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

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TWENTY-FIEST ANNUAL EEPOET 



WORCESTER INSANE ASYLUM, 



WORCESTER, 



Year ending September 30, 1898. 



Digitized by tine Internet Arciiive 

in 2010 with funding from 

University of iVIassaciiu setts Amiierst 



http://www.arcliive.org/details/annualreportofwo85worc 



OFFICEES OF THE ASYLUM. 



TRUSTEES. 



A. GEORGE BULLOCK, 
THOMAS H. GAGE, . 
GEORGE W. WELLS, 
ROCK WOOD HOAR,. 
DAVID T. DICKINSOX, 
SARAH E. WHITIN,. 
FRANCES M. LINCOLN, 



w^orcester. 
Worcester, 
sodthbridge. 

W'ORCESTER. 

Cambridge. 

WlIITINSVILLE. 

Worcester. 



RESIDENT OFFICERS. 
ERNEST V. SCRIBNER, M.D., 
HARTSTEIN W. PAGE, M.D., 
THOMAS HOWELL, M.D., .... 
ABBIE S. FAY 



Superintendent. 
Assistant Physician. 
Assistant Physician. 
Matron. 



NON-RESIDENT OFFICERS 
ALBERT W^OOD, 
GEORGE L. CLARK, 
MARIAN D. CUDWORTH, 
FREDERICK H. BAKER, M.D 
WILLIAM SHERMAN, . 



Treasurer. 

Axulitor. 

Clerk. 

Pathologist. 

Engineer. 



Cnmrnnixfoi^alt^ nf P^assarl^wsdts. 



TRUSTEES' REPORT. 



To Eis Excellency the Ooveryior and the Honorable Council. 

The trustees of the Worcester Insane Hospital, acting for the 
Worcester Insane Asylum, respectfully present the twenty-first 
annual report of this latter institution. The reports of the 
superintendent and treasurer are also appended. 

For many, years this institution has been greatly crowded. 
The extensive alterations and repairs which have for some time 
been in progress here have furnished greatly improved facilities 
for the care of patients, rendering possible an increased efS- 
ciency of service on the part of employees. Something has 
also been added to the actual capacity of the house. There 
are now 419 persons inmates of this asylum. With a present 
normal capacity somewhat above 400, it will be seen that no 
great excess of patients is now cared for. In the male depart- 
ment a few vacant rooms exist. 

The standard of care has been constantly raised, and, so far 
as personal attention and the comfort and healthfulness of their 
surroundings is concerned, perhaps the majority of our patients 
were never better situated in their own homes. In this insti- 
tution, caring as it does exclusively for the chronic insane, 
little is to be expected in the way of recoveries. It is a 
pleasure, however, to report that one man recovered during the 
year, and returned to the life of the community. W^e trust 
that this recovery may be permanent. 

Considerable work of reconstruction and repair has been 
accomplished during the past year. In all this work special 
reference has been had to improvement in sanitation. Con- 



70 WOECESTER INSANE ASYLUM. [Oct. 

sidering the advanced stage of mental disease in all our patients, 
together with the weakened power of resistance to physical ail- 
ments, the very small death rate of the year speaks favorably 
for the results achieved. 

Among the more important changes of the year is the open- 
ing of a new bath room, where the rain bath is used in place 
of the ordinary tubs. A great gain in efficiency has been made, 
and the danger from accidental scalding would seem to be very 
materially diminished. Important advances have also been 
made in the improvement of the ward ventilation. 

The report of the superintendent will show in more detail 
the operations of the institution, and indicates a year of success- 
ful hospital work. 

Dr. Thomas Howell has been engaged to serve as assistant 
physician during the temporary absence of Dr. Page. No other 
change has occurred in the personnel of the staff. 

A. GEORGE BULLOCK. 
THOMAS H. GAGE. 
GEORGE W. WELLS. 
ROCKWOOD HOAR. 
DAVID T. DICKINSON. 
SARAH E. WHITIN. 
FRANCES M. LINCOLN. 
Worcester, Mass., Oct. 1, 1898. 



