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

A 



PUBLIC DOCUMENT No. 24. 



THIRTY-SECOND ANNUAL EEPOET 



THE TRUSTEES 



STATE LUNATIC HOSPITAL 



^T T\^OIlCESTEIl. 



OCTOBEE, 1864. 



BOSTON: 

WRIGHT & POTTER, STATE PRINTERS, 

No. 4 Spring Lank. 

18 65. 



Digitized by tine Internet Arciiive 

in 2010 witii funding from 

University of Massaciiusetts Amherst 



Iittp://www.arcliive.org/detail.s/annualreportoftr30stat 



tfommonmealtl) of iilassacljUBttta. 



THIRTY-SECOND ANNUAL REPORT 



TRUSTEES OF THE WORCESTER LUNATIC HOSPITAL. 



To His Excellency the Governor and the Honorable Council 
of the Commonwealth : 

Another year has closed, and the Trustees are happy to 
report that, in the midst of the great excitement of war and 
politics, our institution has gone on in its quiet way, only 
requiring, from the financial condition of the country, more 
care and anxiety to keep the expenses within the means at 
our disposal. 

In former years the annual outlay for repairs and improve- 
ments has been necessarily very large ; and all has been done 
without any appropriation from the legislature, except at the 
last session a grant of four thousand dollars was made for con- 
structing a reservoir of pure water, which, when once filled, 
it is said by competent engineers, will give a continued and 
ample supply for all purposes. 

It was well, when the present financial state of the country 
came upon us, that the hospital buildings and grounds had 
been put in excellent order, for now our whole income is 
needed to supply the wants of the patients. 

We receive from the State, for the care of alien patients, 
$2.75 a week for each, a sum quite insufficient to pay the cost 



4 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

of supporting them. This sum is so inadequate to meet the 
cost of supporting the State patients^ that a part of the burden 
must be laid upon the private patients, many of whom are not 
able to bear it. The Trustees propose to memorialize the 
general court for some legislation that will remedy this obvi- 
ous injustice. We are allowed by law to charge towns the 
actual cost of supporting their poor insane citizens, estimated 
at this time at 13.78. But the charge for the year has been 
but $3.25 to towns ; and in some cases the recovery of this 
sum has been difficult ; and in the case of two towns we have 
beea obliged to resort to legal measures to enforce payment, 
subjecting us to costs and delays that are embarrassing. 

In August, last, a conference was held with the Trustees of 
the other State asyluiaas, at which a rate of charges, uniform, 
and at that time considered necessary to pay the cost of sup- 
porting the patients, was agreed upon ; and it is hoped that, 
if this rate is promptly paid, the hospitals may meet their 
expenses without an application to the legislature for an 
additional grant. 

We cannot, without injury, diminish our force or deteriorate 
the quality or quantity of supplies ; and we hope that, with 
the return of peace, plenty will soon follow, and that our pecu- 
niary affairs may flourish as in former years. 

By the report of the Superintendent, the number of 

patients under treatment during the year has been . 625 

Of these were discharged, recovered, .... 180 

" " " improved, .... 102 

" " " not improved, ... 16 

Now under treatment, 344 

A paternal care is exercised, by the Superintendent, over 
patients, even after leaving the hospital. Some have been 
placed at useful employments in the town, still passing their 
nights at the hospital until fully able to take care of them- 
selves. All are properly clothed and furnished with necessary 
funds. A large amount of useful labor is done by the patients, 
useful chiefly to themselves as a curative means, and which is 
varied to suit the taste and ability of each. 



1864.] PUBLIC DOCUMENT— No. 24. 5 

Many interesting facts will be found in the report of the 
Superintendent, which it is unnecessary to recapitulate, but 
which will be useful to persons interested in the subject of 
insanity, and to all who have at heart the welfare of their 
fellow-men. 

It appears by the Treasurer's report that 
The expenses, as nearly as they can be ascertained, 

for the year were $66,612 00 

We have received from the State for board of pa- 
tients, 22,951 96 

From towns and individuals, . ' ' . . . 34,594 81 

And there are due to the hospital bills unpaid, which it is 
estimated will be more than sufficient to pay all the expenses. 

Yery respectfully submitted by the Trustees. 

R. W. HOOPER, 
E. P. JENKS, 
E. JARYIS, 
W. WORKMAN, 
S. E. SEWALL. 

Worcester, October 14, 1864. 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



OFFICERS OP THE HOSPITAL. 



T R IT S T B E 



EGBERT W. HOOPER, M. D., 
HON. EDWIN F. JENKS, 
EDWARD JAR VIS, M. D., 
WILLIAM WORKMAN, M. D., 
HON. SAMUEL E. SEWALL, 



Boston. 

Adams. 

Dorchester. 

Worcester. 

Boston. 



RESIDENT OFFICERS. 

MERRICK BEMIS, M. D., . . . . Superintendent. 

FRANK H. RICE, M. D., Assistant Physician. 

CAROLINE A. BEMIS, Matron. 

DANIEL W. BEMIS, Steward. 



TREASURER. 

.IIERRICK BEMIS, M. D., . . . 

Office at the Hospital. 



Worcester. 



SALARIED OFFICERS OF THE HOSPITAL. 

Superintendent, $1,800 00 

■Assistant Physician, 900 00 

Matron, 200 00 

■Steward, 500 00 

Treasurer, 400 00 



1864.] 



PUBLIC DOCUMENNT -No. 24. 



TREASUHER'S REPORT. 



Cash on hand September 30, 1863, . . . |136 13 
Rec'd from Commonwealth for support of patients, 22,951 96 

4,000 00 



" Commonwealth for aqueduct, 



" " towns and individuals, 


, , 


. 34,594 81 


" " Loans, (bills payable,) 


. 


. 22,500 00 


" " Sundries, 


, . 


122 57 


Mechanics' Bank, including check not 


in, . 


. 13,132 78 




197,438 25 


EXPENDITUKES. 






Steward's orders, .... 


156,557 84 


Bills payable, ..... 


28,500 


00 


Mechanics' Bank, (money borrowed) . 


6,356 


62 


" " (interest) 


883 


SQ 


For aqueduct, 


3,898 


30 


The town of Newbury, overpayment, . 


25 


86 


Treasurer, salary and expenses. 


663 


93 


Balance cash, 


551 


84 
— $97,438 25 



H. WOODWARD, Treasurer. 
Worcester, September 30, 1864. 



We have examined the above account with the vouchers and find it 
correct. 

E. F. JENKS, 
S. E. SEWALL, 

Auditing Committee, 
Worcester, October 5, 1864. 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



SUPERINTENDENT'S EEPOHT. 



To the Trustees of the Worcester Lunatic Hospital : 

Gentlemen, — In compliance with the laws of the Common- 
wealth, I submit to you my annual report for the year ending 
September 30, 1864. 

For the operations of the year in detail you are respectfully 
referred to the following tables, and such brief explanations and 
remarks as accompany them. 



Table No. 1, 
Showing the general results during the Year. 



remales. 



TotaL 



Patients in the Hospital October 1, 1863, 

" admitted during the year, 
Whole number under treatment, 
Discharged recovered, 
" improved, 

" not improved. 
Died, ..... 
Whole number discharged during the year, 
«' " remaining September 30, 1864 



197 

125 

322 

70 

61 

7 

17 

155 

167 



202 

101 

303 

60 

41 

9 

16 

126 

177 



399 

226 
625 
130 
102 
16 
33 
281 
SH 



The number of patients in the hospital at the beginning of 
the year was three hundred and ninety-nine, of whom one hun- 
dred and ninety-seven were males, and two hundred and two 
were females. 

The number admitted during the year was two hundred and 
twenty-six, of whom one hundred and twenty-five were males, 
and one hundred and one were females. 



1864.] PUBLIC DOCUMENT— No. 24. 9 

The whole number under treatment during the year was six 
hundred and twenty-five, of whom tliree hundred and twenty- 
two were males, and three hundred and three were females. 

The whole number discharged during the year was two hun- 
dred and eighty-one, of whom one hundred and fifty-five were 
males, and one hundred and twenty-six were females. 

The whole number remaining in the hospital is three hundred 
and forty-four, of whom one hundred and sixty are males, and 
one hundred and seventy-seven are females. 

Of the two hundred and eighty-one patients discharged, one 
hundred and thirty were discharged as recovered and have 
returned to their homes and friends, and have resumed the 
ordinary duties of life. And one hundred and two were dis- 
charged as improved. Many of these have returned to their 
former occupations and require but little direction and over- 
sight from their guardians and friends. Others have become 
so tranquil and are so much improved as to cause their friends 
but little anxiety, and to require from them but little care and 
attention. 

The recoveries were in the ratio of fifty-seven per cent, to the 
number admitted, or thirty-eight per cent, to the average num- 
ber of patients in the hospital, and seventy-nine per cent, to the 
number of those whose insanity had existed less than one year. 

The ratio of deaths to the whole number admitted was a 
fraction more than fourteen per cent., or four and nine-tenths 
per cent, to the whole number under treatment, and seven and 
eight-tenths per cent, to the average number of residents in the 
hospital during the year. 

Seven thousand one hundred and four patients have been 
admitted to the hospital since it was opened, of whom three 
thousand five hundred and tliree were males, and three 
thousand six hundred and one were females. 

Of this number three thousand three hundred and sixty-three 
have recovered, giving a ratio of more than forty-seven per 
cent, of recoveries to the whole number of patients admitted, 
or very nearly fifty per cent., after deducting the number of 
those who still remain in the hospital. 

One thousand two hundred and sixty-six patients haVe been 
discharged " improved," which number, added to the number of 
recoveries, makes the number o^ those who have received benefit 

2 



10 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

by a residence in the hospital, four thousand six hundred and 
twenty-nine. 

Table No. 2, 

Showing the Admissions and state of the Hospital, from October 1, 1863, 
to September 30, 1864. 



Patients in the hospital October 1, 1863, 

Males, .... 197 Females, 

Patients admitte(i in the course of the year, . 

Males, .... 125 Females, 

Patients remaining in the hospital September 30, 1864. 
Males, . . . .167 Females, 

Of the admissions there were cases of one year or less 
Males, . . .79 Females, 

Of the admissions there were cases of more than 

duration, 

Males, .... 39 Females, 

Of the admissions there were cases the duration of whose insanity 

could not be ascertained, 

Males, .... 7 Females, 

Patients committed by Courts, 
Males, .... 



duration, 
one year' 



73 



Females, 



Patients committed by Overseers of the Poor, 

Males, .... 7 Females, 

Patients on bonds. 
Males, . 



43 



Females, 



Patients committed by Governor's warrant, . 

Males, .... Females, 

Patients committed by the Board of State Charities, 
Males, . . ... 2 Females, 

Patients committed by Commissioners of Lunacy, 
Males, . . . . Females, 

Foreigners and those having no settlement in the State, 
in course of the year, ..... 
Males, • ... 38 Females, 

Foreigners and those having no settlement in the State, 
in course of the year, ..... 
Males, .... 72 Females, 

Foreigners and those having no settlement in the State 
in the hospital September 30, 1864, . 

Males, .... 53 Females, 



committed 



discharsed 



remammg 



202 



101 



177 



56 



44 



49 



14 



30 



38 



63 



63 



399 



226 



344 



135 



83 



122 



21 



73 



76 



135 



116 



1864.] 



PUBLIC DOCUMENT— No. 24. 



11 



State Paupers remaining in the Hospital at the dose of each year, as 
nearly as can he ascertained. 



1842, . 


. 34 


1850, . ■ 


. 181 


1858, . 


. 121 


1843, . 


. 38 


1851, . 


. 201 


1859, ., 


. 124 


1844, . 


. 38 


1852, . 


. 241 


1860, . 


. 130 


1845, . 


. 57 


1853, . 


. 216 


1861, . 


. 156 


1846, . 


. 52 


1854, . 


. 151 


1862, . 


. 189 


1847, . 


. 121 


1855, . 


. 115 


1863, . 


. 175 


1848, . 


. 150 


1856, . 


. 155 


1864, . 


. 116 


1849, . 


.- 167 


1857, . 


. 119 







The foregoing table shows that there have been admitted to 
the hospital in the course of the year, seventy-six patients who 
had no settlement in any town in this Commonwealth, and of 
the same class one hundred and thirty-five have been discharged ; 
leaving in the hospital one hundred and sixteen patients who 
are supported by the charity of the State. A few of this class 
are supposed to have settlements within the Commonwealth, and 
the above numbers may be somewhat diminished when their 
cases are legally settled. 

The number of patients comm'itted by overseers of the poor 
was twenty-one, of whom a few refund to the towns in which 
they have a settlement, the sums of money, in whole, or in part, 
paid for their support while in the hospital. 

The number of patients committed on bonds from friends was 
seventy-three. 

The number of patients committed by the courts was one 
hundred and twenty-two, of vrhom sixty-seven were State pau- 
pers, and fifty-five about equally divided between the town and 
private patients. 

Eight patients have been committed by the Board of State 
Charities, and one by the Commissioners of Lunacy. 

The Board of State Charities have removed to other institu- 
tions and to their homes, fifty-four State patients in the course 
of the year. 

You will remember that all of this number were recommended 
to you for discharge, previous to removal, and that none have 
been discharged whose mental and physic£tl condition did not 
make their removal seem proper and advisable. 



12 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Twelve State patients have died iii the course of the year. 

When State patients have been removed from the hospital, 
previous to recovery, they liave been visited by the chairman of 
the Board of State Charities and their cases fully investigated 
before any steps have been taken to procure their discharge, and 
when relations or friends have been known, their wishes have 
been consulted. 

So that while the Board of State Charities and the Trustees 
have been equally desirous to relieve the Commonwealth of any 
unnecessary burden, the interests of the patients have always 
been humanely regarded. 



Table No. 3, 

Showing the number Admitted, Restored, Improved, Died, 8fc., in each 
Month during the Year. 





Admitted. 


Removed. 


Remaining. 


MONTHS. 








s 

o 


•a 

> 
o 


■a 

> 
o 

1 


" -d 


•3 










"3 
1^ 


0) 

i 


B 

o 


M 


a 


o 


S 


- 1 




g 






M. 


F. 


M. 


F. 


M. 


F. 


M. 


F. 


M. 


F. 


T. 


o 


October, 


9 


10 


19 


4 


10 


6 


6 


- 


1 


- 


3 


10 


20 


30 


196 


192 


388 


November, . 


8 


4 


12 


7 


6 


3 


4 


- 


2 


3 


2 


13 


14 


27 


191 


182 


373 


December, . 


11 


11 


22 


4 


8 


6 


4 


- 


3 




2 


11 


17 


28 


191 


176 


367 


January, 


16 


5 


21 


7 


2 


4 


4 


- 


- 




2 


12 


8 


20 


195 


173 


368 


February, . 


7 


6 


13 


8 


3 


- 


1 


- 


- 




- 


9 


4 


13 


193 


175 


368 


March, . . 


9 


10 


19 


4 


3 


1 


2 


1 


1 




1 


. 7 


7 


14 


195 


178 


373 


April, . . 


11 


4 


15 


3 


6 


9 


- 


1 






2 


14 


8 


22 


192 


174 


366 


May, . . . 


