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PUBLIC DOCUMENT No. 22.
THIRTY-FOURTH ANNUAL REPORT
THE TRUSTEES
STATE LUNATIC HOSPITAL
WOECESTEE.
OCTOBER, 1866.
BOSTON:
WEIGHT & POTTER, STATE PRINTERS,
No. 4 Spring Lane.
1867.
THIRTY-FOURTH ANNUAL REPORT
TRUSTEES OF THE WORCESTER LUNATIC HOSPITAL.
To His Excellency the Governor and the Honorable Council of
the Commonwealth.
In submitting their Report for the year ending on the 30th
of September, 1866, the Trustees desire to express their pro-
found acknowledgments to God for His providential care over
the institution during the past year, and for that measure of
success which He has vouchsafed to the labors of its officers,
in the restoration of health and joy to many,. and in promoting
the comfort and safety of all its inmates.
By the Report of the Superintendent, which is herewith sub-
mitted, and which gives a full and detailed statement of the
condition of the hospital during the year, it appears that the
whole number of patients in the house has been 630.
There were in the House on the 1st of October, 1865,
Admitted during the year,
Discharged recovered,
improved,
not improved, .
Died, ....
Whole number discharged,
Remaining Sept. 30, 1866,
Males.
Females.
169
172
163
126
42
47
58
37
15
10
27
13
142
107
190
191
341
289
89
95
25
40
249
381
4 LUNATIC HOSPITAL AT WORCESTER. [Oct.
It appears by the foregoing table that the mortality of the
last year has been slightly larger than the average of several
preceding years. This, however, has not been occasioned by
the prevalence of any acute disease in the house, but was
owing to the dropping off of old cases of epileptics, paralytics
and other chronic diseases, and to the death of several who were
fatally diseased and died within a few days after admission.
Not a single death has occurred except from chronic disease ;
and no sickness from acute disease except very slight cases of
indisposition for only a day or two of duration. Indeed, we
may state without exaggeration, that the hospital has rarely
been invaded by any form of acute disease for the last ten or
twelve years, or since our very efficient means of ventilation
were put in operation, by which we are able to convey a con-
tinual current of fresh air, either warm or cold, to every apart-
ment occupied by patients or attendants. With an abundant
supply of pure air and water, wholesome diet, suitable clothing,
active exercise, and the most rigid, attention to cleanliness, we
have enjoyed an immunity from acute disease equal to that of
the most favored class of the community. The internal moral
administration has been conducted with the usual mild, con-
ciliatory and. paternal care, giving to all the patients as much
liberty and indulgence as is consistent with their comfort and
safety. No harsh personal restraint has been inflicted upon any
one, and very seldom has any one been deprived of the free
range of the halls. Frequently all have enjoyed their liberty.
Occasionally two or three — rarely more than four — have occu-
pied solitary rooms, and these, with a single exception, only
for a few days during the paroxysms of furious excitement.
Our solitary rooms are large, airy, well ventilated and warmed,
and as cheerful and comfortable as they can be made for the
mildest form of restraint.
Among so large a number of insane people there always will
be some who are periodically noisy, mischievous and filthy.
And such only are the subjects of restraint in this hospital.
Full details of the condition of the hospital in all its depart-
ments are contained in the able and interesting Report of the
Superintendent, and the Trustees do not deem it necessary
further to repeat them here.
1866.] PUBLIC DOCUMENT— No. 22. 5
"We have had the misfortune to be deprived, a part of the
year, of the valuable services of our excellent Superintendent,
who, partly through the fault of the Trustees, and partly from
his own willingness to assume labors beyond his power of endur-
ance, became exhausted by over-work, and was thus for a time
disabled for the performance of the duties of his office. The
Trustees deemed it advisable that he should be relieved at
once from his labors, and that he should absent himself from
these scenes of care and responsibility, and seek restoration to
health by recreation and travel, and in visiting places and
friends abroad. Therefore the Trustees promptly gave him
leave of absence for four months, and we are happy to say that
at the end of that period his health and strength were suffi-
ciently restored to enable him to resume the duties of his office,
which he has since successfully and satisfactorily performed,
and his health is still becoming more confirmed.
During the absence of Dr. Bemis the superintendence of the
hospital was committed to Dr. Joseph Draper, the Assistant-
Physician, who was favored by the aid of Dr. John R. Lee,
formerly, for many years, a very competent and faithful
Assistant-Physician here, and who was providentially here on a
visit at the time. The affairs of the institution were conducted
by Dr. Draper to the entire satisfaction of the Trustees, the
customary good order and discipline being fully maintained.
Dr. Draper truly merited, as he received, the high appreciation
of the Trustees for fidelity to his trust.
The Trustees desire to express their approbation of the plan
suggested by Dr. Bemis in his Report, for erecting near the
hospital two or more separate dwellings for the accommodation
of convalescents, and all these fitted for the enjoyment of the
quietude tand amenities of the family circle, with apparent
freedom from all restraint, and apart from the noisy gibberish
to which they are sometimes exposed in the common halls.
We refer to his Report without repeating its details.
The Trustees cannot close their Report without the renewed
expression of their entire confidence in the skill and judgment
of Dr. Bemis the Superintendent.
The financial affairs of the institution have been prudently
and skilfully managed during the last year by the Treasurer,
Daniel W. Bemis. All our old outstanding accounts and
6 LUNATIC HOSPITAL AT WORCESTER. [Oct.
liabilities, which for some years past have caused some degree
of apparent though not real confusion in our pecuniary condi-
tion, have been adjusted, and a clear statement of their exact
condition is now exhibited in the Report of the Treasurer.
When the Worcester Hospital was established by the State,
it was a pioneer institution. There was no model after which
to pattern, and no experience to guide in its construction, or in
the relative location of its appurtenances.
As medical and sanitary science progressed and experience
was gained, it was discovered that great imperfections existed
in the original construction and arrangements. The method
of warming and ventilation was found to be expensive and
very inefficient, besides being dangerous from exposure to fire.
The out-buildings, stables and piggery, and the old solitary cells
for the violent and filthy, were becoming offensive from their
proximity to the halls — thus endangering the health as well as
offending the senses of the inmates. After several years of
deliberation and consideration of many plans for averting these
evils, the Trustees, in the year 1855, undertook their removal.
They were authorized, by Acts of the legislature from time to
time, to make removals, alterations and repairs. The barn
and piggery were first removed, and placed at a commendable
distance from the house. The old gloomy and filthy cells were
demolished ; the old furnaces, and also the kitchens in the
basements, were removed, and many other improvements made
in the interior of the main building and in the wings, halls and
dormitories. The ground having been cleared, a tall steam-
chimney was erected at a safe distance from the halls ; a steam-
engine, with four boilers, was purchased, and a.complete appa-
ratus for warming and ventilating the whole establishment,
with a capacious conduit, for conveying either warm or cool
fresh air into every department. A bakery and cooking apart-
ment, wash-room, and laundry and work-rooms, were included
in a building contiguous to, but outside, the walls of the hos-
pital buildings ; also, a neat and commodious chapel, communi-
cating with the centre building. Many other things were done,
but it is unnecessary to enumerate further. When the work
was once begun, there was no stopping point till it was com-
pleted. These improvements, or rather this reconstruction, —
for such it was to a great extent, — was made under authority
1866.] PUBLIC DOCUMENT— No. 22. 7
of the legislature, to expend money " for permanent repairs or
improvements, which, in their (Trustees) judgment, will
promote the interest of said hospital."
The work of removal and reconstruction was begun, and nearly
or quite completed in the year 1855, at a cost of $49,362.88.
By this the hospital was put in a very complete sanitary
condition ; and the almost perfect immunity from any form of
acute disease since that date, vindicates the wisdom of the then
Trustees in making the expenditure. But the cost was to be
paid from the surplus funds of the hospital. The legislature
made no appropriation for any part of it. The funds of the
hospital are derived from two sources only, viz., from dona-
tions of private individuals, and the profit on the board of pri-
vate and town patients, — at present only from private patients.
The surplus money in the treasury not being sufficient to meet
this large expenditure, a debt was necessarily entailed on the
hospital. It was contemplated, however, by the Superintend-
ent and Trustees, that the surplus income of a few years would
suffice to extinguish this debt, without recourse to the State for
aid. In ordinary times it would, doubtless, have been cancelled.
Since the beginning of the war, 1861, and the consequent
advance in the price of provisions, and of everything pertaining
to the support of the hospital, we have been unable to more
than meet the current expenses of living and necessary repairs.
It became necessary, about two years ago, to rebuild the
dam from which we obtained our water supply, and to renew
our aqueduct, the old one being of insufficient capacity and
much out of repair. A grant of 84,000 was obtained from the
State ; but the job cost us $6,000, although much of the ordi-
nary labor was done by our own patients. This, however, was
paid, without increasing the debt. This debt, varying during
the last ten years from $20,000 to $15,000, has been carried by
the hospital by temporary loans. It has not been introduced
into the annual reports of the Trustees : first, because it was
considered a renewal or construction debt, and had no particu-
lar relation to the current expenses of the hospital; and,
secondly, because it was confidently expected, until some time
after the beginning of the rebellion, that, in a few years, it
might be paid by the surplus income of the hospital, without
making the cost of board burdensome to private patients.
8 LUNATIC HOSPITAL AT WORCESTER. [Oct.
In view of the above facts, and seeing no probability of diminu-
ution of current expenses, at least for some years to come, and in
consideration of the inadequate allowance by the legislature for
the support of State patients, constituting nearly one-third of
our whole number, the allowance being insufficient to pay even
the actual cost of board, the Trustees respectfully petitioned
the legislature, at its last session, for an appropriation of the
sum of $15,000, to enable us to remove this incubus from our
shoulders, and once more place the hospital in a condition to
dispense its beneficence to the largest number possible, and at
the lowest cost possible, consistent with proper care for the
health, comfort and safety of its patients.
The Trustees believed the prayer of their petition was both
reasonable and just. But the petition was never acted upon by
the legislature.
In a former report of the Trustees, in which the financial
balances between the State and the hospital were fully exhib-
ited, it appears that a large proportion of the expense, not only
of repairs and improvements, but of the original cost of the estab-
lishment as it now stands, has been paid by the earnings of the
hospital itself, together with donations from private individuals.*
In order to keep pace with the advancement of medical and
sanitary science, and to furnish the best appliances for the resto-
ration of physical and mental health to our patients, repairs
and improvements, in some one or other department, are
continually needed. These, we shall not be able speedily to
supply, under the weight of our present burden and prospective
high cost of materials and labor.
Having presented this brief statement of facts in relation to
our pecuniary condition, the Trustees here leave the matter ;
respectfully commending it to the favor of your Excellency and
the next legislature.
Very respectfully submitted by the Trustees.
WILLIAM WORKMAN.
S. E. SEWALL.
R. W. HOOPER.
E. F. JENKS.
HENRY CHAPIN.
Worcester, Oct. 15, 1866.
* Vide Eeport of the Trustees for October, 1863.
1866.]
PUBLIC DOCUMENT— No. 22.
TREASURER'S REPORT.
Receipts.
Cash on hand September 30, 1865,
received from the Commonwealth,
received from loans Mechanics' Nat. Bank,
received from towns and individuals, .
received for articles sold, .
$1,040 40
19,728 25
32,500 00
57,537 18
3,854 09
$114,659 92
Expenditures.
Steward's disbursements, .
. $69,177 34
Salaries and wages, .
19,221 39
Refunded for over-payment,
26 69
Interest on loans, ....
374 00
Paid loans at Mechanics' Nat. Bank, .
25,828 26
Balance cash September 30, 1866,
32 24
$114,659 92
Liabilities.
Worcester Co. Institution for Savings,
. $12,365 00
Mechanics' Nat. Bank, .
7,000 00
Alfred Wyman, note, .
1,377 91
Sundry bills for supplies, . . . .
7,409 23
Amount due on pay-roll, .
3,586 96
Superintendent's salary, in arrears,
1,150 00
,889 10
10 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Resources.
Due from towns and individuals, $15,421 95
from the Commonwealth, . 1,207 79
$16,629 74
$16,259 36
DANIEL W. BEMIS, Treasurer.
Worcester, Oct. 1, 1866.
We have examined the above account with the vouchers, and find it correct.
WILLIAM WORKMAN",
HENRY CHAPIN,
Auditing Committee.
Wobcestee, Oct. 15, 1866.
1866.]
PUBLIC DOCUMENT— No. 22.
