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











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University of IVIassachusetts Amherst 



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



SIXTY-FIEST ANNUAL EEPOET 



THE TRUSTEES 



Worcester Lunatic Hospital, 



SIXTEENTH ANNUAL REPORT OF THE TRUSTEES 



WORCESTER INSANE ASYLUM AT WORCESTER, 



FOR THE 



Year Ending September 30, 1893. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1894. 






OFFICERS OF THE HOSPITAL. 



TRUSTEES, 

HENRY S. NOURSE South Lancaster. 

ROCKWOOD HOAR Woecester. 

FRANCIS C. LOWELL, Boston. 

ELLEN S. HALE, Boston. 

FRANCES M. LINCOLN Worcester. 

A. GEORGE BULLOCK Worcester. 

THOMAS H. GAGE, Worcester. 



RESIDENT OFFICERS. 

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

ALFRED I. NOBLE, M.D Assistant Superintendent. 

LAURE HULME, M.D., Assistant Physician. 

LYMAN A. JONES, M.D Assistant Physician. 

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

THOMAS T. SCHOULER Steioard. 

LILA J. GORDON, Matron. 

S. JOSEPHINE BRECK, Clerk. 

HENRY S. GRAVES, Farmer. 



NON-RESIDENT OFFICERS. 

ALBERT WOOD Treasurer. 

GEORGE L. CLARK, Auditor. 

KIMBLE R. SMITH Engi^ieer. 



dCnmmonfa^alt^ of |i:asga;r]^itsrftB. 



TRUSTEES' REPOET. 



To His Excellency the Oovernor and the Honorable Council. 

The trustees of the Worcester Lunatic Hospital respectfully 
present for your consideration their sixty-first annual report, 
coverino; the fiscal year 1892-93. With this and formino- a 
part of it will be transmitted the reports made to the trustees 
by the superintendent and treasurer, including statistical tables 
and full details of the operations and condition of the institu- 
tion in their charge. 

The summary by the treasurer shows that the financial affairs 
of the hospital are in a satisfactory state, the small surplus 
which serves as working capital remaining unimpaired. The 
cost of maintenance per patient has been $3.58 per week; 
proving that but for the considerable income derived from 
those inmates who are not classed among State or town paupers, 
and who pay fair rates for the care and accommodations pro- 
vided them, there must have been a large deficit. The land 
account will be soon closed, there being now only eight build- 
ing lots unsold. These are upon Merrifield and Mulberry 
streets, being in area 43,500 square feet, and of an estimated 
value of $5,500. Since 1874, the net proceeds of land sales 
turned into the treasury of the Commonwealth amount to 
$142,805. 

The plumbing and other fixtures of the hospital bath-rooms 
and closets are of the fashion of twenty years ago, located 
within the wards, and designed for the use of a far less num- 
ber of patients than now crowd the institution. Long since 
they became in every way unsatisfactory, were often offensive. 



6 WORCESTER LUNATIC HOSPITAL. [Oct. 

and obviously a constant menace to sanitary conditions. The 
reconstruction of the plumbing was seen to be imperatively 
demanded ; but to attempt this within the limits prescribed for 
the original plan was not to be thought of. The trustees were 
therefore forced to appeal to the Legislature for an appropria- 
tion to defray the cost of building four new water-sections as 
additions to the north wings. The superintendent, who has 
had large experience in similar work, after a careful study of 
the situation, perfected plans which he estimated — by utilizing 
such materials as exist upon the grounds of the hospital and 
employing wherever available the labor of patients and regular 
employees — could be carried out in the plainest style of archi- 
tecture for the sum of $20,000. This amount was asked for, 
and was granted by the Legislature. The foundations of two 
of the structures have been laid, and the superstructures will 
be pushed as rapidly as consistent with economy. As each 
addition is completed, the old bath-rooms and closets will be 
converted into rooms for patients, adding ten in each wing, and 
by so much relieving the crowded state of the wards. 

The sum of $25,000 was also granted by the Legislature to 
be expended in the erection of farm buildings, which shall 
afford comfortable accommodations to about fifty patients 
selected from those who can safely be allowed a large degree 
of liberty, and are able to perform regular labor upon the 
farm. This appropriation was, however, not made imme- 
diately available, and little has been done in this matter beyond 
a careful consideration of plans. 

Besides the regular employment throughout the year of a 
large corps of mechanics and patients in repairing and paint- 
ing, redecorating walls and ceilings, scraping and varnishing 
floors, etc., many permanent improvements have been made 
about the buildings and farm, of which particular account will 
be found in the report of the superintendent. 

The following communication from a committee of the 
World's Fair Managers was given prompt and favorable atten- 
tion by the trustees and superintendent : — 



1893.] PUBLIC DOCUMENT — No. 23. 7 

Office of the Committee on Chahities and Correction, 

No. 309 Sears Building, Boston, Mass., Nov. 19, 1892. 

To the Chairman of the T7^ustees of the Worcester Lunatic Hospital^ Worces- 
ter, Mass. 

Dear Sir : — The committee on charities and correction appointed 
by the Massachusetts Board of World's Fair Managers is desirous 
of getting a complete exhibit of the Worcester Lunatic Hospital. 
Dr. Eichard L. Hodgdon, the chairman of the committee, considers 
it the best lunatic hospital from which to make a typical exhibit. I 
have sent circular similar to the enclosed to the superintendent. The 
exhibit might include plans of the buildings and grounds, and photo- 
graphs of both ; plans showing the location of your farm, which is 
separated from the grounds. The photographs and plans should 
show not only the general plan but specially such wards as are pecul- 
iar or valuable. I have talked the matter over somewhat with Mr. 
Francis C. Lowell, one of your Board, and it seems to me that your 
rooms for suicidal patients would be among those which should be 
specially shown. 

We should want your reports, and it is a good plan, if you will do 
so, to put in this year's report, or, in a separate pamphlet, a general 
statement of the history and work of the hospital. 
Very truly, 

Joseph Lee, Secretary. 

In conformity with the suggestions of this letter, under the 
direction of Dr. H, M. Quinby, the superintendent, an exhibit 
was prepared and forwarded in due season. This embraced: 
plans of the hospital buildings and grounds, of the method of 
heating and ventilation, and of the system of sewage disposal; 
photographs and plans of the suicidal wards ; photographs of 
the exterior and interior of the hospital ; a full set of the 
reports, and a concise sketch of the history of the institution. 

George Green, an insane criminal sent to the hospital by 
order of the governor, from the State Prison at Charlestown, 
Nov. 26, 1892, was removed from this institution upon a writ of 
habeas corpus Dec. 15, 1892, taken to Dedham, before Judge 
Richardson, and resentenced to Charlestown for twenty- five 
years. Another patient, with the assistance of an attendant, 
escaped from the hospital and left the State. The peculiar cir- 
cumstances attending these two cases determined the trustees 
to seek the opinion of the district attorney as to the rights of 
the Board and the advisability of proceedings for the return of 



8 WORCESTER LUNATIC HOSPITAL. [Oct. 

these patients to the institution. The district attorney advised 
the Board that their rights under the statute, chapter 222, sec- 
tion 10, had plainly been invaded in the case of George Green, 
but suggested that the public interest might be best served by 
taking; no action to invalidate the criminal's conviction. His 
opinion in the case of the escaped patient was, in effect, that 
no legal process exists whereby an institution can regain the 
custody of an insane inmate who is beyond the jurisdiction of 
the State, and that there is no law under which an attendant 
assisting in the escape of a lunatic can be punished criminally. 
The Board respectfully recommend the enactment of a law 
making it a penal offence to aid an insane person in escaping 
from a public institution. 

After four years of acceptable service in the position of 
steward of the hospital, Mr. Edward T. Caldwell became per- 
manently disabled by serious illness, and resigned at the close 
of the year. For several months the responsibilities of the 
office devolved upon the superintendent. Mr. Thomas T. 
Schouler has been chosen as Mr. Caldwell's successor, and has 
entered upon his duties. No other change has occurred in the 
official staff of the institution since the last report. The medi- 
cal officers, matron, clerk, farmer, supervisors and attendants 
have almost uniformly been active and efficient in the discharge 
of their respective duties, — essentially contributing by their 
harmonious labors to the usefulness and successful management 
of the hospital. To the energy and rare ability, both execu- 
tive and administrative, of the superintendent the continued 
prosperity and the high standing of this great public charitable 
institution are in great measure due. 

HENRY S. NOURSE. 
• ROCKWOOD HOAR. 

FRANCIS C. LOWELL. 
ELLEN S. HALE. 
FRANCES M. LINCOLN. 
A. GEORGE BULLOCK. 
THOMAS H. GAGE. 
Worcester, Sept. 30,;i893. 



1893.] 



PUBLIC DOCUMENT — No. 23. 



YALUE OF PERSONAL ESTATE. 

Sept. 30, 1893. 



Live stock on the farm, .... 
Produce of the farm on hand, . 
Carnages and agricultural implements, . 
Machinery and mechanical fixtures, . 
Beds and bedding in inmates' department, 
Other furniture in inmates' department, . 
Personal property of State in superintendent's 
Ready-made clothing. 
Dry goods, .... 
Provisions and groceries, . 
Drugs and medicines, . 

Fuel, 

Library, .... 
Other supplies undistributed. 
Pipes and radiatoi's, . 

Total, .... 



department, 



$9,104 00 

6,622 80 

8,598 67 

28,905 16 

29,299 32 

21,594 83 

21,111 29 

2,239 08 

774 36 

2,845 37 

800 00 

8,445 20 

3,555 00 

5,888 18 

36,000 00 

$185,683 26 



10 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



TREASUKER'S REPORT. 



To the Trustees of the Worcester Limatic Hospital. 

I herewith submit ray annual report on the finances of the 

Worcester Lunatic Hospital for the year ending Sept. 30, 

1893: — 

Receipts. 

