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.

e
^

s
^

05

<N lO t^

BO

1-1 GO 03 0 1 1 (M i-H 1

t^OitOCO ICOOO lOOt^O

"3

^ 00 Oi lO rH

CO -+I -* 0 05 CO ...

■^

^ ^

T}i 1-1 CO '^ t^ CO '^l

^

(M CO CI

-* — (>l

m

CO "O CO

■<

V

to ^ t^ ^ 1 1 (M ■* 1

lO^OJl:^ lOi-i lOOCMiO

o

S

0 CO CO <M

1-1 1-1 10 0 CO CO ...

a

s

(M C^

(M 1—1 CM GO 0> Oi

o

o

«

0 iO ^

Eu

(M 1-1

01 0 03

tn

iC t^ <>» 05 1 1 1 t^ 1

(MCOt^tO |(MI>. 10310-31

•^

0 10 <o OI

(M CO 00 ■*! «3 lO ...

03

(M (N

G^ 1-1 CM 30 ^ T)<

S

rH t>. ■*

00

m

B

H

^

o

a

H

i

g

i

^

b

o

s

>

0^

o

5

K

o

3

z

H

D

«

c

1

ij

(U

-<

D

fe

n

<:

W

c3

<M 0 t^

«

T-H GO 05 0 1 ( (M T-* 1

t^OJCOCO |(»CO ICOt^O

rt

1—1 GO OS 0 1-1

CO '^ TjH 0 05 GO ...

o

-* ->*1

i!tl rH CO -* t--. CO I*

H

<M CO 05

z

-* rH (M

09

CO lo 00

»

CO »-i t^ ^ 1 1 (jq -^ 1

OtOOit- |COi-( IGOG^IO

es

0 CO CO <N

1-1 — »0 10 CO CO ...

g

(M CM

CM rH (M CO CJ3 05

z

«

0 "O ^

1— t

b

(M 1—1

Oi 0 05

09

0 C^ (M OJ 1 1 1 t> 1

CMCOf-tO ICMt- lOiiO^

CJ

0 lO ^ <M

(M CO GO '^ CO 0 . . •

■3

(M (M

(M rH (M 00 ^ -#

s

r-H r^ T^

(M T-l

U

c3

(D

^

>^

%^

0

cS

J3

' • 0

.^ . . . . .

C*5

wT c3

. .^

S .2

S .:= ."

. ?fJ 03 « r-TS gen

.S ^ 5h 5 fe « '-a "-^

.5 § .. ^OO^"

0 t>iS 03 > rO

0 0 g:S* g* g*.

"g li 0 ci =^

.2 S o-g •:

T^ .pH • rj 02 CO ^^ .

-i^^rG cc N

05 ^ K^ TH -rH

■* eS --^ '^ 0 0 " -r^

1892.]

PUBLIC DOCUMENT — No. 23.

99

Oh a
fa ta

og

oo CO o
O O <M

O'C'CCOCOiOCOOO

Tt^ "^ "^ Tt*' "rfl Tf* Tf* "^ "^

r-H -^ CO

O OO
<M (M G^l

coc^'— loooco'— iT-Hco

OO^— lOO'-^'-i'-i
<M(MCM(M(MC^(M<M(M

^ CN t^
O O --I
(M G^ <M

c^t~-cocoait-.coco-ti

5-

coi— ICC co<M>-i-*-*-^ococo

(Mil 1— i|T-i-H|(rqcoco(M lo >o I

t-i,— ICC <M(MICC-^(>»CC|i— I

-^T-iec io^cc-^-*cococct-

I (M CC CC '^

iMi-HCC (M(MCMec-*-*ec Ice

ts
^

^
.<
S

oq

I GO I I I t> I i-H

I I lr>. I lO I .-H I -f 1 O

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

'«

e

•S3tBni3j[

-* 1 I

O I I

'^

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

's

O

'^

S

5

Ci

00

H

<

a

<

H

►J
O

!>

H o

w S

•SIBIOX

1 1 1 1 1 1 1 r 1

1

•98[Bm9^

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

1

■saiBj^

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

'

&<5

•8IB}0X

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

P3

■<

M

b
K
ft

s

H

M

B

a

15

t« o

<! 5

ft* I-*
a«
a s

" P3
Ph

•SIBiJOi

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

1

■ssiBcua^

1 1 1 t 1 1 1 1 [ 1 1 ( 1 r 1 1

1

•saiBj^

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

'

2^

•BIBJOX

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

•saiBiua^

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

•saiBtua^

i^llllllll ^(Nllll 1

-

•saiB]\

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

o

2g
p, I)

