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

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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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CO lO C<l T— 1 1 1 1—1 1—1 
CM 


CO »o 

CO CO 




•S9It!H 


rH 1-1 CO 1 1 1 1 1 


O "O 




CD 

'A 
O 
So 

CO 

Q 

< 






m 




■ ■ ■ ■ ■ ' -i ^ 

: % ^^ 4 '^ ^ I % 


Total cases, 
Total persor 



30 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 









'S 








M 


C^tOa20(MCX)iiDiCiO 


—1 




-* 




« 


1— 1 i-H 1— 1 tH 


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CO ^ CD -* ^ 1 1 1 1 


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c^ 




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a 


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la 

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n 


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■ <:! r^ ^ ^ „ .- . . 

^3 +2 -HJ CO 03 CO 

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1888.] 



PUBLIC DOCUMENT — No. 23. 



31 



Ci 






I 





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td 


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oi -* CO Oi 05 CO «:> lo 1 1 


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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 






^ 



P^ 






00 





< 

o 




^COi:OCOr-lT-l.-lTHT-l.-l,-l 
I— 1 


CM 




1 


COr-lT-lTHi-liHT-'.-lT-li-lrH 



I— 1 




g 


10 CM CM CM 1 1 1 I 1 1 1 


T— 1 
T— 1 








d 

> 
o 

H 
O 
!2i 


E? 


CO 1 1 1 1 1 1 1 1 1 1 


CO 

CO 




■3 

a 


CO I 1 1 1 1 1 1 1 1 1 




s 


1 1 1 1 1 1 1 1 1 1 1 


1 








1 


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iOTHOq(Mr-lrHi-li-fi-li-lr-( 


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CO 




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-* 








w 
% 

o 


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CO O^ i-H rH 1 1 1 1 1 1 1 


t>- 




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1 1 I 1 1 I 1 1 1 1 1 


1 




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s 


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c 


3 

5 2 




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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. 






s 


on 




UD 


rS? 


'-o 


-to 


^^ 


V1 1 




Cl 


c^ 


f^ 








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ir^ 


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w 


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to 


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CO 
Cm 





CO 
W 
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< 

& 
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X) 

ao 
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ft 

m 

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o 

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•saiBH 










d 

Oh 
S 

Eh 
O 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




•saiBine^i 


1 1 1 1 1 1 1 I 1 1 i 1 1 1 1 1 1 1 1 1 1 




•ssibk: 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 








Q 

> 

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O 

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O 

& 

B 


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M 
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1 1 1 1 1 1 1 1 r 1 1 1 J 1 I 1 1 1 1 1 1 




•saiBni9^ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




■saiBK 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 




ft 

H 
Eh 

a 
o 


•smox 


ic;t--cat^co-*aic<ilr^t^cocoici02it5iocooco030 
(N>— '050coiooti^^Ti>t^02C5.-Ht-~--'C2cncir-i^ 

^^^^ r— <^^^-H,— (1— Ir-li-Ht— II— tl— IC^I'— »C^r- II— (.— lOlCN 




•saiBcna^ 


C0l0-*l0CD«--t^t^Ot^CCO02-^05OC5CX3ai'-ir-l 




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COCCCOCOCOCOCOTtiTt*-^TtHH:f't"H^'^H:+^":riOlC»0'0 
OOCOCOOOOCCOOCQOOOOOOOCCOOOOOCCOOCGOOJOOCO 



1888.] PUBLIC DOCUMENT — No. 23. 



37 



I t I I I I I I I I I I I I I I I r 



I r — I I I -I 



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



I I I I I i I I I I I I I I I I 



III I 



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



r-i CO cc o CD >ra 



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



I •* o >o 



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



■-( I IIMi-Hr-i^cq I I «S ■<*< ■* IM ■* CO l^ 



lllllll!llllllll|.-lll(MI^|(M||^CO'+ilM IMCO O •* 



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



I I I I I .-H I 1-1 I I 1 



I I iM CO t- 



lllllllllllllll>-i||||lll^lll(NII|rHCOO' 



I I t I I I I I I I I I I I I I I I I I 



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



lllllllllllll|r-l|0'-< 



I I I I I I I I I I I I I I I I I I I I I I I I t I I i-H I tr^r^ 



I I I I I I I I I I I I I t I I I I I I I I I I I I I I I I I I I CO ^ 



I I I I I I I I I I 



llllllllllllllllNCOOi 



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



I I I I I I I I I I I IM CO CO 



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



.-•OOOlO— 'iCOO'^t^t^CrjiMCOXJ^t^^OO.— lCCCO^^O'MOCO^t^OOlO■*COOCO^^CD 



coioocoocoin^aioiocDOiOcoiM— 'co->*<o-*— 'OOCC002.— 'Oiocoro — coGOco 
<Moooocot>.t^Oit^t^"cir— oo505^lTtHicc<i'OOco^^eoco-*ocoo-^o-H'^ — lo 



