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Full text of "Annual report of the trustees of the Worcester Insane Asylum at Worcester"

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A 



PUBLIC DOCUMENT .... .... No. 23. 



rOUETEENTH ANNUAL EEPOET 



THE TKUSTEES 



WORCESTER INSANE ASYLUM 



WORCESTER, 



Year Ekding September 30, 1891. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1892. 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 

A. GEORGE BULLOCK, Worcester. 

THOMAS H. GAGE, Worcester. 

HENRY S. NOURSE, Lancaster. 

ROCKWOOD HOAR, Worcester. 

FRANCIS C. LOWELL, Boston. 

ELLEN S. HALE, . Boston. 

FRANCES M. LINCOLN, Worcester. 



RESIDENT OFFICERS. 
ERNEST V. SCRIBNER, M.D., . 
HARTSTEIN W. PAGE, M.D., . 
CLARENCE R. MACOMBER, . 
SOPHIA N. GRAVES, 



Superintendent. 
Assistant Physician. 
Clerk and Steivard. 
Matron, 



WILLIAM SHERMAN, . 



Engineer, 



TREASURER. 



ALBERT WOOD, 



Worcester. 



Digitized by the Internet Arciiive 

in 2010 with funding from 

University of IVIassachusetts Amherst 



http://www.archive.org/details/annualreportoftr71worc 



Cnmmnntxr^altlj 0f P^assarl^us^tls. 



TKUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Lunatic Hospital, in charge 
of the Worcester Insane Asylum, respectfully submit their 
fourteenth annual report, together with the reports of the 
superintendent and treasurer. 

Dr. Quinby left the asylum in November, to assume the 
superintendency of the hospital. During his service here 
he almost made over this old building, and he leaves it 
remodelled, furnished with modern sanitary appliances, and 
well adapted to all the requirements of such an institution. 
Dr. Ernest Y. Scribner was chosen superintendent, to 
succeed Dr. Quinby. Dr. Scribner's thorough familiarity 
with the asylum and the work, acquired by several years of 
service as assistant physician, enabled him to take up the 
greater responsibility with every prospect of success, and 
this success has been fully attained. Dr. Hartstein W. Page 
became assistant physician Jan. 16, 1891. 

The extensive improvements introduced when the build- 
ings were rebuilt after the fire of January, 1890, have 
added much to the comfort of the patients. Some money 
has been spent in improvements outside of the buildings. 
The reservoir, from which the asylum receives its water, 
has been thoroughly cleaned and pipe connections renovated 
where needed. Our supply is now ample and entirely pure. 
New sewer connections with the city system in the adjoining 
streets have replaced the old ones. Changes of grade in the 
yard have been made, and other minor improvements. This 



82 WORCESTER INSANE ASYLUM. [Oct. 

work has given employment to many of our able-bodied 
male patients, in fact, most of it has been done by them. 
We have had no acute disease prevalent during the year, 
and our death rate has been favorable. 

It was found necessary to expend more money in the 
reconstruction of the building after the fire of last year and 
in the equipment of the same than was appropriated by the 
Legislature, and the trustees have transferred temporarily 
to the account of the asylum five thousand dollars of the 
funds of the hospital. It is expected that there will "be. a 
moderate gain from month to month in the earnings of the 
asylum, so that the entire sum can be paid during the next 
two years. 

A. G. BULLOCK. 

THOMAS H. OAGE. 

ROCKWOOD HOAR. 

HENRY S. NOURSE. 

FRANCIS C. LOWELL. 

ELLEN S. HALE. 

FRANCES M. LINCOLN. 



1891.] 



PUBLIC DOCUMENT — No. 23. 



83 



OFFICERS AND THEIR SALARIES. 



Ernest V. Scribner, M.D., Superintendent, . 
Hartstein W. Page, M.D., Assistant Physician, 
Clarence R. Macomber, Clerk and Steward, 
Sophia N. Graves, Matron, .... 
William Sherman, Engineer, 
Albert Wood, Treasurer, .... 



