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SIXTH  ANNUAL  REPORT 


THE  TRUSTEES 


m 


lie  Cliic 


WOECESTEK 


Foe  the  Yeae  ending  Septembee  30,  1883. 


BOSTON  : 

WRIGHT   &   POTTER   PRINTING   CO.,    STATE   PRINTERS, 

18  Post  Office  Squake. 

1884. 


OFFICEES   OF  THE   ASYLUM. 


TRUSTEES. 

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

A.  GEORGE  BULLOCK,     .        .        .        .        .        .  Worcester. 

THOMAS  H.  GAGE,  M.D Worcester. 

FRANCIS  H.  DEWEY,       ......  Worcester. 

WILLIAM  DICKINSON Worcester. 


RESIDENT    OFFICERS. 

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

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

CLARENCE  R.  MACOMBER, Clerk  and  Steward. 

SOPHIA  N.  GRAVES, Matron. 

WILLIAM  SHERMAN Engineer. 


ALBERT  WOOD, , 


TREASURER. 


Worcester. 


C0mmottb)eaIt]^  of  P^assat^setts* 


TRUSTEES'  REPORT. 


To  His  Excellency  the  Governor 

and  the  Honorable  Council  of  the  Gor)imonweaUh  : 

The  trustees  beg  leave  to  present  their  sixth  annual 
report  of  the  Asylum  for  the  Chronic  Insane. 

From  the  nature  of  the  cases  of  disease  here  represented, 
no  very  satisfactory  results  can  be  expected. 

The  great  mass  of  patients  sent  here  are  afflicted  with 
physical  as  well  as  mental  diseases  of  long  continuance  and 
grave  character.  The  most  that  can  be  expected  is  to  make 
them  comfortable  and  contented.  The  whole  number  of 
patients  treated  during  the  year  was  461,  the  average  num- 
ber 384. 

The  buildings  and  appurtenances,  of  more  than  fifty  years 
standing,  require  much  to  be  done  to  bring  them  to  the 
proper  standard  for  a  hospital,  and  this  can  only  be  done 
gradually  while  they  are  occupied.  But  under  the  super- 
vision of  the  superintendent  great  improvements  have  already 
been  made  and  are  still  going  on  without  calling  for  extra 
appropriation. 

The  work  on  the  front  wall,  on  Summer  Street,  is  now 
completed  to  the  satisfaction  of  the  trustees,  and  the  im- 
provement in  the  street,  by  adding  fifteen  feet  to  its  width, 
is  valuable  to  the  asylum  as  well  as  to  the  city. 

The  patients  are  well  supplied  with  all  the  comforts  they 
require.  There  are  few  complaints,  but  with  some  there  is 
the  desire  to  go  home,  where  they  have  no  homes  to  go  to, 
or  to  be  with  friends,  who  have  ceased  to  exist. 


70  ASYLUM  FOR  CHRONIC  INSANE.         [Oct. 

It  is  painful  to  witness  such  a  number  of  cases  of  loss  of 
all  the  faculties  ;  only  a  mere  animal  existence  remaining, 
but  everything  that  can  contribute  to  their  comfort  or  to 
ameliorate  their  sad  condition  is  faithfully  done  by  the 
superintendent  and  his  assistants. 

By  the  treasurer's  report,  the  amount  received  for  board 
is  sufficient  to  defray  the  expenses  and  leave  a  small  surplus 
for  contingencies. 

The  average  cost  of  each  patient  was  $3.04  a  week. 

R.  W.   HOOPER, 
A.   G.   BULLOCK, 
THOMAS   H.    GAGE, 
FRANCIS   H.   DEWEY, 
WM.   DICKINSON. 


1883.] 


PUBLIC  DOCUMENT  — No.  23. 


71 


OFFICEES  A]S[D  THEIE  SALAEIES. 


Hosea  M.  Quinby,  M.  D.,  Superintendent,     . 
E.  Meade  Perkins,  M.  D.,  Assistant  Physician, 
Clarence  R.  Macomber,  Clerk  and  Steward, 
Sophia  N.  Graves,  Matron,     .... 
William  Sherman,  Engineer,  . 
Albert  Wood,  Treasurer, 


$2,000  00 
1,000  00 
1,000  00 

325  00 
1,000  00 

400  00 


VALUE   OF  STOCK  AIS^D   SUPPLIES. 

