 517
Amalgam fillings, . . . . . . . -.
. . 77
Cement,
52
Treatment and temporary fillings,
. . 67
Bridges set,
. . 9
Cleanings,
. 153
Examination of patients for whom no work was done.
. 192
The dental needs of the patients at the Summer Street De-
partment have been attended by Dr. A. J. Harpin. During
the year 400 patients were examined and the following work
done : —
Silver and cement fillings,
. . . . 101
Gums treated and teeth cleaned, ....
.... 160
Teeth and roots extracted,
. 95
Sets of teeth made,
2
Sets of teeth repaired,
... 4
20 WORCESTER STATE HOSPITAL. [Dec.
Employees.
The general prosperity of the country, which made it pos-
sible during the early part of the year for the more desirable
persons to obtain work that w^as more congenial and better
paid, led to much difficulty in obtaining a sufficient number
of employees to properly carry on the work of the different
departments. There was an average shortage during the year
of 26.2 per cent, but the situation was the most acute during
the month of June, when there was only 65.1 per cent of our
normal quota of employees on the pay roll. A gradual increase
in the amount of work and our inability to fill vacancies made
the burdens of the clerical force unusually hard. Although
quite a material increase in wages was made by the adoption,
the first of June, of the new schedule recommended by the De-
partment of Mental Diseases, but little relief was experienced
until the beginning of the business recession which is now
making itself felt. This, together with the approach of winter,
has made it possible to exercise more care in the selection of
the applicants for positions, with a corresponding improvement
in discipline and the character of the services rendered.
Farm and Garden.
Although our head farmer was seriously handicapped during
the spring and early summer by the extreme shortage of labor,
which could not be entirely compensated by increasing the
number of patients employed in that department, the year has
been a successful one. Owing to the dry season, and perhaps
to some lack of sufficient care, the ensilage and potato crops
were below normal. There were $14,076.57 worth of garden
produce raised; $7,662.50 of hay, ensilage and green fodder;
and 1,064 bushels of sweet corn. The dairy herd produced
364,393 quarts of milk and 8,967 pounds of beef; 25,976
pounds of pork were dressed. The poultry department fur-
nished the institution with 2,755 pounds of dressed fowl, 45,939
eggs, and 56 pounds of duck. The cattle were tested for the
presence of tuberculosis this fall by a representative of the
Bureau of Animal Industry, and those condemned disposed of.
About 2 acres of land were cleared. A ditch about 700 feet
1920.] PUBLIC DOCUMENT — No. 23. 21
long was dug to drain a section of the large field on Belmont
Street, and a large trench, 2^ feet wide and over 5 feet deep,
extending from Plantation Street to and back of the hospital,
a distance of 1,800 feet, for onr additional water supply, was
dug by disturbed male patients under the supervision of two
attendants.
Repairs and Improvements.
The results of the reorganization and consolidation of the
various units of the repair department made last year have
been satisfactory from both an economical and efficient point
of view. The renovation and remodeling of Wheeler Cottage
No. 2, so that it will furnish very desirable accommodations
for two of our employees and their families, is nearly completed.
A milk room and pasteurizing plant have been built and are
now ready for the installation of the machinery. The dormitory
at our Hillside Farm was painted outside and inside, the farm
house inside and also the new hog house. Four wards at the
main building were painted, and all the toilets, bathrooms and
clothes rooms in the Appleton section. The iron grill work
and woodwork of the Woodward roof exercise space were re-
paired and painted, also two automobiles and two trucks. An
electric motor was installed in place of the old gasoline engine
for the pump at Hillside Farm. During the month of April
all useful laundry machinery and equipment was removed from
the Summer Street Department and installed at the main
hospital, where all laundry operations are now carried on. In-
dividual motors were installed for the bread and cake mixers
in the bakery, and for the potato peeler, meat chopper and ice-
cream freezer. The governor wheel of one of the engines was
rebored, the settings of 7 boilers were repaired and a new boiler
feed pump installed. In addition, a large amount of repair
work has been done on the wards and various departments of
the institution by the carpenters, painters, steam fitter, mason,
plumbers and electrician.
The severe weather of last winter made it necessary to make
quite extensive repairs on the slate, valleys, metal vents, sky-
lights, copings, etc., of the roofs of the various buildings.
With the exception of the steam fitting, plumbing, electric
wiring and painting done by the hospital mechanics, the work
22 WORCESTER STATE HOSPITAL. [Dec.
of building the addition and making alterations on the laundry,
for which a special appropriation was received, was let to a
general contractor, and I am pleased to report is well under
w^ay to completion.
The new cottage for 30 patients at Hillside Farm was oc-
cupied early in the year.
Requirements.
I desire to call to your attention the pressing needs of special
appropriations for the erection of a cold-storage building and
storehouse, for alterations on the kitchen and bakery, and for
fireproof stairways, as outlined in the report of last year.
Among other wants of the institution, less urgent but desirable,
are a congregate dining room, the installation of a sprinkler
system for the attics, and the elevation of the Washburn roof,
which w^ould afford provision for a very satisfactory ward for
the accommodation of about 20 patients.
At the Summer Street Department the fire hazard which
exists, due to the present condition of the old heat shaft in
the basement, makes it imperative that an appropriation should
be granted in order to efface an ever-threatening catastrophe.
The present engine room, which does not w^ell meet our
present needs, is in need of extensive repairs, and the refriger-
ating apparatus which has been in operation over seventeen
years is completely worn out. I would therefore respectfully
call to your attention that by building a new engine room as
planned when the boiler house was erected, the old engines
and dynamos could be used, and the installation of a new ice
machine of 8-ton capacity would be sufficient for our needs in
the kitchen, and also furnish refrigeration for a mortuary.
Amusements.
The weekly dances, motion-picture shows, Saturday after-
noon parties and miscellaneous entertainments have been held
in the chapel. Several new phonograph records have been
bought and a new machine provided at the Summer Street
Department.
1920.1 PUBLIC DOCUMENT — No. 23. 23
Miscellaneous.
Regular religious services have been held at both the main
hospital and the Summer Street Department.
We wish to thank the publisher of the "Fitchburg Sentinel"
for copies of his paper, and the Royal Worcester Corset Com-
pany for magazines.
I desire to express my appreciation to all employees who
have been faithful and efficient in the performance of their
duties, and to your Board for the ever-ready advice and
counsel in dealing with the affairs of the institution.
B. HENRY MASON,
Acting Superintendent.
Nov. 30, 1920.
24
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, 1920.
The v\'Ork has been carried on during the year very much as
outlined in last year's report. The following table shows the
number and nature of cases handled during the year: —
■r
1
Home
M
(B
Investiga-
Boarding-out
Visits.
o
4^
tions.
Patients.
Q)
^•
>
O
o
0
a
.2
5
fS
.3
o
a
O
>
_c3
Male,
24
36
3
53
12
12
-
-
-
-
Female, . . " .
76
24
40
31
30
24
Ill
3
-
10
Total, ....
100
60
43
84
42
36
111
3
-
10
In addition to the above table, 34 soldier cases have been
considered. All ex-service men are referred to the local Red
Cross chapter, who attend to all matters of guardianship, in-
surance, compensation, etc. All social service problems of sol-
diers are handled by the social service department. Suitable
employment has been secured for 9 patients.
The charitable agencies, overseers of the poor, police depart-
ments and chiu-ches in various communities have all been very
co-operative, and have come to our aid when assistance was
desired.
