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

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QEO DUTTON pAND 

Architect. 



State Lunatic Hospital 



Worcester Mass. 



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Boston Mass. 



Digitized by the Internet Archive 

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University of Massachusetts Amherst 



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NEW STATE. HOSPITAL FOR THE 1WSANE,WQRCES ER,MASS. 



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PUBLIC DOCUMENT. No. 23. 



FORTY-NINTH 



ANNUAL REPORT OF THE TRUSTEES 



STATE LUNATIC HOSPITAL 



AT WORCESTER, 



FOE THE YEAR ENDING SEPTEMBER 30, 1881. 



<* ■ I ^-uti^ d t [ 



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BOSTON: 
KanB, &toerp, & Co., printers to tljc Commontocaltl), 

117 Fkankxin Street. 
1882. 



A 

OFFICERS OF THE HOSPITAL. 



TRUSTEES. 

JOHN D. WASHBURN Worcester. 

JAMES B. THAYER Cambridge. 

ROBERT W. HOOPER Boston. 

RUFUS D. WOODS Enfield. 

THOMAS H. GAGE Worcester. 



RESIDENT OFFICERS. 

JOHN G. PARK, M.D Superintendent. 

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

CHARLES A. PEABODY, M.D Assistant Physician. 

GEORGE L. CLARK Steward. 

LILA J. GORDON Matron. 

JAMES W. BRIGHAM Clerk. 

KIMBLE R. SMITH ■ Engineer. 

F. M. KNAPP, Jun Farmer. 



TREASURER. 



ALBERT WOOD 



Worcester. 



(JTommontDealtf) of Jfltoacfjusetta. 



TRUSTEES' REPORT. 



To his Excellency the Governor, and the Honorable Council of the Common- 
wealth. 

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

The principles which must govern the management of a 
great public hospital, in respect of its financial system and 
modes of business operation, are much the same as those 
that govern a well-conducted corporation seeking a favora- 
ble result for its stockholders. The Trustees are the direc- 
tors, responsible to the owners for the results of the business. 
The Superintendent is their agent, responsible to them and 
to no one else. The Trustees appoint other officials, who are 
responsible to them. Attendants and supervisors are ap- 
pointed by the Superintendent, and responsible to him. But 
to the State, the owner of the property, the Trustees are 
alone responsible for its profitable use and safe preservation ; 
and this responsibility they cannot evade, nor shift any por- 
tion of it upon the shoulders of any other person. Suitable 
incumbents of all subordinate positions must be found and 
employed ; economy must be insisted on and waste stayed ; 
the details of every expense must be critically analyzed and 
audited with intelligence and independence. Whatever may 
be the income of the institution, its ordinary expenses must 
be kept within it, a moderate surplus fund maintained as a 
provision for extraordinary contingencies, and the necessity 
of applying to the State for special appropriations avoided. 
The report of the Treasurer, herewith submitted, tends to 



6 WORCESTER LUNATIC HOSPITAL. [Oct. 

show that the Trustees have endeavored to apply these prin- 
ciples to the management of the business and finances of 
the institution during the year just closed, and with a rea- 
sonable measure of success. 

The Trustees ask nothing of the State in the way of appro- 
priations, unless it shall be found expedient to act on the 
recommendation of Dr. Park with reference to water supply, 
nor have they any recommendation to make in view of the 
operations of this year. Patients can be supported in this 
hospital, in reasonable comfort, at the rate paid for public 
patients under existing law, with the help of the income 
derived from private patients, for whose comfortable mainte- 
nance, as well as for that of public patients, the policy of the 
State has designed these institutions. They are not pauper 
establishments. They are intended to furnish a comfortable 
home, not only for the penniless and harmless, but for per- 
sons of moderate or ample means whom this greatest of 
misfortunes shall have overtaken. Unless a considerable 
advance shall take place in the price of the necessaries of 
life, the Trustees expect to carry the institution through the 
coming twelve months upon its ordinary income, without 
encroaching on its moderate surplus. Should extraordinary 
emergency arise, that surplus will be somewhat reduced. 

The extraordinary expenses during the past year have been 
for the very complete fire protection, described in the report 
of the Superintendent, the erection of an ice-house, and for 
preparing the upper stories for occupancy, and painting the 
wards, as also therein described. The surplus fund has been 
reduced, in consequence of these expenses, about ten thou- 
sand dollars. 

In reference to the success of the institution during the 
past year, in the treatment of mental disease and the mitiga- 
tion of its woes, it may be said that the results have been, 
upon the whole, satisfactory. They will be found, set forth 
with full detail, in the report of the Superintendent and the 
accompanying tables. 

The medical staff has the confidence of the Trustees. 
Dr. Park, whose studious life and unremitting devotion to 
these duties for the past seven years have earned for him 
a high position in the ranks of alienists, at the request of the 
Board, took a vacation of nearly three months, and visited, 



1881.] PUBLIC DOCUMENT — No. 23. 7 

during his short trip abroad, some of the best institutions of 
Europe, and brought back with him renewed vigor in our 
service, and large resources of illustration and suggestion. 
During his absence, Dr. Moulton, with the aid and co-oper- 
ation of the local Trustees, filled the position of Acting- 
Superintendent with a diligence, fidelity, and intelligence 
which challenged our respect and strengthened him in our 
confidence. Dr. Peabody's labors have also been wholly 
satisfactory. 

In its relations with the public and the community to 
which the Trustees are responsible, the institution has been 
at peace. All its operations are conducted in the sight of all 
men who will take the trouble to look on, and follow their 
inception and progress. No intelligent and orderly citizen of 
Massachusetts who desires to visit this property, of which he 
is joint owner with others, is deprived of the opportunity of 
doing so and inspecting it in all its parts, subject, of course, 
to reasonable regulations as to days and hours. There are 
no dark cells or secret chambers, and day-light, in every sense 
in which that term is used, pervades every department of the 
institution. The trustees invite the sympathy and co-opera- 
tion of the government and their fellow-citizens in the 
endeavor to place and keep this hospital in the front rank of 
all the public institutions established for a similar purpose 
throughout the world. 

Respectfully submitted, 

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

Worcester Lunatic Hospital, 
Oct. , 1881. 



WORCESTER LUNATIC HOSPITAL. [Oct. 



OFFICERS AND THEIR SALARIES. 



John G. Park, M.D., Superintendent . 
Albert R. Moulton, M.D., Assistant Physician 
•Charles A. Peabody, M.D., Assistant Physician 
George L. Clark, Steward . 
Lila J. Gordon, Matron 
James W. Brigham, Clerk . 
Kimble R. Smith, Engineer 
Albert Wood, Treasurer 







. $2,500 


00 






1,200 00 






1,000 


00 






1,000 00 






450 


00 






500 


00 






1,000 00 






500 


00 



VALUE OF PERSONAL ESTATE 

Sept. 30, 1881. 



Live-stock on the farm $6,044 00 

Produce of the farm on hand ...... 6,163 80 

Carriages and agricultural implements .... 4,731 02 

Machinery and mechanical fixtures ..... 66,067 02 

Beds and bedding in inmates' department .... 19,854 01 

Other furniture in inmates' department .... 14,230 82 

Personal property of the State in Superintendent's depart- 
ment 13,105 94 

Ready-made clothing 804 55 

Dry-goods 1,316 95 

Provisions, groceries, and other supplies .... 5,102 94 

Drugs and medicines 500 00 

Fuel 2,980 16 

Library 1,166 42 

$142,067 63 



1881.] PUBLIC DOCUMENT — No. 23. 



TREASURER'S REPORT. 



. $24,627 41 


22,353 50 


. 64,638 10 


29,042 69 


3,060 37 


742 84 


$144,464 91 



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, 1881. 

Receipts. 

Cash on hand Sept. 30, 1880 . . . 
Received of the Commonwealth for support of patients 

of cities and towns for support of patients . 

of individuals for support of patientSj . 

for interest, sale of produce, etc . 

belonging to patients 



The expenditures for the year have been as follows : — 

Provisions. 

