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

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PUBLIC DOCUMENT. No. 23.

FOKTY-EIGHTH ANNUAL KEPORT

THE TRUSTEES

?<£«■</.

• i. %fU

STATE LUNATIC HOSPITAL

AT WORCESTEK,

REPORT OF THE TRUSTEES OF THE TEMPORARY ASYLUM
FOR THE CHRONIC INSANE,

FOR THE YEAR ENDING SEPTEMBER 30, 1880.

BOSTON :

Iftaiti*, Sberg & €0., printers to tfje Commmtfoealifj,

117 Franklin Street.
1881.

Digitized by the Internet Archive

in 2010 with funding from

University of Massachusetts Amherst

http://www.archive.org/details/annualreportoftr48stat

OFFICERS OF THE HOSPITAL.

TRUSTEES.

THOMAS H. GAGE, M.D.
Col. JOHN D. WASHBURN
Prof. JAMES B. THAYER
ROBERT W. HOOPER, M.D.
Hon. RUFUS D. WOODS .

Worcester.

Worcester.

Cambridge.

Boston.

Enfield.

RESIDENT OFFICERS.

JOHN G. PARK, M.D. ...... Superintendent.

WALTER P. BOWERS, M.D Assistant Physician.

ALBERT R. MOULTON, M.D Assistant Physician.

CLARENCE BUFFINTON Steward.

LILA J. GORDON Matron.

JAMES W. BRIGHAM Clerk.

ALPHEUS YOUNG Engineer.

F. M. KNAPP, Jun Farmer.

TREASURER.

ALBERT WOOD

Worcester.

^mnmontocaltl) of Jitassacl)U0ett0.

TRUSTEES' REPORT.

To his Excellency the Governor, and the Honorable Council.

The Trustees of the Worcester Lunatic Hospital respect-
fully submit their Forty-eighth Annual Report, and invite
attention to the fuller and more detailed reports of the
Superintendent and Treasurer, which are herewith trans-
mitted.

There were remaining in the hospital, at the close of the
last official year, 490 patients, and there have been received
during the year 233; making a total of 723 who have been
under treatment. Of these, 41 have recovered; 20 have
been discharged much improved ; 32 improved ; 50 not
improved ; and 47 have died. There are remaining 533.
The daily average number under treatment, for the year, has
been a small fraction less than 504.

The average weekly cost of maintaining each of these
persons, excluding all " extraordinary expenditures," has
been $3.62, and, including such expenditures, has been $4.39.

Either sum largely exceeds the amount received from the
Commonwealth and from cities and towns for the support
of the insane poor ; and the deficit, which in the aggregate
is a large sum, has been made up this year, as always here-
tofore, from the contributions to the general fund made by
those patients and their friends who pay more than the
actual cost of board.

Under the title of " extraordinary expenditures " are
included several important items of an unusual and excep-

6 LUNATIC HOSPITAL AT WORCESTER. [Oct.

tional nature. One of these is the payment of the " John
Bartlett note and interest." The history of this note (which
was given for land), and the reasons for delaying its payment,
have been often stated in previous reports. Those reasons
have been removed during the present year by the death of
the holder, and the Trustees have paid it out of the surplus
funds of the hospital.

Another similar item is the payment of $783 for the
" Poll}7" Tucker estate." This " estate " was a small lot of
land, with a building upon it, at the corner of Belmont and
Plantation Streets, the purchase of which was considered
necessary to protect the interests of the hospital. The price
paid was the appraisal of the property by three disinterested
gentlemen, to whom the matter was referred by mutual
agreement between the Trustees and the owner.

Still another expenditure of an extraordinary kind is that
of $16,594.68 for extraordinary improvements. This expend-
iture principally represents the expense of finishing off and
furnishing the homicidal ward, and the fourth story of the
building, for the reception and accommodation of patients.
This work has been going on for several months, and is now
rapidly approaching completion. When it is done the hos-
pital will furnish ample accommodations for 650 inmates,
thus adding largely to its present capacity, and increasing its
usefulness to the State. It also includes the expense of
permanent improvements which have been made upon the
farm and grounds ; the cost of erecting the windmill for
pumping liquid sewage upon the garden and lawn ; and the
expense of building summer-houses for the patients in the
pleasure-grounds.

All of these " extraordinary expenditures " might prop-
erly have been made out of the original appropriation, pro-
vided by the legislature for the purchase of land and the
erection of buildings ; but, as the Trustees' account with that
appropriation had been for a long time practically closed, it
was thought best to make them from such funds as had from
year to year accumulated from current receipts. It will be
observed that in doing this the surplus of the hospital has
been reduced by some $11,000 or $12,000. The work will
be completed by drawing still further from the same sources.

Early in the present year, Mr. Daniel W. Bemis, who had

1880.] PUBLIC DOCUMENT — No. 23. 7

been for many years an efficient officer, resigned the position
of steward, and left us. His place was filled by the election
of Mr. Clarence Bufnnton to the vacant office. *This made
a vacancy in the office of clerk, which was filled by the
appointment of Mr. J. W. Brigham of Fall Eiver.

On the 1st of September, Dr. E. Q. Marston, for several
years assistant physician, tendered his resignation, and on
the 1st of October closed his connection with the hospital.
The vacancy thus created was filled by the choice of Dr.
Walter P. Bowers of Lancaster, Mass., who has already
entered upon his duties.

