(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"



.-' ' :;: - .:• 



-L5£ 






PUBLIC DOCUMENT.... ....No. 23. 



FORTY-FIFTH ANNUAL EEPORT 



THE TRUSTEES 

OF THE 

WORCESTER LUNATIC HOSPITAL 



WOECESTEE. 



For the Year ending September 30, 1877. 



BOSTON: 

RAND, AVERY, & CO., PRESTTERS TO THE COMMONWEALTH, 

117 Franklin Street. 

1878. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportoftr43stat 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 



Prof. JAMES B. THAYER . 
EOBERT W. HOOPER, M.D. 
Gen. WILLIAM S. LINCOLN 
THOMAS H. GAGE, M.D. . 
Hon. JOHN D. WASHBURN 



Cambridge. 

Boston. 

Worcester. 

Worcester. 

Worcester. 



RESIDENT OFFICERS. 



BARNARD D. EASTMAN, M.D 
JOHN G. PARK, M.D. . 
HOSEA M. QUINBY, M.D. 
W. H, RAYMENTON, M.D. 
DANIEL W. BEMIS . 
MARIA L. WARREN 
CLARENCE BUFELNTON 
ALPHEUS YOUNG . 
FRED LANE . 



Superintendent. 

Assistant Superintendent. 

Assistant Physician. 

Assistant Physician. 

Steward. 

Matron. 

Clerk. 

Engineer. 

Farmer. 



TREASURER. 



ALBERT WOOD 



Worcester. 



tfommimtDealtl) of iilasscul)U0£tt0. 



TRUSTEES' REPORT. 



To His Excellency the Governor and (lie Honorable Council. 

The Trustees of the Worcester Lunatic Hospital respect- 
fully submit their Forty-fifth Annual Report. 

The reports of the Superintendent and Treasurer are here- 
with submitted, and reference is made to them for full infor- 
mation as to the transactions of the institution during the 
past year. It is believed that an examination of them will 
show good results of treatment, and sound financial man- 
agement. 

The fiscal year closes on September 30, and all accounts 
are made up to that date. The statute establishing an 
Asylum for the Chronic Insane, and appropriating the build- 
ings heretofore used by the Worcester Lunatic Hospital for 
that purpose, took effect September 1, 1877; but it was 
found impossible to occupy it for that purpose till after the 
first of October. No accounts relating to it can therefore be 
included in this Report ; but it may be stated that on the 
twenty-third day of October it was opened for the uses con- 
templated by the statutes, and is now in full and satisfactory 
operation, to the great relief of the lunatic hospitals, and 
with every prospect of advantage to the Commonwealth. 
The Trustees have appointed John G. Park, M.D., heretofore 
the efficient and valued Assistant Superintendent of the 
Worcester Lunatic Hospital, to be the Superintendent, and 
Dr. Enoch Q. Marston, late Assistant Physician at the State 



6 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Almshouse at Tewksbury, to be Assistant Physician, of the 
Asylum for the Chronic Insane. In their next annual 
report, full particulars will be given of the operations of 
this institution. 

The Trustees have addressed themselves with fidelity, and 
with such ability as they possess, to the work of completing 
the new hospital, which has been in process of construction, 
under their direction and authority, during the past five 
years. It was occupied by patients on the twenty-third of 
October ; and, though the Trustees claim no credit to them- 
selves beyond a faithful devotion to the interests of the Com- 
monwealth in all matters relating to the character of the 
work, and the economy with which all its details have been 
carried out, it is believed it will prove to be one of the 
best working institutions in the country for the purposes for 
which it was designed. 

The amount of the appropriations made by the 
Legislature to carcy out the purposes of the 
original Acts for the construction of this Hospi- 
tal, is $1,167,387 75 

And the last Legislature (Resolves of 1877, c. 65) 
appropriated $30,000 "to the Trustees of the 
Worcester Lunatic Hospital, for the purchase of 
such additional furniture as may be required in 
consequence of the establishment of the Tempo- 
rary Asylum for the Chronic Insane," which 
now occupies the old buildings . . . 30,000 00 

Making the whole amount appropriated and avail- 
able for the building and furnishing of the hos- 
pital " . . . 1,197,387 75 

Of this amount, as appears by our last annual re- 
port, there had been expended at the close of 
the fiscal year, ending September 30, 1876 . 879,299 74 

During the fiscal year ending September 30, 1877, 
there has been expended and charged to the gen- 
eral appropriation, the sum of . . . . 174,605 40 

And charged to the special appropriation of 1877 17,038 00 

Making the total amount expended for construc- 
tion and furnishing to September 30, 1877 . 1,070,943 14 

Leaving a balance in the hands of the Trustees, 
September 30, 1877, from the whole amount ap- 
propriated, of . . .... . . 126,444 61 



1877.] 



PUBLIC DOCUMENT — No. 23. 



