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

TWENTY-SECOND ANNUAL REPORT 



WORCESTER INSANE ASYLUM 



WORCESTER, 



Year ending September 30, 1899. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportofwo87worc 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 



THOMAS H. GAGE, . 
GEORGE W. WELLS, 
ROCKWOOD HOAR, 
SARAH E. WHITIN, 
FRANCES M. LINCOLN, 
SAMUEL B. WOODWARD, 



Worcester. 

southbridge. 

Worcester. 

Whitinsville. 

Worcester. 

Worcester. 



RESIDENT OFFICERS. 
ERNEST Y. SCRIBNER, M.D., 
THOMAS HOWELL, M.D., .... 
ABBIE S. FAY, 



Superintendent. 
Assistant Physician. 
Matron. 



NON-RESIDENT OFFICERS. 

ALBERT WOOD, Treasurer. 

GEORGE L. CLARK, ....... Auditor. 

SUSIE G. WARREN, Clerk. 

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

WILLIAM SHERMAN, Engineer. 



Cnmmnutomlljj 0f 7fj$K&&iw]jnBztt&. 



TRUSTEES' REPOET. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Insane Hospital, acting for the 
Worcester Insane Asylum, respectfully present their twenty- 
second annual report, it being for the year ended Sept. 30, 
1899. 

The year at this institution has been without notable occur- 
rence. About the usual number of patients have been cared 
for, and the results have been much the same as in previous 
years. The exact number under treatment has been 493, and 
of these, as will be seen by the superintendent's accompanying 
report, 2 have been discharged recovered, 2 improved, 1 not 
improved and 27 have died. There remain 461. 

The recoveries are noteworthy and remarkable, and Dr. 
Scribner's account of them will be read with interest. That 
two asylum inmates should be so far recovered as to admit of 
their return to society and the community is a fact very pleasant 
to record. It shows that these sad cases are not all hopeless. 

What Dr. Scribner says in his report of the causes, immediate 
and remote, of the dementia which so generally characterizes 
the patients under his charge, is worthy of, and will receive, 
serious consideration. And so will be particularly remarked 
what he has to say of epilepsy, and of the violent and danger- 
ous character of the epileptic patient ; and this more especially 
when considered in connection with the fact that 22 epileptics, 
including some of those who were removed last year from the 
asylum to the Monson hospital, have been in this transferred 
from Monson to the asylum, thus increasing instead of dimin- 
ishing here this very undesirable class of inmates. It had been 



70 WORCESTER INSANE ASYLUM. [Oct. 

supposed by the officials of both the hospital and the asylum 
that the provision made for epileptics at Monson was to relieve 
them of the care of these troublesome cases, and an increase 
of the number from that source had not been anticipated. 

The superintendent's statement of important improvements 
and repairs, especially as to the heating and ventilation of the 
south wing, will receive attention. These have been even more 
important than appears from the statement, and have been fully 
in keeping with the work of renovation which has been in 
progress for several years. When all that is now projected 
and under way is accomplished, the improvements will be of 
great utility. And it is satisfactory to add that, in carrying 
out his plans, Dr. Scribner has employed largely the labor of 
inmates. 

It is pleasant to note the fact that some of the female attend- 
ants have been sent during the year to the city hospital training 
school for nurses, in order that they might gain experience and 
receive instruction in general nursing of the sick. This indi- 
cates a purpose to make the service of attendants more valuable 
and more like that which in general hospitals patients receive 
at the hands of trained nurses. It is a step in the right di- 
rection and toward what is likely to be in the near future a 
great improvement. 

Dr. Scribner's suggestions as to things that are needed and 
that must be attended to, — to the need of improved bathing 
and toilet facilities for the male patients, of further improve- 
ments in ward ventilation, of the introduction of kitchen 
machinery, of the installation of a refrigerating plant, of 
changes in the general arrangements of the kitchen, of concrete 
roadways and walks and of interior painting of the house, — 
are all carefully noted by the trustees. They are, however, of 
opinion that, when he gets through with the larger operations 
in which he is now engaged, he will be able to take these 
matters up and gradually do what is required with the use of 
the current funds of the asylum and without recourse to the 
Legislature. It is true the present cash on hand will be very 
much reduced by payments for the electric plant building, but 
it is nevertheless believed that a sufficient sum will remain for 
the objects mentioned. 



