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

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THIRTY-FIRST ANNUAL REPORT 



WORCESTER INSANE ASYLUM 



WORCESTER, 



Year ending November 30, 1908. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportofwo105worc 



CONTENTS 



PAGE 



Report of Trustees, ........ 55 

Report of Superintendent, ....... 58 

Report of Treasurer, . . . . . . . .65 

Statistics, .......... 71 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 



THOMAS H. GAGE, Jr., 
THOMAS RUSSELL, 
SARAH E. WH1TIN, . 
FRANCES M. LINCOLN, 
SAMUEL B. WOODWARD, 
GEORGE F. BLAKE, . 
LYMAN A. ELY, . 



Worcester. 

Boston. 

Whitinsville. 

Worcester. 

Worcester. 

Worcester. 

Worcester. 



RESIDENT OFFICERS. 

ERNEST V. SCRIBNER, M.D., 
H. LOUIS STICK, M.D., 
ARTHUR E. PATTRELL, M.D., 
RALPH C. KELL, M.D., 
B. HENRY MASON, M.D., . 
ABBIE S. FAY, . 



Superintendent. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assista?it 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. 



®t)e tfommomoealtt) of ittcmactyiusette* 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Insane Hospital, having in 
charge the Worcester Insane Asylum, respectfully submit their 
thirty-first annual report of the asylum, together with the re- 
ports of the superintendent and treasurer. 

The asylum was directed to make provision during the year 
for an average of 1,000 patients, and the daily average number 
of patients for the year has been 997.46, as against 922.61 for 
the previous year. The appropriation for the past year has 
proved adequate to provide for the needs of the institution. 

In compliance with law there has been a decrease in the 
hours of labor of the employees and weekly payment of wages 
has been instituted. There has also been some increase in the 
wages paid nurses and attendants. 

The general health of the institution has been good and the 
death-rate rather below the average. 

At the asylum no new work has been undertaken, but the 
changes, alterations and repairs in the kitchen and in the con- 
gregate dining room for men have been substantially completed. 
For the ensuing year no appropriation is asked for on behalf 
of the asylum beyond that necessary for its ordinary mainte- 
nance. 

At the colony much is being accomplished. A new building 
for 60 excitable women is in process of erection. With the 
completion of this new building the present dining accommoda- 
tions in the basement of the Birches will prove inadequate. 
This dining room at best is dark and unsatisfactory, and is 
filled to its capacity. - We ask for an appropriation of $35,000 
for the erection and furnishing of a service building which will 



56 WORCESTER INSANE ASYLUM. [Dec. 

provide a kitchen and dining room for the group of buildings 
occupied by women patients. 

It is expected that the institution will be called upon to care 
for 1,075 patients 'during the coming year. This will require 
additional accommodations for the so-called colony type, and an 
appropriation of $40,000 is asked for the erection and furnish- 
ing of one building for 50 women and one building for 50 
men. 

During the past year there has been a distinct improvement 
in the quality of the employees. This improvement is due in 
part to the business depression, but it seems probably due in 
part to the lessening of the hours of service of employees, the 
increase in wages and the general betterment of the conditions 
under which they labor. But more remains to be accomplished 
in this direction. The rapid increase in the number of em- 
ployees has outrun the accommodations designed for them, and 
many employees are now occupying quarters intended for pa- 
tients. It is desirable to furnish houses for as many employees 
as possible, where they can live when off duty under better 
and more normal conditions than at present. To this end we 
ask an appropriation of $18,000 for the erection of three cot- 
tages, each one of which shall provide on the first floor a home 
for a man and his family, and on the second floor furnished 
rooms for at least seven nurses. 

The institution has had the constant advice and co-operation 
of the State Board of Health in regard to its water supply. The 
present water supply, during the phenomenal drought of the 
past year, has been barely adequate to supply the present needs 
of the colony. In view of the assured development of the in- 
stitution the present water supply will be insufficient, and the 
State Board of Health has advised the trustees to take imme- 
diate steps to secure an additional water supply. Expert ex- 
amination indicates that there is no other great source of supply 
on the premises now owned by the institution. In order to 
obtain a proper source of supply by the acquisition of adjoining 
estates upon which it can be found, an appropriation of $12,600 
is asked for. 

