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Public Document No. 23 \ ^ '^|
— ^^.--■,
i i
ANNUAL REPORT
OF
THE TRUSTEES
OF THE
Worcester State Hospital
/o
FOR THE
Year ending November 30, 1924
Department of Mental Diseases
Publication of this Document approved by the Commission on Administration and Finance
600 3-' 26 Order 4440
OFFICERS OF THE WORCESTER STATE HOSPITAI
BOARD OF TRUSTEES.
Caboline M. Caswell, Secretary, Northborough.
Anna C. Tatman, Worcester.
William J. Delehanty, M.D., Worcester.
Edward F. Fletcher, Chairman, Worcester.
Howard D. Cowee, Worcester.
John G. Perman, D.M.D., Worcester.
Luther C. Greenleaf, Boston.
MEDICAL STAFF.
William A. Bryan, M.D., Superintendent.
Lewis B. Hill, M.D., Asst. Superintendent.
, Director, Clinical Psychiatry.
Michael J. O'Meara, M.D., Senior Assistant Physician.
George A. Gaunt, M.D., Senior Assistant Physician.
Leon E. Duval, M.D., Senior Assistant Physician.
Donald B. Cheetham, M.D., Senior Assistant Physician. ,,
Manley B. Root, M.D., Senior Assistant Physician.
Mervin Fossner, M.D., Assistant Physician.
John P. Powers, M.D., Assistant Physician.
Leonard L. Tormey, M.D., Assistant Physician.
J. Paul Bouthillier, M.D., Assistant Physician.
Sidney M. Simonds, M.D., Assistant Physician.
Abraham Wiedman, M.D., Assistant Physician.
Carl A. Oberg, D.M.D., Dentist.
VISITING STAFF.
Ernest L. Hunt, M.D.
John F. Curran, M.D.
C. J. Byrne, M.D. [ Surgeons.
William H. Rose, M.D.
Benjamin H. Alton, M.D. >
M. M. Jordan, M.D. K. , . ,
Benjamin T. Burley, M.D. ] Neurologists.
William F. Holzer, M.D. 1 n i^j, ? ? • ,
Paul G. Haire, M.D. \ Ophthalmologists.
John W. O'Meara, M.D., Orthopedist.
Phit.lip it. Cocic, M.D., Roentgenologist.
HEADS OF DEPARTMENTS.
Florence M. Wooldridge, R.N., Superintendent of Nurses and Principal of Tra
ing Schcol.
MAu:aiCE Sc4NNELL, Super vi $••/,', MaU Department
Jessie. M. D. Hamilton, Treasurer.
Herbert W. Smith, Steward.
Lillian G. Carr, Matron.
Joseph F. Reynolds, Head Farmer.
James Dickison, Jr., Chief Engineer.
Anton Swenson, Foreman Mechanic.
Edna M. French, Head Occupational Therapist.
Sljf Olommnnuifaltlj nf MuBBUtl^nBtttB
TRUSTEES' REPORT.
To His Excellency the Governor, and the Honorable Council:
The Trustees of the Worcester State Hospital respectfully submit this, the
ninety-second annual report of the Hospital, together with the report of the Superin-
tendent, William A. Bryan, M.D., the report of the Treasurer, Miss Jessie M. D.
Hamilton, and various statistical and other information.
In November, 1924, the Trustees elected Hon. Edward F. Fletcher of Worcester
as Chairman, and Miss Caroline M. Caswell of Northborough as Secretary.
Progress continues to be made in making the institution less and less an asylum
for the unfortunate, and more and more a hospital for the mentally sick.
It is a cause for satisfaction that the antiquated system, or lack of system, of
toilet and bath facilities in one ell of the women's ward at the Summer Street
hospital has been remedied during the past year, so that that part of the institution
is now provided with modern and adequate plumbing and fixtures.
The plan of serving meals in the cafeteria style to the men patients at the Belmont
Street hospital, inaugurated during the past year, has been given thorough trial,
and is heartily approved. Now that the necessary appropriation has been secured
for a new congregate dining-hall, as before desired, the trustees recommend that
the same cafeteria system be extended so as to serve all patients, both men and
women, who are able to go to the dining-hall for meals. The arrangement for the
cafeteria of the past months was only temporary and experimental. The space
thereby occupied is needed for other uses as soon as the new dining space is provided.
The old ice-box refrigerators are in bad repair, and are inefficient and expensive.
There is very considerable loss in food, both meat and fish, by reason of the impos-
sibility of keeping the same at proper temperature. Dampness with improper
temperature causes meat to grow mouldy, so that the spoiled portions must be
trimmed off and thrown away. Moreover, it is difficult to retain the services of
meat-cutters, on account of the conditions under which they are forced to work.
It is the belief of the trustees that these difficulties w^ould be remedied by the instal-
lation of a modern artificial refrigeration plant, and that actual saving would result.
The keeping of cattle, and especially of calves and young stock, is a problem which
ought to be solved at once ; also the handling of feed and milk. Since the tubercular
'cattle were killed, the entire herd has been quartered at Hillside, a distance of two
land one-half miles from the hospital, occasioning large expense in transportation of
iboth supplies and products. The barns are inadequate, and the accommodations
for young stock are very poor. A new cow barn should be built at the main farm,
I which should also be provided with suitable quarters for rearing calves. The
present primitive methods of cooling and handling milk should be altered through
the installation of modern and efficient appliances and system.
The problem of the rapidly changing personnel of the employees of the hospital
lis very serious, especially on the male side. It seems astonishing that during the
I year 1924 the labor turnover on the male side amounted to 225 per cent. Means
i should be provided to investigate and study the causes of these changes, in order,
lif possible, to lessen their frequency, and thereby improve the efficiency of the
I force, through greater permanency. Very likely similar conditions may exist in
, other institutions in the Commonwealth. At all events, it seems important that
I immediate steps be taken to ascertain the causes thereof, in order that the proper
I remedies may be found to correct these conditions.
4 P.D. 23.
The trustees wish to record their satisfaction with the conduct of the Worcester
State Hospital under the lead of the Superintendent, Dr. Bryan, and his loyal
assistants. The staff is keenly alive to the needs of the patients for physical and
mental comfort and improvement.
Respectfully submitted,
LUTHER G. GREENLEAF, EDWARD F. FLETCHER.
CAROLINE M. CASWELL. HOWARD W. COWEE.
ANNA C. TATMAN. JOHN G. PERMAN.
WILLIAM J. DELAHANTY.
SUPERINTENDENT'S REPORT.
To the Trustees of the Worcester State Hospital:
I herewith respectfully submit the following report of the Hospital for the year
ending November 30, 1924, it being the ninety-second annual report.
There remained on the Hospital books October 1, 1923, 2,579 patients, 1,372
men and 1,207 women. During the year ending September 30, 1924, there were
admitted 612 patients — 342 men and 270 women. Six hundred and fifty-four
patients — 414 men and 240 women, were discharged from the hospital. Of this
number, 366 patients, 234 men and 132 women — were discharged; 216 patients —
125 men and 91 women died; and 65 patients — 52 men and 13 women — were trans-
ferred, leaving at the end of the statistical year 2,536 patients — 1,299 men and
1,237 women. Two thousand, one hundred and twenty-three patients — 1,035 men
and 1,088 women — were actually in the institution. Of this 1,924 were supported
by the State, 87 by friends, and 112 as reimbursing patients. Of the patients
discharged, 79 were reported as recovered, 175 as improved, and 71 not improved.
Forty-one patients, — 29 men and 12 women — were discharged as not insane.
Forty-three men were transferred by the Department of Mental Diseases to the
United States Veterans' Hospital No. 95 at Northampton; 5 men and 6 women to
the State Infirmary; 2 men and 5 women to Medford State Hospital; 1 man to
Dan vers State Hospital; 1 man and 1 woman to the Bridgewater State Hospital; 1
woman to Westwood Lodge. Ten men and 4 women were removed from the
State, and 25 men and 7 women were deported.
There remained in the hospital at the end of the year 43 less patients than at the
beginning. The smallest number under treatment on any day was 2,114 patients,
and the largest 2,211. The daily average was 2,142.56.
The percentage of recoveries, calculated upon the number of discharges and
deaths, was 13.59, calculated upon the number of admissions 14.28. The death rate
was 6.76 calculated on the whole number of patients under treatment, and 10.81
calculated on the daily average number.
General Health of the Population.
Generally speaking, the physical health of the patients has been good. I regret,
however, to report that a male patient, whUe returning from the moving pictures,
threw himself head first over the railing on third floor and died within half an
hour. Also a male patient jumped from fourth floor piazza and died ten
minutes later. A male patient who left the hospital without permission was acci-
dentally drowned at the lake.
Principal Causes of Deaths.
Sixteen per cent of all deaths were due to general paralysis of the insane; 14
per cent to arteriosclerosis; 13 per cent to cardio-vascular-renal; 10 per cent each
from pulmonary tuberculosis and bronchopneumonia and 8 per cent from chronic
myocarditis.
Staff Changes.
Resignations.
Dr. Ransom C. Sartwell, assistant superintendent, resigned August 15, 1924, to
accept position as superintendent of the State Infirmary at Howard, R. I.
Dr. Clarence A. Whitcomb, assistant physician and pathologist, resigned May 1,
1924.
P.D. 23. 5
Dr. John Saucier resigned March 8, 1924, to accept a position in a Canadian
hospital.
Dr. Henry Weyler resigned May 1, 1924, to enter into general practice.
Dr. Paul DeCary resigned January 31, 1924, to accept a position on the staff
of the State Hospital at Howard, R. I.
Dr. Katherine Hoheb resigned June 13, 1924.
Dr. Charles E. Futch resigned September 30, 1924, to accept a position at the New
York Skin and Cancer Hospital.
Appointments.
Dr. Katherine Hoheb was appointed assistant physician March 1, 1924.
Dr. Sidney M. Simons was appointed assistant physician June 16, 1924.
Dr. Leonard Tormey was appointed assistant physician June 20, 1924.
