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

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PUBLIC DOCUMENT. No. 23, 



FIFTY- FOURTH 



ANNUAL EEPOET OF THE TRUSTEES 



WoEOESTEE Lunatic Hospital, 



EiesTH Annual Report of the Trustees 



TEMPORAEY ASYLUM FOE THE CHRONIC INSANE, 



FOR THE YEAR ENDING SEPTEMBER 30, 1886. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1887. 



'"" "' ■ M'--nSF BOSTON. 



S 1 *i "t c 



HO'i 23 1BB6 



OFFIOEES OF THE HOSPITAL. 



TRUSTEES. 

JOHN F. MOORS, Greenfield. 

ROCKWOOD HOAR, Worcester. 

FRANCIS C. LOWELL, . . . ... . . Boston. 

ANNA S. FOLSOM, . . . Boston. 

FRANCES M. LINCOLN, ........ Worcester. 

A. GEO. BULLOCK, Worcester. 

THOMAS H. GAGE, Worcester. 



RESIDENT OFFICERS. 

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

ALBERT R. MOULTON, M. D Assistant Physician. 

EVERETT FLOOD, M. D., Assistant Physician. 

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

FREDERICK H. DANIELS, M. D Assistant Physician. 

BESSIE C. EARLE, M. D., Assistant Physician. 

GEORGE L. CLARK, Steward. 

LILA J. GORDON, . . . . . . . . Matron. 

S. JOSEPHINE BRECK Clerk. 

HENRY S. GRAVES, Farmer. 



NON-RESIDENT OFFICERS. 

ALBERT WOOD, Treasurer. 

KIMBLE R. SMITH, Engineer. 



Cnmmnntxrealt^ of P^assatl^usrfts* 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

A statute of the Commonwealth requires the Trustees of 
the Lunatic Hospital at Worcester to make annually a partic- 
ular statement of the condition of the hospital and of all its 
concerns, for the use of the government. Accordingly we 
present this, the Fifty-fourth Annual Report of the institu- 
tion under our charge. For the details of its condition and 
management we beg leave to refer to the reports of the Su- 
perintendent and Treasurer which accompany this of the 
Trustees. It gives us pleasure to report a good measure of 
prosperity for this iustitutiou for the past year. Its aflairs 
have run on smoothly and nothing of startling importance 
has occurred. There has been no prevailing sickness and 
the health of the patients has been as good as could be ex- 
pected from this class of persons. There have been 47 
deaths within the year, this being 4.23 per cent, of the whole 
number under treatment. This speaks well, we think, of 
the hygienic condition of the hospital and of the care and 
skill of the attendant physicians and nurses. When this 
hospital was built, in 1877, the opinion was frequently ex- 
pressed that it was too large, — larger than was demanded. 
The hospital has been occupied nine years and for the last 
two years has been filled to its utmost capacity. There have 
been in all 1,109 patients the last year, — the largest number 



6 WOECESTER LUNATIC HOSPITAL. [Oct. 

the hospital has ever contained ; while the average has been 
755.95, which is no larger than in some previous years. 
The reason of this is that the number has been allowed to 
accumulate to the full capacity of the hospital and then a 
considerable number has been transferred at once to other in- 
stitutions. 

At the date of our last report there were 786 patients in 
the hospital. There have been received, during the year, 
323, making a total of 1,109 who have been under treatment ; 
65 of these have been discharged as recovered, 67 as im- 
proved ; 82 have been transferred to other institutions and 
47 have died. 

From the Treasurer's statement it appears that the receipts 
from the State have been $30,963.92 ; from towns and cities, 
$84,199.18; from private patients, $33,765.58. The ex- 
penditures for ordinary purposes have been $140,591.55. 
The average weekly cost of maintaining patients has l)een 
$3.57. This sum exceeds by 32 cents the amount we are 
allowed to charge the state or cities and towns for the sup- 
port of their insane poor, which is $3.25 a week. The defi- 
ciency is made up by private patients or their friends, who 
pay from $3.50 to $5 a week, and in some cases still more, 
thus paying more than the actual cost of maintenance, while 
the state, its cities and towns, pay less than the actual cost. 
This is clearly unjust and often falls as a heavy tax upon 
private patients or their friends who support them. Clearly 
the state and its municipalities ought to pay the cost of 
maintaining their insane and share equally with private citi- 
zens the burden of a great public affliction. 

In our last report we urged that some measures of relief 
for our over-crowded wards should be adopted, — especially 
urged that some separate provision should be made for the 
criminal insane, who continue to be a disagreeable and dis- 
turbing element in a hospital for the insane. The same rea- 
sons still exist for urging their seclusion from other inmates 
of the hospital as last year. But as a new hospital is to be 
opened in a few weeks to which some of our patients will 
doubtless be removed, we are content to wait and see what 
effect this removal will have upon the means then at the dis- 



1886.] PUBLIC DOCUMENT — No. 23. 7 

posal of the hospitals for the efficient care of this troublesome 
class. 

Dr. Park has often called our attention to the need of 
more suitable provision for the care and oversight of the 
suicidal patients, of which class there are always many in the 
hospital. The subject has received much patient and careful 
consideration from the Trustees and finally we decided to 
erect two wards for this class of patients, — one for men and 
one for women. It has been our chief enterprise for this 
year. The one for women is nearly complete and, as far as 
we can judge, will admirably serve its purpose. It will be 
ready for occupancy in a few weeks. We delayed the build- 
ing of the other somewhat, till we could see what improve- 
ments experience would suggest. We refer to Dr. Park's 
report for fuller details with regard to this matter, only add- 
ing that we feel that we have in this way added an important 
element to the comfort and safety of the most unfortunate 
class of our patients. The cost has been met by the moder- 
ate surplus in our hands, secured as we believe by a wise 
and well considered economy in every department of the 
institution. 

We have placed fire escapes upon the building and with 
this added precaution, with the provisions before existing, 
we feel that we have secured ample provisions for the 
safety of patients in case of fire. Besides this there have 
been few extra expenses this year. The property is in 
good repair. The farm is continually improving and be- 
comes every year a valuable aid to the hospital by furnish- 
ing an opportunity for out-of-door labor to a large class of 
patients, while its crops aid materially in feeding the laro-e 
number of people in the hospital, a larger number than com- 
prises the population of one-sixth of the towns in the State. 

By referring to section 9 of the 87th chapter of the Pub- 
lic Statutes, it will be seen that a full and detailed report 
shall be made at the annual meeting, giving a particular 
statement of the condition of the hospital in all its concerns, 
to be laid before the Governor and Council on or before the 
15th day of October, for the use of the government ; these 
reports to be made up to the 30lh of September. These re- 



8 WORCESTER LUNATIC HOSPITAL. [Oct. 

ports involve a great deal of work and we find practically 
that there is not sufficient time between the 30th of Septem- 
ber and the 15th of October to do the required work with- 
out seriously overtaxing those to whom it falls to make out 
those reports, and we respectfully suggest to the Legislature 
that the time be extended from October 15 to Nov. 1. 

Dr. James H. Whiltemore, a member of the Board, died 
after a brief time of service. Though he was with us but a 
few months his thorough acquaintance with hospital work 
made us appreciate his services very highly and made us 
feel that his death was a great loss to the institution. The 
Trustees put on record a testimonial of the great esteem in 
which they held his memory. Francis C. Lowell of Boston 
was appointed his successor. 

Within the year Mr. AYilliam Dickinson resigned his posi- 
tion on the Board, after three years of faithful service, and 
Rock wood Hoar of Worcester was appointed in his place. 

Mrs. E. W. Giirney of Cambridge, following the example 
of her honored father, Dr. R. W. Hooper, for many years a 
trustee and a frequent benefactor of this institution, sent 
one hundred dollars to the hospital to be used in providing 
means for employing the female patients with work suitable 
to their condition. In accordance with her request, a number 
of old-fashioned spinning-wheels have been purchased, and 
several of the patients find employment for body and mind 
in this occupation, which filled so important a place in the 
lives of the women of a former generation. More attention 
will be fijiven to securino: such work as is suited to our 
female patients, with the conviction that employment of the 
hands will have a curative influence upon diseased minds. 

The meetings of the Trustees have been regularly attended 
by the majority of the Board, and the experience of having 
women on our Board, who shall give personal attention to 
the wants and needs of female patients, has amply justified 
this new departure. 

The Trustees cannot forbear to express their high appre- 
ciation of the services of our superintendent. Dr. Park, and 
our conviction that the satisfactory condition which the hos- 
pital presents in all its departments is due in no small de- 



1886] PUBLIC DOCUxMENT — No. 23. 9 

gree to his orderly and efficient management. We also wish 
to put on record our confidence in the skill and devotion 
which the assistant physicians show in their respective de- 
partments. A great responsibility rests upon the steward, 
who has to make large and varied purchases requiring not a 
little skill and forethought. We are confident that the work 
in this department is admirably done by our steward, Mr. 
George L. Clark. Of the subordinate officers we have not 
space to speak in detail, but the method and system that 
prevails everywhere, and the absence of perceptible friction, 
show an able and efficient working body. 

We refer you to the Treasurer's report for a full financial 
statement of the condition of his department. 

JOHN F. MOORS. 
ROCKWOOD HOAR, 
FRANCIS C. LOWELL. 
' ' ANNA S. FOLSOM. 

FRANCES M. LINCOLN. 
A. GEORGE BULLOCK. 
THOMAS H. GAGE. 



10 



WORCESTER LUNATIC HOSPITAL. [Oct. 



OFFICERS AND THEIR SALARIES. 



John G. Park, M.D., Superintendent, . 
Albert R. Moulton, M.D., Assistant Ptiysieian, 
Everett Flood, M.D., Assistant Phj-sician, . 
John A. Houston, M.D., Assistant Physician, 
Frederick H. Daniels, M.D , Assistant Physician, 
Bessie C. Earle, M.D., Assistant Physician 
George L. Clark, Steward, 
Lila J. Gordon, Matron, 
S. Josephine Breck, Clerk, 
Kimble R. Smith, Engineer, 
Albert Wood, Treasurer, 



$2,500 GO 
1,500 00 
1,200 00 
1,000 00 
1,000 00 

600 00 
1,200 00 

600 00 

600 00 
1,000 00 

500 00 



YALUE OF PERSONAL ESTATE. 

