J92r 


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PUBLIC  DOCUMENT No.  28. 


TWENTY-NINTH  ANNUAL  REPORT 


THE    TRUSTEES 


STATE   LOTATIC   HOSPITAL. 


A.T    "WORCESTER 


OCTOBER,    1861 


BOSTON: 

WILLIAM  WHITE,  PRINTER  TO  THE  STATE. 

18  6  1. 


OFFICERS  OF  THE  HOSPITAL. 


TRUSTEE 


JOSEPH  N.  BATES,  M.  D., 
WILLIAM  T.  MERRIFIELD, 
ROBERT  W.  HOOPER,  M.  D., 
EDWIN  F.  JENKS,       . 
EDWARD  JARVIS,  M.  D.,  . 


Worcester. 

Worcester. 

Boston. 

Adams. 

Dorchester. 


TREASURER, 


HENRY  WOODWARD, 

Office,  Mechanics'  Bank,  Main  Street. 


Worcester. 


RESIDENT     OFFICERS. 

MERRICK  BEMIS,  M.  D., Superintendent. 

FRANK  H.  RICE,  M.  D., Assistant-Physician. 

HENRY  C.  PRENTISS,  M.  D.,    .         .        .         .  Clerk  and  Apothecary. 

CAROLINE  A.  BEMIS, Matron. 


TWENTY-NINTH   ANNUAL   REPORT 

OF   THE 

TRUSTEES  OF  THE  STATE  LUNATIC  HOSPITAL, 
AT     WORCESTER. 


To  His  Excellency  the  Governor,  and  the  Honorable  Council : 

The  Trustees  of  the  Worcester  Hospital  for  the  Insane,  in 
presenting  their  Annual  Report,  beg  leave  to  say  that  the  hos- 
pital is  now  in  excellent  condition,  and  the  result  of  the 
treatment  of  patients  under  the  care  of  our  Superintendent 
compares  favorably  with  that  of  any  previous  year. 

The  importance  of  sending  patients  in  the  early  stages  of 
disease  will  be  seen  by  the  favorable  result  in  such  cases ;  and 
too  much  cannot  be  said  to  induce  their  friends  to  make  early 
application  for  the  treatment  of  those  who  suffer  from  mental 
disease. 

Improvements  have  been  made  in  this  hospital  during  the 
last  four  or  five  years  that  add  much  to  the  comfort  and  welfare 
of  patients — all  unnecessary  restraint  is  dispensed  with,  and 
facilities  for  exercise  and  amusement  within  doors  furnished, 
besides  useful  and  agreeable  employment  and  recreation  out  of 
doors,  in  good  weather. 

There  yet  remain  to  be  added  workshops  for  those  who  wish 
employment  in  seasons  and  during  weather  when  work  in  the 
open  air  cannot  be  had.  This  subject  is  now  occupying  the 
attention  of  those  interested  in  the  treatment  of  insanity. 
Amusement,  alone,  is  not  enough  for  our  industrious  people, 
to  whom  useful  labor,  not  carried  to  excess,  is  necessary  for 
pleasure  and  health. 

The  financial  condition  of  the  hospital  will  be  seen  by  the 
report  of  the  Treasurer.      The  amount  due  for  the  board  of 


6  LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 

• 
patients  is  more  than  enough  to  pay  the  indebtedness,  and  it  is 
expected  that  in  another  year  a  sufficient  surplus  will  remain 
to  carry  on  the  affairs  of  the  institution  without  borrowing  in 
anticipation  of  payments  due  for  board.  Some  more  efficient 
measures  must  be  introduced  to  enforce  the  payment  of  just 
dues  without  allowing  them  to  accumulate  till  they  become 
troublesome  to  the  treasurer  and  embarrassing  to  the  parties 
who  are  delinquent. 

One  of  our  Board  has  responded  to  his  country's  call  for 
assistance  in  its  hour  of  danger,  and  is  now  with  the  army  on 
the  Potomac,  where  his  professional  services  are  but  too  much 
needed.  It  is  hoped  that  a  speedy  return  of  peace  may  restore 
him  to  his  duties  here. 

JOSEPH  N.  BATES. 
WM.  T.  MERRIFIELD. 
R.  W.  HOOPER. 
EDWIN  F.  JENKS. 
EDWARD  JARVIS. 


1861.]  PUBLIC  DOCUMENT— No.  28. 


TREASURER'S    REPORT 


To  the  Trustees  : 
The  Treasurer  submits  the  following  report. 


Cash  on  hand  October  1,  1860,    . 

$294  83 

Received  from  Commonwealth,    . 

21,348  65 

"          "     Towns  and  Individuals, 

28,772  57 

"          "     other,  sources, 

591  28 

Bills  payable,       ..... 

13,000  00 

Due  Mechanics'  Bank,         .         . 

27  21 

$61  0-:M    ^H 

His  expenditures  have  been  as  follows : 

Steward's  orders,         .... 

$47,550  24 

Salaries,      ...... 

2,736  71 

Mechanics'  Bank,         .... 

13,297  18 

Cost  of  suit  against  city  of  Worcester, 

62  76 

Town  of  Beverly  for  error  in  account,  . 

50  59 

Stationery,  collections,  <fec, 

116  33 

Cash, 

220  73 

H.  WOODWARD,   Treasurer. 
Worcester,  October  1,  1861. 


LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 


SUPERINTENDENT'S    REPORT 


To  the  Trustees  of  the  State  Lunatic  Hospital,  at  Worcester  : 

Gentlemen, — In  compliance  with  the  by-laws  of  the  State 
Lunatic  Hospital,  and  the  statute  laws  of  the  Commonwealth, 
I  respectfully  present  to  you  the  following  record  of  the  history 
of  the  hospital  during  the  year  now  closed. 

In  looking  back  over  the  labors  of  the  year,  we  hope  it  may 
be  found  that  our  efforts  have  been  crowned  with  some  degree 
of  success. 

Whatever  of  good  has  been  accomplished,  must  be  mainly 
attributed  to  your  constant  oversight  and  wise  direction  in  all 
the  affairs  of  the  hospital. 

By  your  frequent  visits  and  thorough  examinations  of  all  the 
departments  of  the  institution,  you  have  been  able  to  give 
counsel  and  assistance,  upon  which  the  good  results  of  the  year 
have  chiefly  depended. 

The  general  health  of  the  patients  lias  been  good,  with 
complete  exemption  from  all  epidemic  diseases. 

The  hospital  has  accommodations  for  three  hundred  patients. 
The  following  tables  will  show  that  during  the  whole  year  we 
have  been  considerably  crowded. 


1861.] 


PUBLIC  DOCUMENT— No.  28. 


Table  No.  1, 
Shoioing  the  general  results  of  the  year. 


Males. 

Females. 

Total. 

4 

Patients  in  the  Hospital  October  1,  1S60, . 

155 

177 

332 

"       admitted  during  the  year,    . 

127 

124 

251 

Whole  number  under  treatment, 

282 

301 

583 

Discharged  recovered, 

63 

68 

131 

"           improved,        ..... 

18 

17 

35 

"           not  improved,         .... 

3 

5 

8 

Died, 

14 

16 

30 

Whole  number  discharged  during  the  year, 

98 

106 

204 

"           "         remaining  Sept.  80,  1861,          .• 

184 

195 

379 

It  will  be  seen  by  the  foregoing  table  that  one  hundred  and 
fifty-one  patients  have  been  discharged  from  the  care  and 
custody  of  the  hospital  as  recovered.  The  cause  of  their 
commitment  had  ceased  to  exist,  and  they  were  returned  to 
their  homes  and  friends  restored  to  mental  and  physical  health. 

Thirty-five  have  been  discharged  from  the  hospital  improved. 
Several  of  these  were  so  much  improved  that  they  are  regarded 
by  their  friends  as  well,  and  they  have  returned  to  their  former 
duties  and  stations  in  society. 

