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PUBLIC  DOCUMENT  . 


.  No.  23. 


SIXTY-SECOND  ANNUAL  EEPOET 


THE   TRUSTEES 


Worcester  Lunatic  Hospital, 


SEVENTEENTH   ANNUAL    REPORT    OF    THE    TRUSTEES 


WORCESTER  INSANE  ASYLUM  AT  WORCESTER, 


Year  Ending  September  30,  1894. 


BOSTON : 
WRIGHT   &  POTTER  PRINTING  CO.,   STATE  PRINTERS, 
18  Post  Office  Square. 
1895. 


Digitized  by  the  Internet  Archive 

in  2010  with  funding  from 

University  of  IVIassachusetts  Amherst 


http://www.archive.org/details/annualreportoftr76worc 


OFFICERS    OF    THE    HOSPITAL. 


TRUSTEES. 


ROCKWOOD   HOAR,  . 
FRANCIS   C.   LOWELL, 
SARAH   E.   WHITIN, 
FRANCES   M.    LINCOLN, 
A.    GEORGE    BULLOCK, 
THOMAS   H.    GAGE,  . 
HENRY   S.    NOURSE, 


Worcester. 

Boston. 

Whitinsville  . 

Worcester. 

Worcester. 

Worcester. 

South  Lancaster. 


RESIDENT   OFFICERS. 
HOSEA   M.    QUINBY,   M.D.,      . 
ALFRED    I.    NOBLE,   M.D.,       . 
LAURE   HULME,   M.D.,      . 
LYMAN   A     JONES,    M.D., 
MAURICE    W.    PEARSON,   M.D  , 
THOMAS   T.    SCHOULER, 
LILA   J.    GORDON,      . 
S.    JOSEPHINE   BRECK,    . 
MELVIN    LANG, 


Superintendent. 

Assistant  Superintendent. 

Assistant  Physician. 

Assistant  Plujsician. 

Assistant  Physician. 

Steward. 

Matron. 

Clerk. 

Farmer. 


NON-RESIDENT   OFFICERS. 

ALBERT   WOOD, Treasurer. 

FREDERICK   H.    BAKER,    M.D.,       .....  Pathologist. 

GEORGE   L.    CLARK, Auditor. 

KIMBLE  R.    SMITH, .        .  Engineer. 


C0mm0itimaltIj  ai  P^assacljiisttts* 


TRUSTEES'    EEPORT. 


To  Hi^  Excellency  the  Governor  and  the  Honorable  Council. 

The  trustees  of  the  Worcester  Lunatic  Hospital  would  pre- 
sent their  sixty-second  annual  report,  including  the  reports  of 
the  superintendent  and  the  treasurer,  setting  forth  in  detail 
the  executive  and  financial  affairs  of  the  institution. 

These  officers  with  the  staff  have  managed  the  hospital  with 
great  efficiency.  In  addition  to  the  ordinary  care  and  renova- 
tion of  the  buildings,  and  additions  involving  substantial  out- 
lays of  money,  the  plumbing  and  sanitary  improvements  and 
the  erection  of  a  new  building  for  the  maintenance  of  patients 
engaged  in  farm  work,  both  undertaken  under  special  State 
appropriations,  have  proceeded  with  economy  and  despatch. 

We  have  made  a  change  in  the  farmer,  and  have  received  one 
resignation  from  the  staff  of  assistant  physicians. 

During  the  year  one  of  the  trustees,  Mrs.  Ellen  S.  Hale  of 
Boston,  has  been  compelled,  because  of  ill  health,  to  retire 
from  the  Board.  Her  faithful  and  intelligent  service  has  been 
of  great  value  to  the  institution  and  to  the  State.  The  vacancy 
so  caused  has  been  filled  by  the  appointment  of  Mrs.  Sarah  E. 
Whitin  of  Whitinsville. 

The  year  has  been  marked  also  by  the  death  of  Dr.  George 
Chandler,  who,  first  as  assistant  to  the  first  superintendent,  Dr. 
Woodward,  and  later  succeeding  him  as  superintendent  from 
1846  to  1856,  filled  a  most  important  place  in  the  establishment 
of  a  kind,  careful  and  intelligent  system  of  the  treatment  of 
the  insane  in  Massachusetts,  and  earned  an  honorable  repu- 
tation among  the  eminent  specialists  in  his  profession. 


6  WORCESTER  LUNATIC  HOSPITAL.         [Oct. 

Our  wards  have  been  crowded  with  patients,  but  the  business 
depression  and  the  lessening  of  incomes  throughout  the  State 
have  shown  their  effect  in  the  increasing  number  of  applications 
for  the  reduction  of  the  price  of  board  of  private  patients,  and 
in  the  numbers  of  those  hitherto  cared  for  by  their  friends  who 
have  been  made  public  charges.  Many  of  these  appeals  are 
very  touching.  We  believe,  however,  that  with  great  economy 
the  hospital  can  be  conducted  throughout  the  year  without 
a  deficiency,  and  without  resort  to  the  Legislature  for  any 
appropriation  other  than  involved  in  finishing  the  special  work 
now  in  progress  of  completion. 

ROCKWOOD  HOAR. 
FRANCIS   C.    LOWELL. 
SARAH   E.    WHITIN. 
FRANCES   M.   LINCOLN. 
A.   GEORGE  BULLOCK. 
THOMAS   H.    GAGE. 
HENRY   S.   NOURSE. 
Worcester,  Sept.  30,  1894. 


4 


1894.] 


PUBLIC   DOCUMENT  — No.  23. 


YALUE    OF    PERSOl^AL    ESTATE. 

Sept.  30,  1894. 


Live  stock  pn  the  farm,       .... 

Produce  of  the  farm  on  hand. 

Carriages  and  agricultural  implements,     . 

Machinery  and  mechanical  fixtures,  . 

Beds  and  Ijedding  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  radiators,     . 


$9,235  00 

9,888  23 

8,543  50 

. 

29,579  76 

. 

29,280  32 

. 

22,524  32 

department. 

20,580  29 

1,802  55 

. 

1,133  62 

. 

4,211  30 

. 

800  00 

. 

8,100  00 

. 

3,800  00 

. 

5,500  42 

36,500  00 

Total, 


)1,479  31 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


TREASUEER'S    REPORT. 


To  the  Trustees  of  the  Worcester  Lufiatic  Hospital. 

I  herewith  submit  my  annual  report  on  the  finances  of  the 

Worcester  Lunatic   Hospital   for  the  year  ending  Sept.   30, 

1894:  — 

Receipts, 

Cash  on  hand  Sept.  30,  1893,       .......  $23,979  89 

Received  of  the  Commonwealth  for  supjDort  of  patients,  .         .  40,963  46 

of  cities  and  towns  for  support  of  patients,        .         .  90,793  43 

of  individuals  for  support  of  patients,         .         .         .  39,745  56 

for  interest,  sale  of  produce,  etc.,        ....  6,661  97 

belonging  to  patients, 1,042  01 

from  special  appropriations,        .         .         .         .         .  25,166  06 

$228,352  38 


The  expenditures  for  the  year  have  been  as  follows 


Provisions :  — 

Flour,    ...... 

Meat  of  all  kinds. 

Fish,      

Meal  for  cooking, 

Beans,  potatoes  and  other  vegetables. 

Sugar, 

Molasses  and  syrup. 

Tea, 

Coffee,  ...... 

Butter, 

Cheese, 

Fresh  fruits,  .... 

Eggs,  salt  and  other  groceries,  . 
Salaries  and  wages,  .... 
Grain,  ....... 

Meal  for  stock, 

Hay  and  pasturage,  .... 
Furniture, 


Amount  carried  forward, 


$4,488 

47 

12,372 

37 

2,987  87 

360 

95 

3,453 

91 

3,598 

70 

619 

17 

526 

56 

1,936 

70 

7,093 

16 

650 

21 

1,154 

52 

5,058 

02 

54,636 

85 

517 

40 

4,903 

68 

334  79 

895 

10 

$105,588 

43 

1894.] 


PUBLIC   DOCUMENT  — No.  23. 


Amount  brotight  forivard, 

Crockery  and  glass,     . 

Tinware, 

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  furnishi 

Dry  goods,  women. 

Dry  goods,  house. 

Boots  and  shoes,  . 


Total  current  expenses. 


mpr 


ovements. 


Extraordinary  expenses  — : 

Extraordinary  repairs, 

Undertaker's  charges. 

Money  refunded. 

Cash  refunded  patients. 

