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

36?,,a,M3 



yr 



A 



TWENTIETH ANNUAL EEPOET 



WOKCESTER, 



Yeak ending September 30, 1897. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of IVIassachusetts Amherst 



http://www.archive.org/details/annualreportofwo83worc 



OFFICEES OF THE ASYLUM. 



TRUSTEES. 



FRANCES M. LINCOLN, 
A. GEORGE BULLOCK, 
TBOMAS H. GAGE, 
HENRY S. NOURSE, 
ROCKWOOD HOAR, 
FRANCIS C. LO\YELL, 
SARAH E. WHITIN, 



Worcester. 

Worcester. 

Worcester. 

Lancaster. 

Worcester. 

Boston, 

Whitin'syille. 



RESIDENT OFFICERS. 



ERNEST V. SCRIBNER, M.D., 
HARTSTEIN W. PAGE, M.D , 
ABBIE S. FAY, 



Stqjeri7itende7it . 
Assistant Physician. 
Matron. 



NON-RESIDENT OFFICERS. 

ALBERT WOOD, Treasurer. 

GEORGE L. CLARK Auditor. 

MARIAN D. CUDWORTH Clerk. 

FREDERICK H. BAKER, M.D Pathologist. 

WILLIAM SHERMAN, ...... Engineer. 



C0m!H0nfoeHlt^ of "^uBBM^mdtB. 



TRUSTEES' EEPOET. 



, To His Ey^ceUency the Governor and (he Honorable Council. 

The trustees of the Worcester Lunatic Hospital, in charge 
of the Worcester Insane Asylum, respectful I}'' submit their 
twentieth annual report, together with the reports of the super- 
intendent and treasurer. 

The whole institution is in admirable order and is well man- 
aged. The repairs and improvements which have been going 
on for many years have been continued, and the asylum is now 
as bright and homelike as any institution in the State. The 
patients are well cared for and as happy as their condition will 
allow. Systematic instruction has been given for six months 
to the female attendants, in general nursing, the care of the 
wards as well as of the patients, proper ventilation and sun- 
light, and special instruction in the care of the insane. The 
same thing has now been started for the male attendants. This 
cannot fail to be of great use to the asylum. The character of 
the work in the wards already seems better for this instruc- 
tion. The average number of patients for the past year has 
been 438. 

The trustees have again been importuned to sell part of the 
garden lot. This land w^as set aside for the use of the asylum 
when the hospital was moved to its present location. It is of 
too great value to the asylum to be parted with, and the trus- 
tees refused to consider the matter. 

Superintendent, officers and employees have been faithful in 
discharge of their duties, and merit the gratitude of the 
trustees. 

FRANCES M. LINCOLN. 

A. GEORGE BULLOCK. 

THOMAS H. GAGE. 

HENRY S. NOURSE. 

ROCKWOOD HOAR. 

FRANCIS C. LOWELL. 

SARAH E. WHITIN. 

WoECESTER, Mass., Oct. 1, 1897. 



62 



WORCESTER INSANE ASYLUM. 



[Oct. 



OFFICERS AND THEIR SALARIES. 



Ernest Y. Scribxer, M.D., Superintendent, . 
Hartstein W. Vi^G'Es^'M.D., Assistcmt Physician, 
Frederick H. Baker, M.D., Pathologist, 
Abbie S. Fay, Matron, 
Albert Wood, Treasurer. 
George L. Clark, Auditor, 
Marian D. Cudwortii, Clerk, 
William Sherman, Engineer, 





^2,600 


00 




1,300 


00 




100 


00 




400 00 




400 00 




60 


00 




600 


00 




1,000 00 



VALUE OF STOCK AND SUPPLIES. 

Oct. 1, 1897. 



Live stock, ....... 

Produce of the garden on baud, . 

Carriages and agricultural implements, . 

Machinel^y and mechanical fixtures, . 

Beds and bedding in inmates' department, 

Other f uimiture 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, 



$275 00 


913 


50 


600 


00 


9,000 00 


9,000 


00 


3,500 


00 


9,500 00 


2,551 


66 


765 


21 


1,362 74 


425 


00 


2,800 


00 


600 00 


1,548 


41 


$42,841 


52 



1597.] 



PUBLIC DOCUMENT — No, 23. 



63 



TREASURER'S REPORT. 



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

Insane Asylum. 

