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

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PUBLIC DOCUMENT .... .... No. 23. 



EIGHTEENTH ANNUAL KEPOET 



WORCESTER INSANE ASYLUM 



"WORCESTER, 



Year ending September 30, 1895. 



BOSTON: 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1896. 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 

FRANCIS C. LOWELL, Bostox. 

SARAH E. AVHITIN Whitinsville. 

FRANCES M. LINCOLN, Worcester. 

A. GEORGE BULLOCK, Worcester, 

THOMAS H. GAGE, Worcester. 

HENRY S. NOURSE, Lancaster. 

ROCKWOOD HOAR, Worcester. 



RESIDENT OFFICERS. 

ERNEST V. SCRIBNER, M.I)., .... Superintendent. 

HARTSTEIN W. PAGE, M D., Assistant Physician. 

ABBIE S. FAY, Matron. 



NON-RESIDENT OFFICERS. 

ALBERT WOOD, Treasurer. 

GEORGE L. CLARK, Auditor. 

MARIAN D. CUDWORTH, Clerk. 

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

WILLIAM SHERMAN, . ...... Engineer. 



Commanfoealt^ ai "^^R^sud^xxBtits. 



TRUSTEES' EEPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Lunatic Hospital, having the 
care of the Worcester Insane Asylum, present their report for 
the year ending Sept. 30, 1895, being the eighteenth annual 
report of the institution. With it they transmit the report of 
the superintendent, which contains full tables of statistics. 
The treasurer's report, which, in the temporary absence of the 
treasurer, Dr. Albert Wood, is signed by the superintendent 
as acting treasurer, is also submitted. 

The condition of the asylum is satisfactory and its finances 
are in good condition. 

The improvements which for many years past have been 
made by Doctors Quinby and Scribner in the wards of the 
hospital, transforming them into cheerful quarters with the best 
modern appliances for the care of the insane, during the past 
year have been extended to that part of the building used for 
administrative purposes. Here little change had been made 
for more than a generation, and considerable changes were 
needed and have been carried out. These alterations have a 
double advantage ; they provide suitable accommodations for 
the superintendent and his subordinates, the tools to which 
good workmen are entitled, and they please and relieve the 
feelings of many of those who visit our unfortunate inmates. 
The old reception room was dull and forbidding. The recep- 
tion room as now arranged is bright and cheerful and suitably 
furnished. Extensive changes in the north Johonnot have also 
been undertaken, and will be pressed as rapidly as convenient. 



86 WOECESTER INSANE ASYLUM. [Oct. 

No changes have taken place in the stajQf of the hospital, and 
Dr. Scribner and his subordinates have shown the same intel- 
ligent devotion to those committed to their care that they have 
manifested in past years. 

FRANCIS C. LOWELL. 

SARAH E. WHITIN. 

FRANCES M. LINCOLN. 

A. GEORGE BULLOCK. 

THOMAS H. GAGE. 

HENRY S. NOURSE. 

ROCKWOOD HOAR. 

WORCESTEE, Oct. 1, 1895. 



1895.] 



PUBLIC DOCUMENT — No. 23. 



87 



OFFICERS AND THEIR SALARIES. 



Ernest V. Scribner, M.D., Superintendent^ 
Hartstein W. Page, M.D., Assistant Physician, 
Frederick H. Baker, M.D , Pathologist, . 
Abbie S. Fay, Matron, . 
Albert AVood, Treasurer, . 
George L Clark, Auditor, , 
Marian D. Cud worth. Clerk, 
William Sherman, Engineer, 





$2,500 00 




1,300 


00 




100 


00 




400 


00 




400 


00 




60 


00 




480 


00 




1,000 


00 



YALUE OF STOCK AISTD SUPPLIES. 

Oct. 1, 1895. 



Live stock, .,..,...,. 
Produce of the garden on hand, ...... 

Carriages and agricultural implements, .... 

Machinery and mechanical fixtures, ..... 

Beds and bedding in inmates' department, .... 

Other fui'niture in inmates' department, .... 

Personal property of State in superintendent's department. 
Ready-made clothing, . 
Dry goods, .... 

Provisions and groceries, 
Drugs and medicines, . 
Fuel, ..... 

Library, ..... 

Other supplies undistributed, 



. $200 00 


1,800 


00 


650 


00 


. 9,000 


00 


. 9,500 


00 


. 3,500 


00 


. 9,500 


00 


. 1,900 


00 


. 1,000 


00 


. 2,043 


91 


425 


00 


. 3,800 


00 


500 


00 


. 1,635 


66 



$15,454 57 



88 



WORCESTER INSANE ASYLUM. 



[Oct. 



TREASURER'S REPORT. 



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

Insane Asylum. 

I herewith submit the eighteenth annual report on the finances 

of the Worcester Insane Asylum for the year ending Sept. 30, 

1895. 

^Receipts. 

Cash on hand Sept. 30, 1894 :— - 
Cash belonging to the asylum, . . •. • .$7,07159 
Deposits of mmates, ........ 1,195 93 



Amounts received : — 

From the Commonwealth for support of patients, $22,771 73 

From cities and towns for support of patients, . . 55,735 34 

From other sources, 870 15 

From inmates, ........ 44 67 



3,267 52 



79,421 89 
$87,689 41 



The expenditures for the year have been as follows : — 



Salaries and wages, . 

