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



*ii i 7 -^O 



A 



PUBLIC DOCUMENT. No. 23. 



EIFTY- SEVENTH 



AMML EEPOET OF THE TRUSTEES 



Worcester Lunatic hospital, 



Twelfth Annual Report or the Trustees 



"WORCESTER INSANE ASYLUM AT WORCESTER, 



FOR THE YEAR ENDING SEPT. 30, 1889. 



BOSTON : 

WRIGHT & POTTEE FEINTING CO., STATE PRINTEES, 

18 Post Office Squake. 

1890. 

c/. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of IVIassachusetts Amherst 



http://www.archive.org/details/annualreportoftr66worc 



OFFICEES OF THE HOSPITAL. 



TRUSTEES. 



ELLEN S. HALE, 
FRANCES M. LINCOLN, 
A. GEO. BULLOCK, . 
THOMAS H. GAGE, . 
ROCKWOOD HOAR, . 
HENRY S. NOURSE, 
FRANCIS C. LOWELL, 



BOSTOX. 

"woiicestee. 

Worcester. 

Worcester. 

Worcester. 

So. Lancaster. 

Boston. 



RESIDENT OFFICERS. 

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

ALFRED I. NOBLE, M.D., ...... Assistant Physician. 

FREDERICK H. DANIELS, M.D., Assistant Physician. 

HARTSTEIN W. PAGE, M.D., Assistant Physician. 

ELMER E. BROWN, M.D., Assistant Physician. 

LAURE HULME, M.D Assistant Physician. 

EDWARD T. CALDWELL, Steward. 

LILA J. GORDON Matron. 

S. JOSEPHINE BRECK, Clerk. 

HENRY S. GRAVES, Farmer. 



NON-RESIDENT OFFICERS. 



ALBERT WOOD, 
KIMBLE R. SMITH, 



Treasurer. 
Engineer. 



Cnmmnufoealt^ nf P^aB^ar^sdt^* 



TKUSTEES' EEPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Lunatic Hospital respect- 
fully submit their fifty-seventh annual report, together with 
the reports of the superintendent and treasurer ; also the 
tables of statistics, which give a detailed account of the 
operation of the institution. 

Since their last annual report the resignation of Rev. John 
F. Moors has been accepted, and Mr. Henry S. Nourse of 
Lancaster has been appointed a trustee, and has taken his 
place upon the Board. The trustees wish to express their 
appreciation of the devoted service which Mr. Moors had so 
long rendered, and their regret that other demands upon his 
time made this course necessary. 

It was with great regret that the trustees were obliged to 
accept the resignation of Dr. Albert R. Moulton, first assist- 
ant physician, after eleven years of service ; a regret lessened 
by the fact that the State retains his valuable services in 
another position, as inspector of institutions. Dr. Alfred 
I. Noble was promoted to the place left vacant by Dr. 
Moulton, and Dr. Elmer E. Brown was appointed an assist- 
ant physician. During the absence of Dr. Park on a much- 
needed vacation, the afikirs of the institution were well 
administered under the superintendence of Dr. Noble. Mr. 
Henry J. Bardwell has been succeeded as steward by Mr. 
Edward T. Caldwell. 



6 WORCESTER LUNATIC HOSPITAL. [Oct. 

We have again to express our sense of indebtedness to Dr. 
Park for his wise and faithful care of the many interests 
committed to him, and our appreciation of the executive 
ability to which we owe the maintenance of our former high 
standard in all departments. 

The trustees are glad to know that, by the action of the 
Legislature in creating an inebriate asylum, this and other 
hospitals will be relieved of the care of dipsomaniacs, whose 
residence with the insane has not been beneficial to the 
latter. 

The crowded state of our hospitals calls attention to the 
need of further provision for the accommodation of patients, 
and will continue to do so till some means are taken to meet 
this need. 

Respectfully submitted, 

ELLEN S. HALE. 
FRANCES M. LINCOLN. 
A. GEO. BULLOCK. 
THOMAS H. GAGE. 
ROCKWOOD HOAR. 
HENRY S. NOURSE. 
FRANCIS C. LOWELL. 



1889.] 



PUBLIC DOCUMENT— No. 23. 



OFFICEES AND THEIK SALAEIES. 



John G. Park, M.D., Superintendent, . 

Alfred I. Noble, M.D., Assistant Physician, . 

Frederick H. Daniels, M.D., Assistant Physician, 

Hartstein W. Page, M.D., Assistant Physician, 

Elmer E. Brown, M.D., Assistant Physician, 

Lanre Hnlme, M.D., Assistant Physician, 

Edward T. Caldwell, Steward, 

Lila J. Gordon, Matron, 

S. Josephine Breck, Clerk, . 

Kimble R. Smith, Engineer, . 

Albert Wood, Treasm-er, 







$2,500 00 






1,300 00 






1,000 00 






1,000 00 






800 00 






800 00 






1,000 00 






500 00 






600 00 






1,000 00 






600 00 



YALUE OF PERSONAL ESTATE. 

Sept. 30, 1889. 



Live stock on the farm, f 8,980 00 

Produce of the farm on hand, 6,370 46 

Carriages and agricultural implements, .... 7,123 93 

Machinery and mechanical fixtm'es, 28,168 44 

Beds and bedding in inmates' department, .... 28,039 37 

Other furniture in inmates' department, .... 21,691 26 

Personal property of State in superintendent's department, 19,109 59 

Ready-made clothing, 1,234 21 

Dry goods, 810 77 

Provisions and groceries, 2,374 17 

Drugs and medicines, 750 00 

Fuel, 7,447 86 

Library, 2,776 00 

Other supplies undistributed, 4,261 33 

Pipes and radiators, 36,000 00 

Total, f 175,137 89 



WORCESTER LUNATIC HOSPITAL. [Oct. 



TEEASUEEK'S EEPOET. 



To the Trustees of the Worcester Lunatic Hospital. 

I herewith submit my annual report on the finances of the 

Worcester Lunatic Hospital, for the year ending Sept. 30, 
1889. 

Receipts. 

Cash on hand, Sept. 30, 1888, . . . ' . . . |19,125 18 

Received of the Commonwealth for support of patients, . 26,904 74 

of cities and towns, ...... 83,122 41 

of individuals, 36,627 83 

for interest, sale of produce, etc., .... 6,435 37 

belonging to patients, 2,914 62 

Total, . $174,130 15 

The expenditures for the year have been as follows : — 

Provisions. 

Flour, $7,087 03 

Meat of all kinds, 9,751 12 

Fish, 2,321 95 

Meal for cooking, 445 59 

Beans, potatoes and other vegetables, 2,103 71 

Sugar, 4,097 14 

Molasses and syrup, 569 48 

Tea, 616 32 

Coffee, 1,549 74 

Butter, 7,806 78 

Cheese, . 479 35 

Fresh fruits, 809 36 

Eggs, salt and other groceries, 6,651 55 

Total for provisions (carnec^/orwarcZ), . . . f 44,289 12 



1889.] 



PUBLIC DOCUMENT — No. 23, 



Amount brought forioard. 

Salaries and wages, . ■ 

Grain, .... 

Meal for stock, 

Furniture, 

Crockery and glass. 

Tin-ware, 

Bedding and beds. 

Straw, .... 

Fm'nishings, miscellaneous. 

Tools, .... 

Lights, .... 

Water, .... 

Fuel, .... 

Soap, .... 

Medical supplies, . 

Live stock. 

Carriages, harnesses, etc., 

Blacksmithing, 

Plants and seeds, . 

Hardware, 

Lumber, 

Paints, oils, etc , 

Pipe and fittings, . 

Lime, cement, etc., . - 

Repairs, ordinary, , 

Fertilizers, 

Stationery, 

Postage, .... 

Transportation, 

Travelling, 

Trustees' expenses. 

Miscellaneous, 

Labor, .... 

Clothing and men's furnishings. 

Dry goods, women. 

Dry goods, house, . 

Boots and shoes, . 

Total current expenses. 

Undertaking, 
"Refunded to i^atients, . 
Extraordinary improvements, 



Cash on hand Sept. 30, 1889, 



$44,289 12 

51,295 85 

376 62 

2,074 07 

427 64 

625 16 

94 99 

563 31 

210 45 

2,018 03 

131 07 
3,483 66 
2,338 05 

11,118 23 

1,482 69 

1,138 67 

1,690 00 

245 18 

402 24 

132 00 
287 08 
560 54. 

1,183 82 

303 49 

23 00 

936 72 

574 50 

300 95 

182 08 

490 20 

287 96 

90 06 

1,982 17 

500 86 

4,127 84 

1,041 60 

2,428 24 

1,290 36 



f219 39 
2,484 65 
1,333 29 


fl40,728 40 
4,037 33 





1144,765 73 
$29,364 42 



10 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Resoukces. 

Cash on hand, 

Due from the Commonwealth, 

cities and towns, . . . . 
cities and towns, previous quarter, 
individuals, 



Total resources, 



$29,364 42 


8,051 


05 


21,710 


81 


215 


40 


9,563 


90 



5,905 58 



Liabilities. 



Due for supplies and improvements, 
for salaries and wages, . 
to patients, .... 



Total surplus. 



. 16,940 77 
. 4,224 13 
. 1,338 98 



12,503 88 



Respectfully submitted, 



$56,401 70 



ALBERT WOOD, 

Treasurer. 



Sept. 30, 1889. 



HOSPITAL LIBRARY FUND. 



Lewis Fuxd 

Cash on hand Sept. 30, 1888, 

Received dividends on Springfield bond, 

Expended for books, .... 
Cash on hand Sept. 30, 1889, 



Wheeler Flxd. 

Cash on hand Sept. 30, 1888, 
Received dividends. 

Expended for books, . 
Cash on hand Sept, 30, 1889, 

Lewis Fund Livestment. 

Springfield bond. 

Cash on hand Sept. 30, 1889, 



$1 23 
70 00 

^70 06 
1 17 



$6 59 

220 27 

1179 98 

46 88 



fl,300 00 
1 17 



^71 23 
$71 23 

f226 86 
$226 86 

^,301 17 



1889.] 



PUBLIC DOCUMENT -T- No. 23. 



11 



Wheeler Fund Investments. 
Seven shares Central National Bank, . . . $980 00 
Six shares Worcester National Bank, , . . 780 00 
Worcester County Institution for Savings, . . 1,145 86 
Worcester Five Cents Savings Bank, . . . 1,719 47 
Cash on hand Sept. 30, 1889, .... 46 88 



LAND ACCOUNT. 