12,000 00 
1,000 00 
1,000 00 

325 00 
1,000 00 

400 00 



YALUE OF STOCK AIS'D SUPPLIES, 

Oct. 1, 1891. 



Live stock, f 425 00 

Produce of the garden on hand, 1,500 00 

Carriages and agricultural implements, 650 00 

Machinery and mechanical fixtures, 9,000 00 

Beds and bedding in inmates' department, .... 9,000 00 

Other furniture in inmates' department, 3,000 00 

Personal j^roperty of State in superintendent's department, . 9,500 00 

Ready-made clothing, 1,000 00 

Dry goods, 1,200 00 

Provisions and groceries, 2,000 00 

Drugs and medicines, 350 00 

Fuel, 2,500 00 

Library, 500 00 

Other supplies, 2,500 00 



$43,125 00 



84 



WOKCESTER INSANE ASYLUM. 



[Oct. 



TKEASURER'S REPORT. 



lo the Trustees of the Worcester Insane Asylum. 

Ladies and Gentlemen : — I herewith submit my four- 
teenth annual report on the finances of the Worcester Insane 
Asylum for the year ending Sept. 30, 1891. 

Receipts. 
Cash on hand Sept. 30, 1890 : — 
Cash belonging to asylum, . . . . $2,459 73 

Deposits of inmates, 900 13 

Amounts received : — 
From the Commonwealth, for support of pa- 
tients, $17,768 48 

From cities and towns, for supj)ort of pa- 
tients, 44,079 13 

From the Commonwealth, balance of special 

appropriation, 923 84 

From Worcester Lunatic Hospital, loan, . 5,000 00 

From other sources, 553 24 

From inmates (on deposit), .... 225 15 



3,359 86 



68,549 84 
$71,909 70 



The expenditures for the year have been 
Salaries and wages, .... 

Provisions and supplies : — 
Meats of all kinds. 
Fish of all kinds, . 
Fruit and vegetables. 
Flour, . 
Meal for table, 
Hay and grain. 
Tea and coffee. 
Sugar and molasses. 
Milk, butter and cheese. 
Salt and other groceries, 
All other pi'ovisions. 

Clothing and material, . 
Fuel, .... 
Lights, .... 

Amounts carried forward. 



as follows : — 



. $21,430 42 



53,272 17 

833 50 

2,925 89 

3,299 50 

93 40 

194 28 

546 07 

1,100 23 

7,058 65 

• 818 52 

1,780 57 

|2,621 12 
4,863 55 
1,184 40 



21,922 68 



$8,669 07 $43,353 10 



1891.] 



PUBLIC DOCUMENT — No. 23. 



85 



Amounts brought forward, 
Medicine and medical supplies, 
Furniture and furnishings. 
Crockery, 

Beds and bedding, . 
Transportation, 
Travelling, 
Trustees' expenses, 
Soap and water. 
Stationery, 
Repairs (ordinary). 
All other current expenses. 

Total current expenses, . . . . 
Repairs and improvements (extraordinary). 

Undertaking, 

Refunded inmates (on deposits), . 

Total amount expended, 
Cash on hand Sept. 30, 1891, . 



Resources. 

Cash on hand, 

Due from the Commonwealth, for support, 

cities and towns, . 

other sources, 

Liabilities. 
Due for supplies and expenses, 
for salaries and wages, . 
inmates (cash on deposit"), 
Worcester Lunatic Hospital (loan). 



$8,669 07 


$43,353 10 


348 15 




1,480 19 
627 59 




1,101 80 
95 06 




40 00 




34 55 




. 1,030 43 
. 114 58 




. 3,000 00 
. 2,2.35 38 


18,776 80 




. $5,560 69 
. 282 00 


162,129 90 


69 48 





5,912 17 



58,042 07 
3,867 63 



171,909 70 



$3,867 


63 






5,593 


68 






14,276 


98 






486 


97 










124,225 


^(\ 








$5,857 


77 






. 1,886 


93 






. 1,055 


80 






5,000 


00 









— 


13,800 


50 



Total surplus. 