Dr. Charles E. Futch was appointed assistant physician July 30, 1924.
Dr. Arthur Lussier was appointed assistant physician September 5, 1924.
Student Internes.
During the summer of 1924, six medical and one dental interne assisted the Staff
physicians in the usual routine work: —
Leonard D. Heaton
Jesse S. Spangler
Francis A. Scott
James F. Clancy
Juanita P. Johns
Janice Rafuse
WaUace W. Dietz
University of Kentucky.
Johns Hopkins University.
University of Michigan.
University of Michigan.
Boston University.
Boston University.
Tufts Dental School.
Medical Report.
The medical and surgical facilities of this hospital have been considerably en-
hanced by the delegation of medical and surgical work strictly to a selected portion
of the staff, including one senior assistant phj^sician and two junior assistant
physicians, with a junior physician caring for the laboratory work. The laboratory
physician is under the supervision of the senior assistant, and has in turn two
technicians as his assistants. It is felt that by such division of the work, the pa-
tients receive better care as to their physical well-being, and that some of the more
obscure physical conditions are more easily recognized.
Surgery.
Major Operations: Gastrotomy, 2; Tonsillectomies, 11; Amputation of Finger,
2; Appendectomies, 5; Gastro-enterostomies, 1; Double Herniotomy, 1; Chole-
cystotomy, 1; Unguinal Herniotomies, 5; Amputation of Toes, 1 ; Hysterectomies,
4; Intestinal Resection, 1; Enucleations of Eye, 2; Dilatation and Curettage, 2;
Amputation of Right Leg, 1 ; Lipectomy, 1 ; Amputation of Cervix, 1 ; Perineor-
rhaphy, 1; Vaginal Hysterectomy, 1; Removal of Epithelioma of Lip, 1. Total, 44.
Minor Operations: Incision and Drainage of Carbuncle, 1 ; Incision and Drain-
age of Finger, 1; Paracentesis of abdomen, 1; Tendon Suture, 1; Submucous
Resection, 1; Abscesses Incised and Drained, 22. Total, 27.
Clinics.
The clinics are cared for entirely by the Medical Service, and are held at appointed
hours each week, whenever there are patients who need examination in these clinics.
At these clinics the Staff physicians receive the benefit of advice and assistance
from our attending physicians and surgeons, who are at all times on call.
The attending physician visits the hospital each Tuesday, and examines with
the members of the Medical Staff such cases as need particular attention.
The attending ophthalmologist, rhinologist, otologist and laryngologist visits
the hospital each Wednesday, and examines such cases as are referred to him by the
Medical Staff.
There are also on call, and easily accessible, surgeons, both general and ortho-
pedic; neurologists and other specialists in the various branches, all within ten
minutes of the hospital.
6 P.D. 23.
Gynecological Clinic.
Patients examined, 54.
Patients treated (treatments given), 57.
Neurological Clinic.
Patients examined, 55.
Diagnoses.
General paresis, 47.
Unclassified, 3.
Endocrine disturbance, 1.
Cerebrospinal syphilis, 1.
Multiple sclerosis, 1.
Hysteria, 2.
Amyotrophic lateral sclerosis, 1.
Encephalitis lethargica. Parkinsonian syndrome, 1.
Venereal Clinic.
Salvarsan treatments, 534; Swift-Ellis, 185; Mercury (intramuscular), 19.
Total treatments, 738.
Wassermanns :
Blood . 694 Spinal Fluid . 189
Eye Clinic.
Examinations and treatment, 138.
Laboratory Report.
Autopsies, 44; Animal Autopsy, 1; Animal Inoculation, 3; Anesthesia, 25;
Bacterial Cultures, 57; Bacterial Smears, 137; Basal Metabolism Tests, 9; Blood
Counts— Red, 81; Blood Counts— White, 201; Blood Counts, Differential, 205;'
Blood Counts, Haemoglobin, 165. Blood Chemistry: Urea Nitrogen, 14; Total
Nitrogen, 9; Creatin, 7; Creatinine, 14; Sugar, 35; Uric Acid, 5. Dark Field
Examinations, 2; Feces, 4; Gastric Analysis, 3; Gyn. Clinics, 24; Lectures,
34; Microscopical Sections, 76; Microscopical Examination of Slides, 56; Milk!
Counts, 24; Modified Mosenthal, 4; Renal Functions, 29; Sputums, 114. Spinal
Fluids— Colloidal Golds, 120; Cell Counts, 77; Proteins, 30; Mastics, 33. Swift-
Ellis Serum, 23; Urinalysis, 1,618; Urine Creatin, 1; Urine Quantitatives, 10;
Vaccines, 3; Water Counts, 2.
Dental Report.
Number Patients, 2,700; Cleanings, 2,377; Fillings, 970; Plates, 64; Treatments,
255; Extractions, 852; Plates Repaired, 48; X-rays, 163; Bridges, 5; Porcelain
Jackets, 2, Porcelain Inlays, 2; Gold Inlays, 1; Pivot Teeth, 5.
Report of the X-Ray Department.
The report of the Department of Roentgenology for the year ending November
30, 1924, is herewith submitted.
Exposures: Ankle, 20; Arm, 11; Chest, 142; Face, 4; Feet, 12; Gastro-Intes-
tinal, 22; Heart, 12; Hand, 29; Hip, 11; Jaw, 9; Kidney, 2; Knee, 17; Leg, 8;
Liver, 2; Nose, 15; Neck, 1; Pelvis, 4; Ribs, 4; Sternum, 2; Skull, 55; Spine, 21;
Shoulder, 8; Thigh, 1; Wrist, 3; Stomach (foreign), 3.
Fluoroscopic Examination, 36 cases; X-ray Treatment (Epithelioma, 3 cases ;i
Tubercular Lymphadinitis, 1 case); Dental X-rays, 177 patients; Out-Patient
Clinics, 10 cases; skull, chest, long bones.
Social Service Department.
During the year 439 cases were referred to the Social Service Department.
Of this number, 112 cases were referred for medical-social histories, 167 for special
investigation, and 150 for supervision of patients on visit in the community. In
addition to the cases referred to us this year, 275 visit cases were carried over from
the previous year. Inasmuch as all (or nearly all) patients leaving the hospital are
technically "on visit" for a year, their names are automatically placed upon ouxi
lists and we endeavor to give them supervision according to their needs. We havei
P.D. 23. 7
thus carried an average monthly case-load of 260 patients, and it has been literally
impossible to give adequate follow-up care to so many persons.
Fourteen cases per month, on the average, have been referred for special investi-
gation, each investigation requiring interviews with at least four persons and some-
times ten or twelve persons. About half of the investigations have been made
primarily for the purpose of obtaining additional data for psychiatric diagnosis,
and special care has been taken to clear up cases in which conflicting stories are told
by different relatives, cases in which the patient's conduct in the hospital is mark-
edly different from that reported by the persons responsible for the commitment,
and cases of patients sent by court action. A thoroughgoing search for informa-
tion has occasionally revealed evidence that a patient whose conduct in the hospital
showed nothing abnormal was suffering from delusions which made him a potential
menace to public safety; and on the other hand it has occasionally shown that the
responsibility for the care of a harmless patient was being shifted to the State by a
family well able to carry the burden. The other half of the investigations have
been made for the purpose of ascertaining the family situation in the homes of
patients about to be released on visit, in order to insure conditions that shall be
conducive to mental health.
An analysis of the problems of the 439 social service cases shows the following
results: — In 48 cases there was physical disability in addition to mental illness;
many of these being cases of venereal disease; 38 cases presented sex problems;
in 25 cases financial troubles were an added factor; 44 had difficulty regarding
employment; 45 had marital troubles, and 53 others had friction with members of
the family or others with whom they were in close contact; 96, including many
alcoholic cases, were essentially personality problems; and the others presented
problems for re-education in habits and tastes.
The great problem for the psychiatric social worker is to help the patient adjust
himself to the environment to which he goes when he leaves the hospital, and, by
helping the family to understand the patient's needs, make the environment favor-
able to further improvement and permanent adjustment. As a contribution toward
this end, 706 visits have been made to patients or their families, friends, social
agencies, and others interested in the patients. In 23 cases we have been able to
arrange for a patient to have medical care after leaving the hospital. In 44 cases
some modification of the environment has been effected in the interests of the
patient. The co-operation of various agencies has been helpful in the adjustment
of 45 patients. We have received aid from Family Welfare agencies, especially in
teaching a housewife to plan her expenditures economically, and have had the
co-operation of visiting nurses and out-patient clinics. Child-placing agencies
have been helpful in arranging for the care of the children of some of our patients,
and the Boys' Club has been an asset in the training of boys who are brought to our
out-patient clinic for juvenile delinquency.
The employment situation has been unfavorable to the placement of such pa-
tients as are unable to find employment for themselves, because in times of depres-
sion the mentally handicapped are the last to be accepted. However, 19 of our
patients have been placed in new positions or returned to positions formerly held,
some of them being patients who require special understanding and interest to
keep them out of the hospital. This group, exclusive of those who have had to be
returned to the hospital, is fully self-supporting and has approximately $500 in
savings banks. Excellent co-operation has been obtained from St. Anne's Orphan-
age, which institution has recently begun to take our patients into its employ.
The number of boarding patients is at present 15. Three new homes were found
this year.
We have been particularly fortunate in having the services of Mr. Boisson, the
chaplain, in investigating and following up all cases in which the religious problem
is an outstanding feature. Through him also we have obtained closer contact with
the churches and Y. M. C. A.
The attendance of a social worker has been required at 81 out-patient clinics,
and over 100 histories have been taken. In certain cases arrangements have been
made for follow-up care by other agencies, and the regular weekly conference on
clinic cases is usually attended by us both. Fifteen schools have been visited in
order to arrange for the school clinic which the law provides for the examination of
8 P.D. 23.
children three years retarded, and the school nurses have been instructed how to
take the histories.
During the year three addresses were made by the department and six lectures
were given to the nurses of the hospital.
Religious Services.
