Annual report of the trustees of the Worcester Insane Hospital

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

SEVENTY-THIED ANNUAL EEPOET

OF

THE TRUSTEES

OF THE

Worcester Insane Hospital,

AND

TWENTY-EIGHTH ANNUAL REPORT OF THE TRUSTEES

OF THE

WORCESTER INSANE ASYLUM AT WORCESTER,

FOR THE

Year ending September 30, 1905.

BOSTON :

WRIGHT & POTTER PRINTING CO., STATE PRINTERS,

18 Post Office Square.

1906.

PUBLIC DOCUMENT .

No. 23.

SEVENTY-THIBD ANNUAL EEPOET

OP

THE TRUSTEES

OF THE

Worcester Insane Hospital,

AND

TWENTY-EIGHTH ANNUAL REPORT OF THE TRUSTEES

OF THE

WORCESTER INSANE ASYLUM AT WORCESTER,

FOB THE

Yeae ending September 30, 1905.

/h*

BOSTON :

WRIGHT & POTTER PROTLNG CO., STATE PRINTERS,

18 Post Office Square.

1906.

Approved by
The State Board of Publication,

3

CONTENTS

Report of Trustees, 7

Report of Superintendent, 12

Report of Treasurer, 23

Statistics, 31

OFFICERS OF THE HOSPITAL.

TRUSTEES.

SAMUEL B. WOODWARD, Worcester.

LYMAN A. ELY, Worcester.

GEORGE F. BLAKE, Worcester.

ROCKWOOD HOAR, Worcester.

THOMAS RUSSELL, Boston.

SARAH E. WHITIN, ........ Whitinsville.

FRANCES M. LINCOLN Worcester.

RESIDENT
HOSEA M. QUINBY, M.D.,
ALFRED I. NOBLE, M.D.,
ISADOR H. CORIAT, M.D., .
CORNELIA B. J. SCHORER, M.D.,
EDWARD MELLUS, M.D.,
WALTER C. HAVILAND, M.D.,
THEODORE A. HOCH M.D., .
FREEMAN A. TOWER, M.D.,
GEORGE B. LANDERS, M.D.,
HARRY W. HAMMOND, M.D.,
ROBERT 0. LeBARON, M.D.,
LINDA A. J. RICHARDS,

HENRY R. CENTER,
LILA J. GORDON, .
JOSEPH T. REYNOLDS,

OFFICERS.

. Superintendent.

. Assistant Superintendent.

. Assistant Physician.

. Assistant Physician.

. Assistant Physician.

. Assistant Physician.

. Assistant Physician and Pathologist.

. Junior Assistant.

. Junior Assistant.

. Junior Assistant.

. Junior Assistant.

. Superintendent of Nurses.

Steward.
Matron.
Farmer.

non-resident officers.

WILLIAM D. SPROAT, Druggist.

ALBERT WOOD Treasurer.

GEORGE I. CLARK, Auditor.

JESSIE M. D. HAMILTON, Clerk.

JAMES DICKISON, Jr., Engineer.

Cnmmotxfomltfj d WSLUBmfynutte.

TRUSTEES' REPORT.

To His Excellency the Governor and the Honorable Council.

The trustees of the Worcester Insane Hospital herewith re-
spectfully submit their seventy-third annual report.

It would seem that the appended reports of the superintendent
and treasurer, together with the statistical tables, furnish all
the information concerning the institution which the Revised
Laws require or expect the trustees annually to submit, and
that a particular statement of the " condition of the hospital and
its affairs " is so well presented therein that but few additional
words are actually needed on the part of the Board by way of
explanation of matters more particularly deserving of notice.

Again, as for several years past, the average number of
patients is increased; this year by 23 over that of the year
before, giving a new high number, namely, 1,242.

We are, as always, and as are all similar institutions in the
State, overcrowded, with beds where there should be airing
courts, and cots in the corridors at night. It is hoped that these
conditions are not always to prevail, and that the dangers inci-
dent to such over-plus of patients will eventually be relieved.

The hospital work has gone on smoothly and without inter-
ruption. A large number of inmates (some 300) have been
usefully employed upon the grounds, both to their own advan-
tage and to that of the hospital. By their exertions, much work
has been accomplished that could not have been profitably under-
taken had we been obliged to depend upon hired labor. Land
of extraordinary roughness has been cleared of stones and

8 WORCESTER, INSANE HOSPITAL. [Oct.

stumps, roads laid out, underdrained and macadamized, and
land brought under cultivation that has long been of no profit
to the State.

The electric wiring of the whole building is now practically
completed, and, with the installation of a few further fixtures,
the use of gas, always dangerous in such an institution, will be
practically abolished.

The changes authorized in the administration building are
well under way, and when completed will relieve a condition of
affairs which had become almost unbearable.

A landmark in the history of the hospital was the graduation
of the first class from its training school, which occurred during
the past summer. On August the first, diplomas were presented
to 21 nurses by the chairman of the Board in Sargent Hall.
Prayer was offered by Eev. Eldridge Mix, and an address deliv-
ered by Dr. Edward Cowles, formerly superintendent of the
McLean Hospital at Waverley. Eive of the class remain in the
hospital service. Many will take post-graduate courses in gen-
eral hospitals, and will thus be peculiarly fitted for special nurs-
ing, or to fill positions of trust in this or similar institutions.

Three of the assistant physicians have left us during the year :
Dr. M. G. Rowe, to take up private practice in Denver ; Dr. E.
M. Eisher, August 31, to accept a position in Morris Plains;
Dr. Isador H. Coriat, in September, to enter on private practice
in Boston. Drs. W. C. Haviland and Freeman A. Tower, junior
assistants, were appointed to fill two vacancies; the third is at
present unfilled.