I herewith submit my twentieth annual report on the finances 

of the Worcester Insane Asylum for the j^ear ending Sept. 30, 

1897. 

Receipts. 
Casli on hand Sept. 30, 1896 : — 
Cash belonging to the asylum, .... f7,183 77 

Deposits of inmates, ...... 1,174 66 



Amounts received : — 
From the Commonwealth for support of patients. 
From cities and towns for support of patients, . 
From other sources, ...... 

From inmates, ....... 



$18,691 32 

64,700 90 

883 81 

144 85 



5,358 33 



74,120 88 



182,779 21 



The expenditures for the year have been as follows : 

Salaries and wages, 

Provisions and suppl 
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, . 

Clothhig and material. 
Fuel, .... 

Lights, .... 

Amo7ints carried forward, 



5,167 08 



$2,478 


75 




621 


97 




1,806 


95 




2,192 


84 




44 


20 




303 


94 




571 


70 




1,187 


95 




6,418 


00 




369 


76 




1,876 


36 


17,872 42 


$5,896 


23 


3,741 


63 




1,084 


24 




$10,722 


10 


141,039 60 



64 



WORCESTER INSANE ASYLUM. 



[Oct. 



Amounts brought forward, . 


$10,722 10 


$41,039 50 


Medicine and medical supplies, . 


394 92 




Furniture and furnish] 


ngs. 


1,388 42 




Crockery, . 


• 


181 93 




Beds and bedding, 






849 03 




Transportation, . 






69 89 




Travelling, . 






133 42 




Trustees' expenses, 






19 93 




Soap, . 






580 42 




Water, 






537 01 




Stationery, . 






111 38 




Undertaking, 






155 00 




Repairs (ordinary), 






9,400 33 




All other current expenses. 


3,300 87 


27,844 65 






Total current expenses, 


$68,884 15 


Refunded inmates (on deposits). 


• • • ■ • 


86 98 


Total amount expended. 


168,971 13 


Cash on hand Sept. 30, 1897, . 




13,808 08 




f82,779 21 


Resources. 




Cash on hand, .... 


?13,808 08 




Due from Commonwealth for suppo 


ft, . . 4,575 07 




Due from cities and towns for support, . . 14,228 94 








$32,612 09 






Liabilities. 




Due for supplies and expenses, . 


$3,960 04 




for salaries and wages. 


1,927 67 




inmates (cash on deposits). 


1,232 43 


7,120 14 







Total surplus. 



),491 95 



Respectfully submitted, 



ALBERT WOOD, 

Treasurer. 



Worcester, Mass., Oct. 1, 1897. 



Worcester, Mass., Oct. 25, 1897. 
The undersigned has this day carefully compared the treasurer's statement of expen- 
ditures for the year ending Sept. 30, 1897, with the vouchers which are on file at the 
Worcester Insane Asylum, and finds it to be correct. He has also compared the amount 
of bills rendered for the board of patients with the estimated earnings of the institution 
for one year, and finds them to agree. 



GEO. 



L, CLARK, 

Auditor of Accounts. 



1897.] PUBLIC DOCUMENT — No. 23. 65 



SUPERINTENDENT'S REPORT. 



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

Insane Asylum. 

I respectfully present for your consideration the twentieth 
annual report of the superintendent of this institution. 

At the beginning of the present official year 207 men and 
218 women — a total of 425 persons — were inmates of this 
institution. During the year 24 men and 16 women have been 
admitted by transfer from other institutions, making a grand 
total of 465 different persons under treatment, — 231 men and 
234 women. There have been discharged 3 men and 1 woman, 
and 11 men and 15 women have died. Of those discharged, 1 
man went home, 1 man was taken by the overseers of poor to 
be cared for at their local almshouse, 1 man was transferred to 
the Boston Insane Hospital, and 1 woman, having been on 
visit, was allowed to remain with her friends. The woman was 
improved, the three men were all unimproved. The daily 
average number of patients has been 438.14. While our aver- 
age number has been a trifle larger than that of last year, the 
movement of population has been small, 40 patients having 
been received and but 26 discharged for all causes. 