Under the classification adopted in the last report, the 
total amount has been expended as follows : — 

Land $112,247 71 

Barns and cottages 18,873 74 

Grading, excavating, &c 70,435 77 

Foundations 35,281 73 

Superstructure, masonry ..... 364,551 17 

Carpentry 198,192 88 

Painting, windows, guards, &c 32,307 28 

Water, gas, drainage 55,192 85 

Heating and ventilating 56,556 69 

Plastering 43,728 89 

Architects, engineers, overseers, &c. . . . 28,460 21 

Eoad, and grading pertaining thereto . . . 9,589 07 

Machinery 10,099 44 

Miscellaneous 15,149 42 

Expenses laying out old land, and constructing 

streets . . . ... . . 3,238 29 

Furniture 17,038 00 

Total $1,070,943 14 



Of the amount which remained unexpended on September 
30, 1877, a considerable sum has since been paid out, or will 
be required before the close of the year, to meet payments 
on existing contracts, or for work already undertaken. 
There will remain, however, on the first of January, 1878, 
from $50,000 to $60,000 of the appropriation unexpended, 
which will, by limitation, lapse into the treasury. This sum 
it will, in the judgment of Trustees, be desirable to have re- 
appropriated, as an expenditure for out-door work will be 
required next season, which could not profitably be under- 
taken this year ; especially for airing-courts, completion of 
grounds, finishing roads, walls, &c. 

It should be observed that the amount charged in the con- 
struction account, for " lajdng out old land," is not properly 
a part of the cost of the new building and grounds. It 
appears in the account for the following reasons. 

In accordance with the provisions of an Act of the Legis- 
lature, the Governor and Council ordered that the sum of 
),000 be credited to the fund for building the new hospital, 



8 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

as compensation for the site occupied by the State Normal 
School, which amount was to include the construction of 
" suitable streets to and around said land." The full sum 
of $25,000 having been credited to this fund, the expense of 
laying out and constructing the streets was, as matter of 
book-keeping, charged to the same fund, though forming no 
part of the cost of the new hospital. 

The legal disability of the holder to receive payment of 
the note of $2,500, given by the Trustees, for land pur- 
chased of John Bartlett, still continues, and that note there- 
fore remains unpaid. 

The Hospital continues in charge of Dr. B. D. Eastman as 
Superintendent. Dr. H. M. Quinby has been appointed 
First Assistant Physician, and Dr. A. R. Moulton is acting, 
under the authority of the Trustees, as Second Assistant. 

JOHN D. WASHBURN. 
R. W. HOOPER. 
WM. S. LINCOLN. 
THOMAS H. GAGE. 
JAMES B. THAYER. 



1877.] 



PUBLIC DOCUMENT — No. 23. 



OFFICERS AND THEIR SALARIES. 



B. D. Eastman, M.D. (Superintendent) 

J. G. Park, M.D. (Assistant Superintendent) 

H. M. Quinby, M.D. (Assistant Physician) 

W. H. Raymenton, M.D. (Assistant Physician) 

Daniel W. Bemis (Steward) 

Maria L. Warren (Matron) 

Clarence Buffinton (Clerk) 

Alpheus Young (Engineer) 

Fred Lane (Farmer) . 

Albert Wood (Treasurer) . 



$2,500 00 

1,500 00 

1,000 00 

600 00 

1,200 00 

450 00 

400 00 

1,200 00 

700 00 

500 00 



VALUE OF LIVE STOCK AND SUPPLIES, 

September 30, 1877. 



Live stock 

Produce of farm on hand . 

Carriages and agricultural implements 

Beds and bedding in inmates' department 

Other furniture in inmates' department 

Personal property of the State in Superintendent's 

department* . 
Dry goods . 



Provisions and groceries 
Drugs and medicines . 
Fuel . . . ' . 



Library 
Ready-made clothing 



Total 



$5,195 00 

4,235 88 

5,118 00 

13,192 00 

10,239 32 

12,300 15 

1,170 54 

3,910 96 

350 00 

3,074 00 

750 00 

338 00 

$59,873 85 



* Including all personal property not coming under the two previous classes. 
2 



10 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 September 30, 1877. 

Receipts. 

Cash on hand September 30, 1876 .... $33,166 49 
received of the Commonwealth for support of 

patients 10,182 23 

received of cities and towns for support of patients 62,450 71 

received of individuals for support of patients . 35,587 64 

received for interest and sale of produce, etc. . 3,614 30 



$145,001 37 



The expenditures for the year have been as follows : — 



Provisions. 
Flour, 619 barrels, at $8.37 per barrel 
Meat of all kinds 
Meal for cooking 
Beans, potatoes, and other vegetables 
Fish 
Sugar 

Molasses and sirup 
Tea 

Coffee and chocolate 
Rice and crackers 
Butter 

Amount carried forward 



$5,186 


75 


10,743 


18 


468 


13 


1,402 


96 


1,120 


76 


3,261 


48 


647 


53 


1,206 


04 


712 


83 


615 


88 


4,702 


94 



),068 48 



1877.] 



PUBLIC DOCUMENT — No. 23. 



11 



Amount brought forward 
Vinegar and pickles . 
Cheese 

Fresh fruits .... 
Eggs, salt, and other groceries . 