•81b;ox

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

•saiBoiaj

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

■B81BH

- - 1-

H
Eh
H

P
aa

M

p2

MS

is

•Biciox

1 1 1 1 1 1 1 1 1 llllll 1

1

•saxBma^

'

1

•S9IBPJ

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

•saiBtna^

1 1 1 1 1 1 1 1 1 llllll 1

1

•991BK

1 1 1 1 1 1 1 1 1 llllll ill

• <1

•BIE^OX

O O Ol CO 1-1 IH «) 1-1 IN O) Tt IM (N 1-1 C4 g5 OO

•saiBina^

T-I'<*li-1|I(MI<M -^COi-ll-ll-li-l O i-J

1-1 CO

•S31BTI

Oi » C^ C^ n 1-1 1-H r1 1 irt r1 r1 1-1 Irl O

xs

o

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

'o

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

-<

3

a

n

o

1 1 1 1 1 1 1 1 1

Ph

1 1 1 1 1 1 1 1 1

C3

1 1 1 1 1 1 1 1 (

s
»
-<

z

O

EH

CO 1 1 1 (M 1 as r^ 1
CO c^

fe

—1 1 1 1 1 1 CO CO I

CO <M

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

"^
e

^

■^

1^

t^

■^

1 1 1— ii-iiOtM-ft^^MO 1 1 1

t^

05

o

t— 1

CO

C^

!E

B

-*

H

-^

■A

O

s

0

o

«

1 1 1 >-! 1 (M 1 t^ OJ 1 CO 1 I 1

•o

CI

§

>— 1

CO

Sd

£

Tt<

<!

m

(M

d

H

Si

1 1 1 1 i-H SO (M t^ »0 CM (M 1 1 1

(M

GO

"5

(M

t>^

Q

^

-*

•A

O

a.

Ed

*

(MCM<NiO'*»OOtOC<l'— 1 1 |(M I

t^

C5

Ph

M

o

CO

CO
CO

■!|

H

H

^

r-

•<

«

T-i,-i|(Mr5r:^(>5 — ^1 i i i

0

t^

H

I

'— •

CO

«

^

CO

«!

0

a

i-ii-i(MC0i-lC<l'O-*<-'l 1 |(NI

<>5

CD

03

C^

-f

S

CO

B

t 1 ' 1 1 1 i 1 1 1 1 1 1 1 1

1

1

o

£h

d

H

H

hi

<

a

Jii

,

H

q

cS

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

1

1

E!

-<

a

o

IB

a

£

>H

^

z

«<

a

1 1 1 1 1 1 1 t 1 1 ' 1 II

,

o

a

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

1

1

H

S

Q

H

S

Q

en

•<

2

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

1

1

E-

3

B

14

S

y

<l

Eh

a

Sh

<

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

1

1

H

g

Oh

Eh

<!

■3

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

1

1

'xn^mxnxEm^inxti

tn^fcH^^^Hb'-'b

^

^^^^raKjCiTO^TO

tn

ccOJOJoiajajaaiQja)

0

u

3!

^'COOCOOOOOO^ (jT

a pi— iG^CMcocoTiiiO<»r-o > ^

03

W

Ed
O

0

0;

be

C3

•—4

a

<B 03 00 C ;;

73

eS

0

«

H

:§

108

WORCESTER INSANE ASYLUM.

[Oct.