,672 21 



,973 38 



Cash on hand Sept. 30, 1888, $1,453 33 

Received from sale of land, 3,358 33 

Received interest, 225 68 

Total, .......... $5,037 34 

Expenditures. 

Plans and surveys, $135 60 

Commissions, 45 00 

Grading, 2,974 85 

Money refunded for land, with interest, . . 121 68 . 

$3,277 03 
Cash on hand Sept. 30, 1889, .... 1,760 31 

|5,037 34 

Amount received from sale of land and interest since July 

30, 1874, $95,586 61 

Sent to State Treasurer, .... $81,805 29 
Expenses building streets, commissions, etc., 12,021 01 

$93,826 30 

Cash on hand, 1,760 31 

$95,586 61 

Due fi'om sales, . 1,110 00 

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

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

$155,579 87 
Respectfully submitted, 

ALBERT WOOD, 

Treasu7'er. 
Sept. 30, 18S9. 



12 WOECESTER LUNATIC HOSPITAL. [Oct. 



■Worcester, Mass., Oct. 28, 1889. 

The undersigned has carefully compared the treasurer's statement of expenditures 
for the year ending Sept. 30, 1889, with the vouchers which are on file at the hos- 
pital, also the statement of receipts with the ledger accounts, and found them 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 com- 
pared the statement of expenditures in the land account with the vouchers, and 
found it correct. 

GEORGE L. CLARK, 

Auditor of Accounts 



1889.] PUBLIC DOCUMENT — No. 23. 13 



SUPERINTENDENT'S EEPORT. 



To the Trustees of the Worcester Lunatic Hospital. 

I herewith respectfully present the fifty-seventh annual 
report of the hospital, with the usual statistical tables, which 
give an account of the operations and the results obtained in 
detail. 

There remained in the hospital, Sept. 30, 1888, 771 
patients, — 382 males and 389 females. The number of 
admissions during, the year has been 391, representing 365 
persons, — 209 males and 182 females, making the whole 
number under treatment 1,162. The daily average popula- 
tion has been 779.73. The largest number on any one day 
was 824, on July 11 ; and the smallest number 754, on 
October 14. Of this number 25 have been readmissions, 
and 1 female was transferred from McLean Asylum, Somer- 
ville. The number discharged has been 353, — 191 males 
and 162 females; and 1 male and 1 female were out on 
visit at the end of the year. Of this number 103 had 
recovered, of whom 14 had previously been inmates of this 
hospital, and been discharged as recovered, — 1 nineteen 
times, 1 five times, 1 three times, 2 twice each and 9 once 
each, — tjie 14 persons representing 40 recoveries; QQ were 
discharged much improved, some of whom after leaving the 
hospital went on to complete recovery; 60 improved and 57 
not improved, including 20 transfers by the Board of Lunacy 
and Charity to the Taunton Lunatic Hospital, Worcester 
Insane Asylum and Bridgewater State Farm. Ten females 
and 2 males were put out to board in private families by the 
Board of Lunacy and Charity ; one of the males proved 
unsuitable to remain, and was returned to the hospital. The 
number of deaths was 41 males and 22 females, being five 



14 WOECESTER LUNATIC HOSPITAL. [Oct. 

per cent, on the total number under treatment. The hospital 
has been free from any serious epidemic, the diseases and 
deaths occurring for the most part in persons already more 
or less exhausted by chronic brain disorders. Both the daily 
average number of inmates and the number of admissions 
have been greater than in any year since the new hospital was 
opened. Twenty-two persons of the criminal class have been 
sent to the hospital during the year from the various penal 
institutions in the State. Under the existing law we shall 
probably be obliged to receive this undesirable class until 
the buildings at Bridgewater, now in process of construction, 
are completed, when it is hoped that all insane criminals will 
be sent directly there from the prisons and reformatories. 

Under provisions of chapter 39, Acts of 1885, 16 habitual 
drunkards have been committed. The Legislature of last 
year established an asylum for dipsomaniacs, and appropri- 
ated $150,000 for the purchase of land and the erection of 
buildings. As soon as this institution is ready for occupancy, 
the various hospitals for the insane will be relieved of the 
responsibility of this class of patients, who are more unde-1 
sirable in a hospital for the insane than even the crimina 
insane. 

The year closes with 809 patients, — 50 more than we have 
suitable room for. The other State hospitals are even more 
crowded than this one. That is to say, accommodations for 
200 to 250 patients are immediately required. Thus the neces- 
sity for new buildings for the insane is again brought to notice, 
and the coming Legislature will have to consider it. The 
character of these structures will depend upon the class of 
patients it is decided to build for. It is probable that neither 
of the State hospitals for the insane contain at the present 
time a hundred cases of acute disease, — that is, cases of 
less than one year's duration ; so that, of the 4,000 insane 
now supported in State institutions, probably not more than 
500 have a reasonable chance of recovery. This leaves 3,500 
to be classified as chronic and practically incurable, and this 
number is increasing each year. To provide for these 4,000 
insane, the State now has five large hospitals, with all the 
appliances for curative treatment, and two small asylums, at 
Worcester and Tewksbury, devoted exclusively to the chronic 



1889.] PUBLIC DOCUMENT — No. 23. 15 

insane, where the treatment from the nature of the cases 
must of necessity be chiefly custodial. If the State had the 
question of provision for its insane presented for the first 
time, the problem would be undoubtedly better solved than 
it is now, by providing five large asylums and two small 
hospitals. By this arrangement all acute cases could be 
amply supplied wilh everything necessary for their treatment 
at the hospitals, and the chronic cases could be sent at once 
to the asylums. 

With the existing State establishments, however, the pres- 
ent need of more room can be best met by erecting a structure 
for the chronic insane upon a plan which will allow additions 
to be made from time to time as may be required. The 
most convenient location, geographically, for such an insti- 
tution, would be near a line drawn through the State from 
north to south, touching Framingham, Concord and Lowell. 
The rapid encroachment of the city upon the old asylum 
grounds in Worcester is such that before many years this 
site will have to be abandoned. Should this property be 
sold, the proceeds might be used towards paying for a new 
institution of similar character. 

The current expenses for the year, after deducting the 
amount received from the sale of products and other articles, 
have been $136,262.58; dividing this amount by 779.73, 
the daily average number of patients, we find the average 
annual cost was $174.75, equivalent to an average weekly 
cost of $3.36 per patient. 

The hospital library continues to be a source of enjoyment 
both to patients and employees. Two hundred and twenty- 
seven volumes have been added during the year. The total 
number of volumes is 1,948. 

The institution has received gifts of newspapers, peri- 
odicals, pamphlets and Christmas cards from the Hospital 
Newspaper Society, publications of the Agricultural College, 
Amherst; and a copy each of the "Worcester Evening 
Gazette," "Worcester Daily Spy," " Fitchburg Sentinel" 
and " Salem Gazette." 

The farm is each year being brought into a higher state of 
cultivation, and, under the management of Mr. Graves, has 
made a satisfactory return of farm products. Among this 



16 WOECESTER LUNATIC HOSPITAL. [Oct. '89. 

number it has supplied the institution with 182,920 quarts 
of milk, and in addition to this we have bought about 130 
quarts daily. As we make no butter, this amount, an aver- 
age of 632 quarts daily, is consumed by the patients and 
employees. 

There have been during the last year the usual number of 
changes in the corps of officers and employees. In Novem- 
ber Dr. A. R. Moulton, who had been upon the medical staff 
since the new hospital was opened, in 1877, resigned to 
accept the appointment of inspector of institutions upon the 
State Board of Lunacy and Charity. Active, industrious, 
and of excellent executive ability. Dr. Moulton was devoted 
to the patients who came under his care during his long term 
of service, and his resio-nation was a source of sincere regret 
and a real loss to the hospital. Dr. A. I. Noble was pro- 
moted to the position of first assistant physician ; and Dr. 
Elmer E. Brown was appointed an assistant physician, and 
entered upon his duties in December. In June ISIr. Henry 
J. Bardwell resigned as steward, and his place was filled by 
the appointment of Mr. Edward T. Caldwell. The various 
officers and employees have, as a rule, I believe, performed 
their duties in a faithful and efficient manner, and co-operated 
with me heartily and cheerfully in carrying out all my plans 
for the management of the aflairs of the hospital during the 
year. 

For the advice and assistance which I receive from your 
Board in the various and complex duties of administration, I 
desire to express my sincere gratitude. 

JOHN G. PAEK, 

Superintendent. 
WoKCESTEK Lunatic Hospital, Sept 30, 1889. 



STATISTICAL TABLES. 



STATISTICAL TABLES 



General Statistics of the Year. 





Males. 


Females. 


Total. 


Patients in tlie hospital, Sept. 30, 1888, .... 


382 


389 


771 


Admissions within the year, . 








209 


182 


391 


Whole number of cases within the year 


, 






591 


571 


1,162 


Discharges within the year, . 














Viz. : as recovered 








62 


41 


103 


much improved. 








21 


45 


66 


improved, .... 








28 


32 


60 


not improved, . 








36 


21 


57 


On visit, 








1 


1 


2 


Not insane, 








2 


- 


2 


Deaths, 








41 


22 


63 


Patients remaining, Sept. 30, 1889, 








400 


409 


809 


Supported as State patients, . 








109 


73 


182 


town patients, . 








239 


267 


506 


private patients, . 








52 


69 


121 


Number of persons within the year, 








579 


556 


1,135 


admitted, .... 








197 


168 


365 


recovered, .... 








62 


38 


100 


Daily average number of patients, 


385.95 


390.79 


779.74 



2. Monthly Admissions, Discharges and Averages. 











Discharges 










ADAirsaioNS. 


(inclu 


ding Deaths, 


Daily Average of 


Patients 










Eloi 


ements and 


IN THE HODSE. 


MONTHS. 










Visits) 












Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


1888. 




















October, 


16 


6 


22 


15 


13 


28 


377.87 


381.86 


759.74 


November, . 


13 


13 


26 


14 


15 


29 


382.01 


378.53 


760.63 


December, . 


5 


19 


24 


11 


11 


22 


379.16 


382.16 


761.32- 


1S89. 




















January, 


14 


10 


24 


8 


18 


26 


378.74 


383.48 


762.22 


February, . 


