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

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6 



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in 2010 with funding from 

University of IVIassachusetts Amherst 



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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 




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 

< 




•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 


1 1 1 1 c<irt 1 ^ 
c<i CO 




•sa|Buia^ 


'-' lllll'-< llllllll'-i 


1 1 1 1 '^'-111 




•sa[i3i\r 


" lllll^ llllllll^ 


1 1 1 1 rt 1 1 rt 






K 

<; 
O 

« 
■< 



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 




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, . 













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! 

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 


■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 




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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 



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1920. 



PUBLIC DOCUMENT — No. 23. 



51 



go 


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52 



WORCESTER STATE HOSPITAL. 



[Dec. 





a 


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1920.1 



PUBLIC DOCLTMENT — No. 23. 



53 



■S[B}OX 



•saiBoiaj^ 



•saiBj^ 



I I I I I I I I I J I I I I •-• I I I I I I 



I I I I I I I I I I r I I I I I J I I I I 



I I I J I I I I I I I I I I <-' I I I I I I 



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54 



WORCESTER STATE HOSPITAL. 



[Dec. 



0^ 



-^ 



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Involution melancholia 

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Undiagnoised, 

Without psychosis 


"3 
o 


^^c^co-^ictot^oocio— ^c^cort^iotor^oooort^ 



1920.1 



Is 


PUBLIC DOCUMENT — No. 23. 

"SIBJOT 1 —> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


-, 


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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. 



[Dec. 



•S[B^OX 



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1920. 



PUBLIC DOCUMENT — No. 23. 



59 



m 

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Ah 


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WITH OTHER 

BRAIN 

OR NERVOUS 

DISEASES. 


•SfB^ox 


J 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 '-I 1 


•saiBuiajj 


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


•saiBjii 


1 I 1 1 1 1 1 1 I 1 1 1 1 1 III"! 


WITH 

Huntingdon's 

CHOREA. 


•s[t3;ox 


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


•saiBraaj 


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


•sai^K 


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


J 2 

B « 


■si^^ox 


IllOOIIIIIlllrtI 1— lOII 


•saiBuia^ 


1 1 1 1 1 1 1 1 1 1 1 1 '^ 1 1 1 O 1 1 


•saiBH 


1 1 1 OO 1 1 1 1 1 1 1 1 1 1 1 «« 1 1 




•siBiox 


1 -H 1 1 1 1 1 1 1 1 1 1 'H— 1 1 t^ 1 1 1 


•sacBinaj 


1 •-■ 1 1 1 1 1 1 1 1 1 1 1 1 1 " 1 1 1 


•saiBK 


llllllllllll—"-! JCOIII 


H 

S 
B 


•sjB^ox 


'H 1 -^ 1 1 1 i 1 1 1 1 -^ 1 1 1 1 { 1 1 


•saiBma^ 


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


•safBj^ 


1 1 « 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


O 


•S[B^OX 


■*rtl033M— l-Hrtrt,-(rtrt^rt <-HCMOrt<M 


•sa[Buiajj 


(M-H!M| 1 IrtrtrtrH— l-<C<|| r-.Tt<10|CCl 


•saiBK 


cq|coc:>cM'-i;illll<>5'H ioo>o-^i 


K 

Q 

O 

pa 

o 




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 






G^ 












1-3 

n 



1 




■S1T310X 


1 1 1 1 J 1 1 1 1 1 1 1 J ill 1 1 r 


•sapraajj 


1 1 1 1 1 1 1 1 1 1 1 1 1 III 1 1 J 


■sai-Bi\; 


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


d 

o 

K 



s 


•SlB:^Oi 


IIIIIIIIM l-HMrt III 1 — 1 


•saiBuia^j 


1 1 1 1 1 1 1 1 -H 1 1 1 1 III 1 — 1 


•saiBj^ 


II' " 1 -'^'^ III 1 1 ' 


WITH OTHER 

BRAIN 

OR NERVOUS 

DISEASES. 


