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

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PUBLIC DOCUMENT No. 23. 



EOETY-SIXTH ANNUAL EEPORT 



THE TRUSTEES 



i^. STATE LUNATIC HOSPITAL 



WORCESTEE, 



THE YEAR ENDING SEPTEMBER 30, 1878. 



BOSTON: 
EantJ, a&Etg, ^ Co., prmttrs to tije €ommontstn\t% 

117 Franklen Stuebt. 
1879. 



// 



OFFICERS OF THE HOSPITAL. 



TKUSTEES. 

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

Gen. WILLIAM S. LINCOLN ..... Worcester. 

THOMAS H. GAGE, M.D Worcester. 

Col. JOHN D. WASHBURN ..... Worcester. 

Prof. JAMES B. THAYER Cambridge. 



RESIDENT OFFICERS. 



.BARNARD D. EASTMAN, M.D. 
HO SEA M. QUINBY, M.D. 
ALBERT R. MOULTON, M.D. 
DANIEL W. BEMIS . 
MARIA L. WARREN 
CLARENCE BUFFINTON 
ALPHEUS YOUNG . 
FRED LANE . 



Superintendent. 

Assistant Physician. 

Assistant Physician. 

Steward. 

Matron. 

Clerk. 

Engineer. 

Farmer. 



ALBERT WOOD 



TREASURER. 



Worcester. 



Commonroealtl) oi MaBBat\)\xBttt0. 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The Trustees of the Worcester Lunatic Hospital respect- 
fully submit their Forty-sixth Annual Report, in relation to 
the history and transactions of the Hospital during the year 
ending Sept. 30, 1878, accompanied by the reports of the 
Superintendent and the Treasurer, and the certificate of 
Appraisers as to the value of the property belonging to the 
Hospital. The latter is the independent judgment of the 
gentlemen selected for that purpose, who are alone responsi- 
ble for the estimates therein made. 

The report of the Superintendent shows the movement of 
population in the Hospital, the general results of treatment, 
remedial and palliative, and such other facts in tabular view 
as will constitute reliable statistics on this subject. An 
analysis of these tables will show, so far as the experience of 
a single year can show, that this Hospital, in its location and 
construction, is well adapted to the purposes for which it was 
designed. 

The report of the Treasurer sets forth the financial condi- 
tion of the institution, and shows that the Hospital has been 
managed with economy, though nothing essential to the com- 
fort of patients has been spared, and that the expenses have 
been kept within the income. To this end the Trustees have 
diligently labored; and their efforts and wishes have been 
ably seconded by the Superintendent and assistants. The 
building was first occupied by the Superintendent and a few 



6 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

assistants on the 8tli of October, 1877. On the 16th of the 
same month, the removal of patients from the old building 
began ; and, on the 23d, 430 had been transferred from the 
old to the new. The average number of patients for the 
year has been 496. 

Although the building was thus occupied in October, 1877, 
much still remained to be done for the full completion of the 
institution, as set forth in the last report of the Trustees. 
And it was obvious to the board that this could be done to 
best advantage, not by hastening it through the closing days 
of the last year, but by deferring it till the present year, 
during which most of it has been completed, and in a satis- 
factory manner. It is the opinion of the Trustees that any 
further work that remains should be gradually done and paid 
for from the current funds of the Hospital. 

The financial history of the enterprise may be stated as 
follows : — 

The amount of the appropriations made by the legislature 
to carry out the purposes of the acts for the construction 
of this Hospital is $1,167,387 75 

Amount of appropriation in 1877 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 Temporary Asylum for the 
Chronic Insane 30,000 00 

The whole amount appropriated for the building and fur- 
nishing of the Hospital is thus 1,197,387 75 

Our last annual report shows, that, of this amount, there 
had been expended at the close of the fiscal year ending 
Sept. 30, 1877 1,070,943 14 

During the fiscal year ending Sept. 30, 1878, there has 
been expended and charged to the general appropriation 
the sum of 81,910 92 

And charged to the appropriation of 1877 .... 12,962 00 

Making the total amount expended for construction and 

furnishing to Sept. 30, 1878 1,165,816 06 

And leaving an unexpended balance of * .... 31,571 69 

This total amount, following the classification of last year, 
has been expended as follows : — 

* Since Sept. 30, the close of the fiscal year, a payment of $1,516.20 has been made for 
work done before Oct. 1; the net cost at the time this report is written is therefore $1,164, 
093.97, and the unexpended balance, $30,055.49. 



