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A 


PUBLIC    DOCUMENT.  No.    23. 

FIFTIETH 

ANNUAL  EEPOET  OF  THE  TEUSTEES 


STATE  LUMTIC  HOSPITAL 

AT  WOECESTEE, 


FIFTH  AMUAL  REPORT  OF  THE  TRUSTEES  OF  THE  TEMPORARY 
ASYLUM  FOR  THE  CHROMG  INSANE. 


FOR  THE  YEAH  ENDING  SEP'JEMBEE,  30,   1882. 


BOSTON : 

WRIGHT  &  POTTER  PRINTING  CO.,  STATE  PRINTERS, 

18  Post  Office  Square. 


OFFICERS  OF  THE  HOSPITAL. 


TRUSTEES. 

JOHN  F.  MOORS Greenfield  , 

ROBERT  W.   HOOPER,  .        .        ...        .        .        .  Boston. 

RUFUS  D.  WOODS, Enfield. 

THOMAS  H.   GAGE, Worcester. 

FRANCIS  H.  DEWEY, Worcester. 


RESIDENT  OFFICERS. 

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

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

ERNEST  V.   SCRIBNER,  M.D., Assistant  Physician. 

EVERETT  FLOOD,   M.D., Assistant  Physician. 

JOHN  A.  HOUSTON,  M.D.,  .        .        .        .        .  Assistant  Physician. 

GEORGE  L.   CLARK Steward. 

LILA  J.  GORDON, Matron. 

JAMES  W.  BRIGHAM, Clerk. 

F.  M.  KNAPP,   Jr., Farmer. 


NON-RESIDENT  OFFICERS. 


ALBERT   WOOD,     . 
KIMBLE  R.   SMITH, 


Treasurer. 
Engineer. 


Digitized  by  tine  Internet  Archive 

in  2010  witii  funding  from 

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(HommontDcaltl)  of  iHassacljitaette. 


TRUSTEES'  REPORT. 


To  His  Excellency  the  Governor  and  the  Honorable  Council 
of  the  Commonwealth. 

The  statute  makes  it  the  duty  of  the  Trustees  of  the  Lunatic 
Hospital  at  Worcester  to  make  "  a  full  and  detailed  annual 
statement  of  the  condition  of  the  hospital  for  the  use  of  the 
government."  In  compliance  with  this  duty  we  herewith 
submit  the  fiftieth  report  of  the  institution  under  our 
charo-e. 

The  Trustees  have  made  frequent  visits  to  the  hospital, 
and  have  endeavored  to  make  themselves  familiar  with  the 
details  of  its  management,  both  as  regards  its  financial  con- 
dition and  its  care  for  the  unfortunate  class  for  which  its 
shelter  and  protection  are  provided. 

We  confidently  express  our  satisfaction  with  the  present 
management  and  condition  of  this  institution.     We  believe, 
that  its  finances  are  carefully  and  prudently  administered, 
and  that  the  patients  have  every  comfort  and  convenience 
which  their  condition  allows. 

We  invite  your  attention  to  the  reports  of  the  Treasurer 
and  Superintendent,  which  are  appended. 

There  have  been  but  few  changes  in  the  administration 
during  the  year.  Dr.  Charles  A.  Peabodj'  resigned  his  place 
to  take  the  superintendency  of  the  City  Hospital  of  Worces- 
ter. Dr.  E.  V.  Scribner  was  appointed  to  fill  his  place. 
The  medical  stafi"  has  been  further  increased  by  the  appoint- 


6  WORCESTER  LUNATIC  HOSPITAL.        [Oct. 

ment  of  Dr.  Everett  Flood  and  Dr.  John  A.  Houston.  The 
confidence  we  have  had  in  the  Supermtendent,  and  those 
associated  with  him  in  the  management  of  the  institution,  is 
fully  justified  by  the  experience  of  the  past  year. 

At  the  date  of  our  last  report,  Oct.  1,  1881,  there  were  in 
the  hospital  588  patients.  There  have  been  received  during 
the  year  310.  There  have  been  under  treatment  during  the 
year  898  ;  of  these,  55  are  reported  as  having  recovered,  79 
have  left  improved,  while  27  have  been  discharged  unim- 
proved, and  55  have  died. 

There  remained  under  treatment  681  patieuts,  Sept.  30, 
1882  ;  of  these,  144  are  State  patients,  433  are  town  patients, 
104  are  private  patients. 

When  the  hospital  was  opened,  in  1877,  the  grounds  about 
it  were  in  the  rude  and  rough  condition  incident  to  a  new 
building,  where  much  grading  had  been  required.  It  has 
been  the  effort  of  the  Superintendent  to  put  the  grounds  into 
such  shape  that  they  would  be  pleasing  to  the  eye  and  of 
service  to  the  institution.  Much  has  been  done  in  this  way, 
but  yet  much  remains  to  be  done.  The  extensive  lawn  in 
front  of  the  building  is  now  covered  with  a  rich  and  beauti- 
ful growth  of  grass,  at  a  very  slight  expense,  by  utilizing  a 
portion  of  the  sewage. 

The  farm  is  improving  year  by  year ;  portions  of  the  land 
have  been  drained  and  the  stones  removed.  During  the  year 
a  piggery  210  feet  in  length,  and  admirabl}^  adapted  to  its 
purpose,  has  been  built  at  a  cost  of  $3,800.  Also  a  new 
wagon  shed  at  the  barn.  The  farm  buildings  are  now  in 
good  repair. 

The  greatest  improvement  of  the  year  has  been  the  new 
and  abundant  supply  of  water  that  has  been  secured.  Great 
anxiety  has  been  felt  lest  the  supply  of  water  should  prove 
inadequate  in  case  of  severe  and  prolonged  drouth.  The 
Superintendent  called  our  attention  to  this  subject  in  his  last 
report.  After  mature  deliberation  the  Trustees  voted,  on 
the  7th  of  February,  1882,  to  ask  the  legislature  for  a  grant 
of  $25,000  to  secure  an  additional  supply  of  water.  At  that 
time  the  only  feasible  plan  seemed  to  be  to  receive  the  water 
by  pumping  from  Lake  Quinsigamond.  But  on  consulta- 
tion with  the  authorities  of  the  city  of  Worcester  it  was 


1882.]  PUBLIC  DOCUMENT  — No.  23.  7 

decided  that  a  sufficient  supply  could  be  obtained  from  the 
Worcester  "  high  service  "  at  a  much  less  cost.  The  Trus- 
tees accordingly  modified  their  application  to  the  State  for 
an  appropriation  of  $10,000,  which  was  at  once  granted,  and 
the  work  was  vigorously  pushed  forward  and  completed  on 
the  17th  of  June,  at  a  most  opportune  time,  for  the  drouth 
during  the  summer  was  unprecedented,  and  but  for  this  ad- 
ditional supply  the  institution  would  have  experienced  serious 
trouble.  The  total  cost  was  $7,329.96.  A  balance  of  the 
appropriation,  with  interest,  $2,715.87,  has  been  returned  to 
the  State  treasury. 

We  have  no  debt  to  burden  us,  and  by  advantageous  pur- 
chases, which  we  are  able  to  make  by  means  of  the  moderate 
surplus  at  our  disposal,  and  by  economical  expenditures,  we 
are  able  to  carry  on  the  institution  without  any  appropria- 
tion from  the  State  beyond  the  moderate  allowance  the  State 
pays  for  its  own  patients. 

It  will  be  remembered  that  there  was  a  tract  of  about  ninety 
acres  of  land  connected  with  the  hospital,  and  not  needed  for 
its  use,  which  was  placed  under  the  care  of  the  Trustees  with 
authority  to  sell  it  according  to  their  discretion.  While  we 
have  not  been  disposed  to  force  the  land  on  the  market,  we 
have  availed  ourselves  of  every  desirable  opportunity  to  sell, 
and  there  have  been  sold  since  the  act  of  1870,  9.74  acres, 
for  $91,074.34,  including  the  land  sold  to  the  Commonwealth 
for  the  Normal  School,  amounting  to  $25,000.  The  demand 
for  the  land  has  increased  of  late,  and  the  sales  have  been 
more  numerous  for  the  last  year  than  before  since  the  act 
authorizing  the  sale.  There  remains  of  this  outlying  land 
about  eighty  acres.  A  fair  estimate  of  the  value  of  this  land 
is  $150,000,  which  we  shall  sell  as  rapidly  as  opportunity 
offers. 

The  Trustees  repeat  the  expression  of  their  entire  con- 
fidence in  the  ability  and  fidelity  of  Dr.  Park  in  the  arduous 
duties  of  his  office,  and  renewedly  say  to  the  public :  Come 
to  this  institution  whenever  you  see  fit,  inspect  it  in  all  its 
parts,  subject  of  course  to  reasonable  regulations.  Dismiss 
your  fears  of  cruelty  and  neglect.  Dispel  your  prejudices. 
There  are  no  dark  cells,  no  underground  dungeons,  no  places 
of  torture,  and  only  the  least  possible  measure  of  personal 


8  WORCESTER  LUNATIC  HOSPITAL.      [Oct. 

restraint  consistent  with  safety  to  patients  and  their  attendants. 
All  is  done  above-board  and  in  the  full  light  of  the  day. 
Give  your  sympathy  and  co-operation,  and  aid  us  in  making 
this,  as  we  desire  in  the  interests  of  humanity  and  to  the 
glory  of  our  Commonwealth,  the  first  among  institutions  of 
this  kind  in  all  the  world. 

JOHN  F.  MOORS. 
R.  W.  HOOPER. 
RUFUS  D.  WOODS. 
THOMAS  H.  GAGE. 
FRANCIS  H.  DEWEY. 

Worcester  Lunatic  Hospital,  Oct.  1,  1882. 


1882.] 


PUBLIC  DOCUMEXT  — No.  23. 


OFFICEKS  AWD   THEIE   SALAEIES. 


John  G.  Park,  M.  D.,  Superintendent,    . 
Albert  R.  Moulton,  M.  D.,  Assistant  Physician, 
Ernest  V.  Scribner,  M.  D.,  Assistant  Physician, 
Everett  Flood,  M.  D.,  Assistant  Physician,    . 
John  A.  Houston,  M.  D.,  Assistant  Physician, 
George  L.  Clark,  Steward, 
Lila  J.  Gordon,  Matron, 
James  W.  Bi-igham,  Clerk, 
Kimble  R.  Smith,  Engineei', 
Albert  Wood,  Treasurer, 


82,500  00 

1,200  00 

900  00 

800  00 

600  00 

1,000  00 

450  00 

500  00 

1,000  00 

500  00 


YALUE   OF  PEKS0:N^AL  ESTATE. 

Sept.  30, 1882. 


Live  stock  on  the  farm,  .... 

