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

A

FIFTH ANNUAL REPORT

THE TRUSTEES

rr

WORCESTEK

Foe the Year ending September 30, 1882.

BOSTON :

WRIGHT & POTTER PRINTING CO., STATE PRINTERS,

18 Post Office Square.

1883.

OFFICERS OF THE ASYLUM.

TRUSTEES.

Rev. JOHN F. MOORS, Gkeenfield.

ROBERT W. HOOPER, M.D., Boston.

RUFUS D, WOODS, Enfield.

THOMAS H. GAGE, M.D., Worcester.

FRANCIS H. DEWEY Worcester.

RESIDENT OFFICERS.

HOSEA M. QUINBY," M.D., .... Superintendent.

E. MEADE PERKINS, M.D., .... Assistant Physician.

CHARLES H. SAFFORD. Steward.

SOPHIA N. GRAVES, Matron.

CLARENCE R. MACOMBER, .... Clerk.

WILLIAM SHERMAN, Engineer.

TREASURER.

ALBERT WOOD,

Worcester.

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TRUSTEES' REPORT.

To His Excellency the Governor, and the Honorable Council of the Com-

mo7iweaUh.

The charge of the Asyhim for the Chronic Insane, at
Worcester, is entrusted to the same Board of Trustees as
that of the Lunatic Hospital.

We accordingly present tliis our fifth annual report.

In 1881 the legislature granted power to the Trustees to
allow the city of Worcester to take a strip of land on Sum-
mer Street about fifteen feet wide and twelve hundred feet in
length, for the purpose of widening that street. This work,
nearly done by the order of the County Commissioners, is now
completed. The heavy stone wall on the west line of the
asylum grounds has been taken down, the ground behind it
carefully graded, and the wall set back fifteen feet, and re-
built in a very thorough and substantial manner. A new
stone stairway is made to lead from the path in front of the
asylum. The Trustees secured the services of a competent
inspector to oversee the work, and secure a fiiithful fulfil-
ment of the contract. We are happy to believe that the
work has been well done, and that when quite completed the
asylum grounds will receive no detriment, while the change
will be a great benefit to the city.

Of course this work has been done at no cost to the asylum
beyond the trifling sum we have paid for its inspection.

These buildings, now occupied as the Asylum for the
Chronic Insane, were erected fifty years ago. The first

70 ASYLUM FOR CHEONIC INSANE. [Oct.

buildings of the sort in the State, they met and answered all
the demands of that time.

But the experience of a half-century has added much to
our knowledge of what is required for health and comfort of
patients in such an institution. For years, under the expec-
tation universally entertained that these buildings would not
be retained after the new hospital was opened, very little was
done in the way of repairs, and nothing in the way of im-
provement.

After the act of the legislature in 1877, establishing a
" Temporary Asylum for the Chronic Insane," and granting
the land and buildings of the old hospital for that purpose,
it was felt that extensive repairs and improvements must be
made, and they have been going on the last few years, under
the careful and wise administration of Dr. Quinby. The
halls have been made more airy and cheerful, and afar better
system of ventilation secured, and the health and comfort of
the patients and attendants materially increased.

The cost of this work has been met from the current re-
ceipts. The widening of Summer Street, to which reference
has been made, threw upon the asylum grounds a great mass
of earth, and Dr. Quinby has employed a portion of the
patients all summer in wheeling this earth to other parts of
the asylum grounds, thus furnishing them an occupation
which was not above their capacity, and at the same time
improving the general appearance of the grounds.

This asylum has no private patients and depends entirely
for its support on the income derived from State, city and
town patients, at a rate established by law. Yet we are
pleased to say that notwithstanding the high prices of pro-
visions this past year, the institution is self-supporting, and
asks no appropriation from the State.

We believe that the institution has been manao-ed with a
wise economy, but without parsimony. From careful in-
quiries we have made, we are satisfied that good, wholesome
food, and in sufficient quantities, has been furnished to the
patients in a neat and palatable form, and that the patients are
kindly treated and have every comfort their condition allows.

We call your attention to the financial report of the
Treasurer, and to the detailed report of the Superintendent.

1882.] PUBLIC DOCUMENT — No. 23. 71

Dr. Qiiinby, the Superintendent, possesses in a high de-
gree the confidence of the Trustees as a judicious and skilful
manager of the institution, both as regards its finances, and
his care and treatment of the unfortunate class committed to
his charge.