September 30, 1886. 



Live stock on the farm, $6,881 00 

Produce of the farm on hand, 7,732 70 

Carriages and agricultural implements, .... 6,658 95 

Machinery and mechanical fixtures, ..... 28,471 01 

Beds and bedding in inmates' department 26,801 77 

Other furniture in inmates' department, .... 19,109 56 

Personal property of State in Superintendent's department, 18,738 00 

Ready made clothing, 916 49 

Dry goods 1,222 44 

Provisions and groceries, 5,790 36 

Drugs and medicines, ' 750 00 

Fuel, 6,800 50 

Library, 1,914 31 

Pipes and radiators, 36,000 00 

Total, $166,787 09 



1886.] 



PUBLIC DOCUMENT — No. 23. 



11 



TREASUREK'S REPORT. 



To the Trustees of the Worcester Lunatic Hospital. 

I herewith submit my Annual Eeport on the finances of 
the Worcester Lunatic Hospital for the year ending Sept. 
30, 1886. 



Receipts. 

Cash on hand Sept. 30, 1885, 

Received of the Commonwealth, for support of patients, 
of cities and towns, for support of patients, 
of individuals, for support of patients, , 
for interest, sale of produce, etc., . 
belonging to patients, 



$33,906 32 

30,963 92 

84,199 18 

33,765 58 

4,248 69 

1,007 96 



$188,091 65 



The expenditures for the year have been as follows : — 

Provisions. 

Flour, '. . $6,189 55 

Meat of all kinds, 10,542 50 

Fish, 2,319 60 

Meal for cooking, . " 437 70 

Beans, potatoes and other vegetables, 2,399 96 

Sugar 3,006 95 

Molasses and syrup, . 638 66 

Tea 868 54 

Coffee, 1,269 78 

Butter, 8,407 58 

Cheese, 493 51 

Fresh fruits, 1,254 74 

Eggs, salt and other groceries, 5,762 83 

Total for provisions (carnetZ/orMJard), . . . $43,59190 



12 WOECESTER LUNATIC HOSPITAL. [Oct. 

Amount brought forward, . . . . . . $43,591 90 

Salaries and wages, 49,216 23 

Grain, 368 93 

Meal for stock, 1,300 09 

Hay and pasturage, . 50 00 

Furniture, , . 756 46 

Crockery and glass, 474 42 

Tinware, . 214 77 

Bedding and beds, . , 1,477 17 

Straw, 102 83 

Furnishings, miscellaneous, 3,405 86 

Tools 854 05 

Lights, . . 3,451 56 

Water, . . ' 2,565 75 

Fuel, 8,421 74 

Soap, 1,493 92 

Medical supplies, 1,034 91 

Live stock, 2,407 05 

Carriages, harnesses, etc., 516 78 

Blacksraithing, ......... 327 51 

Plants and seeds, 218 72 

Hardware, 238 63 

Lumber,. 783 38 

Paints, oils, etc., 1,003 51 

Pipe and fittings, 699 24 

Lime, cement, etc, 110 30 

Repairs, ordinary, . 990 64 

Fertilizers, 996 92 

Stationery, ...,....'.. 221 18 

Postage, 193 80 

Transportation, 447 52 

Travelling, 158 25 

Trustees' expenses, 83 24 

Miscellaneous, 2,968 27 

Labor, 1,090 76 

Clothing and men's furnishings, 8,988 12 

Dry goods, women, 1,624 65 

Dry goods, house, . . . % . . . . . 1,810 62 

Boots and shoes, 1,235 87 

Undertaking, . 196 00 

Total current expenses, ...... $140,591 55 

Money refunded, $19 80 

Refunded to patients, 954 93 

Extraordinary improvements, . . . .1 4,655 43 

. 15,630 16 

Total expenses, . : $156,221 71 

Cash on hand Sept. 30. 1886 31,869 94 

$188,091 65 



1886.] PUBLIC DOCUMENT — No. 23. 13 

Resources. 

Cash on hand, . . . • $31,869 94 

Due from the Commonwealth, 7,600 98 

cities and towns, 21,679 57 

cities and towns, previous quarter, . . . 43 85 

individuals, ........ 10,060 74 

Total resources, $71,255 08 

Liabilities. 

Due for supplies and improvements, . . $5,221 36 

for salaries and wages, .... 4,151 22 

to patients, ...... 1,048 73 

on contract for new wards, . . . 14,500 00 

24,921 31 

Total surplus, • . . $46,333 77 

Kespectfully submitted, 

ALBERT WOOD, Treasurer. 

October 1, 1886. 



HOSPITAL LIBRAKY FUIS'D. 

Lewis Fund. 

Cash on hand Sept. 30, 1885, 

Received dividends, . . . . . . . . 70 00 

Total, $70 00 

Expended for books, $67 56 

Cash on hand Sept. 30, 1886, .... 2 44 

$70 00 

Wheeler Fund. 

Cash on hand Sept. 30, 1885, $2,884 69 

Received dividends, 219 16 

Total, $3,103 85 

Expended for books, $156 54 

Cash on hand Sept. 30, 1886, . . . . 2,947 31 

: $3,103 85 

Lewis Fund. 

Springfield bond, $1,300 00 

Cash on hand Sept. .30, 1886, .... 2 44 

Wheeler Fund. 

Seven shares Central National Bank, . . . 980 00 

Six shares Worcester National Bank, . . . 780 00 

Savings banks 2,865 33 

Cash on hand, 81 98 

$6,009 75 



14 WOECESTER LUNATIC HOSPITAL. [Oct. 



LAND ACCOUNT. 



Cash on hand Sept. 30, 1885, 


• 


$268 39 


Received from sale of land, .... 


. . 


11,768 14 


Received interest, 


. ■ • 


307 60 


Total, 


$12,344 13 


Expenditures. 






Plans and surveys, 


. $227 75 




Deeds, 


80 00 




Commissions, 


. 585 00 




Remitted to State Treasurer, 


. 11,000 00 




Postage and telegi-am, 


1 13 




Total expenses, 


$11,893 88 




Cash on hand Sept. 30, 1886, 


450 25 





$12,344 13 

Received from sale of land and interest since July 30, 1874, $86^344 27 



Sent to State Treasurer, .... 
Expenses building streets, commissions, etc., 



Cash on hand, 



$77,805 29 
8,088 73 

$85,894 02 
450 25 



Due from sales, deeds not yet taken, ..... 

Land sold previous to July 30, 1874, as shown by the books 

at the State Treasurer's office, 



$86,344 27 
3,248 33 

58,883 26 

$148,475 86 



Respectfully submitted, 

ALBERT WOOD, Treasurer. 



Worcester, Mass., Oct. 14, 1886. 
The undersigned has carefully compared the Treasurer's statement of expendi- 
tures for the year ending Sept. 30, 1886, with the vouchers which are on file at the 
hospital, and found it to be correct. He has inspected the securities for the invested 
funds, and found them to correspond with the Treasurer's statement of their market 
value ; and he has compared the statement of expenditures in the land account with 
the vouchers, and found it correct. 

THOMAS H. GAGE, 

Auditor of Accounts. 



1886.] PUBLIC DOCUMENT — No. 23. 15 



SUPERINTEJSTDENT'S EEPORT. 



To the Trustees of the Worcester Lunatic Hospital, 

I herewith present the Fifty-Fourth Annual Report of the 
hospital and the statistical tables, giving in detail the move- 
ment of population and the operations of the institution dur- 
ing the last year. 

There were remaining in the hospital Sept. 30, 1885, 786 
patients, — 386 males and 400 females. 

The number of admissions since has been 323, represent- 
ing 291 persons, — 137 males and 154 females; making the 
whole number of cases under treatment 1,109, — 543 males 
and 566 females. The daily average population has been 
755.95. The largest number on any one day was 798 on 
August 8, and the smallest number 729 on February 3. Of 
this number, 31 have been readmissions, and the following 
transfers from other institutions have been made : From 
Danvers hospital, 10 males and 10 females ; from Tewksbury, 
2 males; from McLean, 1 female; from private hospital in 
New York, 1 male ; from State Prison, 5 males ; from Massa- 
chusetts reformatories, 6 males and 7 females ; from Lancas- 
ter Industrial School, 2 females ; from Austin Farm, 1 female ; 
from Deer Island, 1 female ; from Worcester House of Cor- 
rection, 6 males ; from Worcester Almshouse, 1 female ; from 
Fitchburg House of Correction, 1 male. 

There have been 351 discharges, — 180 males and 171 
females. Of this number 65 recovered, of whom 10 had 
previously been inmates of this hospital and been discharged 
recovered : 1 thirteen times, 1 four times, 1 three times 
and seven once each ; the 10 persons representing 27 recov- 
eries. 46 were discharged much improved, and as many of 



16 WORCESTER LUNATIC HOSPITAL. [Oct. 

them were convalescing at the time they undoubtedly went 
ou to full recovery after leaving. 67 improved, 126 not 
improved, including 81 chronic and incurable cases trans- 
ferred by the Board of Lunacy and Charity to Tewksbury 
Almshouse and Bridgewater Workhouse; and 47 (2Q males 
and 21 females) died. 

The death rate has been unusually small, partly due to 
the fact that a less number of cases in the last stages of 
physical exhaustion have been admitted, and partly on 
account of exemption from any considerable amount of acute 
disease. 

Two cases of measles have occurred in attendants, but by 
careful isolation the spread of the disease was prevented. 

Under the law authorizing the boarding in private families 
of the quiet and chronic cases of insane persons, 13 have 
been removed by the Board of Lunacy and Charity, 4 of 
whom were returned as not being suitably provided for. 