Cash on hand Sept. 30, 1892, $21,692 39 

Eeceived of the Commonwealth foi' support of patients, . . 45,711 10 

of cities and towns for support of patients, . . 80,898 49 

of individuals, 43,192 01 

for interest, sale of produce, etc., .... 6,551 07 

belonging to patients, 2,186 37 



Total, 



§200,231 43 



The expenditures for the year have been as follows : — 



Flour, 

Meat of all kinds. 

Fish, . . . . 

Meal for cooking. 

Beans, potatoes and other vegetables 

Sugar, .... 

Molasses and syrup, . 

Tea, 

Coffee 

Butter, .... 

Cheese, .... 
Fresh fruits. 

Eggs, salt and other groceries. 
Salaries and wages, . 
Grain, ..... 
Meal for stock, . 
Hay and pasturage. 
Furniture, .... 
Crockery and glass, . 

Amount carried forward. 



$6,609 78 


13,756 


63 


3,087 


17 


608 


80 


4,163 


35 


3,188 


20 


558 


50 


735 


19 


1,891 


12 


9,795 


47 


608 


54 


1,035 


15 


5,533 


59 


65,370 


52 


436 


80 


3,461 


81 


646 


50 


752 


80 


695 


85 


$112,835 


77 



1893.] PUBLIC DOCUMENT — No. 23. 

Amount brought forward, . 



Tinware, 

Bedding and beds, 

Straw, .... 

Furaishings, miscellaneous 

Tools, .... 

Lights, 

Water, 

Fuel, .... 

Soap, .... 

Medical supplies. 

Live stock, . 

Carriages, harnesses, etc., 

Blacksraitliing, . 

Plants and seeds, 

Hardware, . 

Lumber, 

Paints, oils, etc., . 

Pipe and fittings. 

Lime, cement, etc., 

Repairs, ordinary, 

Fertilizers, . 

Stationery, . 

Postage, 

Transportation, . 

Travelling, . 

Trustees' expenses. 

Miscellaneous, 

Labor, .... 

Clothing and men's furnishings, 

Dry goods, women, 

Dry goods, house. 

Boots and shoes, . . . , 

Total current expenses, 



Extraordinary expenses — improvements. 

Extraordinary repairs. 

Undertaker's charges, 

Money refunded, .... 

Cash refunded patients. 

Transfer of donation " Manson Fund," 

Interest added to " Manson Fund," . 



Cash on hand Sept. 30, 1898, 



11 



• 


• 


• 


fll2,835 77 




75 79 




2,447 83 






202 70 








4,019 54 








28 47 








3,913 71 








2,612 81 








13,-i33 29 








1,470 74 








946 44 








1,189 53 








724 98 








460 22 








297 01 








255 94 








1,394 19 








817 99 








2,114 59 








1,150 15 








2,407 57 








478 52 








426 59 








237 71 








183 96 








179 93 








79 50 








2,955 70 








584 35 


, 






6,760 13 








2,791 73 








1,236 88 


• 






1,568 65 


• 


. 1170,082 91 


. $568 74 




. 2,359 46 




. 462 50 




38 74 




. 1,702 17 




. 988 58 






48 4 


4 



6,168 63 

$176,251 54 
23,979 89 



,231 43 



12 WORCESTER LUNATIC HOSPITAL. [Oct. 



Resources. 

Cash on hand, / .' ' . . . $23,979 89 

Due from th6 Commoilwealth for board, etc., .... 9,8.S5 57 

cities and towns for board, etc., .... 23,575 36 

individuals for board, etc., 11,051 25 

the Commonwealth on account of appropriation for 

imi^rovements, . , 1,779 G9 



Total resources, ... .• . .... .■ . $70,221 76 

Liabilities. 
Due for supplies and improvements, . 
for salaxnes and wages, 
to patients, ...... 

for new work, improvement account. 



Total surplus, ......... $54,040 60 

Respectfully submitted, 

ALBERT WOOD, 

Treasurer. 
Oct. 1, 1893. 



$8,038 67 




4,514 44 




2,389 75 




1,238 30 






16,181 16 





HOSPITAL LIBRARY FUND. 



Lewis Fund. 
Cash on hand Sept. 30, 1892, . . . . . f 28 00 
Received interest on Springfield bond, . . . 70 00 



Expended for books, $68 09 

Deposit in savings bank, 20 00 

Cash on hand Sept. 30, 1893, . . . . . 9 91 



Wheeler Fund. 

Cash on hand Sept. 30, 1892, $92 18 

Received dividends, ....... 218 14 



Expended for books, . ..'..-.. |249 25 
Cash on hand Sept. 30, 1893, . . . . . 61 07 



$98 00 



$98 00 



$310 32 



$310 32 



1893.] 



PUBLIC DOCUMENT — No. 23. 



13 



Manson Fund. 
Donation deposited in Worcester County Institution 

for Savings, . 

Dividend added to principal, .... 



$1,037 02 
20 74 



$1,057 76 



Lewis Fund Investment. 
Springfield bond, ....... $1,220 00 

Worcester County Institution for Savings, . . 20 00 
Cash on hand Sept. 30, 1893, . . • . - . . 9 91 



L,249 91 



Wheeler Fund Investment. 

Seven shares Central National Bank, . . . f 980 00 
Six shares Worcester National Bank, . . . 840 00 
Worcester County Institution for "Savings, " . . 1,145 86 
Worcester Five Cents S'avings Bank, ' . . . 1,719 47 
Cash on hand Sept. 30, 1893, . . . . . ' 61 07 



4,746 40 



Manson Fund Investment. 

Worcester County Institution for Savings, 



1,057 76 



$7,054 07 



14 WORCESTER LUNATIC HOSPITAL. [Oct. 



LAND ACCOUNT. 



Cash on hand Sept. 30, 1892, $2,606 45 

Received from sales of land, 7,733 82 



Total receipts, $10,340 27 

Expenditures. 

Services of subpoenas in suit, . , , . , $4 22 

Plans, surveys and deeds, 148 25 

Commissions, 150 00 

Remitted to State Treasurer, 9,500 00 

$9,802 47 

Cash on hand Sept. 30, 1893, 537 80 



$10,340 27 
Respectfully submitted, 

ALBERT WOOD, 

Treasitrer. 
Oct. 1, 1893. 

Worcester, Mass., Oct. 26, 1893. 
The undersigned has carefully compared the treasurer's statement of expenditures 
for the year ending Sept. 30, 1893, with the vouchers which are on file at the hospital, 
also the statement of receipts with estimated earnings, and found them correct. He has 
inspected the securities for the invested funds, and found them to correspond with the 
treasurer's statement of their market value ; and he has compared the statement of 
expenditures in the land account with the vouchers, and found it correct. 

GEORGE L. CLARK, 

Audito7- of Accounts. 



1893.] PUBLIC DOCUMENT — No. 23. 15 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Worcester Lunatic Hospital. 

I herewith respectfully submit the following report of the 
superintendent of the hospital for the year ending Sept. 30, 
1893, it being the sixty-first annual report. 

There remained at the hospital Oct. 1, 1892, 891 patients 
(434 men and 457 women) ; 203 men and 218 women were 
discharged, 76 men and 40 women died and 284 men and 250 
women were admitted, leaving at the end of the ofBcial year 
886 patients (439 men and 447 women). Of this number 272 
were supported by the State, 479 by cities and towns and 135 
by friends. Of the 421 discharged, 141, including 19 habitual 
drunkards, were reported recovered, 80 much improved, 85, 
including 13 habitual drunkards, improved, and 115 not im- 
proved. Seven men and 1 woman were removed by the over- 
seers of the poor ; 12 men were transferred to the hospital for 
inebriates at Foxborough ; 1 man and 1 woman to the Boston 
Lunatic Hospital ; 20 men to the Worcester Asylum ; 22 
women to the Tewksbury Almshouse ; 1 man and 3 women 
were returned to prison; 2 men were boarded out; 37 men 
and 35 women were discharged to the care of the Board of 
Lunacy and Charity to be removed from the State ; 13 men 
and 1 woman escaped, and 1 man, an : insane criminal, was 
removed on a writ of habeas corpus. 

Notwithstanding the fact that we have been relieved from 
time to time by transfers to other institutions, the daily aver- 
age number of patients for the year has been 878.78, the 
largest within the history of the hospital. The percentage 
both of recoveries and of deaths has been largely in excess of 
that of recent years ; the former, calculated upon the dis- 
charges, including deaths, having been 26.14, and the latter 



16 WORCESTER LUNATIC HOSPITAL. [Oct. 

13.40 per cent. There has been, however, neither epidemic 
nor unusual sickness among our inmates, and it will be found 
on examining the table showing the causes of death that this 
increased mortality is due entirely to the unusually large num- 
ber of general paralytics — 28, or one-quarter of the whole 
number — whose death has gone to swell the list. It is m}^ 
painful duty to record four deaths by suicide. In but one of 
these cases was the condition of the patient such as to lead us 
to suspect an active suicidal tendency, nor was there any ap- 
parent reason for exercising precautions other than those usual 
in every case, to guard against such an unfortunate result. 

Early in the current year the institution for dipsomaniacs and 
inebriates, at Foxborough, was opened for the reception of 
patients. February 28, 12 men were transferred thereto from 
this hospital. Although the relief thus afforded us was small 
when considered numerically, the event must be regarded as 
an important one in the annals of this institution, as it removed 
a class of patients which had for many years been one of the 
greatest sources of annoyance in its management. The good 
effects anticipated from this removal were at once apparent 
through the whole house, and nowhere more than upon our 
convalescent wards, where a spirit of unrest and discontent 
had been the rule, retarding the recovery of the legitimate 
inmates, and often causing us to hesitate before deciding to 
transfer a convalescing patient thereto and subjecting him, in 
his still weakened mental condition, to the unhappy influences 
which were there predominant. 

