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Full text of "Annual report of the trustees of the State Lunatic Hospital at Taunton"

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PUBLIC DOCUMENT. 



No. 22. 



THIRTY-FIRST ANNUAL REPORT 



THE TRUSTEES 



STATE LUNATIC HOSPITAL 



AT TAUNTON, 



FOE THE YEAR ENDING SEPTEMBER 30, 1884. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1885. 



JCUMENT. No. 22. 



/ft** 

TRIETY-FIEST ANNUAL EEPOET 



THE TRUSTEES 



STATE LUNATIC HOSPITAL 



AT TAUNTON, 



FOE THE YEAE ENDING SEPTEMBEE 30, 1884_ \°\0 



/L BOSTON : 

WEIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1885. 



ft 



§0V 80 






OFFICERS 



TAUNTON LUNATIC HOSPITAL. 



TRUSTEES. 

OAKES A. AMES, ' North Easton. 

GEORGE HOWLAND, Jr., New Bedford. 

WILLIAM C. LOVERING, Taunton. 

SIMEON BORDEN, ...... Fall River. 

LeBARON RUSSELL, . . . . ' ". . Boston. 

RUTH S. MURRAY, New Bedford. 

GRACE S. BARTLETT, Taunton. 

RESIDENT OFFICERS. 

JOHN P. BROWN, M.D., Superintendent. 

WILLIAM II. GAGE, M.D., .... Assistant Physician. 

MARCELLO HUTCHINSON, M.D., . . . Assistant Physician. 

ALICE ROGERS, M.D., Assistant Physician. 

CHARLES A. DREW, M.D., . '. . . Apothecary. 

JOHN KITTREDGE, Clerk. 

RUFUS D. GODDING, Engineer. 

TREASURER. 

JOHN KITTREDGE, Taunton. 

Office at Hospital. 



Commonroealtt) of iHassacfyusetts. 



TKUSTEES' KEPOKT. 



To His Excellency the Governor and the Honorable Council. 

In presenting their thirty-first annual report, the Trus- 
tees of the Taunton Lunatic Hospital are pleased to say, 
that under the immediate management and control of our 
excellent and efficient Superintendent, Dr. John P. Brown, 
it has moved forward in its beneficent efforts for the amelio- 
ration of the condition of, and if possible, the restoration to 
soundness and health, those who have been placed under its 
salutary influences. 

There were in the hospital at the opening of the year, Oct. 
1, 1883, 633 patients ; there have been admitted during the 
year, 283, — making the whole number under treatment, 
916. Of these have been discharged, 289 : — -as recovered, 
85 ; much improved, 23 ; improved, 49 ; unimproved, 66 ; not 
insane, 1 ; died, 65. Patients remaining, Sept. 30, 1884, 
627. 

By reference to our last report it will be seen, that al- 
though the number of patients under treatment has been 
greater than the preceding year, the number of recoveries 
has been largely in excess of that year, and the number of 
deaths less ; this result is very satisfactory, and whether it 
may be attributed to the reception of a better class of pa- 
tients, or to whatever cause, it is gratifying to us to make 
so favorable a report. 

In this connection, we feel it our duty to report, that on 
the 6th of August last, a man was committed to this hospital 
from the almshouse in one of our neighboring cities, who 



6 LUNATIC HOSPITAL AT TAUNTON. [Oct. 

was in the last stage of paresis (one of the most fatal forms 
of insanity), who was also suffering from several very bad 
bed-sores. His condition was beyond the reach of medical 
aid, requiring only good nursing for a limited time, and 
which could as well have been rendered him at the city insti- 
tution. He lived twenty-four days after his committal here. 

It seemed to us like a shirking of the duty and respon- 
sibility of caring for him at home, and imposing the care 
and responsibility on the hospital. In short, that he was 
not a person requiring hospital treatment, nor dangerous to 
the community in which he lived, and ought not under the 
circumstances to have been committed to the hospital. 

In accordance with a law of the last legislature, increas- 
ing the number of Trustees in charge of the several lunatic 
hospitals in the State " to seven, two of whom at least shall 
be women," this law has been carried into effect so far as re- 
lates to this hospital. The two add tional Trustees, Mrs. 
Ruth S. Murray of New Bedford, appointed for six years, and 
Mrs. Grace S. Bartlett of Taunton, appointed for seven years, 
entered upon the discharge of their trust about one month 
before the close of the year covered by this report. They 
have given themselves to the work ; have visited the hos- 
pital several times at the regular meetings of the Board, 
going through all the wards with their male associates ; and 
they, and the old Board, are already beginning to feel that 
their labors and ministrations with the patients, not only 
with their own sex, but among the men as well, to some con- 
siderable extent, can be rendered satisfactorily to themselves 
and usefully to those among whom they are called to labor. 

The old Board extends to them a warm greeting, and is 
disposed not only to unite with them in the discharge of offi- 
cial duties, but in every way to aid and assist them in mak- 
ing their position and service agreeable to themselves, and 
successful as relates to the institution and its efforts. 

A law of the same legislature requiring the appointment 
of a woman assistant physician has been complied with. 
Upon the recommendation of our Superintendent, Dr. Brown, 
on the 13th of June last we appointed Dr. Alice Rogers, a 
graduate of the Women's Medical College of Pennsylvania, 
to the place indicated, who enteied upon her duties on the 



1884.] PUBLIC DOCUMENT — No. 22. 7 

9th of August ; since which time, as we learn from the 
Superintendent, she has fulfilled those duties to his satisfac- 
tion. 

We have long felt a deep need of having in connection 
with the hospital, some provision for the proper treatment 
of contagious diseases, should such an exigency come upon 
us, by having apartments to which patients suffering from a 
disease of that character, could be removed and cared for in 
entire isolation from the present wards of the hospital. 

We think we have discovered where we can provide our- 
selves with such accommodations by appropriating a portion 
of one of the attics on either side of the centre, and prepar- 
ing them for the reception of about fifteen patients of each 
sex. 

During the non-requirement of these rooms for the pur- 
pose indicated they would be available for other patients 
equally well, and so increase the capacity of the hospital to 
that extent. 

To carry into effect this plan, which so fully commends 
itself to our judgment, and we trust will equally commend 
itself to yours, we would respectfully ask through you of the 
coming legislature an appropriation of $2,000; which com- 
paratively small amount will, we think, with judicious ex- 
penditure, accomplish the object. 

Some twenty or more years ago, the then Trustees com- 
menced the erection of a heavy stone wall, seven feet high, 
designed to enclose, when finished, the entire hospital prem- 
ises, extending it, from time to time, as opportunity offered 
and the means at their disposal permitted, — the material 
being all procured from the land belonging to the institution. 

There have been laid up 3,650 feet in length, the outlay 
for which has been met, so far, by funds derived from re- 
ceipts for support of patients, before the reduction by the 
legislature, several years ago, of the rate charged for such 
support. Since that time the further extension of the wall 
has been stopped from necessity, until the year just closed, 
when, in consequence of the exchange of some of our land 
with the Old Colony Railroad Company (authorized by Act 
of the legislature), we were, owing to our exposed situation, 
compelled to lay up about 180 feet on either end of our west 



8 LUNATIC HOSPITAL AT TAUNTON. [Oct. 

line, to protect us somewhat from the inroads of trespassers. 
There still remain about 1,450 feet of the wall to be built, 
to connect the present termini, which we estimate will cost 
about $1,800 to complete. It is very desirable that this 
gap should be closed, that the grounds may be guarded 
against intruders, and the comfort and safety of our inmates 
be promoted. 

As we do not see in the near future any probability of an 
increase of the rates to be charged for the support of patients, 
although we" have repeatedly called the attention of your 
honorable body and also of the legislature to the subject, we 
respectfully ask the appropriation, by the legislature, of 
the before-named sum of $1,800 for that purpose. 

When, a few years ago, through the liberality of the legis- 
lature in making an appropriation for the purpose of buying 
some land on the northerly side of our premises, with a view 
to change the location of the road immediately contiguous 
thereto, and very objectionably near the hospital, to a point 
considerably removed therefrom, we fully expected, — as we 
believed we had good reasons for expecting, — that the city 
of Taunton would have joined us in the proposed change of 
location of the road, at least so far as to build the bridge 
over the stream which skirts our eastern boundary ; more es- 
pecially as the bridge over said stream, in the line of the 
road as now located, is very much dilapidated, and will very 
soon require renewal, and can be built over the stream in the 
line of the proposed new road at presumably the same cost 
as where it now is. But, in all our efforts to bring about 
such a result, we have so far been unsuccessful. 

Should further effort in that direction still prove unavail- 
ing, the whole matter of the very desirable change will be 
held in abeyance, unless we appeal to the legislature, and 
obtain a favorable response to such appeal, for an appropri- 
ation to complete the work. 

We estimate the cost of a wooden bridge, resting on stone 
abutments, with a centre pier, also of stone, will involve an 
outlay of $2,500. We, therefore, respectfully ask for such 
appropriation. 

While we consider the hospital in very excellent condition 
as a structure, — perhaps never in better order than now, — 



1884.] PUBLIC DOCUMENT — No. 22. 9 

still, to keep it up properly, constant repairs will be neces- 
sary. The floors of some of the halls and verandas will re- 
quire renewal during the coming year, for which we ask an 
appropriation of $800 ; making an aggregate of the means 
required to carry forward the several improvements contem- 
plated, of $7,100. 

Since our last report, through means granted by the last 
legislature for the purpose, we have raised the walls dividing 
the attics, which previously terminated under the roof 
boards, through, and about two feet above the roof, thu3 in- 
creasing our safety as regards fire. 

We have also, through means similarly granted, connected 
the pipes from the city water works entirely around the hos- 
pital, thus increasing the number of hydrants available for 
fire purposes, in any emergency. We have also laid a smaller 
pipe, connected with our own pump, a distance of 1,300 feet, 
for the purpose of occasionally irrigating our garden, which, 
in dry seasons, fails to mature its crops. 

The new and enlarged pump, reported last year as neces- 
sary to take the place of a worn-out one, has been procured 
and put in place, where it is doing good service. We be- 
lieve our water arrangements are now in a very complete 
and satisfactory condition. 

We have procured a lot of land, about a mile from the 
hospital, and above the introduction into the stream of all 
extraneous matter, located immediately on the edge of the 
pond, where we propose to erect a house for storing ice for 
drinking purposes, and have contracted for the erection of 
the house in season for securing the crop. The means for 
the above purpose were appropriated by the legislature of 
1882. 

Dr. Wm. H. Gage, who has been connected with the hos- 
pital for a little more than fifteen years as first assistant phy- 
sician, found it necessary, in June last, in consequence of 
the failuro of his health, to withdraw, temporarily at least, 
from active service, and is still with his friends for the pur- 
pose of recuperation, and, if possible, restoration to a condi- 
tion which will enable him to resume his duties. 

His devotion to the duties of his position has been satis- 
fac'.ory to us, and we can but express the hope that he may, 
ere long, be restored to his usual health. 



10 LUNATIC HOSPITAL AT TAUNTON. [Oct. 

Our present medical force, in addition to the Superintend- 
ent, consists of Dr. Marcello Hutchinson, who has satisfac- 
torily occupied the place of second assistant physician for 
about seven years ; Dr. Charles A. Drew, who has been with 
us for three months ; aud Dr. Alice Rogers, for two months. 

For the details of the financial status of the hospital, and 
for its more immediate everyday interior life, we refer you 
to the reports of the Treasurer and Superintendent, herewith 
presented. 

In conclusion, we commend the institution, with all its 
varied interests, to the protection of our Father in heaven, 
and to the fostering care and kind regards of the rulers of 
our own Commonwealth. 

OAKES A. AMES, 
GEORGE ROWLAND, Jun., 
WM. C. LOVERING, 
SIMEON BORDEN, 
LeBARON RUSSELL, 
RUTH S. MURRAY, 
GRACE S. BARTLETT, 

Trustees. 

Lunatic Hospital, Taunton, Oct. 17, 1884. 



1884.] PUBLIC DOCUMENT — No. 22. 11 



SUPERINTENDENT'S EEPOET. 



To the Trustees of Taunton Lunatic Hospital : 

I herewith present the thirty-first annual report of the 
operations of the hospital for the year ending Sept. 30, 1884. 

At the close of the last official year there were in the hos- 
pital 633 patients, — 297 men and 336 women. During the 
year now closed 283 were admitted : 149 men and 134 women ; 
making the total number of cases under treatment 916. 
Three persons were admitted twice, one person three times, 
and four persons, who were in the hospital at the beginning 
of the year were discharged and readmitted, which reduces 
the number of persons under treatment to 907. The daily 
average number of patients was 629.9, which was 14.4 
greater than the year before ; 289 were discharged, — 85 as 
recovered, 23 much improved, 49 improved, 66 unimproved, 
1 not insane, and 65 died. Two persons were discharged as 
recovered twice within the year. One was a case of recur- 
rent mania and one of alcoholism. The number of persons 
discharged as recovered was therefore 83. The percentage 
of recoveries was higher than it had been for several years. 
It was 30 per cent, of the admissions. Most of the recover- 
ies, as usual, were from acute mania and melancholia. The 
percentage of recoveries from acute mania, estimated on the 
number of admissions of that class, was 75. The percentage 
of recoveries, estimated on the whole number of cases of 
mania, including both acute and chronic, was 39.4. The per- 
centage of recoveries from melancholia, including both acute 
and chronic, was 34.6. It appears from an examination of 
the record of recoveries during the past five years that 53 
per cent, of the cases of acute mania admitted during that 
period have recovered, and 30 per cent, of the cases of mania, 
without reference to the duration, and 40 per cent, of the 



12 LUNATIC HOSPITAL AT TAUNTON. [Oct. 

cases of melancholia without reference to the duration. It 
appears also that 21.9 per cent, of those who were discharged 
recovered during that time, the past five years, recovered 
within three months from the beginning of the attack; 43 
per cent, within six months ; 70 per cent, within one year ; 
82 per cent, within two years ; 94 per cent, within five years 
and 98.7 per cent, within ten years. 

The death rate was lower than it has been for several years 
past, being 7.09 per cent, of the whole number of patients 
under treatment and 10.3 per cent, of the average number 
under treatment. More than one-third of the deaths was 
simply the termination of chronic cases of brain disease. In 
view of the advanced a^e of so large a number of the inmates 
it can hardly be expected, at least for some time to come, 
that the death rate will be lower than it has been the past 
year, and certainly not while the hospital continues to re- 
ceive so many as it has of the aged and moribund inmates of 
the almshouses. The sanitary condition of the institution 
has been excellent as the diminished number of deaths and 
the total exemption from all zymotic diseases would indi- 
cate. As heretofore, employment has been regarded as an 
important agent in the treatment of the patients. Besides 
the usual number who have worked on the farm and in other 
places about the buildings and grounds, about thirty men have 
been employed in the brush shop, drawing brushes. This 
industry was commenced during the past year, and has 
proved very successful in being especially adapted to the 
capacity of a large number of the inmates. Most of the men 
like the work and prefer it to being on the wards. Many of 
the women, as usual, have been employed in the sewing room, 
and considerable knitting and sewing have been done on the 
wards under the care and direction of a special attendant. 
A list of articles manufactured in the sewing room and on 
the wards will be found in the appendix. Since the last re- 
port most of the improvements for which an appropriation 
was made by the legislature, have been completed. The six- 
inch water pipe, connected with the city water-works, has 
been continued round the buildings and four more hydrants 
set, making 11 hydrants in the complete circuit of the build- 
ings. A fuur-inch iron pipe has been laid from one of the 



1884.] PUBLIC DOCUMENT — No. 22. 13 

hydrants connected with the steam pumps, to the vegetable 
garden, thus providing the means of irrigating the garden by 
simply the cost of pumping from Mill River. A new 
Knovvles steam fire pump has been procured and set in 
place of one of the old pumps. It works very satisfactorily, 
lifting five and one-half gallons of water per stroke and 
under full pressure will easily throw an inch and a quarter 
stream over the domes of the buildings. The fire walls in 
the attic have been extended through the roof and the brick 
wall separating the central dome from the attic rooms in the 
front centre, has been built. All the exterior wood-work of 
the buildings has been painted and the walls of four of the 
wards. The piggery has been repaired and greatly im- 
proved. The walls from the sills to the bottom of the win- 
dows, which were greatly decayed, have been removed and 
rebuilt with bricks and all the pens rebuilt with the same 
material. The stone foundation for the ice house has been 
completed and the building put under contract to be finished 
on or before the 10th of December. The sum of $3,600, 
which was appropriated by the last legislature for building a 
new street across the northerly line of the land recently pur- 
chased by the hospital for that purpose, has not been ex- 
pended, as the city of Taunton has not yet decided to lay 
out the street, and it being doubtful whether it will decide 
to do so unless the hospital incurs the whole expense of its 
construction, including the bridge across Mill River, I 
would recommend that you ask of the legislature a further 
appropriation of $2,500 to build the bridge, and insure the 
laying out and completion of the street. To any one familiar 
with the location of the hospital, it is hardly necessary to refer 
to the great benefit which would accrue to the institution, were 
the change of Danforth Street completed as contemplated. It 
would remove at once the present exposure of the women 
patients to the morbid gaze of the curious idlers who 
throng Danforth Street on Sundays, and at the same time 
would greatly improve the grounds in the rear of the 
hospital by opening a wide territory between the buildings 
and the street, which could be made highly ornamental and 
useful. 

The exchange of land with the Old Colony Railroad Com- 



14 LUNATIC HOSPITAL AT TAUNTON. [Oct. 

pany, as authorized by the legislature of two years ago, has 
been completed and the deeds passed. About 182 feet of 
wall has been built at the southwest corner of the farm, 
beginning at the proposed new entrance, and 186 feet at the 
northwest corner, on the line between the land of the Old 
Colony Railroad Company and the hospital. About 1,450 
feet remain to be built to complete the wall on the west side 
of the farm. To do this would cost about $1,800, and I 
would recommend that you ask for an appropriation to 
cover the expense, that it may be completed within the 
next year. It is very desirable that it should be done soon, 
as that side of the farm is every year increasingly exposed 
to trespassers, who come in to steal the crops and run over 
the grounds. 

New floors will need to be laid soon in three of the dining- 
rooms on the male side of the house, and in portions of two 
of the female wards. Also some of the veranda floors need 
repairing, the whole cost of which will be about $800. 

Every hospital for the insane should have one or more 
infirmaries, so constructed that patients suffering from cou- 
tagious diseases can be isolated. This hospital has never 
had rooms suitable for such a purpose. Two very good 
rooms could be finished in the attics, at a very moderate 
expense compared with the results secured. When not 
used as infirmaries they could be occupied as dormitories, 
and without crowding would accommodate about thirty 
patients, which would increase the capacity of the hospital 
to that extent. The estimated cost of finishing both 
would be $2,000. To cover the expense of these several 
improvements to the buildings and grounds, I recom- 
mend that you ask of the legislature an appropriation of 
$7,100. The finances have improved somewhat during the 
past year, and the hospital now has a fair working surplus, 
which enables it to pay cash for most of its purchases ; but 
this should not be lessened by expenditures for repairs 
and improvements, however necessary, which ought more 
properly to be made by the State. 

The report of the Treasurer shows the total current 
expenses of the hospital, exclusive of the extraordinary 
expenses, to have been $121,081.83. The average number 



1884.] PUBLIC DOCUMENT — No. 22. 15 

of patients has been 629.9. The apparent average weekly 
cost of each patient has therefore been $3.70, which is 
higher by 27 cents than it was the year before. The differ- 
ence is to be explained by the fact that the bills against the 
hospital, by reason of the increase in the surplus, have been 
paid more closely. The liabilities at the end of the current 
year were less than they were at the close of the year before, 
by $8,025.34. The actual cost per week has probably been 
less, as the average number of patients has been greater, and 
the cost of most supplies has been less, than during the 
preceding year. 

Acknowledgments, as heretofore, are due the editors of 
the " Daily Mercury," "The Old "Colony Memorial," and 
the " Gospel Banner," for sending their papers to the hospi- 
tal free of charge. To the Hon. Geo. Rowland, Jr., for 
one year's subscription for the " Friends' Review," and to 
Mrs. Edward Shattuck, for several volumes of " Harper's 
Magazine," and " St. Nicholas." The usual number and 
variety of entertainments have been given to the patients, 
and most of them by members of our own household, to 
whom much credit is due, as it was all a labor of love, freely 
given, in addition to their usual duties. Friends from the 
city and elsewhere have also kindly contributed in the same 
direction to the happiness of the inmates and helped to 
enliven the monotony of hospital life, to whom many thanks 
are due. The Bristol County Agricultural Society, as in 
former years, extended to the residents of the hospital free 
admission to its grounds during its recent Fair. 

Some changes have occurred in the medical staff, which 
may be mentioned in this report. Dr. Alice Eogers, a 
graduate of the Woman's Medical College of Pennsylvania, 
has been appointed Assistant Physician, and entered upon 
her duties August 9. Dr. Gage was obliged to give up his 
work June 18, on account of serious illness, and was granted 
leave of absence from the hospital for six months. The 
position of Apothecary was filled by Dr. J. E. Kenney 
from December to July of the present year, when he left 
to accept the appointment of Assistant Physician in the 
Government Hospital for the Insane, at Washington, D. C. 
Dr. C. A. Drew succeeded Dr. Kenney as Apothecary, aud 



16 LUNATIC HOSPITAL AT TAUNTON. [Oct. 

in the absence of Dr. Gage, has performed some of the 
duties of Assistant Physician. 

Miss Hersey, the senior female Supervisor, returned to her 
work in June, much improved in health after an absence of 
nearly a year. The labors of the officers remaining on duty 
have been more arduous by reason of the enforced absence 
of those mentioned and the crowded condition of the 
hospital. 

Grateful acknowledgments are due to all associated with 
me for cordial and efficient service in the care of the patients, 
and in the general affairs of the institution. Thanking the 
Board for its cheerful and generous support, and the untir- 
ing interest it has manifested in all the affairs of the hospital, 
this report is 

Respectfully submitted. 

J. P. BROWN, 

Superintendent. 



1884.] 



PUBLIC DOCUMENT — No. 22. 



17 



LNTENTOKY OF STOCK AND SUPPLIES 

On Hand Sept. 30, 1884. 



Live stock on the farm, .... 

Produce of the farm on hand, . " . 

Carriages and agricultural implements, 

Machinery and mechanical fixtures, . 

Beds and bedding in inmates' department, . 

Other furniture in inmates' department, 

Personal property of the State in the Superintendent' 

department, . 
Dry goods, . 
Provisions and groceries, 
Drugs and medicine, 
Fuel, .... 
Library, .... 



$4,100 00 


1,210 00 


2,315 


00 


37,000 


00 


16,127 


00 


7,762 


99 


s 




10,041 


92 


4,802 


82 


2,956 


95 


600 00 


1,000 


00 


600 


00 



5,516 68 



18 



LUNATIC HOSPITAL AT TAUNTON. 



[Oct. 



TREASURER'S REPORT. 



I respectfully submit the following report of the finances 
of this institution for the year ending Sept. 30, 1884, to the 
Trustees : — 



139 acres of land, . 
Hospital building, . 
Brick barn and stable, . 
Laundry building, . 
Other buildings and wall, 



Assets. 



$34,800 00 

275,000 00 

8,000 00 

8,000 00 

7,000 00 



$332,800 00 



Personal Estate. 

Stock and supplies on hand as per inventory appended to 
the Trustees 1 report, 



Receipts. 

Received from the State Treasurer, 
from towns, . 
from individuals, . 
from sale of bonds, 
from sales, 



Payments. 

Cash due the Treasurer Oct. 1, 1883, . 
1st. Salaries, wages and labor, . 
2d. Provisions and supplies, etc. : — 

Meats of all kinds, . 

Fish of all kinds, 

Fruit and vegetables, 

Amounts carried forward, 



88,516 68 





$121,316 68 




$20,182 28 




85,864 97 




12,674 20 




4,905 00 




1,536 44 




$125,162 89 




$28 50 


. 


32,081 14 


$9,915 53 




2,602 82 




1,727 13 




$14,245 48 


$32,109 64 



1884.] 



PUBLIC DOCUMENT — No. 22. 



19 



Amounts brought fonvard, 
Flour and bread, 
Grain and meal for table, 
Grain and meal for stock, 
Tea, coffee and broma, . 
Sugar and molasses, 
Milk, butter and cheese, . 
Salt and other groceries, . 

3d. Clothing, .... 
4th. Fu<d and light, 
5th. Medicines and medical supplies, 
6th. Furniture, beds and bedding, 

Transportation, . 

Ordinary construction and repair 



7th 

8th 
9th. 
10th. Miscellaneous expenses, 



s, 



Extraordinary construction and repair 



Liabilities. 



Salaries and wages due Oct. 1, 1884, 
Miscellaneous bills due, 



Due the institution for board Oct. 1, 1881 
From towns, . 

State, 

individuals, .... 
Cash ou hand Sept. 30, 1881, 



i 14,245 48 
9,524 12 
312 15 
2,215 54 
2,091 78 
4,593 92 

10,694 15 
6,931 09 



52,109 64 



Summary. 



Total receipts, 
Total payments, 



50,611 23 
7,856 65 

11,642 34 
2,026 72 
5,533 01 
464 20 
5,517 67 
1,695 93 
5,320 37 

122,777 76 



$3,515 27 
10,409 04 

$13,924 31 

$20,506 10 
5,904 16 
4,018 31 
2,385 13 

$32,813 70 



^125,162 89 
122,777 76 

$2,385 13 



Total liabilities, 

Total debts due the institution, 



Total expenditures, 



$13,924 31 
32,813 70 

$18,889 39 

$122,777 76 



Dividing this sum by 630, the average number of patients, 

we have the annual cost of each patient, . . . $194 89 

And the average weekly cost of $3 75 



20 LUNATIC HOSPITAL AT TAUNTON. [Oct. 

Deducting from the current expenditures, .... $122,777 76 
The extraordinary construction and repairs, . . . 1,695 93 



1121,081 83 



Dividing $121,081.83 by 630, the average number of pa- 
tients, we have the annual cost of each patient, . . $192 19 
And the average weekly cost of $3 70 

JOHN KITTREDGE, Treasurer. 



Taunton Lunatic Hospital, Oct. 17, 1884. 
Tbe undersigned have this day examined the foregoing account and find it correct. 

GEO. HOWLAND, Jun. 
WILLIAM C. LOVERING. 






1884.] 



PUBLIC DOCUMENT — No. 22. 



21 



FINANCIAL STATEMENT. 



Of the appropriation made by the legislature of 1881 
and 1882, for purchase of land : — 



Amount of appropriation, . 

Amount drawn previous to January 1, 1884, 



Amount not used, 



Taunton, Sept. 30, 1884. 



$10,000 00 
9,490 65 

$509 35 



JOHN KITTREDGE, 

Treasurer. 



Of the appropriation made by the legislature of 1882 
and 1883, for laying floors, water-pipe and hydrants, pur- 
chase of new fire-hose, new heater and piping, new ice- 
house : — 



Amount of appropriation, .... 


. 


$5,500 00 


11 Amount drawn to date, viz., — 








$500 00 




water-pipes and hydrants, 


1,500 00 




new fire-hose, 


500 00 




new water-heater and supply pipe, 


2,000 00 




purchase of land for ice-house, 


300 00 








4,800 00 






Balance of appropriation, 




$700 00 


JOHN ] 


HTTREDGE, 




Tr 


easurer. 



Taunton, Sept. 30, 1884. 



22 LUNATIC HOSPITAL AT TAUNTON. [Oct. 

Of the appropriation made by the legislature of 1883 
and 1*84 : — 

Amount of appropriation, $10,230 00 

Amount drawn to date, viz., — 
For painting outside wood work, . • . .. . $1,688 29 
extension of water-pipes, .... 1,300 00 
further protection against fire, . . . 1,257 75 
new pump for distribution of water in case 

of fire 730 00 

4,976 04 



Balance of appropriation, $5,253 96 

JOHN KITTREDGE, 

Treasurer. 
Taunton, Sept. 30, 1884. 



1884.] 



PUBLIC DOCUMENT — No. 22. 



23 



LIST OF PERSONS 



Employed at the Taunton Lunatic Hospital, Sept. 30, 1884. 



Superintendent and Physician, 

First Assistant Physician, . 

Second Assistant Physician, 

Female Physician, 

Treasurer and Clerk, 

Apothecary, 

Supervisor (male), . 

Supervisor (female),. 

Engineer, .... 

Assistant Supervisor (male), 

Assistant Supervisor (female) , 

Baker, 

Assistant Baker, 

Coachman, . 

Gardener, . 

Night-watch (male), 

Night-watch (female) 

Fireman, . 

Fireman, . 

Upholsterer and Clerk, 

Stable hand, 

Stable hand, 

Farm hand, 

Farm hand, 

Farm hand, 

Farm hands (4), 

Brush-maker, 

Store-keeper, 



(per 



(per month) 



year) $2,500 00 
1,500 00 
1,000 00 
600 00 
1,200 00 
300 00 
500 00 
400 00 
83 33J 
28 00 
• 33 00 
40 00 
28 00 
30 00 

25 00 
30 00 
18 00 
32 00 

26 00 
40 00 

25 00 
14 00 
35 00 

26 00 
25 00 
20 00 

27 00 
30 00 



24 LUNATIC HOSPITAL AT TAUNTON. [Oct.'84. 



Laborers (3), 

Laborer, 

Attendants (male) (20), 

Attendants (female) (23), 

House Attendant, 

House Attendant, 

Seamstress, 

Assistant Seamstresses (2), 

Assistant Seamstresses (2), 

Laundress, . 

Laundry girls (9), 

Housekeeper, 

Kitchen hand, . 

Cooks (2), . 

Kitchen girls (4), 

Space girls (3), . 



. per month, $25 00 

20 00 

(average price per month) 23 00 

16 00 

. (per week) 3 50 

.'..." 3 00 

. " 5 00 

. (per month) 14 00 

. (per week) 3 00 

. " 5 00 

(average price per week) 3 33 

. (per week) 5 00 

. (per month) 28 00 

(average price per week) 3 87 

3 121 
3 08 



STATISTICAL TABLES. 



Table No. 1. 
General Statistics of the Year. 





Males. 


Females. 


Totals. 


Patients in the hospital Oct. 1, 1883, . 


297 


336 


633 


Admissions within the year, 


149 


134 


283 


Whole number of cases within the year, 


446 


470 


916 


Discharges within the year, 


134 


155 


289 


Viz. : as recovered, 


44 


41 


85 


much improved, .... 


9 


14 


23 


improved, 


19 


30 


49 


unimproved, 


29 


37 


66 


not insane 


1 


- 


1 


Deaths, 


32 


33 


65 


Patients remaining Sept. 30, 1884, 


312 


315 


627 


Viz. : Supported as State patients, 


64 


40 


104 


town patients, 


217 


237 


454 


private patients, . 


31 


38 


69 


Number of different persons within the year, 


443 


464 


907 


admitted, 


148 


130 


278 


recovered, 


44 


39 


83 


Daily average number of patients, 


300.0 


329.9 


629.9 



Table No. 2. 
Monthly Admissions, Discharges and Averages. 







Discharges 


Daily Average of 


MONTHS. 








(Including Deaths). 


Persons in the 


House. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


1S83. 




















October, 


17 


14 


31 


14 


15 


29 


302.6 


- 340.4 


643 


November, . 


8 


3 


11 


17 


13 


30 


299.8 


333.0 


632.8 


December, . 


16 


12 


28 


15 


10 


25 


289.4 


325.1 


614.5 


1884. 




















January, 


12 


11 


23 


10 


7 


17 


292.3 


328.0 


620.3 


February, 


7 


7 


14 


6 


10 


16 


292.5 


330.6 


623.1 


March,.. 


13 


8 


21 


7 


12 


19 


295.5 


324.3 


619.8 


April, . 


11 


15 


26 


11 


8 


19 


298.6 


323.7 


622.3 


May, . 


8 


8 


16 


11 


12 


23 


298.9 


328.8 


627.7 


June, 


16 


15 


31 


9 


15 


24 


301.9 


326.3 


628.2 


July, . 


16 


23 


39 


11 


11 


22 


305.9 


333.9 


639.8 


August, 


14 


12 


26 


10 


11 


21 


310.4 


335.7 


645.1 


September, . 


11 
149 


6 


17 


13 

134 


31 
155 


44 

289 


312 7 


328.6 


641.3 


Total cases, . 


134 


283 


300.0 


329 9 


629.9 


Total persons, 


148 


130 


278 


134 


152 


286 


— 


- 


- 



28 



LUNATIC HOSPITAL AT TAUNTON. [Oct. 



Table No. 3. 
Received on First and Subsequent Admissions. 





Cases Admitted. 


Times Previously 
Recovered. 


NUMBER OF THE ADMISSION. 
















Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


First 


122 


Ill 


233 








Second, . . . 


17 


11 


28 


8 


5 


13 


Third 


3 


7 


10 


4 


8 


12 


Fourth, . . . . 


9 


8 


5 


4 


6 


10 


Fifth, 


1 


- 


1 


- 


-■ 


- 


Sixth 


1 


2 


3 


4 


9 


13 


Seventh, .... 


1 


_ 


1 


6 


- 


6 


Tenth, . . . 


1 


- 


1 


6 


- 


6 


Sixteenth, .... 


1 


- 


1 


14 


- 


14 


Total of cases, 


149 


134 


283 


46 


28 


74 


Total of persons, . 


148 


130 


278 


16 


16 


32 



Table No. 4. 
Ages of Persons Admitted for the First Time. 





At First Attack 


When Admitted. 




of Insanity. 
























Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Fifteen years and less, 


6 


5 


11 




1 


1 


From 15 to 20 years, . 


6 


6 


12 


3 


7 


10 


20 to 25 years, . 


13 


8 


21 


21 


9 


30 


25 to 30 years, . 


18 


13 


31 


19 


15 


34 


30 to 35 years, . 


13 


14 


27 


16 


12 


28 


35 to 40 years, . 


12 


11 


23 


17 


16 


33 


40 to 50 years, . 


22 


23 


45 


27 


22 


49 


50 to 60 years, . 


10 


8 


18 


9 


11 


20 


60 to 70 years, . 


3 


8 


11 


5 


10 


15 


70 to 80 years, . 


3 


4 


7 


3 


4 


7 


Over 80 years, 


1 


4 


5 


1 


4 


5 


Unknown, .... 


15 


7 


22 


1 


111 


1 


Totals, .... 


122 


111 


233 


122 


233 



1884.] 



PUBLIC DOCUMENT — No. 22. 



29 



Table No. 5. 
Parentage of Persons Admitted. 





Males. 


Fkmales. 


Totals. 


PLACES. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Maine, . 




2 


2 


5 


5 


7 


7 


New Hampshire, 




2 


2 


1 


1 


3 


3 


Vermont, . 




2 


2 


- 


- 


2 


9 


Massachusetts, . 




65 


65 


37 


37 


102 


102 


Connecticut, 




1 


1 


1 


2 


3 


3 


Rhode Island, 




4 


4 


3 


3 


7 


7 


Dominion of Canada . 




12 


12 


12 


12 


24 


24 


New York, . 






3 


3 


3 


3 


6 


6 


Pennsylvania, 






1 


1 


- 


- 


1 


1 


Virginia, 






1 


1 


1 


1 


2 


2 


Kansas, 






- 


- 


1 


1 


1 


1 


Ireland, . > 






27 . 


27 


47 


47 


74 


74 


England, 






12 


12 


12 


12 


24 


24 


Scotland, 






3 


3 


1 


1 


4 


4 


Germany, . 






3 


3 


1 


1 


4 


4 


Poland, 






1 


1 


3 


3 


4 


4 


Switzerland, 






1 


1 


- 


- 


1 


1 


Bohemia, 






1 


1 


- 


- 


1 


1 


Western Islands, 




3 


3 


2 


2 


5 


5 


Newfoundland, . 




1 


1 


- 


- 


1 


1 


Sweden, 




1 


1 


- 


- 


1 


1 


District of Columbia, 




- 


- 


1 


1 


1 


1 


Unknown, . 




3 


3 


2 


2 
134 


5 


5 


Totals, 




149 


149 


134 


283 


283 



30 



LUNATIC HOSPITAL AT TAUNTON. 



[Oct. 



Table No. 6. 
Residence of Persons Admitted. 



PLACES. 


Males. 


Females. 


Total. 


County : Bristol, ...... 


71 


64 


135 


Plymouth, 


17 


10 


27 


Barnstable, ..... 


4 


1 


5 


Suffolk 


38 


43 


81 


Norfolk 


15 


13 


28 


Dukes, 


1 


1 


2 


Nantucket, ..... 


2 


1 


3 


Middlesex 


1 


1 


2 


Totals, 


149 


134 


283 




106 


107 


213 


Country districts, 


43 


27 


70 



Table No. 7. 
Civil Condition of Persons Admitted. 



NUMBER OF 




Unmarried. 


Married. 


Widowed. 


Unknown. 


THE ADMISSION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot 


Ma. 


Fe. 


Tot. 


First, 
Second, . 
Third, 
Fourth, 
Fifth, 
Sixth, 
Seventh, . 
Tenth, . 
Sixteenth, 




66 

10 

2 

1 
1 
1 

81 


43 

4 
1 

1 


109 

14 

3 

2 
1 
1 


49 

7 
1 
1 


45 

6 

2 

b 
1 


94 

13 

3 

4 

1 


6 

1 
1 

1 


23 
1 
4 

28 


29 
1 
4 
1 
1 

1 
37 


1 

1 


- 


1 


Totals, . 




49 


130 


58 


57 


115 


9 


1 



1884.] 



PUBLIC DOCUMENT — No. 22. 



31 



Table No. 8. 
Occupations of Persons Admitted. 



OCCUPATIONS. 


Males. 


Females. 


Total. 


Laborer, 


39 




39 


Mill operative, 














10 


10 


20 


No occupation, 














18 


10 


28 


Housewife, . 














- 


76 


76 


Domestic, 














- 


27 


27 


Seamstress, . 














- 


3 


3 


Music teacher, 














- 




1 


Milliner, 














~ 




1 


Nurse, . 


















1 


Bookbinder, . 














- 




1 


Compositor, . 














- 




1 


Teacher, 














- 




1 


Stone cutter, 














2 


- 


2 


Farmer, 














9 


- 


9 


Innholder, 














1 


- 


1 


Clerk, . 














9 


- 


9 


Shepherd, 














1 


- 


1 


Jeweller, 














5 


1 


6 


Junk dealer, . 














1 


- 


1 


Machinist, 














2 


- 


2 


Bottler, . 














1 


- 


1 


Cabinet maker, 














1 


- 


1 


Tack maker, . 














1 


_ 


1 


Brittania worker, 














3 


1 


4 


Fisherman, . 














3 


- 


3 


Shoemaker, . 














8 


_ 


8 


Blacksmith, . 














2 


_ 


2 


Gardener, 














1 


- 


1 


Boiler maker, 














1 


- 


1 


Hostler, . 














2 


_ 


2 


Saloon keeper, 














1 


- 


1 


Mariner, 














' 8 


- 


8 


Physician, 














1 


- 


1 


Wheelwright, 














1 


- 


1 


Lithographer, 














1 


- 


1 


Carriage trimmer, 














1 


- 


1 


Painter, 














3 


- 


3 


Butcher, 














2 


- 


2 


Cigar maker, 














1 


_ 


1 


Cutler, . 














1 . 


- 


1 


Carpenter, 














3 


- 


3 


Stone mason, 














2 


- 


2 


Trader, . 














2 


_ 


2 


Stevedore, 














1 


_ 


1 


Currier, 














1 


- 


1 


Totals, . 














149 


134 


283 



32 LUNATIC HOSPITAL AT TAUNTON. [Oct. 



Table No. 9. 
Reported Duration of Insanity before Last Admission. 



PREVIOUS DURATION. 


First Admission 
to ant Hospital. 


All Other 

Admissions. 


Totals. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 
Under 1 month, . 
From 1 to 3 months, . 

3 to 6 months, . 

6 to 12 months, . 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, . 
Over 20 years, 
Unknown, . 


4 

20 

16 

14 

8 

15 

15 

7 

3 

1 

19 


2 

22 

12 

18 

10 

8 

19 

5 

4 

1 

10 


6 

42 
28 
32 
18 
23 
34 
12 
7 
2 
29 


3 
1 

2 
4 

5 
3 
4 
1 
4 

27 


3 
4 
1 

4 

2 
2 

1 
2 
4 

23 


6 
5 
3 

8 

7 
5 
5 
3 
8 

50 


4 
23 
17 
16 
12 
15 
20 
10 
7 
2 
23 

149 
148 


2 

25 

16 

19 

14 

8 

21 

7 

5 

3 

14 

134 
130 


6 
48 
33 
35' 
26 
23 
41 
17 
12 

5 
37 


Total of cases, 
Total of persons, . 


122 


111 


233 


283 
278 



Table No. 10. 
Form of Disease in Cases Admitted. 



FORM OF DISEASE. 


Males. 


Females. 


Totals. 


Mania, acute, 


22 


35 


57 


chronic, 












47 


33 


80 


Melancholia, acute, 












16 


13 


29 


chronic, 












8 


15 


23 


Dementia, acute, . 












2 


1 


3 


chronic, 












15 


7 


22 


Paresis, . 












13 


2 


15 


Organic brain disease, 












1 


2 


3 


Epileptic, 












9 


6 


15 


Congenital imbecility, 












1 


- 


1 


Senile insanity, 












6 


12 


18 


Paralytic insanity, 












1 


1 


2 


Puerperal insanity, 












- 


3 


3 


Recurrent insanity, 












1 


1 


2 


Alcoholism, . 












5 


2 


7 


Opium habit, 












1 


1 


,2 


Not insane, . 












1 


- 


1 


Total of cases, 




149 


134 


283 


Total of persons, 




• 






148 


130 


278 



1884.] 



PUBLIC DOCUMENT — No. 22. 



33 



Table No. 11. 
Probable Causes of Insanity in Cases Admitted. 



CAUSES. 


Males. 


Females. 


Total. 


Physical. — Intemperance, .... 


35 


4 


39 


Sunstroke, . 








3 


1 


4 


[njury to spine, 








1 


- 


1 


to head, 








3 


* 2 


5 


Masturbation, 








21 


- 


21 


Syphilis, . 








1 


1 


2 


Overwork, . 








8 


8 


16 


Senility, 








6 


14 


20 


Opium habit, 








1 


3 


4 


Excesses, . 








5 


- 


5 


Congenital, 








3 


4 


7 


Epilepsy, . 








7 


3 


10 


Typhoid fever, 








1 


- 


1 


Paralysis, . 








1 


1 


9 


Chorea, 








1 


- 


1 


Apoplexy, . 








- 


2 


2 


Overstudy, 








- 


3 


3 


Uterine disease, 








- 


1 


1 


Ill-health, . 








- 


7 


7 


Puerperal, . 








- 


4 


4 


Menopause, 








- 


8 


8 


Hysteria, . 








- 


3 


3 


Moral. — Religious excitement, 






- 


2 


2 


Domestic affliction, 






- 


7 


7 


Disappointment, . 






1 


1 


2 


Loss of relative, . 






1 


1 


2 


Predisposing. — Previous attacks, 




14 


17 


31 


Hereditary predisposition, 




13 


8 


21 


Unknown, 




23 


29 


52 


Totals, 


149 


134 


283 



34 LUNATIC HOSPITAL AT TAUNTON. [Oct. 



Table No. 12. 
Relation to Hospitals of Persons Admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Total. 


First admission to any hospital for insane, 


115 


105 


220 


Former inmates of this hospital, 
of Danvers, . 




26 
2 


21 
3 


47 
5 


O'f Worcester, 




1 


- 


1 


of Butler Hospital, R. L, 
of McLean Asylum, 
of Mt, Hope, Md., 

of Halifax, N. S., . 




1 
1 
1 
1 


1 
1 


2 
2 
1 
1 


of this, Worcester and Northamp- 
ton, 


1 




1 


of this, Worcester and Danvers, . 


- 


1 


1 


of this and Washington, D. C, . 


- 


1 


1 


of Flatbush, N. Y., 


- 


1 


1 


Totals, 




149 


134 


283 



Table No. 13. 
How Supported. 





Patients Admitted. 


SUPPORTED AS 


Males. 


Females. 


Total. 


State patients, 

Town patients, 

Private patients, 


58 

81 

10 

149 


57 
62 
15 


115 

143 

25 


Totals, . . . ■ . 


134 


283 



1884.] 



PUBLIC DOCUMENT — No. 22. 



35 



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36 



LUNATIC HOSPITAL AT TAUNTON. [Oct. 



Table No. 15. 
Cases Discharged Recovered. — Duration. 





Duration before 


Hospital 


Whole Duration 




Admission. 


Residence. 


from the Attack. 


PERIOD. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot 


Ma. 


Fe. 


Tot. 


Congenital, 




















Under 1 month, 


11 


16 


30 


8 


3 


11 


2 


- 


2 


From 1 to 3 months, 


12 


8 


20 


20 


12 


32 


11 


6 


17 


8 to 6 months, 


4 


5 


9 


11 


11 


22 


9 


8 


17 


6 to 12 months, 


2 


2 


4 


4 


10 


14 


9 


12 


21 


1 to 2 years, . 


- 


4 


4 


1 


2 


3 


1 


4 


5 


2 to 5 years, . 


1 


- 


1 


- 


3 


3 


1 


4 


5 


5 to 10 vears, . 


- 


1 


1 


- 


- 


- 


- 


2 


2 


10 to 20 years, . 




















Over 20 years, . 




















Unknown, .... 


11 


5 


16 


- 


- 


- 


11 


5 
41 


16 


Total of cases, . 


44 


41 


85 


41 


41 


85 


44 


85 


Total of persons, 


44 


39 


83 


44 


39 


83 


44 


39 


83 


Average of known cases 




















(in months), . 


3.69 


6.51 


5.16 


2.86 


8.78 


5.91 


6.55 


15.3 


11.0 



Table No. 16. 

Cases Resulting in D<-ath. — Duration. 





Duration before 


Hospital 


Whole Duration 




Admission. 


Ri 


fclDENCE. 


from 


the Attack. 


PERIOD. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 




















Under 1 month, 


1 


2 


3 


9 


2 


4 


_ 


- 


_ 


From 1 to 3 months, 


3 


2 


5 


3 


3 


6 


- 


1 


1 


3 to 6 months, 


1 


4 


5 


5 


2 


7 


2 


- 


2 


6 to 12 months, 


3 


3 


6 


6 


7 


13 


3 


2 


5 


1 to 2 years, 


3 


4 


7 


6 


6 


12 


3 


7 


10 


2 to 5 yeai - s, 


10 


o 


13 


o 


6 


9 


7 


4 


11 


5 to 10 years, 


2 


3 


5 


5 


5 


10 


6 


7 


13 


10 to 20 years, 


1 


2 


3 


- 


2 


2 


1 


2 


3 


Over 20 years, . 


- 


3 


3 


2 


- 


2 


2 


3 


5 


Unknown, 


8 


7 
33 


15 


32 


33 


65 


8 


7 


15 


Total of cases, . 


32 


65 


32 


33 


65 


Average of known cases 






















(in months), 


33.0 


67.7 


51.1 


19 


2 


38.0 


43.4 


82.2 


105.8 


94.5 



1884] 



PUBLIC DOCUMENT — No. 22. 



37 



Table No. 17. 

Cases Discharged by Recovery or Death. — Form of Insanity. 



FORM OF INSANITY. 








Recoveries. 


Deaths. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Mania, acute, 

chronic, . 
Melancholia, acute, . 
chronic, 
Dementia, acute, 

chronic, . 
Epilepsy. . 
Paresis, 

Organic brain disease, 
Senile insanity, . 
Puerperal mania, 
Recurrent insanity, . 
Alcoholism, 
Opium habit, 










21 

7 
8 

1 

1 
5 
1 


22 
4 
8 
2 

I 

1 

2 
1 


43 

11 

16 

2 

1 

1 

1 
1 

7 
2 


7 
2 
3 

5 
4 
6 

5 

32 


1 

8 

9 

1 
5 

7 
2 


1 

15 

2 

12 

6 
9 
6 

7 
7 


Total of cases, . 
Total of persons, 


44 
44 


41 
39 


85 
83 


33 


65 



Table No. 18. 
Causes of Death. 



CAUSES. 


Males. 


Females. 


Total. 


Mania, acute, . . . . 


1 


2 


3 


chronic, 












5 


5 


10 


Melancholia, chronic, 












- 


3 


3 


Phthisis, 












3 


4 


7 


Apoplexy, 
Senile insanity, 












3 
3 


4 


7 
3 


Old age, 












4 


2 


6 


Strangulation, 












3 


1 


4 


Paresis, 












5 


- 


5 


Epilepsy, 

Strangulation by food, 
Organic brain disease, 












5 


4 
1 
4 


9 
1 
4 


Disease of liver, . 












- 


1 


1 


Brain disease, 












_ 


1 


1 


Cardiac disease, . 












- 


1 


1 














32 


33 


65 



38 



LUNATIC HOSPITAL AT TAUNTON. [Oct. 



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1884.] 



PUBLIC DOCUMENT — No. 22. 



39 





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40 LUNATIC HOSPITAL AT TAUNTON. [Oct. 



Table No. 21. 
Deaths, Classified by Duration of Insanity and Treatment. 



PERIOD. 




Duration op Insanity. 


Whole Known Period of 
Hospital Residence. 




Males. 


Females. 


Total. 


Mates. 


Females. 


Total. 


Congenital, . 
Under 1 month, . 
From 1 to 3 months, 

3 to 6 months, . 

6 to 12 months, . 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
Over 20 years, 
Unknown, 




2 
2 
4 
8 
3 
3 
2 
8 


1 

1 

8 
4 
6 
3 
3 
7 


1 

2 

3 

12 

12 

9 

6 

5 

15 


2 
4 
7 
2 
. 6 
4 
4 
1 
2 


2 
4 

8 

6 
4 
6 
1 

2 


4 

8 

7 

10 

12 

8 

10 

9 

4 


Total of cases, 

Average of known cases (in 
months), . 


32 

81.4 


33 

105.8 


65 

94.1 


32 

61.4 


33 

68.7 


65 
65.2 



1884.] 



PUBLIC DOCUMENT — No. 22. 



41 



Table No. 22. 

Ages of tJiose wJio Died. ■ 









At Time of Fikst Attack. 


At Time of Death. 


AGES. 


Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Fifteen years and less, 

From 15 to 20 years, 
20 to 25 years, 
25 to 30 years, 
30 to 35 years, 
35 to 40 years, 
40 to 50 years, 
50 to 60 years, 
60 to 70 years, 
70 to 80 years, 

Over 80 years, 

Unknown, 






1 

2 
2 
5 
5 
4 
3 
2 
5 

3 


3 

2 

3 
6 

7 
4 
3 

5 


3 
1 

2 

4 

5 

8 

10 

10 

6 

■ 8 

8 


1 

1 

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4 
5 

7 
4 
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7 
1 


1 

2 
2 
7 

10 
3 
6 
2 


1 
1 
1 

6 

" 7 

14 

14 

5 
13 

3 


Totals, . 


32 


33 


65 


32 


33 


65 



42 LUNATIC HOSPITAL AT TAUNTON. [Oct. 



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T— It— It-Ii—Ii— IHHr Irlrlr It-Ht— It-Ht— It— It— 1 



188 L] PUBLIC DOCUMENT — No. 22. 



43 



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coaocococccococc'cowcocococo 



44 LUNATIC HOSPITAL AT TAUNTON. [Oct. 



8 



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1884.] 



PUBLIC DOCUMENT — No. 22. 



45 



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46 LUNATIC HOSPITAL AT TAUNTON. [ 0ct - 



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1884.] PUBLIC DOCUMENT — No. 22. 



47 



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48 



LUNATIC HOSPITAL AT TAUNTON. 



[Oct. 



ARTICLES MADE IN SEWING-ROOM 



For the Year ending Sept. 30, 1884. 



184 wrappers. 


1,183 bath towels. 


460 dresses. 


519 roller towels. 


326 pairs drawers. 


113 curtains. 


554 chemises. 


253 pairs suspenders. 


316 skirts. 


65 hats trimmed. 


413 shirts. 


30 holders. 


100 night-dresses. 


139 pairs mittens. 


140 aprons. 


1 lambrequin. 


959 sheets. 


4 carpets. 


49 double sheets. 


76 rugs hemmed. 


114 straw ticks. 


28 clothes bags. 


224 mattress ticks. 


5 camisoles. 


Ill pillow ticks. 


12 camisoles repaired 


1,870 pillow slips. 


4 settee cushions. 


95 bed spreads, 


295 pairs hose knit. 


34 table spreads. 


10 covers. 


118 stand spreads. 


39 pairs wristers. 


80 napkins. 


12 button-holes. 



1884.] 



PUBLIC DOCUMENT — No. 22. 



49 



TRUSTEES 

Of the Taunton Lunatic Hospital. 



When 




appoint- 


Service 


ed. 


ended. 



From what cause. 



* Marcus Morton, . 

* William Sutton, . 
Charles Edward Cook, 

* George R. -Russell, 

* George A. Crocker, 

* Charles R. Vickery, 
George Howland, Jr., 

* Menzies R. Randall, 

* James W. Sever, . 

* Charles Edward Cook, 
John M. Kinney, . 

* Charles R. Atwood, 

* Oliver Ames, 

Le Baron Russell, 
Simeon Borden, . 
William 0. Lovering, 

* Samuel L. Crocker, 
Oakes A. Ames, . 
Mrs. Ruth S. Murray, 
Mrs. Grace S. Bartlett, 



Taunton, 

Danvers, 

Boston, 

Roxbury, 

Taunton, 

Taunton, 

New Bedford 

Rehoboth, 

Boston, 

Boston, 

Wareham, 

Taunton, 

No. Easton, 

Boston, 

Fall River, 

Taunton, 

Taunton, 

No. Easton, 

New Bedford 

Taunton, 

* Deceased. 



1853, 


1854, 


1853, 


1856, 


1853, 


1857, 


1853, 


1858, 


1853, 


1861, 


1854, 


1855, 


1855, 


- 


1856, 


1862, 


1857, 


1858, 


1858, 


1873, 


1858, 


1864, 


1861, 


1877, 


1862, 


1877, 


1864, 


- 


1873, 


- 


1877, 


- 


1878, 


1883, 


1883, 


- 


1884, 


- 


1884, 


- 



Resigned. 
Term expired. 
Term expired. 
Term expired. 
Resigned. 
Term expired. 
Still in office. 
Term expired. 
Removed. 
Term expired. 
Term expired, 
Died in office. 
Died in office. 
Still in office. 
Still in office. 
Still in office. 
Died in office. 
Still in office. 
Still in office. 
Still in office. 



PUBLIC DOCUMENT. No. 22. 



THIRTY-SECOND ANNUAL REPORT 



THE TRUSTEES 



Taunton Lunatic Hospital, 



Year Ending September 130, 1885. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1886. 



PUBLIC DOCUMENT. No. 22. 



THIRTY-SECOND ANNUAL REPORT 



THE TBITSTEES 



Taunton Lunatic Hospital, 



Year Ending September 30, 1885. 

rf 






/ck BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. 
1886. 



4 






30 



i 



T 

3 



OFFICERS 



TAUNTON LUNATIC HOSPITAL. 



TRUSTEES. 



GEORGE HOWL AND, Jr., 
WILLIAM C. LOVERING, 
SIMEON BORDEN, 
LeBARON RUSSELL, . 
RUTH S. MURRAY, . 
GRACE S. BARTLETT, 
OAKES A. AMES, . 



New Bedford. 

Taunton. 

Fall River. 

Boston. 

New Bedford. 

Taunton. 

North Easton. 



RESIDENT OFFICERS 
JOHN P. BROWN, M.D , . 
MARCELLO HUTCHINSON, M.D , 
OWEN COPP, M.D 



CHARLES A DREW, M.D., 

Dr. ALICE ROGERS . 
JOHN KITTREDGE, . 
RUFUS D. GODDING, . 



Superintendent. 
Assistant Physician. 
Assistant Physician. 

Apothecary and 
. Assistant Physician. 
Assistant Physician. 
Clerk. 
Engineer. 



JOHN KITTREDGE, 



TREASURER. 



Taunton. 



Office at Hospital. 



Comnwnixralify of < j$$iix*mtlgxi&titz. 



TRUSTEES' EEPORT. 



To His Excellency the Governor and the Honorable Council : 

Iii accordance with the requirements of law, the Trustees 
of the Taunton Lunatic Hospital present their Thirty-second 
Annual Report. 

While they have nothing very particular to communicate, 
they can say, in general terms, that the daily operations of 
the hospital have moved on in their usual quiet way, with 
perhaps as little friction as could be expected in so large a 
household. We have had under treatment during the year 
933 patients. The year opened Oct. 1, 1884, with 627 
patients. We have received during the year 306 patients, 
and close with 656. There have been discharged as re- 
covered, 60; much improved, 28; improved, 72; unim- 
proved, 28 ; died, 65 ; 277 in all. 

Thus it will be seen that while the number under treatment 
has been 17 greater than for the preceding year, the number 
of discharges has been 12 less ; the number of deaths has 
been precisely the same ; the number remaining at the close of 
the year is 29 greater than at the opening, Oct. 1, 1884. 

The admissions have been at the rate of almost exactly one 
for every secular day through the year. 

Thus as the years roll on and the number of chronic cases 
accumulates in our wards, filling them to repletion, leaving 
but little room for the admission of new cases, the question 
naturally arises as to what disposition shall be made of the 
constant and unceasing increase of the insane within our 
borders. 

There is now within the walls of the several State hospitals 
an excess of patients beyond their capacity to properly ac- 



6 TAUNTON LUNATIC HOSPITAL. [Oct. 

commodate, a number nearly sufficient to fill another hospital 
almost as large as this, and still they come. 

We do not advocate any further enlargement of the present 
structures, and therefore leave it for the proper authorities 
to seek some desirable and available method to meet the 
demand for increased accommodation. 

Dr. William H. Gage, who had filled the position of first 
assistant physician in this hospital for about sixteen years, 
and whom we reported last year as having withdrawn, tem- 
porarily at least, from active service on account of failing 
health, and who, we hoped, might have been restored to us, 
died on the 21st of April last. 

In the death of Dr. Gage the hospital lost a long tried and 
faithful officer ; one who was much in love with his work ; 
kind and affectionate with the aged and infirm women under 
his care ; an excellent and untiring nurse with the sick and 
suffering, and conscientious in the discharge of every duty. 

For a period of about six months during the interregnum 
between the retirement of Dr. Godding and the assumption 
by Dr. Brown of the superintendency of the hospital, Dr. Gage 
was made acting superintendent, during which time he con- 
ducted the various affairs of the hospital to a good degree of 
satisfaction. 

Dr. Hutchinson, who has been second assistant physician 
for more than seven years, has been appointed to the place 
made vacant by the death of Dr. Gage. Dr. Owen Copp, 
a graduate of Harvard Medical School, has been appointed 
second assistant physician, entering upon his duties in April 

last. 

These, with Dr. Drew and Dr. Alice Rogers, reported last 
year, constitute, with our worthy superintendent, Dr. Brown, 
the medical force of the hospital. The assistants are severally 
doin " good service, with much satisfaction to the superinten- 
dent and trustees. 

In the course of the year we have laid several new floors 
for which the appropriation was made by the last legislature ; 
we have also built the ice-house on the lot previously bought 
for that purpose. The house was filled with ice during the 
cold weather, and from it we have obtained our supply for 
drinking and culinary purposes the past season. We have 



1885.] PUBLIC DOCUMENT — No. 22. 7 

also kept up the required lesser repairs all over the house in 
the carpentry, masonry and painting, endeavoring always to 
keep the interior and exterior of the hospital in as perfect a 
condition as practicable ; deeming it wiser to keep every part 
in good order, than to allow it to deteriorate and thus require 
a large outlay to restore it, besides making it more attractive 
and agreeable to our inmates. 

The construction of the new road on the north line of the 
hospital premises, for which the legislature at its last session 
made a liberal appropriation, is in a state of forwardness ; the 
stone abutments for the iron bridge over Mill River, and the 
wing walls for the support of the road, are very nearly fin- 
ished. It is expected that the bridge will be in place before 
the end of the present mouth, and the road completed by the 
first of December. When this road shall be opened for travel 
and the present one discontinued and incorporated into our 
grounds, a long coveted desire will be gratified, and the cause 
of much annoyance and discomfort to our patients removed. 

Arrangements are already made for the transfer, during 
the approaching winter, of the heavy stone wall from our 
former northern boundary to the south line of the new road. 

The report of the Superintendent accompanies this, to 
which reference can be made for many subjects of interest. 

The report of the Treasurer, which will also accompany 
this, will give a clear statement of the financial status of the 
hospital. 

Invoking for our institution and its many inmates, the 
continued blessing of our Heavenly Father, your paternal 
regard, and the kind consideration of the legislature, we 
conclude. 

GEO. HOWLAND, Jun., 
WM. C. LOVERING, 
SIMEON BORDEN, 
LE BARON RUSSELL, 
RUTH S. MURRAY, 
GRACE S. BARTLETT, 
OAKES A. AMES, 

Trustees. 

Lunatic Hospital, Taunton, Oct. 16, 188-5. 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Taunton Lunatic Hospital : 

In compliance with the by-laws of your board, I respect- 
fully present to you the thirty-second annual report of the 
operations of the hospital for the year ending Sept. 30, 
1885. 

General Statistics of the Year. 





Men. 


Women. 


Total. 


Patients in hospital Oct. 1, 1884, . 


312 


315 


627 


Admissions within the year, 


150 


156 


306 


Whole number of cases within the year, 


462 


471 


933 


Discharges within the year, 


143 


134 


277 


Viz. : as recovered, . . 


36 


24 


60 


as much improved, ... 


10 


18 


28 


as improved, 


36 


36 


72 


as unimproved, ...„;. 


30 


22 


52 


Deaths, 


31 


34 


65 


Patients remaining Sept. 30, 1885, 


319 


337 


656 


Daily average number of patients, 


325.1 


334.2 


659.3 



There were at the beginning of the year 627 patients in 
the hospital ; 306 were admitted during the year ; making the 
whole number of cases under treatment, 933. Six persons 
were each admitted twice and four who were in the hospital 
at the beginning of the year were discharged and readmitted, 
making ten persons who represent twenty committals, which 
reduces the number of persons under treatment to 923. The 
highest number of patients at any one time was 688, the 
lowest number 619. The daily average was 659.3, which 
is above one hundred more than the full capacity of the hospi- 
tal. It is perhaps unnecessary for me at this time to state 



1885.] PUBLIC DOCUMENT — Np. 22. 9 

to you who visit the hospital weekly and go through its 
wards, the evils and discomforts which arise from so greatly 
overcrowding it, as they are so apparent; but yet I think 
it is impossible for one not living in the institution and 
having the care of the patients to fully appreciate all 
the embarrassments and difficulties which come from it. 
One hundred more patients than the capacity of the hos- 
pital, means that there are one hundred more than there 
is sleeping room and breathing room for. It means that the 
health of all is impaired by it and that the chances of recovery 
of many, who would be curable under more favorable circum- 
stances is lessened by it, not to mention the increased friction 
and the greater liability to accidents therefrom, demanding 
the use of more restraint and seclusion than would otherwise 
be necessary. 

Admissions. 

Of those admitted during the year, 244 were first admis- 
sions and had not been under treatment in any other hospi- 
tal, 45 were second admissions, 11 third admissions, 2 
fourth admissions, 1 the sixth, 1 the seventh, and 2 have 
been admitted eight times. 

By reference to Table 9, it will be seen that 113 of those 
admitted had 'been insane before admission less than three 
months, 32 from three to six months, 21 from six to twelve 
months, 96 above a year, and that the duration of the in- 
sanity of 44 was unknown. This table is perhaps more 
unreliable than some of the others from the fact that most 
of the data from which it is computed were obtained from 
the committal papers as filled out by the friends or relatives 
of the patient. It is quite common for the friends to date the 
beginning of the insanity from the time the patient began to 
show marked deviation from his usual condition, or the com- 
mission of some violent or extravagant act which rendered his 
removal to the hospital necessary, whereas in most cases the 
real beginning of the disease dates back to a time consider- 
ably anterior to that. The error is corrected in some cases 
by questioning the friends at the time of committal or after- 
wards, and in others the duration is determined with more 
accuracy by the condition of the patient on entering the 



10 TAUNTON LUNATIC HOSPITAL. [Oct. 

hospital, especially when the insanity arises from organic 
disease. But making all necessary allowance for the inaccu- 
racy of the table, it is evident that nearly fifty per cent, of 
all admitted were incurable at the time of their admission by 
reason of the chronicity of their disease excluding all other 
reasons for their incurability. No doubt a part of this num- 
ber would have recovered had they been placed under hospital 
treatment earlier in the disease, but is impossible to tell what 
percentage, and it is equally true that the result would have 
been the same in many of the cases. Yet I think it cannot 
be doubted that earlier admissions to the hospital, would 
increase the percentage of recoveries. 

By reference to Table 10 it will be seen that the form of 
insanity of those admitted did not differ much from preced- 
ing years. 173 were classified under the head of mania, 
acute and chronic, and 60 as melancholia, acute and 
chronic. There were 10 admissions of paretics, a less num- 
ber than usual in recent years. Twelve were cases of alco- 
holism, only two of whom were committed under the recent 
law for the commitment of such to the lunatic hospitals for 
treatment. Thirteen cases of senile insanity were admitted. 
Several of them were aged persons who" were removed to the 
hospital from one of the city almshouses. They were all 
feeble and some of them not cleanly in their habits, but I 
was unable to see any good reason why they were not proper- 
subjects for treatment in a well-conducted almshouse. They 
were mildly insane, and all that was required to make their 
last days comfortable was kind care and nursing. They have 
all since passed to the other shore, and it is to be hoped 
beyond the need of help from a charity so niggardly as to 
begrudge them the expense of the little care and nursing 
required to make them comfortable at home, or at the alms- 
house near their kindred. 

Discharges. 

Of the 212 patients discharged during the year, 155 were 
removed by their friends, 12 were transferred to the State 
Almshouse at Tewksbury, 15 were removed by overseers of 
the poor to town or city almshouses, 26 were discharged to 
the Superintendent of In-Door Poor, most of whom were 



1885.] PUBLIC DOCUMENT — No. 22. 11 

removed out of the State, 4 were discharged by order of the 
State Board of Health, Lunacy and Charity, to be boarded 
in families under the recent law, authorizing it to place at 
board in suitable families insane persons of the chronic aud 
quiet class. One of them was returned to the hospital after 
two weeks trial, but the others, I am informed, are doing well 
and are like to remain. It seems at this time more difficult 
to find patients suitable to be placed at board than families 
who are willing to take them. From the experiment, so far, 
it appears to be evident that a limited number of the insane 
can be successfully boarded in families, but I do not think 
the number in the immediate future will be sufficiently large 
to greatly relievo the present crowded condition of the hos- 
pitals. 

Recoveries. 

The percentage of recoveries was lower than that of the 
year before, but not below the average of preceding years. 
It was 19.8 per cent, of the admissions. Considering the 
unpromising character of the admissions, and the crowded 
condition of the hospital, which must have produced an un- 
favorable influence on many of the acute cases, the number 
of recoveries was as large as could reasonably have been 
expected: 24 recovered from mania in its acute form, 11 
from chronic mania, 8 from acute melancholia, and 2 from 
chronic melancholia. Four of the recoveries were from 
recurrent mania and cannot be expected to be permanent, 
and the same will be true of the nine recoveries from alco- 
holism. Thirty-three of those recovered, more than one- 
half, are tabulated as having been insane less than three 
months before admission to the hospital, and 43, which is 
more than two-thirds of the whole number, as having been 
insane less than six months before admission. 

Trial Visits. 

One hundred and twelve patients were discharged on trial 
for sixty days or less, 19 of whom were returned before 
the expiration of the trial ; the others having proved 
their ability to live out of the hospital, at least beyond the 
sixty days, were discharged at the end of their probation. I 



12 TAUNTON LUNATIC HOSPITAL. [Oct. 

think favorably of this method of discharge in many cases, 
especially when there is any uncertainty as to the patient's 
ability to sustain himself in the community, or with his 
family, as in case of failure he can be returned without the 
trouble and expense of a new committal. It also enables 
some of the incurable and chronic class, who must make the 
institution their permanent home, to break the monotony of 
hospital life by a visit among friends, who would not get 
that relief if it was necessary for them to be discharged and 
incur the expense of a recommittal at the end of the visit, or 
when it became necessary to return. 

Rate of Mortality. 

The number of deaths was 65, the same number as the 
year before, but the percentage was lower, as the number 
of patients under treatment was greater. The percentage 
computed on the whole number under treatment was 6.96 ; 
computed on the average number in the hospital it was 9.86. 
During the latter part of the summer and early autumn thero 
was a great tendency to intestinal diseases — diarrhoea and 
dysentery. I have been informed that a like tendency to 
those diseases has existed in the community generally, and 
especially in the city of Taunton. 

I am not aware of any fault in the sanitary condition of 
the hospital, unless it be from miasma arising from Mill 
River Pond, the water of which has been low, exposing the 
banks for a longer period than usual during the past summer 
and autumn. 

Employment. 

The average number of men employed in all departments 
during the warm season has been about 200, or about 
60 per cent, of the whole number in the hospital. The 
average number of women employed has been about 100, 
or 30 per cent, of the whole. A large number of 
men have worked on the farm and at road building, 
the construction of the new street in the rear of the 
hospital having furnished employment to many. All the 
labor done on the farm and grounds has been legitimate . 
work and of some value. No dement or imbecile has been 



1885.] PUBLIC DOCUMENT — No. 22. 13 

compelled to wheel an empty wheelbarrow and had it digni- 
fied by the name of labor to swell the list of the employed. 
The average number employed in the brush shop is about 
25, but more than that number in the cold season when 
there is less opportunity for out-door work. No profit 
has accrued to the hospital from this industry, the receipts 
having paid the wages of the man who has charge of the 
work, and something towards the expense of the plant or 
outfit: but in this we are not disappointed, as no pecuniary 
profit was expected when the enterprise was begun. The 
patients like the work, and as a means of moral treatment it 
must be regarded as successful and highly satisfactory. A 
list of the articles made in the sewing-room and on the wards 
by the women patients may be found in the appendix to this 
report. 

Improvements. 

The floors have been renewed on two of the wards and 
such general repairs made to other parts of the building as 
were necessary to prevent its deterioration. The hospital 
building as a whole has never been in better condition than 
it is at the present time, but constant repairs are necessary 
to keep it from retrograding, and we should not be satisfied 
without making some improvements each year to render it 
more pleasant and attractive to the inmates and better 
adapted to its purpose. A ventilator has been placed on 
the roof of each of the two front wings and the conducting 
air flues in the attics have been enlarged and lined with 
mortar to render them less combustible. Some improve- 
ments have been made to the grounds of the hospital by 
constructing new walks through the grove and grading the 
rear avenue to the proposed new entrance. As we have 
time and the means at hand it is contemplated to continue 
these improvements. So soon as the wall is completed on 
the line of the Old Colony Railroad, a driveway and walk 
should be built round the farm, beginning at the lower end 
of the old avenue and following the line of the wall round to 
the new entrance at Hodges Avenue. Such a driveway 
and walk would be a pleasant feature of the place and 
greatly increase the means for the exercise of the patients 



14 TAUNTON LUNATIC HOSPITAL. [Oct. 

within the hospital grounds, which would be a desirable 
thing to accomplish. 

The city council of Taunton having ordered the new street 
in the rear of the hospital to be laid out in accordance with 
the petition for the same, the building of the street was 
begun the second week in August and the work has been 
prosecuted as rapidly as was consistent with economical con- 
struction. The abutments for the new bridge are completed 
and the iron bridge will be in place, unless some unforeseen 
accident should happen, by the last week in October. It is 
expected the street will be completed and open for travel by 
the first of December, when the old street will be discon- 
tinued. The wall will then be removed to the line of the 
new street and the grounds finished as contemplated when 
the enterprise was begun. When completed it will be 
recognized as one of the greatest improvements which has 
been made to the hospital. Besides removing a nuisance 
which has existed from the openiug of the institution to the 
present time, it will greatly add to the beauty of the grounds 
and give the buildings a pleasant and attractive approach 
from the rear. 

Further Provision for the Chronic Insane. 
There are in the several State hospitals at the present 
time above three hundred more patients than these institu- 
tions were built to accommodate, and the yearly increase of 
insane persons in the Commonwealth, according to the most 
reliable estimate, is fully three hundred. Hence it is clear 
that in one year from now, there will be nearly, if not quite, 
six hundred more patients in all the hospitals than can be 
properly accommodated, if no measures are taken to relieve 
them. If the city of Boston, which has at the present time 
above six hundred patients in the several State hospitals, 
should decide to take care of its own insane, and should re- 
move three hundred from the hospitals during the next year, 
and the building at Westboro' should be opened for two hun- 
dred, and one hundred should be placed at board in private 
families, the hospitals would still be full at the eud of the year, 
with the increase of the next year to be provided for. Such 
being the present outlook, it is to be hoped the Legislature 



1885.] PUBLIC DOCUMENT — No. 22. 15 

at its next session will decide upon some plan to make 
provision for the increasing number of insane, and pre- 
vent the future crowding of the hospitals. The subject 
was considered by the committee on charitable institutions 
of the last legislature, and we were asked to prepare 
plans for enlarging the capacity of the Taunton Hospital. 
The request was complied with, although the measure was 
not urged by us ; but the matter came up so late in the ses- 
sion, that no definite action was taken respecting it. It 
seems probable that the State will decide upon one of two 
plans for accomplishing the result. Either to build a new 
asylum for the chronic insane, to be under an entirely separate 
management, at some central place where a suitable site and 
sufficient land can be secured ; or to enlarge the present hospi- 
tals by erecting detached buildings in connection with them. 
The former plan would produce better results, and would 
not necessarily be but little, if any, more expensive. If it 
were decided to build a new asylum, it could be built in 
sections or in separate buildings, if the segregate plan were 
adopted, which would be preferable, and enlarged from time 
to time as more room was needed. The only reason for en- 
larging the hospitals in preference to building a new asylum 
would be a possible saving in cost of construction and 
administration ; but if the detached buildings were erected, 
as they should be, so far from the hospitals as to prevent 
the chronic and demented class who would be selected to 
occupy them, from coming under the daily observation of 
the more intelligent and curable cases, the cost of con- 
struction would be but little less, as it would necessitate 
structures with nearly all the departments of a complete 
hospital. Each would 4 require a centre building for the 
accommodation of such assistant physicians, non-medical 
officers, and employees as would be required for the daily 
routine work of the establishment, and a boiler house and 
kitchen. The laundry and bakery could be dispensed with, 
if the work of these departments could be done at the main 
building. The salary of the superintendent would be about 
all that could be saved in the cost of administration, and 
that would be a small item if divided among all the hospi- 
tals, as would happen after all were enlarged. It would be 



16 TAUNTON LUNATIC HOSPITAL. [Oct. 

manifestly unwise to adopt any plan because it promises to 
save a doubtful sum to the State treasury, which would in 
the least impair the usefulness of the hospitals as curative 
institutions, as most of the acute cases of the dependent 
class will for years to come continue to be treated in them. 
It certainly would not improve the hospitals for the treat- 
ment of acute cases to increase their already too great 
capacity by erecting buildings for the chronic class near 
them on the same grounds. Unquestionably the aggregation 
of large numbers of the chronic insane within sight of the 

O © 

acute and curable cases would have a depressing eifect upon 
the latter, and lessen the chances of their recovery. 

In building a new asylum certain advantages could be 
obtained which could not be secured by enlarging the present 
hospitals. Sufficient land could be had for the employment 
of the men, — a very important consideration; and a much 
better system of classification. If the segregate plan of 
building were adopted, which we should approve, the epi- 
leptics, and the criminal insane, including the homicidal and 
dangerous class who are not criminals, could be provided 
for in separate buildings, and thus settle the question of 
separate provision for these classes. In deciding how to 
best make provision for the rapidly increasing number of the 
chronic insane, that plan should be adopted which will secure 
the best results for years to come, and not a mere makeshift 
to bridge over a present necessity at the least expense, which 
the next generation may regret was ever entered upon. 

From what has already been said it will be inferred I 
should not recommend at this time enlarging the capacity of 
the Taunton Hospital by erecting on its present grounds 
another building for the chronic class. Its farm is too 
small for the employment of more men, and its grounds are 
not extensive enough for the daily exercise of more patients 
than it now has without the mingling together of all classes 
more than would be desirable for the acute and curable 
cases. If at some future time it should be decided to erect 
a building for the chronic insane in this section of the State, 
to be under the management of the same board of trustees 
and superintendent as the hospital, I should recommend that 
it be built at some distance, perhaps two or three miles, 



1885.] PUBLIC DOCUMENT — No. 22. 17 

from the hospital, on a site which could be selected for the 
purpose. 

Finance. 
It will be seen by the report of the treasurer that the 
bills due the hospital at the end of the year, were in excess of 
the liabilities by $23,128.73, which is a gain to the treasury 
of $4,239.34 during the year. The value of the supplies on 
hand also exceeds that of one year ago, by $5,116.74. This 
is a gratifying result in itself, but it would be more gratify- 
ing if the gain were legitimate and not due to the crowded 
condition of the hospital. Even with the present low prices 
of provisions, which cannot be expected to continue, the hos- 
pital would scarcely be able to pay its necessary current 
expenses if only rilled to its normal capacity of 550 patients. 

Entertainments. 
The usual number and variety of entertainments were given 
to the patients in the chapel, during nearly eight months of 
the year. Often three and sometimes four evenings of each 
week were occupied by something entertaining or instructive, 
or both combined. They consisted of views with the stere- 
opticon once a week, mostly of American and foreign scenery, 
accompanied by descriptive lectures ; gymnastic exercises 
with music once a week ; social dances every two weeks ; 
vocal and instrumental concerts, dramatic entertainments, 
readings and recitations, at irregular intervals, but quite 
frequently during the winter. 

Acknowledgments. 
The editors of "The Daily Mercury," "The Old Colony 
Memorial," " The Gospel Banner," have continued to send 
their papers to the hospital free of charge. The "Friends' 
Review " has been received another year through the kind- 
ness of Hon. George Howland, Jr. Mrs. Helen Prescott of 
New Bedford, presented to the hospital library the " Century 
Magazine" for two years, and " Harper's Magazine" for one 
year. Gen. J. D. Thompson of New Bedford, who was one 
of the commissioners for building the hospital, gave to the 
library, in bound volumes, the " Daily Mercury" from 1851 



18 TAUNTON LUNATIC HOSPITAL. [Oct.'85. 

to 1875, inclusive. A fine musical entertainment was given 
to the patients in the chapel by Mr. J. E. DeBlois of Taun- 
ton, assisted by Miss C. T. Cutler, Miss L. S. Cutler, Mr. G. 
Bridgham, Mr. A. B. Totten, Miss L. Trefethen and Miss H. 
T. Montgomery. The Bristol County Agricultural Society, 
as has been its custom for many years, kindly gave to all the 
residents of the hospital free admission to its grounds during 
its late fair. Many of the patients attended it and were much 
pleased with what they saw, not excepting the " crazy " quilts. 
Several dramatic entertainments were prepared and given to 
the patients by some of the officers and employees of the 
hospital. 

