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

THIRTY-SECOND ANNUAL REPORT 



WORCESTER STATE ASYLUM 



WORCESTER, 



Year ending November 30, 1909. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportofwo107worc 



CONTENTS. 



PAGE 

Report of Trustees, 53 

Report of Superintendent, 55 

Report of Treasurer, 62 

Statistics, 71 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 

THOMAS KUSSELL, Boston. 

CARRIE B. HARRINGTON, Worcester. 

FRANCES M. LINCOLN, ...... Worcester. 

SAMUEL B. WOODWARD, . . . . . . Worcester. 

GEORGE F. BLAKE, Worcester. 

LYMAN A. ELY, Worcester. 

THOMAS H. GAGE, Worcester. 



RESIDENT OFFICERS. 



ERNEST V. SCRIBNER, M.D., 
H. LOUIS STICK, M.D., . 
ARTHUR E. PATTRELL, M.D., 
B. HENRY MASON, M.D., . 
WILLIAM T. BAILEY, M.D., 
ABBIE S. FAY, 



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



NON-RESIDENT OFFICERS. 

ALBERT WOOD, Treasurer. 

GEORGE L. CLARK, Examiner. 

SUSIE G. WARREN, Clerk. 

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

FOREST A. SLATER, Engineer. 



3Mjc ^omtnonroealtlj of Jilassartiuseite, 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester State Hospital, having in 
charge the Worcester State Asylum, respectfully submit their 
thirty-second annual report of the asylum, together with the re- 
ports of the superintendent and treasurer. The reports of the 
superintendent and treasurer are hereto annexed, and contain 
detailed statements of the condition and the work of the asylum 
in all its branches, together with the changes in the staff of the 
institution. 

There has been no new work undertaken at the asylum this 
year and no appropriation will be asked therefor for the ensuing 
year beyond the appropriation necessary for its maintenance. 

At the colony at Grafton the work of enlargement goes on. 
The new building for 60 excitable women has been finished and 
opened for use, and the others authorized last year are in process 
of erection. To provide for the growth of the colony the trus- 
tees ask for an appropriation of $9,700 for a new kitchen and 
dining room for the No. 1 group of buildings. 

During the past few years the asylum has been called upon to 
care for a large number of violent and excitable cases, demand- 
ing close supervision and confinement, and new buildings for 
their use have been constructed at the colony, but now it seems 
to the trustees that there is opportunity to return to the original 
purposes of the colony, — the care of a class of cases not need- 
ing such close supervision, who can be given work on the land 
and who can derive benefit therefrom, while not needing build- 
ings of such substantial and expensive construction as the more 
excitable cases. To provide for such cases the trustees recom- 



54 WORCESTER STATE ASYLUM. [Dec. 

mend an appropriation of $41,300 for the erection of two build- 
ings, one for the accommodation of 50 men at the Oaks, and one 
for 50 women at the No. 2 group of buildings. 

With the appropriation granted last year for the increase of 
the water supply at the colony, two lots of land have been pur- 
chased and an abundant supply of fine water has been obtained, 
which furnishes water enough for the needs of the colony, and 
is capable of increased development as these needs increase. 

The work of sewage disposal under last year's appropriation 
is proceeding well. 

The trustees desire here to express their appreciation of the 
faithful and efficient work of the superintendent, members of 
the staff and employees of the asylum during the past year. 

Respectfully submitted, 

THOMAS RUSSELL. 
CARRIE B. HARRINGTON. 
FRANCES M. LINCOLN. 
SAMUEL B. WOODWARD. 
GEORGE F. BLAKE. 
LYMAN A. ELY. 
THOMAS H. GAGE. 



1909.] PUBLIC DOCUMENT — No. 23. 55 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Worcester State Hospital, having in Charge 
the Worcester State Asylum. 

I respectfully present to your Board the thirty-second annual 
report of the superintendent of the Worcester State Asylum. 

