Annual report of the trustees of the Temporary Asylum for the Chronic Insane at Worcester

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THIRD ANNUAL REPORT

THE TRUSTEES

V V

AT WORCESTER,

FOE THE YEAR ENDING SEPTEMBER 30, 1880.

BOSTON:
ffiatrtf, &oerg, & Co., printers to tfje Commmtfoeaitfr,

117 Franklin Street.
1881.

OFFICERS OF THE ASYLUM.

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.

HOSEA M. QUINBY, M.D.
CHARLES A. PEABODY, M.D. .
WILLIAM H. RAYMENTON, M.D.
CHARLES H. SAFFORD .
SOPHIA N. GRAVES
CLARENCE R. MACOMBER .

Superintendent.

First Assistant Physician.

Second Assistant Physician.

Steward.

Matron.

Clerk.

WILLIAM SHERMAN

Engineer.

TREASURER.

ALBERT WOOD

Worcester.

$0mm0ttfoealii) of JttaasattjuBeifa

TRUSTEES' REPORT.

To His Excellency the Governor^ and the Honorable Council.

The Trustees of the Worcester Lunatic Hospital, acting
as Trustees of the Asylum for the Chronic Insane, respect-
fully submit their Third Annual Report. For that "parties
ular statement of the condition of the Asylum and all its
concerns," which is required by the statute, we beg leave to
refer to the full and carefully-prepared reports of the Super-
intendent and Treasurer, which are herewith transmitted,
The report of the Superintendent is especially commended
to the careful consideration of any who are interested either
in the Asylum and its unfortunate inmates, or in the import
tant charity which it represents. It will be seen that though
the year has been marked by no unusual or striking events,
its general results, in ameliorating the condition of the hope*
lessly insane, will compare favorably with any that have pre*
ceded it.

That part of the Superintendent's report which gives an
account of what has been accomplished in the matter of
renovating the " old wings," and transforming them into
bright and cheerful wards, will attract particular attention.

The work which was commenced last year has steadily
progressed during the present, and is now, so far as the
"wings" are concerned, rapidly approaching completion.

These important improvements were originally suggested
by Dr. Quinby, and have been made under his direction and

6 ASYLUM FOR CHRONIC INSANE. [Oct.

constant supervision. They have been managed with econ-
omy and good judgment, and the result is highly creditable
to him as an administrative officer.

During the year the medical staff has been increased by
the appointment of Dr. Charles A. Peabody of Worcester to
the office of first assistant physician. Dr. Peabody was
formerly superintendent of the City Hospital, and has been
for several years well and favorably known to the public as a
general practitioner.

No other changes of importance have occurred ; and the
year closes with all departments of the Asylum in successful
and harmonious operation.

THOMAS H. GAGE.

JOHN D. WASHBURN.

JAMES B. THAYER.

R. W. HOOPER.

RUFUS D. WOODS.

Asylum for the Chronic Insane,
Oct. 1, 1880.

1880.]

PUBLIC DOCUMENT — No. 23.

VALUE OF STOCK AND SUPPLIES.

Sept. 30, 1880.

Live-stock >

Carriages and agricultural implements . . ;

Machinery and mechanical fixtures ....

Beds and bedding in inmates' department .

Other furniture in inmates' department

Personal property of State in Superintendent's department

Ready-made clothing

Dry-goods .

Provisions and groceries

Drugs and medicines

Fuel .

Library s :

$200 00

506 10

2,800 00

8,378 96

1,940 48

8,600 47

1,599 99

1,202 16

5,130 86

192 41

2,208 00

100 00

32,859 43

ASYLUM FOR CHRONIC INSANE. [Oct.

TREASURER'S KEPORT.

To the Trustees of the Asylum for the Chronic Insane.

Gentlemen, — I herewith submit my Third Annual Report
on the finances of the Asylum for the Chronic Insane, for
the year ending Sept. 30, 1880 : —

Eeceipts.
Cash on hand Sept. 30, 1879.

Cash belonging to Asylum
deposits of inmates

Amount Received.