1898.] 



PUBLIC DOCUMENT — No. 23. 



71 



OFFICERS A:N'D THEIR SALARIES. 



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



$2,500 00 

1,300 00 

1,000 00 

100 00 

400 00 

400 00 

50 00 

600 00 

1,000 00 



VALUE OF STOCK A^D SUPPLIES. 

Oct. 1, 1898. 



Live stock, ........... f 250 00 

Produce of the garden on hand, 857 50 

Carriages and agricultural implements, ..... 500 00 

Machinery and mechanical fixtures, 9,000 00 

Beds and bedding in inmates' department, .... 9,000 00 

Other furniture in inmates' department, 8,500 00 

Personal property of State in superintendent's department, . 9,500 00 

Ready-made clothing, 2,924 81 

Dry goods, 763 21 

Provisions and groceries, 1,461 63 

Drugs and medicines, 375 00 

Fuel, 3,500 00 

Library, 600 00 

Other supplies undistributed, ....... 1,695 73 



$13,927 88 



72 



WOECESTER INSANE ASYLUM. 



[Oct. 



TEEASUEER'S EEPORT. 



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

Insane Asylum, 

I herewith submit my twenty-first annual report on the 
finances of the Worcester Insane Asylum for the year end- 
ing Sept. 30, 1898. 

RECEirTS. 

Cash ou hand Sept. 30, 1897 : — 
Cash belongiDg to the asylum, . 
Deposits of inmates, 



Amounts received : — 
From the Commonwealth for support of patients, 
From cities and towns for support of patien's, . 

From other sources, 

From patients, 



$12,575 


65 


1,232 


43 


$17,804 53 


55,581 


96 


750 


28 


128 


84 



fl3,808 08 



74,265 61 
?88,073 69 



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 cofi'ee, . 
Sugar and molasses. 
Milk, butter and cheese, 
Salt and other groceries, 
All other provisions, . 

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

Amounts carried forward. 



$2,852 69 

661 30 

2,634 78 

4,041 92 

43 28 

463 32 

681 45 

1,075 55 

6,584 06 

316 50 

2,053 26 

$4,399 19 
4,427 77 
1,053 40 



$23,801 92 



21,308 11 



$9,880 36 $45,110 03 



1898.] 



PUBLIC DOCUMENT — No. 23. 



73 



Amounts 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 deposits), 

Total amount expended. 
Cash on hand Sept. 30, 1898, . 



Resources. 

Cash on hand, 

Due from Commonwealth for support, 
Due from cities and towns, 

Liabilities. 

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



Total surplus. 



|9,880 36 $45,110 03 

226 66 

1,577 56 

114 03 

349 08 

335 35 

60 00 

20 92 

677 43 

284 64 

80 52 

102 00 

6,287 12 

1,976 55 



$12,000 00 

84 82 



f8,906 62 

4,570 43 

13,545 28 



$2,279 84 
2,077 75 
1,276 45 



21,972 22 

$67,082 25 



12,084 82 

579,167 07 
8,906 62 

^88,073 69 



$27,022 33 



6,634 04 
$21,388 29 



Respectfully submitted, 



ALBERT WOOD, 

Treasurer. 



WoncESTER, Mass., Oct. 1, 1898. 



W0ECE3TEB, Mass., Oct. 24, 1898. 
The undersigned has this day carefully compared the treasurer's statement of expen- 
ditures for the year ending Sept. .30, 1898, 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. 



74 WORCESTER INSANE ASYLUM. [Oct. 



superinte:n"dent's report. 



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

Insane Asylum. 

I herewith present to yonv board the twenty-first annual re- 
port of the superintendent of the Worcester Insane Asylum. 