1878.] PUBLIC DOCUMENT — No. 23. 7 

Land , $112,247 71 

Barns and cottages ■ . . . 18,873 74 

Grading, excavating, and preparing grounds . . . 74,687 57 

Foundations 35,308 28 

Superstructure, masonry, etc. ...... 370,349 73 

Carpentry 209,156 04 

Painting, windows, guards, etc 34,486 84 

Water, gas, and drainage ...... 59,735 91 

Heating and ventilation . . . . .... . 76,995 72 

Plastering ■ . 43,768 89 

Architects, engineers, overseers, etc. .... 30,025 92 

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

Machinery 10,999 71 

Miscellaneous 19,372 02 

Furniture . 40,480 62 

Amount awarded to the Trustees by the Governor and 

Council for services in construction .... 16,500 00 

Expense of laying out old land 3,238 29 

Total . . ■ . ^1,165,816 06 

To ascertain the actual net cost of the Hospital, grounds, 
and appointments, the amount for laymg out old land 
should be deducted . . ' 3,238 29 

Leaving net cost $1,162,577 77 

The reason why this shoald be deducted is as follows : The 
Governor and Council ordered, in accordance with the pro- 
visions of an act of the legislature, that the sum of f 25,000 
be credited to the fund for building the new Hospital as com- 
pensation for the site of the Normal School ; and this sum, 
having been so credited, formed a part of the total appropri- 
ations, as stated above. But it was part of the same order 
that this amount should include the construction of "suitable 
streets to and around said land." This amount, therefore, of 
$3,238.29, though forming no part of the cost of the new 
Hospital, was charged, as matter of book-keeping, to this 
fund, to which the full $25,000 had been credited. 

The legal disability of the holder of the note for $2,500, 
given for land purchased of John Bartlett, to receive pay- 
ment of the same, still continues ; and the note therefore 
remains unpaid. 

No changes in the medical staff have been made during 
the past year. 

The Trustees desire to express their appreciation of the 



8 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

services of the architect, Mr. George D. Rand of the pres- 
ent firm of Ober and Rand, to whose fidelity, industry, and 
good taste the tribute of hearty commendation is due. 

As to the amount awarded to the Trustees as compensa- 
tion, it is proper to say, that, up to the year 1876, the Trus- 
tees then in office acted on the supposition that the building 
of the new Hospital was a part of their duty as Trustees, and 
had expressed themselves accordingly in some of their aur 
nual reports. In the legislative session of 1876, an order was 
introduced, looking to the discharge of the Trustees from 
this onerous service. On the consideration of the order, it 
was ascertained, and the Trustees were advised, that the labor 
of planning and superintending the erection of the new build- 
ings was no part of the duty which the general law imposed 
on them to be performed without compensation ; and that for 
this special duty they would be entitled to compensation, like 
other persons of whom the State required service, and would 
receive it. Upon this understanding they completed the 
buildings and grounds, and their compensation was then 
fixed, not by themselves, but by the Governor and Council. 

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



1878.] 



PUBLIC DOCUMENT — No. 23. 



OFFICERS AND THEIR SALARIES. 



B. D. Eastman, M.D. (Superintendent) 
H. M. Quinby, M. D. (Assistant Physician) 
A. R. Moulton, M.D. (Assistant Physician) 
Daniel W. Bemis (Stewai-d) 
Maria L. WaiTen (Matron) 
Clarence Buffinton (Clerk) . 
Alpheus Young (Engineer) . 
Fred Lane (Farmer) . 
Albert Wood (Treasurer) . 









12,500 00 


) ■ 






1,200 00 
900 00 








1,200 00 


^ 






, 450 00 


, 






500 00 


. 






1,200 00 


^ 






575 00 








500 00 



VALUE OF PERSONAL ESTATE, 

Sept. 30, 1878. 



Live-stock on the farm |5,450 00 

Produce of the farm on hand ...... 4,517 00 

Carriages and agricultural implements . . . . 5,003 50 

Machinery and mechanical fixtures 65,696 80 

Beds and bedding in inmates' department .... 14,895 68 

Other furniture in inmates' department .... 10,731 62 

Personal property of State in Superintendent's department, 14,606 56 

Ready-made clothing ........ 919 30 

Dry-goods 2,594 99 

Provisions and groceries 1,616 01 

Drugs and medicines ........ 552 50 

Fuel .' 2,980 00 

Library 500 00 

$130,063 96 



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 Sept. 30, 1878 : — 

RECEIPTS. 