From the Commonwealth for support of patients,
cities and towns for support of patients .

other sources .
patients (on deposit)

12,378 11
391 83

$18,652 45
43,265 17

$12,772 94

L,917 62

769 33

21 53

),481 42

The expenditures for the year have been as follows:—-

Salaries and wages . . *
Extra labor (ordinary) .

Provisions and supplies > viz. t
Meats of all kinds .
Fish of all kinds
Fruit and vegetables
Flour i

Grain and meal for table .
Grain, meal, and hay for stock
Tea and coffee .
Sugar and molasses .

Amounts carried forward

),193 90
94 63

$3,284 61

514 24

1,091

63

4,262

50

95

06

265

59

SOO

25

1,553

69

$19,288 53

$11,867 57 $19,288 53

1880.]

PUBLIC DOCUMENT — No.

9

Amounts brought forward
Milk, butter, and cheese
Salt and other groceries
All other provisions .

Clothing and material

Fuel and light

Medicine and medical supplies

Furniture, beds, and bedding

Transportation and travelling

Repairs (ordinary) .

All other current expenses

$11,867 57 119,288 53
5,676 97

430 46
2,529 38

14,751 48
3,766 62

175 48
2,677 15

185 16
3,000 00
2,044 50

20,504 38

Total current expenses
Repairs (extraordinary) .
Refunded inmates from deposits

$12,056 32
20 28

Total amount expended
Cash on hand Sept. 30, 1880

Resources.
Cash on hand ......

Due from the Commonwealth .

cities and towns

other sources ....

Liabilities.
Due for supplies and expenses
salaries and wages
inmates (cash on deposit) .

16,600 39
$56,393 30

12,076 #60

$68,469 90
7,011 52

$75,481 42

$7,011

52

5,147

35

11,424

54

40

So

$5,936 96

1,624 04

396

08

5,624 26

7,957 08

Total surplus $15,667 18

Respectfully submitted.

ALBERT WOOD, Treasurer.

Asylum eor the Chronic Insane,
Oct. 1, 1880.

Worcester, Mass., Oct. 13, 1880.
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 Asylum, and found to be correct.

THOMAS H. GAGE,

Auditor of Accounts.

10 ASYLUM FOR CHRONIC INSANE. [Oct.

SUPERINTENDENT'S REPORT.

To the Trustees of the Asylum for the Chronic Insdne.

Gentlemen, — I have the honor of presenting for your
consideration the Third Annual Report of the Superintendent
of this Asylum.

There were remaining in the Asylum, Oct. 1, 1879, three
hundred and seventy-one patients, — one hundred and
seventy-five males and one hundred and ninety-six females.
During the year, forty-two patients have been admitted, —
twenty ^six males and sixteen females ; making a total of
four hundred and thirteen inmates.

Six have been discharged improved, eleven unimproved,
and twenty-three have died ; leaving, at the end of the year,
one hundred and eighty-two males and one hundred and
ninety-one females, or a total of three hundred and seventy-
three patients.

The average duration of insanity, prior to admission, in
those cases transferred to this Asylum within the last twelve
months, was eight years.

Few or none of these can reasonably be expected to appear
in our future reports in the column of recoveries: yet the
condition of many is susceptible of improvement ; and,
although the process may be slow, it may frequently result
in such an amelioration of the patients' disease as to make it
possible for their friends to remove them from the Asylum
and relieve the State of the burden of their support. Of
the seventeen patients discharged, twelve were taken home
by their friends, and five were removed to the almshouse by
the Overseers of the Poor.

It has always been the policy of the Asylum to encourage,

1880.] PUBLIC DOCUMENT — No. 23. 11

and in many cases to urge, the relatives of the harmless
insane to remove them to their homes, whenever it has
appeared that they could properly care for them. As the
primary object of the hospital has been accomplished as soon
as the condition of the patient is so far improved that he no
longer requires especial oversight, it seems eminently proper
that the relatives should then resume the burden of his sup-
port, and thus make room for those who, through the
exigencies of their disease, are necessarily subjected to con-
tinuous detention, as well as for that other large class who,
having no friends, can justly claim the Asylum as their home
and refuge. When consulted in regard to the discharge of
a harmless patient for removal to an almshouse, we have
uniformly discouraged such a course, believing that the best-
conducted almshouse cannot, under any circumstances, be
the best place for an insane person, and that the trifling
difference in expense should not decide the question.