11
CLASSIFICATION OE EXPENSES.
Provisions, —
Flour,
Eice and crackers,
Eye and corn meal,
Fish,
Salt meats, ....
Fresh meats,
Fresh fruits,
Beans, potatos and vegetables,
Butter,
Cheese, .
Sugar, .
Molasses, .
Tea, .
Coffee, .
Small groceries, .
Vinegar and pickles, .
Ice, .
Clothing, —
Hats, caps, boots and shoes,
Tailors' clothing, .
Materials, .
£7,354 99
518 39
464 87
887 21
4.950 93
4,328 81
577 55
1,438 54
5,334 35
105 04
1.951 19
800 58
865 55
886 43
906 10
242 48
210 02
Furniture, —
House furnishing goods,
Crockery and glassware,
Bedding,
Kitchen-ware and brooms,
Pictures and frames, .
Fuel, —
Coal (two years' supply,)
Light, —
Gas $1,182 52
Oil, 242 05
$918 75
1,515 55
2,300 08
$1,391 75
459 16
153 37
400 00
208 86
Medical supplies,
Undertaker's bills,
Books, stationery and printing,
Freights, ....
$31,823 03
4,734 38
2,613 14
14,003 03
1,424 57
1,028 52
731 60
946 17
138 55
12 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Improvements and Repairs, —
Blacksmithing, $304 77
Lime, plaster and cement, 386 87
Lumber, 632 10
Hardware and castings, . . . • . . 1,695 93
Gas and steam-pipe, &c, 288 44
Paints, oils, and paper-hangings, . . . . 711 87
Carriages and repairs, 197 95
Harness and repairs, 159 27
Stone work, 728 40
Manure and fertilizers, 746 84
Tools and implements, 399 26
Sundries, . 74 92
$6,326 62
Live stock, 2,147 00
Provender, 1,751 66
Soap, 578 07
Miscellaneous,
Horse and carriage hire, ....
$102 20
Appraising property, . .
46
50
Travelling expenses,
56
58
i
Veterinary services,
73 00
Tobacco,
42
10
Elopement expenses, . . .
121 43
Sundry expenses, . . .
489
19
931 00
19,221 39
Salaries and wages,
. .
.
Refunded for over-payment,
26 69
Interest paid on loans, ....
.
,.
374 00
Paid loans at Mechanics' National Bank,
'-
25,828 26
$114,627 68
1866.] PUBLIC DOCUMENT— No. 22. 13
THIRD ANNUAL FINANCIAL STATEMENT,
Made to the Board of State Charities, October 1st, 1866.
I hereby certify that the following is a correct statement of the condition of
this institution, and the business transacted here, for the year ending
September 30, 1866.
I. Assets.
[By valuation of D. S. Messinger and E. G. Partridge, on the 1st day of October, 1866.]
Real Estate, —
Between eleven and twelve acres of land, known as the Hos-
pital Grounds, lying between Summer, Mulberry, Fulton,
and Central Streets, valued at $60,000 00
The hospital buildings on said tract, 250,000 00
Four acres of land, and the barns and sheds thereon, . . 25,000 00
Ten acres of land lying on Mulberry and north-side Central St., 20,000 00
Eighty-four acres, more or less, comprising the farm, . . 16,800 00
$371,800 00
Personal Estate, —
Neat stock, horses and swine, .... $5,000 00
Carriages, harnesses, farming tools and implements, 2,000 00
Hay, grain, root crops, and vegetables, . . 6,103 20
Fuel, provisions, clothing, and family stores, . 7,948 30
Kitchen furniture and cooking utensils, &c, . 635 00
Repair shops, tools, and materials, . . . 1,148 00
Furniture, pictures, crockery, silver and plated
ware, . 31,241 50
54,076 00
Funds and Investments, —
1st. A fund of $1,500 given by Abigail Wheeler, and drawing
interest at 6 per cent., 1,500 00
2d. A fund of $ given by ,
Total assets, $427,376 00
II. Receipts.
Cash on hand at the beginning of the year, .... $1,04040
Amount of cash received from the annual appropriation for
186
Amount of cash from unexpended appropriations of 186 or
former yearo,
14 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Amount of cash from appropriations to meet a deficiency,
Amount of cash from special appropriations, ....
Total cash received from appropriations,
Amount received from other sources, viz. : —
From farm and farm produce, $3,854 09
From labor,
From towns and individuals, 57,537 18
From loans, 32,500 00
From Commonwealth, for support of paupers, . . . 19,728 25
Total receipts, $114,659 92
III. — Expenditures.
[A.] Current Expenditures.
1st. Salaries and wages, —
NAMES.
Months.
Days.
3
14
3
22
-
7
2
20
5
-
12
-
10
_
12
-
12
-
12
-
3
-
7
-
11
13
f 2
7
Uj>8
24
5
25
9
12
3
14
4
13
5
-
3
2
5
3
5
-
2
6
2
-
_
25
12
-
5
23
2
—
Amount.
Avery, John D., and wife, ....
Adams, Nelson J., and wife,
Austin, Frederick H.,
Austin, Carrie,
Allen, Eev. George, . . . .
Bemis, Merrick, )
Bemis, Caroline A., j
Boynton, Persis, . . .
Bacon, Charles L., and wife,
Bartlett, Albert,
Bemis, Daniel W., .
Bickford, William S., . . . .
Blake, Addie,
Bliss, Frederick J.,
Brown, Ellen, . J>
Bolton, Victoria,
Brown, Lucy E., .
Childs, E. P.,
Carney, Mary E.,
Cowing, Jennie M.,
Chickering, L. B.,
Coburn, Abbie F.,
Cook, Mary L.,
Campbell, Sarah,
Castle, Nellie, . .
Curtis, Minnie,
Cheney, George,
Draper, Joseph, and wife, ....
Darling, Lucie,
Day, Marion,
$112 20
91 18
5 00
33 84
225 00
1,050 00
110 00
400 00
300 00
800 00
75 00
63 00
282 20
33 78
98 03
66 99
232 38
37 02
48 91
146 81
19 23
57 97
27 50
28 13
33 33
20 41
1,000 00
81 02
22 00
1866.] PUBLIC DOCUMENT— No. 22.
III. — Expenditures — Continued.
15
Months.
Days.
1
9
5
29
1
10
2
•2
12
-
11
19
1
8
11
26
8
11
1
16
2
-
8
28
11
9
2
27
2
15
3
13
12
-
2
-
1
27
2
20
2
19
6
2
11
27
11
19
6
29
8
16
6
_
12
-
2
20
1
6
2
24
12
_
8
16
-
26
1
10
12
-
12
-
11
6
-
26
11
18
_
26
-
21
5
13
4
7
,3
10
2
24
2
-
1
9
6
4
1
o
-
12
Day, Emily,
Demming, John H., .
Davis, Edward, .
Drinkwater, Lottie V.,
Evans, M. A., .
French, Evander,
Fairbanks, Rosella,
Flagg, Sabrina, .
Frost, Mary D., .
.Frost, Emma,
Foster, W. H., .
Francis, Converse,
Follett, William, .
Foster, Clara E.,
Fisher, Cornelia,
Foster, Ira, ....
Greene, Marshall,
Garfield, Charlotte A.,
Goldthwaite, A., .
Gunn, Jessie,
Gale, Frederick, .
Holmes, James W., and wife,
Holden, Myrick, .
Hapgood, Augustine, .
Hapgood, Horace A., .
Howard, Irving M., .
Holmes, Susan E.,
Johnson, John, .
Johnson, John, Jr.,
Jordon, George F., .
Kellogg, Emma, .
King, George T.,
Keep, Endora, .
Keep, William E.,
Kinsley, Frederick,
Lane, Frederick,
Mellen, Mary E.,
Maynard, Joseph G., .
Martin, Edgar M.,
Merrick, Charles V., .
Merriam, W. F., .
Mellen, J. F., .
Miles, Antoinette,
Morrison, Sarah R., .
Mullett, Henry S., .
Nourse, John F.,
Newton, Elizabeth,
Newhall, Albert,.
Powers, James W,
Prentiss, Juliette L., .
Powers, F. F., .
$16 50
148 29
31 25
21 92
138 00
289 22
16 50
136 05
91 42
18 06
50 00
644 25
339 64
31 78
27 89
85 69
370 00
22 00
46 53
33 84
65 87
227 50
296 64
213 09
169 29
211 42
79 00
900 00
32 70
29 15
30 89
854 94
73 07
21 68
33 30
280 00
165 00
281 24
23 83
298 39
23 83
16 12
65 62
46 48
76 94
271 60
22 00
32 22
141 28
16 66
9 96
16 LUNATIC HOSPITAL AT WORCESTER.
III. — Expenditures — Concluded.
[Oct.
NAMES.
Months.
Days.
5
13
11
13
6
-
12
-
5
13
1
3
-
18
12
-
12
-
10
17
3
23
4
24
3
28
6
-
1
28
-
13
-
13
3
-
1
-
10
22
1
19
-
24
4
4
12
_
10
2
2
-
12
-
12
-
, 12
-
12
-
11
10
8
3
4
26
2
5
1
15
-
-
Bedhead, Fanny,
Richardson, I. C.,
Richardson, Fannie, .
Richardson, Edward E.,
Ranger, Carrie F.,
Roberts, Daniel W., .
Raymond, Jennie M., .
Sanderson, Alfred,
Sherman, William,
Scripter, Abbie E.,
Sawyer, Mary R.,
Sibley, Sidney, .
Sibley, George C,
Sanderson, J. M.,
Smith, Carrie C,
Scott, Gilman, and wife,
Stone, Josephine A., .
Smith, George E.,
Twichell, Daniel E., .
Tidd, Alice F., .
Taft, Jessie C, .
Titcomb, Abner F., .
Thurston, M. B.,
Vinton, Clarissa F., ,
Williams, Pamelia,
Walker, Sophronia, .
Wood, Amos,
Wood, Thomas, .
Wright, Jennie W., .
Woodburn, Nettie,
Wetherby, Alfred,
West, Hattie L., .
Wood, Horace, .
Wordie, Charles,
Wetherby, Albert,
Total,
$91 12
210 68
104 98
300 00
77 96
26 36
7 70
336 00
900 00
132 16
43 16"
129 01
97 96
135 00
24 38
14 17
5 50
50 00
23 25
137 64
40 30
19 92
51 47
138 00
161 50
22 00
600 00
300 00
300 00
150 00
171 54
90 14
121 57
54 10
31 91
$18,168 95
Salaries and wages,
Paid for labor, .
Total for salaries, wages and labor, .
2d — Provisions and supplies, viz.
Meats of all kinds,
Fish of all kinds, .
Fruit and vegetables, .
Flour, ....
Grain and meal for table,
$18,168 95
1,052 44
$19,221 39
19,279 74
887 21
2,016 09
7,354 99
464 87
1866.]
PUBLIC DOCUMENT— No. 22.
17
Grain and meal for stock,
Tea, coffee and chocolate,
Sugar and molasses, •
Milk, butter and cheese,
Salt and other groceries,
All other provisions,
Total for provisions and supplies,
3d— Clothing, . . ■ .
4th — Fuel and lights, ....
5th — Medicine and medical supplies,
6th — Furniture, Beds and Bedding,
7th — Transportation and travelling expenses
8th — Ordinary repairs, ....
9th — Expenses of the trustees or inspectors
10th — All other expenses,
Total current expenditures,
$1,751 66
1,751 98
2,751 77
5,439 39
1,148 58
728 41
$33,574 69
4,734 38
15,427 60
1,028 52
2,613 14
195 13
4,948 22
5 66
5,271 60
$S7,020 33
[ B. ] Extraordinary Expenditures.
1st — Buildings and improvements, .
Building two bank walls, . . $728 40
Finishing off reading room, . 150 00
Alteration of kitchen, . . 250 00
L,128 40
2d — Extraordinary repairs,
Piggery, .
$250 00
3d — Miscellaneous expenses, .
Paid note at Mechanics' National
Bank, . . '. . . $25,828 26
Paid for interest on loans, . . 374 00
Refunded for over-payment, . 26 69
Total extraordinary expenditures, .
Total expenditures, ....
250 00
26,228 95
27,607 35
$114,627 68
IV . — Liabilities .
Salaries unpaid, $4,736 96
Miscellaneous bills, as per vouchers, etc., 7,409 23
Money borrowed and not repaid, 20,329 38
Interest due on loans or bills, 413 53
Total liabilities, $32,889 10
3
18
LUNATIC HOSPITAL AT WORCESTER. [Oct.