From  appro2)riation  for  new  additions. 

From  appropriation  for  farm  building. 


Cash  on  hand  Sept.  30,  1894, 


$105,588  43 

1,052  71 

181  78 

1,276  29 

295  79 

3,273  83 

88  76 

3,448  79 

2,510  70 

10,383  28 

935  54 

866  85 

2,770  00 

1,168  34 

405  33 

156  73 

684  99 

743  92 

1,635  71 

777  57 

558  45 

7,164  49 

565  80 

290  99 

247  92 

298  81 

159  06 

45  34 

3,265  32 

759  95 

4,575  74 

1,947  11 

2,231  21 

1,390  27 

.  1161,745  80 

$3,713  bi 

2,749  8. 

j 

181  0( 

) 

80  T 

J 

1,247  4' 

I 

17,694  8( 

} 

7,3 

18  3( 

] 

32,985  86 

$194,731  66 
33,620  72 

$228,352  38 


10 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


Resources. 

Cash  on  hand, 

Due  from  the  Commonwealth  for  board,  etc., 

from  cities  and  towns  for  board,  etc., 

from  individuals  for  board,  etc., 

from  other  sources,       .... 

from  the  Commonwealth  on  account  of  appropriations. 

Liabilities. 
Due  for  supplies  and  improvements, ....  $6,128  02 

for  salaries  and  wages, 4,605  85 

to  patients, 2,184  29 

for  work  under  appropriations,  ....    5,933  97 

Total  surplus, 


^33,620  72 

9,658  27 

22,624  21 

11,512  29 

200  00 

6,322  49 

583,937  98 


18,852  13 
P65,085  85 


Respectfully  submitted, 


ALBERT  WOOD, 

Treasurer. 


Oct.  1,  1894. 


HOSPITAL    LIBRARY    FUND. 


Lewis  Fund. 

Cash  on  hand  Sept.  30,  1893, 
Received  interest  on  Springfield  bond, 


Expended  for  books,   . 
Deposit  in  savings  bank, 
Cash  on  hand  Sept.  30,  1894, 


Wheeler  Fund. 


Cash  on  hand  Sept.  30,  1893, 
Received  dividends,     . 


Expended  for  books,    . 
Cash  on  hand  Sept.  80,  1894, 


$9  91 

70  00 

$33  67 

20  00 

26  24 

$61  07 

224  75 

$284  88 

94 

179  91 


$79  91 


$285  82 


$285  82 


1894.] 


PUBLIC  DOCUMENT  — No.  23. 


11 


Manson  Fund. 
Worcester  County  Institution  for  Savings,         .        .  $1,057  76 
Dividends  added  to  principal,     .         .        .        .        .        47  77 


$1,105  53 


Lev^is  Fund  Investment. 

Springfield  bond, 

Worcester  County  Institution  for  Savings, 
Cash  on  hand  Sept.  30,  1894,       .... 


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,  1894, 


$1,220  00 

40  90 

26  24 

$1,287  14 

$980  00 

840  00 

1,145  86 

1,719  47 

94 

4,686  27 

Manson  Fund  Investment. 
Worcester  County  Institution  for  Savings, 


1,105  53 


^078  94 


12  WORCESTER  LUNATIC  HOSPITAL.         [Oct. 


LAND  ACCOUNT. 


Cash  on  hand  Sept.  30,  1894,       . $537  80 

Received  fi-ona  sales  of  land  and  interest, 1,676  63 


Total  receiiJts, $2,214  43 

Expenditures, 

Commissions, $45  00 

Plans  and  surveys, 12  50 

Remitted  to  State  treasm'ei", 800  00 

$857  50 

Cash  on  hand  Sept.  30,  1894, .         1,356  93 


$2,214  43 
Respectfully  submitted, 

ALBERT   WOOD, 

Treasurer, 
Oct.  1,  1894. 

WoECFSTER,  Mass.,  Oct.  25,  1894. 
The  undersi£rned  has  compared  the  treasurer's  statement  of  expenditures  for  the  year 
ending  Sept.  30,  1894,  with  the  vouchers  on  file  at  the  hospital,  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  state- 
ment of  expenditures  in  the  land  account  with  the  vouchers,  and  found  them  to  agree. 

GEORGE    L.  CLARK, 

Auditor  of  Accounts. 


1894.]  PUBLIC   DOCUMENT  — No.  23.  13 


SUPERINTENDENT'S  REPORT. 


To  the  Trustees  of  the  Worcester  Lunatic  Hospital. 

I  herewith  respectfully  submit  the  following  report  of  the 
hospital  for  the  year  ending  Sept.  30,  1894,  it  being  the  sixty- 
second  annual  report. 

There  remained  at  the  hospital  Oct.  1,  1893,  ^^Q  patients, 
—  439  men  and  447  women;  231  men  and  206  women  were 
discharged,  71  men  and  35  women  died,  and  292  men  and  289 
women  were  admitted,  leaving  at  the  end  of  the  official  year 
924  patients,  —  429  men  and  495  women.  Of  this  number 
272  were  supported  by  the  State,  508  by  cities  and  towns  and 
144  by  friends.  Of  the  437  discharged,  102,  including  4 
habitual  drunkards,  were  reported  recovered;  58,  including  3 
habitual  drunkards,  much  improved ;  84  improved  ;  and  192 
not  improved.  Twenty-seven  men  and  19  women  were  re- 
moved by  the  overseers  of  the  poor ;  45  men  and  35  women 
were  discharged  to  the  care  of  the  Board  of  Lunacy  and  Char- 
ity, to  be  removed  from  the  State  ;  4  men  and  25  women  were 
transferred  to  Tewksbury ;  15  men  and  15  women  to  West- 
borough ;  18  men  to  Bridgewater ;  and  21  men  to  the  Worces- 
ter Asylum.  One  woman  was  returned  to  the  prison  at 
Sherborn  ;  2  women  were  boarded  out ;  and  10  men  escaped, 
and  had  not  been  returned  to  the  hospital  at  the  end  of  the 
official  year. 

Eecognizing  the  fiict  that  many  of  the  patients  placed  in  our 
hands  are  restrained  of  their  liberty  quite  as  much  for  the  pro- 
tection of  the  community  as  for  their  own  good,  we  always  try 
by  the  exercise  of  due  care  and  vigilance  to  prevent  their 
escape  from  the  hospital ;  but  it  must  not  be  forgotten  that 
safe-keeping  is  not  our  only  duty  toward  such  patients.  Even 
in  cases  of  criminals  who  become  insane,  the  law  provides  that 
they   shall  be  treated  as  sick  persons,   and   have    everything 


14  WORCESTER  LUNATIC  HOSPITAL.         [Oct. 

necessary  to  ameliorate  their  condition  and  cure  their  malady. 
To  always  so  restrain  them  that  escape  is  impossible  would  in 
effect  make  a  prison  of  the  hospital,  and  in  a  great  measure 
defeat  its  chief  purpose.  The  fact  that  in  a  majority  of  the 
cases  of  insanity  we  cannot  consult  the  wishes  of  our  patients, 
and  are  obliged,  to  a  greater  or  less  extent,  to  curtail  their 
personal  liberty,  seriously  complicates  the  treatment  of  this 
disease.  Freedom  of  movement  calms  the  patient's  restless- 
ness, makes  him  more  contented  and  helps  him  in  regaining 
self-control,  and  is,  therefore,  an  important  factor  in  his  treat- 
ment, and  should  be  granted  whenever  the  condition  of  the 
individual  will  warrant.  In  a  matter  so  vital  to  the  patient,  it 
is  better,  in  my  judgment,  to  err  on  the  side  of  giving  too 
much  rather  than  too  little  freedom  ;  and  the  fact  that  a  certain 
number  betray  our  confidence  and  escape  would  not  lead  me  to 
modify  my  opinion  or  practice  in  this  respect.  The  only  harm 
that  has  resulted  from  such  escapes  has,  according  to  my  ex- 
perience, been  to  the  patients  themselves ;  and  this  is  seldom 
worthy  of  consideration,  as  we  always  take  prompt  and  usually 
efficient  means  to  secure  their  return  when  their  condition 
really  demands  it.  Many,  however,  having  reached  home,  are, 
at  the  solicitation  of  their  friends,  allowed  to  remain  on  trial, 
but  they  appear  upon  our  yearly  reports  as  escaped.  Our 
returns,  therefore,  are  to  a  certain  extent  misleading,  since  the 
number  actually  at  large  and  unaccounted  for  is  much  smaller 
than  the  reports  would  seem  to  indicate. 