In 1885 Massachusetts took the first step towards recog- 
uizino; habitual drunkenness as a disease and not a crime. The 
step was a short and rather uncertain one, but, I think, sure 
to be followed by others which will lead to the unmistakable 
ground that intemperance is really a disease. From time 
immemorial under the criminal code the drunkard has been 
sentenced to fines and confinement for a varying term of 
months or years with the single intent of punishing a crime. 
The success attending such disposition of the chronic inebri- 
ate has not been flattering. It is stated by a writer in the 
American Psychological Journal of January, 1884, that 
Massachusetts in 1879 punished by fine and imprisonment 
over 17,000 inebriates, more than 16,000 of whom had been 
in prison before for the same cause. In New York the con- 
dition is even worse. Of 56,000 punished for the same 
offence in 1852 less than 1,000 were sentenced for the first 
time. This subject is alluded to in this report for the reason 
that chapter 339 of the Acts of 1885 authorizes the commit- 
ment to a lunatic hospital of habitual drunkards who are 
not otherwise disreputable characters. The law as it stands 
seems to me very objectionable and I think is far from satis- 
factory to the framer. But as an entering wedge it may 
serve a useful purpose. Under the provisions of this act 



1886.] PUBLIC DOCUMENT — No. 23. 17 

we have received six cases during the last year. The num- 
ber will appear to you small and I understand other institu- 
tions have received more. But the aggregate is not large. 
While the able lawyer, the smart salesman, the shrewd man 
of business, or in fact anyone with friends to pity and assist, 
can be sent to a hospital, the great number of those among 
the poorer classes who are addicted to drink are still arrested, 
fined or sentenced as criminals. But while it may be con- 
sidered more respectable by the chronic inebriate to be sent 
to a lunatic hospital than a jail, I do not think residence in 
a hospital has much advantage ov^er the jail in effecting a 
cure, apart from the more appropriate diet. The habitual 
drinker committed to a state hospital becomes in a few days 
clear and steady, and finds himself surrounded by a class of 
persons who are suffering from the various forms of insanity. 
He must see and hear the sights and sounds that are dis- 
agreeable to a sane man. He must submit generally to the 
rules which are necessary for the care and management of 
the insane. He instantly chafes at the restraint and becomes 
•restless and dissatisfied. He cannot be compelled to do any 
manual out-of-door labor unless he chooses and in the 
enfeebled condition of his will it is not probable that he will 
choose to work. He belittles the grip which the appetite 
for drink has on him and after a few weeks is sure that he 
never should touch a drop again and that to keep him longer 
is cruel injustice. He is discontented himself and makes 
the other patients with whom he comes in contact dissat- 
isfied. But in spite of these objections to the law of 1885 
1 think it a useful one for what it may lead up to, viz., the 
establishment of a state institution for the cure of this unfor- 
tunate class, so frequently dangerous to themselves and to 
society, — an institution where they can be sent either for a 
definite time, and it should be not less than two years, or 
until in the judgment of the officers in charge there is a 
reasonable probability that they are cured. Let them have 
nourishing diet, for they are an underfed class, and appro- 
priate medical treatment. There should be authority to com- 
pel them to work within proper limits suited to their strength, 
and this labor should be mostly out of doors. They could 
plant trees upon waste lands, imitating the plan adopted in 



18 WOECESTER LUNATIC HOSPITAL. [Oet. 

certain parts of Germany ; do ordinary ferm labor and be 
put at mechanical work, provided it was restricted to a part 
only of the day, and engage in many other pursuits which 
would tend to make them a self-supporting class. The Legis- 
lature came very near establishing such an institution at its 
last session, which leads to the hope that complete success 
will this year crown the labors of those who are interested in 
this worthy object. 

In my last report I called your attention to the fact that 
the hospital contained no suitable ward for the suicidal in- 
sane and suggested that the defect be remedied by the con- 
struction of additional wards to be attached to the present 
building. In accordance with this recommendation, I was 
instructed to procure plans and estimates for two buildings, 
— one for males and one for females. Mr. Georo:e D. Eand 
of Boston, the architect for the hospital, was consulted, and 
the object for wliich the new buildings were to be used 
being explained, he furnished sketches, which were approved 
and adopted. Each building is circular, fifty feet in diam- 
eter, two stories high and connected with one of the gables 
of the present structure by a passage-way with stairs upon 
one side and bath and clothes rooms on the other. It is 
intended to use the first floor as a day-room and the second 
floor as a dormitory. By this arrangement twenty-four per- 
sons will be accommodated in each building. By making 
some changes in the adjoining ward of the present building, 
a special dining-room is obtained. Both buildings are now 
in process of construction and the one for females will be 
ready for occupancy by the first of December. 1 respect- 
fully recommend that it be named Hooper Hall, in memory 
of Dr. Robert W. Hooper, for twenty-seven years a mem- 
ber of the Board of Trustees and a liberal benefactor of the 
institution. The cost of both buildings will be about $28,000. 

The library has been liberally patronized by the i^atients 
and employees and additions are made to it, from time to 
time, as the funds will warrant. I am pleased to report that 
the Hospital Newspaper Society has again made acceptable 
gifts of several barrels of papers, periodicals and Christmas 
cards. One copy of the Worcester Evening Gazette is fur- 
nished free to the hospital by the proprietors. 



1886.] PUBLIC DOCUMENT — No. 23. 19 

Mrs. E. W. Gurney of Cambridge, who was interested in 
the account of the introduction of spinning and weaving, as 
means of employment and support of old women in some 
of the English towns, signified a desire to contribute to the 
hospital one hundred dollars for the purchase of wheels and 
wool, if it was thought the patients could be interested in 
such work. The generous oflFer was at once accepted and a 
dozen old-fashioned spinning-wheels were purchased and 500 
pounds of wool in rolls. The results have been most satis- 
factory ; many patients, who are too old or too excited to sew 
are spinning, day after day, taking great interest in the 
work and receiving much enjoyment and benefit from it. I 
would state, for the information of officers of other institu- 
tions, who may wish to inaugurate this industry, that wheels 
for spinning both wool and flax can be obtained of Benjamin 
Pierce, Chesterfield Depot, N. H. 

There have been no changes in the corps of officers dur- 
ing the year, all of whom have performed their duties with 
faithfulness, and the institution receives the benefit of the 
additional efficiency which experience and familiarity with 
its duties give. The same difficulty in procuring suitable 
female attendants that has been referred to in former re- 
ports has continued through the year, and the conviction is 
forced upon my mind that young women of intelligence 
find more congenial occupation than attempting the delicate 
and oftentimes disagreeable duties which are demanded in 
the care of the insane in a large public hospital. The fre- 
quent changes in the corps of those who hold such intimate 
relations with the inmates as are held by the attendants can 
but be disastrous to the patients and adds materially to the 
anxiety and responsibility of the officers of the hospital. 

In closing another year of service I again acknowledge my 
obligation for the cordial assistance and support which I pci- 
sonally receive from your board. 

JOHN G. PARK, 

Superinten lent. 
Worcester Lunatic Hospital, October 15, 1886. 



STATISTICAL TABLES. 



STATISTICAL TABLES. 



1. General Statistics of the Year. 





Males. 


Females. 


Totals. 


Patients in the hospital Sept. 30, 1885, 


386 


400 


786 


Admissions within the year, 


157 


166 


323 


Whole number of cases within the year. 


543 


566 


1,109 


Discharges within the year, .... 


180 


171 


351 


Viz. : as recovered, ..... 


34 


31 


65 


much improved, .... 


22 


24 


46 


improved, 


16 


51 


67 


unimproved, 


82 


44 


126 


Deaths, 


26 


21 


47 


Patients remaining Sept. 30, 1886, 


363 


395 


758 


Supported as State patients, 


106 


46 


152 


town patients, 


209 


274 


483 


private patients, 


48 


75 


123 


Number of persons within the year, 


524 


554 


1,078 


admitted, 


137 


154 


291 


recovered, 


33 


31 


64 


Daily average number of patients, 


364.88 


391.07 


755.95 



2. Monthly Admissions, Discharges 


and Averages. 








DlSCHARGKS 


Daily Average of 


Patiekts 










(including deaths). 


IN THE House. 


MONTHS. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot 


1885. 




















October, 


15 


5 


20 


20 


14 


34 


382.00 


397.28 


779.28 


November, . 


16 


12 


28 


34 


23 


57 


380.13 


383.93 


764 06 


December, 


10 


9 


19 


9 


12 


21 


364.22 


379.80 


744.03 


1886. 




















January, 


7 


10 


17 


20 


9 


29 


356.29 


377.90 


734.19 


February, 


16 


13 


29 


7 


9 


16 


354.96 


379.28 


734.25 


March, . 


7 


11 


18 


7 


4 


11 


359.45 


884.25 


743.70 


April, 


2 


17 


19 


10 


11 


21 


353.63 


390.37 


744.00 


May, 


15 


7 


22 


16 


10 


26 


358.22 


392.32 


745.54 


June, 


26 


35 


61 


7 


15 


22 


355 43 


397.26 


752.70 


July, . . 


20 


16 


36 


13 


15 


28 


374 80 


413.16 


787.96 


August, . 


11 


17 


28 


11 


39 


50 


377.25 


401.93 


779.19 


September, . 


12 

157 


14 

166 


26 
323 


26 
180 
175 


10 
171 
169 


36 
351 
344 


367.16 


395.39 


762.56 


Total cases, . 


364.88 


391.07 


755.95 


Total persons. 


137 


154 


291 


- 


- 


- 



24 



WOECESTER LUNATIC HOSPITAL. [Oct. 



5. Received on First and Subsequent Admissions. 









Cases Admitted. 


Times Previously 
Kecovered. 


NUMBER OF THE ADMISSIONS. 
















Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


First, 


113 


143 


256 








Second,. 






31 


14 


45 


7 


5 


12 


Third, . 






10 


3 


13 


4 


1 


5 


Fourth, . 






2 


1 


3 


1 


3 


4 


Fifth, . 






- 


2 




- 


7 


7 


Sixth, . 