• Weekly services have been held both at the Main Department and at Summer
Street for our Protestant, Catholic and Jewish patients.
Rev. A. T. Boisson was appointed permanent Protestant chaplain and has
studied a number of patients whose psychoses have shown a religious coloring.
It is our intention to carry this work on for some time to come.
Training School.
The work of the Training School has been carried on during the year and the
prescribed curriculum of the State Board of Registration has been carefully fol-
lowed.
Eight graduates received their diplomas in June, 1924. The Attendants Course
for both men and women has been carried on, two complete courses being given.
This course is compulsory and no attendant is permitted to remain in the service
without passing it.
Miss Olive Estey, R.N., assistant superintendent of nurses, resigned in January
to accept the position of Superintendent of Nurses at the Danvers State Hospital.
Miss Ethel Oliver, R.N., was appointed to fill the vacancy and remained until
October when she was compelled to resign on account of ill health. Miss Georgia
Clarke, R.N., succeeded Miss Oliver.
The training school for nurses remains a very important phase of the hospital
activities. Under the leadership of Miss Florence Woolridge, R.N., it has continued
to improve and our ideal is to offer a course of training for nurses that will be second
to none. It is by a continuation and extension of our training schools that our
standard of care for the mentally ill will be raised to the high level it should occupy
and we propose to further enlarge the activities of the school.
New diet kitchens have been inaugurated where our pupils receive practical
instruction in invalid cookery under the guidance of a graduate dietitian.
Our general medical work has increased to the point where our pupils are receiv-
ing much practical nursing and our graduates are eminently fitted to carry on
general nursing with credit to themselves and the school.
Out-Patient Report.
Examination of the tables will show that the out-patient service rendered by the
hospital is increasing. From 41 separate sources, cases were referred, and many
patients came on their owoi initiative, these being listed in the tables as private
patients. Cases were seen in 17 different places. The Psychiatrist, Dr. M. B.
Root, and the Psychologist, Dr. Grace H. Kent, and the Social Workers, Miss
Theodora Land and Miss Jennie Harrington, remain as last year.
The most successful clinic has been that held at Memorial Hospital. The Habit
Clinic, held at the Temporary Home and Day Nursery, we have not held for
months. We have had comparatively few cases of pre-school children and many of
these have preferred to come to Memorial Hospital. The adult Psychiatric Clinic
has been held since April 15, 1925, at the City Hospital Out-Patient Department,
in conjunction with their Neurological Clinic. This is becoming more and more
satisfactory. Since May 26, 1924, a weekly clinic at the Lowell Corporation
Hospital has been held. This was fairly well attended for a time, but attendance
dropped so that it seemed useless to attend more often than once a month.
Because of our increasing work in Worcester and the fallacy of traveUing so far for j
so few cases, I believe that this clinic should be given up for the present.
The ideals of our out-patient work remain the same. We have attempted to
make well-rounded studies of the children and the adults examined. During July
and August, 1924, the Psychiatrist and Psychologist were present at the sessions
of the Juvenile Court. We examined children at the court and made reports to
aid the Judge in his decisions. The weekly conferences are still held at the public
library. At these conferences practically all the clinic cases are discussed. Fol- j
P.D. 23. 9
lowing this discussion a letter of summary and recommendations is sent. We
have perfected a system for keeping in touch with our cases and we expect this
follow-up work will be valuable.
During the summer an attempt was made to see regularly, at the Summer Street
department, patients on visit from the hospital. Very few patients came in re-
sponse to the letters, so that this was discontinued. We are at present working
over plans for seeing these patients regularly.
Table I — Cases Enumerated by Agencies. — Private Patients, 60; Central District
Court, 38; Children's Friend Society, 22; Girls' Welfare Society, 21; Worcester
State Hospital, 12; Temporary Home and Day Nursery, 9; Associated Charities,
6; City Hospital, 0. P.D. , 6; St. Anne's Orphanage, 6; Lancaster Industrial School
for Girls, 6; Lowell Schools, 6; Northboro Society for District Nursing, 5 ; Memo-
rial Hospital, O.P.D., 5; City Hospital, 5; Lowell Policewomen, 5; Worcester
Schools, 4; Shirley Industrial School for Boys, 4; Worcester Society for District
Nursing, 3; Society for Prevention of Cruelty to Children, 3; Physicians, 3; Board
of Health, 3; Shrewsbury Schools, 3; State Division of Child Guardianship, 3
Rutland Prison, 2; United Jewish Charities, 2; North American Civic League, 2
Jewish Home for Aged and Orphans, 2; Southbridge District Nursing Society, 2
Superior Criminal Court, 2; County Jail, 2; Lowell Social Service League, 2
Lowell Corporation Hospital, O.P.D., 2; St. Agnes Guild, 1; Rutland State Sani-
torium, 1 ; West Warren School, 1 ; Fitchburg Society for Prevention of Cruelty
to Children, 1; West Boylston School, 1; Leominster School, 1; Probate Court,
1; Northampton State Hospital, 1; Lowell District Court, 1; Lowell Minister, 1;
Total New Cases, 266. Return Visits, 148. Total Visits, 414.
Table II — Cases Enumerated by Age. — _
Age.
1. Babies up to age 6 .
2. Children 6 to 21
3. Adults over 21
4. Lowell (irrespective of age)
Totals
Table III — Cases Enumerated by Places of Visits {including first and return visits) .
Memorial, P.D., 136; Lowell Corporation Hospital, 59; City Hospital, O.P.D., 53;
Worcester State Hospital, 33; Temporary Home and Day Nursery, 31; Central
District Court, 31; Girls' Welfare Society, 26; Lancaster Industrial Schools for
Gu-ls, 13; Worcester County Jail, 6; St. Anne's Orphanage, 6; Patients' Own
Home, 5; City Hospital, 4 ; St. Agnes Guild, 4; Shirley Industrial School for Boys,
3; Rutland Prison, 2; Rutland State Sanitorium, 1; Summer Street Department,
1. Total, 414.
Table IV — Enumeration of School Clinics. — West Boylston, 31; Shrewsbury, 115;
Oxford, 21; West Warren, 32. Total, 119.
Table V — Hospital Patients on Visit — 20.
Table VI — Hospital Patients Studied — 12.
Table VII— Totals.— Out-Fatient Cases, 414; School Clinics, 199; Patients on
Visit, 20; Hospital Cases, 12; Grand Total, 645.
Table Vlll—Out-Patient Schedule.—
New
Return
Tota
Cases.
Visits.
24
12
12
178
85
85
32
22
22
32
29
29
266
148
414
Monday
Tuesdaj''
Wednesday
Thursday
Friday
Saturday
School Clinics, P.M.
City Hospital, A.M.
Memorial Hospital, P.M.
Girls' Welfare Society, A.M.
Temporary Home and Day Nursery, P.M.
Lowell Clinic.
City Hospital, A.M.
Conferences Public Library, P.M.
Patients seen in homes and at hospitals by appointment.
10
P.D. 23.
Important Condition — Diagnosis.
Mental Disease — Alcoholic ........
2
Involution Melancholia
6
Undiagnosed
D. Praecox .
19
13
Manic Depressive
Organic Brain Disease
3
13
Senile
1
Epilepsy .
General Paresis .
16
3
Psychosis with Somatic
! Disease
4
Total Mental Disease .
80
133^%
Mental Deficiency
177
30M%
Psychoneurosis .
37
Unmarried Mothers
99
17%
Conduct Disorder
114
193/2%
Neurological Disease
1
Cerebral Syphilis .
Chorea
6
6
Dystrophy .
Tabes
1
1
Speech Defect
Hyper-Thyroidism
Routine Examination
3
2
30
Pre-psychotic
Nervous Child
5
18
Head Injury
3
Total number of cases .
583
Occupational Therapy.
In September, 1923, we inaugurated a school for the training of Occupational
Therapists and in September, 1924, three pupils were graduated and given certifi-
cates. The present class consists of five young women who will receive their
certificates in September, 1925.
The Occupational Therapy Department is a very important part of the hospital.
An average of 400 patients are treated each day in our classes and they contribute
in no small degree to the improvement and recovery of our patients. All articles
made in this department are utUized by the hospital, no sale being permitted.
General Maintenance of the Hospital.
The ordinary repairs of buildings and grounds have been kept up. No new con-
struction of buildmgs has been carried on but a number of large projects have been
completed during the year. The water sections in the Lincoln wards have been
completely renovated and new plumbing has been installed. A similar project
has been carried on at the Summer Street department but has not yet been com-
pleted.
Perhaps the most radical change made during the year is in the method of feeding
our patients. This hospital has had no central dining-room but each ward has had
its own dining-room. The inability to supervise the distribution of food, the
difficulty of transportation and the lack of facilities for keeping food warm, made
this a very unsatisfactory way of handling the problem. A system of feeding
patients by means of a cafeteria was inaugurated and this has been so successful
that it is our purpose to open other cafeterias where patients will receive their food
hot and in proper quantities.
In conclusion, I wish to thank the Board of Trustees for the support and encour-
agement given me. I also wish to thank the officers and employees of the hospital
for their loyalty and labor. Without their assistance and their constant endeavor
to improve the service rendered by the hospital, nothing could be accomplished.
WILLIAM A. BRYAN, Superintendent.
November 30, 1924.
P.D. 23.
11
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 November 30, 1924.
supplies
Income.
Board of Inmates:
Private ......
Reimbursements, insane .
Personal services:
Reimbursement from Board of Retirement
Sales:
Travel, transportation and office expenses
Food
Clothing and materials
Furnishings and household ;
Medical and general care
Heat, light and power
Farm:
Cows and calves .
Hides .
Hay .
Garage, stable and grounds
Repairs, ordinary
Total sales .
Miscellaneous:
Interest on bank balances
Rent . . . ■ .
Cash Account.
Receipts.
$235 00
51 92
17 50
$33,838 03
87,231 00
$18 42
883 27
133 88
84 03
99 82
70 00
304 42
53 99
252 04
$1,022 67
1,435 00
Total income
Maintenance.