During the year there have been introduced in all the State
hospitals of Massachusetts new social service folders and new
forms for monthly statistical reports. The social service record
in the new folder is filed with the medical record. On the
outside of the folder are recorded the social data of the patient,
1920.] PUBLIC DOCUMENT — No. 23. 25
thus enabling the physician or social worker at a glance to get
the outstanding social factors of the case. The statistics show
the true volume of the work of the department, and help tell
the story of what the department is doing and its policies.
This department is unable to develop the work, or to do as
thorough work as desired, because of only one worker in the
department. The territory covered is extensive, including
Worcester, Middlesex and part of Suffolk counties. One hun-
dred and ninety-three patients are on visit, and are to be
visited at least once during the year. Forty-eight of the
patients on visit need special supervision, and often serious
family difficulties must be adjusted. The number of investi-
gations and histories to be secured by the department demand
much time. It is hoped that at least one more worker may
be added during the year.
This department strives never to forget that social service
means personal service in every sense of the word.
JENNIE A. HARRINGTON,
Social Worker.
Nov. 30, 1920.
26
WORCESTER STATE HOSPITAL.
[Dec.
LABORATORY REPORT.
To the Acting Superintendent of the Worcester State Hospital.
The following report of the laboratory work for the year
ending Nov. 30, 1920, is respectfully submitted: —
Clinical Work
Urine analyses,
Cerebrospinal fluid examinations, .
Sputums,
Blood cultures,
Blood counts,
Blood smears for malaria.
Feces,
Throat cultures, ....
Gastric contents, ....
Smears: cervix and vagina, .
Autogenous vaccine,
Animal inoculation, ....
Post-mortem smears and cultures.
Surgical tissue,
Total, ......
1,207
97
56
3
27
2
4
8
1
33
7
2
57
3
1,507
Histologic examinations have been made of 10 autopsied
cases, 2 of which are being studied in detail with various stains.
Eight laboratory staff meetings were held during the year, at
which meetings cases were presented by the pathologist, and
one each by student internes on cases assigned to them and
prepared under supervision of the pathologist.
Work in the laboratory has progressed with difficulty, as no
technician or stenographer has been available, with the excep-
tion of -two months during the year, and the stenographic
records as well as the clinical work and arsphenamine treat-
ments have fallen to the lot of the pathologist.
Ninety-seven autopsies, being 39 per cent of the deaths, have
1920.1
PUBLIC DOCUMENT — No. 23.
27
been performed, with the followmg psychiatric and major
anatomical diagnoses : —
Psychoses : — ■
Dementia prsecox: —
Hebephrenic,
Paranoid, .
Catatonic, .
Manic-depressive : —
Manic,
Depressed,
General paralysis,
Epilepsy, ....
Senile : —
Simple,
Presbyophrenic,
Paranoid, .
Depressed and agitated,
Alcoholic : —
Acute hallucinosis, .
Deterioration, .
Korsakow's psj^chosis,
With cerebral arteriosclerosis,
With constitutional inferiority.
With Huntingdon's chorea,
Involutional melancholia.
Unclassified, ....
Total,
The major anatomical diagnoses were ■ —
Lobar pneumonia,
Broncho-pneumonia (terminal), ....
Broncho-pneumonia and facial erysipelas, .
Broncho-pneumonia with emphysema,
Empyema,
Pulmonary tuberculosis,
Tubercular meningitis and peritonitis, .
Cerebrospinal meningitis with pyelonephritis and cystitis (pneu
mococci),
Acute encephalitis,
General paralysis,
General arteriosclerosis,
Cerebral hemorrhage from rupture of cerebral aneurism, .
Cerebral hemorrhage with cerebral arteriosclerosis, .
WORCESTER STATE HOSPITAL.
[Dec.
Coronary occlusion with arteriosclerosis,
Fractured femur with arteriosclerosis, .
Cardiovascular-renal,
Cardiovascular-renal with fracture of ribs, .
Cardiovascular-renal with diabetic gangrene (leg) ,
Acute endocarditis,
Embolism with acute endocarditis,
General septicaemia,
Decubitus septicaemia,
Pyelonephritis with stones,
Carcinoma of pylorus and liver, ....
Carcinoma of caecum, rupture and peritonitis, .
Carcinoma of rectum and liver, ....
Carcinoma of duodenum and head of pancreas, .
Atrophic cirrhosis of liver,
Intestinal obstruction due to vohoilus.
Suicide by hanging,
Asphj^xiation by food in larynx and bronchi.
Catatonic exhaustion
2
1
15
1
1
1
2
3
1
1
1
1
1
1
1
2
1
1
1
Total,
97
A. F. HARRIS,
Pathologist.
Nov. 30, 1920.
1920.
PUBLIC DOCUMENT — No. 23.
29
VALUATION.
Nov. 30, 1920.
Real Estate.
Land (589 acres),
Buildings, .
Personal Property,
Travel, transportation and office supplies.
Food,
Clothing and materials, .
Furnishings and household supplies.
Medical and general care.
Heat, light and power, .
Farm,
Stable and garage, ....
Repairs,
Summary.
Real estate.
Personal property.
$402,600 00
2,163,406 96
$2,566,006 96
$10,516 52
24,005 20
34,350 62
155,108 78
13,167 23
3,727 43
2,140 70
7,431 50
9,194 20
$259,642 18
$2,566,006 96
259,642 18
2,825,649 14
30
WORCESTER STATE HOSPITAL.
[Dec.
TREASURER'S REPORT.
To the Department of Mental Diseases.
I respectfully submit the following report of the finances of
this institution for the fiscal year ending Nov. 30, 1920: —
Cash Account.
Balance Dec. 1, 1919,
$622 53
Receipts.
Institution Receipts.
Board of inmates: —
Private
Reimbursements, insane.
Sales: —
Travel, transportation and office ex-
penses,
Food,
Clothing and materials,
Furnishings and household supplies, .
Medical and general care.
Heat, light and power, ....
Farm and stable: • — •
Cows and calves, . S574 42
Pigs and hogs, . . 36 00
Hides, .... 81 98
Vegetables, ... 305 38
Use of teams, . . 92 25
Sundries, ... 10 00
511 73
47,868 11
$87 15
320 38
174 20
275 70
114 12
9 60
Grounds, .
Repairs, ordinary.
Industries,
Miscellaneous receipts: —
Interest on bank balances.
Rent, ....
Sundries, ....
1,100 03
143 25
20 40
1,152 63
Bl,114 37
1,074 85
154 15
Receipts from Treasury of Conimonweallh.
Maintenance appropriations: —
Balance of 1919,
Advance money on hand November 30 (regular,
$45,000; temporaiy account of October schedule,
$32,000),
Approved schedules of 1920,
Special appropriations, .
$89,379 84
3,-397 46
2,343 37
),327 88
77,000 00
540,286 30
95,120 67
656,614 18
31,773 40
Total, $784,130 78
1920.1 PUBLIC DOCUMENT — No. 23. 31
Payments.
To treasury of Commonwealth: —
Institution receipts, §95,120 67
Refunds account of maintenance, .... .3-3 86
$95,154 53
Maintenance appropriations: —
Balance November schedule, 1919, .... S39,950 41
Eleven months' schedules, 1920, . . $585,431 88
Less returned, 33 86
585,398 02
November advances, 27,762 24
653,110 67
Special appropriations, approved schedules, 31,773 40
Balance Nov. 30, 1920: —
In bank, $3,742 33
In office, . 349 85
— - 4,092 18
Total, $784,130 78
Maintenance.
