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PUBLIC DOCUMENT. No. 23. 



FIFTY-FIFTH 



ANNUAL REPOET OF THE TRUSTEES 



■ ifUi^ ■ 

Worcester Lunatic Hospital, 



Tenth Annual Report of the Trustees 



WOECESTER INSANE ASYLUM AT WORCESTER, 



FOR THE YEAR ENDING SEPT. 30, 1887. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1888. 



OFFICEES OF THE HOSPITAL. 



TRUSTEES. 

ROCKWOOD. HOAR, Worcestek. 

FRANCIS C. LOWELL, Boston. 

ELLEN S. HALE, ' . . . Boston. 

FRANCES M. LINCOLN, Worcester. 

A. GEO. BULLOCK, Worcester. 

THOMAS H GAGE, Worcester. 

JOHN F. MOORS, Greenfield. 



RESIDENT OFFICERS 



JOHN G. PARK, M.D., . 
ALBERT R. MOULTON, M.D 
JOHN A. HOUSTON, M.D., 
FREDERICK H. DANIELS, M.D. 
ALFRED I. NOBLE, M.D., 
BESSIE C. EARLE, M.D., 
GEORGE L. CLARK, 
LILA J. GORDON, . 
S. JOSEPHINE BRECK, . 
HENRY S. GRAVES, 



Superintendent. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Steward. 

Matron. 

Clerk. 

Farmer. 



NON-RESIDENT OFFICERS. 



ALBERT WOOD, 
KIMBLE R. SMITH, 



Treasurer. 
Engineer. 



C0mm0ntoeHlt^ of glassacbusetfs. 



TKUSTEES' KEPORT. 



To His Excellency the Oovertior and the Ho7io7'able Council. 

The Trustees of the Worcester Lunatic Hospital respect- 
fully submit their Fifty-fifth Annual Report for the use of 
the Government, together with the reports of the Superin- 
tendent and Treasurer. Since their last annual report the 
resignation of Miss Anna S. Folsom has been tendered and 
accepted, and Mrs. Ellen S. Hale of Boston has been 
appointed and taken her place as a member of the Board. 

The Trustees deem it just to express their high apprecia- 
tion of the faithful and valuable services which Miss Folsom 
rendered to the institution, and their regret that her other 
duties seemed to her to render her resignation imperative. 

During the current year Dr. Flood resigned his position 
as assistant physician ; the two assistants remaining were 
each promoted, and Alfred I. Noble, M.D., of Boston was 
appointed to the position so left vacant. 

During an absence of the Superintendent the affairs of 
the hospital were thoroughly and excellently cared for under 
Dr. Moulton's supervision. 

We have brought to completion the work of building two 
new wards for the special care and management of the 
suicidal insane of either sex. We have named that in the 
women's department Hooper Hall, and that in the men's 
department Gage Hall. These wards are of novel design, 
and we believe them admirably suited to their purpose. 
The patients occupying them are under the constant and 



6 WORCESTEE LUNATIC HOSPITAL. [Oct. 

iininteiTupted observation of the attendants. The cheerful 
and beautiful "room in each ward in which the day is spent 
must contribute materially to the welfare of this most un- 
foi-tunate class of our inmates. For the perfection of the 
plan on which the wards are built, for the intelligent and 
watchful supervision of their construction, we would express 
our great indebtedness to our Superintendent, Dr. Park. 
It is enough to say that under him the hospital has been 
maintained this year at the high standard which has marked 
his government in the past. 

The Trustees have performed their duties in the develop- 
ment and sale of the land on Chandler Hill, which is under 
their charge. The demand for building lots steadily con- 
tinues, and the remaining land has been materially increased 
in value by the erection of dwellings on the portions sold. 

From all sales since 1874 we have received and paid into 
the State Treasury about $82,000. 

The Legislature has granted permission to the city of 
Worcester to take, for the purpose of a public park, a 
portion of the outlying land under our charge, bordering 
Shrewsbury Street, comprising twelve acres. We do not 
know whether this permission has been accepted by the city. 
Permission was also granted by the last Legislature to the 
city of Worcester to take a strip of land on the banks of 
Lake Quinsigamond, and lay out a highway on the land 
taken. If this is accepted, and the highway built, it will 
practicall}^ deprive the hospital patients of their former use 
of the lake shore for purpose of recreation, and will seri- 
ously impair the facilities for the care of patients which our 
grounds have afforded. Certain conditions were imposed 
by the General Court, upon its acceptance, which will di- 
minish somewhat the consequences involved in the act if 
these conditions are maintained and enforced. 

ROCKWOOD HOAR. 
FRANCIS C. LOWELL. 
ELLEN S. HALE. 
FRANCES M. LINCOLN. 
A. GEO. BULLOCK. 
THOMAS H. GAGE. 
JOHN F. MOORS. 



1887.] 



PUBLIC DOCUMENT — No. 23. 



OFFICERS AND THEIR SALARIES. 



John G. Park, M.D., Superintendent, . 
Albert R. Moulton, M.D., Assistant Physician, 
John A. Houston, M.D., Assistant Physician, 
Frederick H. Daniels, M.D., Assistant Physician, 
Alfred I. Noble, 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 00 






1,500 00 






1,200 00 


, 




1,000 00 






800 00 






600 00 






1,200 00 






500 00 






600 00 






1,000 00 






500 00 



VALUE OF PERSONAL ESTATE. 

September 30, 1887. 



Live stock on the farm, .... 

Produce of the farm on hand. 

Carriages and agricultural implements. 

Machinery and mechanical fixtures, 

Beds and bedding in inmates' department. 

Other furniture in inmates' department. 

Personal property of State in Superintendent's depai'tment 

Ready-made clothing, . 

Dry goods. 

Provisions and groceries. 

Drugs and mediqines, . 

Fuel, . . " . 

Library, .... 

Pipes and radiators, 



$6,539 


50 


7,191 


60 


6,849 


68 


28,044 


06 


27,911 


05 


20,773 


93 


18,607 


03 


983 83 


963 


18 


6,216 


16 


750 00 


8,367 


00 


2,200 00 


36,000 


00 



Total, $171,397 02 



WORCESTER LUNATIC HOSPITAL. [Oct. 



TKEASURER'S EEPORT. 



To the Trustees of the Worcester Lunatic Hospital. 

I herewith submit my Annual Report on the finances of 
the Worcester Lunatic Hospital for the year ending Sept. 

30, 1887. 

Receipts. 



Cash on hand Sept. 30, 1886, 

Received of the Commonwealth for support of patients, 

of cities and towns for support of patients, . 

of individuals for supjjort of patients, . 

for interest, sale of produce, etc., . 

belonging to patients, 



131,869 94 


28,924 88 


83,968 12 


36,824 78 


5,099 96 


970 70 


$187,658 33 



The expenditures for the year have been as follows : — 



Provisions. 

Flour, 

Meat of all kinds, .... 

Fish, 

Meal for cooking, .... 
Beans, potatoes and other vegetables. 

Sugar, 

Molasses and syrup, 

Tea, 

Coflfee, 

Butter, 

Cheese, 

Fresh fruits, 

Eggs, salt and other gi'oceries. 

Total for provisions {carried forward) 



$5,415 


75 


10,163 


57 


2,278 


73 


483 


26 


2,912 88 


2,766 


81 


474 73 


598 00 


1,494 


13 


9,071 


04 


578 


70 


457 


55 


6,061 


70 



^756 85 



1887.] PUBLIC DOCUMENT 


— No. 


23. 


9 


Amount brought forward, $42,756 85 


Salaries and wages, 












49,903 60 


Gi'ain, 












372 90 


Meal for stock, 












1,546 30 


Furniture, .... 












178 27 


Crockery and glass, 












485 36 


Tinware, .... 












233 60 


Bedding and beds, . 












661 31 


Straw, 












115 48 


Furnishings, miscellaneous, . 












2,316 05 


Tools, 












172 00 


Lights, 












3,343 70 


Water, ..... 












2,783 55 


Fuel, . . 












11,394 51 


Soap, 












1,372 86 


Medical supplies, . 












727 17 


Live stock, .... 












1,984 75 


Carriages, harnesses, etc., 












315 16 


Blacksmithing, 












314 13 


Plants and seeds, .... 












148 38 


Hardware, .... 












186 42 


Lumber, 












731 35 


Paints, oils, etc., 












950 44 


Pipe and fittings, . 