Some  of  those  who  have  been  discharged  are  periodically 
insane,  having  long  intervals  of  apparent  health,  during  which 
they  remain  at  their  homes,  and  are  able  to  perform  all  the 
ordinary  duties  of  life. 

This  number,  however,  has  been  so  small  during  the  year,  as 
not  to  materially  affect  the  per  cent,  of  recoveries. 

The  whole  number  admitted  during  the  year  was  two  hundred 
and  fifty-one,  of  whom  one  hundred  and  twenty-seven  were 
males,  and  one  hundred  and  twenty-four  were  females. 

The  whole  number  under  treatment  during  the  year  was  five 
hundred  and  eighty-three,  of  whom  two  hundred  and  eighty- 
two  were  males,  and  three  hundred  and  one  were  females. 
2 


10  LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 

The  whole  number  discharged  during  the  year  was  two 
hundred  and  four,  of  whom  ninety-eight  were  males,  and  one 
hundred  and  six  were  females. 

The  whole  number  remaining  in  the  hospital  at  the  close  of 
the  year  was  three  hundred  and  seventy-nine,  of  whom  one 
hundred  and  eighty-four  were  males.,  and  one  hundred  and 
ninety-five  were  females. 

You  will  perceive  by  the  foregoing  statement  that  the  recov- 
eries were  in  the  ratio  of  fifty-two  and  one-fifth  per  cent,  to  the 
whole  number  admitted,  or  twenty-two  and  one-half  per  cent, 
to  the  whole  number  under  treatment,  and  more  than  one 
hundred  per  cent,  to  the  number  of  those  whose  insanity  had 
existed  for  a  period  less  than  one  year. 

There  has  been  during  the  year  the  usual  amount  of  sickness, 
confined  almost  entirely  to  the  habitually  feeble,  demented,  and 
long  insane  patients.  In  the  winter  and  spring  there  were  a 
few  cases  of  influenza,  and  two  or  three  cases  of  pneumonia. 
During  the  latter  part  of  summer  there  were  several  cases  of 
diarrhoea  and  dysentery,  generally,  however,  of  a  mild  type, 
and  they  all  yielded  readily  to  the  usual  remedies. 

The  mortality  of  the  patients  has  been  confined  chiefly  to 
cases  of  consumption,  epilepsy,  palsy,  and  old  age. 

Table  No.  2, 

Showing  the  Admissions  and  state  of  the  Hospital,  from  October  1,  1860 
to  September  30,   1861. 

Patients  in  the  hospital  October  1,  1860, 332 

Males, •        .        :        .        .     155 

Females,     .         .         .         .         .         .  .         .         .     177 

Patients  admitted  in  the  course  of  the  year, 251 

Males,         ....        .        .        .     •   .        .  *      .        .127 

Females,     .         .  •     .         .        .         .      ' ...         .         .         .124 

Patients  remaining  in  the  hospital  September  30,  1861,         .         .  379 

Males, 184 

Females,     .         .         .         .         .         .         .         .         .         .     195 

Of  the  admissions  there  were  cases  of  less  duration  than  one  year,  121 

Males, 58 

Females, 63 

Of  the  admissions  there  were  cases  of  one  year  or  more,       .         .  109 

Males, .         .60 

Females,     .        .        .        .        .        .        ,.'  ;    .        .        .49 


1861.]  PUBLIC  DOCUMENT— No.  28.  11 

Of  the  admissions  there  were  cases  the  duration  of  whose  insanity 

before  admission  could  not  be  ascertained,      ....  21 

Males,         .  9 

Females, 12 

Patients  committed  by  Courts, 180 

Males, 96 

Females, 84 

Patients  committed  by  Overseers  of  the  Poor,        ....  22 

Males, 9 

Females, 13 

Patients  on  bond, *  49 

Males, 22 

Females, 27 

Foreigners  and  those  having  no  settlement  in  this  State,  admitted 

in  course  of  the  year, 112 

Males, 58 

Females, 54 

Foreigners  and  those  having  no  settlement  in  this  State,  discharged 

in  course  of  the  year,      . 88 

Males, 40 

Females, 48 

Foreigners  and  those  having  no  settlement  in  this  State,  remaining 

in  the  hospital  September  30, 1861,      •  .        ;        .         .         .  156 

Males, 77 

Females 79 


State  Paupers  remaining  in  the  hospital  at   the  close  of  each  year,  as 
nearly  as  can  be  ascertained. 


1842,  .....   34 

1852, 241 

1843, 

38 

1853, 

.  216 

1844, 

. 

38 

1854, 

.  151 

1845, 

, 

.  . 

57 

1855, 

.  115 

1846, 

. 

52 

1856, 

• 

.  155 

1847, 

. 

121 

1857, 

.  119 

1848, 

. 

150 

1858, 

.  121 

1849, 

. 

167 

1859, 

.  124 

1850, 

181 

1860, 

.  130 

1851, 

• 

208 

1861, 

.  156 

The  foregoing  table  shows  that  you  have  discharged  from 
the  care  and  custody  of  the  hospital,  in  the  course  of  the  year, 


12 


LUNATIC  HOSPITAL  AT  WORCESTER. 


[Oct. 


eighty-eight  patients,  who  had  no  settlement  in  this  Common- 
wealth. 

Of  the  three  hundred  and  seventy-nine  patients  remaining  in 
the  hospital  at  the  close  of  the  year,  one  hundred  and  fifty-six 
are  supposed  to  have  no  settlement  in  the  Commonwealth,  one 
hundred  and  twenty  of  whom  are  foreigners,  and  thirty-six  are 
of  American  birth. 

Very  few  of  the  patients  have  been  removed  to  almshouses 
during  the  year,  and  but  few  have  been  discharged  except  to 
the  care  and  custody  of  friends  and  relatives. 

Occasionally  some  one  has  been  assisted  by  the  Alien 
Commissioners  to  reach  their  friends  in  other  States,  and  places 
have  been  found  for  others  where  they  could  earn .  their  own 
living. 

Before  removing  any  patient  to  another  State,  the  wishes  of 
the  friends  have  always  been  consulted  before  any  steps  have 
been  taken  to  procure  a  discharge  from  the  hospital. 


Table  No.  3, 

Showing  the  number  Admitted,  Restored,  Improved,  Died,  fyc,  in  each 
month  during  the  year. 


Admitted. 

Removed. 

Remaining. 

MONTHS. 

■d 

•a 

•a 

> 

o 
u 

r^ 

£ 

8 

0) 

> 
p 

p, 

o 

s 

o 
B 

"3 

"3 

S 

"3 

o  • 
E-i 

October,     .     . 

12 

8 

20 

2 

1 

1 

2 

6 

164 

182 

346 

November, 

13 

11 

24 

7 

4 

2 

6 

19 

166 

185 

351 

December, 

7 

8 

15 

17 

1 

- 

6 

18 

165 

183 

388 

January,    .     . 

9 

8 

17 

6 

1 

- 

- 

7 

172 

186 

358 

February,  . 

9 

6 

15 

7 

- 

- 

1 

8 

177 

188 

365 

March,  . 

12 

12 

24 

11 

3 

- 

1 

15 

181 

193 

374 

April,    . 

10 

7 

17 

16 

6 

- 

3 

25 

180 

186 

366 

May,      . 

14 

13 

27 

19 

5 

1 

3 

27 

183 

183 

366 

June, 

12 

17 

29 

11 

5 

2 

1 

19 

187 

190 

377 

July,      . 

12 

11 

23 

12 

2 

2 

2 

18 

189 

1*92 

381 

August, 

8 

15 

23 

16 

3 

- 

3 

22 

189 

197 

386 

September, 

9 

8 

17 

13 

5 

- 

2 

20 

184 

195 

379 

Totals, 

127 

124 

251 

131 

35 

8 

30 

204 

1861.] 


PUBLIC  DOCUMENT— No.  28. 


13 


Table  No.  4, 

Showing  the  Form  of  Disease  in  those  Admitted  and  Discharged  during 

the  year. 


Admitted. 

Discharged. 