■^mcot^oociO^HtMco-^iocDi^ooorO'— '(MeOT*<io;ot^a)030 — c^oo--Hif;cDt-^cz) 
ioiot'7'OvOkOcDcccccocDcococDcccor^r-^r^i:^i^t^r--t^t^r^GOoccocoGOGCcco030 
oooocooocococo^'ioaocooDGOcocccoooccoosoooooX'Cccoccooooooaiooaoa;cc30 



38 



WOECESTEK LUNATIC HOSPITAL. [Oct. 






s 



§ 



•Is 


n 


i^ 


o 


&?! 


iw* 


>< 


1 


rt 




<i-> 


o^ 


(^ 


CO 


'^ 


f-s 


^ 




B 


O 


05 


en 


<5> 




C^ 




5- 


^ 


'S 


GQ 



s.-^ 



o 


s 


fcl 




151 






CO 






"^ 


« 




l"^ 


t^ 


M 






S 




"sn 


^ 


a- 




>» 


o 



^ 






CO 



Remaining of Each 
Year's Admission.s 
Sept. 30, 1SS8. 


•BtB)Oi 


1 1 1 1 1 1 1 1 r 1 1 1 1 1 1 1 ,-1 c^ 1 1 1 


•saiBcuaj 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r- 1 1 1 


•S3IBM 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i ^^ 1 1 1 


CO 

W 
en 
< 

a 
< 


i 

Q 
a 
■< 
a 

o 

5 


d 

a 

5 


•SIBJOX 




•saiBinsj 




•S9[BIM 




o 

g 

o 

S5 


•SIBJOX 




•saiBtnaj 




•S31BH 




Q 

a 
> 

g 

S 


•SIBJOX 




■saiuraaj 




•saiBH 




a 

a 

g 

B 
p 


•SlBiOX 




•S8IBtn3jI 




•S3IBK 




a 

« 
a 
!> 

o 
o 
a 
» 


■SIBJOX 




•ssiBinaa 




•saiBi\[ 






•SIBJOX 


.-(C00C00OC0^C0^t^Tt<C^C0-*OC<lt^C3>O'M0i 
1— li— 1.— (M(MTf<c<)COTtHT»<Tt<l^t^OCDCCOCOCOOO 


•soiBtnsa 


1 «50000lOCrjiCOCOO<MOOOO'XitDC<IOOQOO 


•SSIBJt 


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 



>-l rM ^ !M r 






I— Ir-ii— (,— .1— IrlC-JI^i— ICC-^-- 1 CO 



■— i<MC<)eOi— lr-(TjilO«Ot--'CO?3^Ht^t— iCOO-*iCO— ' 
1-1 .-1 i-H (M OJ t— I ^ 1— ( CO -:(< CO 



I rt rt rt ^ (M I 



I I t-^ I I r-H rl 



I C<I rH C-5 C-1 --H tH 



I (M r-l(N ^ I C^ 



.-HIM CO 



lO'^500COlO<NI~-'^OOh~03<COOC^OOOC<lC^— '-tliOf— c^-IOOOOr-HiC^^-^COO-OOCO 

cocooi>-0"^ocot^cDooo<x>coGiOO'^^oot^c:ia3::^-^-^-*cr)cC"^^<DOio 



t— 00C<l'*aOi— li0(M00C0>O"Q^CDOO"0<MC<lTf<t^CDt--— lOitNCl^iOO^t^COOS^H 
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cocooococcaocoxicooocooocooooococooccOQOoooooocoaocoooooaiooooiCocMco 



40 



WORCESTER LUNATIC HOSPITAL. [Oct. 



00 
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1888.] 



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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I cccocicoirao>nocooc<iocoococoiMcoc»mt^ 



•SIBJOX 



CO C<1 >— 1 ■— I C<l I— ( I— i t— I .— I 1— (1— I ca 1— I C<1 .— I ■— I 1 



«o050coaDt>.ii3iCi— i-^ic-^coos^^tO"— iioosiomo 



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ooooooooooooooGOoocooocooocooocoaooococooooo 



1888.] 



PUBLIC DOCUMENT — No. 28. 