At the beginning of the ofBcial year there were 435 persons 
inmates of this asylum, — 217 men and 218 women. There have 
been admitted 1 man and 21 women, making a total of 457 
cases under treatment, — 218 men and 239 women. There 
have been discharged 17 persons, — 6 men and 11 women, and 
6 men and 15 women have died, — a total of discharges and 
deaths of 38 persons, leaving 206 men and 213 women — 419 
patients — in the asylum at the close of the official year. Of 
those discharged, 1 man recovered, 1 woman was much im- 
proved and 5 men and 10 women were unimproved. Of these 
cases, 4 men and 8 women were transferred to the Hospital for 
Epileptics at Palmer, 1 woman was transferred to the Westbor- 
ough Insane Hospital, 1 man was transferred to the Boston In- 
sane Hospital, and 1 woman escaped and was never returned, 
leaving but 2 cases of genuine discharge to the community. 
No patient has been removed for the purpose of boarding out 
or for transfer to an almshouse. Of those admitted, the ma- 
jority were in poor physical condition. While dementia pre- 
dominated, many were excited, violent and destructive, adding 
appreciably to the necessary restraint. Nearly one-half required 
single rooms. A continued influx of this noisy, turbulent and 
destructive class, necessitating so much greater care and watch- 
fulness, must in time involve an increase of ratio in the number 
of nurses employed. Intelligent supervision is specially de- 
manded for these cases, because not all are utterly intractable, 



1898.] PUBLIC DOCUMENT — No. 23. 75 

some yielding to continued attention and care, becoming more 
quiet and comfortable, some even becoming valuable assistants 
in the ward work. From the deeply demented little is to be 
expected. 

During the year 12 epileptics were removed from this insti- 
tution to the Hospital for Epileptics at Palmer. This transfer 
afforded us no special relief from this class, as none but the 
mildest and most tractable cases were taken, leaving the ex- 
cited, violent and dangerous — the most difficult to manage — 
to still be cared for here. There now remain in this institution 
22 epileptics. Of this number, in the great majority the 
seizures are frequent and often attended with intense excite- 
ment, noise and violence predominating. In none does a hope 
of cure exist. Some slight amelioration of condition may 
occur in a very few cases, but in by far the greater number 
there is little to hope for. The epileptics form one of the most 
difficult and dangerous classes to deal with that is found in an 
institution. 

For many years the institution has not been so free from 
crowding as now. With the gradual expansion and increase of 
facilities an appreciably greater number of patients could be 
cared for with slight discomfort. This is particularly true of 
the male department. 

In considering the probable causes of disease in the cases 
admitted, it is of interest to note that in 68 per cent, the cause 
was unknown. These unknown cases seem often to embrace 
the more hopeless forms of insanity. In the majority there is 
little doubt that a faulty inheritance played a most important 
part as a causative factor, and, if the full history were known, 
the numbers ascribed to heredity would be largely increased. It 
is also interesting to note how many of these unknown cases come 
from the large centres of population, serving to emphasize what 
I have before called attention to, — the increasing incurability 
of the insanity of the cities. There congregate the defective 
classes, and there they may best be studied. The degenerate 
turns to the cities with almost a homing instinct. The insanity 
and the criminality of these classes are too often but the ex- 
pression of some ancestral taint. The investigation of the 
causes of insanity is a most profitable field of effort, and, as 
prevention is always better than cure, promises quite as im- 



76 WORCESTEE INSANE ASYLUM. [Oct. 

portant results to posterity as any line of observation bearing 
upon this subject. 

I am pleased to report one case of recovery. The patient — 
a man — was an inmate of this institution for more than five 
years. During his residence here he was somewhat irritable at 
times, but in the main was quiet, and made a quite constant 
gain in mental strength. This was an alcoholic case, and if 
the craving for intoxicants does not resume mastery with his 
return to the ordinary life of the community, the prospect for 
a final recovery seems fairly good. As this man has a son, to 
whose home he went and under whose care he will be, the likeli- 
hood of a relapse is greatly lessened. Cases of recovery in 
patients of this class are specially cheering, and should serve to 
encourage to renewed efi^ort. The distinction between acute 
and chronic cases is sometimes more artificial than real. While 
it is true that the prospect of recovery diminishes with each 
succeeding year, each case should be considered in itself. 

