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

FIFTEENTH ANNUAL EEPOET 

OF THE 

WORCESTER INSANE ASYLUM 

AT 

WOKCESTEE, 

FOR THE 

• Year Ending Septembek 30, 1892. 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 



THOMAS H. GAGE, . 
HENRY S. NOURSE, . • 
ROCKWOOD HOAR, . 
FRANCIS C. LOWELL, 
ELLEN S. HALE, 
FRANCES M. LINCOLN, 
A. GEORGE BULLOCK, 



Worcester. 

Lancaster. 

Worcester. 

Boston. 

Boston. 

Worcester. 

Worcester. 



RESIDENT OFFICERS. 
ERNEST V. SCRIBNER, M.D., 
HARTSTEIN W. PAGE, M.D., .... 
CLARENCE R. MACOMBER, . . . . 
SOPHIA N. GRAVES, 



Superintendent. 
Assistant Physician. 
Clerk and Steward. 
Ifatron. 



WILLIAM SHERMAN, 



Engineer, 



TREASURER. 



ALBERT WOOD, 



Worcester. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of IVIassachusetts Amherst 



http://www.archive.org/details/annualreportofwo73worc 



ffiommnttfamltl^ 0f Passatl^itsrits. 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Lunatic Hospital, acting 
for the Worcester Insane Asykim, respectfully present their 
fifteenth annual report, it being for the year ended Sept. 30, 
1892, submitting with it and as a part of it the reports of 
the superintendent and treasurer, in which will be found in 
detail all the information necessary to a full knowledge of 
the work of the year and of the condition of the institution. 

It will be seen that the number of patients has been 
slightly larger than in the year before, and that the wards 
have been constantly full, the daily average having been 
427. It will also be learned that the health of the inmates 
has been as good as usual, no serious acute or epidemic 
disease having prevailed ; and that the death rate has varied 
but little from that of previous years. 

The deaths in the asylum are nearly all due to chronic 
disease, and for the most part are attributable directly or 
indirectly to the peculiar condition of the patients who are 
here brought together. The vitality of the chronic insane 
is low, and they fall an easy prey to every form of disease 
arising from depraved conditions of the blood, and from 
imperfect or perverted assimilation of food, with consequent 
poor nutrition. Consumption is, and always has been, re- 
sponsible for a very large proportion of deaths. This em- 
phasizes the importance, everywhere insisted upon and here 



86 WORCESTER INSANE ASYLUM. [Oct. 

always kept in view, of a wholesome and liberal dietary for 
these unfortunate persons. And it emphasizes, too, the 
importance, so universally recognized, of pure and fresh 
air, good ventilation, perfect sewerage, cleanliness, bright 
and sunny apartments and corridors, and exercise out of 
doors, — in all of which respects this comparatively new 
asylum, in an old but now excellent building, is the equal of 
any of its contemporaries. 

It will be remembered that in previous reports allusion 
has been frequently made to extensive repairs and improve- 
ments on and in the old buildings, which were begun by 
Dr. Quinby before the recent fire, and which had been 
carried on by him, together with the process of rebuilding, 
since that time. These improvements had not been com- 
pleted at the time Dr. Quinby left to assume his duties as 
superintendent of the hospital, and work upon them has 
been since, for various reasons, practically suspended. It 
is, however, a pleasure to report now that Dr. Scribner will 
soon resume it, and carry it gradually on to the completion 
of the original plans. Much of it will be done by patients, 
with the assistance and supervision of the carpenter, mason 
and painter regularly employed at the institution. When 
all is done it will add greatly to the attractiveness and 
convenience of the wards. 

Life at the asylum is ordinarily monotonous and unevent- 
ful, and the year now ended has not been in this respect 
exceptional. The service of the ofiicials is not animated 
and inspired, as in most institutions for the insane, by the 
hope and expectation of recoveries. It is a pure philan- 
thropy, undertaken, not to cure, but to mitigate one of the 
saddest of human conditions. And yet to a task so little 
attractive and encouraging the officers and employees de- 
vote themselves with an assiduity and faithfulness which it 
is a pleasure as well as a duty to acknowledge and commend. 
No year in the history of the institution has in such service 
exceeded that which now closes. To all, and especially to 
Dr. Scribner, are due and extended the thanks of the 
Board. 