■smox 


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


•saiBraaj[ 


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


•saiBj^r 


1 Ill 1 1 1 1 III 1 II 


in 

'z 

? § B 
S 5 « 

g S 

^ H K 

» 


•si^^ox 


~ , 1 1 1 1 1 1 1 1 « 1 1 III 1 II 


■sa(BUiaj; 


1 1 1 t 1 1 1 1 1 1 1 1 1 III 1 II 


•sapivi 


•^ 1 1 1 1 1 1 1 1 1 -H 1 1 III 1 II 


15 S 


•sib:>ox 


llllllll" |C<I-H| III 1 II 


■sajBraa^ 


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


•sapK 


1 1 1 1 1 1 1 1 1 1 C<l-H 1 III 1 II 


lis 


•spjox 


III— 'IO«I>0 ICit^l 11-^ 1 II 


•saiBtna^ 


lll"ir^"ll ICOMI ] 1 '- 1 II 


•saiBi\[ 


IIIIICOIIIO |CO-*| III 1 II 


z 


•sjB^ox 


III^HlOl^^t^ ^HCOCDI l-^l 1 — ,— 1 


•sajBrnaj 


1 1 1 rt 1 CO 1 "lO —!•*>« 1 1 rt 1 1 -H— 1 


•safBi^ 


1 1 1 1 1 w 1 1 cq 1 (Mrt 1 III 1 II 


< 
c 


•SJB^OX 


-HC.C.CO-.--.-0 -Hj^g-- ' - 


sajBmajj 


l-H— ■TOI"-H-H" r-l-H— .1 |rt-H 1 CTCM 


■S3IBI\[ 


-H — -i 1 — lO 1 1 ira 1 co-Hrt rt 1 1 « rt 1 




P 

O 

aj 
& 

<! 
U 




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 


_ 


1 1 1 1 II 1 1 1 1 1 1 


" 


1 1 1 1 II 1 1 1 1 1 1 


1 


1 1 1 1 II 1 1 1 1 1 1 





1 1 1 1 II 1 1 1 1 1 1 


" 


1 1 I 1 II 1 1 1 1 1 1 


CO 


II 1 1 II 1 J III 1 




1 1 1 1 II 1 1 1 1 1 1 


1 


1 1 1 1 II 1 1 1 1 1 1 


-' 




1 1 1 1 II 1 1 1 1 1 1 




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


1 1 1 1 II 1 1 1 1 1 1 




1 1 1 1 II 1 1 1 1 I 1 "^ 


1 1 1 1 II 1 1 1 1 1 1 


r^ 


II 1 1 11 II III ' 1 p; 


1 1 1 1 11 1 1 1 —■ 1 


tn 


1111 11 1 1 1 -H 1 1 O 


1111 II 1 1 1 1 1 o 

CO 


II 1 1 —.1 1— .-HI ll—l 


1111 -HI l-H— IllOO 


1111 11 1 1 1 1 1 


m 







-HI 1 1 — -H 1 _ -H -H -H O 


|(M-H-H II -H-HI 1 1I5 


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 




62^ 



WORCESTER STATE HOSPITAL. 



[Dec. 



o 



0^ 






o 



pq 
< 



m 

m 

IK 

o 

X 
o 


d 

d 

o 

S 


•SIB^OX 


1 1 1 1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 J 


•sai^uiaj; 


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


•saiBj^ 


1 1 1 1 'H 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




•siB^ox 


rt 1 1 1 1 1 1 1 1 1 1 1 1 1 1 rt 1 1 1 1 1 1 1 1 J 


•sa[Bnia^ 


1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 •-< 1 1 1 1 1 1 J 1 r 


•sa[Bi^ 


^ 1 1 1 1 1 1 1 1 1 1 J 1 1 1 1 1 1 1 1 1 1 1 1 1 


Pi 
11 

P. B. 


■smoj^ 


1 1 'H 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


•saiBuiaj 


1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 J 


•sa[i3i^ 


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




•siB^ox 


1 1 1 1 1 1 1 1 r J 1 I 1 1 1 1 1 1 1 1 ^ 1 I 1 1 


•satBuiaj 


1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 J J 1 1 1 1 


•saiBj^ 


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


s ° 

"SO* 

3 2 o 

b (B O 
OO 


•SIB^OX 


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


■sa[i3uia^ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 — < 1 1 1 1 1 I 1 1 1 