Produce  of  the  farm  on  hand, 

Carriages  and  agricultural  implements, 

Machinery  and  mechanical  fixtures, 

Beds  and  bedding  in  inmates'  department,   . 

Other  furniture  in  inmates'  department, 

Personal  property  of  the  State  in  Superintendent's  depart 

ment, 

Ready-made  clothing,     .        ... 

Dry  goods, 

Provisions,  groceries  and  other  supplies. 

Drugs  and  medicines, 

Fuel, 

Library,  


$5,612 

00 

5,570 

75 

4,485 

97 

63,813 

34 

22,044 

38 

15,558 

87 

17,394 

30 

670 

05 

1,080 

53 

7,127  43 

600  00 

4,877 

20 

1,200  00 

$150,034  82 

10  WORCESTER  LUNATIC  HOSPITAL.        [Oct, 


TEEASUEER'S  REPORT. 


To  the  Trustees  of  the  Worcester  Lunatic  Hospital. 

Gentlemen: — Therewith  submit  my  Annual  Report  on 
the  finances  of  the  Worcester  Lunatic  Hospital  for  the  year 
ending  September  30,  1882. 


Receipts. 

Cash  on  hand  Sept.  30,  1881, 

Received  of  the  Commonwealth  for  support  of  patients, 

of  cities  and  towns, 

of  individuals,        ...... 

for  interest,  sale  of  produce,  etc., 

belonging  to  patients, 


.      $14,.585  71 

22,671 

38 

70,350 

53 

30,387 

11 

4,972 

30 

940 

64 

$143,907 

67 

The  expenditures  for  the  year  have  been  as  follows  :  — 


Provisions. 

Flour, $6,720  23 

Meat  of  all  kinds,          .... 

7,414  57 

Fish, 

1,572  55 

Meal  for  cooking,          .... 

462  20 

Beans,  jDotatoes  and  other  vegetables. 

2,517  07 

Sugar, 

3,366  25 

Molasses  and  syrup,      .... 

683  54 

Tea, 

671  42 

Coffee, 

903  54 

Butter, 

7,506  32 

Cheese, 

275  81 

Fresh  fruits, 

323  32 

Eggs,  salt  and  other  groceries,     . 

4,263  84 

Total  for  provisions  (Carried  forwar 

d), 

$36,680  66 

1882.] 


PUBLIC  DOCUMENT  — No.  23. 


11 


Amount  brought  forward. 
Salaries  and  wages, 
Grain,     . 
Meal  for  stock. 
Hay, 

Furniture, 
Crockery, 
Tinware, 
Bedding, 
Straw,    . 

Furnishings,  miscellaneous. 
Tools,  . 
Lights,  . 
Water,  . 
Fuel,  . 
Soap, 

Medical  supplies, 
Live  stock. 

Carriages,  harnesses,  etc., 
Blacksmithing, 
Plants  and  seeds,  . 
Hardware, 
Lumber, 

Paints,  oils,  etc.,     . 
Pipe  and  fittings,   . 
Lime,  cement,  etc., 
Repairs,  ordinary, 
Fertilizers, 
Stationery, 
Postage, 
Transportation, 
Travelling,     . 
Trustees'  expenses, 
Miscellaneous, 
Labor,    .... 
Clothing  and  men's  furnishin 
Dry-goods,  women. 
Dry-goods,  house. 
Boots  and  shoes,    . 
Undertaking, 

Total  current  exiDcnses, 
Interest  and  money  refunded. 
Refunded  to  patients,    . 
Extraordinary  improvements. 


Total  expenses,  . 

Cash  on  hand  Sept.  30,  1882, 


198  47 

647  34 

8, -238  70 


$36,680  66 

36,114  84 

469  85 

1,433  95 

55  68 

656  15 

514  86 

204  32 

2,808  28 
330  00 

1,295  63 
263  64 

3,272  53 

2,172  14 
12,820  40 

1,050  94 

1,157  90 
995  65 
327  74 
207  62 
289  00 
110  37 
275  60 
266  64 
410  21 
43  50 

1,369  99 
282  75 > 
270  47 
291  20 
300  10 
236  65 
77  18 

1,435  58 

1,692  86 

3,179  18 

918  05 

1,684  09 
884  93 
800  00 

ill7,151  13 


8,984  51 

$126,135  64 
17,772  03 


$143,907  67 


12 


WORCESTER   LUNATIC   HOSPITAL. 


[Oct. 


Resources. 

Cash  on  hand, 

Due  from  the  Commonwealth, 

cities  and  towns,  .... 
cities  and  towns,  previous  quarters, 
individuals, 


Liabilities. 
Due  for  supplies  and  improvements,   . 
for  salaries  and  wages. 


to  patients,     . 


^4,525  61 
3,241  97 
1,212  92 


Total  surplus, 
Hospital  library  fund,  market  value. 


$17,772  03 

6,375  48 

20,468  37 

99  61 

7,454  70 

$52,170  19 


8,980  50 
i3,189  69 
[^5,860  95 


Additional  Water  Supply  Account. 


Received  of  State  Treasurer, 
for  interest. 

Expended  for  pipe,  labor,  etc.. 
Refunded  to  State  Treasurer. 


$10,000  00 
45  83 

$7,329  96 
2,715  87 


),045  83 
),045  83 


Respectfully  submitted, 

ALBERT  WOOD,   Treasurer. 


September  30,  1882. 


Worcester,  Mass.,  Oct.  11,  1882. 
The  undersigned  has  this  day  carefully  compared  the  Treasurer's  statement  of 
expenditures  for  the  year  ending  Sept.  30,  1882,  with  the  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. 


1882.]  PUBLIC  DOCUMENT  — No.  23.  13 


SUPEEINTENTDENTT'S  KEPOET. 


To  the  Board  of  Trustees  of  the  Worcester  Lunatic  Hospital. 

GentlEx\ien  :  —  I  respectfully  present  the  following  fiftieth 
annual  report  of  the  Worcester  Lunatic  Hospital. 

The  number  of  inmates  Sept.  30,  1881,  was  588;  272 
males  and  316  females. 

The  number  of  admissions  has  been  180  males  and  130 
females,  a  total  of  310,  making  the  whole  number  under 
treatment  898.  The  number  of  admissions  represents  304 
persons,  67  more  than  were  admitted  during  the  previous 
year. 

Twenty-seven  males  and  twenty  females  were  transferred 
from  the  Danvers  Lunatic  Hospital. 

One  male  and  one  female  were  transferred  from  the  Taun- 
ton Lunatic  Hospital. 

Twenty-two  males  were  transferred  from  the  State  Alms- 
house at  Tewksbury,  and  five  convicts  from  the  State  Prison 
at  Concord,  Of  the  whole  number,  65  have  been  re-admis- 
sions. 

The  number  of  discharges  has  been  217  —  101  men  and 
116  women  ;  of  this  number,  55,  or  25.34  per  cent.,  were  re- 
covered, 37  much  improved,  42  improved,  27  not  improved, 
1  not  insane,  and  55  died,  or  6.12  per  cent,  of  the  whole  num- 
ber under  treatment.  Of  those  who  recovered,  17  had  been 
before  inmates  of  this  hospital ;  of  whom  13  had  been  dis- 
charged recovered  :  1  twelve  times,  1  seven  times,  1  four 
times,  4  three  times,  1  two  times,  and  5  once  each ;  3  had 
been  discharged  improved  and  1  not  improved. 

These  statistics  are  but  additional  proofs  of  the  foct  men- 
tioned in  previous  reports  of  this  hospital  that  "  recoveries" 
in  many  cases  are  not  permanent  cures. 


14  WORCESTER  LUNATIC  HOSPITAL.        [Oct. 

This  subject  has  been  elaborated  at  considerable  length  in 
the  recent  reports  of  Dr.  Pliny  Earle  of  the  Northampton 
Lunatic  Hospital.  From  information  received  upon  this 
point  in  answer  to  circulars  sent  out  inquiring  about  the 
subsequent  mental  condition  of  those  persons  who  were  dis- 
charged from  this  hospital  as  recovered  on  their  only  admis- 
sion and  of  those  who  were  discharged  recovered  on  their 
last  re-admission,  it  appears  that  of  1,171  circulars  sent,  up 
to  Sept.  30,  1882,  satisfactory  answers  have  been  received 
from  669.  Of  this  number,  73  men  aud  80  women  remained 
well  and  were  living  at  the  time  of  reply,  and  83  men  and 
114  women  remained  well  during  life;  19  men  and  11 
women  committed  suicide  ;  and  the  remaining  289  relapsed 
and  had  been  admitted  to  other  hospitals  or  had  been 
inmates  of  almshouses,  or  had  been  cared  for  at  home,  where 
they  died  or  are  still  living.  No  information  could  be 
obtained  in  129  cases,  and  373  circulars  remain  unanswered. 
As  was  stated  in  my  last  report,  a  good  deal  of  difficulty  has 
been  experienced  in  finding  any  traces  of  many  of  these  cases. 
This  is  especially  true  of  those  who  were  committed  from 
the  cities  of  the  State.  They  represent  a  roving  population, 
and  the  records  of  the  overseers  of  the  poor  contain  no  men- 
tion of  them  after  leaving  the  hospital. 

I  have  been  greatly  aided  by  the  overseers  of  the  poor  of 
the  different  towns,  and  by  physicians  and  others,  who  have 
spent  much  time  and  shown  much  interest  in  obtaining  for 
me  the  information  furnished  in  Table  30. 

To  the  other  tables  which  accompany  this  report,  prepared 
with  much  care,  I  refer  you  for  various  and  valuable  infor- 
mation. 

The  large  number  of  convict  insane  confined  in  the  hos- 
pital, suggests  again  the  advisability  of  separate  provision 
for  the  criminal  and  dangerous  insane,  which  is  becoming  an 
annual  subject  of  recommendation  in  most  reports  made  to 
boards  of  trustees  or  to  the  governor  and  council  of  the 
State. 

It  was  thought  that  the  legislature  of  last  year  would  act 
favorably  upon  this  matter ;  but  it  was  impossible  to  har- 
monize the  conflicting  opinions  which  were  expressed  as  to 
the  proper  plan  to  be  adopted,  and  the  whole  matter  was 


1882.]  PUBLIC  DOCUMENT  — No.  23.  15 

• 
referred  to  the  next  legislature.     Under  the  shadow  of  this 
defeat  it  is  to  be  hoped  that  a  vigorous  presentation  of  this 
plan  next  winter  will  meet  with  better  success. 

