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

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THIRTIETH ANNUAL EEPOET 



WORCESTER INSANE ASYLUM 



WORCESTER, 



\ 

y Year ending November 30, 1907. 



I 



I 



CONTENTS, 
i . 

FAQB 

Report of Trustees, . . . . . . . .51 

Report op Superintendent, ....... 53 

Report of Treasurer, ........ 60 

Statistics, 67 



I 



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Digitized by tine Internet Archive 

in 2010 witin funding from 

University of IVIassacliusetts Aminerst 



Iittp://www.arcliive.org/details/annualreportofwo103worc 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 



LYMAN A. ELY, . 
THOMAS H. GAGE, Jr., 
THOMAS RUSSELL, 
SARAH E. WHITIN, . 
FRANCES M. LINCOLN, 
SAMUEL B. WOODWARD, 
GEORGE F. BLAKE, . 



Worcester. 

Worcester. 

Boston. 

Whitinsville. 

Worcester. 

Worcester. 

Worcester. 



RESIDENT OFFICERS. 

ERNEST V. SCRIBNER, M.D., 
H. LOUIS STICK, M.D., 
ARTHUR E. PATTRELL, M.D., 
WILLIAM T. HANSON, M.D., 
CHARLES H. WHEELER, M.D., 
ABBIE S. FAY, . 



Superintendent. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Matron. 



NON-RESIDENT OFFICERS 

ALBERT WOOD, . 
GEORGE L. CLARK, . 
SUSIE G. WARREN, . 
FREDERICK H. BAKER, M.D., 
FOREST A. SLATER, . 



Treasurer. 

Examiner. 

Clerk. 

Pathologist. 

Engineer. 



®0mm0n;teElt^ ai '^msKtl^nBtUB. 



TRUSTEES' EEPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Insane Hospital, having in charge 
the Worcester Insane Asylum, respectfully present the thirtieth 
annual report of the latter institution. 

During the year the numbers at the main institution in Worcester 
have remained without essential change; at the Grafton colony 
there has been considerable increase in the number of male pa- 
tients, a large building for excitable men having been nearly filled. 
The daily number of patients for the whole institution has been 
933, as against 767 of last year, an increase of about 20 per cent. 

No extraordinary work will be undertaken at the institution in 
Worcester, and no special appropriation for use there will be 
required. 

At the Grafton colony another building is needed for the accom- 
modation of female patients, this building to be located near the 
present power house and industrial building. We ask that an 
appropriation of $50,000 be granted for the erection and furnish- 
ing of this building, providing for the accommodation of 62 pa- 
tients. 

The increase in our population has been somewhat out of pro- 
portion to the increase in the amount of milk produced, and dur- 
ing the coming year quite a number of additional cows will be 
needed. Farm development should also be pushed more rapidly, 
as a greater hay production is necessary and better pasturage 
should be provided for our herds. To accomplish this work, at 
least two more pairs of horses should be purchased, together with 
the necessary carts, harnesses and other equipment. Two addi- 
tional silos are needed for producing ensilage for the winter feeding 
of the cattle. For the accomplishment of the above purposes we 
ask that an appropriation of $3,500 be granted. 

With the opening of the new building and the general colony 
development there has come an increased demand upon our elec- 



52 WOKCESTEE INSANE ASYLUM. [Dec. 

trie plant. The engines and generators can still provide ample 
power, but additional wires, poles and other transmission equip- 
ment are needed. For this purpose we ask that an appropriation 
of $1,500 be granted. 

At the Grafton colony a water supply has been obtained which 
meets our present needs; plans for an increase of this water supply 
and for a general system of sewage disposal are being prepared in 
conference with the State Board of Health. An appropriation is 
asked for the carrying out of this work, a detailed estimate of which 
will be presented later. 

We are again pleased to note that the general health of the insti- 
tution is up to the usual standard. There has been but little acute 
illness. 

The only change in the medical staff has been the addition of 
Dr. Charles H. Wheeler, who has been appointed assistant physi- 
cian at the Grafton colony. 

