Annual report of the trustees of the State Lunatic Hospital at Worcester

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PUBLIC DOCUMENT. No. 23.

FORTY- SEVENTH

ANNUAL BEPORT OF THE TRUSTEES

J7-'- :

STATE LUNATIC HOSPITAL

AT WOECESTER,

FOR THE YEAR ENDING SEPTEMBER 30, 1879.

BOSTON :

&anti, Sl&erg, & Co., printers to tije Cmnmontocalifj,

117 Franklin Street.

1880.

fee - /2.y J?"/

\

Officers of the Hospital.

TRUSTEES
Gen. WILLIAM S. LINCOLN
THOMAS H. GAGE, M.D.
Col. JOHN D. WASHBURN
Prof. JAMES B. THAYER
ROBERT W. HOOPER, M.D.

Worcester.
Worcester.
Worcester.
Cambridge.
Boston.

RESIDENT OFFICERS.

JOHN G. PARK, M.D Superintendent.

ENOCH Q. MARSTON, M.D Assistant Physician.

ALBERT R. MOULTON, M.D. . . . . Assistant Physician.

DANIEL W. BEMIS Steward.

LILA J. GORDON Matron.

CLARENCE BUFFINTON ..... Clerk.

ALPHEUS YOUNG Engineer.

JOEL B. HINCKLEY . . . . . . Farmer.

TREASURER.
ALBERT WOOD .... - Worcester.

€otnmoiicocaiii) of illa0sacl)it0eti0.

TRUSTEES' REPORT.

To his Excellency the Governor and the Honorable Council.

The Trustees of the Worcester Lunatic Hospital, in com-
pliance with the statute which requires them to make, annu-
ally, " a particular statement of the condition of the Hospital
and all its concerns," " for the use of the government," respect-
fully submit their Forty-seventh Annual Report, and beg leave
to refer, for additional details, to the annexed reports of the
Superintendent and Treasurer.

The year has been marked by no striking event in the his-
tory of the Hospital. Its affairs have been conducted with
harmony and success. It continues to enjoy, and appears to
deserve, the confidence of the public. The general health of
its inmates has been good, and the results of remedial
measures for the improvement and restoration of the insane,
have been fully equal to former years. Among other gratify-
ing experiences incident to our occupancy of ampler accom-
modations and increased conveniences at the new Hospital,
it is especially pleasing to note a reduced death rate.
Whether this may reasonably be attributed to our improved
hygienic conditions, or can only be regarded as an accidental
coincidence, it is a fact which it is peculiarly agreeable to
mention.

There were remaining in the Hospital at the date of our
last annual report, 509 patients, and there have been received
during the year 147 ; so that a total number of 656 have been
under treatment. Of these, 47 have recovered ; 45 have left
the Hospital in an improved condition ; 37 have been dis-
charged unimproved ; one was discharged " not insane ; " 86

6 WORCESTER LUNATIC HOSPITAL. [Oct.

have died; and there remain under treatment 490. The
daily average number has been a fraction above 493.

Cost of Maintenance.
The average weekly cost of maintaining each of these pa-
tients has been $3.79. About 300 of the whole number, sup-
ported by cities and towns, have paid at the rate of $3.50 per
week. About 73, supported by the State, have paid a part
of the time at the rate of $3.50 per week, and a part of the
time at the reduced rate of $3.00 per week. About 120 have
been private patients, and have paid at an average rate of
about $5.00 per week. Thus it will be seen that the discrep-
ancy between the amount received from the State and from
cities and towns, and the actual cost of maintaining the in-
sane chargeable to them, has fallen as a heavy tax upon pri-
vate patients, and the friends who support them. This is a
grievous burden imposed upon a class of patients and individ-
uals, which, above all others, should receive encouragement
and protection. It is a subject which should, in our judg-
ment, enlist the early attention of the Legislature. As a
matter of wise politicaleconomy, as well as of simple justice
to individuals, we respectfully urge that the Commonwealth
and its municipalities should pay at least the cost of maintain-
ing their insane, and thus share equally with individual citi-
zens the burden and expense of a great public affliction.

Extraordinary Improvements, Etc.
In the Treasurer's account of expenditures appears an item
of $13,998.75 for extraordinary improvements. This sum
has been principally expended in enclosing and improving
the large pleasure-grounds for patients, and in grading and
bringing into grass the extensive territory known as the
"• Dump," — a large, barren tract of " hard-pan," in the imme-
diate front of the Hospital, caused by the deposit of material
excavated in preparing the broad plateau upon which the
Hospital stands. The expense of these improvements might
properly have been charged to original construction account,
and drawn from the appropriation made by the Legislature
for building the Hospital ; but the Trustees, in conformity
with the intention announced in their last annual report,
have paid it out of the current receipts of the Hospital. No

1879.] PUBLIC DOCUMENT— No. 23. 7

demand has been made upon the balance of the appropriation,
which, amounting to something over $30,000, remained in
the State treasury at the date of our last report. An item of
$427.89 also appears in the Treasurer's account as paid for
repairs at the Asylum for the Chronic Insane. This is the
amount of some bills for repairs at the Asylum which had been
incurred, but remained unpaid at the date of our last report.
It is a part of an expenditure made from the funds of the
Hospital, by the authority of the Trustees, to bring up arrear-
ages of repairs at the old building, — repairs which were
omitted for years in the expectation that upon completion
of the new Hospital the old buildings would be destroyed.
No liabilities for repairs at the Asylum have been incurred
during the present year.