- 


1 




- 


4 


4 


Seventh, 






- 


1 




- 


3 


3 


Fifteenth, 






- 


1 




- 


13 


13 


Sixteenth, 






1 


- 




10 


36 


10 


Total of cases, 


157 


166 


323 


22 


58 


Total of persons, . 


137 


154 


291 


13 


12 


26 



4. Ages of Persons Admitted for the First Time. 









At Fibst Attack 
OF Insanity. 


When Admitted. 


AGES. 
















Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Fifteen years and less, . 


2 


7 


9 


_ 


1 


1 


From 1.0 to 20 years. 






7 


6 


12 


8 


6 


14 


20 to 25 years. 






16 


19 


35 


15 


19 


34 


25 to 30 years. 






18 


21 


39 


24 


30 


64 


80 to 35 years. 






8 


13 


21 


12 


14 


26 


35 to 40 years, 






12 


15 


27 


18 


18 


36 


40 to 50 years. 






11 


25 


36 


13 


24 


37 


60 to 60 years, 






6 


9 


14 


10 


14 


24 


60 to 70 years. 






7 


9 


16 


8 


19 


27 


70 to 80 yeai's, 






4 


5 


9 


4 


7 


11 


Over 80 years. 






_ 


— 


- 


- 


- 


- 


Unknown, . 






23 


15 


38 


1 


1 


2 


Totals, . 






113 


143 


256 


113 


143 


256 



1886.] PUBLIC DOCUMENT — No. 23. 25 

5. Residence of Persons Admitted. 



PLACES. 


Males. 


Females. 


Total. 


Massachusetts, — 








Bristol County, . 






- 


1 


1 


Essex County, . 






1 


2 


3 


Hampshire County, 






- 


- 


- 


Hampden County, 






1 


1 


2 


Middlesex County, 






29 


35 


64 


Norfolk County, . 






4 


2 


6 


Plymouth County, 






- 


1 


1 


Suffolk County, . 






40 


42 


82 


Worcester County, 


» 




62 


70 


132 


Totals, . 


137 


154 


291 



6. Civil Condition of Persons Admitted. 









Divorced. 


Unmarried. 


Mahried. 


Widowed. 


Unknown. 


NUMBER OF THE 
ADMISSIONS. 


a 


1 


"3 
o 


S 


10 

1 


o 


a 


a 
64 


"2 

o 


a 


i 


o 




"3 

a 
1^ 


a 
1 


First, 
Second, 
Third, 
Fourth, 
Fifth, 
Sixth, 
Seventh, 
Fifteenth 
Sixteentl 
Tota 


, 
Is, 




- 


1 
1 


1 
1 


64 
8 
3 

1 
76 


68 
2 
1 

1 
72 


132 

10 

4 

1 

1 
148 


44 
8 

1 

53 


59 

2 

1 
1 

63 


103 

10 

1 

1 
1 

116 


4 

2 

1 

7 


15 
1 

1 
1 


19 
3 

1 

1 

1 

1 
25 


1 

1 

i 
1 


- 


1 

1 



26 



WORCESTER LUNATIC HOSPITAL. [Oct. 



7. Occupations of Persons Admitted. 



OCCUPATIONE 



Artist, . 

Broker, . 

Butcher, 

Button packer. 

Bookkeeper, . 

Boot maker, . 

Book ageut, . 

Blacksmith, , 

Clergyman, . 

Confectioner, 

Carpenter, 

Clerk, . 

Cigar maker, 

Currier, . 

Dentist, . 

Dressmaker, . 

Domestic, 

Engraver, 

Farmer, . 

Furniture polisher 

Grocer, . 

Hack driver, . 

Hostler, 

Hat and cap maker 

Housekeeper, 

Hotel keeper. 

Iron moulder, 

Jeweller, 

Keeper of house of ill-fame 

Laundress, 

Lawyer, 

Laborer, 

Matron, . 

Carried fortvard, 



1 

10 
2 
1 
1 

2 



1 
1 
1 
1 

1 

28 



81 



1 

43 



1 

52 



1 
104 



1 
1 
1 
1 
1 
6 
1 
1 
2 
1 
5 
9 
2 
1 
1 
1 

43 
1 

10 
2 
1 
1 
2 
1 

52 
1 
1 
1 
1 
3 
1 

28 
1 



185 



1886.] PUBLIC DOCUMENT — No. 23. 27 

7. Occupations of Persons Admitted. — Concluded. 



OCCUPATIONS. 


Males. 


Females. 


Total. 


Brought forward, . 


. 


. 


81 


104 


185 


Machinist, 




. 


2 


- 


2 


Mechanic, 














2 


- 


2 


Merchant, 
















- 




Milkman, 
















- 




Nurse, . 
















1 




Overseer, 
















- 




Operative, 














11 


7 


18 


Prostitute, 
















1 




Plumber, 
















- 




Painter, 
















- 




Paper folder, 
















1 




Physician, 
















- 


^ , 


Porter, . 
















- 




Rubber worke 


r, 














' 




Stone cutter. 
















- 




Salesman, 
















- ■ 




Seamstress, 
















4 




Student, 
















- 




Sea captain, 
















- 




Store boy. 
















- 




Straw maker, 
















- 




Teamster, 
















- 




Teacher, 














- 


• 2 




Telegraph operate 


r, 










- 


1 




Wheelwright, 














- 




No occupation. 












21 


32 


53 


Unknown, 












2 


1 


3 


Totals, 


• 


137 


154 


291 



28 



WOECESTER LUNATIC HOSPITAL. [Oct. 



5. Reported Duration of Insanity before Last Admission. 





First Admission to 


All Other Admis- 








ANY Hospital. 




SIONS. 








PREVIOUS DURATION-. 




















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Under 1 month. 


17 


29 


46 


4 


9 


13 


21 


38 


59 


From 1 to 3 months, 


12 


20 


32 


4 


4 


8 


16 


24 


40 


3 to 6 months, 


4 


7 


11 " 


3 


2 


5 


7 


9 


16 


6 to 12 months, 


3 


6 


9 


1 


1 


2 


4 


7 


11 


1 to 2 years, . 


14 


12 


26 


13 


12 


25 


27 


24 


51 


2 to 5 years, . 


14 


10 


24 


16 


12 


27 


29 


22 


51 


6 to 10 years, . 


6 


8 


13 


7 


6 


13 


12 


14 


26 


10 to 20 years, . 


4 


3 


7 


11 


2 


13 


15 


5 


20 


Over 20 years, . 


1 


4 


5 


2 


2 


4 


3 


6 


9 


Unknown, . 


20 


13 


33 


3 
63 


4 


7 
117 


23 


17 


40 


Total of cases, . 


94 


112 


206 


54 


157 


166 


323 


Total of persons. 


94 


112 


206 


43 


38 


81 


137 


154 


291 


Average of known 


mo3. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


cases. 


35.29 


41.21 


32.90 


46.43 


37.5 


42.37 


35.92 


39.97 


40.11 



9. Form of Disease in Cases Admitted. 



FORM OF DISEASE. 


Males. 


Females. 


Totals. 


Mania, acute, 


9 


41 


50 


chronic, 


27 


31 


58 


recurrent, 


15 


9 


24 


puerperal, 

Melancholia, acute 


18 


4 
30 


4 
48 


chronic, 


4 


12 


16 


recurrent, .... 


3 


- 


3 


puerperal, . . . , 
Primary delusional insanity (monomania), . 


2 


- 


2 


Dementia, primary, ..... 


1 


1 


2 


secondary, 


11 


3 


14 


senile, 


7 


13 


20 


organic (tumors, hemorrhages, 
etc.), 


1 


2 


3 


General paralysis of the insane, . 


12 


3 


15 


Epilepsy, 

Toxic insanity (alcoholism, morphine, etc.), 


14 

22 


5 

5 


19 

27 


Congenital mental deficiency, idiocy, . 

imbecility. . 
Habitual drunkard, 


4 
2 
5 


2 
5 


6 
7 
6 


Totals, 


157 


166 


323 



1886.] 



PUBLIC DOCUMENT — No. 23. 



29 



10. Probable Causes of Insanity in Persons Admitted. 



CAUSES. 


Patients 
Admitted. 


Pkevious At- 
tacks. 


Hereditary 
Predisposition. 




Ma. 


Fe. 


Tot. 


Ma, 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Anxiety and care. 
Abuse, . . . . 
Business trouble. 
Excessive mental labor, . 

Epilepsy 

Fright, . . . . 

Family trouble, 

Grief, . . . . 

General paralysis. 

Heredity, . . . . 

Ill-health, . . . . 

Ill-health and grief, . , 

Injury to head, . 

Intemperance, . 

Idiocy, .... 

Imbecility, 

Love disappointment. 

Masturbation, . 

Miscarriage, 

Measles, .... 

Overwork, 

Opium halDit, 

Overwork and ill-health, . 

Overwork and anxiety. 

Puerperal, 

Paralysis, .... 

Rheumatism, 

Religious excitement. 

Senility, .... 

Syphilis, . . . . 

Sunstroke, .... 

Typhoid fever, . 

Turn of life, 

Worry, .... 

Unknown, . . 


2 

1 
1 

12 

2 
1 

11 
6 
9 
2 
1 

35 
2 
2 
2 
6 

1 

4 

1 

3 

8 

4 

3 
19 

137 


1 
1 

4 
2 
2 
2 
3 
25 
17 
1 

4 
1 

3 
1 
1 
1 
1 
7 
3 
1 
1 
8 
2 

2 
15 

1 

1 

9 

3 

31 

154 


3 

1 
1 

1 

16 
2 
4 
3 

14 
31 
26 
3 
1 
39 
3 
5 
3 
6 
1 
1 
8 
3 
5 
1 
8 
3 

5 

23 

1 

4 
1 
9 
6 
50 

291 


1 

1 
1 

3 
3 
1 

1 
11 

1 

5 

3 

1 
1 

3 

16 
52 


1 
1 

11 

2 

4 
1 
1 

2 

1 

5 
29 


1 

2 

2 

14 
5 

1 
1 

11 

1 
5 

4 
4 

1 
3 

3 

1 

21 
81 


1 

6 
1 

3 

1 
1 


25 
2 

2 

1 

1 

1 
1 

2 
1 

1 
1 

1 


1 

31 
3 

5 

1 
1 
1 

2 

1 
1 

1 

1 

1 


Totals, 


13 


39 


62 



30 



WORCESTER LUNATIC HOSPITAL. [Oct. 