The Board has long believed that our nurses have served too 
many hours during the day and have received inadequate com- 
pensation therefor. In our estimates for the maintenance appro- 
priation for the ensuing year we have asked for an allowance 
which, if granted, will enable us to increase the wages of nurses 
and to diminish their hours of labor. This will mean an increase 
of 25 in our nursing staff. To provide proper furnishing for this 
additional number of employees we ask that there be granted an 
appropriation of $1,500. 

Throughout the whole institution the work of repair and im- 
provement has been pushed as fast as possible, — special effort 
being made to employ patients as much as is desirable, having in 
view always their best good. 

The trustees wish to express to the superintendent, officers and 
employees their high appreciation of the honesty, ability and devo- 
tion shown for the best interests of the institution. 

» 

LYMAN A. ELY. 
THOMAS H. GAGE, Jr. 
THOMAS RUSSELL. 
SARAH E. WHITIN. 
FRANCES M. LINCOLN. 
SAMUEL B. WOODWARD. 
GEORGE F. BLAKE. 



1907.] PUBLIC DOCUMENT — No. 23. 53 



SUPERIIS^TENDENT'S REPORT. 



To the Trustees of the Worcester Insane Hospital, acting for the Worcester 

Insane Asylum. 

I respectfully submit for your consideration the thirtieth annual 
report of the superintendent of the Worcester Insane Asylum. 

During the statistical year, which ended Sept. 30, 1907, 510 
men and 542 women, a total of 1,052 cases, were inmates of the 
institution. Of this number, 362 men and 478 women — 840 
persons — were present at the beginning of the year. There were 
admitted 148 men and 64 women, — 212 persons. During the 
year 30 men and 31 women died, 3 men and 2 women were trans- 
ferred elsewhere, and 5 men and 2 women were allowed to go out 
on visit, leaving 469 men and 506 women — 975 persons — as 
inmates of the institution on Sept. 30, 1907. 

The physical condition of those admitted has been a little better 
than usual, and the dementia, which is always present in the ma- 
jority of chronic cases, seems not of such a deep and hopeless type 
as has usually been the case in the transfers of previous years. 
While occasionally some dement wakes, in a degree, from his 
stupor, more promise seems to come from the excited and active. 
In the opening of the building at Grafton for excitable men it has 
been found that, under their new surroundings, many patients 
have seemed to show a renewed interest in life. An effort is being 
made there to induce as many as possible to lead an active, out- 
of-door life and to become interested in occupation. This effort 
is meeting with considerable success. Many patients who form- 
erly led an inactive life, refusing all employment, have now volun- 
tarily gone to work, some of them becoming valuable helpers. 
There is every reason to believe that this number can be greatly 
increased in the future by the employment of attendants whose 
special work shall be the training of our patients into habits of 
industry, which means practically the establishment of a manual 
training school for the insane. Though a majority of our patients 



54 WORCESTER INSANE ASYLUM. [Dec. 

are of middle age or beyond, only a little more than 5 per cent, are 
confined to their beds. 

The general health of the institution has been good and the 
death-rate remains low, despite the fact that a large percentage 
of our patients are enfeebled by age, and are also, by their mental 
affection, rendered less able to withstand the attacks of physical 
disease. Pulmonary tuberculosis, pneumonia and chronic valvu- 
lar heart disease have been the chief causes of death, in the order 
given. The causes of death have been more varied than usual, 
and, although tuberculosis still leads the list, the percentage of 
deaths from this cause is no longer as high as in former years. 
The numbers of cases of tuberculosis which develop during their 
hospital residence are lessened, and in many tubercular cases a 
permanent arrest of the disease takes place. 

During all of the early part of the year very great difficulty was 
experienced in obtaining a sufficient number of employees to prop- 
erly carry on the work of the different departments. The situation 
was perhaps the most acute in the nursing staff, due, no doubt, to 
the fact that the work, if conscientiously performed, is exacting 
and sometimes unattractive. The general prosperity of the coun- 
try made it possible for a large percentage of the more desirable 
persons to seek and obtain work that was more congenial and 
better paid. The business recession which is now making itself 
felt, together, probably, with the approach of winter, has now 
made it possible to make some selection in the applicants for 
positions, with a corresponding improvement in the character of 
the service rendered. 