Since my last report, Dr. William H. Gage, who for six- 
teen years had been assistant physician to the hospital has 
died. His health had been failing for more than a year and 
he was absent from the hospital for nearly ten months before 
his death, which occurred at Washington, D. C, April 21, 
while on a visit to his friend Dr. Godding. Of his great devo- 
tion to his work during the long years of his service, you 
have been fully conscious. I think all who knew him will 
say the hospital has lost a conscientious and faithful officer, 
and the patients a self-sacrificing and devoted friend. Dr. 
Hutchinson was promoted to the position of first assistant 
physician and Dr. Owen Copp, a recent graduate of the Har- 
vard Medical School, was appointed second assistant. No 
other changes in the medical staff have occurred. It gives me 
great pleasure to report that all my associates in office have 
been faithful in the discharge of their duties, and are worthy 
of commendation. In this recognition I would also include 
the non-medical officers and many of the attendants, whose 
labors have been more arduous than heretofore by reason of 
the crowded condition of the hospital. To the trustees, for 
their cordial support and the valuable assistance they have 
rendered me in the discharge of the duties of my office, I am 
very grateful. 

JOHN P. BROWN, 

Superintendtnt. 



STATISTICAL TABLES — 1885. 



Table No. 1. 
General Statistics of the Year 





Males. 


Females. 


Totals. 


Patients in hospital Oct. 1, 1884, . 


312 


315 


627 


Admissions within the year, 


150 


156 


306 


Whole number of cases within the year, 


462 


471 


933 


Discharges within the year, .... 


143 


134 


277 


Viz. : as recovered, 


36 


24 


60 


as much improved, .... 


10 


18 


28 


as improved, ..... 


36 


36 


72 


as unimproved, 


30 


22 


52 


Deaths, 


31 


34 


65 


Patients remaining Sept. 30, 1885, 


319 


337 


656 


Viz. : supported as State patients, 


67 


58 


125 


. as town patients, 


221 


247 


468 


as private patients, . 


31 


32 


63 


Number of different persons within the year, 


456 


467 


.923 


admitted, 


146 


154 


300 


recovered, 


35 


24 


59 


Daily average number of patients, 


325.1 


334.2 


659.3 



Table No. 2. 
Monthly Admissions, Discharges and Averages. 



MONTHS. 


Admissions. 


DISCHARGES. 

(Including Deaths.) 


Daily Average of Patients 
in the House. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


1884. 




















October, . 


13 


10 


23 


12 


14 


26 


311.9 


311.6 


623.5 


November, 


16 


20 


36 


10 


5 


15 


314.9 


318.9 


633.8 


December, 


13 


15 


28 


13 


6 


19 


316.3 


331.4 


647.7 


1885. 




















January, 
Februaiy, 


8 
16 


6 

17 


14 
33 


5 
10 


5 
11 


10 
21 


320.4 
325.4 


333.5 
342.5 


653.9 
667.9 


March, . 


15 


10 


25 


9 


4 


13 


335.0 


345.6 


680.6 


April, 


10 


10 


20 


10 


21 


31 


332.8 


345.5 


678.3 


May, . 


7 


8 


15 


13 


13 


26 


329.7 


332.3 


662.0 


June, 


21 


25 


46 


10 


11 


21 


335.6 


335.1 


670.1 


July, 


14 


10 


24 


23 


17 


40 


336.4 


345.4 


681.8 


August, . 


7 


11 


18 


18 


14 


32 


324.5 


336.4 


660.9 


September, 


10 


14 


24 


10 


13 


23 


319.3 


333.3 


652.6 


Total cases, . 


150 


156 


306 


143 


134 


277 


325.1 


334.2 


659.3 


Total persons, 


146 


154 


300 


138 


134 


272 


— 


~ 


— 



20 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 3. 
Received on First and Subsequent Admissions. 





Cases Admitted. 


Times Previously 
Recovered. 


NUMBER OF THE ADMISSION. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 


114 


130 


244 








Second, . 








28 


17 


45 


16 


8 


24 


Third, . 








6 





11 


8 


2 


10 


Fourth, . 








1 


1 


2 


- 


- 


- 


Fifth, . 








- 


- 


- 


- 


- 


- 


Sixth, . 








- 


1 


1 


- 


1 


1 


Seventh, 








- 


1 


1 


- 


5 


5 


Eighth, . 






1 


1 


2 


6 


7 


13 


Total of cases, 


150 


io6 


306 


30 


23 


53 


Total of persons, . 


146 


154 


300 


' 21 


12 


33 



Table No. 4. 
Ages of Persons Admitted for the First Time. 









At First Attack or 
Insanity. 


When Admitted. 


AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females 


Totals. 


Fifteen years and less, 


4 


1 


5 


1 


_ 


1 


From 15 to 20 years, . 




4 


4 


8 


6 


2 


8 


20 to 25 years, 






17 


16 


33 


16 


12 


28 


25 to 30 years, 






9 


16 


25 


15 


20 


35 


30 to 35 years, 






18 


15 


33 


20 


15 


35 


35 to 40 years, 






14 


22 


36 


17 


21 


38 


40 to 50 years, 






17 


20 


37 


22 


32 


54 


50 to 60 years, 






8 


5 


13 


11 


13 


24 


60 to 70 years, 






1 


9 


10 


3 


10 


13 


70 to 80 years, 






2 


4 


6 


2 


3 


5 


Over 80 years, 






- 


1 


1 


- 


2 


2 


Unknown, . 






20 


17 


37 


1 


- 


1 


Totals, . 






114 


130 


244 


114 


130 


241 



1885.] 



PUBLIC DOCUMENT — No. 22. 



21 



Table No. 5. 
Parentage of Persons Admitted. 





Males. 


Females. 


Totals. 


PLACES. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Maine, .... 


4 


4 


6 


6 


10 


10 


New Hampshire, 






2 


2 


3 


3 


5 


5 


Vermont, 






- 


- 


2 


2 


2 


2 


Massachusetts, 








36 


36 


30 


30 


66 


66 


Connecticut, 








- 


- 


4 


4 


4 


4 


Rhode Island, 








3 


6 


2 


2 


5 


8 


New York, . 








2 


1 


- 


- 


2 


1 


New Jersey, 








- 


- 


3 


3 


3 


3 


Pennsylvania, 








- 


- 


1 


1 




1 


Virginia, 








- 


- 


1 


1 


± ^ 


1 


Maryland, . 








1 


- 


- 


- 




- 


Ohio, . 








1 


- 


- 


- 




- 


Dominion of Canada, 






7 


7 


14 


14 


21 


21 


Prince Edward Island 






1 


- 


- 


- 




- 


Newfoundland, . 






- 


- 


1 


1 




1 


Jamaica, 








- 




- 


- 


- 


1 


Western Isl. 


mds, 








1 




3 


3 


4 


4 


England, 










12 


11 


8 


8 


20 


19 


Ireland, 










56 


57 


68 


68 


124 


125 


Scotland, 










1 




2 


2 


3 


3 


France, 










1 




1 


1 


2 


2 


Germany, 






- 




2 




2 


2 


4 


4 


Sweden, 










1 




2 


2 


3 


3 


Russia, 










1 




- 


- 




1 


Portugal, 










1 




- 


- 




1 


Italy, . 










1 




- 


- 




1 


Bohemia, 










1 




- 


- 




1 


China, . 










1 




- 


- 




1 


Unknown, 










10 


10 


1 
154 


1 


11 


11 


Totals, 


146 


146 


154 


300 


300 



22 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 6. 
Residence of Persons Admitted. 



PLACES. 


Males. 


Females. 


Totals. 


County : Bristol, 


55 


46 


101 


Plymouth, 


20 


4 


24 


Norfolk 


12 


20 


32 


Bai - nstable, 


10 


2 


12 


Nantucket, 


1 


1 


2 


Dukes, 


1 


- 


1 


Suffolk 


46 


78 


124 


Middlesex, 


1 


3 


4 




146 


154 


300 


Cities or large towns, ..... 


99 


128 


227 


Country districts, . ^ 


47 


26 


73 



Table No. 7. " 
Civil Condition of Persons Admitted. 



NUMBER OF THE 


Unmarried. 


Married. 


Widowed. 


Unknown. 


ADMISSION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 
Second, . 
Third, . 
Fourth, . 
Fifth, 
Sixth, 
Seventh, . 
Eighth, .■ 
Totals, 


57 

17 

2 

1 

77 


49 
5 

1 

55 


106 

22 
2 

1 

1 

132 


52 
11 

1 

64 


57 
8 
4 
1 

1 

71 


109 

19 

4 

2 

1 

135 


4 
4 


20 
2 

1 
1 

24 


24 
2 
1 

1 

28 


1 

1 


4 
4 


5 

5 



1885.] 



PUBLIC DOCUMENT — No. 22. 



23 



Table No. 8. 
Occupations of Persons Admitted. 



MALES, 



Artist, 


1 


Mill operatives, . 


12 


Bookbinder, 






1 


Musician, . 




1 


Barber, 






1 


Machinists, 




6 


Brickmason, 






1 


Mariners, . 




7 


Bootblack, . 






1 


Marble cutter, . 




1 


Compositors, 






2 


No occupation, . 




7 


Clerks, 






6 


Nailer, 




1 


Currier, 






1 


Peddlers, . 




3 


Cattle tender, 






1 


Periodical dealer, 




1 


Cabinet makers, 






' 3 


Painters, . 




4 


Coachmen, . 






2 


Plumber, . 




1 


Carpenters, . 






2 


School teacher, . 




1 


Designer, . 






1 


Stone cutter, 




1 


Farmers, 






10 


Shoemakers, 




18 


Fish dealer, 






1 


Student, 




1 


Fish packer, 






1 


Saloon keeper, . 




1 


Fruit dealer, 






1 


Tailors, 




2 


Grocers, 






2 


Trader, 




1 


Hostlers, 






3 


Teacher of oratory, 




1 


Jewellers, . 






3 


Tutor, 




1 


Laundry man, 






1 


Unknown, . 




4 


Laborers, 

Lawyers, 






23 

2 










Total, 


146 


Lather, 






1 







FEMALES. 



Compositor, 
Cai-pet weaver, 
Domestics, . 
Housekeepers, 
Harness maker, 
Laundress, . 
Mill operatives, 



1 
1 
47 
76 
1 
1 
5 



No occupation, , 
School teachers, 
Seamstresses, , 
Tailoress, . 

Total, 



15 
3 
3 
1 



154 



24 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 9. 
Reported Duration of Insanity before last Admission. 





First Admission 
to ant Hospital. 


All Other 
Admissions. 


Totals. 


PREVIOUS DURATION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 
Under 1 month, 
From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, . 

2 to 5 years, . 
5 to 10 years, . 

10 to 20 years, . 
Over 20 years, . 
Unknown, .... 


1 

20 

16 

15 

9 

5 

11 

1 

1 

16 
101 


19 

23 

12 

5 

12 

15 

6 

4 

1 

-19 

116 


1 

45 

39 

27 

14 

17 

26 

7 

5 

1 

35 

217 


1 

9 
7 
3 
5 
2 
3 
3 
8 
1 
7 

49 
45 


6 
5 

2 
2 
4 
3 
8 
4 
4 
2 

40 

38 


1 

15 

12 

5 

7 

6 

6 

11 

12 

5 

9 

89 

83 


2 
35 
23 
18 
14 
7 

14 

4 

9 

1 

23 


25 

28 

14 

7 

16 
18 
14 
8 
5 
21 


2 
GO 
51 
32 
21 
23 
32 
18 
17 

6 
44 


Total of cases, . 
Total of persons, 


150 
146 


156 
154 


306 
300 



Table No. 10. 
Form of Disease in Cases Admitted. 



FORM OF DISEASE. 


Males. 


Females. 


Totals. 


Mania, acute, . . . . . 


49 


30 


79 


chronic, 












40 


54 


94 


Melancholia, acute, 












15 


19 


34 


chronic, 












10 


16 


26 


Dementia, chronic, 












2 


5 


7 


Paresis, . 












7 


o 


10 


Organic brain disease, 












2 


- 


2 ' 


Epileptic insanity, 












5 


5 


10 


Paralytic insanity, 












- 


1 


1 


Puerperal insanity, 












- 


7 


7 


Recurrent insanity, 












5 


6 


11 


Senile insanity, 












12 


1 


13 


Alcoholism, . 












3 


9 


12 


Total of cases, 












150 


156 


306 


Total of persons, 












146 


154 


300 



1885.] 



PUBLIC DOCUMENT — No. 22. 



25 



Table No. 11. 

Probable Causes of Insanity in Cases Admitted. 



CAUSES. 


Males. 


Females. 


Totals. 


Physical. — Intemperance, . 


25 


7 


32 


Sunstroke, . 






9 


- 


9 


Senility, 






5 


9 


14 


Ill-health, , 






6 


14 


20 


Masturbation, . 






15 


- 


15 


Excesses, . 






1 


1 


2 


Puerperal, . 






- 


10 


10 


Menopause, 






- 


9 


9 


Uterine disease, . 






_ 


5 


5 


Menstruation, irregul 


ar, 




_ 


1 


1 


Abortion, . 






- 


1 


1 


Epilepsy, . 






4 


5 


9 


Overwork, . 






8 


6 


9 


Neglect, 






_ 


1 


1 


Erysipelas, 






- 


1 


1 


Typhoid fever, . 






3 


2 


5 


Apoplexy, . 






- 


1 


1 


Injury to spine, . 






1 


- 


1 


Injury to head, . 






2 


- 


2 


Nervous prostration, 






1 


_ 


1 


Congenital, 






2 


- 


2 


Syphilis, 






2 


- 


2 


Malarial fever, . 






1 


- 


1 


Moral. — Domestic trouble, . 






_ 


7 


7 


Religious excitement, 






2 


3 


5 


Disappointment, . 






3 


3 


6 


Death of near relative, . 






_ 


9 


9 


Loss of employment, . 






2 


- 


2 


Anxiety, .... 






3 


- 


3 


Predisposing. — Previous attack, . 






11 


20 


31 


Heredity, . 






4 


9 


13 


Unknown, . . 






45 


32 


77 


Totals, . . . ' . 






150 


156 


306 



26 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 12. 
Relation to Hospitals of Persons Admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


F 


irst admission to any hospital for insane, 


101 


116 


217 


V 


ormer inmates of this hospital, . 


27 


18 


45 




of other hospitals in this State, . 


6 


9 


15 




of hospitals in other states, . 


2 


2 


4 




of hospitals in foreign countries, 


1 


2 


3 




of this hospital and of others in 










this State, 


5 


5 


10 




of this hospital, of other hospitals 










in this State and of hospitals in 










other states, .... 


- 


1 


1 




of this hospital and of hospitals 










in foreign countries, 


1 


1 


2 




of this hospital and of hospitals 










in other states, . . 


1 


- 


1 




of other hospitals in this State 










and of hospitals in other states, 


1 


- 


1 




of hospitals in other states and of 










hospitals in foreign countries, . 


1 


- 


1 




146 


154 


300 



Table No. 13. 




" 




How Supported. 








Patiknts Admitted. 


SUPPORTED AS — 










Males. 


Females. 


Totals. 


State patients, 


63 


93 


156 


Town patients, 


71 


55 


126 


Private patients, . . ' . 


16 
150 


8 
156 


24 
306 



1885.] 



PUBLIC DOCUMENT — No. 22. 



27 



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28 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 15. 
Cases Discharged Recovered. — Duration. 





deration before 
Admission. 


Hospital 

Residence. 


Whole Duration 
from the Attack. 


PERIOD. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 

Under 1 month, . 

From 1 to 3 months, 
3 to 6 months, 
■6 to 12 months, 

1 to 2 years, . 

2 to 5 years, . 
5 to 10 years, . 

10 to 20 years, . 
Over 20 years, . 
Unknown, . 


13 
7 

8 
1 
1 

2 

4 


6 

7 
2 
1 
1 
1 

6 


19 

14 

10 

2 

2 

3 

10 

60 
59 

8.31 


4 

17 

5 

9 

1 


1 

10 
8 
2 
3 


5 

27 

13 

11 

3 

1 

60 
59 

7.20 


1 
9 

7 

10 
3 
2 

4 


1 
1 

8 
4 

2 
2 

6 

24 
24 

10.29 


2 

10 

15 

14 

5 

4 

10 


Total of cases, . 

Total of pei'sons, 

Average of known 

cases (in months), 


36 
35 

10.18 


24 
24 

5.07 


36 

35 

7.39 


24 
24 

5.22 


36 

35 

13.81 


60 
59 

12.56 



Table No. 16. 
Cases Resulting in Death. — Duration. 





Duration before 


Hospital 


Whole Duration 




Admission. 


Residenc 


E. 


from 


hie Attack. 


PERIOD. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 




















Under 1 month, . 


4 


7 


11 


3 


6 


9 


1 


- 


1 


From 1 to 3 months, 


5 


5 


10 


4 


2 


6 


3 


3 


6 


3 to 6 months, 


1 


2 


3 


4 


3 


7 


I 


2 


3 


6 to 12 months, 


4 


2 


6 


3 


7 


10 


1 


4 


5 


i 1 to 2 years, . 


4 


4 


8 


7 


6 


13 





5 


10 


2 to 5 years, . 


5 


10 


15 


7 


8 


15 


10 


11 


21 


5 to 10 years, . 


3 


o 


6 


2 


- 


2 


3 


7 


10 


10 to 20 years, . 


2 


1 


3 


- 


2 


2 


3 


1 


4 


Over 20 years, . 


- 


- 


- 


1 


- 


1 


1 


1 


2 


Unknown, . 


3 

31 


- 


3 
65 


31 


34 


65 





- 


3 


Total of cases, 


34 


31 


34 


65 


Average of known 




















cases (in months), 


24.21 


26.16 


25.28 


29.35 


23.18 


27.38 


52.21 


49.34 


50.63 



1885.] 



PUBLIC DOCUMENT -No. 22. 



29 



Table No. 17. 
Cases Discharged by Recovery or Death. — Form of Insanity. 







Recoveries. 


Deaths. 


FORM OF INSANITY 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Mania, acute, 

chronic, 
Melancholia, acute, 

chronic, 
Dementia, acute, . 
chronic, 
Paresis, . 

Organic brain disease, 
Senile insanity, 
Recurrent insanity, 
Puerperal insanity, 
Paralytic insanity, 
Epileptic insanity, " 
Alcoholism, . 




14 

7 
3 
1 

3 

8 


10 
4 
5 
1 
1 

1 
1 

1 


24 
11 

8 
2 
1 

4 
1 

9 


2 
7 
1 
5 

2 
7 
1 

5 

1 


4 
9 
1 

4 

4 
2 
9 

1 


6 
16 

2 
9 

2 
11 

3 
14 

1 
1 


Total of cases, 
Total of persons, 


36 
35 


24 
24 


60 
59 


31 


34 


65 



Table No. 18. 
C'tuses of Death. 



CAUSES. 


Males. 


Females. 


Totals. 


Mania, acute, 


2 


1 


3 


chronic, 










3 


4 


7 


Melancholia, chronic, . 










2 


1 


3 


Epilepsy, 










1 


- 


1 


Paresis, 










7 


3 


10 


Apoplexy, .... 


♦ 








3 


4 


7 


Organic brain disease, . 










- 


2 


2 


Senile insanity, 










2 


3 





Paralysis, 










2 


- 


2 


Old age, 










2 


5 


7 


Strangulation, accidental, 










- 


1 


1 


Erysipelas, facial, . 










- 


1 


1 


Suicide by drowning, . 










- 


1 


1 


Phthisis, 










1 


3 


4 


Pneumonia, . 










- 


1 


1 


Valvular disease of heart, 










1 


- 


1 


Diarrhoea, 










1 


4 


5 


Dysentery, 










2 


- 


2 


Gastritis, 










1 


- 


1 


Internal hemorrhage, . 










1 


- 


1 


Totals, 


31 


34 


65 



30 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 19. 

Deaths, Classified by Resrdts of Previous Admissions. 





Recovered. 


Improved. 


Unimproved. 


Totals. 


ADMISSION. 




























Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 


2 


1 


3 


3 


4 


7 


1 


1 


2 


6 


6 


12 


Second, . 


- 


1 


1 


1 


- 


1 


- 


- 


- 


1 


1 


2 


Third, . 


- 


- 


- 


- 


1 


1 


- 


- 


- 


- 


1 


1 


Totals, 


2 


2 


4 


4 


5 


9 


1 


1 


2 


7 


8 


, 15 



Table No. 20. 

Recoveries, Classified by Result of Previous Admissions. 













Recovered. 


Improved. 


Totals. 


ADMISSION. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, , 


9 


6 


15 


2 




2 


11 


6 


17 


Second, 










4 


3 


7 


1 


- 


1 


5 


3 


8 


Third, 










1 


1 


2 


1 


_ 


1 


2 


1 


3 


Fourth, 










2 


_ 


.2 


- 


- 


- 


2 


- 


2 


Fifth, . 










2 


_ 


2 


_ 


_ 


_ 


2 


- 


2 


Sixth, 










2 


_ 


2 


_ 


_ 


_ 


2 


- 


2 


Seventh, 












_ 


1 


- 


_ 


- 




- 




Eighth, 












_ 


1 


- 


- 


- 




- 




Ninth, 












_ 


1 


_ 


- 


- 




- 




Tenth, 












_ 


1 


•_ 


- 


- 




- 




Eleventh, 












_ 


1 


- 


- 


- 




- 




Twelfth, 












_ 


1 


_ 


- 


- 




- 




Thirteenth, 










- 


1 


- 


- 


- 




- 




Fourteenth, 










_ 


1 


- 


- 


- 




- 




Fifteenth, . 










_ 


1 


_ 


- 


- 




- 




Sixteenth, . 










- 


1 


- 


- 


- 




- 




Total of cases, . 




30 


10 


40 


4 


_ 


4 


34 


10 


44 


Total of persons, 
















11 


6 


17 



1885.] 



PUBLIC DOCUMENT — No. 22. 



31 



Table No. 21. 
Deaths, Classified by Duration of Insanity and Treatment. 





Duration op Insanity. 


Whole Known Period of 










Hospital Residence. 


PERIOD. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Congenital, .... 


_ 


_ 


_ 




_ 


_ 


Under 1 month, . 


- 


- 


- 


1 


6 


7 


From 1 to 3 months, . 


2 


4 


6 


4 


2 


6 


3 to 6 months, . 


1 


1 


2 


2 


3 


5 


6 to 12 months, . 


3 


4 


7 


7 


6 


13 


1 to 2 vears, 


3 


5 


8 


6 


6 


12 


2 to 5 veai's, 


11 


11 


22 


7 


7 


14 


5 to 10 years, 


3 


7 


10 


2 


2 


4 


10 to 20 years, 


3 


1 


4 


1 


2 


3 


Over 20 years, 


2 


1 


3 


1 


- 


1 


Unknown, .... 


3 


- 


3 


- 


- 


- 


Total of cases, 


31 


34 


65 


31 


34 


65 


Average of all known cases 














(in months), 


61.30 


49.04 


57.54 


32.84 


27.76 


31.64 



Table No. 22. 
Ages of iJiose toho Died. 









At Time 


op First Attack. 


At T 


me of Death. 


AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Fifteen years and less, . 


1 




1 


_ 


_ 


_ 


From 15 to 20 years, 






1 


- 


1 


- 


- 


- 


20 to 25 years, 






1 


1 


2 


- 


- 


- 


25 to 30 years, 






1 


- 


1 


o 


- 


3 


30 to 35 years, 






1 


3 


4 


- - 


2 


9 


35 to 40 years, 






4 


5 


9 


3 


4 


/ 


40 to 50 years, 






9 


8 


17 


11 


7 


18 


50 to 60 years, 






4 


6 


10 


3 


7 


10 


60 to 70 years, 






5 


2 . 


7 


7 


5 


12 


70 to 80 years, 






1 


7 


8 


3 


5 


8 


Over 80 years, 






- 


2 


2 


1 


4 


5 


Unknown, 






3 


- 





- 


- 


- 


Totals, . 






31 


34 


65 


31 


34 


65 



32 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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1885.] 



PUBLIC DOCUMENT — No. 22. 



33 



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34 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



53 

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Remaining of each 
Year's Admissions 
Sept. 30, 1885. 


•StBJOX 


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1885.] PUBLIC DOCUMENT — No. 22. 



35 



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36 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 





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1885.] 



PUBLIC DOCUMENT — No. 22. 



37 



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38 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



AKTICLES MADE IN SEWING-ROOM 

For the Year ending Sept. 30, 1885. 



163 wrappers. 


547 bath towels. 


285 dresses. 


264 roller towels. 


291 pairs drawers. 


58 curtains. 


501 chemises. 


401 pairs suspenders 


458 skirts. 


30 hats trimmed. 


83 night-dresses. 


136 pairs mittens. 


93 aprons. 


2 carpets. 


1,250 sheets. 


21 rugs hemmed. 


24 straw ticks. 


4 camisoles. 


130 mattress ticks. 


11 settee cushions. 


170 pillow ticks. 


132 pairs hose knit. 


1,484 pillow slips. 


37 pairs wristers. 


51 bed spreads. 


18 chair cushions. 


73 table spreads. 


455 napkins. 


12 waists. 


17 sacques. 


6 pairs pants. 


6 jackets. 



INVENTORY OF STOCK AND SUPPLIES 

On Hand Sept. 30, 1885. 



Live stock on the farm, . . - . 

Produce of the farm on hand, 

Carriages and agricultural implements, 

Machinery and mechanical fixtures, 

Beds and bedding in inmates' department, 

Other furniture in inmates' department, 

Personal property of the State in the Superintendent 

partment, 
Dry goods, . 
Provisions and groceries, 
Drugs and medicine, 
Fuel, .... 
Library, 
Other supplies undistributed 





$4,004 00 




1,155 00 




2,128 00 




37,000 00 




16,584 75 




7,833 25 


t's de- 






6,843 56 




5,314 86 




3,584 77 




600 00 




5,689 00 




600 00 




2,296 23 




$93,633 42 



1885.] 



PUBLIC DOCUMENT — No. 22. 



39 



TREASURER'S REPORT. 



I respectfully submit the following report of the finances 
of this institution for the year ending Sept. 30, 1885, to the 
Trustees : — 



Assets. 



139 acres of land, . 
Hospital building, . 
Brick barn and stable, . 
Laundry building, . 
Other buildings and wall, 



$34,800 00 

275,000 00 

8,000 00 

8,000 00 

7,000 00 



Personal Estate. 

Stock and supplies on hand as per inventoi'y appended to 
the Trustees 1 report, 



Receipts. 

Cash on hand October 1, 1884, 
Received from the State treasury, 

from towns, . 

from individuals, . 

from sales, 

Payments. 

1st. Salaries, wages and labor, . 

2d. Provisions and supplies, etc. : — 
Meats of all kinds, . 
Fish of all kinds, 
Fruit and vegetables, 
Flour and bread, 
Grain and meal for table, 
Grain and meal for stock, 
Tea, coffee and broma, . 
Sugar and molasses, 
Milk, butter and cheese, . 
Salt and other grocei'ies, 

Amount carried forward, 



$332,800 00 



93,633 42 



,433 42 



>,385 13 



21,217 15 




87,095 96 




14,309 10 




960 44 


123,582 65 




$125,967 78 




$32,980 67 


$9,622 56 




2,193 55 




1,859 54 




5,215 23 




387 05 




1,446 32 




1,448 86 




2,913 87 




9,640 49 




5,410 34 







40,137 81 




$73,118 48 



40 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Amount brought forward, 

3d. Clothing, 

4th. Fuel and light, .... 

5th. Medicines and medical supplies, 

6th. Furniture, beds and bedding, 

7th. Transportation, . . . . 

8th. Ordinary .construction and repairs, 

9th. Extraordinary construction and repair 

10th. Miscellaneous expenses, 

Liabilities. 

Salaries and wages due Oct. 1, 1885, . 
Miscellaneous bills due, .... 

Kesources. 
Due the institution for boai'd Oct. 1, 1885 : — 

From towns, 

State, 

individuals, . . . . 
Cash on hand Sept. 30, 1885, 



Summary. 



Total receipts, 
Total payments, 



Cash on hand Sept. 30, 1885, 
Total debts due the institution, 



Total liabilities, 



Total expenditures, 

Dividing this sum by 659, the average number of patients, 

we have the annual cost of each patient, 
And the average weekly cost of, 



$73,118 48 


7,032 09 


16,603 98 


1,780 81 


6,193 77 


601 80 


7,717 67 


1,115 39 


4,750 14 


$118,914 13 


$3,442 68 


12,043 71 


$15,486 39 


$22,154 48 


5,691 71 


3,715 28 


7,053 65 


$38,615 12 


$125,967 78 


118,914 13 



$7,053 65 
$7,053 65 
31,561 47 

$38,615 12 
15,486 39 

$23,128 73 
$118,914 13 

$180 45 
$3 47 



Deducting from the current expenditures, . 
The extraordinary construction and repairs, 



Dividing $117,798.74 by 659, the average number of pa- 
tients, we have the annual cost of each patient, . 
And the average weekly cost of, 



$118,914 13 
1,115 39 

$117,798 74 



$178 75 
$3 44 



JOHN KITTREDGE, Treasurer. 



1885.] PUBLIC DOCUMENT — No. 22. 41 



FINANCIAL STATEMENT. 



Of the appropriation made by the legislature of 1883, for 
laying floors, water-pipe and hydrants, purchase of new 
fire hose, new heater and piping, new ice house : — 

Balance of appropriation, Sept. 30, 1884, .... $700 00 

Amount drawn to date, viz., — 
For building; ice house, 700 00 

JOHN KITTREDGE, 

Treasurer. 
Taunton, Sept. 30, 188o. 



Of the appropriation made by the legislature of 1884 : — 

Balance of appropriation, Sept. 30, 1884, .... $5,253 96 

Amount drawn to date, viz., — 
For painting woodwork, outside, . 

land damages, .... 

further protection against fire, . 



Balance of appropriation, 



Taunton, Sept. 30, 1885. 



. $811 71 
. 2,700 00 
. 842 25 


4,353 96 




|900 00 


JOHN KITTREDGE, 


> 


Treasurer. 



42 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



LIST OF PERSONS 

Employed at the Taunton Lunatic Hospital, Sept. 30, 1885. 



Superintendent and Physician, . 




(per year) $2,500 00 


First Assistant Physician, . . . . 




CC 


1,200 00 


Secrnd Assistant Physician, 




. 


800 00 


Assistant Physician and Apothecary, 




" 


600 00 


Woman Physician, . 




cc 


600 00 


Treasurer and Clerk, 






cc 


1,200 00 


Supervisor (man), 






. 


500 00 


Supervisor (woman), 






cc 


400 00 


Engineer, . 






(per month) 


83 33- 


Assistant Supervisor (man), 




" 


28 00 


Assistant Supervisor (woman), 




' . 


33 00 


Baker, 




" 


40 00 


Assistant Baker, 






. 


25 00 


Coachman, 






. 


30 00 


Gardener, . 






. 


25 00 


Night-watch (men, 2), 






. 


28 00 


Night-watch (women, 2), 






. 


18 00 


Fireman, . 






. 


32 00 


Fireman, . 






CC 


28 00 


Upholsterer and Clerk, 






. 


40 00 


Stable man, 






it 


28 00 


Stable man, 






. 


15 00 


Farmer, 






cc 


35 00 


Farm laborer, . 






u 


26 00 


Farm laborer, . 






cc 


27 00 


Farm laborers (3), . 






cc 


25 00 


Farm laborer, . 






. 


23 00 


Brush maker, 






cc 


27 00 


Store-keeper, 






■ . 


30 00 


Laborers (7), 


(average price per month) 


22 14 


Attendants (men, 20), 


Kt u cc 


22 50 


Attendants (women, 27), 


cc cc cc 


16 89 


House Attendants (2), 


(per month) 


16 00 


Seamstress, 


(per week) 


5 00 


Assistant seamstresses (2), .... (per month) 


14 00 


Assistant seamstresses (2) , . . . . (per week) 


3 00 


Laundress, (per week) 


5 00 


Laundry girls (8), . . . (average prices per week) 


3 41 


Housekeeper, (per week) 


5 00 


Kitchen man, 


(per month) 


28 00 


Cook, .... 





14 00 


Cook, .... 


(per week) 


4 00 


Kitchen girls (3), 


(average price per week) 


3 17 


Space girls (3), 


CC CC CC 


3 08 


Spare girl, . 






(per week) 


3 00 



1885.] 



PUBLIC DOCUMENT — No. 22. 



43 



TKUSTEES 

Of the Taunton Lunatic Hospital. 



NAME. 


Residence. 


When 
appoint- 
ed. 


Service 
ended. 


From what cause. 


* Marcus Morton, . 


Taunton, 


1853, 


1854, 


Resigned. 


* William Sutton, 


Danvers, 


1853, 


1856, 


Term expired. 


Charles Edward Cook, . 


Boston, 


1853, 


1857, 


Term expired. 


* George R. Russell, 


Roxbury, 


1853, 


1858, 


Term expired. 


* George A. Crocker, 


Taunton, 


1853, 


1861, 


Resigned. 


* Charles R. Vickery, 


Taunton, 


1854, 


1855, 


Term expired. 


George Howland, Jr., . 


New Bedford, 


1855, 


- 


Still in office. 


* Menzies R. Randall, 


Rehoboth, . 


1856, 


1862, 


Term expired. 


* James W. Sever, . 


Boston, 


1857, 


1858, 


Removed. 


* Charles Edward Cook, . 


Boston, 


1858, 


1873, 


Term expired. 


John M. Kinney, . 


Wareham, . 


1858, 


1864, 


Term expired. 


* Charles R. Atwood, 


Taunton, 


1861, 


1877, 


Died in office. 


* Oliver Ames, 


No. Easton, . 


1862, 


1877, 


Died in office. 


Le Baron Russell, . 


Boston, 


1864, 


- 


Still in office. 


Simeon Borden, 


Fall River, . 


1873, 


- 


Still in office. 


William C. Lovering, . 


Taunton, 


1877, 


- 


Still in office. 


* Samuel L. Crocker, 


Taunton, 


1878, 


1883, 


Died in office. 


Oakes A Ames, 


No. Easton, . 


1883, 




Still in office. 


Mrs. Ruth S. Murray, . 


New Bedford, 


1884, 


- 


Still in office. 


Mrs. Grace S. Bartlett, . 


Taunton, 


1884, 


- 


Still in office. 



* Deceased. 



PUBLIC DOCUMENT. No. 22. 



THIRTY-THIRD ANNUAL REPORT 



THE TRUSTEES 



Taunton Lunatic Hospital 



FOR THE 



Year Ending September 30, 1886. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

IS Post Office Square. 

1887. 



PUBLIC DOCUMENT. No. 22. 



THIRTY-THIRD ANNUAL REPORT 



THE TRUSTEES 



Taunton Lunatic Hospital, 



Year Ending September 30, 1886. 



/V BOSTON : 

WEIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1887. 



f],j)* 



(jte/bcZM^ fryhn^f- 



OFFICEES 



TAUNTON LUNATIC HOSPITAL. 



TRUSTEES. 

WILLIAM C. LOVERING, Taunton. 

SIMEON BORDEN, Fall River. 

LeBARON RUSSELL, Boston. 

RUTH S. MURRAY, . New Bedford. 

GRACE S. BARTLETT, Taunton. 

OAKES A. AMES, North Easton. 

GEORGE HOWL AND, Jr., New Bedford. 

RESIDENT OFFICERS. 

JOHN P. BROWN, M.D., ..... Superintendent. 

MARCELLO HUTCHINSON, M.D., . . . Assistant Physician. 

OWEN COPP, M.D., Assistant Physician. 

CHARLES A. DREW, M.D., { aXImpZ^L 

ALICE ROGERS, M.D., Assistant Physician. 

JOHN KITTREDGE, . Clerk. 

RUFUS D. GODDING, Engineer. 

TREASURER. 

JOHN KITTREDGE, . . . . . . Taunton. 

Office at Hospital. 



C0mm0tttaeaIt|r d Passad[mg£fctg* 



TEUSTEES' REPORT, 



To Sis Excellency the Governor and the Honorable Council. 

The Trustees of the Taunton Lunatic Hospital in the dis- 
charge of their official duty respectfully present the following 
report : — 

The close of another year finds the hospital in a crowded 
condition. The highest number of patients reached during 
the year was 714 and although recent removals have reduced 
that number to 656, still, as the cold weather advances and 
the patients are obliged to be kept more within doors, that 
relief is not experienced which perhaps might be expected 
from such removals. It is easier to take care of 700 patients 
in summer than 600 in winter. 

The cubic feet of air-space allotted to patients, including 
living-rooms and corridors, is 986,164 feet or about 1,500 feet 
to each patient. This is less than in any other hospital in 
the State, excepting the old hospital at Worcester. With 
doors and windows open the condition of health is better 
during the summer than during the colder season when 
closed doors and windows and artificial heat are necessary. 

Believing thoroughly in the ameliorating and curative 
influence of pure air, it has always been a rule of the auth- 
orities of the hospital to allow the patients as much exercise 
in the open air as their condition will admit. To this end 
advantage has been taken of the beautiful and extensive 
grounds which are a feature of the institution. Open fields, 



6 TAUNTON LUNATIC HOSPITAL. [Oct. 

dense forest, hills and dales, and a flowing river are the 
natural attractions of the place. Improvements have been 
made, by laying out driveways and walks in all directions, 
and throwing open the entire grounds for the use and enjoy- 
ment of the patients. A driveway has been built from the 
front entrance along by the western and northern walls to 
the rear entrance running through the woods and over the 
fields. Other roads have been laid out and when completed 
there will be about four miles of driveway within the walls. 
Wide paths have been cut through the woods, and convenient 
and comfortable seats have been arranged in attractive spots. 
There is not a pleasant day in the whole year when hun- 
dreds of the inmates may not be seen enjoying their varied 
privileges, as they drive, walk, rest in the shade, or bask in 
the sun. 

With the recent purchases there are now about 140 acres 
of land within the enclosure, every foot of which is available 
for some useful purpose. 

For the first time in the history of the hospital the grounds 
are enclosed by substantial walls, and suitable fences. The 
west wall on the line of the Old Colony Railroad, for which 
an appropriation of $1,800 was made in 1884, has been com- 
pleted. The wall on the line of old Danforth Street has been 
moved to the line of new Danforth Street, exhausting the 
appropriation of $1,000 made for the purpose in 1884. A 
substantial barbed wire fence has been built on the border of 
Mill Eiver, serving the two-fold purpose of keeping out 
intruders and preventing accidents, which in times, past 
have been almost unavoidable. 

There has therefore been built during the year 1,563 feet 
of wall on the line of the Old Colony Railroad, 1,100 feet on 
the line of Danforth Street, and 3,744 feet of wire fence. 

An exchange of land has been effected with Mr. Edward 
White, as authorized by the Legislature, which is in every 
way advantageous to the hospital. By this means the south- 
western line has been straightened, and the property pro- 
tected from the encroachments with which it has long been 
threatened. Nearly the entire line about the property is 
bounded by the river and highway. 

The freshet, which occurred in the spring and carried 



1886.] PUBLIC DOCUMENT — No. 22. 7 

away nearly all the bridges and dams on Mill River, was felt 
in many ways by the hospital. Not only was the new iron 
bridge, which had just been completed on new Danforth 
Street, injured and made impassable, but the foot-bridge at 
Hopewell, over which the gas main supplying the hospital 
was laid, was entirely swept away, and for three weeks the 
hospital was without gas. The inconvenience resulting from 
this mishap was seriously felt in all the departments. It was 
not easy to improvise a system of lighting at a moment's 
notice, and for a time the whole work of the hospital was 
done with candles, lanterns, and such rudimentary appliances 
as could be most readily obtained. The Trustees are happy 
to state that the Taunton Gas Light Company has recently 
completed the laying of a six inch pipe, at its own expense, 
through the main avenue. This will not only give the hos- 
pital an unstinted supply of gas, and afford an opportunity to 
light the avenue, but will render any accident in the future 
improbable. 

There is one very pressing want that has been felt for 
many years. It has been a growing one, and is more se- 
riously felt to-day than ever. Since the hospital was opened 
in 1855, there has been no addition to the barn, although the 
accommodation for patients has been more than doubled in 
that time. More than half the milk consumed has been pur- 
chased from dealers in the neighborhood. It is estimated 
that nearly $2,000 per annum would be saved if all the milk 
were produced on the place. It is perfectly practicable to 
do this by a comparatively small outlay. The Trustees 
therefore recommend the construction of a cow-house, adja- 
cent to the present barn, and ask that an appropriation of 
$5,000 be made for the purpose. 

One of the very earliest reports from this hospital recom- 
mended the construction of a greenhouse, and from time to 
time the matter has been discussed, but not until this year 
have any steps been taken to secure one. The Trustees are 
happy to say that the work has at last been undertaken and 
a small greenhouse is now building in an eligible spot, 
admirably adapted to the purpose. It is easily accessible, 
and can be seen from the house. Experience has proved 
that a salutary influence may be expected from this source. 



8 TAUNTON LUNATIC HOSPITAL. [Oct. 

A new drain, nearly one thousand feet in length, has been 
laid, and a lower service obtained. Not until now have the 
extreme wings been adequately equipped in this respect. 

The Superintendent's report calls attention to the great 
need of an infirmary, where the invalid and convalescent 
may be lodged and treated apart from the other patients. 
The plan has the hearty approval of the Trustees, and as 
soon as practicable designs, with specifications and esti- 
mates, will be submitted, and an appropriation asked to 
prosecute the work during the coming year. 

The crowded condition of the hospital has necessitated 
further accommodations for employees, and six large lodg- 
ing rooms have been completed in the attic, for night 
watches and night nurses exclusively. Thus is met a want 
which has long been felt. 

The Second Annual Report of the Trustees of this hos- 
pital, made more than thirty years ago, called upon the 
Legislature to remedy an evil which had shown itself within 
the first year of its history, namely, — the presence in the 
various wards of the "criminal insane." With but few 
exceptions every report since has presented the evil, dwelt 
upon its baneful influence, and begged for relief. More than 
fifty years ago, the Trustees of the Worcester Hospital, in 
their report, pointed this out as an obstacle to the successful 
treatment of patients. The Trustees and Superintendents 
of other hospitals have from time to time called the 
attention of the Legislature to it. The Hospital Trustees 
Association in 1883 presented a memorial and prayed for 
relief. The subject has been set forth in every conceivable 
phase and aspect, so that anything that can now be said 
seems superfluous. All appeals for relief have been in vain. 
This evil not only continues, but is more manifest year by 
year. The best efforts of those who have the insane in 
charge have been frustrated. There is reason to fear that 
many fellow creatures in this Commonwealth have been 
doomed to torture, hopeless insanity, and death, who might 
have been restored to health, reason and their friends. Who 
is to blame? The public has a right to know. There seems 
to be some hidden power which dominates the action of the 
Legislature and thwarts all attempts at reform in this direc- 



1886.] PUBLIC DOCUMENT — No. 22. 9 

tion. As will be seen by the report of the Superintendent, 
on the 15th of September last, twenty-five of the most quiet, 
innocent and harmless patients were removed to the State 
Workhouse at Bridgewater, a penal institution. This still 
further degraded and took from the hospital a class of patients 
whose proper home it is, and who can be easily cared for, 
and are capable of doing much work. This seems to the 
Trustees a step in the wrong direction and liable to render 
more difficult the settlement of this important question. 
They therefore desire to record their earnest protest against 
such action. 

The Trustees feel that they would be unfaithful to their 
trust if they did not once more plead in behalf of the large 
number of innocent, helpless creatures under their care, who 
are compelled to be classed with murderers, thieves and cut- 
throats. What wonder that in their disordered minds they 
come to look upon themselves as prisoners held for crime. 
It is a mistake to think that these people do not know the 
character of their associates. They do know, and a dread 
akes possession of them, such as pervades a community 
when they know that criminals are at large among them. 
Often human reason is so delicately poised in the balance 
that a breath only will turn the scale. When reason is over- 
thrown instinct remains, and with it all the power to suffer. 
How important, then, that everything which arouses fear 
and feeds delusion should be carefully excluded. > The Trus- 
tees beseech, nay ! demand, in the interest of their trust, in 
the interest of economy, in the interest of the Common- 
wealth and in the interest of a common humanity, the 
prompt consideration and remedy of this crying evil and 
burning shame. 

Undoubtedly the State will be called upon ere long to 
erect more buildings and make further provision for the con- 
stantly increasing throng of the insane. Why should not 
this much vexed question be met and settled, at once and 
for all, by establishing somewhere suitable quarters for the 
convict and criminal insane. If hospitals are expected to 
fulfil their functions as curative institutions, rather than to 
be maintained as simply prisons for detention, then some 



10 TAUNTON LUNATIC HOSPITAL. [Oct. 

discrimination must be observed in regard to committals 
and removals. 

Massachusetts, with her much vaunted Christian charity, 
is to-day behind other States and countries in this needed 
reform. 

The hospital has been signally blessed during the year. 
The percentage of deaths has been unusually low, and 
disease has made no serious ravages. 

The character of work done, — namely, road, wall and 
drain building, — has been such as to afford out-door employ- 
ment to a large number of patients, and of the beneficial 
results to them there can be no doubt. Occupation is the 
best guide to conduct lost reason back to its home in the 
brain. 

It has been the constant study of the Superintendent to 
devise new ways to occupy the time and divert the attention 
of all the patients who can be benefited thereby. And here 
it may be said that the Trustees have no more agreeable 
duty than to bear witness to the faithful devotion of the 
Superintendent to his work. Nothing can exceed the earn- 
estness, thoroughness, fidelity and ability with which he so 
quietly and unostentatiously performs the varied duties of 
his office. 

The accompanying report of the Treasurer gives an 
accurate statement of the finances, which, as will be seen, 
are in a satisfactory condition. It is not too much to say 
that the great experience and sound judgment of that officer 
during his many years of service have been of immense 
advantage to the hospital. 

To the very able staff of assistants great credit is due for 
the efficient manner and clock-like regularity with which the 
whole work of the hospital is accomplished in all its details. 
The statute exacts the return of the reports from all the 
hospitals between the first and fifteenth day of October. 
Since the statute was enacted the hospitals have grown to 
such an extent and the amount of work required to render 
clear and correct reports with all the different tables of statis- 
tics, that it is almost impossible to satisfactorily comply with 
the requirement. The Trustees, therefore, have to ask that 



1886.] PUBLIC DOCUMENT — No. 22 11 

the time for the return of the annual reports may be fixed 
on or before the first day of November. 

With a profound feeling of gratitude to the All Wise and 
Beneficent Creator for His watchful care and tender mercy, 
the Trustees pray that His blessing may continue and rest 
on the work of this hospital during all the days of its life. 

All of which is respectfully submitted, 

WM. C. LOVERING. 
SIMEON BORDEN. 
LE BARON RUSSELL. 
RUTH S. MURRAY. 
GRACE S. BARTLETT. 
OAKES A. AMES. 
GEORGE HOWLAND. 



12 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Taunton Lunatic Hospital. 

In compliance with the by-laws of your board, I respect- 
fully present to you the Thirty-third Annual Report of the 
operations of the hospital for the year ending Sept. 30, 1836. 

General Statistics of the Year. 



Patients in hospital, Oct. 1, 1885, . 
Admissions within the year, 

Whole number of cases within the year, 
Discharges within the year,, 
Viz. : as recovered, 

as much improved, 

as improved, 

as unimproved, . 

as not insane, 
Deaths, .... 
Patients remaining, Sept. 30, 1886, 
Daily average number of patients, 



319 
175 

494 

184 

43 

8 

30 

58 

4 

41 

310 

332.20 



337 
153 

490 

137 

32 

19 

28 

26 

2 

30 

353 

351.15 



656 
328 

984 

321 

75 

27 

58 

84 

6 

71 

663 

683.35 



In reviewing the work of the year the most noteworthy 
fact to be mentioned is that a greater number of patients 
have been under treatment than in any year since 1877. At 
the beginning of the year there were in the hospital 656 
patients. There have been admitted 328, which makes the 
whole number under treatment 984. Ten patients who were 
in the hospital at the beginning of the year were discharged 
and readmitted, and one was admitted, discharged and 
readmitted, which reduces the whole number of persons to 



1886.] PUBLIC DOCUMENT — No. 22. 13 

973. The highest number at any one time was 714, and the 
lowest 647. For nearly three months the number was above 
700. The daily average for the year was 683, which is 130 
above the estimated capacity of the hospital. 

To provide sleeping accommodations for this extra num- 
ber, more than 100 beds were made up on the corridors each 
night, which, in the morning, were packed away in one of the 
rooms, to be again brought out and made up the next night. 

The women's side of the house has been more crowded 
than the men's and has had a greater number of excited and 
turbulent patients, who have been more difficult to take care 
of and have required more constant attention from the 
attendants. 

But I will not repeat what was said one year ago respect- 
ing the evils and discomforts arising from the hospital being 
so greatly overcrowded, as you have witnessed them from 
week to week as you have visited the different wards. 

Admissions. 
Of the 328 admitted, 247 were first admissions to this 
hospital and had not been inmates of any other hospital, 62 
had been insane less than one month before their admission, 
57 less thau three months, 39 from three to six months, 26 
from nine to twelve months, while 112 had been insane 
more than one year and the duration of insanity of 31 was 
unknown. As about 50 per cent, of those who recover from 
insanity recover within six months from the beginning of the 
attack, it is evident that about one half of those admitted had 
past the most curable period before they entered the hospital. 
66 of those admitted were cases of acute mania, 104 of 
chronic mania, 33 of acute melancholia, 13 of chronic melan- 
cholia, 21 of senile insanity and 34 of paresis, 16 of whom 
were women. This is a large number of admissions of par- 
etics for this hospital and the number of women is excep- 
tionally large, as statistics have usually shown the ratio to 
have been about five to one in favor of women. It seems 
quite certain that this most fatal form of insanity, resulting 
from organic brain disease, is steadily increasing, especially 
in the large cities where the struggle for existence and pre- 
ferment is most intense. 



14 TAUNTON LUNATIC HOSPITAL. [Oct. 

Discharges. 

Of those discharged, 154 were removed by their friends ; 
19, having no settlement in the State, were removed by the 
Board of Lunacy and Charity ; 33 were discharged to the 
Overseers of the Poor, some of whom were removed to 
almshouses and others to their homes ; 8 were discharged to 
be boarded in families ; 2 were returned to the House of 
Correction at South Boston, and 25 men, of the quiet and 
harmless class, were removed by the Board of Lunacy and 
Charity to the State Workhouse at Bridgewater. We re- 
gard it but little relief to the hospital to remove only the 
quiet and harmless, and among them useful workers, who can 
sleep in associated dormitories and adapt themselves to any 
surroundings. What we most need is to be relieved of some 
proportion of those who cannot sleep in associated rooms, 
so as to vacate single rooms for the use of acute cases. 

Six persons were discharged as not insane. They were 
committed as dipsomaniacs, under the law for committing 
dipsomaniacs and habitual drunkards to the Lunatic Hospi- 
tals for custodial care and treatment. Neither of them showed 
any mental aberration when they entered the hospital or 
while they remained in confinement and could not, therefore, 
be regarded as insane. The practical result of the law, in 
many cases, is to make legal the commitment of sane per- 
sons to lunatic hospitals. No doubt the law originated from 
the kindest motives towards the inebriate and there is little 
reason to apprehend it will often be abused in the selection 
of cases for commitment, but that does not affect the gen- 
eral bearing of the question, whether it is wise, even from 
the best of motives, to legalize the commitment and deten- 
tion in lunatic hospitals of sane persons, however much they 
may need reforming, and to that end be benefited by con- 
finement. 

Recoveries. 

Seventy-five patients were discharged as recovered, which 
is 22.86 per cent, of the admissions, and is a higher per- 
centage than that of the preceding year. The form of insan- 
ity of 40 of those discharged recovered was acute mania, 10 
chronic mania, 9 acute melancholia, 4 recurrent mania, 3 



1886.] PUBLIC DOCUMENT — No. 22. 15 

puerperal mania and 8 alcoholism. More than half of the 
recoveries were from acute mania. The duration of insanity 
before recovery in 16 was less than three months; in 37, 
less than six months; in 54, less than one year and in 63, 
less than two years, which simply affirms the well-known 
fact that three-fourths of the recoveries take place within 
one year from the beginning of the attack, and after that the 
percentage of recoveries grows rapidly less. 

Deaths. 

The number of deaths was 71. Considering the crowded 
condition of the hospital and the great number of old and 
feeble patients, the rate of mortality was low, — much lower 
than could have been reasonably expected. As an index of 
the sanitary condition of the hospital, and the quality of the 
care and nursing of the patients, it is a gratifying result ; 
but apart from that it may not be so considered when it is 
known that nearly all who died were suffering from incur- 
able insanity, — to whom life was a continual burden. As 
usual of late years, the largest number of deaths resulted 
from paresis and other forms of organic brain disease. 

Teials. 

162 patients were discharged on trial for sixty days or 
less, only thirty of whom were returned before the expira- 
tion of the trial. In most cases both patients and friends 
prefer this method of discharge. Undoubtedly one ten- 
dency of it is to shorten the hospital residence. 

Restraint and Seclusion. 

While no attempt has been made to discontinue all me- 
chanical restraint, less has been found necessary. The daily 
average amount on the male side of the house has been .27 of 
one per cent. For above seven months no male patient was 
restrained. One man was in restraint twenty-three days for 
surgical reasons. The daily average of men secluded, for 
all purposes, was 1.2 per cent. The daily average of women 
restrained was 1.3 per cent, and the daily average secluded, 
some part or all of the day, was 1.8 per cent. In making 



16 TAUNTON LUNATIC HOSPITAL. [Oct. 

up the daily average, fractions of a day have been reckoned 
as a whole day, which of course increases the percentage 
somewhat. 

More women than men have been restrained for destruc- 
tiveness and violence, perhaps by reason of the women's 
wards having been much more crowded. 

Exercise in the Open Air. 
The patients have been out in the open air much of the 
time during the warm season, walking and sitting in the 
grove, and a greater number than heretofore of the excited 
and irresponsible class. 

With the completion of the new walks and avenues which 
are being built, it will not be difficult to increase the number 
still more. 

Employment. 

More patients have been employed than in previous years. 
The daily average number of men employed has been 191.2 ; 
the daily average of women, 99.2. A large number of men 
have worked on the farm, grading new avenues and making 
other improvements about the grounds. The brush shop 
continues to attract a goodly number of willing workers and 
I regard it as especially useful in the winter. The women 
have been employed in the various departments, as in years 
before. A list of articles made in the sewing-room will be 
found in the appendix. 

Minor Improvements. 
Some improvements not detailed in the report of the 
Trustees have been made. A new washing-machine has 
been put in the laundry and the wood work of all the old 
machines has been rebuilt and thoroughly repaired. Two 
hundred woven wire mattresses have been put on the wards, 
and one of the wards repainted in part. Two convenient 
rooms have been fitted up in the basement, in which are kept 
the boots and shoes worn by the men who walk out and work 
on the farm. This prevents much dirt being brought on 
the wards by the men when they come in from walking or 
from the farm. Hot air Hues have been built into some of the 
rooms designed for patients who need seclusion and will not 



1886.] PUBLIC DOCUMENT — No. 22. 17 

keep clothed. The steam radiators for heating the rooms are 
supplied by a pipe directly from the boilers, and can be 
heated independently of the rest of the house. This I regard 
as very desirable many nights in the winter when steam is 
not needed for the whole building. The hennery which was 
commenced last autumn has been completed. 

Finance. 
The bills due to the hospital at the end of the year, as 
shown by the report of the Treasurer, were in excess of the 
liabilities by $26,278.16, which is $3,149.43 above that of 
the preceding year. The value of the supplies on hand ex- 
ceeds that of one year ago by $5,180.14. This increase of 
the apparent surplus has resulted from the crowded condition 
of the hospital, and will not continue if the number of patients 
is diminished during the coming year. 

Infirmaries . 

It has been my opinion for some time that this hospital 
should have an infirmary for each sex, where the sick and 
feeble, and perhaps the suicidal, can be brought together 
and cared for by special nurses better than they are now in 
the general wards of the hospital. I think suitable accom- 
modations can best be secured by building extensions to the 
front wings, running east and west. Infirmaries so located 
would be near the office and convenient of access. 

The buildings need not be expensive and could be built 
for a sum not exceeding the per capita cost of the other 
wings. Plans and estimates can be prepared before the 
Legislature meets, if you should decide to ask for an appro- 
priation to erect them the coming year. 

Future Buildings for the Insane. 
The State has now, or will soon have when the building at 
Westborough is opened, five large hospitals for the care and 
treatment of the insane of all classes, and it may be accepted 
as a settled fact that it will not for some years to come erect 
any more expensive hospitals. What then should be done 
to provide for the increase of the chronic insane, which is 
sure to accumulate beyond the capacity of the present hos- 



18 TAUNTON LUNATIC HOSPITAL. [Oct. 

pitals within a short time ? Clearly it seems to me measures 
should be adopted at au early day to build an asylum espec- 
ially for the chronic insane ; either a separate, distinct insti- 
tution, or on the grounds of one of the existing hospitals 
that may have a suitable location and sufficient land for the 
purpose, in which case it could be under the same board of 
managers as the hospital. But wherever built, it should be 
so constructed as to provide suitable accommodations for all 
classes of the chronic insane that are usually found in the 
hospitals. 

If buildings are provided for the quiet and harmless only, 
the hospitals will gradually accumulate all the noisy and tur- 
bulent, with whom the recent and acute cases sent to them 
for treatment will be brought into more or less contact. It 
is well known to all who have the care of the insane in hos- 
pitals, that a majority of the noisy and offensive, whose influ- 
ence upon the rest is most pernicious, are of the chronic 
class ; and it is often painful to witness the depressing influ- 
ence they exert upon the new cases that are of necessity 
associated with them. Buildings suitable for all classes of 
the chronic insane need not be expensive, and could be built 
after the most approved plans in a good and substantial man- 
ner, for a sum not exceeding five hundred dollars per capita. 

Acknowledgments . 
The editors of the Daily Mercury, the Old Colony Memo- 
rial and the Gospel Banner have continued to send their 
papers to the hospital free of charge. The Friends' Review 
and several books for the library have been received through 
the kindness of Hon. George Howland, Jr., of New Bed- 
ford. Mrs. Lawrence J. Pitman of Greenwood, Mass., gave 
a box of illustrated papers and novels for the use of the 
patients. Mrs. William E. Sparks of Taunton, one barrel 
of fine pears. We are indebted to Mrs J. C. Bartlett of 
Taunton for the presentation of the cantata " The Jackdaw 
of Rheims," which was greatly enjoyed by the patients. 
The Bristol County Agricultural Society kindly gave to all 
the residents of the hospital free admission to its grounds 
during the fair, which many of the inmates attended with 
evident pleasure. Entertainments were given to the patients 



1886.] PUBLIC DOCUMENT — No. 22. 19 

in the chapel on two and sometimes three evenings of each 
week, during about eight months of the year, some of them 
by members of our own household, to whom thanks are due. 

Mrs. M. E. Wood, who had efficiently performed the 
duties of female supervisor for a period of ten years, 
resigned July 21. Since her resignation Miss Anna G. 
De Wolfe has acted as assistant female supervisor, and dur- 
ing the absence of Miss Hersey for two months Mrs. Lizzie 
Gay has performed the duties of supervisor. 

The hospital has been fortunate in not having had any 
change in the medical staff during the year. And it again 
gives me pleasure to bear testimony to the efficient and 
faithful labor of those associated with me in the service of 
the institution. To your Board, for your cordial support 
and advice, which has been often sought and cheerfully 
given, I return grateful thanks. 

JOHN P. BROWN, 

Superintendent. 



STATISTICAL TABLES. 



STATISTICAL TABLES — 1886. 



Table No. 1. 

General Statistics of the Year 





Males. 


Females. 


Totals. 


Patients in hospital Oct. 2, 1885, 


319 


337 


656 


Admissions within the year, 


175 


153 


328 


Whole number of cases within th 


e year, . 494 


490 


984 


Discharges within the year, . 


184 


137 


321 


Viz. : as recovered, 


43 


32 


75 


as much improved, 


8 


19 


27 


as improved, 


30 


28 


58 


as unimproved, . 


58 


26 


84 


as not insane, 


4 


2 


6 


Deaths, 


41 


30 


71 


Patients remaining Sept. 30, 1886 


310 


353 


663 


Viz. : supported as State patients 


54 


62 


116 


as town patients 


230 


249 


479 


as private patien 


ts, . . 26 


42 


68 


Number of different persons withi 


n the year, 488 


485 


973 


admitted, 


175 


152 


327 


recovered, 


42 


31 


73 


Daily average number of patient 


3, . . 332.20 


351.15 


683.35 



Table No. 2. 
Monthly Admissions, Discharges and Averages. 











Discharges. 


Dailt Average op 


Patients 


MONTHS. 




(Including Deaths.) 


ih 


the House. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


1885. 




















October, 


16 


13 


29 


14 


14 


28 


317.3 


335.6 


652.9 


November, . 


18 


14 


32 


18 


8 


26 


318.8 


336.3 


655.1 


December, 


13 


12 


25 


14 


8 


22 


318.3 


344.3 


662.6 


1886. 




















January, 


23 


18 


41 


5 


8 


13 


330.4 


352.3 


682.7 


February, 


13 


7 


20 


11 


5 


16 


339.6 


356.8 


696.4 


March, . 


14 


12 


26 


11 


14 


25 


341.2 


357.0 


698.2 


April, . 


15 


11 


26 


14 


18 


32 


339.0 


350.5 


689.5 


May, 


17 


14 


31 


21 


8 


29 


341.9 


351.1 


693.0 


June, 


15 


12 


27 


15 


11 


26 


336.3 


352.8 


689.1 


July, . 


11 


25 


36 


8 


7 


15 


336.9 


365.3 


702.2 


August, . 


6 


7 


13 


8 


15 


23 


340.4 


352.8 


693.2 


September, . 


14 
175 


8 


22 


45 

184 


21 
137 


66 
321 


327.0 


359.1 


686.1 


Total cases, . 


153 


328 


332.2 


351.5 


683.4 


Total persons, 


175 


152 


327 


183 


135 


318 


- 


— 


■" 



24 



TAUNTON LUNATIC HOSPITAL, 



[Oct. 



Table No. 3. 

Received on First and Subsequent Admissions. 





Cases Admitted. 


Times Previously 
Recovered. 


NUMBER OF THE ADMISSION. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 


138 


125 


263 








Second, . 




24 


17 


41 


10 


5 


15 


Third, . 




4 


1 


5 


2 


2 


4 


Fourth, . 




6 


3 


9 


8 


8 


16' 


Fifth, . 




2 


3 


5 


4 


8 


12 


Sixth, . 




_ 


1 


1 


_ 


3 


3 


Seventh, 




L 


1 


1 


- 


1 


1 


Eighth, . 




- 


1 


1 


- 


5 


5 


Ninth, . 




l 


1 


2 


7 


8 


15 


Total of cases, 


175 


153 


328 


31 


40 


71 


of persons, . 


175 


152 


327 


18 


28 


46 



Table No. 4. 
Ages of Persons Admitted for the First Time. 





At First Attack of 
















When 






Insanity 










AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Fifteen years and less, . 


7 


2 


9 


1 




1 


From 15 to 20 years, 






11 


6 


17 


13 


5 


18 


20 to 25 years, 






14 


10 


24 


12 


10 


22 


25 to 30 years, 






18 


13 


31 


16 


11 


27 


30 to 35 years, 






15 


16 


31 


15 


18 


33 


35 to 40 years, 






18 


10 


28 


23 


14 


37 


40 to 50 years, 






27 


23 


50 


25 


27 


52 


50 to 60 years, 






11 


16 


27 


13 


17 


30 


60 to 70 years, 






9 


9 


18 


12 


14 


26 


70 to 80 years, 






5 


7 


12 


6 


7 


13 


Over 80 years, 






1 


- 


1 


1 


2 


3 


Unknown, 






2 


13 


15 


1 


- 


1 


Totals, . 






138 


125 


263 


138 


125 


263 



1886.] 



PUBLIC DOCUMENT — No. 22. 



25 



Table No. 5. 
Parentage of Persons Admitted. 













Males. 


Females. 


Totals. 


PLACES. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Maine, 


4 


7 


5 


4 


9 


11 


New Hampshire, 






4 


2 


4 


4 


8 


6 


Vermont, 






1 


1 


1 


2 


2 


3 


Massachusetts, 








41 


42 


34 


36 


75 


78 


Connecticut, 








3 


3 


- 


- 


3 


3 


Rhode Island, 








3 


3 


4 


5 


7 


8 


New York, . 








5 


5 


- 


2 


5 


7 


New Jersey, 








- 


- 


1 


1 


1 


1 


Delaware, . 








- 


- 


1 


1 


1 


1 


Virginia, 










- 


1 


1 


1 


1 


2 


Michigan, 










1 


- 


- 


- 


1 


- 


Ireland, 










67 


67 


63 


63 


130 


130 


England, 










13 


11 


11 


7 


24 


18 


Scotland, 










3 


3 


4 


4 


7 


7 


Germany, 










5 


5 


4 


3 


9 


8 


France, 










1 


- 


- 


- 


1 


- 


Holland, 










- 


- 


1 


1 


1 


1 


Russia, 










- 


- 


1 


1 


1 


1 


Poland, 










1 


1 


- 


- 


1 


1 


Bohemia, 










- 


1 


- 


- 


- 


1 


Austiia, 










3 


2 


- 


- 


3 


2 


Italy, . 










1 


1 


- 


- 


1 


1 


Sweden, 










- 


- 


1 


1 


1 


1 


Western Islands, 






5 


4 


1 


1 


6 


5 


Barbadoes, W. I., 






- 


- 


2 


- 


2 


- 


Newfoundland, . 






- 


- 


- 


1 


- 


1 


Dominion of Canada, 






9 


11 


6 


8 


15 


19 


Unknown, . 






5 

175 


5 


7 


6 


12 


11 


Totals, 










175 


152 


152 


327 


327 



2Q 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 6. 

Residence of Persons Admitted. 



PLACES. 


Males. 


Females. 


Totals. 


County : Bristol, 


67 


53 


120 


Plymouth, 


21 


16 


37 


Norfolk, 


17 


10 


27 


Barnstable, 


6 


4 


10 


Nantucket, 


1 


- 


1 


Dukes, 


1 


1 


2 


Suffolk, 


59 


68 


127 


Middlesex, 


2 


- 


2 


Worcester, 


1 


- 


1 




175 


152 


327 


Cities or large towns, 


131 


116 


247 




44 


36 


80 



Table No. 7. 
Civil Condition of Persons Admitted. 





Unmarried. 


Married. 


Widowed. 


Unknown. 


NUMBER OF THE 














ADMISSION. 




















1 






Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 

6 


Fe. 


Tot. 


Ma. Fe. 


Tot. 


First, 


58 


49 


107 


73 


52 


125 


24 


30 


1 


- 


1 


Second, . 


16 


4 


20 


5 


10 


15 


3 


2 


5 


- 


- 


- 


Third, . 


4 


- 


4 


- 


1 


1 














Fourth, . 


3 


- 


3 


3 


2 


5 


- 


1 


1 


- 


- 


- 


Fifth, 


- 


1 


1 


2 


1 


3 


- 


1 


1 


- 


- 


- 


Sixth, 


- 


1 


1 




















Seventh, . 


- 


1 


1 




















Eighth, . 
















1 


1 


- 


- 


- 


Ninth, . 


1 


- 


1 


- 


1 


1 














Totals, . 


82 


56 


138 


83 


67 


150 


9 


29 


38 


1 


- 


1 



1886.] 



PUBLIC DOCUMENT — No. 22. 



27 



Table No. 8. 
Occupations of Persons Admitted. 



MALES. 


Auctioneers, 


2 


Marbleworker, . 


1 


Architect, . 






1 


Mill operatives, 




10 


Actor, . 






1 


Masons, 




2 


Blacksmith, 






1 


Mechanic, . 




1 


Bookkeepers, 






3 


Moulder, . 




I 


Barbers, 






2 


No occupation, . 




17 


Broker, 






1 


Porter, 




1 


Baker, . 






1 


Pianomakers, . 




2 


Clerks, 






6 


Painters, . 




6 


Cigarrnaker, 






1 


Printers, . 




4 


Carpenters, . 






2 


Pocket-book maker, 




1 


Cooper, 






1 


Shoemakers, 




11 


Errand boy, 






1 


Storekeepers, 




4 


Editor, 






1 


Saloon keepers, 




2 


Electrician, . 






1 


Sailors, 




5 


Engineers, . 






3 


Student, 




1 


Firemen, 






2 


Stone cutters, . 




2 


Farmers, 






11 


Teacher, . 




1 


Glass cutter, 






1 


Teamsters, 




4 


Gold-plater, 






1 


Tack maker, 




1 


Hostler, 






1 


Tailor, 




1 


Jewellers, . 






2 


Traders, 




3 


Longshoreman, 






1 


Unknown, . 




3 


Laborers, 






37 


Watchman, 




1 


Marketmen, 






2 


Waiter, 




1 


Musicians, . 
Machinist, . 






2 










1 


Total, .... 


175 


FEMALES. 


Book agent, 


1 


No occupation, . 


30 


Boarding-mistress, 




1 


Nurses, 




2 


Cook, . 




1 


Seamstresses, . 




7 


Domestics, . 






26 


School-girl, 




1 


Dressmaker, 






1 


Scrub-woman, . 




1 


Housewives, 






69 


Shoe-stitcher, . 




1 


Laundresses, 






3 


Weavers, . 




5 


Music teacher, 
Mill operatives, 






1 

2 










Total, .... 


152 



28 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 9. 
Reported Duration of Insanity before last Admission. 





First Admission 


All Other 








to ant Hospital. 


Admissions. 




PREVIOUS DURATION. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, . . . 


2 


1 


3 





_ 


_ 


2 


1 


3 


Under 1 month, 


27 


18 


45 


11 


6 


17 


38 


24 


62 


From 1 to 3 months, . 


28 


17 


45 


7 


5 


12 


35 


22 


57 


3 to 6 months, . 


23 


12 


35 


1 


3 


4 


24 


15 


39 


6 to 12 months, 


9 


11 


20 


3 


3 


6 


12 


14 


26 


1 to 2 years, . 


11 


10 


21 


2 


2 


4 


13 


12 


25 


2 to 5 years, . 


15 


15 


30 


5 


3 


8 


20 


18 


38 


5 to 10 years, . 


6 


8 


14 


6 


2 


8 


12 


10 


32 


10 to 20 years, . 


6 


5 


11 


5 


7 


12 


11 


12 


23 


Over 20 years, . 


1 


- 


1 


2 


1 


3 


3 


1 


4 


Unknown, .... 


4 


17 


21 


1 


6 


7 


5 


23 


28 


Total of cases, . 


132 


114 


246 


43 


38 


81 


175 


152 


327 


of persons, 


— 


— 


- 


43 


38 


81 


175 


152 


327 



Table No. 10. 
Form of Disease in Cases Admitted. 



FORM OF DISEASE. 



Mania, acute, 


42 


24 


66 


chronic, 










52 


52 


104 


Melancholia, acute, 










21 


12 


33 


chronic, 










5 


8 


13 


Dementia, acute, . 










1 


- 


1 


chronic, 










2 


4 


6 


Paresis, . 










16 


18 


34 


Organic brain disease, 










- 


1 


I 


Epileptic insanity, 










7 


4 


11 


Paralytic insanity, 










- 


2 


2 


Puerperal insanity, 










- 


9 


9 


Recurrent insanity, 










3 


5 


8 


Senile insanity, 










12 


9 


21 


Choreic insanity, . 










- 


1 


1 


Not insane, . 










4 


2 


6 


Alcoholism, acute, 










7 


- 


7 


chronic, 










1 


- 


1 


Imbecility, 










2 


2 


4 


Total of cases, 










175 


153 


328 


of persons, 










175 


152 


327 



1886.] 



PUBLIC DOCUMENT — No. 22. 



29 



Table No. 11. 
Probable Causes of Insanity in Cases Admitted. 



CAUSES. 


Males. 


Females. 


Totals. 


Physical. — Apoplexy, 


- _ 


2 


2 


Congenital, 






1 


2 


3 


Chorea, 






- 


1 


1 


Cerebral anaemia, 






1 


- 


1 


Epilepsy, . 






9 


3 


12 


Intemperance, . 






51 


8 


59 


Injury to spine, 






- 


1 


1 


Injury to head, . 






8 


1 


9 


Ill-health, . 






3 


7 


10 


Morphine habit, 






1 


- 


1 


Menopause, 






- 


9' 


9 


Measles, 






1 


- 


1 


Masturbation, . 






12 


1 


13 


Organic brain disease 


'i 




1 


- 


1 


Overwork, . 






5 


5 


10 


Puerperal, . 






- 


9 


9 


Senility, 






4 


10 


14 


Sunstroke, . 






3 


1 


4 


Syphilis, 






2 


' 1 


3 


Typhoid fever, . 






1 


2 


3 


Moral. — Anxiety, 






1 


- 


1 


Business troubles, . 






3 


- 


3 


Dissipation, . 






2 


- 


2 


Domestic trouble, . 






6 


4 


10 


Disappointment, . 






1 


1 


2 


Death of sister, 






- 


1 


1 


Fright, . 






- 


1 


1 


Jealousy, 






1 


- 


1 


Religious excitement, 






1 


3 


4 


Predisposing. — Heredity, . 






14 


14 


28 


Previous attack, 






3 


12 


15 


Unknown, . 






40 


54 


94 


Total of cases, 






175 


153 


328 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 12. 
Relation to Hospitals of Persons Admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


First admission to any hospital for insane, 


132 


114 


246 


Former inmates of this hospital, .... 


31 


21 


52 


of other hospitals in this State, 


7 


4 


11 


of hospitals in other states, . 


- 


4 


4 


of hospitals in foreign countries, . 


- 


2 


2 


of this hospital and of others in 








this State, ..... 


3 


4 


7 


of this hospital, of other hospitals 








in this State and of hospitals in 








other states, .... 


- 


1 


1 


of this hospital and of hospitals 








in other states, .... 


2 


2 


4 


Totals, 


175 


152 


327 



Table No. 13. 
How Supported. 





Patients Admitted. 


SUPPORTED AS — 


Males. 


Females. 


Totals. 


State patients, . . . 

Town patients, 

Private patients, 


79 
84 
12 


63 

72 
18 


142 

156 

30 


Totals, 


175 


153 


328 



1886.] 



PUBLIC DOCUMENT — No. 22. 



31 





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Total of cases, 
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32 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 15. 
Cases Discharged Recovered. — Duration. 





Duration befoke 


HOSPITAL 


Whole Duration 


PERIOD. 


Admission 


Residence 


FROM 


the Attack 






















Ma 


Fe 


Tot 


Ma 


Fe 


Tot 


Ma 


Fe 


Tot 


Congenital, 




















Under 1 month, . 


19 


14 


33 


2 


2 


4 


1 


- 


1 


From 1 to 3 months, 


13 


5 


18 


18 


11 


29 


9 


6 


15 


3 to 6 months, 


6 


4 


10 


12 


9 


21 


14 


7 


21 


6 to 12 months, 


1 


3 


4 


7 


5 


12 


8 


9 


17 


1 to 2 years, . 


- 


- 


- 


4 


3 


7 


7 


3 


10 


2 to 5 years, . 


2 


1 


3 


- 


- 


- 


2 


1 


3 


5 to 10 years, . 


1 


- 


1 


- 


1 


1 


1 


1 


2 


10 to 20 years, . 


1 


- 


1 


- 


~ 


- 


1 


- 


1 


Over 20 vears, . 




















Unknown, . 


- 


4 


4 


- 


- 


- 


- 


4 


4 


Total of cases, . 


43 


31 


74 


43 


31 


74 


43 


31 


74 


Total of persons, 


42 


30 


72 


42 


30 


72 


42 


30 


72 


Average in months, . 


11.20 


2.33 


7.91 


4.80 


7.17 


6.12 


15.30 


9.51 


13.61 



Table No. 16. 
Cases Resulting in Death. — Duration. 





Duration "before 


Hospital 


Whole Duration 




Admission. 


Residence. 


from 


the Attack. 


PERIOD. 






















Ma. 


Fe. 


Tet 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 




















Under 1 month, . 


8 


5 


13 


8 


2 


10 


1 


- 


1 


From 1 to 3 months, 


4 


3 


7 


9 


6 


15 


6 


2 


8 


3 to 6 months, 


10 


1 


11 


3 


4 


7 


5 


2 


7 


6 to 12 months, 


2 


3 


5 


6 


3 


9 


2 


5 


7 


1 to 2 years, . 


6 


3 


9 


o 


3 


6 


5 


3 


8 


2 to 5 years, . 


6 


3 


9 


4 


6 


10 


12 


3 


15 


5 to 10 years, . 


- 


9 


2 


5 


4 


9 


3 


4 


7 


10 to 20 years, . 


3 


- 


3 


2 


1 


3 


3 


1 


4 


Over 20 years, . 


1 


- 


1 


1 


1 


2 


3 


- 


3 


Unknown, . 


1 


10 
30 


11 
71 


41 


30 


- 


1 

41 


10 
30 


11 


Total of cases, . 


41 


71 


71 


Average of known 




















cases (in months), 


28.15 


14.87 


23.79 


33.27 


16.46 


27.75 


61.00 


31.33 


51.27 



1886.] 



PUBLIC DOCUMENT — No. 22. 



33 



Table No. 17. 
Cases Discharged by Recovery or Death. — Form of Insanity. 









Recoveries 




Deaths 




















Males 


Females 


Totals 


Males 


Females 


Totals 


Mania, acute, 


25 


15 


40 


4 


3 


7 


chronic, 






5 


5 


10 


11 


11 


22 


Melancholia, acute, 






4 


5- 


9 


2 


3 


5 


chronic, 






- 


1 


1 


^ 3 


-2 


5 


Paresis, 






- 


- 


- 


6 


3 


9 


Organic brain disease, 






- 


- 


- 


2 


- 


2 


Senile insanity, 






- 


- 


- 


9 


3 


12 


Recurrent insanity, 






1 


3 


4 


1 


- 


1 


Puerperal insanity, 






- 


o 


3 


- 


2 


2 


Paralytic insanity, 






- 


- 


- 


- 


1 


1 


Epileptic insanity, 






- 


- 


- 


2 


2 


4 


Alcoholism, acute, 






8 


- 


8 


- 


- 


_ 


Imbecility, . 






43 


- 


- 


1 


- 


1 


Total of cases, 


32 


75 


41 


30 


71 


Total of persons, 






42 


31 


73 


~ 


— 


— 



Table No. 18. 
Causes of Death. 



CAUSES. 


Males. 


Females. 


Totals. 


Mania, acute, ...... 


5 




8 


chronic, 












3 




10 


Melancholia, acute 












. - 




I 


chronic, 












1 


_ 


1 


Paresis, . 












6 




9 


Organic brain disease, 












1 




2 


Aploplexy, . 
Hemiplegia, . 
Epilepsy, 
Paralysis, 
Senile insanity, 












2 

2 
4 
3 




3 
1 

4 
5 
4 


Old age, 












3 




6 


Phthisis, 












4 




6 


Typhoid fever, 
Blood poisoning, . 
Chronic interstitial nep 


iritis 










1 




2 
1 
1 


Diarrhoea, acute, . 












1 


_ 


1 


chronic, 












_ 


1 


1 


Suicide, strangulation, 
drowning, 












2 

1 


- 


2 
1 


Pneumonia, . 












1 


- 


1 


Diabetes mellitus, . 