And,  apart  from  the  question  of  expense,  which  should,  of 
course,  receive  careful  consideration,  I  am  not  aware  that 
any  serious  argument  was  presented  to  the  Committee  on 
Public  Charitable  Institutions  against  the  theory  of  separate 
buildings  for  the  criminal  insane,  Avhile  the  fact  that  the 
Trustees  and  Superintendents  of  all  the  State  hospitals 
favored  strongly  such  provision,  should  entitle  it  to  receive 
the  attention  of  the  next  General  Court. 

Certainly  the  objection  that  it  would  be  very  difficult  to 
decide  who  are  and  who  are  not  criminal  is  purely  tech- 
nical and  trivial.  It  is  practically  of  very  little  importance 
whether  they  are  "  convicted  "  or  "  unconvicted."  They  are 
all  supposed  to  be  irresponsible.  Another  objection  which 
was  made,  viz.,  that  one  insane  man  is  as  good  or  as  bad  as 
another,  and  hence  all  should  be  treated  alike,  seems  to  me 
equally  weak  and  false,  and  if  accepted  must  carry  with  it 
an  argument  for  the  abolition  of  all  classification ;  while 
the  whole  object  of  the  proposed  separation  is  to  secure 
better  classification,  larger  liberty  and  more  employment 
for  this  portion  of  the  insane. 

At  any  rate,  the  imperative  alternative  presents  itself  of 
adopting  some  such  plan  as  was  recommended  by  the  Board 
of  Health,  Lunacy  and  Charity  in  their  last  report,  or  of 
building  another  general  hospital  for  the  insane,  or  of  mak- 
ing large  additions  to  some  one  of  those  already  existing. 

It  seems  to  me  better  to  ask  for  one  thing  at  a  time,  with 
the  reasonable  hope  of  having  the  request  granted,  than  to 
fritter  away  our  opportunity  in  requests  at  the  same  time  for 
separate  buildings  for  epileptics,  for  dipsomaniacs  and  for 
recent  or  chronic  cases  of  insanity. 

By  an  act  of  the  legislature  of  1882,  ten  thousand  dollars 
were  appropriated  for  the  purpose  of  furnishing  the  hospital 
with  an  additional  water  supply. 

In  accordance  with  an  agreement  with  the  city  of  Worces- 
ter, pipes  from  the  Leicester  service  were  continued  to 
the  easterly  gate-house  of  Bell  Pond,  at  the  expense  of  the 
city,  from  which  point  the  hospital  has  laid  a  ten-inch  pipe 


16  WORCESTER   LUNATIC  HOSPITAL.        [Oct. 

to  our  meter-house,  a  distance  of  1,775  feet,  and  an  eight- 
inch  pipe  from  the  meter-house  to  the  hospital,  a  distance  of 
2,225  feet,  connecting  with  our  fire  and  domestic  service  ; 
the  pressure  on  our  fire-service  pipes  being  from  80  to  105 
pounds.  For  the  distribution  through  the  hospital  at  a  less 
pressure,  a  mechanical  contrivance  invented  by  Messrs. 
Ball  &  Fitts  of  this  city  was  adopted,  and  its  operation  has 
so  far  been  satisfactory.  The  work  of  laying  the  pipe  and 
making  the  necessary  connections  was  completed  June  17, 
and  was  much  facilitated  by  the  advice  and  assistance  of  Mr. 
F.  E.  Hall,  water  commissioner  of  Worcester.  The  expense 
of  this  work  was  $7,329.96.  The  balance  of  the  appropria- 
tion, amounting  with  interest  to  $2,715.87,  was  returned  to 
the  State  treasurer.  The  hospital  has  now  two  independent 
sources  from  which  to  draw  water  —  Leicester  reservoir  and 
Bell  Pond. 

The  facilities  for  heating  water  have  been  much  increased 
since  the  last  report  by  the  addition  of  one  of  Wm.  Allen  & 
Son's  Victor  Heaters,  48  inches  in  diameter  and  10  feet  long, 
at  an  expense  of  $1,141.  A  thermometer  placed  in  the  pipe 
as  it  leaves  the  heater  registers  the  temperature  of  the 
water. 

During  the  year  a  new  piggery  has  been  built,  at  an  ex- 
pense of  $3,793.21.  It  consists  of  a  central  structure,  36 
feet  by  50,  with  conveniences  for  heating  water,  slaughter- 
ing, and  storing  straw.  From  this  building,  wings  20  feet 
wide  extent  in  either  direction,  the  whole  being  210  feet 
long.     The  pens,  20  in  number,  are  10  feet  by  15. 

A  shed  for  the  protection  of  the  farm  wagons  and  agricult- 
ural implements  has  also  been  constructed  at  an  expense  of 
$535.99. 

On  account  of  the  long  continued  drouth  during  the 
months  of  July  and  August,  the  products  of  the  fiirm,  espe- 
cially hay,  have  not  been  up  to  the  usual  quantity.  No 
second  crop  of  grass  was  cut.  The  vegetable  garden,  which 
had  the  advantage  of  sewage  irrigation,  yielded  abundantly, 
and  the  hospital  was  awarded  the  first  premium  at  the  New 
England  Agricultural  Society's  Fair  for  the  best  general 
collection  of  vegetables. 

The  report  of  the  Treasurer  shows  the  finances  of  the 


1882.]  PUBLIC   DOCUMENT  — No.  23.  17 

institution  to  be  in  a  satisfactory  condition.  On  the  30th  of 
Sept.,  1881,  the  cash  on  hand  amounted  to  $14,585.71.  At 
the  close  of  the  }3resent  year  it  was  $17,772.03.  During  the 
year  $8,238.70  was  expended  in  new  buildings  and  other 
extraordinary  improvements,  and  paid  out  of  the  funds  of 
the  hospital.  The  total  current  expenses,  exclusive  of  the 
extraordinary  outlay,  have  been  $116,851.13. 

The  average  number  of  patients  during  the  year  has  been 
641.65.  The  annual  cost  of  each  patient  has  therefore  been 
$182.09,  or  $3.50  per  week. 

Additions  to  the  library  have  been  made,  from  time  to 
time,  during  the  year,  and  many  books  which  have  been  in 
use  for  several  years  have  been  rebound,  the  expense  being 
paid  from  the  hospital  library  fund,  which  amounted  Septem- 
ber 30  to  $5,860.95. 

It  is  a  pleasing  duty  to  be  able  to  record  any  gifts  to  the 
institution.  I  have  before  called  the  attention  of  the  read- 
ers of  our  annvial  reports  to  the  generous  donations  which 
have,  from  time  to  time,  been  made  by  the  member  of  your 
board  whose  term  of  continuous  service  extends  over  a 
series  of  twenty-four  years.  During  the  last  year,  in  com- 
pliance with  a  request  from  his  associates  upon  the  board,  he 
has  presented  the  hospital  with  an  admirable  oil  portrait  of 
himself  painted  by  George  Fuller. 

The  proprietors  of  the  "Worcester  Evening  Gazette" 
still  continue  to  furnish  gratuitously  a  copy  of  their  daily 
paper. 

In  November,  Dr.  Charles  A.  Peabody  resigned  the  posi- 
tion of  Second  Assistant  Physician,  to  take  charge  of  the 
Worcester  City  Hospital,  and  Dr.  Ernest  V.  Scribner  was 
appointed  to  fill  his  place. 

The  increase  in  the  number  of  patients  rendered  necessary 
a  corresponding  increase  in  the  number  of  physicians,  and 
Dr.  Everett  Flood  and  Dr.  John  A.  Houston  have  been 
added  to  the  staff. 

There  have  been  no  other  changes  among  the  officers  of 
the  institution.  The  difficulty  of  procuring  suitable  attend- 
ants, especially  for  the  female  divisions,  is  becoming  so  great 
that  at  some  seasons  of  the  year  the  operations  of  the  hos- 
pital are  seriously  affected.     More  agreeable  and  congenial 


18  WORCESTER  LUNATIC  HOSPITAL.        [Oct. 

occupation  than  that  of  an  attendant  upon  the  insane  in  a 
public  hospital  seems  to  be  found  by  young  women  with  the 
proper  amount  of  intelligence  and  industry  for  such  positions. 
Those  who  do  enter  the  service  soon  become  tired  of  the 
work,  and  leave.  This  necessitates  frequent  changes,  to  the 
injury  of  the  institution.  I  have  no  remedy  to  offer  for  this 
state  of  things,  and  am  of  the  opinion  that  this  diiliculty 
will  continue  to  be  an  increasing  source  of  anxiety  and 
annoyance  to  those  who  have  charge  of  the  Massachusetts 
hospitals. 

The  measure  of  success  achieved  by  an  institution  as  large 
as  this  depends  upon  the  faithfulness  with  which  the  details 
of  its  management  are  attended  to  bv  the  subordinate  officers 
and  employees.  There  are  many  who  have  for  a  number  of 
years  been  associated  with  me  in  the  conduct  of  the  affiiirs 
of  the  institution,  and  others  for  a  less  time,  whose  unwea- 
ried efforts  and  patience  and  interest  in  their  work  have  con- 
tributed largely  to  the  humane  care  and  treatment  of  the 
unfortunate  inmates  of  the  hospital.  They  deserve  and 
should  receive  your  commendation. 

For  the  hearty  co-operation  in  my  plans,  for  wise  counsel, 
and  for  the  constant  personal  encouragement  which  I  receive 
from  your  board,  I  am  sincerely  grateful. 

JOHN  G.  PARK, 

Superintendent. 

October  1,  1882. 


1882.] 


PUBLIC  DOCUMENT  — No.  23. 


19 


TABLES. 


1.    General  Statistics  of  the  Year. 


Males. 

Females. 

Total. 

Patients  in  hospital  Oct.  1,  1881, 

272 

316 

588 

Admissions  within  the  year, 

180 

180 

310 

Whole  number  of  cases  within  the  year, 

452 

446 

898 

Discharges  within  the  year. 

101 

116 

217 

Viz.,  as  recovered,     . 

29 

26 

55 

as  much  improved,   . 

17 

20 

37 

as  improved, 

15 

27 

42 

as  unimproved, 

10 

17 

27 

as  not  insane,    . 

1 

- 

1 

Deaths, 

29 

26 

55 

Patients  remaining  Sept.  30, 1882, 

351 

330 

681 

Viz.,  supported  as  State  patients, 

102 

42 

145 

as  Town  patients,    . 

203 

230 

434 

as  Private  patients. 

46 

58 

104 

Number  of  different  persons  within  the  year. 

441 

438 

879 

admitted, 

176 

128 

304 

recovered,        

29 

26 

35 

Daily  average  number  of  patients. 

311.28 

330.37 

641.65 

2.    Monthly 

Admissions,  Discharges  and  Averages. 

1 

Discharges. 

DAiLr  Average  of 

(Including  Deaths.) 

Patients  in  the  House. 

S 

& 

s 

o 

E-i 

Males. 

Females. 

Total. 