49 



ococcoo-^'ori.— i(MC<iooooo5cooor~-^oocD"CO^--^eO'*--i^'C — (M — CO 
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50 WORCESTER LUNATIC HOSPITAL. [Oct. 



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p 


•SIBIOX 


1 1 1 1 1 1 1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 1 1 


•saiBtna^ 


1 1 1 1 1 1 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 r 1 


•S3IBH 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




c 
e 

a- 

P= 

fc. 














> 1 1 1 1 1 1 1 1 < 1 1 1 1 1 1 1 1 1 1 1 1 

0OOCCOGO0OOOCO0C00GOCOQOCOC»GOO00O000O0O0OCOCO 



1888.] PUBLIC DOCUMENT — No. 23. 51 



I I I I I I I I I I I I I I I I I I I I I I I I I I I I I ^ I 



I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I r-H I 



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



I I i I I I I I I I l^.-<| I I I |rtC<)|^|r-llCvlrtKI-*ffiiCOCO 



: I I I I I I I I I I I I I I I (r-((M|^lr-l|rH^,— lMlOOO 



I I I I I 1 I I I I I 



I I I I I I I I I I I r-( llM(M'*t^0O CO 



I I I I I I I I I I I I I I I (M I ICO.-l^tN<M I I ire CD IC ^ «D t^ .-I 



I I I I I I I 1 I I I I I I I llMI ICOIrHi-KMI I-*ICIO-*COCOIM 



lllllllll-llIIIIIIIII^I^III.-H^IICO'^OS O 



llflllllllll|.-ll|l|,-l||^|l|<MIII^CO^-* ■* 



IIIIIIIIIIIIIlllllll.-ll.-ilrt|lMIC5.-IIC<IO 



I I I I I I I I I I I I I I I I I I I I I I I I I I I I I .-H I ^co 



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



I I I r I I I I I I I I I I I I I I I I I I I I I I I I I I I Tti Tfi 



I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I coo^^ 



I I I I I I I I I t I I I I I I I I I I I I I I I I I I I I I (M CO 



cot^oooiO^^i^iooTfirecot^coasOf— icvieOTt<irei:Di^300iO.— i(Mco-t"irecct^oo t; 



iQireic»^'^cc:r:crcccr^y^cjr^cccor^t^i-^t^r^r^r^r^r^r^ooccooaooooooooo 
oococococooocooooooocoGOcooocooooococooooooooocooooocoaDooooooaDoo 



# 



52 



WORCESTER LUNATIC HOSPITAL. [Oct. 



'n 



o 

o 
O 









^ 






Remaining of Each 

Year's Admissions, 
Sept. 30, 1888. 


•SIBJOX 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r-lC^l 1 1 1 I 


•S9IBtn3.J 


I 1 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 <-< 1 1 1 1 


1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 ^^ 1 1 1 1 


S5 

o 

< 

>• 

w 

o 
< 

o 
e 

-< 

o 
» 
o 

<« 

til 

n 

>j 

-< 

H 

o 

&^ 


O 


•6[B}0i 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


•S3IBnt8J[ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


■saiBM 


1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


a 
o 


•SIBJOX 


1 •-< 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1-1 1 1 


•saitjniaj 


III 1 1 1 1 1 1 1 1 1 1 1 


•891BI\[ 


1 - 1 1 ' ' 1 1 > ^ 1 ' 


o 


•SIBJOl 


1 1 1 1 1 1 1 1 1 r 1 1 1 1 1 I 1 1 1 1 1 1 


■83[Bra3^ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 


•saiBH 


1 1 1 1 1 1 1 1 i 1 1 1 1. 1 1 1 1 1 1 1 1 1 


Q 

a 




•S[B)OX 


<M 1-1 ^ rt (M CM ^ nH (M eo c^ CO •<}< so lo «5 ■* ec CO CO CO 


•sa[Bai3j 


iOCOCOCDOOi05t^i-i0^t^t^t^t^COr^Klt^CT>COO 


■saiBM 


rt rtrt ^ ,-1 ^ (N(M --1 iM CO (N r-l ^ ,-1 rH 


> 

o 

K 
O 


•SIBJOX 


Ol^OCOCOOOOC^IOltOOO-^lMiOOSCOOSi-lOSOCXJOi 
CO(MCM(NCO^CO-*CO'*C0^i:Dt:^iOiOiri'OtOO5000O 