In over 10 per cent, of those admitted the cause of mental 
disease was unknown. Of the known cases, nearly 27 per 
cent, became insane from the effects of intemperance, about 14 
per cent, from epilepsy and over 17 per cent, from heredity. 
These three causes are among the most important factors in 
the filling of our asylums, not to mention the jails and alms- 
houses. I doubt not that alcohol plays a more important part 
even than statistics show, as the influence of intemperance is 
not exerted upon the individual alone, but upon posterity as 
well, producing degenerate offspring, with a long train of de- 
fective mental states. Fortunately, degeneracy tends towards 
early extinction. The average duration of disease before ad- 
mission here was 13.85 years. 



66 



WORCESTER INSANE ASYLUM. 



[Oct. 



Ratio of Deaths from 


the Opening of the Asylum to Oct. 1, 1897. 




o — 




Deaths. 


Per Cent, on 
Whole Number 
of Patients 
treated. 


O MO 

. 2 


OFFICIAL TEAR. 


"3 


"3 

a 


I 


Per Cent 
Daily Avi 
N u m be: 
Patients. 


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 


375.69 


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 


1884-85, . 








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 


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 


1892-93, . 








519 


446.94 


88 


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 


1895-96, . 








467 


427.36 


16 


19 


35 


7.49 


8.19 


1896-97, . 








465 


438.14 


11 


15 


26 


5.59 


5.93 



The death rate for the past year has been extraordinarily 
low, the lowest since the opening of the institution. The im- 
proved physical condition of those admitted has doubtless been 
a contributing factor to this result, though perhaps it has also 
been in some measure accidental. A large average death rate 
is to be expected among the chronic insane, because of the ex- 
hausting nature of their disease. A succession of years with 
few deaths would naturally be followed by some period of 
greatly increased mortality. An examination of the accom- 
panying table shows that this period of increased death-rate 
has occurred at an interval often years. It can hardly be pre- 
sumed that future observation would establish this period with 
any special accuracy, save that a series of years must elapse. 

Several cases of mumps occurred among the employees, and 
a few patients were attacked. Prompt isolation limited the 
extension of the disease, and no serious results followed. No 
other contagious disease has visited the institution, and little 
acute disease of any kind has occurred. 



1897.] PUBLIC DOCUMENT — No. 23. • 67 

Among the more important advances in medicine is tlie in- 
creased appreciation of the value of trained nursing. The 
spheres of the nurse and of the physician are by no means 
identical, though always interdependent. The best results are 
to be obtained by the combined effort of both. In no depart- 
ment of medicine is the trained nurse of greater value than in 
the care of the insane, — a fact that is gaining fuller recogni- 
tion than formerly, both from the profession and from the com- 
munity as well. In ordinary illness the efforts of the nurse are 
in large measure supplemented by those of the patient, while 
the sufferer from mental disease too often shows an antagonism 
to treatment which makes itself felt to the detriment of both. 
An early mistake in the popular mind was the failure to recog- 
nize insanity as the manifestation of disease. This idea domi- 
nated those caring for the mentally afflicted in early times, and 
too often resulted in the simple incarceration of the insane, 
without attempt at remedial treatment. The hospital attend- 
ant who does no more than stand between the patient and his 
personal liberty is more deserving of the name of jailer than 
that of nurse. On the other hand, with a fuller recognition of 
his duty, the nurse, by his training, being able to see and to 
feel that his patient is a sick man, needing attention and sym- 
pathy, is more likely to secure confidence and co-operation in 
turn, and the patient to regard his attendant as nurse rather 
than keeper. During the past year Dr. Page has given, before 
the attendants, special instruction in nursing, the good results 
of which are already manifest in the more intelligent care which 
is given to the patient, and the more intelligent assistance which 
is rendered to the physician. It is proposed to enlarge upon 
this instruction in such manner as experience may demonstrate 
to be advisable. Up to the present time the chief effort has 
been made with the female attendants, who, as a rule, are more 
receptive than men in matters of nursing. I believe, however, 
that an extension of systematic instruction among the male 
employees cannot ftiil to be followed by results well worthy of 
the effort. The immediate value of good nursing is, of course, 
more readily manifest in acute cases, but increased personal 
attention can accomplish much in chronic disease. 