1899.] PUBLIC DOCUMENT— No. 23. 71 

The electric light and power plant, for which the last Legis- 
lature appropriated $12,000, is progressing favorably, and will 
be completed, it is hoped, in the early winter. It is not the 
purpose, however, to put in at present a storage battery, al- 
though every preparation will be made for putting it in at a 
future time, should it be thought advisable. No doubt is felt 
that the cost of the plant will be kept within the appropriation. 

In this connection the trustees desire to express their grateful 
appreciation of the intelligent and careful study Dr. Scribner 
has devoted to the subject of an electric service. To him the 
institution will be vastly indebted for this great improvement. 

In the summer, Dr. Hartstein W. Page, who has held for 
several years the office of assistant physician here, resigned to 
accept a position of greater responsibilty and larger salary at 
the Baldwinsville Cottages for Children. His services have 
been of great value, and the best wishes of the Board attend 
him in his new and important field of duty. Dr. Thomas 
Howell has been appointed to the vacancy. 

In closing the history of the first twenty-two years of the 
asylum's existence, the trustees feel assured that the institution 
has more than justified the wisdom of the legislative act that 
established it. It was begun as an experiment, a " temporary " 
expedient, but has long since taken a permanent and prominent 
place among the noble charities of the State. It is to-day one 
of the pleasantest, best appointed and most comfortable of 
the Commonwealth's provisions for the insane. Its wards are 
neat, sunny, bright and cheerful, its grounds highly cultivated 
and attractive, and its inmates, in every respect, as contented 
and happy as their extremely unfortunate condition permits. 
And it has proved, moreover, by the exercise of a rigid but not 
parsimonious economy in its management, an inexpensive as 
well as successful venture. 

THOMAS H. GAGE. 
GEORGE W. WELLS. 
EOCKWOOD HOAR. 
SARAH E. WHITIN. 
FRANCES M. LINCOLN. 
SAMUEL B. WOODWARD. 
Worcester, Mass., Oct. 1, 1899. 



72 



WORCESTER INSANE ASYLUM. 



[Oct. 



OFFICERS AND THEIR SALARIES. 



Ernest V. Scribner, M.D., Superintendent, 
Thomas Howell, M.D., Assistant Physician, 
Frederick H. Baker, M.D., Pathologist, 
Abbie S. Fat, Matron, 
Albert Wood, Treasurer, 
George L. Clark, Auditor, 
Susie G. Warren, Clerk, 
William Sherman, Engineer, 



^2,500 00 

1,000 00 

100 00 

400 00 

400 00 

50 00 

480 00 

1,000 00 



VALUE OF STOCK AND SUPPLIES. 

Oct. 1, 1899. 



Live stock, $350 00 

Produce of the garden on hand, 832 61 

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, 3,500 00 

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

Ready-made clothing, . . . 2,713 93 

Dry goods, 873 85 

Provisions and groceries, 1,362 07 

Drugs and medicines, 300 00 

Fuel, 3,000 00 

Library, 600 00 

Other supplies undistributed, 1,167 36 



$42,699 82 



1899.] 



PUBLIC DOCUMENT — No. 23. 



73 



TREASURER'S REPORT. 



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

Insane Asylum. 

I herewith submit my twenty-second annual report on the 

finances of the Worcester Insane Asylum for the year ending 

Sept. 30, 1899. 

Receipts. 
Cash on hand Sept. 30, 1898 : — 
Cash belonging to the asylum, .... 
Deposits of inmates, . . „ . 

Amounts received : — 
From the Commonwealth for the support of 

patients, 

From cities and towns for support of patients, 
From other sources, ...... 

From patients, 

72,913 90 

$81,820 52 



$7,576 


67 


1,329 


95 


$21,122 52 


50,901 


42 


696 


39 


193 57 



|8,906 62 



The expenditures for the year have been as follows : — 

Salaries and wages, $23,753 84 



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

Meal for the table, 
Hay and grain, . 
Tea and coffee, . 
Milk, butter and cheese, 
Sugar and molasses, . 
Salt and other groceries 
All other provisions, . 