Of the forty-one patients admitted, thirteen were noted as
" violent and dangerous " on the record of the hospital from
which they were transferred, and seven were brought in
restraint.

During the year an average of sixty-two patients have
been furnished occupation outside the wards of the Asylum,
in addition to the usual number employed in various duties
on the halls.

Of the signal advantage of such labor to the patient, the
Asylum contains many examples.

The turbulent are made more quiet, the demented gain
mental strength, and all improve in bodily health. Many a
patient, who for years sat about the wards doing absolutely
nothing, has been awakened from his lethargy, and made a
useful member of the household, by going out in the daily
exercise of an assigned duty.

The effort to employ all the patients in a hospital has
never, as far as my experience goes, been hampered by a lack
of suitable work, but rather by the mental state of the per-
sons themselves.

A necessarily large proportion of the inmates of the
Asylum are detained for the reason that it is dangerous to
permit them to be at large in the community. Such patients
are often the most willing and anxious to work ; and it is

12 ASYLUM FOR CHRONIC INSANE. [Oct.

never difficult to find employment suited to their tastes, in
an establishment where so many mechanical branches are
carried on. They are never employed, however, with entire
safety, and it is always a delicate question to decide when
and how far they can be trusted with the necessary imple-
ments of labor. A patient perfectly trustworthy to-day,
may awake on the morrow laboring under dangerous, though
to the non-professional eye unmanifest, excitement. To
always successfully draw the line, and avoid clanger, is impos-
sible ; for with increased liberty come greater opportunities
for doing harm, and more frequent chances for escaping
observation.

A larger class, and one more difficult to employ, are those
who, through the progress of their disease, have virtually lost
all mind, and with it the power to apj)ly themselves to any
employment whatsoever. These must be stimulated to work;
must, by patient effort and personal oversight, be re-taught
some simple branch of labor ; and, finally, they must be con-
firmed in the habits of industry.

Success may fail to crown one's efforts in either step of
this long and usually tedious process ; but the habit once
established is general^ permanent, and the condition of the
patient so vastly improved thereby as to warrant almost any
outlay of time and labor to secure this end. Such patients
can seldom be educated to do any thing requiring mechanical
dexterity; but few, however, are so demented that they can-
not do the work of a day-laborer.

Shops established in connection with the Asylum for the
employment of this class have proved of but little utility ;
but the considerable tract of land adjoining our building has
been found to be indispensable in securing suitable employ-
ment for many who would otherwise have to walk our wards
in idleness.

Towards the accomplishment of the object above indicated,
we have brought together into two wards all the men who
are daily employed outside of the Asylum. These wards are
thus left vacant through the day, and the attendants are at
liberty to devote their time to taking out from the other
wards all who can in any way be induced to work, and who
jjf;cd special supervision.

In this way an intelligent attendant can, by his example

1880.]

PUBLIC DOCUMENT — No. 23.

13

and encouragement, teach habits of industry to many seem-
ingly hopeless cases, — habits which frequently are lasting,
and which, in time, may change the person from a drone on
the wards to a cheerful laborer in some special branch of
industry.

Table
Shoivhig Number of Articles, made by Female Patients.

ARTICLES.

NUMBER.

ARTICLES.

NUMBER.

Awnings . , ,

6

Nightdresses

26

Aprons

. 110

Pillow-cases

578

Chemises

, 332

Pillow-ticks

12

Camisoles .

8

Pillows, hair (made over)

42

Clothes-bags

23

Quilts (hemmed)

124

Curtains . . .

. 160

Sheets.

583

Cushions

6

Sacks ....

22

Caps (bakery)

4

Skirts . ...

172

Coffee- bags .

4

Shirts ....

8

Canvas-seats

15

Suspenders (pairs)

140

Carpet-strips (hemmed)

22

Straw-ticks .

2

Dresses

, 313

Towels (roller) .

347

Drawers (pairs) .

. 120

Towels (hand)

306

Holders

. 210

Towels (dish) . .

180

Handkerchiefs (hemmed)

10

Table-cloths

44

Ironing-sheets

4

Tea-bags .