15 


13 


28 


11 


6 


17 


385.00 


381.10 


766.10 


March, . 


20 


11 


31 


14 


12 


26 


389.58 


384.96 


774.54 


April, . 


12 


17 


29 


21 


17 


38 


384.30 


384.10 


768.40 


May, . 


28 


28 


56 


16 


19 


35 


389.16 


387.16 


776.32 


June, . 


35 


30 


65 


17 


11 


28 


398.00 


399.63 


797.63 


July, . 


15 


17 


32 


19 


20 


39 


406.03 


412.67 


818.70 


August, 


19 


10 


29 


31 


11 


42 


399.83 


408.07 


807.90 


September, . 


17 


8 


25 


14 


9 


23 


397.66 


405.66 


803.33 


Total cases. 


209 


182 


•391 


191 


162 


353 


385.95 


390.79 


779.74 


Total persons, . 


197 


168 


365 


190 


159 


249 


- 


'- 





20 



WORCESTER LUNATIC HOSPITAL. [Oct. 



3. Received on First and Subsequent Admissions. 



NUMBEK OF THE ADMISSIOX. 


Cases Admitted. 

i 


Times Previously 
Recovered. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 


170 


149 


319 








Second, . 






24 


27 


51 


8 


9 


17 


Third, . 






8 


4 


12 


3 


1 


4 


Fovirth, . 






4 


1 


5 


5 


3 


8 


Fifth, . 






1 


_ 


1 


_ 


_ 


- 


Sixth, . 






1 


_ 


1 


2 


_ 


2 


Eighth, . 
Twentieth, 






1 


1 


1 

1 





18 


5 

18 


Total of cases. 


209 


182 


891 


23 


31 


54 


Total of persons, . 


197 


168 


365 


- 


— 





4. Ages of Persons admitted for the First Time. 





At First Attack of 
Insanity. 


When Admitted. 


AGES. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Fifteen years and less, . 


3 


2 


5 








From 15 to 20 years. 






13 


o 


16 


7 


3 


10 


20 to 25 years, 






18 


17 


35 


20 


17 


37 


25 to 30 years. 






22 


17 


39 


26 


21 


47 


30 to 35 years. 






27 


18 


45 


26 


13 


39 


35 to 40 years. 






17 


17 


34 


19 


22 


41 


40 to 50 years, 






30 


33 


63 


34 


36 


70 


50 to 60 years, 






17 


20 


37 


20 


22 


42 


60 to 70 years. 






10 


8 


18 1 


10 


10 


20 


70 to 80 years, 






6 


4 


10 


7 





12 


Over 80 years. 






- 


1 


1 


- 


- 


- 


Unknown, 






6 


11 


17 


- 


_ 


- 


Not insane, . 






2 


- 


2 


- 


- 


- 


Totals, . 






171 


151 


322 


- 


- 


- 



1889.] 



PUBLIC DOCUMENT — No. 23. 



21 



5. Residence of Persons admitted. 



PLACES. 


Males. 


Fcmalfs. 


Totals. 


Massachusetts, — 

Bristol County, 




1 


1 


Hampshire County, .... 


- 


1 


1 


Middlesex County, .... 


68 


79 


147 


Norfolk County, .... 


3 


3 


6 


Siiflfolk County, 


44 


27 


71 


Worcester County, .... 


82 


57 


139 


Totals, 


197 


168 


365 



6. Civil Condition of Persons admitted. 





DiVOKCED. 


Unmarri 


ED. 


Married. 


Widowed. 


Unkn'wn. 


XUMBER OF THE 
































ADMISSIONS. 




1 


jo 






"3 

O 


■5 


1 


s 




■3 


1 





1 


a 

a 
S, 


■5 



First, 


- 


1 


1 


77 


53 


130 


84 


69 


153 


8 


27 


35 


1 


1 


2 


Second, . 


- 


- 


- 


7 


7 


14 


4 


5 


9 


2 


1 


3 


- 


- 


- 


Third, . 


- 


- 


- 


5 


- 


5 


2 


3 


5 


- 


- 


- 


- 


- 


- 


Fourth, . 


- 


- 


- 


2 


- 


2 


2 


1 


3 


- 


- 


- 


- 


- 


.- 


Sixth, 


- 


- 


- 


1 


- 


1 


1 


- 


1 


- 


- 


- 


- 


- 


- 


Eighth, . 


- 


- 




- 


- 


- 


1 


- 


1 


- 


- 


~ 


- 


- 


- 


Totals, . 


- 


1 


1 


92 


60 


152 


94 


78 


172 


10 


28 


38 


1 


1 


2 



22 



WOECESTER LUNATIC HOSPITAL. 



[Oct. 



7. Occupations of Persons admitted. 



OCCUPATIONS. 


Males. 


Females. 


Totals. 


Agents, 


2 


_ 


■2 


Boot makers, 












15 


- 




Blacksmiths, 












3 


- 




Book-keepers, 












11 


- 




Box makers, 












- 


2 




Brick layer, . 














- 




Crayon artist. 














- 




Car driver, . 














- 




Conductor, . 














- 




Civil engineer. 














- 




Cook, . 














1 




Clock maker. 














- 




Carpentei's, . 














- 




Cigar maker, 














- 




Cotton manufacturer. 












- 




Commission merchant. 












- 




Custom-house officer. 












- 




Collector, 












- 




Domestics, . 














28 


28 


Dyer, . 














- 




Driller, 














- 




Farmers, 












17 


- 


17 


Fresco painter. 














- 




Grocery dealer, 














- 




Housekeepers, 














82 


82 


Harness maker. 














- 




Hotel porter. 














- 




Hackman, . 














- 




Hat finisher, 














- 




Ii'on moulders, 














- 




Lather, . 














- 




Laster, . 














- 




Laborers, 












28 


- 


28 


Laundress, . 












- 


1 


1 


Musician, 












1 


1 


2 


Carried forward, 










108 


115 


223 



1889.] PUBLIC DOCUMENT — No. 23. 23 

7. Occupations of Persons, etc. — Concluded. 



OCCUPATIONS. 


Males. 


Females. 


Totals. 


Brcught forivard, 


108 


115 


223 


Merchants, . 










4 


- 


4 


Machinists, . 










9 


- 


9 


Newsboy, 










1 


- 


1 


Nurse, .... 












1 


1 


Operatives, . 






• 




13 


15 


28 


Polisher, 










1 


- 


1 


Physicians, . 










2 


- 


2 


Plasterer, 










1 


- 


1 


Picture framer, . 










1 


- 


1 


Packer, 










1 


- 


1 


Painter, 










1 


- 


1 


Printers, 










3 


- 


3 


Provision dealers. 










2 


- 


2 


Policeman, . 










1 


- 


1 


Pail maker, . 










1 


- 


1 


Reporter, 










1 


- 


1 


Salesmen, . 










4 


- 


4 


Saw filer. 










1 


- 


1 


Suspender weaver. 










1 


- 


1 


Stone cutters. 










2 


- 


2 


Steam fitter. 










1 


- 


1 


Stable hand, 










1 


- 


1 


Seamstresses, 










- 


•6 


6 


Saloon keeper. 










1 


- 


1 


Sea captain, . 










1 


- 


1 


Surveyor, 










1 


- 


1 


Teachers, 










- 


3 


3 


Tinsmith, 










1 


- 


1 


Tailors, 










1 


3 


4 


Teamsters, . 










2 


- 


2 


Watch makers, . 










2 


- 


2 


Wire worker, 










1 


- 


1 


Watchman, . 










1 


- 


1 


No occupations, . 










2,5 


25 


50 


Unknown, . 










1 


- 


1 


Totals, . 


1 197 


168 


1 :^6.^ 



24 



WORCESTER LUNATIC HOSPITAL. [Oct. 



S. Reported Dw 


•ation of Insanity before Last Admission 






First Admisskin 


All Other 


TnTAr.S- 






TO ANY HOSPITAI,. 


Admissions., 








PKEVIOUS DUKATION. 




















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Under 1 month. 


31 


31 


62 


6 


10 


16 


37 


41 


78 


From 1 to 3 months, 


13 


25 


38 


2 


5 


7 


15 


30 


45 


8 to 6 months, 


21 


7 


28 


5 


4 


9 


26 


11 


37 


6 to 12 months. 


7 


13 


20 


3 


5 


8 


10 


18 


28 


1 to 2 years, . 


9 


10 


19 


4 


4 


8 


13 


14 


27 


2 to 5 years, . 


20 


17 


37 


8 


8 


16 


28 


25 


53 


5 to 10 years, . 


19 


7 


26 


11 


9 


20 


30 


16 


46 


10 to 20 years, . 


4 


5 


9 


4 


4 


8 


8 


9 


i; 


Over 20 years, . 


- 


5 


5 


3 


1 


4 


O 


6 


9 


Unknown, . 


32 


9 


41 


7 


3 


10 


39 


12 


51 


Total cases. 


156 


129 


285 


53 


53 


106 


209 


182 


391 


Total persons, . 


156 


129 


285 


41 


39 


80 


197 


168 


365 


Average of known 


mos. 


nins. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


cases, 


28.14 


29.31 


28.72 


31.05 


46.04 


42.19 


29 05 


34.23 


32.49 



9. Form of Disease in Cases admitted. 



FORM OF DISEASE. 


Males. 


Females. 


Totals. 


Mania, acute, 

chronic, 

recm'rent, ...... 

puei'peral, 

Melancholia, acute, ..... 
chronic, ..... 

Dementia, primary, 

secondary, ..... 

senile, 

organic (tumors, hemorrhages, 

etc.), 

General paralysis of the insane, . 
Epilepsy, ....... 

Toxic insanity (alcohol, morphine, etc.), . 
Congenital mental deficiency, idiocy, . 

Habitual drunkards, 

Not insane, ....... 


48 
31 

7 

18 
7 
4 

17 
5 

7 
12 

8 
25 

3 
15 

2 


53 
47 
14 

1 
31 

3 

7 
15 

1 

5 
2 
2 
1 


101 

78 
21 

1 
49 
10 

4 
24 
20 

8 
12 
13 
27 

5 
16 

2 


Totals, 


209 


182 


391 



1889.] 



PUBLIC DOCUMENT — No. 23. 



25 



10. Probable Causes of Insanity in Persons admitted. 





Patients 


Previous 


Hereditary 




Admitted. 


Attacks. 


Predisposition. 


CAUSES. 




