e
^

^

'^

1
s

p

33

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

CO

"a

St

T— 1 1 CO CO CO

CO

1

,-i|1|t-hcOCOI^tHuO«51 t^ 1-- -tH
I— 1 1— 1 I— 1 O O C5

o

a

Q

<

a
a
s

O
hJ

<

03
O

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

CO

a

Illll-^OCOCN^COI 'H y-^ Oi

1—1 CO CO GO

CO

a
S

T-4illi-icocor^— 'lOOl t^ t^ -#

rH ^^ 1—1 lO lO OS

i!
H

£1

O

ca

<

o

Z

O

o

H

03
[4

=-1

1 1 1 1 1 1 1 1 ! 1 1 1 1 1 1

1

a

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

"3

1 1 1 1 1 1 1 ; 1 1 1 1 1 1 1

o

1— 1

■Q
m
&
o

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
<

H

•<

a
a
o

o

-^ O (N <:o 1-1 1 1 1

1-1 CO

o o

CO O <M 1 1-1 1 1 1

r-i 1—1
(M (M

33

o o 1 CO 1 1 1 1

oj as

CM (M

5

o

lO O CM CO T-l 1 1 1
CM

CO CO

CO Oi i.M 1 1— 1 1 1 1

T-l 1—1

CM t^ 1 CO 1 1 1 1

CM CM
CM (M

d

Cd
H >
O O

00 CO 1 1 1 1 1 1

1-1 1—1
1—1 1—1

-i^ 1 1 1 1 1 1 1

^ -*

1

Tj< CO 1 1 1 1 1 1

t^ t^

d

l_

1— 1 1— 1 1 1 1 1 1 1

CM <M

£

1—1 1—1 1 1 1 1 1 1

CM CM

C3

d
go

O

li<

C3
S

d

w
s
>
o
o
w

6

C3

si:
5|

o

lO ^ CM '^ (M r-l 1 1
(M '^ — 1

00 CO

CO CO

CO CC IC 1 1-1 1— 1 1 1

T— 1

i-H 1—1

CO CO

03

t^ CO t- "* rH 1 |. 1
i-< (M

a

cc

«J
a

s

o

g

o

1 1

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^

S

■<

H
O

•SIBJOJ,

o o

■saiBraa^
•saiBK

r^ -^

C-5 (M

t^ (M

z
<:
m
Z

O

•8[BJ0I

1 1

1 1

•ssisraaji

1 1

1 1

•saiBH

1 1

1 1

5

■S[BJOX

CO

CO CO

'saiBtaaj

C^ CO

1—1 —

•S3IBH

O <M

(M CM

d

>

o

K

S

H
O
S2|

•SIBJOX i O T-H

::: :^

•sa[Btn3j

CO tH Tji tJH

•saiBM

t^ 1

t^ t-

o

b

•BIBJOX

(M 1

(M <M

■paiBcnaji

(N 1

C<) (7<I

•s3[Bre

d

i>
o

•SIBJOX

•SByemaji

•B31BM:

d

1 M
a
>
o
o
s
M

•SIBJOX

•saiBiuaj

•saiBK

«

O

S

<!
Ed

a:

H
O

S
s

D

f 8

— o

Hi- CC

o o
o o

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<»

i-H I tH T-( I O <M

■-a

a

^ r-; 53 <U 03

p 5j (D & n,

o "S

•?:;0h

be

g.2 <B S o c
S S 22 =^ -13 fl
«^'^ ^ <^ 2

. . jS 03 'TV, tj -- CC

t: ^ OS) ^ d ^
cs 5 s "C iJ is >^
53<t5HeQSc/2S

03
O

112

WORCESTER INSANE ASYLUM.

[Oct.

^

Os

b

1 1 1 1 1 1 1 1 1 1 1

1

1

1 1

O

1 1 1 1 1 1 1 1 1 1 1

I

1

' 1

O -'

■SIBJOX

O "

- Z

^ GQ

1 1 f 1 1 1 1 1 1 1 1

1

1

1

•sa[Btnaj

O J

a <

M S

i^S?

! 1 1 1 1 1 1 1 1 1 1

1

1

1

O

gs

•S3[^M

<

^

<

cq

o

•SIBJOX

1 1 1 1 1 1 1 1 1 1 1

1

1

1

<

O a

^ [»

1 1 1 1 1 1 1 1 i 1 1

1

1

1

go

•s3[BTna^

ii

o

•S31BH

1 1 1 1 1 1 1 1 1 1 1

1

1

1

a

^

1 1 1 1 1 1 1 1 1 1 1

1

1

1

o

■StBJOX

S

Z M

oo

" <

1 1 1 1 I 1 1 1 1 1 1

S- H

1 1 1 1 ] i ! 1 1 1 1

1

i

:5f-

•saiBtnaj

c: ^

iD

a a

^£

Hi

o

1 1 1 1 1 1 1 1 1 1 1

1

1

1

saiBM

^

•SIBIOX

1 1 1 1 1 1 1 1 1 1 1

1

1

1

o

z

)i

■<

o

H

^

1 1 1 t 1 1 1 1 1 1 1

1

1

1

<

K

■saiBcaej

fH

<
H

^A

O
B

•saiBH

1 1 1 1 1 1 1 1 1 1 1

1

'

1

•eiBjox

1 1 1 1 1 1 1 1 i t 1

1

1

1

a

o

Sz

a2

1 1 1 1 1 1 1 1 1 1 1

1

1

1

z s

•saiBtaa^

o s

■

p

1 1 1 1 1 1 1 1 1 1 1

(

1

1

Q

■S31BH

m

.

WWW

JZ ^ Si - ' - /-

m
03

^

-M -W -tJ CC CC M CO

C C C 53 cj ij ;3
o o o ^ =^ ^ S

V

c

.2

O

i2

^

■'^COCOtMO^lOOOsS '

'S

h

2

=+^

^

S

^

o

3

- Insan

ongeni

nder 1

rom 1

3

6

1

2

5

10

ver 20

nknow

CO

i-U

'o

t>

1

1

1 OPPh op

^

1

1

<

P3

d

1892.]