1 


- 


1 


Totals, 












41 


30 


71 



34 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 19. 
Deaths, Classified by Results of -Previous Admissions. 





Recovered. 


Improved. 


Unimproved. 


Totals. 


ADMISSION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, . 
Second, 
Third, 
Fourth, 

Fifth,. 


1 
2 
1 

1 
1 


- 


1 

2 
1 
1 
1 


1 


- 


1 
1 


2 
1 


- 


2 
1 


4 
3 
1 
1 
1 


- 


4 

3 
1 
1 
1 


Totals, . 


6 


- 


6 


1 


- 


3 


- 


3 


10 


- 


10 



Table No. 20. 
Recoveries, Classified by Results of Previous Admissions. 





Recovered. 


Improved. 


Unimproved. 


Totals. 


ADMISSION. 


























Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


,Tot. 


First, .... 


4 


6 


10 


1 


- 


1 


1 


- 


1 


6 


6 


12 


Second, . . 


2 


3 


5 


- 


- 


- 


1 


- 


1 


3 


3 


6 


Third, .... 




2 


3 


1 


1 


2 


- 


- 


- 


2 


3 





Fourth, .... 




2 


3 














1 


2 


3 


Fifth, .... 




1 


2 


- 


1 


1 


- 


- 




1 


2 


3 


Sixth, . . . 




1 


2 














1 


1 


2 


Seventh, .... 




1 


2 














1 


1 


2 


Eighth, .... 


- 


1 


1 
















1 


1 


Total of cases, . 


11 


17 


28 


2 


2 


4 


2 


- 


2 


15 


19 


34 


of persons, 


- 


- 


- 


- 


- 


- 


- 


- 


- 


6 


6 


12 



1886.] 



PUBLIC DOCUMENT — No. 22. 



35 



Table No. 21. 
Deaths Classified by Duration of Insanity and Treatment. 





Duration of In 


SANITY. 


Whole Known Pkkiod of 
Hospital Residence. 


PERIOD. 












' 


Males. 


Females. 


Totals. 


Males. 


Females.! Totals. 


Congenital, 




_ 










Under 1 month, 


1 


- 


1 


8 


2 


10 


From 1 to 3 months, 


6 


2 


8 


8 


G 


14 


8 to 6 months, 


5 


2 


7 


3 


4 


7 


6 to 12 months, . 


2 


5 


7 


6 


3 


9 


1 to 2 years, 


5 


o 


8 


4 


3 


7 


2 to 5 years, 


12 


3 


. 15 


4 


6 


10 


5 to 10 yeai's, 


3 


• 4 


7 


, c , 


4 


9 


10 to 20 years, 


3 


1 


4 


1 


1 


2 


Over 20 years, ... 


3 


- 


3 


2 


1 


3 


Unknown, .... 


1 


10 


11 


11 


- 


- 


Total of cases, 


41 


30 


71 


30 


71 


Average of all known cases 














(in months), 


6C.17 


31.33 


54.75 


! 38.05 

i 


16.46 


30 97 



Table No. 22. 
Ages of those ivho Died. 





At Time 


of First Attack-. 


AtT 


ME OF D 


CATH. 


AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Fifteen years and less, . 


2 




2 








From 15 to 20 years, 






1 


- 


1 


1 


- 


1 


20 to 25 years, 






4 


2 


6 


2 


- 


2 


25 to 30 years, 






2 


3 


5 


2 


7 


9 


30 to 35 years, 






3 


1 


4 


3 


- 


3 


35 to 40 years, 






3 


- 


3 


1 


1 


2 


40 to 50 years, 






9 


4 


13 


9 


6 


15 


50 to 60 years, 






5 


4 


9 


9 


6 


15 


60 to 70 years, 






6 


2 


8 


6 


5 


11 


70 to 80 years, 






4 


3 


7 


5 


3 


8 


Over 80 years, 






2 


1 


3 


3 


2 


5 


Unknown, 






- 


10 


10 


41 


- 


- 


Totals, . 






41 


30 


71 


30 


71 



36 



TAUNTON LUNATIC HOSPITAL. 



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1886.] PUBLIC DOCUMENT— No. 22. 



37 



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38 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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1886.] PUBLIC DOCUMENT — No. 22. 



39 



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40 



TAUNTON LUNATIC HOSPITAL. 



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1886.] PUBLIC DOCUMENT — No. 22. 



41 



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42 



TAUNTON LUNATIC HOSPITAL. 



Oct. 



ARTICLES MADE IN SEWING-ROOM 



For the Year Ending Sept. 30, 



433 wrappers. 


1,476 


bath towels. 


260 dresses. 


676 


roller towels. 


342 pairs drawers. 


108 


curtains. 


537 chemises. 


652 


pairs suspenders 


713 skirts. 


97 


hats trimmed. 


47 night-dresses. 


140 


pairs mittens. 


57 aprons. 


5 


carpets. 


1,382 sheets. 


144 


rugs hemmed. 


263 straw ticks. 


3 


settee cushions. 


132 mattress ticks. 


190 


pairs hose knit. 


18 pillow ticks. 


351 


napkins. 


1,449 pillow slips. 


25 


sacques. 


139 bed spreads. 


36 


shirts. 


62 table spreads. 


41 


stand spreads. 


9 waists. 


51 


clothes bags. 



INVENTORY OF STOCK AND SUPPLIES 

On Hand Sept. 30, 1886. 



Live stock on the farm, .... 

Produce of the farm on hand, r 

Carriages and agricultural implements, 

Machinery and mechanical fixtures, 

Beds and bedding in inmates' department, 

Other furniture in inmates' department, 

Personal property of the State in the Superintendent's de 

partment, 
Dry goods, 

Provisions and groceries, 
Drugs and medicines, . 

Fuel 

Library, .... 
Other supplies undistributed, 



$3,810 


00 


1,350 


00 


2,410 


oo 


37,000 


00 


16,487 


35 


8,104 


41 


9,516 


58 


7,482 


41 


5,522 


56 


600 


00 


4,225 


00 


600 


00 


1,705 


25 



3,813 56 



1886.] 



PUBLIC DOCUMENT — No. 22. 



43 



TREASURER'S REPORT. 



I respectfully submit the following report of the finances 
of this institution for the year ending Sept. 30, 1886, to the 

Trustees : — 

Assets. 
140 acres of land, . 
Hospital building, . 



Brick barn and stable, . 
Laundry building, . 
Other buildings and wall, 



134,800 00 
275,000 00 
8,000 00 
8,000 00 
7,000 00 



Personal Estate. 
Stock and supplies on hand as per inventory appended to 
the Trustees' report, 



Receipts. 
Cash on hand Oct. 1, 1885, . 
Received from the State Treasurer, , 

from towns, .... 

from individuals, . 

from other sources, 

Payments. 
1st. Salaries, wages and labor, 
2d. Provisions and supplies, etc. : — 
Meats of all kinds, . > . 
Fish of all kinds, 
Fruit and vegetables, 
Flour and bread, 
Grain and meal for table, 
Grain and meal for stock, 
Tea, coffee and broma, . 
Sugar and molasses, 
Milk, butter and cheese, . 
Salt and other groceries, 

3d. Clothing, .... 

4th. Fuel and light, . 

5th. Medicines and medical supplies, 

6th. Furniture, beds and bedding, 

7th. Transportation, . 

Amount carried forward, 



$25,359 38 

87,017 37 

14,510 56 

1,387 67 



$9,507 15 
2,266 73 

. 2,033 19 
5,571 25 
503 17 
2,023 06 
1,251 77 
2,851 83 
9,723 75 
4,052 48 



$332,800 00 



98,813 56 

$431,613 56 

$7,053 65 



128,274 98 

$135,328 63 

$36,355 98 



39,784 38 
9,838 88 
9,436 04 
2,208 26 
7,406 56 
668 72 

$105,698 82 



44 



TAUNTON . LUNATIC HOSPITAL. 



[Oct. 



Amount brought forward, 

8th. Ordinary construction and repairs, . 
9th. Extraordinary construction and repairs, 
10th. Miscellaneous expenses, . 



Liabilities. 
Salaries and wages due Oct. 1, 1886. . 
Miscellaneous bills due, .... 

Resources. 

Due the institution for board Oct. 1, 1886 : — 
from towns, 

State, ...... 

individuals, .... 

Cash on hand Sept. 30, 1886, 



Total receipts, 
Total payments, 



Summary. 



Cash on hand Sept. 30, 1886, 
Total debts due the institution, 



Total liabilities, 



Total expenditures, 

Dividing this sum by 683, the average number of patients, 

we have the annual cost of each patient, 
And the average weekly cost of, 

Deducting from the current expenditures, 
The extraordinary construction and repairs, 

Dividing $122,596.46 by 683, the average number of pa- 
tients, we have the anuual cost of each patient, . 
And the average weekly cost of, 



$105,698 82 

10,787 53 
4,561 55 
6,110 11 

27,158 01 

$3,050 00 
12,971 11 

£16,021 11 



$23,081 02 
6,765 30 
4,282 33 
8,170 62 



$42,299 


27 


$135,328 63 


127,158 


01 


$8,170 62 


$8,170 62 


34,128 


65 


$42,299 


27 


16,021 


11 


$26,278 


16 


$127,158 


01 


$186 


18 


$3 58 


$127,158 


01 


4,561 


55 



$122,596 46 



$179 50 
3 45 



JOHN KITTREDGE, 



Treasurer. 



Taunton Lunatic Hospital, Oct. 15, 1886. 
We, the committee appointed for the purpose, have carefully examined the fore- 
going account of the Treasurer for the year ending Sept. 30, 1S86, have compared 

it with the vouchers, and find it correct. 

' GEO. HOWLAND, Jun. 
WILLIAM C. LOVERING. 



1886.] PUBLIC DOCUMENT — No. 22. 45 



FINANCIAL STATEMENT. 



Of the appropriation made by the Legislature of 1884, for 
laying out, grading and land damages for new street : — 

Balance of appropriation Sept. 30, 1885, . . . . $900 00 

Since drawn : — 

For land damages, $225 00 

Labor, grading street, 675 00 

$900 00 

JOHN KITTREDGE, 

Treasurer. 
Tatjnton, Sept. 30, 1886. 



Of the appropriation made by the Legislature of 1885, 
for building bridge across Mill River, building new wall be- 
tween hospital ground and land of the Old Colony Railroad 
Company, improving present water supply, removing and 
rebuilding wall on line of new street, relaying and repairing 
floors, new ventilating flues : — 

Amount of appropriation, $7,600 00 

Amount drawn to date, viz. : — 

Building bridge, $2,500 00 

Building wall between hospital ground and 

land of Old Colony Railroad Company, 
Relaying and repairing floors 
New ventilating flues, 

Balance of appropriation, ..... $2,00000 

JOHN KITTREDGE, 

Treasurer. 
Taunton, Sept. 30, 1886. 



1,800 00 




. 800 00 




. 500 00 






5,600 00 





46 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



LIST OF PERSONS 

Employed at the Taunton Lunatic Hospital, Sept. 30, 1886. 



Superintendent and physician, 




per year, 


$2,500 00 


First assistant physician, 




. 


1,200 00 


Second assistant physician, 




u 


900 00 


Assistant physician and apothecary, 




. 


700 00 


Woman physician, .... 




" 


600 00 


Treasurer and clerk, 




" 


1,200 00 


Supervisor (man), .... 




" 


540 00 


Supervisor (woman), 




" 


400 00 


Engineer, 




per month, 


83 33£ 


Assistant supervisor (man), . 




. 


31 00 


Assistant supervisor (woman), 




. 


20 00 


Baker, 




. 


40 00 


Assistant Baker, .... 




. 


28 00 


Coachman, 




. 


30 00 


Gardener, ..... 




tt 


25 00 


Night-watch (men) (2), 




. 


28 00 


Night-watch (women) (2), . 




" 


18 00 


Fireman, ... 




t; 


34 00 


Fireman, ..... 




u 


30 00 


Upholsterer and clerk, . 




u 


45 00 


Stable men (two — $15 and $30), . 




C( 


45 00 


Farmer, . . 




16 


37 00 


Farm laborers (six — $20 to $27 per 


month). 






Brush maker, ..... 




. per month, 


28 00 


Storekeeper, 




. 


28 00 


Laborers (four — $24 to $26 per mon 


th). 






Attendants (men, twenty-one— |20 


to $27 per 


month). 




Attendants, (women, twenty -three — 


-$14 to $20 


per month). 




House attendants (2), 




. per month, 


16 00 


Seamstress, ..... 




. per week, 


5 00 


Assistant seamstresses (4), 




. per month, 


14 00 


Laundress, 




. per week, 


5 00 


Laundry girls (nine — $3 to $1 per week). 






Housekeeper, 




. per week, 


5 00 


Laundry man, .... 




. per month, 


25 00 


Kitchen man, 




. 


25 00 


Cook, 




. per week, 


4 00 


Cook, 




" 


3 75 


Kitchen girls (four— $3 to $3.50 pe 


■ week.) 






Space girls (3), .... 




. per week, 


3 00 


Basement man, .... 




. per month, 


25 00 



1886.] 



PUBLIC DOCUMENT — No. 22. 



47 



TRUSTEES 

Of the Taunton Lunatic Hospital. 



NAME. 


Residence. 


When 
appoint- 
ed- 


Service 
ended. 


From what cause. 


* Marcus Morton, . 


Taunton, 


1853, 


1854, 


Resigned. 


* William Sutton, . 


Danvers, 


1853, 


1856, 


Term expired. 


Charles Edward Cook, . 


Boston, 


1853, 


1857, 


Term expired. 


* George R. Russell, 


Roxbury, 


1853, 


1858, 


Term expired. 


* George A. Crocker, 


Taunton, 


1853, 


1861, 


Resigned. 


* Charles R. Vickery, 


Taunton, 


1854, 


1855, 


Term expired. 


George Howland, Jr., . 


New Bedfoi'd, 


1855, 


- 


Still in office. 


* Menzies R. Randall, 


Rehoboth, 


1856, 


1862, 


Term expired. 


* James W. Sever, . 


Boston, 


1857, 


1858, 


Removed. 


* Charles Edward Cook, . 


Boston, 


1858, 


1873, 


Term expired. 


John M. Kinney, . 


Wareham, . 


1858, 


1864, 


Term expired. 


* Charles R. Atwood, 


Taunton, •• . 


1861, 


1877, 


Died in office. 


* Oliver Ames, 


No. Easton, . 


1862, 


1877, 


Died in office. 


LeBaron Russell, . 


Boston, 


1864, 


- 


Still in office. 


Simeon Borden, . 


Fall River, . 


1873, 


- 


Still in office. 


William C. Lovering, . 


Taunton, 


1877, 


- 


Still in office. 


* Samuel L. Crocker, 


Taunton, 


1878, 


1883, 


Died in office. 


Oakes A. Ames, . 


No. Easton, . 


1883, 


- 


Still in office. 


Mrs. Ruth S. Murray, . 


New Bedford, 


1884, 


- 


Still in office. 


Mrs. Grace S. Bartlett, . 


Taunton, 


1884, 


- 


Still in office. 



Deceased. 



PUBLIC DOCUMENT. 



No. 22. 



THIRTY-FOURTH ANNUAL REPORT 



THE TRUSTEES 



Taunton Lunatic Hospital, 



Year ending Sept. 30, 1887 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1888. 



PUBLIC DOCUMENT. No. 22. 



THIRTY-FOURTH ANNUAL REPORT 



THE TRUSTEES 



Taunton Lunatic Hospital, 



Year ending Sept. 30, 1887 



?**"■ ' otz&.-L* 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1888. 



ft 



STATE MOU&e, E 




- ' 



OFFICERS 



TAUNTON LUNATIC HOSPITAL 



TRUST EES. 

SIMEON BORDEN, Fall River. 

LeBARON RUSSELL, Boston. 

RUTH S. MURRAY, ...... New Bedford. 

GRACE S. BARTLETT, Taunton. 

OAKES A. AMES, North Easton. 

GEORGE HOWLAND, Jr., . . • . . . New Bedford. 
WILLIAM C. LOVERING, Taunton. 

RESIDENT OFFICERS. 
JOHN P. BROWN, M. D., . . . • . . Superintendent. 
MARCELLO HUTCHINSON, M. D., . . . Assistant Physician. 

OWEN COPP, M. D., Assistant Physician. 

CHARLES G. DEWEY, M. D., Apothecary and Assistant Physician. 
ALICE ROGERS, M. D., ..... Assistant Physician. 

JOHN KITTREDGE, Clerk. 

RUFUS D. GODDING, Engineer. 

A. A. SOUTHWICK Farmer. 

TR EAS U RER. 

JOHN KITTREDGE, Taunton. 

Office at Hospital. 



€0mm0ttfoedtfy of llfassaffjitsrfts. 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The Trustees of the Taunton Lunatic Hospital, in sub- 
mitting this their thirty-fourth annual report, are glad to be 
able to state that the past has been a quiet, successful and 
satisfactory year for the administration of the internal work 
of the institution. 

The sanitary condition of the hospital and the physical 
health of the patients have been generally good. No un- 
toward event has visited us and no general epidemic. There 
were a few cases of typhoid fever ; but by prompt attention, 
isolation and careful treatment the Superintendent has been 
able to prevent any general sickness, and the two or three 
remaining cases are convalescent. A careful and thorough 
investigation has failed to develop any local cause for the 
sickness. 

The reports of the Superintendent and the Treasurer, and 
the accompanying tables which are herewith transmitted, 
show in detail the operations of the hospital, the number 
and changes in its population and its financial condition. 
We group here only a few of the figures that may be of 
general interest, in order to bring them more prominently 
in view. 

Oct. 1, 1886, there remained in the hospital 663 patients, 
— 310 men and 353 women. There have been 271 admis- 
sions during the year, — 158 men and 113 women, — making 
the whole number of patients under treatment during the 
year 934. The daily average of patients under treatment 
has been a fraction over 637. 



6 TAUNTON LUNATIC HOSPITAL. [Oct. 

The number discharged during the year was 241, 99 men 
and 142 women. The number removed by death was 59, 34 
men and 25 women. The whole number removed from the 
hospital by discharge and death was accordingly 300, and 
of this number it is a noticeable fact that the number of 
deaths and the number of those discharged as recovered is the 
same, viz., 59. 

The whole number under treatment during the year was 
as previously stated 934, while the whole number under 
treatment the year before was 984, showing a decrease of 50 
patients. The number of admissions during the year just 
closed was 271 as against 328 in the previous year, showing 
a decrease in the number admitted of 57. This is partially 
due to the opening of the hospital at Westborough. 

The year has been prolific in improvements, external and 
internal. Notably among these improvements is the sinking 
of an artesian well. This well is situated in the rear of the 
hospital upon the territory purchased a few years since of 
the Messrs. Strange. The site is a fortunate one in all 
respects. After boring to the depth of eighty-nine feet, the 
last sixty feet in solid ledge, a large volume of water was 
reached which flowed to within a few feet of the surface of 
the ground. Upon applying a steam pump to the six-inch 
iron pipe which was inserted into the bored hole, and run- 
ning the pump as a test, one hundred and thirty thousand 
gallons of water were drawn therefrom within twenty-four 
hours with apparently no diminution in the supply. The 
water has been found upon analysis to be excellent. 

From the top of the ledge to the surface of the ground a 
circular well twenty-five feet in diameter, surrounding the 
artesian well, has been excavated, stoned up and substan- 
tially covered by a brick arch. From the overflow alone of 
the artesian well during the twelve hours of night, water 
fills this stoned well to the depth of about eight feet, yield- 
ing a supply of about fifty thousand gallons daily. By 
running a suction pipe down into the six-inch pipe, or con- 
necting directly with that pipe, probably double that quan- 
tity could be obtained within our ordinary pumping hours. 
We expect that eventually the hospital will take all its 
drinking water from this source of supply. 



1887.] PUBLIC DOCUMENT — No. 22. 7 

It is the intention of the Trustees to purchase a new steam 
pump to be used in connection with this well. For this 
the funds have been provided. But it is deemed advis- 
able to build a pump-house of brick so as to locate the 
pump near the well and thus avoid a long draught of the 
water at the expense of power. The estimated cost of the 
pump-house is $2,500, for which we shall request an appro- 
priation ; and we feel that the cost of the well, pump and 
pump-house pale into insignificance in comparison with 
the inestimable value to a large hospital of an abundant 
supply of pure water upon its own grounds. 

The cow-house for which the last Legislature appropriated 
$5,000 has been completed and is ready for occupancy. 
A desirable change in the plans, by which the structure was 
slightly enlarged, made the building cost about $800 in excess 
of the appropriation. The work is well done and the building 
promises good results. It affords admirable accommoda- 
tions for housing fifty -two cows. The appropriation for the 
cows has not yet been expended. 

The main entrance to our grounds has been removed to 
the head of Hodges Avenue, and a road constructed from 
that point to the old avenue in the grounds near the former 
entrance. This road also makes a connecting link in the 
circuit avenue drive about the grounds, which is now nearly 
completed. The change is a pleasant one, the entrance 
being in a more commanding position. 

The greenhouse referred to in our last report as in process 
of construction was not completed until the early winter. 
But nevertheless, in the short season after its completion 
and before the springtime, the multitude of sprouts which 
we were able to start for further cultivation in our vegetable 
garden, and the flowering plants which were produced for 
the beautifying of the grounds about the house, and the 
decoration, sweetening and purifying of the wards within, 
only reassure us that the anticipated salutary influence of 
the greenhouse was not over-estimated. 

The old and unsightly ice-house in the rear of the eastern 
wings of the hospital has been removed, and the river front 
where it stood and indeed, in all that section, has been 
graded and much improved. The house had become rotten, 



8 TAUNTON LUNATIC HOSPITAL. [Oct. 

and the ice obtained from the river at that point was not 
entirely pure. It is contemplated to build an addition to 
our present ice-house at Scadding's Pond and get all our ice 
there. 

The old farm house situated on the Strange land near the 
artesian well has been repaired and improved, and makes 
a good tenement for our farmer and a half-dozen patients. 

The long mooted change in the grand stairway of the 
central building is an accomplished fact. The stairs have 
been removed from the centre and new stairs built on the 
rear walls of the rotunda, following its curves. By the 
alteration the rotunda with its unobstructed skylight over- 
head presents a lighter and more cheerful appearance, at once 
graceful and picturesque. The Trustees believe that the 
outlay will prove a desirable one, by making the entrance to 
the hospital so much more attractive as to induce a feeling 
in the minds of the incoming patients that they are entering 
a pleasant home rather than a dreary place of confinement. 

These and various other minor changes and improvements, 
made to ameliorate the condition of the patients and improve 
the property, have rendered the year an exceedingly busy 
one. 

And yet while all this work has been going on the Super- 
intendent and his associates have relaxed no efforts in the 
care of the patients and in maintaining the high standard of 
the sanitary condition of the hospital. Indeed, the scrupu- 
lous neatness of the wards and the apparent comfortableness 
of the patients is a very frequent subject of remark by the 
numerous visitors to the hospital, whose coining the Super- 
intendent always encourages, — inviting the most careful 
inspection by the people. 

But still there are some changes yet that demand atten- 
tion. The ward water-closet accommodations are inadequate 
and unsatisfactory. There is but one closet to a ward to 
accommodate more than thirty patients, and that one so 
illy situated and contracted as to have become almost a 
nuisance. Were the closets removed from their present 
position and connection with the bath rooms, the latter 
would be enlarged and improved, — of itself a very desir- 
able change. We have accordingly prepared plans for a 



1887.] PUBLIC DOCUMENT — No. 22. 9 

change in the two extreme wings, the estimated cost of 
which is $5,500. 

The Trustees recommend an appropriation by the ensuing 
Legislature of $9,000, as follows, viz.: — $2,500 for a 
pump-house; $5,500 for changes of water-closets and bath 
rooms ; $1,000 for new floors — $9,000. 

Dr. Charles A. Drew, our third assistant physician and 
apothecary, left about the middle of September to pursue a 
course of clinical studies during the winter in New York. 
We were fortunate in securing for the vacancy the services 
of Dr. Charles G. Dewey, recently assistant physician in 
the Northampton Hospital. 

With the above exception the medical staff remains the 
same as in the previous year, and while we recognize the 
ability and skill of each member we desire to renew our 
expression of the uniform courtesy and kindness manifested 
in the discharge of their varied and trying duties. The 
Trustees also desire to recognize the value of the appoint- 
ment of a woman physician to the hospital, and to express 
their appreciation of and gratitude for the kindly offices of 
Mrs. Dr. Brown and Mrs. Kittredge in visitino- the wards 
and associating with and tenderly caring for the comfort of 
many patients in many ways. 

SIMEON BORDEN, 
LeBARON RUSSELL, 
RUTH S. MURRAY, 
GRACE S. BARTLETT, 
OAKES A. AMES, 
GEORGE HOWLAND, Jk., 
WILLIAM C. LOVERING, 

Trustees. 
TArNTON, Oct. 28, 1887. 



10 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Taunton Lunatic Hospital. 

In compliance with the by-laws of your Board I respect- 
fully present to you the thirty-fourth annual report of the 
operations of the hospital for the year ending Sept. 30, 

1887. 

General Statistics of the Year. 



Patients in hospital, Oct. 1, 1886, . 


310 


353 


663 


Admissions within the year, 


158 


113 


271 


Whole number of eases within the year, 


468 


466 


934 


Discharges within the year, .... 


133 


167 


300 


Viz. : as recovered, 




30 


29 


59 


as much improved, 




12 


7 


19 


as improved, 




19 


26 


45 


as unimproved, . 




37 


79 


116 


as not insane, 




1 


I 


2 


Deaths, .... 




34 


25 


59 


Patients remaining Sept. 30, 1887, 


335 


299 


634. 


Daily average number of patients, 


318.22 


319.44 


637.66 



There were at the beginning of the year 663 patients in 
the hospital, 310 men and 353 women. Two hundred and 
seventy-one were admitted, 158 men and 113 women, mak- 
ing the whole number under treatment 934. Three persons 
were each admitted twice, and five who were in the hospital 
at the beginning of the year were discharged and re-admitted, 
making sixteen cases who represent eight persons, which 
reduces the number of persons under treatment to 926. The 
daily average was 637.66, which is 45.69 less than that of 
the year before. The highest number in the hospital at any 
one time was 674 ; the lowest number, 601. Three hundred 



1887.] PUBLIC DOCUMENT — No. 22. 11 

were discharged as follows : 60 men and 40 women to their 
friends ; 1 1 men were transferred to the State Farm ; 4 men 
and 8 women to city and town almshouses ; 9 men and 1 1 
women to the Worcester Insane Asylum ; 47 women and 1 
man to the Westborough Insane Hospital ; 23 women to the 
State Almshouse at Tewksbury ; 3 men and 9 women 
were removed out of the State by the Board of Lunacy and 
Charity ; 4 women were placed out to board in families ; 3 
men were returned to the Suffolk County House of Correc- 
tion ; 1 man was sent to the Soldiers' Home at Togus, 
Maine, and 7 men escaped who were not returned. One 
hundred and eleven patients were discharged on trial, of 
whom only fifteen were returned before the expiration of 
the trial. 

Admissions. 

The character of the admissions to the hospital during the 
past year was not so good as that of the year before, more 
chronic and incurable cases having been admitted. The 
form of insanity of many of those admitted would preclude 
the idea of recovery : 27 were cases of senile insanity ; 21 of 
general paralysis of the insane, and 7 were of the more gross 
forms of organic brain disease ; 8 were in advanced demen- 
tia, and 7 had epileptic insanity. Of all these scarcely one 
can be expected to recover, or to materially improve. 
Ninety-one of those admitted were cases of chronic mania or 
melancholia, and seventy-three of acute mania or melan- 
cholia ; the latter being those from whom we are to expect 
most of the recoveries of next year. 

The number of cases of senile insanity and brain disease 
greatly exceeds that of the preceding year, and as few, 
if any, of these will recover and most of them die within 
the next two or three years, it is evident how it will affect 
our future rates of recovery and mortality. Thirteen of the 
cases of senile insanity were over seventy, and eight were 
over eighty years of age. 

Two hundred and nineteen of those admitted were first 
admissions ; 35 second admissions ; 8 third admissions ; 5. 
fourth admissions ; 1 sixth admission ; 1 seventh admission ; 
1 tenth admission, and 1 the eighteenth admission. The 
parentage of those admitted is a subject of some interest ; 



12 TAUNTON LUNATIC HOSPITAL. [Oct. 

only 70 were of Massachusetts parentage, and only 100 of 
New England parentage, a trifle over one-third being chil- 
dren of parents born in New England. Eighty-four, or less 
than one-third of those admitted, had been insane before 
admission less than three months ; 29 from three to six 
months ; 16 from six to twelve months ; 36 from one to two 
years ; 43 from two to five ; 18 from live to ten ; 7 from ten 
to twenty ; 6 over twenty, and the duration of insanity before 
admission of 30 was unknown. As about fifty per cent, 
of those who recover from insanity recover within six months 
of the beginning of the attack, it is apparent that about one- 
half of those admitted were incurable from the chronicity of 
their disease before they entered the hospital. 

Recoveries. 

Fifty-nine patients were discharged as recovered, 30 men 
and 29 women, which is 21.77 per cent, of the admissions, 
and about the usual ratio of recoveries to admissions of 
recent years. Twenty-one of those recovered, recovered 
from acute mania ; 6 from chronic mania ; 20 from acute 
melancholia ; 2 from chronic melancholia ; 1 from recurrent 
insanity, and 1 from epileptic insanity ; five of the recov- 
eries were from acute alcoholism, and one from chronic. 
Two habitual drunkards were admitted and discharged as 
not insane. 

The duration of insanity before recovery in 14 of the 59 
who recovered was less than three months ; in 30, less than 
six months ; in 43, less than twelve months ; and 48, which 
is four-fifths of the whole number, recovered within two 
years, which again reaffirms the well-known fact that most 
of the recoveries take place within the first year, and that 
the percentage of recoveries is very small after the second 
year. 

Deaths. 

The rate of mortality has been less than for many years. 
The number of deaths was fifty-nine. The percentage 
of deaths must be regarded as very low when the physi- 
cal condition of a majority of the inmates of the hospital is 
considered. This hospital has more old and feeble patients 
than any other in the State. It is no doubt true that the 



1887.] PUBLIC DOCUMENT — No. 22. 13 

lives of the chronic and incurable insane are greatly pro- 
longed by hospital residence. Twelve patients died of 
paresis, which is more than one-fifth of the whole number. 

Therapeutics. 

Some remedies which have recently been introduced into 
other hospitals have been used with the following results. 
The hydro bromate of hyoscine was given in seventeen cases, 
of which a record was kept, whose predominant symp- 
toms were great motor excitement and insomnia. When 
taken by the mouth in j^ grain doses administered four 
times between 7 a.m. and 9 p.m. it produced appreciable 
effect in only one case. This was acute delirium folio wing- 
typhoid fever, in which large doses of potassium bromide 
and of opium had failed. Within half an hour of receiving 
TUo g ram °f hyoscine the patient was quietly sleeping, con- 
tinuing thus for two hours, when excitement rapidly super- 
vened. Repetition of the dose produced the same result, 
which lasted four hours. In nine cases -^ grain doses were 
given with apparent effect in only two. In both of these 
there was noticeable decrease of excitement during the day 
with several hours of sleep at night, whereas complete in- 
somnia existed without it. In one case of recurrent mania 
5 -q grain doses were taken ter in die with J^- grain at night. 
The duration and intensity of excitement were diminished, 
and the succeeding interval of quiet was lengthened by sev- 
eral days. 

In two cases of excited melancholia and in two of acute 
delirious mania j-J-^- grain doses were injected subcutane- 
ously, with marked effect. In all, a single injection pro- 
duced great diminution of excitement in from fifteen to 
twenty minutes, and in three, sleep continued from one to 
three hours. Paraldehyde was used in ten cases of insom- 
nia with the following results. In seven cases one drachm 
administered at bedtime was followed by an average increase 
of three-fourths to two and three-fourths hours of sleep in 
four cases, and by no increase in three. In one case two 
drachms were followed by three hours of sleep. In the 
other two cases one drachm, repeated after two hours, was 
followed by an average increase of two to four hours of 



14 TAUNTON LUNATIC HOSPITAL. [Oct. 

sleep. The average hours of sleep in all the cases were, 
without medicine, one hour and forty-seven minutes, with 
paraldehyde, three hours and nine minutes. 

Since this record of cases was completed the use of hyos- 
cine has been continued with better results, especially by 
the mouth, in cases of great motor excitement and activity 
attended with insomnia, and our experience with it would 
indicate it to be a valuable remedy in certain cases when 
properly used. 

As a pure hypnotic, favorable results have been obtained 
from a modified form of bromidia. 

Medical Records. 
Since the increase of the medical staff three years ago the 
medical records have been much improved, and are now 
being kept very satisfactorily. It is intended to maintain 
their present fulness, which will be more valuable hereafter 
in connection with any pathological work which may be 
done by a special pathologist, should one be appointed for 
the several State hospitals. 

Mechanical Restraint and Seclusion. 
The daily record of restraint and seclusion shows that the 
amount found necessary to be used has been very small, and 
less than the year before. The daily average of men re- 
strained has been .18 of one per cent. ; the daily average 
in seclusion, .9 of one per cent. The daily average of 
women restrained has been 1.6 per cent. ; in seclusion, 1.2 
per cent. If complete non-restraint were desirable to gratify 
an abstract idea or sentiment, it could easily be accomplished 
at some risk to the personal safety and comfort of a few 

patients. 

Exercise in the Open Air. 

Since the avenue round the farm was completed the 
patients have used it for exercise, and have taken longer 
walks in the grounds, and have spent more time in the 
grove, the wards being nearly deserted a greater part of 
each day during the warm weather. From present indica- 
tions the airing courts will be a thing of the past in a few 
years, and exercise of the patients in the grove under the 
care of attendants will take the place of them. 



1887.] PUBLIO DOCUMENT — No. 22. 15 

Employment. 

There has been no lack of out-door employment for all the 
male patients who were in suitable condition to work, and in 
no other year has their labor been of more value to the hos- 
pital. The inclination to work has been promoted by bring- 
ing together in two wards, which are designated as the 
working-men's wards, all the male patients who are in a 
fit condition to labor. It has been found by this classifica- 
tion that many, who before were unwilling to work, followed 
the habit of the others by simple force of example, and 
began to work without urging so soon as they were placed 
upon the ward where all were expected to work. One of 
the attendants of each of these wards goes out to work with 
the men and has the care of them. This has been found to 
be a much better plan than the former custom of having one 
of the farmers go upon the wards and take the men out to 
the farm. 

Our daily record shows that the daily average number of 
men employed in all the departments of labor was fifty-three 
per cent, of the whole number in the hospital. The average 
number who worked on the farm and grounds was thirty-five. 

The brush shop continues to be successful and affords daily 
employment for about thirty men who would not otherwise 
be occupied, those who are useful in any other work not 
being employed there. No pecuniary profit has accrued to 
the hospital from this industry, but as a therapeutical agent 
I have no doubt it fills a large place. 

No new occupation has been devised for the women, but 
the usual number have been employed in the sewing-room, 
kitchen, laundry and ward work, while many have been 
occupied with fancy-work for themselves or for others, from 
whom they receive some recompense. About twenty-six 
per cent, of the women performed some labor each day. 
It is noticeable that a greater number of men have been 
employed than women. The male patients as a rule are 
more willing to work, and what would hardly be expected, 
the male attendants receive more assistance in the ward 
work from the men than do the female attendants from the 
women. 



16 TAUNTON LUNATIC HOSPITAL. [Oct. 

The value of occupation as a remedial agent in the treat- 
ment of the insane is now so well understood and appreciated 
that we do not consider it necessary even in this connection 
to enlarge upon it. 

Improvements Completed during the Year. 

A resume of the improvements made during the year are 
as follows. The old entrance to the front avenue has been 
closed and the new entrance from Hodges Avenue opened. 
The wall on the line of the Old Colony Railroad which was 
left too low by the filling in of Dana Street has been raised 
and completed. The greenhouse has been finished and a 
driveway built around it and over the hill to the front 
avenue. A new iron gate with granite posts has been placed 
at the rear entrance from Danforth Street. The artesian 
well has been successfully completed and promises to furnish 
the hospital an abundant supply of water. A reservoir for 
its overflow, twenty-five feet in diameter, has been dug to 
the top of the ledge, a depth of twenty-seven feet, and stoned 
and arched over with brick. 

The old filter house, which was built of wood and much 
decayed, has been removed and a new one built of brick. 
The old ice-house has ceased to ornament the landscape, as 
ice could not be cut any longer from the hospital pond, and its 
material has gone into the extension of the new ice-house, 
near Scadding's Pond, which is made large enough to hold a 
year's supply. The cottage has been enlarged and repaired, 
and will make a comfortable home for a small family and a 
half dozen patients. 

The new cow stable, for which an appropriation of $5,000 
was received, has been completed and is excellently well 
built, and all its arrangements for the purposes intended are 
very convenient and satisfactory. It has stalls for fifty-two 
cows, which are expected to furnish a full supply of milk for 
the hospital; but if not, ten or fifteen more, or so many as 
may be necessary to supply the deficiency, can be kept in 
the old building. It is expected the hospital will be able to 
raise its milk for a much less sum than it has paid for it 
heretofore, and be more certain of a good quality. 

The central staircase in the rotunda of the centre building 



1887.] PUBLIC DOCUMENT — No. 22. 17 

has been removed and circular stairs built at the rear of the 
rotunda, which permits the light to fall unobstructed from 
the dome, thus greatly increasing the volume of light on 
the lower floor and rendering the front entrance much more 
cheerful and pleasant. 

Improvements Needed. 

Several things need to be done during the next year for 
which an appropriation from the Legislature will be re- 
quired. A pump-house should be built to locate the pumps 
nearer the wells and avoid a long draught of the water. All 
the water-closets and bath-rooms in the wards, including the 
piping and plumbing, should be changed and remodelled as 
soon as practicable, but I should recommend you to ask the 
present year for only a sum sufficient to complete the work 
in the new wings, as that will be all that can be conveniently 
done in one year. 

In several of the wards new floors should be laid. To 
meet the expense of these improvements I recommend you 
to ask of the Legislature an appropriation of $9,000, as fol- 
lows, viz. : — 

For pump-house, $2,500 00 

For changing and remodelling water-closets and bath-rooms 

in new wings, • 5,500 00 

For laying new floors, 1,000 00 

Finance. 
The apparent surplus of one year ago has been reduced 
$10,074.82 by a reduction of the receipts, from a less num- 
ber of patients in the hospital, and by the expenditures for 
improvements already mentioned, but it is designed to keep 
it sufficiently large to enable the hospital to purchase its 
supplies for cash. Any sum beyond what is necessary for 
that, should be expended in such improvements as will best 
promote its usefulness and success. The amount due the 
hospital at the end of the year exceeded the liabilities 
$16,203.34. 

Statistics. 

Statistical tables containing an analysis of the records of 
the hospital from its opening to Sept. 30, 1887, covering a 



18 TAUNTON LUNATIC HOSPITAL. [Oct. 

period of thirty-three and one-half years, have been pre- 
pared during the past year, and contain much valuable and 
interesting matter in a condensed form. 

It appears from Table 25 that 8,270 persons have been 
admitted to the hospital who represent 10,182 cases, — the 
registered number of the last patient admitted, September 
30, being 10,182 ; and that of the 8,270 persons admitted 
1,912, nearly one in four, were re-admitted one or more times. 

Entertainments . 

During eight months of the year, from October to June, 
entertainments for the patients were given in the chapel on 
four and sometimes five evenings of each week, as follows, 
viz. : — 

Once each week, gymnastics and marching to music. One 
evening, select readings by one of the assistant physicians. 
One evening, views of home and foreign scenery, and 
other objects of interest, with the stereopticon by Mr. 
Godding, accompanied by explanatory lectures by Mr. Wil- 
bur. Once in two weeks a social dance. Every Saturday 
evening, reading from the Scriptures with singing by the 
hospital choir ; and during the winter, several dramatic en- 
tertainments by members of our household. 

Acknowledgments . 

The editors of the "Daily Mercury" and the " Old Col- 
ony Memorial " have sent their papers to the hospital free of 
charge. The " Friends' Review" and several books for the 
library have been received through the kindness of Hon. 
George Howland, Jr., of New Bedford. The Union Dra- 
matic Club of Taunton gave an entertainment to the patients 
which was highly appreciated. The Bristol County Agri- 
cultural Society gave to all the residents of the hospital free 
admission to its grounds during the fair ; and, as usual, a 
large number of the inmates attended it. 

Soon after my last report was written the hospital lost by 
death its faithful and efficient male supervisor, Mr. Clarence 
E. Somers. He had been in the employment of the hospital 
as attendant, night-watch and supervisor a few months over 
seven years, and in the latter position about five years. As 



1887.] PUBLIC DOCUMENT — No. 22. 19 

supervisor, although his manner was ever quiet and unassum- 
ing, he developed rare executive ability and superior aptitude 
and fitness for the duties of the position. In his death the 
hospital lost a valuable officer, whose services are not less 
appreciated as memory recalls them from a wider lapse of 
time. Mr. Chester M. Howes, who had been in the service 
of the hospital for several years, was appointed to the posi- 
tion made vacant by the death of Mr. Somers. 

The vacancy in the position of female supervisor was 
filled by the appointment of Miss Carrie Somers to the 
place. The medical staff continues unchanged except by 
the absence of Dr. Drew for six months from the middle of 
September, whose place is being filled by Dr. Dewey, who 
had previously been assistant physician one year at the 
Northampton State Hospital. 

I am under renewed obligation to the assistant officers for 
their continued efficient and faithful service to the hospital, 
and their ready co-operation in all plans for promoting its 
usefulness and success. To the Trustees for their active 
support and wise counsel, which has been often sought 
and freely given, I am especially grateful. 

JOHN P. BROWN, 

Superintendent. 



STATISTICAL TABLES. 



STATISTICAL TABLES — 1887. 



Table No. 1. 

General Statistics of the Year 





Males. 


Females. 


Totals. 


Patients in hospital Oct. 1, 1886, . 


310 


353 


663 


Admissions within the year, 


158 


113 


271 


Whole number of cases within the year, 


468 


466 


934 


Discharges within the year, .... 


133 


167 


300 


Viz. : as recovered, 




30 


29 


59 


as much improved, 




12 


7 


19 


as improved, 




19 


26 


45 


as tmimproved, . 




37 


79 


116 


as not insane, 




1 


1 


2 


Deaths, . . . 




34 


25 


59 


Patients remaining Sept. 30, 1887, 


335 


299 


634 


Viz. : supported as State patients, 


74 


37 


111 


as town patients, 


230 


219 


449 


as private patients, . 


31 


43 


74 


Number of different persons within the year, 


463 


463 


926 


admitted, 


156 


112 


268 


recovered, 


30 


29 


59 


Daily average number of patients, 


318.22 


319.44 


637.66 



Table No. 2. 
Monthly Admissions, Discharges and Averages. 



MONTHS. 


Admissions. 


Discharges 
(including Deaths). 


Daily Average of 
Patients in the House. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


1886. 


















October, 


16 


9 


25 


11 


11 


22 


311.16 1 352.74 


663.90 


November, . 


13 


13 


26 


8 


12 


20 


313.90' 350.00 


663.90 


December, . 


9 


6 


15 


11 


51 


62 


318.38 331.48 


649.86 


1887. 




















January, 


13 


12 


25 


12 


2 


14 


316.16 


311.61 


627.77 


February, . 


9 


6 


15 


4 


7 


11 


321.39 


318.21 


639.60 


March, 


18 


8 


26 


11 


9 


20 


328.64 315.22 


643.86 


April, . 


13 


9 


22 


17 


9 


26 


328.26 315.16 


643.42 


May, . 


10 


9 


19 


19 


3 


22 


319.96 


318.32 


638.28 


June, . 


7 


8 


15 


18 


9 


27 


313.50 


318.90 


632.40 


July, . 


10 


11 


21 


4 


26 


30 


306.41 


307.00 


613.41 


August, 


15 


5 


20 


8 


16 


24 


317.77 


296.96 


614.73 


September, . 


25 


17 


42 


10 


12 


22 


323.63 


297.66 


621.29 


Total of cases, 


158 


113 


271 


133 


167 


300 


318.22 


319.44 


637.66 


Total oi persons, . 


156 


112 


268 


132 


167 


299 


- 


- 


- 



24 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 3. 
Received on First and Subsequent Admissions. 



NUMBER OF 


FHE ADMISSION. 


Cases Admitted. 


Times Previously 
Recovered. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 


130 


89 


219 








Second, . 






22 


13 


35 


6 


3 


9 


Third, . 






3 


5 


8 


3 


6 


9 


Fourth, . 






2 


3 


5 


- 


3 


3 


Fifth, . 






- 


- 


- 


- 


- 


- 


Sixth, . 






- 


1 


1 


- 


1 


1 


Seventh, 






- 


1 


1 


- 


4 


4 


Tenth, . 






- 


1 


1 


- 


9 


9 


Eighteenth, 






1 


- 


1 


15 


- 


15 


Total of cases, 


158 


113 


271 


24 


26 


50 


Total of persons, . 


156 


112 


268 


9 


11 


20 



Table No. 4. 
Ages of persons Admitted for the First Time. 



AGES. 






At First Attack of 
Insanity. 


When Admitted. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Fifteen years and less, . 


1 


1 


2 


1 




1 


From 15 to 20 years, 






2 


9 


11 


2 


5 


7 


20 to 25 years, 






12 


9 


21 


8 


8 


16 


25 to 30 years, 






14 


7 


21 


15 


10 


25 


30 to 35 years, 






14 


13 


27 


18 


13 


31 


35 to 40 years, 






15 


7 


22 


18 


10 


28 


40 to 50 years, 






20 


19 


39 


26 


20 


46 


50 to 60 years, 






9 


5 


14 


13 


6 


19 


60 to 70 years, 






15 


6 


21 


14 


10 


24 


70 to 80 years, 






8 


2 


10 


11 


2 


13 


Over 80 years, 






2 


3 


5 


4 


4 


8 


Unknown, . 






18 


8 


26 


- 


1 


1 


Totals. . 






130 


89 


219 


130 


89 


219 



1887.] 



PUBLIC DOCUMENT — No. 22. 



25 



Table No. 5. — Parentage of Persons Admitted. 





Males. 


Females. 


Totals. 


PLACES. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Maine, . . . 




7 


5 


5 


5 

1 


12 


10 


New Hampshire, . 




3 


3 


2 


1 


5 


4 


Vermont, 




1 


2 


- 


- 


1 


2 


Massachusetts, 




48 


48 


22 


22 


70 


70 


Rhode Island, 




2 


5 


1 


3 


3 


8 


Connecticut, . 




1 


2 


- 


- 


1 


2 


New York, . 




- 


- 


2 


1 


2 


1 


New Jersey, 




1 


- 


- 


- 


1 


- 


Virginia, 




1 


- 


- 


- 


1 


- 


Pennsylvania, 




- 


2 


- 


- 


- 


2 


Ohio, . 




1 


1 


- 


- 


1 


1 


Dominion of Canada, 




7 


8 


6 


8 


13 


16 


Newfoundland, . 




- 


- 


- 


1 


- 


1 


Bahamas, 


. V 




- 


- 


1 


- 


1 


- 


Azores, 






2 


2 


3 


3 


5 


5 


England, 






13 


12 


8 


8 


21 


20 


Ireland, 






54 


51 


50 


47 


104 


98 


Scotland, 






1 


1 


1 


1 


2 


2 


France, 






1 


- 


- 


- 


1 


- 


Germany, 






1 


1 


2 


2 


3 


3 


Russia, . 






- 


- 


1 


1 


1 


1 


Sweden, 






2 


2 


3 


3 


5 


5 


Denmark, 






1 


1 


- 


- 


1 


1 


Italy, . 






2 


2 


- 


- 


2 


2 


China, 






2 


2 


- 


- 


2 


2 


Unknown, 






5 


6 


5 


6 


10 


12 


Totals, 


156 


156 


112 


112 


268 


268 



26 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 6. 
Residence of Persons Admitted. 



PLACES. 


Males. 


Females. 


Totals. 


Bristol County, 


68 


51 


119 


Plymouth County, ..... 


23 


17 


40 


Norfolk County, 


16 


10 


26 


Barnstable County, ..... 


10 


4 


14 


Nantucket County, ..... 


1 


1 


2 


Dukes County, . . . . 


- 


1 


1 


Suffolk County, 


38 


28 


66 


Totals, 


156 


112 


268 


Cities or large towns, 


103 


87 


190 


Country districts, 


53 


25 


78 



Table No. 7. 
Civil Condition of Persons Admitted. 



NUMBER OF 


UNMARRIED. 


Married. 


Widowed. 


Unknown. 


THE ADMISSION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 

Second, 

Third, 

Fourth, 

Fifth, 

Sixth, 

Seventh, 

Tenth, 

Eighteent 


h, . 


64 

10 

2 

2 


38 

3 
1 

1 


102 

13 

3 

2 

1 


49 
11 


38 
6 
2 
3 

1 


87 

17 

2 

3 

1 


16 

1 


13 

3 

1 
1 


29 
3 

1 

1 

1 


1 


1 


2 


Totals, 




78 


43 


121 


60 


50 


110 


17 


18 


35 


1 


1 


2 



1887.] 



PUBLIC DOCUMENT — No. 22. 



27 



Table No. 8. 
Occupations of Persons Admitted. 



MALES. 



Blacksmiths, 


2 


Manufacturer's agent, 


1 


Bookkeeper, 
Barber, 






1 
1 


Merchants, 
Nailer, 








5 
1 


Brewer, 
Brittania worker 






1 

1 


No occupation, 
Porter, 








8 
1 


Brakeman, . 






1 


Painters, . 








2 


Bartender, . 






1 


Pin-maker, 








1 


Clerks, 






2 


Piano-maker, 








1 


Carpenters, . 

Cooper, 

Cabinet-maker, 






2 
1 
1 


Peddler, . 
Reporter, . 
Rope-maker, 








1 
1 
1 


Car inspector, 






1 


Shoemakers, 








13 


Currier, 
Coachman, . 






1 
1 


Storekeeper, 
Sailors, 








1 
3 


Cook, . 






1 


Salesman, . 








1 


Engineers, . 






2 


Straw worker, 








1 


Engraver, . 






1 


Soap-maker, 








1 


Fireman, 






1 


Teamster, . % 








1 


Farmers, 






19 


Tailors, 








3 


Gardener, . 






1 


Traders;* . 








3 


Hostler, 






1 


Tinsmith, . - 








1 


Harness-maker, 






1 


Unknown, . 








2 


Jewellers, . 
Laborers, 






3 

30 


Upholsterers, 
Waiters, 








1 

2 


Laundrymen, 

Musician, 
Machinists, . 






2 
1 

4 


Whitewasher, 
Wheelwright, 
Wood-carver, 








1 
1 
1 


Mill operatives, 






8 
4 






Masons, 




Moulder, 






1 


Total, .... 


156 



FEMALES. 



Clerk, 


1 


Saleswoman, 


1 


Cooks, . 
Domestics, . 






2 
20 


Seamstresses, 
School teacher, 




6 
1 


Housewives, 






7 


Shoestitchers, 




2 


Laundress, . 






1 


Spoolers, . 




2 


No occupation, 






17 


Tailoress, . 




1 


Nurse, . 






1 


Weavers, . 




8 



28 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Occupations of Persons Admitted — Concluded. 



Butcher, .... 


1 


Porter, .... 


1 


Carpenter, . 






2 


Quarryman, 








1 


Card-grinder, 






2 


Shoemaker, 








5 


Engineer, . 






2 


Roofer, 








1 


Farmer, 






o 


Tailor, 








1 


Fireman, 






1 


Trader, 








1 


Laborer, 






10 


Wool-sorter, 








1 


Machinist, . 






2 


Weaver, 








2 


Mariner, 
Peddler, 






5 
1 










Total,. 


112 



Table No. 9. 
Reported Duration of Insanity before last Admission. 





First Admission 


All Other Ad- 










to ant Hospital. 


missions 






OTALS 




PREVIOUS DURATION. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 


1 


1 


2 


_ 


_ 


_ 


1 


1 


2 


Under 1 month, 


20 


18 


38 


8 


7 


15 


28 


25 


53 


From 1 to 3 months, 


15 


9 


24 


4 


3 


7 


19 


12 


31 


3 to 6 months, 


14 


13 


27 


- 


2 


2 


14 


15 


29 


6 to 12 months, 


8 


5 


13 


2 


1 


3 


10 


6 


16 


1 to 2 years, . 


18 


6 


24 


9 


3 


12 


27 


9 


36 


2 to 5 years, . 


18 


15 


33 


10 


- 


10 


28 


15 


43 


5 to 10 years, . 


3 


7 


10 


5 


3 


8 


8 


10 


18 


10 to 20 years, . 


2 


- 


2 


4 


1 


5 


6 


1 


7 


Over 20 years, . 


2 


2 


4 


1 


1 


2 


3 


3 


6 


Unknown, 


11 


13 


24 


3 


3 


6 


14 


16 


30 


Total of cases, 


112 


89 


201 


46 


24 


70 


158 


113 


271 


Total of persons, . 


112 


89 


201 


45 


24 


69 


156 


112 


268 



1887.] 



PUBLIC DOCUMENT — No. 22. 



29 



Table No. 10. 
Form of Disease in Cases Admitted. 



FORM OF DISEASE. 


Males. 


Females. 


Totals. 


Mania, acute, 










17 


21 


28 


chronic, 










28 


38 


66 


Melancholia, acute, 










26 


19 


45 


chi-onic, 










19 


6 


25 


Dementia, acute, . 










1 


- 


1 


chronic, 










5 


3 


8 


Paresis, . 










15 


6 


21 


Organic brain disease, 










3 


- 


3 


Epileptic insanity, 










5 


2 


7 


Paralytic insanity, 










4 


- 


4 


Puerperal insanity, 










- 


3 


3 


Recurrent insanity, 










1 


4 


5 


Senile insanity, 










18 


9 


27 


Alcoholism, acute, 










10 


- 


10 


chronic, 










2 


- 


2 


Habitual drunkard, 










2 


1 


3 


Imbecility, . 










1 


- 


1 


Not insane, . 










1 


1 


2 


Total of cases, 


158 


113 


271 


Total of persons, 










156 


112 


268 



30 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 11. 

Probable Causes of Insanity in Cases Admitted. 



CAUSES. 


Males. 


Females. 


Totals. 


Physi 
Congenital, . 
Dissipation, . 
Epilepsy, 
Intenrperance, 
Ill-health, . 


cal. 








1 

6 

5 

30 

2 


2 

2 
6 
2 


3 
6 

7 

36 

4 


Injury to head, 










4 


- 


4 


Injury to back, 










- 


1 


1 


Masturbation, 










12 


2 


14 


Menopause, . 
Miscarriage, . 










- 


9 
1 


9 
1 


Nervous prostration, 










1 


- 


1 


Neuralgia, 
Overwork, 










1 


3 


1 
3 


Puerperal, 
Pneumonia, . 










- 


6 
1 


6 
1 


Phthisis, 










- 


1 


1 


Remittent fever, . 










1 


- 


1 


Sunstroke, 










7 


- 


7 


Senility, 










17 


9 


26 


Syphilis, 
Typhoid fever, 










1 


2 


1 
2 


Moral. 








Business troubles, ... . . • . 


1 


- 


1 


Domestic troubles, 










8 


1 


9 


Desertion, 










- 


2 


2 


Death of near relative, 










- 


10 


10 


Disappointment, . 
Fright, . 










- 


1 
1 


1 
1 


Homesickness, 










- 


1 


1 


Jealousy, 

Loss of employment, 

Overstudy, 

Political excitement, 










1 
1 
1 

1 


- 


1 
1 
1 
1 


Religious excitement, . 










5 


- 


5 


Predisposing 
Hereditary, .... 
Previous attack, . 




16 

4 


6 
15 


22 
19 


Unknown, .... 




32 


29 


61 


Totals, . 










158 


113 


271 



1887.] 



PUBLIC DOCUMENT — No. 22. 



31 



Table No. 12. 
Relation to Hospitals of Persons Admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


First admission to any hospital for insane, . 


112 


81 


193 


Former inmates of this hospital, . 


22 


21 


43 


Former inmates of hospitals in other States, 


4 


1 


5 


Former inmates of other hospitals in this 
State, 


14 


4 


18 


Former inmates of this hospital and of 
others in this State, 


4 


4 


8 


Former inmate of hospital in foreign 
country, 


- 


1 


1 


Totals, 


156. 


112 


268 



Table No. 13. 
How Supported. 





Patients Admitted. 


SUPPORTED AS 


Males. 


Females. 


Totals. 


State patients, 

Town patients, ....... 

Private patients, 


64 
81 
13 


54 
49 
10 


118 

130 

23 


Totals, 


158 


113 


271 



32 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 





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CM 


O C3 
O Oi 
CO CM 




•sai^Binaji 


CO OS -cH CO rH 1 1 rH J i — 1 

CO l-H 

rH 


CO CO 

rH r-i 




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O rH 

1-H 


CO CXI 
CO CO 








X 
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id 


CI OS 




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CM 


CM CM 




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co co 








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CM CM 


eo 


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rH rH 


ft* 


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rH | | 1 1 1 1 1 1 1 


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8 




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a. 


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CO CM 


CO CO 
rH rH 
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is ^ 


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CO CO 




Table 

sified by 




w 

o 

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CI ^ rH | rH | | | | | 

CO 




•saiBraaji 


tH r-T r-l I I I I I I I 
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CM CM 


=0 


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rH 


Ci C5 
rH rH 


=0 

<» 




a 

o 
a 

3 


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CO CM CM rH | I 1 rH | | 
rH 


CT3 O 
rH rH 




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kO 1 1 rH | | 1 rH | | 


b- t- 


q 


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w 

o 
o 

a 


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CO "* CM CO rH | | 1 rH | 


C5 Ci 




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CM CO rH CM rH | | | | | 
CM 


Ci C5 
CM CM 




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1887.] 



PUBLIC DOCUMENT — No. 22. 



33 



Table No. 15. 

Cases Discharged Recovered — Duration. 



PERIOD. 




Duration before 
Admission. 


Hospital 

Residence. 


Whole Duration 
from the Attack. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, . 

Under 1 month, . 

From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
Over 20 years, 
Unknown, . 




16 

6 
4 
1 
1 

2 


12 

4 
5 
1 

1 

6 


28 
10 
9 
2 
1 
1 

8 


4 

11 

6 

7 
1 
1 


13 

7 
3 
1 
5 


4 

24 

13 

10 

2 

6 


1 

8 
9 
7 
2 
1 

2 


5 

7 
6 
3 
1 
1 

6 


1 

13 

16 
13 

5 
2 
1 

8 


Total of cases, . 
Total of persons, 

Average of known cases 
(in months), 




30 
30 

2.13 


29 
29 

4.43 


59 
59 

3.28 


30 
30 

4.72 


29 

29 

7.08 


59 
59 

5.89 


30 
30 

6.82 


29 
29 

11.52 


59 
59 

9.17 



Table No. 16. 
Cases Resulting in Death — Duration. 





Duration before 


Hospital 


Whole Duration 




Admission. 


Residence. 


from the Attack. 


PERIOD. 














Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot 


Congenital, . 




















Under 1 month, . 


4 


1 


5 


7 


- 


7 


1 


- 


1 


From 1 to 3 months, 


2 


2 


4 


7 


5 


12 


1 


— 


1 


3 to 6 months, 


3 


5 


8 


2 


6 


8 


2 


2 


4 


6 to 12 months, 


3 


1 


4 


1 


2 


3 


4 


2 


6 


1 to 2 years, . 


5 


3 


8 


5 


4 


9 


4 


3 


7 


2 to 5 years, . 


7 


8 


15 


5 


6 


11 


8 


11 


19 


5 to 10 years, . 


3 


- 


3 


4 


- 


4 


4 


1 


5 


10 to 20 years, . 


3 


- 


3 


2 


2 


4 


4 


1 


5 


Over 20 years, . 


1 


1 


2 


1 


- 


1 


3 


1 


4 


Unknown, . 


3 


4 


7 


- 


- 


- 


3 


4 


7 


Total of cases, . 


34 


25 


59 


34 


25 


59 


34 


25 


59 


Average of known cases 
(in months), . 


54.60 


29.95 


44.04 


37.92 


25.51 


32.56 


92.52 


55.46 


76.64 



34 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 17. 

Cases Discharged by Recovery or Death. 



Form of Insanity. 



FORM OF INSANITY 






Recoveries. 


Deaths. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Mania, acute, 

chronic, 
Melancholia, acute, 

chronic, 
Dementia, acute, . 
chronic, 
Paresis, . 

Organic brain disease, 
Senile insanity, 
Recurrent insanity, 
Paralytic insanity, 
Epileptic insanity, 
Alcoholism, acute, 
chronic, 






9 
2 
10 
1 
1 

1 

5 
1 


12 

4 

10 

2 

1 


21 
6 

20 
3 

1 

1 

1 
5 
1 


2 
4 
2 
2 

1 
9 

2 
8 

2 

2 


1 

8 
3 

5 

6 
1 

1 


3 

12 

5 
2 

1 

14 
2 

14 
1 
2 
3 


Total of cases, 
Total of persons, 


30 
30 


29 
29 


59 
59 


34 
34 


25 
25 


59 
59 



Table No. 18. 
Causes of Death. 



CAUSES. 


Males. 


Females. 


Totals. 


Mania, chronic, 


2 


3 


5 


Melancholia, acute, 








- 


2 


2 


chronic, . 








2 


1 


3 


Epilepsy, 

Paresis, .... 








1 

8 


4 


1 
12 


Apoplexy, 

Organic brain disease, . 

Senile insanity, 








1 
5 


3 


3 

1 
5 


Paralysis, 
Strangulation, 
Erysipelas, . 
Phthisis, 








1 
1 

2 
1 


1 
5 


1 

1 
3 
6 


Pneumonia, . 








2 


_ 


2 


Diarrhoea, acute, . 








- 


1 


1 


chronic, 








- 


1 


1 


Septicaemia, . 

Shock from accident. . 








1 
1 


- 


1 
1 


Chronic intustilial nephritis, 
Diabetes mellitus, 








1 
1 


- 


1 

1 


Bronchitis, acute, . 








2 


1 


3 


Old age, .... 








- 


2 


2 


Typhoid fever, 








2 


1 


3 


Totals 








34 


25 


59 



1887.] 



PUBLIC DOCUMENT — No. 22. 



35 



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36 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



o 
w 

Hi 

w 






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id 



c 



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tMCOiOCMrHi-HrHrH 


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1887.] 



PUBLIC DOCUMENT — No. 22. 



37 



Table No. 21. 

Deaths, Classified by Duration of Insanity and Treatment. 



1 






Whole Known Period op 




Durat: on 
















Hospital Ri 


PEKIOD. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Congenital, .... 














Under 1 month, . 






1 


- 


1 


7 


- 


7 


From 1 to 3 months, 






1 


- 


1 


6 


5 


11 


S to 6 months, 






- 


1 


1 


3 


5 


8 


6 to 12 months, 






3 


2 


5 


1 


2 


3 


1 to 2 years, 






3 


3 


6 


5 


4 


9 


2 to 5 years, 






9 


11 


20 


4 


7 


11 


5 to 10 years, 






3 


1 


4 


4 


- 


4 


10 to 20 years, 






5 


2 


7 


3 


2 


5 


Over 20 years, 






1 


1 


2 


1 


- 


1 


Unknown, 






8 


4 


12 


- 


- 


- 


Total of cases, 


34 


25 


59 


34 


25 


69 


Average of known cases (in 














months), .... 


63.57 


55.46 


59.95 


27.58 


27.44 


27.51 



Table No. 22. 
Ages of those who Died. 





At Time of First 
















At Time 






Attack. 










AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Fifteen years and less, . 


1 


1 


2 








From 15 to 20 years, 






1 


2 


3 


- 


- 


- 


20 to 25 years, 






2 


2 


4 


2 


2 


4 


25 to 30 years, 






2 


3 


5 


1 


3 


4 


30 to 35 years, 






3 


3 


6 


4 


b 


7 


35 to 40 years, 






4 


1 


5 


2 


1 


3 


40 to 50 years, 






6 


3 


9 


7 


4 


11 


50 to 60 years, 






1 


1 


2 


4 


3 


7 


60 to 70 years, 






6 


2 


8 


6 


4 


10 


70 to 80 years, 






4 


1 


5 


5 


1 


6 


Over 80 years, 






- 


3 


3 


3 


4 


7 


Unknown, 






4 


3 


7 


- 


- 


- 


Totals, . 






34 


25 


59 


34 


25 


59 



38 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



o 






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i— 1 i— 1 t-h. t— IHr 1 i— I i— 1 i— 1 i— 1 i— 1 l— 1 i— 1 i— 1 i— IrH 



1887.] PUBLIC DOCUMENT — No. 22. 



39 



1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <N 


CM 




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40 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 









§ 1 



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t3 
1 








Remaining of 
each Year's Ad- 
missions. 


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








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N»HN(NOOlNtt5NOaH(NO«5 
i— 1 i— 1 i— ( CN HH(NN!-i(MIMCT(M 




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H(N(MH(NHHNHHCTWrt 




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•*iO^N00CSOHMC0Tf(iOC0NC001 
■O O 'O IO 'O O CC O O ffi CO to to (O CO CO 
OOCOCCi X CO CO 'CO CO CO 'CO CO CO CO CO CO CO 

HHHHHHHHrlHriHrlHHH 



1887.] PUBLIC DOCUMENT — No. 22. 



41 



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co 

CO 




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


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1 




1 1 1 1 H | | | | | | HHH (HIM | OO 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 tHt-ItH 


CO 


1 II | t — 1 1 1 1 1 1 I HHH | | |H 


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CO 
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llllllllllll|H|H(N| 


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co 


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CM 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 CM CM 


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IIIIIIIIIIIIIIIHCN-* 


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CO-tfflO'OCOH<T)(00(MlOH^TtlH!M-)<(M 
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42 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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H H l— ' r- 1 i— 1 r- 1 r- IHHr 1 H H rt H r- 1 H T— 1 H 



1887.] 



PUBLIC DOCUMENT — No. 22. 



43 



I (MHHCT I rH r- HM-*(M<HOOOCO 

T-l tH 


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


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m 

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44 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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1887.] 



PUBLIC DOCUMENT — No. 22. 



45 



Table No. 26. 
Showing the Results of First Admissions. 





SI ales. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of persons on 






















4,292 


3,978 


8,270 


Discharged : 














Recovered, 


1,180 


1,066 


2,246 


- 


- 


- 


Much improved, 


66 


86 


152 


- 


- 


- 


Improved, . 


939 


991 


1,930 


- 


- 


- 


Unimproved, 


913 


853 


1,766 


- 


- 


- 


Not insane, 


9 


o 


12 


- 


- 


- 


Died, .... 


856 


749 


1,605 


- 


- 


- 


Eloped, .... 


93 


6 


99 


- 


- 


- 


Remaining in the hos- 














pital Sept. 30, 1887, . 


236 


224 


460 


4,292 


8,978 


8,270 











Showing the Results of 


Re-admissions. 






Number of re-admis- 






















1,018 


894 


1,912 


Discharged : 
Recovered, 


287 


294 


581 








Much improved, 
Improved, . 
Unimproved, 
Not insane, 


30 

249 

198 

1 


26 

243 

176 

1 


56 
492 
374 

2 


- 


- 


- 


Died, . 


118 


74 


192 


- 


_ 


_ 


Eloped, . 

Remaining in the hos- 
pital Sept. 30, 1887, 


38 

97 


3 

77 


41 

174 


1,018 


894 


1,912 











Showing the Residts of Second Admissions. 




Number of second ad- 






















684 


615 


1,299 


Discharged : 
Recovered, 


174 


193 


367 








Much improved, 
Improved, . 


18 
164 


12 
154 


30 
318 


- 


- 


- 


Unimproved, 
Not insane, 


146 


140 
1 


286 
1 


— 


- 


- 


Died, . 


89 


58 


147 


- 


_ 


- 


Eloped, . 

Remaining in the hos- 


30 


3 


33 


- 


- 


- 


pital Sept. 30, 1887, 


63 


54 


117 


684 


615 


1,299 









46 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Showing the Results of Third Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of third admis- 

Discharged : 
Recovered, 
Much improved, 
Improved, . 
Unimproved, 

Died, . 

Eloped, . 

Remaining in the hos- 
pital Sept. 30, 1887, 




52 
6 
50 
39 
19 
3 

14 


58 
5 
48 
28 
10 

12 


110 
11 

98 

67 

29 

3 

26 


183 
183 


161 
161 


344 

344 













Showing the Results of Fourth Admissions. 




Number of fourth ad- 






















74 


63 


137 


Discharged : 














Recovered, 


23 


25 


48 


— 


— 


._ 


Much improved, 


2 


3 


5 


- 


- 


- 


Improved, . 


23 


20 


43 


- 


- 


- 


Unimproved, 


8 


5 


13 


- 


- 




Not insane, 


1 


— 


1 


- 


- 


— 


Died, .... 


6 


4 


10 


- 


- 




Eloped, .... 


1 


- 


1 


- 


- 


- 


Remaining in the hos- 














pital Sept. 30, 1887, . 


10 


6 


16 


74 


• 63 


137 













Showing the Results of Fifth Admissions. 



Number of fifth admis- 






















30 


23 


53 


Discharged : 














Recovered, 


11 


8 


19 


— 


— 


— 


Much improved, 


- 


3 


3 


- 


- 


- 


Improved, . 


7 


8 


15 


- 


- 


- 


Unimproved, 


3 


2 


5 


- 


- 


- 


Died, .... 


1 


1 


2 


- 


— 


- 


Eloped, .... 


3 


- 


3 


- 


- 


- 


Remaining in the hos- 














pital Sept. 30, 1887, . 


5 


1 


6 


30 


23 


53 











1887.] 



PUBLIC DOCUMENT — No. 22. 



47 



Shoiving the Results of Sixth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of sixth adrnis- 






















18 


17 


35 


Discharged : 










Recovered, 


8 


6 


14 


- 


- 


- 


Much improved, 
Improved, . 
Unimproved, 
Died, .... 


2 
2 
1 
2 


1 

8 
1 


3 

10 
2 
2 


- 


- 


- 


Eloped, .... 
Remaining in the hos- 


1 


- 


1 


- 


- 


- 


pital Sept. 30, 1887, . 


2 


1 


3 


18 


17 


35 









Showing the Results of Seventh Admissions. 



Number of seventh ad- 






















11 


10 


21 


Discharged : 














Recovered, 


5 


1 


6 


_ 


_ 


_ 


Much improved, 
Improved, . 
Unimproved, 
Died, .... 


1 
2 

1 


1 
3 
1 


2 
5 
1 
1 


- 


- 


- 


Remaining in the hos- 














pital Sept. 30, 1887, . 


2 


4 


6 


11 


10 


21 











Showing the Results of Eighth Admissions. 



Number of eighth ad- 
missions, . 



Discharged : 
Recovered, 
Much improved, 
Improved, . 









4 


5 


3 


2 


5 






- 


1 


1 


_ 


- 


1 


2 


3 


4 


5 









48 



TAUNTON LUNATIC HOSPITAL. [Oct. 



Showing the Results of Ninth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of ninth admis- 

Discharged : 
Recovered, 
Much improved, 


2 
1 


1 


3 
1 


3 

3 


1 

1 


4 

4 






| 



Shotting the Results of Tenth Admissions. 



Number of tenth admis- 
sions, . . . . 



Discharged : 
Recovered, 
Died, . 



Showing the Results of Eleventh Admissions. 



Number of eleventh ad- 
missions, . 



Discharged : 
Recovered, 



Showing the Results of Twelfth Admissions. 



Number of twelfth ad- 
missions, . 



Discharged : 
Recovered, 



1 

1 - 1 
1 



Shotting the Results of Thirteenth Admissions. 



Number of thirteenth 
admissions, 



Discharged : 
Recovered, 









1 


- 


1 


- 


1 


1 


- 









1887.] PUBLIC DOCUMENT — No. 22. 



4 ( J 



Showing the Results of Fourteenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of fourteenth 

Discharged : 
Recovered, 


1 




1 


1 
1 


- 


1 
1 











Shoiving the Results of Fifteenth Admissions. 



Number of fifteenth ad- 
missions, . 



Discharged : 
Recovered, 



Showing the Results 


of Sixteenth Admissions. 




Number of sixteenth ad- 
Discharged : 
Recovered, 


1 


- 


1 


1 
1 


- 


1 
1 






j 



Shoiving the Results of Seventeenth Admissions. 



Number of seventeenth 
admissions, 

Discharged : 
Recovered, 









1 


- 


1 


- 


1 


1 


- 









Showing the Results of Eighteenth Admissions. 



Number of eighteenth 
admissions, 



Remaining in the hos- 
pital Sept. 30, 1887, . 









1 


- 


1 


- 


1 


1 


- 









50 



TAUNTON LUNATIC HOSPITAL. 



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1887.] 



PUBLIC DOCUMENT — No. 22. 



53 

















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PUBLIC DOCUMENT — No. 22. 



57 



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58 



TAUNTON LUNATIC HOSPITAL. 



[Oct, 



PS 



£ 



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8 



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1887.] PUBLIC DOCUMENT — No. 22. 



59 



COlll|G<lll>OrH|||iCl|C0ll'O|i-l|| I! 



I I O I I I I I I I T* I I 



1 | SO I I (N I CO I 1 I II 



I iO I I I I O I I CO I I r-t (M I I l"Ol I T)H(MiOtO(M I N I I 



'I I J I .<N I l-CQft) I I I I <N CN-tHiQ | | | | | .| | .| | 



OOiOO©HC>MCOCqcOT)HOHCTCTHiOiOtOCON(Mit5COH^CB o gn< 



O00^-#HCClMH I (OHNHH I i— I I O(NC0>0HC0 I I Or- 1 lO H 



COt>^OCM I H rl CT N t> CO CO I H (N | lOiQ-^iONHINCOHlOCO «J H 



1 1 1 


r-l 


1 1 1 1 r-l 1 |HH | | Iri | 1 r-l I |H |H | | 


1 1 


1 1 rH 


1 


lllll|rH||||r-l||rH||T-l|rH||| 


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1 


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1 1 


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1 


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1 1 1 


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<N<N<N<Ni-lrHrHi-li-lrHr-lr-lr-l| I I | I I | | | ! | | | | 


->* CO 



60 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



^ 



o 

O 



z 

'A 
< 



•IBjidsoH 
ui Su(ureai3}£ ibjox 


1 1 I 1 1 1 1 1 1 1 N 1 1. 1 r-l 1 1 iH 1 1 tH 


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r-l r-l r-l 


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1 1 1 l«H 1 Mill Mri |HN 1 II 


•sajWAOOaH Ihjox 


CO>ONCSNNaONTtHC©-^INr-li— 1 r-l CO 1 ! 1 1 1 

CO 1— 1 T— 1 


Total Number of Per- 
sons SHOWING THE SAME 

Results. 


5 

o 

H 


HlO-*COHHilH(NCON«HHHCOHH-*©H 
i—l 


*3 


IOCOIMCO 1 1 N r-l | N r-l N | HHNH | r-l CO 1 


1 


CONN IrHr-lN I N rH t-H 1 H | |r-l I H CO CO H 


IKjid 
-son ui Sujuibuhji 


1 1 1 tH | | '| ■ |' | | rH 1 1 1 t-|. I | iH | | rH 


•paia 


1 1 tH |. | | | 1 rH | | | | | | rH | | | | | 


■p3AOJdul[ 

-u/l S9cajx jo -on 


|r-l| 1 |i-l|N|r-l||COr-(|r-l| I I HH 


•psAOjd 
-mi samix jo on 


r-l| | | | | (N IHHHW |HHHCOHilWM 


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upnpi saunx jo 'ojj 


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1887.] PUBLIC DOCUMENT — No. 22. 



61 



CM CM I I I rH | rH | I N I H | H | | | | | | H | ri 



1 1 H | | | | | | 


1 1 1 1 1 1 1 tH 1 rH 1 I I I I 


1 rH | | 


(Ml I O) I CT^COCO 


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1 1 1 1 


(NO0Q(N-*H I I CM 


I I CO tH CM 1 HHHCOHJOOHCMtJ* 


III-* 


1 1 1 1 CM 1 1 1 1 


1 1 1 1 1 T-l T-H 1 1 1 1 1 1 1 1 


1 1 1 1 


CM 1 1 1 <M 1 1 1 1 


>000(MCOCOCOCMCMCMt-HCMCM I 1 1 
T-H 


toioioco 


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t-HCMCOt-Ht— It- It-Ht-Ht-Ht-HCMCMt-Ht— 1 t— 1 


rH rH rH CM 


1 1 1 1 <NH | | I 


H |H | | rH | t-H T-H | T-H T-H | | I 


rH | ] <M 


CM CM T-H T— 1 | | T— 1 T-H CM 


ICMiMt-Ht-H It— 1 | It-Ht-Ht-HtHt-Ht-H 


1 rH rH | 


T-H T-H | | | T-l | TH | 


1 rH 1 rH | rH I I | I I |H |H 


1 1 rH | 


1 1 T-l | | | | 1 1 


1 1 1 1 1 1 1 rH | rH | | | | | 


1 T-H | | 


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1 1 1 1 


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1 | HrtCM | HHH CO CM^HrHCM-^ 


I 1 1 CM 


1 1 1 1 T-H | | I | 


1 1 1 1 1 rH rH | | | | | | | | 


1 1 1 1 


T-l | | 1 T-H | | | | 


iO-*^WCOCO(MIM(MHHH | | | 


cOiOiOtH 




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62 



TAUNTON LUNATIC HOSPITAL. 



[Oct, 



o 
Q 



O 



pq 

«! 



"IBjidsoH 


1 1 I 1 1 1 T— 1 


| 1 t — 1 i — 1 1 t — 1 I i — i 1 i — 1 1 1 i — 1 


•paid mox 


1 1-1 1 1 1 1 1 


1 1 I 1 -• — < i 1 1 t 1 1 1 1 


■paAOjdtmuQ ibjox 


CM I CM 1 I I 1 


|||||||||r-ICMrHi-l 


•paAOjdcai ibjox 


CM I H Tt* C^ lO lO 


I H | | | HHHCTH1MOO 


•paAOjd 
-mi noon I"jox 


IH I 1 i-l 1 1 


t — ( 1 l.r-li-l | r-I'lH | | | | | 


•saLWAODaji [bjoj, 


CO -* CO CM CM t-H | 


CCKOCOiCOiOiO-^iO-^COH | 



Total Number of Per- 
sons SHOWING THE SAME 

Kesults. 


c 


NHHi- 1 i— 1 i— It— 1 HHriHriHHHr It— It-Hi— IH 


en 


T— 1 | |t— It— 1 | i — 1 T— 1 | T— It— 1 I | It— 1 I | T— It— It— 1 


"3 


HrtH- | | H | |r-l| It— 1 tH tH 1 t— It— 1 I I 1 


'IBjid 
-soh ni Suiu[Bcii3a 


IIIIIItH 1 | H H 1 H | H | H I I H 


•paid 


1 T-l | | | | | | | | | T-i | | | I | | | | 


•paACidmi 
-uf) samii jo -ox 


t-IICMIIII 1 1 Ml 1 1 1 IHNH.H 


•paAOid 
-mi sanifx }o 'Ofi 


t— 1 | HH/COlOiO It— 1 | | |t-It— It— ICMt—ICMiOIO 


•paAO-idmi 
UonH sainjx }o 'on 


1 t — T | | t — I 1 1 H'| |HH IHH | | 1 1 1 


•p.USAOD 

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-*-*iocmcmt-i i cococoioioioio^io^coH | 


■A 

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a a 

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a 

a 

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a 

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3 
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Six — Continued, 
Seven, 



1887.] PUBLIC DOCUMENT— No. 22. 



