r\
EIGHTH ANNUAL REPORT
THE TRUSTEES
hporaff isflii for tie Oiiiic Insane
WORCESTEK,
FoK THE Year bidding September 30, 18S5.
BOSTON :
WRIGHT & POTTER PRINTING CO., STATE PRINTERS,
18 Post Office Square.
1886.
Digitized by the Internet Archive
in 2010 with funding from
University of IVIassachusetts Amherst
http://www.archive.org/details/annualreportoftr59temp
OFFICEKS OF THE ASYLUM.
TRUSTEES.
THOMAS H. GAGE, M.D. Worcester.
REV. JOHN F. MOORS, Greenfield.
WILLIAM DICKINSON, Worcester.
JAMES H. WHITTEMORE, M.D., .... Boston.
ANNA S. FOLSOM Boston.
FRANCES M. LINCOLN, ...... Worcester.
A. GEORGE BULLOCK, Worcester.
RESIDENT OFFICERS.
HOSEA M. QUINBY, M.D., Superintendent.
ERNEST V. SCRIBNER, M.D., Assistant Physician.
CLARENCE R. MACOMBER Clerk and Steward.
SOPHIA N. GRAVES, Matron.
WILLIAM SHERMAN,
Engineer.
TREASURER.
ALBERT WOOD,
AVoRC ester.
€0mmonu)ealtt) of iMasaacbuaettee
TRUSTEES' REPORT,
To His Excellency the Oovernor and the Honorable CounciL
The Trustees of the Worcester Lunatic Hospital, acting
for the Temporary Asylum for the Chronic Insane, respect"
fully submit their eighth annual report.
The history of the year presents the record of no unusual
or startling event. The asylum has continued its unpreten-
tious but useful work of caring for the incurable and chronic
insane, and has been almost constantly tilled to its normal
capacity. There have been sixty-two admissions of new
patients during the year by transfers from the lunatic hos-
pitals of the State ; and this number added to the three
hundred and eighty-six remaining Oct. 1, 1884, shows that
four hundred and forty-eight have been under treatment.
The daily average has been three hundred and ninety-one
and twelve oue-hundredths. There have been discharged
forty-three, and four hundred and five remain. Of those
who were discharged it is pleasant to record the exceptional
fact that one was cured, and went from the asylum to his
home in Ireland. Of the others one was improved and went
away with friends ; three unimproved, left in charge of rela-
tives ; two unimproved, left to go to almshouses ; two unim-
proved, to go to other institutions for the insane ; and
thirty-four died. Of those who died, twelve (the larger
proportion, as usual), died of consumption; four of epi-
lepsy ; two of Bright's disease ; one of pneumonia ; two of
74 ASYLUM FOR CHRONIC INSANE. [Oct.
paralysis ; one of general paralysis of the insane ; and
twelve of exhaustion from different forms of chronic mania
and dementia. This is a large death rate, but it is not as
large as last year when it was forty-two, or as year before
last when it was sixty-one; almost double that of the
present. But it must be borne in mind that the chronic
insane as a class are physically, as well as mentally, feeble,
and that they have little of that power of resistance which
the sound and vigorous human sytem interposes against the
encroachments of disease. They are pecnliarly prone to
disease in its chronic forms, and especially to that degener-
ative nutritive process which manifests itself in tubercular
consumption.
It is some satisfaction, however, to note the comparatively
few deaths from acute affections. This shows excellent sani-
tary arrangement, and the good effect of constant care with
regard to diet, dress, and exposure. The remarkable free-
dom from acute sickness is unquestionable evidence of good
general management on the part of the superintendent and
those who are associated with him.
In our last report mention was made of some needed im-
provements, especially in the laundry department, and the
possibility that we might be obliged to petition the legisla-
ture for a special appropriation was alluded to. It is a
pleasure to be able to report that this necessity has been
avoided.