1,482 30 


Lime, cement, etc., 












150 10 


Repairs, ordinary, . 












2,235 25 


Fertilizers, .... 












926 90 


Stationery, .... 












265 41 


Postage, 












202 60 


Transportation, 












478 17 


Travelling, .... 












152 43 


Trustees' expenses. 












71 54 


Miscellaneous, 












3,080 04 


Labor, 












1,001 52 


Clothing and men's furnishings, 












4,036 91 


Dry goods, women. 












1,475 13 


Dry goods, house, . 












2,204 29 


Boots and shoes, . 












1,245 49 


Undertaking, .... 












216 00 


Total current expenses, 


1142,218 22 


Interest and money refunded. 








$113 62 


Refunded to patients. 








940 16 


Extraordinary improvements, 








19,529 15 






20,582 93 




Total expenses, 


$162,801 15 


Cash on hand Sept. 30, 1887, 












24,857 18 



)7,658 33 



10 WORCESTER LUNATIC HOSPITAL. [Oct. 



Resources. 

Cash on hand, $24,857 18 

Due from the Commonwealth, 5,654 49 

cities and towns, 19,605 92 

cities and towns, previous quarter, . . . 281 94 

individuals, 9,842 44 

Total resources, 160,241 97 

Liabilities. 

Due for supplies and improvements, . . |7,526 33 

for salaries and wages, .... 4,147 22 

to patients, 1,079 27 

on contract for new ward, East side, . 500 00 

13,252 82 



Total surplus, $46,989 15 

Respectfully submitted, 

ALBERT WOOD, 

Treasurer. 
October 1, 1887. 



HOSPITAL LIBRAEY FUND. 



Lewis Fund. 

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

Received dividends, 70 00 

Total, $72 44 

Expended for books, $66 91 

Cash on hand Sept. 30, 1887, 5 53 

$72 44 

Wheeler Fund. 

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

Received dividends, . • 192 56 

Total, $3,139 87 



1887.] 



PUBLIC DOCUMENT — No. 23. 



11 



Expended for books, 

Cash on hand Sept. 30, 1887, 



$234 22 
2,905 65 



$3,139 87 



Lewis Fund Investment. 



Springfield bond, . 

Cash on hand Sept. 30, 1887, 



$1,300 00 
6 63 



Wheeler Fund Investments. 



Seven Shares Central National Bank, . 
Six Shares Worcester National Bank, . 

Savings Banks, 

Cash on hand Sept. 30, 1887, 



$980 00 

780 00 

2,865 33 

40 32 

15,971 18 



LAND ACCOUNT. 



Cash on hand Sept. 30, 1886, 
Received from sale of land, 
from interest, . 



Total, 



Expenditures. 



Plans and surveys, . 

Deeds, 

Commissions, . . . . 
Remitted to State Treasurer, 

Total expenses, . 
Cash on hand Sept. 30, 1887, . 



$311 00 

50 00 

120 00 

4,000 00 

H,481 00 
914 33 



Received fi-om sale of land and interest since July 30, 1874, 

Sent to State Treasurer, .... $81,805 29 
Expenses building streets, commissions, etc., 8,569 73 



Cash on hand. 



),375 02 
914 33 



$450 25 

4,904 18 

40 90 

^5,395 33 



15,395 33 
)1,289 35 



)1,289 35 



Am,ount carried forward. 



$91,289 35 



12 WORCESTER LUNATIC HOSPITAL. [Oct. 

Amou7it brought forward, |91,289 35 

Due from sales, deeds not yet taken, . . $3,230 67 

For expenses building street, . . . 1,742 40 

1,488 17 

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

at the State Treasurer's office, ..... 58,883 26 



$151,660 78 
Respectfully submitted, 

ALBERT WOOD, 

Treasurer. 

Worcester, Mass., Oct. 29, 1887. 
The undersigned has carefully compared the Treasurer's statement of expendi- 
tures for the year ending Sept. 30, 1887, 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 marljet 
value; and he has compared the statement of expenditui'es in the land account with 

the vouchers, and found it correct. 

THOMAS H. GAGE, 

Auditor of Accounts. 



1887.] PUBLIC DOCUMENT — No. 23. 13 



SUPERmTENDENT'S KEPORT. 



To the Trustees of the Worcester Ltmatic Hospital. 

I present herewith the Fifty-fifth Annual Report of the 
hospital, with the usual statistical tables giving a detailed 
account of the movement of population and the operations 
of the institution for the past year. 

There were remaining in the hospital Sept. 30, 1886, 758 
patients, — 363 males and 395 females. The number of 
admissions during the year has been 315, representing 299 
persons, — 155 males and 144 females ; making the whole 
number of cases under treatment 1,073. The daily average 
population has been 719.64. The largest number on any 
one day was 793 on December 2, and the smallest number 652 
on July 22. Of this number 16 have been re-admissions, 
and the following transfers have been made from other insti- 
tutions : From State Prison, 9 males ; from Massachusetts 
reformatories, 5 males and 3 females ; from Dedham Jail, 
1 male ; from Worcester House of Correction, 1 male ; from 
Deer Island, 2 females ; from the Worcester Insane Asylum, 
1 female. The number discharged has been 379, — 215 
males and 164 females. Of this number 74 recovered, of 
whom 6 had previously been inmates of this hospital and 
been discharged as recovered — 1 fourteen times, 1 twice, 
and 4 once each — the 6 persons representing 20 recoveries ; 
39 were discharged much improved, some of whom undoubt- 
edly made a complete recovery afterwards; 51 improved; 
144 not improved, including 106 cases transferred by the 
Board of Lunacy and Charity to the Westborough Hospital, 
the State Farm at Bridge water, Tewksbury Almshouse, and 
the Worcester Asylum; 61 (35 males and 26 females) died. 
The amount of acute disease has been very small, and most 



14 WORCESTER LUNATIC HOSPITAL. [Oct. 

of the deaths have been the result of exhaustion attendmg 
chronic brain disorders. The large transfers of 42 to the 
new Westborough Hospital and 66 to the State Farm ac- 
count for the marked decrease in our daily average for the 
year. Two cases of measles were brought to the hospital, 
but the spread of the disease through the house was pre- 
vented by careful isolation. 

The number sent to Bridge water was made up of criminals, 
and those who were known to have led vicious lives before 
they were insane. Unfortunately only those of the criminal 
class who were considered quiet and harmless were removed, 
leaving with us those whose discharo-e is most desirable. 

Under the law authorizing the State Board of Lunacy and 
Charity to board in private families certain classes of the 
insane, 2 have been removed, and 1 returned. In accord- 
ance with the provisions of Chapter 339 of the Acts of 1885, 
known as the habitual drunkards' law, 11 persons, 8 males 
and 3 females, have been sent here. The objectionable 
features of this law were pointed out and discussed at some 
length in my last report. The experience of another year 
only serves more fully to convince me that it fells far short 
of accomplishing the object for which it was intended. 

The committee on Public Charitable Institutions of the 
last Legislature gave the subject consideration after a public 
hearing, but failed to make any favorable report for the 
establishment of an inebriate asylum. I was particularly 
struck with the fact that at this hearing not a single peti- 
tioner personally interested in such an institution appeared 
before the committee to urge a favorable report. Such 
being the case it is not surprising that the committee should 
come to the conclusion that there appeared no pressing 
public necessity for providing such an establishment at an 
expense of $100,000, and it may be considered useless to 
press this matter further if the friends and relatives of those 
who are afflicted with this deplorable disease are content to 
leave the petition for suitable provision for their recovery 
and reformation to the superintendents of the State hospitals 
and prisons, who are chiefly interested in the subject in their 
official capacity. 

Since my last report the two new wards, Hooper and 



1887.] PUBLIC DOCUMENT — No. 23. 15 

Gage Halls, have been completed, furnished and occupied. 
As before stated they are intended for observation wards, 
and in their construction the sole object of securing accom- 
modations where a constant oversight of the occupants 
could be had was kept in view. The rooms are light, airy, 
painted in harmonious colors, and as cheerful as the nature 
of the malady of the persons who occupy them will admit. 
They will, as now used, accommodate 50 patients, and were 
built at a cost of $30,000. The new general hospital at 
Antwerp has eight circular wards, and I believe one or 
two other similar institutions have them in whole or in 
part, but so far as I know this is the only hospital for the 
insane where this plan has been adopted. It is a note- 
worthy departure from the usual style of hospital archi- 
tecture, and affords an opportunity for a better classification 
of the patients. 

