(navigation image)
Home American Libraries | Canadian Libraries | Universal Library | Community Texts | Project Gutenberg | Children's Library | Biodiversity Heritage Library | Additional Collections
Search: Advanced Search
Anonymous User (login or join us)
Upload
See other formats

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

(■*- .' 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportoftr35stat 






SiSi '^MM 



*r, ;i !S 









i,r 




i™ S ill '''' 

IliiSiLili'lj 1 1. miniHl! ;;.,' 
i 111;. »* 



ISllllllll'l, 



* 






1li!il!!l i U iilfi' 



: 



* iud 



UK 
—I 







13 



Ml ZI 






illiii'' 



i 



II! Ill ! Iliil j; i 1 






w 



< 



; r ':V . ■■■''-'■'■'" . '.: 



iMP3A 



PUBLIC DOCUMENT No. 23. 



THIRTY-SEVENTH ANNUAL REPORT 



THE TRUSTEES 



STATE LUNATIC HOSPITAL 



WORCESTER 



October, 1869. 



BOSTON: 

WRIGHT & POTTER, STATE PRINTERS, 
79 Milk Street, (corner of Federal.) 

1870. 



tHommcmtDMltf) of Jtta0M£t)H0£ii0. 



TRUSTEES' REPORT. 



To His Excellency the Governor, and the Honorable Council 
of the Commonwealth of Massachusetts. 

The Trustees of the Worcester Lunatic Hospital respectfully 
submit their Thirty-Seventh Annual Report. 

The Trustees refer to the reports of the Superintendent and 
Treasurer of the hospital for its present condition and prospects. 
The finances of the institution have steadily improved since the 
close of the war, and are in a satisfactory condition. Prices of 
all articles of consumption still remain high, and the cost of 
the support of patients cannot reasonably be expected to be 
much less than at present, until prices are lower. If the price 
of coal had remained the same as it was during the previous 
year, and no more had been expended for improvements and 
repairs, the weekly cost of each patient would have been $3.67 
per week. It has been $4.02 per week. The result of the 
financial management for the year is a balance in the treasury 
of $13,372.69. 

The report of the Superintendent shows that the number of 
patients admitted during the year ending October 1, 1869, was 
337, and that the number admitted during the year ending 
October 1, 1868, was 296. It further shows that the number 
of deaths during the past year has been somewhat larger than 
usual, although there has been but little sickness in the hospital 
during the year. The increase in the number of deaths has been 
among those advanced in life, twelve of whom had reached their 
seventieth year, and several others had passed their sixty-fifth 
year. Among patients who have been insane less than one 
year, the proportion of recoveries has been 72 per cent., and 
among those who have been insane more than one year it has 
been 28 per cent. After deducting the deaths, the proportion 



6 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

of recoveries has been more than 50 per cent, among the whole 
number discharged. The proportion of those discharged during 
the past year recovered and improved has been considerably 
larger, and the proportion of those discharged unimproved has 
been considerably less than during the previous year. These 
facts do not prove that the patients have been more skilfully 
treated, but they tend very strongly to prove that if a patient 
is seasonably brought under treatment at the hospital, his 
chance for improvement or recovery is better than in cases 
where the opportunity is neglected. In most cases of mental 
disturbance it seems to us perfectly clear that a well managed 
hospital where the treatment of insanity is made a specialty, 
gives to the patient a better opportunity for improvement and 
recovery than any other place, and that the mistaken kind- 
ness of friends in delaying to give to the patient the benefit of 
the hospital treatment too often operates to the disadvantage of 
the person whose mind is diseased. In this connection the 
Trustees deem it to be their duty to call the attention of the 
State government to the matter of a removal of the hospital 
buildings from their present location, and the construction of 
new buildings substantially in accordance with the views of the 
Superintendent in his report herewith presented. The action 
of the Superintendent has received the hearty approval of the 
Trustees, and they unanimously recommend the purchase of the 
beautiful tract of land of which the Superintendent, with the 
approval of the Trustees, has obtained the refusal, and the erec- 
tion of suitable buildings thereon. The location of the estate is 
about two miles distant from Main Street, is easily accessible, is 
in a quiet neighborhood, occupied by respectable agriculturists, 
with beautiful scenery in every direction, and with every advan- 
tage of pure and wholesome air which can be procured in the 
county of Worcester. Indeed, it is doubtful whether any part 
of the State could furnish a more desirable location for a 
lunatic hospital than the one which we have had the good 
fortune to secure. Those having the immediate management 
of the Worcester Lunatic Hospital have long felt that a more 
retired situation than that of the present hospital was very 
desirable, and that improvement in hospital buildings, and 
in the management of the insane since the time when the 
present hospital was located and built, made it their duty to 
recommend the erection of new hospital buildings in a more 



1869.] PUBLIC DOCUMENT— No. 23. 7 

quiet location, and upon an improved plan better fitted for the 
various classes of the insane, especially when the property 
occupied for the purposes of the present hospital will sell for 
money enough to pay for the land and the new buildings. The 
Trustees do not advise an immediate sale of the estate, but 
sales from time to time as the market shall seem to demand, 
and that some person or persons be authorized by the legisla- 
ture to sell and convey the present estate, or parts of the same, 
whenever it shall be considered advisable to do so. In all 
diseases, and especially in diseases of the mind, much depends 
upon the surroundings. If the evil spirit was driven out of 
Saul by the soothing influence of the harp in the hands of the 
sweet singer of Israel, and the demon was cast out of the wild 
Gadarene by the Divine power of disinterested love, so will the 
surroundings of kindness, suitable restraint, skilful attention, 
and an atmosphere of purity and quietness tend to loosen the 
power of those mental diseases which take the form of delusion, 
and banish them from those secret recesses of the human system, 
where they have taken up their abode. The report of the 
Superintendent upon the facts relative to the institution are so 
full and satisfactory, that it only remains for the Trustees to 
express their unanimous approval of its management during the 
past year, and to recommend that the legislature take prompt 
and efficient action upon the subject of the purchase of 
the real estate and the erection of new hospital buildings, 
and make such appropriations as will enable those who may 
be intrusted with the duties involved in the important changes 
suggested, to proceed at once towards accomplishing what in 
the opinion of the Trustees is due to the cause of humanity and 
to the character of the Commonwealth of Massachusetts. 

Very respectfully submitted by the Trustees, 

CHARLES MATTOON. 
HENRY CHAPIN. 
WILLIAM WORKMAN. 
S. E. SEWALL. 
R. W. HOOPER. 

Worcester, October 15, 1869. 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



TREASURER'S REPORT. 



To the Trustees of the Worcester Lunatic Hospital. 

Gentlemen : — I herewith submit my Annual Report on the 
finances of the Worcester Lunatic Hospital, for the year ending 
Sept. 30, 1869. 



Receipts. 

Cash on hand September 30, 1868, 

received of the Commonwealth for support of patients, 
received of cities and towns for support of patients, . 
received of individuals for support of patients, 
received for sale of farm products, .... 



The expenditures of the year have been as follows : — 

Provisions, — 

Flour, 517 bbls., $5,161 71 

Meal for table, 1,022 28 

Fresh meats, 4,171 77 

Salt meats, 4,037 17 

Beans, potatoes and other vegetables, . . 1,894 82 

Fish, 973 41 

Sugar, 2,340 42 

Molasses and syrup, 485 06 

Tea, 1,100 48 

Coffee and chocolate, 939 13 

Bice and crackers, 650 30 

Butter, 5,596 03 

Vinegar and pickles, 196 35 

Cheese, 118 05 

Fresh fruit, ....... 282 29 

Eggs, salt and other groceries, .... 1,857 84 

Total for provisions, $ 30,827 11 

Salaries and wages, 20,603 37 

Labor, 2,357 76 

Provender and bedding for stock, . . . 2,005 82 



$4,161 15 
19,818 88 
30,414 67 
40,412 19 
2,574 85 

$97,381 74 



1869.] 



PUBLIC DOCUMENT— No. 23. 



Furniture, crockery, bedding, &c 


•» 






$4,727 26 




Light, 






1,470 03 




Soap, . 








800 49 




Medical supplies, 








1,446 67 




Live stock, .... 








395 00 




Improvements and repairs, . 








6,129 82 




Travelling and transportation, 








348 29 




Books, papers and stationery, 








690 31 




Fuel, 








6,421 67 




Freight and express, . 








192 67 




Ice, 








408 20 




Trustees' expenses, . 








126 85 




Miscellaneous, . 








2,396 10 




Total current expenses, 


$83,347 42 




Refunded for overpayment, 








207 41 




Clothing and materials, 








2,776 05 




Undertaker's charges, . 








895 75 




Balance of loan, . 








4,500 00 




Cash on hand, September 30, 1869, 






5,655 11 








$97,381 74 




Resources. 




Due from cities and towns, $9,357 24 




Due from individuals, 10,529 41 




Cash on hand, and in bank, .... 5,655 11 








$25,541 76 




Liabilities. 




Due for supplies and expenses, .... $7,151 75 




Due for salaries and wages, ' . 


5,017 32 


12,169 07 




$13,372 69 




2,120 00 




$15,492 69 



D. W. BEMIS, Treasurer. 



Worcester Lunatic Hospital, 
Worcester, Oct. 1, 1869. 



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

William Workman, 
Henry Chapin, 

Auditing Committee. 

Worcester, Oct. 23, 1869. 

2 



10 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



OFFICERS OF THE HOSPITAL. 



trustees. 

Hon. CHARLES MATTOON, . . . . . Greenfield. 

Hon. HENRY CHAPIN, Worcester. 

WILLIAM WORKMAN, M. D., Worcester. 

Hon. SAMUEL E. SEWALL, Boston. 

ROBERT W. HOOPER, M. D., .... Boston. 



3ftestiient:=©fitcerg. 

SUPERINTENDENT AND PHYSICIAN: 

MERRICK BEMIS, M. D. 

ASSISTANT-PHYSICIAN — MALE DEPARTMENT : 

JOSEPH DRAPER, M. D. 

ASSISTANT-PHYSICIAN — FEMALE DEPARTMENT 

MARY H. STINSON, M. D. 

MATRON : 

CAROLINE A. BEMIS. 

STEWARD AND TREASURER : 

DANIEL W. BEMIS. 

Office at the Hospital. 



Cfjaplattt : 
Rev. GEORGE ALLEN. 



1869.] PUBLIC DOCUMENT— No. 23. 11 



SUPERINTENDENT'S REPORT 



To the Trustees of the Worcester Lunatic Hospital. 

Gentlemen: — In obedience to the laws of the Common- 
wealth, I have the honor to submit to you the Thirty-Seventh 
Annual Report of the Worcester Lunatic Hospital. 

The year has been one of comparative comfort and pros- 
perity. No severe sickness has visited the inmates. No 
calamity has befallen the institution, and nothing has occurred 
to mar its general quiet and good order. 

Our aim has been to maintain the high character of the 
hospital, increase its usefulness, and to multiply its curative 
facilities. 

Whatever of good we have been able to accomplish must be 
attributed mainly to your constant oversight, ready assistance 
and wise direction in all the affairs of the institution. From 
your frequent visits ' and thorough examinations into all its 
departments you have been able to comprehend the difficulties 
under which we labor, and have manifested an anxious solici- 
tude to promote in every way possible the well-being of the 
hospital. 

For the general results of the year, and the condition of the 
patients in detail, you are respectfully referred to the following 
tabular statements, and such explanatory remarks as may 
accompany them. 

However far short the hospital may have fallen of accom- 
plishing all that was desired, it has certainly continued, with a- 
tolerable degree of success, the great work of Christian charity, 
and the trustees may have satisfaction in reviewing the labors 
of the year, and ascribe the praise for the good which has been 
accomplished to Him who watches over and directs all things. 



12 LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 1. 

Showing the general results during the year. 





Males. 


Females. 


Total. 


Patients in the Hospital, October 1, 1868, 


188 


194 


382 


Admitted during the year, .... 


171 


166 


337 


Whole number under treatment, 






359 


360 


719 


Discharged recovered, 






69 


80 


149 


improved, 






63 


73 


136 


not improved, 






9 


2 


11 


Died, 






28 


19 


47 


Whole number discharged, 






169 


174 


343 


Kemaining, September 30, 1869, 


190 


186 


376 



From this table, it appears that three hundred and thirty- 
seven patients were admitted during the year just closed, of 
whom one hundred and seventy-one were males and one hun- 
dred and sixty-six were females. 

At the close of the previous year there were three hundred 
and eighty-two patients remaining in the hospital, of whom one 
hundred and eighty-eight were males, and one hundred and 
ninety-four were females, so that there were seven hundred 
and nineteen persons under treatment in the course of the 
year, of whom three hundred and fifty-nine were males, and 
three hundred and sixty were females ; the daily average was 
three hundred and eighty-seven. 

The number of patients discharged was three hundred and 
forty-three, of whom one hundred and sixty-nine were males, 
and one hundred and seventy-four were females. 

Of the three hundred and forty-three patients discharged, 
one hundred and forty-nine were restored to their usual health 
of body and mind, one hundred and thirty-six were improved, 
many of them so much so as to be able to return to their ordi- 
nary duties, and eleven were discharged as not improved. 

Forty-seven patients were removed by death, of whom twenty- 
eight were males and nineteen were females. The recoveries 
were in the ratio of more than forty-four per cent, to the 
number of admissions, or more than forty per cent, to the 
average number under treatment ; or twenty-two per cent, to 
the whole number in the hospital during the year ; or forty per 



1869.] PUBLIC DOCUMENT— No. 23. 13 

cent, to the whole number discharged after deducting the num- 
ber of those who died. The recoveries were also in the ratio 
of seventy-two per cent, to the number of those whose insanity 
had existed less than one year, and only twenty-eight per cent, 
to the number of those who had been insane more than one 
year previous to admission to the hospital. 

You will perceive that the percentage of recoveries is some- 
what greater than last year, a gratifying result when compared 
with similar tables from old and long-established hospitals. 

The ratio of deaths to the whole number under treatment 
was six and six-tenths per cent, to the average number of 
residents. 

An examination of the records of the hospital will show that 
eight thousand five hundred and thirty-five patients have been 
admitted to its wards since it was opened in January, 1833, 
four thousand two hundred and sixty-six of whom were males 
and four thousand two hundred and sixty-nine were females. 

Of this number, three thousand nine hundred and seventy- 
four have been restored to health, giving a ratio of nearly fifty 
per cent, of recoveries after deducting the number of those 
who remain under treatment. 

One thousand seven hundred and forty-eight have been dis- 
charged 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 the institution five thou- 
sand seven hundred and twenty-two. 

Thus much the hospital has been the means, in some degree 
at least, of accomplishing: it has certainly been instrumental in 
sending back to the world, in health and happiness, three thou- 
sand nine hundred and seventy-four individuals who had been 
deprived of their reason. 

It has been the means -of restoring to a tolerable degree of 
health and comfort one thousand seven hundred and forty-eight 
persons who did not fully recover within its wards, but many 
of whom were restored to such a measure of health and 
strength as to enable them to return to their accustomed occu- 
pations and assist in the care of themselves and their families. 



U LUNATIC HOSPITAL AT WORCESTER. [Oct. 

And more than this, it has afforded peace, comfort and secu- 
rity to a large and troubled household during nearly thirty-seven 
years. 

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 homi- 
cidal, the idiot, the drunkard and debauchee when lost to all 
hope and self-respect, and has given back to society, in full 
possession of mental and physical health and strength, nearly 
one-half of all it has ever received. In addition to this, it has 
also relieved and sent back, in comparative comfort, though 
not cured, more than one-fifth of the whole number committed 
to its care. Besides all this, thousands upon thousands of 
relatives and friends have been relieved from dreadful anxiety, 
from excessive care and from constant danger by the hospital 
thus taking charge of those for whom they could do little or 
nothing. 

All this and more has been accomplished by the hospital at 
the cost of less than two hundred thousand dollars to the State 
for buildings, fixtures and land, and to the patients, their 
friends and the Commonwealth of not more than an average 
expense of one-half year's support for each individual so 
returned. 

In view of these facts, you may indulge a reasonable degree 
of satisfaction and be encouraged to press upon the legislature 
such measures as you deem necessary to its future usefulness 
and prosperity. 



1869.] 



PUBLIC DOCUMENT— No. 23. 



15 



Table No. 2. 

Showing the Admissions and State of the Hospital from October 1, 1868, to 
September 30, 1869. 





Males. 


Females. 


Total. 


Patients in the Hospital, October 1, 1868, . 


188 


194 


382 


admitted in the course of the year, 


171 


166 


337 


remaining in the Hospital, Sept. 30, 1869, . 


190 


186 


376 


Of the admissions there were cases of one year or 








less duration, ........ 


94 


108 


202 


Of the admissions there were cases of more than one 








year's duration, 


63 


54 


117 


Of the admissions there were cases the duration of 








whose insanity could not be ascertained, 


14 


4 


18 


Patients committed by Courts, 


118 


108 


226 


committed by Overseers of the Poor, . 


20 


11 


31 


on bonds, . . . ... 


32 


46 


78 


committed by Governor's warrant, 


- 


- 


- 


committed by the Board of State Charities, . 


1 


1 


2 


committed by Commissioners of Lunacy, 


- 


- 


- 


Foreigners and those having no settlement in the 








State, committed in course of the year, . 


68 


69 


137 


Foreigners and those having no settlement in the 








State, discharged in course of the year, . 


85 


96 


181 


Foreigners and those having no settlement in the 








State, remaining in the Hospital, Sept. 30, 1869, . 


30 


21 


51 


Patients in Hospital previously, ..... 


53 


42 


95 


in other Hospitals in this State previously, . 


8 


9 


.17 


in Hospitals of other States previously, 


8 


6 


14 



State Paupers remaining in the Hospital at the close of each year as nearly as 
can be ascertained. 



1842, . 


. 34 


1852, . 


241 


1862, . 


189 


1843, . 


. 38 


1853, » 


216 


1863, . 


175 


1844, . 


. 38 


1854, 


151 


1864, . 


116 


1845, . 


. 57 


1855, 


115 


1865, . 


91 


1846, . 


. 52 


1856, 


155 


1866, . 


129 


1847, . 


. 121 


1857, . 


119 


1867, . 


101 


1848, . 


. 150 


1858, 


121 


1868, . 


95 


1849, . 


. 167 


1859, 


124 


1869, . 


51 


1850, . 


. 181 


1860, 


130 






1851, . 


. 201 


1861, . 


156 







The foregoing table illustrates the manner of commitment 
to the hospital, the duration of insanity previous to commit- 
ment, and to some extent the social condition of the patients 



16 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

before commitment, and also that of those remaining in the 
hospital at the close of the year. 

It will be seen that seventy-eight patients were admitted on 
private bonds, and thirty-one on bonds from overseers of the 
poor of towns from which the patients were sent ; the bonds in 
all cases being accompanied by certificates from two respectable 
physicians that the persons for whom the applications were 
made were insane. 

Two hundred and twenty-six were committed by the probate 
courts of the counties in which the patients resided at the time 
of commitment, and two by the Board of State Charities ; these 
last being transfers of State paupers from other State institu- 
tions. Six have voluntarily sought the benefit of the hospital, 
and have had the proper legal papers made after seeking in 
their own way to be admitted to the hospital, and these are 
tabulated in their proper classes. A few of those who are com- 
mitted by the probate courts are persons of sufficient means to 
defray their own expenses, and are charged the same prices for 
board and attendance as private patients. 

Many of the patients supported by the towns are committed 
by the judges of probate, the authorities of the towns preferring 
this method to that of giving their bonds. 

A reference to the table also shows that you have discharged 
one hundred and eighty-one persons who had no settlement 
in this Commonwealth, and that fifty-one still remain who 
are supported by the charity of the State, nearly all whom are 
of foreign birth. 

The greatest number of patients under treatment at any one 
time during the year was four hundred and twelve. The 
greatest number of private patients was one hundred and sixty- 
four. The greatest number of town patients was one hundred 
and seventy-nine, and the greatest number of State patients was 
ninety-eight. 

The weekly average number of patients was three hundred 
and eighty-seven ; the weekly average number of private patients 
being one hundred and forty-six, of town patients, one hundred 
and sixty-seven, and of State patients seventy-four. 

The Board of State Charities have removed to other institu- 
tions, and to their homes in other States, one hundred State 
patients in the course of the year. This number were all 



1869.] PUBLIC DOCUMENT— No. 23. 17 

removed after examination by the agent of the Board, and it is 
believed that none were removed whose mental and physical 
condition did not make such a step seem advisable. 

No very feeble person, and no unusually violent, filthy or 
destructive patient has been removed. In all cases where State 
patients have been removed to other institutions, or to their 
homes or friends, previous to recovery, their cases have been 
fully investigated, and when relatives or friends have been 
known, their wishes have been consulted, and they have always 
been fully informed of every change made in regard to the 
patients in whom they were interested. 

Fifteen State patients have died in the course of the year. 
More than the usual number of State patients have been trans- 
ferred during the year ; a proceeding made necessary by the 
large number of admissions to the hospital. 

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. Four or five male patients have in this 
way earned considerable sums of money. Several others have 
earned smaller sums varying from twenty to thirty dollars each 
in the course of the year. 

The steward has paid to patients more than two hundred 
and fifty dollars for labor, with the hope of thereby inducing 
greater habits of industry among the inmates of the institution. 

One patient, a criminal transferred from the State prison, 
eloped, and remains away. His insanity was without doubt 
feigned. 



18 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 3. 

Showing the Number Admitted, Restored, Improved, Died, Sfc, in each Month 

in the Year. 





Admitted. 


Removed. 


Remaining. 










■a 


"6 


B 


-6 












MONTHS. 








o 


o 




> 


•a 


Totals. 










1 


a 

fa 


o 

E- 


M 


s 

M 


o 


ft 


3 




OJ 

"3 
8 


s 

fa 






M. 


F. 


M. 


F. 


M. 


F. 


M. 


F. 


M. 


F. 


T. 


03 
O 


October, 


23 


10 


33 


7 


9 


6 


4 


1 




2 




16 


13 


29 


195 


191 


386 


November, . 


13 


11 


24 


3 


6 





6 


1 


- 


6 


- 


15 


12 


27 


193 


190 


383 


December, . 


12 


18 


30 


3 


6 


5 


4 


- 


- 


2 


2 


10 


12 


22 


195 


196 


391 


January, 


14 


9 


23 


8 


6 


6 


11 


2 


- 


3 


3 


19 


20 


39 


190 


185 


375 


February, . 


8 


8 


16 


2 


3 


4 


3 


1 


- 


3 


1 


10 


7 


17 


188 


186 


374 


March, . . 


11 


14 


25 


2 


1 


2 


3 


2 


- 


- 


- 


6 


4 


10 


193 


196 


389 


April, . . . 


18 


23 


41 


9 


11 


12 


16 


- 


- 


3 


1 


24 


28 


52 


187 


191 


378 


May, . . . 


10 


18 


28 


8 


5 


3 


2 


- 


- 


2 


1 


13 


8 


21 


184 


201 


385 


June, . . . 


17 


17 


34 


7 


6 


4 


2 


- 


- 


2 


2 


13 


10 


23 


188 


208 


396 


July, . . . 


20 


11 


31 


5 


12 


8 


9 


- 


1 


3 


2 


16 


24 40 


192 


195 


387 


August, . . 


13 


14 


27 


12 


9 


7 


11 


- 


1 


1 


1 


20 


22 


42 


185 


187 


372 


September, . 


12 

171 


13 
166 


25 
337 


3 
69 


6 

80 


1 
63 


2 

73 


2 
9 


- 


1 


6 

19 


7 
169 


14 


21 


190 


186 


376 


Totals, . 


2 


28 


174 


343 


- 


- 


- 



Table No. 4. 

Showing the form of Disease in those Admitted and Discharged during the year. 





Admitted. 


DlSCHAEGED. 


FORM OF DISEASE. 




o5 












0> 


03 

s 


■3 


a> 


03 

s 


0B 

"3 




a 


fa 


EH 


S 


fa 


El 


Mania, 


70 


66 


136 


52 


54 


106 


Mania, Chronic, 


32 


31 


63 


45 


59 


104 


Mania, with Epilepsy, . 


11 


2 


13 


5 


1 


6 


Mania, with general Paralysis, 


5 


2 


7 


- 


- 


- 


Melancholia, .... 


8 


27 


35 


4 


13 


17 


Dementia, .... 


21 


24 


45 


13 


19 


32 


Dementia, Senile, . 


2 


6 


8 


3 


4 


7 


Dementia, with Epilepsy, 


4 


3 


7 


7 


2 


9 


Dementia, with gen'l Paralysis, 


11 


1 


12 


8 


- 


8 


Monomania of Fear, 


2 


3 


5 


1 


2 


3 


Monomania of Suspicion, 


5 


1 


6 


3 


1 


4 


Totals, . 


171 


166 


337 


141 


155 


296 



1869.] 



PUBLIC DOCUMENT— No. 28. 



19 



Quite a large number of the patients committed in the course 
of the year were afflicted with suicidal mania, and several with 
both suicidal and homicidal impulses. No suicide or other 
calamity has befallen any of the inmates. 

An unusual number of the patients were suffering from high 
maniacal excitement when admitted, yet the amount of 
restraint and seclusion has been very small ; no patient having 
been restrained except for the purpose of preventing suicide or 
confining clothing upon the person. No one has been in seclu- 
sion except such as were strongly homicidal. You have seen 
but one nude person in the course of the year, and no more 
than two in many years. 



Table No. 5. 

Showing the Pathological and Pathogenetic Causes of Insanity. 







1869. 


Previously 




Number 


Number 


Number 


Number 


CAUSES. 


of Cases. 


Pre-disposed 


of Cases. 


Pre-disposed. 




Ma. 


Fem. 


Ma. 


Fem. 


Males. 


Females. 


Males. 


Females. 


Congenital, . 


3 


1 


3 


1 


20 


18 


20 


18 


Hereditary, . 




26 


34 


26 


34 


488 


498 


488 


498 


Periodical, 




25 


20 


25 


20 


285 


392 


285 


392 


Apoplexy, 
Paralysis, 




2 
11 


2 


1 

4 


- 


4 
102 


2 
46 


2 
17 


1 
11 


Epilepsy, 
Chorea, . 




13 


6 


3 


2 


211 

2 


87 
5 


66 


26 
1 


Phrenitis, 




- 


- 


- 


- 


9 


7 


3 


5 


Neuralgia, 




- 


1 


- 


- 


5 


6 


2 


2 


Neurasthenia, 




3 


4 


- 


- 


94 


119 


38 


45 


Fever, . 




2 


2 


- 


- 


58 


83 


28 


34 


Disease of Heart, 




- 


- 


- 


- 


- 


4 


- 


- 


Anaemia, 




2 


- 


- 


- 


33 


30 


10 


9 


Tuberculosis, . 




- 


- 


- 


- 


7 


13 


- 


2 


Pneumonia, . 




- 


- 


- 


- 


4 


4 


1 


1 


Bronchitis, 




- 


- 


- 


- 


5 


27 


5 


19 


Influenza, 




- 


- 


- 


- 


2 


5 


1 


3 


Asthma, . 




- 


_ 


_ 


_ 


1 


3 


1 


3 


Pertussis, 




- 


- 


_ 


- 


1 


1 


- 


1 


Disease of Liver, 




- 


- 


- 


- 


2 


3 


- 


1 


Dyspepsia, 
Enterorrhcea, 




- 


- 


- 


- 


15 
9 


13 
3 


6 
4 


3 
3 


Exanthemata, 




_ 


_ 


_ 


_ 


10 


13 


5 


6 


Eruptions, Suppressed, . 
Excretions, Suppressed, . 


- 


- 


- 


- 


7 
15 


11 

1 


4 
6 


7 
1 


Renal Affections, . 


— 


- 


— 


— 


2 


1 


1 


1 



20 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table No. 5 — Continued. 





1869. 


Previously. 




Number 


Number 


Number 


Number 


CAUSES. 


of C 


ases. 


Pre-disposed 


of Cases. 


Pre-disposed. 




Ma. 


Fern. 


Ma. 


Fem. 


Males. 


Females. 


Males. 


Females. 


Menstrual Disorder and 


















Uterine Disease, 


_ 


2 


_ 


_ 


_ 


150 


_ 


64 


Puerperal, 


- 


19 


- 


5 


_ 


326 


_ 


164 


Turn of Life, 


- 


18 


- 


4 


_ 


212 


_ 


107 


Hysteria, 


- 


1 


_ 


_ 


_ 


31 


_ 


15 


Puberty, 


- 


1 


- 


1 


1 


9 


_ 


5 


Masturbation, 


31 


11 


9 


3 


467 


89 


205 


36 


Excessive Venery, . 


1 


- 


_ 


_ 


1 


_ 


1 


_ 


Intemperance, 


27 


2 


9 


1 


689 


101 


282 


27 


Use of Opium, 


_ 


2 


_ 


_ 


4 


17 


3 


5 


Use of Tobacco, 


_ 


_ 


_ 


_ 


3 


6 


_ 


4 


Domestic Trouble, . 


1 


8 


1 


3 


63 


219 


28 


113 


Domestic Affliction, 


o 


5 


-. 


_ 


80 


249 


43 


108 


Disappointed Affection, . 


- 


4 


- 


1 


64 


102 


18 


37 


Disappointed Ambition, . 


- 


- 


- 


- 


9 


10 


8 


4 


Avarice, 


_ 


_ 


_ 


_ 


8 


2 


7 


2 


Pecuniary Trouble, 


1 


- 


- 


- 


190 


41 


104 


17 


Spiritualism, . 


- 


1 


- 


1 


28 


30 


12 


13 


Religious Excitement, . 


2 


_ 


_ 


_ 


149 


183 


73 


91 


Political Excitement, 




- 


_ 


- 


11 


_ 


5 


_ 


Fright, .... 


_ 


2 


_ 


- 


16 


25 


5 


6 


Jealousy, 


- 


- 


- 


- 


19 


25 


4 


8 


Seduction, 


_ 


- 


- 


_ 


_ 


4 


_ 


_ 


Abusive Treatment, 


_ 






_ 


2 


15 


1 


6 


Nostalgia, 


1 


_ 


_ 


_ 


6 


20 


_ 


2 


Mesmerism, . 


_ 


_ 


_ 


_ 


3 


6 


2 


4 


Criminal Trial, 


_ 


_ 


_ 


_ 


_ 


1 


_ 


_ 


False Accusation, . 


_ 


_ 


_ 


_ 


_ 


1 


_ 


_ 


Imprisonment, 


_ 


_ 


_ 


_ 


4 


_ 


1 


_ 


Theft, .... 


_ 


_ 


_ 


_ 


_ 


1 


_ 


_ 


Novel Reading, 


_ 


_ 


_ 


_ 


_ 


2 


_ 


_ 


Sudden Joy, . 


_ 


_ 


_ 


_ 


_ 


1 


_ 


_ 


Inhalation of Chloroform, 


















&c, .... 


_ 


1 


_ 


_ 


_ 


1 


_ 


_ 


Mineral Poisoning, 


_ 


_ 


_ 


_ 


5 


_ 


3 


_ 


Vegetable Poisoning, 


_ 


_ 


_ 


_ 


2 


1 


2 


1 


Insolation, 


2 


_ 


_ 


_ 


23 


_ 


10 


_ 


Injury to Head or Spine, 


5 


1 


_ 


_ 


90 


25 


29 


12 


Incidental Injuries, 


_ 


_ 


_ 


_ 


15 


4 


4 


_ 


Srofulosis, 


1 


1 


_ 


_ 


6 


8 


1 


2 


Cancer, .... 


1 


_ 


_ 


_ 


_ 


2 


_ 


1 


Venereal Disease, . 


- 


_ 


_ 


_ 


_ 


2 


_ 


_ 


Old Age, 


1 


3 


1 


- 


49 


46 


24 


23 


Unascertained, 


8 


14 


- 


- 


697 


741 


- 


- 


Totals, . 


171 


166 


82 


76 


4,095 


4,103 


1,868 


1,970 



1869.] PUBLIC DOCUMENT— No. 23. 21 

The great frequency of relapses, or the predisposition en- 
gendered by the disease itself, is shown by the fact that of the 
cases included in the foregoing table, forty-five had suffered 
from previous attacks of mental disease. A hereditary predis- 
position was ascertained in sixty cases, and, I have no doubt, 
existed in even a larger number, for this fact like some others, 
is often ignored or concealed by the relatives. The most 
frequent exciting causes, are, perhaps of a moral kind, proceed- 
ing from distress, anxiety, grief, fear and excitement, the 
results of domestic affliction, disagreements, disappointments, 
reverses of fortune, and sudden and violent shocks to the 
mind. That form of insanity which is popularly termed soften- 
ing of the brain — general paralysis — is frequently produced by 
mental shocks. Of the cases induced by physical causes, eight 
were traumatic, two resulting from sunstroke, and six from 
direct injuries to the head and spine. The various phases of 
ill health of a well-marked character resulted in insanity in 
sixty-two cases, and, undoubtedly, in all cases the physical 
organs are the first to suffer though the seat of the disease may 
be obscure. Twenty-nine cases are tabulated as cases of in- 
temperance. It is proper to state in reference to them, that 
none of them are cases of mere drunkenness. They are cases 
in which an incontrollable craving for stimulants formed one of 
the more prominent symptoms of mental disease, or cases in 
which habits of intemperance have produced insanity, but they 
are all cases in which there were well-marked symptoms of 
mental aberration existing at the time of their admission. 

I have in some former reports intimated my desire to re-arrange 
and classify anew the whole number of cases, and show in a more 
acceptable manner the conditions and circumstances influencing 
the health of the patients previous to the invasion of mental 
disease. Having personally known a large proportion of all 
the patients admitted to the hospital, and having carefully 
studied the histories of all the others, I expected to be able in 
this Report to present a new classification, but other duties pre- 
venting, my assistant, Dr. Draper, has taken up the work and 
compiled in a careful manner from the records and case books, 
and such other sources of information as he could reach, the 
foregoing table. The classification is given as indicating quite 
clearly the relation of cause and effect in the progress of mental 



22 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



disease. It illustrates, also, the exciting influences as to 
whether they are moral or physical in their nature. It 
covers a period of nearly thirty -seven years, and embraces eight 
thousand five hundred and thirty-five cases. 

Table No. 6. 

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





Admitted. 


Discharged Re- 
covered. 


Discharged not 
Recovered. 


Died. 


AGES. 














Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Less than 1 5, . 


1 




1 












From 15 to 20, 


12 


6 


3 


3 


4 


3 


1 


- 


20 to 30, 


29 


46 


15 


25 


20 


18 


3 


2 


30 to 40, 


57 


43 


17 


18 


22 


22 


7 


3 


40 to 50, 


29 


34 


12 


18 


16 


14 


5 


3 


50 to 60, 


26 


18 


13 


10 


7 


8 


2 


1 


60 to 70, 


8 


12 


6 


3 


2 


6 


4 


5 


70 to 80, 


6 


4 


1 


3 


1 


2 


6 


3 


80 to 90, 


3 


2 


1 


- 


- 


1 


- 


2 


Unknown, . . 


- 


1 


- 


- 


- 


1 


- 


- 


Totals, . . 


171 


166 


69 


80 


72 


75 


28 


19 



Table No. 7. 

Showing the Ages of Patients Admitted, Discharged Recovered, not Recovered, 
and Died, from January 18, 1833, to September 30, 1868. 





Admitted. 


Discharged Re- 
covered. 


Discharged not 
Recovered. 


Died. 


AGES. 




















Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Less than 15, . 


33 


28 


7 


13 


21 


13 


2 


2 


From 15 to 20, 


346 


248 


131 


150 


73 


74 


15 


16 


20 to 30, 


1,070 


1,016 


540 


516 


393 


395 


71 


76 


30 to 40, 


1,006 


1,076 


483 


512 


427 


395 


107 


102 


40 to 50, 


862 


897 


360 


406 


313 


309 


118 


102 


50 to 60, 


462 


493 


205 


232 


175 


166 


85 


90 


60 to 70, 


272 


244 


95 


114 


106 


76 


59 


59 


70 to 80, 


116 


82 


26 


27 


28 


23 


49 


26 


80 to 90, 


1 


16 


6 


2 


5 


4 


6 


9 


Unknown,. . 


4 


3 


- 


- 


1 


- 


- 


- 


Totals, . . 


4,095 


4,103 


1,853 


1,972 


1,542 


1,455 


512 


482 



1869.] 



PUBLIC DOCUMENT— No. 23. 



23 



Table No. 8. 

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





Admitted. 


Discharged 
Recovered. 


Disch'dnot 
Recovered. 


Died. 


DURATION OF INSANITY. 




oo 




« 




• 




■s 




0) 


a 
S 
a 

fa 




03 

s 

fa 


3 


03 
& 

fa 


10 


a 

e 
fa 


Insane 1 year or less, 


100 


104 


54 


53 


16 


20 


7 


More than 1 year and less than 
2 years, .... 


12 


13 


9 


18 


18 


19 


4 


2 


More than 2 years and less than 
5 years, .... 


14 


25 


4 


5 


16 


23 


5 


5 


More than 5 years and less than 
10 years, .... 


13 


11 


2 


4 


8 


4 


7 


4 


More than 10 years and less than 
15 years, .... 


9 


4 


- 


- 


3 


5 


- 


- 


More than 15 years and less than 
20 years, .... 


8 


1 


- 


- 


3 


- 


- 


1 


More than 20 years and less than 
25 years, .... 


2 


2 


- 


- 


2 


1 


- 


- 


More than 25 years and less than 


















30 years, .... 


2 


2 


— 


- 


2 


— 


- 


— 


Thirty years or more, 


3 


- 


- 


- 


- 


- 


2 


- 


Unknown, .... 


8 


4 


- 


- 


4 


3 


- 


- 


Totals, .... 


171 


166 


69 


80 


72 


75 


28 


19 



2-t 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 9. 

Showing the Duration of Insanity before Admission of Patients Admitted, Dis- 
charged Recovered, not Recovered and Died, from January 18, 1S33, to Sep- 
tember 30, 1868. 





Admitted. 


Discharged Re- 
covered. 


Discharged not 
Recovered. 


Died. 


DURATION OF INSANITY. 




















03 

3 


"3 

1 




a 

fa 


"3 


a 

a 

fa 




a 


Insane 1 year or less, 


2,572 


2,753 


1,422 


1,543 


683 


656 


249 


294 


More than 1 year and 


















less than 2 years, 


179 


144 


185 


168 


136 


107 


37 


19 


More than 2 years and 


















less than 5 years, 


565 


540 


121 


139 


223 


207 


102 


69 


More than 5 years and 


















less than 10 years, 


314 


289 


48 


57 


230 


218 


40 


31 


More than 10 years and 


















less than 15 years, 


171 


175 


20 


23 


115 


108 


35 


27 


More than 15 years and 


















less than 20 years, 


78 


50 


9 


9 


47 


67 


20 


11 


More than 20 years and 


















less than 25 years, 


54 


49 


7 


- 


34 


37 


5 


10 


More than 25 years and 


















less than 30 years, 


23 


19 


5 


1 


12 


11 


7 


6 


Thirty years or more, 


34 


30 


2 


5 


13 


13 


9 


7 


Unknown, 


105 


54 


24 


21 


49 
1,542 


31 

1,455 


8 


8 


Totals, . 


4,095 


4,103 


1,853 


1,972 


512 


482 



1869.] 



PUBLIC DOCUMENT— No. 23. 



25 



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, 


81 
75 
14 

1 


64 

70 

31 
1 


33 
29 

7 


33 
35 

12 


41 

23 

6 

2 


27 
31 

16 
1 


12 

12 

4 


6 

7 

6 


Totals, 


171 


166 


69 


80 


72 


75 


28 


19 



Table No. 11. 

Showing the Civil Condition of Patients Admitted, Discharged Recovered, not 
Recovered, and Died, from January 18, 1833, to September 30, 1868. 



CIVIL 


Admitted. 


Discharged Re- 
covered. 


Discharged not 
Recovered. 


Died. 


CONDITION. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Unmarried, . 

Married, 

Widowers, 

Widows, 

Unknown, 


2,147 

1,728 

195 

25 


1,736 
1,837 

509 
21 


920 

854 

75 

4 


782 
938 

249 
3 


933 

535 

60 

14 


757 
532 

152 
14 


192 

255 
59 

6 


200 
189 

91 
2 


Totals, 


4,095 


4,103 


1,853 


1,972 


1,542 


1,455 


512 


482 



26 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct. 



Table No. 12. 

Showing the Occupation of Patients admitted to the Hospital from January 18, 
1833, to September 30, 1869. 



OCCUPATION OF MALES. 


1869. 


Previously. 


Auctioneers, 




2 


Armorers, 










_ 


3 


Authors, .... 










— 


3 


Blacksmiths and Iron-workers, 










2 


72 


Bakers, 










2 


14 


Butchers, .... 










2 


7 


Book-agents, 










- 


2 


Book-binders, . 










- 


4 


Broom-makers, . 










- 


2 


Book-keepers, . 
Britannia-workers, . 










- 


10 
2 


Brick-makers, . . 










_ 


6 


Bellows-makers, 










_ 


2 


Barbers, .... 










- 


19 


Clergymen, 

Carvers, .... 










3 
1 


25 
3 


Carpenters, 
Coppersmiths, . 
Coopers, .... 
Cabinet-makers, 










6 

1 
2 


133 

9 

22 

17 


Clothiers, .... 










_ 


16 


Comb-makers, . 










_ 


4 


Confectioners, . 










- 


3 


Card-maker, 










- 


1 


Chair-makers, . 










- 


3 


Cigar-makers, . 










- 


6 


Clerks, .... 