Clothing and material, 

Fuel, 

Lights, .... 

Amounts carried forward, 



$3,230 89 

771 02 

2,306 48 

2,488 90 

38 53 

190 54 

796 21 

6,332 20 

1,250 80 

346 49 

2,467 17 

14,914 44 

4,113 28 

930 71 



),958 43 $43,973 07 



20,219 23 



74 



WORCESTER INSANE ASYLUM. 



[Oct. 



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 (extraordinary), . 
Refunded inmates (on deposits) 

Hi Total amount expended, 
Cash on hand Sept. 30, 1899, 



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), . , 



),958 43 $43,973 07 



■257 24 




988 96 




151 99 




583 86 




258 35 




112 55 




21 28 




358 41 




270 01 




109 08 




135 00 




7,863 80 
2,381 42 


23,450 38 




. 


$67,423 45 


$1,931 06 

146 08 


2,077 14 

$69,500 59 
12,319 93 


• 



$1,820 52 



$12,319 93 

5,763 45 

14,121 10 


$32,204 48 
7,601 50 


$4,282 47 
1,995 09 
1,323 94 




$24,602 98 



Respectfully submitted, 



ALBERT WOOD, 

Treasurer. 



Worcester, MASs.,«Oct. 1, 1899. 



Worcester, Mass., Oct. 20, 1899. 
The undersigned has this day carefully compared the treasurer's statement of expen- 
ditures for the year ending Sept. 30, 1899, 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, p and finds them to agree. 

GEO. L. CLARK, 

Auditor of Accounts. 



1899.] PUBLIC DOCUMENT — No. 23. 75 



SUPERINTENDENT'S REPORT. 



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

Insane Asylum. 

I respectfully present to your Board the twenty-second 
annual report of the superintendent of the Worcester Insane 
Asylum. 

Oct. 1, 1898, 206 men and 213 women — 419 persons — 
were inmates of this institution. During the official year 74 
persons were admitted, — 26 men and 48 women, making a 
total under treatment of 493 persons — 232 men and 261 
women. There were discharged during the year 16 men and 
16 women. Of this number, 1 man and 1 woman recovered, 
2 women were improved, 1 woman was not improved and 15 
men and 12 women died, — a total of discharges for all causes 
of 32 patients. Sept. 30, 1899, there remained in the institution 
461 persons, — 216 men and 245 women. Of those discharged, 
2 women were removed by the overseers of the poor to be cared 
for at the almshouse, 1 man went away in the care of his wife 
and 1 woman was removed by her sister. 

Epilepsy, intemperance, congenital deficiency and heredity 
figure as the chief causes of the mental disease among those ad- 
mitted. A little consideration of these causes will show how 
slight is the probability of recovery in the vast majority of 
these cases. In my last annual report I made note of the fact 
that 12 epileptics were removed from this institution to the 
Hospital for Epileptics at Monson. Though this transfer in- 
cluded chiefly the milder cases, and therefore occasioned no 
considerable relief, still, it did diminish the numbers of a class 
of patients always difficult and unsatisfactory to manage, even 
in the more quiet cases. This relief proved only of short 
duration, however. During the past year, of the 74 persons 
received, 29 were epileptic, 22 being from the hospital at 
Mooson, several being the very persons who were sent away 



76 WOECESTEE INSANE ASYLUM. [Oct. 

from here last year. In one respect an improvement has been 
shown in the character of those received, in not so large a pro- 
portion has advanced physical disease been a prominent feature, 
only 10 per cent, being considered as in poor bodily health. 
When we come to consider mental condition, however, a very 
different picture is presented. Violence, untidiness and de- 
mentia were marked traits, the evidence of mental decay being 
in the majority of cases all too manifest. 