The year closes with the hospital in a highly prosperous
condition. Its affairs have been conducted with harmony
and success, and in a spirit of mutual confidence and respect
on the part of officers and Trustees.

The manner in which Dr. Park has discharged the diffi-
cult and important duties of superintendent demands and
receives our highest commendation. To his intelligent and
efficient management is due, in great measure, the present
prosperity and usefulness of the institution.

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

"Worcester Lunatic Hospital,
Oct. 1, 1880.

8 LUNATIC HOSPITAL AT WORCESTER. [Oct.

OFFICERS AND THEIR SALARIES.

John G. Park, M.D. (Superintendent)
Walter P. Bowers, M.D. (Assistant Physician)
Albert R. Moulton, M.D. (Assistant Physician)
Clarence Buffinton (Steward)
Lila J. Gordon (Matron)
James W. Brigham (Clerk)
Alpheus Young (Engineer)
Albert Wood (Treasurer) .

$2,500 00

1,000 00

1,000 00

800 00

360 00

400 00

1,000 00

500 00

VALUE OF PERSONAL ESTATE.

Sept. 30, 1880.

Live-stock on the farm $5,391 00

Produce of the farm on hand 4,065 55

Carriages and agricultural implements .... 5,237 11

Machinery and mechanical fixtures 65,000 00

Beds and bedding in inmates' department .... 17,784 60
Other furniture in inmates' department .... 14,318 77
Personal property of the State in Superintendent's depart-
ment 12,443 22

Ready-made clothing ........ 581 26

Dry-goods 1 1,938 38

Provisions, groceries, and other supplies .... 5,364 73

Drugs and medicines ........ 500 00

Fuel 213 75

Library . 1,100 00

$133,938 37

1880.] PUBLIC DOCUMENT— No. 23.

TREASURER'S REPORT.

. 135,789 58

13,887 01

56,375 23

30,064 85

3,354 92

517 12

$139,988 71

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, 1880.

Receipts.

Cash on hand Sept. 30, 1879

Received of the Commonwealth for support of patients

of cities and towns " " "

of individuals " " "

for interest, sale of produce, &c. *

belonging to patients ....-«

The expenditures for the year have been as follows : —

Provisions.

Flour . $4,735 35

Meat of all kinds 5,422 20

Fish . . . . * 903 54

Meal for cooking 342 22

Beans, potatoes, and other vegetables . . . 1,835 20

Sugar 2,801 02

Molasses and sirup ....... 620 37

Tea , . . 757 00

Coffee 1,144 03

Butter 6,297 96

Cheese . 296 90

Fresh fruits . . . . . . . 173 34

Ice 697 93

Esrafs, salt, and other groceries . ; . « . 2,942 01

g° $28,969 07

Salaries and wages . . . . . . . . 31,029 65

Provender and bedding for stock 1,497 78

Furniture, crockery, bedding, straw, &c. . <. 3,250 35

Miscellaneous furnishings ....... 1,605 74

Lights ■ . 3,465 53

Water ......... 2,194 93

Fuel ..,...../.'.. 5,566 07

Amount carried forward ...... $77,579 12

2

10 LUNATIC HOSPITAL AT WORCESTER. [Oct.

Amount lirouglit forward
Soap ......

Medicines and medical supplies .
Live-stock .....

Carriages, harnesses, blacksmithing,
Improvements and repairs .
Books, stationery, and printing .
Travelling and transportation
Trustees' expenses
Miscellaneous ....

Clothing and material
Undertaking ....

&G

Total current expenses

John Bartlett note and interest .
Interest and money refunded
Refunded to patients .
Polly Tucker estate, bought of S. G.
Extraordinary improvements

Curtis

Total expenses .

Cash on hand Sept. 30, 1880

Resources

Cash on hand

Due from the Commonwealth
cities and towns .
cities and towns, previous quarter
individuals ....

Liabilities

Due for supplies and improvements
salaries and wages .
to patients ....

Total surplus
Hospital library fund, market value

$77,579 12
968 24
706 13

1,695 00
799 79

4,658 03
527 10
637 32
218 65

1,699 03

5,333 20
230 70

$95,052 31

$2,552 50
139 10
289 71
733 00

16,594 68

$20,308 99

115,361 30

24,627 41

$139,988 71

155,691 51

2,607 01

925 57

$24,627 41

5,349 79

14,038 23

6,282 75

7,220 47

$57,518 65

$9,224 09

48,294 56

5,446 17

Oct. 1, 1880.

Respectfully submitted.

ALBERT WOOD,

Treasurer.

Worcester, Mass., Sept. 30, 18S0.

The Treasurer's statement of expenditures for the year ending Sept. 30, 1880,
has been this day carefully compared with the vouchers which are on file at
the hospital, and found to he correct.

The securities for the invested funds have heen also inspected, and found to
correspond with the Treasurer's statement of their market value.

THOMAS H. GAGE,

Auditor of Accounts.

1880.] PUBLIC DOCUMENT— No. 23. 11

SUPERINTENDENT'S REPORT.

To the Board of Trustees of the Worcester Lunatic Hospital.

Gentlemen, — The year which has just closed has been
marked by no unusual event which distinguishes it in a sig-
nal manner from the previous ones in the history of the
hospital. The new building has now been occupied three
years, and the experience of each successive year gives proof
of the thoroughness of its construction and the general con-
venience of its appointments. The wards are particularly
sunny and cheerful, and are rendered more attractive from
time to time by the addition of pictures and the painting of
the walls.