There has been little change in the resident officers for the
past year. We relieve them to be competent and reliable in
their respective places, and that they deserve the respect and
thanks of the public for the faithful manner in which they
discharge the arduous and often painful duties intrusted to
them.

JOHN F. MOOES.

R. W. HOOPER.

RUFUS D. WOODS.

THOMAS H. GAGE.

FRANCIS H. DEWEY.

72

ASYLUM FOR CHRONIC INSANE.

[Oct.

YALUE OF STOCK ANT> SUPPLIES.

Sept. 30, 1882.

Live stock,

$175 00

Carriages and agricultural implements, . .

503 65

Machinery and mechanical fixtures, ....

3,300 00

Beds and bedding in inmates' department, .

8,354 90

Other furniture in inmates' department,

8,231 20

Personal property of State in Superintendent's department

8,721 25

Ready-made clothing,

],399 38

Dry goods,

942 14

Provisions and groceries,

5,441 18

Drugs and medicines,

175 42

Fuel,

3,151 30

Library,

120 00

35,515 42

1882.]

PUBLIC DOCUMENT — No. 23.

73

TEEASUREK'S EEPORT,

To the Trustees of the Asylum for the Chronic Insane.

Gentlemen : — I herewith submit my fifth annual report
on the finances of the Asylum for the Chronic Insane for the
year ending Sept. 30, 1881 : —

Receipts.

Cash on hand, Sept, 30, 1880 :—
Cash belonging to asylum, . . . .
Deposits of inmates,

Amounts received : —
From the Commonwealth for support of

patients,

cities and towns for support of patients,

other sources,

patients (on deposit), . . . .

The expenditures for the year have been
as follows : —

Salaries and wages,

Extra labor (ordinary), . . . .

Provisions and supplies, viz.
Meats of all kinds, .
Fish of all kinds, .
Fruit and vegetables.

Flour

Grain and meal for table.
Grain, meal and hay for stock.
Tea and coffee.
Sugar and molasses.
Milk, butter and cheese,
Salt and other groceries.
All other provisions.

Amount carried forward,

$5,087 52

487 39

$5,674 91

$17,867 33

49,005 82

1,0'S4 86

8 75

67,936 76

$73,511 67

$20,164 41
124 97

$20,289 38

$4,040 61
702 75

2,205 40

3,880 51
87 44

253 22

673 09

1,429 32

6,247 15

627 56

2,658 08

22,805 13

13,094 51

74

ASYLUM FOR CHRONIC INSANE. [Oct.

Amount brought forward.
Clothing and niaterial, .
Fuel and light,

Medicine and medical supplies,
Furniture, beds and bedding.
Transportation and travelling,
Repairs (ordinary),
All other current expenses, .

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

3,094 41

Total amount expended, .
Cash on hand, Sept. 30, 1882,

Resources.

Cash on hand,

Due from the Commonwealth,

cities and towns, .

other sources,

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

$2,831 52

6,288 16

348 93

1,998 37

296 46

3,000 00

1,926 17

$4,758 80
6 15

$8,962

60

4,532

75

12,679 84

63

26

$7,150

28

1,723

43

489

99

16,689 61

$59,784 12

4,764 95

34,549 07
8,962 60

r3,511 67

5,238 45

9,363 70

Total surplus, $16,874 75

Respectfully submitted,

ALBERT WOOD,

Treasurer.

Worcester, Mass., Oct 10, 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 Asylum, and found it to be correct.

THOMAS H. GAGE,

Auditor of Accounts.

1882.] PUBLIC DOCUMENT — No. 23. 75

SUPEKIlSrTEII^DEIsrT'S REPORT.

To the Trustees of the Asylum for the Chronic Insane.

Gentlemen : — ■ At the close of the last official year there
were remaining in the asylum 367 patients, — 168 mules and
199 females.

During the year 49 males and 22 females have been
admitted, 6 males and 19 females have been discharged, and
21 males and 11 females have died; leaving at the end of
the year 381 patients, — 190 males and 191 females.

Of the number discharged, 2 males have been removed to
their homes by friends, 2 females and 1 male have been
removed to poor-houses, 17 females and 2 males have been
transferred by the Board of Health, Lunacy and Charity,
and 1 male eloped.

The general health of the inmates of the asylum has been
good through the year. The diseases which have proved
fatal have been chronic in every case, and the direct result
of brain trouble.

