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

92 r 
54-66 

A 



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University of Massachusetts Amherst 



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PUBLIC DOCUMENT No. 24. 



THIRTY-THIRD ANNUAL REPORT 



THE TRUSTEES 



STATE LUNATIC HOSPITAL, 



WORCESTER. 



OCTOBER, 1865. 



BOSTON: 

WRIGHT & POTTER, STATE PRINTERS, 

No. 4 Spring Lane. 

1866. 



^ommonroealtt) of MdBmtl)mtitB. 



THIRTY-THIRD ANNUAL REPORT 



TRUSTEES OE THE WORCESTER LUNATIC HOSPITAL. 



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

Gentlemen, — The Trustees of the Worcester Hospital for the 
insane beg leave to Report. 

It is nearly one-third of a century since the hospital was 
founded, and the Trustees believe it to be in a much better 
condition than when placed in their hands. 

It has been kept in thorough repair ; a complete system of 
warming and ventilation applied ; an abundant supply of water 
carried to every part of the house ; a new chapel, kitchen, 
laundry, <fec, built, and such other improvements and alterations 
made for the proper management and treatment of the insane, 
as have been from time to time suggested. Still, much more is 
needed to keep up with the requirements of the age. 

Progress is continually made in this, as in other branches of 
knowledge, and it would be unwise to suppose that perfection 
can ever be attained. 

To make these improvements, a sufficient surplus of funds 
has remained in the hands of the Trustees, from year to year, 
until the last three years, when it has ceased, owing to the 
enormous rise in the price of all the necessaries of life without 



4 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

any corresponding increase in the price of board from the 
patients. 

A few improvements have been made during the year past, 
such as a hospital ward in each wing of the building to separate 
the sick and feeble from their more active and boisterous com- 
panions ; but others have been suggested that our limited 
means forbid us to attempt. 

We wish to introduce some system of useful labor to keep 
the patients occupied with work, that will quiet the restless 
energy of some, and stimulate the listless apathy of others. 
This is partially done for the women in the laundry and sewing- 
rooms, and in a much smaller degree for the men, by employ- 
ment in work upon the farm in summer. Some simple but 
useful manual labor, suited to the ability and the taste of each 
one, that can be had in winter as well as in summer, is much 
needed. 

In England, as will be seen in a report made by Dr. Jarvis, 
in 1863, very favorable results have followed the introduction of 
such work, proving useful, not only to the patients themselves, 
but a source of considerable revenue to the hospitals. 

Another want sadly felt is, some intermediate temporary 
residence for patients not fit for discharge, nor proper subjects 
for an insane ward ; a place where can be tested their ability to 
live free from the actual restraints of the hospital before going 
to their homes and into the busy world. As was said in our 
last Report, some of our patients are occupied in various 
employments in the town, who return to the shelter of the 
hospital at night, not having confidence in their ability to leave 
its protecting influence altogether. 

It is believed that many might be discharged without fear, of 
relapse, if some such intermediate step as this could be taken, 
instead of ushering them at once into active life. 

One or two cottages in the vicinity of the hospital, occupied 
by discreet persons now employed there, making a little family 
circle by the addition of a few selected patients, would be of 
great benefit to the hospital, in relieving its crowded wards, 
and to the patients in giving them a chance to show that they 
can live without restraint. Many persons when admitted as 
patients might with advantage be placed in these cottages. 



1865.] PUBLIC DOCUMENT— No. 24. 5 

Some suggestion will be offered at a future time for a plan 
by which these improvements can be made without involving 
much expense. 

While no wasteful experiments should be encouraged, the 
intelligent Commonwealth of Massachusetts ought to require 
that not only every improvement of the age should be intro- 
duced into its system for the treatment of the insane, but that 
the State should lead in this branch of progress, as it has in so 
many others. 

The Trustees beg leave to call your attention to the interest- 
ing Report of the Superintendent, to whose great skill and 
sagacity, with his untiring care and that of his able Assistant, 
so much is due for the good condition of the hospital. Also to 
the Report of the Treasurer, which, though it does not give a 
very flattering account of the financial condition of the hospital 
at this moment, gives us the hope that by the end of another 
year the expenses may be kept within the receipts and the debt 
paid off. 

"Very respectfully submitted by the Trustees. 

R. W. HOOPER. 
E. F. JENKS. 
E. JARVIS. 
W. WORKMAN. 
S. E. SEWALL. 

Worcestee, October 13, 1865. 



* 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 

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



RESIDENT OFFICERS 

MERRICK BEMIS, M. D., . 
JOSEPH DRAPER, M. D., . 
CAROLINE A. BEMIS, .... 
DANIEL W. BEMIS, . . . 



Boston. 

Adams. 

Dorchester. 

Worcester. 

Boston. 



Superintendent. 
Assist.-Physician. 
Matron. 
Steward. 



TREASURER. 

MERRICK 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 



1865.] 



PUBLIC DOCUMENT— No. 24. 



TREASURER'S REPORT. 



RECEIVED. 

Cash on hand September 30, 1864, 
from H. Woodward, 
from Commonwealth, . 
from P. B. Aldrich, 
from towns and individuals 
from articles sold, 



$551 84 

1,020 79 

24,517 23 

321 66 

47,649 75 

4,148 78 

* 

$78,210 05 



PAID. 

Steward's orders, . ... 

Refunded to towns, 

Interest on loans, 

Paid Mechanics Bank, (on old debt,) 

Balance cash, .... 



$73,772 41 

35 29 

229 18 

3,132 78 

1,040 39 



,210 05 



MERRICK BEMIS, Treasurer. 



Worcester, October 1, 1865. 



We have examined the above Accounts "with the Vouchers, and find the 
same correct. 

E. F. JENKS, 
WILLIAM WORKMAN, 

Auditing Committee. 
Worcester, November 9, 1865. 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Worcester Lunatic Hospital : 

Gentlemen, — In compliance with the laws of the Common- 
wealth, I submit to you, for your consideration, my Annual 
Report for the year ending September 30, 1865. 

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

The uniform nature of the duties and anxieties incident to 
life in a lunatic hospital will not allow any great variety in a 
faithful record of the results of successive years.. The pleasing 
changes wrought in the minds of some of the inmates, the 
steady improvement and gradual restoration to health, the 
happiness, the joy, and the contentment, which thus takes the 
place of distress, despair and dissatisfaction, and the decline of 
others through all the stages of the mania and dementia to 
utter hopelessness and wretchedness, these conditions make a 
large part of the history of every year's proceedings which can- 
not be known or appreciated by any except those whose duty it 
is to promote the welfare and assist in the recovery of the 
insane ; and the influence of these conditions is not confined to 
the inmates of the hospital, but extends for good or evil to the 
family, the social circle, and the community at large. 

The inmates have enjoyed a good degree of health through 
the entire year, and disorders incident to the seasons and prev- 
alent in the neighborhood have but very lightly visited those 
who were attacked by them. 

While we have been gratified by the recovery and restoration 
of so many, we have to regret that quite a number were 
removed by friends, just at that period when the labor and 
anxiety of weeks and months were beginning to be seen and felt, 
and a few weeks longer were required for complete recovery .1 



1865.] 



PUBLIC DOCUMENT— No. 24. 



Many regained entirely their former healthy condition ; others 
so far improved as to be able to return to their families and 
friends and resume their former occupations. Others were not 
improved or changed by their residence here, but continued in 
a hopeless state, wretched in themselves and a source of fear 
and anxiety to their friends. 

The tables presented are mainly continuations of such as 
have been faithfully kept since the establishment of the hos- 
pital. They are as correct as the records of the institution 
will permit, and certainly embody many useful facts. It has 
been deemed unwise to make any deviation from the usual and 
established course in regard to them. 



. Table No. 1, 

Showing the general results of the Year. 





Males. 


Females. 


Total. 


Patients in the Hospital, October 1, 1865, 


167 


177 


344 


" admitted during the year, . 


117 


104 


221 


Whole number under treatment, 


284 


281 


565 


Discharged recovered, 


51 


54r 


105 


" improved, ..... 


36 


22- 


58 


" not improved, .... 


16 


12 


28 


Died, 


12 


21 


33 


Whole number discharged during the year, 


115 


109 


224 


" " remaining September 30, 1865, 


169 


172 


341 



One hundred and five individuals, or nearly fifty per cent, on 
the admissions, have been restored to their friends in possession 
of such mental health and the exercise of such a degree of self- 
control as admits of their return to society and the full exer- 
cise of their civil rights, while fifty-eight have been removed 
during treatment, all of whom presented marked features of 
amendment, and many of whom had become amenable to the 
means of management in the family circle ; and twenty-eight 
have been removed, in whom no trace of improvement could 
be discerned. 

Thirty-three have died, two in a few days and three in a few 
weeks after admission, two suddenly, two of old age, and the 
remainder of protracted and exhausting ailments peculiar to 



10 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

affections of the nervous system. The mortality is consid- 
erable. But if it be recollected that every patient admitted 
labors under some constitutional disease ; that some are sent in 
extreme old age, in the last stages of decay ; that many when 
admitted are exhausted by long duration of their malady ; that 
all are liable to the diseases of the community in general, besides 
the maladies and accidents peculiar to their own situation, the 
number of deaths will not appear large. It must be remem- 
bered also that the general health of the inmates has been good, 
and that the cases of disease have been less troublesome than 
formerly. A large majority of the deaths are referable to affec- 
tions of the lungs and the brain. Some are sent to the hos- 
pital to die, that due care and attention may be bestowed upon 
the last days of exhausted life, and that friends who have 
watched over and sympathized with the sufferer while any ray 
of reason remained may now be relieved of so unwelcome a 
burden. 

This class of patients demands all the care, anxiety and watch- 
fulness extended to the dying. But while they incommode the 
general order, and give by their decay and death a melancholy 
character to the department to which they belong, they are 
doubtless proper subjects for the care and concern of the 
hospital. 