Unpromising as seemed the material received, not all was 
bad, however, as shown by the fact that of this number two 
cases recovered, a man and a woman. The man on admission 
here was highly excited and at times inclined to be violent and 
abusive. He had delusions of poisoning, was absorbed in the 
contemplation of his own imaginary persecutions, and evinced 
little interest in the welfare of his family. He readily accepted 
employment, and after a short residence here became more 
quiet, seeming to gradually awake to a sense of his surround- 
ings. His interest in life returned, and he seemed once more 
eager to undertake the support of his family. He was allowed 
to go home, apparently well, having been insane for about two 
and one-half years. The other case of recovery was that of a 
woman past middle life. This was an alcoholic case. On ad- 
mission here the patient was full of suspicion, with delusions 
of persecution. After a time she seemed to gain confidence in 
those around her, and accepted in good faith the efforts made 
in her behalf. The insanity in this case was of uncertain dura- 
tion, and the permanence of the recovery seems largely de- 
pendent upon the patient not resuming her former habits of 
life. 

There has been a slight average increase in the number of 
patients during the year, the daily average being 433.81, as 
against 428.16 last year. Nearly twice as many women as 
men have been admitted. In fact, for some years the demand 
for increased accommodation has been far greater for women 
than for men. At the present time a few more men could be 
cared for here without serious inconvenience, if of a fairly 
quiet class ; but to provide for many additional women of that 
noisy, violent, untidy and demented class which has formed so 
large a percentage of our recent admissions would be difficult. 
Every year brings a greater pressure for the accommodation 



1899.] PUBLIC DOCUMENT — No. 23. 77 

afforded by single rooms. With the completion of repairs 
which are now in progress some of the rooms used for ward 
dining rooms can be converted into single rooms for patients, 
and thus afford some measure of relief in the direction where 
most needed. This relief, however, comes now only in the 
male department, and, while very welcome there, would be 
doubly so if it could be extended to the female department. 
Plans are already matured, which, when carried to completion, 
will provide increased accommodation for women. With the 
advent of electric power a new era will open in lighting and 
ventilation, rendering it possible to care for our present num- 
bers with less discomfort, and making provision for a possible 
further increase more easy of accomplishment. The demand 
for increased accommodation in the State establishments for 
the insane can possibly be met, for the present, by the enlarge- 
ment of existing institutions. 

In mental disease with each succeeding year the probability 
of recovery lessens. Though complete return to health may be 
denied, marked improvement often follows a closer attention to 
individual treatment, a response well worthy of the effort. 
Since the mind manifests itself through the medium of the 
body, it is through this medium that our chief influence is 
naturally brought to bear. With the increase of individual 
attention to patients a greater responsibility is necessarily laid 
upon the hospital attendant, and a more intelligent service is 
demanded. Supplementary to the course of instruction given 
here, an arrangement was made this summer with the Worces- 
ter City Hospital by which one of our female nurses was 
afforded a special service at this latter institution. It is pro- 
posed that a similar opportunity shall be given to other nurses 
at such times as can conveniently be arranged for. This added 
experience cannot fail to be of great benefit in the asylum 
work. It is the constant aim to bring the service to a higher 
plane of excellence, and to ascribe greater importance to the 
office of nurse than to that of custodian. 

Cerebral disease is essentially exhausting in its nature, and 
in the effort to combat the abnormal drain of nervous energy 
careful attention must be paid to the nutrition of the nervous 
centres. A series of somewhat extended investigations entered 
into here have seemed to show quite conclusively that in the 



78 



WORCESTER INSANE ASYLUM. 



[Oct. 



majority of chronic cases much more is to be expected from a 
careful and scientific regulation of the diet than from the ad- 
ministration of remedial drugs alone. The demented and the 
deluded seem often to suffer, though in the midst of plenty, 
from improper nutrition, due to the faulty assimilation of food. 
Efforts to correct this condition bring a response which shows 
that in this direction lies a fertile field for future investigation. 

Ratio of Deaths from the Opening of the Asylum to Oct. 1, 1899. 







Whole 

Number of 

Patients. 


Daily Average 

Number 

of Patients. 


Deaths. 


Per Cent, on 

Whole Number 

of Patients 

treated. 