V. — Cash Account.
Dr.
To cash on hand, October 1, 1865, ' .
since drawn from the State treasury at sundry times,
received from sale of produce,
received from sale of other articles,
received from loans,
received from all other sources, .
Total,
Cr.
By cash paid for money borrowed, .
for interest on bills,
for salaries, wages and labor,
for provisions and supplies, .
for fuel and lights,
for clothing, furniture and beddin
for repairs and improvements,
for all other ordinary expenses,
for extraordinary expenses, .
on hand, September 30, 1866,
Total,
$1,040 40
19,728 25
3,854 09
32,500 00
57,537 18
$114,659 92
$25,828 26
374 00
19,221 39
33,574 69
15,427 60
7,347 52
4,948 22
6,500 91
1,405 09
32 24
$114,659 92
VI. — Summary op the Above.
Total receipts, $114,659 92
Total expenditures, • . 114,627 68
Cash on hand, $32 24
Total liabilities, $32,889 10
Total Resources, (including debts due the institution to the
amount of $0,000.00, and unexpended appropriations to the
amount of $0,000.00,) 16,629 74
Balance of liabilities, for or against the institution, . . . $16,259 36
I consider the current expenses of the institution for the year 1865-6 to have
been ninety-one thousand four hundred and forty-five dollars and fifty-
seven cents, as appears by the following statement : —
Dr.
To cash on hand, October 1,1865, .
since drawn from the State treasury,
received from all other sources, .
Total,
$1,040 40
19,728 25
93,891 27
$114,659 92
1866.] PUBLIC DOCUMENT— No. 22. 19
Cr.
By increased cash value of personal assets, .... $1,393 00
cash on hand, September 30, 1866, 32 21
paid for all current expenses, 87,020 33
Total, $91,115 57
During the year my average number of inmates has been, . 368
Dividing the current expenses by the average number of inmates
gives an average annual cost of, $218 09
And an average weekly cost of, 1 77
(Signed,)
MERRICK BEMIS
Superintendent of Worcester Lunatic Hospital.
We have examined the above statement and believe it to be correct.
WILLIAM WORKMAN,
HENRY CHAPIN,
Trustees.
20
LUNATIC HOSPITAL AT WORCESTER. [Oct.
OFFICERS OF THE HOSPITAL.
TRUSTEES.
WILLIAM WORKMAN, M. D., . . . Worcester.
HON. SAMUEL E. SEW ALL, .... Boston.
HON. EDWIN F. JENKS, .... Adams.
ROBERT W. HOOPER, M. D., . ■ . Boston.
HON. HENRY CHAPIN, Worcester.
BESIDE NT OFFICERS.
MERRICK BEMIS, M. D., .... Superintendent.
JOSEPH DRAPER, M. D., . . . . Assistant-Physician,
CAROLINE A. BEMIS, Matron.
DANIEL W. BEMIS, Steward.
TREASURER.
DANIEL W. BEMIS,
Office at the Hospital.
Worcester.
SALARIED OFFICERS OF THE HOSPITAL.
Superintendent,
Assistant-Physician,
Matron, .
Steward and Treasurer,
$1,800 00
900 00
200 00
1,000 00
1866.]
PUBLIC DOCUMENT— No. 22.
21
SUPERINTENDENT'S REPORT.
To the Trustees of the Worcester Lunatic Hospital.
Gentlemen : — In obedience to the laws of the Commonwealth,
I submit to you the Thirty-Fourth Annual Report of the Wor-
cester Lunatic Hospital for the year ending September 30th,
1866.
For the operations of the year in detail you are respectfully
referred to the following tables, and such brief explanations
and remarks as accompany them.
Table No. 1.
Showing the general results during the Year.
Males.
Females.
Total.
Patients in the Hospital Oct. 1, 1865,
169
172
341
admitted during the year .
163
126
289
Whole number under treatment,
332
298
630
Discharged recovered,
42
47
89
improved,
58
37
95
not improved,
15
10
25
Died,
27
13
40
Whole number discharged during the year,
142
107
249
remaining September 30, 1866,
190
191
381
Thus it will be seen that the number of patients in the hos-
pital at the beginning of the year was three hundred and forty-
one, of whom one hundred and sixty-nine were males and one
hundred and seventy-two were females.
The number admitted during the year was two hundred and
eighty-nine, of whom one hundred and sixty-three were males
and one hundred and twenty-six were females.
22 LUNATIC HOSPITAL AT WORCESTER. [Oct.
The whole number under treatment during the year was six
hundred and thirty, of whom three hundred and thirty-two
were males and two hundred and ninety-eight were females.
The whole number discharged during the year was two hun-
dred and forty-nine, of whom one hundred and forty-two were
males and one hundred and seven were females.
The whole number remaining in the hospital is three hun-
dred and eighty-one, of whom one hundred and ninety are
males and one hundred and ninety-one are females.
Of the two hundred and forty-nine patients discharged,
eighty -nine were discharged as recovered, and have returned
to their homes and friends, and have resumed the ordinary
duties and activities of life ; and ninety-five were discharged as
improved. Many of this class have returned to their former
occupations, and some of them are filling places of responsi-
bility and trust, and are performing their duties in a manner
satisfactory to their friends and employers. Others, though
not recovered, have become so tranquil and are so much
improved in health of body and mind as to cause their relatives
and friends but little anxiety, and to require from them but a
small amount of care and direction.
The recoveries were in the ratio of thirty per cent, to the
whole number admitted ; or a fraction more than twenty-four
per cent, to the average number under treatment ; or fourteen
per cent, to the whole number in the hospital during the year ;
or forty per cent, to the whole number discharged, after
deducting the number of those who died. The recoveries
were also in the ratio of sixty-three per cent, to the number of
those whose insanity had existed less than one year, and only
ten per cent, to the number of those who had been insane
more than one year previous to admission to the hospital.
You will readily see that the percentage of recoveries is
somewhat less than the average of preceding years, a result
due in part to the fact that a larger proportion of admissions
than usual took place toward the end of the year ; and these
cases are of course still under treatment ; and in part, also, to
the fact that a large number of the admissions in the early part
of the year were chronic cases.
The ratio of deaths to the whole number under treatment was
six per cent., and ten per cent, the average number of residents.
1866.] PUBLIC DOCUMENT— No. 22. 23
In looking over the records of the hospital, we find that
seven thousand six hundred and fourteen patients — three thou-
sand seven hundred and eighty-three males, and three thousand
eight hundred and thirty-one females — have been admitted into
the hospital since it was opened in January, 1833. Of this
number three thousand five hundred and sixty-seven have
recovered, giving a ratio of nearly fifty per cent., after deduct-
ing the number of those who still remain under treatment.
One thousand four hundred and nineteen patients have been
discharged improved in health of body and mind, very many of
whom have passed a long period of time in great comfort, and
are, and have been, useful members of the communities in
which they live. The number of those discharged as improved,
added to the number of recoveries, makes the number of those
who have received benefit by a residence in this hospital four
thousand nine hundred and eighty-six.
Thus much the hospital has been the means, in some measure
at least, of accomplishing. It has certainly been instrumental
in sending back to the world in health and happiness three
thousand five hundred and sixty-seven individuals.
It has been the means of giving a tolerable degree of health
and comfort to one thousand four hundred and nineteen
patients who did not fully recover within its walls, but many of
whom were restored to such a measure of health as to enable
them to return to their accustomed occupation, and to take
charge of their families. And besides all this, it constantly
affords security, peace and comfort to a large and troubled
household. The hospital has taken from families and friends,
from poor-houses and prisons, from the streets and by-ways,
the sick and sorrowing, the violent and dangerous, the suicidal
and homicidal, and has given back to society, in full possession
of mental and physical health, more than fifty per cent, of all
it received. It has also relieved and sent back in comparative
comfort, though not cured, eighteen per cent, more of the
whole number committed to its care.
All this, and more, has been accomplished by the hospital, at
the small cost of not more than one hundred and seventy-five
thousand dollars to the State for buildings, fixtures and land, and
to the patients and the Commonwealth not more than an average
of one-half year's support to each individual so returned.
24
LUNATIC HOSPITAL AT WORCESTER. [Oct.
In view of these facts you should enjoy a reasonable degree
of satisfaction in the success of your institution, and be encour-
aged to press upon the legislature such measures as you may
deem necessary for its future usefulness and welfare.
Table No. 2.
Showing the Admissio?is and state of the Hospital from October, 1865,
to September 30, 1866.
Patients in the Hospital October 1, 1865, ....
Males, .... 169 Females,
Patients admitted in the course of the year, ....
Males, .... 163 Females,
Patients remaining in the Hospital September 30, 1866,
Males, . . . .190 Females,
Of the admissions there were cases of one year or less duration,
Males, . .. ■ . .110 Females,
Of the admissions, there were cases of more than one year'
duration, . .'
Males, .... 46 Females,
Of the admissions, there were cases the duration of whose insanity
could not be ascertained,
Males, . . . . 7 Females,
Patients committed by Courts, . ...
Males, .... 101 Females,
Patients committed by Overseers of the Poor,
Males, .... 10 Females,
Patients on bonds, . . ....
Males, . ' . . . 45 Females,
Patients committed by Governor's Warrant,
Males, .... 0 Females,
Patients committed by the Board of State Charities, .
Males, .... 7 Females,
Patients committed by Commissioners of Lunacy,
Males, .... 0 Females,
Foreigners and those having no settlement in the State, committed
in course of the year,
Males, .... 63 Females,
Foreigners and those having no settlement in the State, discharged
in course of the year,
Males, .... 45 Females,
Foreigners and those having no settlement in the State, remainin
in the Hospital, September 30, 1866, ....
Males, .... 54 Females,
341
172
289
126
381
191
203
93
31
77
191
90
10
22
20
67
125
62
87
42
129
1866.]
PUBLIC DOCUMENT— No. 22.
25
State Paupers remaining in the Hospital at the close of each year, as
nearly as can be ascertained.
1842,
34
1851, .
. 201
1860,
. 130
1843,
38
1852, .
. 241
1861,
. 156
1844,
38
1853, .
. . 216
1862,
. 189
1845,
57
1854, .
. 151
1863,
. 175
1846,
52
1855, .
. 115
1864,
. 116
1847,
121
1856, .
. 155
1865,
91
1848,
. 150
1857,' .
. 119
1866,
. 129
1849,
. 167
1858, .
. 121
1850,
. 1S1
1859, .
. 124
The foregoing illustrates the manner of commitment to the
hospital, the duration of insanity previous to commitment, and
to some extent the status of patients while in the hospital. It
appears that there were admitted sixty-seven patients on private
bonds, and twenty on bonds from towns ; these bonds always
being accompanied by certificates from two physicians that the
persons for whom applications were made were insane.
One hundred and ninety-three were committed by the pro-
bate court, and eight by the board of state charities. A few
of those committed by the probate court are persons of prop-
erty, and are charged at the same rate as private patients.
And many of the town patients are committed by the court,
the authorities of the towns preferring this method to giving
their bonds.
A reference to the table shows also that you have discharged
eighty-seven persons who had no settlement in the Common-
wealth, and that one hundred and twenty-nine still remain who
are supported by the charity of the State, nearly all of whom
are of foreign birth.
The greatest number of patients under treatment at any one
time during the year was three hundred and ninety-three. The
greatest number of private patients one hundred and twenty,
of town patients one hundred and fifty-three, and of State
patients one hundred and thirty-five.
The weekly average number of inmates was three hundred
sixty-eight and six-tenths. The weekly average of private
4
26 LUNATIC HOSPITAL AT WORCESTER. [Oct.
patients was one hundred and twelve and four-tenths ; of town
patients one hundred and forty-three and eight-tenths ; and of
State patients it was one hundred and twelve and four-tenths.
The board of state charities have removed to other institu-
tions and to their homes twenty-eight State patients in the
course of the year. This number were all recommended to
you for discharge previous to their removal, and it is believed
that none have been discharged whose mental and physical
condition did not make such a measure advisable.
No very feeble person has been removed, and no unusually
violent, filthy or destructive patient has been discharged. In
all cases where State patients have been removed to other insti-
tutions, or to their homes or friends previous to recovery, they
have not only been carefully observed by yourselves, but have
been visited by the agent of the board of state charities and
their cases fully investigated before any steps have been taken
to procure their discharge ; and when relatives or friends have
been known their wishes have always been consulted.