The Hospital continues to pa}' interest on a note of $2,500,
given for land purchased of Mr. Bartlett, in consequence of
the legal disability of the holder of the note to receive the
principal.

Hospital Library Fund.

A statement of this fund appears for the first time in the
Treasurer's report. It is the result of a consolidation of
what have been hitherto known as the Wheeler and Lewis
Funds, and has been set apart by the Trustees for the pur-
chase and maintenance of a library for the use of patients
and employes. It was believed that such permanent use of
these munificent bequests would not only carry out the be-
nevolent purposes of the donors, but would be a source of
great profit and pleasure to our inmates. In order to perpet-
uate the memory of the benefactors, it has been provided
that all books purchased from these funds shall be plainly
marked as the gift to the Hospital of Miss Abigail Wheeler
and Mrs. Sarah C. Lewis. The present number of books so
purchased is 392, at an expense of $453.25; and additions are
constantly being made. Other benevolent persons have given
the library, during the }ear, 85 valuable books.

Sewage and Irrigation.
Attention is particularly invited to that part of the Super-
intendent's report which relates the progress made at this
institution toward the final disposal of sewage by irrigation.
It is believed that the works, as projected, and as partially

8 WORCESTER LUNATIC HOSPITAL. [Oct.

completed and in operation, will not only remove all possi-
bility of creating a nuisance from this source, but will show
with what simplicity and comparative economy sewage may
be distributed upon the soil. We anticipate, in the result, a
valuable practical contribution to one of the most important
sanitarian problems of the day.

Changes in the Administrative Department.

On the 6th of February, 1879, a communication was re-
ceived from Dr. B. D. Eastman, who had been Superinten-
dent from July 5, 1872, tendering his resignation of that
office. The Trustees accepted the resignation, with an ex-
pression of the best wishes of the board for Dr. Eastman and
his family in their retirement from the institution.

On the 12th of February the vacancy caused by Dr. East-
man's withdrawal, was filled by the election of Dr. John G.
Park, of the Asylum for the Chronic Insane, to the office of
Superintendent. Dr. Park assumed the duties of the office
on the 1st of March. The subsequent election of Dr. H. M.
Quinby, hitherto First Assistant Physician, to the superinten-
dency of the Asylum, in place of Dr. Park, made a vacancy
in our staff, which was filled by the choice of Dr. E. Q.
Marston.

The office of Matron, made vacant by the resignation of
Miss Warren, has been filled by the choice of Miss Gordon.
No other changes in the official staff have occurred.

THOMAS H. GAGE,
JOHN D. WASHBURN,
JAMES B. THAYER,
R. W. HOOPER,

Trustees.

1879.]

PUBLIC DOCUMENT — No. 23.

OFFICERS AND THEIR SALARIES.

John G. Park, M.D. (Superintendent) .
Enoch Q. Marston, M.D. (Assistant Physician)
Albert R. Moulton, M.D. (Assistant Physician)
Daniel W. Bemis (Steward)
Lila J. Gordon (Matron)
Clarence Buffinton (Clerk)
Alpheus Young (Engineer)
Albert Wood (Treasurer)

$2,500 00
1,200 00

900 00
1,000 00

360 00

500 00
1,000 00

500 00

10

WORCESTER LUNATIC HOSPITAL. [Oct.

VALUE OF PERSONAL ESTATE

Sept. 30, 1870.

Live stock on the farm . $4,450 40

Produce of the farm on hand . . . . . 3,362 75

Carriages and agricultural implements 5,106 00

Machinery and mechanical fixtures 70,000 00

Beds and bedding in inmates' department .... 17,205 00
Other furniture in inmates' department .... 13,238 00
Personal property of the State in Superintendent's depart-
ment 13,700 00

Ready-made clothing ........ 225 00

Dry-goods 2,203 20

Provisions, groceries, and other supplies .... 5,754 08

Drugs and medicines . . . . . . . . 525 00

Fuel 3,150 00

Library 1,200 00

$140,119 43

1879.]

PUBLIC DOCUMENT — No. 23.

11

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, 1879 : —

Receipts.

Cash on hand Sept. 30, 1878

received of the Commonwealth for support of patients
of cities and towns for support of patients
of individuals for support of patients
for interest, sale of produce, etc.
belonging to patients .

The expenditures for the year have been as follow:

$35,326 85

13,816 20

55,634 4.7

35,6S9 01

6,590 06

1,093 93

,150 52

Provisions
Flour, 510 barrels, at $5.69
Meat of all kinds . .
Meal for cooking-
Beans, potatoes, and other vegetables
Fish ......

Sugar .....

Molasses and syrup

Tea

Coffee and chocolate .
Rice and crackers

Butter

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

Salaries and wages
Provender and bedding for stock
Furniture, crockery, bedding, etc.
Miscellaneous furnishings .
Lights .....

Amounts carried forward

$2,902

7,255

282

2,041

1,067

2,584

454

740

1,160

506

4,208

261

336

2,385

60
93

56
80
72
36
91
70
81
47
23
30
80
Gl

$2G,1S9 89

32,482 23

1,566 26

3,913 02

2,389 69

' 3,265 SO

$69,806 89

12

WORCESTER LUNATIC HOSPITAL. [Oct.

Amounts brought forward
Water

Medicines and medical supplies .

$69,806 89
1,597 32
1,065 76

752 55

839 50

Carriages, harnesses, blacksmithing, <

>tc. .

758 46

Improvements and repairs .
Books, stationery, and printing .
Travelling and transportation
Fuel .