Our laborers, workmen and mechanics have for some time 
served an eight-hour day. While it does not now seem possible 
to accord this full measure to all of our other employees, I believe 
that we should make every concession looking to a lessening of 
the hours of service and a raising of the rate of wages to that level 
which will attract and retain desirable persons longer in the ser- 
vice of the institution. With this end in view it is proposed, if 
the necessary maintenance funds be granted, to accord to the 
nursing staff a service of sixty hours per week, with one day off 
in seven. It is expected that the institution, during the coming 
year, will be required to care for an average of about 1,000 patients. 
Estimating on this basis it will require 25 more nurses under the 



1907.] PUBLIC DOCUMENT — No. 23. 55 

proposed new conditions than under the old ones. As a tempo- 
rary expedient these additional nurses must be cared for in rooms 
now occupied by patients. This will, however, necessitate fur- 
nishing the rooms anew. The expense of newly furnishing these 
rooms for the additional 25 nurses I estimate as $1,500, and I 
respectfully recommend that your Board ask for an appropriation 
of this amount. At a later time special building provision must 
be made for these new employees. 

Two farm cottages which were acquired with the colony prop- 
erty have hitherto remained unoccupied, because they were not 
suitably located or adapted for the housing of patients. One of 
these cottages has now for some time been occupied by one of 
our employees, who maintains his family there. The second cot- 
tage is being prepared for occupancy, and another of our em- 
ployees proposes to soon move in with his family. I believe that 
in our future provision looking to the betterment of conditions 
under which our employees can serve us the furnishing of private 
cottages for the making of individual homes should be an impor- 
tant feature. The more we can assimilate asylum life, for both 
patients and employees, to the conditions obtaining in the outside 
community the better it will be for both. 

At the main institution in Worcester no new undertakings have 
been entered into in the line of reconstruction and repair, our 
efforts having been directed to the completion of work already 
begun. Besides carrying on this work the asylum has also given 
material assistance to the colony operations. This assistance has 
made it possible to postpone the opening of several of the colony 
departments, with a consequent economy in working forces. The 
increasing numbers at Grafton necessitate an immediate opening 
of our laundry there. The work of the other departments will be 
gradually assumed, as our needs demand. 

At the Grafton colony another building is needed for the accom- 
modation of women patients. This building should be located 
near our power house, in order that it may house our industrial 
workers near at hand, and that the basements may provide good 
and conveniently located work rooms for our various departments 
in which women are specially employed. Two large buildings, 
besides the power house itself, are already heated from the central 
plant, which produces our electric power. The power house and 



56 WORCESTER INSANE ASYLUM. [Dec. 

one of the existing buildings are now successfully heated by the 
exhaust steam from the engines. With the increase of our elec- 
trical load it is believed that this proposed new building can also I 
be heated in large part, and probably wholly, by the larger amount 
of waste steam which will be produced. It is proposed that the ji 
patients who are expected to occupy this building will at first be 
given their meals at one of the already existing near-by buildings. 
I recommend that an appropriation of $50,000 be asked for to 
provide for the erection and furnishing of the building described ij 
above. 1 

In the establishment of our central lighting and power plant at 
Grafton care was. taken to install engines and generators of gener- 
ous capacity, so that they are still able to give us adequate service, 
with some reserve power yet to draw upon. Our steadily increas- 
ing use of this power, however, makes necessary considerable 
extension and addition to our lines for electrical transmission. An 
extra wire should be carried to our Oakes colony to provide for 
the better operation of motors in the work of ensilage cutting and 
the filling of silos, and other operations requiring a motor service. 
With larger numbers of both patients and employees a consider- 
able extension of our street lighting service should be made. Be- 
sides the work of installation it means considerable purchases of 
wire, poles, transformers, lamps, fixtures and other articles neces- 
sary for the proper equipment of an electric service. To provide 
for the carrying out of this work I recommend that an appropria- 
tion of $1,500 be asked for. 

