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

■ } ■.''..:'':".'•.'■ ■ .. ' ■■■ '■■'■' ■■' ■ 





TWENTY-FIFTH ANNUAL REPORT 



WORCESTER INSANE ASYLUM 



WORCESTER, 



Year ending September 30, 1902. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportofwo93worc 



CONTENTS. 



PAGB 

Report of Trustees, 7 

Report of Superintendent, .' 10 

Report of Treasurer, 17 

Statistics, 23 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 



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



Boston. 

Whitinsville. 

Worcester. 

Worcester. 

Worcester. 

Southbridge. 

Worcester. 



RESIDENT OFFICERS. 
ERNEST V. SCRIBNER, M.D., . 

P. CHALLIS BARTLETT, M.D 

ABBIE S. FAY, 



Superintendent. 
Assistant Physician. 
Matron. 



NON-RESIDENT OFFICERS. 
ALBERT WOOD, . 
GEORGE L. CLARK, . 
SUSIE G. WARREN, . 
FREDERICK H. BAKER, M.D., 
FOREST A. SLATER, . 



Treasurer. 
Auditor. 
Clerk. 

Pathologist. 
Engineer. 



C0mm0tt!teli|j ai IPassarfnrsttls- 



TEUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Insane Hospital, having in 
charge the Worcester Insane Asylum, respectfully submit their 
twenty-fifth annual report, together with the report of the 
superintendent and the treasurer. 

The administration of the asylum by the officers in charge has 
been marked by the usual attention to economy and efficiency 
of management. 

There has been a large increase in the number of patients 
during the year, the average number being 533.48, as against 
476.82 during the previous year; the number of patients on 
Sept. 30, 1901, and Sept. 30, 1902, respectively, being 477 
and 543. 

The general health of the institution has been good. There 
have been a few cases of contagious disease, but its spread has 
been quickly checked, as will appear more fully in the super- 
intendent's medical report. 

During the year the medical force of the asylum has been 
again drawn on to supply a superintendent for another public 
institution, Dr. Thomas Howell, after three years of useful 
service here as assistant superintendent, having left to take 
the position of superintendent of the Worcester City Hospital. 
Dr. P. C. Bartlett has been appointed as assistant superin- 
tendent in his place, which he promises to efficiently fill. 

The use of the new congregate dining room on the female 
side, which has been completed during the year, has furnished 
increased space in the wards to care for a part of the large 



80 WORCESTER INSANE ASYLUM. [Oct. 

increase in the number of inmates ; but the kitchen and laundry, 
which were planned and built to supply the wants of a number 
of patients less than 400, and have become antiquated and 
worn out by long service, are entirely inadequate to properly 
care for the needs of 540 patients and the necessary attendants 
and employees. The superintendent and this Board, therefore, 
join in again requesting from the Legislature an appropriation 
of $27,000 for the purpose of enlarging and improving the 
kitchen and laundry of the institution and for new equipment 
for the same. 

The Legislature of 19.02, upon the recommendation of the 
State Board of Insanity and at the request of this Board, 
appropriated the sum of $25,000 for the purchase of notdess 
than 500 acres of land by this institution for the purpose of 
enlarging its usefulness in the care of the insane. There has 
been bought with $21,000 of that appropriation about 700 acres 
of land, situated in the towns of North Grafton, Shrewsbury 
and Westborough, with houses and farm buildings thereon, 
which can at slight expense be put into condition to receive 
and accommodate 40 or 50 of the less disturbed male patients, 
who can be sent there under the care of an officer of the asylum, 
with proper attendants, can be given employment beneficial to 
themselves, and be made useful in preparing the land for use in 
caring for part of the annual increase in the number of the 
insane of the State. For this purpose, and to properly equip 
the new colony with teams, horses and proper farming tools 
and machinery, there will be needed the sum of $13,500 ; and 
we would recommend an appropriation of that amount by the 
Legislature for this purpose, and a further appropriation of 
$10,000 to establish a good water supply for the present and 
future needs of this farm colony and for plumbing and sewage 
disposal. 