4,734 18

757 82

140 74

9,181 00

80 66
446 99

169 48
1,775 81

Clothing and material

4,961 08

Undertaker's charges .

|249

20

221 00

Total current expenses
Interest and money refunded

$97,289 24

Refunded to patients .
Extraordinary improvements
Repairs at Asylum for Chronic Insan<

. 13

395 77
,998 75
427 89

$15,071 70

112,360 94

Cash on hand Sept. 30, 1879

35,789 58

Resources.

$148,150 52

Cash on hand ......

.

$35,789 58

Due from the Commonwealth

.

2,987 50

from the cities and towns .

.

19,066 04

from individuals ....

8,086 39

Liabilities.

$65,929 51

Due for supplies

for extraordinary improvements .

$5,690 31

728 77

for salaries and wages ....

2,595 43

698 16

$9,712 67

Total surplus .....

$56,216 84

Hospital library fund, market value

5,035 89

Respectfully submitted.

ALBERT WOOD, Treasurer.

Worcester, Oct. 14, 1879.
I hereby certify that the statement of expenditures in the Treasurer's
Report corresponds in amount with vouchers which are on file at the
Hospital, and is correct.

THOMAS H. GAGE, Auditor of Account*.

1879.] PUBLIC DOCUMENT — No. 23. 13

SUPERINTENDENTS REPORT.

To the Board of Trustees of the Worcester Lunatic Hospital.

Gentlemen", — I submit herewith the Forty-seventh
Annual Report of the Hospital, and the usual tables of statis-
tics.

There were remaining in the Hospital at the close of the
official year 1877-78, 509 patients.

The number of admissions since have been 147, — making
the whole number under treatment 656 : 322 of whom were
men and 334 women.

The whole number discharged was 166 : 87 men and 79
women. The number of admissions has been less than for
any year since 1836, the fourth from the opening of the Hos-
pital. Of this number eight have been re-admissions within
the year, and five have been merely nominal, — the patients
being discharged and re-admitted in another class without
leaving the institution. The number of persons who have
been received during the year is therefore 134.

This small number, as compared with the yearly admissions
for the last ten or twelve years, is due not unfortunately to a
decrease in the number of the insane, but to the opening of
the Hospital at Danvers, which is receiving most of the in-
sane from the eastern counties of the State.

In the year 1877 there were 79 admissions from Essex
County and 133 from Middlesex, while, during the last year,
but three have been received from Essex and forty-nine from
Middlesex.

The number of deaths has been 36 : 17 men and 19 women.
It will be noticed that the death rate has been unusually
low. A large proportion of the deaths in a hospital for
the insane occurs among the recent admissions of acute
cases. To the fact of our small number of admissions chiefly,
and perhaps to the better accommodations which our new

14 WORCESTER LUNATIC HOSPITAL. [Oct.

buildings afford, I attribute the small number of deaths.
The number of recoveries has been 47 : 19 of whom had
been in the Hospital more than once, and one 15 times, mak-
ing this year his tenth recovery.

Table No. 13 gives results which are interesting to the
lover of statistics. The aggregate length of time spent con-
tinuously in the Hospital by the male patients who were
inmates Sept. 30, was 853 years, 3 months, and 7 days. The
number of male patients at that date was 235. This gives 3
years, 7 months, and 25 days as the average time each one of
these patients has been in the Hospital. Corresponding
figures for the female inmates are 931 years, 4 months, and
12 days. Number of females Sept. 30, 255. Average time
each one has spent in the Hospital, 3 years, 7 months, and 25
days. So that at the close of the Hospital year, Sept. 30,
1879, the average continuous residence in the Hospital of
each male and each female patient was the same to a day.

A series of tables of great value, carefully compiled from
the original records of the Hospital, have been made during
the last year; and a part of them, much condensed, are ap-
pended to this report. They are to contain a record of the
results in all cases admitted to the Hospital since its opening,
so far as it is possible to ascertain them. These tables in-
clude all admissions to Sept. 28, 1875, — 11,000 in number, —
and before the close of another year will embrace all. the ad-
missions to 1880.

One inference, and perhaps the most important one, to be
drawn from a study of these statistics, is, that the table of
recoveries in any given year is especially fallacious, in so far
as it conveys the idea of a permanent return of the patients
" to their homes and the world, to usefulness, and the com-
mon enjoyments of their families and society, and to the
usual responsibilities of citizenship."

One patient, admitted 23 times, improved on first admis-
sion, and recovered every time after.

Another, admitted 15 times in 15 years, recovered every
time ; and a third recovered 16 times in 18 admissions, and
died in the Hospital on her last admission.

It is a sad and almost cruel blow to the worth of the
earlier tables of this Hospital, which gave 70, 80, and even
90 per cent of recoveries, to know that deaths occurring

1879.] PUBLIC DOCUMENT — No. 23. 15

within a few days of admission were not taken into account
at all, but stricken entirely from the reports ; that many a pa-
tient who helped to swell the tables of recoveries to the large
per cent mentioned, returned again and again to this Hospital,
and finally died here ; that many went afterwards to other
hospitals, and finally died in them ; and that many more,
after repeated admissions to this and other hospitals, died
in the town or city almshouse, having been, to take the cold,
utilitarian view which is the fashion of this world, "a burden
on their own property or that of their friends, or upon the
public treasury," from the time of their first admission to the
Hospital to their death.

Improvements.