Ten State patients have died in the course of the year.
Less than the usual number of patients have been removed
to the State almshouses during the year, and but few have
been discharged except to the care of relatives and friends.
For a few, situations have been procured where they could
labor and receive wages. Others have been permitted to do
such work in the neighborhood as they could find to do, and
have received all the profits. Two men have earned and col-
lected more than one hundred dollars each during the year.
Several others have earned smaller sums, varying from twenty
to fifty dollars each. Two have secured patents on inventions
of their own, models of which were made here by the patients.
Three patients eloped in the course of the year, each of
whom had on previous occasions escaped from the hospital. A
history of their several escapes would form an interesting nar-
rative to- all not conversant with hospital life and experience.
They all returned to their- friends.
1866.J
PUBLIC DOCUMENT— No. 22.
27
Table No. 3,
Showing the Number Admitted, Restored, Improved, Died, fyc, in each
Month in the Year.
Admitted.
Removed.
Remaining.
MONTHS.
o
-a
>
p
■a
t>
p
ft
S
01
tn
K
S
i— i
o
185
5
o
Eh
«
«
o
o
tvt.
F.
pvr.
f.
M,
F.
M
F.
M.
F.
T.
3
s
o
S
fc<
H
r$
H
October, . .
12
7
19
4
1
4
1
3
11
2
13
170
177
347
November, •
18
12
30
3
7
6
6
-
1
o
3
11
17
28
177
172
349
December, .
10
15
25
5
4
6
1
-
1
3
0
14
8
22
173
179
352
January, . .
13
10
23
2
1
4
-
1
1
-
-
7
2
9
179
187
• 366
February,
17
6
23
3
8
-
1
1
2
1
-
5
11
16
191
182
373
March, . .
11
4
15
-
3
9
5
o
1
1
-
12
9
21
190
177
367
April, . . .
13
5
18
4
4
3
3
4
1
3
-
14
8
22
189
174
363
May, . . .
15
10
25
5
4
2
6
0
-
3
-
12
10
22
192
174
366
June, . . .
19
15
34
1
5
3
4
o
-
o
1
8
10
18
203
179
382
July, . . .
8
21
29
9
1
3
2
1
1
5
4
12
8
20
199
192
391
August, . .
9
13
22
8
610
3
1
9
1
2
20
13
33
188
192
380
September, .
18
163
8
126
26
289
4
42
31 8
5
37
1
-
3
27
1
13
16
142
9
107
25
249
190
191
381
Totals, . .
47
58
15
10
-
-
-
Table No. 4,
Showing the form of Disease in those Admitted and Discharged during
the year.
Admitted.
Discharged.
FORM of disease.
8
n
a
o
Eh
o
H
"3
8
a
a
"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,
93
14
8
5
16
15
7
4
1
87
12
4
1
7
10
2
1
1
1
180
26
12
6
23
25
9
5
1-
1
1
62
26
6
6
12
17
9
3
1
66
17
2
1
7
11
1
1
1
128
43
8
7
19
28
10
3
1
1
1
Totals, ....
163
126
289
142
107
249
28
LUNATIC HOSPITAL AT WORCESTER. [Oct.
Table No. 5.
Supposed Causes of Insanity of Patients admitted into the Hospital
from January 18, 1833, to September 30, 1865.
1866.
Previously.
CAUSES.
Males.
Females.
Males.
Females.
Apoplexy,
_
_
1
2
Asthma, ....
-
-
1
-
Bronchitis,
-
-
-
1
Bowels, Disease of, .
-
-
1
-
Cancer, ....
-
-
-
1
Chorea, ....
-
-
-
3
Constipation, . . .
-
-
-
-
Convulsions, .
-
-
10
12
Dysentery,
-
-
2
2
Dyspepsia,
1
1
2
1
Epilepsy,
10
5
167 .
59
Eruptive Diseases, .
-
-
3
3
Eyes, Disease of,
-
-
o
-
Eyes, Loss of, .
-
-
1
-
Erysipelas,
-
-
-
1
Fevers, ....
2
4
49
68
Hysteria, . . .
-
-
-
1
Hemorrhoides,
-
-
1
1
111 Health,
32
42
184
858
Influenza,
-
-
1
3
Insolation,
3
-
16
-
Idiocy, ....
3
1
15
9
Laryngitis,
-
-
-
-
Measles, ....
-
-
4
6
Nervous Irritation, .
-
-
-
-
Nymphomania,
-
-
-
4
Old Age,
5
2
23
29
Otitis,
-
-
-
-
Paralysis,
11
1
66
27
Pneumonia,
-
-
-
-
Rheumatism, .
-
-
5
1
Scrofula,
1
-
1
2
Sea-sickness, .
-
-
1
1
Somnambulism,
-
-
-
2
Suppressed Eruptions,
-
-
4
3
Suppressed Ulcer, .
-.
-
1
3
Satyriasis,
-
-
1
-
Tic Douloureux,
-
-
-
1
Tumor, .
-
-
-
1
Whooping Cough, .
-
-
1
-
Amenorrhea, .
-
-
-
21
Lactation, Excessive,
-
-
-
3
Menorrhagia, .
-
1
-
9
Menorrhagia, Suppressed
-
-
-
27
Miscarriage, .
-
-
-
4
Pregnancy,
-
1
-
11
Puerperal,
-
9
-
211
Turn of Life, .
"
5
72
1866.] PUBLIC DOCUMENT— No. 22.
Table No. 5— Concluded.
29
1866.
Previously.
CAUSES.
Males.
Females.
Males.
Females.
Amputation of Leg,
_
_
1
_
Bathing in Cold Water,
1
-
1
-
Drinking Cold Water,
-
-
1
-
Exposure to Cold, .
-
-
11
13
Injuries by Falling, &c.
-
-
20
6
Injury of Head,
5
-
55
13
Injury of Spine,
-
-
5
7
Lead, Poison of,
-
-
5
-
Lightning, Stroke of,
-
-
-
1
Labor, Excessive, .
2
2
42
58
Loss of Sleep,
-
-
-
' 3
Study, Excessive, .
3
1
26
11
Spiritualism, .
-
-
20
24
Criminal Trial,
-
-
-
1
False Accusation, .
-
-
-
1
Imprisonment,
-
-
4
-
Death of Relatives,
2
4
28
82
Domestic Trouble, .
3
6
111
337
Marriage, Unhappy,
-
-
2
5
Disappointment in Love,
2
2
64
98
Disappointed Ambition,
-
-
9
9
Home Sickness,
_•
-
6
18
Fright, .
-
-
21
24
Seduction,
_
_
-
, 3
Millerism,
-
-
9
6
Political Excitement,
1
-
9
1
Religious Excitement,
_
-
156
177
Pecuniary Trouble,
2
-
142
37
Poverty, .
-
-
1
1 -
Poverty, Fear of, .
1
-
31
8
Prosecution, .
-
-
1
-
Giving up Business,
-
-
2
-
Change of Business,
_
-
8
-
Violent Temper,
-
-
2
13
Jealousy,
-
1
18
27
Intemperance,
25
12
588
72
Opium, Use of,
-
-
3
9
Tobacco, Use of,
-
-
2
7
Masturbation, .
14
6
369
60
Venery, Excess of,
-
-
1
-
Unknown,
35
21
1,083
1,112
Totals, .
•
163
126
3,620
3,705
Of the above there were —
Hereditary cases, ....
28
15
. 577
794
Periodical cases, ....
24
19
599
635
Hereditary and Periodical cases,
8
3
382
414
Suicidal cases, ....
13
16
101
246
Homicidal cases, ....
10
3
149
46
Suicidal and Homicidal cases,
1
-
48
28
30
LUNATIC HOSPITAL AT WORCESTER. [Oct.
Table No. 6,
Shoiving the Ages of Patients Admitted, Discharged Recovered, not
Recovered and Died during the Tear.
AGES.
Admitted.
Discharged Re-
covered.
Discharged not
Recovered.
Died.
Males.
Females.
Males.
Females.
Males.
Females.
Males.
Females.
Less than 15, .
1
1
From 15 to 20,
8
9
-
2
4
3
-
1
20 to 30,
38
27
10
11
10
9
4
2
30 to 40,
44
35
13
10
17
10
5
2
40 to 50,
32
26
8
9
13
10
4
3
50 to 60,
20
16
6
11
13
7
4
3
60 to 70,
11
6
3
4
12
6
6
1
70 to 80,
7
5
1
-
2
2
4
1
80 to 90,
2
1
1
-
1
-
_
-
Unknown, . .
-
1
-
-
-
-
-
-
Totals, . .
163
126
42
47
73
47
27
13
Table No. 7,
Showing the Ages of Patients Admitted, Discharged Recovered, not
Recovered and Died, from January 18, 1833, to September 30, 1865.
Discharged Re-
Discharged not
Admitte
Died.
covered.
Recover]
AGES.
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
1866.]
PUBLIC DOCUMENT— No. 22.
31
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'd not
Recovered.
Died.
DURATION OF INSANITY.
Males.
Females.
to
'a
CO
i
03
"a
s
o
Insane 1 year or less,
More than 1 year, and less than
2 .years,
More than 2 years and less than
5 years, . . . .• .
More than 5 years, and less than
10 years, ....
More than 10 years, and less
than 15 years,
More than 15 years and less
than 20 years,
More than 20 years and less
than 25 years,
More than 25 years and less
than 30 years,
Thirty years or more,
Unknown,
110
12
19
9
5
1
1
6
163
93
4
15
7
4
3
126
37
2
1
2
42
40
3
4
47
19
36
7
6
o
3
8
12
11
9
5
2
14
8
3
2
27
9
1
3
Totals, *...'.
73
47
13
32
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.
»5
03
C3
1
"a
1
"3
8
"3
S
o
Males.
Femal
Insane one year or less, .
2,277
2,505
1,273
1,405
622
597
217
268
More than one 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
45
24
21
45
31
8
8
Totals, .
3,620
3,704
1,663
1,805
1,350
1,288
438
440
1866.]
PUBLIC DOCUMENT— No. 22.
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
Recovered.
Died.
CONDITION.
Males.
Females.
Males.
Females
Males.
Females.
Males.
Females.
Unmarried, .
Married,
Widowers,
Widows,
Unknown,
S2
68
13
52
49
24
1
19
19
4
15
25
7
43
26
4
21
21
5
9
13
5
4
7
2
Totals,
163
126
42
47
73
47
27
13
Table No. 11,
Showing the Civil Condition of Patients Admitted, Discharged Recovered,
not Recovered, and Died, from January 18, 1833, to September 30,
1866.
CIVIL
Admitted.
Discharged Re-
covered.
Discharged not
Recovered.
Died.
CONDITION.
Males.
Females.
Males.
Females.
Males.
Females.
Males.
Females.
Unmarried, .
Married,
Widowers,
Widows,
Unknown,
1,909
1,529
159
23
1,582
1,673
430
20
821
776
63
3
719
874
209
3
815
475
48
12
681
466
127
14
172
212
48
6
187
171
80
2
Totals,
3,620
3,705
1,663
1,805
1,350
1,288
438
440
34
LUNATIC HOSPITAL AT WORCESTER.
[Oct.
Table No. 12,
Showing the Occupation of Patients admitted to the Hospital from
January 18, 1833, to September 30, 1866.
OCCUPATION OF MALES.
1866.
Previously.
Auctioneers, . . . .
2
Armorers, ....
-
3
Authors,
-
3
Blacksmiths and Iron-workers, .
5
61
Bakers,
1
11
Butchers,
-
5
Book-agents, . .
-
2
Book-binders, ....
-
3
Broom-makers,
-
2
Book-keepers, ....
1
9
Brittania-workers, .
-
2
Brick-makers, ....
-
6
Bellows-makers,
-
2
Barbers,
2
13
Clergymen, ....
1
24
Carvers,
1
2
Carpenters, ....
7
118
Coppersmiths, ....
-
9
Coopers, ....
-
22
Cabinet-makers,
1
16
Clothiers,
-
15
Comb-makers, ....
-
4
Confectioners, .
-
3
Card-makers, .
-
1
Chair-makers, .
-
3
Cigar-makers, . ' .
1
5
Clerks, ....
11
91
Carpet-weavers,
-
3
Caulkers,
-
3
C amphene-distillers,
-
3
Dyers, ....
-
3
Druggists,
-
3
Drovers, ....
-
2
Daguerreotypists,
-
3
2
Engineers,
—
Engravers,
-
4
Editors, ....