This new location just purchased can be made useful in 
supplying a place to care for a number of the more disturbed 
female patients of the asylum, who can better be cared for, 
with less annoyance to the public, in such a locality, removed 
from other people, than they can be in the present building, 
situated as it is in the midst of a large city, with no extensive 
grounds around it. The Board would recommend, for the 



1902.] PUBLIC DOCUMENT — No. 23. 81 

purpose of erecting and furnishing a building to accommodate 
such patients and the necessary attendants and employees in 
connection therewith, an appropriation by the Legislature of 
$35,000. 

The possession of this large tract of land, situated within 
seven miles of the present institution, gives opportunity for 
the establishment in connection with the existing asylum of a 
new colony for the care of the insane, where they can be better 
cared for according to their mental and physical condition and 
given employment beneficial to their health under circumstances 
more favorable than can obtain in a large city ; and at the 
same time the advantages of location near a city in the way 
of large markets for trade and ease in obtaining supplies can 
be enjoyed, as the nearness of location to the city of Worcester 
makes that the natural purchasing centre as of the present 
asylum. 

Respectfully submitted, 

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



82 WORCESTER INSANE ASYLUM. [Oct. 



SUPERINTENDENT'S REPORT. 



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

Insane Asylum. 

I respectfully submit the twenty-fifth annual report of the 
superintendent of the Worcester Insane Asylum. 

Oct. 1, 1901, there were enrolled as inmates in this institu- 
tion 477 patients, — 221 men and 256 women. During the 
year 98 persons were admitted, — 32 men and 66 women, 
making a total of 575 patients under treatment. Of this num- 
ber, 1 woman recovered, 1 woman was much improved, 1 man 
was improved, 1 man and 3 women were not improved and 11 
men and 14 women died, — a total of 32 persons discharged 
and died, — 13 men and 19 women. Sept. 30, 1902, our 
official number called for 543 patients, — 240 men and 303 
women. Of this number, but 542 persons were actually pres- 
ent in the institution, 1 man having escaped the previous year, 
his name being still carried on our records. The daily average 
number was 533.48. Of the 98 persons admitted, 95 were 
originally from the larger cities and towns, leaving but 3 per- 
sons, all women, residents of the country districts. This is a 
somewhat significant showing, and would seem to indicate a 
ratio of insanity existing in the larger centres of population 
entirely out of proportion to that in the country communities. 
This is undoubtedly true to a certain extent, but the dispropor- 
tion is probably not as great as here shown. As our patients 
were selected cases, sent to us from other institutions, doubt- 
less chance contributed to a more unfavorable showing than 
the actual facts would warrant. Mental anxiety, alcoholic 
excess and heredity largely predominated in the probable 
causes of mental disease in those admitted. In over half the 
cases the previous history was so defective that no special cause 
could be assigned. The average duration of the mental disease 
before admission here was nearly eight years. Dementia, as 
usual, was the predominating mental condition,, either as a 
primary form of disease, or in many cases as secondary to 
other forms of attack. Epilepsy figures as a less important 



1902.] 



PUBLIC DOCUMENT — No. 23. 



83 



causative factor than usual. Among the discharges it is a 
pleasure to report one case of recovery. The patient, a woman, 
improved decidedly during her residence here, and for some 
little time before she left the institution seemed entirely well. 
The majority of the other cases discharged were of an unpromis- 
ing nature, some being taken by friends and others removed by 
the Board of Insanity. 

Although the number of patients has considerably increased, 
the death rate for the past year has appreciably diminished, be- 
ing lower than at any time since the opening of the institution. 
The deaths from phthisis, while formerly averaging about 331/3 
per cent, of the whole number, for the past year have only 
been 12 per cent. While this lessened death rate is very 
likely in some measure accidental, it seems to me a fair infer- 
ence that the constant improvement in sanitary conditions and 
the increased personal attention which is given to individuals 
may have some measure of influence in the matter. 