With the completion of the pathological building this im-
portant department of the hospital work will be properly housed,
and the present temporary, crowded and inconvenient basement
quarters abandoned.

Ten years ago, in their sixty-third annual report, the trus-
tees stated that it had been a source of reproach to the lunatic
hospitals of Massachusetts, as well as to those of other States,
that they were nothing more than enormous boarding houses
for the care of the insane, well-managed boarding houses, it is
admitted, but accomplishing little for the advancement of medi-
cal and pathological science. The reorganization of our medical

1905.] PUBLIC DOCUMENT — No. 23. 9

service, which took place that same year, and the establishment
of a laboratory were the beginning of an attempt to remove the
stigma from this hospital, at least.

The system of having internes or junior assistants, inau-
gurated at that time, is still maintained. As they serve but
twelve months, an opportunity is offered a large number of
young medical men to study nervous diseases on both the prac-
tical and scientific side, while the hospital has always been able
from their ranks to fill vacancies occurring in the staff, thus
obtaining men whose attainments have been judged during
their pupilage, with manifest benefit to itself. From our labo-
ratory come every day (so the superintendent informs us)
answers to most perplexing questions; so that in the treatment
of the patients more benefit to them is often obtained from this
source than from the druggist and the pharmacy. It is the
laboratory work that largely attracts these young men, from
whose number not only our own ranks are kept full, but who,
as graduates of this training school, have frequently been called
to positions in similar institutions in this and other States.

Until 1902, when he was called to New York as medical
director of the newly formed pathological institute, the clinical
and pathological work was done under the supervision of Dr.
Adolph Meyer. The benefit to the patients of the more careful
study that could thus be given them under the direction of one
whose time was not taken up so largely by administrative work
as is that of the superintendent of a large hospital, whose 1,500
inmates depend upon him for the control of every detail of
management, became so manifest that since the resignation of
Dr. Meyer the system, with its extended and valued records,
has been continued.

The most urgent need of the hospital, at present, is a home
for male nurses. This matter has been presented in the last
two annual reports, but as no appropriation was granted us by
the Legislatures of 1903 and 1904, it must, of necessity, come
up again.

The building of a home for female nurses, completed two
years since, removed from the main building 58 attendants, and
in their stead we have 113 additional patients to care for.

10 WORCESTER INSANE HOSPITAL. [Oct.

We wish, to provide a building for 80 men, whose places in
the main building can be filled by at least as many additional
patients.

Much dissatisfaction must be expected to exist among the
male attendants, until they are as well provided for as are
those of the opposite sex, and a corresponding difficulty in ob-
taining proper persons to undertake the often arduous and
disagreeable work of caring for the unfortunate insane.

The establishment of a home and a training school for women
has greatly increased the efficiency of our working force. The
offer of instruction in a profession which gives them a chance
for lucrative employment when their hospital life ceases has
brought us an increasingly desirable class of applicants. Those
without fixed purpose are kept away by the obligation of re-
maining with us for two years, and an esprit de corps is created
by their association in class room and lecture hall which is of
infinite value to patients and hospital alike. The chance for
relief from the sights and sounds inseparable from an institution
for the insane, at meal times and at night, brings them brighter
and fresher to their work, and renders them more efficient care-
takers of those committed to their charge.

We expect corresponding benefits from the establishment of
a similar home for the men, and, as the number of men willing
to engage in insane hospital work is always much smaller than
that of women, the need and the expected benefits are all the
•greater. We ask for an appropriation of $55,000 for the work.

After the preparation of plans prepared by an engineer,
acceptable to the State Board of Health, — plans later approved
by that board, — we last spring asked the Legislature for an
appropriation for the construction of sewage beds. Similar
beds are in satisfactory use in other institutions, can be cared
for in a proper manner, at very slight annual expense, and we
consider this the most efficient and economical way of abating
whatever nuisance may have been created by our present meth-
ods. Eor this purpose the sum of $15,000 is needed and asked
for.

The trustees wish to express their high approval of the work
of the officers of the institution. Active, efficient, economical
administration is the watchword of the superintendent,- who,

1905.] PUBLIC DOCUMENT — No. 23. 11

after thirty-two years spent in this and its sister institution, the
Worcester Insane Asylum, is still as enthusiastic as ever in the
service of the State, and of the unfortunate insane committed
to his care. To him and to his associates may safely be left
the task to further advance the already high reputation of this
hospital, established in 1832, one of the oldest in the country.
The trustees cannot close this report without reference to
the recent death of Dr. John G. Park, who from 1872 to 1890
faithfully served this hospital, five years as assistant physician,
twelve years as superintendent. The trustees of 1890 thus
speak of him : " Of great executive ability, he has managed
the affairs of the hospital to the entire satisfaction of the Board.
Of kindly disposition, great gentleness and courtesy, and per-
fect justness, he has endeared himself to all. The staff, the
employees, the patients and the friends of the patients will all
miss him."

Respectfully submitted,

SAMUEL B. WOODWAED.
LYMAN A. ELY.
GEOBGE E. BLAKE.
KOCKWOOD HOAE.
THOMAS EUSSELL.
SAEAH E. WHITIN.
FEANCES M. LINCOLN.

Sept. 30, 1905.

12 WORCESTER INSANE HOSPITAL. [Oct.

SUPERINTENDENT'S REPORT.

To the Trustees of the Worcester Insane Hospital.