Total for provisions . 

Salaries and wages . 

Extra labor .... 

Provender and bedding for stock 

Furniture, crockery, bedding, etc. 

Light ..... 

Soap ..... 

Medical supplies 

Live-stock .... 

Carriages, harness, blacksmithing, etc. 

Improvements and repairs 

Books, stationery, and printing 

Travelling and transportation . 

Fuel 

Freight and express 

Ice . 

Trustees' expenses 

Miscellaneous . 



Clothing and materials 
Undertaker's charges 
Furnished to patients on account 
Interest and money refunded 



Cash on hand September 30, 1877 



Resources. 
Cash on hand ..... 
Due from the Commonwealth . 

from cities and towns 

from individuals 



$30,068 


48 


06 


56 


401 


29 


349 


42 


2,754 


07 


$33,639 82 


35,424 


20 


75 


19 


1,497 


90 


2,782 


51 


2,632 


04 


957 


23 


832 


36 


981 


00 


1,287 


98 


3,196 


69 


775 


51 


13 


35 


8,867 


37 


54 


83 


555 


13 


264 


36 


1,860 


22 


$95,697 69 


5,358 


44 


491 


50 


378 


58 


607 


77 


$102,533 


98 


42,467 


39 


$145,001 


37 


$42,467 


39 


2,978 


25 


17,190 


85 


8,926 


97 



Amount carried forward 



,563 46 



12 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Liabilities. 

Amount Drought forward $71,563 46 

Due for supplies . . . * . $6,556 56 

for salaries and wages . . . 3,288 53 

9,845- 09 



$61,718 37 
Invested funds, market value 5,627 27 



17,345 64 



Respectfully submitted. 

ALBERT WOOD, Treasurer, 
Worcester Luxatic Hospital, October 1, 1877. 



1877.] PUBLIC DOCUMENT — No. 23. 13 



SUPERINTENDENT'S REPORT. 



To tlie Board of Trustees of the Worcester Lunatic Hospital. 

Gentlemen: — The expiration of another hospital year 
calls for the Forty-Fifth Annual Report, which is respectfully 
submitted. 

During the last few months, the work of preparing the 
new building for occupation has been pushed as vigorously 
as possible, and it was first occupied on the 8th of October 
by your Superintendent and a few assistants. The first 
patients were removed from the old building on the 16th of 
October, and the transfer completed, without any accident, 
October 23 ; four hundred and thirty patients having been 
removed to the new building and one hundred left as a 
nucleus for the Asylum for Chronic Insane, which occupies 
the old building, in accordance with the provisions of an Act 
passed by the last Legislature. 

This extra labor, coming at the time when the Annual 
Report should be prepared, must be my excuse for the brev- 
ity of this document, and the unusual delay in presenting it 
to your Board. 



14 LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 1. 

Showing the General Results during the Year. 





Males. 


Females. 


Total. 


Patients in the hospital, October 1, 1876 


249 


238 


487 


Admitted during the year * . 


177 


177 


354 


Whole number under treatment 






426 


415 


841 


Discharged recovei'ed . 






38 


34 


72 


improved . 






58 


39 


97 


not improved 






31 


43 


74 


died . 






43 


26 


69 


not insane . 






- 


1 


1 


Whole number discharged f 






170 


143 


313 


Remaining September 30, 1877 






256 


272 


528 


Largest number on any day, June 13 




255 


278 


533 


Smallest number on ( Nov. 30, 7 . , . 

i < -rw n r inclusive 
any day . . ( Dec. o, > 








242 


241 


483 


Daily average during the year 


247.09 


259.37 


506.46 


of State patients . 


26.97 


26.57 


53.54 


of town patients 


168.11 


161.55 


329.66 


of private patients . 


52.01 


71.25 


123.26 



* Including three re-admissions within the year, and eight nominal admissions of patients 
discharged to be committed. 
t Including two by elopement. 



Table No. 2. 
Shoiving the Complications in the Cases admitted during the Year 



Epileptic ....... 


4 


7 


11 


Epileptic and homicidal 








5 


- 


5 


Paralytic 








8 


■ 7 


15 


Paralytic and homicidal 








o 


- 


o 


Suicidal 








16 


28 


44 


Homicidal . 








32 


12 


44 


Suicidal and paralytic . 








- 


1 


1 


Suicidal and homicidal 








5 


4 


9 


Total number of cases epileptic 






9 


7 


16 


Total number of cases paralytic 






10 


8 


18 


Total number of cases suicidal 






21 


33 


54 


Total number of cases homicidal 






44 


16 


60 



1877.] 



PUBLIC DOCUMENT — No. 



15 



Table No. 3. 

Showing the Relations of the Patients admitted, to Institutions 

of this Kind. 





Males. 


Females. 


Total. 


Never before in any hospital 


123 


138 


261 


Former inmates of this hospital . 


39 


31 


70 


of other hospitals in this 
State .... 