7 


120 


Carpet-weavers, 

Caulkers, 










— 


3 
3 


Camphene-distillers, . 
Dyers, .... 
Druggists, . . . 
Drovers, .... 










1 
1 


3 
3 
3 

2 


Daguerreotypists, 

Engineers, .... 










1 


4 

4 


Engravers, 










- 


4 


Editors, .... 










- 


4 


Expressmen, 

Farmers, .... 










18 


14 

789 


Fishermen, 










3 


35 


Gardeners, 










1 


10 


Glass-blowers, . 










- 


4 


Hotel-keepers, . 

Hatters, .... 










— 


14 
9 


Harness-makers, 










- 


15 


Hackmen and Teamsters, 










- 


37 


Jewellers, 










- 


24 



1869.] PUBLIC DOCUMENT— No. 23. 

Table No. 12 — Continued. 



27 



OCCUPATION OF MALES. 




Previously. 



Lawyers, .... 

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, . 



38 



2 
13 

1 
13 

2 
1 
1 

2 
1 

2 
1 

1 

11 



16 

929 

33 

6 

163 

36 

4 

1 

3 

10 

60 

7 

102 

1 

53 

36 

30 

7 

16 

1 

4 

4 

5 

3 

11 

13 

326 

9 

10 

3 

18 

163 

60 

9 

8 

13 

29 

1 

1 

2 

31 

29 

38 

3 

8 

30 

2 

18 

249 



171 



4,095 



28 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table No. 12 — Concluded. 



OCCUPATION OF FEMALES. 


I860. 


Previously. 


Actresses, 




2 


Cooks, 














1 


65 


Engraver, 














- 


1 


Housekeepers, . 














86 


2,205 


Housemaids, 














25 


431 


Laundresses, 














- 


4 


Music-teachers, 














- 


3 


Midwives, 














- 


2 


Nurses, 














1 


15 


Operatives in Mills, 














17 


237 


Seamstresses, . 














19 


769 


School-girls, 














1 


46 


Teachers, . 














3 


84 


Type-setters, . 














- 


3 


No occupation, . 














13 


236 




166 


4,103 



Table No. 18. 

Diseases which have proved fatal, from January 18, 1833, to September 30, 1 869." 











1869. 


Previously. 


DISEASES. 












Males. 


Females. 


Males. 


Females. 


Apoplexia, 
Asphyxia, 
Asthma, . 








2 


- 


17 
2 
4 


11 
1 
1 


Ascites, . 








- 


- 


5 


7 


Antochiria, 








- 


- 


17 


11 


Bronchitis, 








- 


- 


2 


- 


Carcinoma, . 








- 


- 


2 


2 


Cardionosus, . 








- 


1 


13 


14 


Cholera, . 








- 


- 


5 


- 


Cholera Morbus, 








- 


- 


2 


3 


Cystitis, . 
Dysenteria, 
Delirium Tremens, 








- 


- 


1 

12 

4 


1 
6 


Enteritis, 








- 


1 


6 


9 


Epilepsia, 
Erysipelas, 
Hepatitis, 
Hydrothorax, . 
Hernia, . 








3 


1 


78 
9 
1 
1 
1 


38 

10 

2 

1 


Inanitia, . 








- 


- 


38 


59 


Mania, Exhaustive, 








10 


7 


17 


17 


Marasmus, 








o 


2 


73 


71 



1869.] 



PUBLIC DOCUMENT— No. 23. 



29 



Table No. 13 — Concluded. 







1S69. 


Previously. 


DISEASES. 


Males. 


Females. 


Males. 


Females. 


Meningitis, 

Mortificatio, 

Necropneumonia, 

Paralysis, 

Phthisis Pulmonalis, 

Pleuritis, .... 

Pneumonia, 

Senectus, 

Typho-Mania, . 

Typhoid Fever, 

Variola, .... 




8 
2 

1 

28 


2 
5 

19 


11 
1 

64 
66 

16 

29 

8 

8 

1 


15 
1 
2 

21 

126 

2 

9 

24 

11 
6 


Totals, . 


• 


512 


482 



No epidemic prevailed to any extent during the year, and the 
health of the household was generally good. 

A few cases only of a mild form of diarrhoea, developed by 
sudden changes of the weather, and yielding to slight remedial 
measures occurred during the summer and early autumn. 
During the month of September, three or four cases of a mild 
form of typhoid fever appeared among employees who had been 
only a short time in service. In general, nothing was ex- 
perienced to disturb the sanitary condition of the hospital. 
The deaths of forty-seven patients, twenty-eight men and nine- 
teen women, was a greater number than during the preceding 
year, both absolutely, and when calculated in reference to the 
population. An examination of the table will show that the 
mortality for the year was less than twelve per cent, of the 
average number of residents, and less than seven per cent, of the 
whole population of the establishment, while the average mor- 
tality, since the opening of the institution, has been no more 
than nine per cent, on the average number of patients, and a 
fraction more than five per cent, when calculated on the whole 
number of residents. 

On comparing the mortality of the sexes separately, it will 
be found, and has frequently been observed, that any seeming 
increase in the death rate is confined almost exclusively to the 
male patients. In contemplating the rate of mortality in the 



30 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

hospital, it must be remembered how large a proportion of the 
more feeble inmates are advanced in life. 

Twelve of those who died had passed their seventieth year, 
nor should it be forgotten that all, or nearly all, are broken in 
health of body and mind long before their admission to the 
hospital. 

On investigating the causes of death, it will be noticed that 
the largest proportion, seventeen, occurred from maniacal ex- 
haustion, which fact illustrates quite fairly the character of the 
admissions during the year. From general paralysis ten, 
marasmus four, old age six, epilepsy four, and the remaining 
cases embracing a variety of causes, the character of which is 
indicated by the table. 

As it has happened in other years, so in this, several cases 
were brought to the hospital in almost a dying condition, and 
ought not to have been removed from their homes at all. Their 
journey to the institution probably hastened their death. 
Others were apparently sent to us simply because they were 
old, feeble and uncleanly in their habits, and required more 
attention than relatives and friends were able or willing to 
give. 

One of the patients who died during the year was eighty- 
nine years of age, one was eighty, one was seventy-nine, one 
was seventy-six, two were seventy-five each, two were seventy- 
four each, one was seventy-two, three were sixty-nine each, 
and three were sixty-eight each. 



1869.] 



PUBLIC DOCUMENT— No. 23. 



31 



Table No. 14. 

Showing the Admissions from each County, from January 18, 1833, to Septem- 
ber 30, 1869. 









1869. 


Previously. 












Whole No. 




Males. 


Females. 


Total. 






Barnstable, 






_ 


128 


128 


Berkshire, 






- 


- 


- 


190 


190 


Bristol, . 






2 


- 


2 


296 


298 


Dukes, 






- 


- 


- 


20 


20 


Essex, 






27 


29 


56 


1,217 


1,273 


Franklin, 






- 


1 


1 


127 


128 


Hampden, 






1 


- 


1 


377 


378 


Hampshire, 






- 


- 


- 


328 


328 


Middlesex, 






53 


65 


118 


1,478 


1,596 


Nantucket, 






- 


- 


- 


32 


32 


Norfolk, . 






8 


7 


15 


649 


664 


Plymouth, 






- 


- 


- 


238 


238 


Suffolk, . 






12 


15 


27 


758 


785 


Worcester, 






65 


47 


112 


2,416 


2,528 


Other States, 






3 


2 


5 


44 

8,198 

1 


49 


Totals, 




• 


171 


166 


337 


8,535 



Table No. 15. 

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



TEARS. 


Whole 
Num er. 


Average 
Number. 


No. at end 
of each 
year. 


Current Expen- 
ses of each year. 


Annual Ex- 
pense for each 
Patient. 


Expense per 

week for 
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 



32 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table No. 15 — Concluded. 



TEAKS. 


Whole 
Number. 


Average 
Number. 


No. at end 
of each 
year. 


Current Expen- 
ses of each year. 


Annual Ex- 
pense for each 
Patient. 


Expense per 

week for 
each Patient. 


1847, . . . 


607 


377 


394 


$39,444 47 


$104 62 


$2 01 


1848, 








655 


404 


409 


42,860 05 


106 09 


2 05 


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 


1867, 








669 


389 


355 


86,930 88 


223 47 


4 30 


1868, 








651 


370 


382 


72,054 59 


197 60 


3 80 


1869, 








719 


387 


376 


81,440 58 


209 04 


4 02 



It will be seen by the foregoing tables, that the average 
weekly expense, per patient, was increased from three dollars 
eighty cents to four dollars two cents, a fact which is ex- 
plained by the increased cost of coal, and a greater expenditure 
in improvements and repairs, than was incurred during the 
last year. If the excess of the expenditure for the purchase 
of fuel, and for improvements and repairs, be deducted from 
the total amount of current expenses, and the average weekly 
cost of support be based upon the sum thus given, it will be 
found to be only three dollars and sixty-seven cents per week, 
making a reduction of thirty-five cents per week from the 
actual cost, or thirteen cents per week below the cost of last 
year. So that if prices had remained nearly the same, and no 
more had been attempted for the comfort of the patients and the 
well-being of the institution, the average weekly cost of support 
would have been no more than three dollars and sixty-seven cents. 

While new outlays have been necessary to preserve and 
improve the property of the Commonwealth, and render the 



1869.] 



PUBLIC DOCUMENT— No. 23. 



33 



institution more acceptable to its inmates, the treatment of 
the patients in a medical, moral and hygienic point of view, 
has received its proper share of attention, and the curative 
character of the hospital has suffered no depreciation. 

In view of these constantly occurring items of expense, 
and in consideration also of the fact that the cost of the leading 
articles of consumption for the years 1868-9, is nearly one 
hundred per cent, in excess of the cost of the same articles 
in 1860, it will not be expected that the weekly expense per 
patient can at present be reduced much lower. 

An examination of the following table of retail prices in 
this neighborhood, will show that the average in the price 
of the leading articles of consumption, for the years 1868-9, 
is somewhat in excess of ninety per cent, over that of 1860 ; 
but if the average be proportioned to the relative importance 
of the several articles entering into consumption, the advance 
will be found to stand at even a higher figure. 









Prices. 


Increase. 


ARTICLES. 










I860. 


I860. 


Per cent. 


Flour, per barrel, 


$8 00 


$14 00 


75 


Beef, fresh, per pound, . 






1»* 


28 


124 


Beef, corned, per pound, 






07 


17 


143 


Pork, fresh, per pound, . 






09 


20 


122 


Ham, per pound, . 






12 i 


28 


124 


Butter, per pound, . 






25 


50 


100 


Potatoes, per bushel, 






70 


1 20 


71 


Rice, per pound, 






05 


12 


140 


Beans, per quart, . 






10 


20 


100 


Tea, Oolong, per pound, 






56 


1 40 


150 


Coffee, Rio, green, per pound 






18 


30 


67 


Sugar, brown, per pound, 






09 


15 


67 


Molasses, N. 0., 






34 


90 


164 


Coal, per ton, . 






6 00 


16 00 


166 


Sheetings, per yard, 






10 


17 


70 


Cotton Flannels, 






14 


30 


114 


Tickings, 






17 


33 


94 


Prints, Merrimac, . 






12i 


17 


36 



Thus, while all the articles of general consumption have 
increased about ninety per cent, since 1860, the price charged 
for board has not increased more than thirty per cent. The 
hospital has purchased for cash, at wholesale prices, but the 
ratio of increase must be nearly the same. 
5 



34 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



o 

CO 



o 



CO 

CO 

co 



?» 



. 


« 


CO 


s 


iH 


s? 


d 


i? 


fc 


s 


m 


o 


pa 


*S 


•< 


« 


H 


*<s> 




cc 1 




.0 



•to 



2§ 



I 1 



^Q 



co co >— 1 co © © 1 r)<ffliococDH05tD^05 1 © no cm 

(DCOr- I CO lO CO O O CI D5 ffl O r- I CM GO t- >0 lO CO 

CM O) r-H N^irlH H 1— I ■"*' 



H ffl IQ iO IM N I OHffiOJHHOOOrUN I © »<0 © 
■* CI C-l n M lO N'*(MH«00(M(NO'* © © rtf 
CM CM 1— t CO^HH 1— i Tfl 



CO CO 00 © CM N | CM ©•**<© CM -<cH©CO©t» I © CO © 
NiOCOCM mco COOIMCOhOhhOCO !>• © CM 
CM CM i—l O^riHHH <M "* 



h to to 01 co o 1 lOcsoocoiOHioiotom 1 i>- © -^ 

CO Tfi CO CO "* CO lOOOICOOHHHOffl CO to o 
CM CM i— I CD^rtHHH t-H ■* 



ocoeocoNO 
rt< h o 01 e ro 

CM O) r-l • 



1 s^ioinxiooocMiom 

OOlOMOCOHrlCOO 

to co i— 1 1— 1 1— 1 1—1 



t- O tH 1— 1 b- CO 
r— t- m CO rfl CO 
CM 0J i-i 



I b-b-.OOOSOO'^OOOCO-^ 
COtOCOCOOtMOli-H'fCO 

tOCOHHHH Hi- 1 



CO to CM IO ID "* 
Ol OS CM CM Ol CM 
CM -H i-H 



I (OO^aiONiOQ 
10 to to CM CO 00 i—l 

lOCO^H 



co co *# o © >o 

CO CM CM TiH -Tfl 1— I 
CI CM 1-1 



I HCOOJNCOiOOitO 

otoooioo 
*imh 1— 1 1—1 1—1 ; 



O CO CD CM CO (M 

cm © 1—1 eo co cm 

CM CM rH 



1 coiO' 
10 10 
•^ Ol 



I © CO 
CO CO 
tJh CM 



I © CM 

© co : 

CO CO 



I r-< © : 

© CO 

co ci 



© CM 
CO CM 



I oi co 

© 1-1 1 
co 01 



I HO 1—1 1—1 

■^ co 1—1 

CM 



I CO o 

© co 

CO 1—1 



- CO rrj 

"3 M eg 

*> '- - > 

"si s| S, 

^ CO <vj ?- r- 1 

tt I g.§ 

h ^ O ^ H+- 

S 1) 0) p O 

j3 -Q S- .B fl 

S S T3 T3 rd 

P B <D <U CO 

c s s* 60 W) 

CO CO ts e8 cs 



co co 

• tea • • 

s s 

•r- CO 

"Bo ' ' 

go +3 

O CO 

-.2.2 „U 

u a 'G S 

<0'cS «' = 

,0 a S3 

■SSI'S 

s £ ti es 

5 « re «j 



eo — T 



■ - to 

,a .2 - 2 

g's'g'a 



co r 1 

> 3 



•t? 






! T3 h _- g 



j- a 



CB'5 fe 



B CO > S 



"o "q *a ,b ,a 

iJj g g g CO 



co *--. 00 

rg" " CO TO 0jT= | _C0 r C^CO 

c-o g 4; 2_co 2 4; 2 



£- s a — a 



CO a; 

CO ' w 



o -c o 

c a a u 

"* 00 

-w CO 



I- 1 r- — 

co o a 



S g 
co co co l^; co i* 
CQ 02 CC ^ fit <5 



1— 1 H CM i—l 


i—l 


CO©lOt-CM"^rHCO-^©l>-©lOeOrH©-->l 
IOCOCM lOHffilOHH ©•"*! 
^H 1— 1 1— 1 1— 1 


1 CO CM t^ 

1— 1 1— 1 © 
»— 1 



1869.] 



PUBLIC DOCUMENT— No. 23. 



35 



lo © go co © to co I i ©okdmohcohcookmo 

CO lO N t)( a O CDCDNtflTfOiOOlOCliOlM 

10HOND50 (M (N O O LO iO 't rfj_ i— I OS ©_ CO 

co~od co~r-Ti-Ti-r T^TfT^rir ofof 1-Tcm 



NCOQO WN 
CO "*l tH CO i— I -rfl 
CO CO >— I >— I 



riNt-«3(ONOIH(NM 

i>- co t— 1 i— i i— 1 1— i <m 



CO OS O CI -srl CO 
OtOHOWCO 
CI CI i—l 



I H W OD OO N M H O) N IO I CI GO © 

lOooinco^c-iciHOsm © -^i i>- 

OCOHHHH t-I CO 



00 ■* 00 r-l O) CO 
OOr-llOOrtTtl 
OIMHH 



CO LO LO CO CO T)t Ol r- I OS CO CO !>. GO 

OCOHHHH 1—1 CO 



CS C35 CS ffl uo o 

co rf co o ei ■* 

CM CI 



I OHCOCOOINNOCJHNHONCO 
COCOCOCl^ODHCJCO t-h tH © 
COCOHHHH r-H CO 



H ^ LO CO CO CO 
CM CM © HO CM CO 
CM CM t— I 



I OHNtHOCSOHWO I i— I -hh © 

o^HOHOHiMiMQ mmio 

lO CO ■— It- < 1— I i— I T— I CO 



CO t* © CM © CO 
CI CO CO © t-I CO 
<M CM i—i i— i 



lio^iOi— i to © ». © ci -h-i I ©©co 

CM -r« CM © lO CM t-I t-I CM © t^ CO CO 

CO CO i—l t— I t— I T- T-I CO 



O CM •* lO CM O 

T-I ^H © © 1-1 CO 

CM CM i-l 



I HQ-^HN'*COliCOHHHCOCO 
i— ' © i— l©i— I © i— It— I t« i>. LO LO OS 

CO CO i—l i—l i—l t— I CO 



H^-)IONt!I 
CM © CM CO CO 
CM CI t-I 



I ©COCOCOCMCIt-HCOCOi— ICIOO©^ 
OQOHQHHCM^51i5iOCOO 

CO CO T-I T-I T-I T-I T4fl 



H ■* H LO CO O 
LO © CO CO CO 
CI CM t-h 



|COCS)>.-H-l00CO'HHCO©i— I I COCO cs 
CONOlClOlOHiHCON COCOCO 

I CO CO i—l i—l i—l i— I CO 



T3 

3 



o 

© 



o 

T- 

J 

P5 

< 



LO i-l ffi 15 15 CM 
i—i © C) CO i— I CJ 
CI C) i—l 



I ci i— i o © 01 o> ci © co t-- I to -* ^ 
coco©i— i o a i-i h lO lo ©co ci 

IOCOHHH i— I CO 



© t->i © CI CO © 

© co co to i—i co 

CJ i—l 



I T-Ht-CO-rtl tO C1©©-*H© | CO © OS 
OiHOOCSCOCMHCOCO ■?« tH © 
LO CO i— I t-h CO 



NON^htII 
© t— CI O- -cH CO 

CO CO t— i r- 1 



I CO H CM LO O CO CO CO H S CS LO 51 O] 
!>• © -*l © CO C5 i— It— l« COCOIONN 
CO CO i—l i—l i—l i— I t— I CO 



i— I tO © tO © tH 

r- i>- lo i>. Tji 

CI CI T-H 



I t— CI © lO CI CO © tO CI © I tH © t~ 

•»*<t>.oiT*cOT3ii— i ci go go t-t^oo 

© CO T-H 1— I T-H T-H .— I CO 



tH H h CO CO LO 

-h c a •* 51 co 

CI CI 



lt^©Cl©I>-'-H001>.COCO I JOHN 
NNHOIOOhhQtJI tHlOlO 



cs ■**■ as co cs t- 

© -ti © CI »• CI 

i— CI r-l 



I OCOCOCOr- ICOCOrJi©CDCO©©© 
COCOCOr-HCOHHCOOO LO lO HI 

to co t-h t-h t-h t-h ro 



© CO CI CO © -HH 
CS CO CI to CI CO 

Cl-HH CI 



I ©T— ILO-HHGO©LO©©».01LOt^© 
T— I CO OI S O -H r- li— ICOUOt— I Tj1 t- CO 

CO CO i— i i— i i— I CI <M itH 



co © no © co t-h 

CO © TM CO !>■ 'tH 
CI CO i-H 



I COC0 51C0C0OHHN I OOO 
CI CI CO O CO © CI CJ "# tH © CO ci 
CO tO t— I t-h t-h 1— I CM to 



CS CO CO -* t-H to 

© -f © CO © "* 
TOOIH 



I lo ci co ^h co ci © o © © i no co to 

t~CO^HCD©©ClC]LOiO OtJih 

l>- tO »H -H 1— I CI lO 



T3 
3 CO 

> 

•3og 

2 « s. 

g o a 

° &,« 

cj a 2 

m .- a 

. -a t t t3 

Q} Q) CO 

; bti tc so 

i « « 5 
-= -a -a _- 



.5 % 

U CO 
3 Cm 

*o o 

-C5^3 



o.S 






th JS „ .---J 



S a o cj ' 



a e« 

ch2 a^J § 

s fe J 3 J 



■a gj 



C C S "C? 
_^ CO QJ o» CO JS 



■a SB . 

beg 

as o 
-° •- -A 

tn CO 

'^S to 113 

-S3 



t; a co?, 

- S co > £ 

T3 O '^ ° CO 
gj CJ Cm OJJ f, 

t5 t*» *~» >% 2 

„.0.0„C £ 



2 a 



M fl 



^ ^i J2 c c c ^ cj 



e$ 



KJ 



tM <1 



36 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



o 

H 

Eh 



O 





*o 


CM 

oo 


co 


co 




os 


Cl 


1—1 


CJ 


•* 


•* 


co 


o 
o 




~ 






















lO 


co 




• 


I s - 


^M 


i— i 




i^. 


"* 


CO 


CO 


CO 




o 


lO 

OS 




o© 


oo 


>C 


CM 
















»o 




■'""' 






















CO 


CM 
i—l 




« 


■* 


-H 


tH 




on 


CJ 


© 


Tti 


■^h 


■^H 


CM 


o 
o 






oo 


*o 


Ol 




i—i 




1—1 










'" H 






















lO 


OS 




oo 


CO 


w 


OS 




CO 


tH 


1—1 


CJ 


»o 


CM 


oo 


CM 

os 




oo 


oo 


lO 


I— ( 




1—1 




1—1 
































TH 


t- 




*-: 


CM 


OS 


I s - 




1— 


CD 


CJ 


CO 


I s - 


CJ 


OS 


OS 




oo 


t- 


rK 


i— 1 




T— 1 




iH 










,— ' 






















■* 


t- 




<^ 


OS 


1- 


oo 




1—1 


O 


rH 


m 


o 


co 


CO 


>o 
la 






t- 


lO 


CM 




i-H 


T— 1 






»— 1 




OS 




" 1 ~ l 






















iO 


o 
i—i 






lO 


lO 


VO 




co 


I s - 


■*H 


OS 


o 


co 


1—1 

co 


OS 




oo 


OS 


OS 


t— I 




T-l 




i—l 




^H 








CO 


CO 


CO 
















tM 


t- 






CO 


tH 


T-H 




to 


OS 


o 


co 


CO 


CM 


o 


tH 




oo 


OS 


lO 


CM 




-H 














*""* 






















CO 


»o 




CVS 


oo 


OS 


OS 




co 


co 


_ 


i^ 


CO 


co 


o 

CO 


o 
o 




oo 


oo 


lO 


CM 




1— 1 


^H 


































tH 


OS 




©^ 


r-H 


CO 


CO 




on 


OS 


1Q 


»ra 


00 


■*-H 


OS 
O) 


o 
o 




oo 


OS 


"* 


r-H 




i— t 




i— i 










5J 


i— 1 


OS 


i—l 




CO 


tH 


CO 


tii 


CM 


co 


o 

o 


lO 

i— { 






OS 


rM 


CM 




CM 




l"H 




I— 1 




























CO 


m 




« 


T— 1 


CO 


CM 




m 


tH 


t^ 


lO 


CM 


I s - 


CO 

oo 


lO 




OO 


OS 


lO 


ON 




CM 




1—1 




i— 1 






1—1 






















co 


CO 




CO 


O 

os 




i-H 




CM 


lO 


lO 

Cl 


CO 


co 


co 


CO 


CD 
CO 




*— ' 






















Id 


OS 




oo 


CO 


CI 


lO 




co 


OS 


lO 


o 


CO 


co 


OJ 

Tt< 


00 




OO 


oo 


o 


I— 1 




CM 




I— 1 


iH 


i-H 






1—1 






















tH 


t- 




*-: 


OS 


r>- 


iO 




i—l 


co 


CO 


co 


O 


1— 1 


tH 

OS 


o 




oo 


oo 


o 


CM 




CM 




T— 1 




i— ! 


CM 




1—1 






















CM 


ira 




O 


T* 


CO 


os 




Ol 


I s - 


CO 


CO 


»n 


CO 


CO 
CM 


o 

CO 






oo 


lO 


i— i 




CM 




1—1 




i—i 


1—1 




,-- 1 






















CO 


co 




^ 


<M 


CO 


CO 




i— 1 


I s - 


h- 


OS 


CO 


I s - 


CO 


CO 
CO 




oo 


co 


■* 


I— 1 




CM 




i—i 




CJ 






' ' 






















co 


CO 




«« 


CM 


•rH 


o 




CO 


co 


CJ 


tH 


-H 


co 


co 

tH 


o 
oo 




OO 


co 


io 


CJ 




1—1 




1—1 


r-H 


CM 






1—1 






















co 


CO 




CO 
CO 
oo 


1 


1 


1 




co 


os 


-H 


t» 


»o 

CM 


lO 


1— ( 
CO 


o 




*- ' 






















CM 


CO 


























m 








as 






s 

o 
u 

Ph 














CS 

'5- 

o • 


CD 

a 








o 


as 

a> 


o 














^3 

as 


fl 

05 

03 






PI 

as 


■fl 

-3 




a 


• 


• 


• 


• 


• 


• 


,9 • 






cj 


— 


^3 


-8 1 














fl 


OJ 






in 

O 

u 


'-4H 

o 
!>» 

Fh 


o 

o 


OS t0 
fl i>» 

.2 id 














o 


HH ^ 






as 


Ol 


CO 






CO 




OS 




CQ • 


S ^a 






> 


> 


t> 


.23 os 

a * 

MH 3 






B 




fl 


rB 








O 

o 

CO 
Sh 
Cj-I 

O 


o 
o 

u 
o 


o 
o 
a) 

o 




3 
o 
'Sh 


.2 
a 

.CJ 


(B 

p 


c 
ca 

O 
Ph 
5 


_o 
15 

3 


OJ 

O c3 
. 0) 


03 03 

as as 

O a; 
- T3 






-^ 


-*J 






j 




o> 


O 




■H >> 








3 

cs 

(H 


C 

(V 

as 


a 

es 
u 


3 fl 

O 0) 


Ph 


PI 




fl 
(— 1 


§ 


Sh (Tj 


« s " 






<U 


0) 


01 


<o "H 














OJ 


as 






Ph 


Oh 


Ph 


Ph 














Cm 


Ph 1 



1869.] 



PUBLIC DOCUMENT— No. 23. 



37 



o 
Q 



o 

fa 

pq 





eo 




in 




00 


•* 


CO 


■* 


CO 


t- 


m 


co 


% 


OS 


■on 


1—1 












O 


m 






■g 


b- 


"cfi 


CM 




















Eh 




























OS 


CM 


O 


CO 




m 


1— 1 


CO 


1 


OS 


CM 


m 


CM 


• S3 


t- 


1C3 


CM 




1- i 












CO 




oi 


-* 


r^ 


CM 




ira 


CM 


10 


1 


T— ( 


l-H 


m 


os 


oo 


IQ 


■*H 


"=*1 




CM 








1—1 








' — ' 


























^ 


CO 


o 


1—1 




OS 




1—1 


iH 


h- 


O 


Tfi 


1-1 


ob 


b- 


in 


i— I 




CM 










l-H 


CO 




«; 


CO 


o 


O 




co 




CM 


1 


co 


CO 


CO 





oo 


CD 


■^tl 


1—1 




CM 
















*— ' 


























jj» 


CO 


in 


b- 




CM 




CM 


1 


CM 


■* 


CO 


CO 


IS 


r~ 


lO 


r— 1 




.—1 








i— 1 




CO 


OS 


«* 


CO 


b- 


CO 




m 




eo 


1— 1 


CM 


CO 


CM 


1 


GO 


b- 


c 

CO 


l—l 




i— 1 








i—( 




in 




co 


■5*1 


CM 


i— I 




i-H 




os 


1—1 


,_, 


1—1 


m 


m 


CO 


b- 


OS 

■* 


CM 




CM 








1— I 


in 


CD 


t~ 


G«5 


OS 


— H 


CO 




lO 


CM 


■<* 


CM 


m 


CM 


CD 


rH 


52 


CO 


CO 


CM 




CM 








OS 


1-1 


lO 


CO 


^ 


CO 


-4H 


O 




b- 


1— 1 


b- 


CM 


m 


m 


rH 


1—1 


S3 


b- 


CO 


eo 




CM 








r-t 




m 


00 


<=> 


CM 


** 


as 




b- 


r- 1 


CD 


tH 


^ 


CO 


CD 


<* 


i £2 


OS 


CO 


T— 1 




CM 








os 


TJH 


"* 


CD 


oa 


to 


on 


CO 




C5 


T-H 


b- 


CO 


t-H 


m 


O 


b- 


S3 


b- 


*CH 


l-H 




1— 1 








^h 




CO 


OS 


GO 


CO 


rt< 







r^ 


1 


m 


1— 1 


■* 


1—1 


1—1 


1—1 


■ ~ 


b- 


CO 


CM 




i— 1 












m 


OS 


t-: 


co 


m 







CO 


iH 


CM 


1—1 


OS 


i-< 




co 







b- 


CO 


co 




CM 












1—1 


' ! ~ l 






















CO 


1—1 


CO 


co 


CO 


in 




05 


CO 


Ol 


1—1 


OS 


co 









CO 




b- 


tH 


l-H 




T— ( 












■*- ' 






















eo 


OS 


*rs 


CM 


in 


b- 







Tt< 


m 


I— 1 


CI 


eo 




CD 







OS 


rM 


r- 1 




1— 1 












^ 






















■* 


t~ 




O 

CO 


CM 

m 


OS 
CM 




QO 


CO 


00 


CM 


•* 


-* 


co 
in 




OS 
























in 


t- 


C3 


CO 
CO 


eo 
■* 


■* 

(M 




b- 


■^ 


CM 


CM 


CM 


^ 







CO 

00 


1— ' 






















m 


b- 


e<5 


b- 
b- 


CM 


CO 
i— 1 




os 


CO 


co 


co 


CM 


OJ 


1—1 

CO 


co 

b- 


■- ' 






















m 


co 




<D 


Ml 




a 



M 


















a 




« 


f- 


















a • 






,13 


CO 


M 














j 


a 




c 


CJ 


c« 



2 . 














CO 


OJ 




0) 


T3 


















cfl 




CJ 
CJ 


— 


T3 
















a 


CJ 




Cm 


CO 




C*H 


« 














"s * 






o 


O 


O 
















<~ « 
























<u- 


O ? 






u 


cj 
> 


'.2j 

a « 

'C co 

+5 « 


• 


• 


a 


• 


aT 



s 

c« 

M 

<x> 

a 


a" 




CO • 

-a 


+3 




o 
o 
CJ 

Cm 
O 


o 

CJ 
CU 

M 

C4-I 
O 






CO 

en 



13 

-a 


O 

c 


,0 
a 

CO 


Ph 
O 

u 


.2 

00 


03 

CO 
•XS 

c— . tT 
a 

. CJ 

•p >-, 


cd cs 

CJ CJ 
^ to 

S 
S ' 7 

CJ CJ 

CJ fH 




5 


CJ 

cj 


CO 


3 




CO 


— 





C3 


cj —3 
CJ CJ 
























. cci 


































CJ 


CO 


CJ "" 














CJ 






Ph 


Oh 


p-l 


fr, 














Ph 


Ph 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



o S 



tc W 



C5 
00 



o 



E3 ^ 
£*$ 

QQ .^ 






o 



^5 



& 



(3 S-c.S 

,S O C3 



E 3 



fc a 






5 > 






PZ £ 55 



a> 

Sa 

85 



C3 " 

° a 

.23 <d 

Ptf 



a a a a a 



aa 



a a 



a a 



M< CO -t< CO 



a a 
-* ■-( 

03 03 

S-l W 

O Si 



o o o 

fqOfq 






o o is o 
coio-iwa 



£a 



i-l CO <M 



< >5-2 



S'3 
S3 



«s * 



•3 ° 



« 2 



o & 
p. o 



£ s; 



j & a 



P § P So 



PfeH 



$•* a a 

St> p 3 



■S5 
pp 



,2 o d^i 
fed r? fed 



1—4 ^ 

S&4 



co co co 



i— i oo >^o coco -* 

CM (M (M CO CN) •* TJH 



<M <N<M 



CD CO i— ( — O GO ■* CO (M 00 CI 00 CO 



CO >><X> o CO 



<d <! 



CO CM >—* NOOIO 



^2 c > 2 



i £ >-.co 

I Q, c3 — I 



p.— 1 



CO -^ Ol (M CO — ' 






£ gig 



1869.] PUBLIC DOCUMENT— No. 23. 30 





Is 










"3 










-3 


O 






a 


is 

13 










_o 


13 






T3 


a 










3 










'3 

CO 










Oh 










Ph 








;A 












>> 








3 












hi 
■ cd 








^3 o ° ° 


o 


o o o 


o o o 




a a 


.-. co ^3 'd 13 




ci 
•d 




CO 1313 13 


T3 


■e is -d 


13 13 13 




13U 






i-l 
















*o 




o> 

PI 












"3 CO 
CO Ph 




'3 
co 




13 




13 




13 


13 


13 T2 13 




13 




co 




0) 






CO 


CO CO CO 




CO 




t» 




S> 




l> 


> 


i» (► > 




> a 




13 2 


-d 


l-i 13 




o 




—i °^, a^ a_, 

13 j-i 13 j_ 13 ^ 13 


13 


£.2 






c ^ 


O O B-o £ 
13 13 C 13 o 


O O O O 
13 13 'd 13 


ft 

s 


CO Q. 

> d 


c< e.o 0.0 ao) . „ - 2 
(. g > "p. r> g 

P.S °.S ° ~ a'd'd'd 


a § 






*H 












a 


— cci 




ft -w 


ft 


-m p. 






ft-w 


ft*j C-w ft-w ft 


•Wrd 




£ £ 


g 


° d 




a 


^ 


S a c a c a cj 


CO 

P3 


O X 




'O 


13 
O 










13 

CO 


13 

CO 






03 M) CO 


bB 


to 








SO co 


bo 


CO 




= b £ 




c 








h d 


»- 


d 




•H Q CJ.H 


c 2 


•- a o a a 

3^13 13 13 
2 


o o a o 


a 


a a 


2'daaeaaee 


a « 






co .2 co 


13 — 
O 


Tj'^'Tj'^ 


U 


13 13 


-d « r di3 r di3i3i3i3 


i3.d 




ci 
S3 13 

§.2 






o 








.S co 






ci cei 


a 


C3 








Qtf 


fi 


0h3 
















rrt CO CO CO 


13J 


CO rr3 




4_3 -4J 13 ._) 


J3 


.d .d -C ,c j-j 


-g-d-g -d 






^X^-CJS-CJ3J3 


d' 
















Tf< 






£ S^ S 


s 


sssss 


£SES 






"SSSSSSSS 


a 


tCa 

CD 




GO co o 

a 


CO 


co t-i i-i o o 


IC-*!M OS 






glOlCJ^HiHrti-IH 



1— ( CO CO CO CO CO CO ro CO 






co co ^) .co 


ED 09 


CO SO JO cq CO 


CO CO CO CO 




CO CO 




CO CO 






Jh Jh 




i- - -- — 


tH 


~ u 


L.t4^ih^irHhS-i 


^ ^ 


Jh J-t 




>*>,>>?-> 


>~. >*, 


>-.?->>>>->>-> 


>-. >-> >-> >. 


P^. 


p~>>> 


>". P^ >. >. ?*> >-. >>>,>-. ^ K^. 


£».;>, 




Ci G> CO CO 


CD «i 


ICS US US -HH -H* 


^ -*l Tf CO 


CO 


<M CM 


—<^.-lr-<.-lr-ir-W~H 


H O 


ea 




*> CO 


co ,J 


CO -M CO ^» 




CO 


+J CO 


-t^ CO +J 


_ 4J 


^ 




•- ^"3 




h t- ^ *H 






U )~> 


»- 13 h h 


M 


2 « 
a 

Qpq 




s ? « 


CO 3 


0J ^ 01 c3 






d to 


S r-. CO -3 


s 




o Si o 


~ ° 


m ° S ° 
CL> 01 O 




0) 


a <o 


a S £ H 


£ 




o "eg 


o° 


o o a o 


CO 


o t 


oca £0^ 

„ M eo?aaa 


0^ 




j5 13 > O 
ci O "S 


O rt 


0.20 a 


13 "O 13 13 


> 

o 


-2 > 

c-O 


.2 n'd >2^i3 r di3 

2-a sis 


^0 


^ CO 

11 




° 2-S 

Sh J3 n 


§1 


s;s 1 




CO 

j3 


■Ijs 


°c5 

t. a 




Ph ho. 


PcC 


hSh £ 




H 


CwH 


Ph&h HCUC3 


PbC3 


PhPw 




.d 










^2 










mont 
years 

do 

do 


^ co 

co 2 


O o o o o 


a o a co 


ccj 
O 


*J CO 

d ** 
a d 


!3adeeeeaa 

£-d CJ13 13 13 13 1313 


a a 


co g, 
& 1^ 




na t3 13 13 13 




r d'S 




0>0<MO 


^-CO 


lO-'CMOffl 


CO >o lO Tj< 


CM 


CM— ' 


H-(COONaONNCNHO 


CD r— ) 




iM 




r-H ~H CO 








•— ' 


<— ' 






c 












^ 




oT 
bo 














d 




ci 




o • • • 




. c . . . 


.... 




. . 


. 4> . . . 

a 


d" • 


*M • 




,i> 




o 








a 


tH 




ta 




^3 








CO 




ci 

a 




« 




co 










u 




Disappointed 
III health, . 
Unknown, 
Fever, . 


• c 
o 

■fa 

8.? 

co tu 


" r— d 
CG o 

C o C ci d 

o en o i: o 

d O C ^ c 


a" ' 

CO .. 7 

S -d S 


a 
.2 

^3 


• d" 
a 

d ca 

&-° 

II 


go g.2 ..2 „ S 

a.Sagbtagad 

pi's S*2fi«a'a 
H Ph H a O P a tD co 


ci „ 

d 
•J3 & 

w a 

co d 

aJ 


CO 

ci 
d 5? 

"S ft 

<2 — 




3 > 
PhO 


c o c ca d 


"a, £. s 
co i — i P-i 


c3 


"d d 

pa 


a d 






Tl 


U 


o 


tJ i3 






'd ^t3 ^tj i3 
* u «) * " co 2 








CO ^ CO 


0) 


^ o _ _ 


CO m CO 








CO 




*r^io 


•r o 


o o — • o o 


Sl3 00 S 




o a 


S so £ bc-a S br-d £ 


a a 


e^l 




br E bf.-a 


S-a 


r^ 13 6CT3 'd 


60 


13 13 


13 13 


13 bo 




.5 a .2 


ci 


^ a 


ei d rt 






C3 _C ci _C -~ cct _g ci 




d 




S3 ax 


a 


^ S3 


§ coS 


CO 




acoaco^abo a 




S3 




<u a> 






0) 






CO CO CO 


CO 


























Male 
Fema 
Male 
Fema 


o o 

13 U 


i! oooo 
d ^3 13-3 13 

a 


e e e a 
13 13 gT3 


a 

13 


13 rt 

a 


c3 rtJ ci .> cct fll ci 
d^i d-2 d e^ a a d 


a^ 

13 ci 

a 





CO 10 US CO 10 o CO >o >o CO CM T«OMO 
CMCOCOCM COCO CO^tlCDCM-i< tMtHCMCO 



cocm^hco mc. co h 01 o a cot^f^--<ti o cico r-nrscoo'oocoooo m'Oj 

CM .-I C~l CM —1 — CO •-'CM i-h — 1 CM CO — — < 1—1 CM CO CO CO CO CM CM H r-H 

5CO-H USCOt^cO r-^ 

;;ta.»^2; bc-^ t» _ co -z >>ir- o co -g_co -^ « qo -n e 

ci ft^= - rt o^;^ ed 5 =J^13 9-rt d * "^ cu rt co«'- , _2-rd 3-0:^^-3^^ M !5 

i^^Q coO 'i<!cy?ig -tl^.i-Q co co O <i >-» <! co S <i 

ONlCJCO -^^H CO -^ CO — 'CD CM — 'CIQ t^- t^CO t- O C7S OICN CO a ^ ff »(S C5 

coNOH 1—1 co ers co co -*i -f co 10 co us irs ■— ■ co TdoaaoKmaoMio 

CO-HCDCD -t--H -tOONK COCOCOCTl ^H -H-H US "O 'O CO CD CD CD CD CD l-» r— 

COCOCOCO •*-* -i<-*i^<rt<'* -*-i<-*-cH US U5US lOUSUSUS'O'C'O'C'.CIUSlO 



40 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 






< 
p 

W 





"3 « 






03 ""j 

•2 .2 






T3 O 


















13 ?3 






1 1 






_0 t3 












CD CD 






W £ 






Ph Ph 






£ 


^ 


>> 


sA >, 








h 


Jm 


h ^ 








CS 


rt 


C8 oi 






cs :fl 












!2 ^ 


^8 


^ -§ 


'S 'S 







!§ 2 


CD 




CD QJ 


-3 




3 £ 


H 




u fl 






CG K 


01 


O 


CD CD 








w 


a 


a a 








TJ 


-3 T3 


-3 


■73 T5 




CD 


O 


CD 0) 


CD 


CD CD 






> 


S* t> 


(» 


> > 




-2 






O ^-C 


2 °~< 

K 3 ^~3 




«3 


P. K fl CD 

fl > p> 
C c p. ~3 


o*ogo & ooo 

TJ C ""d O"^ fl 'd r d *d 


co'S'OO^OOOOOO 

ftc r d , d o r d r rf r d r d r d r d 


-3 a « a 




1 


M H 5 * 


"- 1 ^ ,rt 


ea— 1 h 


.^. 03 — fl 




« 60 ft 


■W ft +» 


-3 +j ft 


*. s *» ft 




a 


O d CD G 


O fl O 
55 J3 £ 


ftC fl 

Wt3 £ 


0^ p 




O 3> 


"fl 


■d 


T3 






O 


V 


CD 






to .5 


to bD to 


bDto 


to bo co 


CO 






pi b fl 


i3 pi 


PI s PI 


fl 




So'™ 


•; O "'S O 


0005 "-J 0000 


•rjooots.^oooo 


OO -a 




« 


a^a' 13 

O .2 CD 


'O'd'ti^ 2 "d'd'd'd 

S B 

.p! 0) 


_ 2'dT3'-Jrfl «'CJ r C3'-jT3 

H3 fl CD fl 

.2 cd .2 S 


.2 S 




03 Q03 


Qtf 


QP3 Qtt5 


QP3 






m to -a t« to 


CO tO to r^ m tO 05 »3 


rp- m «3 t» . t3 in ui xn m 


cfl co rrt w oi 






rC ' c! oo'55 


jd,d ,d„ ,d .d ,0 j3 


^^JUlgZ ^^^=^ 


^3 ^3^^:^ 










gaaas- aaaa 

l© ■<* 'tH l— l PI HCOJC1 


^= -4-3 +J +J. 