Kespectfully submitted, 



),424 76 



ALBEET WOOD, 



Treasurer. 



Worcester, Mass., Oct. 1, 1891. 



Worcester, Mass., Oct. 29, 1891. 

The undersigned, has this day carefully compared the treasurer's statement of 

expenditures for the year ending Sept. 30, 1891, with the vouchers which are on file 

at the asylum, also the statement of cash received with the ledger accounts, and 

found them to be correct. 

GEO. L. CLARK, 

Auditor of Accounts. 



86 WORCESTEE INSANE ASYLUM. [Oct. 



SUPERIIS^TE^DE^TVS REPORT. 



To the Trustees of the Worcester Insane Asylum. 

Ladies and Gentlemen : — I beg to present for your 
consideration the fourteenth annual report of the superin- 
tendent of the Worcester Insane Asylum. 

Oct. 1, 1890, there remained in the asylum 299 patients, — 
196 males and 103 females. There have been admitted 42 
males and 123 females, making a total of 464 cases for the 
year. Of these, 22 males and 12 females have died, and 11 
males and 8 females have been discharged, leaving at the 
end of the ojfficial year 411 patients, — 205 males and 206 
females. Of those admitted, 65 came from the Worcester 
Lunatic Hospital, 50 from Westborough, 33 from Danyers 
and 17 from Taunton. Of the 19 persons discharged, 9 
were transferred to the State Farm at Bridgewater, 1 was 
sent to Danvers, 2 went to the poorhouse, 4 were boarded 
out in families by the inspector of institutions, 1 went home 
with her father, 1 went home with her brother, and 1 
escaped. From this it will be seen that more than one-half 
of the discharges for the past year have been transfers to 
other institutions. One habitual drunkard was transferred 
to the asylum from Westborough. After being here a few 
months he was given a trial at home, and, not doing well, 
was transferred to Bridgewater. The State has acted wisely 
in making separate provision for this class of cases. 

It has been difficult to find those among our number who 
are suitable for boarding out. Since the asylum receives 
its patients entirely from other hospitals, a large percentage 
of its population is of that demented and untidy class, which 
accumulates in institutions and requires the closest personal 



1891.] PUBLIC DOCUMENT — No. 23. 87 

attention, — a class entirely unfit for the poorhouse or for 
boardino- out in families. The occasional recoveries that 
take place, even among those supposed to be incurable, call 
attention to the necessity and justice of providing something 
more than custodial treatment for the chronic insane. While 
selected cases can undoubtedly be boarded out with profit, 
in my judgment the association of the insane with the 
ordinary inmates of an almshouse is productive of evil to 
both, and is to be tolerated only as a matter of temporary 
necessity. The care of the insane should be under the direct 
supervision of the State. 

It is of interest to note that heredity is the probable cause 
in over twenty-five per cent, of the known cases in the admis- 
sions for the past year, and intemperance in twenty per cent. 
Of course any statistics bearing upon the general subject of 
insanity, and based upon admissions which are selected cases 
from other hospitals, have not the value of those compiled 
directly from the general public, but they do have a value 
as applied to the chronic insane. It is not to be presumed 
that our cases are selected and sent here because they are 
intemperate or of insane parentage, but because they are 
chronic cases, and as such can be reckoned fairly representa- 
tive of the class. These are the statistics of a single year. 
In order to generalize still further, I will take the assigned 
causes of insanity in the admissions to the asylum for thirteen 
years (over one thousand cases). I find that heredity figured 
as the probable cause in nearly twenty-two per cent, of the 
known cases, and intemperance in a little over sixteen per 
cent. I select these two causes for special investigation and 
remark, because they include the greater number of those 
admitted. If the true cause could be ascertained in all cases, 
it is very probable that a much larger percentage would be 
found. 



WORCESTER INSANE ASYLUM. 



[Oct. 



Ratio of Deaths from the Opening of the Asylum to Oct. i, 1891. 













1° 




Deaths. 


Per Cent, on 
Whole Num- 
ber of Patients 
Treated. 




OFFICIAL YEAR. 