Flour $4,619 28 

Meat of all kinds 6,504 88 

Fish 1,214 66 

Meal for cooking 384 35 

Beans, potatoes, and other vegetables . . . 2,213 15 

Sugar 3,280 54 

Molasses and syrup 537 17 

Tea , 803 78 

Coffee 1,132 18 

Butter 6,783 31 

Cheese 255 27 

Fresh fruits 112 38 

Ice 208 93 

Eggs, salt, and other groceries .... 3,887 77 

Total for provisions ..... $31,937 65 

Salaries and wages 32,872 57 

Grain 505 17 

Amount carried forward ...... $65,315 39 

2 



10 WORCESTER LUNATIC HOSPITAL. [Oct. 

Amount brought forward $65,315 39 

Meal for stock 993 38 

Hay 93 22 

Furniture 399 90 

Crockery 427 84 

Tinware 231 15 

Bedding 1,765 99 

Straw . 168 61 

Furnishings, miscellaneous ....... 1,029 13 

Pictures, etc 118 09 

Tools 349 03 

Lights 3,166 21 

Water 2,212 91 

Fuel 11,809 96 

Soap 821 95 

Medical supplies 789 37 

Live stock 952 20 

Carriages, harnesses, etc 664 85 

Blacksmithing 225 13 

Plants and seeds 344 45 

Hardware 190 15 

Lumber 211 79 

Paints, oil, etc 204 42 

Pipe and fittings 518 77 

Lime, cement, etc, ........ 147 05 

Kepairs, ordinary . . 4,444 25 

Fertilizers 511 64 

Stationery 300 48 

Postage 223 04 

Transportation 439 37 

Travelling 138 42 

Trustees' expenses 116 23 

Miscellaneous 2,496 46 

Labor 1,450 08 

Clothing and men's furnishings . . . . . . 2,146 88 

Dry- goods, women . . . . . . . . 886 70 

Dry-goods, house 1,869 13 

Boots and shoes 920 71 

Undertaking 268 88 

Total current expenses $109,363 21 

Interest and money refunded . . . . $0 91 

Refunded to patients 748 79 

Extraordinary improvements ... . 19,766 29 

20,515 99 

Total expenses . . $129,879 20 

Cash on hand Sept. 30, 1881 . . . . . 14,585 71 

$144,464 91 



1881.] PUBLIC DOCUMENT — No. 23. 

Resources. 



11 



Cash on hand ..... i 

Due from the Commonwealth 
cities and towns 

cities and towns, previous quarters 
individuals 



Liabilities. 

Due for supplies and improvements . . . $ 4,912 88 

for salaries and wages 2,797 12 

to patients ....... 919 62 



Total surplus 
Hospital library fund, market value 



$14,585 71 

5,642 71 

16,120 85 

1,292 39 

7,350 35 

$44,992 01 



8,629 62 
£36,362 39 

$5,621 84 



Respectfully submitted, 

ALBERT WOOD, Treasurer. 



October 1, 1881. 



Worcester Mass., Sept. 30, 1881. 
The undersigned has this day carefully compared the Treasurer's statement 
of expenditures for the year ending Sept. 30, 1881, with tlie vouchers which 
are on file at the hospital, and found it to be correct. He has also inspected 
the securities for the invested funds, and found them to correspond with the 
Treasurer's statement of their market value. 

THOMAS H. GAGE. 

Auditor of Accounts. 



12 WORCESTER LUNATIC HOSPITAL. [Oct. 



SUPERINTENDENT'S REPORT. 



To the Board of Trustees of the Worcester Lunatic Hospital. 

Gentlemen, — I respectfully submit the following Forty- 
ninth Annual Report of the Worcester Lunatic Hospital. 

There were in the hospital Sept. 30, 1880, 233 males and 
300 females, a total of 533. 

The number of admissions has been 145 males and 104 
females, a total of 249 ; making the whole number of cases 
under treatment during the year 782. The number of ad- 
missions represents 237 persons, 15 more than during the 
previous year; twelve being re-admissions of persons who 
had been discharged during the year. 

Eleven females were transferred from the Danvers Lunatic 
Hospital and four from the State Almshouse at Tewksbury. 

Twenty males were transferred from the Taunton Lunatic 
Hospital. 

The number of recoveries has been 54, or 21.68 per cent 
of the admissions. Fourteen of this number, however, had 
been inmates of this hospital before ; twelve of whom had 
been discharged recovered, one nine times, one six times, 
one four times, two three times, one twice, and six once each ; 
one had been discharged improved and one not improved. 
A review of insane hospital statistics upon this subject of 
recoveries, as tabulated in the annual reports of the institu- 
tions, has brought of late to public notice the fact that a per- 
son afflicted with insanity is quite liable to a second and sub- 
sequent attacks, and that a relapse, or an attack de novo, 
occurs in this malady more frequently than in any of the 
other serious forms of disease. 

Now, although it may be a question upon which there may 
be honest differences of opinion whether each case which 
recovers may not be fairly called a cure, even if the patient 
has a second attack within a few months or a year, there can 



1881.] PUBLIC DOCUMENT — No. 23. 13 

be no doubt that the public have been hitherto widely misled 
as to the meaning of the word " recovery," as used in the 
hospital reports, and as to the permanency of cures from 
insanity. Not a small number of patients who were dis- 
charged recovered in the earlier reports of this hospital have 
many times since become a burden to the public or private 
purse by reason of a return of their malady. 

In order to obtain definite information on this point the 
following circular has been prepared, making inquiry about 
the subsequent mental condition of those patients who were 
discharged from this institution as recovered on their only 
admission, and of those who recovered on their last re-admis- 
sion : — 

Dear Sir, — I would esteem it a great favor if you would send me 
answers to the following questions (obtained either from personal knowl- 
edge or as the result of inquiry) relating to of , a patient 

discharged from this institution 18 — . 

Did remain well? 

Has ever been in any hospital for the insane, or almshouse, 

since leaving Worcester? 

If so, where? How many times? How long a time? and state of 
health after discharge. 

If living, where? and mental condition. 

If dead, date and cause of death. 

Did die at home, in hospital, or almshouse? 

What was mental condition at time of death? 

If you are unable to answer these questions, will you be kind enough 
to give me the address of some member of the family or acquaintance 
who would be likely to possess the desired information? The object of 
my inquiry is to perfect the medical history of the hospital. 

Very respectfully, 

JOHN G. PARK, 

Superintende nt . 

The above inquiries have, to this date, been made regard- 
ing only 211 patients, all of whom were discharged previous 
to 1840. Owing to the time which has elapsed since their 
connection with the hospital great difficulty has been experi- 
enced in finding anybody who knew or remembered anything 
about many of them. Satisfactory answers have, however, 
been received in ninety-four instances thus far, and, as the 
cases become more recent, a much greater per cent of replies 
is expected. 



14 WORCESTER LUNATIC HOSPITAL. [Oct. 

Of these 94 patients, 3 men and 5 women, who remained 
well after their discharge, are still living ; 26 men and 14 
women remained well as long as they lived ; 24 men and 21 
women became again insane, and of this number seven com- 
mitted suicide, and ten have been inmates of other hospitals. 

The average duration of the insanity of patients received 
during the year before their commitment is, of males, three 
years and three months, and of females, three years and 
eleven months. The average duration of insanity before 
admission of those who recovered during the year, of known 
cases, is, of males, six months, females, five and nine-tenths 
months ; of private charges, four and two-tenths months ; 
of public charges, six and eight-tenths months. 

The early removal of the insane, after the approach of the 
disease, to establishments especially provided for them, has 
for years been recommended by a majority of alienists. 

As the public, sadly enough ignorant of the nature of in- 
sanity as it is, and too prone to consider it a disgrace rather 
than a disease, becomes more enlightened and more conver- 
sant with its symptoms and management, the necessity of the 
immediate removal of patients to a hospital becomes less 
apparent. The exception, however, must be made of the 
poorer classes, who are not able to bear the extra burden of 
an unproductive member in their household ; and I am still 
strongly of the opinion that a general knowledge of the 
treatment of mental diseases has not yet spread far enough 
to sanction the removal of any of the insane poor from their 
homes or the hospital to the town almshouse. 

Eleven convicts have been transferred from the State 
Prison at Concord, and three females from the Reformatory 
Prison at Sherborn, and three men from Deer Island. 

Of the transfer from Taunton, two were from the State 
Prison and six from the House of Correction. Ten men and 
one woman were received from jails and houses of correction. 

The large number of commitments of convicts and persons 
awaiting trials for various crimes suggests the necessity for 
better provision for the criminal insane, and in an institution 
by themselves. 