Cash on hand Sept. 30, 1877 $42,467 39 

received of the Commonwealth for support of patients, 12,722 37 
received of cities and towns for support of patients . 60,977 55 
received of individuals for support of patients . . 35,621 24 
received for interest and sale of produce, etc. . . 3,249 66 

1155,038 21 



The expenditures for the year have been as follows : — 

Provisions. 

Flour, 991 barrels, at $6.87 per barrel |6,836 03 

Meat of all kinds 8,419 11 

Meal for cooking . ........ 332 02 

Beans, potatoes, and other vegetables 1,425 50 

Fish 1,131 81 

Sugar 2,959 01 

Molasses and sirup ........ 693 12 

Tea 1,114 61 

Coffee and chocolate ........ 1,266 15 

Rice and crackers 645 10 

Butter. . 5,578 60 

Cheese 446 36 

Fresh fruits ......... 429 27 

Eggs, salt, and other groceries . . . . . . 2,670 54 

Total for provisions $33,947 23 

Salaries and wages . 33,640 73 

Extra labor 121 28 

Provender and bedding for stock 2,001 23 

Amount carried forward ...... $69,710 37 



1878.] 



PUBLIC DOCUMENT — No. 23. 



11 



Amount brought fonvard 
Furnitm-e, crockery, bedding, etc 
Light .... 
Water . . . . 
Soap .... 
Medical supplies . 
Live-stock . 
Carriages, harness, blacksmithing 
Improvements and repairs . 
Books, stationery, and printing 
Travelling and transportation 
Fuel .... 
Freight and express 
Ice .... 
Trustees' expenses 
Miscellaneous 



etc 



Clothing and material . 

Undertaker's charges . 

Furnished to patients on account 

Interest and money refunded . . 

Extraordinary improvements 

Repairs at Asylum for the Chronic Insane 



Cash on hand Sept. 30, 1878 . . . . - 

RESOURCES. 

Cash on hand . . . . . . . 

Due from the Commonwealth . • . 

from cities and towns . 

individuals ......... 

from Asylum for the Chronic Insane (bill of groceries, 
etc.) .... 



LIABILITIES. 



Due for supplies ...... 

for extraordinary improvements . 

for repairs at Asylum for Chronic Insane 

for salaries and wages .... 



Invested funds, market value 
Total surplus 



.15,934 51 

. 1,975 18 

. 427 89 

. 2,832 76 



39,710 47 

2,530 27 

3,204 92 

1,218 93 

934 84 

962 74 

1,371 57 

1,329 99 

2,431 40 

865 63 

94 20 

8,196 20 

53 91 

448 12 

152 12 

1,785 80 



)5,291 11 

5,616 14 

221 40 

839 91 

325 00 

8,649 94 

8,767 86 

,711 36 



35,326 85 
1155,038 21 

^35,326 85 

3,927 63 

15,538 05 

9,430 86 



2,825 66 
167,049 05 



^11,170 34 

155,878 71 
5,395 11 

$61,273 82 



12 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Nov. 2, 1877. Loaned, without interest, to the Asylum for 

the Chi-onic Insane $5,000 00 

Dec. 8, 1877. Loaned, without interest, to the Asylum for 

the Chronic Insane 5,000 00 



$10,000 00 
Sept. 30. 1878. Received in payment of above loans . 10,000 00 

Respectfully submitted. 

ALBERT WOOD, Treasurer. 

Worcester Lunatic Hospital, 
Oct. 1, 1878. 



Worcester, Mass., Oct. 11, 1878. 

The undersigned have this day inspected all the vouchers of expendi- 
tures for the Worcester Lunatic Hospital, from Oct. 1, 1877, to Sept. 30, 
1878, inclusive, and have found them to conform with the statement in 
the Treasurer's account, excepting that a receipt for a biU of flO paid in 
the month of September has not yet arrived. 

The bills seem all to have been approved by the Superintendent and 
the Steward, and by three or more of the Trustees. 

The undersigned have also seen the evidence of invested funds, 
amounting, at their present market value, to $5,395.11 (fifty-three hun- 
dred and ninety-five dollars and eleven cents). 