Balance from previous year, brought forward
Appropriation, current year .....
Total
Expenses (as analyzed below) . .
Balance reverting to Treasury of Commonwealth
department
Personal Services:
Dr. William A. Bryan, Superintendent
Medical .
Administration
Kitchen and dining-room service
Domestic
Ward service (male)
Ward service (female)
Industrial and educational
Engineering department
Repairs .
Farm
Stable, garage and grounds
Religious Instruction:
CathoUc ......
Hebrew ......
Protestant .....
Travel, transportation and office expenses
Advertising
Postage ....
Printing and binding
Printing annual report
Stationery and office supplies
Telephone and telegraph .
Travel ....
Official bond .
Food:
Flour
Cereals, rice, meal, etc.
Bread, crackers, etc.
Peas and beans (canned and dried)
Macaroni and spaghetti
Potatoes ....
Meat .....
Fish (fresh, cured and canned) .
Butter .....
Analysis of Expenses.
$121,069 03
237 37
1,899 87
2,457 67
$125,663 94
$12,695 85
765,172 77
$777,868 62
740,761 33
$37,107 29
$4,350 00
21,306 85
25,177 18
20,919 07
34,860 35
85,812 16
92,779 84
5,586 74
34,345 13
20,615 29
15,718 59
5,229 64
$366,700 84
$1,200 00
240 00
555 00
$76 79
748 00
202 93
254 30
2,023 04
2,340 16
1,803 54
52 00
$16,413 35
4,965 39
531 80
5,861 86
1,317 18
5,295 05
38,366 81
7,145 65
6,084 17
1,995 00
7,500 76
Amount carried forward . . . . . . . . . ... . 8376,196 60
12
Amount brought forward
P.D. 23.
$376,196 60
Food — Continued
Butterine, etc.
Peanut butter, etc.
Cheese .
Coffee .
Tea
Cocoa
Whole milk
Milk (condensed, evaporated, etc.)
Eggs (fresh)
Egg powders, etc.
Sugar (cane) .
Fruit (fresh) .
Fruit (dried and preserved)
Lard and substitutes
Molasses and syrups
Vegetables (fresh)
Vegetables (canned and dried)
Seasonings and condiments
Yeast, baking powder, etc.
Clothing and materials:
Boots, shoes and rubbers
Clothing (outer)
Clothing (under)
Dry goods for clothing
Hats and caps
Leather and shoe findings
Machinery for manufactiiring
Socks and smallwares
Furnishings and household supplies:
Beds, bedding, etc. .
Carpets, rugs, etc.
Crockery, glassware, cutlers, 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, games, etc. .
Entertainments . " .
Funeral e.xpenses
Ice and refrigeration
Laboratory supplies and apparatus
Manual training supplies .
Medicines (supplies and apparatus)
Medical attendance (e.xtra)
Patients boarded out
Return of runaways
School books and supplies
Tobacco, pipes, matches .
Toilet and other persona! articles
Water .....
Sewerage ....
Heat, light and power:
Coal (bituminous) .
Freight and cartage
Coal (screenings)
Coal (anthracite)
Freight and cartage
Wood
Electricity
Gas
Oil .
Operating supplies for boiler 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 ....
Cows ....
Other live stock
58,719 68
2,022 29
1,683 83
3,332 43
1,329 47
40 51
77 79
958 92
7,371 60
2,319 56
8,473 77
1,850 42
8,135 89
2,319 42
1,034 00
3,450 68
1,307 29
1,481 51
2,381 10
52,985 31
6,076 93
1,195 38
4,862 26
197 90
700 82
171 75
1,461 61
S10,366 54
681 35
2,913 84
981 87
1,021 26
282 30
3,431 32
7,769 37
3,392 47
1,181 60
440 20
2,707 87
$802
1,061
711
1,551
633
115
6,221
340
2,066
89
6
4,114
1,702
8,087
3,100
$15,092 64
26,456 79
3,090 39
3,414 37
2,189 22
6 17
361 47
1,277 77
558 33
1,300 50
$1,377 42
270 02
294 75
289 34
73 21
2,200 18
11,094 65
5,725 58
150 20
735 00
6,.392 34
35 00
144,271 42
17,651 96
35,169 99
30,602 97
53,747 65
Amount carried forward
$657,640 59
P.D. 23.
Amount brought forward .
Farm — Continued
Rent . . . . .
Spraying materials ....
Stable and barn supplies .
Tools, implements, machines, etc.
Trees, vines, seeds, etc.
Truck and tractor repairs and supplies
Veterinary services, supplies, etc.
Molasses .....
liime
Beet pulp .....
Garage, stable and grounds:
Motor vehicles
Automobile repairs and supplies
Fertilizers ....
Road work and materials .
Spraying materials .
Tools, implements, machines, etc.
Trees, vines, seeds, etc.
Repairs, ordinary:
Brick . .
Cement, lime, crushed stone, etc
Electrical work and supplies
Hardware, iron, steel, etc.
Labor (not on pay roll)
Lumber, etc. (including finished
Paint, oil, glass, etc.
Plumbing and supplies
Steam fittings and supplies
Tools, machines, etc.
Boilers, repairs
Dynamos, repairs
Engines, repairs
13
$657,640 59
products)
Repairs and renewals:
Retubing boiler
Co 2 recorders .
Plumbing L-1-2-3-4
Plumbing S-1-2-3-4
Screens, main hospital
Relay floor, H-1-2-3-4
Relay floor, A-1-2-3-4
Relay floor, 2d floor, laundry
Repairs to roof, main hospital
Repairs to porch, main hospital
Blacksmith shop
Unit drive for drying tumbler
Roto flue cleaner, boiler room
Press, laundry
Trucks ....
Pipe threading machine .
Master key system .
Screens, Summer Street
Repairs to roof. Summer Street
Fence, Summer Street
Food carts. Summer Street
Hand stoker .
$437 70
43 83
115 83
572 22
1,224 66
312 53
589 16
342 90
221 00
720 00
$1,394 64
2,487 92
9 21
214 03
4 51
357 76
248 67
$217 30
423 10
1,025 77
1,703 61
119 88
2,778 98
6,895 75
2,463 46
1,235 67
490 15
800 00
62 18
458 62
$522 46
645 00
3,875 19
3,875 94
490 00
539 00
402 86
294 00
4,601 32
1,465 34
481 26
857 50
107 80
406 70
269 71
684 18
646 90
365 94
1,494 23
745 09
786 99
2,956 80
33,217 52
4,716 74
18,674 47
26,512 01
Total expenses for maintenance . . . . . . . . . . $740,761 33
Special Appropriations.
Balance December 1, 1923 .
Appropriations for current year ....
Total
Expended during the year (see statement below)
Reverting to Treasury of Commonwealth
Balance November 30, 1924, carried to next year
$470 00
35
$470 35
8,000 00
$8,470 35
470 35
$8,000 00
Object.
Act or
Resolve.
Whole
Amount.
Expended
during
Fiscal
Year.
Total
expended
to Date.
Balance
at end of
Year.
Remodeling heating system
Additional fire protection
Chap. 126, Acts 1922
Chap. 510, Acts 1924
5,114 24
?,000 00
$470 00
11,114 24
$470 00
B,113 89
$0 35*
8,000 00
$3,113 89
$8,000 35
* Balance reverting to treasury of the Commonwealth
Balance carried to next year ....
Total as above ......
$0 35
8,000 00
$8,000 35
14
P.D. 23.
Per Capita.
During the year the average number of inmates has been 2,160.30.
Total cost for maintenance, $740,761.33.
Equal to a weekly per capita cost of $6.5941.
Receipt from sales, $1,899.87.
Equal to a weelily per capita of $.0169.
All other institution receipts, $123,764.07.
Equal to a weekly per capita of $1.1017.
Net weekly per capita, $5.4755.
Respectfully submitted,
JESSIE M. D. HAMILTON, Treasurer.
VALUATION.
November 30, 1924.
Real Estate.
Land (589 acres)
Buildings .
Personal Property.
$416,357 00
2,185,674 26
$2,602,031 26
Travel, transportation and office supplies
Food ....
Clothing and materials
Furnishings and household suppl
Medical and general care .
Heat, light and power
Farm ....
Garage, stable and grounds
Repairs ....
Real estate
Personal property
Summary.
$8,137
19
20,845
37
18,906
31
254,379
58
21,081
93
37,324
37
29,464
87
10,118
17
33,959
86
$434,217 65
STATEMENT OF FUNDS.
Patient's Fund.
$2,602,031 26
434,217 65
$3,036,248 91
Balance on hand November 30, 1923 .......
Receipts ...........
Interest ............
$12,434 12
10,545 57
467 62
$23,447 31
12,065 68
Refunded ...........
Interest paid to State treasury ........
. $11,598 06
467 62
$2,000 00
2,000 00
2.000 00
2,000 00
3,167 37
214 26
Investment.
Worcester County Institution for Savings . . . .
Worcester Five Cents Savings Bank .......
Worcester Mechanics Savings Bank .......
People's Savings Bank .........
Balance Worcester Bank and Trust Company . . . . .
Cash on hand December 1, 1924 .......
$11,381 63
$11,381 63
$1,658 93
66 75
Lewis Fund.
Balance on hand November 30, 1923 .......
Income ............
$1,593 43
65 50
Expended for entertainments, etc. .......
$926 36
600 00
65 82
Investment.
American Telephone and Telegraph Company collateral trust 4% bond .
Fourth Liberty Loan Bonds ........
Balance Worcester Bank and Trust Company .....
$1,592 18
$1,592 18
$6,653 25
394 35
Wheeler Fund.
Balance on hand November 30, 1923 .......
Income ............
$6,387 99
265 26
Jlxpended for entertainments, etc. .......
$6,258 90
$712 50
4,000 00
1,300 00
246 40
$6,258 90
$1,196 00
35 00
$1,149 25
46 75
$1,100 00
61 00
$1,161 00
$1,161 00
P.D. 23. 15
Investment.