The death of those who die in the hospital is rarely attended 
with any apparent suffering or distress, and still more rarely is 
there any return of reason, bringing with it aspirations after a 
new mode of living, nor is there any appearance of agony or 
anxiety. 

The delusions of life often extend to its termination. Two 
of those who died during the year could not believe they were 
born to die. Death to them was not a reality. The belief in 
the immortality of their bodies was to them the only reality. 
In one the dread of death was more terrible than death itself, 
and having lived for years in the torment of insane fear, died 
at last in perfect quiet, unaffected and unappalled. Two died 
so suddenly that pain could hardly have been experienced, or 
the nature of the change appreciated. Four sank in thecoma 
which succeeds epilepsy. In one, a morose and repulsive dis- 
position was softened at the approach of death, and in another 
habitual acrimony and discontent were aggravated. One who 



1865.] PUBLIC DOCUMENT— No. 24. 11 

had for weeks resisted every attempt at alleviation, was at last 
most distressingly eager for medical aid. One quite accurately 
foretold his death when its approach was not apparent. 

By reference to the table it will be seen that four patients 
died of epilepsy, six of paralysis, and thirteen of phthisis. The 
number of deaths in the hospital is pretty nearly determined by 
the number of epileptic, paralytic, and consumptive patients 
admitted. 

The recent laws regarding the signing of certificates of lunacy 
by physicians, have operated in an unfavorable manner upon 
the admission of a few patients into the hospital, and must 
prevent the early admission of patients afflicted with certain 
forms of mental disease. 

The necessity for two physicians to testify to some definite 
fact which is of itself sufficient to prove insanity, is easily ful- 
filled in cases of acute mania, where the mind of the patient is 
completely absorbed in his present feelings and impulses, and 
has neither power nor inclination to exercise caution. 

In other forms of insanity, however equally destructive in the 
end to all the reasoning and controlling powers of the mind, 
proof is not so readily obtained ; the evidence is cumulative, 
and the patient retains much of his capacity for concealing 
symptoms and eluding the inquiries of his physician, and often 
refuses altogether to see a medical man. In this manner the 
patient escapes the treatment calculated to remove his disease 
until it has become incurable. 

Sometimes a well meant but mistaken friendship takes such 
a direction and exercises such an influence as to prevent the 
admission of the patient ; or if it does not prevent admission, 
so disturbs the relations existing between patient and the 
hospital as to retard recovery and promote disorder and 
dissatisfaction. 

This difficulty is the source of great suffering to many fami- 
lies in this Commonwealth, who are obliged to bear the burden 
and anxiety consequent upon the care of some insane member, 
until the disease becomes continuous and incurable. 

Hospitals were undoubtedly created and endowed for the 
public good, and to answer a want felt by the community. Let 
the laws controlling admission to their wards be so humanely 
framed as to open their doors to any diseased member of society, 



12 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

and let the benefits, if any, be conferred alike upon every grade 
of mental suffering. Establish commissions for investigation if 
necessary ; guard them with the most jealous care ; but while 
they are hospitals, make them also asylums, to which every 
sufferer may flee for comfort and help. Do not longer enact 
laws which attach to the character and conduct of a residence 
in a hospital for the insane, the stigma of prison life and disci- 
pline. Surround them with the most generous safeguards. 
Endow them with every facility for treatment and every comfort 
and convenience for their inmates. And by giving a generous 
impulse to public opinion, already favorable, assist in their 
elevation. 

Insanity is said to be on the increase in this country. All 
classes in society, the rich as well as the poor, the learned as 
well as the ignorant, are its victims. The hospital may 
become the temporary residence of the most successful merchant 
or the most refined scholar in the Commonwealth. It may 
become the permanent home of both. 

The legislator who enacts laws relative to the control of the 
institution may be interfering with the future welfare of a loved 
wife, son or daughter, and while voting supplies may be 
increasing or diminishing the comfort and the prospect of 
their recovery. 

Several applications have been made for the admission of 
patients living in other States. These have been refused on 
the ground that the laws regulating admission to the hospital 
gave to the Trustees no right to admit patients who belong out 
of this Commonwealth. State paupers, and those liable to 
become a public charge wherever they may belong, may, on 
becoming insane, be committed by the courts having jurisdiction 
in such cases. But responsible parties, living in other States, 
seeking the benefit of remedial treatment for an insane friend 
or relative, are shut out from this hospital, the Trustees having 
no choice in the matter. 

It seems a small matter to refuse admission to an insane 
person who has no legal claim upon the institution, but the 
refusal may involve the life of the individual, the welfare of the 
sufferer's family, and the safety of the community. 

The patient himself may select some particular hospital or 
desire some particular district of country. Economy may 



1865.] 



PUBLIC DOCUMENT— No. 24. 



13 



decide the choice of the friends, or the facility of access may, 
and does often, determine the residence of the insane. There 
are, doubtless, many reasons which render such a refusal a great 
misfortune. 

Table No. 2, 

Showing the Admissions and state of the Hospital, from October 1, 1864, 
to September 30, 1865. 



Patients in the Hospital, October 1, 1865, . 
Males, .... 167 Females, 

Patients admitted in tbe course of the year, 

Males, . . . .117 Females,. 

Patients remaining in the Hospital, September 30, 1865 
Males, .... 169 Females, 

Of the admissions, there were cases of one year or less 
Males, .... 65 Females, 



duration, 
one year' 



Of the admissions, there were cases of more than 
duration, .... ... 

Males, .... 50 Females, 

Of the admissions, there were cases the duration of whose insanity 
could not be ascertained, 
Males, .... 2 Female, 

Patients committed by Courts, 
Males, .... 



66 Females, 

Patients committed by Overseers of the Poor, 
Males, .... 15 Females, 



Patients on bonds, . . . 

Males, .... 32 Females, 

Patients committed by Governor's Warrant, 

Patients committed by the Board of State Charities, 
Males, .... 6 Females, 

Patients committed by Commissioners of Lunacy, 

Foreigners and those having no settlement in the State 
in course of the year, ..... 
Males, . . . . 40 . Females, 

Foreigners and those having no settlement in the State, 
in course of the year, ..... 
Males, .... 57 Females, 

Foreigners and those having no settlement in the State 
in the Hospital, September 30, 1865, 

Males, .... 36 Females, 



committed 



discharged 



remaining 



344 



177 



221 



172 



341 



172 



137 



72 



31 



81 



123 



57 



17 



26 



32 



58 



38 



46 





78 

103 
91 



55 



14 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



State Paupers remaining in the Hospital at. the close 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 


1865, 


91 



Table No. 3, 

Showing the Number Admitted, Restored, Improved, Died, fyc, in each 
Month during the Tear. 





Admitted. 


Removed. 


Remaining. 










•a 


13 

a 


S '9 












MONTHS. 








o 


o 


o 


T3 


Totals. 










to 


0) 

s 

SI 


■3 

O 





B 

M 


O P> 


3 




"a 
5 


■3 

a 






M. 


F. 


M. 


F. 


M. 


F. 


M. 


F. 


M. 


F. 


T. 


o 


October, 


11 


10 


21 


1 


3 


3 


3 


1 


3 


_ 


2 


5 


12 


17 


173 


175 


348 


November, . 


6 


8 


14 


4 


5 


3 


2 


1 


- 


- 


- 


8 


7 


15 


171 


176 


347 


December, . 


9 


12 


21 


4 


2 


2 


2 


- 


- 


2 


- 


8 


4 


12 


172 


184 


356 


January, 


7 


5 


12 


7 


8 


1 


1 




3 


- 


2 


8 


11 


19 


171 


178 


349 


February, . 


5 


8 


13 


3 


3 


- 


- 


- 


- 


1 


2 


4 


5 


9 


172 


181 


353 


March, . . 


11 


9 


30 


4 


4 


3 


1 


1 


- 


- 


4 


7 


9 


16 


176 


181 


357 


April, . . 


10 


12 


22 


5 


8 


2 


1 


5 


- 


2 


2 


14 


11 


25 


172 


182 


354 


May,. . . 


14 


7 


21 


7 


5 


5 


2 


3 


4 


2 


1 


17 


12 


29 


169 


177 


346 


June, . . 


10 


9 


19 


o 


5 


3 


3 


- 


- 


2 


4 


7 


12 


19 


172 


174 


346 


July, . . . 


12 


6 


18 


6 


1 


2 


2 


1 


- 


1 


3 


9 


6 


15 


175 


174 


349 


August, . . 


12 


8 


20 


4 


2 


6 


3 


2 


o 


- 


1 


12 


8 


20 


175 


174 


349 


September, . 


10 
117 


10 

104 


20 
221 


4 
51 


8 
54 


6 
36 


2 
22 


4 


- 


2 


2 


16 
115 


12 

109 


28 
224 


169 


172 


341 


Totals, . 


16 


12 


12 


21 









1865.] 



PUBLIC DOCUMENT— No. 24. 



15 



Table No. 4, 

Showing the Form of Disease in those Admitted and Discharged during 

the Year. 





Admitted. 


Discharged. 


FORM OF DISEASE. 


9 


to 

§ 


"3 

O 

H 


3 


a 

a 

fa 


"3 

o 

H 


Mania, 

" Chronic, 

" with Epilepsy, . 

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

" Senile, 

" with Epilepsy, . 

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


42 

17 

10 

3 

16 

19 

1 

2 

5 

2 


42 

28 

3 

12 

17 

1 

1 


84 

45 

13 

3 

28 

36 

2 

3 

5 

2 


39 

18 
5 
o 

21 
24 

2 
4 


38 

19 

2 

11 

36 

2 

1 


77 

37 

7 

2 

32 

60 

2 

3 

4 


Totals, .... 


117 


104 


221 


115 


109 


224 



Table No. 5. 