There  were  47  more  admissions  than  in  the  previous  year. 
The  average  number  was  81)1). 91,  the  largest  within  the  history 
of  the  institution.  The  lowest  monthly  average  was  866.76, 
in  July;  the  highest  932.50,  in  April.  It  will  be  seen,  there- 
fore, that  the  pressure  upon  the  accommodations  of  the  hospital 
continues.  We  hope,  however,  for  relief  in  the  near  future. 
With  the  completion  of  our  new  farmhouse  and  the  alterations 
now  goino;  on  in  the  new  buildino;,  we  shall  be  able  to  care  for 
our  present  number  (900)  without  serious  discomfort. 

In  51  per  cent,  of  those  admitted  no  hope  of  recovery  could 
be  entertained,  since  they  were  suffering  from  some  form  of 
organic  brain  disease,  either  paresis,  epilepsy,  congenital 
mental  deficiency,  senile  failure,  apoplexy  or  dementia  incident 
to  the  terminal  stag-e  of  mania  and  melancholia.     One  hundred 


1894.]  PUBLIC  DOCUMENT  — No.  23.  15 

and  twenty-two  li;id  been  inmates  of  this  or  other  hospitals. 
In  112  cases  there  was  hereditary  predisposition. 

The  percentage  of  recoveries  calculated  upon  the  number  of 
discharges,  including  deaths,  was  18.76,  or  17.5  of  the  number 
admitted.  This  is  somewhat  less  than  in  former  years,  owing 
largely,  no  doubt,  to  the  fact  that  habitual  drunkards  of  the 
male  sex,  each  of  whom,  under  the  old  system,  could  be  relied 
upon  for  one  or  more  recoveries  every  year,  are  no  longer 
admitted  to  the  hospital. 

The  death  rate  was  12.91,  calculated  upon  the  average  num- 
ber of  patients,  or  7.22  of  the  whole  number  under  treatment. 
Of  those  who  died,  4  were  over  eighty  years  old,  12  between 
seventy  and  eighty,  and  22  between  sixty  and  seventy. 

Among  the  causes  of  death,  4  were  due  to  acute  mania,  4  to 
acute  melancholia,  1  each  to  pneumonia,  dysentery,  shock  and 
suicide.  All  others  were  due  to  incurable  forms  of  disease. 
One  woman  died  from  shock  following  burns,  self-inflicted, 
she  having  purposely  set  fire  to  her  clothing  from  the  gas- 
light upon  the  hall.  One  man  was  drowned  at  the  lake  while 
out  on  parole.  No  one  saw  the  occurrence,  but  the  case  was 
probably  one  of  suicide,  although  from  the  position  of  the 
body  when  found  and  the  character  of  the  bank  where  the  acci- 
dent occurred,  it  possibly  might  have  been  unintentional.  In 
both  cases  the  medical  examiner  was  called  and  an  inquest 
held. 

Through  the  kindness  of  the  various  local  clergymen  the 
usual  Sunday  afternoon  service  has  been  held  through  the 
year,  and  has  been  fully  attended  and  highly  appreciated  by 
our  inmates. 

Informal  2atherino;s  for  vocal  music  have  been  conducted  in 
the  chapel  on  Sunday  evenings  by  the  employees  and  patients. 
The  regular  Monday  evening  dances  have  been  held  during  the 
winter,  interspersed  with  lectures  illustrated  by  the  stereop- 
ticon,  and  with  very  enjoyable  entertainments,  consisting  of 
music  and  recitations,  gotten  up  and  managed  entirely  by 
inmates  and  employees. 

The  work  on  the  additions  to  the  north  wings  for  new  water 
sections,  begun  last  fall  but  discontinued  on  account  of  cold 
weather,  w^as  renewed  early  in  the  spring,  and  has  since  been 
carried  on  as  rapidly  as  is  consistent  with  thorough  construc- 
tion.    The  four  additions  are  now  enclosed,  and  three  of  them 


16  WORCESTER  LUNATIC  HOSPITAL.         [Oct. 

are  ready  for  the  plumbing  and  interior  finish.     We  hope  to 
have  them  completed  and  in  use  early  the  coming  year. 

In  connection  with  this  work  certain  alterations  have  been 
made  in  the  main  building,  as  an  additional  security  from  fire. 
The  staircases  in  the  Phillips  and  Lincoln  wards  have  been 
enlarged,  and  iron  and  slate  substituted  for  wood.  The 
wooden  lath  and  furring  have  been  torn  off  in  many  of  the  attic 
rooms,  the  walls  carried  up  in  brick,  and  the  ceilings  covered 
with  terra-cotta  or  metal  lathing. 

A  store-house  for  vegetables  and  supplies,  37  by  77  feet,  has 
been  built  in  the  rear  of  the  boiler-house,  and  in  connection 
with  the  "  straw  barn,"  so  called.  It  is  a  substantial  structure 
of  brick  and  stone,  three  stories  high,  with  cellar  underneath, 
and  contains,  together  with  the  barn  with  which  it  is  con- 
nected (and  which  has  been  altered  over  to  conform  in  its 
exterior  with  the  new  building),  15,600  square  feet  of  floor 
surface.  It  is  conveniently  arranged  for  the  unloading  and 
loading  of  goods,  and  is  a  much-needed  improvement,  as  here- 
tofore we  have  been  obliged,  from  lack  of  other  place,  to  use 
the  basement  under  the  wards  for  storage  of  vegetables,  —  a 
custom  neither  desirable  on  the  score  of  economy  nor  proper 
from  a  sanitary  point  of  view.  The  cost  of  the  building, 
together  with  the  alterations  on  the  straw  barn,  was  $5,134.02. 

Early  in  the  year  plans  were  perfected  by  Messrs.  Fuller  & 
Delano  for  a  new  farm  building,  to  accommodate  fifty  patients 
employed  upon  the  farm,  together  with  the  farmer  and  his 
family  and  the  necessary  hired  help.  Bids  were  asked  for, 
and  the  contract  awarded  to  Messrs.  Vaudreuil  &  Fuller. 
Ground  was  not  broken  until  the  first  of  August ;  but  the  work 
has  since  been  rapidly  pushed,  and  the  building  is  at  the  pres- 
ent writing  covered  in,  and  will  no  doubt  be  finished  and 
ready  for  occupancy  on  or  before  the  first  of  March,  the  time 
specified  in  the  contract.  The  building  is  well  planned  and 
pleasantly  located,  and  seems  excellently  adapted  to  the  pur- 
poses for  which  it  is  intended.  Although  designed  and  finished 
in  the  simplest  and  most  unpretentious  style,  it  presents  a  very 
pleasing  exterior.  Two  rooms  are  being  fitted  up  in  the  base- 
ment of  the  administration  building,  and  convenient  to  the 
general  ofiice,  for  laboratory  purposes.  They  are  to  be 
equipped    with    a    reference    library  and    with    the    necessary 


1894.]  PUBLIC   DOCUMENT  — No.  23.  17 

instruments  for  chemical  analysis  and  microscopical  investiga- 
tion, and  will  furnish  opportunity  for  improved  medical  work. 

As  soon  as  the  necessary  plans  can  be  perfected,  it  is  pro- 
posed to  build  a  mortuary  in  the  rear  of  the  main  building,  but 
detached  therefrom,  with  the  necessary  reception  room  and 
rooms  for  autopsies  and  pathological  work. 

The  hospital  is  now  amply  equipped  with  everything  neces- 
sary to  enable  it  to  give  to  all  classes  of  its  patients,  however 
exacting  their  requirements,  the  best  possible  custodial  care  ; 
but  it  still  lacks  in  tacilities  for  treating  recent  and  curable 
cases  and  the  acute  sick.  Our  wards  are  so  large  and  our 
number  so  great  that  it  is  difficult  to  secure  always  the  isola- 
tion and  special  care  which  recent  cases  demand,  unless  the 
friends  of  the  patient  are  able  to  provide  them  extra  attend- 
ance and  private  quarters.  Patients  are  from  necessity  often 
brought  into  intimate  contact,  at  the  most  critical  period  of 
their  disease,  with  the  turbulent  and  with  those  whose  minds 
are  full  of  morbid  notions  in  regard  to  themselves,  the  hospital 
and  their  treatment ;  and  the  example  and  influence  to  which 
they  are  thus  subjected  tend  largely  to  counteract  the  best  ef- 
forts of  the  physician  and  attendants,  and  no  doubt  frequently 
retard  or  even  preclude  recovery.  Our  present  sick  ward  was 
planned  to  meet  the  wants  of  a  limited  number  of  patients, 
and  we  have  now  entirely  outgrown  its  capacity,  and  are 
obliged  to  place  many  of  our  acute  sick  on  wards  not  arranged 
for  such  cases.  With  our  present  number  of  inmates  we 
should  have  a  hospital  ward  distinct  from  the  main  building, 
conducted  upon  the  lines  of  a  general  hospital,  with  a  corps  of 
trained  nurses  and  all  the  modern  appliances  for  the  treatment 
of  nervous  diseases.  With  a  view  to  supplying  this  want  in 
the  near  future,  your  Board  has  authorized  me  to  procure  plans 
for  the  necessary  buildings,  together  with  an  estimate  of  the 
cost  of  the  same. 