October,     1881, 

9 

12 

21 

8 

7 

15 

268.19 

318.19  586.38 

November,  " 

7 

8 

15 

10 

4 

14 

268.36 

322  57 

590.93 

December,  " 

9 

8 

17 

4 

9 

13 

27102 

324.23 

595.25 

January,    1882, 

11 

9 

20 

5 

7 

12 

276.03 

326  52 

602.55 

February,     " 

30 

7 

37 

8 

4 

12 

294.64 

32578 

620.42 

March,         " 

28 

36 

64 

7 

23 

30 

309,70 

334.74 

644.44 

April,           " 

12 

6 

18 

7 

11 

18 

321.16 

339.43 

660,59 

May,             " 

20 

14 

34 

11 

13 

24 

1  328  23 

338  61 

666.84 

June,            " 

20 

9 

29 

5 

14 

19 

337.73 

334  59!  672  32 

July, 

18 

12 

30 

10 

9 

19 

354.29 

335.71 

690.00 

August,        " 

7 

4 

11 

11 

9 

20 

355.28 

334.19 

689.47 

September,  " 

9 
180 

5 
130 

14 

310 

15 
101 

6 
116 

21 

217 

350  77 

329.93 

680.70 

Total  of  cases,   . 

31128  330.37 

641.65 

Total  of  persons, 

176 

128 

304 

101 

116 

217 

20 


WORCESTER  LUXATIC  HOSPITAL.       [Oct. 


3.    Received  on  First  and  Subsequent  Admissions. 


Cases  Admitted. 

Times  Pkeviouslt  Recovered. 

NUMBER  OF  THE 

ADMISSION. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

First,    .... 

140 

105 

245 

Second, 

29 

15 

44 

6 

5 

11 

Third,  . 

5 

5 

10 

4 

- 

4 

Fourth, 

3 

- 

3 

6 

- 

6 

Fifth,    . 

2 

_ 

2 

5 

- 

5 

Seventh, 

- 

1 

1 

- 

_ 

- 

Eighth, 

_ 

1 

1 

_ 

4 

4 

Ninth,  . 

- 

1 

1 

- 

7 

7 

Tenth, . 

1 

- 

1 

8 

- 

8 

Fourteenth, 

- 

2 

2 

- 

22 

22 

Total  of  cases,     . 

180 

130 

310 

29 

38 

67 

Total  of  persons, 

176 

128 

304 

14 

9 

23 

Note. — One  female  admitted  twice,  represented  in  Tth  and  8th  admissions. 


4.    Ages  of  Persons  admitted  for  the  First  Time. 


At  First  Attack  of          I 

When  Admitted. 

AGES. 

Insanity. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Fifteen  years  and  less, 

3 

6 

9 

_ 

2 

2 

From  15  to  20  years,  . 

9 

4 

13 

7 

6 

13 

20  to  25  years,  . 

14 

15 

29 

17 

11 

28 

25  to  30  years,  . 

20 

14 

34 

24 

17 

41 

30  to  35  years,  . 

14 

13 

27 

19 

19 

38 

35  to  40  years,  . 

12 

13 

25 

17 

15 

32 

40  to  50  years,  . 

21 

14 

35 

34 

17 

51 

50  to  60  years,  . 

8 

10 

18 

9 

10 

19 

60  to  70  years,  . 

4 

2 

6 

9 

7 

16 

70  to  80  years,  . 

1 

- 

1 

2 

- 

2 

Over  80  years,     . 

1 

1 

2 

2 

1 

3 

Unknown,    . 

33 

13 

46 

- 

— 

— 

Total,    . 

140 

105 

245 

140 

105 

245 

1882.] 


PUBLIC  DOCUMENT  — No.  23. 


21 


5.  Residence  of  Persons  admitted. 

PLACES. 

Males. 

Females. 

Total. 

Massachusetts, — 

Bristol  County, 

1 

- 

1 

Essex  County, 

3 

4 

7 

Hampden  County,       .... 

2 

1 

3 

Hampshire  County,     .... 

1 

1 

2 

Norfolk  County,          .... 

5 

5 

10 

Middlesex  County,      .... 

68 

33 

101 

Suffolk  County, 

25 

22 

47 

Worcester  County,      .... 

70 

60 

130 

State  of  Rhode  Island,  ..... 

- 

2 

2 

Smyrna,  Asia  Minor, 

1 

— 

1 

Total, 

176 

128 

304 

Cities  or  large  towns, 

74 

62 

136 

Country  districts, 

102 

66 

168 

Total, 

176 

128 

304 

6. 

Gid 

I  Condition  of 

Persons 

admitted. 

Unmakried. 

JIakkied. 

Widowed. 

Unknown. 

ADMISSION. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

First,    . 
Second, 
Third,  . 
Fourth, 
Fifth,    . 
Seventh, 
Ninth,  . 
Tenth, . 
Fourteenth, 

65 
15 

2 
2 
1 

85 

51 
6 

2 

1 

116 

21 

4 

2 

1 

1 

68 

8 
3 
1 
1 

1 

36 
9 

2 

1 

104 

17 

5 

1 
1 
1 

1 
130 

6 

2 

18 

1 

1 
20 

24 
2 

1 
1 

1 

- 

1 

Total, 

60 

145 

82 

48 

8 

28 

1 

- 

1 

22  WORCESTER  LUNATIC  HOSPITAL.        [Oct. 


7.     Occupations  of  Persons  admitted. 


OCCUPATIONS. 


Agent,    . 
Blacksmiths,  . 
Bonnet  presser, 
Book-keeper, 
Boot  makers, 
Butcher, 
Carpenters,    . 
Clerks,   . 
Cabinet  maker. 
Cigar  maker. 
Draughtsman, 
Druggist, 
Dressmakers, 
Domestics, 
Farmers, 
Firemen, 
Gardeners, 
Grinder, 
Housekeepers, 
Hotel  keeper, 
Laborers, 
Liquor  dealer. 
Musician, 
Mechanics,     . 
Moulders, 
Merchants,     . 
Morocco  dresser. 
Machinists,     . 
Nurse,    . 
Operatives,     . 
Pistol  maker. 
Painters, 
Paper  hanger. 
Printer,  . 
Peddlers, 
Plumber, 
Potter,    . 
Railroad  man. 
Seamstress,    . 
Sailor,     . 
Students, 
Saloon  keeper. 
Teachers, 
Upholstei-er,  . 
Waiters, 
Watchman,    . 
No  occupation. 
Unknown, 


1 
4 
1 
1 
19 
1 
7 
4 
1 
1 
1 
1 


17 
2 

2 
1 

1 

41 

1 

2 
2 
3 
1 
4 

11 
1 
8 
1 
1 
2 
1 
1 
1 

1 

3 
1 

1 

2 

1 

10 

11 


3 
19 


62 


22 
5 


Total, 


176 


128 


1882.] 


PUBLIC  DOCUMENT  — No.  23. 


23 


8.    Beported  Duration  of  Insanity  before  Last  Admission. 


First  Admission 

All  other 

TO    ANY  HOSPITAX. 

Admissions. 

Total. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Under  1  month,  . 

16 

22 

38 

4 

6 

9 

20 

27 

47 

From  1  to  3  months,  . 

12 

9 

21 

4 

2 

6 

16 

11 

27 

3  to  6  months,  . 

5 

2 

7 

2 

2 

4 

7 

4 

11 

6  to  12  months, 

7 

11 

18 

8 

5 

13 

15 

16 

31 

1  to  2  years. 

12 

9 

21 

9 

3 

12 

21 

12 

33 

A          2  to  5  years, 

5  to  10  years,    . 

13 

15 

28 

22 

17 

39 

35 

32 

67 

4 

4 

8 

13 

7 

20 

17 

11 

28 

10  to  20  years,  . 

5 

3 

8 

6 

1 

7 

11 

4 

15 

Over  20  years,     . 

- 

3 

3 

9 

8 

12 

9 

6 

15 

Unknown,  .... 

12 

4 

16 

16 

3 

19 

28 

7 

35 

Not  insane, 

1 

87 

- 

1 

- 

- 

- 

- 

- 

Total  of  cases, 

82 

169 

93 

48 

141 

ISO 

130 

310 

Total  of  persons,     . 

87 

82 

169 

93 

46 

139 

180 

128 

808 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Average  of  known  cases. 

21.5 

29.3 

25.0 

78.7 

16.1 

62.4 

00.6 

37.2  4a  y 

9.     Form  of  D 

isease  in 

the 

Cases  admitted. 

FORM  OF  r>ISE.\SE. 

Males. 

Females. 

Total. 

Mania,  acute, 

27 

25 

52 

chronic. 

58 

33 

91 

recurrent,  . 

11 

7 

18 

puerperal, 
I'eligious,   . 

3 

3 
3 

3 
6 

Melancholia,  acute,        .  ■ 

12 

14 

26 

chronic,    . 

7 

14 

21 

Dementia,  acute,    . 

1 

2 

3 

chronic. 

12 

10 

9-) 

post  paralytic, 
senile,  . 

4 
5 

1 

4 
6 

Alcoholic  mania,    . 

14 

3 

17 

Epilepsy, 
General  paralysis. 
Imbecility, 
Moral  insanity. 

14 
9 
1 

12 

1 
1 
1 

26 

10 

2 

1 

Organic  brain  disease,  . 
Not  insane,    . 

1 
1 

"■ 

1 
1 

Total  of  cases. 

180 

130 

310 

Total  of  persons,    . 

176 

128 

304 

24 


WORCESTEE  LUNATIC  HOSPITAL.        [Oct. 


10.  Probable  Causes  of  Insanity  in  Persons  admitted. 


Patients 
Admitted. 


Ma.      Fe.      Tot, 


Mental, 
Anxiety  and  care,    . 
Business  trouble, 
Excessive  mental  labor, 
Family  care  and  trouble. 
Fright, 
Grief, 

Hereditary, 
Loss  of  property,     . 
Love  disappointment, 
Nostalgia, 

Religious  excitement, 
Spiritualism,    , 
Worry, 

Mental  anxiety. 
Trouble,  . 
Over  excitement,     . 

Physical, — 

Epilepsy, 

General  paralysis, 

111  liealth. 

Injury  to  head. 

Intemperance, 

Masturbation,  . 

^liscarriage,     . 

Menstrual  disorder, 

Ovei'work, 

I'uerperal, 

Rheumatism,    . 

Scarlet  fever,   . 

Senility,    . 

Sunstroke, 

Syphilis,  . 

Turn  of  life,    . 

Injury  to  eyes. 

Typhoid  fever. 

Congenital  deficiency. 

Organic  brain  disease, 

Spinal  disease. 

Use  of  tobacco. 

Measles,  . 

Lead  poisoning. 

Paralysis  of  brain, 

Not  insane, 
Unknown,    . 