American Telephone and Telegraph Company collateral trust 4% bond
Second Liberty Loan Converted Bonds ......
Fourth Liberty Loan Bonds . . . . .
Balance Worcester Bank and Trust Company .....
Manson Fund.
Balance on hand November 30, 1923 . . . . . ■ .
Income ............
Expended for entertainments ........
Investment.
Fourth Liberty Loan Bonds ........
Balance Worcester Bank and Trust Company
Respectfully submitted
JESSIE M. D. HAMILTON, Treasurer.
Nov. 30, 1924.
N. B. — The values assigned to the above securities are their respective purchase
prices.
STATISTICAL TABLES.
Table 1. — General Information.
1. Date of opening as an institution for the insane: Jan. 18, 1833.
2. Type of institution: State.
3. Hospital plant:
Value of hospital property:
Real estate, including buildings $2,602,031 26
Personal property ........... 434,217 65
Total $3,036,248 91
Total acreage of hospital property, 589.16.
Acreage under cultivation during previous year, 149.50.
4. Medical service: ^"" •"•
Superintendent ......... 1 - 1
Assistant physicians ........ 12 - 12
Medical internes ......... - - -
Dentist 1 - 1
Total physicians ........ 14 - 14
5. Employees on pay roll (not including physicians) :
M. F. T.
Graduate nurses ......... 1 30 31
Other nurses and attendants 108 82 190
All other employees ........ 95 81 176
Total employees . 204 193 397
6. Patients employed in industrial classes or in general hospital work "^- * •
on date of report 660 741 1,401
7. Patients in institution on date of report (excluding paroles) . . 1,018 1,095 2,113
Table 2. — Financial Statement.
See treasurer's report for data requested under this table.
16
P.D. 23.
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18 P.D. 23.
Table 4. — Nativity of First Admissions and Parents of First Admissions.
Parents of I
PAKENTe
Patients
Male
OF Female
Patients
.
Patients
.
Nativity.
M.
F.
T.
M.
F.
T.
M.
F.
T.
United States ....
108
80
188
50
47
97
34
35
69
Albania . . . . ■
1
_
1
1
1
2
-
-
-
Armenia
3
-
3
3
3
6
—
-
—
At sea .
1
-
1
—
-
-
-
-
—
Azores
2
-
2
2
2
4
-
-
—
Austria
1
1
2
—
—
—
1
1
2
Canada
28
25
53
42
45
87
30
32
62
Denmark
3
-
3
3
3
6
-
-
-
England
4
2
6
8
7
15
7
5
12
Finland
2
4
6
3
3
6
5
5
10
France
1
-
1
—
-
—
-
-
-
Germany
3
-
3
4
3
7
3
3
6
Greece
3
2
5
3
3
6
1
1
2
Ireland
23
30
53
39
38
77
46
48
94
Italy
13
2
15
13
13
26
3
3
6
Judea
1
—
1
1
1
2
-
-
—
Mexico
1
—
1
1
1
2
-
-
-
Norway
1
2
3
1
1
2
2
2
4
Philippine
sland
s
-
-
-
1
1
2
-
-
—
Poland
11
3
14
13
13
26
3
3
6
Portugal
-
-
-
-
-
-
2
2
4
Roumania
1
-
1
1
1
2
-
—
-
Russia
9
2
11
12
12
24
4
4
8
Scotland
1
-
1
3
1
4
-
—
-
Spain
2
—
2
2
2
4
—
-
—
Sweden
3
4
7
7
7
14
5
5
10
Turkey in Europe
—
-
-
—
—
-
1
1
2
West Indies
2
-
2
2
2
4
-
-
-
Total foreign born
120
77
197
165
163
328
113
115
228
Unascertained
1
1
2
14
19
33
11
8
19
Grand
totals
229
158
389
229
229
458
158
158
316
Table 5. — Citizenship of First Admissions.
M.
F.
T.
Citizens by birth .........
Citizens by naturalization . .
Aliens ...........
Citizenship unascertained ........
108
30
84
7
80
19
42
17
188
49
126
24
Totals
229
158
387
P.D. 23.
19
Table 6. — Psychoses of First Admissions.
Psychoses.
M.
F.
T.
M.
F.
T.
1.
Traumatic, total . . . . . . . 1
_
_
-
_
_
_
2.
Senile, total
-
-
-
11
8
19
Simple deterioration .
9
2
11
-
-
-
Paranoid types
1
6
7
-
-
-
Pre-senile type .
1
-
1
—
-
-
3.
With cerebral arteriosclerosis
-
-
-
26
23
49
4.
General paralysis
—
-
-
28
9
37
5.
With cerebral syphilis .
—
-
-
1
-
1
6.
With Huntington's chorea
—
-
—
-
-
-
7.
With brain tumor
-
-
-
-
-
-
8.
With other brain or nervous (
liseases, total
-
-
-
5
-
5
Multiple sclerosis
3
-
3
-
-
-
Encephalitis lethargica
2
-
2
-
-
-
9,
Alcoholic, total
-
-
-
24
2
26
Pathological intoxication
2
2
4
-
-
-
Delirium tremens
3
-
3
-
—
—
Acute hallucinosis
11
-
11
-
—
-
Acute paranoid type
4
-
4
-
-
-
Chronic paranoid type
2
-
2
—
-
—
Alcoholic deterioration
2
—
2
—
-
-
10.
Due to drugs and other exogenous toxins, total
Opium (and derivatives), cocaine, bromides, chlora
1,
-
~
~
1
~
1
etc., alone or combined ....
1
-
1
—
-
-
11.
With pellagra .....
-
-
-
—
-
—
12.
With other somatic diseases, total .
-
-
-
4
6
10
Exhaustion dehrium ....
4
5
9
-
-
-
Cardio-renal disease ....
—
1
1
-
-
—
13.
Manic-depressive, total
-
—
-
12
18
30
Manic type .....
6
8
14
-
-
-
Depressed type ....
6
8
14
-
-
-
Mixed type .....
-
2
2
-
—
-
14.
Involution melancholia
—
—
-
5
10
15
15.
Dementia prsecox, total
-
—
-
40
28
68
Paranoid type .....
12
14
26
-
-
-
Katatonic type ....
8
6
14
-
—
-
Hebephrenic type ....
15
7
22
-
—
-
Simple type .....
5
r
6
-
-
—
16.
Paranoia and paranoid conditions
-
-
-
2
8
10
17.
Epileptic, total .....
-
-
-
1
-
1
Epileptic, clouded states .
1
-
1
-
-
-
18.
Psychoneuroses anu neuroses, total
-
-
-
1
1
2
Hysterical type ....
1
-
1
-
-
-
Anxiety neuroses ....
-
1
1
-
-
-
19.
With psychopathic personality
-
-
-
1
2
3
20.
With mental deficiency
-
-
-
2
7
9
21.
Undiagnosed .....
-
-
-
51
27
78
22.
Without psychosis, total . .
-
-
-
14
9
23
Alcoholism .....
1
-
1
—
-
—
Psychopathic personality .
5
2
7
-
-
-
Mental deficiency ....
6
6
12
-
-
—
Others, Encephalitis lethargica .
2
-
2
-
-
-
Totals .
229
158
387
20 P.D. 23.
Table 7. — Race of First Admisnons classified with Reference to Principal Psychoses.
Race.
Total.
Senile.
With
Cerebral
Arterio-
sclerosis.
General
Paealysis.
With
Cerebral
Syphilis.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
African (black)
Armenian .
English
Finnish
French
German .
Greek
Hebrew
Irish .
Italian
Lithuanian
Mexican .
Portuguese
Scandinavian
Scotch
Slavonic
Spanish
West Indian
Mixed
Race unascertain
Totals
ed
4
3
18
3
26
4
4
6
39
13
7
1
2
11
2
14
2
2
62
6
229
12
5
24
3
2
47
3
2
2
7
6
40
5
158
4
3
30
8
50
7
6
6
86
16
9
1
4
18
2
20
2
2
102
11
387
5
1
1
4
11
1
2
3
2
8
6
2
1
4
6
19
1
3
2
3
2
1
13
1
26
3
2
6
10
2
23
4
5
2
9
2
1
23
3
49
1
6
1
3
2
1
1
1
2
1
1
1
1
6
28
1
1
1
3
1
2
9
1
1
7
1
1
6
2
1
1
1
3
1
1
1
1
8
37
1
1
-
I
1
Table 7. — Race of First Admissions classified with Reference to Principal
Psychoses — Continued .
Race.
With Other
Brain or
Nervous
Diseases.
Alcoholic.
Due to
Drugs
AND Other
Exogenous
. Toxins.
With
Other
Somatic
Diseases.
Manic-
Depbessive.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
African (black)
Arinenian .
English
Finnish
French
German
Greek
Hebrew
Irish
Italian
Lithuanian
Mexican .
Portugese .
Scandinavian
Scotch
Slavonic .
Spanish
West Indian
Mixed
Race unascertain
Totals
ed
2
1
1
1
5
-
2
1
1
1
5
1
1
1
8
3
1
1
5
1
2
24
1
1
2
1
1
1
9
4
1
1
5
1
2
26
1
1
-
1
1
1
1
1
1
4
1
1
1
1
2
6
1
1
2
1
1
3
1
10
1
3
1
3
4
12
3
3
1
3
2
2
2
2
18
4
6
2
3
5
2
6
2
30
P.D. 23.
Table 7.
21
-Race of First Admissions classified with Reference to Principal
Psychoses — Continued.
Race.
Involution
Melan-
cholia.
Dementia
Precox.
Paranoia
AND
Paranoid
Conditions.
Epileptic.
PSYCHO-
NEUBOSEa
AND
Neuroses.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
African (black)
Armenian .
EngUsh
Finnish
French
German
Greek
Hebrew
Irish
Italian
Lithuanian
Mexican .
Portuguese
Scandinavian
Scotch
Slavonic .