Per Cent, on 


OFFICIAL YEAR. 




a 


"3 

o 
Eh 


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 


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 


1884-85, 




448 


391.12 


20 


14 


34 


7.58 


8.69 


1885-86, 




476 


400.28 


23 


15 


38 


7.98 


9.49 


1886-87, 




444 


393.52 


21 


17 


38 


8.55 


9.65 


1887-88, 




451 


393.95 


23 


14 


37 


8.20 


9.39 


1888-89, 




431 


385.56 


27 


11 


38 


8.81 


9.85 


1889-90, 




428 


330.23 


27 


4 


31 


7.24 


9.38 


1890-91, 




464 


394.66 


22 


12 


34 


7.32 


8.61 


1891-92, 




499 


427.82 


22 


15 


37 


7.41 


8.64 


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 


1895-96, 




467 


427.36 


16 


19 


35 


7.49 


8.19 


1896-97, 




465 


438.14 


11 


15 


26 


5.59 


5.93 


1897-98, 


457 


428.16 


6 


15 


21 


4.59 


4.90 


1898 99, 


493 


433.81 


15 


12 


27 


5.47 


6.22 



No case of contagious disease has occurred during the year, 
either among patients or employees. The general health of 
the house has been good, and there has been little acute disease 
of any nature. The death rate is somewhat larger than that 
of last year, but still very small for this class of patients. 
Phthisis again heads the list of the causes of death. The 
average duration of insanity in those who died was a little in 
excess of twenty-two years, and the average hospital residence 
was nearly sixteen years. In both cases the average duration 
among the men was quite a little in excess of that among the 
women. 



1899.] PUBLIC DOCUMENT — No. 23. 79 

For some years the furnishing of this institution with an 
electric lighting plant has been under consideration, but no 
active steps were taken in the matter until last winter. In 
prosecuting the work of reconstruction and repair here it has 
not been customary to ask for special appropriations. The 
installation of an electric plant, however, required the expen- 
diture of such comparatively large sums of money during such 
short periods of time that the ordinary revenues of the institu- 
tion were inadequate. An appropriation being sought, the 
Legislature voted the sum of $12,000 for furnishing the insti- 
tution with an electric plant. The work of installation is now 
in active progress, and, if all contracts are carried out in 
accordance with agreement, the completion of the whole plant 
will be accomplished at an early date. For the accommodation 
of the new power plant an addition is being made to the 
present engine and laundry building. This addition will not 
only provide a place for the engines and generators, but will 
also greatly increase the facilities of the laundry and sewing- 
room. In this latter place the change will be most welcome, 
as the work here has long been carried on in cramped and in- 
adequate quarters. Since the installation of electric power 
became assured, repair in all departments has been held in 
abeyance as much as possible, in order that the necessary 
cutting of walls and ceilings might be accomplished with as 
little damage as possible to finished work. This has of course 
prevented the completion of considerable work that would have 
otherwise now been finished. As soon as the electric equip- 
ment is complete these repairs will be resumed and can then 
be carried rapidly forward. 

Perhaps one of the most important improvements of the 
year has been the change in the heating and ventilation of the 
south wings. In these wards, under the old arrangement, an 
equitable distribution of heat and fresh air was impossible, and 
the system of ventilation was most faulty. All this has now 
been remedied. Room exits have been enlarged, and a whole 
new scheme of corridor ventilation and heating has been intro- 
duced. Radical changes were found necessary to remedy the 
defects. A circular bay window has also been added to these 
wards, greatly increasing the comfort and cheer. 

The labor of patients has been utilized in all departments, 



80 WORCESTER INSANE ASYLUM. [Oct. 

and much valuable work has been accomplished. Besides 
rendering great assistance in the general work of repair, 
scraping and refinishing floors, etc., nearly all of the chairs 
in the wards have been reseated and rendered practically new. 
Though large numbers of our people have been profitably em- 
ployed, the most intelligent workers are as a rule retained in 
other institutions. Were it not for this fact, a greater variety 
of work could be accomplished here. An unusual amount of 
out-of-door work has presented itself this year, and many more 
men could have been employed to advantage, had they been 
available. The dry season greatly limited the supply of water 
from the Hermitage Pond. Advantage has been taken of this 
fact to drain and thoroughly clean this reservoir. This work 
was done almost entirely by patients. The pond has partially 
refilled, and a little water is now being taken from this source 
of supply. A new connection has also been made with the 
city mains and a new meter put in place. 