There were remaining in the hospital Sept. 30, 1879, 235
males and 255 females, — a total of 490. The number of ad-
missions since has been 103 males and 130 females, making
the whole number under treatment 723. The number of
admissions, 233, represents 222 persons, g— 88 more than were
admitted last year ; ten being re-admissions of persons
who had been discharged during the year, and one simply a
transfer from private to State account.

Forty females and five males were transferred from the
Dan vers Lunatic Hospital, and four females from the State
Almshouse at Tewksbury.

Eight convicts have been transferred from the State
Prison at Concord.

The number of recoveries has been 41 ; 12 of whom had
been inmates of the hospital before and been discharged
recovered, one seven times, one four times; and eight, once
each. Twenty were discharged much improved. Many of
the latter continued to improve . after their discharge until
they were fairly recovered, and would have been so tabulated
had they remained longer in the hospital. There has been

12 LUNATIC HOSPITAL AT WORCESTER. [Oct.

but little sickness among the inmates; the number of deaths
being 47, — 30 men and 17 women.

The whole number discharged has been 190, — 105 men and
85 women ; and the number remaining in the hospital Sept.
30, 1880, was 533,-233 men and 300 women. A part of
the statistics in the present report has been prepared to fill
blank forms suggested by the Board of Health, Lunacy, and
Charity. These forms have been sent to all the State hospi-
tals, and, if adopted by them, will be the means of simplifying
and rendering uniform the statistical information furnished
by the insane in the institutions under State supervision.

Your especial attention is called to the very valuable ta-
bles referred to in my last report to the Board as in process
of compilation. These have been completed, and include all
the cases admitted to the hospital since its opening, and give,
so far as it was possible to obtain it, the hospital history of
each patient, including the number of times admitted to the
hospital, and the number who upon discharge from the hospi-
tal were sent to institutions of a similar character both in
this and other States.

From a study of this table we learn, that of a total of
12,401 cases admitted from Jan. 19, 1833, to Sept. 30, 1880,
3,155 were re-admissions, and that 1,316 persons had pre-
viously been inmates of other hospitals, and 1,195 upon
their discharge were removed from this to other hospitals.
It is not probable that the statistics- of the other State insti-
tutions would furnish more encouraging information as
to the permanent recovery of insane persons from their
malady. In fact, it is owing to the temporary duration of
their recoveries, rendering necessary a re-commitment sooner
or later to the hospitals again, that the State institutions are
becoming crowded with a class of patients who have passed
into the chronic and incurable stage of the disease. Although
the State within the last eight years has provided, at an ex-
pense of nearly $3,000,000, for the accommodation of about
1,300 insane persons, the full capacity of these institutions
will probably be reached before the end of another year, and
the necessity of making further provision for this class of
defectives will be apparent.

Several solutions of this problem have been suggested, all
of them having for their object the removal of the chronic

1880.] PUBLIC DOCUMENT— No. 23. 13

insane from the State hospitals to make room for the acute
and curable who can be benefited or restored to health by
hospital treatment. It is known that at all of the hospitals
there are a certain number of inmates who are able to do
some useful labor under the guidance of the hospital em-
ployees, and in some of them the amount of assistance thus
rendered is of material benefit. It is proposed to remove
this class to families about the State who would board and
clothe them for their labor.

A second plan is to exert some pressure upon the friends
of the harmless insane, to induce them to care for these
dependent members of their families at home.

A third plan is for the cities and towns to provide for
them at the almshouse.

To the first plan it may reasonably be objected, that, even
if in our thrifty towns families could be found to take one or
more chronic cases, they would be scattered over so much
territory that any effective supervision by State officials
would be impracticable ; and without such supervision the
' profit derived from 'the spasmodic and intermittent labor of
the insane thus farmed out would soon be found so small
that the patients would be likely to suffer from some form of
neglect.

While it may be true that some families are able to spare
from their income or their means enough to support an in-
sane relative now a town or city charge in one of our hospi-
tals, I think it is the experience of every one who has been
brought into intimate relations with the friends of poor
patients, that as a rule they manifest no desire to shirk 'the
burden of their support, but that they assume it as an imper-
ative duty, involving oftentimes the most rigid economy and
self-denial.

The adoption of the third expedient would be but a return
to the condition of things which existed before this hospital
was built.

The story of the failure of the plan of almshouse treat-
ment of the dependent insane, told to legislative committees,
has probably been the most potent of any of the arguments
used in securing appropriations for the construction of two-
thirds of all the State hospitals for the insane in this country.
This story need not be repeated here.

14 LUNATIC HOSPITAL AT WORCESTER. [Oct.

Should the almshouse again become the receptacle for the
insane, there is no reason to suppose that the step would be
any more successful than it has been in years gone by. The
only exceptions which might perhaps be made would be of a
few cases of cities where additions have recently been made
to their almshouses for the special care and accommodation
of the insane.

Neither of these three expedients for relieving the existing
hospitals of the class of patients who have passed into the
incurable stage of their malady seems satisfactory. The
problem, however, is one which must be solved in some way,
and that too in the near future.

I know of no better way than for the State to erect build-
ings especially for this class, either as additions to some of
the present hospitals, or, what would be much better, in my
judgment, to build an independent establishment in some
quiet agricultural district east of Worcester County.

The experience of another year in the disposal of the
sewage of the institution by irrigation confirms the opinion '
expressed in the last report on the advantage of utilizing it
in this manner.