The subject, however, has been already considered by the 
State, with that philanthropic spirit which guards with zeal- 
ous care the poor and unfortunate, and provides so liberally 



1881.] PUBLIC DOCUMENT — No. 23. 15 

for their comfort and happiness. The Commonwealth, at the 
last session of the Legislature, instructed the Board of Health, 
Lunacy, and Charity to report a plan for the better manage- 
ment of the criminal insane. This Board, fully alive to the 
necessities of the case, have given the subject much and care- 
ful attention ; and, while the plan recommended, if adopted 
by the Legislature, very likely will not be the best, it can but 
be a step forward, and, after trial, its weak points can be 
strengthened and its defects remedied. I think that the plan 
should include provision at the same place for the danger- 
ously homicidal patients who are not criminals. With these 
two classes removed from our hospitals for insane, greater 
liberty could be given those who remain. 

It cannot be stated with too much emphasis that there is 
not a lunatic hospital in the State suitable for the safe cus- 
tody of the criminal insane as a class ; and, if for no other or 
higher ground, the safety of the public demands that more 
secure quarters should be provided for them. 

A short visit, during the past summer, to some of the best 
Scotch and English asylums furnished me an opportunity of 
comparing their structures and methods of management with 
our own. 

Let me state very briefly a few of my impressions. 

First, as to the plan of construction of their institutions. 

The newer Scotch and English county asylums have for 
the most part but two stories : the first floor being occupied 
by the patients during the day-time, and the second story at 
night only. The temperate climate not requiring such ex- 
tensive and costly excavation for cellars and basements, or 
such elaborate and expensive heating apparatus, the original 
construction account is much less than with us ; and as the 
sun rarely shines in England unobscured, the}* - are enabled to 
use a great amount of glass in their roofs ; indeed, the day- 
rooms and dining-rooms, with their hanging baskets, running 
vines and ferns, resemble conservatories more than asylum 
apartments. 

Wings, additions, and projections are thrown out from the 
main structure wherever a special object is to be gained, 
without any regard to architectural symmetry, or fear of 
violating the traditional plans of hospital construction which 
we follow so closely. By this means, sunny rooms, cheerful 



16 WORCESTER LUNATIQ HOSPITAL. [Oct. 

infirmary wards, and pleasant workshops are provided at 
small cost. 

The patients themselves are much more generally employed 
than with us. In fact, their asylums are great workhouses, 
and the idleness and listlessness, which are such sad features 
in many of our wards, are noticeable by their absence. There 
are many obstacles in the way of compelling our patients to 
do the amount of work which theirs do. In the first place, 
the friends of patients unwisely object, and are unwilling to 
consider occupation as a means of treatment, except as ill- 
treatment, while the patients themselves, not having the habit 
of obedience born in them, either flatly refuse advice in this 
direction, or perhaps wish to argue the point. I trust that 
both of these objections may be lessened or entirely removed 
in time. For climatic reasons, we never shall be able to em- 
ploy our patients as much out-of-doors as is done in Great 
Britain. 

One of the best asylums I visited had no locks upon any 
of its wards. Its superintendent is an enthusiastic agricul- 
turist and a non-believer in the use of medicine in the treat- 
ment of mental diseases. All of his male patients who can 
walk are out every day, and most of them at work on the 
well-tilled farm of the institution. It seemed to me that 
there was a little fallacy about the doors with no locks. It 
does not mean liberty to all the patients to go out and in at 
will ; but, on the other hand, those who were least fitted to 
pass out, and for that reason the most anxious to avail them- 
selves of the privilege, were confined to a corner of the room 
most distant from the door, or to a somewhat narrow space 
between the wall and some article of furniture, and so their 
movements were really restricted to a smaller area than 
would have been the case had the opening of the door been 
beyond their control. 

As much, if not more, is done by us in the way of amuse- 
ments and entertainments. Our diet is more varied and our 
beds better. The amount of mechanical restraint used is less 
than in American hospitals, and the number of padded rooms 
greater. A much larger proportion of patients occupy dor- 
mitories in English asylums than with us, One of the in- 
ferences, and perhaps the most natural one, to be drawn from 



1881.] PUBLIC DOCUMENT— No. 23. 17 

this is that they have a smaller class of noisy and refractory 
patients than we do. 

Finally, in their relations to the general public the foreign 
asylums are more fortunate than our own in possessing to a 
greater degree the confidence of the public. 

The present water-supply of the hospital is derived from 
Bell Pond, which contains eleven acres, and is about sixty 
feet above the first story of the building. 

This pond was originally a swamp, across the lowest part 
of which an embankment was built by the city to retain the 
water which flows into it from the surrounding hills. Dur- 
ing the dry season the pond is quite shallow, and becomes 
filled with vegetable growths which are decomposed by the 
summer sun. At such times the water is distributed over 
the house loaded with impurities which are offensive both to 
sight and smell. The drainage from two tenement-houses on 
the western border also runs directly into the pond. 

While no disease has thus far been traced to the use of 
this water, the presence of the objectionable features men- 
tioned cause much complaint from the inmates, and, although 
the city is willing to draw off the water and clean out the 
basin, I doubt whether any permanent satisfactory results 
would follow. I therefore respectfully recall to your atten- 
tion the project of obtaining our water-supply from Lake 
Quinsigamond, bj r pumping. The amount paid to the city of 
Worcester for water during the past year has been $2,212.91. 

During the year the hospital has been encircled by about 
twenty-eight hundred feet of eight-inch water-pipe for an 
additional fire protection, to which have been connected 
fourteen hydrants from the Chapman Valve Company's 
works. Each hydrant has two, two-and-a-half inch outlets 
for hose, and one four-and-a-half inch outlet for the attach- 
ment of the city steamers. A Knowles steam fire-pump, No. 
G, capable of furnishing six streams at a pressure of ninety 
pounds at the hose nozzles, completes the system. This pump 
is supplied with steam directly through a four-inch pipe from 
two large boilers, and is ready for use at all times, both night 
and day. At the experimental trial of this pump, in the 
presence of the engineers of the Worcester Fire Department, 
the result was declared to be perfectly satisfactory. There 
are, in addition, seven four-inch stand-pipes within the build- 
3 



18 WORCESTER LUNATIC HOSPITAL. [Oct. 

ing and three thousand feet of linen hose. A hose-carriage, 
with eight hundred feet of rubber-lined hose, has been bought, 
and the employes have been assigned special duties in case of 
fire, and exercised in raising the ladders and laying the hose. 
Hand fire-pumps, with buckets of water, are also distributed 
through the attics and basement. 

It is believed that every precaution which can be foreseen 
has been taken to prevent the spread of a conflagration 
should one unfortunately occur. The expense of this addi- 
tional system for protection from fire has been $7,314.46, 
which has been paid for from the surplus funds belonging to 
the institution. 

An ice-house, thirty-five by forty-five feet, with a capacity 
of four hundred and fifty tons, was built during the year and 
filled with ice from the lake. 

The finishing of the fourth story of the hospital, mention 
of which was made in the last report as being in progress, has 
been completed ; three sections on the female side, and one 
on the male, are now occupied by patients. At the close of 
the last year the walls of sixteen wards had been painted, 
this work has been continued until three wards only at the 
present time remain unpainted. 

A green-house, a hundred feet by twenty, has also been 
erected, and is being stocked with plants for winter bloom- 
ing. 

Your attention is called to the very complete statistical 
tables which accompany this report. The compilation of 
these statistics involved a great amount of labor, and it is 
believed that their accuracy can be depended upon. 

The farm has continued during the year to be under the 
successful management of Mr. F. M. Knapp, jun. A list of 
the products of the farm and garden is appended to the table 
of statistics. 

There have been several changes during the year in the 
corps of officers. Early in May, Dr. W. P. Bowers felt 
obliged, on account of ill health, to resign the position of first 
assistant, and the institution lost the services of a most faith- 
ful and competent officer. 

Dr. A. R. Moulton was promoted to fill the vacancy, and 
during my temporary absence took charge of the affairs of 
the hospital to your entire satisfaction. 



1881.] PUBLIC DOCUMENT — No. 23. 19 

Dr. Charles A. Peabody, formerly assistant physician at the 
Asylum for the Chronic Insane, was chosen to the position of 
second assistant in place of Dr. Moulton. 