There have been no changes in the official staff of the 
asylum since the last report. 



1892.] PUBLIC DOCUMENT — No. 23. 87 

A reference to the treasurer's report will show that the 
financial affairs of the asylum are in satisfactory condition, 
and that the temporary loan made by the hospital to this 
institution, and to which allusion was made in the last 
annual report, has been repaid. 

THOMAS H. GAGE. 
HENRY S. NOURSE. 
EOCKWOOD HOAR. 
FRANCIS C. LOWELL. 
ELLEN S. HALE. 
FRANCES M. LINCOLN. 
A. G. BULLOCK. 

Worcester, Sept. 30, 1892. 



WOKCESTER INSANE ASYLUM. 



[Oct. 



OFFICEES AKD THEIR SALARIES. 



Ernest V. Scribner, M.D., Superintendent, , 
Hartstein W. Page, M.D., Assistant Physician, 
Clarence R. Macomber, Clerk and Steward, 
Sophia N. Graves, Matron, .... 
William Sherman, Engineer, 
Albert Wood, Treasurer, .... 



. 12,000 


00 


. 1,000 00 


. 1,000 


00 


325 


00 


. 1,000 


00 


400 


00 



YALUE OF STOCK A^^D SUPPLIES, 

Oct. 1, 1892. 



Live stock,, ...... 

Produce of the garden 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 

Ready-made clothing. 

Dry goods. 

Provisions and groceries. 

Drugs and medicines, 

Fuel, .... 

Library, 

Other supplies, . 



. 


. $425 00 


. 


. 1,500 00 




650 00 


. 


9,000 00 


. 


9,500 00 


. 


3,500 00 


3 department, . 


9,500 00 


. 


300 00 


. 


. 1,100 00 


. 


2,000 00 


. 


350 00 


. 


2,000 00 


. 


500 00 


. 


2,500 00 




$42,825 00 



1892.] 



PUBLIC DOCUMENT — No. 23. 



89 



TEEASUEER'S EEPOET. 



To the Trustees of the Worcester Lunatic Eosjntal, acting for the Worces- 
ter Insane Asylum. 

I herewith submit my fifteenth annual report on the 
finances of the Worcester Insane Asylum for the year end- 
ing Sept. 30, 1892. 

Keceipts. 

Cash on hand Sept. 30, 1891 : — 
Cash belonging to asylum, 
Deposits of inmates, .... 



$2,811 


83 


1,055 


80 


$22,538 


65 


48,776 


19 


653 


54 


37 


17 



Amounts received : — 

From the Commonwealth, for suppoi't of pa- 
tients, 

From cities and towns, for support of pa- 
tients, ....... 

From other sources, 

From inmates (on deposit), . . . . 



The expenditures for the year have been as follows : 
Salaries and wages, 

Provisions and supplies 
Meats of all kinds, . 
Fish of all kinds, . 
Fruit and vegetables, 
Flour, 

Meal for table. 
Hay and grain. 
Tea and coffee. 
Sugar and molasses, 
Milk, butter and cheese. 
Salt and other gi-oceries. 
All other provisions. 

Clothing and material, . 
Fuel, .... 
Lights, .... 

Amounts carried forward. 



,867 63 



72,005 5o 
$75,873 18 



. 


$22,406 65 


.$3,957 77 




. 966 16 




. 2,136 35 




. 4,771 90 




97 90 




. 263 70 




. 792 33 




. 830 70 




. 7,962 84 




. 856 03 




. 1,856 63 






24,492 31 


$4,023 71 




. 5,228 13 




. 1,152 15 




$10,403 99 


$46,898 96 



90 



WORCESTER INSANE ASYLUM. 