63 



1 1 1 1 


1 


tM 1 


i-H 


co 
i— i 


1 1 1 1 1 IH | 


OS 


1 1 1 H 1 II 1 


o 

CM 

CO 


IN 1 -*M 


1-1 


i-t 1 


CM 


CM 

OS 


1 CO 1 1 


1 


<M 1 


1 


1-1 

GO 


CO >o "tf -rH 


GO 


CO OS 


i—l 


O 
CO 
l-H 

i-T 


1—i 1— 1 T— 1 I— 1 


i-H 


i—l i-H 


i-H 


i-H 

o 

l-T 


1—1 1—1 1 1—1 


1 


1 i-l 


1 


i-H 

CO 


1 1 1-1 1 


i—l 


i-H 1 


i-l 


CO 

CO 


1 1 1 1 


1 


T-H 1 


i-l 


, 


>0 1 1 1 


1 


1 i-H 






1 1 1 t-H I || I 




m | -*m 


i—l 


rH | 


CM 




1 =C | | 


1 


CM I 


1 




tOiO^^ 


GO 


CO OS 


i— 1 




TfH 


T-l 


CM 


1-1 


1—1 
o 

CO_ 


CO 


1 


i-l 


1 


r-l 

CO 


i— 1 


1— 1 


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64 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



INVENTORY OF STOCK AND SUPPLIES 

On Hand Sept. 30, 1887. 



Live stock on the farm, .... 

Produce of the farm on hand, 

Carriages and agricultural implements, 

Machinery and mechanical fixtures, 

Beds and bedding in inmates' department, 

Other furniture in inmates' department, 

Personal property of the State in the Superintendent 

partment, 
Dry goods, 

Provisions and groceries, 
Drugs and medicines, 
Fuel, .... 
Library, .... 
Other supplies undistributed, 





$4,272 00 




1,846 


DO 




2,497 


00 




37,000 


00 




17,704 


75 




8,128 


78 


's de- 








9,402 


67 




6,174 67 




2,312 


00 




600 


oo 




3,640 


00 




600 


00 




1,604 


85 



)5,782 72 



1887.] 



PUBLIC DOCUMENT — Xo. 22. 



65 



TREASURER'S REPORT. 



I respectfully submit the following report of the finances 
of this institution for the year ending Sept. 30, 1887, to the 

Trustees : — 

Assets. 



140 acres of laud, . 
Hospital building, 
Brick barn and stable, . 
Laundry building, 
Other buildings and wall, 



$34,800 00 

275,000 00 

8,000 00 

8,000 00 

7,000 00 



Personal Estate. 
Stock and supplies on hand as per inventory appended to 
the Trustees' report, 



Receipts. 
Cash on hand Oct. 1, 1886, . 
Received from the State Treasurer, 

from towns, . 

from individuals, . 

from borrowed money, . 

from other sources, 



Payments. 

1st. Salaries, wages and labor, 

2d. Provisions and Supplies, etc : — 

Meats of all kinds, . 

Fish of all kinds, . 

Fruit and vegetables, 

Flour and bread, . 

Grain and meal for table, 

Grain and meal for stock, 

Tea, coffee and broma, . 

Sugar and molasses, 

Milk, butter and cheese, 

Other groceries, 

3d. Clothing, .... 

4th. Fuel and light, . 

5th. Medicines and medical supplies, 



Amount carried for ward , 



$332,800 00 

95,782 72 

$428,582 72 

$8,170 62 



$22,214 30 

82,202 88 

14,844 00 

4,949 69 

1,454 91 



125,665 78 
$133,836 40 



5.756 24 



$8,388 88 




1,955 10 




2,095 92 




4,028 26 




558 97 




2,146 10 




1,738 41 




2,508 20 




11.725 28 




5.281 46 






40,426 58 






6.541 97 




10.506 47 




2,198 69 



J,429 95 



66 



TAUNTON LUNATIC HOSPITAL. 



[Oct, 



Amount brought forward, 
6th. Furniture, beds and bedding, . 
7th. Transportation, . . . 
8th. Ordinary construction and repairs, . 
9th. Extraordinary construction and repairs 
10th. Miscellaneous expenses, . 

Liabilities. • 

Salaries and wages due Oct. 1, 1887, . 
Miscellaneous bills due, .... 

Resources. 
Due the institution for board Oct. 1, 1887 : — 
from towns, ...... 

State, . . . . . 

individuals, ..... 

Cash on hand Sept. 30, 1887, . 



$6,429 95 

6,583 94 

682 51 

10,866 70 

11,726 18 

5,852 02 



$132,141 30 


$3,123 


30 


17,237 


89 



Summary. 



Total receipts, 
Total payments, 



Cash on hand Sept. 30, 1887, 
Total debts due the institution, 



Total liabilities, . 



),361 19 



$25,803 53 
4,606 50 
4,459 40 
1,695 10 

$36,564 53 

£133,836 40 
132,141 30 

$1,695 10 

$1,695 10 
34,869 43 

$36,564 53 
20,361 19 



Total expenditures, 

Dividing this sum by 638, the average number of patients, 

we have the annual cost of each patient, 
And the average weekly cost of , . . . . . 
Deducting from the current expenditures, . . 
The extraordinary construction and repairs, 



Dividing $120,415.12 by 638, the average number 
patients, we have the annual cost of each patient, 
And the average weekly cost of, 



of 



$16,203 


34 


$132,141 


30 


$207 


12 


3 


98 


132,141 


30 


11,726 


18 


$120,415 


12 


$188 74 


3 


63 



JOHN KITTEEDGE, 

Treasurer. 



Taunton Lunatic Hospital, 10 Mo. (Oct.) 28, 1887. 

The foregoing statement of the Treasurer lias been carefully examined by me, 

compared with the vouchers, and found correct. 

GEO. HOWLAND, Jun. 



1887.] PUBLIC DOCUMENT — No. 22. 67 



FINANCIAL STATEMENT. 



Of the appropriation made by the Legislature of 1885, 
for building bridge across Mill River, building new wall 
between hospital ground and land of the Old Colony Kail- 
road Company, improving present water supply, removing 
and rebuilding wall on line of new street, re-laying and re- 
pairing floors, new ventilating flues : — 

Balance of appropriation, Sept. 30, 1886, .... $2,000 00 

Since drawn : — 
For removing and rebuilding wail on line of new 

street, $1,000 00 

For improving present water supplies, . . . 1,000 00 

$2,000 00 



Taunton, Sept. 30, 1887. 



JOHN KITTREDGE, 

Treasurer 



Of the appropriation made by the Legislature of 1887, 
for providing a new barn, purchase of cow t s, and a fire 
pump : — 

Amount of appropriation, . $7,000 00 

Amount drawn to date : — 
For building barn, 4,885 49 



$2,114 51 



JOHN KITTREDGE, 

Treasurer- 
Taunton, Sept. 30, 1887. 



68 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



LIST OF PERSONS 

Employed on the Taunton Lunatic Hospital Sept. 30, 1887. 



Superintendent and physician, .... per year, 


$2,500 00 


First assistant physician, . . . . . . " 


1,200 00 


Second assistant physician, .... " 


1,000 00 


Assistant physician and apothecary, . . " 


600 00 


Woman physician, " 


600 00 


Treasurer and clerk, " 


1,200 00 


Supervisor (man), " 


480 00 


Supervisor (woman), " 


400 00 


Clerk, . . . . . . ' . . . per month, 


45 00 


Engineer, " 


83 33| 


Assistant supervisor (man), .... " 


35 00 


Assistant supervisor (woman), .... " 


25 00 


Baker, " 


40 00 


Assistant baker, " 


28 00 


Coachman, ........ " 


30 00 


Gardener, . ■ . . . . . . . " 


25 00 


Night-watch (men, three), .... " 


28 00 


Night-watch (women, two — $19 and $20 per month). 




Fireman, ........ per month, 


36 00 


Fireman, " 


33 00 


Stable man, ....... " 


32 00 


Farmer, " 


50 00 


Farm laborers (six — $15 to $25 per month). 




Brush maker, ....... " 


27 00 


Storekeeper, ....... " 


30 00 


Laborers (four — $20 to $28 per month). 




Attendants (men, twenty-two — $20 to $28 per month). 




Attendants (women, twenty-three — $14 to $20 per month). 




House attendants (two), per month, 


16 00 


Seamstress, per week, 


5 00 


Assistant seamstress, " 


4 00 


Assistant seamstress, per month, 


14 00 


Assistant seamstress, " 


16 00 


Laundress, per week, 


5 00 


Laundry girls (nine — $3 to $3.75 per week). 




Housekeeper, " 


5 00 



1887.] 



PrBLTC DOCUMENT — Xo. 22. 



69 



Laundry man, 

Kitchen man, ...... 

Cook, 

Cook, 

Kitchen girls (five — $3 to $3.75 per week). 
Space girls (three — $3 to $3.25 per week). 

Basement man, 

Greenhouse man, 



per month, 


$28 00 


. 


28 00 


per week, 


3 75 


&c 


4 00 


per month, 


20 00 


" 


28 00 



AETICLES MADE IN SEWING-ROOM 

For the Year ending Sept 30, 1887. 



209 


dresses. 


466 


wrappers. 


15 


night dresses. 


37 


shirts. 


428 


chemises. 


480 


pairs drawers 


72 


skirts. 


967 


sheets. 


73 


bed spreads. 


1,081 


pillow slips. 


36 


curtains. 


233 


napkins. 



964 bathing towels. 
120 roller towels. 

38 clothes bags. . 

63 aprons. 

52 table cloths. 

72 stand covers. 

85 pairs suspenders. 

61 hats trimmed. 

75 rugs hemmed. 
136 mattress ticks. 
145 pillow ticks. 



70 



TAUNTON LUNATIC HOSPITAL. [Oct.'87, 



TKUSTEES 



Of the Taunton Lunatic Hospital. 



When 
appoint- 
ed. 



Service 
ended. 



From what cause. 



* Marcus Morton, . 

* William Sutton, . 
Charles Edward Cook 

* George R. Russell, 

* George A. Crocker, 

* Charles R, Vickery, 
George Howland, Jr., 

* Menzies R. Randall, 

* James W. Sever, . 

* Charles Edward Cook 
John M. Kinney, . 

* Charles R. Atwoocl, 

* Oliver Ames, 
LeBaron Russell, . 
Simeon Borden, . 
William C. Lovering, 

* Samuel L. Crocker, 
Oakes A. Ames, . 
Mrs. Ruth S. Murray, 
Mrs. Grace S. Bartlett 



Taunton, 

Danvers, 

Boston, 

Roxbmy, 

Taunton, 

Taunton, 

New Bedford 

Rehoboth, 

Boston, 

Boston, 

Wareham, 

Taunton, 

No. Easton, 

Boston, 

Fall River, 

Taunton, 

Taunton, 

No. Easton, 

New Bedford 

Taunton, 



1858 
1853 
1853 
1853 
1853 
1854 
1855 
1856 
1857 
1858 
1858 
1861 
1862 
1864 
1873 
1877 
1878 
1883 
1884 
1884 



1854, 
1856, 
1857, 
1858, 
1861, 
1855, 

1862, 
1858, 
1873, 
1864, 
1877, 
1877, 



1883, 



Resigned. 
Term expired. 
Term expired. 
Term expired. 
Resigned. 
Term expired. 
Still in office. 
Term expired. 
Removed. 
Term expired. 
Term expired. 
Died in office. 
Died in office. 
Still in office. 
Still in office. 
Still in office. 
Died in office. 
Still in office. 
Still in office. 
Still in office. 



* Deceased. 



PUBLIC DOCUMENT. 



No. 22. 



THIETY-FIFTH ANNUAL EEPOET 



THE TRUSTEES 



Taunton Lunatic Hospital, 



FOR THE 



Year ending September 30, 1888. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1889. 



PUBLIC DOCUMENT. No. 22. 



THIRTY-FIFTH ANNUAL REPORT 



THE TRUSTEES 



Taunton Lunatic Hospital, 



Year ending- September 30, 1888. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1889. 



* 



L??gyf[j/ 






.</ "■ 



c 



OFFICERS 

OF THE 

TAUNTON LUNATIC HOSPITAL. 



TRUSTEES. 

LeBARON RUSSELL Boston. 

RUTH S. MURRAY, . New Bedford. 

GRACE S. BARTLETT, . Taunton. 

CAKES A. AMES, North Easton. 

GEORGE HOWLAND, Jr., New Bedford. 

WILLIAM C. LOVERING, Taunton. 

SIMEON BORDEN Fall River. 

RESIDENT OFFICERS. 

JOHN r. BROWN, M. D., Superintendent. 

MARCELLO HUTCHINSON, M. D., Assistant Physician. 

OWEN COPP, M. D., Assistant Physician. 

CHARLES A. DREW, M. D., . . ' Apothecary and Assistant Physician. 

ALICE ROGERS, M. D., Assistant Physician. 

JOHN KITTREDGE, Clerk. 

RUFUS D. GODDING, Engineer. 

A. A. SOUTHWICK, Fanner. 



TREASURER. 

JOHN KITTREDGE Taunton. 

Office at Hospital. 



Comnwtttaltjr of llassat|nts£tts* 



TEUSTEES' EEPOKT. 



To His Excellency the Governor and the Honorable Council. 

The Trustees of the Taunton Lunatic Hospital have the 
honor to submit the following report. 

The year has been without any notable event to record. 
The number of patients remains about the same as one year 
ago. Sept. 30 there were 624 patients, ten less than Oct. 
1, 1887. This number is larger than can be properly cared 
for with due regard to their comfort and welfare. 

The work about the hospital has been prosecuted with 
great care, economy and thoroughness. 

The appropriations made by the Legislature have been 
applied to their respective objects, and the manifest advan- 
tages which have resulted prove the wisdom of the ex- 
penditures. 

The vestibule and public office have been remodelled in a 
substantial and fitting manner, and a new method of heating 
the same has been adopted. The entrance to the main 
building is now attractive, and the changes made are adapted 
to the needs of the hospital. 

The pump-house has been completed, and the new pump- 
ing apparatus is in working order. The new pump, for 
which an appropriation was made in 1886, is a Knowles 
duplex, with 18^ inch steam cylinder, 10| inch water cylin- 
der, and 12 inch stroke, and has a capacity of from eight 
hundred to twelve hundred gallons per minute. The old 
Blake pump has also been put in position in the new house, 
and affords an excellent alternative to be used in case of 



6 TAUNTON LUNATIC HOSPITAL. [Oct. 

accident. Water can now be drawn by either pump from 
four different sources, — the old well, the new artesian well, 
the river and the public water pipes. This arrangement 
affords a perfect service for water supply and fire purposes. 
A sufficient force can be maintained to throw several streams 
to the highest point on any of the buildings. 

The appropriation of $1,500 for the isolation of certain 
rooms for an infirmary has been expended, and a satisfactory 
work accomplished. 

The ice house has been enlarged, and has now double its 
former capacity. A source of anxiety has thus been 
removed. 

The wall on Dana Street was found to be too low, on 
account of the grade of the street being raised. It has 
therefore been built up on an average of two feet for about 
one hundred and fifty feet, making it a more effective 
barrier. 

Work has been commenced on the water-closets, and will 
be continued until the system through all the wards has 
been entirely remodeled and placed in a perfectly sanitary 
condition. 

Appropriations . 

The Trustees respectfully request that appropriations be 
made for the following objects : — 

Continuing the work on the water-closets, $5,500 (these 
improvements are most important, and cannot receive too 
prompt attention) ; building a gate house at the rear en- 
trance, $500 (it is impossible to properly guard this entrance,, 
unless a suitable shelter is provided for the attendant) ; 
enlarging the piggery, $1,500; painting the woodwork,. 
$2,500; ordinary repairs, $6,000; making, in all, $16,000. 

This last appropriation, viz., $6,000 for ordinary repairs^ 
is somewhat unusual, and is necessitated to meet such 
expenses as have in years past been paid from the current 
receipts. This year it has required every dollar for the 
running expenses of the hospital, and there has been nothing 
left for ordinary repairs, — " the stitches in time " which in 
the interest of true economy should be taken at once. This 
appropriation, therefore, represents a deficit resulting from 



1888.] PUBLIC DOCUMENT — No. 22. 7 

the failure to collect from the cities and towns such amounts 
as have been expended for clothing and breakage by the 
patients, and which until during the past year have been paid 
by the cities and towns. It has been the purpose of the man- 
agement to consider first the absolute comfort and well-being 
of the inmates, and not to permit them to suffer for shelter, 
clothing and sustenance. With the increased cost of nearly 
everything in the way of provisions and fuel, it is impossible 
to conduct the affairs of the hospital upon the amount of 
money now received for patients, — namely, $3.25 per week. 
The Trustees therefore ask that they may be allowed to 
charge and collect, as heretofore, such amounts as they may 
have expended for clothing and breakage, or that the price 
of board be raised to $3.50 per week. 

The Trustees respectfully represent that in their judgment 
it is a mistaken policy to conduct the affairs of an insane 
hospital after the manner of an almshouse. There is, always 
has been, and will be, a wholesome stigma attached to the 
poorhouse, and there seems to be no desire in the public 
mind to see it removed. On the other hand, there is no 
desire in the public mind to degrade the unfortunate crea- 
tures who, simply by the dethronement of their reason, 
become public wards. An almshouse is for paupers, who 
too often become such from laziness and thriftlessness ; and the 
public is disposed to be intolerant of such prodigal manage- 
ment as shall offer a premium for pauperism. Pauperism 
may come from insanity, but insanity seldom comes from 
pauperism. A hospital performs its highest function when 
it effects the largest number of cures, when it restores its 
patients to health and reason, sets them on their feet, and 
sends them out into the world to take upon themselves again 
their life-work. A man may say, " I can keep myself and 
family out of the poorhouse " ; but he may not say, " I can 
keep myself from the insane asylum." It seems necessary, 
therefore, that ample, though not extravagant, provision 
should be made for the proper care of these unfortunate 
creatures. This can only be done by wholesome sustenance, 
kind treatment and the best medical attention. It costs 
more to maintain a given number of insane patients than to 
afford the necessary support for an equal number of paupers. 



8 TAUNTON LUNATIC HOSPITAL. [Oct. 

Massachusetts provides less liberally for her insane wards 
than any other State in New England or any other Northern 
State. 

The increase in the number of dipsomaniacs causes much 
anxiety. Their influence is baneful. They are usually a 
very low and immoral class of people, and their presence in 
the hospital works an injury to other patients. A hospital 
is not a reformatory institution, and should not be made an 
inebriate asylum for the detention of habitual drunkards. 
The Trustees urge the importance of making other and more 
suitable provision for this very undesirable class. 

It will be observed that the Treasurer's report shows a 
decrease in the apparent surplus of $8,849.99. This is 
largely owing to the fact that the cost of clothing and break- 
age, which amounts to $16.92 per patient, has been borne 
by the hospital. 

In closing this report, the Trustees bear cheerful record 
to the earnest, careful and intelligent devotion of the Super- 
intendent and of all the officers to the work of the hospital. 
They also bespeak at the hands of a generous public that 
hearty support and co-operation without which the work 
must fail of its highest purpose. 

LeBARON RUSSELL, 
RUTH S. MURRAY, 
GRACE S. BARTLETT, 
CAKES A. AMES, 
GEORGE HOWLAND, Jr., 
WILLIAM C. LOVERING, 
SIMEON BORDEN, 

Trustees. 
Tauntov Lunatic Hospital, Oct. 31, 1888. 



1888.] 



PUBLIC DOCUMENT — No. 22. 



SUPEKINTEISrDEOT'S KEPOKT. 



To the Trustees of the Taunton Lunatic Hospital. 

In compliance with the by-laws of your Board, I respect- 
fully present to you the thirty-fifth annual report of the 
operations of the hospital for the year ending Sept. 30, 

1888. 

General Statistics of the Year. 



Males. 


Females. 


Totals. 


Patients in hospital Oct. 1, 1887, . 


335 


299 


634 


Admissions within the year, .... 


125 


135 


260 


Whole number of cases within the year, . 


460 


434 


894 


Discharges within the year, .... 


146 


124 


270 


Yiz. : as recovered, 






27 


23 


50 


as much improved, 






14 


10 


24 


as improved, 






12 


8 


20 


as unimproved, . 






62 


45 


107 


as not insane, 






5 


3 


8 


Deaths, 






26 


35 


61 


Patients remaining Sept. 30, 1888, 




314 


310 


624 


Daily average number of patients, 




317.93 


311.06 


628.09 



The number of patients remaining in the hospital at the 
beginning of the year was 634. Two hundred and sixty 
were admitted, making the whole number under treatment 
804. Seven persons were discharged and readmitted, one 
was admitted, discharged and readmitted, which reduces 
the number of persons under treatment to 886. The daily 
average was 628.09, which is 9.57 less than that of the year 
before. The discharges and removals have been as follows : 
30 men were transferred to the Worcester Insane Asylum ; 
1 1 women to the Westborough Insane Hospital ; 5 men to the 
State Farm at Bridgewater, and 28 women to the State 



10 TAUNTON LUNATIC HOSPITAL. [Oct. 

Almshouse at Tewksbuiy ; 2 men and 3 women were dis- 
charged to board in families ; 8 were removed by overseers 
of the poor, to be cared for in city and town almshouses, 
and 193 were discharged to their friends, or to care for 
themselves ; 94 were allowed to leave the hospital on trial, 

11 of whom were returned before the expiration of their 
trial, and the rest were discharged at the end of sixty days. 
The number of deaths was 61, — of men 26, of women 35. 
The rate of mortality was 9.7 on the average number under 
treatment, and 6.8 on the whole number. This is a small frac- 
tion higher percentage than that of the year before, when it 
was unusually low, but it is below the average for a period 
of years. Only 1 person died of acute mania, 7 of chronic 
mania, and 2 of chronic melancholia; while 21 died of 
paresis and other forms of organic brain disease, 6 of senile 
insanity, and 9 of old age. The ages of 8 were over eighty, 
and of 11 over sevent}^, making 19 — nearly one-third of the 
whole -number — who lived the full measure of three- 
score years and ten, and 8 exceeded it by ten years. 
No suicide or death from accident occurred during the year, 
and no epidemic disease invaded the household. 

The character of the admissions was not materially differ- 
ent from that of previous years, and it will be seen by 
reference to Table 9 that the insanity of a large majority 
was chronic, and had passed the curable period before their 
admission. The duration of insanity of 60 per cent, of 
those admitted had continued longer than six months before 
their admission to the hospital. The form of insanity of 44 
was acute mania, of 28 acute melancholia ; and this number 
includes about all of the curable cases. Six habitual drunk- 
ards and 4 dipsomaniacs were admitted under the provisions 
of chapter 339 of the Acts of 1885, and, exhibiting no 
indications of insanity when admitted, were classified as not 
insane. Seven of the admissions were cases of acute 
alcoholism, and one was admitted in the delirium of typhoid 
fever, the delirium subsiding with recovery from the fever. 

Fifty persons were discharged as recovered, which is 18.5 
per cent, of the admissions. This is a lower per cent, than 
the average of recent years, and is to be accounted for in 
part by the character of the admissions, an unusually large 



1888.] PUBLIC DOCUMENT — No. 22. 11 

number of cases of chronic mania and melancholia, and 
organic brain disease, having been admitted. 

Most of the removals and transfers which have been made 
from this hospital to other institutions during the past year,, 
and, I may say, the past ten years, have been of the quiet 
and harmless class ; and the result has been that the hospital 
during all these years has been accumulating the most disa- 
greeable and troublesome cases that could not be cared for 
elsewhere. This has been very prejudicial to the immediate 
comfort and ultimate recovery of the acute cases that have 
been sent to the hospital for treatment, and especially so to 
those from families of culture and refinement, where all the 
home influence is for good. I know of no one more entitled 
to pity and commiseration than a person of refined and 
sensitive nature, suffering with acute insanity, who is 
obliged to be sent to one of our crowded State lunatic hos- 
pitals, containing as they do to-day all the worst and most 
offensive forms of chronic insanity, — the violent, destruc- 
tive, noisy and profane, — which have been accumulating for 
years ; and I see no relief until the State makes separate 
provision for this class by erecting an asylum for the chronic 
insane, to which they can be transferred. This the State 
will soon have the opportunity of doing, as the necessity of 
making further provision for the increase of the insane will 
soon be urgent, all the hospitals and asylums now being 
either full or crowded. 

Employment has been given to all the patients who were 
willing and able to work, and the number employed has 
been about the same as in the previous year. Another 
year's experience has fully justified the plan of having the 
working-men in wards by themselves. The farm has fur- 
nished abundant employment for all who were adapted to 
that kind of labor, and indoor work has been multiplied for 
the men. In the brush shop, besides drawing brushes, a 
tailoring, shoe-repairing and chair-bottoming department 
has been added, four different kinds of work being carried 
on at the same time. It is a very busy and cheerful room. 
The women's sewing-room is equally pleasant, and has been 
found to be a source of relief to many who become tired of 
the monotony of the wards. The amount of profit from the 



12 TAUNTON LUNATIC HOSPITAL. [Oct. 

sewing done is not the greatest benefit which comes from a 
pleasant, attractive sewing-room ; and the benefit is all the 
greater, when the room, like ours, is entirely separate from 
the wards. 

The cow barn was completed and occupied in December, 
and the herd of cows increased to fill it. This building has 
proved to be satisfactory, and since January all the milk for 
the hospital has been raised on the premises. The hospital 
will raise its supply of milk at much less cost than it can 
purchase it, and the productiveness of the farm will be 
increased by increasing the stock. The products of the 
farm, consisting mostly of hay and fodder for the cows, and 
garden vegetables, have been greater than in previous years, 
the wet season having been especially favorable. The acre- 
age of tillage land has been increased by breaking up, drain- 
ing, and bringing under cultivation all of the pasture except 
about three acres, well shaded by trees, which have been 
reserved for exercising ground for the cows. Most of this 
land is strong and moist, and will be excellent for grass. 
With increased acreage and more fertilizing material from a 
larger herd of cattle, the hay crop will be greatly increased 
in a few years. 

Since the completion of the artesian well and the new 
pump house, the ground in the rear of the hospital, com- 
prising old Danforth Street and the land purchased of Elias 
Strange, has been levelled and graded, and next year it will 
be covered with greensward. 

More than the usual number of entertainments were given 
to the patients. From October to May, five evenings of 
each week, and sometimes six, were occupied by some enter- 
tainment in the chapel ; and several times during the season, 
on the evening when there was none in the chapel, an enter- 
tainment was given in one of the wards, which usually con- 
sisted of a charade or an amusing game of chance or skill. 
During the summer, picnics were given to a selected num- 
ber of patients, in the grove, one of them on the Fourth of 
July being especially for the working-men. They were 
regarded by many who participated in them as the most 
enjoyable entertainments of the year. 

The editors of the "Daily Mercury" and of the "Old 



1888.] PUBLIC DOCUMENT — No. 22. 13 

Colony Memorial" have sent their papers to the hospital 
free of charge, to whom thanks are due. Through the 
thoughtful kindness of Hon. George Howland, Jun., of New 
Bedford, the " Friends Review" has been received, and sev- 
eral books for the hospital library. Several volumes of 
' ' Harper's Monthly Magazine " were received from Miss 
Alfreda Andrews of Gorham, N. H. The Taunton Lodge 
Dramatic Club kindly entertained the patients three even- 
ings. The Bristol County Agricultural Society, as usual, 
gave the residents of the hospital free admission to its 
grounds during the fair, and a large number of the patients 
attended it and greatly enjoyed it. 

In August both male supervisors, Chester M. Howes and 
Edwin A. Randall, resigned their positions to engage in 
other business, the former after four years and the latter 
after seven years of faithful service to the hospital. Their 
places have been filled by the promotion of Arthur B. 
Mason and James Allen, both of whom have had several 
years' experience as attendants. 

Dr. C. A. Drew resumed his work in March, after an 
absence of six months ; and Dr. C. G. Dewey, who had 
filled his place acceptably, left to take the position of second 
assistant physician in the Boston Lunatic Hospital. No 
other change has occurred in the medical staff. It is a 
pleasure to me to again bear testimony to the efficient work 
done by the medical assistants. 

In closing this report, I can only say, I thank you for the 
kindly interest and cordial aid you have given me, fully 
realizing that whatever of success has been attained, has been 
due largely to your wise counsel and generous support. 

JOHN P. BROWN, 

Superintendent. 



STATISTICAL TABLES. 



STATISTICAL TABLES — 1888. 



Table No. 1. 

General Statistics of the Year. 





Males. 


Females. 


Totals. 


Patients in hospital Oct. 1, 1887, . 


335 


299 


634 


Admissions within the year, 


125 


135 


260 


Whole number of cases within the year, 


460 


434 


894 


Discharges within the year, .... 


146 


124 


270 


Viz. : as recovered, 




27 


23 


50 


much improTed, 




14 


10 


24 


improved, 




12 


8 


20 


unimproved, . 




62 


45 


107 


not insane, 







3 


8 


Deaths, 




26 


35 


61 


Patients remaining Sept. 30, 1888, 


. 314 


310 


624 


Viz. : supported as State patients, 


57 


35 


92 


town patients, 


229 


225 


454 


private patients, 


28 


50 


78 


Number of different persons within the year, 


457 


429 


886 


admitted, 


125 


134 


259 


recovered, . . 


27 


23 


50 


Daily average number of patients 




317.03 


311.06 


628.09 



Table No. 2. 
Monthly Admissions, Discharges and Averages. 





Admissions. 


Discharges 
(Including deaths) . 


Daily Avkkage of Patients 
in the hol'se. 


MONTHS. 




















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


1887. 

October, 


12 


16 


28 


22 


11 


33 


326.19 


300.58 


626.77 


November, . 


8 


8 


16 


14 


5 


19 


321.90 


304.80 


626.70 


December, . 


5 


9 


14 


9 


7 


16 


317.35 


308.61 


625.96 


188S. 

January, 


6 


7 


13 


11 


11 


22 


310.51 


307.22 


617.73 


February, . 


12 


11 


23 


14 


2 


16 


309.48 


307.03 


616.51 


March, 


20 


20 


40 


6 


4 


10 


317.16 


321.80 


638.96 


April, . 


5 


6 


11 


8 


20 


28 


318.63 


322.13 


640.76 


May, . 


20 


25 


45 


11 


14 


25 


320.83 


321.71 


642.54 


June, . 


7 


7 


14 


27 


22 


49 


314.60 


315.43 


630.03 


July, . 


13 


9 


22 


6 


9 


15 


313.41 


311.93 


625.34 


August, 


8 


8 


16 


5 


9 


14 


316.93 


31196 


628.89 


September, . 


9 


9 


18 


13 


10 


23 


316.96 


309.86 


626.82 


Total of cases, 


125 


135 


260 


146 


124 


270 


317.03 


311.06 


628.09 


Total of persons, . 


125 


134 


259 


145 


123 


268 


— 


— 


- 



18 



TAUNTON LUNATIC JiOSPITAL. 



[Oct. 



Table No. 3. 
Received on First and Subsequent Admissions. 



NUMBER OF THE ADMISSION. 


Cases Admitted. 


Times Previously 
Recovered. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 

Second, 

Third, 

Fourth, 

Fifth, 

Eighth, 

Tenth, 








101 

18 

3 

1 
1 
1 


110 

16 

5 

4 


211 
34 

8 
4 
1 
1 
1 


7 
1 

2 
5 

8 


3 

2 
3 


10 

3 
3 

2 
5 
8 


Tots 
Tot; 


ilof 
dof. 


cases 
perso 


ns, . 


125 
125 


135 
134 


260 
259 


23 
11 


8 
6 


31 
17 



Table No. 4. 
Ages of Persons Admitted for the First Time. 





At F 


rst Attack of 
Insanity. 


When Admitted. 


AGES. 






.* 










Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Fifteen years and less, . 




2 


2 








From 15 to 20 years, 




6 


8 


14 


4 


6 


10 


20 to 25 years, 




18 


14 


32 


17 


10 


27 


25 to 30 years, 




14 


15 


29 


15 


18 


33 


30 to 35 years, 




12 


9 


21 


14 


12 


26 


35 to 40 years, 




3 


13 


16 


7 


7 


14 


40 to 50 years, 




16 


20 


36 


22 


30 


52 


50 to 60 years, 




4 


8 


12 


5 


8 


13 


60 to 70 years, 




11 


8 


19 


10 


10 


20 


70 to 80 years, 




5 


5 


10 


6 


8 


14 


Over 80 years, 




1 


- 


1 


1 


1 


2 


Unknown, 




11 


8 


19 


- 


- 


- 


Totals, . 




101 


110 


211 


101 


110 


211 



1888.] 



PUBLIC DOCUMENT — No. 22. 



19 



Table No. 5. 
Parentage of Persons Admitted. 











Males. 


Females. 


Totals. 


PLACES. 


Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Maine, 




3 


3 


2 


2 


5 


5 


New Hampshire, 




2 


- 


- 


1 


2 


1 


Vermont, 






- 


1 


1 


1 


1 


2 


Massachusetts, 






26 


28 


29 


27 


55 


55 


Rhode Island, 






5 


4 


4 


6 


9 


10 


Connecticut, 






1 


1 


- 


- 


1 


1 


New York, . 






- 


- 


3 


2 


3 


2 


Pennsylvania, 






- 


- 


1 


1 


1 


1 


Maryland, . 






- 


- 


1 


1 


1 


1 


Virginia, 






- 


- 


1 


2 


1 


2 


Mississippi, . 






- 


1 


- 


- 


- 


1 


Dominion of Canada, 




6 


6 


3 


6 


9 


12 


Western Islands, 




5 


5 


- 


- 


5 


5 


England, 








11 


10 


2 


4 


. 13 


14 


Scotland, 








1 


1 


6 


4 


7 


5 


Ireland, 








45 


45 


56 


55 


101 


100 


Germany, 








3 


3 


5 


4 


8 . 


7 


Sweden, 








1 


1 


3 


3 


4 


4 


Norway, 








2 


2 


- 


- 


2 


2 


Russia, 








- 


- 


2 


2 


2 


2 


Belgium, 








2 


2 


- 


- 


2 2 


France, 








- 


- 


1 


- 


1 


- 


Unknown, . 








12 


12 


14 


13 


26 


25 


Totals, . 


125 


125 


134 


134 


259' 


259 



20 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 6. 
Residence of Persons Admitted. 



PLACES. 


Males. 


Females. 


Totals. 


Bristol County, 


55 


55 


110 


Plymouth County, 


10 


22 


32 


Norfolk County, 


19 


10 


29 


Barnstable County, 


6 


6 


12 


Nantucket County, 


2 


- 


2 


Suffolk County, 


32 


40 


72 


Middlesex County, 


1 


1 


2 


Totals, 


125 


134 

• 


259 


Cities or large towns, 


84 


96 


180 


Country districts, ...... 


41 


38 


79 


Table No. 7. 

/"/• -7 n 7'.t- .. ^-C 71 









Civil Condition of Persons Admitted 





Unmarried. 


Married. 


Widowed. 


Unknown. 


ADMISSIONS. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 
Second, . 
Third, . 
Fourth, . 
Fifth, . 
Eighth, . 
Tenth, . 


40 

9 

1 
1 

1 


49 
6 
1 

2 


89 
15 
1 
2 
1 
1 
1 


46 
6 
1 


40 

8 
5 

1 


86 

14 

6 

1 


13 

2 
2 

17 


21 

2 


34 
4 
2 


2 
1 

3 


- 


2 
1 


Totals, . 


52 


58 


110 


53 


54 


107 


23 


40 


3 



1888.] 



PUBLIC DOCUMENT — No. 22. 



21 



Table No. 8. 
Occupation of Persons Admitted. 



MALES. 


Blacksmiths, .... 


2 


Machinists, . . ... 


4 


Butchers, 






2 


Mill superintendent, 




1 


Carpenters, . 






3 


Moulders, . 




2 


Carder, . 






1 


Manufacturers, 






2 


Card grinder, 






1 


Nickel-plater, 






1 


Chiropodist, . 






1 


No occupation, 






9 


Coojjer, . 






1 


Peddlers, 






2 


Clerks, . 






4 


Plumber, 






1 


Cobblers, 






2 


Painters, 






2 


Cashier, 






1 


Pi'ovision dealer, 






1 


Cojjyist, 






1 


Photographer, 






1 


Dealer in notions, 






1 


Saloon-keeper, 






1 


Draughtsman, 






1 


Seamen, 






4 


Engineer, 






1 


Shipbuilder, 






1 


Farmers, 






7 


Shoemakers, 






8 


Fisherman, . 






1 


Spinners, 






3 


Firemen, 






3 


Stone cutters, 






2 


Freight conductor 






1 


Tailor, 






1 


Glove maker, 






1 


Watchman, . 






1 


Gas fitter, 






1 


Watchmaker, 






1 


House contractor, 






1 


Woodworker, 






1 


House servants, 






2 


Whitewasher, 






1 


Jeweller, 






1 


Weavers, 






3 


Journalist, 






1 


Unknown, . 






1 


Laborers, 






29 







Lobster dealer, 






1 


Total, .... 


125 


FEMALES. 


Cooks, 


2 


Seamstresses, 


2 


Domestics, 






20 


Speeder tender, . 




1 


Dressmakers, 






3 


Spinner, 




1 


Housekeepers, 






4 


Telegraph operator, . 




1 


Laundresses, . 






3 


Tack maker, 




1 


No occupation, 






11 


Tailoress, . 




1 


Peddler, 






1 


Weavers, 




8 


Prostitutes, . 






2 


Warper tender, . 




1 


School teachers, . 






3 


Waitress, 




1 



22 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Occupation 


of Persons 


Admitted — Concluded. 




WIFE OR DAUGHTER OF 


Blacksmith, .... 


1 


Machinist, .... 


1 


Book publisher, 






1 


Moulder, .... 


1 


Baggage master, 






1 


Painters, .... 


3 


Barbers, 






2 


Shoe cutters, 


2 


Carpenters, 








4 


Shoemakei's, 


4 


Cooper, . 








1 


Saloon-keeper, . 


1 


Engineer, 








1 


Superintendent gas works, 


1 


Fishermen, 








2 


Stone cutters, 


2 


Farmers, 








9 


Trader, 


1 


Hostler, 








1 


Teamsters, .... 


3 


Hotel clerk, 








1 


Watchman, . 


1 


Laborers, 








18 


Weaver, .... 


1 


Last maker, 








1 


Watchmaker, 


1 


Merchants, 
Mariner, 








3 
1 












Total, .... 


134 



Table No. 9. 
Reported Duration of Insanity before Last Admission. 





First Admission to 


All Other 










AN1 


Hospital. 


Admissions. 




rOTALS. 




PREVIOUS DURATION. 


















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 




1 


1 










1 


1 


Under 1 month, 


19 


9 


28 


5 


6 


11 


24 


15 


39 


From 1 to 3 months, 


18 


12 


30 


8 


- 


8 


26 


12 


38 


3 to 6 months, 


10 


11 


21 


2 


1 


3 


12 


12 


24 


6 to 12 months, 


10 


9 


19 


2 


5 


7 


12 


14 


26 


1 to 2 vears, . 


10 


16 


26 


2 


3 


5 


12 


19 


31 


2 to 5 years, . 


13 


16 


29 


5 


7 


12 


18 


23 


41 


5 to 10 years, . 


3 


4 


7 


1 


8 


9 


4 


12 


16 


10 to 20 years, . 


1 


5 


6 


2 


8 


10 


3 


13 


16 


Over 20 years, . 


- 


- 


- 


1 


1 


2 


1 


1 


2 


Unknown, 


9 


10 


19 


4 


2 


6 


13 


12 


25 


Total of cases, 


93 


93 


186 


32 


41 


73 


125 


134 


259 


Total of persons, . 


93 


93 


186 


32 


41 


73 


125 


131 


259 



1888.] 



PUBLIC DOCUMENT — No. 22. 



23 



Table No. 10. 
Form of Disease, in Cases Admitted. 



FORM OF DISEASE. 


Males. 


Females. 


Totals. 


Mania, acute, 










21 


23 


44 


chronic, 










18 


58 


76 


Melancholia, acute, 










19 


9 


28 


chronic, 










14 


9 


23 


Dementia, chronic, 










6 


3 


9 


Paresis, . 










10 


7 


17 


Organic brain disease, 










5 


2 


7 


Epileptic insanity, 










3 


6 


9 


Paralytic insanity, 










1 


- 


1 


Puerperal insanity, 










- 


2 


2 


Recurrent insanity, 










2 


2 


4 


Senile insanity, 










11 


11 


22 


Alcoholism, acute, 










7 


- 


7 


Dipsomania, . 










4 


- 


4 


Habitual drunkard, 










3 


3 


6 


Delirium, acute, . 










1 


- 


1 


Total of cases, 


125 


135 


260 


Total of persons, . 










125 


134 


259 



24 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 11. 
Probable Causes of Insanity in Cases Admitted. 



CAUSES. 


Males. 


Females. 


Totals. 


Physi 
Accident, 


cal. 


2 




2 


Brain fever, . 










1 


- 


1 


Child-bearing, 










- 


1 


1 


Consumption, 
Congenital, . 










- 


1 
1 


1 

1 


Dissipation, . 
Epilepsy, 










3 

3 


1 

8 


4 
11 


Excessive venery, 










1 


— 


1 


Fall in elevator, . 










- 


1 


1 


Gunshot wound, . 










2 


- 


2 


Hysteria, 
Intemperance, 
Ill-health, . 










32 
2 


1 

7 
2 


1 

39 
4 


Injury to head, 










3 


2 


5 


Injury to back, 
Menopause, . 
Masturbation, 










7 


1 
8 
1 


1 
8 
8 


Nervous prostration, 










2 


- 


2 


Overwork, 










2 


3 


5 


Puerperal, 
Paralysis, 
Scarlet fever, 










1 
1 


3 


3 
1 
1 


Spinal affection, . 










1 


- 


1 


Sunstroke, 










3 


- 


3 


Ssnility, 
Syphilis, 
Typhoid fever, 
Uterine disease, . 










11 
2 
1 


7 
1 


18 
2 
1 
1 


Moral. 








Anxiety, 
Business troubles, 










3 
1 


2 


5 
1 


Disappointment, . 
Death of child, 
Family trouble, . 
Fright, . 
Homesickness, 










1 
1 


3 

2 
2 
1 
1 


3 
3 
3 
1 
1 


Jealousy, 
Loss of property, . 
Loss of employment, 
Religious excitement, 
Suicide of father, . 










1 
2 
1 
6 
1 


2 
6 


1 
4 
1 

12 
1 


Predisposing 
Heredity, 
Previous attacks, . 


• 


7 
3 


26 

7 


33 
10 


Unknown, 




18 


33 


51 


Totals, . 










125 


134 


259 



1888.] 



PUBLIC DOCUMENT — No. 22. 



25 



Table No. 12. 
Relation to Hospitals of Persons Admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


First admission to any hospital for insane, . 


93 


93 


186 


Former inmates of this hospital, . 


21 


19 


40 


Former inmates of other hospitals in this 
State, ....... 


2 


10 


12 


Former inmates of hospitals in other States, 


2 


5 


7 


Former inmates of this hospital and of 
others in this State, ..... 


1 


4 


5 


Former inmates of this hospital and of hos- 
pitals in other States, .... 


1 


1 


2 


Former inmates of another hospital in this 
State and of hospitals in other States, 


r 

1 


- 


1 


Former inmates of hospitals in foreign 


4 


2 


6 


Totals, 


125 


134 


259 



Table No. 13. 
How Supported. 





Patients Akmitted. 


SUPPORTED AS 


Males. 


Females. 


Totals. 


State patients, 

Town patients, 

Private patients, 


59 
55 
11 


45 
75 
15 


104 
130 

26 


Totals, 


125 


135 260 



26 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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1888.] 



PUBLIC DOCUMENT — No. 22. 



27 



Table No. 15. 
Cases Discharged Recovered. — Duration. 



r-EUIOD. 


Duration before 
Admission. 


Hospital Resi- 
dence. 


Whole Duration 
from the Attack. 




Ma. Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, . 
Under 1 month, . 
From 1 to 3 months, . 

3 to 6 months, . 

6 to 12 months, . 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, . 
Over 20 years, 
Unknown, . 


14 
7 
1 

2 

3 


10 
4 
6 

3 

■ 


24 
11 

7 
2 

6 


4 
10 

5 
6 
1 
1 


1 
11 

4 
5 
2 


5 
21 

9 
11 

3 

1 


2 
8 

4 
6 
3 

1 

3 


4 
6 

7 
3 

3 


2 

12 

10 

13 

6 

1 

6 


Total of cases, 
Total ol persons, . 

Average of known cases 
(in months) , 


27 
27 

1.47 


23 
23 

2.00 


50 
50 

1.67 


27 

27 

5.30 


23 
23 

5.05 


50 
50 

5.18 


27 

27 

6.78 


23 
23 

7.05 


50 
50 

6.91 



Table No. 16. 
Cases Residting in Death. — Duration. 





Duration before 


Hospital Resi- 


Whole Duration 




Admi-sion. 




DEKCE 




from 


he Attack. 


I'EKIOD. . 
















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, .... 


1 




1 








1 




1 


Under 1 month, 






1 


1 


2 


6 


2 


8 


_ 


1 


1 


From 1 to 3 months, 






2 


_ 


2 


1 


3 


4 


2 


_ 


2 


3 to 6 months, 






2 


1 


3 


2 


9 


11 


1 


_ 


1 


6 to 12 months, 






1 


4 


5 


4 


2 


6 


2 


3 


5 


1 to 2 years, . 






7 


8 


15 


4 


4 


8 


5 


5 


10 


2 to 5 vears, . 






3 


12 


15 


4 


5 


9 


5 


10 


15 


5 to 10 vears, 






1 


_ 


1 


2 


3 


a 


1 


2 


3 


10 to 20 years, 






2 


1 


3 


2 


7 


9 


3 


6 


9 


Over 20 years, 






5 


_ 


ft 


1 


_ 


1 


5 


_ 


5 


Unknown, 






1 

26 


8 


9 
61 


26 


35 


61 


1 

26 


8 
35 


9 


Total of cases, 


35 


61 


Average of known cases (in 




















months) 


123.25 


24.73 


68.96 


38.18 


53.03 


46.36 


161.43 


70.33 


111.23 



28 



TAUNTON LUNATIC HOSPITAL. 



[.Oct. 



Table No. 17. 
Cases Discharged by Recovery or Death. 



Form of Insanity. 









Kecoveries. 


Deaths. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Mania, acute, 

chronic, 
Melancholia, acute, 

chronic, 
Dementia, chronic, 
Paresis, 

Organic brain disease, 
Senile insanity, . 
Recurrent insanity, 
Paralytic insanity, 
Epileptic insanity, 
Choreic insanity, . 
Puerperal insanity, 
Alcoholism, acute, 
Delirium, acute, . 






7 
1 
9 
1 

1 

7 
1 


14 

2 
3 

4 


21 
3 

12 
1 

5 

7 
1 


1 

7 
1 

1 
5 

8 

1 
2 


8 

3 

8 
2 
9 

3 
1 
1 


1 

15 
1 
3 
1 

13 
2 

17 

1 
5 
1 
1 


Total of cases, 
Total of persons, 


27 

27 


23 
23 


50 
50 


26 


35 


61 



Table No. 18. 
Causes of Death. 



CAUSES. 


Males. 


Females. 


Totals. 


Mania, acute, 


1 




1 


chronic, 










2 


5 


7 


Melancholia, chronic, . 










- 


2 


2 


Paresis, .... 










5 


8 


13 


Epilepsy, 










2 | 


, 3 


5 


Paralytic insanity, 










1 




1 


Organic brain disease, . 










- 


2 


2 


Puerperal insanity, 










- 


1 


1 


Senile insanity, 










5 


1 


6 


Old age, 










2 


7 


9 


Chorea, .... 










_ 


1 


1 


Phthisis, 










2 


2 


4 


Congestion of lungs, acute, 










_ 


1 


1 


Pulmonary oedema, 










1 


_ 


1 


Typhoid fever, 










- 


1 


1 


Diarrhoea, acute, . 










1 


1 


2 


chronic, 










1 


_ 


1 


Volvulus of intestine, . 










1 


_ 


1 


Cardiac disease, . 










1 


_ 


1 


Chronic interstitial nephritis, 








1 


- 


1 


Totals, . 










26 


35 


61 



1888.] 



PUBLIC DOCUMENT - No. 22. 



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1888.] 



PUBLIC DOCUMENT — No. 22. 



31 



Table No. 21. 
Deaths, Classified by Duration of Insanity and of Treatment. 



Congenital, . 

Under 1 month, . 

From 1 to 8 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
Over 20 years, 
Unknown, 

Total of cases, 



Average of known cases (in 
months), . 



Duration of Insanity. 



Males. Females. Totals 



26 



162.28 



5 

10 

2 

6 



35 



70.33 



1 
1 
1 
2 
4 
7 

17 
3 
9 
5 

11 



61 



111.61 



Whole Known Period op 
Hospital Residence. 



Males. Females. Totals. 



26 



42.53 



35 



46.37 



6 
7 

10 
5 
9 
1 



61 



44.66 



Table No. 22. 
Ages of those who Died. 





At Time of First 


At Time of Death. 






Attack. 










AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Total. 


Fifteen years and less, 


2 


1 


3 






_ 


From 15 to 20 years, . 


- 


1 


1 


- 


1 


1 


20 to 25 years, 




3 


3 


6 


1 


1 


2 


25 to 30 years, 




2 


3 


5 


2 


2 


4 


30 to 35 years, 




2 


2 


4 


1 


3 


4 


35 to 40 years , 




- 


3 


3 


1 


4 


5 


40 to 50 years, 




7 


4 


11 





6 


11 


50 to 60 years, 




- 


5 


5 


2 • 


5 


7 


60 to 70 years, 




5 


1 


6 


5 


3 


8 


70 to 80 years, 




2 


3 


5 


4 


7 


11 


Over 80 years, 




2 


1 


3 


5 


3 


8 


Unknown, 




1 


8 


9 


- 


- 


- 


Totals, . 




26 


35 


61 


2.6 


35 


61 



32 



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1888.] 



PUBLIC DOCUMENT — No. 22. 



33 



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1888.] PUBLIC DOCUMENT — No. 22. 



35 



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36 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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1888.] 



PUBLIC DOCUMENT — No. 22. 



37 



T-H T-t 


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38 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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1888.] 



PUBLIC DOCUMENT — No. 22. 



39 



Table No. 26. 
Shotting the Results of First Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of persoi 

first admissions, 
Discharged : 

Recovered, 

Much improved 

Improved, . 

Unimproved, 

Not insane, 
Died, . 
Eloped, . 
Remaining in the 

pital Sept; 30, 1 


is or 

hos- 

388, 




1,203 

78 

949 

966 

14 

875 

93 

215 


1,086 

95 

996 

886 

5 

782 

7 

231 


2,289 
173 

1,945 

1,852 
19 

1,657 
100 

446 


4,393 
4,393 


4,088 
4,088 


8,481 

8,481 













Showir 


g the Results of Read-missions. 






Number of readmis- 






















1,042 


919 


1,961 


Discharged : 














Recovered, 


291 


297 


588 


- 


- 


- 


Much improved, 


31 


27 


58 


- 


- 


- 


Improved, . 


251 


246 


497 


- 


- 


- 


Unimproved, 


205 


188 


393 


- 


- 


- 


Not insane, 


1 


2 


3 


- 


- 


- 


Died, . 


125 


76 


201 


— 


- 


- 


Eloped, . 


39 


4 


43 


- 


_ 


- 


Remaining in the hos- 














pital Sept. 30, 1888, 


99 


79 


178 


1,042 


919 


1,961 











Showing the Results of Second Admissions. 




Number of second ad- 














missions, . 


. 






702 


631 


1,333 


Discharged : 














Recovered, 


176 


194 


370 


- 


- 


_ 


Much improved, 


19 


13 


32 


- 


- 


_ 


Improved, . 


166 


156 


322 


- 


- 


- 


Unimproved, 


152 


149 


301 


- 


- 


- 


Not insane, 


- 


2 


2 


- 


- 


- 


Died 


94 


60 


154 


- 


- 


_ 


Eloped, .... 


32 


3 


35 


- 


- 


- 


Remaining in the hos- 














pital Sept. 30, 1888, . 


63 


54 


117 


702 


631 


1,333 











40 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Showing the Results of Third Admissions. 



Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of tliird admis- 






















186 


166 


352 


Discharged : 














Recovered, 


53 


58 


Ill 


_ 


- 


- 


Much improved, 


6 


5 


11 


- 


- 


- 


Improved, . 


50 


48 


98 


- 


- 


- 


Unimproved, 


39 


31 


70 


- 


- 


- 


Died, 


20 


10 


30 


- 


- 


- 


Eloped, .... 


3 


- 


3 


- 


- 


- 


Remaining in the hos- 














pital Sept. 30, 1888, . 


15 


14 


29 


186 


166 


352 











Showing the Results of Fo 


urth Admissions. 




Number of fourth ad- 






















74 


67 


141 


Discharged: 














Recovered, 


23 


27 


50 


- 


- 


- 


Much improved, 


2 


3 


5 


- 


- 


- 


Improved, . 


23 


21 


44 


- 


- 


- 


Unimproved, 


9 


6 


15 


- 


- 


- 


Not insane, . 


1 


- 


1 


- 


- 


- 


Died 


6 


4 


10 


- 


- 


- 


Eloped, .... 


1 


- 


1 


- 


- 


- 


Remaining in the hos- 














pital Sept. 30, 1888, . 


9 


6 


15 


- 


- 


- 










74 


67 


141 













Showing the Residts of Fifth Admissions. 



Number of fifth admis- 






















31 


23 


54 


Discharged : 














Recovered, 


11 


8 


19 


- 


- 


- 


Much improved, 


- 


3 


o 

o 


- 


- 


- 


Improved, . 


7 


8 


15 


- 


- 


- 


Unimproved, 


4 


2 


6 


- 


- 


- 


Died, .... 


2 


1 


3 


- 


- 


- 


Eloped, .... 


3 


- 


3 


- 


- 


- 


Remaining in the hos- 














pital Sept. 30, 1888, . 


4 


1 


5 


31 


23 


54 











1888.] 



PUBLIC DOCUMENT— No. 22. 



41 



Showing the Results of Sixth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of sixth admis- 






















17 


17 


34 


Discharged : 














Recovered, 


8 


6 


14 


- 


_ 


- 


Much improved, 
ImproA r ed, . 
Unimproved, 
Died, .... 


2 
2 
1 
2 


1 
8 
1 


3 

10 
2 
2 


- 


- 


- 


Eloped, .... 
Remaining in the hos- 


1 


- 


1 


- 


- 


- 


pital Sept 30, 1888, . 


1 


1 


2 


17 


17 


34 











Showing the Results of Seventh Admissions. 



Number of seventh ad- 






















11 


10 


21 


Discharged : 














Recovered, 


5 


1 


6 


_ 


_ 


_ 


Much improved, 


1 


1 


2 


_ 


_ 


_ 


Improved, . 


2 


3 


5 


- 


- 


- 


Unimproved, 


- 


1 


1 


- 


- 


- 


Died, .... 


1 


_ 


1 


_ 


_ 


_ 


Remaining in the hos- 














pital Sept. 30, 1888, . 


2 


4 


6 


11 


10 


21 











Showing the Results of Eighth Admissions. 



Number of eighth ad- 






















5 


5 


10 


Discharged : 
Recovered, 
Much improved, 
Improved, . 

Remaining in the hos- 
pital Sept. 30, 1888, . 


3 
1 
1 


2 
1 
2 


5 
1 
3 

1 


5 


5 


10 











42 TAUNTON LUNATIC HOSPITAL. [Oct. 



Showing the Results of Ninth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of ninth admis- 

Discharged : 
Recovered, 
Much improved, 


2 
1 


1 


8 
1 


3 
3 


1 

1 


4 

4 











Showing the Results of Tenth Admissions. 



Number of tenth admis- 
sions, . . . . 



Discharged : 
Recovered, 

Died, . 

Remaining in the hos- 
pital Sept, 30, 1888, . 



4 1 

2 - 2 - - 

11-- 

2 - 2 
4 1 



Showing the Results of Eleventh Admissions. 



Number of eleventh ad- 
missions, . 



Discharged : 
Recovered, 



• r • • • i 

l - l - - 
i 



Shoiving the Results of Twelfth Admissions. 



Number of twelfth ad- 
missions, . 



Discharged : 
Recovered, 



1 




1 


1 
1 


- 









Showing the Results of Thirteenth Admissions. 



Number of thirteenth 
admissions, 



Discharged : 
Recovered, 









1 


- 


1 


- 


1 


1 


- 









18-88.] PUBLIC DOCUMENT — No. 22. 



43 



Showing the Results of Fourteenth Admissions. 





Males. 


Females. 


Tot ils. 


Males. 


Females. 


Totals. 


Number of fourteenth 

Discharged : 
Recovered, 


1 




1 


1 
1 


- 


1 
1 









Showing the 


Results 


of Fifteenth u 


Admissions . 




Number of fifteenth ad- 

Discharged : 
Recovered, 


1 




1 


1 

1 


- 


1 
1 











Showing the Results of Sixteenth Admissions. 



Number of sixteenth ad- 
missions, . 



Discharged : 
Recovered, 









1 


- 


1 


■- 


1 


1 


- 









Showing the Results of Seventeenth Admissions. 



Number of seventeenth 
admissions, 

Discharged : 
Recovered, 



f 






1 


- 


1 


- 


1 


1 


- 









Showing the Results of Eighteenth Admissions. 



Number of eighteenth 
admissions, 

Discharged : 
Recovered, 





. 




1 


- 


1 


- 


1—1 


1 


- 









44 



TAUNTON LUNATIC HOSPITAL. 



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1888.] PUBLIC DOCUMENT — No. 22. 



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46 



TAUNTON LUNATIC HOSPITAL. 



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CM — CM 1 1 1 | CM 1 | r-l | 1 1 1 1 




Q 

3 

o 
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a 


■SIBJOX 


o-^oo^ticoascoaoiM^nocs-HCdo-^ 
?ocD«<sasascO'-'fr~-coasr~t^osoo 


•sainraaj 


oocoocoocot-^ocoi^i— icococoas 
coracMHimio^iiOHiio^nim^ov 


•S3IBR[ 


O -t< CM -# CO G5 CM i— !CMr^o00OiC"*liCM 

MWBlOIOOCOOCJO^BMii^iio 





3 d 

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1 « 

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HilOtON^OO-MCO-jliOONCOa 
■ CO ICO ICO 1C0 IQ 'Q CO CO CO CO CO CO CO a; CO CD 
GOGOGOCO30COGO0CQ0COCOO0C0GOU300 



1888.] PUBLIC DOCUMENT — No. 22. 



47 





CN 


rH 


C5 


on 


OS 


fN 


on 


on 


re 


?o 


co 


CO 


OO 


■* 


on 


CO 


r> 


re 


^H 


















CN 






CN 


CN 


co 


co 


CO 


ia 






CO 


,_, 


,_, 


fN 


CN 


rr 


co 


fN 


o 


O 


_, 


CO 


_, 


-+ 


o 


-+■ 


OS 


t-~ 


co 


i-- 


o 
















—' 


CN 


1-1 




1-1 


1—1 


CN 


1-1 


1-1 








CO 


CN 


- 


CN 


t^ 


Tf 


CO 


O 


00 


00 


oc 


t^ 


fN 


re 


ao 


o 

CI 


re 


re 

CI 




CN 


CO 


-* 


00 


3 


CO 


t~ 


t^ 


CO 


t~ 


00 


fN 


1 


ia 


- 


■* 


CO 


t^ 


i" 


1 


- 


CN 


- 


- 


1 


1 


l 


1 


1 


1 


1 


1 


1 


1 


1 


1 


1 


I 


1 


1 


1 


re 


co 


t^ 


O 


co 


r~ 


». 


CO 


t^ 


00 


fN 


1 


ia 


- 


rH 


CO 


t~ 


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l 


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CO 
CO 




1 


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1 


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1 


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co 


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1 


I 


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CO 


CN 

CN 


l 


1 


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1 


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1 


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I 


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l 


CN 


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CN 


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l 


1 


1 


CN 


1 


1 


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1 


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^ 


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CN 


fN 


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m 


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CO 


IO 


o 


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CO 


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~ 


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oo 


IO 


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ia 


CO 


CO 


00 


03 


S3 


oc 


CO 


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CC 


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ia 


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CO 


CN 


CO 

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r<l 


IO 


fN 


fN 


co 


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IT 


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^ 


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CC 


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ao 




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ci 


CI 


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CO 






CO 




CO 


Cl 


CI 








IO 
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cn 


cn 


on 


CO 


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Oi 


— 


tH 


fN 


CO 


IO 


c 


IO 


fTj 


f^ 


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CN 


O 


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CN 


IN 


co 


CO 


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fN 


CO 


fN 




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CN 




CN 


CN 




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CO 


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ns 


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CN 




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r^ 


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CN 


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co 


CN 


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CN 






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cn 


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csT 


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o 


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OS 


on 


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rn 


r 


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CO 


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CO 








■* 


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X 


© 


O 


CO 






CM 


CN 


re 


CN 


CO 


CN 






CN 


CO 


CO 


IO 


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r» 


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H 


T-< 


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co 


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co 




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co 




CN 




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CN 






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CM 


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CN 


CO 


CD 


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CN 


re 

CN 


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co 

CN 


ia 

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re 


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CN 


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CN 


1 


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l 


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r- 


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CO 


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CN 


s 


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to 


oo 


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nr 


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CO 


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CN 


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l _ l 


^ 




o 


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Oi 


00 




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O 


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an 


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■a 




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CC 


co 


CO 


ON 




c-i 


CN 


co 


CO 


CN 


<N 


CI 




co_ 


o 


an 


-* 


re 


rq 


,r- 


CO 


■* 


— 


— 


re 


c 


co 


— 


co 


co 


IQ 


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on 








co 


Tfi 


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CD 


CO 


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^ 


CN 


CN 


CO 


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co 


CN 




CO 
























































































































eJ 
















































































O 


e 




CN 


CO 


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r~ 


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re 


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fN 


CO 


■* 






r^ 


00 






r— 




T - 


t-- 


r^ 


















oo 


X 












au 


ao 


00 


30 


00 


oo 


au 


co 


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ao 


>. 


X 


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oc 


-JD 


w 


CO 





48 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



^ 
^ 






lO h 



I* 

tu CO 



s 



►«? 


& 






co 


^ 


r. 


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2Q 



O 

Hi 

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I— l-^Tt<^-^l'<#'^<lO"'}<COCOCOCO''3<CO 



10M«OOOH«^COM 



CNCNOOi-li-ieNCIi-i 



CN i-H t-H 



I I I I 



I I I I 



COicv30CNtOCOtOCOr-~t~©CO©CNC5 



i—i CM <N t*i — CO 



IN (N IN « CO CO N 



I>-C5t^a5"MtOcN10COt-^C<IO"C5tOCN 
i-H i-h i© i— ii-li-iCNCNTfiCNCOCNCN 



■* r— cocococNi-^i-'CNio>OTt<ai~-to 
■— ii-H^HCMCNCNi-ii— i m co ■* im n «5 



■— lOCNG5if5COir5t>-tOCO-*itOir5i— i to 
i-H rtr-li-H IN H (N rt « IN 



COOOtOC5COGi<N^+<tOCN~HCOTHOO 



I • — i III1II1IIII 



I I I I I I 



I I I I I I 



I H | | | | | | | I | | | | 



o »o CO 
in to in 



COI^-i— ICOtOt-^CiCitOi-H^H 

CO GO © •— i ao CO 03 co t» go o 



N it! to o - iaot^<Ncoic5t>.cotoK5CN 
i— icocNiococo-tf'OTfic-'tfHOco^tiio 



fc 








::, 


© 


y, 




w 


H 



OJOCOf^COi— llOCMCOtDCOh-COiOCCl 
t^tO^olCOr^tOOGCjOGdOtO" 



COriHNNMNNO 



CM i-H CN CN CM 



CNCOtOOOCNOSiJ'O 



r^- i-~ © co to © 



tOCCCOOOOi— ICNi— IOOOG3CO-* 



S CM N Ol 



CNt-»OiCOh-©05M 



^icoNncNMneoocoooi 



1(5 to t— OO © o 



<N CO tH 1(5 to b- CO 



iO>r5K5iO»C5iC5tOcOCOtOtOtOtOtOtO 

cocooococooocooococooococococo 



1888.] PUBLIC DOCUMENT — No. 22. 



49 





on 


CO 


i— i 


CO 


r*. 


l-~ 


00 


uo 


en 


co 


CO 


■* 


IO 


CO 


IO 


ira 


^ 


OS 


CN 


1 © 

1 co 


TJ> 


CO 


■* 


■-0 


«3 


CO 


CO 


OS 


c 


1- 


Tt< 


<* 


lO 


t^ 


c^ 


en 


CO 




IC 








OS 


OS 


Ol 


r^ 


_ 


no 


IO 


CO 


1Q 


O 


CO 


1^ 


o 


CO 


co 


-f 


© 


ira 


«o 


co 






1-1 


Ol 


CN 


CO 


CO 


■>*l 


>c 


CO 


Ol 


Ol 


Ol 


CO 


Ol 


co 


co 


CO 




CO 


CO 






nt< 


OS 


CO 


CO 


r^ 


CO 


Ol 


_, 


on 


on 


1^ 


>o 


Ol 


(N 


^ 


^ 


-* 


1^ 


CN 

© 
© 


<M 




CM 


ON 


Ol 


CO 


00 


i-O 


«S 


•* 


Ol 


Ol 


Ol 


■* 


lO 


CO 


CO 


■* 






1 


1 


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1 


1 


' 


1 


1 


CO 


1 


1 


1 


- 


1 


1 


- 


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CN 


CO 


CM 


' 


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1 


1 


1 


1 


1 


1 


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1 


1 


1 


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1 


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oo 


CO 


co 





50 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



o 
O 



>i 






o ■* n s o> 



U0 CM 00 i-l OS 



l£0cO©OSCNOS'^©OS»O'<±l 

lodoioossoscodujtoidto 



i-l OS O 



CM — • OS Ol 

CO O O OS 

■* -- oi ^ 



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


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M * ID -* * S 



os—*Osost^coocM 






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tO»OiO*0»CiCCDCDCOCDCOCDOOsD 
C»COGOCCCOCO0OGOCOCOGOGOGO000O 



1888.] 



PUBLIC DOCUMENT — No. 22. 



51 

















tjs 


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1 — 1 




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t- 


CD 


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cc 


CD 


co 


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CO 


re 


00 


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CO 


CD 










1 _ l 




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03 


re 


en 


00 


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co 


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00 


IQ 


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co 




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00 




s 


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fN 


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ni 


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CN 


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lO 










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Ol 


Ol 


Ol 


CO 


CO 


CO 


CN 


CN 


Ol 


Ol 


CN 


Ol 


CO 


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CO 


CO 


CO 




Tt* 


CO 


O 


CO 


<M 


>o 


CO 


O-l 


■* 


CN 


- 


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1 


1 


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1 


CD 


CO 


co 


- 


co 

re 



CN 


- 


1 


1 


1 


1 


1 


1 


1 


1 


1 


1 1 


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1 1 


1 


1 


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CI 


CI 


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m 


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tN 


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CN 


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ff. OHclcOTfiiOONCOcllO- J NM'*iOtDStD 



CO t-— In— t— 



r-~ r^- t^. f» 



r-'ooaooooooooooocooo 



cococococooccococccccooooooocooooocococo 



52 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



oq 



s 



8 



On 



8 
5Q 



o 



01 



S 



o 

hi 
« 



in SiiitiiuraaH |bjoj. 


1 1 1 1 O 1 1 os I 1 I 1 1 1 os I 1 co || 

CO CO CO 


•p^ia 1"}°X 


1 1 1 1 1 CM 1 I 1 I (N | | QO I I iO 1 II 

-* CD rH 


•p9A0Jdrauin IBjox 


1 1 1 OS ' 1 1 1 1 1 "SH 1 J. CD I 1 -* id CO II 

CD CO !>. rfl CO 

t— 1 7—1 


•paAOjdcai [b:(ox 


1 Ira 1 i io I I I lotoccoi I I i II 

CN T-l CI CO CD CO 
l—l l—l T-H 


•psAOjd 
-mi tpnjn IB»ox 


|CO||I|OOS^^HGN||||||| IN 

1—1 1—1 


•P9J9A033JI IBJOX 


OmcOOJON 1 1 1 1 1 1 1 1 1 1 1 1 CD'* 

IMpifMtOM'* CD 
CO i-H 


Total Number of Per- , 
sons showing the same ! 
Kksults. 


03 

ts 


OCOCOCSONOOKN^NCOttilSfflNiOSO tMCN 
CO H (M (O CO "* rt OS CO CO CO 00 -* CO CM 

1—1 1—1 T-l 


1 

fa 


0^#COCOOSCO»0-^I | NHCONO)N-*®0 O (M 
OS CD CO T-l ^iO(MHTfHH T-l 


1 


OC10CO-OJiOO(N(MH(MG: CJWIOtOM CM I 
b- CO CO CM CM if. IS CO CM Tf O) CM T-l 




•IBjid 
-sojj ill SuiuiBtnaji 


1 1 .1 1 tH 1 I tH 1 I I I I I iH | |'tH II 


•p*!a 


1 1 1 1 1 tH 1 | | | tH 1 | r-t I. | tH 1 || 


•paAo.idra; 
-an saunr }o -on 


1 1 |H I I | 1 IH I |H | IMHH II 


■paAojd 
-mi sarajx jo -ojj 


1 |H |. |.|,ri | I I INHHH I I I II 


•pgAOjdrai 
qonj\r sauiir jo - on 


|H I I 1 ll^rtlSHH 1 1 1 1 1 1 1 1 H 


•pajsAoo 
-ajl satnij, jo 'ok 


CM i-l i-l i-l i-H i-H 1 1 1 1 1 1 1 1 1 1 1 1 CO CM 




o 
3 o 

Ed W 
C-i h 

° I 

a < 
ca ^ 

S 
ft 


o 

H 


C I- 1 

[- T-l 

OS CM 


| 


OS CO 
-* OS 


o 

s 


i-l CO 
(M i-H 

UO t— i 


CO 

H 

Em 
O 

BS 
H 
M 

D 


c 

H 

a 
< 


Two, 
Three, 



1888.] PUBLIC DOCUMENT — No. 22. 



53 



I I I^Ol I I |CO I l>OH I I I COH I IHOJ I I CO I r-l I 



I O I I I I I I I K> I I I I r-l I I I CO I I I <N l«5 I 



|Ol I I I CO I I CO I I i-< CM I I |t-h>0| I | CCIMCQfflCT I N 



CNI | -* CO I I I INNHMH | |(M| I I I I I I I 



00>OOOHCCCO'i<COCOiOiOH(NNH05HlO!j2HO!^CTCQCOHe005 



OCO^'QHNNH I tOHWHH | HHHON | t)H N H H I I COH 



Xt>OH | HHCOCOt>"*CO | HIM | IN | K5^HK5l>HOqeOHOOO 



1 I M | | | |H | |HH | | IHHI |rHrH| |ri I 



lll|i-H|||rH|||rH|rH||| 



|H | | | | CM 



r- ( i — I | I |i-lr-l| | | IMHHINIM | CO 



tH | | I |!N |H |HHH |HINHH |«N |INHHH | I CO 



I I I I CM I I 



rH | | CM | | | | | | | | 



CM CM CM CM 



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



54 TAUNTON LUNATIC HOSPITAL. [Oct. 



o 



O 

1-1 
w 
<j 
H 



•[HjidsoH 
ut SuiuiBinoji [bioj, 


1 1 1 1 1 i — < I 1 I'l IH |(N | 1 |HH | | 


•p9!a IBJOX 


1 1 1 1 CO 1 1 1 1 1 CM 1 1 1 1 " I 1 1 1 CO 1 


•paAOJdraulf) ibjox 


1 1 1 *0 1 1 1 rH I CM 1 I CO I ICOri | |COI 


•paAo.tdcai ibjoj. 


1 1 CM I 1 1 1 |CC IN ICOCMO IHHCNCOCQ 


•paAOid 
-rai qonre ibjox 


1 CO 1 II IWH | I |H I I I |HH i I rH 


•p3J3A003}I I8J0X 


■^CCicCiOajCOtNNCCIM-^iMtO^CMHHHHCO 1 
■>^ CO 1—1 


Total Number of Per- 
sons showing the same 
Results. 


■5 


H 


HCOtMiOCOrtHHTfHNHCQCMNHHHHmH 
i—l r- 1 


a 

fa 


HOCNtOCOHH | | (MH 1 | (NHCM 1 1— lr 1 H (N H 




lOHtOCMCM | rir 1 CM | (NHHH I H 1 I I H | 




•iwjid 

-80H Ut SlIIUIBUIJa 


1 1 1 1 |i— II 1 1 1 !■>— •I'r— 1| 1 It-Hi— l| | 


■paia 


1 1 1 1 tH | | | | | tH j j 1 I | 1 I I rH I 


•paAOJdca! 
-ufl. S9tmj, jo -om 


1 1 1 rH | | It-HICMI | rH I 1 CO H | 1 rH I 


■psAoad 
-mi saratx jo -on 


I | H | | | | | (N 1 H I HHSJ | HHNH85 


•paAOjdtaj 
upnpi earaix jo "ON 


|H | | | |Nri | | |rH| | | IrHrHl | H 


•p9Ji)A03 

-3>T sainij, jo -ojs[ 


HCOCOCOCOCOCfllMiMCTCM(MCN(N.HHHHHH | 




■A 

O 

« 
H 

o a 

V ° 

h < 

a 3 

D 


3 



GO 


1 
fa 


-* 


a 




05 
H 

S3 

fa 

O 

a 

w 

b 


a 

Ed 

■H 

H 

Q 
•< 


(H 

O 



1888.] PUBLIC DOCUMENT — No. 22. 55 

T-H | I H (M CO I | I tH I rH I | GS» I <>( I r-H I i-H I | | | I i-H | CN I 

I I I I I I r-t I I | I t I I I I I I I I I i — 1 I i — I t I I I I I 

I lOHN | I <M 1 <M -* CO CO I I I 1 I | HHHN I ^ IfflCO I ■* 

HtOOONWamN^H I \ GA I I CO CM <M | T-H | HHCO^Xr^lMOOH 

1— I 7-1 

<N I I I I I I I <M I I I I I I I I I r-Hr-rrH I I I I I I I I I 

I I I I <M I I I CM I I 1 I iOM(NOCOCO«IN(NINHNM | I | | 

i-H 

t-H-^<Ot-iCHCOt-Ht-HCNt-Ht-Hi—IO< H(NCO(N-JHHHHHHN(MHHNH 

I HCO I I T— I I i C^I 1 — I I I I iH I i-H T-H I i-l I I T-H T-H I i-H r-l I I I I 

HOJCOHINNHH | | HHN I MNHH I i— I i— I I | i-H i-H i-H i— I i— I (N H 

T-HlJi-HrHi-HiltrHli-li |H [ri |H|ri I I I I Iri |H I 

I I I I I I i-H I I I I I I I 1 I I 1 I 1 I i — 111 — I I I I I I I 

| |HHH I I N I N-rhmcQ I I I I I |HHH(M |(N IMCO 1^ 

H-^CONHCOSJIMCTH ) |i— I I I i-H i-H (N |i-H | HH:ONi*H(Nt)(H 

0» I I. I I I I I rH | | I I I I I I f tHt-Ht-H I | | | | | | | | 

I I I I r-H | | | t-H | | | | lO ■* *CC COCOIM<N(MC1tHtHH I I I I 



56 



TAUNTON LUNATIC HOSPITAL. [Oct. 



'a 
S3 

o 
O 






ut SinuiRinaji ibiox 


1 


1 <N 1 1 1 1 1 1 1 tH 


1 1 i-l CM 1 t-i | i-l | 


•paid [Bjoi 


1 


H I I I H I I I I I 


1 1 11 T < lift 


■pBAOidimiifi [B}OX 


1 1 1 - 1 cm | <jq | | | | 1 1 I 1 1 1 1 1 1 


•paAOJdcni jsjox 


1 


1 1 HH CM 1 H tH CO "O >0 


1 i-l 1 I I HHH(N 


•pSAOjd 

-mi nanpi [bjox 


1 


1 1 1 1 H I | H I I 


i-l 1 |(NH |HH I 


■pai3AOM3i toox 


H 


CCOtOOiOUJiO-^iO 

1-1 


Total Number of PER- 
sons showing thk samk 
Results. 


o 


HHNNMHi- It- 1 r-t 1— It— I 


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1 |HH 1 i-l 1 H I 


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-uq satufx jo -ojs: 


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-mi sotnix jo -os 


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a 


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8 


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1888.] PUBLIC DOCUMENT — No. 22. 57 



I I t — I IIWII r-H | tH | 



till I I I I I I r-4 I I 



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58 TAUNTON LUXATIC HOSPITAL. [Oct. 



IKYEXTORY OF STOCK AND SUPPLIES 

On Hand Sept. 30, 1888. 



Live stock on the farm, $5,8S4 00 

Produce of the farm on hand, 1,885 00 

Carriages and agricultural implements, .... 3,795 25 

Machinery and mechanical fixtures, 37,000 00 

Beds and bedding in inmates' department, . . . . 18,158 00 

Other furniture in inmates' department, .... 8,365 71 
Personal property of the State in the Superintendent's 

department, 10,767 86 

Dry goods, 5,299 08 

Provisions and groceries, 2,282 28 

Drugs and medicines, 600 00 

Fuel, 4,000 00 

Library, 600 00 

Other supplies undistributed, 1,089 40 

899,226 58 



1888.] 



PUBLIC DOCUMENT — No. 22. 



59 



TREASURER'S REPORT. 



I respectfully submit the following report of the finances 
of this institution for the year ending Sept. 30, 1888, to the 
Trustees : — 



Assets. 



140 acres of land, . 
Hospital building, 
Brick barn and stable, . 
New barn, 
Laundry building, 
Other building's and wall, 



$34,800 00 
275,000 00 
8,000 00 
5,000 00 
8,000 00 
7,000 00 



$337,800 00 



Personal Estate. 
Stock and supplies on hand as per inventory appended to 
the Trustees' report, . . 99,22G 



Receipts. 
Cash on hand Oct. 1, 1887, . 
Received from the State Treasurer, 

from towns, . 

from individuals, . 

from loans, . 

from other sources, 



Payments. 
1st. Salaries, wages and labor, . 
2d. Provisions and supplies, etc. : — 

Meats of all kinds, 

Fish of all kinds, 

Fruit and vegetables, . 

Flour and bread, 

Grain and meal for table, 

Grain and meal for stock, 

Tea, coffee and broma, 

Sugar and molasses, . 

Milk, butter and cheese, 

Other groceries, . 



1437,026 58 
$1,695 10 



1»20,345 37 

83,530 93 

14,924 81 

2,953 50 

1,730 94 



123,485 55 

$125,180 65 

$36,431 33 



j!8,862 48 
1,953 62 
2,679 82 
3,976 10 
509 46 
3,835 82 
1,870 22 
3,173 26 
7,198 80 
4,601 32 



3d. Clothing, .... 

4th. Fuel and light, . ... 