Balance from previous year, brought forward, $2,402 50
Appropriation, current year, 767,400 00
Total, $769,802 50
Expenses (as analyzed below), 677,295 88
Balance reverting to treasury of Commonwealth, . . . $92»506 62
Analysis of Expenses.
Personal services: —
B. Henry Mason, acting superintendent, . . . $2,760 00
Medical, 12,048 87
Administration, 17,471 60
Kitchen and dining-room service, .... 11,339 42
Domestic, 27,181 22
Ward service (male), 43,887 90
Ward service (female), 44,228 80
Industrial and educational department, . . . 2,593 98
Engineering department, 27,552 10
Repairs 14,061 42
Farm, 10,243 05
Stable, garage and grounds, 3,867 85
$217,236 21
Religious instruction: —
Catholic, . . . $1,200 00
Hebrew 260 00
Protestant, 385 00
1,845 00
Amount carried forward, . . $219,081 21
32 WORCESTER STATE HOSPITAL. [Dec.
Arnou7it brought forward, . . . $219,081 21
Travel, transportation and office expenses:- —
Advertising $420 18
Postage, . 591 34
Printing and binding, . 772 64
Printing annual report, . 268 04
Stationery and office supplies, 1,730 65
Telephone and telegraph, 1,833 37
Travel, 1,521 29
7,137 51
Food: —
Flour, $25,531 74
Cereals, rice, meal, etc., 7,348 17
Bread, crackers, etc., 781 00
Peas and beans (canned and dried), . . . . 4,741 93
Macaroni and spaghetti, 1,322 49
Potatoes, 12,400 13
Meat, 48,822 03
Fish, (fresh, cured and canned), 6,483 92
Butter, 7,088 44
Butterine, etc., . ' 14,367 62
Cheese, 2,501 38
Coffee, 1,008 65
Coffee substitutes, . 1,798 77
Tea, 797 05
Cocoa, 234 13
Whole milk, 106 97
Milk (condensed, evaporated, etc.), . . . . 2,801 03
Eggs (fresh), 12,043 34
Egg powders, etc., 1,433 26
Sugar (cane), 10,858 99
Fruit (fresh), 1,489 96
Fruit (dried and preserved), 7,381 82
Lard and substitutes, 3,066 49
Molasses and syrups, 2,550 58
Vegetables (fresh), 687 57
Vegetables (canned and dried), . ... . . 799 73
Seasonings and condiments, 1,097 12
Yeast, baking powder, etc., 489 27
Sundry foods, 547 24
180,580 82
('lothing and materials: —
Boots, shoes and rubbers, $5,862 98
Clothing (outer), . 7,950 61
Clothing (under), 2,247 07
Dry goods for clothing, 5,711 70
Hats and caps, 194 78
Leather and shoe findings, 340 61
Socks and smallwares, ...'.... 1,925 41
24,233 16
Furnishings and household supplies: —
Beds, bedding, etc., $14,053 89
Carpets, rugs, etc., 904 44
Amounts carried forward, $14,958 33 $431,032 70
1920.1
PUBLIC DOCUMENT — No. 23.
33
Heat, light and power : —
Coal (bituminous),
Freight and cartage,
Coal (screenings), .
Freight and cartage.
Coal (anthracite),
Wood,
Electricity,
Gas, .
Oil, .
Operating supplies for boilers and engines.
Farm: —
Bedding materials, .
Blacksmithing and supplies,
Carriages, wagons and repairs.
Dairy equipment and supplies,
Fencing materials, .
Fertilizers, ....
Grain, etc
Hay,
Harnesses and repairs, .
Horses,
Other live stock,
Labor (not on pay roll),
Amounts brought forward, $14,958 33 $431,032 70
Furnishings and household supplies — Con.
Crockery, glassware, cutlery, etc..
Dry goods and smallwares, .
Electric lamps.
Fire hose and extinguishers, .
Furniture, upholstery, etc., .
Kitchen and household wares.
Laundry supplies and materials
Lavatory supplies and disinfectants,
Machinery for manufacturing.
Table linen, paper napkins, towels, etc.,
Medical and general care: —
Books, periodicals, etc..
Entertainments, games, etc.,
Fimeral expenses
Gratuities,
Ice and refrigeration, ....
Laboratory supplies and apparatus.
Manual training supplies.
Medicines (supplies and apparatus), .
Medical attendance (extra), .
Patients boarded out, ....
Return of runaways, ....
Tobacco, pipes, matches, ' .
Water,
1,865
83
1,458
75
924
66
697
61
1,284
29
4,960
98
5,090
66
2,682
73
815
56
3,861
88
$445
93
1,807
45
725
00
86
81
978
35
585
34
64
03
3,214
87
1,005
88
3,368
79
318
15
3,376
65
7,943
82
$67,647
15
351
29
22,061
28
321
73
6,939
93
60
00
181
54
834
21
603
23
392
74
no of)o 1 n
$692
64
363
22
140
80
1,578
34
204
00
1,725
32
22,932
68
9,249
30
248
85
1,000
00
196
46
94
35
Amounts carried forward, ...... $38,425 96 $592,948 15
34 WORCESTER STATE HOSPITAL. [Dec.
Amounts brought forward $38,425 96 $592,948 15
Farm — Con.
Rent 250 00
Spraying materials, 119 15
Stable and barn supplies, 80 90
Tools, implements, machines, etc., .... 986 05
Trees, vines, seeds, etc., 1,287 71
Veterinary services, supplies, etc., .... 470 76
Lime, 136 50
41,757 03
Garage, stable and grounds: —
Motor vehicles, $3,996 79
Automobile repairs and supplies, .... 2,976 33
Blacksmithing and supplies, 225 11
Carriages, wagons and repairs, 87 70
Fertilizers, 4 00
Grain 369 41
Hay, . 356 81
Harnesses and repairs, . . . . . . . 152 15
Stable supplies, 8 16
Tools, implements, machines, etc., .... 58 14
Trees, vines, seeds, etc., 113 40
Veterinary, 8 00
Repairs, ordinary: —
Brick, $272 00
Cement, lime, crushed stone, etc., .... 258 37
Electrical work and supplies 1,130 22
Hardware, iron, steel, etc., 2,353 80
Labor (not on pay roll) , 144 00
Lmnber, etc. (including finished products), . . 3,303 73
Paint, oil, glass, etc., 3,146 96
Plumbing and supplies, 3,440 65
Roofing and materials, . . . . . . . 1,529 85
Steam fittings and supplies, 757 98
Tents, awnings, etc., . 51 70
Tools, machines, etc . 783 01
Boilers, repairs, . 299 41
Dynamos, repairs, . 61 60
Engines, repairs, . 317 58
Repairs and renewals : —
Rental for use of sewerage system $2,400 00
Boiler feed pump, . . . . ' . . . . 500 00
Canning apparatus, 629 49
Laundry machinery, . 10,854 72
Renovation of Wheeler cottage, ..... 1,999 63
8,356 00
17,850 86
16,383 84
Total expenses for maintenance $677,295
1920.1 PUBLIC DOCUMENT — No. 23. 35
Special Appropriations.
Balance Dec. 1, 1919 $16,107 96
Appropriations for current year, 41,758 72
Total, $57,866 68
Expended during the year $31,773 40
Reverting to treasury of Commonwealth, . . . 1,218 85
32,992 25
Balance Nov. 30, 1920, carried to next year $24,874 43
Resources and Liabilities.
Resources.