Spanish
West Indian
Mixed
Race unascertain
Totals
ed
2
1
2
5
1
2
2
3
1
1
10
1
2
2
5
1
1
1
2
15
1
6
1
3
1
3
7
3
1
2
1
10
1
40
1
5
11
1
2
1
1
6
28
1
6
2
8
1
3
18
4
1
2
3
2
16
1
68
2
2
1
1
2
3
1
8
1
1
4
3
1
10
1
1
-
1
1
1
1
1
1
1
2
Table 7. — Race of First Admissions classified with Reference to Principal
Psychoses — Concluded.
Race.
With
Psychopathic
Personality.
With Mental
Deficiency.
UNDIAQNOaED.
Not Insane.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
African (bis
Armenian
English
Finnish
French
German
Greek
Hebrew
Irish
ItaUan
Lithuanian
Mexican
Portuguese
Scandinavi
Scotch
Slavonic
Spanish
West India
Mixed
Race unasc
ick) .
an
n
ertain
ed
1
1
1
1
1
1
1
1
1
2
1
2
1
1
3
2
2
1
1
1
4
1
1
2
10
4
1
1
6
1
13
2
1
3
1
1
11
1
2
1
6
3
1
1
1
7
2
2
2
21
5
1
3
7
1
19
2
1
1
2
2
1
2
4
1
1
1
1
6
2
1
3
2
2
2
10
1
Totals
1
2
3
2
7
9
51
27
78
14
9
23
22 P.D. 23.
Table 8. — Age of First Admissions classified with Reference to Principal Psychoses.
Psychoses.
Total.
Under 15
Years.
15-20
Years.
20-25
Years.
25-30
Years.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
1. Traumatic ....
2. Senile ....
3. With cerebral arteriosclerosis .
4. General paralysis .
5. With cerebral syphilis .
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nervous disease
9. Alcoholic ....
10. Due to drugs or other exogenou
toxins ....
11. With pellagra
12. With other somatic diseases .
13. Manic-depressive .
14. Involution melancholia
15. Dementia prB3cox
16. Paranoia or paranoid condition
17. Epileptic ....
18. Psychoneuroses and neuroses
19. With psychopathic personality
20. With mental deficiency
21. Undiagnosed.
22. Without psychoses
Totals ....
s
3
11
26
28
1
5
24
1
4
12
5
40
2
1
1
1
2
51
14
229
8
23
9
2
6
18
10
28
8
1
2
7
27
9
158
19
49
37
1
5
26
1
10
30
15
68
10
1
2
3
9
78
23
387
-
1
1
1
1
1
3
1
1
6
12
2
1
3
1
5
1
1
1
6
15
1
4
7
1
3
2
18
1
3
2
2
3
11
1
5
10
1
2
5
5
29
3
1
2
2
14
13
2
37
2
3
6
1
5
2
19
3
1
2
2
5
20
1
18
4
56
Table 8. — Age of First Admissions classified with Reference to Principal
Psychoses — Continued .
Psychoses.
30-35
Years.
35-40
Years.
40-45
Years.
45-50
Years.
50-55
Years.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
1. Traumatic ....
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis .
5. With cerebral syphilis .
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nervous disease
9. AlcohoUc ....
10. Due to drugs or other exogenou
toxins ....
11. With pellagra
12. With other somatic diseases .
13. Manic-depressive .
14. Involution melancholia .
15. Dementia prtecox .
16. Paranoia or paranoid condition
17. Epileptic ....
18. Psychoneuroses and neuroses .
19. With psychopathic personality
20. With mental deficiency .
21. Undiagnosed
22. Without psychoses
Totals ....
3
3
2
5
6
1
3
1
18
1
2
1
4
2
1
2
1
14
3
7
1
10
3
1
5
2
32
3
4
2
1
4
6
1
21
1
1
4
1
1
1
1
2
2
14
4
4
3
5
5
1
1
1
8
3
35
9
2
5
2
4
1
9
32
2
2
4
2
6
1
17
9
_
2
5
4
2
8
3
15
1
49
1
4
1
1
1
2
1
1
1
4
2
19
2
4
1
3
1
5
16
1
6
1
1
4
2
5
2
1
1
9
2
35
5
1
2
1
1
1
1
3
15
2
2
3
2
1
1
1
12
2
7
1
2
1
1
4
3
1
1
1
3
27
P.D. 23. 23
Table 8. — Age of First Admissions classified with Reference to Principal
Psychoses — Concluded .
Psychoses.
55-60
Years.
60-65
Years.
65-70
Years.
70-75
Years.
75-80
Years.
Over 80
Years.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
1. Traumatic
2. Senile
3. With cerebral arterio
sclerosis
4. General paralysis
5. With cerebral syphilis
6. With Huntington'
chorea .
7. With brain tumor
8. With other brain o
nervous diseases
9. Alcoholic .
10. Due to drugs or othe
exogenous toxins
11. With pellagra
12. With other somati
diseases .
13. Manic-depressive
14. Involution melancholii
15. Dementia praecox
16. Paranoia or paranoic
condition
17. Epileptic .
18. Psychoneuroses anc
neuroses
19. With psychopathic per
sonaMty .
20. With mental deficiencj
21. Undiagnosed
22. Without psychoses
Totals .
2
1
4
1
3
11
1
1
5
3
1
1
12
3
1
1
4
6
3
1
4
23
6
1
1
1
1
2
12
1
2
1
1
1
6
7
3
1
2
1
1
1
2
18
1
6
1
1
3
12
3
1
1
2
7
1
9
1
1
1
1
5
19
1
7
8
4
8
1
13
5
15
1
21
5
3
1
9
1
3
1
5
6
6
1
1
14
3
2
5
3
5
8
6
7
13
24
P.D. 23.
to Z
H
1 M>OTt< 1 1 1 1 IN 1 1 1 (M^ 1 1 1 1 1 N-Hrt
CO
f^;
l-H(Nllllllll|C<|i-i||ll|>-iiCl
IN
s
1 INTO-* 1 1 1 1 (^] 1 1 1 1 1 1 1 1 1 1 ,-lco.-
Oi
0
o
H
1 1 "-^CO 1 1 1 1 1 1 1 1 1 1 Tf< 1 1 1 1 1 rt 1
O:
fe
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
CO
s
1 1 '-<« 1 1 1 1 1 1 1 1 1 1 ■* 1 1 1 1 1 rt 1
O:
Oh
2 o
H
|i-it^-*l 1 l-H>o| |(NU3mt>l-<|r-i|,-iTt<
IN
fe
1 ^CO 1 1 1 1 1 1 1 1 .-HINrtM 1 1 1 r-l 1 iO(M
Oi
S
1 I'^Tt'l i Irtioi ii-ic<5iM-*l>-i| 1 lOO)
CO
CO
S
K
s w
O o
H
C> rt Ol rsi CO "-1
2
fe
rt rt iM 1-1
s
S
§
Q
H
l-*00<Oi-H| IrHiol |i-<(NCOO»CI 1 l-HtDCJ
00
6C
fe
iTfCOi-il 1 1 1 i 1 1 liMiOCC-*! 1 I.-ICO-H
I^
N
CO
s
o
'<^
CO
CO
§
1 1 lOlO^ 1 1 -HIO 1 1 rH 1 ,-lt^,-l 1 1 1 1 CCrt
"»<
iJ
H
1 C^CO-* 1 1 1 1 lO 1 1 1 1 1-1 TjH 1 1 1 1 (NQOlN
CO
(ii
1 .-IM^ 1 1 1 1 rt 1 1 1 1 -H 1 1 1 1 1 (N(Mi-i
:=!
1
§
1 .-Hrtro 1 1 1 1 TjH 1 1 1 1 1 ■* 1 1 1 1 1 0.-H
o
IN
s
H
1 a>at^<-i 1 1 lOco-H 1 ooicoooi-<(Ncoo5ooc<5
»-"}<CO a .-HCOrHCDrt t^lM
00
CO
t^
1 OOCOO 1 1 1 1 (M : 1 OOOOOOOO 1 -HiNt^l^O!
<N -^--H IN IN
00
in
o
§
1 rtCOOOrH 1 1 lC-*-H 1 ^INmOlNr-lrti-<(N-HTtl
-HiNOl IN rt -<(( lOrt
IN
l*J
oi
H
no
O
H
o
1-
^
Q
T
.5
1 -3
•.■■■■I- I-.I---
. -S • .S .o .£.§.. .§ .^1 . .
o :=•§ c 5 13 "o :2 Tjag
"S fe- fe,2 g5 = '«'a35'V-r'^--S c ^S c g
e„2g£ffi^oooa-gJ;Sgc-jae^g
"3
o
H
rtC<IM'<J'in(Ot^OClOO-iiNM'*iOtDt^OOOO-<IN
rt^_i^Mrtrt,-irtrtlNlNCM
P.D. 23.
Table 10. — Environment of First Admissions classified with Reference tc
Princiipal Psychoses.
25
Psychoses.
Total.
Urban.
Rural.
Unascer-
tained.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M
F.
T.
1. Traumatic .....
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis
5. With cerebral syphilis .
6. With Huntington's chorea .
7. With brain tumor
8. With other brain or nervous diseases
9. Alcoholic .....
10. Due to drugs and other exogenous
toxins .....
11. With pellagra ....
12. With other somatic diseases .
13. Manic-depressive
14. Involution melancholia
15. Dementia prsecox
16. Paranoia or paranoid condition
17. Epileptic .....
18. Psychoneuroses and neuroses
19. With psychopathic personality
20. With mental deficiency
21. Undiagnosed ....
22. Not insane ....
Totals
11
26
28
1
5
24
1
4
12
5
40
2
1
1
1
2
51
14
229
8
23
9
2
6
18
10
28
8
1
2
7
27
9
158
19
49
37
1
5
26
1
iO
30
15
68
10
1
2
3
9
78
23
387
10
22
23
1
5
21
1
2
11
3
36
1
1
2
42
10
191
8
19
9
2
4
15
9
23
8
1
1
5
23
6
133
18
41
32
1
5
23
1
6
26
12
59
9
1
1
1
7
65
16
324
1
4
5
3
2
1
2
4
1
1
1
9
4
38
4
2
3
1
5
1
2
4
3
25
1
8
5
3
4
4
3
9
1
1
2
2
13
7
63
-
-
-
Table 11. — Economic Condition of First Admissions classified with Reference
to Principal Psychoses.
