Annual report of the trustees of the Worcester Insane Asylum at Worcester

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PUBLIC DOCUMENT. No. 23.

TENTH ANNUAL EEPOET

THE TRUSTEES

WORCESTER INSANE ASYLUM

WORCESTER,

Year Ending September 30, 1887.

BOSTON :

WRIGHT & POTTER PRINTING CO., STATE PRINTERS,

18 Post Office Square.

1888.

OFFICERS OF THE ASYLUM.

ROCKWOOD HOAE, .
FRANCIS C. LOWELL,
ELLEN S. HALE,
FRANCES M. LINCOLN,
A. GEORGE BULLOCK,
THOMAS H. GAGE, .
JOHN F. MOORS, .

. Worcester.
. Boston.
. Boston.
. Worcester.
. Worcester.
. Worcester.
. Greenfield.

RESIDENT OFFICERS.

HOSEA M. QUINBY, M. D., ... Superintendent.
ERNEST V. SCRIBNER, M. D., . . . Assistant Physician.
CLARENCE R. MACOMBER, .... Clerk and Steward.
SOPHIA N. GRAVES, Matron.

WILLIAM SHERMAN,

Engineer.

ALBERT WOOD,

TREASURER.

Worcester.

c^.gS)

TRUSTEES' KEPORT.

To his Excellency the Governor and the Honorable Council.

The Trustees in charge of the Worcester Insane Asylum
respectfully submit their Tenth Annual Report.

The Superintendent's report and that of the Treasurer,
appended hereto, state clearly the details of the government
of the asylum and its financial standing during the current
year.

We would call attention especially to the very interesting
review of the dealing with patients and the improvements in
the building during the past ten years, and to the valuable
suggestions as to the care of the chronic insane of the State
in larger buildings l^uilt and maintained for this class of pa-
tients.

The patients of this institution belong to the class of the
permanently deranged, who, on the average, have suffered a
long time from their malady before transfer to us, and. are
often feeble and very listless. It has been of great interest
to see how many of the inmates have been employed about
the grounds or on the work on the buildings that has been
done or is going on. Two patients render valuable service
in stone cutting, showing little sign of derangement or in-
efficiency in their steady, interested, and intelligent labor.

Our Treasurer's report shows a surplus in our treasury.
The Superintendent's review of the ten years' management

74 WORCESTER INSANE ASYLUM. [Oct.

of this institution suggests the propriety of considering the
reason for the existence of a surplus, the use that will be
made of it, and the wisdom of so maintaining the price of
board at a hospital or asylum that the income so derived
may exceed its ordinary annual expenses.

It will be observed by inspecting the treasurer's report
of any of our institutions for the care of the insane, estab-
lished long enough to be well under way, that a surplus re-
mains at the end of many of the financial years.

In our hospitals, where the number of patients and the
individual patients change frequently, where the forms of
dementia are many and varied, and a larger force of physi-
cians and attendants must be employed than in such an
asylum as ours, the expense of maintenance is great, — con-
siderably greater than here. The price of board for pauper
patients, $3.25 per week, is too low, and the annual reports
would show a steady and considerable deficit if it were not
that the income derived from the care of private patients is
sufiicient to turn the balance to the favorable side. In this
asylum, where we have no private patients, we only are able
to show an annual surplus by the greatest care and scrutiny,
and by furnishing a somewhat plainer but yet nutritious and
wholesome diet. In regard both to the State hospitals and this
asylum it would be possible, we suppose, to so regulate and
change, each year, the established price of board, that no
surplus would remain on balancing the annual accounts. We
are satisfied, however, and we think any intelligent person
would be satisfied on examining the history of any such insti-
tution during a period of years, that such attempt to regulate
and change the rate so as to render the institution barely
self-supporting would be unwise and injurious. It is best
for the State and for the patients themselves that the more
liberal policy should be upheld. If our institutions were
barely self-supporting in meeting their ordinary expenses, it
would be necessary, of course, to resort constantly to the
Legislature for appropriations for the additions and improve-
ments which even new buildings require to maintain them in
good order, and to furnish the new facilities which the genius
of the age and accumulated experience suggest.