Dr. W. E. Sylvester and Dr. Omer P. Porter were con- 
nected with the medical staff of the institution for several 
months each ; the former leaving in April and the latter in 
September. 

Mr. Clarence Buffinton resigned the office of steward in 
January, and Mr. George L. Clark was elected to fill the 
vacancy. 

In closing, I desire to express my appreciation of the labors 

of the officials and employe's who have had the interests of 

the institution and the welfare of the patients at heart, and 

to again acknowledge the sense of obligation I am under for 

the kindness and assistance which I continue to receive from 

your board. 

JOHN G. PARK, 

Superintendent. 

Worcester Lunatic Hospital, 
Oct. 1, 1881. 



20 



WORCESTER LUNATIC HOSPITAL. [Oct. 



TABLES. 



1. General Statistics of the Year 





Males. 


Females. 


Total. 


Patients in hospital Oct. 1, 1880 . 


233 


300 


533 


Admissions within the year .... 


145 


104 


249 


Whole number of cases within the year 


378 


404 


782 


Discharges within the year .... 


80 


67 


147 


Viz., as recovered ..... 


31 


23 


54 


as much improved .... 


12 


15 


27 


as improved ..... 


21 


16 


37 


as unimproved .... 


16 


13 


29 


Deaths . . 


26 


21 


47 


Patients remaining Sept;. 30, 1881 


272 


316 


588 


Viz., supported as State patients 


68 


57 


125 


as Town patients 


158 


197 


355 


as Private patients . 


46 


62 


108 


Number of different persons within the year, 


372 


398 


770 


admitted ..... 


139 


98 


237 


recovered ..... 


31 


21 


52 


Daily average number of patients 


258.03 


311.95 


569.98 



2. Monthly Admissions, Discharges, and Averages. 











Discharges. 


Daily Average of 






ISS. 


(Including Deaths.) 


Patiekts in the House. 
























Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Males. 


Females. 


Total. 


October, 1880 


6 


3 


9 


8 


7 


15 


231.58 


296.22 


527.80 


November, " 


11 


9 


20 


9 


4 


13 


230.17 


299.16 


529.33 


December, " 


32 


6 


38 


9 


3 


12 


240.48 


302.58 


543.06 


January, 1881 


10 


11 


21 


7 


10 


17 


256.32 


305.77 


562.09 


February, ' ' 


5 


8 


13 


13 


10 


23 


253.42 


303.78 


557.20 


March, " 


15 


22 


37 


8 


5 


13 


252.42 


309.25 


561.67 


April, " 


20 


9 


29 


5 


7 


12 


271.76 


321.07 


592.83 


May, 


10 


7 


17 


12 


8 


20 


274.35 


322.48 


596.83 


June, " 


9 


7 


16 


2 


6 


8 


273.50 


321.26 


594.76 


July, 


5 


8 


13 


13 


6 


19 


270.84 


318.70 


589.54 


August, " 


5 


12 


17 


7 


13 


20 


269.67 


323.03 


592.70 


September, " 


17 
145 


2 
104 


19 
249 


13 
106 


9 

88 


22 
194 


271.93 
258.03 


320.10 


592.03 


Total of cases . 


311.95 


569.98 


Total of persons, 


139 


98 


237 


101 


85 


186 









1881.] 



PUBLIC DOCUMENT — No. 23. 



21 



3. 


Received 


on First and Subsequent Admissions. 






Cases Admitted. 


Times Previodsly Recovered. 


NUMBER OF THE 






ADMISSION. 
















Males. 


Females. 


Total. 


Males. 


Females. 


TotaL 


First .... 


128 


80 


208 








Second 






14 


13 


27 


3 


6 


9 


Third 






3 


2 


5 


5 


1 


6 


Fourth 




. 


- 


3 


3 


- 


2 


2 


Fifth . 






- 


4 


4 


- 


10 


10 


Sixth . 






_ 


1 


1 


- 


o 


2 


Eighth 




• 


- 


1 


1 


- 


6 


6 


Total of cases 


145 


104 


249 


. 8 


27 


35 


Total of persons . 


139 


98 


237 


5 


12 


17 



4. Ages of Persons admitted for the First Time. 



AGES. 


At First Attack of 
Insanity. 


When Admitted. 


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 yeai'3 . 

50 to 60 years . 

60 to 70 years . 

70 to 80 years . 
Over 80 years 
Unknown . 


3 
17 

19 

18 

13 

11 

8 

9 

2 

2 

1 

25 


3 

4 

12 

10 
9 
9 

15 
5 
5 

8 


6 

21 
31 
28 
22 
20 
23 
14 
7 
2 

1 
33 


1 

12 

24 

22 

18 

13 

18 

14 

3 

2 

1 


1 

5 
14 

7 
12 
11 
13 
10 

5 

2 


2 

17 

38 

29 

30 

24 

31 

24 

8 

4 

1 


Total . 


128 


80 


208 


128 


80 


208 



22 



WORCESTER LUNATIC HOSPITAL. [Oct. 



5. liesidence of Persons 


admitted 


• 




PLACES. 


Males. 


Females. 


Total. 


Massachusetts, — 

Bristol County ..... 

Essex County ..... 

Franklin County ..... 

Hampden County ..... 

Middlesex County .... 

Norfolk County ..... 

Suffolk County 

Worcester County .... 
State of Rhode Island .... 


20 

1 
3 

39 

7 

15 

54 


1 

' 15 

2 

24 

2 

13 

40 

1 


21 

15 

1 

5 
63 

9 
28 
94 

1 


Total 

Cities or large towns ..... 
Country districts ...... 


139 

68 
71 


98 

48 
50 


237 

116 
121 


Total 


139 


98 


237 



6. Civil Condition of Persons admitted. 



NO. OF THE 
ADMISSION. 


Unmakbied. 


Married. 


Widowed. 


Unknown. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. Fe. 


Tot. 


First . 


79 


32 


Ill 


43 


30 


73 


3 


18 


21 


3 




3 


Second 


2 


3 


5 


7 


6 


13 


_ 


1 


1 


- 


_ 


_ 


Third 


1 


_ 


1 


1 


1 


2 














Fourth 


- 


- 


- 


- 


3 


3 














Fifth 


_ 


2 


2 


_ 


1 


1 














Sixth 


- 


- 


- 


- 


1 


1 










- 




Total . 


82 


37 


119 


51 


42 


93 


3 


19 


22 


3 


3 



1881.] 



PUBLIC DOCUMENT — No. 23. 



23 



7. Occupat 


ions 


of Persons 


admitted. 




OCCUPATIONS. 


Males. 


Females. 


Total. 


Architects 


2 




2 


Barber 










1 


_ 


1 


Blacksmiths 










4 


- 


4 


Baker .... 










1 


_ 


1 


Bonnet-presser . 

Book-keeper 

Boot and shoe makers . 










1 
1 

17 


- 


1 

1 
17 


Clerks 










6 


_ 


6 


Carpenters . 
Clergyman . 
Cabinet-maker . 










4 
1 
1 


- 


4 
1 
1 


Cigar-maker 
Designer 
Druggist 
Dressmaker 










1 
1 
1 


1 


1 

1 
1 
1 


Domestics . 










- 


14 


14 


Engineer 
Farmers 










1 
17 


- 


1 
17 


Grocer . . . • 










1 


_ 


1 


Hostler 










1 


- 


1 


Housewives 










- 


46 


46 


Jewellers and watchmakers 










4 


- 


4 


Journalist . 










1 


- 


1 


Laborers 










19 


- 


19 


Machinists . 










5 


_ 


5 


Moulder 










1 


- 


1 


Mechanics . . 










7 


- 


7 


Masons 










2 


_ 


2 


Nurses 










- 


2 


2 


Operatives . 
Painters . • . 










7 


3 


10 
2 


Porters 










3 


- 


3 


Provision dealer . 










1 


- 


1 


Students 










2 


- 


2 


Stair-builder 










1 


- 


1 


Shop-girl . 
Tailors 










3 


1 


1 
3 


Tanner 










1 


- 


1 


Teamster . 










1 


- 


1 


Thief . . . 










1 


- 


1 


Upholsterers • 
Vagrants 
No occupation 
Unknown . 