•saiBcaaj 


rt ,-, r-l^C<lrti-lrt<NC0C0<MCMC0.-lTti>O-*i-* 


■saiBM 


0iC0C0C<lCD<Mi-IO-*0D00C000«Dl^CX)(Me00500Tt<i-l 
C<lrt^r-(C-4<M(M(M<M<N(MC<I<MeOCO(MCOCQ!MCO-*TtH 


d 

> 

o 


•SIBJOX 


(NTj'<M(MCOCOeOCM'— iCO-*-*-*Tj<COCOCO(MiO-V^iO 


•sai-Bmaj 


^0i^C5^IMt^C0<M5D'-iC0CC<r>>CO^C5C003^00 
rtrt,-! rt (M ^ rt ^ —( (M C<I ^ C~J (M (M -H (M—dMCO 


■saiBiv: 


COi— iCOCOt^O^ttcOt^'M^^l^ai'Mt^OOi— icoco-*o 
^0<lrtrtrt^'Hrt CO !M (M <M ^ rt ^ i-^ -H IM C-) (M <M 


d 
a 

K 

a 

o 
o 


•smox 


ODiOtOCS^i— liC!l^0005C<lC<l-*C<lCOi-lC<10COCDCCCO 

coio-*cDt^oocoaot^oOr-icoc-icooooi— icooc^icor-H 


•saiBma,^ 


I— IC<1CMCOCOCO^O»0-^»0 »0»t>- iOCCOCO^OCDiOCOt^t^ 


•S8[BR[ 


C000iCC<10i-*iOCDC<102'#^OC005C0C0.-lC<IOOCD 

c<lC^^c<lcoco'*lcocococolOlO^:^«oco(r>ln«Dlaco^OTJ^ 


YE.\RS 
ENDING 
SEPT 30. 




^ic'cD r-rco'oro~^c4~co"^io'co~i^ocraro~'-rcrco"Tir 

COCOCOCOCOCO"^-^'^"^"^'^"^"^"^"^'!^"^^*!^^ 

., 1 1 1 1 1 1 1 1 1 t 1 1 r 1 1 1 1 1 1 1 1 

COCO^'CCOt^GOOiO'— IC^JCO-^IOCDl^OOOi^-Si— <dco 
COCOMCOCOCOMCO--t"-!t<-*^Tti'#Tt<3;-*-*u3'2lOlO 

cooooooooocoxoooooooooocccooooococooococooo 



1888.] PUBLIC DOCUMENT — No. 23. 



53 









(N 1 |-<i<COGC«DiOCO-*C^i-iCOC^iOCOt^t--*CCiO 
I— II— (i— 4i-HrHr— IC^Oli— )CO*^»— I 



I— 'C<IC<ICOr— II— l^lOCDl^lOlOCCi— lt>-t— ICOO-^COi-H 
i-l f-H i-H <M Ca i-H i-H i-H CO ■# 00 



I (M i-i T*t 



I C<) I ■* 



I <M I -"tl 



(M(M I i-H 



(Mil O 



b^Ttie^(M005'Occ£)i--coi— icoococot^ocoojroooioior— 'Ot-.oooooi:DM^--oo 

IMCO-.*l-*CO<NCOCOCO(NCOiO-*Tj<i£tnC!lCCDCDiOia3t>-l-~-CD(M-*^-^OCOlOCOCO<M 



oooiOO^co■^coc^I"<^co^ooc<lc^IC-^c<^Tt^lOco^^r^^*CiOiOicooococ<lc<^oo5GO 
T-ii— i^(Mi-i--.-:i— ic<ii— ii-icoc<ic<icococococococo^coc<ii--ii--ioac<ic<ic^co(Mi-(i-H 



i:DTt<o05>o>oc<i'C05-*f--cOTt<i— l"0<MC<lO■ 



.-'^-co^^co— 'Ocoo^i— i':Di^':of^O'#t^io^oooc<i-JOoo"oa3cor-ioot--'Oco 

(N(MCOlOCOeOCOO-5COCO^^iOiOCOt^OOOt^OO«D-*>OlO(MCOCOCOCO-*U5^CO(M 



OicooOT)<ooi:omcotDC<iiciO--oc<iiMOi— icot^ft^cD-^cooo^cocooot—-* ;x 

eOCO"OIMCOTt«CO-*iO-*COCOCO«000<3JC5^t--lO^>OTtii— lC<l-*'^COi— ICOCOCOl— I J" 



mcDC<iifs-JC<ii--(Moc^'*02cocoooo2— i(Mcoc^aicDOoo^Hi^t~-cci>-ooeoo<i«ct^ 
oocoiMOo^— 'OsosoooociOi-iioiMOscoaot-^ooooTtiTtioio^t^t^toio 



ooio-*c<icoi— l^^cD■^cOlMeocDT^<05<^^CT3r^ocDOo^■^cOlO«5^--'0^^cOlOO^^oo 
Tj<TtiiccDioiraiCiiOTt<-*-*>oic3io->*iir:icot~ioco«3'3"cococ^o<ic<icoc<ic<i^'*coco 



io»QiQit^iO'-Ococo^co<x?'X>cDcocDcof^I~^t^t^r^r^r^r^i~^i:^OOOOGOOOcocococo 
oocooocooocooococococooooooocoGOcooooocooococoooooooGOoocococoooooao 