13 


4 


17 


7 


2 


2 


2 


1 


1 




- 


11 


5 


16 


194 


173 


367 


June, . . . 


9 


8 


17 


7 


2 


7 


2 


- 


- 


4 


- 


18 


4 


22 


185 


177 


362 


July, . . . 


13 


14 


27 


8 


4 


7 


6 


1 


- 


2 


1 


18 


11 


29 


180 


180 


360 


August, . . 


12 


13 


25 


5 


4 


10 


6 


2 


1 


2 


- 


19 


11 


30 


173 


182 


355 


September, - 


7 


12 


19 


6 


10 


6 


4 


1 


- 


- 


3 


13 


17 


30 


167 


177 


344 


Totals, . 


125 


101 


226 


70 


60 


61 


41 


7 


9 


17 


16 


155 


126 


281 









1864.] 



PUBLIC DOCUMENT— No. 24. 



13 



Table No. 4, 

Shoioing the Form of Disease in those Admitted and Discharged during 

the Year. 





Admitted. 


DiSCHAHGED. 


FORM OF DISEASE. 


"3 


_2j 

6 

CD 


"a 
I 


St 


a 


t 

o 

El 


Mania, . . . . 

" Chronic, 

" with Epilepsy, 

" with general Paralysis, 
Melancholia, .... 
Dementia, .... 

" Senile, 

" with Epilepsy, . 

" with general Paralysis, 
Monomania of Fear, 
" of Pride, 
" of Suspicion, 


44 

19 
12 

4 
19 

16 
4 
2 

1 
2 

2 


41 

19 

6 

16 

13 

2 

2 

1 

1 


85 

38 

18 

4 

35 

29 

6 

4 

1 

3 

3 


49 
21 
6 
2 
20 
49 

2 
5 

1 


42 
23 

2 

13 

41 

2 

2 

1 


91 

44 

8 

2 

33 

90 

2 

4 

5 

2 


• Totals, . 


125 


101 


226 


155 


126 


281 



" Table No. 5. 

Supposed Causes of Insanity of Patients admitted into the Hospital from 
January 18, 1833, to September 30, 1864. 











1864. 


Previously. 


CAUSES. 












Males. 


Females. 


Males. 


Females. 


Apoplexy, 


_ 


_ 


1 


2 


Asthma, . 








— 


- 


1 


_ 


Bronchitis, 








_ 


_ 


— 


1 


Bowels, Disease of, 








- 


- 


1 


- 


Cancer, . 






•1 


- 


— 


— 


1 


Chorea, . 








- 


- 


- 


3 


Constipation, . 








- 


- 


- 


- 


Convulsions, . 








— 


— 


10 


12 


Dysentery, 








- 


- 


2 


2 


Dyspepsia, 








- 


- 


2 


— 


Epilepsy, . 








11 


5 


145 


51 


Eruptive Diseases, 








- 


— 


3 


3 


Eyes, Disease of. 








1 


— 


1 


- 



14 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table No. 5 — Continued. 











1804. 


PSEVIOUSLT. 


CAUSES. 












Males. 


Females. 


Males. 


Females. 


Eyes, Loss of, 


_ 




1 




Erysipelas, 








- 


- 


- 


1 


Fevers, . 








— 


— 


46 


65 


Hysteria, . 








- 


- 


- 


1 


Hemorrhoides, 








- 


_ 


1 


1 


111 Health, 








26 


35 


334 


793 


Influenza, 








_ 


_ 


1* 


3 


Insolation, 








- 


_ 


16 


- 


Idiocy, 








- 


- 


15 


9 


Laryngitis, 








- 


- 


- 


- 


Measles, . 








_ 


_ 


4 


6 


Nervous Irritation, . 






_ 


— 


- 


- 


Nymphomania, 






- 


- 


- 


4 


Old Age, 






2 


2 


20 


26 


Otitis, 








— 


— 


- 


~ 


Paralysis, 








3 


1 


55 


26 


Pneumonia, 








— 


- 


- 


- 


Rheumatism, 








_ 


_ 


5 


1 


Scrofula, . 








- 


_ 


1 


2 


Sea-sickness, 








- 


- 


1 


1 


Somnambulism, 






_ 


_ 


- 


2 


Suppressed Eruptions, 






- 


- 


4 


3 


Suppressed Ulcer, . 






- 


- 


1 


3 


Satyriasis, 






- 


- 


1 


- 


Tic Douloureux, 






- 


- 


- 


1 


Tumor, . 






- 


- 


- 


1 


Whooping Cough, . 






- 


- 


1 


- 


Amenorrhoea, . 






— 


1 


— 


20 


Lactation, Excessive, 






_ 


_ 


- 


3 


Menorrhagia, . 






- 


1 


- 


8 


Menorrhagia, Suppressed 








2 


- 


23 


Miscarriage, . 






- 


- 


- 


4 


Pregnancy, 






- 


- 


- 


10 


Puerperal, 






- 


2 


- 


199 


Turn of Life, . . 






_ 


7 


- 


58 


Amputation of Leg, 






- 


- 


1 


- 


Bathing in Cold Water, 






- 


- 


1 


- 


Drinking Cold Water) 






- 


- 


1 


- 


Exposure to Cold, . 






- 


- 


11 


13 


Injuries by Falling, &c.. 






- 


- 


20 


6 


Injury of Head, 






1 


1 


53 


11 


Injury of Spine, 






2 


1 


2 


6 


Lead, Poison of, 






_ 


- 


4 


- 


Lightning, Stroke of. 






_ 


_ 


- 


1 


Labor, Excessive, . 






1 


1 


40 


57 


Loss of Sleep, . 






- 


- 


- 


3 


Study, Excessive, . 






1 


1 


25 


9 


Spiritualism, . 






3 


_ 


17 


24 


Criminal Trial, 






_ 


_ 


- 


1 


False Accusation, . 






- 


— 


— 


1 



1864.] PUBLIC DOCUMENT— No. 24. 

Table No. 5 — Concluded. 



15 









1864. 


Peeviouslt. 


CAUSES. 












Males. 


Females. 


Males. 


Females. 


Imprisonment, . 
Death of Relatives, . 






- 


7 


4 
28 


69 


Domestic Trouble, • . 






1 


- 


110 


336 


Marriage, Unhappy, 






- 


- 


2 


5 


Disappointment in Love, . 






- 


2 


64 


95 


Disappointed Ambition, 






- 


- 


9 


9 


Home Sickness, 






— 


1 


6 


17 


Fright, . 






1 


- 


20 


24 


Seduction, 






- 


- 


_ 


3 


Millerism, 






- 


- 


9 


6 


Political Excitement, 






- 


- 


9 


1 


Religious Excitement, 






- 


1 


156 


176 


Pecuniary Trouble, . 






- 


- 


142 


37 


Poverty, . . . 






- 


'- 


1 


1 


Poverty, Fear of, 






- 


- 


30 


8 


Prosecution, 






- 


- 


1 


— 


Giving up Business, . 






1 


- 


1 


- 


Change of Business, 






- 


- 


8 


- 


Violent Temper, 






- 


- 


2 


13 


Jealousy, . 






- 


- 


18 


27 


Intemperance, . 






23 


5 


540 


62 


Opium, Use of, 






- 


- 


# 3 


9 


Tobacco, Use of. 






- 


- 


2 


7 


Masturbation, . 






16 


2 


347 


55 


Venery, Excess of, . 






- 


- 


1 


- 


Unknown, 


• 


32 


24 


1,017 


1,059 


Totals, . 




• 


125 


101 


3,378 


3,500 



Of the above there were- 



Hereditary cases, .... 


23 


14 


542 


767 


Periodical cases. 


24 


23 


560 


596 


Hereditary and Periodical cases. 


8 


3 


365 


405 


Suicidal cases, .... 


18 


16 


ISO 


219 


Homicidal cases, .... 


13 


5 


127 


38 


Suicidal and Homicidal cases, . 


5 


3 


37 


22 



16 LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 6, 

Showing the Ages of Patients Admitted, Discharged Recovered, not 
Recovered, and Died during the Year. 



AGES. 


Admitted. 


Discharged Ke- 

COVEKED. 


Discharged not 
Eecoveked. 


Died. 




Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Less than 15, 


4 






1 


2 








From 15 to 20, 


5 


9 


2 


2 


2 


_ 


_ 


_ 


20 to 30, 


28 


21 


19 


15 


15 


17 


2 


3 


30 to 40, 


33 


26 


26 


.21 


26 


15 


5 


4 


40 to 50, 


22 


18 


15 


12 


16 


13 


4 


— 


50 to 60, 


16 


15 


4 


5 


5 


3 


3 


5 


60 to 70, 


12 


6 


3 


3 


1 


1 


2 


2 


70 to 80, 


5 


' 4 


1 


1 


- 


1 


1 


1 


80 to 90, 


_ 


2 


_ 


_ 


1 


_ 


— 


1 


Unknown, 


- 


- 


- 


- 


- 


- 


- 


- 


Totals, . . 


125 


101 


70 


60 


68 


50 


17 


16 



Table No. 7, 

Showing the Ages of Patients Admitted, Discharged Recovered, not Re- 
covered, and Died, from January 18, 1833, to September 30, 1864. 







1 


DiSCHAKGED KE- I 


Discharged not 








Admitted. I 










Died. 








COVERED. 1 


Kecoveked. 






AGES. 




















Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Less than 15, . 


30 


25 


5 


11 


18 


12 


1 


1 


From 15 to 20, 


211 


217 


122 


131 


63 


60 


14 


13 


20 to 30, 


940 


912 


467 


466 


338 


360 


58 


67 


30 to 40, 


868 


951 


423 


461 


369 


350 ■ 


95 


92 


40 to 50, 


742 


785 


323 


363 


266 


255 


99 


88 


50 to 60, 


388 


432 


165 


198 


140 


134 


69 


81 


60 to 70, 


225 


204 


81 


94 


80 


•61 


50 


51 


70 to 80, 


90 


64 


22 


25 


21 


18 


35 


22 


80 to 90, 


9 


11 


4 


2 


3 


4 


5 


4 


Unknown, . . 


- 


- 


- 


- 


- 


- 


- 


- 


Totals, . . 


3,503 


3,601 


1,612 


1,751 


1,298 


1,254 


426 


419 



1864.] 



PUBLIC DOCUMENT— No. 24. 



IT 



Table No. 8, 

Showing the Duration of Insanity before Admission of Patients Admitted, 
Discharged Recovered, not Recovered, and Died, during the Year. 







Admitted. 


Discharged 
Eecovered. 


Discharged 

not 
Recovered. 


Died. 


DUBATION OF INSAHITY. 


i 


1 
i 


1 


i 

1 


1 
1 


i 

"3 
S 


"3 


1 


Insane 1 year or less, . 
More than 1 year and less 

2 years, . 
More than 2 years and less 

5 years, . 
More than 5 years and less 

10 years. 
More than 10 years and less 

15 years. 
More than 15 years and les. 

20 years. 
More than 20 years and less 

25 years. 
More than 25 years and les 

30 years. 

Thirty years or more, . 
Unknown, . 


than 
than 
than 
> than 
3 than 
i than 
3 than 


79 
5 
12 
14 
4 
1 
2 

1 

7 


56 
5 
13 
15 
4 
4 
1 

3 


43 

13 

12 

2 

70 


46 

7 
3 
4 

60 


11 

3 
13 

25 

11 

5 


9 
5 
11 
15 
6 
4 


1 
3 
4 
2 
3 
2 . 

2 


2 
3 
3 

4 

3 
1 


Totals, . 




125 


101 


68 


50 


17 


16 



18 LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 9, 

Showing the Duration of Insanity hefore Admission of Patients Admitted^ 
Discharged Recovered, not Recovered, and Died, from January 18, 
1833, to September 30, 1864. 





Admitted. 


Discharged Re- 


Discharged not 


Died. 








covered. 


Recovered. 




DUEATION OF INSAOTTY, 




















i 


a 


•3 


a) 
"3 


"3 


« 


m 


1 




1^ 


Ut 


1^ 


Eh • 


^ 


^ 


S 


^ 


Insane 1 year or less, 


2,210 


2,446 


1,242 


1,372 


615 


591 


212 


258 


More than 1 year and less 


















than 2 years, 


121 


106 


157 


140 


60 


62 


23 


16 


More than 2 years and less 


















than 5 years, 


504 


480 


112 


124 


191 


169 


82 


59 


More than 5 years and less 


















than 10 years, 


277 


255 


42 


53 


197 


189 


32 


27 


More than 10 years and 


















less than 15 years, 


142 


152 


12 


20 


103 


96 


31 


23 


More than 15 years and 


















less than 20 years. 


66 


42 


9 


9 


41 


61 


19 


10 


More than 20 years and 










, 








less than 25 years, 


46 


33 


7 


6 


28 


34 


4 


7 


More than 25 years and 


















less than 30 years. 


18 


15 


5 


1 


9 


10 


7 


5 


Thirty years or more, 


30 


29 


2 


5 


11 


13 


8 


6 


Unknown, 


89 


43 


24 


21 


43 


29 


8 


8 


Totals,. 


3,503 


3,601 


1,612 


1,751 


1,298 


1,254 


426 


419 



1864.] 



PUBLIC DOCUMENT— No. 24. 



19 



Table No. 10, 

Showing the Givil Condition of Patients Admitted, Discharged Recov- 
ered, not Recovered, and Died, during the Tear. 



CITIL 


Admitted. 


Discharged Ke- 

COVEKBD. 


Dischaeged not 
Eecoteeed. 


Died. 


CONDITION. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Unmarried, . 
Married, . . 
Widowers, 
Widows, . . 
Unknown, . . 


68 

54 

3 


39 

48 

14 


35 

30 

5 


24 
27 

9 


39 

23 

6 


27 
22 

1 


6 
8 
3 


• 7 
5 

4 


Totals, . . 


125 


101 


70 


60 


68 

-% 


• 50 


17 


16 



Table No. 11, 

Showing the Civil Condition of Patients Admitted, Discharged Recovered, 
not Recovered, and Died, from January 18, 1833, to September 30, 
1864. 



CIVIL 


Admitted. 


Discharged Ee- 

COVEBED. 


Discharged not 

EE COVERED. 


Died. 


CONDITION. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Unmarried, . 
Married, . . 
Widowers, 
Widows, . . 
Unknown, . . 


1,851 

1,478 

151 

23 


1,544 
1,616 

421 

20 


799 

749 

61 

3 


695 

850 

204 
2 


790 

449 

47 

12 


675 
443 

123 
13 


166 

207 
47 

6 


175 
164 

78 
2 


Totals, . . 


3,503 


3,601 


1,612 


1,751 


1,298 


1,254 


426 


419 



20 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 12, 

Showing the Occupation of Patients admitted to the Hospital from 
January 18, 1833, to Septemher 30, 1864. 



OCCUPATION OF MALES. 



Previously. 



Auctioneers, . . . • 
Armorers, . . . . 

Authors, 

Blacljsmiths and Iron-workers, . 

Bakers, 

Butchers, 

Book-agents,_ . . . . 
Book-binders, . . . . 
Broom-makers,. 
Book-keepers, . . . . 
Brittania-workers, 
Brick-makers, . . . . 
Bellows-makers, 

Barbers, 

Clergymen, . . . . 
Carvers, . . . a . 
Carpenters, . . . . 
Coppersmiths, . . . . 