I herewith respectfully submit the following report of the
hospital for the year ending Sept. 30, 1905, it being the seventy-
third annual report.

There remained at the hospital Oct. 1, 1905, 1,226 pa-
tients, — 619 men and 607 women. During the year 571
patients — 307 men and 264 women — were admitted; 273
patients — 149 men and 124 women — were discharged; 162
patients — 101 men and 61 women (1 habitual drunkard) —
died; 117 patients — 61 men and 56 women — were trans-
ferred, and 43 patients — 26 men and 17 women — left on
visit and escape, leaving at the end of the official year 1,202
patients, — 589 men and 613 women. Of this number, 1,045
were supported by the State, 1 by town (an habitual drunkard,
woman) and 156 by friends. Of the 390 discharged and
transferred, 123, including 6 habitual drunkards (women),
were reported recovered, 52 much improved, 59 improved (1
habitual drunkard, woman), and 152 not improved; 4 were
discharged not insane. Thirty men were transferred by the
State Board of Insanity to the Worcester Insane Asylum, 30
women to the State Colony at Gardner, 26 men to the Fox-
borough State Hospital, 2 men and 1 woman to the Boston
Insane Hospital, 2 women each to Tewksbury and Westborough,
1 man each to McLean and Northampton, and 1 woman each
to Baldwinville Cottages and Herbert Hall. Twenty-three men
and 17 women were removed from the State and 17 women and
1 man were boarded out.

There remained at the end of the year 28 patients less than
at the beginning. The smallest number under treatment on
any one day was 1,180, and the largest, 1,306. The daily
average number was 1,242.76.

1905.] PUBLIC DOCUMENT — No. 23. 13

The percentage of recoveries, calculated upon the number
of discharges and deaths, was 22.2 ; calculated upon the num-
ber of admissions it was 21.5.

The death rate was 9.5, calculated on the whole number of
patients under treatment; and 13.04, calculated on the daily
average number.

The clinical work, conducted upon the basis formerly estab-
lished, has been stimulated by interesting and instructive staff
meetings for the study of unusual cases and the consideration
of literature. The medical work has been advanced along the
line of non-restraint, either chemical or mechanical, by a fuller
use of hydrotherapy and by agreeable and useful occupation
for patients. We have come to recognize more and more the
physical basis of insanity, and the real demands for nursing
care in most of our recent cases and in practically all excited
ones. These demands in the female wards have been well met
by our more efficient nursing force.

Our training school for nurses, established two years ago,
is in successful operation, with a full complement of pupil-
nurses and a respectable waiting list from which to draw candi-
dates.

On Aug. 1, 1905, our first graduation exercises were held,
and 21 young women who had completed the required school
work and had passed the final examinations were awarded
diplomas. Practically all of these graduates are now taking
either a six months' post-graduate course in a general or special
hospital, or they are planning to do so within the current year.
After the drill here and the special work in other institutions,
these young women should be well fitted for the duties of the
nurse, and especially qualified to fill the places of head nurses
and supervisors in hospitals of this character ; and it is hoped
and expected that a certain number of them each year may be
induced, by an advance in position and wages, to remain in
the service of the hospital.

The school organization and the training have raised very
perceptibly the standard of care and nursing for our patients.
They have enabled us to secure in sufficient numbers a higher
grade of applicants, and have contributed not a little to the
better morale of the institution. These improvements in per-

14 WORCESTER INSANE HOSPITAL. [Oct.

manency and grade of the nursing service, together with much
shorter hours for the nurses and cheerful surroundings to which
they may retire when not upon actual duty, have been made
possible by the home for female nurses, and it is reasonable
to suppose that similar advantages would accrue were a home
for male nurses provided.

The laboratory work has been conducted as in previous years
and complete post-mortem examinations made in every case which
came to autopsy. The members of the staff have shown an
active interest in the work and have taken advantage of the
opportunities to familiarize themselves with the more important
methods of technique. They have also gained much from the
study of normal and pathological specimens of the nervous
system. It has been the aim to utilize the most recent methods
of technique and staining, and some good results have been
obtained.

During the year many interesting and instructive cases came
to autopsy. Among them may be mentioned two brain tumors,
many cases of subdural hemorrhage, one case each of lead
encephalitis, complete transposition of the viscera, dextrocardia,
and one of rapid carcinomatous degeneration of a dermoid cyst.
Some valuable neurological material sent to the laboratory by
practising physicians has been studied. Further studies on
the chemistry of the nervous system were carried on in the
chemical laboratory, as were also the necessary examinations in
aid of the clinical diagnosis.

During the year Dr. I. H. Coriat published an article in the
" Journal of Comparative Neurology and Psychology," Vol.
15, No. 2, 1905, entitled " A review of some recent literature
on the chemistry of the central nervous system ; " also one on
" The production of cholin from lecithin and brain tissue, "
" American Journal of Psychology, " Vol. 12, December,
1904. In addition to these original articles he has reviewed
the current psychiatrical literature for the " American Journal
of Psychology."

Dr. T. A. IToch contributed the following two articles to
medical literature : " Acute anterior poliomyelitis in a youth,"
" Journal of Nervous and Mental Diseases," September and
October, 1905, and " A study of somatic ideas in various
psychoses," " American Journal of Insanity," October, 1905.

1905.] PUBLIC DOCUMENT — No. 23. 15

The systematic effort tliat lias been made to find employment
for our inmates has, I am pleased to say, met with a large
measure of success. During the season we have had an average
of 300 men at work outside the wards, which represents the
large proportion of those physically and mentally fit. Besides
assisting in the general work of the hospital, and in our garden
and about the grounds, they have been usefully employed in
clearing the land in the rear of the hospital and at our Shrews-
bury farm, breaking up stones, building roads and drains and
excavating for our new buildings.

