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

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



SIXTIETH ANNUAL EEPOET 



THE TKUSTEES 



Worcester Lunatic Hospital, 



FIFTEENTH ANNUAL REPORT OF THE TRUSTEES 



WORCESTER INSANE ASYLUM AT WORCESTER, 



Year Ending September 30, 1892. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1893. 



OFFICERS OF THE HOSPITAL. 



TRUSTEES, 

THOMAS H. GAGE, Wobcester. 

HENRY S. NOURSE, . . * So. Lancaster. 

ROCKWOOD HOAR Worcester. 

FRANCIS C. LOWELL, Boston. 

ELLEN S. HALE, Boston. 

FRANCES M. LINCOLN Worcester. 

A. GEO. BULLOCK, Worcester. 



RESIDENT OFFICERS. 

HOSEA M. QUINBY, M.D., Superintendent. 

ALFRED I. NOBLE, M.D., _ Assistant Superintendent. 

FREDERICK H. DANIELS, M.D Assistant Physician. 

LAURE HULME, M.D., Assistant Physician. 

LYMAN A. JONES, M.D. Assistant Physician. 

MAURICE W. PEARSON, M.D., .... Assistant Physician. 

EDWARD T. CALDWELL, . . . . , Steioard. 

LILA J. GORDON Matro7i. 

S. JOSEPHINE BRECK Clerk. 

HENRY S. GRAVES Fanner. 



NON-RESIDENT OFFICERS. 

ALBERT WOOD, Treaszirer. 

GEORGE L. CLARK, Auditor. 

KIMBLE R. SMITH Engineer. 



dt0mm0atealtlj ai P^assarljxisdls. 



TKUSTEES' EEPOKT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Lunatic Hospital respect- 
fully submit their sixtieth annual report, it being for the 
year ending Sept. 30, 18i*2. With it, and as a part of it, 
they present also the annual reports to the Board, covering 
the same period, of the treasurer and superintendent, to- 
gether with the usually forwarded tabular statements ; and 
to these accompanying documents they beg leave to refer 
any who may be looking for particular and detailed informa- 
tion concerning the operations and results of the year. 

In general terms it may be said that the year just closed 
has been prosperous and successful, and that the service ren- 
dered the State has been greater and more valuable than in 
any corresponding period in the history of the institution. 

The statement of the treasurer will be found in all respects 
satisfactory. It shows that the expenditures for the year 
have been kept within the receipts, and that the very mod- 
erate surplus which it has long been the policy of this Board 
to maintain, and upon which it relies to meet emergencies 
and to take advantage of the markets in the purchase of sup- 
plies, has been kept up. It shows also that the loan made 
to the asylum, and mentioned in the last annual repoit, has 
been repaid. 

The o-eneral health of the inmates has been good. There 
has been little serious sickness, and no epidemic disease. 
Deaths, of which there have been ninety-eight, have been 
all, or nearly all, due to causes inherent in the peculiar 
nature of the malady which originally brought the patients 
to the hospital. 

Good order and correct discipline have prevailed in all 
departments. Officers and employees in all the various 
grades of service have been faithful to their duty. Dr. 



6 WORCESTER LUNATIC HOSPITAL. [Oct. 

Quinby, the superintendent, has especially discharged the 
onerous and oftentimes difficult duties of his position in a 
manner to deserve and receive the warmest commendation. 

Subjects, which the experience of the year has particularly 
forced upon the consideration of the trustees and superin- 
tendent, and which they desire now to bring to the attention 
of the government, are the crowded condition of the hospital, 
involving the necessity of devising some measures of relief, 
and the inadequacy and disrepair of the plumbing in many 
of the wards, involving the question of some extensive alter- 
ations and repairs. The building was originally designed to 
accommodate four hundred patients. This was the estimate 
and understanding upon which the plans were approved and 
accepted by the governor and council, and it was to the ac- 
commodation of that number, properly distributed through 
the w^ards, that all its arrangements were adapted. Subse- 
quently, however, to the adoption of the plans, there have 
been added at different times accommodations for two hun- 
dred more, by finishing off the attics and building Hooper 
and Gage halls, so that its proper normal capacity has been 
brought up to about six hundred. It can accommodate 
by using rooms originally intended for other purposes, 
and by putting here and there two patients into space 
designed for but one, six hundred and fift}^ but with this 
number, which is the maximum of its normal capacity, it is 
fuller than is desirable or really wise. With any number 
beyond six hundred and fifty, crowding and discomfort begin, 
and every department of the management suffers. This is 
the condition which has prevailed during the past jeiw. The 
smallest number of patients in the house upon any one day 
has exceeded the maximum normal capacity by one hundred 
and sixty-seven, while the largest has exceeded it by two 
hundred and eighty-three. The daily average for the year 
has exceeded it by two hundred and seven. The number of 
patients under treatment has been greater by fifty-seven than 
in any previous year. Such crowding is exceedingly unfav- 
orable in its effect upon the treatment and comfort and care 
of individual patients, and is in all respects unwise. The 
strain upon any appliance, adjusted to the doing of a fixed 
amount of service, if the service required of it be pushed 
continually much beyond that amount, is injurious and may 



1892.] PUBLIC DOCUMENT — No. 23. 7 

be ruinous. And so here, kitchen, laundry, bakery, plumb- 
ing arrangements, etc., being called upon month after month 
for service very much beyond that for which they were in- 
tended, suffer, wear out and fall rapidly into disrepair. 
Thus, in particular, with the overcrowding, the plumbing of 
the hospital — water-closets, lavatories, bath-rooms and hot- 
w^ater arrangements — has proved inadequate, and become 
so exceedingly worn as to require extensive and costly repair. 

The superintendent of the hospital. Dr. Quinby, has given 
this state of affiiirs a great deal of study and consideration, 
and has suggested in his accompanying report some measures 
which commend themselves very strongly to the favorable 
opinion of the trustees, and which they are quite desirous of 
carrying into effect. His plans contemplate first, the erec- 
tion of a farm building with suitable accommodations for fifty 
men, to be occupied by patients who regularly work upon 
the farm, and who require only a minimum of supervision 
and restraint. Such a building would of course afford relief 
to the crowded wards to the extent of the number for which 
it would provide, and would be in this respect a valuable 
addition to the facilities of the hospital. But it would 
be also an interesting experiment, taking a considerable 
number of able-bodied insane men out of the immediate 
custody of hospital walls, and giving them steady employ- 
ment, with comparative freedom from restraint, as farm 
laborers, and would seem in this view even more desirable 
and attractive. 

Dr. Quinby's second suggestion is with relation to alter- 
ations and repairs made necessar}^ by the excessive wear and 
tear of the plumbing ; and here he proposes moving the ar- 
rangements from their present position in the Phillips, Lin- 
coln, Salisbury and A\'ashburn wards, to new buildings con- 
nected with but slightly detached from the present at the 
rear, and so constructing these additions as to obtain not 
only larger accommodations but in all respects a better and 
more adequate system. 

In any view these plans and suggestions appear worthy of 
consideration and trial, and as such are recommended by the 
Board to the Legislature. For more complete information 
concerning them, and for an estimate of their cost, reference 
is respectfully made to Dr. Quinby's report. To carry them 



8 WORCESTER LUNATIC HOSPITAL. [Oct. 

out the trustees will ask for an appropriation by the State ; 
and for such appropriation they will ask with all the greater 
confidence of having it granted, from the fact that they have 
never since the occupancy of the new buildings, a period of 
fifteen years, received any aid of this kind from the Common- 
wealth, although they have without such assistance kept the 
hospital in excellent repair, and added immensely, not only 
to its facilities for the reception and care of patients, but to 
the property of the State. 

It is agreeable, after the lapse of thirteen years, to refer 
again to the hospital library, to the establishment of which 
in 1879 the trustees set apart permanently the Wheeler 
and Lewis funds. That foundation has been 9 great suc- 
cess. The income of the funds supplies abundant and 
acceptable additions to the library every year, and there 
are now more than 2,500 well-selected books, 159 new vol- 
umes having been added during the past year. That this 
library is used and appreciated may be inferred from the 
fact that since Oct. 1, 1891, 6,295 books have been loaned 
to patients and employees. 

Since the last report Dr. Clarence W. Pelton, assistant 
physician, resigned that ofiice to pursue his professional 
studies abroad, and the announcement is made with regret 
that his health failed him while in London, and that though 
he was able to reach home he lived but a short time after. 
He was a faithful and intelligent officer. His place here was 
filled by the appointment of Dr. Lyman A. Jones. Dr. 
Frederick H. Daniels, also, whose service as assistant physi- 
cian for several years has been highly regarded, resigned a 
short time since. His place has not yet been filled. With 
these exceptions, the oflicial force of the hospital remains as 
at the close of the last year. 

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

WoECESTEE, Sept. 30, 1892. 



1892 ] 



PUBLIC DOCUMENT -No. 23. 



YALUE OF PERSOJSTAL ESTATE. 



Sept. 30, 1892. 



Live stock on the farm, 

Produce of the farm on hand, 

Carriages and agi-icultm^al implements. 

Machinery and mechanical fixtures, 

Beds and bedding in inmates' department. 

Other furniture in inmates' department, 

Personal property of the State in superintendent's depart 

ment, . . . 
Ready-made clothing, . 
Dry goods, .... 
Provisions and groceries. 
Drugs and medicines, . 

Fuel, 

Library, 

Other supplies undistributed, 
Pipes and radiators, 

Total, . 



$9,304 


00 


7,822 


90 


8,598 


67 


27,774 06 


29,299 


47 


21,722 


33 


21,520 


55 


1,024 


87 


973 


57 


2,081 


90 


850 


00 


7,001 


80 


3,275 


00 


5,073 


51 


36,000 00 


fl82,322 


63 



10 



WOECESTEE, LUNATIC HOSPiTAL. [Oct. 



TREASURER'S REPORT. 



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, 
1892 : — 



Receipts. 

Cash on hand Sept. 30, 1891 

Received of the Commonwealth for support of patients, 

of cities and towns, 

of individuals, ...... 

for interest, sale of produce, etc., . 

belonging to patients, 



$5,538 84 

42,430 38 

78,973 23 

40,415 96 

5,240 28 

2,685 32 

from Woi'cester Insane Asj-lum, — money loaned, 5,000 00 



Total, 



$180,284 01 



The expenditures for the year have been as follows : 



Provisions. 



Flour, 

Meat, 

Fish, 

Meal for cooking, . 

Beans, potatoes and other vegetables, 

Sugar, 

Molasses and syrup. 

Tea, 

Coffee, . 

Butter, . 

Cheese, . 

Fresh fruits, . 

Eggs, salt and other groceries, 



Total for provisions {carried forivarcT) ., 



$6,212 


71 


11,094 


40 


3,457 


01 


597 


05 


2,614 


96 


2,585 


98 


476 


21 


727 


34 


1,910 


08 


10,788 


65 


626 


51 


1,028 


38 


5,142 


61 


$47,261 


89 



1892.] 



PUBLIC DOCUMENT — Xo. 23. 



11 



Amount brought forward. 

Salaries and wages, 

Grain, . . 

Meal for stock, 

Hay and pasturage, 

Furniture, 

Crockery and glass. 

Tin ware, 

Bedding and beds, . 

Straw, .... 

Furnishings, 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 furnishin 

Dry goods, women, 

Dry goods, house, . 

Boots and shoes. 

Total current expenses. 

Undertaking, . . ■ . 
Money refunded, . 
Refunded to patients. 



Cash on hand Sept. 30, 1892, 







$47,'?61 89 






63,808 94 






488 91 






3,311 10 






140 00 






456 85 






1,012 49 






126 24 






2,269 60 






141 84 






2,019 47 






49 25 






4,040 79 






' 1,925 36 






11,372 96 






1,273 02 






1,273 64 






2,258 00 






711 18 






379 53 






823 42 






412 30 






539 96 




^ 


632 49 






680 91 






806 07 






3,419 30 






686 96 






865 15 






279 45 






419 25 






225 97 






64 09 






2,337 60 






783 30 






4,907 12 






2,733 08 






1,080 29 






1,602 82 






1155,919 99 


$470 98 


26 98 


2,1 


73 67 





2,671 63 

$158,591 62 
21,692 39 



,284 01 



12 AVORCESTER LUNATIC HOSPITAL. [Oct. 

Resources. 

Cash on hand, |21,692 39 

Due from the Commonwealth, 13,503 75 

cities and towns, 19,192 51 

individuals, . . . . . . . . 11,902 43 

Total resources, $66,291 08 

Liabilities. 

Due for supplies and improvements, . . $10,858 60 
for salaries and wages, .... 4,727 57 

to patients, 1,905 55 

17,491 72 

Total surplus, $48,799 36 

Respectfully submitted, 

ALBERT WOOD, 

Ti^easurer, 
Oct. 1, 1892. 



HOSPITAL LIBEAKY FUJS^D. 



Lewis Fund. 