FOKM  OF  DISEASE. 

S 

1 

o 

« 
3 

1 

CD 

■3 

o 

H 

Mania, 

47 

43 

90 

49 

51 

100 

"       Chronic,        .         .         . 

16 

13 

29 

8 

5 

13 

"       with  Epilepsy, 

5 

4 

9 

3 

•      n 
O 

6 

"       with  general  Pai'alysis, . 

2 

- 

2 

1 

- 

1 

Melancholia,    .... 

19 

27 

46 

15 

19 

34 

Dementia,        .... 

13 

21 

34 

14 

15 

29 

"      Senile, 

3 

3 

6 

2 

2 

4 

"      with  Epilepsy,    . 

11 

4 

15 

3 

3 

6 

"      with  general  Paralysis, 

1 

- 

1 

2 

1 

3 

Monomania  of  Fear, 

7 

3 

10 

- 

3 

3 

"                 Pride, 

- 

- 

- 

- 

2 

2 

"                  Suspicion, 

3 

6 

9 

1 

2 

3 

Totals,       . 

127 

124 

251 

98 

106 

204 

Forty-seven  males  and  forty-three  females,  when  admitted, 
were  suffering  from  recently  developed  mania,  in  its  ordinary 
form. 

Sixteen  males  and  thirteen  females  had  for  a  long  period 
suffered  all  the  symptoms  of  mania,  and  are  in  the  table  set 
down  as  cases  of  chronic  mania. 

Twenty-seven  patients  have  been  admitted  who  were  suffering 
from  epilepsy. 


u 


LUNATIC  HOSPITAL  AT  WORCESTER.        [Oct. 


Table  No.  5. 

Supposed   Causes  of  Insanity  of  Patients  admitted  into  the  Hospital, 
from  January,  1833,  to  September  31,  1861. 


1861. 

Previously. 

CAUSES. 

Males. 

Females. 

Males. 

Females. 

Apoplexy, 

_ 

1 

2 

_ 

Asthma,    . 

— 

— 

2 

— 

Bronchitis, 

- 

- 

2 

13 

Chorea,     . 

- 

- 

- 

2 

Constipation, 

- 

- 

2 

1 

Convulsions, 

- 

•         _ 

8 

6 

Dysentery,      . 

- 

- 

1 

2 

Dyspepsia, 

1 

— 

6 

6 

Epilepsy,  . 

13 

4 

95 

39 

Eruptive  Diseases,    . 

- 

- 

5 

5 

Eyes,  Disease  of, 

- 

- 

1 

- 

"      Loss  of,  . 

- 

- 

1 

- 

Fever, 

5 

2 

29 

37 

111  Health, 

28 

39 

191 

563 

Influenza, 

- 

- 

1 

5 

Insolation, 

- 

- 

14 

- 

Laryngitis, 

- 

- 

- 

1 

Nervous  Irritation,    . 

- 

2 

- 

4 

Nymphomania, 

- 

- 

- 

1 

Old  Age,  .         .     ■    . 

3 

3 

12 

5 

Otitis, 

- 

- 

3 

- 

Palsy, 

2 

- 

40 

25 

Pneumonia, 

- 

- 

- 

1 

Rheumatism, 

- 

- 

3 

1 

Scrofula,  . 

- 

- 

3 

4 

Sea-sickness, 

- 

- 

- 

1 

Somnambulism, 

- 

- 

- 

1 

Suppressed  Eruption, 

- 

- 

6 

4 

Suppressed  Ulcer,     . 

- 

- 

2 

3 

Tic  Douloureux, 

- 

- 

- 

1 

Tumor, 

- 

- 

- 

1 

Whooping  Cough,     . 

- 

- 

- 

1 

Amenorrhea,    . 

- 

1 

- 

19 

Lactation,  Excessive, 

- 

- 

- 

5 

Menorrhagia,    . 

- 

2 

- 

5 

Menorrhagia,  Suppressed, 

- 

1 

- 

10 

Miscarriage, 

- 

2 

- 

2 

Pregnancy, 

- 

- 

- 

5 

Puerperal, 

- 

5 

- 

343 

Turn  of  Life,    . 

- 

5 

- 

39 

Amputation  of  Leg,  . 

- 

- 

1 

- 

Bathing  in  Cold  Water, 

- 

- 

2 

2 

Drinking  Cold  Water, 

- 

- 

1 

- 

Exposure  to  Cold,     . 

- 

- 

6 

- 

Injury  by  Falling,  &c, 

— 

9 

3 

1861.]  -PUBLIC  DOCUMENT— No.  28. 

Table  No.  5 — Concluded. 


15 


isei. 

Previously. 

CAUSES. 

Males. 

Females. 

1      Males. 

Females. 

Injury  of  Head,         .... 

j 

I 

47 

8 

"       of  Spine, 

1 

1 

3 

1 

Lead,  Poison  of, 

- 

- 

2 

- 

Lightning;,  Stroke  of, 

- 

- 

1 

1 

Labor,  Excessive, 

o 

1 

28 

53 

Loss  of  Sleep,  . 

- 

- 

2 

5 

Study,  Excessive, 

- 

- 

25 

6 

Spiritualism, 

2 

- 

11 

14 

Criminal  Trial, 

- 

- 

- 

1 

False  Accusation, 

- 

- 

- 

1 

Imprisonment,  . 

8 

1 

9 

1 

Death  of  Relatives,  . 

- 

7 

20 

54 

Domestic  Trouble,     . 

1  ' 

7 

127 

312 

Marriage,  Unhappy, 

- 

4 

2 

Disappointment  in  Love,  . 

- 

2 

55 

61 

Disappointed  Ambition,     . 

- 

- 

6 

6 

Home  Sickness, 

4 

2 

3 

8 

Fright,      .    '     . 

1 

1 

15 

18 

Seduction, 

- 

- 

- 

2 

Political  Excitement, 

3 

- 

13 

_ 

Religious  Excitement, 

3 

3 

133 

169 

Pecuniary  Trouble,  . 

3 

- 

120 

23 

Poverty,    .... 

- 

- 

- 

1 

"       Fear  of, 

- 

- 

33 

12    , 

Giving  up  Business,  . 

- 

- 

3     • 

_ 

Change  of  Business,          .  . 

2 

- 

5 

- 

Violent  Temper, 

- 

- 

3 

18 

Jealousy,  .... 

- 

- 

19 

27 

Intemperance,  . 

30 

9 

156 

59 

Opium,  Use  of, 

- 

- 

2 

5 

Tobacco,  Use  of, 

- 

- 

1 

3 

Masturbation,    . 

•  ' 

8 

5 

248 

32 

Venery,  Excess  of,    . 

- 

- 

1 

- 

Of  the  above  there  were : 

Hereditary  Cases,      .         .         .       ". 

19 

23 

- 

_ 

Periodical        "          . 

9 

19 

_ 

_ 

Homicidal       "          .         .               -  . 

11 

5 

_ 

_ 

Suicidal           "          . 

15 

17 

— 

- 

Little  can  be  said  in  an  annual  report  respecting  the  causes 
of  insanity.  They  may  be  remote  and  only  slightly  predisposing 
the  individual  to  the  influence  of  the  disease,  or  they  may  be 
immediate  and  exciting  to  a  greater  degree. 

Among  the  remote  causes  are  constitutional  predisposition, 
hereditary  or  otherwise.     The  influence  of  education,  moral 


16 


LUNATIC  HOSPITAL  AT  WORCESTER.        [Oct. 


and  physical,  the  peculiarities  of  organization  and  previous 
attacks  of  disease  seriously  affecting  the  action  of  the  brain. 

Among  the  immediate  and  exciting  causes,  are  domestic 
affliction,  reverses  of  fortune,  disappointments,  jealousy,  and 
unrestrained  anger.  Th«  exciting  causes  may  also  be  physical, 
as  irregular  menstruation,  consequence  of  parturition,  apoplexy, 
blows  on  the  head,  and  abuse  of  strong  drink. 