October  1,  1883, 


Live  stock,      ,.,.,. 

Carriages  and  agricultural  implements, 

Machinery  and  mechanical  fixtures, 

Beds  and  bedding  in  inmates'  department. 

Other  furniture  in  inmates'  department, 

Personal  property  of  State  in  Superintendent's  department 

Ready-made  clothing, 

Dry  goods, 

Provisions  and  groceries 

Drugs  and  medicines, 

Fuel, 

Library,   . 

Building  material,  - 


$200 

00 

503 

65 

6,300 

00 

9,120 

55 

3,231 

20 

8,721 

25 

856 

81 

647  64 

2,896  68 

176 

00 

1,995 

00 

140  00 

2,062 

26 

$35,849  84 

72 


ASYLUM  FOR  CHRONIC  INSANE. 


[Oct. 


TEEASURER'S  REPORT. 


To  the  Trustees  of  the  Asylum  for  the  Chronic  Insane. 

Gentlemen  :  —  I  herewith  submit  my  sixth  annual  report, 
on  the  finances  of  the  Asylum  for  the  Chronic  Insane  for  the 
year  ending  Sept.  30,  1883  :  — 

Receipts. 

Cash  on  hand,  Sept.  30,  1882  :  — 


Cash  belonging  to  asylum,        .... 

$8,472  61 

Deposits  of  inmates, 

489  99 

$8,962  60 

Amounts  received :  — 

From    the     Commonwealth    for    support    of 

patients, 

$16,970  20 

cities  and  towns  for  support  of  patients, 

52,279  33 

other  sources, 

1,466  46 

patients  (on  deposit),    .... 

14  13 

70,730  12 

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,  . 

Amotmt  carried  forward, 


),692  72 


$20,207  90 
121  38 

$20,329  28 

$4,431  CO 

870  77 

1,877  70 

4,231  03 

79  05 

249  45 

533  37 

1,624  62 

6,908  66 

659  06 

1,546  86 

22,911  57 

13,240  85 


1883.] 


PUBLIC  DOCUMENT  — No.  23. 


73 


Amount  brought  forward, 
Clothing  and  material. 

Fuel, 

Light 

Medicine  and  medical  supplies 

Fm'nituve  and  furnishings, 

Crockery,    . 

Beds  and  bedding. 

Transportation,  . 

Travelling, 

Trustees'  expenses,    . 

Soap,  .... 

Water, 

Stationery,  . 

Undertaking, 

Repairs  (ordinary),    . 

All  other  current  expenses, 


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

Total  amount  expended,     . 
Cash  on  hand,  Sept.  30,  1883,     . 

Resources. 

Cash  on  hand, 

Due  from  the  Commonwealth,  . 

cities  and  towns,        .         . 

other  sources,     .... 

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


13,240  85 


$2,252 

56 

4,835  39 

1,778 

03 

547 

53 

515 

76 

350 

18 

1,174  31 

163 

08 

53 

94 

31 

26 

784  73 

400 

11 

122 

00 

450  50 

3,000 

00 

1,329 

07 

17,788  45 
$61,029  30 

$9,472  54 

17 

00 

9,489  54 
$70,518  84 

* 

9,173  88 

$79,692  72 

$9,173 

88 

4,413 

76 

12,941 

55 

78 

48 

$26,607  67 

$4,067 

09 

1,716  05 

487 

12 

6,270  26 

Total  surplus. 


$20,337  41 


Respectfully  submitted, 


ALBERT  WOOD,  Treasurer. 


WoucESTEE,  Mass.,  Oct.  16,  1883. 
The  undersigned  has  this  day  carefully  compared  the  Treasurer's  statement  of 
expenditures  for  the  year  ending  Sept.  30,  1883,  with  the  vouchers  which  are  on  file 
at  the  Asylum,  and  found  it  to  be  correct. 

THOMAS  H.  GAGE, 

Auditor  of  Accounts, 


74  ASYLUM  FOR  CHRONIC  INSANE.         [Oct. 


SUPERmTENDENT'S    BEPOET. 