Provisions and supplies : — 
Meat 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 groceries, 
All other provisions, .■ 

Clothing and material, 

Fuel 

Lights, 

Amou7its carried forward, 



J23,284 14 



. $3,304 


92 


. 783 


32 


. 2,284 


78 


. 2,928 


27 


62 


30 


. 325 


15 


. 588 


50 


. 985 


38 


. 6,459 


92 


. 395 


18 


. 2,051 


86 


— 


— 20,169 58 


. f 4,763 


50 


. 4,642 


37 


. 1,065 


91 



),471 78 



5,453 72 



181)5.] 



PUBLIC DOCUMENT — 



Amounls brought forward. 

Medicine and medical supplies, 

Furniture and furnishings, 

Crockery, 

Beds and bedding, 

Transportation, . 

Travelling, . 

Trustees' expenses, 

Soap, .... 

Water,. 

Stationery, . 

Undertaking, 

Repairs (ordinary), . 

All other current expenses, 



Total current expenses, 
Repairs and improvements (extraordinary). 
Refunded inmates (on deposit), 

Total amount expended. 
Cash on hand Sept. oO, 1895, 

Resources. 
Cash on hand, ...... 

Due from Commonwealth for support, 
from cities and towns, 

Liabilities. 

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

Total surplus, ..... 



0. 23. 




89 


$10,471 


78 


$43,453 72 


. 376 


69 




. 1,806 


93 




. 159 


57 




. 734 


43 




. 216 


96 




. 108 


22 




15 


02 




. 709 


62 




. 404 


84 




. 160 


46 




. 455 


00 




. 9,896 


03 




. 1,504 


97 









27,020 52 


, 


$70,474 24 


. |5,500 


00 




52 


71 


5,552 71 






. 


176,026 95 


■ 




11,662 46 




$87,689 41 


$11,662 46 




. 5,316 


61 




. 14,114 


25 







— 


131,093 32 


.$3,966 


69 




. 1,937 


73 




. 1,187 


39 









7,091 81 


8 > 


$24,001 51 



Respectfully submitted, 



Worcester, Mass., Oct. 1, 1895. 



E. V. SCRIBNER, 

Acting Treasurer. 



Worcester, Mass , Oct. 25, 1895. 
The undersigned has this day carefully compared the treasurer's statement of expen- 
ditures for the year ending Sept. 30, 1895, with the vouchers which are on file at the 
asylum, and finds it to be correct. He has also compared the amount of bills rendered 
for board of patients with the estimated earnings of the institution for one year, and finds 
them to agree. 

GEO. L. CLARK, 

Auditor of Accounts. 



90 WORCESTER INSANE ASYLUM. [Oct. 



SUPERINTEIS'DEI^T'S REPORT. 



To the Trustees of (he Worcester Lunatic Hospital, acting for the Worcester 

Insane Asylum. 

Allow me to submit for your consideration the eighteenth 
annual report of the superintendent of the Worcester Insane 
Asylum. 

The present official year begun with 463 persons inmates of 
this institution, — 234 males and 229 females. There have 
been 41 persons admitted, — 20 males and 21 females, — mak- 
ing a grand total of 504 cases, — 254 males and 250 females. 
There have been discharged 1 female recovered, 2 females 
much improved, 4 males and 1 female improved, 2 males not 
improved, 1 male not insane, and 22 males and 24 females 
have died ; leaving in the institution Sept. 30, 1895, 447 per- 
sons, — 225 males and 222 females. Of those admitted, 20 
males and 10 females came from the Worcester Lunatic Hos- 
pital, 10 females from Taunton and 1 female was returned from 
boarding out. Of those discharged, 5 were removed by the 
Board of Lunacy and Charity, 3 went home with relatives or 
friends and 3 escaped. I am pleased to report that no person has 
been removed for the purpose of commitment to an almshouse. 

Among the probable causes of insanity in those admitted 
heredity does not play as important a part as usual, but intem- 
perance still stands high on the list. The character of the 
admissions has not changed particularly, so far as the mental 
aspect of disease is concerned, from that of last year, save, 
perhaps, that there is a greater tendency towards dementia, — 
a dementia usually secondary, however, to some other and 
acute form of mental disease. It seems to be true that, in 
those cases of chronic insanity derived from the cities, — too 
often the direct product of misery, want and crime, — the ten- 
dency towards dementia is steadily growing greater. This is 
doubtless an incident, though not of necessity a product, of a 
higher civilization, due to dissipation and an artificial life of 



1895.] PUBLIC DOCUMENT — No. 23. 91 

excitement. The cities, too, receive and retain more largely 
that unstable element whose emigration is encouraged by 
foreign governments. General paralysis, an acknowledged 
product of the towns, is no longer invariably attended by 
those expansive delusions which were formerly so character- 
istic of that disease. While those delusions, possibly, still 
manifest themselves in the majority of cases, there is a greater 
tendency toward a rapid decay of the mental faculties, in- 
ducing a condition of dementia. 

One case of recovery is reported. The type of disease in 
the persons transferred here has always been such as to render 
the number of recoveries few. This patient was a woman. 
She was discharged to the care of her friends, and when she 
left the institution seemed perfectly sane. Her disease was 
of some duration, and of course the possibility of a relapse is 
greater for that fact. Should her stay outside a hospital be 
even for a limited time, there is still cause for congratulation. 

The daily average number of inmates has been 460,68, — 
the largest in the history of the asylum. Notwithstanding this 
fact, the house has been comparatively free from acute disease. 
There has been a marked diminution in the number of cases of 
those diseases of the digestive tract which are usually so preva- 
lent during the summer months. This I attribute to improved 
sanitary surroundings, a more careful regulation of the diet 
and the more scientific treatment which it is now possible to 
accord to such ailments. The victims of mental disease require 
a more nourishing diet, and one more easily assimilated, than 
that usually provided for other dependent classes. 