Experience is constantly suggesting new methods of hos- 
pital construction, and a departure from the old time com- 
pact linear design is now the rule rather than the excep- 
tion. I am more convinced each year, however, that to 
produce the best results in the treatment of the insane, or 
at least better results than we now attain, something else 
is required than mere change in the style of building. We 
hear frequently of hospitals being ' ' homelike " — speaking 
entirely in reference to State hospitals. I confess I never 
have seen one to which this word in the ordinary accepta- 
tion of the term could be truthfully applied. A ward may 
be cheerful and sunny and comfortable ; there may be pic- 
tures and carpets and musical instruments ; the tables may 
be covered with books, and the walls painted in pleasing 
colors ; the occupants of this ward may be happy and 
reasonabl}'^ contented, but I have never heard one of them 
ever say that it reminded him of home. Thirty to sixty 
persons do not live in one room during the day-time at 
home, or go out to walk together, or have their meals 
prepared for them, or have entertainments furnished in 
chapel or amusement hall once or twice a week ; nor are the 
members of a family constantly changing like the household 
of a hospital ; neither is a home composed of people kept 
there against their will. We do not speak of a lar bote 



16 WOECESTEE LUNATIC HOSPITAL. [Oct. 

or an ocean steamer as homelike, yet I think it would be no 
more inappropriate to do so than to apply the term to a 
hospital ward. If added to pleasant and attractive sur- 
roundings we could secure a more complete separation of 
the chronic and acute cases of insanity, I believe we should 
be able to increase the percentage of recoveries, and add to 
the comfort of the acute cases in the hospital. The problem 
of providing for the constantly increasing number of the 
chronic insane has not yet been solved in our State. It 
is no relief, except numerically, to a crowded hospital to 
remove the quiet and harmless incurables, yet whenever a 
transfer is to be made this is the class which is called for 
with tiresome iteration by the agent of the Board of Lunacy 
and Charity. It is the noisy and violent and vulgar, who 
from two to twenty years have torn and broken, and been 
profane and untidy, both night and day, and whom no sys- 
tem of medicine can possibly cure, who do so much to retard 
and prevent the recovery of the recent cases. Each of the 
State hospitals probably has from forty to seventy of such 
patients. An acute case of excitement placed in a ward with 
this class oftentimes acquires by contact and association the 
habit of being noisy and untidy, and by imperceptible steps 
passes into the incurable stage, or through a long and tedious 
period of convalescence. This unwholesome and baneful 
influence is not counteracted by paint or picture or carpet, 
or other means of cheer and comfort in the ward itself; it 
can only cease with the removal of the cause. 

Every man in the State, whatever limitations he is willing 
to confess there may be to his abilities in other directions, is 
perfectly sure he knows how to farm. Believing that those 
who read this report will be interested in this department 
of the hospital, the farm account for the year is herewith 
appended. An examination of it will show that the farm is 
given credit only for what is delivered for consumption at 
the hospital and for cash sales, and is charged with every- 
thing paid out or furnished on its account. I believe this is 
a simple and the only way of determining the profit or loss 
in its management. Looking at it in this light the year 
appears to have been a successful one, and the result credi- 
table to the farmer. 



1887.] PUBLIC DOCUMENT — No. 23. 17 

By an act of the last Legislature the name of the Asylum 
for the Chronic Insane was changed to the Worcester Insane 
Asylum. The difference in meaning between the words 
asylum and hospital is so small the general public do not 
understand it, — in fact, use the two words interchange- 
ably, — the consequence is confusion in the correspondence 
of the two institutions. Scarcely a day passes that letters, 
bills, and goods are not sent to the wrong place, causing 
great inconvenience and a serious obstacle to the prompt 
transaction of the business of this hospital. It is ceratinly 
unfortunate that if a change was to be made a name had 
not been selected for that institution which is not practi- 
cally identical with this. 

The donations to the hospital during the year have been 
a large number of rare and valuable green-house plants from 
Mrs. Mar}^ S. F. Dunn, newspapers from the Hospital 
Newspaper Society, and a copy of the Worcester Evening- 
Gazette. 

In November, Dr. Everett Flood, after live years of 
faithful service, resigned his position to engage in private 
practice. Dr. Alfred I. Noble was appointed to complete 
the number of the Medical Staff, and entered upon his duties 
December 11. 

There have been no other changes in the corps of officers. 
I wish to acknowledge my indebtedness to them, and to the 
employees in the various departments, for their co-opera- 
tion and assistance, without which any attempt to achieve 
success in the management of the institution would be 
useless. 

Your frequent visits during the year have made you 
familiar with the details of administration and the methods 
used for the cure, and where that is impossible, for the com- 
fort of this most unfortunate class of the State's defectives. 
The suggestion and advice and personal support which I 
receive from your Board do much toward lightening the bur- 
den of care and responsibility which rests upon the Super- 
intendent. 

JOHN G. PARK, 

Siiperintendent. 

Worcester Lcnatic Hospital, November 1, 1887. 



STATISTICAL TABLES. 



STATISTICAL TABLES. 



I. General Statistics of the Year. 





Males. 


Females, 


Totals. 


Patients in the hospital Sept. 30, 1886, 


363 


395 


758 


Admissions within the year. 


168 


147 


315 


Whole number of cases within the year. 


531 


542 


1,073 


Discliarges within the year, .... 


215 


164 


37:9 


Viz. : as recovered. 








45 


29 


74 


much improved, 








24 


15 


39 


improved. 








21 


30 


51 


unimproved, . 








85 


59 


144 


not insane, 








2 


2 


4 


Eloped, .... 








2 


" 


2 


On visit. 








1 


o 


4 


Deaths, .... 








35 


26 


61 


Patients remaining Sept. 30, 1887, 


316 


378 


694 


Supported as State patients, 




80 


65 


145 


town patients, 




184 


238 


422 


23rivate patients. 




52 


75 


127 


Number of persons within the year, 




518 


539 


1,057 


admitted, .... 




155 


144 


299 


recovered, 




45 


29 


74 


Daily average number of patients, 




346.85 


372.79 


719.64 



2. Monthly Admissions, Discharges and Averages. 



MONTHS. 


Adhissions 


Discharges 

(inchiciing Deaths, 

Elopements and 

Visits). 


Daily Average op Patibnw 
IN THE House. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe 


Tot. 


Ma. 


Fe. 


Tot. 


1886. 

October, 


22 


21 


43 


i 

! 15 


8 


23 


368.22 


400.32 


768.54 


November, . 


14 


13 


27 


8 


7 


15 


373.23 


408.56 


781.79 


December, . 


18 


6 


24 


24 


37 


61 


372.90 


390.00 


762.90 


1887. 

January, 


10 


12 


22 


15 


30 


45 


369.35 


378.41 


747.77 


February, 


8 


o 


11 


14 


13 


27 


361.17 


357.00 


718.17 


March, . 


8 


9 


17 


12 


13 


25 


358.12 


354.32 


712.45 


April, . 


11 


10 


21 


7 


4 


11 


356.93 


353.16 


710.09 


May, 


9 


10 


19 


18 


8 


26 


350.83 


358.70 


709.54 


June, . 


10 


10 


20 


51 


10 


61 


333.66 


358.90 


692.63 


July, . . 


16 


12 


28 


32 


7 


39 


304.87 


360.32 


665.29 


Au,gvist, 


26 


27 


53 


7 


8 


15 


296.22 


371.29 


667.51 


September, . 


16 


14 


30 


13 


18 


31 


316.60 


382.46 


699.06 


Total cases, . 


168 


147 


315 


216 


163 


379 


346.85 


372.79 


719.64 


Total persons. 


155 


144 


299 


214 


160 


374 


- 


- 


- 



22 



WOKCESTER LUNATIC HOSPITAL. [Oct. 



8. Received on. First and Subsequent Admissions. 







Cases Admitted. 


Times PRf;viousLY 
Eecovered. 


NUMBER OF THE AUMISSIO.NS. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 


139 


118 


257 








Second, . 




18 


19 


87 


7 


6 


13 


Third, . 




7 


6 


13 


6 


6 


12 


Fifth, . 




2 


_ 


2 


4 


_ 


4 


Sixth, . 




