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PUBLIC DOCUMENT. No. 2.3.
FIFTY-SIXTH
ANNUAL EEPOET OF THE TRUSTEES
Worcester Lunatic Hospital,
Eleventh Annual Eeport of the Trustees
WORCESTEE INSANE ASYLUM AT WOECESTER,
FOR THE YEAR ENDING SEPT. 30, 1888.
BOSTON :
WRIGHT & POTTER PRINTING CO., STATE PRINTERS,
IS Post Office Squake.
1889.
r;-TB mm OF MASSACaU^^TTS,
arMTI HOUSl. BOSTON.
DEC 13 1888
OFFIOEES OF THE HOSPITAL.
TEUSTEES.
FRANCIS C. LOWELL, Boston.
ELLEN S. HALE, Boston.
FRANCES M. LINCOLN Worcester.
A. GEO. BULLOCK, Worcester.
THOMAS H. GAGE, . . . Worcester.
ROCKWOOD HOAR, Worcester.
RESIDENT OFFICERS.
JOHN G. PARK, M.D.,
ALBERT R. MOULTON, M.D.,
FREDERICK H. DANIELS, M.D
ALFRED I. NOBLE, M.D.,
HARTSTEIN W. PAGE, M.D.,
LAURE HULME, M.D.,
HENRY J. BARD WELL,
LILA J. GORDON,
S. JOSEPHINE BRECK,
HENRY S. GRAVES, .
Superintendent.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Steavard.
Matron.
Clerk.
Farmer.
NON-RESIDENT OFFICERS.
ALBERT 'WOOD,
KIMBLE R. SMITH,
Treasurer.
Engineer.
C0mm0ntaeaIt]^ d ^aBsac^us^tts,
TRUSTEES' REPORT.
To His Excellency the Governor and the Honorable Council.
The Trustees of the Worcester Lunatic Hospital respect-
fully submit their fifty-sixth annual report, together with the
reports of the Superintendent and Treasurer. Throughout
the past year the affairs of the hospital have been wisely and
economically administered by the Superintendent, Dr. J. G.
Park, and by his assistants. In February last Dr. Earle
resigned the position which she had held since July, 1885.
Dr. Laure Hulme, a graduate of the Woman's Medical Col-
lege, Pennsylvania, was appointed to succeed Dr. Earle.
In August Dr. John A. Houston resigned his place, having
served the hospital for six years. Dr. Hartstein W. Page
has been appointed his successor. Mr. George L. Clark,
steward of the hospital for seven years, resigned his position
in February. The duties of the steward call for a man of
sound business capacity, and Mr. Clark's services were
highly appreciated by the Trustees. Mr. Henry J. Bard well
has been appointed to fill his place.
By an act of the last General Court, the controversy
concerning the driveway through the grounds of the hospital,
on the shores of Lake Quinsigamond, was definitely settled.
The Trustees felt themselves bound to represent to the
6 WOECESTER LUNATIC HOSPITAL. [Oct.
Legislature the inconvenience which would arise to the
hospital from the proposed change, and they believed that
their duty required them to urge that certain expenses
connected with it should be borne by the city of Worcester
rather than by the Commonwealth. They are, however,
greatly pleased to see finally adjusted the diverging interests
of a great and growing city and a large public institution
needing a considerable degree of seclusion.
There has often been observed a growing tendency in the
community to treat as insane many moral shortcomings
which were formerly considered vicious. As was said in
the report of the Superintendent, Dr. Park, for the year
1886, " The Act of 1885, authorizing the commitment of
habitual drunkards to the State Lunatic Hospital, was the
first step toward recognizing habitual drunkenness as a
disease and not a crime." But we believe that even this
recoo-nition is not to be the end of the matter. The time
will eome when drunkenness will be recognized not so much
as a disease in itself as the symptom of a deeply seated and
general moral disease, which tends to plunge its victims
into all sorts of indulgence and vice. This weakness or
failure of the moral sense has other symptoms, though
drunkenness is perhaps the most common. During the
past year the Trustees have been considerably embarrassed
by the presence in the hospital of persons who would for-
merly have been allowed to fall into vicious and criminal
lives, not in consequence of definite mania or delusion on
their part, but simply through this defective moral sense.
Such persons, generally women, stand toward the hospital
in much the same position as the habitual drunkard. Re-
garding both these classes the position of the Trustees is a
difl&cult one. There is no use in shutting our eyes to the
fact that in the majority of cases the defect is incurable.
Such persons, while restrained in the. hospital, are for the
time sane both in mind and conduct, yet it is often almost
certain that they will fall into drunkenness or other vice as
soon as released. There are many such persons in the com-
munity, only a few exceptional cases having thus far found
their way to the hospitals ; and the Commonwealth will soon
be forced seriously to consider if it desires to restrain these
1888.] PUBLIC DOCUiMENT — No. 23. 7
men and women for the term of. their natural lives, unless
in any case a permanent cure is really effected. On one
point, however, there is hardly room for doubt. Enforced
and intimate association with the demented and the excited
is not the proper method to secure for those morally de-
fective either a complete recovery or such an alleviation of
their symptoms as may often be hoped for when recovery is
impossible ; and, on the other hand, an association with the
persons who make up the classes just referred to — lazy,
shiftless, and often vicious as they are — is both distasteful
and injurious to the insane, in the ordinary sense of the
word, for whose cure and care our present hospitals were
built. *Both the drunkards and the other persons of whom
we have spoken are often unruly, and very generally refuse
the work which we cannot compel them to perform. Their
presence and example are a serious obstacle to the main-
tenance of proper discipline among the insane.
During the past year we have suffered, in common with
the other lunatic hospitals of the State, from the refusal of
the several cities and towns to pay for the clothing used and
the breakage caused by persons for whose support they were
responsible. For a discussion of this matter we beg leave
to refer to the report of the Superintendent, and to our own
report in connection with the Worcester Insane Asylum.
P^RANCIS C. LOWELL.
ELLEN S. HALE.
FRANCES M. LINCOLN.
A. O. BULLOCK.
THOMAS H. GAGE.
ROCKWOOD HOAR.
WORCESTER LUNATIC HOSPITAL. [Oct.
OFFICERS AND THEIR SALARIES.
John G. Park, M.D., Superintendent, .
Albert E. Moulton, M.D., Assistant Physician,
Frederick H. Daniels, M.D., Assistant Physician,
Alfred I. JS^oble, M.D., Assistant Physician,
Hartstein W. Page, M.D., Assistant Physician,
Laure Hulnie, M.D., Assistant Physician,
Henry J. Bardwell, Steward,
Lila J. Gordon, Matron,
S. Josephine Breck, Clerk, .
Kimble R. Smith, Engineer, .
Albert Wood, Treasurer,
$2,500 00
1,500 00
1,000 00
• 1,000 00
800 00
800 00
1,200 00
600 00
600 00
1,000 00
500 00
VALUE OF PERSONAL ESTATE.
Sept. 30, 1888.
Live stock on the farm, ....,,
$7,760 00
Pi'odnce of the farm on hand, ....
6,918 60
Carriages and agTicultural implements,
7,710 58
Machinery and mechanical fixtures.
28,366 17
Beds and bedding in inmates' deiDartment, .
27,277 25
Other furniture in inmates' department.
. 21,666 57
Personal property of State in Superintendent's depai
tment, 19,147 99
Ready-made clothing,
1,273 S3
Dry goods, .
533 24
Provisions and groceries, . . .