Although we speak of mental and physical disease in a gen- 
eral way, as distinct and separate affections, it is difficult to 
conceive of mental ailment as existing apart from physical 
change. The insane, like those afflicted with the ordinary 
forms of physical disease, have periods of depression, when 
the power of resistance is low. If the vital energy can be sus- 
tained during this period and the patient returned once more 
to a normal condition of bodily strength, the opportunities for a 
return to mental strength are greatly enhanced. In many 
cases of mental disease the cause is evident, in most it is 
obscure. When that delicate and subtle relation which exists 
between mind and body has been more clearly demonstrated, 



92 



WORCESTEE INSANE ASYLUM. 



[Oct. 



the suijo-estion of remedial measures can be more definite. 
Interesting experiments, which seem to have some measure 
of promise, have been made by several observers in the admin- 
istration of the animal extracts. It is yet too early, however, 
to venture any definite predictions as to the final result. The 
mental condition of the individual varies with the varying 
conditions of the blood supply of the brain. To distinguish 
here between cause and effect is not always easy. Too much 
must not be expected from pathological research alone. The 
significance of morbid change must be interpreted, if practical 
results are to be hoped for. 

The death rate, as shown in the accompanying table, is a 
trifle larger than that of the last report, cbiefly because of the 
poor physical condition of those transferred here during the 
year. Of the 41 persons admitted, 10 died, — nearly 25 per 
cent. This number is also nearly 22 per cent, of all the deaths. 
Insanity is essentially an exhausting disease, and, as might 
be expected in persons of low vitality, phthisis figures largely 
among the causes of death, 18 persons having died from this 
disease. General paralysis was the cause in 6 cases. 



Ratio of Deaths from the Opening of the Asylum to Oct. 1, 1895. 











a i 

3 

f: o 


Daily Average 
Number of 
Patients. 


Deaths. 


Per Cent, on 
Wliole Number 
of Patients 
treated. 


o |io 


OFFICIAL YEAR. 


"3 


"a 

a 


a 
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, . 








438 


390.69 


22 


20 


42 


9.58 


10.75 


18.S4-85, . 








448 


391.12 


20 


14 


34 


7.68 


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 


88 


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 


1892-93,. 








519 


446.94 


38 


20 


58 


11.17 


12.97 


1893-94, . 








515 


442.23 


22 


21 


43 


8.35 


9.72 


1894-95, . 








504 


460.68 


22 


24 


46 


9.13 


9.99 



1895.] PUBLIC DOCUMENT — No. 23. 93 

An effort has been made to find among our patients persons 
suitable for boarding out, but without success. In fact, one 
woman, a former inmate here, has been returned to the institu- 
tion from her boarding place during the year. People who 
can be safely cared for in private families are seldom included 
in the transfers to this asylum, and the fact that in past years 
numbers of our quieter patients have already been boarded out 
leaves us now with poor material to choose from. 

The work upon that portion of the administration building 
which was in process of reconstruction at the time of my last 
annual report has been practically completed. It only remains 
to finish a few unimportant details and to furnish. Bay 
windows have been thrown out in front, giving a greatly im- 
proved architectural effect as well as adding considerably to the 
floor space. The business offices and the public reception 
room have been rendered lighter and more commodious, and a 
system of ventilation has been introduced, where before no 
adequate provision existed. The method of heating has been 
changed from the direct to the indirect, enabling the removal 
of steam pipes and radiators from nearly all of the rooms and 
corridors. The new heating system was in operation during a 
portion of last winter, and was very satisfactory. With the 
fan revolving at its ordinary speed it is easy to deliver, through 
each register, five hundred cubic feet of air per minute, — a 
supply which should be ample, under all circumstances, for 
both heat and ventilation. At the end of the corridors leading 
to the wards, iron stairways have been constructed, giving a 
broader and easier step, and affording a safer exit in case of 
fire. Increased light has also been secured here by the intro- 
duction of larger windows. 

In the process of reconstruction wood has not been employed 
in the new work as a basis of support for plaster, and its use in 
any way in walls and ceilings has been avoided, so far as 
possible. The old wooden furring on the outer walls has been 
removed, and terra-cotta substituted. The wooden shaft for 
the food lift has also been replaced in brick. Absolutely fire- 
proof construction, however, has not been attempted, as under 
the circumstances it has not seemed feasible. Believing that a 
construction which from its nature must be temporary is a false 
economy, when building for the insane, the repairs on this 



94 WORCESTER INSANE ASYLUM. [Oct. 

institution have been so conducted that, while economy has 
been a special study, the woik has been substantial. The 
recent adaptation of iron for structural purposes has rendered 
this easier, and has made possible results that formerly could 
not have been attained, save at such expense as would have 
been prohibitory. 

In all our work it has been the aim to utilize the labor of 
patients as largely as possible, not only because in this way the 
expense could be lessened, but because of the great direct and 
personal benefit which the individual derives from occupation. 
A growing interest and responsibility in daily work have often 
marked the beo;innino: of a return to reason, or at least the 
return to a more comfortable condition of mind, a condition 
where life again becomes worth living. Occupation, or even 
attempted occupation, discloses personal peculiarities, and 
enables such individual treatment as gives best results. In 
treating the chronic insane, results being less immediate and 
striking than in acute cases, routine is to be carefully avoided, 
or the individual loses his identity, and becomes, as it were, 
merely the part of a great machine. The more nearly treat- 
ment can become personal, the more nearly will it approach to 
the ideal and the greater measure of success will be attained. 