-
4
Expressmen, .
-
14
Farmers, ....
23
723
Fishermen, . . . a
-
33
Gardeners,
-
9
Glass-blowers, .
-
4
Hotel-keepers, .
1
13
Hatters, ....
. 1
6
Harness-makers,
-
14
Hackmen and Teamsters,
2
33
Jewellers,
3
18
Lawyers, ....
3
12
1866.] PUBLIC DOCUMENT— No. 22.
Table No. 12 — Continued.
35
OCCUPATION OF MALES.
Previously.
Laborers,
Manufacturers,
Millers, ....
Merchants,
Masons, ....
Miners, ....
Miniature-painter, .
Mat-makers,
Musicians,
Machinists,
Moulders,
Operatives in Mills, .
Palm leaf splitter,
Painters, . .
Printers, ....
Physicians,
Paper-makers, .
Peddlers, ....
Potter, ....
Pump and Block-makers,
Pattern-makers,
Plumbers,
Police Officers,
Rope-makers, .
Restaurators, .
Shoemakers and Bootmakers,
Sail-makers,
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, ....
33
1
14
817
31
6
149
30
4
1
3
7
43
7
82
1
46
32
20
7
13
1
4
4
5
3
10
8
286
9
8
3
16
158
56
8
3
9
22
1
1
2
27
26
33
3
7
19
2
18
232
163
3,620
36 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Table No. 12 — Concluded.
OCCUPATION OF FEMALES.
Previously.
Actresses,
Cooks,
Engraver,
Housekeepers, .
Housemaids,
Laundresses. .
Music Teachers,
Midwives,
Nurses, .
Operatives in Mills,
Seamstresses, .
School-girls,
Teachers,
Type-setters, .
No occupation,
Totals, .
Table No. 13.
Diseases which have proved fatal, from January 18, 1833, to September
30, 1866.
1806.
Previously.
DISEASES.
Males.
Females.
Males.
Females.
Apoplexia,
1
1
15
10
Asphyxia,
-
-
2
-
Asthma, .
—
—
4
1
Ascites, .
-
-
5
7
Autochiria,
1
-
15
11
Bronchitis,
-
-
2
-
Carcinoma,
-
-
2
2
Cardionosus, .
2
1
9
11
Cholera, .
-
-
5
-
Cholera Morbus,
-
-
2
3
Cystitis, .
-
-
1
1
Dysenteria,
-
-
12
6
Delirium Tremens,
-
-
4
-
Enteritis,
_
-
6
9
Epilepsia,
1
1
70
32
Erysipelas,
-
-
9
10
Hepatitis,
-
-
-
2
Hydrothorax, .
-
-
1
1
Hernia, .
-
-
1
-
Inanitio, .
2
2
34
55
1866.] PUBLIC DOCUMENT— No. 22.
Table No. 13 — Concluded.
37
1866.
Previously.
DISEASES.
Hales.
Females.
Males.
Females.
Mania, Exhaustive,
3
3
10
11
Marasmus, . . •
3
1
65
67
Meningitis,
-
-
9
14
Mortificatio, .
-
-
-
1
Necropneumonia, .
-
-
1
2
Paralysis,
7
1
43
19
Phthisis Pulmonalis,
4
2
56
119
Pleuritis,
-
-
-
2
Pneumonia,
-
-
15
9
Senectus,
2
-
24
19
Typho-Mania,
1
1
7
10
Typhoid Fever,
-
-
8
6
Variola, .
-
-
1
-
Totals, .
•
27
13
438
440
Table No. 14,
Showing the Admissions from each County, from January 18, 1833, to
September 30, 1866.
1866.
Previously.
COUNTIES.
Whole No.
Males.
Females.
Totals.
Barnstable,
_
128
128
Berkshire,
-
-
-
189
189
Bristol,
-
-
-
294
294
Dukes,
-
-
-
19
19
Essex,
20
28
48
1,056
1,104
Franklin, .
-
-
-
126
126
Hampden,
3
1
4
168
172
Hampshire,
-
-
-
225
225
Middlesex,
53
38
91
1,196
1,287
Nantucket,
-
-
-
32
32
Norfolk, .
7
5
12
618
630
Plymouth,
1
-
1
235
236
Suffolk, .
10
7
17
714
731
Worcester,
66
46
112
2,087
2,209
Other States,
3
1
4
38
42
Totals, .
•
163
126
289
7,225
7,514
38
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 iveek for each of the Thirty-three Years the Hospital has been in
operation.
No. at end
Expense per
TEAK.
Whole
Average
of each
Current expenses
Annual Expense
Week for
Number.
Jf umber.
Year.
of each Year.
for each Patient.
each Patient.
1833, .
153
107
114
$12,272 91
$114 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
136 20
2 62
1839, .
397
223
229
29,474 41
132 16
2 53
1840, .
391
229
236
27,844 98
121 59
2 33
1841, .
399
233
232
28,847 62
123 81
2 38
1842, .
430
238
238
29,546 87
111 12
2 13
1843, .
458
244
255
27,914 12
114 40
2 20
1844, .
491
261
263
29,278 75
112 17
2 15
1845, .
656
316
360
43,888 65
138 88
2 66
1846, .
637
359
367
39,870 37
111 06
2 13
1847, .
607
377
394
39,444 47
104 62
2 01
1848, .
655
404
409
42,860 05
106 09
2 04
1849, .
682
420
429
40,870 86
97 31
1 87
1850, .
670
440
441
46,776 13
106 40
2 04
1851, .
704
462
466
52,485 33
112 61
2 16
1852, .
775
515
532
43,878 35
85 20
1 64
1853, .
820
537
520
53,606 66
103 14
1 98
1854, .
819
430
381
53,221 52
123 77
2 38
1855, .
580
349
336
54,895 88
157 29
3 02
1856, .
577
357
376
45,631 37
128 64
2 47
1857, .
647
387
372
49,004 75
124 04
2 38
1858, .
679
372
301
38,267 26
102 86
2 39
1859, .
501
309
317
48,363 33
156 51
3 01
1860, .
532
324
331
47,757 01
147 39
2 83
1861, .
583
369
379
54,748 53
148 37
2 84
1862, .
600
401
396
53,043 88
132 18
2 50
1863, .
611
398
399
66,082 36
166 03
3 19
1864, .
625
366
344
66,612 00
182 00
3 50
1865, .
565
350
343
73,772 41
211 37
4 06
1866, .
630
368
381
88,398 73
239 28
4 60
The cost of support during the last year, as will be seen by
the table, has been very great, but in reality not increased above
that of the year preceding. Several of the former years' bills
were paid during the year now closed ; thus making the cost
apparently greater than it really was. There was no essential
difference between the years 1865 and 1866 in cost of support.
1866.]
PUBLIC DOCUMENT— No. 22.
39
There is also an apparent discrepancy between the statement
in the table and that in the financial statement made to the board
of state charities : the latter appearing considerably greater by
adding to the expenses the increased amount of assets.
It has been supposed that the debt, for the removal of which
you asked legislative assistance last year, accrued from the
increased cost of supplies, and that a judicious rise in the price
of board would have prevented the evil.
The legislature establishes the price for a large class of our
patients, and indirectly governs the price of another large class ;
and it was thought unwise and unjust to make the remaining
class support themselves and assist largely in the support of
the others.
But the debt was not created in this manner.
During the last ten or twelve years, more than sixty thousand
dollars have been expended in permanent improvements, which
the hospital has paid for, and which should properly be charged
to construction. While this work was going on, our income was
diminished by an Act of the legislature reducing the price paid
for board of State paupers, and also by making the hospital pay
the salaries of its officers. And it was again diminished before
the completion of the work by the breaking out of the rebel-
lion. The following statement will illustrate our relation to
the Worcester banks by showing the amount due from the
hospital at the end of each year. If, however, any note was
lying overdue at the end of the year, it cannot be shown ; and
thus, in one or two years, the statement may not be exact. It
is within the truth.
Nov. 30, 1856.
Due
Worcester
Bank,
$9,882 86
1857.
Due
do.
do.
8,955 46
1857.
Due
Mechanics'
Bank,
9,553 25
1858.
Due
do.
do.
2,000 00
1859.
Due
do.
do.
-
Sept. 30, 1860.
Due
do.
do.
. 10,930 74
1861.
Due
do.
do.
10,472 79
1862.
Due
do.
do.
. 13,153 70
1863.
Due
do.
do.
13,737 62
1864.
Due
do.
do.
12,604 48
1865.
Due
do.
do.
10,082 17
40
LUNATIC HOSPITAL AT WORCESTER. [Oct.
The following table of prices of the more important articles
of consumption for the last sis years, will show whether we are
likely to do more the coming year than to furnish needful
supplies, and keep the buildings in good repair : —
PRICES.
ABTICLES.
1861.
1863.
1863.
1864.
1865.
1866.
Sugar, ....
$0 081
$0 11
150 14^
$0 241
$0 20
$0 14
Molasses,
26
46
55
1 00
85
70
Tea, ....
42
65
75
1 15
1 12
1 10
Coffee, ....
16
26
32
45
40
35
Butter, ....
16
23
28
55
47
50
Rice, ....
71
8
«t
14
12
11
Codfish, ....
3
4|
6|
71
8
73
Beef, ....
£
7
8
15
18
18
Flour, of the quality used
at this Hospital, .
6f
7
8f
15
11
14
Standard Prints for Dress
Goods,
9
13
25
37
35
25
Cottons, 36 inches wide, .
9*
21
35
65
40
32
Cottons, 45 inches wide, .
m
28
50
75
70
46
Blankets,
2 75
3 50
6 50
9 00
9 50
7 50
Coal, ....
6 50
6 75
10 50
16 50
15 00
12 50
1866.]
PUBLIC DOCUMENT— No. 22.
41
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Homicidal.
Hereditary,
do
do
do
do do
Periodical.
do Sui. do
Homicidal.
Suicidal. Periodical.
Hereditary. do
do
Suicidal.
do
Hereditary.
Not improved
do
Improved
Not improved
do
Improved
Not improved
do
Improved
do
Not improved
Recovered
Improved
do
do
do
do
Recovered
do
do
Improved
do
Recovered
Improved
Not improved
do
Improved
do
do
Not improved
Improved
do
do
do
Recovered
Improved
do
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1 yr 1 mth
1 yr 4 mths
4 mths 16 dys
1 yr 4 mths
11 mths 19 dys
4 mths 14 dys
1 yr 3 mths
Probate Court
do
do
do
do
do
do
do
do
Private Bond
do
do
do
Probate Court
do
The Overseers
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do
do
Probate Court
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Probate Court
The Overseers
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do
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111 health,
Unknown,
111 health,
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111 health,
do
Epilepsy,
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do
111 health,
Brain fever,
Unknown,
111 health,
Unknown,
do
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Unknown,
do
Epilepsy,
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Death of son
Masturbation
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public document—No. 22.
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64 LUNATIC HOSPITAL AT WORCESTER. [Oct.
The table of causes gives various particulars regarding the
oodily and mental condition and health of the patients at the
time of their admission to the hospital. Very few were in
general good health and fair bodily condition when committed
to our care. In eighty-six cases their health was injured and
their condition reduced, and in a large majority of the remain-
ing cases, their health indifferent and their general condition
indicative of danger to life. And in all these cases, their
mental condition was aggravating their bodily lesions. In
some, this alone was connected with the derangement of there
general health ; but there were various other diseases compli-
cating many of the cases, as epilepsy, paralysis, hysteria, anae-
mia, cerebral and spinal congestion and irritation, dyspepsia,
uterine diseases, and diseases of the heart, and disordered
conditions of the liver.
In many such cases, when insanity is dependent on organic
disease, we can expect to do but little more than palliate the
symptoms. There is no hope of recovery. Appropriate treat-
ment may, and often does, retard the progress of disease, both
mental and bodily, and the patients may even enjoy sufficient
tranquillity of mind to enable them to arrange their affairs, and
give such advice and direction as they would before their illness
have wished.
There is also a class of cases depending on shocks to the
nervous system, which are productive of insanity, and in which
there are attendant bodily derangements which require the aid
of the physician to promote removal.
Another class of patients, with broken constitutions and with
various chronic 'degenerations, whose mental faculties are com-
pletely destroyed, are often sent to end their days in the
hospital ; namely, those incapacitated by old age — the time of
life at which this occurs varying with each individual. Others
are sent who have inherited a low mental organization, and
they, at an early period of life, break down and become help-
less, and dependent on others for the performance of every
office of daily life.