With the wiring of our wards — which we were able to do
during the summer — our electric light plant is practically
complete. We have also finished the extension to our laundry
and installed the necessary addition of machinery, and are now
in a position to meet promptly all the demands of this impor-
tant department, a thing which we had heretofore found impos-
sible.

I would again urge the need of more ample and better accom-
modations for our male nurses. As was pointed out in my last
report and in that of the previous year, the quarters of our
male nurses have long been inadequate. The original design of
the hospital provided for a relatively small number of attend-
ants, and made little or no provision for future increase. Since
its opening the capacity of the hospital has been more than
doubled, and at the same time our ideas as to proper ratio
between the number of patients and attendants has greatly
increased. Formerly 1 attendant to 12 or 14 patients was
considered ample, but with our present standard of care 1 to
10 is found none too many. Formerly there were but 2 night
watches on either side to safe-guard the house and its inmates.
"Now we have regularly 24 persons on night duty. In the mean-
time, no provision has been made on the male side of the house
for additional attendants, and we have been obliged to resort
to all sorts of makeshifts to provide the necessary room for
them. As a result, our male night watchmen and nurses are
lodged in rooms designed for storage purposes, off our chapel
gallery and directly under the chapel bell, used through the day
as a call bell for officers and employees.

It is hardly to be wondered at that under these conditions
they complain that they cannot sleep and that they object to

16 WOECESTEE INSANE HOSPITAL. [Oct.

going on night duty. The day attendants are better provided
for but at the expense of the patients whose rooms they occupy,
and who as a consequence are crowded out and obliged to put
up with beds upon the corridors.

Another change which is demanded, and which makes an
increased number of attendants and increased accommodations
imperative, is the lessening of their hours of service. In the
earlier days of the hospital we had few bed patients and few
paralytics and persons needing special nursing. Now, how-
ever, our population is largely made up of these classes, and
the Avork of the attendants has correspondingly increased. Un-
der the old conditions their hours were long but their work
was light, and they had frequent opportunities of getting out
for recreation with the patients. Now their duties are not only
more exacting but are continuous, while their hours remain the
same. It is impossible, however, to reduce materially their
hours of service without increasing our force or leaving the
wards insufficiently supervised. We have the utmost difficulty
in finding satisfactory male nurses, or of keeping them when
found, and I believe that these proposed changes will in a
large measure obviate this difficulty and attract to our service
a more intelligent, efficient and stable class of help ; such, at
least, has been our experience on the women's side of the house
when similar changes have been made.

The Legislature of last year, having failed to make an appro-
priation for the filter beds required by the State Board of
Health for the disposal of our sewage, it will be necessary to
renew our request the coming year.

The current expenses, less the amount received from articles
sold, have been $268,513.89; dividing this by 1,242.76, the
daily average number of patients, gives $216.06 as the annual
cost of support, which is equivalent to a weekly cost of $4.15.

We wish to thank the proprietors of the " Worcester Evening
Gazette " and the " Eitchburg Sentinel " for copies of their
papers, and the Worcester Employment Society for sewing.

Worcester, Sept. 30, 1905.

HOSEA M. QUINBY,

Superintendent.

1905.] PUBLIC DOCUMENT — No. 23.

17

PRODUCTS OF THE FARM

On Hand Oct. 1, 1905, and not delivered at the Hospital.

Apples, barrels, .

800

Hay, swale, tons,

10

Beans, lima, bushels, .

29

Lettuce, heads, .

3,000

Beets, bushels, .

400

Parsnips, bushels,

400

Cabbage, heads, .

12,000

Parsley, bushels,

1

Cauliflower, heads,

419

Rowen, dry, tons,

10

Carrots, bushels,

100

Rowen, uncut, tons, .

28

Celery, heads,

8,000

Rye, bushels,

10

Ensilage, tons, .

287

Spinach, bushels, .

75

Fodder, barley, tons, .

50

Squash, winter, pounds,

17,200

Fodder, millet, tons, .

30

Straw, rye, tons, .

8

Hay, English, tons,

212

Turnips, bushels,

100

FARM ACCOUNT.

Dr.

Beds, $19 80

Bread, 314 03

Butter, 852 26

Blacksmith, . 356 00

Carriages, wagons, and repairs, 477 07

Current expenses, 1,113 63

Fertilizer, 537 90

Fish, 242 58

Fuel, . . . x . . . 1,293 56

Furniture, 5 00

Groceries, etc., 2,225 06

Harness and repairs, 2b0 79

Hay, grain, etc., 9,234 51

Ice, 40 89

Lights, 316 20

Amount carried forward, $17,309 28

18 WORCESTER INSANE HOSPITAL. [Oct.

Amount brought forward, $17,309 28

Live stock : —

Bulls, .

Cows, .

Horses, .
Meats, .
Milk, .
Repairs,
Seeds, .
Sugar, .
Tools, .
Wages,
Water,
Net gain for year ending Sept. 30, 1905,

Cr.

Apples, No. 1, 167.5 barrels,

Apples, No. 2, 166.5 barrels,

Apples, crab, 1 bushel,

Asparagus, 8 bushels,

Barrels sold, 75, .

Beans, lima, 171.75 bushels.

Beans, shell, 97 bushels,

Beans, string, 176 bushels,

Beef, forequarters, 34,

Beef, hindquarters, 34,

Beets, ....