7 


6 


13 


of this hospital and of other 
hospitals in this State 


6 


_ 


6 


of other hospitals in this 
State and hospitals in 
other States 


2 


1 


3 


of this hospital and of hos- 
pitals in other countries . 


- 


1 


1 


Totals 


177 


177 


351 



Table No. 4. 

/Showing the Sources from which the Patients admitted were 
directly drawn. 



From the general population 

McLean Asylum for the Insane . 

Ipswich Receptacle .... 

Houses of Correction .... 

State Prison ..... 
Re-admitted without discharge from hospital, 


158 
1 
1 
14 
2 
1 


168 
1 

1 

7 


326 
2 
1 
15 
2 
8 


Totals 


177 


177 


351 



Table No. 5. 

Showing by whom the Patients, remaining at the End of the 
Year, are supported. 



By the State (State patients) 
Town (town patients) 
Friends (private patients) 


28 

176 

52 


23 
179 

70 


51 
355 
122 


Total 


256 


272 


528 



16 LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 6. 

Showing the Alleged Causes of Insanity in the Number of Cases 
admitted during the Tear. 





NUMBER OF CASES. 


NUMBER PREDISPOSED. 


CAUSES. 










Males. 


Females. 


Males. 


Females. 


Abortion ..... 


- 


1 


- 


_ 


Army life 






1 


- 


- 


- 


Apoplexy 






- 


1 


- 


- 


Business anxiety . 






5 


- 


2 


- 


Confinement in prison . 






1 


- 


1 


- 


Congenital . 






1 


- 


- 


- 


Disappointed affection . 






- 


3 


- 


- 


Domestic trouble . 






2 


4 


- 


- 


Epilepsy . . . 






8 


4 


2 


3 


Excitement . 






1 


- 


- 


- 


Grief .... 






2 


5 


- 


- 


General paralysis . 






4 


- 


- 


- 


Hereditary . 






9 


21 


9 ' 


21 


Ill health 






8 


10 


5 


3 


Injury to head 






2 


1 


- 


1 


Intemperance 






23 


4 


8 


1 


Masturbation 






8 


1 


- 


- 


Nervous debility . 






1 


4 


- 


- 


Old age 






- 


2 


- 


- 


Overwork 






7 


5 


1 


3 


Paralysis 






1 


4 


- 


- 


Puerperal 






- 


10 


- 


2 


Religious excitement 






5 


7 


4 


3 


Sunstroke 






2 


- 


- 


- 


Syphilis 


'■ 




1 


- 


- 


- 


Tobacco 






1 


- 


- 


- 


Turn of life . 






- 


7 


- 


- 


Uterine disease 






1 


3 


- 


- 


Unascertained 






84 


80 


- 


- 


Total . 


177 


177 


32 


37 



1877.] 



PUBLIC DOCUMENT — No. 23. 



17 



Table No. 7. 

Showing the Ages of Patients admitted, discharged recovered, not 
recovered, and died during the Year. 



AGES. 


Admitted. 


Discharged re- 
covered. 


Discharged not 
recovered. 


Died. 




Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


From 15 to 20 


9 


16 


3 


3 


5 


5 


- 


2 


20 to 30 


50 


47 


13 


11 


26 


17 


7 


- 


30 to 40 


52 


29 


14 


8 


21 


23 


6 


5 


40 to 50 


36 


46 


5 


6 


20 


22 


11 


7 


50 to 60 


19 


17 


2 


2 


11 


10 


11 


2 


60 to 70 


5 


14 


- 


4 


5 


3 


5 


4 


70 to 80 


4 


4 


1 


- 


1 


3 


1 


3 


80 to 90 


2 


4 


- 


- 


- 


- 


2 


3 


Total 


177 


177 


38 


34 


89 


83 


43 


26 



Table No. 8. 

Showing the Duration of Insanity before Admission of Patients, 
admitted, discharged recovered, not recovered, and died during 
the Year. 





Admitted. 


Discharged re- 
covered. 


Discharged not 
recovered. 


Died. 


DURATION OF INSANITY. 




















"Hi 


at 

1 

a> 
Em 


a> 
3 


s 


jo3 


el 

1 


09 


ID 

'a 

a 

Em 


Insane one year or less, 


100 


100 


23 


25 


41 


29 


11 


3 


More than 1 year and 


















less than 2 years 


13 


27 


8 


5 


11 


16 


10 


4 


More than 2 years and 


















less than 5 years 


17 


21 


3 


2 


17 


20 


11 


9 


More than 5 years and 


















less than 10 years . 


7 


9 


3 


— 


3 


7 


2 


2 



18 LUNATIC HOSPITAL AT WORCESTER. [Oct. 
Table No. 8. — Concluded. 





Admitted. 


DISCHARGED RE- 
COVERED. 


Discharged not 
recovered. 


Died. 


DURATION OF INSANITY. 




















CD ' 


<D 

"3 
1 




1 


e3 


1 


3 


tS 

a 

Pa 


More than 10 years and 


















less than 15 years . 