1887.] PUBLIC DOCUMENT — No. 23. 75

We all believe that every facility should be ready and at
hand by which the veil can be lifted from the clouded intel-
lect, a family thus reunited, a citizen restored to useful and
honorable service of his country, — or misery, suffering, and
discomfort alleviated, when, unhappily, the light of reason
is permanently dimmed.

If prudent and intelligent managers are selected and ap-
pointed to the government of insane hospitals they should
have the money ready to supply these things, — sometimes
at once, as soon as needed ; often by gradual and careful
change or addition in building or equipment. It is not
feasible to explain, nor has the Legislature the time to con-
sider and investigate each expenditure.

If a single year of a hospital be taken and isolated a some-
what large surplus may appear. If a period of years be
taken the surplus of single years will be found to merge and
be absorbed in the necessary and proper expenditures of
wise administration, and this both to the present advantage
of the patients and to the actual saving and gain of the State.

We have two institutions under our care. This year, at
the hospital which is under our charge, we have built and
equipped two new buildings, or wards, for the care of the
suicidal insane, without resorting to a special legislative ap-
propriation. During the past ten years at this asylum we
have changed an old and somewhat dilapidated building into
a cheerful, well-equipped, and well-constructed establishment,
without appeal to other aid than our own income. If the
suras charged to private patients have helped us to do this
at the hospital, then the private patients of to-day and the
years to come are benefited. If the State and the towns
have helped us at the asylum, it is to the gain of the State
and towns henceforth, and the surplus of a single year has but
been a part of the wise, necessary and economical expendi-
ture of the decade. The history of the financial management
of our two institutions will be found but a repetition of that
of the other establishments of the State. We are convinced,
therefore, that not a narrow but a liberal and comprehensive
policy should be sustained, and that a desire to save upon a
year's cost of supporting the insane should not be allowed to

76 WORCESTER INSANE ASYLUM. [Oct.

cause a greater ultimate loss and injury, both to the State
and to the unfortunate beings who are its wards.

We would express our thorough satisfaction with the
ability and untiring devotion of our Superintendent, Dr.
Quinby, and with the excellent services of his staif, and of
the attendants.

ROCKWOOD HOAR.

FRANCIS C. LOWELL.

ELLEN S. HALE.

FRANCES M. LINCOLN.

A. G. BULLOCK.

THOMAS H. GAGE.

J. F. MOORS.

Worcester, Sept. 30, 1887.

1887.]

PUBLIC DOCUMENT — No. 23.

77

OFFICERS AND THEIR SALARIES.

Hosea M. Qiiinby, M. D., SuiJeriiitendent,
Ernest V. Scribuer, M. D., Assistant Physician,
Clarence E,. Macomber, Clerk and Steward, .
Sophia N. Graves, Matron, ....
William Sherman, Engineer, ....
Albert Wood, Treasurer, ....

$2,500 00

1,000 00

1,000 00

325 00

1,000 00

400 00

VALUE OF STOCK AKD SUPPLIES,

October 1, 1887.

Live stock,

$425 00

Carriages and agricultural implements,

650 00

Machinery and mechanical fixtures, ....

9,000 00

Beds and bedding in inmates' department,

9,457 60

Other furniture in inmates' department.

3,000 00

Personal property of State in superintendent's department,

9,500 00

Ready-made clothing, .......

1,146 08

Dry goods,

1,997 58

Provisions and groceries, ......

2,168 15

Drugs and medicines, .......

300 00

Fuel,

1,080 00

Library,

325 00

Other supplies,

2,346 89

$41,396 30

78

WORCESTER INSANE ASYLUM.

[Oct.

TREASURER'S REPORT.

To the Trustees of the Worcester Insane Asylum.

Ladies and Gentlemen: — I herewith submit my Tenth
Annual Report on the finances of the Worcester Insane
Asyhmi for the year ending Sept. 30, 1887.

Receipts.

Cash on hand Sept. 30, 188G :
Cash belonging to asylmn,
Deposits of inmates, .

),472 55
794 50

Amounts received : —
From the Commonwealth for support of patients, $17,460 51
cities and towns for support of patients, 55,359 04

other sources, 866 69

patients (on deposit), .... 63 03

§10,267 05

'

The expenditures for the year have been as follows : —

$84,016 32

Salaries and wages, $20,973 77

Extra labor (ordinary), ....
Provisions and supplies, viz. : —

15 00

$20,988 77

Meats of all kinds, 13,823 27

Fish of all kinds.