2,380 66
Drugs and medicines,
750 00
Fuel,
7,656 00
Library,
2,539 DO
Other supplies undistribvited, ....
3,909 04
Pipes and radiators, ......
36,000' 00
Total, ........
. $173,888 98
1888.]
PUBLIC DOCUMENT — No. 23.
TREASURER'S REPORT.
To the Trustees of the Worcester Lunatic Hospital.
I herewith submit ray annual report on the finances of the
Worcester Lunatic Hospital, for the year ending Sept. 30,
1888.
Receipts.
Cash on hand, Sept. 30, 1887,
Received of the Commonwealth for support of patients,
of cities and towns, .....
of individuals,
for interest, sale of produce, etc., .
belonging to patients,
Total, .
.$24,857 18
22,649 33
76,969 64
36,263 56
4,875 88
955 27
. $166,570 86
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,
Coffee, .
Butter, .
Cheese, .
Fresh fruits,
Eggs, salt and other groceries,
Total for provisions (carried forward),
$5,290
62
10,399
29
2,331
66
492
21
3,867
19
3,607
55
514
83
660
07
1,668
76
8,887
77
581
37
441
90
5,941
11
$44,684 33
10 WORCESTER LUNATIC
HOSPITAL. [Oct.
Amount brought forivard, ^44,684 33
Salaries and wages,
50,769 13
Grain,
447 60
Meal for stock,
3,126 21
Furniture, ....
578 85
Crockery and glass,
327 04
Tinware, ....
245 09
Bedding and beds,
1,271 10
Straw,
232 22
Furnishings, miscellaneous, .
2,783 86
Tools,
78 55
Lights,
3,135 89
Water,
2,460 94
Fuel,
11,024 66
Soap, . . . .
1,227 39
Medical supplies, .
1,085 72
Live stock, ....
1,930 00
Carriages, harnesses, etc..
1,362 59
Blacksmithing,
362 17
Plants and seeds, .
217 55
Hardware, ....
206 23
Lumber, ....
943 66
Paints, oils, etc.,
928 75
Pipe and fittings, . . . .
306 52
Lime, cement, etc..
50 25
Rejjairs, ordinary, .
865 16
Fertilizers, ....
934 39
Stationery, .....
255 66
Postage, .....
207 05
Transportation,
362 95
Travelling, ....
184 97
Trustees' expenses.
93 33
Miscellaneous,
2,214 88
Labor,
584 70
Clothing and men's furnishings,
4,276 23
Dry goods, women.
1,306 61
Dry goods, house, .
1,586 75
Boots and shoes, .
1,240 01
Total current expenses, .
$143,898 99
Undertaking, ....
$189 00
Money refunded, .
31 25
Refunded to patients, .
1,125 53
Extraoi'dinary improvements,
2,2(
)0 91
3,546 69
Cash on hand Sept. 30, 1888,
$147,445 68
19,125 18
$166,570 86
1888.] PUBLIC DOCUMENT — No. 23. 11
Resources.
Cash on hand, . . . .
Due from the Commonwealth,
cities and towns, ....
cities and towns, previous quarter,
individuals,
Total resources, . .• |55,923 94
Liabilities.
Due for supplies and improvements, . . . |5,522 88
for salaries and wages, 4,276 81
. to patients, 909 01 10,708 70
119,125
18
0,672
06
20,391
97
63
14
9,671
59
Total surplus, $45,215 24
Kespectfully submitted,
ALBERT WOOD,
Treasurer.
Sept. 30, 1888.
HOSPITAL LIBKARY FUND.
Lewis Fund.
Cash on hand Sept. 30, 1887, .... $5 53
Received dividends on Springfield bond, . . 70 00
Expended for books, $74 30
Cash on hand Sept. 30, 1888, .... 1 23
Wheeler Fund.
Cash on hand Sept. 30, 1887, . . . . $40 32
Received dividends, 247 47
For sale of one book, 2 00
$75 53
$75 53
$289 79
Expended for books, $283 20
Cash on hand Sept. SO, 1888, . . . . 6 59
Leivis Fund Investment.
Springfield bond, $1,800 00
Cash on hand Sept. 30, 1888, .... 1 23
8289 79
1,301 23
12
WOECESTER LUNATIC HOSPITAL. [Oct.
Wheeler Fund Investments
Seven shares Central National Bank,
Six shares Worcester National Bank,
Worcester County Institution for Savings,
Worcester Five Cents Savings Bank,
Cash on hand Sept. 30, 1888,
. $980 00
780
00
. 1,145
86
. 1,719
47
6
59
l:,631 92 $5,933 15
LAND ACCOUNT.
Cash on hand Sept. 30, 1887, .
Received from sale of land, .
Received interest, .
Total,
Expenditures.
Plans and surveys,
Cash on hand Sept. 30, 1888,
$174 25
1,453 33
$914 33
707 24
6 01
1,627 58
L,627 58
Amount received from sale of land and interest since July
30,1874, P2,002 60
Sent to State Treasurer, ....
Expenses bviilding streets, commissions, etc.,
Cash on hand,
Due from sales and interest,
For expenses building streets,
J81,805 29
8,743 98
190,549 27
1,453 33
f2,728 32
2,685 60
Land sold previous to July 30, 1874, as shown by the books
at the State Treasurer's office,
$92,002 60
42 72
58,883 26
$150,928 58
Eespectfully submitted,
ALBERT WOOD,
Treasurer.
Sept. 30, 1888.
Worcester, Mass., Oct. 24, 1888.
The undersigned has carefully compared the Treasurer's statement of expendi-
tures for the year ending Sept. 30, 1888, with the vouchers which are on file at the
hospital, and found it to be correct. He has inspected the securities for the invested
funds, and found them to correspond with the Treasurer's statement of their market
value ; and he has compared the statement of expenditures in the land account with
the vouchers, and found it correct.
GEORGE L. CLARK,
Auditor of Accounts.
1888.] PUBLIC DOCUMENT — No. 23. 13
SUPEEINTENDENT'S REPORT.
To the Trustees of the Worcester Lunatic Hospital.
I herewith respectfully present the fifty-sixth annual
report of the hospital, with the statistical tables giving in
detail the operations of the institution for the year.
There were remaining in the hospital Sept. 30, 1887, 694
patients, — 316 males and 378 females. The number of
admissions during the year has been 389, — representing
375 persons, — 205 males and 184 females, making the
whole number under treatment 1,083. The daily average
population has been 708.19. The largest number on any
one day was 770, on September 29, and the smallest num-
ber 676, on October 27. Of this number, 14 have been re-
admissions, and the following transfers have been made
from other institutions : from Danvers Hospital, 20 males and
20 females ; Westborough Hospital, 1 female ; State Alms-
house, Tewksbury, 1 male and 3 females ; State Prison, 6
males ; Massachusetts reformatories, 1 male and 2 females ;
houses of correction, 8 males and 1 female ; Bridge water
State Farm, 1 male. The number discharged has been 311,
— 139 males and 172 females, and one female was out on
visit at the end of the year. Of this number, 81 recovered,
of whom 9 had previously been inmates of this hospital and
been discharged as recovered, — 1 sixteen times, 1 three
times, 3 twice each, and 3 once each, — the 9 persons rep-
resenting 28 recoveries ; 25 were discharged as much im-
proved, some of whom made complete recoveries after
leaving the hospital ; 64 improved ; 75 not improved ; in-
cluding 43 transferred by the Board of Lunacy and Charity
to Westborough Insane Hospital, Tewksbury Almshouse
and Boston Lunatic Hospital. Five males and 2 females con-
14 WORCESTER LUNATIC HOSPITAL. [Oct.
sidered incurable and harmless were put out to board in pri-
vate families. One of the females proved to be unsuitable
to remain, and was returned to the hospital. The number
of deaths was 67, — 36 males and 31 females. The hos-
pital for another year has been free from any epidemic or
large amount of sickness of any kind, the diseases most
prevalent being, as usual, those of exhaustion in persons
already enfeebled by age or chronic brain disorders.