4

Mattresses (made over)

. 198

Vests (under)

5

Mattress-ticks

16

Waists (under) .

32

Mittens (pairs) .

12

Napkins . . ,

. 112

Total number

4,312

Products of the Garden.

Sweet corn

Tomatoes

Beets

Onions .

String-beans

Carrots .

Turnips

Squashes

Parsnips

Celery .

9,555 ears
400 bushels
175 bushels
75 bushels
52 bushels
35 bushels
60 bushels
5 tons
150 bushels
800 heads

Pease
Melons .
Cabbages
Cucumbers
Spinach .
Apples .
Pie-plant
Asparagus
Radishes

15 bushels
85

1,200 heads
15 bushels
50 bushels
75 barrels
400 pounds
150 pounds
50 dozens.

14

ASYLUM FOR CHRONIC INSANE.

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16 ASYLUM FOR CHRONIC INSANE. [Oct.

In compliance with your directions the repairs have been
carried on as rapidly as was consistent with thorough work.
The male- wing is already occupied ; the female- wing will be
finished on or before the first of January. The object
sought in these alterations has been to make the wards con-
form, as nearly as the original plan of the building would
permit, to modern ideas as regards light and ventilation. To
accomplish this it was necessary to remove nearly the entire
inside of the wards. The old four-inch by four-inch air-
flues have been enlarged to six-inch by eight-inch, and car-
ried from each room independently to the attic, where they
are to be connected with a cupola eight feet square, contain-
ing a coil of steam-pipes. The water-closets have been en-
tirely remodelled, the bath-tubs placed in an adjoining room,
and between the two a ventilating shaft erected, carried
above the ridge-pole of the wing, and covered with a Van
Noordan ventilator. All the soil and water pipes have been
run in this shaft. The main soil-pipe, four inches in diameter,
which has been carried to the top of the shaft and then left
open, is kept entirely above ground in the basement until it
finds exit through the walls of the building, where it enters
a brick trap. The closets, the urinals, the slop-hoppers, the
wash-bowls, and the bath-tubs all have separate traps venti-
lated by a two-inch iron pipe running to the top of the shaft.
Above the trap of the privy-seat is placed a ventilating arm,
which is connected with a three-inch iron pipe which also
runs to the top of the ventilating shaft. An eighty-gallon
copper boiler has been placed at the bottom of this shaft, and
so connected with our main boiler that there is a constant
circulation of hot water through it. Sufficient heat is thus
secured to insure strong ventilation summer and winter, at a
minimum expense. This boiler also supplies the baths for
each ward. To gain light, and give the wards a more cheer-
ful outlook, two bay-windows have been thrown out to the
east. Both wings have been re-slated, and a cupola placed
on each for the purpose of ventilation.

All the work has been done by the day, under the imme-
diate supervision of our regular mechanics, who deserve
much praise for the interest which they have taken in it, and
the economy and thoroughness with which it has been car-
ried on.

1880.] PUBLIC DOCUMENT — No. 23. 17

These repairs, when carried out over the entire house, will
place the Asylum on a par with the more modern structures
in sanitary equipments and in its cheerful and homelike
aspect.

18

ASYLUM FOR CHRONIC INSANE.

[Oct.

STATEMENT.

Showing Net Cost of Maintenance to Sept. 30, 1880.

(Fifty-two weeks.)
Flour, barrels 523 .
Flour (Graham), barrels 17
Corn and rye meal, pounds 3,020
Oatmeal, pounds 1,025 .
Hominy, pounds 1,110 .
Tapioca, pounds 175
Crackers . .

Fresh beef (cuts), pounds
Soup-beef, pounds .
Corned beef .

Total beef, pounds
Lamb and mutton, pounds 2,058
Poultry .

Fresh pork, pounds 2,761
Salt pork, pounds 921
Sausage, pounds 893
Hams, pounds 512 .
Meats (miscellaneous)
Vegetables (purchased)
Potatoes, bushels 1,131
Sweet potatoes
Beans, bushels 89 .
Rice, pounds 850
Salt, barrels 13
Spices
Vinegar .

Provisions (miscellaneous)
Fresh fish, pounds 9,649
Salt fish, pounds 2,942
Oysters .