The tendency of incurable mental disease is toward dementia. 
Hospital care prolongs the lives of the insane and causes them 



68 WORCESTER INSANE ASYLUM. [Oct. 

to accumulate. The life of the individual being thus prolonged, 
greater time is given for the progress of the brain disease, and 
a deeper condition of dementia results. In many cases, it is 
true, a partial improvement takes place into a more comfortable 
condition. In the majority the lengthening of the span of life 
only affords time for a more profound degenerative change. 
When this change has become evident, hope for recovery is 
slight. It is to arrest this degenerative change that all our 
efforts should be directed. The occasional recoveries from a 
condition of apparently hopeless dementia show the necessity 
for a close and constant attention to every case. When dis- 
ease, however, has progressed to the actual destruction of brain 
tissue, it is folly to expect that medicine or medical attention 
can secure a complete return to health. An arrest of progres- 
sive change or an amelioration of symptoms is the most to be 
hoped for. The careful study of mental disease cannot fail to 
be of direct profit, even in those cases where the immediate 
benefit to the individual is apparently small, by enabling us to 
more clearly establish the conditions favorable to mental degen- 
eracy, rendering their avoidance possible. Work has been 
begun in arranging the new laboratory, which will furnish 
better opportunities for the investigation of disease, and facili- 
tate more accurate observation. 

With the end of the present official year the institution 
rounds out the second decade of its existence. Though com- 
paratively a new corporation, the buildings which are occupied 
have been utilized for hospital purposes for very many years. 
The original structure, erected in 1832 and occupied in 1833, 
soon proved inadequate for the accommodation of the increas- 
ing numbers of the insane, and from time to time various 
enlargements and additions were made. For more than a gen- 
eration the work of the Worcester Lunatic Hospital was suc- 
cessfully carried on here, and relief afforded to many thousands 
of patients. In 1877 the lunatic hospital, having outgrown the 
accommodations, removed to more modern and commodious 
quarters, and the State established here, to occupy the old 
buildings, a new institution whose province it should be to deal 
only with the chronic insane. This institution was opened for 
patients Oct. 23, 1877. With the opening of the new Worcester 
Hospital and the hospital at Danvers it was supposed that the 



1897.] PUBLIC DOCUMENT — No. 23. 69 

occupancy of the Worcester Asylum would be more or less of 
a temporary nature. Since that time, however, the Worcester 
and Dauvers hospitals have been filled to overflowing, and the 
asylum has been crowded almost from the first, the daily aver- 
age number for the twenty years being nearly 398. Since the 
opening of the institution 1,547 cases have been admitted as 
patients here, 50 of these being readmissions, leaving 1,497 
different persons as having received treatment here. The 
capacity of the asylum not proving sufficient to receive the 
overflow from the various hospitals, the Medfield Asylum has 
been built to supplement the work. This latter institution is 
already filled to nearly or quite its capacity, and the time is 
close at hand, if not already here, when Massachusetts must 
begin to take steps for providing increased accommodations for 
its chronic insane, either by the erection of a new institution or 
the enlargement of those already existing. 

Serious but unavoidable delay has been experienced in the 
completion of the water section of the north Johonnot wards, 
owing to the difficulty in securing the marble. The early com- 
pletion of this work is now assured, however, and will afford 
greatly increased conveniences for that part of the house. A 
rain-bath apparatus, temporarily fitted up, has been in constant 
use for some months in the male department, and has proven 
highly satisfactory in its workings, even in its incomplete 
arrangement, entirely displacing the bath tub. Special satis- 
faction has been obtained from its use in the care of those feeble 
persons who may be seriously weakened by being lifted in and 
out of an ordinary tub. From a sanitary point of view the rain 
bath is far superior to the old bath tub, afibrding, as it does, a 
constantly changing supply of pure water. 

For some years the chapel wing, where our chapel, bakery, 
kitchens, store-rooms and the quarters for the domestic help 
are located, has been in an unsatisfactory condition of repair. 
Work has not been undertaken here up to this time, because a 
more or less complete reconstruction and rearrangement has 
seemed desirable, to better conform to present ideas. Though 
still unprepared for extensive changes, some action seemed 
necessary to provide for present needs. A new floor has been 
laid in the chapel, and the walls repainted. Kepairs are now 
in progress in the bakery and kitchen. It is designed to limit 



70 WORCESTER INSANE ASYLUM. [Oct. 

tliese temporary repairs to matters of urgent necessity. In 
carrying on the work of repair and reconstruction in this insti- 
tution very little work of a temporary nature has been done, 
substantial building being deemed the better policy. The 
result of this policy has been to greatly change the character 
of the institution and to greatly enhance its value for the prose- 
cution of its work. 