To  the  Trustees  of  the  Asylum  for  the  Chronic  Itisane. 

Gentlemen,  —  There  remained  in  the  asylum  at  the 
close  of  the  last  official  year,  381  patients,  — 190  males 
and  191  females. 

During  the  year  51  males  and  29  females  were  admitted ; 
6  males  and  2  females  were  discharged,  and  37  males  and 
24  females  died ;  leaving  at  the  end  of  the  year  392  pa- 
tients,— 198  males  and  194  females. 

Of  the  number  discharged,  three  males  and  one  female 
were  removed  to  poor-houses,  two  males  and  one  female 
were  taken  home  by  friends,  and  one  male  eloped. 

The  asylum  has  been  filled  during  the  most  of  the  year  to 
its  utmost  limit,  and  at  times  has  been  overcrowded  on  the 
female  side  of  the  house.  Its  nominal  capacity  has  always 
been  placed  at  about  400  patients ;  but  we  only  have,  as 
accommodations  for  this  number,  124  single  rooms  and  65 
dormitory  beds  on  the  male  side  of  the  house ;  while  on 
the  female  there  are  but  113  single  rooms  and  55  dormi- 
tory beds,  —  making  in  all  357  beds.  With  anything 
above  this  latter  number,  therefore,  we  may  be  said  to 
be  crowded,  since  we  are  obliged  to  find  sleeping 
accommodations  for  the  surplus  in  hall-beds  upon  the 
corridors  of  the  wards.  Although  this  is  always  unde- 
sirable when  it  can  be  avoided,  no  serious  harm  can 
result  from  thus  moderately  increasing  the  capacity  of  our 
insane  hospitals,  since  such  accommodations  are  not  al- 
together unsuitable  for  a  limited  number  of  the  quietly 
demented.  Nearly  all  of  this  class,  however,  has  been 
culled  from  the  asylum  by  the  overseers  of  the  poor,  leav- 


1883.]  PUBLIC  DOCUMENT  — No.  23.  75 

iiig  very  few  for  whom  such  accommodations  are  either 
suitable  or  safe. 

Many  of  our  patients,  bereft  of  relatives  and  friends,  and 
broken  down  both  in  mind  and  body,  have  found  in  the 
asylum  a  home  which  they  appreciate,  and  they  neither  seek 
or  desire  a  change.  They  come  and  go  at  will,  do  what- 
ever work  they  are  able  to  do,  indulge  in  their  little  freaks 
and  peculiarities  unmolested  ;  and  finding  the  burden  of  their 
lives  relieved  —  in  so  far  as  it  is  capable  of  relief — are  un- 
complaining and  happy. 

These  could  undoubtedly  be  as  well  cared  for  in  private 
families  as  at  the  hospital ;  but  if  their  own  wishes  were 
consulted,  they  would,  in  most  cases,  prefer  to  stay  among 
others  of  their  kind,  where  their  peculiarities  attract  no 
comment.  The  large  majority  of  our  patients  are,  how- 
ever, of  quite  a  different  class,  and  under  no  system  could 
they  be  farmed  out  upon  the  community.  Many  of  them, 
from  their  extreme  filthy  habits,  require  almost  constant 
attention  ;  while  the  greater  number  would  be  dangerous 
members  of  society  if  at  large. 

The  large  death-rate  of  the  past  year  has  been  due  en- 
tirely to  causes  inherent  in  the  mental  and  physical  condi- 
tion of  the  patients  themselves,  and  in  no  way  to  epidemic 
or  an  unsanitary  state  of  the  asylum.  We  receive  no  pa- 
tients from  the  general  public,  and  only  such  from  the  other 
hospitals  as  by  longer  or  shorter  residence  have  been  found 
to  be  almost  beyond  question  incurable.  Under  this  ar- 
rangement the  most  unpromising  cases,  both  as  regards  their 
mental  and  physical  condition,  naturally  gravitate  from  the 
other  hospitals  to  the  asylum  ;  and  we  should  expect  to  find 
in  these  transfers  but  few  strong  and  able-bodied  persons. 
Such,  indeed,  is  the  fact ;  a  large  majority  of  these  transfers 
being  mere  wrecks  of  humanity  at  the  time  of  their  en- 
trance,—  broken  down  by  mental  suffering,  or  in  an  ad- 
vanced stage  of  incurable  physical  disease. 

