STATE  ITNA'I'lfi  HOSPITAT 

:  :  '■ - — . . . . . — 


PUBLIC  DOCUMENT 


No.  24. 


THIRTY-SECOND  ANNUAL  REPORT 


THE  TRUSTEES 


© 

OP  THE 


STATE  LUNATIC  HOSPITAL 


.A.T  WORCESTER. 


OCTOBEK,  18  64. 


BOSTON: 

WRIGHT  &  POTTER,  STATE  PRINTERS, 
No.  4  Spring  Lane. 

1  8  6  5. 


Digitized  by  the  Internet  Archive 
in  2018  with  funding  from 
Wellcome  Library 


https://archive.org/details/b30318233 


QTommoraucaltl)  of  Jllassadjusctts. 


THIRTY-SECOND  ANNUAL  REPORT 

OP  THE 

TRUSTEES  OF  THE  WORCESTER  LUNATIC  HOSPITAL. 


To  His  Excellency  the  Governor  and  the  Honorable  Council 
of  the  Commonwealth  : 

Another  year  has  closed,  and  the  Trustees  are  happy  to 
report  that,  in  the  midst  of  the  great  excitement  of  war  and 
politics,  our  institution  has  gone  on  in  its  quiet  way,  only 
requiring,  from  the  financial  condition  of  the  country,  more 
care  and  anxiety  to  keep  the  expenses  within  the  means  at 
our  disposal. 

In  former  years  the  annual  outlay  for  repairs  and  improve¬ 
ments  has  been  necessarily  very  large ;  and  all  has  been  done 
without  any  appropriation  from  the  legislature,  except  at  the 
last  session  a  grant  of  four  thousand  dollars  was  made  for  con¬ 
structing  a  reservoir  of  pure  water,  which,  when  once  filled, 
it  is  said  by  competent  engineers,  will  give  a  continued  and 
ample  supply  for  all  purposes. 

It  was  well,  when  the  present  financial  state  of  the  country 
came  upon  us,  that  the  hospital  buildings  and  grounds  had 
been  put  in  excellent  order,  for  now  our  whole  income  is 

needed  to  supply  the  wants  of  the  patients. 

We  receive  from  the  State,  for  the  care  of  alien  patients, 

$2.75  a  week  for  each,  a  sum  quite  insufficient  to  pay  the  cost 


4 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct, 


of  supporting  them.  This  sum  is  so  inadequate  to  meet  the 
cost  of  supporting  the  State  patients,  that  a  part  of  the  burden 
must  be  laid  upon  the  private  patients,  many  of  whom  are  not 
able  to  bear  it.  The  Trustees  propose  to  memorialize  the 
general  court  for  some  legislation  that  will  remedy  this  obvi¬ 
ous  injustice.  We  are  allowed  by  law  to  charge  towns  the 
actual  cost  of  supporting  their  poor  insane  citizens,  estimated 
at  this  time  at  $3.78.  But  the  charge  for  the  year  has  been 
but  $3.25  to  towns ;  and  in  some  cases  the  recovery  of  this 
sum  has  been  difficult and  in  the  case  of  two  towns  we  have 
been  obliged  to  resort  to  legal  measures  to  enforce  payment, 
subjecting  us  to  costs  and  delays  that  are  embarrassing. 

In  August  last,  a  conference  was  held  with  the  Trustees  of 
the  other  State  asylums,  at  which  a  rate  of  charges,  uniform, 
and  at  that  time  considered  necessary  t@  pay  the  cost  of  sup¬ 
porting  the  patients,  was  agreed  upon  ;  and  it  is  hoped  that, 
if  this  rate  is  promptly  paid,  the  hospitals  may  meet  their 
expenses  without  an  application  to  the  legislature  for  an 
additional  grant. 

We  cannot,  without  injury,  diminish  our  force  or  deteriorate 
the  quality  or  quantity  of  supplies ;  and  we  hope  that,  with 
the  return  of  peace,  plenty  will  soon  follow,  and  that  our  pecu¬ 
niary  affairs  may  flourish  as  in  former  years. 