Supposed Causes of Insanity of Patients admitted into the Hospital from 
January 18, 1833, to September 30, 1865. 





1865. 


Previously. 


CAUSES. 










Males. 


Females. 


Males. 


Females. 


Apoplexy, 


mm 


_ 


1 


2 


Asthma, 








— 


_ 


1 


_ 


Bronchitis, 








_ 


_ 


_ 


1 


Bowels, Disease of, 








- 


- 


1 




Cancer, . 








_ 


_ 


_ 


1 


Chorea, . 








_ 


- 


_ 


3 


Constipation, . 








- 


- 


_ 


_ 


Convulsions, . 








- 


_ 


10 


12 


Dysentery, 








- 


- 


2 


2 


Dyspepsia, 








- 


- 


2 


1 


Epilepsy, 








11 


3 


156 


56 


Eruptive Diseases, 








- 


_ 


3 


3 


Eyes, Disease of, 








"■ 


— 


2 


— 



16 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table No. 5 — Continued. 





1865. 


Previously. 


CAUSES. 












Males. 


Females. 


Males. 


Females. 


Eyes, Loss of, 


_ 




1 




Erysipelas, 






- 


- 


- 


1 


Fevers, .... 






3 


3 


46 


65 


Hysteria, 






- 


- 


- 


1 


Hemorrhoides, 






- 


- 


1 


1 


111 Health, 






24 


30 


160 


828 


Influenza, 






_ 


- 


1 


3 


Insolation, 






_ 


- 


16 


_ 


Idiocy, .... 






- 


- 


15 


9 


Laryngitis, 






- 


- 


- 


- 


Measles, 






- 


- 


4 


6 


Nervous Irritation, . 






_ 


- 


- 


- 


Nymphomania, 






- 


- 


- 


4 


Old Age, . ... 






1 


1 


22 


28 


Otitis, .... 






- 


_ 


- 


- 


Paralysis, 






8 


• 


58 


27 


Pneumonia, 






- 


- 


- 


- 


Rheumatism . 






- 


- 


5 


1 


Scrofula, . . . 






- 


- 


1 


2 


Sea-sickness, . 






- 


- 


1 


1 


Somnambulism, 






- 


- 


- 


2 


Suppressed Eruptions, 






- 


- 


4 


3 


Suppressed Ulcer, . 






- 


- 


u 


3 


Satyriasis, 






- 


- 


1 


- 


Tic Douloureux, 






- 


- 


- 


1 


Tumor, .... 






- 


- 


- 


1 


Whooping Cough, . 






- 


- 


1 


- 


Amenorrhcea, 






- 


- 


. - 


21 


Lactation, Excessive, 






_ 


_ 


- 


3 


Menorrhagia, 






- 


-. 


- 


9 


Menorrhagia, Suppressec 


, 




- 


2 


- 


25 


Miscarriage, . 






- 


- 


- 


4 


Pregnancy, 






- 


-1 


- 


10 


Puerperal, 






- 


10 


- 


201 


Turn of Life, 






_ 


7 


- 


65 


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 


54 


12 


Injury of Spine, 






1 


- 


4 


7 


Lead, Poison of, 






1 


- 


4 


- 


Lightning, Stroke of 






_ 


- 


- 


1 


Labor, Excessive, . 






1 


- 


41 


58 


Loss of Sleep, 






_ 


- 


- 


3 


Study, Excessive, . 






- 


1 


26 


10 


Spiritualism, . 






— 


- 


20 


24 


Criminal Trial, 






_ 


- 


- 


1 


False Accusation, . 






- 


— 


— 


1 



1865.] public document—No. 24. 

Table No. 5 — Concluded. 



17 













1865. 


Previously. 


CAUSES. 












Males. 


Females. 


Males. 


Females 


Imprisonment, .... 






1 

4 




Death of Relatives, 








- 


6 


28 


76 


Domestic Trouble, . 








_ 


1 


111 


336 


Marriage, Unhappy, 








- 


- 


2 


5 


Disappointment in Love, 








- 


1 


64 


97 


Disappointed Ambition, 








- 


- 


9 


9 


Home Sickness, 








_ 


_ 


6 


18 


Fright, . 








_ 


_ 


21 


24 


Seduction, 








_ 


■ _ 


_ 


3 


Millerism, 








_» 


_ 


9 


6 


Political Excitement, 








_ 


_ 


9 


1 


Religious Excitement, 








— 


_ 


156 


177 


Pecuniary Trouble, 








- 


- 


142 


37 


Poverty, . 








- 


- 


1 


1 


Poverty, Fear of, . 








1 


- 


30 


8 


Prosecution, . 








- 


- 


1 


-, 


Giving up Business, 








- 


- 


2 


_ 


Change of Business, 








_ 


_ 


8 


_ 


Violent Temper, 








- 


- 


2 


13 


Jealousy, 










- 


- 


18 


27 


Intemperance, 










25 


5 


563 


67 


Opium, Use of, 










- 


- 


3 


9 


Tobacco, Use of 










- 


- 


2 


7 


Masturbation, 










6 


3 


363 


57 


Venery, Excess of, 










- 


- 


1 


- 


Unknown, 










34 


29 


1,049 


1,083 


Totals, . 










117 


104: 


3,503 


3,601 



Of the above there were — 



Hereditary cases, .... 


12 


13 


565 


781 


Periodical cases, .... 


15 


16 


584 


619 


Hereditary and Periodical cases, 


9 


6 


373 


408 


Suicidal cases, .... 


3 


11 


198 


235 


Homicidal eases, .... 


9 


3 


140 


43 


Suicidal and Homicidal cases, . 


6 


3 


42 


25 



18 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 6, 

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









Discharged Re- 


Discharged not 












Died. 








covered. 


Recovered. 




AGES. 














Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


! Males. 


Females. 


Less than 15, . 


1 








1 


_ 


„ 


_ 


From 15 to 20, 


10 


8 


, 1 


5 


- 


- 


1 


1 


20 to 30, 


27 


25 


14 


14 


8 


3 


3 


4 


30 to 40, 


18 


25 


16 


17 


14 


10 


2 


4 


40 to 50, 


23 


19 


8 


3 


10 


11 


3 


6 


50 to 60, 


13 


18 


6 


10 


8 


7 


2 


2 


60 to 70, 


19 


7 


6 


4 


9 


2 


- 


3 


70 to 80, 


2 


2 


- 


1 


2 


1 


1 


- 


80 to 90, 


3 


- 


- 


- 


- 


- 


- 


1 


Unknown, . . 


1 


- 


- 


- 


- 


- 


- 


- 


Totals, . . 


117 


104 


51 


54 


52 


34 


12 


21 



Table No. 7, 

Showing the Ages of Patients Admitted, Discharged Recovered, not 
Recovered, and Died, from January 18, 1833, to September 30, 1865. 





Admitted. 


Discharged Re- 
covered. 


Discharged not 
Recovered. 


Died. 


AGE S. 




















Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Less than 15, . 


31 


25 


5 


11 


19 


12 


1 


1 


From 15 to 20, 


221 


225 


123 


136 


63 


60 


15 


14 


20 to 30, 


967 


937 


481 


480 


346 


363 


61 


71 


30 to 40, 


886 


976 


439 


478 


383 


360 


97 


96 


40 to 50, 


765 


804 


331 


366 


276 


266 


102 


94 


50 to 60, 


401 > 


450 


171 


208 


148 


141 


71 


83 


60 to 70, 


244 


211 


87 


98 


89 


63 


50 


54 


70 to 80, 


92 


66 


22 


26 


23 


19 


36 


22 


80 to 90, 


12 


11 


4 


2 


3 


4 


5 


5 


Unknown, . . 


1 


- 


- 


- 


- 


- 


- 


- 


Totals, . . 


3,620 


3,705 


1,663 


1,805 


1,350 


1,288 


438 


440 



1865.] 



PUBLIC DOCUMENT— No. 24. 



19 



Table No. 8, 

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





Admitted. 


Discharged 
Recovered. 


Disch'dnot 
Recovered. 


Died. 


DURATION OF INSANITY. 












A 




. 




CD 

3 


.8 


s 


a 


3 


03 

a 


"3 
3 


a 

Em 


Insane 1 year or less, . 


67 


59 


31 


33 


' 7 


6 


5 


10 


More than 1 year and less than 2 


















years, 


13 


7 


13 


12 


14 


12 


- 


- 


More than 2 years and less than 


















5 years, 


10 


12 


3 


4 


7 


5 


4 


5 


More than 5 years and less than 


















10 years, .... 


8 


7 


3 


3 


10 


4 


2 


2 


More than 10 years and less than 


















15 years, .... 


7 


5 


1 


2 


5 


2 


- 


2 


More than 15 years and less than 


















20 years, .... 


4 


2 


- 


- 


- 


2 


- 


1 


More than 20 years and less than 


















25 years, .... 


4 


9 


- 


- 


4 


1 


1 


- 


More than 25 years and less than 


















30 years, .... 


- 


1 


- 


- 


1 


- 


- 


1 


Thirty years or more, 


2 


- 


- 


- 


2 


- 


- 


- 


Unknown, 


2 


1 


- 


- 


2 


2 


- 


- 


Totals, .... 


117 


103 


51 


H 


52 


34 


12 


'21 



20 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 9, 

Showing the Duration of Insanity before Admission of Patients Admitted, 
Discharged Recovered, not Recovered, and Died, from January 18, 1833, 
to September 30, 1865. 





Admitted. 


Discharged Re- 
covered. 


Discharged not 
Recovered. 


Died. 


DURATION OF INSANITY. 




















"3 


S 

0) 

fa 




OS 

1 

fa 


8 


"3 

s 

fa 


3 


s 

o 

fa 


Insane one year or less, . 