Sugar, pounds 15,358
Molasses, gallons 533
Sirup, gallons 91
Eggs, dozens 1,858 .
Butter, pounds 10,620

Amount carried forward

S3, 230 22

95 00

48 78

39 50

27 77

11 58

77 38

12,150

5,165

22,106

39,421

. 2,356 38

236 53

209 01

217 63

• 69 61

74 41

50 13

48 48

88 58

525 74

37 99

141 62

60 90

31 95

45 83

45 17

125 32

297 78

151 80

84 26

1,221 67

213 20

43 88

326 96

2,420 54

$12,655 00

1880.]

PUBLIC DOCUMENT -No. 23.

19

Amount brought forward
Cheese, pounds 1,069
Lard, pounds 2,475
Milk, quarts 64,775
Coffee, pounds 2,287
Tea, pounds 851
Chiccory, pounds 55
Berries (not including those grown)
Fruit

Dried fruit
Raisins .

Cream of tartar, pounds 275
Saleratus, pounds 295
Tobacco .
Medicines

Grain and pro vender
Water .
Ice, pounds 195,930
Soap
Starch

Groceries (miscellaneous)
Hay, pounds 11,830
Straw, pounds 31,315
Blankets and spreads

Dry-goods (including women's

Clothing, " men's

Boots, shoes, and slippers

Crockery and glassware

Furniture

House-furnishings .

Stationery

Seeds and plants

Gas, cubic feet 498,000

Coal, tons (gross) 837^

Charcoal

Undertaker's charges

Postage .

Transportation

Travelling

Ordinary repairs (materials and labor)

Current expenses ....

Net supplies issued to Sept. 30, 1880

Supplies expended as above
Pay-roll, to Sept. 30, 1880

Less sundry sales

quarts 710

clothing and furnishings)

. $12,655

60

. ■ 135

59

180

01

. 2,914

83

462

88

333

84

4 21

75

73

228

81

54

40

60

52

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13

07

100

19

173

00

161

SI

518

59

363

42

649

43

20

63

124

SO

112

23

204

93

524

51

. 1,587

61

. 1,513

05

580

82

214

45

781

79

553

09

201

77

85

50

. 1,419

3^

. 3,757 70

35

00

119

00

73

IS

95

99

46

44

. 3,000

00

917

32

$35,139 07

$35,139

07

19,184

52

$54,323 59
612 13

$53,711 46

20 ASYLUM FOR CHRONIC INSANE. [Oct. '80.

Dividing the expenditures ($53,711.46) by the average daily
number of patients (363.15) gives the cost of each patient
for 52 weeks $147 90

This amount divided by 52 weeks gives the weekly cost per
patient 2 84

The cost of support of the patients is slightly less than last
year.

The steward's department has been conducted with the
same economy and good judgment that has characterized it
in former years. That he has been successful in his efforts
to satisfy every reasonable demand of the inmates, is proved
by the very infrequent complaints that have been made
either as regards the quantity, quality, or variety of the
diet.

H. M. QUINBY, Superintendent.

Asylum for the Chronic Insane,
Oct. 1, 1880.

TABLES FOR UNIFORM STATISTICS

IN THE

MASSACHUSETTS HOSPITALS AND ASYLUMS
FOR THE INSANE.

Approved by the Board of Health, Lunacy, and Charity, April 3, 1SS0.

By the Act of the Legislature establishing an Asylum for the Chronic In-
sane, it was provided: "That the inmates thereof shall consist only of such
chronic insane as may he transferred thereto by the Board of State Charities
in the manner provided in section four, chapter two hundred and forty of the
acts of the year eighteen hundred and sixty-three." [Statutes 1877, chap. 227.]

All patients of the Asylum, therefore, have been former inmates of one or
more hospitals in the State; and whenever in these tables they appear as ' ' first
admissions," they are only to be regarded as first admissions to this Asylum.

1. General Statistics of the Year

Patients in hospital Oct. 1, 1879
Admissions within the year *

Whole number of cases within the year
Discharges within the year *
Viz., as recovered .

as much improved .

as improved

as unimproved
Deaths

Patients remaining Sept. 30, 1880
Viz., supported as State patients
as town patients
as private patients

Number of different persons within the year,
admitted .....
recovered .....