Total,    . 


1 
8 
1 

2 

1 

20 

2 
2 
3 


1 
3 

2 
1 
1 
1 
1 
1 
1 
63 

176 


2 
3 
3 
6 

23 
1 
3 
1 
4 
1 
1 
2 
1 
1 


33 


128 


1 

3 
3 
6 
3 
7 

43 
1 
5 
3 
7 
1 
3 
2 
1 
2 


18 
3 

13 
6 

23 
8 
1 
6 
8 
3 
1 
1 
4 
4 
1 
5 
1 
3 
1 
2 
1 
1 
1 
1 
1 
1 

96 

304 


Pkevious 
Attacks. 


Ma.      Fe.      Tot, 


15 


10 


43      28 


25 


Hereditaet 
Predisposition. 


Ma.      Fe.      Tot. 


20 


23 


35      35     70 


2 


43 


1882.] 


PUBLIC  DOCUMENT  — No.  23. 


25 


11.    Relation  to  Hospitals  of  Persons  admitted. 


HOSPITAL  RELATIONS. 

Males. 

Females. 

Total. 

First  admission  to  any  hospital  for  insane,  . 

87 

83 

170 

Former  inmates  of  this  hospital,  . 

36 

23 

59 

Former  inmates  of  other  hospitals  in  this 
State :  — 

Danvers, 

28 

20 

48 

Northampton, 

1 

- 

1 

McLean  and  Asylum  for  Chronic  Insane, 

1 

- 

1 

Taunton, 

1 

1 

2 

Tewksbury  State  Almshouse,    . 

20 

- 

20 

of  Concord,  New  Hampshire,    . 

1 

- 

1 

of  Hartford  Retreat,  Conn, 

1 

- 

1 

of  Wauwatosa,  Wisconsin, 

.     - 

1 

1 

Total 

176 

128 

304 

12.    Hoio  supported. 


Patients  Adjhtted. 

AVEKAGE   OF   THE 

Veae. 

SUPPORTED  AS 

Males. 

Females. 

Total. 

Blnles. 

Females. 

Total. 

State  patients. 
Town  patients,    . 
Private  patients, . 

71 
85 
20 

28 
87 
13 

99 

172 

33 

83.99 

182.15 

45.14 

50.86 
218.63 

60.88 

134.85 

400.78 
106.02 

Total,    . 

176 

128 

304 

311.28 

330.37 

641.65 

26 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct, 


SJ5 


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1882.] 


PUBLIC   DOCUMENT  — No.   23. 


27 


14.   Cases  discharged  Recovered. — Duration. 


Duration  befoke 

Hospital 

Whoi 

e  Dcratiom 

Admission. 

Residence. 

FROM 

THE  Attack. 

PERIOD. 

Ma. 

re. 

Tot. 

Ma. 

Fe 

Tot. 

Ma. 

Fe. 

Tot. 

Under  1  month, 

7 

10 

17 

4 

1 

5 

2 

2 

From  1  to    3  months, 

10 

7 

17 

13 

10 

23 

2 

5 

7 

3  to    6  months, 

1 

2 

3 

4 

8 

12 

5 

6 

11 

6  to  12  months. 

2 

2 

4 

4 

2 

6 

8 

6 

14 

1  to    2  years,    . 

2 

1 

3 

1 

4 

5 

2 

4 

6 

2  to    5  years,    . 

2 

2 

4 

2 

1 

3 

4 

3 

7 

5  to  10  years,    . 

1 

- 

1 

- 

- 

- 

1 

- 

1 

Over  10  years,    . 

- 

- 

- 

1 

- 

1 

1 

- 

1 

Unknown,  .... 

4 

2 

6 
55 

- 

- 

- 

4 
29 

2 

6 

Total  of  cases,     . 

29 

26 

29 

26 

55 

26 

55 

Total  of  persons, 

29 

26 

55 

29 

26 

55 

29 

26 

55 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

3Ins. 

Average  of  known  cases,  . 

7  4 

4.2 

6.8 

10.8 

6. 

8.5 

17.3 

10 

i;i.7 

15.     Cases  residting  in  Death. — Duration. 


1 

DCEATION    BEFOBE 

Hospital 

Whole   Duration 

PERIOD. 

Admission. 

Residence. 

THE  Attack. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Under  1  month,  . 

5 

5 

10 

4 

6 

9 

_ 

3       3 

From  1  to  3  months,  . 

1 

1 

2 

7 

1 

8 

4 

1       5 

3  to  6  months,  . 

3 

3 

6 

3 

2 

5 

1 

- 

1 

6  to  12  months, 

4 

2 

6 

5 

2 

7 

2 

5 

7 

1  to  2  years, 

9 

3 

5 

5 

6 

11 

B 

1 

7 

2  to  5  years. 

5 

4 

9 

4 

3 

7 

4 

3 

7 

5  to  10  years,     . 

2 

3 

5 

1 

6 

7 

4 

7 

11 

10  to  20  years,  . 

3 

1 

4 

- 

1 

1 

4 

2 

6 

Over  20  years,     . 

1 

2 

3 

- 

- 

- 

1 

2 

3 

Unknown,   .... 

3 

2 

5 

- 

- 

- 

3 

2 

0 

Total,   .... 

29 

26 

65 

29 

26 

55 

29 

26 

55 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Mos. 

Average  of  known  cases,    . 

53.8 

47.1 

50.4 

14.1 

31 

22.1 

66.4 

77.3 

tLH 

28  WORCESTEE  LUNATIC   HOSPITAL.        [Oct. 

16.   Cases  discharged  hy  Recovery  or  Death. 


Eecoveriks. 

Deaths. 

FORM  OF  INSANITY. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Mania,  acute, 

alcoholic,   . 
a  potu, 
chronic, 
exhaustive, 
recurrent,  . 

Melancholia, 

Epilepsy, 

Moral  insanity, 

Dementia, 

General  paralysis. 

Paralytic  insanity, 

Syphilitic  insanity. 

Paralysis, 

13 
1 

2 

2 

o 
5 

1 

13 

3 
9 

1 

26 

1 
2 
2 

8 

14 

1 

1 

4 

6 

4 
2 

4 

7 
1 
1 

4 

6 

1 

3 
3 

7 

1 

1 

8 

12 

1 

7 
5 

11 

7 
2 

1 
1 

Total  of  cases. 
Total  of  persons. 

29 
29 

2G 
26 

55 
55 

29 
29 

26 
26 

55 
55 

17. 

Causes  of  D 

eath. 

CAUSES. 

Males. 

Females. 

Total. 

Exhaustion  of  acute  melancholia. 

3 

4 

acute  mania, . 

2 

7 

chronic  mania. 

2 

3 

paralytic  insanity, 

paralysis, 

senile  dementia,    . 

1 

1 
1 
5 

melancholia     and     ovarian 

# 

tumor, 

- 

1 

melancholia  with  facial  ery- 

sipelas, 
senile    dementia    and    diar- 

- 

1 

,          rhoea, 

2 

3 

Apoplexy, 
Epilepsy, 
(Jeneral  paralysis. 
Inflammation  of  bowel; 

5, 

4 
6 

3 

1 
7 
6 
1 

Lumbar  abscess,    . 

- 

1 

Phthisis, 

4 

8 

Pneumonia,    . 

1 

2 

Peritonitis, 

1 

1 

Suicide, 

- 

1 

Valvular  disease  of  heart, 

- 

1 

Total, 

29 

26 

55 

1882.] 


PUBLIC   DOCUMENT  — No.    23. 


29 


18.  Deaths,  do.ssified  by  Results  of  Precious  Admissions. 


NO.  OF  THE 

Kecovered. 

Improved. 

Unimpro^ 

ED. 

Total. 

ADMISSION. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Bla. 

Fe. 

Tot. 

First,  . 
Second, 
Third, 

1 
1 

1 

_ 

2 
1 

2 

2 

1 

4 

1 

1 
1 

1 

- 

1 
1 
1 

4 

2 
1 

7 

3 

1 

7 
3 
1 

Total,  . 

2 

1 

3 

2 

3 

5 

3 

- 

3 

4 

11 

19.  Recoveries,  classified  by  Results  of  Previous  Admissions. 


NO.   OF  THE 

Eecoveeed. 

Improved. 

Unimproved. 

Total. 

ADMISSION. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

First,  . 

Second, 

Third, 

Fourth, 

Fifth,  . 

Sixth, 

Seventh, 

Eighth, 

Ninth, 

Tenth, 

Eleventh, 

Twelfth, 

6 
4 

3 

6 

2 
3 

4 
3 
3 
2 

2 
1 
1 
1 

28 

) 

12 

6 
6 
4 
3 
3 
2 
2 

1 
1 
1 

41 

3 

1 

1 

2 
1 

1 
5 

4 

2 
1 
1 

1 
9 

1 
1 

- 

1 
1 

2 

10 

.5 

3 

1 

7 
4 
4 
4 
3 
3 
2 
2 
1 
1 
1 
1 

17 

9 
7 
5 
3 
3 
2 
2 
1 
1 
1 
1 

Total, 

13 

4 

2 

19 

33 

52 

30 


WORCESTER   LUNATIC   HOSPITAL.       [Oct. 


20.  Deaths^  classified  by  Duration  of  Insanitjj  and  of  Treatment. 


PERIOD. 

DuKATiON  OF  Insanity. 

Whole  Known  Period  of 
Hospital  Residence. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Under  1  month,     . 

3 

3 

3 

4 

7 

From  1  to  3  months. 

5 

1 

6 

5 

1 

6 

3  to  6  months, 

_ 

_ 

_ 

3 

2 

5 

6  to  12  months, 

2 

3 

5 

3 

2 

5 

1  to  2  years, 

6 

1 

7 

7 

5 

12 

2  to  5  years. 

4 

2 

6 

6 

4 

10 

5  to  10  years. 

4 

8 

12 

1 

7 

8 

10  to  20  years, 

4 

4 

8 

1 

- 

1 

Over  20  years. 

1 

2 

3 

- 

1 

1 

Unknown, 

3 

2 

5 

- 

- 

- 

Total,      .... 

29 

26 

55 

29 

26 

55 

Mos. 

M03. 

Mos. 

Mos. 

Mos. 

Mos. 

Average  of  known  cases. 

66.7 

97 

81.2 

24.5 

48.8 

36.3 

21 .    Ages  of  those  wJio  died. 


AGES. 

At  Time  of  the  First 
Attack. 

At  Time  of  Death. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Under  15  years,     . 