Cash on hand $4,092 18
November cash vouchers (paid from advance money) : —
Account of maintenance, . . . $27,762 24
October schedule paid from temporary
advance, 45,145 58
72,907 82
$77,000 00
Due from treasury of Commonwealth from available appropriations
(October schedule, $3,145.58; November schedule, $56,897.86), . 60,043 44
$137,043 44
Liabilities.
Schedule of November bills $91,897 86
Schedule of October bills approved in December, 45,145 58
$137,043 44
Per Capita.
During the year the average number of inmates has been 2,015.85.
Total cost for maintenance, $677,295.88.
Equal to a weekly per capita cost of $6.4612.
Receipts from sales, $3,397.46.
Equal to a weekly per capita of $0.0324.
All other institution receipts, $91,723.21.
Equal to a weekly per capita of, $0.8750.
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.
36 WORCESTER STATE HOSPITAL. [Dec.
STATEMENT OF FUNDS.
Patients' Fund.
Balance on hand Nov. 30, 1919, . . . ■ . $8,121 33
Receipts, 13,427 14
Interest, . . 328 43
Refunded, $12,207 90
Interest paid to State Treasurer, . . . 328 43
$21,876 90
12,536 33
$9,340 57
Investment.
Worcester County Institution for Savings, . $2,000 00
Worcester Five Cents Savings Bank, . . . 1,000 00
Worcester Mechanics Savings Bank, . . . 1,000 00
Balance Worcester Bank and Trust Company, 5,206 61
Cash on hand Dec. 1 1920, 133 96
Lewis Fund.
Balance on hand Nov. 30, 1919, .... $1,712 40
Income, 152 92
,340 57
L,865 32
Expended for vault rent, magazines, etc., Ill 00
Investment.
American Telephone and Telegraph Company
collateral trust 4 per cent bond,
Worcester County Institution for Savings,
Fourth Liberty Loan bonds.
Balance Worcester Bank and Trust Company,
Wheeler Fund.
Balance on hand Nov. 30, 1919, . . . ,
Income,
Expended for entertainments, magazines, etc..
L,754 32
$926 36
49 44
600 00
178 52
$1,754 32
$6,777 71
238 71
$6,169 30
608 41
),539 00
1920.
PUBLIC DOCUMENT — No. 23.
37
Investment.
American Telephone and Telegraph Company
collateral trust 4 per cent bond,
Worcester County Institution for Savings,
Third Liberty Loan bonds, ....
Fourth Liberty Loan bonds.
Balance Worcester Bank & Trust Company,
Manson Fund.
Balance on hand Nov. 30, 1919, .
Income,
Expended for entertainments.
$712 50
32 72
4,000 00
1,300 00
493 78
L,162 24
205 74
Investment.
Worcester County Institution for Savings, . $90 37
Fourth Liberty Loan bonds, .... 1,100 00
Balance Worcester Bank and Trust Company, 157 61
5,539 00
$1,367 98
20 00
$1,347 98
$1,347 98
Respectfully submitted,
JESSIE M. D. HAMILTON,
Treasurer.
Nov. 30, 1920.
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 Department of Mental Diseases
STATISTICAL TABLES.
• Table 1. — • General Information.
1. Date of opening as an institution for the insane: Jan. IS, 1833.
2. Type of institution: State.
3. Hospital plant : —
Value of hospital property : —
Real estate including buildings, S2,566,006 96
Personal property, 259,642 18
Total, '. . 12,825,649 14
Total acreage of hospital property, 589.16.
Acreage under cultivation during previous j^ear, 205.75.
4. Medical service: — ■ Men. Women. Total.
Superintendents, 1 - 1
Assistant physicians, 7 1 8
Medical internes, - - -
Clinical assistants, - - -
Total physicians, 8 1 9
5. Employees on pay roll (not including phj'^sicians) : —
Men. Women. Total.
Graduate nurses,
Other nurses and attendants, .
All other employees, ....
-
10
10
103
89
186
. 83
90
173
186
183
369
Men.
Women.
Total.
394
374
768
Total employees,
6. Patients employed in industrial classes or in
general hospital work on date of report,
7. Patients in institution on date of report (ex-
cluding paroles) , 1,005 1,015 2,020
Table 2. — ■ Financial Statement.
See treasurer's report for data requested under this table.
42
WORCESTER STATE HOSPITAL.
Dec.
^
^
a^
to
o
o
«
la
o
<
0
•spjox
1,873
407
124
531
439
970
2,843
65
153
56
26
39
233
572
2,271
2,237.67
1,913.93
28,91
294.83
16
159
1,971
1,769
92
110
■saiBmaj
CO .^ t^ -— CO -^ o coci»i:)oioo 1 T-< o5
1,074.82
933,71
28,83
112,28
10
55
974
838
68
68
■saiBi^r
,— ( ,—1
1,162.85
980,22
.08
182.55
6
104
997
931
24
42
<
Z
o
>
a"
2:
CO
■siB^ox
!M IIIIICM IllllllIlM
0 0 1 1 1 1 c<irt 1 ^
c<i CO
•sa|Buia^
'-' lllll'-< llllllll'-i
0 0 1 1 1 1 '^'-111
•sa[i3i\r
" lllll^ llllllll^
0 0 1 1 1 1 rt 1 1 rt
0 0
K
<;
O
«
■<
0
c
H
■SJB^OX
1 g«:5 155 »-««=s ico ,^^
M< ^ 1 1 1 CJ CJCq 1 1
•saiBuiaj
1 co^r^it^c^ icsiiioi 1 11:^1
1.98
1.98
55
•sa[i3j\i
1 O-^-^J^-^ t^C0COC0[C01C<lCN
to CO 1 1 1 -* C^CJ 1 1
CO M 0
a"
2;
2;
•SIT3JOX
1,871
371
119
490
439
929
2,800
58
148
50
8
39
230
533
2,267
2,230.33
1,906.59
28,91
294.83
16
1,967
1,766
92
109
•sajBuiaj;
10 ooo.^c^t^M cor^»OTt^i-ooi'*a)
r^ loio^^irsoo co^c^l c^ Oi coo
00 -H 0)!M^TO 05 0_
1,071.84
930.73
28,83
112,28
10
973
837
68
68
•sajBi^
CD coTOCooc^ioo «— iin^ThO 1 men
1,158.49
975.86
.08
182.55
6
994
929
24
41
1. Patients on books of institution Sept. 30, 1919,
Admissions during year: —
(0) First admissions,
(6) Readmissions,
Total admissions
(c) Transfers from other institutions for the insane,
2. Total received during year
3. Total under treatment during year,
(0) As recovered,
(6) As improved,
(e) As unimproved,
(d) As not insane,
(e) Transferred to other institutions for the insane,
(3) Normally dismissed for change of status, .
4. Total discharged from books during year, ....
5. Patients remaining on books of institution Sept. 30, 1920,
Supplementary Data.
6a. Average daily number of patients on books during year,
66. Average daily number of patients actually in the institution
during year, . ... . .
7a. Average daily number of patients in family care, .
76. Average daily number of patients on visit and escape,
8. Number of voluntary patients admitted during year, .
9. Number of temporary-care cases admitted during year,
10. Number of patients actually remaining in institution Sept.
30, 1920
State,
Reimbursing
Private,
1920.
PUBLIC DOCUMENT — No. 23.
43
lO cOirs TJH Ml I I I
10_0 IC -^ ^^ I I 1 1
I I I I -H I I I
-H I I I 1 I 1 «
-H I I I I I I rt
I I I I I I I I
I I I I I I I I
I I I I I I I J
"0-* I I I I I I I I
> -J3 >0 ^ I I I I I I I I I
III I I I I I I
C3
fH
. . . . o
3
- . . -tj> . .