In  making  up  the  foregoing  table,  all  the  causes  mentioned 
are  found  in  the  records  of  the  hospital,  comprising  a  list  of  the 
names  of  more  than  six  thousand  patients,  and  embracing  a 
period  of  more  than  twenty-eight  years. 


Table  No.  6. 
Diseases  which  have  proved  Fatal  from  Jan.  18, 1883,  to  Sept.  30, 1861. 


18G1. 

Pkeviously. 

DISEASES. 

Males. 

Females. 

Males. 

Females. 

Apoplexy, 

_ 

_ 

15 

9 

Asthma,    . 

- 

- 

4 

1 

Anaemia,  . 

- 

- 

1 

1 

Asphyxia, 

- 

- 

1 

- 

Bronchitis, 

- 

- 

2 

- 

Brain  Fever,    . 

- 

- 

1 

- 

Consumption,  . 

o 

5 

35 

55 

Convulsions, 

- 

- 

3 

1 

Cholera  Morbus, 

- 

- 

2 

3 

Cholera,  . 

- 

- 

5 

- 

Cancer,     . 

- 

- 

1 

1 

Congestion  of  Lungs, 

-• 

- 

- 

1 

"           of  Brain, 

- 

- 

1 

1 

Chronic  Dysentery,  . 

- 

- 

2 

- 

Chronic  Meningitis, 

- 

- 

3 

- 

Dysentery, 

- 

- 

10 

6 

Dropsy,     . 

- 

- 

5 

7 

Delirium  Tremens, 

- 

— 

3 

- 

Disease  of  Heart, 

- 

- 

9 

11 

"       of  Bladder, 

- 

- 

1 

- 

"       of  Brain, 

- 

- 

6 

14 

Diarrhoea, 

_ 

- 

13 

8 

Enteritis, . 

_ 

- 

3 

6 

Epilepsy, . 

4 

3 

53 

20 

Exhaustion, 

1 

1 

31 

46 

Erysipelas, 

- 

- 

9 

10 

Gangrene  of  Lungs, 

- 

- 

1 

2 

Hydrothorax,    . 

- 

- 

1 

1 

Hemorrhage,     . 

.- 

- 

- 

4 

4 

Hemoptysis, 

- 

— 

1 

1861.]  PUBLIC  DOCUMlM^tr  z%  17 

Table  No.  6 — Concluded. 


1861. 

Previously. 

DISEASES. 

Males. 

Females. 

Males. 

Females. 

Inflammation  of  Bowels,  . 

_ 

3 

3 

Jaundice, . 

- 

- 

- 

2 

Marasmus, 

1 

2 

48 

51 

Mortification,    . 

- 

- 

- 

1 

Maniacal  Exhaustion, 

- 

2 

5 

4 

Malignant  Fever, 

- 

- 

1 

- 

Old  Age, . 

2 

2 

17 

11 

Palsy, 

4 

1 

18 

15 

Pneumonia, 

- 

- 

15 

9 

Pleurisy,  . 

- 

- 

- 

1 

Rupture,  . 

- 

- 

1 

- 

Syncope,  . 

- 

- 

1 

- 

Suicide,    . 

- 

- 

15 

8 

Smallpox, 

- 

- 

1 

- 

Suppurative  Phlebitis, 

- 

- 

- 

1 

Typhoid  Fever, 

- 

- 

8 

6 

Typho  Mania, 

— 

" 

7 

5 

Four  patients  died  during  the  year  of  old  age — two  males  and 
two  females — all  of  whom  were  upwards  of  eighty  years  of  age. 

Two  were  between  the  ages  of  seventy  and  eighty  years, 
and  two  between  sixty  and  seventy  years  of  age. 

One  of  those  who  died  during  the  year  had  been  an  inmate 
of  the  hospital  eighteen  years  ;  two  had  resided  in  the  hospital 
more  than  eight  years,  and  three  more  than  seven  years  each. 

Four  of  those  who  died  during  the  year  were  brought  to  the 
hospital  in  such  a  feeble  state  of  health  that  they  could  not  sit 
up  at  all,  and  did  not  recruit  in  the  least,  although  they 
lingered  along  several  weeks. 


18  LUNXTTO"  WsFffiAL  AT  WORCESTER.       [Oct. 

Table  No.  7, 

Showing  the  Ages   of   Patients  Admitted,  Discharged,  Recovered,  not 
Recovered  and  Died  during  the  year. 


ADMITTED. 

DISCHAKGED  RE- 
COVERED. 

DISCHAKGED  NOT 
RECOVERED. 

DIED. 

AGES. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Less  than  15, 

2 

- 

_ 

_ 

_ 

- 

- 

- 

From  15  to  20, 

5 

4 

1 

1 

- 

- 

- 

- 

20  to  30, 

32 

27 

14 

19 

2 

4 

2 

3 

30  to  40, 

38. 

28 

25 

19 

8 

6 

4 

4 

40  to  50, 

29 

42 

16 

18 

5 

9 

3 

4 

50  to  60, 

5 

10 

5 

7 

2 

3 

2 

1 

60  to  70, 

11 

9 

2 

3 

3 

- 

- 

1 

70  to  80, 

5 

4 

- 

1 

1 

- 

3 

2 

•      80  to  90, 

- 

- 

- 

- 

- 

- 

- 

1 

Totals,  .     . 

127 

124 

63 

68 

21 

22 

14 

16 

Table  No.  8, 

Showing  the  Duration  of  Insanity  before  Admission,  of  Patients  admitted 
from  January  18,  1833,  to  September  30,  1861. 


1861. 

Previously. 

DURATION    OF    INSANITY. 

Males. 

Females. 

Males. 

Females. 

Insane  less  than  1  year, 

Insane  more  than  1  y'r  and  less  than    2  y'rs, 
2  y'rs  and  less  than    5  y'rs, 
5  y'rs  and  less  than  10  y'rs, 
10  y'rs  and  less  than  15  y'rs, 
15  y'rs  and  less  than  20  y'rs, 
20  y'rs  and  less  than  25  y'rs, 
25  y'rs  and  less  than  30  y'rs, 
30  y'rs  and  more, 

58 
25 
20 
10 
2 
3 

9 

63 

14 

18 

11 

3 

2 

1 

12 

1,529 

357 

455 

229 

122 

39 

38 

17 

24 

228 

1,776 

353 

394 

182 

136 

38 

42 

9 

24 

241 

127 

124 

3,038 

3,153 

1861.] 


PUBLIC  DOCUMENT— No.  28. 


19 


Table  No.  9, 

Showing  the  Ages  of  Patients  admitted  to  the  Hospital  from  January  18, 
1833,  to  September  30,  1861. 


1861. 

Previously. 

AGES. 

Males. 

Females. 

Males. 

Females. 

Less  than  15  years  of  age, 

_ 

_ 

26 

28 

Between  15  and  20  years  of  age, 

5 

4 

121 

206 

20  and  30     "           " 

32 

27 

900 

877 

30  and  40     "           «        . 

38 

28 

779 

869 

40  and  50      "           " 

29 

42 

495   . 

543 

50  and  60      "           " 

5 

10 

344 

386 

60  and  70      "           " 

11 

9 

198 

156 

70  and  80     "           " 

5 

4 

56 

55 

More  than  80  years  of  age, 

- 

- 

11 

18 

Unascertained,         . 

- 

- 

8 

17 

Totals, 

127 

124 

3,038 

3,153 

Table  No.  10, 

Showing  the  Civil  Condition  of  Patients  admitted  to  the  Hospital  from 
January  18,  1833,  to  September  30,  1861. 


1861. 

Previously. 

CIVIL    CONDITION. 

Males. 

Females. 

Males. 

Females. 

Unmarried, 

Married, 

Widowers, 

Widows, 

Unascertained,         .... 