The improvements required have been undertaken with
the moderate surplus which we have at our disposal, and
are now far advanced toward completion. When finished,
the new laundry will contribute to the comfort, convenience
and efficiency of the institution in many ways.
By slow degrees, yet steadily, under the prudent and
economical management of Dr. Quinby, the buildings of the
asylum are becoming repaired and modernized to such an
extent as to make them compare favorably with the best of
the new structures.
There are some features of this old building, belonging to
its original construction and design, that are not surpassed for
cheeriness and effect by anything in the newer and more pre-
tentious ones. Of these are the old porticos or verandas.
1885.] PUBLIC DOCUMENT — No. 23. 7.5
There is nothing equal to them in airiness and comfort in
any other building for the insane in the State. And these,
under Dr. Quinby's direction and management, have been so
renovated as to be tenfold more agreeable than ever.
The Trustees as a body have made their customary visits to
the asylum, and individual members have visited more fre-
quently, and alone ; in this latter way the lady members of
the board more especially. And here, as at the hospital,
the manifest pleasure of the patients at meeting them has
attested the wisdom of the legislature in providing for their
appointment.
Accompanying this report will be found those of the super-
intendent and treasurer, and to them we respectfully call
your attention for that fuller information with regard to
details which the various departments of the government
may require.
No changes have occurred in the staff of the asylum. The
same efficient corps of officers as reported last year remain,
and to each and all we desire to express in this public
manner our high appreciation of the services they have
rendered.
THOMAS H. GAGE.
JOHN F. MOORS.
WM. DICKINSON.
JAMES H. WHITTEMORE.
ANNA S. FOLSOM.
FRANCES M. LINCOLN.
A. G. BULLOCK.
Worcester, Sept. 30, 188r5.
76
ASYLUM FOK .CHRONIC INSANE.
l_Oct.
OFFICERS AND THEIR SALARIES.
Hosea M. Quinby, M.D., Superintendent,
Ernest V. Scribner, M.D., Assistant Physician,
Clarence R. Macomber, Clerk and Steward, .
Sophia N. Graves, Matron, ....
Wm. Sherman, Engineer, . . .
Albert Wood, Treasurer, ....
$2,000 00
1,000 00
1,000 00
325 00
1,000 00
400 00
YALUE OF STOCK AND SUPPLIES.
October 1, 1885.
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'
Ready-made clothing,
Dry goods,
Provisions and groceries.
Drugs and medicines.
Fuel, ....
Library, ....
Other supplies.
s department,
$200
00
650
00
7,600
00
9,500
00
3,000
00
9,500
00
1,360
00
1,150
00
3,427
48
300
00
2,375
00
200 00
1,659
09
),921 57
1885.]
PUBLIC DOCUMENT — No. 23.
77
TREASUEEE'S EEPOET.
To the Trustees of the Asylum for the Chronic Insane,
Ladies and Gentlemen : — I herewith submit my eighth
annual report on the finances of the Asylum for the Chronic
Insane, for the year ending Sept. 30, 1885 : —
Receipts.
Cash on hand, Sept. 30, 1884 : —
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,
Meal for table, .
Grain and hay,
Tea and coffee,
Sugar and molasses,
Milk, butter and cheese.
Salt and other groceries.
All other provisions,
Amount carried forward.
$8,095 01
499 49
$8,594 50
$18,.567 80
51,506 46
726 73
■ 277 85
71,078 84
$79,673 34
allows : —
f20,781 13
50 67
$20,831 80
$3,944 70
643 41
1,312 13
3,387 50
76 78
228 70
843 59
1,054 18
6,424 42
814 98
1,406 04
20,136 43
, .
$40,968 23
78
ASYLUM FOR CHRONIC INSANE.
[Oct.
Amount brought forwai'd.
Clothing and other material.
Fuel, ....
Light, ....
Medicine and medical supplies
Furniture and furnishings.
Crockery, .
Beds and bedding, .
Transportation,
Travelling,
Trustees' expenses, .
Soap and 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, 1885, .
Resoukces.
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).