Coopers, 

Cabinet-makers, . . . . 

Clothiers, 

Comb-makers, . . . . 
Confectioners, . ... 
Card-makers, . . . . 
Chair-makers, . . . . 
■ Cigar-makers, . . . . 

Clerks, 

Carpet-weavers, 

Caulkers, 

Camphene-distillers, . 

Dyers, 

Druggists, . . . . 

Drovers, 

Daguei'reotypists, 

Engineers, . . . . 

Engravers, . . . . 

Editors, 

Expressmen, . . . . 
Farmers, . . . . , 
Fishermen, . . . . 
Gardeners, . . . . 
Glass-blowers, . . . . 
Hotel-keepers, . • . . 

Hatters, 

Harness-makers, 
Hackmen and Teamsters, . 
Jewellers, .... 



23 
2 



2 
2 
3 

57 

10 

5 

2 

3 

2 

8 

2 

5 

2 

12 

23 

2 

116 

9 

22 

16 

15 

4 

3 

1 

3 

4 

79 

2 

2 

3 

3 

3 

2 

3 

2 

4 

4 

14 

684 

30 

9 

4 

13 

5 

14 
28 
18 



1864.] PUBLIC DOCUMENT— No. 24. 

Table No. 12 — Continued. 



21 



OCCUPATION OF MALES. 



1864. 



Previously. 



Lawyers, .... 

Laborers, .... 

Manufacturers, . 

Millers, . 

Merchants, 

Masons, .... 

Miners, .... 

Miniature-painter, . 

Mat-makers, 

Musicians, 

Machinists, 

Moulders, .... 

Operatives in Mills, . 

Palmleaf-splitter, 

Painters, .... 

Printers, .... 

Physicians, 

Paper-makers, . 

Peddlers, .... 

Potter, .... 

Pump and Block-makers, . 

Pattern-makers, 

Plumbers, 

Police officers, . 

Pope-makers, . 

Kestaurators, ... 

Shoemakers and Bootmakers, 

Sailmakers, 

Soap-makers, • . 

Sash and blind-makers, 

Sea-captains, 

Sailors, . . ' . 

Students, .... 

Ship- carpenters. 

Shop-keepers, . 

Stone-cutters, . 

Soldiers, . * . 

Sexton, .... 

Stevedore, 

Surveyors, 

School-boys, 

Tailors, .... 

Teachers, .... 

Tobacconists, . 

Tinners, .... 

Tanners, .... 

Umbrella-makers, 

Wheelwrights, . 

No occupation, . 

Totals, 



26 
4 



1 
13 



12 
764 

29 

6 

142 

29 
4 
1 
2 
7 

40 
7 

70 
1 

42 

30 

15 
7 

13 
1 
4 
4 
4 
3 

10 
8 
268 
9 
7 
3 

16 
152 

56 
8 
3 
9 

10 
1 
1 
2 

23 

20 

31 
3 
7 

17 
2 

17 

209 



125 



3,378 



22 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table No. 12 — Concluded. 



OCCUPATION OF FEMALES. 

Actress, 

Cooks, 

Engraver, . . . . 

Housekeepers, 

Housemaids, 

Laundresses, . . . . . 
Music Teachers, .... 

Midwives, 

Nurses, 

Operatives in Mills, .... 

Seamstresses, 

School-girls, 

Teachers, 

Typesetters, 

No occupation, 

Totals', 



Previously. 




Table No. 13. 

Diseases which have proved Fatal from January 18, 1833, to September 

30, 1864. 











1S64. 


Peetiouslt. 


DISEASES. 












Males. 


Females. 


[Males. 


Females. 


Apoplexia, 


_ 


1 


15 


9 


Asphyxia, 








- 


- 


2 


- 


Asthma, . 








- 


— 


. 4 


1 


Ascites, . 








- 


- 


5 


7 


Autochiria, 








- 


1 


15 


10 


Bronchitis, 








- 


- 


2 


- 


Carcinoma, 








- 


1 


2 


1 


Carditis, . 








- 


- 


9 


11 


Cholera, . 








- 


- 


5 


- 


Cholera Morbus, 








_ 


- 


2 


3 


Cystitis, . 








- 


1 


1 


- 


Dysenteria, 








- 


- 


12 


6 


Delirium Tremens, 








- 


- 


4 


- 


Enteritis, . 








_ 


- 


6 


9 


Epilepsia, 








4 


2 


64 


28 


Erysipelas, 








- 


- 


9 


10 


Hepatitis, 








- 


- 


- 


2 


Hydrathorax, . 








"" 


■" 


1 


1 



1864.] PUBLIC DOCUMENT— No. 24. 

Table No. 13 — Concluded. 











1864. 


Pkeviously. 


DISEASES. 


Males. 


Females. 


Males. 


Females. 


Hernia, . 

Inanitio, . 
Mania Exhaustive, 
Marasmus, 
Meningitis, 
Mortificatio, 
Necropneumonia, . 
Paralysis, 

Phthisis Pulmonalis, 
Pleuritis, . 
Pneumonia, 
Senectus, . 
Typho-Mania, . 
■Typhoid Fever, 
Variola, . 








2 

7 
4 


2 
2 

4 
2 


1 

33 

10 

63 

9 

1 

30 
49 

" 
15 
24 
7 
8 
1 


52 

7 

63 

14 

1 

2 

19 

105 

2 

9 

15 

10 

6 


Totals, . 






• 


17 


16 


409 


403 



Seventeen males and sixteen females have died in the course 
of the year. Of the deaths which occured, two were from old 
age, one from apoplexy, six from epilepsy, four from marasmus, 
seven from general paralysis, eight from consumption, two from 
exhaustion, consequent upon maniacal excitement, and one from 
suicide. With two exceptions the patients who died during the 
year were long past the middle age ; one was about ninety and 
another about eighty years of age. 

A large portion of those who died had been residents in the 
house many years: while two died in a few days after their 
commitment to the hospital. 

The number of deaths will not seem large when it is remem- 
bered that every patient admitted to the hospital, labors under 
some constitutional disease ; that some are sent to us in extreme 
old age, others in the last stages of decay ; many with debili- 
tated constitutions, worn out by grief, or fear, or anxiety, or 
perhaps by dissipation ; exhausted by long duration of mental 
disease ; and that all are liable, and in the same proportion to 
diseases of a general nature that the members of any sane 
community are. 



24 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



It must be remembered -too that the standard of health, never 
high in a hospital for the insane, has been generally good, 
although no choice has been or can be made in regard to the 
admissions, except in favor of the most hopeless. 

A reference to the table will show that a large majority of 
those who died sank under the influence of diseases prevalent 
among the insane. 



Table No. 14, 

Showing the Admissions from each County, from January 18, 1833, ^o 
September 30, 1864. 









1864. 


Previously. 




COUNTIES. 








Whole No. 




Males. 


Females. 


Total. 






Barnstable, 






1 


- 


1 


127 


128 


BerksWre, 






- 


- 


- 


189 


189 


Bristol, . 






1 


- 


1 


293 


294 


Dukes, 






- 


- 




19 


19 


Essex, 






10 


19 


29 


980 


1,009 


Franklin, . 






- 


- 


- 


126 


126 


Hampden, 






8 


2 


10 


354 


364 


Hampshire, 






1 


- 


1 


224 


225 


Middlesex, 






43 


26 


69 


1,068 


1,137 


Nantucket, 






1 


- 


1 


31 


32 


Norfolk, . 






2 


6 


8 


600 


608 


Plymouth, 






1 


- 


1 


234 


235 


Suffolk, . 






4 


4 


8 


697 


705 


Worcester, 






47 


42 


89 


1,913 


2,002 


Other States, 






6 


2 


8 


23 


31 


Totals, 


125 


101 


226 


6,878 


7,104 



1864.] 



PUBLIC DOCUMENT— No. 24. 



25 



Table No. 15, 

Showing the Whole Number of Patients during the last year, the Average 
Number, the number at the end of each year, the Expense of each year, 
the Annual Expense for each Patient, and the Expense of each Patient 
per week for each of the Thirty-two Tears the Hospital has been in 
operation. 









No. at end 






Expense per 


YEAE. 


Whole 


Average 


of each 


Current expenses 


Annual expense 


week for 




Number. 


Number. 


year. 


of each year. 


for each patient. 


each patient. 


1833, . 


153 


107 


114 


$12,272 91 


$114 67 


. $2 25 


1S34, . 


233 


117 


118 


15,840 97 


135 38 


2 60 


1835, . 


241 


120 


119 


16,576 44 


137 30 


2 64 


1836, . 


245 


127 


138 


21,395 28 


168 44 


3 12 


1837, . 


306 


163 


185 


26,027 07 


159 64 


3 07 


1838, . 


362 


211 


218 


28,739 40 


136 20 


2 62 


1839, . 


397 


223 


229 


29,474 41 


132 16 


2 53 


1840, . 


391 


229 


236 


27,844 98 


121 59 


2 33 


1841, . 


399 


233 


232 


28,847 62 


123 81 


2 38 


1842, . 


430 


238 


238 


29,546 87 


111 12 


2 13 


1343, . 


458 


244 


255 


27,914 12 


114 40 


2 20 


1844, . 


491 


261 


263 


29,278 75 


112 17 


2 15 


1845, . 


656 


316 


360 


43,888 65 


138 88 


2 66 


1846, . 


637 


359 


367 


39,870 37 


111 06 


2 13 


1847, . 


607 


377 


394 


39,444 47 


104 62 


2 01 


1848, . 


655 


404 


409 


42,860 05 


106 09 


2 04 


1849, . 


682 


420 


. 429 


40,870 86 


97 31 


1 87 


1850, . 


670 


440 


441 


46,776 13 


106 40 


2 04 


1851, . 


704 


462 


466 


52,485 33 


112 61 


2 16 


1852, . 


775 


515 


532 


43,878 35 


85 20 


1 64 


1853, . 


820 


537 


520 


53,606 66 


103 14 


1 98 


1854, . 


819 


430 


381 


53,221 52 


123 77 


2 38 


1855, . 


580 


349 


336 


54,895 88 


157 29 


3 02 


1856, . 


577 


357 


376 


45,631 37 


128 64 


2 47 


1857, . 


647 


387 


372 


49,004 75 


124 04 


2 38 


1858, . 


679 


372 


301 


38,267 26 


102 86 


2 39 


1859, . 


501 


309 


317 


48,363 33 


156 51 


3 01 


1860, . 


532 


324 


331 


47,757 01 


147 39 


2 83 


1861, . 


583 


369 


379 


54,748 53 


148 37 


2 84 


1862, . 


600 


401 


396 


53,043 88 


132 18 


2 50 


1863, . 


611 


398 


399 


66,082 36 


166 03 


3 J9 


1864, . 


625 


366 


344 


66,612 00 


182 00 


3 50 



The expenses have been diminished by credits received for 
articles sold, during the year, one thousand fifty-three dollars 
and eighty-three cents. 
i 



26 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



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PUBLIC DOCUMENT— No. 24. 



27 



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PUBLIC DOCUMENT— No. 24. 



29 



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1864.] PUBLIC DOCUMENT— No. 24. 45 



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46 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 





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1864.] PUBLIC DOCUMENT— No. 24. 47 



w 



u cs 






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^<o'-< Oil ^<"'^ H osho t^oiH •'-'fcicS"^t.'"n 

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Imth 

24 dys 
2 mths 3 dys 

do 

do 

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2 mths 1 dy 
2 mths 

do 
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1 mth 27 dys 
29 dys 
Imth 23 dys 
1 mth 22 dys 
do 


1 mth 21 dys 
1 mth 19 dys 
1 mth 18 dys 
1 mth 15 dys 
19 dys 
4 dys 
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1 mth 14 dys 
1 mth 13 dys 
do 
do 
1 mth 12 dys 
19 dys 
1 mth 9 dys 
1 mth 2 dys 
1 mth 
do 

13 dys 
Imth 
do 

25 dys 
22 dys 
21 dys 


Probate Court 

do 

do 
Private Bond 

do 

do 

do 

do 
Probate Court 
Private Bond 
Probate Court 

do 

do 
Private Bond 

do 


Probate Court 

do 

do 
Board of S. C. 

do 
Probate Court 
Private Bond 

do 

do 

do 


Probate Court 

do 
Private Bond 
The Overseers 
Probate Court 
Private Bond 
Probate Court 
Private Bond 
Probate Court 

do 
Private Bond 

do 

do 


16 years 
1 month 
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5 do 

25 do 

1 week 
3 weeks 

22 years 
3 months 

10 years 
7 months 
3 years 

13 do 
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1^ do 
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5 years 
7 do 

10 months 

6 do 
Unknown 

2 weeks 

3 months 

11 years 
2^ do 

6 months 

30 years 

20 do 
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1 week 

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1 month 

4 years 




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48 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



DO W 



o S o S o S 

+> P,*J &« p.^ 
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to .3 

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5000000000000 

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1864.] 



PUBLIC DOCUMENT— No. 24. 



49 



General Condition of the Hospital at the close of the Tear. 



Number of patients In the hospital, 

Number supported by the State, 

Number suppoi-ted by towns, . 

Number supported by friends, . 

Number of curable State patients. 

Number of Incurable State patients, 

Number of curable town patents. 

Number of Incurable town patients. 

Number of curable private patients, 

Number of Incurable private patients. 

Average weekly cost of support, 

Number of State patients who pay less than the average cost. 

Number of pay patients who pay less then the average cost. 

Number who pay more than the average cost,* 

Number gratuitously supported. 

Number of voluntary patients, .... 

Number of patients in good health, . 

Number of patients whose health Is Impaired, . 

Number of patients diseased, .... 

Number of patients hopelessly diseased, . 

Number of patients employed Industrially, 

Number of patients employed for amusement, . 

Number of patients under supervision in the grounds 

Number of patients on parole In the grounds. 

Number of patients on parole In the town, 

Number of patients confined to the house by medical order. 

Number of patients confined to bed by disease or debility. 

Number of patients wearing special dresses with special fastenin 

Number of patients in seclusion In bed-rooms. 

Number of patients excited with restraint, 

Number of patients excited, in seclusion, . 

Number of patients excited, without seclusion. 



344 

116 

113 

115 

35 

79 

28 

. 87 

33 

80 

3 50 

116 

220 



4 

176 

102 

57 

9 

134 

94 

276 

42 

15 

2 

9 



1 

76 



The number of patients now in hospital Is — 
Males, . . .167 
Females, ... 177 Total,. . . .344 



The accommodations are, In the 



* By vote of the Trustees, private patients, admitted on and after July 1, 1864, are charged at 
jeast five dollars per week. 

A few such have heen received 'who are not accounted for in the above table. No bills against 
such patients have yet been paid. 



60 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

MALE DEPARTMENT. 

Soutli Centre Wing — 3 wards, 13 rooms each — total, . . 39 

South Middle Wing — 3 wards, 16 rooms each — total, . . 48 

South-West Johonnot Wing — 3 wards, 10 rooms each — total, 30 

South-East Johonnot Wing — 3 wards, 13 rooms each — tatal, 39 

Two rooms for the occasional use of noisy and excited patients, 2 



158 



FEMALE DEPARTMENT. 