65 

58 

3 

1 

46 
59 

17 
2 

1,525 

1,318 

150 

44 

1,427 
1,306 

380 
39 

Totals, 

127 

124 

3,038 

3,153 

20 


LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 


Table  No.  11, 

Showing  the  Admissions  from  each  County  from  January  18,  1833,  to 
September  30,  1861. 


1861. 

Previously. 

COUNTIES. 

Whole  No. 

Males. 

Females. 

Total. 

Barnstable,      . 

126 

126 

Berkshire, 

- 

_ 

- 

187 

187 

Bristol,   . 

_ 

_ 

_ 

290 

290 

Dukes,    . 

- 

- 

- 

19 

19 

Essex,     . 

23 

18 

41 

852 

893 

Franklin, 

_ 

1 

1 

125 

126 

Hampden, 

- 

- 

- 

352 

352 

Hampshire, 

- 

1 

1 

220 

221 

Middlesex, 

27 

36 

63 

889 

952 

Nantucket, 

- 

- 

- 

31 

31 

Norfolk, . 

5 

1 

6 

587 

593 

Plymouth, 

- 

- 

- 

233 

233, 

Suffolk,  . 

12 

8 

20 

656 

676 

Worcester, 

60 

59 

119 

1,607 

1,726 

Other  States, 

- 

- 

- 

17 

17 

Totals, 

127 

124 

251 

6,191 

6,442 

Table  No.  12, 

Showing  the  Occupation  of  Patients  admitted  to  the  Hospital  from  Jan- 
uary 18,  1833,  to  September  30,  1861. 


OCCUPATION. 


Previously. 


MALES. 

Auctioneers, 

Armorers, 

Authors,    .... 

Blacksmiths, 

Bakers,     .... 

Butchers,  .... 

Bookbinders,     . 

Boot-makers, 

Brokers,    .... 

Book-keepers,   . 

Brittania- workers, 

Brickmakers,     . 

Bellows-makers, 

Brewers,  .... 


3 
3 
1 

34 
6 
6 
7 

19 
3 
8 
2 
5 
2 
2 


1861.] 


PUBLIC  DOCUMENT— No.  28.  21 

Table  No.  12 — Continued. 


OCCUPATION. 

1861. 

Previously. 

Basket-makers, ....... 

Bricklayers, 

- 

5 

Butlers,     . 

- 

2 

Barbers,    . 

2 

5 

Clergymen, 

- 

19 

Carpenters, 

5 

120 

Coppersmiths, 

- 

6 

Coopers,    . 

- 

16 

Cabinet-makers, 

- 

12 

Calico-printers, 

- 

3 

Clothiers,  . 

— 

17 

Comb-makers,  . 

- 

4 

Coach-makers,  . 

- 

8 

Card-makers,     . 

- 

2 

Chair-makers,    . 

- 

4 

Cigar-makers,    . 

- 

3 

Coachmen, 

- 

16 

Clerks, 

5 

33 

Carpet-weaver, 

- 

1 

Curriers,   . 

1 

7 

Cashiers  of  Banks,    . 

- 

4 

Cordwainers,     . 

- 

6 

Collectors, 

- 

2 

Caulkers,  . 

- 

4 

Chandlers, 

- 

5 

Camphene  distiller,   . 

- 

1 

Conductors  on  Railroads, 

- 

3 

Dyers, 

- 

4 

Druggists, 

- 

3 

Draymen,          .   ■     . 

- 

3 

Drover,     . 

- 

1 

Dancing  master, 

- 

1 

Daguerreotypists, 

1 

2 

Engravers, 

1 

3 

Editors,     . 

- 

4 

Express-men, 

- 

4 

Farmers,  . 

29 

476 

Fishermen, 

4 

16 

Fruiterers, 

- 

4 

Gunsmiths, 

- 

3 

Gardeners, 

- 

10 

Grocers,    . 

- 

3 

Glass-blowers, 

- 

3 

Guilders,  . 

- 

2 

Hotel-keepers, 

- 

16 

Hatters,     . 

- 

3 

Hostlers,   . 

- 

11 

Housewrights, 

- 

7 

Harness-makers 

>        • 

- 

7 

Ironmongers, 

- 

3 

Jewellers, 

- 

12 

22  LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 

Table  No.  12 — Continued. 


OCCUPATION. 


Previously. 


Lawyers,  . 

Laborers,  . 

Last-maker, 

Manufacturers, . 

Millers,      . 

Merchants, 

Masons,     . 

Miners, 

Mat-makers, 

Miniature  painter,     . 

Musicians, 

Machinists, 

Messengers, 

Moulders, . 

Millwright, 

Nailer, 

Newsmen, 

Optician, 

Operatives  in  Mills,  . 

Oystermen, 

Painters,  . 

Printers,    . 

Physicians, 

Paper-makers,  . 

Peddlers,  . 

Pilot, 

Potters,     . 

Porters,     . 

Pump  and  Block-makers, 

Pattern-makers, 

Plumbers, 

Police  officers,  . 

Pope-makers,    . 

Riggers,    . 

Restaurators,     . 

Shoemakers, 

Sail-makers, 

Soap-makers,     . 

Sash  and  blind-makers, 

Stage  drivers,    . 

Sea  captains, 

Sailors, 

Saddlers,  . 

Silversmiths, 

Students,  . 

Stock-maker,     . 

Silk-weavers,     . 

Ship  carpenters, 

Ship  brokers,     . 

Shopkeepers,     . 

Stone-cutters,    . 


1 
31 

1 

3 


12 

379 
1 

31 

16 
114 

17 
5 
3 
1 
7 

35 
2 
6 
1 
1 
3 
1 

58 
4 

31 

29 

11 
4 

18 
1 
3 
9 
3 
5 
7 
4 
9 
3 
7 
227 
9 
4 
2 
5 

15 

104 

9 

19 

49 
1 
2 

17 
o 

7 
14 


1861.]  PUBLIC  DOCUMENT— No.  28. 

Table  No.  12 — Concluded. 


23 


OCCUPATION. 

1861. 

Previously. 

2 

7 

- 

13 

_ 

3 

_ 

5 

Stable-keepers, 

- 

2 

_ 

7 

1 

16 

_ 

52 

_ 

3 

2 

12 

- 

2 

Umbrella-makers, 

- 

4 

_ 

3 

_ 

14 

1 

4 

_ 

3 

- 

1 

_ 

1 

_ 

20 

10 

- 

FEMALES. 

Carpet-weavers, 

- 

2 

Cooks, 

1 

62 

Chamber  maids, 

1 

41 

Dress-makers,    . 

1 

60 

Engraver, 

_ 

1 

Housekeepers,  . 

77 

1,042 

House  maids,     . 

24: 

146 

Laundresses, 

1 

55 

Milliners,  . 

1 

30 

Mantaumakers, 

_ 

6 

Midwife,   . 

_ 

1 

Nurses, 

_ 

15 

Nurserymaids,  . 

- 

21 

Operatives  in  mills, 

4 

144 

Seamstresses,     . 

2 

330 

Straw-sewers,    . 

- 

10 

Shoe-binders,    . 

_ 

19 

Students,  . 

_ 

4 

School  girls, 

4 

47 

Teachers, . 

3 

61 

Tailoresses, 

1 

38 

Type-setters, 

- 

2 

Wool  stapler,    . 

- 

1 

Weavers,  . 

- 

20 

No  occupation, . 

4 

— 

24 


LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 


Table  No.  13, 

Shoiving  the  Whole  Number  of  Patients  during  the  last  year,  the  Average 
Number,  the  number  at  the  end  of  each  gear,  the  Expense  of  each  gear, 
and  the  Annual  Expense  for  each  Patient  for  each  of  the  twenty-nine 
years  the  Hospital  has  been  in  operation. 


Tear. 

Whole  No. 

Average  No. 

No.  at  end  of 
each  year. 

Current  expenses  of 
each  year. 

Annual  expense 
for  each  patient. 

1833,  . 

153 

107 

114 

$12,272  91 

$114  67 

1834,  . 

233 

117 

118 

15,840  97 

135  38 

1835,  . 