For some years it has been evident that a change must be 
made in the water section of the Johonnot wards of the female 
side. The closet and bathing facilities are inadequate, and can 
be more conveniently arranged. In the corresponding male 
wards it has been the plan to have two water sections, and 
rather widely separated. Under the new arrangement it is 
proposed to centralize, and, while having but one section, to 
have greatly increased facilities. Plans with this in view 
having received the approval of your Board, the work is now 
being prosecuted as rapidly as possible. 

In the laundry a new machine has been placed, specially 
constructed for the washing of clothing from untidy patients. 
It is built entirely of metal, and has a fan attachment. It is 
also designed to be used for such purposes of sterilization as 
can be accomplished, with steam at atmospheric pressure. 
Being strictly metallic, it can be rapidly and thoroughly 
cleansed, and used immediately for the ordinary laundry pur- 
poses. It is proving very successful in its practical operation. 



1895.] PUBLIC DOCUMENT — No. 23„ 95 

Our other washers are old, and have been many times repaired. 
The purchase of another machine is likely to become a matter 
of necessity at an early date. 

Considerable out-of-door work has been done by patients in 
the care of the grounds, and in rendering assistance in the 
general work of reconstruction and repair. The roadway at 
the rear entrance has been covered with concrete for a short 
distance on either side of the door. If this material proves to 
be adapted to our purposes, an extension of the work is con- 
templated for another season. The renovation of the patients' 
rooms in the older wards has been continued, and the outside 
woodwork of the buildings has been painted. Much still 
remains to be accomplished in this line, as it has been very 
difficult, with the large number of patients of the last year, to 
find opportunity for such work. 

It is with pleasure that I acknowledge the assistance that 
has been given me by the officers in the management of the 
affairs of the institution. Their support has been cordial and 
efficient. The employees as a rule have been faithful to duty. 

Weekly entertainments have been held in the chapel during 
the winter, and Sunday service has been conducted as usual. 
The circus and fair have been events eagerly looked forward 
to and enjoyed by those of our people whose condition per- 
mitted attendance. To Mrs. C. H. Doe of Worcester we are 
indebted for a most generous contribution of books. Mis- 
cellaneous reading matter has been kindly furnished by the 
Hospital Newspaper Society, and the publishers of the 
"Worcester Evening Gazette" have contributed a copy of 
their paper. 

E. V. SCRIBNER, 

Superintendent. 



KEYISED TABLES 



Uniform Statistics 



MASSACHUSETTS HOSPITALS AND ASYLUMS 
FOR THE INSANE. 



Approved by the State Board or Ltjnact and Chaeitt, 
March 10, 1891. 



98 



WORCESTEE INSANE ASYLUM. 



[Oct. 



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PUBLIC DOCUMENT — No. 23. 



99 



H 

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455.37 
450.77 


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1—1 
CM 


1—1 
CM 


1 


"eS 


1 1 1 


O 1 1 1 1 I 1 1 1 
CM 


o 

CM 


o 

CM 


1 




H 
C 


. . . 




o 

o 

o 
H 


TO 

o 

en 

S 
o . 

o 

o 
H 


bo 
> 




18941 

October, . 
November, 
December, 


w" •■•••• ° * • 


Januaiy, . 

February, 

]\larcli, 

April, 

May, 

June, 

July, . 

August, . 
September, 



100 



WORCESTER INSANE ASYLUM. 



[Oct. 



3. — Received on First and Subsequent Admissions. 





Cases admitted. 


Times Prbviocslt 

KhCOVERED. 


SfUaiBEB. OF THE ADMISSIOH. 


Males. 


Females. 


Totals. 


Males. 


Females-. 


Totals. 


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


19 
1 


20 
1 


39 

1 
1 






1 
1 


Total of cases. 
Total of persons, . 


'20 
20 


21 
21 


41 
41 


- 


- 



4. — Relations to Hospitals of Persons admitted. 



HOSPITAL EELATI0N9. 


Males. 


Females- 


Totals. 


Never before in any hospital for insane, . 


— 




: 


Former inmates of this asylum only. 


- 


- 


\ 


Former inmates of other hospitals only, . 


19 


20 


\ m 


Former inmates of this asylum and other hos- 
pitals, ........ 


1 


1 


2 


Total of persons, ..... 


20 


21 


41 



1895.] 



PUBLIC DOCUMENT — No. 23. 



101 



5. — Parentage of Persons admitted. 





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


Father. 


Mother. 


Father. 


Mother. 


Father. 

1 


Mother. 


Unknown, .... 


20 


20 


21 


21 


41 


41 


Total, .... 


20 


20 


21 


21 


41 


41 



6. — Residence ojf Persons admitted. 



PLACES. 


Males. 


Females. 


Totals. 


Massachusetts : — 








Suffolk Couuty, 


9 


6 


15 


Worcester County, ..... 


5 


4 


9 


Middlesex County, ..... 


3 


4 


7 


Bristol County, ...... 


- 


4 


4 


Essex County, ,..,.. 


2 


1 


3 


Plymouth County, ..... 


- 


2 


2 


Norfolk Couuty, ..... 


1 


- 


1 


Totals,. ...... 


20 


21 


41 


Viz. : Cities or towns,* .... 


16 


15 


31 


Country districts, .... 


4 


6 


10 



* Containing not less than 10,000 inhabitants. 



102 



WORCESTER INSANE ASYLUM. 



[Oct. 





