1 


— 


1 


5 


_ 


5 


Eighth, . 




_ 


1 


1 


— 


3 


3 


Eleventh, 




1 


_ 


1 


9 


_ 


9 


Twelfth, 




_ 


1 


1 


_ 


7 


7 


Sixteenth, 




- 


1 


1 


- 


14 


14 


Seventeenth, 




- 


1 


1 


- 


15 


15 


Total cases. 


168 


147 


315 


31 


51 


82 


Total persons, . 


155 


144 


299 


— 


— 


— 



4. Ages of Persons Admitted for the First Time. 









At First Attack of 
Insanity. 


When Admitted. 


AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


ToUls. 


Fifteen j^ears and less, . 


2 


5 


7 




1 


1 


From 15 to 20 years, 






3 


9 


12 


3 


8 


11 


20 to 25 years. 






9 


11 


20 


18 


15 


33 


25 to 30 years, 






14 


12 


26 


18 


15 


33 


30 to 35 years. 






13 


11 


24 


12 


15 


27 


35 to 40 years, 






18 


13 


31 


23 


12 


35 


40 to 50 years. 






20 


18 


38 


28 


27 


55 


50 to 60 years. 






14 


14 


28 


19 


8 


27 


60 to 70 years, 






8 


5 


13 


10 


13 


23 


70 to 80 years, 
(3ver 80 years. 






3 
3 


2 




3 


5 
3 


4 


9 
3 


Unknown, . 






32 


18 


50 


- 


- 


- 


Totals, . 






139 


118 


257 


139 


118 


257 



1887.] 



PUBLIC DOCUMENT — No. 23. 



23 



5. Residence of Persons Admitted. 



PLACES. 


Males. 


Females, 


Totals 


Massachusetts, — 

Essex County, 




1 


1 


Middlesex County, .... 


25 


26 


51 


Norfolk County, .... 


2 


2 


4 


Suffolk County, 


49 


U 


93 


Worcester County, .... 


79 


71 


150 


Totals, 


156 


144 


299 



6. Civil Condition of Persons Admitted. 





DiVOKCED. 


Un'jiarried. 


Maekied. 


^yIDo^vED. 


Unknowx. 


NXJMI5EK OF THE 




I 
























ADMISSIONS. 


■3 



■3 

a 
Si 


E-t 


It 


Si 





s 


■3 
g 


3 



_o 





■3 




"3 



First, 


- 


3 


3 


64 


43 


107 


65 


47 


112 


8 


25 


33 


2 


- 


2 


Second, . 


- 


- 


- 


3 


6 


9 


4 


8 


12 


- 


3 


3 


- 


- 


- 


Third, . 


- 


- 


- 


2 


2 


4 


3 


2 


5 


- 


2 


2 


- 


- 


- 


Fifth, . 


- 


- 


- 


2 


- 


2 


- 


- 


- 


- 




- 


- 


- 


- 


Sixth, . 


- 


- 


- 


1 


- 


1 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Eighth, . 


- 


- 


- 


- 


1 


1 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Eleventh, 


- 


- 


- 


- 


- 


- 


1 


- 


1 


- 


- 


- 


- 


- 


- 


Twelfth, 


- 


- 


- 


- 


- 


- 


- 


1 


1 


- 


- 


- 


- 


- 


- 


Sixteenth and 
Seventeenth, 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


1 


1 


- 


- 


- 


Totals, . 


- 


3 


3 


72 


52 


124 


73 


58 


131 


8 


31 


39 


12 
i 


- 


2 



24 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Occupations of Persons Admitted. 



OCCUPATIONS. 


Males. 


Females. 


Totals. 


Broker, 


1 


_ 


1 


Bootmaker, . 








11 


- 


11 


Blacksmitli,. . 








3 


- 


3 


BookkceiDer, . 








6 


- 


6 


Clerk, .... 








3 


- 


3 


CariDenter, 








7 


- 




Cabinet-maker, 








1 


- 




Cobbler, 








1 


- 




Copyist, 








- 


1 




Card-maker, . 








1 


- 




Cm-rier, . . . . 








1 


- 




Clergyman, . 








1 


- 




Domestic, 








- 


31 


31 


Dressmaker, . 








- 


1 




Dyer, . 








2 


- 




Engineer, 










- 




Editor and teacher. 










- 




Express Agent, 










- 




Foreman in R. R. freigl 


it house, 








- 




Farmer, . 








12 


- 


12 


Floor manager, 










- 




Grocer, . 










- 




Horse-car conductor, 










- 




Herdie driver. 










- 




Hat finisher, . 










- 




Hostler, . 








2 


- 


2 


Housekeeiier, 








- 


55 


55 


JcAveller, 








2 


- 


2 


Knitter, . 








1 


- 


1 


Laborer, 








26 


- 


26 


Longshoreman, 








1 


- 


1 


Lumber dealer, 








1 


- 


1 


Leather dealer. 








1 


- 


1 


Carriexl fo7'2vard. 


93 


88 


181 



1887.] 



PUBLIC DOCUMENT — No. 23. 



25 



7. Occupations of Persons Admitted — Concluded. 



OCCUPATIONS. 


Hales. 


Females. 


Totals. 


Brought forward, . 






93 


88 


181 


Lawyer, .... 






1 


- 




Merchant, 








1 


- 




Musician, 










1 


- 




Machinist, 










5 


- 


.5 


Mason, . 










1 


- 




Miner, . 










1 


- 




Mechanic, 










1 


- 




Nurse, . 










- 


9 


2 


Operative, 










10 


9 


19 


Publisher, 










1 


- 


1 


Paper-maker, 










2 


- 


2 


Painter, . 










5 


- 


5 


Printer, . 










3 


- 


3 


Reporter, 










1 


- 




Seamstress, . 










- 


1 




Student, 










1 


3 




Steam and gas pip 


e fitter, 








1 


- 




Stone cutter, . 










1 


- 




Spectacle maker, 










1 


- 




Travelling agent, 










1 


- 




Tailor, . 












- 




Tramp, . 










1 


- 




Teacher, 










- 


1 




Vagrant, 










1 


- 




Varnisher, 










1 


- 




Waiter, . 










1 


- 




Wire Avorker, 










3 


- 


3 


No occupation. 










11 


34 


4,5 


Unknown, 










4 


6 


10 


Totals, . 


1.55 


144 


299 



26 



WORCESTER LUNATIC HOSPITAL. [Oct. 



8. Reported Duration of Insanity before Last Admission. 





FlKST 
ANY 


Admission to 
hosi'ital. 


1 All Othee 
1 Admissions. 


Totals 




TKEVIOUS DURATION. 






















Ma. 


Fe. 


Tot 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Under 1 montli, 


26 


12 


38 


9 


7 


16 


35 


19 


54 


From 1 to 3 months, 


16 


19 


35 


1 


4 


5 


17 


23 


40 


3 to 6 months. 


10 


15 


25 


6 


4 


10 


i 16 


19 


35 


6 to 12 months. 


16 


12 


28 


5 


3 


8 


21 


15 


36 


1 to 2 years, . 


20 


8 


28 


5 


7 


12 


25 


15 


40 


2 to 5 3-ears, . 


14 


12 


26 


5 


12 


17 


19 


24 


43 


5 to 10 years, . 


6 


15 


21 


5 


4 


9 


11 


19 


30 


10 to 20 years, . 


9 


1 


10 


4 


4 


8 


13 


5 


18 


Over 20 yea,rs, . 


2 


3 


5 


4 


2 


6 


6 


5 


11 


Unknown, . 


4 


3 


7 


1 


- 


1 


5 





8 


Total of cases, . 


123 


100 


223 


45 


47 


92 


!168 


147 


315 


Total of persons, 


123 


100 


223 


32 


44 


76 


155 


144 


299 


Averao-e of known 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


eases, 


47.22 


46.22 


46.77 


45.63 


42.86 


44.22 


46.79 


45.15 


46.02 



9. Form of Disease in Cases Admitted. 



FOR.M OF DISEASE. 


Males. 


Females. 


Totals. 


Mania, acute, 


43 


28 


71 


chronic, ...... 


32 


31 


63 


recurrent, . . . . ' . 


4 


3 


7 


puei-peral, 

Melancholia, acute 


23 




22 


3 

45 


chronic, ..... 


3 


20 


23 


puerperal, .... 
Dementia, primarj^ ..... 