At a meeting of your Board, December 6, it was unani- 
mously voted, in compliance with the request of President G. 
Stanley Hall, to open the wards of the hospital to the students 
of Clark University, subject to such restrictions as might seem 
advisable to the superintendent. Weekly clinics have been 
held at the hospital through the winter and spring months, and 
were attended by a large class of gentlemen, who showed great 
interest in the work. Although all of the wards were freely 
opened to the students, their visits, I am happy to say, were 
so conducted that our inmates were in no way annoyed thereby. 
The hospital offers a great wealth of material to the student of 
psychology. This has, however, hitherto practically gone to 



1893.] PUBLIC DOCUMENT — No. 23. 17 

waste, and it gives me much pleasure to feel that it can now be 
utilized in the aid of scientific investigation. 

During the year we have built a new greenhouse, 20x60 feet, 
with potting shed attached, at a cost of $300, the labor being 
done almost entirely by patients ; put in a silo, at the farm 
barn, with an estimated capacity of 160 tons of ensilage, at 
an expense of $265.80; built a poultry house, 16x90 feet, at 
Hillside, costing $450 ; and put in a new water-heater for the 
wards and repaired the old one, at an expense of $1,500. We 
have expended $1,131 in draining and grading the field border- 
ing on Shrewsbury Street and Lake Quinsigamond, and have 
thus removed the unsightly pool of water which for several 
years has stood, after every heavy rain, on the piece of marshy 
ground at its lowest part, its natural outlet having been cut off 
by the city in filling in and raising the road at this point. As 
a portion of this field is used for the disposal of the hospital 
sewage, it was natural, perhaps, for our neighbors, and for 
others who were not fully conversant with our system, to com- 
plain at our seeming neglect of sanitary precautions, supposing 
that the water at this point was a part of our sewage, when, in 
reality, it had no possible connection therewith; still, it was 
unsightly, and for this reason, and to avoid even the appear- 
ance of evil, we have now, at no inconsiderable expense, 
removed the difiiculty, after having called the attention of the 
city to the matter several times, without success. 

The alterations in the dining-rooms, alluded to in my last re- 
port, have been continued during the year, and eight of the 
twelve rooms on the female side of the house are now com- 
plete. This work has added greatly to the cleanliness, con- 
venience and appearance of the wards and to the comfort of 
the patients, and it is with regret that we have been obliged, 
on account of lack of funds and of the more pressing needs in 
other parts of the house, to suspend temporarily operations in 
this direction. Our basement, used for the distribution of 
food and as a general thoroughfare, and extending under the 
whole building, is practically without a cut-off in case of fire. 
It is a constant source of danger, on account of the great 
amount of inflammable material which it contains. To remedy 
this difiiculty and to make it as nearly as possible fire-proof, it 
was decided to remove the woodwork enclosing the radiators — 



18 WORCESTER LUNATIC HOSPITAL. [Oct.'93. 

substituting therefor galvanized iron, when necessary, and lay- 
ing concrete in place of the hard-pine floors. This work was 
begun early in the year and is going on as fast as our means 
will permit. 

On account of the press of other duties, we were unable to 
perfect the plans and begin work on the buildings for which an 
appropriation was granted by the last Legislature until late in 
the season ; but the foundations for the additions to the Phillips 
and Lincoln wards are now laid, and the superstructures so 
well under way that it is hoped to get both of these buildings 
covered in before cold weather puts a stop to outside opera- 
tions. 

The current expenses for the year, less the amount received 
for the articles sold, have been $164,388.82 ; dividing this by 
878.78, the daily average number of patients, gives $187.06 
as the annual cost of support, which is equivalent to a weekly 
cost of $3.58. 

We are still under obligations to the publishers of the 
"Worcester Daily Spy," "Worcester Evening Gazette," 
" Fitchburg Sentinel" and "Christian Register" for copies 
of their papers, and to the Hospital Newspaper Society and the 
Worcester Club for periodicals and magazines. 

The officers and employees of the hospital deserve great 
credit for the zeal and good judgment with which they have 
performed their duties, and I take this opportunity to thank 
them, one and all, for their efficient and loyal support. 

It is a pleasure to express my gratitude to your Board for 
your continued confidence and for the warm interest you have 
always manifested in the hospital, and for the assistance and 
encouragement which you have at all times been ready to give 
me in its management. 

H. M. QUINBY, 

Superintendent. 
Worcester, Sept. 30, 1893. 



STATISTICAL TABLES. 



20 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



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H 


r-T ^' 


a 


s 


COS<liO 'tiOOt^O(M-*COCf3<MCOOOO 1 1 1 


< 


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lO-fiCs 'O-*iC0l>Tti'*<M-tit>.QCC0-^ 


z 


a 


'^tMCO '^i— l(M!0(M 


S 






M 


<« CO (M 0^ (M 10 10 CO l>. t-- CM CO CO 1 1 1 




pS 


1— ir^OS COCOCO-^t^CO'^tMCOOOI^CM 






'^IIMCO ^i-iC<(COCM 






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^ eS 






■t. QJ P*^ 


" " • -kJ >> ... 






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cj cotcG— 124).. 

,-1 .ti'^pi-r SajrHcscScCL, 










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1893.] 



PUBLIC DOCUMENT — No. 23. 



21 



t^ OT -+i 

OO -* GO 

00 CO CO 



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COCiOOGOCOQOaOOOCO 



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22 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



3. — Received on First and Subsequent Admissions. 





Cases Admitted. 


Times Previously 
Eecovebed. 


NUMBER OF THE ADMISSION. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 


250 


208 


458 


- 


- 


- 


Second, 


24 


28 


52 


9 


6 


16 


Third, 


7 


9 


16 


1 


5 


6 


Fourth, 


3 


3 


6 


2 


4 


6 


Seventh, 


- 


2 


2 


- 


12 


12 


Total of cases, . 


284 


250 


534 


12 


27 


39 


Total of persons. 


277 


235 


512 


11 


13 


24 



Relation to Hospital of Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


Never before in any hospital for insane, . 


229 


183 


412 


Former inmates of this hospital only, 


28 


27 


55 


Former inmates of other hospitals only, . 


19 


21 


40 


Former inmates of this and other hospitals : — 








Danvers, 


- 


1 


1 


Taunton, 


- 


1 


1 


Utica, N. Y 


- 


1 


1 


Westborough, 


1 


1 


2 


Total of persons, 


277 


235 


612 



1893.] 



PUBLIC DOCUMENT — No. 23. 



23 



5. — Parentage of Persons admitted. 





Males. 


Females. 


Totals. 


I'LACES OF NATIVITY. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Massachusetts, .... 


60 


60 


28 


30 


88 


90 


Other States : — 










i 




Maine, .... 


5 


5 


14 


14 


19 


19 


New Hampshire, 


5 


5 


10 


11 


15 


16 


Vermont, .... 


4 


6 


5 


4 


9 


10 


Rhode Island, . 


3 


3 


- 


1 


3 


4 


Connecticut, 


2 


2 


_ 


2 


2 


4 


New York, 


2 


4 


4 


4 


6 


8 


Maryland, .... 


1 


1 


- 


- 


1 


1 


Virginia, .... 


- 


- 


2 


2 


2 


2 


North Carolina, 


- 


- 


2 


2 


2 


2 


Other countries : — 














New Brunswick, 


2 


3 


4 


3 


6 


6 


Canada, .... 


14 


13 


10 


8 


24 


21 


Nova Scotia, 


6 


7 


6 


6 


11 


13 


Prince Edward Island, 


2 


2 


2 


2 


4 


4 


Sweden, .... 


8 


8 


7 


5 


15 


13 


England, .... 


11 


8 


11 


7 


22 


15 


Ireland, .... 


102 


102 


93 


94 


195 


196 


Scotland, .... 


7 


7 


6 


6 


13 


13 


Wales, .... 


- 


- 


1 


1 


1 


1 


Germany, .... 


10 


10 


4 


4 


14 


14 


Italy 


1 


1 


- 


- 


1 


1 


Russia, .... 


2 


2 


4 


4 


6 


6 


France, .... 


1 


— 


- 


1 


1 


1 


Cuba, .... 


1 


1 


_ 


_ 


1 


1 


Cape Breton, 


1 


1 


2 


2 


3 


3 


Bavaria, .... 


— 


_ 


_ 


1 


_ 


1 


Prussia, .... 


- 


- 


1 


- 


1 


_ 


Belgium, .... 


1 


1 


_ 


_ 


1 


1 


Portugal, .... 


1 


1 


_ 


— 


1 


1 


Switzerland, 


1 


1 


_ 


- 


1 


1 


Finland, .... 


1 


1 


1 


2 


2 


3 


Poland, .... 


1 


1 


3 


3 


4 


4 


Denmark, .... 


1 


1 


_ 


_ 


1 


1 


West Indies, 


1 


1 


_ 


— 


1 


1 


At sea, .... 


1 


- 


- 


- 


1 


- 


Unknown, .... 


19 


19 


16 


16 


35 


35 


Totals 


277 


277 


235 


235 


512 


512 



24 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



6. — Bi 


'thpl 


ice c 


)/ Persons 


admitted. 




PLACES OF BIRTH. 


Males. 


Females. 


Totals. 


Massachusetts, 


110 


83 


193 


Other States : — 








Maine, 


4 


12 


16 


New Hampshire, 
Vermont, . 












5 
3 


5 
2 


10 
5 


Rhode Island, 












8 


1 


9 


Connecticut, 












2 


1 


3 


New York, . 












6 


9 


15 


New Jersey, 
Pennsylvania, 
Delaware, . 












1 
1 


1 


1 
1 

1 


Maryland, . 












1 


- 


1 


Virginia, 












_ 


3 


3 


North Carolina, . 












_ 


2 


2 


Georgia, 












1 


— 


1 


Minnesota, . 












1 


— 


1 


California, . 












1 


- 


1 


Wisconsin, . 