By  the  report  of  the  Superintendent,  the  number  of 


patients  under  treatment  during  the  year  has  been  .  625 

Of  these  were  discharged,  recovered,  ....  130 

“  “  “  improved,  ....  102 

“  “  “  not  improved,  ...  16 

Now  under  treatment, . 344 


A  paternal  care  is  exercised,  by  the  Superintendent,  over 
patients,  even  after  leaving  the  hospital.  Some  have  been 
placed  at  useful  employments  in  the  town,  still  passing  their 
nights  at  the  hospital  until  fully  able  to  take  care  of  them¬ 
selves.  All  are  properly  clothed  and  furnished  with  necessary 
funds.  A  large  amount  of  useful  labor  is  done  by  the  patients, 
useful  chiefly  to  themselves  as  a  curative  means,  and  which  is 
varied  to  suit  the  taste  and  ability  of  each. 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


5 


Many  interesting  facts  will  be  found  in  the  report  of  the 
Superintendent,  which  it  is  unnecessary  to  recapitulate,  but 
which  will  be  useful  to  persons  interested  in  the  subject  of 
insanity,  and  to  all  who  have  at  heart  the  welfare  of  their 
fellow-men. 

It  appears  by  the  Treasurer’s  report  that 
The  expenses,  as  nearly  as  they  can  be  ascertained, 

for  the  year  were .  166,612  00 

We  have  received  from  the  State  for  board  of  pa¬ 
tients,  ........  22,951  96 

From  towns  and  individuals,  ....  84,594  81 

And  there  are  due  to  the  hospital  bills  unpaid,  which  it  is 
estimated  will  be  more  than  sufficient  to  pay  all  the  expenses. 

Yery  respectfully  submitted  by  the  Trustees. 

R.  W.  HOOPER, 

E.  F.  JENKS, 

E.  JARVIS, 

W.  WORKMAN, 

S.  E.  SEWALL. 


Worcester,  October  14,  1864. 


6 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


OFFICERS  OF  THE  HOSPITAL. 


TRUSTEES. 


ROBERT  W.  HOOPER,  M.  D., 
HON.  EDWIN  F.  JENKS, 
EDWARD  JARVIS,  M.  D., 
WILLIAM  WORKMAN,  M.  D., 
HON.  SAMUEL  E.  SEWALL, 


Boston. 

Adams. 

Dorchester. 

Worcester. 

Boston. 


RESIDENT 

MERRICK  BEMIS,  M.  D., 
FRANK  IL  RICE,  M.  D.,  . 
CAROLINE  A.  BEMIS,  . 
DANIEL  W.  BEMIS, 


OFFICERS. 

.  .  .  Superintendent. 

.  .  .  Assistant  Physician. 

.  .  .  Matron. 

.  .  .  Steward. 


TREASURER. 

-MERRICK  BEMIS,  M.  D.,  ....  Worcester. 

Office  at  the  Hospital. 


* 


SALARIED  OFFICERS  OF  THE  HOSPITAL. 


Superintendent . . $1,800  00 

<% 

Assistant  Physician ,  ........  900  00 

Matron . .  200  00 

Steward, . 500  00 

Treasurer . .  400  00 


1864.] 


PUBLIC  DOCUMENNT  -No.  24. 


y 


TEEASUREE’S  REPOET. 


Cash  on  hand  September  30,  1863, 

Rec’d  from  Commonwealth  for  support  of  patients, 
“  “  Commonwealth  for  aqueduct,  . 

“  “  towns  and  individuals, 

“  “  Loans,  (bills  payable,) 

u  “  Sundries,  . 

Mechanics’  Bank,  including  check  not  in, 


$136  13 
22,951  96 
4,000  00  ' 
34,594  81 
22,500  00 
122  5T 
13,132  78 


$97,438  25 


EXPENDITURES. 


Steward’s  orders,  .... 

$56,557 

00 

Bills  payable,  ..... 

28,500 

00 

Mechanics’  Bank,  (money  borrowed)  . 

6,356 

62 

“  “  (interest) 

883 

86 

For  aqueduct,  .  .  .  . 

3,898 

30 

The  town  of  Newbury,  overpayment,  . 

25 

86 

Treasurer,  salary  and  expenses, 

663 

93 

Balance  cash,  ..... 