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, 

1 
1 

4 
5 
4 
4 
3 
3 
1 

1 
2 

1 

1 

2 
3 
3 
3 
3 
5 
1 
1 
1 
2 

2 

2 

6 

8 
7 
7 
6 
8 
2 
1 
2 

4 

2 
2 
5 
5 
7 
4 
3 

1 

1 
3 
1 

4 
6 
2 
4 
3 
2 

3 
5 
6 
9 

13 
6 
7 
3 
3 

Total,      . 

29 

26 

55 

29 

26 

55 

1882.] 


PUBLIC  DOCUMENT  — No.    23. 


31 


22.    Number  of  Convicts  admitted  to  the  Hospital  from  its  opening 
Jan.  19,  1833,  to  Sept.  30,  1882. 


Males. 

Females. 

Total. 

Number  upon  first  admission, 

Number  upon  readmii^sion,  .... 

35-4 
41 

42 
3 

396 
44 

Total, 

895 

45 

440 

32 


WORCESTER  LUNATIC  HOSPITAL.        [Od;. 


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1882.] 


PUBLIC  DOCUMENT— No.  23. 


33 


I         I         I         I         I         I         I         I         I     -H  r-, 


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34  WORCESTER  LUNATIC  HOSPITAL.       [Oct. 


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1882.] 


PUBLIC   DOCUMENT  — No.  23. 


35 


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36 


WORCESTER  LUNATIC  HOSPITAL,       [Oct. 


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1882.] 


PUBLIC   DOCUMENT  — No.    23. 


37 


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38 


WORCESTER   LUNATIC  HOSPITAL.       [Oct. 


26.    Showing  the  Results  of  First  Admissions, 


Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Number  of  persons  on  firsl 

admission, 

- 

- 

4,932 

4,757 

9,689 

Discliarged  recovei-ed, 

1,717 

1,721 

3,438 

- 

- 

- 

improved,  . 

1,282 

1,296 

2,578 

_ 

- 

_ 

not  improved. 

897 

819 

1,716 

- 

- 

- 

not  insane. 

3 

2 

5 

_ 

_ 

_ 

Died,     .... 

764 

675 

1,439 

- 

_ 

_ 

Eloped, 

3 

- 

3 

- 

- 

- 

Remaining  in   the    hospital 

Sept.  30,  1882,    . 

266 

2U 

510 

4,932 

4,757 

9,689 

Showing  the  Results  of  Readmissions. 


Number  of  readmissions,     . 

1,672 

1,599 

3,271 

Discharged  recovered,  . 

631 

674 

1,305 

_ 

- 

- 

improved,   . 

458 

417 

875 

- 

- 

- 

not  improved,     . 

292 

253 

545 

_ 

_ 

_ 

Died, 

206 

169 

375 

_ 

_ 

_ 

Remaining  in   the    hospital 

Sept.  30,  1882,    . 

85 

86 

171 

1,672 

1,599 

3,271 

Shelving  the  Results  of  Second  Admissions. 


Number  of  second  admissions 

994 

972 

1,966 

Discharged  recovered,  . 

327 

341 

668 

- 

- 

_ 

improved,  . 

262 

273 

535 

- 

— 

_ 

not  improved,     . 

207 

180 

387 

_ 

_ 

_ 

Died, 

142 

120 

262 

- 

_ 

_ 

Remaining    in    the   hospital 

Sept.  30,  1882,    . 

56 

58 

114 

994 

972 

1,966 

1882.]  PUBLIC   DOCUMENT  — No.  23. 

Showing  the  Results  of  Third  Admissions. 


Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Number  of  third  admissions, 

_ 

_ 

323 

284 

607 

Disoliarged  recovered,  . 

13-1 

129 

263 

- 

- 

- 

improved,   . 

87 

68 

155 

- 

- 

- 

not  improved,     . 

47 

38 

85 

- 

- 

- 

Died, 

41 

29 

70 

- 

- 

- 

Remaining   in   the    hospital 

Sept.  30,  1882,    . 

14 

20 

84 

323 

284 

607 

Showing  the  Results  of  Fourth  Admissions. 


Number  of  fourth  admissions, 

137 

124 

261 

Discharged  recovered,  . 

61 

58 

119 

- 

- 

- 

improved,  . 

42 

37 

79 

- 

- 

- 

not  improved,     . 

21 

18 

39 

- 

-■ 

- 

Died, 

6 

9 

15 

- 

- 

- 

Remaining  in   the    hospital 

Sept.  30,  1882,    . 

7 

2 

9 

137 

124 

261 

Shoiving  the  Results  of  Fifth  Admissions. 


Number  of  fifth  admissions, 

67 

65 

132 

Discharged  recovered,  . 

32 

38 

70 

- 

- 

- 

improved,  . 

15 

13 

28 

- 

- 

- 

not  improved,     . 

7 

8 

15 

- 

- 

- 

Died, 

8 

4 

12 

- 

- 

- 

Remaining    in   the   hospital 

Sept.  30,  1882,    . 

5 

f  2 

7 

67 

65 

132 

Shoiving  the  Residts  of  Sixth  Admissions. 


Number  of  sixth  admissions. 

36 

34 

70 

Discharged  recovered,  . 

22 

20 

42 

- 

- 

- 

improved,  . 

7 

8 

15 

- 

- 

- 

not  improved,     . 

2 

2 

4  1 

- 

- 

- 

Died, 

3 

3 

6 

- 

- 

- 

Remaining  in    the    hospital 

1 

Sept  30,  1882,    . 

2 

1 

3 

36 

34 

70 

40  WOECESTER  LUNATIC   HOSPITAL.       [Oct. 

Showing  the  Uesnlts  of  Seventh  Admissions. 


Males. 

Females. 

Total. 

Males 

Females. 

Total. 

Nurabei"   of  seventh   admis- 

sions, ..... 

- 

- 

- 

25 

23 

48 

Discharged  recovered,  . 

14 

16 

80 

- 

- 

- 

improved,  . 

6 

4 

9 

- 

- 

- 

not  improved,    . 

3 

1 

4 

- 

- 

- 

Died 

3 

2 

5 

25 

23 

48 

Showing  the  Results  of  Eighth  Admissions. 


Number    of   eighth    admis- 

sions, ..... 

- 

- 

- 

19 

18 

37 

Discharged  recovered,  . 

9 

12 

21 

_ 

- 

- 

improved,  . 

9 

3 

12 

- 

- 

- 

not  improved,     . 

1 

2 

3 

- 

- 

- 

Remaining    in   the    hospital 

Sept.  30,  1882,    .        . 

— 

1 

1 

19 

18 

37 

Showing  the  Results  of  Ninth  Admissions. 


Number  of  ninth  admissions. 

15 

15 

30 

Discharged  recovered,  . 

9 

10 

19 

_ 

_ 

_ 

improved,  . 

4 

4 

8 

_ 

_ 

_ 

not  improved,    . 

1 

1 

2 

- 

_ 

_ 

Died, 

1 

— 

1 

15 

15 

30 

Showing  the  Results  of  Tenth  Admissions. 


Number  of  tenth  admissions, 

13 

13 

26 

Discharged  recovered,  . 

5 

10 

15 

_ 

_ 

_ 

improved,  . 

6 

2 

8 

- 

- 

- 

not  improved,     . 

1 

1 

2 

_ 

_ 

_ 

Remaining    in    the    hospital 

Sept.  30,  1882,    . 

1 

— 

1 

13 

13 

26 

1882.]  PUBLIC   DOCUMENT  — No.   23. 

Showing  the  Results  of  Eleventh  Admissions. 


41 


Mules. 

Kemales. 

Total. 

Males. 

Females 

Total. 

Number  of  eleventh  admis- 

sions, .        .         .        . 

- 

- 

- 

11 

12 

23 

Discharged  recovered,  . 

o 

8 

11 

- 

- 

- 

improved,  . 

6 

3 

9 

- 

- 

not  improved,    . 

1 

1 

2 

- 

- 

- 

Died, 

1 

" 

1 

11 

12 

23 

Shoioing  the  Results  of  Ttvelfth  Admissions. 


Number  of    twelfth    admis- 
sions, .... 
Discharged  recovered,  . 

improved,  . 

not  improved. 
Died,      .... 


- 

9 

9 

3 

8 

11 

- 

- 

4 

1 

5 

- 

- 

1 

- 

1 

- 

.- 

1 

- 

1 

9 

9 

Showing  the  Results  of  Thirteenth  Admissions. 


Number  of  thirteenth  admis- 

sions, ..... 

_ 

_ 

_ 

7 

8 

15 

Discharged  recovered,  . 

3 

7 

10 

_ 

_ 

— 

improved,  . 

3 

— 

3 

_ 

_ 

not  improved,     . 

1 

_ 

1 

_ 

_ 

_ 

Remaining    in    the    hospital 

Stpt.  30,  1882,    . 

— 

1 

1 

7 

8 

15 

Showing  the  Results  of  Fourteenth  Admissions. 


Number  of  foui'teeuth  admis- 

sions,   

_ 

_ 

_ 

5 

7 

12 

Discharged  recovered,  . 

3 

5 

8 

_ 

_ 

_ 

improved,  . 

2 

1 

3 

_ 

_ 

_ 

Remaining    in    the    hospital 

Sept.  30,  1882,    , 

- 

1 

1 

5 

7 

12 

4.2  TTORCESTER   LUXATIC  HOSPITAL.       [Oct. 

SJioicbig  tlie  Results  of  Fifteenth  Admissions. 


I  Males.   iFemales.     Total.       Males.    Females.     Total. 


Xumber  of  fifteenth,  admis- 
sions,         .... 
Discharged  recovered, , 
improved,  . 
Died, 


4 

4 

2 

3 

n 

_ 

- 

2 

- 

2 

- 

- 

- 

1 

1 

4 

! 

4 

Showing  the  Results  of  Sixteenth  Admissions. 


Number  of  sixteenth  admis- 
sions, .        .         .        . 
Discharged  recovered,  . 
improved,  . 


2 

1 
2 

1 

9 

3 

- 

- 

1 

— 

1 

2 

2 

Shoidng  the  Results  of  Seventeenth  Admissions. 


Number  of  seventeenth  ad- 

missions,   .... 

- 

- 

_ 

2 

2 

4 

Discharged  recovered, . 

2 

1 

3 

_ 

- 

- 

not  improved,    . 

— 

I 

1 

2 

2 

4 

Shovjing  the  Results  of  Eighteenth  Admissions. 


Number    of   eighteenth   ad- 
missions,   .        .         .         . 
Discharged  recovered, . 
improved,  . 
Died, 


---22 
1  1  2  -  - 

1  -  1  -  - 

-112  2 


Shoiving  the  Results  of  Nineteenth  A^lmissions. 


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


1 

1 

_ 

1 

1 

- 

- 

1 

— 

1 

1 

1 

i 

1882.]  PUBLIC  DOCUMENT  — No.   23.  43 

Showing  the  Result  of  Twentieth  Admission. 


Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Number  of  twentieth  admis- 
sions, 
Disciiarged  recovered, . 

- 

1 

1 

- 

1 

1 

Shotoing  the  Result  of  Twenty-first  Admission. 


Number  of  twenty-first  ad- 
missions,   .         .         .        . 
Discliarged  I'ecovered, , 


- 

1 

i 

- 

1 

Showing  the  Result  of  Twenty-second  Admission. 


Number    of    twenty-second 

admissions, 
Discliarged  recovered, . 


- 

1 

1 

- 

1 

Showing  the  Result  of  Twenty-third  Admission . 


Number  of  twenty-third  ad- 
missions,   .        .         .        . 
Discharged  recovered,  . 


1  1 


44 


WORCESTER   LUNATIC  HOSPITAL.       [Oct. 


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•S9iBni9j: 

^DOO'OSOOOO^-^'MOOOOCO^t^OaiGO'-H 
C^  CO  •—  CM  iQ  CO  GO  t^  'C  O^  (M  CO  CO  Oi  CO  t^  «5  -*  »0  O 
rHr-lTHi—,— li— ii-H,-Hr-li— I(>5(M(M;MCN(MC<I(M<NC0 

RELAPSED   CASES  HERE. 
KE-ADMISSIONS. 

■U'jox 

1-ICOGOG005.0— icO'*r^-*(McoTCioit^a5ioc<i 

•saicraaj 

1    OOOC2COiOOiiOOCOO<MOCOtOtO<X'(MOOOO 

.—  rtrH(MG<iCM(7<icoeo.  cococoeococo 

•S3IBK 

i-it^cra5-*^c^icO'*-*-*iocococcco-j|^r — 1< 

T-i         i-ir-iCN,-li-lCM'MCN'*COCM(MCO(>l(M'<tl 

•IBJOX 

'^lOCOt^  —  CiCOCOCOC100GOCOt^CO'*CM(>)'^C<l 
CO(M>-Ht-HC^            t-i                             >-H            ,-H,-lr-lT-HCM>-l<MrH 

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r-c            T-H    ^                                                                                           1-H            T-I 

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co^co-^co(MxicO(7^iocoTj<ooo'OoO'-ir^c^t>- 

T-I    T— 1                     r-H                                               ,_|            r-l                              T-I            T— 1 

t/     2 

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r-<rMa50'T<iicco-TH^aooooc5CMa3-^--co(Mt^ 
ajcic~c^---t-cNco^coocot^Oioot^c^t^o 

T— I^T-|,-Il-I,-(I-1T— 'I— I(Mt-I(>J,— II— II-ICM 

•saiuraaj 

oooi^'— lOi-fo^cocot^o^r^^^t^tDCMir^eo 

(M--*CO-*iO«»L-^t^^cOOOaJCOOOOC5GOQOCOT-i 

1—1                                                           T-I 

•saiBit 

O'0^^O00'O«O'OI>-C0OC3C5[^OC003G005 

YEARS 
ENDING 
SEPT.  30. 

-^lOOr^COC^O^CMCO-^iOCOt^OOCiO^CM 
C0C0C0C0C0C0-^-«ti^'*-*'*-*'*'t-*l'O'CliO 

1    1    i    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1    1 

C0C0-*'0C0t^G005OT-l01C0^'0Ot^C00iO'— 1 
COCOCOCOCOCOCOCO^'*-*-*'*-*^-*-^-*'OiO 
GOCOOOOOGOOOCOCOGOOOCOCOGOOOOOCCOOCOCOCO 

1882.] 


PUBLIC  DOCUMENT  — No.  23. 


45 


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1     1     1     1     1     1     1     1     1     1     1     1     1     1     1     1     1     1     1     \— ■r-i~-\^<yi-'-^Ttiu::o\\'7-i 

llliiliillllllillill'-'"ll'T':Ot-c-rcot^|t^ 

1    C-l 

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46 


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remaining  of  each 

tear's  admissions 

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1882.] 


PUBLIC   DOCUMENT  — No.  23. 


47 


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xxxxxxxxxxxxxxxxxxxx 

1882.] 


PUBLIC  DOCUMENT  — No.  23. 


49 


1    1  ->  1    1 

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1     1     1     1     1     1     1     1     1     1     I  CO 

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COCCCOCOCOCOCOCO^-^-+'*^-*'*-^-*-t*'0'0 
aD00XiO0a)Q0COaDCOCO0D00COQ000COCOCOCOCO 


1882.] 


PUBLIC  DOCUMENT  — No.  23. 


51 


C5ioc5--hicO'-H(>i-Tt<co-*^a>(>iooQO(>ir--THO'--icoooot^o^c^i<X)cq-); 


i>-ow'«c>i'Oc^T-Ht^(X)cx)co'>?a5'-H'-HOO':ocO'-Hioccicic^ir^oi(>i-Tt'r^ 


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to  rz 


toes-— 't^ai-f--iC5i— iCO^^CO-tifMCOt^COCMr- icOOlCOO^iOOCO'— IO-CO-+ 

-^  CO  -^  CO  o  'o  CO  c>]  lO  c^l  oo  (>i  -^  r>i  c>i  ctj  (X)  "O  CT3  o  a^  en  CO  o  o  o  CO  lO  CO  CO 
oacoco•^i^-^coaDC^-■-<-*--^-coo  —  ^ocococ^ioi^-*-— 'COt--Icd'— "t^io 

-^t^C^^^-*-*C0-^^lO'*'O^-*C0C0^C0C0C0•^0C0C^^'— iCMCMtM"— ICMC^I.T^CM 


coi-Hioooooco-^coco-^t^-^coor^io-^i^o--.-^.  ...-.i-.  --.^ 
lOGOGOcooocoaiT— icooiio^oioi— ioco<:r50coco30030t----^t-^ 


I  1^  CO 


<>l   !>.  r-l  CM   rH   CO   .— I 


C^i-<-^lj--ia(Jf^^rQUCQQOi— iTtli— lr-l(MCO^Hr-lCOCCI^'*iGO0OCOr^t^-*COfN 

->*  CO  'cfi  lO  ^  CO  '^  iC  lO  '^  lO  ^  '^  -*  ^  CO  CO  -*  CO  Ol  (M  >— I  '— I  ---  ~'      ■      ■  — ^  ~-  ~' 


t-1 1-H  -^  c-i  ao  t>l  ^  00  CO  00  ■ 


— '  r-H  c^^  (M 


^^^  ij>  ^  -^^  1 — I  ^'d^  T~H  »-0  CO  CO  *•"'  ""^  ' — ' 
coC:t^30COi— iCOcoOscOOic^ 


1— It— i^^O'OCOCoOi'rHiJO'— iiOOOat^-coo-loococo-* 

1— It-hiO-— 'COC^C0-*i0OC0i-HC0-Tf-THOC0OC0C:t^-.      _      _  -     -_    -_      ,- 

"OiooocJoot^i-^GOiooci^— '00^c2co-+i"0^oai-*'T^icor^i^C5oo 

■*  GS  'chl  ^  CO  CO  -*  iCl  -11  »0  CO  -^  CO  CO  'tH  CO  CM  (»  CO  CO  Ol  CM  CM  CM  CM  ^^  CO  CM  C--1  04 

ooo;t^i>-'T<ia3'*C5T-icc>coooocT50r^cocnoooocooco'Ocococo'0 
(^^co^loccr^0(^^cooa3col-l0co■sot^ooolcol0c^0l— t^cM-*ii— II— loocico 

lO-tJiCOCOCOCOCOCOCOMlCOCOCOCOCOCOCOCO-^l'crij.^^^jj-jQ^j^j^rf^;-;^ 

lor^cooocioioco^ 

'cii-^^iO'O^^'O'OCO 


I     I     I 


I     I     I     I     I 


I     I     I     I     I     I 


I    t^Oco»Ot^CO(MOO»Ot-^ 

T-;  CO  i^  i^  CO  Oi  r-H  o  c^  CO 

i6  CO  t>i  00  cri  lO  ^  CO  >— I  CD 
-^COCDiC'OiO'OCO'— 'CO 
CM  Ol  (M  CM  CM  O)  CM  CM  CO  CO 


I     I     I     I     I     I 


I     I     I     I     I     I     I     I     I     I     I     I 


I    T-IOCM«OC5iC>1COlOCOOO 
G^iOO-*pC^JOtr-;OCN 

o6c>i-*T— lolooJi^oO'— I 

Oi— '(M^'cfT^COCO'O'— I 
(M  CM  (>)  <M  CM  Ol  CM  (M  CM  CO 


05(M-*'— '(MCOCOCMt^iOGO-^'OfMiO'MC^lOCOCrsasiOOOt^GOOiOCOCO'— I 
(Ml^'^lr^COOr- (COl-^OsOi-^'^OO'OQOr^  —  CMCOCOOOl-^COCMOOiCOtX/OO 
iOCOCOCOCOCOCOCOCOCOCOCOCOCOCOCOCOCO^^-rfl'cfH^'^iiO'O-^'O'OO 


00C5C0C000'-iC000t^C0(Mt>.-^T--C0'O'O'-<'-iCM'-ICMC0C0G<IC0l0OCOO 

lOoocooiOicococ^ciOJOt^t-^aic^asGO^-i'M^cot^'Ocoi^co'JoO'-'co 

CMi-ii— ir-it-lr-li— ii-l,-(i-lC^,— (,— i,-(rHT-ii-iS<l(M<M(M(MCMCM(MCMG^COCOO0 


— ICOGOOO-^CMO'^OOlCOt^Cl'— 't^tr^t^OiCMI^OOCOiOtJjCOCO'CCO'M'— I 
O  CO  t^  t^  OD  ^  UO  aO  C/3  era  C5  CO  -O  C3  t^  OO  OO  Ci  O  05  O  -— I  CM  ^  lO  '*'  CO  CO  1^  lO 
(Mi-(T-lr-ii— li— lr-lr-fT-li— iT-i,— irHi— It-lT-ir-li-iCMi— iCM(M(MCMCM(MCM3^CMCO 

e0'*iocoi^oco50'— icMco^iocor^XJc^o'-^'Mco-'^icjcoh'-oooio— <"<M 
iOioiO'0'OiO'OcococDcocococococooi:^t^t--[^t^i>c^r^t^c^oOQOoo 

I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I    I 

(M  CO  T  iQ  CO  r^  C/D  CI  O  •— I  CM  CO  -*  lO  CO  l^  00  02  O  rH  -M  CO  -*  C.  O  f^  X)  C^  O  — ' 
•C  'O  UO  "O  UO  >0  "O  iCO  CO  CO  CO  CO  CO  CO  O  CO  -O  CO  [^  1^  I^  r^  t^  t^  I~  1^  I^  [^  GO  XI 

co«:)cccocoooaococococo.xixiaoX'Ooa;cox>X)X)coooaDxaDX)aDoo30 


p  t; 

s  a 


O    -3 


52  WORCESTER  LUNATIC  HOSPITAL.      [Oct. 


CO 


^53 


'^ 


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'ItijidsoH  m 
guuireraa.i  tvjiox 