690 42

Fruit and vegetables.

1,695 94

Flour,

3,103 66

Meal for table, ....

85 40

Grain and hay, ....

207 21

Tea and coffee, ....

747 01

Siigar and molasses,

1,213 75

Milk, butter and cheese, .

6,359 43

Salt and other groceries, .

921 93

All otlier provisions.

1,629 66

$20,477 68

Clothing and other material, .

$5,224 09

Fuel,

5,154 99

Light,

1,399 05

Amounts carried forward.

$11,778 13

$41,466 45

1887.]

PUBLIC DOCUMENT — No. 23.

79

Amounts brought forward^
Medicine and medical supplies,
Furniture and furnishings,
Crocker}^ ,
Beds and bedding,
Transportation,
Travelling,
Trustees' expenses.
Soap and water.
Stationery,
Undertaking,
Repairs (ordinary) ,
All other current expenses.

Total current expenses,
Repairs and improyements (extraoi'dinary),
Refunded inmates from deposits,

111,778 i;3

$41,466 45

235 61^

1,462 05

569 84

1,190 22

265 27

60 00

35 77

1,045 69

174 16

221 00

3,000 00

1,833 82

$21,871 56'

$63,338 01

$9,488 50

7 00

<aQ A(\!^ ^n

Total amount expended.
Cash on hand, Sept. 30, 1887,

$72,833 51
11,182 81

Resources.

$84,016 32.

Cash on hand, ......

. $11,182 81

Due from the Commonwealth,

4,152 46

cities and towns.

. 13,896 31

other sources, ....

221 05

$29,452 63

Liabilities.

Due for supplies and expenses.

. $5,817 28

salaries and wages.

1,807 15

Due inmates (cash on deposit) ,

850 53

8,474 96

Total surplus,

$20,977 67

Respectfully submitted,

Worcester, Mass., Oct. 1, 1887.

ALBERT WOOD,

Treasurer.

Worcester, Mass., Oct. 29, 1887.
The undersigned has this day carefully compared the Treasurer's statement of
expenditures for the year ending Sept. 30, 1887, with the vouchers \YhichL are on file-
at the asylum, and found it to be correct.

THOMAS H. GAGE^

Auditor of Accoimts.

80 WORCESTER INSANE ASYLUM. [Oct.

SUPERINTENDENT'S REPORT.

To the Trustees of the Worcester Insane Asyhim.

Ladies and Gentlemen : — I herewith submit for your
consideration the Tenth Annual Report of the Superintend-
ent of the Worcester Insane Asylum.

There remained in the asylum at the close of the last offi-
cial year 398 patients, — 192 males and 206 females. Twenty-
one males and 25 females have since been admitted, 10
males and 4 females have been discharged, and 21 males and
17 females have died, leaving in the asylum, Sept. 30,
1887, 392 patients, — 182 males and 210 females.

The whole number of patients under treatment during the
year has been 444, — 213 males and 231 females, while the
daily average has been 393.52.

Of the 46 patients admitted, 2 males and 6 females were
transferred from the Tewksbury Almshouse, 10 females from
the Worcester Lunatic Hospital, 9 males and 11 females
from Taunton, and 10 males from Northampton.

Of the 14 patients discharged, 10 males were transferred
to Bridgewater, 1 female to the Worcester Lunatic Hospital,

I female was sent to Ireland, and 2 females returned to their
homes.

Two patients are reported recovered, — 1 from puerperal
mania, of two years and two months' duration, the other from
alcoholic mania, after a four years' residence in the asylum.

Of the 38 deaths, 13 were due to phthisis, 5 to epilepsy,

II to exhaustion of chronic mania, 4 to paresis, and 1 each
to senility, paralysis, Bright's disease, chronic diarrhoea and
cerebral effusion.

1887.]

PUBLIC DOCUMENT — No. 23.

81

Ratio of Deaths from the Opeyiing of the Asylum to Oct. i, 7'9<§/

t

1 o

Deaths

.

1 =li

§S ° .

'^ 1

Daily Ave
number
Patients

Per cent.
Whole
of" I'atie
treated.

OFFICIAL YEAR.

'a
3

1
fa

o

S -a a &H

1877-78, .