The windmill has been in use both night and day in
pumping a portion of it upon the lawn in front of the build-
ing, and has required no repairs.

The improvement of the hospital-grounds has been con-
tinued. A summer-house of graceful proportions has been
built in the grove west of the institution. The estate upon
both sides of Plantation Street has been enclosed by sub-
stantial stone walls.

A small lot of land at the junction of Shrewsbury and
Plantation Streets has, since the death of its owner, Polly
Tucker, come by purchase into the possession of the hospital.
This piece of ground was nearly covered by a dilapidated
building, which will now be removed.

A great deal of work has been done on the farm, a list of
the products of which is appended to this report.

At the close of the last year two sections of the fourth
story were nearly ready for occupation. These have since
been occupied, and the work has been continued in other sec-
tions of the same story, until, in a few months, the hospital

1880.] PUBLIC DOCUMENT — No. 23. 15

will have ample accommodations for 650 patients. Of the
26 wards, the walls have been painted in 16.

On the 1st of January Mr. Daniel W. Bemis resigned the
office of steward, and Mr. Clarence Buffinton, for some
years clerk, was appointed to the office. Mr. James W.
Brigham was chosen to fill the vacant clerkship.

On Sept. 1 Dr. Enoch Q. Marston resigned the office of
first assistant physician, and Dr. Walter P. Bowers was
appointed to fill the position. Mr. F. M. Knapp, jun., has,
since the 1st of April, successfully managed the farm.

In conclusion, I desire to acknowledge the hearty co-
operation of the officers and employees of the hospital, who
with few exceptions have, I believe, worked faithfully for
the best interests of the institution.

For your continued advice and encouragement I am under

renewed obligations.

JOHN G. PARK,

Superintendent.
Worcester Lunatic Hospital, Oct. 1, 1880.

16 LUNATIC HOSPITAL AT WORCESTER. [Oct.

TABLES.

J , General Statistics of the Year

Males.

Females.

Total.

Patients in hospital Oct. 1, 1879 .

235

255

490

Admissions within the year *

103

130

233

Whole number of cases within the year

338

385

723

Discharges within the year ....

105

85

190

Viz., as recovered .....

29

12

41

as much improved ....

8

12

20

as improved .....

19

13

32

as unimproved ,

19

31

50

Deaths

30

17

47

Patients remaining Sept. 30, 1880

233

300

533

Viz., supported as State patients

48

77

125

as town patients

143

163

306

as private patients .

42

60

102

Number of different persons within the year,

334

378

712

admitted .....

99

123

222

recovered .....

29

12

41

Daily average number of patients

237.75

266.08

503.83

* One nominal admission.

2. MontJdy Admissions, Discharges, and Averages.

MONTHS.

Admissions.

Discharges.
(IncludingDeaths.)

Daily Average of Pa-
tients in the House.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Males.

Females.

Total.

October, 1879
November, ' '
December, "
January, 1880
February, "
March, "
April, "
May, "
June, "
July,

August, "
September, k'

7
10

9

6
11

9

5
19

7
11

o

7

103
99

11

5
5
3
4
11
7

12
13
24
29
6

130
123

18

15

14

9

15
20
12
31
20
35
31
13

233
222

4

7

7

9

10

14

12

11

4

11

5

11

105
105

7
7
5
2
6
7

15
6
8
8
4

10

85

84

11

14
12
11
16
21
27
17
12
19
9
21

190
189

236.77
237.73
240.06
240.93
241.03
235.55
233.57
231.55
238.73
242.19
239.29
235.60

258.13
257.27
258.00
256.61
256.45
258.77
256.36
255.93
260.73
277.06
296.71
301.02

494.80
495.00
498.06
497.54
497.48
494.32
489.93
4S7.48
499.46
519.25
536.00
536.62

Total of cases
Total of person

s,

237.75

266.08

503.83

1880.]

PUBLIC DOCUMENT — No. 23.

17

3. Received on First and Subsequent Admissions.

Cases admitted.

Times previously
Recovered.

Males.

Females.

Total.

Males.

Females.

Total.

First

84

101

185

Second

10

17

27

6

6

12

Third .

4

4

8

2

6

8

Fourth

2

1

3

3

1

4

Fifth .

2

3

5

4

5

9

Sixth .

1

1

2

_

-

-

Seventh

-

1

1

-

5

5

Thirteenth

-

2

2

-

20

20

Total of cases

103

130

233

15

43

58

Total of persons .

99

123

222

9

16

25

4. Ages of Persons admitted for the First Time.

At First Attack op
Insanity.

When admitted.

AGES.

Males.

Females.

To tal.

Males.

Females.

Total.

Fifteen years and less .

1

4

5

3

3

From 15 to 20 years

5

9

14

3

5

8

20 to 25 years

9

11

20

11

15

26

25 to 30 years

21

13

34

20

11

31

30 to 35 years

11

15

26

13

12

25

35 to 40 years

5

18

23

10

24

34

40 to 50 years

10

11

21

11

11

22

50 to 60 years

6

3

9

7

8

15

60 to 70 years

3

2

5

3

5

8

70 to 80 years

3

3

6

3

5

8

Over 80 years

2

1

3

3

2

5

Unknown .

8

11

19

-

-

-

Total .

84

101

185

84

101

185

18 LUNATIC HOSPITAL AT WORCESTER. [Oct.

5. Residence of Persons admitted.

PLACES.