Ten males and 1 female have died of the exhaustion due
to chronic mania, 6 males and 3 females of epilepsy, 3 males
and 5 females of phthisis, 2 males and 1 female of apoplexy,
and 1 female of old asfe.

Kecos^nizino; the fact that nothins" tends more to allay
undue excitement, to ward off the listlessness incident to
chronic dementia, to increase the bodily health of the patient,
and to insure quiet in the wards both by day and night, than
active, healthy work in the open air, it has been the con-
stant effort of the management to devise methods for the
employment of as large a number of the inmates of the
asylum as possible. To this end an extra male attendant has

76 ASYLUM FOR CHRONIC INSANE. [Oct.

been employed, during the past year, to whom has been
assigned the duty of getting out those patients not ah'eady
employed, finding occupation for them, and interesting them
therein. In this way from 20 to 25 persons have been added
to our regular working force. During the spring and sum-
mer they have been employed, for the most part, in grading
about the asylum grounds. Every one has done a fair day's
work, and most of them have shown marked improvement
both in bodily health and mental condition. The practical
results of the effort, if not all that could be desired, have
been in a high degree encouraging and warrant the suppo-
sition that still more may be accomplished in this direction.

Repairs have been continued during the year according as
our means would warrant. In the North Johonnot, the air-
chamber has been carried from the south to the north side
of the ward, for the purpose of more easily warming the
same ; the dining-rooms torn out and entirely reconstructed,
and ventilating flues introduced wherever practicable.

Six cupolas — to conform to those already placed upon
the two wings, and which have proved so satisfactory for the
purposes of ventilation — have been built during the sum-
mer. Each tier of wards now has a ventilator eight feet
square, and it only remains to enlarge the flues in these
wards to gain, throughout the house, as satisfactory a system
of ventilation as that already secured in the newly repaired
wings.

The boilers, upon which we depend for the heating and
ventilating of the house, for the power used in our laundry,
and for the steam by which most of our cooking is done,
■^ere put in when the present system of heating was first
introduced — twenty-five years ago. They are flue boilers,
four in number, tw^o of which had become so much worn as
to be nnsafe. These, therefore, have been removed and
replaced by a tubular boiler, nineteen feet long by five feet
in diameter, at an expense of fifteen hundred dollars.

The cost of support has been 13.07 per patient.

We have again to thank the publishers of " The Evening
Gazette " for a copy of their paper; " The Hosj)ital News-
paper Society," of Boston, for books, papers and Christmas
Cards ; Francis E. Thompson for readings, and Messrs. Ray-

1882.] PUBLIC DOCUMENT — No. 23. 77

more, Pollard and Barber for the enjoyable entertainments
given the patients at various times during the winter.

No change has tak-en place during the year in our official
staff, and I am glad to have this opportunity of acknowledg-
ing my indebtedness to each and all of them for the zeal
which they have shown in their several departments, and for
the material aid which they have given me in conducting the
affairs of the asylum.

H. M. QUINBY,

8ujperintendent.

Asylum for the Chronic Insane,
October 2, 1882.

7.8;

ASYLUM FOR CHRONIC INSANE. [Oct.

TABLES FOR UNIFORM STATISTICS

MASSACHUSETTS HOSPITALS AND ASYLUMS FOR THE

INSANE.

(Approved by the Board of Health, Lunacy and Charity, April 3, 1880.)

By the act of the legislature establishing an Asylum
for the Chronic Insane, it was provided, " That the inmates
thereof shall consist only of such chronic insane as may be
transferred thereto by the Board of State Charities in the
manner provided in section four, chapter two hundred and
forty, of the acts of the year eighteen hundred and sixty-
three." (Statutes, 1877, chap. 227.)

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

1. General Statistics of tlie Year.

Males.

Females.

Total.

Patients in hospital Oct. 1, 1881,
Admissions witliin the year,

168
49

199
22

367

71

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

as much improved, ....

as improved,

as unimproved, ....
Deaths,

217

1

5*
21

221

19
11

438

1
24
32

Patients remaining Sept. 30, 1882,
Viz., supported as State patients, .
as town patients,
as private patients, .
Number of different persons within the year,

admitted,

recovered, .....
Daily average number of patients,

190

72

118

217
49

181.79

191

32

159

221
22

193.80

381
104

277

438
71

375.59

*One eloped.

1882.]

PUBLIC DOCUMENT — No. 23.