Total surplus,
$4,482 54
4,504 44
1,727 65
379 68^
$10,968 23
1,103 23
459 04
730 58
127 80
9 17
80 43
1,347 39
73 46
265 00
3,000 00
1,589 89
19,830 30
18,750 77
10 08
$60,798 53
$69,.559 38
10,113 96
$79,673 84
$10,113 96
4,676 61
12,779 51
162 94
$27,733 02
$4,415 55
1,746 93
767 26
6,929 74
^20,803 28
Respectfully submitted,
ALBERT WOOD,
Treasurer.
WoRCESTEE, Mass., Oct. 1, 1885.
WoRCESTEE, Mass., Oct. 13, 1885.
The undersigned has this day carefully compared the Treasurer's statement of
expenditures for the year ending Sept. 30, 1885, with the vouchers which are on file
at the Asylum, and found it to be correct.
THOMAS H.GAGE,
Auditor of Accoimts.
1885.] PUBLIC DOCUMENT — No. 23.
superinte:ntdent's report.
To the Trustees of the Asylum for the Chronic Insane.
Ladiks and Gentlemen: — I herewith submit for your
consideration the eighth annual report of the Asylum for the
Chronic Insane.
By reference to the " Statistical Tables" which accom-
pany this report, it appears that at the beginning of the
official year there were three hundred and eighty-six patients
in the asylum, of whom two hundred and nine were males,
and one hundred and seventy-seven were females. At the
close of the year there were four hundred and five patients,
— two hundred and seven males, and one hundred and
ninety-eight females.
The total number of patients under treatment during the
year was four hundred and forty-eight, of whom two hundred
and thirty-three were males, and two hundred and fifteen
females, with a daily average nunjber of three hundred and
ninety-one and twelve one-hundredths.
There were admitted within the year twenty-four males,
and thirty-eight females ; twenty-six males and seventeen
females were discharged, and twenty males and fourteen
females died.
Of the persons admitted, twenty-one males and thirty-four
females were transferred from the Danvers Lunatic Hospital ;
one male and three females from the State Almshouse at
Tewksbury ; one female from the Worcester Lunatic Hospi-
tal ; one male from Taunton, and one male was readmitted
after having escaped from the asylum in the previous year.
Of the persons discharged five were taken from the
asylum by friends, one was transferred to Dan vers, one was
removed to an almshouse by the overseers of the poor, and
one was discharged to be committed to the Worcester Luna-
tic Hospital.
80 ASYLUM FOR CHEONIC INSANE. [Oct.
The patient reported cured was transferred to the asy-
him from the Danvers Lunatic Hospital, June 16, 1884,
having been admitted April 18, of the same year, with
"primary dementia," duration unknown. This patient was
a young Irishman, temperate, single, and but a short time in
the country, where, as it appears, he had worked industri-
ously, sending home the greater part of his earnings. At
the time of his transfer he was apparently in a complete state
of dementia, and his bodily health was much reduced. In
July he developed hfematoma auris, with the usual shrivel-
ing of the ear, from a blow received at the hands of a fellow
patient. He remained in this abject state until early in
January of the following year, when he became much
brighter and began to converse with considerable freedom
and some intelligence. There was little chano-e in his con-
dition, however, for several months, but in the spring he
asked for employment, went out of doors to work, and
improved rapidly thereafter. Being familiar with farm
labor, he soon became of material assistance in our vegetable
garden, doing whatever was assigned him thoroughly and
without oversight. In fact, he developed a degree of intelli-
gence not often found in a day-laborer, and, on this account,
was frequently allowed to take out other patients. These he
always looked after carefully and directed with no little skill.
September 5, he was discharged, to be sent home to Ireland,
having to all appearance entirely recovered his mental
balance.
Of the thirty-four deaths occurring during the year, all,
with three exceptions, were due more or less directly to
brain disease. Phthisis, as usual, heads the list with twelve
deaths, and is followed by exhaustion of chronic mania, nine
persons having died with this form of disease. Four died of
epilepsy, three of old age, two of paralysis, two of Bright's
disease, one of general paralysis of the insane, and one, an
old man of sixty-five, of pneumonia.