Another large class are those who are the subjects of epilepsy,
which, in its progress, induces complete prostration of the
mental faculties with some, and with others a great irritability
1866.] PUBLIC DOCUMENT— No. 22. 65
of the passions and excitement of the mind, which run into an
attack of mania, attended with violent mental disturbance, the
presence of delusions and hallucinations which render the
patient often furious and dangerous, and very difficult of
control and management.
Many cases, which have suffered from slight apoplexy and
paralysis, terminate in mental aberration and impairment of the
mind, and live for years in the hospital a dreamy kind of
existence, incapable of any mental effort, and unable to manage
themselves or their affairs.
It is quite common to have patients brought to the hospital
suffering from an attack of acute mania, in whom the lungs
are in a state of active disease. You will remember some such
cases when the patients died soon after admission.
Others have been sent, in whom a typhoid condition has been
developed by long continued violent excitement, attended with
general functional derangement of all the organs essential to
health and life.
Defective nutrition and various dyspeptic conditions are
observed in many of those admitted, which probably induced
insanity by interfering with healthy nutrition.
Little more need be said in the Annual Report, of treatment,
medical or moral ; bnt a few words may not be amiss. Moral
treatment of the insane consists in occupation, recreation,
education and amusement ; but, in order to secure these, great
difficulty is often, nay, always experienced. It is difficult to
secure sufficient novelty and variety ; it is also difficult to
present matters to the insane mind in a manner which will be
pleasing and instructive, and it is difficult to fasten .the atten-
tion so as to interest the patient. Hence it is necessary to
vary constantly the means of instruction and amusement.
What we succeed in to-day, fails to-morrow. Last winter we
had courses of lectures illustrated by experiment, alternated
with music and magic-lantern scenes. Then, in the spring,
social reunions, and in summer, concerts, picnic parties, &c.
This coming winter we propose to have historical and geo-
graphical lectures illustrated by the stereoscopticon, alternated
with views of picture galleries and works of art found in the old
world. Add to this the frequent familiar conversation clubs,
the chapel exercise, and an idea is given of moral treatment.
9
66 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Of the medical treatment we have still less to say, except
that occasional cathartic tonics and a moderate supply of
stimulants constitute the bulk of our materia medica. Drugs
are comparatively little used, and yet, whenever any pathologi-
cal reason exists for the administration of any medicine, it is of
course freely used. Cathartics and tonics are perhaps more
frequently used than all other medicines. A generous supply
of nourishing food and a discreet use of tonics and stimulants
seems to be imperatively demanded by all the feeble patients
and nearly all chronic cases. Declining health and strength
must be sustained ; the feeble powers of digestion and assimila-
tion must be provoked and supplied.
But cathartics always enter somewhat largely into the medi-
cal treatment of the insane. Perhaps we do not fully under-
stand the close relation existing between the brain and stomach.
No doubt, much of the uneasiness and morbid sensibility from
which so many of our patients suffer — that condition of mind
which cannot be cheered by hope or diverted by pleasure — is
frequently nothing more than the natural result of the sym-
pathy existing between the morbid condition of the alimentary
canal and the brain.
Humiliating it is, and must be, to admit the frailty of man
to such a degree that a slightly overtasked stomach or a torpid
condition of the bowels will cloud all his worldly prospects,
render him dissatisfied with life and all its blessings, make him
suspicious of his friends and jealous of his own household ;
but it cannot be denied ; and the care of that disordered state
of the imagination, so often observed in this class of our
patients, and their restoration to the best state of manhood,
may often be brought about by the means directed to relieve
the diseased state of the stomach and bowels, particularly
if coupled with cheerful out-of-door exercise and pleasant
companionship.
The process may be slow, but if perseveringly followed will
generally be crowned with success.
The mortality of the year, as is elsewhere shown, was at the
rate of ten per cent, on the average number of patients in the
hospital during the year ; and calculated on the total number
under treatment, six per cent. For the male patients, as fre-
quently happens, the rate was considerably higher ; the
1866.] PUBLIC DOCUMENT— No. 22. 67
difference of the ratios probably depending on the greater
immunity from diseases of the brain and nervous system which
the females enjoyed. Two patients at the time of their death
were more than eighty years of age, two others were more than
seventy, and six were between sixty and seventy.
Five patients died within three weeks of the time of their
admission, and seven others within two months of their admis-
sion. Twenty-five of the patients admitted during the year
have already died. Six died quite suddenly : two while asleep,
and two others so suddenly that no change could have been
anticipated, and no suffering, mental or physical, experienced.
Thirteen of the deaths were ascribed to the various diseases
of the cerebro-spinal system : as paralysis, or epilepsy and
apoplexy. Nine were ascribed to diseases affecting the organs
of circulation and respiration ; eight to diseases affecting the
organs of assimilation. Two were the result of old age, and
eight were the result of influences which insanity directly
exercised over their bodily health, and terminated in exhaus-
tion, with little, if any, secondary disease.
Notwithstanding the very considerable bill of mortality, the
general health of the patients has been good throughout the
entire year, and no disease of an epidemic character has been
observed in the hospital.
Diseases of the brain and other parts of the nervous system
which have been present, existed in connection with insanity.
Under these a large number of patients labored at the time of
their admission, their lives being sustained and prolonged by
great care and attention during a progressive decline of bodily
and mental health. A large number of such patients are still
under treatment, of whose recovery not the slightest hope can
be entertained. Could such cases, as well as all others, be sent
to the hospital in the early stage of their disease, it is probable
that judicious treatment might relieve a much larger propor-
tion than can otherwise be expected. Early and efficient
treatment, when the disease of the brain and cerebro-spinal
system is in its first stages, and unattended with change of
structure in these nervous centres, is the all-important
consideration.
Your attention has often been called to a class of patients
committed to our care as being apparently improper subjects
68
LUNATIC HOSPITAL AT WORCESTER. [Oct.
for hospital treatment — allusion is now made to the feeble and
aged — those who suffer from no undue excitement, who are
neither homicidal nor suicidal, and who do not require any
extraordinary plans for safety and security.
There have been committed during the year nine persons
each more than seventy years of age, and two of whom were
more than eighty years old, and three others between sixty-
three and seventy years of age. In some of these cases the
friends and guardians readily admitted that the patients were
brought here to spend the remnant of their days. Of course
no treatment can be of much service to such patients. Proper
attention to hygienic rules is all that can be suggested. They
come to us in the last stages of declining health, " when the
years have come in which they have no pleasure." Worn out
by the cares and trials of a long life, and it may be by sorrow
and suffering, they are objects of incessant care and anxiety,
and become burdens to their families and friends. When at
last they are brought to the hospital, the fatigue of the journey
frequently destroys their little remaining strength, and they
sink and die at once. If not, the new and strange surround-
ings, the absence of familiar faces, the loss of comforts, the
well-known easy chair, the old cozy room and bed, the accus-
tomed food, and above all the kind offices of the faithful family
physician, give such a shock to their sensibilities as to render
them objects of the utmost pity. There is great impropriety in
committing this class to our care. They cannot recover under
any circumstances, and but seldom improve. Kindness, sym-
pathy, humanity, dictate that their waning existence should be
made cheerful and attractive by all the delicate attentions of
home, family and friends.
Articles made in the Sewing-Rooms during the Year.
Aprons,
63
Collars,
.
36
Bed-Spreads,
41
Curtains, .
.
51
Bed-Ticks,
. Ill
Drawers, pairs of,
.
72
Blankets, .
15
Dresses, .
.
180
Bags,
21
Edging, yards of,
.
50
Carpets, .
4
Frocks,
.
4
Chemises, .
. 170
Handkerchiefs, .
.
25
Coats,
7
Hose and Socks, pairs
of, .
40
1866.] PUBLIC DOCUMENT— No. 22.
Articles made in the Sewing-Rooms — Concluded.
69
Jackets,
Mattress Ticks, .
Mittens, pairs of,
Neckties, .
Night-Dresses, .
Night-Caps,
Overalls, pairs of,
Pants, pairs of, .
Pillow-Cases, .
21
44
20
30
15
35
15
75
155
Sheets,
Shirts,
Shirt-Bosoms, .
Skirts and Quilts,
Suspenders, pairs of,
Table-Covers, .
Towels,
Undershirts,
Vests,
Articles repaired in the Sewing-Rooms during the Year,
Aprons,
Blankets, .
Bed-Spreads,
Bed-Ticks,
Bags,
Chemises, .
Coats,
Collars,
Curtains, .
Drawers, pairs of,
Dresses, .
Frocks,
Jackets,
Mattresses,
125
150
128
450
28
3,930
560
51
65
781
945
57
89
76
Night-Dresses, .
Overalls, pairs of,
Pants, pairs of, .
Pillows,
Pillow-Cases,
Sheets,
Shirts,
Shirt-Bosoms, .
Skirts,
Stockings, pairs of,
Table-Cloths, .
Towels,
Undershirts,
Vests,
Articles made
in the Shops.
Beehives, .... 4
Curtain-Sticks, .
50
Bolts, . ,
30
Screens, .
2
Boxes,
12
Chisels,
6
Bedsteads,
18
Coal Sieves,
2
Bureau,
1
Wardrobe Hooks,
18
Boot-Jacks,
2
Settees,
4
Knob?,
36
Small Tables, .
6
Chair-Rounds,
75
Wash-Stands, .
4
70 LUNATIC HOSPITAL AT WORCESTER.
Articles made in the Shops — Concluded.
[Oct.
Screw-Drivers,
Set of Shelves,
Pair of Shafts,
Table-Legs,
Tool Handles,
Watch-Chains,
Patterns,
Writing-Desks,
Picture-Frames,
Gimlets, .
Horse Wagon,
Stone Boats,
Hand Carts,
Iron Rods,
Knife-Blades,
6
2
1
4
30
4
10
2
25
2
1
1
2
20
18
Mattresses,
Pillows, . -
Rabbit Planes,
Turning Lathe,
Roof Sashes,
Wardrobes,
Whiffletrees,
Barrel-Covers,
Walking-Sticks,
Buckets, .
Brackets, .
Mop-Sticks,
Windows glazed,
Models, .
30
35
4
1
6
2
6
4
18
16
12
72
400
2
Articles repaired in the Shops.
Bedsteads, ... 25
Iron Bars, ... 4
Brass Rings,
12
Knives,
6
Boots, pairs of, .
12
Pen-Knives,
24
Boxes,
12
Lounges, .
4
Bureaus, .
18
Lanterns, .
6
Blinds,
24
Pails,
25
Brooms, .
6
Parasols, .
4
Chairs,
130
Razors,
24
Clocks,
6
Rakes,
36
Coffee-Pots,
18
Saws,
24
Chisels,
12
Shaft-Wheel,
1
Crickets, .
3
Stands,
18
Flower-Stands,
3
Settees,
8
Flat-Irons,
2
Scissors, .
18
Frames, .
20
Sofas,
2
Boots Ironed, pairs of
6
Sleigh,
1
Looking-Glasses,
12
Sleds,
2
Horse Wagon, .
1
Sashes,
12
Ox Wagons,
2
Tubs,
6
Hoes,
12
Tables, .
20
1866.] PUBLIC DOCUMENT— No. 22. 71
Articles repaired in the Shops — Concluded.
Tin Pans,
25
Lock Keys,
18
Tea Kettle,
1
Book-Cases,
2
Trunks,
6
Hay-Forks,
12
Umbrellas,
2
Hand-Cart,
1
Window-Rods, .
50
Saws filed,
60
Windows, . . .
82
Chains,
6
Wheelbarrows, .
6
72
LUNATIC HOSPITAL AT WORCESTER. [Oct.
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1866.] public document—No. 22.
Products of the Farm.
73
Apples,
Pears, .
Cherries,
Grapes,
Tomatos,
Currants,
Sweet Corn,
Gooseberries,
Beans,
Parsnips,
Turnips,
Potatos,
Beets, .
Mangel-wurzel,
Carrots,
Squashes,
Peppers,
Cucumbers, .
Cabbages, .
Rhubarb,
Hay, .
Corn fodder,
Milk, .
Beef, .
Pork, .