Although the daily average number of inmates has been
less this year than last, the number of admissions has been
greater than in any year since the hospital was opened in
1877. Some 40 chronic and incurable cases were trans-
ferred to the Tewksbury Almshouse and the Westborough
Hospital, and their places supplied by an equal number of
similar cases from Danvers. Apart from the temporary
pleasure of the day's outing, including the ride on the cars,
which was afforded them by this trip, no improvement in
their mental condition can be expected as a result of their
change of residence. About 20 persons of the criminal
class have been sent to the hospital during the year from the
various penal institutions of the State. The impropriety
and injustice of thus associating the criminal and innocent
insane has been brought to the attention of the Governor
and Council in many former reports. All the reasons and
arguments there urged against the plan still exist, and might
be repeated with equal force in this report. A. partial
attempt has been made at Bridgewater to provide for this
class, but so far only the quiet and harmless ones, the least
objectionable in the hospital, have been removed there. The
last Legislature appropriated $60,000 for erecting and furnish-
ino- strono- building-s for insane male criminals at Brido^ewater,
and upon their completion this class should be sent directly
there from the penal institutions, and not in the roundabout
and expensive way now adopted of sending them first to the
lunatic hospitals and from there to Bridgewater. Under the
provisions of chapter 389 of the Acts of 1885, 10 habitual
drunkards have been received. A hearing was given last
year by the legislative committee on public charitable insti-
tutions, upon a petition for the establishment of an inebriate
asylum. A large number of interested persons appeared.
1888.] PUBLIC DOCUMENT — No. 23. 15
and the matter was fully and forcibly presented to the com-
mittee ; but they failed to secure a favorable report from
them. As this subject has also been treated of in former
reports of the hospital, it is not necessary to repeat what
has been said in them. We can only hope that better suc-
cess may attend the efforts in that direction in the future.
During the past year most of the cities and towns have
declined to pay for the clothing, breakage and other damage
done by patients for whose support they are liable. It has
been the custom for years to put such charges on the quar-
terly bills, and they have been paid by the city or town
where the patients had acquired a legal settlement. I un-
derstand that in the revision of the Public Statutes in 1882
the word " support" was substituted for the word " board"
as it stood in the older section of the Statutes relating to
this subject; and, as clothing and all other expenses are
embraced in the former word, the cities and towns refuse
to pay any more than $3.25 per week. The matter was
brought before the committee of the Legislature on public
charitable institutions by the Trustees of the State hospitals,
and the request made that the hospitals might either be
allowed to charge for clothing, breakage, etc., or that the
weekly rate might be raised to a sum sufficient to cover this
expense. This request, which seems a reasonable one, was
opposed by the overseers of the poor of all the cities who
appeared at the committee hearing. As a result, a bill was
reported fixing the weekly rate for pauper patients at $3.40,
this sum to include everything except burial expenses and
charges for elopements. This bill passed the House, but
failed in the Senate. The argument used ao-ainst the in-
crease of rate was that insane paupers were kept at the
almshouses for less than the sum paid now to the hospitals.
That this statement was manifestly unfair, even if true, is
evident when we consider that the class of insane at the
almshouses is composed of the quiet and on the whole tidy
portion, requiring little or no medical attention and a much
less number of attendants, and that when they become active
and destructive they are immediately committed to one of
the hospitals, where the damage they do to their clothing
and the property of the institution may be for weeks twice
16 WORCESTER LUNATIC HOSPITAL. [Oct.
as much as is received for their board. More than this, if
it meant anything, it was a plea for the return to almshouse
treatment of the insane. That this is not the policy of the
State is sufficiently evident from the expensive and com-
modious buildings, each one more expensive than the last,
which it has erected for the care and accommodation of this
class of its wards. One of two results must follow, and prob-
ably both will happen. Either the quality of the food and the
number of the attendants will be reduced, or the moderate
surplus of the hospitals, which is the capital upon which an
economical and cash business is transacted, will be swept
away, debts will be incurred, and the Legislature will be
called upon to make up the deficiency in the running ex-
penses. While such deficiencies in the expenses of the chari-
table institutions of the State have always been promptly
made up by the Legislature, it should be remembered that a
cash balance in the bank is none the less advantageous to an
institution than to an individual. The result of the failure
to reimburse this hospital for the expense of clothing, etc.,
has been a reduction of our cash balance by about $6,000,
while the standard of food and the efficiency and number of
the attendants have been equal to that of former years. I
recommend that the Legislature be again asked to place the
price of board, now lower than in any northern State, at a
rate which will enable the institutions to be self-supporting,
and furnish the unfortunate inmates with a reasonable num-
ber of the comforts of life which their malady prevents them
from furnishing themselves.
The current expenses for the year, after deducting the
amount received for sale of products and other articles, have
been $139,877.42. Dividing this amount by 708.19, the
average number of patients for the year, we find the annual
cost to be $197.51, equivalent to $3,798 per week for each
patient.
The land on Shrewsbury Street, some twelve acres, which
the Legislature of two years ago permitted the city of Wor-
cester to occupy for the purpose of a public park, has been
taken by the city, and various improvements made upon it
to render it suitable for a pleasure ground. The Legis-
lature also modified to a certain extent the conditions which
1888.] PUBLIC DOCUMENT — No. 23. 17
the year before they imposed in the matter of granting the
city permission to lay out and construct a highway through
the hospital grounds bordering upon Lake Quinsigamond.
Nothing has yet been done towards carrying into effect the
provisions of this act.
The hospital library has been well patronized by both
patients and employees. Two hundred and forty-two books
have been added during the year, making the total number
of volumes 1,721. The gifts to the institution have been
newspapers, periodicals, pamphlets, and cards from the
Hospital Newspaper Society ; a number of volumes pub-
lished by the Bureau of Agriculture, from Senator George
F. Hoar ; publications from the Agricultural College, Am-
herst ; one copy of the "Worcester Evening Gazette,"
the "Daily Spy," the " Fitchburg Sentinel," the "Salem
Gazette," the "American Traveller;" fruit from Mrs.
George L. Clark.
There have been several changes in the corps of officers.
Mr. George L. Clark, after seven years of very efficient
service as steward, resigned in February. The vacancy was
filled by the appointment of Mr. Henry J. Bardwell, and he
assumed the duties of the office May 1. Dr. John A. Hous-
ton and Dr. Elizabeth Earle resigned their positions on the
medical staff, the latter leaving in March and the former in
August. These vacancies have been filled by the appoint-
ment of Drs. Hartstein W. Page and Laure Hulme ; the
former commenced service in August and the latter in Sep-
tember.
The successful management of an institution as largfe as
this, with its many and complex concerns, can only be
secured by the harmonious co-operation of the subordinate
officers. To those who have been associated with me, and
to the employees in the various departments who have given
faithful and conscientious assistance in carrying on the work
of the year, as well as to your Board, I wish to acknowledge
my indebtedness.
JOHN G. PARK,
Superintendent.
Worcester Lunatic Hospital, Sept. 30, 1888.