Beet greens, 34.5 bushels,

Bones sold, 5,660 pounds,

Cabbage, 319.75 barrels,

Carrots, 59.5 bushels,

Cartage,

Cauliflower, 1,125 heads,

Celery, 367 dozen,

Cider, 1,336 gallons, .

Corn, 3,130 dozen,

Cucumbers, 6,828,

Cucumber, pickles, 27,232,

Currants, 875 quarts, .

Dressing, 25 loads,

Egg plants, 13, .

Feed, ground, 1,000 pounds.

Gravel, 182 loads,

Gravel sold, 12 loads, .

Hay, 27,895 pounds, .

Hides, cow, sold, 1,779 pounds,

Amount carried forward,

1905.]

PUBLIC DOCUMENT — No. 23.

19

Amount brought forward,

Hides, calf, sold, 3,
Ice, 1,068 tons, .
Ice sold, 170 tons,
Live stock sold : —

Calves, 60, .

Cows, 11,

Hogs, 15,
Lettuce, 1,138 dozen, .
Milk, 390,987 quarts, .
Oats, 879 bushels,
Onions, 631 bushels, .
Parsley,

Parsnips, 227.5 bushels,
Pears, 19 bushels,
Peas, 214.5 bushels, .
Peppers, .5 bushel,
Plants sold, 75, .
Popcorn sold, 422 pounds,
Pork sold, 43,447.75 pounds,
Pork, grease sold, 256 pounds,
Radishes, 11,064, .
Raspberries, red, 12 quarts,
Rhubarb, 11,113 pounds,
Rhubarb sold, 140 pounds,
Rye sold, 5 bushels, .
Sand, 295 yards, .
Sand sold, 1 yard,
Scullions, 3.75 bushels,
Spinach, 345.5 bushels,
Squash, summer, 670.5 dozen,
Squash, winter, 60,550 pounds,
Straw, oat, 70,442 pounds, .
Straw, rye, 4,480 pounds, .
Strawberries, 4,664 quarts, .
Strawberries sold,
Thrashing machine sold, .
Tomatoes, 401.25 bushels, .
Tomatoes, green, 23 bushels,
Turnips, 119 bushels, .
Veal, forequarters, 2, .
Veal, hindquarters, 2, .
Farm attendants (extra), 852 days,
Labor, men, 1,977 days,
Teams, 639 days,

Total receipts,

|4,550 15

1

95

728

93

42

50

515

50

172

00

120

35

388

70

15,639

48

364 56

621

25

32

199

76

19

25

254

30

42

75

7

97

3,106

00

2 56

191

20

1

80

161

08

1

40

4

25

375

00

1

25

3

75

114

26

124

97

908

25

462

58

55

98

466

40

94 33

10 00

421

00

11

50

56

92

3

60

4

50

1,278

00

1,977

00

2,556

oo

5,021 72

20

WORCESTER INSANE HOSPITAL.

[Oct.

LIST OF PERSONS

Employed in the Worcester Insane Hospital Sept. 30, 1905.

Superintendent, per year,
Assistant superintendent, per year,
Assistant physicians (3), each, per year,
Assistant physician, per year,
Junior assistant physicians (4), each, per year,
Pathologist, per year, ....
Druggist, per week, ....
Assistant in laboratory, per month,
Steward, per year, ....

Matron, per year,

Clerk, per month, . .

Treasurer, per year, ....

Auditor, per year, ....

Stenographers (2), per week, .

Stenographer, per month, .

Superintendent of nurses, per year,

Supervisors (3 men), each, per month,

Supervisors (5 women), each, per month,

Marker of clothing, etc.,

Seamstresses (4), each, per month,

Attendants (60 men), each, per month,

Attendants and nurses (80 women), each, per month

Baker, per month, ....

Assistant baker, per month, .

Steward's assistant, per month, .

Kitchen men (2), each, per month,

Cooks (4), each, per month,

Laundrymen (2), each, per week and month

Laundress, per month, ....

Laundry girls (8), each, per month, .

Kitchen girls (6), each, per month,

$3,000 00

2,000 00

1,000 00

800 00

400 00

1,200 00

20 00

25 00

1,200 00

600 00

60 00

500 00

75 00

10 00

30 00

900 00

00 to 45 00

25 00

20 00

18 00

23 00 to 28 00

U 00 to 20 00

60 00

45 00

30 00

$23 00 and 30 00

22 00 to 50 00

12 00 and 28 00

25 00

$16 00 to 18 00

14 00 to 18 00

$40

1905.]

PUBLIC DOCUMENT — No

House girls (20), each, per month,
Office girl, per month, .
Carpenters (5), each, per day,
Painters (2), each, per day,
Masons (3), each, per day,
Tenders (2), per day, .
Steamfitter, per day,
Plumber, per month, .
Engineer, per day,
Assistant engineers (2), each, per day
Firemen (2), each, per month,
Night fireman, per day,
Farmers (2), per month,
Housekeepers (3) each, per month,
Farm laborers (18), each, per montb,
Florist, per month,
Coachman, per month, .
Expressman, per month,
Basement and yard men (2), each, per
Butcher,- per month,
Electrician, per week, .

month,

21

.$14 00 to $16 00
18 00
50 to 3 00

2 50

3 25

2 25

3 00
75 00

3 00
2 25
40 00
2 00
$45 00 and 75 00
18 00 to 25 00
25 00 to 40 00
45 00
28 00
25 00
$25 00 and 28 00
28 00
20 00

22 WORCESTER INSANE HOSPITAL. [Oct.

VALUATION OF PERSONAL ESTATE

Sept. 30, 1905.