Dr.  Lyman  A.  Jones  has  resigned  his  position  as  assistant 
physician,  the  resignation  to  take  effect  the  coming  January. 
He  leaves  the  institution  with  the  intention  of  entering  general 
practice,  after  spending  some  months  in  study  abroad.  Dur- 
ing the  three  years  of  his  service  here  he  has  proved  a  skilful, 
efficient  and  faithful  assistant,  and  a  most  courteous  gentleman, 


18  WORCESTER  LUNATIC  HOSPITAL.    [Oct. '94. 

and  he  leaves  the  institution  with  the  best  wishes  of  every  one 
for  his  future  success. 

The  current  expenses  of  the  year,  less  the  amount  received 
for  the  articles  sold,  have  been  $156,200.55;  dividing  this  by 
899.91,  the  daily  average  number  of  patients,  gives  $173.58  as 
the  annual  cost  of  support,  which  is  equivalent  to  a  weekly 
cost  of  $3.33. 

In  behalf  of  our  patients  I  wish  to  thank  Rev.  Almon  Gunni- 
son and  Henry  H.  Merriam  for  very  interesting  and  instructive 
lectures;  the  publishers  of  the  "Worcester  Daily  Spy," 
"  Worcester  Evenino-  Gazette,"  "  Fitchburo;  Sentinel,"  "  Chris- 
tian  Register,"  " yEgis  and  Gazette"  and  "Essex  County  Mer- 
cury" for  copies  of  their  papers,  and  the  Worcester  Club  and 
the  Hospital  Newspaper  Society  for  periodicals  and  magazines. 

I  wish  also  to  express  my  thanks  to  my  medical  colleagues 
for  their  faithful  work  and  cordial  co-operation,  and  to  your 
Board  for  your  counsel  and  support. 


H.  M.  QUINBY, 

Stiperintendent. 


Worcester  Lunatic  Hospital,  Sept.  30,  1894. 


STATISTICAL  TABLES. 


20 


WORCESTER  LUNATIC  HOSPITAL. 


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PUBLIC  DOCUMENT  — No.  23. 


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22 


WORCESTER   LUNATIC   HOSPITAL. 


[Oct. 


Received  on   First  and  Subsequent  Admissions. 


NUMBER  OF  THE  ADMISSION. 

Cases  Admitted. 

Times  Previously 
Recovered. 

Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

First, 

Second,         .... 

Third, 

Fourth,         .... 

Fiftli, 

Sixth,  .         .         . 

264 

19 

3 

3 

2 
1 

244 

33 

5 

4 

3 

508 
52 
8 
7 
5 
1 

2 

4 
7 
6 
2 

8 
9 
6 

8 

10 
13 

13 

14 

2 

Total  of  cases. 
Total  of  persons, . 

292 
289 

289 
279 

581 
508 

21 
13 

31 
17 

52 
30 

4.  —  Relation  to  Hospital  of  Persons  Admitted. 


Males. 

Females. 

Totals. 

Never  before  in  any  hospital  for  insane. 

240 

206 

446 

Former  inmates  of  this  hospital  only. 

23 

29 

52 

Former  inmates  of  other  hospitals  only,  . 

23 

36 

59 

Former  inmates  of  this  and  other  hospitals  :  — 

Boston  Lunatic  Hospital,  .... 

1 

- 

1 

Danvers, 

- 

1 

1 

Danvers  and  Worcester  Insane  Asylum,  . 

- 

1 

1 

"Herbert  Hall," 

- 

2 

2 

IMaine  and  Tyngsborough, 

1 

- 

1 

Taunton, 

1 

1 

2 

Taunton,  BlackAvelPs  Island,  Danvers  and 
South  Boston, 

_ 

1 

1 

Westborough,     ...... 

- 

2 

2 

Total  of  persons,         .... 

289 

279 

568 

1894.] 


PUBLIC   DOCUMENT  — No.  23. 


23 


5.  —  Parentage  of  Persons  Admitted. 

Malbs. 

Females. 

Totals. 

PLACES  OF  NATIVITY. 

Father. 

Mother. 

Father. 

Mother. 

Father. 

Mother. 

Massachusetts,    .... 

69 

66 

32 

32 

101 

102 

Other  States :  — 

Maine,          .... 

9 

13 

9 

10 

18 

23 

New  Hampshire, 

15 

8 

8 

8 

23 

16 

Vermont,     . 

2 

3 

4 

5 

6 

8 

Rhode  Island, 

1 

1 

5 

5 

6 

6 

Connecticut, 

1 

2 

3 

3 

4 

5 

New  York,  . 

2 

2 

4 

4 

6 

6 

Virginia, 

2 

2 

4 

4 

6 

6 

Georgia, 

1 

1 

- 

- 

1 

1 

Loviisiana,    . 

- 

- 

1 

1 

1 

1 

Indiana, 

1 

1 

1 

1 

2 

2 

Kentucky,    . 

- 

- 

1 

- 

1 

- 

North  Carolina,  . 

2 

- 

- 

1 

2 

1 

Other  countries :  — 

New  Brunswick, 

3 

3 

6 

5 

9 

8 

Canada, 

11 

10 

14 

13 

25 

23 

Nova  Scotia, 

4 

6 

5 

5 

9 

11 

Prince  Edward  Island 

- 

- 

2 

1 

2 

1 

Sweden, 

7 

8 

14 

13 

21 

21 

England, 

11 

12 

11 

12 

22 

24 

Ireland, 

106 

107 

107 

108 

213 

215 

Scotland, 

3 

3 

2 

3 

5 

6 

Wales, 

- 

- 

1 

- 

1 

- 

Germany,     . 

11 

9 

6 

4 

17 

13 

Italy,    . 

2 

2 

1 

1 

3 

3 

Russia, 

3 

3 

2 

2 

5 

5 

France, 

- 

- 

4 

4 

4 

4 

Cape  Breton, 

- 

- 

2 

3 

2 

3 

Belgium, 

1 

1 

- 

- 

1 

1 

Switzerland, 

- 

- 

1 

1 

1 

1 

Finland, 

5 

5 

- 

- 

5 

5 

Denmark,     . 

- 

- 

1 

1 

1 

1 

West  Indies, 

2 

2 

- 

- 

2 

2 

Turkey, 

1 

1 

- 

- 

1 

1 

Spain,  . 

1 

1 

- 

- 

1 

1 

Newfoundland,    . 

1 

1 

- 

- 

1 

1 

Norway, 

1 

1 

1 

1 

2 

2 

Unknown,  . 

11 

15 

27 

24 

38 

39 

Total  of  persons, 

289 

289 

279 

279 

568 

568 

24 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


6.  —  Birthplace  oj  Persons  Admitted. 


PLACES   OF  BIRTH. 

Males. 

Females. 

Totals. 

Massachusetts,    . 

122 

90 

212 

Other  States :  — 

Maine, 

9 

9 

18 

New  HamiDshire, 

8 

3 

11 

Vermont,     . 

5 

4 

9 

Rhode  Island, 

2 

3 

5 

Connecticut, 

3 

5 

8 

New  York,  . 

3 

3 

6 

Pennsylvania, 

- 

1 

1 

Virginia, 

2 

4 

6 

Georgia, 

1 

- 

1 

Louisiana,    . 

- 

1 

1 

Indiana, 

1 

1 

2 

California,   . 

1 

- 

1 

Missoiu'i, 

- 

1 

1 

Other  countries :  — 

England, 

9 

15 

24 

Ireland, 

67 

82 

149 

Scotland, 

2 

2 

4 

Canada, 

8 

10 

18 

New  Brunswick, 

5 

4 

9 

Nova  Scotia, 

8 

9 

17 

Newfoundland,    . 