STATISTICAL TABLES.
STATISTICAL TABLES.
1. General Statistics of the Year.
Males.
Females.
Totals.
Patients in the hospital Sept. 30, 1887, .
316
378
694
Admissions within the year,
205
184
389
AVhole number of cases within the j
ear,
521
562
1,083
Discharges within the year.
139
174
313
Viz. : as recovered, .
45
36
81
much improved, .
8
17
25
improved, .
30
34
64
not improved.
20
55
75
On visit,
-
1
1
Deaths,
36
31
67
Patients remaining Sept. 30, 1888,
382
388
770
supjjorted as State patients.
113
72
185
town patients,
220
249
469
jjrivate j^atients,
49
67
116
Number of persons within the year.
516
553
1,069
admitted, ....
200
175
375
recovered, . . .
45
35
80
Daily average number of patients, .
338.85
369.34
708.19
2. Monthly Admissions^ Discharges and Averages.
MONTHS.
Admissions.
Discharges
(including Deaths,
Elopements and
Visits).
Daily Average of Patients
in the hodse.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
1887.
October, .
14
6
20
15
20
35
317.82
371.53
689.35
November,
15
16
31
10
11
21
313.63
365.86
679.89
December,
20
18
38
11
14
25
325.96
371.83
697.79
1888.
January, .
9
11
20
5
11
16
329.71
372.57
702.28
February,
17
15
32
10
20
30
335.48
372 10
707.58
March,
11
10
21
14
11
25
336.51
366.12
702.64
Api'il,
10
11
21
11
7
18
335 13
369.67
704.80
May,
14
15
29
16
12
28
333.77
373.64
707.41
June,
23
6
29
13
11
24
338.50
368.23
706.73
July,
33
29
62
8
34
42
353 03
361.61
714.64
August, .
21
23
44
13
14
27
369.45
363.45
732.90
September,
18
24
42
13
9
22
377.23
375.53
752.76
Total eases, .
205
184
389
139
173
312
338.85
369.34
708.19
Total persons,
206
175
375
139
173
312
—
—
—
22
WORCESTER LUNATIC HOSPITAL. [Oct.
3. Received
on First and Subsequent Admissions.
NUMBER OF THE ADMISSIONS.
Cases Admitted.
1
Times PBEvionsLT
Recoveked.
Males.
Females.
Totals.
Males.
Females.
Totals.
First, .
183
153
386
-
-
-
Second, .
18
22
40
5
5
10
Third, ....
3
4
7
3
2
5
Fourth, .
-
2
2
-
5
5
Fifth, .
--
1
1
-
-
-
Sixth, .
1
-
1
-
-
-
Eighteenth, .
-
1
1
-
16
16
Nineteenth, .
_
1
1
-
17
17
Total of cases,
205
184
389
8
45
53
Total of persons.
200
175
375
-
-
-
4. Ages of Persons admitted for the
First Time.
AGES.
At First Attack of
Insanity.
When Admitted,
Males.
Females.
Totals.
Males.
Females.
Totals.
Fifteen years and less, .
8
3
11
-
-
-
From 15 to 20 years,
5
10
15
11
12
23
20 to 25 years.
24
16
40
18
15
33
25 to 30 years.
25
26
61
26
21
47
30 to 35 years,
20
14
34
28
19
47
35 to 40 years,
19
19
38
18
19
37
40 to 50 years,
37
27
64
47
30
77
50 to 60 years,
18
18
36
18
18
36
60 to 70 years,
9
8
17
13
13
26
70 to 80 years,
3
2
5
3
3
6
Over 80 years.
1
1
2
1
2
3
Unknown,
14
9
23
-
1
1
Totals, .
183
153
336
183
153
336
1888.]
PUBLIC DOCUMENT — No. 23.
23
5. Residence of Persons admitted.
PLACES.
Males.
B'cmalcs.
Totals.
Massachusetts, —
Middlesex County, ....
69
79
148
Worcester County, ....
75
57
132
Suffolk County,
48
33
81
Norfolk County, ....
5
4
9
Essex County,
2
1
3
Plymouth County, ....
-1
-
1
Barnstable County, . .
-
1
1
Totals,
200
175
375
6. Civil Condition of Persons admitted.
Divorced.
Unmarried.
Married.
Widowed.
Unkn'wn.
NUMBER OF THE
ADMISSIONS.
0)
3
■3
a
■5
H
%
■3
B
"3
"3
3
a
3
I
1
3
g
5
"5
1
S
H
First,
-
1
1
92
57
149
74
72
146
17
20
37
-
1 1
Second, .
-
-
-
6
10
16
5
8
13
2
-
2
-
Third, .
-
-
-
1
2
3
1
1
2
1
-
1
-
Fourth, .
-
-
-
-
1
1
-
1
1
-
-
-
-
Fifth,
-
-
-
-
-
-
-
1
1
-
-
-
-
Sixth,
—
1
1
1
100
70
1
-
-
-
-
-
40
—
1
-
Totals, .
170
80
83
163
20
20
1
24
WORCESTER LUNATIC HOSPITAL. [Oct.
7, Occupations of Persons admitted.
OCCUPATIONS.
Males.
Females.
Totals.
Attendant,
1
1
Artist, .
1
—
1
Actor, .
2
-
2
Boot maker, .
12
-
12
Book folder, .
-
1
1
Bookkeeper, .
Barber, .
2
1
-
2
1
Blacksmith, .
2
-
2
Call hoseman.
1
-
1
Carder, .
1
-
1
Coachman, .
1
-
1
Cabinet maker.
1
-
1
Chair maker, .
1
-
1
Clerk, .
6
-
6
Cook, .
1
1
2
Clergyman, .
1
-
1
Conductor, .
1
-
1
Carpenter,
Domestic,
5
33
5
38
Dressmaker, .
-
2
2
Florist, .
1
-
1
Farmer,
20
-
20
Gilder, .
1
-
1
Gardener,
1
-
1
Grocer, .
2
-
2
Housekeeper,
Hatter, .
-
83
1
83
1
Harness maker,
1
-
1
Hostler,
2
2
Hoi'se jockey,
Janitor,
1
2
1
1
3
Jobber,
2
2
Laundress, .
-
1
1
Liquor dealer.
Longshoreman,
1
1
-
1
1
Laborer,
41
-
41
Lather, .
2
-
2
Mai'ble cuttei
,
1
—
1
Machinist,
6
-
6
Mason, .
2
-
2
Milkman,
1
_
1
Merchant,
1
-
1
Nurse, .
-
1
1
OiDerative,
4
2
6
Physician,
Printer, .
2
2
—
2
2
Parlor maid.
-
1
1
Carried J
oriva
rd,
136
128
264
1888.]
PUBLIC DOCUMENT — No. 23.
25
7. Occupations of Persons admitted — Concluded.
OCCUPATIONS.
Males.
Females.
Totals.
Brought forward, . . . . .
136
128
264
Produce dealer,
3
-
3
Pawnbroker, .
1
-
1
Painter,
3
-
3
Peddler,
1
-
1
Police oiScer,
2
-
2
Piano polisher.
1
-
1
Picture dealer,
1
-
1
Piano-action make
1-,
1
-
1
Press feeder,
1
-
1
Plumber,
1
-
1
Stone mason.
2
-
2
Spinner,
2
-
2
Seaman,
1
-
1
Salesman,
3
-
3
Stone cutter, .
2
-
2
Seamstress, .
-
3
3
Store-keeper,
-
1
1
Student,
-
3
3
Ship carpenter,
1
-
1
Shoe cutter, .