North Centre Wing — 3 wards, 13 rooms each — total, . . 39 

North Middle Wing — 3 wards, 16 rooms each — total, . . 48 

North- West Johonnot Wing — 3 wards, 10 rooms each — total, 30 

North-East Johonnot Wing — 3 wards, 8 rooms each — total, . 24 

Two rooms for the occasional use of noisy and excited patients, 2 

143 

Total accommodations, 301 



Classification of Expenses as per Treasurer's Report. 

PROVISIONS. 

Breadstuffs— Flour, $5,692 75 

Crackers and Rice, .... 309 48 

Eye, Corn Meal and Hominy, . . 527 60 

Fish, 731 87 

Meats, 4,993 84 

Fruits— Apples, 469 56 

Other Fruits, 169 21 

Vegetables — Potatoes, &c., 1,358 46 

Beans, 309 50 

Butter, 4,713 17 

Sugar, 1,285 24 

Coffee, 943 85 

Tea, . 560 45 

Molasses, 488 59 

Eggs, 350 38 

Small Groceries, 559 73 

Ice, . . . . 135 00 

Cheese, 11 10 

Vinegar, 59 53 

123,669 31 

CLOTHING. 

Boots and Shoes and Caps, $985 92 

Fulled Cloth and Garments, . . . . . 1,419 36 

$2,405 28 



1864.] PUBLIC DOCUMENT— No. 24. 

FURNITURE 

House furnishing goods, . 

Paper hangings, 

Bedding, Mattresses, Blankets, &c., 

Crockery and Glass Ware, 

Dry Goods — Sheetings, Prints, &c., 

Pictures and Frames, -&c., . 



51 



1699 87 


22 90 


875 04 


572 95 


2,208 47 


156 08 



1,535 31 



FUEL 



Wood, 
Coal, 



),787 65 



LIGHT. 



Gas, 

Oil — Whale and Kerosene, 



$959 26 
110 50 



$1,069 76 



MEDICAL SUPPLIES 



Medicines, &c., . 



$505 47 



AGRICULTURAL DEPARTMENT. 

Implements, $277 07 

Live Stock, . . . . . . . . 262 90 

Fertilizers, Seeds, &c., 236 06 

Rent of Land, . . . . . . . . 97 91 

Trees, Shrubs, &c., ....... 43 00 

Provender— Corn, Oats, &c., 1,342 46 

Labor and supervision of labor of male patients, . 2,437 01 



$4,696 46 



IMPROVEMENTS AND REPAIRS. 



$94 05 
368 77 
. -. 57 83 

438 56 
1,320 45 
341 24 
31 52 
. ' 157 72 
325 16 
Labor, 2,779 12 



Carriages and Repairs, 

Steam and Gas-pipe and Plumbing, 

Window Sash and Blinds, 

Lumber, 

Hardware, .... 
Blacksmithing, .... 
Powder for blasting, . 
Sand, Lime, Cement, &c., 
Paints and Oils, 



5,914 42 



52 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

SALARIES, WAGES, &C. 

Salaries, . $2,625 00 

Domestic Department, ...... 1,880 51 

Supervision and care of patients, . . . . 5,306 16 

Engineers and Watch Department, .... 2,059 33 

$11,871 00 



MISCELLANEOUS. 

Books, Newspapers and Lectures, .... $361 42 

Stationery and printing Keport, .... 178 67 

Postage, . 100 00 

Undertakers' bills, . . . ... . 599 39 

Soap, 201 78 

Freight, . 103 00 

Carriage hire, 47 50 

Watering Streets, . . . . . . . 50 00 

Trustees' Expenses, 72 91 

Elopement Expenses, 45 41 

Petty Cash Expenses, fares home, aud cash supplied 

to patients, &c., ....... 234 91 

Grinding Meal, . . ... . . . ' 27 60 

Malt and Hops, ....... 8 25 

Dentistry, 1 50 

Lot in Hope Cemetery, 125 00 

$2,157 34 



Total expenditures, . . . . . . $66,612 00 

The following table will show the rise in the prices of some 
of the leading articles of consumption in four years : — 



1864.] 



PUBLIC DOCUMENT— No. 24. 



53 









PRICES. 


ARTICLES. 












1861. 


186S. 


1863. 


1864. 


Sugai', 


10 08^ 


$0 11 


10 141 


m 24 ■ 


Molasses, 






26 


46 


55 


$1 00 


Tea, . 






42 


65 


75 


1 15 


Coffee, 






16 


26 


32 


45 


Butter, 






16 


23 


28 


55 


Rice, 






7i 


8 


H 


14 


Codfish, 






3 


4f 


6f 


n 


Beef, 






H 


7 


8 


15 


Flour, of the quality used at this hos- 










pital, 


6f 


7 


8f 


15 


Standard Prints, for dress goods. 


9 


13 


25 


37 


Cottons, 36 inches wide, . 


H 


21 


35 


65 


Cottons, 45 inches wide, . 


121 


28 


50 


75 


Blankets, 


2 75 


3 50 


6 50 


9 00 


Coal, 


6 50 


6 75 


10 50 


16 50 



The above table shows the cash prices for the best quality of 
supplies in this market. It will be seen that the prices of many 
articles of daily consumption have steadily advanced until the 
cost at present is three or four times as great as it was in 1861. 
In all the leading articles of consumption, coal, flour, meats, 
butter, cotton goods of all kinds, clothing, crockery and table 
ware, the advance has been equally great. 

With such a state of the markets, and the prices paid for 
board, it has been impossible to realize certain improvements 
and alterations, or to procure the means of a greater variety of 
amusements and instruction, suggested in my last report. 

Indeed it has been impossible during any part of the year, to 
pay for food, clothing, warming, lighting and the labor of super- 
vising, from the current receipts of the hospital. 

It is to be hoped that this state of things will not long 
continue ; but that a wise and liberal policy in regard to the 
payment for support of patients in the hospital, combined with 
the strictest economy in the management of its stores and 



54 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

supplies will lead to a more comfortable and cheerful financial 
prospect. 

We have endeavored to pursue the same general plan of 
treatment as in former years. Believing that remedial agents, 
though indispensible, are not of the first importance, our oiSice 
has been of necessity, to control wayward fancies, give hope and 
courage to the melancholic and depressed, restrain and protect 
the violent, and assure the timid ; to watch over and nurse the 
feeble, provoke the appetite of the abstainer from food, clothe 
the naked, guard against suicidal and homicidal impulse, and 
do all that can be done to restore the mind to health and 
happiness. 

But recovery from insanity is slow and tedious, because it 
depends upon constitutional changes and not upon crises. It 
depends upon the results of various means directed to one end 
much more than to any special medical treatment. 

For every patient are needed all the appliances of the insti- 
tution ; all the labor and attention of all its officers and assistants. 
Each and every one must become, for the time, the especial care 
and concern of the whole force of the hospital. There can 
rarely be recovery, or improvement even, if such is not the case. 

On the part of a small number of our patients there has been 
an unusual degree of uneasiness at what they consider the wrong 
and outrage inflicted upon them by their commitment to the 
hospital. These persons are eccentric, irritable, suspicious, 
excitable, and under certain circumstances dangerous to the 
community. They disturb all domestic and social arrangements. 
They are unreliable in all things. They lead a changeable and 
often a wandering life. They desert their families and friends, 
while they speak in the tenderest manner of love and devotion. 
They complain of abuse under the gentlest restraint, and when 
suffered to roam they talk of neglect. Their minds are exceed- 
ingly active in certain directions and when diverted by the 
presence of strangers they appear well ; but they have lost the 
power to confine themselves to one place or one occupation, and 
are not capable of undertaking the responsibilities of active 
life. They are always treacherous friends and unworthy confi- 
dants. While free, they display their true character to friends 
and intimate acquaintances long before any interference ; and 
when subjected to the discipline and seclusion of a hospital. 



1864.] PUBLIC DOCUMENT— No. 24. 55 

present to casual observers, many of the phenomena of sound 
health. On account of their general tranquillity, rationality and 
intelligence, they induce many to believe that they are unjustly 
detained and should be restored to society. The restraint of 
the hospital, however, exercises over their minds a curative as 
well as coercive influence, and imparts to them vigor, and the 
power of self-control. It throws around them almost their only 
safeguards, and while receiving condemnation is all the while 
exerting the happiest influences. 

To discharge such patients from the custody of the hospital 
would deprive them of care, expose their follies and subject the 
community to inconvenience and danger. 

It would be fortunate for such persons and for the community, 
and fortunate indeed for the hospital, if there existed some inter- 
mediate asylum, some place between restraint and freedom, 
which might be made a home for the shelter and protection of 
this troublesome class of our patients. 

Our tables will show that no lack of attention has been devoted 
to the system of labor, and that some progress has been made 
towards its more perfect development. Want of pecuniary 
means alone has prevented the realization of our hopes in this 
direction. More than sixty per cent, of our present number of 
patients perform some labor. Nearly forty per cent, of the 
whole number perform some useful labor. 

But it must not be supposed that this labor is of the best 
quality, or that it is any degree remunerative. Nor have we so 
far perfected the system as to occupy at all times shops and 
work-rooms where the various trades are successfully carried on. 
In the course of the year, however, taking advantage of circum- 
stances, a large amount of useful labor has been performed in 
various departments. A few male patients have worked a part 
of the year in the shops in the neighborhood, and two or three 
others in the gardens of our neighbors, for which they have 
received compensation. 

Several of the female patients do some sewing for their families, 
the work being brought and returned by friends. Two or three 
of the female patients have received from the hospital, for their 
labor, nearly enough of money to purchase their necessary 
clothing. 



56 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Some light crops have been cultivated on land not belonging 
to the hospital, but no account is made of the produce in the 
tables. The only object in view was the procuring of more 
healthy and pleasant labor than could otherwise have been real- 
ized. No profit or loss accrued therefrom to the institution ; 
the patients who performed the labor receiving the only benefit, 
and that by their greater freedom and wider range of out-door 
employment. 



1864.] 



PUBLIC DOCUMENT— No. 24. 



57 



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LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Articles made in the Sewing-Rooms during the Year. 



Aprons, .... 


145 


Mittens, pairs of, . . . 27 


Bed Spreads, . 


107 


Neck Ties, 






19 


Bed Ticks, 


372 


Night Dresses, . 






. 29 


Bureau Spreads, 


21 


Night Caps, 






21 


Carpets, .... 


5 


Overalls, pairs of, 






22 


Chemises, .... 


184 


Pants, pairs of, . 






70 


Clothes Bags, . 


7 


Pillow Cases, . 






280 


Coats, .... 


44 


Sacques, . 






11 


Collars, .... 


72 


Sheets, 






253 


Curtains, .... 


103 


Shirts, 






. 165 


Drawers, pairs of. 


101 


Shirt Bosoms, . 






. 15 


Dresses, .... 


224 


Skirts and Quilts, 






161 


Edging, yards of. 


112 


Suspenders, pairs of. 






. 120 


Frocks, .... 


16 


Table-Cloths, . 






. 15 


Handkerchiefs, . 


. 97 


Towels, . 






. 229 


Hose and Socks, pairs of, . 


75 


Under Shirts, . 






. 15 


Jackets, .... 


19 


Vests, 






. 56 


Mattress Ticks, . 


200 


Waists, 






. 21 



Articles repaired in the Sewing-Rooms during the Year. 



Aprons, 535 


Night Dresses, ... 71 


Blankets, 






181 


Overalls, pairs of, 






123 


Bed Spreads, . 






164 


Pants, pairs of, 






1,284 


Bed Ticks, . 






720 


Pillows, . . . 






120 


Chemises, 






3,720 


Pillow Cases, . 






272 


Clothes Bags, . 






11 


Sheets, . 






267 


Coats, 






560 


Shirts, 






4,482 


Collars, . 






47 


Shirt Bosoms, . 






47 


Curtains, 






51 


Skirts, 






172 


Drawers, pairs of, 






285 


Stockings, pairs of. 






7,387 


Dresses, . 






293 


Table-Cloths, . 






54 


Frocks, . 






41 


Towels, . 






219 


Jackets, . 






121 


Tunics, . 






27 


Mattresses, 






68 


Under Shirts, . 






243 


Meal-Bags, 






28 


Yests, 






282 



1864.] 



PUBLIC DOCUMENT— No. 24. 
Ai-ticles made in the Shops. 



50 



Bureaus,. 


10 


Ice Picks, 


6 


Bedsteads, Iron, 


347 


Mop-Sticks, . 


200 


Small Tables and Wash Stands 


14 


Skewers, 


12,000 


Chairs, .... 


60 


Brackets, Fancy, . 


20 


Glazing Windows, . 


1,154 


Lounges, 


5 


Step Ladders, . 


5 


Punches, 


8 


Shoemakers' Benches, 


6 


Wheelbarrows ironed. 


17 


Wheelbarrows, 


17 


Washboards, . 


12 


Mattresses, 


216 


Window Sashes, 


20 


Swedging tool, 


1 


Doors, .... 


16 


Hand Cultivators, . 


6 


Hoe-handles, . 


6 


Manure Hooks, 


2 


Fork-handles, ... 


4 


Seed Sower, . 


1 


Screw-drivers, 


12 


Buckets, .... 


20 


Saw-handles, . . . 


6 


Planes, .... 


15 


Axe-handles, . 


12 



Articles repaired in the Shops. 



Bureaus, 19 


Knives, Pocket, 


24 


Lounges, 






5 


Pick-Axes, 


30 


Bedsteads, 






6 


Draft-Chairs, ... 


11 


Sofas, 






3 


Stone Hammers, faced, . 


2 


Chairs, . 






122 


Drills, . ... 


20 


Picture Frames, 






27 


Crow-bars, 


6 


Looking-Glasses, 






15 


Kakes, . . . . 


25 


Clocks, . 






13 


Saws filed and repaired, . 


150 


Knives, Table, 






60 







Products of the Farm. 



Apples, 
Pears, 
Cherries, . 
Grapes, 
Tomatoes, 
Currants, . 
Sweet Corn, 
Gooseberries, 
Beans, 
Parsnips, . 
Turnips, . 



35 bbls. 


at $3 00 


$105 00 


15 bush. 


at 


4 00 


60 00 


10 » 


at 


2 00 


20 00 


4 " 


at 


2 00 


8 00 


75 " 


at 


50 


37 50 


5 » 


at 


2 00 


10 00 


.50 " 


at 


1 50 


75 00 


2 « 


at 


2 50 


5 00 


40 " 


at 


3 00 


120 00 


400 " 


at 


50 


200 00 


250 " 


at 


20 


50 00 



60 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Products of tlie Farm — Concluded. 