PUBLIC DOCUMENT — No. 23.

113

^

Cci

CO

1 1 1 1 1 xtH OT 1-H CO 1 1

r-

■o

1

o .

'c5

i-l r-l

co

CO

ii

o

06

w ft

1

o< ^

£

1 1 1 1 1 .-1 -ti "O 10 1 1

0

0

1

MS

a

-H

0

(J5

s

00

1 1 1 1 1 CO 'O «0 QO 1 1

CM

T-H

1

<

(M

H

»

(Ml 1 1 1 C^ -* --H lO CO 1

t--.

T-t

1

1-1

ft
o a

0

E-i

i-l ^H

CO

CO

T-H

s

-HI 1 1 1 rH 1 <r> t^ 1 1

>o

T-H

1

u

"cS

(3i

i

•

c<i

s

T-H

«

T-H 1 1 1 1 rH -* "O 00 CO 1

(M

t^

1

■3

(M

(O

CO

CO

(Ml 1 1 1 I— 1 CM t^ (M 3<l i-l

r^

tX)

1

o

"^

T-H 1—1

CO

T-H

M

0

CO

Sh

H

§g

OT

g5

0)

1-H 1 1 1 I T-H 1 lO CO 1 (M

lO

CO

1

a

r-t

CO

1-t

m

T-H 1 1 1 1 1 (M (M CO (M (35

(M

CO

1

_£

(M

■o

>

03

T-H

w

1 1 1 1 1 CO CO i-H (M 1 >0

t^

CO

1

"3

T-H T-H

CO

t>;

u

O

0

06

Z

H

M

ft

3

1 1 1 1 1 ^ CO 0 0 1 rH

•o

'^

1

H

^

"3

I-H

^

<1

H
m

a

ai

iJ

P^

m

1 1 1 1 1 (N CO CO t^ 1 'stH

(M

CO

1

O

^

CN

'^

M

3

00

,

^

(MCOt>.T— It-I'MCOi-Ht-Hi-HiO

l^

CO

1

S -^'

3

T-H

CO

<q

^ <

ft E-'

0

-dH

05 O

H

3

i-HCMCMt-H |t-Ht-Hi-Hi-H |lO

10

(N

1

«5

3

a

tH

<M

go

1^

2°

ft

(n

^t-hiOIi-HtHCMI IrHO

(M

0

1

■5

T-H

(M

T-H

a •

;

•^ •« ■«

&

w"

.«

t/j CO oa

t3

°?

js jn ,a ^ r. - ^

. _ +j ':m +J TO M CO to . .

a

a

O

• a a e fi h b h

0 Q 0 ra C3 TO 03
0 § § QJ OJ 0) (U

.2
a,

■ "S CO CO C-1 (M uO 0 0
0 ,-H T-H CM ,.

° a

-rs

>>

1-0 03

p-

p^

Ir-jrjOOOOOOOfc^

C-'^t-Ht-HcOCOt-HiMiOO g^-
Cj C T-H p^ c

OJ

c3

03

u

^

bfljo

a

C3

a.

an

15

3

3

, — Ins
Conge
Under
From

ver 20
nknow

0

H

1

'0

1

1 ^ OP

CQ

u

114

WORCESTER INSANE ASYLUM.

[Oct.

8

§

cq

c^

00

«

CO

-7^

^,'

S

»

«

<D

••Si

co

5^

cc

CO

^

C

QJ

><

^

^

o

o

«

C^,

bq

"fSi

^

>4)

ii,

^

o

rO

c<>

<»

«

,s

'^

<4)

O

s

<%

OS

O

«

00

00

•<s>

s

^5^

^

«

s

s:

s

I

1

00

^-1

1

•STBJOi

lO <N

1

-

1—1

CM 1— 1 C^ <N CO
1—1

CM

CO

•saiBraaji

>o r

1

1

1

1 1 1 "O C^

(M

o

•S3ISK

1 <N

I

-

T— (

CM i-l (M t^ -*

o

•siBjox

CO tH

1

1 1 1-1 CO <M

o
1— (

0

^

'

o

a>

•saiBtnsj

i-H 1

1

1

I \ [ 0^ \

CO

•^

o

g

H

z

X

>5

•saiBItt

C<J --H

1

1 1 rH 1-1 (M

t^

<

« 0

3

Q

H

l— 1 1

1

1 1 1 1-1 1

(M

O

iz

•siutiox

H

■<

Q

O

a
a

K

o

K

i:

■saiBtn9j[

"—I 1

1

1 1 1 -H 1

(M

O

•<

•saiBM

s

ta

o

•SITJJOX

1

oc

•saiuragjc

1

X

o

D

^

•S31BK

1

"

•8TB10X

1

•S31Bra3j[

1

c

•saiBH

1

»o f-

(M

^^

lO

Ci lO lO lO 1— 1

•o

•siBiox

as ^

CO

CO

t-

^

lO CO ^ CO CO

T-l

<M

a

^

(M O

GO

o

-*

CO TfH CO lO 00

t-

•S31BCa3jI

CM i-H

CO

CO

CO

<N

1—1 tH Oi <M

t^

o

a

CO t^

-rtl

T— 1

T-H

CO 1—1 (M O CO

CO

•saiBH

h- CO

CO

C^

'^

(M

-^ CO CO -^ lo

OS
CO

. -

.

B

Oi

W

CO'

O

IB

!zi

03

•

•

•

•

o

.*

;z;

;>J

CO

•

•

-

a
o

,

.,

„

H

^ ^^

lO

CO

r^

CO as O 1-1 <M

?> CO

OK)

Ot)

0()

CO CO OS OS OS

P^ s

on

«)

CX)

QO 00 GO 00 GO

tH

rH

1— 1 1—1 1—1 T— I 1—1

1892.]

PUBLIC DOCUMENT — No. 23.

115

a
o
O

00

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

•SWCL

t--.i— l^aJ-*G^^OG0'0^-

-tl
1<

•S01BIII9J

o<:0'-|^^coo7-Hc^^coQO

I-H

•sajBH

eo
CO

<

o

H
0
Eh

Q
<

s

O

a
o

K

o

z

o

Q
■<

a
M

OD

<(

Q

H

Q
<!

a

a
Q

0

z

Q

a
§

X

5

a

S

•smox

1 1 1 1 1 1 1 1 (N CO

"O

•saiumaji

1 1 1 1 1 1 1 1 (M T-I CO

•saiBH

1 1 1 r 1 1 1 1 1 <M

c^

d
a

f>
o

M

t^

t-i
H
O

•siB?ox

1 1 1 1 1 1 1 1 1-1 1

tH

•saiBmoj

1 1 1 1 1 1 1 1 .—( 1

1-1

•SSITJIIJI

o'
a

o

p;

Hi

a

•SIBJOi

•saiTJinaj

•S8IBI<i

n
a

1
p.

•SIBJOX

•satBtaaji

•saiBM

Q
a
«
a
>
o
o
a
n

•siujox

•saxeraaj

•saiBM

«

a

H
H

3
a
<

•SIBJOX

T-t 1 1 1 i-l 1 1-1 1 O C^

CO

O

•satBtnaj

1 1 1 1 1-1 1 T-I 1 GO CO

CO

CO

•sa[BH

1-1 1 1 1 1 1 1 1 <r^ -*

t>.

II

eS

CO

s ....

o

.2 " * ' ^ „ .. , .-

> ■^>o'cot>GOCrro T-I CM

aJoooocococoGoasaiOJ

i-lOOQOCOCOCOOOCOGOQO
CLji-l^i-lrHrHl-li-lr-li-l

H

116

WORCESTEE INSANE ASYLUM. [Oct.'92.

Ci

I

Ci
1~H

•^

^

6

■ 2 o

'SIB}OX

•saiBtna^

•83[B]AI

P
>J

><

K
<i ■

X

M

Q
W
M

>
O

o

«3

o
>

«

< -

si

H

OC

Z

ft
S

fi
0
a
■<l

0

s

S
S

•SIt3}0X

•saiBtaaj

•S31BH

>

o

M

H
O
Z

•smoi

•saiBtaaj

•S8[BI\[

g
a

•smoi

•sansmaji

•S3IUH

d

>

o

K
g
B

o

D

•S[B}OX

1

•saiBoiaj

•S3IBI\[

ft
a

a

o

a
IS

■SIBJOX

1

•s3iT3n]aj[

'saiBH

•sib;ox

^ 1 1 ! 1 1 1 1 1 1

T-H

•S3[i3nia^

1 1 1 1 1 1 1 1 1 1

1

•S31BI\I

T—l 1 1 1 1 1 1 1 1 1

I-l

(Li
H
02

g

O
12;

P3

cc

^

oT

03

.2
t* -**" lo" «o" i>r GO ctT o" <-h" (>f

o-'GocoGooocoGoaiaias

5-<GO0000GOCOQO00CO00
P-tT-iT-lT-lr-ti-ii-tT-lr-lr-l

o
H

ts