Provisions and groceries, $7,302 81

Ready-made clothing, 2,471 90

Dry-goods : —

For clothing, 323 16

For bedding, etc 708 12

Furnishings : —

Beds and bedding in inmates' department, .... 32,516 50

Other furnishings in inmates' department, .... 24,053 30

Personal property of State in superintendent's department, . 18,040 73

All other property, 19,313 68

Heat, light and power : —

Fuel 6,922 50

Repairs and improvements : —

Machinery and mechanical fixtures, 54,306 62

All other property, . 1,550 00

Farm, stable and grounds : —

Live stock on farm, 15,240 00

Produce of farm on hand, 10,270 70

Carriages and agricultural implements, .... 6,208 80

All other property, , 1,395 80

Miscellaneous : —

Drugs and medicines, 802 26

Tobacco, 215 43

Library 6,015 99

Other supplies undistributed, . 6,442 49

$214,100 79

1905.]

PUBLIC DOCUMENT — No. 23.

23

TREASUEER'S REPORT.

To the Trustees of the Worcester Insane Hospital.

I hereby submit my annual report on the finances of the
Worcester Insane Hospital for the year ending Sept. 30, 1905.

Receipts.

Cash on hand Sept. 30, 1904,

Received from cities and towns for support of patients,

from individuals for support of patients,

from individuals for suppoi't of patients, reimburse
ment, ....

from interest on bank balance,

from farm and farm products,

from sales from store,

from sale of sundries,

from Commonwealth for current expenses,

from Commonwealth from special appropriations,

Total receipts,

$6,142 55

845

46

50,232

84

12,149

93

150

21

4,263

17

860

28

2,758

56

276,395

90

38,492

89

$392,291

79

Expenditures.

Pay roll,

11,823 49

Food : —
Butter,
Beans,

Bread and crackers, .
Cereals, rice, meal, etc.,
Cheese,
Eggs,
Flour,
Fish, .
Fruit, .
Meats,

Molasses, etc.,
Sugar,

Tea, coffee, etc.,
Vegetables,
Sundries,

Amount carried forward,

$12,699

52

746

52

661

75

1,571

85

1,106

97

6,185

25

13,697

50

3,551

23

2,775

49

20,716

76

587

26

6,168

63

1,736

69

3,586

10

2,394

60

78,186 12

$170,009 61

24

WORCESTER INSANE HOSPITAL.

[Oct.

Amount brought forward,

Clothing and clothing material :
Boots, shoes, etc.,

Clothing,

Dry goods for clothing, etc., .
Furnishing goods,
Hats and caps, ....
Leather and shoe findings,
Sundries,

Furnishings : —
Beds, bedding, table linen, etc.,
Brushes, brooms, etc.,
Carpets, rugs, etc., .
Crockery, glass ware, cutlery, etc.,
Furniture and upholstery,
Kitchen furnishings, .
Woodenware, etc., .
Sundries,

Heat, light and power : —

Coal,

Gas,

Oil

Sundries, .....

Repairs and improvements : —

Bricks,

Cement, lime, etc., ....
Doors, sashes, etc., ....
Electrical work and supplies, .

Hardware,

Lumber,

Machinery, etc., ....

Mechanics and laborers (not on pay roll)

Paints, oils, glass, etc.,

Plumbing, steamfitting and supplies,

Roofing and materials,

Sundries,

Farm, stable and grounds : —
Blacksmith and supplies, .
Carriages, wagons and repairs,
Fertilizers, seeds, etc.,
Hay, grain, etc.,
Harness and repairs,
Horses,

Amounts carried forward, .

$170,009 61

$1,798 96

5,686 49

2,467

16

709

72

158

18

50

24

27

52

10,898 27

$4,109 33

338 52

273

92

2,119

61

545

94

709

00

123

37

377

91

8,597 60

$24,472 08

6,335

37

225

98

110

96

31,144 39

$500

76

1,250

37

244

05

55

58

1,266

83

2,973

80

2,815

83

93

65

1,788

18

7,508

19

1,573

32

2,427

43

22,497 99

$618

44

997

39

888

14

9,218

51

490

76

695

00

$12,908 24 $243,147 86

1905.]

PUBLIC DOCUMENT —

Amounts brought forward,

Cows, ....
Other live stock,
Tools, farm machines, etc.,
Sundries, ....

Miscellaneous : —
Books, periodicals, etc., .
Chapel services and entertainments,
Freight, expressage, etc., .
Funeral expenses,

Gratuities,

Hose, etc.,

Medicines and hospital supplies,
Medical attendance, .

Postage,

Printing and printing supplies,
Return of runaways,
Soap and laundry supplies,
Stationery and office supplies, .
School books and school supplies,
Travel and expenses (officials),
Telephone and telegraph,

Tobacco,

Water,

Sundries, .....

Printing annual report,

Total,

Paid out of special appropriations,
Receipts paid to State Treasurer,

Total expenditures, .
Cash on hand Sept. 30, 1905,

STo. 23.

25

$12,908 24

$243,147 86

2,595 50

85 00

507 94

1,173 72

17,270 40

$471 06

391 80

304 96

403 00

47 40

80 68

2,027 13

390 00

470 80

212 54

211 26

3,037 81

432 58

310 68

166 22

167 52

1,293 98

3,925 91

1,378 99

15,724 32

.

253 32

.