Hitherto, but very few general paralytics have found their
way to the asylum, a fact which will account for the small
number of deaths reported from this disease. During the
past year, however, we have received a number of this class
of patients, the majority of whom will, in all probability,
soon figure in our mortuary list.
1885.]
PUBLIC DOCUMENT — No. 23.
81
The ratio of death rate to the number of inmates of the
asylum from the time of its opening in 1877, will be seen
from the following table : —
Ratio of Deaths from the Opening of the Asylum to October
1st, 1885.
Cm
O
6 i
erage
r of
ts.
Deaths.
HI .
Si's
■ > 6 S
OFFICIAL YEAR.
*A c
|2
Daily Av
numbe
Patien
1!
"5
Per cen
Whole
of Pat
treated
Per cen
daily A
Patien
1877-78, .
429
382.98
18
8
26
6.05
6,78
1878-79,
422
367.41
22
11
33
7.82
8.98
1879-80,
413
363.15
15
8
23
6.56
6.33
1880-81,
401
362.09
18
6
24
5.98
6.62
1881-82,
439
375.59
21
11
32
7.28
8.51
1882-83,
461
384.33
37
24
61
13.23
15.84
1883-84,
438
390.69
22
20
42
9.58
10.75
1884-85,
448
391.12
20
14
34
7.58
8.69
There has been no undue amount of sickness among the
patients during the year, and none which could be attributed
to local causes. We have escaped serious accident, homici-
dal or suicidal, notwithstanding the fact that the former
tendency, at least, is a prominent characteristic of a large
number of. the inmates of the asylum, and that restraint has
not been resorted to except in those cases where the homi-
cidal impulse could not be foreseen and otherwise guarded
against. Persistent suicidal attempts are, in my experience,
not commonly present in the chronic insane, even in those
cases where this had been a prominent feature of the earlier
stage of the disease. Two cases, however, have been ad-
mitted during the year in which the suicidal tendency con-
tinued active. One of these persons, after having made
repeated and almost daily attempts at self-destruction, died,
a few months after admission, from exhaustion of chronic
mania. The other still remains at the asylum.
On the male side of the house the use of restraint has
been confined almost exclusively to two homicidal patients,
one of whom wears it continuously ; the other, at his own
request, being secluded a portion of the time in place of
restraint. In neither case was restraint resorted to until
82 ASYLUM FOR CHRONIC INSANE. [Oct.
the person had made several dangerous assaults upon other
patients or upon attendants. The form used has invariably
been the belt and wrist-strap. Seclusion has been employed
only in very rare instances, and for short periods, in the
case of four patients, including the one above mentioned.
Although restraint is used much less frequently than in
former years among the females, the average number tlius
confined is still more than twice as large as upon the male
side of the house. On account of the proportionately larger
number of turbulent and dangerous women, the necessity for
restraint has always appeared to be greatest among the
females. I am convinced, however, that this could and
should be reduced at least one-half, although at present it
seems impossible to do so, and at the same time pay due
regard to the safety of the other inmates of the asylum.
With all of the hospitals of the State overcrowded, the
tendency is to overcrowd the asylum, which, on account of
the character of its patients, is least able of all to bear
crowding. Lack of single rooms makes it necessary to pro-
vide for a number of dangerous persons upon the corridors
at night, and these wear restraint. We hope, however, to
obviate this difficulty in the near future, or as soon as we
can secure the means necessary for carrying out the proposed
enlargement and alteration in the north Johonnot wards ;
changes intended chiefly to better adapt the asylum to the
necessities of the present number and class of patients,
rather than for the enlargement of its capacity, although a
slight increase in capacity will incidentally result, should the
plans be completed as proposed.