2 
1 

9 
4 


2 

22 

~7 


2 
3 

31 
11 


Total . 










139 


98 


237 



24 



WORCESTER LUNATIC HOSPITAL. [Oct. 



8. Reported Duration 


of 


Insanity before Last Admission. 






First Admission 


All other 






to ant Hospital. 


Admissions. 


Total. 
























Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Under 1 month . 


16 


13 


29 




4 


4 


16 


17 


33 


From 1 to 3 months . 


17 


14 


31 


5 


6 


11 


22 


20 


42 


3 to 6 months . 


9 


2 


11 


2 


1 


3 


11 


3 


14 


6 to 12 months . 


8 


4 


12 


4 


1 


5 


12 


5 


17 


1 to 2 years 


10 


7 


17 


1 


9 


10 


11 


16 


27 


2 to 5 years 


10 


5 


15 


7 


9 


16 


17 


14 


31 


5 to 10 years 


3 


3 


6 


9 


5 


14 


12 


8 


20 


10 to 20 years . 


4 


3 


7 


5 


5 


10 


9 


8 


17 


Over 20 years 


1 


1 


2 


1 


2 


3 


2 


3 


5 


Unknown .... 


24 


8 


32 


9 
43 


2 
44 


11 

87 


33 

145 


10 

104 


43 


Total of cases 


102 


60 


162 


249 


Total of persons 


102 


60 


162 


37 


38 


75 


139 


98 


237 




Mos. 


Mos. 


Mos 


Mos. 


Mos. 


Mos. 


Mos 


Mos. 


Mos. 


Average of known cases . 


26.6 


32.1 


29.3 


70.2 


65.5 


67.8 


39.8 


47. 


43.4 



9. Form of Disease in the Cases admitted. 




FOKM OF DISEASE. 


Males. 


Females. 


Total. 


Mania, acute ...... 


34 


27 


61 


chronic ...... 


39 


39 


78 


recurrent ...... 


4 


4 


8 


puerperal 

religious . . . . . . 

Melancholia, acute ..... 


2 
12 


6 
10 


6 

2 

22 


chronic ..... 


4 


1 


5 


Dementia, acute ...... 


- 


1 


1 


chronic ..... 


13 


4 


17 


senile ...... 


4 


6 


10 


Alcoholic mania ...... 


6 


- 


6 


Epilepsy 

General paralysis 

Idiocy ........ 

Imbecility ....... 

Moral insanity . . . ... 


10 

13 

1 

1 

2 


4 
2 


14 

13 

1 

1 

4 


Total of cases 


145 


104 


249 


Total of persons ..... 


139 


98 


237 



1881.] 



PUBLIC DOCUMENT — No. 23. 



25 



JO. Probable Causes of Insanity in Persons admitted. 





Patients 


Previous 


Hereditary 


CAUSES. 


Admitted. 


Attacks. 


Predisposition. 




Ma. 


Fe. 


' Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Mental, — 




















Anxiety and care . 


- 


5 


5 


- 


1 


1 


_ 


1 


1 


Business trouble 


3 


- 


3 


1 


- 


1 


_ 


_ 


_ 


Close confinement to busi- 




















ness . 


1 


- 


1 


1 


- 


1 


_ 


_ 


_ 


Excessive mental labor . 


3 


- 


3 














Family care and trouble . 


- 


2 


2 


- 


1 


1 


_ 


_ 


_ 


Fright . 


- 


1 


1 














Grief . . . 


- 


8 


8 


- 


5 


5 


_ 


3 


3 


Hereditary 


33 


15 


48 


7 


7 


14 


33 


15 


48 


Jealousy .... 


- 


1 


1 


- 


1 


1 


- 


- 


- 


Loss of property 


1 


1 


2 














Love disappointment 


- 


1 


1 














Nostalgia 


- 


1 


1 


- 


1 


1 


_ 


_ 


_ 


Religious excitement 


3 


2 


5 


1 


_ 


1 


_ 


1 


1 


Reverses . • . 


- 


1 


1 


_ 


- 


- 


_ 


1 


1 


Spiritualism . 


- 


1 


1 














Want of work 


2 


_ 


2 


1 


_ 


1 


_ 


_ 


_ 


Worry .... 


1 


- 


1 














Physical, — 




















Epilepsy 


10 


5 


15 


1 


1 


2 


- 


- 


- 


General paralysis . 


10 


- 


10 


- 


- 


- 


1 


- 




Ill health 


4 


4 


8 


- 


1 


1 


1 


1 




Injury to head 


4 


2 


6 


- 


1 


1 


_ 


_ 


_ 


Intemperance . 


14 


3 


17 


3 


- 


3 


1 


- 




Lactation 


- 


2 


9 














Masturbation . 


11 


- 


11 


1 


_ 


1 


1 


_ 




Miscarriage 


- 


1 


1 


- 


1 


1 


- 


- 


- 


Meningitis 




1 


2 


- 


- 


- 


- 


- 


- 


Menstrual disorder . 


- 


1 


1 


_ 


1 


1 


_ 


_ 


_ 


Overwork 







3 


1 


1 


2 


_ 


1 




Puerperal 


- 


6 


6 


- 


2 


2 


- 


1 




Rheumatism . 




- 


1 














Scarlet fever . 




_ 


1 


_ 


_ 


_ 


_ 


_ 




Senility .... 


3 


1 


4 


- 


1 


1 


1 


- 




Sun -stroke 


3 


- 


3 


2 


- 


2 


1 


_ 




Syphilis .... 


- 


1 


1 


- 


1 


1 


- 


- 




Turn of life . 


- 


o 


2 














Use of poisonous hair-dyes 




1 


1 














Unknown . 


29 


27 


56 


3 
22 


11 
37 


14 

59 


1 


- 




Total .... 


139 


98 


237 


40 


24 


64 



26 



WORCESTER LUNATIC HOSPITAL. [Oct. 



11. Relation to Hospitals of Persons admitted. 



HOSPITAL GELATIONS. 


Males. 


Females. 


Total. 


First admission to any hospital for insane . 


102 


60 


162 


Former inmates of this hospital . 


11 


18 


29 


Former inmates of other hospitals in this 
State, — 








Northampton ...... 


- 


1 


1 


Taunton 


22 


- 


22 




2 


15 


17 


McLean ....... 


- 


2 


2 


Herbert Hall (private hospital) 


1 


1 


2 


of Hartford Retreat, Conn. 


- 


1 


1 


of St. Peter's, Minn. .... 


1 


- 


1 




139 


98 


237 





12. 


How supported. 








Patients Admitted. 


Average of the ' 


Peak. 


SUPPORTED AS 


Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


State patients . 
Town patients . 
Private patients 


54 
63 
22 


29 
53 
16 


83 
116 

38 


62.40 

152.56 

43.07 


68.92 

181.63 

61.40 


131.32 
334.19 
104.47 


Total 


139 


98 


237 


258.03 


311.95 


56998 



1881.] 



PUBLIC DOCUMENT — No. 23. 



27 



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28 



WORCESTER LUNATIC HOSPITAL. [Oct. 



14. Cases discharged Recovered.- 


— Duration. 








Duration before 


Hospital 


Whole Duration 




Admission. 


Residence. 


from the Attack. 


PERIOD. 
















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Under 1 month • 


6 


9 


15 


3 


3 


6 


2 


1 


3 


From 1 to 3 months 


10 


8 


18 


7 


6 


13 


1 


3 


4 


3 to 6 months 


2 


1 


3 


10 


7 


17 


9 


7 


16 


6 to 12 months 


2 


- 


2 


5 


6 


11 


4 


6 


10 


1 to 2 years . 


2 


- 


2 


5 


1 


6 


5 


1 


6 


2 to 5 years . 


1 


1 


2 


1 


- 


1 


2 


1 


3 


5 to 10 years . 


1 


1 


2 


- 


- 


- 


1 


1 


2 


Unknown .... 


7 


3 


10 


31 


23 


54 


7 


3 


10 


Total of cases 


31 


23 


54 


31 


23 


54 


Total of persons . 


31 


21 


52 


31 


21 


52 


31 


21 


52 




Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Average of known cases 


6.5 


5.9 


6.2 


6.8 


4.6 


5.9 


13.1 


10.5 


11.8 



15. Cases resulting in Death. — Duration. 



PERIOD. 


Duration before 
Admission. 