Though much work of renovation and repair has been ac- 
complished, the constantly increasing needs of the institution, 
together with the natural ravages of time, render it difficult to 
keep pace with the demands. Improved bathing and toilet 
facilities are greatly needed for the male department. Further 
efforts should also be made in the improvement of the ward 
ventilation. The introduction of kitchen machinery would 
greatly facilitate the work of that department. The installa- 
tion of a refrigerating plant is desirable at as early a date as 
may be possible. Important changes should also be made in 
the general arrangement of the kitchen. Concrete roadways 
and walks are greatly needed in the outside approaches to the 
buildings. A large amount of interior painting will be neces- 
sary this winter. Some of this work can doubtless be accom- 
plished during the coming year, but the work already in hand 
will probably absorb a considerable portion of the energies for 
some time to come. 

Since my last annual report Dr. Page has resigned his 
position as assistant physician here, to accept the office of 
superintendent of the Hospital Cottages for Children at Bald- 
winsville. I desire to record my appreciation of the faithful 
and efficient service rendered by Dr. Page while connected 
with this institution. Dr. Thomas Howell, who filled a tern- 



1899.] PUBLIC DOCUMENT— No. 23. 81 

porary appointment here last summer, has been engaged as 
assistant physician. To officers and employees I desire to 
give thanks for the faithful performance of duty, which has 
rendered easier the administration of hospital affairs. 

Weekly entertainments have been furnished in the chapel. 
Games of various kinds have enlivened the evenings in the 
wards. Attendance at the circus, electric car rides and picnics 
have all contributed to relieve the monotony of asylum exist- 
ence. Sunday service has been held as usual. 

We are again indebted to the publishers of the " Worcester 
Evening Gazette " for a copy of their paper, and the Hospital 
Newspaper Society has kindly remembered us with books, 
magazines and papers. Other friends have contributed miscel- 
laneous reading matter. 

E. V. SCRIBNEE, 

Superintendent. 



KEVISED TABLES 



Uniform Statistics 



MASSACHUSETTS HOSPITALS AND ASYLUMS 

FOR THE INSANE. 



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






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§ 


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Patients in asylum Oct. 1, 1898, 

Admitted within the year, 

Whole 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, 1899, . 
Viz. : supported as State patients, . 
as town patients, . 
as private patients, 
Number of different persons within the year 

Persons admitted, 

Persons recovered, ..... 
Daily average number of patients, 
Viz. : State patients, .... 

town patients, .... 



86 



WORCESTER INSANE ASYLUM. 



[Oct. 



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201.00 


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1898. 

October, . 
November, 
December, 


a 

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January, 

February, 

March, 

April, 

May, 

June, 

July, 

August, 

September 



1899.] 



PUBLIC DOCUMENT — No. 23. 



87 



3. — Received on First and Subsequent Admissions. 





Cases admitted. 


Times previously 
recovered. 


NUMBER OF ADMISSION. 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


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


23 
8 


45 
3 


68 

6 


- 


- 


- 


Total of cases, 
Total of persons, . 


26 
26 


48 
48 


74 
74 


- 


- 


- 



4. — Relations to Hospitals of Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


Never before in any hospital for the insane, . 

Former inmates of this asylum only, 

Former inmates of other hospitals only, . 

Former inmates of this asylum and other hos- 
pitals, 


23 
3 


45 
3 


68 
6 


Total of persons, 


26 


48 


74 





5. — Parentage of Persons admitted. 








F NATIVITY. 


Males. 


Females. 


Totals. 


PLACES 


Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Unknown, . 


. 


26 


26 


48 


48 


74 


74 


Total, . 


26 


26 


48 


48 


74 


74 



WORCESTER INSANE ASYLUM. 



[Oct. 



6. — Residence of Persons admitted. 



PLAGES. 



Males. 


Females. 


1 




1 


- 


1 


2 


- 


1 


5 


19 


1 


- 


15 


18 


2 


8 


26 


48 


23 


38 


3 


10 



Totals. 



Massachusetts : — 

Berkshire County, . 
Bristol County, 
Essex County, . 
Franklin County, 
Middlesex County, . 
Norfolk County, 
Suffolk County, 
Worcester County, . 

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



7. — Civil Condition of Persons admitted. 





Unmarried. 


Married. 


Widowed. 


Unknown. 


Totals. 