551 

84 

- - —$97,438  25 

H.  WOODWARD,  Treasurer. 


Worcester,  September  30,  1864. 


We  have  examined  the  above  account  with  the  vouchers  and  find  it 


correct. 


E.  F.  JENKS, 

S.  E.  SEWAEL, 

Auditing  Committee. 


Worcester,  October  5,  1864. 


8 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


SUPERINTENDENT’S  REPORT. 


To  the  Trustees  of  the  Worcester  Lunatic  Hospital: 

* 

Gentlemen,- — In  compliance  with  the  laws  of  the  Common¬ 
wealth,  I  submit  to  you  my  annual  report  for  the  year  ending 
September  30,  1864. 

For  the  operations  of  the  year  in  detail  you  are  respectfully 
referred  to  the  following  tables,  and  such  brief  explanations  and 
remarks  as  accompany  them. 


Table  No.  1, 

Showing  the  general  results  during  the  Year. 


* 

Males. 

Females. 

Total. 

Patients  in  the  Hospital  October  1,  1863, . 

197 

202 

399 

“  admitted  during  the  year,  . 

125 

101 

226 

Whole  number  under  treatment, 

322 

303 

625 

Discharged  recovered,  .  .  . 

70 

60 

130 

“  improved,  .  . 

61 

41 

102 

“  not  improved,  .... 

7 

9 

16 

Died, . 

17 

16 

33 

Whole  number  discharged  during  the  year, 

155 

126 

281 

'  “  “  remaining  September  30,  1864, 

167 

177 

344 

The  number  of  patients  in  the  hospital  at  the  beginning  of 
the  year  was  three  hundred  and  ninety-nine,  of  whom  one  hun¬ 
dred  and  ninety-seven  were  males,  and  two  hundred  and  two 
were  females. 

The  number  admitted  during  the  year  was  two  hundred  and 
twenty-six,  of  whom  one  hundred  and  twenty-five  were  males, 
and  one  hundred  and  one  were  females. 


18(34.] 


PUBLIC  DOCUMENT— No.  24. 


9 


The  whole  number  under  treatment  during  the  year  was  six 
hundred  and  twenty-five,  of  whom  three  hundred  and  twenty- 
two  were  mal-es,  and  three  hundred  and  three  were  females. 

The  whole  number  discharged  during  the  year  was  two  hun¬ 
dred  and  eighty-one,  of  whom  one  hundred  and  fifty-five  were 
males,  and  one  hundred  and  twenty-six  were  females. 

The  whole  number  remaining  in  the  hospital  is  three  hundred 
and  forty-four,  of  whom  one  hundred  and  sixty  are  males,  and 
one  hundred  and  seventy-seven  are  females.  * 

Of  the  two  hundred  and  eighty-one  patients  discharged,  one 
hundred  and  thirty  were  discharged  as  recovered  and  have 
returned  to  their  homes  and  friends,  and  have  resumed  the 
ordinary  duties  of  life.  And  one  hundred  and  two  were  dis¬ 
charged  as  improved.  Many  of  these  have  returned  to  their 
former  occupations  and  require  but  little  direction  and  over¬ 
sight  from  their  guardians  and  friends.  Others  have  become 
so  tranquil  and  are  so  much  improved  as  to  cause  their  friends 
but  little  anxiety,  and  to  require  from  them  but  little  care  and 
attention. 

The  recoveries  were  in  the  ratio  of  fifty-seven  per  cent,  to  the 
number  admitted,  or  thirty-eight  per  cent,  to  the  average  num¬ 
ber  of  patients  in  the  hospital,  and  seventy-nine  per  cent,  to  the 
number  of  those  whose  insanity  had  existed  less  than  one  year. 

The  ratio  of  deaths  to  the  whole  number  admitted  was  a 
fraction  more  than  fourteen  per  cent.,  or  four  and  nine-tenths 
per  cent,  to  the  whole  number  under  treatment,  and  seven  and 
eight-tenths  per  cent,  to  the  average  number  of  residents  in  the 
hospital  during  the  year. 

Seven  thousand  one  hundred  and  four  patients  have  been 
admitted  to  the  hospital  since  it  was  opened,  of  whom  three 
thousand  five  hundred  and  three  were  males,  and  three 
thousand  six  hundred  and  one  were  females. 