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Apoplexy, .... 


2 


_ 


2 


_ 


_ 


_ 








Congenital mental defi- 




















ciency, .... 


5 


4 


9 


- 


- 


- 


- 


1 


1 


Disappointment, 


1 


7 


8 


- 


1 


1 


- 


1 


1 


Excessive mental labor, . 


2 


2 


4 


1 


- 


1 


- 


- 


_ 


Epilepsy, .... 


13 


6 


19 


3 


1 


4 


5 


1 


6 


General paralysis, 


11 


- 


11 


- 


- 


- 


- 


- 


_ 


Grief, 


2 


7 


9 


2 


2 


4 


- 


3 


3 


Heredity, .... 


14 


19 


33 


4 


6 


10 


9 


15 


24 


Intemperance, . 


34 


7 


41 


7 


- 


7 


4 


1 


5 


Ill health, .... 


15 


17 


32 


4 


3 


7 


1 


2 


3 


Injury to head, . 


6 


4 


10 


3 


1 


4 


1 


1 


2 


Menopause, 


- 


8 


a 


- 


2 


2 


- 


2 


2 


Measles, .... 


1 


— 


1 


1 


— 


1 


- 


— 


_ 


Masturbation, . ... 


11 


1 


12 


2 


- 


2 


1 


— 


1 


Nostalgia, .... 


- 


1 


1 


- 


- 


- 


- 


1 


1 


Overwork, .... 


7 


14 


21 


3 


4 


7 


4 


7 


11 


Opium habit. 


1 


1 


2 


_ 


1 


1 


_ 


_ 


— 


Puerperal, .... 


- 


6 


6 


- 


3 


3 


- 


1 


1 


Paralysis, .... 


5 


- 


5 


1 


- 


1 


- 


- 


- 


Religious excitement. 


5 


4 


9 


- 


- 


- 


3 


1 


4 


Spiritualism, 


1 


1 


2 


- 


- 


- 


_ 


— 


_ 


Syphilis, .... 


2 


1 


3 


- 


- 


- 


- 


- 


- 


Senility, .... 


5 


18 


23 


- 


2 


2 


1 


2 


3 


Scarlet-fever, 


1 


- 


1 


- 


- 


- 


i _ 


_ 


_ 


Typhoid fever, . 


- 


1 


1 


- 


- 


- 


_ 


- 


— 


Uterine trouble, . 


- 


_ 


- 


- 


2 


2 


_ 


_ 


_ 


Worry, .... 


12 


14 


26 


- 


2 


2 


1 


2 


3 


Unknown, .... 


24 


24 


48 


10 


11 


21 


_ 


5 


5 


Habitual drunkards, . 


15 


1 


16 


2 


- 


2 


1 


_ 


1 


Not insane. 


2 


- 


2 


1 


- 


- 


i 


- 


- 


Totals, 


197 


168 


365 


43 


41 


84 


! 31 


46 


77 



26 



WOECESTER LUNATIC HOSPITAL. [Oct. 



11. Relation to Hospital of Persons admitted. 



HOSPITAL KELATIONS. 


Males. 


Females. 


Totals. 


First admission to any hospital for insane, . 


156 


129 


285 


Former inmates of this hospital and no other, 


23 


16 


39 


Former inmates of this and other hospitals, . 


5 


4 


9 


Former inmates of other hospitals in this State : — 








Taunton, 


1 


1 • 


2 


Danvers, 




3 


4 


7 


Westborough, .... 




1 


1 


2 


McLean, 




- 


2 


2 


Boston Lunatic, 




1 


- 


1 


Herbert Hall, .... 




— 


2 


2 


Danvers and Nova Scotia, 




1 


- 


1 


Taunton, South Boston and Westborough, 


— 


1 


1 


Taunton, Danvers and Westborough, 


- 


»1 


1 


Westborough and Danvers, .... 


2 


- 


2 


Augusta, Me , and W^estborough, . 




- 


1 


1 


Augusta, Me., 




1 


1 


2 


Concord, N. H., 




1 


2 


3 


Rhode Island, 




1 


- 


1 


Washington, D. C, . ... 




1 


- 


1 


Blackwell's Island, .... 




— 


1 


1 


New York hospital. 




- 


1 


1 


Prestwich, England, 




- 


1 


1 


Totals, 




197 


168 


365 



12. Hoio Sup)ported. 





Patients Admitted. 


Average of the 


I'EAR. 


SUPPORTED AS — 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


State ijatients, . 
Town patients, . 
Private patients, . 


85 

78 
34 


72 

, 73 

23 


157 
151 

57 


98.88 

239.43 

50.64 


63.89 

257.75 

69.15 


162.77 
497.18 
119.79 


Totals, 


197 


168 


365 


388.95 


390.79 


779.74 



1889.] 



PUBLIC DOCUMENT — No. 23. 



27 



■< 

H 
O 
Eh 


•stBjox 


a5CX)CO(Mr-((Mi— (i— li—l 
O CO 

CO 


CO o 
CO CO 


•S81Bni9J 


(MOiOi—li— li— 1 It-Hi-I 
CO (M 

T— 1 


CM CJ 

CO lO 
1—1 1—1 


•S81BH 


t^ 00 CO i-H 1 1—1 1—1 1 1 

to 1—1 

1-1 


1-1 1-1 
en ai 
1—1 1—1 


la 

•« 

S5 
O 


•SIBJOX 


•7<t 1 1 1 1 1 1 1 1 


CM CM 


•saiBina.ii 


1 1 1 1 1 1 1 1 1 


1 1 


•S9IBH 


CM 1 1 1 1 1 1 I 1 C<l G^ 


CiJ 

5 


■S[B?OI 


"O t^ 1 1 1-1 1 1 I 1 


CO CO 

CO CO 


•saiBraaj 


CO CO 1 1 1—1 1 1 1 1 

1—1 


CO CM 

Ol CM 


•S3I«J\[ 


t^ -^ 1 1 1 1 1 1 1 

CO 


1—1 1—1 


o 


•smoi 


1-1 1 1-1 1 1 1 1 1 1 


CM CM 


•s8[Eraaji 


1 1 rH 1 1 1 1 1 1 


r— 1 1— i 


■saiBjvi: 


1-1 1 1 1 1 1 1 1 1 


1-1 1—1 


> 
o 

a 

H 
O 


■SIBJOX 


O -^ <M 1 1 1—1 1 1 1 


t^ t^ 

o o 


•saiBtnaj 


GO CM 1-1 1 1 1 1 1 1 

1—1 


1—1 1—1 
CO C<I 


•saiBiM 


(M CM 1—1 1 1 1-1 1 1 1 

CO 


CO CO 

CO CO 


d 
> 
§ 

a 


■SIB^Oi 


a> 02 CM 1 1 1 1 1 1 


o o 

CO CO 


•saiBina^ 


1^ lO 1 1 1 1 1 1 1 
CM 


GO CO 

CO CO 


•saiBH 


CIO "ttl CM 1 1 1 1 1 1 
CM 


CO 00 

CO CO 


d 

> 

o 

B. 

a 
a 
g 


•SIBJOX 


CMOlCOi— 1 |i— 1 1 1 |0«0 


•S3[Bra3J 


CO [>. CO 1— 1 1 rH 1 1 1 

CO 




■saiBM 


Ol <>J 1 1 1 1 1 1 1 

1—1 


CO GO 


d 

K 

> 
O 

1 


•SIBJOX 


O O I 1-1 1 1 iH 1-1 1-1 


CO o 

o o 

1—1 1— ( 


•saiBcnaj 


o CO 1 1 1 1 1 ^ ^ 

CO 


T-l CO 

'^l CO 


•saiBH 


-tH CO 1 1-1 1 1 tH 1 1 

wo 


CO CO 

CO CO 


ADMISSION. 


. II 


rS ^■■ 


03 

a 

m o 
m u 

« & 

c o 



28 



WORCESTER LUNATIC HOSPITAL. [Oct. 



14. Cases Discharged Recovered. — Duration. 





Duration before 


Hospital 


Whole Dl'ration 




Admission. 


Kesidence. 


FROM 


THE Attack. 


PERIOD. 


















Me. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Under 1 month, . 


15 


16 


31 


6 


3 


9 


2 


1 


3 


From 1 to 3 months, 


15 


8 


23 


26 


21 


47 


8 


10 


18 


3 to 6 months. 


4 


4 


8 


16 7 


23 


11 


10 


21 


6 to 12 months, 


1 


■ 4 


5 


6 


7 


13 


9 


8 


17 


1 to 2 years, . 


4 


- 


4 


3 


3 


6 


6 


3 


9 


2 to 5 years, . 


4 


1 


5 


- 


- 


- 


4 


1 


5 


5 to 10 years, . 


4 


2 


6 


5 


' - 


5 


6 


2 


8 


Over 10 vears, . 


4 


- 


4 


_ 


- 


_ 


6 


_ 


5 


Unknown, . 


11 


6 


17 


- 


- 


- 


11 
62 


6 


17 


Total of cases, . 


62 


41 


103 


62 


41 


103 


41 


103 


Total of jjersons, 


62 


38 


100 


62 


38 


100 


62 


38 


100 


Average of known 


mo8. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


eases, 


26.00 


8.4 


18.84 


5.20 


4.14 


4.79 


50.0 


12.34 


21.88 



15. Cases Residting in Death. — Duration. 





Duration Before 


Hospital 


Whole Duration 




Admission. 


Kesidence. 


FROM 


THE Attack. 


PERIOD. 


















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Under 1 month, . 


8 


2 


10 


10 


1 


11 


3 




3 


From 1 to 3 months 


5 


2 


7 


4 


3 


7 


3 


1 


4 


3 to 6 months 


7 


1 


8 


5 


4 


9 


_ 


2 


2 


6 to 12 months 


2 


2 


4 


11 


3 


14 


8 


1 


9 


1 to 2 years. 


8 


- 


8 


3 


2 


5 


7 


- 


7 


2 to 5 years. 


4 


4 


8 


3 


5 


8 


6 


2 


8 


5 to 10 years. 


1 


1 


2 


o 


2 


5 


5 


5 


10 


10 to 20 yeai-s. 


1 2 


2 


4 


2 


1 


8 


4 


] 


5 


Over 20 years, . 


- 


1 


1 


- 


1 


1 


1 


3 


4 


Unknown, . 


4 


7 


11 ' 


- 


- 


- 


4 


7 


11 


Total of eases. 