In accordance with the suggestions of the State Board of 
Health, and with the appropriation granted last year, the work 



1908.] PUBLIC DOCUMENT — No. 23. 57 

of sewage disposal lias been undertaken. The estimate of the 
expense of disposal was $14,000, of which $6,000 only was asked 
for and obtained last year. For the completion of the work 
undertaken an appropriation of $7,000 is asked. 

Road building and repairing machinery has been acquired, 
and during the past year a substantial beginning has been made 
in the care and maintenance of the road adjoining the land of 
the Commonwealth. 

In some of the colony buildings there is unused space which 
could be finished off to provide for the accommodation of em- 
ployees, and several of the old barns need repair, in order that 
they may afford better storage for hay and other necessary farm 
accommodations. 

At two points along the line of the electric street railway 
running through the colony, waiting stations for employees and 
friends of patients would prove a great convenience. The man- 
agement of the road does not seem inclined to construct these 
shelters. For the accomplishment of this miscellaneous work 
an appropriation of $3,500 is asked. 

During the year two changes have occurred on the official 
staff. Dr. Wheeler resigned his position to enter general prac- 
tice and Dr. Hanson accepted a position with the State Board 
of Insanity. Drs. B. H. Mason and R. C. Kell have been 
elected to fill the vacancies. 

The trustees gladly acknowledge their obligation to the 
superintendent, members of the staff and employees for their 
faithful and devoted service to the asylum during the past year. 

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

Worcester, Nov. 30, 1908. 



58 WORCESTER INSANE ASYLUM. [Dec. 



SUPERINTENDENT'S REPORT. 



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

Insane Asylum. 

The thirty-first annual report of the superintendent of the 
Worcester Insane Asylum is respectfully submitted. 

At the beginning of the statistical year, Oct. 1, 1907, 975 
persons were inmates of this institution, — 469 men and 506 
women. During the year there were admitted 135 cases, — 57 
men and 78 women, making the whole number of cases under 
treatment 1,110, — 526 men and 584 women. Of this num- 
ber, there were discharged as capable of self-support 2 men and 
1 woman, as improved 1 man and 2 women, as not improved 2 
men, 7 men were transferred elsewhere, 2 men and 1 woman 
escaped, 4 men and 5 women are on visit, and 20 men and 28 
women died, leaving, Sept. 30, 1908, 1,035 patients, — 488 
men and 547 women. The daily average for the statistical 
year was 987.48, as against 911.30 for the previous year. 

The persons admitted have not been in as good physical con- 
dition as usual, and there has been among them less of active 
excitement and more of dementia. The enfeebled mental con- 
dition of these persons gives little hope of improvement and 
still less of recovery. A continued influx of persons of this 
unpromising condition of mind, as it lessens the hope of mental 
improvement imposes a serious handicap upon our attempts to 
encourage useful work and effort. While active interest is kept 
up and encouraging results are obtained, even under existing 
conditions, it is evident that our richest returns will undoubt- 
edly come at that time, which I am confident will come, when 
the great body of our patients is received more directly from 
the general public and less by transfer from other institutions. 
Meantime, the difficulty of securing useful workers among our 
patients renders necessary a larger percentage of paid em- 



1908.] PUBLIC DOCUMENT — No. 23. 59 

ployees, and appreciably adds to the sum total of our expendi- 
tures. 

It is pleasant to be able to turn from the contemplation of 
this rather unsatisfactory aspect of our work and to present 
something more cheerful. Of the persons discharged during 
the year, 2 men and 1 woman were classified as " capable of 
self-support." The subsequent histories of these persons since 
discharge, in each case, indicate a recovery, and nothing but a 
desire to be conservative prevented them from being rated as 
recovered at the time of their leaving the institution. All of 
them have re-entered the life of the community and resumed 
their old places, and have so far been able to maintain them- 
selves. From the character of the mass of our patients even 
one recovery would be a rich return for any effort. 