Our statistical year begins October 1 and ends September 30. 
On Oct. 1, 1908, 488 men and 547 women — 1,035 persons — 
were inmates of this institution. During the year 97 men and 
69 women — 166 cases — were admitted by transfer from other 
institutions or from boarding out ; 4 men and 5 women — 9 
cases ■ — were returned from visit, making the whole number 
under treatment for the year 589 men and 621 women — 1,210 
cases. Of these cases, 4 men and 6 women were readmissions, 
leaving a total of 1,200 different persons — 585 men and 615 
women. There were dismissed during the year 45 men and 
37 women — 82 cases. Of this number, 1 woman recovered, 
6 men and 3 women were capable of self-support, 1 man and 3 
women were improved, 2 men and 2 women were not improved, 
and 29 men and 24 women died, leaving a total of 544 men 
and 584 women — 1,128 patients — remaining Sept. 30, 1909. 
The daily average number of patients for the statistical year 
was 1,062.57, as against 987.48 for the previous year. Each 
year shows a steady and substantial increase in numbers. 

The physical condition of the persons admitted has been more 
unsatisfactory than usual. This is the more to be regretted as 
we are greatly in need of more assistance in the conduct of the 
various departments. When we come to consider the mental 
condition of the 166 persons admitted the findings are quite as 
unsatisfactory. More than 25 per cent, of these were cases of 
primary dementia, for whose recovery or even decided improve- 
ment there is slight hope. Almost as great a number, over 24 
per cent., were epileptics, the majority imbecile and far gone in 



56 WORCESTER STATE ASYLUM. [Dec. 

dementia. Nearly 15 per cent, were cases of alcoholic insan- 
ity, perhaps in some respects more promising than the above- 
mentioned classes but still not encouraging. And yet in this 
material good undoubtedly exists, and this good it is our duty 
and privilege to discover and draw out in such manner as we 
may be able. In all but the most hopelessly demented some 
remnant of interest in life remains, and if we can but approach 
it in the right way some renewal of mental activity may be 
hoped for. In the majority of cases any improvement which 
takes place stops far short of recovery, but often results in an 
increased ability to enjoy life. 

Of the persons discharged 1 woman recovered and was al- 
lowed to go to the home of her parents in Portugal. This case 
is worthy of more than passing notice, not only because of the 
apparently hopeless class of cases from which it sprung, but 
also because of the usually hopeless character of the type of dis- 
ease, epileptic insanity. In this disease not only was there an 
abatement of the mental symptoms but a complete cessation of 
epileptic seizures for a long period previous to discharge. This 
patient had a history of frequent and prolonged epileptic seiz- 
ures, usually attended by intense mental excitement, violence 
towards others, and the most persistent and energetic suicidal 
attempts which I have ever known. When this patient left the 
institution she was in an apparently normal mental and physical 
state. Such cases of recovery, after years of hospital residence, 
are indeed rare, but the fact that they do sometimes occur lends 
an added interest to the study of chronic mental conditions. 

The general physical health of both patients and employees 
has been good. There has been no case of contagious disease 
during the year. The death-rate among the patients has been 
very small, considering the class of feeble and demented cases 
with which we deal. The regulation of the habits of life and 
the careful and systematic attention which the insane receive in 
our public institutions evidently tend to the prolongation of 
their lives, and, to my mind, account for no inconsiderable 
percentage ui the accumulation in hospitals. Tuberculosis oc- 
casioned about 25 per cent, of all the deaths. Senility was re- 
sponsible for about 12 per cent, of the mortality. This cause 
of death must of course become of increasing importance in 



1909.] PUBLIC DOCUMENT — No. 23. 57 

succeeding years through, the operation of natural causes, as 
but a small percentage of our cases are discharged or trans- 
ferred. 

During the last year the difficulty in securing proper employ- 
ees has been less than usual. This has probably been due to 
several causes. The general business of the country has not 
offered full opportunities of employment and the conditions of 
the service here have been improved. Some increase in com- 
pensation has also been made. All laborers, workmen and me- 
chanics have served an eight-hour day, in accordance with the 
law. With the exception of the official staff and the heads of 
departments all other persons have been accorded a service of 
sixty hours per week, with one day off in every seven. This 
has increased in no small measure the expenses of maintenance, 
but I believe that adequate return has been made for the money 
expended, and I feel that nothing less generous should be ac- 
corded for the coming year. A steady betterment is also being 
made in the conditions under which our employees live. The 
last Legislature gave money for providing additional accommo- 
dations for employees. Three new cottages for nurses are now 
in process of construction and additional rooms are being fin- 
ished off in existing buildings. Some of these rooms are al- 
ready occupied. 