1
—
1
Teacher,
1
6
7
Tailor, .
3
1
4
Tinsmith,
2
-
2
Teamster,
6
-
6
Upholsterer, .
2
-
2
Vest maker, .
—
1
1
Watchmaker,
1
-
1
Wood carver.
2
-
2
Weaver,
-
1
1
Weigher,
1
-
1
Wire worker.
2
-
2
Waiter, .
2
2
No occupation,
13
28
41
Unknown,
2
3
5
Totals, .
200
175
375
26
WORCESTER LUNATIC HOSPITAL. [Oct.
8. Iiejjorted Duration of Insanity before Last Admission.
First Admission to
All Other
AN-S
Hospital.
Admissions.
PREVIOUS DUKATION.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Under 1 month, .
34
26
60
7
14
21
41
40
81
From 1 to o months,
16
6
22
4
6
9
20
11
31
3 to 6 months,
15
19
34 1
5
5
10
20
24
44
6 to 12 months,
18
7
26
2
6
7
20
12
32
1 to 2 years, .
17
11
28 !
5
5
10
22
16
38
2 to 5 years, .
16
17
33
12
17
29
28
34
62
5 to 10 years, .
8
6
14
11
9
20
19
16
34
10 to 20 years, .
5
5
10
3
8
11
8
13
21
Over 20 years, .
-
1
1
2
1
3
2
2
4
Unknown, .
16
9
25
9
8
17
25
17
42
Total cases,
145
107
252
60
77
137
205
184
389
Total persons, .
146
107
252
55
68
123
200
176
375
Average of known
mos.
mos.
mos.
mos.
mos.
mos.
mos.
mos.
mos.
cases,
24.37
29.27
26.72
52.01
60.20
66.72
32.21
42.05
36.91
9. Form of Disease in Cases admitted.
FORM OF DISEASE.
Males.
Females.
Totals.
Mania, acute,
chronic, ......
recurrent,
puerperal,
Melancholia, acute, .....
chronic,
Dementia, pi'imary,
secondary,
senile, . .....
organic (tumors, hemorrhages,
etc),
General paralj-sis of the insane, .
EjDilepsy, .......
]\loral insanity,
Toxic insanity (alcoholism, moi"phine, etc.),
Congenital mental deficiency, idiocy, .
Habitual drunkard,
51
43
1
21
7
2
4
7
8
14
10
27
3
7
44
51
6
2
24
12
1
8
6
7
9
2
10
3
96
94
7
2
45
19
3
12
12
15
14
19
2
37
3
10
Totals,
205
184
389
1888.]
PUBLIC DOCUMENT — No. 23.
27
10. Probable Causes of Insanity in Persons admitted.
Patients
Prkvious
Hereditary
Admitted.
Attacks.
Predisposition.
CAUSES.
Ma.
Fc.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Apoplexy, ....
_
2
2
_
_
Al3scess of the mastoid
j)i-ocess, ....
1
-
1
-
-
-
-
-
_
Business troubles,
2
-
2
1
-
1
2
_
2
Congenital mental defi-
ciency, ....
4
2
6
1
1
2
-
-
-
Excessive mental labor, .
3
3
6
3
2
5
—
—
—
Epilepsy, ....
8
8
16
4
3
7
-
3
3
Fright, ....
—
1
1
—
1
1
—
—
—
Family trouble.
2
6
8
1
4
5
-
-
-
Grief, ....
1-
3
4
-
1
1
-
1
1
General paralysis.
14
-
14
2
-
2
1
-
1
Heredity, ....
17
31
48
5
15
20
17
31
48
Ill health, ....
11
17
28
3
6
9
1
1
2
Injury to head, .
6
1
7
1
1
2
-
-
—
Intemperance, .
53
13
66
13
6
19
4
1
5
Masturbation, .
12
-
12
3
_
3
2
—
2
Nostalgia, ....
1
2
3
-
2
2
_
_
_
Overwork, ' . , .
3
4
7
-
2
2
-
-
_
Opium habit, . .
-
2
2
-
1
1
-
-
—
Paralysis, ....
3
2
■ 5
-
1
1
1
1
2
Puerperal,
-
12
12
-
7
7
-
6
6
Religious excitement.
4
9
13
2
4
6
1
1
2
Senility, ....
9
5
14
2
-
2
1
1
2
Syphilis, ....
2
4
6
-
3
3
-
-
-
Sunstroke,
3
—
3
2
—
2
1
_
1
Spiritualism,
1
-
1
-
-
-
-
-
—
Turn of life,
—
12
12
—
1
1
_
2
2
Uterine trouble.
-
2
2
-
1
1
—
1
1
Worry, ....
6
11
17
1
3
4
-
-
_
Unknown,
27
20
47
12
10
22
_
_
_
Habitual drunkard, .
7
3
10
1
-
1
-
-
-
Totals, ....
200
175
375
57
75
132
31
49
80
28
WORCESTER LUNATIC HOSPITAL. [Oct.
11. Relation to Hospitals of Persons admitted.
HOSPITAL RELATIONS.
Males.
Females.
Totals.
First admission to any hospital for insane,
145
107
252
Former inmates of this hospital and no other,
15
17
32
Former inmates of this and other hospitals, .
3
6
9
Former inmates of other liospitals
in this State : —
Taunton, ....
2
3
o
Northampton, .
-
3
3
Dan vers.
22
22
44
Westborough, .
-
2
2
McLean, ....
1
2
3
Tewksbury and Worcester Asy
lum.
-
1
Herbert Hall, .
-
1
Dr. Heald's, Pepperell,
-
1
Shady Lawn,
.
-
1
McLean and Oregon,
1
-
Taunton and Westborough,
-
1
Taunton and Danvers,
1
4
Danvers and Westborough,
-
1
Brattleboro', Vermont,
1
-
Augusta, Maine,
1
-
Virginia and New Jersey,
1
-
Virginia,
1
-
Philadelphia, ....
1
-
New York,
1
1
Cook County, Illinois,
-
1
Stockton, California,
1
-
Dakota, .....
1
-
England,
1
-
Ireland,
1
1
2
Totals, ....
•
200
175
375
12. How Supported.
Patients Admitted.
AVEHAGE OP THE
Yeak.
SUPPORTED AS
Males.
Females.
Totals.
Males.
Females.
Totals.
State patients.
Town jjatients, .
Private patients, .
97
81
22
76
81
18
173
162
40
86 59
201.75
50.51
49.163
248 06
72.128
135.74
449.81
122.636
Totals, .
200
175
375
338.85
369.34
708.19
1888.]
PUBLIC DOCUMENT — No. 23.
29
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30
WORCESTER LUNATIC HOSPITAL.
[Oct.
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1888.]
PUBLIC DOCUMENT — No. 23.
31
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32
WORCESTER LUNATIC HOSPITAL. [Oct.
16. Cases discharged by Recovery or Death.
Recoveries.
i Deaths.
1
FORM OF INSANITY.
Males.
Females.
Totals.
Males.
Females.
Totals.
Mania, acute,
24
18
42
5
2
7
" chronic.
1
-
1
5
11
16
" recurrent, .
1
5
6
1
1
2
" religious, .
1
_
1
_
_
_
Melancholia, acute,
3
3
6
1
2
3
" chronic.
1
1
2
1
4
5
Dementia, secondary.
-
—
_
1
1
2
" senile, .
-
-
-
4
5
9
" organic,
-
-
-
5
_
5
General paralysis.