429

382.98

18

8

26

6.05

6.78

1878-79,

422

367.41

22

11

33

7.82

8.98

1879-80,

413

363.15

15

8

23

5.56

6.33

1880-81,

401

362.09

18

6

24

5.98

6.62

1881-82,

439

375.59

21

11

32

7.28

8.51

1882-83,

461

384.33

37

24

61

13.23

15.84

1883-84,

438

390.69

22

20

42

9.58

10.75

1884-85,

448

391.12

20

14

34

7.58

8.69

1885-86,

476

400.28

23

15

38

7.98

9.49

1886-87,

444

393.52

21

17

38

8.55

9.65

The general health of our inmates has been good ; cases
of acute sickness having, as in the preceding year, been few.
Very little restraint has been used, and the liberty of the pa-
tients, within the grounds, has been greatly enlarged, and
yet in no case has any serious accident resulted therefrom.
Four patients have abused the privilege granted them and
escaped, but this proportion is no greater than might be
expected under any system.

Since my last report the repairs in our cooking depart-
ment have been completed, our kitchens connected by a
hydraulic elevator and refurnished with an entire new set of
cooking apparatus, consisting of an eight-foot range, with
broiler and griddle attached, four forty-gallon jacket kettles,
three steam kettles, a Whitely meat-roaster, and a hot
closet.

We have also thrown out bays at the end of our South
Johonnot wards, and begun alterations which will result
eventually in the complete renovation of our extreme male
wings.

During the winter the dam at the Hermitage Pond, so-
called, from which the asylum obtains its water supply, be-
gan to leak and to show such other signs of weakness that it
was deemed prudent to draw off the water. On account of the
condition of the ground it was impossible to determine what
the exact trouble was, or to take any effectual steps towards

82 WORCESTER INSANE ASYLUM. [Oct.

its repair until late in the spring. It was then found that
the spiling back of the wall had entirely rotted away, and
that the dam, as originally constructed, was so defective that
very extensive repairs, if not an entire rebuilding, would be
necessary to insure its safety. By the direction of the Trus-
tees, Messrs. Knowles and Allen were employed to carry
out these repairs, under the supervision of Mr. Charles A.
Allen, city engineer, and according to plans made by him.
The work is now completed and has been done in the most
substantial and satisfactory manner.

With the close of the present official year the asylum ends
its first decade. It may be well, therefore, to look back and
see what it has accomplished during this time, and note how
it has administered the trust placed in its hands. The new
Worcester Lunatic Hospital was opened Oct. 23, 1877,
and on the same day the old buildings, occupied from 1833,
were turned over to the asylum and at once filled with the
chronic, indigent insane, transferred from the other State
hospitals. Although these buildings had for many years
proved inadequate to meet the wants of the hospital, they
were still substantial, convenient, homelike, and in the main,
well adapted to the new purpose to which they were to be
devoted. They were, however, extremely faulty in the mat-
ter of lioht and ventilation, and needed radical alterations to
correct these faults and to introduce pure air and sunshine
into the wards, recognized by modern sanitary science as one
of the first requisites of a properly constructed hospital.
Extensive repairs were also necessary to make good the
wear and tear of over forty years' use, and more especially
since no outlay, save what was absolutely demanded, had
been made upon the buildings for several years, or from the
time that it was decided to build a new hospital and abandon
the old.

Beginning its career without any resources of its own,
■ and having to depend entirely upon the income to be derived
from its patients, as fixed by the laws of the State, it was
obliged to borrow funds to meet its current expenses. It
had, therefore, no means at its disposal to make the various
alterations and repairs which the condition of the buildings
demanded. In consideration, however, of the fact that its

1887.] PUBLIC DOCUMENT — No. 23. 83

former tenants had allowed the buildings unduly to deterio-
rate, the sum of ten thousand dollars was appropriated from
the surplus funds of the Worcester Lunatic Hos})ital, and
used by the asylum in building a new laundry, relaying
floors and carrying out such other repairs as were absolutely
demanded.

Under the wise organization and skilful management of
Dr. Park, its first superintendent, the financial success of
the asylum was at once assured, and in its subsequent man-
agement it has only been necessary to follow out the methods
devised and adopted by him to realize like results. After
refunding its loans and meeting all of its other liabilities,
the asylum had, at the end of the first year, a considerable
balance in its favor, and this has continued to be the case
during each subsequent year.