JOSEPH SARGENT, > . ,-, 

' > Auditors. 
THOMAS H. GAGE, j 



1878.] 



PUBLIC DOCUMENT — No. 23. 



13 



SUPEHINTENDENT'S REPORT. 



To the Board of Trustees of the Worcester Lunatic Hospital. 

The following table presents in a concise form the move- 
ment of the population of the Hospital, and a summary of its 
medical history, for its forty-sixth fiscal year, the first since 
the completion of its new buildings : — 

Table No. 1. 





Male. 


Female. 


Total. 


Patients in the Hospital Oct. 1, 1877 . 


256 


272 


528 


AdTnitted during the year * . 


lie 


169 


315 


Whole number under treatment . 


402 


441 


843 


Discharged recovered 


26 


31 


57 


unproved ..... 


39 


49 


88 


not improved .... 


69 


69 


138 


died 


22 


29 


51 


Whole number discharged .... 


156 


178 


334 


Remainiag Sept. 30, 1878, .... 


246 


263 


509 


Largest number, Oct. 18-22, 1877 


259 


273 


532 


Smallest number, Oct. 23 and 2-4, 1877 


208 


225 


433 


Daily average during the year 


240.22 


255.93 


496.15 


of State patients . 


39.04 


32.87 


71.91 


of town patients . 


145.15 


152.47 


297.62 


of private patients 


56.03 


70.59 


126.62 



* Including seven re-admiesions within the year, and four nominal admissions of patients 
who were discharged under one status to be committed under another. 



14 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

The number of patients with which the year began exceeded 
that of any previous year since the opening of the Hospital, 
except the year 1852, which immediately preceded the open- 
ing of the Taunton Lunatic Hospital. The number admitted 
was from 22 to 55 less than the yearly admissions for the last 
ten years ; and the number remaining is larger than at the 
date of any previous report, except the last preceding and 
those for the years 1852 and 1858. 

Of those discharged, the number who had recovered is, 
on account of the chronic and particularly unfavorable 
character of the cases admitted during the last two j^ears, 
less than usual. In classifying the condition of patients on 
discharge, an attempt has been made to decide each case upon 
its merits, and to tell the exact truth irrespective of the final 
result as it would appear in the table. 

The recoveries as tabulated are classified as follows : — 





Male. 


Female. 


Total. 


Recovered upon first admission . 


24 


22 


46 


second admission 


2 


6 


8 


fourth admission , , 


- 


3 


3 




26 


31 


57 


Recovered for the first time , , 


24 


24 


48 


second time , . 


2 


4 


6 


third time 


- 


2 


2 


fourth time , 


- 


1 


1 




26 


31 


57 



Of those recovered for the first time, 2 females had pre- 
viously been discharged improved, and 2 not improved. 

Among those discharged as improved, there are several 
who were fairly on the road to a recovery which was com- 
pleted after they left the Hospital, and many others who 
were so nearly restored, that, under the earlier methods of 
making up this table, they would be counted among the 



1878.] 



PUBLIC DOCUMENT — No. 23. 



15 



recoveries, and thus the per cent of the cured would be 
nearly doubled. 

Of those discharged improved, there were, — 





Male. 


Female. 


Total. 


First admissions ...... 


28 


37 


65 


Second " 


6 


7 


13 


Third " , . . . . 


2 


4 


6 


Fourth " 


1 


1 


2 


Thirteenth" 


1 


- 


1 


Fourteenth" 


1 


- 


1 




39 


49 


88 



The thirteenth and fourteenth, admissions in this table 
were of the same person. 

The large number discharged not improved is accounted 
for by the transfer of 100 of the oldest pauper residents to 
the Asylum for Chronic Insane. 

The number of deaths was less than for several years past. 

Of those who died, there were, — 





Male. 


Female. 


Total. 


Admitted for first time . . . 

second time .... 
third time .... 


22 


23 
4 

2 


45 
4 
2 




22 


29 


51 



16 LUNATIC HOSPITAL AT WORCESTER. [Oct. 
Of the 6 persons who died upon re-admission, had — 

Females. 

Previously recovered once 1 

twice 1 

improved once 3 

twice 1 



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





Males. 


Females. 


Total. 


Epileptic . . . . . 