Notwithstanding the feeble condition of those admitted, on 
the whole our patients have shown physical improvement. 
There has been no case of contagious disease, in either patients 
or employees, originating during the year. The death-rate 
continues low. As a cause of death, tuberculosis, after a tem- 
porary retirement in several reports,' advances again to first 
place. This showing is rather misleading, however, as the 
great majority of those who died from this disease were af- 
flicted with it on admission here. This preponderance in 
numbers is rather due to the accident of the selection of cases 
for transfer than from any probability that tuberculosis is on 
the increase among the insane. In fact, I am very confident 
that the contrary is true. It is interesting to note that dementia 
was the predominant mental condition in those who died from 
tuberculosis. Among those admitted primary dementia seems 
to have played a more important part than usual. 

The sole purpose of the maintenance of this institution is, 
of course, the care and treatment of the insane. To properly 
carry out this purpose is quite a complex proposition. We wish 
to avail ourselves of the best means and instruments that we can 
command. One of the most important considerations is the 
selection and retaining of proper persons to assist in the care 
of our unfortunate charges. It has been very noticeable in the 
past that in the times of general business depression it has been 
much easier to secure and retain suitable persons in the em- 



60 WORCESTER INSANE ASYLUM. [Dec. 

ployment of the institution. With the return of business pros- 
perity in the community there has always come an exodus of 
too many of our better people, showing that something must 
be done to improve the conditions of the service if we are to 
retain in our employ the more desirable persons. With this end 
in view I would recommend that your Board ask for an ap- 
propriation of $18,000 for the erection of three cottages for 
employees. 

During the past few years there has been a rapid increase in 
the number of patients cared for at this asylum. As the parent 
institution in Worcester was long ago filled to the limit of its 
capacity, all of the later increase has been cared for at the 
Grafton colony. A large percentage of the cases cared for 
there has been of that noisy and turbulent class which has de- 
manded a close supervision and substantial construction of 
buildings to withstand the -wear and tear of use. That class 
has been pretty well taken care of, for a time, and we can now 
turn our energies more towards the development of the colony 
idea. To the milder and quieter cases, more amenable to con- 
trol, a much greater range of liberty can be accorded. For 
these people much simpler and less expensive accommodations 
will suffice. To properly care for these colony cases I respect- 
fully recommend that your Board ask the Legislature for an 
appropriation of $40,000 for the erection and furnishing of 
one building for 50 men and one building for 50 women. An 
excellent location for the building for men exists a short dis- 
tance to the south of the present building at the Oaks. The 
kitchen and dining room at this latter building are of sufficient 
capacity to care for the patients who would occupy the pro- 
posed building, an arrangement which would tend greatly to 
economy in the administration of this group. The present 
steam plant is also of sufficient capacity to furnish the neces- 
sary heat. In this part of our colony an excellent opportunity 
offers for the development of the special colony work for men. 
The land is rough and rocky, but when once subdued and under 
cultivation the soil is good, and gives good return for the effort 
expended upon it. A variety of building sites offer here, well 
located for future expansion. 



1908.] PUBLIC DOCUMENT— No. 23. 61 

Up to the present time the chief effort in the development of 
the colony idea has been among the men. This is perhaps 
natural, as the majority of the activities of out-of-door country 
life are those in which men ordinarily engage. I feel that it is 
unnecessary and even wrong to bar women from the probable 
benefits that would accrue from a more active, out-of-door ex- 
istence. I believe that a large share of such work can be 
reckoned as distinctly within woman's sphere. The planting 
and the cultivation of flowers, much of the care of the grounds 
adjacent to the women's buildings and many of the light ag- 
ricultural operations of the vegetable garden seem to me to 
offer avenues of proper and useful effort. In carrying out such 
a work as this it should always be borne in mind that the 
improvement of the individual is the prime end sought, and 
that the occupation is a purely subordinate means to an end. 
Work of this sort would be a remedial measure, prescribed in 
the treatment of disease. The success or failure of such an 
undertaking would depend in a large measure upon the interest 
and capacity of the individual immediately in charge of this 
work. At the No. 2 colony are several sites very suitable for 
the location of colony buildings for women. 