[Oct. 



Amounts brought forward, 

Medicine and medical supplies. 

Furniture and furnishings. 

Crockery, 

Beds and bedding, , 

Transportation, 

Travelling, 

Trustees' expenses. 

Soap and water. 

Stationery, 

Undertaking, . 

Repairs, . 

All other current expenses. 



Total current expense's, . 
Loan (paid Worcester Lunatic Hospital) , 
Refunded inmates (on deposits), . 

Total expenditure, .... 
Cash on hand Sept. 30, 1892, . 



Resources. 

Cash on hand, 

Due from the Commonwealth for support, 

from cities and towns, . 

from other sources, 

Liabilities. 
Due for supplies and expenses, 
for salaries and wages, . 
for inmates (cash on deposit). 



fl0,403 99 146,898 96 



Total surplus, 



363 83 




1,115 60 
595 67 




863 94 




91 82 




40 00 




32 04 




1,027 90 
86 76 




170 00 




3,644 57 
1,665 57 


20,101 69 




^5,000 00 
5 70 


$67,000 65 



5,005 70 

$72,006 35 
3,866 83 

$75,873 18 



$3,866 83 

6,203 79 

13,602 16 

. 315 25 


S23,988 03 


$4,161 87 
1,906 33 

1,087 27 


7,155 47 




, , 


$16,832 66 



Respectfully submitted, 



ALBERT WOOD, 

Treasurer. 



Worcester, Mass., Oct. 1^ 1892. 



Worcester, Mass., Oct. 31, 1892. 
The undersigned has this day carefully compared the treasurer's statement of 
expenditures for the year ending Sept. 30, 1892, with the vouchers which are on file 
at the asylum, also the statement of cash received with estimated earnings, and 

found them to be correct. 

GEO. L. CLARK, 

Auditor of Accounts. 



1892.] PUBLIC DOCUMENT — No. 23. 91 



SUPERINTENDENT'S REPOET. 



To the Trustees of the Worcester Lunatic Hospital, acting for the Worces- 
ter Insane Asylum. 

I herewith present the fifteenth annual report of the 
superintendent of the Worcester Insane Asylum, 

At the beginning of the present official year there remained 
in the asylum 411 patients, — 205 males and 206 females. 
During the year 57 males and 31 females have been 
admitted, making a total of 499 cases, — 262 males and 237 
females. Of this number 7 males and 6 females have been 
discharo:ed, and 22 males and 15 females have died, leaving 
in the asylum Sept. 30, 1892, 233 males and 216 females, 
— a total of 449. Of those admitted, 27 males and 17 
females came from the Worcester Lunatic Hospital, 15 males 
and 6 females from Taunton, 14 males and 6 females from 
Dan vers, 1 male from the State Farm and 2 females returned 
from boarding out. The cities and towns furnished a trifle 
more than seventy per cent, of the number, and the country 
districts the remainder. Of the whole number under treat- 
ment, 146 were supported by the State and 303 by 
towns. 

Of those discharged, 1 was taken to the Boston Lunatic 
Hospital, 1 to the State Farm at Bridgewater, 1 to the 
Worcester Lunatic Hospital, 1 went to California, 2 went 
home with relatives, 2 escaped and have never been found, 
and 5 were boarded out in families by the inspector of 
institutions. 

It was found necessary to send back to the asylum 2 
females out of the 5 persons boarded out. One was taken 



92 WORCESTER INSANE ASYLUM. [Oct. 

ill and required constant medical attention and nursing, 
and the other it was found diflScult to properly care for 
with the conveniences afforded by an ordinary house. The 
greatest elfort was made, in the selection of these cases, 
to send only those in good physical health and easy to 
manage. 

The persons who escaped were both males. They were 
not considered dangerous, and their mental condition was 
such that they were doubtless speedily apprehended by 
some one and again placed in custody. They were under 
supervision, and enjoyed no unusual liberties. 