5 


7 


- 


- 


2 


6 


2 


2 


More than 15 years and 


















less than 20 years 


3 


5 


1 


1 


4 


2 


4 


o 


More than 20 years and 


















less than 25 years 


2 


1 


- 


- 


3 


1 


2 


2 


More than 25 years and 


















less than 30 years . 


- 


- 


- 


- 


- 


- 


- 


1 


Thirty years or more . 


1 


1 


- 


1 


- 


- 


- 


1 


Unknown . 


29 


6 


- 


- 


8 


2 


1 


- 


Total . 


177 


177 


38 


31 


89 


83 


43 


26 



Table No. 9. 

Showing the Civil Condition of Patients admitted, discharged 
recovered, not recovered, and died during the Year. 



CIVIL 
CONDITION. 


Admitted. 


Discharged re- 
covered. 


Discharged not 
recovered. 


Died. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Unmarried 

Married 

Widowers 

Widows 

Divorced 

Unknown 


73 

86 

7 

1 
10 


82 
64 

29 
1 
1 


22 

12 

4 


12 

19 

3 


44 

42 

2 

1 


32 
35 

16 


11 

26 
6 


8 

11 

5 

2 


Total . 


177 


177 


38 


34 


89 


83 


43 


26 



1877.] 



PUBLIC DOCUMENT — No. 23. 



19 



Table No. 10. 

Showing the Occupation of Patients admitted during the Year. 

Males. 



Barber ..... 1 


Moulders .... 2 


Blacksmith . 






1 


Musician 








1 


Book-keeper . 






1 


Operatives in 


milk 






8 


Broker . 






1 


Painters 








6 


Butchers 






3 


Peddlers 








1 


Carpenters . 






6 


Pilots . 








2 


Carriage-maker 






1 


Porter . 








1 


Clergyman . 






1 


Printers 








4 


Clerks . 






7 


Sail'maker 








1 


Confectioner 






1 


Salesmen 








2 


Cooper . 






1 


Shoemakers 








16 


Curriers 






5 


Stonecutter 








2 


Dentist . 






1 


Student 








1 


Engraver 






1 


Tailors 








3 


•Farmers 






12 


Teacher 








1 


Fishermen 






5 


Turner . 








1 


Grocer . 






1 


Weavers 








9 


Harness-maker 






1 


Wheelwright 






1 


Laborers 






26 


No occupation 






11 


Machinists 






6 


Unknown 






6 


Masons 






4 





Mechanics 






6 


Total . . . .177 


Merchants 






6 





Females. 



Book-keeper . 


1 


Students 


3 


Clerk .... 


1 


Teachers 


3 


Domestics 


35 


Telegrapher . 


1 


Dressmakers 


2 


No occupation 


. 37 


Housekeepers 


70 


Unknown 


1 


Operatives in mills 


15 







Proof-reader 


1 


Total . 


. 177 


Seamstresses 


7 







20 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 11. 

Showing the Diseases which have proved Fatal during the Year. 



DISEASES. 



Acute mania ........ 

Acute melancholia ....... 

Apoplexy . . . . . . 

Cancer . . . 

Chronic bronchitis ....... 

Epilepsy 

Exhaustion of chronic insanity . . . , 
Erysipelas ........ 

General paralysis ....... 

Gunshot wound of head, inflicted before admission. 

Heart disease 

Paralysis 

Pneumonia ........ 

Phthisis .......... 

Pleurisy . . 

Typhoid fever ....... 

Senility ......... 

Total 



4 
1 
1 

1 
2 
6 
1 
14 
1 
1 

3 
3 
1 
1 
3 



43 



7 
1 
2 
1 
1 
5 

10 
1 

17 
1 
1 
3 
4 
4 
1 
4 
6 



26 



69 



Table No. 12. 

Showing the Admissions from each County during the Year. 



COUNTIES. 


Males. 


Females. 


Total. 




41 


38 


79 




- 


1 


1 




65 


68 


133 


Norfolk 


2 


4 


6 




- 


2 


2 


Suffolk 


7 


5 


12 




62 


59 


121 


Total 


177 


177 


354 



1877.] 



PUBLIC DOCUMENT — No. 23. 



21 



Table No. 13. 

Showing the Whole Number of Patients during each Year, the 
Average Number, the Number at the End of each Year, the Ex- 
penses of each Year, the Annual Expense of each Patient, and 
the Expense of each Patient per Week for each of the Forty-Jive 
Years the Hospital has been in Operation. 



TEAKS. 


o 


■Q 

a 

a 

a 

0> 

to 

cj 
a> 
> 
< 


a . 

*> u 

s <* 
a o 


(V 

§ 1 

a g 

a o 
o 


a "S 
m S 

a g 
a a 


H 5 


1833 . 