79

2. Monthly Admissions, Discharges and Averages.

MONTHS

Admissions.

Discharges.
(Including Deaths.)

Daily Average of
Tatients in thk Hods

Ma.

Fe. Tot.

Ma.

Fe.

Tot.

Males.

Females.

Total.

1881.

October,

1

-

1

3

1

4

166.97

198.35

365.32

November, .

1

2

3

-

]

1

166.53

198.37

364.90

December, .

-

-

-

1

1

2

166.29

197.41

363.70

1883.

January,

-

-

-

1

1

2

165.48

197.68

363.16

February,

33

-

33

7

-

7

184.00

197.00

381.00

March, .

-

-

-

-

1

1

191.00

196.70

387.70

April, .

-

-

-

4

2

6

189.90

194.53

384.48

May,

1.

-

1

2

-

2

186.41

194.00

380.41

June,

13

20

33

3

17

20

186.20

193.16

379.36

July, .

-

-

-

4

2

6

192.93

196.32

389.25

August,

-

-

-

-

3

3

192.00

194.16

386.16

September,

49

22

71

2
27

1
30

3

57

196.60

186.56

383.16

Total of cases.

-

-

-

Total of persons.

49

22

71

27

30

57

-

-

-

3. Received on First and Subsequent Admissions.

NUMBER OF THE ADMISSION.

Cases Admitted.

Times Previously Re-
covered.

Males. Females.

Total.

Males.

Females.

Total.

First,

Second, ....
Etc., . . . .

49

22

71

-

-

Total of cases,
Total of persons, .

49
49

22
22

71

71

-

-

—

80

ASYLUM FOR CHRONIC INSANE. [Oct.

4. Ages of Persons admitted for the First Time.

At First Attack of
Insanity.

When Admitted.

AGES.

Males.

Females.

Total.

Males.

Females.

Total.

Fifteen years and less,

1

1

1

_

1

From 15 to 20 years, .

4

1

5

8

1

9

20 to 25 years, .

5

-

5

8

1

9

25 to 30 years, .

8

3

11

6

5

11

30 to 35 years, .

5

6

11

7

3

10

35 to 40 years, .

7

1

8

-

2

2

40 to 50 years, .

9

3

12

9

2

11

50 to 60 years, .

6

4

10

6

4

10

60 to 70 years, .

-

-

-

-

-

-

70 to 80 years, .

-

1

1

-

1

1

Over 80 years, .

-

1

1

-

1

1

Unknown, .

4

2

6

4

2

6

To als,

49

22

71

49

22

71

5. Parentage of Persons admitted.

Males.

Females.

Totals.

PLACES.

Father.

Mother.

Father.

Mother.

Father.

Jlother.

Massachusetts, .

12

12

8

8

20

20

New Hampshire,

_

_

—

_

Vermont, .

2

2

1

1

3

3

New York,

1

1

1

1

2

2

Enghind, .

3

3

-

-

3

3

Ireland,

19

19

8

8

27

27

Germany, .

5

5

1

1

6

6

Unknown, .

7

7

3

3

10

10

Totals,

49

49

22

22

71

71

1882.] PUBLIC DOCUMENT — No. 23.

81

6. Residence of Persons admitted.

PLACES.

Males.

Feirales.

Total.

Massachusetts, viz. : —

Suffolk County,

Bristol County. .....

Hampden County,

Essex County, .....
Unknown, .......

11
1

2
35

16

4
2

27
1
2
4

37

Total, .

49

22

71

Cities or large towns,

49

22

71

7. Civil Condition of Persons admitted.

NUMBER OF
THE

Unmarried.

Married.

Widowed.

Unknown.

ADMISSION.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

First, .
Second,

7

11

18

G

4

10

-

5

5

36

2

38

Total,

7

11

18

6

4

10

-

5

. 5

36

2

38

8. Occupation of Persons admitted.

OCCUPATIONS.

Males.

Females.

Total.

Laborers,

Domestics,

Seamstress, ... ....

No occupation,

Wives, ........

Widows,

5

44

1

1
11

4
5

5
1
1

4
5

Total ,

49

22

71

82

ASYLUM FOR CHRONIC INSANE. [Oct.

.9. Form of Disease in the Cases admitted.

FORM OF DISEASE.

Males.

Females.

Total.

Mania, chronic, . . . . ...