At the group for excitable women, with the completion of 
the building now under construction, a considerable enlarge- 
ment of our kitchen and dining facilities will be needed. When 
undertaking this work I believe that it will be the part of wis- 
dom to make provision for something in excess of our present 
needs, as this location is a natural center, near which some 
future expansion will be likely to take place. Carefully pre- 
pared plans have been made which show that for the erection 
of this building, and the bringing to it of the necessary heating 
and water connections, $35,000 will be required. For the car- 
rying out of these plans I recommend that your Board ask for 
the above sum of money. 

The consumption of water at the colony is at the present 
time about 100,000 gallons per day. Tests made in the early 
part of the year, under the direction of an experienced and 
competent sanitary engineer, developed a daily output, from 
our present source of supply, of nearly 300,000 gallons. It 



62 WORCESTER INSANE ASYLUM. [Dec. 

was estimated from this that a supply of 100,000 gallons could 
probably be depended upon in the season of shortest supply. 
Our experience has demonstrated that this amount probably 
could be depended upon in an average year, but at the present 
time we are finding it difficult to make the supply keep pace 
with our consumption. Careful estimates have been obtained, 
which show that for the purchase of additional land and the 
installation of necessary pipes and pumps the sum of $12,600 
will be needed. I recommend that this amount be asked from 
the Legislature. 

The work of providing suitable disposition for the sewage 
of the colony is being steadily carried on. Such an appropria- 
tion was secured from the last Legislature as it was thought 
could be profitably used during the year. A most careful es- 
timate shows that an appropriation of $7,000 more will be 
needed to complete the work. 

For the providing of additional rooms in certain buildings, 
for the repair of three old barns and for the providing of suit- 
able waiting stations along the line of the electric road an ap- 
propriation of $3,500 will be needed. 

Another of our farm cottages, that was not adapted to the 
use of patients, has been repaired and painted and had sanitary 
plumbing installed. This now serves as a very comfortable 
home for one of our employees and his family. 

In the line of colony development the work of redemption of 
wild lands is steadily progressing, and each year sees a little 
more land under the' plough than the preceding one. A greatly 
increased amount of ensilage corn has been produced and stored 
in our silos, a fact which will very materially help to com- 
pensate for a rather light hay crop. The general result of our 
farming operations has been satisfactory. 

A considerable advance has been made in the improvement of 
our herds. During the coming year the number of our milch 
cows will be very materially increased from stock which has 
been raised from our own cows. A few registered cattle have 
been purchased, so that we might further improve the quality 
of our stock. The new cow barn at No. 3 has been completed 
and occupied since my last report. It is proving very con- 
venient and satisfactory in operation. 



1908.] PUBLIC DOCUMENT— No. 23. 63 

I wish again to record my appreciation of the very intelligent 
assistance that 'has been given me by officers and employees in 
administering the affairs of the institution. 

To the " Worcester Evening Gazette " we are indebted for a 
copy of their paper. The Worcester Employment Society has 
done for us a large amount of useful sewing. The Hospital 
Newspaper Society has, as usual, contributed books and mis- 
cellaneous reading matter. 

E. V. SCEIBNER, 

Superintendent . 



64 



WORCESTER INSANE ASYLUM. 



[Dec. 



OFFICERS AND THEIR SALARIES. 