Of  this  number  three  thousand  three  hundred  and  sixty-three 
have  recovered,  giving  a  ratio  of  more  than  forty-seven  per 
cent,  of  recoveries  to  the  whole  number  of  patients  admitted, 
or  very  nearly  fifty  per  cent.,  after  deducting  the  number  of 
those  who  still  remain  in  the  hospital. 

One  thousand  two  hundred  and  sixty-six  patients  have  been 
discharged  u  improved,”  which  number,  added  to  the  number  of 
recoveries,  makes  the  number  of  those  who  have  received  benefit 

2 


10 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


by  a  residence  in  the  hospital,  four  thousand  six  hundred  and 
twenty-nine. 

Table  No.  2, 


Showing  the  Admissions  and  state  of  the  Hospital,  from  October  1,  1863, 

to  September  30,  1864. 


Patients  in  the  hospital.October  1,  1863, .  399 

Males,  ....  197  Females,  .  .  .  202 

Patients  admitted  in  the  course  of  the  year,  .....  226 

Males,  ....  125  Females,  .  .  .  101 

Patients  remaining  in  the  hospital  September  30,  1864,  .  .  344 

Males,  ....  167  Females,  .  .  .  177 


Of  the  admissions  there  were  cases  of  one  year  or  less  duration,  .  135 

Males,  .  .  .79  Females,  .  .  •  .  56 

Of  the  admissions  there  were  cases  of  more  than  one  year’s 

duration, . .  83 

Males,  .  .  .  .  39  Females,  ...  44 


Of  the  admissions  there  were  cases  the  duration  of  whose  insanity 
could  not  be  ascertained, . 


7 


Males,  ....  7  Females, 

«  •  • 

0 

Patients  committed  by  Courts,  .... 
Males,  .  .  .  .  73  Females, 

•  •  • 

•  •  • 

49 

122 

Patients  committed  by  Overseers  of  the  Poor, 

Males,  ....  7  Females, 

•  •  • 

•  •  • 

14 

21 

Patients  on  bonds, . 

•  Males,  ....  43  Females, 

•  •  • 

•  •  • 

30 

73 

Patients  committed  by  Governor’s  warrant,  . 

Males,  .  .  .  .  0  Females, 

•  •  • 

•  •  • 

0 

0 

Patients  committed  by  the  Board  of  State  Charities, 
Males,  ....  2  Females, 

•  •  O 

•  •  • 

6 

8 

Patients  committed  by  Commissioners  of  Lunacy, 
Males,  ....  0  Females, 

a  •  • 

•  a  • 

1 

1 

Foreigners  and  those  having  no  settlement  in  the  State 
in  course  of  the  year,  ..... 

Males,  *  ...  38  Females, 

,  committed 

•  a  • 

a  a  a 

38 

76 

Foreigners  and  those  having  no  settlement  in  the  State,  discharged 
in  course  of  the  year,  ........ 

Males,  .  .  .  .  72  Females, 


135 


63 


Foreigners  and  those  having  no  settlement  in  the  State,  remaining 

in  the  hospital  September  30,  1861,. . ° 

Males,  ....  53  Females, 


63 


116 


1864.]  PUBLIC  DOCUMENT— No.  24.  11 


State  Paupers  remaining  in  the  Hospital  at  the  close  of  each  year ,  as 

nearly  as  dan  he  ascertained. 


1842,  . 

.  34  ' 

l 

I  1850,  . 

.  181 

1858,  . 

.  121 

1843,  . 

.  38 

1851,  . 

.  201 

1859,  . 

.  124 

1844,  . 

.  38 

1852,  . 

.  241 

1860,  . 

.  130 

1845,  . 

.  57 

1853,  . 

.  216 

1861,  . 

.  156 

1846,  . 

.  52 

1854,  . 

.  151 

1862,  . 

.  189 

1847,  . 

.  121 

1855,  . 

.  115 

1863,  . 

.  175 

1848,  . 

.  150 

1856,  . 

.  155 

1864,  . 

.  116 

1849,  . 

.  167 

1857,  . 