153 


107 


114 


$12,272 91 


$114 67 


$2 25 


1834 






233 


117 


118 


15 


840 97 


136 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 32 


1841 






399 


233 


232 


28 


847 62 


123 81 


2 38 


1842 






430 


238 


238 


29 


546 87 


111 12 


2 13 


1843- 






458 


244 


255 


27 


914 12 


114 40 


2 20 


1844 






491 


261 


263 


29 


278 75 


112 17 


2 15 


1845 






656 


316 


360 


43 


888 65 


138 88 


2 66 


1846 






637 


359 


367 


39 


870 37 


111 06 


2 13 


1847 






606 


377 


394 


39 


440 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 62 


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 


1870 






760 


396 


408 


75 


715 51 


191 20 


3 68 


1871 






879 


439 


421 


96 


455 69 


219 27 


4 22 


1872 






864 


450 


439 


92 


533 93 


205 63 


3 95 


1873 






846 


-453 


469 


95 


196 83 


210 14 


4 04 


1874 






869 


476 


485 


101 


463 68 


213 16 


4 10 


1875 






847 


487 


478 


100 


680 39 


206 74 


3 98 


1876 






829 


500 


487 


94 


446 59 


188 89 


3 64 


1877 






841 


506 


528 


95 


697 69 


189 12 


3 64 



22 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

The foregoing table shows the average weekly expendi- 
ture per patient to be the same as last year. In fact, the 
minimum, compatible with due regard to the welfare of our 
patients, under the circumstances in which we have been 
placed, had been reached. It should not be forgotten, that 
at the old building, with an average of about four hundred 
and seventy-five inmates (not including those at the cottages), 
there were almost fifty per cent more patients than the house 
could properly accommodate ; or, in other words, the space, 
and heat, and light, and service, &c, that belonged to two 
patients were given to three. In our present quarters, under 
circumstances more favorable for the physical and mental 
comfort of our inmates, increased expenditure must be 
expected ; but the aim must be to keep it within reasonable 
limits. 

At this writing we have occupied our new building, with 
all our family, but a week. Many months will elapse before 
all the multifarious details of such an establishment are 
fully adjusted, and the wheels move with only the usual 
friction. In looking back upon the work of planning, 
erecting, furnishing, and occupying new buildings, it is a 
source of congratulation that the work has been carried on 
so successfully and satisfactorily. The success of the whole 
project is yet to be demonstrated, and to that end we now 
devote our energies. 

B. D. EASTMAN, 

Superintendent. 

Worcester Lunatic Hospital, ^ 
Worcester, October 30, 1877. J 



1877.] PUBLIC DOCUMENT — No. 23. 23 



SUGGESTIONS TO FKIENDS OF PATIENTS. 



Persons should never be brought to the hospital except in strict 
compliance with the requirements of the law. Blank forms of 
admission, and all necessary information, will be furnished upon 
application to the Superintendent. 

No deception should ever be used in conve} T ing a patient to the 
hospital. Let all arrangements be properly made ; and with suffi- 
cient assistance to control excitement, should any arise, let the 
persons be plainly but kindly told they are to go to the hospital. 
No continued resistance will ordinarily be made; but, if it become 
necessaiy, better use force than fraud. Do not call upon an officer 
for assistance, if it can be avoided ; the hospital is not a penal 
institution. 

If possible, some person should come with the patient who can 
give a correct histoiy of the case. Efforts should be made to 
inculcate the idea that the officers and employes of the hospital 
will be kind and friendby, and endeavor to promote the best inter- 
ests of those under their charge. 

An abundance of underclothing should be brought with every 
patient, especially if they are at all disposed to derange their 
dress, together with suitable outer garments for ordinary wear, 
and for attending lectures and religious services, if their condi- 
tion will admit, Jewelr}*, superfluous articles of dress, knives, 
&c, should not be brought, as they are liable to be lost, and the 
hospital will not be responsible for them. All practicable care 
will be taken to avoid loss or destruction of clothing, &c. ; but it 
cannot be entirely avoided. 

All packages sent by express to patients should be paid through, 
and plainly directed to the person for whom they are intended, 
care of Worcester Lunatic Hospital, Worcester, Mass. 

All letters for patients should be placed in an unsealed envelope, 
directed to the patient, and the whole placed in another envelope 
addressed to the Superintendent. Neither money nor postal- 
stamps should be sent directly to patients, but may be sent to the 
Superintendent for their benefit. 

In all cases which have been at the hospital but a short time, or 



24 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

are subject to periodical attacks of excitement, friends should 
ascertain their condition, and the propriety of visiting them, before 
coming to see them. No objection will be made to a reasonable 
amount of visiting to such patients as will not be injuriously 
affected thereby. 

No letters written about persons while at the hospital should be 
shown them after their discharge. 

The Worcester Lunatic Hospital, which has been in existence 
forty-five years, has removed to its new buildings, near Lake 
Quinsigamond, about one and one-half miles from the Union 
Passenger Station, and is prepared to offer special accommodations 
to those who desire them. 

In order to avoid confusion in correspondence, care should be 
taken to give the proper address. 

B. D. EASTMAN, 

Superintendent. 

Worcester Lunatic Hospital, ^ 

Worcester, Mass. ) 



1877.] PUBLIC DOCUMENT — No. 23. 25 



CONCERNING ADMISSION TO THE HOSPITAL. 