The old farmhouse at our No. 1 colony serves as a gen- 
eral business headquarters and also provides kitchen and dining 
facilities for the officers and for considerable numbers of our 
farm help. The present quarters are taxed beyond their capac- 
ity. The present kitchen should be greatly enlarged, and an 
addition should be made which will provide a new dining room 
for the general employees. Plans have been drawn covering 
these requirements and a careful estimate of the cost of con- 
struction has been made. In the working out of these plans it 
has been possible to make provision for a few additional sleep- 
ing rooms and new toilet facilities. I recommend that your 
Board ask the coming Legislature for an appropriation of $9,700 
to provide for the accomplishment of this work. 

Last year plans were prepared for one new building for 50 
men and one for 50 women, and an appropriation for their 
erection was asked for. The necessity for these buildings and 



58 WORCESTER STATE ASYLUM. [Dec. 

the plans for their construction were approved by the State 
Board of Insanity, but in view of the great financial demands 
upon the Commonwealth at that time it was finally deemed 
wise to defer action on that matter. Plans and estimates cover- 
ing this work are already on file with the State Board of In- 
sanity. I recommend that your Board again ask the Legislature 
for the necessary authority and funds for the carrying out of • 
these plans. The sum of $41,300 will be necessary for the erec- 
tion of these two buildings. Should this request be granted 
the carrying on of our colony work will be greatly facilitated. 
These plans call for one-story wooden buildings, with high base- 
ment, and are intended to make provision for the more quiet 
of our colony patients. In each case these buildings are in- 
tended as additions to already established groups. On account 
of economies in heating and general administration I regard it 
as better policy to more fully develop existing centers before we 
turn to the establishment of new ones. 

At the time of the presentation of my last report the water 
supply at the colony was very short. The last Legislature 
granted an appropriation for the purpose of obtaining some ad- 
ditional source of supply and for connection with our existing 
service. Two lots of land have been secured, lying from one- 
half to three-fourths of a mile from the general colony prop- 
erty. From tests and examinations which have been made each 
one of these properties seems to control an independent source 
of water supply, and is so located as to be free from all clanger 
of local contamination. The nearer supply has been developed 
first, and the returns have been so satisfactory that it probably 
will not be necessary to turn to the second source for some time 
to come. Ten wells have been driven on this property. A care- 
ful test conducted at the time of our greatest drought developed 
an apparently constant output of some 180,000 gallons per day. 
The State Board of Health has reported favorably on this sup- 
ply as to quality, quantity and appropriateness of the source 
from which it is derived. A pipe line has been laid connecting 
these wells with our old system, and a temporary pump is al- 
ready delivering water from the new source. The work of 
erecting a substantial pump house and the installation of per- 
manent pumps will be pushed to as rapid completion as possible. 



1909.] PUBLIC DOCUMENT — No. 23. 59 

Tiie property where this water supply has been developed con- 
sists of a farm of some 113 acres of land, with a fairly good 
house and barn. The house is already occupied by one of our 
employees with his family, and the barn is utilized for the care 
of some of our growing young stock. The farm can be made a 
good hay producer, and is a substantial addition to our colony 
lands, aside from its value as a water producer. 

The work on our sewage-disposal plant is being steadily pros- 
ecuted. The construction of the filter beds is being done by 
contract. The completion of the pipe lines connecting with 
these filter beds is being accomplished by our own employees 
and teams with considerable assistance from patients. This 
whole work will be pushed to as early completion as possible. 

Work on the service building at the women's group, the erec- 
tion of which was authorized by the last Legislature, is pro- 
gressing satisfactorily. Steam heat will soon be in the building, 
which will enable the work of interior finishing to continue with- 
out interruption. This building will probably be ready for use 
at an earlier date than called for in the contract. 