1 

2 

3 

Prince  Edward  Island, 

- 

4 

4 

1894.]  PUBLIC   DOCUMENT  — No.  23.  25 

6.  —  Birthplace  of  Persons  Admitted  —  Concluded. 


PLACES  OF  BIRTH 

Males. 

Females. 

Totals. 

Austria, 

- 

1 

1 

Cape  Breton, 

- 

3 

3 

Germany,     . 

6 

1 

6 

Russia, 

4 

2 

6 

Italy,    . 

2 

1 

3 

Switzerland, 

- 

1 

Denmark,    . 

- 

1 

West  Indies, 

1 

- 

Finland, 

5 

- 

Belgium, 

1 

- 

Sweden, 

8 

9 

17 

Norway, 

2 

1 

Prussia, 

1 

- 

Poland, 

1 

- 

Turkey, 

1 

- 

Spain,  . 

1 

- 

France, 

- 

3 

3 

Unknown,    . 

- 

3 

3 

Total, 

289 

279 

568 

26 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


7. 

—  Residence  i 

jfPe 

rso7is  Admitted. 

PLACES. 

Males. 

Females. 

Totals. 

Massachusetts  (by  counties)  :  — 

Bristol,  . 

2 

- 

2 

Barnstable, 

1 

- 

1 

Essex,    . 

- 

2 

2 

Franklin, 

1 

- 

1 

Middlesex, 

87 

103 

190 

Norfolk, 

2 

3 

5 

Suffolk, . 

109 

92 

201 

Worcester, 

87 

79 

166 

Totals,       . 

289 

279 

568 

Cities  or  towns, 

237 

228 

465 

Country  districts, 

52 

51 

103 

1894.] 


PUBLIC   DOCUMENT  — No.  23. 


27 


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WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


9.  —  Occupations  of  Persons  Admitted. 


Actress, 

1 

Maid, 

1 

Box  maker, 

1 

i^urse,  . 

1 

Baths,     . 

1 

Operatives,  . 

18 

Canvasser, 

1 

Servants, 

2 

Cooks,    . 

3 

Seamstresses, 

3 

Compositors, 

2 

Shop  keeper, 

1 

Copy  reader. 

1 

Telephone  girl. 

1 

Clerk,     . 

1 

Teachers, 

2 

Domestics, 

46 

Table  girl,    . 

1 

Dressmakers, 

4 

Ticket  seller. 

1 

Housewives,  . 

116 

Waitress, 

1 

Housekeepers, 

16 

No  occupation, 

42 

1 
1 

Laundress, 

Total, 

270 

Missionary,     . 

1 

WIFE  OR  DAUGHTER  OF  — 


Agent,    . 

Fisherman, 

Hotel  keeper. 

Laborer, 

Merchant, 

Policeman, 


Stone  mason. 
Tailor,  . 

Total,       . 

Total,      . 


Artist,     . 
Blacksmiths, 
Book  gilder, 
Boot-treer, 
Baker,    . 
Brick  maker, 
Bell  boy. 


Butcher, 
Bartenders,  . 
Book-keei3er, 
Barber, 
Cook,    . 
Coopers, 
Car  cleaner. 


1894.] 


PUBLIC   DOCUMENT  — No.  23. 


29 


9. —  Occupations  of  Persons  Admitted  —  Concluded. 

MALES  — Concluded. 


Conductor,      .... 

1 

Merchant,      .... 

1 

Clerks,    .... 

8 

Operatives,  . 

13 

Carpenters,     . 

8 

Oil  finisher,  . 

1 

Canvassers,    . 

2 

Pa^jer  manufactur 

ers,  . 

2 

Carpet  layer,  . 

1 

Painters, 

6 

Card  grinder. 

1 

Plumbers.     . 

4 

Cabinet  maker, 

1 

Pilot,     . 

1 

Collector, 

1 

Porter,  . 

1 

Dressmaker  and  milline 

1", 

1 

Printers, 

3 

Druggists, 

3 

Piano  tuner. 

1 

Electric  plater. 

1 

Photographer, 

1 

Electric  lighter,     . 

1 

Pressman,     . 

1 

Expressman,  . 

1 

Real  estate  agent? 

, 

2 

Farmers, 

22 

Rope  maker, 

1 

Furnace  worker,     . 

1 

Seamen, 

3 

Furniture  j)olislier. 

1 

Shoemakers, 

7 

Gardeners, 

3 

Stone  cutters. 

8 

Grocer,   . 

1 

Stairbuilder, 

1 

Hostlers, 

4 

Steamfitter,  . 

1 

Hairdresser,   . 

1 

Stone  mason, 

1 

Janitors, 

2 

Sailmaker,    . 

1 

Laborers, 

57 

Tailors, 

3 

Lodging-house  keeper. 

1 

Type  founder, 

1 

Livery  man,   . 

1 

Trader, 

1 

Lithographers, 

2 

Teamsters,    . 

4 

Lobbyist, 

1 

Wire  workers. 

3 

Longshoreman, 

1 

Waiters, 

3 

Lawyer,  . 

1 

Wood  engraver, 

1 

Mechanics, 

2 

Watchmen,  . 

2 

Moulders, 

5 

Watch-case  make 

L", 

1 

Machinists,     . 

6 

Wood  worker. 

1 

Mason,    . 

1 

No  occupation, 

49 

Motormen, 
Music  teachers, 

3 
2 

Total,     .        .        . 

289 

30 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


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EC 

P 

1.    Physical :  — 
Apoplexy, 
Epilepsy, 
Meningitis,    . 
Phthisis, 
Bright's  disease. 
Scarlet-fever, 
111  health,'      . 
La  grippe. 
Privation, 
Overwork,     . 
Sunstroke, 
Injui-y  to  spine. 
Injury  to  head. 
Loss  of  hand. 
Surgical  operation 
Hysterectomy, 
Dissipation,   . 
Intemperance, 
Syphilis, 
Amenorrhoea, 
Pregnancy,    . 
Masturbation, 

1894.] 


PUBLIC   DOCUMENT  — No.  23. 


31 


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Excessive  venery, 
Pubei'ty, 
Menopause,   . 
Senility, 
Tobacco, 
Opium  habit. 
Adolescence, . 
Puerperal, 

2.    Mental :  — 

Heredity,       . 

Congenital  mental  deficienc] 
Worry,  .... 
Fright,  .... 
Family  trouble,     . 
Bereavement, 
Excessive  mental  labor, 
Nostalgia, 
Disappointment,    . 
Religious  excitement,  . 
Financial  trouble. 
Unknown, 
Not  insane,    . 

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32 


WORCESTER  LUNATIC   HOSPITAL. 


[Oct. 


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1894.] 


PUBLIC   DOCUMENT  — No.  23. 


33 


12. — Ages  of  Insane  at 

First  Attack,  Admission  and  Death 

• 

Persons  First  Admitted 
TO  ANT  Hospital. 

Persons  Died. 

AGES. 

AT 

first  attack. 

■WHEN 
ADMITTED. 

AT 
FIRST  ATTACK. 

AT  TIME 
OF  DEATH. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Congenital, 

15  years  and  less, 

8 

4 

12 

2 

2 

4 

1 

- 

1 

1 

- 

1 

From  15  to  20  years,   . 

11 

9 

20 

8 

7 

15 

1 

- 

1 

1 

- 

1 

20  to  25  years,    . 

27 

26 

53 

27 

25 

52 

1 

1 

2 

1 

- 

1 

25  to  30  years,    . 

33 

30 

63 

37 

27 

64 

2 

3 

5 

1 

3 

4 

30  to  35  years,    . 

32 

26 

58 

32 

29 

61 

8 

4 

12 

4 

1 

5 

35  to  40  years,    . 

32 

17 

49 

35 

16 

51 

17 

4 

21 

17 

4 

21 

40  to  50  years,    . 

43 

40 

83 

47 

41 

88 

10 

6 

16 

13 

4 

17 

50  to  60  years,    . 

16 

23 

39 

16 

25 

41 

9 

6 

15 

9 

9 

18 

60  to  70  years,    . 

21 

16 

37 

20 

18 

38 

16 

5 

21 

15 

7 

22 

70  to  80  years,    . 

5 

7 

12 

7 

8 

15 

5 

4 

9 

7 

5 

12 

Over  80  years, 

3 

1 

4 

3 

1 

4 

1 

2 

3 

2 

2 

4 

Unknown 

8 
239 

- 

8 

5 

- 

5 

71 

35 

106 

- 

- 

- 

Total  of  persons, . 