Males.

Females.

Total.

Berkshire County . . ...

1

_

1

Bristol County ......

-

1

1

Essex County

-

1

1

Franklin County .......

2

-

2

Hampden County

3

1

4

Middlesex County ...

26

30

56

Norfolk County ......

2

2

4

Suffolk County .......

12

44

56

Worcester County . . . .

54

49

103

State of Rhode Island .....

9

2

4

State of New York . ^ .

1

-

1

Total

103

130

238

Cities or large towns .....

53

86

139

Country districts

50

44

94

6. Civil Condition of Persons admitted.

Unmarried.

Married.

Widowed.

Unknown.

ADMISSION.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

First .

Second

Third

Fourth

Fifth .

Sixth

Seventh

Thirteenth

31
5
3

2
1

46

8

1
1

77

13

3

1

2

1
1

41
5
1
2

38
9
3

1

79

14

4

2

1

5

17
1

2
1
1

1

22
1

2
1
1
1

7

-

7

Total

42

56

98

49

51

100

5

23

28

7

-

7

1880.]

PUBLIC DOCUMENT — No.

19

7. Occupat

ions

of Persons admitted.

OCCUPATIONS.

Males.

Females.

Total.

Architect

1

1

Artist ....

1

-

1

Bar-tender .

1

-

1

Blacksmith .

1

-

1

Book-keepers

2

1

3

Carpenter ....

1

-

1

Cameo-cutter

1

-

1

Chair-manufacturer

1

-

1

Cigar-maker

1

-

1

Clerks.

3

2

5

Clergyman .

1

-

1

Cook ....

1

-

1

Division master on railroad

1

-

1

Domestics .

-

27

27

Farmers

6

-

6

Fireman

1

-

1

Grocers

2

-

2

Hostler

1

-

1

Housekeepers

-

53

53

Insurance agent .

1

-

1

Laborers

16

-

16

Machinists .

3

-

3

Mason

1

-

1

Mechanics .

5

-

5

Moulder

1

-

1

Nurse ....

-

1

1

Operatives .

4

4

8

Painters

4

-

4

Peddler

1

_

1

Road-builder

1

-

1

Sailor ....

1

-

1

Seamstresses

-

4

4

Shoemakers

15

_

15

Stone-cutters

2

_

2

Tailor and tailoress

1

1

2

Teamster

1

-

1

No occupation

6

27

33

Unknown .

14

10

24

Total .

103

130

233

20 LUNATIC HOSPITAL AT WORCESTER. [Oct.

8. Reported Duration of Insanity before Last Admission.

First Admission

All other

to ant Hospital.

Admissions.

TOTAL.

PREVIOUS DURATION.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Congenital

_

2

2

_

1

1

3

3

Under 1 month .

16

10

26

7

12

19

23

22

45

From 1 to 3 months

10

7

17

2

4

6

12

11

23

3 to 6 months

7

6

13

2

6

8

9

12

21

6 to 12 months

7

-

7

1

9

10

8

9

17

1 to 2 years . .

7

3

10

3

8

11

10

11

21

2 to 5 years .

2

7

9

4

12

16

6

19

25

5 to 10 years .

4

2

6

2

9

11

6

11

17

10 to 20 years .

3

2

5

3

4

7

6

6

12

Over 20 years .

-

1

1

-

3

3

-

4

4

Unknown ....

18

12

30

o

10

15

23

22

45

Total of cases

74

52

126

29

78

107

103

130

233

Total of persons .

74

52

126

25

71

96

99

123

222

Mos.

Mos.

Mos.

Mos.

Mos.

Mos.

Mos.

Mos.

Mos.

Average of known cases,

23

45

32

43

49

48

29

48

40

9. Form of Disease in the Cases admitted.

FORM OF DISEASE.

Males.

Females.

Total.

Mania, acute ......

27

21

48

chronic ......

12

24

36

recurrent ......

4

10

14

puerperal . .
Dementia, chronic .....

5

3

31

3
36

Delirium tremens .....

6

-

6

Delusional insanity .....

4

-

4

Dipsomania ......

Epilepsy .......

General paralysis .....

Melancholia ......

2

7

9

21

2
6

23

4
13

9
44

Moral insanity ......

Senile dementia ......

2
4

8

2
12

Idiocy ........

-

2

2

Total of cases

103

130

233

Total of persons

99

123

222

1880.]

PUBLIC DOCUMENT — No. 23.

21

10. Probable Causes of Insanity in Persons admitted.

Patients

Peevious

Hereditary

ADMITTED.

Attacks.

Predisposition.

CAUSES.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Mental, —

Business trouble .

1

-

1

-

-

-

1

-

1

Close confinement to

business

1

-

1

Desertion

1

-

1

1

-

1

-

-

-

Excessive mental labor .

1

-

1

Family cares and trouble,

1

6

7

-

6

6

-

-

-

Fright ....

-

1

1

Grief ....

3

2

5

1

1

2

-

1

1

Hereditary

11

15

26

6

4

10

11

15

26

Loss of property .

1

-

1

-

-

-

-

-

-

Love disappointment

1

4

5

-

1

1

-

-

-

Nostalgia

1

1

2

-

Religious excitement

3

6

9

1

2

3

3

3

6

Spiritualism .

1

-

1

1

-

1

-

-

-

Want of work

1

-

1

Worry ....

1

-

1

Physical, —

Braiu-fever .