1 


2 
1 


2 

2 


secondaiy, ..... 
senile, 


3 
10 


5 
5 


8 
15 


organic (tumors, hemorrhages. 








etc.), . . . . . 


9 





12 


General paralysis of the insane, . 


6 


2 


8 


Epilepsy, 

Toxic insanity (alcoholism, morphine, etc.). 
Congenital mental deiiciency, idiocy, . 

imbecility, . 
Habitual drunkard, 


6 
15 
1 
2 
8 


5 
10 
1 
3 
3 


11 

25 

2 

5 

11 


Not insane, ....... 


2 


- 


2 


Totals, 


168 


147 


315 



1887.] 



PUBLIC DOCUMENT — No. 23. 



27 



10. Probable Causes of Insanity in Persons Admitted. 





Patients | 


p 


{EYIOUS 


Hereditary 


CAUSES. 


A] 
Ma. 


J JUTTED. 


A 


rTACKS. 


PUEDISPOSITION. 




Fe. 


Tot. 


Mil 


Fe. 


Tot. 


Ma. 


Fc. 


Tot. 


Apoplexy, .... 
Abuse, .... 


3 


3 

1 


6 

1 


- 


1 


1 


- 


1 


1 


Business ti'oubles. 


1 


- 


1 


1 


- 


1 


- 


- 


- 


Congenital, 


1 


3 


4 


- 


- 


- 


- 


1 


1 


Chorea, .... 


- 


1 


1 


- 


- 


- 


- 


- 


- 


Cerebral tumor, 


- 


1 


1 


- 


- 


■- 


- 


- 


_ 


Excessive mental labor, . 


1 


4 


5 


1 


1 


2 


- 


1 


1 


Epilepsy, .... 


6 


5 


11 


- 


1 


1 


- 


1 


1 


Exposure, .... 
Fright, .... 


1 


2 


1 

2 


— 


~ 


— 


— 


1 


1 


Family trouble, . 

Grief, 


1 


10 
6 


14 

7 


1 


4 
o 


5 
3 1 


1 


2 


3 


General paralysis. 


6 


2 


8 


- 


- 




1 


- 


1 


Heredity, .... 


20 


17 


37 


6 


(3 


12 ! 


20 


17 


37 


Ill health, . . . . 


1 


9 


10 


1 


1 


2 1 


- 


3 


3 


Injury to head, . 


1 


1 


2 


- 


1 


1 


- 


- 


- 


Intemperance, . 

Idiocy, .... 

Imbecility, 

Jealousy, .... 


30 
1 


9 
1 
3 

1 


39 
1 

b 

2 


11 


2 

1 


13 

- i 

1 ! 


1 


1 
1 


2 
1 


Lactation, .... 


_ 


1 


1 


— 


_ 


■ _ 


— 


— 


_ 


Masturbation, . 


2 


— 


2 


— 


— 


— 


1 


— 


1 


Miscarriage, 


- 


2 


2 ' 


- 


- 


- 


- 


2 


•> 


Neurasthenia, . 


— 


1 


1 


— 


- 


_ 


— 


— 


— 


Nostalgia, .... 


- 


1 


1 


- 


_ 


- 


- 


- 


- 


Overwork, .... 


4 


1 


5 


1 


_ 


1 


— 


— 


— 


Opium habit. 


- 


1 


1 


- 


1 


1 


1 - 


- 


- 


Overwoi-k and anxiety, 


- 


2 


2 


- 


1 


1 


- 


- 


- 


PuerjDeral, .... 
Pneumonia, 


1 


5 


5 

1 


- 


1 


1 


- 


1 


1 


Religious excitement. 


2 


5 


7 


- 


2 


^ 


_ 


- 


- 


Senility, .... 
Syphilis, . . . . 
Sunstroke, .... 


10 

2 
4 


5 


15 

2 
4 


- 


1 


1 


- 


1 


1 


Scarlet fever, 


1 


— 


1 


_ 


— 


— 


— 


_ 


— 


Typhoid fever, . 
Turn of life. 


1 


8 


1 

8 


- 


3 


3 


- 


- 


- 


Utexine trouble. 


- 


2 


2 


- 


1 


1 


— 


— 


— 


Worry, . . . . 


2 


3 


5 


- 


1 


1 


_ 


— 


— 


Unknown, . . . . 


39 


25 


64 


10 


13 


23 


- 


- 


- 


Not insane. 


2 


- 


2 


- 


- 


— 


_ 


— 


— 


Habitual drunkard, . 


8 


3 


11 


1 


- 


1 


1 


1 


9 


Totals, . . . 


156 


144 


299 


33 


45 


78 


25 


34 


.o9 



•28 



WOKCESTER LUNATIC HOSPITAL. [Oct. 



11. Relation to Hospitals of Persons Admitted. 



IIOSriTAL RELATIONS. 


Mules. 


Females. 


Totals. 


First admission to any hospital for insane, 
P'ormer inmates of this hospital and no other 
Former inmates of this and other hospitals, 
Former inmates of other hospitals in this Sta1 

Tannton, ...... 

Danvers, ...... 

Westborong'h, 

Boston, ...... 

McLean and hospital in Ohio, . 

Tewksbur}^ and Worcester As3"lnm, 

Herbert Hall, 

Butler, R. I., 

Keene, N. H., 

Concord, N. H., 

Montreal, ....... 

Flatbush and Bloomingdale, N. Y., 
Hospital in Wisconsin and Boston, 
Xapa, Cal., 


.e : — 




124 

14 

2 

3 

7 

1 

1 

1 
1 

1 


100 

24 
2 

2 
4 
1 
4 


224 
38 

4 

5 
11 

5 


Totals, 






155 


144 


299 



12. Hon- Supported. 





Patiknts Admittkd. 


AVKHAGK OF THli 


yEAii. 


surroiiTKi) AS 


Male«. 


Kinnles. 


Total. 


Miles. 


Females. 


Totals. 


State jiatients, 
Town patients, . 
Private patients, . 


83 
48 
24 


70 
48 
26 


153 

96 

1 

50 


100.25 

197.53 

49.07 


51.79 

247.87 

73.13 


152.04 
445.40 
122.20 


Totals, . 


155 


144 


299 


346.85 


372.79 


719.64 



1887.] PUBLIC DOCUMENT — No. 23. 



29 









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First, 
Second, . 
Third, . 
Fourth, . 
Fifth, . 
Seventh, . 
Sixteenth, 


Total cases. 
Total i^ersons 



30 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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PUBLIC DOCUMENT — No. 23. 



31 













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32 



WORCESTER LUNATIC HOSPITAL. [Oct. 



16. Cases Discharged by Recovery or Death. 



FORM OF IXSAXITY. 



llECOVEKIES. 



Males. Females 



Mania, acute, 

clironic, 
recurrent, . 
puer23eral, . 

Melancholia, acute, 

clironic, 

Dementia, secondary, 
senile, . 
oro^anic, 



General paralysis of the in- 
sane, . . . . . 



Epilej^sy, 
Toxic insanity, 
Totals, . 



18 
o 

2 



13 



45 



12 
1 

2 
2 

5 

9 



29 



30 
■1 
4 

2 

13 



18 



74 



2 
16 



26 





17. 


Causes of Death. 








CAUSES. 


Males. 


Females. 


Totals. 


Exhaustion of mania, acute, 


2 


1 


3 


chronic. 




3 


4 


7 


toxic, . 




- 


1 


1 


dementia, senile, 




6 


3 


9 


organic, . 




4 


1 


5 


secondary, 




1 


— 


1 


secondary dementia and p 


neumonia. 


- 


1 


1 


General paralysis of the insane, 




7 


- 


7 


Organic dementia and heart disease, 




— 


1 


1 


Epilepsy, 




5 


- 


5 


Apoplexy, 




1 


2 


3 


Heart disease, 




2 


1 


3 


Hemorrhage from rupture of liver. 




1 


_ 


1 


Congestion of brain from acute mania. 




1 


_ 


1 


Phthisis, 




2 


3 


5 


Aiicemia, . 








— 


1 


1 


Bright's disease. 








_ 


1 


1 


Pneumonia, 








— 


3 


3 


Chronic diarrhoea, 








_ 


1 


1 


Erysipelas, 








- 


1 


1 


Gastritis, . 








- 


1 


1 


Totals, . 








35 


26 


61 



1887.] 



PUBLIC DOCUMENT — No. 23. 