11. Relation to Hospital of Persons Admitted. 



HOSriTAL EELATIONS. 



First admission to any hospital for insane. 
Former inmates of tliis hospital and no other, 
Former inmates of this and other hospitals, 



Former inmates of other hospitals 

Boston, 

Boston and Augusta, 

Danvers, . 

Danvers and Taunton, 

Danvers and Tewksbury, 

Herbert Hall, 

McLean, . 

So. Boston, 

Taunton, . 
Butler, R. I., . 
Cranston, R. I., 
Canada, . 
Ireland, . 
New York and Rhode Island, 



in thi 



s state ; 



Total, 



94 
21 



1 

10 

2 

1 



137 



112 

11 

1 



18 



154 



206 
32 

4 

4 
1 
28 
2 
1 
1 
2 
1 
3 
1 
1 
1 
2 
1 



291 



12. How Supported. 





Patients Admitted. 


AVEBAGE OF THE 


Year. 


SUPPORTED AS— 


Males. 


Females. 


Totals. 


Males, 


Females. 


Totals. 


State patients, . 
Town patients, . 
Private patients. 


59 
63 
15 


62 
62 
30 


121 
125 

45 


118.32 

201.65 

44.91 


51.26 

263.39 

76.42 


169.58 

465 04 
121.33 


Totals, 


137 


154 


291 


364.88 


391.07 


755.95 



•1886.] 



PUBLIC DOCUMENT — No. 23. 



31 



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1886.] 



PUBLIC DOCUMENT — No. 23. 



33 






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onth, . 
3 months, 
6 months, 
12 months, 


2 years, 
5 years, 
10 years, 
20 years, 
ars, 


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34 



WOECESTER LUNATIC HOSPITAL. [Oct. 



16. Cases Discharged by Recovery or Death. 






Recoveries. 


Deaths. 


FORM OF INSANITY. 


Males. 


Females 


Totals. 


Males. 


Females. 


Totals. 


Mania, acute, 
chronic, 
recurrent, . 


12 


14 
1 
3 


26 
1 
3 


2 
3 


4 

6 


6 
9 


puerperal, . 
Melancholia, acute, 

chronic, . 
Primary delusional insanity 

(monomania), . 
Dementia, secondary, . 
senile, . 


3 
1 


2 
6 

2 

1 


2 
9 
3 

1 


1 
1 

4 


1 

3 
3 


2 
1 

3 

7 


oro;anic. 
General paralysis of the in- 
sane, 

Epilepsy, .... 
Toxic insanity, 
Habitual drunkard, 


12 
6 


2 


14 
6 


2 

8 
5 


1 

2 
1 


3 

10 
6 


Totals, .... 


34 


31 


65 


26 


21 


47 



17. Causes of Death. 



CAUSES. 


Males. 


Females. 


Totals. 


Exhaustion of mania, acute, 


1 


3 


4 


chronic. 






2 


1 


3 


melancholia, acute. 






1 


1 


2 


chronic, 






1 


- 


1 


dementia, senile, . 






4 


4 


8 


organic, 






2 


- 


2 


General paralysis of the insane, . 






8 


2 


10 


Epilepsy, 






5 


1 


6 


Apoplexy, 






- 


1 


1 


Phthisis, 






2 


6 


8 


Anemia, 






- 


1 


1 


Cancer, ...... 






- 


1 


1 


Totals 


26 


21 


47 



1886.] 



PUBLIC DOCUMENT — No. 23. 



35 



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36 



WORCESTER LUNATIC HOSPITAL. [Oct. 



19. Recoveries, 


Classified by Results 


of Previous Admissions. 




Eecovered. 


Improved. 


Totals. 


NUMBER OF THE 




















ADMISSION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 


5 


5 


10 




1 


1 


5 


6 


11 


Second, 










1 


1 


2 


- 


1 


1 


1 


2 


3 


Third, 










1 


2 


3 


- 


- 


- 


1 


2 


3 


Fourth, 










1 




2 


- 


- 


- 


1 




2 


Fifth, . 










- 






- 


- 


- 


- 




1 


Sixth, , 










- 






- 


- 


- 


- 




1 


Seventh, 










- 






- 


- 




- 




1 


Eighth, 










- 






- 


- 


- 


- 




1 


Ninth, 










- 






- 


- 


- j 


- 




1 


Tenth, 










- 






- 


- 


- 


- 




1 


Eleventh, 










- 






- 


- 


- 


- 




1 


Twelfth, 










- 






- 


- 


- 


- 




1 


Thirteenth, 








- 






- 


- 


- 


- 




1 


Fourteenth, 








- 






- 


- 


- 


- 




1 


Totals, 


8 


19 


27 


- 


2 


2 


8 


21 


29 



20. Deaths, Classified by Duration of Insanity and of Treatment. 





Duration op Insanity. 


Whole Known Period op 
Hospital Residence. 


PERIOD. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Under 1 month, . 


_ 


2 


2 


4 


2 


6 


From 1 to 3 months, 






3 


1 


4 


4 


3 


7 


3 to 6 months. 






- 


- 


- 


- 


1 


1 


6 to 12 months, 






2 


3 


5 


5 


5 


10 


1 to 2 y&ars, 






5 


2 


7 


5 


1 


6 


2 to 5 years. 






8 


2 


10 


5 


4 


9 


5 to 10 years. 






2 


5 


7 


- 


4 


4 


10 to 20 years, 






1 


2 


3 


3 


1 


4 


Over 20 years, 






2 


3 


5 


- 


- 


- 


Unknown, 






3 


1 


4 


- 


- 


- 


Totals, .... 


26 


21 


47 


26 


21 


47 




mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


Average of known cases. 


57.34 


116.70 


83.02 


24.07 


26.69 


30.00 



1886.] 



PUBLIC DOCUMENT — No. 23. 



37 



21. Ages of those wlio Died. 









At Time 


OF First Attack. 


At Time op Death. 


AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females 


Totals. 


Under 15 years, . 






1 


1 


2 


- 


- 


- 


From 15 to 20 years, 






1 


2 


3 


- 


- 


- 


20 to 25 years, 






2 


4 


6 


2 


2 


4 


25 to 30 years. 






5 


1 


6 


6 


3 


8 


30 to 35 yeai-s, 






3 


2 


5 


2 


1 


3 


35 to 40 years. 






- 


3 


3 


-■ 


4 


4 


40 to 50 years, 






5 


2 


7 


6 


2 


8 


60 to 60 years. 






3 


3 


6 


5 


5 


10 


60 to 70 years, 






2 


- 


2 


2 


1 


3 


70 to 80 years. 






3 


2 


5 


3 


2 


5 


Over 80 years. 






1 


- 


1 


1 


- 


1 


Unknown, , 








1 


1 


- 


1 


1 


Totals, . 


26 


21 


47 


26 


21 


47 



22. Number of Convicts Admitted to the Hospital from its Opening, 
Jan. 19, 1833, to Sept. 30, 1886. 





Males. 


Females. 


Totals. 


Number upon first admission, 


421 


88 


509 


Number upon readmission, .... 


47 


8 


55 


Totals, 


468 


96 


564 



38 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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CXJGOOOOOGOCOOOOOGCOOCOCOOCOCOOOOCOOOOOOOGOGO 



1886.] PUBLIC DOCUMENT — No. 23. 



39 



I I I I I I r I I I I I. I I I I I l(Nr-<l^rH I li-l(MC<J(NlOCD 



I I I I I I I I I 



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



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I I I <M r- ,-1 C<1 lO CO O CO 05 -- t^ 



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I I I I I I I I I I I I I I I I I I I I 1 IN I .-IrHCOCOOlCOt^OO 





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I I I I I I I I I I I I I I t I I I I I I I I I I I (M I COCO 



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I— I I— I C-i 



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lOOCOOCOOi— llOiacDOSOCOC^— iC0-*O-*i— lOOCDOOS'-iOtOCOCi-JCO 

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oco^f-icoooc<i>ioqcococor^(McD»Tt<rt(M>ot^ocooc5-*ooo^c:C5co 
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lOOr^OOOJO-JIMCOTHlOCDt^OOOSOi-llMJO-^iHlOCDt^OOCsO^fMCO-^lOCO 

>2'~'3iOOcococDcocDcococococDh~i^t— t^t^t^i^-t^t-^t^coooooocajoooo 
CO :oxc»coaooooooooo30cocococcoooooooo oo oo aooooocoooooaooooooooo 



40 



WORCESTEE LUNATIC HOSPITAL. 



[Oct. 



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1886.] 



PUBLIC DOCUMENT— No. 23. 



41 





CO 




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42 WOECESTER LUNATIC HOSPITAL. [Oct. 









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1886.] 



PUBLIC DOCUMENT — No. 23. 



43 



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44 



WORCESTER LUNATIC HOSPITAL. [Oct. 



26. SJioiuing the Results of Fird Admissions. 





Males. 


Females, 


Totals. 


Males. 


Females. 


Totals. 


Number of persons on first 














admission, .... 


- 


- 


- 


5,384 


5,232 


10,616 


Discharged recovered, . 


1,830 


1,806 


3,636 


- 


- 


- 


improved, . 


1,387 


1,454 


2,841 


- 


- 


- 


not improved, . 


1,024 


9U5 


1,929 


- 


- 


- 


not insane, 


4 


o 


7 


- 


- 


- 


Died, 


873 


767 


1,640 


- 


- 


- 


Eloped 


3 


- 


3 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1886, . 


263 


297 


560 


5,384 


5,232 


10,616 



Showing the Results of Readmissions. 