The laws of the Commonwealth prescribe three methods by which 
a person may be placed in the hospital, — 

First. By Order of Court. 

Second. By Friends. 

Tliird. By Overseers of the Poor. 

First. By Order of Court. 

Any of the judges of the supreme judicial, superior, and probate 
courts, and any trial justice of juvenile offenders of Suffolk County, 
may commit a person to the hospital. 

Commitments are usually made by the judges of probate court, 
the form of application, with the necessary accompanying certifi- 
cates, being as follows : — 

[The applicant must answer in writing the printed interrogatories accompanying this 

blank.] 

To the Honorable 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. 187 . 

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 mayor of the city of 

, where said resides, hereby acknowledge that notice 

in writing has been given to me of the intention to be present the foregoing 
complaint and application. 

A.D. 187 . 



26 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

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

The subscriber, having made application to your honor for the commit- 
ment 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. 

Married, or single ? Ans. 

Occupation ? Ans. 

Supposed cause of disease ? Ans. 

Duration ? Ans. 

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

Homicidal, or suicidal ? Ans. 

Paralytic, or epileptic ? Ans. 

Previous existence of insanity in the lunatic ? Ans. 

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

Habits in regard to temperance ? Ans. 

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

(If a •woman.) 
Has she ever borne any children ? Ans. 
How long since the birth of her last child ? Ans. 

Name and post-office address of some one 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 settlements, see Gen. Stat., chap 69. 
Supplement to Gen. Stat., 1868, chap. 328. 

" " 1870, " 392. 

" " 1871, " 379. 

" " 1874, " 274.] 

Applicant. 
Physicians' Certificate. 

The subscribers, 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 
the said is insane, and a proper subject for the treatment and 

custody of the Worcester Lunatic Hospital. 



ss. A.D. 187 . 

Then the above-named and made oath that the 

above certificate is true. 

Justice of the Peace. 

Commonwealth of Massachusetts. 

ss. 

At m said county, on the day of A.D. 1S7 . 

On the application of for the commitment of of 

in said county, to the Worcester Lunatic Hospital, ; 



1877.] PUBLIC DOCUMENT— No. 23. 27 

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 received all necessary 

notice of the time and place appointed for hearing, it appears upon a full 
hearing that said is an insane person, and a proper subject for the 

treatment and custody of the Worcester Lunatic Hospital. 

Therefore, it is ordered that said be committed to the said 

Worcester Lunatic Hospital. 

Judge of the Probate Court. 



Second. By Friends — Private Patients. 

For the admission of private patients, application must be made 
by relative, guardian, or friend, and certificate of insanity, acknowl- 
edgment of notice to selectmen or rnayor, and satisfactory bond 
for support, must be given according to the following form : — 

Commonwealth of Massachusetts, 
[state seal.] 

The Worcester Lunatic Hospital. 

In consideration of the admission of of in the county 

of as a patient at the Worcester Lunatic Hospital, at Worcester, 

we, the undersigned, promise to pay to the treasurer of said hospital the rate 
of board which may from time to time be determined by the trustees of said 
hospital, for said patient, so long as he shall continue a boarder in said 
hospital, with such extra charges as may be occasioned by the necessity of 
giving h more than ordinary care or attention ; to provide to pay for all 
clothing or other things necessary or proper for h health and comfort ; to 
pay for all damages which he may do to furniture or other property of said 
hospital ; to pay for reasonable charges in case of elopement, and funeral 
expenses in case of death ; and to remove h ' from the hospital whenever 
the room occupied by h shall be required for a class of patients having 
preference by law, or who, in the opinion of the superintendent, should be 
received. We also promise that if, against the advice of the superintendent, 

he be removed, either by us or by any of h friends, before the expiration 
of three calendar months, we will pay board for thirteen weeks. 

Payments to be made quarterly, and at the time of removal, with interest 
on each bill from and after the time at which it becomes due. 

Witness our hands, this day of a.d. 1S7 . 

Attest: Principal. 

[Post-office address.] 



[Post-office address.] 



Surety. 



If it becomes necessary to communicate with any friend of the patient, 
address — 



28 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Statement of an applicant for the admission of , an 

insane person, to the Worcester Lunatic Hospital: — 

Age of the insane person Occupation, 

Birthplace, Kesidence, 

Civil condition (single, married, widowed, or divorced), 

Is this the first attack of insanity? Other attacks, and when, 

Supposed cause of insanity, 

Duration of this attack, 

Character of insanity, — whether mild, violent, or dangerous, 
Homicidal, or suicidal, 
Paralytic, or epileptic, 
Having delusions or hallucinations, 

Habits in regard to ardent spirits, opium, and tobacco, 

Natural eccentricities of temper, thought, or action, 

Any serious disease or bodily injury heretofore, 

Previous or present insanity in relatives, 

If ever in any institution for insane, when, where, and how long, 

If a woman, she has borne children, the last years ago. 

Facts showing whether he has, or has not, a settlement, and, if any, 
where. 