During the year the south-centre bath-rooms have been
torn out and replumbed, and the porticos connecting the
several wings virtually rebuilt. These porticos were un-
glazed, and therefore exposed to the weather, except in
winter, when they were closed with shutters alternating
with windows. Nothing had been clone to keep them in
repair for many years. The roofs leaked, much of the
woodwork had rotted, the ceilings had fallen off and been
patched in many places, and the floors were badly worn.
In putting these porticos in repair we availed ourselves of
the opportunity of altering somewhat their original plan,
1885.] PUBLIC DOCUMENT — No. 23. 83
adding to their attractiveness, and better adapting them to
our present n6eds, without material increase in expqnse.
Work on the enlargement of the laundry, begun in the
early summer, has been carried on as rapidly as practicable.
The building will probably be completed and ready for occu-
pancy by the first of January of the coming year. In carry-
ing out these changes, it was found necessary to take down
the greater portion of the outside walls of the old building,
as they were out of line, and cracked in many places. All
of the labor, except the brickwork and slating, has been
done by our regular mechanics, with the assistance of the
patients. The cost of the building will probably fall some-
what below the estimated cost, $5,000, and will be met
without difficulty from the income of the current year.
The average weekly cost of supporting patients during the
year has been $2.99.
I am glad to be able to report that there have been but
few changes in our corps of attendants during the past year,
and that I have found little or no difficulty in filling any
vacancies that have occurred. In only rare instances has
the conduct of the employees in either department of the
asylum given cause for serious complaint, while the prompt-
ness and zeal with which the majority have performed their
duties is in the highest degree commendable.
Sept. 30, 1885.
H. M. QUINBY,
Superintendent.
STATISTICAL TABLES.
TABLES FOE 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
transferried 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 Asyhim, 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.
88
ASYLUM FOR CHRONIC INSANE.
[Oct.
1. General Statistics of
the Tear
•
Males.
Females.
Totals.
Patients in asylum Oct. 1, 1884, .
209
177
386
Admissions within the year, . . .
24
38
62
Whole number of cases within the year,
233
215
448
Discharges within the year, . . , .
26
17
43
Viz. : as recovered,
1
-
1
much improved,
improved, . . . ...
unimproved,
Deaths, .
1
4
20
3
14
1
7
34
Patients remaining Sept. .SO, 1885,
207
198
405
Viz. : supported as State patients,
town patients.
78
129
34
164
112
293
private patients, .
Number of different persons within the year.
233
214
447
admitted, .....
24
37
61
recovered,
1
-
1
Daily average number of patients.
204.62
186.50
391.12
2. Monthly Admissions, Discharges, and Averages.
1
DiSCHAEG
ES.
Daily Average of
Admissions.
(Including Deaths.)
Patients in the
House.
MONTHS.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
1884.
October,
_
._
_
1
3
4
208.42
176,29
384.71
November, .
_
12
12
3
-
3
206.23
175.83
382.06
December, .
-
-
-
2
2
4
203.97
183.84
387.81
1885.
January,
1
_
1
1
3
4
203.26
180.74
384.
February,
9
13
22
-
2
2
206.21
186.86
393.07
Marcli,
_
3
3
2
1
3
210.58
193.93
404.51
April, .
_
_
_
_
3
3
209.
191.87
40: '.87
May, .
1
■ _
1
6
1
7
206.22
190.08
396.30
June, .
1
_
1
3
1
4
202.53
189.70
392.23
July, .
_
_
_
4
-
4
199.68
188.26
387.94
August,
_
_
_
1
-
1
197.94
188.
385.94
September,
12
24
10
38
22
62
3
26
1
17
4
43
201.40
192.57
393.97
Total of cases, .
-
-
-
Total of persons.
24
37
61
26
17
43
-
-
-
1885.]
PUBLIC DOCUMENT — No. 23.
89
3. Received on First and Subsequent Admissions.
Cases Admitted.
Times Peeviodslt
Recoveked.
KUMBER OF THE ADMISSION.
Males.
Females.
Totals.