6 


5 


11 


Epileptic and homicidal 






2 


- 


2 


Paralytic 






5 


5 


10 


Paralytic and epileptic 






1 


- 


1 


Paralytic and homicidal 






1 


- 


1 


Suicidal 






24 


13 


37 


Suicidal and epileptic. , 






2 


- 


2 


Homicidal 






19 


21 


40 


Suicidal and paralytic 






2 


- 


2 


Suicidal and homicidal 






5 


5 


10 


Suicidal and homicidal and epileptic 






- 


1 


1 


Total number of cases epileptic . 






11 


6 


17 


Total number of cases paralytic . 






9 


5 


14 


Total number of cases suicidal . 






33 


19 


52 








27 


27 


54 



1878.] . PUBLIC DOCUMENT — No. 23. 



17 



Table No. 3. 

Showing the Relations of the Patients admitted to Institutions of 

this Kind. 





Males. 


Females. 


Total. 


Never before in 


any hospital 


108 


116 


224 


Former inmates of this Hospital . 


24 


24 


48 




other hospitals in this 
State . . . ■ . 


5 


12 


17 




hospitals in other States, 


3 


6 


9 




this Hospital and of other 
hospitals in this State. 


4 


9 


13 




other hospitals in this 
State and hospitals in 
other States 


1 




1 




this Hospital and of hos- 
pitals in other States . 


1 


1 


2 




this Hospital and of 
hospitals in other 
countries . 


. 


1 


1 


Total . 


146 


169 


315 



Table No. 4. 
Showing the Sources from which the Patients admitted were 

directly drawn. 





Males. 


Females. 


Total. 


From the general population 

McLean Asylum for the Insane 
Asylum for Chronic Insane 
Butler Hospital for Insane 
Hartford Retreat .... 
houses of correction .... 

State Prison 

Reformatory Prison for Women 
Taunton Hospital for Insane . 

Re-admitted without discharge from Hos- 
pital ....... 


131 

2 

9 
3 

1 


152 
3 
3 
1 

1 
1 

4 
1 

3 


283 

5 
3 

1 
1 
10 
3 
4 
1 

4 


Total 


146 


169 


315 



18 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table No. 5. 

SJioivivg by whom the Patients, remaining at the End of the Year, 

are suj^ported. 





Males. 


Females. 


Total. 


By the State (State patients) 

town (town patients) 

friends (private patients) 


43 

148 
55 


34 

155 
74 


77 
303 
129 


Total 


246 


263 


509 



Table No. 6. 

Showing the Alleged Causes of Insanity in the Number of Cases 

admitted during the Year. 





NUMBEK 


OF CASES. 


NUMBER PEBDISPOSED. 




Males. 


Females. 


Males. 


Females. 


Administration of ether 




1 


_ 


_ 


Anxiety 






3 


3 


1 


1 


Brain-disease 






— 


2 


- 


1 


Business anxiety . 






7 


_ 


2 


- 


Cerebro-spinal meningitis 






_ 


1 


- 


- 


Disappointed affection . 






1 


1 


- 


- 


Domestic trouble . 






1 


6 


— 


5 


Epilepsy 






4 


3 


- 


1 


Exposure 






1 


— 


1 


— 


Fright .... 






2 


2 


1 


1 


General paralysis . 






1 


_ 


- 


- 


Grief .... 






_ 


4 


— 


2 


Hard study . 






3 


2 


1 


1 


Hereditary . 






18 


14 


16 


14 


Hysteria 






- 


3 


- 


2 


111 health . 






4 


4 


1 


2 


Injury .... 






3 


2 


3 


1 


Intemperance 






17 


6 


5 


1 


Masturbation 






11 


1 


4 


- 


Melancholia . 






_ 


1 


_ 


- 


Nervous debility . 






1 


1 


- 


1 


Old age 






3 


2 


1 


— 


Opium-eating 






- 


1 


- 


- 


Overwork 






5 


4 


1 


1 


Paralysis 






2 


4 


1 


- 


Puerperal 






- 


13 


- 


6 


Religious excitement . 






7 


8 


3 


3 


Scarlet fever 






1 


1 


— 


1 


Spiritualism . 






- 


1 


- 


1 


Sunstroke 






1 


_ 


1 


— 


Turn of life . 






_ 


11 


- 


5 


Uterine disease 






_ 


3 


- 


2 


Unascertained 






50 


64 


- 


- 


Total . 






146 


169 


42 


52 



1878.] 



PUBLIC DOCUMENT — No. 23. 



19 



Table No. 7. 