1 


- 


1 


Other countries : — 








England, 


14 


6 


20 


Ireland, 












60 


59 


119 


Scotland, 












4 


8 


12 


Wales, 












— 


1 


1 


Canada, 












13 


8 


21 


New Brunswick, 












5 


6 


10 


Newfoundland, . 












_ 


1 


1 


Nova Scotia, 












4 


7 


11 


Prince Edward Island 


, 










5 


2 


7 


Cape Breton, 












2 


2 


4 


Germany, . 
Russia, 












6 
2 


3 
8 


9 

5 


Italy, . 
Switzerland, 














- 


1 
1 


Portugal, 














- 


1 


Denmark, . 














_ 


1 


West Indies, 














_ 


1 


Finland, 














1 


2 


Cuba, . 














- 


1 


Poland, 














4 


5 


Belgium, 














— 


1 


Sweden, 














6 


13 


At sea. 














- 


1 


Total, 












277 


235 


512 



1893.] 



PUBLIC DOCUMENT — No. 23. 



25 



Residence of Persons admitted. 



PLACES. 


Males. 


Females. 


Totals. 


Massachusetts (by counties) : — 








Essex, 


1 


- 


1 


Middlesex, 


95 


91 


186 


Norfolk, 


2 


7 


9 


Suffolk, 


53 


54 


107 


Worcester, 


126 


83 


209 


Totals, 


277 


235 


512 


Cities or towns, 


217 


177 


394 


Country districts, 


60 


58 


118 



26 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



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'S 
e 



^ 






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6 



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Tfl 


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1893.] 



PUBLIC DOCUMENT— No. 23. 



27 



9. — Occupations of Persons admitted. 



MALES. 



Agent, , 






1 


Electrician, . 




1 


Amber worker, 






1 


Engineers, . 




4 


Brush maker, 






1 


Florist, . 




i 

1 


Button maker, 






1 


Farmers, 




15 


Blacksmith, . 






1 


Furniture polisher, 




1 


Boiler maker, 






1 


Gardener, 




1 


Butchers, 






2 


Harness makers, . 




4 


Baker, . 






1 


Horse jockey. 




1 


Barbers, . 






3 


Hospital attendant, 




1 


Bartender, 






1 


Hack driver, 




1 


Book-keepers, 






2 


Hostlers, 




2 


Bill poster, . 






1 


Hatters, 




3 


Carpenters, . 






19 


Jeweller, 




1 


Cabinet makers, 






2 


Junk collector, . 




1 


Constable, 






1 


Janitor, 




1 


Comb maker, . 






1 


Laborers, 




43 


Cloth finisher, 






1 


Loom fixer, . 




1 


Coppersmith, 






1 


Lecturer, 




1 


Cigar maker, . 






1 


Lawyer, 




1 


Carriage maker. 






1 


Livery stableman 




1 


Clerks, . 






7 i 


Longshoreman, . 




1 


Confectioner, 






1 


Leather dresser, . 




1 


Curriers, 






4 


Moulders, 




! ^ 


Druggists, 






2 


Musician, 




1 



28 WOECESTER LUNATIC HOSPITAL. [Oct. 

9. — Occupatioyis of Persons admitted — Continued. 



Miller, . 






1 


Spindle maker, , 


1 


Machinists, . 






15 


Seaman, .... 


1 


Mason, . 






1 


Salesmen, .... 


8 


Mercliants, 






2 


Safe mover, .... 


1 


Mariner, 






1 


Stair biiilder. 


1 


Milkmen, 






2 


Stone cutters, 


3 


Marble cutter, 






1 


Teamsters, .... 


3 


Manufacturers, 






3 


Tramp, .... 


1 


Operatives, . 






19 


Tailors, .... 


4 


Painters, 






8 


Wire vrorkers. 


4 


Piano tuner, . 






1 


Waiter, .... 


1 


Paper hangers, 






3 


Watch maker, 


1 


Peddlers, 






3 


Whitewasher, 


1 


Reed maker, . 






1 


Weaver, .... 


1 


Rat catcher, , 






1 


No occupation. 


23 


Students, 






4 

1 


Unknown, .... 
Total, .... 


10 


Spinner,. 


277 



Artist, 




Dressmakers, 


2 


Brush maker, 




Fruit peddler, 


1 


Book agent, .... 




Housemaid, .... 


1 


Book folder, .... 




Housewives, 


58 


Cloak fitter, .... 




Housekeepers, 


17 


Cooks, 


2 


Laundress, . 


1 


Domestics, .... 


36 

i 


Missionary, .... 


1 



1893.] PUBLIC DOCUMENT — No. 23. 

9. — Occupations of Persons admitted — Concluded. 



29 



FEMALES. 


Nurses, ..... 


3 


Servants, .... 


3 


No occupation, 


24 


Seamsti'ess, .... 


1 


Operatives, .... 


26 


Waitress, .... 


1 


Rubber worker, 


1 
1 


Unknown, .... 
Total, .... 


13 


Saleswoman, .... 


197 



WIFE OR DAUGHTER OF — 



Brakeman, 








1 


Lawyer, 








1 


Broker, . 








2 


Machinist, 








1 


Clothier, 








1 


Merchant, 








2 


Carpenter, 








2 


Overseer, 








1 


Dyer, 








1 


Operative, 








3 


Dentist, . 








1 


Peddler, 








2 


Druggist, 








1 


Painter, 








2 


Electrician, 








1 


Printer, 








1 


Editor, . 








1 


Physician, 








1 


Farmer, 




» 




4 

2 
6 


Teamster, 
Total, 








1 


Gardener, 


38 


Laborer, 










235 



30 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 






"^ 



6 






o 

< 
M 
a 

& 

M 

Q 

2 

H 

3 

-5 


(H O 

« a 




1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ( 1 


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


ci 


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


1 i 


H 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 (M 1 1 1 1 


S 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <-H 1 1 1 1 




1 1 1 1 1 1 1 r 1 1 1 1 1 1 1 1 <-i 1 1 1 1 




IS 

•" 2 

Pi 


1 


1— 1| |,_lIrH,— l<M| 1 1 1 |COurj(Mt^.-l|CO'* 


£ 


1 1 1 1 1 1 |i-l| 1 1 1 l(MCO^| 1 ICO-* 




1— 1| |T-l|rH,-H,— 1| 1 1 1 Ir-lCMi— (t^T-HI 1 1 


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'-H|lll^l||llllllTH-tt<|||| 




a 

H 
B 

a 

Q 

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M 

« 


pa a 


-g 1 1 1 1 1 1 1 1 1 1 1 > 1 1 1 1 CO 1 1 1 1 

Eh ^ 


6 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 >o 1 1 1 1 


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. , , c 


1. Physical : — 
Apoplexy, 
Epilepsy, . 
Meningitis, 
Disseminated spinal 
Rheumatism, . 
Injury to head, . 
Sunstroke, 
Syphilis, . 
Measles, . 
Scarlet-fever, . 
La grippe. 
Ovarian disease. 
Laparotomy, . 
Ill health, . 
Overwork, 
Dissipation, 
Intemperance, . 
Masturbation, . 
Puberty, . 
Puerperal, 
Menopause, 



1893.] 



PUBLIC DOCUMENT — No. 23. 



31 



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


1 


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


1 


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


1 


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


oq 


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


r-H 


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


1— 1 


eoi 1 -rti-*T-icoiT-ir-i| |(NC<ii 1 


o 


r-(| 1 1— l-^rHCOIl— II 1 It— l,-l| 1 

CO 




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CM 




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T— 1 


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


t^ 


(M lO <M r-l ai 


o 

o 

xO 


tH |<J^ 1— i-*i-ICO<M-^ |(N«OrH-^a5 1 
T-H CO r-l -^ 


O 

CO 
l>J 


^.-11 COt^|i-l<MrH(M!?qjCOaia5.-l 
T-H (M '^ 


o 














Senility, .... 
Tobacco, .... 
Opium habit, . 

2. Mental: — 

Heredity, .... 
Worry, .... 
Shock, .... 
Family trouble, 
Financial trouble, . 
Bereavement, . 
Excessive mental labor, . 
Nostalgia, 
Disappointment, 
Religious excitement. 
Congenital mental deficiency. 
Unknown, 
Not insane, 


CO 

■1-2 

o 



32 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 






'« 



'« 
e 



6 

o 
o 






•< 
g 

3 
<; 


o 


'^OOO^DCO-^t^O 
CO 00 CvO CO Ot ■* Ci uO 
10 C<1 1— 1 


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S 


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CO CM 1— 1 C<1 -:t< C^ 

CM rH 


1 


^*| C5 uo ^H CO -*i 

00 -^ ^H 05 t-H 00 t~ 
CM y-l 




m 

a 
a 

< 

z 

« 

a 

< 

□ 

E-l 

3 
< 




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a 


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-< 


3 



0Ot-C^(MCO-<#CO00 

1— IC^COCOCO-^Oi^ 

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1 


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CM T-l 


■3 


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t^TtlT-lT-(l— ICO-^t- 

(M 1-H 




00 

iz; 


Admitted, 

Discharged recovered, 

much improved, .... 

imi^roved, 

not improved, 

Died, 

Remaining Sept. 30, 1893, 

Number likely to recover or improve. 



1893.] 



PUBLIC DOCUMENT — No. 23. 



33 



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









Persons First Admitted to 
Any Hospital. 


Persons Died. 






AT 


WHEN 






AT 


AT TIME 


AGES. 


FIRST ATTACK. 


ADMITTED. 


FIRST ATTACK. 


OF 


DEATH. 




"a 


.2 
"a 

s 


"3 
o 


"a 


S 
"a 

a 


"a 
o 


a 


1> 

"3 
E 


"a 
o 


"a 


"a 

a 


"a 
o 


Congenital, . 






6 


4 


10 


- 


- 


- 


- 


- 


- 


- 


- 


- 


15 years and less, 






1 


4 


5 


- 


- 


- 


- 


- 


- 


- 


- 


- 


From 15 to 20 years, 






16 


11 


27 


14 


9 


23 


1 


- 


1 


- 


- 


- 


20 to 25 years. 