The building for 60 women has been completed and named 
the Larches, and is now occupied. This building seems well 
adapted to our uses. It has a large, dry and well-lighted base- 
ment, and being located near our power house and laundry offers 
excellent opportunity for the establishment of various industrial 
operations suited to women patients. 

An attempt has been made at our colony during the past year 
to interest some of our female patients in out-of-door work. 
This effort has met with a reasonable measure of success. A 
crew of working women has taken care of the grounds at the 
women's group, and has done considerable work in the weeding 
and hoeing of our gardens and other light agricultural work 
suited to a woman's strength. As all of our already developed 
workers were fully employed in the different departments, this 
out-of-door crew was largely recruited from patients who have 
formerly sat around the house and done very little or nothing at 
all. Particular attention has been paid to getting out the noisy 
and troublesome patients. This practice has the effect of mak- 
ing this special outside crew less in numbers, but it has relieved 
the wards of some of its noisy and turbulent women, and in most 



60 WORCESTER STATE ASYLUM. [Dec. 

instances with marked benefit to the patients. The measure of 
success in this work has not been so much the amount of labor 
accomplished as the numbers of patients who have been taken 
out and led back into habits of industry. As the winter is clos- 
ing in this same working crew is undertaking the cane seating 
of chairs, to occupy that time when it does not seem suitable 
for them to engage in out-of-door work. Already some fairly 
creditable work has been done by some quite unpromising pa- 
tients. It is proposed to introduce other industries as time and 
opportunity admit. Considerable numbers of male patients, 
both at the asylum and at the colony, have been constantly em- 
ployed in the various departments and in out-of-door work, with 
profit to themselves and to the institution. Here, again, as with 
the women, special effort has been made to interest and employ 
the excited and incorrigible. Encouraging results have been ob- 
tained. The asylum is seriously handicapped so far as good 
working patients are concerned, because its inmates are all re- 
ceived by transfer from other institutions, and of course the 
best workers are retained where first admitted. 

There has been but one change in the official staff. Dr. R. C. 
Kell resigned his position to accept a position in a Pennsylvania 
institution. Dr. William T. Bailey was appointed to fill the 
position made vacant. 

Officers and employees have, as a whole, united in rendering 
an efficient service, which has made possible any measure of 
success which may have been attained. I wish to acknowledge 
my indebtedness to them. 

Thanks are due to the publishers of the " Worcester Evening 
Gazette " for a copy of their paper. The Hospital Newspaper 
Society has furnished us with a generous supply of books and 
papers. I wish also to thank the Worcester Employment So- 
ciety for the great amount of sewing which has been done for 
the institution. 

E. V. SCRIBKER, 

Superintendent. 



1909.] 



PUBLIC DOCUMENT — No. 23. 



61 



OFFICERS AND THEIR SALARIES. 



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



$3,000 00 

1,600 00 

1,200 00 

1,000 00 

800 00 

100 00 

800 00 

400 00 

50 00 

780 00 

1,000 00 



VALUE OF STOCK AND SUPPLIES 

Dec. 1, 1909. 



Live stock, $14,330 00 

Produce of farm on hand, 3,600 89 

Carriages and agricultural implements, .... 5,052 49 

Machinery and mechanical fixtures, ..... 46,051 82 

Beds and bedding in inmates' department, .... 2S,688 03 

Other furniture in inmates' department, . . . 11,402 15 

Personal property of State in superintendent's department, 10,000 00 

Ready-made clothing, 5,102 31 

Dry goods, 1,191 95 

Provisions and groceries, 8,706 IS 

Drugs and medicines, 600 00 

Fuel, 6,217 70 

Library, 1,365 00 

Other supplies undistributed, 4,806 50 



$147,115 02 



62 



WORCESTER STATE ASYLUM. 



[Dec. 



TREASURER'S REPORT. 



To the Trustees of the Worcester State Hospital, acting for the 
Worcester State Asylum. 