5th. Medicines and medical supplies, 

6th. Furniture, beds and bedding, 

Amount carried forward, . 



38,660 90 
5,456 55 

11,952 69 
1,544 41 
4,521 18 

£98,567 06 



60 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Amount brought forward, .... 

7th. Transportation, 

8th. Ordinary construction and repairs, 
9th. Extraordinary construction and repairs, 
10th. Miscellaneous expenses, 



Liabilities. 
Cash due the Treasurer Oct. 1, 1888, . 
Salaries and wages due Oct. 1, 1888, 
Miscellaneous bills due, 
Loans, 



f98,567 06 

621 58 

8,652 32 

10,722 75 

7,039 26 

$125,605 97 

$125 32 
2,986 13 
9,384 76 
8,000 00 

$20,796 21 
Resources. 

Due the institution for board Oct. 1, 1888 : — 

• from towns, $19,349 17 

State, 4,754 19 

individuals, 4,046 20 

$28,149 56 
Summary. 

Total receipts, ..." $125,180 65 

Total payments, 125,605 97 

$425 32 

Total debts due the institution, $28,149 56 

Total liabilities 20,796 21 



Total expenditures, 

Dividing this sum by 628, the average number of patients, 
we have the annual cost of each patient, . $200 01 
And the average weekly cost of . . . . 3 85 

Deducting from the current expenditures, .... 
The extraordinary construction and repairs, 



Dividing $114,883.22 by 628, the average number of 

patients, we have the annual cost of each patient, 
And the average weekly cost of 



$7,353 35 
$125,605 97 



$125,605 97 
10,722 75 

$114,883 22 

$182 94 
3 52 



.JOHN KITTREDGE, 

Treasurer. 



Taunton, Sept. 29, 1888. 



Taunton Lunatic Hospitai, Oct. 26, 1888. 
The undersigned, a committee for the purpose, have examined the foregoing state- 
ment of the Treasurer, have compared the items with the vouchers, and find it 

correct. 

SIMEON BORDEN, 

GEO. HOWLAND, Jon., 

Committee. 



1888.] PUBLIC DOCUMENT — No. 22. 61 



FINANCIAL STATEMENT. 



Of the appropriation made by the Legislature of 1887 
for providing a new barn, purchase of cows and a fire 
pump : — 

Amount of appropriation, $7,000 00 

Drawn to Oct. 1, 1887, $4,885 49 

Since drawn, viz. : — 

For purchase of cows, 1,247 00 

Labor on new barn, 114 51 

Purchase of a fire pump, .... 753 00 

$7,000 00 



JOHN KITTREDGE, 

Treasurer. 



Tavnton, Sept. 29, 1888. 



Of the appropriation made by the Legislature of 1888 for 
the purpose of building a new pump house, for changes of 
water-closets and bathrooms, for new floors, for building cer- 
tain partitions, that a part of the wards may be set apart on 
the male and female sides for hospital purposes, and to pro- 
vide suitable and adequate heating and ventilating apparatus 
for the same : — 

Amount of appropriation, $ 10,500 00 

Drawn to date, viz. : — 
For building new pump house, . . . $2,500 00 
For building certain partitions, etc., . . 1,500 00 

4,000 00 



Balance of appropriation, $6,500 00 

JOHN KITTREDGE, 

Treasurer. 
Tavnton, Sept. 29, 1888. 



62 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



LIST OF PERSONS 

Employed at the Taunton Lunatic Hospital, Sept. 30, II 



Superintendent and physician, . 

First assistant physician, 

Second assistant physician, 

Assistant physician and apothecary, 

Woman physician, 

Treasurer and clerk, . 

Supervisors (men, two — $35 and $4 

Supervisors (women, two), 

Clerk, . 

Engineer, 

Baker, 

Assistant baker, 

Coachman, . 

Florist, 

Night watchman, 

Night attendants (men, two), 

Night attendants (women, two), 

Firemen (two — $33 and $42 per mont 

Stableman, . 

Farmer, 

Farm laborers (five — $20 to $25 per 

Brushmaker, 

Storekeeper, 

Laborers (three — $20 to $30 per month) . 

Attendants (men, twenty-one — $20 to $28 per month) . 

Attendants (women, twenty-four — $14 to $20 per month). 

House attendant, per month, 

House attendant, . . . . . . per week, 

Seamstress, " 

Assistant seamstresses (two — $14 and $16 per month). 

Laundress, per week, 

Laundry girls (eight— $3 to $3.75 per week). 
Housekeeper, per Aveek, 







per year, 

u 


$2,500 00 

1,200 00 

1,000 00 

800 00 

600 00 


3 per mo 


nth) 


per 


month, 

rt 

i 

4 
6 
t 

6 


1,200 00 

33 33^ 
50 00 
83 33£ 

40 00 
25 00 
30 00 
33 331 
30 00 
28 00 
19 00 


nth). 




per month, 


32 00 
50 00 


month) 




per 


month, 


28 00 
30 00 



Laundry man, ...... 

Kitchen man, 

Cooks (two — $3.75 and $4 per week). 
Kitchen girls (five — $3 to $3.75 per week). 
Space girls (three — $3 to $3.25 per week). 
Basement man, 



per month, 



16 00 
3 00 
5 00 

5 00 

5 00 
26 00 
28 00 



per month, 25 00 



1888.] 



PUBLIC DOCUMENT — No. 22. 



63 



TRUSTEES 

Of the Taunton Lunatic Hospital. 



NAME. 


Residence. 


When 
appoint- 
ed. 


Service 
ended. 


From what cause. 


* Marcus Morton, . 


Taunton, 


1853, 


1854, 


Resigned. 


* William Sutton, . 


Danvers, 


1853, 


1856, 


Term expired. 


Chai'les Edward Cook, 


Boston, . 


1853, 


1857, 


Term expired. 


* George R. Russell, 


Roxbury, 


1853, 


1858, 


Term exjoired. 


* George A. Crocker, 


Taunton, 


1853, 


1861, 


Resigned. 


* Charles R. Vickery, 


Taunton, 


1854, 


1855, 


Term expired. 


George Howland, Jr., . 


New Bedford, 


1855, 


- 


Still in office. 


* Menzies R. Randall, 


Rehoboth, 


1856, 


1862, 


Term expired. 


* James W. Sever, . 


Boston,. 


1857, 


1858, 


Removed. 


* Charles Edward Cook, 


Boston,. 


1858, 


1873, 


Term expired. 


John M. Kinney, . 


Wareham, . 


1858, 


1864, 


Term expired. 


* Charles R. Atwood, 


Taunton, 


1861, 


1877, 


Died in office. 


* Oliver Ames, 


No. E as ton, . 


1862, 


1877, 


Died in office. 


LeBaron Russell, . 


Boston, . 


1864, 


- 


Still in office. 


Simeon Borden, . 


Fall River, . 


1873, 


- 


Still in office. 


William C. Lovering, . 


Taunton, 


1877, 


- 


Still in office. 


* Samuel L. Crocker, 


Taunton, 


1878, 


1883, 


Died in office. 


Oakes A. Ames, . 


No. Easton, . 


1883, 


- 


Still in office. 


Mrs. Ruth S. Murray, . 


New Bedford, 


1884, 


- 


Still in office. 


Mrs. Grace S. Bartlett, 


Taunton, 


1884, 


- 


Still in office. 




* Deceased. 









Taa 



PUBLIC DOCUMENT. No. 22. 



THIRTY-SIXTH ANNUAL EEPOET 



THE TKUSTEES 



Taunton Lunatic Hospital, 



Yeah Ending September 30, 1889. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1890. 



PUBLIC DOCUMENT. No. 22. 



THIETY-SIXTH ANNUAL EEPOET 



THE TKUSTEES 



Taunton Lunatic Hospital, 



Year Ending September 30, 1889. 



BOSTON : 

WEIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1890. 

ft 









NO 






3 

OFFICERS 



TAUNTON LUNATIC HOSPITAL. 



TRUSTEES. 

RUTH S. MURRAY, New Bedford. 

GRACE S. BARTLETT, Taunton. 

OAKES A. AMES North Easton. 

GEORGE HOWLAND, Jr New Bedford. 

WILLIAM C. LOVERING, Taunton. 

SIMEON BORDEN, Fall River. 

JOHN J. RUSSELL, . . . Plymouth. 

RESIDENT OFFICERS. 

JOHN P. BROWN, M.D., ...*.... Superintendent. 

MARCELLO HUTCHINSON, M.D Assistant Physician. 

OWEN COPP, M.D., . . Assistant Physician. 

CHARLES A. DREW, M.D. Assistant Physician. 

ALICE ROGERS, M.D., . . . . . . . . Assistant Physician. 

JOHN KITTREDGE, Clerk. 

RUFUS D. GODDING, . . . . • . . . . Engineer. 

A. A. SOUTHWICK, . . . . . . . . Farmer. 

TREASURER. 

JOHN KITTREDGE, . Taunton. 

Office at hospital. 



<&mmmxtomlt]& d llass^ntsdts. 



TKUSTEES' EEPOET 



To His Excellency the Governor and the Honorable Council. 

In presenting their thirty-sixth annual report, the trustees 
of the Taunton Lunatic Hospital desire to express their 
gratitude and thanks to our Heavenly Father, that through 
his protecting care and the abundant mercy he has so kindly 
vouchsafed the institution, it has been permitted to move on 
with a good degree of success through another year in its 
noble and humane work of ameliorating the condition of 
those of our fellow citizens who through misfortune have 
been placed under its care. 

We entered upon the year Oct. 1, 1888, with 624 patients ; 
we have received during the year 204, and have discharged 
211 ; leaving, at the close of the year, Sept. 30, 1889, 617. 
The details of the movement of the population may be found 
at length in the tables connected with the superintendent's 
report, which accompanies this. 

It becomes our sad duty to report the loss by death of 
one of our colleagues, Dr. LeBaron Russell, who died at his 
summer home in Plymouth on the nineteenth day of Sep- 
tember, at the age of seventy-five years. For a period of 
twenty-five and a half years he was an esteemed and honored 
member of our Board of Trustees. So long as his health per- 
mitted he was a frequent attendant at our meetings, always 
manifesting much interest in the hospital, and in the proper 



6 TAUNTON LUNATIC HOSPITAL. [Oct. 

care and attention to its inmates. His memory will long be 
cherished by us. 

The cottage, to which reference was made in the report 
of 1887, continues to be a very desirable adjunct to the 
hospital, making a very pleasant home for four of our female 
patients, who express themselves as exceedingly well pleased 
with their new surroundings, the comforts of which will, we 
think, conduce to their recovery. 

A very pretty and somewhat artistic gate house has been 
built, of stone, near the rear entrance to the hospital grounds, 
from the appropriation by the Legislature of last winter of 
$500 for that purpose. It will be ready for occupancy in 
the course of a few weeks. 

A new fence, about one hundred and thirty feet in length, 
made from iron pipes worn out in other service, with chest- 
nut posts, has been placed on either side of the front gate, 
to the line of Morton Street, giving a finish to the principal 
entrance to the hospital grounds ; the entire area of which 
is in excellent condition, affording, with its many pleasant 
walks, drives and shady groves, very favorable opportunities 
for pleasant open-air exercise and recreation for many of the 
patients. 

The greenhouse, through the last winter, and, through its 
instrumentality in preparing plants for summer culture, all 
through the year, has furnished very many flowers with which 
to light up and make pleasant many of the wards, and thus 
relieve, in great degree, the monotony which generally 
characterizes such homes, as this really is to many of our 
inmates. 

During the last winter many leaks developed in the slate 
roofs, inducing an examination, which revealed a very press- 
ing need of extensive repairs, which have resulted in an 
expenditure of about $1,000. We flatter ourselves that we 
shall have exemption from annoyance from leaky roofs* for 
some time to come. 

New floors have been laid in two of the male wards, and 
the entire exterior woodwork of the hospital has been painted, 
portions of it with two coats, from appropriations for those 
purposes. 

The piggery, for the extension of which an appropriation 



1889.] PUBLIC DOCUMENT — No. 22. 7 

of $1,500 was made by the last Legislature, has been en- 
larged by an addition to its length of sixty feet, making it 
one hundred and ninety feet long, and capable of accommo- 
dating about two hundred swine. 

The heating apparatus, which has been in use for many 
years, has recently given unmistakable signs of soon requir- 
ing extensive repairs, from which there is no escape ; we 
therefore find it incumbent upon us to ask the Legislature 
for an appropriation of not less than $2,000, to make this 
unavoidable repair. We shall also require $1,000 for new 
floors in some of the wards. 

In order to fully carry out the proposed plan for the im- 
provement of our bath-rooms and water-closets (which was 
begun nearly two years since, and which has been finished 
in six of the wards, and is now in process in other six, for 
which the Legislature has granted us an appropriation of 
$5,500 for each of the past two years), we shall require 
another appropriation by the coming Legislature of the sum 
of $5,500, which will place this important branch of our 
appliances in a good and durable condition. The system 
and workmanship (all done by our engineer) have received 
the approval and commendation of many persons qualified 
to judge in such matters. This amount of $5,500 will make 
the entire appropriation for this most desirable and necessary 
improvement $16,500, the amount represented by the trus- 
tees to the committee of the Legislature on public charitable 
institutions, at the time of the first appropriation, as the 
estimated cost of the change, and which will complete the 
work in a satisfactory manner. 

Judging of the future by the past, and realizing, as we do 
most fully, that the outlay for ordinary repairs for any one 
year has no effect in preventing or reducing a similar outlay 
for each succeeding year, we are under the necessity of ask- 
ing for $5,000 for such repairs for the coming year. 

We have long felt a pressing need of more conveniences 
for the housing and protection of our farming implements, 
such as carts, wagons, etc. ; and also of rooms for the stor- 
ing of various articles, including vegetables, which, without 
some suitable place to cover them, soon go to decay. To 
meet this want, we ask for an appropriation of $1,500. 



8 TAUNTON LUNATIC HOSPITAL. [Oct. 

To sum up, we respectfully ask for the following appro- 
priations : — 

For repair of heating apparatus, $2,000 

For new floors, 1,000 

For continuing work on bath-rooms, etc., 5,500 

For ordinary repairs, .......... 5,000 

For building to coyer wagons, etc., 1,500 

$15,000 

The plan of raising all the milk for the use of the hospital, 
which has now been pursued for nearly two years, has proved 
very successful, realizing an annual reduction in the outlay 
for that account of at least $1,000, besides insuring the 
quality of the milk, which is of considerable importance. 

Although the number of patients has not been as large 
during the past as in some previous years, we have yet more 
than the capacity of the house can satisfactorily accommo- 
date ; and, as the number of lunatics in the State (as statis- 
tics certainly prove) is increasing at the rate of not less than 
two hundred each year, it would seem that the time has 
arrived when some further provision for their care should be 
instituted ; more especially when we realize that at least two 
years will be required for the erection and preparation for 
occupancy of any large institution. We therefore respect- 
fully ask you to introduce some movement in relation to 
further accommodation for the chronic insane. For a more 
detailed view of this matter, we refer you to the report of 
our superintendent, Dr. J. P. Brown, on that subject. 

The subject of an advance in the price to be charged for the 
support of patients, to which reference has been repeatedly 
made for several past years, as yet fails to receive any defi- 
nite action by the Legislature. We consider the need 
of some advance necessary, to furnish the hospitals with a 
larger income, and thus prevent the necessity of frequent 
calls upon the Legislature for funds to enable the trustees to 
keep the buildings and surroundings in proper condition. 

The accounts of the treasurer, herewith presented, show 
the financial condition of the institution. 

We continue to be favored with the efficient services of 
our esteemed superintendent, Dr. John P. Brown, to whose 



1889.] PUBLIC DOCUMENT — No. 22. 9 

constant and unremitting care, supplemented by the faithful 
and willing aid rendered by the assistant physicians, who 
have been associated with him through the entire year, we 
attribute much of the success which the hospital has attained. 
Again we commend the institution, with all its varied 
interests, to the care of our Father in Heaven, humbly ask- 
ing him for grace and wisdom to enable all on whom the 
responsibility for the conduct of the establishment rests, 
rightly to discharge their several duties. 

RUTH S. MURRAY, 
GRACE S. BARTLETT, 
OAKES A. AMES, 
GEORGE HOWLAND, Jr., 
WILLIAM C. LOVERING, 
SIMEON BORDEN, 
JOHN J. RUSSELL, 

Trustees. 
Taunton Lunatic Hospital, Oct. 15, 1889. 



10 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



SUPEKINTEJNDEKT'S EEPORT. 



To the Trustees of the Taunton Lunatic Hospital. 

In compliance with the by-laws of your Board, I respect- 
fully present to you the thirty-sixth annual report of the 
operations of the hospital for the year ending Sept. 30, 
1889. 

General Statistics of the Year. 





Males. 


Females. 


Totals. 


Patients in hospital Oct. 1, 1888, . 


314 


310 


624 


Admissions within the year, 


109 


95 


204 


Whole number of eases within the year, 


423 


405 


828 


Discharges within the year, . . . . 


115 


96 


211 


Viz : as recovered, 






26 


21 


47 


as much improved, 






18 


13 


31 


as imjiroved, 






13 


20 


33 


as unimproved, . 






21 


11 


32 


as not insane, 






11 


2 


13 


Deaths, 






26 


29 


55 


Patients remaining Sept. 30, 1889, 




308 ■ 


309 


617 


Daily average number of patients, 




319.75 


312.86 


632.61 



The usual work of the hospital varies but little from year 
to year; but it has seemed to me during the past year that 
the daily labor of caring for the patients has been growing 
more difficult and more unsatisfactory in its results, both by 
reason of the crowded condition of the hospital, and the 
increasing number of excited, noisy and turbulent patients, 
whose presence in the wards has been a constant menace to the 
well-being and recovery of the recent and curable cases. The 
great increase in the hospital, within a few years, of the worst 
classes of the chronic insane, has entirely changed the char- 
acter of many of the wards, those that were formerly quiet and 



1889.] PUBLIC DOCUMENT — No. 22. 11 

orderly having become noisy and turbulent. This unsatis- 
factory result has been caused in a large degree by removing 
to the almshouses, both State and town, and to private care, 
the quiet and comfortable classes, and leaving to the care of 
the hospital all of the most troublesome and refractory cases. 
This condition of things will be remedied only when the 
State shall provide separate buildings for the chronic insane, 
adapted to the care of all classes, the most difficult to care 
for as well as the quiet and orderly, to which the worst 
classes, which now so greatly obstruct the work of the hos- 
pital as a curative institution, can be removed. 

It is a subject for gratulation that no suicide, or death 
from violence or accident, has occurred during the year. 

By reference to the foregoing table of statistics, it will be 
seen that the movement of population has been less than the 
preceding year ; 56 less having been admitted, and 59 less 
having been discharged ; while the daily average, 632.6, has 
been four more than that of the preceding year. The num- 
ber of patients in the hospital at the beginning of the year 
was 624. During the year 204 were admitted, and 211 dis- 
charged, making the whole number under treatment 828. 
One person was admitted and discharged twice, and three 
were discharged and readmitted, making four persons who 
were counted twice ; which reduces the whole number of 
persons under treatment to 824, and the admissions to 203. 
The reason that a less number has been admitted is, that 
Suffolk County has sent but a few, who for some reason 
expressed a wish to be sent to this hospital, — 7 in all, as 
against 72 the preceding year. It is now evident that this 
hospital has not more than sufficient capacity to meet the 
demands upon it from the increase of population in this 
hospital district, which includes the counties of Bristol, 
Plymouth, Norfolk, Barnstable and Dukes ; although it may 
be obliged to receive some patients from Boston, to relieve 
the other hospitals until such time as the State shall provide 
more buildings for its insane. 

The discharges have been less, by reason of a less number 
of transfers having been made to other institutions. Of 
those discharged, 47 were recovered, 31 much improved 
(some of whom might be rated recovered for the time being), 



12 TAUNTON LUNATIC HOSPITAL. [Oct. 

33 improved, 32 unimproved, 13 not insane, and 55 died. 
Twelve of those discharged as not insane were dipsomaniacs, 
or habitual drunkards, who were committed to the hospital 
as such, and as not being insane ; and one was a young 
epileptic boy, twelve years of age, who at home was said to 
have had uncontrollable outbursts of violence ; but while in 
the hospital he was entirely free from them, and exhibited 
no other indications of insanity, although he had several 
epileptic seizures. He was discharged on trial at the end of 
four weeks. Of the 211 discharged, 168 were removed by 
their friends or allowed to go by themselves, 7 were removed 
to town almshouses, 14 to the State Almshouse at Tewks- 
bury, 12 were removed out of the State by the Board of 
Lunacy and Charity, and 10 were placed at board in private 
families. 

Of the 204 admitted, 149 were first admissions to this 
hospital, and had not been inmates of any other hospital; 
43 had been insane less than one month before their admis- 
sion, 69 less than three months, 82 less than six months, 
24 from six to twelve months ; while 84 had been insane 
longer than one year, and the duration of insanity of 14 was 
unknown. As more than fifty percent, of those who recover 
from insanity, recover within six months of the beginning of 
the attack, it is apparent that more than one-half of those 
admitted had passed the curable period before their admis- 
sion to the hospital. 

The form of insanity of those admitted varies but little 
from year to year. Forty of those admitted during the past 
year were cases of acute mania, 58 of chronic mania, 26 of 
acute melancholia, 24 of chronic melancholia, 6 of acute 
alcoholism ; 8 were dipsomaniacs, who were committed as not 
insane ; 1 was an habitual drunkard ; 1 had acute delirium, 
from typhoid fever; and 1 epileptic was not insane. All the 
rest, 40 in all, were cases of organic brain disease of differ- 
ent forms, 18 of them being cases of paresis, 10 of whom 
were men and 8 were women, — an unusually large propor- 
tion of women. 

The percentage of recoveries on the admissions, 22.26 per 
cent., was about the average of recent years, and was as large 
as could reasonably have been expected from the character 



1889.] PUBLIC DOCUMENT — No. 22. 13 

of the admissions and the condition of the hospital for treat- 
ing them. Twenty-two recovered from acute mania, 6 from 
chronic mania, 11 from acute melancholia, 1 from chronic 
melancholia, 1 from recurrent insanity, and 6 from acute 
alcoholism or acute insanity, caused by the use of stimu- 
lants. As usual, nearly one-half of the recoveries were 
from acute mania. The duration of insanity before admis- 
sion in 15 of those who recovered was less than three 
months; in 25, less than six months; in 33, less than one 
year; in 42, less than two years ; in 45, less than five 
years ; in 46, less than ten years ; and the duration of 1 
was unknown. From this it is apparent that fully one-half 
of those who recovered, recovered within six months of the 
beginning of the attack, nearly three-fourths in less than 
one year, and seven-eighths in less than two years. This 
would indicate that a case of insanity that is considered 
curable in the beginning of the disease, after continuing six 
months, has hardly an even chance or one chance in two of 
recovery. This fact impresses one very strongly with the 
importance of early treatment, and an early decision of the 
question whether the patient can best be treated at home or 
in a hospital. 

The rate of mortality, the number of deaths having been 
55, was 6.6 per cent, of the whole number under treatment, 
and 8.7 per cent, of the average number. This is lower than 
the rate has been for some years past, and lower than may 
be expected for a series of years, considering the large 
number of old and feeble patients in the hospital. The 
causes of deaths were as follows : 1 died of acute mania, 
9 of chronic mania, 1 of acute melancholia, 1 of chronic 
melancholia, 12 of paresis and other forms of organic brain 
disease, 3 of epilepsy, 2 of epileptic and 1 of paralytic 
insanity, 6 of senile insanity, 2 of old age, 2 of valvular 
disease of the heart, 1 of gastritis, 2 of acute diarrhoea, 1 of 
dysentery, 10 of phthisis, and 1 of typhoid fever. While 
there has been but one case of fever among the patients, 
and that one fatal, there have been four among the employees, 
most of them mild cases, and all resulting in recovery. 
The cause or causes of the disease we have not been able to 
discover. Perhaps the local surroundings of the hospital 



14 TAUNTON LUNATIC HOSPITAL. [Oct. 

have had much to do with it, as fever is more or less preva- 
lent in the city every year, especially in the autumn months. 
The number of deaths from phthisis was unusually large, 
and is also difficult of explanation ; although it is not im- 
probable that the crowded condition of the wards for so 
many years has been one element in the causation, and 
the unusually moist, changeable atmosphere of the last 
two years has undoubtedly been favorable to its develop- 
ment. 

It may not be generally known, and it may be proper for 
me to state the fact in this connection, that Taunton Hospital 
for many years has been more crowded, and has had more 
patients in proportion to its cubic feet of air space, than 
either of the other State hospitals. The average number in 
the hospital during the past eight years has been 640, which 
is 90 above its full capacity, rating its capacity at 550. The 
cubic feet of air space in the wards, dining rooms and 
sleeping rooms occupied by the patients is 986,164, while 
that of the other State hospitals, as given by the superin- 
tendents of those institutions, is as follows : the hospital 
at Worcester, 1,647,794 ; at Danvers, 1,422,300 ; at North- 
ampton, 814,446 ; and at Westborough, 946,000, the latter 
being an approximate estimate. Assuming the capacity of 
the Taunton Hospital to be sufficient for 550 patients, the 
capacity of the other hospitals, based on their cubic feet 
of air space, as given above, would be : for the Worcester 
Hospital, 919 ; for the Danvers Hospital, 793 ; for the 
Northampton Hospital, 454; for the Westborough Hospital, 
526. The average number of patients at the Worcester 
Hospital during the period mentioned, the past eight years, 
has been 729 ; at the Danvers Hospital, 715 ; at the North- 
ampton Hospital, 471 ; and at the Westborough Hospital for 
the past two years, 403. 

In my report of two years ago a statement was made of 
the favorable results of the use of hyoscine as a hypnotic, 
in cases of great motor excitement and activity, attended 
with insomnia. The continued use of it since then has been 
followed by equally favorable results. During the past year 
sulphonal has been used with good results, in cases where 



1889.] PUBLIC DOCUMENT — No. 22. 15 

simply a hypnotic was indicated ; and a record of the cases, 
prepared by Dr. Copp, is here given, as follows : — 

Sulphonal has been administered 66 times, to 12 different per- 
sons affected with insomnia, resulting from mental disease except 
in one case, as follows : 7 cases of melancholia, 2 of mania, 1 of 
recurrent insanity, 1 of paresis, 1 of dipsomania. All were known 
to be obstinately wakeful, and to have resisted other hypnotics 
wholly or in part. Four of the cases were complicated by great 
excitement. 

Doses of 15, 30 and 45 grains were given, although 30 grains were 
usually found successful. An excellent hypnotic effect (5J-- 9 
hours) was obtained in six cases, a fairly good effect (4-5 hours) in 
3, an imperfect effect (1-3J- hours) in 3. Of the 66 doses, 44 (67 
per cent.) produced a good effect (4-9 hours), 17 (26 per cent.) 
produced an imperfect effect (l-3£ hours), and 5 (7 per cent.) 
produced no effect. Twenty-eight doses were administered to the 
four cases attended with great excitement. Of these, 13 (46 per 
cent.) produced a good effect, 10 (36 per cent.) an imperfect 
effect, and 5 (18 per cent.) no effect. Thirty-eight doses were 
administered to the quiet cases, or those attended with only mild 
excitement. Of these, 31 (82 per cent.) produced a good effect, 
7 (18 per cent.) an imperfect effect. 

Thus it is seen that all the failures occurred in the excited cases, 
where any hypnotic would have been likely to fail ; and that the 
percentage of success was almost twice as great in the quiet cases 
as in those excited. Sleep usually began in one-half to two hours 
after administration of sulphonal. No unfavorable after-effects 
were observed. 

. What has been said in former reports respecting the 
amount of exercise taken by the patients in the open air, 
employment, etc., has been equally true of the past year, 
and hardly needs to be repeated, as there has been no note- 
worthy change in this important feature of the hospital 
treatment. 

The cottage, which was opened for patients somewhat over 
a year ago, and has accommodations for four women with an 
attendant, has proved to be very successful, and all of the 
patients without exception who have occupied it have been 
outspoken in praise of its attractiveness, and the home 
atmosphere which pervades it ; one patient remarking, after 



16 TAUNTON LUNATIC HOSPITAL. [Oct. 

she had been there a few days, "It seems so much like 
home I have almost forgotten and can hardly realize I have 
spent three years in the hospital." So well pleased am I 
with the good results of this experiment, if the hospital had 
the means to do it, I should recommend building several 
more cottages on the farm. 

Improvements, Completed and Needed. 

Besides many general repairs and improvements, which 
have kept three carpenters and one mason employed most of 
the time, the piggery has been enlarged by extending it sixty 
feet. A gate house for the gate tender at the rear entrance 
has been built. The water-closets and bath-rooms in the 
extreme wings have been completed, and the remodelling of 
those of the middle wings commenced. New floors have 
been laid in two of the wards, and all of the exterior wood- 
work of all the buildings, and two of the wards, have been 
repainted. 

An appropriation of $5,500 will be needed to complete the 
remodelling of the bath-rooms and water-closets; $1,000 to 
lay new floors ; $2,000 to repair the steam-heating apparatus 
in three of the wings; $1,500 to build a shed for housing 
farming tools and storing vegetables ; and $5,000 for ordi- 
nary repairs, making $15,000 in all. The appropriation of 
$5,000 for ordinary repairs will need to be made annually 
while the present price of board for city and town patients 
continues. 

Finance. 
The apparent surplus September 30 was $12,095.10; de- 
ducting from this sum $5,383.40, the amount expended from 
the appropriation for ordinary repairs, which has heretofore 
been paid from the current income, and it would reduce the 
surplus to $6,711.70, which is $641.65 less than that of the 
preceding year. The inventory of supplies on hand is also 
less than that of one year ago ; hence it would seem evident 
that the hospital cannot pay its current expenses, at the 
present rate of board ($3.25 per week, including clothing 
and breakage) for State and town patients, and continue to 
give them the same fare and treatment which they have 



1889.] PUBLIC DOCUMENT — No. 22. 17 

heretofore received, and keep the buildings in good repair. 
It is to be regretted that the price of board was not raised 
by the last Legislature. The State should be willing, and 
no doubt its citizens in their private capacity are more than 
willing, to pay the cost of the support of its indigent insane 
at the hospitals on as liberal scale as they are now being 
cared for ; and I cannot think public sentiment would be 
satisfied with any less liberal treatment of this class than 
they are now receiving. The weekly cost for the past year 
has been $3.43, which is 18 cents more than has been received 
for the patients supported by the State and towns. The 
deficiency has been made up in part by the excess over cost 
which the private patients have paid ; they having paid, on 
the average, $3.80 per week. 

Separate Provision for the Chronic Insane. 
It is evident, to any one who has studied the subject of the 
increase of insanity in Massachusetts for the past ten years, 
in connection with the movement of population in the hospi- 
tals and asylums of the State during this period, that urgent 
necessity exists for the State to make additional provision 
for the care of its increasing number of insane. All of the 
hospitals and asylums are now full, and many of them are 
crowded beyond the point of comfort and safety to their 
inmates. In the report of the Board of Lunacy and Charity 
for 1888, the fact is stated that during the ten years from 
Oct. 1, 1878, to Oct. 1, 1888, the increase of the insane in 
all the State establishments was constant, and that the aver- 
age yearly increase was about 170. Of course the increase 
will be greater as the population of the State increases ; and 
I think it is fair to infer that the yearly increase for the 
ten years commencing with Oct. 1, 1888, will be not less 
than 200 ; and this, it must be borne in mind, is the expected 
increase in the establishments supported by the State, and 
does not include the increase outside of them. But this 
number is sufficiently large to indicate the urgent necessity 
of providing more buildings for the rapidly increasing num- 
ber of insane ; and, granting that more buildings must be 
built, the present seems a favorable time to consider what 
plan would be best for all classes that come under the care 



18 TAUNTON LUNATIC HOSPITAL. [Oct. 

of the State, the acute and curable cases as well as the chronic. 
It would seem that the time had now fully come when a 
new departure in the care of the insane should be taken by 
the State, and the fact recognized that the hospitals, which 
receive directly from their homes all of the recent and cur- 
able cases for treatment, should be relieved of the worst cases 
of the chronic class, which are now so greatly obstructing 
their legitimate work, — the restoration to reason of those 
capable of restoration. The hospitals have been built, at 
great expense to the State, as curative institutions, not less 
than five million dollars having been expended in their erec- 
tion ; and it would be a great mistake, from a purely finan- 
cial point of view, not to give them the best opportunities 
for accomplishing their legitimate work, of curing the curable. 
No one not acquainted with the hospitals can have any con- 
ception of their present unsuitable condition for the treat- 
ment of acute cases, by reason of their being crowded with 
the worst classes of chronic cases, that have been accumu- 
lating for years, under the policy of removing from the 
hospitals only those, or principally those, that can be cared 
for in almshouses and in private families. What wonder 
that the percentage of recoveries is not higher, and that 
some patients, after recovering in spite of their unfavorable 
surroundings, should have unpleasant recollections of the 
hospital? 

What, then, shall be done to provide for the yearly ac- 
cumulation of the chronic class, and to relieve the hospitals? 
Clearly, it seems to me, a State asylum for the chronic insane 
should be built, where all classes, and especially those that are 
now so greatly obstructing the work of the hospitals, can be 
cared for. Such an institution, if built on a plan capable of 
extension, as more room is needed, would be cheaper in the 
end than any other provision which would meet the demands 
of the case, and need not cost more than five hundred 
dollars per capita. It has been suggested that the present 
emergency could be met by erecting buildings on the grounds 
of some one or all of the present hospitals ; but it seems to 
me that this would be a step backward in the care of the 
insane. It would injure the hospitals as curative institutions, 
to accumulate more of the chronic class on their grounds ; 



1889.] PUBLIC DOCUMENT — No. 22. 19 

and a distinct institution for the chronic insane would be 
better for them, as provision could be made for a better 
classification than could be accomplished by annexes to 
any of the present hospitals. A new asylum could be 
built for as many classifications of its inmates as were desir- 
able. The buildings could be grouped about the grounds, 
and separate families extended indefinitely. Buildings could 
be erected adapted to any class, from the most violent and 
dangerous to the quiet and self-respecting, who could live in 
houses constructed much after the style of the modern farm- 
house or boarding-house. A farm or tract of land of not less 
than five hundred acres, — and it would be better if it were one 
thousand, — should be selected for the asylum in a location 
central to the four State hospitals, at Worcester, Taunton, 
Danvers and Westborough, as it would receive its patients 
mostly by transfers from those hospitals. If sufficient land 
suitable for the purpose could be secured, and the buildings 
were built on the segregate plan, there would be no reason 
why the number of patients in the institution should not be 
increased to fifteen hundred or two thousand ; and the cost 
of support of the inmates need not exceed $2.50 per week. 
By building an asylum after this plan, the hospitals would be 
relieved as curative institutions, by removing from them to 
the asylum the worst cases, as they accumulate. The chronic 
insane would be better cared for by being properly classified 
in buildings adapted to the needs of each class, and the State 
would save a large sum annually in the reduced cost of sup- 
porting the asylum, as compared with the hospitals. 

Acknowledgments. 
The editors of the " Daily Mercury" and of the " Old 
Colony Memorial " have sent their papers to the hospital free 
of charge, to whom thanks are due. Through the continued 
kindness of Hon. George Howland, Jr., of New Bedford, the 
" Friends Review" has been received another year. Oakes 
A. Ames, Esq., of North Easton, presented to the medical 
library of the hospital a valuable book, "The Insane in 
Foreign Countries," by William P. Letchworth, Esq., presi- 
dent of the New York State Board of Charities. Mrs. E. H. 
Shattuck gave to the library the " English Illustrated Maga- 



20 TAUNTON LUNATIC HOSPITAL. [Oct. 

zine" for one year, sixteen numbers of the "Outing," 
sixteen numbers of" Godey's Ladies' Book," one " Overland 
Monthly," and five bound books of stories. Mrs. Lawrence 
J. Pittman gave thirty-four novelettes, and two years of the 
"Century Magazine." The Taunton Lodge, I. O. G. T., 
Dramatic Club gave three entertainments in the chapel. The 
Oakland Dramatic Club and the Music Hall Orchestra each 
gave one excellent entertainment. Rev. H. B. Cady gave 
two instructive and highly interesting lectures, one on Scot- 
land and the other on Egypt, illustrated by the stereopticon, 
which greatly pleased and entertained the patients, and 
others who were present. Mr. John E. DeBlois, with the 
Taunton Harmonic Male Quartette, assisted by Miss Ella H. 
Root as reader, entertained the patients one evening in a 
most acceptable manner. Members of the Universalist 
Church of Taunton gave " Seven Old Maids of Lavender 
Town," which greatly amused and pleased the patients. The 
Bristol County Agricultural Society, as usual, gave the resi- 
dents of the hospital free admission to its grounds during the 
fair, and many of the inmates were sent to it, and seemed to 
enjoy it highly. The usual number and variety of weekly 
entertainments were given in the chapel, from October to 
May, besides several in the wards by the assistant physicians, 
and other members of the household. During July and 
August several picnics were given in the grove, and were 
greatly enjoyed by a large number. 

The hospital has recently suffered a great loss, in the 
death of one of the members of your Board, Dr. LeBaron 
Russell, who had been a trustee somewhat over twenty-five 
years. His broad and liberal ideas as to the proper care and 
treatment of the insane eminently fitted him for the duties 
of his office : and during the long period of his official con- 
nection with the hospital, he was thoroughly devoted to its 
interests, and active in his support of every measure which 
he believed to be promotive of its success. His kindly 
feelings and ready sympathy for the unfortunate, won the 
confidence of the patients, who were always glad to see him ; 
while his scholarly tastes, refined and gentlemanly bearing, 
which seemed to be .inborn, his bright humor and genial 
manner, rendered him a delightful companion, and always a 



1889.] PUBLIC DOCUMENT — No. 22. 21 

welcome visitor at the hospital. He will be greatly missed 
by all who have known him here ; but his memory will be 
most tenderly cherished by those who have known him best. 
Miss Carrie Somers resigned the position of supervisor in 
August last, after two years of faithful and efficient service ; 
and her place has not yet been tilled. No other change has 
occurred among the resident officers of the hospital, which I 
regard as fortunate. It again gives me pleasure to bear 
testimony to the faithful and efficient labor of those asso- 
ciated with me in the service of the institution. To the 
trustees, for their cordial support and the valuable aid they 
have rendered me, I am very grateful, 

JOHN P. BROWN, 

Superintendent. 



STATISTICAL TABLES. 



STATISTICAL TABLES — 1889. 



Table No. 1. 
General Statistics of the Year. 



Patients in hospital Oct. 1, 1888, . 
Admissions within the year, . 
Whole number of cases within the year, 
Discharges within the year, 
Viz. : as recovered, . 

much improved 

improved, . 

unimproved, 

not insane, 
Deaths, 

Patients remaining Sept. 30, 1889, . 

Viz. : supported as State patients, . 

town patients, . 

private patients, 

Number of different persons within the year, 

admitted, . 

recovered, . 
Daily average number of patients, 



Males. 


Females. 


314 


310 


109 


95 


423 


405 


115 


96 


26 


21 


18 


13 


13 


20 


21 


11 


11 


2 


26 


29 


308 


309 


60 


34 


221 


223 


27 


52 


422 


402 


109 


94 


26 


21 


319.75 


312.86 



624 

204 

828 

211 

47 

31 

33 

32 

13 

55 

617 

94 

444 

79 

824 

203 

47 

632.61 



Table No. 2. 
Monthly Admissions, Discharges and Averages. 











Discharges 


Daily Average of 


Patients 




AlMIS 






















(including Deaths). 


in the House. 


MONTHS. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


1888. 




















October, 


8 


13 


21 


10 


8 


18 


311.94 


312.48 


624.42 


November, . 


11 


7 


18 


10 


2 


12 


313.03 


316.96 


629.99 


December, . 


8 


9 


17 


5 


8 


13 


314.29 


318.51 


632.80 


1889. 




















January, 


11 


4 


15 


5 


9 


14 


318.74 


319.19 


637.93 


February, . 


8 


4 


12 


3 


5 


8 


324.36 


315.14 


639.50 


March, . 


7 


4 


11 


7 


8 


15 


327.00 


312.29 


639.29 


April, . 


6 


9 


15 


6 


11 


17 


328.07 


309 66 


637.73 


May, . 


10 


12 


22 


11 


7 


18 


324.19 


310.06 


634.25 


June, . 


7 


10 


17 


9 


9 


18 


323.60 


313.00 


636.60 


July, . . . 


15 


12 


27 


14 


12 


26 


324.22 


310.22 


634.44 


August, 


11 


4 


15 


20 


11 


31 


318.61 


309.35 


627.96 


September, . 


7 


7 


14 


15 


6 


21 


309.33 


307.46 


616.79 


Total cases, 


109 


95 


204 


115 


96 


211 


319.75 


312.86 


632.61 


Total persons, . 


109 


94 


203 


115 


95 


210 


- 


- 


- 



26 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 3. 
Received on First and Subsequent Admissions. 





Cases Admitted. 


Times Previously 
Recovered. 


NUMBER OF THE ADMISSION. 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 

Second, 

Third, . . ' ., 

Fourth, 


90 

17 

1 

1 


70 

19 

4 

2 


160 

36 
5 
3 


4 
1 
3 


5 
3 


9 
4 
3 


Total of cases, 
Total of persons, . 


109 
109 


95 

94 


204 
203 


8 
6 


8 
7 


16 
13 



Table No. 4. 
Ages of Persons Admitted for the First Time. 







At First Attack op 
Insanity. 


When Admitted. 


AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Fifteen years and less, . 


2 


_ 


2 


1 


_ 


1 


From 15 to 20 years, 




6 


1 


7 


2 


1 


3 


20 to 25 years, 




6 


10 


16 


8 


6 


14 


25 to 30 years, 




10 


11 


21 


10 


12 


22 


30 to 35 years, 




8 


10 


18 


12 


9 


21 


35 to 40 years, 




16 


9 


25 


12 


10 


22 


40 to 50 years, 




17 


15 


32 


24 


15 


39 


50 to 60 years, 




10 


6 


16 


11 


11 


22 


60 to 70 years, 




4 


2 


6 


5 


4 


9 


70 to 80 years, 




2 


1 


3 


4 


1 


5 


Over 80 years, 




1 


1 


2 


1 


1 


2 


Unknown, 




8 


4 


12 


- 


- 


- 


Totals, . 


90 


70 


160 


90 


70 


160 



1889.] 



PUBLIC DOCUMENT — No. 22. 



27 



Table No. 5. 
Parentage of Persons Admitted. 







Males. 


Females. 


Total. 


PLACES. 
















Fathers. 


Mothers. 


Fathers. 


Mothers. 


Fathers. 


Mothers. 


Maine, . 




7 


7 


5 


5 


12 


12 


New Hampshire, 




2 


3 


- 


- 


2 


3 


Vermont, 




1 


- 


- 


- 


1 


- 


Massachusetts, . 




33 


33 


26 


27 


59 


60 


Rhode Island, 




3 


2 


5 


4 


8 


6 


Connecticut, 




1 


3 


- 


- 


1 


3 


New York, . 




1 


1 


- 


- 


1 


1 


New Jersey, 




- 


1 


- 


- 


- 


1 


Dominion of Canada, 




7 


8 


6 


6 


13 


14 


Western Islands, 




2 


2 


2 


2 


4 


4 


England, 




7 


5 


8 


9 


15 


14 


Scotland, 




5 


3 


2 


3 


7 


6 


Ireland, 




34 


35 


30 


28 


64 


63 


Germany, . 




1 


1 


1 


1 


2 


2 


Austria, 




- 


- 


1 


1 


1 


1 


Unknown, . 




5 


5 


8 


8 


13 


13 


Totals, . 


109 


109 


94 


94 


203 


203 



28 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 6. 
Residence of Persons Admitted. 



Totals. 



Bristol County, 
Plymouth County, 
Norfolk County, . 
Barnstable County, 
Suffolk County, . 
Middlesex County, 
Worcester County, 
Dukes County, 

Totals, . 
Cities or large towns, 
Country districts, . 



54 

26 

20 

4 

5 



109 
70 
39 



47 
17 
15 
8 
4 
1 
1 
1 



94 
59 
35 



101 

43 

35 

12 

9 

1 

1 

1 



203 

129 

74 



Table No. 7. 
Civil Condition of Persons Admitted. 



NUMBER OF THE 


Unmarried. 


Married. 


Widowed. 


Unknown. 


ADMISSION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 


37 


23 


60 


45 


36 


81 


8 


10 


18 


- 


- 


- 


Second, . 


8 


11 


19 


8 


6 


14 


1 


2 


3 


- 


- 


- 


Third, 


- 


1 


1 


1 


2 


3 


- 


1 


1 


- 


- 


- 


Fourth, . 


1 


1 


2 


- 


- 


- 


- 


1 


1 


- 


- 


- 


Totals, 


46 


36 


82 


54 


44 


98 


9 


14 


23 


- 


- 


- 



1889.] 



PUBLIC DOCUMENT — No. 22. 



29 



Table No. 8. 
Occupation of Persons Admitted. 



Agents, 


2 


Mill operatives, . . , 


9 


Barbers, 






2 


Minister, 




1 


Bartender, . 






1 


Moulders, . 




2 


Boiler makers, 






2 


No occupation, . 




6 


Book-keepers, 






2 


Painters, 




2 


Blacksmith, . 






1 


Printers, 




2 


Brick maker, 






1 


Peddlers, 




3 


Brick masons, 






3 


Policeman, . 




1 


Butcher, 






1 


Sailors, 




2 


Carpenters, 








4 


Shoemakers, 




14 


Clerk, . 








1 


Stone cutter, 




1 


Cook, . 








1 


Stone polisher, . 




1 


Druggist, 








1 


Stove maker, 




1 


Farmers, 








6 


Tin plate worker, 




1 


Fireman, 








1 


Teamster, . 




1 


Jeweller, 
Laborers, 








1 
26 












Total, .... 


109 


Machinists, 








6 







Cooks, 


2 


Spinner, .... 


1 


Domestics, . . . 


11 


Seamstresses, 


2 


Dressmaker, .... 


1 


Speeder tenders, . 


2 


Laundresses, .... 


2 


School teacher, . 


1 


Nurse, 


1 


Tailoress, .... 


1 


No occupation, 


5 


Weavers, .... 


8 


Spooler, .... 


1 







30 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Occupation of Persons Admitted — Concluded. 



WIFE OR DAUGHTER OF 



Barber, 


1 


Policeman, .... 


1 


Clerk, . 




1 


Rope maker, 






1 


Coachman, . 




1 


Rigger, 






1 


Clergyman, . 




1 


Stone mason, 






1 


Carpenter, 




6 


Shoemaker, . 






3 


Farmer, 




7 


Sail maker, . 






1 


Horse-car conductor, 




1 


Trader, 






2 


Laborer, 




14 


Weaver, 






1 


Loom fixer, . 




1 


Watchman, . 






1 


Machinist, 

Mariner, 

Overseer, 




4 
4 
1 


Wheelwright, 






1 




Total, .... 


94 


Printer, . 




1 







Table No. 9. 
Reported Duration of Insanity before Last Admission. 





First 


Admission to 


All Other Admis- 




Totals 






ANT 


Hospital. 




SIONS. 








PREVIOUS DURATION. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 




















Under 1 month, 


20 


17 


37 


3 


3 


6 


23 


20 


43 


From 1 to 3 months, 


15 


5 


20 


2 


4 


6 


17 


9 


26 


3 to 6 months, 


4 


7 


11 


1 


1 


2 


5 


8 


13 


6 to 12 months, 


10 


11 


21 


1 


2 


3 


11 


13 


24 


1 to 2 years, . 


11 


3 


14 


1 


2 


3 


12 


5 


17 


2 to 5 years, . 


10 


15 


25 


7 


6 


13 


17 


21 


38 


5 to 10 years, . 


4 


1 


5 


2 


5 


7 


6 


6 


12 


10 to 20 years, . 


4 


1 


5 


2 


5 


7 


6 


6 


12 


Over 20 years, . 


1 


1 


2 


1 


2 


3 


2 


3 


5 


Unknown, . 


7 


2 


9 
149 


3 
23 


2 


5 


10 


4 


14 


Total of cases, 


86 


63 


32 


55 


109 


95 


204 


Total of persons, . 


86 


63 


149 


23 


32 


55 


109 


94 


203 



1889.] 



PUBLIC DOCUMENT — No. 22. 



31 



Table No. 10. 
Form of the Disease in the Cases Admitted. 



FORM OF DISEASE. 


Males. 


Females. 


Totals. 


Mania, acute, 










17 


23 


40 


chronic, 










20 


38 


58 


Melancholia, acute," 










14 


12 


26 


chronic, 










16 


8 


24 


Dementia, chronic, 










3 


3 


6 


Paresis, 










10 


8 


18 


Organic brain -disease, 










3 


- 


3 


Epileptic insanity, 










4 


- 


4 


Paralytic insanity, 










3 


- 


3 


Senile insanity, 










3 


2 


5 


Alcoholism, acute, . 










6 


- 


6 


Dipsomania, . 










7 


1 


8 


Habitual druukard, 










1 


- 


1 


Delirium, acute, . 










1 


- 


1 


Not insane, . 










1 


- 


1 


Total of cases, 


109 


95 


204 


Total of persons, 










109 


94 


203 



32 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 11. 
Probable Causes of Insanity in Persons Admitted. 



CAUSES. 


Males. 


Females. 


Totals. 


Physt 


cal. 








Alcohol, 




— 


1 


1 


Child-birth, . 








- 


6 


6 


Dissipation, . 








- 


2 


2 


Epilepsy, 








5 


- 


5 


Erysipelas, . 








- 


1 


1 


Injury to head, 








4 


- 


4 


Injury to spine, 








1 


- 


1 


Indigestion, . 








1 


- 


1 


Intemperance, 








28 


3 


31 


Menopause, . 








- 


5 


5 


Masturbation, 








3 


2 


5 


Nervous prostratic 


n, 






- 


■ 1 


1 


Paralysis, 








1 


- 


1 


Pregnancy, . 








- 


1 


1 


Senility, 








3 


3 


6 


Sickness, 








2 


- 


2 


Sunstroke, 








7 


_ 


7 


Syphilis, 








4 


- 


4 


Typhoid fever, 








1 


- 


1 


Uterine disease, 








_ 


2 


2 


Uterine disturbance, 






- 


1 


1 


Moral. 








Anxiety, 


1 


- 


1 


Business troubles, 






2 


_ 


2 


Christian science, . 






- 


1 


1 


Disappointment, . 






1 


3 


4 


Despondency, 






1 


- 


1 


Death of sister, 






- 


2 


2 


betrothed, 






1 


- 


1 


children, 






1 


_ 


1 


Fright, . 






_ 


1 


1 


Family trouble, 






- 


5 


5 


Grief, . 






1 


- 


1 


Religious excitement, . 






2 


4 


6 


Predisposing. 








Heredity, 


14 


12 


26 


Previous attacks, 


7 


8 


15 


Unknown, 


18 


31 


49 


Totals, . 








109 


95 


204 



1889.] 



PUBLIC DOCUMENT — No. 22. 



33 



Table No. 12. 
Relation to Hospitals of Persons Admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


First admission to any hospital for insane, . 


86 


64 


150 


Former inmates of this hospital, .... 


16 


19 


35 


Former inmates of other hospitals in this State, . 


3 


4 


7 


Former inmates of hospitals in other States, . 

Former inmates of this hospital and of others in 
this State, 


1 
2 


2 

5 


3 

7 


Former inmates of this hospital and of hospitals 
in other States, 


- 


1 


1 


Former inmates of this hospital and of hospitals 
in foreign countries, ...... 


1 


- 


1 


Total of cases, 


109 


95 


204 


Total of persons, 


109 


94 


203 



Table No. 13. 
How Supported. 





Patients Admitted. 


SUPPORTED AS 


Males. 


Females. 


Totals. 


State patients, 

Town patients, 

Private patients, . . . . 


37 

63 

9 


23 
58 
14 


60 
121 

23 


Totals, 


109 


95 


204 



34 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 








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1889.] 



PUBLIC DOCUMENT — No. 22. 



Table No. 15. 
Cases Discharged Recovered. — Duration. 





Duration before 
Admission. 


Hospital 
Residence. 


Whole Duration 
from the Attack. 


PERIOD. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 
Under 1 month, . 
From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, . 

2 to 5 years, . 
5 to 10 years, . 

10 to 20 years, . 

Unknown, . 


13 
8 
2 
1 
1 

1 


7 
2 
4 
4 
2 
2 

21 
21 

5.78 


20 
10 

6 

5 

3 

2 

1 

47 
47 

3.58 


3 
15 
4 
2 
1 
1 

26 
26 

5.54 


6 

7 
3 
4 
1 

21 

21 

8.13 


3 

21 
11 

5 
5 

2 

47 
47 

6.72 


13 
6 

2 
3 

1 

1 

26 
26 

7.40 


2 
4 

6 
6 
3 


15 

10 
8 
9 
3 

1 

1 


Total of eases, 
Total of persons, . 

Average of known 
cases (in months) , . 


26 
26 

1.74 


21 
21 

12.34 


47 
47 

9.66 



Table No. 16. 

Cases Resulting in Death. — Duration. 





Duration before 


Hospital 


Whole Duration 




Admission. 


Residence. 


from 


the Attack. 


PERIOD. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 




















Under 1 month, 


2 


3 


5 


— 


3 


3 


— 


1 


1 


From 1 to 3 months 


5 


3 


8 


4 


2 


6 1 


1 


1 


2 


3 to 6 months 


- 


2 


2 


1 


2 


3 


- 


- 


- 


6 to 12 months 


4 


9 


13 


3 


3 


6 


3 


5 


8 


1 to 2 years, 


3 


3 


6 


6 


4 


10 


3 


3 


6 


• 2 to 5 years, 


6 


4 


10 


6 


7 


13 


8 


4 


12 


5 to 10 years, 


1 


- 


1 


4 


6 


10 


5 


8 


13 


10 to 20 years, 


2 


4 


6 


2 


1 


3 


2 


4 


6 


Over 20 years, . 


2 


1 


3 


- 


1 


1 


3 


3 


6 


Unknown, . 


1 


- 


1 


- 


- 


- 


1 


- 


• 1 


Total of cases, 


26 


29 


55 


26 


29 


55 


26 


29 


55 


Average of knowr 


L 


















cases (in months), 


55.12 


41.13 


47.47 


33.85 


45.54 


40.01 


90.81 


86.67 


88.65 



36 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 17. 
Cases Discharged by Recovery or Death. — Form of Insanity. 









Recoveries. 


Deaths. 


FORM OF INSANITY. 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Mania, acute, 

chronic, 
Melancholia, acute, 

chronic, 
Dementia, chronic, 
Paresis, . 

Organic brain disease, 
Senile insanity, 
Recurrent insanity, 
Paralytic insanity, 
Epileptic insanity, 
Puerperal insanity, 
Alcoholism, acute, 






10 
2 

7 

1 
6 


12 
4 
4 
1 


22 

6 

11 

1 

1 

6 


1 

3 
1 
3 
1 
6 
3 
5 
1 
1 
1 


2 

16 

1 

1 

3 
1 
3 

1 

1 


3 

19 
2 
4 
1 
9 
4 
8 
1 
1 
2 
1 


Total of cases, 
Total of persons, 


26 
26 


21 

21 


47 
47 


26 


29 


55 



Table No. 18. 
Causes of Death. 



CAUSES. 


Males. 


Females. 


Totals. 


Mania, acute, ........ 




1 


1 


chronic, 














- 


9 


9 


Melancholia, acute, . 














- 


1 


1 


chronic, 














- 


1 


1 


Paresis, . 














5 


3 


8 


Organic brain disease, 
Apoplexy, 
Epileptic insanity, . 
Paralytic insanity, . 
Senile insanity, 
Old age, . 
Phthisis, . 














3 
2 
1 
1 

5 
2 
4 


1 

1 
1 

1 

6 


4 
3 

2 
1 
6 
2 
10 


Valvular disease of hean 














- 


2 


2 


Gastritis, . 














- 


1 


1 


Diarrhoea, acute, 














1 


1 


2 


Dysentery, 
Typhoid i'ever, 














1 
1 


-. 


1 
1 
















26 


29 


55 



1889.] 



PUBLIC DOCUMENT — No. 22. 



37 



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38 



TAUNTON LUNATIC HOSPITAL. [Oct. 



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1889.] 



PUBLIC DOCUMENT— No. 22. 



39 



Table No. 21. 
Deaths, Classified by Duration of Insanity and of Treatment. 





Duration of Insanity. 


Whole Known Period of 
Hospital Residence. 


PERIOD. 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Congenital, .... 

Under 1 month, 

From 1 to 3 months, . 

3 to 6 months, . 

6 to 12 months, . 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
Over 20 years, 
Unknown, .... 


1 

3 
3 
8 
5 
1 
4 
1 


1 

1 

4 
3 
5 
8 
4 
3 


1 

2 

7 
6 

13 

13 

5 

7 

1 


4 
3 
1 
6 
6 
4 
1 
1 


3 

2 
2 
2 
4 
8 
6 
1 

I 


3 

6 

5 

3 

10 

14 

10 

2 

2 


Total of cases, 
Average of known cases (in 
months), .... 


26 
95.76 


29 
86.67 


55 
90.79 


26 29 
45.36 J41.19 


55 
45.80 



Table No. 22. 
Ages of Those who Died. 





At Time 


of First 


Attack. 


At Time of Death. 


AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Fifteen years and less, . 




1 


1 








From 15 to 20 years, 




1 


- 


1 


- 


- 


- 


20 to 25 years, 




- 


1 


1 


1 


- 


1 


25 to 30 years, 




3 


5 


8 


1 


4 


5 


30 to 35 years, 




1 


1 


2 


2 


1 


3 


35 to 40 years, 




4 


3 


7 


2 


o 


5 


40 to 50 years, 




4 


9 


13 


5 


6 


11 


50 to 60 years, 




5 


2 


7 


5 


6 


11 


60 to 70 years, 




6 


5 


11 


1 


4 


5 


70 to 80 years, 




1 


2 


3 


8 





13 


Over 80 years, 




- 


- 


- 


1 


- 


1 


Unknown, 




1 


- 


1 


- 


- 


- 


Totals, . 




26 


29 


55 


26 


29 


55 



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1889. 



PUBLIC DOCUMENT — No. 22. 



41 



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1889.] PUBLIC DOCUMENT — No. 22. 



43 



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1889.] PUBLIC DOCUMENT— No. 22, 



45 



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1889.] 



PUBLIC DOCUMENT — No. 22. 



47 



Table No. 26. 
Showing the Results of First Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of persons on first 














admissions, 


- 


- 


- 


4,483 


4,158 


8,641 


Discharged recovered, . 


1,222 


1,105 


2,327 


- ' 


- 


- 


much improved, 


88 


107 


195 


- 


- 


- 


improved, . 


959 


1,012 


1,971 


- 


- 


- 


unimproved, 


979 


892 


1,871 


- 


- 


- 


not insane, . 


24 


7 


31 


- 


- 


- 


Died, .... 


894 


808 


1,702 


- 


- 


- 


Eloped, .... 


96 


7 


103 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1889, . 


221 


220 


441 


4,483 


4,158 


8,641 



Showing the Results of Readmissions. 



Number of readmissions, 








1,061 


944 


2,005 


Discharged recovered, . 


296 


299 


595 


- 


- 


- 


much improved, . 


39 


28 


67 


- 


- 


- 


improved, . 


253 


250 


503 


- 


- 


- 


unimproved, 


213 


193 


406 


- 


- 


- 


not insane, . 


1 


2 


3 


- 


- 


- 


Died, 


132 


79 


211 


- 


- 


- 


Eloped, . . 


40 


4 


44 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1889, . 


87 


89 


176 


1,061 


944 


2,005 



Showing the Results of Second Admissions. 




Number of second admis- 














sions, 


- 


- 


- 


721 


650 


1,371 


Discharged recovered, . 


179 


194 


376 


- 


- 


- 


much improved, . 


25 


13 


38 


- 


- 


- 


improved, . 


168 


159 


327 


- 


- 


- 


unimproved, 


160 


152 


312 


- 


- 


- 


not insane, . 


— 


2 


2 


— 


— 


- 


Died, 


96 


62 


158 


- i 


- 


- 


Eloped, 


33 


3 


36 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1889, . 


60 


65 


125 


721 


650 


1,371 



48 



TAUNTON LUNATIC HOSPITAL. 



[Oct 



Showing the Results of Third Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of third admissions, 








187 


170 


357 


Discharged recovered, . 


53 


60 


113 


- 


- 


- 


much improved, . 
improved, . 
unimproved, 
Died, 


7 
50 
39 
24 


6 
48 
32 
11 


13 

98 
71 
35 


- 


- 


- 


Eloped, 

Remaining in the hospital 
Sept. 30, 1889, . 


3 
11 


13 


3 

24 


187 


170 


357 



Showing the Results of Fourth Admissions. 



Number of fourth admis- 














sions, .... 


_ 


_ 


- 


75 


70 


145 


Discharged recovered, . 


24 


27 


51 


- 


- 


- 


much improved, 


3 


3 


6 


- 


- 


- 


improved, . 


23 


22 


45 


- 


- 


- 


unimproved, 


9 


7 


16 


- 


- 


- 


not insane, . 


1 


— 


1 


— 


— 


— 


Died, .... 


6 


4 


10 


_ 


- 


- 


Eloped, . . 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1889, . 


8 


7 


15 


75 


70 


145 



Showing the Results of Fifth Admissions. 



Number of fifth admissions, 








31 


23 


54 


Discharged recovered, . 

much improved, . 


11 


8 
3 


19 
3 


- 


- 


- 


improved, . 
unimproved, 
Died, 


7 
4 
2 


8 
2 
1 


15 
6 
3 


- 


- 


- 


Eloped, 

Remaining in the hospital 
Sept. 30, 1889, . 


3 

4 


1 


3 

5 


31 


23 


54 



1889.] 



PUBLIC DOCUMENT — No. 22. 



49 



Showing the Results of Sixth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of sixth admissions, 








17 


17 


34 


Discharged recovered, . 


8 


6 


14 


- 


- 


- 


much improved, . 


2 


1 


3 


- 


- 


- 


improved, . 


2 


8 


10 


- 


- 


- 


unimproved, 


1 


1 


2 


- 


- 


- 


Died, 


2 


- 


2 


- 


- 


- 


Eloped, 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1889, . 


1 


1 


2 


17 


17 


34 



Showing the Results of Seventh Admissions. 



Number of seventh admis- 














sions, 


- 


- 


- 


11 


10 


21 


Discharged recovered, . 

much improved, . 


5 
1 


1 
1 


6 

2 


- 


- 


- 


improved, . 
unimpi'oved, 
Died, 


2 
1 


3 

1 


5 
1 
1 


- 


- 


- 


Remaining in the hospital 
Sept. 30, 1889, . 


2 


4 


6 


11 


10 


21 



Showing the Results of Eighth Admissions. 



Number of eighth admis- 














sions, 


- 


- 


- 


5 


5 


10 


Discharged recovered, . 


3 


2 


5 


- 


- 


- 


much improved, . 


- 


1 


1 


- 


- 


- 


improved, . 


1 


2 


3 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1889, . 


1 


— 


1 


5 


5 


10 



Showing the Residts of Ninth Admissions. 



Number of ninth admissions, 
Discharged recovered, . 

much improved, . 









3 


1 


2 


1 


3 


- 


- 


1 


— 


1 


3 


1 



50 



TAUNTON LUNATIC HOSPITAL. [Oct. 



Showing the Results of Tenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of tenth admissions, 
Discharged recovered, . 
Died, 


3 
1 


1 


3 
2 


4 
4 


1 
1 


5 

5 



Showing the Results of Eleventh Admissions. 



Number of eleventh admis- 
sions, 

Discharged i*ecovered, . 



1 
1-11- 



Showing the Results of Twelfth Admissions. 



Number of twelfth admis- 
sions, ..... 
Discharged recovered, . 



1 


- 


1 


1 
1 


- 



Showing the Results .of Thirteenth Admissions. 



Number of thirteenth admis- 
sions, 1 1 

Discharged recovered, 1 11 1 









1 




1 


- 


1 


1 


- 



Showing the Results of Fourteenth Admissions. 



Number of fourteenth admis- 
sions, 

Discharged recovered, . 



1 
1-11- 



Showing the Results of Fifteenth Admissions. 



Number of fifteenth admis- 
sions, 

Discharged recovered, . 



1 


- 


1 


1 
1 


- 



1889.] PUBLIC DOCUMENT — No. 22. 



51 



Showing the Results of Sixteenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of sixteenth admis- 
sions, ..... 
Discharged recovered, . 


1 


- 


1 


1 
1 


- 


1 
1 



Shoiving the Results of Seventeenth Admissions. 



Number of seventeenth ad- 
missions, . 
Discharged recovered, . 



1-11- 



Showing the Residts of Eighteenth Admissions. 



Number of eighteenth ad- 
missions, . . . . 
Discharged recovered, . 









1 




1 


- 


1 


1 


- 



52 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



e 



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Grand 
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1-HC-ltMi-IO^i-ll-ltMl-Hi-ltMtMrH 


NEW CASES HERE, BOT 
PREVIOUSLY BEEN 
IN OTHER HOS- 
PITALS. 


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CO 2 

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YEARS 
ENDING 
SEPT. 30. 






* «3 (O N 00 ffi O h N CO « 15 (O S » O) 
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cocx>oooococooooooocxioocx)c»oooooo 



1889.] 



PUBLIC DOCUMENT — No. 22. 



53 









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54 



TAUNTON LUNATIC HOSPITAL. [Oct. 






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56 



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1889.] 



PUBLIC DOCUMENT— No. 22. 



57 



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1889.] PUBLIC DOCUMENT— No. 22. 61 

I I CO I I I I <M I I I <N i-H I I IMH I I lO) I |(M|rH| I 



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1889.] PUBLIC DOCUMENT — No. 22. 63 

NBHH I I I I I I I'M IN |H |H |ri I !■ I I I I' i 

I' 1 I t I I I ■ -i — I III I I 1 .1 I I I I rd I iH I I I I 

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64 



TAUNTON LUNATIC HOSPITAL. [Oct. 



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1889.] PUBLIC DOCUMENT — No. #22. 



65 



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66 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



INVENTORY OF STOCK AND SUPPLIES 

On Hand Sept. 30, 1889. 



Live stock on the farm, . 

Produce of the farm on hand, . 

Carriages and agricultural implements, 

Machinery and mechanical fixtures, 

Beds and bedding in inmates' department, 

Other furniture in inmates' department, 

Personal property of the State in the superintendent 

partment, 
Dry goods, 

Provisions and groceries, 
Drugs and medicines, 

Fuel 

Library, .... 
Other supplies undistributed, 



s de 



$5,510 


00 


3,002 00 


3,724 


38 


37,000 00 


17,511 


25 


8,117 


37 


11,105 


42 


4,158 


18 


1,507 


77 


600 00 


4,500 00 


600 00 


1,697 


15 



),033 52 



1889.] 



PUBLIC DOCUMENT — No. 22. 



67 



TREASURER'S REPORT. 



I respectfully submit the following report of the finances 
of this institution for the year ending Sept. 30, 1889, to the 
trustees : — 



Assets. 



140 acres of land, . 
Hospital building, . 
Brick barn and stable, 
New barn, 
Laundry building, . 
Other buildings and wall, 



$34,800 00 
275,000 00 
8,000 00 
5,000 00 
8,000 00 
7,000 00 



Personal Estate. 
Stock and supplies on hand, as per inventory appended to 
the trustees' report, 



Receipts. 
Received from the State treasurer, 

from towns, .... 
from individuals, . 
from other sources, 

Payments. 
Cash due the treasurer, Sept. 30, 1888, 

1. Salaries, wages and labor, 

2. Provisions and supplies, etc. : — 

Meats of all kinds, 
Fish of all kinds, . 
Fruit and vegetables, . 
Flour and bread, . 
Grain and meal for table, 
Grain and meal for stock, 
Tea, coffee and broma, 
Sugar and molasses, . 
Butter and cheese, 
Other groceries, . 



$337,800 00 



99,033 52 



Amount carried forward, 





$436,833 52 


$18,441 69 

77,340 79 

16,193 72 

947 17 


$112,923 37 






$425 32 
35,889 14 


$8,426 46 
1,979 24 




1,784 29 

5,913 95 

496 70 




4,091 31 
1,962 97 
3,802 33 
6,061 73 
4,548 95 


39,067 93 




. 


$75,332 39 



68 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Amount brought forward, 

3. Clothing, 

4. Fuel and light, 

5. Medicines and medical supplies, 

6. Furniture, beds and bedding, . 

7. Transportation, 

8. Ordinary construction and repairs, 

9. Extraordinary construction and repairs, 

10. Miscellaneous expenses, . 

11. Loans, 



Liabilities. 

Salaries and wages due Oct. 1, 1889, . 



Loans, . 
Miscellaneous bills due, 



Resources. 
Cash on hand Oct. 1, 1889, . 
Due the institution for board Oct. 1, 1889 : 
From towns, ..... 

State, 

individuals, .... 



Summary. 



Total receipts, 
Total payments, 



$75,382 39 



Total debts due the institution, 
Total liabilities, 



Total expenditures, 

Dividing this sum by 633, the average number of patients, 
we have the annual cost of each patient, .... 
And the average weekly cost of . . . . . 



2,188 


67 


11,885 


90 


1,013 58 


4,007 


01 


587 


30 


3,496 


69 


863 89 


7,990 93 


5,500 00 


$112,916 36 


$3,095 


9G 


2,500 


00 


10,564 


18 


$16,160 14 


$7 


01 


19,437 


43 


4,189 


35 


4,621 


45 


$28,255 24 


$112,923 


37 


112,916 


36 


$7 


01 


$28,255 24 


16,160 


14 


$12,095 


10 


$112,916 


30 


178 


38 


3 


43 



JOHN KITTREDGE, 

Treasurer. 



Taunton, Sept. 30, 1889. 



Taunton Lunatic Hospital, Nov. 1, 1889. 
The undersigned, a committee for the purpose, has examined the foregoing state- 
ment of the treasurer, compared the items with the vouchers, and finds it correct. 

GEO. HOWLAND, Jr. 



1889.] PUBLIC DOCUMENT — No. 22. 69 



FINANCIAL STATEMENT. 



Of the appropriation made by the Legislature of 1888 for 
the purpose of building a new pump house, for changes of 
water-closets and bath-rooms, for new floors, for building 
certain partitions, that a part of the wards may be set apart 
on the male and female sides for hospital purposes, and to 
provide suitable and adequate heating and ventilating appa- 
ratus for the same : — 

Amount of appropriation, $10,500 00 

Drawn to Sept. 30, 1888, .... $4,000 00 

Since drawn, viz. : — 
For change of water-closets and bath-rooms, 5,500 00 

For new floors,' 1,000 00 



$10,500 00 



JOHN KITTREDGE, 

Treasurers 
Taunton, Sept. 30, 1889. 



Of the appropriation made by the Legislature of 1889 for 
the following purposes, to wit : For continuing the work 
on the water-closets, for building a gate house at the rear 
entrance, for enlarging the piggery, for painting the wood- 
work, for ordinary repairs : — 

Amount of appropriation, ....... f 16,000 00 

Drawn to date, viz. : — 
For building gate house, .... $500 00 

For enlarging the piggery, .... 1,500 00 

For painting the woodwork, .... 1,370 88 

For ordinary repairs, 5,383 40 

8,754 28 



Balance of appropriation, $7,245 72 



Taunton, Sept. 30, 1889. 



JOHN KITTREDGE, 

Treasurer. 



70 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



FINANCIAL STATEMENT. 



Of the appropriation made by the Legislature of 1889, 
for the purchase of real estate : — 

Amount of appropriation, $1,800 00 

Drawn to date . 1,000 00 

Balance of appropriation, $800 00 

JOHN KITTREDGE, 

Treasurer. 
Taunton, Sept. 30, 1889. 



OFFICERS AND THEIR SALARIES. 



John P. Brown, M.D., superintendent, . 
Marcello Hutchinson, M.D., assistant physician, 
Owen Copp, M.D., assistant physician, 
Charles A. Drew, M.D., assistant physician, 
Alice Rogers, M.D., assistant physician, 
John Kittredge, treasurer and clerk, 
Rufus D. Godding, engineer, 







$2,500 00 






1,500 00 






1,000 00 






900 00 






700 00 






1,200 00 






1,100 00 



1889.] 



PUBLIC DOCUMENT — No. 22. 



71 



TRUSTEES 

Of the Taunton Lunatic Hospital. 



When 
Appoint- 
ed. 



Service 
ended. 



From what Cause. 



* Marcus Morton, . 

* William Sutton, . 
Charles Edward Cook, 

* George R. Russell, 

* George A. Crocker, 

* Charles R. Vickery, 
George Howland, Jr., 

* Menzies R. Randall, 

* James W. Sever, . 

* Charles Edward Cook, 
John M. Kinney, . 

* Charles R. Atwood, 

* Oliver Ames, 

* Le Baron Russell, 
Simeon Borden, . 
William C. Lovering, 

* Samuel L. Crocker, 
Oakes A. Ames, . 
Mrs. Ruth S. Murray, 
Mrs. Grace S. Bartlett, 
John J. Russell, . 



Taunton, 
Danvers, 
Boston, . 
Roxbury, 
Taunton, 
Taunton, 
New Bedford, 
Rehoboth, 
Boston, . 
Boston,. 
Wareham, . 
Taunton, 
No. Easton, . 
Boston, . 
Fall River, . 
Taunton, 
Taunton, 
No. Easton, . 
New Bedford, 
Taunton, 
Plymouth, . 



1853 
1853 
1853 
1853 
1853 
1854 
1855 
1856 
1857 
1858 
1858 
1861 
1862 
1864 
1873 
1877 
1878 
1883 
1884 
1884 
1889 



1854, 
1856, 
1857, 
1858, 
1861, 
1855, 

1862, 
1858, 
1873, 
1864, 
1877, 
1877, 
1889, 



1883, 



Resigned. 
Term expired. 
Term expired. 
Term expired. 
Resigned. 
Term expired. 
Still in office. 
Term expired. 
Removed. 
Term expired. 
Term expired. 
Died in office. 
Died in office. 
Died in office. 
Still in office. 
Still in office. 
Died in office. 
Still in office. 
Still in office. 
Still in office. 
Still in office. 



* Deceased. 



72 TAUNTON LUNATIC HOSPITAL. [Oct. '89. 



PRODUCTS OF THE FARM, 

Oct. 1, 1888, to Oct. 1, 1889. 



149,047 quarts of milk, at 4| cents, 

1 bull sold for beef, . 

2 pairs oxen sold for beef, 
115J pounds chicken, 
7 beef cows sold, 
5,071 pounds beef, 
Hide and tallow, 
Calves sold, 
31,667 pounds of pork, 
794| dozen eggs, 
Small onions, 
Pigs sold, . 
461 heads cabbage, . 
10,035 ears corn, 
142 squash, 
103 bushels pease, 

49 pounds hide, . 
1\ bushels turnips, . 
1,175 heads celery, 
272^ bushels tomatoes, 
40J bushels beets, 
12>\ bushels lima beans, 

6 bushels peppers, 
45 bushels cucumbers, 
451 bushels shelled beans, 
Cress, 

694 heads lettuce, 
37| bushels string beans, 
391 summer squash, . 
6| bushels spinach, . 

7 bushels pease, 
32 bushels beet greens, 
75 tons hay, 

50 tons mangels, 
500 bushels turnips, . 
22 bushels onions, 
5 bushels seed pease, 
10 bushels sweet corn, 
Green fodder, . 



£7,079 


73 


50 


00 


269 


00 


28 


20 


161 


36 


289 


58 


17 


89 


9 


00 


2,389 


29 


211 


33 


2 


00 


20 


00 


46 


10 


100 


35 


16 


45 


154 


50 


1 


72 




75 


117 


46 


340 50 


40 


50 


20 00 


8 


00 


45 00 


45 


50 




25 


34 70 


37 


50 


19 


55 


6 


75 


10 


50 


32 


00 


1,500 


00 


400 00 


250 


00 


22 


00 


20 00 


20 00 


200 00 



PUBLIC DOCUMENT. 



No. 22. 



THIETY-SEVENTH ANNUAL EEPOET 



THE TEUSTEES 



Taunton Lunatic Hospital, 



FOB THE 



Year Ending September 30, 1890. 



BOSTON : 
WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Squake. 
1891. 



PUBLIC DOCUMENT. No. 22. 



THIRTY-SEVENTH ANNUAL KEPOET 



THE TBXJSTEES 



Year Ending September 30, 1S90 



jK*A<<Ls>' t Jcu^tstCnsv, '/QsfczZL TAJ** 



^ BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. 
1891. 










vb rij&frr^ , 






3 



OFFICERS 



TAUNTON LUNATIC HOSPITAL. 



TRUSTEES. 

GRACE S. BARTLETT, Taunton. 

OAKES A. AMES North Easton. 

GEORGE ROWLAND, Jr., New Bedford. 

WILLIAM C. LOVERING Taunton. 

SIMEON BORDEN, Fall River. 

JOHN J. RUSSELL, Plymouth. 

RUTH S. MURRAY, New Bedford. 

RESIDENT OFFICERS. 

JOHN P. BROWN, M.D . . Superintendent. 

OWEN COPP, M.D v . . . . Assistant Physician. 

ALICE ROGERS, M.D., Assistant Physician. 

WHITEFIELD N. THOMPSON, MD, . . . . Assistant Physician. 

GEORGE A. BANCROFT, M.D., Assistant Physician. 

JOHN KITTREDGE Clerk. 

RUFUS D. GODDING, Engineer. 

A. A. SOUTHWICK, Farmer. 

TREASURER. 

JOHN KITTREDGE Taunton. 

Office at hospital. 



Cnmimnxtuealijj ai iltassarlpstfe, 



TKUSTEES' EEPOKT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Taunton Lunatic Hospital, in the dis- 
charge of their official duty, submit this their thirty-seventh 
annual report, together with the report of the superintend- 
ent and treasurer. The report of the latter gives a clear 
statement of the financial transactions of the year. 

The tables accompanying the superintendent's report give 
in detail the operations of the hospital relating to the pa- 
tients, and the general results of the work accomplished. 
It appears that the number of patients remaining in the 
hospital Oct. 1, 1889, was 617,-308 males and 309 
females. The number admitted since is 331, — 175 males 
and 156 females ; making a total of 948 which were under 
treatment during the year. The number of patients dis- 
charged recovered was 62, — 31 males and 31 females. The 
number of deaths was 70, — 35 males and 35 females. This 
is a greater number than the previous year, but not greater 
than the general average of recent years. 

Some needed improvements referred to in the last annual 
report have been completed, and others are in process of 
completion. The farm building for the housing and pro- 
tection of the farming implements, such as carts, wagons, 
etc., and for the storage of various articles, has been com- 
pleted, and is now in use. The work on the water-closets 
and bath-rooms, which was begun two years ago, has been 



6 TAUNTON LUNATIC HOSPITAL. [Oct. 

continued through the past year, and will be completed in 
all of the wings before winter. All parts of the work have 
been done very thoroughly, and, when finished, the sanitary 
arrangements of the hospital will not be surpassed by any 
other in the country. 