Ernest V. Scribner, M.D., Superintendent, 
H. Louis Stick, M.D., Assistant Physician, 
Arthur E. Pattrell, M.D., Assistant Physician, 
Ralph C. Kell, M.D., Assistant Physician, 
B. Henry Mason, 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 

1,500 00 

1,000 00 

900 00 

800 00 

100 00 

800 00 

400 00 

50 00 

780 00 

1,000 00 



VALUE OF STOCK AND SUPPLIES 



Dec. 1, 1908. 
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, 



$13,477 00 


4,592 25 


5,772 85 


. 45,037 84 


. 28,300 82 


9,829 95 


. 10,000 00 


3,588 76 


1,651 17 


1,420 92 


450 00 


3,716 85 


1,325 00 


2,454 80 


$131,618 21 



1908.] 



PUBLIC DOCUMENT— No. 23. 



65 



TREASURER'S REPORT. 



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

Insane Asylum. 

\ I herewith submit my thirty-first annual report of the finances 
of the Worcester Insane Asylum, for the year ending Nov. 30, 
1908: — 



Available funds Nov. 30, 1907: — 






With State Treasurer : — 






Maintenance appropriation, 


$4,173 94 




At asylum, ....... 


3,000 00 


$7,173 94 






Amounts received during the year : — 






From reimbursed cases, . 


$4,270 85 




From other sources, . 


887 12 




Collected by the State Board of Insanity, 


44 11 


5,202 08 






Deficiency appropriation, . . . . 




3,623 85 


Appropriation by the Commonwealth for the 


support of 




patients,. ...... 




211,000 00 



226,999 87 
The expenditures for the year have been as follows : — 



Salaries and wages, 

Food : — 
Butter, 
Beans, . 
Crackers, 

Cereals, rice, meal, etc., 
Cheese, 
Eggs, . 
Flour, . 
Fish, . 



Amounts carried forward, 



t,622 67 



$8,701 


92 


870 82 


478 59 


1,166 


93 


560 


31 


1,631 


16 


7,758 


36 


1,861 


86 



5,029 95 $84,622 67 



66 



WORCESTER INSANE ASYLUM. 



[Dec. 



Amounts brought forward, 

Fruit (dried and fresh), . 
Meats, .... 
Milk, .... 
Molasses and syrup, 
Sugar, .... 
Tea, coffee, broma and cocoa, 
Vegetables, . 
Sundries, 
Express and freight, 



Clothing and material : — 
Boots, shoes and rubbers, 
Clothing, ..... 
Dry goods for clothing, and small wares, 
Furnishing goods, .... 
Hats and caps, .... 
Leather and shoe findings, 
Sundries, ..... 
Express and freight, 



Furnishings : — 
Beds, bedding, table linen, etc., 
Carpets, rugs, etc., 
Brushes, brooms, etc., 
Crockery, glassware, cutlery, etc., 
Furniture and upholstery, 
Kitchen furnishings, 
Wooden ware, buckets, pails, etc., 
Sundries, 
Express and freight, 



Heat, light and power 
Coal, 
Gas, 
Oil, 

Sundries, 
Freight, 



Repairs and improvements : - 
Cement, lime and plaster, 
Electrical work and supplies, . 
Hardware, .... 
Lumber, .... 

Amounts carried forward, . 



$,029 95 $84,622 67 



1,660 35 




11,512 16 




633 72 




302 50 




2,573 37 




1,643 92 




5,139 35 




1,643 08 




36 66 






48,175 06 




$2,129 86 




5,498 89 




2,962 67 




50 27 




91 43 




91 24 




347 67 




28 56 






11,200 59 




$2,841 87 


• 


41 67 




288 85 




560 86 




176 33 




430 76 




174 62 




1,630 40 




8 27 






6,153 63 




$16,657 24 




12 81 




303 07 




349 85 




3,079 76 






20,402 73 




$494 82 




573 16 




1,371 52 




1,675 85 





1,115 35 $170,554 68 



1908.] 



PUBLIC DOCUMENT— No. 23. 



67 



Amounts brought forward, 

Machinery, etc., .... 