Hospital 
Resides ce. 


Whole Duration 
from the Attack. 




Ma. 


Fe. 


Tot. 


Ma. 


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 .... 


3 

2 
3 
4 
4 
5 
1 

4 


5 
3 
2 
1 
1 
3 
2 

1 
3 


5 
6 
4 

4 
5 
7 
7 
1 
1 
7 


3 
3 

6 

11 

3 


5 

3 
3 
3 
5 
2 


5 
3 
6 
3 
9 
16 
5 


1 
1 

1 

7 
8 
3 
1 
4 


4 

1 

4 
3 
2 
3 
1 
3 


4 

2 
1 

5 
10 
10 
6 
2 
7 


Total . . 
Average of known cases 


26 

Mos. 

45 


21 

Mos. 

44.5 


47 

Mos. 

44.5 


26 

Mos. 

30.5 


21 

Mos. 

21.6 


47 

Mos. 

26.5 


26 

Mos. 

72.8 


21 

Mos. 

66.2 


47 

Mos. 

69.9 



1881.] 



PUBLIC DOCUMENT — No. 23. 



29 



16. Cases discharged by Recovery or Death. 









Recoveries. 


Deaths. 


FORM OF INSANITY. 


Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Mania, acute 

chronic . 
recurrent . 
suicidal . 
alcoholic . 
puerperal 
paralytic . 

Melancholia, acute 
chronic 

Dipsomania . 

Dementia 

Delirium tremens 

Delusional insanity 

Epilepsy 

General paralysis 

Moral insanity 






13 

2 
2 

1 

4 

4 
1 
1 
1 
2 


8 
1 

6 

2 
1 

3 
1 

1 


21 
3 

8 
1 
6 

1 

7 
1 
1 

1 

1 

3 


6 

2 
1 

2 

1 

6 

8 


4 
1 

1 
1 

5 
1 

6 

2 


4 

7 

1 
3 

1 

8 

1 

8 

8 


Total of cases 
Total of persons 


31 
31 


23 
21 


54 
52 


26 


21 


47 



1 7. Causes 


of Death. 






CAUSES. 


Males. 


Females. 


Total. 


Exhaustion of acute melancholia. 


1 




1 


chronic melancholia 






1 


2 


3 


acute mania 






- 


4 


4 


chronic mania 






4 


- 


4 


paralytic mania . 






- 


1 


1 


Apoplexy 






- 


2 


2 


Abscess of lung .... 






1 


- 


1 


Brain tumor and apoplexy . 






1 


- 


1 


Epilepsy ..... 






5 


2 


7 


General paralysis . . . 






8 


- 


8 


Heart-disease .... 






_ 


3 


3 


Inflammation of bowels 






_ 


1 


1 


Phthisis ..... 






1 


3 


4 


Pneumonia ..... 






_ 


1 


1 


Tonsillitis abscess and septicaemia 






1 


_ 


1 


Senile dementia . 






2 


2 


4 


Unascertained .... 






1 


- 


1 


Total 






26 


21 


47 



30 



WORCESTER LUNATfC HOSPITAL. 



[Oct. 



18. Deaths, classified by Results of Previous Admissions. 



NO. OF THE 


Recovered. 


Improved. 


Unimproved. 


Total. 


ADMISSION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First . 
Second 


3 


3 
1 


6 
1 


3 


_ 


3 


2 

1 


1 


3 
1 


8 
1 


4 
1 


12 
2 


Total . 


3 


4 


7 


3 


- 


3 


3 


1 


4 


9 


5 


14 



19. Recoveries, classified by Results of Previous Admissions . 



NO. OF THE 


Recovered. 


Improved. 


Unimproved. 


Total. 


ADMISSION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First . 


3 


3 


6 


1 




1 


1 




1 


5 


3 


8 


Third . 


_ 


1 


1 
















1 


1 


Fourth 


_ 


3 


3 
















3 


3 


Fifth . 


_ 


1 


1 
















1 


1 


Sixth . 


_ 


1 


1 
















1 


1 


Seventh 


_ 


1 


1 
















1 


1 


Twelfth . 


- 


1 


1 
















1 


1 


Total . 


3 


11 


14 


1 


- 


1 


1 


- 


1 


5 


11 


16 



20. Deaths, classified by Duration of Insanity 


and of Treatment. 


PERIOD. 


Duration of Insanity. 


Whole Known Period op 
Hospital Residence. 




Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Under 1 month . 




4 


4 




4 


4 


From 1 to 3 months 


- 


- 


- 


2 


1 


3 


3 to 6 months 


1 


1 


2 


3 


3 


6 


6 to 12 months 


- 


- 


- 


1 


1 


2 


1 to 2 years 

2 to 5 years 


2 

'. 7 


3 
3 


5 
10 


5 
11 


4 
5 


9 
16 


5 to 10 years 


7 


3 


10 


4 


2 


6 


10 to 20 years 
Over 20 years 


4 
1 


3 

1 


7 
2 


— 


1 


1 


Unknown 


4 


3 


7 


- 


- 


- 


Total . 


. 26 


21 


47 


26 


21 


47 




Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Average of known cast 


a . 81.5 


73.2 


77.7 


33.4 


43.4 


37.9 



1881.] 



PUBLIC DOCUMENT — No. 23. 



31 



21 


. Aget 


of those who Died. 








At Time of the First 












At Time 


AGES. 


Attack. 










Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


From 15 to 20 years 


2 


1 


3 








20 to 25 years 






1 


1 


2 


3 


1 


4 


25 to 30 years 






1 


2 


3 


1 


1 


2 


30 to 35 years 






4 


1 


5 


1 


2 


3 


35 to 40 years 






4 


5 


9 


7 


4 


11 


40 to 50 years 






4 


5 


9 


4 


3 


7 


50 to 60 years 






3 


4 


7 ■ 


2 


4 


6 


60 to 70 years 






5 


1 


6 


4 


4 


8 


70 to 80 years 






1 


1 


2 


3 


2 


5 


Over 80 years 






1 


- 


1 


1 


- 


1 


Total . 






26 


21 


47 


26 


21 


47 



55. Number of Convicts admitted to the Hospital from its opening 
Jan. 19, 1833, to Sept. 30, 1881. 





Males. 


Females. 


Total. 


Number upon first admission 
Number upon re-admission 


343 

40 


38 
3 


381 
43 




383 


41 


424 



32 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1881.] 



PUBLIC DOCUMENT — No. 23. 



33 



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34 



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1881.] 



PUBLIC DOCUMENT — No. 23. 



35 



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36 



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1881.] 



PUBLIC DOCUMENT — No. 23. 



37 







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38 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Showing the Restdts of First Admissions. 



Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of persons on firs 


t 












admission . 


- 


- 


- 


4,795 


4,655 


9,450 


Discharged recovered . 


1,701 


1,705 


3,406 








improved . 


1,256 


1,259 


2,515 








not improved 


890 


808 


1,698 








not insane . 


2 


2 


4 








Died 


, 738 


652 


1,390 








Eloped .... 


3 


- 


3 








Remaining in the hospita 


L - 












Sept. 30, 1881 . 


205 


229 


434 


4,795 


4,655 


9,450 



Showing the Resxdts of Re-admissions. 



Number of re-admissions 








1,629 


1,571 


3,200 


Discharged recovered . 


619 


664 


1,283 








improved . 


452 


407 


859 








not improved 


289 


247 


536 








Died 


202 


166 


368 








Remaining in the hospital 














Sept. 30, 1881 . 


67 


87 


154 


1,629 


1,571 


3,200 



Shoioing the Results of Second Admissions. 



Number of second admissions, 








964 


955 


1,919 


Discharged recovered . 


322 


336 


658 








improved . 


259 


265 


524 








not improved 


206 


174 


380 








Died 


140 


118 


258 








Remaining in the hospital 














Sept. 30, 1881 . 


37 


62 


99 


964 


955 


1,919 



1881.] PUBLIC DOCUMENT — No. 23. 

Showing the Results of Third Admissions. 



39 





Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of third admissions, 








317 


278 


595 


Discharged recovered . 

improved . 

not improved 
Died 


131 

86 
47 
40 


128 
67 
38 

28 


259 
153 

85 
68 








Remaining in the hospital 
Sept. 30, 1881 . 