1

-

1

Epilepsy

6

6

12

1

2

3

-

-

-

General paralysis *

1

-

1

Heat

1

-

1

111 health

-

8

8

-

3

3

-

1

1

Injury to head

2

2

4

1

1

2

1

2

3

Intemperance

13

10

23

6

3

9

1

1

2

Nervous exhaustioi

l

-

1

1

-

1

1

-

1

1

Masturbation

3

2

5

-

-

-

2

-

2

Miscarriage .

-

1

1

-

1

1

-

-

-

Over-work

3

4

7

1

2

3

1

2

3

Puerperal

-

7

7

-

3

3

-

2

2

Scarlet fever

-

1

1

Senility .

4

8

12

-

-

-

1

-

1

Sunstroke

3

-

3

-

-

-

1

-

1

Turn of life

-

4

4

-

1

1

-

-

-

Unknown .

38

41

79

6

17

23

1

7

8

Total .

•

103

130

233

25

48

73

23

35

58

22 LUNATIC HOSPITAL AT WORCESTER. [Oct.

11. Relation to Hospitals of Persons admitted.

HOSPITAL RELATIONS.

Males.

Females.

Total.

First admission to any hospital for insane .

74

46

120

Former inmates of this hospital .

19

29

48

Former inmates of other hospitals in this
State, —
Northampton ......

3

_

3

Taunton .......

1

4

5

Danvers

5

40

45

South Boston

-

1

1

Tewksbury . . . . .

-

4

4

of hospitals elsewhere ....

1

6

7

Total . . . .

103

130

233

12. How supported.

Patients admitted.

Average of the Yeak.

SUPPORTED AS

Males.

Females.

Total.

Males.

Females.

Total.

State patients
Town patients
Private patients .

35
53
15

68
47
15

103

100
30

45.32

147.47

44.96

49.53

154.18
62.37

94.85
301.65
117.33

Total ....

103

130

233

237.75

266.08

503.83

1880.]

PUBLIC DOCUMENT — No. 23.

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24 LUNATIC HOSPITAL AT WORCESTER. [Oct.

14. Cases discharged Recovered. Duration.

PERIOD.

Duration before
Admission.

Hospital

Residence.

Whole Duration
from the Attack.

Ma.

Fe.

Tot.

Mil.

Fe.

Tot.

Ma.

Fe.

Tot.

Under 1 month .

From 1 to 3 months
3 to 6 months
6 to 12 months

1 to 2 years .

2 to 5 years .
5 to 10 years .

10 to 20 years .
Over 20 years' .
Unknown ....

9

7
5
2

2
1

3

10

1
1

19
8
5
3
2

1
3

5
10
4
6
3
1

1

7
2
1
1

6

17

6

7
4
1

2

5
4
9
5
3

1

7
3
1
1

2

12
7

10
6
3

1

Total of cases
Total of persons

Average of known cases

29
29

Mos.

8

12
12

M. D.

1 7

41
41

Mos.

5

29
29

Mos.

5

12
12

Mos.

3

41
41

Mos.

5

29
29

Mos.

13

12
12

Mos.

4

'41

41

Mos.

10

15. Cases resulting in Death. Duration.

PERIOD.

Duration before
Admission.

Hospital
Residence.

Whole Duration
from the Attack

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Congenital

Under 1 month .

From 1 to 3 months
3 to 6 months
6 to 12 months

1 to 2 years .

2 to 5 years .
5 to 10 years .

10 to 20 years .

20 to 30 years .
Over 30 years
Unknown ....

3

2

13

2

2

2
2
1
1
2

1

3
3

3

5
1
1

1

6
3
2
16
7
3
3
2
1
1
2

4
3
3
4
4
5
5
1

1

30

Mos.

44

6
3

2
4
1
1

17

Mos.

28

10
6
3
4
6
9
6
2

1

47

Mos.

38

1
1

9
7
3
2
1
4
2

2
2
1

1

8
2

1

2
3
1
1
10
15
5
2
2

4
2

1 Total ....
Average of known cases .

30

Mos.

60

17

Mos.

25

47

Mos.

47

30

Mos.

107

17

Mos.
50

47

Mos.

86

1880.]

PUBLIC DOCUMENT — No. 23.

25

16. Cases discharged by Recovery or Death.

Recoveries.

Deaths.

FORM OF INSANITY.

Males.

Females.

Total.

Males.

Females.

Total.

Mania, acute

10

7

17

3

3

chronic

1

-

1

7

4

11

recurrent .

2

3

0

-

-

_

Melancholia

9

2

11

2

2

4

Dipsomania ....
Dementia ....

7

-

7

7

6

13

Epilepsy ....
General paralysis
Organic brain- disease .

-

-

-

2
9
1

2

4
9
1

Paralysis ....

-

-

-

2

-

2 ,

Total of cases

29

12

41

30

17

47

Total of persons .

29

12

41

—

—

—

1 7. Causes

of Death.

CAUSES.

Males.

Females.

Total.

Exhaustion of acute mania ....

3

3

of chronic mania

2

2

4

of acute melancholia

1

1

2

of chronic melancholia

1

_

1

of senile dementia .

4

2

6

Cystitis .....
Enteritis .....

1
1

-

1
1

Epilepsy

Gangrene of arm
General paralysis
Heart-disease ....

2

9
2

2
1

1

4
1
9
3

Organic brain-disease .

1

-

1

Paralysis .....
Peritonitis .....