19 


30 


49 


24 


25 


49 


2 


1 


3 


- 


1 


1 


25 to 30 years, 






34 


24 


58 


33 


25 


58 


4 


2 


6 


3 


1 


4 


30 to 35 years, 






32 


15 


47 


33 


22 


55 


5 


5 


10 


3 


1 


4 


35 to 40 years, 






26 


23 


49 


28 


23 


51 


11 


2 


13 


10 


2 


12 


40 to 50 years. 






33 


33 


66 


35 


34 


69 


22 


15 


37 


18 


12 


30 


50 to 60 years, 






27 


16 


43 


32 


24 


56 


15 


14 


29 


20 


6 


26 


60 to 70 years. 






12 


9 


21 


14 


6 


20 


10 


1 


11 


15 


8 


23 


70 to 80 years, 






7 


3 


10 


5 


7 


12 


5 


1 


6 


2 


6 


8 


Over 80 years. 






3 


1 


4 


3 


1 


4 


1 


1 


2 


5 


5 


10 


Unknown, . 






5 


4 


9 


- 


1 


1 


- 


- 


- 


- 


- 


- 


Total of persons. 






221 


177 


398 


221 


177 


398 


76 


42 


118 


76 


42 


118 


Mean ages (in years). 




38.71 


34.11 


36.41 


39.56 


35.42 


37.49 


48.14 


49.35 


48.79 


52.10 


60.08 


56.69 



13. — Reported Duration of Disease before Last Admission. 



Previous Duration. 



Congenital, . 

Under 1 month, . 

From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, 

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

Over 20 years. 
Unknown, . 

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



First Admission 


All other 


to Any Hospital. 


Admissions. 


a 


0) 

s 
S 

0) 


"a 


"5 

a 


a 
S 
o 


"a 
o 


7 


3 


10 


_ 




_ 


70 


48 


118 


7 


7 


14 


37 


38 


75 


3 


8 


11 


34 


20 


54 


2 


6 


8 


U 


16 


30 


5 


6 


11 


26 


14 


40 


8 


9 


17 


23 


22 


45 


16 


10 


26 


7 


11 


18 


8 


8 


16 


3 


4 


7 


4 


8 


12 


1 


1 


2 


- 


4 


4 


7 


6 


13 


2 


1 


3 


229 


183 


412 


55 


67 


122 


229 


183 


412 


48 


52 


100 


1.67 


2.00 


1.83 


3.87 


4.68 


4.27 



Totals. 



284 
277 



250 
235 
2.72 



10 
132 
86 
62 
41 
67 
71 
84 
19 
6 
16 



534 

512 

2.39 



34 



WORCESTER LUNATIC HOSPITAL. [Oct. 





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1893.] 



PUBLIC DOCUMENT — No. 23. 



37 



O-^IM (Mt-Hi— (I— li— ICNtHCOt-It— I 



I I 1 I ^ 50 I 1 I I 



(Ml— ii-Ht-h] (,_|COrH^H CO 



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1893.] 



PUBLIC DOCUMENT — No, 23, 



39 



fM -* o ^ :n 



3<i CO dq I I 



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40 



WORCESTER LUXATIC HOSPITAL. 



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a 
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55 






-tfi 










(M 








D 


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It^^oaococococo iTfH 


lO lO 


t-l 1 1 


T-* t-i 







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^ ^ ^^ 


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'A. 
















CO 




/—^ 














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r^ 














• a 

o 
















C 










S 




O 












m 


• fl 












- !h 










~ -IJ C OJ »3 f^ C3 


m 


kards, 
nth, 
years, 
20 yea 










C C O !h i-, C3 O . . 


. <u 


IB 




Q 
O 

3 




jq 2 a =3 OJ o p^^ ^ 


cS 


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o 






r0C0"Or-(MiCi-^ _ C3 


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o 

O '3 








isane: — 
Congenital 
Under 1 m 
From 1 to 
'6 to 
6 to 

1 to 

2 to 
5 to 
10 tt 

Over 20 ye 
Unknown, 


<= 2 

=4H 

o 


5 '-' o 
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r- C^ rH 








<K 


15 ^ rt, 


H a> 








7 




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< 


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1893.] 



PUBLIC DOCUMENT — No. 23. 



41 



19. — Hoio Supported. 





Patients adjiittkd. 


Average of the Yeak. 


SUPl'OKTED AS- 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


State patients, 
Town patients, 
Private patients, . 


190 
71 
23 


146 
68 
36 


336 

139 

59 


139.63 

223.88 

65.05 

428.56 


112.86 

263.17 

74.19 

450.22 


252.49 
487.05 
139.21 


Totals, . 


284 


250 


534 


878.78 



20. — Number of Convicts admitted to the Hospital from its Opening, 
Jan. 19, 1833, to Sept. 30, 1893. 





Males. 


Females. 


Totals. 


Number l^pon first admission, .... 
Nmnber upon readmission, .... 


515 
63 


114 
9 


629 
72 


Totals, 


57.S 


123 


701 



42 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 






§ 



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"i"! 


^ 


« 


''^ 


liJ 




(^ 


'^^ 




CP, 


■Tr; 




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f^ 












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a 
a 

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n 
a 
o 

< 
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1 1 1 1 1 1 1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 r 1 1 1 1 


■sa[Bni9j 


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


•S31BI\[ 


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 1 


a 
a 
> 

o 

a. 

H 

O 

z 


•SIBJOX 


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


•saiBHiaj 


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 


•saiBit 


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 


a 
1 


•61BJ0X 


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


•saiBoisj 


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 


■saiBiM 


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 


a 

a 
> 

o 

a 

a 


•SIBJOi 


III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 


•saiBcua^ 


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 


•saiBM 


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


O 
a 

a 
> 

8 

a 


■SlB?OX 


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


•saiBcaaj 


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 


•saiBM 


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




•SIB)OX 




•S3lBUiaj[ 


ODO-^OtOt-t-t'tOt-OOOOlt-HOiOCiOOOVr-i — (MQOOOCO 


•s.aiBre 


oooioirat^oDtocDicc-aiCiooco^a:ooioaioocot-co(N 


Ed 
O 

H 

55 
« 




















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 



1893.] PUBLIC DOCUMENT — No. 23. 



43 



lrHlllllllr-l|llllr-IIPIIIII|INIIMrH|(MtOjn«0 


s 


li-ll|lllllT-llllllr-illllllllC<IIICOr-i|)-ic<llO--'CiO 


CO 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r 1 1 J 1 i 1 1 I 1 1 1 1 1 rH '4' 0> -M 32 

^ CO 


■■o 


,,,,,,,,,,,,,,,,,, ,^^^ , ,^^ ,c.«oo^-ooo^ 




1 1 1 1 1 1 1 ( 1 1 1 1 1 1 1 1 1 1 1 IrHi-ll IrHi-ttrHr-I^OCOCOCOTf 


a 


'•'''' ..ll.l.l^.r-ll.llrH l^r^r^^C,^ 


CO 




> ' ' 1 1 . r . , i . . ■ 1 irH^ '-'»g^ 


- 


''''''''''■'''■''''' 1 IrH^ '-"3S 


^ 


'■''''■ ' .c.^o 


CO 


''''•''•''' ' ^^ '=^^gSi§ 


to 


.^ . .<NrHJ:-g 


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00 




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to 


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i 

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to" 




































Is 
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iiiiiiiiiiiiiiiiiigiiiiiiiiiii 





44 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 









§ 



f=; o 



c 


1 


lil 


1 


^ 


CO 




o^ 




00 


e 


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g 




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cq 



Remaining of 
Each Year's 

Admissions 
Sept. SO, 1893. 


•SIBJOX 


1 1 1 r 1 t 1 1 1 1 1 1 1 1 1 I 1 <^< 1 1 I 1 ^ 1 1 1 


•saiBcas.j 


1 1 1 1 1 1 1 1 1 I rH 1 1 t 1 1 1 1 1 


•saiBHf 


1 1 1 1 i 1 1 1 1 1 r 1 r 1 1 1 1 1-1 1 1 1 1 "-I 1 1 ' 


■r. 

'A 

< 


M 

« 

a 
a 

a 

a 
z 

■< 

a 

a 
a 
< 

S 
S 





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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 


•saiBtajj 


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


•83iBi\r 


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 


> 

O 
•<5 


■SIITJO.L 


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 


•s8[Binaji 


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


•S3[Bl\[ 


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






a 

o 
a 

a 


•SIBIOX 




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■83IBIV 




Q 

a 
> 

o 

s 


•SIB}OX 




•saiBraaj 




•saiBH 






C 

> 

o 


•81BJ0X 


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


•s3[Braaj 


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


■saiBifl 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Ill 


< 


•SIBJOX 




•saiBcna^^ 


1 CCiooaiCD^OiiCOCOO><M05COO^«D^COCO»rtt-COri-^00 


•satBH 


t-1 rH r^ (M r-H ^ C^ ^ C^ ^ CO c^ w ro n C^ '^ ^ CO CO IM CO -"I* 


YEARS ENDING 
SEl'T. 30. 














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 



1893.] PUBLIC DOCUMENT — No. 23. 