§ '3 


2 a a a a 


a a a~ a a a a 


a a^ as 

co. co s ira io 




a -^ 


■^ ^ _, 




S- S 'l 


rH r * H ™ H 


CO HH 


w co -"- 


co 




S 5 


C/3 CO CO CO CO 


QQCOtOCOCOCOcOCOCO 


cococotocotocococococo 


CO CO to CO CO 






J_ tH S-. !-l S-l 


^Mhl-hh^^h 


ht^^^^^lH^^^'H 


^- ^ Jh fc- M 




>-, ^ >> >>k 


kl>.l>)>l>>>li>1>>>, 


>>^?»,(>.>.f^>>?-.>.^l>. 


>> t»> ^ >> t>» 






OOCOOJOl 


©csawacsooooo 


t^0000CO00t^COt^t-C~l— 


t^t^co t-t~ 






1— 1 1—1 












^J 


» « , to +;• CO 


p u U CO « 








Ti % 


£ £2 "3 s- t* >- T3 


*"d h tcS « htJ 2 


tJ 




S"g 


° 


OJ d fi H =1 0) e 
go g « g « g 


3 c S 0) rjfl 0) fi 3 

ogoggo S 


PI 






Ojj 


W^ 00 


£0 oa £0 £ca 


Opqo flpqo ScqO 

.. O CO „ 


oW 000 




.la 


o> ,£ r d'd r d 


■c ^^-a O >»!> CO 


^ <DiJ > O S^-3 > CD^ 


1^3 cd 'd ■xJ "d 




>>s 


ts S 


Ots tsOrtO-S 


03^030^3 Orfg 


03 






.5 






'fl 






PhD-! 


HOj CuHO-iHCl, 


OhPhPh-HPhPh HPhPh 


PL, 




= d 


co 

-fl 




A 






a^ 


years 

do 
mont 
years 

do 


r r 0'0 CD 0)^™5 03 cu 


"d m s-. m 

is S © g goo 
fl cd^3 Qj r and r o <u cd^Jtj 


^t 9° 

O O co 2 

-3T3 03 §T3 


1 


' k&'& 


>-,P~, >ti !h 


« ?". t*> r>> f-> 


^ >. 


q 


o -§ 


CO CM CO CO 


CO^iCOi-l-#CNCD-*CO 


fflHHMCWNH^S'* 


to co co 






— ^ 


,,1 ™ , 


CM r-J ^ 


w* 1—1 








c 


.2 










fcc 








ci 


. . d • • 


..... fl .,0 . . . 






§ 


.2 


.2 a 






03 




+a rf 


rt 






o 

od 


CD 


gious exci 
turbation, 
ry by fallii 
sles, 

nown, . 
turbation, 
nown, . 
mperance, 
nown, . 


fl CC CD 

e c3 ^ „ 






o 

a 

3 
CO 




ilepsy, 
ritualis 
ilepsy, 
known 

do 
mestic 
known 
iappoin 
known 
do 
do 


epsy, 

do 

ealth, 

epsy, 

nown 




^ Oft > 


S«3 os J£ co^S a>M 


-3 ^« r-3 -m 








ft5.ftc pi .a fl 


ft ^H ft fl 






2 os£ 


WccpqtD QOP)£> 


W hH& 




d 


t3 t) 


n3 T3 ^ 


-3 . n 

CD CD q ? a) CD CD 

- or« o"oTOr! 


•T3 




>H 


» jj » 


0) j) » CD a 




o-£ O O 




6| 


'C'th'Z'-a bo 


S t>C fl T3 "3 fcETS fl ^J 


bC-a -a fl bC^j bC-d fl "3 bo 


■d r d ^ n3 T3 




o3 c o3 fl 


03 Pi 03 d 03 


_C o3_flj-_fl cs fi 


oS 




o 


§lp§ 00 


SccS CC § 


03 S 00 ^05 S 02 


s 






V 01 


CD Ci CD 


CD CD CD 


CO 
















co 

EG 


Male 
Fema 

do 
Male 
Fema 


Male 

do 

Fema 

do 

do 

Male 

Fema 

Male 

Fema 


A3 03 03 .. t3 

.SdOofloooJSdo 
« g-d-3 S^-dflcJ g~3 


Male 

d. 

do 

Fema 

Male 




® S-p-rj 


co •* co >oo 


cooovocnooHoo 


— ICMCOCOCSCM— II^CHOIO 


CM O ■* i—l CO 




^ 03 


lO CM -*i «a CM 


■*COCOCNtJ<^hCO-*CO 


c-qcDTj<cocDcoc<jcNTj(coco 


CO CO CM >o c^ 




<w d 
o- OT 


■^0 00 coco 


■*10«3 0CNO(NCO>0 


OOtJIi— lTjHCO^l>.rHCNC0'* 


00 1-1 CO CD CM 




i-HCMCM 


HIMMHHINIM ,-i 


CO CM CM 1—1 CM 


CM CM CM 




=0 er 




CM 






Is , 
jp-o 
<1 


18; 
June 
do 

Aug. 
Nov. 
Dec. 

1SR 


*-*... CO' — ' CD* ^P 

A ~ ~ fl **» "*'"S > - co 'fl >> _ S cjjjj _ _ _ _ oc 
^OOP!^'-^ft^O r -^PIr3C)5^T;OOr:OC,^ 

En <!gi-3(/lZ <<=; b<0 H 


fl O O O & 

C3 »Ti *pH i-Q t_j 
r-5 ^ 




. 


CO CO CM CO t— 


QI^N-*KT)<ffit^lO 


oioo^woxcomcMto 


MGOOHN 




o 


O O 


CO'^tOt^CO'^'COi— ICM 


r-l CM lO leM^^COOO 


^-<<oxco 




K 


OJQCIOO 


OOOOCT:^-(^-(Cv!'M 


CO C*C1 CO CO ^+* tH ^+1 1+1 ^tl IC ^o 


10 *o tO LO to 




ujiototDca 


COCOCDCO5OCO5OCOC0 


COCDCOCOCCCOCOCDCOCDCO 


O^vD^y) 



1869.] PUBLIC DOCUMENT— No. 23. 41 






toW tcfficoW 



d !> 

.2 ° 

^ S ot= S £ p-s Sis o'^EoS'SoSo'O'S'tiS'abS -d g-d'd S ond-d £ g-d 



-ag-d 2§ 22 -d £-d £ -n £tj S ns a ra £tj £-a 



•« es 0) eS — 



£££ SsIhh£ £ £££ ££5 z £5 5 ££ ££ 



a. 



O ©• 



2 "Td *d *",_._, '"C 'd li ■ W TJ '<_> r O 'U'U'U'U'U'U'U'U'W'W'W'U'W -^-i»»wwwww -~r - 

© .22 co .2 0) .-* 0) 

pj QpjQ pj PPh 

.=!.d.d ,d ^.d.d.d ,d .S ,d .d .d ,d ,d £ ,d ,d ,d -d ,d -d £ ^ £ £ 5 £ £ £ co 5 £ £ 

sss^s'ggass sasslaasa aassss sssssssgSga 

■"*< tJ< -* CM _V C5 C5 C5 CO t~U5 CO CO <M CM r_l "- 1 --i O O O O o CiCDtOiSuraCO-^i-HCNCfl 

C3 ""3* ^ r— I r— (i— IHHr- ( CD 

P-> >> ^ ^ P~> ?->!>>>-> S*> (*> ^^,^^^^^>(>>^^^^>>t>.>iP>. ^> P-> r-> (►> >> (*> ^ P-> P*> t*i S*> 

fc^t— t--CD*~CDCDCOCOCO CDtOCDtOCD(O^D^O©O l OlO'C'CiOy5 lOiO^O l O^O l O-^'^ l C l O l O 

>-, rrj ^ Jnfc.'d >H 1-irrtHI-i'Td W >d O ""d Sh H Tj h ;-i I-, -3 

*g o go § S °o^o o o g too &°o S° J!o 

fcWo°ooS°oW S3o°WS o« o^ooWo^W iJ°WooS oiWo 

>• aid "TJ-d > ^d a >T3^cut»^T3(u r d5T3T3(DT3 a) t>©o) r d r d>.?j r d:>a)'d 

<D fc o <" o .£ <» o £ » o .£ o .5 *.£ <»o.E; <»o <».5 

X h H -d In !-j3 h M ,d M >- Si f-i C M -d :-, J-, Jh In ^5 K 

E-iPh P-i Hfa fa H fafaHP-i fa fa fa Mfa Hfafa Hfa E— P-< 

S3 go o o o g g o -J g o o g| g-g S 5 S g J3 o o g goooogggo.S 

£ - i'd'd'd'd S o^ 0) o'O'o d i»H«)(i)rjtoy<i) r a'dH j J , d , o , d , s n «i (jt; « o 

i^a >, a >, k.>> H ^ c p-.s^d ^j? ;*, a ^ d j^^ |i ^-, 

«E (M — i i-i CN CM !M —< ■-< tM 



%>~>-St >>> o o o o o £o ^o'g £% S o o d-S fe t^i £ ^fe'S fe'S.o o 

^ — g ,a ,d ^ or,^ ^ a S fi <u » ^S n-d ^^^o^^S^^m 

da.3d_d-^D.d p.o d-g^d ^^J3 ft 5 d & 5 =• >5 =! *3 

r d r d p d ^nd t^^^^ 

a>cu<i'ai | i>(u ^cu Si cu Pa>p4'(D <u <u 

t' i! 'C"t" o o o o oo-r:^ooCoo-3oooooo ^3o'CO-=-rio^3ooo 

C fcc C tit S bC'-d 'd "d id >d "d S br.'d *d CdT) sct: t3 tj 'd ■d Td Mts K 'd tfj i-. Td tfd 'd "d 

rtdcss3«d osd rf d SSS^.S^.S 

CO 0)0) 0)0)0)0)0) 

»flO«OOOo1o »dOO»OOOS»fl^03i!d dOO^OOOOO^O 

5 jj-B cs-d-cd-d gTd c3 g'd'd cj'd'd'd 5 cj g a -a g cs g gtstd <« -d -d t3 nd 'd ^ 'a 

SEm i^ fa ^fa g fagfag faSfa fa S S 

OdM'OOOHOCOlon 000*fl'OU5eOHOOO>OHiM»N ONOOOO!00- ,l Qri l O 

«oeciccoio<M-*m-*w5 co-*co->^(Nco-*co->^-*ioio^j<(Mcnco f-hcm>o-*i-ico(Ncoco(M'0 

C 7 ! C-l C ^ _ rt"ci CO O CM CO OTOCOIMNtDr-i-*-*©-^- CM-*U5CN C0">0 INHN^lOmpCH 

CM . — 1 < — I CMi-HCMCM CM i-H i-H CO Ol COCO i-H CM — i-lCM i-HCMCO 

CO ■* 

fe'So^^g'goold S^o^o ^o-go o goooS 5St^° 1-3555 3 

r-Kmoo-*M^[-. o -#(DNon«i(»ni~o!nioH(NioG) 

ocion-fic.ocH (Mnif^Hr-ic-ic-iro-ttKooMrtMH 

lO'OOoa'j'il-NN t- N t» CO M M 7j 73 CO CO m a O Cl Cl O — w. — — — — ;— 

COCDCOOCOCOCOCOCOCD cCCOCDCOCOOCOCDCDCDCOCOtOCDCOO CDCDCDt^t^t'— t>-r— t^t^l^* 



42 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



^3 



I 

P 
PQ 

H 



1 • - 


"rt 


'cS 


"re "e« 


'cs "^ 


-2 


'B 


.s ^ 


3 ■" 


'O o o 


oo 


o O O 'B '3 o 


1 I 


o "B 13 


■"I 


•a a 




« 


o 


<p o 


M * 


Ph 


w 


Ph W 


£> 


sA 




>. 




m 




^ 


ic *3 


OS _; 

."S _ os 






' 3 >r 

02 W 


K .2 
33 CQ 








*B iB 'B 




*B ^ ^ i"0 "T3 n3 


cp 


OJ CD CD 




cu OJ oj o> cu <4> 


C3 


t* > C 




|> >»>>>(> 




TJ 


s- r Bi-,^i- r a cun fl i, cvt) fa's b 


1 


S o^^Ta S o S-b'B o 


£ s££S s aS a §£ g a-§ § a | s a g 5. 


fe 






-w p,*j Pj-m o. o *> p.<-> o 0.-4J P< 2 




*J ft -U ft+3 


Ph 


C 


U III 


a 
i— i 


o GOCOc <uo coojgocS 


"O ti 


13 




T3 iT3 'B i^J T3 'B 


cu 




<D O) £. 4) OJ Q> 


60 .5 


W (JD05 




bD» bcco °D a; bDtehDcotiDco 


03K.S 


B i- a 




id >hB b b ^pt-ps-id 




•"OOOoS-'-OOO 


o o 


ca •- o o o a •- o o 5 o o -3 o cs .S a .« oj -B 




gi3 ^13 .S g^3i3i3 i3i3 


rB ^'Oro'B-B ^'B'B'^'B'B J'BrB cS ji g ^ g 


W ^ 


2 gS 




og oB o w d oBoBoB^ 
.2 S .2 § .2 £ .2 S.2 £.2 £.2 


3 P» 


<u .2 <u 




D- Ptf 




fiPd ptf p p^ prtp^prtp 




Ha^S^^II 


Hj » I Oi »13 » M » » ID'S ^ jfl Jfl 10^ » 01 


a -; 


■—1 1—1 I— 1 1—1 S ■- ' ■— ' !-^ 


a a 


a oo oo oo t^ _, t^ io «s oo o i -1 <-' a a i-i a 


a. ji 


Gi a 


O'" M 


1~ 




C5 i-l '-'t- lo l^' - '^ *""" 

tomaimmKtoBBHiafflwwwMBoimoiM 


E .2 


»Mi/im(fla3Sffli» 


tn t/i 


.5 tc 


^l^tHhJHt-'ih^ 


Jh U 


SH^J-l^l^Hj-tJ-t&HSHJ-IJ^S-l^tHjHM^^H'^lS-lH 


H 


•>)^^^?^f^'^'?->f- 


^ p^ 


k^!>.^ >»>>-.>-. P-.t^>>> 1 >>P->?->^t>,t>-.>.t^>-,>- 1 >-. 




icio'O'OThicTtiTfH'Ti'^i'^ 


CO-sJirti^rtlcO-^-^TiHCOCOrO-i^T^CO^COcoC^COCO 




-u -w 


JJ 


^>WJ-W -tJTj^j^J jj 




Tj H'd !j 13 


'S'B 


u !S - r Bt3 ! - |, -"B'B 13 fci 


B'S 


cscs a 


3 B 


B^S fiSoSflS pB 


o o o o o 


o 3 


0»0 O B K © O O OO 


,35 


m o m o o pq 


o m 


„o„, ooo"„, S «, ooo^ oooo 


£ 5 


CD £ CD "13 0D r Bl3 r a 


^ CU 


g >^t313t3 o>2 > " cu^^B'B'B cu2 r B r B r B'B 


>.. g 


"S 5 "is g ts 
L. rp > .p ^ 


^ "ca 


c«Oc3 ■^csOc3'S aJ "cl 13 




■§! 


o " ° .: o ; 0.5 o .So 




h h h H S-l 


— !H 


^-B:h - - — ^ -■ ^ --i ^ h 




PLiPHfLifL, Pu 


0.D-, 


PhHPh Oj Pu tH 0- P-J P-4 PhPh 


s c 


CO CO CO 

r£S ,B ,B 




hSS^, B p., 8 pta^ fep>.B fc 




co "b co 13, »^ co ■£ co 
shBs-.B'Ts-.Bs-is-, 
oSOoSoS? c3 ° c3cS 
CDPCDCirCDdCDCD 

>>B j>,H £ f>B ?»>>, 


o '3 

■T3 O 


" a 


O t— -CMC i— 1 CO lO i-H tJ< KO i-l 


lOi-ICO-*lOC£)»0<M(Mcri'mcO»0 -WOT -tHi-l «J CD CO CM 




— — — — 




CO CM i—i (N i-l 


s 

03 
O 


...... a> . . 


OJ . 




•a 

o 

a 


of B 
^■5 &*3 £■£ 3 £ ° 


B „ 


J2 . B „ „ B „ __ „ ^.2 


p. 

a 


STaiBofl^SB 


P. o 

a a 


t^'cl' 13 o^lS p,^ ^g, o^ g-ftg-S O^gS, 
r?oj b cpSr SrSfflCDBcjfjdjfflx;^ 




^ ,B ^ ,d ^ £ o)^ 


O) ^! 




B-— JE? — J? B "S B 
HPPPPHhHp 




«p p pw pCL,ppppqpppppgPH 


a 


^ ^ 




'B T3 «tj g <n 
<a .2 © 2 oP©m £cu___2 
— oooC-BooSo^Bo - r;H-.oOr-.ooo-c 


>'£ 


a, 2 cu 2 cd.£> 


o o 


5| 


T3H3 


5>£-B ^ 13 sh bf-o ^ C 13 bL*& g cjCtj 13 6C-C3 13 13 C 


a a c « n s 




p c« S « p[H jifi j^C cS 


(J 


Jo SSS SS 


^ 




HI 01 


CD 


<d ai <u cti 














ci g 


o»aoiis«o«oo l 2oooofio5oo 
13 oS S "B oS S oS nB g'B'B oS T3 13 ^C i3 g 13 osi3i3 




^f=H 


g^ g&.g & s fe a 


S§|« 


HOlOMinMO^MODO 


HCOniOCOOr-ClOOlONOSifiOOCMMTllH 


" < i , fe'0+ a 


COCN-*-*COiO«DtM-*CDI>- 


<M'*co^|HC<io v ac<icOTtico-*c£.cr>r-icMt^co<McocM-* 




Ni*ClOHH00CiH 


C2 CO 


CO'l-l OCO<M-*OOC5^COrHirilOCT)-*i-lt~-*'Oi-H^; 


*m a 


i-l (M i-i — 1 CM 




i-< CM CN CM CM i-H CM CM i-l i-H CM CM ■-! CM 




tH 


ira __ ) 


S3 


2»ooofto-'oo 


goSfloo O-g O g'So O c^B ^o o g-o-g o go 




TO-*comoooNco«oiooi 

!OCDCDCOCOOHH 1 — ItJ<^ 


COlOCiCO^COCD^lCI — IOCO- '-rHOOCOCO— ^CMCOt^ 
COCDCD^-COXONCNCMC0 1CQCSC50rHT(l-*lOS 


t— t~t>-t— t^-t-^t—t^t^-t-t^- 


t^t^t^t>.t~r^t^t^t^t~t~t~t^t~t^t^c-t~t~t~i>- 



1869.] 



PUBLIC DOCUMENT— No. 23, 43 



R^oo & ogS;g , £oogo£oooR<Ss£!o©oooooga> ft 



o £ o iflo d <d 2 £ o c o £ 

zp z gcsi;z.g tfo>g aJ-Jesi] 



tfoz 



•T3 rd 'd 'R 'd rd 'd r« t3 

a> <y Q> <w <i> a> cy cd cu 

6D m bD "> bD «> bo bo to to Mtt Moi bn m bfl w 

be >« fl »< fl n »i fl c3>-at<c £r a^c 

JO -3 OOOOOOS -rj orf "3 °5 5 o "S°O - S cS- 2® 0!- 3OOOnio -3 ^'^ 

.g^g ^^^^nanS-gg-O^ l^-g-d-g^ g^ g-g §-«■§ g'd-a'd.R'd^ g ^g 

.2 £ .2 S .2 § .2.2.2 § g.SS .2 5 2 .2 5 .2 S 

Q P3 P P3 ppj QQ3 P3 PJQP3 Qgj b Qcd PQ3 

d o „scccBa = s s a» df; 5 c H ;< 10 g a a h c H a d a ^ a 

cn c o co 00 co r~ ^_ t-- •# Tj< R co co R ,_, c B co cm -N'H fi WH a g,-) b Q c ,^_ 

■* "3 -# CO CD^ U3 CO rH rt O ,_l ,_| GO «D 

P-. >»> &, S^^?>>-.t a -.^'* a >i>>>.?->^^>-i>i>L > ?-.l>->>>S^>-.?.?-i^.E^>.t-i £. £, >-. ?. S> ?->!>> 

COCOCO COCOCOCOCOCOCOCOCOCMCOCOCMCOCMCMCOCOCOCOCMCOCOCMCMCN ^CN CM CM cm <M CM CM 
__ CM 

-»J VJ ,-P M 4J ** C04J tjw^j 4J> w-jj+j+j M 

° ° S5°S°5 O f»0 Or? O S'O OO ugogSgo «S 

„ ° « « » ,, ° .1 ° ° 3 » * ° ° ., « o w o o 5H v h w h w a j 

•g .S o.'SoS-g.b •§ &»■§ .£-§.& «o .So slo-o-^o &2 

H :-, .S s-, >« X! n n H -2 J3 :-, u ;-, s-, -fi in n =H X i. h h 'h h h 3 -R 

0, On HPhP-HPhP-i Ph ccEhOh P-iPhCLi — Oi Pl,0h HP-iQ-CuCLiQ-a* coH 



.^^. 



R R o o -^ 
ai'o <y o tj ^3 p d o a) o ^ qj rrj ^ ^ ^ qj o ^ t-j p ^ 



• 0) 


<u 


s 


a 


eS.S 


01 


I-. c 








a 



THOtO^NOmOiOlOCOtOHNCOrHOKIHCNNTilHCOTiHtSrtOHCOiMCO enco 
^-1 03 —1 <N -J H <N rt CI CM 



.2 *• ^r ,2s« .2 .2 o 5 .2 

E? M*- rg ^2" s? 6"g I «5 r§ 1 1 a «r^1 1 2 & iz 1 ° 'I f 

_5i'=B2^ S2^S2fcc2 iiS^^a; £-5 »S » « f- tf a 



^-=2 S-R^^-c-R 2^§^^a32 ^S^-^SiH S^ 

S.s-r; a. R — « o— ft R --. o — « ^ r »R- 3.3 — u5 ft— R R "S R J2 a 

p-C^ pq &pq2 ^ag^poa g^feOSPHS plStq^pHhSP §D 



■r* ^- o — •r;oo^.ooooo - r;- j Ooooo - So--i- - r;- :: - - c;o— ooo'Coo'S ■— > o 

C fcfjT-3 tn tn -s -3 cms 'STjTjia S fj-a ts ^3 t3 -w S tJ so ^ be •„ ^ tn-d ts ra S ■-d -a 2 bc^i 

S 'co > cZ § co Sec S^ieScgS tg £*^ r^S eg 

^ m« rt .. rt .> rt „> c3 ... cj -. es .. 

aoo JiocooailaojioaHS-ooooaoHOooooaoooo ^io 

g-O'R rt ^^^^ J cs g^ rt ^ g rt J- c3 'd-a 'd'O gn3 ts T3'd'a r o' r a g r d'RT3'a cs^ 

Pn ^ fc^gCp g 6^,2fa§ fa § py 2 

t^iOCS C0i0O-tKMt001W10i(5OO»OMT)iNH«ll0l0NNi0CSOra(0Ni0t0C0 lOO 

NCMO OC2 0«3'*C'imT)(HW«5C-]rat»T((01iO!ONra«H01«IHKIK)(OiO-*N01 ^<co 

(Mco C5 coc^^l^wclTt^ot^TJ<t^o^-OTC»^oc>•-H<^^c<^T-^r^«D(^lC5'^lcolOrJTHcot^rH rn -^i 

rH(Mr-lr-i rHr-i rt CN i-l i-lf-l(Mr-t(M<M<MCN 

geo2a'"0'?,iJoS s , oogoooooHoS 1 &ooooo*j^eoogoSc* 

^-a-a «-a'a r cu 'T3-a jTi-t ts ts R-o-a'a^a'a s-a? ^ r R'a r R'a'aifu2'a'a r a r S'a t^r? 1 

P Hj fa l <; <S Hs H; < CO O Z t-l "~5 W 

<^-pr^ C0O^- ,, 0^^Ot^'0^^-rl^.C0OOI^'r+ , C0O00<^CD«0OOCn'^^P'r.CDC v lC^^ CM CM 

i - co '/-^ o i-hm c>] n m o co cs cm o ^ -^ -^ m n 'O ffl m en C5 o o -- n m -t -t 'O o t^ co o 

CO CO CO -t* -f -t" -t 1 -^ -t* -!< -f -f -r 'O >Q 'O 'to 'O 'CS ic »C 'O >0 'O »C? ZD O O CD CO CO :0 CO O CD CON 



44 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



"^ 



I 

H 

> 

< 
Hi 
P 
Pfl 
<^ 

H 







i-5 i-5 




« rf 


H3 o 




r3 O 


°3 ^3 O 




11 


'3 O TJ 
o o 




a * 


W Ph 




£ 


>> fc^ 






n n 






05 ^ cci 




=3 ~ 








*-§ ,2^3 ,2 oo 1 co 

oj-rH 'O cu 13 13 13 .ri ^ ^ 




'3 .2 


!h « >* « 




w n 


W «2 W 02 






^3 13 'C r3 "d 13 ^^ 






CD CD 0> CD CD CD cd cd 




cs 


-i > > > >■ > > >^ > a 




-a ^2^2? 2 -d -o 2>,2^2^ o £1^2^.2 






o-o ™ g 5.8 g*j Stfd-S & Bag K)g5 a 5g ■&■-§>§ g-S-d g £5 g 5 s 




£ 


Jj< o-"- 1 M-- !h — ' s-, (8 h e8— i p.— H .S S 5 '." O h ,M 5 * 




a cd o a o a o a-Sa2op*oaoa cd oo>cocx 




c 
i-i 




"2 ^ 


"d 'd 15 13 13 13 13 13 

CD CD CD CD CD cd cd cd 




to .£ 


6e co to co be « 60 co 6D co co 6D co co co 60 




b . s 


b fi £ c £ s=: b £ k a a Sr cnfitj 






2 -ja 2 4 :3 2 -S O ° O O C3 .-, o e« -5 • : -00000Ej00-"nS0-"C« 




S S 


-3 g-S g-S S'd'd'd'd-g l^-g^ §* g-d-d'd'd'a.g'd'S S-g-d S-g^ 
.2 £.2 S.2 g .2 g .2.2.2 S. 2 g 2 £-2 £.2.2 
Pp3,Ppi,P25 Qe; QPQtfppi p 23P tfQA 




5 M 






r^tCr^ffi T ;mm(Dffl(Of^CD|Br^rgr^K'tiCn«Wa]W(Oflfl^tfl'0^ <^ 




^ 


^^ Si "§ 2 ^ "§ ^ ^ ^ SS ^ ■B o3 co o= ^ x S 5 ^ 5 ■$ S en t-o ^ o co 5 ^ ^ 




1 1 


s s^g~ggggg^gg"^g^gg ss£S cqo,rt s rtH a N a 

J^t^ go gcOCOiOlOlO g-*-*^ B g^i acOC0C<llMlMlM g g gcq g grt g«5 




! 


2™'§ 


H OS t~- 00 *""!>- O CO COU5 00 «3 cq 




s ° 


C0KKO202WIZ1 tool? 3 . tfl cc Kf W tf! Ol Kl CO CO 




B w 




I 


i^^^^p^^^^^^p^^^r^^^^^^^^^p^^^^p^^.. ^^p^^(>, 






!-HCNIi^C<li^C>]NC<IC>C|C<lt-ccNINcNrHrHC<!-He3ClNc^ 






*» 00 +> to *» a) ajco*J oo-^ •«*» 






Jj -r;^^3^!H s_-3 hrjJS-iiH rcJSHtH Oi-TSb 




So 


o S°oS ^o JoJo §2° r /i°§o 
„ o o o o S „ M S ;, o S 14 o o o S w s o o o H J , o o o «« "-i „ 




°t5 




fe'3 


^TS'C'O'd >« ° > £^3 > o'O'XJTS > cu t»^T3T3 r d CP >*T3 r !3 r d °^ ca£ 




>>S 


£ OcS"SOcoOm 0"SOco "SOcci 'dcotica 




Mg 


Prot 

The 
Prob 
Priv 
The 
Prob 

The 
Privi 

The 
Privi 
The 
Prob 

Priv; 
The 
Prob 

Boar 
Prob 
Priv; 
Prob 




G - 


cc co in qq oo co co 

^^2 _3 ^S_£-^3,„ ,c|^ai 




o « o 


week 

do 

do 
mont 
years 

do 
mont 
years 

do 

do 
mont' 
years 

do 

do 

do 

do 

do 
mont 
years 
mont] 

do 
years 
mont 
week; 
years 
year 
years 
mont 
week 
mont 

do 
week 

do 




Q ^ 


HHHCOMUOOiOCJlMiHQCOCOC5m^QOOCNTjcMnt>HTt(NHncoiMIM 
j-i — i CNI CM CO HH ■— I 




3 
03 
O 
■a 

o 
a 
p. 

3 






o cjE Pcc^o*.* 




Intemperan 
111 health, 

do 
Paralysis, 
Unknown, 
111 health, 

do 
Puerperal, 
Epilepsy, 
111 health, 
Intemperan 
Masturbatio 
111 health, 
Old age, 
Fever, . 
Unknown 
Old age, 
Unknown, 

do 
111 health, 
Masturbatio 
Unknown, 
111 health, 
Injury to he 
Unknown, 
111 health, 
Turn of life 
Old age, 
111 health, 
Intemperan 
Turn of life 
Puerperal, 
Turn of life 




to 












c 

—i o 


'd >d . t3 ^ "d ^ . ^ r& y^ n3 k. 










'--<-c--''C o o o o-r; o o-S o o o o o'C^'S-i o-r-^S o-r| o o— ■ o - £ o o 




S'g 


0£-3 6cd-3'o'3T3 S r 3 r « fcCr) T3 "d 13 13 S tD 3 cX-d fc! Ofi-3 fc! 13 T3 &tl3 E 'd 13 






ccoccc f« cs a « is fi a s^ (j B a ■" a «* £ 




o 






0) CP CU CD Q3 CD 










H 


»oooosooiioooaoiit)ciiflo«cooooooo»soo 

C0-313-3T) g'd'd C0131313 g-d co'd g cc! gi3 ri J r di3l3l3 r c3i3t3 cb g »d T3 




to 








Age 
when 
admit- 
ted. 


C!«5O'0C0C0tDC0NO!Dl0NI»l0ni0OiO00rJ-*00ONiOO(N'f<'*NO«l 




(^^^TJlco^«3c^outllQ^coT^^^>.co^>.cot^c^^^oc^qlOc^5^-c^^^^l^^c^IC<^'*co^o 




<fc- a 


OlOCOOMNHXOJtOOTC^CONHCOCDCDHMOOCMOlCl^W^iiNCl 




0- cn 


CM CN CN r-iCq CM HrtHrtlMIN r-l HrHHi-lNNCC t-l H rH r-l 




o.2 

S3 


S-gOOc«OoS.OOOcc?OOOOCoC00^00000000 3 C 000 
j? ^3 'd ^j T) 13 ^"13 I3l34('3 r 3l3 r 3 r a'3 SlS'D SU r 3l3i3 , 3l3 r 3l3_il3i3l3 










OTHOiOOt>.-*Ort-lH*-JCOu500QM*N05lOtDOT|io-JiO-iNOOOH 




6 


MMCOCO**IOOCDNCOCOOQG)QO'^^-'ra-#-*Tf<lOCCOI5NNNOOCO 




£ 


t^i>tN.NNt^.i>^Nr^t^t-t^t^i>Nt»ooco(»co»o'jxcoooa)coMcoxxco 




t^t^t>-^i^i>-i>.r~t--i>-r-.t~t^r^t~c^r~t^c^t~t~r^t>.r~r~i>-r^r~t~i^r~!>.*^ 



1869.] PUBLIC DOCUMENT— No. 23. 45 



.2,2 

I" 2 



f O r U oi 

tn 



J-< 13 



©13 °^2°-ti 13 W 13 O)^ (D^S t-^S 

?So»oo££ooog<S;Bg<£oo«>£ooO g-o^oooSjoo^^o 

S o'S £^^ > O^^'S fi o S S o'U'ti Mo'a*^ E'!Jo'S , ti'3i>0 , S^I>oBo' 

s° » fl oflisod 2s v°S ,2 8 ,2 8-2 8 



(L> (DO) 

w b£ to be m bo 



e h 



<d 52 a> ..2. <u 52 a) .in o> .h o; •-« *y •r* <" *j-* 3 *J^ .3 *j^ 

pjQ aj PejQ oj Qgj PPn Q <A ad Q P3QEhQ 

T-T3 OT M mrd r^,^,^^^^,^^,^,^ fl-o-d ^d - :^!"^"^ is i3 13 ^ i3idi3 ^ 

d i.ONl>^ " " - „ rj H ^ rS ^ ?3 d S r- 8 8 §5 d d d CI 

p>% p*» P** ,*> >~ ^» >» ,^> ,^i— 1 r^i r^> r^» i*^ i-^ r- a j-j-iShHOOOHHH b>» 



H 2 fct s2"Ml2"£TS , -'l3l3b i3 b ^ ~ tt 

2 %t .3 2.3 2-c2 ■Bg-fcg'l -5s*2 §"2 

Pm HPn HP-iH P-i P-tP-c Pm oo fa cq Pm gj_fafa Oh CO Cm 

"jd » Is JS » H.3^d£ .3 ^d2^2 "S 22 „ cdS S2 ^^ 

g g)73 £l3 2i3i3i3 OJi3l3 g ^ ^ ^ O „ ra o g ^ „ ^ g ^ -3 "gg ? o» 

hh ^h ci ci 22 — 



S ■ ' • " • 'c! ' • J'll ~ • • m ~ o O • ' ' 

a a .2 _ 8 a „ S. 2 . « - ^ <£ . - ."^ . . 

T3 Ti oJ H .13 13 .13 t. "S S 

u 13 13 13 tCd S 13 13 13 bCX! 1313 " bDCi^rcj g bed 13 13 £ 13 S b£i3 13 13 13 bf-d 13 13 i- ^ 
9 B d d oJ fl « - « p rf^-da fT|d ^jT 

S cc S m *Sco3 ?S« g^gtg i>t g a|g 



JJ o I e » §« g o o o « I o o o^3 I o « o S» o o g » o g o^ ^ = oooo 

d l3gl3«5rt53l3l3l3 r rtgl3l3l3c«g'ddl3gc3 13l3grtl3gi3fflS i «i3l3l3l3l3 
g fa gEnSfa gfa gfa g fag fag fa «sCn g 



i-h M CI i-it-H 0>1 .-ir-nCIC* C1<M H CT N M TO HrinnHHlMMIM rH r-( r-i — 

00 
jj • • ^ . . u 

2-O-d ^'C'^^'S'S'S-C'S'd^'d'S^'d'd'd-aiS'd rtUi3ndl3 r Ol3T3l3l3-.l3i3l3l3 

«q CO O '< "J J^= fa 

CI 'jd r^loco^o^o^tTio co 'Oi^so ci o o co >6 05 -*t r— a) -n oco -iiHiorfiOrt-fiOccoocH 

CCCC'/JCSCSGOOO-H-H-HMMlH^TSTlllOlO'OtO CO t_-- r~ 00 CO g =5 ■ ~> ^ - a o r; -; 

t- r~. i~ i~ i^ t^ i~ t~ t~ i~ *- i^ i— t^t^t~t~t-^.t-t^-»^t- t-.t^t^t^t^t>.r-coccoOQOoojo=oco 



46 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



^ 









I 




"S — ^ 




& "+ 






. r 3 ° 




2 s 




1 1 


13 O 13 O O O 


o 


o o 




.2 g O'd'3'S 13 


2 M 




O CP 


P 3 ® 




o ^ 
o 




>, 


;A 




s 




— • 05 


3 




Ph . 




t3 ° o o 

5 i3i3 13 




O 1313 




s >2 


u 

CD 

w 




W»2 






13 




13 *tS 13 T3 




d 


,- " 




ai <t> a>' cc 






_- & > 




!> > i> r» j3 




"S 


r S r - r ^„- OO rt 13_ J 13_ 




o r "o_. r o^ ,o_, o_ o 
h o i.'S o'u fa's t«i3 .— 




1 


S> O > o^^W 3 g CSTJ [> o f o 


°^r-Or^P-Olp-G>C^K > OOOtO 

■a ts c > a 




? 


O^O^-i n,rH ^ o^-O'-' 




■^ C ,r ^ ^i O S-i ,rH Jh "^ U Ci 




o P-i o &, .rs+jft o&o& 




+j o +-> c o &.•« a< *< p. ^j 




s 


o c o a * o fl oicaic 




oooaocoe og m 




"g « 


13 -3 -O -o 




13 13 13 




o o o a> 








f -5 


fcc co fcc co be oi tJ3 




W3 fcD cc bo m bD 






SflMfl b c b 




c b c >* c >- 






2 ■- rt 'a o 2 o •~2000000 


_c 


0'1 c3 OOoO'^^OCC* , -"^0 




m S 


-2 2 ^ 2 ^ ^ 13 _ 2- I t'3'3'3i3i3i3 

o g o g o fl C o 
.2 o .S2 at .S2 .2 a> •« 




go go g o 'O 




5 « 




o .~i o .2 o .^S .2 






PtfPtf p PP3P 




tfP tfa p3q p 






■a «'3'3 « »^ »j »rs ? f jp <? 


— 


E13 MiQ W tc rrt ffi ffl « K-3 Dlflrrt 






„ >>._ _ S->>>J3.£3„>>>» !>» >> 




>>;>> >>>, >,>,>,>,>, 




S "3 


eorQcot-'s-n^.^.tJCO'-B'^ 13 13 
~co „ _ooco g 2 _co,-c iocs 








S H SS c "MS coS HH ^^ 


2 


^2 g 1 - 11 ^ 2 HHNfclNgg 




P o 


"co^coco -« coJJ Jj2 


<* 


l*J^il|*||||^|« , j; 




1 a 


£ >,B p^^^g S>> >> >, i>> H S !>>g g 




S^.2^222^2 222^2^^ 






OOHOHHHOHHHHfflNHatO 


^ 


a^coi-ianoi-iHocnocooiHioHi- 1 






+J O) -U -U 




03 -W JJ jj -w m 






jjhh >S K 




)Hi-ir^3 n "3 ^"3 ^ >H 




E"S 


3 e S S P 
O 1) o So 




"O g O oOo<= 2 




2b 


„,S„ 0000000000" o 





oSo"oo w oo'^ hH .. S 




£S 


.2 >5 r d r S r d'^n3^;T3'o^'0 <d _g r o' r 3 ra > _gi3 co i3 13 _o 13 13 o _£ o .2,13 i> 




fc->2 


dO ii "b rt 

o 2 o .So 




ie 

oba 
ivat 

oba 

obai 

ivat 
oba 

e 




Kg 








J-t -*3 '<-t u Jh 




— - '— - - - - '- ,— 






PhHPh PhPw 




HCU Pk Pl, O-PhCUPh H 










cc co « co co 




C B 


rC _, -C ,2 ai 




month 

years 

weeks 

years 

month 

do 

do 
years 
month 
year 
years 
month 
year 
month 
month 
years 




.2 °.° 


" e'S'd « b jj'3'3'3 e^ d 2 ? u 

2 ?►> fe !>>^ S ra g ^ ^ 




— 




■-((Nl0^tlC<l>-HCC|lM(M HUCO OMCONH 


r-H 


WONCOWOJOJCOiOf-lco^HOHN 






KIH i— i i— i 




— it! !r! J^! 




3 


a ° 43 




.2 .2 






•i - t -2 








o 




<rs a _o 13 




•a 


111 health, . 
Unknown, . 
Abscess in br 
111 health, . 
Intemperance 
Epilepsy, 

do 
Unknown, . 

do 
Paralysis, 
111 health, . 
Domestic affli 
111 health, . 
Domestic troi 
Puerperal, 
Unknown, . 




'E E " a> 




o 

a. 