As  a  consequence,  our  death-rate,  although  likely  to  vary 
greatly  from  year  to  year,  will  of  necessity  always  be  large. 
No  skill  or  form  of  treatment  can  long  avert  the  fjital  end ; 
and  all  that  the  best-directed  efforts  can  do  is,  by  kindly 
attention  and  careful  nursing,  to  alleviate  the  sufferings  of 


76  ASYLUM  FOR  CHRONIC  INSANE.         [Oct. 

these  unfortunates,  and  smooth  their  path  to  the  grave. 
Such  patients  are  easily  afiected  by  sudden  climatic  changes, 
—  the  protracted  cold  of  the  winter,  and  the  heat  and  drouth 
of  our  summer  months,  always  proving  fatal  to  a  greater  or 
less  number. 

Of  the  61  deaths,  22  have  been  due  to  phthisis;  21  to 
exhaustion  of  chronic  mania  ;  7  to  epilepsy  ;  2  to  paralysis  ; 
3  to  general  paresis ;  and  1  each  to  uremia,  pyemia,  cir- 
rhosis, senility,  heart  disease,  and  dj^sentery. 

During  the  year,  repairs  and  alterations  in  the  wards  have 
been  continued,  the  plumbing  in  the  administration  building 
renewed,  two  new  boilers  put  in,  our  entire  heating  ap- 
paratus overhauled,  and  twenty  thousand  feet  of  steam  pipe 
bought  to  replace  that  now  in  our  air  chamber. 

We  have  also  added  a  new  Shaker  washing-machine  to  our 
laundry,  and  a  sixty-gallon  tea  and  coffee  urn  to  our  kitchen 
furniture,  and  furnished  the  entire  house  with  woven  wire 
mattresses. 

There  is  still  much  to  be  done  in  the  way  of  alteraticms 
and  repairs  before  the  asylum  can  be  said  to  be  in  a  perfect 
sanitary  condition,  but  every  year,  from  its  opening  in 
1877  to  the  present  time,  a  large  portion  of  our  income  has 
been  devoted  to  this  purpose,  and  it  is  safe  to  say  that  the 
hygienic  condition  of  the  house  has  never  been  better  than 
it  is  to-day.  During  a  greater  portion  of  the  year  our  reser- 
voir gives  us  an  abundance  of  pure  water,  and  as  our  pipes 
are  connected  with  the  city  service  we  have  at  all  times  an 
unfailing  supply.  Our  drains  have  been  relaid,  one-half  of 
our  water  closets  and  bath-rooms  have  been  torn  out,  en- 
larged, rebuilt  and  thoroughly  ventilated,  and  a  plan 
adopted  for  the  ventilation  of  the  wards  which  is  being 
carried  out  as  rapidly  as  our  means  will  warrant. 

The  garden  has  not  only  given  us  an  abundant  supply  of 
vegetables  through  the  season,  but  has  furnished  work  for 
many  of  the  patients,  while  more  have  found  employment  in  the 
extensive  grading  on  the  front  of  the  asylum  grounds,  made 
necessary  by  the  relocation  of  our  wall  in  the  widening  of 
Summer  Street.  We  find  no  difficulty  in  giving  employment 
to  every  one  of  our  patients  who  is  willing  and  able  to  work. 


1883.]  PUBLIC  DOCUMENT  — No.  23.  77 

In  fact,  our  great  difficulty  is  in  finding  laborers  enough  to 
carry  on  the  daily  duties  of  the  household. 

There  have  been  very  few  additions  to  our  working  force, 
among  the  late  transfers,  and  as  our  older  hands,  upon  whom 
we  have  depended  for  much  of  the  labor  in  the  various 
mechanical  departments  of  the  asylum,  are  gradually  drop- 
ping out  of  the  ranks,  we  find  it  difficult  to  fill  their  places. 
Our  working  force,  at  best,  varies  greatly  from  day  to  day, 
being  governed  entirely  by  the  changing  mental  and  physical 
state  of  the  patient. 