Ratio of Deaths from the Opening of the Asylum to Oct. 1, 1902. 









Deaths 


. 








Whole 
Number of 
Patients. 


Daily Average 

Number 

of Patients. 








Per Cent, on 

Whole Number 

of Patients 


Per Cent, on 


OFFICIAL YEAR. 


03 


■3 


£ 


Daily Average 
Number 








« 


s 


-g 


treated. 


of Patients. 








S 


£ 


H 






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 


383.56 


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 


1899-1900, 




517 


470.18 


11 


19 


30 


5.80 


6.38 


1900-1901, 




517 


476.82 


17 


16 


33 


6.38 


6.17 


1901-1902, 




575 


533.48 


11 


14 


25 


4.35 


4.69 



84 WORCESTER INSANE ASYLUM. [Oct. 

Several cases of contagious disease have occurred, chiefly 
among the employees, two patients only being attacked. Soon 
after a transfer from another institution one of the persons 
received developed a case of measles. One other patient and 
three male employees contracted the disease. None of the 
cases proved of a serious nature. Several cases of diphtheria 
have also occurred, four male nurses and one female nurse 
contracting the disease. The four men were from the same 
source of contagion, two of the cases being also complicated 
with scarlet-fever. Two of these men were undoubtedly in- 
fected from the first two cases, but all the others originated 
from sources outside the institution. The early recognition of 
cases and their prompt removal to the Worcester Isolation 
Hospital limited the spread of the disease. All cases ran a 
mild course. No patients were attacked. One case of chicken- 
pox also occurred in the person of one of the female employees. 
Aside from the above cases reported, the general health of the 
institution has been good. 

Along with other medical work a considerable series of ob- 
servations has been made as to the condition of the blood inci- 
dent to the varying mental states of the patient. The influence 
of the electric light bath on special cases has also been studied. 
The members of our training school have given invaluable ser- 
vice in conducting these observations, and the added experience 
has been of undoubted value to them. One of our nurses was 
given opportunity for a special term of service at the Worcester 
City Hospital. 

The Legislature of last year having granted the sum of 
$25,000 for the purchase of land by your Board for the use of 
the asylum, I have to report that, in accordance with your in- 
structions, a tract of land has been bonded for this purpose, 
located on the line of the Boston & Albany Railroad, and on 
the main carriage road from North Grafton to Westborough, 
lying mostly in the towns of Grafton and Shrewsbury, a few 
acres being in Westborough. Additional lots of land are offered 
in the same locality, making it possible to secure 700 acres or 
more of contiguous property well adapted to the purposes of 
the institution. At the main location, a line of electric cars 
from Worcester to Westborough runs by the door, giving 



1902.] PUBLIC DOCUMENT — No. 23. 85 

easy access to both of these places. An excellent location 
for a side track from the Boston & Albany Railroad exists 
upon the property. This tract of land occupies the summit 
of the divide between the Quinsigamond and Aseabet rivers, 
extending into both drainage areas, and seems to offer good 
opportunities for the development of a water supply and 
for sewage disposal. These farms are not in a state of 
high cultivation, but the quality of the soil is good. There 
is quite an acreage of wood, pasture and undeveloped lands. 
The existing farm buildings will require some repair before 
they will be properly adapted to the asylum purposes, but 
they are of sufficient value in most cases to warrant a rea- 
sonable outlay of money upon them. In my judgment, this 
newly acquired property should be immediately occupied by 
a colony from this institution, and plans for expansion be 
prepared, making additional provision for such numbers of the 
annual increase of the insane of the State as may commend 
itself to your judgment and may harmonize with the plans of 
the State Board of Insanity. By a gradual enlargement of 
capacity commensurate with the needs of the Commonwealth, 
doubtless, fewer mistakes will be made and a greater measure 
of economy secured than by any other method. With the 
asylum as a base of operations no necessity exists for new and 
expensive buildings for administrative purposes, all new con- 
struction being immediately available for the accommodation 
of patients. The opportunities for classification by transfer 
between the asylum and its colony will operate greatly to the 
advantage of both. The development of the farm should keep 
pace with the colony expansion and be dependent thereon, 
farming operations being entered into not as a measure of 
economy alone, but also for the great personal good which will 
accrue to the patient from an active and healthful out-of-door 
life. 