199 

438 

239 

199 

438 

71 

35 

106 

Mean  ages  in  years,    . 

36.34 

38.03 

37.18 

38.92 

41.07 

39.99 

48.31 

49.68 

48.99 

51.83 

60.45 

56.14 

13.  —  Reported  Duration  of  Disease  before  Last  Admission. 


PREVIOUS  DURATION. 

First  Admission 
TO  ANT  Hospital. 

All  Other 
Admissions. 

Total. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Congenital, 

1 

3 

4 

1 

1 

2 

2 

4 

6 

Under  1  month, 

46 

48 

94 

3 

18 

21 

49 

66 

115 

From  1  to  3  months. 

42 

37 

79 

7 

6 

13 

49 

43 

92 

3  to  6  months, . 

32 

27 

59 

2 

8 

10 

34 

35 

69 

6  to  12  months, 

42 

20 

62 

1 

7 

8 

43 

27 

70 

1  to  2  years,     . 

25 

23 

48 

4 

12 

16 

29 

35 

64 

2  to  5  years,     . 

29 

35 

64 

18 

17 

35 

47 

52 

99 

5  to  10  years,    . 

6 

4 

10 

5 

7 

12 

11 

11 

22 

10  to  20  years, 

9 

7 

16 

6 

7 

13 

15 

14 

29 

Over  20  years,    . 

- 

2 

2 

5 

5 

5 

2 

7 

Unknown, . 

7 

- 

7 

- 

- 

7 

- 

7 

Not  insane, 

1 

- 

1 

- 

- 

- 

1 

- 

1 

Total  of  cases,    . 

240 

206 

446 

52 

83 

135 

292 

289 

581 

Total  of  persons. 

240 

206 

446 

49 

73 

122 

289 

279 

568 

Average  in  years. 

4.63 

3.73 

4.21 

7.38 

3.25 

4.91 

5.13 

3.64 

4.38 

34 


WORCESTEE  LUNATIC  HOSPITAL. 


[Oct. 


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A.  —  Insane  :  — 

Mania,  acute,      . 
chronic,  . 
recurrent, 
puerperal. 
Melancholia,  acute,    . 
chronic, 
recurrent,     . 
puerperal,    . 
Dementia,  primary,  . 
secondary, 
senile, 
organic,    . 
General  paralysis  of  the  insane 
Epileptic  insanity,     . 
Alcoholic  insanity,     . 
Adolescent  insanity, 
Pubescent  insanity,   . 
Hysterical  insanity,  . 
Congenital  mental  deficiency. 
Opium  habit, 

B.  —  Habitual  drunkards, . 

Not  insane. 

.     a 

w         O 

cJ        S 

o      a, 

MH           «*-< 

o      o 

"a      'S 
o      o 

1894.] 


PUBLIC   DOCUMENT  — No.  23. 


35 


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36 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


16.  —  Causes  of  Death. 

• 

CAUSES. 

Males. 

Females. 

Totals. 

Nervous  system :  — 

Exhaustion  from  mania,  acute, . 

1 

3 

4 

chronic, 

2 

2 

4 

recurrent,   . 

- 

1 

1 

melancholia,  acute, 

4 

- 

4 

chronic,     . 

4 

3 

7 

recurrent, . 

1 

- 

1 

dementia,  secondary, 

5 

- 

5 

senile,    . 

10 

5 

1.5 

organic, . 

5 

- 

5 

Epileptic  insanity, 

2 

1 

3 

Alcoholic  insanity,     ..... 

2 

- 

2 

General  i^aralysis, 

18 

1 

19 

Respiratory  system :  — 

Bronchitis,  capillary, 

1 

1 

Pneumonia, 

- 

1 

1 

Pulmonary  cBdema, 

- 

1 

1 

Phthisis,  pulmonalis,          .... 

6 

5 

11 

Circulatory  system :  — 

Cerebral  haemorrhage,       .... 

3 

3 

6 

Cerebral  congestion, 

- 

1 

1 

Heart  failure, 

- 

1 

1 

Heart  disease,     .       = 

2 

— 

2 

1894.]  PUBLIC   DOCUMENT  — No.  23.  37 

16.  —  Causes  of  Death  —  Concluded. 


CAUSES. 

Males. 

Females. 

Totals. 

General :  — 

Shock  from  burns, 

- 

1 

Peritonitis, 

- 

1 

Dysentery, 

1 

- 

Intestinal  haemorrhage, 

- 

1 

Bright's  disease, 

3 

- 

Diabetes  mellitus. 

1 

- 

Cirrhosis  of  liver. 

- 

1 

Carcinoma  of  liver,    . 

- 

1 

Carcinoma  of  breast, . 

- 

1 

Suicide  by  drowning, 

1 

- 

Totals,         .... 

71 

35 

106 

38 


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PUBLIC   DOCUMENT  — No.  23. 


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1894.] 


PUBLIC   DOCUMENT  — No.  23. 


41 


19.  —  How  Supported . 


Patients  Admitted. 

AVEBAGK   OF  THE  YEAE. 

SUPPORTED  AS- 

Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

State  patients, . 
Town  patients, 
Private  patients. 

185 

85 
22 

160 
91 
38 

845 

176 
60 

131.21+ 

237.29+ 

60.85 

110.68+ 

280.40+ 
79.47 

241.90 
517.69 
140.32 

Totals,       . 

292 

289 

581 

429.36 

470.54 

899.91 

20.  —  Number  of  Convicts  admitted  to  the  Hospital  from  its  Opening, 
Jan.  19,  1833,  to  Sept.  SO,  1894. 


Males. 

Females. 

Totals. 

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

527 
65 

119 
9 

646 

74 

Totals, 

592 

128 

720 

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1894.]  PUBLIC   DOCUMENT  — No.  23. 


43 


I  I  I  I  I  I 


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1894.]  PUBLIC   DOCUMENT  — No.  23.  45 


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48 


WORCESTER  LUNATIC   HOSPITAL. 


[Oct. 


24.  —  Slioiving  the  Results  of  First  Admissions. 


Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

Number  of  persons  on  first  ad- 

mission, .... 

- 

- 

- 

7,162 

6,711 

13,873 

Discharged  recovered, 

2,294 

2,088 

4,382 

- 

_ 

- 

improved. 

1,807 

1,915 

3,722 

- 

- 

- 

not  improved, 

1,469 

1,323 

2,792 

- 

- 

- 

not  insane. 

10 

6 

16 

- 

- 

- 

Escaped,     .... 

4 

- 

4 

1        - 

- 

- 

Died, 

1,244 

986 

2,230 

- 

- 

- 

Remaining  in  the  hospital  Sept 

30,  1894, .... 

334 

393 

727 

7,162 

6,711 

13,873 

Showing  the  Results  of  Readmissions. 


Number  of  readmissions,  . 

2,062 

2,018 

4,080 

Discharged  recovered. 

718 

775 

1,493 

- 

- 

- 

improved, 

557 

544 

1,101 

- 

- 

- 

not  im^Droved, 

428 

377 

805 

- 

- 

- 

Escaped, 

1 

- 

1 

- 

- 

- 

Died, 

263 

220 

483 

— 

— 

— 

Remaining  in  the  hospital  Sept. 

30,  1894, 

95 

102 

197 

2,062 

2,018 

4,080 

Showing  the  Results  of  Second  Admissions. 


Number  of  second  admissions,  . 

1,262 

1,261 

2,523 

Discharged  recovered, 

393 

395 

788 

_ 

- 

- 

improved. 

329 

358 

687 

- 

- 

- 

not  improved, 

303 

274 

577 

- 

- 

- 

Died, 

182 

159 

341 

— 

— 

— 

Remaining  in  the  hospital  Sept. 

30,  1894, 

55 

75 

130 

1,262 

1,261 

2,523 

Shoimng  the  Results  of 

Third  Admissions. 

Number  of  third  admissions, 

392 

348 

740 

Discharged  recovered, 

142 

149 

291 

- 

- 

- 

improved, 

107 

89 

196 

- 

- 

- 

not  improved. 

73 

63 

136 

- 

- 

- 

Died^ 

48 

33 

81 

- 

- 

- 

Remaining  in  the  hospital  Sept 

30,  1894,  .... 

22 

14 

36 

392 

848 

740 

1894.]  PUBLIC   DOCUMENT  — No.  23.  49 

Slioioing  the  Results  of  Fourth  Admissions. 


Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

Number  of  fourth  admissions,   . 

Discharged  recovered, 
improved, 
not  improved, . 