5" 

QQ 


o 

T3 


ry to h 

nown, 

do 

nown, 
estic a 
ealth, 
lysis, 
nown, 

do 

do 
lysis, 
nown, 
estic a 
nown, 
ry of h 








S.* B-3 gj3 g^! g^ £# 13 

£p HOascLp ph^ppp 










s 
— o 






"3 13 13 13 




'51 




o^ooSo mO 




O'T'C O 0--5 O ■£;-=;•- O O C,S-£ O 


c 


— "S — ■ c •£ -r; c ^3 ■- 




13 0° u T3 T3 SC-O S 602^31313 SCG'S'O' 


b£ H br.13 C 13 "a Si3l3i3i3 bcplSlS 




o 






CrfC cS £ eS CcS 




o 




ZSS g? § JZS 






o a) o> coo 


a> 


00 














a 


g-3de c ig'3'3'3=jgc3 5 dgrt 


rt 

£ 


JJ e o,2 0000 siJ js 

c3 -313 13 g'S'S CS13131313 5 cS §13 




ai 








El, gfegfe SfeSEngCug 


£ 


§ Pn S fuSfe 




&§=■« 


O^THM00woiOC0'*'jnOM'*OiQlO«5O>OlC!01C»'O!£lM»OiONiON0CI 






^<NOT(icCN-^CO(M'*'*'fl<CO-*lN^i^KlTj(^(KlK)iOOiOM^iO«!MC3ro© 




<— e 


C03lKlTl"OOHHHi-(Hi-(N(flt-«ICOMffiHlO>OU3NOOHT)iasQfflCI'<i' 




O "o3 


rtrHIMMlNM 




Hi-IHrtrtNlNMCNCMOlCN 




© co 

Eg 


50 • ."S 
SSoooooSooooooooo 

w 'Ci 13 T3 T3 T3 ^'S -T3T3T3^3 r ST3'0'T3 


o 


OOOOOOOOOOOOOOrfO 




S | 


i^ i"^3 ^ 13 'O ^ r c3 ^ "^ ^ "^ ""C3 'O 'C ^3 *^ r O 






"ONai-^cO'*©Nocicio«reeNXO)Ortnco«;ot-«nio!0 0oc'.c(Nn 




o 


i^rt^C<IC^C^O'lCNC^(>10TCOCO«COCOCCl-*-*rli^tiTj<-T-#iC>0'lt-iC->^lOC0500 




fe 


oooooooocoooooooo 




0000000000000000 




oooooooooooooocooooooococooooooooocoooooooaocooooooooocooooooooooo 



1869.] PUBLIC DOCUMENT— No. 23. 47 



K^ 



__; OS 



£ 



2-g2^ -a » S'S g^s ^-p2^ 2 r g-p2 r g -p -g .2 2^.2 2^ 

*. P-+j g & £ ■*> o *» ft o ft« ft -w o ft« g p, gjo « ft o,=; -w o 

oSou G cj o e ca o> a o p o o> g o <u a tuXOGOxoo) 

*P "^ ""O r ^ *P *^ *P r a r a *P 

<u^) o> ' © 41 at a) a as a> 

m bDco y) m tiD « W) m £D as bD en tsO en o£ w> bO be 

.5 S.h 3 o O O'S o « •--cSo--rfooo-so ai 'i ce -Sort 00 ooo « fl o 5° 
OS ,P ^^-anSiS 2 "P -^—i 2 -P 'P 2- c 'P 'P'O 2 "P-P 2 -P rt'PrP'P p P'a'P'P r -y 2 -^ 'P _< ' Cr P 
dopo Pi u^j fl o Co p oflofl o 'P p o ^o o 

g.2§.2 §' .2.2 53.2 S .2 g .2 £.2 £ .2 .2 S .2 .2.2 
pjQgjq pj QQpjQ OjQ pj PPJQeg O CCJQ GQ 

s-, &►,_ „ ;►> cs >>_ ^.^.^^"^ , >. _ >, >, >, >> s-, >, >,j3 >.-a t^ »-. 

d CI rt d »~H ,— ' CI r- 1 i— I r- 1 •— < G i— I 

£ S^ 8 S w S S H P Cf gNOHH g g« grt S gOINH i-i ^ <M <N 

t* j2 -# J2 co -* j2 tH -* J j2 ^t< _£ j2 co J2 J2 j£coco cojScocoj§ Jj=j?j2J .SJi.P.G.c' 

£,g ?>S ^'£>p £»£>g S £>2 S ^2 2 ^2 >>>>?>?> 2 ?>£>£ £>2££22> : >££222 

HOrt-*HHQi-IHOOOHT(IIOiHni(HOrtHrtHCOHi-'NHT)lffl'*raTl<H^(raOHO 



So £o £o mo M o £ mo M^ o <g £ 

SoooSo cq oooo M ooooc t -„oo3o tL1 o" Mt ^o^ofMoS 
g; U'^'a'C > .g'P o oj-aninar^j 87313^^^ o ^4> t3 t3 s> t3 o> .2 •P 'P o> ° t3 _g "P ajTS t» 

o_g o* |j |* -g* o s« 1 -a j 1 o 

a>o " .5 o .So «« o «.So .S^oS 

™ - rM h h h MM O J-< -P - - ~ - - - ■ -~ 

HPm HCm ChP-i Cm CU 03 Oh H P- FU On M O. h H 



gc£^l£p^£H£o^c£o-£po.£o^ 



en ji vj <jj uj 

.P ^S^J^ ^S £ P.P 



m j mj3 ^g 



■ -1 s S S^s S % o S 3 g o o a o-S o g g g o s § 13 5 g g g g s g 
£.2 £j 2 ^2 g £££* g 8 ft,* ^^a^^ 3 ^ ^ 2 1 2^ ^2 °i,2| 2 ? | ^2 

MC0(D(Nt0(DiOW00-i«)OHN«C0HWt0MCJ00'*iHHCCHl0Nt0t0KIM^oOM!0(M 
H r-l tH ^ i-' ^H 



ortP- O P-Hpt> ^ S 

. P - . 8 .2 ^"<2 "-» <u .2 c2 ..2 £ P . „ oT .2 

p" 5 p -p -f ti h — rf cipS -fl'S 3 fi'S - p~ £ p" -fa 3 p~ _ „ „ ts 
oftS^S^^oS^S^'SoSStoSi^ftSftS-PSo^-Po^S^^^^^^ 
^i 3^(P "» u ? S ^j5 5 r- ^1 Fj- » o.aaj.ss t-^! P ^ « 

K^c-g^aSSc-xS'c.fl^Ssji^.iSc^c sp 3 p j* 

^o^-n^oo^'no'^O'^'S-^o-^ocoo-^tiOo-Eo^oo'Coooo^iooo 
tat) tc S bc-p -p tc S -a Sp tc C m-p tea ■p -p ^ km -co Ep tea -o m tj t3 ts -p sc-p -p 'P 
.SS.S *.S S.2 S d C ti Cj- a j-P ca c ca ■" R 

ia^taScc C>cqS^S coSx^cq F *i/? S rn ^ ^ to 

4)4>4>0J UJ 4>4) 4) 4)0)~O> 4> 

liil^l^loo^loooiiliilo^'ioiiol^lcoiiloijlooc^o 
§4; E * § « g^^^ g' T5 ^ ) ' a « S J2 S^m S' a k £ ,T3 g * g^" 13 ^ g' 3 ^ S - a'P'^ k f5' 1:3 

pL| ^5 pH ^ b< >*; £M «*j&l| gpliii^fa Sfe r^j foggfa <,^| ,S&L( g 

^ON«fflOHS-*OQOiMM'nCI^O-J<MOINOTj(!0(St0HCDHMO00'*l0t0'0(M'* 

r(< 00 CI OS ■— ■ CI CO CO~O0 OS !0 >— I CI CI CS'"^ raCtDNCOCSOC#Tt(IOrDI-050)rtHHHHlN CO 
rHi-HiHi-lrHr-ICIO H HrtHrtriHN(MINNClCI(NCTIN 

^41 (^ 

aOOOOOOOOOOoPoOOOOOOOOOOOOOOOOOO'-JOOOOOO 
h-l r P*P'P"P'P r P r P'P'P'P'P Pt3 r P r P'OT3T3no r P , P r PT3'P r P"CT3'0'O r P r P ^"P'O'P'P^P'P 

<* l"5 '"P 

-t< l^-SC OS OS ' •-> CI CO O CO — ' CO '^ CO OS — CO >o CO r-o •-* CI CO •* t— OO C — CI f 'C l^CO OS C — ; CI 3J 
SO O to !D N 1^ I- I" f» I - CO CO »j X X CS C E O OS=sO OO — OO^^— 'H-hhHi- ihnncim 
OOO^^'COOOOCOCOC c- OOOC:^H»— <^^^-t-H— '^^ — ■ . — i ^^ ^^ .^ — » . — ' . — I . — * ■ — ' *— ' — ' »— I 
OOOOCOOOOOCOOOOOOOOOOOCOCOOOCOOOCOCOOOC/3«3COC>OCOC»OOCX3000^ 



48 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 






s 



I— I 

> 
p 



3 M 



«S 



__■ o5 



"'S.S 



T3 

V 

te 

ft+* ft 

s£ a 

M ^-i I— I 



Bj'd m K » Bi K ffl SH "Td S-l CD 13 CU'TS S-t r CJ 

2 P<£-p O gp 5 +a ft «oftoO.+J ft 

SSsOeSoj) og o o> £ cd « o d 






P3*5 



6D as bD 

cs .a rf 



to bD id 60 « be w fcC to bfl i 

a a 



3«S -Sti-2ii.H«.S ! i.aooo«0 

» J3 rrf « H 03. rt ^rS « f) CSrrtr-rtrr-lrCj'TJ 



o-t3 So Cogogogog 

.g.S.S.S S.2.S 5.5 5.2 §-2 §.2 S .2 5 
QQQ QpjQQPjQ gQpjQPJQtf Qqj 



• r-«i««'*_J w --www -J 



3^ W >T3 03 ""w 



p_ 

n3 <-w ""d M 



aa 
^>>^>a a 



, te, te> te, s» te>„ te, te. te, te,„ te,„ te, _ te, _^ te,,^, „ _ _ te, > 
-^r C S r dT3T3 ( ^''T3T3'- , '-d'TS co '7i Mr dS r Cirf r Ci coco S5 r S r '3 

i — I t— I UN Cn i-H r-H i — I r— ( 

n <m «gHiNg HgNg g a= s «aaaa- i '-i 

m m m »., oi bi w bj »]«-. «« ».j to^ _i -^ -^ _j to to 
£.5£.5 M £ : a N ££ N £^££ : a : a.a 

£. a a a a >> a a £> a a *» a £• a £> a £> a ^ £> £» ^ a a 

HOOJCOCOHlOOHOlfflHCOHKIHNHHHHHHNN 



^aa 
a ?»£» 

UJHH 



°Wc°o 



OhPm 



1=1 a 

o o 

,pqo 



CD o 



a 



^ ^ 



o o 



O O O O O Q) 



Sn„o 






PliPh 



O "5 
So 



Cl,Ph 



feOn 



<u.S 

-S H 



O cS 

Jo 



■-■a 






s g § s g 
g,|a^a 






+J to £ CO -H 



t>>-= P». H >. 



UJ (_. ^ -i 

s s ^ a 



^3 

2°»S«o 

^a 



r5cOC<lr-lcMf5^rlCOCDOCOcMOcT ; )rtOqcO"*lOC3r 
)-J uJ ^^ CO ^^ 



i t-~r-i t^ira io ' 



W . c P M 



• fe- 



te o o 



„S^ 



■< te-o+" 



o fi 5 ^ - 







rt 


^ 


a 










a 


d 


bd 




- 




a 






cu 












> 





rH 






o 


ft 


o 




■* 






d> 


^ 




r^ 


!3 a 


s 


m 


c 


a 3 a 
IPPliP 



'»o fl, 3o!(ij; 
aj a cd a a ft^s 
g ^ ,a ^ q, eg 
o a ^_ a 2 a i2 



2 &. 



. "S a 



5aa&a 



CD CD 



CD te CD 



' T3 ?> 



r; cd s >* s te cd ' 
s b cs an3Lr" n5 acsv--ci--a( 



1 cd2«2 »„.S» a ;«„.S 

, r& ts m C b0 C -a bc-a S bca t3 bed k 
e sfi a e esc j^ a os 

Sic ^S S 



m<^m&, 



CD 



CD 



^ooao^SHfi^oood'iooiooooJJSHOdO^SH 
cSTS'd fl 1-3 g a „3 a ^^^-^ s ^^-^ a^r^r^r- ^ m ts-n ^^j ^ h d - 






&hS 



03 !-d 



Sfa! 



OOSiHiNiOO^OCOcoQlONHUM^OlOlO' 



M-*C>H-*lOiO«!OOOOHrtlNT|iT)<NfflONNHMT|H©«£)fUOJ-ffiH 

^^rHr4^cN<r<icN<NC-5<Nc^cqc>3C<icT<ieo hhhhncnkncnkninco 



o o o o o 



iOOOffi*iO»NOO»OrtNMiO«CO»OrfNm*fflN«INm^iO©J>OOOS 
NtNNWMW«cc)MT|(^^^^^^T|iiOiOiOiO«'OiOiOJB»coOCO<02S 



1869.] PUBLIC DOCUMENT— No. 23. 49 



P-i MPh 



Ol-cO) ShO >h £ "3 O ^J iX'o O) S< r g qTS 0) *3 s- "3 C 0) »"d 

f.g> r aB> r O r ^'T3BSoK»0'- : -Or»^ 3 CO r 3 r ^t» r '3o^ 3 ^ ::i ^ :! >-oCoS^^^ :: ^ > 0^ 3 

.rt .rH "■•"© t, J, p, jj •-(-. ,_ oij" 1 ;! oo dt; 

"3 "3 n3 F d r d >3 >3 .3 "3 

fcDcotD CO 60 6D to SD TO M to fcG fcO &> « 

net. C^r>- eh CMCJmih *j fl 

cJ.™c3oOOOOOOO - ^0!O rtoo-- d oooooo-^rfc-^o5 rf OO 2*2 

,3 ^^farjiis'a'a'S'a S .3^3 _ ^ *3 "3 ^^niiTiv^i'^ S- 2 ^ S , 3- : -_- j: -''3 , 3_j. j: ! 3 
.SS. 2 5.2 .2.2 1.2 5.2 o .2.2.2 .2.2 5 

QgiQ pgg Qa g:a pjq g qqq qqc3 

_r-&ocoGOcoco<ococo&ow'.OGOco&o&OGOcG n n v: tow co cc to m b « m tfi 

■i3>>>,>>&-.>->>,>>s->>-,>>>,>-,>.t^»-,>-.>> >-. >> s»> t>-> >, c*> >-. >-> >> >>_>►,»->:>-. 

3 *3 13 13 T3 *3 *3 13 *3 *3 ^3 ^ *3 *3 *3 t3 13 *3 "3 *3 *3 ^ *3 *3 ^ "C *3 *^3 ^3 *3 ^ 

J N^-'MC!OHi?3O(0'*OOCT00rtra 1~ © O — i © © lO 00 M * ■* lO iO 

h NNN^NM'H(NC1hIMhiNhnh i — i ■ — r c<l <M <N (N HrtlNelHClIN 

CO CO TO GO to CO CO CO TO TO TO CO CO CO CO TO CO TO TO COCO W CO TO COCO 

,3 XiAAXi ^^3^j3 ^J3J3J3 .3 ,.-.3.3.3,3.3.3 J J3 £ £ «3 5 5 "5 

a^aaaa asaa^aasa a^.aa a ae a a^aa >.^>aa a a as 




P-.C-.Ph 



ot to 03 02 

■5m •£ to ^'S^co'S 

t_ r-C C p-S t— C «_, i_, «_, 2 ■"* •""• U b C Li . ^ >™ C I-i I— 

'S»o5gS« &.2.S.2 S = 3»gSSoSod i <j> § £ S 

>>&(= £ £ S^s*. t^ 3 £ £ >,;^3 ^ g £ g ^;>> 

NiNOCOn«5rtNHHOOHHCOMNrtHWOlCH<HHN«)HHnoMNtN NCOrtO 

—I t-I iH •-. -- <N -- >Q 



d 








JA 




c 


^ 


to 




a 


X 






rrt 


(rt 






a 


s 


0) 


o 


a 


> 






d 
0) o 



Sgo_poo--3^St3fco_og£J5^3 --T i5^25^>'^S-3JS5oteci)_P'5oa 

^ ^^ S I M I' ' g.g-S 1.2 ?d^5 § S.g-3 ° 13 g-§.| S.-3-a § g-^^^-S 
Sd .-tica«f3 g<S5 ° Eb«s t?3 s rS5s»E &5 3 <u fl S <u « 

»; rt •a.cti^-.fl 3 £<5 d-oS-pjH (3 S-S.2 «^ "S.2 ^ IS— p" ^ g 

o> a, id p ^ <u di fe ajaj (Uo, 5><ua> fejNo ajo <u fe « « o> 

■S-^'C o o— i "S o o o'^— o-rl— o-r^ii-r' o o— o'C^ ° S^ ° °"C o^5 o C o o o — 
b tc K ia -3 60 £ '■a tj ts E cx-d CI b£,T3 G tn £ -a -3 sx-3 " tc-3 >- bn^-a " t3 bc3 ^ 13 t3 -3 so 

S la S^^iaS g Sia Sia S caS ^ia^Sla Sia S^ la S S 



0/ <U <U CD 



1.^03^3000^003,203,200030.23.^003,2 

;d3Jr!3333d33gd3S!i333J3ii!gcj33g«' 



ONOOrfU5iOO(N-l<iOT)liOflCO'OOONt)OHi-iSNtOMCOOr)lio»OSOOOSHO 

N CMC3 CO CM 

00000000000 

3 r 3 *"3 *3 "3 "3 ^ *3 ^ *3 *3 r 

©1— "MCO-f'fSCOCOOSO i-TcM CO-+<ICl5Dh-.CO-HC<lCO-tllO 50~t— OOaOHnMHOOCO^MOOH 
NNNI^NNNNNOO(!0 00 03tO!i)'/HO!OOCl(J)OOOG)OOOOOrOOOOoq-l-l 

rJrtrtrf-^rfHrt-l-l^-l_.Hrtr4rfrJ-'rf-<rt-lrfr-(-lr-MClC)CI?l-lCICIOlNNlN 

OOCO(»C>3COCK)C»OCOOOCC»CX3(»C>OC>OOOOOCOOOOOC>OC»OOCOOOOOOOOOOOCX)C^ 



50 



LUNATIC HOPSITAL AT WORCESTER. [Oct. 



*« 






P3 
< 

P 







-J. ^-1 r-5 




^i—5 i-3 ^J 






tf cd 3i« 




a rt cJ cj 




C3 C5 
t3 _0 


•2 3 -a 

13 O O O 2 O 


o c 


T3 _o 13 _o 

O 'G 13 O 'o 13 




1 1 

o CJ 


O T3 U •- ,_ r-J 


13 13 T3 "3 o 13 - 3 o 

s "*c a -s 

O O O CJ 




in p* 






W Ph W Ph 




X 










-j a 










y* ^ 


5 o 


o o 


O O o 




.2 m 


<u 13 


13 13 ncJ 13 'O 




3 <2 

CO HH 












•^ i"C3 r^3 r^ 




P-J 




a 


o gj a> a> 




0) 




« 


"7 °i^-i °_i oi3 ,i3_oi3 
ai « u 1 " j-itj m cu 13 qj U m cu 


.2 13 


>- 

QJ13(Z?<1) 13mUoj13 Li 






>,jJ>Coi3Eci3l3C!>.o>ofcit* 


tie . 


»(<«'Hh.«)S«jHfl)..a. 




2 


m > Oijaj>.to<i)_H^cu>cD>.""?r 






O cs "" fel "* £3 ,H O •< O h' H 'o 


rt u 


Oi-c^O ^o^o>- ■ pH 






O i» -*> P. *> A +» CJ Ph O P«-w o 


J= Cl, 


Oft^O P-cjCCXiOIOh +» 




HH 


« si o a oc ocoecoeOcD^S 


Ph^PhPh PPh^Ph^ sz; 




to .5 


H3 ^ IS ^ 13 


13 


13 13 




a) a> <u aj cu 


CO 


a> a) 




60 fcf) to 60 to to to 60 


60 


to fco to 60 to 






2 b «b PI m £3 -M 


u 


CI sh - " d 




pC o '3 


ra cJoO'SOSOOO-^tS-SOt* 


a o 


o O '3 « o o oo o« O «'H 




s a 


.2.2.22 § .2 53.2 53 .2 


nc3 o 

CD _tO 


T313 2_' c! 13 r a'dl3l3 213^3 2 
gl3 o £ « fl 

§.2.2 § .2 g 




PPQ Ph Q £QPh pQQ 


Ph-QQ Ph Ccd 






to to »com(D!Offltfitn« to to to 


to to to 


tyitficcMWCccfia3tfltf3«jtv;cc 






»-.5-.>-,s->>,t*>&-,>-,s-,;>^>,>-, >,>-, >>>->;*> >, >>:>,>, >-. >,&-»>,>->>.>, >>T3 >> 




~s 


*£3 *^ 13 r c3 ^ r ^ r ^ ""O 13 ^ 13 r c3 13 *^ ""C3 r O r & *^ 


r o r c3 r ^n^ r o r O r O r O r C r d r ^ Ci -j ""cr 




O *« 


■*>0iHaOrf0;l0051NC\lM 00 O ■* CO CT o 


OiOiffliOMiNiNOOClCtOOIH 




P. -M 


CM.-H CM i-H CM h CM CM i-l CM 


r-l i-H 


<M W HhN<MH <Mr-i i-* 




M c'S, 


to «> to to co to to to to to to w 


to to 


M CO «)iV5 CtO CO C/3 CO t73 W 






,d ^^^^3^3^!^^: ,s -C£3,a 


^3^3^3,£3^ ^3 ,C J3 ^cJ J3 ^3 ^3 J3 X._ A 












a aaaaaaaaaaaa 


a a 


aaa aaaaaaaaaa 






CM OtOHHCqCOHMH C5-.-H r-l 


tDOTfrtO H«5-*HNNOO>j<0 
















+J H-> 02 to ^J co +j HJ> 




Court 
Bond 
i Court 

srseers 
Court 






Bond 
Court 



Bond 






flSD >2 !r! ^ £ b. h^i-'ii. 


13 




o±2 


o°o o«g »o ggogo 


f3 
o 

o« o 




£S 


co£<u r 03>aji3>^T3S-oiJo^ 


TJ CJ'O 


% 0^13 >^13131313 co^'d cu 




8»S 


rt g ts S© ts O d 0-£cs-£c3 


> 


S H 1 O Cl Ctf5"S 




«g 


.2 o .5 oS« 2 o 5j.£ o.K o 


o .5 o 2 o .So .2 






fHMM = ^ — ^ ^W^^ll-I 


"fc4 


U U U A U MM M 






O^CIjOh (IiHPh HO* f_i Oh a- eu CU 


Ph 


PhPhPh HPh PhPh Ph 




3 = 


^3 ^ J3 , rS 




year 
Aveek 

do 
weeks 
years 
months 
years 
months 
weeks 
year 
months 
days 
years 

do 




O ffl.O 

S<2.2 

ft 3 


*J m -JJ to -w >j«ai *J 

ESoooooSiCoio i SS 

- oj'S'ti'S'cl'a g ») S * 4)"^ <d c 


^ ' ' 




05 >C (M <M CO CD «D «D "* — i i-H CO tH HfflOS 


HHHtOW«>*OCOrttOONO 






i-H .-H CO 




l-H r-i l— 1 i— 1 CO 




cj 
3 

83 

o 
•d 

O 
Pi 

D, 
3 

co 


Miscarriage, 
Intemperance, 
Paralysis, 
Puerperal, 
Sun stroke, . 
Paralysis, 
Injury to head, 
111 health, . 

do 
Unknown, . 
Puerperal, . 
Constitutional, 
Turn of life, . 
Unknown, . 
Masturbation, 

do 


o 


life, .' '. 
h, . 
ranee, 
life, 
n, . 
il, . 
life, 
ranee, 
n, . . 

ation, 

n, . . 




g'O^'* o"rt ^o o oj-g &c o H o 

S^ d <pS c3 ; :£'c3SS'° ,i:! -2 ( 5 






-hP 






^H O 


^ ^ ^ ^ ,-j 




^ 13 . i3 ^ 13 






« <o a fc o o jj a) a, 




CJ odpcu ?0) o 






'C o o o >— i "j" ,— < o 'E "2— ' 'S ° t* ° 


o o o 


C° °fh c" Oot O OhO 




3"g 


G 13 13 13 fcO S bCl3 in 1 £ M S ^ CT-13 13 13 13 


h'dTj 6X^i^3 M^3l3 Ml3l3 60 13 






es Ccirt^rf ci fi c8 C 




(S C CS • - cS • - cS S 




CJ 


§ ccScc^S ScoS la 




g SS^g ^g Eb 






Q) Q) O QJ CO 




O CU 














M 

o 


2cv_2a>_-,2-*<B5co2cj_- 

g d13 g C8 1313 gl3 rt £ C8 gj*^^ 


o o o 


0C,20C;OO00O0,20O 
13 g c413 §131313131313 CS13T3 

Eing &h § 




co 


■d 13 13 




Age 
when 
admit- 
ted. 


COCOOCOSCOJNOlOWOOOOtOlOmO»OOlOlOOCOOOMM'*ooSHNO 




MCOinCNC<lT^COOCNCO<^COTli^ClCSr^^CD^T^CO^K5rriCO'#^c<lCOTj<CX|CO 






ooooooommmNcso-iH'ooNNN 


-nOC3C5COOJO)OCrH^ICOt^O 








s i 


co 
2*jooooooooooooooo 


o o o 


OoOOOOOOOOOOOO 
13^;i3l3l3l3l3l3l3'dT3l3l3l3 




P-3 


— cm"co^j< ic^co t^oo~c35cT— < S5 co -hio co i^-lo oTo~ 






-HCMCOtj<IC>COI--GOOjC:'-HCMCO-* 




© 


pj ^ H H M H ^- rH CI ^ Ol ^1 ^1 CI CI fM CI M ^ ^ n M W CO to CO W CO -" rf ^ H< ^ 




fc J 


CM CM CM CM CN CM CN CM CM CI C-l CI O! ~l CI CM CI CI CJ CI O CI CI CM (M CM CI CI CM CM CM CI CI 




<X3ttXQOXQO<X}XttQGoattCO<XOOCO&<X>XGOXoa<X><X>CO<XttCCa2<X)<X><X><X> 



1869.] PUBLIC DOCUMENT— No. 23. 51 



^ a 



C P > 

0*& , I HP c O , *a , 'TZ , T3 

.** 0} 'P cu-^h^TS qj p O O *a o 



■a o 



rion o ^ "" •- O « 0!-0 (1 o ^ O* •; o* s ='" ^ ""* o n o 

.Pop-, o^-u a o ft o C- o p. a o -P C o^ ^*» p. -WOP-O 

X a P cj * o p a) p « j o Pop. <" X S n> * s x o p o u e » 

HPj£ pja£J gi" tf~PJ ^cg£ PJMJ pj pq p., a jz; .5 £tf£gj 

»a *t3 'a ^3 'a ti 73 *a "a ^a 

o> o> J- 1 o> o ooa» oqj 

6C w bD "J » be <" 60 en b/j * fcC a: 6D w bD a> b£ 

*"S>-bC'-C>- pt.pt.pt. p s-T pt-T 

e3 ■.- o ri 2o-"3--;^oooooooooo -2 e3 •« C8 •■■; ei 00-"ortoO-' = =3 

1J0 5 o "P o Popo "OPoP.oPo'P popo 

.2.2 S .2-2.2 S.2S.2 .2 S.2 £.2 S.2.2 1 .2 § J 

QQPJ QQQ CgQtfQ : QpJa &jQrt a fl eg Q pj Q 

03 w cc » w«aiMW[fl(BaiB«mffl[D(C w tn m vi en w w ' «: 05 as w w ^ 

>, ^ >> >> K^>^>.^>>t-.>>>.>>=^>.>>^>>^ S*> >, >, >^ >, B-. S» >>>>>,>>>, rn 

ISA n3 -a t3 "p 'a "p Tj -o »a •a -13 t3 ts ~ 'a i3 -p -a *a -a "a -a na r a , a r p'P r p 

CO t^ t~ C* 00>0O(»(NPsfflt»"MNNC0n CO b- CO CO CO CO .-1 CO •* -* to -* * H 

<M —1 CI <N NdlNrtiM 

B ai to g) (» m Di « ningjnuucoDOio t 

^^Xi^J -g .p js aa aa aaaa .p ,s 

aaaaaa ssEsIssisssg aa aaasaa aaeaasaaa 

CO to O O <M CO t~ O r-l O ■* -* -* 1— CO ■* CO Hi ri< CO OS O O Tt< OS >C IP CO C5 Ci t^ <M ^ 05 CO 

t* t. t. ^3 t< I- ^Tj >. t. t. t. t. ft* t- »p »- <T3 

<B p Pp OJ 3 r 9 4>P a) P 12 p ~ p 2 

o £ ° c § »ogo go 2 o g o g S g 

oooooooS «"oooS a M ooooooS"ooooo' ffl M «o 
s^nCBTiflflfl >« ojS'a'p'a > ,2 o£'P r a"e'a r a'a >2-3'S'B'0 > a> o ^ oi ® o-S 

C3 O cSs a Od^rf Os O "S 'S "S t< eS "S 

•Q A 5 A .O ? .O .O _§ ? S <* _§ * 

2 ^2-^2 J!2-c2 J=2 jo.feo.^.S; 

Ph HcCa.0! HCUP^fa HPh H(££££££ 

£„,,«„£ "»££-<3 »6» •5'5m p „ J £ w 

o^d-0;^ 1 o fl « S o o ofl ;5 11 J K o » ? = o s c = ?^ d d e o ° S >>o " 
. K >. & ^ C s: p g ^^C;:; 3 ;>> =5 £ ;>> s-> p~, P ^-p P SI 
CD US ^* d d O U3«nciOHn*HHHMH!DNrtrtHHOOMNCiOH -<dtO ■* ■# O CO CO 



0> 0> 



o tpoo Oo c <» 'a P _ H 

„ « g •« - - - * 9 ^ -* «S . -a « g, . .8. .3 «£.S 

'3oo,S ,, ' B o a J a i Oo'S> & ' a ' sw'd ^ o w o P-— S-«c^7:' ,3 = ?'-'oXq. t'-^'S 

Spg-s p e-p.p-2 2-5'a S-^S P2cS«F-5c^S ^^Sg-S^sSSB 

r- ^ o> p = p o. d o ^ ti P "5»^ PoP~op=«n _- •SSfl c.2 5; « _ 5 "* 



1 — "C — < o o c— ^i •- — •- ,ii o-r; — 
: £ tt-p rp -p sr rg be S bri £ bo-P S bi 

.Si^.SmIJ- .--H -S kH>-ri .£ JiS^S j~P^"PrtPrtP rtp 

% rr, 'Jt ^ g cQ «0 «? i**r &. w2» Sep ^SPx^S^M S Ci5 



-Trtt o o-P-£ o-P O'n o - C o o o-2 o-r — -C- 

M £ be ■_ — -p be z "a bc-p c t3 >. -a -a it bcna c be J: 
S^.S^-C S 3 S rt i> !S c « : d 

aaSco ^ g ig ^ c/5 S ^ 5 «!__SjZjS_J 

O O dJ o cu o 

piiocooosii^siioliJoloo^oolocHolooilioo^loii 
S2;3T2 c £l£'.2S?2 c 2X 2£' w 2 r ^ 0, ' :, -' ro '^" f =-*'- J P5i^coiY)OTcoCT50>ooioco 



i— ' — • -M -** -t- "7 »C O 'O I 

N M IN CI C-l c~l <M (M tM ■» CI 



O ooopoooor>o~ooooeoooooooooooooooooooooo 

IOCDI-^~.~^-*ir:-"0'3l-XC)C — fNW-^'OPNTJCC-'CKO -f. »0 tO 1^ CO CO ""- ^^ 'M CO 

T. Zr. ri ~". T. £. i? '^" ° '" '" '" "^ '~ '" — "- ~ — '" '' "J " '" PKKr^r-Kr-i^r^i-t^'Kcccoco 
Z! 2} >? 2- S £2 v' ' ^ 1 "' ' : ' 1 cl " N1 "' <m ol ' : ~ , !" c| (M ^' ^' ci oi ^1 -i -i ci ci ci ci ci ci ci ci o 
cooo»coxcoj:cococcoocoxcogocococococ/>^oo<x)iX)OOcocccococo^cococccocccio» 



52 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 




_ooooooooooooooc-^ooo 

& 13 rg r& r& *& r& rQ r& r& r& r$ rg ^ r& r& r& rQ ,& r& r& r& r& ~ r£ 



S»OT00^300oSoOaO«5000000003000<»OOCOOOOOCOCOWCOCOCOOOCO 



1869.] PUBLIC DOCUMENT— No. 23. 53 



"0 0^300000 
o a 

e 



i3 OOOOr5 o 00S0 

S -g «J 
tG w W 

r^ *0 ."O 13 13 

o o co a> q a; 

> > . >> _ C > £ > 

o'S-O'ti't'OTj o S o^ > o^^^^ 1 £ o S o'^'^'a >^ o 3 o " Sl3 3 c o-3 -s 

rrt rrt r^»^r^ 13*3"^ 13 

qj q a> a> cu <u a. cu <D 

fcn m be to tsDm 60 k fcD co U« to »i ft » co so co 

KS J7 g tTe^cs- C »-. C >« H n a C>-fl 

-SS^^-Sl^'^- S-5^ I'g^^l'a^^^'gl^^ l-o -^a 73 '* a'*- | 

.2 § .2 £ .2 S3 .2 cu.2 a> .2 a .2 a> .22 .2 <u .22 a> .2 « 

tO (» CO CO W CO CO CAM IfllflffiKKttllBlBUIfflmBMtniDtOfflffiW CO 22 

>-,>,;>,>-.>,>,:>-,>>>-, >> >> >.>,>-,>>(*>>-.>-.>->>>>*»->>'>>,>>>>>>>*>-.>> >> •"-> _s>s» 

-a t3 13 13 -a 13 'a 13 13 13 13 13 13 13 13 13 13 "3 13 r 3 13 13 13 13 13 13 "3 'B 13 -3 13 13 13 13 

r H CO .— I CN MHHt-IHiH »— ii— I CM CM CM CM CM 

to to to co co to to t» co t/> co co co wcocecococotnGococococotfltototoincoco to 

a a a a a| a a a a a a aaa a 1 a seas a a s a as s as ea a a a 

SNNNiOt-Nt»b.iOO>H CO CO tJ< ,-. CO CO CD CD CO lO CD CM CO CO CM CO "O CO CO WS CO CO ■* CO 

a a a fla SfiS a a a a a a a 3 

0000="0000 N ^0 i->o ^ cv o o „, o HH o „ ., „, 001-10 0000 
_£i3l3i3i3 o ,J>i3i3i3i3 <1>13 £ a> tJ jS co t> 13 13 .2 13 o> tJ « « s) .2 TJ 13 a> 13 a> 13 13 13 13 
ei i3 d t2 tS- <*t20 cj •£ d d ~< d rfCi 



> a) 



>c » ^. 



Oi cucij 0-iPhH o-i cu fl (ine^ciH eii p-i 



■5 « £5 

Ch '"^ *~^ J^ rj fi 



cJ rt o ^-. <i> O 

a ^s >, a £ £ >;g a ^a ?,a t-,^ ^i3& ^^.e. ^£>>^ 



CO (35 CO .—I CM Ol -* -W5CC NhhhOO^ihcO CO i— I IMOCOMr^MMMfSHOHOOMNfrH 

i-H CO -^ N •"-■ ^j 05 



- a 
a --2 



£ 13 -2 g of S g oo^-g^Jlgooo -^og^S-l-sigo^ -5^1^ 
CftrtB ft. fl S'fc > S«>S"aj£ft|3 ^=0 c^fcD22B-2a 0i43tDp.£'5 

T3 13 ^pd 13 . ^^^ 13 13 13 '?,>'?, 

a. qjco u ^o_cpco o^_o22^22 <u„^„.22<u.22 m <u„.22a)Pcj.2;g.22_22 

T o o — t 1 o— ct 1 o — •;" o ^" o o — - r" o C o— o o c"r^^-«'r o^- o C •— o — ■ B on-r' 

fcrcCd 6CSl3 t£i3 gl3 tC £l3 6£-dl3 bfj C 13 C 13 t0-O13l3 S tuE-d C.CT3 C 6Ct3 blK-B v- 60 
c.f^^ C3rt C"- firt-^rt fl rt d d cj 2:^ c rt: H rt 



35 S 35t^S 352 35t^ 35S^S 35 ^35^ *co ,gi35i>j5>aS ; <si 






«1^1c»ooli2'aoi2lo^'aoci2oli2oo1ooooooii|i2 

a S cj 513 rtl3i3 J rt §13 c3 §13 c3 513 13 dU g dl3l3 g 13 13 13 13 13 13 rt § d 

gfagtn g Pn^C^ gCn Sfa 2 fag a <sk,^ 



(CNC^CMCMCMCMCMCMCOCOCO 

., oooooooo«oooooooooooooooooooooooo p.O o o o 

u l3l3l3l3l3T3l3l3WHl3l3l3l3l3l3l3l313l3l3l3l3l3l3l3l3l313l3l3l3l3l3 < j'013l3i3 



b, 

ON00OC-riM*il5!0NMcSOHNn^.0C0NC0CBO-CTmr)li0C0N»2O^NM^l 
— — — — Ol CI -I CI CI ~l CM Ol CM Ol CO CO CO CO M CO CO CO CO CO -+ 1 ■* -H -H -H -£ -H ■* -J -J «3 |0 ^O "O ^O 

CO CO CO CO CO rr CO CO CT CO CO CO. CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO CO 

cvoa>cocovjco^cecocccococooocox)cocccccccocococococX3cocococ/3c>3(»cococcc^ 



54 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



S Ph 



• „J^ *w *~ _Z, ^ i-~ — — w r* ^ l-~ VW y* ^, 

>^3 P- O^ 3 i> O^'S E> c f» O > O^ 3 



p, op, «P 

5 tf£ £5 



o ^- O (- o 

QJ a ^ d <u fl o e a> 



: o p^_j a, 
! <u g o g 



S^ S-5 £ 



fc 5 OS 



to .5 
J- ^* 



n b c >- c »- 



bo 



•— c^ O O O *^ ^ O 
i'd'TS 3- Cr <3 2 J 3 2 -C T3TJ T3 ^-Pt3 

cu.2 <u.2 <d.2 5.2 

<£Q OJPPJQ CJQ OiQ Q Q ai fi 05 D 03 



2 "^ 



) 03 CD a; fcj 05 



.52 v> .22 



"^ ""O 'O n3 ^ *^ r ^ ^3 ^ T3 ^ T5 t3 ^ '"C3 T3 r ccj 



J J J. 

ESS 



CJ(N<DOiO05N00t0C5 



r-l .-I CM T-l 



S S S 

«5 -* — i i-h io cm cq id 



S S S S 



r-<CN 

03 o) a> ro 



Is s s s s s s s I 

in-* H«i^f|ri>nNHHiONiO U5««5lMKI 



s s s Is 



i 

1—1 

> 

p 



s-g 



o o o 



CO I 
O O C " o 

TS r C3 *U QJ ^ 



)W" O O o o 



tJ hi 



ego 

",,0000000 



« o 



_2t3t3 



P^ PL) PhPh 



i So3«s° 



HCOH -<N(M 5)iOOOMcf- 

— ' CM-- l-< 



o rf I o & ° rt 



s &s £.a 



'HfflHN CO lO -* CO 






6-3 

CD 



cci c3 

fcH 1— , 3 



fc.O 

■ssS 



3 SX3 _ Jr;-P o^-^ fr 



fe ° S^^3 o fe -a 



QtD 



s> ai „ 









"3 !i 






ol 



i-S O O ■— i O T 1 O O — OS 00 -- 'O— 'OCO - nOr-.Oi— i C *2 >— ' 
OCa T3 bfi'a E T3 T3 6£t3 (- 13 "W SD-O SETS T)1J h-S OC-3 QT.T3 C 00 



^co S^^co^S ^i»^« 



cc^S Sic 



s^ s, 



J T3TT cS-a 






C5C<ICJ3r^!Ml^OCiC005<=C5 | NOCOKMOCONO CO OO^COM l-JOONffl 
■*NOO)lN'*(aM(NiO(D'0 CO C£> cq (N t^ (N CO ■* CO Ttt CO CO to CO i-H CM CO CO 1-1 



M W ^t L-5 CO N CO Ol O fJ M CO tH 10 CD K 

r^r^Kr^r^i^i^NXasoocococncoco 

c-6 c6 co c.^ .- co co *? r-' rr rr co co co co co co co co co co co co cc 



iooi — coo^o— le-icOTfMocDr^cocTiO' 

to IDiO'CMOCDOOCCCDOjCDCOCDCSr^.l 



1869.] PUBLIC DOCUMENT— No. 23. 55 



Homicidal 
Periodical 

Homicidal. 
Periodical. 
Suicidal. 

. do 
do 
Hereditary. 

do 
do 
do 

do 
do 
Suicidal and do 

Homicidal. 

lleredit. and Periodical. 

do 
Suicidal. 

do 

do 

Hereditary. 