NUMBER OF THE 




£ 






00 






DO 






m 






* 




































ADMISSION. 


<u 


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SS 


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a 

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o 


















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a 


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pq 


H 


First 


15 


27 


42 


6 


13 


19 


2 


5 


7 








23 


4ft 


68 




3 


2 


5 


- 


1 


1 














3 


3 


6 


Totals, .... 


18 


29 


47 


6 


14 


20 


2 


5 


7 


- 


- 


- 


26 


48 


74 



8. — Occupation of Persons Admitted. 



MALES. 



Barber, 
Bootblack, 
Book-keeper, 
Butcher, 
Janitor, 
Laborers, 
Letter carrier, 
Machinists, . 



Painters, 

Peddler, 

Salesman, 

Tailors, . 

None, 

Unknown, 



Total) 26 



FEMALES. 



Bookbinder, . 
Domestics, . 
Housekeepers, 
Housewives, . 
Laundress, . 
Librarian, 



Tailoress, 

None, 

Unknown, 

Total, 



WIFE OR DAUGHTER OF — 



Unknown, 
Total, 



48 



1899.] 



PUBLIC DOCUMENT — No. 23. 



89 



05 

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1. — Physical: — 

Acute affection of 

brain. 
Congenital, 
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weakness, 
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of skull, . 
Epilepsy and injury 

to head, . 
Fever, 

Intemperance, . . 
Injury, 

111 health and epilepsy, 
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Menopause, 
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Senility, 
Unreciprocated love, 

2. — Mental: — 

Family affliction, 
Heredity, . 
Overmental work, 
Worry, 
Unknown, . 


"3 
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90 



WORCESTER INSANE ASYLUM. 



[Oct. 



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PUBLIC DOCUMENT — No. 23. 



91 



l l I I l I -*xcc^«: i i i 



I I I I I I(M^t)((N I I I I 



I I I I I I (NtP-*INCO i I I 



|i-Hi-Ii-(D~-*iOt-I^HtH I | 1C I 



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



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



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



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



I I I J I I I I I I I I I I 



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oj ea _ ao o c lL 5! 
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92 



WORCESTER INSANE ASYLUM. 



[Oct. 



12. — Reported Duration of Disease before Last Admission. 





First Admission to 
any Hospital. 


All Other 
Admissions. 


Totals. 


PREVIOUS DURATION. 


32 


| 


"5 
o 


« 
g 


1 


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o 

EH 


3 


13 

§ 


"3 
o 

EH 


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

3 to 6 months, . 

6 to 12 months, . 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

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


- 


- 


- 


1 

2 

1 
6 
5 
3 

8 

26 

26 

8.56 


4 
1 

1 

2 
5 

10 
1 
8 
6 

10 

48 

48 

8.70 


5 

1 

1 

2 

7 
11 

7 
13 

9 
18 

74 

74 

8.65 


1 

2 
1 
6 
5 
3 
8 

26 

26 

8.56 


4 
1 

1 

2 
5 

10 
1 
8 
6 

10 

48 

48 

8.70 


5 

1 
1 

2 

7 
11 

7 
13 

9 
18 


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


_ 


_ 


74 

74 

8.65 



1899.] 



PUBLIC DOCUMENT — No. 23. 



93 





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02 

< 

02 

s 

fa 
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A. — Insane: — 

Alcoholic insanity, . 

Congenital deficiency, . 

Dementia, chronic, . 

epileptic, 

senile, . 

Mania, chronic, 

recurrent, . 

Melancholia, chronic, 

Primary delusional in- 
sanity. 

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


. <3 
co O 

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a & 

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94 



WORCESTER INSANE ASYLUM. 



[Oct. 



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O 

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02 

m 
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First, 

Second, .... 


Total of cases, . . 
Total of persons, 





PUBLIC DOCUMENT — No. 23. 



95 







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CO 


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 5 years, 
5 to 1 years, 

10 to 20 years, 
Over 20 years, 
Unknown, 


Totals, .... 
Average of known cases (in yea 

B. — Habitual drunkards, . 

C. — Voluntary patients, . 



PUBLIC DOCUMENT — No. 23. 



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PUBLIC DOCUMENT — No. 23. 



99 





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