"^
5 E
2. S
. a
Q S
■^ -72
• -^ ft ■ •
C ^ -
■" o £
? S
o"" ft
= ..."§
.5 o
cMCBPh
g
44
WORCESTER STATE HOSPITAL.
[Dec.
Table 4. — ■ Nativity of First Admissions and of Parents of First Admissions.
Pahexts
OF
P.ARENTS
Patien-ts.
Male
OF
Female
Patients.
P
ATIENTS.
Nativity.
i
g
s
i
C3
O
"3
s
o
"3
a
s
United States, ....
97
76
173
52
50
102
33
38
71
Albania
1
_
1
1
1
2
_
_
_
Austria, .
1
1
2
3
3
6
1
1
2
Canada, .
22
21
43
28
29
57
31
25
56
China,
-
-
_
1
1
2
England, .
6
3
9
8
7
15
7
6
13
Finland, .
4
2
6
4
4
8
2
2
4
France,
_
1
1
Germany,
5
3
8
8
8
16
4
4
8
Greece,
3
_
3
3
3
6
_
_
Holland, .
_
1
1
_
_
_
Ireland, .
19
25
44
39
36
75
38
37
75
Italy,
8
4
12
8
8
16
5
5
10
Poland, .
0
3
8
5
5
10
3
3
6
Portugal, .
3
1
4
4
4
8
1
1
2
Russia,
16
9
25
16
16
32
9
9
18
Scotland, .
2
1
3
3
4
7
1
3
4
South America
1
1
Sweden, .
6
5
11
6
7
13
7
7
14
Syria,
1
-
1
1
1
2
-
Turkey in Asia,
8
-
8
8
8
16
_
_
_
Turkey in Europe,
1
1
2
1
1
2
1
1
2
West Indies,
1
1
2
1
1
2
1
1
2
Total foreign born.
113
80
193
149
148
297
111
105
216
Unascertained,
3
2
5
12
15
27
14
15
29
Grand tota
,
213
158
371
213
213
426
158
158
316
Table 5. — Citizenship of First Admissions.
Males.
Females.
Totals.
Citizens by birth, ........
Citizens by naturalization
Aliens, ..........
Citizenship unascertained,
97
11
64
41
25
48
173
20
89
89
Total
213 1 158
371
1920.1
PUBLIC DOCUMENT — No. 23.
45
Table 6. — Psychoses of First Admissions.
Psychoses.
1. Traumatic, total, .......
(a) Traumatic delirium, .....
(6) Traumatic constitution, .....
(c) Post-traumatic mental enfeeblement (de-
mentia), .......
id) Other types, .......
2. Senile, total, . _
(a) Simple deterioration, .....
(b) Presbyophrenic type, .....
(c) Delirious and confused types,
(d) Depressed and agitated types,
(e) Paranoid types, ......
(/) Pre-senile type,
(g) Other types
.3. With cerebral arteriosclerosis, .....
4. General paralysis, .......
5. With cerebral syphilis, ......
6. With Huntingdon's chorea, .....
7. With brain tumor, .......
8. With other brain or nervous diseases, total,
(a) Cerebral embolism, ......
(6) Paralysis agitans, ......
(c) Meningitis, tubercular or other forms (to be
specified), .......
(d) Multiple sclerosis,
{e) Tabes dorsalis,
(/) Acute chorea, .......
(g) Other diseases (to be specified),
9. Alcoholic, total, _
(a) Pathological intoxication, ....
(6) Delirium tremens, ......
(c) Korsakow's psychosis, .....
id) Acute hallucinosis, ......
(e) Chronic hallucinosis, .....
(/) Acute paranoid type, .....
(g) Chronic paranoid type, .....
(h) Alcoholic deterioration, .....
(i) Other types, acute or chronic,
10. Due to drugs and other exogenous toxins, total,
(a) Opium (and derivates), cocaine, bromides,
chloral, etc., alone or combined (to be speci-
fied), _ . .
(6) Metals, as lead, arsenic, etc. (to be specified), .
(c) Gases (to be specified), .....
(d) Other exogenous toxins (to be specified),
11. With pellagra,
12. With other somatic diseases, total, ....
(a) Delirium with infectious diseases, .
(6) Post-infectious psychosis, ....
(c) Exhaustion delirium, . .
(d) Delirium of unknown origin, ....
(e) Cardiorenal diseases, .....
(/) Diseases of the ductless glands,
(g) Other diseases or conditions (to be specified),
13. Manic-depressive, total, ......
(a) Manic type, .......
(&) Depressive type, ......
(c) Stuporous type, ......
(d) Mixed type,
(e) Circular type,
(/) Other types,
14. Involution melancholia, ......
15. Dementia prfficox, total, ......
(a) Paranoid type,
(6) Catatonic type, ......
(c) Hebephrenic type, ......
(rf) Simple type, . . . . .
ie) Other types, .......
16. Paranoia or paranoid conditions, ....
46
WORCESTER STATE HOSPITAL.
[Dec.
Table 6. — Psychoses of First Admissions — Concluded.
17. Epileptic, total,
(a) Epileptic deterioration, .
(6) Epileptic clouded states.
(c) Other epileptic types (to be specified),
18. Psychoneuroses and neuroses, total,
(a) Hysterical type, ....
(h) Psychasthenic type,
(c) Neurasthenic type, ....
id) Anxiety neuroses, ....
(e) Other types, .....
19. With psychopathic personality,
20. With mental deficiency, ....
21. Undiagnosed, ......
22. Without psychosis, total, ....
(a) Epilepsy,
(b) Alcoholism, .....
(c) Drug addiction, ....
(d) Psychopathic personality,
(e) Mental deficiency, ....
(/) Others (syphilis), ...
Total,
213 158
371
1920.
PUBLIC DOCUMENT — No. 23.
47
m
o
a
o
Ah
K S W
■spjiox
1 1 1 1 I 1 1 .-H 1 i T-H C^ 1-H 1 |^H|l-H|^-H|^| Oi
•saj-BUiaj;
,,,,,,,„,,,^^,,^,^,„,„, oo
•ssp3i\[
1 1 1 1 1 1 1 1 1 1 " 1 1 1 1 1 1 1 1 1 1 1 1 — '
Is
■S[B^OX
1 1 1 1 1 1 "^ 1 1 1 ; 1 1 1 1 1 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 1 1 -H
•saiBi\[
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
3
o
M
o
<:
•sitj^ox
.,,,,, oc , ^ ,,,,,,, c , 1 2:
•sa[i3uiaj[
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1
•saiBj\i;
1 1 1 1 1 1 C-J 1 1 1 1 00 1 r-H 1 1 1 1 1 1 1 CO 1 1 ^
WITH
hunting-
don's
CHOREA.
■si'b;ox
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 'H 1 '^
•saiBuiaj;
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
•satBj^i
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 -H 1 -H
■siB^ox
IIIIIII.-IIIIIIIIIIIIII— l|lc^
■89(131113 J
1 1 1 1 1 1 1 -^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 "
■sajBi^
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 —1 1 "
•SI'BiOX
-'"''-'"'' — '-'--'''==- 1 s
•sa[Buia^
lllliliiliiiilllllliic^^lcc
•sgiBj^
fOICOl IC^ICOI iC^tCMIfMI^H^I 1 It-^I I*-"
WITH
CEREBRAL
ARTERIO-
SCLEROSIS.