A very large percentage of our colony lands were, at the time of 
purchase of the property, either sprout and pasture lands which 
had never been brought under cultivation, or fields, the tillage of 
which had long been neglected. A special effort is being made to 
redeem and reclaim such lands. Every year as large an acreage 
as possible has been ploughed up and cultivated. The clearing of 
this land from roots and stones has been largely done by the labor 
of patients, and has not only been of great benefit to them but has 
distinctly assisted in increasing the productiveness and value of 
our farm lands. The chief need now in our farming operations is 
for a greater acreage of hay and pasture land. The rapid increase 
in the number of our patients makes necessary frequent additions j 
to our herds. The number of cows should again be added to, in ' 



ta 



1907.] PUBLIC DOCUMENT — No. 23. 57 

order that the milk supply may continue adequate for our needs. 
To enlarge our capacity for more rapid redemption of our wild 
lands, and to further the general work of colony development, 
more horses should be purchased, with the necessary harness, carts 
and other equipment which go to carry on this work. In the 
present condition of our pasture lands considerable feeding of our 
cows is necessary, even during the summer months. The feeding 
of ensilage has been so successful that I believe two additional silos 
should be added to our equipment. For the accomplishment of 
the above purposes I recommend that your Board ask for an ap- 
propriation of S3, 500. 

At the colony test wells have been made which furnish a water 
supply commensurate with our present needs. This supply will, 
however, need extension. A plan is now being prepared, in confer- 
ence with the State Board of Health, which will make provision 
for a future increase of our water supply and will enlarge and per- 
fect our methods of sewage disposal. A further study of our needs 
makes it seem advisable to undertake, in this direction, a work of 
greater magnitude than was at first anticipated. An estimate of 
the amount of money which will be needed for this additional 
work will be presented in time for the consideration of the Legis- 
lature. 

For the past two seasons the freight congestion on the Boston 
& Albany has rendered it difficult to secure coal delivery at the 
Grafton colony with that degree of promptness and certainty 
which the character of our work there demands. Our coal con- 
tracts were made in the summer, and the coal company furnish- 
ing us has, no doubt, made reasonable effort to secure delivery in 
quantities adequate to our needs. A reserve from a previous con- 
tract has averted a coal famine at the beginning of winter, but this 
situation shows the wisdom of carrying a large coal pile, which 
accounts in part for the increased expenditures for fuel during the 
past year. Our private side track leading from the Boston & Al- 
bany railroad has been completed, so that coal can now be un- 
loaded directly at the engine house, where by far the greater part 
of our coal is consumed. Buildings remote from this power house 
group are furnished by cartage from this central supply. 

It is again a pleasure to commend the work which has been 
done by the official staff and to express my indebtedness to its 



58 WORCESTER INSANE ASYLUM. [Dec. 

members for faithful work efficiently performed. The only change 
among the officers has been the appointment of Dr. Charles H. 
Wheeler as an additional assistant physician at the colony. 

Thanks are due to the publishers of the "Worcester Evening 
Gazette" for a copy of their paper. The Hospital Newspaper 
Society and the Worcester Club have contributed books and 
papers. To Mrs, Charles H. Doe and to Miss Mabel Gage we are 
indebted for generous contributions of reading matter. 

The Worcester Employment Society has again done a large 
amount of sewing for the institution. 

For the assistance and support of your Board, which never have 
been wanting, I am deeply grateful. 

E. V. SCRIBNER, 

Superintendent. 



1907.1 



PUBLIC DOCUMENT — No. 23. 



59 



i 



OFFICERS AND THEIR SALARIES. 