41 


22 


63 


41 


22 


63 


41 


22 


63 


Average of known 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


cases. 


20.64 


61.6 


32.46 


18.73 


40.27 


26.25 


46.81 


92.6 


61.94 



1889.] 



PUBLIC DOCUMENT — No. 23. 



29 



16. Cases discharged by Recovery or Death. 





Recoveries. 


Deaths. 


FORM OF INSANITY. 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Mania, acute, 
chronic, 
recurrent, . 
Melancholia, acute, 

chronic, . 
Dementia, secondary, . 
senile, . 
organic, 
General paralysis. 
Epilepsy, .... 
Toxic insanity (alcohol, opi- 
um, cocaine), . 


18 
1 
3 

10 

30 


26 

2 
7 

2 

4 


44 

3 

10 
12 

34 


7 
7 

2 
1 
6 
6 

2 
6 
4 


1 

5 

2 
2 

2 
7 
2 
1 


8 
12 

4 

3 

8 

13 

4 

7 
4 


Totals, . . . . 


62 


41 


103 


41 


22 63 



17. Causes of Death. 



CAUSES. 


Males. 


Females. 


Totals. 


Exhaustion of mania, acute, 


6 




6 


chronic. 


4 


1 


5 


melancholia, acute, 


2 


2 


4 


chronic, . 


1 


_ 


1 


acute mania and rectal ab- 








scess, .... 


_ 


1 


1 


senile dementia, . 


5 


4 


9 


dementia, secondary, . 


6 


- 


6 


organic, 


1 


2 


3 


senile dementia and pelvic 








abscess, .... 


_ 


1 


1 


chronic melancholia and in- 








testinal cataiTli, 


_ 


1 


1 


syphilitic dementia, 

senile dementia and erysipe- 


1 


- 


1 


las, 


1 


- 


1 


paralytic insanity. 
General paralysis, . . . . • . 


1 
6 


1 


1 

7 


Phthisis pulmonalis, 

Epilepsy, 

Suffocation, . . . . . 


3 
1 


1 
3 


1 
6 
1 


Apoplexy, ....... 

Heart disease, 


2 


3 
2 


3 

4 


Phthisis abdominalis, ..... 


1 


- 


1 


Totals, 


41 


22 


63 



30 WOECESTER LUNATIC HOSPITAL. [Oct. 





-< 
o 


3 

o 


CX) >— 1 <— 1 1— 1 


- 




1 


-^ T— ( T—( l-H 


i^ 




r^ 


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-* 








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a 

b 

a 

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(Mill 


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o 

CO 

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r-l 1 1 1 


tH 






CO 

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> 

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"3 



<>J ^ 1 1 


CO 




"3 

a 



1 1-1 1 1 


tH 


^ 
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s 
S 


Oi \ \ \ 


01 




as 


d 
3 


3 



T-l 1 1 1 


1— 1 


CO 


a 


rH I 1 1 


- 


"3 


1 I.I 1 


1 






CO 
On 


■A 
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CO 1 i-l r-l 




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1889.] PUBLIC DOCUMENT — No. 23. 



31 



H 
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r-i 


COCN:OfM^l'N3^r-l^^r-l^rHr-(r-l.-l.-l,-lr-< 


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O.^CN^ — ,-H^IIIIIIIIIIII 


1—1 


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> 




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1 --1 1 -1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


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1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


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1 1 1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


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NUMBER OF THE 
ADMISSION. 






























First, . 
Second, 
Third, . 
Fourth, 
Fifth, . 
Sixth, . 
Seventli, 
Eighth, 
Ninth, . 
Tenth, . 
Eleventh, . 
Twelfth, . 
Thirteentli, . 
Fourteenth, . 
Fifteenth, . 
Sixteenth, . 
Seventeenth, 
Eighteenth, . 
Nineteenth, . 


'a 
o 
H 



32 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



20. Deaths classified by Duration of Insanity and of Treatment. 









Whole Kno'R-n Period 




Duration of Iksakitt. 1 


OP Hospital Kesidence. 


PERIOD. 










Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Under 1 month, . 


3 




3 


10 


1 ' 11 


From 1 to 3 months, 




3 


1 


4 


4 


2 i 6 


3 to 6 months. 




- 


2 


2 


o 


5 I 10 


6 to 12 months, 




8 


1 


9 


10 


3 1 13 


1 to 2 years. 




7 


- 


7 


4 


2 ! 6 


2 to 5 years. 




7 


2 


9 


3 


5 i 8 


5 to 10 years, 




5 


5 


10 


i 3 


9 


5 


10 to 20 years. 




3 


1 


4 


2 


1 


3 


Over 20 yeai-s, 




1 


3 


4 


- 


1 


1 


Unknown, 




4 


7 


11 


! 


- 


~ 


Totals, .... 


41 


22 


63 


41 


22 


63 




mos. 


mos. 


mos. 


mos. 


mos. 


mos. 


Average of known cases. 


45.59 


91.8 


60.84 


23.70 


36.54 


28.19 



21. Ages of Those who died. 



AGES. 


At Time 


OF First 


Attack. 


At Time of Death. 














Males. 


Females, 


Totals. 


Males. 


Females. 


Totals. 


From 15 to 20 years, . 


2 


1 


3 








20 to 25 years. 






4 


2 


6 


2 


2 


4 


25 to 30 years, 






- 




- 


1 


- 


1 


30 to 35 years, 






5 


1 


6 


3 


- 


o 


35 to 40 years. 






- 


4 


4 


4 


1 


5 


40 to 50 years. 






13 


3 


16 


12 


5 


17 


50 to 60 years. 






5 


2 


7 


9 


2 


11 


60 to 70 years. 






4 


4 


8 


4 


3 


7 


70 to 80 years. 






3 


- 


3 


4 


6 


,10 


Over 80 years. 






1 


- 


1 


2 


3 





Unknown, 






4 


5 


9 


- 


- 


- 


Totals, . 






41 


22 


63 


41 


22 


63 



1889.] 



PUBLIC DOCUMENT — No. 23. 



33 



22. Number of Convicts admitted to the Hospital frovi its Opening^ 
Jan. 19, 1833, to Sept. 30, 1889. 





Males. 


Females. 


Totals. 


Number upon first admission, " . 
Number upon readmission, .... 


465 
56 


95 
8 


560 
64 


Totals, 


621 


103 


624 



34 WOECESTER LUNATIC HOSPITAL. [Oct. 



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a 


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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 


•saiBinaji 


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


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




d 

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t, 
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z 


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1 1 1 1 1 1 1 1 1 t 1 r 1 1 1 1 1 1 1 1 1 


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


•S9IBH 


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




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ooooooooooooocoooooooooococoooaooccccoccioo 



1889.] PUBLIC DOCUMENT — No. 23. 



35 



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



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



I I I I I 



I I 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 



1IIIIII|.-I|||II^-|I1IIIC<II1(MII'-| 



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I I I I 1^1 I I 1 I I I I I I I 1 I I i.-l| I.-I |rH(M^<M^r-lTt<^CO, 



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1 I I I I I I I I I I 



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I I I I I I I I I I I I I I I I I I I I I I I I I I I ^• 



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



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lllltlllllllllllllllllrtCOODCO 



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 OO: 



I I I I I I I I I I I J I I I I I I I I I I I I I I I I I I I I 



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coicocoocoioeQioiooOiOasc^— ico^o-*— lOOtDoos— ioinco03.-icoaococi ^ 



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36 



WOECESTER LUNATIC HOSPITAL. [Oct. 












'-^ r 
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oi 


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I 









Remaining of Each 
Year's Admissions 
Sept. 30, 1889. 


•S113J0X 


1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 1 ^!M 1 1 1 


•saiBtnaj; 


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


•saiBpi 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I i-H^ 1 1 1 


w 

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a 


H 

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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 


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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 


•S3IBM 


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




a 
n 


•SIBJOX 




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•S9ISH 




a 
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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 


•saiBraaj 


1 1 1 1 1 1 -1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


•sai^iM 


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




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


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


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




w 
a 

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o 


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


■saisraaj 


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


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

■ 


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.-1 >-H r.^ (M ,-1 rt (M <M (M Tt( c<3 IM iM CO !M (M -*< •* 


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1889.] 



PUBLIC DOCUMENT — No. 23. 



37 



IrH 1 1 l>-( li-lfH l(Ni-( 1 leOrHCqi^tJ<0500500COC000005lC05COCO(MlC— 1 

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^ i-H i-H ,-1 i-f (N (M i-l (M CO "Q ^ 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 1 1 1 1 1 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 1 1 1 1 1 1 1 1 1 1 1 •-< 1 


-^ 




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


1 








1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 '-I 1 1 1 1 1 ^ 1 ^(MCO 


00 




riiiiiiiiiiiiiiiiiiiiiiiiiiiiii'-Hi^^^ 


'tl 




1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <-! 1 1 I 1 1 1 1 1 rHCO 


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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 i 1 1 1 1 1 1 1 1 1 1 Cq>-IIM(M 


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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 1 1 1 1 1 1 r-H 1 1 rl 1 1 1 COCO 


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1 1 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 I 1 1 1 1 (MCO 








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38 WORCESTER LUNATIC HOSPITAL. [Oct. 



Ir-i,— (CCi-i-*CO^r-i(Ni-iC<IO liOCDOSlCOJ 



|,_eOl-lr-lnHCO.-l.-l.-l I.-I |TtHCO-*-*lO 



IrH I I |COC<lr-l I.-I |(M^ |.-IC0i0^1-- 



I I I I I I I I I I I r I I —I I I I (M 



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



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00 
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1889.] 



PUBLIC DOCUMENT — No. 23. 



39 



CO lO (M Cj2 1^ Oi 
^H (M CM -H CM 
O >— I CO 



CO CO GO 
l>l CO CO 

oi t^ lO 



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40 WOECESTER LUNATIC HOSPITAL. [Oct. 



26. Sliowing the 


Results 


of First Admissions. 






Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of persons on first 














admission, .... 


- 


- 


- 


5,876 


5,653 


11,529 


Discharged recovered, . 


1,967 


1,894 


3,861 


- 


- 


- 


improved, . 


1,493 


1,594 


3,087 


- 


- 


- 


not improved, 


1,143 


1,018 


2,161 


- 


- 


- 


not insane, . 


8 


5 


13 


- 


- 


- 


On visit, .... 