-
-
-
7
1
8
Epilepsy,
-
-
-
6
2
8
Toxic insanity.
14
9
23
-
2
2
Totals, .
45
36
81
36
31
67
17. Causes of Death.
CAUSES.
Males.
Females.
Totals.
Exhaustion of mania, acute,
3
2
5
" " chi'onic, ....
2
5
7
" " recurrent mania and heart failure.
-
1
1
" " chronic mania and jaundice, .
1
1
2
" " melancholia, acute,
—
2
2
" " " chronic.
1
3
4
" " dementia, secondary.
1
-
1
" " " senile, ....
3
3
6
" " " organic, ....
2
_
2
General paralysis, .......
7
1
8
Shock from fall,
1
_
1
Bright's disease,
1
_
1
Phthisis, pulmonalis,
1
2
3
Exhaustion from diarrhoea, .....
-
1
1
" " paralytic insanity,
2
2
4
Ejnlepsy, ....'...
7
2
9
Exhaustion, chronic mania and congestion of
lun2:s,
-
1
1
Pneumonia,
_
1
1
Heart disease,
1
2
3
Suicide bv hanging,
1
—
1
Cancer of viterus,
_
1
1
AjDoplexy,
2
-
2
Exhaustion, chronic mania and rheumatism,
-
1
1
Totals,
36
31
67
1888.]
PUBLIC DOCUMENT — No. 23.
33
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First,
Second,
Third,
Fourth,
Fifth,
Sixth,
Seventh,
Eighth,
Ninth,
Tenth,
Eleventh,
34
WORCESTER LUNATIC HOSPITAL. [Oct.
19. Recoveries., classified hy Results of Previous Admissions.
NUMBER
OF THE
Eecovered.
Much Improved.
Improved.
Totals.
ADMISSION.
Ma.
Fe.
Tot.
Ma.
Fe. Tot.
Ma.
Fe. Tot.
Ma.
Fe.
Tot.
First, .
Second,
Third,
Fourth,
Fifth, .
Sixth,
Seventh,
Eighth,
Ninth,
Tenth,
Eleventh, .
Twelfth, .
Thirteenth,
Fourteenth,
Fifteenth, .
Sixteenth, .
Seventeenth,
Eighteenth,
1
1
3
6
2
2
7
3
5
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
-
1
1
2
1
2
1
2
2
1
1
5
7
5
2
8
6
Totals, .
6
25
30
-
1
1
2
3
5
7
29
36
20. Deaths, classified by Duration of Insanity and of Treatment.
1
Whole Known Period of
Ddration of Insanity. I
Hospital kesidesce.
PERIOD.
Males.
Females.
Totals.
Males.
Females.
Totals.
Under 1 month, .
2
2
4
5
5
10
From 1 to 3 months,
2
1
3
10
2
12
3 to 6 months,
5
2
7
3
_
3
6 to 12 months.
2
1
3
4
4
8
1 to 2 years,
3
1
4
2
6
8
2 to 5 years.
7
8
15
8
9
17
5 to 10 years.
9
6
15
2
2
4
10 to 20 years,
-
8
8
3
3
Over 20 years.
1
-
1
2
-
2
Unknown,
5
2
7
-
-
Totals, ....
36
31
67
36
31
67
mos.
mos.
mos.
mos.
mos.
mos.
Avei'age of known eases.
55.44
74 96
64.93
24.33
39.00 84.10
1888.]
PUBLIC DOCUMENT — No. 23.
35
21 . Ages of Those wJio died.
At Tijib of First Attack.
1
At Time of Death.
AGES.
Males.
Females.
Totals.
Males.
Females.
Totals.
From 15 to 20 years,
2
1
3
1
-
1
20 to 25 yeai-s,
-
1
1
1
1
2
25 to 30 years,
4
4
8
3
1
4
30 to 35 years,
4
-
4
3
1
4
35 to 40 years.
3
4
7
2
4
6
40 to 50 years,
6
2
8
10
4
14
60 to 60 years.
7
10
17
6
9
15
60 to 70 years.
5'
7
12
7
7
14
70 to 80 years,
1
1
2
3
3
6
Over 80 years,
-
1
1
-
1
1
Unknown,
4
-
4
-
-
-
Totals, .
36
31
67
36
31
67
22. Number of Convicts admitted to the Hospital from its
Opening, Jan. 19, 1833, to Sept. 30, 1888.
Males.
Females.
Totals.
Number upon first admission,
Number upon readmission, ....
448
52
94
8
542
60
Totals,
500
102
602
36
WOECESTER LUNATIC HOSPITAL.
[Oct.
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1888.] PUBLIC DOCUMENT — No. 23.
37
I t I I I I I I I I I I I I I I I r
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oooocooocococo^'ioaocooDGOcocccoooccoosoooooX'Cccoccooooooaiooaoa;cc30
38
WOECESTEK LUNATIC HOSPITAL. [Oct.
s
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Year's Admission.s
Sept. 30, 1SS8.
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1-1 i-i 1— 1 CN .-H " c<i CM CM ■* ec (M c<i 00 c<i ca ■* Tfi
YEARS.
co"^"n cD"i~-roo c^a — c<i co'^io cc t^ oo o> o — ' c<i co
0O0OCOCOaOO0CO5O0DCO0OCCCOC»COCOXlCX;0C=O00
1888.]
PUBLIC DOCUMENT — No. 23.
39
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■— i<MC<)eOi— lr-(TjilO«Ot--'CO?3^Ht^t— iCOO-*iCO— '
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40
WORCESTER LUNATIC HOSPITAL. [Oct.
00
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CASES PREVIOUSLY RECOVERED IN THIS HOSPITAL.
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ADMITTED.
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YEARS ENDING —
ccOi c-i"co ■* ciTi^roo'aro'— ' cm co"-^ ifr ^St-^x
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PUBLIC DOCUMENT — No. 23.
41
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42
WORCESTER LUNATIC HOSPITAL. [Oct.
26. Showing the Results of First Admissions.
Males.
Females.
Totals.
Males.
ITemales.
Totals.
Number of jDersons on firs
admission, .
-
-
-
5,706
5,504
11,210
Discharged recovered, .
1,913
1,858
3,771
-
-
-
improved, .
1,452
1,534
2,986
-
-
-
not impi'oved,
1,111
1,000
2,111
-
-
-
not insane, .
6
5
11
—
—
—
On visit.
1
3
4
_
-
-
Eloped
4
-
4
-
-
-
Died, ....
932
811
1,743
_
—
—
Remaining in the hospita
Sept. 30, 1888, .
287
293
680
5,706
5,504
11,210
Shoiuing the Results
of Readmissions.
JSTiunber of readmissions,
1.837
1,785
3,622
Discharged recovered, .
661
719
1,380
-
-
-
improved, .
502
469
971
-
-
-
not improved.
348
307
755
-
-
-
On visit,
-
1
1
-
-
-
Eloped, ....
1
-
1
-
-
-
Died, ....
230
194
424
—
—
—
liemaining in the hospita'
Sept. 30, 1888, .
95
95
190
1,837
1,785
3,622
Shoioing the Residts of Second Admissions.
Number of second admis-
sions, ....
-
-
-
1,108
1,094
2,202
Discharged recovered, .
348
362
710
-
-
-
improved, .
294
305
599
-
-
-
not improved.
248
218
466
-
-
-
On visit, ...
-
1
1
-
-
-
Died, ....
158
141
299
-
-
-
Remaining in hospital Sept
30, 1888, .