The asylum has been greatly crowded during the past 
year, the daily average number of patients being 427.82, — 
larger than ever before. This crowding has not produced 
any special unsanitary condition of affairs, but it has inter- 
fered greatly with the proper classification of cases, and has 
lessened personal comfort. Our present normal capacity, 
as estimated by the inspector of institutions, is 365. 
Reckoning upon this basis, an excess of over seventeen per 
cent, has been cared for. Two causes have operated to 
produce an apparent increase in the numbers of the insane 
in the community which is somewhat out of proportion to 
the increase in the general population. A closer official 
supervision is exercised over such people than formerly, 
with the result that many who once wandered at large oi 
were confined in jails and almshouses are now cared for by 
the State in its hospitals and asylums. Again, public 
opinion is no longer satisfied with the simple incarceration 
which was too often the chief treatment of the chronic insane. 
The better hygienic surroundings which have been provided 
for this unfortunate class, and the more careful regulation of 
their habits, have tended to a prolongation of life. It is 
probable, however, that some increase in numbers has also 
taken place which is not explained by these causes. 



1892.] 



PUBLIC DOCUMENT — No. 23. 



93 



Ratio of Deaths from the Opening of the Asylum to Oct. 1, 1892. 











a « 


be o 

t S ■ 

til 


Deaths. 


Per Cent, on 
Whole Num- 
ber of Patients 
treated. 


Per Cent, on 
Daily Avcr- 
age Number 
of Patients. 


OFFICIAL YEAR. 


S 


1 


o 


1877-78 


429 


382.98 


18 


8 


26 


6.05 


6.78 


1878-79,. 








422 


367.41 


22 


11 


33 


7.82 


8.98 


1879-80, . 








413 


363.15 


15 


8 


23 


5.56 


6.33 


1880-81,. 








401 


363.09 


18 


6 


24 


5.98 


6.62 


1881-82, . 








439 


375.59 


21 


11 


32 


7.28 


8.51 


1882-83, . 








461 


384.33 


37 


24 


61 


13.23 


15.84 


1883-84, . 








488 


390.69 


22 


20 


42 


9.58 


10.75 


1884-85, . 








448 


391.12 


20 


14 


34 


7.58 


8.69 


1885-86, . 








476 


400.28 


23 


15 


38 


7.98 


9.49 


1886-87. . 








444 


393.52 


21 


17 


38 


8.55 


9.65 


1887-88, . 








451 


393.95 


23 


14 


37 


8.20 


9.39 


1888-89,. 








431 


385.56 


27 


11 


38 


8.81 


9.85 


1889-90, . 








428 


330.23 


27 


4 


31 


7.24 


9.38 


1890-91,. 








464 


394.66 


22 


12 


34 


7.32 


8.61 


1891-92,. 








499 


427.82 


22 


15 


37 


7.41 


8.64 



The death rate, as shown in the above table, has varied 
but little for some years. The sanitary condition of the 
asylum is constantly improving, and if this were the only 
factor to consider, we might reasonably expect some diminu- 
tion in the number of deaths. It requires, however, only a 
few transfers of unusually feeble patients to more than 
counterbalance this. Transfers of this character are likely 
to occur at any time. In view of this fact, considerable 
fluctuation in the annual death rate is rather to be expected. 
Phthisis, epilepsy, and the exhaustion of long-continued 
mental disease, have been the chief causes of mortality. 

A large number of violent, destructive and untidy patients 
have been among; those received. This has caused some 
unavoidable increase in the amount of restraint, though it is 
still small. Seclusion has been resorted to in but few 
instances, and only as a temporary expedient to bridge over 
some period of unusual mental disturbance. Recurrent 
cases, during the excitement, frequently manifest all of the 
activity and violence of an acute attack, and, so far as the 
difficulty in caring for them is concerned, for the time being 



94 WORCESTER INSANE ASYLUM. [Oct. 

they are acute cases, differing only in the probabilities of 
ultimate recovery. Restraint and seclusion, used as remedies 
and only for the patients' own good, are as legitimate as the 
administration of drugs. The indiscriminate and careless 
use of either is to be avoided. 