13 


17 


30 


317 


278 


595 



Showing the Results of Fourth Admissions. 



Number of fourth admis- 














sions .... 


- 


- 


- 


134 


124 


258 


Discharged recovered . 


59 


58 


117 








improved . 


42 


37 


79 








not improved 


20 


18 


38 








Died ..... 


5 


9 


14 








Remaining in the hospital 














Sept. 30, 1881 . 


8 


2 


10 


134 


124 


258 



Showing the Results of Fifth Admissions. 



Number of fifth admissions, 








65 


65 


130 


Discharged recovered . 

improved . 

not improved 
Died 


31 

14 

6 

8 


37 

13 

8 

4 


68 
27 
14 
12 








Remaining in the hospital 
Sept. 30, 1881 . 


6 


3 


9 


65 


65 


130 



Showing the Results of Sixth Admissions. 



Number of sixth admissions, 








35 


34 


69 


Discharged recovered . 

improved . 

not improved 
Died 


21 

7 
2 
3 


20 
8 
2 
3 


41 

15 

4 

6 








Remaining in the hospital 
Sept. 30, 1881. 


2 


1 


3 


35 


34 


69 



40 WORCESTER LUNATIC HOSPITAL. [Oct. 

Showing the Results of Seventh Admissions. 





Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of seventh admis- 














sions .... 


- 


- 


- 


25 


22 


47 


Discharged recovered . 


14 


15 


29 








improved . 


5 


4 


9 








not improved 


3 


1 


4 








Died 


3 


2 


5 


25 


22 


47 



Showing the Results of Eighth Admissions. 



Number of eighth admis- 














sions .... 


- 


- 


- 


19 


17 


36 


Discharged recovered . 


9 


12 


21 








improved . 


9 


3 


12 








not improved 


1 


2 


3 


19 


17 


36 



Showing the Results of Ninth Admissions. 



Number of ninth admissions, 








15 


14 


29 


Discharged recovered . 


9 


9 


18 








improved . 
not improved 
Died ..... 


4 
1 
1 


4 
-1 


8 
2 
1 


15 


14 


29 



Showing the Residts of Tenth Admissions. 



Number of tenth 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 eleventh admis- 














sions ..... 


- 


_ 


_ 


11 


12 


23 


Discharged recovered . 


3 


8 


11 








improved . 


6 


3 


9 








not improved 


1 


1 


2 








Died 


1 


— 


1 


11 


12 


23 



1881.] PUBLIC DOCUMENT— No. 23. 41 

Shotting the Results of Twelfth Admissions. 





Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of twelfth admissions, 
Discharged recovered . 

improved . 

not improved 
Died 


3 
4 
1 
1 


8 
1 


11 

5 
1 
1 


9 
9 


9 
9 


18 
18 



Showing the Results of Thirteenth Admissions. 



Number of thirteenth admis- 














sions .... 


- 


- 


- 


7 


8 


15 


Discharged recovered . 


3 


6 


9 








improved . 


3 


- 


3 








not improved 


1 


- 


1 








Remaining in the hospital 














Sept. 30, 1881 . 


— 


2 


2 


7 


8 


15 



Shoiving the Residts of Fourteenth Admissions. 



Number of fourteenth admis- 
sions .... 
Discharged recovered . 
improved . 


3 
2 


5 


8 
2 


5 
5 


5 
5 


10 
10 



Showing the Results of Fifteenth Admissions. 



Number of fifteenth admis- 
sions 
Discharged recovered . 
improved . 
Died 









4 


4 


2 


3 


5 






2 


- 


2 






— 


1 


1 


4 


4 



Showing the Results of Sixteenth Admissions. 



Number of sixteenth admis- 














sions ..... 


- 


- 


- 


2 


2 


4 


Discharged recovered . 


1 


2 


3 








improved . 


1 


— 


1 


2 


2 


4 



42 WORCESTER LUNATIC HOSPITAL [Oct. 

Showing the Results of Seventeenth Admissions. 





Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of seventeenth ad- 
missions .... 
Discharged recovered . 
not improved 


2 


1 
1 


3 
1 


2 
2 


2 
2 


4 
4 



Showing the Results of Eighteenth Admissions. 



Number of eighteenth admis- 














sions. .... 


- 


— 


— 


2 


2 


4 


Discharged recovered . 


1 


1 


2 








Died 


- 


1 


1 








Remaining in the hospital 














Sept. 30, 1881 . 


1 




1 


2 


o 


4 



Showing the Results of Nineteenth Admissions. 



Number of nineteenth ad- 
missions .... 
Discharged recovered . 
improved . 


1 


1 


1 

1 


1 
1 


1 
1 


2 
2 



Showing the Result of Twentieth Admission. 



Number of twentieth admis- 
sion . 
Discharged recovered . 



1 
-11 



Showing the Result of Twenty-first Admission. 



Number of twenty-first ad- 
mission . 
Discharged recovered . 



1 
-11 



1881.] PUBLIC DOCUMENT — No. 23. 

Showing the Result of Twenty-second Admission. 



43 





Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of twenty-second ad- 
mission .... 
Discharged recovered . 


- 


1 


1 


- 


1 


1 



Showing the Result of Twenty-third Admission. 



Number of twenty-third ad- 
mission . 
Discharged recovered . 



1 
-11 



44 WORCESTER LUNATIC HOSPITAL. [Oct. 



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YEARS 
ENDING 
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cocococococo-*i-^i^tiTjiTti'^irriTri'^i-!Ti'OiOio 

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1881.] PUBLIC DOCUMENT — No. 23. 



45 



I I (M I Tt* <M O S M 



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46 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1881.] 



PUBLIC DOCUMENT — No. 23. 



47 



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56 



WORCESTER LUNATIC HOSPITAL. [Oct. 





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1881.] 



PUBLIC DOCUMENT — No. 23. 



57 



Residence of Private Patients admitted to the Hospital from 
Jan. 1, 1871, to Dec. 31, 1880. 



TOWNS. 


No. 


TOWNS. 


No. j 


TOWNS. 


No. 


Arlington . 


6 


Gardner 


' 7 


Paxton 


3 


Athol . 


1 


Grafton 


2 


Petersham 


2 


Andover 


6 


Greenfield . 


1 


Quincy 


1 


Amesbury . 


1 


Hopkinton 


1 


Rutland 




1 


Ashburnham 


1 


Hubbardston 


2 


Reading 




2 


Acton '. 


5 


Hudson 


4 


Royalston 




4 


Ayer . 


5 


Hingham 




2 


Revere 




1 


Ashland 


2 


Holden 




2 


Randolph 




1 


Abington 


2 


Holliston 




5 


Stow . 




1 


Attleborough 


1 


Haverhill 




2 


Stoneham 




1 


Boston 


88 


Holbrook 




1 


Sutton 




4 


Berlin 


1 


Hinsdale 




1 


Saugus 




4 


Blackstone . 


5 


Ipswich 




1 


Somerville 


9 


Brookline . 


5 


Lowell 




28 


Sudbury . 


3 


Brookfield . 


3 


Lynn 




11 


Southbridge 


1 


Brighton 


2 


Lancaster 




4 


Sturbridge 


1 


Bai're . 


2 


Lawrence 




6 


Sterling 


2 


Brockton 


2 


Leicester . 




3 


Salem 


11 


Brimfield . 


3 


Leominster 


9 


Springfield 


1 


Billerica 


1 


Littleton . 


2 


Swampscott 


1 


Boylston 


1 


Lexington 


1 


Shrewsbury 


3 


Belmont 


1 


Marlborough 


4 


Stoughton . 


1 


Bellingham 


1 


Maiden 


1 


Sherborn . 


2 


Beverly Farms . 


2 


Millbury 




6 


Spencer 


5 


Bolton 


1 


Manchestei 




1 


Townsend . 


2 


Beverly 


4 


Milford 




7 


Tewksbury 


3 


Chelsea 


6 


Medway 




5 


Tyngsborough . 


1 


Carlisle 


1 


Medfield 




1 


Templeton 


1 


Charlestown 


23 


Methuen 




2 


Upton 


1 


Cambridge . 


33 


Milton 




1 


Uxbridge . 


1 


Chicopee . . 


1 


Mendon 




2 


Webster . 


8 


Concord 


3 


Medford 




3 


Worcester . 


121 


Chilmark 


1 


Marbleheac 


i ! 