.  119 

$ 

The  foregoing  table  shows  that  there  have  been  admitted  to 
the  hospital  in  the  course  of  the  year,  seventy-six  patients  who 
had  no  settlement  in  any  town  in  this  Commonwealth,  and  of 
the  same  class  one  hundred  and  thirty-five  have  been  discharged  ; 
leaving  in  the  hospital  one  hundred  and  sixteen  patients  who 
are  supported  by  the  charity  of  the  State.  A  few  of  this  class 
are  supposed  to  have  settlements  within  the  Commonwealth,  and 
the  above  numbers  may  be  somewhat  diminished  when  their 
cases  are  legally  settled. 

The  number  of  patients  committed  by  overseers  of  the  poor 
was  twenty-one,  of  whom  a  few  refund  to  the  towns  in  which 
they  have  a  settlement,  the  sums  of  money,  in  whole,  or  in  part, 
paid  for  their  support  while  in  the  hospital. 

The  number  of  patients  committed  on  bonds  from  friends  was 
seventy-three. 

The  number  of  patients  committed  by  the  courts  was  one 
hundred  and  twenty-two,  of  whom  sixty-seven  were  State  pau¬ 
pers,  and  fifty-five  about  equally  divided  between  the  town  and 
private  patients. 

Eight  patients  have  been  committed  by  the  Board  of  State 
Charities,  and  one  by  the  Commissioners  of  Lunacy. 

The  Board  of  State  Charities  have  removed  to  other  institu¬ 
tions  and  to  their  homes,  fifty-four  State  patients  in  the  course 
of  the  year. 

You  will  remember  that  all  of  this  number  were  recommended 
to  you  for  discharge,  previous  to  removal,  and  that  none  have 
been  discharged  whose  mental  and  physical  condition  did  not 
make  their  removal  seem  proper  and  advisable. 


12 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


Twelve  State  patients  have  died  in  the  course  of  the  year. 

When  State  patients  have  been  removed  from  the  hospital, 
previous  to  recovery,  they  have  been  visited  by  the  chairman  of 
the  Board  of  State  Charities  and  their  cases  fully  investigated 
before  any  steps  have  been  taken  to  procure  their  discharge,  and 
when  relations  or  friends  have  been  known,  their  wishes  have 
been  consulted. 

So  that  while  the  Board  of  State  Charities  and  the  Trustees 
have  been  equally  desirous  to  relieve  the  Commonwealth  of  any 
unnecessary  burden,  the  interests  of  the  patients  have  always 
been  humanely  regarded. 


Table  No.  3, 

t Showing  the  number  Admitted ,  Restored ,  Improved,  Died ,  3?c.,  in  each 

Month  during  the  Year. 


MONTHS. 

ft 

Admitted. 

Removed. 

Remaining. 

Males. 

Females. 

....  ■  i 

Total. 

Restored. 

- 

Improved. 

H 

3 

V 

> 

o 

— < 

h> 

0 

5 

Died. 

Total. 

Males. 

■  i 

Females. 

Total. 

M. 

F. 

M. 

F. 

M. 

F. 

M. 

F. 

M. 

F. 

T. 

October, 

9 

10 

19 

4 

10 

6 

6 

— 

1 

— 

3 

10 

20 

30 

196 

192 

388 

November,  . 

8 

4 

12 

7 

6 

3 

4 

— 

2 

3 

2 

13 

14 

27 

191 

182 

373 

December,  . 

11 

11 

22 

4 

8 

6 

4 

— 

3 

1 

2 

11 

17 

28 

191 

176 

367 

January, 

16 

5 

21 

7 

2 

4 

4 

— 

— 

1 

2 

12 

8 

20 

195 

173 

368 

F ebruary,  . 

7 

6 

13 

8 

3 

— 

1 

— 

— 

1 

— 

9 

4 

13 

193 

175 

368 

March,  .  . 

9 

10 

19 

4 

3 

1 

2 

1 

1 

1 

1 

7 

7 

14 

195 

178 

373 

April,  .  . 

11 

4 

15 

3 

6 

9 

- 

1 

— 

1 

2 

14 

8 

22 

192 

174 

366 

May,  .  .  . 