The course of instruction to attendants has been continued. 
The good results of this instruction have been most marked 
among the female nurses, and among them the greatest interest 
has been shown. The changes among the male attendants have 
been more frequent, and the material not always of the best. 
A special effort, however, has been made to impress upon them 
a clearer understanding of their duty, and to thus fit them for 
its more intelligent performance. The more inexperienced the 
individual, the greater profit will there be in his instruction. 
Since a more intelligent service is now demanded from the 
hospital attendant, no efi'ort should be spared to extend the 
horizon of his knowledge and to more fully fit him for the 
duties of his position. 



1898.] 



PUBLIC DOCUMENT — No. 23. 



77 



BatiQ of 


Deaths from the Opening 


of the Asyhim to Oct. 1, 


1898. 




Whole 
Number of 
Patients. 


Daily Average 

Number 

of Patients. 


Deaths. 


Per Cent, on 

Whole Number 

of Patients 

treated. 


Per Cent, on 


OFFICIAL YEAK. 


■3 
3 




3 


Daily Aver- 
age Number 
of 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 


875.69 


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 


7.58 


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 


9.89 


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 


38 


20 


58 


11.17 


12.97 


1893-94, 






515 


442.23 


22 


21 


43 


8.85 


9.72 


1894-95, 






604 


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 


6.59 


5.93 


1897-98, 






457 


428.16 


6 


15 


21 


4.59 


4.97 



The general health of the house has been good. No case of 
contagious disease has appeared among patients or employees, 
and but little acute disease of any kind has been present. 
The deaths have been chiefly due to chronic causes. Among 
the causes of death, phthisis, senility and apoplexy lead, in the 
order named. Phthisis has always been responsible for the 
greatest mortality. An examination of the statistical tables for 
the past twenty-one years shows that phthisis has been the 
cause of death in about one-third of all the cases, and that this 
ratio is fairly constant throughout the years. In my last an- 
nual report I called attention to the fact that the death rate was 
then the lowest at any time during the history of the institution. 
The past year has shown a still further diminution in this ratio. 
The operation of natural laws will doubtless forbid a long con- 
tinuance of this condition of affairs, and an increase of mortality 
is to be expected. This continued low death rate would seem 
to indicate that sanitary conditions are correct, and that only 



78 WOECESTER INSANE ASYLUM. [Oct. 

causes peculiar to the individual were operating to produce a 
fatal result. 

Considerable work of repair and reconstruction has been ac- 
complished during the year. The new water-closet and bath- 
room section of the north Johonnot wards has been completed 
and in use for some months. The completion of this work has 
afforded great relief to these wards and has greatly increased 
the facilities for caring for the patients. The operation of the 
rain bath is specially satisfactory, demonstrating, to my mind, 
the utter unfitness of the ordinary bath-tubs for this class of 
patients. The labor of the bath is greatly expedited, and the 
operation is far more efficiently performed. The saving of time 
alone is a matter of the greatest importance, and appreciably 
increases the efficiency of our nurses. The danger from scald- 
ing would also seem to be greatly diminished. Last, but not 
least, the patients like it. I should recommend the installation 
of these baths in the other wards of the institution, particularly 
in the male department. 

In accordance with my recommendation of last year, gal- 
vanized-iron pipes have been attached, in the attic of the south 
Johonnot wards, to a portion of the ventilation flues communi- 
cating with the rooms and corridors below, the whole being 
brought together in one large exit flue, provided with steam 
radiation as a lifting power. The operation of this system has 
been most satisfactory, and, when extended to include the whole 
building, cannot fail to be of great value. The importance of 
pure air, though often dwelt upon, can never be overestimated. 
The limitation of this work has been wholly for financial rea- 
sons, and I should recommend its extension at such early date 
as it may be possible. 