I recommend that an appropriation of $13,500 be sought 
from the Legislature for the repairing and furnishing of the 
farm buildings for the accommodation of patients and for 
equipping the farm for immediate operations. In my judg- 
ment, existing farmhouses can be adapted to accommodate 50 
or more male patients, with the necessary employees, from 



86 WORCESTER INSANE ASYLUM. [Oct. 

which number the farm workers can be drawn. With this ap- 
propriation early available the colony for men could be devel- 
oped first, and thus provide workers who would be able to 
render efficient aid in the construction of new buildings, mate- 
rially diminishing the cost. As the greatest pressure upon the 
institution at present seems to be for the accommodation of 
women, I should advise that our first new colony building for 
patients be planned with this special need in view. I recom- 
mend that an appropriation of $35,000 be asked for to provide 
for the construction and furnishino; of a buildino- for 50 dis- 
turbed women, this to include kitchen, dining room and accom- 
modations for employees. This building should be simple in 
design, but fairly substantial construction would be required 
to meet the needs of caring for this destructive class of cases. 
I also recommend that $10,000 be asked for to provide a water 
supply and for plumbing and sewage disposal. 

The asylum kitchen has long needed attention. The im- 
provement of this department is one of the most pressing and 
important needs of the institution at the present time. All 
other departments have been renovated and repaired. The 
kitchen building, originally designed for a much smaller num- 
ber than those now accommodated here, should be reconstructed 
and brought up to the standard of the other departments. The 
establishment of the Grafton colony will bring an added burden 
to our work here, rendering our needs still more urgent. I 
recommend that an appropriation of $25,000 be asked for the 
accomplishment of this work. The machinery in the laundry 
ironing room is old and of capacity inadequate to the present 
needs, much of the clothing which should be thus treated not 
being ironed at all. I recommend that $2,000 be asked for, to 
purchase laundry machinery. 

Among the more important operations of the year has been 
the completion and opening of a congregate dining room for the 
female department. This room has sufficient accommodation 
for all of our female patients who are able to go to a dining 
room and for all of our female nurses. This room has been in 
use since November of last year, and has been very successful 
in its operation. A more intelligent attention can be given to 
the service of meals, and a closer supervision exercised over 



1902.] PUBLIC DOCUMENT — No. 23. 8*7 

those patients who, by reason of physical or mental infirmities, 
require special personal attention. The opening of this room 
rendered the old ward dining rooms available for dormitory 
purposes, thus increasing the capacity of the house by some 50 
patients. In the laundry building the old wooden dry room 
has been torn out, and a new metallic dryer substituted in an- 
other location. This new dry room has been in active opera- 
tion for some little time. It is piped to use the exhaust steam 
of the engines which run the electric light and power plant, 
thus securing considerable economy in the use of steam. The 
operation of this room has been very satisfactory. In the dem- 
olition of the old room a great fire menace has been removed 
from the institution. Quite a number of rooms and dormitories 
in the female department have been equipped with special flues 
and ventilating apparatus, supplying cool outside air in sum- 
mer and warm air in winter. These specially ventilated rooms 
make it possible to give better care to very many of our dis- 
turbed patients, rendering them not only more comfortable 
personally, but less objectionable to their associates. 