Potatoes, 400 bush, at |0 75 $300 00 

Beets, 500 " at 20 100 00 

Carrots, 800 " at 20 160 00 

Squashes, ....... 8^ tons at 25 00 212 50 

Peppers, . 4 bush, at 50 2 00 

CuGumbers, 40 " at 50 20 00 

Cabbages, 800 heads at 06 48 00 

Rhubarb, . . • 2,000 lbs. at 02^ 50 00 

Hay, 60 tons at 25 00 1,500 00 

Eowen, 5 » at 20 00 100 00 

Corn-Fodder, 5 » at 8 00 40 00 

Millet, 5 " at 20 00 100 00 

Honey, . 100 lbs. at 50 50 00 

Milk, 40,000 qts. at 06 2,400 00 

Beef, . . 6,000 lbs. at 10 00 600 00 

Pork, . . 8,000 « at 10 00 800 00 



,173 00 



The products of the farm, notwithstanding the extreme 
drought, have been abundant, and have well paid for all the labor 
and capital expended in that direction, both by furnishing a large 
siipply of milk and early vegetables, and by affording healthy 
employment to a large number of the insane so great a part of 
the year. 

Besides the ordinary labor of tilling the land and producing 
the crops, much employment has been found in grading, trench- 
ing, transplanting trees, and fencing the grounds. 

The stables continue to give to a few, useful labor of a safe 
and healthy character. 

The boiler-house, blacksmith shop, and carpenter's shop, all 
find their occasional occupants. The mattress rooms, painter's 
shop, and all the places occupied by workers are of use, and 
could not be dispensed with. 

Although considerable progress has been made in this depart- 
ment, much, very much, remains to be done before our hopes 
can be realized. The high price of labor, the difficulty in 
procuring the services of competent men and the uncertainty 
of retaining them in the present state of the country, has mate- 
rially interfered with the accomplishment of our plan. Add to 



1864.] PUBLIC DOCUMENT— No. 24. 61 

this our inability, for want of means, to extend in any direction 
our operations, and we have reason to be satisfied that so mucli 
has been attained. 

So far as our limited means would allow, we have spared no 
effort or expense to impart to the hospital the air, and aspect, 
and domestic relations of a large family, and so to control and 
direct its daily life and operations as to give it some of the 
appearances of a sane community. To do this, as it should be 
done, it is absolutely necessary to devise means acceptable to 
every mind, however insane, which shall take the place of the 
real duties and interests of life among a sane population. It is 
impossible, of course, in a hospital for the insane, to gratify all 
tastes and accommodate all fancies, unless a liberal allowance is 
made for their support. All labor among the insane, except 
the merest drudgery, must be prepared and directed by men 
and women skilled in that particular department of labor. All 
exercise and amusement must be watched over and assisted by 
sane minds. All instruction must be given by those apt to 
teach. All the surroundings of a hospital for the insane should 
be cheerful and hope-inspiring. Everything should speak to 
the eye, the ear, the taste, the touch and the nose even, of peace 
and comfort, hope and assurance. 

If the means for supplying these wants are withheld the 
patients are left, quite as much by the nature of their restraint 
as by the ravages of their malady, to the poor resources of idle 
keepers, and the dull, daily monotony of a receptacle for the 
insane. Hopeless imbecility and idiocy must be the certain 
result of such a system of treatment. 

Generous, healthy amusements, such as will draw the partici- 
pants from their usual and cherished trains of thought, assemble 
them together in social parties, place them in new and pleasing 
relations, ought to be regarded as an essential part of every 
system of treatment. It should form a part, and no small part, 
of the business of the establishment. If we recollect how largely 
recreation enters into the habits of those who are sane, how 
much of every life is given to its pursuit, we shall surely bo 
generous enough to provide for the insane the same blessing. 
Amusement creates a pleasant and hopeful future for those who 
are prone to dwell on present distress. It encircles particular 
days and evenings and places with a halo of joyous remembrances, 



62 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

which deprives their restraint of much of its horror, and greatly 
assists the progress of the mind towards a healthy condition. 

The large and growing number of incurable insane in the 
hospital make these demands especially pressing upon us. To 
those who are soon restored to the society of home and friends, 
and who again resume their accustomed duties in life, almost 
any privation they have suffered will seem light. But for those 
who must live on, secluded from the world, and whose malady 
compels them to give up, one after another, the ties, sympathies, 
objects and hopes which make others happy, it is certainly the 
best exercise of humanity to provide new and innocent pleasures, 
and to surround them with new sources of gratification adapted 
to their enfeebled powers of enjoyment. 

But there is difficulty aside from pecuniary considerations. A 
great variety of occupation as well as recreation must be provided. 
One cannot always dance or sing. Neither will one be content 
to be constantly engaged in drawing or embroidery. Amuse- 
ment of a high character cannot always be had ; and it will not 
answer to present to the insane what is really trifling. They 
regard every such act as an adaptation to their infirmity and an 
insult to their helplessness. 

During the long evenings of autumn, winter and spring, a 
series of concerts, lectures and readings were given, which 
were highly appreciated by our household. 

During the winter season we had in our chapel several concerts, 
kindly given by the musical clubs of the eity, and weekly parties 
for social entertainment, at which a large number of both sexes 
mingled freely with their attendants in various games and plays, 
and in free conversation, until 9 o'clock, when they retired to 
their respective wards. 

The system of lectures to the patients has been followed with 
much pleasure and profit to a large proportion of the household. 

Among the lecturers who volunteered their services were Dr. 
Jarvis, of Dorchester, who occupied several evenings and added 
much to the interest and importance of the lecture season. 
Dr. Lee, of Yonkers gave three very valuable lectures on Egypt 
and the Nile. Prof. Dunn gave us a course of lectures on 
popular science, illustrated by experiments. Every ward is in 
the afternoon and evening enlivened by scenes of mirth and 
gayety, by groups at play, engaged in games, in pleasant social 
intercourse, and in light employment of various kinds. 



1864.] PUBLIC DOCUMENT— No. 24. 63 

A large number of newspapers are daily received, and the wards 
and reading rooms are well supplied with reading matter. 

The billiard rooms and music room are places of frequent 
resort, and we hope at no distant day to multiply the rooms of 
this most desirable class. 

The number of books in the patients' libraries and the engrav- 
ings on the walls of the wards, are slowly increasing by small 
and judicious purchases. 

In this connection I must mention the generous gift from 
Mr. Edward Earle, of fifty valuable engravings from Boydell's 
Illustrations of Shakespeare. 

In supplying the unhealthy mind with the means of rational 
enjoyment the consolations of religion have not been forgotten. 
Daily and weekly chapel services have been regularly performed, 
and the sobriety and composure of even the most restless, during 
divine service, show how great are the good influences resulting 
therefrom. The self-control exerted is greater than under any 
other circumstances. And the expressions of gratification 
derived from the opportunities to engage in worship prove how 
much they are appreciated. 

The question of water was settled by the legislative appropri- 
ation of four thousand dollars for the purpose of relaying the 
pipes from the hermitage, so called. 

An estimate of the cost of rebuilding the dam and laying the 
pipes was made in my last report, which is also presented here. 
The dam was rebuilt last autumn and the four-inch cement 
pipes were laid down in May and June last. The work was 
completed in eighteen days. 

" Since this Report [of 1863] was written, and before going to the press, 
the dam at the reservoir has been built. Only one man, a stone mason, was 
hired : all of the rest of the work was done by the ordinary laborers of the 
hospital and the patients. Sometimes all, and sometimes only a part of 
the laborers, an average of about four and a half, were employed, and an 
average of about eight patients worked with them. They did all the 
work of filling the dam with gravel, moving it from the neighboring hill 
on wheelbari'ows. The whole was done in 61 working days. 

The patients worked, 467 days. 

sane laborers worked, ..... 273 
stone mason worked, . . . . . 56^ 

Total labor, 7 9 6i days. 



64 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



The money expended was, for stone mason, 
For use of derrick, and tools at the dam, hired, 

use of derrick at the quarry, hired, . 

powder, ...... 

steel for drills, . . . 

plank, ...... 



$169 50 


61 


50 


42 


00 


31 


52 


5 


13 


49 


00 



Total cash cost for the dam, ...... $358 65 

The whole of which cash, as well as the labor, was contributed by the 

hospital. Mr. Ball, the engineer, estimated the cost at $1,010." — Extract 

from Trustees^ Report, 1863. 

The following extracts are from the Engineer's report of 
1863 : 

" The present dam at the reservoir needs to be entirely rebuilt in a 
more permament and thorough manner. The location is good, and need 
not be changed. The expense of rebuilding the same is estimated as 
follows : — 



320 perch retaining wall, at $1.30 per perch, 

Spiling, 

500 yards filling, at 23 cents per yard, 

Waste way, 

Filter, 

Cement work extra, to protect pipes, 

Gate box, 

Waste gate and pipe, .... 
Clearing basin, • 



Estimate of the Cost of the Pipe, 



5,900 feet 4-inch pipe, at 51 cents per foot. 
Trenching and filling, 13 cents, 
6-inch gate at reservoir, . 
Extra 6-inch pipe, , 



Amount, 
Add cost of dam. 



$416 00 
70 00 

115 00 
35 00 
55 00 
10 00 
43 00 

191 00 
75 00 

$1,010 00 



$3,009 00 

767 00 

48 00 

35 00 

$3,859 00 
1,010 00 

$4,869 00 



Total cost of aqueduct. 

Yours, very truly, 

Phineas Ball, Civil Engineer. 



1864.] PUBLIC DOCUMENT— No. 24. 65 

Worcester, June 24, 1864. 
Dr. Bemis : 

Dear Sir, — Having measured the pipe laid by the Patent "Water and 



Gas Pipe Company, of Jersey City, N. J., for your ins 

follows : 

Whole length of main pipe, 

Deduct iron pipe laid along line. 

Amount of cement pipe in main line, . 
Add branches for blow-offs, . 

Amount of pipe laid by the Company, 



itution, I find as 

5,761 feet. 
25 feet. 



5,736 feet. 
35 feet. 



5,771 feet. 



There are set in the line, two blow-off gates, attached each to a branch, 
which are extra over the contract for laying the pipe. 

The contract for the pipe, as per McRee Swift's line to me, dated 
March 24, 1864, is 50 cents per foot, for the 4-inch pipe, all laid exclu- 
sive of freight and trucking. Yours, truly, 

Phineas Ball. 



State Lunatic Hospital, Worcester, Mass. 

To Patent Water and Gas Pipe Company, at Jersey City, N. J. 

1864. 
June 15 — To 5,771 feet 4-inch pipes laid, at 50c. 

2 feet 4-inch gates furnished and set, 
2 4-inch branches, .... 
65 feet 4-inch pipe, lined. 
To three-fourths day's work, three men taking 
up piece of pipe, and putting down piece with 
branch and materials, ..... 
To cash paid freight in sleeves. 
To casting pipe to New York, .... 

$3,011 87 
To interest from June 28, 1864 to August 10, 

1864, 24 57 



Dr 


. 


12,885 


50 


80 


00 


3 


00 


26 


00 


5 


62 


3 


50 


8 


25 



$3,036 44 
Jersey City, June 28, 1864. 

Received payment in full, August 11, 1864, 

Walter Harris, Treasurer, 
Patent Water and Gas Pipe Company. 
9 



66 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

"We have now an abundant supply of pure water in all parts 
of the hospital, besides the separate supply for the stables. The 
establishment is also safe, so far as water can make it, from 
injury by fire. In addition to the work contemplated last year, 
and upon which the estimates were made, the four-inch pipe 
was extended under the whole length of the house, and at 
convenient points passed up through each story, and on each 
floor were made proper attachments for hose, so that every 
ward may now be flooded in a moment by the force of a four- 
inch stream of water. This extension cost about twelve 
hundred dollars. 

Early in the year Rev. Samuel Souther, who had performed 
the duties of Chaplain for more than four years, enlisted as a 
private in the Fifty-Seventh regiment Massachusetts Volunteers. 
On the sixth of May the regiment went into the battle of the 
Wilderness, and Sergeant Souther fell mortally wounded at the 
first fire. Mr. Souther performed the duties of Chaplain in a 
singularly discreet and faithful manner. His instructions were 
always kind and impressive. His relations to the patients were 
genial and social, and his bearing among them that of a friend 
and adviser. 

In July, Dr. Henry C. Prentiss, who had for five years acted 
in the capacity of clerk and apothecary, left his situation for a 
position in the office of the Board of State Charities. Dr. 
Prentiss performed all his duties while at the hospital in a most 
accurate manner, and I am under personal obligations to him 
for his ready and faithful assistance. 

On the 27th of September, 1864, a communication was received 
from Henry Woodward, Esq., resigning the office of Treasurer. 
The Board of Trustees accepted his resignation, and elected 
Merrick Bemis, Treasurer. 

Daniel W. Bemis, who has been employed as Farmer and 
Overseer more than seven years, was elected Steward. 

To the resident officers and assistants, I am also under obli- 
gation for the faithfulness with which they have devoted 
themselves to the interests of the institution. 

Our thanks are due to the many kind friends who have so 
generously aided us in our lectures, concerts, and exhibitions, 
and also to those who have made contributions of books, engrav- 
ings, newspapers and periodicals, affording thereby much 
comfort and pleasure to our patients. 



1864.] PUBLIC DOCUMENT— No. 24. 67 

For the kindness, assistance, cordial counsel, and support I 
have at all times received from each individual member of the 
Board of Trustees, allow me to renew the expression of my 
deep sense of gratitude. In looking back over the events of 
the year now closed, its successes and its disappointments, we 
feel that we have been blessed in all our endeavors to promote 
the well-being of those placed under our care, and with an 
abiding faith in the strength of Him who has sustained us in 
the labors of the past, we commence the duties of another year. 



MERRICK BEMIS. 



State Lunatic Hospital, Worcester, 
October 1, 1864. 



68 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



List of Persons employed at the Hospital, and their Salaries. 



Mgrrick Bemis, M. D., Superintendent, 
Frank H. Rice, M. D., Assistant Physician, 
Henry A. Prentiss, M. D., Assistant Physician, 
Caroline A. Bemis, Matron, .... 
Janette W. Wright, Cleric, .... 

• 

Daniel W. Bemis, Farmer and Acting Steward, 
and wife, 

Alvin H. Bacon and wife, Cooks, .... 

Charles L. Bacon and wife. Laundress, 

James W Hohnes, (Overseer of shops,) Mechanic, \ 

Mrs. James W. Holmes, Chamhermaid, . . ) 

Sabrina Flagg, Cook, ...... 

Mary E. Carney, Nursery Girl, . . . . 

Adeline Blake, Table Girl, 

Mary E. Mellen, Assorter, 

Persis Boynton, (Overseer of Sewing Eooms,) Seam- 
stress, 

I^ancy B. Harbach, (Overseer of Sewing Rooms,) 
Seamstress, 

George T. King, (lives outside and boards himself,) 
Baker, ........ 

Amos Wood, (lives outside and boards himself,) Re- 
pairer, 

William Sherman, (lives outside and boards himself,) 
Engineer, 

John Johnson (lives outside and boards himself,) 
Fireman, 

Marshall S. Green, Supervisor, .... 

Thomas E. Wood, Assistant Supervisor, . 

Lucy M. Lummis, Supervisor, . 

Dora P. Bemis, Assistant Supervisor, 

Henry C. Storrs (boards himself,) Watch and Engi 

neer at night, . . . . . 
Emma Kellogg, Watch, Female Department, 
John A. Nourse, Attendant, .... 
J. Nelson Adams, Attendant, .... 
Alfred A. Sanderson, Attendant, 
Edward J. Putnam, Attendant, .... 
Pliny W. Sanderson, Attendant, 
Davis Truesdell,^ ^endan/, .... 