$276,395 90

f38,492 89

71,381 71

109,874 60

^386,270 50
" 6,021 29

2,291 79

Resources.
Cash on hand Oct. 1, 1905, ....
Bills due from cities and towns,
Bills due from individuals,
Bills due from individuals, reimbursements,
Unexpended special appropriations, .

$6,021 29

42 71

13,009 02

3,854 06

8,421 49

Total resources, $31,348 57

26

WORCESTER INSANE HOSPITAL.

[Oct.

Liabilities.

Due for salaries and wages,

Due for all other current expenses, .

Due for special appropriations, .

$8,610 99

10,318 25

353 68

Total liabilities f 19,282 92

Special Appropriations.

Object

Resolves.

Whole
Amount.

Expended
during
the Hos-
pital Year.

Expended
to Date.

Balance
Oct. 1, 1905.

Electric lighting,

1902, chap. 118,

$16,000 00

$11,772 28

$15,576 57

$423 43

Electric lighting,

1903, chap. 414,

45,000 00

9,454 83

45,000 00

-

Stenographer's room,

1903, chap. 414,

3,000 00

-

2,986 16

13 84

Pathological building,

1904, chap. 323,

10,000 00

9,750 00

10,000 00

-

Alterations in administration
building

1904, chap. 59,

11,000 00

3,572 83

3,572 83

7,427 17

Laundry and laundry machin-

1904, chap. 59,

4,500 00

3,942 95

3,942 95

557 05

Patients' Funds.
Balance on hand Sept. 30, 1904, .
Receipts during year, .....
Interest on bank balance, ....

Refunded,

Balance on hand Sept. 30, 1905, .

Respectfully submitted,

$2,680 92

1,690 65

51 10

#4,422 67

■

1,599 83

,822 84

ALBERT WOOD,

Treasurer.

Sept. 30, 1905.

1905.]

PUBLIC DOCUMENT — No. 23.

27

STATEMENT OF FUNDS.

Lewis Fund.

Balance on hand Sept. 30, 1904,
Dividends,

Expended for vault rent,

Investment.
Chicago, Burlington & Quincy Railroad bond,
Worcester County Institution for Savings,
Cash on hand Sept. 30, 1905,

Wheeler Fund.
Balance on hand Sept. 30, 1904,
Dividends,

Expended for books,

Investment.
Three shares Worcester National Bank, .
Five shares Boston & Philadelphia Steamship

Company,

Worcester County Institution for Savings,
Worcester Five Cents Savings Bank,
Mechanics Savings Bank, ....
Cash on hand Sept. 30, 1905, .

Lawn Fund.
Balance in Mechanics Savings Bank Sept. 30,

1904,

For sale of trees,

Dividends,

Expended for shrubs, seeds, etc.,

,293 17
53 68

$570 00

712 50

1,600 00

1,719 47

79 14

193 37

$1,346 85
6 00

$1,340 85

$926 36

342 60

71 89

$1,340 85

$4,861 13
186 63

$5,047 76
173 28

$4,874 48

1,874 48

$948 54

145 00

40 32

$1,133 86
234 57

$899 29

28 WORCESTEE INSANE HOSPITAL. [Oct. 1905.

Investment.

Mechanics Savings Bank, $852 75

Cash on hand Sept. 30, 1905 46 54

Manson Fund.
Balance in Worcester County Institution for

Savings Sept. 30, 1905,

Dividends,

Expended for bookcases,

$899 29

$1,430 96

54 21

$1,485 17

. . .

165 00

$1,320 17

Investment.
Worcester County Institution for Savings, . $1,294 29

Cash on hand Sept. 30, 1905 25 88

$1,320 17

Land Account.

Balance on hand Sept. 30, 1904, $33 02

Expended for plans, 5 50

Balance in bank Sept. 30, 1905, $27 52

Respectfully submitted,

ALBERT WOOD,

Treasurer of Corporation.
Sept. 30, 1905.

"Worcester, Mass., Oct. 19, 1905.

I hereby certify that I have this day compared the treasurer's statement of
receipts and disbursements for the year ending Sept. 30, 1905, with the hooks kept
at the Worcester Insane Hospital, and find it correct. I have also inspected the
securities representing the invested funds of the institution and find that their
market value is as stated.

GEO. L. CLARK,

Auditor of Accounts.

STATISTICAL TABLES.

[Form prescribed by State Board of Insanity.]

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32

WORCESTER INSANE HOSPITAL.

[Oct.

2. — Insane received on First and Subsequent Commitment.

NUMBER OF THE COMMITMENT.

Cases committed

Males. Females. Totals

First to this hospital

Second to this hospital, .

Third to this hospital,

Fourth to this hospital, ....

Fifth to this hospital, .

Sixth to this hospital, .

Seventh to this hospital, ....

Eighth to this hospital

Ninth to this hospital

Total cases,

Total persons,

Never before in any hospital for the insane,

242

199

441

26

21

47

7

3

10

2

2

4

1

1

2

2

1

3

-

1

1

-

1

1

1

-

1

- 281

229

510

276

229

505

219

182

401

3. — Nativity and Parentage of Insane Persons first admitted to

Any Hospital.

Totals.

PLACES OF NATIVITY

1905.]

PUBLIC DOCUMENT — No. 23.

33

Residence of Insane Persons admitted by Commitment.

First admitted to
Ant Hospital.

Other Admissions.

PLACES.

i

•

a!

a

1

a

o

Massachusetts (by counties) : —

Essex,

-

5

5

-

3

3

Middlesex,

46

59

105

9

18

27

Norfolk, . . • .