33 



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34 



WOECESTER LUNATIC HOSPITAL. [Oct. 



19. Recoveries., Classified by Results of Previous Admissions. 



NUMBER OF 


THE 






Recovered. 


Improved. 


Totals. 


ABMISSIOKS. 


Ma. 


Fe. 


Tot. 


Ma. Fe 


Tot. 


Ma. 


Fe. 


Tot 


First, . 

Second, 

Third, . 

Fourth, 

Kfth, . 

Sixth, . 

Seventh, 

Eighth, 

Ninth, . 

Tenth, 

Eleventh, 

Twelfth, 

Thirteenth, 

Fourteenth, 

Fifteenth, 

Sixteenth, 










2 
1 


2 


4 

2 


1 1 

- ^ 2 

— — 


2 

2 


3 

1 


3 

3 


6 
4 


Totals, 










3 


17 


20 


1 i 3 


4 


4 


20 


24 



20. Deaths., Classified by 


Duration of Insanity and o 


/ Treatment. 


PERIOD. 


Duration of In 


SANITY. 


Whole Known Period of 
Hospital Residence. 




Males. 


Females. 


TotHlS, 


Males. 


Females. Totals. 


Under 1 month, . 








4 


3 


7 


From 1 to 3 months. 






1 


O 


4 


<■ 


2 


9 


3 to 6 months. 






2 


1 


o 


3 


1 


4 


6 to 12 months. 






3 


- 


g 


o 


2 


5 


1 to 2 years, 

2 to 5 years. 






4 
9 


1 

4 


5 
13 


4 

4 


2 
6 


6 
9 


5 to 10 years, 
10 to 20 years, 






2 
8 


4 

2 


6 
10 




5 


9 


14 
5 


Over 20 years. 






4 


5 


9 


- 


2 


2 


Unknown, 






2 


6 


8 


- 


- 


- 


Totals, . . ... 


35 


26 


61 


35 


26 


61 




mos. 


mos. 


mo.;. 


mos. 


mos. 


mos. 


Average of known cases, 


101.30 


159.55 


123.17 


46.17 


79.34 


60.31 



1887.] 



PUBLIC DOCUMENT — No. 23. 



35 



21. Ages of those icJio Died. 





At Time 


OF FiKST Attack. 


At Time of Death. 


AGES. 














Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Under 15 years, 




1 


2 


3 


- 


- 


- 


From 15 to 20 years, 




2 


- 


2 


- 


1 


1 


20 to 25 years, 




3 


2 


5 


2 


2 


4 


25 to 30 years. 




3 


2 


5 


2 


1 


3 


30 to 35 years. 




4 


3 


7 


5 


- 


5 


35 to 40 years, 




5 


3 


8 


1 


1 


2 


40 to 50 yeai's. 




4 


2 


6 


6 


5 


11 


50 to 60 years, 




3 


1 


4 


6 


2 


8 


60 to 70 years. 




4 


4 


8 


6 


9 


15 


70 to 80 years. 




2 


2 


4 


4 


4 


8 


Over 80 years, 




3 


- 


3 


3 


1 


4 


Unknown , 




1 


5 


6 


- 


- 


- 


Totals , . 


35 


26 


61 


35 


26 


61 



22. Number of Convicts Admitted to the Hospital from its 
Opening, Jan. 19, 1833, to Sept. 30, 1887. 





Males. 


Females. 


Totals. 


Number tipon first admission. 
Number upon re-admission, ... 


435 
49 


91 

8 


526 

57 


Totals, 


484 


99 


583 



36 



WOKCESTER LUNATIC HOSPITAL. [Oct. 









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1887.] 



PUBLIC DOCUMENT — No. 23. 



37 



1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 CO 


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38 



WOECESTEE LUNATIC HOSPITAL. [Oct. 



s 






^ 



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rumaining of each 
Ybak's, Admissions 
Sei't. 30, 1887. 


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1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 r-(<M 1 1 1 




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1887.] PUBLIC DOCUMENT — No. 23. 





so 






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40 WORCESTER LUNATIC HOSPITAL. [Oct. 



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1887.] 



PUBLIC DOCUMENT — No. 23. 



41 



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42 



WORCESTEE LUNATIC IIOSPITAL. [Oct. 



26. Showing the Results of First Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of pei'sons on first 

admission, 
Discliai^ged recovered, . 
improved, . 
not improved, 
not insane, . 
On visit. 
Eloped, .... 

Died 

Remaining in the liospita 
Sept. 30, 1887, . 




1,872 

1,421 

1,094 

6 

1 

4 

902 

223 


1,832 

1,487 

956 

5 

2 

786 

283 


.3,704 

2,908 

2,050 

11 

3 

4 

1,688 

506 


5,523 
5,523 


5,351 
5,351 


10,874 

10,874 



Shoioing the Results 


of Re-admissions. 






Number of re-admissions, 








1,815 


1,754 


3,669 


Discharged recovered, . 


657 


709 


1.366 


- 


- 


- 


improved, . 


496 


465 


961 


- 


- 


- 


not improved. 


344 


296 


640 


- 


- 


- - 


On visit. 


_ 


1 


1 


- 


- 


- 


Eloped, .... 


1 


- 


1 


- 


- 


- 


Died, .... 


224 


188 


412 


— 


— 


— 


Remaining in the hospita 














Sept. 30, 1887, . 


93 


95 


188 


1,815 


1,754 


3,569 



Showing the Results of Second Admissions. 



Number of second admis- 














sions, 


- 


- 


- 


1,090 


1,072 


2,162 


Discharged recovered, . 


347 


357 


704 


- 


- 


- 


impi'oved, . 


292 


301 


693 


- 


- 


- 


not imj^roved, 


245 


208 


453 


- 


- 


- 


On visit, .... 


- 


1 


1 


- 


- 


- 


Died, 


154 


136 


290 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1887, . 


52 


69 


121 


1,090 


1,072 


2,162 



1887.] 



PUBLIC DOCUMENT — No. 23. 



43 



Showing the Results of Third Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of third admissions, 








350 


306 


656 


Discharged recovered, . 


134 


133 


267 


- 


- 


- 


improved, . 


91 


78 


169 


- 


- 


- 


not improved, . 


55 


50 


105 


- 


- 


- 


Died, 


44 


30 


74 


- 


- 


- 


Remaining in tlie hospital 














Sept. 30, 1887, . 


26 


15 


41 


350 


306 


656 



Showing the Results of Fourth Admissions. 



Nmiiber of fom'th admis- 














sions, 


- 


- 


- 


146 


130 


276 


Discharged recovered, . 


64 


61 


125 


- 


- 


- 


improved, . 


44 


89 


83 


- 


- 


- 


not improved. 


25 


20 


45 


- 


- 


- 


Died, 


8 


10 


18 


- 


- 


- 


Remainino' in the hospital 














Sept. 30, 1887, . 


5 


— 


5 


146 


130 


276 



Shoiving the Results of Fifth Admissions. 



Number of fifth admissions. 








72 


70 


142 


Discharged recovered, . 


33 


39 


72 


_ 


_ 




improved, . 


15 


15 


30 


_ 


— 


— 


not improved, . 


8 


9 


17 


- 


- 


- 


Eloped, 


1 


- 


1 


- 


- 


- 


Died, 


9 


4 


13 


_ 


_ 


_ 


Remaining in the hospital 














Sept. 30, 1887, . 


6 


o 


9 


72 


70 


142 



Shoicing the Results of Sixth Admissions. 



Number of sixth admissions, 








39 


39 


78 


Discharged i'ecovered, . 


23 


21 


44 


_ 


— 


_ 


improved, . 
not improved. 
Died, 


8 
3 
3 


10 
2 
3 


18 
5 
6 


- 


- 


: 


Remaining in the hospital 
Sept. 30, 1887, . 


2 


3 


5 


39 


39 


78 



44 



WOECESTER LUNATIC HOSPITAL. [Oct. 



Shoivmg 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 


6 


12 


- 


- 




not improved, 


3 


1 


4 


— 


— 


— 


Died, 


3 


2 


5 


26 


25 


51 



Shelving the Results of Eighth Admissions. 



Number of eighth admis- 














sions, 


- 


- 


- 


19 


19 


38 


Discharged recovered, . 
improved, . 


9 
9 


13 

3 


22 
12 


— 


: 


— 


not improved, . 
Remaining in the Iiospital 
Sept. 30, 1887, . 