■[B:j!dsoH 
ui     p9ia     IB^JOX 


•psAOjd 
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•peAOjdrai  it!)ox 


•S9ua 
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I     I     1     I  (M         I     I     I     I  lO    I     1     I  lO    I     I  CO 


I     I     I  CO    I 


I     I  -^    I     1     I   o    I     I  t^    I 


llcoil  llt-lllcoilcoc^co 


ODiOCOOOtM        lOtO^OOOC-ICOCOiO^t-CO 
1— 'C>50i0<?5         05C5T— (-^tli— (COi— li— I 
lO  1— I  r-1  T-l 


9     a 


o     o 


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•[BjidsoH 


paAoadrai  ;oa 
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•pajaAooaa 
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1      I      I      I    1-1     I      I      I    T-i     I      I 


lll^l  ll|r-l||lrH||,-(| 


I       I    .-I     1       I  1       I    .-I     I       I       I    ^      I       I    CM 


I    rH      I       I 


I     T-H       I         I         1     CM    ^   rH    ,-1       I         I 


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1— ( 

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1882.]  PUBLIC  DOCUMENT  — No.  23.  53 


ll|CO|||.-H||T-M||.-l|rH!T-l  IIICMIIIIII 


III-* 

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1        1    ^ 

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lll'-Hlll^ll^lllli-llll 

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1        1        1        I        1     C^   'H      1        1     ^ 

l--!!        1        IS^i-Hl-lT-ll        1        |CO(M01^.-H,-I| 

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'*COCOCOCO(MCNC<lCM01(M(M,-lr-l,-l,-l,-l,-lr-( 

iO^"*-*COCOCOCOC<ICN 

Pm  ft, 


54  WORCESTER  LUNATIC  HOSPITAL.       [Oct. 


o 
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1882. J  PUBLIC  DOCUMENT— No.  23.  55 


I         I         I        I        I         I        I         I  I         I         I         I     ^  III  --HI  I        I        I         I         I  I 


1  <M  1— 1  1  tH  1   1  1-1 

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CO  05 

T— 1 

T— ICMi— li— li— li— li— IT-I  1— ICNS^li— li-<  .— 1^)1— I  1—1 


lllli-liH  IIS-^li-l  i-lrHl  jrH  r-l      \        \     -^   ■^  ,-(| 


Ir-CT-li-HrHi— II       |  i— l(Mli— 1|  IrH' 


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56 


WORCESTER  LUNATIC   HOSPITAL.       [Oct. 


o 


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1882.] 


PUBLIC  DOCUMENT  — No.  23. 


57 


30.    Subsequent  history  of  793  persons  who  have  been  discharged 
'  from  this  hospital  as  recovered  on  their  only  admission  and  on 
their  last  readmission. 


Males. 

Females. 

Total. 

Remained  well  and  living  at  time  of  reply,    . 

Remained  well  through  life, 

Relapsed,  admitted  to  other  hospitals  and  died 
there,    ......... 

Relapsed,  admitted  to  'other   hospitals   and   dis- 
charged,         

Relapsed,  admitted  to  other  hospitals  and  there 
now, 

Relapsed  and  died  at  home,    .        .         .         .         . 

Relapsed  and  died  in  almshouse,     .... 

Relapsed  and  living  in  almshouse, 

Relapsed  and  living  at  home,           .... 

Relapsed  and  nothing  more  known, 

Suicides, 

Relapsed  and  died  in  Andersonville  prisoii,    . 

73 
83 

23 

30 

8 
39 
16 

4 
13 

6 
19 

1 

83 
114 

22 

20 

15 
47 
14 

3 
18 

1 
11 

156 
197 

45' 

56 

23 

86  . 
30 

7 
31 

7 

30 
1 

Total, 

No  information, 

315 

354 

669 
129 

- 

- 

798 

Residence  of  Private  Patients  admitted  to  the  Hospital  from 
Oct.  i,  1881,  to  Sept.  30,  1882. 


TOWNS. 

No. 

TOWNS. 

No. 

Auburndale,    .... 

1 

Mendon,         .... 

Beverly,  . 

2 

Newton, 

Boston,    . 

6 

Northbridge, 

Belmont, 

No.  Brookfield, 

Chelmsford,     . 

Pepperell, 

Dedham, 

1 

Spencer, 

Easthampton, 

Sterling, 

Hudson,  . 

Worcester,     . 

9 

Leominster,     . 

Westborough, 

1 

Marlborough,  . 

— 

Milford,  . 

Total 

33 

Natives, 
Foreigners, , 


27 
6 


Total, 38 


58 


WOECESTER  LUNATIC  HOSPITAL.       [Oct. 


Residence   of  Town   Patients   admitted  to  the  Hospital  from 
Oct.  1,  1881,  to  Sept.  30,  1882. 


TOWNS. 

No. 

TOWNS. 

No. 

Ashland,          .... 

1 

Lowell, 

1 

Aubui'n,  . 

1 

Milton,  . 

1 

Ayer, 

1 

Milford,. 

5 

Boston,    . 

23 

Marlborough, 

3 

Brookline, 

1 

Med  ford, 

1 

Billerica, 

1 

Melrose, 

1 

Berlin,      . 

3 

Newton, 

2 

Blackstone, 

3 

Natick,  . 

3 

Bedford,  . 

2 

Needliam, 

1 

Brookline, 

1 

Oakham, 

1 

Bolton,     . 

1 

Oxford, . 

1 

Brookfield, 

2 

Phillipston,    . 

1 

Bellingham, 

1 

Royalston, 

2 

Cambridge 

2 

Rockport, 

1 

Clinton    . 

7 

Southbridge, 

3 

Chelmsford, 

4 

Spencer, 

1 

Fitch  burg, 

8 

Sterling, 

2 

Franklin, 

2 

Stow,      . 

2 

Framingham, 

1 

Sutton,  . 

1 

Gardner, 

3 

Shirley, . 

1 

Grafton,  . 

3 

Templeton,    . 

3 

Groton,    . 

2 

Uxbridge, 

2 

Hopkinton, 

8 

Worcester.     . 

18 

Hard  wick. 

Westborough, 

3 

Holliston, 

Waltham, 

4 

Haverhill, 

Winchendou, 

1 

Holden,   . 

Weston, 

1 

Leicester, 

Wayland, 

1 

Lawrence, 

Westford,       . 

2 

Lancaster, 

Warren, 

1 

Leominster, 

Littleton, 

Total,         .... 

162 

Lunenburg, 

Natives, 

115 

Foreigners,          .... 

47 

Total, 

.     162 

State  Patients  admitted   to   the   Hosjjital  from   Oct.   2,   1881,    to 
Sept.  30,  1882. 


Natives, 
Foreigners, 


39 
76 


Total, 


115 


1882.] 


PUBLIC  DOCUMENT  — Xo.  23. 


59 


PEODUCTS   OF   FARM 


Furnished  to  the  Hospital  for  the  Year  ending  Sept.  30,  1882. 


Apples,  . 

Asparagus,     . 

Beans,  black, 

Beans,  shell, . 

Beans,  string. 

Beets,     . 

Buckwheat,   . 

Blackberries, 

Beef,       . 

Cabbage, 

Coi'n,  green,  . 

Carrots, 

Celery,  . 

Cauliflower,  . 

Cabbages,  early, 

Cucumbers,  early. 

Cucumbers  for  pickles. 

Currants 

Cider,     . 

Hay,       . 

Cash  for  hides,  tallow,  etc.. 

Lettuce, 

Leeks,    : 

Cash  for  live  stock, 

Kohlrabi, 

Melons, 

Milk,      . 

Onions, 

Pears,    . 

Parsnips, 

Potatoes, 

Parsley, 

Pease,  green. 

Peppers, 


282 

bushels. 

37 

pecks. 

11 

quarts. 

44 

bushels. 

219 

pecks. 

377 

pecks. 

9 

bushels. 

111 

quarts. 

10,480 

pounds. 

7,534 

pounds 

2,115 

dozen. 

239 

pecks. 

140 

dozen. 

50 

pounds 

564 

heads. 

6 

dozen. 

70 

bushels 

442 

quarts. 

7 

barrels. 

30^ 

tons. 

$73.59 

1,848 

heads. 

1,040 

dozen. 

$70 

2 

pecks. 

150 

19,220 

quarts. 

543 

pecks. 

23 

pecks. 

353 

pecks. 

675 

bushels 

44 

pecks. 

241 

pecks. 

19 

pecks. 

60 


WORCESTER  LUNATIC  HOSPITAL.       [Oct. 


Pork,      . 

Pigs  and  sliotes, 

Radishes, 

Rhubarb, 

Raspberries 

Rye,       . 

Rye  straw. 

Squash,  winter, 

Squashes,  summer 

Salsify,  . 

Spinach, 

Strawberries, 

Turnips, 

Tomatoes, 

Wood,    . 


20,133 

pounds 

26 

158 

dozen. 

331 

pecks. 

63 

quarts. 

24 

bushels 

3,885 

pounds 

5,558 

pounds 

1,810 

68 

pecks. 

372 

pecks. 

1,549 

quarts. 

112 

pecks. 

280 

bushels 

7 

cords. 

1882.] 


PUBLIC  DOCUMENT  — No.  2J 


61 


PEODUCE   OF  FARM 


On  Hand  and  not  delivered  at  Hospital. 


Hay  and  rowen,    . 

Swale  hay,     . 

Rye  straw, 

Winter  squash, 

Seed  rye, 

Buckwheat,   . 

Potatoes, 

Apples, 

Mangel-wurzel  beets, 

Cabbage, 

Green  corn,  sweet, 

Leeks,    . 

Celery,  . 

Peppers, 

Onions, 

Sweet  mai'joram,  . 

Thyme, 

Parsley, 

Beans  to  shell, 

Beets,     . 

Parsnips, 

Carrots, 

Salsify,  . 

Turnips, 

Tomatoes, 

Ruta-baga  turnips. 


132 

tons. 

10 

tons. 

15 

tons. 

6 

tons. 

200 

bushels 

10 

bushels 

12 

barrels. 

400 

barrels. 

2,000 

bushels 

1,500 

heads. 

300 

dozen. 

3,000 

3,000 

heads. 

4 

bushels 

100 

" 

4 

" 

4 

" 

5 

" 

45 

" 

150 

" 

225 

" 

75 

" 

20 

" 

50 

" 

50 

" 

10 

"