Suicidal. 

do and Homicidal. 
Periodical. 

do 

do 

Homi. & do 


Improved 

Not improved 

Recovered 

Not improved 

Paralysis 

Recovered 

Not improved 

Recovered 

Improved 

Not improved 

Improved 

do 

do 
, do 

do 

do 

do 

do 
Not improved 

do 
Old age 
Improved 

do 
Recovered 
Improved 
Not improved 
Recovered 
Improved 
Recovered 

do 

do 

do 
Improved 
Recovered 
Not improved 
Improved 

do 

do 

do 


*a h. h, *a *a '"a 'a t3 na h, 

0> O CD 0> <D (UDtD CD CO 

co bD bo co bD co bE co bo co bD co bD w bD co bD co bo 

B ** h^^ c^S^ti *- B ^ b hi flJ-<^^ 

S .2 .2.23.3 S.2S.2S .2.2 £.2 §» S2S « 
Ph P PPPhP PhOPhQ»3 . P P Ph P Oh P Ph P Ph P 


cgcococococococococo cococococococococococococo co co co co co co co co co to so 

>■> >->>->&-. >, >i S-»S->>-> >» >-.?->>>>-. >i S^ >i >->>-.>>>.>, S>> >-.>>>,>» >->>-,;>■,>! >> >, >-, 

13 'O T3 'a T3 -a Tl ■a ca "B '"a 'a T3 •a T3 t) -a "a T3 "a h. T3 T3 T3 13 h. T3 r d "a T3 'a 13 IS T3 
N^(OC5NM-"«>C!H CNOClCONNN^MrfoO HI (D (O «) -HH •— i 00 t- CO -* CO 
com co co cocococococococococococococo coco *rf co co co co co co CO CO CO CO 

- a 5' i:!, 55'5-S5'5 , 5'5'55'5'55555 , 5'55'£- fi u-^-^^-a -B.B h _sjh,.c.h. 

a a a a a a aa a a a a a a a a a a a a a a a a la a a a a a a aaaa 

lC^i^^C1^THTH05r^COT*<C<)^Tt<rJ(Tt<^TtlTi<rtCq^rHTH^cqc<leSICOT« rH CO CN CO C3 


Private Bond 
Probate Court 

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

do 

do 

do 

do 

do 

do 

do 

do 
Private Bond 
The Overseers 
Private Bond 
Probate Court 

do . 
The Overseers 
Private Bond 

do 

do 
Probate Court 

do 

do 

do 

do 

do 

do 

do 

do 

do 
The Overseers 
Probate Court 


2 months 

2 years 
1 year 

1 month 

6 weeks 

3 months 

1 week 

7 years 
10 do 

2 do 

18 months 
2^ years 
10 "days 

1 month 
5 months 

2 do 

4 do 

1 year 

2 years 

2 weeks 

5 years 

1 month 

3 years 

5 months 

2 do 
5 do 

1 week 


3 weeks 

3 do 
2 do 

4 months 
6 do 

15 years 




Menstrual Derangem't, 
Domestic affliction, 
Unknown, . 
Intemperance, 
Masturbation, 
Unknown, . 

do . 

do . . . 

do . . . 


o 
co" 3 


Intemperanc 
Brain fever, 
111 health, 
Kpilepsy, 
Paralysis, 
III health, 
Congenital, 
Unknown, 

do 
Old age, 
Unknown, 
Turn of life, 
Masturbation 
Turn of life, 
Masturbatioi 
Unknown, 

do 

do 

do 
Gen. Paralys 
Old age. 
Unknown, 
Domestic tro 
Turn of life, 
Masturbation 
Puerperal, 
Spiritualism, 
Masturbation 
Unknown, 

do 


H M I-, 

? H * ^ ^ ^^ -a -a ^'tf^'o' 'a n-, a* na 

TtO Oh o OH O— < O £h o - £~ -r\ Oh OS OH O °h£ O.S-- Oh Oh O O'C Oh o 

°f-a -a tc-a -a £ -a "D-a s- so-a ^ so ;_, -a to-a wn -~ -a tj bo n tj b« S -a t>c-a M-a -d Stj scts 
cct- 7 topp^sScoP^co <sco2 coPSt?!^ co*?, co<3h-coP!o £; to 


CD O CD 0) CD QJ CD CJ CD 

«ooooB^BHBooooo^oo|ii|i;|oij1oooooij1^1^ooo 
rt-a-a^a'a g d S « S^ 3 ^ ^ n =' 13 « ^"^ 5 ^ Sh S" 13 ^ g ts -a -a -a 13 "S g'S g^ra-an. 


H(ONOCOOOWCOflO'ONwcOlOcOtOlO»OOOH(loONlOCOCOO«tftNir»CO>nMCOH) 

M^i-^cocioi^r3ooH(^Mio«Ti<nriio^<»H<H^^mmMrHio^c-icoNTtiNco^coKi 


H(Nt^mtDNCOCOOHCT«CTMmHlic;iC«COO-01«0)COOO--iHl^rtMD:HllO«3I^CO 
rvOOc-OOOOOOOOOOOOOOOOOOOOOOOCOOOBoOOOOoO 

JZT'a nanH-a r a , a r a'a r a r a r a'a r a r a'a r a'T3'a'a r a r a-a r a'a r a r a'a r a r a r a oh,h,h.h,. 7 -jh,h, 


cr, c- ~ • — 01 co H i'h -jd r^ c/: cr; — h ?i :o ^ '^ — 1 ~ y. ~* ~2 h 1 r? h cr; r ^ yi c. ~ h cm c? -h '^ co 

rotoconn:'5rjn™«re:0'f)iH^Hi*^HHi-iiH4i>*HHHiH'HHi-|(-»HHHiHHH 
»COCOCOC»a3C>5C^OOCOCOCX>CCCOCOCOOTC»COC«C/3C>3COCZ>» 



56 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 





*2 O 


o 
•5 


o o o o o o o 




1 1 


a 


T3 r o "TJ (^ 13 'd 13 




"** 






O o 


^ 13 






B Ph 


P-t iij 


C 13 'S 




X 


<* =8 


t-. >> ~ >, 






H H cj !- 




« ."S 


*i '- J 


redita 

do 

do 

do 

cidal. 
redita 

do 
do 
do 

micid 

redita 
do 

do 




3 ® 


£ ^. S 13 




co 33 


W co 


oj 5 oj o oj 

W coW W W 








T3 T3 




rf 


>vered 
roved 
asmus 
roved 

do 
overed 
roved 


OJ OJ 

C3_. T3^ o _o ^3_, ^^ 




1 


«oj"ooj2oooo&ooo2»OojSooooS"o 
S £ o-a > ol3 1313 13 3i3T3l3 o a'O > q ^3 13 13 13 > o 13 




£ 


«OHOH "* H ,H O h 0%< 




S ft % ft o ft.c O ft O ft -u ft<-» Oft oft 






rSJs>l tfJ 


xogoje o coojfl °->fi 




"2 <* 


T3 13 


t3 t3 T3 *t3 ^3 rrt T3 




co eg 


O (L» Q <D QJ qj 0> 




SB .5 


bo 0? 05 fcfj 


cjDwbDw fcJDcofcD » bDwfcinw 6Dw 




'" . c 


u a •- 


^tfb s b^b fl £j a u a '~ a 




03 t-.co 


rt .^ -2 ci o O 


ed .« oJ O'd O 5 '3 ™ O O"^" O O O O rt '^ d O'i O rt-^O 




g s 


o g 13 g o 






S M 


.2 o .2 5 .2 


.zi .22 o .^2 aj .22 a> .2 o .22 qj 2 qj .2 a> 




Q3QC3Q 


QQtfQ tf Po^Q P^ Oc^q ps, Oaj 








[finrntnioniAtooinffii/innfluutatQioia co coco 






;i, >>*►>>-.>> >> 


K-> t^ >>>->>>>>>-.->%>> P*. >>>>>.>> >. >>>. t-> >-,>". t*> >. r-> >". 




-*-> 


'O T3 ^ 'U 13 11 


^ *^3 *"C3 TO T3 T3 T3 T3 'O T3 T3 T3 13 T3 T3 T3 T3 T3 T3 'd 13 r O 13 r c3 




§ *^ 


(MHOONto 


lOioa3MffiKlC0 05 0CONi»NNCDCD>OC<l(MCOCO O OO 




Q. £ 


NNhNin 


OqNH r-l F-l tH rH r-l r-l CN CM CM (M <M CO COCO 




m s'o. 


<k in w 


CO COCO COW COCOWCOCO 05 C003C0C0C0 






43 .C ,£3 £ .33 £ 


^Ji^J3^ ^3j3J3 ^xi^XJ! -S ^3 XI -a ^3 ^ JS jS 












i p M 


aaaaa a 


aaaaa aaa aaaaa aaaaaaaa 






HCOCOMH i-l 


MHiHCOCO COCNIi-H CO CO CO CO CO CO i-l i-i CO <M CO CM CM 






*» *J 


*J *J +J 10 *» +J 






S-T3 !h 


^3"M fl h'O M ^d ^-13 ^ T3^-i r ^3 




s| 


3d 2 


cd cgciSaKcd ess 




O o ° 


oo o ® o o o S o o o°o 




°S 


" o „ o o o 


00 pqO 0000 oc aOflO B S BO fleo( qO m 






.2 0>T35l 3ra 13 r l3l3 0J.JJ131313131313 O % 0J^t3 O > J) "■S'd'a CO^'O 1) 

o .2 o .E o .So.So .2?.So .So .5 






t-t ^ u 


- ^ ^ — — — ^- _^ -^ ^ **}_,;-, 






P-P-i Ph 


ChOh PhPhOiP-i QhHCUO-i PhP-i Ph 




1 s S 


J3 . 


days 

months 

week 

years 

months 

years 

do 
year 
ears 
months 

do 
years 
months 
weeks 
week 
years 

do 

do 
year 

do 
years 

do 
months 
years 
weeks 
years 




eS.O ™ 


days 

mont 

years 

do 




55| 

! " c3 




O CO l-~-d< 


OCMi-HCOCOlOCM— ^NNNNHOUSiOHrtOOCSCOONO 






-H <M 


r-l CM .-! nJHCN —■ <M CM 




cj 








a 

03 


3 


3 ' 






o _ HO. 










n, 

c tr 
life 
n, 
itio 

ran 
life 


•2 <2-^ a « 




O 


nknown 
asturbat 
nknown 

do 

do 

do 
liberty, 
nknown 

do 
verwork 
urn of li 
jngenita 
nknown 

do 

do 

do 
ijury fro 
nknown 

uerperal 
pilepsy, 

do 
nknown 

do 
uerperal 
pilepsy, 




P. 


£ "*3 b_ £ r° ^ b_ 




3 
CO 


kno 
mes 

kno 
stui 
cm I 
rn o 






c o =j s » "S s 






P2P PhP OHOP hP P-M P PhH 




_ o 


13 t3 


13 ^ t3 13 Pr3 u 13 
oj cu p ojcj <° a PJio fojo 






OJ O « Q> 






bC C T3 bC'd 5 13 


r^o-r-ooo— ooo-r-So-soo— oo - C-r ,00 -r'C-r' 




Os 


6£t3 u 13 T3 T3 CJCT3 13 13 C fc£-0 S ^ 13 fcr.T3 T3 E 6C-C3 T3 K d CiD 






_C cj _C <S 


a a ir p aaa s ga a r ^=25 
coS ^io Sec 2 cnE>2cot>coScO 




o 


io § 5» S 






o> a 


<]j <d CU <U 03 Q) 












co 


cooo^oc 

= 13^3^3 tfT3 £ 

Pn S En 


«Jcoo^§ooooo^d^oooooc^ofliico 

d §1313 ci S-dnoro-^-arf C^^^^^jr-j gesna grt gT3 

Sfn Sfe gfeS fog fogc* 




Age 
when 
admit- 
ted. 


OC0NtaO00OO«H0Oiei0!0O(NN00NOW*W5S5)-*oa3(0!»t^>0 51 




COC<lTt<T^COT^U3CNCNCN^C^^CN^<?l(^lTt<rt^^COI^^O^COr-ICOCDCO<NCO 






CCOT-H^t^ICNCT^TtilC^COCCCOC^-^Cira^^^lO'OCOroCTlrH^-lrHCNCNOOCO 




° m 


HHrlrtHi- 
CO OJ 


HriHHHriHHCSl(M!N!NCl(NH(NJiCSlC<l 




©.2 






1 2 S 


2S oo ooo c 


ooooooooooooooooooo— . oooooo 




1 H -<! 


P r 3'3 , 3'CJ r d r d r a r O , C'i3'cJ'r)T3 , 3'cJ^ , cJ'd , w r 3 r 3 r 3 r d F 3n3 ^ 3 'c3l3 r O' r d r ^l3 






^OOC50Ht»M-*lOCONCOC10"ClKI*iO(ONa!OOT-<(MCO-*lOCONCOO> 




d 


IS01ff!MM05«IM03nMn»-)l*Tl<^TJlT)i*^i^*llMf>0Ol0i5lC>>0lOI0 




1 fc 


-* Ttl -* *# ^H ■* ->* 

GO CO CO CO CO 00 oc 


cocooocooooocooococococooocococococooococooococooooo 



1869.] PUBLIC DOCUMENT— No. 23. 57 



OTJ'd 



=3 . 



c«M 



OT a><? >7?> 00 Q i> _9 r^> r7° E*° r > r °'^ > r^S e > d >^ °^ D ^_2 > _2 _2 

*d « •*-» &«+•> C4 o& +* £u+j Q-t ■+■> £!*■»-> *3d.-*- :, 0"*- 5 Cii'*- 5 p4 o ■*-* Oh 

X0»O C O d O d O d O d OcO JdfiOQjOdOd Hi O d 

Hcs£ Js£>5 P3J; ££2 £ S5i:£ p^£p3£J;z;£ p3£ £ 

13 13 13 13 13 13 ra 13 

fcO to SD to tO m fcD tn 60 to bDai 6E to 6D to 

■- " l- rt «- -i h a t.c! bfl 

3 2 _ 3 ° ° 5 "3 o ° 3 "3 

._ .-. w .-. ^ •- su .J .;; o> •■* a> .« <u .S3 m .S o 

QQ P3 P 03 O d QGP3 a S3 PP3 qp3 P_o3_ 

CQffiO]UUlx[f)(ow(c K ^o}g!y]{Q{cwxX(flD]caUl WtotOtOtOWtGtO tfl to to to to 

>%>>>,^,>-.>>>>>,>->>>>,>.>,>-.>,>>>»>->>i>. >-.>»>-.>> >^>>>->>>>->r->t*>>> t>-> >> >i P-, >-> 

r d'0'3 , fl'0 , o , d'd'd'd'Ot3'3'd'O r d F o , 3'd'd'dT3'3'3 'dt'O'^'O'd'd'd n3 13 *a 'a *a 

t0nC5Si0T*OOOOlo l 01C'lHOH^00tDO0!)iO(M 10 OS t^ l~~ CO CO <N <N 010ro<0 
>-H rH cq !N <N Ol (N rH rt ,4 rH i— I t-I iH t-I •— I i-H i-H CI Ol N N (S (N (M IM CJ r-l r-i ,— i t-I 

OQ U O] D) DO O) (0 to to to to to w to to to D] 

££££££.£ .C.C .C j= .S'S'S ^^55 •£5 rd^^J ,C ,C ,C .C -rf ,£ ,C ,C 

a a a a a a a a a a a a a a aaaa as aaa saaaasa a 

(MCT(M(M<M(M(Mi-lrMCa(M<M«M<N HIMffllM (M(N ,-1 ,-1 »h ,_| ,_, ,_,,_( ,_i ,_, ,_, tH 

>H U h! t3 h t. h ti 13 >i tl 13 i- 13 n CJ ^ 

OO g O O o O 2 ° O O g O r/ ° 

~'oo M o., ooooo l-l SS~'oo H oo^o(-loo„P- i ooooo^ooo 

o .So .£ J o « o .S 2 o .5 o.S o 03 o 

P-i P-i P-i PmHO-iHP-i P-i HP-i Oh QhPmPm pJCu 

to to tn to to to 

•S 5". « 5 5 5 „ m m „ *5„ 5 » 01 "S 5t» 

„oo°SoSS= 1 3£ I i?y,«oOooS>>oSS I !>> £ o >> 1 rt§°o 

.^aa >,c^ j^fe i3^^ a« s^-c a^& -a & « na p*. a ^ 



Oj^'-C * C • " • ^- • " e "" VU..U • • a S • • 

>■ fl .2 .2 -m o.Sfl c c 2 £<"oT,a> 

S2 m - g n .rt»"S^og rt-2g K -2 .g2a -a -c^c^acs 

.- £ - S aT-2 ^ -° -s ^ ° '•« £ -o «« u & •" 2 fc <" & .2 & b & .0 "So fe -2 .2 «„ £ «« 

™2'>,SC3 --'-o«<n o o30 a -o 000 ^g< 5-0^0o,0« r -0M.000 

"^2^2 >2^cS^ {J£Sj! ^^g« -J jd S^to^-^Ma-^aSS-^2 

>-• M 

Tj 13 a> Tj -a tJ ^ 13. t3 130)13 r^ 

0)0)2&l'( l) O a) < " OPU 0) j, fc 0) «i CDl'feJ' © 0)tu fe 

"Crr" C o"r;^-<'C^-''C °^- o^^ o o O'C^-' o •—•'%! o o— > m r\ o S o o o o— . o o - r:-^ o o o 
C 6ChD £ set. toC-a tens tea 13 13 " w.-a 6cn-ai3 MS-a ^.13131)13 uw 13 t bBna -a -a 
*.S*S*.S ci .2 ^ .SS.S d .StC.a a .5 ^S rt fl d a j~ 

OiVOO 0>0> 0>0) 0) 

«oooooooooo1ii1«1ii1ooii c.1 »1oi!oii;1»ooioo 

1*1)13 13 13 13 15 13 13 13 13 5 rf g d 5 rt 5 13 13 cS 13 13 g D ct! g 13 ei 13 g cS g ci 13 13 g T3 13 

S EfaSEnSfc^h ^ fa gfa a PnSh^ Ph 

2t: H 2J5 0> " ,f " m OO ! 0-*OH03MN'MlMKIlniO(MO)050MHOOmiOOiO«iOcaW 

ffi(Nrao5nHmiosii<3MtoMra-(<rj(KiHOWi(5"*cot-.-*i<3«5ra«icococic)coco(N i *(N'* 

COTji'^IONCOCTejW ^Tj*NCOHCl-+*-^*fOONC1001CI«HO"OtOtOOOOC ; l?:cOtDCD 
■-li-(i-li-CrHr-ICN(MlM<M(MCqiMOJ(M(rj(MCO rHrHrHi-Hi-mr-lTH 

•^OOOOOOOOOOOOOOOOOOOOOOO SP OOOOOOOOOOOOOO 

3l3l3-ai3l3l3l3l3l3l3l3l3^l3l3l3l31jTai3l3l3l3Jj r a'ai3-ai3l3i3l3'ai3'ai3'ai3 

o »— ( oi cc -h ic "i^y)0)0-H(M w»t<"Oto^cooo^"Mw^iQtDr^coQo^(MW'4<iocor^oo 

S 5 S ^2 32 2 2 15 r-c S '" '^ £s '^ *** r ^ '^" '~* '^ *^ ^^ "^ ^^ °° ^° ^ °° °° M co ° ° * °* m ai * ^ ^ 

eococoo3oooocotZ3oO(»cco3a3coOT03oooocooooooo<X30o<»oo(»obaooocxic»i»oo 



58 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



,-j a 



Q « 



£ M 









^£?£oog-o£ooo§"ooo£^£§-£ooog-oig<oo 
B p.c o ^ ^ .S ''o o r a r ^'^,BTi r t3 r T3 5 B o S o^^^ S "O "S S t3 'd 



Ia-3 



|J£ij a £ 



££^►1 a 



55 HZ 



« •£000000000000000000000000 •- o o o o o 

,C 2'd r d^3'0'*d p 0' r d'0' r d r 3' r d'd r d^3 r 0' r d , d r d r 0' r 0' , d r d r 0'"d ro^r^^r^r^J 

.2 £ .2 5 

QPh Po3 



s 



I 

M 

p 

« 



2 I 



Is 



""►■a*" 






T3 *d ^3 ""d *^ *d 'd -O r O ""O T3 r O t"0 ""d ^d ^ '"O *T3 *"d td '"d ^O T3 ^ T3 fO ^3 ,m O ^ ^3 13 ^ 
HHrlnHHrt (MNS)(N(NMrir1HHrtHHH r-l rH 

"^•B^-^BBBBB^B-B 

Assess ess as a 



3^2 3ad§de3<"5 a> d o> e d 

Ofq O c pq O n C; M o s o oooooooooS Oj.pqO oooo 
.S'd o^ ""d acd .g a> .£ « J2 >«^'OT3T3'3'T3'a r a'C'd > .2 > o£'3'D'3'ti 

■§.§■§! -gl-sl-go-g s-Ss-s-s 

In i- t< H 1. K I. I, hJ3 n J3 (h -C )H SH 

Ph Cm Pui Qi Pi q< Oh Ph pu H Pli H Pi H Pi Pi 

OOCOHCT CO 00<N5O->^'*e«(M— I CO 00 <M HHO«MIS>ONrt t© 

' <a ' 

% a 

— i a> 

•g • • • • : .s i a 

•I • : • -a • g" i • a a : • i £ • e s * ■ ■ - « • * '" ' " ' § 

« oT -= £^2 .2 ° .2 3 ,.2 c .2.2 S 

- f, SP e orSs a "S « - « H Sc'dl; e'-s 3 ts « k - « « 

£.2 -.3 I ^Sv.^'S^^o^^^g ^J^ >> £ d 

S££ .S 5 o S o ?o 5 : p.p,o ^ » o 5 fto o o o b o ^ o n .9 

HQfagg QP^HDgQHPS !g^g^DP^ H^P H P ti 

rrtT3"T3 T3 'dTS T3 "d 

« S A -=^!r oir o o * o- o " or o "t o o o o "•:; o oh o o'g 

Mr§ rS t tD£n3 bD^-B^ 01-3 S T3 6tT3 St3 6X)S^3-3'd r t3 6E^T3T3 6DT3 T3 h 

cv-.^rtcrf era S^.SJ;S.SJ2 .S v2 .S ^ 



fcD 



0) 






!000»?« 



1-2 o o 



QinHe>NooracO'*ioocooNKi«i>ioiso-*oici«)to^iocoo'!)ioora 
Hc6cooiHKi^me50«:(NMcoio<MO)co*coromKi5i-*«i«5Ti<io[Nco^io 



oocoocos' 



CO 6D_ 

-- 1 p,2, 

<3 






o>OHe»«*'0!oi 



_ . ■ooojoh 

KSOlll <-M 'M CI CI 11 ?M fN CO CO 

i in lo 10 '^ io ioio i^ >o to io io »n »o ^o ^o »o ^o to ^o o to >o »o >^ >o »c to »o to ici 
>o6o6ooobo6o6o6o6oooooooooooooooooooooooooooooooooooooooooooooo 



1869.] 



PUBLIC DOCUMENT— No. 23. 



59 



£££ 



>-. >^ >> >-> 

n$ 13 n$ n3 
<X> CO CD CM 



<" a 3 
S o o 
>- P5 O _ 
<u „ ° 

°iJ 

2.5 o 



»3 ™ 

^ o ° tfl 
£ B £ !>. 

co -* ■-! CO 







<d 












a & 


s 

1— 1 


CO 



o 






id 
g 





3 id 





ci co -*< o 

CO CO CO CO 



60 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

The usual table, appended, showing the amount of work 
executed, will sufficiently testify to the efficiency and faithful- 
ness with which that part of the treatment has been carried 
out, which consists in the industrial occupation of the patents. 

In addition to the usual gardening and farming operations, 
the shops, engine and boiler-house, the laundry and kitchen 
afford ample employment for considerable numbers of healthy 
men and women. Four, and sometimes five, of the male 
patients, are employed quite constantly by people in the 
neighborhood outside of the hospital. 



1869.] 



PUBLIC DOCUMENT— No. 23. 



61 



C5 

oo 



o 

CO 



s 






£ 






^ 



^ 



^> 












00 


CO 


CO 


lO 


CO 


c-i 


CO 


CO 
































OS 


CO 


o 


o 


l~ 


OS 




•1VS£ JOJ spsjoi 


CM 




r* 


-* 


CO 


r-l 


CM 


L~ 


CM 


pi 


•gaiBraej 




1 


>o 


IP 


1 


1 


1 


Ol 


CO 
























S 

m 




















1-1 






















Ph 


•sa[i3ft 


t- 


|H 


IO 


1 


t~ 


LO 


lO 


lO 


OS 














































H 


•B3[Bniej 


co 
o 


1 


OS 


CO 


1 


1 


1 


CO 


OS 
CM 


p 
o 




















l-H 






















p 


•sai^u 


o 


OS 


ec- 




co 










<J 


o 


CO 


us 
















1-1 






































r-l 




■saiuraaj 


to 


1 


c 

OS 


© 


1 


1 


1 


o 


iO 










el 


CO 








11 


CM 


rl 

p 












































•S9IBp4 


t~ 


CO 


CO 
















o> 




CO 




c-l 


<_> 






■^w 


1 








I-t 






rt 


Ol 


01 


CM 

l-H 




•saittmaj 


CI 
00 


1 


oo 


CO 


1 


1 


1 


CD 


OS 
























o 

1-5 






















•sbibiv 


CO 

oo 


1~ 

eo 


o 
>-o 


1 


rH 


CO 


IO 


cr 


ia 










H 




CO 




01 


CI 


CM 




•saimnajj 


CD 

oo 


1 


CO 
CO 


OJ 


1 


1 


1 


00 


■* 


t- 










■* 








■* 


r-l 


s 


•saiBK 


00 


OS 

so 


o 

CO 


1 


U0 


o 

C3 


©, 


r- 


CM 










1-1 






rH 


CO 


01 


CM 




•B3[Bm9J 


t- 

00 


1 


o 


to 


1 


1 


1 


lO 


l~- 


t3 








Ol 


•* 








■* 


r-l 


p. 










































<! 


•S9[BJ5 


oo 


CO 


>* 




CM 


1- 

00 


CO 


1- 

CM 


CO 


a 


•safBtnaj 


00 


1 


CO 


N 


1 


1 


1 


rH 


OS 








C-l 










■* 




Pi 






















•BaiBjv 


00 


Ol 

co 


CI 


1 


OS 


U3 

•* 


o 

Ol 


O 
■.o 


id 










rt 




rH 






Ol 


o 


t^ 


•safBinaj 


00 


1 


o 


o 
o 


1 


1 


1 


lO 


CM 




















■>n 


























Pi 
pa 


•saiujfl 


00 

oo 


CO 

CO 


o 

CO 


1 


rH 


o 


© 


o 


t~ 


P« 
















CM 


CM 


o 


pi 

o 
z 

■< 

1-3 


•saiTjmaj 


o 

OS 


1 


oo 

l- 


pH 


1 


1 


1 


fl 


s 


















■* 


r-l 


•B8IBHJ 


en 

00 


U3 
CO 




' 


o 
r-4 


o 

IS 


i.O 


o 

OS 


•* 






















r-l 


pi 

M 


•89iBtna,j 


CO 


1 


CO 
CO 
CM 


U3 
CO 


1 


1 


1 


o 


e 

CO 


H 










































W 


■sai«K 


s 


CO 


o 


1 


I— 

CO 




l~ 


o 


i— 


P 








r-i 




rH 




I-l 


CM 


os 


pi 


■83|i3niaj 


CM 

00 


1 


00 


CM 


1 


1 


1 




CO 










CI 


CO 
































rH 






















o 


•saiBjfl 


00 


8 


CO 


1 


O 


o 


CT 


CI 


CO 


13 








r-l 




01 




rH 


01 


OS 


pi 


•sal's niaj 


00 


1 


o 

CO 


H 


1 


1 


1 




l^ 


a 










CO 








CI 


OS 


H 

O 


sa[BK 


C3> 
00 


o 


00 
CM 


1 


J-* 


CO 


5 


*a 


o 








r-l 




CI 






























r-l 




PS 






















o 






















p 






















-0 

ij 












a 






m 




fe 








m" 




■a 
u 










o 

O 
■•J 
►J 
PH 


a 
.3 




i- 
•a 

a 

3 


a 

o 

o 
PS 
60 


a" 


•a 

3 

a 


04 


1 


"3 
o 
H 










S9 




a 














w 


pq 


rj 


oa 


h 


r-l 


co 


t-t 





62 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Articles Made in the Sewing -Rooms during the Year, 



Aprons, 


. 44 


Collars, 


. 15 


Bed-spreads, 


. 60 


Curtains, . . . 


. 35 


Bed-ticks, . 


. 392 


Drawers, pairs of, 


. 51 


Blankets, . 


. 21 


Dresses, 


. 125 


Bags, . 


. 14 


Edging, yards of, 


. 45 


Carpets, 


. 7 


Frocks, 


. 5 


Chemises, . 


. 162 


Handkerchiefs, . 


. 50 


Coats, 


. 3 


Hose and socks, pairs of, 


. 30 


Jackets, 


. 26 


Sheets, . . 


. 180 


Mattress-ticks, 


. 250 


Shirts, 


. 50 


Mittens, pairs of, 


. 22 


Shirt-bosoms, 


. 10 


Neck-ties, . • 


. 15 


Skirts and quilts, 


. 50 


Night-dresses, 


. 35 


Suspenders, pairs of, . 


. 9 


Night-caps, 


. 14 


Table-covers, 


. 25 


Overalls, pairs of, 


. 12 


Towels, 


. 170 


Pants, pairs of, . 


. 43 


Undershirts, 


. 12 


Pillow-cases, 


. 175 


Vests, 


. 15 



Articles Repaired in the Sewing-Rooms during the Year. 



Aprons, 50 


Night-dresses, .... 53 


Blankets, . 






. 170 


Overalls, pairs of, 






. 35 


Bed-spreads, . 






150 


Pants, pairs of, 






1,213 


Bed-ticks, 






475 


Pillows, . 






150 


Bags, 






25 


Pillow-cases, 






480 


Chemises, 






3,700 


Sheets, 






680 


Coats, 






1,050 


Shirts, 






4,320 


Collars, . 






27 


Shirt-bosoms, . 






78 


Curtains, . 






55 


Skirts, 






450 


Drawers, pairs of, 






375 


Stockings, pairs of, 






3,115 


Dresses, . 






805 


Table-cloths, . 






65 


Frocks, . 






30 


Towels, . 






160 


Jackets, . 






60 


Undershirts, 






460 


Mattresses, 






160 


Vests, 






875 



1869,] 



PUBLIC DOCUMENT— No. 23. 



63 



Articles Made in the Shops. 



Bee-hives, .... 


. 4 


Tool-handles, 






. 50 


Bolts, 


50 


Patterns, . 






6 


Boxes, .... 


. 30 


Writing desk, 






1 


Small bedsteads, s . 


■ 4 


Picture frames, . 






. 25 


Small bureaus, . 


6 


Iron rods, . 






. 20 


Boot-jacks, .... 


o 


Knife-blades, 






. 12 


Knobs, .... 


36 


Mattresses, . 






20 


Chair-rounds, 


75 


Pillows, 






. 30 


Curtain sticks, . 


50 


Rabbit planes, . 






4 


Screens, .... 


15 


Roof sashes, 






2 


Chisels, .... 


6 


Wardrobes, 






6 


Coal-sieves, 


2 


Whiffletrees, 






12 


Wardrobe-hooks, 


12 


Barrel-covers, 






6 


Small tables, . 


6 


Walking sticks, . 






4 


Fancy boxes, 


6 


Buckets, 






12 


Screw-drivers, . 


8 


Brackets, . 






24 


Set of shelves, . 


3 


Mop-sticks, . 






75 


Pair of shafts, . 


1 


Windows glazed, 






400 


Table legs, sets of, 


6 


Models, 






3 


Doors, .... 


4 





64 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



JCLI MVVVS JL\j 


jJJU/VI ( 


;(.«/ ti d oito fo/cu^jo. 








Bedsteads, 


50 


Razors, 






20 


Brass rings, . 


12 


Rakes, 






39 


Boxes, 


15 


Saws, . 






25 


Bureaus, 


12 


Stands, 






24 


Blinds, 


18 


Settees, 






6 


Brooms, 


18 


Scissors, 






12 


Chairs, 


150 


Sofas, . 






4 


Clocks, 


12 


Sleigh, . . . 






1 


Coffee pots, . 


8 


Sleds, . 






o 


Chisels, 


15 


Sashes, 






24 


Crickets, 


4 


Chains, 






6 


Flower stands, . 


5 


Tubs, . 






6 


Picture frames, . 


50 


Tables, 






15 


Boots ironed, pairs of, 


4 


Tin pans, . 






20 


Looking glasses, . 


18 


Tea-kettle, . 






. 1 


Horse wagon, 


1 


Trunks, 






. 12 


Ox wagons, 


2 


Umbrellas, . 






. "4 


Hoes, 


12 


Window rods, 






. 50 


Guns, 


. 12 


Windows, . 






. 60 


Iron bars, .... 


. 6 


Wheelbarrows, . 






. 6 


Knives, .... 


. 12 


Lock keys, . 






. 18 


Pen-knives, 


. 12 


Book-cases, 






. 2 


Lounges, .... 


. 6 


Hay-forks, . 






. 12 


Lanterns, . . 


. 12 


Hand-cart, . 






. 1 


Pails, 


. 24 


Saws filed, . 






. 50 


Parasols, .... 


. 4 


Fancy boxes, 






. 4 



1869.] 



PUBLIC DOCUMENT— No. 23. 



65 



Products of the Farm. 



ARTICLES. 


Market 
Value. 


Total Value. 


Apples, . . . 


18 bbls., 


$5 00 


$75 00 


Pears, . 








20 bush., 


4 00 


80 00 


Cherries, . 








11 u 
a 2 


5 00 


7 50 


Grapes, 








30 " 


3 00 


90 00 


Tomatoes, . 








300 " 


1 00 


300 00 


Currants, . 








1 " 


3 00 


3 00 


Sweet Corn, 








75 " 


1 00 


75 00 


Gooseberries, 








1 " 


2 00 


2 00 


Strawberries, 








300 boxes, 


20 


60 00 


Beans, 








30 bush., 


3 00 


90 00 


Turnips, 








50 " 


50 


25 00 


Beets, . 








250 " 


50 


125 00 


Mangel-wurzel, 








800 " 


40 


320 00 


Carrots, 








800 " 


50 


400 00 


Squashes, . 








7 tons, 


40 00 


280 00 


Peppers, 








30 bush., 


50 


15 00 


Cucumbers, 








100 " 


1 00 


100 00 


Cabbages, . 








3,000 heads, 


15 


450 00 


Cauliflowers, 








150 « 


20 


30 00 


Spinnach, . 








20 bbls., 


2 00 


40 00 


Brussells Sprouts, 


Kail 


Brocoli, & 


as., . 


. 


- 


25 00 


Lettuce, 








2,000 heads, 


02 


40 00 


Celery, 








. 


- 


35 00 


Rhubarb, . 








3 tons, 


40 00 


]20 00 


Hay, . 








130 " 


20 00 


2,600 00 


Corn Fodder, 








6 " 


10 00 


60 00 


Milk, . 








6,000 quarts, 


06 


3,600 00 


Beef, sold, . 








1,297 lbs., 


15 


194 55 


Pork, sold, . 








1,961 " 


15 


294 15 


Other produce sold, . 






• • 


- 


2,304 85 










" 


$11,841 05 



66 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

The female patients are sufficiently employed in sewing, 
knitting, crocheting, in cooking, washing, ironing, and the 
other various household duties incidental to a large hospital. 
A few in every ward assist the attendant in the general care 
of the ward, and in nursing and watching the more feeble and 
insane. Some work regularly for their families at home, in 
making and repairing clothing, knitting socks, and such other 
labor as can well be performed while in the hospital. 

The male patients are not so well provided for in this respect, 
nor are so fortunate in being accustomed to light employments, 
which can be taken up or laid away at any time without 
trouble and inconvenience. Among the male patients there are 
not many trained mechanics, and those who do find it nec- 
essary to remain with us, and are able to perform labor, are 
generally actively employed. A large proportion of those 
employed, are engaged in out of door work upon the farm 
and gardens. Many of those are, however, incapable, both 
physically and mentally, of performing any great amount of 
useful labor. 

By steady employment in light and cheerful labor, they im- 
prove in health of body and mind, their feelings of self-respect 
are kept alive, and their habits of usefulness prolonged. 

No kind of labor is so beneficial to the patient, or so profitable 
to the hospital, as that expended in the cultivation of the farm 
and gardens, and the care of the farm-stock. The free and 
unrestrained exercise in the open air, the quality of the labor, 
calling into play nearly all the muscles of the body, the cheer- 
ful influences surrounding the out-of-door laborer, all tend to 
improve their condition and promote their recovery. 

The products of the farm have been abundant, as the preced- 
ing table will show, and have well repaid the labor of growing 
and gathering. 

The usual amount of labor has been expended in draining, 
ditching, blasting and sinking rocks below the surface, in fenc- 
ing and in transplanting trees, and in improving in a variety 
of ways the value of the estate. 

Much more has been done than for several years past 
in improving and repairing the buildings, and refurnishing 
them. Much more is absolutely necessary, in order to preserve 
to the State the value of the property, without serious loss. 



,] PUBLIC DOCUMENT— No. 23. 67 

Many thousands of dollars must be expended immediately, 
if the present occupancy is to be continued. Every part of 
the establishment, inside and out, needs painting, as do also 
the stables, out-buildings and fences. 

The heating and ventilating apparatus, the cooking appa- 
ratus, and the washing machinery, all will soon need replacing 
at heavy cost. You remember that each of these departments 
have been in constant operation twelve years, with little or 
no expense of repairs, and are now quite well worn, and must 
soon fail. It is believed that no other hospital in the country 
has passed so long a period without an entire replacing of 
these important fixtures. 

All the means formerly in use, and as many more as could 
be added, for recreation and amusement, and instruction of 
the patients, have been carried out with unabated interest and 
activity. The supply of newspapers and periodicals and books 
has been considerably increased by judicious purchases, and 
many additions have been made to the pictures and objects of 
interest and pleasure throughout the house. 

The billiard-rooms, reading-rooms, libraries, and music- 
room, afford the means of intellectual occupation by the op- 
portunities they offer for social contact of persons of similar 
tastes and habits, and also by the very generous supply of 
books, papers and periodicals, which are found in them. 

Many of our patients also visit the public libraries and 
reading-rooms of the city, and in our wards may be found at 
all times choice books belonging to circulating libraries of the 
city. 

During the winter a course of lectures, and occasional con- 
certs, fill up the time of the long and otherwise monotonous 
evenings. 

During the summer the picnics, fishing excursions, daily 
drives, games of base ball, croquet, and all the other usual 
out-of-door amusements, may be mentioned as the principal 
source of recreation. 

For the assistance rendered by our friends outside of the 
hospital, in our endeavors to ameliorate the condition of the 
insane, we tender our grateful thanks. To the attendants 
and employees generally, great credit is due for the faithfulness 



68 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

with which they have performed duties always unpleasant, 
and sometimes excessive. 

It is my duty and pleasure to record my sense of obligation 
to the other resident officers and assistants, for the faithful 
manner in which they have performed their duties and ad- 
vanced the interests of the institution. Dr. Draper continues 
to devote his time and skill with unabated interest, for the 
welfare of the patients under his charge. Dr. Mary H. 
Stinson has, since September 1st, had charge, as Assistant 
Physician of the female department. She has so far per- 
formed her duties faithfully, scrupulously and well, and I 
have no doubt her appointment will prove eminently satisfac- 
tory and useful. 

The affairs of the Steward and Treasurer sufficiently indicate 
the faithful performance of his duties, and the quality of his 
success. 

Mr. Allen, our Chaplain, has grown old in years in the ser- 
vice of the hospital, but is still young, rich and strong, in love, 
sympathy and faith, for those who receive the benefit of his 
wise counsels and cheerful ministrations. 

Gentlemen, thus much in brief, of the labors and successes 
of the year just closed. Of its griefs, its disappointments and 
trials, who shall tell ? Of hope deferred, of opportunity lost, 
of minds wrecked, — hopelessly so, for want of what could have 
been done and given, — who shall count the sum of them ? 

It is pleasant to indulge a complacent retrospect of past 
successes and acknowledged excellence, but it is the part of 
wisdom to be mindful of failures and short-comings. If we 
would preserve the character of the hospital, if we would hand 
down its excellent name and fame to our children, if we would 
keep before it its career of usefulness, we must not rest one 
moment, or consider anything accomplished, while such a field 
of improvement is before us. 

During the last few years, such investigations have been 
made in the pathology of insanity, and such close observation 
of its various phenomona, as to almost revolutionize the modes 
of managing and treating the insane. These changes call for 
a more liberal and generous expenditure in structural arrange- 
ments, in grounds, in administration, and in all the material 
appliances of the hospital. It is not enough that we protect 
the insane from cold and hunger, from suicide and homicide. 



1869.] PUBLIC DOCUMENT— No. 23. 69 

We do not perform our whole duty until we afford the 
greatest possible facility for bringing into use the best modes 
of treatment, by improved buildings, furniture and fixtures 
of convenience, by situation, by grounds and contrivances 
which will allure to the greatest amount of cheerful exercise 
and labor, and by every possible facility for promoting all the^ 
physical and mental activities, and at the same time of secur- 
ing quiet repose and rest to those whose faculties are excited 
beyond control, so that they may pass their days in peace, and 
receive such attention as is the just due of every human being ; 
and of bringing, also, to those who must end their days within 
the friendly walls of the hospital, such kindness, care and con- 
solation, as shall smooth their passage to the grave, and rob 
death of its terrors. Lacking these, no ability or resource 
within your power, no amount of skill or faithfulness on the 
part of your medical officers, no zeal of your attendants, can 
avail anything to those unfortunate men and women under 
your charge and trust. 