Daily average number of patients

175
f26

201

1

3

15

182

57

125

200
25

170.67

196
16

212

191

62

129

212

16

192.48

371

42

413

11

23

373
119

254

412
41

363.15

* Actual, not nominal.

f One returned from elopement.

oo

ASYLUM FOR CHRONIC INSANE.

[Oct.

2. Monthly Adm

issions, Disch

arge

s, and Avei

ages.

MONTHS.

Admissions.

Discharges.
(Including Deaths.)

Daily Av'ge op Patients
in the House.

Ma.

Fe.

Total.

Ma.

Fe.

Total.

Males.

Females.

Total.

1879. October.

1

_

1

2

_

2

175.29

196.

371.29

November

-

-

-

1

1

174.

195.16

369.16

December

1

1

2

3

-

3

172.26

195 06

367.32

1880. January-

-

-

-

1

1

2

171.68

195 09

366.77

February

171.

194.83

365.83

March .

-

-

-

3

2

5

169.49

193 06

362.55

April

-

-

-

1

-

1

167.40

193.

360.40

May

-

-

-

. 6

1

7

162.84

192.

354.84

June

10

5

15

1

7

8

162.67

188.56

351.23

July

-

-

-

-

3

3

169.68

188 70

358.38

August .

-

-

-

1

3

4

169.42

185.71

355.13

September

11

26

10
16

24
42

1
19

3

21

4
40

182-.50

192.73

375.23

Total of cases

-

-

-

Total of persons .

25

16

41

19

21

40

-

-

-

3. Received on Fir

st and

Subset

juent Admissions.

NUMBER OF THE ADMISSION.

Cases admitted.

Times previously Re-
covered.

Males.

Females.

Total.

31 ales.

Females.

Total.

First

25

16

42

-

-

-

Second ....

1

-

-

-

-

-

Third

-

-

-

-

-

-

Fourth ....

-

-

-

-

-

-

Fifth

-

-

-

-

-

-

Etc

-

-

-

-

-

-

Total of cases .

26

16

42

Total of persons

25

16

41

1880.]

PUBLIC DOCUMENT— No. 23.

4. Ages of Persons admitted for the First Time.

Fifteen years and less

From 15 to 20 years
20 to 25 years
25 to 30 years
30 to 35 years
35 to 40 years
40 to 50 years
50 to 60 years
60 to 70 years
70 to 80 years

Over 80 years " .

Unknown

Total

At First Attack of
Insanity.

Males. Females.1 Total.

5
25

16

41

When admitted.

Males. Females. Total

1

3
3
3
• 1
9
1
3

25

16

1
5
3

9

4

12

o

4

41

5. Parentage of .

Persons admitted.

PLACES.

Males.

Females.

Total.

Father.

Mother.

Father.

Mother.

Father.

Mother.

Massachusetts

4

4

2

3

6

7

New Hampshire .

-

-

1

-

1

-

Vermont

-

-

1

-

1

-

New York .

-

-

-

1

-

1

England

1

-

1

1

2

1

Ireland

10

10

9

9

19

19

Germany .

-

-

2

2

2

2

Unknown .

11

12

-

-.

11

12

Total

26

26

16

16

42

42

24 ASYLUM FOR CHRONIC INSANE. [Oct.

6. Residence of Persons admitted.

PLACES.

Males.

Females.

Total.

Massachusetts: —

Viz., Middlesex County ....

2

2

4

Suffolk County

21

12

33

Bristol County .....

1

1

2

Norfolk County .....

-

1

1

Unknown .......

2

-

2

Total

26

16

42

Cities or large towns . .

26

15

41

Country districts . . . .

—

1

1

7. Civil Condition of Persons admitted.

NUMBER OF

Unmarried.

Married.

Widowed.

Unknown.

THE
ADMISSION.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

First .
Second
Third .
Fourth
Fifth .
Etc. .

13

1

5

18

6

8

14

4

3

7

2

2

Total .

14

5

19

6

8

.14

4

3

7

2

—

2

1880.]

PUBLIC DOCUMENT — No. 23.

25

8. Occupations

of Persons admitted.

OCCUPATIONS.

Males.