2,277 


2,505 


1,273 


1,405 


622 


597 


217 


268 


More than 1 year and less 
than 2 years, 


134 


113 


170 


152 


74 


74 


23 


16 


More than 2 years and less 
than 5 years, 


514 


492 


115 


128 


198 


174 


86 


64 


More than 5 years and less 
than 10 years, 


285 


262 


45 


56 


207 


193 


34 


29 


More than 10 years and 
less than 15 years, 


149 


157 


13 


22 


108 


98 


31 


25 


More than 15 years and 
less than 20 years, 


70 


44 


9 


9 


41 


63 


19 


11 


More than 20 years and 
less than 25 years, 


50 


42 


7 


6 


32 


35 


5 


7 


More than 25 years and 
less than 30 years, 


18 


16 


5 


1 


10 


10 


7 


6 


Thirty years or more, 


32 


29 


2 


5 


13 


13 


8 


6 


Unknown, ... 


91 


44 


24 


21* 


45 


31 


8 8 


Totals, . 


3,620 


3,704 


1,663 


1,805 


1,350 


1,288 


438 440 



1865.] 



PUBLIC DOCUMENT— No. 24. 



21 



Table No. 10, 

Showing the Civil Condition of Patients Admitted, Discharged Recovered, 
not Recovered, and Died, during the year. 



CIVIL 


Admitted. 


Discharged Re- 
covered. 


Discharged not 
Eecovered. 


Died. 


CONDITION. 




















Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Unmarried, . 


58 


38 


22 


24 


25 


6 


6 


12 


Married, . . 


51 


57 


27 


24 


26 


23 


5 


7 


Widowers, . . 


8 


- 


2 


- 


1 


- 


1 


- 


Widows, . . 


- 


9 


- 


5 


- 


4 


- 




Unknown, . . 


- 


- 


- 


1 


- 


1 


- 


- 


Totals, . . 


117 


104 


51 


54 


52 


34 


12 


21 



Table No. 11, 

Showing the Civil Condition of Patients Admitted, Discharged Recovered, 
not Recovered, and Died, from January 18, 1833, to September 30, 
1865. 




22 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 12, 

Showing the Occupation of Patients admitted to the Hospital from 
January 18, 1833, to September 30, 1865. 



OCCUPATION OF MALES. 


18 6 5. 


Previously. 


Auctioneers, 




2 


Armorers, .... 










1 


2 


Authors, 










- 


3 


Blacksmiths and Iron-workers, 










2 


59 


Bakers, ..... 










- 


11 


Butchers, 










- 


5 


Book-agents, 










- 


2 


Book-binders, . 










- 


3 


Broom-makers, . . 










- 


2 


Book-keepers, . . 










- 


9 


Brittania-workers, . 










- 


2 


Brick-makers, .... 










- 


6 


Bellows-makers, 










- 


2 


Barbers, 










1 


12 


Clergymen, .... 










- 


24 


Carvers, . . 




, 






— 


2 


Carpenters, .... 










1 


117 


Coppersmiths, . 










- 


9 


Coopers, .... 










- 


22 


Cabinet-makers, 










- 


16 


Clothiers, 










- 


15 


Comb-makers, .... 










- 


4 


Confectioners, . 










- 


3 


Card-makers, .... 










- 


1 


Chair-makers, . 










- 


3 


Cigar-makers^ . 










1 


4 


Clerks, .... 










5 


86 


Carpet-weavers, 










- 


3 


Caulkers, .... 










- 


3 


Camphene-distillers, . 










'- 


3 


Dyers, .... 










- 


3 


Druggists, 










- 


3 


Drovers, .... 










- 


2 


Daguerreotypists, 










- 


3 


Engineers, 










- 


2 


Engravers, , 










— 


4 


Editors, .... 










- 


4 


Expressmen, . 










- 


14 


Farmers, .... 










16 


707 


Fishermen, 










1 


32 


Gardeners, . . 










- 


9 


Glass-blowers, . 










- 


4 


Hotel-keepers, . 










- 


13 


Hatters, .... 










- 


6 


Harness-makers, 










- 


14 


Hack men and Teamsters, 










1 


32 


Jewellers, 










— 


18 



1865.] PUBLIC DOCUMENT— No. 24. 

Table No. 12 — Continued. 



23 



OCCUPATION OF MALES. 



Lawyers, .... 

Laborers, . 

Manufacturers, 

Millers, .... 

Merchants, 

Masons, .... 

Miners, .... 

Miniature-painter, . 

Mat-makers, ... 

Musicians, 

Machinists, . ... 

Moulders, 

Operatives in Mills, . 

Paluileaf-splitter, 

Painters, .... 

Printers, .... 

Physicians, . . . 

Paper-makers, . 

Peddlers, .... 

Potter, . 

Pump and Block-makers, . 

Pattern-makers, 

Plumbers, 

Police officers, . 

Rope-makers, . 

Restaurators, . 

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, .... 



27 
2 

3 
1 



11 



1 
10 



115 



24 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 
Table No. 12 — Concluded. 



OCCUPATION OF FEMALES. 


1865. 


Previously. 


Actresses, . . . ... 


_ 


2 


Cooks, 
















63 


Engraver, 














— 


1 


Housekeepers, . 














64 


1,919 


Housemaids, 




- 










14 


356 


Laundresses, 














- 


2 


Music Teachers, 














1 


2 


Midwives, 














- 


2 


Nurses, 














1 ■ 


13 


Operatives in Mills, 














7 


187 


Seamstresses, . 














15 


706 


School-girls, 














2 


34 


Teachers, 














2 


77 


Typesetters, 














- 


3 


No occupation, ...... 


2 


234 


Totals, . 














108 


3,601 



Table No. 13. 



' 



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

30, 1865. 













i860. 


Pkeviouslt. 


DISEASES. 












Males. 


Females. 


Males. 


Females. 


Apoplexia, 


_ 


_ 


15 


10 


Asphyxia, 










- 


- 


2 


- 


Asthma, . 










- 


- 


4 


1 


Ascites, . 










- 


- 


5 


7 


Antochinia, 










- 


- 


15 


11 


Bronchitis, 










- 


- 


2 


- 


Carcinoma, 










- 


- 


2 


2 


Carditis, . 










- 


- 


9 


11 


Cholera, . 










- 


- 


5 


- 


Cholera Morbus, 










_ 


• - 


2 


3 


Cystitis, . 










- 


- 


1 


1 


Dvsenteria, 










- 


- 


12 


6 


Delirium Tremens, 










- 


- 


4 


- 


Enteritis. 










_ 


- 


6 


9 


Epilepsia, 










2 


2 


68 


30 


Erysipelas, 










- 


- 


9 


10 


Hepatitis, 










- 


- 


- 


2 


Hydrothorax, . 












— 


1 


1 



1865.] 



PUBLIC DOCUMENT— No. 24. 

Table No. 13 — Concluded. 



25 













1865. 


Previously. 


DISEASES. 












Males. 


Females. 


Males. 


Females. 


Hernia, ...... 






1 


_ 


Inanitio, . 










1 


3 


33 


52 


Mania, Exhaustive, 










- 


2 


10 


9 


Marasmus, 










- 


2 


65 


65 


Meningitis, 










- 


- 


9 


14 


Mortificatio, 










- 


- 


- 


1 


Necropneumonia, 










- 


- 


1 


2 


Paralysis, 










6 


- 


37 


19 


Phthisis Pulmonalis, 










3 


10 


53 


109 


Pleuritis, 










- 


- 


- 


2 


Pneumonia, 










- 


- 


15 


9 


Senectus, 










- 


2 


24 


17 


Typho-Mania, 










- 


- 


7 


10 


Typhoid Fever, 










- 


- 


8 


6 


Variola, . 










- 


- 


1 


— 


Totals, . 










12 


21 


426 


419 



Table No. 14, 

Showing the Admission from each County, from January 18, 1833, to 
' September 30, 1865. • 











1865. 


Previously. 


Whole 


C OUNTIES. 












Males. 


Females. 


Total. 






Barnstable, 








128 


128 


Berkshire, 








- 


- 


- 


189 


189 


Bristol, 








- 


- 


- 


294 


294 


Dukes, 








- 


- 


- 


19 


19 


Essex, 








22 


25 


47 


1,009 


1,056 


Franklin, . 








- 


- 


- 


126 


126 


Hampden, 








2 


2 


4 


364 


168 


Hampshire, 








- 


'- 


- 


225 


225 


Middlesex, 








37 


22 


59 


1,137 


1,196 


Nantucket, 








- 


- 


- 


32 


32 


Norfolk, . 








6 


4 


10 


608 


618 


Plymouth, 








- 


- 


- 


235 


235 


Suffolk, . 








5 


4 


9 


705 . 


714 


Worcester, 








43 


42 


85 


2,002 


2,087 


Other States, 








2 


5 


7 


31 


38 


Total, 








117 


104 


221 


7,104 


7,225 



26 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



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-three Tears the Hospital has been in 
operation. 



TEAK. 


Whole 
Number. 


Average 
Number. 


No. at end 
of each 
Year. 


Current expenses 
of each Year. 


Annual Expense 
for each Patient. 


Expense per 

Week for 
each Patient. 


1833, . 


153 


107 


114 


$12,272 91 


1114 67 


$2 25 


1834, . 


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 


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38 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 





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1865.] 



PUBLIC DOCUMENT— No. 24. 



39 



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PUBLIC DOCUMENT— No. 24. 



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48 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Articles made ' 


'n the Sewing-Rooms during the T( 


jar. 




Aprons, 97 


Mattress Ticks, ... 60 


Bed Spreads, . 






57 


Mittens, pairs of, 






30 


Bed Ticks, 






81 


Neck Ties, . . 






21 


Blankets, . - 






28 


Night Dresses, 






22 


Bags, 






17 


Night Caps, . 






11 


Carpets, . 






7 


Overalls, pairs of, 






14 


Chemises, 






150 


Pants, pairs of, 






75 


Coats, 






20 


Pillow- Cases, . 






237 


Collars, . 