During the last year the grounds of the Hospital have been
greatly improved. The cost of much which has been done
could rightly be charged to the construction account ; but,
as that was closed during the last year, the work has been
paid for out of the current funds of the institution. Two
large groves, for pleasure and recreation grounds, have been
cleared up, and enclosed by a substantial wooden fence; and
the land immediately about the building, which was nothing
but hard, impervious day, from which the loam had all been
taken in the necessary grading for the buildings, has been
drained, ploughed, fertilized, and sown with grain and grass-
seed. A large variety of hardy shrubs has also been set out
upon the grounds. Within the building a track has been
laid in the basement, to facilitate the transportation and dis-
tribution of food to the patients.

The walls of eight of the wards have been painted ; and
this work is being carried along as fast as it can be done by
the force usually employed at the Hospital.

At the time the new building was opened, the attic stories
were not wholly completed. With the prospect of their oc-
cupation in the near future, it was thought prudent to finish
some of the sections. This work is now being done, and, in
a few weeks, we shall have accommodations for about fifty-
five more women.

Library.

The Hospital Library now contains 534 volumes, of which
. 429 have been purchased from funds left to the Hospital by

16 WORCESTER LUNATIC HOSPITAL. [Oct.

Miss Abigail Wheeler and Mrs. Sarah C. Lewis, which be-
quests were set apart by vote of the Trustees to constitute a
permanent Hospital Library Fund. Eighty-one volumes
have been given by Mrs. William Swett of Boston. Twenty-
three were given by Dr. Hooper; and one, " Goethe's Picture
Gallery," by Mrs. E. W. Gurney of Cambridge.

The library contains a carefully-selected collection of his-
tories, biographies, and novels ; standard editions of many of
the poets ; and books upon such subjects as would be likely
to interest the class of persons for whose benefit they have
been procured. Additions will be made from time to time
from the income of the fund, which amounted at the close
of the year to $5,035.89.

Sewage.

The plan for using the sewage of the Hospital for irriga-
tion, which was instituted upon the occupation of the present
buildings, has been adhered to, and more completely perfected
during the last season. The sewage is conducted from the
building by three pipes, — one for the executive building,
laundry, and kitchen, and one for either wing. These three
branches unite about five hundred feet from, and sixty feet
below, the buildings, upon a slope which gradually descends
to a level, gravelly plain, to which the sewage is conducted
by 12-inch cement pipes.

As will be seen by an examination of the heliotype print
which accompanies the Report, the main pipe is tapped at
intervals by side drains, which can be opened and the sewage
conducted upon the adjacent ground.

Wherever this liquid had been allowed to run over the
surface of the earth, its great fertilizing property was at
once manifested by the almost immediate increase of all
vegetable growths. No means, however, had been devised
for separating the paper, rags, and solid matter not held in
suspension, which the sewage contained, and which soon
caused the collection of a mass of unsightly sewer-products
about the mouths of the pipe, besides killing the grass upon
which it was poured out, and clogging the mowing-machines
in hay-time. To effect this separation of solids, a settling-
basin or tank was devised and constructed. This is shown
in the heliotype diagram No. 2.

1879.] PUBLIC DOCUMENT — No. 23. 17

The tank is oblong in shape, thirty feet long by sixteen feet
wide, covered by brick arches turned upon iron girders. The
walls are of brick, twelve inches thick, laid in cement. The
bottom is of one course of brick laid on edge. The walls,
as well as floor, are plastered with a .coating of Portland
cement, one-half inch in thickness, to prevent percolation.
Across this tank, about two-thirds of the distance from
inlet to outlet, is built a brick partition or diaphragm one
foot thick, in which are placed four plates of brass, perfor-
ated with sixty holes one-fourth of an inch in diameter.
The two lower plates are thirty inches from the' floor of the
tank. This partition is four feet and a half high, and is.
capped with a strong netting of galvanized wire of one
half inch mesh. The sewage is received into the larger
division of the tank, where the solids are detained, while
the fluid portion, strained through the brass plates and wire
netting, and resembling soap-suds in appearance, passes to
the main sewer-pipe ready for irrigating. We have also
erected a wind-mill, patented by W. A. Wheeler of Worces-
ter, to pump a portion of the sewage back up the hill to
fertilize the lawn in front of the Hospital buildings. This
arrangement is shown very clearly in the diagram. The
disposition of the sewage of institutions, as well as of cities
and towns, is always a perplexing problem. It is believed
that this problem has been satisfactorily and economically
solved at this Hospital by adopting the system described
above, by which the sewage of six hundred persons is ulti-
mately disposed of by irrigation, wonderfully increasing the
fertility of the land, and without creating any nuisance from
unpleasant odors.

The attention of officers of large public institutions is
called to this method of disposing of sewage, and its utiliza-
tion by this or similar means is strongly recommended.

Gifts.
Since the occupation of the new buildings, the Hospital
has received two gifts from one of your Board, which, from
their great value, and as a manifestation of the kindly in-
terest felt for the institution and its inmates by their donor,
deserve especial notice in this report.

In the autumn of 1877, Dr. Hooper, in accordance with
3

18 WORCESTER LUNATIC HOSPITAL. [Oct.

an intention expressed some time before, caused to be placed
in our chapel the large painting, by Washington Allston, of
" St. Peter and the Angel in the Prison."