13 

4 

17 

7 

2 

9 

2 

1 

1 

1 

— 

11 

5 

16 

194 

173 

367 

June,.  .  . 

9 

8 

17 

7 

2 

7 

2 

— 

— 

4 

— 

18 

4 

22 

185 

177 

362 

July,  .  .  . 

13 

14 

27 

8 

4 

7 

6 

1 

— 

2 

1 

18 

11 

29 

180 

180 

360 

August,  .  . 

12 

13 

25 

5 

4 

10 

6 

9 

w 

1 

2 

— 

19 

11 

30 

173 

182 

355 

September,  - 

7 

12 

19 

6 

10 

6 

4 

1 

— 

— 

3 

13 

17 

30 

167 

177 

344 

Totals, 

125 

101 

226 

70 

60 

61 

41 

7 

9 

17 

16 

155 

126281 

1864.] 


PUBLIC  DOCUMENT— No.  24 


18 


Table  No.  4, 

Shoiuing  the  Form  of  Disease  in  those  Admitted  and  Discharged  during 

the  Year. 


FORM  OF  DISEASE. 

Admitted. 

Discharged. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Mania,  ..... 

44 

41 

85 

49 

42 

91 

“  Chronic, 

19 

19 

38 

21 

23 

44 

“  with  Epilepsy, 

12 

6 

18 

6 

2 

8 

“  with  general  Paralysis, 

4 

— 

4 

2 

— 

2 

Melancholia,  .... 

19 

16 

35 

20 

13 

33 

Dementia,  .... 

16 

13 

29 

49 

41 

90 

“  Senile, 

4 

2 

6 

— 

2 

2 

“  with  Epilepsy,  . 

2 

2 

4 

2 

2 

4 

“  with  general  Paralysis, 

1 

— 

1 

5 

— 

5 

Monomania  of  Fear, 

2 

1 

3 

— 

— 

“  of  Pride, 

— 

— 

— 

— 

— 

— 

u  of  Suspicion, 

2 

1 

3 

1 

1 

2 

0 1 3)1  S  j  •  •  •  * 

125 

101 

226 

155 

126 

281 

Table  No.  5. 


Supposed  Causes  of  Insanity  of  Patients  admitted  into  the  Hospital  from 
January  18,  1833,  to  September  30,  1864. 


CAUSES. 

18  ©4. 

Previously. 

Males. 

Females. 

Males. 

Females. 

Apoplexy,  ..... 

1 

2 

Asthma,  ...... 

— 

- 

1 

— 

Bronchitis,  ..... 

— 

— 

— 

1 

Bowels,  Disease  of,  . 

— 

— 

1 

— 

Cancer,  .  . 

— 

— 

— 

1 

Chorea,  ...... 

— 

— 

— 

3 

Constipation,  ..... 

■— 

— 

— 

- 

Convulsions,  ..... 

— 

— 

10 

12 

Dysentery,  ..... 

— 

— 

2 

2 

Dyspepsia,  ..... 

— 

— 

2 

— 

Epilepsy, . 

11 

5 

145 

51 

Eruptive  Diseases,  .... 

— 

— 

3 

3 

Eyes,  Disease  of, 

1 

1 

14 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


Table  No.  5 — Continued. 


CAUSES. 

18  6  4. 

Previously. 

Males. 

Females. 

Males. 

Females. 

Eyes,  Loss  of, . 

1 

Erysipelas, . 

— 

— 

— 

1 

Fevers, . 

— 

— 

46 

65 

Hysteria, ...... 

— 

— 

— 

1 

Hemorrhoides, . 

— 

— 

'  1 

1 

Ill  Health, . 

26 

35 

334 

793 

Influenza,  ..... 

— 

— 

1 

3 

Insolation, . 

— 

— 

16 

— 

Idiocy,  ...... 

— 

— 

15 

9 

Laryngitis, . 

— 

— 

— 

— 

Measles, . 

— 

— 

4 

6 

Nervous  Irritation,  .... 

— 

— 

— 

— 

Nymphomania,  . 

— 

— 

► 

4 

Old  Age,  ..... 

2 

2 

20 

26 

Otitis,  ...... 

— 

— 

— 

— 

Paralysis,  ... 