Ernest V. Scribner, M.D., Superintendent, 
H. Louis Stick, M.D., Assistant Physician, 
Arthur E. Pattrell, M.D., Assistant Physician, 
William T. Hanson, M.D., Assistant Physician, 
Charles H. Wheeler, M.D., Assistant Physician, 
Frederick H. Baker, M.D., Pathologist, 
Abbie S. Fay, Matron, . 
Albert Wood, Treasurer, 
George L. Clark, Examiner, 
Susie G. Warren, Clerk, 
Forest A. Slater, Engineer, 



^3,000 00 

1,400 00 

1,000 00 

900 00 

700 00 

100 00 

500 00 

400 00 

50 00 

480 00 

1,000 00 



YALUE OF STOCK AND SUPPLIES. 

Dec. 1, 1907. 



Live stock, ..... 

Produce of farm on hand. 

Carriages and agricultural implements. 

Machinery and mechanical fixtures, . 

Beds and bedding in inmates' department. 

Other furniture in inmates' department. 

Personal property of State in superintendent's department 

Ready-made clothing, 

Dry goods. 

Provisions and groceries, 

Drugs and medicines, 

Fuel, 

Library, 

Other supplies undistributed, 



. $9,783 


45 


. 4,829 83 


. 3,316 


17 


. 43,512 


39 


. 24,989 


72 


. 9,591 


65 


, 10,000 00 


. 3,328 88 


1,745 


25 


1,897 


70 


400 00 


. 4,000 00 


1,125 


00 


1,149 


97 


$119,670 01 



60 



WORCESTER INSANE ASYLUM. 



[Dec. 



TREASURER'S REPORT. 



To the Trustees of the Worcester Insane Hospital, acting for the Worcester 

Insane Asylum. 

I herewith submit my thirtieth annual report of the finances of 
the Worcester Insane Asylum, for the year ending Nov. 30, 1907 : — 



Available funds Nov. 30, 1907: — 






With State Treasurer : — 






Maintenance appropriation, . 


$11,689 23 




At asylum, . . . . . . 


2,000 00 


$13,689 23 






Amounts received during the year : — 






From reimbursed cases, .... 


$4,199 40 




From other sources, .... 


932 98 




Collected by the State Board of Insanity, . 


85 00 


5,217 38 






Appropriation by the Commonwealth for support of patients, 


180,000 00 



$198,906 61 
The expenditures for the year have been as follows : — 



Salaries and wages, 










. $66,043 63 


Food: — 


Beans, $459 50 


Butter, 








8,611 63 


Bread and crackers. 








745 89 


Cereals, rice, meal, etc., 








1,210 71 


Cheese, 








714 30 


Eggs, . 












1,511 58 


Fish, . 












1,710 11 


Flour, . 












6,824 20 


Fruit, . 












1,981 61 


Meats, . 












9,414 24 


Milk, . 












453 15 


Molasses, 












337 86 



Amounts carried forward, 



5,974 78 



5,043 63 



p 



1907.] 



PUBLIC DOCUMENT — No. 23. 



Amounts brought forward, 


$33,974 78 


Sugar, ...... 


2,331 16 


Tea, coffee and cocoa, 


1,961 54 


Vegetables, ..... 


3,563 53 


Sundries, ..... 


1,781 83 


Clothing and clothing material : — 




Boots, shoes and rubbers, 


$1,776 49 


Clothing, ..... 


5,680 05 


Dry goods for clotliing, and small wares, . 2,290 26 


Furnishing goods, .... 


18 91 


Hats and caps, .... 


116 62 


Sundries, ..... 


191 81 


Furnishings : — 


• 


Beds, bedding, table linen, etc.. 


$4,424 91 


Brushes, brooms, etc.. 


419 18 


Carpets, rugs, etc., 


88 38 


Crockery, glassware, cutlery, etc.. 


816 73 


Furniture and upholstery. 


67 60 


Kitchen furnishings. 


673 86 


Wooden ware, buckets, pails, etc., . 


156 15 


Sundries, ..... 


1,381 59 


Heat, light and power : — 


s 


Coal, 


$21,444 33 


Gas, ...... 


12 82 


Oil, 


513 97 


Sundries, ..... 