I respectfully submit the following report of the finances of 
this institution for the fiscal year ending ]S3"ov. 30, 1909 : — 



Balance Dec. 1, 1908, 



Cash Account. 



$4,000 00 



Receipts. 



Institution Receipts. 
Board of inmates : — 

Reimbursements, 
Salaries, wages and labor: — 

Wages not called for, . 
Sales: — 

Food, 

Clothing and materials, 

Furnishings, 

Repairs and improvements, 

Miscellaneous, 

Farm, stable and grounds: — 
Cows and calves, 
Hides, 

Miscellaneous receipts: — 

Interest on bank balances, 
Sundries, . 



Receipts from Treasury of Commonwealth. 
Maintenance appropriations : — 

Balance of 1908, .... 

Advance money, .... 

Approved schedules of 1909, 



S105 


84 


240 


14 


1 


25 


8 


SO 


224 


79 


$62 


00 


18 


12 


$133 


84 


2 


05 



Special appropriations, 
Total, 



5,219 31 
21 85 



580 82 



SO 12 



135 89 



$7,844 54 

15,000 00 

228,354 80 



6,037 99 



251,199 34 
70,402 91 

$331,640 24 



1909.] 



PUBLIC DOCUMENT — No. 23. 



63 



Payments. 

To treasury of Commonwealth, institution receipts, 

Maintenance appropriations: — 

Balance November schedule, 1908, 
Eleven months' schedules, 1909, . 
November advances, . 

Special appropriations: — 
Approved schedules, . 
November advances, . . . . . 

Balance Nov. 30, 1909: — 

In bank, ....... 

In office, ....... 



Total, 



Maintenance. 



Appropriation, . 

Expenses (as analyzed below), 



3,037 99 



11,844 


54 




228,354 


80 




13,057 


64 


$259,294 97 






$70,402 


91 




205 


95 


70,608 86 






$705 


97 




1,030 


44 


1,736 41 








$331,640 24 






$258,000 00 






254,594 45 



Balance reverting to treasury of Commonwealth, 



5,405 55 



Analysis of Expenses. 
Salaries, wages and labor: — 

General administration, .... $28,680 50 

Medical service, ...... 8,417 68 

Ward service (male), 17,937 69 

Ward service (female), .... 15,599 82 

Repairs and improvements, . . . 14,672 32 

Farm, stable and grounds, .... 15,018 72 

Food : — 

Butter, $11,570 95 

Beans, 957 60 

Bread and crackers, ..... 530 60 

Cereals, rice, meal, etc., .... 1,381 42 

Cheese, 793 51 

Eggs, 2,032 21 

Flour, 12,142 95 

Fish, 1,886 98 

Fruit (dried and fresh), .... 2,683 52 

Meats, 15,992 93 

Milk, 360 11 

Molasses and syrup, . . . . . 361 95 

Sugar, 2,991 72 

Tea, coffee, broma and cocoa, . . . 1,841 94 

Vegetables, 5,890 89 

Sundries, 1,721 76 



Amount carried forward, 



$100,326 73 



63,141 04 

$163,467 77 



64 



WORCESTER STATE ASYLUM. 



[Dec. 



Amount brought forward, 

Clothing and materials: — 

Boots, shoes and rubbers, 

Clothing, ...... 

Dry goods for clothing and small wares, 
Furnishing goods, . . . . 

Hats and caps, . . . . . 

Leather and shoe findings, . 

Sundries, ...... 

Furnishings : — 

Beds, bedding, table linen, etc., 

Brushes, brooms, 

Carpets, rugs, etc., 

Crockery, glassware, cutlery, etc., 

Furniture and upholstery, 

Kitchen furnishings, 

Wooden ware, buckets, pails, etc., 

Sundries, ..... 



Heat, light and power: — 
Coal, 

Freight on coal, . 
Gas, . 
Oil, . 
Sundries, . 



Repairs and improvements: — 
Brick, 

Cement, lime and plaster, 
Electrical work and supplies 
Hardware, 
Lumber, 

Machinery, etc., . 
Paints, oil, glass, etc., 
Plumbing, steam fitting and suppl 
Roofing and materials, 
Sundries, . 