Showing the Ages of Patients admitted, discharged recovered, not 

recovered, and died during the Year. 



AGES. 


Admitted. 


Discharged rk- 

COVERED. 


Discharged kot 
recovered. 


Died. 




Males. 


Females. 


Males. Females 


Males. 


Females. 


Males. 


Females. 


From 10 to 20 


11 


8 


3 


3 


3 


6 


_ 


1 


20 to 30 


34 


40 


10 


7 


12 


13 


4 


7 


30 to 40 


35 


41 


6 


6 


29 


20 


3 


4 


40 to 50 


32 


42 


3 


10 


28 


35 


7 


10 


50 to 60 


23 


20 


3 


4 


21 


26 


4 


3 


60 to 70 


5 


13 


- 


- 


12 


13 


1 


1 


70 to 80 


6 


5 


- 


1 


2 


4 


3 


1 


80 to 90 


- 


- 


- 


- 


1 


1 


- 


2 


Unknown 


- 


- 


1 


- 


- 


- 


- 


- 


Total . 


146 


169 


26 


31 


108 


118 


22 


29 



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. 




















"3 


"3 

a 


d 
S 


s 

a) 
6^ 


S 


1 


•3 


o 

b 


Less than 3 months 


49 


62 


17 


23 


29 


35 


11 


14 


From 3 to 6 months . 


15 


22 


4 


4 


6 


10 


1 


4 


6 to 12 months . 


23 


18 


1 


2 


9 


12 


4 


2 


1 to 2 years 


15 


11 


1 


1 


9 


10 


4 


2 


2 to 5 years 


8 


20 


- 


- 


14 


19 


- 


3 


5 to 10 years 


9 


14 


- 


1 


11 


23 


1 


2 


10 to 20 years 


7 


10 


- 


- 


13 


9 


- 


1 


Over 20 years 


4 


1 


- 


- 


5 


- 


- 


1 


Unknown . 


16 

146 


11 
169 


3 


- 


12 


- 


1 


- 


Total . 


26 


31 


108 


118 


22 


29 



20 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



The importance and greater success of early treatment of 
insanity is shown by the fact, that, of those who recovered 
during the year, over seventy per cent had been insane less 
than three months when admitted to the Hospital. He would 
be mistaken, however, who should conclude, that, if all cases 
of mental disease were sent to the hospitals in the early 
stages, seventy per cent would be cured. A large proportion 
— in my judgment, about one-quarter —of the cases of men- 
tal derangement are essentially incurable from the first advent 
of the disorder. The only hope in this class of cases is in 
their prevention by the means so often emphasized in these 
reports. 

Table No. 9. 

Showing the Civil Condition of Patieyits admitted, discharged 

recovered, not recovered, and died during the Year. 





Admitted. 


DiSCHAEGED RE- 


Discharged not 


Died. 


CIVIL 
CONDITION. 






COVERED. 


RECOVERED. 
























Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females, 


Unmarried 


62 


59 


M 


13 


57 


55 


8 


13 


Married 


68 


75 


11 


11 


39 


42 


14 


13 


Widowers 


6 


- 


_ 


_ 


7 


- 


- 


- 


Widows 


- 


31 


- 


6 


- 


20 


- 


3 


Di\'orced 


1 


1 


_ 


1 


1 


1 


- 


- 


Unknown 


9 


3 


1 


- 


4 


- 


- 


- 


Total 


146 


169 


26 


31 


108 


118 


22 


29 



Table No. 10. 
Showing the Occupation of Patients admitted during the Year. 

Males. 



Bakers 2 


Confectionei'S 


2 


Bank-teller 








1 


Cooper .... 


1 


Barbers 








2 


Curriers 


4 


Blacksmiths 








2 


Draughtsman 


1 


Bookbinder 








1 


Engineers 


3 


Book-keeper . 








1 


Expressman . 


1 


Brush-maker 








1 


Farmers 


14 


Butcher 








1 


Gardener 


1 


Carpenters . 








8 


Gluer and jointer . 


1 


Clerks . 








9 


Keeper of club-room 


1 


Coal agent 








1 


Laborers 


13 



1878.] 



PUBLIC DOCUMENT — No. 23. 



21 



Table No. 10 — Concluded. 
Males. 



Lawyer . . . . 


1 


Real-estate agent ... 1 


Lather 


1 


Roller . 