Although  we  compel  no  one  to  work,  we  use  every  efibrt 
to  persuade  them  to  do  so,  however  little  their  labor  may  be 
worth.  As  a  matter  of  fact  it  is  worth  but  very  little  save  to 
the  patient  himself.  A  record  of  the  number  of  days'  work 
performed  would  be  misleading,  as,  save  in  very  exceptional 
cases,  it  would  not  mean  a  day's  work  in  the  ordinary  sense, 
but  simply  that  the  patient  had  been  more  or  less  employed 
during  the  time  specified,  nor  would  it  necessarily  mean 
that  anything  had  been  added  thereby  lo  the  income  of  the 
asylum,  for  in  a  majority  of  cases  it  actually  costs  more  for 
necessary  supervision  than  the  work  itself  is  worth. 

We  still  find  it  difficult  to  secure  competent  attendants,  or 
keep  them  when  secured,  and  especially  on  the  male  side  of 
the  house.  There  has  been  no  lack  of  applicants  for  vacant 
places,  but  the  material  from  which  we  have  been  obliged  to 
select  during  the  last  two  years  has  been  poor  in  quality,  and 
as  a  consequence  changes  have  been  frequent,  a  short  trial 
having  sufficed  in  many  cases  to  prove  the  entire  ineffi- 
ciency of  the  person  employed. 

The  majority  of  our  employes,  however,  have  been  worthy 
people.  They  have  remained  with  us  a  reasonable  time, 
although  not  as  long,  in  many  cases,  as  I  could  wish,  and  by 
their  fidelity  to  duty  and  length  of  service  may  justly  be 
classed  as  trained  attendants.  To  them  is  due  whatever 
credit  this  institution  may  have  gained  for  the  perfect  clean- 
liness of  its  wards  and  the  personal  neatness  of  its  patients. 
Such  a  condition  implies  constant  care  and  attention  on  the 
part  of  the  attendant,  as  any  neglect  —  not  to  say  habitual, 
but  even  for  a  day  —  cannot  be  covered  up  at  short  notice  for 
the  purposes  of  official  inspection.     The  duties  of  an  attend- 


78  ASYLUM  FOR  CHRONIC  INSANE.      [Oct.  '83. 

ant  are  extremely  exacting  and  often  repulsive,  and  as  the 
characteristics  which  insure  success  here  can  always  command 
generous  remuneration  in  other  and  more  desirable  occupa- 
tions, we  cannot  expect  young  men  and  women  having  such 
characteristics  to  remain  long  in  a  position  which  offers  but 
little  more  pay  than  that  demanded  by  the  day  laborer. 

November  1,  Mr.  C.  R.  Macoraber,  who  had  held  the 
position  of  clerk  at  the  asylum  since  its  opening,  was  ap- 
pointed steward  by  your  honorable  board.  He  has  since 
tilled  both  offices  to  my  entire  satisfaction,  and  by  his  gentle- 
manly bearing  and  careful  attention  to  the  duties  assigned 
him,  has  gained  the  good  will  of  our  entire  household.    . 

In  Mr.  Wra.  C.  Townsend,  carpenter,  who  left  the  ser- 
vice of  the  asylum  September  1,  this  institution  has  lost  a 
model  employe,  and  every  one  in  it  a  personal  friend.  A 
skilled  mechanic,  his  whole  time  and  his  best  efforts  were 
always  at  the  service  of  the  asylum. 

To  him  belonofs  in  a  great  measure  the  credit  for  the  thor- 
ough  and  economical  manner  in  which  our  repairs  have  been 
carried  on. 

H.  M.  QUINBY, 

8uperi7itendenf . 

Asylum  for  the  Chronic  Insane. 
Oct.  1,  1883. 


STATISTICAL    TABLES. 


TABLES  FOR  UOTFORM   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  former 
inmates  of  one  or  more  hospitals  in  the  State  ;  and  whenever 
in  these  tables  they  appear  as  "  first  admissions,"  they  are 
only  to  be  regarded  as  first  admissions  to  this  asylum. 


82 


ASYLUM  FOR  CHRONIC  INSANK. 