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

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



Miscellaneous: — ■ 

Books, periodicals, etc., 

Chapel services and entertainments, 

Amounts carried forward, 







$163,467 77 


$1,644 


68 




8,387 


53 




1,350 


90 




191 


06 




114 


69 




118 


54 




238 


48 


12,045 88 






$7,016 


72 




516 


15 




299 


21 


' 


795 


78 




968 


13 




646 


33 




112 


67 




2,022 


53 


12,377 52 


$18,490 87 


4,753 


62 


, 


11 


41 




270 


14 




1,483 


13 


25,009 17 






$138 


31 




361 


26 




623 


86 




1,963 


83 




1,820 


59 




412 


60 




2,223 


97 




2,109 


94 




323 


55 




1,182 


98 


11,160 89 






$520 04 




1,387 


78 




1,952 


79 




12,599 


23 




242 


08 




535 


00 




392 


00 




131 


50 




• 322 


39 




1,027 


62 


19,110 43 


$398 


80 


774 


30 





L,173 10 $243,171 66 



1909.1 



PUBLIC DOCUMENT — No. 23. 



65 



Amounts brought forward, 



1,173 10 $243,171 66 



Miscellaneous — ■ Con. 

Freight, expressage and transportation, 

Funeral expenses, 

Hose, etc., .... 

Ice, ...... 

Medicines and hospital supplies, . 
Medical attendance, nurses, etc. (extra) 
Postage, ..... 

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

Water, ..... 

Sundries, ..... 



Total expenses for maintenance, 



Special Appropriations 



Balance Dec. 1, 1908, 
Appropriations for fiscal year, 

Total, 



1,300 


51 




289 


00 




85 


16 




103 


90 




1,400 


68 




7S 


00 




197 


55 




5 


08 




27 


33 




2,55S 


41 




577 


S5 




137 


97 




452 


37 




554 


01 




1,581 


OS 




900 


79 


11,422 79 








$254,594 45 


s. 




$49,911 55 






76,000 00 




$125,911 55 



Expended during the year (see statement annexed), $70,402 91 

Reverting to treasury of Commonwealth, . . 10 92 



70,413 83 



Balance Nov. 30, 1909, 



5,497 72 



Resources and Liabilities. 
Resources. 

Cash on hand, $1,736 41 

November cash vouchers (paid from advance money), 13,263 59 

Due from treasury of Commonwealth account 
November, 1909, schedule, .... 11,239 65 



Liabilities. 



Schedule of November bills, 



526,239 65 



526,239 65 



66 



WORCESTER STATE ASYLUM. 



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Houses for employees, 
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1909.] PUBLIC DOCUMENT — No. 23. 67 



INMATES' FUND. 



. $85S 48 




13 54 




66 00 






93S 02 






$3,841 66 


. $540 83 




22 00 






562 83 





Cash on hand Dec. 1, 1908, $2,903 64 

Received from inmates, ..... 

interest, national bank, .... 

interest, savings bank, .... 



Cash refunded patients, 
Interest paid State Treasurer, 



Balance (savings bank, $2,200; national bank, $1,002.29; 

drawer, $76.54), $3,278 83 

Worcester, Dec. 13, 1909. 

I hereby certify that I have made a monthly examination of all bills and pay 
rolls representing the current expenses of the Worcester State Asylum for the 
year ending Nov. 30, 1909 ($254,594.45), and have found them properly sched- 
uled and correctly cast. 

I also find in the hands of the treasurer $3,278.83 belonging to patients. 

GEO. L. CIsARK, 

Examiner. 



STATISTICAL TABLES 



[Form prescribed by State Board of Insanity.] 



STATISTICAL TABLES. 



1. — - General Statistics of the Year. 





Insane. 




Males. 


Females. 


Total. 


Patients in asylum Oct. 1, 1908, . 


488 


547 


1,035 


Admitted within the j^ear, .... 


101 


74 


175 


Viz. : by transfer, 


97 


69 


166 


from visit, 


- 


- 


- 


from visit, nominally, 


4 


5 


9 


Whole number of cases in year, 


589 


621 


1,210 


Dismissed within the year, .... 