When, in addition to this lack of facilities, the patients are 
crowded into small and inconvenient apartments, huddled like 
sheep in a fold, made to sleep in temporary beds, in strange 
nooks and corners, the quiet and well-behaved convalescents 
obliged daily to give way and relinquish their meagre accom- 
modations to the incoming excited and furious, and when, in 
addition to these difficulties, I remind you that our patients are 
now drawn mainly from an intelligent and educated class, and 
not, as at first, from poor-houses, receptacles and prisons, we 
may well charge ourselves with the failure of fulfilling our 
obligations and performing our duties. 

It has been too much the custom to consider the Worcester 
Hospital complete ; having been constructed and opened to the 
public, it was finished — needing no addition or improvement, 
no increase of facilities, save what the wit and economy of its 
managers might produce — complete in all its appointments to 
meet and answer the growing demands of a rich and prosperous 
community. But let us see how those best informed upon the 
subject have always regarded it. 

Since 1856, the extreme limit of accommodation has been 
rooms, or their equivalent in space, for three hundred and one 
patients. A reference to Table No. 15 will show that the average 



70 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

number of patients has far exceeded that limit each year, ex- 
cept 1859, when it was three hundred and nine, and reaching, 
in 1862, four hundred and one, and in 1863, three hundred 
and ninety-eight, and during the year just closed three hundred 
and eighty-seven. 

Five years in succession I have most earnestly recommended 
a plan by which a better classification might be obtained, the 
evil results of a crowded hospital avoided, the facilities for 
treatment multiplied, and all the comforts and privileges of the 
establishment increased. These recommendations have been 
unheard and unheeded. 

In 1854, Dr. Howe urged the establishment of a better sys- 
tem, and presented his views in such a manner as to command 
a respectful hearing, but to little or no purpose. 

In 1833, Horace Mann urged upon the Trustees the necessity 
of providing improved accommodations for convalescents, where 
they could enjoy a larger and more generous liberty, and pass 
from the restraint of the hospital to the freedom of society by 
gradual steps. This provision was never made. 

If we look at your carefully kept records we shall find such 
entries as these in the handwriting and over the names of the 
several Trustees. 

June 6, 1833. — Measures were adopted by the Trustees for the 
removal of all idiots, as not coming within the provision of the 
statute, not being furiously insane ; also, new arrangements 
deemed requisite for the Africans, who ought not to mingle with 
the other female patients. Horace Mann. 

W. B. Calhoun. 

November 25, 1833. — The solitary cells are all occupied, and 
there are five African females in the apartments prepared for that 
class. A. D. Foster. 

February 24, 1834. — In the institution one hundred and fifteen 
patients ; six only of the solitary cells are occupied. In the African 
department are five female blacks and one unruly white. 

Thomas Kinnicutt. 

September 28, 1836. — The Lodge abandoned, and the basement 
rooms of the new wing substituted and thought to be a great im- 



1869.] PUBLIC DOCUMENT— No. 23. 71 

provement for the worst class of patients, bringing them, more 
directly under the supervision of the officers, and relieving them of 
much anxiety on their account. Thos. Kinnicutt. 

February 19, 1838. — Institution crowded, and has been neces- 
sary to put patients in rooms not intended for their use. 

E. D. Bangs. 

October 9, 1845. — One evil only exists in regard to the institu- 
tion. The lodges for the confinement of the ungovernable insane 
are neither suitable in location or construction, and the Trustees are 
unanimously of the opinion that a new building, especially designed 
for the imbecile, the raving, and the incurable, is necessary to the 
completeness of an institution which reflects so much credit on the 
wisdom and liberality of Massachusetts. H. H. Childs. 

March 30, 1846. — In the solitaries and basement rooms were 
thirteen patients who can wear no clothes, and another in the 
galleries who is restrained from tearing off his clothes only by 
bracelets. Joseph Sargent. 

January 30, 1847. — The solitaries are all occupied, and besides, 
the subscriber found more patients under restraint in the galleries 
than he has seen before for a long time. There were eight hand- 
cuffed, and one other, with no clothing but a torn shirt, came out 
from his room in one of the galleries. These facts are mentioned 
as presumptive evidence of the need of better accommodation for 
patients whose influence upon other patients cannot be good. 

Joseph Sargent. 

August 31, 1847. — The subscriber found eight men in the lodges 
to-day in a state of complete nudity. Joseph Sargent. 

March 30, 1849. — The strong rooms recently constructed were 
found entirely satisfactory. Levi Lincoln. 

June 11, 1851. — The undersigned considers the employment of 
men as attendants in the female wards as objectionable ; some of 
the women were found to-day in a state of nudity, and some nearly 
nude. This is, of course, unavoidable at times ; but the attendance 
of men upon these unfortunate creatures (some of whom are still 
very young) seems an unnecessary aggravation of the painful fea- 
tures of the melancholy spectacle presented in these wards. 

S. G. Howe. 



72 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

October 31, 1853. — The undersigned visited and inspected the 
various wards between the hours of seven and nine this morning. 
The difference between having a statement of the Hospital in the 
daytime in an overcrowded state and seeing the consequences of it 
in the evening is the difference between the abstract and the con- 
crete. In some of the halls the men were lying upon the floor (not 
upon bedsteads,) on each side of the room, so that one had to pick 
one's way between them. Some were but half covered up, others 
tossing about in vain attempts to get an easy posture upon their 
shapeless heaps of bedding. The air, which had been exhausted by 
the inmates during the day, and further impaired by gas-light dur- 
ing the evening, was almost fetid, so that it was most disagreeable 
to breathe. The considerations which, in the daytime, demand the 
demolition of the outer strong rooms, demand it still more strongly 
by night. If the patients had the sense of the Parisian mob they 
would serve them as it did the Bastile. S. G. Howe. 

"What are these but the expressions of a want never supplied, 
of a suffering never relieved. 

It is true that this hospital has been repaired and improved. 
It is true that Massachusetts has built and endowed other hos- 
pitals, that she cares for and protects more than two thousand of 
her children within the wards of lunatic asylums. But the 
great and crying evil has not been remedied. 

No attempt has been made at any proper classification ; no new 
facilities for treatment have been afforded. No opportunities 
given for free and unrestrained enjoyment of the higher faculties. 
No allurements provided sufficient to induce unwilling men and 
women to engage in industrial pursuits ; nothing to reestablish 
and keep alive the kindlier feelings of their social natures. 

Look again at the condition and prospects of your hospital. 
It has two hundred and forty-nine rooms for patients, each of 
which is eight feet wide by ten long, and nine feet high. These 
rooms are not only the sleeping-rooms of the patients, they are 
the dressing-rooms, sitting-rooms, and, to a great extent, the 
living-rooms of the patients. They have access to the common 
corridor, the dining-room, and the bathing-room. Besides 
these two hundred and forty-nine rooms, it has small dormi- 
tories equal to thirty-six rooms, making in all two 'hundred and 
eighty-five rooms. Into these rooms, destitute of convenience 
sufficient to preserve the common decencies of life, have been 



1869.] PUBLIC DOCUMENT— No. 23. 73 

crowded during the last year a daily average of three hundred 
and eighty-seven patients ; and much of the time during the 
warm weather there were over four hundred patients. Into 
this compact hospital, with no facility for segregation, are 
crowded day and night, year in and year out, one hundred 
more insane people than it can with any comfort provide for. 
This embarrasses the administration. It depreciates the stand- 
ard of health ; it diminishes the comfort, and increases the ex- 
citement of the patients and adds to the perplexities of the 
attendants. It makes the whole household restless and uneasy. 
It necessarily leads to the use of objectionable methods of man- 
agement, and to unwholesome and injurious restraints. It 
annoys and often exasperates the convalescent and brings on a 
relapse of his malady. It intensifies the excitement of the 
maniacal, and is every way a prolific cause of many other 
evils. 

I have already stated that our patients are drawn from the 
well-to-do families of cultivation and refinement ; among them 
are the sons and daughters, wives and widows of farmers, me- 
chanics, ministers, lawyers and physicians. These men and 
women were trained up in neat and orderly habits, were edu- 
cated in New England schools, and are accustomed to good 
society, and, however willing and ready they were in health to 
help the poor, feed the hungry and clothe the naked, they would 
never from choice have chosen habitations with those of low 
and degraded propensities and filthy habits. Nor do they when 
insane seek such companionship, and they ought not to be so 
degraded by being crowded into apartments with persons whose 
language, habits and manner offend and shock their sensibili- 
ties. 

If we continue this method of management we shall degrade 
the character of the institution in public estimation, and compel 
tliose who desire its aid to seek relief elsewhere. We shall 
assist the multiplication of small private asylums where friends 
of the insane can procure accommodations for which they are 
willing to pay, and we shall be instrumental in bringing upon 
society a great evil which it will be quite impossible to control. 

In providing for the prospective wants of the insane, two 
things are to be kept in mind, — justice and humanity to the 
patient, and a regard for the public welfare and safety. The 
10 



74 . LUNATIC HOSPITAL AT WORCESTER. [Oct. 

first will forbid the imposition of any restraint which is not 
absolutely necessary, and the second demands certain regula- 
tions providing for the safety and security of those who are 
unfit to govern and control their own actions, and a wise and 
efficient supervision of all persons whose mental disorders make 
occasional seclusion and restraint necessary. 

Among other evils arising from the existing arrangements for 
the management of lunatics are, that they are, and must be, too 
much of the time confided to persons who are wholly unac- 
quainted with bodily and mental disorders, and who are apt, 
from carelessness and inattention, to neglect such methods of 
management as might conduce to recovery, and that the con- 
stant pains-taking, intelligent supervision which is necessary to 
recovery is at present hardly possible. 

Sufficient inducements cannot, under existing circumstances, 
be offered to individuals with proper physical and mental en- 
dowments to undertake for any period of time the care of the 
insane ; and the more the insane require trained and skilful 
supervision from the violence of their disease, the more difficult 
it becomes to obtain such service. 

I believe that new arrangements might be made which would 
obviate many, if not all, of these difficulties ; but, unfortu- 
nately, to effect this, the whole subject requires to be considered 
almost without reference to what has been done before. 

What is necessary is a healthy public sentiment in regard to 
the insane, that they are afflicted with a disease which is cur- 
able, and, in the early stages, as much so as any other bodily 
ailment ; that when recovered they are as perfectly restored as 
persons recovered from any other disease ; that the insane are 
not filled with evil spirits to be exorcised or tamed into subjec- 
tion only by the mild influences of music and flowers. Nor 
does disease endow them with every species of low cunning 
and craft which so much gratifies the idle curiosity and so 
colors all floating reports concerning them and their manage- 
ment. 

Such a healthy sentiment as shall regard the most trouble- 
some as beloved members of our own families who, by reason 
of some disordered action in the nervous system, are suffering, 
keenly suffering, from every degree of mental disturbance. 

Such a sentiment, too, as shall induce all who feel the ap- 



1869.] PUBLIC DOCUMENT— No. 23. 75 

proach of mental disease to flee to the asylum for safety and 
security, and should assure those who are in a sound state of 
mind that, in the event of being afflicted with insanity, they 
will be protected ; that their property will be preserved ; their 
persons secured from danger or ill-treatment ; that they will 
not be excluded from the observation of friends, and of per- 
sons desirous of restoring them to society and to usefulness ; 
that they will be frequently visited by those who will not allow 
them to remain in confinement any longer than is for their 
best good, or to be subject to any restraint which the safety or 
security of their own persons or property, or the safety and 
security of the persons or property of others does not demand. 

And that every remedial means, medical, moral and mental, 
will be patiently, perseveringly and scientifically employed for 
their restoration to health and happiness. 

To accomplish these most desirable objects, every lunatic, 
wherever he may be, or whatever his condition may be, should 
be under the care and control of the State, and should be fre- 
quently visited by some State medical officer, and his condition, 
care and surroundings carefully and systematically noted and 
recorded. 

Some sufficient means should be at the command of every 
hospital for the insane to instruct nurses and attendants on 
probation, and retain their services when desirable. 

No person should ever be confined in a lunatic hospital if he 
can have proper care and control out of it. 

There should be attached to every hospital for the insane a 
sufficient number of medical officers, so that one may be ready 
all times to attend to insane patients, wherever they may be 
cared for, within convenient distance of the hospital. 

The patients out of the hospital proper being the majority, 
and consisting of all whose circumstances would insure proper 
attendance, more complete and perfect arrangements might be 
made for the smaller number in the hospital proper than has 
been anywhere attempted as yet. 

There should be found in the neighborhood of the hospital 
a few well-to-do families who would be willing to receive one 
or two lunatics, such families being governed, so far as their 
lunatic boarders are concerned, by all the rules and regulations 
of the hospital. To these such patients should be sent as re- 



76 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

quire a removal from home, but who hardly need all the re- 
straint of a hospital. A few convalescents, and a few mild 
chronic cases, might also find more suitable homes in such 
accommodations than elsewhere. 

Information should be given of all lunatics, harmless or other- 
wise, who might be wandering about the country, and liable 
to become troublesome and dangerous, and these persons should 
be examined and registered by the deputy, and placed under 
restraint if necessary. The security and comfort of all these 
not necessarily confined in the hospital being provided for, the 
hospital would become the most cheerful and comfortable, as well 
as the most desirable place for the special treatment of acute 
forms of mental disease, and the quiet and repose of such as 
need rest and recuperation from exhausting mental disturbance. 

Let us consider very briefly what this hospital should be and 
of what it should consist. 

For the best management and control of persons afflicted 
with mental aberration to that degree which requires interfer- 
ence and restraint, it is necessary that places be provided where 
they can be kept quite separate from relatives and friends, and 
all those persons whom in health they have been in the habit of 
commanding or controlling, and where they will be removed 
from all objects likely to produce the same class of mental 
operations which accompanied the invasion of the disease. 

The first consideration of importance is the proper location 
of the buildings. The site should be elevated, and, if possible, 
on a sunny slope, and by no means in a cold or exposed situa- 
tion. The soil should be gravel, and there should be such a 
supply of pure water as to make the quantity used daily of no 
importance. 

The estate should be near, but not immediately adjoining, a 
large town, having abundant railroad facilities, and should be 
thoroughly enclosed by a high and substantial wall, and fur- 
nished with a gatekeeper's lodge at the entrance. The surface 
of the land should be uneven and broken by groves and scatter- 
ing trees of natural growth. The quality of the soil is of but 
little consequence in comparison to the quantity, but a heavy 
clay sub-soil should be avoided. 

The buildings should be mainly of two stories, and should be 
constructed in the most substantial manner of brick or stone, 



1869.] PUBLIC DOCUMENT— No. 23. 77 

and made as cheerful and pleasing in their aspect as a due 
regard to a wise economy will permit. 

They should consist of, first, a hospital proper, containing 
every facility in its construction for classification, seclusion, 
and treatment which ingenuity can devise or skill create. This 
will be best obtained by erection of separate blocks or wings at 
some little distance from each other, connected by light airy 
passages or corridors, under which shall be a continuous base- 
ment. Each block or wing shall contain within itself every 
comfort and every facility for the care of its patients, and shall 
be, to all intents and purposes, a separate and detached hospital. 
In the lower story there should be the dining-rooms, sculleries, 
lavatories, water-closets, sitting-rooms, billiard-rooms, reading- 
rooms, and an occasional room for temporary seclusion of ex- 
cited patients. The lower story should be connected with the 
upper story by a wide, light, and easy stairway, and this story 
should contain the sleeping apartments, bathing-rooms, water- 
closets, wardrobes, and dressing-rooms, and rooms for seclusion 
when necessary, and also semi-secluded rooms for the sick, and 
proper chambers and offices for the nurses. 

The rooms should all be lighted by large and pleasant 
windows, commanding the most pleasing views the situation 
will permit. The rooms on the lower floor should be large, 
cheerful, and airy, well warmed at all times, and thoroughly 
ventilated. The rooms of the upper story should be of con- 
venient size, and have every comfort and convenience of sleep- 
ing-rooms and sick-rooms. The bathing-rooms, water-closets 
and lavatories should be large, light, airy, and of materials 
which do not absorb moisture. Each room should be thoroughly 
ventilated by separate flues carried to the main ventilating shaft 
or duct. The kitchen and domestic offices should be at or near 
and in the rear of the centre of this proposed group of separate 
and detached wings or blocks. The public offices, medical 
offices and business offices, should be at. or near and in front 
of the centre. The corridor basement should connect each 
wing or block, as well as the corridor above, with the central 
offices and with each other, and in the basement will be placed 
facilities for conveying all supplies from the kitchen and stores 
to the wings or blocks. The males should occupy apartments 
on one side of the central offices and the females on the other, 



78 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

and all the accommodations should be separate and distinct from 
each other. 

This centre group of blocks or wings should be of sufficient 
capacity to accommodate, in the best possible manner, about one- 
third of the whole number of patients destined to be managed 
and controlled in the whole establishment. The remaining 
two-thirds should be accommodated in structures of a different 
character, but should be subject to the same management and 
control. So far as the hospital proper is concerned, the objects 
sought are, a more perfect and complete ventilation, so that the 
atmosphere of one ward should not diffuse itself through any 
other ward, but should escape at once into the open air, while 
its place is supplied as speedily by the purest air obtainable 
from the common supply of the whole atmosphere outside ; a 
more complete separation of those cases requiring special treat- 
ment, and needing rest and seclusion, a more sunny and cheer- 
ful aspect to various wards, and less interference and discom- 
fort from the general conduct of a large hospital. 

The question of the plan would simply be, first, what is the 
structure most conducive to health; second, what is the most 
convenient and economical. That is, how can we best secure 
perfect ventilation, plenty of sunlight on all sides, pleasing 
views from all look-outs, and easy and convenient means of 
communication. 

In order to realize all these advantages the wings or blocks 
may be arranged in any way in reference to each other, but it 
will generally be found best if placed in a line, or side by side, 
thus diminishing the distance to be traversed in going from 
wing to wing, and facilitating the administration of affairs. 
This allows covered passage-ways between all parts of the 
hospital without interfering with light or ventilation, and will 
afford the means for cozy, vine-covered walks and protected 
flower gardens for the exercising grounds of this class of 
patients. The remaining two-thirds of the whole number of 
patients destined to be cared for in the establishment should be 
accommodated in houses of smaller capacity, built for the pur- 
pose on the grounds of the institution and within its enclosures. 

These houses should be of sufficient capacity to accommodate 
twelve to fifteen persons each, and should be of two stories in 
height, having all day accommodations in the first story, and 



1869.] PUBLIC DOCUMENT— No. 23. 79 

all sleeping, and bathing, and dressing accommodations in the 
second story. The store-rooms should be placed in the basement, 
which should be high and dry. These houses should be plainly 
and substantially built of brick or stone, plainly furnished, and 
should be models of neatness and convenience. The cooking 
apparatus of each of these houses should be worthy of Yankee 
ingenuity and skill, and should be made to warm and ventilate 
all the rooms of the houses during the cold season of the year, 
as well as to warm all the water for the bathing purposes of the 
family. These houses may be placed at such distances from 
each other as the extent of the estate will permit, care being 
taken only to select sunny and cheerful spots in protected 
situations. Those occupied by the males should be at a little 
distance, and somewhat different in character and convenience 
from those occupied by females, and should be separated from 
them by a drive-way and such other distinction as may be con- 
venient. There should be no interior divisions of the estate 
except at the hospital proper, and such as are needed for the 
protection of growing crops. 

Each house should have its garden for fruits, flowers, and 
vegetables, and should be cultivated by members of the family. 
Each garden should have its own walks, which should unite and 
harmonize with the general walk and drive through the whole 
grounds. 

Naturally enough the houses on the side near the farm- 
house and stables should be occupied by the farm laborers. 

Those near the shops and engine-house would best accomo- 
date the mechanics, gardeners and chore-men. 

On the other side the houses near the laundry and bakery 
will accommodate the laboring women, housekeepers, seam- 
stresses, &c. At a little distance from these the houses will be 
occupied by women — wives and daughters not accustomed to 
labor, who will pass their time in light employments, and in 
the gardens and grounds of the institution. 

And still further remote, almost outside the gates, should be 
one for each sex, of still better character, partially secluded 
from all others, which should be furnished for, and occupied 
by, convalescents during the few weeks or months just pre- 
vious to leaving the control of the institution for the duties of 
active life. 



80 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

At or near the central group, or hospital proper, should be 
placed the steam-works for heating and ventilating, pumping, 
&g. The laundry, bakery, a model bathing-house, and the 
general store-house from which all supplies should be issued by 
an order from the proper office, and a strict account kept with 
every family receiving such supplies. 

Here, too, should be the gymnasium, recreation-rooms, 
lecture-rooms, general library and chapel. 

Here also should be a system of experimental shops for such 
persons as cannot be expected to engage in useful labor, but 
who would while away much of their time in rational activity 
and thus promote a speedy restoration to sound health of body 
and mind. 

Could this plan be adopted and carried out a wide step would 
be taken in advance of any existing arrangement for the care 
and recovery of the insane. In doing so a departure would, 
of course, be made from the general style and character of 
hospital buildings. 

Instead of the long, inconvenient, rectangular groups, copied 
with but slight alterations from old monastic institutions, there 
would be the central edifice, the hospital proper, in which would 
be placed all cases of acute mania, the violent and dangerous, 
the suicidal and troublesome, having every arrangement for 
classification, and every facility for the care and treatment of 
the inmates. There would be on one hand a few cottages, 
plain, neat and substantial, for the quiet, harmless and in- 
dustrious chronic cases, with gardens and work-rooms where 
they could follow such industrial pursuits as could be made 
available without special oversight. On the other hand, there 
would be the more spacious residences of others who would 
devote their time to the cultivation of flowers, to reading, walk- 
ing and riding, and such other light occupations as they were 
accustomed to follow when in health. One great benefit to 
accrue from this is a near approach to the family system, and 
the kindly influences of home treatment, the pleasures of a 
family circle, homely surroundings, and many of the social 
comforts which make life desirable. The insane would nec- 
essarily enjoy a more free and generous style of amusement 
and exercise, and would more frequently, and with less re- 
straint, mingle in the society of friends and relatives ; in a word, 



1869.] PUBLIC DOCUMENT— No. 23. 81 

all the enjoyment of life would be multiplied, and all the social 
endearments to a great extent preserved, without diminishing 
in any degree the prospect of recovery, or increasing in any way 
the labors of the institution. 

The convalescent would be peculiarly benefited by this plan. 
As the excitement of disease wears away, and the mind, regain- 
ing its powers, becomes capable of rational reflection, comforts 
of social life are first dwelt upon, relief from the irksomeness 
of confinement is now sought and demanded by every considera- 
tion of justice and humanity, and it is best found in the well- 
ordered family. Thus the patient is again brought within the 
sphere of his healthful and accustomed mental activities, old 
associations return, former healthy trains of thought are ex- 
cited and reestablished, one illusion after another being dis- 
pelled, they yield at last to reality, and thus renew in the mind 
those healthy actions which completely restore the empire of 
reason. 

At present the convalescent returns to the duties and respon- 
sibilities of active life at once, with no kind assistance and no 
protecting care. The beneficial influences of the hospital close 
upon him, and he returns to the world where his misfortune 
often operates strongly against his success. Make the arrange- 
ment suggested in this paper, and the restored would pass from 
the hospital to the world at large by gradual steps, and recover 
one by one his customary duties and responsibilities. 

Equally unjust and arbitrary are the present regulations to 
another class of sufferers, viz. : those who are not insane and 
yet require the seclusion and restraint of an asylum. The 
moment a man is placed in the wards of an hospital he is con- 
sidered insane, and is in the eye of the law insane, no matter 
what his condition may be, or what may be the type of his 
disease. He may have voluntarily sought the quiet of the 
hospital as a place of rest from over-burdening cares, or as a 
place of restraint from the dominion of some overpowering habit; 
still all the civil difficulties of a case of insanity attach to him 
and do not readily leave him. 

The adoption of this plan would bring blessings to the aged 

insane ; those who are consigned to the tender mercies of an 

insane hospital in the last stages of declining health, when the 

years have come in which they have no pleasure, worn out by 

li 



8£ LUNATIC HOSPITAL AT WORCESTER. [Oct. 

the cares and trials of a long life ; and it may be by its sorrows 
and sufferings. The new and strange surroundings, the ab- 
sence of familiar faces, the loss of homely comforts, the well- 
worn easy chair, the old cozy room and bed and fireside, the 
accustomed food, and all the kindly offices of the faithful 
family physician, surely ought to be replaced by some sort of 
apology for a family circle. Kindness, sympathy, humanity, 
dictate that their wandering existence should be made cheer- 
ful and attractive by all the delicate attentions of home, family 
and friends. 

Children, also, upon whom rests the blight of permanent 
mental disease, instead of the example and surroundings of a 
ward in a lunatic hospital should receive all the guardianship, 
care and protection which a Christian family and home, with 
the absence of maternal love, can bestow. 

Another, and, perhaps, the greatest of all advantages likely 
to result from this, or some similar plan, is the employment 
of a higher and more skilful class of nurses and attendants. 

No plan can succeed in the management of the insane with- 
out the aid of 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 institutions ; who will respect the rights, an- 
ticipate 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 perse- 
verance, so cheerfully and kindly restrain the vicious, that 
restraint will be deprived of its horror and abuse. 

At present, attendants upon the insane are mostly quite 
young persons, seeking what will pay best, and having no 
settled ideas as to their future course, but are ready to adopt 
any mode of life, or to engage in any business that will offer the 
surest road to a position, character, and respectability. They 
enter upon full work and full pay at once, and expect little, if 
anything more, as a reward for long and faithful service. The 
system of management forbids, the necessities of the institution 
forbid any attention to the future condition of the attendant. 



1869.] PUBLIC DOCUMENT— No. 23. 83 

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. Young 
men and women who devote themselves to the care of the in- 
sane are called upon to perform duties to which few are equal, 
and for which all are poorly paid. No system of rewards. No 
prospect of comfort in the future. No convenience for the ties 
of affection and family. No recognition of higher and holier 
duties, which can induce attendants upon the insane to retain 
their places after having become competent to perform their 
labors. The few who are worthy and do remain, do so at a 
loss of comfort and competency. 

All alienists are agreed upon the necessity of classification ; 
of separating such as are liable to injure themselves or others 
in any way, and of permitting those to associate together who 
may contribute in some degree to each others restoration. 
How can this well be done under existing circumstances ? How 
can it be done at all, unless the establishment is both a hospital 
and an asylum, so constructed that its several parts are more 
or less detached from each other ? How can the old and feeble 
be separated from the violent and noisy, so as not to be dis- 
turbed by them ? How can the convalescent be placed beyond 
the constant annoyance of those of depraved habits, obscene 
language and disgusting manners ? And how can those unfor- 
tunate persons be made comfortable and happy who only suffer 
from some disturbance or obliquity of the reflective faculties, 
whose perceptions are keen, whose feelings are tender, and 
whose sense of propriety remains active. How can all these be 
properly directed and controlled under any existing hospital 
arrangements. 

These various classes of the insane require for their restora- 
tion to health and soundness of mind a wider separation from 
others than is at present possible. Not isolation, but segrega- 
tion, which shall divide them into groups possessing nearly 
the same characteristics, mental and physical, and give to each 
a house, a home within the hospital precincts. A house con- 
veniently and tastily arranged, having a garden and lawn, and 
such other appointments as would be desirable for a family of 
well-to-do people. How can these most desirable objects be 
obtained ? Simply by asking permission of the legislature to 



84 LUNATIC EOSPITAL AT WORCESTER. [Oct. 

purchase, occupy, and improve, a suitable tract of land, and on 
it quietly and energetically commence building, according to 
the proposed plans, and eventually, as opportunity occurs, put 
the lands at present owned by the hospital into the market, 
occupying the same until the new structures are erected, the 
legislature in the meantime giving to the Trustees, with suit- 
able checks and guarantees, the credit of the State to some 
specified extent. 

If we consider carefully the matter we shall find that the lot 
upon which the hospital now stands contains twelve and six- 
tenths acres, and at thirty cents per foot will amount to 
$164,656.80. 

The lot on which the barns are located contains four and 
twenty-five-tenths acres, and at thirty cents per foot will amount 
to $55,539. 

Ten aeres bordering upon Mulberry and Central Streets, at 
20 cents per foot, will amount to $87,120. 

Ten acres bordering upon a continuation of Laurel and Wil- 
mot Streets, at ten cents per foot will amount to $43,560. 

Ten acres on Rattlesnake Hill, so called, at five cents per 
foot, will amount to $21,780. 

Forty acres on Chandler Hill, between Belmont Street and a 
continuation of Laurel Street, should be offered to the city of 
Worcester for the purpose of a park, and at two thousand 
dollars per acre will amount to $80,000. 

The remaining seventeen acres lying between Shrewsbury 
Street and the continuation of Laurel Street, at one thousand 
dollars per acre, will amount to $17,000, making a total of 
$469,655.80. 

You will notice that this calculation is based upon a value 
per foot considerably less than the several lots are appraised by 
competent judges. 

You must remember that the value of land in this vicinity is 
constantly increasing, and by the time new structures shall be 
completed will be very considerably augmented. 

You will remember also that it leaves upon the estate all the 
buildings and fixtures which may be removed to the new loca- 
tion or their value appropriated to the same purpose. 

Can the Trustees dispose of the present property and give a 
clear title for the same ? A careful examination has been made 



1869.] PUBLIC DOCUMENT— No. 23. 85 

of all the deeds conveying the property owned by the hospital, 
and no one of them contains a restricting clause or condition of 
any importance. Eminent legal counsel inform me that the 
Trustees have full power to give clear titles to any and all lands 
now owned and occupied by the hospital. 

Has the city of Worcester any claim for damages if the 
hospital is removed to some other location within the city 
limits, and the lands disposed of by sale ? 

The records of the town have been searched by the city clerk, 
and no action of the town is recorded upon their books which 
could in any way involve a claim for damages in case of 
removal. 

You perceive there is no obstacle or hindrance requiring 
legislation, or raising any question of right or damage in the 
matter of disposing of the present property and using the pro- 
ceeds for the general purposes of a new establishment. 

Believing that the legislature would regard with favor the 
plan recommended in this Report, and grant your petition, a tract 
of land, comprising about one hundred and seventy-five acres, 
has been bonded with right to purchase of the several owners, 
and a map of the same is herewith presented. 

The land lies in the most easterly part of the city, and is 
about two and a quarter miles distant from the court house. 
The land is of excellent quality, mostly of a gravelly subsoil, 
well situated, easy of access, and commands an extensive and 
beautiful prospect. It is well wooded for the purpose, but 
nearly all improved land, and is well watered, one spring upon 
it, undeveloped, affording about fifteen thousand gallons of 
pure water per day. There are other permanent springs and 
rivulets upon the place. 

The neighborhood is unsurpassed, the land is all highly cul- 
tivated, there is no bog, or meadow, or unimproved land in the 
vicinity, and is all owned and occupied by a class of wealthy, 
intelligent farmers and retired men of business. 

Objection may be made that the land is held at high prices, 
but I need only to remind you that one acre and a half, or two 
acres near to the present buildings, will more than pay for the 
whole estate ; or that the increase in value of land purchased by 
myself for the hospital, and paid for out of its yearly earnings, 
will, probably, nearly, if not quite, make the purchase. 



86 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

If we compare present with former prices you may be sur- 
prised to learn the slight difference which there really is. 

The land "on which the hospital now stands was purchased in 
1830, and was practically as far outside of the then village of 
Worcester, which competent judges declared had reached its 
utmost limit of growth, as the Bancroft estate outside of the 
city of Worcester of to-day. 

More than two hundred dollars per acre was paid in 1830 for 
the lot, destitute of buildings or improvements, on which the 
hospital now stands. 

Three hundred dollars per acre is the price asked by Mr. 
Bancroft for his highly cultivated farm of about sixty-seven 
acres, with its groves, orchards, and gardens, and its substantial 
mansion house, and other farm buildings, in good repair, suit- 
able for the occupancy of the Steward and Treasurer, and a 
half dozen convalescent gentlemen boarders. 

In 1837, land was purchased of Abijah Bigelow, on which the 
stables now stand, and which was then unimproved and un- 
occupied, for about five hundred and seventy-five dollars per 
acre. 

In 1869, Walter Bigelow demands for a portion of his rich 
and valuable land, on which are highly cultivated fields and 
orchards, and a large supply of pure spring water, two hundred 
and fifty dollars per acre 

In 1838, land was purchased of Abijiah Bigelow, on Mulberry 
and Central Streets, for two hundred and twenty-two dollars 
and twenty-two cents. 

In 1869, Messrs. Bond, Duncan, and Rice, will sell to the 
hospital such improved lands as you desire, for prices varying 
from one hundred and fifty dollars to two hundred dollars per 
acre. 

Bear in mind, that in these purchases, with the exception of 
Mr. Bancroft's estate, you run the lines at your will and 
pleasure through these gentlemen's farms, taking all you want, 
and leaving what you do not want, and giving to you a tract of 
land fulfilling all the indications suggested as desirable in this 
Report, and affording a site equal to, if not superior, to any 
other hospital site in this country. 

The cost of the whole establishment in complete working 



1869.] PUBLIC DOCUMENT— No. 23. 87 

order, with all the lands mentioned in these remarks, will not be 
more than five hundred thousand dollars. 

A careful and judicious management of the present estate 
will, undoubtedly, realise that sum within the time necessary 
for the perfecting and carrying out the plans indicated in this 
Report. If the site selected offers insuperable objections, it is 
hoped that another may be presented to your notice which will 
afford such attractions as to satisfy all minds, and it gives me 
pleasure to state that a tract of land has been offered, contain- 
ing about two hundred acres, and midway between the city and 
the lake, in a retired situation, yet easy of access, being near to 
the railroad, and having unlimited facilities for procuring water, 
and being less exposed to bleak winds than the site first men- 
tioned. 

In view of the constantly increasing demands for accommoda- 
tions for the insane, it is most earnestly desired and recom- 
mended, that some measures be taken to put in operation the 
plan recommended by these remarks. 

Thus is briefly and faintly sketched the plan and its promise. 
Will you adopt the plan and demand its execution ? 



MERRICK BEMIS. 



Worcester Lunatic Hospital, 



Worcester, Mass., October 



'ITAL, ) 

1, 1869. j 



METEOROLOGICAL OBSERVATIONS 



THE STATE LUNATIC HOSPITAL, WORCESTER, MASS., 

1868-9. 

Latitude, 42° 16' 17" N. ; Longitude 71° 48' 13" W. 
Elevation, 528 feet. 



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



12 



90 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct. 






u s-i u 

OJ Oj (D 

& £ is 



h • 

O T3 

. • CD <^ 

S3 £g S 

in oc •< 1-1 



PmEu 



pq 
O 
H 
O 
O 

I 

GO 

o 

I— I 
Eh 

CO 

o 

«! 

o 

s 

o 

c 

o 
w 

H 



I I I I I I I I I I I I I I I I I I I I I I co I I I I I I I I 



So 

CS 0^ S 



00 CO O 1— I CO CO •>* to 

I |H I I I lol I I I I IM IIN IO IIN Ml I I IOI 1 I 



Smh 



a a aaaaa a 

1 ■ 4 ■ ' ' ' * ■ ■ ■ ' ' p. £' a ' a 1 p. 1 - ' ' ' ■ p, 1 ■ ' 

00 O -*CO <M t~ CM GO CO 



3 03 

o be 



3 a aaaasa a 

J V .» ■ 1 ■ *■ ■ ■ ■ 1 ■ j .S ■ j ■ A 1 „• A ■ I 1 1 1 .5 ■ ■ ■ 



w- 1 ' 



£e^ ' ' ' jste ' « ' ^fcs^l^i^ ' £ 



02 02)2; 



& & 02 !zj Z en oi £; 02 



H^SH^H^^ 1 f^^H^»'^^^ 



[z; £Z!z; 130202 



zftizi 02 



£ 02 02' £ m' £ £ 



&&£&&&£ risiti^ri fei^^'^02 tittriri m&z, 











Q 


« 


Lj 


(* 








hi 











1-1 



OOCOOOOOCO^-IOOOOOOOOOi-IOOi-lOO© i-H _o ^OHOHO 
■ — 1 • — r ^— I ,-< rH .-H —4 "tH i-H ^ 



OOOUS<*lOraM'*HO'*'*fflOOHl(5HOlOOOfflNlOfflNOHOO 



OOONOUJ^OOOSOOOOOHOOCOOOOOOISCOOOOMOO 





o" 


S3 


~ 


s 


2 


H 




H 




S 


S3 







M 




<1 


C3 


P5 


U 




O 




U 



icoh- coasoocooscococMOsco-#CTs-#t~0' 

MiHOi-^tDOCO'O'^ODlOiOQOQOOiCD-^NOOCOCOi 



t^CO U5W50 



IO Tt< -* CO IO 

OS OS 05 os os 



co ^ »c »cs < 

OS OS OS OS < 



1 10 co co 10 - 

>OSOSOSOSOSOSOSOSOS< 



1 t>-OS «S 
) OS OS OS 



CMCMCMCMCMCMCMCMOJCMCMCMCMCNICMCMCMCMCM CMCMCMCMCMCMCMCMCMCMtyiCM 



COiONlOiOCO-*[^M-iCOCOCOmoO^MOt^OOlONff>INCO( 



OS ^H CO CM CO 1 



1 coco io>a ■ 

JOSOSOSOSOSOSOSOSOSC 



>eooscooo-#coTt<i^T*iooc 



1 t>-t>--* 

> OS OS OS 



Ttdosq 

os os os 



coos t>- 

os os os 



CM CM CM CM CM CM CM CI CM Ol CM CM CM eg CM OIC^CMCMCMCMCMCMCMCMCMCMCMCMCMCM 



CO ■— I 00 OS CM OS OS CO t— OlOSNi- ICO(NN-^t)I'* 



lOococococoososcMio^t-HOs* 
iot^>ocDcocNiqcMcqcq " 

osososososososososos 



CO CO OS 00 CO OS 

Iffl CO •■ ' 

OSOs' 



> CM t-~ US -cH 

j os os os os 



«scocococo-*cocm 

OS OS OS OS OS OS OS OS 



CD OS OS 



CM CM CM <M CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM CM 



NMOOiOCOrKMCOlONNCONHTHlOOOlO-^IMCOCOTfllOOOUSHCOiC)-* 
^lOiO«S«S«SlCCOT^^t<iO«S-*Tt<iOlOCOCO-*-*->i<COCOCO-*-*Ttt"OCOCOTtl 



COONt-NO^ffiOSKlNOONcOHOiOOSCDOHOOsncO 
-*lOTjf'*lO-^l«S-*CO-*«S-*-*Ti<iCT^COCO'*l^*'^(COCMCO-^ 



. — © CM CO CM O 
■^ rj< lO ^f< CO CO lO 



OOOONt-iOCONNH*COOOOC»C<lHt--*OOOlOast^««)*NCSi-liOO 
TjHiCS«S l OCOCOCOt--«S«SCO»0'OT*<«SCOCO'<*lTj(iO'^COCO-*lOlO«SlOTj<'*liO 



00C0N«5»'C)>0i00>0JC0C»IN>0OC<10SOH-Jr-l^('iJiC0t0C0'*C0m05'-l 
^^^-^■*+iUS'^COCOCO'^^'TH'^iO l OCOCO-^-^-^COOSCMCOTt4COlOCOCMCO 



mnoni 8III HNCO^iOCONOOOSOHNKlTlllOCDNCOOOHNCOTlfiOtDNOOCBOH 

jo SifBa: 



•S9SBq,i 
s t uooH 



ICMCMCMCMCMCMCNCMCMCMCOCO 







« 



p\ 



©II 



1869.] 



PUBLIC DOCUMENT— No. 23. 



91 





is 






H 


.13 


« 


0L| «_>, 








e! fl S 












tftfaf 



s « 






o to 
M P5 



c J5- 






»S "3 



S<1 



tf tf tf tf oo 



eg _>» 



FS O 



OO <1 02 O 



-5 CS 



I I I I I I I I 1 I I I I I I I I | N I 



I I I I I I I I 



O CN © U3 on r- > 

IOll<NIIINI^||||l||00||||ll00lll 



a 



a a 



i ri. i i i i i i i • i i i i i i • i i i i 



a a a s s 

■ I I d I i j i i I I I I I I I j I I I I . . I I j I , 

-— * •-( <M co co 



od fcfcfc&BiziSzi & oo £ ^S Izilzifc fcg'fcr/jjziori 





„■ 


« 


re 


w 




H 




w 


■a 


§ 


M 


o 

P3 


•o 


■4 


03 


pq 


jj 









U 



i\r^l-*7+7 ^**yr^ _ ■ ^ t^t^y^t-^ H>" h^ v^ y^ yJ- "^ ^ • • • 



oo^fe^^od^ilz^; 



m £££!£; l^ziz;;?^ !z;odt»oo 






OOOOOOO©OO<MOOOt0O00OOC<)Or-lO0)Ol>.i-IOO© 



ooh-ooc:no«50on(fiwroffi»o«3mio(ooc)<oooNMo 



OOOOOi— < tH © © © © r— IMNOOCOOOOOIOOONHOWMIOM 



CCOON<OWONNNNOOOFHOCCOXiOCOOOCDONtONOOmtD 
r. i-:3«r. C!ioiiM*MoM«offleoowcocoii>HNinoifMf<NN 

~. cr. ~ ~ © © © © © © r. r. ~'*c:c;t^aioicidc:'c; © ©' 06 © © 36 od 

< M CM CM CM CM CM CI C5 CM CM CM CM C5 CMC! CM CM CM CM CM CM CM 5] 55 CM CI CM CM CM CM 



-*< CM O CM CM CM >!? CM 'O © C CM <M iH TCH CO 00 

WCDtC C. C. *^'C: ^ CClOOCDC'IKh- CM cm 



> © © © < 



©lOCDN(D 



us © 
t— — 1 
l-H CM 

(35 © 



© rHCOC 

© © © © I 



J to CO © CO ZD 

i © r— cc cm r— 

J t~ CO GNj © |N 
i 00 ©' © CO oo 



C1CI -1 CM CM CM CM CM CM CI CM CM CM CM CM CM -1 C! 5) CM CM 5) C> CI ?i CM CM CM CM CM 



^t^COCOr~©OCOT^©t^-©CO©frC''CO»-HOO»0©C£)"'OCO©--^©CO--^©CO 
©OOOOCOCNiOCM-ttt^tOCOOi-lO^O-^O-^OOOCMOTOOUJ 

~~ co in 



i— < CN <M CO CM •* t~- 00-cJOOCNiai 

© © © © © © © © © © © © ( 



cm©. 