297 17 


Repairs and improvements : — 




Cement, lime and plaster. 


$587 21 


Electrical work and supplies, . 


559 80 


Hardware, . ... 


2,004 00 


Lumber, ..... 


855 29 


Machinery, etc., . . " . 


513 00 


Paints, oils and glass. 


2,189 50 


Plumbing, steam fitting and supplies, 


1,648 43 


Mechanics and laborers (not on pay ro 


11), . 2,137 67 


Sundries, ..... 


1,835 81 


Farm, stable and grounds : — 




Blacksmith and supplies, 


$395 94 


Carriages, wagons and repairs, 


401 15 


FertiUzers, vines, seeds, etc., . 


1,600 31 



61 



3,043 63 



43,612 84 



10,074 14 



8,028 40 



22,268 29 



12,330 71 



Amounts carried forward, 



1,397 40 $162,358 01 



62 



WORCESTER INSANE ASYLUM. 



[Dec. 



Amounts brought forward, 

Hay, grain, etc., 

Harness and repairs, 

Horses, 

Cows, .... 

Tools, farm machines, etc.. 

Sundries, 



Miscellaneous : — 






Books, periodicals, etc., . 


. 


$268 08 


Chapel services and entertainments. 


641 40 


Freight, expressage and transportation. 


2,460 97 


Funeral expenses, . 




297 60 


Hose, etc., .... 


. 


41 48 


Ice, . . . . " . 




58 68 


Medicines and hospital supplies, 


_ 


1,271 63 


Medical attendance, nurses, etc. 


(extra). 


204 00 


Postage, .... 


. 


162 29 


Printing, .... 


. 


40 00 


Return of runaways. 


. 


49 56 


Soap and laundry supplies, 


. 


1,517 69 


Stationery and office supphes. 




384 35 


Travel and expenses (officials), 


. 


177 44 


Telephone and telegraph. 


. 


421 26 


Tobacco, .... 


. 


578 76 


Water, ..... 


, 


1,669 27 


Sundries, .... 


• 


1,042 23 



52,397 40 $162,358 01 

7,217 51 

345 67 

1,250 00 

749 00 

47 58 

471 03 

12,478 19 



11,386 69 



Total, $186,222 89 

Amount of 1907 appropriation reverting to State treasury, . 292 40 

Balance with State Treasurer : — 

Maintenance appropriation, . . . $4,173 94 

Collections paid since Jan. 1, 1907, . 5,217 38 

At asylum, 3,000 00 

12,391 32 



Resoueces, 
Balance of 1907 appropriation Dec. 1, 1907, 



$198,906 61 
$7,173 94 



Liabilities. 



Salaries and wages. 
Deficit, 



10,797 79 
$3,623 85 



1907.] PUBLIC DOCUMENT — No. 23. 63 



Inmates' Funds. 

Cash on hand Dec. 1, 1906, $2,454 57 

Received from inmates, .... 
Received from interest on account, . 



$596 38 
51 22 


647 60 




$3,102 17 
331 02 



I 



Cash refunded, ..... 

Balance, $2,771 15 

Respectfully submitted, 

ALBERT WOOD, 

Treasurer. 
Worcester, Mass., Dec. 1, 1907. 

Worcester, Mass., Dec. 13, 1907. 

I hereby certify that I have made a monthly examination of all bills and pay 
rolls representing the current expenses ,of the Worcester Insane Asylum for the 
year ending Nov. 30, 1907 ($186,222 . 89), and have found them properly scheduled 
and correctly cast. 

GEORGE L. CLARK, 

Examiner of Accounts. 



V 



64 



WORCESTER INSANE ASYLUM. 



[Dec. 



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3.5 2^3 C'^ 03 



siJ^ 3 S 3 a-E :« o ^ » S >.t!^!^'0 S o^ 2 £;! 



1907.] 



PUBLIC DOCUMENT — No. 23. 



65 



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I 



STATISTICAL TABLES 



[FOHM PRESCRIBED BY StATE BoARD OF INSANITY.] 