Since my last report Dr. Thomas Howell has resigned his 
position as assistant physician in this institution, to accept the 
superintendency of the Worcester City Hospital. I wish to 
record my appreciation of Dr. Howell's faithful and efficient 
service here. Dr. P. C. Bartlett, from the Dan vers Insane 
Hospital, has been appointed as Dr. Howell's successor. Dr. 
Bartlett is an experienced man, and comes well equipped for 
his work. No other change has taken place in the official 
staff. I am indebted to officers and employees for their cordial 
and intelligent performance of duty. 

The usual Sunday services have been held in the chapel. 
Weekly entertainments, picnics, etc., have served to entertain 
our patients. 

Thanks are again due to the publishers of the "Worcester 
Evening Gazette" and of the " Worcester Spy" for copies of 
their papers. The Hospital Newspaper Society has as usual 
contributed a generous supply of books and papers. 

E. V. SCEIBNER, 

Superintendent. 



88 



WORCESTER INSANE ASYLUM. 



[Oct. 



OFFICERS AND THEIR SALARIES. 



Ernest Y. Sckibner, M.D., Superintendent, . 
P. Chaixis Bartlett, M.D., Assistant Physician, 
Frederick H. Baker, M.D., Pathologist, 
Abbie S. Fay, Matron, 
Albert Wood, Treasurer, 
George L. Clark, Auditor, 
Susie G. Warren, Clerk, . 
Forest A. Slater, Engineer, 







$2,500 00 






1,000 00 






100 00 






400 00 






400 00 






50 00 






480 00 






1,000 00 



YALUE OF STOCK AND SUPPLIES 

Oct. 1, 1902. 



Live stock, $435 00 

Produce of the garden 'on hand, 1,642 50 

Carriages and agricultural implements, 400 00 

Machinery and mechanical fixtures, . . . . . . 10,000 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, 3,944 04 

Dry goods, 1,443 60 

Provisions and groceries, . 2,285 93 

Drugs and medicines, . 350 00 

Fuel, 125 00 

Library, 650 00 

Other supplies undistributed, 1,010 11 



$44,286 18 



1902.] PUBLIC DOCUMENT — No. 23. 89 



TREASURER'S REPORT. 



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

Insane Asylum. 

I herewith submit my twenty-fifth annual report of the 
finances of the Worcester Insane Asylum for the year ending 
Sept. 30, 1902. 

Receipts. 

Cash on hand Sept. 30, 1901 : — 
Cash belonging to the asylum, $2,494 99 

Amounts received : — 
From Commonwealth for support of patients, . 
From Commonwealth for salaries and supplies, 
From cities and towns for support of patients, 
From individuals for support of patients, . 
From soldiers' relief for support of patients, . 
From other sources, 



The expenditures for the year have been as follows : — 

Salaries and wages, $30,318 75 

Food : — 

Butter, $3,788 48 

Beans, 297 47 

Crackers, 360 61 

Cereals, rice, meal, etc., 367 97 

Cheese, 288 53 

Eggs, 1,146 60 

Flour, 2,989 98 

Fish, 1,129 38 

Fruit, 1,735 24 

Meats, 5,065 45 

Milk, 5,533 56 

Amounts carried forward, .... $22,703 27 $30,318 75 



$12,947 28 




57,058 47 




58,872 96 




888 00 




169 46 




1,041 22 






130,977 39 






$133,472 38 



90 



WORCESTER INSANE ASYLUM. 



[Oct. 



Amounts brought forward, 



Molasses, 

Sugar, .... 

Tea, coffee and cocoa, . 

Vegetables, . 

Sundries, 



Clothing and clothing material : — 
Boots, shoes and rubbers, . 

Clothing, 

Dry goods for clothing and small wares, 
Furnishing goods, .... 

Hats and caps, 

Leather and shoe findings, . . . . 
Sundries, 



Furnishings : — 
Beds, bedding, table linen, etc., . 
Brushes, brooms, etc., 
Carpets, rugs, etc., 
Crockery, glass ware, cutlery, etc., 
Furniture and upholstery, . 
Kitchen furnishings, . 
Wooden ware, buckets, pails, etc., 
Sundries, 



Heat, light and power : — 

Coal, 

Gas, 

Oil, 

Sundries, .... 