The JBerryman water-heater, which had been in use about 
fifteen years, and had been repaired several times during 
that period, suddenly gave out during the summer, and, on 
examination, was found to be beyond further repair. To 
take its place, a new heater was planned and constructed, 
except the shell, by Mr. Godding, our engineer, containing 
nearly eight hundred and fifty feet of one and one-half inch 
brass pipe, through which the exhaust steam from the engine 
passes and heats the water. It has now been in use about 
two months, and has proved to be well adapted to its pur- 
pose- The ordinary repairs of the buildings have been well 
kept up, and considerable painting and mason work has 
been done, new ceilings having been put on two of the 
wards ; and the floors of the verandas of both the middle 
wings, which had become much decayed from exposure to 
the weather, have been relaid. 

The trustees recommend an appropriation of $2,000 by 
the ensuing Legislature, for continuing the repairs on the 
steam-heating apparatus, — $1,455.33 of the last year's 
appropriation for this purpose having been expended for the 
new heater, — and an appropriation of $3,000 for general 
repairs to the buildings. 

The trustees having for some years seriously felt the need 
of increased facilities for the better accommodation of the 
sick and infirm patients, a plan has been prepared by the 
superintendent, under the direction of the trustees, to supply 
this want, which contemplates the erection of an addition to 
the present hospital, on either side, of sufficient capacity to 
accommodate seventy-five patients of each sex. There is in 
the hospital to-day a sufficient number of such patients to 
very nearly or quite fill such increased accommodations. 
By the withdrawal of so many patients from our present 
much-crowded wards, the hospital can not only receive 
within its walls a larger number from without, but can also, 
by the extension of its capacity as indicated, give to such 



1890.] PUBLIC DOCUMENT — No. 22. 7 

sick and infirm patients as the new extensions are designed 
to accommodate, many increased and much-needed comforts, 
"which in its present crowded condition it is entirely beyond 
its power to grant. The plan which has been considered 
contemplates the erection, on the east and west extremes of 
the hospital, of a building of about ninety-eight by forty feet, 
three stories high, connected with the present structure by a 
one-story covered corridor, thus practically removing it 
almost entirely from the noise and confusion of the present 
hospital. The rooms will be somewhat larger and more 
airy, and of course in many ways better adapted to the pur- 
pose for which they are designed ; and further will be so 
arranged as, in the event of a contagious disease occurring 
in the hospital, to entirely isolate those who may be thus 
afflicted. To us, the imperative necessity of the case seems 
to warrant the trustees in calling the attention of the Gov- 
ernor and Council and also of the Legislature to our needs, 
and asking them to take measures to enable us to carry out 
our wishes. 

The estimated cost of both buildings, made in the most 
careful manner by practical builders, is about $90,000. If 
it should be deemed best by the Legislature, the whole 
appropriation could be m-ide at once, with the proviso that 
only one-half of it shall be drawn from the treasury during 
the next fiscal year. In that case, the erection of the two 
buildings would extend over two years. The trustees would 
therefore recommend an appropriation by the ensuing Legis- 
lature of $90,000, for the purpose of erecting two buildings, 
in connection with this hospital, for the care of the sick and 
infirm, each building to have a capacity for seventy-five 
patients. 

Several changes have occurred in the medical staff durino; 
the past year. Dr. Drew and Dr. Hutchinson have re- 
signed their positions as assistant physicians, the former 
to accept a similar position in the Government Hospital 
for the Insane at Washington, D. C, and the latter to 
take charge of the erection of the buildings for the Massa- 
chusetts Hospital for Dipsomaniacs and Inebriates, of which 
be has recently been appointed superintendent. The with- 
drawal of both is a great loss to this hospital ; but each has 



8 TAUNTON LUNATIC HOSPITAL. [Oct. 

earned his promotion by long and faithful service, — Dr. 
Hutchinson having been connected with the hospital thirteen 
years, five years of which he was first assistant physician, 
and Dr. Drew, six years. 

Dr. Copp has been promoted to the position of first 
assistant physician, made vacant by the resignation of Dr. 
Hutchinson ; and Dr. Whitefield N. Thompson and Dr. 
George A. Bancroft have been appointed to fill the vacancies 
in the medical staff. 

The trustees desire to express their high appreciation of 
the devoted and efficient service of the medical staff during 
the past year, and of the other officers of the hospital. 

With reverent thankfulness to the great Dispenser of 
every good for blessings received in the past, we commend 
the hospital with all its varied interests to the favorable con- 
sideration of the Legislature, and, with hopeful confidence 
in the future, enter upon the duties of another year. 

GRACE S. BARTLETT, 
CAKES A. AMES, 
GEORGE HOWLAND, Jr., 
WILLIAM C. LOVERING, 
SIMEON BORDEN, 
JOHN J. RUSSELL, 
RUTH S. MURRAY, 

Trustees. 
Oct. 17, 1890. 



1890.] 



PUBLIC DOCUMENT — No. 22. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Taunton Lunatic Hospital. 

In compliance with the by-laws of your Board, I respect- 
fully present to you the thirty-seventh annual report of the 
operations of the hospital for the year ending Sept. 30, 1890. 



General Statistics of the Year. 





Males. 


Females. 


Totals. 


Patients in hospital Oct. 1, 1889, . 


308 


309 


617 


Admissions within the year, 


175 


156 


331 


Whole number of cases within the year, 


483 


465 


948 


Discharges within the year, .... 


147 


122 


269 


Viz. : as recovered, ..... 


31 


31 


62 


as much improved, . . " . 


13 


8 


21 


as improved, ..... 


24 


15 


39 


as unimproved, ..... 


37 


30 


67 


as not insane, . 


7 


3 


10 


Deaths, 


35 


35 


70 


Patients remaining Sept. 30, 1890, 


336 


343 


679 


Daily average number of patients, 


320.65 


318.84 


639.49 



By reference to the foregoing table, it will be seen that 
the movement of the population has been greater than for 
several preceding years, 127 more patients having been 
admitted and 58 more having been discharged. Beginning 
the year with 617, the number gradually dropped by dis- 
charges and transfers to 590 in December, after which it 
was rapidly increased by the reception of Boston patients, 
until in June it reached 696 ; and for the remainder of the 
year the average number continued above 680, which is 130 
above the capacity of the hospital. Four persons were 
discharged, readmitted and discharged; 5 were admitted, 



10 TAUNTON LUNATIC HOSPITAL. [Oct, 

discharged and readmitted; and 1 was admitted twice, dis- 
charged twice and admitted again, making 9 persons who 
were counted twice and one three times ; which reduces the 
whole number of persons under treatment to 937. The 
transfers from the hospital were as follows : 5 men were 
transferred to the State Farm at Bridge water, 7 men and 13 
women to the Westborough Insane Hospital, and 9 men to 
the Boston Lunatic Hospital. Eight patients, 3 men and 5 
women, were removed by the Board of Lunacy and Charity, 
and placed at board in families. Fifteen — 13 men and 2 
women — were removed by the overseers of the poor to city 
and town almshouses; and 22, — 13 men and 9 women, — 
having no settlements in Massachusetts, were removed out 
of the State by the Board of Lunacy and Charity. 

Of those admitted, taken as a whole, the form of their 
disease was more promising of recovery than the average of 
those admitted in recent years. Eighty of them were cases 
of acute mania, and 43 of acute melancholia, — the most 
curable forms of insanity. Thirteen habitual drunkards, 3 
dipsomaniacs and 6 cases of acute alcoholism, were admitted. 
A somewhat larger percentage than usual of recent cases and 
of first admissions was received, which also should have a 
favorable bearing upon the percentage of recoveries. One 
hundred and four of those admitted were first admissions, 
and had been insane less than six months; while during the 
preceding year only 67 of this class were admitted. Sixty- 
two patients were discharged as recovered, — 31 men and 
31 women, — which is 18.7 per cent, of the admissions 
The form of insanity of those recovered was as follows : 32 
recovered from acute mania, 7 from chronic mania, 14 from 
acute melancholia, 1 from chronic melancholia, 2 from recur- 
rent insanity, 6 from acute alcoholism, and 10 were habitual 
drunkards, and 1 was discharged as not insane. The dura- 
tion of insanity before recovery in 3 of those who recovered 
was less than one month ; in 16, less than three months ; in 
34, less than six months; in 41, less than twelve months; 
that is to say, a little more than four-sevenths of all the 
recoveries took place within twelve months from the begin- 
ning of the attacks. 

Of those who recovered was one of special interest, and 



1890.] PUBLIC DOCUMENT — No. 22. 11 

worthy of mention. It was a case of melancholia in a 
woman fifty years of age, who recovered after a hospital resi- 
dence of five years and ten months, and nearly seven years 
after the commencement of the attack. She had been a 
woman of unusual attractiveness of person and manner, 
bright, witty and intelligent, but had been obliged to work 
hard to aid in supporting herself and an invalid husband. 
After years of anxious labor and disappointment, she lost her 
health and became depressed, and shortly after returning 
from an unsuccessful winter trip to a Southern State, for the 
purpose of regaining her health, she was committed to the 
hospital for treatment. She was then greatly depressed, 
and tired of life. The first five years of her residence in 
the hospital were not marked by any improvement, either 
physically or mentally. She was very despondent most of 
the time, and depressed by the idea that she was the cause 
of all the sin in the world, and that there was no hope for 
her in this world or the next. She was silent and disin- 
clined to talk, and resisted every effort to be taken out 
to walk or ride. She had several attacks of facial ery- 
sipelas during the first two years, and one later, from 
which she made good recoveries. During most of the fourth 
year she was in bed from subacute rheumatism, suffering 
much in consequence, with no improvement in her mental 
condition. At about the end of the fifth year it was first 
noticed that she began to manifest some interest in things 
beyond herself; and, while in bed just before the Christmas 
festivities, she wrote some verses to be read at an evening 
entertainment on the ward. This seemed to mark the begin- 
ning of mental improvement, and soon after she began to 
busy herself with some useful and ornamental work. About 
three months before her discharge she was sent to the cot- 
tage, where she at once fitted into the surroundings, and 
became very cheerful, bright and appreciative, hopeful of 
the present and future, and continued so until her discharge. 
In short, her recovery was complete. Recoveries like this 
are not very frequent, but, when one does occur, it is like 
an oasis in the desert, and brings happiness to the physician 
and hope and cheer to every desponding one who has 
knowledge of it. 



12 TAUNTON LUNATIC HOSPITAL. [Oct. 

The number of deaths was 70, — 35 men and 35 women. 
This is a larger number than the year before ; but, the number 
of patients under treatment having been so greatly in excess 
of the preceding year, the rate of mortality is but little higher, 
and about the average of recent years. The number of bed 
patients has greatly increased within a few years, and there 
has been an increasing accumulation of the feeble and help- 
less, from which the mortality list is largely made up. An 
increase of this class is the tendency in the older hospitals, 
and is to be expected. Most of the deaths of the past year 
have resulted from organic disease, and gradual exhaustion 
from chronic insanity. But 3 died from acute mania, while 
12 died from exhaustion from chronic mania, 7 from paresis, 
4 from the grosser forms of organic brain disease, 6 from 
apoplexy, 5 from epileptic and paralytic insanity, 10 from 
senile insanity and old age, and 10 from phthisis, which is a 
large number, and the same as that of the preceding year. 

In reviewing the work of recent years, we think some 
advance has been made in a variety of things that come 
under the head of moral treatment. There has been more 
exercise in the open air ; more time spent in the grove, 
instead of moping in the airing courts ; more freedom of 
the grounds, which are becoming more beautiful each year; 
more flowers in the garden, in the greenhouse and on the 
wards; more entertainments, and more occupation, in the 
winter ; in a word, an atmosphere of more homelike attrac- 
tions and cheerful surroundings, with greater mental and 
physical activity, has been cultivated with an increasing 
degree of success. 

But these remarks relate mostly to what has been done 
outside of the wards, to render the hospital life of the 
patients more cheerful and happy. 

Within the wards, the daily work of caring for the patients 
has been greatly increased by the crowded condition of the 
hospital ; but in this respect we have suffered in common 
with the other hospitals, and can only hope for relief when 
more accommodations are provided. The State has not too 
soon made provision for building a new asylum for the 
chronic insane, and the danger will be that the demand for 
accommodations will increase faster than its construction ; 



1890.] PUBLIC DOCUMENT — No. 22. 13 

especially will this be true, if the State shall assume at an 
early clay, as I think it should, the full support as well as 
control of all its dependent insane, as has recently been done 
in Vermont and New York, and for a longer time in some of 
the Western States. 

In the mean time, this hospital should do the best it can 
with the appliances it has at command, and increase its 
facilities for the care of its patients in the direction most 
needed to extend its usefulness as one of the great charities 
of the State. For several years we have felt an urgent need 
of better accommodations for those patients who are sick in 
bed ; and we now feel that the time has come when the State 
should be asked to make an appropriation for accomplishing 
that purpose. This urgent want of the hospital was referred 
to in the report of the trustees and superintendent for 1886; 
but plans were not then matured, and the project was laid 
aside for the time being, owing to many other important 
improvements being then demanded, which could not well 
be deferred and which have since been substantially com- 
pleted. At the present time the sick are cared for in the 
same wards with the other patients ; but it needs no argu- 
ment to convince any reasonable person -that they cannot be 
properly cared for in the same wards with those who are 
suffering from all the various forms of mental disease. It 
is not justice to them, or to the other patients who are asso- 
ciated with them ; and this fact is now being recognized in 
the construction of special buildings for the sick in connec- 
tion with the new hospitals and asylums that are being built. 
Our needs in this direction can perhaps be best accomplished 
by erecting two detached buildings, one for each sex, three 
stories high, with sufficient capacity to accommodate one 
hundred and fifty patients ; the two lower stories to be used 
for hospital wards, and the upper stories as infirmaries for 
the feeble and helpless. They should be so constructed that 
several rooms on each floor can be shut off from the rest of 
the ward, and used when needed as isolating rooms for pa- 
tients sick with contagious and infectious diseases. This 
will be an important feature of the buildings, and will lessen 
the danger of any contagious disease spreading through the 
djfferent wards. The demand, and, I may say, necessity, 



14 TAUNTON LUNATIC HOSPITAL. [Oct. 

for such isolating rooms is painfully evident in the history 
of epidemics of diphtheria which have occurred in hospitals 
for the insane in this and other States. These buildings, if 
projected south from the ends of the extreme wings, as con- 
templated, will have a southern exposure, and receive the 
sun's rays on both sides nearly all day, which will be espe- 
cially cheering and beneficial to the sick who will occupy 
them. Besides giving better facilities for caring for the 
sick, these buildings, by increasing the capacity of the hos- 
pital to seven hundred, will lessen the per capita cost of 
the support of the inmates, and enable it to better compete 
financially with the other larger hospitals of the State. 
Another important benefit will be the ability to make a 
better classification of the patients, by increasing the num- 
ber of wards to twelve for each sex. The estimated cost of 
both buildings, if built in accordance with the plan which 
has been prepared, is $90,000. 

The farm, under the efficient management of the present 
farmer, has been brought under a better state of cultivation 
during the past few years, and its products have correspond- 
ingly increased in value, especially the hay crop and vegeta- 
bles. The stock has also much increased in value, some of 
which, exhibited at the recent fair of Bristol County, received 
high commendation from the committee on animals, which 
said, in its report, "the animals exhibited by the Taunton 
Lunatic Hospital do great credit to the institution, being in 
excellent condition, and their equal cannot be found in the 
county." 

The greenhouse and flower garden, under the care of the 
florist, have throughout the year supplied an abundance of 
flowers for the wards and for the chapel on Sundays, besides 
greatly ornamenting the grounds, and affording daily pleasure 
to the patients who walk out for exercise. 

More than the usual number of evening entertainments, 
which have been described in detail in former reports, were 
given in the chapel and on the wards during the winter 
months, the patients frequently taking some part in those on 
the wards, much to their enjoyment and profit. Usually 
three and sometimes four and five evenings a week were thus 
occupied. During the summer, several picnics in the grove, 



1890.] PUBLIC DOCUMENT — No. 22. 15 

with athletic games, were occasions of great enjoyment to 
large numbers of patients. Supplementing these various 
amusements, mostly provided by our own people, a number 
of excellent entertainments were given to the patients by 
interested friends from the city, to whom we are under obli- 
gations, and to which reference is made under the head of 
acknowledgments. 

The hospital library now contains 2,278 volumes. It is 
being constantly enlarged by donations and by purchase as 
our means allow, 140 books having been added to it during 
the past year. The library is a never-failing source of enter- 
tainment and profit to the patients and other residents of the 
hospital. One hundred and twenty-five books, on an aver- 
age, are taken from it and read each week by the patients, 
which is a sufficient answer to the question often asked by 
visitors, " Do the patients read any?" 

Finance. 
The apparent surplus at the close of the year was $12,- 
906.86, which is $811.76 more than that of Sept. 30, 1889. 
With the hospital greatly overcrowded for six months of the 
year, and with the average number greater than the year 
before, and with an appropriation to cover the cost of the 
ordinary repairs, we have been able to meet the current 
expenses, pay a debt of $2,500, and make this slight gain in 
the apparent surplus. The past year has but confirmed the 
experience of previous years, — that the hospital cannot pay 
its current expenses, at the present price of board, except it 
is crowded beyond what is for the best good of the patients. 
It cannot be self-supporting, at the present rate of board and 
present cost of provisions and supplies, with less than seven 
hundred patients ; and, if the price of provisions should 
materially advance, as now seems likely to happen, it cannot 
with that number. 

Acknowledgments . 

The editors of the "Daily Mercury" and of the "Old 
Colony Memorial " have sent their papers to the hospital free 
of charge. The "Friends Review" has been received another 
year, through the kindness of Hon. Geo. Howland, Jr., of 



16 TAUNTON LUNATIC HOSPITAL. [Oct. 

New Bedford ; ten volumes of " Harper's Magazine" and six 
volumes of the " Atlantic Monthly" have been received from 
Mrs, L. A. Hutchinson of Wakefield, Mass. ; two volumes of 
the " Century Magazine " from Dr. Owen Copp ; forty-five 
novels and ten numbers of the " Century " from Mrs. Law- 
rence J. Pitman of Greenwood, Mass. ; two volumes of " Har- 
per's Magazine " from Mr. J. W. Starbuck of Nantucket; 
twenty-five numbers of the "Century," four numbers of 
"Harper's" and twenty-five numbers of "St. Nicholas," 
from Mrs. W. A. Church of New Bedford. Entertainments 
have been given in the chapel by the Bay Street school 
children, under the direction of Mr. Fred. W. Howes, Mr. 
Geo. C. Capron and Mr. John E. Deblois ; by the Broadway 
Quartette of Taunton ; by the Music Hall Orchestra, under 
the direction of Mr. Harry Peck ; by the Social Club of 
Taunton ; and by the Glee Club, conducted by Mr. Walter 
J. Clemson. The Bristol County Agricultural Society, as 
has been its custom for many years, gave to the residents of 
the hospital free admission to its grounds during its annual 
fair. 

The past year has brought unusual changes in the medical 
staff and other officers of the hospital. After six years of 
faithful and devoted service as assistant physician, Dr. Drew 
resigned his position to accept the position of medical assist- 
ant in the Government Hospital for the Insane at Washington, 
D. C, and entered upon his duties there the first of August. 
Dr. Hutchinson, having received the appointment of super- 
intendent of the Massachusetts Hospital for Dipsomaniacs and 
Inebriates, resigned the position of first assistant physician 
in this hospital October 1, after thirteen years of valuable 
and efficient service, which bespeaks for him success in his 
new field of labor. Dr. Copp has been promoted to the 
position of first assistant physician, made vacant by the with- 
drawal of Dr. Hutchinson. Dr. W. N. Thompson, a grad- 
uate of the Jefferson Medical College in Philadelphia, and for 
eight months assistant physician in the Vermont Asylum for 
the Insane, succeeded Dr. Drew, and commenced his duties 
June 28. Dr. Geo. A. Bancroft, a graduate of Harvard 
Medical School, will enter upon his work as assistant physi- 
cian the first of November. James L. Allen and Arthur B. 



1890.] PUBLIC DOCUMENT — No. 22. 17 

Mason, having resigned their positions as male supervisors, 
to engage in other business, each of whom had done very- 
satisfactory service, their places were filled by Geo. F. Mor- 
rill and Frank Boynton, both of whom had been successful 
attendants. Miss Annie Mosher has satisfactorily performed 
the duties of assistant female supervisor during the past year. 
It gives me great pleasure to report that all of those asso- 
ciated with me in this great work have been active and effi- 
cient in the discharge of their duties, and are worthy of 
commendation. In this recognition I would include the non- 
medical officers and many of the attendants and others who 
have done good service in their different fields of labor. To 
the trustees, for their cordial support and the great assistance 
they have rendered me in the discharge of my duties, I return 
sincere thanks. 

JOHN P. BROWN, 

Superintendent. 



STATISTICAL TABLES. 



STATISTICAL TABLES — 189 



Table No. 1. 
General Statistics of the Year. 



Females. 



Patients in hospital Oct. 1, 1889, 
Admissions within the year, . 
Whole number of eases within the year 
Discharges within the year, . 
Viz. : as recovered, 

much improved, 

improved, 

unimproved, . . 

not insane, 

Deaths, 

Patients remaining Sept. 30, 1890, . 
Viz. : supported as State patients, . 
town patients, . 
private patients, 
Number of different persons within the 

admitted, .... 

recovered, 
Daily average number of patients, 



year 



308 

175 

483 

147 

31 

13 

24 

37 

7 

35 

336 

90 

209 

37 

479 

174 

29 

320.65 



309 
156 
465 
122 

31 
8 

15 

30 
3 

35 
343 

63 
228 

52 
458 
150 

31 
318.84 



617 

331 

948 

269 

62 

21 

39 

67 

10 

70 

679, 

153 

437 

89 

937 

324 

00 

639.49 



Table No. 2. 
Monthly Admissions, Discharges and Averages. 











Discharges 


Daily Ai 


'ERAGE OF 




























(including Deaths). 


in 


the House. 
























Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


1889. 




















October, 


15 


7 


22 


14 


10 


24 


307.60 


305.55 


613.15 


November, . 


14 


10 


24 


17 


6 


23 


305.20 


307 70 


612.90 


December, . 


11 


3 


14 


14 


21 


35 


301.49 


300 58 


602.07 


1800. 




















January, 


16 


5 


21 


7 


9 


16 


305.29 


290.58 


595.87 


February, . 


8 


8 


16 


6 


8 


14 


312.75 


286.78 


599.53 


March, 


15 


25 


40 


16 


5 


21 


310.64 


295.00 


605.64 


April, . 


25 


32 


57 


5 


6 


11 


323.33 


320.93 


644.26 


May, . 


23 


25 


48 


16 


17 


33 


334.54 


338.22 


672.76 


June, . 


13 


17 


30 


10 


10 


20 


342.63 


347.86 


690.49 


July, . 


9 


9 


18 


22 


10 


32 


335.19 


348.06 


683.25 


August, 


14 


7 


21 


6 


12 


18 


332.67 


342.03 


674.70 


September, . 


12 


8 


20 


14 
147 


8 


22 


335.73 


341.00 


676.73 


Total of cases, 


175 


156 


331 


122 


269 


320.65 


318.84 


63949 


Total of persons 


174 


150 


324 


144 


120 


264 


- 


- 


- 



22 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 3. 

Received on First and Subsequent Admissions. 









Oases admitted. 


Times previously 
recovered. 


NUMBER OF THE ADMISSION. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 


151 


127 


278 


_ 


_ 


_ 


Second, . 






16 


22 


38 


8 


8 


16 ■ 


Third, . . . 






5 


3 


8 


4 


2 


6 


Fourth, . 






2 


1 


3 


2 


1 


3 


Fifth, . 






- 


1 


1 


- 


3 


3 


Sixth, . 






- 


1 


1 


- 


5 


5 


Seventh, 






- 


1 


1 


- 


4 


4 


Eleventh, 






1 


- 


1 


9 


-• 


9 


Total of cases, 


175 


156 


331 


23 


23 


46 


Total of persons, . 




174 


150 


824 


13 


14 


27 



Table No. 4. 
Ages of Persons admitted for the First Time. 



Fifteen years and less, 

From 15 to 20 years, 
20 to 25 years, 
25 to 30 years, 
30 to 35 years, 
35 to 40 years, 
40 to 50 years, 
50 to 60 yeai's, 
60 to 70 years, 
70 to 80 years, 

Over 80 years, 

Unknown, 

Totals, . 



At First Attack of 
Insanity. 



Males. Females. Totals 



3 

5 

11 

12 

15 

11 

21 

6 

8 

10 

49 
151 



4 
10 
17 
20 
15 

8 
20 
11 

5 

2 

15 
127 



7 
15 
28 
32 
30 
19 
41 
17 
13 
12 

64 

278 



When admitted. 



Males. Females. Totals 



1 

2 
17 
21 
16 
19 
35 
14 
11 
13 
1 
1 

151" 



1 

8 

12 

17 

19 

15 

28 

16 

8 

2 

1 

127 



2 
10 
29 
38 
35 
34 
63 
30 
19 
15 
2 
1 

278 



1890.] 



PUBLIC DOCUMENT — No. 22. 



23 



Table No. 5. 

Parentage of Persons admitted. 











Males. 


Females. 


Total. 


PLACES. 


Fathers. 


Mothers. 


Fathers. 


Mothers. 


Fathers. 


Mothers. 


Maine, . 






4 


7 


4 


2 


8 


9 


New Hampshire, . 






3 


1 


1 


1 


4 


2 


Vermont, 






2 


1 


2 


1 


4 


2 


Massachusetts, 






47 


47 


21 


. 27 


68 


74 


Rhode Island, 






2 


2 


2 


3 


4 


5 


Connecticut, 






2 


2 


1 


1 


3 


3 


New York, . 






4 


2 


2 


- 


6 


2 


Pennsylvania, 






1 


1 


- 


- 


1 


1 


District of Columbia, 






- 


- 


1 


- 


1 


- 


Virginia, 






1 


1 


- 


1 


1 


2 


Georgia, 






- 


- 


1 


- 


1 


- 


Dominion of Canada, 






6 


6 


10 


11 


16 


17 


Western Islands, . 






1 


1 


1 


1 


2 


2 


Barbadoes, 








- 


- 


1 


- 


1 


- 


England, 








7 


6 


10 


10 


17 


Id 


Ireland, 








43 


44 


48 


49 


91 


93 


Scotland, 








4 


5 


6 


6. 


10 


10 


France, 


• 






2 


1 


- 


- 


2 


1 


Italy, . 


• 






2 


2 


- 


- 


2 


2 


Germany, 


• 






- 


1 


1 


- 


1 


1 


Sweden, 


• 






4 


4 


6 


6 


10 


10 


Hungary, 


• 






- 


- 


1 


1 


1 


1 


Unknown, 


• 






39 


40 


31 


31 


70 


71 


Totals, 


174 


174 


150 


150 


321 


324 



24 



TAUNTON LUNATIC HOSPITAL. [Oct. 



Table No. 6. 
Residence of Persons admitted. 



PLACES. 


Males. 


Females. 


Totals. 


Bristol County, 


69 


46 


115 


Plymouth Count}', 


25 


20 


45 


Norfolk Coimty, 


11 


20 


31 


Suffolk County, . . 


59 


62 


121 


Barnstable County, 


7 


2 


9 


Dukes County, 


2 


- 


1 


Nantucket County, . 


1 


- 


1 


Totals, 


174 


150 


324 


Cities or large towns, 


120 


113 


233 


Country districts, 


54 


37 


91 



Table No. 7. 
Civil Condition of Persons admitted. 



NUMBER OF THE 
ADMISSION. 


Unmarried. 


Married. 


Widowed. 


Unknown. 


Ma. 


Fe. 


Tot. 
Ill 

13 
1 
2 

1 
1 


Ma. 


Fe. 


Tot. 


Ma. Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 

Second, 

Third, 

Fourth, 

Fifth, 

Sixth, 

Seventh, 

Eleventh, 






64 

7 
1 
2 

1 


47 
6 

1 

54 


70 
6 
3 


60 
9 
1 

1 
1 


130 

15 

4 

1 
1 


13 

2 
1 


20 
3 
1 

24 


33 

5 
2 


4 

4 


- 


4 


Total? 


3, 


75 


129 


79 


72 


151 


16 


40 


4 



1890.] 



PUBLIC DOCUMENT — No. 22. 



25 



Table No. 8. — Occupation of Persons admitted. 



Artist, 


1 


Mill operatives, . 


10 


Baker, . 






1 


Moulders, . 




2 


Bai'ber, 






1 


Nailer, . . 




1 


Book-keepers, 






2 


No occupation, . 




18 


Brass finisher, 






1 


Overseer, . 




1 


Brick masons, 






2 


Painters, 




3 


Butcher, 






1 


Physicians, . 




2 


Carpenters, . 






6 


Peddlers, . 




2 


Chemist, 






1 


Plumber, . 




1 


Clerks, 






5 


Roofer, 




1 


Coachmen, . 






3 


Sailors, 




6 


Cook, . 






1 


Shoemakers, 




13 


Costumer, 






1 


Stone cutters, 




2 


Calker, . 






1 


Stove maker, 




1 


Correspondent, 






1 


Steward, 




1 


Designer, 






1 


Student, 




1 


Engraver, 






1 


Silver platers, . 




2 


Farmers, 






9 


Salesmen, . 




4 


Gardeners, . 






4 


Tinsmith, . 




1 


Iron workers, 






2 


Tailors, 




2 


Jewellers, ' . 






2 


Teamster, . 




1 


Letter carrier, 






1 


Trunk maker, 




1 


Laborers, 






30 


Upholsterer, 




1 


Lithographer, 






1 


Veterinary surgeon, 




1 


Machinists, . 






' 8 


Waiters, 




2 


Marble worker, 
Merchants, . 






1 
6 


Total, . 




174 



Book agent, .... 


1 


Milliner, . . . 


1 


Chamber maid, 




1 


Mill operatives, 






11 


Clerk, . 




1 


No occupation, 






27 


Cook, . 




1 


Scrub-woman, 






1 


Copyist, 




1 


Seamstresses, 






2 


Domestics, . 




22 


Shoemakers, 






2 


Dressmakers, 




4 


Straw sewer, 






1 


Fortune teller, 




1 


Tack packer, 






1 


Housekeepers, 




4 


Tailoress, . 






1 



26 TAUNTON LUNATIC HOSPITAL. [Oct. 

Table No. 8. — Occupation of Persons admitted — Concluded. 

WIFE OR DAUGHTER OF 



Agent, 


3 


Laborer, .... 


7 


Baker, . 






2 


Machinist, . 




1 


Cabinet maker, 






1 


Mason, . " . 




2 


Car driver, . 






1 


Milkman, . 




1 


Carpenter, . 






5 


Painter, 




1 


Clergyman, . 






1 


Paper manufacturer, 




1 


Clerk, . 




, 


2 


Policeman, . 




1 


Coal dealer, . 






2 


Sea captain, 




1 


Cook, . 






1 


Shoemaker, 




7 


Farmer, 






11 


Stone cutter, 




3 


Fisherman, . 






1 


Teacher, . • . 




1 


Harness maker, 






9 


Teamster, . . 




3 


Iron worker, 






2 


Veterinary surgeon, . 




1 


Jeweller, 






2 







Junk dealer, 






1 


Total, . . . . 


150 



Table No. 9. 

Reported Duration of Insanity before Last Admission. 




1890.] . PUBLIC DOCUMENT — Nd. 22. 



27 



Table No. 10. 

Form of the Disease in the Cases admitted. 



FORM OF DISEASE. 


Males. 


Females. 


Totals. 


Mania, acute, 








32 


48 


80 


chronic, 








28 


53 


81 


Melancholia, acute, 








31 


12 


43 


chronic, . 








13 


11 


24 


Dementia, chronic, 








7 


5 


12 


Paresis, .... 








12 


5 


17 


Organic brain disease, . 








7 


1 


8 


Epileptic insanity, . 








6 


6 


12 


Paralytic insanity, 








5 


- 


5 


Senile insanity, 








10 


7 


17 


Recurrent insanity, 








6 


- 


6 


Imbecility, 








2 


1 


3 


Alcoholism, acute, 








6 


- 


6 


chronic, 








1 


- 


1 


Dipsomania, .... 








2 


1 


3 


Habitual drunkard, 








7 


6 


13 


Total of cases, 


175 


156 


331 


Total of persons, . 








174 


150 


324 



28 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 11. 
Probable Causes of Insanity in Persons admitted. 



Physical 



Apoplexy, 

Congenital, . 

Child-birth, . 

Epilepsy, 

Heart disease, 

Injury to head, 

Intemperance, 

Influenza, 

111 health, . 

Menopause, . 

Masturbation, 

Meningitis, . 

Nervous prostration, 

Operation on the eyes, 

Opium, . 

Overwork, 

Paralysis, 

Pregnancy, 

Senility, 

Syphilis, 

Sunstroke, 

Scarlet-fever, 

Typhoid fever, 

Uterine disease, 

Unknown, 



Moral. 
Anxiety, 

Business troubles,. 
Domestic affliction, 
Disappointment, . 
Fright, . 
Fright and fall, 
Family trouble, 
Loss of eyesight, . 
Religious excitement, 



Heredity, 
Previous attacks, 

Totals, . 



Predisposing. 



2 
1 

6 
1 
6 
29 
1 
6 

8 
1 

1 
1 

5 
2 

6 
3 
1 



56 



17 

5 

174 



7 

1 

12 

10 



3 
5 
2 

1 

2 

3 

51 



10 

8 

150 



1890.] 



PUBLIC DOCUMENT — No. 22. 



• 

29 



Table No. 12. 
Relations to Hospitals of Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


First admissions to any hospital for insane, . 


138 


104 


242 


Former inmates of this hospital, . . ... 


20 


14 


34 


Former inmates of other hospitals in this State, . 


8 


17 


25 


Former inmate of hospitals in this State and in 
other States, 


1 


_ 


1 


Former inmates of hospitals in other States, 


4 


3 


7 


Former inmates of hospitals in foreign countries, . 


- 


3 


3 


Former inmates of this hospital and of others in 


2 


6 


8 


Former inmate of this hospital and of hospitals 
in this State and in other States, .... 


1 


_ 


1 


Former inmates of this hospital and of hospitals in 


_ 


2 


2 


Former inmate of this hospital and of hospital in 


- 


1 


1 


Totals, 


174 


150 


324 



Table No. 13. 
How supported. 





Patients admitted. 


SUPPORTED AS 


Males. 


Females. 


Totals. 


State patients, 

Town patients, . . . . 

Private patients, ...... 


84 
62 
29 


68 
65 
23 


152 

127 
52 


Totals, . 


175 


156 


331 



m 

30 



TAUNTON LUNATIC HOSPITAL. 



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1890.] 



PUBLIC DOCUMENT — No. 22. 



31 



Table No. 15. 
Cases discharged Recovered. — Duration. 





Duration before 


Hospital 


Who 


.e Duration 




Admission. 


Residence. 


FROM 


the Attack. 


PERIOD. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 




















Under 1 month, . 


12 


10 


22 


4 


1 


5 


2 


1 


3 


From 1 to 8 months, 


9 


11 


20 


15 


12 


27 


9 


4 


13 


3 to 6 mouths, 


1 


4 


5 


6 


9 


15 


7 


11 


18 


6 to 12 months, 


- 


3 


3 


1 


4 


5 


1 


6 


7 


1 to 2 years, . 


1 


1 


2 


3 


3 


6 


4 


6 


10 


2 to 5 years, . 


1 


1 


2 


2 


- 


2 


- 


1 


1 


5 to 10 years, . 


2 


- 


2 


- 


2 


2 


2 


1 


3 


10 to 20 years, . 


- 


- 


- 


- 


- 


- 


1 


: - 


1 


Over 20 years, . 




















Unknown, . 


5 


1 


6 




- 


- 


5 


1 


6 


Total of cases, 


31 


31 


62 


31 


31 


62 


31 


31 


62 


Total of persons, . 


29 


31 


60 


29 


31 


60 


29 


31 


60 


Average of known 




















cases (in months), . 


9.98 


4.11 


6.84 


6.49 


10.51 


8.64 


16.47 


14.63 


15.48 



Table No. 16. 
Cases resulting in Death. — Duration. 





Duration before 


Hospital 


Whole Duration 




Admission. 


Residence. 


from 


the Attack. 


PERIOD. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 


1 




1 














Under 1 month, . 


2 


5 


7 


6 


2 


8 


_ 


_ 


- 


From 1 to 3 months, . 


2 


1 


3 


6 


2 


8 


_ 


_ 


- 


3 to 6 months, . 


3 


4 


7 


5 


3 


8 


3 


1 


4 


6 to 12 months, 


2 


1 


3 


5 


5 


10 


1 


4 


5 


1 to 2 years, 


8 


2 


10 


3 


4 


7 


10 


— 


10 


2 to 5 years, 


5 


9 


14 


4 


8 


12 


5 


8 


13 


5 to 10 years, . 


3 


7 


10 


5 


3 


8 


4 


7 


11 


10 to 20 years, . 


- 


1 


1 


— 


8 


8 


1 


10 


11 


Over 20 years, . 


4 


2 


6 


1 


_ 


1 


6 


2 


8 


Unknown, . 


5 


3 


8 


- 


- 


70 


5 
35 


3 


8 


Total of cases, 


35 


35 


70 


35 


35 


35 


70 


Average of known 




















cases (in months), . 


68.48 


54.26 


60.98 


35.15 


55.89 


45 85 


103.64 


110.15 


106.83 



32 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Table No. 17. 
Cases discharged by Recovery or Death. — Form of Insanity. 





Recoveries. 


Deaths. 


FORM OF INSANITY. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Mania, acute, 


13 


19 


82 


1 


5 


6 


; chronic, 


2 


5 


7 


5 


10 


15 


Melancholia, acute, 


7 


7 


14 


2 


- 


2 


chronic, . , 


: 1 


_ 


1 


3 


4 


7 


Dementia, chronic, 


- 


- 


- 


4 


1 


5 


Paresis, , 


- 


- 


- 


3 


5 


8 


Organic brain disease, . 


- 


- 


- 


3 


3 


6 


Epileptic insanity, 


- 


- 


- 


4 


1 


5 


Senile insanity, . . . 


- 


- 


- 


7 


6 


13 


Recurrent insanity, 


2 


- 


2 


1 


- 


1 


Paralytic insanity, 


- 


- 


- 


2 


- 


2 


Alcoholism, acute, 


6 


- 


6 


- 


- 


- 


Total of cases, 


31 


31 


62 


3£ 


35 


70 


Total of persons, .. 


29 


31 


60 


- 


— 


— 



Table No. 18. 
Causes of Death. 



CAUSES. 


Males. 


Females. 


Totals. 


Mania, acute, . . . . . . . . 


1 


2 


3 


chronic, 














5 


7 


12 


Melancholia, acute, . 




- 










1 


- 


1 


Paresis, .'•■-. 














3 


4 


7 


Organic brain disease, 














2 


2 


4 


Apoplexy, 














2 


4 


6 


Epileptic insanity, . 














2 


1 


3 


Paralytic insanity, . 














2 


- 


2 


Senile insanity, 














4 


2 


6 


Old age, . 














3 


1 


4 


Phthisis, . . : ■ . 














3 


7 


10 


Valvular disease of heart 














2 


1 


3 


Diabetes mellitus, ; . 














1 


- 


1 


Diarrhoea, acute, 














2 


1 


3 


chronic, . 














1 


2 


3 


Cancer of breast, 














- 


1 


1 


bladder, . 














1 


- 


1 




■ 












35 


35 


70 



1890.] PUBLIC DOCUMENT — No. 22. 



33 



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TAUNTON LUNATIC HOSPITAL. [Oct. 





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1890.] 



PUBLIC DOCUMENT — No. 22. 



35 



Table No. 21. 
Deaths, classified by Duration of Insanity and of Treatment. 





Duration of Insanity. 


Whole Known Period of 
Hospital Residence. 


PERIOD. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Congenital, .... 


1 


_ 


1 


_ 


_ 


_ 


Under 1 month, 


- 


- 


- 


6 


2 


8 


From 1 to 3 months, . 


- 


- 


- 


5 


2 


7 


3 to 6 months, . 


3 


1 


4 


5 


1 


6 


6 to 12 months, . 


1 


3 


4 


6 


6 


12 


1 to 2 years, 


9 


1 


10 


3 


3 


6 


2 to 5 years, 


6 


7 


13 


4 


9 


13 


5 to 10 years, 


5 


7 


12 


3 


4 


7 


10 to 20 years, 


1 


9 


10 


2 


7 


9 


Over 20 years, 


4 


3 


7 


1 


1 


2 


Unknown, .... 


5 


4 


9 


- 


- 


- 


Total of cases, 


35 


35 


70 


35 


35 


70 


Average of known cases (in 














months), .... 


104.34 


113.93 


109.21 


35.85 


63.79 


50.05 



Table No. 22. 
Ages of Those who died. 



Fifteen years and less, 

From 15 to 20 years, 
20 to 25 years, 
25 to 30 years, 
30 to 35 years, 
35 to 40 years, 
40 to 50 years, 
50 to 60 years, 
60 to 70 years, 
70 to 80 years, 

Over 80 years, 

Unknown, 

Totals, . 



At Time of First Attack. 



Males. Females. Totals. 



5 
1 
2 
1 
2 
3 
6 
3 
5 
1 
6 

35 



6 
4 
2 
3 
7 
4 
3 
3 
1 
2 

35 



5 
7 
6 
3 
5 

10 
10 
6 
8 
2 
8 

70 



At Time of Death. 



Males. Females. Totals 



35 



1 
4 
3 
11 
3 
8 
3 
2 



35 



3 
2 
4 
6 

17 
10 
15 



70 



36 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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Tl<iO«DN00CsOrt(NC0-*'O«ONCC 

GOGOaOGOGOGOCOGOGOGOCOGOGOGOGO 

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1890.] PUBLIC DOCUMENT — No. 22. 



37 



1 1 1 1 1 1 1 1 1 ! 1 1 1 1 I 1 1 1 1 1 rH t> 


co 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 CO 


co 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i- 1 -* 


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38 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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oooocococoajcocooocoGoaoooaooo 



1890.] 



PUBLIC DOCUMENT — No. 22. 



39 



(NNH^(0C0!00)iC(NC0O<»'*C0'^O^HC0«5iJJ 
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r-l 


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40 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



CM 



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Remaining Sept. 
SO, 1890. 


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1890.] PUBLIC DOCUMENT — No. 22. 



41 



I I I I CM — — 1 CM | IMHHCOHCOCOlO'OtO'^N'* 


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CO 


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© 

CO 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 CM 


CM 


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 1 1 1 1 1 CM 


CM 


1 1 H | | | | | | | | | | H | | | | | 1 | | 


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1 1 1 1 1 1 1 1 1 1 1 1 1 T-t | | | ( | | | | 


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42 



TAUNTON LUNATIC HOSPITAL. 



[Oct, 



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1890.] 



PUBLIC DOCUMENT— No. 22. 



43 



Table No. 26. 
Showing the Results of First Admissions. 



Number of persons on first 

admissions, 
Discharged recovered, . 

much improved, 
improved, . 
unimproved, 
not insane, . 
Died, .... 
Eloped, .... 
Remaining in the hospital 
Sept. 30, 1890, . 



1,249 
100 
971 

1,009 

29 

928 

101 

249 



1,131 
112 

1,022 

920 

10 

837 

7 

246 



2,380 
212 

1,993 

1,929 
39 

1,763 
108 

495 



4,634 



4,285 



8,919 



4,634 



4,285 



8,919 



Showing the 


Results 


of Readmissions. 






Number of readmi-sions, 








1,085 


973 


2,058 


Discharged recovered, . 


300 


305 


605 


- 


- 


- 


much improved, 


39 


32 


71 


- 


_ 


- 


improved, . 


260 


253 


513 


- 


- 


- 


unimproved, 


219 


197 


416 


- 


- 


- 


not insane, . 


3 


2 


5 


_ 


- 


_ 


Died, .... 


134 


86 


220 


- 


- 


_ 


Eloped, .... 


41 


1 


45 


- 


- 


- 


Remaining in the hospita 














Sept. 30, 1890, . 


89 


94 


183 


1,085 


973 


2,058 



Showing the Results oj 


" Second Admissions. 




Number of second admis- 














sions, .... 


- 


- 


- 


737 


672 


1,409 


Discharged recovered, . 


182 


198 


380 


- 


- 


- 


much improved, 


25 


14 


39 


- 


- 


- 


improved, . 


172 


163 


335 


- 


- 


- 


unimproved, 


165 


155 


320 


- 


- 


- 


not insane, . 


1 


2 


3 


— 


- 


— 


Died, .... 


97 


68 


165 


_ 


- 


_ 


Eloped, .... 


34 


3 


37 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1890, . 


61 


69 


130 


737 


672 


1,409 



44 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Showing the Results of Third Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of third admissions 








192 


173 


365 


Discharged recovered, . 


53 


61 


114 


- 


- 


- 


much improved, 


7 


7 


14 


- 


- 


- 


improved, . 


50 


48 


98 


- 


- 


- 


unimproved, 


39 


33 


72 


- 


. - 


- 


not insane, . 


1 


- 


1 


- 


- 


- 


Died, . . • . 


25 


11 


36 


- 


- 


- 


Eloped, .... 


4 


- 


4 


- 


- 


- 


Remaining in the hospita 














Sept. 30, 1890, . 


13 


13 


26 


192 


173 


365 



Showing the Residts of 


Fourth Admissions 






Number of fourth admissions 








77 


71 


148 


Discharged recovered, . 


24 


27 


51 


- 


- 


- 


much improved, 


3 


3 


6 


- 


- 


- 


improved, . 
unimproved, 


23 
10 


22 

7 


45 
17 


- 


— 


- 


not insane, . 


1 


- 


1 


- 


- 


- 


Died 


6 


4 


10 


- 


- 


- 


Eloped, .... 
Remaining in the hospita 
Sept. 30, 1890, . 


1 
9 


8 


1 

17 


77 


71 


148 



Showing the Results of Fifth 


Admissions. 






Number of fifth admissions, 








31 


24 


55 


Discharged recovered, . 


11 


8 


19 


- 


- 


- 


much improved, 


- 


3 


3 


- 


- 


- 


improved, . 


8 


8 


16 


- 


- 


- 


unimproved, 


4 


2 


6 


- 


- 


- 


Died, .... 


2 


1 


3 


- 


- 


- 


Eloped, .... 


3 


- 


3 


- 


- 


- 


Remaining in the hospita 














Sept. 30, 1890, . 


3 


2 


5 


31 


24 


55 



1890.] 



PUBLIC DOCUMENT — No. 22. 



45 



Shoiving the Results of Sixth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of sixth admissions, 








17 


18 


35 


Discharged recovered, . 


8 


7 


15 


- 


- 


- . 


much improved, . 


2 


1 


3 


- 


- 


- 


improved, . 


2 


8 


10 


- 


- 


- 


unimproved, 


1 


1 


2 


- 


— 


— 


Died, ..... 


2 


- 


2 


- 


- 


- 


Eloped, ..... 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1890, . 


1 


1 


2 


17 


18 


35 



Shoiving the Results of Seventh Admissions. 




Number of seventh admis- 














sions, ..... 
Discharged recovered, . 

much improved, . 
improved, . 


5 
1 
2 


1 

2 
3 


6 
3 
5 


11 


11 


22 


unimproved, 

Died, 

Remaining in the hospital 
Sept. 30, 1890, . 


1 

2 


1 
1 

3 


1 

2 

5 


11 


11 


22 



Showing the Results of Eighth Admissions. 



Number of eighth admis- 














sions, 


- 


- 


. - 


5 


5 


10 


Discharged recovered, . 


3 


2 


5 


- 


- 


_ 


much improved, . 


- 


1 


1 


- 


- 


_ 


improved, . 


2 


2 


4 


5 


5 


10 



Showing the Residts of Ninth Admissions. 



Number of ninth admissions, 
Discharged recovered, . 

much improved, . 



---31 
2 1 3 - - 

1-13 1 



46 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Showing the Results of Tenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of tenth admissions, 
Discharged recovered, . 
Died, 


3 
1 


1 


3 

2 


4 
4 


1 

1 


5 

5 



Showing the Results of Eleventh Admissions. 



Number of eleventh admis- 
sions, . . ' . 
Discharged recovered, . 



2 

2-22- 



Showing the Results of Ttvelfth Admissions. 



Number of twelfth admis- 
sions, . 
Discharged recovered, . 



1 


- 


1 


1 
1 


- 



Showing the Results of Thirteenth Admissions. 



Number of thirteenth admis- 
sions, 

Discharged recovered, . 



1 - 1 1 



Showing the Results of Fourteenth Admissions. 



Number of fourteenth admis- 
sions, 

Discharged recovered, . 



1 


- 


1 


1 
1 


- 



Showing the Results of Fifteenth Admissions. 



Number of fifteenth admis- 
sions, 

Discharged recovered, . 



1 


- 


1 


1 
1 


- 



1890.] PUBLIC DOCUMENT — No. 22. 



47 



Shotting the Results of Sixteenth Admissions. 






Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of sixteenth admis- 
sions, . . . . 
Discharged recovered, . 


1 


- 


1 


1 

1 


- 


1 

1 



Showing the Results of Seventeenth Admissions. 



Number of seventeenth ad- 
missions, . . . . 
Discharged recovered, . 



1 


- 


1 


1 
1 


- 



Showing the Residts of Eighteenth Admissions. 



Number of eighteenth ad- 
missions, . 
Discharged recovered, . 



1 


- 


1 


1 
1 


- 



48 



TAUNTON LUNATIC HOSPITAL. 



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49 



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1890.] PUBLIC DOCUMENT — No. 22. 



51 



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1890.] PUBLIC DOCUMENT — No. 22. 



59 



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61 



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62 TAUNTON LUNATIC HOSPITAL. |"Oct. 



INVENTORY OF STOCK AND SUPPLIES 

On Hand Sept. 30,' 1890. 



Live stock on the farm, $6,029 00 

Produce of the farm on hand, 2,395 90 

Carriages and agricultural implements, ..... 3,762 63 
Machinery and mechanical fixtures, ..... 37,000 00 
Beds and bedding in inmates' department, .... 17,612 10 
Other furniture in inmates 1 department, .... 8,000 46 
Personal property of the State in the superintendent's de- 
partment, 11,494 56 

Dry goods, 3,890 31 

Provisions and groceries, 2,332 07 

Drugs and medicines, 600 00 

Fuel, -.'.'.. . 4,000 00 

Library, 800 00 

Other supplies undistributed, 1,760 15 

$99,677 18 



1890.] 



PUBLIC DOCUMENT — No. 22. 



63 



TREASURER'S REPORT. 



I respectfully submit the following report of the finances 
of this institution for the year ending Sept. 30, 1890, to the 

trustees : — 

Assets. 
140 acres of land, . 
Hospital building, . 



Brick barn and stable, 
New barn, 
Laundry building, . 
Other buildings and Avail, 



f34,800 00 
275,000 00 
8,000 00 
5,000 00 
8,000 00 
7,000 00 



Personal Estate. 
Stock and supplies on hand, as per inventory appended to 
the trustee's report, 



|337,800 00 



99,677 18 



Receipts. 






$437,477 18 


Cash on hand Oct. 1, 1889, 




$7 01 


Received from the State treasurer, 




$19,298 32 




from towns, . 




73,633 


82 




from individuals, . 




17,069 


24 




from other sources, 




1,002 


28 










111,003 66 








$111,010 67 


Payments. 






1. Salaries, wages and labor, . . . 


. 


$37,551 50 


2. Provisions and supplies, etc. : — 






Meats of all kinds, .... $7,317 


79 




Fish of all kinds, . 






1,886 


01 




Fruit and vegetables, . 






2,779 


38 




Flour and bread, . 






4,763 


63 




Grain and meal for table, 






523 


80 




Grain and meal for stock, 






3,380 


95 




Tea, coffee and broma, . 






1,961 


68 




Sugar and molasses, 






3,567 


59 




Butter and cheese, 






5,507 


72 




Other groceries, 






4,417 


19 










36,105 74 







Amount carried forward, 



5,657 24 



64 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



3,343 


85 


11,661 


18 


954 


53 


4,257 


72 


576 68 


4,489 


14 


451 


34 


$085 


98 


2,507 


29 


1110,984 95 



Amount brought forward, . . . . • . . $73,657 24 

3. Clothing, 

4. Fuel and light, 

5. Medicines and medical supplies, 

6. Furniture, beds and bedding, . 

7. Transportation, 

8. Ordinary construction and repairs, 

9. Extraordinary expenses, . 

10. Miscellaneous expenses, . 

11. Loan, 

Liabilities. 

Salaries and wages due Oct. 1, 1890, . . . . . $3,048 55 
Miscellaneous bills due, 13,105 63 

$16,154 18 
Resources. 

Cash on hand Oct. 1, 1890, . $25 72 

Due the institution for board Oct. 1, 1890 : — 

From towns, 17,428 19 

State, 6,500 30 

individuals, 5,106 83 

$29,061 04 
Summary. 

Total receipts, . $111,010 67 

Total payments, 110,984 95 

$25 72 

Total debts due the institution, . . . . . . $29,061 04 

Total liabilities, 16,154 18 

$12,906 86 

Total expenditures, . .... . . . $110,984 95 

Dividing this sum by 639.49, the average number of patients, 

we have the annual cost of each patient, .... 173 55 

And the average weekly cost of 3 34 



JOHN KITTREDGE, 

Treasurer. 



Tatjntox, Sept. 30, 1890. 



The undersigned have examined the foregoing statement of the treasurer, com- 
pared the items with the vouchers, and found it correct. 

GEO. HOWLAND, Jr. 
JNO. J. RUSSELL. 



1890.] PUBLIC DOCUMENT — No. 22. 65 



FINANCIAL STATEMENT. 



Of the appropriation made by the Legislature of 1889 for 
the following purposes, to wit : For continuing the work 
on the water-closets, for building a gate house at the rear 
entrance, for enlarging the piggery, for painting the wood- 
work, for ordinary repairs : — 







$16,000 00 


Drawn to Sept. 30, 1889, 


$8,754 28 




Since drawn, viz : — 






For painting wood-work, 


1,129 12 




For ordinary repairs, .... 


616 60 




For continuing work on water-closets, . 


5,500 00 


$16,000 00 



JOHN KITTREDGE, 

Treasurer. 
Taunton, Sept. 30, 1890. 



Of the appropriation made by the Legislature of 1889 for 
the purchase of real estate : — 

Amount of appropriation, $1,800 00 

Drawn to Sept. 30, 1889, .... $1,000 00 

Since drawn, ....... 800 00 

$1,800 00 



JOHN KITTREDGE, 

Treasurer. 



Taunton, Sept. 30, 1890. 



66 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



FINANCIAL STATEMENT. 



Of the appropriation made by the Legislature of 1890 for 
repairs to the heating apparatus, for new floors, for general 
repairs to the building, for building a farm shed, storehouse, 
etc., and for bath-rooms : — 



Amount of appropriation, 

Drawn to date, viz : — 
Repairs to heating apparatus, 
General repairs, 
Farm shed, storehouse, etc., . 
Bath-rooms, .... 



Balance of appropriation, 







$15,000 


00 


$ 1,455 


33 






1,679 


87 






1,283 


00 






4,248 44 










8,666 


Gl 









,333 36 



Taunton, Sept. 30, 1890. 



JOHN KITTKEDGE, 

Treasurer. 



OFFICERS AND THEIR SALARIES. 



John P. Brown, M.D., superintendent, . 

Owen Copp, M D., assistant physician, . 

Alice Rogers, M.D., assistant physician, 

Whitefield N. Thompson, M.D., assistant physician, 

George A. Bancroft, M.D., assistant physician, 

John Kittredge, treasurer and clerk, 

Rufus D. Godding, engineer, .... 





|2,500 00 




1,200 00 




800 00 




800 00 




700 00 




1,200 00 




1,100 00 



1890. 



PUBLIC DOCUMENT — No. 22. 



67 



TRUSTEES 

Of the Taunton Lunatic Hospital. 



NAME. 


Residence. 


When 

Appoint- 
ed. 


Service 
ended. 


From what Cause. 


* Marcus Morton, . 


Taunton, 


1353, 


1854, 


Resigned. 


* William Sutton, . 


Danvers, 


1853, 


1856, 


Term expired. 


Chai'les Edward Cook, . 


Boston, 


1853, 


1857, 


Term expired. 


* George R. Russell, 


Roxbury, 


1853, 


1858, 


Term expired. 


* George A. Crocker, 


Taunton, 


1853, 


1861, 


Resigned. 


* Charles R. Vickery, 


Taunton, 


1854, 


1855, 


Term expired. 


George Howland, Jr., . 


New Bedford, 


1855, 


• 


Still in office. 


* Menzies R. Randall, 


Rehoboth, 


1856, 


1862, 


Term expired. 


* James W. Sever, . 


Boston,. 


1857, 


1858, 


Removed. 


* Charles Edward Cook, . 


Boston, . 


1858, 


1873, 


Term expired. 


John M. Kinney, . 


Wareham, . 


1858, 


1864, 


Term expired. 


* Charles R. Atwood, 


Taunton, 


1861, 


1877, 


Died in office. 


* Oliver Ames, 


No. Easton, . 


1862, 


1877, 


Died in office. 


* Le Baron Russell, 


Boston, . 


1861, 


1889, 


Died in office. 


Simeon Borden, . 


Fall River, . 


1873, 


- 


Still in office. 


William C. Lovering, . 


Taunton, 


1877, 


- 


Still in office. 


* Samuel L. Crocker, 


Taunton, 


1878, 


1883, 


Died in office. 


Oakes A. Ames, . 


No. Easton, . 


1883, 


- 


Still in office. 


Mrs. Ruth S. Murray, . 


New Bedford, 


1884, 


- 


Still in office. 


Mrs. Grace S. Bartlett, . 


Taunton, 


1884, 


- 


Still in office. 


John J. Russell, . 


. Plymouth, . 


1889, 


- 


Still in office. 



* Deceased. 



68 



TAUNTON LUNATIC HOSPITAL. [Oct.'90. 



PKODUCTS OF THE FAEM. 

Oct. 1, 1889, to Oct. 1, 1890. 



157,350 quarts of milk, at 4f cents, . 










. $7,474 13 


Beef, hides and tallow, 












978 40 


34,427 pounds pork, . 














. 2,156 51 


Pigs sold, . . . ' 














20 00 


788f dozen eggs, 














247 98 


29 li pounds dressed poultry, 














73 82 


Calves, .... 














19 00 


51 bushels onions, 














76 50 


507 squash, 














78 40 


133 pumpkins, . 














13 30 


1,287 heads cabbage, 














128 70 


82| bushels pease, . . 














163 50 


6 bushels beans, 














6 00 


2,742 ears green corn, 














27 42 


50 tons English hay, . 














1,000 00 


3,552 bushels mangel-wurzels, 














710 40 


500 bushels turnips, . 














200 00 


350 bushels carrots, . 














175 00 


27 barrels apples, 














54 00 


187 pounds rhubarb, . 














11 36 


82 bushels lettuce, 














40 00 


2\ bushels beet greens, 














2 50 


57 pounds asparagus, 














11 20 


Peppers, .... 














43 


Beets, .... 














214 80 


Summer onions, 














8 77 


34J bushels string beans, . 














17 75 


Cucumbers, 














47 37 


604 ears corn, 














12 08 


Summer squash, 














115 65 


242| bushels tomatoes, 














37 30 


Shelled beans, . 














23 70 


Lima beans, .... 














67 00 


100 bushels parsnips, 














100 00 



PUBLIC DOCUMENT. 



No. 22. 



THIETY-EIGHTH ANNUAL EEPOET 



THE TRUSTEES 



Taunton Lunatic Hospital, 



Year Ending September 30, 1891. 



BOSTON : 

WRIGHT & POTTER PRINTING COMPANY, 

18 Post Office Square. 
1892. 






PUBLIC DOCUMENT. No. 22. 



THIRTY-EIGHTH ANNUAL EEPOET 



THE TRUSTEES 



Taunton Lunatic Hospital 



Year Ending September 30, 1891. 



BOSTON : 

WRIGHT & POTTER PRINTING COMPANY, 

18 Post Office Square. 

1892. 



' ,-'" • ' : 



OFFICERS 



TAUNTON LUNATIC HOSPITAL. 



TRUSTEES. 

OAKES A. AMES North Easton. 

GEORGE HOWLAND, Jr., New Bedford. 

WILLIAM C. LOVERING, Taunton. 

SIMEON BORDEN, Fall River. 

JOHN J. RUSSELL, Plymouth. 

RUTH S. MURRAY, New Bedford. 

SUSAN E. LEAROYD, Taunton. 

RESIDENT OFFICERS. 

JOHN P. BROWN, M.D Superintendent. 

OWEN COPP, M.D Assistant Physician. 

WHITEFIELD N. THOMPSON, M.D., .... Assistant Physician. 

CHANCEY ADAMS, M.D., Assistant Physician. 

IDA M. SHIMER, M.D., Assistant Physician. 

JOHN KITTREDGE, Clerk. 

RUFUS D. GODDING, Engineer. 

A. A. SOUTHWICK, Farmer. 

TREASURER 

JOHN KITTREDGE, Taunton. 

Office at the hospital. 



Cnmmnntoealtb ai IJJa^sacfm&ette. 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Taunton Lunatic Hospital herewith 
present their thirty-eighth annual report, and also the reports 
of the superintendent and treasurer, to which they refer you 
for details. 

They have the satisfaction of saying that everything con- 
nected with the institution has, through the efficiency of its 
excellent superintendent, Dr. John P. Brown, aided by his 
faithful assistants, moved on in the usual smooth and regu- 
lar manner, in promoting the comfort of the afflicted under 
their care, of whom there has been a larger number under 
treatment than in any previous year since the opening of the 
new hospitals at Worcester and Danvers. 

At the close of the year ending Sept. 30, 1890, there were 
in the institution 679 patients ; there have been admitted 
during the year 254 ; making the whole number under treat- 
ment 933. There have been discharged, recovered, 52 ; 
much improved, 39 ; improved, 45 ; not improved, 63. The 
number of deaths has been 53, — a smaller percentage than 
in any recent year. 

We feel confident that the decreased number of deaths 
and the freedom from serious illness of any character is 
owing mainly, if not wholly, to our excellent sanitary 
arrangements, which, through the action of the Legislature 
in furnishing us with the means, has enabled us to introduce 



6 TAUNTON LUNATIC HOSPITAL. [Oct. 

into our wards a system of plumbing which we claim is not 
surpassed in any institution in the country. 

The ordinary repairs, always incident to buildings devoted 
to purposes such as this, have been kept up,' so that the 
hospital at the present time is in its usual good condition. 

In our last report we fully set forth the necessity for bet- 
ter accommodations for our sick and infirm patients, by the 
erection of an infirmary on the east and west extremes of the 
present structure for their special use, of a capacity to 
accommodate seventy-five of each sex ; thereby giving the 
comforts that, in our present overcrowded condition, we 
cannot possibly extend to them. In furtherance of this 
object, we asked of the Legislature of the present year an 
appropriation of $90,000, which we estimated would cover 
the expense of both. It appropriated $45,000 for the erec- 
tion of one of the infirmaries, with an implied understanding 
that the ensuing Legislature would grant the required amount 
for the second building. We would suggest to that body 
that it make the appropriation at an early stage of the ses- 
sion, in order that the building may be commenced suffi- 
ciently early to be roofed in before cold weather. 

After the passage of the resolve appropriating the funds 
for the erection of the first of these buildings, we immedi- 
ately took measures for the carrying out of the project, and 
decided to build this year the infirmary for women. The 
building at the present time is about two -thirds up ; our aim 
has been that it should be of a type creditable to the State 
of Massachusetts, free from all ostentation, of a durable 
quality, and well adapted to the purpose for which it is 
designed. 

The material for the masonr}' has been purchased by the 
superintendent at the lowest figures consistent with good 
stock. The laying up of the walls has been done by the 
day, under the supervision of an experienced mason, and is 
first class in every respect. The carpentry is being done by 
contract, by a man well known to us, a resident of Taunton, 
and of good repute in his line of business. 

We expect the building will be under roof before winter, 
and be ready for occupancy some time during the month of 
June next ; and we are confident it will be completed for a 



1891.] PUBLIC DOCUMENT — No. 22. 7 

sum not exceeding the estinyAe. Should we have the funds 
promptly furnished for a similar building for the men, it can 
probably be ready for use in May or June of 1893. 

As these extensions will afford but very temporary relief 
from the pressure now upon all the State hospitals for rooms, 
the constantly increasing demand for further hospital accom- 
modations must soon imperatively claim the attention of the 
Legislature ; and to meet such demands the importance of 
prompt action by that body in relation to the matter is very 
apparent. 

As every extension of the area of our building makes a 
greater demand upon our heating capacity; and, further, 
as our boilers (five in number) have been in use for nearly 
thirty years, and cannot be safely trusted beyond another 
winter ; and as our present boiler house is not sufficently large 
to allow any more boiler capacity, and will not admit of 
enlargement, we are under the necessity of erecting another, 
one story in height, of increased size. To do this, and to pro- 
vide the new boilers that will be required, we shall need an 
appropriation of $10,000, making the amount necessary to 
complete the foregoing objects $55,000. 

Daring the year Dr. Alice Rogers, who has been with 
us very satisfactorily for a period of seven years, and Dr. 
Geo. A. Bancroft, who was with us for nine months, re- 
signed their positions to go into general practice. Their 
places have been filled by the appointment of Dr. Ida M. 
Shimer and Dr. Chancey Adams. 

With heart-felt gratitude to our Heavenly Father for the 
many mercies vouchsafed during the past year, and humbly 
beseeching him to continue his protection over the institu- 
tion, and commending it to the favorable consideration of 
the Legislature, we conclude. 

OAKES A. AMES, 

GEO. HOWLAND, Jr., 

WM. C. LOVERING, 

SIMEON BORDEN, 

RUTH S. MURRAY, 

JOHN J. RUSSELL, 

SUSAN E. LEAROYD, 

Trustees. 
Taunton, Oct. 16, 1891. 



TAUNTON LUNATIC HOSPITAL. 



[Oct 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Taunton Lunatic Hospital. 

In compliance with the by-laws of your Board, I respect- 
fully present to you the thirty-eighth annual report of the 
operations of the hospital for the year ending Sept. 30, 1891. 

General Statistics of the Year. 





Insane. 


Not 

Insane. 


Habitual 
Drunkards. 


Voluntary 
Patients. 




Ma. 1 Fe. 


Tot. 


Ma. 


Fe. 


To. 


Ma. 


Fe.l To. 


Ma. 


Fe. 


To. 


Patients in hospital Oct. 1, 1890, 
Admitted within the year, . 


332 
132 

464 
138 
38 
15 
23 
34 

9,8 
326 

460 
130 
37 


340 
106 

446 
101 
14 
18 
20 
24 

25 
345 

437 

104 

14 


672 

238 


1 

1 
1 

1 

1 
1 


- 


1 

1 
1 

1 

- 

1 
1 


4 
10 

14 

10 

4 
1 
5 

4 

13 

10 


3 

4 

7 
2 

2 
5 

6 
4 


7 
14 

21 
12 

6 
1 
5 

9 

19 
14 


- 


1 

1 
1 

1 

1 
1 


1 


Whole number of cases within 

Discharged within the year, 
Viz.: as recovered, 

as much improved, . 

as improved, 

as not improved, 

as not insane, . 

Patients remaining Sept. 30, 1891, 

Viz. : supported as State patients 

supported as town patients 

supported as private 

Number of different persons 

within the year, 
Persons admitted, 
Persons recovered, 
Daily average number of patients 

town patients, . 
private patients, 


910 
239 
52 
33 
43 
58 

53 
671 

897 

234 

51 


1 
1 

1 

1 
1 



Aggregates of Preceding Table. 



Males. Females. 



Patients in hospital Oct. 1, 1890, . 
Admitted within the year, . . . ' . 

Whole number of cases within the year, 
Discharged within the year, .... 
Viz.: as recovered 

as much improved, .... 

as improved 

as not improved, 

as not insane, 

Deaths 

Patients remaining Sept. 30, 1891, . 
Viz. : supported as State patients, 

supported as town patients, 

supported as private patients, 
Number of different persons within the year, 

Persons admitted, 

Persons recovered, 

Daily average number of patients, 

Viz.: State patients, 

town patients, 

private patients, 



336 

143 

479 
149 

38 

19 

24 

39 
1 

28 
330 

77 
226 

27 
474 
141 

37 

318.75 



343 


679 


111 


254 


454 


933 


104 


253 


14 


52 


20 


39 


21 


45 


24 


63 


- 


1 


25 


53 


350 


680 


55 


132 


243 


469 


52 


79 


444 


918 


109 


250 


14 


51 


530.30 


649.05 


- 


115.0+ 


- 


453.6+ 


- 


80.4+ 



1891.] PUBLIC DOCUMENT — No. 22. 9 

No unusual event has occurred to mark the history of the 
past year or to distinguish it in any way from most preced- 
ing years. 

No serious accident or casualty of any kind has happened 
to disturb the quiet routine of the hospital service. No epi- 
demic or contagious disease has invaded our household; and, 
although watchfulness and care have been used to bring about 
this result, we are none the less thankful for the good fortune 
which has attended our efforts, and are not unmindful that 
the utmost vigilance does not always prevent accidents or 
bring desired results. The hospital has been more crowded 
during the past year than it was the year before, and it must 
continue to be even more greatly crowded until further pro- 
vision for the insane is made by the State. The daily aver- 
age number of patients w T as 649.5, w T hich is 10 more than 
the average number of the year before, and 100. more than 
the full capacity of the hospital. Partial relief may be- 
expected when the infirmary for women, which is now being 
constructed, is finished, and the infirmary for men, which we 
hope to build next year, is completed. But full relief cannot 
be expected for this hospital and the other State hospitals 
until the asylum for the chronic insane is built at Medfield. 
It is to be hoped a bill for the establishment and building of 
this asylum, satisfactory to all parties, will be passed by the 
next Legislature early in the session, that no time may be 
lost in commencing the construction of the buildings ; as two 
years at least will be consumed in their construction and 
making them ready for occupancy. 

At the beginning of the year there were- in the- hospital 
679 patients, — 336 men and 343 women. There were 
admitted during the year 254, of whom 143 were men, and 
111 women, making the whole number of cases under treat- 
ment 933. Eleven were discharged and readmitted ; 2 dis- 
charged, readmitted and discharged ; 2 admitted, discharged 
and readmitted ; which reduces the number of persons under 
treatment to 918. The removals have been 253, leaving in 
the hospital at the end of the year 680, of whom 330 were 
men and 350 women. Twenty-three patients have been 
transferred to other State hospitals, 18 to the State Farm, 9 
have been boarded out in families by the Board of Lunacy 



10 TAUNTON LUNATIC HOSPITAL. [Oct. 

and Charity, and 22 have been sent out of the State. Thirty- 
two more men were admitted during the year than women, 
and 45 more men than women were discharged, which left an 
excess of 20 women in the hospital at the end of the year. 

The number of private patients has somewhat increased, 
but the income has not been much increased thereby, as 
most of them have paid but $3.50 per week, which is only 
twenty-five cents per week above the rate paid by those 
chargeable to the State, towns and cities. 

Of those discharged during the year, 52 were recovered at 
the time they left the hospital, 39 were much improved, 63 
not improved, and one was discharged not insane, after hav- 
ing been kept thirteen days for observation. He had pre- 
viously been insane, and a patient in the hospital twice 
before, and may have shown mental aberration at the time 
he was examined for commitment ; but no indication of 
insanity was manifest after he was admitted to the hospital. 
It is more than probable that some of those discharged as 
much improved continued to improve after leaving the hos- 
pital, and finally made good recoveries. A distinguished 
alienist has said that the percentage of recoveries or reported 
recoveries in hospitals is greatly influenced by the tempera- 
ments of the superintendents ; and it is quite possible that 
some of those who have been discharged as much improved 
would by a more sanguine temperament have been discharged 
as recovered. Seventeen of those discharged as much im- 
proved were cases of acute mania and melancholia, whose 
<ehances of recovery would have been increased if they had 
/remained longer under treatment. Some of them were re- 
moved by their friends and some by the agent of the Board 
of Lunacy and Charity to be sent out of the State. In the 
present crowded condition of the hospital, it is felt that less 
effort than would be just in a less crowded State should be 
used to detain those who can safely be cared for outside, even 
at the risk of lessening in some degree their chances of re- 
covery ; and it has seemed to me a difficult question to decide 
how far the charity of the State should be extended to pro- 
mote the recovery of unfortunate aliens who become insane 
and are committed to the hospitals. It would seem to be but 
just that discrimination should be made between worthy 



1891.] PUBLIC DOCUMENT — No. 22. 11 

persons who have been employed in the State for some time, 
but have not acquired settlements, and recent immigrants, 
who have either come here or been sent here for the pur- 
pose of obtaining support at the public expense. When 
there is a strong probability that treatment, if continued 
sufficiently long, would result in recovery, and recovery 
would be jeopardized by removal, it would seem that charity 
would not be strained by allowing the former class to re- 
main under treatment until the question of recovery is 
settled. 

Six habitual drunkards were discharged as much improved. 
As the only test of recovery in these cases is their ability to 
abstain from alcoholic drinks when exposed to the usual 
temptations in the community for at least several months, it is 
difficult to see how the superintendent of a hospital is able 
to know whether his discharged inebriate is cured or recovered 
until some time after he has left the hospital. 

The number discharged recovered was less than that of 
the preceding year, but the percentage of recoveries on the 
admissions was greater, the number of admissions having 
been much less. The percentage on the admissions the 
past year was 20, and the year before 18.5. The ratio of 
recoveries to admissions during the past ten years has been 
about one to five ; but it should be remembered that that 
does not necessarily indicate that only one in five of insane 
persons recover, for many cases are cared for and recover 
outside of the hospitals. But it is true, and the fact should 
be emphasized, that more than fifty per cent, of the persons 
committed to hospitals are incurable when committed. The 
incurability of many is simply manifest by the duration of 
the disease when committed ; and most of the large number 
of cases of organic disease are incurable from the beginning 
of the attacks. 

The duration of insanity in those discharged recovered is 
always a matter of some interest, as having a bearing on the 
probability of recovery in any given case. In 10 of those 
who recovered, the whole duration of the disease was less 
than three months; in 12, from three to six months; in 9, 
from six to twelve months ; in 5, from one to two years ; in 
3, from two to five years. It will be seen that considerably 



12 TAUNTON LUNATIC HOSPITAL. [Oct. 

more than one-half recovered in less than one year, and but 
one recovered after five years. 

The number of deaths was 53, which is a less number than 
usual in recent years ; and the percentage of deaths upon the 
whole number under treatment is less than for many years, 
being 5.6 per cent. It is especially low, considering the 
large number of aged and feeble patients who have been 
inmates of the hospital for a long time, and the great number 
of the same class who have been admitted during the year. 
Most of the deaths have resulted from exhaustion following 
chronic insanity and from organic brain disease. Only one 
person died from acute mania, which is rather exceptional. 
One death from apoplexy occurred within half an hour of 
arrival at the hospital, and before entering the ward. Nine 
died from exhaustion from chronic mania, 1 from chronic 
melancholia, 14 from general paralysis of the insane, 2 from 
gross organic brain disease, 3 from paralytic insanity, 2 from 
apoplexy, 1 from chronic pachymeningitis, 9 from phthisis, 
4 from senile insanity, 3 from pneumonia, 3 from acute and 
1 from chronic intestinal catarrh. No case of typhoid fever 
or other zymotic or contagious disease has occurred. Both 
patients and employees have been quite exempt from the 
usual intercurrent diseases of the community, and it is but 
reasonable to attribute much of this unusual exemption to the 
improved sanitary condition of the hospital since the comple- 
tion of the reconstruction of the plumbing, which was finished 
during the year. We are again fortunate in being able to 
report that no death has occurred by suicide or violence. 

The employment of patients is a trite subject to speak of, 
but a report of the year's work would hardly be complete 
without some mention of it. During the past year we have 
not been able to increase very materially the number of 
workers, but constant eifort has been made to induce all to 
work in some direction who were able, and the number of 
previous years has been fully maintained. Not less than 
fifty men have been employed on the farm and about the 
grounds and out-buildings, and during the summer and 
autumn thus far a considerable number have been employed 
on the new building as laborers, in excavating the basement 
and as helpers to the masons. The brush shop has continued 



1891.] PUBLIC DOCUMENT — No. 22. 13 

to find occupation for those who cannot be more profitably 
employed on the farm and in other departments. Besides 
drawing brushes, cobbling and tailoring departments have been 
carried on in the same room and under the care of the same 
man that superintends the brush making. One patient has 
done all the cobbling for the hospital, and another has made 
men's wearing apparel, and others have rebottomed chairs. 
Two men, since being inmates of the hospital, have developed 
considerable artistic ability, and have ornamented their rooms 
with oil paintings and other things of beauty, largely pis- 
catorial ; and it has become a pleasant surprise to many 
visitors to find that " Taunton Fish Market" has been con- 
verted into an artist's studio and transferred to the lunatic 
hospital. But the best of it is that this pleasant occupation, 
as would be expected, has been highly conducive to the 
mental improvement and happiness of the patients who have 
been engaged in it. The women, as heretofore, have found 
occupation in assisting the attendants on the wards, and in 
the kitchen, the laundry, the sewing room and the various 
other domestic departments, a considerable number doing 
more or less sewing and ornamental work for themselves or 
others, for which they receive some recompense. It appears 
from the record of employment which is kept in the office 
that the daily average number of men employed in all de- 
partments of the hospital was 124.3 and of the women 78.4, 
which is 39 per cent, of the average number of men in the 
hospital and 24 per cent, of the women. It will be noticed 
that the percentage of men employed is much greater than 
of the women, and it is to be accounted for in part by the 
much greater opportunities for the men to work on the farm 
and about the grounds ; but it is also a fact, and not so easily i 
explained, that the men are more willing to work on the 
wards than the women, and a greater number are employed 
there. But the number of insane people in hospitals who 
are physically and mentally able to do any work is much 
less than is generally supposed. 

The usual number and variety of evening entertainments 
in the chapel and on the wards were given to the patients ; 
usually two or three each week, and sometimes more, during 
the autumn, winter and spring months. They consisted 



14 TAUNTON LUNATIC HOSPITAL. [Oct. 

of dances, light gymnastics with music, concerts, readings, 
views with the stereopticon of home and foreign scenery, 
with explanatory lectures, and dramatic entertainments. 
Most of the latter were given by members of our own house- 
hold, and in several of them leading parts were taken by 
patients. Picnics were given in the grove during the sum- 
mer and autumn, which were greatly enjoyed by the patients ; 
and at Christmas the Christmas tree in the chapel afforded 
enjoyment to great numbers. 

The reconstruction of the water-closets and bath-rooms 
has been completed during the year, and the hospital may 
now be said to be in excellent sanitary condition. The 
repairing of the steam-heating apparatus, for which an appro- 
priation was received, has been continued through the warm 
season, and is now near completion. Other minor improve- 
ments have been carried on, as follows. Brick floors have 
been laid in the basement of the several wings, to take the 
place of the cement floors, which had become broken up and 
pulverized in many places by long use and the dry heat from 
the radiators. Before the bricks were laid the floors of the 
basement were lowered six inches, which has partially reme- 
died the difficulty of walking under the steam and water 
pipes. 

The approaches to the hospital and the grounds about the 
buildings have been rendered more pleasant and cheerful by 
the removal of the airing courts, which have been little used 
for several years, the patients who formerly occupied them 
going to the grove for their exercise in the open air. 