■BIWJOX 


OS 


1-1 


l-H 


»-( 




ij 




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< 


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T-H 


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Eh 














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05 


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o 








r- 1 






(>j 




65 


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1 1 1 


1 
















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1 


1 


1 


' 




i^ 














z 














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1 1 1 


1 


ts 




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(M 


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•K> 


a 












g 














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l-H 


1 




1-1 


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1— 1 


1 




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o 


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o 


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1— 1 


6 














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00 


1 - 




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1 














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In 




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tH 


T-H 


1—1 
































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C5 


1 


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o 




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P 




























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1—1 


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1895.] 



PUBLIC DOCUMENT — No. 23, 



10^ 



8. — Occupation of Persons admitted. 



MALES. 


FEMALES. 


Laborers, .... 


2 


Housewives, .... 


10 


Clerks, . « . . . 


2 


Domestics, . . <. . 


§ 


Carpenters, .... 


2 


Housekeeper, 


1 


Cabinet maker. 




Card tender, .... 


1 


Shoemaker, « , . . 


1 


Copyist, .... 


1 


Sail maker, . 




No occupation. 

Total, .... 


5 


Coachman, . 


21 


Fireman, .... 




■ 




Salesman, , <> . . 








Eleetroplater, 








Piasterer, . . ^ .1 








Gardener, 


3 


. 




Florist, . , . . .' 










WIFE OR DAUGHTEK OF — 




UnknowB, 


1 
3 






No occupation. 


Unknown, .... 


21 


Total, .... 


20 


Total, .... 


21 



104 



WORCESTER INSANE ASYLUM. 



[Oct. 



'^ 



t! 

e 






'tr. 



6 



Ci 





fa 

i 
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o 
> 


5 i 

e c3 g 

B ft ? 

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




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




a 


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m 

R 

< 

s. 

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K 

q 

< 

5 


1 i 

£«& 

n w 2 

50 ft o 
ci ft 


E-t 


, . , > . f ...... I. . 








V 






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o 

Eh 




1 






r 1 1 1 . . . . 1 f . 1 1 




a 


. . 1 . . . . . 1 1 . 1 1 1 
1 




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p s s 

a n 


o 

Eh 


1 . 1' . 1 . lO . . 1 . 1 I >o 






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. eo 






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ii 

B B 
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ft <! 


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d 

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o 
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1 . 1 . 1 1 1 . 1 1 1 1 1 




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J. g • 1 -^ ...... 

I^SSxfeO |qi;EH?C& 
1-1 ci 





1895.] 



PUBLIC DOCUMENT — No. 23. 



105 







•SIBJOJ, 


T-4 


1 


1 


1 


1 


1 


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1—1 

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1 


















































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a 
























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1 




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1 


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1 


1 


1 


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1 




a 








































































E- 
























< 
















































H 


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1 


1 


1 


1 


1 


i 


1 


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1 




























< 






































































O 
























-) 
























o 

> 


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1 


1 


1 


1 


1 


1 


1 


9 


1 


J^ 






















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1 


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< 






















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z; 






















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Pi 


























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1 


1 


1 


1 


1 


i 


1 


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1 


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ns 


3 


■saiBH 


\ 


1 


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1 


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1 


1 


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g 




























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i-H 


1 


1 


1 


1 


1 


o 


CO 


1 


so 
























CO 














































6 


Ed 

-< 


•saiBraaj 


1—1 


1 


1 


1 


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1 


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t 


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h- f 










































■p 




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O 
CM 


1 


1 


1 


1 


I 


to 


1—1 


1 


o 
























<o 
























1 






























• 




• 


• 


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• 


1 






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- 


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f-H 






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p 


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p 

a' 

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S 
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> 

p 


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u 


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a 
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m 




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CO 


o 
o 

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o 

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106 



WORCESTER INSANE ASYLUM. 



[Oct. 






^ 



555 













CO 






"3 


1 1 li-lrHiOeOCCO-^-^HI 1 1 


o 


-*| 






1—1 1— 1 


-*l 








o 










H 


c-i 






o 




a 




1 
















ft 


CO 






t^ 




t=4 


«2; 


1 1 1 |i-l-*,-l!».-i05(MI 1 1 


-H 


CO 




O 


CJ 




<M 






a 


a 






c^ 




S 


!i< 


1 




lO 




H 


. 






T— 1 


i 


< 


a 


1 1 |r-lli-l(?qt^^iO<Nl 1 1 


(M 


-Tfl 




"3 




(M 


o 


Q 








o 


o 
















• 






t- 


as 




"3 


t-It-Ht-H'^ICO— ICOOlOtM 1 I'* 1 


-o 


o 




T— 1 


-* 




•^ 




o 






1^ 




bS 


H 






CO 




o 
























^ 












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2 






o 




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lr-l|COeOiOCO(M(M(NI ICCI 


— H 


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s 


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(>4 


CO 




C3 


fa 






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o 






s 


t-Hli-Hr-IIOiO-^SOl 1 It-iI 


01 


c^ 






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CN 








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CO 




















1111)111111111 










(rf 












-«-* 












o 












H 










d 










< 












ID 














1 I 1 1 1 1 1 1 1 1 t 1 1 1 


I 


1 


o 


S 
-< 


rt 
g 


iiiiiiiiiiiiii 










O 








S 


!z 


fa 










a 

s 












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


1 


1 


o 




,SJ 


IIIIIIIIIIIIII 






H 




rt 








O 




!^ 








H 


















1 




























.9 












o 

■01 




o 


IIIIIIIIIIIIII 


1 


1 


g 


w 


tH 




1 




as 


■< 










^ 




1 




S 


■< 


S 


IIIIIIIIIIIIII 


1 


1 


O 


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a 








a 


c: 










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£ 












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- 


1 










m 


• 




m 




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CZ 






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o 

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<, 




g '^ >~. i^ -^ >^ i^ p^ t^ -.^ 


o 


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g |H,-i(M(N50COTfiiOOt^^ g cfi 


3 










O 















1895.] 