54 


Sheets, . 






261 


Curtains, 






73 


Shirts, . 






206 


Drawei"S, pairs of, 






91 


Shirt Bosoms, . 






. 22 


Dresses, . 






196 


Skirts and Quilts, 






142 


Edging, yards of, 






75 


Suspenders, pairs ol 






24 


Frocks, . 






12 


Table Covers, . 






70 


Handkerchiefs, 






78 


Towels, . 






. 222 


Hose and Socks, pairs of, 


68 


Under Shirts, . 






17 


Jackets, .... 


45 


Vests, 


65 



Articles repaired in the Sewing-Rooms during the Tear, 



Aprons, 153 


Night Dresses, . . . 123 


Blankets, 






171 


Overalls, pairs of, 






114 


Bed Spreads, . 






186 


Pants, pairs of, 






1,256 


Bed Ticks, . 






443 


Pillows, . 






117 


Bags, 






39 


Pillow-Cases, . 






237 


Chemises, 






4,252 


Sheets, . 






664 


Coats, 






730 


Shirts, 






5,242 


Collars, . 


% 




37 


Shirt Bosoms, . 






37 


Curtains, 






75 


Skirts, . 






138 


Drawers, pairs of, 






. 698 


Stockings, pairs of, 






6,977 


Dresses, . 






721 


Table-Cloths, . 






56 


Frocks, . 






194 


Towels, . 






229 


Jackets, . 






. 138 


Under Shirts, . 






221 


Mattresses, 






61 


Vests, 






. 486 



1865.] 



PUBLIC DOCUMENT— No. 24. 



49 



Articles repaired in the Shops. 



Bedsteads, 


•22 


Parasol, . 


1 


Brass Rings, . 


12 


Razors, . 


20 


Boots, pairs of, 


23 


Rakes, . 


24 


Boxes, .... 


3 


Saws, . 


34 


Bureaus, .... 


15 


Shaft Wheel, . 


1 


Blinds, .... 


38 


Stands, . 


5 


Brooms, .... 


4 


Settees, . 


4 


Chairs, .... 


. 219 


Scissors, . 


16 


Clocks, .... 


12 


Sofas, . 


4 


Coffee-Pots, . 


8 


Sleighs, . 


2 


Chisels, .... 


3 


Sleds, . 


2 


Crickets, .... 


2 


Sashes, ...... 


6 


Flower-Stands, 


12 


Tubs 


2 


Flat-Irons, 


7 


Tables, . 


. 165 


Frames, .... 


50 


Tin Pans, 


9 


Boots Ironed, pairs of, 


13 


Tea-Kettle, . 


1 


Looking Glasses, 


24 


Trunks, . 


2 


Horse Wagons, . . . 


2 


Umbrellas, . . . 


« 


Ox Wagons, . 


6 


Window Rods, 


10 


Hoes, . 


31 


Windows, 


74 


Iron Bars, 


23 


Wheelbarrows, 


2 


Knives, .... 


6 


Lock Keys, 


15 


Pen-Knives, . 


16 


Book Case, 


1 


Lounges, 


7 


Hay Forks, 


6 


Lanterns, 


18 


Handcart, 


1 


Pails, .... 


16 


Saws filed, 


80 


Paint Mill, 


1 


Chains, . . . . 


7 



Articles made in the Shops. 





Beehives, 


16 


Writing-Desk, • 


1 


Bolts, .... 


28 


Picture Frames, 


. 103 


Boxes, .... 


22 


Gimlets, .... 


12 


Bedsteads, 


15 


Horse Wagon, 


1 


Bureaus, .... 


11 


Stone Boats, . . 


2 


Boot-Jacks, .. 


4 


Horse Cart, . 


1 


Knobs, .... 


78 


Ox Wagon, . 


1 


Chair Rounds, 


68 


Iron Rods, 


12 


Curtain Sticks, 


54 


Knife-Blades, . 


. 12 


Screens, .... 


4 


Mattresses, . 


63 


Chisels, .... 


6 


Machine for picking hair, 


1 


Coal Sieve, 


1 


Pillows, .... 


24 


Wardrobe Hooks, . 


12 


Rabbit Planes, 


2 



50 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Articles made in the Shops — Concluded. 



Koof Sashes, . 


16 


Wardrobe, . 


1 


Round Table, . . 


1 


Whiffletrees, . 


12 


Lounges, 


2 


Barrel Covers, 


15 


Small Tables, . 


13 


Blinds, .... 


3 


Wash-Stands, . 


5 


Walking-Sticks, 


18 


Snow Shovel, . 


1 


Library Steps, pairs of, . 


2 


Snow Scraper, 


1 


Dry Sinks, 


4 


Screw-Drivers, 


10 


Buckets, .... 


6 


Set of Shelves, 


1 


Brackets, 


24 


Pair of Shafts, 


1 


Mop Sticks, . 


36 


Table Legs, . 


22 


Glazing Windows, . 


510 


Tool Handles, 


19 


Paper Weights, 


2 


Watch Chains, 


16 


Sofa, . ' . 


1 



Products of the Farm. 



Apples, 
Pears, 
Cherries, . 
Grapes, 
Tomatoes, 
Currants, . 
Sweet Corn, 
Gooseberries, 
Beans, 
Parsnips, . 
Turnips, . 
Potatoes, . 
Beets, 
Carrots, . 
Squashes, . 
Peppers, . 
Cucumbers, 
Cabbages, . 
Rhubarb, . 
Hay, 
Rowen, 
Corn-Fodder, 
Milk, 
Beef, 
Pork, 
Mutton, . 



15 bbls. 


at $5 00 


$75 00 


25 bush, at 


4 00 


100 00 


4 


u 


at 


2 00 


8 00 


10 


a 


at 


2 00 


20 00 


100 


u 


at 


75 


75 00 


10 


a 


at 


2 00 


20 00 


50 


u 


at 


1 50 


75 00 


3 


u 


at 


2 50 


7 50 


30 


u 


at 


3 00 


90 00 


300 


u 


at 


50 


150 00 


300 


u 


at 


20 


60 00 


700 


u 


at 


80 


560 00 


500 


u 


at 


20 


100 00 


700 


a 


at 


20 


140 00 


H 


tons 


at 25 00 


137 50 


10 bush, at 


50 


5 00 


35 


u 


at 


50 


17 50 


1,000 heads at 


12 


120 00 


3,000 


lbs. 


at 


2 


60 00 


70 


tons 


at 


35 00 


2,450 00 


3 


« 


at 20 00 


60 00 


2 


(( 


at 10 00 


20 00 


45,000 < 


juarts at 


6 


2,750 00 


6,846 


lbs. 


at 


15 


966 90 


5,124 


a 


at 


18 


922 32 


500 


n 


at 


10 


50 00 



,039 72 



1865.] 



PUBLIC DOCUMENT— No. 24. 



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52 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 









P EI CES. 






ARTI CLES. 


1861. 


1863. 


1863. 


1864. 


1865. 


Sugar, .... 


$0 081 


$0 11 


$0 141 


90 24 


m 20 


Molasses, .... 


26 


46 


55 


1 00 


85 


Tea, ..... 


42 


65 


75 


1 15 


1 12 


Coffee, .... 


• 16 


26 


32 


45 


40 


Butter, .... 


16 


23 


28 


55 


47 


Rice, 


n 


8 


H 


14 


12 


Codfish, . . • . 


3 


4.8 


6| 


74 

' 2 


8 


Beef, 


H 


7 


8 


15, 


18 


Flour, of the quality used at 
this Hospital, . 


6| 


7 


8| 


15 


11 


Standard Prints, for dress 
goods, .... 


9 


13 


25 


37 , 


35 


Cottons, 36 inches wide, 


H 


21 


35 


65 


40 


Cottons, 45 inches wide, 


12i 


28 


50 


75 


70 


Blankets, .... 


2 75 


3 50 


6 50 


9 00 


9 50 


Coal, . ... 


6 50 


6 75 


10 50 


16 50 


15 00 



Some of the cases discharged as recovered, and others per- 
mitted to leave. previous to recovery, were, when admitted, 
attended with very destructive, violent and filthy habits, and 
seemed to be quite incurable, and the improvement manifested 
was obtained at considerable expense in extra attendance. 
Whenever it has seemed to promise a more speedy recovery, 
patients have received all the attention of a separate attendant, 
regardless of any expense to the institution. 

In all chronic cases tending to dementia, there is a propensity 
to careless, slovenly and dirty habits. The surest way of per- 
petuating these is to leave the patient to himself; and the surest 
and speediest way to reform, and recovery of habits of decency 
and propriety, is to place the patient in the care of an intelligent 
and judicious attendant. This involves an expense of ten or 



1865.] PUBLIC DOCUMENT— No. 24. 53 

twelve dollars per week, while very few patients pay more than 
three dollars and fifty cents, and a majority only pay three 
dollars and twenty-five cents per week. 

The necessity and importance of employing special attend- 
ants for many of our patients, even when no remuneration is 
received, will be seen and felt when it is remembered that to 
the care of one individual are committed from twelve to sixteen 
patients ; that he is their companion, servant and nurse ; that 
he is also their governor and teacher, even though they may be, 
and often are, with their impaired minds, his superior in talent, 
education and social position ; that he must bear the constant 
exhibitions of their sufferings, their suspicions and their 
caprices; that he is often subject to flattery and deception; 
that he is expected to be always patient, kind, persevering and 
successful ; that he must protect one from suicidal impulse, 
another from troublesome and disgusting habits, which aggra- 
vate his disease, and another so far as possible from the torment 
of troublesome delusions. These are some of the labors of an 
attendant upon the insane. The faithful discharge of such a 
variety of duties is certainly enough to tax severely the patience 
and forbearance of the strongest and wisest person. The 
attendants do and must suffer under such burdens, and some- 
times lose equanimity and self-control. If at the best they 
succeed in preserving their temper and vigilance, those confided 
to their care can receive but little personal attention. w „ 

Considerations of this nature have led to the employment of 
special attendants for the care and control of those whose 
peculiarities indicated any particular mode of management. 
In many recent cases this provision has been of great service, 
both as the means of learning the real condition of the patient, 
and of guarding against difficulties and dangers which so often 
present themselves during this stage of the disease, and which 
seclusion or mechanical restraint may aggravate. 