2 


2 


4 


- 


- 


- 


Eloped, 


4 


- 


4 


- 


- 


- 


Died, 


969 


829 


1,798 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1889, . 


290 


311 


601 


5,876 


5,653 


11,529 



Showing the Results of Readmissions. 



Number of readmissions, 








1,876 


1,818 


3,694 


Discharged recovered, . 


669 


724 


1,393 


- 


- 


- 


improved, . 


510 


486 


996 


- 


- 


- 


not improved, 


352 


310 


662 


- 


- 


- 


On visit, .... 


- 


2 


2 


— 


— 


— 


Eloped, • . •. 


1 


- 


1 


- 


- 


- 


Died 


234 


198 


432 


— 


— 


— 


Remaining in the hospita 














Sept. 30, 1889, . 


110 


98 


208 


1,876 


1,818 


3,694 



Showing the Results of Second Admissions. 



Number of second admis- 














sions, ..... 


- 


- 


- 


1,132 


1,122 


2,254 


Discharged recovered, . 


354- 


365 


719 


- 


- 


- 


improved, . 


300 


317 


617 


- 


- 


- 


not improved, 


250 


220 


470 


- 


- 


- 


On visit, 


- 


1 


1 


— 


— 


— 


Died, 


162 


144 


306 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1889, . 


,66 


75 


141 


1,132 


1,122 


2,254 



1889.] 



PUBLIC DOCUMENT — No. 23. 



41 



Showing the Results of Third Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of third admissions, 








361 


313 


674 


Discharged recovered, . 
improved, . 
not improved. 


137 
97 
57 


135 

81 
52 


272 
178 
109 


- 


- 


- 


On visit, .... 


- 


1 


1 




- 


- 


Died, 


44 


30 


74 


- 


- 


- 


Kemaining in the hospital 
Sept. 30, 1889, . 


26 


14 


40 


361 


313 


674 



Showing the Results of Fourth Admissions. 



Number of fourth admis- 














sions, 


_ 


_ 


_ 


150 


133 


283 


Discharged recovered, . 

imj^roved, . 

not improved. 
Died, 


65 

44 

25 

8 


62 
40 
20 
10 


127 
84 
45 
18 


- 


- 


- 


Kemaining in the hosjsital 
Sept. 30, 1889, . 


8 


1 


9 


150 


183 


283 



Showing the Results of Fifth Admissions. 



Number of fifth admissions, 








73 


71 


144 


Discharged recovered, . 


33 


39 


72 


- 


- 


- 


improved, . 


15 


15 


30 


- 


- 


- 


not improved. 


8 


9 


17 


- 


- 


- 


Eloped, 


1 


- 


1 


- 


- 


- 


Died 


11 


5 


16 


— 


— 


— 


Remaining in the hospital 














Sept. 30, 1889, . 


5 


3 


8 


73 


71 


144 



Showing the Results of Sixth Admissions. 



L 



Number of sixth admissions. 








41 


39 


80 


Discharged recovered, . 


23 


21 


44 


- 


- 


- 


impi-oved, . 


8 


11 


19 


- 


- 


- 


not improved. 


4 


2 


6 


- 


- 


- 


Died, 


3 


3 


6 


_ 


_ 


— 


Remaining in the hospital 














Sept. 30, 1889, . 


3 


2 


5 


41 


39 


80 



42 WORCESTER LUNATIC HOSPITAL. [Oct. 



Shoiuing the Results of Seventh Admissions. 







Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of seventh admis- 














sions, ..... 


- 


- 


_ 


26 


25 


51 


Discharged recovered, . 


14 


16 


30 


- 


- 


- 


improved, . 


6 


6 


12 


- 


- 


- 


not improved. 


3 


1 


4 


- 


- 


- 


Died, 


3 


2 


6 


26 


25 


51 



Showing the Results of Eighth Admissions. 



Number of eighth admis- 














sions, 


— 


— 


- 


20 


19 


39 


Discharged recovered, . 


10 


13 


23 


- 


- 


- 


improved, . 


9 


3 


12 


- 


- 


- 


not improved. 


1 


2 


3 


- 


- 


- 


Remaining in the hospital 














Sept 30, 1889, . 


~ 


1 


1 


20 


19 


39 



Shoiving the Results of Ninth Admissions. 



Number of ninth admissions, 








15 


16 


31 


Discharged recovered, . 


9 


11 


20 


- 


- 


- 


improved, . 
not improved, 
Died, ..... 


4 
1 
1 


4 
1 


8 
2 
1 


15 


16 


31 



Showing the Results of Tenth Admissions. 



Number of tenth admissions, 








13 


15 


28 


Discharged recovered, . 


6 


12 


18 


- 


- 


- 


improved, . 


6 


2 


8 


- 


- 


- 


not improved, 


1 


1 


2 


13 


15 


28 



1889.] PUBLIC DOCUMENT — No. 23. 



43 



Shoioing the Results of Eleventh Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of eleventh admis- 














sions, 


- 


_ 


- 


12 


14 


26 


Discharged recovered, . 


3 


9 


12 


- 


- 


- 


improved, . 
not improved, 
Died, 


6 
1 
1 


4 
1 


10 
2 
1 


- 


- 


- 


Remaining in the hospital 
Sept. 30, 1889, . . 


1 


- 


1 


12 


14 


26 



Showing the Results of Twelfth Admissions. 



Number of twelfth admis- 














sions, 


_ 


_ 


_ 


9 


11 


20 


Discharged recovered, . 


3 


9 


12 


- 


- 


- 


improved, . 


4 


1 


5 


- 


- 


- 


not imjjroved. 


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, 1889, . 


~ 


1 


1 


7 


9 


16 



Showing the Results of Fourteenth Admissioyis. 



Number of fourteenth admis- 














sions, ..... 


_ 


_ 


_■ 


5 


8 


13 


Discharged recovered, . 


3 


6 


9 


- 


- 


- 


impi'oved, . 


2 


1 


3 


- 


- 


- 


not improved, 


~ 


1 


1 


5 


8 


13 



44 WORCESTER LUNATIC HOSPITAL. [Oct. 



Showing the Results of Fifteenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of fifteenth admis- 
sions, 

Discharged recovered, . 

improved, . 

not improved, 


2 
2 


4 
1 
1 


6 
3 
1 


4 
4 


6 
6 


10 
10 



Shoiving the Results of Sixteenth Admissions. 



Number of sixteenth admis- 
sions, 

Discharged recovered, . 
improved, . 

Eemaining in the hospital 
Sept. 30, 1889, . 









3 


4 


1 


3 


4 


- 


_ 


1 


- 


1 


- 


- 


1 


1 


2 


3 


4 



Showing the Results of Seveyiteenth Admissions. 



Number of seventeenth admis- 
sions, 

Discharged recovered, . 
not improved, 



-. - 2.3 

2 2 4 - - 

1 1 - - 

---23 



Showing the Residts of Eighteenth Admissions. 



Number of eighteenth admis- 
sions, . . . . . 
Discharged recovered, . 
improved, . 
Died, 









2 


3 


1 


2 


3 


- 


- 


1 


_ 


1 


_ 


- 


- 


1 


1 


2 


3 



Showing the Results of Nineteenth Admissions. 



Number of nineteenth admis- 
sions, 

Discharged recovered, . 
improved, . 









1 


2 


_ 


2 


2 


_ 


- 


1 


- 


1 


1 


2 



1889.] PUBLIC DOCUMENT — No. 23. 



45 



Showing the Results of 


Twentieth Admissions. 






Males. 


Females- 


Totals. 


Males. Females. 


Totals. 


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


- 


2 


2 


- 


2 

2 


2 

2 



Showing the Results of Twenty-first Admissions. 



Nimiber 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, . 



- 


1 


1 




1 
1 



Showing the Results of Twenty-third Admissions. 



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



46 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



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1889.] 



PUBLIC DOCUMENT — No. 23. 



47 






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48 WORCESTER LUNATIC HOSPITAL. [Oct. 



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1889.] PUBLIC DOCUMENT — No. 23. 



49 



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50 



WOKCESTER LUNATIC HOSPITAL. [Oct. 



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1889.] 



PUBLIC DOCUMENT — No. 23. 



51 



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52 



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I I I I I I 



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



I— IC<Ii— Ir-I^^CMr— It— (■^C<lcOCCOCO-^-<^COC<ICO 



li— iOOCOCOt^COC5i000^05COCiO>OCCOCOeoC<IC2CO-# 

i-H .-I rt f-H r-1 CO CQ (M C^4 i-l 1-1 ,-H 



COCD'*lC-t:t<OCOCOiOlCGOt--'— lC<IC0CO05t— T»HOOOO-JcyD 
i-lr-l I— l<Mi— irtt-icsli— i(Mcq.-H,-i,— ( 



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



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COOt-05<Mlr^05CO^COOCCi00500>00>CO-#COCiC5C<101 

coc^(Mc<i(Mf-icoco(M-*-*cococ<iTrieoc<icocO'T'co-*c^ 



i-ico^.— iMir>a5030r-<TtiT*<cooic<)cooo5iot^oo«oc<ico 

^^^,-(1-1 C<l .-H ,-1 ,- (M e<l i-l (>) C<1 CM r-i i-l ^ 1-H ~^ r-( 



C^(MCOOOO— IOCOCOC<ICC>OC0000505-*0505(MCOO— ' 

,_,„,_ rt ■-( ,-1 ,-H rt r-l(^^ C<l .-1 IT<I r-l r-H i-l r-1 ,-( (N <M (N r-l 



T^CO-^CDOOCOOOtOfMCOt^COO— KMCOCOOOCDMOOt^— ilO 



f0<MC<lC0'*0QCNC0-*iO>O'O'»Oi©C0iO'Q'0CDiO^'* 






5000lOeoOOO-^-*C<ICOOOCOTt<t^00500— "05C005Tf< 

(Nco — c^>CGOcot--ioo>iMcococ5coi--cD-^ioooiCooeo 

i-Ht-irHi-Hrtrtr-n-H.— ii-i(MC<l(MlMCM(MC^l(MCM(rOCS(MCMOJ 



^l^05COCOCOCOCO^Tj<iO(MCO^^O>C005-*COGOCOCOC<l 



<MC0'-l(Mt--^T(<t^l^Ol^CD>O(MC000l^O'*nC— 'COOM 



oot^cocooocftooi^oo' 



i-*Tt"OC0(M00<MTt<-*C<IC5O 



■*u3C0l:^0001O^JC<I00Tt<iOOl--0002Oi— iC<lcO-*ilOCD 
C0C0C0(?0C0C0'^"^^^-^"^'*^^'^^3'»O»OiC»OlOOl0 

~ I I r I I I I I I I I I I I I I I I I I I I I 

C0C0-*"OCDt^00C3O.— IC<lCO"*lOCDt:— cooso — c<ico-*o 



C0C0C0C0C0C0C0C0■^-^T^'^■^^'^^^^:t^^0l0l0^O•O 
CXICOGOOOCOCOOOQOCOOOOOOOOOOOOOCCOOCXJOOCOOOODOOOO 



1889.] 