Name and post-ofBce address of some nearest relative or friends over 
eighteen years of age, 
Father, Mother, 

Children, Brothers, 

Sisters, Husband, 

Wife, 

If the applicant is unable to state any of the foregoing particulars, he 
shall state his inability to do so. 



Application. 

I request that the above-named may be admitted as a patient 

at the Worcester Lunatic Hospital. 



Applicant. 
A.D. 187 . 

[Post-office address.] 

Physicians' Certificate. 

We, tbe subscribers, respectable physicians in 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 tbat he is insane, and a proper subject for custody and remedial 
treatment in the Worcester Lunatic Hospital. And I, , further 

certify that I am tbe family physician of tbe said 

M.D. 
M.D. 

A.D. 187 . 



1877.] PUBLIC DOCUMENT — No. 23. 29 

ACKNOAVLEDGMENT OF NOTICE. 

I, tlie subscriber, one of tbe selectmen, or mayor, of , where said 

resides, hereby acknowledge that notice in writing has been 
given to me of the intention to present the foregoing application. 
A.o. 18 . 

[See Acts of 1862, chap. 223, sects. 4, 5, 8, 13. Acts of 18C5, chap. 2G8.] 



Third. By Overseers of the Poor. 

Any insane person supported as a pauper by any city or town, 
may be placed by the overseers of the poor thereof in the hospital, 
with the consent of the trustees, upon compliance with the follow- 
ing form : — 

Commonwealth of Massachusetts. 
[state seal.] 

The Worcester Lunatic Hospital. 

In consideration of the admission of of in the county 

of as a patient at the Worcester Lunatic Hospital, at Worcester, 

we, the undersigned, being a majority of the overseers of the poor of the 
town of in the county of for and in behalf of the 

inhabitants of said town, promise to pay to the treasurer of said hospital 
the rate of board which may from time to time be determined by the trustees 
of said hospital, for said patient, so long as he shall continue a boarder in 
said hospital, with such extra charges as may be occasioned by the necessity 
of giving h more than ordinary care or attention ; to provide or pay for 
all clothing or other things necessary or proper for h health and comfort ; 
to pay for all damages which he may do to furniture or other property of 
said hospital ; to pay for reasonable charges in case of elopement, and funeral 
expenses in case of death; and to remove h from the hospital whenever 
the room occupied by h shall be required for a class of patients having 
preference by law, or who, in the opinion of the superintendent, should be 
received. We also promise that if, against the advice of the superintendent, 

he be removed, either by us or any of h friends, before the expiration 
of three calendar months, we will pay board for thirteen weeks. 

Payments to be made quarterly, and at the time of removal, with interest 
on each bill from and after the time at which it becomes due. 

Witness our hands, this day of A.r>. 187 . 

Attest: 



Overseers of the Poor of the Town of 

If it becomes necessary to communicate with any friend of the patient, 
address — 



30 LUNATIC HOSPITAL AT WOECESTER. [Oct. 

Statement of an applicant for the admission of , an 

insane person, to the Worcester Lunatic Hospital : — 

Age of the insane person, Occupation, 

Birthplace, Eesicience, 

Civil condition (single, married, widowed, or divorced), 

Is this the first attack of insanity? Other attacks, and when, 

Supposed cause of insanity, 

Duration of this attack, 

Character of insanity, — whether mild, violent, or dangerous, 
Homicidal, or suicidal, 
Paralytic, or epileptic, 
Having delusions or hallucinations, 

Habits in regard to ardent spirits, opium, and tobacco, 

Natural eccentricities of temper, thought, or action, 

Any serious disease or bodily injury heretofore, 

Previous or present insanity in relatives, 

If ever in any institution for insane, when, where, and how long, 

If a woman, she has borne children ; the last years ago. 

Facts showing whether he has, or has not, a settlement, and, if any, 
where. 

Name and post-office address of some of nearest relatives or friends over 
eighteen years of age, 
Father, Mother, 

Children, Brothers, 

Sisters, Husband, 

Wife, 

H the applicant is unable to state any of the foregoing particulars, he 
shall state his inability to do so. 

Application. 

I request that the above-named may be admitted as a patient 

at the Worcester Lunatic Hospital. 

Applicant. 
a.d. 187 . 

[Post-office address.] 

Physicians' Ceetificate. 

We, the subscribers, respectable physicians in 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 he is insane, and a proper subject for custody and remedial 
treatment in the Worcester Lunatic Hospital. And I, , further 

certify that I am the family physician of the said 

M.D. 

M.D. 

A.D. 187 . 



1877.] PUBLIC DOCUMENT — No. 23. 31 

Acknowledgment of Notice. 

I, the subscriber, one of the selectmen, or the mayor, of , where 

said resides, hereby acknowledge that notice in writing has been 

given to me of the intention to present the foregoing application. 

A.D. 187 . 
[See Acta of 1862, chap. 223, sects. 4, 5, 8, 13. Acts of 1865, chap. 268.] 



jl, 8 5 ■»***.