Repairs and improvements : — 

Bricks, ; 

Cement, lime and plaster, . 

Doors, sashes, etc., .... 

Electrical work and supplies, . 

Hardware, 

Lumber, ......... 

Machinery, etc., 

Paints, oils, glass, etc., 

Plumbing, steam fitting and supplies, 

Roofing and materials, 

Sundries, ....".. 



Farm, stable and grounds : — 
Blacksmith and supplies, . 
Carriages, wagons and repairs, 
Fertilizers, vines, seeds, etc., 
Hay, grain, etc , . 

Amounts carried forward, 



$22,703 27 


$30,318 75 


272 


42 




1,348 


98 




883 


08 




2,218 87 




920 


59 


28,347 21 






$995 


00 




2,792 


61 




2,710 


13 




52 


01 




129 


40 




15 


79 




88 


96 


6,783 90 






$2,547 


98 




129 


50 




125 


80 




323 


15 




102 


38 




423 


76 




33 


23 




745 


27 


4,431 07 






$2,746 


11 




28 


30 




47 


95 




13 75 








2,836 11 






$168 80 




345 


56 




20 


31 




587 


48 




720 


83 




1,023 


44 




39 


00 




1,648 


06 




711 


75 




403 


52 




1,828 


95 








7,497 70 


$61 


49 


402 


67 




450 


05 




21 


07 





$935 28 



1902.] 



PUBLIC DOCUMENT — No. 23. 



Amounts brought forward, . 

Harness and repairs, . 

Horses, 

Sundries, 



Miscellaneous : — 
Books, periodicals, etc., 
Chapel services and entertainments, . 
Freight, expressage and transportation, 
Funeral expenses, .... 

Ice, 

Medicines and hospital supplies, 
Medical attendance, nurses, etc. (extra), 
Postage, .... 
Printing and printing supplies, 
Return of runaways, . 
Soap and laundry supplies, 
Stationery and office supplies, 
Travel and expenses (officials), 
Telephone and telegraph, . 
Tobacco, .... 
Water, .... 

Sundries, .... 



91 

$935 28 $80,214 74 

58 60 

137 50 

39 45 

1,170 83 



$183 


30 


463 00 


170 


30 


175 


00 


500 


50 


650 


91 


208 


58 


146 


10 


63 77 


3 


00 


1,888 


05 


271 


93 


189 


30 


138 


91 


465 44 


759 


84 


494 


57 



Total amount expended for salaries and supplies, 
Amount collected and sent to State Treasurer, . 



Total amount expended, 
Cash on hand Sept. 30, 1902, 



Resources. 



Cash on hand, 

Due from cities and towns, 



Liabilities. 



Due for supplies and expenses, 
Due for salaries and wages, 



$572 07 
16,192 62 



£5,633 48 
2,514 46 



6,772 50 

$88,158 07 
44,742 24 

$132,900 31 
572 07 

$133,472 38 



$16,764 69 



8,147 94 

$8,616 75 
Inmates' Funds. 

Cash on hand Oct. 1, 1901, $1,489 96 

Received from inmates, $856 64 

Received from interest on account, ... 20 44 

877 08 

$2,367 04 

Cash refunded inmates, 436 47 

Balance, " . . . . $1,930 57 



92 WORCESTER INSANE ASYLUM. [Oct. 1902, 



Special Appropriation. 



Appropriation. 



Expended. 



Balance 
Oct. 1, 1902. 



For the purchase of land for colony, 



$25,000 00 



$2,700 00 



$22,300 00 



Respectfully submitted, 



ALBERT WOOD, 

Treasurer. 



Worcester, Mass., Oct. 1, 1902. 



Worcester, Mass., Oct. 23, 1902. 
The undersigned has this day carefully compared the treasurer's statement of the 
expenditures for the year ending Sept. 30, 1902, 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. 