•sai^i^ 


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 


is 


•si^^ox 


■ ^,^^^^ ,^^^^ , , , ^, 1 ,« 1^^,-^ 


•saiBuiajj 


IIC^IIIl'^'H'-l'HIll M|||C>) l-^lll— ■ 


•sa['Bj\r 


—1 1 1 rtrt,-. 1 1 I 1 1 1 1 1 1 1 1 1 1 i 1 « 1 rt i 


O J 

Z a 


•S[B^OX 


1 1 1 1 1 1 1 1 1 1 1 1 1 J 1 '-H 1 1 1 1 1 -- 1 1 1 


•sa(Bnia^ 


1 1 1 1 1 1 1 1 J J I 1 t 1 1 -H 1 1 1 1 1 '-^ 1 1 J 


•sapi^ 


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


, > 

i K 

a 


•SIBCfOX 


'HI'HIII'^lllllll IIIII lllr-ll 


•saiBuiaj^ 


'-llllll'-Hlllllll IIIII lllrHII 


•saiBK 


1 1 '-H 1 1 1 1 I 1 1 1 1 1 1 IIIII 1 1 1 1 1 1 


< 

H 

Q 

fc 
o 

H 
03 
P 
<1 

O 




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 

CO 


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 


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


CO 


I \ -^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1 


c. 


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


-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 




II-* |CO-*H|rt||rt ||rtC<I--l| 1—1 1— 1| 1 1 


CO 


11^ 1 1 IM 1 III 1 1 1 ^ 1 1 1 1 -^ II 1 1 1 o 


1 1 CO 1 COCO l-H||rt II ICO-HI 11 l-H| 1 l|o 


III 1 1 1 1 III 1 1 -H 1 1 1 1 11 II 1 1 1 j CO 


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^ 



^ 



e 
<» 

Q 



s 
S 



^ 



i 
< 




•S[b:»ox 


1 1 «M llll-HlllllMlrtlllrtI 


o 


•sa[Buia^ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 IM 1 1 1 1 1 1 1 


<N 


sapj^ 


1 1— IMI 1 1 |,-q| 1 1 1 l^lnl 1 IrtJ 


oo 


CO 


■S[BiOX iii^iiiiiiiic^ro r 


s 


•sai'Buia^ 


liic^iiiiiiricKiiiiiiiiii >* 


•sa[Bi^ 


IllC^lllllillllWIIlJIJI t- 




■s^ox 


IIIOOIIIIIIIIII.Hlrt||,-lll ^ 


•sa[i3uia^ 


1 1 1 CO 1 1 1 1 J J 1 1 1 1 1 1 1 1 1 1 1 1 


CO 


■sal's j^ 


., ,o ,,,,,,,,, ,«,^ , ,^, , 


oo 




•S[b;ox 


1 1 1 1 1 1 1 1 1 1 1 1 r 1 CO 1 1 1 1 1 1 1 CO 


■saiBuia^ 


1 1 1 1 1 J 1 1 1 1 J 1 1 1 C<1 1 1 1 1 1 1 1 <M 


•sa[Bj^ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 ^ 1 1 1 1 J 1 1 


-' 


eg 

e 


■sib;ox 


lllllllllll^^loilliliii ■* 


•sajBuiaj 


1 1 1 1 r 1 1 1 1 1 1 «^ I IM 1 1 1 1 1 1 1 •* 


•sai^i^ 


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


1 


s 


■siB^ox 


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


•saiBj5 


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


1 


K 


'smox 


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


1 


•'saiBuiaj[ 


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


•sail3I,\r 


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


1 


< 
O 


•spiox 


I^iO-^ICql^OI I^COCOCOIM-^IC^COCOI o 

>o>ra^ —1 « CO CO 


•sajBuiaj^ 


loOCTl^l 1 1 ICVll IrtOOCOOCM^I l(M,-ll lo 


•saiBi\: 