Epilepsy,

Dementia, chronic,

25

8

16

7

4

11

32

12

27

Total of cases,

Total of persons,

49
49

22
22

71
71

10. Reported Duration of Insanity before last admission.

PREVIOUS DURATION.

FirstAdmission to
THIS Hospital.

All other
Admissions.

Total.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fern.

Tot.

Congenital,
Under 1 month.
From 1 to 3 months,
3 to 6 months,
6 to 12 months,

1 to 2 years, .

2 to 5 years, .
5 to 10 years, .

10 to 20 years, .
Over 20 years, .
Unknown, ....

3
3
8
4

36
49
49
6.08

4
6

4
3

1
4

7
9
7
7
1
40

-

-

-

Total of cases.
Total of persons,
Average of known cases, .

22
22
6.91

71

71

. 1

1

-

_

-

_-

1882.]

PUBLIC DOCUMENT — No. 23.

83

11. Probable Causes of Insanity in Persons admitted.

CAUSES.

Males.

Females.

Total.

Intemperance,

Epilepsy,

Unknown, .......

8

3

38

2

6

14

10

9

52

Totals,

49

22

71

12. Relation to Hospitals of Persons admitted.

HOSPITAL EELATIONS.

Males.

Females.

Total.

First admission to any liospital for insane, .

Former inmates of the hospital, .

of Dan vers Lunatic Hospital,
of McLean Insane Asylum, .
of Tewksbury Almshouse,
of Northampton Lunatic Hospital,

Totals,

10
1

37
1

49

20

2

22

30

1

39

1

71

13. How supported.

Patients Admitted.

AVEKAGE OF THE

Year.

SUPPORTED AS

Males.

Females.

Total.

Males.

Females.

Total.

State patients.
Town patients, .

43
6

2
20

45

26

62.26
119.53

45.76
148.04

108.02
267.57

Totals,

49

22

71

181.79

193.80

375.59

84

ASYLUM FOR CHRONIC INSANE.

[(Jet.

14. Disch

ctrgpk

, Classified by Admisi

ion

and

Resu

It.

ADMISSION.

Improved.

Unimpkoved.

Died.

Total.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

First, .

1
1

-

1
1

5

5

19 24

21

21

11
11

32
32

27

30

57

Totals, .

19

24

27

30

57

Persons, .

1

-

1

5

19

24

21

11

32

27

30

57

15. Cases resulting in Death. — Duration.^

Congenital,
Under 1 month,
From 1 to 3 months,
3 to 6 months,
6 to 12 months,

1 to 2 years, .

2 to 5 years, .
5 to 10 years, .

10 to 20 years, .
Over 20 years, .
Unknown,

Total,
Average of known cases
(in months),

Duration before
Admission.

Ma. Fe. Tot

21

99

11
59

Hospital
Residence.

Ma. Fe. Tot

32
79

21

33

1

2
4
7

15
3

11 32
37 35

Whole Duration
from the Attack.

21
99

2

8

10

7

11

74

32
86

^ Of the attack resulting in death.

1882.]

PUBLIC DOCUMENT — No. 23.

85

16. Cases discharged by Recovery or Death.

Eecoveeies.

Deaths.

FORM OF INSANITY.

Males.

Females.

Total.

Males.

Females.

Total.

Mania, chronic,

Epilepsy, ....

Dementia, chronic.

-

~*

~

10

7
4

6
- 3

2

16
10

6

Total of cases,
Total of persons, .

, -

-

-

21
21

11
11

32
32

17. Causes of Death.

CAUSES.

Males.

Females.

Total.

Phthisis,

3

5

8

Epilepsy,

6

3

9

Apoplexy,

2

1

3

Old age, . . . . .

-

1

1

Exhaustion,

10

1

11

Totals, .......

21

11

32

86

ASYLUM FOR CHRONIC INSANE.

[Oct.

18. Ages of those ivho Died.

At Time or the
Attack.

First

At Time of Death.

AGES.

Males.

Females.

Total.

Males.

Females.

Total.

Fifteen years and less, .

3

3

From 15 to 20 years.

1

2

3

3

_

3

20 to Ho years,

1

2

3

2

1

3

25 to 30 years,

4

-

4

2

^

2

30 to 35 years.

2

3

5

s)

2

4

35 to 40 years,

3

9

5

2

1

3

40 to 50 years.

2

1

o

4

3

7 •

50 to 60 years.

1

-

1

1

3

4

60 to 70 years.

-

1

1

2

-

2

70 to 80 years.

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21

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