Paints, oils, glass, etc., . 

Plumbing, steam fitting and supplies, 

Roofing and materials, . 

Mechanics and laborers (not on pay roll), 

Sundries, ..... 

Express and freight, 



Farm, stable and grounds : - 










Blacksmith and supplies, . . . $524 06 


Carriages, wagons, and repairs, 






734 39 


Fertilizers, vines, seeds, etc., . 






. 2,129 16 


Hay, grain, etc., 








9,030 50 


Harness and repairs, 








438 71 


Horses, 








600 00 


Cows, . . ... 








170 00 


Other live stock, 








88 00 


Tools, farm machines, etc., 








278 28 


Sundries, 








529 03 


Express and freight, 








176 38 


Miscellaneous : — 




Books, periodicals, etc., ..... $292 13 


Chapel services and entertainments, 




733 20 


Freight, expressage and transportation, 




4,771 60 


Funeral expenses, .... 




153 00 


Hose, etc., .... 






26 02 


Ice, ..... 






97 20 


Medicines and hospital supplies, 






1,442 36 


Medical attendance, nurses, etc., 






35 00 


Postage, .... 






169 74 


Printing and printing supplies, 






25 65 


Return of runaways, 






31 20 


Soap and laundry supplies, 






2,616 30 


Stationery and office supplies, 






419 76 


Travel and expenses (officials), 






215 26 


Telephone and telegraph, 






399 38 


Tobacco, .... 






447 92 


Water, ..... 






1,356 81 


Sundries, 








886 54 



54,115 35 $170,554 68 

90 00 

1,550 67 

2,256 39 

31 59 

1,648 26 

838 42 

50 30 

10,580 98 



14,698 51 



14,119 07 



Total, . . 

Amount carried forward, . 



,953 24 
,953 24 



68 WORCESTER INSANE ASYLUM. [Dec. 

Amount brought forward, ... . . . . $209,953 24 

Balance with State Treasurer : — 

Maintenance appropriation, . . . $7,844 55 

Collections, 5,202 08 

At asylum, . . . . . . 4,000 00 



17,046 63 

$226,999 87 
Resources. 
Balance of 1908 appropriation Dec. 1, 1908, . . . $11,844 55 

Liabilities. 
Salaries and wages, ....... 11,844 54 



Inmates' Fund. 
Cash on hand Dec. 1, 1907, 
Received from inmates, .... 
Received from interest on account, . 



. $849 91 
47 76 


$0 01 

$2,771 15 

897 67 




$530 84 
234 34 


$3,668 82 
765 18 





Cash refunded, 

Interest paid to State Treasurer, 



Balance (savings bank, $2,200 ; national bank, $672 . 48 ; 

drawer, $31.16), $2,903 64 

Respectfully submitted, 

ALBERT WOOD, 

Treasurer. 
Worcester, Mass., Dec. 1, 1908. 

Worcester, Mass., Dec. 14, 1908. 

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, 1908 ($209, 953 . 24), and have found them properly scheduled 
and correctly cast. 

GEORGE L. CLARK, 

Examiner of Accounts. 



1908.] 



PUBLIC DOCUMENT— No. 23. 



69 






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Statistical Tables 



[Form prescribed by State Board of Insanity.] 



STATISTICAL TABLES. 



1 . — General Statistics of the Year. 







Insane. 






Males. 


Females. 


Totals. 


Patients in asylum Oct. 1, 1907, 


469 


506 


975 


Admitted within the year, 


57 


78 


135 


Viz. : by transfer, 


52 


76 


128 


from visit, . . . . 


1 


- 


1 


from visit, nominally, . 


4 


2 


6 


Whole number of cases in year, 


526 


584 


1,110 


Dismissed within the year, . . 


38 


37 


75 


Discharged, ...... 


5 


3 


8 


Viz. : as recovered at time of leaving asy- 








lum, ..... 


- 


- 


- 


as capable of self-support, 


2 


1 


3 


as improved, .... 