241 

120 

119 

16,576  44 

137  30 

1836,  . 

245 

127 

138 

21,395  28 

168  44 

1837,  . 

306 

163 

185 

26,027  07 

159  64 

1838,  . 

362 

211 

218 

28,739  40 

136  20 

1839,  . 

397 

223 

229 

29,474  41 

132  16 

1840,  . 

391 

229 

236 

27,844  98 

121  59 

1841,  . 

399 

233 

232 

28,847  62 

123  81 

1842,  . 

430 

238 

238 

29,546  87 

111  12 

1843,  . 

458 

244 

255 

27,914  12 

114  40 

1844,  . 

491 

261 

263 

29,278  75 

112  17 

1845,  . 

656 

316 

360 

43,888  65 

138  88 

1846,  . 

637 

359 

367 

39,870  37 

111  06 

1847,  . 

607 

377 

394 

39,444  47 

104  62 

1848,  . 

655 

404 

409 

42,860  05 

106  09 

1849,  . 

682 

420 

429 

40,870  86 

97  31 

1850,  . 

670 

440 

441 

46,776  13 

106  40 

1851,  . 

704 

462 

466 

52,485  33 

112  61 

1852,  . 

775 

515 

532 

43,878  35 

85  20 

1853,  . 

820 

537 

520 

53,606  66 

103  14 

1854,  . 

819 

430 

381 

53,221  52 

123  77 

1855,  . 

580 

349 

336 

54,895  88 

157  29 

1856,  . 

577 

357 

376 

45,631  37 

128  64 

1857,  . 

647 

387 

372 

49,004  75 

124  04 

1858,  . 

679 

372 

301 

38,267  26 

102  86 

1859,  . 

501 

309 

317 

48,363  33 

156  51 

1860,  . 

532 

324 

331 

47,757  01 

147  39 

1861,  . 

583 

369 

379 

54,748  53 

148  37 

1861.] 


PUBLIC  DOCUMENT— No. 


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1861.]  PUBLIC  DOCUMENT— No.  28.  43 


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1861.]  PUBLIC  DOCUMENT— No.  28.  45 

From  the  non-completion  of  the  plan,  the  additional  work- 
shops, mentioned  in  my  last  report,  have  not  been  provided  for 
the  male  patients.  This,  however,  has  not  been  as  yet  a  practi- 
cal disadvantage.  A  very  large  proportion  of  our  inmates  are 
and  must  be  from  agricultural  districts ;  and  where  they  are 
not  farmers  or  farm  laborers,  they  are,  when  calm  and  sufficiently 
vigorous,  all  capable  of  undertaking  garden  and  ordinary  field 
work,  and  derive  benefit  from  exchanging  the  sedentary  posture 
and  confined  atmosphere  of  a  shop  or  manufactory  for  muscular 
exertion  in  the  open  air.  The  presence  of  mechanics  in  such 
an  institution  is  of  course  highly  useful  and  profitable,  and  in 
many  cases  it  is  judicious  to  employ  patients  in  their  own  craft ; 
but  there  are  unquestionably  greater  curative  powers  in  the 
labor  of  the  farm  than  in  the  shop.  It  is  a  mistake,  also,  to 
suppose  that  the  kind  of  work  which  answers  well  in  one  insti- 
tution should  answer  equally  well  in  another.  Practically,  it  will 
be  found,  that  in  one  hospital  weaving  is  most  successfully  and 
beneficially  carried  on,  in  another  the  making  of  mats,  in  a  third, 
garden  or  field  labor. 

In  institutions  near  large  towns  or  cities,  the  handicrafts 
will  probably  be  generally  found  to  succeed  best ;  while  those 
in  the  centre  of  agricultural  districts,  field  labor  will  be  most 
beneficial. 

The  character  of  the  work  should  be  regulated  partly  by  the 
prevalent  occupations  of  the  neighborhood  in  which  the  hospital 
is  situated ;  partly  by  the  previous  occupation  of  the  patients  ; 
partly  by  a  consideration  of  the  kind  of  work  likely  to  be 
physically  most  suitable  to  individual  patients. 

A  variety  of  labor  is  absolutely  necessary  for  the  well  being 
of  any  large  number  of  patients.  At  the  same  time  there  is  no 
employment  so  generally  acceptable,  none  so  serviceable  in 
restoring  physical  health,  as  that  of  the  farm  or  garden. 

In  conducting  the  affairs  of  the  hospital  during  the  year, 
every  effort  has  been  made  to  provide  labor  for  such  patients  as 
could  be  induced  to  engage  in  it. 

The  following  tables  will  show  some  of  the  results  of  labor 
performed  by  the  patients  during  the  year. 


46 


LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 


Articles  made  in  the  sewing-rooms,  in  the  course  of  the  year: 


Bed  Spreads,    . 

.  127 

Frocks,    . 

.     27 

Bed  Ticks, 

.  321 

Trousers,  pairs  of,    . 

.     93 

Sheets,    . 

.  563 

Overalls,  pairs  of,     . 

.    47 

Pillow  Cases,  . 

.  618 

Tests, 

.     51 

Pillows,  . 

.     38 

Hose,  pairs  of, 

.     63 

Shirts, 

.  671 

Mittens,  pairs  of, 

.     53 

Chemises, 

.  664 

Knit  Edging,  yards 

3f,     .  158 

Drawers,  pairs  of, 

.    44 

Carpets,  . 

.      7 

Night  Dresses, 

.     37 

Table  Covers,  . 

.     21 

Night  Caps, 

.    19 

Window  Curtains, 

.  109 

Skirts, 

.  278 

Napkins, . 

.     90 

Skirts  embroidered, 

.    15 

Towels,   . 

.  468 

Dresses, .. 

.  327 

Coats, 

.     31 

Comforters, 

.     69 

Jackets,  . 

.     16 

Yalances, 

.    18 

Aprons,   . 

.     37 

Articles  repaired  in  the  sewing-rooms,  in  the  course  of  the 
year: 


Shirts,  .         . 

.  1,897 

Skirts,  . 

.     274 

Trousers, 

.  1,681 

Hose,  pairs  of, 

2,784 

Coats,  . 

.     417 

Dresses, 

.  1,667 

Vests,   . 

.     529 

Chemises, 

1,781 

Bed  Ticks,     . 

.     627 

Overalls, 

97 

Bed  Spreads, 

.     273 

Jackets, 

63 

Sheets, . 

.     828 

Frocks, 

86 

1861.] 


PUBLIC  DOCUMENT— No.  28. 


47 


The  number  of  full  days'  work  performed  in  each  month 
during  the  year : 


October,  . 

November, 

December, 

January,  . 

February, 

March,     . 

April, 

May, 

June, 

July, 

August,    . 

September, 

Totals, 


861 
870 
853 
889 
856 
891 
840 
833 
921 
964 
838 


The  above  table  represents  the  number  of  full  days'  work 
performed  by  the  patients  in  the  various  departments  of  labor 
connected  with  the  establishment.  Besides  this  there  is  a  great 
amount  of  labor  performed  by  patients  in  and  about  the  wards, 
dining-rooms,  dormitories,,  and  yards,  which  cannot  be  taken 
into  account,  because  it  is  engaged  in  only  at  short  intervals, 
and  amounts  simply  to  amusement  and  exercise.  Many  of  the 
females  perform  some  labor  for  their  families  at  home,  while 
residing  in  the  hospital. 


Products  of  the  Farm. 