Though much has been accomplished to improve the institu- 
tion, much still remains to be done. Our system of ventilation, 
good in the main, is faulty in some parts of the house, and 
something should be done to remedy this. As now arranged, 
fresh air is forced through the building by a fan at the engine 
room. This provides a sufficient quantity of air if the distri- 
bution were equitably arranged. In places where the circula- 
tion is faulty I would advise the placing of galvanized-iron 
flues in the attics, connected with the present hall and room 
flues, and having a general outlet beneath the roof ventilators. 
In this general outlet I would place a coil of steam pipes to 
produce a direct upward draft, assisting the present fan and 
directing the currents of air into the most needed channels. 
The cubic feet of air space per individual is of secondary im- 
portance to the efficiency of the ventilation, — the thoroughness 
and frequency with which the air is changed. With perfect 
ventilation the capacity of an institution is the number of people 
who can comfortably associate together. An improperly ven- 
tilated institution is always crowded, no matter what the num- 
ber of its inmates. A change from gas to electricity as a 
lighting agent would immediately increase the actual capacity 
of this institution by ceasing to vitiate the air of the wards 
with the products of combustion, and substituting a cool, pure 
air for that which is hot and impure. 

Considerable miscellaneous work of repair and refurnishing 
has been accomplished during the past year. A large amount 
of interior painting has been done, greatly brightening and im- 
proving the general appearance of the wards, and rendering it 
easier to keep them in sanitary condition. Many of our old 
floors have been scraped and refinished. Large numbers of 
male patients have been employed in this work, which has 
proven of value both to the institution and to the individuals. 
Very material assistance has been given by patients in the 



1897.] PUBLIC DOCUMENT — No. 23. 71 

work of all departments. The last of our heatiog boilers, after 
a constant use of some fourteen years, has been furnished with 
new tubes. This completes the retubing of all our boilers, and 
places them in first-class condition. Our boiler capacity is 
ample to thoroughly heat the house and to furnish all neces- 
sary power, even in the event of the installation of an electric 
light plant. 

I have again to commend the officers of the institution for 
the faithful performance of their duties. With very few excep- 
tions the employees have rendered satisfactory service. 

The circus, the fair and evening entertainments during the 
winter have served to give variety to the life of the patients. 
Weekly religious instruction has been given in the chapel. 

To the publishers of the " Worcester Evening Gazette" we 
are again indebted for a copy of their paper, and to Mrs. C. 
H. Doe for a most liberal contribution of books. The Hospital 
Newspaper Society and the Young People's Society of Pied- 
mont Church have furnished miscellaneous reading matter. 

E. V. SCRIBNER, 

Superintendent, 



EEVISED TABLES 



Uniform Statistics 



MASSACHUSETTS HOSPITALS AND ASYLUMS 
FOR THE INSANE. 



Approved by the State Board or Lunacy and Charity, 
March 10, 1891. 



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Patients in asylum Oct. 1, 1896, . 
Admitted within the yeai', .... 
AVhole number of cases within the year, . 
Discharged within the year, 

Viz. : as recovered, 

as much improved, 

as improved, ..... 

as not improved, .... 

as not insane, 

Deaths, ....... 

Patients remaining Sept. 30, 1897, 
Viz. : supported as State patients, . 
as town patients, . 
as private patients, 
Number of different persons within the year, 
I'ersons admitted, , . . . . 

Persons recovered, ..... 

Daily average number of patients. 

Viz. : State patients, .... 

town patients, .... 



76 



WORCESTER INSANE ASYLUM. 



[Oct. 



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• ••• ••• . ^ 

IS i- a 

i . . _ s i g 1 


October, . 
November, 
December, 

January, . 

February, 

JMarch, 

April, 

May, 

June, 

July, 

August, 
September, 

Total of ca 

Total of pe 

Daily averf 



1897.] 



PUBLIC DOCUMENT — No. 23. 



77 



3. — Received on First and Subsequent Admissions, 





Cases admitted. 


Times previously 
kecovered. 


lifUMBEE OF THE ADMISSION. 


JIales. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


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


24 


11 

5 


35 

5 


- 


- 


- 


Total of cases. 
Total of persons, 


24 

24 


16 
16 


40 
40 


- 




- 



4. — Eelations to Hospitals of Persons admitted. 



HOSPITAL EELATIONS. 


Males, 


Females. 


Totals, 


Never before in any hospital for the insane, . 