,800 00 
900 00 
500 00 
200 00 
240 00 



1500 00 


400 


00 


350 00 


450 


00 


132 


00 


108 


00 


108 00 


182 


00 


132 00 


132 


00 



^800 00 



730 00 



660 00 



640 00 



$300 


00 


240 


00 


200 


00 


200 


00 


545 00 


132 


00 


240 00 


240 


00 


240 


00 


240 


00 


240 


00 


240 


00 



f3,640 00 



2,444 00 



2,830 00 



1864.] 



PUBLIC DOCUMENT— No. 24. 



69 



Walter A. Putnam, Attendant, . 
Daniel E. Twichell, Attendant, . 
Edward Richardson, Attendant, 
Harland Fairbanks, (special) Attendant, 
Frederick J. Bliss, Attendant, . 
David M. Stone, Attendant, 
Joseph G. Maynard, Attendant, 
Edward E. Richardson, (yards,) Attendant, 

Jane M. King, Attendant, 
Sophronia A. Walker, Attendant, 
Pamelia Williams, Attendant, 
Jane M. Cowing, Attendant, 
Eliza M. Jones, Attendant, 
Kate Cook, Attendant, 
Mary J. Graham, Attendant, 
Lucie C. Darling, Attendant, 
Fanny E. Redhead, Attendant, 
Zilpha Kingman, (special,) Attendant, 
Julia M. Woodis, Attendant, 
Carrie R. Harrington, Attendant, 
Susan M. Goodell, Attendant, . 
Clarissa F. Vinton, Attendant, . 

Albert Bartlett, Coachman, 

Isaac C. Richardson, (herdsman,) Farmer. 

George Woodward, Farmer, 

Convers Francis, (boards himself,) Mason, 



Henry Woodward, Esq., Treasurer, office at Me- 
chanics' Bank, 



1240 00 
240 00 
240 00 
240 00 
240 00 
240 00 
240 00 
240 00 



$132 00 


132 


00 


132 


00 


132 


00 


132 


00 


132 


00 


132 


00 


132 


00 


132 


00 


132 


00 


132 


00 


132 


00 


132 


00 


132 00 



1240 00 
240 00 
240 00 
580 00 



$600 00 



14,937 00 



1,848 00 



1,300 00 



600 00 



Total amount of Salaries, 



$17,599 00 



70 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



LIST OF TRUSTEES, 

From the commencement of the Hospital. The first three were Commis- 
sioners for building, and as such were appointed in 1830. The five 
Trustees are appointed every year, in February. The first-named in 
the Commission is ineligible to a re-appointment the next year. 



Nami s. 


Kesidence. 


When 
appoint- 
ed. 


When 

services 
ended. 


In what way services 
ended. 


Horace Mann, . . . 


Dedham, . . . 


1832 


1834 


Commis'n expired 


Bazaleel Taft, Jr., . . 


Uxbridge, . . . 


1832 


1834 


(( (( 


William B. Calhoun, . 


Springfield, . . 


1832 


1835 


a u 


Alfred D. Foster, . . 


Worcester, . . 


1832 


1836 


(( u 


Francis C. Gray, . . 


Boston, . . . 


1832 


1836 


11 a 


Thomas A. Green, . . 


New Bedford, . 


1834 


1837 


li u 


Thomas Kinnicutt, . . 


Worcester, . . 


1834 


1838 


U 11 


Horace Mann, . . . 


Boston, • . . 


1835 


1839 


ii, a 


Emory Washburn, . . 


Worcester, . . 


1836 


1837 


Resigned. 


Abra'm R. Thompson, 


Charlestown, . . 


1836 


1841 


Commis'n expired 


Myron Lawrence, . . 


Belchertown, . . 


1837 


1840 


a (( 


Stephen Salisbury, 


Worcester, . . 


1837 


1840 


U (( 


Edward D. Bangs, 


Worcester, . . 


1838 


1838 


Deceased. 


William Lincoln, . . 


Worcester, . . 


1838 


1840 


Commis'n expired 


Daniel P. King, . . 


Danvers, . • . 


1839 


1844 


(( u 


Alfred D. Foster, . . 


Worcester, . • 


1840 


1842 


U ii 


Maturin L. Fisher, 


Worcester, . . 


1840 


1843 


u u 


Henry Gardner, . . 


Boston, . . . 


1840 


1845 


u u 


Robert Campbell, . . 


Pittsfield, . . . 


1841 


1843 


Resigned. 


Edwin Conant, . . . 


Worcester, . . 


1842 


1844 


u 


H. H. Childs, . . . 


Pittsfield, . . . 


1843 


1846 


Commis'n expired. 


Joseph Sargent, . , 


Worcester, . . 


1843 


1848 


(( a 



1864.] PUBLIC DOCUMENT— No. 24. 

List of Trustees — Concluded. 



71 



Names. 


Residence. 


When 
appoint- 


When 
services 
ended. 


In what way services 
ended. 


Stephen Salisbury, 


Worcester, . . 


1844 


1850 


Commis'n expired. 


Stephen C. Phillips, . 


Salem, .... 


1844 


1851 


u u 


Jesse Murdock, . . . 


Carver, . . . 


1845 


1847 


U 1( 


Thomas F. Plunkett, . 


Pittsfield, . . . 


1846 


1849 


11 u 


Thomas French, . . 


Canton, . . . 


1847 


1848 


Eesigned. 


Isaac Davis, .... 


Worcester, . . 


1848 


1849 


a 


William Appleton, 


Boston, . . . 


1849 


1851 


Declined. 


Levi Lincoln, . . . 


Worcester, . . 


1849 


1852 


Commis'n expired. 


Ensign H. Kellogg, . 


Pittsfield, . . . 


1849 


1853 


U li 


John S. C. Knowlton, 


Worcester, . . 


1850 


1853 


Declined. 


Foster Hooper, . . . 


Fall Eiver, . . 


1851 


1854 


Commis'n expired. 


Samuel G. Howe, . . 


Boston, . . . 


1851 


1855 


(1 (( 


Eejoice Newton, . . 


Worcester, . . 


1852 


1856 


(( ;( 


Franklin Eipley, . . 


Greenfield, . . 


1853 


1854 


u a 


James B. Congdon, . 


New Bedford, . 


1853 


1855 


Eesigned. 


Linus Child, .... 


Lowell, . . . 


1854 


1858 


Commis'n expired. 


Henry Morris, . . . 


Springfield, . . 


1854 


1855 


Eesigned. 


Charles H. Stedman, . 


Boston, . . . 


1855 


1861 


Commis'n expired. 


William T. Merrifield, 


Worcester, . . 


1855 


1863 


a n 


Thomas Colt, . . . 


Pittsfield, . . . 


1855 


1860 


a u 


Joseph N. Bates, . . 


Worcester, . . 


1856 


1861 


u u 


Eobert W. Hooper, . 


Boston, . . . 


1858 


- 


- 


Edwin F. Jenks, . . 


Adams, ... 


1859 


- 


- 


Edward Jarvis, . . . 


Dorchester, . . 


1861 


- 


- 


William Workman, . 


Worcester, . . 


1862 


- 


- 


Samuel E. Sewall, . . 


Boston, . . . 


1863 


- 


- 



METEOROLOGICAL OBSERVATIONS 

MADE AT 

THE STATE LUNATIC HOSPITAL, WORCESTER, MASS., 

1863-4.. 

Latitude, A2° 16' 17" N. ; Longitude, 71° 48' 13" W. 
Elevation, 528 feet. 



Explanation. — The force of the wind is estimated upon a scale of 10 and indicated by figures 
affixed to the letters denoting the direction. When no number is afflxed, 1 is meant. 



10 



74 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 

















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1861.] 



PUBLIC DOCUMENT-^No. 24. 



75 







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Aurora 7 P." M. 

Fine rain P. M. 

Gusty. 

Very light rain at 6 P. M. 

Snow at 8 A. M. 

Misty rain A. M. 
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Rain ends A. M. 

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Aurora 6.30 P. M. 






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LUNATIC HOSPITAL AT WORCESTER. [Oct. 





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1864.] 



PUBLIC DOCUMENT— No. 24. 



77 







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Snow A.M.; drizzle, ram. 

Snow A. M., flight and 
[variable. 

Light snow A. M. 
Misty; continued rain. 
Hazy 9 P. M. 

Light rain, trifling amt. 

Foggy A. M. 

Snow, light and trifling. 




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Misty A. M. 
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[P.M. 

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1864.] 



PUBLIC DOCUMENT— No. 24. 



79 





03 




Snow at 3 30 P. M. [M. 
Brief and light snow 10 P. 
Robins appear ; puss wil- 
[low bios. 
Hazy. 
Misty rain. 

Blue birds appear. 
Continued rain. 

Hazy A. M. ; snow and 
[rain P. M. 

Snow squalls 4.30 P. M. 
iSnow squalls 2 P. M. 
Smoky A. M. 
Light snow fall last 

[night. 
Hazy A. M. 

Crocus blossoms. 
Hazy A. M. 

Dandelion blossoms. 
Arbutus blossoms. 

Snow all day. 
Continues. 




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PUBLIC DOCUMENT— No. 24. 



81 



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PUBLIC DOCUMENT— No. 24. 



83 





05 


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LUNATIC HOSPITAL AT WORCESTER. 



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1864.] 



PUBLIC DOCUMENT— No. 24. 



89 



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1864.] PUBLIC DOCUMENT— No. 24. 91 



APPENDIX. 



FORMS CONCEENING ADMISSION TO THE HOSPITAL. 

PETITION. 

[The applicant must answer in •writing the printed interrogations accompanying 
this blank.] 

To the Honorable the Judge of the Probate Court, in and for the County 

of 

of 
on oath complains that 

of , in said county of is an insane person, 

and a proper subject for the treatment and custody of the Worcester Lunatic 
Hospital. 

Wherefore h prays that said 
may be committed to the said Worcester Lunatic Hospital according to law. 

, ss. A. D. 186 . 

Then the above named 
made oath that the above complaint, by h subscribed, is true. 
Before me, 

Justice of the Peace. 

I, the subscriber, one of the selectmen of 
where said 
resides, hereby acknowledge that notice in writing has been given to me of 
the intention to present the foregoing complaint and application. 

A. D. 186 . 



To the Honorable the Judge of the Probate Court, in and for the County 

of .■'..' 

The subscriber, having made application to your Honor for the commitment 

of to the Worcester 

Lunatic Hospital, as a lunatic, now presents the following statement, in 

answer to interrogatories : — 

What is the asre of the lunatic ? Ans. 



92 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Birthplace ? Ans. 

Civil condition of lunatic ? Ans. 

Occupation ? Ans. 

Supposed cause of disease ? Ans. 

Duration ? Ans. 

Character — whether mild, violent, or dangerous ? Ans. 

Homicidal or suicidal ? Ans. 

Paralytic or epileptic ? Ans. 

Previous existence of insanity in the lunatic ? Ans. 

Previous or present insanity in any of the family ? Ans. 

Habits in regard to temperance ? Ans. 

Whether he has been in any lunatic hospital ; if so, what one, when, and 
how long ? Ans. 

(If a woman.) Has she ever borne any children ? Ans. 

(If a woman.) How long since the birth of her last child ? Ans. 

Name and post-office address of some of the nearest relatives or friends ? 
Ans. 

What facts show whether h has or has not a settlement, and where, 
if anywhere in this State ? Ans. 

[For the law relating to settlement, see Gen. Stat. chap. 69.] 

, Applicant. 



PHYSICIAN'S CERTIFICATE. 

The subscribers, respectable physicians of in the 

county of , having made due inquiry and personal 

examination of named in the foregoing 

application, within one week prior to the date hereof, certify that the said 

is insane, and a proper subject for 
the treatment and custody of the Worcester Lunatic Hospital. 

A. D. 186 . 
, ss. A. D. 186 . 

Then the above named ^-nd 

made oath that the above certificate is true. 

Justice of the Peace. 



Commonwealth of Massachusetts. 



, ss. 
At , in said county, on the 

day of A." D. 186 . 

On the application of 
for the commitment of 

of in said county, to the Worcester Lunatic Hospital, 

; notice in writing having been 
given by said applicant to one of the selectmen of 



1864.] PUBLIC DOCUMENT— No. 24. 93 

where said resides, of h 

intention to make said application, and said having 

been duly notified of the time and place appointed for hearing, it appears 
upon a full hearing that said is an insane person, and 

a proper subject for the treatment and custody of the Worcester Lunatic 
Hospital. 

Wherefore it is ordered that said 
be committed to the said Worcester Lunatic Hospital. 

Judge of Probate Court. 



FORM OF OVERSEERS' BOND. 

Worcester Lunatic Hospital. 

Whereas, of , in the county of 

, has been admitted a boarder in the Worcester Lunatic 

Hospital , a majority 

of the Overseers of the Poor of the town of , in the county of 

, in behalf of the inhabitants of said town, do hereby promise 

Treasurer of said hospital, to pay 

him or his successor, in said office, the rate of board which may, from time to 

time, be determined by the Trustees of said hospital, for said patient, so long 

as he shall continue a boarder in said hospital, with such extra charges as may 

be occasioned by h requiring more than ordinary care and attention, to 

provide for h suitable clothing, and to pay for all such necessary articles 

of clothing as shall be procured for h by the Steward of the hospital, 

and to remove h from said hospital whenever the room occupied by 

h shall be required for a class of patients having preference by law, or 
in the opinion of the Superintendent, to be received into said hospital : Also 
to pay not exceeding fifty dollars, for all damages h may do to the 
furniture, and other property of said hospital, and for reasonable charges in 
case of elopement, and funeral charges in case of death. Payment to be 
made quarterly, and at the time of removal, with interest on each bill from 
and after the time it becomes due. 

Witness our hands this day of 

Attest. (Signed,) 

Overseers of the Poor 

of the 
Towrt of 



94 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

FORM OF PRIVATE BOND. 

Worcester Lunatic Hospital. 

Whereas , of , in the county 

of , as Principal, and 

of , in the county of , as surety, do hereby 

jointly and severally promise Treasurer of 

said hospital, to pay him or his successor in said ofBce, the rate of board which 
may, from time to time, be determined by the Trustees of said hospital, for 
said patient, so long as he shall continue a boarder in said hospital, 
with such extra charges as may be occasioned by h requiring more than 
ordinary care and attention ; to provide for h suitable' clothing, and to 
pay for all such necessary articles of clothing as shall be procured for h 
by the Steward of the hospital, and to remove h from said hospital 

whenever the room occupied by h shall be required for a class of patients 
having preference by law, or in the opinion of the Superintendent, to be 
received into said hospital. Also to pay, not exceeding fifty dollars, for all 
damages he may do the furniture and other property of said hospital, and 
for reasonable charges in case of elopement, and funeral charges in case of 
death. Payment to be made quarterly, and at the time of removal, with 
interest on each bill from and after the time it becomes due. 

Witness our hands this day of , A. D. 18 . 

Attest. (Signed,) 

, Principal. 
• , Surety. 