ICOOt^lCMIrtOOl I ImlOICOIMrtWI •* 
C^ CO CO C^ T-i 


m 
B 

o 

ca 

1 


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 
< 


o 


•SIB^OX 


Ij-OJIIIIIIIlllllrtllllll 


CO 


•saiBuia^ 


I-«IIJIIIIIIIIIJ— iliiiii >n 


•sa[Bj^ 


1 Ir^ as 1 1 J 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


o 




■sp^ox 


1 ^t- 1 1 1 1 1 1 1 1 1 ^ 1 ^rt 1 1 1 1 1 1 


■* 


•sajBuia^ 


l<OIIIIIIII|l^||-i||||||00 


■saii3j\i 


1 OOt^ 1 1 1 1 1 1 1 1 1 1 1 ^ 1 1 1 1 1 1 1 OS 




■si^^ox 


lir3(niiiiic^i[i,-il-,^llll,-ill iTD 


•saiBuiajj 


1 coo lllllrtlllt-l—lllllrtll CO 


•sa[Bj^ 


1 C<lt~ lllllr-llllllMlllllll CO 




•sib:»ox 


l<0 — rt.l 1 1 1 1 1 1 1 1 |rfl,-i|(M|.-,| 


S3 


•saiBuiaj[ 


Icot^^llllllllll^lllll,-,! CO 


•sapj^i 


1 CO"* lllllllllllll^l(>)ll| o 




•si^^ox 


—■ CO 


•saiBUjaj 


l,-lOIIIII-Hlllll(Nlllllll| O 


■saii3j\[ 


ICOCOCqllllcOlllTPICOIIIIIII rt 


e 


•siB^ox 


IrtCMTjilrll |«| 1 IrtrtOI 1 1 1 1 1 1 t^ 


•sajBraa^ 


l«-H|||iiiiiirtrtiolllllll en 


•saitij^ 


1 1 r-ITt> I.-III— llllll-Hlllllll QO 




■SIBIOX 


1 1 «t^ 1 T-< 1 1 (N 1 1 1 CdC^M i ^ 1 1 1 1 1 aa 


•sajBuia^ 


1 1 1 ^ 1 1 1 1 1 1 1 1 C^(M 1 1 — 1 1 1 1 1 to 


■sal's j\r 


llrttOlrtlllMIIIIICOIllllll CO 


e 


■SIB^OX 


lllu5lllrtl||lrtlC<)llll ,-<rt 1 -H 


•saiBuiaj 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 rf 1 1 1 1 rt 1 1 


C-J 


■saiBi\[ 


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 
< 


O 


■S[B10X 


IMC^OlMl 1 1 1 1 Irtlt^l^lrtlMI 1 


C-5 




•sajBuig^ 


1"— <10 1 1 1 1 1 P I Irtlcol 1 1 Irtl 1 


2 




•sa[Bj\[ 


1 |-.rt|rtl 1 1 1 1 1 1 l-a<l--i|-Hrtl 1 


o 






•siB^ox 


1 (M10>0 III.-HII1IIIMI1II-HII 


t^ 




•sajBuiaj; 


llTKlIlllllllllrtllllrtll O 




•saiBj^i 


1 (Mt-<«J lll«llllllCi<lllllll -H 




N 


■si'b;ox 


l-*moi,-H| I r-t \ 1 i(?q— iQoirti 1 1 1 1 c^ 




•saiBuiajj 


1 -*(M 1 1 1 1 1 1 1 1 1 1 «CO 1 1 1 1 1 1 1 O 




■saiBj^; 