Males.
Females.
Totals.
First,
Second, . . .
Etc., .....
24
37
1
61
1
-
;
:
Total of cases.
Total of persons, .
24
24
38
37
62
61
-
-
-
4. Ages of Persons Admitted for the First Time.
At First Attack of
Insanity.
When Admitted.
Males.
Females.
Totals.
Males.
Females.
Totals.
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,
1
1
2
2
4
2
1
1
1
9
2
1
5
6
6
3
7
3
4
3
2
7
8
10
5
8
4
1
13
4
3
2
4
7
2
1
1
2
3
8
4
12
5
2
1
6
6
10
8
19
7
3
1
1
Totals, .
24
37
61
24
37
61
90
ASYLUM FOR CHRONIC INSANE. TOct.
5. Parentage of Persons Admitted.
Males.
Females.
Totals.
PLACES.
Father.
Mother.
Father.
Mother.
Father.
Mother.
Massachusetts,
8
8
3
3
11
11
Maine, .
-
-
5
5
5
5
New Hampshire, .
1
1
2
•2
;New York, .
-
-
1
Nova Scotia,
-
-
1
Newfoundland,
-
-
1
New Brunswick,
-
-
1
England,
-
-
1
1
Ireland,
12
12
19
19
31
31
Italy, .
-
-
1
Germany,
2
2
3
3
West Indies,
-
-
1
1
Unknown, .
1
1
2
2
3
62
3
Totals, .
24
24
38
38
02
6. Residence of Persons Admitted.
PLACES.
Males.
Females.
Totals.
Massachusetts, viz. :
Suffolk County, ....
Middlesex County,
Norfolk County, ....
Essex County, ....
Worcester, . . .' .
Unknown,
Totals, ....
Cities or large towns, ....
12
8
2
1
1
24
24
30
3
2
1
1
1
38
38
42
11
2
3
2
2
62
62
1885.]
PUBLIC DOCUMENT — No. 23.
91
7. Civil Condition of Persons Admitted.
Unmarkied.
Married.
Widowed.
Unknotitn.
NUMBER OF
THE ADMISSION.
1
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
First,
16
18
34
7
14
21
-
2
2
1
3
4
Second, .
-
-
-
'l
1
-
-
-
-
-
-
Totals,
16
18
34
7
15
22
-
2
2
1
3 4
8. Occupations of Persons Admitted.
OCCUPATIONS.
Males.
Females.
Totals.
Laborers, .......
4
4
Domestics, .
-
8
8
Dressmakers,
_
1
1
Seamstress, . . .
-
2
2
Wives, .
-
5
Waiters,
_
Carpenters, .
-
Bar-tenders, .
_
Travelling salesman,
-
Stone mason,
_
Stonecutter, .
_
Currier,
_
Hostler,
_
Marble vporker, .
_
Bookbinder, .
_
Fisherman, .
_
Farmer,
_
Tailor, .
_
No occupation.
2
_
Unknown,
5
22
27
Totals, ,
24
38
62
92
ASYLUM FOR CHRONIC INSANE.
[Oct.
9. Form of Disease in the Cc
ises Adn
litted.
FORM OF DISEASE.
Males.
Females.
Totals.
Mania, chronic,
14
27 •
41
Epilepsy,
4
1
5
Dementia, clironic, .....
1
6
6
Melancholia, .....
1
2
3
Paresis, .
4
24
3
7 ^
Total of cases,
38
62
Total of persons,
24
37
61
10. Reported Duration of
Insanity before
Last
Admission.
First Admission to
THIS Hospital.
ALL OTHER Admis-
sions.
Totals.
PREVIOUS DURATION.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Congenital,
-
-
-
-
-
-
-
-
-
Under 1 month,
-
-
-
-
-
-
-
-
-
From 1 to 3 months, .
-
-
-
-
-
-
-
-
-
3 to 6 months, .
-
-
-
-
-
-
-
-
-
6 to 12 months.