Patients will be received into the hospital at any time, if the following con- 
ditions are complied with : 

If the patient is in indigent circumstances, and has no settlement in any 
town in the Commonwealth, the Probate Court, or if in the city of Boston, 
the Superior Court, will issue a warrant for the commitment of the patient to 
the hospital. The State will then pay the cost of support, and the county 
from which the patient is sent will pay the expenses of the commitment. 

If the patient is In indigent circumstances, and has a settlement in any 
town in the Commonwealth, the Overseers of the Poor of that town may give 
a bond for the support of the patient. Or, when this is inconvenient, an 
application may be made to the Probate Court of the county where the 
patient resides, and a warrant will be issued for the commitment of the patient 
to the hospital, and the town will be held responsible for the support of the 
patient. 

In all other cases a bond from responsible persons, as principal and surety, 
will be required for the expenses of the patient while in the hospital. 

In all cases, before admission to the hospital, two physicians, one of whom 
shall be the family physician, must certify that the patient is insane. 



1864.] PUBLIC DOCUMENT— No. 24. 95 

All necessary clothing must be supplied by tbe friends of the patients. 

Clothing will be supplied at the hospital if desirable, and charged in the 
bills at cost. 

Damages done to the furniture and other property to the amount of fifty 
dollars may also be charged. 

Reasonable charges will be made in case of elopement, and funeral charge 
in case of death. 

All bills are collected by the Treasurer quarterly, or interest charged on 
the same after becoming due. 

Bills become due on the first of January, April, July, and October, and 
when the patient leaves the hospital. 



LAWS RELATING TO TERMS AND FORMS OF 
ADMISSION. 



[Chapter 223, Acts of 1862.] 

An Act concerning state lunatic hospitals and insane and 

idiotic persons. 

Be it enacted, ^-c, as follows: 

Section 1. The titles of the state lunatic hospitals shall be severally, 
The Worcester Lunatic Hospital, The Taunton Lunatic Hospital, and The 
Northampton Lunatic Hospital 

Section 2. The lands now holden and which may hereafter be holden, 
by the trustees of any state lunatic hospital, in trust for the Commonwealth, 
for the use of the institution of which they are trustees, shall not be taken for 
any street, highway or railroad, without leave of the legislature specially 
obtained. 

Section 3. Any of the judges of the supreme judicial, superior, and 
probate courts, and, in the city of Boston, of the police court, may commit to 
either of the state lunatic hospitals, any insane person who, in their opinion, . 
is a proper subject for its treatment or custody. But in all cases, the evidence 
and certificate of at least two respectable physicians, shall be required to 
establish the fact of insanity. In all cases the judge shall certify in what 
place the lunatic resided at the time of his commitment ; or if ordered to be 
confined by any court, the judge shall certify in what place the lunatic resided 
at the time of the arrest in pursuance of which he was held to answer before 
such court ; and such certificate shall, for the- purposes of this act, be conclu- 
sive evidence of his residence. 

Section 4. Any person applying for the commitment or for the admission 
of a lunatic to a state lunatic hospital, under the provisions of this act, shall 
first give notice in writing to the mayor or one or more of the selectmen, of 



96 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

the place where the lunatic resides, of his intention to make such application ; 
and satisfactory evidence that such notice has been given shall be produced 
to the judge In cases of commitment, and to the trustees upon applications for 
admission. 

Section 5. Upon every application for the commitment or admission of 
an insane person to any hospital or asylum for the insane, there shall be filed 
■with the application or within ten days after the commitment or admission, a 
statement in respect to such person, showing as nearly as can be ascertained, 
his age, birthplace, civil condition, and occupation ; the supposed cause and 
the duration and character of his disease, whether mild, violent, dangerous, 
homicidal, suicidal, paralytic or epileptic ; the previous or present existence 
of insanity in the person or his family ; his habits in regard to temperance ; 
whether he has been in any lunatic hospital, and if so, what one, when, and 
how long. And, if the patient is a woman, whether she has borne children, 
and, If so, what time has elapsed since the birth of the youngest ; the name 
and address of some one or more of his nearest relatives or friends, together 
with any facts showing whether he has or has not a settlement, and If he has 
a settlement. In what place ; and If the applicant is unable to state any of the 
above particulars, he shall state his Inability to do so. The statement, or a 
copy thereof, shall be transmitted to the superintendent of the hospital or 
asylum, to be filed with the order of commitment, or the application for 
admission. 

Section 6. The judge may hear and determine such applications. In 
respect to persons alleged to be insane, at such times and places as he may 
appoint ; and the presence of the alleged lunatic at the hearing, may be 
required or dispensed with, in the discretion of the judge ; and the court may 
tin Its discretion. Issue a warrant to the sherlfT, or his deputy, directing him to 
■summon a jury of six lawful men, to hear and determine whether the alleged 
lunatic is insane. Whenever a jury is summoned, pursuant to the provisions 
of this section, the same proceedings shall be had, and the same fees and 
• expenses paid as are provided by the General Statutes, chapter seventy-three, 
^sections twelve, thirteen, fourteen, fifteen and sixteen. 

Section 7. Whenever application shall be made to any judge of probate 
ifor the commitment of an Insane person under the provisions of this act, he 
may allow to the sherifi", deputy-sheriff or constable, or other person to whom 
a precept is directed by name, who may serve the same, the same fees as are 
allowed to officers upon the commitment of persons to prison, and such further 
sum for expenses Incurred in said commitments, or In bringing such lunatic 
before the judge, as to him may seem reasonable ; and the sums so allowed 
shall be certified and paid, as provided In the General Statutes, chapter 
seventy-three, section sixteen. 

Section 8. Upon every application for the admission of an Insane person 
to the several state lunatic hospitals, or to any asylum or private house for the 
reception of the insane, the applicant shall file with his application a certifi- 
cate, signed by two respectable physicians, one of whom, when practicable, 
shall be the family physician of the patient, certifying, after due inquiry or 
(personal examination of the patient by them, within one week prior to the 



1864.] PUBLIC DOCUMENT— No. 24. 97 

date of the certificate, to the insanity of tlie person in •whose behalf admission 
is sought, and that such person is a fit subject for remedial treatment at such 
hospital, asylum, or private house. 

Section 9. Any insane person who Is supported by any place as a 
pauper, may be committed by the overseers of the poor thereof, to either of 
the state lunatic hospitals, with the consent of the trustees, and shall be kept 
for a sum not exceeding the actual expense of his support. And the trustees 
shall receive into the hospital, any other insane person having a settlement 
or residence in this Commonwealth, for such compensation as they may 
determine. 

Section 10. The expenses of the state lunatic hospitals for the support 
of lunatics having known settlements in this state, shall be paid quarterly, 
either by the persons obligated to pay, or by the place in which such lunatics 
had their residence at the time of their commitment, unless other sufficient 
security is taken to the satisfaction of the trustees, for such support. If any 
place or person refuses to pay whatever sum may be charged and due accord- 
ing to the by-laws of the hospital, on account of the support of such patient 
therein, or for the removal of any patient whom the trustees are authorized 
by law to remove, for thirty days after the same has been demanded by the 
treasurer in writing, of the mayor and aldermen of the city, or of the select- 
men of the town, or of the person liable therefor, the same, with Interest from 
the time of such demand, may be recovered for the use of the hospital in an 
action to be instituted by the district-attorneys, or other prosecuting officers, 
in the name of the treasurer, against such delinquent city, town, or person. 

Section 11. The expenses of the hospitals for the support of lunatics 
not having known settlements in this state, committed thereto, shall be paid 
quarterly by the Commonwealth at the same rates charged for city and town 
pauper lunatics therein, but not to exceed the sum of two dollars and sixty- 
two* cents per week ; and the same may afterwards be recovered, by the 
treasurer of the Commonwealth, of the lunatics themselves, if of sufficient 
ability to pay the same, or of any person or kindred obligated by law to 
maintain them, or of the place of their settlement, if any such is ascertained ; 
and the district-attorneys, or other prosecuting officers, shall institute suits 
therefor when requested. 

Section 12. It shall be the official duty of the attorney-general and 
district-attorneys to advise and consult with the trustees and treasurers of the 
several state lunatic hospitals, when requested by them, on all questions of 
law relating to their official business. 

Section 13. If at any time, all the state lunatic hospitals shall be so 
full that the inmates cannot all be suitably accommodated therein, and in the 
opinion of the trustees of either hospital it is proper that some should be 
removed, the trustees may remove to their respective homes, or to the places 
of their legal settlement, or of their residence, so many as may be necessary 
to afford suitable accommodation for the remainder ; but only such patients 
shall be selected for removal as, in the opinion of the trustees and superln- 

* By ch. 240, ^ 9, Acts of 1863, reduced to " twenty-five " cents. 
13 



98 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

tendent, are not susceptible of improvement, and can be suitably managed at 
their homes, or in the places to which they may be sent. 

Section 14. Any judge of the supreme judicial or superior court, at 
any term held within and for the county in which either hospital is located, 
or the judge of the probate court of such county, or the trustees of such 
hospital may, on application in writing for the discharge from such hospital 
of any insane person who has remained there a sufficient time to make it 
appear that he is incurable and not dangerous to the peace and safety of the 
community, cause him to be delivered to the agents of any place in which he 
has a legal settlement, or on which he has a legal claim for support, or to his 
friends, when it appears that it would not be to his injury, and that he would 
be comfortably and safely provided for by any parent, kindred, friend, master 
or guardian, place or institution. When application has been made to any 
judge for the discharge of any Insane person, any person interested in said 
discharge may request a trial upon said application by a jury, and the judge 
before whom the trial is to be held shall issue a warrant to the sheriff of the 
county, or his deputy, directing him to summon a jury of six lawful men, to 
hear and determine whether such insane person is incurable, and may be 
comfortably and safely provided for according to the terms of this section. 
The proceedings shall be the same in selecting jurors, conducting the trial 
and allowing the costs, as are provided in sections twelve, thirteen, fourteen, 
fifteen and sixteen of chapter seventy-three of the General Statutes. 

Section 15. The several judges of probate in the counties where the 
state lunatic hospitals are located, shall have the same authority at any time 
to discharge from confinement lunatics committed to the hospitals, as is con- 
ferred upon the trustees and the justices of the supreme judicial and superior 
courts by the twenty-ninth section of chapter seventy-three of the General 
Statutes. 

Section 16. The money and cost of clothing which the trustees of any 
state lunatic hospital may by law furnish to discharged pauper lunatics, the 
expense of pursuing such as elope therefrom, and of burial of pauper luna- 
tics dying in the hospitals, shall be reimbursed to the trustees by the places of 
legal settlement of city and town paupers, and by the Commonwealth in the 
case of state paupers. 

Section 17. When a person held in prison on a charge of having com- 
mitted an indictable offence is not indicted by the grand jury, or, on trial is 
acquitted by the jury by reason of insanity, the jury in either case shall certify 
that fact to the court, and thereupon, if the court is satisfied that he is insane, 
they may order him to be committed to one of the state lunatic hospitals, 
under such limitations as they may direct. 

Section 18. The eighth, ninth, tenth, eleventh, nineteenth, twentieth, 
twenty-first, twenty-second, twenty-third, twenty-fourth, twenty-seventh, 
twenty-eighth and thirtieth sections of the seventy-third, and the fifteenth 
section of the one hundred and seventy-first, and the seventeenth section of the 
one hundred and seventy-second chapters of the General Statutes, are hereby 
repealed. 



1864.] PUBLIC DOCUMENT— No. 24. 99 

[Acts of 1863, Chapter 240.] 

An Act in relation to 'state charitable and correctional 

institutions. 

[Section 4.] The board of state charities shall have full power to transfer 
pauper inmates from one charitable institution or lunatic hospital to another, 
and for this purpose to grant admittances and discharges to such pauper 
inmates, but shall have no power to make purchases for the various institutions. 

Section 9. The expenses of the lunatic hospitals for the support of luna- 
tics not having known settlements in this state, committed thereto, shall be 
paid by the Commonwealth, at the same rates charged for other lunatics 
residing therein, not exceeding two dollars and twenty-five cents a week for 
each lunatic. 



GENERAL LAWS FOR THE GOVERNMENT OF THE 
STATE LUNATIC HOSPITALS. 

[General Statutes, Chapter 73.] 

Section 1. The government of each of the state lunatic hospitals at 
Worcester, Taunton, and Northampton, shall be vested in a board of five 
trustees, appointed and commissioned by the governor with the advice and 
cousent of the council, subject to removal only for sufficient cause. The trus- 
tees now in office shall continue to hold their offices until the terms thereof 
expire, according to the provisions of this section. On the first Wednesday 
of February in each year, the term of office of the senior member in each 
board, as they stand arranged on the list of their appointments, shall terminate, 
and the name of the person appointed to fill the vacancy shall be placed at 
the bottom of the list, and other vacancies may at any time be filled, and the 
names of the persons appointed substituted in the list for the remainder of the 
vacant terms. 

Section 2. The trustees of each hospital shall be a corporation for the 
purpose of taking and holding to them and their successors, in trust for the^ 
Commonwealth, any grant or devise of lands, and any donation or bequest of 
money, or other personal property, made for the use of the institution of 
which they are trustees, and for the purpose of preserving and investing the 
proceeds thereof in notes or bonds secured by good and sufficient mortgages, 
or other securities, with all the powers necessary to carry said purposes into 
effect. 

Section 3. They shall take charge of the general interests of the institu- 
tion, and see that its affairs are conducted according to the requirements of 
the legislature, and the by-laws and regulations which the board shall estab- 
lish for the internal government and economy thereof; and they shall be 
reimbursed all expenses incurred in the discharge of their official duties. 

Section 4. They shall establish by-laws and regulations, with suitable 
penalties, for the internal government and economy of the Institution ; shall 



100 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

appoint a superintendent, who shall be a physician, and constantly reside at 
the hospital ; and a treasurer, who shall give bonds for the faithful discharge 
of his duties ; and shall appoint, or make provision in the by-laws for appoint- 
ing such officers as in their opinion may be necessary for conducting efficiently 
and economically the business of the institution ; and shall determine, subject 
to the approval of the governor and council, the salaries of all the officers. 
All their appointments shall be made in such manner, with such restrictions, 
and for such terms of time, as the by-laws may prescribe. 

Section 5. The salaries of the superintendents, assistants, physicians, 
stewards, and matrons of the state lunatic hospitals shall be paid quarterly 
from the current receipts of the several hospitals. 

Sectioi^ 6. There shall be thorough monthly visitations of each hospital, 
by two of the trustees thereof, and quarterly by a majority of them, and 
semi-annually by the whole board, at each of which a written account of the 
state of the institution shall be drawn up, which shall be presented at the 
annual meeting to be held between the first and fifteenth days of October. 
At the annual meeting, a full and detailed report shall be made, exhibiting a 
particular statement of the condition of the hospital and all its concerns, with 
a list of the salaried officers and their salaries, and in a tabular form, under 
the heads specified in section eleven of chapter five, the value of the stock 
and supplies, to be laid before the governor and council on or before the 
fifteenth day of October, for the use of the government; and at the same 
meeting the treasurer shall present to the trustees his annual report on the 
finances of the institution ; both of which reports shall be made up to the 
thirtieth day of September inclusive. The trustees shall audit the report of 
the treasurer, and transmit it with their annual report to the governor and 
council. 