The duration of an}' disease is always an important factor 
in prognosis. This is specially true of mental disease. 
Making as careful an estimate as possible of the 88 admis- 
sions during the past year, the known cases had an average 
duration before seeking hospital treatment of 2.85 years. 
Allowing for some possible recommitments, the average 
must be 2 years at least, — chronic cases, in fact, before 
admission to any hospital. When admitted here the average 
duration had increased to 8.28 years. It is but natural that 
such cases as these should accumulate in our hospitals and 
asylums. Of this number 33 were either violent, destruc- 
tive or untidy. Considering the duration of disease and the 
general character of the patients, a decided mental improve- 
ment is not to be expected in the greater number. The 
manifestations of mental disease often change in character, 
however, so that patients become more comfortable, both as 
regards their own capacity for the enjoyment of life and 
also their association with others. Many of our best 
patients and most intelligent and trusted workers were 
violent and destructive when admitted. This transforma- 
tion' in chronic cases is usually incomplete. Rare cases of 
complete recovery are met with, however, after a duration 
of many years. Mental disease demands the earliest and 
most unremitting attention, if the best results are to be hoped 
for. When this comes to be understood more thoroughly in 
the community, the percentage of recoveries should be 
greatly increased. 

The greatest personal liberty has been accorded to pa- 
tients which has seemed consistent with their proper care, 
and a due regard for the safety of the community. In very 
few instances have privileges been abused. For some years 
eight wards (four male and four female) have been open 
during the day. As a rule, the escapes have been from the 
closed wards. With anything less than prison discipline 



1892.] PUBLIC DOCUMENT — No. 23. 95 

some escapes are likely to occur. Experience leads me to 
believe that a judicious increase of liberty is certain to be 
attended by a corresponding increase in the well-being of 
the individual, and in the chances which he has of becoming 
once more a useful member of society. The placing of the 
patient as much as possible upon his own responsibility 
awakens his self-respect, and acts as a stimulus to recovery. 

Increased protection against fire has been provided on the 
female wards by the introduction of inside stand-pipes con- 
nected with the high-pressure water service. The hydrants 
are located on the porticos, and hose enough is placed on 
each floor to reach the most remote wards. The stand- 
pipes on the male side are now connected with the low- 
pressure supply. The high pressure has been demonstrated 
to be of so much greater efficiency that I think it will be 
advisable to make the change at as early a date as possible. 
An accidental test of our fire alarm, not long ago, demon- 
strated the efficient working of the box, and the commend- 
able promptness with which the Worcester fire department 
responds to a call. The occurrence has inspired me with a 
greater feeling of security. 

The work of grading and improving the grounds has 
progressed steadily during the summer. A new croquet 
and tennis court has been constructed on the female side, 
and will be ready for use another season. A considerable 
portion of the lawn has been newly seeded down. This 
work has been accomplished almost entirely by patients. 
There is still an abundance of outside work to furnish 
healthful employment. Valuable assistance has been given 
by patients in the work of all departments. 

Our vegetable garden has been unusually productive and 
satisfactory in its results. 

The loan from the "Worcester Lunatic Hospital, made 
necessary by the building operations subsequent to our fire 
of two years ago, has been repaid. This has neces^itated 
rigid economy and the practical suspension of all extraor- 
dinary repairs. No extra help has been employed, and 
the work undertaken in the south centres has moved but 
slowly in consequence. It is probable that greater progress 



96 AVORCESTER INSANE ASYLUM. [Oct.'92. 

can be made during the coming winter, and possibly some- 
thino; be done on the north centres. The store-room and 
bakery need remodelHng for their better adaptation to our 
present needs, and a new floor should be laid in the lower 
kitchen. Many necessary furnishings and fittings remain 
to be purchased. 

The average weekly cost of support per patient has been 
$3.01. 