Apples, 
Pears, 
Grapes,     . 
Tomatoes, 
Sweet  Corn, 
Beans, 
Parsnips, . 
Turnips,  . 
Potatoes, . 
Beets, 


3  barrels. 

at  $3  00— 

$9  00 

2  bushels 

,  at 

2  00 

4  00 

1  bushel, 

at 

2  00 

2  00 

300  bushels 

,  at 

50 

150  00 

100 

a 

at 

1  00 

100  00 

100 

a 

at 

2  00 

200  00 

250 

a 

at 

50 

125  00 

600 

a 

at 

20 

120  00 

1,365 

a 

at 

50 

682  50 

700 

n 

at 

20 

140  00 

48 


LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 


Carrots,    . 
Cabbages, 
Squashes, 
Peppers,  . 
Cucumbers, 
Rhubarb,  . 
Play, 

Rowen,     . 
Corn  Fodder, 
Milk, 
Beef, 
Pork, 


$6,867  50 

Much  of  the  labor  necessary  in  procuring  the  above  results 
from  the  farm,  has  been  performed  by  the  male  patients.  We 
have,  however,  endeavored  not  to  forget  that  the  great  object 
of  the  hospital  is  the  comfort  and  restoration  of  the  insane,  and 
that  all  questions  of  economy  or  profit  should  be  subservient 
to  this  grand  aim  and  object. 

The  following  table  shows  the  exact  amount  of  coal  consumed 
during  the  year : 


1,200  bushels,  at  $0  20 

1240  00 

350  heads,     at         6 

21  00 

7  tons,       at  30  00 

210  00 

20  bushels,  at       20 

4  00 

50       "        at       50 

25  00 

2,500  pounds,  at          2 

50  00 

100  tons,      at  15  00 

1,500  00 

5     "         at  15  00 

75  00 

40     "         at    4  00 

160  00 

40.000  quarts,  at          4 

1,600  00 

7,500  pounds,  at         8 

600  00 

8,500       "       at        10 

850  00 

Amount  for  each 

Daily  consump- 

month. 

tion. 

lbs. 

lbs. 

October,  1860,          .         .         .  ■      . 

69,000 

2,225 

November, 

u 

112,000 

3,733 

December, 

a 

143,300 

4,622 

January,  1861, 

168,300 

5,429 

February, 

(C 

171,000 

6,109 

March, 

» 

133,400 

4,303 

April, 

a 

76,000 

2,533 

May, 

u 

42,800 

1,380 

June, 

a 

30,300 

1,010 

July, 

a 

24,300 

783 

August, 

<< 

22,300 

719 

September, 

a 

23,450 

756 

Total, 

1,016,150 

- 

It  will  be   seen  by  the   above  statement,  that  the  means 
employed  for  warming  and  ventilating  the  various  parts  of  the 


1861.]  PUBLIC  DOCUMENT— No.  28.  49 

institution  continue  to  give  satisfactory  results  in  an  economical 
point  of  view. 

The  various  wards  are  always  comfortably  warmed  during 
the  cold  weather,  by  a  free  circulation  of  fresh,  warm  air,  and 
made  cool  and  comfortable  in  the  heat  of  summer  by  forcing 
into  all  parts  of  the  house  a  constant  supply  of  pure  air  from 
without. 

It  is  proper  to  mention  in  this  connection  the  various  sources 
of  amusement  and  recreation  afforded  to  the  inmates  as  a 
means  of  relief  and  restoration. 

All  the  amusements  and  pastimes  of  former  years  have  been 
kept  up,  and  every  healthy  out-of-door  exercise  or  harmless 
in-door  game  that  could  be  thought  of,  has  been  put  in 
requisition. 

The  exercise  of  the  mental  faculties  of  the  patients  has  been 
stimulated  to  some  degree,  and  much  recreation  has  been 
afforded  by  a  course  of  lectures,  by  a  series  of  concerts,  by 
tableaux  vivante,  and  by  magic  lantern  scenes.  Daily  walks 
and  drives,  social  parties,  and  during  the  winter  skating  and 
coasting  parties  have,  as  usual,  been  carried  on  with  great 
animation. 

The  chapel  services  are  still  performed  by  Rev.  Samuel 
Souther,  in  a  highly  acceptable  and  satisfactory  manner,  and 
we  have  every  reason  to  believe  that  the  patients  are  comforted 
and  improved  by  his  ministrations. 

The  patients'  library  continues  to  increase,  partly  by  donations 
from  friends,  partly  by  purchase.  In  behalf  of  the  inmates  I 
desire  to  express  my  sense  of  obligation  to  the  many  kind  friends 
who  have  assisted  us  during  the  year  in  our  lectures,  concerts, 
and  other  entertainments  designed  to  amuse  and  instruct  those 
placed  under  our  care. 

I  also  desire  to  tender  my  grateful  acknowledgments  to  those 
who  have  so  generously  made  donations  of  books,  maps  and 
pictures,  thus  contributing  largely  to  the  welfare  of  the 
inmates. 

I  am  under  renewed  obligations  to  the  publishers  of  news- 
papers in  various  parts  of  the  Commonwealth,  for  their  daily 
and  weekly  issues,  and  to  those  in  this  city,  also,  for  large  and 
well-selected  bundles  of  exchanges. 
7 


50  LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 

It  is  my  duty  to  record  my  personal  obligations  to  Doctors 
Rice  and  Prentiss  for  their  devotion  to  the  interests  of  the 
institution,  and  the  cheerfulness  with  which  they  have  performed 
all  their  duties. 

In  glancing  back  over  the  records  of  the  year,  we  feel  that 
all  our  efforts  for  the  welfare  and  improvement  of  those  placed 
under  us  have  been  most  signally  blessed. 

The  year  has  been  one  of  health  and  prosperity.  We  have 
been  visited  by  no  calamity,  and  we  are  confident  that  much 
comfort  and  happiness  has  been  secured  to  the  unfortunate 
inmates  of  the  institution. 


MERRICK  BEMIS. 


State  Lunatic  Hospital,  Worcester, 
October  1, 1861, 


1861.] 


PUBLIC  DOCUMENT— No. 


51 


AN  INVENTORY 

Of  Amounts  in  value  of  the   Stock  and  Supplies  on  hand  at  the  State 
Lunatic  Hospital. 


Live  stock  on  the  farm,  .... 

.      $3,575  00 

Produce  of  the  farm  on  hand, 

2,550  00 

Carriages  and  agricultural  implements,     . 

775  00 

Machinery  and  mechanical  fixtures, 

5,500  00 

Beds  and  bedding  in  the  inmates'  department, 

4,000  00 

Other  furniture  in  the  inmates'  department, 

3,500  00 

Superintendent's  department,  . 

350  00 

Housekeeping  department, 

1,000  00 

Ready-made  clothing,      .... 

150  00 

Dry  goods,     ...... 

350  00 

Provisions  and  groceries, 

1,775  00 

Drugs  and  medicines,      .... 

150  00 

Fuel,     ........ 

2,000  00 

Library,         ...... 

300  00 

52  LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 


TERMS  AND  FORMS  OP  ADMISSION,  &o. 


ADMISSION     OF    PATIENTS. 

Inquiries  are  often  made  by  letter  and  otherwise  in  reference  to  the 
course  to  be  pursued  in  order  to  obtain  admission  for  the  insane  to  the 
hospital,  and  what  are  the  expenses  of  support,  &c. 

To  entitle  insane  persons  to  the  care  of  the  hospital  it  is  necessary 
that  they  be  committed  by  order  of  the  court  of  probate,  or  by  any  other 
court  having  jurisdiction  in  the  town  or  county  in  which  the  insane 
person  resides,  or  by  two  justices  of  the  peace,  one  of  which  shall  be  a 
justice  of  the  quorum. 

Patients  may  also  be  committed  by  their  friends  if  satisfactory  bonds 
are  given  for  their  support  while  in  the  hospital. 

Overseers  of  the  poor  may  also  commit  the  insane  poor  of  the  town 
in  which  they  have  jurisdiction,  by  giving  bonds  in  behalf  of  the  town 
for  the  support  of  the  patient  while  in  the  hospital. 

When  it  is  desirable  that  an  insane  person  should  be  committed  by 
the  court  of  probate,  any  one  interested  may  make  petition  to  the  judge 
of  probate  for  the  removal  of  the  lunatic  to  the  hospital. 

An  acknowledgment  of  notice  of  the  petition  from  one  of  the  select- 
men of  the  town  in  which  the  lunatic  resides  must  also  be  presented 
with  the  petition. 