Cash on hand Sept. 30, 1891, 

Received dividends on Springfield bond, 

Expended for books, 

Cash on hand Sept. 30, 1892, 

Wheeleb Fund. 
Cash on hand Sept, 30, 1891, 
Received dividends, 



Expended for books, $146 50 

(-ash on hand Sept. 30, 1892, .... 92 18 



§6 
70 


12 

00 


$48 12 
28 00 


$20 47 
218 21 



Lewis Fund Investment. 

Springfield bond, . $1,300 00 

Cash on hand Sept. 30, 1892 28 00 



$76 12 



$76 12 



$238 68 



238 68 



$1,328 00 



1892.] 



PUBLIC DOCUMENT — No. 23. 



Wheeler Fund Investment. 

Seven shares Central National Bank, . 
Six shares Worcester National Bank, . 
Worcester County Institution for Savings, 
Worcester Five Cents Savings Bank, . 
Cash on hand Sept. 30, 1892, 



. $980 00 




780 00 




. 1,145 86 




. 1,7-19 47 




92 18 






.?4,717 51 





3,045 51 



LAND ACCOUNT. 



Cash on hand Sept. 80, 1891, . 
Received from sales of land, 
Received interest, . 
Received cash for grass sold. 



Total, $2,737 70 



$202 42 


2,527 


28 


6 


00 


2 


00 



Expenditures. 



Plans and sui'veys, 

Commissions, 

Labor, 



$73 25 
30 00 
28 00 



Cash on hand Sept, 30, 1892, 



$131 25 
2,606 45 



>,737 70 



Respectfully submitted, 



ALBERT WOOD, 

Treasurer. 



Oct. 1, 1892. 



WoRCESTEB, Mass., Oct. 21, 1892. 
The undersigned has carefully compared the treasurer's statement of expenditures 
for the year ending Sept. 30, 1892, with the vouchers which are on file at the hospital, 
also the statement of receipts with the estimated earnings, 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. 



14 WORCESTER LUNATIC HOSPITAL. [Oct. 



SUPEEmTENDENT'S KEPORT. 



To the Trustees of the Worcester Lunatic Hospital. 

I have the honor to submit the following report of the 
hospital for the year ending Sept. 30, 181^2, it being the 
sixtieth annual report. 

There remained at the hospital Oct, 1, 1891, 825 patients, 
— 393 men and 432 women ; 342 men and 288 women were 
discharged and 58 men and 40 women died, leaving at the 
end of the official year 891 patients, — 434 men and 457 
women. Of this number, 321 were supported by the State, 
417 by cities and towns and 153 by friends. Of the 466 
discharged, 129, including 38 habitual drunkards, w^ere 
reported recovered, 72 much improved, 104 improved and 
161 not improved. One hundred and sixteen men and 89 
women were removed by the overseers of the poor ; 59 men 
and 62 women were transferred to other institutions ; 42 
men and 38 women were removed from the State ; 8 women 
were boarded out ; one man was returned to prison ; and 13 
men and 2 women escaped. 

Our smallest number of patients was 817, and the largest 
number 933. During the month of August the average 
number was 912.21, while the daily average for the year 
w\as 857.36. It will be seen, therefore, that the crowded 
condition of the hospital not only continues, but that it has 
greatly increased within the past twelve months, there being 
QQ more patients in the bouse at the close than at the 
beginning of the year. As all the institutions in the State 
are in a like crowded condition, and there are still patients 
who must be provided for, we should hardly be justified, 
were we in a position to do so, in closing our doors to 
applicants as long as there is any available space left in 
the hospital in which to lodge them. There is a limit. 



1892.] PUBLIC DOCUMENT — No. 23. 15 

however, to the capacity of every institution, beyond which 
it is impossible to go, whatever the necessity ; and I am 
sure that that limit has been reached during the past year 
in the case of this institution. In planning these build- 
ings, a liberal space was set apart in connection with the 
wards for work-rooms and rooms for reading and recrea- 
tion, and it is only by diverting these rooms from the 
purpose for which they were designed, and turning them 
into dormitories, that we are able to care for a number of 
patients so largely in excess of our estimated capacity ; 
but, while we can thus lodge, more or less comfortably, 
from 900 to 925 patients, it is quite another matter to 
feed them. Our kitchen and bakery were designed to meet 
the wants of 650 inmates, together with the necessary 
attendants, and it is only with the greatest difficulty that 
this department is able to meet the demands made upon 
it, now that it has over a thousand mouths to fill. With 
our present kitchen facilities we certainly cannot cook for 
any greater number of patients, and it is impossible to en- 
large this department without rebuilding it. 

During the year the movement of our population has been 
unusually rapid, as both the admissions and the discharges 
have been largely in excess of any previous year. The 
percentage of recoveries, 22.65, calculated on the discharges, 
including deaths, is about the same as in former years, and 
is, perhaps, if not as large as might be wished, all that 
could be expected when we take into consideration the 
character of the admissions, 20 per cent, of whom had had 
previous attacks of insanity and had already been inmates 
of one or more institutions ; while 30 per cent, of those 
suffering from a first attack had been insane one year or 
more before coming to the hospital. In many of these cases 
the insanity was complicated with grave physical disorders, 
such as epilepsy and paralysis, — disorders which would 
preclude from the first our entertaining any reasonable hope 
of the patient's recovery. 

It may be of interest, perhaps, to call attention to the 
fact that in 30 of the cases committed to the hospital dur- 
ing the past year, the assigned cause of insanity was "La 
Grippe," and that 19 of these cases were discharged, 6 as 



16 WORCESTER LUNATIC HOSPITAL. [Oct. 

recovered, 2 as much improved, 3 as improved, and 4 not 
improved; 4 died, and 11 remained in the hospital at the 
close of the year. 

We have again enjoyed immunity from serious accident 
and from all infectious and contagious diseases, and there 
has been but little sickness of an acute nature through the 
year. The death rate has been 1L5 per cent , calculated 
on the daily average number of patients, and 6.73 per cent., 
calculated on the whole number under treatment. This is 
somewhat larger than for several years past, but is not 
excessive, considering the age and condition of the patients 
at the time of their death. Twenty-one were between 
seventy and eighty, and five were over eighty years of age. 
All, with two exceptions, were suifering from long-standing 
brain disease. One patient died from acute mania, and one 
from suicide by drowning. In the latter case the j>atient 
escaped while out exercising on the lawn ; and, although 
diligent search was made as soon as his absence was noted, 
no trace of him could be found until four days afterwards, 
when his body was discovered floating in the lake. He was 
nut regarded as actively suicidal ; in fact, he was thought 
by his friends, who visited him on the forenoon of the day 
of his escape, to have recovered and to be in a condition 
to leave the hospital. 

The insane hospitals of the State are to be congratulated 
upon the fact that they are soon to be relieved of the care 
and custody of that most trying and unsatisfactory class of 
inmates, the habitual drunkards, as the hospital for dipso- 
maniacs and inebriates is completed, and will no doubt be 
opened to receive patients within the next few weeks. Al- 
though my experience leads me to question whether the new 
institution will prove as successful in curing the disease or 
habit of inebriety as its more sanguine advocates anticipate, 
it will, I have no doubt, fill a very prominent and useful 
place among the charities of the Commonwealth. Certainly 
nothing could have been done more for the relief of the 
insane hospitals than the removal of this class of patients. 

It now remains to provide separate accommodations for 
that most unfortunate but deserving class of dependents, 
the epileptics. Their condition appeals strongly to the 



1892.] PUBLIC DOCUMENT — No. 23. 17 

sympathy of every one who is in any way brought in con- 
tact with them. They cannot be cared for properly in an 
insane hospital, as it is necessary for purposes of classifica- 
tion to scatter them about through the different wards, and 
it is impossible to give them, except at great cost, the 
attention which their condition demands. They need wards 
built with special reference to their malady, entirely separate 
from the insane, and so constructed that the patient can be 
constantly supervised both by day and night. Their pres- 
ence in the hospitals acts unfavorably upon the other 
patients, and it is for the interest of all concerned that they 
be removed to an institution by themselves. 

Besides keeping up the general repairs and repainting six 
of the male wards, we have made daring the year extensive 
alterations in the dining-rooms on the female side of the 
house. Beginning with the Howe wards, we have put in china 
closets and closets with steam heat for drying towels ; in 
place of the soap-stone sinks with wood casings, which have 
so long disfigured these rooms, we have introduced porce- 
lain sinks with backs and tops of Tennessee marble. We 
have also added a steam table to each ward, relaid the floors 
and painted and decorated the ceilings. The plumbing, 
all of which was designed and set up by our resident 
plumber, is of the most approved pattern. The sinks stand 
out entirely open, supported upon brass legs, resting upon 
a marble slab, above which is a marble base. Special pro- 
visions have been made for ventilating the sinks and also 
the alcoves in which the steam tables are placed. The 
pipes connecting the sinks with the waste and with the 
hot and cold water are of brass, joined together throughout 
with brass unions, so that the whole can be readily got 
at and easily taken apart by the ordinary mechanic. The 
soil, water and steam pipes are run in a special shaft which 
extends from cellar to attic. This shaft can be entered from 
either floor, and is sufiiciently large to admit of a person's 
getting into it and making all necessary repairs. It is the 
intention to carry out similar improvement in all of our 
dining-rooms as rapidly as our means will allow. 

The plumbing throughout the hospital is in a very unsatis- 
factory condition, and needs thorough overhauling. The 



18 WORCESTER LUNATIC HOSPITAL. [Oct. 

closets, bath aud wash rooms are badly placed, as they com- 
municate directly with the wards, and, when the wind is in 
certain directions, ventilate into them ; otherwise they 
are practically unventilated, are much out of repair and 
difficult to keep clean. The facilities for bathing, especially 
in the larger wards, aie entirely inadequate, as the rooms 
devoted to this purpose are small, and contain but one bath- 
tub which has to do service for from forty to sixty patients. 
When the lower wards are bathing it is impossible for those 
above to get water. It is difficult also to properly heat 
many of these bath-rooms. In my opinion it would neither 
be good policy nor economy to attempt to remodel these 
rooms, as they cannot be enlarged or made even fairly 
satisfactory, in a sanitary point of view, with any reasonable 
outlay. I would recommend, therefore, that the entire 
water section be abandoned for the purpose for which it is 
now used, and an annex sufficiently large to receive all the 
plumbing be thrown out at the rear of the Phillips, Washburn, 
Salisbury and Lincoln wards. The rooms thus vacated could 
be altered over without material expense into single rooms. 

These additions could be built at a cost not exceedino' 
twenty thousand dollars, and when completed would not 
only give us new and more satisfactory plumbing, but at the 
same time would provide for forty additional patients at 
the small outlay of five hundred dollars per patient. 

I would recommend also that there be built near the 
cottage at present occupied by our farmer a house suitable 
for fifty patients working on the farm. Such patients need 
a certain amount of supervision but very little restraint, 
and would be more contented and much better provided for 
in a home by themselves, where they could be near their 
work, have their meals at more convenient hours, and sit 
down at a table better suited to the needs of persons en- 
gaged in active out-door employment. Such an arrange- 
ment would enable us to mve our workino; force various 
privileges which it is now impossible to give them, and 
would act as an inducement for many to go out to work who 
are now disinclined to do so, and would, I have no doubt, be 
ultimately as much for the interest of the hospital as for the 
patients themselves. 



1892.] PUBLIC DOCUMENT — No. 23. 19 

The cost of such a building, to accommodate fifty pa- 
tients and the necessary attendants, with plumbing, heating 
and kitchen arrangements complete (but exclusive of fur- 
nishings), would be twenty-five thousand dollars. Should 
this be built and our present water f-ections given up to 
patients, as proposed, it would increase our capacity by 
nearly one hundred, and greatly relieve our overcrowded 
wards. 

Reference to the table showing the amount and value of 
the articles produced upon the farm and consumed at the 
hospital shows conclusively the material assistance in the 
way of income which the institution receives from this 
source. Under the skilful management of our farmer, Mr. 
Graves, its productiveness is yearly increasing. 

The current expenses for the year, less the amount re- 
ceived for the articles sold, have been $151,200.51 ; dividing 
this by 857.36, the daily average number of patients, gives 
$176.35 as the annual cost of support, equivalent to a 
weekly cost of $3.37. 

The institution has received gifts of newspapers and peri- 
odicals from A. S. Lowell, and from their publishers the 
"Worcester Evening Gazette," " Worcester Daily Spy," 
" Fitchburg Sentinel " and " Salem Gazette." 

I am happy to acknowledge my indebtedness to the 
officers and employees for their cheerful co-operation which 
has contributed so largely to the success of the institution 
during the past year and has material Ij^ lightened the bur- 
dens of the superintendent, and I would especially thank 
your Board for your cordial support and sympathy. 



Sept. 30, 1892. 



H. M. QUINBY, 

Superintendent. 



STATISTICAL TABLES. 



2^ 



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1892.] 



PUBLIC DOCUMENT — No. 23. 



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24 



WORCESTER LUNATIC HOSPITAL. [Oct. 



3. — Beceived on First and Subsequent Admissions. 





Cases admitted. 


Times previously 
recovered. 