3 

1 

55 

26 

Pneumonia,  .  .  .  . 

— 

— 

-- 

— 

Rheumatism,  ..... 

— 

_ 

5 

1 

Scrofula,  ...... 

_ 

1 

2 

Sea-sickness,  ..... 

— 

_ 

1 

1 

Somnambulism,  .... 

_ 

_ 

— 

2 

Suppressed  Eruptions, 

— 

— 

4 

'  3 

Suppressed  Ulcer,  .... 

— 

— 

1 

3 

Satyriasis,  ..... 

— 

— 

1 

— 

Tic  Douloureux, 

__ 

_ 

— 

1 

Tumor,  ..... 

_ 

_ 

1 

Whooping  Cough,  .... 

— 

— 

1 

— 

Amenorrhcea,  ..... 

_ 

1 

— 

20 

Lactation,  Excessive, 

_ 

— 

3 

Menorrhagia,  ..... 

— 

1 

— 

8 

Menorrhagia,  Suppressed, 

— 

2 

— 

23 

Miscarriage,  ..... 

— 

— 

- 

! 

4 

Pregnancy, . 

— 

— 

— 

10 

Puerperal, . 

— 

2 

— 

199 

Turn  of  Life,  .... 

7 

_ 

58 

Amputation  of  Leg, 

— 

1 

Bathing  in  Cold  Water,  . 

_ 

_ 

l 

— 

Drinking  Cold  Water, 

__ 

l 

«_ _ 

Exposure  to  Cold,  .... 

_ 

ll 

13 

Injuries  by  Falling,  &c.,  . 

<a  _ 

_ 

20 

6 

Injury  of  Head,  .... 

1 

1 

53 

11 

Injury  of  Spine,  .... 

2 

1 

9 

Ld 

6 

Lead,  Poison  of,  ... 

__ 

4 

Lightning,  Stroke  of, 

— 

_ 

1 

Labor,  Excessive,  .... 

1 

1 

40 

57 

Loss  of  Sleep,  ..... 

__ 

. 

3 

Study,  Excessive,  .... 

1 

1 

25 

9 

Spiritualism,  ..... 

3 

— 

17 

24 

Criminal  Trial,  .... 

_ 

1 

False  Accusation,  .... 

— 

— 

— 

1 

1864.] 


PUBLIC  DOCUMENT— No.  24. 


15 


Table  No.  5 — Concluded. 


CAUSES. 

1864. 

Previously. 

Males. 

Females. 

Males. 

Females. 

Imprisonment, ..... 

_ 

4 

Death  of  Relatives,  .... 

— 

7 

28 

69 

Domestic  Trouble,  .... 

1 

— 

110 

336 

Marriage,  Unhappy, 

— 

— 

2 

5 

Disappointment  in  Love, . 

— 

2 

64 

95' 

Disappointed  Ambition,  . 

— 

— 

9 

9 

Home  Sickness,  .... 

— 

1 

6 

17 

Fright,  ...... 

1 

— 

20 

24 

Seduction,  ..... 

— 

— 

— 

3 

Millerism,  ..... 

— 

— 

9 

6 

Political  Excitement, 

— 

‘  — 

9 

1 

Religious  Excitement, 

— 

1 

156 

176 

Pecuniary  Trouble,  .... 

— 

— 

142 

37 

Poverty, . 

— 

— 

1 

1 

Poverty,  Fear  of, 

— 

— 

30 

8 

Prosecution,  ..... 

— 

— 

1 

— 

Giving  up  Business, . 

1 

— 

1 

— 

Change  of  Business, 

— 

— 

8 

— 

Violent  Temper,  .... 

— 

— 

2 

13 

Jealousy, . 

— 

— 

18  . 

27 

Intemperance, . 

23 

5 

540 

62 

Opium,  Use  of,  .... 

— 

— 

3 

9 

Tobacco,  Use  of, 

— 

— 

9 

7 

Masturbation,  ..... 

16 

2 

347 

55 

Venery,  Excess  of,  . 

— 

— 

1 

— 

Unknown,  .  ... 

32 

24 

1,017 

1,059 

Totals,  ..... 