The painters and carpenters, two of each, constantly 
employed by the hospital, have been kept busy in painting 
and repairing the buildings, which are continually needing 
renovation to keep them in good condition. 

Finance. 
The apparent surplus at the close of the year was $14,- 
244.18, which is $1,337.32 above that of Sept. 30, 1890. 
With the hospital greatly overcrowded during the year, and 
with an appropriation for ordinary repairs, we have been 
able to meet the current expenses and make this small gain 
in the apparent surplus. The past year has but confirmed 



1891.] PUBLIC DOCUMENT — No. 22. 15 

the experience of previous years, that the hospital cannot 
pay its current expenses at the present rate of board, — $3.25 
per week for State and town patients, including clothing and 
breakage, — except it is crowded much beyond its capacity. 

Acknowledgments . 

The editors of the " Daily Mercury" and of the " Old 
Colony Memorial," as usual, have sent their papers to the 
hospital free of charge. The " Friends Review," through 
the kindness of Hon. Geo. Howland, Jr., of New Bedford, 
has been received another year. A large number of orna- 
mental articles, vases, etc., were presented to the hospital 
to adorn the wards and rooms of the patients, by Mrs. 
Henrietta G. Codman of Brookline. Books and magazines 
were given to the library as follows : The " Wealth of 
Nations" and the "Last Days of Pompeii," by Dr. M. 
Hutchinson ; 32 numbers of " Harper's Magazine," 24 num- 
bers of the " Century Magazine," 230 of " Harper's Weekly," 
312 of the " Youths' Companion," and 15 of " Lend a Hand" 
magazine, were received from Dr. Dutton of Wakefield. 

We are indebted to kind friends for entertainments in the 
chapel, as follows: To the John Street Church Quartette, 
from Lowell, through the kindness of Mr. George H. 
Stevens, for a very fine concert ; to the Taunton Music 
Hall Orchestra, for music for a dance ; to young ladies 
from St. John's Parish, under the direction of Mrs. Samuel 
B. Moore, for a highly amusing entertainment ; to the 
Dramatic Club of Taunton, for a play, entitled "Lords of 
Creation ; " to the Duffy Brothers' Orchestra, for a musical 
entertainment ; to the members of the Social Club of Taun- 
ton, for two excellent entertainments, at one of which 
Mrs. Grace S. Bartlett assisted at the piano ; to Rev. H. B. 
Cady, for an interesting lecture on Venice, illustrated by 
views with the stereopticon ; and to Mr. T. W. Howes and 
the children from Cohannet St. School, assisted by Mr. J. E. 
Deblois, for rendering in a very pleasing manner the ope- 
retta, " Little Red Ridinghood." The Bristol County Agri- 
cultural Society, as it has done for many years, gave to the 
residents of the hospital free admission to its grounds during 
its annual fair. 



16 TAUNTON LUNATIC HOSPITAL. [Oct.'91. 

Several changes have occurred in the medical stsiff. After 
seven years of faithful and devoted service, during which 
she won and retained in an unusual degree the love and con- 
fidence of the patients, Dr. Alice Rogers resigned her posi- 
tion as assistant physician in August, to go into the general 
practice of medicine, a very promising field opening 
for her near Philadelphia. She bore with her to her new 
field of labor the hearty good wishes of all who were associ- 
ated with her here. Dr. George A. Bancroft, after a suc- 
cessful service of nine months, resigned his position as 
assistant physician, to enter into the general practice of his 
profession in this State. His place has been filled by the 
appointment of Dr. Chancey Adams, a graduate of Colby 
University and of the Medical School of Maine. Dr. Ida 
M. Shimer, a graduate of the Women's Medical College at 
Philadelphia, has been appointed to fill the position vacated 
by Dr. Rogers. Mrs. Cora M. Kelley has been appointed 
to fill the vacancy in the position of supervisor. 

It gives me great pleasure, as heretofore, to bear testimony 
to the faithful and efficient labor of those associated with me 
in the service of the hospital. To the trustees, for their 
cordial support and the valuable aid they have rendered me, 
I am very grateful. 

JOHN P. BROWN, 

Superintendent. 



KEVISED TABLES 



Uniform Statistics 



MASSACHUSETTS HOSPITALS AND ASYLUMS 

FOR THE INSANE. 



Approved by the State Boabd of Lunacy and Charity, 
March 10, 1891. 



18 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



m 
H 

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EH 


N'QCf5iOiOCO^<0 iOOOCO<at> -'O'OOOOI' 
tOfMOCT ix> i— 1 -*+l CI CM .... 

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S 

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Eh 


CO'-'^-H-^O^'* I OOiOCON -^Ol^O 
Ti<HioOH(M(N(N CNiOiO-HiO -c»Oi-ICO I 1 1 
COH-^H CO <M Ttli-H 

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so 


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COCOcSClCOOl^CSHQOONcON -c|H H N >C 

co-*n-*coh(mco cm co c~ cm cm n-+coi> 1 1 1 

COH-^H CO CM -* i— 1 

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co 




« CO 

is 


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It-irHiHIIiHlllllll -. — t -, — 1 ] t ] 1 1 


CD 
fa 


l-i— li— It— ll It— l| 1 1 1 1 1 1 t-It-hIIIII 




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




to a 

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o 


t»^^IN ItDHiO 1 Iffl 1 1 1 Ol-rHI 1 1 1 1 

l-J <M y-{ i-H i-H 


£ 


CO-*t^CN|!M||||iOIII X> -* 1 1 1 1 1 


03 
8 


>* o •* o I ■* i-i io I 1^*1 I 1 cool I I I I 

1— I >— 1 .— 1 T-H 1— 1 




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IrlHri I j I IH^I I I 1 I t — i , — 1 1 I 1 1 1 


£ 


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


C3 


1 1 — 1 T — 1 -. — 1 I II | -. — 1 1 ■ 1 1 1 T 1 ^ 1 1 1 1 1 1 




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to 


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(MOOOfflNMCOOC I COH | | | r^ "* i-H I i 1 1 

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OtOtOHTjooO'* 1 K5K5 I 1 1 r — -^H ^H 1 1 1 1 
-*0-*OhhNiM GM-* COOi-l 

MH-*H CO ■cJIH 


i 


CMCM-tlQOCOiOCO-*|CO<r>l I I OOt^l 1 1 1 
COCOCjDCOCOt— ICMCO CMCN <X> CO CO 

MH^H CO ■* T— 1 






Patients in hospital Oct. 1, 1890, 

Admitted within the year, . 

Whole number of cases within the year, 

Discharged within the year, 

Viz. : as recovered,* .... 

as much improved,* 

as improved,* .... 

as not improved,* 

as not insane,* 

Deaths, 

Patients remaining Sept. 30, 1891, . 
Viz. : supported as State patients, 
as town patients, 
as private patients, . 
Number of different persons within the 

year, 

Persons admitted, .... 
Persons recovered, .... 
Daily average number of patients, . 
Viz : State patients, .... 

town patients, .... 

private patients, 



1891.] 



PUBLIC DOCUMENT — No. 22. 



19 



HCO<N 

r-- o »o 



N<NHOOiOW(NOSO 



M(M(N(M(M(M(MCO-* 

comcococococococo 



CO CI CO 
GN — Ol 

co co co 



COCON-*NiOCOCOCO 

<M ~H — 1— I— I ^ ^ ,-1 — I 

cococococococococo 



TfCOO CO^HiO^**^iO~*CO 



<m co i TfHHcowcoiMnH 



GN I O ^cOrtiHtMHeOHIM 



O CO t 

O Oi 

CM 1-H 



t* O -# HONOOOICHO'H 



-ti o 
CN CM 



° S a 

O £ ® 
t) O <u 



^ - fan 
» m ^ 2< 

eg o cj 

=f-i <m l> 
00«i 

.-£ | ^^-b 

^ ~< .-r't; += -w •>- 

fc c3 _r r H OOra 

=3 ^ 45 B"4h 335« 



20 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



3. — Received on First and Subsequent Admissions. 





Cases admitted. 


Times previously 
recovered. 


NUMBER OF THE ADMISSION. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 




Ill 


84 


195 


- 


- 


- 


Second, . 




21 


16 


37 


5 


5 


10 


Third, . 




4 


9 


13 


2 


7 


9 


Fourth, . 




3 


- 


3 


5 


- 


5 


Fifth, . 




2 


- 


2 


6 


- 


6 


Seventh, 




- 


1 


1 


- 


6 


6 


Eighth, . 




- 


1 


1 


- 


4 


4 


Twelfth, 




1 


- 


1 


10 


- 


10 


Nineteenth, 




1 


- 


1 


16 


- 


16 


Total of cases, 


143 


Ill 


254 


44 


22 


66 


Total of persons, . 


141 


109 


250 


13 


22 


35 



4. — Relations to Hospitals of Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


Never before in any hospital for insane, 
Former inmates of this hospital only, . 
of other hospitals only, 
of this and other hospitals, 


98 

24 

13 

6 


74 

19 

10 

6 


172 
43 
23 
12 


Total of persons, 


141 


109 


250 



1891.] 



PUBLIC DOCUMENT — No. 22. 



21 



5. — Parentage of Persons admitted. 





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Maine, .... 




5 


7 


5 


4 


10 


11 


New Hampshire, . 




1 


2 


4 


4 


5 


6 


Vermont, 




3 


3 


- 


- 


3 


3 


Massachusetts, 




43 


42 


33 


34 


76 


76 


Rhode Island, 




4 


3 


1 


3 


5 


6 


Connecticut, . 




2 


1 


- 


- 


2 


1 


New York, . 




2 


2 


1 


1 


3 


3 


New Jersey, . 




1 


1 


1 


1 


2 


2 


Virginia, 




1 


- 


- 


- 


1 


- 


North Carolina, . 




1 


1 


- 


- 


1 


1 


Georgia, 




1 


- 


- 


- 


1 


- 


Ohio, . 




- 


1 


- 


1 


- 


2 


Dominion of Canada, 




5 


5 


9 


10 


14 


15 


Western Islands, . 




2 


2 


1 


1 


3 


3 


England, 






10 


10 


3 


3 


13 


13 


Scotland, 






4 


4 


- 


- 


4 


4 


Ireland, 






39 


40 


40 


36 


79 


76 


Germany, 






4 


4 


- 


- 


4 


4 


Sweden, 






2 


2 


3 


3 


5 


5 


China, . 






2 


2 


- 


- 


2 


2 


Russia, . 






- 


- 


1 


1 


1 


1 


Unknown, 






9 


9 


7 


7 


16 


16 


Totals, 


141 


141 


109 


109 


250 


250 



22 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



6. — Residence of Persons admitted. 



PLACES. 


Males. 


Females. 


Totals. 


Barnstable County, 


3 


- 


3 


Bristol County, 


69 


57 


126 


Dukes County, 


2 


- 


2 


Essex County, 


- 


1 


1 


Nantucket County, 


1 


- 


1 


Norfolk Count}', 


22 


15 


37 


Plymouth County, 


25 


19 


44 


Suffolk County, 


19 


17 


36 


Totals, . . . 


141 


109 


250 


Cities or towns,* 


99 


74 


173 


Country districts, 


42 


35 


77 



* Containing not less than 10,000 inhabitants. 



7. — Civil Condition of Persons admitted. 



NUMBER 




Unmarried. 


Married. 


Widowed. 


Unknown. 


Totals. 


OF THE 
ADMISSION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 

Second, 

Third, 

Fourth, 

Fifth, 

Seventh, 

Eighth, 

Twelfth, 

Nineteenth 

Totals, 


t 


49 
8 
3 

2 
2 

1 

65 


28 
6 
3 

1 
38 


77 

14 

6 

2 

2 

1 
1 

103 


50 
9 
1 
1 

61 


42 
6 
5 

1 

54 


92 
15 

6 
1 

1 
115 


9 
1 

1 
11 


14 
3 

17 


23 
4 

1 

28 


3 
1 

4 




3 
1 

4 


Ill 
19 
4 
3 
2 

1 
1 

141 


84 

15 

8 

1 
1 

109 


195 
34 

12 
3 

2 
1 
1 
1 
1 

250 



1891.] 



PUBLIC DOCUMENT — No. 22. 



23 



8. — Occvpation of Persons admitted. 



MALES. 


Agent, 


1 


Mill operatives, 


12 


Baker, .... 




1 


Mechanic, . 




1 


Boiler maker, 




1 


Music teacher, . 






1 


Britannia worker, 




1 


No occupation, . 






6 


Card writer, 




1 


Painters, . 






4 


Carpenters, . 




5 


Peddlers, . 






2 


Clerks, 




6 


Physician, . 






1 


Conductor, . 




1 


Porter, 






1 


Cook, .... 




1 


Reporter, . 






1 


Dentist, 




1 


Sailors, 






4 


Druggist, 




1 


Salesmen, . 






4 


Electrician, . 




1 


Shoemakers, 






19 


Elevator attendant, 




1 


Speculator, 






1 


Engineer, . 




1 


Stone cutters, 






4 


Farmers, 




12 


Student, 






1 


Hostler, 




1 


Tailor, 






1 


Iron melter, 




1 


Teamsters, 






2 


Jeweller, 




1 


Trader, 






1 


Laborers, 




22 


Unknown, . 






4 


Lapidary, . 




1 


Wheelwright, 






1 


Laundrymen, 




3 


Wood polishers, 




2 


Machinists, . 




3 







Mail service employee, 


1 


Total, .... 


141 


FEMALES. 


Book-keeper, 


1 


No occupation, . 


3 


Corset maker, 




1 


Scrubwoman, 






1 


Domestics, . 




18 


Seamstresses, 






3 


Dressmakers, 




2 


Shoestitchers, 






3 


Housekeepers, 




2 


Teachers, . 






2 


Mill operatives, . 




8 


Travelling conrpanion, 


1 


WIFE OE DAUGHTER OF 


Agent, 


2 


Merchant, .... 


4 


Architect, . 




1 


Oil refiner, 






1 


Barber, 




2 


Painter, 






1 


Book-keeper, 




1 


Pattern maker, 






3 


Carpenter, . 




4 


Physician, . 






1 


Clerk, . 




1 


Shoemaker, 






6 


Editor, 




1 


Tackmaker, 






1 


Farmer, 




10 


Undertaker, 






1 


Glass decorator, . 




1 


Wheelwright, 






1 


•Tpwp 1 1 pi* 




1 

20 






WOWC11C1, a a 

Laborer, 




Total, . 


109 


Mariner, 




1 







24 



TAUNTON LUNATIC HOSPITAL. 

9. — Probable Causes of 



[Oct. 







Patients admitted. 


CAUSES. 


Insane. 


Not Insane. 


Habitual 
Drunkards. 


Voluntary 
Patients. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Physical. 


























Accident, 




3 


- 


3 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Apoplexy, 




1 


1 


2 














- 






Childbirth, . 




- 


4 


4 




















Congenital, . 




1 


1 


2 




















Epilepsy, 




7 


4 


11 




















Injury to head, 




2 


- 


2 




















Intemperance, 




19 


3 


22 


- 


- 


- 


10 


4 


14 


- 


- 


- 


Influenza, 




2 


2 


4 




















Menopause, . 




- 


10 


10 




















Masturbation, 




6 


- 


6 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Measles, . 




1 


- 


1 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Nervous prostration, 




1 


2 


3 




















Overstudy, . 




- 


1 


1 




















Operation on eyes, 




1 


1 


2 




















Overwork, 




7 


5 


12 




















Paralysis, 




2 


1 


3 




















Pneumonia, . 




1 


- 


1 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Renal disease, 




1 


- 


1 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Senility,. 




6 


3 


9 




















Sunstroke, 




5 


- 


5 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Syphilis, 




2 


2 


4 




















Tuberculosis, 




1 


- 


1 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Typhoid fever, 




2 


2 


4 




















Mental. 




























Business trouble, . 




1 


- 


1 




















Disappointment, . 




- 


2 


2 




















Desertion by wife, 




1 


- 


1 




















Domestic affliction, 




- 


3 


3 




















Family trouble, . 




4 


9 


13 




















Fright, . 




- 


2 


2 




















Loss of property, . 




- 


2 


2 




















Religious excitement, 




1 


3 


4 




















Worry, . 




1 


- 


1 




















Not insane, . 




- 


- 


- 


1 


- 


1 


- 


- 


- 


- 


- 


- 


Unknown, 




51 


41 


92 






1 


10 


4 


14 


- 


1 
1 


1 


Totals, . 


130 


104 


234 


1 


- 


1 



PUBLIC DOCUMENT — No. 22. 

Disease in Persons admitted. 



25 



Insane. 


Habitual Drunkards. 


Voluntary Patients. 


Previous 
Attacks. 


Hereditary 
Predisposition. 


Previous 
Attacks. 


Hereditary 
Predisposition. 


Previous 
Attacks. 


Hereditary 
Predisposition. 


Ma. 


Fe. (Tot. 


Ma. Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


10 
1 

2 

3 

3 
1 

2 
18 


1 

1 

1 
1 

1 
1 

1 

7 
14 


1 

11 

2 
1 
2 

1 

4 

3 
1 

1 
2 

25 
54 


1 

1 
5 

1 
1 
1 

1 

1 

1 

1 
1 

12 

27 


1 
1 

1 
1 
1 

1 

1 
2 
1 
1 
1 

13 

25 


1 
1 
1 

1 

6 
1 
1 
1 
1 
1 

2 
1 

1 

3 
1 
1 

2 
1 

25 
52 


8 
8 


2 
2 


10 


- 


- 


- 


- 


1 


1 
1 


- 


- 


- 


40 


10 


- 


- 


1 


- 


- 



26 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



s 

£ 



ts 






6 

s 

fin 



c 
M 



W 

H 

a 

a: 
& 
o 


o 

EH 


-*i— 1 -<# CO CO t— t iO CM CO CO 
O CO t-H t— 1 i— 1 t-H CO -tfl 
CM • T-H 


fa 


h to ■* <o eft i »o i-i co qo 

i-l GO CM 

T-H 




CO iO O t>- OJ t- 1 O t-h CO CO 
^ CM t-H T-H CO T-H 




tH . 

PS 05 

H a 

z a 

5 H 


o 

EH 


t-H 1 1 _ • tH . | | I | | | 


£ 


rH 1 1 H I I I | I | 




1 1 1 1 1 1 1 1 1 1 






o 

EH 


-* 1 CM rH CO 1 1 CO 1 CO 

1—1 


o5 

fa 


■^ 1 1 1 1 1 1 XH 1 "* 


8 


O 1 CM T-H CO 1 1 -# 1 -* 

T-l 


-<! 

(5 

H 
O 
(2! 


o 

EH 


t-H 1 1 1 1 T-H | | | | 


fa 


1 1 1 1 1 1 1 1 1 1 




T-H 1 1 1 1 t-H | | | | 




H 


CO t-H CM t-h iO 1 HO ^H CO GO 
COCOt-Ht-Ht-H t-H UO CO 

CM T-H 


fa 


co co -hh o o |ior>.cO'# 

O I- CM 


s 


CM O CO CO CO lOt^CO'* 
CO CM t-h O t-H 
T-H 


CO 

tH 

g 
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Admitted, .... 
Discharged recovered, 

much improved, 
improved, 
not improved, 
not insane, . 
Died, .... 
Remaining Sept. 30, 1891, 
Number likety to recover, 
Number likely to improve, 



1891.] 



PUBLIC DOCUMENT --No. 22. 



27 



11. — Ages of Insane at First Attack, Admission and Death. 





Persons First admitted 
any Hospital. 


ro 


Persons Died. 


AGES. 


At First Attack. 


When admitted. 


At First Attack. 


At Time of Death. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 


2 


2 


4 


- 


- 


- 


2 


- 


2 


- 


- 


- 


15 years and less, . 


1 


- 


1 




















From 15 to 20 years, 


1 


1 


2 


1 


1 


2 


- 


- 


- 


- 


- 


- 


20 to 25 years, 


9 


10 


19 


8 


7 


15 


- 


2 


2 


- 


- 


- 


25 to 30 years, 


13 


12 


25 


16 


13 


29 


4 


3 


7 


4 


1 


5 


30 to 35 years, 


14 


3 


17 


14 


3 


17 


2 


5 


7 


1 


3 


4 


35 to 40 years, 


11 


3 


14 


9 


4 


13 


2 


1 


3 


2 


5 


7 


40 to 50 years, 


14 


21 


35 


18 


21 


39 


9 


4 


13 


10 


6 


16 


50 to 60 years, 


10 


10 


20 


14 


13 


27 


2 


3 


5 


3 


3 


6 


60 to 70 years, 


6 


4 


10 


9 


5 


14 


1 


2 


3 


2 


3 


5 


70 to 80 years, 


2 


3 


5 


3 


5 


8 


6 


2 


8 


6 


2 


8 


Over 80 years, 


- 


- 


- 


1 


- 


1 


- 


- 


- 


- 


2 


2 


Unknown, 


10 


3 


13 


- 


- 


- 


- 


3 


3 


- 


- 


- 


Total of persons, 


93 


72 


165 


93 


72 


165 


28 


25 


53 


28 


25 


53 


Mean ages, 


37.66 


38.88 


38.22 


41.01 


44 16 


42.46 


44.14 


42.5443.44 


49.32 


51 58 


50.32 



28 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



12. — Reported Duration of Disease before Last Admission. 





First Admission 
to ant Hospital. 


All Other Admis- 
sions. 


Totals. 
























Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Me. 


Fe. 


Tot. 


Congenital, . 


2 


2 


4 


- 


- 




2 


2 


4 


Under 1 month, . 


19 


9 


28 


8 


5 


13 


27 


14 


41 


From 1 to 3 months, . 


18 


5 


23 


4 


4 


8 


22 


9 


31 


3 to 6 months, . 


13 


8 


21 


5 


1 


6 


18 


9 


27 


6 to 12 months, . 


4 


11 


15 


1 


4 


5 


5 


15 


20 


1 to 2 years, 


11 


9 


20 


3 


5 


8 


14 


14 


28 


2 to 5 years, 


11 


12 


23 


7 


5 


12 


18 


17 


35 


5 to 10 years, . 


4 


9 


13 


1 


1 


2 


5 


10 


15 


10 to 20 years, . 


2 


3 


5 


3 


2 


5 


5 


5 


10 


Over 20 years, . 


1 


1 


2 


3 


2 


5 


4 


3 


7 


Unknown, . 


8 
93 


3 

72 


11 
165 


4 
39 


6 
35 


10 
74 


12 
132 


9 


21 


Total of cases, 


107 


239 


Total of persons, 


93 


72 


165 


37 


34 


71 


130 


105 


235 


Average in years, . 


2.75 


3.47 


3.07 


4.38 


3.56 


4.01 


3.23 


3.49 


3.35 



1891.] 



PUBLIC DOCUMENT — No. 22. 



29 





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A. — Insane — 
Mania, acute, . 

chronic, 
Melancholia, acute, . 

chronic, 
Dementia, acute, 

chronic, 
Imbecility, 

Epileptic insanity, . 
Paresis, 

Organic brain disease, 
Paralytic insanity, . 
Senile insanity, . 
Recurrent insanity, . 
Acute delirium, . . 
Alcoholism, acute, . 
Not insane, 



30 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 









s 



^H 

M 



< 
n 
o 

H 


o 


CCI~^-t^.t^C^T— 1>— It— li— 1 t^ -* i-H T-t 

oo co 
1— 1 


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CM CM 


& 


T*< >-H Th tH | | tH | I i-l i-H | T-l 

t> CM 


-* cc 
o o 
1— 1 1—1 


C3 


1 

CitOMfflNH 1 HH CO CO i— 1 | ! ffl 00 
O 1— 1 ^1 -HI 

1— 1 ,— 1 1—1 


< 

H 
O 

'A 


o 


1 1 1 1-1 1 1 1 1 1 III 1 


T-H T-H 




1 1 1 1 1 1 1 1 1 III 1 j 1 1 




1 1 1 1 — 1 till? Ill 1 


i-l i-H 


d 


o 
Eh 


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


CO CO 

id o 


£ 


T-l CO T-H | | 1 | | | III | 

CM 


CM CM 


1 


o co I I I I I I I III 1 

CM 


CO 00 
CM CM 


Not Improved. 


o 

Eh 


NOlilHHr 1 1 1 1 CM CM tH | 

-HH 


CO CO 
CO CD 


&H 


oococoiillll III 1 

i—i 


CM CM 


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CM 


CJ CJ 
CO CO 


ft 
o 


o 
Eh 


■* ^ T-l IH | | | | | | T— 1 1 TH 

co 




Eh 


-#co 1 1 I 1 1 1 1 III tH 


CM CM 


03 


O l-H tH tH | | | | | 1 T-l | 1 
CM 


CM CM 


ft 

o 
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a 


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EH 


-+l »d i-H CO 1 1 1 1 1 O rH | | 
CM 


CJ CJ 

co co 


& 


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i— 1 


o o 

CM CM 


rt 


OCMtHCM||||| -* 1 1 1 

1—1 


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1— 1 1—1 


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o 
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r— co i i—i i—i | T-i t-h t-h ill I 

CO T-H 


CM —I 


& 


t>CO 1 1 1 1 TH | | III 1 


1— 1 l-H 




Oil IHH | |HH III 1 
CO 


co t^ 

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fo o 

o £ 


1 . . . 1 . 




CO co 




| t 
1 \ f t?' 

i .fa 8 -3 o si .S & * -S iioo 1 .ft 

lE^CCHpHr3HOQa2EH!2i 1 pH CO pH lh 


CO 

a 

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co is 
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U Ph 

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trf CSi 

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H H 



1891.] PUBLIC DOCUMENT — No. 22. 



31 





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co i— i 


CO 




t- 1 






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rH t-I 


>o 


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CM 


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cj 


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1 1 


| | 


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32 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



8 



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1 • 


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r/T co co 

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o ^ 
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r> O O 35 to to to 

§ g 2 co co co ao 


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'-^aooooooooj .. 


CD V ~ - ' 

«• bjog? 


g a 


a -w 




Ph 




A. — Insan 

Congeni 

Under 1 

From 1 

3 

6 

1 

2 

5 

10 

Over 20 

Unknow 


Totals 

Avera 

case 


."S i—i 
1 fl 


C —Volui 
Congeni 



1891.] 



PUBLIC DOCUMENT — No. 22. 



33 





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1891. J PUBLIC DOCUMENT — No. 22. 



37 



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1891.] PUBLIC DOCUMENT — No. 22. 



39 



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PUBLIC DOCUMENT — No. 22. 



41 



21. — Showing the Results of First Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of persons on firsl 














admission, . 


- 


- 


- 


4,745 


4,369 


9,114 


Discharged recovered, . 


1,279 


1,138 


2,417 


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much improved, 


98 


126 


224 


- 


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989 


1,036 


2,025 


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1,033 


938 


1,971 


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- 


- 


not insane, . 


35 


11 


46 


- 


- 


- 


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953 


858 


1,811 


- 


- 


- 


Eloped, .... 


106 


7 


113 


- 


- 


- 


Remaining in the hospita 














Sept 30,1891, . 


242 


255 


497 


4,745 


4,369 


9,114 



Showing the Results of Readmissions. 



Number of readmissions, 








1,117 


1,000 


2,117 


Discharged recovered, . 


308 


312 


620 


- 


- 


- 


much improved, . 


43 


36 


79 


- 


- 


- 


improved, . 


263 


260 


523 


- 


- 


- 


not improved, 


227 


202 


429 


- 


- 


- 


not insane, . 


7 


3 


10 


- 


- 


_ 


Died, 


137 


90 


227 


- 


- 


- 


Eloped, 


45 


1 


46 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1891, . 


87 


96 


183 


1,117 


1,000 


2,117 



Showing the Results of Second Admissions. 



Number of second admis- 














sions, .... 


- 


- 


- 


758 


688 


1,446 


Discharged recovered, . 


186 


204 


390 


- 


- 


- 


much improved, 


26 


17 


43 


- 


- 


- 


improved, . 


173 


169 


342 


- 


- 


- 


not improved, 


168 


157 


325 


- 


-* 


- 


not insane, . 


3 


3 


6 


- 


- 


- 


Died, .... 


100 


71 


171 


_ 


— 


_ 


Eloped, .... 


36 


3 


39 


- 


- 


- 


Remaining in the hospita' 














Sept. 30, 1891, . 


66 


64 


130 


758 


688 


1,446 



42 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Showing the Results of Third Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of third admissions, 








196 


182 


378 


Discharged recovered, . 

much improved,, 
improved, . 


53 

8 

50 


61 

7 
48 


114 
15 
98 


- 


- 


- 


not improved, 


40 


36 


76 


- 


- 


- 


not insane, . 


1 


- 


1 


- 


- 


- 


Died, 


25 


12 


37 


_ 


- 


_ 


Eloped, 

Remaining in the hospital 
Sept. 30, 1891, . 


4 
15 


18 


4 
33 


196 


182 


378 



Showing the Results of Fourth Admissions. 



Number of fourth admissions 








80 


71 


151 


Discharged recovered, . 


25 


27 


52 


- 


- 


- 


much improved, 


4 


4 


8 


- 


- 


- 


improved, . 


25 


22 


47 


- 


- 


- 


not improved, 


11 


7 


18 




- 


- 


not insane, . 


3 


- 


3 


- 


- 


- 


Died, .... 


6 


4 


10 


- 


- 


- 


Eloped, .... 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1891, . 


5 


7 


12 


80 


71 


151 



Showing the Results of Fifth Admissions. 



Number of fifth admissions, 








33 


24 


57 


Discharged recovered, . 


12 


8 


20 


- 


- 


- 


much improved, 


- 


3 


3 


- 


- 


- 


_ improved, . 
not improved, 


8 


8 


16 


- 


- 


- 


4 


2 


6 


- 


- 


- 


Died 


2 


1 


3 


- 


- 


- 


Eloped, .... 


3 


- 


3 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1891, . 


4 


2 


6 


33 


24 


57 



1891.] 



PUBLIC DOCUMENT— No. 22. 



43 



Showing the Results of Sixth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of sixth admissions, 








17 


18 


35 


Discharged recovered, . 


8 


7 


15 


- 


- 


- 


much improved, . 


2 


1 


3 


- 


- 


- 


improved, . 


2 


8 


10 


- 


- 


- 


not improved, 


1 


1 


2 


- 


- 


- 


Died, 


2 


- 


2 


- 


- 


- 


Eloped, 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1891, . 


1 


— 


1 


17 


18 


35 



Shotting the Results of Seventh Admissions,. 



Number of seventh admis- 














sions, .... 


- 


- 


- 


11 


12 


23 


Discharged recovered, . 

much improved, 


5 
1 


2 
2 


7 
3 


- 


- 


- 


improved, . 
not improved, 
Died, .... 


2 
1 


2 
1 

1 


4 
1 

2 


- 


- 




Eloped, .... 
Remaining in the hospita 
Sept. 30, 1891, . 


1 
1 


4 


1 
5 


11 


12 


23 



Showing the Results of Eighth Admissions. 



Number of eighth admis- 














sions, ..... 


- 


- 


_ 


5 


6 


11 


Discharged recovered, . 


3 


2 


5 


- 


_ 


_ 


much improved, . 


- 


1 


1 


- 


- 


- 


improved, . 


2 


2 


4 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1891, . 


— 


1 


1 


5 


6 


11 



Showing the Results of Ninth Admissions. 



Number of ninth admissions, 
Discharged recovered, . 

much improved, . 









3 


1 


2 


1 


3 


- 


- 


1 


- 


1 


3 


1 



44 TAUNTON LUNATIC HOSPITAL. [Oct. 



Showing the Results of Tenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of tenth admissions, 
Discharged recovered, . 
Died, 


3 
1 


1 


8 

2 


4 

4 


1 
1 


5 

5 



Showing the Results of Eleventh Admissions. 



Number of eleventh admis- 
sions, 

Discharged recovered, . 



- 2 

2-22- 



Showing the Results of Twelfth Admissions. 



Number of twelfth admis- 
sions, . 
Discharged recovered, . 



2 
2-22- 



Showing the Results of Thirteenth Admissions. 



Number of thirteenth admis- 
sions, 

Discharged recovered, . 



1 


- 


1 


1 
1 


1 



Shoiuing the Results of Fourteenth Admissions. 



Number of fourteenth admis- 
sions, . . . . . 
Discharged recovered, . 



1 


- 


1 


1 
1 


- 



Showing the Results of Fifteenth Admissions. 



Number of fifteenth admis- 
sions, . 
Discharged recovered, . 



1 


- 


1 


1 

1 


- 



1891.] PUBLIC DOCUMENT — No. 22. 



45 



Shoiving the Results of Sixteenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of sixteenth admis- 
sions, 

Discharged recovered, . 


1 


- 


1 


1 

1 


- 


1 
1 



Showing the Results of Seventeenth Admissions. 



Number of seventeenth ad- 
missions, . 
Discharged recovered, . 



1 


- 


1 


1 
1 


- 



Showing the Results of Eighteenth Admissions. 



Number of eighteenth ad- 
missions, . 
Discharged recovered, . 



1 


- 


1 


1 
1 


- 



Showing the Results of Nineteenth Admissions. 



Number of nineteenth admis- 
sions, 

Discharged recovered, . 



1 
1-11- 



46 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 






8 






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1891.] PUBLIC DOCUMENT — No. 22. 



47 







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48 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



53 
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1891.] 



PUBLIC DOCUMENT — No. 22. 



53 



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54 



TAUNTON LUNATIC HOSPITAL. [Oct. 






2 









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1891.] PUBLIC DOCUMENT — No. 22. 



55 



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56 TAUNTON LUNATIC HOSPITAL. [Oct. 



S3 

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1891.] PUBLIC DOCUMENT — No. 22. 57 



(M^HHH I I I I I I I 



(N I I I t-I |. I I -H I I 1 I I I I 



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58 



TAUNTON LUNATIC HOSPITAL. [Oct. 



T3 

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1891.] PUBLIC DOCUMENT— No. 22. 



59 



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60 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



INVENTORY OF STOCK AND SUPPLIES 

On Hand Sept. 30, 1891. 



Live stock on the farm; .... 

Produce of the farm on hand, 

Carnages and agricultural implements, 

Machinery and mechanical fixtures, 

Beds and bedding in inmates' department, 

Other furniture in inmates' department, 

Personal property of the State in the superintendent' 

partment, . 
Dry goods, 

Provisions and groceries, 
Drugs and medicines, . 
Fuel, .... 
Library, .... 
Other supplies undistributed, 



s de 



$7,166 00 
1,844 15 
4,102 90 

37.000 00 
17,457 10 

8,050 33 

11.001 77 
3,072 86 
3,086 50 

600 00 
4,000 00 

800 00 
2,466 26. 



,647 87 



1891.] 



PUBLIC DOCUMENT — No. 22. 



61 



TREASURER'S REPORT. 



I respectfully submit the following report of the finances 
of this institution for the year ending Sept. 30, 1891, to the 

trustees : — 

Assets. 



172 acres of land, 


|35,600 00 




Hospital building, 


275,000 00 




Brick barn and stable, 


8,000 00 




ISTew barn, 


5,000 00 




Laundry building, 


8,000 00 




Other buildings and wall, .... 


7,000 00 









$338,600 00 


Personal Estate. 






Stock and supplies on hand, as per inventory, 


. 


100,647 87 




$439,247 87 


Receipts. 






Cash on hand Oct. 1, 1890, .... 


$25 72 




Received from the State treasurer, 


21,408 81 




from towns, 


77,125 42 




from individuals, .... 


17,154 85 




from other sources, 


976 81 


$116,691 61 



Payments 

1. Salaries, wages and labor, 

2. Provisions and supplies, etc. : — 

Meats of all kinds, 
Fish of all kinds, . 
Fruit and vegetables, . 
Flour and bread, . 
Grain and meal for table, 
Grain and meal for stock, 
Tea, coffee and broma, . 
Sugar and molasses, 
Butter and cheese, 
Other groceries, . 

Amount carried forward , 



r,487 44 







$7,887 21 






2,060 23 






3,342 77 






6,939 93 






611 49 






4,941 68 






2,255 13 






2,582 81 






7,572 52 






5,802 19 



43,995 96 
$81,483 40 



(32 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Amount brought forward, 

3. Clothing, 

4. Fuel and light, 

5. Medicines and medical supplies, 

6. Furniture, beds and bedding, . 

7. Transportation, 

8. Ordinary construction and repairs, 

9. Extraordinary expenses, . 
10. Miscellaneous expenses, . 



Liabilities. 
Salaries and wages due Oct. 1, 1891, . 
Miscellaneous bills due, 



Resources . 

Cash on hand Oct. 1, 1891, . 

Due the institution for board Oct. 1, 1891 : 

From towns, ..... 

State, . . . . 

individuals, . . . 



Summary. 



Total receipts, 
Total payments, 



Total debts clue the institution, 
Total liabilities, 



|81,483 


40 


3,472 


00 


12,079 


68 


1,030 


97 


4,814 


65 


590 


10 


3,698 94 


800 


00 


8,519 


72 


$116,489 46 


$3,090 59 


11,504 


52 


$14,595 


11 


$202 15 


19,220 


71 


4,873 


86 


4,542 


57 


$28,839 29 


$116,691 


61 


. 116,489 


46 


$202 


15 


. $28,839 29 


14,595 


11 


$14,244 18 



Total expenditures, $116,489 46 

Dividing this sum by 649, the average number of patients, 

we have the annual cost of each patient, .... 179 49 

And the average weekly cost of 3 45 



JOHN KITTREDGE, 

Treasurer. 



Taunton, Sept. 30, 1891. 



The undersigned have examined the foregoing statement of the treasurer, com- 
pared the items with the vouchers, and found it correct. 

GEO. HOWLAND, Jr. 
JNO. J. RUSSELL. 



1891.] PUBLIC DOCUMENT — No. 22. 63 



FINANCIAL STATEMENT. 



Of the appropriation made by the Legislature of 1890 for 
repairs to the heating apparatus, for new floors, for general 
repairs to the building, for building a farm shed, store-house, 
etc., and for bath-rooms : — 

Amount of appropriation, $15,000 00 

Drawn to Sept. 30, 1890, .... $8,666 64 

Since drawn, yiz. : — 
Repairs to heating apparatus, . . . 544 67 

General repairs, 3,320 13 

Bath-rooms, . 1,251 56 

New floors, . . . . . . . 1,000 00 

Farm shed, . .... 217 00 

$15,000 00 



JOHN KITTREDGE, 

Treasurer. 
Taunton, Sept. 30, 1891. 



66 



TAUNTON LUNATIC HOSPITAL. [Oct.'91. 



PEODUCTS OF THE FARM. 

Oct. 1, 1890, to Oct. 1, 1891. 



160,845 quarts of milk, at 4f cents, 

Beef, hides and tallow, 

23,629 pounds pork, . 

826 f 5 2 dozen eggs, 

254i pounds dressed poultry, 

Calves, 

Small onions, 

62 squash, . 

22 pumpkins, 
1,011 cabbages, 
55i bushels of pease, 
i bushel of tomatoes, 
10,717 ears of sweet corn, 

25 tons of hay, . 
2,000 bushels of mangel-wurzel 
200 bushels of turnips, 
400 bushels of carrots, 
60 barrels of apples, . 
139 citrons, 
75J bushels of onions, 
100 bushels of garden beets, 
50 bushels of parsnips, 
Celery, .... 
f ton sweet corn fodder, . 
549 ears of sweet corn, 
Rhubarb, . . 
Asparagus, 

43 bushels of cucumbers, . 
2,048 cucumbers, at 2 cents, 
30 bushels of beans, 
42 bushels of beans, 
6^ bushels onions, 
10 dozen onions, 
1,123 summer squash 

26 bushels of beets, 
47 bushels of beets, 
26|- dozen beets, 
Pole beans, 

23 barrels lettuce, 
745 heads of cabbage, 
29J bushels of pease, 
210 bushels of tomatoes, . 
36| bushels green tomatoes, 
497 pounds- tomatoes, 



PUBLIC DOCUMENT .... .... No. 22. 



THIRTY-NINTH ANNUAL KEPORT 



THE TRUSTEES 



Taunton Lunatic Hospital, 



FOR THE 



Year Ending September 30, 1892. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1893. 



PUBLIC DOCUMENT .... .... No. 22. 



THIRTY-NINTH ANNUAL REPORT 



THE TRUSTEES 



Taunton Lunatic Hospital 



FOB THE 



Year Ending September 30, 18 



"^h^sOs , \ Q OuuuvvL*^- fiJhch^ 



£w 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1893. 



* 



iOUSfc, BOSTIJN 




3 warn 
K7 *> 



OFFICEES 



TAUNTON LUNATIC HOSPITAL. 



TRUSTEES 



HENRY R. STEDMAN, M.D., 
WILLIAM C. LOVERING, 
SIMEON BORDEN, 
JOHN J. RUSSELL, 
RUTH S. MURRAY, 
SUSAN E. LEAROYD, 
OAKES A. AMES, . 



Boston. 
Taunton. 
Fall River. 
Plymouth. 
New Bedford. 
Taunton. 
North Easton. 



RESIDENT OFFICERS. 

JOHN P. BROWN, M.D., Superintendent. 

OWEN COPP, M.D., Assistant Physician. 

CBANCEY ADAMS, M.D., Assistant Physician. 

FRANK S. HAMLET, M.D., Assistant Physician. 

IDA M SHIMER, M.D., ' Assistant Physician. 

JOHN KITTREDGE, Clerk. 

JAMES C. FLYNN, Engineer. 

A. A. SOUTHWICK, ........ Fanner. 

TREASURER. 

JOHN KITTREDGE, Taunton. 

Office at the hospital. 



Commontoealtfj d IPassaxfjusttls, 



TKUSTEES' REPORT. 



To His Excellency the Governor of the Commonivealth and the Honor- 
able Council. 

The trustees of the Taunton Lunatic Hospital herewith 
present their thirty-ninth annual report, and the reports of 
the superintendent and treasurer. These, with the tables of 
statistics, give a detailed account of the operations of the 
hospital during the past year. 

There were admitted 341 cases during the year, of whom 
all but 10 were new-comers ; and at the close of the year, 
Sept. 30, 1892, there were remaining 698 inmates, against 
680 the year before. The daily average number of patients 
in the hospital has been 693, — an increase of 44 in the 
same period. The unusually low mortality record of 1890 
is counterbalanced by a large death rate in the year just 
ended. Thus the average mortality has not been exceeded. 
Of the 86 who died, 31 were persons of advanced age. 
Twenty-five of those admitted were epileptics. 

In fact, epilepsy stands this year in the table of special 
causes (No. 9) as second only to intemperance in peopling 
our wards. That the number of epileptics who enter our asy- 
lums to be cared for with the insane is increasing is evident, 
and much to be deplored. Over 300 of these unfortunates 
are now provided for in our State lunatic hospitals. Many 
of them are most objectionable associates for the insane, 
while the rest are too nearly sane to be treated in surround- 
ings adapted only to the requirements of victims of mental 



6 TAUNTON LUNATIC HOSPITAL. [Oct. 

disease, who are also the legitimate inmates. Moreover, 
the needs of the epileptic are pressing, their capabilities in 
the way of usefulness and improvement are in very many 
cases great, and they have equal right Avith other defectives 
to protection, comfort and suitable special care. We ear- 
nestly hope and recommend that separate provision may soon 
be made for these patients, in order that proper refuge may 
be had for a most unfortunate and deserving class of sufferers 
other than confinement with the insane. 

Most satisfactory progress has been made upon the infirm- 
aries, for which appropriations were made by the last two 
Legislatures ; and we are glad to report that the infirmary 
for women is completed and occupied. The work upon that 
for the men is far advanced, the roof being nearly completed. 
They are twin structures, with the exception of an addi- 
tional two hundred square feet in the men's building, which 
called for more dining-room and lavatory space, owing to 
the preponderance of that sex and the probability of over- 
crowding in the near future. We refer to the superintend- 
ent's report for a detailed description of the buildings. 

These new quarters will admirably serve the purpose 
for which they are intended, of accommodating most com- 
fortably and healthfully one hundred and fifty sick and 
feeble patients. All the masonry is the work of the hospital 
mason who has been with us twenty-five years, and has 
built a large part of the institution. The carpentry and 
plumbing (the latter the work of our late engineer, Mr. 
Godding) are the best as to material and workmanship. 
The somewhat larger size, and the fact that it has been of 
course impossible to utilize the labor of the patients to the 
same degree as when but a single building was in process of 
construction, will necessitate further outlay, and we accord- 
ingly would ask an appropriation to that end of $3,000. For 
the proper furnishing of both buildings $5,000 additional 
will be necessary. 

A new and commodious boiler house has been built, and 
provided with four boilers of one hundred and twenty horse- 
power each, from the appropriation of $10,000 for that pur- 
pose made by the last Legislature. 

To complete the steam-heating apparatus and hot-water 



1892.] PUBLIC DOCUMENT — No. 2.2. 7 

supply, the chief item of which is brass piping from the hot- 
water heater at the boiler house to the centre building, a dis- 
tance of two hundred feet, an appropriation of $2,000 is 
asked. 

We are also in great need of a large addition to the pres- 
ent piggery, in which there is not room enough for the 
number of pigs needed for the supply of waste or for raising 
pigs for the market. The sum of $6,000 expended in this 
way would soon be repaid, and would lead to considerable 
revenue in the future. 

By raising the roof of the old boiler house, room can be 
had for work-rooms for the patients, together with a lumber 
room. The present brush-room is needed for lodging farm 
hands and other employees. Such a change would involve 
the expense of $2,500. 

The trustees therefore recommend a total appropriation 
for the above-specified objects of $18,500. 

The well-worn demand for the return to the previous per 
capita rate of board allowed for patients ($3.50) we again 
return to, as each year the need grows more pressing. The 
Taunton hospital is the chief sufferer from the change, in 
not having a surplus above a bare working capital to fall 
back upon. We are not fortunate in having a large number 
of private patients paying good rates, nor extra space in 
which to accommodate a lucrative number of pauper patients, 
nor yet acreage large and productive enough for a profitable 
farm, such as are sources of revenue to other hospitals in 
the State. Only by the most judicious management on the 
part of the superintendent, Dr. Brown, do the patients re- 
ceive the comforts they enjoy, while, owing to the very 
rigid economy in current expenses necessitated by a low 
rate of board, there is not a little denied them which would 
materially add to their well-being. 

An event of painful interest has occurred since the last 
annual meeting, in the removal by death of an esteemed 
associate, Hon. George Howland. The following tribute, 
offered at the time of his death by Mr. William Q, Lovering, 
most fitly expresses the feelings of the Board of Trustees : — 

" The records of the Taunton Lunatic Hospital would be 
incomplete if they did not bear upon their pages the testi- 



8 TAUNTON LUNATIC HOSPITAL. [Oct. 

mony of the trustees to their high appreciation of the char- 
acter and services of their fellow trustee, the late Hon. 
George Howland. George Howland entered upon his duties 
as trustee July 1, 1855, and continued therein until his life's 
end, Feb. 15, 1892. During the whole period of nearty 
thirty-seven years he devoted himself to the interests of the 
hospital with a faithfulness and devotion unparalleled. His 
patient, thoughtful and tender care for the unfortunate in- 
mates, and his earnest efforts at all times to guard the affairs 
of the hospital, made him an invaluable officer. His high 
and noble character, his abiding faith in God, his kindly 
and sympathetic nature and his cheerful and hopeful bearing 
through all the cares and perplexities of life, have made him 
a model citizen and endeared him to the hearts of his 
associates." 

Dr. Henry R. Stedman of Boston was appointed to the 
position thus left vacant. 

We have also to record the death of Rufus D. Godding, 
our engineer, which removes a man of great worth, and 
deprives the hospital of an unusually valuable servant. A 
practical expert of high order in all that pertained to his 
calling, his services, extending over a period of nineteen 
years, were of great value, while his sterling qualities of 
character won him general esteem. 

We are glad to again express our appreciation of the 
efforts of Dr. Brown, the superintendent, in maintaining a 
proper standard of care for the patients and in giving the 
institution, generally, orderly and efficient management. 
We also recognize with satisfaction the earnest co-operation 
of the medical assistants and other officers of the hospital. 

HENRY R. STEDMAN, 
WM. C. LOVERING, 
SIMEON BORDEN, 
RUTH S. MURRAY, 
JOHN J. RUSSELL, 
SUSAN E. LEAROYD, 
OAKES A. AMES, 

Trustees. 
Taunton, October, 1892. 



1892.] PUBLIC DOCUMENT — No. 22. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Taunton Lunatic Hospital. 

The by-laws of your Board require the superintendent at 
each annual meeting to present a tabular view of the year's 
work, comprising the more important particulars from the 
records, together with such facts and suggestions as he may 
deem important to the future welfare of the institution. In 
accordance with this requirement I present to you the fol- 
lowing report of the operations of the hospital for the year 
ending Sept. 30, 1892.. 

The past year has been a very busy and active one on the 
wards, by reason of the large number of patients under treat- 
ment and the crowded condition of the hospital ; outside of 
the wards important improvements have been carried on, 
and some finished. More patients have been admitted and 
a larger number have been under treatment than in any 
year t-ince 1878. There have been 341 admitted, — 195 
men and 146 women ; which, added to 680, the number in 
the hospital at the beginning of the year, makes 1,021 as 
the whole number under treatment. Nine patients have 
been discharged and readmitted, and 10 have been admitted, 
discharged and readmitted ; which reduces the whole num- 
ber of persons under treatment to 1,002. There were 323 
patients discharged, — 174 men and 149 women; and there 
were in the hospital at the close of the year 698, — 351 men 
and 347 women. Forty-nine more men were admitted than 
women, and the men now in the hospital exceed the women 
by 4 ; while a year ago the women exceeded the men by 20. 
The daily average number under treatment was 693, which 
is about 200 above the capacity of the hospital, rating the 
capacity as 500, which is all it can accommodate, giving each 
patient the least amount of air space (525 cubic feet) that 
would be recognized as sufficient by any competent sanitarist. 



10 TAUNTON LUNATIC HOSPITAL. [Oct. 

We cannot hope to be less crowded until the new asylum 
at Medfield is ready for occupancy, which will be at least 
two years from now, and probably three years. With both 
our new infirmaries completed and occupied, in a year from 
this time or less we can care for about 840 patients with as 
little discomfort to all and with greater comfort to many 
than we have been able to give to the number we have had 
the past year, with our present accommodations. Of the 
patients admitted during the past year 275 have come to us 
from this hospital district, which does not include Suffolk 
County. During the past eight months the commitments 
have been almost entirely from this district, and during that 
time the number of patients in the hospital has been consider- 
ably increased ; hence it would seem evident that this hospital 
cannot hereafter do more than care for the insane in its own 
district, if indeed it can do that for a long time, with tbe 
present rapid increase of population )n the cities and large 
towns of the district. It is to be hoped that the county of 
Suffolk will at an early day make provision for all of its 
insane, as the present State hospitals in a short time will be 
totally inadequate to care for the insane of that county and 
the rest of the State. 

Seventy patients were removed by the State Board of 
Lunacy and Charity: 21 (15 men and 6 women) were 
transferred to the Worcester Insane Asylum ; 1 woman to 
the Danvers Lunatic Hospital ; 2 men to the State Farm ; 4 
women to the State Almshouse at Tewksbury ; 1 woman to 
the Board of Directors of Public Institutions of Boston; 
38 (19 men and 19 women) were remeved to be sent out of 
the State, having no claim for support from the State of 
Massachusetts ; 2 women were boarded out in families ; 1 
boy, epileptic, fifteen years of age, was transferred to the 
Hospital Cottages for children at Baldwinsville, where he 
seems not to have done well, and was returned in a few 
weeks ; and it may be stated that since his return he has 
taken his old place as a helper in tbe flower garden, and has 
been quiet and useful, and seems to be happy. Ten patients 
were removed to town almshouses by order of overseers of 
the poor. All others removed were discharged to their 
friends or allowed to go by themselves. 



1892.] PUBLIC DOCUMENT — No. 22. 11 

Of those discharged during the year, 49 were recovered, 
53 much improved and 60 improved. While the recoveries 
were 3 less than the year before, the number discharged 
much improved and improved was much greater, there hav- 
ing been 20 more of the former and 17 of the latter, which 
would more than offset the 3 less recoveries in the sum 
total of results. As usual, most of those who recovered, 
recovered from the acute and recent cases, — 11 from acute 
mania and 20 from acute melancholia, which is one of the 
most curable forms of insanity, although the duration is apt 
to be longer than in recoveries from acute mania. It appears 
that 18 of the 49 who recovered had been insane less than 
one month before their commitment to the hospital, 29 
(more than 50 per cent.) had been insane less than three 
months before their commitment, and 35 (more than two- 
thirds) had been insane less than six months; and this is 
about the average duration of insanity before commitment 
in those who recover from year to year. Two things would 
seem to be evident from these facts : one is, that a large 
majority of those who recover, recover in the first year ; and 
the other is, that recovery is more probable in those who 
receive hospital treatment early in the disease. That the 
latter is true in a large majority of cases cannot be doubted ; 
yet it may be a difficult question to decide in a given case 
whether the person can be best treated at home, if he is able 
to bear the expense of proper home treatment, which of 
course would mean the expense of trained nurses and of 
physicians skilled in the treatment of mental diseases. 

Ten habitual drunkards were discharged as much improved 
and none as recovered. In my report of last year I said " the 
only test of recovery in these cases is their ability to abstain 
from alcoholic drink when exposed to the usual temptations 
in the community for at least several months ; and this can- 
not be known when they leave the hospital." Of the six 
discharged as much improved in last year's report, only 
one is known with reasonable certainty to have kept himself 
free from the habit until the present time. 

The number of deaths was 86, — men 52, women 34. 
The percentage of deaths upon the whole number under 
treatment was 8.4. The table showing the causes of the 



12 TAUNTON LUNATIC HOSPITAL. [Oct. 

deaths explains why the percentage has been greater than in 
previous years, although the rate may vary from year to 
year from accidental causes. During the past year an un- 
usually large number of old and feeble people and paralytics 
have been admitted only to be cared for through the last 
few weeks of their lives, and in some of the cases I am 
sorry to say a little more effort on the part of their relatives 
and friends would have kept them at home until the end. 
Twenty-seven patients died from organic disease of the 
brain, 11 from paresis; and in each of these cases no other 
issue than death could have been expected. Fourteen died 
from phthisis, which is a large increase over previous years, 
and may fairly be attributed in part to the crowded con- 
dition of the hospital, although each case was isolated, and 
proper means used to prevent infection of the other patients. 
Only 3 patients died from acute mania, which agrees with 
the well-known fact that insanity in its acute form is not 
usually a fatal disease. The general health of the inmates 
during the past year has been above the average. No epi- 
demic or contagious disease has prevailed. One female 
attendant had typhoid fever during the winter, from which 
she recovered after a somewhat protracted illness. No other 
case followed it, and no cause could be found for it. 

Table No. 9, indicating the probable causes of the insanity 
of those admitted, is of special interest ; and it is worthy of 
note that 25 cases of epileptic insanity were admitted. This 
is an unusually large number, and raises the question 
whether the number of epileptics is rapidly increasing in 
the State. So far as the evidence from the admissions to 
this hospital during the past year goes, it would certainly 
indicate it. It is to be hoped that the State will soon make 
separate provision for this unfortunate class, who are not 
properly associated with the insane in the lunatic hospitals, 
and who have a just claim upon the State for such care and 
treatment as can only be obtained in a separate hospital 
especially adapted to their peculiar condition. 

Overwork and ill health were the assigned causes of in- 
sanity in 30 cases of those admitted, and I am inclined to 
think this is more nearly correct than many other of the 
assigned causes. Unquestionably ill health and overwork, 



1892.] PUBLIC DOCUMENT — No. 22. 13 

with poor living, which usually go together among the 
laboring classes, produce more insanity than all other causes 
combined ; and it is probable that the number in this table 
might be greatly increased from those in which the cause is 
unknown or does not appear. I should assign a much larger 
place to the physical causes of insanity than the mental. A 
sound body, which means a sound brain, is not conducive to 
insanity or mental disease of any form. 

Infirmary for Women. 
The infirmary for women has been completed and is now 
occupied. It proves to be very satisfactory, and I think 
our anticipations of its usefulness will be fully realized. 
It will accommodate about 70 patients, will afford excellent 
facilities for caring for the sick and infirm, and will result in 
greatly improving the classification of the other wards of the 
hospital. As a matter of record and of information to those 
who may be interested in the work of the hospital, it may 
be well to give a short description of the building, or such 
features of it as are of special importance. The outside 
dimensions of the main structure are 97 by 40 feet, with an 
extension projecting from the east side 28 by 28 feet, and 
from the west side 7 feet. The end of the east extension is 
finished with an octagon bay large enough for a sitting-room 
for half-a-dozen persons. This extension will be used as a 
dormitory for patients, and will accommodate 12 or 14, with- 
out being crowded. Besides this dormitory, each ward has 9 
single rooms, including the attendant's room, a dining-room, 
bath-room, water-closet and clothes-room ; also a bath-room 
and water-closet in the octagon tower for the use of the four 
rooms designed to be isolated for acute and contagious 
diseases. In the centre of the building and opposite the 
dormitory is a large, open fireplace, which gives a cheerful 
aspect to the ward, besides being a good ventilator. On 
either side of the fireplace is the entrance to the water-closet 
and bath-room. Projecting from the south end of the main 
building is a large, circular bay, which will make a very 
pleasant sitting-room in the winter, with its southern 
exposure, when a sun bath is so grateful and cheering. Five 
rooms are finished in the attic for the use of night nurses. 



14 TAUNTON LUNATIC HOSPITAL. [Oct. 

The wood-work of the building is all of selected brown ash, 
and is very handsome, finished with shellac and varnish. 
The floors are of the best rift hard pine, blind nailed. All 
of the material used in the building is of the best quality, 
but nothing has been wasted in useless ornamentation. 

The heating, ventilation and plumbing, which are the most 
important features of a building constructed for the purposes 
for which this is designed, are all that can be desired. The 
building is heated by indirect radiation from steam coils in 
the basement, the Clogston ring radiator being used, each 
flue having a separate radiator at its base, which heats the 
air as it ascends the flue, or rather causes the air to ascend 
the flue by heating it. There are eighty- three radiators and 
heat flues in the building. Each room has a heat flue and ven- 
tilating flue 12 by 12 inches diameter, the heat flues deliver- 
ing the heated air into the upper part of the room near the 
ceiling, and the ventilating flues taking the foul air from the 
lower part near the floor. The middle and upper wards and 
the corridors and bays or sitting-rooms are heated and ven- 
tilated in the same manner. The ventilation of the main 
corridors and the dormitory wards is greatly assisted by the 
open fireplaces, the chimney to them having a steam radiator 
in it in the attic, to insure a draft when there are no fires in 
the fireplaces. The ventilating flues open into galvanized- 
iron ducts in the attic, and these are connected with roof 
ventilators of th'e same material. The ventilating flues lead- 
ing from the rooms designed for acute and contagious 
diseases are heated by steam radiators in the attic, the 
radiators being fed by a special steam pipe from the boiler 
house, so they can be heated at little expense at such times 
as the rest of the building is not heated. The water-closet 
bowls are ventilated in the same manner, with the conduct- 
ing flue in the attic, heated by a steam coil. The flues from 
the isolated rooms and from the water-closets are conducted 
into separate ventilators through the roof. The lower or 
hospital ward has a ventilating flue under each bed in the 
open dormitory, which is delivered into a conducting flue in 
the basement, the latter being connected with a chimney 
which is also heated by a steam coil. There are two chim- 
neys, six flues under as many beds being delivered into each 



1892.] PUBLIC DOCUMENT — No. 22. 15 

chimney. This insures a strong ventilation, and the prac- 
tical working of it is entirely successful. The plumbing has 
been done in the same thorough manner as that in other 
parts of the hospital, the material having been furnished by 
the J. L. Mott Iron Works of New York, at plumbers' terms, 
and the work has all been done after the most recent and ap- 
proved methods by our late engineer, Rufus D. Godding, and 
his assistants. I think no better plumbing can be found in 
any of the public buildings of Massachusetts. 

The cost of the building, including the connecting corridor 
and basement passageway to the other buildings, has ex- 
ceeded the appropriation of $45,000 by about $1,000. The 
connections with the other buildings were no part of its con- 
struction, though made necessary by it, and would not be 
included in a similar building detached from others. The 
excess of cost above the appropriation, being so small a sum, 
has been paid from the current income of the hospital, and 
the State will receive the benefit of it. Every part of the 
building which shows for itself bears evidence that the money 
appropriated for its construction has been wisely and econom- 
ically expended. 

IK FIRM ART FOR MeK. 

"Work was begun on the infirmary for men very soon after 
receiving the appropriation therefor, and has been continued 
uninterruptedly since, the season having proved unusually 
favorable for it. The brick-work was completed the last 
week in September, and the building is now, the first of 
October, nearly roofed in. The plastering will probably be 
completed before the middle of December, and the masonry 
ought to be sufficiently dry for the carpenters to begin to 
finish the interior before spring. The plan of this building 
is essentially the same as that of the infirmary for women; 
the exceptions being that the main building is three .feet 
longer, the west projection one foot wider and four feet 
longer, and the circular bay on the south front projected one 
foot farther. These changes were made to increase the size 
of the dining-rooms, water-closets and day rooms, and I 
think will more than compensate for the slight increase 
in the cost of the building. 



16 TAUNTON LUNATIC HOSPITAL. [Oct. 



New Boiler House and Boilers. 

The new boiler house, a one-story building, 42 by 44 feet, 
was begun in April and finished ready for the boilers about 
the middle of July. The boilers, four in number, were 
built by Edward Kendall & Sons of Cambridgeport, and 
were completed and set about the first of September. They 
are horizontal tubular boilers, their diameter is 6 feet, their 
length 18 feet, and each has ninety-two three and one-half inch 
tubes. They have been in use several weeks, and seem to 
be entirely satisfactory. It is expected that three of them 
will make steam enough to heat the hospital in ordinary 
winter weather, and that with the same amount of coal they 
will make more steam than the old boilers ; but how much 
more will be better known after they have been in use one 
winter. 

Present Needs of the Hospital. 

Three thousand dollars will be needed to finish the male 
infirmary, and $5,000 to furnish both infirmaries. Two 
thousand dollars will be required to complete the steam- 
heating apparatus and the hot-water supply. The piggery 
has become too small to keep enough swine to consume 
the waste from the dining-rooms, and I find by a careful 
estimate that $6,000 will be needed to build what will be 
substantially a new building sufficiently large and suitable 
for the purposes required. It would be very (Jesirable to 
raise the roof of the old boiler house one story, in order to 
got a convenient lumber room and more work-rooms for 
male patients, where brush-making and other industries 
could be carried on, and, if need be, power for machinery 
could be obtained. It is estimated that $2,500 will cover 
the cost of raising the roof and of finishing the work-rooms. 

Employment and Entertainments. 

I have nothing new to report respecting the employment 
and entertainment of the patients. I think there has been 
no falling off in either department during the past year. 
The same avocations for employment of both men and 



1892.] PUBLIC DOCUMENT — No. 22. 17 

women have been open, and about the same percentage of 
patients as in years before has been employed. Also 
about the same number and variety of entertainments have 
been given in the chapel, usually averaging three evenings 
of each week for six months in the year. The summer 
picnics in the grove have not been omitted, and have been 
not less enjoyed by the large numbers who have attended 
them. 

Finance. 

The apparent surplus at the close of the year was 
$13,973.09, which is $271.09 less than that of Sept. 30, 
1891. The receipts have been greater than the preceding- 
year, but the expenditures have been correspondingly greater. 
The past year but confirms the experience of previous years, 
that the hospital cannot pay its current expenses at the 
present rate of board ($3.25 per week) for State and town 
patients, including clothing and breakage, except it is 
crowded much beyond its capacity. 

Acknowledgments . 

The " Daily Mercury," " Old Colony Memorial" and the 
"Friends' Review" have been sent to the hospital free of 
charge, the two former for many years ; and we should be 
very giad to add other papers to the free list. Several 
books have been given to the hospital library by Dr. H. R. 
Stedman, also through his thoughtful kindness a most de- 
lightful entertainment was given to the patients in the chapel 
by the Temple Quartette of Boston. Twelve numbers of 
the " Century Magazine" were given to the library by Mrs. 
Nomus Page of Taunton; twelve numbers of the "Atlantic 
Monthly," four novelettes, several magazines and papers, by 
Mrs. Edward Shattuck of Winchester, to whom thanks are 
due. Rev. H. B. Cady gave an interesting lecture on White 
Mountain scenery, illustrated by views with the stereopticon, 
which he himself had photographed. During the winter 
and spring Mr. Leander Soule conducted a singing school in 
the chapel, for the benefit of such patients and employees as 
desired instruction in singing. The result was quite satis- 
factory, and at its close, May 2, he gave an exhibition with 



18 TAUNTON LUNATIC HOSPITAL. [Oct. 

his class, assisted by several singers from the city, to whom 
thanks are due. "VVe are also indebted to Mr. Soule and 
those who assisted him forgiving us the oratorio " Emanuel." 
It afforded much enjoyment to all of the patients and others 
who heard it. The " Mikado " was given through the kind- 
ness of Mr. J. E. Deblois and Mr. Fred W. Howes. It 
gave much pleasure to the patients, and thanks are due to 
all who took part in it. The Bristol County Agricultural 
Society gave to the residents of the hospital free admission 
tickets to its annual fair, and large numbers of the patients 
attended it with much evident gratification. 

Several changes have occurred in the officers of the 
hospital. Dr. Thompson, after a most efficient service of 
eighteen months, resigned to accept the position of assistant 
physician at the Vermont Asylum for the Insane at Brattle- 
boro, Vt. The vacancy made by his resignation was filled 
by the appointment of Dr. Frank S. Hamlet, a graduate of 
Bates College and of the Bowdoin Medical School. In Feb- 
ruary last Mr. F. W. Boynton resigned his position a3 
supervisor, to pursue his studies in a commercial college, 
and in June returned to the hospital as clerk. In May last 
Miss C. L. Coombs was appointed to the position of female 
supervisor. Miss Hersey, the senior female supervisor, 
having been off duty by reason of illness for the past six 
months, her place has been filled by Miss Annabel! Corey. 
Mr. Arthur Bond and Mr. James McDonald have been ap- 
pointed to the position of male supervisors, both having 
had extended experience as attendants. 

In June of this year the hospital met with a great loss in 
the death of its very worthy and competent engineer, Mr. 
Eufus D. Godding, who had been in the employ of the 
institution for the past nineteen years. The present excel- 
lent condition of the steam-heating apparatus and plumbing 
is the result of his skill. But he filled more than his 
position as engineer; he was by nature and education a 
thorough mechanic, and his knowledge in all matters of con- 
struction was of great value to the hospital and to tlje super- 
intendent. Others will do his work, but his own position 
in the hospital will not be filled. 

I cannot close this report without referring to the removal 



1892.] PUBLIC DOCUMENT — No. 22. 19 

by death of the senior member of your Board, the Hon. Geo. 
Howland. By his death the hospital has lost an able and 
devoted trustee, who filled the office with a high sense of 
duty, and the superintendent a wise counsellor and dear 
friend. Although he was an aged man as years are counted, 
his heart was always young, and responded with quick ap- 
preciation to all current questions of interest. His devotion 
to the welfare of the hospital never lessened. During the 
last year of his life he was. greatly interested in the progress 
of the work on the new buildings, and was keenly alive to 
every suggestion for improving the institution. Possessed 
of quick apprehension and judgment, he seemed to have an 
intuitive perception of what was right and just in looking at 
any question that was presented to him, and nothing less 
than impartial justice would satisfy him. Hopeful and cheer- 
ful, he inspired the same feeling in others. No one can ap- 
preciate more fully than myself the helpfulness of his moral 
support and advice, which was always readily and freely 
given. So large an opportunity for usefulness so long con- 
tinued is not often given to the guardian of a public charitable 
institution, and the faithful execution of the trust by him 
through so many years is now the rich legacy of the hospital. 
It gives me great pleasure to recognize at this time the 
efficient services of those associated with me in the care of 
the patients and the general management of the institution ; 
and to you, members of the Board of Trustees, it is always a 
pleasure to express my gratitude for your cordial sympathy 
and active support, which now for so many years has been 
so freely accorded me. 

JOHN P. BROWN, 

Superintendent. 



REVISED TABLES 



Uniform Statistics 



MASSACHUSETTS HOSPITALS AND ASYLUMS 
FOR THE INSANE. 



Approved et the State Board of Lunacy and Charity, 
March 10, ]891. 



^ 






Cb 



1 




OH-j«caniN»ffiM-i<«5 


,— 1 


CM H 31 lO to N H 






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co 


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o :c c n on^ 




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>o 


CO CM OS OS 1 1 I 


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iO-tO5^'iH:0 35(MKlTl'<O-t 


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1 


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1 1 1 1 1 1 1 1 1 1 ! 1 


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1 HHH | | 1 T — t | | | | 


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OS CM — ' CM 1 O CM I I O 1 1 


1 


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a 5 


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O^fflO lO 1 1 1 ^H 1 1 


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■*»iMN 1 iOCN 1 IOI 1 


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55 


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1 1 1 1 1 1 t 1 1 1 1 1 


1 


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H 










O 










& 


C3 


|i-Ht-<I III ||i-l|l 


1 


i — i . — i i i i i i 








HNCOOOMOCMtSCO 1 1 


1 


CM OS OS | • i 1 




O 


NCMCJJ'H^iiOtOOCCCO 




CO i—i -# 


a 


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(O CO O CO co 




OS CO 




lONf f OS t^ OS O -f CO 1 1 


1 


CO CO OS 1 1 1 1 


<! 


fci 


^-TfCOifi-ICMCOCMCO-* 




t^ co i—i 


2 


co i—i ^ri i—i co 




-* 1~< 




(OlOHOOtOHNOHQ | | 


1 


"* — ' © 1 1 1 1 






CMCOi— ' CO CO CM CM CO lO -rH 




O CO CO 




« 


CO ■— i O i— 1 CO 




O —i 






























-t~t 








03 










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• 






r-i 


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-P CM CO m 


CO ^ 


co 






OS P 52 CO CO 
oo *p ,-S "13 

7-1 ^ ^* © ~ « 


=<5 


CO 






^ U P CO - . r 

P-.2 . 5 5'" ^ ? 'S ~ 


CO w 

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.5: & 

P. c 
co CO 


.?■. 

CO * " co" 

-2 js" m" a 

ir : S g " co 

' r P co P co § +3 






w "s s- -in b. <- o a .h » 

„) jj C ^(O r/i Ji (J gi Cj 

■^i^coS rtc37jcS co'S tt! 


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CO 


53 f-l CO 53 PJ .£ 
j_- » g 53 55 © ^ 






C^ '3 "3 "% ". 5 1" 
"■3 ,= ^3 cc sj * '-£ ■ N 

C3 ~ -^ irH •■"! CO 53 "i-l 


a 

p 


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^ CO CO "CS -2 






6 


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24 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



-1 
s 



>5 



C| 









HCO^l 


OOO^iO^OiCOiCCTJ 


>o 




a 

a: 


■2 


h# rH OS 

03 o o 


OHticocM^fiCMTfi^as 


CI 

1 1 • 

CM 




Oi 00 Gi •-< t- *ONtO 








t^ t^ X) 


ccoooooooo 


O 






H 


tooto 


50l>tO«HO!0^tO[> 


CO 




a 




co eo qo 


HlQHOtOMlONffl 


C2 




■a! . 
P. a 


3 


ci io io 


NiOtOWON-tQ® 


CM 




■3 


CDffllN 


co -# r- — }< uo io -* oo co 


o 








-# CO -H 


-*'0>0'0'OiO'Ot<-* 


■o 




a X 
O 


Eh 


CO CO CO 


co co co co co co co co co 


CO - 
















a 


























co o -* 


CiCOCOCO'OCOCOCOCO 


co 




3 


WON 


(Ma>oocoioo-*co 


2.6 




.iQCOCMNNCOtOCON 








CO CO CO 


-+u0^fCO-tiCOTf-fiC> 


-11 




G 


S 


CO CO CO 


co co co co co co co co co 


eo 








~* I-H "* 


'OOOl'* NiOCOI>l> 


CO to I 






o 


T— 1 


I— 1 


co oo 




ao 


E-i 












l>- 1 CM 


lOiNcoiqiNHio^H 


-* ->* I 




H 








CO CO 




<< 


Eh 










Q 













t~ rH CM 


COtO(MiO-*HCOtO 


CM CM | 






03 




7—1 




















s 














O CO OS 


csocmcoooooo'coco 


t-~ CM I 








I-H t— 1 


"* CM CN n CM CM H (N 


CO CO 




a 


H 






CM CM 














o 




-* t- o 


iO"OOi<Mc©r-oaot> 


O CM I 










I— 1 I-H rH I— 1 








ta 






i— i i— I 




5 


























iO CO -* 


TflOCOHCMHOlOO 


CM C 1 






OS 






CM CM 






S 






r-l rH 








COOH 


OiO-HONCStOOOC) 


— -H | 








(MCMCN 


■^•HCMCMCQCNCNCMrH 


Tf CO 






Eh 






co co 




w 












o 




o o o 


tCCOOCBN^CSKN 


CO CM I 








i-h I-H rH 


HCNH r— 1 rH 


-* ■* 




a 








i-H r-l 
















Hd 


























CO O r-l 


OOlHNOiONOCM 


io o> | 






c3 


1— 1 rH rH 


CQHnHNnHCNH 


CI 00 






rt 






r-l rH 








• • • 









n 




p* 


91 






H 








» o cJ" 




fc 




90 


OB 


05 £ bJO 




s 




N 


H 


f ca 
f pe 
vers 








„ 


January, . 
February, 
March, . 
April, 
May, 
June, 
July, . 
August, . 
September, 


cos 








October, 

Novembei 

December 


Total 
Total 
Daily 











1892.] 



PUBLIC DOCUMENT — No. 22. 



25 



3. — Received on First and Subsequent Admissions. 





Cases admitted. 


Times previously 
Recovered. 


KUME-ER OF THE ADMISSION. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 


161 


110 


271 


- 


- 


- 


Second, 


21 


24 


45 


8 


6 


14 


Third, . . . . 


10 


9 


19 


8 


8 


16 


Fourth, .... 


1 


1 


2 


- 


- 


- 


Fifth, 


1 


1 


2 


- 


2 


2 


Sixth, . . 


1 


1 


2 


5 


3 


8 


Total of cases, 


195 


146 


341 


21 


19 


40 


Total of persons, . 


189 


142 


331 


14 


13 


27 



4. — Relations to Hospitals of Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


Never before in any hospital for insane, 


149 


98 


247 


Former inmates of this hospital only, 


24 


27 


51 


of other hospitals only, 


12 


12 


24 


of this and other hospitals, 


4 


5 


9 


Total of persons, 


189 


142 


331 

• 



26 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



5. — Nativity and Parentage of Persons admitted. 









Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


c 




c 

.a 

o 


c 








S, 


— 

o 


Maine, .... 


5 


7 


3 


2 


2 


4 


7 


9 


7 


New Hampshire, 






1 


1 


2 


1 


2 


1 


2 


3 


3 


Massachusetts, . 






95 


45 


52 


59 


28 


30 


154 


73 


82 


Rhode Island, 






4 


5 


3 


3 


1 


1 


7 


6 


4 


Connecticut, 






1 


- 


- 


_ 


- 


- 


1 


- 


- 


New York, . 






1 


" 2 


2 


2 


2 


- 


3 


4 


2 


New Jersey, 






1 


- 


1 


- 


- 


- 


1 


- 


1 


Pennsylvania, 






2 


1 


1 


- 


- 


- 


2 


1 


1 


Virginia, 






- 


- 


- 


1 


1 


1 


1 


1 


1 


South Carolina, . 






1 


- 


- 


- 


- 


- 


1 


- 


_ 


Ohio, . 






- 


- 


- 


- 


1 


- 


- 


1 


_ 


Kentucky, . 






- 


- 


- 


- 


- 


1 


- 


- 


1 


Missouri, 






- 


- 


- 


1 


- 


- 


1 


- 


- 


Dominion of Canada, 






17 


12 


11 


15 


8 


10 


32 


20 


21 


Newfoundland, . 






- 


- 


- 


1 


- 


1 


1 


- 


1 


England, 






17 


16 


16 


8 


7 


7 


25 


23 


23 


Scotland, 






- 


4 


3 


3 


5 


4 


3 


9 


7 


Ireland, 






32 


66 


66 


35 


38 


34 


67 


104 


100 


Western Islands, 






1 


1 


1 


1 


1 


1 


2 


2 


2 


Norway, 






- 


- 


- 


1 


1 


1 


1 


1 


1 


Sweden, 






1 


1 


1 


- 


- 


1 


1 


1 


2 


Denmark, . 






- 


1 


- 


- 


- 


- 


- 


1 


- 


Germany, . 






3 


2 


2 


2 


3 


3 


5 


5 


5 


Austria, 






1 


1 


1 


- 


- 


- 


1 


1 


1 


Guernsey, . 
Greece, 






1 


1 

1 


1 
1- 


— 


— 


- 


1 


1 
1 


1 
1 


Italy, . 






- 


- 


- 


1 


1 


1 


1 


1 


1 


Russia, 






2 


3 


3 


4 


4 


4 


6 


7 


7 


Australia, . 






2 


- 


1 


1 


- 


- 


3 


- 


1 


Unknown, . 






1 


19 


18 
189 


1 
142 


37 


37 
142 


2 
331 


56 
331 


55 


Totals, 






189 


189 


142 


331 



1892.] 



PUBLIC DOCUMENT — No. 22. 



27 



6. — Residence of Persons admitted. 



PLACES. 


Males. 


Females. 


Totals. 


Barnstable County, 

Bristol County, 

Dukes County, 

Middlesex County, 

Nantucket County, 

Norfolk County, 

Plymouth County, 

Sufiblk County, 


10 

90 

1 

1 

23 

38 
26 


4 

55 

1 

1 

24 

27 
30 


14 

145 

2 

1 

1 

47 

65 

56 


Totals, 

Cities or towns,* 

Country districts, 


189 

126 

63 


142 

97 
45 


331 
223 

108 



* Containing not less than 10,000 inhabitants. 



7. — Civil Condition of Persons admitted. 



KUMBER OF 


Unmarried. 


Married. 


Widowed. 


Unknown. 


Totals. 


THE 

Admission. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 

Second, 

Third, 

Fourth, 

Fifth, 

Sixth, 

Totals, . 


67 
8 
5 

1 
1 

82 


40 

10 

5 

55 


107 
18 
10 

1 
1 

137 


75 
8 
2 
1 

86 


48 
11 

1 

60 


123 

19 

2 

1 

1 

146 


17 
1 
1 

19 


22 
1 
2 
1 

1 

27 


39 
2 
3 
1 

1 
46 


2 
2 


- 


2 

2 


161 
17 
8 
1 
1 
1 

189 


110 
22 
7 
1 
1 
1 

142 


271 

39 

15 

2 

2 

2 

331 



28 



, TAUNTON LUNATIC HOSPITAL. 



[Oct. 



8. — Occvpation of Persons admitted. 



MALES. 


Bakers, 




2 


Laborers, 




37 


Bai'tender, . 




1 


Machinists, . 




9 


Barber, 




1 


Match clipper, 




1 


Blacksmith, 




1 


Masons, 




9 


Boiler maker, 




1 


Merchants, . 




3 


Box maker, 




1 


Mill operatives, . 




13 


Britannia worker, 




1 


Musicians, . 




2 


Brush maker, 




1 


„ No occupation, . 