PUBLIC DOCUMENT — No. 23. 



53 



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 I I I I I I I I <N I 



I 1 I I I I I I I I 



(MI^I^II^I<Ml|^l<N CO 



I I I I I I 



I -H I ^ I I I I I I 



I 1 <M 1 I O 



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



I |,-lli-ll llMIIMOO 



(M03'- ■05»oo5"0-*e<iiococQ'Mi— io-*'M-^co'"^-*ooi^oo5t^>— I.— iooeO'*>oi-~ 



l^ .-H 1—1 r-ii-(,— lr-i^(MiOeO-*-*CDC<leOi— ii-HC<ICO(N-*loiO(N 



c»05oocootoioir^05ico— ^oo-*cDi^— '■— I— 'b-i— i05cocii:D003t--.t^'T<iic;oco 



'.-Hi— i^C<)f-HCO-l<u3CO-*COCO 



^ oo cc c<i CO 



o— iiMa)i^oo^Hooooc03Cioocoa2CDooo5t~-.t^i~-.ooioc5-*030'Hi— IC0005CD 
oOi— '50coiO'Ci>-oo503C~i'McorJoai'*icc-*050ico-^'CCDt^i^t~-t^ — Cico(M 

rt 1-1,1— Ir-l—c — (Mr-I — r-lr-l i— I i— I 

C0>0'?D<MI^C0C<l-*'^C0CD'0C0i0Orot--t>. OOraeO-^CN(MCO'*CO-*Tt<t^Tj<iOt^ 



(Mcooiric<i^o-rH<Mr^oir)t^oirat^ooaJO'M'Mir^i^.-i-*io--co-*io-*i-ico 

1— itcoC'-'ooaic^cx)oDcoooO'-'iccoc5oo5t^t^io-*^iCin<£>>ct^<rJt^oco 



<r>cOTfraiciO'*>c-*<*ii:o^iccocO'^-*c<icocococoi— I— <(rao5iM'»c<icoc<ico-<ti 



^Ci^Oi5c05cooocDcoco<x>— 'COt^'MOi.— iio— 'oocDcooii— lOico'i'iO'^ioioc^i 
•<tii^-*iO'*^-*cocO'*co-*iCTPooa2Tt<'*i«3-*co(Mcoc<ico:Nco(N-*co-*TfcD 



"n-*OJO— '1— iiocD^oooccr^-^ocoi-^ocM — ■^iicit^coaiO'C'Mcocoicoi.— I co 



ittCDCOiCt^CC-^iOh-CO-^inO— 'CD-*^J05C<lCO'fl^CCCDCOlOOC<It^Ot--00'C05 
C-J'X>00'MO — !M^-CCW5 0t^02iOlOOOC505t^-'*it^O-<rOC<Mr-it^iO;COO 

r-ii—i-lrt— 11— li-i— .i-l-<r-i— li-ii— i(M(M?q(Mi— li-.i-(i-( 1— ,„,— irti-<.-ir-(.-^<MC<l 



54 WOECESTER LUNATIC HOSPITAL. [Oct. 












O 



t^C0C/DCMCNO-*''*C^-*O'^O'^-*li:D^OOC0O!01~~C5C3l^ 



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. t^O t^CO ' 



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<C<IC^CD — ^C^CvlCOCO-^CO-— i^0t^OC^'<3^^'^'MC0-^O:X)t^ 

,— (I— It— li— (I— iC<l<MKIC<lCS:MC--lC00tiC0'*i-*^-*u3'O-*<C0C0C0C0 



I I I I I I I I I J I I I 



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coooooooicc<iTt<.— l3005CTi^cooooc^^f^^^t-~o>c<l-*^c~lco 



t--COOOOt^CiC<lC00050!M^^030C<10t--OTtic»CTitDCOCO-H 
C0'7'^iOt--O^^tM— icOC01DOC50 0'-i-MO'CQOCOC5C2CO 

1— lr-(--lt-l.-lrtr-..-.>— (CMO<lMC<ICM(Mi— Irt.— r-Hi-H 



l<M<MC<l!M(MC<l^^i-i,-(i-( 



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ccc^'^ocDr~^c>oc:.0'-HC<icoTt*tocDi^:x;ciO'— 'C<ico-^o<Dt^ 

OOCOGOOOGOOOOOCOOOGOGOOOOOOOOOOOCOOOGOOOGOGOOO OOCO 00 



1889.] 



PUBLIC DOCUMENT — No. 23. 



55 



eoo^Oltlcy^-*^OQD50^^coo.-|^oco--lcoo-Hcoo■-^'^^^o^;-ccq5ooc2 
o^~'*coo^ooc^l0 0cDcO'--^co■-Hcq05c-4<^^o-^^oqOl-^lO(^loO(^^>o■--<^ 



(M 130 IM 02 

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c<)^cori;TiH05C<iooc>qN.--;^0'-;<Kocor--o-*o)ooa3T|Hcoyj^c^'oa3a3 



lDt^ocil:--c^-*ocoa:^C50co(^^t■-;^-;TOcoc^c^coc^^"t3C^^'qcocN-*M;c5 
ot^»t-^t>^oio30'-^c»(>ii6Moooiccoi6cooir--oJaicocot^cocr>ooa5t^ 



cO'^coNO'-Hi^cdcDt^oocDt-^ir^coooio 



03,^t^C>t!O'Of— I— 't-^t— 'OCCOOC-.1COCOC-5 
r~lt^^c6t^Ci(>-C->O3i<Xi00Ot>.OOO 



oa^oo530>j^c<i^c:icoo05C02C2copoocoiqoooqr-(corH,-HMcqco 
coo6c3--^^t)<cdio-- — ococo'>iiot^^'-'coi-^»'--ir-~ioi-^c<icDOC5iqc2 






oo-*&oco.-Hoo^Ti<ocoO'XiC5r-;ODco^o:)cqc3itoc<it-;iqooQqa2^cD 
r-^ai^oloo5T^^^oo--aico^"o-*oa5»+|'^^!Dt^t>^05cooco■-^o6o'^jc4 
Tt<ia!-*oco-3iCOcOT}<coc<icJcococ^>ic<lc<ic^^coc^>c<icaccc<ic<ii--ic-)c<3co 



cyj^OJr-iaDcDOoocnot^coosoajocoooiooocoajiocooosinTfCi'* 



I I I I I I I I I I I 



(^^c<lc<^(^^:^4c^lcMC<^cococococ■ocococol:o 



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



■-^OtMiriCi'MO'OCOOO— 'OsiSOOiOWIiO 

c<i iq o Tf^ o c-j o 1-- o c-1 o CO r-- =c CO O) 05 
o6c^^— ''t--loo5i^c6^C2a>--T)<cDo6id 
(MC<i(M<Mc<ic<icM(Moacococococococ»3co 



i:D(Mr^icoOTi<oc-iiO'Moaoco05Gi>ocor^co050ooQO'— i-^C2co30'*oc5 
cocococococoeococoo3co-*-*^Tt<-*-<fTt<oiorricioccn:^t^t^t^cDir^co 



I.— itNTOao(MooinocDOcDr-ioio30ooro 

((MCM(MlMC<l(>)CaC<ICM<MOtlC0P:)CO;O^COC0CO'* 



OTHOOicot^Oi— it^r^i^cstMt-^oocoiocncocoiococ^ir-Jiooococococoo 



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<C<l-*<uT>^:0C0t-^iO'10t^C0CD— ICO; 



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ilM.-i(MC<l<M(M(MC<l(N(>)(MO0COCCCOCOCOCC-# 



I I I I I I I I J I 



I I I I I I I I I I I I I I I I I I I CO r 



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ic-ico-^ic^of— ooosO'^'Mco^'Ocor^oooso^iMco^ictcot^ooai 



lOCDOQDCDOCO'X5^0CDl~^l~^r^r^t^t 



-t^t^t^cococccocococoooaooo 



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1889.] PUBLIC DOCUMENT — No. 23. 57 

||,-l|||GOl|rH||||(Nll IIIICOllllrMlll 



iTt^fllCOIIrHllli-IOTllTH ll|CO||l|rH||Tt<CN 



-*l |(MT-lr-(|t^|CO<MCOO» I li-ll I |G<ICOl ICOIC^ 



I I |-H-tHCO<MI I |-*-t<GMC0(>)50l lt>l I 10|e0 7-li-ICOCO(M 



tO-^i— ICq-^COC<)i-<T-(T-ICOl>.rHCO(MCOrH t— (t>.i— IiXICOiOt— ICOi— lr-ICO^(M 



lOC<>|'*l|C<l(MrH| llQ^ICOl I I -^ilOlCOrH-^i— ICO^<t-I^Ht-(.-H 



THcqi— i(X)-*i— I I It— iT-icocOi— I IG^icOi— I c^i— ii— icotM^ I I I IC<(i:Ot— I 



1 |r-l| 1 li-Hl IrHl | | \ r-t \ | 


1 1 1 1 T-l 1 1 1 1 T-l 1 1 1 


li-H| 1 It-HI li-Hl 1 It-Hi-II IrH 


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


1— 11 1 |i-H| |(Mi— li-l|i— III— li— I0<1(M 


( ll-ll 1 1C<)T-I1 IrHli-l 


1 1 l(Mi-lT-lrHl 1 lCO(>JG<l.-ii-li-(l 


|t-I1 1 l(MlT-lT-lrH(M(MrH 


COCOeOC^C<)CMC^CN(M3<lT-li— IrHr-lT-ll-ll— 1 


lO'*I^^^COOOCOCOCOC<l(>)C<l 






58 



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1889.] PUBLIC DOCUMENT — No. 23. 59 



I I I I I I I I I 1-1 II I I ^ I I I I 



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l^l^^l IIG^I^ 1^ O, rHilll III lO^CM 



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60 



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1889.] 