Determined suicides are thus saved until the suicidal impulse 
has passed away. Abstainers from food are preserved by a 
careful husbanding of strength, by promoting general comfort, 
and by a quiet and persevering administration of proper reme- 
dies, until their places are again filled at the table. 

Destroyers of clothing are prevented from doing mischief, 
and a successful check placed upon the wayward and restless. 



54 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Every superintendent of a hospital for the insane urges the 
necessity of an early admission in a large majority of the cases 
brought under his notice. The dangers of delay are repeated 
in almost every hospital report. But every year's history shows 
that patients are retained among their relatives so long as they 
are manageable ; so long as they appear to be robust and healthy. 
Whenever afflicted with bodily infirmity, when the light of 
reason is entirely shut out, then they are sent to the hospital to 
die. The record of every year's admissions shows that in 
many cases abstinence and emaciation were permitted to reach 
the last stage where death seemed to be inevitable before any 
steps were taken to provide for their care in the hospital. In 
others, convulsions and paralysis to the degree of utter help- 
lessness first suggested the necessity of any new arrangements. 

Hospitals for the insane are intended for the relief of the 
various diseases incident to the nervous system. They are, or 
should be, places from which the hurtful influences of every day 
life are excluded ; where all the relatives connected with the 
development of insanity are sought to be broken up; where the 
misanthropic is drawn into social life, and the restless, excitable 
man, encumbered and checked by the ordinary restraints of 
hospital life ; where the individuality of each is sought to be 
preserved and modified, and elevated by a discipline common 
to the whole. In a word, the hospital is intended to be a place 
where all that can be done for the relief of mental disease and 
suffering is done, and done in the best possible manner. 

Until such views obtain in the community, and are operative 
in the commitment of patients to the hospital, no real proof 
can exist of the true value of medical treatment in mental 
disease. The recovery of sound health of body and mind is 
the thing to be sought, not as is too often the case, the conven- 
• ience of relatives and friends, by the removal of the patient 
because he has become an unwelcome burden to the family 
circle. 

In this connection it should be remembered that as there is 
delay in admission, there is also haste in removal of those who 
are in the way of recovery. During convalescence there is 
always danger of relapse. After the excitement has entirely 
passed away, and the ordinary current of thought has become 
reestablished, there often remains a susceptibility to impres- 



1865.] PUBLIC DOCUMENT— No. 24. 55 

sions of an unhealthy character, and an inability for continuous 
mental activity which renders the discharge of many who have 
apparently recovered their mental strength, attended with great 
danger. To pass suddenly from the seclusion and restraint of 
hospital life, to unrestrained activity, is, at best, hazardous. 

The weakened powers of the mind shrink before the burdens 
imposed upon them by a return to the labors of active life. 
The endearments of home, even, are fraught with danger ; the 
anxiety of the family circle for the success of the convalescent 
is frequently taken as an evidence of distrust. To make the 
return to home and friends safe, trial visits are recommended, 
and the transition is thus rendered gradual. But to make an 
arrangement entirely satisfactory, there should be some inter- 
mediate place between the hospital and the world at large ; some 
resting-place on the borders of society, beyond the restraints of 
the hospital and yet within its influence ; some house emanci- 
pated from the daily routine of hospital life, affording all the 
comforts of a home, the usages of a family, and the society of 
healthy minds, beyond the limits of the hospital proper, but 
recognized by law, and within the authority of its directors and 
managers. Such an establishment would give courage and 
confidence to the convalescent, revive more speedily his former 
habits, and prepare the way for a more satisfactory and 
successful return to the duties and responsibilities of active 
life. 

One great want felt by all institutions devoted to the care of 
the insane, is a full corps of reliable, well educated and 
thoroughly trained assistants in each department. In the out- 
of-door departments, in the engine and boiler-rooms, the 
carpenters' shop, the stables and on the farm, the places are 
usually satisfactorily aud quite permanently filled ; but in the 
laundry, the work-rooms, the kitchen, and more particularly in 
the wards, great difficulty is experienced in procuring and 
retaining such assistants as are thoroughly devoted to the 
interests of the institution and the welfare of its inmates. In 
the female department it is usual to have a much higher class 
of attendants, and those who remain longer in service than in 
the male department ; but until the duties of the position are 
made less burdensome, the opportunities for progress and 
improvement multiplied, and the chances for future comfort 



56 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

increased, we must be content with a second rate service- 
Young women, school teachers and others, who do not seek 
ordinary places of labor, become attendants in a hospital for 
the insane, preferring some duty rather than idleness. The 
hospital does not in any way stimulate improvement, and the 
attendant makes no profession of entering the service for a life 
labor ; on the contrary, she leaves on the first opportunity for a 
more permanent and satisfactory settlement. 

The young man generally comes to us from the farm, and is 
wholly untrained, except such training as he has received in 
the common school and a well ordered New England family 
circle. He may have no higher qualification than physical 
health and strength, has hardly ever seen an insane person, and 
perhaps regards every manifestation of insanity as an exhibition 
of perversity or malice. He remains during the whole period 
of his service in utter ignorance of the true character of the 
insane, and equal ignorance of his real duties, except such 
information as he may draw from occasional words of encour- 
agement or reprimand from the superintendent. 

We profess to have diminished, in a great degree, the amount 
of physical restraint. We have made an effort to introduce 
various kinds of labor among our patients. Considerable 
attention has been paid to the subject of amusement and 
education as means of relief; and yet to minds wholly untrained 
in the way of their special duties is committed the control and 
management of the insane. Upon them rests the great respon- 
sibility of instructing, amusing, protecting and nursing them. 
They must execute all plans, follow all rules, grant or withhold 
favors, and by their very presence cheer or annoy those under 
their care. They are the companions, and are expected to be 
the friends of the patients. Are they generally able to perform 
their duties ? Can they do it well ? The farmer demands of 
those who take care of his oxen and horses a certain amount 
of skill ; the master mechanic that his journeymen shall have 
learned the trade ; but the attendant receives no instruction 
and has no probation, and enters almost at once upon full pay 
and full duty. 

How can these difficulties be met and overcome ? First, 
perhaps, by offering a larger salary, so as to bring applications 
of a higher order, and an annual increase to those whom it is 



1865.] PUBLIC DOCUMENT— No. 24. 57 

found desirable to retain. Second, by promoting social inter- 
course by special privileges and otherwise, and by so far securing 
the comfort of the attendant as to prolong his term of service. 
Third, by some arrangement which will allow discreet and 
devoted attendants to remain in service after marriage. And 
above all, if possible, requiring of each applicant some term of 
probation, during which he shall be instructed, and at the end 
of which he shall be employed or discharged, as the promise 
of his usefulness may dictate. It certainly is not advisable that 
the Commonwealth or the institution should have a long list of 
pensioners, but so much depends upon the discretion and 
faithfulness of the attendant in the management of a hospital 
for the insane, that it seems to me of the first importance that 
good, judicious, faithful attendants be secured and retained at 
almost any cost. On them depends, in no small degree, the 
successful working of the institution. When it is remembered 
how much of firmness and forbearance, how much care and 
anxiety, is necessary to a faithful and satisfactory performance 
of their duties ; when it is remembered, too, how many 
perplexities surround their situation, how many obstacles they 
must meet and overcome, how many provocations they must 
endure, we shall have some idea of the worth of skilful 
attendants on the insane. We shall not be satisfied with those 
who control by force, or who manifest a dictatorial spirit ; we 
shall expect tact which can lead and direct, kindness which can 
soothe and sympathize, and skill which can promote occupation, 
amusement and instruction. 

In general little is to be feared from cruelty and neglect. 
Ignorance of the real character of their duties, a low estimate 
upon the necessity and value of their own services, and a 
want of appreciation of the character of the insane are more 
frequently the causes of their errors and offences. 

When this most desirable stage of improvement is reached, 
the position of attendant would not be looked upon as in any 
way inferior to the most honorable place in society. They 
would be sought to care for and control patients at their homes 
in cases where relatives object to sending the patient to the 
hospital, and in many cases would doubtless prevent the neces- 
sity of consigning the insane to the care of a public institution. 
You suggest that these things have already been accomplished 



58 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

in this hospital. It is true that there have been many excep- 
tions to the general rule ; but while a few have been uniformly 
faithful, kind and discreet/ have been so persevering and sym- 
pathizing as to almost elevate their labors to the dignity of a 
mission, many, very many, have disappointed our hopes and 
disturbed every effort to ameliorate the condition of those 
under their charge. 

During the past two or three years there has' been a steadily 
increasing demand for larger and more commodious rooms and 
a higher style of accommodations than we can at present offer. 
For many years better accommodations have been needed for 
certain classes of patients admitted to this institution. The 
institution presents to all the same unvaried rule, the same 
unyielding routine. No matter what a person's previous habits 
and associations have been, when disease comes upon him and 
he is obliged to seek refuge in an asylum, he must take his place 
in a common ward, occupy a room eight feet wide by ten in 
length, and scarcely eight feet in height. 

If he has any society it must be the society of those assigned 
to his ward. 

The accommodations and conveniences of the ward at the very 
best are hardly sufficient to preserve the decencies of domestic 
life. 

There is a class of patients in every hospital who require 
little or no restraint or seclusion. They cannot live at home 
or with friends ; they need the assistance, guidance and support 
of a hospital or asylum ; their friends are able- and willing to 
pay for it ; they are proper subjects for the guardianship and 
treatment of the hospital, and yet the hospital affords them no 
adequate accommodation or convenience. 