Number of readmissions, 




_ 


_ 


1,786 


1,726 


3,512 


Discharged recovered, . 


654 


706 


1,360 


- 


- 


- 


improved, . 


485 


453 


938 


- 


- 


- 


not improved, . 


329 


288 


617 


- 


- 


- 


Died 


218 


181 


399 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1886, . 


100 


98 


198 


1,786 


1,726 


3,512 



Showing the Results of Second Admissions. 



Number of second admis- 














sions, 


- 


_ 


- 


1,072 


1,054 


2,126 


Discharged recovered, . 


344 


857 


701 


- 


- 


- 


improved, . 


284 


292 


576 


- 


- 


- 


not improved, , 


233 


203 


436 


~ 


- 


- 


Died 


150 


. 130 


280 


- 


- 


- 


Remaining in the hospital 
Sept. 30, 1886, . i-^^. 














61 


72 


1.S3 


1,072 


1,054 


2,126 



1886.] 



PUBLIC DOCUMENT — No. 23. 



45 



Sliowwg the Results of Third Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of third admissions, 








343 


300 


643 


Discharged recovered, . 


134 


131 


265 


- 


- 


- 


improved, . 


88 


76 


164 


- 


- 


- 


not improved, . 


63 


49 


102 


- 


- 


- 


Died, 


43 


30 


73 


_ 


- 


- 


Remaining in the hospital 














Sept. 30, 1886, . 


25 


14 


39 


343 


300 


643 



Showing the Resnlts of Fourth Admissions. 



Number of fourth admis- 














sions, 


- 


- 


- 


146 


130 


276 


Discharged recovered, . 


64 


61 


125 


- 


- 


- 


improved, . 
not imjDroved, . 
Died, 


44 
24 

7 


39 

19 

9 


83 
43 
16 


. - 


- 


_ 


Remaining in the hospital 
Sept. 30, 1886, . 


7 


2 


9 


146 


130 


276 



Showing the RestiJts of Fifth Admissions. 



Number of fifth admissions. 








70 


70 


140 


Discharged recovered, . 


33 


39 


72 


- 


- 


- 


improved, . 


15 


15 


30 


- 


- 


- 


not improved, . 


8 


8 


16 


— 


- 


- 


Died 


9 


4 


13 


- 


_ 


- 


Remaining in the hospital 














Sept. 30, 1886, . 


5 


4 


9 


70 


70 


140 



Showing the Residts of Sixth Ad^nissiojis. 



Number of sixth admissions, 








38 


39 


.77 


Discharged recovered, . 


23 


21 


44 


- 


- 


- 


improved, . 


8 


10 


18 


- 


- 


- 


not improved, . 


3 


9 


5 


- 


- 


- 


Died, 


3 


3 


6 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1886, . 


1 


3 


4 


38 


39 


77 



46 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Showing the Results of Seventh Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of seventh admis- 














sions, ..... 


- 


- 


,- 


26 


25 


51 


Discharged recovered, . 


14 


16 


30 


- 


- 


- 


improved, . 


6 


5 


11 


- 


- 


- 


not improved, . 


3 


1 


4 


- 


- 


- 


Died, 


3 


2 


5 


- 


- 


- 


Remaining in the hospital 














Sept 80, 1886, . 


— 


1 


1 


' 26 


25 


51 



Showing the Results of Eighth Admissions. 



Number of eighth admis- 














sions, 


- 


- 


- 


19 


18 


37 


Discharged recovered, . 


9 


13 


22 


- 


- 


- 


impi'oved, . 


9 


3 


12 


- 


- 


- 


not improved, . 


1 


2 


3 


19 


18 


37 



Showing the Results 


of Nil 


tJi Admissions. 




Number of ninth admissions, 








15 


16 


31 


Discharged recovered, . 


9 


11 


20 


- 


- 


- 


improved, . 


4 


4 


8 


- 


- 


- 


not improved, . 


1 


1 


2 


— 


- 


- 


Died, . . . • . 


1 


— 


1 


15 


16 


31 



Showing the Results of Tenth Admissions. 



Number of tenth admissions, 
Discharged recovei'ed, . 

improved, . 

not improved, . 



12 
2 
1 



18 



13 



13 



15 



15 



1886.] 



PUBLIC DOCUMENT — No. 23. 



47 



Showing the Results of Eleventh Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of eleventh admis- 














sions, 


- 


- 


- 


11 


14 


25 


Discharged i-ecovered, . 


3 


9 


12 


_ 


_ 


_ 


improved, . 


6 


4 


10 


- 


_ 


_ 


not improved, . 


1 


1 


2 


- 


- 


_ 


Died, 


1 


"■ 


1 


11 


14 


25 



Showing the Results of Twelfth Admissions. 



Number of twelfth admis- 














sions, ..... 


_ 


_ 


_ 


9 


10 


19 


Discharged recovered, . 


3 


9 


12 


- 


- 


- 


improved, . 


4 


1 


5 


- 


- 


- 


not improved, . 


1 


- 


1 


- 


- 


- 


Died 


1 


~ 


1 


9 


10 


19 



Showing the Results of Thirteenth Admissions. 



Number of thirteenth admis- 














sions, 


- 


- 


_ 


7 


9 


16 


Discharged recovered, . 


3 


8 


11 


- 


- 


- 


improved, . 


3 


- 


3 


- 


- 


- 


not improved, . 


1 


_ 


1 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1886, . 


~ 


1 


1 


7 


9 


16 



Showing the Results of Fourteenth Admissions. 



Number of fourteenth admis- 
sions, 

Discharged recovered, . 
improved, . 
Died, 









6 


8 


3 


6 


9 


- 


- 


2 


1 


3 


- 


- 


— 


1 


1 


5 


8 



13 
13 



48 



WOECESTER LUNATIC HOSPITAL. [Oct. 



Shotving the Results of Fifteenth Admissions. 






Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of fifteenth admis- 
sions, 

Discliarged recovered, . 
improved, . 
Died, 


2 
2 


4 
1 
1 


6 
3 

1 


4 

4 


6 
6 


10 
10 



Showing the Results of Sixteenth Admissions. 



Number of sixteenth admis- 














sions, ..... 


- 


_ 


- 


3 


3 


6 


Discharged recovered, . 


1 


2 


3 


- 


- 


_ 


improved, . 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 














Sept. SO, 1886, . 


1 


1 


9 


3 


3 


6 



Shotving the Results of Seventeenth Admissions. 



Number of seventeenth ad- 
missions, . . . . 
Discharged recovered, , 

not improved, . 



- - - 2 2 

2 1 3 - - 

-112 2 



Showing the Results of Eighteenth Admissions. 



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



- - - 2 2 

1 1 2 - - 

1 - 1 - - 

-112 2 



Showing the Residts of Nineteenth Admissions. 



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









1 


1 


- 


1 


1 


- 


- 


1 


— 


1 


1 


1 



1886.] 



PUBLIC DOCUMENT — No. 23. 



49 



Showing the Results of 


Tioentieth Admissions. 




' 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


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


- 


1 


1 


- 


1 
1 


1 

1 



Showing the Results of Twenty-first Admissions. 



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



Showing the Residts of Twenty-second Admissions. 



Number of twenty-second 

admissions, 
Discharged recovered, . 



Shoioina the Results of Twenty-third Admissions. 



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



50 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1886.] 



PUBLIC DOCUMENT — No. 23. 



51 



1 1 1 1 t 1 1 1 1 1 1 1 r 1 1 1 1 1 IM ^ 1 ^ (M 1 1 i-l(M (M IM 00 CD 




II II II II III 1 11 II 1 lrt||,-H,-l||r-l(MrH|00«ojj^ 


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1886.] PUBLIC DOCUMENT — No. 23. 



53 



I I I -^ I 



I •—' a<-^ \ liCiOtMC^OO-— iCClMOOi— i'-^'0"^C<lt^i— iCi loo 

I— 1^,— c(^^T}^T^^c<^lr;ocDCDCDt^co o 



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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 



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1886.] 



PUBLIC DOCUMENT-^ No. 23. 



55 



I I ) f-H 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 ( 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 



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56 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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coeococococococo-*-*Tt<-*rt<-*^-*'^Ttiioo»0"Oi5 
oooooooooooooocaooocooooocooooooocooooococoooco 



1886.] 



PUBLIC DOCUMENT — No. 23. 



57 






cDOC50305:oc^^~05Tt^o3c<^l>;(^^.— (i— ;05lrac■^a5cq(^^^qco-^•-Joqc<^^^>ol>-• 



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1 1 OS 1 1 1 O 1 1 CM GO "0 

I— 1 T-H 


1 1 CO 1 




-rai ;ou ib;ox 












1 —< 1 1 1 


It^l 1 |-*OCOGOII 1 


1 CM 1 1 




•p3A0.uIaii [BJOX 


o 


^ CO -^ ■-< 


C>J 




'S8TJ9 


OO r-H 00 r-l as 


CM-#COCOOO-lOcCiCO<£>ODiO 


CO CO CO <>] 






lO O OS 1— 1 C<1 


OSOIt-I-tH'— ICO>— Ir-I 


C5 CO "-I r-l 




-Aooaa JO i^jox 


lO CN "—I 








i ^ 




<ji .— 1 GO t-l as 


-Tt^t^ai^fi'Oc^ococococK'O 


'i' i>l CO -# 




"5 


r^ o OS ^ <^ 


CO '^ (M CO --. T-{ 


CM C^ 




« 5 


o 


CM CM y-t 








§ 1 


H 










CO 










« <l 


^ 


^ 00 CO (>i GO 


^JOcooococ5i-icoc<i-*'-iT-i 


O --I lO <M 




a <n 


. a 


"O O '^ «5 r-l 


CO <?^ --1 


I— 1 t— I 




03 c^ 


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a a 












a B 


bn 
































J M 












. ^ ^ 


" 


GO CO O 05 rH 


COI^COCOCMCOOSCOi«OIl>--* 


^ ^ ^ 0V-, 




li 


1 


••M OS O -^ --' 


CO CM --H T-H 


T-l .-( 








IBjidsOH 


1 1 1 1 t-l 


llll-^III'-'ll'-l 


1 1 > 1 




aiHuiSuiureniaa 










•pasa 


1 1 1 -1 1 


1 1 1-^1 1 1 — 1 1 -H 1 


111^ 




•psAOjduiiuxi 


1 1 '-H 1 1 


1 1^1 1 |r-i| |(M.-I^ 


1 1 1-1 1 




saraixjojaqranjsi 










•p9A0.idnii 


1 1-1 1 1 1 


1 r-l 1 1 1 CM .-< r-l ^ 1 1 1 


1 r^ 1 1 




satnixjojaqranjsi; 










•psjaAooaa 


■ CM tH ^ -H ,— ( 


COC>)<MCM<M'— ir-i'^'-l'— ii-l^ 


'^ CO CO CO 




saraixjojaqraiiij. 