Reserving in its treasury a sufBcient fund to meet its quar-
terly bills, and to anticipate any emergency that might arise
during the year, the asylum has devoted the balance of its
income to necessary repairs and improvements. With the
earnings of the past ten years it has renewed the inside
finish in six of its eighteen wards, relaid all of its drains,
put in new plumbing over the greater portion of the
house, renewed its entire heating apparatus, enlarged the
laundry and equipped it with new machinery, repaired,
enlarged and refurnished the kitchen, and thrown out bay
windows at the ends of several of the wards. Plans have
been adopted involving radical changes in the system of ven-
tilation, and in so far as these plans have been carried out
they have proved eminently successful. In the meantime
the entire house has been repainted, the general repairs kept
up, and a great deal of work done about the grounds, —
grading, cutting and setting curbstones, paving and laying
sidewalks, etc.

Patients' labor has been largely utilized and has been an
important factor in reducing the cost of these repairs. It
has enabled us to carry out many improvements which
without an appropriation from the State would have been
impossible in the absence of such help.

The average weekly cost of support per patient for the ten
years has been $2.98. Their diet has been plain but gener-

84 WOKCESTER INSANE ASYLUM. [Oct.

ous, their clothing abundant, their attendance ample, and
nothing has consciously been neglected that is essential to
the health, happiness or well-being of the patients. A med-
ical officer has been upon the grounds and within call at all
times. Each patient has been visited twice daily, and more
frequently in cases of sickness or unusual excitement.
Regular service has been held in our chapel on Sundays,
and at least one entertainment has been given during the
week, while many of the patients, either alone or in com-
pany with an attendant, have been allowed to attend religious
services and various entertainments in the city. The amount
of restraint employed has become less and less each year, and
the greater part of that now used would be discontinued were
it not for the fact that the crowded condition of the female
wards makes it necessary to associate dangerous patients at
night, either on the corridors or in dormitories. Leaving
these cases, some half a dozen in number, out of the account,
an average of three female patients have worn restraint dur
ing the past year, while but one male has been thus confined,
and for a few days only. That restraint could be entirely
abolished from the asylum I have no doubt, but I by no
means feel assured that this would be for the best interest of
the patients. Although free to acknowledge that restraint
has been used heretofore with too little discrimination, I feel
that its entire abolition would be unwise, and that it would
take from our hands a valuable means of curbing certain
propensities of the insane and of accomplishing results which
could not be so well accomplished by any other method.

Recoofnizing the fact that labor is one of the most useful
agencies for diverting the minds of the insane, and improv-
ing both their bodily and mental strength, much time and
thought have been given to devising methods for employing
the greatest possible number of our inmates, and to inventing
some means whereby special cases, able, but disinclined to
work, on account of delusions or indolence, might have their
interest awakenecL and be led to occupy their time in
useful labor, instead of spending it listlessly upon the wards.
It has not been deemed advisable to attempt to introduce
any special branch of industry at the asylum, as, up to the
present time at least, ample facilities have been offered in

1887.] PUBLIC DOCUMENT — No. 23. 85

the improvements and alterations which have been carried
on for the employment of all of our inmates who have shown
any inclination to work. The more simple the work the
greater the number of patients that can prolital)ly be em-
ployed therein. The amount and value of the labor that is
performed each day by any one of a majority of our inmates
is very little, but where no extra supervision is required,
when time is no object, and where there is little or no mate-
rial that can be destroyed, the aggregate value of the labor
derived from patients is considerable. We now and then
find an inmate who, having learned a trade prior to his sick-
ness, retains his capacity for skilful la1)or, but the number
of such patients is small, much smaller, in fact, than is
generally supposed.

The average yearly death rate for the past ten years,
reckoned upon the daily average number of inmates, has
been 9.16 per cent., — not a high average if we take into con-
sideration the class of patients under treatment, the feeble
condition of a majority of them, and the number of years
they have suffered from mental disease. Tliat v/holesome
diet, regular habits and proper sanitary surroundings tend to
lengthen life is nowhere more plainly shown than in the wards
of an asylum for the chronic insane, where may be seen patient
after patient living on, year by year, although seemingly in
the last stage of consumption or of other wasting disease.