4' 



STATISTICAL TABLES. 



1. — General Statistics 


of the Year. 




■ 


Insane. 


f 


Males. 


Females. 


Totals. 


Patients in asylum Oct. 1, 1906, . 


362 


478 


840 


Admitted within the year, . 


148 


64 


212 


., Viz. : by transfer, .... 


145 


64 


209 


P from escape, .... 


2 


- 


2 


from escape, nominally, . 


1 


- 


1 


Whole number of cases in year, . 


510 


542 


1,052 


Dismissed within the year, . 


41 


36 


77 


Discharged, ..... 


3 


1 


4 


Viz.: as recovered at time of leaving 








asylum, .... 


- 


- 


- 


as capable of self-support. 


- 


- 


- 


as improved, .... 


- 


- 


- 


as not improved. 


3 


1 


4 


Died, 


30 


31 


61 


Transferred, ..... 


3 


2 


5 


Escaped, ...... 


- 


- 


- 


On visit Oct. 1, 1907, . . . 


5 


2 


7 


Patients remaining Sept. 30, 1907, 


469 


506 


975 


Viz. : supported as State patients. 


458 


489 


947 


as private patients, . 


- 


- 


- 


as reimbursing pa- 








tients, . 


11 


17 


28 


Number of different persons within the 








year, 


509 


542 


1,051 


Nvimber of different persons admitted, . 


147 


64 


211 


Number of different persons dismissed, . 


35 


34 


69 


Number of different persons recovered, . 


- 


- 


- 


Number of different persons discharged 








capable of self-support. 


- 


- 


- 


Daily average number of patients, 


432.45 


478.85 


911.30 


Viz. : State patients. 


420.70 


464.56 


885.26 


private patients. 


- 


- 


- 


reimbursing patients. 


11.75 


14.29 


26.04 



70 



WORCESTER INSANE ASYLUM. 



[Dec. 



2. — Received on First and Subsequent Admissions. 





Cases admitted. 


NUMBER OF ADMISSIONS 


Males. 


Females. 


Totals. 


First (to this asylum), 


144 


63 


207 


Second (to this asylum), 


1 


1 


2 


Third (to this asylum), 


- 


- 


- 


Total cases, .... 


145 


64 


209 


Total persons, .... 


145 


64 


- 209 



3. — Ages of Insane at First Attack and Death. 





Persons died. 




AT FIHST ATTACK. 


AT TIME OF DEATH. 






J 








i3 






e 


J 


f^ 


B 


J 




S 


£ 


o 


s 


■fe 


o 
H 


Congenital, .... 


1 


1 


2 


_ 


_ 


_ 


15 years and less, 


1 


1 


2 


- 


- 


- 


From 15 to 20 years, . . 


2 


- 


2 


- 


- 


- 


20 to 25 years, . 


5 


3 


8 


- 


1 


1 


25 to 30 years, . 


4 


4 


8 


3 


1 


4 


30 to 35 years, . 


3 


3 


6 


2 


3 


5 


35 to 40 years, . 


2 


3 


5 


4 


1 


b 


40 to 50 years, . 


1 


3 


4 


8 


8 


16 


50 to 60 years, . 


1 


2 


3 


4 


5 


9 


60 to 70 years, . 


1 


1 


2 


5 


6 


11 


70 to 80 years, . 


1 


- 


1 


3 


5 


8 


Over 80 years, .... 


- 


- 


- 


1 


1 


2 


Unknown, ..... 


8 


10 


18 


— 


— 


— 


Totals, 


30 


31 


61 


30 


31 


61 


Total persons, 


30 


31 


61 


30 


31 


61 


Mean known ages (in years). 


30.90 


35.45 


32.58 


49.40 


54.16 


51.83 



PUBLIC DOCUMENT — No. 23. 