-
-
-
-
-
-
-
-
-
1 to 2 years, .
4
6
10
-
-
-
4
6
10
2 to 5 years, .
2
14
16
-
-
-
2
14
16
5 to 10 years, .
4
5
9
-
-
-
4
5
9
10 to 20 years,
4
7
11
-
-
-
4
7
11
Over 20 years, .
-
1
1
-
-
-
-
1
1
Unknown, .
10
4
14
-
1
1
10
5
15
Total of cases, .
24
37
61
-
1
1
24
38
62
Total of persons.
24
37
61
-
1
1
24
38
62
Av'ge of known cases,
6.78
6.12
6.45
-
-
-
-
-
-
1885.]
PUBLIC DOCUMENT — No. 23.
93
11. Probable Causes of
Insanity in Persons Admitted.
CAUSES.
Males.
Females.
Totals.
Intemperance,
1
1
2
Epilepsy,
1
-
1
Injury to head,
2
-
2
Masturbation ,
3
-
3
Injury to spine,
1
-
1
Heredity,
—
3
3
Menopause, .
-
2
2
Uterine disease, .
-
2
2
Sunstroke,
1
2
Menorrhagia,
-
Grief, .
_
Loss of leg, .
1
-
Religious excitement,
-
Spiritualism, .
-
Overwork,
—
Over study, .
-
Ill health, .
_
Family troubles, .
_
Loss of property, .
-
Puerperal,
-
3
3
Unknown,
14
15
29
Totals, .
24
88
62 .
12. Relation to Hospital of Persons Admitted.
HOSPITAL EELATIONS.
Males.
Females.
Totals.
First admission to any hospital for insane, .
Former inmates of the asylum, ...
of Danvers Lunatic Hospital,
of Tewksbm-y Almshouse, ,
of Worcester Lunatic Hospital, .
of Taunton Lunatic Hospital,
3
21
1
1
1
34
3
1
4
55
4
1
1
Total of cases,
Total of persons, . . .
26
24
39
38
65
62
94
ASYLUM FOR CHRONIC INSANE.
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Totals, . . .
Persons, ....
1885.]
PUBLIC DOCUMENT — No. 23.
95
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Under 1 month.
From 1 to 3 months,
3 to 6 months,
6 to 12 months,
1 to 2 years,
2 to 5 years,
6 to 10 years,
10 to 20 years.
Over 20 years,
Unknown,
Totals, .
Average of known case
months).
96
ASYLUM FOR CHRONIC INSANE. [Oct.
16, Cases Discharged by Recovery or Death.
Kbcoveeibs.
Deaths.
FORM OF INSANITY.
Ma.
. Fe.
Tot.
Ma.
Fe.
Tot.
Mania, chronic, .
Epilepsy, ....
Dementia, chronic,
Paresis, ....
Dementia, primary,
1
-
1
11
3
6
1
10
1
3
21
4
8
1
Total of cases.
Total of persons, .
1
1
-
1
1
20
20
14
14
84
34
17.
Causes of Death.
CAUSES.
Males.
Females.
Totalf.
Phthisis,
5
7
12
Epilepsy,
3
1
4
Senility,
1
2
3
Exhaustion, .
6
3
9
Paresis,
1
-
1
Paralysis,
2
-
2
Pneumonia, .
1
-
1
Bright's disease.
1
1
2
Totals, .
20
14
34
1885.]
PUBLIC DOCUMENT — No. 23.
97
18. Ages of those who Died.
At Time of First Attack.
At Time of Death.
AGES.
Ma.
Fe.
Tot
Ma.
Fe.
Tot.
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,
1
1
4
1
1
2
4
4
1
1
2
4
2
2
3
1
3
1
8
3
1
2
4
6
4
1
1
2
5
2
3
6
2
2
2
3
2
2
2
1
2
4
8
4
3
6
4
2
1
Totals, .
20
14
34
20
14
34
98
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PUBLIC DOCUMENT — No. 23.
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