1 


2 
1 


o 

1 


19 


19 


38 



Showing the Results of Ninth 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 



Shoioing the Results of Tenth Admissions. 



Number of tentli admissions. 
Discharged recovered, . 

improved, . 

not improved, . 









13 


15 


6 


12 


18 


- 


- 


6 


2 


8 


- 


- 


1 


1 


2 


13 


15 



1887.] 



PUBLIC DOCUMENT — No. 23. 



45 



Slioimiig the Results of Eleventh Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of eleventh achiiis- 














sions, 


- 


- 


- 


12 


14 


26 


Discharged recovered, . 


3 


9 


12 


- 


- 


- 


improved, . 


6 


4 


10 


- 


- 


- 


not improved, . 


1 


1 


2 


— 


- 


- 


Died 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1887, . 


1 


— 


1 


12 


14 


26 



Shoiving the Besults of Twelfth Admissions. 



Number of twelfth admis- 














sions, 


- 


- 


- 


9 


11 


20 


Discharged recovered, . 


o 


9 


12 


- 


- 


- 


improved, . 


4 


1 


5 


- 


- 


- 


not im^jroved, . 


1 


- 


1 




- 


- 


Died, 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 












. 


Sept. 30, 1887, . 


— 


1 


1 


9 


11 


20 



Showing the liesidts 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, 1887, . 




1 


1 


t 


9 


16 



Shoiving the Residts of Fourteenth Admissions. 



Number of fourteenth admis- 
sions, . . . . . 
Discharged recovered, . 
improved, . 
not improved, . 









5 


8 


o 


6 


9 


- 


- 


2 


1 


3 


— 




- 


1 


1 


5 


8 



46 WORCESTER LUNATIC HOSPITAL. [Oct. 



/Showing the JResults of Fifteenth Admissions. 





Jtalos. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of fifteenth admis- 
sions, 

Discharged recovered, . 

improved, . 

not improved, . 


2 
2 


4 
1 

1 


6 
3 
1 


4 

4 


6 
6 


10 
10 



Shov-iing the Results of Sixteenth Admissions. 



Number of sixteenth admis- 














sions, 


- 


- 


- 


3 


4 


7 


Discharged recovered, . 


1 


3 


4 


- 


- 


- 


improved, . 


1 


- 


1 


- 


- 


- 


not improved, . 


- 


- 




- 


- 


- 


Remaining in the hospital 














Sept. 30, 1887, . 


1 


1 


2 


3 


4 


7 



Shoiving the Residts of Seventeenth Admissions. 



Number of seventeenth ad- 
missions, .... 

Discharged recovered, . 

not improved, . 

Remaining in the hospital 
Sept. 30^ 1887, . 









2 


3 


2 


1 


3 


- 


- 


- 


1 


1 


- 


- 


- 


1 


1 


2 


3 



Showing the Residts of Eighteenth Admissions. 



Number of eighteenth admis- 
sions, 

Discharged recovered, . 
improved. . 
Died, 









2 


2 


1 


1 


2 


- 


- 


1 




1 


- 


- 


- 


1 


1 


2 


2 



Shoiving the Residts of Nineteenth jidmissions. 



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



---11 
- 1 1 - - 

1-111 



1887.] PUBLIC DOCUMENT — No. 23. 



47 



Shoiciiig the Results of Tirentieth. Admissiovs. 





Males. 


Females. 


Totals. 


Blalcs. 


Females. 


Totals. 


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




1 


1 




1 

1 


1 
1 



Showing the Results of Twenty-first Admissions. 



Nmiiber of twenty-first ad- 
missions, . . . . 
Discharo-ed recovered, . 



Shovnng the Results of Twenty-second Admissions. 



Number of twenty-second 

admissions. 
Discharged recovered, . 



-11-1 



Showing the Residts of Twenty-third Admissions. 



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



- 


1 


1 


- 


1 
1 



48 



WORCESTER LUNATIC HOSPITAL. [Oct. 



c^ 



K 

Oi 












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.r-Hrtr-^C^.— I!M--^.-^. 



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lococjooici-^ioom-^os' 



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cooococo:occcocC'^'^-H-r^^*rTr'-t^-^-i^»0'0>oto 
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1887.] 



PUBLIC DOCUMENT — No. 23. 



49 



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50 



WORCESTER LUNATIC HOSPrPAL. [Oct. 



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1887.] PUBLIC DOCUMENT — No. 23. 



51 



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1887.] PUBLIC DOCUMENT — No. 23. 



53 






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1887.] PUBLIC DOCUMENT — No. 23. 



55 



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1887.] 



PUBLIC DOCUMENT — No. 23. 



57 



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1887.] PUBLIC DOCUMENT — No. 23. 59 

||||||t-i11i-i|I1I<>i11 IIIIxHIIIIIIII 



1 )^| ICOl |tH| 1 1,-ISOI li-H 


1 1 l>ol 1 1 It-ii irtiT-i 


ICOl 1^1 |(?^i-li-l|t>ICO(M<iO<M 


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CMCO-^CM^COi-lr-fi— IrHCOOi— ICOC<ICOi— I rHt^i-HlO-^lOi-ICOT-lrHCO-^T-l 



i-llOC<»^|<Mi-li-l| llC-^ICOl I I -;t<!U3|COt-l-*lr-l(:OT-llT-li-l| 



i-HrHCNGO^T-H I |i— ItHCOCOi— I |<MIOi— I t>THrHG<)eOi-H 1 1 |t— l(>5C0i-l 



.. . 


Illlll^lll-lllll'-lll 


1 1 1 1 r-l 1 1 1 1 1 1 1 1 


1 li-ll li-Hl |i-l| 1 l^-l^l li-l 


1 1 \ y-l \ 1 1 It-ii li-ii-i 


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1 1 .H 1 1 1 C^rH 1 1 tH I ,-1 


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COCOCOCNC^S<lC<I(M(M(Mi-'T-lrH.-lT-(T-lrH 


'O'^-^^'^COCOCOCOC^C^C^IG^ 





60 



WORCESTER LUNATIC HOSPITAL. [Oct. 



•IBHIJSOH Of l-H I I 



I ■ 1 I I I CO I I I I 



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a a 



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ll— li— I (Ml— I,— (C^lO^^Hi— 1) I I rHi— li— It-I( 



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i-i(rqil(M^ l|.-ilIlllcNCM II— 111 



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1887.] PUBLIC DOCUMENT — No. 23. 61 

llllll IIIIt-h II I i^iii 11^ ^11 



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62 



WORCESTER LUNATIC HOSPITAL. [Oct. 





, 


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1887.] 



PUBLIC DOCUMENT — No. 23. 



63 



30. Parentage of Persons Admitted. 









Males. 


Females. 


BIRTHPLACE. 












Father. 


Mother. 


Father. 


Mother. 


Maine, 


5 


5 


4 


5 


New Hampshire, . 
Vermont, 






3 

2 


4 

2 


3 

3 


1 

4 


Massachusetts, 






32 


31 


26 


27 


Rhode Island, 






- 


- 


3 


4 


Connecticut, . 






1 


- 


1 


2 


New York, 






- 


- 


4 


4 


New Jersey, . 
Pennsylvania, 






: 


1 


1 
1 


2 


Maryland, 
Virginia, 
West Virginia, 
Georgia, 
Louisiana, 






1 

1 
1 
1 


1 


1 
1 


1 


Mexico, . 






- 


- 


- 


1 


Canada, . 






5 


5 


6 


6 


New Brunswick, . 






1 


1 


2 


2 


Newfoundland, 






2 


2 


- 


- 


Nova Scotia, . 






5 


5 


1 


2 


Prince Edward Island, 






- 


- 


1 


1 


Cape Breton, . 






1 


1 


- 


- 


England, 
Ireland, . 






7 
53 


8 
54 


7 
58 


5 

58 


Scotland, 






1 


- 


4 


2 


Italy, . 
Sweden, . 






2 
2 


2 
2 


1 
4 


1 

4 


Germany, 
France, . 






— 


— 


2 
2 


1 
2 


Poland, . 






- 


- 


1 


1 


Unknown, 






29 


29 


7 


8 


Totals, 


155 


155 


144 


144 



64 



WORCESTER LUNATIC HOSPITAL. [Oct. 