60
67
127
1,108
1,094
2,202
1888.]
PUBLIC DOCUMENT — No. 23.
43
Showing the Results of Third Admissions.
' .
Males.
Females.
Totals.
Males.
Females.
Totals.
Number of third admissions,
353
310
663
Discliarged recovered, .
137
135
272
-
-
-
improved, .
95
78
173
-
-
-
not improved,
56
51
107
-
-
-
Died,
44
30
74
-
-
-
Remaining in the hospital
Sept. 30, 1888, .
21
16
.37
353
310
663
Showing the Results of Fourth Admissions.
JSTmnber of fourth admis-
sions, .....
—
_
-
146
132
278
Discharged recovered, .
64
62
126
-
-
-
improved, .
44
39
83
-
-
-
not improved,
25
20
45
-
-
-
Died,
8
10
18
-
-
-
Remaining in the hospital
Sept. 30, 1888, .
5
1
6
146
132
278
Shoiving the Results of Fifth Admissions.
Number of fifth admissions.
72
71
143
Discharged recovered, .
33
39
72
-
-
-
imjjroved, .
not improved,
Eloped,
Died, .....
15
8
1
11
15
9
4
30
17
1
15
-
-
-
Remaining in the hosjaital
Sept. 30, 1888, .
4
4
8
72
71
143
Showing the Residts of Sixth Admissions.
Number of sixth admissions.
40
39
79
Discharged recovered, .
23
21
44
-
-
-
improved, .
not improved.
Died,
8"
3
3
10
2
3
18
5
6
-
-
-
Remaining in the hospital
Sept. 30, 1888, .
3
3
6
40
39
79
44 WORCESTER LUNATIC HOSPITAL. [Oct.
SJioivivg the Results of Seventh Admissions.
Males.
Females.
Totals.
Males.
Females.
Totals.
Number of seventh admis-
sions, .....
Discharged recovered, .
improved, .
not improved.
Died,
14
6
3
3
16
6
1
2
30
12
4
5
26
26
25
25
51
51
Showing the Results of Eighth Admissions.
Number of eighth admis-
'
sions,
-
-
-
19
19
38
Discharged recovered, .
9
13
22
-
-
-
improved, .
9
3
12
-
-
-
not improved.
1
2
3
-
-
-
Remaining in tlie hospital
Sept. 30, 1888, .
"~
1
1
19
19
38
Shoioing the Residts 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 tenth admissions,
Discliarged recovered, .
improved, .
not improved.
12
2
1
18
8
2
13
13
15
15
28
28
1888.]
PUBLIC DOCUMENT — No. 23.
45
Sliowing the Results of Eleventh Admissions.
Males.
Females.
Totals.
Males.
Females.
Totals.
Nvunber of eleventh admis-
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, 1888, .
1
~
1
12
14
26
Showing the Results of Twelfth Admissions.
N'umber of twelfth admis-
sions, .....
-
_
-
9
11
20
Discharged recovered, .
3
9
12
-
-
-
improved, .
4
1
5
-
-
-
not improved, .
1
-
1
-
-
-
Died,
1
1
2
9
11
20
Showing the Results of Thirteenth Admissions.
Number of thirteenth admis-
sions, .....
-
-
-
7
9
16
Discharged recovered, .
3
8
11
_
_
_
improved, .
3
-
3
-
-
-
not improved, .
1
-
1
-
-
-
Remaining in the hospital
Sept. 30, 1888, .
—
1
1
7
9
16
Showing the Residts of Fourteenth Admissions.
Nmnber of fourteenth admis-
sions,
_
_
_
5
8
13
Discharged recovered, .
3
6
9
-
-
-
improved, .
2
1
. 3
-
-
-
not improved, .
1
1
5
8
13
46 WOKCESTEE LUNATIC HOSPITAL. [Oct.
/Shoiving the Results of Fifteenth Admissions.
Males.
i
Females.
Totals.
Males.
Females.
Totals.
Number of fifteentli admis-
sions, .....
Discliarged recovered, .
imj^roved, .
not improved,
2
2
4
1
1
6
3
1
4
4
6
6
10 ■
10
Showing the Results of Sixteenth Admissions.
Nmnber of sixteenth admis-
sions,
-
-
-
3
4
7
Discharged recovered, .
1
3
4
—
_
_
improved, .
1
-
1
-
-
-
Remaining in the hosjDital
Sept. 30, 1888, .
1
1
2
3
4
7
Showing the Results of Seventeenth Admissions.
Number of seventeenth ad-
missions, . . . .
Discharged recovered, .
not improved,
---23
2 2 4 - -
-112 3
Shoioing the Residts of Eighteenth Admissions.
Number of eighteenth ad-
missions, . . . .
Discharged recovered, .
improved, .
Died,
2
3
1
2
3
_
-
1
-
1
-
_
—
1
1
2
3
Showing the Results of Nineteenth Admissions.
Number of nineteenth ad-
missions,* . . . .
Discharged recovered, .
improved, .
Remaining in the hospital
Sept. 30, 1888, .
1
2
-
1
1
-
-
1
-
1
-
-
-
1
1
1
2
1888.] PUBLIC DOCUMENT — No. 23. 47
Showing the Eesu
Hs of _
Twentieth Ad
missions.
Males.
Females.
Totals.
jMales.
Females.
Totals.
Number of twentieth admis-
sions,
Discharged recovered, .
-
1
1
~
1
1
1
1
Shelving the Results of Twenty-first Admissions.
Number of twenty-first ad-
missions, . . . .
Discharged recovered, .
-
1
1
-
1
1
Showing the Results of Twenty-second Admissions.
Number of twenty-second ad-
missions, . . . .
Discharged recovered, .
Shoioing the Results of Twenty-third Admissions.
Number of twenty-third ad-
missions, . . . .
Discharged recovered, .
48
WORCESTER LUNATIC HOSPITAL. [Oct.
?i
OOOiCCOOOO^^^MOOCOCO-Ht^OOiOS-
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1888.]
PUBLIC DOCUMENT — No. 28.
49
ococcoo-^'ori.— i(MC<iooooo5cooor~-^oocD"CO^--^eO'*--i^'C — (M — CO
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58
WORCESTER LUNATIC HOSPITAL. [Oct.
A.
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1888.] PUBLIC DOCUMENT — No. 23. 59
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60
WORCESTER LUNATIC HOSPITAL. [Oct.
o
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62
WORCESTER LUNATIC HOSPITAL. [Oct.
o
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1888.]
PUBLIC DOCUMENT — No. 23.
63
30. Parentage of Persons admitted.
Males.
Females.
BIRTHPLACE.
Father.
Mother.
Father.
Mother.
Maine,
5
5
7
8
New Hampshire, .
Vermont,
2
1
2
2
2
4
1
4
Massachusetts,
46
47
28
26
Rhode Island,
1
1
-
2
Connecticut, .
-
-
3
3
New York, .
-
-
3
4
Pennsylvania,
Maryland,
Virginia,
North Carolina, .
1
3
1
1
3
1
1
1
Ohio, .
1
1
2
2
Kentucky,
Louisiana,
1
-
—
1
Canada,
10
10
5
7
New Brunswick, .
1
1
3
4
Newfoundland,
-
-
1
1
Nova Scotia, .
5
5
8
8
Prince Edward Island,
~
-
2
1
Cape Breton,
England,
Ireland,
11
82
11
81
3
3
68
2
4
67
Scotland,
3
3
5
6
Germany,
Italy, .