FORM     OF     OVERSEERS        BOND. 

State  Lunatic  Hospital  at  Worcester. 

Whereas  of  ,  in  the  county 

of  ,  has  been  admitted  a  boarder  in  the  State  Lunatic 

Hospital  at  Worcester,  we 

,  a  majority  of  the  Overseers  of  the  Poor  of  the 
town  of  ,  in  the  county  of  ,  in  behalf 

of  the  inhabitants  of  said  town,  do  hereby  promise 

Treasurer  of  said  hospital,  to  pay  him  or  his  sue- 


1861.]  PUBLIC  DOCUMENT— No.  28.  53 

cessor  in  said  office,  the  sum  dollar    and 

cents  per  week  for  the  board  of  said 

so  long  as       he  shall  continue  a  boarder  in  said 
hospital,  with  such  extra  charges  as  may  be  occasioned  by 
requiring    more    than    ordinary    care    and    attention,    to    provide    for 
suitable  clothing,  and  to  pay  for  all  such  necessary  articles 
of  clothing  as  shall  be  procured  for  by  the  Steward  of  the 

hospital,  and  to  remove  from  said  hospital  whenever  the  room 

occupied  by  shall  be  required  for  a  class  of  patients  having 

preference  by  law,  or  in  the  opinion  of  the  Superintendent,  to  be  received 
into  said  hospital ;  and  if    he  should  be  removed  at  the  request  of 

before  the  expiration  of  six  calendar  months  after 
reception,  to  pay  board  for  twenty-six  weeks,  unless  he  should  be 
sooner  cured.     Also  to  pay,  not  exceeding  fifty  dollars,  for  all  damages 

he  may  do  to  the  furniture,  and  other  property  of  said  hospital,  and 
for  reasonable  charges  in  case  of  elopement,  and  funeral  charges  in  case 
of  death.  Payment  to  be  made  quarterly  and  at  the  time  of  removal? 
with  interest  on  each  bill  from  and  after  the  time  it  becomes  due. 

Witness  our  hands  this  day  of 

A.  D.  18 


Attest.  (Signed,) 


Overseers  of  the  Poor 

of  the 
Town  of 


In  conformity  to  the  laws  of  the  Commonwealth,  the  Trustees  are 
required  at  their  annual  meeting  to  establish  the  price  of  board.  The 
expense  for  the  ensuing  year  will  be  at  the  rate  of  three  dollars  per 
week  for  the  first  six  months  after  the  commitment  of  a  patient,  and  two 
dollars  and  seventy-five  cents  per  week  after  the  expiration  of  six 
months.  All  necessary  clothing  must  be  supplied  by  the  friends  of  the 
patients. 

Clothing  will  be  supplied  at  the  hospital  if  desirable  and  charged  in 
the  bills  at  cost. 

Damages  done  to  the  furniture  and  other  property  to  the  amount  of 
fifty  dollars  may  also  be  charged. 

Reasonable  charges  will  be  made  in  case  of  elopement,  and  funeral 
charges  in  case  of  death. 

All  bills  are  collected  by  the  Treasurer  quarterly,  or  interest  charged 
on  the  same  after  becoming  due. 

Bills  become  due  on  the  first  of  January,  April,  July,  and  October, 
and  when  the  patient  leaves  the  hospital. 


54  LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 


PETITION. 

Commonwealth  of  Massachusetts. 

To  the  Honorable  ,  Judge  of  Probate  and 

Insolvency,  for  the  county  of 

Respectfully  represents  ,  of 

in  the  county  of  ,  is  a  lunatic,  and  so  furiously  mad  as 

to  render  it  dangerous  to  the  peace  and  safety  of  the  community  that 

he  should  be  at  large. 

Wherefore,  your  petitioner  prays,  that  the  said 

,  may  be  committed  to  the  State  Lunatic  Hospital  at 
Worcester. 

•     Dated  at  ,  this  day  of 

A.  D.  18 


ACKNOWLEDGMENT     OF     NOTICE. 

,     A.  D.  18         . — The  subscriber,  one  of 
the  Selectmen  of  the  town  of  ,  aforesaid,  hereby 

acknowledges  due  notice  of  the  foregoing  petition. 


FORM    OP   PRIVATE   BOND. 

State  Lunatic  Hospital  at  Worcester. 

Whereas  ,  of  ,  in  the  county 

of  ,  as  Principal  and  , 

of  ,  in  the  county  of  ,  as  Surety, 

do  hereby  jointly  and  severally  promise  , 

Treasurer  of  said  hospital,  to  pay  him  or  his  successor  in  said  office,  the 
sum  of  dollars  and  cents  per  week  for  the 

board  of  said  ,  so  long  as     he  shall  continue  a 

boarder  in  said  hospital,  with  such  extra  charges  as  may  be  occasioned? 
by  requiring  more  than  ordinary  care  and  attention ;  to  provide 

for  suitable  clothing,  and  to  pay  for  all  such  necessary  articles 

of  clothing  as  shall  be  procured  for  by  the  Steward  of  the 

hospital,  and  to  remove  from  said  hospital  whenever  the  room 


1861.]  PUBLIC  DOCUMENT— No.  28.  55 

occupied  by  shall  be  required  for  a  class  of  patients  having 

preference  by  law,  or  in  the  opinion  of  the  Superintendent,  to  be  received 
into  said  hospital.  Also  to  pay,  not  exceeding  fifty  dollars,  for  all 
damages  he  may  do  to  the  furniture  and  other  property  of  said  hospital, 
and  for  reasonable  charges  in  case  of  elopement,  and  funeral  charges  in 
case  of  death.  Payment  to  be  made  quarterly  and  at  the  time  of 
removal,  with  interest  on  each  bill  from  and  after  the  time  it  becomes 
due. 

Witness  our  hands  this  day  of  ,  A.  D.  18 

Attest.  (Signed,) 

,  Principal. 
,  Surety. 


METEOROLOGICAL  OBSERVATIONS 

MADE  AT 

THE  STATE  LUNATIC  HOSPITAL,  WORCESTER,  MASS., 

1860-61. 

Latitude,  42°  16'  17"  K;  Longitude,  71°  48'  13"  W. 
Elevation,  536  feet. 


Explanation.— The  force  of  the  -wind  is  estimated  upon  a  scale  of  10  and  indicated  by  figures 
affixed  to  the  letters  denoting  the  direction.    When  no  number  is  affixed,  1  is  meant. 


58  LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 


DO 

M 

K 

pa 

Heavy  frost :   thick  tog 
Hazy  A.  M.           [A.  M. 
Hazy  A.  M. 
Interrupted,  drizzly  rain. 

Faint  aurora  P.  M;  light 
[rain. 

White  frost  A.  M. 

Earthquake    shocks, 

Hazy  A.  M.            [light. 

Hazy  all  day. 

Light  rain  early  A.  M. 

Light  rain  A.  M.;  heavy 

Misty  rain,     [shower  M. 

Intermittent. 

Foggy  A.  M. 

Hazy. 

Showers  with  high  winds. 

White  frost;  hazy. 

Hazy  all  day. 

Thick  fog;  light  showers. 

Drizzly  rain. 

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PUBLIC/  DOCUMENT— No.  28. 


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LUNATIC  HOSPITAL  AT  WORCESTER.       [Oct. 


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Snow  squalls  all  day. 
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1861.] 


PUBLIC  DOCUMENT— No.  28. 


61 


CO 

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Hazy  A.  M. 

Very  light  snow. 

Faint  aurora  7£  P.  M. 

Rain  and  snow  alterna- 
nating,     ended    early 
A.  M.  17th. 

Snow  followed  in  eve.  by 
rain;  lunar  halo  7h  P-  M. 
Very  light 

snow  storms. 
Very  light  snow  storms. 
Snow  squalls  9|  A.  M. 
Very  blustering  all  day. 
Faint  aurora. 

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PUBLIC   DOCUMENT— No.  28. 


69 


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