A new circular bay window has been added to the north 
wing. The increase of light and cheer has exceeded my 
anticipation, and has practically transformed these wards into 
the brightest and most attractive in the institution. The suc- 
cess of this feature of construction has been so marked that the 
work is being duplicated, to a certain extent, in connection 
with the south wings. The work in this latter place, however, 
has been of a much more extensive nature. Not only has a bay 
window been added, but a high bank wall has been removed, 



1898.] PUBLIC DOCUMENT — No. 23. 79 

and with some excavation a large, bright and airy room has 
been constructed, facing the sun. This room, with proper 
subdivision, can be utilized for a great variety of purposes, 
furnishing much-needed work rooms and possibly dining facil- 
ities. This addition has been roofed in, and the completion of 
the interior will be accomplished during the coming winter. 
In prosecuting this work the opportunity will be taken to ex- 
tend and improve the ward ventilation. A new laboratory and 
work room is approaching completion, and will furnish facilities 
for furtherino; scientific investigation. 

Among the other changes of the year, a new brick oven has 
been built in the bakery. The old oven has been in continuous 
use for many years, and was beginning to need considerable 
repair. It seemed advisable to build anew. The type of con- 
struction was changed, resulting in an increased efficiency and 
a greater economy of fuel. The water section of the adminis- 
tration building has been reconstructed and modern plumbing 
installed. 

During a considerable portion of the year two extra men 
have been employed to take patients out to work. We have 
been somewhat handicapped by the fact that few of our inmates 
have sufficient mental capacity to intelligently apply them- 
selves, save under somewhat close supervision. Under the di- 
rection of these two men, however, much valuable work has 
been accomplished. A large amount of excavating has been 
done in connection with the reconstruction of the south wing, 
the grounds have been cared for, and considerable grading and 
filling has been done. Profitable labor has always been found 
in excess. Mattress making, chair seating, floor scraping and 
the general domestic duties of the wards have occupied the at- 
tention of our patients, with benefit to themselves and to the 
institution. 

Dr. Page having been granted special leave of absence by 
your Board, Dr. Thomas Howell has been engaged to serve 
until his return. Dr. Howell having had previous hospital 
experence, came well equipped for his work. 

To all the officers of the institution I am indebted for a most 
cordial co-operation and faithful performance of their duties. 
The employees, in the main, have rendered efficient service. 



80 WOECESTER INSANE ASYLUM, [Oct.'98. 

During the winter weekly entertainments have been given in 
the chapel. To very many of our patients these have afforded 
great enjoyment and satisfaction. The usual religious services 
have been held. 

The publishers of the Worcester "Evening Gazette" have 
again contributed a copy of their paper, and the Hospital 
Newspaper Society, the Young People's Society of Piedmont 
Church and other friends have kindly given books and papers. 

E. V. SCRIBNER, 

Superintendent. 



REVISED TABLES 



Unifokm Statistics 



MASSACHUSETTS HOSPITALS AND ASYLUMS 
FOR THE INSANE. 



Approved bt the State Board of Lunacy and Charity, 
March 10, 1891. 



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84 



WORCESTER INSANE ASYLUM. 



[Oct. 









ts 

^ 






oq 



s 

H 

^« 
gg 
Oo 

a ^ 

t« 

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434.65 
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> 

a 
>-> 


1897 

October, . 
November, 
December, 


EC 


January, . 

February, . 

March, 

April, 

May, 

June, 

July, 

August, . 

September, 



1898.] 



PUBLIC DOCUMENT — No. 23. 



85 



3. — Received on 


First and Subsequent 


Admissio7is. 






Cases admitted. 


Times pkeviouslt 
recovered. 


NUMBER OF THE ADMISSION. 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


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


1 


19 
2 


19 
3 


- 


~ 


- 


Total of eases, 
Total of persons, . 


1 
1 


21 
21 


22 
22 


- 


- 


- 



4. — Relations to Hospitals of Pe 


•sons admitted. 




HOSPITAL KELATIONS. 


Males. 


Females. 


Totals. 


Never before in any hospital for the insane, . 


- 


- 


- 


Former inmates of this asylum only, 


- 


- 


- 


Former inmates of other hospitals only, . 


- 


19 


19 


Former inmates of this asylum and other hos- 
pitals, 


1 


2 


3 


Total of persons, 


1 


21 


22 





5. — Parentage of Persons 


admitted. 








OF NATIVITY. 


Males. 


Females. 


Totals. 