54 WORCESTER LUNATIC HOSPITAL. [Oct. 









^^^ 


e 


^ 


l*^ 


S-. 


j~ 


« 








« 




S 




s 

s 


(i) 


^ 


o^ 


s 


Kl 


rs 




« 


'^! 


S 


<» 


CO 


^ 


M^ 




C^ 




<!:> 




C) 


^ 


i:^ 


65 


s: 






« 


^ 


ii> 




f^ 






■^^ 


'e 




s: 


CO 


« 


«> 




f>, 


&3 


?^ 


Or^ 


« 






e 


o 

CO 




c^ 


•r^ 




(^ 


<» 



'« 



^ 



c 



&> 
s 



g 



00 



I I I I I I I I I I I I I I I I I I I ^ I I I 



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



-H I I I I I I I I I I I I I I I I I I I ^ I I I 



IC<903COt^CC05000Tt<050000>OGOOCOeO-MCJCO^ 
i-H 1— I rt — I ■-( CO CM (M [M .-H ■-( i-H 



I— I .-I 1-1 C^l rt rt .— I C<1 1— I C<1 •M .— I ^ r-l 



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



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



I I I I I I 



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






I— ICO'— iO-*00Xl(Mt^e005^C0-*C0C0(M-*<N-*t0Ot-^C0 

,_! ,_(^rtc<| ,-1 ^ (M c<i :<i c<i .-H o<i(M ■* CO CO -^ 



I CO-*C0t^t— '0(MC5r^O<10C<I— '(»COIMC5CO-#^I^O(M 
t-ii-i.-ii-l^(M.— I,— iiMcoeo— I<M1M(MCO'-'C<ICOCO'-<MCO 



C0Ol~-02C<lt--O00-*C0O05C00>30u3CR00'*OSC5C<l05 
CO(MC<l<M?^i— iCOCOC<l-*-*COCOiMTrCOC<ICOCOTj<CO^tM 



C d 



(OO-*— i<NtD05O00'-i-*'*C005C<lC0O05l0r^00«(M00 

■-H r-l i-H r- .-I (M — —I .-H (M C<l .-I (M CM C<1 r-. ^ rt .-1 C<l t-( 



c^c<icocoO'-iOGOco'Mco'Ocooo050i-*02Cnc<icoO'^ 

I— i^^i— i^Mi— I— 11— (I— |^^C<ICM"C<1 — 1— li— ii— I^C<1C~)C<I-H 



1— iC5-jo^i!*<'0"*i->*'r^a3-*<:o-*'*oa3^-c<i'^oooo^ 
.-iioioiO(£>i>-ooi>-t^050CMo-*oc<iTM — •Moeoco— iO> 



Tj<:rj'^i:Doococooc<icot^eoo-^c<icocooococooot--— 'lO 

C-)C<lC<IC<IC0TiH-*Tfi'O«3t^O00i0^OOCDOt^t^C0O 



t>.COt^'*"CO— 't^CO'M-*'?^— JCOCOnCMCMCOO^^OCOO— ' 
COCMC<ICO^COlMCO-^'0'OU3t0005DiOiO'OCOiO-*Ttl 



CDOO'n?0000^^-t"C<lCCOOCO'*t>.OC500— ^05005'* 

c^coi-iC^|ioaooot^o03CM:OQD05cor^tD'*iC003a30co 
i-irHrfr-ci-i.— ii— ii— 11— 'rtC-icMcqcMCMCMcMCMC^cocMCMCMC^i 



^r^o^cooococo^-H^iocMco— '1— tcicooi'^cocccococvj 
-^•c-aHcocDcooicscoosocMc^iiocococo — coioiret^^-co 

CMco^^c^r^^'t'i^t-^ot^cO'C'CMcocor^O'Tt^o— 'COCDC^I 

ooc^cDOODa5oot--coO'-'^^'*'*ococMcoc<i-*TtiCMC50 

-^ itT Co' 1^ go" CT o'^cffO ■^'~lC3"cD"t~^ OO" of CT-H CM ^~'-^H O CO 
COCOCOCOCOCO-'^^'^^'^'^^'^'^^'OlCiCiOir^OO 

^ 1 I I p I I I I I I I • I I I I 1 I I I I I I 

COCO-#>OCDt^OOa50-^C<lCOTfiOCC>I~~CC050i— 'CMCO-^iiO 
COCOCO^OCOCOCOCO-f-»tlrH^-*-*-*-*-*TfilC:'r-Oi^l^lO 

oOGOoooocooooox:cO'30aooooooo30GOoooo30o0303oaoco 



1888.] PUBLIC DOCUMENT — No. 23. 