It gives me pleasure to again commend the officers of the 
institution to your favorable notice. The employees as a 
whole have rendered faithful service. There has been no 
difficulty in securing female help of a superior quality. The 
character of the male help has not been as good, and, while 
plenty has offered, it has required some selection to secure 
proper material. This fact is undoubtedly due to the 
greater opportunities open to men. 

Eeligious services, conducted by different clergymen from 
the city, have been held every Sunday during the cooler 
months of the year. Weekly entertainments in the chapel 
throuo;h the winter have furnished amusement and recreation 
that have assisted in breaking up the routine of asylum life. 
We are under obligations to the ladies of your Board for 
pictures and reading matter. The Hospital Newspaper 
Society has furnished books, magazines, etc., and the pub- 
lishers of the ' ' Worcester Evening Gazette " have ao^ain 
contributed a copy of their paper. 

The cordial support which your Board has given me at all 
times has rendered easier the administration of affairs, and 
has made possible any measure of success which may have 
been attained. 

E. V. SCRIBNER, 

Super inte7ident. 
Worcester, Mass., Oct. 1, 1892. 



REVISED TABLES 



Uniform Statistics 



MASSACHUSETTS HOSPITALS AND ASYLUMS 
FOR THE INSANE. 



Approved by the State Board op Lunacy and Charity, 
March 10, ]891. 



98 



WORCESTEK INSANE ASYLUM. 



[Oct. 



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1892.] 



PUBLIC DOCUMENT — No. 23. 



99 



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ci a; g 



S S g 

o g S 
c o a; 
0!^P 



; J3 - 



h, Pq S <15 S 1-5 (-5 <; 02 






100 



WORCESTER INSANE ASYLUM. 



[Oct. 



3. — Received on First and Subsequent Admissions. 



NUMBER OF THE ADMISSION. 


Cases admitted. 


Times peeviodslt re- 
covered. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, . . . . 
Second, .... 
Third, . .; . 


53 

4 


28 

3 


81 

7 

88 
88 


- 


- 


- 


Total of cases, . 
Total of persons. 


57 
57 


31 
31 


- 


- 


- 



4. — Relation to Hospitals oj Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Total. 


Never before in any hospital for insane, 


- 


- 


- 


Former inmates of this asylum only, . 


- 


- 


- 


Former inmates of other hospitals only, 


53 


28 


81 


Former inmates of this asylum and other 
hosj)itals, 


4 


3 


7 


Total of persons, 


67 


31 


88 



1892.] 



PUBLIC DOCUMENT — No. 23. 



101 



5. — Parentage of Persons admitted. 





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 










Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Massachusetts, 








14 


14 


8 


8 


22 


22 


Maine, . 








2 


2 


2 


2 


4 


4 


Vermont, 








- 


- 


1 


1 


1 


1 


Connecticut, . 








1 


1 


1 


1 


2 


2 


New York, . 








1 


1 


- 


- 


1 


1 


Pennsylvania, 








1 


1 


- 


- 


1 


1 


Virginia, 








- 


- 


1 


1 


1 


1 


Alabama, 








- 


- 


1 


1 


1 


1 


Ireland, 








19 


19 


14 


14 


33 


33 


England, 








1 


1 


- 


- 


1 


1 


Scotland, 








3 


3 


- 


- 


3 


3 


Canada, 








7 


7 


1 


1 


8 


8 


Nova Scotia, 








1 


1 


- 


- 


1 


1 


Newfoundland, 








1 


1 


- 


- 


1 


1 


Germany, 








1 


1 


1 


1 


2 


2 


Russia, . 








1 


1 


- 


- 


1 


1 


Poland, 








- 


- 


1 


1 


1 


1 


Sweden, 








1 


1 


- 


- 


1 


1 


Unknown, . 








3 


3 


- 


- 


3 


o 


Totals, . 


57 


57 


31 


31 


88 


88 



102 



WORCESTER INSANE ASYLUM. 



[Oct. 



6. — Reside?} ce 


of Pevf-ons admitted. 




PLACES. 


Males. 


Females. 


Totals. 