PUBLIC DOCUMENT — No. 23. 



107 



12. — Reported Duration of Disease before Last Admission. 







First Admission 
TO Ant Hospital. 


All Other 
Admissions. 


Totals. 


PKEVIOUS DUKATION. 


■3 


■3 

i 


■3 



■3 


1 


3 


3 


1 




Congenital, 
Under one month, 
From 1 to 3 months, . 

8 to 6 months, . 

6 to 12 months, 

1 to 2 years, . 

2 to 5 years, , 
6 to 10 years, . 
10 to 20 years, . 

Over 20 years, . 
Unknown, . 
Not insane, 




- 


- 


- 


2 

1 
4 
5 
4 
3 
1 

20 

20 

8.90 


1 

3 

7 
5 
5 

21 
21 

6.78 


3 

1 
7 

12 
9 
8 
1 

41 

41 

7.79 


2 

1 
4 

5 
4 
3 
1 

20 

20 
8.90 


1 

8 

7 
5 
5 

_ 


3 

1 
7 
12 
9 
8 
1 


Total of eases, 
Total of persons, 
Average in years, 


21 

21 

6.73 


41 

41 

7.79 



108 



WORCESTER INSANE ASYLUM. 



[Oct. 



o 
5S 






s 

►Si 



*« 



'C 






6 






^ 



CO 



p 

< 

HI 
o 

n 
o 


CO 
E- 

m 
m 

1 

< 


•SIB}0X 


Oi rf cq to en 1-1 N iH 1^ 1 1 1-1 




•saiBcnaj 


t-COIIOrHi-liH II III 


00 00 


•saiBK 


CJr-IC^<Or)ltOII 1-11 1 <-< \ 




s 


•s[cjox 


-*^c^a5i-ie«l -HI 1 1 


to to 


•saiBcaa^ 


l-MIICOItMl llll 


^ S 


•BajBi^ 


t-,-ilNtO-* 1 r-l 1 rH 1 1 1 


!N C>1 


o 


•SIB^Oi 


1 1 1 1 1 1 <-! 


rH rH 


•saiBoia^j 


1 1 1 1 1 1 1 1 llll 


1 1 


•sa|Bi\[. 


1 1 1 1 1 1 1 1 1 1 1 rH 


rH rH 


Q 

a 

g 

o 
iz; 


•8[B}0X 


•I i 1 1 1 1 rH 1 llll 


IM (N 


■S3X8ra3j[ 


1 1 1 1 1 1 1 1 llll 


1 1 


•satBj^ 


rH 1 1 1 1 1 rH 1 lilt 


54 ir» 


o 


•8IB10X 


■<)■ 1 1 1 rH 1 t 1 llll 

■ 


u^ X5 


■saiBtna^ 


1 1 1 1 rH 1 1 1 llll 


1-i iH 


•eajBjj 


-^ 1 1 1 1 1 1 1 llll 


^ ^ 


Q 

i 

H 
g 


•Bicjox 


1 1 1 1 rH 1 1 rH llll 


N N 


•saiTJcna^ 


1 1 1 1 rH 1 1 rH llll 


ei ffi 


•BOIBK 


1 1 III! 


1 1 


Ed 
pj 
W 
>- 
O 

o 


•SIGJOX 


1 1 1 1 1 rH 1 1 llll 


j-l rH 


•B8[Baiaj 


1 1 1 1 1 rH 1 1 llll 


rH tH 


•saiBH 


1 1 1 1 1 1 1 1 llll 


1 1 


f5 

03 H 

■< 


•8IB?0X 


-*u3|lr-eOIII e4lll 


-* -* 


•BaiEina^ 


■niNIICOIII rHIII 


(M (M 


•saiEji 


OCOIC-IIII rHIII 


O O 
IN <N 






02 

G 
O 

a 

o 


A. — Insane; — 

Dementia, chronic, 
epileptic, 
paralytic, 

General paralysis, . 

Mania, chronic, 

recurrent, . 

Melancholia, chronic, . 

Adolescent insanity, 

Congenitnl mental de- 
ficiency, 

B. — Habitual drunkards, 

C. — Voluntary patients, . 

D. — Not insane. 


10 

m O 

o o 
o o 



1895.] 



PUBLIC DOCUMENT — No. 23, 



109 





o 
en 


•SlB^Oi 








•saiBraa^ 


t^ 1-1 


op CO 




•S8[BH 


Oi 1 


CM CM 




5 


•sib;ox 




CO CD 




•saiBmgji 


CO tH 
CM 


CM (M 




•eaiBH 


CM 1 


CM CM 
<M CM 




15 
< 

H 

c 


•stBjox 


rt 1 


tH tH 




•saiBtaaj 


1 1 


1 1 


CO 


•S3[BM 


■-11 rH r-( 


> 

s 

g 

H 
O 


•SIB?Oi 


(Tl 1 


OJI (M 


o 


•83lBOT9^ 


f 1 


1 1 




•saiBH 


<M 1 


(M CM 




d 
■■a 
> 

o 

H 


•81BJ0X 


^ 1 


•o >o 


•BBiBtnaji 


"-•1 ,-i ,-* 


CO 


M 


•S3[BH 


^ 1 


^ TiH 



> 

a 


•SIBJOi 


<M 1 CM (71 




•sa[Bnia^ 


C^ 1 


CM (M 


.to 


•S9IBH 


1 i 


1 > 


1 


ft 
» 

M 

B 

t> 
O 
O 

M 


•SIB^OX 


'-I 1 


i-H »-H 


•saiBtnaj 


'-I 1 


r-t T-i 




•saiBH 


i 1 


1 1 






i 

CO 

§ 

1 




O O 

c 'o 



110 



WORCESTER INSANE ASYLUM. 