This generous gift was accompanied by the following
memorandum : —

" The picture of ' St. Peter and the Angel in the Prison,' was paint-
ed in London, in 1816, for Sir George Howland Beaumont, by the
American artist, Washington Allston. It was presented to the parish
church of Cole Orton, near Ashby de-la Zouch in Leicestershire, Eng-
land, and remained there till 1853, when it was removed for repairs to
the church, and was never replaced for want of suitable room, and came
again into possession of the family of Sir George, from whom it was
bought by the present owner and brought to this country in 1859. It
was said by Sir George, that he did not think that any member of the
English Royal Academy (at that time) could paint such a picture.

'' The scene represented is to be found in the twelfth chapter of Acts.

" ' The same night Peter was sleeping between two soldiers, bound
with two chains: and the keepers before the door kept the prison.

" 'And, behold, the angel of the Lord came upon him, and a light
shined in the prison: and he smote Peter on the side, and raised him
up, saying, Arise up quickly. And his chains fell off from his hands.'

' ' Thinking that this picture may be a source of pleasure and gratifi-
cation to the inmates of the Worcester Lunatic Hospital, I, with the
consent of the Trustees, hereby present it, to be placed in the chapel of
the Hospital, with the only condition, that if at any time the corporation
see fit to remove it, it be offered to the Trustees of the Museum of Fine
Arts as a gift."

The second gift from the same gentleman was an organ,
built to his order by Messrs. E. & G. G. Hook & Hastings,
the well-known organ builders of Boston.

The instrument is of fine tone and quality, and of suffi-
cient capacity to fill the chapel.

It was dedicated on the evening of May 27th, by a concert
under the direction of Mr. B. D. Allen of Worcester. In
addition to the above donations, the Hospital has, during
the period of his trusteeship, been the recipient from Dr.
Hooper of many books and pictures which are now scattered
through the wards.

Conclusion.

In reviewing the events of the year just closed, it is grati-
fying to record that our labors have been rewarded by a
fair share of success and prosperity.

The amount of sickness has been small and the mortality

1879.] PUBLIC DOCUMENT — No. 23. 19

light, while the number of patients who have recovered
sufficiently to return to their homes and avocations is fully
as large as in years gone by.

The difficult and delicate duties of the officers and em-
ployes,— duties demanding judgment, patience, self-denial,
and hard work, — have, as a rule, been cheerfully assumed,
and faithfully and satisfactorily performed.

Your frequent visits to the Hospital during the year have
rendered you familiar with the general plan of management,
and with many of its details, and given me an opportunity
for obtaining advice and counsel for which I am duly grate-
ful.

JOHN G. PARK Superintendent.
Worcester Lunatic Hospital, Oct. 1, 187!).

20

WORCESTER LUNATIC HOSPITAL. [Oct.

Table No. 1.

Patients in the Hospital, Oct. 1, 1878
Admitted during the year .

Whole number under treatment .

Discharged recovered .
improved .
not improved
not insane
died ....

Whole number discharged .

Remaining Sept. 30, 1879 .
Largest number, Oct. 2, 1878
Smallest number, May 27, 29, and 30.
Daily average during the year

of State patients .

of town patients .

of private patients

1879

246

263

509

76

71

147

322

334

656

33

14

47

20

25

45

16

21

37

1

-

1

17

19

36

87

79

166

235

255

247

264

232

246

239.06

254.12

37.68

35.52

150.09

150.20

51.29

68.40

490

511

478

493.18

73.20

300.29

119.69

Table No. 2.
Recoveries upon first, second, and subsequent admissions.

Males.

Females.

Total.

Recovered upon first admission .

20

8

28

second admission

3

-

3

third admission .

7

1

8

fourth admission

2

2

4

fifth admission .

-

2

2

twelfth admission

-

1

1

fifteenth admission

1

-

1

33

14

47

Recovered for the first time

23

9

32

second time

5

-

5

third time

3

3-

6

fourth time

1

1

2

ninth time

-

1

1

tenth time

1

-

1

33

14

47

1879.] PUBLIC DOCUMENT — No. 23.

Table No. 2. — Concluded.
Improved on first, second, and subsequent admissions.

21

Males.

Females.

Total.

Improved upon first admission

18

18

36

second admission

1

4

5

third admission .

1

1

9

fourth admission .

-

1

1

fifth admission

-

1

1

20

25

45

Of those who died, there were,

Admitted for first time ....

16

I
13

29

second time ....

-

4

4

third time ....

-

1

1

fourth time ....

-

1

1

fifth time ....

1

- !

1

17

19

36

Of the seven persons who died upon re-admission, had,

Previously recovered once ....

twice ....

improved once ....

1

2

4

2
1
4

1

6

7

22

WORCESTER LUNATIC HOSPITAL. [Oct.

Table No. 3.

Showing the Complications in the Cases admitted during the Year

Males.

Females.

Total.

Epileptic . .

2

5

7

Epileptic and homicidal

1

-

1

Paralytic

1

-

1

Suicidal

12

8

20

Suicidal and epileptic .

2

-

2

Homicidal .

11

6

17

Homicidal and paralytic

-

1

1

Suicidal and homicidal

4

2

6

Suicidal, homicidal, and paralytic

1

1

Total number of cases epileptic .

5

5

10

Total number of cases paralytic .

3

1

4

Total number of cases suicidal .

19

10

29

Total number of cases homicidal

17

9

26

Table No. 4.

Showing the Relations of the Patients admitted to Institutions of

this kind.

Males.

Females.

48

44

25

19

-

5

2

1

Never before in any hospital

Former inmates of this hospital .

Former inmates of other hospitals in this
State .

Former inmates of hospitals in other States,

Former inmates of this hospital and of other
hospitals in this State ....

Former inmates of this hospital and of hos-
pitals in other States ....