GO 


-Tt< 


lO 






rt 




CO 


o 




o 


o 


r^ 


G^ 


I-H 




S Q 
<4 U 






















Ph H 


cn 










fc, a 


^ 


r^ 


-* 


GO 




o S 


a 


CO 


o 


^ 




« § 


CO 


I— 1 






s « 


fe 










§ « 






















t) 












^ 


s 


,_, 


o 


C^ 






'« 


CO 


CO 


lO 






liH 


CO 










rt 










;/3 


• 








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H Q 






























M 5^ 










^ o 










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1886. J PUBLIC DOCUMENT — No. 23. 59 



I I I oi I I rH I I I I CO I ^ I I I I :t I r I I I I I oi I ^ I 



1 ICOl I.-I1 Ir-lCMl 1 1 


1 1 iioi 1 1 I'-Hl ICOI.-II — 


1 '* 1 1 CM r- --1 1 t- 1 C-1 1 <» (M 


1 1 —1 1 1 1 (M CO 1 1 CO 1 1 r- ,- CI 


-i< -1< CO oj 1 1 1 -* -+i 'M <^^ CO SO 1 


It^l 1 lOICO — COCOiDG^I.-H.-Hl 

T— 1 


-HOO^-^G'4<M<M30r^>-i01CCSOr-( 


O CO -# O C>1 lO CO Oi CO (M CC CO CN (M '>! (M 
to CM <M '-' T-" 



CT -f CO O-l r- < "-H ^^ aC 1^ t— I (M CO CO t— I (M t>- >— ' lO CO lO'— iCOt-Hi— ICOCO*— I'-Hl— If— I 



^l<Mt-lT-l. 1 |lO-#ICNl-l| I ':*;OICOt-l-TtHf-'COT-l|r-l|-^|--l 



I ^ T— I CO CO ^ I CM CO r-l GO ^ T-l 01 M .— I I I I r-i CM CO 1 --i I >— ' 



1 1 1— 1 1— '1 1 1 I'-l'-' 


lllli-illllll!--!!— '1 


1 I.-II l-Hj 1 |,-^^| 1 I 


1 1 1— 1 1 1 IrHI l,-ll^l^ 


1 — 1 1 CM ■-< r-i 1 ^ 1 — 1 —. c^^ CM 


1 1^1 1 1 CM T-l 1 1 r-l 1 { —, r-l C^ 


C-, ^ ^ ^ 1 1 1 CO CM CM — r-l rH 1 


1 r-l 1 1 1 -M 1 -- ^ CO CM <M CM T-l — 1 


CM (M Ol (M C>J CM (M r-l t-H ■— ' — ^ --1 •— ' 


uO'^-^-^i^COCOCOCOC^lCMCMCMCMCMCM 



60 



WORCESTER LUNATIC HOSPITAL. [Oct. 



o 

O 









!^ 



OS 





■^BjirisoH ut 


1 -H 1 1 


1 1 1 1 CO 1 1 ^ 1 1 1 


1 1 1 1 '-I 1 




■[E^idsoH 

lit paia ib;ox 


1 1 1 1 


II irNi l—llr-ll— 1 


1 1 1 <M 1 1 




•paAoid 
-rai lou iBjox 


1 1 <M -ti 


1 1 r-l I 1 1 1 r^ 1 (M G-] 


1 1 —I 1 1 1 




■pOACidcai [Bjox 


GO M <>l 1 


1 CO 1 1 1 Tt< — .-1 CO CO CM 


1 -H 1 1 1 CM 




-Aooaa io IBIOX 


(M I— 1 ,— 1 T— ( 


'*>0<00»OGO-*'COC^i-l.-l 

G^ T-H ,-1—1 


r^ <X) '^o CM o "O 








1 5 

a a 
^ 63 
6i a 
o g 

a " 

a a 

g g 


o 


<?.l T-l 1— 1 .-H 


TfCOT— (CMCOC^It— Ir-lr-lrH,— 1 


I— 1 1— I rH CM ■— 1 I— 1 




"3 

a 


^ 1 ,-1 r-H 


CN^^(MCO--ii-l.-i| 1 i 


r-\ 1 ,-H T-l ,-1 1 




■3 


t-H T-H 1 1 


(M CM 1 1 1 -1 i 1 r-l ^ T-H 


1 r-l 1 ^ 1 --( 








•IBjideoH 
am ra SuiuiBcaaa 


1 ^ 1 1 


1 1 1 1 r-l 1 1 —1 1 1 1 


1 1 1 1 T-l 1 




■psia 


1 1 1 1 


1 1 1^1 1 ^ 1 ,-i 1 ^ 


1 1 1 '- 1 1 




•p3A0jdniIU£l 

saraixjoaaqmnjsr 


1 1 Ol ^ 


1 1 r-4 1 1 1 1 -1 1 CM 5^ 


1 1 — 1 1 1 




•psAoadroi 
samix.jo jaqmnx: 


"# CO (>1 1 


1 .-1 1 1 1 G-^I -H ^ CO CO rM 


1 r-i 1 1 1 CM 




•paaaAooaa 
saraixjcraqmnx 


^^^^ 


«3»OiO'0 0'#ri<CO<M'-H.-( 


t^ O <X> <» CO iC3 








NUMBEK OF PBKSONS 

Readmitted. 


"3 
o 




O 


■^ 




"3 

a 
fa 




CM 

1—1 


t- 




"3 




"go 


t- 




O H 

s 




1 
1 

p 




n 
> 
CO 



1886.] PUBLIC DOCUMENT — No. 23. 61 



I I I I I I I I I I II II I I I I ^ I II rH I I 



r-. I ^ 1 1 ^ 


1 1 1 1 


1 1 


1 1 


1 1 rH 1 II 


1 --1 


1 1 1 


1 T-H 1 Ol T-H 1 


1 1 CM I 


1 r-l 


1 (>l 


T-H 1 1 1 1 1 


1 1 


1 Ol <M 


^ <>» <M CO -*i ^ 


1 (M 1 (M 


^ ^ 


T-H -* 


, 1— 1 .CO <M -rti CO Oi 


CO CM 


.-1 CO CO 


lO -^ ^ CO (M (M 


00 -h 'ti CO 


-* t- 


O ':}< 


C^ 00 OD t^ t^ (M 


CO C55 


■ ,-1 iQ CO 



.— IF-H,— 1(>1— irH i-H(MCNr-H (Mi— I t-Ii— I i— !rH 



lllrHrHr-l II (Ml t-H| "It-i ,-|||^^^ ^. | 1-H|I 



1-1 i-H I I r-1 CM I .-H ,-H T-H II I ^ ^ I I I 



I I I I I I I I I I II II I I I I T-H I II 



I'-lil'-l llll II II llr-HIII 1^ III 



l^l^^l ii^i 1^ |5^^ ^iiiii II |(MCM 



t-((MCMCO-riH^ I-— l|(M (M"—! I— l-rft •— iCOCM-*COCi CO CM i— ICOOO 



>o-^-#co(MM cot^t^co t>-t^ csTfH oioooot^-o-CM cyi oi i— loco 



CO O) o CO CO 



CM CM 



<D OJ 



bD 



O -5 



^ 



W iz; H W H 



62 



WORCESTER LUNATIC HOSPITAL. [Oct 



a 

o 
O 



C^ 



^ 






^ 






* 



C5i 



'IBjidsoH wi 


1 1 1 


1 1 1 


T-J 1— 1 


1 1 


1 


1 


'-, 


guiiiiBinaa IBJox 














i^ 


•IBjidsoH 


.1 1 rH 


1 1 1 


1 1 


r-l 1 


1 


1 


CO 


in para ibiox 












^ 


'"' 


•p3A0.Kl 


1 1 ^ 


1 1 -H 


1 1 


1- 1 


1 


1 


CO 


-tai jou iB^ox 














(M 




1 CO Ol 


1 C-^ 1 


CO lO 


1 iXi 







-H 


•paAo.idmi tmox 














CO 
CO 


saua 


'^ — 1 


lO CO ~f 


(M 


OS 'M 


't 


0^1 


^ 




.— 1 T-H I—I 


T-H CM ^ 


.—I T— 1 


T— 1 1— ( 




(M 




-Aooaa JO mojj 














cm' 


OT 






T-i CM t-' 








rH 





s 2 


cS 














QO 


in a 


O 














'^' 




















M 
















K ^ 


.^ 


1 <-l T-H 


1-H 1-H 1-H 


I— 1 


<-< 1 


1 


r— 4 


'O 





















s ts 


a 














CO 


tJ H 


fci 






































































"3 


T-t 1 1 


1 r-l 1 


1 r-l 


1 ^ 




1 


<-0 




■[BjidsOH 


1 1 1 


1 1 1 


1—1 T— 1 


1 1 


1 


1 


1 


am uiiJuiureinaa 
















•pssa 


1 1 r-< 


1 1 1 


1 1 


.-< 1 


1 


1 


1 


•paAOJdtniuxi 


I- 1 --< 


1 1 --H 


1 1 


--1 1 


1 


1 


1 


saraixjOjaqranN 
















■paAOjdrai 


1 CO CM 


1 .-H 1 


CO 10 


1 -^ 


lO 


^ 


1 


sgtnixjo laqranjit 
















■pajaAooaa 


-# -' 


10 "* -:*< 


01 


CO (M 


^ 


CM 


, 


samixjo jaqranK 




















CO 


-* 


(M 


l?-1 










(S 














QO 




















o 


H 














T-T 


la 


































Oh H 




















"" ,3! 