•SITJIOX
^1 1 1 1 00 1 oi o I 1 ^^ 1 i-Hcoeo 1 1 1 1 CO 1 CO
•sapuiaj;
,,,,,„,„-,,«,, ,«^, ,, ,^, w
•S9pi\[
,-H 1 1 1 1 r^ 1 0010 1 1 o ^H 1 ,-( ^ ^ 1 1 1 1 oo 1 ci
S
■SIBCJOX
rt 1 1 1 1 1 1 (Mr-. 1 .-lO lll-HI'HIIIcai CO
•Sa[13UI9^
r-l 1 1 1 1 1 1 .-Hrt 1 — .C5 1 1 1— ■I-HI 1 lOI |lO
•satBi\[
lllllll-Hlllr-IIIIIIIIIICOl oo
■siBjox
1 1 1 1 1 1 1 1 1 1 '-< 1 1 1 1 1 1 1 1 1 1 1 1 j -^
•S9['BIU9J
1 1 1 1 1 1 1 1 1 1 -■ 1 1 1 1 1 1 1 1 1 1 1 1 1 -H
•S9IBJ5
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
hi
o
•SIB^OX
C5« 00.-1 -H OO t^C5Coco^coa=ioc;lt ^ ^ -h ^ ■* (^^ --.
<>J CO .^t^-< — 1 (M ^ 1 „
•s8[BUiaj;
c-Ji 1 i icoc^oocoiooooiocNrtt^co^l-H-Hooc^ oo
•S9l'BI^
^-°° ^^^^^^^-^c^^^^^^^^ ,^^ 2
o
African (black)
Albanian,
Armenian,
Bulgarian,
Chinese, .
English, .
Finnish, .
French,
German, .
Greek,
Hebrew, .
Irish,
Italian,
Lithuanian,
Portuguese,
Scandinavian,
Scotch,
Slavonic, .
Syrian,
Turkish, .
West Indian,
Mixed,
Race unascerta
Total,
48
WORCESTER STATE HOSPITAL.
[Dec.
a
o
O
G^
g
fen
0^
to
H
a!
0
X
O
K
•SJB^OX
lllli'H|C<l|I<^>llllll'H|||TH| t-
•sapmaj;
lllil— IIIII'-HIIIIIIIIIIII l^^
•saiBi\r
•|||||l|CCl||rt||||||rfi||rt| lO
O
P 0
■siB^ox
^, ,,,«,-.,, ,>o-, , I^C, , IC, ^
•sajBraaji
lllll'-il'Hiiiro^llililllc^l c»
1^
3
•saiBi\r
-HllllllllliC^IIII— iC^lllll CD
S >^ S
B <i 2;
5 H H
•SlBiOX
illllll'O'^IICOIIIIIIIIIQOIt^
•sajBTna^
lllllll^'^ll'^lllllllll'-ll t^
■saiBj^i
1 1 1 1 1 1 1 'H 1 1 1 (M 1 1 1 1 1 1 [• 1 1 t^ 1 O
WITH PSY-
CHOPATHIC
PER-
SONALITY.
•sp3;ox
1 1 1 1 1 .-^r-l 1 1 1 1 C^-M 1 1 1 1 1 1 1 1 M 1 1 OO
•sajBina^
lllll-HIIIIIIIIIIIIIIIC^lIcO
•saiBjij
1 1 1 1 1 1 -^ 1 1 1 1 C^-H 1 1 1 1 1 1 1 1 -H 1 1 «
PSYCHO-
NEUROSES
AND
NUBROSES.
•sib;ox
rt 1 1 1 1 M 1 rt 1 1 rtrt 1 1 1 1 1 1 1 1 1 c-J 1 00
•saiumaj
" 1 1 1 1 c<l 1 1 1 1 "—I 1 1 1 1 1 1 1 1 1 '-' 1 CD
•sa|'Bi\;
IIIIIII'HIIIIIIIIIIIII-CI Cq
d
J
•SJTJ^OX
IIII]'-I|I1II<M||.-<||||||C<1|0
■saiEtna^
lllll— IIIIII-HIIIIIIIII-IICO
■sajuK
IIIIIIIIIII'HII'HIIIIII— .ICO
PARANOIA
OR PARANOID
CONDITIONS.
•spjox
lllll^lllll'-<lll^lllllll CO
•sajBtaaj
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
■sa['Bj\r
lllll-lllll-lll-lllllll CO
< ■
is
•s^ox
C<lr-I40'^ 1 CN C^ OO 1— 1 (M CO U^J 'tJH CC 1-C -rt< ^ lO ^H 1 i-H t-^ | C5
.-1 ^ C^ C5
•safBcua^
1— I CO
•saiBj/\[
cvi^tc^lc^i-(^,-.c^.-ii:^coc<i|coT-ico.-Hl |0| co
2;
2 H
O g O
> ^
•siB^ox
lllll<M|^lllG01C<l|I|l|l|r-i^ tiO
■sajBinaj
.,,,,c.,^,,,^,^,,,,,,,,^|«
•sai'Bi\[
lllllllllll'Hi'HillllllrtICO
si
a
a
•siBjox
1 1 1 |-<iO|CO|rHC-)rtCO| |<>Jrt| 1 1 iTfl CO
■saiBuiaj;
1 1 1 1 iTfi— 1| ie<irtc<ii icqrti 1 1 ic<i| lo
•sa[BK
1 1 1 1 «-i |cq|-Hi|rt|iiiiii|!M| 00
<
^3
C
African (black)
Albanian,
Armenian,
Bulgarian,
Chinese, .
English, .
Finnish, .
French, .
German, .
Greek,
Hebrew, .
Irish,
Italian,
Lithuanian,
Portuguese,
Scandinavian,
Scotch,
Slavonic, .
Syrian,
Turkish, .
West Indian,
Mixed,
Race unascerta
Total,
1920.
PUBLIC DOCUMENT — No. 23.
49
i
<
•<JI
•SJB^OX
^,^«^, , ,«, ,„-.^o^^«^,„,
S
•saiBuiajj
- 1 1 1 1 1 1 1 1 1 I.OCO-H-, ,^ 1,^ 1^ ,
2
■sati3j\[
1 irtcorti 1 icol 1 l-(|icrtlcq| |<M|
C5
o
■sib;ox
1 1 IIOI 1 1 ICOl l,-IC^«-#l li-HC^rtl 1
o
•saiumajj;
1 1 1 1 1 1 1 1 1 1 |r-lC<l-Ht~| IrtrtrtI 1
■sa[TJi\[
IIIOIIIICOllllllr^lllT-illl
2
in
e
■siB^ox
1 1 l>OI 1 1 IrtI— lrtCO|m|<M|r-ITt<| 1
'^
•satBoia^
lllllllll|rt,-iM|iOllllTOIl
CO
•saiBj^r
' 1 1"= 1 1 ' '- ^ ,« ,^^ , 1
e
m
■sib;ox
1 1 l-Hl 1 1 1— 1) ICJTOICOIi-irtOJMI— 1
t^
•sajBrna^
1 1 1 -^ ^CO 1 t- 1 -^ 1 -H 1 1
t2
•sajBi^T
lllllll|rt||rt|IOIII<M— .1^
S
CM
O
•sib;ox
1 1 1 1 1 1 1 1 1 1 1 -HCO 1 OO 1 1 1-1 1 (M 1 C^
S5
■saiBuiaj;
lllllllllll— lr-ll>Ol|rt|||-H
o
•sa|'Bi\[
II'III''III'<^I2'''"^''^
22
■siB^ox
1 1 1 1 1 1 1 1 1 1 1 l(N|tOlrt^(N150IM
^
•sajEmajj
" " ' '^'" ' '
»
•sai^j^T
^ 1 ^ 1 _ _o m
;3
«
a
p
•siB^ox
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 .J 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
1
■sajBi^
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
'
<
n
o
•SJB^OX
1 CO
• -saiEuiaj
-SS^"- ' ' 1 1 1 -oou,^o , ro^cot^oo., g
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a
o
w
><
Traumatic,
Senile,
General paralysis, . _ .