20 bbls. at $6 00
$120 00
20 bush
at
4
00
80 00
4
u
at
2
00
8 00
25
a
at
2
00
50 00
200
a
at
75
150 00
10
u
at
2
00
20 00
75
a
at
1
50
112 50
5
a
at
2
50
12 50
30
a
at
3
00
90 00
300
a
at
50
150 00
300
d
at
20
60 00
3,800
it
at
75
2,850 00
200
a
at
30
60 00
1,300
u
at
30
390 00
1,500
a
at
35
525 00
5 tons
at 30
00
150 00
20 bush
.at
50
10 00
15 bbls
at
4 00
60 00
1,000 heads at
12
120 00
3,000
lbs.
at
91
75 00
80
tons
at 30
00
2,400 00
3
u
at 15
00
45 00
50,000
qts.
at
7
3,500 00
11,987
lbs.
at
14
1,678 18
2,229
«
at
18
411 22
$13,127 40
The products of the farm have been more abundant than
ever before, and the crops were grown without any additional
expense in paid labor. The usual amount of labor has been
expended in reclaiming lands, in draining, blasting and sinking
rocks, in fencing and transplanting trees, and in improving, in
a variety of ways, the value of the estate. Much yet remains
to be done to ornament and improve the grounds, and make
them pleasant and attractive. The old drive-way in front
should be speedily abandoned, and the space graded and planted
out with shrubbery, thus widening the lawn to Summer Street.
The employment of patients has, as in former years, received
10
74 LUNATIC HOSPITAL AT WORCESTER. [Oct.
considerable attention, and but few of those able to labor and
safe to be trusted with tools are found unwilling to engage in
some sort of occupation. Many of those employed, however,
are both physically and mentally incapable of any great exer-
tion. The little they do is for their own good and not for the
benefit of the hospital. By steady employment in light and
cheerful labor they are prevented from sinking lower in health
of body and mind, their feelings of self-respect are kept alive
and active, and their habits of usefulness prolonged.
Among our patients there are comparatively few mechanics,
and the several shops and work-rooms, when used at all, are
occupied mostly by persons not trained to any trade or calling
which can at present be pursued here without adding very con-
siderably to the current expenses of the institution. It is to be
hoped that the time is not far distant when tradesmen can be
employed for the care and instruction of certain classes of male
patients, and they be trained to some degree of skill in the var-
ious mechanical callings. Such an enterprise would involve the
expense of two or three additional men of tact and skill to
manage and carry on whatever work was begun.
No kind of labor, however, is so beneficial to the male patients,
in a great majority of cases, or so useful to the hospital, as the
cultivation of the farm and the care of the farm stock. The
exercise in the open air, the apparent freedom enjoyed, the
kind of labor, calling into play nearly all the muscles of the
body, imperceptibly improves their condition and promotes
their recovery. Then, too, the deep interest some take in the
progress of the operations in which they are engaged, and the
great pleasure others enjoy in caring for the various animals
kept upon the farm, aid very much in restoring their minds to
a normal condition.
The female patients are perhaps sufficiently employed in sew-
ing, cooking, washing, and the various household duties inci-
dent to a large and crowded hospital, and their labor is reduced
to something like system.
The sewing-rooms have each their cheerful company of sew-
ers. The ironing-room always presents a scene of activity, and
is daily filled with nearly the same group, except as now and
then one recovers her health and leaves for home. The laun-
dry and kitchens have their own assistants from the wards, upon
1866.] PUBLIC DOCUMENT— No. 22. 75
which they depend, and without which they could not well
succeed.
That labor of course is most useful to the hospital which it
needs for its own assistance and support. How much is accom-
plished in this direction will be best illustrated by a reference
to the accompanying tables. But the cultivation of a few acres
of land, the growing of some small crops, the making or repair-
ing of a few useful articles, is the least of all possible benefits
to the insane. In another point of view, however, these little
matters assume a large importance. Cheerful labor, especially
in the open air, does much towards restoring the insane to
health. It banishes harassing doubts and perplexities, dissi-
pates distressing delusions and brings quiet to the troubled
mind and sleep to wakeful eyes. In providing occupation foF
the insane, the healthy powers of the mind are brought into
activity, and thus the diseased faculties are afforded tranquillity
and repose. It is not enough, however, to provide the means
for labor alone, nor is it sufficient to combine intellectual and
manual labor. In the care and treatment of the insane nothing
should be omitted, no means should be withheld which will
have the slightest tendency to draw back the intellectual facul-
ties to their best estate. The only way in which this can be
accomplished is by operating upon the healthy faculties, and
thus avoid irritation and excitement. It is not enough that we
buy books and newspapers, pictures and maps ; patients must
be induced to read and examine. It is not sufficient that you
open music rooms and billiard rooms ; patients must play regu-
larly and systematically. They must have not only work and
play, but they must also have some daily mental exercise suited
to their capacity and their normal taste. Patients must not be
suffered to lounge about the wards, gradually losing both bod-
ily and mental tone and vigor, and becoming daily more and
more indifferent to all about them save, perhaps, the quality
and quantity of their food. The poor lunatic is disinclined to
mental or manual labor because his mind is pre-occupied by
diseased fancies ; still he is alive to the stimulus of emulation,
rewards and punishments, and can be acted upon through the
remaining healthy faculties. But how ? By increased facilities
for various kinds of labor in workshops, with skilful trades-
men ; by more extensive farming operations, and by a greater
76 LUNATIC HOSPITAL AT WORCESTER. [Oct.
variety and abundance of opportunities to engage in that best
of all occupations ; by giving out small parcels of ground to
such as desire it, for their own special cultivation and manage-
ment, and thus securing to that class the boon of occupation
without irritation or fatigue ; by lectures, by reading and con-
versation clubs ; by cheerful, well-furnished apartments ; by
greenhouses and conservatories ; and by all the means of plea-
sure and profit which ingenuity can devise and labor accom-
plish ; but, above all, by well-trained, competent and thoroughly
devoted assistants in every department, who will religiously
fulfil every obligation, and give certainty and efficiency to all
the operations of the institution ; who will respect the rights,
anticipate the wants and obey the calls of the weakest and
feeblest as well as the most cheerful and companionable of those
under their charge ; who will, by patient attention, win the
love of the most wayward, by kind and approving demeanor
give courage and strength to the faltering ; and who will, by
perseverance, so cheerfully and kindly restrain the vicious, that
restraint will be deprived of its horror and abuse.
It will be remembered that I have expressed in former reports
my hopes and fears upon this subject. During the last summer
a plan has been put in operation by which some effort will be
made to give to the attendants some special information upon
the peculiar duties and responsibilities of their position. It is
to be hoped, if health and strength does not fail, that we shall
be able, by lectures and familiar conversation upon special
topics, to explain the nature of their duties and obligations,
and assist in raising them to an appreciation of their responsi-
bility, and to a capacity to discharge with fidelity and discretion
the duties imposed on them. In their familiar conversations
the various phases of insanity have been spoken of, and the
relations of the insane to the community, to the family and
friends, and to the hospital and to the attendants, were spoken
of so far as could be of use to the hearers. Moral treatment,
so far as it is dependent upon impressions received from nurses
and attendants, the influence of pleasing sights, of kind words,
of gentle manners, of forgiving dispositions, has been also
discussed with much freedom.
The great object being to impress the understanding and
awaken the sympathies and affections by showing that insanity
1866.] PUBLIC DOCUMENT— No. 22. 77
was a disease, a misery, the greatest of all misfortunes, which
was to be relieved and made endurable so far as kindness, for-
bearance and consoling words have power to mitigate human
suffering. That mental disease was not a violent passion to be
resisted, a perversity of the will to be opposed, or evil spirit to
be subjugated, but the most dreadful of all maladies that can
afflict the human race. And further to show, if possible,
various personal peculiarities, so that patients might be aided in
the right direction to recover their self-control, to show what
might be hoped and what feared in each individual case, and
what permitted and guarded against. But, above all, to prove
in every possible manner, by illustration and by example, that
every attendant with whom the patient comes in contact must
and does increase or diminish that patient's comfort and happi-
ness, and that it is especially important that first impressions
should be agreeable and hopeful, not clouded by fear, or dis-
tressed by undue severity ; that the first greetings should
always be warm, cordial and cheerful, let the recipient be what
he may. Thus much and more has been attempted, and is still
being pursued. But how far short of our aims we have fallen,
let our oft expressed hopes and fears testify. Our corps of
attendants and assistants, drawn from the middle ranks of
society, sons and daughters of well-to-do families, many of them
having been country school teachers, seeking for the time being
what will pay best, having as yet no settled ideas as to their
future course in life, but ready to adopt any mode of life or to
engage in any business that will offer the surest road to a posi-
tion, character and respectability, cannot at present be expected
to remain permanently with us, however useful they may prove
to be. The merchant, the manufacturer, the master mechanic,
can and does increase the pay and exalt the condition of such
assistants as are most useful to him. But not so here. Let it
be said with shame, young men and women who devote them-
selves to the care of the insane perform duties to which few are
equal, and are but poorly paid. No system of rewards, no
prospect of comfort in the future, — what can induce attendants
upon the insane to retain their places after having become com-
petent to perform their duties ? The few who are worthy and
do remain, do so at the loss of comfort, competency and posi-
tion. This leads me to the consideration of another question
78 LUNATIC HOSPITAL AT WORCESTER. [Oct.
at which I have hinted in many former annual reports, and
that is, new and improved accommodations for the insane, in
which they can be comfortably cared for and successfully
treated.
It will be remembered that mention was made of a plan which
seemed desirable, and which it is believed the trustees of this
hospital could carry out without difficulty and without involving
the State in any great expense. It does not seem proper to
make any undue haste in the matter, and it is hardly desirable
to take steps at present beyond a fair consideration of the ques-
tion. The plan is simply this : to put into the market at some
future time certain lands belonging to the hospital and where
the buildings now stand, occupying the same until rebuilt in
some more, desirable locality upon an improved plan. These
lots, about twenty-five acres, have been appraised for three years
in succession for about one hundred thousand dollars, leaving
the buildings and eighty-five acres of most desirable land still
belonging to the hospital.
If we look carefully at the matter, we shall find that the lot
upon which the hospital stands contains twelve acres, which at
twenty-five cents per foot, would amount to the sum of one
hundred and thirty thousand six hundred and eighty dollars.
The lot upon which the stables stand contains four acres, which
at fifteen cents per foot, would amount to the sum of twenty-
six thousand one hundred and thirty-six dollars. Other lots,
adjacent to Mulberry and and Pine Streets, containing ten acres,
at ten cents per foot, would amount to the sum of forty-three
thousand five hundred and sixty dollars, making a total of two
hundred thousand three hundred and seventy-six dollars, leav-
ing all the building material, fixtures, furniture, stock and tools,
with eighty-five acres of land in one lot nearly square, upon
which is a pond of pure water and a well-grown grove of trees,
the only objection being that it is high and difficult of access.
It is within the mile circle of the city and three different routes
can be shown to the highest point, which are not so steep or
rugged as to be difficult.
It is believed that within ten years from the present time the
whole thing may be accomplished without asking for one dollar
from the State treasury.
1866.] PUBLIC DOCUMENT— No. 22. 79
The age demands, the wants of the insane demand, your
patrons demand, more extensive comforts, a better class of accom-
modations, an improved style of architecture, greater facilities
for classification, treatment, recreation and amusement.
Could some plan like this be adopted a very great advance
might be made upon any existing arrangements for the care and
recovery of the insane. Will not Massachusetts, the State which
is foremost in so many matters of public interest, consider the
necessity and propriety of making, at so little cost, some new and
improved arrangement for her most unfortunate children ?
Will she not be willing to create for the insane a model
institution, when it can be done almost without cost ?
In view of what the hospital has done, and may do with
increased facilities, will she not, at some not far distant day,
make the experiment ? Is she willing to condemn the insane
to small, inconvenient and crowded apartments, simply
because, in such, life can be sustained at a less expense ?
We hope to see, and believe the time will come, when we shall
have in the heart of the Commonwealth a hospital for the
insane, constructed upon the best plan for classification and
treatment of the various mental disorders which affect the
human race. When we shall have the centre building the
hospital proper, with every facility for treating all cases of acute
mania, and for all violent and dangerous, euicidal and trouble-
some cases, having every arrangement and convenience which
skill and ingenuity can devise — large, airy sleeping and day
rooms, improved facilities for bathing, perfect ventilation, cozy
libraries, spacious parlors, convenient billiard and play rooms ;
and near by, a few plain, neat and substantial cottages, capable
of accommodating a family of eight or ten quiet, harmless,
industrious persons ; and not far remote, two or three houses
of more style and pretension, for a class of people found in
every hospital, where they could live in a quiet family, devoting
themselves to reading, writing, and the cultivation of gardens
and such light occupations as their health would allow. All
these houses would be under the charge of old and well trained
attendants, who would there find inducements to remain and
make the care of the insane a life business.