The average duration of insanity at the time of admission,
in the patients transferred to the asylum, was 5.41 years.
A knowledge of this fact would suggest that few, if any,
cures could be looked for from among its inmates, since
in insanity, as in other diseases, the number of cures bears
a direct ratio to the duration of the disease ; and yet
nine of the patients have returned to their homes, having
made good recoveries. It is not, however, to the cures
alone that we should look when attempting to estimate the
success of this, or of any hospital for the insane. A great
deal is done by every hospital to better the condition of its
patients which cannot be made to appear in any report or
table of statistics. Experience proves that cases, seemingly
the most hopeless and forlorn, are susceptible of no little
improvement if the efibrts toward this end be persistent and

SQ WOECESTER INSANE ASYLUM. [Oct.

well directed. It is for this reason that labor among the
chronic insane is by no means a thankless task, or one which
may not call forth the highest talents and the best endeavors
of anyone who seeks to better the condition of his fellow-men.

Notwithstanding the fact that a new hospital has been
opened at West'oorough within the year, the State of Massa-
chusetts will undoubtedly be called upon in the near future to
provide additional accommodations for her insane. Her four
State hospitals are favorably located and have ample accom-
modations for all of the acute cases that will be likely to be
sent to them for many jears to come, could they be relieved
from time to time of the accumulation of chronic cases. Such
relief could, without doubt, be properly provided in build-
ings specially designed for this class of cases upon the
grounds of the present hospitals and under the management
of their officers. The majority of our hospitals, however,
are already of such a size as to make it questionable whether
their superintendents should have any additional responsi-
bilities thrust upon them, and especially if there is to be
any material increase in the number of acute cases that they
are called upon to treat. Northampton, perhaps, might in
this way provide for all of the insane in the western part of
the State for some years to come ; but the most feasible
plan for giving relief to the other hospitals would seem to
be to establish another asylum for chronic cases in some
central location, on a plan that would admit of enlargement
from time to time as necessity seemed to demand. In such
an institution a thousand patients might safely be brought
under one manao-ement. With a central structure suffi-
ciently large for the purposes of administration, and for the
care of all of the more disturbed cases, the remaining build-
ings need not be either elaborate in design or costly in
structure, and could, therefore, be built promptly, as re-
quired.

A large and fertile farm is, without question, one of the
most essential adjuncts of such an institution ; and although
it has been found impossible, under any scheme that human
ingenuity has yet been able to devise, to make an asylum
for the insane self-supporting, it is only through the facili-
ties which a lar^e farm affords that the insane can be em-

1887.] PUBLIC DOCUMENT — No. 23. 87

ployed to the best advantage, -and their labor made the most
beneficial to themselves and remunerative to the institution.

In compliance with the request made in our last report
the Legislature of 1887 changed the name of this institution
to Worcester Insane Asylum.

The weekly cost of support per patient during the past
year has been $3.09,

The asylum is still indebted to the proprietors of the
' ' Worcester Evening Gazette " for a copy of their paper ;
to Miss Anna S. Folsom for magazines ; to the Hospital
Newspaper Company for books, papers, and Christmas
cards ; and to Mr. A. S. Lowell for miscellaneous reading
matter.

H. M. QUINBY,

Superintendent.

September 30, 1887.

STATISTICAL TABLES.

TABLES FOE UNIFOEM STATISTICS

IN THE

MASSACHUSETTS HOSPITALS AND ASYLUMS

FOR THE INSANE.

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

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

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

92

WORCESTER INSANE ASYLUM.

[Oct.

1. General Statistics of the Year.

Males.

Kemales.

Totals.

Patients in asylum Oct. 1, 1886, .
Admissions within the year,

192
21

206
25

398
46

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

much improved,

improved,

unimproved,

Deaths,

213

10
21

231

2

1

1
17

444

2

1
11
38

Patients remaining Sept. 30, 1887,
Viz. : supported as State patients,
town iiatients,
private patients, .
Xumber of different persons within the year,

admitted,

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

182

55

127

213
21

186.47

210

38

172

231
25

2
207.05

392

93

299

444
46

2

393.5*2

1887.]

PUBLIC DOCUMENT — No. 23.

93

3. Received on First and Subsequent Admissions.

Cases Admitted.

Times P. eviously Ke-

COVEEED.

>UM15ER OF THE ADMISSION.

Males.

Females.

Totals.

Males.

Females.

Totals.

First, . .