1 


2 


3 


as not improved, 


2 


- 


2 


Died, 


20 


28 


48 


Transferred, ..... 


7 


- 


7 


Escaped, ...... 


2 


1 


3 


On visit Oct, 1, 1908, . 


4 


5 


9 


Patients remaining Sept. 30, 1908, 


488 


547 


1,035 


Viz. : supported as State patients, . 


477 


531 


1,008 


as private patients, 


- 


- 


- 


as reimbursing patients, 


11 


16 


27 


Number of different persons within the year, 


522 


582 


1,104 


Number of different persons admitted, 


53 


76 


129 


Number of different persons dismissed, 


34 


35 


69 


Number of different persons recovered, 


- 


- 


- 


Number of different persons discharged ca- 








pable of self-support, .... 


2 


1 


3 


Daily average number of patients, 


474.21 


513.27 


987.48 


Viz. : State patients, .... 


463.46 


497.83 


961.29 


private patients, . 


- 


- 


- 


reimbursing patients, . 


10.75 


15.44 


26.19 



74 



WORCESTER INSANE ASYLUM. 



[Dec. 



2. — Received on First and Subsequent Admissions. 



NUMBER OF ADMISSIONS. 


Cases admitted. 


Males. 


Females. 


Totals. 


First (to this asylum), • N • 
Second (to this asylum), 
Third (to this asylum), 


51 
1 


75 
1 


126 
2 


Total cases, .... 
Total persons, .... 


52 
52 


76 
76 


128 
128 



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





Persons died. 




AT 1 


TOST ATTACK. 


AT TIME OP DEATH. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Congenital, 


_ 


_ 


_ 






_ 


15 years and less, 


3 


2 


5 




- 


1 


From 15 to 20 years, . 


- 


2 


2 




- 


1 


20 to 25 years, . 


1 


2 


3 




- 


- 


25 to 30 years, . 


- 


4 


4 




4 


5 


30 to 35 vears, . 


- 


3 


3 




2 


3 


35 to 40 years, . 


1 


2 


3 




1 


2 


40 to 50 years, . 


2 


1 


3 




5 


8 


50 to 60 years, . 


- 


- 


- 




5 


12 


60 to 70 years, . 


1 


3 


4 




4 


7 


70 to 80 years, . 


- 


1 


1 




4 


5 


Over 80 years, . 


- 


- 


- 




3 


4 


Unknown, . . . 


12 


8 


20 


- 


- 


- 


Totals, 


20 


28 


48 


20 


28 


48 


Total persons, 


20 


28 


48 


20 


28 


48 


Mean known ages (in years), 


28.25 


34.10 


32.42 


49.60 


54.03 


52.19 



1908.] . 



PUBLIC DOCUMENT— No. 23. 



75 



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received bj- 

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m, 




A. — First admitted to any hospital when 
from which transferred: — 
Alcoholic insanity, acute, 
Alcoholic insanity, chronic, 
Arterio-sclerotic dementia, ; 
Chronic delusional insanity, 
Dementia, primary, 
Dementia, chronic, 
Dementia, senile, 
Epilepsy, .... 
Epilepsy with dementia, 
General paralysis, . 
Hysterical epileptic, 
Imbecile, .... 
Imbecile with epilepsy, . 
Involution psychosis, melancholia, 
Manic-depressive insanity, maniacal 
Manic-depressive insanity, mixed for 
Psychopathic inferiority, 


o 

EH 



76 



WORCESTER INSANE ASYLUM. 



[Dec. 



^3 



53 



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B. — Other admissions: — 

Alcoholic insanity, acute, 
Alcoholic insanity, chronic, 
Arterio-sclerotic dementia. 
Chronic delusional insanity, 
Dementia, primary, 
Dementia, chronic, 
Dementia, senile, . 
Epilepsy, 

Epilepsy with dementia, 
General paralysis, . 
Hysterical insanity, 
Imbecile, . 
Imbecile with dementia, 
Imbecile with epilepsy, . 
Involution psychosis, melanchc 
Manic-depressive insanity, mix 
Manic-depressive insanity, mar 
Psychopathic inferiority, 


Totals B 

Aggregate cases, 
Aggregate persons, 



PUBLIC DOCUMENT— No. 23. 