[Oct. 


1 .   General  Statistics  of  the  Year. 


Males. 

Females. 

Total. 

Patients  in  hospital  Oct.  1,  1882,  . 

190 

191 

381 

Admissions  within  the  year, 

51 

29 

80 

Whole  number  of  cases  within  the  year. 

241 

220 

461 

Discharges  within  the  year. 

43 

26 

69 

Viz. :  as  recovered, 

- 

_ 

_ 

much  improved,          .... 

_ 

_ 

improved,    ...... 

1 

2 

3 

unimproved, 

5* 

- 

5 

Deaths, 

37 

24 

61 

Patients  remaining  Sept.  30,  1883, 

198 

194 

392 

Viz. :  supported  as  State  patients, 

74 

31 

105 

town  patients, 

124 

163 

287 

private  patients,    . 

- 

- 

- 

Number  of  different  persons  within  the  year, 

241 

220 

461 

admitted, 

51 

29 

80 

recovered,  

- 

- 

Daily  average  number  of  patients. 

194.27 

190.06 

384.33 

2.  Monthly  Admissions,  Discharges  and  Averages. 


MONTHS. 

Admissioj 

s. 

Discharges 
(Including  Deaths). 

Dailt  Avekaqe  of 
Patients  in  the  House. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

1888. 

October, 

_ 

- 

- 

2 

3 

5 

189.42 

190.19 

379.61 

November,     . 

- 

- 

- 

3 

2 

5 

187.06 

186.67 

373.73 

December, 

20 

7 

27 

1 

1 

2 

203.64 

191.32 

394.96 

1883. 

Januarv, 

- 

_ 

_ 

.  2 

4 

6 

203.58 

188.77 

392.35 

February, 

- 

- 

- 

9 

2 

11 

199.21 

187.32 

386.53 

March,    . 

- 

- 

- 

4 

2 

6 

191.45 

184.71 

376.16 

April,      . 

- 

- 

- 

4 

- 

4 

187. 

184. 

371. 

Mav, 

19 

14 

33 

9 

- 

9 

188.90 

190.32 

379.22 

June, 

- 

- 

2 

5 

7 

193.80 

195.90 

389,70 

July,       . 

- 

2 

2 

4 

3 

7 

190.96 

192.26 

383.22 

August, . 

12 

6 

18 

1 

3 

4 

197.64 

1-94.32 

39196 

September,     . 

51 

29 

80 

2 
43 

1 
26 

3 
69 

198.63     194.87 

393.50 

Total  of  cases, 

—     '        — 

_ 

Total  of  per- 
sons,   . 

51 

29  ! 

i 

80 

43 

26 

69 

1 

- 

- 

One  eloped. 


1883.] 


PUBLIC  DOCUMENT  — No.   23. 


83 


8.  Received  on  First  and  Subsequent  Admissions. 


NUMBER  OF  THE  ADMISSION. 

Cases  Admitted. 

Times  Pkeviodslt 
Keooveked. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

First 

Second, 

Etc.,       .        .        . 

51 

'29 

80 

_ 

- 

- 

- 

Total  of  cases, 
Total  of  persons,    . 

51 
51 

29 
29 

80 
80 

- 

- 

- 

4.  Ages  of  Persons  Admitted  for  the  First  Time. 


Fifteen  years  and  less, 

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

Over  80  years. 

Unknown, 

Totals,    . 


At  Fikst  Attack  of 
.  Insanity. 


Males.    Females.     Total 


2 

2 
10 
7 
7 
6 
6 
5 
9 


51 


29 


9 

7 

15 

8 

9 

11 

12 

7 

2 


80 


When  Admitted. 


Males.    Females.     Total 


51 


29 


10 
11 
10 
12 
12 
7 
5 


80 


84 


ASYLUM  FOR  CHRONIC  INSANE. 


[Oct. 


5.     Parentage  of  Persons  Admitted. 


! 

Males.          1 

Females. 

Totals. 

1 

Father. 

Mother. 

Father. 

Mother. 

Father. 

Mother. 

Massachusetts,     . 

17 

17 

5 

0 

22 

22 

Maine,          .... 