55 



I I ^ I I I I I I I I I I I I I I I I I I 



I I II I I I IM I "O 



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



ll^lllllllllllllllllllllllllll:^! "3 



lC"^C0GSIC0C0C0C0C0C0TjHC0^':DCiD"^C0t^CDt^^OC0'^'^»O»OtOO-^"y3C0 



loa^-i.— I.-I.-I.— ii— ic^<Nc<i(MrtiTt<cMcoc<305Tt<'*c<irHcoc<ic<ic<icococ<icoco 



I I I I I I I I I I I I I I I I I I (M I 



I (M I 1^1 



I I I I I I I I I I 



I I I I I I 



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



I I -H I I rH I 



I I <N I I CO 



r-( — ( — ,-1 C<l - 



C0>OC0C<IC<IC0<MTH-*C0<nOC0i0O05t^t^00CDC0^C<l(MC0TfiC0'*^t^'*liO 









'!M C^ C<1<M . 



iOioiracDococDCDtoocDcocDt^t^i-^r^t^t^t^t^t^t^cOGOcocooo^cooaooo 
.1 i t I I I ) I I I > I I I I I I I I I I 1 ) I I I I I I I I I 

cgt~~cocio — c^ico-^'ttcoi^scoso— '-Mco-^iiracoi^oooo — (Mco-!f'occh-- 

COCO0O00COCOCOCOCX)003000=O00a030000OC3O0O0000CO00CO00CO00COO0C»00 



56 



WORCESTER LUNATIC HOSPITAL. [Oct. 



n3 

a 
o 
Q 



i 






00 



Percentage of Deaths 
oil Total Numbers 
UNDER Treatment. 


•SIBJOX 


t^cor~05f-iot~-c<iiC'-ia3(Mr^c<iTf<io-#oiooCT>co^ 


•S9iBinaj: 


c<jOC<i05TiHcO'-HTt<^i>.c^ifirt.-Hcoir;c<3^ioocQ'!fc-j 

c4r-^CO(^^(^^TJ^TJ^TJ^c4cCCOCOCOCOCO•*^C05tl3C0^6■*0 


•saiBivr 


co-*c^coc^ii3cOT)<(Nc^coc^cocsiCTiiiCiCcoir£T)5-j;co 




ii 

o -4 


•smox 


^--c^oo(^^c^o-*T^;c^TJ^Ol--^OT^^T}10coo50coo^^>- 


•saicrasji 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


•saiBH 


J 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




Percentage of Hecov- 

bries on dl.scharges. 

(Including Deaths.) 


■sit'^ox 




■saiBoiaj: 


.— 1 C5 ^ t^ O lO CO CO CJ t--. ;D GO .-H CC C-l « 0:5 (>] CO (M_ IC CO cc 

t~I CC 1^ C3 r-n' t-^ c4 r-^ irt CO cc i>l 0: c<i OJ Tj' c4 t~C ^ ■*' 

lOiri-T'C'ioicoioioiacDcs'C'CTj'Tj'ioiooTf^co-'l* 


•saiBK 


TtiiOiCOt^C5(M(MrfOCDCOU300COtOOOC<)^r-i^ 
cq?aioooco>OTt;-*oo.--<ccoo<oC3~. O'--;.--<.--;>0 
cooicDo'ia^coc-i-^O'^coocio^cccoo^ifrioco 
ir;^.Tt<-<*^ioiO'<*<TfiTi^iC"^^cctr; *c '^ -^ ^^ -^ 04 Tf 


?. a 
a S 
< H 
a 
•< 


■s[b;ox 


t--i^oi^cO"-'co05cooo-*'-cocnr^^oo'Miooooi 

Oi-hCJ(M<:0'-'(MCMC000^CO— lOt^C^M^tDi-iO-lCOTtH 
r-^r-(,-Hrtr-i<M:<l(MlMC<lC<10QC000e0Tt1-*Tt1-^lOO^C»3 