77 



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78 



WORCESTER INSANE ASYLUM. 



[Dec. 






o 





■si^ox 


II i-t 1 1 1 1 1 1 i-l 1 N 


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II rt 1 " 1 ■ 1 1 1 1 1 1 iH 


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a ■< 
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Alcoholic 

Insanity, 
Acute. 


•S]B^ox 




•saiEuwj 




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m 

a 
m 
« 
o 
o 
< 


•si^ox 




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rt r)< | ,-! (N r-< | | | tH | iH 


<! 
Q 

O 
o 








Nervous system: — 

Epilepsy, ....... 

General paralysis, ...... 

Circulatory system: — 

Arterio sclerosis, ...... 

Arterio sclerosis and chronic valvular heart disease, 
Cerebral hemorrhage, ..... 

Cerebral hemorrhage and necrosis of bone, 
Cerebral hemorrhage and pulmonary tuberculosis, 
Cerebral hemorrhage and tertian malaria, 
Chronic valvular heart disease, 
Chronic valvular heart disease and asthma, 
Endocarditis, ...... 

General arterio sclerosis and chronic nephritis, . 



1908.] 



PUBLIC DOCUMENT— No. 23. 



79 



1111 ^ — ■ • - — 1 ll^lllllll 


t^ 


■ ■II •• — ' 1 ^ — ■ ll^lllllll 


m 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <M 


I 1 - , .1 , 1 ~ 1 1 1 1 I - 1 1 1 1*. 


1 1 rH 1 1 1 1 H | | 1 1 1 - 1 1 1 




1 1 1 1 ] 1 1 1 1 1 1 1 1 1 1 1 1 | 1 


il '*H | 1 . 1 il 1 |v— 1 I'ICOl— i 1 1 1 ||oa 


- - 1 1 1 - 1 1 - 1 1 « « | , | | 


t~ 


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130 


1 1 1 1-1 1 1 1 till •" — • 1 1 1 I I 


»C 


1 — 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


CO 


1 1 1 1 1 1 1 1 1 1 1 -* 1 1 1 1 1 


- 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 | 1 


1 1 1 1 1 1 1 1 1 1 1 rH | | | | I 


~ 


1 1 1 1 1 1 1 1111,11111 


1 


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C 








General diseases: — 

Acute gastro-enteritis, ..... 

Acute nephritis and cerebral oedema. 
Carcinoma of liver, ..... 

Chronic appendicitis, retro-peritoneal abscess, . 
Facial erysipelas, ...... 

Facial erysipelas and meningitis, 

Senile debility, ...... 

Respiratory system: — 

Broncho-pneumonia, ..... 
General miliary tuberculosis, .... 
Lobar pneumonia and cerebral hemorrhage, 
Pneumonia (hypostatic) and epilepsy, 
Pulmonary tuberculosis, ..... 
Pulmonary tuberculosis and broncho-pneumonia, 
Pulmonary tuberculosis and lobar pneumonia, . 
Pulmonary tuberculosis with epilepsy, 
Pulmonary tuberculosis and paresis, 
Pulmonary and laryngeal tuberculosis, 


"3 
o 
H 



80 



WORCESTER INSANE ASYLUM. 



[Dec. 



T3 

a 

o 

O 



1 



I 



> is 

as 



•sjejox 



•sa^ura^ 



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o a 



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« — — 



fl Jl ^3 ^ 



« " IU (L> -J U/ r*-t r-H -rZ _,TL 

<«1oouoooHO 



1908.] 



PUBLIC DOCUMENT— No. 23. 



81 



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82 



WORCESTER INSANE ASYLUM. [Dec. 1908. 



































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