1 


Lumber-dealer 


1 


Shoemakers . 






13 


Machinists . 


4 


Stone-cutter . 






1 


Mechanic 


1 


Students 






4 


Merchants 


2 


Teamsters 






2 


Moulder 


1 


Upholsterer . 






1 


Ofl&cer .... 


1 


Victualler 






1 


Operatives in mills 


9 


No occupation 






12 


Painters 


2 


Unknown 






. 12 


Peddlers 


2 




Pilot .... 


1 


Total. . . .146 


Plumber . . • . 


1 





Females. 



Bookbinders .... 2 


School-girls , 


2 


Book-keeper . 






1 


Tailoress 


1 


Domestics 






20 


Teachers 


7 


Dressmakers 






2 


No occupation 


. 27 


Housekeepers 






82 


Unknown 


. 10 


Laundress 






1 






Operatives . 






14 


Total . 


. 169 



Table No. 11. 

Showing the Diseases ivhich have proved Fatal during the Year. 



DISEASE. 


Males. 


Females. 


Total. 


Acute mania ........ 


5 


7 


12 


Acute melancholia ...... 


1 


1 


2 


Brain-disease ....... 


■ - 


1 


1 


Cholera-morbus . . . . ... 


- 


1 


1 


Enteritis 


1 


- 


1 


Epilepsy ........ 

General paralysis ....... 

Heart-disease . . . . 


1 
5 
1 


2 

1 


3 
6 
1 


Hematemesis ....... 


_ 


1 


1 


Inanition of chronic insanity .... 
Pneumonia . . . . 


3 


1 
1 


4 

1 


Phthisis 


2 


6 


8 


Paralysis ........ 

Senility with chronic insanity .... 


1 
2 


4 
3 


5 

5 


Total 


22 


29 


51 



22 LUNATIC HOSPITAL AT WORCESTER. [Oct. 



But 4 persons died of acute disease not directly con- 
nected with the insanity; and in 2 of these — one from chol- 
era-morbus, and the other from enteritis — it appears probable 
that the disease would not have proved fatal except for the 
enfeebled and disturbed condition of the mind and nervous 
system. 

Table No. 12. 

Showing the Admissions from each County during the Year. 



COUNTIES. 



Berkshire 
Bristol . 
Essex . 
Hampden 
Middlesex 
Norfolk . 
Plymouth 
Suffolk . 
Worcester 
Other States 
Total 



18 

51 
2 

13 

61 



2 
21 

2 
67 

1 

1 
13 
56 

6 



146 



169 



1 
2 

39 

2 

118 

3 

1 

26 

117 

6 

315 



The only noteworthy fact connected with the foregoing 
table is, that the number received from Middlesex and Essex 
Counties is considerably smaller than the average for several 
years past, which is due, of course, to the opening of the 
hospital at Danvers. 



1878.] 



PUBLIC DOCUMENT — No. 23. 



23 



Table No. 13. 
Showing the Whole Number of Patients during each Tear, the Aver- 
age Number, the Number at the End of each Year, the Expenses 
of each Year, the Annual Expense for each Patient, and the Ex- 
pense of each Patient pier Week for each of the Forty-six Years 
the Hospital has been in Operation. 



YEARS. 






ber at 
cl of 
Year. 


Current Expenses 


nual 
lense 
each 
ient. 


nse per 
:k per 
ient. 




■a a 


r> ? 


2 ,^ .^ 


of each Year. 


5 >? fc rt 


^ "ij rf 




^« 


< z 


1 ^ S 




< » a & 




1833 . 


153 


107 


114 


112,272 91 


$114 67 


12 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 . 




607 


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 


3^ 


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 


1878 . 




843 


496 


509 


95,291 11 


192 12 


3 69 



24 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Bj the foregoing table, which has been made up on the 
same basis for a series of years, the average weekly expendi- 
ture per patient is shown to be 5 cents greater than for each 
of the last two years, and 19 cents less than the average for 
the last five years. By the financial statement to the Board 
of State Charities, wherein the cost of clothing is reckoned as 
current expense, the cost per week for each patient is shown 
to be $3.91, which exceeds by 8 cents the cost for the pre- 
vious year, and is 17 cents less than the average for the 
previous five years. 

Respectfully submitted. 

B. D. EASTMAN, 

' Superintendent. 

Worcester Lunatic Hospital, 
Oct'. 15, 1878.