STATISTICAL TABLES 



[Form prescribed by State Board of Insanity.] 






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96 



WORCESTER INSANE ASYLUM. 



[Oct. 



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1902.] 



PUBLIC DOCUMENT — No. 23. 



97 



Received on First and Subsequent Admissions. 





Casks admitted. 


TlMKS PREVIOUSLY 
RECOVERED. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


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


32 


66 


98 


- 


- 


- 


Total of cases, 
Total of persons, . 


32 
32 


66 
66 


98 
98 


- 


- 


- 



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, . 


32 


66 


98 


Former inmates of this asylum and other hos- 


- 


- 


- 


Total of persons, 


32 


66 


98 



5. — Parentage of Persons admitted. 





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Unknown, 


32 


32 


66 


66 


98 


98 


Totals, .... 


32 


32 


66 


66 


98 


98 



98 



WORCESTER INSANE ASYLUM. 



[Oct. 



6. — Residence of Persons admitted. 



PLACES. 



Males. 



Females. 



Totals. 



Massachusetts : — 

Hampden County, . 
Middlesex County, . 
Suffolk County, 
Worcester County, . 
Essex County, . 
Norfolk County, 
Hampshire County, . 

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



7. — Civil Condition of Persons admitted. 





Unmarried. 


Married. 


Widowed. 


Unknown. 


Totals. 


NUMBER OF THE 
ADMISSION. 


m 
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a 


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


23 

23 


30 
30 


53 


9 
9 


29 
29 


38 
38 




7 
7 


7 
7 




• 




32 

32 


66 
66 


98 


Totals, 


53 


98 



8. — Occupation of Persons admitted. 



MALES. 



Printer 1 

Cabinet makers 2 

Waiters, 2 

Upholsterer, 1 

Operatives, 4 

Laborers 5 

Rag dealer 1 

Shoemaker, 1 

Blacksmith, 1 

Painter 1 



Mechanic, 
Wire worker, 
Farmer, . 
Molder, . 
Engineer, 
None, 
Unknown, . 

Total, . 



FEMALES. 



Housewives, 12 

Cook, 1 

Operatives 7 

School girl, . . . . . . .1 

Housekeepers, 14 

Canvasser 1 

Candy worker 1 



Dressmaker, 1 

Domestics, 10 

Waitresses, 2 

None, 14 

Teachers 2 

Total, 66 



WIFE OR DAUGHTER OF — 



Unknown, 
Total, 



1902.] 



PUBLIC DOCUMENT — No. 23. 



99 



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2. — Mental: — 

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3. — Unknown 


"3 
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101 













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102 



WORCESTER INSANE ASYLUM. 



[Oct. 



12. — Reported Duration of Disease before Last Admission. 





First Admission to 
Ant Hospital. 


All Other Ad- 
missions. 


Totals. 


PREVIOUS DURATION. 


"3 


a 


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a 

fa 


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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 

9 

6 

16 


3 

27 
24 
12 


4 
36 
30 
28 


1 

9 

6 

16 


3 
27 
24 
12 


4 

36 

30 
28 


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


_ 


- 


- 


32 
32 

9.59 


66 

66 

6.19 


98 

98 

7.89 


32 

32 

9.59 


66 

66 

6.19 


98 

98 

7.89 



PUBLIC DOCUMENT — No. 23, 



103 



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A. — Insane : — 

Alcoholic insanity, 

Dementia, primary 
senile, 
chronic, 

Delusional insanity 

Epilepsy, 

Mania, recurrent, 

Imbecile, . 

Idiot, 

Melancholia, . 

General paralysis, 

B. — Habitual drunkards, 

C. —Voluntary patients, 


Total of cases, 
Total of persons, . 



104 



WORCESTER INSANE ASYLUM. 



[Oct. 





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PUBLIC DOCUMENT — No. 23. 



109 



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