- 


- 


- 


Former Inmates of this asylum only, 


- 


- 


- 


Former inmates of other hospitals only, . 


24 


u 


35 


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


- 


5 


5 


Total of persons, ..... 


24 


16 


40 



5. — Parentage of Persons admitted. 





Ma- 


-ES. 


Females. 


Totals. 


PLACES OF NATIVITY. 


Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Unknown, ..... 


24 


24 


16 


16 


40 


40 


Total, 


24 


24 


16 


16 


40 


40 



78 



WORCESTER INSANE ASYLUM, 



6. — Residence of Persons admitted. 



PLACES. 



Massachusetts : — 
Suffolk County, 

Totals, 
"Viz.: cities and towns, 
country districts, 



— Civil Condition of Persons admitted. 




8. — Ocaipation of Persons admitted. 



MALES. 



Clerks,. 
Laborers, 
Plumbers, . 
Printers, 
Clock maker. 
Coachman, . 
Engine oiler. 
Farmer, 
Fish dealer. 
Hatter, . 
Insurance agent. 



Marble cutter. 
Painter, 
Teamster, 

Telegraph operator. 
Wood carver. 
Wood turnor. 
Unknown, . 
No occupation, . 



Total, 



24 



FEMALES. 



Housewives, 
Domestics, . 

Seamstresses 



No occupation, 
Total, . 



WIFE OR DAUGHTER OF - 



Unknown, 
Total, . 



1897.] 



PUBLIC DOCUMENT — Xo. 23. 



79 



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II 


1, — Physical : — 

Intemperance, . 

Epilepsy, . 

Ill health, . 

Watching and over 

work. 
Measles, 

Syphilis, 

Injury to head, . 
2. — Mental : — 

Heredity, . 

Family trouble, • 

Business trouble, 

Anxiety, 

Grief and overwork. 
Unknown, . 


1 

o 



80 



WORCESTER INSANE ASYLUM. 



[Oct. 



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1897.] 



PUBLIC DOCUMENT — No. 23. 



81 



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AGES. 








Congenital, 

15 years and less, . 

From 15 to 20 years, 
20 to 25 years, 
25 to 30 years, 
30 to 35 years, 
35 to 40 years, 
40 to 50 years, 
50 to 60 years, 
60 to 70 years, 
70 to 80 years. 

Over 80 years. 

Unknown, 

Not insane. 


Total of persons. 
Mean ages. 



82 



WORCESTER INSANE ASYLUM. 



[Oct. 



12. — Reported Duration of Disease before Last Admission. 







First Admission 
TO AXY Hospital. 


All Other 
Admissions. 


Totals. 


PREVIOUS DURATION^. 




■3 

a 


2 


1 « 
1 S 


s 




S 


i 


p 


Congenital, . 

Under 1 uionth, . 

Frora 1 to 3 months, 
3 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 
7 

10 
3 
2 


1 

1 

2 

7 
3 
2 


1 

1 

4 
7 

17 
6 
4 


2 
7 

10 
3 
2 

24 

24 

12.53 


1 

1 

2 

7 
3 
2 


1 

1 

4 
7 
17 
6 
4 


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


- 


- 


_ 


24 

24 

12.53 


16 
16 

16.08 


40 

40 

13.85 


16 

16 

16.08 


40 

40 

13.85 



1897.] 



PUBLIC DOCUMENT — No. 23. 



83 



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02 

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. _ _ . _ _ M 


A. — Insane : — 

Dementia, chronic, 

epileptic. 
Mania, chronic, 
Melancholia, chronic, 
Paranoia, 

Congenital mental de 

ficiency. 
Congenital mental de 

liciency (epileptic). 

B. — Habitual drunkards, . 

C. — Voluntary patients, . 

D. — Not insane. 


s g 
I 1 

•tH .4-, 

o o 

o o 



84 



WORCESTER INSANE ASYLUM. 



[Oct. 



^ 



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<: 

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o 


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1897.] 



PUBLIC DOCUMENT — No. 23. 



fc5 



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chronic 
chronic 
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xhaustion of 
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KtL^P^tt^S 


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86 



WORCESTER INSANE ASYLUM. 



[Oct. 






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1897.] 



PUBLIC DOCUMENT — No. 23. 









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1897.] 



PUBLIC DOCUxMENT-No. 23. 



89 



Hemaining of Each 

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