PLACES 


Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Unknown, . 


. 


1 


1 


21 


21 


22 


22 


Total, . 


1 


1 


21 


21 


22 


22 



86 



WORCESTER INSANE ASYLUM. 



[Oct. 



6. — Residence of Persons admitted. 



PLACES. 

MassachusettB : — 

Suffolk County, 

Norfolk County, 

Worcester County, 

Middlesex County, 

Totals, 

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



Males. 



Females. 



Totals. 



22 



7. — Civil Condition of Persons admitted. 





Unmaeried. 


Married. 


Widowed. 


1 Unknown. 


Totals. 


NUMBER OF THE 




ffi 




1 


» 
















. 


<o 




ADMISSION. 




a 


o 

Eh 


_2 

■3 


e! 

s 

01 


a 





a 





_2 

"3 

a 


a 5 

V 




1 




Eh 


First, 


- 


7 


7 


- 


10 


10 


- 


2 


2 


- - 


- 


- 


19 


19 


Second, . 


1 


- 


1 


- 


1 


1 


- 


1 


1 


- - 


- 


1 


2 


3 


Totals, 


1 


7 


8 


- 


11 


11 

1 


- 


3 


3 


_ 


- 


- 


1 


21 


22 



S. — Occujyation of Persons admitted. 



MALES. 

Brass finisher 1 

Total 1 

FEMALES. 

Housewives, 11 

Domestics, 4 

Seamstresses 1 

No occupation 5 

Total 21 

WIFE OR DAUGHTER OF — 

Unknown, 21 

Total 21 



1898.] 



PUBLIC DOCUMENT — No. 23. 



87 






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1 1 1 1 1 1 1 1 1 1 


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02 




1. — Physical: — 

Overwork aud anxiety. 
Senility and poverty. 
Childbirth, . 
Intemperance, . 
Hereditary ill health, 

2. — Mental: — 

Anxiety, 

Religious excitement, 

Unknown 

Totals, . 



WOECESTER INSANE ASYLUM. 



[Oct. 









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1898.] 



PUBLIC DOCUMENT — No. 23. 



89 



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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. 



90 



WORCESTER INSANE ASYLUM. 



[Oct. 



12. — Reported Duration of Disease before Last Admission. 







First Admission to 
ANT Hospital. 


All Other 
Admissions. 


Totals. 


PREVIOUS DURATION. 


S 


1 


-.J 


r^ 


1 


o 

Eh 


S 


s 


1 


Congenital, . 

Under 1 month, . 

From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 yeai's, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
Over 20 years, 
Unknown, 
Not insane, . 




- 


~ 


- 


1 

~ 

1 
1 

9 


4 
10 
2 
2 
1 
2 

21 

21 

5.40 


4 
10 
3 
2 
1 
2 


1 

1 

1 

9 


4 
10 
2 
2 
1 

2 

_ 


4 
10 
3 
2 
1 
2 


Total of cases. 
Total of persons. 
Average in years. 


- 


_ 


_ 


22 

22 
5.80 


21 

21 

5.40 


22 

22 

5.80 



1898.] 



PUBLIC DOCUMENT — No. 23. 



91 



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t^ . . . . 


A. — Insane: — 

Dementia, chronic, 

epileptic, . 
senile. 

Mania, chronic, . 

Melancholia, chronic, . 

Primary delusional insanit 

Alcoholic insanity. 

Circular insanity. 

General paresis, . 

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

D. — Not insane, . . . . 


a 

m O 
a> m 

a a> 
o O. 

o o 

a 3 
o o 

Eh &h 



92 



WORCESTER INSANE ASYLUM. 



[Oct. 









^ 


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1898.] 



PUBLIC DOCUMENT — No. 23. 



9a 



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94 



WORCESTER INSANE ASYLUM. 



[Oct. 






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1898.] 



PUBLIC DOCUMENT — No. 23. 



95 





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1898.] 



PUBLIC DOCUMENT — No. 23. 



97 



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Remaining of 
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98 



WORCESTER INSANE ASYLUM. [Oct.'98. 



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