1 OMCS 1^1 l«l 1 l(MIU3lrtl 1 1 1 1 rq 




a 

Eh 

z 




53 

00 


■siB^ox 


liocoMiiiirqillllrtI— illlrti lo 




•sajBraaj; 


1 M-H IIJIIIIIIIIII^III^I O 




•saiBK 


rc<iN(Miiiic<ililll,-iiiiiiii 


C5 






•sjB^ox 


1 OrtiO llll«IIIMICOIIIII-H| N 




•saiBmaj[ 


itni'Hiiiiiiii^icoiiiilll 


o 




•saiBjiI 


1 -^--C* 1 1 1 1 .-H 1 1 1 ,-1 1 1 1 1 1 1 1 ^ 1 


22 




M 


•siB^ox 


IOO-«(l||lll||rt,-l-Hlllllll to 




•saiBuia^ 


1 oor- 1 1 1 1 1 J 1 1 1 rtrtrt 1 1 1 1 1 1 1 00 




•sa[Bi^ 


1 (Mcq-s< 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


00 




15 

K 
H 

H 
h3 


•sib;ox 


rmt^cqi 1 1 1— ii 1,-iMrtroI-ii 1 irti 


tn 




•saiBuiaj; 


1 •*« 1 1 I 1 1 1 1 1 rH<M«rt 1 1 1 1 1 1 1 


2 




•sa[Bi\; 


1— -SICMI 1 1 Irtl 1 |,-H|(Mlrtl 1 1,-cl CO 




H 




•siB^ox 


l-HiraT)<|(M|rtOi i-HmcocoNT»<i(Mcoc<3l o 

mio^ rt _ CO CO 




•saiBuia^ 


1 ooc;r~ 1 1 1 1 Cd 1 1 rtOocooiMrt i i c<i,-i i 


o 

C5 




■sajBi^i 


ICOCOf~|lN|rtOOI 1 liOlOICOIN^MI 
C^ CO CO c^ 


o 




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 


■S[BC>0X 


II- 1 1 1 1 1- 


■M 


•sapuiajf 


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


- 


•Sd[BI\r 


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


in 


•SIBiOX 


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


■sajuraajj 


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


■sa|'Bi\[ 


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




■SF'^ox 


. 


■sa[Bmaj 


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


- 


■SQi^n 




" 


M 

o 


■si^iox 


1- 1 1 1 1 1 1- 1 1 1 1 1 1 II 


C-) 


•sajBuia^ 


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


■sa|Bj\[ 


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


,M 


eg 


■s^iox 


1 -■ 1 1 1 1 1 w 1 1 1 1 1 1 1 1 1 


(M 


■sa[i3raaj[ 


1 rt 1 1 1 1 1 1 1 1 1 1 rt 1 1 1 1 1 1 1 1 1 cq 


■sajBjf 


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


1 


lO 

o 


■s^ox 


1 1 1 1 1 1 1 1 -H 1 1 1 1 1 <M 1 1 1 1 1 J 1 


CO 


■sapsmajj 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 cq 1 1 1 1 1. 1 1 


^ 


•sa(Bif 


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


-< 


e> 


•SfB^ox 


1 1 1 1 1 1 1 1 C<1 1 1 1 <M 1 ^ 1 1 1 1 1 1 1 


CO 


•sajBuia^ 


IIIIIIIIC-J||IC<1|CJ||||||| 


CD 


•SSI'S J\[ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 <^q 1 1 1 1 1 1 1 


o, 


m 


■sp^ox 


1"^- 1 1 1 1- 1 1 l-l--^ 1 1- 1 1 1 


^ 


•sajBraaj 


IC^IrtlllllllllllT-Hllllll 


, 


•saiBH 


1 ^c^ lllll—lllrtlrtlll^lil 


'- 


H 

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 


^H Cl CO '^ lO O t^ 00 05 C> r-( C^ CO ^ IJ^ CD t^ oo as o ^ c^ 





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