With Huntingdon's chorea, .
With brain tumor, .....
With other brain or nervous diseases, .
Alcoholic, . . .
Due to drugs and other exogenous toxins,
With pellagra,
With other somatic diseases, .
Manic-depressive
Involution melancholia.
Dementia prsecox, . . .
Paranoia or paranoid condition, .
Epileptic,
Psychoneuroses and neuroses,
With psychopathic personality,
With mental deficiency.
Undiagnosed, . . . .
Without psychosis, ....
"3
o
T-ic^cOTt<»ocot^oooi0^^c>qco"*>^cDr^ooaiOT^c^l
50
WORCESTER STATE HOSPITAL.
[Dec.
:3
O
Gs
0^
<
•sii3;ox
■sa[Braaj[
■sa|Bj\[
•siB^ox
•sejBoia^
•S8I13I\[
•siB^ox
•sai'Eraaj[
•sai'Bi\[
•sitj^oi
•s9i'Braaj[
saiBjM
•SI13J0X
•saiBuia^
•sa|i3i\[
•S[TJ10X
•saiBtuaj;
■sai'Bj\[
•siB^ox
•saiT3niaj[
■sai^j^
■siTJ^ox
•sal's uiaj;
•sa|Bj^
i-H CO coco
I C01<t~!M I I
^ COCO I I
) rt Ti<c<l I I
^H ^ t^ C^
.-H ^ CCI
■i >•" 2.S
o3 c3 c3 (3
a) ft o 3
-53 " c o ft
,^ 9 M fl " P'
i^ 0^=^1.2-1 c. si ^
c3 o
1920.
PUBLIC DOCUMENT — No. 23.
51
go
•SIB^OX
1— .rt^l 1 1 |«| |r-.C-5rtC01 1 1 I 1 l-H
o
•sajBraaj
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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
^
■sajBi^r
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•saiBiuaj;
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?,'
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—1 (M
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1920.1
PUBLIC DOCLTMENT — No. 23.
53
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Due to drugs and other exogenous toxins.
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With other somatic diseases,
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"3
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1920.1
Is
PUBLIC DOCUMENT — No. 23.
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55
56
WORCESTER STATE HOSPITAL.
[Dec.
Table 14. — Psychoses of Readmissions.
PSTCHOSES.
1. Traumatic, total, .......
(a) Traumatic delirium, .....
(6) Traumatic constitution
(c) Post-traumatic mental enfeeblement (de-
mentia), .......
(d) Other types
2. Senile, total,
(a) Simple deterioration, .....
(6) Presbyophrenic type, .....
(c) Delirious and confused types,
(d) Depressed and agitated types,
(e) Paranoid types, ......
(/) Pre-senile type, ......
(g) Other types, .......
3. With cerebral arteriosclerosis, .....
4. General paralysis, .......
5. With cerebral syphilis, ......
6. With Huntingdon's chorea, .....
7. With brain tumor, .......
8. With other brain or nervous diseases, total,
(o) Cerebral embolism, ......
(6) Paralysis agitans, ......
(c) Meningitis, tubercular or other forms (to be
specified),
(d) Multiple sclerosis,
(e) Tabes dorsalis,
(/) Acute chorea, .......
(g) Other diseases (to be specified),
g. Alcoholic, total, .......
(a) Pathological intoxication, . . . ' .
(6) Delirium tremens, ......
(c) Korsakow's psychosis, .....
id) Acute hallucinosis, ......
(e) Chronic hallucinosis, .....
(/) Acute paranoid type, .....
(g) Chronic paranoid type, .....
(h) Alcoholic deterioration, .....
(i) Other types, acute or chronic.
Due to drugs and other exogenous toxins, total,
(a) Opium (and derivatives), cocaine, bromides,
chloral, etc., alone or combined (to be speci-
fied), .
(6) Metals, as lead, arsenic, etc. (to be specified),
(c) Gases (to be specified), .....
(d) Other exogenous toxins (to be specified),
With pellagra, ........
With other somatic diseases, total, ....
(a) Delirium with infectious diseases, .
(6) Post-infectious psychosis, ....
(c) Exhaustion delirium, .....
id) Delirium of unknown origin, ....
(e) Cardiorenal diseases, .....
(/) Diseases of the ductless glands,
(g) Other diseases or conditions (to be specified).
Manic-depressive, total, ......
(a) Manic type, .......
(6) Depressive type, ......
(c) Stuporous type, ......
(d) Mixed type,
(e) Circular type,
(/) Other types,
14. Involution melancholia, ......
15. Dementia praecox, total, ......
(a) Paranoid type, ......
(6) Catatonic type, ......
(c) Hebephrenic type, ......
(d) Simple type, .......
(e) Other types, .......
16. Paranoia or paranoid conditions, ....
17. Epileptic, total,
(a) Epileptic deterioration, . . ^ . .
(b) Epileptic clouded states, ....
(c) Other epileptic types (to be specified), .
10
13
22
1920.1
PUBLIC DOCUMENT — No. 23.
57
Table 14. — Psychoses of Readmissions — Concluded.
Psychoses.
18. Psychoneuroses and neuroses, total,
(o) Hysterical type,
(b) Psychasthenic type,
(c) Neurasthenic type, .
(d) Anxiety neuroses,
(e) Other types, . . . .
19. With psychopathic personality,
20. With mental deficiency, .
21. Undiagnosed, . . . . .
22. Without psychosis, total, .
(a) Epilepsy,
(6) Alcoholism, . . . .
(c) Drug addiction,
(d) Psychopathic personality,
(e) Mental deficiency, .
(/) Others
Total,
56
119
58
WORCESTER STATE HOSPITAL.
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1920.
PUBLIC DOCUMENT — No. 23.
59
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General Diseases.
Influenza, ....
Facial erysipelas, .
Tuberculosis of the lungs.
Syphilis, ....
Carcinoma of stomach, .
Carcinoma of liver and rectum.
Carcinoma of intestines,
Carcinoma of duodenum.
Carcinoma of cajcum,
Arthritis deformans.
Gangrene of leg.
Strangulated inguinal hernia,
Septicajmia, ....
Osteomyelitis,
Diseases of the Nervous System.
Cerebral spinal meningitis, .
Cerebral hemorrhage,
General paralysis of the in.sane,
Tabes dorsalis.
Catatonic exhaustion, .
60
WORCESTER STATE HOSPITAL.
[Dec.
o
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BRAIN
OR NERVOUS
DISEASES.
■smox
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Diseases of the Circulatory System.
Acute vegetative endocarditis,
Chronic endocarditis.
Acute myocarditis.
Chronic myocarditis.
Mitral insufficiency,
Arteriosclerosis, ....
Cerebral arteriosclerosis.
Coronary sclerosis and occlusion, .
Cardiovascular-renal disease.
Diseases of the Respiratory System.
Chronic bronchitis and myocarditis,
Broncho-pneumonia,
Lobar pneumonia.
Pulmonary oedema,
Pulmonary gangrene following
broncho-pneumonia, .
Pulmonary embolism, .