1 


"3 


Per Cent 
Daily i 
age Nun 
of I'atien 


1877-78, .... 


429 


382.98 


18 


8 


26 


6.05 


6.78 


1878-79, 










422 


367.41 


22 


11 


33 


7.82 


8.98 


1879-80, 










413 


363.15 


15 


8 


23 


5 . 56 


6.33 


1880-81, 










401 


363.09 


18 


6 


24 


5.98 


6.62 


1881-82, 










439 


375.59 


21 


11 


32 


7.28 


8.51 


1882-83, 










461 


384.33 


37 


24 


61 


13.23 


15.84 


1883-81, 










438 


390.69 


22 


20 


42 


9.58 


10.75 


1884-85, 










448 


391.12 


20 


14 


34 


7.58 


8.69 


1885-86, 










476 


400.28 


23 


15 


38 


7.98 


9.49 


1886-87, 










444 


393.52 


21 


17 


38 


8.55 


9.65 


1887-88, 










451 


393.95 


23 


14 


37 


8.20 


9.39 


1888-89, 










431 


385.56 


27 


11 


38 


8.81 


9.85 


1889-90, 










428 


330.23 


27 


4 


31 


7.24 


9.38 


1890-91, 










464 


394.66 


22 


12 


34 


7.32 


8.61 



The o-eneral health of the house has been o-ood durino; the 
past year. No epidemic has visited us, and there has been 
little acute sickness among patients or employees. Phthisis, 
as usual, has been the greatest cause of death. 

The amount of restraint used is small. This varies a great 
deal from year to year, in accordance with the character 
of the transfers. Restraint is resorted to only in cases 
of extreme destructiveness, or where homicidal tendencies 
render the patient dangerous to the persons and lives of those 
around him. We have only one case coming under the 
latter head, — a small, quiet, inoffensive-looking man, who 
was once before a patient here. He was not at that time 
considered especially dangerous. Before his last admission 
here he made several dangerous assaults, and was brought 
here in irons. He makes sudden unprovoked and unex- 
pected attacks, and immediately sinks back into his former 
condition of apathy. Once since being here he has assaulted 
his attendant. In view of these facts, it has been thought 
necessary to keep this man in restraint. By this course he 
is able to go about among the other patients and get out of 
doors every day, with safety to his associates and benefit 
to himself. Convenience is never made an excuse for the 



1891.] PUBLIC DOCUMENT — No. 23. 89 

employment of restraint. No one is constantly in seclusion, 
and everyone who is physically able is expected to go out of 
doors. I have not found it necessary to deprive any patient 
of out-of-door air and exercise on account of his (or her) 
mental condition. 

Early in November the extensive repairs and alterations of 
the north Johonnot building, which were undertaken by your 
Board, in consequence of the fire, were completed to such an 
extent that patients could again be received and comfortably 
cared for. The able manner in which the remodelling of 
these wards has been carried out by my predecessor, Dr. 
Quinby, has produced very satisfactory results. During a 
portion of the summer we have had a larger number of patients 
than ever before since the opening of the asylum. While 
crowding always brings discomfort and is to be deprecated, 
no untoward results have followed, and our people have been 
cared for with even less difficulty than in former years. 
Crowding always adds something to the amount of restraint 
used, especially at night, because of the lack of rooms for all 
excitable cases. 

The out-of-door work of the past summer has been of rather 
a miscellaneous character. Quite a portion of it has consisted 
in the grading made necessary and desirable by the building 
operations completed at the beginning of the present year. 
The change which was made in the lower ward of the north 
Johonnot added so much to the lio-hting and ventilation that 
it was determined to carry the face wall in front further south 
than at first intended, and give still more sun and air. This 
has been done, and amply repays the labor. What was for- 
merly the darkest and most undesirable of our wards is now 
one of the brightest and most pleasant. At the north portico 
door large stone steps, the cutting of which is wholly the 
work of patients, have been placed, giving a more finished 
look to the front of the building, and affording a broader and 
easier step for aged and feeble patients. The fence along 
East Central Street has been raised and painted, and the 
sidewalk brono-ht to o:rade. The sewers draining the wins: 
and centre of the south side, the administration building and 
chapel wing, have been excavated, and the old brick structure 
replaced by large cement pipe. Our location ensures the 