Psychoses.
Total.
Depen-
dent.
Margi-
nal.
Comfort-
able.
Unascer-
tained.
M.
F.
T.
M. F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
1. Traumatic .....
2. Senile
3. With arteriosclerosis
4. General paralysis ....
5. With cerebral syphilis .
6. With Huntington's chorea
7. With brain tumor ....
8. With other brain or nervous diseases
9. Alcoholic .....
10. Due to drugs and other exogenous
toxins .....
11. With pellagra ....
12. With other somatic diseases .
13. Manic-depressive ....
14. Involution melancholia .
15. Dementia prsecox ....
16. Paranoia or paranoid condition
17. Epileptic .....
IS. Psychoneuroses and neuroses .
19. With psychopathic personality
20. With mental deficiency .
21. Undiagnosed ....
22. Not insane .....
Totals .....
11
26
28
1
5
24
1
4
12
5
40
2
1
1
1
2
61
14
229
8
23
9
2
6
18
10
28
8
1
2
7
27
9
158^
19
49
37
1
5
26
1
10
30
15
68
10
1
2
3
9
78
23
!87
- 1
- 1
1 -
1 -
- 1
- 1
1 1
1 -
4 5
1
1
1
1
1
1
2
1
9
7
16
14
1
5
19
3
6
3
27
2
1
1
2
31
10
148 1
6
18
7
2
2
12
9
18
5
1
4
17
6
07
13
34
21
1
5
21
5
18
12
45
7
1
2
6
48
16
255
4
10
13
4
1
1
6
2
13
1
18
3
76
1
4
2
4
6
1
9
3
1
3
9
3
46
5
14
15
4
1
5
12
3
22
3
2
3
27
6
122
1
1
-
1
1
26 P.D. 23.
Table 12. — Use of Alcohol by First Admissions classified with Reference to
Principal Psychoses.
Psychoses.
Total.
Absti-
nent.
Temper-
ate.
Intem-
perate.
Unascer-
tained.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
1. Traumatic ....
2. Senile
3. With arteriosclerosis
4. General paralysis .
5. With cerebral syphilis .
6. With Huntington's chorea
7. With brain tumor .
8. With other brain or nervous disease
9. Alcoholic ....
10. Due to drugs and other exogenous
toxins ....
11. With pellagra
12. With other somatic diseases .
13. Manic-depressive .
14. Involution melancholia .
15. Dementia prsecox .
16. Paranoia or paranoid condition
17. Epileptic ....
18. Psychoneuroses and neuroses .
19. With psychopathic personality
20. With mental deficiency .
21. Undiagnosed
22. Without psychosis
Totals ....
s
11
26
28
1
5
24
1
4
12
5
40
2
1
1
1
2
51
14
229
8
23
9
2
6
18
10
28
8
1
2
7
27
9
158
19
49
37
1
5
26
1
10
30
15
68
10
1
2
3
9
78
23
387
2
4
7
1
3
1
2
4
1
8
2
1
9
7
52
2
9
2
2
6
2
7
4
1
2
7
1
45
4
13
9
1
3
1
4
10
3
15
6
1
3
16
8
97
6
16
12
2
1
6
3
19
1
1
22
3
92
4
11
5
3
5
7
18
3
2
3
13
8
82
10
27
17
2
4
11
10
37
3
1
2
4
35
11
174
3
6
7
24
1
2
1
9
1
16
4
74
1
2
2
2
1
3
11
4
6
7
26
1
4
1
11
1
1
19
4
85
2
4
1
4
11
1
3
2
1
5
1
1
2
4
20
1
3
4
1
5
1
5
1
2
8
31
27
Q^
S
ii
si
H
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
'
(xi
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
S
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
Q
m
o
a
0
>
Q
H
1 1 ^'^ 1 1 1 l-Hl |rt| lOJI 1 l-li rt,H
05
fa
1 1 -H 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ^ 1 1 1
W
^
lllrHllll^ll-^lllMlllll -H-H
r^
a
m
02
H
1 1 1 -1 1 1 1 1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 1
ct
fa
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
S"
1 1 1 ^ 1 1 1 1 rt 1 1 1 1 1 1 1 1 1 1 1 1 1
IN
H
s
fa
1 l>t^lM 1 1 1 1 1 1 1 ^ •* <N -I" e^ 1 1 1 rtCO-H
.*
.>1<
§
1 «ot^co 1 1 1 1 M-H 1 1 1 1 1 1 1 1 1 1 c^iN
CO
S
H
1-H (N f-l f-t CC fH
•O
fa
1 1 ^lO 1 1 1 1 i-i 1 1 M03100CO 1 ^ 1 i-f*W
i
liOOiOl 1 l-^OOl IC^'*-*OOI l>-l| It^rt
«5
05
0
g
H
00
fa
1-H fH
5
§
rt CO CC
o
g
H
1 0>a>tr^'-i 1 1 lOcO-H 1 OOiOQOO— ilNMOSOOCO
1— Ttico (N .-HOT>-KOt-i t~<N
CO
fa
1 OOMOi 1 1 1 1 <N 1 1 tOOOOOOOO 1 rt (N t^ t^ O
00
S
iM
IM
»
OD
0
a
o
Ph
G
1 .2
-a .§ -^ • ^ • • •
i ;S'§ « 5 ^ ^ o «£S
■|rtli.ii1>l§ lili
t-(.Hr^rtl-lr-lr-li-li-(r-(IN(M(M
"(3
o
28
P.D. 23.
Table 14. — Psychoses of Readmissions.
Psychoses.
M.
F.
T.
M.
F.
T.
1. Traumatic, total .......
2. Senile, total
-
-
-
-
4
4
Simple deterioration .
-
3
3
-
-
-
Pre-senile type ....
-
1
1
—
-
-
3. With cerebral arteriosclerosis .
-
-
-
1
-
1
4. General paralysis ....
—
-
—
1
-
1
5. With cerebral syphilis
-
-
—
2
-
2
6. With Huntington's chorea
-
-
—
—
-
—
7. With brain tumor ....
-
-
—
-
-
-
8. With other brain or nervous diseases, tota
1
-
-
—
-
-
-
9. Alcoholic, total ....
-
-
—
6
-
6
Acute hallucinosis
3
-
3
_
_
-
Chronic paranoid type
1
-
1
—
-
-
Alcoholic deterioration
2
-
2
—
-
-
10. Due to drugs and other exogenous toxine,
total
-
-
-
-
-
-
11. With pellagra ....
-
-
—
—
-
-
12. With other somatic diseases, total .
-
—
—
-
-
-
13. Manic-depressive, total .
-
-
-
7
12
19
Manic type
6
5
11
—
—
—
Depressed type .
1
4
5
—
-
-
Mixed type
-
3
3
-
-
-
14. Involution melancholia
-
-
-
-
1
1
15. Dementia prsecox total
-
-
_
22
9
31
Paranoid type
5
4
9
-
-
-
Katatonic type .
4
2
6
-
-
—
Hebephrenic type
8
2
10
-
-
—
Senile type
5
1
6
-
-
—
16. Paranoia or paranoid condition
-
-
-
3
3
6
17. Epileptic, total ....
-
-
-
-
1
1
Epileptic, clouded states
-
1
1
-
-
—
18. Psychoneuroses and neuroses, total .
-
—
-
—
-
—
19. With phychopathic personaUty
-
-
-
2
1
3
20. With mental deficiency .
-
-
-
-
2
2
21. Undiagnosed ....
-
-
-
6
7
13
22. Without psychosis, total
-
—
-
1
3
4
Psychopathic personality
-
1
1
-
—
—
Mental deficiency
1
2
3
-
-
-
Totals
-
-
-
51
43
94
Table 15. — Discharges of Patients classified with Reference to Principal Psijchoses
and Condition on Discharge.
Psychoses.
Total.
Re-
COVEBED.
Im-
proved.
Unim-
proved.
Not
Insane.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
1. Traumatic ....
2. Senile
3. With cerebral arteriosclerosis .
4. General paralysis .
5. With cerebral syphilis .
6. With Huntington's chorea
7. With brain tumor .
8. With other brain or nervous disease
9. Alcoholic ....
10. Due to drugs and other exogenou
toxins ....
11. With pellagra
12. With other somatic diseases .
13. Manic-depressive .
14. Involution melancholia .
15. Dementia praecox .
16. Paranoia or paranoid condition
17. Epileptic ....
18. Psychoneuroses and neuroses .
19. With psychopathic personality
20. With mental deficiency .
21. Undiagnosed
22. Not insane ....
Totals ....
3
3
1
3
8
4
3
1
36
1
1
16
3
50
3
2
7
9
29
13
190
7
4
3
3
1
3
36
3
35
5
1
4
1
8
4
118
1
10
12
7
3
1
39
2
4
52
6
85
8
3
11
10
37
17
308
19
1
1
7
2
7
37
2
18
_
2
22
21
1
1
25
2
9
59
1
1
7
1
1
1
17
8
30
2
2
5
4
15
95
5
2
2
1
1
3
16
3
27
5
1
4
1
6
_
77
1
6
9
3
1
1
18
1
3
24
3
57
7
3
9
5
21
172
2
1
3
2
1
1
20
1
2
5
7
45
2
2
1
2
8
15
4
3
4
2
3
1
28
1
2
5
7
60
13
13
4
4
17
17
29
m
w o «
g§l
H
1 1 1 1 1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <-< 1 1 1
fe
1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
s
1 1 1 1 1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ^111
O
§
H
1 1 1 1 1 1 1 1 1 1 1 1 1 1 '^ -'^ 1 1 1 1 1 1 1 rt
f-ii
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
§
1 1 1 1 1 1 1 1 1 1 1 1 1 1 rt rt^ 1 1 1 1 111^
With Other
Brain or
Neuroses
Diseases.