Empyema
Empyema following lobar pneu-
monia,
Diseases of the Digestive System.
Acute enteritis, ....
Enterocolitis
1920.
PUBLIC DOCUMENT — No. 23.
61
1 1 1 1 II 1 1 1 1 1 1
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1 1 1 1 II 1 1 1 1 1 1
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Tubercular enteritis and pulmonary
tuberculosis, ....
Acute gastritis, ....
Intestinal obstruction, due to vol-
vulus, . . .
Acute peritonitis, due to perfora-
tion of ileum
Diseases of the Genitotirinary
System.
Chronic interstitial nephritis.
Pyelonephritis and myocarditis, .
Accidents, Violence and Sudden
Deaths.
Suicide by hanging.
Fracture of femur (accidental fall).
Fracture of nasal bone (laceration
forehead), .....
Fractured ribs, contusion and infes-
tion of right arm,
Laryngeal obstruction by bolus of
food— asphyxiation, .
"3
0
62^
WORCESTER STATE HOSPITAL.
[Dec.
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General Diseases.
Influenza, ....
Facial erysipelas, .
Tuberculosis of the lungs.
Syphilis, ....
Carcinoma of stomach, .
Carcinoma of liver and rectum.
Carcinoma of intestines.
Carcinoma of duodenum.
Carcinoma of ctecum, .
Arthritis deformans.
Gangrene of leg.
Strangulated inguinal hernia,
Septicemia, . . . .
Osteomyelitis,
Diseases of the Nervous System.
Cerebral spinal meningitis, .
Cerebral hemorrhage.
General paralysis of the insane.
Tabes dorsalis.
Catatonic exhaustion, .
Diseases of the Circulatory Syste?}!
Acute vegetative endocarditis,
Chronic endocarditis.
Acute myocarditis.
Chronic myocarditis.
Mitral insufficiency,
Arteriosclerosis
1920.
PUBLIC DOCUMENT — No. 23.
63
1 1 -^ 1 1 -H 1 III 1 II II 1 1 II II 1 1 1
1 r
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11^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1
-
III 1 1 <-< 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1
CO
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CO
I \ -^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1
c.
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-I
i
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1
1
1 1 -H 1 1 1 1 III 1 II II 1 1 II 11 1 1 1 j CO
ll—l I'HII III 1 II II 1—1 II II 1 1 1^
1 1 -I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1 -^
III 1 'H 1 1 1 1 1 1 1 J 1 1 1 rt II 1 1 1 1 1
CO
III 1 <-H 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1
<M
III 1 -^ 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1 M
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1
1
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11^ 1 1 IM 1 III 1 1 1 ^ 1 1 1 1 -^ II 1 1 1 o
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III 1 1 1 1 III 1 1 —1 1 1 1 1 II II 1 1 1 1 CO
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1
1
IICO ICOrtI III 1 -HI II 1 1 11 ^1 1 l-H
^
III ICO-HI III 1 11 11 1 1 II II 1 1— 100
IICO llll III 1 rt| 11 1 1 II —11 1 1 im
Cerebral arteriosclerosis.
Coronary sclerosis and occlusion, .
Cardiovascular-renal disease.
Diseases of the Respiratory System.
Chronic bronchitis and myocar-
ditis,
Broncho-pneumonia,
Lobar pneumonia, ....
Pulmonary oedema,
Pulmonary gangrene following
broncho-pneumonia, .
Pulmonary embolism, .
Empyema, . .
Empyema following lobar pneu-
monia,
Diseases of the Digestive System.
Acute enteritis, ....
Enterocolitis
Tubercular enteritis and pulmo-
nary tuberculosis.
Acute gastritis, ....
Intestinal obstruction, due to
volvulus
Acute peritonitis, due to perfora-
tion of ileum, ....
Diseases of the Genitourinary
System.
Chronic interstitial nephritis.
Accidents, Violence and Sudden
Deaths.
Suicide by hanging.
Fracture of femur (accidental fall).
Fracture of nasal bone (laceration
forehead),
tion of right arm.
Laryngeal obstruction by bolus of
food — asphyxiation, .
"cS
1
64
WORCESTER STATE HOSPITAL.
[Dec.
G^
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oo
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Traumatic
Senile, . . .
General paralysis, . _
With Huntingdon's chorea
With brain tumor,
With other brain or nervous diseases
Due to drugs and other exogenous toxins.
With other somatic diseases,
Manic-depressive,
Involution melancholia,
Paranoia or paranoid conditions,
Epileptic
Psychoneuroses and neuroses,
With mental deficiency,
Undiagnosed,
Without psychosis,
"3
^cqcO-»*iCCDC^OOOO,-i(MCO-TMOCOI:^QOaiO^M
1920.
PUBLIC DOCUMENT — No. 23.
65
i
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e
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■sal's j\r
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e
■SIB^OX
lllu5lllrtl||lrtlC<)llll ,-<rt 1 -H
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C-J
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iiiiciii-Hiiiirti,-iiiiii«r oi.
Traumatic
Senile,
General paralysis
With Huntingdon's chorea
With brain tumor
With other brain or nervous diseases, ....
Due to drugs and other exogenous toxins.
With other somatic diseases, . ,
Manic-depressive, ........
Involution melancholia,
Paraijoia or paranoid conditions,
Epileptic,
Psychoneuroses and neuroses, .....
With mental deficiency,
Undiagnosed,
Without psychosis,
t
^
^-fCSCO-^IOCOC^OOCiO^fMCOTt^lOCOt^OOCnO^C^
66
WORCESTER STATE HOSPITAL.
[Dec.
e5
03
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C-5
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o
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t^
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N
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Psychoses.
Traumatic
Senile,
With cerebral arteriosclerosis,
General paralysis,
With Huntingdon's chorea
With brain tumor,
With other brain or nervous diseases
Dvie to drugs and other exogenous toxins.
With other somatic diseases,
Manic-depressive, ^ .
Involution melancholia,
Paranoia or paranoid conditions,
Epileptic,
Psychoneuroses and neuroses,
With mental deficiency,
Undiagnosed,
Without psychosis,
o
^HC<)CO'^iCCOt>-OOC50'-^C<»CO-^iOSD[-^00010^C-l
1
1920.1
PUBLIC DOCUMENT — No. 23.
67
02
O
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in
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^
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2
S
Traumatic,
Senile, . . .
General paralysis,
With Huntingdon's chorea,
With brain tumor,
With other brain or nervous diseases
Due to drugs and other exogenous toxins.
With other somatic diseases
Manic-depressive, . .
Involution melancholia,
Paranoia or paranoid conditions
Epileptic,
Psychoneuroses and neuroses,
With mental deficiency,
Undiagnosed, . _
Without psychosis,
1
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68
WORCESTER STATE HOSPITAL. [Dec. 1920.
Table 19. — Family-care Department.
Males. i Females.
Totals.
Remaining Sept. 30, 1919, ....
Admitted within the year, ....
Nominally returned from visit for discharge.
Whole nmnber of cases within the year.
Dismissed within the year, ....
Returned to the institution,
Discharged,
Died .
Visit, . ■
Escaped, .......
Remaining Sept. 30, 1920, ....
Supported by the State, ....
Private, .......
Self-supporting,
Number of different persons within the year,
Nmnber of different persons admitted.
Number of different persons dismissed,
Daily average number
State, ........
Private, .......
Self-supporting
25
25
16
16
4
4
5
5
44
45
12
13
18
19
8.83
28.91
0.74
20.82
4.67
4.67
3.42
3.42
I
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