45 



1 1 ri-H li-li-( 1 PC<lr-l.-IOr-l-*iOCO>rtCTJM)®CO-tl^lr-QOt-C^-*tDC<Ii«iCcOt- 

1-. i-f 1-. ri i-l rt rl i-H M eq (M -* T|i O lO 03 

r-i T-H (N 


i 


1 1 Ir-I 1 |r- 1 IrH 1 ICO IC0C0rHC<IOt-C0Oi000i-ICI0000)O'-'<M10t--*t- 
i-l 1-t i-l r-l Cq (M »0 00 ^ 


^ 
^ 


1 I 1 1 ll-Hi 1 li-li-li-IC<li-lr-HMIMC0CJ«5C0tr~0101®O0)C0^>raOO00T)IO 

i-l 1-1 rl r-i M (M ^ t- O 
T-1 


CO 




lllll(llllliri(lli-Hlri|ll|||i-llllli-l(MCO^ 


CO 


IIIJIirillllllllli-Hlllllllli-lllllrHI l-C" 


us 


r 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 i-H 1 1 1 r 1 1 1 1 1 1 1 1 (N cm 


00 




lllllllllllllllllllr-llll|l||||ICO<NC<3t~00 




1 1 1 1 1 1 1 1 1 < 1 1 1 1 1 1 1 1 1 i-H 1 1 t 1 1 1 1 1 1 1 <M 1 IH ^« CO 


^ 


1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 1 1 1 ir-i(Meq«(N 


o 




1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r 1 1 1 1 IH 1 1-1 rH <M CI >n C-1 


•^ 


IIIIIII(IIIIIIIIIIIPIIIIIIIIIi-l|(Nlr-lrH 


o 


lllllllllllllllllllllllllllr1|liH|(MT«lrH 


03 




IIIIIIIIIIirillllirilllllllHIIIIIr-oO^ 


- 


lllll IIIIIIIIIJIIIIiHIIIIriCOCO 


t- 


llllllllllllllllllllllllllirillli-ICIrH 


Tl< 




1 1 1 1 1 1 1 J 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 ii-icoro 


00 


1 1 1 1 1 1 1 1 J 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 


en 


||lll(IIIIIIJIIIIIIIJIIJIIIIIIIIi-H-4<^ 


en 


rt-Mt-iiiOOl— 01^COC1000'M'M^-t*»0--CJiOa-. 00.— "Oi-l'^OOt-OOCO'MeOO^D^ 
T)<OtOt-tOOO!0<I.OOa>00^-*OOL~OJO--l~.*^-*tOt0^tOt0.001r-l-c»t:-lr- 


o 
o 


F-iiOClOOtDO'C-COCDeDiOvCClCq.^l^tDt'i-^aieqOi'i'OOCDt^COOJi-iCOOsC^dCl 

c^cocoMC^•*<^^(McO'Jl'*Tl•tot-^THMT^■T)■c<5(N(^lc^'^^Tll(^^cocq(^^co«lmr^.M-* 




03t-ine0'MCIi^Ot-C0iO00OOt^t-Si-^'-'CDt^ast-O^00^.^0^'M0it'C0-*f*< 
Cqi-tCOCO'^-^'*-*^'^»00001r-ii^iOCO'^tOCOdrii-1-*di-(CO'<*C^dCOCO^^CO 


cT 
























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 
1893 



46 WOECESTER LUNATIC HOSPITAL. [Oct. 



I 

Ci 









a 



< 

O 

K 

5 

c 

W 

> 



*^ 



a 

a; 

6 


§ i 


•emox 


t IrHI ICO(MCO|iMTHi-lT)l|^MiM'mMO^OliMi-i 


5 


•saiBinaj 


1 ll-ll 1 |.-l(NlT-li-<|i-IICOCq|(MI ICO^^t- 


(N 


•S3IBK 


1 1 1 1 ICOiHrl IrH 11-103 1t-1i-i'N«<M(M<CcO.» 


CO 


Z 

P 

5 

Q 

a 
< 


a 


■< 

K 

a 


d 
5 


■smox 


llllli-lllllllllr-(llllrH^!NrH 


t- 


•saiBinaji 


lllllrllllllllli-lllllr-lllrH 


-ii 


•S3lt!It 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 rH <M 1 


CO 


> 



K 

H 



•siBjox 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 l-l 


'-' 


■sai^maj^ 


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


1 


•saiTSM 


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


■^ 


a 

> 


K 


•SITJJOX 


lrlllllllllllll'-lll'-ll'^•*<^' 


a> 


•sajBraaji 


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


1 


•Ba[i3H 


llllllflltllllllHIIrHlrHTflM 


a> 


d 

> 

s 

a: 




•8IBJOX 


iiiriiiiiiriiiiliiii-H'-i'OrH 


00 


•saiBma.ii 


lllllllllllllllllll'-'l«.-l 





•satBM 


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


CO 


Q 

> 



a 


■SIBJOX 


lllllllllllllllllllll-ICOO 


a> 


•saiBra9ji 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 '4' 





•831BH 


llllllllllllirillllfrH^-* 


ca 


H 


•SIBJOX 


I— (NC^COU30t»Oi»Ot»03-H000500***.Oe£>t-OC^Tf',D 


OJ 
CO 


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1 1 (M CO CO (N CO »f^ »0 OS — ' CD C^ CO ^ 0^ Oi -^ 



01 




■saiTJi"! 


HIM 1 1 (M CO ■* -* 1 cq CO ■* O)00 C^ C? CO to 05 lO i-l 
I— 1 I— II— li—l T— II— IWCOrH 


1-t 






S 
la «, 

05 ?- 




"5 













1868 
1869 
1872 
1873 
1874 
1876 
1877 
1878 
1879 
1880 
1881 
1882 
1883 
1884 
1885 
1886 
1887 
1888 
1889 
1890 
1891 
1892 
1893 



1893.] 



PUBLIC DOCUMENT — No. 23. 



47 



CO 

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\ -^r. \ 1 1 1 cTi 


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Eh 




l-N.'^ 


r— ( 






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r-l 










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1 1 1 1 


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48 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



24. — Shoiving the Results of First Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of persons on first 














admission, 


- 


- 


- 


6,898 


6,467 


13,365 


Discharged recovered, 


2,239 


2,050 


4,289 


- 


- 


- 


improved, 


1,755 


1,843 


3,598 


- 


- 


- 


not improved, 


1.367 


1,259 


2,626 


- 


- 


- 


not insane. 


9 


6 


15 


- 


— 


— 


Eloped, .... 


4 


- 


4 


- 


- 


- 


Died, 


1,180 


954 


2,134 


- 


- 


- 


Remaining in the hospital Sept 


. 












80, 1898, .... 


344 


355 


699 

1 


6,898 


6,467 


13,865 



Showing the Results of Readmissions. 



Number of readmissions, . 








2,034 


1,973 


4,007 


Discharged recovered. 


717 


767 


1,484 


- 


- 


- 


improved, 


551 


682 


1,083 


- 


- 


- 


not improved, 


414 


865 


779 


- 


- 


- 


Eloped, 


1 


- 


1 


- 


- 


- 


Died 


256 


217 


473 


— 


_ 


— 


Remaining in the hospital Sept. 














30, 1893, .... 


95 


92 


187 


2,034 


1,973 


4,007 



Showing the Results of Second Admissions. 



Number of second admissions. 








1,243 


1,228 


2,471 


Discharged recovered. 


392 


889 


771 


- 


- 


- 


improved, 


8-25 


351 


676 


- 


- 


- 


not improved. 


292 


265 


557 


- 


- 


- 


Died, 


176 


157 


333 


- 


- 


_ 


Remaining in the hospital Sept. 














30, 1893 


58 


66 


124 


1,243 


1,228 


2,471 



Showing the Results of 


Third 


Admis 


sions. 






Number of third admissions, . 








389 


843 


732 


Discharged I'ecovered, 




142 


148 


290 


_ 


_ 


_ 


improved, 




106 


86 


192 


- 


- 


- 


not improved. 




70 


60 


130 


- 


- 


- 


Died, 




48 


83 


81 


- 


- 


- 


Remaining in the hospital Sept 
















80, 1898, .... 




23 


16 


29 


889 


343 


732 



1893.] 



PUBLIC DOCUMENT — No. 23. 



49 



Shuiving the Results of Fourth Admissions, 





Males. 


Females 


Totals. 


Males. 


Females. 


Totals. 


Number of fourth admissions, . 








160 


144 


304 


Discharged recovered, 


67 


65 


132 


- 


- 


- 


improved, 


46 


43 


89 


- 


- 


- 


not improved. 


28 


22 


50 


- 


- 


- 


Died, ...... 


10 


10 


20 


- 


- 


- 


Remaining in the hospital Sept 














30, 1898, 


9 


4 


13 


160 


144 


304 



Shoioing the Results of Fifth Admissions. 



Number of fifth admissions, 

Discliarged recovered, 
improved, 
not improved, 

Eloped, .... 

Died, 

Remaining in the hospital Sept, 
30, 1893, .... 











76 


73 




35 


40 


75 


- 


- 




15 


15 


80 


- 


- 




11 


9 


20 


- 


- 




1 


_ 


1 


- 


- 




12 


5 


17 


- 


- 




2 


4 


6 


76 


73 



149 



149 



Showing the Results of Sixth Admissions. 



Number of sixth admissions, . 








45 


40 


85 


Discharged recovered, 


23 


22 


45 


- 


- 


- 


improved. 


12 


13 


25 


- 


- 


- 


not improved, 


4 


2 


6 


- 


- 


- 


Died, ...... 


4 


3 


7 


- 


- 


- 


Remaining iu the hospital Sept. 














30, 1893, 


2 


~ 


2 


45 


40 


85 



Shoioing the Results of Seventh Admissions, 



Number of seventh admissions, 








26 


29 


55 


Discharged recovered. 


14 


18 


32 


- 


- 


- 


improved. 


6 


7 


13 


- 


- 


- 


not improved, 


3 


1 


4 


- 


- 


- 


Died, . . 


3 


2 


5 


— 


— 


- 


Remaining in the hospital Sept. 














30, 1893, 




1 


1 


26 


29 


55 



50 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



Showing the Results of Eighth Admissions. 





Males. 


Females. 


i 

Totals. 


Males. 


Females 


Totals. 


Number of eighth admissions,. 








20 


19 


39 


Discharged recovered, 


10 


13 


23 1 


- 


_ 


- 


improved. 


9 


2 


11 


- 


- 


- 


not improved, . 