(^l 


CO 


,_, 


,_! 


1 


,_ 


'O 


o -s 



















« 5 
















CO 


B a 


b 
















a '^ 


































D 


















^ 


■3 












1 


CD 


<n 
















a 
















a 
































H Q 
















r W 
































O H 












05 






a 

ID 
41 


s 


s 








w 



^ 




<x> 




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03 









C! 


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bO 




& 








fM 


15^ . 


cw 


w 


s 


H 





1886.] 



PUBLIC DOCUMENT — No. 23. 



63 



30. Parentage of Persons Admitted. 













Males. 


Females. 


BIllTHPLACE. 


Father. 


Mother. 


Father. 


Jlother. 


Maine, .... 










8 


9 


3 


5 


New Hampshire, . 










4 


4 


6 


7 


Vermont, 










1 


1 


2 


2 


Massachusetts, 










28 


26 


26 


24 


Rhode Island, 










- 


- 


2 


1 


Connecticut, 










2 


2 


- 


1 


Virginia, 










- 


- 


1 


2 


District of Columbia, . 










1 


1 


1 


- 


Canada, 










7 


8 


3 


5 


New Brunswick, . 










- 


- 


1 


2 


Nova Scotia, 










- 


- - 


4 


4 


Prince Edward's Island, 










- 


- 


1 


1 


England, 










6 


5 


5 


3 


Ireland, 










41 


43 


64 


64 


Scotland, 










4 


4 


3 


3 


Italy 










2 


2 


- 


- 


Sweden, 










3 


3 


1 


1 


Germany, 










7 


7 


2 


1 


Portugal, 










2 


2 


- 


- 


American, State unknown. 










7 


8 


20 


19 


Unknown, . 










14 


12 
137 


9 


9 


Totals, . 


137 


154 


154 



64 



WORCESTER LUNATIC HOSPITAL. [Oct. 



31. Subsequent History of 1,119 Persons who have been Dis- 
charged from the Hospital as Recovered on their only Admission, 
or on their last Beadmission. 





Males. 


Females. 


Total. 


Remained well and living at time of reply, . 

Remained well through life, 

Relapsed and readmitted to this hospital. 

Relapsed, admitted to other hospitals and died 
there, 

Relapsed, adnjitted to other hospitals and dis- 
charged, . 

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

Relapsed and died at home, ..... 

Relapsed and died at almshouse, .... 

Relapsed and living at almshouse, .... 

Relapsed and living at home, 

Relapsed and nothing more known, 

Suicides, ......... 

Relapsed and died in Andersonville Prison, . 


159 
112 

27 
34 

13 

48 
24 

8 
19 

9 
26 

1 

480 


145 

136 

1 

27 

32 

20 
54 
16 

3 
28 

1 

14 

_ 


.304 

248 

1 

54 

66 

33 
' 102 
40 
11 
47 
10 
40 
1 


Totals, . 

No information, . 


477 


957 
162 




480 


477 


1,119 



Residence of Private Patients Admitted to the Hospital from 
Oct. 1, 1885, to Se2)t. 30, 1886. 



TOWNS. 


No. 


TOWNS. 


No. 


Athol, . . , . ■ . 


1 


Newton, .... 




Arlington, 










1 


Northborough, . 








Boston. 










3 


Royalston,. 








Barre, . 










1 


Southborough, . 








Cambridge, 










2 


Somerville, 








Douglas, 










1 


Salem, 








Gardner, 










1 


Taunton, . 








Holliston, 










1 


Westport, N. Y., 








Hudson, 










I 


Worcester, 








Kingston, 










1 


' Wilmington, 








Lowell, 










1 


Westminster, 








Maiden, 










1 


Waltham, . 








Mil ford. 










2 


Watertown, 








Marlboroug 


1, 








1 


Wakefield, 








Medford, 










1 


Winchendon, 


















1 
1 






Northampton, 








Total, .... 


48 



Natives, 40 

Foreigners, 8 

Total, 48 



1886.] 



PUBLIC t)OCUMENT — No. 23. 



65 



Residence of Town Patients Admitted to the Hospital from 
Oct. i, 1885, to Sept. 30, 1886. 



TOWNS. 


No. 


TOWNS. 


No. 


Auburn, ..... 


1 


Maiden, .... 


1 


Ayer, . 
Athol, . 










1 

2 


Melrose, 
Northbridge, 








1 

2 


Arlington, 










2 


North Brookfiek 


1, 






2 


Boston, 

Bellingham, 

Bi'ookfield, 










14 
3 

2 


1 Northborough, 
Newton, . 
Natick, 








1 
2 
1 


Blackstone, 










3 


Oakham, . 








1 


Berlin, 
Clinton, 










1 

2 


Royalston, . 
Southborough, 








1 
2 


Cambridge, 










6 


Stow, . 








2 


Chelmsford, 










1 


Southbridge, 








1 


Charlton, 
Fitchburg, 










2 
5 


Sudbury, . 
Spencer, . 








1 
1 


Framinghan 


1, 








2 


Sutton, 








2 


Fall River, 










1 


Sturbridge, 








1 


Gardner, 
Grafton, 










1 
1 


Springfield, 
Townsend, 








1 

1 


Hopkinton, 
Hudson, 










1 
6 


Templeton, 
Taunton, . 








1 

1 


Holden, 










1 


Worcester, 








20 


Hubbardston, 








1 


Wellesley, . 








1 


Leominster, 








1 


Westborough, 








2 


Lunenbui'g, 
Leicester, 










2 
1 


Webster, . 
Warren, 








3 
3 


Lowell, 










2 


Waltham, . 








4 


Littleton, 










1 


Watertown, 








1 


Lynn, . 
Milford, 










1 

5 


Wayland, . 
Winchendon, 








1 
1 


Maynai'd, 










2 


West Brookfield, 






1 


Monson, 










1 
1 






Mendon, 




Millbury, 










2 


Total, .... 


141 



Natives, . 
Foreigners, 

Total, 



90 
51 



141 



State Patients Admitted to the Hospital from Oct. 1, 1885, to 
. Sept. 30, 1886. 



Natives, . 
Foreigners, 



60 
74 



Total, 134 



66 



VTORCESTER LUNATIC HOSPITAL. [Oct. 



PRODUCTS OF THE FARM 



Furnished to the Hospital for the Year ending Sept. 80, 1886. 



Apples, 
Asparagus, . 
Beans, shell, 
Beans, string. 
Beets, . 
Blackberries, 
Beef, . 
Cabbage, 
Corn, green. 
Carrots, 
Cauliflower, 
Celery, 
Cucumbers, early. 
Cucumbers, pickles, 
Currants, 
Cider, . 
Eggs, . 
Hay, . 

Hides, tallow, etc. 
Labor, cash for. 
Live stock, cash for, 
-Lettuce, 
Leeks, 
Melons, 
Milk, 
Okra, 
Onions, 
Peaches, 
Pears, . 
Parsnips, 
Potatoes, 
Pease, green. 
Peppers, 
Parsley, 



h for 



147 


barrels. 


474 


bunches 


65 


bushels. 


61 


bushels. 


237 


bushels. 


185 


quarts. 


7,572 


pounds. 


16,418 


pounds. 


3,076 


dozen. 


108 


bushels. 


100 


pounds. 


127 


dozen. 


18 


dozen. 


27 


bushels. 


2,318 


quarts. 


57 


gallons. 


1,042 


dozen. 


30,905 


pounds. 


$86.42 




98.19 




294.56 




366 


dozen. 


100 


dozen. 


10 


dozen. 


173,525 


quarts. 


7 


pecks. 


263 


bushels. 


15 


pecks. 


. 55 


bushels. 


282 


bushels. 


715 


bushels. 


86 


bushels. 


i 


bushels, 


u 


bushels. 



1880.] 



PUBLIC DOCUMENT — No. 23. 



67 



Pork, . 

Pigs and shotes, 

Rhubarb, 

Radishes, 

Raspberries, 

Rye, . . 

Rye straw, , 
Squash, winter. 
Squash, summer, 
Salsify, 
Spinach, 
Strawberries, 
Sage, thyme, etc., 
Tomatoes, . 
Turnips, , . 



19,604 


pounds. 


24 




4,360 


pounds. 


275 


dozen. 


224 


quarts. 


59 


bushels 


7,870 


pounds. 


15,570 


pounds. 


361 


dozen. 


14 


bushels. 


11 


bushels. 


1,258 


quarts. 


15 


bushels. 


385 


bushels. 


1 


bushel. 



68 



WORCESTER LUNATIC HOSPITAL. [Oct.'86. 



PRODUCTS OF THE FARM 

On hand Oct. 1, 1886, and not delivered at Hospital 



Apples, 

Apples, cider. 

Barley, 

Beans, shell. 

Beets, . 

Cabbage, 

Celery, 

Corn fodder. 

Corn, 

Corn, sweet. 

Carrots, 

Egg plants, . 

Hay and rowen, 

Leeks, . 

Melons, • 

Parsley, 

Peppers, 

Parsnips, 

Pears, 

Rye, . . 

Rye straw, . 

Squash, winter, 

Salsify, 

Turnips, 

Tomatoes, . 



375 


bai-rels. 


400 


bushels. 


48 


bushels. 


15 


bushels. 


150 


bushels 


9,750 


heads. 


2,000 


heads. 


50 


tons. 


750 


bushels. 


10 


bushels 


85 


bushels 


50 




250 


tons. 


850 




250 




5 


bushels 


2 


bushels 


250 


bushels 


15 


bushels 


184 


bushels 


5 


tons. 


i 


ton. 


15 


bushels 


300 


bushels 


100 


bushels 



J