12

5

17

-

-

-

Suffolk,

33

21

54

16

5

21

Worcester,

128

92

220

32

21

53

Totals,

219

182

401

57

47

104

Cities or towns, ....

176

132

308

41

32

73

Country districts,

43

50

93

16

15

31

Civil Condition of Insane Persons first admitted to Any Hospital.

Males.

Females.

Totals.

Unmarried,

no

50

160

Married,

81

84

165

Widowed,

19

32

51

Divorced,

1

4

5

Unknown,

8

12

20

Totals,

219

182

401

M

WORCESTER INSANE HOSPITAL.

[Oct.

6. — Occupation of Insane Persons first admitted to Any Hospital.

FEMALES.

Attendant, .... 1

Nurse, 1

Clerks, .

3

Operatives, . . . .11

Cooks,

2

Stenographer, 1

Domestics,

32

No occupation, ... 40

Dressmakers,

2

Housekeeper's,

23

Total, . . . .168

Housewives,

49

Unknown, .... 14

Laundress,

1

Milliners, .

2

Total, . . . .182

MALES.

Agent, 1

Mechanics, .... 2

Apprentice,

1

Merchants,

2

Armorer, .

1

Mill overseer, .

1

Barbers, .

3

Motor man,

1

Bartender,

1

Moulders,

2

Bookkeepers,

2

Operatives,

20

Bootmaker,

1

Painters, .

4

Brass finisher,

1

Peddler, .

1

Brokers, .

2

Polisher, .

1

Builders, .

2

Porter,

1

Butchers, .

2

Physician,

1

Cabinet maker,

1

Pullman conductor,

1

Carpenters,

12

Quarryman,

1

Clerks, .

6

Railroad gateman,

1

Clergymen,

2

Retired, .

2

Coachman,

1

Seaman, .

1

Cook,

1

Shoemakers,

3

Coremaker,

1

Stationary engineer,

1

Deputy sheriff,

1

Stone cutter,

1

Electric car conductor,

I

Tailors,

2

Farmers, .

9

Teamsters,

4

Fishermen,

2

Telegraph operator,

1

Flagman, .

1

Tinsmiths,

3

Foreman, .

1

Tramp,

1

Gardener, .

1

Varnish maker,

1

Grinder, .

1

Waiter,

1

Hostlers, .

2

Watchman,

1

Iron workers,

2

Weavers,

4

Janitor,

1

No occupation,

18

Laborers, .

52

Lineman, .

1

Total,

214

Machinists,

13

Unknown,

5

Mason,

1

Meat cutter,

1

Total, . . . .219

PUBLIC DOCUMENT — No. 23.

35

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WORCESTER INSANE HOSPITAL.

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1905.] PUBLIC DOCUMENT — No. 23.

37

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Menopause, .

Menopause and other causes
Menstrual disorders, .
Miscarriage, .

Opium

Overwork, .

Pregnancy, .

Puberty,

Puerperium, .

Senility,

Senility and other causes,

Syphilis,

Syphilis and other causes,

Trauma,

Trauma and other causes,

Mental
Bereavement,
Fright, ....
Worry, ....

a
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38

WORCESTER INSANE HOSPITAL.

[Oct.

9. — Probable Duration of Mental Disease before Admission.

First admitted to Ant Hospital.

PREVIOUS DURATION.

Males.

Females.

Totals.

Congenital,

6

1

7

Under 1 month,

44

41

85

From 1 to 3 months,

27

25

52

3 to 6 months,

16

18

34

6 to 12 months,

12

15

27

1 to 2 years,

22

13

35

2 to 5 years,

20

13

33

5 to 10 years,

9

12

21

10 to 20 years,

7

6

13

Over 20 years,

1

3

4

Totals, .

164

147

311

Unknown,

55

35

90

Totals, .

219

182

401

Average known duration in years,

2.7

2.4

2.6

1905.]

PUBLIC DOCUMENT — No. 23.

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Oraanic dementia,
Paranoic condition, .
Periodic insanity : —

Circular,

Depressed

Manic,

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Traumatic insanity, .

Not insane,

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Organic dementia,
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Traumatic insanity, .

Aggregate persons,
Aggregate cases,

PUBLIC DOCUMENT — No. 23.

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I. General diseases : —

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Pulmonary tuberculosis and pleurisy with
Tubercular enteritis

Epithelioma of groin

Pernicious anaemia

Exhaustion from acute mania and fracture,
II. Diseases of the nervous system : —

Cerebral hemorrhage

Cerebral embolism,

General paralysis of the insane, .

Status epilepticus,

III. Diseases of the circulatory system : —

Cardiac valvular disease

Endocarditis and pleurisy with effusion, .
Rupture of the heart

Arterio sclerosis

IV. Diseases of the respiratory system : —

Chronic bronchitis,

Hypostatic pneumonia, ....

Lobar pneumonia,

Lobar pneumonia and cerebral hemorrhage,

1905.]

PUBLIC DOCUMENT — No. 23.

43

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V. Diseases of th'- digestive organs : —

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VII. Diseases of the skin : —
VIII. Violence: —

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II. Diseases of the nervous system : —

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Endocarditis and pleurisy with effusion, ....

IV. Diseases of the respiratory system: —

Lobar pneumonia and cerebral hemorrhage, .
Lobar pneumonia and pleurisy with effusion, .

Broncho-pneumonia and pleurisy,

1905.] PUBLIC DOCUMENT — No. 23.

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V. Diseases of the digestive organs : —

VI. Diseases of the genito-urinary system : —
VII. Diseases of the skin : —
VIII. Violence: —

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