90 WORCESTER INSANE ASYLUM. [Oct. 

most perfect drainage, and it seems probable that little will 
have to be done in this direction for some years to come. 
The high-pressure water main which was last year brought 
into the grounds has been extended, both in front and rear, 
so that hose can be readily laid to protect any portion of the 
buildings. One or two more hydrants will be put in as an 
extra precaution, and stand-pipes carried up inside the house. 
An outside fire-escape has been added to the north Johonnot 
wards, and another inside stair wa}' built in the north wing, 
so that exit to the ground can readily be had from both ends 
of the ward. The east stairway in the south wing has been 
carried to the cellar. No ward has now less than two means of 
communication with the ground, remote from each other, and 
the Johonnot wards, containing the greater number of 
patients, have each three. Early in the summer the Her- 
mitage Pond, the source of our water supply, was drained 
and thoroughly cleaned. 

During the winter the bays on the south centres have been 
completed to correspond with those on the north. The cen- 
tre wards on either side are now the only ones in the building 
where any extensive repairs are in progress. It is hoped to 
complete the south centres during the coming year. As all 
work must be done from our own resources, the progress 
will necessarily be slow. 

The living-rooms in the laundry building have been occu- 
pied during the past year, and are light, dry and well venti- 
lated, — some of the most desirable in the institution. 

Patients have been largely employed, as heretofore. 
While much of the work accomplished is of value to the 
asylum, it is of far greater value to the patients themselves ; 
and I cannot forbear to repeat what has so often been said in 
past reports, that suitable occupation is one of the most 
powerful remedial agencies that can be brought to bear upon 
a diseased mind. I should like to see every patient in this 
institution, who is physically able, employed at something. 
A large percentage is so employed. I have no difficulty 
whatever in finding something to do for all who can be 
induced to work. The changes which have been made in 
our buildings and grounds during these years past have not 
only given us a more modern and satisfactory institution, 



1891.] PUBLIC DOCUMENT — No. 23. 91 

but have given us better and more quiet patients. The 
general character of our inmates precludes the reasonable 
expectation of many recoveries, but it does not preclude the 
possibility of doing much to benefit their condition. If the 
mind can be awakened and diverted into other and healthier 
channels, some good has been accomplished, even if a com- 
plete recovery does not follow. 

The location of the asylum is healthful and pleasant. 
Patients go on the street, under suitable supervision, fre- 
quently, and derive much satisfaction and comfort from it. 
A few are able to visit town unattended. A little contact 
with outside life relieves to some extent the feeling of isola- 
tion and retirement from the world. 

While much remains to be done that can increase its 
efficiency, the asylum is better equipped than ever before 
for the care and treatment of its peculiar class of patients ; 
and, when the projected addition to the female side is com- 
pleted, something will be added to its actual capacity. 

The officers of the institution have rendered me cordial 
assistance and support. The employees, as a rule, have been 
faithful in the performance of their duties, and at no time has 
there been any difficulty in procuring sufficient help. 

The garden has furnished us an abundant supply of vege- 
tables, contributing in no small way to our sustenance. 

Weekly entertainments have been given in the chapel 
during the winter, and many patients attended the circus 
and the New England Fair. 

The average weekly cost per patient has been $3.03. 

To the publishers of the " Worcester Evening Gazette" 
we are indebted for a copy of their paper ; to the Hospital 
Newspaper Society for books, pamphlets, magazines and 
Christmas cards. Members of your Board have made gen- 
erous contributions of books and papers. 

E. V. SCRIBNER, 

Superintendent.' 
Worcester, Mass., Oct. 1, 1891. 



EEYISED TABLES 



Uniform Statistics 



MASSACHUSETTS HOSPITALS AND ASYLUMS 
FOR THE INSANE. 