NUMBER OF THE ADMISSION. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, ..... 


298 


256 


554 


- 


- 


- 


Second, . . . . . 


34 


21 


55 


22 


6 


27 


Third, . . 


6 


7 


13 


6 


10 


16 


Fourth, . . . . 


1 


3 


4 


2 


4 


6 


Fifth, . . . . . 


- 


1 


1 


- 


- 


- 


Sixth, 


2 


- 


2 


3 


- 


3 


Tenth, 


1 


- 


1 


7 


- 


7 


Total of cases. 


342 


288 


680 


60 


19 


79 


Total of jjersons, . 


330 


278 


608 


28 


13 


41 



1892.] 



PUBLIC DOCUMENT — No. 23, 



25 



4. — Relation to Hospltcds 


of Persons admitted. 




HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


Never before in any hospital for insane, 


253 


215 


468 


Former inmates of this hospital only, 


23 


19 


42 


Former inmates of other hospitals only, 


42 


37 


79 


Former inmates of this and other hospitals : — 








Danvers, .... 




6 


1 


7 


McLean, 




2 


2 


4 


Northampton, 




1 


1 


2 


Taunton, .... 




- 


1 


1 


Taunton and Danvers, . 




- 


1 


1 


Worcester Asylum, 




- 


1 


1 


Westborough, 




2 


- 


2 


Augusta, Me., 




1 


- 


1 


Total of persons, . 


330 


278 


608 



26 



WORCESTER LUNATIC HOSPITAL. [Oct. 



5. — Parentage of Persons admitted. 









Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Massachusetts, 


58 


55 


33 


32 


91 


87 


Other States : — 














Maiue, .... 


17 


23 


8 


8 


25 


31 


New Hampshire, 






20 


20 


10 


9 


30 


29 


Vermont, 






7 


5 


3 


4 


10 


9 


Rhode Island, 






3 


3 


2 


2 


5 


5 


Connecticut, . 






6 


6 


3 


2 


9 


8 


New York, . 






7 


6 


4 


5 


11 


11 


New Jersey. . 






1 


2 


- 


- 


1 


2 


Pennsylvania, 






- 


- 


1 


1 


1 


1 


Delaware, 






1 


1 


- 


- 


1 


1 


Maryland, . 






1 


1 


- 


- 


1 


1 


Virginia, 






2 


1 


1 


1 


3 


2 


North Carolina, 






2 


1 


- 


- 


2 


1 


South Carolina, 






1 


1 


- 


- 


1 


1 


Georgia, 






1 


1 


- 


- 


1 


1 


IvOuisiana, 






- 


1 


- 


1 


- 


2 


Tennessee, . 






- 


1 


- 


.- 


- 


1 


Missouri, 






1 


1 


- 


- 


1 


1 


Other countries : — 














New Brunswick, . 


6 


7 


2 


2 


8 


9 


Canada. 






14 


13 


11 


11 


25 


24 


Newfoundland, 






1 


1 


1 


1 


2 


2 


Nova Scotia, . 






6 


6 


10 


10 


16 


16 


Prince Edward Isl 


and, 




- 


- 


1 


1 


1 


1 


Sweden, 






3 


3 


7 


7 


10 


10 


England, 






20 


22 


16 


15 


36 


37 


Ireland, 






113 


107 


124 


124 


237 


2.; I 


Scotland, 






8 


9 


3 


3 


11 


12 


Wales, . 






- 


- 


1 


1 


1 


1 


Germany, 






8 


7 


6 


5 


14 


12 


Italy, . 






3 


3 


2 


2 


5 


5 


Russia, . 






2 


2 


2 


2 


4 


4 


France, . 






1 


1 


- 




1 


1 


Cuba, . 






1 


1 


- 


- 


1 


1 


China, . 






1 


I 


- 


- 


1 


1 


South America, 






- 


1 


- 


- 


- 


1 


Norway, 






1 


1 


2 


2 


3 


3 


Australia, 






- 


- 


1 


1 


1 


1 


Western Islands, 






1 


1 


- 


- 


1 


1 


Poland, . 






- 


- 


2 


2 


2 


2 


Prussia, 






- 


- 


1 


- 


1 


- 


Azores, . 






- 


- 


1 


1 


1 


1 


Holland, 






- 


- 


1 


1 


1 


1 


Finland, 






1 


1 


1 


1 


2 


2 


Denmai-k, 






2 


2 


- 


1 


2 


3 


Austria, 






1 


1 


- 


- 


1 


1 


Unknown, . 






9 


11 


18 


20 


27 


31 


Totals, 


330 


330 


278 


278 


608 


608 



1892.] 



PUBLIC DOCUMENT — Ko. 23. 



27 



6. — Residence of Persons admitted. 



PLACES. 


Males. 


Females. 


Totals. 


Massachusetts (by comities) : — 








Berkshire, . 








1 


- 


1 


Essex, . 








1 


- 


1 


Franklin, 








- 


1 


1 


Hampshire,. 








- 


1 


1 


Hanapden, . 








1 


- 


1 


Middlesex, 








109 


81 


- 190 


Norfolk, . 








5 


1 


6 


Plymouth, . 








- 


1 


1 


Suffolk, 








110 


124 


234 


Worcester, . 








103 


69 


172 


Totals, . 


830 


278 


608 


Cities or towns. 








262 


231 


493 


Country districts, . 








64 


50 


114 



28 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1892.] 



PUBLIC DOCUMENT — No. 23. 



29 



8. — Occupations of Persons admitted. 



Actors, 






3 


Druggists 


2 


Artist, . 






1 


Engineers, 


2 


Accountants, 






2 


Florist, .... 


1 


Bakers, 






4 


Fruit dealer. 


1 


Butchers, 






3 


File cutter. 


1 


Blacksmiths, 






4 


Farmers, .... 


20 


Barbers, 






2 


Glass makers, . 


2 


Bar-tenders, 






2 


Grocers, .... 


3 


Bookbinders, 






2 


Gardener, .... 




Brakeman, . 






1 


Hostler, .... 




Brassworker, 






1 


Harness makers, 




Contractor, . 






1 


Iron founder. 




Carriage trimmei 


s, 




2 


Insurance canvasser. 




Carriage painter, 




1 


Journalist, 




Cook, . 






1 


Janitors, .... 




Compositor, 






1 


Junk dealer. 




Cabinet makers, 






2 


Jeweller, .... 




Carpenters, . 






10 


Laborers, .... 


64 


Clergymen, . 






6 


Laundryman, . 




Clerks, 






5 


Lineman, .... 




Clown, 






1 


Liquor dealer, . 




Carver, 






1 


Lather, .... 




Conductors, . 






2 


Lawyer, .... 




Caterer, 






1 


Landlord, .... 




Coachman, . 






1 


Music teacher, . 




Confectioner, 






1 


Merchants, 


2 


Dyer, . 






1 


Manufacturer, . 


1 



30 WORCESTER LUNATIC HOSPITAL. 

8. — Occupations of Persons, etc. — Continued. 



[Oct. 



Musician, 




1 


Stevvard, .... 


1 


Masons, 




5 


Student, .... 


1 


Messenger, . 




1 


Salesmen, .... 


7 


Machinists, . 




11 


Slaters, . . 


2 


Marble worker, . 




1 


Seamen, .... 


3 


Nurse, . 




1 


Shoe dealer. 


1 


Operatives, . 




29 


Steam fitter, 


1 


OfSce boy, . 




1 


Stone masons, . 


3 


Provision dealers. 




3 


Skate maker. 


1 


Piano polisher, . 




1 


Teamsters, 


8 


Piper, , 




1 


Tin smith, .... 


1 


Printers, 




3 


Tanner, .... 


1 


Paper hanger, 




1 


Tub turner. 


1 


Pattern makers, . 




2 


Tailors, . . . ". 


4 


Piano makers, 




3 


Veterinary sui'geons. 


2 


Painters, 




11 


Waiter, .... 


1 


Peddlers, 




3 


Watchman, 


1 


Picture dealer, . 




1 


Wire drawers, . 


3 


Plumbers, 




3 


Wall paper printer, . 


1 


Physician, . 




1 


No occujiation, . 


28 


Paver, 




1 


Unknown, .... 


3 


Piano tuners. 




2 


Total, . . . . 


330 





FEMALES. 




Brush maker. 




Cook, .... 


1 


Bookbinder, 




Card reader, 


1 


Boot stitcher. 




Domestics, 


62 


Clerk, 




Dressmaker, 


1 



1892.] PUBLIC DOCUMENT — No. 23. 31 

8. — Occujoations of Persons, etc. — Concluded. 



Housekeepers, 

Housewives, 

Laundresses, 

Milliner, 

Nurse, 

Nursery maid, 




31 
U 

4 
1 
1 
1 
23 


Seamstresses, . 
Students, .... 
Saleswomen, 
Tailoi'csses, 

Teachers, .... 

Waitress, .... 

Total, .... 


7 
2 
3 
2 

4 

1 


Operatives, 


1.53 


WIFE OK DAUGHTER OF — 


Book-keeper, 
Cabinet maker. 
Conductor, . 
Clerk, . 
Carpenter, . 
Drummer, . 
Dentist, 
Engineer, . 
Farmer, 
Foreman, . 
Hotel keeper. 
Hack man, . 
Junk dealer. 
Laborer, 


■ 


1 
1 
2 
5 
1 
1 
1 
2 

U 
1 
1 
2 
1 

26 
1 
1 


Merchant, .... 
Nurse, .... 
Operative, .... 
Painter, .... 
Peddler, . . . . 
Police officer, . 
Sea captain, 

Slater, .... 
Steward, .... 
Salesman, . . .' . 
Superintendent of jjarks, . 
Tailor, . . ^ . 
Teamster, .... 
Unknown, .... 

Total, . . . . 


i 
3 

1 

5 

1 
1 
1 
2 
1 
1 
1 
1 
2 
1 
43 


Laundry man, 
Mason, 


278 



32 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



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03 


1 f 1 1 1 1 1 1 1 1 . 1 1 O 1 t 1 1 1 




|» o 


_o 


It^l 1 li-llCOl li-iOiMC^I 1 |(MI 


iS 


l<^^lllllc^^ll'-l>c^^lrllll 




loi 1 |i-H|^l 1 icolr^i 1 |(M| 


1 i 


1 


1^1 1 1 1 IC^I 1 IC^t-HOIt-HI I 1 

I-H 


l; 


I^llllli-HIIICMICMIIIII 


1 


IIIIII|t-i|II|t-h-#|.-i||| 




H 
H 

a 

o 
»4 


^ 9 

S K 



o 


1 1 1 1 1 1 1 1 1 1 1 1 1 O 1 1 1 1 1 


o 


1 1 1 1 1 1 1 1 1 1 1 1 1 00 1 1 1 1 1 




1 1 1 1 1 1 1 1 1 1 1 1 1 t- 1 1 1 1 1 

CO 




o 


^CO^— l-HrHCMOCO.-H.-tlOX'^CMO'-lt^T-l 

T-( CO CO CO i-H O ^ 


s 


-*0'-l|.-i|(M1Ni-llr-liOt-'-^l 1 ICOl 
rH rt (M CO .-1 


oi 


t^CO li-l |i— 1 (COCO^H lOr-ICOCO^i— I-*,-! 


D 












L Physical: — 
Apoplexy, . 
Epilepsy, . 
Cerebral tumor, 
Plumbism, 
Rheumatism, 
Locomotor ataxy. 
Phthisis, . 
" La (irippe," . 
Syphilis, . 
Erysipelas, 
Uterine, 
111 health, . 
Dissipation, 
Intern Iterance, . 
Sunstroke, 
Injury to head, . 
Injury to leg, . 
Overwork, 
Privation, . 



1892.] 



PUBLIC DOCUMENT — No. 23. 



33 



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


(M 


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


1 


1 1 t 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 


CO 


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


CO 


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


1—1 


C<Ji— 1| |C<»COi— 1 -+l'*|COCOG^r-l|,— IT-ICOI 
CO 


CO 

o 






— -* 
1 


||||_,0,^ 10»0)COI^T-I||||r-I 


CO 


llll'-i.-ll (M-*|IOIIII||lt^ 


CM 


lllll— 1— 1 CO— illl^— i|||l-tl 


C3 
CM 


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


uo 


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


GO 


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


CO 


lO t^ t- C^ GO -TfH -^ l^ lO -* CO O Oi GO t^ <>» <M (M C^ 

CO CO (M ^ 1-H O 


CO 

to 


i-liOt-CMXiaiCO CO>OCOC<)i— IC^O<CiC<l^-+l(M 


o 


.— 1 — H — UO 


CO 














Masturbation, . 

Puberty, .... 

Puerperal, 

Lactation, .... 

Menopause, 

Senility, .... 

Opium habit, ^ 

2. Mental : — 

Heredity, .... 
Worry, .... 
Fright, .... 
Family trouble. 
Business trouble, 
Excessive mental labor, . 
Bereavement, . 
Nostalgia, 
Disappointment, 
Religious excitement, 
Congenital mental deficiency. 
Unknown, 


CO 

3 

o 



34 



WORCESTER LUNATIC HOSPITAL. [Oct. 