1 


3 


4 


- 


- 


- 


Died 


— 


1 


1 


20 


19 


39 



Showing the Results of Ninth Admissions. 



Number of ninth admissions, . 








16 


16 


32 


Discharged recovered. 


10 


11 


21 


_ 


_ 


_ 


improved, 


4 


4 


8 


- 


_ 


_ 


not improved, . 


1 


1 


2 


- 


- 


- 


Died, 


1 


— 


1 


16 


16 


82 



Shoioing the Results of Tenth Admissions. 



Number of tenth admissions, . 








14 


15 


29 


Discharged recovered, 


6 


12 


18 


- 


- 


- 


improved. 


7 


2 


9 


- 


- 


_ 


not improved, . 


1 


1 


2 


14 


15 


29 



Showing the Results of Eleventh Admissions. 



Number of eleventh admissions. 








12 


14 


26 


Discharged recovered. 


3 


9 


12 


- 


- 


- 


improved. 


6 


4 


10 


- 


_ 


_ 


not irajDroved, 


2 


1 


3 


- 


- 


- 


Died, 


1 


~ 


1 


12 


14 


26 



Showing the Results of Twelfth Admissions. 



Number of twelfth admissions. 








9 


11 


20 


Discharged recovered. 


3 


9 


12 


- 


- 


- 


improved. 


4 


1 


5 


- 


- 


_ 


not improved, . 


1 


- 


1 


- 


- 


- 


Died, 


1 


1 


2 


9 


11 


20 



1893.] 



PUBLIC DOCUMENT — No. 23. 



51 



Shoioing the Results of Thirteenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of thirteenth admissions, 

Discharged recovered, 
impi'oved, 
not improved, . 

Died, 


3 
3 

1 


8 

1 


11 

3 
1 
1 


7 
7 


9 
9 


16 

16 



Showing the Results of Fourteenth Admissions. 



Number of fourteenth admis- 
sions, . . . . . 

Discharged recovered, 
improved, 
not improved, . 









5 


8 


3 


6 


9 


- 


- 


2 


1 


3 


- 


_ 


— 


1 


1 


5 


8 



13 
13 



Shoioing the Results of Fifteenth Admissions. 



Number of fifteenth admissions, 

Discharged recovered, 
improved, 
not improved, . 









4 


6 


2 


4 


6 


- 


- 


2 


1 


3 


- 


- 


- 


1 


1 


4 


6 



10 



10 



Showing the Results of Sixteenth Admissions. 



Number of sixteenth admissions, 
Discharged recovered, 
improved. 
Remaining in the hospital Sept 
30, 1893, .... 









3 


4 


1 


3 


4 ' 


- 


- 


1 


- 


1 


- 


- 


1 


1 


2 


3 


4 



52 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



Showing the Results of Seventeenth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of seventeenth admis- 
sions, 

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, 









2 


3 


1 


2 


3 ' 


- 


- 


1 


- 


1 ! 


- 


- 


— 


1 


1 


2 


8 



Showing the Results of Nineteenth Admissions. 



Number of nineteenth admis- 














sions, ..... 


_ 


- 


- 


1 


2 


3 


Discharged recovered. 


- 


2 


2 


- 


- 


- 


improved, 


1 


— 


1 


1 


2 


3 



Showing the Results of Twentieth Admissions. 



Number of twentieth admissions, 
Discharged recovered, 



1893.] 



PUBLIC DOCUMENT — No. 23. 



53 



SJioiving the Results of Twenty-first Admissions. 



Number of tweuty-first admis- 
sions, . . . . . 
Discharged recovered, 
Died, 



Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 










2 


2 


- 


1 


1 


- 


- 


_ 


— 


1 


1 


— 


2 


2 



SJiowing the Results of Twenty-second Admissions. 



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



- 


1 


1 


- 


1 

1 



Showing the Results of Twenty-third Admissions. 



Number of twenty-third admis- 
sions, 

Discharged recovered, 



- 


1 


1 


- 


1 
1 



54 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



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oooocoooooooaocooooocoooxiooooooooooooooooacacco 



1893.] 



PUBLIC DOCUMENT — No. 23. 



55 



|^^coNC^c<IC<lc<^(^^c^lc^^c<^c<lcoco■^T^'■*lT^<co(^3cocol-H(^^c^^coc<lC^lcoc«3foco^Q'a^olXl«; 



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56 



WORCESTER LUNATIC HOSPITAL. [Oct. 






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



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1893.] PUBLIC DOCUMENT — No. 23. 57 



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58 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1893.] 



PUBLIC DOCUMENT — No. 23. 



59 



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1893.] 



PUBLIC DOCUMENT — No. 23. 



61 



I I I I I I I I r I r I r t I r I I I I I I I I <M I I I r I I o 
I I I I I 1 I ( I I I I I I I ' I r I I r ) I I I I I I I I I I 



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PUBLIC DOCUMENT — No. 23. 



63 



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1 1 1 1 i-H 1 1 1 t-H 1 1 


1 1 




•paia 


1 1 f T-H 1 


1 1 1 -H 1 1 I rH 1 1 1-1 


1 1 




•paAOJdtniuxi 
saniTx JO jaqninx 


1 1 T-H 1 1 


1 1 rH 1 1 1 .-1 1 1 (M 1-1 


1 1 




•paAOjdini 
satnix JO jaqmn^ 


1 ^ 1 1 1 


1 T-l 1 1 1 (M rH 1-4 1-1 1 1 


1 rH 




•p3J3Aooaa 
saniix JO jaqmtiK 


<M r-l i-H i-l tH 


COC<)(MC<IC^r-l,-lrHrHrHrH 


Tfl CO 




la 
o 

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a ^ 

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1893.] PUBLIC DOCUMENT — No. 23. 65 



IIC^IlltMllfMIIICMlCMII^ llllCOIIIIrHI 



1 '^^ 


1 1 ICOl It-HI I |.-(|CO| IrHl 


1 1 1 o 


1 1 1 1 ^ 1 1 


<» 1 


1 |iOI lOlT-HC^It^l 1COC^OS<(CM 


1 1 rH 1 


1 1 CM CO 1 1 CO 


1 1 


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1 I>. 1 1 


1 GO 1 CO .-H tM O 



S£>Ttl(M>0'OCO(MT-li-l<MCCt>i-<<NCO<MCO<-'T-l 
1-1 


i-lt>i-IOCO-*T-IC-OrHr-ICO 

7-i 


lO<M>-ICO--l(M'-HrHll-l>0'*l|CqCOI 1 1 1 


•^ (O ICOl— ICOi— ICOt— (1— 1<— 1 


i-HC^i— (Cf5-*i— It— 1 IrHi— ICOCO'— 1 1 ICMCO"— I"— 1 


t- rH rH CO CN T-H 1 1 1 1 (N 


1 1^1 1 I.-HI |r-^l 1 |r-|^l 1^ 


1 1 1 1 T-^ 1 1 1 1 i-H 1 


|t-H| 1 IrHl \ T-l I 1 I.-I1.-II I.-HI 


1 1 1 ^ 1 1 1 1 rH 1 1 


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1 1 rH 1 1 1 <M ^ 1 1 ^ 



I 1 |(Mt-(,-i,-h| I |eO(MG^CNr-.-li-il I |t-I| | |(?q|T-ir-(r-iC<l 



COCOCOCM(?a(MOI<MC<ICMr-ii— It— It— ll— (I— li— Ii-Ht-h iC'^-^'^-^COCOCOCOCOCM 



66 



WORCESTEE LUNATIC HOSPITAL. [Oct. 



o 

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1 1 1 1 1 1 1 


1 1 1 1 c^ 1 1 1 1 1 1 1 ! 


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1 (M (M 1 1 (M ^ 


1 I--! 1 1 t r-i \ 1 |(M(M 


•paAOidmi XB^oi 


OO (M 1 CC CO <M 1 


ICOl 1 ItH<MCNCO-*'OCO(M 


•S9U3AO09a JO IBJOX 


CO •* (M C^ rH ,-1 l-H 


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1— 1 T— 1 r-( 1— 1 


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,_(^ (^ l^rH ^^^(M^^^ 1 1 1 1 1 1 


•saiBK 


CO T— 1 T-H 1-H 1— 1 1 1 


C^ <M 1 1 T-H T-H ,-1 tH CN ,-( ^ ,-( ,-1 


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1 1 1 1 1 1 1 1 1 1 r i-H 1 1 1 1 1 1 1 1 


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l-H ,-1 T-H 1 l-H 1 1 


1 1 l^-ll |t-H|,-H| I l,-l 


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satnii JO jaqraiiK: 


1 1— 1 G<1 1 1 (N -^ 


1 ItHI I 1 \ T-t t 1 |(M(M 


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satnix JO jaqmnjii 


C^ »-H 1 -* CO !M 1 


It-H 1 1 |(MT-(caeo-*iCico(M 


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satnix JO jaqtnnK 


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1893.] PUBLIC DOCUMENT — No. 23. 67 



I I I I I I I I I i I 1 II II II 



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1 1 1 1 .-1 


1 1 


1 1 


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1 1 <M 1 rH 


1 rH 


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1 1 (M 1 .-1 


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1 1 1 1 rH 1 1 1 1 1 1 1 1 1 1 1 1 1 II II II 


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1 1 1 1 rH 


1 1 


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68 



WORCESTER LUNATIC HOSPITAL. [Oct. 



o 



8 
00 









« 








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1 1 1 


1 1 1 


1 1 1 


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1 1 1 




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CO c<i ci 


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1 CO <M 


1 rH 1 




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CO CO c^ 


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1893.] 



PUBLIC DOCUMENT — No. 23. 



69 



II I I 



1 1 


^ 1 


1 


I— 1 


1 


CO 
CM 
CM 


1 1 


y-' 1 


1 


1 


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1—1 i-H 


O (M 


^ 


05 
1-4 


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CM 


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1—1 


1—1 


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co__ 


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1-1 1 


1 


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CO 

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1 --1 


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70 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



28. — Subsequent History, to Sept. 30, 1893, of 1,157 Persons wJio 
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, . 