Massachusetts : — 








Suffolk County, . 










24 


12 


36 


Worcester County, 










11 


8 


19 


Middlesex County, 










8 


6 


14 


Bristol County, 










4 


1 


5 


Norfolk County, . 










3 


1 


4 


Essex County, 










3 


1 


4 


Barnstable County, 










1 


- 


1 


Plymouth County, . 










1 


- 


1 


Unknown, 










2 


2 


4 


Totals, . 


bl 


31 


88 


Viz. : Cities or towns,* 










42 


20 


62 


country districts. 










13 


9 


22 


unknown, . 










2 


2 


4 



* Containing not less than 10,000 inhabitants. 



1892.] 



PUBLIC DOCUMENT — No. 23. 



103 



r-l t^ I 

CO 



GO CO I 



eo '^ I 



I I I 



I I 1 



'^ 



crs I I 



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O I I 



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Ci -* I 



r^ (M I 



(M (M I 



V^ CO 1 



t^ r-l I 



iD CM I 



104 



WORCESTER INSANE ASYLUM. 



[Oct. 



8. — Occupations of Persons admitted. 



MALES. 


FEMALES. 


Laborers, . 








13 


Housewives, 


9 


Mechanics, . 








9 


Domestics, 


9 


Operatives, . 








7 


Operatives, 


4 


Farmers, 








4 


Servant, .... 


1 


Salesmen, . 








2 
2 


No occupation, . 

Total, .... 


8 


Butchers, 


31 


Policeman, . 
Teamster, . 


WIFE OR DAUGHTER OF 


Mariner, 


Unknown, .... 


31 


Designer, . 














Trader, 














Tailor, 














Hatter, 














Jeweller, . 














Gilder, 














Bookkeeper, 














Grocer, 














Unknown, . 














No occupation. 








8 
57 


Total, .... 




Total, . 


31 



1892.] 



PUBLIC DOCUMENT — No. 23. 



105 



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1 1 1 1 1 1 1 1 1 1 1 r 1 1 1 1 


1 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 


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&<5 


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


■seiBtna^j 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 J 


■931^1^ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ' 1 ' 


m 

a 

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a« 
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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 t 1 1 1 1 [ 1 1 ( 1 r 1 1 


1 


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1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 


' 


2^ 


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1 f 1 1 1 1 1 1 1 1 1 1 1 1 1 ' 1 ' 


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1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 


•saiBj^ 


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




S2 


•81BJ0X 


■^llllrHlll Oi(MrHIII 1 


r-l 


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i^llllllll ^(Nllll 1 


- 


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CO 1 1 1 1 rH III >ra 1 r-l 1 1 1 1 


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p, I) 


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i-lllllli-(l<-( llllll 1 CO 


•saiBoiaj 


1 1 1 1 1 1 1 1 i-H llllll ' 1 '~' 


■B81BH 


- - 1- 


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Eh 
H 

P 
aa 

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p2 


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is 


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1 1 1 1 1 1 1 1 1 llllll 1 


1 


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' 


1 


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


M ^ 


•siBiox 


1 1 1 1 1 1 1 1 1 llllll 1 


1 


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1 1 1 1 1 1 1 1 1 llllll 1 


1 


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1 1 1 1 1 1 1 1 1 llllll ill 


• <1 


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1-1 CO 


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1. Physical : — 

Intemperance, 
Epilepsy, . 
Injury to head. 
Syphilis, 
Paralysis, . 
Sunstroke, . 
Ill health, . 
Grippe, 
Puerperal, . 

2. Mental : — 

Heredity, . 
Congenital, . 
Worry, 
Grief, . 
Fright, 
Hard study. 

Unknown, . 


"5 
o 



106 



WORCESTER INSANE ASYLUM. 



[Oct. 