Died 

Remaining  in  the  hospital  Sept. 
30,  1894, 

67 
47 
28 
11 

10 

66 
44 
22 
10 

6 

133 
91 
50 
21 

16 

163 
163 

148 
148 

311 
311 

Showing  the  Results  of  Fifth 

Admissions. 

Number  of  fifth  admissions, 

78 

76 

154 

Discharged  recovered. 

35 

40 

75 

- 

- 

- 

improved, 

15 

16 

31 

- 

- 

_ 

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

11 
1 

12 

9 
5 

20 

1 

17 

- 

~ 

: 

Remaining  in  the  hospital  Sept 
30,  1894,  .... 

4 

6 

10 

78 

76 

154 

Showing  the  Results  of  Sixth  Admissions. 


Number  of  sixth  admissions. 
Discharged  recovered, 
improved, 
not  improved, . 

Died, 

Remaining  in  the  hospital  Sept 
30,  1894,  .... 


46 

40 

23 

22 

45 

_ 

— 

12 

13 

25 

- 

- 

4 

2 

6 

- 

_ 

4 

3 

7 

- 

- 

3 

- 

3 

46 

40 

Showing  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 

3 

6 

26 

.29 

55 

50  WORCESTEE  LUNATIC  HOSPITAL.         [Oct. 

Showing  the  Resvlts  oj  Eighth  Admissions. 


Males. 

Females 

Totals. 

Males. 

Females. 

Totals. 

Number  of  eighth  admissions,  . 

Discharged  recovered, 
iinproved, 
not  imjjroved, . 

Died, 

10 
9 

1 

13 

2 
3 

1 

23 

11 

4 

1 

20 

20 

19 
19 

39 
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 

32 

Showing  the  Results  of  Tenth  Admissions. 


Number  of  tenth  admissions. 
Discharged  recovered, 
improved, 
not  improved, . 


14 

15 

6 

12 

18 

_ 

_ 

7 

2 

9 

_ 

_ 

1 

1 

2 

14 

15 

Showing  the  Results  of  Eleventh  Admissions. 


Number  of  eleventh  admissions. 

Discharged  recovered, 
improved, 
not  improved, 

Died, 


12 

14 

3 

9 

12 

- 

- 

6 

4 

10 

_ 

_ 

2 

1 

3 

- 

- 

1 

— 

1 

12 

14 

Shoiving  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 

1894.]  PUBLIC   DOCUMENT  — No.  23. 

Slioioing  the  Results  of  Thirteenth  Admissions. 


51 


Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

Number   of    thirteenth    admis- 

sions,        

- 

- 

_ 

7 

9 

16 

Discharged  recovered, 

3 

8 

11 

_ 

_ 

improved, 

3 

- 

3 

_ 

_ 

_ 

not  improved, 

1 

- 

1 

_ 

_ 

_ 

Died, 

~ 

1 

1 

7 

9 

16 

Showing  the  Results  of  Fourteenth  Admissions. 


Number   of    fourteenth   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  admissions. 

Discharged  recovered, 
improved, 
not  improved, 


10 


10 


Showing  the  Results  of  Sixteenth  Admissions. 


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

Discharged  I'ecovered, 
improved, 

Remaining  in  the  hospital  Sept 
30,  1894, 


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  imjjroved, 

2 

2 
1 

4 
1 

2 
- 
2 

3 
3 

5 
6 

iShoioing  the  Results  of  Eighteenth  Admissions. 


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


2 

3 

1 

2 

3 

- 

- 

1 

- 

1 

- 

- 

— 

1 

1 

2 

3 

Shoioing  the  Residts  of  Nineteenth  Admissions. 


Number  of  nineteenth   admis- 
sions,        

Discharged  recovered, 
improved. 


1 

2 

_ 

2 

2 

_ 

_ 

1 

— 

1 

1 

2 

Shoioing  the  Results  of  Ttoentieth  Admissions. 


Number   of    twentieth    admis- 
sions,        

Discharged  recovered, 


-  -  -  -  2 

-22-2 


Shoioing  the  Results  of  Tioenty-first  Admissions. 


Number  of  twenty-tirst  admis- 
sions,      .         .         .        .        . 
Discharged  recovered, 
Died, 


2 

_ 

1 

1 

_ 

_ 

— 

1 

1 

— 

2 

1894.]  PUBLIC   DOCUMENT  — No.  23.  53 

Showing  the  Results  of  Twenty-second  Admissions. 


Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

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

- 

1 

1 

- 

1 
1 

1 
1 

Shouting  the  Results 

0/  Twenty-third  Ad 

missions. 

Number  of  twent3'-tliird  admis- 
sions,      ..... 
Discharged  recovered, 

_ 

1 

1 

- 

1 
1 

1 
1 

54 


WOECESTER  LUNATIC   HOSPITAL. 


[Oct. 


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1894.] 


PUBLIC   DOCUMENT  — No.  23. 


55 


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1894.]  PUBLIC   DOCUMENT  — No.  23. 


57 


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1894.]  PUBLIC   DOCUMENT— No,  23. 


59 


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1894.]  PUBLIC   DOCUMENT  — No.  23. 


61 


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1894.J 


PUBLIC   DOCUMENT  — No.  23. 


63 


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66 


WORCESTER  LUNATIC  HOSPITAL.         [Oct. 


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PUBLIC   DOCUMENT  — No.  23. 


69 


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70 


WORCESTER   LUNATIC   HOSPITAL. 


[Oct. 


28.  — Subsequent  History,  to  Sept.  30,  1894,  of  1,157  Persons  lolio 
have  been  discharged  from  the  Hospital  as  recovered  on  their  Only 
Admission  or  on  their  Last  Readmission. 


Males. 


Totals. 


Remained  well  and  living  at  time  of  rei^ly, 

Remained  well  through  life, 

Relapsed  and  readmitted  to  this  hospital, 

Relapsed,  admitted  to  other  hospitals,  and  died 
there,       ....... 

Relapsed,  admitted  to  other  hospitals,  and  dis 
charged, 

Relapsed,  admitted  to  other  hospitals,  and  there 
now, 

Relapsed  and  died  at  home, 

Relapsed  and  died  at  almshouse. 

Relapsed  and  living  at  almshouse,    . 

Relapsed  and  living  at  home,    . 

Relapsed  and  nothing  more  known,  . 

Suicides, 

Relapsed  and  died  in  Anderson ville  Prison, 

Totals, 

No  information, 


166 

113 

2 

28 

35 

13 
48 
24 

9 
22 

9 
27 

1 
497 

497 


151 

138 

1 

27 

32 

20 
54 
16 

3 
30 

1 
14 


487 


487 


317 

251 

3 

55 

67 

33 
102 
40 
12 
62 
10 
41 
1 


984 

173 

1,157 


1894.] 


PUBLIC   DOCUMIONT  — No.  23. 


71 


Residence  of  Private  Patients  admitted  to  the  Hospital  from  Oct.  1, 
1893,  to  Sept.  30,  1894. 


TOWNS. 

No. 

TOWNS. 

No. 

Attleborough, 

1 

Mansfield, 

1 

Ayer,     . 

1 

Oakham, 

1 

Andover, 

1 

Orange,. 

1 

Boston,  . 

13 

Oxford, . 

2 

Bar  re,    . 

1 

Princeton, 

1 

Cambridge, 

2 

Somerville, 

2 

Clinton, 

2 

Spencer, 

2 

Charlton, 

1 

Sonthbridge, 

1 

Fitchburg, 

2 

Upton,    . 

1 

Groton,  . 

1 

Woonsocket,  R.  I., 

1 

Harvard, 

1 

Worcester,     . 

17 

Lancaster, 

1 

Water  town,   . 

1 

Lowell, . 

2 
1 

Whitinsville, 
Total,      . 

1 

Lexington, 

63 

Maiden, 

1 

Natives,  . 
Foreigners, 
Total, 


50 
13 
63 


72 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


Residence  of  Town  Patients  admitted  to  the  Hospital  from  Oct.  i, 
1893,  to  Sept.  30,  1894. 


TOWNS. 

No. 

TOWNS. 

No. 

Ashland, 

1 

Milford, 

1 

Boston,  . 

5 

Marlborough, 

1 

Brookline, 

1 

Natick,  . 

2 

Blaekstone, 

1 

Pepperell, 

1 

Clinton, 

1 

Spencer, 

2 

Cambridge, 

2 

Tewksbury,  . 

1 

Fitchburg, 

1 

Uxbridge, 

1 

Lowell,  . 