'« 






6 



1-H 









O 


o 


CO 


-* 


CO 




o 


CO 






"3 


CO 


Ci 


CO 


CO 


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lO 


o 






o 


CO 












CO 


1—1 






H 




















a 
























s 


CO 


CO 


CO 


to 


CO 


<M 


t- 


CO 




u 


a 


CO 


CO 


1— 1 


CN 


G<) 


f— ) 


l^ 


t- 




C5 


a 


C<1 












1— ' 








s 




















■< 






















i 


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h- 


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cyo 


o 


OS 


CO 


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-2 


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CM 


CO 


c^ 


(>> 


t^ 


CO 






^ 


CO 




















1^ 
























1—1 


o 


C^ 


1— 1 


1 


1—1 


t^ 


CO 






5 


'O 


CO 












1—1 






o 




















a 


E-( 




















a 






















< 










































X 


s 




















o 


OJ 


lO 


1 


1 


i 


1 


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^ 




a 


a 




















ij 






















< 


^ 




















D 






















H 












































s 
























m 


C<1 


lO 


(M 


1—1 


1 


1—1 


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OJ 


^ 


(M 












1— ( 






03 






















S 
























OS 


o 


O 


CO 


CO 


o 


^ 


o 






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o 


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^ 


CO 


■rtl 






O 


lO 












CO 








E-( 




















z 

-4 






















s 


CI 


00 


CO 


CO 


CD 


(M 


^ 


OS 




03 


1^ 


C<1 


1—1 


G^ 


CM 


l-< 


ir^ 


CO 






a 


(M 












1—1 






•A 






















M 


^ 
























o 


<M 


eo 


h~- 


o 


CO 


o 


^ 






^ 


o 


CO 


CM 


co 


CN 


CM 


CO 


c- 






C3 


CO 




















S 




























• 


■ 








cT 






















^ 






















o 






















tH 






















a 






















a 






m 




























' *— J 










o 






s 






> 




tJ 




CN 


s 






e 






p 




a; 




OS 






<1 










t> 




CO 










9 


s 


o 


p 






o 
o 










S 


o 


^^ 




CO 


^•t 










> 


^ 


.— 






o 










o 


o 


g_l 


















o 


g 


_s 


o 






>^ 










f- 






cc 


'qj 










" 










fcc 


r^ 








op 












'S 












si 
o 










a 


a 








<'1 


s 








5 


ci 


!^ 



1892.] PUBLIC DOCUMENT — No. 23. 35 

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




12. — Reported Duration of Disease before Last Admission. 





First Admission 


All Other Admis- 










TO ANT Hospital. 




SIONS. 










Previous Duration. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 


2 


1 


3 


2 




2 


4 


1 


5 


Under 1 month, 


43 


40 


83 


11 


11 


22 


54 


51 


105 


From 1 to 3 months, 


36 


27 


63 


5 


7 


12 


41 


33 


74 


3 to 6 months. 


39 


35 


74 


6 


3 


9 


45 


38 


83 


6 to 12 months, 


5 


10 


15 


4 


2 


6 


9 


12 


21 


1 to 2 years, . 


21 


15 


36 


5 


7 


12 


26 


22 


48 


2 to 5 years, . 


33 


30 


63 


11 


8 


19 


44 


88 


82 


5 to 10 years, . 


29 


20 


49 


20 


24 


44 


49 


44 


93 


10 to 20 rears, 


8 


4 


12 


14 


8 


22 


22 


12 


34 


Over 20 years, . 


3 


- 


3 


2 


- 


2 


5 


_ 


5 


Unknown, 


34 
■Jb?, 


33 
215 


67 
468 


9 

89 


3 
73 


12 
162 


43 
342 


37 


80 


Total of eases, . . 


288 


630 


Total of persons, . 


253 


215 


468 


77 


63 


140 


330 


278 


608 


Average in years, . 


2.20 


2.47 


2.81 


6.16 


3.9 


5.10 


3.87 


2.87 


3.28 



36 



WORCESTER LUNATIC HOSPITAL. [Oct. 









'ts 






'S 



'S 






6 



e 
"§ 

^ 
'S^ 



CO 









o OJ CO CO r^'* ^ 


1 iMO^COCOt^— ii— 1.— iC5^ 


t- 


■* 


00 








t^co '-I o c<i 


•O CO ■-( (M C<1 lO 


Ti< 


CO 


»o 




u 










lO 


lO 




o 
















t^os (M CO — ' — ' CI 


l^-*-*COCOCDQOI lOr-H 


oo 


CO 


,_( 














CO 


CO 














CO 


C^l 
















a 


c; 


CO CO CO 1 CD CO C<1 


1 1— 1 CO t^ «5 O — ' CO t-H .-1 Tfi 1 


a> 


t— < 


t— 






s 




(M rt C<l C<1 ^ 


CO 


o 


Oi 












CO 


Oi 






o 




li— lO^O^COCO 1 lOJ 1 


IM 


00 


CO 












o> 


05 


q3 


<N .— 1 1 1 CO (N 1 


1 It^COiOIMI 1 1 t 1 1 


1 


o 


o 




^ 


r— 1 






-* 


-* 




o 














C3 


^ (M 1 1 i-H CO ■— 1 


1 rt coco iO(M coco 1 1 IM 1 


IM 


00 


CO 






g 








»o 


•o 






(ji CO 1 c<> CO lo i-i 


Ir-I(NIO(MCO-*CO 1 It^ 1 


1 


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o 




Q 




CO 


CO ^ 




CO 


•o 






H 














> 

o 




























a 


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lO—i 1 (M CO N 1 


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fe 








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1 IOiCOICOOC<ll l(MI 


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CO 


CO 


















Q 






o CO CO 1 CO lO 1 


1 1 t^co — (M CO 05 ^ 1 1 1 


^ 


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CO 








tM CO r-< 


























< 


o 


aj 


CO cO(M 1 COCO 1 


1 l'*<(M^IC<!^l 1 1 1 


1 


lO 


lO 


O 


6h 








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53 


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1 IO0r-l|(M^0O^I 1 1 


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00 






s 








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lOCDUO 1 CO ^ 1 


1 1 ^(M 1 ^ 1 00 1 1 1 — ' 


CO 


eq 


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t^ 


t-- 




> 


H 


































(^ C5 (M 1 t^ <N 1 


1 1 ItMI^I^I 1 1^ 


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C^ 




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CO 


CO 




















5 




00 t^eo 1 O (N 1 


1 1 ^ 1 1 1 1 t^ 1 1 1 1 


<N 


02 


OS 














CO 


CO 




s 


s 














o 


o Tj< o 1— 1 CO lo oa 


IIIIII^COI.-H|l 


__, 


CJi 


CO 








C<1 


^ 








a 








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•— f 
















m 


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>C (M 00 r- 05 C<I(M 


1 1 1 1 1 1 1 lO 1 1 1 1 


t^ 


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.-( 




> 
o 


Eh 








•o 


lO 






ca 


lOCvlC^l 1 t^co 1 


1 1 1 1 1 1 ^CO 1 r-( 1 1 


-ti 


oo 


«3 




a 




(M 


CO 


i^- 


t^ 






o 
Eh 


oo-HococooocoiMiMi^coc<ia3^i^(Mrtoo^ 


^ 


o 


oo 







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C^ CO .-1 (M CO t^ 


•o 




o 


2 








CO 


CO 


• i 


.— 1 CO (M CO lO t^ •* N <M 1-1 CT> O (M O OS 1 1 CO i-i 


CJ 


oo 


00 






Ea 


CO t^-"-! ■* 










c 


'g 










Cl 


















<j 


CS 


t^oo 00 1 CO ^ -* 


1 lcO'*if^r--t<00(Mr-(«5 1 


IM 


CQ 


o 






S 




^ r-( (M IM >C3 


■* 




CO 












CO 


CO 










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o 
















































. . . "^ . . . . t>- . 






• 










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a 






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. o 5 . . t^ . CC . 


m 

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puerperal, 
ia, primary, 
secondary, 
senile, . 
organic ^tum 
paralysis of 
c insanity, 
ic insanity, 
ralytic insanit 
renia, 

tal mental de 
babit. 




1,^ 




<u 


^ 




QQ* 




o 




3, . 

nic, 

rrent, 

peral, 

, acut 

nic, 

rrent, 


c 


o3 


o 








-Insane — 
ania, acut 
chro 
recu 
puci 
elancholia 
chro 
recu 


5S 

a 


c> 
O 


Cm 

o 








c g a. g §.-§.£ c 


"5 


iri 


05 








S c = "^ S .S c .3 


1 


O 

H 


o 
H 








'.S S 


Q OW^JCuKoo 


1 












< 




cq 




1 



1892.] 



PUBLIC DOCUMENT — No. 23. 



37 



0^ 

s 

e 

o 






S 












t^ 


-* 


CO 


CO 


<M iH tH 


'^ 


OD 






o 


o- 


CO 


t-H 








CO 


"O 




ij 


H 


-* 












1 


■o 






'iH 


>o 


as 


CO 


i-H 


1 rH 


CO 


1— 1 




H 
O 


r 


(M 


CM 










CO 


CO 




"^ 


GN 












c^ 


CM 




£-1 






















!S 


CO 


Ol 


-*< 


CO 


,-1 i-H 1 


1 


r^ 






>o 


CO 










o 


a> 








<M 












CO 


(M 






O 


CO 


-* 


1 


1 




1 I— 1 


CO 


c» 




Q 


as 












Ol 


05 




<u 


to 


CO 


1 


1 




1 tH 


o 


O 




a 


&H 


CO 












-* 


-Tfl 




ci 


t^ 


1-H 


1 


1 






GO 


CO 






3 


lO 












uO 


o 






»j 


rH 


f^ 


G<) 


^^ 






,_, 


o 








CO 


<?<l 










CO 


CO 




!> 




I— 1 












»-H 


1—* 


























Oh 




o 


<M 


(M 


1 






-t- 


CO 




S 




CO 


1— 1 










Ol 


Cf2 




t^ 












































03 


l-H 


lO 


1 


y-i 






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t^ 




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s 


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1— ( 






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> 


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rt 


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1 


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^ 


c-i 


CD 


t^ 


CO 


1— 1 


1 


a% 


CO 




a, 




o 


T— 1 










(M 


CM 






y—< 












1—1 


1—1 


























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^ 


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1—1 


1 


1—1 


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1 


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on 






















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<J 






















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a 














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tn 


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QJ 


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u 


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A 




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a 
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ph 


c» H H 







38 



WOECESTER LUNATIC HOSPITAL. [Oct. 






6 








H 
O 


"3 
o 






"5 

a 


l^l(M'-H'0-*-*l ICMi-HCM 1 1 lt> 




■5 


T-l| 1 |<MT-i^cv4(tOi— 1| |rH T-HCMCNO 




O 

< 
M 
Z 

« 

a 
•J 

H 

n 


1 


1 1 1 1 1 1 .-H 1 1 1 1 1 1 II 




■3 

a 


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




■3 


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




a 
< 




Eh 


r-f ~tH |(MCC«5t>.<X)«5i— IC^i— ICO 1— ICMC^G^ 




■3 

a 


lThl|C<lr-llO-^'^<l |CMi-i(M 1 1 lt> 




■3 


7-1 1 1 |C^i-iCOC<I«5>-l| I'-H i-iOqcMiO 

r-H I— 1 




0!3 

H 

CO 










Nervous system : — 

Exhaustion from mania, acute, 

chronic, . 
recuri'ent, 
melancholia, acute, 

chronic, 
dementia, senile, . 

secondary, 
organic, 
epileptic insanity, 
alcoholic insanity, 

Meningitis, 

Cerebral tumor, .... 
General paralysis, .... 

Res^iiratory system : — 

Bronchitis, 

Pneumonia, catarrhal, 

lobar, .... 
Phthisis pulmonalis. 



1892.] PUBLIC DOCUMENT — No. 23. 



39 



COt-HCMCM (Mi— Ii— I,— iliX) 



^111 I I I I 



III I I I I 



II I I I I I (M 



I 1-1 T-( I I O 



CN I I r-H I CO 



go 


O cS 



3 _ 



XX 






be 






40 



WOKCESTER LUNATIC HOSPITAL. [Oct. 



^ 



^ 






fi^ 



1:0 



&. 




^ 


as 


00 


CO 


00 


'tH 


<M 1 1 


GO 


CO 


H 







CM 




CM 








GO 


C^ 


2^ 




















t^ 


SS 




































































7—1 


CO 


«) 


-* 


^ 


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1-1 1 1 


-* 





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1—1 








'^ 


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J 




















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1-1 1 1 


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s 




















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b 




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r^ 


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10 lO 1 


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• 




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CM 




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s 





















s 




















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CMOi^CMa^t>.co I CO 



<» t^ r^ ^ -* 1— I I CM 



1— I-^OIOCOCOGM ICO 





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1-1 1 1 


^ 


CM 


cj 




1—1 


1— 1 


f— 1 








-* 




s 


















c- 



t^aii>.cot^-cocOi— ICO 



CMlOOCOCOCMi— I ICM -H 



C C O -3 







^ 


a: 


^ 


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m 


^ 




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it! 





cri 


a 





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0) 


(b 


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>% 





CM 


CM 


lO 


1—1 





p tl^ 



t* w 



0-5= 



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bJOM 



1892.] 