There would be, of course, the chapel and lecture-room in
common. The laundry and bakery, the warming apparatus,
80 LUNATIC HOSPITAL AT WORCESTER. [Oct.
the engine house, the stables and farm buildings, all in com-
mon for the whole. The great benefit, it seems to us, to be
derived from so wide a departure from all accustomed rules, is
a near approach to the family system, and the kindly influences
of home treatment. Could this system, or some similar one,
be 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 enjoyments, homely sur-
roundings, and the enjoyment of many of the social comforts
which make life pleasant. They would have also the advantage
of well trained, educated nurses and attendants, whose busi-
ness for life it would be to care for and sympathize with them.
They would enjoy a more free and generous style of amuse-
ment, recreation 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 very great extent preserved
without diminishing in any way the prospect of recovery or
increasing the labors of the institution.
All the plans for the amelioration of suffering described in
former reports have been employed with vigor during the past
year, and an increased effort has been made to carry all such
measures to a greater extent, and multiply all facilities for
similar purposes. «
In this recapitulation of certain statements made in my last
annual report to your board, I desire only to present a few of
the most prominent reasons in favor of adopting, at some
future day, a new and improved plan for the care, custody and
treatment of the insane of all classes, and I hope hereafter to
be able to present the subject in such a manner as to claim
attention.
The usual recreations and amusements have all been con-
ducted with unabated interest and vigor. The billiard rooms,
reading rooms, libraries, and music room, afford the means of
intellectual culture and occupation by the very generous supply
of books, papers and periodicals which are to be found in them.
Some slight additions have been made to the library, and some
one hundred and fifty newspapers find their way weekly into
the wards and reading rooms.
1866.] PUBLIC DOCUMENT— No. 22. 81
A course of about thirty lectures was delivered during
the winter and spring, which were listened to with great
interest by about two hundred and fifty of the patients and
their attendants, and during the spring and summer several
concerts were enjoyed by the inmates.
All our accustomed means of occupation, amusement and
healthy recreation have been pursued with vigor and advan-
tage. The record of work done in and about the house,
gardens, shops and on the farm, and the quantity of produce
from the farm will testify to the amount of profitable work
done.
The picnic parties, fishing excursions, daily drives, games of
base-ball, croquet, and all the other usual out-of-door and
in-door games and amusements, may be mentioned as our
principal sources of recreation.
Our heartfelt thanks are due to Miss Dix for many kind
attentions in behalf of our patients.
From the publishers of the " Massachusetts Spy," " Palla-
dium," and the " Worcester Evening Gazette," we receive the
daily and weekly issues, and large bundles of well selected
exchanges, giving a full supply of late papers from all parts of
the country.
From the periodical office of S. Thompson & Co., we also
receive liberal donations of illustrated papers and magazines.
For many years we have been under obligation to the pub-
lishers of the " Boston Advertiser," " Salem Register," " Zion's
Herald," " Religious Magazine," '■ Youth's Companion," " Gos-
pel Messenger," " Essex County Mercury," and " Old Colony
Memorial," and many other papers and periodicals, all of which
are gratefully received.
We desire also to express our sense ' of obligation to the
many friends who have contributed to the welfare of our
patients during the year, among whom may be specially men-
tioned Mrs. Sumner, who has so kindly taken charge of our
choir, and given beside several concerts in sacred music ; Miss
Souther, who has also assisted us with her musical talent ; to
Dr. J. R. Lee, for valuable and interesting lectures on the Holy
Land ; Professor James Bushee, for his course of illustrated
lectures on chemistry and kindred subjects ; and to Rev. George
11
82 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Allen, for his timely and judicious assistance, and supplying
the chapel desk for a large part of the year.
It is my duty as well as pleasure to record my sense of per-
sonal obligation to the other resident officers and assistants who
have faithfully carried out all my plans, and devoted them-
selves wholly to the interest of the institution ; but especially
am I indebted to the Steward and Treasurer, D. W. Bemis ; to
my assistants, Joseph Draper, M. D., and John R. Lee, M. D. ;
and my Supervisors, Marshall S. Greene and Miss Pamelia
Williams, for their kindness and perseverence, and thorough
devotion to the interests of the hospital during my illness and
absence.
For the kindness, assistance, forbearance, cordial council
and support I have at all times received from each individual
member of your boardj allow me to renew the expression of
my deep sense of gratitude.
I beg to congratulate you on the retrospect of the year. It
has been one of prosperity, and, we fondly hope, of progress,
during which great good has been accomplished, much suffer-
ing alleviated, and many happy recoveries effected.
With renewed confidence in the strength of Him who has
sustained us amid the labors of the past, we cheerfully com-
mence the duties of another year, trusting that by his guidance
we may perform them well.
MERRICK BEMIS.
Worcester Lunatic Hospital,
Worcester, Oct. 1, 1866.
METEOROLOGICAL OBSERVATIONS
THE STATE LUNATIC HOSPITAL, WORCESTER, MASS..
1865-6.
Latitude, 42° 16' 17" IT.; Longitude, 71° 48' 13" W.
Elevation, 528 feet.
Explanation .—The force of the wind is estimated upon a scale of 10 and indicated by figure
affixed to the letters denoting the direction. When no number is affixed, 1 is meant.
84
LUNATIC HOSPITAL AT WORCESTER. [Oct.
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PUBLIC DOCUMENT— No. 22.
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Rain ; shadbush in bios.
Cloudy A. M. ; fair P. M.
Fair weather.
Fair weather.
Fair weat'r; p. jap. in bl.
Fair weather.
Fair weather.
Cloudy ; white frost.
Cloudy ; showers.
Fair weather; apple in bl.
Fair weather; al'ndin bl.
Fair weather; aurora b's.
Cloudy; lilac in blossom.
Fair weather.
Fair weather.
Cloudy ; rain ; horse ch't
Cloudy ; rain, [in bios.
Drizzling rain.
Cloudy A. M. ; fair P. M.
Fair weather.
Rain; honeysuckle in bl.
Rain.
Fair weather.
Fair weather ; frost.
Cloudy.
Fair weather.
Rain.
Slight showers.
Cloudy.
Cloudy; Scotch rose in bl.
Rain; Persian lilac in bl.
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93
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PUBLIC DOCUMENT— No. 22.
95
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Fair weather.
Fair weather.
Clear.
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Fair weather.
Fair weather.
Fair weather.
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Fair weather.
Fair weather.
Slight frost in low lands.
Cloudy and rainy.
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Fair weather.
Fair weather.
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100
LUNATIC HOSPITAL AT WORCESTER.
[Oct.
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1866.]
PUBLIC DOCUMENT- No. 22.
101
LIST OF TRUSTEES,
From the commencement of the Hospital. The first three were Commis-
sioners for building, and as such were appointed in 1830.
NAMES.
Residence.
When
appoint-
ed.
When
services
ended.
In what way services
ended.
Horace Mann, . . .
Dedham, . .
1832,
1834,
Commis'n expired.
Bazaleel Taft, Jr., . .
Uxbridge, . .
1832,
1834,
« it
William B. Calhoun, .
Springfield, . .
1832,
1835,
it u
Alfred D. Foster, . .
Worcester, . .
1832,
1836,
U U
Francis C. Gray, . .
Boston, . . .
1832,
1836,
it t.
Thomas A. Green, . .
New Bedford, .
1834,
1837,
it ti
Thomas Kinnicutt, . .
Worcester, . .
1834,
1838,
it u
Horace Mann, . . .
Boston, . . .
1835,
1839,
a a
Emory Washburn,
Worcester, . .
1836,
1837,
Resigned.
Abra'm R. Thompson,
Charlestown, .
1836,
1841,
Commis'n expired.
Myron Lawrence, . .
Belchertown, .
1837,
1840,
it a
Stephen Salisbury,
Worcester, . .
1837,
1840,
it a
Edward D. Bangs, . .
Worcester, . .
1838,
1838,
Deceased.
William Lincoln, . .
Worcester, . .
1838,
1840,
Commis'n expired.
Daniel P. King, . . .
Danvers, . .
1S39,
1844,
it u
Alfred D. Foster, . .
Worcester, . .
1840,
1842,
a it
Maturin L. Fisher,
Worcester, . .
1840,
1843,
it it
Henry Gardner, . .
Boston, . . .
1840,
1845,
(( a
Robert Campbell, . .
Pittsfield, . .
1841,
1843,
Resigned.
Edwin Conant, . . .
Worcester, . .
1842,
1844,
«
H. H. Childs, . . .
Pittsfield, . .
1843,
1846,
Commis'n expired.
Joseph Sargent, . .
Worcester, . .
1843,
1848,
(( K
Stephen Salisbury,
Worcester, . .
1844,
1S50,
it a
Stephen C. Phillips, .
Salem, . . .
1844,
1851,
tt tt
102 LUNATIC HOSPITAL AT WORCESTER. [Oct.
List of Trustees — Concluded.
NAMES.
Residence.
When
appoint-
ed.
When
services
ended.
In what way services
ended.
Jesse Murdock, . . .
Carver, . . .
1845,
1847,
Commis'n expired.
Thomas F. Plunkett, .
Pittsfield, . .
1846,
1849,
u u
Thomas French, . .
Canton, . . .
1847,
1848,
Resigned.
Isaac Davis, ....
Worcester, . .
1848,
1849,
u
William Appleton, . .
Boston, . . .
1849,
1851,
Declined.
Levi Lincoln, . . .
Worcester, . .
1849,
1852,
Commis'n expired.
Ensign H. Kellogg,
Pittsfield, . .
1849,
1853,
(t «
John S. C. Knowlton,
Worcester, . .
1850,
1853,
Declined.
Foster Hooper, . . .
Fall River, . .
1851,
1854,
Commis'n expired.
Samuel G. Howe, . .
Boston, . . .
1851,
1855,
(C (C
Rejoice Newton, . .
Worcester, . .
1852,
1856,
a a
Franklin Ripley, . .
Greenfield, . .
1853,
1854,
U ((
James B. Congdon, .
New Bedford, .
1853,
1855,
Resigned.
Linus Child, ....
Lowell, . . .
1854,
1858,
Commis'n expired.
Henry Morris, . . .
Springfield, . .
1854,
1855,
Resigned.
Charles H. Stedman, .
Boston, . . .
1855,
1861,
Commis'n expired.
William T. Merrifield,
Worcester, . .
1855,
1863,
« «
Thomas Colt, . . .
Pittsfield, . .
1855,
1860,
U cc
Joseph N. Bates, . .
Worcester, . .
1856,
1861,
it it
Robert W. Hooper, .
Boston, . . .
1858,
-
i Commis'n expired
\ and reappointed.
Edwin F. Jenks, . .
Adams, . . .
1859,
-
-
Edward Jarvis, . . .
Dorchester, . .
1861,
-.
Commis'n expired.
William Workman, .
Worcester, . .
1862,
-
-
Samuel E. Sewall, . .
Boston, . . .
1863,
-
-
Henry Chapin, . . .
Worcester, . .
1866,
-
-
1866.] PUBLIC DOCUMENT— No. 22. 103
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.
Birthplace ? Ans.
Civil condition of lunatic ? Ans.
Occupation ? Ans.
Supposed cause of disease ? Ans.
Duration ? Ans.
Character. — whether mild, violent or dangerous ? Ans.
104 LUNATIC HOSPITAL AT WORCESTER. [Oct.
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 and
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 apphcant to one of the selectmen of
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.
1866.] PUBLIC DOCUMENT— No. 22. 105
FORM OF OVERSEERS' BOND.
Worcester Lunatic Hospital.
Whereas, of , in the county of
, has been admitted a boarder in the Worcester Lunatic
Hospital, , a majority
of the Overseers of the Poor of the town of , in the county of
, in behalf of the inhabitants of said town, do hereby promise
Treasurer of said Hospital, to pay
him, or his successor in said office, the rate of board which may, from time to
time, be determined by the Trustees of said hospital, for said patient, so long
as h 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
jr of the
) Town of
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 h 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 the furniture and other property of said hospital, and for reason-
106 LUNATIC HOSPITAL AT WORCESTER. [Oct. '66.
able 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.
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
when the patient leaves the hospital.
APR ZSWKIX
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