Total

76

1

1
71

92

44

5
3

147

1879.]

PUBLIC DOCUMENT — No. 23.

23

Table No. 5.

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

Males.

Females.

Total.

From the general population

65

62

127

Asylum for Chronic Insane

-

2

2

Boston Lunatic Hospital .

-

1

1

Reformatory Prison for Women

-

4

4

Houses of Correction

6

-

6

State Prison .

2

-

2

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

3

2

5

Total

76

71

147

Table No. 6.

Showing by whom the Patients, remaining at the end of the Year,

are supported.

Males, j Females. Total.

By the State (State patients)
the town (town patients)
friends (private patients)

38

146

51

39
151

65

77
297
116

Total

235

255

490

24

WORCESTER LUNATIC HOSPITAL. [Oct,

Table No. 7.

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

/"1 A TTCTTC

Number

of Cases.

Number Predisposed.

<->AUoJii!>.

Males.

Females.

Males.

Females.

Anxiety .....

o

-

1

-

Army service

2

-

2

-

Chronic rheumatism

1

-

1

-

Congenital .

1

-

-

-

Disappointment .

-

1

-

-

Epilepsy

3

2

2

-

Family trouble

-

2

-

1

Financial trouble .

4

-

1

-

Grief .

6

3

4

-

Hard study .

1

1

1

1

Hereditary .

12

14

12

14

Ill-health

-

4

-

3

Injury to head

4 •

-

3

-

Intemperance

8

4

4

1

Love affair .

1

3

-

1

Masturbation

5

1

4

-

Overwork

3

4

3

3

Paralysis

2 '

-

1

-

Puerperal

-

4

-

3

Religious excitement

-

3

-

-

Senility

3

1

-

-

Shipwreck

-

1

-

1

Spiritualism .

-

1

-

1 _

Sunstroke

6

-

3

-

Turn of life .

-

3

-

1

Typhoid fever

2

-

1

-

Unascertained

10

19

_

Total .

76

71

43

31

1879,]

PUBLIC DOCUMENT — No. 23,

25

Table No. 8.

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

AGES.

Admitted.

Discharged
Recovered.

Discharged

not
Recovered.

Died.

Males.

Females.

Males.

Females.

Males.

Females.

Males.

Females.

From 10 to 20 .

5

6

1

1

3 ! 2

1

-

20 to 30 .

26

IS

8

4

11

17

2

3

30 to 40 .

16

13

11

1

8

4

5

3

40 to 50 .

12

17

8

4

7

8

3

3

50 to 60 .

7

10

4

4

2

6

4

3

60 to 70 .

5

3

-

-

3

7

1

5

70 to 80 .

2

2

-

' -

1

2

-

2

80 to 90 .

2

-

-

-

-

-•

1

-

Unknown .

1

2

1

-

1

36

-

-

-

Total .

76

71

33

14

46

17

19

Table No. 9.

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

DURATION OF INSANITY.

Admitted.

Discharged
Recovered.

Discharged

not
Recovered.

Died.

Males.

Fe-
males.

Males.

Fe-
males.

Males.

Fe-
males.

Males.

Fe-
males.

Less than 3 months .

20

21

11

8

4

12

4

3

From 3 to 6 months .

10

5

3

1

6

5

3

4

6 to 12 months .

13

4

3

-

8

6

4

1

1 to 2 years

4

5

1

1

1

5

2

3

2 to 5 years

5

15

5

3

4

5

2

3

5 to 10 years

11

5

3

1

4

3

2

1

10 to 20 years .

2

7

2

-

3

6

-

2

Over 20 years

-

4

-

-

1

-

2

Unknown

11

5

5

-

6 3

-

-

Total .

76

71

33

14

36 46

17

19

26

WORCESTER LUNATIC HOSPITAL. [Oct.

Table No. 10.

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

Admitted.
CIVIL CONDITION.

Discharged
Recovered.

Discharged

not
Recovered.

Died.

Males.

Females.

Males.

Females.

Males.

Females.

Males.

5

Females.

Unmarried .

31

27

16

7

18

19

4

Married

30

28

11

5

16

18

11

7

Widowers .

11

-

3

-

1

1

-

AVidows

.

12

-

2

-

8

-

8

Unknown .

. ! 4

4

3

-

1

1

-

-

Total .

• 76

71

33

14

36

46

17

19

Table No. 11.

Showing the Occupation of Patients admitted during the Year

Artist

1

Mechanics

2

Auctioneer

1

Moulders .

2

Blacksmiths

4

Operatives

3

Carpenters

3

Painters .

4

Clergyman

1

Roller

1

Contractor

1

Sailmaker

1

Cooper

1

Salesman

1

Driver

1

Sea captain

1

Farmers .

12

Shoemakers

9

Grocer

1

Student .

1

Laborers .

9

Tramp

1

Lawyer .

1

No occupation

7

Marble- worker

1

Unknown

5

Melter .

1

Total

76

1879.] PUBLIC DOCUMENT — No. 23.

Table No. 11. — Concluded.

27

Bonnet manufacturer

1

Dressmakers .

2

Domestics

. 12

Teachers .

. 3

Housekeepers .

. 25

No occupation .

. 14

Operatives in mills .

. 5

Unknown

. 8

Seamstress

. 1

Total

. 71

Table No. 12.

/Showing the Diseases which have proved Fatal during the Year

DISEASE. Males.

Females.

Total.

Acute mania ......

_

o

2

Apoplexy ....

1

'

1

Chronic diarrhoea

-

1

1

Dysentery ....