Females.

Total.

Farmer .......

1

-

1

Tinsmith

1

-

1

Laborers

12

-

12

Marble- worker

1

-

1

Blacksmith .

1

-

1

Map-agent .

1

-

1

Seaman

1

-

1

Soldier

1

-

1

Upholsterer .

1

-

1

Photographer

1

-

1

Carpenter .

1

-

1

Gardener

1

-

1

Clock-maker

• 1

-

1

Manufacturer

1

-

1

Domestics .

-

2

2

Seamstress .

♦

-

1

1

No occupation

1

2

3

Wives .

-

8

8

Widows

-

3

3

Total .

26

16

42

9. Form of Disease in the Cases admitted.

FOKM OF DISEASE.

Males.

Females.

Total.

Mania, acute ......

chronic ......

Melancholia ......

Epilepsy . . . .

Dementia, chronic . . ...

11

5
10

9

1

6

20
6

16

Total of cases

Total of persons .....

26
25

16
16

42
41

26

ASYLUM FOR CHRONIC INSANE.

[Oct.

10. Reported Duration. of Insanity before Last Admission

First Admission

All

other Ad-

Total.

PREVIOUS DURATION.

to any Hospital.

missions.

Ma.

Fe.

Total.

Ma

Fe.

Total.

Ma.

Fe.

Total.

Congenital

-

1

1

Under 1 month .

-

1

1

From 1 to 3 months .

1

3

4

3 to 6 months .

-

-

-

o

-

2

1

-

1

6 to 12 months .

1 to 2 years

7

2

9

10

6

16

2

2

4

2 to 5 years

4

3

7

5

5

10

3

8

11

5 to 10 years

2

-

2

4

-

4

4

2

6

10 to 20 years .

1

1

o

4

4

8

5

2

7

Over 20 years

-

-

-

1

-

1

-

1

1

Unknown ....

11
26

5
16

16

42

26

1
16

1

42

11

1

12

Total of cases- .

26

16

42

Total of persons .

25

16

41

25

16

41

25

16

41

Average of known cases

3.07

5.04

4.05

6.05

5.

5.52

7.08

9.20

8.14

11. Probable Causes of Insanity in Persons admitted.

CAUSES.

Males.

Females.

, Total.

Intemperance ......

-

1

1

Puerperal

-

3

3

Epilepsy

5

1

6

Typhoid fever ......

1

-

1

Hereditary .......

1

2

3

Unknown .......

19

9

28

Total

26

16

42

1880-]

PUBLIC DOCUMENT — No. 23.

27

12. Relation to Hospitals of Persons admitted.

HOSPITAL RELATIONS.

Males.

Females.

Total.

First admission to any hospital for insane .

Former inmates of this hospital

of Danvers Lunatic Hospital,
of Taunton " "
of Worcester " "

1

14

10

1

10
5
1

1

24

15

o

Total ...

26

16

42

13.

How &

upported.

Patients admitted.

Average of the Year.

i

Males.

Females.

Total.

Males.

Females.

Total.

State patients
Town patients
Private patients .

9
.17

3
13

12
30

53.03
117.64

63.30
129.19

116.32

246.83

Total ....

26

16

42

170 67

192.48

363.15

14. Discharges, classified by

Admission

and Result

ADMISSION.

Kecovered.

Much
Improved.

Im-
proved.

Unim-
proved.

Died.

Total.

M.

F.

T.

M.

F.

T.

M.

F.

T.

M.

F.

T.

M.

F.

T.

M.

F.

T.

First

Second

Third

Fourth

Fifth

Tots

Pers

tl .
ons

_

_

_

_

_

„_

1

1
1

9

9

9

10

10
10

_

4

4
4

4

4
4

15

15
15

8

8
8

23

23
23

16

16
16

21

21

21

37

37

•37

28

ASYLUM FOR CHRONIC INSANE.

[Oct.

15. Gases discharged Recovered.

Duration *

Duration- before
Admission.

Hospital
Residence.

Whole Duration
from the Attack.

ERI

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 .
Over 20 years .
Unknown ....

-

-

-

Total of cases
Total of persons .
Average of known cases
(in months)

16. Cases residting in

Death.