PUBLIC DOCUMENT — No. 23. 



41 





lO 


-t< 


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GO 


1 


T— I 


1 


1 


1 


1— 1 




CO 




cq 


CO 


^ 


1—1 


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1 


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t- 








CO 


I— 1 


c^ 


t^ 


1 


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1 


1 


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CO 
(M 






1 


t 


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CO 


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as 


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1—1 




t- 

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1 


1 


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1— ( 


T— 1 


CM 


'-' 


1 


c^ 




CD 




1 


1 


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1— 1 


1— 1 


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1—1 


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GO 
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1 


1 


<M 


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tH 


o 


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42 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 





O 




|OCO-H-tiOCOt^COC<) 1 


CO t-- 




1—1 1—1 1 


C<1 







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Cq ^ ^ ^ ^ ^ 


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1 1 (M 


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1—1 1—1 1— 1 1— ( 1— I 1—1 


01 












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05 

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^ 2 
a 






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C<l-Tti — COuOt^-O-^tM ICO 


CO CO 




1 1 (M 


(?« 









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1— * 1—1 


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3 




p 








d 

(M 












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• • J3 ^ -t^ " - W2 b • - 

i5 ^ :; t^ '■-'^ *-! cj 






IB 5» 

ri ^ r^ 




2 








■^ a 


^ 


-3 CO c3 




r^ i=: 




Q 





mth, 
mon 
mon 

2 mo 
year 
year 

yea 

20 ye 

irs, 




-1 


' 


mon 
year 

20 ye 




c 

^-^ !h 
~ 




Ed 




l-OMCO^CMuO^-g _ 


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— Insane ■ 
Congenita 
Under 1 n 
From 1 to 
3 to 
6 to 

1 to 

2 to 
5 to 
10 ti 

Over 20 y^ 
Unknown. 


tals, 
erag 

ases 


'0 


-^^ 

rH T-H rH 


CO 

''3, 


!-' CO 








0^0 


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F» 








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pq 






11 



1892.] 



PUBLIC DOCUMENT— No. 23. 



43 



IS. — Hoiv Supported. 





Patients admitted. 


Average of the Year. 


SUPPORTED AS— 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


State patients, . 
Town patients, 
Private patients. 


177 

183 
74 


144 

234 

79 


321 

417 
153 


144.16 

201.34 

' 62.90 


122.19 

253.28 

73.48 


266.34 
454.62 
136.38 


Totals, 


434 


457 


891 


408.40 


448.95 


857.36 



19. — Number of Convicts admitted to the Hospital from its Opening, 
Jan. 19, 1833, to Sept. 30, 1892. 





Males. 


Females. 


Totals. 


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


498 
62 


105 
9 


603 
71 


Totals, 


560 , 114 


674 



44 



WORCESTER LUNATIC HOSPITAL. [Oct. 



'S 

g 








O^ 


►c* 


Ci 




U-i 


^1 


^-H 


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cT 


'^ 


'-'0 










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<5-) 


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fjj 


Cji 



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^ 






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•< 







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m 

< 


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ei 
oe 

;? 

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n 



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w 

33 
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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r 1 1 1 1 1 1 I 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 1 1 1 1 1 


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


fl 

O 
« 

a 

o 

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1 1 1 1 1 1 r 1 1 1 J 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


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1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 




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O 
W 


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1 1 1 1 1 1 1 1 1 1 r 1 1 1 1 1 1 1 J 1 J r 1 1 1 1 


■saiBiasjj 


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


•saiBj^r 


1 1 1 1 1 1 1 1 1 1 J 1 1 1 1 1 1 1 r 1 1 1 1 1 1 1 


n 




•SIBJOX 


^ret-'Mt-CO^O'MI— t-O^CDCOOiU^ir^-^^COaiOi-HinoOittii-H 
r-l 1-1 rH rH i-H r-H rH i-< '-1 i-l i-l i-H CN i-H (M T-l I-" i-H (M C^ (M ^ r-i -H (M 


•seiurao^ 


-+-^.-(T)<0^tr-00-7HrHtOO^COO«t-OOtDC»COtOOO!00 

OD^T^jHiOCOt-t-t-tDt-OOOCJi-HO^OOloOOt-trHCNOOOOCO 

r-t i-i T-H i-t i-f 1-1 IH rH rH 


•S9[BJ^ 


T-iO-HCOCOCOCO--tHCOCOCO«0(MeDO(MIr-COl-i-(t-inOOOOi'-< 

cooiniot-ootQTOOt-ajajoocoi-toooooooOL— coc^ 


o 

CO 

Q 

-^ 




















(^•^^^ t~ CO oTo ^ cTcO ■* Iff CO t-^CO oTcT-H c^] « 'Tti lO O t- CO 
OOCOCCOTOOQOCOCOCOCOOOOOOOOOOOOOQOOOOOOOOOCOCOOOOOOO 



1892. j PUBLIC DOCUMENT — No. n. 



45 



llllllllllllllllrHllllrHlliHIICICOCOiOC-J-l'r-; 

l-H ^ ■n^ 


CO 


lllllllllllllllPi-l|lllr-ltlrHI|.-HHiHC0t:-00 1M 


CO 


1 1 1 1 1 1 1 P 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I i-l Ol C-l CI lO to 03 


PC- 




t f P P P 1 1 1 1 1 1 P 1 P PrHP 1 IINPl-IMCOCqi-li-li-IC-IOOOO^OOOl 

c-1 n CO 


CO 


1 P 1 P P 1 1 P P P I P 1 P Pt-HI P Pf-lPrHe^'-'C^rHrHr-,rHC0O(M-t-l< 

r-l C^ CI 


o 

CO 


IIPPPPPPPIIPiPIIIPPrtPlr-((MIIIP.-lirac001-tiO 


U5 




PPPPPPPIPIPIIIplppilPPPPPIIIPPI^oo 

:n CO 


a> 


P P 1 1 1 P P P 1 P 1 P 1 P 1 1 1 1 1 1 P P 1 P 1 1 P 1 1 1 P IM tH >n 


^ 


P P P 1 1 1 1 P P P P 1 P P 1 P P 1 P P 1 1 P P p P 1 1 P 1 1 CI in o 


CI 


PPPPIPPPPPPIIPIIiPPi-HIPIPPPi-HlpiMr-ICOtO-t, 


s 


P P 1 P P 1 1 P 1 P P P 1 P P 1 P 1 1 1 P P P P 1 1 I-H 1 P ,-1 r-l CI OO CI 


c^ 


PPIIPPIIIIPPPIIPPPP'-iPIPPPPPIPi-(Pt-<0OC1 

CI 


CO 
00 


IIPPPPPPPPIIPPPPPPPPPIIPIlPPir'lr-.-rfl- 


1 


P P P P P 1 P 1 1 P P 1 P 1 P P P P 1 1 P P 1 1 P P P 1 P P P r' CI C. 

<- CI 


d 


P P P 1 P 1 ' P 1 P P 1 P 1 1 P 1 P P P P P P 1 1 1 P CI cc 


§ 


UDCO-,^t-l— OldCOiOrft-^-QOi-ieOtDt-OCIOOOiOOOin-^COOeOt— (O000-t<-f 

o«3oo^tjicoiocioO(moocioooioocDco-*a>ooo-*'-io>rau^ioco— 'cocoira 

r-(?-irHi-Hr-*rHf-ICqdCICIClCOCOCOC^CICICIC1 l-HC^ClCICPddCPCOCOCO^O 


o 
cT 


OO^n<MiCJOeOOSOCOCI,-'CO'^0-^^-OOC0005^0>OCOOir^COOOCOOiOOCD 

t-t-OSt-t-Ot-OCi05ClTtiOdOincOi-,COCO'^OOOOr-,Or-H-n'^iO-Tj'»00>0 

rt rHi-l,-irtrHr1r-irHr-l,-l ^ r-irHr-li-,i-I^Mi-lrHClCl 


CI^ 


cicoiNC<icico«icot-cqtoco-!)i'Hci,nt-ocDoai-*coo^aiCTicoo>cCino-coo 

00000>t-t-OOt^C10i-t,-*COI:^OOiO-<#,OU^Cl'-t-^OOC1^0c:iOO^COOOCOr-tDCn 


1 


















• 


















n 

'o 


1859 
1860 
1861 

1862 
1863 
1864 
1865 
1866 
1867 
1868 
1869 
1870 
1871 
1872 
1873 
1874 
1875 
1876 
1877 
1878 
1879 
1880 
1881 
1882 
1883 
1884 
1885 
1886 
1887 
1888 
1889 
1890 
1891, 
1892 



46 



WOECESTER LUNATIC HOSPITAL. [Oct. 



§ 



^ 




o^ 




<aj 








'C; 


Ti 


S 




rtf' 


s 






"<Si 


a 


g 


ca 




o 




O 


"r-C 




!r! 




<ii 




f^ 




■^ 


CO 




f-H 


« 




CO 


o 


CS5 


=V5 






C 




iJ^ 




<K 


^ 






(^ 


&5 



S 








i^ 


GO 
CO 






ti:l 


'Ti 


<» 


^ 








CO 


%^ 


"^ 


o- 


r1 










s^ 


'«' 


>ij 


o 


Si 


c 


O 


i^ 


<?-! 


^ 




o 












VM 




^O 








.=^ 


00 


fe^ 






O 


Q") 






CO 
CO 


t^ 














'W 




^ 




c*: 




s 




s 




s: 




1 




O 




C^ 





Remaining oe 
Each Year's 
Admissions 
Sept. 30, 1892. 


•SIBJOX 


1 1 1 1 1 1 1 1 1 r r 1 1 1 1 1 1 CI 1 1 1 1 i-i 1 1 1 


•a9[T;in3^ 


1 1 1 1 1 1 1 1 1 1 1 1 1 r 1 1 1 i-^ 1 1 1 1 1 1 1 1 


•BaiBj^ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i-i 1 1 1 1 1-1 1 1 1 


m 

< 

O 

)— 1 


N 

ao 
g 
p 

H 

3 


?; 
<< 

B 

K 
o 


R 
S 

5 


•sib;ox 


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


•B9I«UO^ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 J 1 r 1 J 1 J 1 1 1 


•S81BH 


1 1 1 1 1 1 1 1 1 1 r 1 1 1 1 1 J 1 J 1 1 




w 
o 

o 


•SIBJOX 


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


•saiBuis^ 


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 


■sajBH 


1 1 1 1 1 1 r 1 1 1 1 1 1 1 J 1 1 1 1 1 1 1 1 1 J 1 


o 

« 


•SIB}OX 


1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 1 J 1 1 1 1 s 1 1 1 1 


•saiBcua^q; 


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


■saiBH 


1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


p 

;> 
o 

« 

o 


•aiBjox 


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


•saxeraa^ 


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


•931BJ5 


1 1 1 1 1 1 1 1 1 J 1 1 1 1 r 1 1 1 1 1 1 J 1 1 1 1 


P 

o 
o 

K 


•9I«}0X 


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


•S8IBTO3^ 


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


•S9[T!p^ 


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


n 
w 

H 
H 

<1 


•SIBtlOX 


f-HCOOOOOOCOT-IOO-^t-COC^(N-:i^CJ(N«OCOiO^Oiid-<*<OOCO 
i-lr-li-iO»(Nr)(ClCO-<l<-a(T|(lr-l:-iOCOtOU5C01»QOC»«)iCt-0 


■9318033^ 


1 CDOOOi=OiC05t-'3 0COOiC^OiOOCOCD«Dr-<OOQO»rtl^-00(M-^00 
r-1rHr-IOqC^pH(M(NCOCOCOCOO:iCOCO-rtri1IMCOCOti^ 


•saiBH 


rt i-lr-((Mi-lr-(Mcq(M-*eOIM<MCO<N(NT)lT)<COCCNCO^ 
















1833 

1834 
1835 
1836 
1837 
1838 
1839 
1840 
1841 
1842 
1843 
1844 
1845 
1846 
1847 
1848 
1849 
1850 
1851 
1852 
1853 
1854 
1855 
1856 
1857 
1858 



1892.] PUBLIC DOCUMENT — No. 23. 47 



llH IrH Ir-lrH 1 IMrHHifflr-in((0M!00JOt->O-#t-O0>0»2000i(;^t;->0>H 

I— 1 CO 


00 


li-t li-H 1 li-H 1 ICl 1 ICO ICO-^l-HCOOCO'^t'vr3CO'^C50CO-*t-001t-'CO 
f— I I— f I— ii-it— irHCOCOt— t^ 


-^ 


1 1 1 1 lr-1 1 1 lr-<T-li-IC)r-(i-IIM(MCOC>OOC00001C5tOOCT.O-l'<»-rOO^'« 


^ 

^ 


J 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r-l 1 1 1 r1 1 1 1 1 1 r-l C-J 1 1 


lO 


•1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i-l 1 1 1 1-1 1 1 1 1 1 1 C^ 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 


■^ 


lllllllllllllllli-l|i-l|lrHlli-ll|IM(M-HtOrtl-t- 


s 


llllllllllllllllr-l|iHllrH|li-l|li-lrHi-l(MICOIM 


■■* 


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 IrlrH l^rH-*>0 


CD 


llllllllllllllllllli-l|llllllllli-ltinTt< 


;:; 


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 CO 1-1 


-* 


lllllllllllllllllllrtllllllll|lrHl(MCO 


■^ 


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 C-l <M r-1 <M CO Tj( 


'^ 


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 rt rH rH i-H CO rH 


CO 


lllllllllllllllllllllllllllll-Hi-llT-IICO 


to 




llllllllllllllllllllllllllll'-l|IICOI^0 


t- 


1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 >o -« 


C5J 


Illlllllllllllllllllllllllllr-IIIICOCn 


2 




CO 

en 
co" 


r-ivO(MOOCOiO»r3<DCOCOiOiO(MC<l*^t-^t^i-ias(Na>-^»nOCOt-COOi^^COai<MC<J 
<NC0C0COlM^C^(MCO'*-*^tOt-^^COTti^CO!NiMC^(MTf<NC0<N(NCOCOC0^CO 


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50 



WORCESTER LUNATIC HOSPITAL. [Oct. 