-

1

1

Epilepsy ....

1

1

2

Exhaustion of chronic insanity

-

6

6

from carbuncle .

1

-

1

of melancholia .

2

-

2

of senile dementia

1

1

2

General paralysis

7

-

7

Heart disease

-

1

1

Paralytic insanity

1

-

1

Phthisis ....

1

3

4

Pneumonia . ...

1

o

3

Senile gangrene .

-

1

1

Strangulation

1

-

1

Total ....

17

19

36

28

WORCESTER LUNATIC HOSPITAL. [Oct.

Table No. 13.

Showing the Admissions from each County during the Year.

COUNTIES.

Males.

Females.

Total.

Essex

2

1

3

Middlesex

20

29

49

Norfolk . . . ''.

4

1

5

Suffolk

3

2

5

Worcester . . . . .

46

37

83

Other States

1

1

2

Total

76

71

147

Table No. 14.

Years.

Months.

Days.

Aggregate continuous residence in the Hospital of

male inmates, Sept. 30, 1879 . . . .

853

3

27

Number of male patients .... 235

Average continuous residence ....

3

7

25

Aggregate continuous residence in the Hospital of

female inmates, Sept. 30, 1879

931

4

12

Number of female patients .... 255

Average continuous residence ....

3

7

25

1879.]

PUBLIC DOCUMENT — No. 23.

29

Table No. 15.

Products of Farm and Garden.

Carrots

Beets .

Onions

Onions, green

Turnips

R. B. turnips

Parsnips

String-beans

Shell-beans .

Pease .

Corn .

Tomatoes

Lettuce

Cucumbers .

Summer squashes

Winter squashes

Rhubarb, or pie-plant

Cabbage

Celery .

Cauliflower

Radishes

Leek

Egg-plant

Parsley

Spinach

Peppers

Martynia

Okra .

Savory .

Sage .

Potatoes

Apples .

Hay .

Hay, second crop

Oats, in straw

Barley .

Milk .

Pork .

64

bush

els.

183i

30*

6

627

250

1671.

79i

48i

59

236

220f

3,449

heads.

81*

bushels.

13

"

5,000

lbs.

24

bushels.

2,264

heads.

1,780

u

60

u

2,005

1,200

103

12

bunches

74|

bushels.

3

10

2

5

3

125

200

barrels.

117

tons.

5

C(

18

It

1

ton.

104,390

quarts.

15,500

lbs.

so

WORCESTER LUNATIC HOSPITAL. [Oct.

rH OS

00 ©

O CD CO
OOOl

OOH

CO b- o

i— I GO 00

•* •=* m

-# OS X
CO © ■*
id iO IO

oil co

o co

I CO

CO CO
CO CO
I CO

I II I

I I II

I I I I I

£<*

©

Q

• ce

• O

O O

5£ <x>

OJ

co

CD

73 CO

. CO

• cS

cS
' CO

+3 >-■

.S rfl £

S co P

S M O

o 73 ^

° °.i

(D (U S

a a ?

5 ? «

c-

o .S
" '£ eg

si

• 0! ft •
I — I CO

cS O

^ CD .
S 2 03
c3 ^ CO

° 2 o d

=4H ^3 "^ O

o o co-52
S3 =! <».2

-2 to 2 2

a s a^

2 £ £ «

s w s

a^ O

5 ^ .5

° S DO

-^ a o

73 ^3 J3

05 CS

g co

,2* v

Ph CO

CO

o „:S

- • CO '"'

."S <^
&B

'"ft

i— l 2 CO.

__, a, cd -^

'O CO -O CD

aft g.S

co C

'co 73 co ,_0

co cD 55

2 O 2 ■+=

s S * 5

H P3

S-- g l

O «.rH O

CO CD > fl
S- CO CD <""'
CD CS £ CD

PhCJPLiPS

1879.1

PUBLIC DOCUMENT — No. 28.

31

Showing the Results nf First Admission.'

Males.

Females.

Total.

i Alales.

Females. Total.

Number of persons on first
admission

1

4,153

1

[

4,051 8.204

Discharged recovered .

1,566

1,625 3,191

|

-

-

improved .

1,106 1,112 2,218

-

not improved

820

704 1,524

-

-

not insane .

1

1 2

-

-

-

Died

617

563 1,180

-

- .

-

Eloped

2

- ! 2

-

_

-

Remaining in the Hospital
Sept. 30, 1879 .

41

46 ! 87

i

4,153

4,051

8,204

Showing the Results

of Re-admissions.

Number of re-admissions

_

1,431

1,365

2,796

Discharged recovered .

573

618

1,191

-

-

,_

improved .

408

363

771

-

-

_

not improved

251

219

470

_

-'

Died

179

139

318

-

-

-

Remaining in the Hospital
Sept. 30, 1879 .

20

26

46

1,431

1,365

2,796

Showing the Results of Second Admissions.

Number of second admissions,

_

_

_

854

1
829 : 1.683

Discharged recovered .

300

319

619

'

improved .

236

235

471

- ! -

not improved

179

156

335

-

- ! -

Died

125

99

224

-

-

Remaining in the Hospital
Sept. 30, 1879 .

14

20

34

854

829 1,683

32 WORCESTER LUNATIC HOSPITAL. [Oct.

Showing the Results of Third Admissions.

Males.

Females.

Total.

i Males.

Females.

Total.

Number of third admissions,

_

_

271

239

510

Discharged recovered .

117

121

238'

-

-

-

improved .