45 


37 


82 


Discharged, . . . . 


8 


9 


17 


Viz. : as recovered at time of leaving 








asylum, 


- 


1 


1 


as capable of self-support, . 


5 


3 


8 


as improved, 


1 


3 


4 


as not improved, .... 


2 


2 


4 


Died, 


29 


24 


53 


Transferred, 


3 


2 


5 


Escaped, 


2 


- 


2 


On visit Oct. 1, 1909, 


3 


2 


5 


Patients remaining Sept. 30, 1909, 


544 


584 


1,128 


Viz. : supported as State patients, . 


532 


571 


1,103 


as private patients, 


- 


- 


- 


as reimbursing patients, 


12 


13 


25 


Number of different persons within the year, 


585 


615 


1,200 


Number of different persons admitted, 


97 


69 


166 


Number of different persons dismissed, 


41 


32 


73 


Number of different persons recovered, 


- 


1 


1 


Number of different persons discharged ca- 








pable of self-support, 


5 


3 


8 


Daily average number of patients, 


492 . 62 


569.95 


1,062.57 


Viz. : State patients, 


477.47 


553.87 


1,031.34 


private patients, .... 


- 


- 


- 


reimbursing patients, 


15.15 


16.08 


31. 23 J 



72 



WORCESTER STATE ASYLUM: 



fDec. 



2. — Received on First and Subsequent Admissions. 



NUMBER OF ADMISSIONS. 


Cases admitted. 


Males. 


Females. 


Total. 


First (to this asylum), .... 
Second (to this asylum), .... 
Third (to this asylum), .... 


96 
1 


67 
2 


163 

3 


Total cases, 

Total persons, 


97 
97 


69 
69 


166 
166 



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





Died. 




AT FIRST ATTACK. 


AT TIME OF DEATH. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Congenital, .... 





1 


1 


_ 





_ 


15 years and less, . 


- 


- 


- 


- 


- 


- 


From 15 to 20 years, . 


1 


- 


1 


- 


- 


- 


20 to 25 years, . 


2 


2 


4 


- 


- 


- 


25 to 30 years, . 


4 


4 


8 


1 


- 


1 


30 to 35 years, . 


2 


2 


4 


2 


1 


3 


35 to 40 years, . 


5 


1 


6 


2 


2 


4 


40 to 50 years, . 


4 


4 


8 


8 


2 


10 


50 to 60 years, . 


4 


2 


6 


11 


8 


19 


60 to 70 years, . 


- 


1 


1 


5 


5 


10 


70 to 80 years, . 


- 


- 


- 


- 


4 


4 


Over 80 years, 


- 


- 


- 


- 


2 


2 


Unknown, .... 


7 


7 


14 


- 


- 


- 


Totals, .... 


29 


24 


53 


29 


24 


53 


Total persons, 


29 


24 


53 


29 


24 


53 


Mean known ages (in years), 


36.45 


42.05 


36.33 


48.34 


59.70 


53.67 



1909. 



PUBLIC DOCUMENT — No. 23. 



73 






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A. — First admitted to any hospital when received 
by institution from which transferred: — 
Alcoholic insanity, acute, .... 
Alcoholic insanity, chronic, .... 
Chronic delusional insanity, 
Climacteric insanity, ..... 
Constitutional inferiority with dementia, . 
Dementia, primary, ..... 
Dementia, chronic, ..... 
Dementia, organic, ..... 

Dementia, primary, paranoid form, 

Imbecile, with dementia, .... 
Involution psychosis, melancholia, 
Manic-depressive insanity, mixed form, 


< 

"3 
o 
Eh 



74 



WORCESTER STATE ASYLUM. 



[Dec. 



o 



13 









*fe> 



Total 
Discharges 
and Deaths. 


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1 1 1 


Admitted. 