There is that wayward, suspicious, troublesome class, many 
of whom belong to the higher ranks of society ; they are 
querulous, critical and censorious ; they cannot conform to the 
usages of any family circle ; they disturb the peace of society ; 
and at length are consigned to the custody and care of the 
hospital ; but the hospital with its present arrangements cannot 
detain them with peace to its managers, or comfort to its other 
inmates. 

Then there is a large class of quiet, apparently harmless and 
industrious persons who need just that amount of guidance and 



1865.] PUBLIC DOCUMENT— No. 24. 59 

direction dispensed in a well ordered hospital, but who do not 
require the existing arrangements for strength and security, 
and who would be further improved by some new arrangement, 
some modification of restraint, impossible at present. This 
large class, generally considered incurable, must continue to be 
subject to the care and control of the hospital, and might at a 
less expense be comfortably provided for in some other institu- 
tion, where to custody, useful occupation, and medical care 
and control, might be added some of the comforts and pleas- 
ures of the family and home. 

Convalescents too, those whose minds are so fully restored as 
to render a further companionship with the insane irksome and 
injurious, but who are not sufficiently strong to return to their 
homes and resume the active duties of life without great dan- 
ger of a relapse, should have some intermediate place between 
the necessary restraint of the hospital, and the danger of a 
too sudden return to excitements incident to active life. Some 
resting place which shall make the passage of the convalescent 
from the confinement of the hospital to the freedom of society 
gradual and safe, and so afford time and opportunity for the 
weakened powers of the mind to become strong enough for the 
daily conflict of life, is one of the great and growing wants of 
this institution. 

This hospital necessarily applies the same arbitrary rule to 
all classes of patients, and to every grade of disease ; the same 
unsatisfactory relations exist for those who require all the tact, 
skill and strength of the institution, and those who only require 
the comfort, rest and peace of an asylum ; its operation is that 
of a machine, bearing with equal, unyielding severity upon the 
mild and harmless, and the violent and dangerous, affording 
the same amusements and pleasures to the incurable and 
demented as to the most intelligent convalescent. 

For nearly one-third of a century this institution has to a 
great degree answered the wants of this community, and 
fulfilled its duties the community know how well. Shall it be 
made to answer the growing demands of another generation of 
men ? 

If so, it seems necessary at once to extend our plans, multi- 
ply our facilities, and improve our system, so as to afford to all 



60 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

the greatest possible chances for recovering, and the greatest 
amount of comfort to such as may not recover. 

Let us, if possible, establish a family circle for a few of the 
convalescent of both sexes, by opening a house and placing it 
under the care of a married couple of well tried, faithful, skil- 
ful attendants. Let us attempt the same for a class of harm- 
less, industrious incurables, and also one for two or three of 
the more difficult, whose friends are able and willing to pay 
generously. Let us inaugurate some such plan, and quietly and 
steadily persevere in it until it shall prove a success. If need 
be, let us as,k legislative assistance and direction, and thus 
commence under sanction of the law. 

If you ask how this can be accomplished ? how, even the 
work may be commenced? several methods may be suggested. 

First. There are in the immediate vicinage of the hospital, 
adjoining its grounds, several well constructed cottages now 
offered for sale, and some of which could doubtless be rented for 
a term of years, if thought more advisable to so timidly 
begin the work. 

Second. The whole hospital property could be put into the 
market, and still occupied for the present, until a sum was 
realized, which would nearly pay for an estate, with new and 
appropriate buildings, perfectly adapted to the wants of the 
insane. 

Third. Twenty-five acres of the grounds and gardens 
adjacent to the buildings, were last year appraised at one 
hundred thousand dollars ; a sum which would go far towards 
the erection of new hospital buildings, and leave in a compact 
area of eighty-five acres of the most desirable land belonging 
to the estate, on which jsucli buildings might be placed. The 
site would be pleasant and healthy ; overlooking the city and 
surrounding country, and affording a prospect of great beauty 
and activity ; removed a little distance from the city, but 
easy of access. 

There are doubtless many other desirable localities. The 
hospital already owns this, and can spare the twenty-five acres 
for a capital upon which to work. On no condition, how- 
ever, should any land be disposed of in any other arrangement 
for the prosecution of the plan. 



1865.] PUBLIC DOCUMENT— No. 24. 61 

I would recommend then, something like this : that the 
Trustees have power to put into the market, certain lands 
belonging to the hospital, and that they proceed quietly to 
remove the material in the present buildings, one wing at a 
time, to Chandler Hill, and there use it in the construction of 
new buildings, so far as it can be made available. The pro- 
ceeds from the sale of lands, and such assistance as the legisla- 
ture may grant, to be expended in carrying out the design. 

Let it not be understood that the site spoken of, is the only 
desirable one, or that there is none better. Within the limits 
of Worcester, and near to the town, there are others every 
way desirable, and one of which could have been purchased a 
few years since at a reasonable rate. 

Could this, or any similar plan, be adopted and carried out, a 
wide step would be taken in advance of any existing arrange- 
ments for the care and recovery of the insane. Will not Mas- 
sachusetts take this occasion to consider the necessity and 
propriety of making such an arrangement for her most unfor- 
tunate children ? 

In the carrying out of this or any similar plan suggested by 
the foregoing remarks, a departure would of course be made 
from the general style and character of hospital buildings. 
There would be the central edifice ; the hospital proper, in 
which would be placed all the cases of acute mania, the violent 
and dangerous, the suicidal and troublesome ; having every 
arrangement for classification, and every convenience for the 
treatment of insanity ; with large and airy sleeping rooms, and 
day rooms, and with improved facilities for bathing, and a 
more reasonable arrangement for water-closets. 

There would be, on one hand, a few cottages, plain, neat and 
convenient, for the quiet, harmless and industrious of both 
sexes ; with workshops, where they could follow such indus- 
trial pursuits as could be made available, with the laundry and 
bakery for the whole. 

On the other hand, there would be the residences of others, 
who would devote their time to the cultivation of gardens, in 
music, reading and writing, walking and riding, and such 
other light occupations and amusements as they were accus- 
tomed to follow when in health. 



62 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Then, there would be the chapel and lecture room, in which 
there would be, at regular intervals, divine service and frequent 
lectures, sociables and reading clubs. 

One great benefit to accrue from all this, is a near approach 
to the family system, and the kindly influences of home treat- 
ment. Could this system be adopted and carried into operation, 
the insane would have all the benefits they now have, with the 
added advantage of the family circle, to such as could be 
admitted to its privileges ; homely surroundings, and the 
enjoyment of many of the social comforts which make life 
pleasant. They would have, also, the advantage of well trained 
nurses and attendants, whose business for life it would be to 
care for and sympathize with them. They would enjoy a 
more free and generous style of amusement and exercise, and 
more frequently, and with less restraint mingle in the society 
of friends and relatives — in a word, all the enjoyments of life 
would be multiplied, and all the social endearments, to a great 
extent, preserved, without diminishing in any degree the pros- 
pect of recovery, or increasing in any way the labors of the 
institution. 

"We know that there are difficulties in the way of any scheme 
which anticipates change. There can be no doubt, that in a 
large hospital, the arrangements could be perfected with much 
less labor; we know how difficult even to start the experiment, 
unless it can be shown that it will be the cheapest method of 
supporting the life of patients, as well as most promising in 
regard to their recovery of mental health. 

But pity will it be if the Commonwealth refuse to depart 
from her beaten track in the care and custody of the insane, 
and allows the opportunity to pass without an effort. 

If the obstacles to a radical movement seem insurmountable, 
there can be no question as to propriety of leasing, with a view 
to purchase, two or more cottages in which to make the experi- 
ment in a small but safe way. Success in the undertaking- 
seems to be perfectly sure, and there is no danger of encum- 
bering the institution with any new burdens in assuming the 
responsibilities of the enterprise ; on the contrary, we shall 
lighten existing ones. 

At present, the rules and regulations relating to the hospital 
are, to a certain extent, arbitrary and unjust. The moment a 



1865.] PUBLIC DOCUMENT— No. ,24. G3 

man is placed in the wards of the hospital he is considered 
insane, and is, in the eye of the law, insane, no matter what is 
his real condition, or what the grade of his disease.- All the 
civil difficulties of a case of insanity attach to him, and do not 
readily leave him. The moment he is thought to be well 
enough to return to his family, and receive the care and atten- 
tion of his relatives and friends, he is said to be sane, to have 
recovered. He returns to the duties and responsibilities of 
active life at once, with no kind assistance and with no protect- 
ing care. The beneficial influences of the hospital close, and 
he returns to the world, where his misfortune often operates 
strongly against him. 

Make the arrangement suggested, even by a small beginning, 
and some of the difficulties will be removed. Patients would 
have all the real benefits of home treatment, all the pleasures 
of the family circle, with suitable occupation, recreation and 
amusement, and much more open air exercise than can now be 
enjoyed. They would have the society and companionship of 
friends and relatives, with much more comfort, and would enjoy 
all the social ties in a more reasonable and generous manner. 

Above all, the restored would pass from the hospital to the 
world at large by gradual steps, and recover, one by one, his 
customary duties and responsibilities. 

Of the general principles of treatment little can be said here, 
nor is it necessary to recount the various and growing means 
by which the patients have been supplied with employment, 
amusement, recreation and wholesome variety in their daily 
life. These have been repeated over and over again in former 
Reports. 

All the plans for effecting these most desirable objects, which 
have been described in former Reports, have been employed 
during the past year, and an increased effort has been made to 
carry all such measures to a greater extent, and multiply all 
the facilities for similar purposes. 

Few changes have been made among the officers and assist- 
ants during the year. Dr. Rice, who had so long and faithfully 
performed the duties of Assistant-Physician, resigned his office 
in May, and his place has been filled by Dr. Joseph Draper, 
who brings to the office a large experience, thorough knowledge 



64 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

of the insane, and a love for the peculiar duties of the spe- 
cialty. 