Second,

Etc.,

21

25

46

~

—

—

Total of cases.
Total of persons, .

21
21

25
25

46
46

-

-

-

4. Ages of Persons Admitted for the First Time.

Fifteen years and less
From 15 to 20 years,
20 to 25 years,
25 to 30 j^ears,
30 to 85 years,
35 to 40 years,
40 to 50 years,
50 to 60 years,
60 to 70 years,
70 to 80 years,
Over 80 years,
Unknown,
Totals, .

At Fikst Attack of
Insanity.

Males. Females.

21

25

11

46

When Admitted.

Males.

21

25

1
3

7
5
11
8
5
4

46

94

WORCESTER INSANE ASYLUM.

[Oct.

5. Parentage of Persons Admitted.

Males.

Females.

Totals.

PLACES.

Father.

Mother.

Father.

Mother.

Father.

Mother.

Vermont, ....

1

1

-

-

1

1

Massachusetts,

4

4

9

9

13

13

New Hampshire, .

1

1

1

1

2

2

New York, ....

1

1

-

-

1

1

Nova Scotia,

_

-

1

1

1

1

Prince Edward Island,

1

1

-

-

1

1

Cape Breton,

1

1

-

-

1

1

England, ....

3

3

1

1

4

4

Ireland, ....

4

4

8

8

12

12

Sweden, ....

1

1

1

1

2

2

Italy,

1

1

-

-

1

1

Germany, ....

-

-

1 2

2

2

2

Portugal, ....

1

1

-

-

1

1

Unknown, ....

2

2

2

2

4

4

Totals, ....

21

21

:, 25

25

46

46

6. Residence of Persons Admitted.

PLACES.

Males.

Females.

Totals.

Massachusetts, viz. : —

Bristol County, . . . .

Suflfolk County,

Middlesex County, ....
Norfolk County, ....
Plymouth County, .
Worcester County, ....
Unknown,

4

9

■ 1
2
2
3

3

13
2
1

4

2

7
22
2
2
2
6
5

Totals,

Cities or large towns,

21
21

25
25

46
46

1887.] PUBLIC DOCUMENT — No. 23.

95

7. Civil Condition of Persons Admitted.

NUMBEK

Unmakried.

Markied.

Widowed.

Unknown.

OF THK

ADMISSION.

1

a

a)

fa

O

"3

a

o

I

■3
0

S

S

s
a

fa

0
B

First,
Second,

8

8

16

3

11

14

3

3

6

7

3

10

Totals,

8

8

16

3

11

14

3

3

6

7

3

10

8.

Occupat

ions

of Persons

' Admitted.

OCCUPATIONS.

Males.

Females.

Totals.

Housekeepers,
Laborers,

1

5

5
1

Domestics,

2

2

Fish packer, .
Machinist,

1
1

—

Waiter, .

1

- •

Sailor, .

1

-

Cook, .

-

1

Trader, .

1

-

Gas-fitter,

1

-

1

Milkman,

1.

-

Teacher,

-

1

Teamster,

1

-

Printer, .

1

-

Operatives, .
Tailor, .

3
1

—

Laundress,

-

1

No occupation.
Unknown,

4
3

2
13

6
16

Totals, .

21

25

46

96

WORCESTER INSANE ASYLUM.

[Oct.

9. Fu'nn of Disease in the Cases Admitted.

I'ORM OF IiISEASE.

Males.

Fcmaks.

Totals.

Mania, chronic,

recurrent, ......

Epilepsy,

Dementia, chronic,

Paresis,

13
1

2
5

17

2

1

3

2

30

3
3

8
2

Total of cases,

Total of persons,

21
21

25
25

46
46

10. Reported Duration of Insanity before Last Admission.

First Admission
TO THIS Hospital.

All other

Admissiuns.

Totals.

PREVIOL-.S DURATION.

„.

<n

m

a

"3
o

i

fa

"3
1

*«

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S
fa

o

Congenital, .

2

-

2

-

-

2

-

2

Under 1 month,

-

-

-

-

-

-

-

-

From 1 to 3 months, .

-

-

-

-

-

-

-

-

3 to 6 months, .

-

-

-

-

-

-

-

-

6 to 12 months, .

-

-

-

-

-

-

-

-

1 to 2 years.