Appeoted by the State Board op Lunacy and CHARiE^i. 
March 10, 1891. 



94 



WORCESTER INSANE ASYLUM. 



[Oct. 



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1891.] 



PUBLIC DOCUMENT — No. 23. 



95 



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WORCESTER INSANE ASYLUM. 



[Oct. 



8. — Received on First and Subsequent Admissions. 



NUMBER OF THE ADMISSION. 


Cases Admitted. 


Times Pkeviouslt 
Recovered. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, ...... 

Second, . . . , 
Third, .... 


40 
2 


95 

26 

2 


135 

28 
2 






■" 


Total of cases, . 
Total of persons. 


42 
42 


123 
123 


165 
165 


- 


- 


- 



4. — Relations to Hospitals of Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


Never before in any hospital for insane. 

Former inmates of this asylum only, . 

Former inmates of other hospitals only. 

Former inmates of this asylum and other 
hospitals, 


40 

2 


95 

28 


135 

30 


' Total of persons, 


42 


123 


165 



1891.] 



PUBLIC DOCUMENT — No. 23. 



97 



5. — Parentage of Persons admitted. 









Males. 


Females. 


Totals. 


PEACES OF NATIVITY. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Massachusetts, 






14 


14 


29 


29 


43 


43 


Maine, . 






- 


- 


4 


4 


4 


4 


New Hampshire, . 






1 


1 


4 


4 


5 


5 


Vermont, 






1 


1 


- 


- 






Rhode Island, 






- 


- 










New York, . 






- 


- 










Virginia, 






- 


- 










Wisconsin, . 






- 


- 










Ireland, 






15 


15 


57 


57 


72 


72 


England, 






3 


3 


6 


6 


9 


9 


Germany, 






3 


3 


3 


3 


6 


6 


Sweden, 






- 


- 


2 


2 


2 


2 


Russia, . 






- 


- 


2 


2 


2 


2 


Prussia, 






1 


1 


- 


- 


1 


1 


Italy, . . 






- 


- 


1 


1 


1 


1 


Canada, 






2 


2 


2 


2 


4 


4 


Nova Scotia, 






- 


- 


5 


5 


5 


5 


New Brunswick, 






1 


1 


- 


- 


1 


1 


P. E. Island, . 






- 


- 


1 


1 


1 


1 


Newfoundland, 






- 


- 


1 


1 


1 


1 


Unknown, . 






1 


1 


2 


2 


3 


3 


Totals, . 






42 


42 


123 


123 


165 


165 



,98 



WORCESTER INSANE ASYLUM. 



[Oct. 



6. — Residence of Persons admitted. 




PLACES. 


Males. 


Females. 


Totals. 


Massachusetts : — ^ 








Essex County, .... 




6 


2 


8 


Suffolk County, . 






14 


64 


78 


Norfolk County, 






- 


5 


5 


Middlesex County, 






10 


25 


35 


Hampden County, . 






- 


5 


5 


Worcester Count^^ 






11 


19 


30 


Bristol County, 






- 


1 


1 


Barnstable County, 






- 


1 


1 


Unknown, 






1 


1 


2 


Totals, .... 


42 


123 


165 


Viz : Cities or towns,* 






33 


93 


126 


country districts, . 






8 


29 


37 


unknown. 






1 


1 


2 



* Containing not less than 10,000 inhabitants. 



1891.] 



PUBLIC DOCUMENT — No. 23, 



99 



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a 



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100 



WORCESTER INSANE ASYLUM. 



[Oct. 



8. — Occiqjations of Persons admitted. 



MALES. 


FEMALES. 




Laborers, .... 


9 


Housewives, 




46 


Farmers, .... 


3 


Housekeepei^s, . 




14 


Shoemakers, 


3 


Domestics, , 




24 


Painters, .... 


2 


Teachers, . 




3 


Mill operatives, . 


2 


Mill operatives. 




3 


"Weavers, .... 


2 


Weavers, . 




2 


Tailor, 




Tailoress, . 




1 


Clerk, ..... 




Clerk, 




1 


Plumber, .... 