The supervisors of the female department, Misses Piatt and 
Lummis, both left in course of the year — one to engage in 
other duties, and the other to recover, if- possible, her health, 
now declining. It will be long before their places can be well 
filled. 

So large a number of assistants as are employed in this hos- 
pital must necessarily witness several changes in the course of 
the year. Generally, these changes have been at the desire of 
those employed. Instances of misconduct have been infrequent, 
and discharge on that account still more so. The comfort and 
well-being of the hospital depend in so great a degree on the 
good character and conduct of the attendants, and the success 
of the treatment is so much under their control, that a large 
amount of labor and care are expended to secure the highest 
class of attendants. 

With my highest regard for' your constant kindness and for- 
bearance, for your ready sympathy and assistance, and with a 
firm trust that He who rules over all will safely guide us 
through another year, I close this brief record of the past. 



MERRICK BEMIS. 



State Lunatic Asylum, Worcester, 
October 2, 1865. 



METEOROLOGICAL OBSERVATIONS 



MADE AT 



THE STATE LUNATIC HOSPITAL, WORCESTER, MASS., 

1864-5. 

Latitude, 42° 16' 17" K; 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 affixed, 1 is meant. 



GQ 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



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72 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 





!/3 

PS 


ft 


Slight shower y r. M. 
Aur. 9 P. M.; daph. mez. 
Dandelion in bios. [bl. 

Lunar halo. 
Misty all day. 
Squally and rainy. . 

Interrupted rain. 
Leatherwood in blossom. 
Leatherwood in blossom. 

Hyacinth in blossom. 
Shower 8 P. M. 
Liverwort in blossom. 
Wind flower in blossom. 
Slight shower 2 P. M. 
Fever bush in blossom. 
Interrupted rain. 
Moderate rain continu'd. 
Rain ended 10 A. M. 
Blue violet in blossom. 
Bloodrootinbl. [ryinbl. 
Smoky early A.M.; cher- 
Cherry in bl. and shad bu. 
Pyrus jap'ainbl.: th.and 
Miss. cur. in bl. [light'g. 
Rain. 
Hazy in evening. 




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1865.] 



PUBLIC DOCUMENT— No. 24. 



73 





00 


Ram ; wild cherry in bl. 
Peach in blossom. 
Lunar halo; almond bl. 
Hazy 9 P. M.; lun. halo. 
Rain 3 P. M. 
Rain; apple bios. 
Hazy 9 P. M.; lun. halo. 
Hazy 9 P. M.; rain 11. 
Rain ; mountain ash. 
Hazy 9 P.M.; r'n 11 P.M. 
Sh'y ; th.& light'g; Sc. r. bl. 
Showery; narcissus bl. 
Light frost A. M.; au. 9. 
Hazy 9 P. M. 
Cloudy ; lilac in bios. 
Hazy 2 P. M. [calac's in bl. 
Sh'y; th.& light'g; r. rose & 
Rain 11 P.M.; ger. mac'm 
Clou'y; horse ches't. [bl. 
Cloudy ; tart, honeysu'l. 
Cloudy ; Persian lilac. 
Cloudy A. M. with rain. 
Cloudy A. M. 
Fair weather. 
Fair weather. 
Fair weather. 
Cloudy; rain 3 P. M. 
Cloudy. 
Showery P. M. 
Fair weather. 
Fair weather. 




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74 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct. 





< 

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Fair weather. 
Fair weather. 
Hazy 9 A.M. and 2 P.M. 
Hazy 9 A. M. 
"Very sli't showers A. M. 
Cloudy with no rain. 
Cloudy with no rain. 
Cloudy with no rain. 
Rain P. M. 
Rain A. M. 
Rainy. 

Fair weather. 
Fair weather. 
Somewhat cloudy. 
Somewhat cloudy. 
Cloudy; rain; th. & light. 
Cloudy A.M.; fair P.M. 
Fair weather. 
Cloudy. 

Cloudy. [bow 6. 
Somewhat cloudy ; rain- 
Rainbow 7 P. M. 
Fair weather. 
Fair weather. 
Fair weather. 
Showery. 
Fair weather. 
Fair weather ; fr. breeze. 
Fair weather; fresh br'ze. 
Fair weather; sul'y P. M. 




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1865.] 



PUBLIC DOCUMENT— No. 24. 



75 









Shower P. M.; th. & lt'g. 

Shower A. M. ; thunder 

Fair weather, [and ltn'g. 

Fair weather. 

Fair weather. 

Cloudy. 

Showery. 

Fair weather ; breezy. 

Fair weather ; breezy. 

Fair weather ; breezy. 

Rainy. 

Hazy all day ; shower. 

Shower 1 P. M. 

Fair weather. 

Fair weather. 

Cloudy ; rain 9£ P. M. 

Cloudy; rain ended 8 A. 

Fair weather. [M. 

Cloudy; rain 9 P. M. 

Rain ended 4 A. M. * 

Fair weather. 

Fair weather. 

Hazy P. M. 

Somewhat cloudy. 

Hazy A. M. ; rain P. M. 

Cloudy. ' 

Fair weather; breezy. 

Fair weather ; breezy. 

Hot and sultry. 

Hot and sultry. 

Cooler ; refresh'g breeze. 




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1865.] 



PUBLIC DOCUMENT— No. 24. 



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LUNATIC HOSPITAL AT WORCESTER. [Oct. 





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1865.] PUBLIC DOCUMENT— No. 24. 83 



APPENDIX. 



FORMS CONCERNING ADMISSION TO THE HOSPITAL. 

PETITION. 

. [The applicant must answer in writing the printed interrogations accompanying 

this blank.] 

To the Honorable the Judge of the Prolate 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 age of the lunatic ? Ans. 



84 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 anc * 

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 



1865.] PUBLIC DOCUMENT— No. 24. 85 

■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 *he county of 

, in behalf of the inhabitants of said toAvn, 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 
Town of 



86 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 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 
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. 186 . 

Attest'. (Signed,) 

, Principal. 
, Surety. 



Patients will be received into the hospital at any time, if the following 
conditions 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. 



1865.] PUBLIC DOCUMENT— No. 24. 87 

All necessary clothing must be supplied by the 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 
wien 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, Sfc, 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 
conclusive 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 



88 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 application 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 fired 
-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 a^e, 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 Ion" - . 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 
reauired or dispensed with, in the discretion of the judge ; and the court may 
in its discretion, issue a warrant to the sheriff, 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 
for the commitment of an insane person under the provisions of this act, he 
may allow to the sheriff, 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 



1865.] PUBLIC DOCUMENT— No. 24. 89 

date of the certificate, to the insanity of the person in whose behalf admission 
is sought, and that such person is a fit subjecl 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 deter- 
mine. 

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 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 cfny such is ascertained ; and the dis- 
trict-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 superin- 

* By ch. 240, § 9, Acts of 18G3, reduced to " twenty-five " cents. 
12 



90 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 deter- 
mine, whether such insane person is incurable, and ihay 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 lunatics 
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 1 7. 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. 



1865.] 



PUBLIC DOCUMENT— No. 24. 



91 



[Acts of 1863, Chapter 240.] 

An Act in relation to state charitable and correctional 

t 

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 
lunatics 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. 



GENEEAL 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 trus- 
tees, appointed and commissiond by the governor with the advice and consent 
of the council, subject to removal only for sufficient cause. The trustees now in 
office shall continue to hold their offices until the terms thereof expire, accord- 
ing 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 establish 
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 



92 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. 

Section 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 preserved 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 Ust 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 inspection of the trustees. 

, [Eesolve 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. 

[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. 



1865.] PUBLIC DOCUMENT— No. 24. 93 

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 audit 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 



94 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

be dangerous, and is not susceptible of mental improvement by remedial 
treatment 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. 



LAWS ENACTED IN 1865. 

[Chapter 268, of Acts.] 
An Act amending the Act concerning state lunatic hospitals 
and insane and idiotic persons. 

Be it enacted, 8fc, as follows ; 

Section 1. The eighth section of the two hundred and twenty-third 
chapter of the acts of the year eighteen hundred and sixty-two, is hereby 
so amended that the certificate signed by two respectable physicians, and 
required by said section, shall be made according to the provisions of said 
section, after due inquiry and personal examination of the patient by them. 

Section 2. Upon application for the admission of an insane person to any 
state lunatic hospital, or to any asylum or private house for the reception of 
the insane, the applicant shall file with his application a statement containing 
the names and address of such insane person's father, mother, children, 
brothers, sisters, or others next of kin not exceeding ten in number, and over 
eighteen years of age, when the names and address of such relatives are 
known by the person or persons making such application, and such statement 
shall be filed with the order of commitment or application for admission. And 
the superintendent, or person in charge of such asylum or house for the 
reception of the insane shall, within two days from the time of the admission 
or commitment of any insane person send, or cause to be sent, a notice of said 
commitment in writing by mail, postage prepaid, to each of said relatives, and 
to any other two pessons whom the person committed shall designate. 

[Approved May 16, 1865. 



1865.] PUBLIC DOCUMENT— No. 24. 95 

[Chapter 16, of Eesolves.] 
KESOI/VE IK RELATION TO THE PRICE OF BOARD IN STATE LUNATIC 

HOSPITALS. 

Resolved, That there be allowed and paid to the treasurers of the several 
lunatic hospitals, a sum sufficient to make the rate of board for the past year 
three dollars per week for each insane state pauper therein supported, the 
same to be paid from the surplus of the appropriation for lunatic hospitals, for 
the year eighteen hundred and sixty-four ; and that there shall be allowed 
and paid for the board of insane state paupers for the current year, a sum 
not exceeding three dollars and twenty-five cents per week. [Approved 
March 22, 1865. 



APR 25^W.PX