PUBLIC DOCUMENT — No. 23. 



61 



30. Parentage of Persons admitted. 





Males. 


Females. 


BIRTHPLACE. 


Father. 


Mother. 


Father. 


Mother. 


Maine, 


8 


7 


2 


7 


New Hampshire, . 
Vermont, 






13 

1 


13 

2 


4 


4 


Massachusetts, 






38 


42 


13 


12 


Rhode Island, 






- 


- 


1 


- 


Connecticut, . 






2 


1 


2 


2 


New Yoi'k, 






3 


1 


2 


2 


Pennsylvania, 






- 


, - 


1 


1 


Virginia, 






1 


1 


2 


2 


North Carolina, 






- 


- 


1 


- 


Georgia, 






1 


1 


- 


- 


Nebraska, 






- 


~ 


1 


1 


Canada, 






6 


6 


9 


8 


New Brunswick, . 






3 


2 


2 


3 


Nova Scotia, 






5 


5 


2 


2 


Prince Edward Island, 






1 


1 


2 


2 


Cape Breton, 
England, 






7 


5 


1 

4 


1 
5 


Ii-eland, 






62 


64 


72 


67 


Scotland, 






5 


5 


2 


2 


Germany, 
Italy, . 
Sweden, 






5 
2 
6 


5 

2 
6 


3 
1 
3 


3 

2 
3 


Russia, . 






1 


1 


_ 


— 


Holland, 






1 


1 


1 


_ 


Azores, . 






- 


- 


1 


1 


Poland, . 






- 


- 


1 


1 


Unknown, 






26 


26 


35 


37 


Totals, 


197 


197 


168 


168 



62 



WORCESTER LUNATIC HOSPITAL 



31. Siibseqitent History of 1,134 Persons ivJio have 
charged from the Hospital as recovered on their only . 
or on their Last Readmission. 





Males. 


Fen 


Remained well and livino; at time of reply, . 




164 


1 


Remained well throuo^h life 




ll.S 


i: 


Relapsed and readmitted to this hospital. 




2 




Relapsed, admitted to other hospitals, and 


died 






there, 




27 


t 


Relapsed, admitted to other hosjoitals, and 


dis- 






charged, 




35 


f 


Relapsed, admitted to other hospitals, and there 






now, ........ 




13 


c 


Relapsed and died at home, .... 




48 


A 


Relapsed and died at almshouse, . 




24 


I 


Relapsed and living at almshouse, . 




9 




Relapsed and living at home, .... 




22 


2 


Relapsed and nothing more known, 




9 




Suicides, ........ 




26 


1 


Relapsed, and died in Andersonville Prison, . 




1 




Totals, 


493 


47 


No information, 




- 


- 




493 


47 



Residence of Private Patients admitted to the Hospital fror 
1888, to Sept. 30, 1889. 



TOWNS. 


No. 


TOWNS. 


Acton, 


1 


Millbury, . 


Aubm-n, 








1 


Mansfield, . 




Boston, 








5 


Natick, 




Brookline, . 








1 


iSTewton, 




Barre, . 








2 


Pep per ell, . 




Chelsea, 








2 


Petersham, 




Charlton, 








1 


Royalston, . 




Cambridge, . 








1 


Somerville, 




Dracut, 








1 


Worcester, 




Fitchburg, . 








1 


Ware, 




Framingham, 








2 


Watertown, 




Greenwich, . 








1 


West Brookfield, 




Groton, 








2 


Weymouth, 




Grafton, 








2 


Warren, 




Gardner, 








1 


Waltham, . 




Leominstei", 








3 




Lunenburg, . 








1 


Total, . 





Natives, . 
Foreigners, 



1889.] 



PUBLIC DOCUMENT— No. 23. 



63 



Residence of Town Patients admitted to the Hospital from Oct. I, 
1888, to Sept. 30, 1889. 



TOWNS. 


Xo. 


TOWNS. Ko. 


Acton, 


1 


Natick, .... 


5 


Billerica, 
Bovlston, 








1 
1. 


Newbiiryi^ort, . 
Northbridge, 






1 
1 


Boston, 








4 


Oxford, . 






1 


Brookfield, . 








1 


Plymouth, . 






1 


Brookline, . 








2 


Petersham, 






2 


Cambridge, 
Carlisle, 








27 
2 


Somerville, 
Southbridge, 






2 
1 


Chelsea, 
Clinton, 








1 

2 


Spencer, . 
Sutton, 






1 

2 


Charlton, 








1 


Stow, . 






1 


Dudley, 








1 


Sterling, . 






1 


Dracut, 








1 


Sturbridge, 






1 


Fitchburg, 
Framinghan 








4 
1 


Templeton, 
Uxbridge, . 






2 
3 


Gardner, 








1 


Waltham, . 






'3 


Hopkinton, 








1 


Wayland, . 






1 


Hard wick, 








2 


Worcester, ' 






19 


Lowell, 








9 


Warren, 






1 


Leominster, 








2 


Webster, . 






2 


Leicester, 
Mil ford. 








2 
4 


Wellesley, . 
Wo bum, . 






1 

1 


Millbury, 
Medway, 

Miltnn 










Westford, . 
West Boylston, 






1 

1 


Maiden, 










Total,. 


131 


Marlborough, 













Natives, . 
Foreigners, 



45 



State Patients admitted to the Hospitcd from Oct. I, 1888, to Sept. 

30, 1889. 

State natives, . . . ■ 88 

State foreigners, 109 

Total, . . 197 



64 



WORCESTEE LUNATIC HOSPITAL. [Oct. 



SUMMARY OF FARM ACCOUNT 

Foe Twelve Months, ending Sept. 30, 1889. 



Dr, 



Blacksmithing, . 

Bread, etc.. 

Butter, 

Current expenses. 

Fertilizer, . 

Furnishings, 

Fuel and lights, . 

Grain and meal. 

Groceries and supplies, 

Labor, extra, by day. 

Live stock, horses and cattle, 

Meats, 

Repairs, 

Seeds, 

Sugar, 

Tools, 

Water, 

Wages, pay roll, 

Net gain for twelve months, 



Cr. 



407 barrels apples, .... 

446 bimehes asj^aragus, 

69 bushels shell beans, 

52 bushels string beans, . 

227 bushels beets, .... 

117 quarts blackberries, 

7,061 pounds beef, .... 

232 barrels cabbage, .... 

161 barrels and 363 dozen corn, green, 

13 bushels pop-corn, .... 

Cash received for cabbage, 

10 bushels carrots, .... 

120 dozen celer}^, .... 



$225 21 

120 00 

217 18 

214 76 

696 00 

39 11 

85 23 

2,059 77 

315 78 

133 72 

975 00 

893 80 

74 42 

38 89 

95 19 

106 32 

41 79 

3,253 06 

4,859 41 



$13,944 64 

1416 80 

35 03 
69 00 
39 00 

120 70 
8 70 
539 16 
182 25 
286 87 
6 50 

36 02 
5 00 

98 50 



Amount carri:d forward, . |1,843 53 



1889.] 



PUBLIC DOCUMENT— No. 23. 



65 



Amount brought forward, . 

36 dozen cucumbers, early, 

60 bushels cucumbers for pickling, 

2,411 quarts cm'rants, 

1,250 gallons cider, . 

104 heads cauliHower, 

335 dozen eggs, . 

Cash for fertilizer, 

8 e^g plants, 

Cash for feeding horses, 

10,730 pounds hay, 

Cash for hide, . 

75 pounds horseradish, 

23 bushels herbs, 

Cash for labor, . 

Cash for live stock, 

315 dozen lettuce, 

42 dozen leeks, . 

182,920 quai'ts milk, 

6 dozen melons, 

Cash for old mowing machine, 

395 bushels onions, 

1-| bushels okra, 

98 bushels pease, 

4p bushels pears, 

160 bushels parsnips, 

2 bushels peaches, 

1 bushel peppers, 

78 pounds poultry. 

Cash for pork, 22,129 pounds, 

Cash for pigs, . 

Cash for premiums. 

Cash for potatoes, 

203 quarts raspberries, 

661 dozen radishes, 

3,265 pounds rhubarb 

1 bushel salsify, 

794 quarts strawberries, . 

292 dozen summer squash, 

3,169 pounds winter squash, 

2,660 pounds rye straw, 

448 bushels tomatoes, 

196 bushels turnips, . 

188 pounds tallow, . 

Cash for use of teams, 



L,843 53 



20 


84 


80 50 


201 


42 


100 


00 


4 


16 


67 


00 


6 


00 




67 


3 


00 


107 


30 


4 


75 


7 


50 


23 


00 


11 


50 


691 


94 


87 


28 


10 


50 


7,816 


80 


5 


42 


6 


00 


396 


47 


3 


00 


119 


50 


45 


25 


84 


00 


8 


00 


1 


00 


11 


70 


1,564 


89 


163 


25 


14 


33 


3 


90 


24 


86 


198 


80 


51 


52 


3 


19 


95 


28 


72 


75 


27 


78 


22 


35 


169 


20 


88 


40 


4 


56 


222 


55 



5,944 64 



6C, 



WOKCESTER LUNATIC HOSPITAL. [Oct.'89. 



PRODUCTS OF THE FARM 



On Hand Oct. 1, 1889, and not delivered at Hospital. 



Apples, 
Apples, cider, 
Beans, shell, . 
Beets, 
Cabbage, 
Celery, . 
Corn fodder, 
Corn, 
Carrots, . 
Ensilage, 
Hay and rowen, 
Leeks, 
Lettuce, . 
Onions, . 
Parsley, . 
Peppers, . 
Parsnips, 
Pears, 

Rye, 

Salsify, . 
Turnips, . 
Tomatoes, 
Squash, . 
Ruta-bagas, 
Hay, swale. 
Straw, rye, 



80 barrels. 
45 barrels. 
8 bushels. 
300 bushels. 
7,000 heads. 
2,500 heads. 
10 tons. 
600 bushels. 
20 bushels. 
60 tons. 
200 tons. 
1,200 
200 heads. 
225 bushels. 
5 bushels. 

2 bushels. 
200 bushels. 

3 bushels. 
60 bushels. 
10 bushels. 

250 bushels. 
25 bushels. 
110 tons. 
300 bushels. 
5 tons. 

4 tons. 



J