Section 7. The accounts and books of the treasurer shall at all times be 
open to the isspection of the trustees. 

[Resolve of 1844, Chapter 78.] 
Resolved, That the price to be charged for the board of patients at the 
state lunatic hospital, who are not state paupers, shall in all cases be fixed by 
the trustees of said hospital : provided., that the charge for town paupers 
shall not exceed the estimated average cost of supporting patients in said 
hospital. 

If- 
[General Statutes, Chapter 73, continued.] 

Section 12. The jurors shall be selected in equal numbers from the place 
in which the trial is had, and one or two adjoining places, as the judge shall 
direct ; and the same proceedings shall be had in selecting and impanelling 
the jury as are prescribed in chapter forty-three ; provided, that in the 
counties of Suffolk and Nantucket all the jurors may be taken from the same 
place. 

Section 13. The judge shall preside at such trial and administer to the 
jury an oath faithfully and impartially to try the issue, and the verdict of the 
jury shall be final on the complaint. 



1864.] PUBLIC DOCUMENT— No. 24. 101 

Section 14. If by reason of challenges or otherwise, there is not a full 
jury of the persons summoned, the judge shall cause the officer who served 
the summons, or in his absence the officer attending the jury, to return 
suitable persons to supply the deficiency ; and shall have the same authority 
as the supreme judicial court to enforce the attendance of jurors and witnesses, 
and inflict fines for non-attendance. 

Section 15. The officer who summons and attends the jury shall receive 
therefor four cents a mile for all necessary travel, and one dollar and fifty 
cents for each day that he attends upon them ; and the jurors and witnesses 
shall be entitled to such compensation as is prescribed for jurors and witnesses 
in the supreme judicial court. 

Section 16. The expenses of the trial, including the fees of all necessary 
witnesses, shall be allowed and certified by the judge, and paid out of the 
county treasury. 

Section 17. There shall be allowed to each judge of the probate court, 
for receiving, hearing, and determining every application made to him for the 
commitment of a lunatic, a fee of two dollars, to be paid out of the county 
treasury. The judges shall present their accounts for such fees as often as 
once in each year, to the county commissioners, who shall andit and allow 
them, if found correct. There shall be allowed to the judge of the probate 
court for receiving, hearing, and determining an application for the discharge 
of a lunatic from either hospital, two dollars, to be paid by the party making 
the application. 

Section 18. The superior court may allow to any sheriff, constable, or 
other person to whom a precept is directed by name, who may commit any 
person to either hospital, the same fees as are allowed to officers upon the 
commitment of persons to prison, and such further sums for expenses incurred 
in said commitments as to the court may seem reasonable ; and the sums so 
allowed shall be made up in the general bill of costs for the term of the court 
at which the allowance is made. 

Section 25. Every city and town paying expenses for the support or 
removal of a lunatic committed to either hospital, shall have like rights and 
remedies to recover the full amount thereof, with interest and cost, of the 
place of his settlement, as if such expenses had been incurred in the ordinary 
support of the lunatic ; and the lunatic, if of sufficient ability to pay the same, 
and any kindred obligated by law to maintain him, shall be liable for all such 
expenses paid by any city or town in either case. 

Section 26. The governor may at any time cause to be removed from 
one of said hospitals to either of the others, such of the inmates thereof as 
circumstances or the necessities of the case may in his judgment require. 

Section 29. Any two trustees of either hospital, or either of the justices 
of the supreme judicial court or superior court, at any term held within and 
for the county in which the hospital is located, may on application in writing 
for that purpose, discharge from confinement, after the cause of such confine- 
ment has ceased, any lunatic committed thereto. The trustees may also 
remove any idiot or other patient to the place where the judge or court com- 
mitting him shall certify that he resided, when, in their opinion, he ceases to 



102 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

be dangerous and is not susceptible of mental improvement by remedial treat- 
ment at the hospital, if such place shall not remove him after reasonable 
notice in writing from the trustees. 

Section 31. If after the discharge of an incurable lunatic, under the 
preceding section, it is made to appear on complaint by any person under 
oath to the judge of the probate court for the county in which the lunatic has 
his legal settlement or is placed, that he is not comfortably supported, or that 
the- public safety is endangered by him, said judge shall order his recommit- 
ment to said hospital. And the same proceedings may be had in determining 
these questions by a jury, upon the request of any person interested therein, 
made in writing to said judge, as are provided in the preceding section. 

Section 32. No pauper shall be discharged from either hospital without 
suitable clothing ; and the trustees may furnish the same at their discretion, 
together with such sum of money, not exceeding twenty dollars, as they may 
deem necessary. 



GENERAL LAWS, 1864. 

[Chapter 138.] 
An Act to amend " An Act in eelation to state charitable 

AND correctional INSTITUTIONS." 

Be it enacted^ ^c, as follows : 

Section 1. The ninth section of chapter two hundred and forty of the 
acts of the year one thousand eight hundred and sixty-three, is hereby so 
amended that the expenses of the lunatic hospitals, for the support of the 
persons therein named, to be paid by the Commonwealth, shall not exceed two 
dollars and seventy-five cents a week for each lunatic. 

[Chapter 288.] 

An Act relating to insane persons and lunatic hospitals. 
Be it enacted, ^c, as follows : 

Section 1. On petition, under oath, to any judge of the supreme judicial 
court, setting forth that the petitioner believes that some person, confined as 
insane in any hospital or other authorized place for the treatment or restraint 
of insane persons, is not insane, and is unjustly deprived of his liberty, the 
said judge may in his discretion appoint three commissioners to inquire into 
the alleged insanity of the person so confined. 

Section 2. Before said commissioners shall proceed with their inquiry, 
they shall be sworn to the faithful and impartial discharge of their duties. 
They shall give sufficient notice of their appointment, and of the time and 
place of hearing to the petitioner and to the person having charge of the 
hospital or place of confinement. They shall have power to summon and 
compel the attendance of and to administer oaths to witnesses ; and it shall 
be their duty to hear the evidence offered to them on either side, touching the 
merits of the petition, as well as to examine the person confined. 



1864.] PUBLIC DOCUMENT— No. 24. 103 

Section 3. No notice shall be served upon the person confined as insane, 
nor shall he have the right to confer with counsel, or be present at the inquiry ; 
but such rights shall be enjoyed by the petitioner, and by the person by or 
under whose authority the alleged insane person is confined ; nor shall said 
petitioner, nor any counsel he may employ, nor any -witness he may desire to 
use, have the right to visit or examine said insane person, except with the 
permission of the superintendent of the hospital or place where said person is 
confined, or by special order of the judge issuing the commission. 

Section 4. The personal examination by the commissioners of the person 
confined as insane, shall be had at the hospital or place of confinement ; and 
such person shall not be taken therefrom, pending the inquiry, except by 
special order of the judge issuing the commission. 

Section 5. The commissioners shall report the facts bearing upon the 
petition, together with their opinion of the condition of the person confined, 
to the said judge, or if he cannot conveniently attend, to some other judge of 
the said court ; and, upon the presentation of the report, the judge may order 
the discharge of the person confined, or may disallow the petition, or may 
take such other order as the circumstances of the case shall require. 

Section 6. It shall be the duty of the overseers of the poor of any city 
or town, except the city of Boston, to commit to one of the state lunatic hos- 
pitals, or the Boston Lunatic Hospital, with the consent of the trustees thereof, 
any person supported by such city or town, who is suffering under recent 
insanity, and is a fit subject for remedial treatment. 

Section 7. Whenever the board of state charities shall have reason to 
believe that any insane person, not incurable, is deprived of proper remedial 
treatment, and is confined in any almshouse or other place, whether such 
insane person is a public charge or otherwise, it shall be the duty of said board 
to cause application to be made to one of the judges of the supreme judicial, 
superior or probate courts, for the commitment of such person to a hospital in 
the manner prescribed by law. 

Section 8. The governor and council may license any suitable person to 
establish and keep an asylum or private house for the reception and treatment 
of insane persons, and may at any time revoke such license. And such 
asylum or private house shall be subject to visitation by the governor and 
council or any committee thereof, and by the judge of the probate court of the 
county wherein the same is situated. 

Section 9. Whoever establishes or keeps such an asylum or private 
house without a license, unless otherwise authorized by law, shall forfeit a sum 
not exceeding five hundred dollars. 

Section 10. There shall be established on the lands connected with the 
state almshouse at Tewksbury, a receptacle for insane criminals, to which 
shall be removed all persons now in the state lunatic hospitals, whom the 
board of state charities shall deem to be fit subjects therefor. Any insane 
person who may be committed to one of the state lunatic hospitals under the 
provisions of the fourteenth section of the one hundred and seventy-second 
chapter of the General Statutes, or of the seventeenth section of the two 
hundred and twenty-third chapter of the acts of the year eighteen hundred 



104 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

and sixty-two, may, at the discretion of the court, be committed to the said 
receptacle under such limitations as the court may direct. And the judges of 
the superior and probate courts may cause convicts who are insane to be 
removed from any prison or house of correction to the said receptacle, in the 
same manner that such convicts may now be removed to one of the state 
lunatic hospitals. But no person shall be removed or committed to such 
receptacle until the governor, by his proclamation, gives notice that the same 
is ready for inmates. 

Section 11. The inspectors of the state almshouse at Tewksbury shall, 
subject to the approval of the governor, establish rules and regulations for the 
government and management of said receptacle, and shall see that the same 
are enforced ; and said receptacle shall be visited and examined once in each 
week by at least one inspector, who shall, at the time of such visit, make a 
record thereof in a book to be kept at the receptacle for the purpose. The 
superintendent of the said almshouse shall have the general supervision of said 
receptacle, and shall furnish all supplies needed therefor. The inmates of said 
receptacle shall be under the care of a suitable resident physician, who shall 
also be the physician of the almshouse, and who shall be appointed by the 
inspectors of said almshouse. 

Section 12. It shall be the duty of the board of state charities to certify 
to the auditor within one week from the commencement of each quarter of 
the financial year, the probable amount due to each lunatic hospital for the 
support of state pauper inmates during said quarter. And upon application 
of any board of trustees of said hospitals, the auditor may draw his warrant 
for a sum not exceeding ninety per cent, of the amount so certified, and the 
same shall be paid to the treasurer of the hospital making the application, 
to be used towards the payment of its current expenses, incurred within the 
financial year. 

Section 13. No superintendent or other officer of any state lunatic hos- 
pital shall, so long as he remains such, hold any office or be engaged in any 
occupation which shall interfere with the devoting of his whole time to the 
performance of his duties at such hospital. 



INDEX. 



Page,. 

Acknowledgments, '. 67 

Accommodations afforded by the Hospital, 50 

Amusements, 61 

Admissions and numbers, 8 

Admissions, discharges, and number remaining each month, 12 

Admitted, by what authority, 10 

Ages of patients, 16 

Annual expense of each patient, 25 

Application for the admission of patients, form of, 91 

Aqvieduct and dam, 64, 65 

Articles made and repaired by female patients, . ' 58 

Articles made and repaired by male patients, 59 

Auditing Committee's Eeport, 7 

Care, by Superintendent, of patients after discharged, 4 

Causes of insanity as reported by friends, 13 

Chaplain, , 66 

Charge to town and private patients, 5 

Civil condition of patients, 19 

Conference of Trustees, 4 

Classification of expenses, 50, 51 

Counties from which patients were admitted, 24 

Current expenses of each year, 25 

Debts due from Hospital, • 7 

Debts due to Hospital, ' . , 7 

Domestic aspect of Hospital, 61 

Diseases which have proved fatal, 22 

Duration before admission, 17, 18 

Employees of Hospital, 68 

Expenses diminished, 25 

Expenditures, 50, 51 

Expenses paid by towns and individuals, 5 

Expenses within the means, ' • 3 

Expenses, 5 

Expenses paid by Commonwealth, 5 

Farm, 60 

Finances, 53 

14 



106 INDEX. 



Page. 

Flowering season on Hospital Hill for twenty-six years, 89, 90 

Foreign and native patients, ratio of in Hospital, . . . ■ . . . . 11 

Foreigners admitted, 10 

Foreigners discharged, 10 

Foreigners remaining, 10 

Form of bonds, ' . . . 93, 94 

Form of disease of those admitted and those discharged, 13 

Form of warrant for commitment, 92 

General condition of the Hospital at the close of the year, 49 

General results, 8 

Hereditary cases, • 15 

Homicidal cases, 15 

Improvements and alterations not realized, . 53 

Incurable patients remaining, 62 

Labor performed by patients, 57 

Laws relating to the Hospital, 95-104 

Lectures and other amusemehts, 62 

List of prices, 53 

Libraries, 63 

Meteorological observations, . . . 82 

Memorial to Legislature, . . * 4 

!N'umber of patients at the beginning of the year, . i 8 

Number of patients at the end of each year, 25 

Number of patients admitted during the year, 8 

Number of patients discharged improved, 8 

Number of patients discharged not improved, 8 

Number of patients discharged recovered, 8 

Number of patients remaining, 8 

Number of patients under treatment, ......... 8 

Number of days' work done by patients, 57 

Occupation of patients before admission, 20,21 

Outlay for repairs made without appropriation, 3 

Officers, . 6 

Patients supported by towns, 10 

Patieuts remoA'ed by the Board of State Charities, 11 

Percentage of admissions caused by ill health, 17, 18 

Percentage of admissions caused by religious excitement, 17, 18 

Percentage of admissions caused by disease of the affections, 17, 18 

Percentage of admissions caused by pecuniary trouble, 17,18 

Percentage of admissions caused by intemperance, 17, 18 

Percentage of admissions caused by masturbation, 17, 18 

Percentage of deaths of all in the hospital each year, 17, 18 

Percentage of deaths of the average number of patients each year, . . . . 17, 18 

Percentage of recovery of recent cases, 17, 18 

Percentage of recovery of all discharged, 17, 18 

Percentage of recovery of chronic cases, 17,18 

Periodical cases, 15 



INDEX. lOT 



Petition for the admission of patients, form of, 91 

Price paid by State for aliens insufKcient, . 4 

Price paid by towns, . . . ■ 4 

Physician's certiiicate, ...'.. 92 

Private patients admitted, 10 

Private patients unfairly burdened, 4 

Present cost of supporting patients, « . 4 

Products of farm, , . 59 

Eain and snow for twenty-four years, 88 

Eecapitulation of statistics, 26,27 

Eeceipts, 7 

Eeligious services, 63 

Suicidal cases, 15 

Summary of meteorological observations, 87 

Superintendent's Eeport, 8 

Special appropriation for water, .......... 3 

System of labor, 55 

Tabular view of each patient under treatment during the year, . . . . 30, 48 

Treasurer's Eeport, . .... 7 

Trustees, 70 

Trustees' Eeport, 3 

The average number under treatment during each year, 25 

The whole number of patients admitted to the Hospital, ...... 9 

The whole number of patients recovered at the Hospital, 9 

The whole number of patients improved, 9 

Uneasiness of patients, • 54 

Weather and wind, 86 

Water, 63 

Weekly expenses of each patient, 25 

Workshops, 55 

Whole number of patients under treatment during each year, ..... 25 

Whole income needed to supply wants of patients, 3 



m ^S'SSW.PJL