23. — Shoiuivg the Results of F 


Irst Admissions. 






Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Numbi r of persons on first 














admission, .... 


- 


- 


- 


6,648 


6,269 


12,907 


Discharged recovered, . 


2,170 


1,996 


4,166 


- 


- 


- 


improved, . 


1,688 


1,770 


3,458 


- 


- 


- 


not improved, 


1,332 


1,203 


2,535 


- 


- 


- 


not insane, . 


9 


6 


15 


— 


— 


- 


Eloped, 


4 


- 


4 


- 


- 


- 


Died, 


1,112 


917 


2,029 


- 


- 


- 


Remaining in the hospital 














Sept. 3u, 1892, . 


833 


367 


700 


6,648 


6,259 


12,907 



Shoiuing the Results oj Readmissions. 



Nmiiber of readmissions, 








2,000 


1,931 


3,931 


Discharged reowered, . 


708 


758 


1,466 


■ - 


- 


- 


improved, . 


538 


520 


1,058 


- 




- 


not improved, 


404 


351 


755 


- 


- 


- 


Eloped, ..... 


1 


- 


1 


- 


- 


- 


Died, 


248 


212 


460 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1892, . 


101 


90 


191 


2,000 


1,931 


8,931 



Showing the Results of Second, Admissions. 



Nmnber of second admis- 














sions, ..... 


- 


- 


- 


1,219 


1,200 


'2,419 


Discharged recovered, . 


885 


875 


760 


- 


- 


- 


improved, . 


320 


341 


661 


- 


- 


- 


not improved, 


285 


252 


537 


- 


- 


- 


Died, 


171 


155 


926 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1892, . 


58 


77 


135 


1,219 


1,200 


2,419 



Showing the Results of Third Admissions. 



Number of third admissions. 








382 


334 


716 


Discharged recovered, . 


141 


146 


287 


- 


- 


- 


improved, . 


102 


85 


187 


- 


- 


- 


not improved, . 


67 


59 


126 


- 


- 


- 


Died, 


46 


30 


76 


- 


- 


- 


Remaining in the hospital 














Sept. 80, 1892, . 


26 


14 


40 


382 


334 


716 



1892.] PUBLIC DOCUMENT — No. 23. 



51 



Shoioing the Results of Fourth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of fourth admissions, 




_ 




157 


141 


298 


Discliarged recovered, . 


• 66 


64 


130 


- 


- 


- 


improved, . 


45 


42 


87 


- 


- 


- 


not improved, 


28 


22 


60 


- 


- 


- 


Died, 


10 


10 


20 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1892, . 


8 


3 


11 


157 


141 


298 



Showing the Results of Fifth Admissions. 



Number of fifth admissions, . 








76 


73 


149 


Discharged recovered, . 


35 


40 


75 


- 


- 


- 


improved, . 


15 


15 


30 


- 


- 


- 


not improved, 


11 


9 


20 


- 


- 


- 


Eloped, 


1 


- 


1 


- 


- 


- 


Died, 


12 


5 


17 


- 


— 


— 


Kemaininof in the hospital 














Sept. 30, 1892, . 


2 


4 


6 


76 


73 


149 



Showing the Residls of Sixth Admissions. 



Number of sixth admissions. 








45 


40 


85 


Discharged recovered, . 


23 


22 


45 


- 


- 


- 


improved, . 


9 


13 


22 


- 


- 


- 


not improved, 


4 


2 


6 


- 


- 


- 


Died, 


3 


3 


6 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1892, . 


6 


■" 


6 


45 


40 


85 



Showing the Results of Seventh Admissions. 



Number of seventh admis- 














sions, ..... 


- 


- 


- 


26 


27 


53 


Discharged recovered, . 


14 


17 


31 


- 


- 


- 


improved, . 


6 


7 


13 


- 


- 


- 


not improved. 


3 


1 


4 


- 


- 


- 


Died, 


3 


2 


5 


26 


27 


53 



52 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Shoiving the Results of Eighth Admissions. 






Males. 


Females. 


Totals. 


Males. Females. 


Totals. 


Number of eiohth admissions, 
Discharged recovere<i, . 

imi^roved, . 

not improved, 
Died, 


10 
9 
1 


13 
2 
3 
1 


23 

11 

4 

1 


20 
20 


19 
19 


39 
39 



Showing the Results oj Ninth Admissions. 



Number of ninth admissions. 
Discharged recovered, . 

improved, . 

not imi>roved, 
Died 









16 


16 


10 


11 


21 


- 


- 


4 


4 


8 


- 


- 


1 


1 


2 


- 


_ 


1 


— 


1 


16 


16 



32 



32 



Showing the Results of Tenth Admissions. 



Number of tenth admissions, 








14 


16 


29 


Discharged recovered, . 


6 


12 


18 


- 


- 


- 


improved, . 


7 


2 


9 


- 


- 


- 


not improved, . 


1 


1 


2 


14 


15 


29 



Shoiving the Results of Eleventh Admissions. 



Number of eleventh admis- 














sions, 


- 


- 


- 


12 


14 


26 


Discharged recovered, . 


3 


9 


12 


- 


- 




improved, . 


6 


4 


10 


- 


- 


- 


not improved, . 


2 


1 


3 


- 


- 


- 


Died, ..... 


1 


— 


1 


12 


14 


26 



Shoiving the Results of Twelfth Admissions. 



Number of twelfth admis- 














sions, 


_ 


_ 


_ 


9 


11 


20 


Discharged recovered, . 


3 


9 


12 


_ 


_ 


_ 


improved, . 


4 


1 


5 


_ 


- 


- 


not improved, . 


1 


- 


1 


- 


- 


- 


Died, 


1 


1 


2 


9 


11 


20 



1892.] 



PUBLIC DOCUMENT — No. 23. 



53 



Showing the Results of Thirteenth Admissions. 



Numbei- of thirteenth admis 

sions, .... 
Discharged recovered, . 

improved, . 

not improved, 
Died, .... 



Males. 


Females. 


Totals. 


Males. 


Females. 








7 


9 


3 


8 


11 


- 


- 


3 


- 


3 


_ 




1 


_ 


1 


- 


~ 


- 


1 


1 


7 


9 



16 



16 



Shoioing the Results of Fourteenth Admissions. 



Number of fonrteentli admis- 














sions, 


_ 


- 


- 


5 


8 


13 


Discharged recovered, . 


3 


6 


9 


- 


- 


- 


improved, . 


2 


1 


3 


- 


- 


- 


not improved, 


— 


1 


1 


5 


8 


13 



Showing the Results of Fifteenth Admissions. 



Number of fifteenth admis- 
sions, 

Discharged recovered, . 
improved, . 
not improved. 









4 


6 


2 


4 


6 


- 


~ 1 


2 


1 


3 


- 




- 


1 


1 


4 


6 



10 
10 



Showing the Results of Sixteenth Admissions. 



Number of sixteenth admis- 
sions, . . . . . 

Discharged recovered, . 
improved, . 

Remaining in the hospital 
Sept, 30, 1892, . 









3 


4 


1 


3 


4 




_ 


1 


- 


1 


- 


- 


1 


1 


2 


3 


4 



54 WORCESTER LUNATIC HOSPITAL. [Oct. 



Showing the Results of Seventeenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of seventeenth ad- 
missions, .... 
Discharged recovered, . 
not improved, 


2 


2 
1 


4 
1 


2 
2 


3 
3 


5 
5 



Showing the Results of Eighteenth Admissions. 



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



---28 
1 2 3 - - 

1 - 1 - - 

-112 3 



Showing the Residts of Nineteenth Adm,issions. 



Number of nineteenth admis- 
sions, . . . . . 
Discharged recovered, . 
improved, . 









1 


2 


- 


2 


2 


- 


- 


1 


- 


1 


1 


2 



Showing the Results of Twentieth Admissions. 



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



_ - - - 2 

-22-2 



SJioiving the Results of Tiventy-first Admissions. 



Number of tweuty-first ad- 
missions, . . . , 
Discharged recovered, . 
Died, 



- - _ _ 2 

- 1 1 - - 
-11-2 



1892.] PUBLIC DOCUMENT — No. 23. 



55 



Showing the Results of Twenty -second Admissions. 





Males. Females. Totals. 


Males. 


Females. 


Totals. 


Number of twenty-second 
admissions, .... 
Discliarged recovered, . 


- 


1 


1 


- 


1 
1 


1 
1 



Showing the Results of Twenty-third Admissions. 



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



-11-1 



56 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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PUBLIC DOCUMENT — No. 23. 



57 



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1892.] PUBLIC DOCUMENT — No. 23. 



59 



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1892.] PUBLIC DOCUMENT -No. 23. 



61 



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1892.] PUBLIC DOCUMENT — No. 23. 



63 



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^:oeoo-#-*iooo>Oio>c-* 


■* o 



c<ir-<c<3'r4c<i-*^Tjic<icocccoeoor6^ir£c5C2«>OTiIioT)< 



lft(M-*^^C30C^cc^?c;ec"!:t^^lMc<^Mor-"c:':Cl!to-+|^^ 
CO c^i o iT. CO (M icr (M cr; c-i c^ (X C3 1^ c: t^ ic cc cr. r-i Ci <:r Ci Ti 

eoTt^!^icoc^«^cDTt^l^i(^^co(^^cocClr;r^'^t^»colCT^■^cotD 



COQOCOOSOiiO-^'MC^CO' 

coO"ncD-*ci6c3t-l^iccJ^i:D'^i--^t~^aoriocxicbcci>^36 



I I I I I 



I I I I I I 



I I I I I I I I I I r I 






-#oO'Ot^i-^cocor^-JCCiMco05-^r-~ooc>cooaicDi— ''Cao 
■— iCi^-t^'0«ocoaor^t--ooO'HCDiNcDroc^icoc<ioa)occo 

0»0-^»C*0«:>iolOOiQ<:DCDtC*O^TT'0 »c-o -^ "^ ?o -^ o 



•*iraiOOt^OHMC<l-!(<OOCOOOOC00300(M^— '. 



>oocooTP'*c:;Of 



iCOOOCDCiOJO'---^ — iC. 



•-ii— i-ir-(— ((N(NMCS<NlM(MC<3C0COTt<'*Tf<'#iC'C-#eoCO 



■siujox 



"saiBraaj 



ra30xooiOC<i-#— '3Dcnro^ccooo'>Ji^f^t^CiC<i^— I 

O— I— CO^--^C<lTf^cO-*lOCO-*f^33•M'>T■rt•CD•M(^]t~~■rt'^— 



>c<iX)0C50C<i — cooc<icr3t^ic;^oo05CDc<3 

J— I— C-4^-00C0CDtD35OO^^C^I-:CiOXCD0i 



C5»ocooocccc<icooooa3(MiCi— lOooccooQcoi— <coooc» 
ccr-t--.c50C3>— — ic^i — co'Mroo^oc; — — •co'^cot^sct^t^ 

COCOCOCC^0CC'^-*Tf-^rf^^'Tr-^'<rrH»ctiCiC^iOiC*O 

. I I I I I I I I I I I I I I I I I I I I I I I 

co^T-^ioccr^oooso-- 'Cifo-^i^ot-oooiO — c-ico-^o 
cocococococccoco^-^^5'-^'^Tr^r-^"^'^'eicic*c*ciQ 

COJOOOOOXiOOGOQCWOOCOXJOCCJOOOOOXCOaDODXOOOCOO 



1892.] 