-

1

1

-

-

-

-

1

1

2 to 6 years,

1

3

4

-

-

-

1

3

4

5 to 10 years,

2

10

12

-

-

-

2

10

12

10 to 20 years.

7

3

10

-

-

-

7

3

10

Over 20 years.

2

-

2

~

-

-

2

-

2

Unknown,

6

7

13

1

1

2

7

8

15

Total of cases,

20

24

44

1

1

2

21

25

46

Total of persons, .

20

24

44

1

1

2

21

25

46

Av'ge of known cases, .

13.56

7.87

10.71

-

-

-

13.56

7.87

10.71

1887.]

PUBLIC DOCUMENT — No. 23.

97

11. Probable Causes of Insanity in Persons Admitted.

CAUSES.

Males.

Females.

Totals.

Intemperance,

Epilepsy,

Syphilis,

Heredity,

Menopause, .

Senility,

Religious excitement.

1
3

1

2

1
6

1
1
1

2

Overwork,

-

1

Congenital, .

1

-

Business troubles.

1

-

Puerperal,

-

1

Sickness,

2

-

2

Unknown,

12

11

2;3

Totals,

21

25

46

12. Relations to Hosjyitals of Persons

Ad^

n

'tied.

HOSPITAL RELATIONS.

Ma.

Fe.

Tot.

First admission to any hospital for insane,

-

-

-

Former inmates of the asylum, ....

1

1

2

of Danvers Lunatic Hospital, .

1

8

9

of Tewksbury Almshouse,

2

4

6

of Boston Lunatic Hospital, .

1

1

2

of Worcester Lunatic Hospital,

2

11

13

of Northampton Lunatic Hospital,

10

-

10

of Taunton Lunatic Hospital, .

28

13

41

of Butler Hospital, R. I.,

-

1

1

of State Workhouse,

1

-

1

Total of cases,

46

39

85

Total of persons, . . . .

21

25

46

98

WOKCESTER INSANE ASYLUM.

[Oct.

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Totals,
Persons, ....

1887.]

PUBLIC DOCUMENT — No. 23.

99

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Congenital, .

Under 1 month.

From 1 to 3 months,
3 to 6 months,
6 to 12 months,

1 to 2 years,

2 to 5 years,
5 to 10 years,

10 to 20 years.
Over 20 years.
Unknown,

Totals, .

Average of known cas
months), .

100

WOECESTER INSANE ASYLUM. [Oct.

16. Cases Discharged by Recovery or Death.

llECOVEKIES.

Dkaths.

F0E3I OF INSANITY.

3

1

o

1

o

Mania, chronic,
Epilepsy, ....
Dementia, chronic,
Melancholia, chronic, .

Paresis,

Puerperal mania, .
Alcoholic mania, .

1
1

1

1

13
4
1

3

13
1

2

1

26
5
1
2
4

Total of cases.
Total of jDcrsons, .

-

2
2

2

2

21
21

17
17

38
38

17. Causes of Death.

CAUSES.

Males.

Females.

Totals.

Phthisis,

5

8

13

Epilepsy,

4

1

5

Senility,

-

1

1

Exhaustion, .

7

4

11

Paresis, .

3

1

4

Chronic diarrhcea,

1

-

1

Paralysis,

-

1

1

Bright's disease, .

1

-

1

Cerebral effusion, .

-

1

1

Totals, .

21

17

38

1887.]

PUBLIC DOCUMENT — No. 23.

101

18

. Ages of those tvho Died

A T Time of First Attack.

At Time of Death.

AGES.

Males.

Females.

Totals.

Males.

Females.

Totals.

Fifteen years and less,

1

-

1

-

-

-

From 15 to 20 years,

2

3

5

-

-

-

20 to 25 years,

3

-

3

2

-

2

25 to 30 years,

3

2

5

5

2

7

30 to 35 years,

1

2

3

2

3

5

35 to 40 years,

3

3

6

3

3

6

•iO to 50 years.

4

3

7

7

4

11

50 to 60 years,

1

-

1

1

1 i 2

60 to 70 years.

-

1

1

1

3

4

70 to 80 years.

-

-

-

-

1

1

Over 80 years.

-

-

-

-

-

-

Unknown,

3

3

6

-

-

-

Totals, .

21

17

38

21

17

38

102

WOECESTER INSANE ASYLUM. [Oct.

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