'B 






6 
o 








■< 

o 

a 
o 


o 


CO 1 1 1 CM 1 OS t- 1 

CO t^ 




fe 


^1 1 1 1 1 CO QO 1 

CO s<> 






t^ 1 1 1 CM 1 CO C5 1 




H 

z 

< 

Oh 

H 
D 

O 


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1 1 i 1 1 1 1 1 1 




£ 


1 i 1 1 1 1 1 1 1 






1 1 1 1 1 1 1 1 1 




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a 

n 


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1 1 1 1 1 1 1 1 1 




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1 1 1 1 1 1 1 1 1 




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1 1 1 1 1 1 1 1 ( 




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t^ 1 1 1 c<) 1 CO c:5 1 






0!J 


Admitted, 

Discharged recovered, 

much improved, .... 

improved, 

not improved, 

not insane, 

Died, ......... 

Remaining Sept. 80, 1892, ...... 

Number likely to recover or improve. 



1892.] 



PUBLIC DOCUMENT — No. 23. 



107 



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1 


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108 



WORCESTER INSANE ASYLUM. 



[Oct. 






e 
^ 



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s 

p 


33 


i-Hl 1 It— IC^COCCtOCOOJl CO OO CO 
^- CM C^ OO CO CM 

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1 


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I— 1 1— 1 I— 1 O O C5 




o 

a 

Q 

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a 
a 
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03 
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T-l|lli-it^cOco:0:OC5l CO CO CO 
i-i CM CM CO 00 C<I 

CO 




a 


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Congenital, 

Under 1 month, 

From 1 to 3 months, 

3 to 6 months, 

6 to 12 months, 

1 to 2 years, 

2 to 5 years, 

5 to 10 years, 

10 to 20 years, 

Over 20 years, 

Unknown, 

Not insane, ........ 

Total of cases, 

Total of persons, 

Average in years, 



1892.] 



PUBLIC DOCUMENT — No. 23. 



109 



a 

a 

K 

<; 
a 
9 

Q 
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•< 

a 
a 
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r-i 1—1 
(M (M 


33 


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oj as 

CM (M 


5 


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lO O CM CO T-l 1 1 1 
CM 


CO CO 




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T-l 1—1 




CM t^ 1 CO 1 1 1 1 


CM CM 
CM (M 


d 

Cd 
H > 
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1-1 1—1 
1—1 1—1 




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t^ t^ 


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A. — Insane — 
Mania, chronic, . 
Dementia, chronic. 
Epilepsy, . 

Paresis, . . . , . 
Congenital deficiency, 
Melancholia, chronic, . 

B. — Habitual drunkards, 

C. — Voluntary patients, 


Total number of cases. 
Total number of persons 



110 



WORCESTER INSANE ASYLUM. 



[Oct. 



O 






5^ 



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■< 

H 
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•SIBJOJ, 




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■saiBraa^ 
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1 1 


1 1 


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1 1 


1 1 


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1 1 


1 1 


5 


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CO CO 


'saiBtaaj 


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1—1 — 


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t^ 1 


t^ t- 


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a: 

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1892.] PUBLIC DOCUMENT — No. 23. 



Ill 






S 

S 



1^ 



COtNCO'-H ^O y-l i-i,— i^(M — OO 



COli-Hl <0 I |,-i|i-lrH(M'0 



I (M (M T-H t^ 



T-l I ^ .-. I CO 



I I I I I I I I I I I I 



I I I I I I I I I I I 



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



I I I I I I I I I I I I 



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



I I I I I I I I I I I 



1-H rH ^J (M 1-H GO 



COli-HI O I l,-lli-lr-IC<» 



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03 
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112 



WORCESTER INSANE ASYLUM. 



[Oct. 






^ 









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b 




1 1 1 1 1 1 1 1 1 1 1 


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a 
































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ver 20 

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1892.] 



PUBLIC DOCUMENT — No. 23. 



113 






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WORCESTER INSANE ASYLUM. 



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1892.] 



PUBLIC DOCUMENT — No. 23. 



115 



a 
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Remaining op Each 
Year's Admissions 
Sept. 30, 1892. 


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116 



WORCESTEE INSANE ASYLUM. [Oct.'92. 



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