15 


Butcher, 




1 


Peddlers, 




4 


Carpenters, 




4 


Printers, % 




3 


Calker, 




1 


Painters, 




3 


Cigar maker, 




1 


Piano polisher, . 




1 


Clerks, 




5 


Plumber, 




1 


Coachman, . 




1 


Quarrymen, 




2 


Cutler, 




1 


Sailors, 




3 


Dentist, 




1 


Shoemakers, 




23 


Druggist, 




1 


Soap maker, 




1 


Engineers, . 




2 


Station agent, 




1 


Expressman, 




1 


Straw worker, . . 




1 


Farmers, 




6 


Student, 




1 


Fisherman, . 




1 


Tack makers, 




2 


Harness maker, . 




1 


Tailor, 




1 


Horse trainer, 




1 


Teamsters, . 




4 


Hostlers, 




3 


Veterinary surgeon, . 




1 


Insurance broker, 




1 


Wire roller, 




1 


Jewellers, . 
Janitor, 




5 
1 






• 


Total, .... 


189 



1892.] 



PUBLIC DOCUMENT — No. 22. 



29 



8. — Occupation of Persons admitted — Concluded. 



Agent, 








1 


Mill operatives, 




12 


Artist, . 








1 


Medium, 




1 


Britannia worker 








1 


Nurse, . 




1 


Cook, . 








1 


No occupation, 




10 


Domestics, . 








22 


Straw worker, 




1 


Dressmakers, 








5 


Student, 




1 


Housekeepers, 








13 


Seamstresses, 




2 


Jewellers, . 








3 


Shoemakers, 




3 


Knitter, 








1 


Tailoresses, 




2 


Laundress, . 








1 







WIFE OR DAUGHTER OF 



Brick manufacturer, 




1 


Machinist, . 






1 


Box maker, . 






1 


Painter, 






1 


Carpenter, . 






6 


Peddler, 






3 


Dentist, 






1 


Plumber, 






1 


Farmer, 






11 


Pope maker, 






1 


Janitor, . 






1 


Ships' chandler, 






1 


Laborer, 






5 


Shoemaker, . 






11 


Miner, . 






1 


Salesman, . 


• 




1 


Mason, 






1 


Tanner, 






2 


Mill operative, 






6 







Merchant, . 






4 


Total, . . v . 


142 



30 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



9. — Probable Causes of 











Patients admitted. 


CAUSES. 


Insane. 


Not Insane. 


Habitual 
Drunkards. 


Voluntary 
Patients. 




Ma 


Fe. 


Tot. 


Ma. 


Fe. Tot. 


Ma. 


Fe. |Tot. 


Ma. 


Fe. 


Tot. 


Physica 
Accident, 
Concussion of br 
Childbirth, . 
Chorea, 
Epilepsy, 
Fall, . 
Heart disease, 
III health, . 
Injury to head, 
Intemperance, 
Influenza, 
Infantile paralysi 
Loss of sleep, 
Masturbation, 
Malaria, 
Menopause, . 
Miscarriage, 
Measles, 
Neurasthenia, 
Overwork, . 
Paratysis, 
Pneumonia, . 
Rheumatism, 
Sunstroke, . 
Senility, 
Syphilis, 
Typhoid fever, 
Uterine disease, 

Mental 
Anxiety, 
Business trouble, 
Domestic trouble 
Domestic aftiictio 
Disappointment, 
Fright, . 
Jealousy, 
Religious excitem 
Not insane, . 
Unknown, . 


1. 
lin, 

s, 

n, 
ent, 






1 
1 

1 
21 
1 
1 
8 
9 
25 
8 
1 

1 

1 

6 
2 
1 
1 
10 
1 
3 
2 

3 
3 
8 

1 

o 
2 

57 

1S1 


1 
6 
4 

3 
1 
2 
6 

1 

1 

4 
1 
1 
3 
13 
1 

2 

2 
1 

1 

8 

5 
7 
3 
3 

6 

52 
138 


2 

1 

6 

1 

25 

1 

1 

11 

10 

27 

14 

1 

1 

1 

1 

4 

1 

1 

4 

19 

3 

1 

3 

10 

3 

4 

2 

1 

11 
3 
13 

7 
4 
3 
2 
8 

109 

319 


1 
1 


- 


1 
1 


8 
8 


4 


12 
12 


1 
1 


- 


1 


Totals, . 








4 


- 


1 



1892.] 



PUBLIC DOCUMENT — No. 22. 



31 



Disease in Persons admitted. 



Insane. 


Habitual Drunkards. 


Voluntary Patients. 


Previous 

Attacks. 


Hereditary 
Predisposition. 


Previous 

Attacks. 


Hereditary 
Predisposition. 


Previous 
Attacks. 


Hereditary 
Predisposition. 


Ma Fe. j Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 1 Fe. 


Tot. 


1 
1 

3 

\ 

4 

1 
1 

10 


2 

1 

1 
1 

1 
3 

1 

1 

1 

1 

2 
2 
1 

2 

19 

39 


2 

1 

2 

3 
1 

1 

2 
5 

1 

4 

1 

2 

2 
2 

2 ! 
1 

2 { 

29 

63 


1 
1 

1 
3 

4 
1 
3 
2 

1 
1 

4 

1 

2 

1 

2 
4 

1 

1 

14 

4S 


1 
1 

3 

1 

1 

1 
1 

2 

1 
1 

1 

13 
30 


1 

1 
1 
1 
4 

4 
1 
3 
5 

1 

2 

4 

1 

4 

2 

3 

2 
5 
1 

1 
1 
1 


" 


2 
2 


2 

2 


2 
2 


- 


2 


1 
1 


• 


1 
1 


1 
1 


- 


1 


24 


78 


1 



32 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 






'a 



6 
© 






H 
<l 
O 

a 
M 
o 
o 

<1 


o 


i— i ■—< ~n zz> io co c<i t— i o 
-#-*icocmcmcmoii— 1 -^ 

co i—i 


Q 
fe 


O "O -* i— I (N t> t>- O O 
-# t-h i— 1 t-H i-H 00 CO 


03 


iOCOOiOCOCD'OCOCO 

Ci CM CM rH i— 1 i— 1 O i—l 




o 


rH 1 1 1 T-H | | | | 


g 


1 1 1 1 1 1 1 1 1 


OS 


rH 1 1 1 rH 1 1 ! 1 


•< p 

IB K 


o 

EH 


<N 1 c© rH | I iO I id 




■* 1 CM I 1 I CM I CM 


1 


CO 1 -* rH | 1 CO 1 CO 


H 
K 
«! 

H 
O 


o 


i-H 1 1 1 1 1 i-l 1 1 


o5 


1 1 1 1 1 1 1 1 1 


-■ — I 1 1 1 1 I -. — I 1 1 


H 

<: 

CO 

* 


o 


I^i-icO'O-HCOCOt--— i 
CM-*iCMCMCMCM00rHTtl 

CO rH 




CMOCMi— ICMt^lOlOGO 
-HH i-l i—l i—l rH CC CM 
rH 


3 


u0 O CO -# CM CO i— 1 CO CO 
CO CM rl i— li— 1 i— 1 O 1— 
i— 1 i—l 


a; 

H 

z 

W 

H 
< 




Admitted, 

Discharged recovered, 

much improved, . 

improved, 

not improved, 
Died,. ...... 

Remaining Sept. 30, 1892, 
Number likely to recover, 
Number likely to improve, 



1892.] 



PUBLIC DOCUMENT — No. 22. 



S3 



11. — Ages of Insane 


at First Attack, Admissio 


n and Death . 






Persons First admitted 
any Hospital. 


ro 


Persons Died. 


AGES. 


At First Attack. 


When admitted. 


At First Attack. 


At Time of Death. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 


3 


1 


4 


- 


- 


- 


1 


- 


1 


- 


- 


- 


15 years and less, . 


2 


1 


3 


- 


1 


1 


4 


- 


4 


- 


- 


- 


From 15 to 20 years, 


11 


4 


15 


8 


3 


11 














20 to 25 years, 


17 


14 


31 


20 


8 


28 


4 


8 


12 


3 


1 


4 


25 to 30 years, 


11 


11 


22 


12 


12 


24 


- 


3 


3 


3 


2 


5 


30 to 35 years, 


23 


17 


40 


23 


16 


39 


3 


5 


8 


3 


6 


9 


35 to 40 years, 


10 


12 


22 


13 


11 


24 


2 


3 


5 


2 


5 


7 


40 to 50 years, 


18 


16 


34 


22 


22 


44 


9 


5 


14 


7 


7 


14 


50 to 60 years, 


19 


12 


31 


23 


13 


36 


8 


4 


12 


13 


3 


16 


60 to 70 years, 


12 


4 


16 


15 


6 


21 


10 


3 


13 


8 


9 


17 


70 to 80 years, 


3 


1 


4 


4 


2 


6 


3 


- 


3 


11 


- 


11 


Over 80 years, . 


- 


1 


1 


1 


1 


2 


- 


- 


- 


2 


1 


3 


Unknown, 


13 


2 


15 

238 


1 
142 


1 


2 

238 


8 


3 


11 


- 


- 


- 


Total of persons, . 


142 


96 


96 


52 


34 


86 


52 


34 


86 


Mean ages, . 


37.69 36.29 


37.10 


40.56 


39.55 


40 11 


45.68 


38.09j42.56 


54.53 

1 


46.44 


51.33 



12. — Reported Duration 


of Disease before 


Last Admission. 






First Admission 


All Other Admis- 










to ant Hospital. 




SIONS. 










Previous Duration. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 


3 


1 


4 




1 


1 


3 


2 


5 


Under 1 month, 


32 


23 


55 


4 


6 


10 


36 


29 


65 


From 1 to 3 months, 


19 


19 


38 


2 


7 


9 


21 


26 


47 


3 to 6 months, 


17 


12 


29 


4 


2 


6 


21 


14 


35 


6 to 12 months, 


15 


4 


19 


1 


4 


5 


16 


8 


24 


1 to 2 years, . 


14 


7 


21 


4 


4 


8 


18 


11 


29 


2 to 5 years, . 


12 


13 


25 


4 


8 


12 


16 


21 


37 


5 to 10 years, . 


5 


8 


13 


2 


5 


7 


7 


13 


20 


10 to 20 vears, 


1 


6 


7 


_ 


4 


4 


1 


10 


11 


Over 20 years, . 


2 


1 


3 


2 


1 


3 


4 


2 


6 


Unknown, . , 


22 


2 
96 


24 

238 


21 


4 


25 


43 


6 


49 


Total of eases, . . 


142 


44 


46 


90 


186 


142 


328 


Total of persons, . 


142 


96 


238 


42 


44 


86 


181 


138 


319 


Average in years, . 


2.05 


2.43 


2.21 


2.97 


4.52 


4.00 


2.19 


3.08 


r 



34 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 






s 



s 

o 






e 






« 












-*0>«5'JiH'*MCON!OOiHHrtf-iSH 1 


CN i-l 


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CM CO i-Hi-H 




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03 


toa^m i t-- co co ■* co tH l i hoonh i 


t^. !-H 


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nraeort i-i i-i 




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COCNCN© 100 ICNOOlOOJ 1 1 1 OS 1 1 1 


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o^ee ih i i i iTt<i i i^i^hi 


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NOKHJ IH M 1 II | 1 1 i—i 1 1 1 


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Mi-i,«Oi-l 1 1- 1 1 1 1 ** 1 1 1 1 1 rH 1 


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HIOOMH I I I 1 Iri IH 1 1 CO 1 1 


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G5 


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a 
a 
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E- 


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-f 


■* 














a 




(D*IOHH 1 1 1 1 I^hI^hI 1 1 1 1 


1 1 


Oi 


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!> 


fa 












o 
























a 


03 


i£0 CN MS CN 1 1 1 1 1 1 1 1 1 1 1 CO 1 1 


1 1 


o 


O 




£ 


^ 




CO 


CO 








OOKONHOlOOCCMiOHCO-CBO Ii-h 








t 



a 


U5 CO CO CO i-i CN CN i-i 


■""' 


CO 


CO 

co 




U3 >C CN 00 i-l CO <M HO <M CN -* CN CO 1 lO 1 1 1 


"* 1 


to 


CN 






fa 


CN "* CN i-l 




-t< 


■* 


t 


1 
























«i 


OS 


ontic* i itimtSiHcoH i ih*o I — 


co i-i 


ICO 


OS 






p=i 


CN CO ■* i— i i—l CN i— 






CO 
















H 














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fa 
O 

« 

o 

fa 




— Insane — 
Mania, acute, . 

chronic, 
Melancholia, acute, . 

chronic, 
Dementia, acute, 

chronic, 
Imbecility, 
Paresis, 

Organic brain disease, 
Paralytic insanity, . 
Epileptic insanity, . 
Recurrent insanity, . 
Puerperal insanity, . 
Choreic insanity, 
Senile insanity, . 
Alcoholism, acute, . 

chronic, 
Not insane, 


drunkard 

y patients 
, acute, . 


CD 


DC? 

a 
o 

GO 

3_ 








abitual 

oluntar 
ncholia 


CJ 

o 
"3 


P. 

o 
"3 








1 1 £ 


o 

H 


o 1 








[ I s - 












< 


W o 




1 



1892.] 



PUBLIC DOCUMENT — No. 22. 



35 



.J 
< 
H 
O 
El 


'o 


tO CO -* Tf H H H t>N<NH 1—1 
CM 


co co 

1 co co 
i 


s 


HH00M 1 |H NHilH | 
i-i CM 


i 
as co 

1—1 l-H 


03 


lONfflrtHH | KJHH | t- 1 

co cm 


tJH cm 

1—1 1—1 


ft 

s 




ffi(M-* 1 1 H | till 1 

CO i— i 


«c to 

GO CO 


fa 


OWN MM llll 1 •* ** 

co ! co co 




Os O CM 1 1 i-i 1 llll 1 

CO t-1 


CM CM 


ft 

> 
o 

H 

O 


O 


i-i CS CM I I I 1 llll rH 


co co 

CO co 


fa 


^ — i co t— i t [ 1 [ llll I'd *o 

CM CM CM 




O O i-i | | | | llll i-i 

CO 


X) CO 

CO CO 


ft 

a 

o 

K 


o 


t^COOIIII i— i — i 1 1 1 


CM i-i 

CO co 


fa 


^r^oiili llll l 

CM 


OS OS 

co co 


S 


O — 1 1 1 1 1 1 i-H r-l | | | 

CM 


CO CM 
CM CM 


ft 

a 
t> 

o 

M 
Ch 
B 

w 

p 


o 
H 


O H N ^ | | H CO i-H CM rH | 
CO l-H 


CO CM 

co CO 


fa 


NO | CO 1 1 H CM l-H rH i— 1 | 


CM i—l 

co co 




CO *C CM i-H 1 1 1 -^|r-l| 1 


-H i—i 

co co 


d 

H 

K 

a 
> 
o 
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a 


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as as 


fa 


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as as 


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36 



TAUNTON LUNATIC HOSPITAL. [Oct. 



COtCKNOHiMiO^JOHN^H 



HrH I COH I | HHHN 



(NNWN IINiOOIN I Oil I "* tjH i-l I 



t 1 t I I I I I I I I I I II II 



I I < I I I I I I I I I I 



I I I 



I I I I I I I I I I I I I II II 



^ 



3 

6 



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I I I I I I I I I I I I I 



I I I I I I I I I I I I 



I I I I I I I I I I I I I II I 



*)0«lOHNlOHCOHt>'*H r^ ?0 (Mi— I 



•^^ | «H | I i— ' i — I i— I C<l J l—l Off! r-l i-l 



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1 - 


a 


acu 
clu 
ron 


1 <x> 


a 


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pi "3 


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hol 
tia, 


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co a 




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513 p 


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1892.] PUBLIC DOCUMENT — No. 22. 



37 



a o3 ■ 

cu til 



la. a 



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° „=+H ' 

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^PMPMCGO 







38 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



CM 

8 



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O 




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1892.] 



PUBLIC DOCUMENT — No. 22. 



45 



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1892.] 



PUBLIC DOCUMENT — No. 22. 



47 



21. — Shotting the Results of First Admissions. 






Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of persons on first 














admission, . . . 


- 


- 


- 


4,906 


4,479 


9,385 


Discharged recovered, . 


1,307 


1,154 


2,461 


- 


- 


- 


much improved, . 


115 


143 


258 


- 


- 


- 


improved, . 


1,004 


1,063 


2,067 


- 


- 


- 


not improved, 


1,060 


959 


2,019 


- 


- 


- 


not insane, . 


39 


15 


54 


- 


- 


- 


Died, 


992 


888 


1,880 


- 


- 


- 


Eloped, 


116 


7 


123 


- 


- 


- 


Remaining in the hospital 














Sept. 3U, 1892, . 


263 


250 


513 


4,906 


4,479 


9,385 



Showing the Results of Readmissions. 



Number of readmissions, 








1,151 


1,036 


2,187 


Discharged recovered, . 


310 


315 


625 


- 


- 


- 


much improved, 


51 


46 


97 


- 


- 


- 


improved, . 


264 


272 


536 


- 


- 


- 


not improved, 


235 


205 


440 


- 


- 


- 


not insane, . 


8 


6 


14 


- 


- 


_ 


Died, .... 


150 


94 


244 


_ 


_ 


_ 


Eloped, .... 


45 


1 


46 


- 


- 


- 


Remaining in the hospita 














Sept. 30, 1892, . 


88 


97 


185 


1,151 


1,036 


2,187 



Shotting the Results of Second Admissions. 



Number of second admis- 














sions, .... 


- 


- 


- 


779 


712 


1,491 


Discharged recovered, . 


186 


207 


393 


- 


- 


_ 


much improved, 


35 


23 


58 


- 


- 


- 


improved, . 


175 


176 


351 


- 


_ 


_ 


not improved, 


175 


160 


335 


- 


- 


- 


not insane, . 


3 


4 


7 


- 


_ 


_ 


Died, .... 


110 


73 


183 


_ 


_ 


_ 


Eloped, .... 


36 


3 


39 


_ 


_ 


_ 


Remaining in the hospita 














Sept. 3U, 1892, . 


59 


66 


125 


779 


712 


1,491 



48 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Showing the Results of Third Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of third admissions, 








206 


191 


397 


Discharged recovered, . 


54 


61 


115 


- 


- 


- 


much improved, . 
improved, . 


10 
50 


7 
53 


17 
103 


- 


- 


- 


not improved, 


41 


37 


78 


- 


- 


- 


not insane, . 


2 


1 


3 


_ 


- 


- 


Died, 


27 


14 


41 


_ 


_ 


_ 


Eloped, 

Remaining in the hospital 
Sept. 30, 1892, . 


4 
18 


18 


4 
36 


206 


191 


397 



Shoiving the Results of Fourth Admissions. 



Number of fourth admissions 








81 


72 


153 


Discharged recovered, . 


25 


27 


52 


- 


- 


- 


much improved, 


4 


4 


8 


- 


- 


- 


improved, . 


25 


22 


47 


- 


- 


- 


not improved, 


11 


7 


18 


- 


- 


- 


not insane, . 


3 


1 


4 


- 


- 


- 


Died, .... 


6 


4 


10 


- 


- 


- 


Eloped, .... 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1892, . 


6 


7 


13 


81 


72 


153 



Showing the Results of Fifth 


Admissions 






Number of fifth admissions, 








34 


25 


59 


Discharged recovered, . 


12 


8 


20 


- 


- 


- 


much improved, 


1 


6 


7 


- 


- 


- 


improved, . 


8 


8 


16 


- 


- 


- 


not improved, 


4 


2 


6 


- 


- 


- 


Died, .... 


2 


1 


3 


- 


- 


- 


Eloped, .... 


3 


- 


3 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1892, . 


4 


— 


4 


34 


25 


59 



1892.] 



PUBLIC DOCUMENT — No. 22. 



49 



Showing the Results of Sixth Admissions. 



Number of sixth admissions, 

Discharged recovered, . 

much improved, 
improved, . 
not improved, 

Died, 

Eloped, .... 

Remaining in the hospita 
Sept. 30, 1892, . 



Males. 


Females. 


Totals. 


Males. 


Females. 








18 


19 


9 


7 


16 


- 


- 


2 


1 


3 


- 


- 


2 


8 


10 


- 


- 


1 


1 


2 


- 


- 


2 


- 


2 


- 


- 


1 


- 


1 


- 


- 


1 


2 


3 


18 


19 



37 



37 



Showing the Results of Seventh Admissions. 



Number of seventh admis- 














sions, .... 


- 


- 


- 


11 


12 


23 


Discharged recovered, . 


5 


2 


7 


- 


- 


- 


much improved, 


1 


2 


3 


- 


- 


- 


improved, . 


2 


2 


4 


- 


- 


- 


not improved, 


- 


1 


• 1 


- 


— 


- 


Died, .... 


2 


1 


3 


- 


- 


- 


Eloped, .... 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 














Sept 30, 1892, . 




4 


4 


11 


12 


23 



Shoioing the Residts of Eighth Admissions. 



Number of eighth admis- 














sions, 


- 


- 


- 


5 


6 


11 


Discharged recovered, . 


3 


2 


5 


- 


- 


- 


much improved, . 


- 


2 


2 


- 


- 


- 


improved, . 
Remaining in the hospital 
Sept. 30, 1892, . 


2 


2 


4 


5 


6 


11 



Showing the Results of Ninth Admissions. 



Number of ninth admissions, 
Discharged recovered, . 

much improved, . 









3 


1 


2 


1 


3 


- 


- 


1 


— 


1 


3 


1 



50 



TAUNTON LUNATIC HOSPITAL. [Oct. 



Showing the Results of Tenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of tenth admissions, 
Discharged recovered, . 
Died, 


3 

1 


1 


3 

2 


4 
4 


1 
1 


5 

5 



Showing the Results of Eleventh Admissions. 



Number of eleventh admis- 
sions, 

Discharged recovei'ed, . 



2 - 

2-22- 



Showing the Restdts of Twelfth Admissions. 



Number of twelfth admis- 
sions, 

Discharged recovered, . 



2-22- 



Showing the Results of Thirteenth Admissions. 



Number of thirteenth admis- 
sions, 

Discharged recovered, . 



1 


- 


1 


1 
1 


- 



Showing the Results of Fourteenth Admissions. 



Number of fourteenth admis- 
sions, . 
Discharged recovered, . 



1 


- 


1 


1 
1 


- 



Showing the Results of Fifteenth Admissions. 



Number of fifteenth admis- 
sions, 

Discharged recovered, . 



1892.] PUBLIC DOCUMENT — No. 22. 



51 



Showing the Results of Sixteenth Admissions. 






Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of sixteenth admis- 

. sions, 

Discharged recovered, . 


1 


- 


1 


1 
1 


- 


1 

1 



Showing the Results of Seventeenth Admissions. 



Number of seventeenth ad- 
missions, . 
Discharged recovered, . 



1 

1-11- 



Showing the Results oj Eighteenth Admissions. 



Number of eighteenth admis- 
sions, 

Discharged recovered, . 



1 


- 


1 


1 

1 


- 



Showing the Results of Nineteenth Admissions. 



Number of nineteenth admis- 
sions, 

Discharged recovered, . 



52 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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3 



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1892.] PUBLIC DOCUMENT — No. 22. 



53 



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TAUNTON LUNATIC HOSPITAL. [Oct. 



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1892.] PUBLIC DOCUMENT — No. 22. 



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CM 


CO 


o 


CM 




lO 




CD 


oo 








,_ 




H 


OO 








3 






















CO 
















lO 


■* 




















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CI 


CM 


CO 


CM 


CO 


CO 


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CM 


CM 


CO 


CM 


CO 






































































































1-1 




« 


CM 


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^ 


CO 


CO 


OJ 


CO 


o 


CO 


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in 








m 




m 






w 


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^ 




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o 


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oo 


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CO 


CO 


CO 


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in 


M 




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^ 




IN 


IN 


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IN 


CM 






























CO 






















































































































































a 




































































































o 




o 




-N 


CO 






CO 




































00 


00 


00 


CO 


'- 


CO 


» 


CO 


CO 


CO 


00 


CO 








oo 

CO 


oo 


00 


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00 


OJ 
CO 


Ci 


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58 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



a 
"3 

d 

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g 



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rt 








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01 


en 


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o 


en 


lf3 


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t- 


o 










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lO 


OS 


OS 






t- 


CO 


CO 


CD 


in 


CO 


m 






lO 






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g & « 

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en 


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o 




m 


cd 




o 


en 


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s 


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o 


I- 


CO 


CO 


o 


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lO 


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-p 




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CO 


CO 


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CO 


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CD 




rt 
















CO 








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o 




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1 


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1 


1 


1 


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1 


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1 


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to 


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1892.] 



PUBLIC DOCUMENT — No. 22. 



59 







£, 




















-* 


Cl 


to 


rH 


CN 


-i> 


-r 


Ol 


1- 


CN 




'- 




Cl 






Cl 




Cl 








to 


(D 


o 


CS 


















to 


to 


to 


*- 


to 


00 


CO 


to 


CO 


to 


CD 


en 


GO 


l - 


to 


*~ 


CO 


CO 


CO 


t- 


o 

Cl 


00 




m 


M 


rt 




















00 


to 


CN 


CO 


.-, 


to 


-* 


CN 


to 




H 


o 


co 


to 


■* 


CO 


CN 




■* 


CO 


01 


CO 


CO 


CO 


CO 


cH 






r ~ l 










tO 


to 


to 


tr- 


CO 


*~ 


CO 


to 


tO 


CO 


CO 


t- 


US 


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^ 


to 


to 


CO 


*" 


fc- 


CN 

Cl 


CO 




m 


OO 














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ci 


CO 


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rn 




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CD 


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01 


r-i 


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CO 


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to 


CO 




CO 




CO 


CN 


CO 




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t" 1 






o 


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CO 


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00 


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CO 


Cl 


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00 


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00 


S 
















, 






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CN 


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r-l 


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CO 


CO 


o 


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CN 


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CO 


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o 


CO 


to 


CO 


CO 


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CO 


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CO 


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ro 


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CO 








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CO 


c 


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CO 


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CO 


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r_! 










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CO 


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CO 






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CN 






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to 


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CO 


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CO 


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to 




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CN 


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CN 






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_ 


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to 


rt 


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CO 


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to 


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CN 




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CO 




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rt 


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pH 


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CO 


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to 






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1 






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*- 


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o 






to 


CO 




oo 


























































co 


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ua 


CO 


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to 


to 


to 


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to 


CO 


CO 


CD 


CD 




CD 


CO 


to 


to 




































TT 




CO 










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1 


1 


1 


1 


1 




1 




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m 


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CO 


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CO 


to 


CO 


CO 


to 


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00 


CO 


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CO 


CO 


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CN 


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CI 


CM 


Cl 


Cl 


CO 


CN 


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CO . 


CO 


CO 


CO 


CO 


CO 




to 


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CM 


to 


CO 


CN 


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CN 


IH 


IH 


1 


1 


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to 


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CO 


01 


a 


00 


CN 

CO 


I I I I I I I I I I I I I I I I i 1 I I I I 


Cl 


tO 


CO 


!M 


tO 


CO 


CN 


•* 


CN 


r-\ 


r-l 


1 


1 


CN 


1 


to 


CO 


CO 


r-i 


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a 


00 


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CN 
























































































































































































as 




























































































o 




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oo 





60 



TAUNTON LUNATIC HOSPITAL. [Oct. 



3 



S 



g 





•Suiureraaji 


1 ! 


1 1 


-H 


1 1 1 1 


CM 


1 1 1 


— ' 1 1 t- 1 


1 1 




bubsuijo]^ 


1 1 1 1 1 1 1 > i 1 1 1 1 1 1 1 1 tH It 




•psia 


1 1 


1 1 


1 


III-* 


1 


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1 1 t- 1 1 

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1 1 


h5 

< 


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1 1 


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1 


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1 


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co -* io 

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1 


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1 


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—1 | | | | 

to 


1 1 




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1 -N 
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1 1 


1 


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1 1 1 


1 1 1 1 1 


1 CM 




■paaaAODan 


CO i— 1 


till 


1 


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CO 



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8 
25 



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I rH | | | | 



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IIII|th|||tH||tH| 



■paAOjd 
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pSAOJdtai 



•paAOjd 
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PSJSA030JI 



I I I I I I I I I I I I I I I 



|rH| | |rH| | |rH| | IM H H H 



rH| | |rH| | I CM rH rH rH | I | I 



rH| | |CMrHrHrHrH| I I | | | I | 



CMrHrHrHrHlllllllllllll 



a a 

0-1 H 



I I I I I I I I I I I I I I I I I rH I 



-* I I I I I I I I I I I I I I I I I © I 



t- | I I I I I I I I I I I I I I I I 



H 


3 




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1892.] PUBLIC DOCUMENT — No. 22. 



61 



IIIC»1llllr>l>OCNIII-<!H CQ||ill||iQ|iQ| 



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 O ! 


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1 i co I co I I 


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1 oo co "O co o t— 

CM rH CM 



I I I I® I I ^(SN I I I CO CI H •* CO I I I -* I I I I I I I 



COOlHJlOrHNNHN^CNiHHffq I HIM HI>O<MH(0t>HC0 I rH rH 



COt>tO-^NHHCO ICO'O'HrHi— ICM |(M (N(OiO^HlON<M<MCO-*CO 



i ; i 


r-t 




1 1 


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rH 


1 1 1 


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1 1 rH 


1 




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1 


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


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I I 1 I I I I I I I I 



I I I I I I I I I I I I I I I I 



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62 



TAUNTON LUNATIC HOSPITAL. [Oct. 



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64 



TAUNTON LUNATIC HOSPITAL. [Oct. 



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65 



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66 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



INVENTORY OF STOCK AND SUPPLIES 

On Hand SsrT. 30, 1892. 



Live stock on the farm, . 

Produce of the farm on hand, 

Carriages and agricultural implements, 

Machinery and mechanical fixtures, 

Beds and bedding in inmates 1 department 

Other furniture in inmates' department, 

Personal property of the State in the superintendent 

partment, .... 
Dry goods, . . . . 
Provisions and groceries, 
Drugs and medicines, . 

Fuel, • 

Library, 

Other supplies undistributed, 



s de- 



$6,679 


00 


1,308 


00 


5,442 


45 


37,000 


00 


17,726 


47 


8,145 


00 


10,959 


41 


3,600 


16 


2,809 


45 


600 


00 


5,000 


00 


800 


00 


1,538 


20 


$101,608 14 



1892.] 



PUBLIC DOCUMENT — No. 22. 



67 



TREASURER'S REPORT. 



I respectfully submit the following report of the finances 
of this institution for the year ending Sept. 30, 1892, to the 
trustees : — 

Assets. 



172 acres of land, . 
Hospital buildings, 
Brick barn and stable, 
New barn, 
Laundry building, . 
Other buildings and wa 



1, 



Personal Estate. 
Stock and supplies on hand, as per inventory, 



Receipts. 
Cash on hand Oct. 1, 1891, . 
Received from the State treasurer, 

from towns, 

from individuals, . 

from other sources, 

Payments. 

1. Salaries, wages and labor, 

2. Provisions, supplies, etc. : — 

Meats of all kinds, 
Fish of all kinds, . 
Fruit and vegetables, . 
Flour and bread, . 
Grain and meal for table, 
Grain and meal for stock, 
Tea, coffee and broma, 
Sugar and molasses, 
Butter and cheese, 
Other groceries, . 



$35,600 00 
325,000 00 
8,000 00 
5,000 00 
8,000 00 
7,000 00 



$388,600 00 



101,608 14 



,208 14 



$202 15 

23,134 94 

79,172 89 

18,241 42 

980 91 



$121,732 31 



$,518 77 



$8,614 55 


1,983 65 


1,758 70 


5,600 11 


1,044 78 


3,586 11 


1,960 28 


2,314 76 


6,814 09 


5,249 61 


qo no« a\ 





Amount carried forward, 



',445 41 



68 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Amount brought forward, 

3. Clothing, 

4. Fuel and light, 

5. Medicines and medical supplies, 

6. Furniture, beds and bedding, . 

7. Transportation, 

8. Ordinary construction and repairs, 

9. Miscellaneous expenses, . 



Liabilities. 
Salaries and wages due Oct. 1, 1892, 
Miscellaneous bills due, 

Resources. 
Cash on hand Oct. 1, 1892, . 
Due the institution for board Oct. 1 , 1892 : 
From towns, . . . . 

State, 

individuals, . 



Summary. 



Total receipts, 
Total payments, 



Total debts due the institution, 
Total liabilities, 



r ,445 41 



4,719 


32 


13,925 


23 


1,436 


22 


6,026 


76 


1,050 


73 


6,126 


34 


10,955 


62 


$121,685 63 


$3,224 77 


13,999 


06 


f 17,223 83 



$46 68 

20,454 61 
5,763 06 
4,932 .57 

$31,196 92 

$121,732 31 
121,685 63 

$46 68 

$31,196 92 
17,223 83 

$13,973 09 



Total expenditures, $121,685 63 

Dividing this sum by 693, the average number of patients, 

we have the annual cost of each patient, .... 175 59 

And the average weekly cost of 3 38 



Taunton, Sept. 30, 1892. 



JOHN KITTREDGE, 

Treasurer. 



The undersigned have examined the foregoing statement of the treasurer, com- 
pared the items with the vouchers, and found it correct. 

HENRY R. STEDMAN, 
JNO. J. RUSSELL, 

Trustees. 



1892.] PUBLIC DOCUMENT — No. 22. 69 



FINANCIAL STATEMENT. 



Of the appropriation of the Legislature of 1891 for con- 
tinuing the repairs on the steam-heatiog apparatus, for 
general repairs to the buildings and for the erection of an 
additional wing to the hospital : — 

Amount of appropriation, . . . . . . . $50,000 00 

Drawn to Sept. 30, 1891, . . . . f 6,221 91 

Since drawn, viz. : — 

General repairs, 1,282 89 

Repairs on heating apparatus, . . . 2,000 00 

Erection of wing, 40,494 71 

49,999 51 

$0 49 

JOHN KITTREDGE, 

Treasurer 
Taunton, Sept. 30, 1892. 



70 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



FINANCIAL STATEMENT. 



Of the appropriation made by the Legislature of 1892 for 
boilers and boiler house and for the erection of an additional 
wing to the hospital : — 



Amount of appropriation, 
Drawn to date, viz. : — 
Erection of boiler house, 
Erection of wing, . 

Balance of appropriation, 



$8,463 24 
13,432 39 



$55,000 00 



21,895 63 
£33,104 37 



Taunton, Sept. 30, 1892. 



JOHN KITTREDGE, 

Treasurer. 



OFFICERS AND THEIR SALARIES. 



John P. Brown, M.D., superintendent, . 
Owen Copp, M.D., assistant physician, . 
Chancey Adams, M.D., assistant physician, . 
Frank S. Hamlet, M.D., assistant physician, 
Ida M. Shimer, M.D., assistant physician, 
John Kittredge, treasurer and clerk, 
James C. Flynn, engineer, .... 







$2,500 


00 






1,400 


00 






700 


00 






700 


00 






600 00 






1,200 00 






660 


00 



1892.] 



PUBLIC DOCUMENT — No. 22. 



71 



TRUSTEES 

Of the Taunton Lunatic Hospital. 



NAME. 


Residence. 


When 
Appoint- 
ed. 


Service 
ended. 


From What Cause. 


* Marcus Morton, . 


Taunton, 


1853, 


1854, 


Resigned. 


* William Sutton, . 


Danvers, 


1853, 


1856, 


Term expired. 


Charles Edward Cook, . 


Boston, 


1853, 


1857, 


Term expired. 


* George R. Russell, 


Roxbury, 


1853, 


1858, 


Term expired. 


* George A. Crocker, 


Taunton, 


1853, 


1861, 


Resigned. 


* Charles R. Vickery, 


Taunton, 


1854, 


1855, 


Term expired. 


* George Hpwland. Jr., . 


New Bedford, 


1855, 


1892, 


Died in office. 


* Menzies R. Randall, 


Rehoboth, 


1856, 


1862, 


Term expired. 


* James W. Sever, . 


Boston, 


1857, 


1858, 


Removed. 


* Charles Edward Cook, 


Boston, 


1858, 


1873, 


Term expired. 


John M. Kinney, . 


Wareham, . 


1858, 


1864, 


Term expired. 


* Charles R. Atwood, 


Taunton, 


1861, 


1877, 


Died in office. 


* Oliver Ames, 


No. Easton, . 


1862, 


1877, 


Died in office. 


* Le Baron Russell, 


Boston, 


1864, 


1889, 


Died in office. 


Simeon Borden, . 


Fall River, . 


1873, 


- 


Still in office. 


William C. Lovering, . 


Taunton, 


1877, 


- 


Still in office. 


* Samuel L. Crocker, 


Taunton, 


1878, 


1883, 


Died in office. 


Oakes A. Ames, . 


No. Easton, . 


1883, 


- 


Still in office. 


Mrs. Ruth S. Murray, . 


New Bedford, 


1884, 


- 


Still in office. 


Mrs. Grace S. Bartlett, . 


Taunton, 


1884, 


1891, 


Term expired. 


John J. Russell, . 


Plymouth, . 


1889, 


- 


Still in office. 


Mrs. Susan E. Learoyd, 


Taunton, 


1891, 


- 


Still in office. 


Henry R. Stedman, M.D. 


Boston, 


1892, 


- 


Still in office. 



* Deceased. 



72 



TAUNTON LUNATIC HOSPITAL. [Oct. '92. 



PRODUCTS OF THE FARM. 

Oct. 1, 1891, to Oct. 1, 1892. 



175,451 quarts milk, 

38,155 pounds pork, 

262f pounds dressed poultry, 

604^ dozen eggs, 

293 cabbages, 

10,575 ears sweet corn, 

700 citrons, 

75 tons hay, 

10 tons green rye, 

40 tons peas and green oats, 

80 tons green corn fodder, 

500 bushels mangel-wurzels, 

6 bushels seed peas, . 

126 barrels apples, . 

59 bushels peas, 

688J bunches asparagus, 

241 pounds rhubarb, . 

20 bunches radishes, . 

1J bushels peas, 

76| bushels beet greens, 

49 bushels bush beans, 
32 bushels potatoes, . 
8,038 pounds tomatoes, 
1\ bushels lima beans, 
1,082 squashes, . 
100 bushels carrots, . 

50 bushels parsnips, . 
50 bushels beets, 
26 barrels lettuce, 
855 heads lettuce, 
34 bushels blood beets, 
1,463 bunches blood beets 
105| bushels cucumbers, 
2,435 cucumbers, 
1\\ bushels onions, 
286 bunches onions, 



£8,333 92 

2,617 93 

52 40 

194 82 

29 30 

105 75 

70 00 

1,580 00 

70 00 
280 00 
560 00 
200 00 

24 00 
189 00 
118 00 
105 39 

13 01 
4 00 
6 00 

76 50 
98 00 
45 97 

492 36 
37 44 

77 67 
60 00 
50 00 
50 00 

182 00 
24 32 
68 00 
72 00 

262 00 
16 42 
71 50 

14 35 



PUBLIC DOCUMENT .... .... No. 22. 



FORTIETH ANNUAL REPORT 



THE TRUSTEES 



Taunton Lunatic Hospital, 



Year Ending September 30, 1893. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1894. 



PUBLIC DOCUMENT .... .... No. 22. 



FOETIETH ANNUAL EEPOET 



THE TRUSTEES 



Taunton Lunatic Hospital, 



Year Ending September 30, 1893. 



^y^^- ; '7a , ,,-r;^ <dbJz+ huutzi 



0^ BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. 
1894. 



, itriwJ 



■$ M *?* ■ ■ 



"7 



3 



OFFICERS 



TAUNTON LUNATIC HOSPITAL, 



TRUSTEES. 



WM. C. LOVERING, . 
SIMEON BORDEN, . 
JOHN J. RUSSELL, . 
RUTH S. MURRAY, . 
SUSAN E. LEAROYD, 
OAKES A. AMES, 
HENRY R. STEDMAN, M 



D., 



Taunton. 
Fall River. 
Plymouth. 
New Bedford. 
Taunton. 
North Easton. 
Boston. 



RESIDENT OFFICERS. 

JOHN P. BROWN, M.D., Superintendent. 

OWEN COPP, M.D., Assistant Physician. 

ARTHUR V. GOSS, M.D., Assistant Physician. 

ERNEST H. WHEELER, M.D., Assistant Physician. 

IDA L. BRIMMER, M.D Assistant Physician. 

JOHN KITTREDGE, Clerk. 

JAMES C. FLYNN, Engineer. 

A. A. SOUTHWICK, Farmer. 

TREASURER. 

JOHN KITTREDGE Taunton. 

Office at the hospital. 



C0mm0nfo£aMy d ^mBKifyuBdiB* 



TRUSTEES' REPORT. 



To Sis Excellency the Governor of the Commonwealth ani the Honor- 
able Council. 

The trustees of the Taunton Lunatic Hospital have the honor 
to present herewith their fortieth annual report. 

As will be shown by the accompanying tables, there have 
been 388 patients admitted to the hospital during the year end- 
ing Sept. 30, 1893. There have been 335 dismissals during 
the same period. The hospital has had in its charge 1,086 
within the year. The daily average number of patients was 
723.03, an increase of about 30 over the previous year. The 
mortality of 72 deaths is below the average of previous years. 

The infirmary for men was finished and occupied in July. 
In building the two infirmaries the land has been completely 
occupied, at least on the east end. Any further additions to 
the hospital must be detached or extended unequally toward 
the west, thus destroying the symmetry which has heretofore 
been maintained in the buildings. 

The great advantages derived from the infirmaries are appar- 
ent in many ways. The sick receive proper care and are 
afforded all possible opportunity for recovery. And it is not 
too much to attribute the lower death rate in some measure to 
these beneficent provisions. Furthermore, a beneficial effect 
is observed upon other patients of the hospital in removing 
from their sight and contact the objects of painful sickness and 
suffering. 

The kitchen has been extended to meet the increased demands 
of the enlarged household. A new range, a boiler and two 



6 TAUNTON LUNATIC HOSPITAL. [Oct, 

large jacketed kettles have been added. A new floor has been 
laid, and altogether this most important department of the 
hospital has been put in fir^t-class condition, facilitating efficient 
and economic working. 

Two fire-escapes have been built on the front centre building 
and two on the rear centre. Fire hose, fire extinguishers and 
fire pails have been purchased and put in place. Thus is the 
fear of a long-dreaded calamity minimized. 

A new piggery is in process of construction and will soon 
be completed. The wisdom of making an adequate provision 
in this direction in connection with a large institution like this 
is too manifest to need comment. 

The trustees ask for an appropriation of $2,000 for the 
laundry. With the large increase in the general household, it 
is found that the laundry is insufficient for its purposes. It is 
now fifteen years since it was built and equipped. Many of the 
machines are worn out and should be replaced by new and 
modern machines. The dry room should be enlarged and re- 
arranged. It is found that it will require $2,000 to make the 
necessary improvements. 

The trustees also ask for an appropriation of $5,000 for 
general repairs. It has been the practice of the officers of the 
Taunton Lunatic Hospital to devote the entire income of the 
hospital to the care of the patients. Indeed, this has been 
especially necessary since the reduction in the price of board, 
and it can be said that even now they fall far short of providing 
all the necessary comforts, luxuries and specific attentions so 
important to the amelioration, cure and care of this unfortunate 
class. There is, therefore, no surplus to draw upon to make 
even ordinary repairs. It does not seem just to put the cost 
of repairs and minor improvements upon the patients, who are 
here to receive the fullest and most complete opportunities 
that the price paid for their board will afford, to effect their 
speedy recovery and discharge. It therefore becomes neces- 
sary that the State should assume the entire care of the prop- 
erty and make all necessary repairs thereon. 

The trustees would indeed be false to the best interests of 
their trust if they did not urge upon the Legislature the neces- 
sity of making a more liberal provision for the care of the 
insane by restoring the price of board to $3.50 per week. It 



1893.] PUBLIC DOCUMENT — No. 22. 7 

is fully recognized that economy is to be practised at all times 
and in all possible ways in the management of public institu- 
tions, but it is easy to lapse into a false economy. Insanity is 
not necessarily hopelessly incurable in all its phases, and it fre- 
quently occurs that a little more care, a little more individual 
attention, a little more specific treatment, a few more comforts, 
yes, a few more luxuries, if you please, will restore a mind to 
reason and a body to health that must otherwise grope in dark- 
ness, wither and waste and die, — and all for the want of a 
little more generous provision for care and maintenance. 

It is with infinite satisfaction that the trustees once more re- 
cord their appreciation of the valuable services of their very 
efficient superintendent. His hand is seen everywhere, in the 
able, careful and skilful administration of the affairs of the 
hospital both inside and outside. 

During the year there have been the following changes in the 
medical staff of the hospital : Dr. Arthur V. Goss has been 
appointed, to succeed Dr. Chancey Adams, resigned; Dr. 
Ernest H. Wheeler has been appointed, to succeed Dr. Frank 
S. Hamlet, resigned ; Dr. Ida L. Brimmer has been appointed, 
to succeed Dr. Ida M. Shimer, resigned. 

WM. C. LOVERING, 

SIMEON BORDEN, 

JOHN J. RUSSELL, 

RUTH S. MURRAY, 

SUSAN E. LEAROYD, 

OAKES A. AMES, 

HENRY R. STEDMAN, 

Trustees. 
Tavxtox, October, 1893. 



TAUNTON LUNATIC HOSPITAL. [Oct. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Taunton Lunatic Hospital. 

In compliance with the by-laws of your Board, I respectfully 
present to you the fortieth annual report of the operations of 
the hospital for the year ending Sept. 30, 1893. The number 
of patients remaining in the hospital at the beginning of the 
year was 698, — 351 men and 347 women. Three hundred 
and eighty-eight have been admitted, — 207 men and 181 
women, 26 more men than women, making the whole number 
under treatment 1,086, which is a larger number than in any 
year since 1878. The daily average number under treatment 
was 723, which is 30 above that of the preceding year. The 
highest number in the hospital at any one time was 759, and 
the lowest number 665. The admissions have been greater 
than in any other year for the past fifteen years, and they are 
likely to be still greater during the coming year, as the capacity 
of the hospital has been increased by the completion of the 
two infirmaries, and the demand for accommodations will be 
greater until the asylum which is being built at Medfield is 
completed. Three hundred and thirty-five patients were dis- 
charged, and there were 751 in the hospital at the end of the 
year, — 368 men and 3^3 women. 

The discharges and removals were as follows : By order of 
the State Board of Lunacy and Charity, 14 men were removed 
to the State Farm at Bridgewater ; 20 men and 30 women to 
the Insane Asylum at Worcester ; 5 men to the Massachusetts 
Hospital for Dipsomaniacs and Inebriates at Foxborough ; and 
1 woman to the State Asylum at Tewksbury. Three men and 
4 women were removed to town almshouse ; 1 woman was 
transferred to the Boston Lunatic Hospital ; and 2 men were 
returned to the Suffolk house of correction. One woman was 
placed at board, and 31 patients, 20 men and 11 women, were 
removed by order of the State Board of Lunacy and Charity, 



1893.] PUBLIC DOCUMENT — No. 22. 9 

to be sent out of the State, they having no claim for support 
from the State of Massachusetts. Three patients escaped and 
were not returned. Two hundred and twenty-three were dis- 
charged to their friends. Of those discharged and removed, 
45 were recovered, 46 much improved, 40 improved and 110 
were unimproved. Most of those removed to other institutions 
were of the latter class. 

The percentage of recoveries on the admissions was lower 
than for several years past, and is to be accounted for in part 
by the character of the admissions. A greater number of 
cases of chronic mania and melancholia were admitted, and 
also of degenerative disease of the brain and nervous system : 
37 cases of paresis, as against 20 the year before ; 18 cases of 
senile insanity, as against 9 the year before ; 16 of chronic 
dementia, as against 10 the year before. There were 13 
recoveries from acute mania, 13 from acute melancholia (two 
of the most curable forms of insanity), 4 from chronic 
mania, 3 from chronic melancholia, 3 from puerperal mania, 
2 from recurrent mania and 7 from acute alcoholism. The 
duration of insanity in those who recover is always a matter 
of interest. The duration in 7 of the 45 who recovered 
was less than three months ; in 12, less than six months ; in 
12, less than one year; in 3, less than two years; in 2, about 
five years ; and in 2 it was seven years. Thus it appears that 
19 of those who recovered, recovered within six months of the 
attack, and 31 recovered in less than one year; that is, 70 per 
cent, of the recoveries took place within one year of the 
attack of insanity. The two recoveries after seven years' 
duration were cases of melancholia. In each of them the re- 
covery, although long and tedious, seemed to be complete. 
They were both voluntary patients, in the sense of being will- 
ing to remain in the hospital until recovery was assured. One 
of them developed considerable artistic talent during his resi- 
dence in the hospital, and spent much time in painting pictures 
and making ornamental decorations for his room. This pleas- 
ant occupation no doubt was promotive of his recovery. 

Seventy-two patients died during the year, — 45 men and 
27 women. The percentage of mortality was less than it had 
been for several years past. It was 6.6 per cent, on the whole 
number under treatment, and 9.9 per cent, on the daily aver- 



10 TAUNTON LUNATIC HOSPITAL. [Oct. 

age. Some of the principal causes of death were as follows : 
3 died of acute mania, 4 of chronic mania, 3 of chronic melan- 
cholia, 3 of epileptic insanity, 4 of paralytic insanity, 15 of 
paresis (which was a larger number than usual), 5 of organic 
brain disease, 4 of apoplexy, 8 of phthisis and 3 of old age. 

There were two cases of typhoid fever during the year. 
The first occurred in October, and was fatal ; the second in 
August, and made a good recovery. There was no traceable 
connection between the two, or any known cause of either. 

During the winter there were several cases of measles among 
the attendants and patients, but they were all mild, and the 
hospital suffered no serious inconvenience in consequence. 

No suicide or unusual accident occurred during the year. 
The escape of one female patient gave us much anxiety, as 
suicide was feared, but she was found and returned safely in 
about two weeks after her escape. 

Twenty persons afflicted with that most to be dreaded of 
mental diseases, epilepsy, w T ere admitted during the year, 
because the State at the present time has no more suitable place 
than the lunatic hospitals for their care and treatment. No 
other class of the mentally diseased are more entitled to our 
active sympathy and aid. Many of them are not insane, or 
only so for short periods, and yet in the lunatic hospitals they 
are obliged to live under rules and restrictions that are only 
necessary for the insane. If they were cared for in an institu- 
tion built and organized to meet their peculiar mental state, 
their condition would be ameliorated in many ways and their 
lives made happier. Massachusetts has at the present time a 
sufficient number of this class to fill a hospital of moderate 
size, and the admissions to such an institution would not be less 
than 1 50 a year. Now that the inebriate has been provided for 
in a separate hospital, and an asylum for the chronic insane is 
in process of construction, it would seem to be a favorable time 
for the next Legislature to make provision for building a hospi- 
tal for the especial care and treatment of this most unfortunate 
class. 

The infirmaries are now both occupied, and are fully meeting 
the high expectations of usefulness which were entertained of 
them before they were completed. They are proving to be 
admirably adapted to the class of patients for which they were 



1893.] PUBLIC DOCUMENT — No. 22. 11 

designed. Their hygienic condition is excellent ; the heating, 
ventilation and plumbing are all that can reasonably be de- 
sired. The quietness of the wards is a notable feature, and 
is very grateful to the sick, who are removed to them from 
the other more noisy wards of the hospital. The hospital is 
especially fortunate in having obtained so excellent accommo- 
dations for the sick. 

There have been more changes in the medical staff during 
the past year than in any year before, which fact is to be re- 
gretted, as the usefulness of a medical officer in a hospital for 
the insane, if he has the natural and professional qualifications 
for the work, is, within certain limits, in proportion to his 
length of service. During the year the three junior assistants 
resigned their positions for other fields of professional labor 
and other duties, — Dr. Chancey Adams after eighteen months' 
service, Dr. Frank S. Hamlet at the end of a year, Dr. Ida 
S. Shimer after two years. Each of them rendered faithful 
service to the hospital. Dr. Adams' place was filled by the 
appointment of Dr. Arthur V. Goss, who came to us highly 
recommended from the Butler Hospital for the Insane, where 
he had served four years as second assistant physician. Dr. 
Ernest H. Wheeler, a recent graduate of the Dartmouth Medi- 
cal College, was appointed to the position made vacant by the 
resignation of Dr. Hamlet; and Dr. Ida L. Brimmer, a gradu- 
ate of the Woman's Medical College of Pennsylvania, to that 
of Dr. Shimer. 

There have been several changes in the supervisors during the 
year past. Mr. J. W. Williams was appointed to the vacancy 
occasioned by the resignation of Mr. Bond, and Mr. McDonald 
having been made supervisor of the male infirmary when it was 
opened, Mr. Harold Thomas was appointed to the position 
vacated by him. Miss Emma Higgins was appointed to the 
position made vacant by the resignation of Miss Coombs. Miss 
Annie Harris, a trained nurse who has had large experience in 
the care of the insane, has been appointed supervisor of the 
women's infirmary. 

Finances. 
The apparent surplus at the close of the year was $13,973.09, 
which is $89.01 less than that of Sept. 30, 1892. The receipts 



12 TAUNTON LUNATIC HOSPITAL. [Oct. '93. 

have been greater than the preceding year by $6,365.57, but 
the expenditures have been correspondingly greater, and the 
past year has but confirmed the experience of previous years, 
that the hospital cannot pay its current expenses at the present 
rate of board ($3.25 per week) for State and town patients, 
including clothing and breakage, except it is crowded much 
beyond its capacity. 

An appropriation of $5,000 for general repairs will be needed, 
and $2,000 for remodelling the drying room of the laundry and 
the purchase of new machinery for laundry work. 

Acknowledgments. . 

The "Daily Mercury," "Old Colony Memorial" and the 
" Friend's Eeview" have been received free of charge. Several 
books were presented to the hospital library, and a valuable 
picture by Dr. H. R. Stedman. A large collection of fine 
pictures of western scenery, which adorn the walls of the in- 
firmary for women, were given to the hospital by Hon. Oakes 
A. Ames ; and here I may say, the bare walls of the male 
infirmary strongly invite a like gift from any one so disposed. 
We are indebted to members of the Taunton Social Club for a 
highly interesting entertainment which they gave in the chapel, 
under the direction of Mr. Harrie A. Peck. As usual, the 
Bristol County Agricultural Society kindly gave to the resi- 
dents of the hospital free admission tickets to its annual fair. 

About the same number and variety of entertainments, 
averaging about three each week for six months in the year, 
from November to May, have been given in the chapel, and 
the usual summer picnics in the grove have been continued, 
with no apparent loss of interest and pleasure. 

I am glad to recognize at this time the faithful and efficient 
service of those associated with me in the care of the patients 
and the general management of the hospital ; and to your 
Board, for the continued confidence and cordial support you 
have given me, I am very thankful and deeply grateful. 

JOHN P. BROWN, 

Superintendent. 



Statistical Tables 



APPROVED ET THE 



STATE BOARD OF LUNACY AND CHAEITY. 



14 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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PUBLIC DOCUMENT — No. 22. 



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October, . 
November, 
December, 

January, . 

Februaiy, 

March, . 

April, 

May, 

June, 

July, 

August, . 

September, 

Total of ca 
Total of pt 
Daily aver 



1(3 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



S. — Received on First and Subsequent Admissions. 











Casks Admitted. 


Times Previously 
Recovered. 


NUMBER OF THE ADMISSION. 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 








176 


153 


329 


- 


- 


- 


Second, . 








19 


18 


37 


5 


4 


9 


Third, . 








5 , 


5 


10 


5 


4 


9 


Fourth, . 








4 


1 


5 


• 7 


- 


7 


Fifth, . 








1 


1 


2 


' ! 4 


- 


4 


Sixth, 








1 


1 


2 


2 


- 


2 


Eighth, . 








- 


1 


1 


- 


7 


7 


Ninth, . 








- 


1 


1 


- 


3 


3 


Thirteenth, 








1 


- 


1 


11 


- 


11 


Total of cases, 


207 


181 


388 


34 


18 


52 


Total of persons, 






204 


179 


383 


14 


9 


23 



4. — Relations to Hospitals of Cases Admitted. 



HOSPITAL RELATIONS. 


Males. 


Fi males. 


Totals. 


Never before in any hospital for insane, . 
Former inmates of this hospital only, 

of other hospitals only, . 

of this and other hospitals, . 


159 

27 

18 

3 


138 

20 

15 

8 


297 

47 
33 
11 


Total of cases, 

Total of persons, 


207 
204 


181 
179 


388 
383 



1893.] 



PUBLIC DOCUMENT — No. 22. 



17 



5. — Nativity and Parentage of Persons Admitted. 



PLACES OF NATIVITY. 



Maine, 

New Hampshire, 

Vermont, . 

Massachusetts, 

Rhode Island, 

Connecticut, 

New York, 

New Jersey, 

North Carolina, 

Virginia, . 

Ohio, . 

Illinois, . 

Dominion of Canada 

South America, 

West Indies, 

Azores, 

England, 

Ireland, 

Scotland, 

France, 

Germany, 

Austria, 

Russia, 

Sweden, 

Norway, 

Denmark, 

Italy, . 

Wales, 

Unknown, 

Totals, 



Males. 



Females. 



IS 



Totals. 



179 



1 
144 

5 



1 
1 
3 

383 



28 
1 
3 
2 

21 
128 
4 
2 
9 
2 
3 
4 
1 
1 
1 
1 

68 



3 
1 
2 
1 
1 
1 
1 

33 



23 
130 



383 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



6. — Residence of Persons Admitted. 



PLACES. 


Males. 


Females. 


Totals. 


Barnstable County, .... 








4 


3 


7 


Bristol County, 














70 


74 


144 


Dukes County, 














1 


1 


2 


Middlesex County, 














1 


- 


1 


Nantucket County, 














4 


- 


4 


Norfolk County, . 














19 


14 


33 


Plymouth County, 














24 


23 


47 


Suffolk County, . 














80 - 


64 


144 


Worcester County, 














1 


- 


1 


Totals, . 


204 


179 


383 


Cities or towns,* . . 














151 


139 


290 


Country districts, . 














53 


40 


93 



* Containing not less than 10,000 inhabitants. 



7. — Civil Condition of Cases Admitted. 



DUMBER 


Unmarried. 


Married. 


Widowed. 


Unknown. 


Totals. 


OF THE 
































ADMISSION 


Ma. 


Fe. 


Tot 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, . 


66 


55 


121 


84 


64 


148 


23 


34 


57 


2 


- 


2 


175 


153 


328 


Second, . 


9 


6 


15 


9 


9 


18 


1 


3 


4 


1 


- 


1 


20 


18 


38 


Third, . 


3 


1 


4 


3 


4 


7 














6 


5 


11 


Fourth, . 


2 


- 


2 


1 


1 


2 














3 




4 


Fifth, . 


1 


- 


1 


- 


- 


- 


- 


1 


1 


- 


- 


- 


1 




2 


Sixth, . 


1 


- 


1 


- 


- 


- 


- 


1 


1 


- 


- 


- 


1 




2 


Eighth, . 


- 


- 


- 


- 


1 


1 


















1 


Ninth, . 


- 


1 


1 
























1 


Thirteenth, 


1 


- 


1 




















1 


- 


1 


Total of cases 


, 83 


63 


146 


97 


79 


176 


24 


39 


63 


3 


- 


3 


207 


181 


388 


Total persons 


, 82 


62 


144 


95 


79 


174 


24 


38 


62 


3 


- 


3 


204 


179 


383 



1893.] 



PUBLIC DOCUMENT— No. 22. 



19 



8. — Occupations of Persons Admitted. 



MALES. 



Attendant in hospital, 




1 


Gardener, .... 


1 


Bakers, . 




4 


Glass blowers, . . 


2 


Bartenders, . 




2 


Glass decorator, . 


1 


Beggar, . 




1 


Hostlers, .... 


3 


Billiard-table maker, 




1 


Hotel keeper, . 


1 


Blacksmiths, . 




5 


Iron worker, 


1 


Bookbinder, . 




1 


Inventor, .... 


1 


Book-keeper, . 




1 


Jeweller, .... 


1 


Broker, . ... 




1 


Laborers, .... 


42 


Butler, . 




1 


Last turner, .... 


1 


Cabinet makers, 




2 


Machinists, .... 


4 


Carpenters, . 




5 


Masons, .... 


3 


Cigar maker, . 




1 


Merchants, .... 


2 


Clergyman, . 




1 


Meat cutter, .... 


1 


Cloth dresser, 




1 


Miner, ..... 


1 


Clerks, . 




4 


Mill operatives, . 


18 


Coopers, 




2 


Modeller, .... 


1 


Cook, 




1 


Moulders, 


4 


Dyer, . 




1 


Musician, .... 


1 


Elevator conductor, 




1 


Night watchman, 


1 


Engineer, . . .' 




1 


No occupation, ... 


7 


Farmers, . . . 




9 


Painters, .... 


9 


Foreman shoe factory, 




1 


Pattern maker, . . . 


1 


Florist, . 




1 


Plasterer, .... 


1 


Frame makers, 




2 


Printers, .... 


2 



20 TAUNTON LUNATIC HOSPITAL. [Oct. 

8. — Occupations of Persons Admitted — Continued. 

MALES. 



Roofer, . 




1 


Stone cutters, 


2 


Sailors, . 




8 


Taxidermist, 




Salesman, 




1 


Teacher, .... 




Saloon keeper, 




1 


Teamster, .... 




Scissors grinder, . 




1 


Waiter, . ... 




Shoe operatives, . 




8 


Wood worker, 




Slater, . .' . . 




1 


Wood carver, 




Students, 




3 


Wool sorters, 


2 


Stone polisher, 




1 


Workmen, .... 


2 


Steam fitter, . 




1 
1 


Unknown, .... 
Total, 


4 


Stone mason, . 


204 



FEMALES. 



Bookbinder, . 






1 


No occupation, 




17 


Burnisher, 






1 


Saleswomen, 




2 


Cook, 






1 


Seamstresses, 




2 


Carpet sewer, 






1 


School teachers, . 




3 


Domestics, 






27 


Sister of Charity, 




1 


Dressmakers, 






3 


Student, 




1 


Housewives, . 






22 


Type setter, . 




1 


Housekeepers, 






17 


Tailoresses, . 




3 


Laundresses,. 






2 


Washerwomen, . 




2 


Mill operatives, 




22 


Unknown, . 




1 



1893.] 



PUBLIC DOCUMENT — No. 22. 



21 



8. — Occupations of Persons Admitted — Concluded. 



WIFE OR DAUGHTER OF — 



Brakenian, 






1 


Painter, .... 


2 


Carpenter, 






4 


Peddler, .... 


1 


Cigar maker, . 






1 


Safe maker, .... 


1 


Farmer, . 






3 


Sea captain, .... 


1 


Hostler, . 






1 


Storekeeper, 


1 


Insurance agent, 






2 


Shoemaker, .... 


4 


Jeweller, 






1 


Stone mason, 


1 


Laborer, 






10 


Tailor, ..... 


1 


Machinist, 






1 


Tanner, .... 


1 


Mechanic, 






2 


Teamster, .... 


2 


Mill operative, 






4 


Upholsterer, 


1 


Moulder, 






1 
1 


Yacht steward, 

Total, .... 


1 


Porter, . 


179 



22 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



9. — Probable Causes of 







Patients Admitted. 


CAUSES. 


INSANE. 


NOT insane. 


HABITUAL 
DEUNKARDS. 


VOLUNTARY 
PATIENTS. 




DQ 

CD 

"3 


a 

CD 

Eh 


3 

O 


a' 
"3 


0Q 

s 


a 
o 


cc 
a 


a 

CD 

fq 


"5 
o 




0D 

"3 

-a 

CD 

Pm 


DQ 
C3 
O 

Eh 


Physical. 
Accident, 
Apoplectic shock, 
Concussion of the brain, 
Congenital, . 
Dissipation, 
Dyspepsia, . 
Epilepsy, 
Erysipelas, . 
Heredity, 
III health, . 
Influenza, . . 
Intemperance, 
Injury to head, . 
Kidney disease, . 
Lack of sleep, 
Lactation, . 
Loss of eyesight, 
Masturbation, 
Meningitis, . 
Menopause, . 
Miscarriage, 
Morphine habit, . 
Neurasthenia, 
Opium habit, 
Overwork, . 
Paralysis, 
Puerperal, . 
Kbeumatism, . . 
Senility, 
Spinal disease, 
Stroke of lightning, . 
Sunstroke, . 
Suppressed menstruation, 
Syphilis, 

Typhoid fever, . 
Uterine disease, . . 

Mental Causes. 
Business trouble, 
Domestic trouble, 
Domestic affliction, 
Disappointment, 

Grief 

Keligious excitement, 

Trial for murder, 
Worry, 

Unknown, . . . 




2 
1 
1 
2 
1 
1 
12 

4 

. 6 

33 

8 

2 
2 

6 

2 
5 

1 
1 

67 
193 


1 
1 

s 
1 

9 
6 
2 
6 
1 
1 

2 

1 
1 

8 
2 

1 

3 

2 
9 

3 

1 
2 
1 

1 
3 

1 
5 

6 
1 
3 
1 

4 

4 
68 
171 


3 
1 
1 
2 
2 
1 

20 
1 
9 

10 
8 

39 
9 
1 
1 
2 
1 
7 
1 
8 
2 
1 
1 
1 

11 
6 
9 
1 
8 
1 
1 
9 
1 
2 
3 
3 

7 
7 
11 
1 
3 
1 
5 

1 

4 

135 

364 


- 


- 


" 


9 
9 


7 
7 


16 
16 


1 
1 

2 


1 


1 
2 


Totals, . 




- 


1 


3 



PUBLIC DOCUMENT — No. 22. 



23 



Disease in Persons Admitted. 



Insane. 


Habitual Drunkards. 


Voluntary Patients. 


PREVIOUS 
ATTACKS. 


HEREDITARY 

PRE- 
DISPOSITION. 


previous 

ATTACKS. 


HEREDITARY 

PRE- 
DISPOSITION. 


previous 
attacks. 


HEREDITARY 

PRE 
DISPOSITION. 


8 


a 
*3 

S 
<o 
fa 


to 

"3 
o 
En 


ID 
(V 


GD 

"3 

fa 


"3 
o 

Eh 


DQ 

"3 

2 


3 
"3 
S 

fa 


o 

E- 1 


"3 
2 


CD 

"3 
8 

fa 


"3 
o 


m 

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2 


to 

<u 

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S 
tu 

fa 


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o 

Eh 


m 

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2 


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g 

fa 


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o 


1 
6 
1 

4 

27 


1 

1 

8 
1 

3 

2 
1 

2 
1 

5 
3 

1 
1 

1 
12 

43 


1 

1 

8 
1 
1 
9 
1 

2 
5 

2 
1 

5 
3 

1 

1 

1 

39 


i 
i 
i 

i 
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5 
1 

1 

2 
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5 
1 

2 
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13 


3 

9 
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1 
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15 

68 


- 


- 


- 


2 


~ 


2 


1 
1 

2 


5 


1 

6 


1 


- 


1 


39 


82 


38 


30 


2 


- 


2 


5 


7 


1 


1 






24 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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1893.] 



PUBLIC DOCUMENT — No. 22. 



25 



11. — Ages of Insane at First Attack, Admission and Death. 









Persons First Admitted to 
Ant Hospital. 


Persons Died. 






AT 


WHEN 




AT 




AT TIME 


AGES. 


FIRST ATTACK. 


ADMITTED. 


FIRST ATTACK. 


OS 


DEATH. 




o 
"a 


a 

£ 


3 
o 


to 

CD 

■5 


*3 

a 





m 

CD 

"a 


cd 

"a 

a 

a 
ft 


a 



CD 

3 


CD 

a 

CD 


"3 

H 


Congenital, . 






2 


1 


3 


- 


- 


- 


1 


1 


2 


- 


- 


- 


15 years and less, 






2 


3 


5 


1 


1 


2 


1 


1 


2 


- 


- 


- 


From 15 to 20 years, 






4 


5 


9 


7 


5 


12 














20 to 25 years, 






14 


23 


37 


13 


21 


34 


3 


2 


5 


1 


2 


3 


25 to 30 years, 






12 


15 


27 


12 


13 


25 


2 


2 


4 


2 


1 


3 


30 to 35 years, 






12 


11 


23 


17 


15 


32 


2 


3 


5 


2 


3 


5 


35 to 40 years, 






23 


10 


33 


29 


13 


42 


4 


2 


6 


5 


3 


8 


40 to 50 years, 






22 


26 


48 


30 


28 


5S 


8 


5 


13 


9 


3 


12 


50 to 60 years, 






12 


15 


27 


17 


18 


35 


7 


8 


15 


8 


6 


14 


60 to 70 years, 






6 


10 


16 


7 


10 


17 


8 


1 


9 


10 


3 


13 


70 to 80 years, 






3 


2 


5 


9 


6 


15 


3 


- 


3 


4 


4 


8 


Over 80 years, 






2 


3 


5 


4 


4 


8 


1 


1 


2 


3 


2 


5 


Unknown, . . 






36 


10 


46 


4 


- 


4 


4 


1 


5 


- 


- 


- 


Total of persons, 






150 


134 


284 


150 


134 


284 


44 


27 


71 


44 


27 


71 


Mean ages, . 






38.37 


37.59 


37.97 


42.17 


41.20 


41.70 


47.90 


40.07 


44.86 

1 


53.55 


51.70 


52.86 



12. — Reported Duration of Disease before Last Admission. 











First Admission 
to Ant Hospital. 


All other 
Admissions. 


Totals. 


Previous Duration. 




CD 






DO 

CD 






CD 






cd 

"3 
* 


CD 

a 

cd 


"5 

H 


CD 

"3 


a 

CD 


"3 
O 


CD 
"3 


03 

a 


"3 

H 


Congenital, 


2 


1 


3 


_ 


_ 


_ 


2 


1 


3 


Under 1 month, . 








29 


28 


57 


10 


8 


18 


39 


36 


75 


From 1 to 3 months, 








23 


16 


39 


3 


5 


8 


26 


21 


47 


3 to 6 months, 








8 


24 


32 


1 


3 


4 


9 


27 


36 


6 to 12 months, 








14 


10 


24 


- 


1 


1 


14 


11 


25 


1 to 2 years, 








17 


12 


29 


3 


3 


6 


20 


15 


35 


2 to 5 years, 








17 


23 


40 


5 


5 


10 


22 


28 


50 


5 to 10 years, 








6 


5 


11 


4 


8 


12 


10 


13 


23 


10 to 20 years, 








5 


1 


6 


4 


1 


5 


9 


2 


11 


Over 20 years, 








- 


1 


1 


- 


1 


1 


- 


2 


2 


Unknown, . . 








29 


13 


42 


17 


4 


21 


46 


17 


63 


Total of cases, 


150 


134 


284 


47 


39 86 


197 


173 


370 


Total of persons, 








150 


134 


284 


46 


39 


85 


194 


172 


366 


Average in years, 








2.00 


1.58 


1.79 


2.73 


2.80 


2.83 


2.19 


1.92 


2.05 



26 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



6 



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C. — Voluntary patients — 
Mania, acute, .... 
Melancholia, chronic, 
Not insane, .... 


cy 

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A. — Insane — 
Mania, acute, . 
Mania, chronic, 
Melancholia, acute, . 
Melancholia, chronic, 
Dementia, acute, 
Dementia, chronic, . 
Imbecility, 
Paresis, . 

Organic brain disease, 
Paralytic insanity . 
Epileptic insanity, . 
Recurrent insanity, . 
Puerperal insanity, . 
Senile insanity, 
Alcoholism, acute, . 
Alcoholism, chronic, 



PUBLIC DOCUMENT — No. 22. 



27 







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1893.] 



PUBLIC DOCUMENT — No. 22. 



33 



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^ir^^t^co^OT-T<?ico~-TtiLOtor--coc3iO'— i cm co 

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1893.] 



PUBLIC DOCUMENT — No. 22. 



35 



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PUBLIC DOCUMENT — No. 22. 



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38 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



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1893.] 



PUBLIC DOCUMENT — No. 22. 



39 



21. — Shoiving the Results of First Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of persons on firsl 














admission, 


- 


- 


- 


5,082 


4,632 


9,714 


Discharged recovered, 


1,325 


1,173 


2,498 


- 


- 


- 


much improved, 


135 


160 


295 


- 


- 


- 


improved, 


1,022 


1,079 


2,101 


- 


- 


- 


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1,107 


998 


2,105 


- 


- 


- 


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51 


20 


71 


- 


- 


- 


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1,031 


914 


1,945 


- 


- 


- 


Eloped,, .... 


122 


7 


129 


- 


- 


- 


Remaining in the hospital, Sept 














30, 1893, .... 


289 


281 


570 


5,082 


4,632 


9,714 



Showing the Results of Readmissions. 








Number of readmissions, . 








1,182 


1,064 


2,246 


Discharged recovered, 


316 


317 


633 


- 


- 


- 


much improved, 


55 


52 


107 


- 


- 


- 


improved, 


270 


272 


542 


- 


- 


- 


not improved, 


244 


217 


461 


- 


- 


- 


not insane, 


10 


8 


18 


- 


- 


_ 


Died, . . . 


156 


95 


251 


- 


_ 


- 


Eloped, 


46 


1 


47 


- 


_ 


- 


Remaining in the hospital Sept. 














30, 1893, .... 


85 


102 


187 


1,182 


1,064 


2,246 



Showing the Results of Second Admissions. 






Number of second admissions, 








797 


730 


1,527 


Discharged recovered, 


188 


208 


396 


- 


- 


- 


much improved, 


36 


28 


64 


- 


- 


- 


improved, 


180 


176 


356 


- 


- 


- 


not improved, 


184 


170 


354 


- 


- 


- 


not insane, 


4 


4 


8 


- 


- 


- 


Died, 


114 


74 


188 


- 


- 


_ 


Eloped, 


37 


3 


40 


- 


- 


- 


Remaining in the hospital Sept. 














30, 1893, 


54 


67 


121 


797 


730 


1,527 



40 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Showing the Results of Third Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of third admissions, . 








211 


196 


407 


Discharged recovered, 


55 


61 


116 


- 


- 


- 


much improved, 


13 


8 


21 


- 


- 


- 


improved, 


50 


53 


103 


- 


- 


- 


not improved, 


42 


37 


79 


- 


- 


- 


not insane, 


3 


1 


4 


- 


- 


- 


Died, 


28 


14 


42 


- 


- 


- 


Eloped, 


4 


- 


4 


- 


- 


- 


Remaining in the hospital Sept. 














30, 1893 


16 


22 


38 


211 


196 


407 



Showing the Results of 


Fourth Admissions. 






Number of fourth admissions, . 








85 


73 


158 


Discharged recovered, 

much improved, 


26 
4 


27 
4 


53 

8 


- 


: 


: 


improved, 
not improved, 


26 
11 


22 

7 


48 
18 


: 


— 


__ 


not insane, 


3 


1 


4 


- 


- 


- 


Died, 


6 


4 


10 


- 


- 


- 


Eloped, 

Remaining in the hospital Sept. 
30, 1893 


1 

8 


8 


1 

16 


85 


73 


158 



Showing the Results of Fifth Admissions. 






Number of fifth admissions, 








35 


26 


61 


Discharged recovered, 


12 


8 


20 


- 




- 


much improved, 


1 


6 


7 


- 


- 


- 


improved, 


8 


8 


16 


- 


- 


- 


not improved, 


4 


2 


6 


- 


- 


- 


not insane, 


- 


1 


1 


- 


- 


- 


Died, 


3 


1 


4 


- 


- 


- 


Eloped, 


3 


- 


3 


- 


- 


- 


Remaining in the hospital Sept. 














30, 1893, 


4 


" 


4 


35 


26 


61 



1893.] 



PUBLIC DOCUMENT — No. 22. 



41 



Showing the Results of Sixth Admissions. 



Number of sixth admissions, 
Discharged recovered, 

much improved, 

improved, 

not improved, 

not insane, 

Died, 

Eloped, .... 
Remaining in the hospital Sept 
30, 1893, .... 



Males. Females. 



16 
3 

10 
2 
1 
2 
1 



19 



19 



20 



20 



39 



39 



Showing the Results of Seventh Admissions. 






Number of seventh admissions 








11 


12 


23 


Discharged recovered, 


5 


2 


7 


- 


- 


- 


much improved, 


1 


2 


3 


- 


- 


- 


improved, 


2 


2 


4 


- 


- 


- 


not improved, 


- 


1 


1 


- 


- 


- 


not insane, 


— 


— 


- 


— 


— 


— 


Died, 


2 


1 


3 


_ 


_ 


- 


Eloped, .... 


_ 


1 


1 


- 


- 


- 


Remaining in the hospital Sept 














30, 1893, .... 


— 


4 


4 


11 


12 


23 



Showing the Results of Eighth Admissions. 



Number of eighth admissions, . 








5 


7 


12 


Discharged recovered, 


3 


3 


6 


- 


- 


- 


much improved, 


- 


2 


2 


- 


- 


- 


improved, 


2 


2 


4 


- 


_ 


- 


Remaining in the hospital Sept. 














30, 1893, 


— 


~ 


- 





7 


12 



Showing the Results of Ninth Admissions. 



Number of ninth admissions, 
Discharged recovered, 

much improved, 
Remaining in the hospital Sept 
30, 1893, .... 



---32 
2 1 3 - - 

1 - 1 

113 2 



42 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



Showing the Results of Tenth Admissions. 



Number of tenth admissions, 
Discharged recovered, 
Died, 



Males. 


Females. 


Totals. 


Males. 


Females 


Totals. 








4 


1 


5 


3 


- 


3 


- 


- 


- 


1 


1 


2 


4 


1 


5 



Showing the Results of Eleventh Admissions. 



Number of eleventh admissions, 
Discharged recovered, 



2 


- 


2 


2 
2 


- 



Showing the Results of Twelfth Admissions. 



Number of twelfth admissions, 
Discharged recovered, 



- 2 

2 - 2 2 



Showing the Results of Thirteenth Admissions. 



Number of thirteenth admissions, 
Discharged recovered, 



2 
2-22- 



Showing the Results of Fourteenth Admissions. 



Number of fourteenth admis- 
sions, 

Discharged recovered, 



1 


- 


1 


1 
1 


: 



Showing the Results of Fifteenth Admissions. 



Number of fifteenth admissions, 
Discharged recovered, 



. 1 


- 


1 


1 

1 


- 



1893.] PUBLIC DOCUMENT — No. 22. 



43 



Showing the Results of Sixteenth Admissions 








Males. 


Females. 


Totals. 


Males. 


Females, 


Totals. 


Number of sixteenth admissions, 
Discharged recovered, 


1 


- 


1 


1 
1 


- 


1 
1 



Showing the Results of Seventeenth Admissions. 



Number of seventeenth admis- 
sions, ...... 

Discharged recovered, 



1-11 



Showing the Residts of Eighteenth Admissions. 



Number of eighteenth admis- 
sions, 

Discharged recovered, 



1 


- 


1 


1 
1 





Showing the Results of Nineteenth Admissions. 



Number of nineteenth admis- 
sions, 

Discharged recovered, 



1 


- 


1 


1 
1 


- 



44 



TAUNTON LUNATIC HOSPITAL. 



[Oct. 



8 



8 






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io»«irti»Oirsif3totototototototototot— fc- 
cocooocooooooooocococooococooooocooo 



1893.] 



PUBLIC DOCUMENT — No. 22. 



45 



i i i i i i i i i i i i i i i i i i i cn -+ wo 1 


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51 



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52 



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