•SSIBIHSJ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


■S3I13K 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




o 

a a 
o s 

S s 

a 


•sii;;ox 


COCOCOCOiOC<l^ — C00205'*OOOOC<lt^t^t^05(N^ 


•S9I13m9^ 


t^coocot--Ci<McooC!50(M— '05c:;c<iC5r^iC-*co03«D 
co^^ot^ror-irtC^i.-ccococo<r:C500'-ic^icD>ea)0 




•saiBit 


OiCOOOCOCOMCOCOOCilMiC^OOOCOOtMCO^CC'OO 

.— p-lr-..— r-.,-.r.H.— (MC<IC<IC<ICMC^C<1C-1.— .-H 


Z; 

O 


•siujox 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


•s9iBtnaj 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


•S9XBM 


III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


YEARS END- 
ING .SEPT. 30. 




■#"iocD'i^oo~oro'^(>fco'^'io"cD t-rco"oro"-j~eJ"cg-*io'" 

. 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 > 

cccc*^»ccc)t^occiO^HC<icO'^»ocDr^coo>o--'C<ico-^ 
corccocococcccco-r-*'+-*^-#-*^-*'T"^''^'-'2S 
aoooaooooooocooococococcoooooccocoooGOcooocooo 



1888.] 



PUBLIC DOCUMENT — No. 23. 



57 



e<3eoco«Docoiooo^Tt(o«Dcoh-coii;>. 



■xio-+ic»o— •'M'+'cor^cocjco 



icoo-*nci-^-*cooTt<oo(N«3ocDco^JCDi— ltoci<^l<^10^a;o^Jlctclco'^l"ra■-; 

lO b-^ ■*' CD '^ lO u^ wi lO lO CO IXJ "O «: CO t~^ -*' CO CO* l->^ ci OD CD id CD CO O IQ >0 CO -^ 



050iM(MOOC<105--i-+t^t^rOCDCOCDiQOOt--050CDt~a3r-lc:2(M.-l-t<CO— 'Cr>i— I 
CO CD Oi 03 as CD o !>. Oi -* CO c^i t-- c^ -^ .-; C5 lo c^i oi CO M lO CD •+ rH (ZD C-) i-~; W3 t-; t^ iq 

■^oiTt^'cocoict-l-^'^t-^THidco'dcooc^it^cot-lt^cdcDid-^idicico-^oco-^'d 



c^oor--.CTjcor--cocooaotio-icoo-^ioi^cD'M(Mooo5t^r-.i^f^.— icDcoi— ia)C35 

T^^cqr-^(^^T^^coT)^■*cnc<^cocqo^^■--^'*Ol--^cooco^-;0-i;c^1coco-a;cocD--^t~;Occ 

cDcOldcJ>>d"d(^3ld^'^'l^-^^~lco'oooo2CDcdoil^^oo^d^dcoco^•«l^^t~-"*'^^ 



cotMint^.— it^cocococnos-— I.-.OOCDCO 

C505t^CDt^COC^t^O5-t<lC;C0a5-*a5CDC»< 

00 c<J o o t~^ co' t>^ t^ 02 o^' o '-H 00 c<! u^' CO CO i6 iri CO "6 CO o t--- 03 CO oo CO i>- oD CO oo C3 



I CO"— ic-ico<Mcoi^Oicot^cDcooacDt^o 
'*-*cococ-]co-*cot^oO'3^(>]cqcoc3^ 
co-*'coc^'cr>— 'i>lcocot-lcocot^iC2CDCo 



I I I I OJ •-' 1-^ CO O lO . 



I CT) CO CO (M CO CO 



C^l'Tt^'MCO'^'-H.-HCOOCO'^OS'Mr-iOCO 

t-^t-^^'cot^cii-^c-ioojcficoot-^oo 



<C0-*<MC0t^C0C0'-iC00iCDCniOOCDr 



.CO-+it-ltOlM-THCOC3 



(i^o^r^cor-fcMt^— '(M. 