PUBLIC DOCUMENT — No. 23 



65 



CCTIiiOl^-^COO-^CO(>JIQOCSCO^^CD'-HCDCiC-IC^JO-*OOOr-<ir3(MCOC^I'«'— l-^-t<Ot^ 



CJ-*e>3CO«3r^'«'Tt<t^-^lOC<3«5COiO<Nl:^QOt~(-^«DOia-*iO>OOTt<lOCOTt<OeOC<3lOiO 



cqr-^(^^■^J<co•fl;-*G>c^l^^c»c^|-HT^^o^a30cot--OT^^^co^^T)^aJ!r>--'^- iQ.cc cs ic -*< Oi 



(^ioo^-^o6t^t--^C50^o■— |^oc^oooo6'Oldco>ocoo05a3a^c»GCt~lcocDc6a3^-^030-- 



l I I I I I I I I I I I I I 



CO^J'MCDO'lCOt^OJCOI^tOOO'MtOI-^O'MCSOO 

■^■*oococ^ico-*cot^co-<i<(Mcoco05-*coa>i^c:. 



I I I I I I I I I 



Oa-:t;C^^^^H_i;DOCO-*C3C<l,-1005D05-*IC<l 



ocDaiC^joc^iooN'*c^c^OiGOoo>oa303cooooeo>ooocor-^tor^'— ic-icocot^coo 



OOCOCDi-HCOC^^iO^OiO^-^OGOO^OCOCOOOOiOt^'^f^'— '^^^C^JCOCO'-C^CO-^^^OCO 

'O0.--T)i — .-jc^icO'^'-<cocDi~-l'*(»cocor^t^-#c6c>icoc-J-^oo'>JOicc<iiOoi 



-*CO-*iClC-!ti"0-*-#-*^CO?0-^COCMCMt 



|.-IC<1.— (.— i^(MC-llMC<lC<lr-it— lc<ltM?^T 



»nGOCOCi'rf<iOr^iOOOit^aOc<100COCOTiii— IMH^^^OCDCO' 



I lO O O OO (M ■# CO CO iC • 



;oa5oO'^>oocoi— ico-^'^OoDOOOJiT^occoi— icocoo5tt3C^t--ioococoa2'*o«i-iiG:i 
oot^t-HGCioioo^-^i— lOO— (c^co-^o-^HOo^THc<i^t^r^aiGOOcoi— (oooo-ic^'^aiio 

COCO-*OTt<iOeO-*iCOCO'*'CO(M<NCOCOC<lC<ICNlM<M'— ICOC<ICM^COC<)C<li— l-<lcOCOC<l<MC^ 



s ^ 



CO CO CO CO 



lO ro o Ci "-O -^r CI 'Tt^ 00 (M CO 






T^i t:H Tfi lO *0 ^ ■ 



3 "3 



ti O 



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



r— OCO>Ot-CO!M'30>Of^'MOeOt^Oi-^C5-*C:>0 

— iot^f^coC5^HoocoT)<co-*oi^cot— o-f<c:i 

ifi CO •>! OO C5 O -1^ CO — I o ^ — 00 — ' c^i ci o t-^ — ' 00 
-^COtOOiO'OiCO — CO"O30COO5r^COCT)'— 'M-t* 
I>4<MrMC^C^S<l(M!MCOCOCOCOCOCOCOCOCO*-t<-*i 



I I I I I I I I I 



I I I I I I 



-JOC?ioc:5C^icoiccoGOi—(Oi'OcciciQ'0-#coo 
(M_oOTt<CDC<ioi>-ocvioco.-;oocoooa3-THic:'^ 
cdc^-^i— 't^ooii^cd — o>o^'-H-?^ocoO'^iOco 

Oi— IC^l'f-t<-a<COCOlO^-iiiOcr3CX>CO-frOOOa30CO 
C^C<l(MC<l(MlM(MC^CNCOCOCOCOCOCOCOeOCOCO^ 



c<iccoo<it^o:r)'^oc<iO'MoaocoOi0^iocot^ooa^ocooo-^'— aicooO'+icciOO^H 
ooo — rot^C3a2Tf''*y;iocot^i— <c<icocDoot^oo(M005cocooocoTticO'r;ait^oa;oac5 

COCOCOCOCOCOCOCOCOCOCOCOCO-*-#-*TtlTrlrt<^lQlO-*lCH3CDt^t^l>-t--COt— OOt^OOM 



II<llMlM(MC<lC^<0-4IM:<l(MCOCOCOCOCOTt<COCOCOTt<- 



■^c^o-^ocTicot — o:)-— 't^r^ir^oiC<it^30co»oo^cO!X>iccoc<it— I'oooococoo^occco'* 



i^coCTJO- •Mco-*-iccct^occ20'-<c<ioo-^iC'Ot--coci50'— 'C<ico^>ocDt^cocr:o— J(M 
iO"rictccoo«ocDcocDtocDCOt^r^t^i:^c^t--.f^t^t:--r^oDoooooo:?:'Coooooa;ooc30305 
I I I I I I I 



r- 3 

£ 9 
o " 



CCCOCO0OCCSCOO0ODCO0GOOO2O0O00OOaOCO0O00QOa)OO00COa00O3ODOa:DOX0O3030C» 



66 



WOECESTER LUNATIC HOSPITAL. [Oct. 






^ 






s 
^ 



SS 

o 






■to 



•midsoH 

ui SniuiBraaa ibjox 


1 


1 1 


1 


CO 
CO 


lll|C0lllO5||i-H 


1 1 




1 


1 1 


o 

1—1 


1 


1 1 |-*l 1 ICOl icol 

<M 1-1 


1 1 


•paAOjdmiun moj. 


1 


1 (M 

1— 1 


1 


1 


1 lOI 1 1!MI ICDCOt-I 


1 1 


•paAOidtni tBJox 


1 


O 1 

CO 


1 


1 


lOI 1 |CO(MCOOi| 1 1 
lO o 1-1 1-1 


1 CM 
CM 


•sau3A0Daa JO ibjox 


CM O G^ O CO 
-H CO .-^ (M CO 
«0 (M 1— 1 rH 


CDOOCOCOCOlMCDCiGOCO'— 1 
1— i^(M-^(MCOt-ii— 1 
(M T-I 


O CO 
O CD 

1—1 


Total Ndmuek of Per- 
sons SHOWING THE SAME 

Results. 


•SIBJOX 


CO O <M 
O CO T-i 
CO GS rH 


O CO 
(M CO 

T— I 


G^^'OO^COGOCMCOOJCOGOt-I 

t^iOi— ic<ii-icoi-iT-i 


lO CM 
CM CM 


•saiBinoj 


CO OD to CD (M 
lO (M O CD 1— 1 


IO^COCOCO(MOIGO(M-*T-Ir-I 
CO (M CM 


G^l 1-1 

I— 1 1—1 


•saiBK 


O <M CO -* ^ 
lO O O lO CM 

T-I 1— ( 


t^i— lTf<CDlOCOOCOI>-^l>- 1 
CO CO 1-1 T-I r-H 


CO T-I 

T— 1 T— 1 


am UI 


•(BHdsoH 
SiHuiBtnaa 


1 


1 1 


1 


T-I 


lll|rH|||i-l||.-l 


1 1 


•P9!a 


1 


1 1 


y-t 


1 


1 1 lr-l| 1 IrHl l,-l| 


1 1 


•pa/ 
saraix . 


LOjdrainfi 
jaqranjst 


1 


1 T-H 


1 


1 


1 |i-l| 1 I'HI |(Mi-l.-l 


1 1 


saraix J 


paAOJdnii 
aaqranj^ 


1 


T-H 1 


1 


1 


|t-I| 1 ICMi-li-lT-ll 1 1 


1 T-I 


•r 

saratx , 


ajaAooaa 
jaqmnjsf 


<M 


1—1 T-I 


1—1 


T-I 


COCMCMC<)fM^T-lT-|T-lT-<T-<lM 


^ CO 


o 

K d 

a a 

H 

° fi 
OS 5 

s « 

o 


•S[BJOX 


1—1 

o 

OO 








CO 
CD 
CM 


T— 1 


•saiBraaji 


CO 








T— 1 

CM 

T— 1 


'tl 


"saiBpf 


CO 

00 
CO 








T— 1 






si: 

25 










CD 


O 



1892.] PUBLIC DOCUMENT — No. 23. 67 



l|COII|G<l||^lllC<I|CMl 1-1 


[ 1 1 1 CO 1 1 1 1 1-1 


1^1 1 Icol li-Hl 1 l^leoi I.-II 


1 I 1 CO 1 1 1 1 --H 1 


tOl 1 |iOI ICNi-ii-ilt-l iCO<MCD(MCq 


1 1 >-! 1 1 1 CM CO 1 1 


C<1 C^ r-l 


1 t- 1 1 1 OO 1 CO .-1 1-1 


1-H tH Cq 1— ( 


L0 00i*-*(MC<)C005COCO 
lO (M CM 1—1 1-1 


1— 1 


i-it^i-I^CO-rtHi-iCOi-lrH 

1—1 


iO(N|iOr-i5^,-i,-l| liO^ICMCOl 1 1 1 


^co icOl— ico^-coi— ii— 1 


l-H(M,-(t^-:t<T-li-l iT-Hr-ICO'tC^ 1 |0<ICOi-l'-l 


t^ 1-H 1-1 CO <M 1-1 1 1 1 1 


1 |t-I| I It-hI 1^1 1 |rH|,-l| li-H 


1 1 1 1 1-1 1 1 1 1 1-t 


IrHl 1 IrHl |,-H| I |^|^1 |^| 


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


1— 1| 1 |i— (1 |(M.-lr-l|i-Hl li-Hi— IG^C<I(M 


1 1 rH 1 1 1 (M r-l 1 1 


1 1 IC<5t-l,-Hr-l| 1 |COCM(M(K1i-ItH--i| I 


1 rH 1 1 1 CM 1 rH -- 1-1 


SOi:OCOC<ICN(MC<l(MCN(Mr-lrH,-(,-ti-H.-HT-l,-<,-l 


>o-^^'*^cococococo 


CO 








• 



68 



WORCESTER LUNATIC HOSPITAL. [Oct. 



o 






OS 

o 






V 



« 






•[BjidsOH 
ui Siuniuraaa lejox 


1 1 1 1 1 1 1 1 


1 1 1 ICMI I.-II \ T^T^ 


in pa 


•[BjidsoH 
a I1310X 


1 ^ CM ,-( 1 ^ 1 1 


1 1 \ O^ \ It-II 1^1 1 


•paAOJdnijuii iBjox 


CO 1 CM C^ 1 1 G^ -* 


ll'-l||lll--H||rH 


•paAOidrai iBjox 


O GO (M 1 GO CC G<) 1 


1 CO 1 1 1 -* I— 1 r- 1 (>J CO CO (M 


•saijaAODaa JO [bjox 


oco-*(^^c^•-ll— It— ( 


OOOOOGO-^^COC^lC^cM 

CO T— 1 1— 1 T-l 


is 

CO h; 
►J «i S 

§11 


•SIBJOX 


CO'#CM^CM'-i--i^^ 


OCOi— ICMOlCMi— It— ii— ii— iT-li— 1 


•saiBraa^ 


,-H tH r-l 1 ,-1 1 ^ --^ 


COt-I—ICMt-it-It-I 1 1 1 ) 1 


•saiBH 


CM CO 1— 1 ^ T-^ T-i 1 1 


CMCMI iT-^T-Hlr-lT-lT-lT-lrH 


aqj nt 


•[B^idsoH 
Siuureraaji 


llllllll llll'-HII'-lll.-HrH 


■P'^ja 


1 rH ^ ,^ 1 rH 1 1 


1 1 iT-il It-hI It-^I I 


•pai 
samix J 


LOjdtnian. 
jaqtanu 


r-l 1 T-l <M 1 1 (M -^ 


l|rH|||||,-l||T-l 


saniix . 