Dur

ation

•t

Duration before
Admission.

Hospital
Residence.

Whole Duration
from the Attack.

PERIOD.

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 .
Over 20 years .
Unknown ....

4
5
2

4

9
2

4

2

4
7
2

8

2

9
1
3

15

27

1

7

8
40

2
1
16
1
3

23
33.5

5
5
2

3
15

83

o

1
1

4

8

84

7

6
3

7

Total.
Average of known cases
(in months)

15

50

8
51

23
53.5

23
83.5

* Of the attack resulting in recovery.

t Of the attack resulting in death.

1880.]

PUBLIC DOCUMENT — No.

29

17. Cases discharged by Recovery or Death. Form of Insanity.

FORM OF INSANITY.

Recovbkies.

Deaths.

Males.

Females.

Total.

Males.

Females.

Total.

Mania, acute

chronic .
Melancholia

Epilepsy ....
Dementia, chronic

-

-

-

10

1

4

4

1
3

14

o
7

Total of cases .
Total of persons

-

-

-

15

15

8
8

23
23

18. Causes of Death.

CAUSES.

Males.

Females.

Total.

Phthisis

4

5

9

Pneumonia

1

-

1

Epilepsy
Heart-disease

3
2

1

4
2

Dysentery
Homicide

1

1

1
1

Old aoe .

1

-

1

Exhaustion

•

3

1

4

Total

15

8

23

19. Deaths,

classified by Results

of Previous A

dmi

ssio

ns.

NUMBER OF
THE

Recoveeed.

Much
Improved.

Improved.

UNIM 'ROVED.

Total.

ADMISSION.

Ma.

Fe.

To.

Ma.

Fe.

To.

Ma.

Fe.

To.

Ma.

Fe.

To.

Ma.

Fe.

To.

First .
Second
Third .
Fourth
Fifth .
Etc. .

Total

—

ASYLUM FOR CHRONIC INSANE. [Oct.

20. Recoveries, classified by Results of Previous Admissions.

NUMBER OF
THE

Recoveked.

Much
Improved.

Improved.

Unimproved.

Total.

ADMISSION.

Ma.

Fe.

To.

Ma.

Fe.

To.

Ma.

Fe.

To.

Ma.

Fe.

To.

Ma.

Fe.

To.

First . , .
Second .
Third .
Fourth .
Fifth .

Total .

21. Deaths, classified by

Duration of L

.sanity

and of Treatment.

PERIOD.

Duration op Insanity.*

Whole Known Period of
Hospital Residence^

Males.

Females.

Total.

Males.

Females.

Total.

Congenital ....

-

_

._

_

_

_

Under 1 month

-

-

-

-

-

-

From 1 to 3 months

-

-

-

-

-

-

3 to 6 months

-

-

-

-

-

-

6 to 12 months

-

-

-

2

-

2

1 to 2 years

-

-

-

-

1

1

2 to 5 years

5

2

7

9

3

12

5 to 10 years

5

1

6

1

3

4

10 to 20 years

2

1

3

3

1

4

Over 20 years

-

-

-

-

-

-

Unknown

3

4

7

-

-

-

Total .

15

8

23

15

8

23

Average of known cases in

months ....

96

84

90

74

84

79

* Duration since first attack of insanity.

| Wherever passed.

1880.]

PUBLIC DOCUMENT — No. 23.

31

22. Ages of those who Died.

AGES.

At Time of the First
Attack.

At Time of Death.

Males.

Females.

Total.

Males.

Females.

Total.

Fifteen years and less

From 15 to 20 years
20 to 25 years
25 to 30 years
30 to 35 years
35 to 40 years
40 to 50 years
50 to 60 years
60 to 70 years
70 to 80 years

Over 80 years

Unknown

2
2

1

]
1

1

2
3

2

1
1

2
4

2
3

1

2
3

1

o

3
6

1
1

2

1
2
2
1
2
2
1

1
1

1

2
3

1

2
3

1
3
4
1

2
2

1
3

Total

15

8

23

15

8

23

32

ASYLUM FOR CHRONIC INSANE. [Oct.'*

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s s

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q

to

to

Eemaining

of each

Year's

Admissions

Sept. 30,

1880.

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