3 

Worcester,     . 

11 

Lancaster, 

1 
1 

Westminster, 
Total,      . 

1 

Littleton, 

38 

Natives, 28 

Foreigners, 10 

Total, 38 

State  Patients  admitted  to  the  Hospital  from  Oct.  1,  1893,  to 
Sept.  30,  1894. 

State  natives, 221 

State  foreigners, 259 

Total, 480 


1894.] 


PUBLIC   DOCUMENT  — No.  23. 


73 


LIST   OF  PERSONS 

Employed  in  the  Worcester  Lunatic  Hospital  Sept.  30,  1894. 


Superintendent  and  physician,  per  year,      .         .        .         . 

.     f3,000  00 

Assistant  superintendent,            "        " 

1,.500  00 

Assistant  physician,                      "        " 

1,000  00 

Assistant  physician,                      "        " 

1,000  00 

Assistant  physician,                      "         " 

1,000  00 

Pathologist,                                   "        " 

100  00 

Steward,                                        "        " 

1,200  00 

Treasurer,                                      "        " 

500  00 

Matron,                                          "        " 

600  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,  two),     "        " 

25  00 

Marker  of  clothing,                             .    "        " 

18  00 

Seamstresses  (two),  each,                       "        " 

18  00 

Attendants  (male,  thirty-three),  $23.00  to  $25.00  per  mont 

h. 

Attendants  (female,  forty-two),  $14.00  to  f  18.00  per  mont 

h. 

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

Night  attendants  (female,  four),  per  month, 

18  00 

Baker,                                                   "        " 

50  00 

Assistant  baker,                                   "        " 

27  00 

Storekeeper,                                         "        " 

30  00 

Office  girl,                                            "        " 

16  00 

Kitchen  man,                                       "        " 

35  00 

Cooks  (two),  122.00  and  $25.00  per  month. 

Laundry  man,                 per  month,       .... 

30  00 

Laundress,                         ct        »            .... 

20  00 

Assistant  laundry  man,     "         " 

. 

25  00 

74 


WORCESTER   LUNATIC   HOSPITAL. 


[Oct. 


Laundry  girls  (six),  f  14.00  to  $18.00  per  month. 
House  girls  (seven),  per  month,  .... 

Kitchen  girls  (three),  $14.00  to  $16.00  per  month. 
Scullery  man,  per  month,     ...... 

Scullery  maid,   "         " 

Carpenters  (two),  $2.50  and  $3.00  per  day. 
Painters  (three),  $2.50  and  |2.75  per  day. 

Plumber,  per  year, 

Mason,  $3.00  per  day. 

Engineer,  per  year, 

Firemen  (two),  f 40.00  and  $45  00  per  month. 
Farmer,  per  year,       ...... 

Farmer's  wife,    "      " 

Farm  laborers  (eight),  $15.00  to  $45.00  per  month. 

Farm  help  (female,  two),  $14.00  and  $18.00  per  month. 

P'arm  watchman. 

Gardener, 

Florist, 

Coachman, 

Expressman, 

Basement  and  yard  man, 


$14  00 

23  00 
16  00 


900  00 

1,000  00      f 

600  00 
240  00 


er  month,  . 

40  00 

50  00 

45  00 

27  00 

25  00 

25  00 

1894.] 


PUBLIC   DOCUMENT  — No.  23. 


75 


SUMMAEY  OF  FARM  ACCOUJSTT 


For  Twelve  Months  ending  Sept.  30,  1894. 


Dr 


Bread, 

Butter,     . 

Blacksmithing, 

Current  expenses. 

Fertilizer, 

Furnisliings,    . 

Groceries,  etc.. 

Grain  and  meal. 

Hardware, 

Live  stock. 

Meat, 

Repaii's,  . 

Seeds, 

Sugar, 

Wages,    . 

Fuel  and  light, 

Furniture, 

Hay  and  pasturage. 

Salt, 

Straw, 

Tools,       . 

Water, 

Net  gain  for  year  ending  Sept.  30, 


1894, 


$180 

00 

289 

81 

232 

74 

121 

73 

403 

30 

289 

21 

730 

26 

4,560 

68 

44 

50 

2,400 

00 

672 

74 

369 

96 

90 

72 

108 

76 

4,887 

95 

97 

62 

145 

76 

180 

00 

5 

00 

132  52 

60 

85 

83 

83 

5,007 

86 

$21,035  80 

76 


WORCESTER  LUNATIC   HOSPITAL. 


[Oct. 


Cr 


221  barrels  apples, . 
677  bunches  asparagus,  . 
41J  bushels  beans,  lima, 
loOi  bushels  beans,  shell, 
70  bushels  beans,  string, 
158  bushels  beets, 
2,820  pounds  bones, 
1,463  pounds  beef,  , 
150|  barrels  cabbage, 
2,231  bunches  celery, 
83^  bushels  cucumbers, 
28f  pounds  chicken, 
32^  bushels  carrots, 
497  pounds  cauliflower, 
J  bushel  chestnuts, . 
1,806  boxes  currants, 
30  boxes  cherries,    . 
2,479  gallons  cider, 
258  barrels  corn, 
21  bushels  dandelions, 
340|  dozen  eggs, 
48|  pounds  fowl,     . 
33  loads  gravel, 
20  egg  plants, 
23,470  pounds  ha}-, 
6  bushels  herbs, 
3,437  heads  lettuce. 
Live  stock  sold, 
6  bushels  leeks, 
322,030  quarts  milk, 
849  melons, 
210^  bushels  onions, 


Amou?it  carried  forward, 


$479  50 

54 

16 

30 

95 

197 

50 

52 

50 

83 

45 

14 

10 

131 

67 

124 

13 

178 

94 

189  50 

5 

75 

16 

13 

19 

52 

1 

50 

100 

95 

2 

10 

198 

32 

268 

64 

15 

75 

81 

72 

7 

76 

3 

30 

1 

42 

234  70 

6 

00 

135 

82 

1,835 

49 

4  50 

12,881 

20 

142 

10 

210  50 

fl7,709 

57 

1894.] 


PUBLIC  DOCUMENT  — No.  23. 


77 


Amount  brought  forward^ 
2>\  bushels  peppers, 

11  baskets  peaches, 
203J  bushels  pears, 
15  barrels  pumpkins, 
24|  bushels  parsnips, 
128 'bushels  pease,  . 
25,304  pounds  pork, 
6,374  pounds  rhubarb, 
2,398  bunches  radishes, 
305  boxes  raspberries, 
46  pounds  horse  radish, 
14,000  pounds  winter  squash, 

12  bushels  salsify,  . 
913  boxes  strawberries,  . 
303  bushels  spinach, 
5  barrels  sunimer  squash, 
399i  bushels  tomatoes,   . 
2431  bushels  turnips, 
Cash  received  for  plants. 
Cash  received  for  wood, 
Cash  received  for  vegetables, 
Cash  received  for  two-horse-power  mill, 


$17,709  57 

3  25 

11  00 
176  88 

15  00 

12  40 
144  25 

1,764  27 

185  98 

51  39 

54  90 

4  60 
140  00 

36  00 

91  30 

133  70 

10  00 

199  78 

118  00 

8  88 

75  00 

24  65 

65  00 


$21,035  80 


78 


WORCESTEE  LUNATIC  HOSPITAL.     [Oct. '94. 


PRODUCTS  OF   THE   FARM 


On  Hand  Oct.  1,  1894,  and  not  delivered  at  the  Hospital. 


Apples,  . 
Apples,  cider. 
Beans,  shell. 
Beets, 
Cabbage, 
Cauliflower, 
Celery,    . 
Chestnuts, 
Corn, 
Carrots,  . 
Egg  plants. 
Ensilage, 
Hay,        . 
Hay,  swale. 
Melons,  . 
Parsley,  . 
Pumpkins, 
Peppers, 
Parsnips, 
Pears, 
Ruta-bagas, 
Salsify,   . 
Squash,   . 
Spinach, . 
Turnips, . 
Tomatoes, 


1,136  barrels. 

750  bushels. 

10  bushels. 

618  bushels. 

5,300  heads. 

795  pounds. 
7,028  heads. 
6  bushels. 
100  bushels. 
75  bushels. 
106 
400  tons. 

220  tons. 
10  tons. 

414 

4  bushels, 
1,000 

221  bushels. 
150  bushels. 

84  bushels. 

100  bushels. 

6  bushels. 

34,460  pounds. 

5  bushels. 
2,244  bushels. 

64  bushels.