31. Subsequent History of l.,134 Persons wJio have been Dis- 
charged from the Hospital as Recovered, on their only Admission, 
or on their last Re-admissioyi. 





Males. 


Females. 


Totals. 


Remained well and living at time of reply, . 


164 


146 


310 


Remained well through life, 


113 


136 


249 


Relapsed and re-admitted to this hospital. 


2 


1 


3 


Relapsed, admitted to other hospitals and died 








there, ......... 


27 


27 


54 


Relapsed, admitted to other hospitals and dis- 








charged, 


35 


32 


67 


Relapsed, admitted to other hospitals, and there 








now, ......... 


13 


20 


33 


Relapsed and died at home, 


48 


54 


102 


Relapsed and died at almshouse, .... 


24 


16 


40 


Relapsed and living at almshouse, .... 


9 


3 


12 


Relapsed and living at home, 


22 


29 


51 


Relapsed and nothing more known. 


9 


1 


10 


Suicides, 


26 


14 


40 


Relapsed and died in Andersonville Prison, . 


1 


- 


1 


Totals, 


493 


479 


972 


No information, 


- 


- 


162 




493 


479 


1,134 



Residence of Private Patients Admitted to the Hospital from Oct. 1, 
1886, to Sept. 30, 1887. 



TOWNS. 


No. 


TOWNS. 


No. 


Acton, 


1 


Natick, ... 




Boston, 








5 


Nahant, .... 




Brookfield, . 










Newton, .... 




Cambridge, 










North Brookfield, 




Clinton, 
Dorchester, . 










Princeton, .... 
Spencer, .... 




Douglas, 










Shirley, .... 




Fitchburg, . 










Uxbridge, .... 




Framingham, 










Weymouth, 




Harvard, 










Webster, .... 




Hopedale, . 
Hudson, 










Watertown, 
Woonsocket, 




Leicester, . 








2 


Worcester, 

Total, .... 


17 


Lancaster, . 


64 


Milford, 








2 







Natives, 
Foreigners, 



44 
10 



1887.] 



PUBLIC DOCUMENT — No. 23. 



65 



/ 



Residence of Toivn Patients Admitted to the Hospital from 
October I, 1886, to September 30, 1887. 



TOWNS. 


No. 


TOWNS. 


No. 


Acton, 


1 


Milford, .... 


5 


Ashland, 








1 


Mendon, . 






2 


Auburn, 








1 


Marlborough, 






1 


Brookfield, 








3 


Natick, 






1 


Barre, . 








1 


Northbridge, 






3 


Brookline, 








1 


Orleans, 






1 


Boston, 








9 


Paxton, 






1 


Blackstone, 








2 


Royalston, . 






1 


Boylston, 








1 


Sutton, 






2 


Concord, 








2 


Southbridge, 






2 


Clinton, 








2 ■ 


Spencer, 






1 


Cambridge, 








1 


Sudbury, . 






1 


Enfield, 








1 


Upton, 






1 


Franklin, 








2 


Uxbridge, . 






2 


Fitchburg, 








5 


Worcester, 






19 


Grafton, 








2 


Way land, . 






1 2 


Hopkinton, 








4 


Webster, . 






: 1 


Holyoke, 










West Boylston, 






j 1 


Holden, 










Waltham, . 






' 3 


Harvard, 










Warren, 






1 


Hinsdale, 










Westborough, 






1 


Leominster, 










Watertown, 






1 


Leicester, 










Westminster, 






1 


Lunenburg, 
















Medford, .... 




Total, .... 


101 



Natives, 
Foreigners, 



67 
34 



State Patients Admitted to the Hospital from October 1, 1886, to 
September 30, 1887. 



State Natives, 
State Foreigners, 



71 

89 



Total, 



160 



66 



WORCESTER LUNATIC HOSPITAL. [Oct. 



SUMMAEY OF FARM ACCOUJSTT 

For Twelve Months, ending Sept. 30, 1887. 



Dr. 



Blacksmithing, 


















$193 75 


Bread, etc., 
















120 00 


Butter, 
















249 75 


Current expenses. 
















23 71 


Fertilizers, 
















911 40 


Furnishings, 
















153 75 


Fuel, 
















47 13 


Grain and meal. 
















1,546 30 


Groceries and supplies, . 














315 38 


Labor, extra, by day. 














365 27 


Live stock, horses and cattle. 














. 1,486 50 


Live stock, swine, . 














498 25 


Meats, 
















456 70 


Repairs, 




















232 45 


Seeds, 




















84 57 


Sugar, 




















74 67 


Tools, 




















161 43 


Water, 




















58 39 


Wages, pay-roll. 
















3,061 45 




110,040 85 


Net gain for twelve months, 


3,700 79 


$13,741 64 


Cr. 


594 barrels apples, $743 75 


687 bunches asparagus, . 












66 62 


99 bushels beans, shell, . 












103 00 


44 bushels beans, string. 












40 50 


290 bushels beets. 












170 35 


.332 quarts blackberries, . 












28 28 


6,801 pounds beef, 












508 59 


282 barrels cabbage. 












187 50 


1,950 dozen corn, green. 










160 00 


Amount carried forward, . 


$2,008 59 



1887.] 



PUBLIC DOCUMENT — No. 23. 



67 



46 

130 

30 

99 

1,752 

2,094 

639 

8 

20,290 



243 

41 

171,583 

21 

8 

100 

19 

56 

276 

84 

1 

197 



30 

27,024 

2,940 

423 

163 

45 

197 

20,263 

14 

23 

2,353 

434 



Amount brought forward, 
bushels can'ots, . 
dozen celery, 
dozen cucumbers, early, 
bushels cucumbers, pickles, 
quarts currants, . 
gallons cider, 
dozen eggs, 
dozen egg plant, 
pounds hay, 

Cash for hides, tallow, etc., 
bushels kohlrabi, 
Cash for labor, . 
Cash for live stock, 
dozen lettuce, 
dozen leeks, 
quarts milk, 
dozen melons, 
pecks okra, .... 
bushels onions, . 
bushels peaches, 
bushels pears, 
bushels parsnips, 
bushels peas, 
bushel laejDi^er, . 
pounds poultry, . 
Cash for produce sold, 
Cash for pigs and shotes sold, 
bushels potatoes, 
pounds pork, 
pounds rhubarb, . 
dozen radishes, . 
quarts raspberries, 
bushels rye, 

dozen squashes, summer, . 
pounds squash, winter, , . 
bushels salsify, . 
bushels sage and other herbs, 
quarts strawberries, . 
Cash for tools sold, . 
bushels tomatoes, 
bushels turnips, . 



$2,008 


59 


23 


30 


66 


80 


7 


29 


106 


50 


140 


16 


167 


52 


147 


20 


4 


00 


202 


90 


64 


68 


3 


00 


219 


75 


203 


95 


78 


95 


10 


25 


6,863 


32 


18 


75 


4 


00 


102 


75 


67 


00 


52 


00 


163 


50 


86 


00 


1 


00 


26 


28 


19 


20 


15 


10 


24 


00 


1,861 


85 


44 


10 


105 


75 


16 


30 


37 


20 


67 


25 


153 


35 


14 


50 


23 


00 


238 


40 


15 


00 


236 


00 


81 


20 



5,741 64 



68 



WORCESTER LUNATIC HOSPITAL. [Oct.'87. 



PRODUCTS OF THE FARM 

On Hand Oct. 1, 1887, and Not Delivered at Hospital. 



Apples, 
Apples, cider 
Barley, 
Beans, shell, 
Beets, 
Cabbage, . 
Celery, 
Corn fodder, 
Corn, 
Carrots, . 
Ensilag-e, 
Egg plants, 
Hay and rowen, 
Leeks, 
Lettuce, . 
Melons, . 
Parsley, . 
Peppers, . 
Parsnips, 
Pears, 

Rye, 

Rye straw. 
Salsify, . 
Turnips, . 
Tomatoes, 



450 


barrels. 


200 bushels. 


92 


bushels 


15 


bushels 


40 


bushels 


1,500 heads. 


2,000 heads. 


85 


tons. 


500 


bushels 


47 


bushels 


50 


tons. 


25 




265 


tons. 


200 




250 heads. 


25 




. 5 


bushels. 


1 


bushel. 


200 bushels. 


10 


bushels. 


166 


bushels. 


5 


tons. 


8 


bushels. 


15 


bushels. 


100 


bushels.