Dressmakers, . 




3 


Paper maker. 




Seamstresses, . 




3 


Glass maker. 




Attendant, . 




1 


Brass finisher. 




Peddlers, •. 




2 


Foundry operative, 




Book folder, 




1 


Plasterer, .... 




Washerwoman, . 




1 


Carpenter, .... 




No occupation, , 




12 


Mechanic, .... 




Unknown, . 
Total, . 




6 


Blacksmith, 


123 


Lather, .... 
Ca,binet maker, . 




WIFE OE DAUGHTER OF 


Cashier, .... 


Unknown, . . . _ , 


123 


Confectioner, 








Hoseman (fire department) , 








Bartender, .... 








No occupation, . 


. 2 






Unknown, . . . . 


2 






Total, .... 


42 


Total, . 


• 


123 



1891.] 



PUBLIC DOCUMENT — No. 23. 



S5 


*: 


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fn 












w B 


f^ 


« - 










Hi 


S 



O M 



■?-: 


-^ 


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E- m 




«^ 




fa 


g« 






WW 




0< 


s 



101 



O CO Til tra -^ r-( >0 lO C^ CO i-H T-< rH ^ CO CO CO (N IM IM tH tH 



Cn50Tl(0-*i-liO(MiM<Ni-l IrH j^c^cOCOO-l 



.-I I I I I I I M I 



I rH I lOr-l I t 



"^S S bsT 



-_-_- -^ 






.5 i g a 






102 



WORCESTER INSANE ASYLUM. 



[Oct. 






'^ 






6 

O 








o 


o 


to 1-1 ^ 
rH 1-1 




fe 


CO 1 1 1 -rhl 1 O C>. 1 
CM 1-1 O 

i-l tH 




03 


(Ml 1 1 Cq 1 lO >o 1 

■^ CO 




H 
Zl 

a 
■< 

K 
< 

2; 
a 

o 
> 




1 1 1 1 1 1 1 1 1 






1 1 1 1 1 1 1 1 1 




03 


1 1 1 1 1 1 1 1 1 




a 

K 

< 
M 

& 

Q 

D 

H 

S 

K 


^ 


1-1 1 1 1 iH 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 






O 


-^1 1 1 lO 1 lO '^ 1 

to 1-1 ^ 




&! 


CO 1 1 1 ^ 1 O C5 1 

CM 1-1 o 

1-1 1-1 




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15- 




Admitted, .....,..' 
Discharged recovered, . , . 

much improved, .... 

improved, ..... 

not improved, . . 

not insane, ..... 

Died, 

Remaining Sept. 30, 1891, 

Number likely to recover or improve, 



1891.] 



PUBLIC DOCUMENT — No. 23. 



103 



11. — Ages of Insane at First Attack^ Admission and Death. 





Persons Fikst admitted to 
ANT Hospital. 


Persons died. 


AGES. 


AT fikst attack. 


WHEN admitted. 


AT FIRST attack. 


at time of 
death. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 

15 years and less, . 

From 15 to 20 years, 
20 to 25 years, 
25 to 30 years, 
30 to 35 years, 
35 to 40 years, 
40 to 50 years, 
50 to 60 years, 
60 to 70 years, 
70 to 80 years. 

Over 80 years. 

Unknown, 

Not insane, 

Total of persons. 
Mean ages. 


_ 


- 


- 




- 


- 


3 
1 

1 
3 
2 
2 
4 
5 

1 

22 
33.05 


1 

1 

2 
3 
1 
3 

1 

12 
41.00 


4 
1 
1 
4 
2 
4 
7 
6 
3 

2 

34 

35.89 


1 
2 
4 
4 
6 
4 

1 

22 
42.29 


1 
1 
3 
5 

1 
1 

12 
51.66 


1 
2 
5 
5 
9 
9 
1 
1 
1 

34 
45.01 



104 



WORCESTER INSANE ASYLUM. 



[Oct. 



12. — Reported Duration of Disease before Last Admission. 



PREVIOUS DURATION. 