Sweden,
4
1
5
4
1
5
6
1
5
4
1
5
France, .
3
3
2
-
Russia, .
-
-
1
1
Holland,
-
-
1
1
Bavaria,
1
1
-
-
Fayal, .
Isle of Man,
1
1
1
—
Unknown,
11
11
11
11
Totals,
200
200
175
175
64
WORCESTER LUNATIC HOSPITAL.
[Oct.
81. Subsequent History of 1^,134 Persons wlio have been dis-
charged from the Hospital as recovered, on their only Admission
or on their Last Readmission.
Females. Totals.
died
diS'
Remained well and living at time of reply,
Remained well through life, .
Relapsed and readmitted to this hospital,
Rela^jsed, admitted to other hospitals, and
there, .......
Relapsed, admitted to other hosj^itals, and
charged, ■
Rela^Dsed, admitted to other hospitals, and there
now, .
Relapsed and died at home, .
Relapsed and died at almshouse, .
Relapsed and living at almshouse, .
Relapsed and living at home.
Relapsed and nothing more known,
Suicides, .......
Relapsed and died in Andersonville Prison,
Totals,
No information, ....
164
113
2
27
35
146
136
1
27
32
310
249
3
54
67
13
20
33
48
54
102
24
16
40
9
3
12
22
29
51
9
1
10
26
14
40
1
-
1
493
479
972
-
-
162
493
479
1,134
Residence of Private Patients admitted to the Hospital from Oct. 1,
1887, to Sept. 30, 1888.
Natives,
Foreigners,
TOWSS.
No.
TOWNS.
No.
Athol, .
Auburn,
Arlington, .
1
1
1
Stei-ling, .
Shrewsbury,
Salem,
1
1
1
Boston,
Clinton,
8
1
Sudbury, .
Townsend,
1
1
C'anabridge, .
Dudley,
Framingham,
3
1
2
Tewksbmy,
Uxbridge, .
Worcester,
' 1
\ 1
13
Grafton,
1
Woburn, .
1
Hudson,
1
Warren,
1
Leominster,
1
Ware,
1
9
Roslindale, .
1
Total, ....
48
Rutland,
1
36
12
1888.]
PUBLIC DOCUMENT — No. 23.
65
Besidence of Town Patients admitted to the Hospital from Oct. 1,
1887, to Sept. 30, 1888.
TOWNS.
Ko.
TOWNS.
No.
Athol,
1
Northborough, .
1
Acton, .
Natick,
2
Boston,
20
North Brookfielc
I,
1
Billerica,
Oxford, .
2
Belmont,
Princeton, .
1
Brookline, .
Quincy,
1
Belchertown,
Somerville,
2
Blackstone, .
Spencer, .
3
Cambridge, .
34
Sherborn, .
1
Clinton,
Shirley, .
1
Concord,
Southbridge,
1
Charlton,
Sudbury, .
1
Chatham,
Saugus,
1
Dudley,
Stoneham, .
1
Fitchburg, .
3
Tyngsborough,
1
Framingham,
2
Uxbridge, .
2
Gardner,
2
Worcester,
21
Hvibbardston,
2
Waltham, .
o
Harvard,
1
Westford, .
3
Holliston, .
1
Webster, .
1
Hopkinton, .
3
Watertown,
2
Leominster,
2
West Boylston,
1
Milford,
5
Weston,
1
Marlborough,
4
Wilmington,
1
Medway,
2
Winchendon,
1
Maynard, .
1
Newton,
4
Total.
159
Northbridge,
1
Natives,
Foreigners, .
104
55
State Patients admitted to the Hospital from Oct. 1, 1887, to Sept.
30, 1888.
State natives,
State foreigners,
65
117
Total,
182
66
WORCESTER LUNATIC HOSPITAL. [Oct.
SUMMARY OF FAKM ACCOUJ^T
For Twelve Months, ending Sept. 30, 1888.
Dr.
Blacksmithing, .
Bread, etc.,
Butter,
Current expenses,
Fertilizers,
Furnishings,
Fuel, .
Grain and meal.
Groceries and supplies,
Labor, extra, by day.
Live stock, horses and cattle.
Live stock, swine.
Meats,
Rejoairs,
Seeds,
Sugar,
Tools,
Water,
Wages, pay-roll,
Net gain for twelve months,
504 barrels apples, .
627 bunches asparagus, '
55i bushels beans, shell,
64 bushels beans, string,
110 bushels beets,
31 quarts blackberries,
7,410 pounds beef,
13,605 pounds cabbage,
2,357 dozen corn, green.
120 00
230 99
57 27
923 76
248 89
58 51
3,126 21
459 42
186 40
1,924 00
15 00
419 03
259 46
177 53
88 19
70 17
37 39
3,510 86
$12,120 96
2,884 62
$15,005 58
Cr.
Amount carried forward.
. $643
50
51
16
57
25
64
00
70
89
2
48
629
00
136
05
188
56
. $1,842 89
1888.]
PUBLIC DOCUMENT — No. 23.
67
Amount brought Jorward,
21 bushels carrots,
170 dozen celery,
81. dozen cucumbers, early,
59 bushels cucumbers, pickle,
2,045 quarts currants,
1,628 o:allons eider, .
70 pounds cauliflower,
666 dozen eggs,
5J dozen egg plant, .
42,825 pounds hay, .
Cash for hay.
Cash for hides and tallow,
30 pounds horseradish,
17 bushels herbs.
Cash for labor, .
Cash for live stock,
368 dozen lettuce,
37 dozen leeks, .
190,515 quarts milk,
6 dozen melons,
222 bushels onions,
2-| bushels okra,
113 bushels peas,
46 bushels pears,
68 bushels parsnips,
22J bushels peaches,
2 bushels peppers,
49 pounds poultry.
Cash for pork, 23,999 pounds,
150 quarts raspberries,
831 dozen radishes, .
3,721 pounds rhubarb,
12 bushels rye, .
1 bushel salsify,
1,925 quarts strawberries,
212 dozen squashes, summer,
61,142 pounds squash, winter,
318 bushels tomatoes,
40 bushels turnips, .
$1,842 89
8 50
87 90
4 08
54 00
163 60
130 24
2 80
141 47
5 25
428 25
81 50
16 08
3 00
17 00
122 50
472 43
101 00
9 25
7,620 60
6 00
225 50
5 00
117 25
46 00
34 13
71 75
1 75
9 60
1,806 86
15 00
166 20
55 82
10 20
76
231 00
53 50
603 57
216 65
16 70
$15,005 58
68 WORCESTER LUNATIC HOSPITAL. [Oct. '88.
PRODUCTS OF THE FARM
On Hand Oct. 1, 1888, and not delivered at Hospital.
Apples, .
Apples, cider.
Barley, .
Beans, shell.
Beets,
Cabbage,
Celery, .
Corn fodder,
Corn,
Carrots, .
Ensilage,
Egg plants,
Hay and r
Leeks,
Lettuce,
Melons,
Onions,
Parsley,
Peppers,
Parsnips,
Pears,
Rye,
Salsify,
Turnips,
Tomatoes,
owen.
400 barrels.
350 bushels.
30 bushels.
10 bushels.
600 bushels.
6,000 heads.
2,500 heads.
20 tons.
1,000 bushels.
125 bushels.
60 tons.
25
225 tons.
500
150 heads.
15
70 bushels.
5 bushels.
2 bushels.
300 bushels.
10 bushels.
127 bushels.
10 bushels.
200 bushels.
500 bushels.
J
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