3

3
1

6
1

Phlebitis supervening upon erysipelas
Phthisis pulmonalis ....
Pleurisy with effusion .

1

1
1

1

1
2
1

Total

30

17

47

26 LUNATIC HOSPITAL AT WORCESTER. [Oct.

18. Deaths, classified by Results of Previous Admissions.

Recovered.

Improved.

Not

Improved.

TOTAI

NO. OF THE

ADMISSION.

I

Ma. Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

First .

2

1

3

2

2

1

1

5

1

6

Second

1

1

2

-

-

-

-

«r

-

1

1

2

Total

3

2

5

2

-

2

1

-

1

6

2

8

19. Recoveries, classified by Residts of Previous Admissions.

Recovered.

Improved.

Total.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma. I Fe.

Tot.

First.

Second

Third

Fourth

Fifth

Sixth

Seventh

Eighth

9
3
1
1
1
1
1

2

1
2
1

11

3
2
3
2
1
1

1
1

1

1

2
1

1

3
2

1

9
4
2
1
1
1
1
1

3

2
2
2
1

12
6
4
3
2
1
1
1 .

Total .

17

6

23

3

4

7

20

10

30

1880.]

PUBLIC DOCUMENT — No. 23.

27

20. Deaths, classified by Duration of Insanity

and o

f Treatment.

PEKIOD.

Duration of In

SANITT.

Whole Known Period of
Hospital Residence.

Males.

Females.

Total.

Males.

Females.

Total.

Congenital ....

-

1

1

-

-

-

Under 1 month .

-

1

1

4

5

9

From 1 to 3 months .

1

1

2

3

4

7

3 to 6 months .

-

1

1

2

-

2

6 to 12 months .

2

-

2

5

-

5

1 to 2 years

7

1

8

4

2

6

2 to 5 years

7

8

15

5

4

9

5 to 10 years

4

2

6

5

1

6

10 to 20 years

2

1

3

1

1

2

Over 20 years

5

1

6

1

-

1

Unknown ....

2

-

2

-

-

-

Total ....

30

17

47

30

17

47

Months.

Months.

Months.

Months.

Months.

Months.

Average of known cases

Ill

62

91

45

28

38

21. Ages of Those who Died.

AGES.

At Time of the
Attack.

First

At Time of Death.

Males.

Females.

Total.

Males.

Females.

Total.

15 years and less .

1

1

2

_

1

1

From 15 to 20 years

-

-

-

-

-

-

20 to 25 years

3

1

4

-

-

-

25 to 30 years

4

3

7

3

2

5

30 to 35 years

3

2

5

1

2

3

35 to 40 years

4

-

4

6

1

7

40 to 50 years

3

5

8

1

4

5

50 to 60 years

2

1

3

7

2

9

60 to 70 years

5

2

7

2

1

3

70 to 80 years

4

1

5

9

3

12

Over 80 years

1

1

2

1

1

o

Total .

30

17

47

30

17

47

LUNATIC HOSPITAL AT WORCESTER. [Oct.

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34 LUNATIC HOSPITAL AT WORCESTER. [Oct.

Shotting the Results

of First Adn

Assions

Males.

Females.

Total.

Males.

Females.

Total.

Number of persons on first

admission

-

-

-

4,669

4,577

9,246

Discharged recovered .

1,677

1,694

3,371

improved .

1,231

1,238

2,469

not improved

880

798

1,678

not insane

2

2

4

Died

720

633

1,353

Eloped ....

3

-

3

Remaining in the hospital

Sept. 30, 1880 .

156

212

368

4,669

4,577

9,246

Showing the Results of Re-admissions.

Number of re- admissions

1,610

1,545

3,155

Discharged recovered .

611

652

1,263

improved .

442

400

842

not improved

286

243

529

Died

194

162

356

Remaining in the hospital

Sept. 30, 1880 .

77

88

165

1,610

1,545

3,155

Showing the Results of Second Admissions.

Number of 2d admissions

950

941

1,891

Discharged recovered .

316

333

649

improved .

252

259

511

not improved

204

172

376

Died

134

115

249

Remaining in the hospital

Sept. 30, 1880 .

44

62

106

950

941

1,891

Showing the Residts of Third Admissions.

Number of 3d admissions .

313

275

588

Discharged recovered .

130

127

257

improved .

84

67

151

not improved

45

37

82

Died

38

27

65

Remaining in the hospital

Sept. 30, 1880 .

16

17

33

313

275

588

1880.] PUBLIC DOCUMENT — No. 23. 35

Showing the Results of Fourth Admissions.

Males.

Females.

Total.

Males.

Females.

Total.

Number of 4th admissions .

133

121

254

Discharged recovered .

58

57

115

improved .

42

36

78

not improved

20

17

37

Died

5

9

14

'

Remaining in the hospital

Sept. 30, 1880 .

8

2

10

133

121

254

Shoioing the Results of Fifth Admissions.

Number of 5th admissions .

65

61

126

Discharged recovered .

31

34

65

improved .

14

13

27

not improved

6

8

14

Died

8

4

12

Remaining in the hospital

Sept. 30, 18S0 .

6

2

8

65

61

126

Shoioing the Results of Sixth Admissions.

Number of 6th admissions .

35

33

68

Discharged recovered .

improved .

not improved
Died

21

7
2

3

19
8
2
3

40

15

4

6

Remaining in the hospital
Sept. 30, 1880 .