MAo.idrai 
fo jaqranx 


G^ C<1 T-H 1 -^ CO (M 1 


1 T-l 1 1 1 CM T-l T-( (M CO CO C<I 


■I 

samix J 


ajaAooaa 
jaqranK 


C^JCMfMCMi— iT-iT-ii-l 


O-OOiO^O^^^COCMCMtM 


o 

z 


•siB»ox 


-+i 
CM 


•BaiBmaj 


o 
1—1 


•saiBM 


T— 1 




a 

H Q 
, K 

O H 

K S 

2 < 

D 




CO 



1892.] PUBLIC DOCUMENT — No. 23. 69 



I I I I I I I I I I I I I I ) I I I I II II II 



1|T-H|||<M,-H|||,-4ilrH lllll-H II II |l-H 



ICMiMII^Ollll— i|i-l.-i| l|(M|.-H |,-i |(>l ^1 



-<*eoc<i |<M 1 It-icmsocmcnco^^ 


1 C<1 1 CN CO 


-* rH 


CO -* 


i-H tH 


1-Hr- li-(|>.(MtO(MiOiO-*-^-^COG<l(N 
r-i 1-1 


CO '^ -# tr> CO 




t> •>* 


05 Ol 




i-l C^ (M T-H i-H 


(M 1-1 


l-( i-H 


.-( rH 



l||r-(rHi-li-l|r-l7-H|||rHT-H |l<M|i-H rHj IrH ,-i \ 



r-l|T-l|l-lr-l||rHr-lrH|| l-HCN|rH| i-HrH rHj \ ■r-i 



I I I I I I I I t I I I I I I I I I I II II I 



lr-l|||rHrH|||r-l||rH ||||rH || || jrH 



|(M<MI|rH||||rH|>-HrH| ||r-l|rH \ T-t |(M rH| 



■^COCMji-Hj |i-i!>)COC<l<MCO-^-^ |i-(|(MCO CNi-H CO-^ i-i t-i 



rHTHi-l|>.CO?C>'^'OiO-^'^-*CO(MC<5 COt>l>-'^CO t^t> t^-* O:: a:i 



eo a<\ lO 



'^ 2 r.' > 



70 



WORCESTER LUNATIC HOSPITAL. [Oct. 



o 



o 










IBjjdsoH 


1 1 1 1 1 1 


1 1 1 


1 1 1 


1 1 1 


1— 1 1—1 




ui Sutuinraaa iBjox 
















[UjidsoH 


1 T-l 1 1 tH r-1 


--1 1 1 


1 1 T-H 


1 1 1 


1 1 




ut pgi 


a IBIOX 


















1 1 1 1 1 1 


1 C<l CM 


1 1 l-< 


1 1 1-1 


1 1 




■psAOJdninixi fejox 


















CO (M Ci «3 C^ ti 


i-H 1^5 GO 


1 CO CM 


1 1-1 1 


CO lO 




•paAOjarai ib;ox 


















00 CO c^ CO ai t^ 


^ lO CC 


-i- 1-1 o 


lO -* -^ 


(M O 




•SaU3AO03ajOll3}OX 






tH ^^ 1— 1 


I— 1 1—1 1—1 


1—1 r-( 




« i 




1— 4 tH 1— ( C<I 1— 1 T— ( 


1— 1 1— ( 1—1 


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1-1 r-< 




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fe M 
















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6-( 


















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1 1 1 1 1 1 


1 1 1 


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SumiBtaaji 


















1 i-H 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 


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satnix J 


o jaqraujj 
















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1892.] 



PUBLIC DOCUMENT— No. 23. 



71 



1 1 


1 


1 


1 


05 










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1 


T-l 


1 




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72 



WORCESTEK LUNATIC HOSPITAL. [Oct. 



27. — Subsequent History, to Sept. 30, 1887, of 1,134 Persons 
lolio have been discharged from the Hospital as recovered on their 
Only Admission or on their Last Readmission. 





Males. 


Females. 


Totals. 


Remained well and living at time of reply, 


164 


146 


310 


Remained well through life, 


113 


136 


249 


Relapsed and readmitted to this hospital, . 


2 


1 


3 


Relapsed, admitted to other hospitals, and 
died there, 


27 _ 


27 


54 


Relapsed, admitted to other hospitals, and 
discharged, ...... 


35 


32 


67 


Relapsed, admitted to other hospitals, and 
there now, 


13 


20 


33 


Relapsed and died at home, .... 


■ 48 


54 


102 


Relapsed and died at almshouse, . 


24 


16 


40 


Relapsed and living at almshouse. 


9 


3 


12 


Relapsed and living at home, 


22 


29 


51 


Relapsed and nothing more known, . 


9 


1 


10 


Suicides, 


26 


14 


40 


Relapsed and died in Andersonville Prison, 


1 


- 


1 


Totals, ....... 


493 


479 


972 


No information, 


- 


- 


162 




493 


479 


1,134 



1892.] 



PUBLIC DOCUMENT — No. 23. 



73 



Residence o/ Town Patients admitted to the Hospital from 
Oct. 1,1891, to Sept. 30, 1892. 



TOWNS. 


No. 


TOWNS. 


No. 


Ayer, ..... 


1 


Northbridge, 


1 


Athol, . 








2 


Natick, 








1 


Belchertown, 








1 


Oakham, . 








1 


Boston, 








22 


Pittsfield, . 








1 


Blackstone, . 








2 


Somerville, 








9 


Brookfield, . 








1 


Southbridge, 








1 


Cambridge, . 








16 


Sutton, 








1 


Clinton, 








2 


Sturbridge, 








1 


Chelsea, 








8 


Salem, 








1 


Fitchburg, . 








1 


Templeton, 








1 


Framingham, 








1 


Worcester, 








23 


Gardner, 








1 


Waltham, . 








3 


Littleton, 








1 


Watertown, 








1 


Lancaster, . 








2 


Webster, . 








2 


Lowell, 








14 


Winehendon, 








1 


Milford, 








2 


Wellesley, 








2 


Millbury, . 








1 


Westford, . 








2 


"vr n 1 -fl 1 ,^ 








1 
3 






Newton, 






Total,. 


129 



Natives, 71 

Foreigners, 58 

Total, 129 



State Patients admitted to the Hospital from Oct. 1, 1891, 
to Sept. 30, 1892. 

State natives, 186 

State foreigners, 231 

State unknown, 2 

Total, . 419 



74 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Residence of Private Patients admitted to the Hospital from Oct. 
1, 1891, to Sept. 30, 1892. 



TOWNS 




No. 


TOWNS 




No. 


Arlington, 










1 


Somerville, 








2 


Ayer, . 










1 


Springfield, 










Boston, 










19 


Stockbridge, 










Brookline, 










2 


Southbridge, 










Barre, . 










1 


Spencer, . 










Cambridge, 










4 


Toledo, Ohio, 










Dudley, 










1 


Uxbridge, . 










Fitchburg, 










2 


Upton, 










Gardner, 










3 


Weston, 










Harvard, 










1 


Woburn, . 










Hanson, 










1 


Winchendon, 








^ 


Lowell, 










3 


Winchester, 










Leominster, 








2 


Waltham, . 








2 


Newton, 








2 


Worcester, 








15 


Northborough, 








1 


Ware, 








1 










3 
2 






O 7 

Oxford, 








Total, . . . . 


82 


Pax ton. 








1 







Natives, . 
Foreigners, 



61 
21 



Total, 



82 



1892.] 



PUBLIC DOCUMENT — No. 23. 



75 



LIST OF PERSONS 

Employed in the Worcester Lunatic Hospital, Sept. 80, 1892. 



Superintendent and physician, per year. 

Assistant physician, 

Assistant physician. 

Assistant physician, 

Assistant physician, 

Assistaiit physician, 

Steward, 

Matron, 

Treasurer, 

Clerk, 

Clerk, per month, 

Supervisor (male). 

Supervisor (female), 

Assistant supervisors (male, two), 

Assistant supervisors (female, two). 

Marker of clothing. 

Seamstresses, 

Attendants (male, thirty-five), $23.00 to $25.00 per month. 

Attendants (female, forty-four), $14.00 to $18.00 per month 

Night attendants (male, four), $25.00 to $28.00 per month. 

Night attendants (female, four), per mouth, 

Baker, 

Assistant bakers (two). 

Storekeeper, 

Office girl. 

Kitchen man, 

Cook, 

Cook, 

Laundry man. 

Laundress, 

Assistant laundry man, 



$3,000 00 

1,500 00 

1,000 00 

1,000 00 

900 00 

800 00 

1,200 00 

500 00 

500 00 

600 00 

25 00 

45 00 

30 00 

35 00 

25 00 

18 00 

18 00 



18 00 
45 00 
25 00 
35 00 
16 00 
35 00 
25 00 
22 00 
30 00 
20 00 
25 00 



76 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



Laundry girls (six), $14.00 to $18,00 per month. 
House girls (seven), per month. 
Kitchen girls (three), f 14.00 to f 16.00 per month 
Scullery man, per month, .... 
Carpenters (two), $2.50 and $3.00 per day. 
Painters (three), f2.50 per day. 

Plumber, per year, 

Mason, per year, 

Helper, per month, 

Engineer, per year, 

Firemen (two), $40.00 and $45.00 per month. 

Farmer, per year, 

Housekeepers (two farm houses) , per month. 
Farm laborers (eight), f 15.00 to $30.00 per month 



Farm watchman, 

Gardener, 

Florist, 

Coachman, 

Expressman, 

Basement and yard man, 



per month, 



$14 00 
25 00 





900 


00 




1,000 


00 




30 


00 




1,000 


00 




1,000 


00 




14 


00 




40 


00 




50 


00 




45 


00 




25 


00 




' 27 


00 




25 


00 



1892.] 



PUBLIC DOCUMENT — No. 23. 



77 



SUMMARY OF FARM ACCOUNT 

For Twelve Months, ending Sept. 30, 1892. 



Dr. 

Blacksmithing, . 

Bread, etc.. 

Butter, 

Current ex^^enses, 

Fertilizers, 

Furnishings, 

Fuel and lights, . 

Grain and meal, 

Groceries, etc., . 

Hay and pasturage. 

Labor, 

Live stock. 

Meats, 

Repairs, 

Seeds, 

Sugar, 

Tools, 

Water, 

Wages, 

Rent of Howe farm. 

Net gain for year ending Sept. 30, 1892, 



Ce. 



1,298 bari'els apples, . 

674 bunches asparagus, 

200 bushels ashes sent Hillside 

85 bushels shell beans, 

41 quarts shelled beans, . 

63 bushels string beans, . 

24 bushels beets, 

2,029 pounds beef, 

116 barrels cabbages, 

13,998 pounds cabbages, . 

2,100 bunches celery, 



farm, 











$202 


05 


180 


00 


366 


72 


63 


86 


576 


21 


190 


11 


133 


23 


4,125 


80 


460 


10 


140 


00 


36 


42 


2,258 


00 


717 


15 


203 


07 


170 


15 


96 


67 


35 


76 


43 


16 


4,026 


37 


300 


00 


7,287 


12 


^21,601 


95 


fl,288 00 


67 


40 


12 


00 


85 


00 


4 


10 


47 


25 


16 


50 


164 


65 


93 


25 


139 


98 


159 


90 



78 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



3,565 gallons cider, . 

88 bushels and 43 dozen cucumbers, 

55 pounds cauliflower, 

170 barrels green corn, 

2,138 quarts currants, 

296 pounds chicken, . 

12| dozen egg plant, . 

4831 dozen eggs, 

Grain sent Hillside farm, 

23 gallons oil sent Hillside farm, 

36,365 pounds hay, . 

17 bushels herbs, 

4,034 heads lettuce, . 

87 melons, . 

293,496 quarts milk, . 

650 bushels onions, . 

224 bushels parsnips, 

2 bushels peppers, 

177 bushels pears, 

82 bushels pease, 

33 baskets peaches, . 

145 bushels ruta-bagas, 

80 iDOunds hoi'se i-adish, 

6,105 pounds rhubarb, 

745| dozen radishes, . 

44,974 pounds winter squash, 

49|^ dozen summer squash, 

2 bushels salsify, 

2,045 quarts strawberries, . 

424 bushels tomatoes, 

127 bushels turnips, . 

Use of teams for drawing, 

Cash received for use of team, 

Cash received for Premium Agricultm'al 

Cash received for live stock, 

Cash received for load muck. 

Cash received for plank, . 

Cash received for sand, 

Cash received for bones, . 

Cash received for wood, . 

Cash received for 29,387 pounds pork, 



Society, 



$285 20 

55 38 

2 20 

255 00 

171 04 

59 20 

11 76 

120 69 

759 70 

1 82 
363 55 

17 00 

91 61 

8 70 

11,739 84 

550 00 

113 50 

2 00 
177 00 
110 00 

83 00 
72 50 
8 00 
91 87 
44 75 
343 20 
11 80 

6 00 
245 40 
150 40 

50 80 
622 00 

3 00 

7 00 
893 10 

2 00 

1 08 

25 50 

21 25 

103 75 

1,892 33 



! 1,601 95 



1892.] 



PUBLIC DOCUMENT — No. 23. 



79 



PRODUCTS OF THE FARM 



On Hand Oct. 1, 1892, and not Delivered at the Hospital. 



Apples, 

Apples, cider, 

Beans, shell. 

Beets, . 

Cabbage, 

Cauliflower, 

Celery, 

Corn fodder. 

Corn, . 

Corn, sweet, 

Coi"n, pop, . 

Carrots, 

Ensilage, 

Hay and rowen, 

Leeks, . 

Parsley, 

Peppers, 

Parsnips, 

Pears, . 

Salsify, 

Turnips, 

Tomatoes, . 

Squash, 

Ruta-bagas, 

Hay, swale, 



395 barrels. 

700 bushels. 
10 bushels. 
250 bushels. 
5,000 heads. 

150 pounds. 
3,000 heads. 
30 tons. 
600 bushels. 
10 barrels. 

4 barrels. 
50 bushels. 
70 tons. 

225 tons. 
100 

5 bushels. 
1 bushel. 

200 bushels. 

10 bushels. 

10 bushels. 
600 bushels. 
150 bushels. 

12 tons. 
100 bushels. 

10 tons. 



_^ 



,<•• '"