© © © © I 



3 CM <M •* © 00 

i © © © oo* co 



ci ci ci ci ci ci ci ci ci ci ci ciJmci ci ci ci ci ci ci ci ci ci ci ci ci ci ci ci ci 



TtiCl-^OW©^t^vO©©-^b~C<It--COi-<'C'h-->0-*i^CO©lOCNI'OCOOOTt< 

T-fllOCOTit^COCOCOT*COT^COCOT*COCOCOCOCOCOCOCOCOCOCOT-MCOCOCOCO 



(OcoiONWi^t2-i<ow>*ioromiNcsiN(DH'-*iot^N 



0(M-*CJlOCCIOCCOMeCCH0010CONr^Wi-iNSffi«500'*ll»0(NCO 
>O^COiO^T^T}<-^l-fi-t(Tj<cO-*iO-<l<COCOCO^-*COCOCO-*COT-t<COTr(<TticO 



CO^COCOCOT*COCOCO^T*COCNT*COCMCMCOCOCOCOCOC^COCOT*COCNCOe 



JO S^BCI 



•83SBq,t 
8,U00J^ 



\J 



& \* 



92 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct. 







ow. 

r weather. 

r weather. 

ir weather ; cl'dy p.m. 

ow. 

udy. 

ow and rain. 

lally. 

r weather. 

r weather. 

r weather. 

r weather. 

r weather. 

r weather. 

udless. 

udy P. M. 

r weather. 

r weather. 

udless. 

ow and rain. 

? gy A.M.; Cl'dy P.M. 

udy 

ow. 

udless. 

r weather. 

r weather. 

ow. 

lally. 

iny. 

r weather. 

ir weather. 










o 
to 

<! 
M 


1 £ 


IQ O © «5 © 

• 1 1 1 ^ I ^ I 1 I 1 I I I I 1 I 1 I I I 1 • I I I _4 I I I 1 


© 
i—i 


OD 

to 


llli 

2'3bc 


OS © © d ■**! 
I 1 1 1 >o 1 oo 1 1 ! 1 1 1 ! 1 1 1 i 1 1 co 1 1 1 1 1 -; 1 © I 1 


00 


CO 

1-1 

ffl 

H 
n 




. a a a a a a 

a i i r ^ i £. i i i i - 1 • i i i i ' i i i i . ^ . i & i r i £ i £ i i 

(M -Id. 

—i ^h r-* <n (M i-i mc 

^-1 r-l fH b- 


a 
o 

a 
< 


o to 


a a a a a a a 

^"''^'i'l''' ' ' c£ . 1 ' cj ' • ' p, 1 p, ' ■ 

tO t— i-l OS tO KM 1 CO 

CM 


CO 

C 
i— i 




o 

u 

o 

fa 

•a 
S 

fl 

O 

o 

03 

*-. 

5 


as 






a 
pi 




-^ 

& 

H 


a 
■4 


ft ftft'ftft'ftftftft^ft^fcftftftft'ft!? ojftftftftft ftai 


C/i 

M 
O 

h5 


oo 

Q 

O 

o 


© 

09 
> 

o 

J 


pi 

a 
pi 

S3 


©©■-l©©00©O)©©©©©©©as©©©©©ia©©Os©©©lr-©»O 


■* 


©<NrH©©00©OOi-ieOOOr-ll-IOO©©lOeN©©»OCO©©l-<©©©©OjU5 
*H i-l i-l i— 1 i-H i-H i-H i-li-Ci— 1 


«5 


O 


©©i-H(M©CO©?Oi-li-ICO00©©©CO©©©©©00©©©i-li-l<MCO00© 
HH i-H iH ■ — 1 •— 1 i-H rH i—l 


•*" 


3 
o 


H 

o 

Pi 
«l 


. 


o 

M 

a 

C3 
O 

O 


a 
pi 

en 

a 

oi 


Tt<©COCOCOOOCOi-lOS^-*as-'J<»--t^COOOOSl©COCOlO©t^Ir~COt--CO©OsOO 
lOCO©©(N©CDCO«Ot~-t— 03O'*NO!iOMM'*-HC0O00*0)-H05«)t>. ■* 
©!^CDTtiCOi0^t^C<lCO©-*COCO>0©«3<Nt--.(>IC<I-*CO— < Oj © I~ CO CO CO SO 
©©©©C^©COCOOsOsOSOSOSOsOsOsOOOsOsOSOsOSOsOSOSOsOSOSOSOsOs 
CNCNC5cqc3C}C3CNCvlC3CNC}C>qcNC1C^C<lClCNCJCI^ 


oo 

CO 
CO 
OS 


o 
o 


■*)<-*aiCOr-IOOOOCO"#<N"*tN — lii<HH-lWlOfflt-<DMt^eJKiOe)OOCOiO 

c»to05(DO)co(Offlomoi- iio©ooooao©t-»©©>— icotjiosooosc-. •■s'cooo 
M^Tt<icc<i^©Tri-(^<rqcoiq^^sq©©©Mji-;^(?;i-Hi-i»C't-;ioco©iq 

CiO©OSOS©©©CO©©©C^O>C7s©©aOC/3©©©OsO^OSOSOsOsOsOsOsOs 


oo 

CO 
<N 

OS 


1=1 


a' 


cOT*w^coco©'^^c?(N©T*t~T*{N--coco©oococociioosoo-*(?j-- i >-i 

0)-^HOffiC0INt"*IN5It s - , 0ON 1 00>h-!D01t-<0(M(Ni0Sli0C0rtraM 
(MC<)»CCDCO'^<iCi005COCOr-(io-Tt<CO'*iOOI>-ut>l>-i— iCOtjh<N(N"'I<00iO©COCO 
COG^©OSOS©OSC)OOOOs©©©OSOS©.OOQO©OSOsOsOsOSOsOsOsCsOSOSOS 
CI CI CI CI C CI CI CI CI CI CI <C1 CI CI CI CI CI C) CI CI CI !N CI CI CI CI CI CI CI C) CI 


co 
co 

OS 


« 
S 
H 
H 

O 

H 
g 

H 


s 

09 

» 

a 

pi 

a 
pi 

cm 


»3COlOt^O«Dffl'*C"0*HiHHHr)l-f<a91NC)-Jl^lMKH- -* t^OS ■* OS 
(N^C<l<NC<l<^COeO<?li-l^C^«C^<NC<ICOC1i-IC^TOCOC^i-ii-lrH-<cqc<)lC1C^ 






(N—lCDOO>OtD-H©t^KI©iy)©(MOOCOt-.00(Mi-iCDCO'-ll>.t^-*<©THlO<NCO 
<N CM <M CM CM CM ■* CO r-l i-H i-l <M (N (N —l <M CO i-H i— I -* CO <M C5 Hi-teiNCCNlN 


CO 
IM 




■*h-i-i©oo©eoiffl-*-jeoij<io>o©05«5C5oo-*-*-*'*oo©©©-*^t^co 

CJ<NCOCOIMCOCOCO<NC3Cq<N<N<NeO(MCOCOi— l(U-*COCOiHlM(Mi-HCOCOlMCO 


CO 




a 


CO^CO-*«5COCOCD©©Cat^00t^.CO-*C»l>-l>-t^t~^t— C5f05DCO-*h--*CD 
(MNH(MINN(M05(NHHHHHHH«CO i— ( CO CO (N iH i-t CIrHNN 






•q^aom am 
jo s^«a 


r^c^cOTj<>ctot^ooo5©i-ic<ico^^cot^ooo5©i-iC3co->*iccDt--cog50-; 


CO 

a 
a 




•s 

8 


9SBI 
UOO 


re 


^ • f=\ 



1869.] 



PUBLIC DOCUMENT— No. 23. 



93 





5 * 




•a o 




£ CO 


* 


Inches 

It ill 11. V 

Melted 
Snow. 


c 


cc 


P 




r, 


* "S 


< 


g % 


S5 

M 


w £ 






M 






b. B 




3 03 








a g 



CO I I I I I I I I I I CD I I I I I I I I I I I I 



ttD&O 

.o.o 



•a IS « -« -5 -5 ■ 






n3 oj cj o q> cj o 
• ~j3.fi: ^ J3 *> +» 
a! <4 Us 2 ni g 5 



U S-. |H II !-. 



S JS 



Sti«CJt4«i=««SK'l»B!«itJ«i2lli2So)0! 

cj ^ ^a>Q}O>^cj..^a)oj^a)0j*r : a)'r*J^a)a> 



3 !h |h k. 2 






fiJ3J3J3J3.fi 

ct c3 cd ~ C3" 
fl; fl) D 01 o 

£ & £ P £ 

*H J-( >_, ^ Sh 



j3 

rt «S c5 



03 ,Jh « ~ — -"i r^H Ci r-^H ,J2 i-"**i •— < ^— Ctf SJ Q Ctf Q Q ,__: C3 ffli S cij rt B! Jj < 1 S*> 

~OO~~~O~OC0OOO~MC0~C0:0U^~~~pMpHpqC>pH 



I I I iO I I I 



I I I I I I 



I I I I I I 



I I I I I I I I I I . I I I I I I I I 1 I I 1 1 I I I I . I 



I I I I I I I I • I I I I I I I I I I I I I I I I I I • I 









z; £ co cc* is £ co z; coZjz* fcfcifcizi co^ £ co £ x £ co to co* is & 



OOOO»HC0O00OOO»0OOOO>0OO0D05OOCNOCNOOO©<M 



0j OOCOOO^HIMOMONOOOOiOOMlOOOOOOOWNNINtOCO 



OOidOONWIMoaiilOOOWlMOlOraBMOKINOJNO^MOM 



) i© >o C) t>- O CD < 



CO'*«iotOMOtO(DC»lOtOCDtDmiOtDffl'*iIlrH>#r<oa'*OOSCOtO 

" " NOtPrtNOOOHt 

■ ~ 0503 ■* I 

CO CD CD I 



CIC1C1CICIC1CI C 1 C 1 C^ CI CI CI^ICI C] CI iM CM CI CI CI CN CM CI CI C] <M CM CM CM 



tOWS^-^OOCO-^MICO 

CDCDCDOOOCDCDCDCD 



CICICICMCICICICIOICICICICICICICIOICICICICICICIOICMCM'NCNCMCNCN 



CM CM CI tN CM CM CM CM CM CM CM CM CI CI CI CM <M d CM CM CM CM CI CI CI CI CI CI CM CM CM 



i -^ »0 CM 

iOCID 



-*COCM 

CDCDCDCDCDCDCDCDCD 



CO © O -# © < 

CD CD CD CD CD < 



< r^.— i co cd cd 
; cm •* cooscm 

i CD CD CD 00 CD 



>CHO©00t^TH>— 'COCTiloSOCD-rCOCICD© 



!(5iOtDtO<0«)COH(DT)iOanOC»CCrtiMH«IOCO<0 

- ©~ •*© ~ 
■* CO TJH CD —I 
CD CD CD 00 CD 



CM iq o ' 

CDCDCDCDCDCDCDCDCDC 



O OtH ■ 

CD CD CD 1 



1 >Q CD CM_ 
> CD 00 CD 



) CO CD 00 IQ CO TH tO ■— I O O CO! OS •* 00 



OOCMCNU^i-ICOCDCOOOCOt^f-ICDCOI^CDCOCDCClOI^OOlO-HOO 

"OHBON 
lO CM ■* rH O 

CD CD CD CD CD 



■^rHMMCO 
>CDCDCOCDCDCDCDCDCTlCDCDCDCDCD 



O CD CO 1 

CD GO CD ( 



lON(NINOHNnHlOOONO'*HSrtOINiOaNC<l-nOtD»NON 
• i-H CO SO ■* CO CO -*•* CO CO CO CM CO CO CO CM CM CM CO CM i— I CO CO .-< CM CO CO rj< CM 



rt^COCO^CO^^^^COCOCOCOCOCOCOC<ICNTj1CMr^CMCOCMT-ICOCO-*rt<CM 



CM^-ICNCO-^CMCOCOCOCOCMCMt 



ICCMINHHINHH CM CO 



( CMcqcoco 



jo s£va 



^C^CO^^CDt»COCDO^CacOrt<lO«Ot^COCDO^HCMCO-*lOtrit~-OOCDO>-l 
HrtrHrHrH^rtrtrti-lC-JMCqiMNINNCTniMTOM 



•sasBiij 

8,U00J^[ 







94 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct 



oj e« ... ra oj 

oj <u r? >, <u 

£ i* £=? iS 

t, P- 03 ,, 

.„ .S o .a 



S5 
S°8 



bcbcg 



_5i ^ 
t3 >% 



h h ^ h h ^ 



.-d 

dHfi 
13 03 « 



a, S*> !>>^ . 

.S • 1= S3 £ 0) 
oj f ° ° ° S3 



7t rt ~ rz. 7t 



£ £ 



hpt4l 



r! > ^ 



oj oj c3 co 



BOO » gfc 

a) • ^ w M id ^ S 
P ?S t« ri^a as p ^ 

■Sg^-S°.S'3o 

p4 SQ OJ PM f3H O 1-5 P4 O 



18 as as 



3 v, 



Ci 
CD 

GO 



PS 

<! 

g 

I 

o 

I— ( 
CO 

m 
o 

i-5 

<1 
o 

I— ( 

a 

o 
Hi 
o 
P3 

o 

Eh 









! 1 


n 


f.,sSo 


03 


= a <ss a 


P 




fe 




«i 


o « 


|Zi 


w £ 






< 






« 






fci a 




a a 




o S» 




W £ 



I I I J I I I I I I I I I I • I I rd I ! f f I I I rA I I 



s a a a as 

I I I ■ I I I I I I p. I I I „• I I • I I I I -: I I p< 



CO 00 i-l 



-«* r-l 












O»OHOU3O'#00COCOO«3N (Mi—IOOOOOOOOOOO 



OCOOOt-'-IOIM'OOOIMOOOt-O'CCDffiiOOO'OOOi— IO 



JOOOOSClCDOOOOOOCIOOCNllNOCOOi— lOOOOOrHi— I 
rH i— I ^H i-H I— I I— I -H i— I »— * I— I 



lOixcoooxixNooaoMHOinoo 

) IO CO 00 " 



• ooaiNCi-qiMOi 



Ot-tOtDi 

OS OS 00 00 OS OS OS OS OS OS OS — - - 

CICICICIICICIINCICICICI W CT IN IM IN CI CI CI CI CI CI CI CI CI CI CI d 



t»QCOt-;> 

odoooocdascsososcoososi 



i oo co 
J oo os 



i -*i co oo co co < 

ICGICINWI 
IDO^ICOCQI 

OS OS CS C " 



icococooocooocococo-- icDco-^t— 



> os oo os >o j 



I CO CM CO CO -* IO 



CM(NlNIN(NNIM(NO(NCJlNClC-|' 



T*COt~TiH-<±l^CDiOiO 
OOOJO-^'CIOINWW 

os ososoocoosososos 



< CI »o ^ CO ( 

j OO" OS OS OS 00 OS OS < 
I CM C M C I d C I C3 d 

) ^ti os 



-*Tf<iOTt<iocoooa5cq< 
OsOJOsOsoioioococo: 



rtOOOOl 

Cj oo co co > 

OS 00 OS OS c 



co Tti r- 



CIIMCICIIMCMCICM <M CI CI C) CI ?i o\ N 5N cl c-'l CI vi C "i cl ?i C I CI CI C) 



OHOOONKKNlOCOmKHOlOMMTllHHtDCDNOOMTjtfflmiO 
tHWlNMHNNINMWMM^'W'WOSeONINW^raNNOlMH 

OsvoOOOCO^t^i^COCOCOOSCDOSThlCIOlOCIr-lT(<COCOCOCO>-iJt-C| 
HMCKNrtNHC0m»-OC0O5T|i(NKICOndNWK)W(N(N(NC0rHr-i 



■*tONHOON'ONlO'*OCl^Tj(XIO*!OIMOOn5IOOOONO) 

CMiNcococ3cocicocococO'^>ococococococococo-^cocNC'Ococir-i 



jo sXb<i 



•S3SBII,! 
S.UOOJII 



NrtiOOOiOOSCOOOO-^IM(0 00(Ow(Nt~MOtDi.OOSClICOCOt--*CO 
HrHlM(NiHn(Mi-ilMt0C0INCQWC0C0IN5O(NHIMK)WiHrH(M(NrH 



HNM^iOfflNCOOSOHNM-^iOtONOOClO' 



© 



1869.] 



PUBLIC DOCUMENT— No. 23. 



95 



2 03 n 
o <!>■£■- 



■—"<—• to 03 .— < oi .— h o3 as »— 'o3 'ci 'o3 'o3 ^ -— 'to 1 'to 1 ~^ fl *o3 'to 1 C3 'c3 w 



>H Vl E 



... t» OJ 

B TO «i 



OJ 'o3 



b & 



ig p. 

+j fc. "oi 

U U l£ fn !h m 

£5s3S55g' 

03 03 S .03 03" 



•«a>rti fi m ffi riradrtr;g«da!^ .o3o3 
cj S S "i .^aJojb^ojoaj.ajajaicDoicBajoj 
^^PtSoS^^^^JS^^^ -f3 £ £ ._ fr £ £ 

e8^l J Su0 lJ s J S......i J "S3....n!p'.... 



) <U 

I.C TJ5 

! 03 H 03 



o3 



£* ft £££ 



03 

£n3 . £ 
h fi fi n 

'3 -2 '3'o3 



ci i i i ~i i i i i i i i i i i i i ii ii i 

1-5 rH CO CO CO 



£ 


iches 

elted 
now. 


c 


C- 


wM^co 


A 




* 


»< "S 




o 'S 


fc 


w £ 






p3 





iS i i iS i i i!5 i i i i^ i i i iS i iS i i iS i iS i 



sss s a a a a" 

1 -p, l ' • & ' ' . ' p, ' ' ' ' £ i ' ■ ■ i g i ' i i i i « i i p, 

<M «D O CO «W CO 00 



s a a a a a . a 

1 ft ' ' ' oj ' ' ' oi ' ' ' ' C* ' ' ' ft ' ' ' oj ' ' S ' ' P- ' ' 
co © o ^^^ScS' 












OOOC<ICiCCIOOOO<N>OOCOOOlMOOiOOO-*OOOr-iOOOO 



O«3M00OOO«5«3OIM«3raNOONl000OOU3O>0HOraMOOC0 



OOMl0OraO«3OOO»^OOOO«3OOHOO«3^C , 3l0OOOO 



u5>*taKiiaNiocio-*oOr-ioi>oO'HrHcoMo:CTOTOrocoio-*c]Nt~N 



(NOOOMCOl-HNtCiO 
iQCOOJ 

C3 03 00 



> Oi C3* ci oi < 



ioooG^iox?ir-'C xr. ro h oo co o o h 



!MOJlMCNICM<MlN<N<M<M OJ OJ OI 

o co o 



: C3 C3 G3 C3 G3 



03 o o 



ci oi ci oo" od 



CNC NCN C N OJ. (MJN O! OI O^l oi oi M CN CN CN CN CN 

0!OHG)tO*MlMT|(pnTOP'*r l Q)N'0 



OCOiONr. 

CONOOONON'OOr^^^CNClrHCONO cj co cn rt< 

■^ CO .-H lO ■*"' — 



CIClGlfllGlCiOOJJ. Ot 



; >o oo rH oo oj ■ 

S 03 co ci ci ci I 



3 C3 C3 C3 00 GO 



cn CN cn oi cs oi CI OI OI OI 04 OI OI OI OI OI OI 01 01 OI oi oi oi oi OI OI OI OI 

^©■*NiOC5iOCO!Da)iOOt~(OQNKlNU3raOOO)0!)t~aOIOO 

ON(N«5(NI-OrtroCOHOO'rM-00>r-lNOC. rHOCO^COONN 
-^'*CO'fiOiOiO[N<MiHOJC-IO»C , >0 , OOCOOO^-^iC"OCl'*^iNOO 
C^O©ppOppffipC^OcSOjO-pC^C^Offi01C^C^C^p3cSQOGO 



OI OI 1 OI OI OI 1 OI 1 OI CN OI OI OI OI OI OI OI OI OI OI OI CI oi OI OI oi oq CN CN OI 



OOtHOCOC300i£)CDCNC0003^CO>-OCOCOiO— HOCD>OCNCOOCO-*COCOt-~t— 
CN CO CN i-ti-ICNCO'*lCOCNCOTi<CNrt01CNCOCOi-IOICOCNCOCO^'*COCOCO 



OJTjiCOCOCNiO^TO^OlCiiOi-IOOiraoCOO-iWr-ICOC-lCOCi'Ot^'OCJI^OCD 
rtCN -H H <M 03 CI CI OJ OI OI H CNCNCOi-K-lCNOIOIOI^COCOCOCO 



■qjuoni 9\n 



-H(N03'*lOCONOOO)OH<M«l-*K3!D^XOOrHClMT)<iOCO^COOOr : l 
Hr-liHHHrHrtHr-(HCqiMMCIIMINM(NC-IC-l«l«l 



•sgffBqj 

B.UOOJt 



f=\ 







96 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct. 



OS 

CO 
00 



p-l 

1 

o 

I— I 
H 

m 
ffl 
■ O 

<3 
O 

s 

o 

Hi 

o 
o 

H 





in 
M 




Fair w'r ; Bl'k birds app. 

Rain. 

Cloudy a. m.; Fair p. m. 

Fair weather. 

Fair weather; aur. 9 p.m. 

Fair weather. 

Showery ; Crocus in bl. 

Fair w'r ; Arbutus in bl. 

Fair weather. 

Fair weather. 

Fair w'r; Dandelion in bl. 

Fair weather. 

Snow squall p. m. 

Fair weather. 

Fair w'r ; brilliant aurora 

Fair weather. [7 p. m. 

Fair a. m.; shower p. m. 

Fair weather. 

Cloudy. 

Rain 9 p. m. 

Rain. 

Fair weather. 

Fair a. m. ; cloudy p. m. 

Cloudy a. m.; Fair p. m. 

Fair weather. 

Fair weather. 

Fair weather. 

Fair weather. 

Rain and snow. 

Fair weather. 








1 £ 


I I I I I I I I I I I I ^ I I i I I I I I I I I I I I I I i 


«a 




is 

o 




O O lO cm o *© 
1 1 O 1 1 1 ■* 1 1 1 i 1 <N_ 1 1 1 1 1 I 1 CD 1 i "* I i 1 1 CM 1 


CM 

CM 





'A 
< 

< 


fcl "d 

3 » 

1— 1 p 


a a s a a a 

1 1 eJ 1 1 1 ft 1 1 1 1 1 p, 1 1 1 1 1 1 1 p, 1 1 ^ 1 1 1 1 p, 1 

•* 00 © Tjl <N 


DQ 

p. 




3 3 
o to 

a « 


a a a a a a 

i & i i i i £ i r i i . i £ i i i i i' ; i ' £ i i p, i - i i i i ,• i 

00 ■* Tt< © <N •* 


s 
< 






O 

u 

o 

ft 

■d 
C 
a 

a 

o 

o 

s 


a 

Ph 

OB 








ft 


a 

pi 








a 








c^ 


> 
O 
a 


a 
si 

a 
pi 


NOO(!)OO«3HOHNl0e)NSmN(»(DO^O0)05OHOONO 
i-H T-l i-H 


CO 




O 
J 
O 


loeoiMioioeiioNooKnooooNocoomooo^ffiiamioiMfflffiOH 


»c 




a 
< 


H00O«»10HOO«OMe»O(DNIM«3NOl0OSlMHlOffiOO 
i— t i-H rH 


■* 








o 
ma 

Cj 

P4 

a 

o 
O 


a 

Pi 
oi 

a 
pi 

CM 

a 
■4 


N*»0»iONiOU5i9NON'Of»HlONHHOOHM©HO>'0!OHlON 
r ^'-;'-;'-;Oi-Ji-;C5'NCOCOC<}CO'* iq rjn CM CO C<J rH © "# «cJCqc>}C>jeMrH(Neo 

©©©©©©©©©©©©©©©©©©©©©©©©©©©©©© 

NeMC<)iNCMc<icMcqcMNo5CMeM<MCMC<icM(Mc>cic>c!<Mc<jcMc^ 


CO 
<N 

05 
CM 




H 

o 


Ot^M^CNl-*t-»iOioC<|lCt~O(NCDH<r-lC0Cq00-H0iC<IC0r-ICiSC000'O05 
IM00<D(»M<*(Mi0'*C0iOfflC0!0IN00<»(Nffll>(Nr<(SO05OO'*0)H 
rtHOOONHrt«lN«(N(NMi0^qnHrtm»«3(NHISMHHW 

©©©©©00©©©©©©©©©©O©©©00©©©©©©©©© 


o 

© 

CM 




©lOOHHOOlOCOHOIDOOMOONN-NONfflTHSStDNINlM 
OOHM03 1^KO(MCD(MiOCO[^iOOOiOiOCOCOiOffl>H(NOOiOCitDiO'*l~- 
q«OHOlSINNqO)mN(SniOO«!NnCTOqH(D(NW(NCON-H05 
©©©©©00©©©©©©©©©©©©©©CO©©©©©©©©© 


rH 

«a 

<M 
OS 
CM 




H 
H 

9 


R 
03 


U5nlOOSOHMOOON©»0100b-nMOO(»0)OONHHO)<350C<10* 






a 

pi 

OS 

a 

pi 

cm 


leKNoocOi-iNOTfiinOffiicoitiaraMONOM-^iaosojoooioNW'* 


rt< 






HB50rilQOfflNNNiO(0«5Ti(05ai , *'*«)-<oOOMOO'*aoOOt-« 


CM 




H 


a" 


Ol0t~^00t-(N^C0C0TlH-*tD05t^r-l«0(N>rai>.OiOC0-*-*00t^u-5C0t--. 


© 




jo sXbci 


HINei5'<j<lO(Ot»»OOH(NKlT)ilOtD^OOCiO-HNeOHlOClNC0010 


CO 

H 
d 

CP 




•S 

s 


asm 
uoo 


re 


U • ft 





1869.] 



PUBLIC DOCUMENT— No. 23. 



97 



•3 '3 — '" 



<u £ 



g | 



a £S * 

°* CKO es 

J? ltd d 

. 'g o o o 

S a s ? L"L"=« IT<« ts .a 

£-a £ S js ■: ^ & & ^r^- 

U U :fci S* fci £ .£; 

'S 'm '3 "3 '3 _2 ^ 



•H S 



.03 



^hh H » 



3 O *"r 

U Qi f~ W 



'3 — '3 '3 '3 "-S '3 '3 '3 "8 -2 ^ JS 





xs^i 


t3 


s 




03 


-1 




01 


a; 

5 




... 


:- 


s-. 




3 




ea 


- 




•J 


a 


PM^ 




o 


l-l 



^ .1 £ c* & 



^o^^rtffiMi 



oj cS c3 > 

H *"* O 

] c p: p « 

3 ci ci c3 t. 
>, >, >,,§ 
T3 ^3 *t3 cj 

< 3 3 S 3 

■ o_o O^ 



I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 



I mo I I I I I I I I I ^<iocj I I I -- I cn I I I o I l« In 



I I J A I I I I I 



2 2 S 



g 6 



■-1 CO 



s s 



s s s 



I I £ I I I I I I I I I ea 

CN CN*, 



I CJ I I I ^ I ft I .J I 
CM U5 CO — < 



£ £ x a" fc !z Jz; ^ Sz5aJ«2J5^a5tBCQ £ £ £ £ & £ «j x oq'xk!^ 













a 














c 


*- 




& 


!> 


a 


o 


o 


CM 


J 


9 


^ 


o 




a 






«< 




* 


a 


« 


ra 


CM 


w 


o 


J - 


H 






w 


•c 


?! 








3 


« 






•o 




<l 


a 




« 


^ 


» 




o 


-< 



0<0«5n0 0nCOOOOMC)O^OlOOT|lOOiO«3®Ml)OOOOIN 



OOCOOCNCOCOUJCOCNUSUSCCUJCOOCNCnOCDeOeMUSUiCOCn^CnOOCD 



UJOM^N- <U5lO<NOCOiOCO©Or 



^COaOCnCOi^COCO' 

ci co cc' co en en c° en < 
ci ci ;i ci ci -m ci 01 - 



hmoci r^'O^o 



r— -~-t co »o -^ — ' co »o 

'-.tHO 

CO CO 

en en 



ci CI CI CI CI ci CI CI CI gj CI C) Id Oi C-i CI Ci C4 ICJ <C1 <N ( 



» CO 

co c. 
ci cc 



CM CN CN (O CSI CI Ci <M CN CMCN CM CM O CSI CS1 CN < 



•(HU0UI 9I[} 
JO SA'BQ 



•BOBBqj 

s.uoo^ 



INOUJIOO'OIOUMN^OOINO 



HOiOiOO^iNOtOS 

-1 (N Tt< 

! C( O 



:ccicmci 



! en co . 
CO r~. 
I — CM '. 



oncoor-r-n 



jcococncncncncncncn 



(M CI CN CM CI CI CI cm ci CI ci ci CI CI C) CI CI CN CN CI C] 



CC CO 

I--.— ' 

i-< CM 

O 03 



r~'^'Ct~CiTfococncocoocioO'Cot^i^--*cncno 



)Cncooococococn'cncri( 



„ i-i co co --H en 

1 — CI i-H •* -sf CO t(< CN 

jtcncncncncncTscncn 

I CN CN CI CI CI CN CN CN 



t^en 1-hco 



-f CD i 
t — 1< c 

CO CO r 

en ex < 



•CNT»icDr^:r:oococn 
ico-t , t^cNcor^TticD-- 
icocNCJeneot^t^coci 

i en en 



... ■* m a) o io 

OCOHiON—WOJ'O© 
CI CJ CO CO i— I -* US CO Tf C-0 

cncncncnt^ncnenencncn 



O CI 

CNCJcJCJCNcicicici ci C) CN 



«MOOHinOCONT(ih.(MinONOT|iOlOtO l <5tON(DCOOtOh-HO)N(fl 
COCO-i^'^'^US*^USUSUSCOCOCDUtjCOUSUSUSir'USUSUSUSUSt^COUSMCUSU5l-^ 



!DNNCOOlOIM!Di)'M'0 00 0(DOHCIOKl-JHtO-'COOMlO<DWIO 
■*Mi*'J<'OiO<0<0<0<Ot^CONb-tOO«0 0«5tO!OtO(Ot-NCOOCDl<5CDl-- 



icNco^ujcDt-coeno^JCico-^'ocDt^cocno— i cicoTt<i^cO(--oocnO'-J 



w 



« 







13 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct. 




1869.] 



PUBLIC DOCUMENT— No. 23. 



99 



< 

s 


Hazy all day. 
Hazy all day. 
Hazy all day. 
Fair weather. 
Fair weather. 
Fair weather. 
Fair weather. 
Fair weather. 
Cloudy and rai 
Fair weather. 
Slight shower 
Fair weather. 



a £ 



o to 



o s s 






— !i ;■- s 3 



> . . H ." oj w aj u ."^ uj T^ cl> /™ , c -j™ oj <u 
■ £ £ 5 ,x:.c,r2.c £-<= g 5-C & £-c:cd.o: J= 

isPtfUifflDOdOJtSaidsaj^tH) 
!- SC CD C* *- »- £; >- fcC J- N *? .JJ 6C bC •- 3 .»- ,JJ 

~ 3° = o'35 * =s o s J5 ^ ^^ * ^ * ,* 



I I I I I I I I 



I I I I I I 



ess 



i i i i i i i =l i i i 



"""■'' -ts 



I I I I I I I I I " I I I 



ss 



riii i iii 






^ -J >. > -: 



zrj ai'Z 'Z Sj ui c/i -x> x Z, oi w 03 w £ oi S3 cc m" co 02 /J 03' 03 aj 03 03 cq 



cc >: z; oi 03 02 £ !3o3a3"z£££o3o:"«3'o3y;t/303c/30302 



s* • ^ f>> pa ^ t>' £ £ ^ £>' h a ^ £ £ a m w £ £ £ $ $ g $ $ ■■ £ 

«2 02 Z £ o>xc«a^ZZ:£a5aJZZ.£z-ZKa2GQ!B 03 02 2: 



2OC0raO(M!N'r5OSO5)iOX00MJl»ffl00«U5«5'*IMO(N0)'*. 



oocnNcooncoffi-iiooc«jiM^n*'i"OMH)«:c!Diooia>o 



iCiOOSrlOHMOOISO^OOOiOO^INOHMOlOO^OOOJO 



» C) C - '^ 1? T K N ?) CI ^ rf t)< Ol H M 5: 
"TSCSCSCSCCCsCSCSCS'CCSCSCsCCCSCSi 
ci CI Cl CI Ol CI Ol Cl 01 CI CI CI CI C I CI CI I 



CO CI > 
— IC "* CO i 

M ji m n ci 1 



iO ic I— CO — MCI- H — ' >C CO CO Cl -H 

-f. r — h — ' as co 1- 00 vs ci 'O i- ' CI as ic 

TO CI— 'C0CO»C-*COi— <C0~cC0--11Tr'01:^- 



CS -f I^CO 
— r— -H — I 

CO CI CO CO 

_ - as o cs cs 
ci ci 01 ci ci ct ci ci ci ci 01 ci ci ci 01 ci ci 01 ci ci ci 01 01 ci ci ci 01 ci Cl 



CC. ffi^CBOfQ! 



iccccacoa 



Cl «C IC >C CT 

Cl O — • CO Cl 
Cl Cl CO CO Cl 



' »c — ' cr- as re — »^ «^ as 
irf'*>T)<cocNcoci'^cq 
i as cs as as as as as as as 
1 ci cm cnjm ci ci ci ci ci 

(MOO 



-<"• Cl 
ci c- 

CO -f 
cs cs 



t— CC CO CO "O CO CO < 

roco^-CJoric'C-pcooicico-^iT^ccci— < Cl cl 01 d co co • 

as as' cs' as as' as as — • c~. ci cc as cc c: cs cs cs a; cs as' as as as c 

M Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl 01 Cl Cl Cl Cl Cl Cl ( 



I Cl Cl Cl Cl Cl Cl 



— •io--coco'CoO'^r^-^oocrcsooco-f<-^ocncs-*occit^.ciTt(iccocst^ 

ffl!Ot^NOCDC0 1-CONl^l^tOO!ONNt>.mCD!a(DCONt>.t^Nt-t>(OCD 



-*iONCC)--i-«iO-J-* l C-) < S-OCCOaCC'r)t^CCll^CO!OCOlOIM-4'tD 
3 0t-I^OSOt*(Ot^NOcONl-l>Nt>-tOtDl-.!0©CDNt^t>.Nt»ClO 



lO CO -H — ' CO Cl CO CO— ' t~ CO CO <C CO.— (■~CS-H-+ICOCOCOt^CtM-+ l O— '!-.«-»< 
Ot-l^KIM~l^t-t-t-Xt^l^t-M»t^NNt>.NCONOO»t>.COOONl^t-. 



(|JUOUI Oi|J 
JO SA'Bd 



HNJS*ii5oi'»53orHCi«-|i'C!sr-'/iQ':HM»-*" ,, !Ch-»ocsH 

—I — I — — I — I — I — — I ^ — Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl CO CO 



•s;)si;i|,i 

B.UOOH 



U 



P\ 







\J 



100 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct. 





1 * 




"S ° 








HH K 


^ 


S^S* 


o 

Zi 


t«»§ 


co 


Sp3-ga 



:2^ 



£«a.^ -s 



0!^ cu cu a> . a> <u cu 

% & a a rt .d1a«3ta»3>. 

; >>« » m a* «) * » * >■ s- cp 



!.'S tS'S'S ° 








. a> o aj 5 co cu cy o cu 





a £ -= — J3 •£ -5 ■£ - ■£ 


c: 




t:< 




Fh 


Hazy 
Dog-cl 
Showe 
Fair w 
Fair w 
Fair w 
Showe 
Fair w 
Fair w 
Cloud; 
Fair \\ 
Fair w 
Fair w 


n 



I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I 



3 g S g 

i i i i ^ i i. i i i » i i i i i i j- i i ^ ii i ^ i i i » i i 

CM — i CO O 



s ass 

i i .i i j i i i i i i i i i j i i i i i j i i i ,t i i i s i i 






02 02 03 x' z' Z Z x - 02 CO Z X CG CO Z Z Z GO CO Z Z Z- Z co Z x x' CO Z Z 



Z cocdcoz'ZZ'z'coco'Zco" toZZZto'co'ceZZcoco' coZco'ZZ 



<M©©©©CM©©©|— ISOOOOOOOOCDOSOOO'— ' © © CM © ■— UNO 



flWB«5O(0«Hi(W5)Ofl0OOOOi0SNCiCOHWOO00N^8l 



I „ 

mooooodnoosiooocoooiooHOMWOoitotOH I eo 



© CO — ; .-< CM 

(M CM CM CM CM 

«5 © I— CM 00 

— 00 CM CO OS 

OS OS Cl OS OS 
CM CM CM CM CM 

t— Tf oo «s co 

t-;CO H ~- cm 

os os os os os 



CD O C 

■^ «s «s 



TtH ** CO 

OS © OS os 



co oo i 

' T^ TH © — 1^- C 

*# -* r~ "■ 



) ■* SO ( 
) — l^-t 

! >!S CO C 



CNCMMCMCM^CMCMCMIMCM 
00 t^ — 



CO IC 'O CM 

OSOS©OSOSOS©OSOS©OSOSOS 



* Ol "O C: (M CO ; 



cm cm cm cm cm cm cm cm cm cm cm cm so cm oi pi oi cm oj pi ojjm oj ovoi M c ' p i cm cm cm 



c©ooco©'o©c©^©©tM^ao©©t^i^^"^oscocoasooeGscococo-HCQ 

COCSt*cOCO'O l OCDCDCOt^t^COCOCOiOCOCNh"t>'CCOCLNCDCOCDNCOiO 



•iljuoui aq; 

JO SA'BQ[ 



•sasBq<j 

S 4 U00J\[ 



CO ^< ■* - _ 

ci os en 3. os os os 

CM CM CM CM CMjPljM 

--i CO "^ »cs t~- —* ^ 
CO "* CO CM Tf f~ CO 

CO "^ ^ «o ^ CO *^< 
OS © © OS © Oi Oi 



CM CM 

© -f 



CM CM CM CM CM CM CM 

-loo 



x) io a 'C co : 

CO rf •—* CM CM ' 

OS OS OS © c 



CM PI C 

CM CO ■ 
CO CM - 
"* "* ' 

OS CT> 



t-- © CO CO 00 — ' ' 
■* CM CM CO 
OS OS OS 
71 Oi CM 



OS OS OS 



CM •* CO — i 

OS OS OS OS 



CM CM_ 

00 CD 
CM CO 

os os 



© © 
•# «s 

OS OS 



-* © r-co 

ifS 1^ ^- OS 

■* CNl CN CO 

OS OS OS OS 



CM CM Oi Ol C M CM C M CM CM 

I— ©TfCOf— 1^.© •-! — ■■ 
CO^©OCMCO©©CO 
iC , ifS l O^ , ^jiTr t i— 'CMco 

OS©©OS©©CSOS© 



«SliS©Tt<3S©-*i-lW500T-l-*iO"!HOSCM>o©l^>r-f--cMCN©-*COCOT*<©OSCO 
t-^t^.C0t~-©©CDt^»l:^t^00t^-t^-^- c DCD©CDt^0000l^Ot^t^-lN-t>-l^C0©© 



= r HC 1 iOr)<Tl<'*OXrHiSI'* , MiC'OC5CSCO'ONCOCO-JCCOh-'C-0( 
CDCOCOCDCDiCjiO^^COCDCO ©OCO^O^O iO CO N l^ CO CD© ©CD iO©l 



^c<,co^«©t-coo©- 2 „^ 2 co^2 2 © s gco^joco^c«os©^ 



A 



© 



u 



1869.] 



PUBLIC DOCUMENT— No. 23. 



101 



-5.- .S i.soo.ijo.s.sss .5 .5 5 5 -5 •" o 5 -5 



a a a 



a a 



ei 



.9 f. 



S a 



SM H -. >. 
U O m 0) 

• ••£■£-=•5 . -s .«i3 »; ■« = 

a <a rtts'SeS>>>-.n!>->o!rf":y«SS 



° a d 



SShi.S3 



2 ^-^jS 



>. t-i ^ 



3 3 



S B . 




cs p.a 




bC £°* 




be c .jj 




.o *s oi 












ithe 
athe 
a.m 
a.m 

ss. 