H
lllllllll -HllrHll ^ll^ll ^111
fe
1 1 1 1 1 1 1 1 1 -H 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
^
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K w w
H
lllllllll 1 (M^ III 1 1 1 1 1 1 1 1 1 1
fe
lllllllll 1 1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 1
§
lllllllll 1 <N 1 1 1 1 1 1 1 1 1 1 1 1 1 1
►3 a
W J
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H
i-Hrt lllllll IIMIIII lll^ll Wll^
CO
P^
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I.HII1IIII IU5IIII Ill-Ill (NII-1
« R 2
Ec] ^ Ph
U H H
H
lllllllll •llllll 0)iM 1 O-^ 1 "5'-l 1 1
f^
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III!— illll Olllll ■*t^l'*"-i| -^lll
s
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1 1 1 1 1 1 1 1 (M llllll fJCO 1 IN 1 1 M^ 1 ^
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1 1 1 1 1 1 1 1 IN llllll ^Oi 1 1-- 1 1 CO 1 1 1
S
lllllllll llllll "-I-* 1 'H 1 1 1 —1 1 rH
s
p
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lllllllll llllll -llllll 1 1 1 1
fe
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•<
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n NM -1 IN IN
fe
iNl^llliN^iN -^r-rHiii ttia>'-^n i to inin^io
§
rt— l|-l-(rt||l Mt^lrH^rt CO(NM-*MI 2^'^
Causes of Death.
^ s 1 • • • •
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i 1 ^ i ?s 1
M 2 . . . s ..S ■ ■ . . 2.2 „ • • • <3 • • ^
1. .11 .Miii...|ii|.|,ii 11
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1 1^1 1 1 1- 111 -H^ 1 1 1
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352
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i-HTt<i-l I I lO COi-lT-li-l
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a, o o g*s-5 a ■-«
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P.D. 23.
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1 1 1 1 1 t i 1 <-( 1 1 1 1 t *-H 1
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1 1 1 1 1 1 1 1 ^11 1 1 1^ 1
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fe
1 1 1 1 1 l-H^ l^-H 1 1 1 1 1
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1 1 1 1 1 1 1 1 1 -
t^
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1 1 1 1 1 1 1 1 III 1 i 1 1^
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11111-11 111 11111
0
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1 1 1 1 1- 1 '
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1 1 1 1 1 1 1 1 III 1 1 1 1 1
t^
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•-.tlo«o3o3o3_t3 00J03 SosSuS
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33
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1 1 1 OO-H 1 1 OqiN 1 1 1 1 (Nrfi 1 rt 1 1 1 m-H
fa
lllcoiilll iiiiiMm:illi.-Hi
o>
§
: 1 1 lO-H 1 1 <N(M 1 1 1 1 1 -H 1 ^ i 1 1 iMrH
lO
H
1 1 1 CO 1 1 1 1 1 II ^^ 1 -* 1 1 1 1 1 1 1
(N
fa
1 1 1 ^ 1 1 1 1 1 1 1 1 1 1 Cs| 1 1 1 1 1 1 1
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§
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c.
in 2
s «
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1 1 1 1-1 1 1 1 1 1 1 1 1 1 1 TtH 1 1 1 1 1 1 1
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1 1 1 1 1 1 1 1 1 1 1 1 1 1 ^ 1 1 1 1 1 1 1
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fa
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34
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e .
00 m
ft
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-HO)tO 1 1 1 1 1 -H 1 1 1 1 1 ^ 1 1 1 1 1 1 1
00
PE^
1 OOrt 1 1 1 1 1 1 1 1 1 1 1 i-H 1 1 1 1 1 1 1
0
§
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00
Si
H
1 OOOOrt lll'-'l IIIIICOllllllNI
CO
IN
fe
1 lOin 1 1 1 1 1 1 1 1 1 1 1 M 1 1 1 1 1 -1 1
10
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1 (NM-f 1 1 1 rt 1 1 1 1 1 1 1 1 1 1 1 1 -1 1
00
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fe
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00
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si
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l-Hl-^llll^ llll(N"Olllllli
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t^
1 -H 1 ^ 1 1 1 1 1 1 1 1 1 <NTt< 1 1 1 1 1 1 1
00
§
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10
in S
h
IIICXl'HllIlN llll ^iCrt 1 1 1 1 M 1
IN
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[^
lll^-Hllll ll-H|r-lTj<|||||rt|
00
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1 1 1 t^ 1 1 1 1 N IIIII -^-H 1 1 1 1 (N 1
■*
tn H
H
1 1 1 >crq llll II rtrt^co 1 1 1 1 rt 1 1
CO
|j^
1 1 1 ^^ llll III ^rH^ 1 1 1 1 1 1 1
iC
§
1 1 1 -i'-H llll 1 1 1 1 1 N 1 1 1 1 ^ 1 1
00
§
o
1 c. o " 1 i §1 . .
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• •■C -ja m • o --a ■ ■ o --a -'S -^ o.£ • •
iit'm ' lligs SI'S
■1 Ia|il|..'.|l||||j|l 1
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ra Ct; r .T- . - .t- .'t- u ^3 -*j .t- .t- flS > S b'S 5>-^'^ c O
0
i-H N M Tjiin ;C t^ 00 0> 0 1-1 N « ■* IC CD l^ CO 02 0 '^ (N
»— 1 1— 1 1^ r-l f-H T-H f-H f-^ I-H tH C^ 0^ N
P.D. 23.
Table 18. — Total Duration of Hospital Life of Patients dying in Hospital
classified according to Psychoses.
35
Psychoses.
Total.
Less than
1 Month.
1-3
Months.
4-7
Months.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
1. Traumatic .....
2. Senile
3. With cerebral arteriosclerosia
4. General paralysis
5. With cerebral syphilis .
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nervous diseases
9. Alcoholic .....
10. Due to drugs and other exogenous
toxins .....
11. With pellagra ....
12. With other somatic diseases .
13. Manic depressive
14. Involution melancholia
15. Dementia prsecox
16. Paranoia or paranoid condition
17. Epileptic .....
18. Psychoneuroses and neuroses
19. With psychopathic personality
20. With mental deficiency
21. Undiagnosed ....
22. Not insane .....
Totals . .
1
8
24
30
2
4
8
2
7
20
1
1
3
9
2
122
19
15
9
2
1
3
7
23
4
6
2
91
1
27
39
39
4
5
8
2
10
7
43
5
1
3
15
4
213
6
4
1
2
1
1
3
18
3
1
1
5
9
4
1
2
1
1
1
4
23
2
2
4
1
1
2
1
1
14
2
3
2
2
2
11
4
5
6
1
1
4
2
1
1
25
2
4
3
1
2
1
1
14
5
3
1
2
11
7
7
4
1
2
1
3
25
Table 18. — Total Duration of Hospital Life of Patients dying in Hospital
classified according to Psychoses — Continued.
Psychoses.
8-12
Months.
1-2
Years.
3-4
Years.
5-10
Years.
M.
F.
T.
M.
F.
T.
M.
F.
T.
M.
F.
T.
1. Traumatic .....
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis
5. With cerebral syphilis .
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nervous diseases
9. Alcoholic .....
10. Due to drugs and other exogenous
toxins .....
11. With pellagra ....
12. With other somatic diseases .
13. Manic depressive
14. Involution melancholia
15. Dementia prsecox
16. Paranoia or paranoid condition
17. Epileptic .....
18. Psychoneuroses and neuroses
19. With psychopathic personality
20. With mental deficiency
21. Undiagnosed ....
22. Not insane .....
Totals
2
1
1
4
3
2
2
1
-
1
9
3
4
3
1
1
1
13
2
4
9
1
1
2
1
1
3
24
6
3
3
3
_
15
8
7
12
1
1
5
1
1
3
39
1
4
3
2
1
1
7
1
1
3
1
23
2
1
1
2
2
1
1
1
11
3
5
4
2
1
1
2
9
1
1
1
1
2
34
1
1
5
1
1
1
3
2
1
14
1
1
5
1
9
1
1
5
1
2
1
1
8
1
2
23
36 P.D
Table 18. — Total Duration of Hospital Life of Patients dying in Hospital
classified according to Psychoses — Concluded.
. 33.
Psychoses.
10-15
Yeahs.
15-20
Yeaks.
20 Years
AND Over.
M.
F.
T.
M.
F.
T.
M.
F.
T.
1. Traumatic .....
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis
5. With cerebral syphilis .
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nervous diseases
9. Alcoholic .....
10. Due to drugs and other exogenous toxins
11. With pellagra .. .' .
12. With other somatic diseases .
13. Manic-depressive
14. Involution melancholia
15. Dementia praecox
16. Paranoia or paranoid condition
17. Epileptic .....
18. Psychoneuroses and neuroses
19. With psychopathic personality
20. With mental deficiency
21. Undiagnosed ....
22. Not insane .....
1
1
1
1
5
1
1
1
1
5
1
1
1
3
1
1
1
2
2
1
1
1
1
5
2
3
6
9
Totals
4
7
11
4
7
11
3
6
9
Table 19. — Family Care Department.
M.
F.
T.
Remaining Sept. 30, 1923 .
_
19
19
Admitted within the year .
—
8
8
Nominally returned from visit for disc
large
—
4
4
Whole number ot cases within the yea
—
27
27
Dismissed within the year .
—
10
10
Returned to the institution
-
9
9
Discharged .
-
-
- .
Died ....
—
-
—
Visit ....
-
1
1
Escaped
-
-
-
Remaining Sept. 30, 1924 .
—
17
17
Supported by State
-
9
9
Private
—
5
5
Self-supporting
-
3
3
Number of different persons within th
3 year
—
26
26
Number of different persons admitted
—
7
7
Number of different persons dismissed
—
8
8
Daily average number
—
19.95
19.95
State
—
11.08
11.08
Private ....
-
5.28
5.28
Self-supporting
-
3.59
3.59
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