[Oct. 






a 










(M (M ^ r^ O 


CO tO-H 


CO I^ ^ .-( (M 


o 




•s[B}Ox 








Tfi 


-3 


•saiBtnaj 


1 -H 1 1 I 


(MlOrH 


1 ^^^e-1 


■* 
M 


o 
























•saiBK 


(MrH,-H,-H«D 


^D'-H 1 


COr-l 1 1 1 






•siBiox 


1 1 1 1 i 


1 1 1 


1 1 1 1 1 


- 


fc m 






















< t 














•BgiBtna^ 


1 1 1 1 1 


1 1 1 


1 1 1 1 1 


1 














°s. 














•saiBpi 


1 1 1 1 1 


1 1 1 


1 1 1 1 1 


' 




•SIBJOX 


1 1 1 i 1 III 1 1 1 1 1 


1 


°3 


•saiBinaj 


1 1 1 1 1 


1 1 1 


1 1 1 1 1 


, 


a Y. 












t a 












~ K 












fi 


•saiure 


1 1 1 1 1 


1 1 1 


1 1 1 1 1 


1 




•BIBJOX 


iM :<i r^ -- o 


CO «5 -H 


CO <N ^ i-HlM 


CD 


M 












•A 

< 


■gaiBina^ 


1 -' 1 1 1 


(M OrH 


1 rt i-it-ilM 




Y, 
























•BDIBM 


C<),-i rt rt o 


<a^ 1 


COrH 1 1 1 













<S 




































c 












a> 


















m 






. . . . o 






H 


r. 




!U 






06 


t» 




TS 








o 




-a 
















O 


^ 


>> 


tc°s 








I s ^ 

«J >> - O c^- P< 


1 i'^ 


cB a> 








• • ■ o • 

a s 


- ^ C" 
a. £ CO 

cj .22 „- S d 


"5 
o 








— OS tC i^ OJ J3 


H 






3 O. Q. a-c- QJ 


oj <u-C C-g X 








o<:ww^o 


■5,PiAHPH 


S3WpqpL)5w 








M 


OQ 


B 




















s 


« 


o 





1895.] 



PUBLIC DOCUMENT — No. 23. 



Ill 






o 

•§ 



(^ 



w 

H 

H 
< 

< 


ii 

o ^ 
'A < 


•StBJOX 


1 1 1 1 1 1 1 I—I 1 1 1 


--H 1 II 


•soiBcaaji 


1 1 1 1 1 1 1 I—I 1 1 1 


^1 II 


•sajBHt 


1 1 1 1 1 1 1 1 1 1 1 


1 1 II 


1^ 
o 



h 

o " 


•SIB^OX 


1 1 1 1 1 1 1 tH 1 1 1 


-HI II 


•89IBraDjI 


1 1 1 1 1 1 1 1—1 1 1 1 


--II II 


•eaiTJM 


1 1 1 1 1 1 1 1 1 1 1 


1 1 II 


< 

H 
< 

< 


H 1- 

K < 

a H 

PI 


•SIBJOX 


1 1 1 1 1 1 1 r-l 1 1 1 T-4 1 II 

1 


■BBiBraaji 


1 
1 1 1 1 1 1 1 r-t 1 1 1 1-1 1 II 


•S3IBM 


1 
1 1 1 1 t 1 1 1 1 1 1 1 1 II 


H 
O 

Q 

IB 
iJ 
H 

E 
o 

s 


•simox 


1 
1 1 1 1 1 1 1 -H 1 1 1 ,-1 1 II 


•S3[BniDjI 


1 1 1 1 1 1 1 1—1 1 1 1 


1 

^1 II 


•S3IBM 


1 1 1 1 1 1 1 1 1 1 1 


1 1 . 1 


a 

K 

o . 
fa 2 

** < 


•BimOX 


1 
1 1 1 1 1 1 ^ 1 1 1 1 r-^ \ II 


•saiBtnaj 


1 
1 1 1 1 1 1 T-l 1 1 1 1 rH 1 II 


•S91BM 


1 
1 1 1 1 1 1 1 1 1 1 1 1 1 II 






6 
o 


A. — Insane: — 

Congenital, .... 
Under 1 month, 
From 1 to 3 months, 

3 to 6 months, 

6 to 12 months, 

1 to 2 years, . , 

2 to 6 years, . 
5 to 10 years, . 

10 to 20 years, . 
Over 20 years, .... 
Unknown, 


Totals, .... 

Average of known cases, . 

B —Habitual drmikards,. 
C. — Voluntary patients, . 



112 



WOECESTER INSANE ASYLUM. 



[Oct. 



ts 
s 
e 



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IK 









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o 


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ft. >;; 








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-ti 


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CO 






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c» 






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1 1 1 1 1 eo^ ^ io -# 1 


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r-l 


















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GO 






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r-l 1 1 1 1 1-1 05 O t- O CO 


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30 




















is 




1 1 1 1 1 r-( t> CO »0 iH t^ 


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CM 






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<M 














CO 












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CO 


















































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. -r-z-ri ......... 