1 

1 

1 

1 

2 

2 

Vermont,      .         .         . 

1 

1 

- 

- 

!      1 

1 

Scotland,      .... 

1 

1 

- 

- 

1      1 

1 

England,      .... 

2 

2 

- 

-    . 

1       2 

2 

Ireland, 

26 

26 

17          17 

43 

43 

Virginia,      .... 

1 

1 

- 

- 

1 

Unknown,    .... 

2 

2 

6 

6 

8 

8 

Totals,  .         . 

ol 

51 

29 

29 

80 

80 

6.    Residence  of  Persons  Admitted. 


PLACES. 

Males. 

Females. 

Total. 

Massachusetts,  viz. :  — 

Suffolk  County, 

Bristol  County, 

Hampden  County,       .... 

Essex  County, 

Unknown, 

43 

1 

1 
6 

20 
1 
2 
4 
2 

63 

2 

2 

,  5 

8 

Total, 

Cities  or  large  towns,   ..... 

51 
51 

29 
29 

80 
80 

7.    Civil  Condition  of  Persons  Admitted. 


Unmarried. 

Married. 

Widowed. 

Unknown. 

NUMBER  OF 

THE  ADMISSION. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

First, 

37 

14 

51 

9 

8 

17 

3 

4 

7 

2 

3 

5 

Total,    . 

37 

14 

51 

9 

8 

17 

3 

4 

7 

2 

3 

5 

1883.] 


PUBLIC  DOCUMENT  — No.  23. 


85 


8.    Occupations  of  Persons  Admitted. 


OCCUPATIONS. 

Males. 

Females. 

Total. 

Laborers, 

31 

31 

Domestics, 

- 

3 

3 

Seamstresses, 

- 

2 

2 

No  Occupation, 

20 

12 

32 

Wives, 

- 

8 

8 

Widows, 

51 

4 

4 

Total, 

29 

80 

9.     Form  of  Disease  in  the  Cases  Admitted. 


FORM  OF  DISEASE. 

Males. 

Females. 

Total. 

Mania,  chronic, 

Epilepsy, 

Dementia,  chronic,         .         . 

Total  of  cases, 

Total  of  persons 

29 

8 

14 

51 
51 

15 
5 

9 

29 

29 

44 

13 

23 

80 

80 

86 


ASYLUM  FOR  CHRONIC  INSANE. 


[Oct. 


10.     Reported  Duration  of  Insanity  before  Last  Admission. 


PREVIOUS  DURATION. 

First  Admission 
TO  THIS  Hospital. 

All  Other 
Admissions. 

Totals. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tol.- 

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  yeai's,  . 
10  to  20  years, . 

Over  20  years,   . 
Unknown,  . 

2 
3 
4 
6 
9 
4 
3 
20 

51 
51 

7  33 

3 
6 
9 
3 
2 
6 

29 
29 

8.20 

2 

3 

7 

12 

■  18 

7 

5 

26 

80 
80 

8.63 

- 

- 

- 

- 

- 

- 

Total  of  cases,    . 
Total  of  persons, 

Av'ge  of  known  cases. 

- 

- 

- 

- 

- 

11.     Probable  Causes  of  Insanity  in  Persons  admitted. 


CAUSES. 

Males. 

Females. 

Total. 

Intemperance,       .... 
Epilepsy,        .... 
Unknown,      .         .         .         . 

8 

9 
34 

3 

4 

22 

11 
13 

56 

Totals, 

51 

29 

80 

1883.] 


PUBLIC  DOCUMENT  — No.  23. 


81 


12.  Relation  to  Hospitals  of  Persons  Admitted. 


HOSPITAL  RELATIONS. 

Males. 

Females. 

Total. 

First  admission  to  any  hospital  for  insane,     . 

Former  inmates  of  the  hospital,      .... 
of  Danvers  Lunatic  Hospital, 
of  Tewksbury  Almshouse,    . 
of  Taunton  Lunatic  Hospital, 

39 
12 

17 

6 
6 

56 

6 

18 

Totals, 

51 

29 

80 

13.     How  Supported. 


Patients  Admitted. 

Average  op  the 

Year. 

SUPPORTED  AS 

Male. 