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B. — All other admissions: — 

Alcoholic insanity, acute, 
Alcoholic insanity, chronic, . 
Arteriosclerosis, epilepsy, 
Chronic delusional insanity, 
Constitutional inferiority, hysteric 
Constitutional inferiority, with de 
Dementia, primary, 
Dementia, chronic, 
Dementia, organic, 
Dementia, senile, . 
Epilepsy, .... 
Epilepsy, with dementia, 
General paresis, 
Idiot, with epilepsy, 
Imbecile with dementia, 
Imbecile with epilepsy, 
Infantile paralysis with epilepsy, 
Manic-depressive insanity, mixed 
Manic-depressive insanity, mania 


Totals B, 
Aggregate cases, .... 



1909.] 



PUBLIC DOCUMENT — No. 23. 



75 








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First, 

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Total cases, .... 

Total persons first admitted to any 
hospital when received by insti- 
tution from which transferred, . 



76 



WORCESTER STATE ASYLUM. 



[Dec. 








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, acute 
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atory system : — 
;e cardiac dilatation 
riosclerosis, general 
bral thrombosis, ar 
snic valvular heart 
onic valvular heart 
onic valvular heart 
al regurgitation, en 
carditis, endocardit 


al diseases: — 
te enteritis, toxemia 
te enteritis, arterios 
te nephritis, cerebra 
te septicaemia, coleo 
te dysentery, pancr 
dio-renal valvular d 
onic interstitial nep 
onic ileocolitis, . 
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ile debility, chronic 








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1909. 



PUBLIC DOCUMENT — No. 23. 



77 



1 iH 1 1 1 1 1 1 1 [ 1 1 i-t | 


O 




1 — < 1 1 1 1 1 1 1 1 1 1 — c | 


CO 




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


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<-*< 




i i I I i i i i i I i I I I 


~ 




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I i i i I I i i i i i i i i 


1 




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arteriosclerosis, epileptic convulsions, 
icute enteritis, exhaustion, 

>ar, 

;, chronic interstitial nephritis, . 
;, chronic valvular heart disease, 
emia, chronic interstitial nephritis, . 

s, 

s, angina ludovici, .... 
3, muscular atrophy, arteriosclerosis, 
s, chronic hepatitis, .... 
s, pulmonic hemorrhage, . 
s, chronic myocarditis and endocarditis, 
1 tuberculosis, acute pulmonary congestioi 




Respiratory system : — 
Pneumonia, broncho, 
Pneumonia, broncho, 
Pneumonia, lobar, gen 
Pneumonia, double lol 
Pneumonia, hypostatic 
Pneumonia, hypostati 
Pulmonary oedema, ur 
Pulmonary tuberculos 
Pulmonary tuberculos 
Pulmonary tuberculos 
Pulmonary tuberculos 
Pulmonary tuberculos 
Pulmonary tuberculos 
Pulmonary and genera 





78 



WORCESTER STATE ASYLUM. 



[Dec. 



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Nervous system : — ■ 

Circulatory system: — 
Acute cardiac dilatation, acute endocarditis, ..... 

Arteriosclerosis, general debility, ....... 

Cerebral thrombosis, arteriosclerosis, ...... 

Chronic valvular heart disease, ....... 

Chronic valvular heart disease, acute enteritis, .... 

Chronic valvular heart disease, arteriosclerosis, .... 

Mitral regurgitation, endocarditis, arteriosclerosis, .... 

Myocarditis, endocarditis, arteriosclerosis, ..... 

General diseases: — 

Acute enteritis, arteriosclerosis, exhaustion, . 

Acute nephritis, cerebral congestion, arteriosclerosis, 

Acute septicaemia, coleoseptitis, acute hepatitis, .... 

Acute dysentery, pancreatitis, septiceemia, tertian malaria, . 

Chronic interstitial nephritis, chronic myocarditis and endocarditis, 

Chronic nephritis, chronic cystitis, rheumatism, .... 

Carcinoma of breast and right lung, 

Gastro enteritis, .endocarditis, arteriosclerosis, .... 

Septicaemia, Huntington's chorea, ....... 

Uremia, chronic nephritis, chronic cystitis, chronic prostatitis, 
Senile debility, chronic endocarditis, arteriosclerosis, 



1909. 



PUBLIC DOCUMENT — No. 23. 



79 



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