2

1

3

35

33

68

Showing the Results of Seventh Admissions.

Number of 7th admissions .

25

22

47

Discharged recovered .

14

14

28

improved .

5

4

9

not improved

3

1

4

Died

3

2

5

Remaining in the hospital

Sept. 30, 1880 .

—

1

1

25

22

47

Showing the Results of Eighth Admissions.

Number of 8th admissions
Discharged recovered .

improved .

not improved

19

16

9

11

20

9

3

12

1

2

3

19

16

35
35

36 LUNATIC HOSPITAL AT WORCESTER. [Oct.

Showing the Results of Ninth Admissions.

Number of 9th admissions
Discharged recovered .

improved .

not improved
Died ....

18
8
o

1

Males. Females.

15

15

14

14

Showing the Results of Tenth Admissions.

Number of 10th admissions .

_

_

_

12

13

25

Discharged recovered .

5

10

15

improved .

6

2

8

not improved

1

1

2

12

13

25

Showing the Results of Eleventh Admissions.

Number of 11th admissions .

_

_

_

11

12

23

Discharged recovered .

3

8

11

improved .
not improved
Died . . .

6
1
1

3
1

9
2
1

11

12

23

Showing the Results of Twelfth Admissions.

Number of 12th admissions .

_

_

_

9

9

18

Discharged recovered .

3

8

11

improved .

4

1

5

not improved

1

-

1

Died

1

-

1

9

9

18

Showing the Results of Thirteenth Admissions.

Number of 13th admissions .

_

_

_

7

8

15

Discharged recovered .

, 3

5

8

improved .

3

-

3

not improved

1

-

1

Remaining in the hospital

Sept. 30, 1880 .

-

3

3

7

8

15

Showing the Results of Fourteenth Admissions.

Number of 14th admissions
Discharged recovered .
improved .

_

_

_

5

5

3

5

8

2

-

2

5

5

Showing the Results of Fifteenth Admissions.

Number of 15th admissions .

_

_

_

4

4

8

Discharged recovered .

2

3

5

improved .

2

-

2

Died . . .

-

1

1

4

4

8

1880.] PUBLIC DOCUMENT — No. 23. 37

Showing the Results of Sixteenth Admissions.

Males.

Females.

Total.

Malei. Females.
1

Total.

Number of 16th admissions .
Discharged recovered .
improved .

1
1

2

3
1

2
2

2
2

4
4

Showing the Results of Seventeenth Admissions.

Number of 17th admissions .
Discharged recovered .
not improved

2

1
1

3
1

2
2

2
2

4
4

Showing the Results of Eighteenth Admissions.

Number of ISth admissions .

2

2

4

Discharged recovered .

1

1

2

Died

-

1

1

Remaining in the hospital

Sept. 30, 1880 .

1

—

1

2

2

4

Shoioing the Results of Nineteenth Admissions.

Number of 19 th admissions
Discharged recovered .
improved .

1

1

_

1

1

1

—

1

1

1

Showing the Result of Twentieth Admission.

Number of 20th admissions .
Discharged recovered .

-

1

1

-

1

1

Shoioing the Residt of Twenty-first Admission.

Number of 21st admissions .
Discharged l'ecovered .

-

1

1

-

1

1

Shoioing the Result of Twenty-second Admission.

Number of 22d admissions .
Discharged recovered .

1

1

-

1

1

Showing the Result of Twenty-third Admission.

Number of 23d admissions .
Discharged recovered .

-

1

1

-

1

1

38 LUNATIC HOSPITAL AT WORCESTER. [Oct.

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1880.]

PUBLIC DOCUMENT— No. 23.

39

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PUBLIC DOCUMENT — No. 23.

41

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42 LUNATIC HOSPITAL AT WORCESTER. [Oct.

PRODUCTS OF GARDEN AND FARM.

Apples .

Asparagus

Beet-greens

Beets .

Beans, shell

Cucumbers

Cauliflower

Currants

Cabbage

Carrots

Corn, sweet

Celery .

Cantaloupes

Egg-plant

Gherkins

Lettuce

Leek

Onions .

Okra .

Parsley

Pease .

Parsnips

Peppers

Pumpkins

Potatoes

Pop-corn

Rhubarb

Radishes

Squashes

Squashes, winter

String-beans

Spinach

Sage

Salsify .

Strawberries

Turnips

Turnips, ruta-baga

1,800

H

141$

89

65

152

29

3,573

722

18,282

4,151

270

32

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2,196
3,050

27£

91
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25
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586
240
10
35
8,815
1,647
16,116
28|

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i.

12
595
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barrels

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bushels

bushels

bushels

bushels

pounds

quarts

heads

bushels

ears

heads

bushel
heads

bushels
bushels
bushels
bushels
bushels
bushels
pounds
bushels
bushels
bushels

pounds

bushels

bushels

bushel

bushels

quarts

bushels

bushels

1880.]

PUBLIC DOCUMENT — No.

43

Tomatoes 222£ bushels

Whitloof 1£ pecks

Mangel-wurzel beets 600 bushels

Hay 110 tons

Stock and swale hay 30 tons

Rowen . . 20 tons

Fodder-corn 50 tons

Rye-straw 12 tons

Rye for fodder 8 tons

Oats in straw li tons

Buckwheat-seed 100 bushels

Rye-seed 140 bushels

Milk . 104,341 quarts

Pork 12,938 pounds

Beef 5,058 pounds

K* 8 5 '»«■*'