I CO O CO C-1 IC o 



0000CO-+<COCO^t— -*COOt— lOi 

eooocoC2^eo(Mio^ooi— iooociocococoo^o<-^-*t^^^rHr)<cncoco^<Mco 
c^o6t---^5cococoi-H-*'-<^'-'-' ' \' _'-'," 
•o-^co-^ioo-^iO'^^-^'ifcoeo^cotMcM'-^i 



lCOCOI^^COCOCOl--t^-*'CO(MCOC~5-HOOiMO 

^1.— Ir-H,— l!M(N(MlMlMr-^C^l 



(00»0005^'-i00i 



nOCOCO»- 1-*— JOOOCOlM'* 

<cocoa2coc<it^ictocoooai-*i 
iiOTt<oc»-t<c-icDr--lt^a5cooco^cocDC-i 



eoeococococo^cocococococococo-*'* 



lococoococococoo.— (CO— '-^iftioaco 
COtr^COOOOiO^.OCO-f*— lOCOiO— lO 

-9<'*'*iio>nTt<^iQ>cicot~-i^t^t^t^t^ 



I I I I I I I 



I I I I I I I I lt^ocDoi^co(Mcoiar^(MOcoi^05co 

T-Hcor— t^coci — oasco'^co-^ot— t^ 
' >ococ^o6cyiid-*cOf-HO^— ^co^c^ico 

HHCDCD*OtOtOiC. CDi— tCO»Jt>CO00C7it^CO 
C^!M(MC^C<l<M(MCNCOCOCOCOCOCOCOCO 



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coeococococococococccocococo■^■*-^-*-*^■*lQ^OTt^>o^oco^~^>-^-t^cD^^ 



eocOi-Hcoooi^cDC<ii>-r-H— ioo>oi 



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I I I I I I I I I I I I I I I I I I I I I r I t I I Tt< —I 



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



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I I I I I I I I I 



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l0 10lClQlOCOCOCDCOCDCDCDCDCCCDt^l^(^|-^t^t^r^|-^t^l^OOGCOOOOOOOC<X)00 H 

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58 



WORCESTER LUNATIC HOSPITAL. [Oct. 






A. 



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1 


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1888.] PUBLIC DOCUMENT — No. 23. 59 

1 I I I I I <M I I r-l I I I 1 <M I I I I ■ I CO I I I I i-H I I I 



l| 1 rH 1 1 CO 1 1 rH 1 1 1 T-H CO I 1 rH 


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1— 1 



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ZO T-l T-* C<\ lOC^IC^i— li— I 



'I— ICO^O^-^COCNi— li— lr-ICOt>i— ICOC<JCOrH i— lt>.T-IOCOlOi— ICOi— ItHt-HCO-* 



0»OG<1-^|C<><Mt-I| liO-^lCOl I I ^?O|C0tH'*tHC0tHt-I|t-Ht-I 



i-HT-l(MCO-<*tH I l-rHi-HCOCOi-l |(MCOi-l C^T-lT-ICO<MrH I I I IrHCMCO 





'I 1 1 1 1 1 I-H 1 1 rH I 1 1 1 r-l 1 1 


1 1 1 1 tH 1 1 1 1 rH 1 1 1 


1 IrH) ItHI ItHI 1 |rH,H| l,-l 


lll-H||||,H|||^ 


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1 IrHl 1 IC^^I 1 |,H| 


r-l| |(Mi-li-lrH| 1 |CO(M(MiHrHrH| 


|iH| 1 |(M|tH,H,HCO(MC^ 


■COCOCOC^<M(>)(MCNC^C^i— llHiHrHi— (iHiH 


iO'*-+l-+l-*COCOCOCOCO(M(MCN 





60 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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T-l 1— 1 1 GO CO (M 1 


1 CO 1 I 1 -^ 1-1 CO CO (M 


1 <M 1 1 


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CM 01 <?<( G^J 1— 1 1— 1 1— 1 


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t^ CM CD CM 






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1-1 1 rH 1 T-l 1 1 


1 1 1 rH 1 1 rH 1-1 1 T-I 


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1-1 1-1 <M 1 1 C<» -^ 


1 1 rH 1 1 1 1 1 (M CM 


1 1 1-1 1 


satajxjo jaqmnN 








■paAOjdini 


T-^T-^ 1 -* CO CM 1 


1 tH 1 1 1 CM rH CO CO CM 


1 1-1 1 1 


S9ratx jojaqranjs: 








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1888.] PUBLIC DOCUMENT — No. 23. 61 



lllllll 1III--I II I IT-IJII III .-11 



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1 1 


1 


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ioio-*-+icocM(M co^'^^co -^r^ ■* 0505000001 coo5t^ i— ilo 



■1— li— li— IrHi— li— li— I rHG^Idi— li—l C^i— I 



illlll-!.-! ||G<l|,-( 1-1 



i-Ii-It-(|| i-(G^|i-I| i-Ii-( I |i-l 



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l^li-llli-l lllll II I 



1 1 1-1 1 1-1 !-< 1 


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62 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1 1 1 


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1 1-1 1 


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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 



f>