Female. 

Total. 

Male. 

Female 

Total. 

State  patients,    . 
Town  patients,  . 

21 
30 

6 

23 

27 
53 

67.07 

127.20 

30.98 

159.08 

98.05 

286.28 

Totals, 

51 

29 

80 

194.27 

190.06 

384.33 

14.    Discharges^  Classified  by  Admission  and  Result. 


Improved. 

Umimpkoved. 

Died. 

Total. 

ADMISSION. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

First,        .... 

1 

2 

3 

5 

- 

5 

37 

24 

61 

43 

26 

69 

Totals, 

1 

2 

3 

5 

_ 

5 

37 

24 

61 

43 

26 

69 

Persons,     , 

1 

2 

3 

5 

— 

0 

37 

24 

61 

43 

26 

69 

88 


ASYLUM  FOR  CHRONIC  INSANE. 


[Oct. 


15.     Cases  Resulting  in  Death.  —  Duration.* 


PERIOD. 

Duration  before 
Admission. 

Hospital 
Residence. 

Whole  dueation 
FROM  THE  Attack. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Congenital,  . 
Under  1  month,    . 
From  1  to    o  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 

3 
3 
4 
2 
2 
15 

2 

3 
1 

1 

3 

2 

12 

24 

28 

4 
6 
1 

4 
6 
6 
2 
2 
27 

1 

1 

4 

8 

19 

3 

1 

37 

85 

2 

8 

5 
6 
3 

24 

117 

1 
1 

6 

16 

24 

9 

4 

61 

101 

1 

8 

9 

4 

15 

2 

6 

3 

1 

12 

3 
14 
12 

5 

27 

Total,     . 

Average  of  known  cases 
(in  months),     . 

37 
64 

61 
46 

37 
160 

24 
109 

61 
134 

16.     Cases  Discharged  by  Recovery  or  Death. 


FORM  OF  INSANITY. 

Recoveries. 

Deaths. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Mania,  chronic, 

Epilepsy,     ....... 

Dementia,  chi-onic, 

- 

- 

17 

6 

14 

13 
2 

9 

30 

8 

23 

Total  of  cases, 

Total  of  persons,         .... 

- 

- 

- 

37 

37 

24 
24 

61 
61 

*  Of  the  attack  resulting  in  death. 


1883.] 


PUBLIC  DOCUMENT  — No.  23. 


89 


17.     Causes  of  Death. 


CAUSES. 

Males. 

Females. 

Total. 

Phthisis, 

14 

8 

22 

Epilepsy, 
Dysentery,     . 
Senility, 
Exhaustion,  . 

5 
1 

1 
9 

2 
12 

7 

1 

1 

21 

Paresis, . 

3 

_ 

3 

Paralysis, 

Pyemia, 

Uremia, 

1 

1 

1 
1 

2 
1 
1 

Heart  disease. 

1 

- 

1 

Cirrhosis, 

1 

- 

1 

Totals,    . 

37 

24 

61 

18.     Ages  of  those  who  Died. 


At  time  of  First  Attack. 

At  time  of  Death. 

AGES. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Fifteen  years  and  less,  . 

2 

2 

_ 

From  15  to  20  years, 

7 

9 

9 

■    2 

- 

2 

20  to  25  years, 

5 

4 

9 

6 

- 

6 

25  to  30  years. 

5 

1 

6 

3 

3 

6 

30  to  35  years, 

4 

5 

9 

6 

4 

10 

35  to  40  years. 

3 

1 

4 

4 

2 

6 

40  to  50  years. 

6 

2 

7 

5 

4 

9 

50  to  60  years, 

2 

5 

7 

2 

5 

7 

60  to  70  j'ears. 

1 

1 

2 

4 

4 

8 

70  to  80  years. 

- 

1 

1 

2 

2 

4 

Over  80  years, 

- 

- 

- 

- 

- 

- 

Unknown, 

3 

2 

5 

3 

- 

3 

Totals,    . 

37 

24 

61 

37 

24 

61 

90 


ASYLUM  FOR  CHRONIC  INSANE. 


[Oct. 


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PUBLIC  DOCUMENT  — No.  23. 


91 


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