':;3 ~ 73 CO CO CO CO 


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ll 








Insane: — 

Congenital 

Under 1 m 

From 1 to 

3 to 

6 to 

1 to 

2 to 
5 to 

10 to 
Over 20 ye; 
Unknown, 


CO 

Is 

O 

H 


o 

o 










bo 

C3 










1 




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1 1 








1 




q; 


1 1 












t> 










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<! 


mu 



1895.] 



PUBLIC DOCUMENT — No. 23. 



113 






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<ij 


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f^ 


cT 


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cr^ 


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CO .-1 





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cr; 




















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tc 




















IX! 


© 




















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^ 


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^ 




H 




r- 


CO 


Ci 


o 


T-H 


CN 


eo 


-ti 


»o 






a.) 


CO 


CO 


era 


05 


CTS 


C5 


05 


C5 




Oh 


GO 


(Jj 


00 


CO 
I— I 


CO 


GO 
1— 1 


GO 


CO 

1—1 


GO 

1— ( 





114 



WORCESTER INSANE ASYLUM. 



[Oct. 



•73 

a 
o 
O 






00 





Remaining of Each 
Year's Admissions, 
Sept. 30, 1895. 


•SIBJO.t, 


T-H 


t^ 

^ 
-* 




•S91Bni3J 


tC (>. ,— 1 CM <M i-< 






•S31BH 


t>.r- 1>— It— 1,— (G^C^(NC<|T-l 






"a 
a 
ij 

■? 

X 

o 



a 

E- 
H 

» 

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!>: 



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> 

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C^ 

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O 

b 
O 

z 
o 

o 

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<J 
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Q 
Ed 
Eh 

S 
Q 
<i 
Eel 

A 


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ia 



a 

5 

a 

!a 

«! 

o 

O 
PS 

o 



a 




■8W01 


1 1 1 1 1 <— I 1 1 1 1 


1— ( 




•saiBinaj 


1 1 1 1 1 1—1 1 1 i 1 


T-( 




•S3IBI\I 


1 1 1 1 1 1 1 1 1 1 






o 
a 
> 
o 

o 


•BIBJOX 


1 1 1 1 1 1 1 1 1 1 






•saiBinaj 


1 1 1 1 1 1 1 1 1 1 






•saiBiM 


1 1 1 1 1 1 1 1 1 1 






a 
> 

o 

a 


■SIB)OX 1 1 1 1 1 1 1 1 1 i 






■ssiumaj; 








•83IBK 








o 

a 

> 

g 

ta 
o 

D 

3 


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•saiBinaj 








•s9iBre 








O 
a 

e2 
a 
>- 
o 
o 
a 
« 


■bib;ox 








■saiBraa^: 








■saiBH 








a 


■smoj. 


CO '^ 




•saiBinaj 


1 7-1 1 tH I CO CO 1 (M T-l 
C<1 


o 

CO 




•89lBi\r 


1-1 1 1 1 1 (M -* —1 1 1-1 


OS 




z 

2 3 

Efl 














CO 


03 

o 




o 

>- t-^ OD cs" O 1-H oT CO -+ "O 

CJcoccoooiCTJCiOicriCJ 

i-iCOGOOOGOGOCOGOCOGO 
P^,_,_l,_l^,_,,_lrH,-i,-H 


H 



1895.] 



PUBLIC DOCUMENT — No. 23. 



115 



I 

1-S 






'« 
e 



6 






la 2 
2 o 

< CO 

Si 


•SIB»OX 


1 1 1 1 1 1 I 1 1 1 




•saiBma^ 


1 1 1 1 1 1 1 1 1 1 




•S9[BIt 


1 1 1 1 1 1 1 1 1 1 




p 
>> 

CO 

< 
£2 

5 

?; 

Q 

a 

03 
Ed 
> 
O 
O 

« 

g 
O 

> 

as 
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00 
M 

00 

d 


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? 

o 
a 

Q 

§ 
■n 

B 
O 

Q 


d 
a 

5 


■SIBJOX 


1 1 1 1 1 1 1 1 1 1 




•S3tBni3J 


1 1 1 1 1 1 1 1 1 1 




•saiBit 


1 1 1 1 1 1 1 1 1 1 




d 
> 
% 

g 


•SIBJOX 


1 < 1 i 1 1 1 1 1 1 




•safBma^ 


1 1 1 1 1 1 1 1 1 1 




•S9I13K 


1 1 1 1 1 1 1 1 1 1 




d 

> 

O 
cs 


•SIBJOX 


1 1 1 1 1 1 1 1 1 1 




■881BOT9J 


1 1 1 1 1 1 1 1 1 1 




•SSIBIt 






d 


a. 


■SIT3J0X 


i 1 1 1 1 1 1 1 1 1 




•saiBinsj 


1 1 1 1 1 1 1 1 1 1 




■saiBH 


1 1 1 1 t 1 1 1 1 1 




d 

a 
> 

§ 
a 


■SIBJOX 


1 1 1 1 1 1 1 1 1 1 




•saiKinaj 1 1 1 i 1 1 1 1 1 1 




•S3IBK 


1 1 1 1 1 1 1 1 1 1 




d 

Q 


•SIBJOX 


•-^ 1 1 1 1 1 1 1 1 1 -H 


•saiBinaj 


1 1 1 f 1 1 1 1 1 1 1 


•saiBK 


--^ 1 1 1 1 1 1 1 1 1 ^ 


YEARS ENDING 
SEPT. 30. 










V- 




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T, . . . . 

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