71 





•SIBIJOX 


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lo 1 


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1 t-iOO 1 (NCO<N 1 1 1 1 1 1 1 1 1 1 1 1 Ol 


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•sai'BTnaj 


1 rtt- 1 Ncocq 1 1 1 1 1 1 1 1 1 1 1 1 


00 


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


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rt >0 CO 


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1 1 CO M e» CO — 1 IN 1 1 1 — l-*rH>-l 1 N-*CO 


^ 


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fe 


FORM OF DISEASE. 






o 





.5 




received by 

form, 
form, . 
m. 




A. — First admitted to any hospital when 
from which transferred: — 
Alcoholic insanity, acute, 
AlcohoUc insanity, chronic. 
Chronic delusional insanity. 
Constitutional inferiority. 
Dementia, primary. 
Dementia, chronic. 
Dementia, senile, . 
Epilepsy, . . . 
Epilepsy with dementia, . 
General paresis. 
Hereditary chorea with dementia. 

Idiot 

Imbecile, .... 
Imbecile, with dementia, . 
Involution psychosis, melancholia, 
Manic depressive insanity, depressed 
Manic depressive insanity, maniacal 
Manic depressive insanity, mixed for 
Organic brain disease. 


1 

'o 



72 



WORCESTER INSANE ASYLUM. 



[Dec. 



o 



'^ 



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o WP 

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CO CO CO 


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CO (M (M 

1— 1 CO CO 


■S3IBM 


|T-icqTt<iOI|iollllll ir~ CO co 

1-H CO CO 




•SIBJOX 


1 ,-ICOtOOiCO 1 CO 1 1 1 1 1 1 00 T-H ,-( 
(M CO CO 


•S3[13nl3j[ 


1 ICMCO-*CO|rtl 1 1 1 1 1 


rt CO CO 


"saiBj^ 


1 -H^CO^ IIIO ooo 


d 
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1 1 1 1 1 1 1 1 1 1 1 1 1 1 


1 ^ ^ 


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


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1 1 1 


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l-^ji^Hcot^l icocsiT-cio-^^Hcq 00 »o to 






4 
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c 

S 

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2H 


B. — Other adrnissions: — 

Alcoholic insanity, acute, ...... 

Alcoholic insanity, chronic, ...... 

Chronic delusional insanity, . . . 

Dementia, primary, ....... 

Dementia, chronic, ....... 

Dementia, senile, ........ 

Dementia, organic, ....... 

Epilepsy, 

General paresis, . . . . 

Huntington's chorea with dementia, .... 

Imbecile, ......... 

Imbecile with dementia, ....... 

Manic depressive insanity, maniacal form, .... 

Manic depressive insanity, mixed form, .... 


Totals B, 

Aggregate cases, . . . ' . 

Aggregate persons, ........ 



PUBLIC DOCUMENT — No. 23. 



73 





.J 




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74 



WORCESTER INSANE ASYLUM. 



'^ 





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i ^ 'M 1 H 1 .^ -: 1 i ^-^! ° . 1 

^WmWO g<1ooO gojpqooo 

I? 3 C5 



1907.] 



PUBLIC DOCUMENT — No. 23. 



75 



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Chronic hepatitis, obstructive jaundice. 

Compound fracture of skull and internal 

injuries. 
Enteritis and pulmonary congestion 

with cedema. 
Erysipelas, pneumonia, lobar. 

Hepatic abscesses and general peri- 
tonitis. 

Interstitial nephritis and valvular heart 
disease. 

Ovarian cyst and chronic valvular heart 
disease, shock. 

Pernicious anaemia, tertian malaria. 

Strangulated hernia, .... 
Typhoid fever, ..... 

Respiratory system: — 

Pneumonia, broncho. 

Pneumonia, lobar, .... 

Pneumonia, septic, .... 

Pulmonary tuberculosis. 

Pulmonary and general tuberculosis, 

Pulmonary tuberculosis and chronic 

valvular heart disease. 
Pulmonary and intestinal tuberculosis, 

Pulmonary congestion and chronic 
valvular heart disease. 

Pulmonary and general miliary tubercu- 
losis. 


3 





76 



WORCESTER INSANE ASYLUM. [Dec. 1907. 



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