166 


151 


317 


Remained well through life, .... 


113 


138 


251 


Relapsed and readmitted to this hospital. 


2 


1 


3 


Relapsed, admitted to other hospitals, and died 
there, 


28 


27 


55 


Relapsed, admitted to other hospitals, and dis- 
charged, 


35 


32 


67 


Rehipsed, admitted to other hospitals, and there 
now, 


13 


20 


33 


Relapsed and died at home, .... 


48 


54 


102 


Relaj)sed and died at almshouse. 


24 


16 


40 


Relapsed and living at almshouse, . 


9 


3 


12 


Relapsed and living at home, .... 


22 


30 


52 


Relapsed and nothing more known, . 


9 


1 


10 


Suicides, 


27 


14 


41 


Relapsed and died in Anderson ville Prison, 


1 


- 


1 


Totals, 


497 


487 


984 


No information, 


- 


- 


173 




497 


487 


1,157 



1893.] 



PUBLIC DOCUMENT — No. 23. 



71 



Residence of Private Patients admitted to the Hospital from Oct. 1^ 
1892, to Sept. 30, 1893. 



TOWNS. 


No. 


TOWNS. 


No. 


Athol, . 
Ayer, 
Boston, . 
Brookline, 
Boylston, 
Belmont, 
Cambridge, . 
Clinton, . 
Framingham, 
Fitchburg, 
Groton, . 
Hopkinton, . 
Hyde Park, . 






1 

1 

15 
1 
1 
1 
2 
2 
1 
1 
1 
1 
1 
3 


Lancaster, . 
Leominster, . 
Lawrence, . 
Newton, 
Pepperell, . 
Princeton, . 
Quiney, 
Somerville, . 
Swampscott, 
Woburn, 
Waltham, 
West Brookfield, 
Worcester, . 
Total, 






13 


Lowell, . 


58 


Natives, . 
Foreigners, . 








. 48 
. 10 


Total, . 


. 58 



72 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



Residence of Town Patients admitted to the Hospital from 
Oct. i, 1892, to Sept. 30, 1893. 



Ayer, . 

Abington, 

Arlington, 

Boston, . 

Barre, . 

Brookline, 

Cambridge, 

Clinton, 

Concord, 

Fitehburg, 

Hopedale, 

Leomiaster, 

Littleton, 

Leicester, 

Lincoln, 

Lowell, . 

Montague, 

Milford, 

Mendon, 

Millbury, 

North Brooktield, 



2 
1 
1 

13 
1 
1 

15 
6 
1 
6 
1 
1 
2 
3 
1 

16 
1 
4 
1 



Newton, 

Natick, . 

Oxford, . 

Princeton, 

Petersham, 

Rehoboth, 

Royalston, 

Somervillc, 

Shrewsbury, 

Spencer, 

Southbridge, 

Salem, . 

Uxbridge, 

Upton, . 

Worcester, 

Waltham, 

Winchendon, 

Wakefield, 

Williamstown 

Westford, 

Total, 



138 



Natives, . 
Foreigners, 

Total, 



90 
48 



138 



State Patients admitted to the Hospital from Oct. 1, 1892, to 
Sept. 30, 1893. 

State natives, 145 

State foreigners, 192 

State unknown, ........... 1 



Total, 338 



1893.] 



PUBLIC DOCUMENT — No. 23. 



73 



LIST OF PEKSONS 

Employed in the Worcester Lunatic Hospital, Sept. 30, 1893. 



Superintendent and physician, per year, 




$3,000 00 


Assistant physician, a i- _ _ 




1,500 00 


Assistant physician, i^ » _ _ 




1,000 00 


Assistant physician, " " 




900 00 


Assistant physician, ^^ <■<■ , , 




900 00 


Steward, " " 




1,000 00 


Matron, " " 




500 00 


Treasurer, " " 




500 00 


Clerk, " " 




600 00 


Clerk, per month. 




25 00 


Supervisor (male), " " 




45 00 


Supervisor (female), " " 




30 00 


Assistant supervisors (male, two), " " 




35 00 


Assistant supervisors (female) , " " 




25 00 


Marker of clothing, " " 




18 00 


Seamsti'esses, two, " " 




18 00 


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




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




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




Night attendants (female, four), per month. 


18 00 


Baker, " " 




50 00 


Assistant baker, " " 




25 00 


Storekeeper, " " 




28 00 


Office girl, " " 




16 00 


Kitchen man, " " 




35 00 


Cooks (two), ^22.00 and $25.00 per month. 






Laundryman, " " 




30 00 


Laundress, " " 




20 00 


Assistant laundryman, " " 




25 00 


Laundry girls (six), $14.00 to $18.00 per month 







74 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



House girls (seven), per month, . 

Kitchen girls (three), |14.00 to |16.00 per month 

Scullery man, ])er month, 

Scullery maid, " " ..... 

Carpenters (two), |2.50 and $3.00 per day. 

Painters (three), $2.50 and $2.75 per day. 

Plumber, per year, 

Engineer, " " ... 

Firemen (two), $40.00 and $45.00 per 

Farmer, per year, 

Housekeepers (two farm houses), $14 

Farm laborers (nine), $18.00 to $45.00 

Farm watchman, per month. 

Florist, " " 

Coachman, " " 

Expressman, " " 

Basement and yard man, " " 



$14 00 



month. 

00 and $18.00 per month 
per month. 



23 


00 


16 


00 


900 


00 


1,000 


00 



1,000 00 



25 00 
45 00 
27 00 
25 00 
25 00 



1893.] 



PUBLIC DOCUMENT — No. 23. 



75 



SUMMAKY OP FARM ACCOUNT. 

For Twelve Months ending Sept. 30, 1893. 



Dr 



Blacksmithing, 

Bread, 

Butter, . 

Current expenses, 

Fertilizers, 

Furnishings, . 

Fuel and lights, 

Grain and meal. 

Groceries, etc., 

Hay and pasturage 

Labor, 

Live stock, 

Meats, . 

Repairs, . 

Seeds, 

Sugar, 

Straw, 

Tools, . 

Water, . 

Wages, . 

Net gain for year ending Sept. 30, 



1893, 



Cr 



516^ barrels apples, 
1 barrel crab-apples, 
598 bunches asparagus, 
58 bushels shell beans, . 

62 bushels string beans, 
63^ bushels beets, . 
70 barrels cabbages, 
2,230 bunches celery, 
2,639 gallons cider, 

63 bushels and 14i doz. cucumbers 



175 


00 


310 


69 


782 


82 


478 


22 


436 


28 


145 


32 


4,046 


36 


461 


56 


539 


52 


51 


18 


1,189 


53 


797 


21 


270 


85 


79 


33 


104 


16 


50 


42 


18 


22 


61 


84 


4,429 


31 


7,046 


86 


f21,725 


66 


$519 25 


3 


00 


59 


80 


58 


00 


48 


75 


37 


95 


52 


50 


178 


54 


211 


12 


38 


46 



76 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



546 pounds cauliflower, 

245 bai'rels green corn, 

2,398 boxes currants, 

126 pounds chicken, 

19 doz. egg plant, . 

10 bushels popcorn, 

333 doz. eggs, 

3 bushels carrots, . 

Grain sent Hillside, 

13 gallons oil, 

14,635 pounds hay, 

1,000 pounds hay for ice-house, 

7 bushels herbs, 

3,724 heads lettuce, 

59 melons, 

313,951 quarts milk, 

481| bushels onions, 

129 bushels parsnips, 

2 bushels peppers, 

128 bushels pears, . 

52 bushels jjeas, 

17 baskets peaches, 

24 barrels potatoes, 

75 pounds horse radish, 

l,025f dozen radishes, 

146 quarts raspberries, 

5,410 pounds rhubarb, 

23,975 pounds squash, 

1,017 quarts strawberries, 

16| dozen summer squash, 

5 bushels salsify, . 

610| bushels tomatoes, . 

176i bushels turnips. 

Use of teams drawing supplies, 

Cash received for live stock, 

Cash received for bones, 

Cash received for 23,880 lbs. pork 

Cash received for gravel, 

Cash received for clearing snow, 



$21 84 

367 50 

193 44 

32 25 

19 00 
10 00 
84 25 

1 50 
582 87 

91 

146 35 

7 00 

7 00 

75 92 

6 90 
12,558 04 

481 50 
64 50 

2 00 
124 00 
104 00 

17 00 

76 50 

7 50 
61 55 
21 90 
81 15 

180 43 

122 04 

4 00 

15 00 

228 28 

70 60 

1,154 00 

1,370 01 

14 10 

2,171 46 

20 00 
12 00 



$21,725 66 



1893.] 



PUBLIC DOCUMENT — No. 23. 



77 



PEODUGTS OF THE FARM. 



On Hand Oct. 1, 1893, and not delivered at the Hospital. 



Apples, . 

Apples, cider, 

Beans, shell. 

Beets, 

Cabbage, . 

Cauliflower, 

Celery, . 

Chestnuts, 

Corn, 

Corn, sweet. 

Corn, pop. 

Carrots, 

Ensilage, 

Hay, 

Leeks, 

Parslej', 

Peaches, 

Peppers, 

Parsnips, 

Pears, 

Salsify, 

Turnips, 

Tomatoes, 

Squash, . 

Ruta-bagas, 

Hay, swale. 



100 barrels. 

1,250 bushels. 

10 bushels. 

300 bushels. 

8,000 heads. 

125 jDOunds. 
3,000 heads. 
1 bushel. 
600 bushels. 
5 barrels. 

4 barrels. 
25 bushels. 

150 tons. 
200 tons. 
300 

5 bushels. 
5 bushels. 
3 bushels. 

75 bushels. 

50 bushels. 

10 bushels. 
400 bushels. 

50 bushels. 

15 tons. 
100 bushels. 

10 tons.