££ 

o3 eS 




0) o> 


i. t. s;3 s 




5 "5,2; .2 © 


o! CS 


fnP^ooa 


fepH 




I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 



«s . . o 



III li I I x I I i"- I I I I l l I l im I c-i I I t I «- — I t 



a a a a a 

I I l I I l I • I l . I l I I I I l I a I • I l l I _,; l I 



© i-H 



co © 



Z ^ co ^i go as 02 oo ZZZZooooo2'Zooo2'o2>5ZZooo202Za.'ooo2 



ZZZ020202Z02 ZZZ'z'ZoiooZZ 02ZZZ020202Z woo 



ZZ' Zoo 0202 02' 02' Z ZZZ'a2ooZZo2'o2ZZZ cdZZ 0202 



OSMHOO'- (COCOO-^OOOOIMO^OOOOOOOOOOOtN 



-#CO TO© <N 



«!ON«3NMNOOHreOCWieOO«3T)H»O05ONM 



■'CT^OIMIMOOOTOOO'-IOOOOOO 

T-{_4 ,-, — I — 



0©-HOO»0©<M©©©i-<C<l 



^3-^3 — rH'0«M»M* 

"" nccmc 
OSCSCSGSCSCSCSCSOSCSCS 



C-^IMJMJM CM Q-1 (M CM NNOWININOI 
r> © ■* 
© r-o 

cs oi 03 



00 ■* IM 1 

OS -* CO .. . 
■^ t-- t-~ 'O -* * 

CS OS CS CS OS < 



co no © — — < to c-) © co os — m^a6*'OrH-*ro 



CS Ct OS OS 



CS CM CS IM IM 

COU0'O©-fCO'O"*COC^©CO©©OS©CM 

— M 10 CO CD 00 

© t-- © CO 

OS CS CS OS CS 



©t-^-O'+'C-. ^COr~CSTO©©©r~'(OCO'OTO©COi 



8) M ■* CO I 
r— < t±I C~ i - 

t^- 1^© I 

JOSCSCSCSOSCSCSCS 
I CM C-l CM CM CM CM CS CM 

i0OM-"N( 



cs os os os cs os < 
CMCSCMCMCSCMCM<MCM< 

©COiOTOh~-+"COI-~'CV 



OS CS CS OS CS CS CS 



> OS CS OS OS t 



, _ _ ,r> cs 

> © r^co cm 

> os os cs co 



lc4cMCMCMCMCSCM<NCMCMCMCMCM < M CS I 
I CM CM Tf< rH < 



co co -» as 

CM »0 ©>C 

CIS OS OS cs 



oo© r^cs 

I'CNNtO 
CS OS OS OS 



r-^-* CM t-^co < 
oo-ici^csi 

Tti © t~- © CO l 

OS OS CS CS OS C 



cm cm c-i cm c-i <m c-i cs c-i c i ci c-i ci ci c-i c-i cm incsjn 



I CS CS CS CS <M CM CS C-l 



-t<"OOTOCOOS©-*<>0©0>0©TOTO©CM. 



C30S>---©CO©-+iOSCO'rt<h---rt'©CMCM 1 0©'c>>OCO©©CS©©-H-*<'rt<-j<0 



* CSTO^^^TOI^^^©©©^^©©©^WCM^COCOCOCSCOCMOS>0 

•< -tiicsi(Mo©©©t--©'0«:>o©>o'0©©>o©i— ©ooicno©© , >ocoTf«a 



•qinoui aqj 

JO 8A'B(I 



^CMCO^OO^OOCSO^OlTO^lO^^COOC-CMTO^^©^^^© 



•bOSllll.I 

s.uoon 



© 



A 







u 



102 LUNATIC HOSPITAL AT WORCESTER. [Oct. 





■g 


£33 


co 




© 


CD 


_ 


t-- 


•— ( 


•o 


CO 


© 




i— ( 


■-*l 


O 


CM 


to 


t~- 


■** 








CM 




o 




CO 






















E* 


























*< 


























h 


























g 


co 


t~ 


t~ 




t~ 


eo 


CO 


O 




© 


co 




o 




CM 
















































a 




















































03 


























*i 


























s 


CM 


CI 


CD 


,— t 


t~ 


co 


o 


o 


© 


© 


© 




to 




CM 










CM 








iH 




3 


























jj, 




O 


© 


O 


O 


© 


1^ 


o 


© 


© 


CO 




*3 




CO 










CM 












1-5 


























s 


O 


o 


iO 


CM 


co 


co 


r- 


o 


CM 


© 


CM 




5 




CO 






















►s 


























£ 


o 


^ 


^H 






CO 


co 


_ 


t 


© 


1^ 




C3 




CO 


^ 




tH 
















3 






















































o 


o 


t~ 




Wt) 


i~ 


co 


o 


© 


© 


t^ 




P. 




CO 






r-l 
















<J 


























. 






















































■* 


t-~ 


CO 


t~ 




>o 


»^- 


o 




© 


© 




ci 




CM 






CM 
















H 


























>> 


























J-i 


























3 


1-1 


t^ 


t~ 


O 


O 


CM 


CM 


© 


© 


© 


co 






<M 






CM 
















P 


























£ 


























X 




























CO 


CO 


>o 


CM 


© 


o 


co 


o 


© 


© 


r-l 








CM 






iH 




i— ( 












S3 


























1-5 


























h 


























o 


























1 


co 


co 


r~ 


CM 


■* 


CD 


t« 


© 


© 


© 


© 






CM 






CM 
















p. 


























£ 


























<u 


























s 

> 


CM 


CO 


© 


CM 


■* 


CO 


t- 


© 


t-H 


CM 


© 






CM 


iH 
















i— I 




























o 


























-A 


























u 


























J3 


o 


_* 


SO 


© 


O 


t~ 


i— < 


© 


© 


CD 


CM 




O 




CO 










































































O 




























• 


>> 


• 


13 

3 


13 

a 


13 

a 


13 

a 




13 


T3" 


13 

.S 
"(J 








13 

3 


X 


"? 


£ 


'$ 


M 


p4 


'|s 


H 




w 
H 

H 


CD 

o 


o 

o 


"3 


& 


£ 


$ 


co 


co" 


co 


W 


^ 




05 


« 




w 




oi 


CO 




03 


Ul 






>> 


S*> 


(*> 


>-> 


>-. 


p-. 


&►. 


>-. 


>. 


>> 


^-. 




rt 


cS 


ci 


cS 


d 


d 


si 


cS 


c4 


oi 


cj 




*G 


13 


T3 


■73 


13 


13 


T3 


13 


13 


13 


13 






«4-l 


«<-i 












%-: 


«*-( 








o 


O 


o 


o 


O 


O 


o 


o 


o 


o 


O 






*-l 


Jh 


J-l 


M 


In 


F-i 


»4 


t4 






Si 






co 


CO 




CO 


O 


V 


o 


CO 


CO 


CO 


CO 






J=> 


,3. 


.3 


,3 


,3 


.o 


.3 


-o 


rQ 


,o 


^3 






a 


s 


a 


a 


a 


a 


a 


a 


a 


a 


a 






=i 


3 


3 


3 


3 


a 


S3 


3 


s 


S 


3 






» 


& 


fc 


£ 


£ 


z; 


& 


izj 


a 


"Z! 


& 





S 


_J 


n" 








o 


> 


■*-* 


bD 


CO 
CO 


a 


a 



3 -g 



P^ 


CO 




<1 


o 




H 


^ 


.3 


A 


CO 


M 




■j3 


r/7 




C 






CO 


^i 




09 






f*l 


O 



5 a 





t*» 


a 


3 












M 


>> 


>. 


pq 


« 



18G9.] 



PUBLIC DOCUMENT— No. 23. 



103 











■* 


CO Ci 


a 
























CD 


rh cm 


(M 










•& 


C3 




OS 


CN 


CM lO 


CO 


co 


CM CO 


CO 










CO 


O 




co 


rH 


IC3 rH 


-^ 






















t« 








ai 


ci ci 


ci 


-# 


«5 


-*■ 


■* 


co 


ci 










CM 


CM CM 


CM 
















a 








CM 


a a 


CO 










rH 






oo 


00 i-f 


CM 


T* 


— • CD 


rH 










r~ 


1 






10 


CD to 


CO 


«0 


iq >o 


IO 
















a 








ci 


d ci 


ci 


•* 


Tf" 


CO 


■* 


rj< 






CO 








CN 


CM CM 


CM 
















■g 








CD 


a h- 


1^ 
















=1 


CN 


CN CO 


t~ 


O 


CD 00 


CO 










CM 


1 




to 


CD 


f~ CO 


CD 


■* 


CO CO 


CO 
















< 








ci 


ci ci 


ci 


CO 


rt< 


•*" 


■>* 


CM 












CM 


CM CM 


CN 
















j>> 








Ci 


00 Ci 


CM 










O 






IO 


IO OS 


O 


co 


i-H CO 


co 










1 






CO 


t~ co 


r- 


CO 


CO CO 


CO 
















1-5 








ci 
CM 


ci ci 
CM CM 


ci 
CN 


•* 


IO 


CO 


■* 
















Ci 


rH CO 


<N 










00 

o 






c 

1-5 


CD 


o co 
t~- co 


rH 

CD 


co_ 


CM ■* 
CO CO 


CO 




. 






I 










ci 


ci ci 


ci 


«5 


CD 


id 


id 


CO 














CM 


CM CM 


CN 
























CM 


CM O 


in 
















£ 








CO 


-* r- 


CD 










t— 








CM -* 


IO 
















t~ 


1 




1 


«3 


CO «3 


>o 


Ci 


Ci Ci 


Ci 


IQ 


CD 


•c 


lO 


«3 












CM 


CM CM 


CN 
























,_, 


t- t- 


__, 










CM 

lO 








O 


CM ■* 


>o 


lO 


O CO 


Tfl 










iO 




o, 


■* 


IO T*< 


■* 




CM CM 


CM 
















-<1 








ci 
CM 


ci ci 
CM CM 


ci 
CM 


■* 


id 


CO 


■* 


CM 














rH 


lO 1~- 


*~ 
























OS 


10 t— 












CO 


o 






CO 


CO Ci 


co 


CO 


CO OS 


iq 










CO 


lO 




3 


CM 


CO CM 


CM 


ci 


ci ci 


ci 


CO 


id 


or 


^* 


■* 


^ 




S 








CM 


CM CN 


CN 












"""' 




jj 




























C3 








oo 


I-- »— 












Ci 


o 




■* 


CM t~- 


OO 


oo 


CM CO 


CD 










"*. 


co 




CM 


CO CM 


CM 


CM 


CM CM 


CM 


«5 


id 


Tl" 


id 


>d 


CO 




-Q 








ci 


ci ci 


ci 
















fe 








CM 


CN CN 


CN 
















b 








OS 


■* CM 


»© 










CM 


o : 




2 


-f 


52 °° 


oo 


CO 


r~- co 












co 


IO 




a 


CN 


CO CM 


CN 


CO 


CM CO 


CO 


■* 


■* 


-f' 


-* 


CM 


r-4 










ci 


ci ci 


oi 
















►a 








CM 


CN CM 


<M 
















a 


































CM 


co co 


Ci 










ir> 


O 






t^ 


OO CO 


■* 


CO 


co co 












00 


o 




o 


1—1 


CM IM 


CM 


CO 

ci 


CM CO 

ci ci 


CO 
ci 


-*' 


id 


■* 


•^i 


•— J 






fi 








CM 


CN CN 


CM 
















C 




































oo 


~+< o 


co 










■* 


IO 




a 


T* 


CM CO 


t-~ 


00 


CO CM 


CO 










CM 


CM 




co 


•* CO 


co 


CO 


CO rfl 


t^ 


id 


id 


>* 


>d 


rfi 


CN 




> 








ci 


oo oo 


CO 
















o 








CM 


CM CN 


CM 
















55 




























C 








CD 


10 r- 


co 










<* 






,o 


CN 


CM CO 


co 


>o 


o co 


CO 












1 




o 


rji 


>o Tt< 


"* 


>q 


10 10 


IO 


CO 


CO 


■* 


id 


^ 














ci 


ci ci 


Ci 
















O 








CM 


CN CN 


CN 






















„ 






„ 










^ 








^ 


a a" 


_&*]•» 


a 


a a 


_>> 


a 


a 


<^ 


'cS 


i-c 
CO 


] 






«j 


Ph Ph 


•n 


< 


P< Ph" 


'3 

13 


■4 


pi 


P* 










t^ 


CM O 




t^ 


CM C5 




tr~ 


CM 


OS 


T3 




























ts 








T 






' 






" 








M 






















o 






O 






















a 






fci 






















<n 






H 




























O 




























3 




























« 




























g 




























<) 






















c 


u 


























o 








CO 






CO 






n 

CO 

CO 






(5 


a 








o 






CO 






a 
















a 






a 






•5 






DO 










M 

CO 






o 

3 






3 
o 






O 


s 








H 






PQ 






, p 











104 LUNATIC HOSPITAL AT WORCESTER. [Oct. 









o 


o 










o 




o 






in 


















































CM 


o 


_; 


t^ 




















^ 






>4 

< 




00 


■* 


OS 


«5 


in 


«5 


■* 


t- 


co 


l^ 


^ 


t^ 


M< 


lO 


co 






CM 


oo 


r~ 


in 


© 


O 


© 


co 


■<*< 




00 


00 


CO 








H 


""IBM 










■* 


CD 


CO 


lO 


CO 


CO 


oo 


-* 


CD 




CD 






CM 


o 


oo 


r^ 


CM 




o 


00 


IO 


in 


CO 


^ 














-* 


-* 


^ 


co 


-* 


CO 


«5 


CO 


CO 


lO 


Tjl 


CD 


CD 


in 


in 




















O 




o 


© 


© 




© 


© 






K 


•Avoug 














«5 




«3 


in 


«3 




«5 


in 






S3l[0UJ 


CD 


CO 


CO 


00 


co 


TH 


O 


W5 


CO 


co 


«5 


Tj< 


O 


lO 






a 










rH 




rt 






CM 






CM 




^H 






t^ 


o 


co 


CD 


© 


t-~ 


co 


co 


CM 










■* 








•HtB>I 








in 




O0 


OS 


CI 


^h 




CO 


t~ 


t~- 


co 


© 




sauoui 


■* 


«s 


CM 


(M 


lO 


CM 


■* 


co 


co 


■* 


CM 


Ttl 


CO 


co 


CO 






















in 


















M 


















t^ 




in 


in 






in 








S3U0UI 


o 


IM 




>o 


■* 


lO 




t^ 






in 


•* 




CN 


CM 






t— 


CD 


co 


CD 


t^ 


oo 




^M 


^, 












in 






•urea 

B3XJ0UI 






CO 


O 


f~ 


© 


Ir^ 


OS 






CD 


oo 


co 


oo 


oo 




£ 


-* 


co 


co 


CO 


CO 


■* 


co 


i-H 


^t< 


!M 


lO 


in 


in 


© 


in 






•AVOUg 










. 
























M 
O 


saqoui 






















■* 














rX 


co 


© 


-* 


"* 


© 


t^ 


lO 


iO 


r-- 


■* 




© 


co 


t~ 




•area 






r-i 




■* 


»— ' 


00 


t- 


■* 


co 


© 


oo 


CM 


© 


i—i 




o 
O 


saqoui 


CO 




«5 


!>. 


■"*! 


CM 


CM 


IC 


CD 


co 


t^ 


CO 


CD 


in 


00 








t-- 


o 


>o 


00 


t^ 


O 


t^ 


CD 




CM 




CD 




CO 


© 




^ 


•urea 


CM 


lO 


CM 


CD 


in 


© 


>— ' 


co 


■* 


OS 


*n 


CO 


CM 


in 


CM 




m 

co 


BBllOUJ 


■* 


co 


' H 


co 


CM 




t^ 


CM 


CM 


l>- 


CM 


co 


in 


>n 










t-~ 


<M 


© 


© 


co 


_W 


o 


o> 


00 


in 


r^ 


GO 


_ 


m 


co 




o 


•IHBH 


© 


r~* 


i— ' 






•* 


CM 


»— * 


CM 


© 


© 


CO 


t^ 


CO 


© 




p 

< 


B3U.0UI 


CM 


t— 


© 


co 


CM 


CM 


■* 


CO 


•* 


CD 


1-1 


- 


© 




T* 










CD 


© 


o 


,_! 


_< 


co 


CO 


o 




t^ 


CM 


© 


00 


© 




Sh 

►a 
p 
►■5 


•urea 


© 


© 


co 


in 


© 




oo 


1— ( 


CO 


t— 


•— ' 


■* 


CM 


CD 


-# 




sauouj 


CM 


1—1 


CO 


CO 


CM 


co 


-* 


CO 


1-1 


co 


CM 


co 


CO 


in 


© 








CM 


co 




CM 


•* 


t^. 


CT> 


^ 


in 


in 


(0 


co 


,_, 








m 


•urea 
saipui 


© 


© 




oi 


r— I 


CO 


CM 


CO 


CM 


CM 


<— < 


in 


© 


© 










•* 


Tj< 


i-< 


CO 


CM 


ia 


•-H 


i-H 


CO 


CO 


CO 


r-t 


co 


■<* 




l-D 








































■* 


co 


t~- 


CO 


lO 


CM 


CM 


CO 


© 


co 


in 


in 


co 


•* 




(H 


■urea 

S9U0UI 


■* 


cm 


t~ 


CD 


CM 


00 


>o 


OO 


in 


in 


r~ 


«— < 


■* 


t^ 


CD 






CO 


CO 


"* 


CO 


co 


U5 


co 


CD 


CO 


t~ 


■* 


CO 


in 


CO 


j— 1 






•AVOUg 




1 




1 




1 


1 




lO 








I 




1 




►4 

9< 


S3U0UI 


CO 




o 










in 


1—1 


CO 


CO 


CM 




© 












co 




,_, 


rH 


i~- 


C) 




CO 


CD 


r^ 


CM 


© 


© 




<* 


•urea 


lO 


00 


1— i 


CO 


CD 


co 


CO 


in 


a> 


WS 


r-- 


t- 


© 


CO 








saijouj 


co 


<M 


co 














in 


CO 


© 


Tt< 


CD 


in 






■AVOUg 








© 
in 
















in 










X 

3 


satpui 


o 

CM 


Tjl 


CD 
CM 


oo 


o 


1 


00 


CD 


CO 


C5 
CM 


oo 


CO 


00 


1 










■* 


CO 


© 




co 


OS 


CS 


in 


1^ 


© 


CM 


o 


in 


CO 




a 


■urea 
ssipui 


■* 


CM 


CM 


00 


CM 


co 


00 


oo 


t^ 


CO 




■* 












CO 


CM 


in 


CO 


CO 


CO 


co 


CO 


■* 


CO 


1-1 


co 


CO 


co 






























o 


<r> 




© 






^ 


•AVOUg 


















•n 




in 


lO 




in 








saqoui 


lO 


CO 


O 


<M 




© 


t~i 


CO 


CO 


CM 














p 


*" H 




CO 


l-H 


CM 


CO 


^ 


CM 


r-i 






1-1 




















,_, 




00 


,_, 


o 


CO 


_, 


CD 


© 


IM 


oo 




B 


•urea 


qo 




Tj< 


TJH 


co 


in 


o 


CO 


co 


CM 


© 


-* 


© 








fc< 


saipui 




^ 


-* 


rt 


CM 


CM 


TX 


-' 


i— t 


CO 


Tj< 


CM 


00 


CD 


•<* 








o 

in 






o 








o 
in 






© 

lO 






© 

in 






(H 








CM 








«5 


■* 


CM 


in 


CN 


r^ 


© 


t~ 


© 




Si 

p 




CM 






i— 1 












i—* 




1-1 


1-1 


















I>- 




CO 


00 


00 


C5 


1^ 


-* 


-* 


CN 








•urea 
saipui 


t^ 


CO 


O 






© 


CD 


o 


CO 


t— 


© 


■<!*< 










T*« 


1-1 


>o 


CO 


-* 


CM 


■* 


co 




•* 


CM 


in 


co 


CM 


CO 






i 

a 








































CM 










t-- 


CO 


OJ 


© 




<M 


CO 


■* 


in 




















-* 


-*i 


•<H 


lO 


in 
















oo 


CO 


00 


00 


CO 


OO 


OO 


00 


oo 


00 


00 











1869.] 



PUBLIC DOCUMENT— No. 23 



105 



•J-, 


>o 


f— 




IO 


o 


IO 


O 


o 


IO 


>o 


IO 


IO 




r^ 


© 


D4 


CM 


CO 




CN 


«s 


CN 


>o 




CO 


t>- 


a> 


CM 




-* 


© 


CN 


»o 


co 


CO 


CO 


CN 


,_ ( 




co 


■* 


■* 


CO 


IO 




^-t 


CO 


>o 


«3 


(N 


co 


IQ 


co 


CD 


CO 


■* 


CN 




- 1 






CO 

CD 


>o 


•* 


CM 


CO 


t^ 


CO 


CD 


CN 


CO 


CO 


CN 


IO 


■* 


CD 




r-~ 


•<* 


© 


© 


t~ 


«3 


co 


© 


© 


Oi 


CO 


IO 






CO 




•o 


t^ 


en 


CO 




© 


CO 




•* 




Tjl 


■^H 


CN 


C3 


^t< 








<# 


»o 


rt< 


-f 


■* 


•* 


•* 


>o 


■^H 


CO 


-V 


■o 


^ 




iO 

CO 


■* 






>o 




>o 




>o 




IO 












•o 


CO 










!>. 




t^ 




CN 


CO 




t^ 


O 




CD 


CM 


CO 


CO 


CO 


© 


co 


CO 


© 


r-4 


IO 


CO 


>o 




y—t 




CD 


CN 








i— ( 


rH 




CN 


1-1 


1-1 




1-1 




I-( 




IO 
CO 


rH 


on 


,_, 


© 


>o 


IO 


,_ 


o 


,_( 


t^ 


>o 


co 








CN 


CD 


o 






«3 


o 


CO 




TJH 


CD 


t^ 


r-- 


CD 


CO 




CN 


CO 


>* 


CO 


CO 


-* 


IO 


l-t 


CN 


■<*H 


CO 


CN 


CO 


CM 


1-1 




co 

o 


CO 


o 




CN 






<o 














»o 




h~ 


■* 


"O 










t-» 












t^ 


CM 




O 


CM 


CN 




Tj< 






CN 


CO 










,_! 


CM 




iO 


CN 






























CD 




co 


CM 


© 




CO 


CO 


$ 


t^ 


_l 


co 


H 


o 


■* 




CM 




© 


rH 


CO 




CO 








CO 






CN 




OS 


OS 


.M 


CO 


F-l 


CO 


^< 


co 


>o 


■* 


■* 


CN 


CN 


CN 


^ 




CO 


CO 






























































-* 






























































■* 




>© 


co 


© 


co 


r~ 


CO 


CN 


IO 


en 


^H 


1— 


a> 


■* 




'O 




to 




o 


r* 


■«* 


eo 




CO 




IO 


CO 


t^ 






t^ 


CO 


e» 


CO 


CO 


CN 


CN 


CO 


CO 


-* 


•* 




CN 


CO 


^ 




© 


CO 


© 


CM 


© 




CN 


,_, 


•"*! 


co 


CO 


CO 


r^ 






* 


on 


■* 




© 


». 




© 






«5 


CS 


CO 


t>- 


o 


CO. 




iO 


t— 


CO 


■* 


>o 


■* 


CO 


co 


CN 


CN 


CN 




Tj< 


™ 


CO 


■* 


CO 

© 


co 


* 






IO 


co 


© 


■* 


CO 


^, 


en 


CM 






1— ( 


■* 






t-- 




-* 


t- 


© 


CD 


OS 




CO 


CN 


l~- . 


>o 


CM 


co 


o 


co 


«3 


■* 


IO 


>o 


CO 


CN 


CO 


CO 


co 


co 


CD 


CO 


CM 


•* 




- 1 






















rt 






•# 






O 


CO 


CO 


,-H 


© 


CD 


t^ 


co 


t--. 


CO 


CD 




o 


t— 


,_! 


to 


cc 




CN 








CO 


CD 


co 


I— 


eo 


o 


■* 


«o 


CO 


CN 


CO 


■* 


^H 


t^ 


IO 


CD 


00 


r-t 


co 


co 


co 


r4 


1-1 


© 


CO 






































t^ 


«5 


CD 


•* 


CO 




CN 


o 


CM 




co 


^ 


CM 


■* 


•* 






co 


■* 


■* 




■* 


t>. 


■* 




o 


o 


■*> 




•"■ 


CO 


IO 


»o 


CO 


CN 


t^ 


rt 


CN 


rt 


co 


co 


CO 


CO 


co' 

OS 


CO 






CO 


•o 


co 


o 


t^ 


CD 




CO 




,* 




r^ 


H 


CO 


US 


<o 


1— 1 


co 


CO 


•o 


CO 


l^ 


o 


CO 


CO 


C5 


CO 


t~ 


© 


-* 


CD 


-* 


■* 


CO 


CN 


CO 


■H 


rH 


IO 


>o 


"O 


■* 


CO 


'O 


CO 
CM 


'CH 


























































o 


•a 


© 


. 


1 














IO 




1 




t^ 


IO 


CM 


•* 






I© 


,H 




CO 


^ 


>o 


- 








CD 


rt 


oi 

CM 


■* 


T* 


t-- 


■* 


© 


co 


^H 


■Ht 


CO 


CD 


^, 




co 


CO 


<N 


>o 


CD 


eo 


t— 




© 


co 


r~ 


CO 


CN 


co 


«3 


o 


IO 




'O 




© 


CO 


CO 


•* 


CM 


rt 


>o 


CN 


>o 


«3 


CN 


CN 


CM 


«5 


CM 


IO 


•<* 


in 


'O 




>o 


>o 


















CD 


>o 


CM 


CJ 


t~ 




t~ 


t~ 








IO 








IO 


>o 






o 


,_( 




•* 


co 


«o 


CO 


,_ 1 




1 


"O 


CN 


CO 


^^ 


o 


O 


1-1 


rH 








1-1 




co 








CM 




'-' 


© 

CM 


"" 


a> 




© 


,_| 


CD 


>o 


,^ 


CO 


o 


CN 




O 


CM 


CO 


<o 


CO 


CO 


co 


CN 


t^ 




CO 


IO 


r~- 


o. 


!>. 




■* 


co 


co 


CO 




|-H 


CM 


CN 


t~ 


CN 


CN 


CO 


>o 


CO 


■f 


CO 


^H 


CN 


■** 


CM 

© 


co 




o 


O 


IO 




o 






•o 


'O 




O 


ira 


o 


>o 


>o 




«3 


«3 


t>. 




IO 






t^ 


CO 


o. 


>o 










Ol 


CD 


•<* 


co 


O 
CN 




o 


CN 


>o 




rt 


C5 


co 


CO 


© 
co 


s 


IO 


H< 


O 


f~- 


f~ 


© 


t* 


CM 


rh 


CD 


r~ 


CN 


eo 


a> 


■* 


co 


eo 


CM 




co 


t~- 


CD 


■* 


TJH 


t^ 


CN 


CN 


Tt< 


«3 






rH 


•"« 


<M 


rH 


CO 


CN 


rH 


CN 


CO 


1-1 


CO 


»o 


-* 


rt 


►o 


Dl 

© 


CO 


o 




© 


o 


>o 










o 








o 


© 


»o 


«© 




IO 


>o 


t^ 


CN 


«o 


«o 




«3 














r- 


© 


CO 


H< 


-* 




co 




■* 


IO 


CO 


-H 


I-- 




IO 


•* 


Cl 


<N 




CM 


,H 


CN 


CN 








""* 


-* 


CN 


1-1 


<N 


rH 


o 


CO 


co 


»o 


H< 


CO 


t-- 










co 


t— 


(M 


© 


CM 


co 


^)< 


o 


r>. 


co 


CO 


->*l 


o 


>o 


O 


U5 




CN 


CO 


t^ 


00 


-* 


"* 


CO 


»o 


r "' 


■* 


•* 


•* 


-* 


CO 


CN 


•o 


co 


CM 


© 


co 






























m 


a 


CO 


t~ 


00 


© 


© 




CN 








CO 




CO 




y 


QJ 
2 


>o 


IO 


'O 


•o 


CD 


CD 


CD 








CO 












CO 


CO 


co 


CO 


CO 


CO 


CO 


CO 


CO 


CO 


CO 


CO 


CO 


CO 



u 



106 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 









g 



«. 



(5 



CO 1 

© 

© 

=0 

« 



« 



CO 

- 


OiO^MN-#N-#IN-'r-*OCOraCtDOON(NG)OCOH'*OOOW 
MHM-H H-rtHNMNCl(NHHNH r-c CO CMrH 

s-> *• 2 s»2 >. m >>* >> * 2 s~» 

rip,H«fc:rip,rip, ri P. 3 d 


CO 


c1>XONO»!OOt>OCOOOCNOO(MtOcn»©COO^^O 
(MrtrHCOn rH rH rH CM CO CO OtINMlMlM rH H J3 H «! 

a £a £a <a <<a £a £ a ►? a £ 


co 
06 


icoffliNo^s^t-raoccoiNrawoot^ocOriccciNOTTXK) 

rH rH CM CM CO CM CM CM BMHHN!N-HHMri CN CO CO CM CM 

r>-> ^ >> i* 1 2 i.' ^> s-S'^t'^cj^'^ 
ri p ri p" p, « p,rip,ripg«p, 

a <a<i-,<i a < a <u g<i .-» a<< 


cm 
*T5 

CO 


cor^coiowtociOjj(NcoTii--oO'fcc^c<iN^iocoo-'CiocrxcDH 

,-H rH t— CM rH i-H rHrHCMCMlM i-H CM CM CM CMCM i-H CMCM 

^^H^» >h ^> *-* jj> fi ' JS> CSh'5< 

ri p, g ri p ri p. ri p.^ E P ri 

a <iH?a <a -<a < a ►, <a 


CO 


>C "* O •— i CO CO Oi TfiCNO CO O CM CO «5 CM CM O '(5 © -* 'O O h. 
i-H rH i-l CM CM CM CMCMCO rH rH rH r^ CM CM rH rH CO CM CM 

>% ^2>.'!^x - i 'oi^i ,: i s>> ►; >» >: >> 2 >, i ^ 

(S ftS 9,(4 p, E- iS ft ^ P-.2 P- * - ri p, 

a <-^<a<j - a a «*; a <a <a- J 2 <i 


o 
»o 
co 

-H 


«3DhO CO vO © CD >0 CD CCOfMXCOOCt^ccWt^oOCO — b-3D 

CMrHrH rH rH CO CM -H rH CM CM CM CM CM rH 

5" p.! » 6"' £;?£ ' S" £'* |p. ■ £ . 1 '"5" ' 
a <-? a <a£ a «a ££ a £ a 


G5 
CO 


CO 00 CO CM OOiO Gi CM Tt< -^t* CO tr» *^ CO O — lO t~- CO ZD -rf !>. CM 
CM i-h —< .-(CM CM CM CMCM CM COrH ^ 

t>> hri l l >> Ml lb 1 * r^fl ^ b C ^ "1 

a ^ s ^ a £ a^<j a r? a 


CO 

CO 


CMC750 CM C73COOCO>OCO CSCDcM'* t^H HtOMOCCW NiOu5 

rH CM CMrHi-KM-H HHr-H rH(NCMrHrHCM IMCI CM 

«S p, rip, dgp.rip.c8 p ri p, 

a <i a<3 a ^-< a < a<a < 


co 

rH 


IOCM CJirHCOO HNOO««M^ CMlO'O C5-H r-HKJ 0505 
rHCM CM CMrHCMrHrHCM (M(M rHCMfM CM rHrH 

a < a < a .^ a .2 a 


CD 
CO 


OH.CM CM«^>"H.r^-C^COC3CO CCCO (MCCMN'CO ir/CCh- t^l^CTJ 
rHrHCMCM CMrH rHrH NH rH rH rH CM CM rH CM CM 

>» H" 1 f * 1 >• 1 h >> ri 1 r*. | ^ 

ri p, « p, p,rip, p, 

a <ti a<j a <j a <j a < 


10 

CO 


OCO CO >C> =~. CO 1(5 CM its CO C» C75 CM »0 «5 rH 1— ncj C3J rH h CO N O ^l 
rH (M CM CM CM rH C<1 CM CM CM CM rH rH CM rH rH CM CM CM 

>? 1 U >>rH 0^ h J« 1 (I 1 >> II 

p cs p, j, p ri p. a p, ri 

a <ja«* a««a <^a <! a 


co 


H/ICMCD rHt^ COCOt>. COTt< CM H.CDUJ CIO 
rH CMCM CMrH rH rH<MCM-HCMrH 

>» t; 1 1 1 11 1111 >» 1 1 si 1 ^ 1 •„■ >> 1 

rip, C3 p, C3 p^ ri 

a < a <4 a <^ 


CO 
CO 


'O-* 'OCOC73C73'0'OC005 COiO — ffiiSH- <C^CO CM-H CO,— ICO 
CMrH CM CM rHrH CM CM CM (M CM CM CM CO (M rH rt r^ rH 

r*»l ^>>ll m 5? H" 1 ^ 1 1 t: 

a < a <i a < a it 


cm 

co 


C^l>- -rHiO l>r- i ZO f—t 'rfi O^ f— ' CO CM CT>ro 
(M CM ( i"H i-f^HrHCM CMCM 

1 p-vS I 1 1 u ^^ ^^i^ 1 1 I ^ 1 1 ^l^lll 1 

rt« Q-rfciiro^Gj pi, eg p^ 

aa ^a<ja<n a < a -^ 


00 
rH 


lO-^NCOOOHiOH CD rH OOOOt^. HI^OWiONO r— 
(MiMrHCM rHCM rH CMCM CM CM CO CNN <M rH 

t>. h^ 2lh 1 1 1 1 kb h>> Hill 

riprigri prip,ri 

a <ia n?a <;a < a 


O 
CO 


COrH OftWlONHOM OCOIOO CDCD CQfflH CO'^r^ -^i 
rHrH COrHCMCM CMCM CMrHrHtN rHrH rHrHrH CMCM CM 

t*. 1 u >>,: >>>: 1 >» i,:^!^ ^ i2^_;i 

co p_, co p^ cc p., co Qj co p^ CO ^ tC p 

a <«a<:a<t5 a <a <! a ^s<i 


Ci 
CO 

CO 


OO OOCOOCO •— ■ CDCDC005 Tji CM 1 — CM C33 

rHrH rH CM CM r.HH CM rH 

r*. 1 1 hi ^.^iiii^iii^^ k - ii>-,i2=-, is: 

ri p, rip, ri prip, ri^ri o. 

a < a<j a ^a < a ^a <i 


d 

H 
H 
of 
M 
P 
« 

m 

of 

W 

(4 




.9 <!0 " "S S ri h 
S-Sp gajgH^ ri- 

r5 •£ rt «.r5. V 3.<UH^'-;m.O'ri rQ .. .. §•- O _f2 £ 

^ Cr, »)5^^ fc,3riricpCDO := '^Cvr^'*.2 > 5ciaj>,o-_j : -- ; r 

<-<<;«<fXlUO OOrH'firHOWrtlKr^.-H' r-1 a r^ rH rH Ph «2 r» !> 



1869.] 



PUBLIC DOCUMENT— No. 23. 



107 





cS 

CD 
00 


*hNO(MI»t-HMCTJOe05)HriHOe0OOOM(O00OH(ID-J« 
r-i CM CM >-l CM i-l CM r-iCO r- 1 IN M CO (N H CO <M CM 

g <§ <! g £g <! g ^g<! 




CO 

co 
oo 


tCMWlC'Or^COO^H^t^H rt t^i CM rt r^ — "C^N-^Or- 
CM r— CM rt CM r-i rt CO CO H N CO CN r-l r-i rl — i 

rt p. rt r» rt p* rt q^ c<s rt £ rt -rt p, 03 ^ 
g <g ^g <ig<$ g gr-jg g<§ rt 


10 

May 20 

9 

Apr. 20 




CO 
CO 


«3' j ra?)OOOon'*CONCMCONWN»WNMCfflMreN 
CN CN — i — CM CM CM .-H ■-! CMr-iCM CM mMm^^m 

cd p. b p. °* P. ™ P-™ ^ ra 5 P, £ ^ « 
g -s^^S -<g <]g 1-5 g rt, <J H^g 1-j 


22 

May 12 

10 

Apr. 25 




CD 
CO 
CO 


May 20 

10 

Apr. 2 

15 

May 21 

28 

Mar. 30 

Apr. 12 

7 

11 

May 4 

Apr. 21 

May 10 

Apr. 25 
11 

May 3 


12 

Apr. 25 

22 




CO 
CO 


COt^OOiOr-mcM-*OOCOCNOt^OCOl©OiOOCD>CCMCMr^-t^ 

COrtCMrtCM <M CM NrHNrHHrHrHNf^CM'-f CM >— 

c3 rarcp^rtp^t-p, ci p, rt p. cs d3 p^ra 

g gg-<g«;gg-< g <j g -<gg <<g 


■HioMN 
r-i CM CM rt 

U 

P. 

< 




CO 

co 


May 19 

14 

Mar. 28 

May 28 

3 

27 
Apr. 29 
May 7 
Mar. 24 
May 16 
Mar. 27 
Apr. 7 

28 
May 21 

23 

21 
Apr. 18 

20 
May 21 

31 
Apr. 21 

19 
May 17 

10 
8 

27 

19 

8 

5 

Apr. 21 




CO 
CO 
00 


Apr. 18 
May 28 

23 
3 

Apr. 13 

May 16 

Apr. 24 

13 

May 20 
26 

20 

20 
26 

Apr. 23 

May 10 
28 


10 

12 

Apr. 27 




May 18 
Apr. 10 
May 27 

4 
26 

9 

Apr. 15 

May 10 

Apr. 27 

17 

May 25 
26 

22 

20 
31 

Apr. 20 

May 18 
11 
28 


11 
Apr. 27 

27 




CN) 

CO 
00 




May 24 
Apr. 11 
May 30 

28 

12 
Apr. 12 
May 14 
Apr. 25 

11 

June 4 
May 28 

26 
June 8 
Apr. 17 

May 16 
June 8 


May 12 

9 

Apr. 28 




CD 

oo 




May 10 

11 

April 4 

June 1 

May 3 

19 

4 

Apr. 14 

May 3 

Apr. 23 

6 

May 23 
18 
23 

Apr. 22 

May 18 
20 

April 8 

May 5 

5 

31 


7 
Apr. 28 




© 

CO 

oo 




C5 

co 


May 8 

10 

April 2 

May 26 

4 

25 

4 

5 
Mar. 31 
Apr. 13 

May 24 
22 
22 

17 
26 

Apr. 24 

May 7 
31 


CDtJI ■* 
1 




CO 

oo 


May 17 

15 

Feb. 13 

Apr. 26 

May 1 
10 
April 1 
May 7 
April 6 
3 

May 25 
28 

16 

April 1 

28 
May 1 


Apr. 30 
May 5 
Apr. 29 




"O CM CN CO CO >C Ci CO CO CM CD -H Ci t"- CO CD CM CM ■* >o CM 
CM H CM r-i CO CMCMCN CM Nhhh 

^ ^c^Si? i^^i >. ii il £» a 


r— CM IC CM 
MCM r-i 

g 




oo 




CD 
00 


CTNMH OCOCOCD-*CMCOCOrtiCrt»>- -*— iGSClCOMM COO tOWJlO 

CMi-HCMCO CM r-, —1 r-l CM<Mi-l CM CO r-l r-l r-l r-i i-H I-H r-l 

c; p. rt p. rt p. c* g rt p, rt p\ 5 aSp.co 

g <g «5§ <:g£g *< g <i £ g<<g 




d 

H 
W 

to 
« 
P 

« 

ffl 

of 
w 

9 


a « 

bo « 5*5 




Almond, Floweri 
Apple, 

Arbutus, Trailing 
Ash, Mountain, 
Bloodroot, . 
Calicanthus, 
Cherry, 

" Wild, 
Crocus, 

Currant, Missoui 
Dandelion, . 
Daphne Mezereo 
Fever Bush, 
Geranium Macul; 
Honeysuckle, Ta 
Horse-Chestnut, 
Hyacinth, . 
Leatherwood, 
Lilac, . 

" Persian, 
Liverwort, . 
Maple, Red, 
Narcissus, . 
Peach, 

Pyrus Japonica, 
Rose, Russian, 

" Scotch, 
Shad Bush, 
Violet, Blue, 
Wind Flower, 



108 LUNATIC HOSPITAL AT WORCESTER. [Oct. 



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 Probate Court, in and for the County 

of 

of on oath complains 

that of , in said county 

of , is an insane person, and a proper subject for the treatment 

and custody of the Worcester Lunatic Hospital. 

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

, ss. A. D. 186 . 

Then the above named made oath that 

the above complaint, by h subscribed, is true. 

Before me, Justice of the Peace. 

I, the subscriber, one of the selectmen of 
where said resides, hereby acknowledge 

that notice has been given to me of the intention to present the foregoing 
complaint and application. 



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 V Ans. 

Character — whether mild, violent or dangerous ? Ans. 



1869.] PUBLIC DOCUMENT— No. 23. 109 

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. 



PHYSICIANS' 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 Hosjjital. 

A. D. 186 . 

, ss. A. D. 186 . 

Then the above named 

made oath that the above certificate is true. 

Justice of the Peace. 



Commonwealth of Massachusetts. 

ss. At , in said county on the 

day of A. D. 186 . 

On the application of for the commitment 

of of in said county, to the Worcester 

Lunatic Hospital, ; notice in writing having been 

given by said applicant to one of the selectmen of 

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 appeai-s, 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. 



110 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

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 

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- 



1869.] PUBLIC DOCUMENT— No. 23. Ill 

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. 1SG . 

, Principal. 
, Surely. 



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. 



Ifawto***-