1 


Watertown 


6 


Charlton 


2 


Melrose 




5 


AVeymouth 


4 


Clinton 


3 


Monson 




1 


Waltham . 


4 


Dunstable . 


2 


Maple wood 


1 


West Brookfield, 


3 


Dedham 


1 


Newton 


29 


Westminster 


3 


Dennis 


1 


North borough . 


4 


Westborough 


10 


Dudley 


2 


Northbridge 


2 


Wakefield . 


2 


Danvers 


7 


Natick 


5 


Woburn 




4 


Dover . 


1 


Newburyport 


12 


Westford 




2 


Erving 


1 


North Dana 


3 


Wayland 




2 


Everett 


4 


North Brookfield 


2 


Warren 




2 


Essex . 


3 


Needham . 


1 


Walpole 




2 


Fitchburg . 


12 


Oxford 


6 


Warwick 




1 


Framingham 


7 


Peabody . 


1 


Wilbraham 


3 


Franklin 


2 


Princeton . 


3 


Winchendon 


1 


Foxborough 


1 


Plymouth . 


1 


West Boylston . 


2 


Falmouth . 


1 


Pittsfield . 


1 


Wenham . 


i 


Gloucester . 


4 


Pepperell . 


1 


Whitinsville 


1 


Natives . 


654 


Foreigners . 83 


Total 


737 



58 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Residence of Town . Patients admitted to the Hospital from 
Jan. 1, 1871, to Dec. 31, 1880. 



TOWNS. 


No. 


TOWNS. 


No. 


TOWNS. 


No. 


Abington . 


2 


Franklin . 


i 
3 


Needham . 


5 


Auburn 


14 


Foxborough 


3 


New Bedford 


2 


Andover 


10 


Gloucester . 


33 


Natick 


14 


Athol . 


3 


Gardner 


5 


Newburyport 


12 


Ayer . 


3 


Grafton 


11 


Nantucket . 


3 


Acton . 


5 


Groton 


1 


North Brookfield, 


6 


Ashburnham 


2 


Georgetown 


2 


Newton 


21 


Arlington . 


6 


Haverhill . 


17 


Northbridge 


9 


Amherst 


1 


Holliston . 


18 


North Dana 


1 


Attleborough 


2 


Harvard 


2 


Oxford 


8 


Boston 


141 


Holyoke 


2 


Oakham 


2 


Beverly 


4 


Hudson 


4 


Orleans 


1 


Boylston 


2 


Hopkinton 


17 


Orange 


1 


Blackstone . 


15 


Hingham . 


2 


Paxton 


1 


Billerica 


5 


Hubbardston 


1 


Phillipston . 


2 


Brookfield . 


4 


Hamilton . 


1 


Palmer 


1 


Bedford 


4 


Holden 


3 


Plymouth . 


1 


Brighton 


4 


Hardwick . 


1 


Peabody 


9 


Barre . 


3 


Ipswich 


2 


Provincetown 


1 


Bellingham . 


2 


Lawrence . 


45 


Peru . 


1 


Bolton 


3 


Lynn . 


27 


Pittsfield . 


1 


Brimfield . 


2 


Lunenburg 


7 


Petersham . 


2 


Bradford 


3 


Lowell 


66 


Quincy 


2 


Berlin 


2 


Lexington . 


6 


Revere 


3 


Bernardston 


1 


Leicester . 


13 


Rutland 


3 


Belmont 


2 


Leominster 


13 


Royalston . 


2 


Clinton 


15 


Lancaster . 


4 


Reading 


6 


Charlestown 


15 


Leverett 


3 


Rockport . 


10 


Cambridge . 


74 


Littleton . 


3 


Rockland . 


2 


Charlton 


4 


Lynnfield . 


2 


Randolph . 


2 


Chelmsford . 


3 


Lincoln 


4 


Salem . . 


30 


Chelsea 


5 


Milton 


5 


Southborough 


3 


Concord 


7 


Medford . 


18 


Sherborn 


1 


Carlisle 


3 


Marblehead 


12 


Springfield . 


4 


Chatham 


3 


Middleborough . 


1 


Sandwich . 


1 


Chicopee 


1 


Medway 


12 


Southampton 


1 


Coleraine . 


1 


Maiden 


12 


Sturbridge . 


5 


Chester 


1 


Milford . 


31 


Somerville . 


28 


Dunstable . 


5 


Marlborough 


20 


Spencer 


11 


Dudley 


3 


Manchester 


3 


Saugus 


5 


Dracut 


2 


Maynard . 


5 


Shrewsbury 


3 


Danvers 


9 


Marion 


1 


Scituate 


1 


Douglas 


4 


Monson 


1 


Sterling 


3 


Deerfield 


1 


Millbury . 


5 


Southbridge 


10 


Dedham 


2 


Mendon 


1 


Swampscott 


1 


Essex . 


4 


Methuen . 


4 


Seekonk 


1 


Easton 


4 


Medfield . 


1 


Sudbury 


1 


Everett 


2 


Middleton . 


1 


South Andover . 


1 


Fall River . 


1 


Melrose 


4 


Sutton 


6 


Fitchburg . 


26 


Northfield . 


2 


South wick . 


1 


Framingham 


12 


Northborough . 


1 


Stow . 


5 



1881.] PUBLIC DOCUMENT — No. 23. 

Residence of Town Patients, etc. — Concluded. 



59 



TOWNS. 


No. 


TOWNS. 


No. 


TOWNS. 


No. 


Salisbury . 
South Abington . 
Townsend . 
Templeton . 
Taunton 
Tisbury 
Tewksbury 
Topsfield . 
Upton 
Uxbridge . 
Wakefield . 


1 
1 
1 

2 
1 
1 
1 
1 
3 
7 
22 


Walpole 

Winchendon 

West Boylston . 

Worcester . 

Warren 

Winchester 

Westborough 

West Brookfield, 

Woburn 

Watertown 


2 
6 
3 
141 
3 
7 

13 
2 

21 
9 


Waltham . 
Westminster 
Westford . 
Weymouth . 
Windsor 
Wilbraham 
Webster 
Wayland . 
Wellesley . 
Weston 


30 
3 

4 
7 
1 
1 
12 
4 
2 
1 


Natives . 1,037 


Foreigners . 445 


Total . 1,482 



State Patients admitted to the Hospital from Jan. 1, 1871, to 

Dec. 31, 1880. 



Natives 



355 



Foreigners 



810 



Total 



1,165 



60 WORCESTER LUNATIC HOSPITAL. [Oct. 



PRODUCTS OF GARDEN AND FARM. 



Apples 300 bushels 

Asparagus 52 pecks 

Blackberries 47 quarts 

Beet-greens .... .... 4 pecks 

Beets 207 bushels 

Beans, shell 500 pecks 

Cucumbers, early 25 doz. 

Cucumbers for pickles . . . . • . . . 177 pecks 

Currants 332 quarts 

Cabbage 2,967 heads 

Carrots 86 bushels 

Corn, sweet 1,885 doz. 

Celery 2,500 heads 

Lettuce 2,475 heads 

Leeks 2,600 

Onions • . . 187 bushels 

Okra 6 pecks 

Pears 26 bushels 

Parsley 25 bushels 

Pease, green 596 peck 

Parsnips 230 bushels 

Peppers 3 bushels 

Potatoes 750 bushels 

Rhubarb 216 pecks 

Radishes 3,000 

Raspberries 35 quarts 

Squashes, summer ....... 727 

Squashes, winter 6,000 pounds 

String-beans 264 pecks 

Spinach 283 pecks 

Sage . 12 pecks 

Salsify • 82 pecks 

Sweet marjoram ........ 4 pecks 

Strawberries 2,787 quarts 

Thyme 16 pecks 

Turnips . . . 55 bushels 

Turnips, ruta-baga 920 bushels 

Tomatoes . 228 bushels 



1881.] PUBLIC DOCUMENT — No. 23. 61 

Mangel-wurzel beets 1,080 bushels 

Hay and rowen 180 tons 

Stock and swale hay 10 tons 

Fodder-corn 75 tons 

Rye-straw 8 tons 

Buckwheat 7£ bushels 

Rye 60 bushels 

Milk 114,675 quarts 

Pork 10,250 pounds 

Beef .......... 6,366 pounds