79

. 58

137

-

"

-

not improved

39

34

63

-

-

-

Died

34

22

56

-

~

-

Remaining in the Hospital
Sept. 30, 1879 .

2

4

6

271

239

510

Showing the Results of Fourth Admissions.

Number of fourth admissions
Discharged recovered .

improved .

not improved

Died ....

Remaining in the Hospital
Sept. 30, 1879 .

'54

39

17

5

_

50

104

35

74

15

32

8

13

1

4

118 ! 109 ; 22<

118

109 ! 227

Showing the Results of Fifth Adm

issions

Number of fifth admissions.

_

57

53

110

Discharged recovered .

30 .

31

61

-

-

-

improved .

13

12

25

-

-

-

not improved

6

7

13

-

-

-

Died

7

3

10

-

-

-

Remaining in the Hospital
Sept. 30, 1879 .

1

-

1

57

53

110

Showing the Results of Sixth Admissions.

Number of sixth admissions,

_

_

33

29

62

Discharged recovered .

21

17

38

-

-

-

improved .

7

8

15

-

-

-

not improved

1

3

-

-

-

Died

3

3

6

33

29

62

1879.] PUBLIC DOCUMENT — No. 23.

Showing the Results of Seventh Admissions.

Males.

Females.

Total.

Males.

Females.

Total.

Number of seventh admis-

sions ....

-

-

-

24

20

44

Discharged recovered .

13

14

27

-

-

-

improved .

6

3

9

-

-

-

not improved

2

1

3

-

-

-

Died

3

2

5

24

20

44

Showing the Results of Eighth Admissions.

Number of eighth admissions,

_

_

_

17

16

33

Discharged recovered .

9

11

20

-

-

-

improved .

7

3

10

-

-

-

not improved

1

2

3

17

16

33

Showing the Results of Ninth Admissions.

Number of ninth admissions,

_

_

_

13

14

27

Discharged recovered .

8

9

17

-

-

-

improved .

3

4

7

-

-

-

not improved

1

1

2

-

-

Died

1

-

1

13

14

27

Showing the Results of Tenth Admissions.

Number of tenth admissions,

_

_

_

11

13

24

Discharged recovered .

5

10

15

-

-

-

improved .

6

2

8

-

-

~~

not improved

-

1

1

11

13

24

Showing the Restdts of Eleventh Admissions.

Number of eleventh admis-

sions ....

-

-

-

8

10

18

Discharged recovered .

3

8

11

-

-

-

improved .

4

2

6

-

-

-

not improved

1

-

1

8

10

18

34 WORCESTER LUNATIC HOSPITAL. [Oct.

Showing the Results of Twelfth Admissions.

Males.

Females.

Total.

Males.

Females.

Total.

Number of twelfth admis-

sions. ....

-

-

-

7

7

14

Discharged recovered .

3

7

10

-

improved .

2

-

2

-

-

-

not improved

1

-

1

-

-

-

Died

1

-

1

7

7

14

Showing the Results of Thirteenth Admissions.

Number of thirteenth admis-
sions . . .

6

6

12

Discharged recovered .

3

5

8

-

-

-

improved .

2

-

2

-

-

-

not improved

1

-

1

-

-

-

Remaining in the Hospital
Sept. 30, 1879 .

-

1

1

6

6

12

Showing the Residts of Fourteenth Admissions.

Number of fourteenth admis-

sions .....

-

-

-

4

5

9

Discharged recovered .

3

5

8

-

-

-

improved .

1

-

1

4

5

9

Shoicing the Residts of Fifteenth Admissions.

Number of fifteenth admis-
sions .....

Discharged recovered .

improved .

Died

---34
13 4

2 - 2

-113 4

Showing the Residts of Sixteenth Admissions.

Number of sixteenth admis-
sions .....

2

2

4

Discharged recovered .

1

2

3

-

-

-

improved .

1

-

1

o

2

4

1879.] PUBLIC DOCUMENT — No. 23.

Showing the Results of Seventeenth Admissions.

35

Males.

Females.

Total.

Males.

Females.

Total.

Number of seventeenth ad-

missions ....

-

-

-

1

o

3

Discharged recovered .

1

1

2

-

-

-

not improved

-

1

1

1

2

3

Showing the Results of Eighteenth Admissions.

Number of eighteenth ad*

missions ....

-

-

-

1

2

3

Discharged recovered .

1

1

2

-

-

-

Died

-

1

1

1

2

3

Shoiving the Results of Nineteenth Admissions.

Number of nineteenth ad-

missions ....

-

-

-

1

1

2

Discharged recovered .

-

1

1

-

-

-

improved .

1

-

1

1

1

2

Shoiving the Results of Twentieth Admissions.

Number of twentieth admis-
sions .

Discharged recovered .

1
11-1

Shoiving the Results of Twenty-first Admissions.

Number of twenty-first ad-
missions .

Discharged recovered .

Showing the Results of Twenty-second Admissions.

Number of twenty-second ad-
missions ....

Discharged recovered .

1
-11--

36 WORCESTER LUNATIC HOSPITAL. [Oct. '79.

Showing the Results of Twenty-third Admissions.

Males.

Females.

Total.

Males.

Females

Total.

Number of twenty-third ad-
missions ....

Discharged recovered .

-

1

1

-

1

1

Number of Convicts admitted to the Hospital from its opening to
Sept. 28, 1875.

Males.

Females.

Total.

Number upon first admission . .
Number upon re-admission . . ' .

260
30

20
1

280

31

jfl,85*»***-