FiKST Admission 
TO ANT Hospital. 


AxL Other Ad- 
missions. 


Totals. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 
Under 1 month, 
From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, . 

1 to 2 years, . 

2 to 5 years, . 
5 to 10 years, 
10 to 20 years, 

Over 20 years, 
Unknown, 
Not insane, 




- 


- 


2 
9 
7 
17 
6 
1 


4 

6 
32 
41 
29 
10 

1 


4 

8 
41 
48 
46 
16 

2 


2 
9 

7 

17 

6 

1 


4 
6 

32 
41 

29 

10 

1 

123 
123 
9.52 


4 

8 
41 
48 
46 
16 

2 


Total of eases, . 
Total of persons, . 
Average in years, . 


42 

42 

12.75 


123 
123 
9.62 


165 
165 
10.27 


42 

42 

12.75 


165 
165 
12.72 



1891.] 



PUBLIC DOCUMENT — No. 23. 



105 







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CO 


CO 
CO 








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1 




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b' 


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1 


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106 



WOECESTER INSANE ASYLUM. 



[Oct. 






ts 

^ 






1^ 





■«! 
H 

O 


•SIBJOX 


o CO 


CO CO 




'ssiBraaj 


t^ CO 

1— 1 


o o 

G^ CM 




■saiBjvL 


CO 1 

CO 


CO CO 
CO CO 




< 

Zi 
H 


•smoi 


1 1 


1 1 




•saiBtaaj 


1 1 


1 1 




•S31BH 


1 1 


i 1 




5 


•siB?ox 


G<1 (M 

CO 


CO CO 




•sai^raaji 


O CM 

T-l 


CM (M 

1—1 r-l 




•saiBK 


CM 


CM Ol 
G<1 (M 





w 
> 

§ 

H 
O 


•SIBJOX 




CO QO 

tH 1—1 




■saiuraBji 


O i-H 


t^ t^ 




•saiBpi 


y-l 1 
I— 1 


.-1 1—1 
1—1 1—1 




Q 

a 

o 
a 
a. 
a 


•siB?ox 


1 1 


1 1 




•saicrasj 


1 1 


1 1 




•saiBM 


1 1 


1 1 




ft 

Ph 

X 
o 
p 


•SIBJOX 


1—1 1 


1—1 1—1 




■ssiurasj 


rH 1 


1—1 1-1 




•saiBH 


1 1 


1 1 




c3 

W 
K 

a 
;> 
o 
o 
w 


•SIBJOX 


1 1 


1 1 




•saiBraa^ 


1 1 


1 1 




•saiBW 


1 1 


1 1 






o 

O 
H 

o 

63 
M 


First, .... 
Second, .... 


Total of cases, . 
Total of persons. 



1891.] 



PUBLIC DOCUMENT — No. 23. 



107 



to 



S 

s 



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•BIBJOi 


IC '^ i-l 




l-H 


t>. C<1 1—1 1—1 rH 


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1 


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O 














H 














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7—1 


CO 1— 1 r-l 1 1—1 


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1 1 1 


, 


1 


1 1 1 1 1 


1 
















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a 


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1 


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1 


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p 














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1 


1 


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1 


1 


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1 


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1 


1 


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1 1 1 


1 


1 


1 1 1 1 1 


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1—1 

l-H 


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t^ (M T-l 1— 1 1— 1 


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< 


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i-H CO 1 


to 


1 


'^ 1-1 1 1-1 1 


CO 


a 




























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CO 


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CO 


. . . 




• 




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fl 








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108 



WOECESTER INSANE ASYLUM. 



[Oct. 



^=i 



I I I I I I I I ! 



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 



a 2 



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 t I I I I I III 



I I I I 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 III 



I I I 



I I I I I I I I I I 



I I I I I 



I I I I I I I I I I I 



PS 



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OP 



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1891.] 



PUBLIC DOCUMENT — No. 23. 



109 





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1891.] 



PUBLIC DOCUMENT — No. 23. 



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WORCESTER INSANE ASYLUM. [Oct.'91. 



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