’  125 

101 

3,378 

3,500 

Of  the  above  there  were— 


Hereditary  cases,  .... 

23 

14 

542 

767 

Periodical  cases,  .... 

24 

23 

560 

596 

Hereditary  and  Periodical  cases, 

8 

3 

365 

405 

Suicidal  cases,  .... 

18 

16 

180 

219 

Homicidal  cases,  .... 
Suicidal  and  Homicidal  cases,  . 

13 

5 

127 

38 

5 

3 

37 

22 

16 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct 


Table  No.  6, 


Showing  the  Ages  of  Patients  Admitted ,  Discharged  Recovered , 

Recovered ,  cmc?  Died  during  the  Year . 


AGES. 

Admitted. 

Discharged  Re¬ 
covered. 

Discharged  not 

Recovered. 

Died. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Less  than  15, 

4 

I' 

2 

From  15  to  20, 

5' 

9 

2 

2 

2 

— 

— 

— 

20  to  30, 

28 

21 

19 

15 

15 

17 

2 

3 

30  to  40, 

33 

26 

26 

21 

26 

15 

5 

4 

40  to  50, 

22 

18 

15 

12 

16 

13 

4 

— 

50  to  60, 

16 

15 

4 

5 

5 

3 

3 

5 

60  to  70, 

12 

6 

3 

3 

1 

1 

2 

2 

70  to  80, 

5 

4 

1 

1 

— 

1 

1 

1 

80  to  90, 

— 

2 

— 

1 

— 

— 

1 

Unknown, 

— 

— 

— 

— 

— 

— 

— 

— 

Totals,  .  . 

125 

101 

70 

i 

60 

68 

50 

17 

16 

Table  No.  7, 


Showing  the  Ages  of  Patients  Admitted ,  Discharged  Recovered ,  not  Re¬ 
covered,  and  Died,  from  January  18,  1833,  to  September  30,  1864. 


AGES. 

Admitted. 

Discharged  Re¬ 
covered. 

* 

Discharged  not 

Recovered. 

Died. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Less  than  15, . 

30 

25 

5 

11 

18 

12 

1 

1 

From  15  to  20, 

211 

217 

122 

131 

63 

60 

14 

13 

20  to  30, 

940 

912 

467 

466 

338 

360 

58 

.67 

30  to  40, 

868 

951 

423 

461 

369 

350 

95 

92 

40  to  50, 

742 

785 

323 

363 

266 

255 

99 

88 

50  to  60, 

388 

432 

165 

198 

140 

134 

69 

81 

60  to  70, 

225 

204 

81 

94 

80 

61 

50 

51 

70  to  80, 

90 

64 

22 

25 

21 

18 

35 

22 

80  to  90, 

9 

11 

4 

2 

3 

4 

5 

4 

Unknown,.  . 

— 

— 

— 

— 

— 

— 

— 

— 

Totals,  .  . 

3,503 

3,601 

1,612 

1,751 

1,298 

1,254 

426 

419 

1864.] 


PUBLIC  DOCUMENT — No.  24. 


17 


Table  No.  8, 

Showing  the  Duration  of  Insanity  before  Admission  of  Patients  Admitted \ 
Discharged  Recovered ,  not  Recovered ,  and  Died ,  during  the  Tear. 


DUE  ATI  ON  OF  INSANITY. 

Admitted. 

Discharged 

Kecovered. 

Discharged 

not 

Recovered. 

Died. 

m 

o 

% 

a 

GO 

CD 

73 

a 

o 

in 

o 

Females. 

m 

CD 

*3 

Females. 

m 

<D 

"3 

Females. 

Insane  1  year  or  less,  . 

79 

56 

43 

46 

11 

9 

i 

2 

More  than  1  year  and  less  than 

2  years,  ..... 

5 

5 

13 

7 

3 

5 

3 

3 

More  than  2  years  and  less  than 

5  years, . 

12* 

13 

12 

3 

13 

11 

4 

3 

More  than  5  years  and  less  than 

10  years,  .... 

14 

15 

2 

4 

25 

15 

2 

4 

More  than  10  years  and  less  than 

15  years,  .... 

4 

4 

— 

— 

11 

6 

3 

— 

More  than  15  years  and  less  than 

20  years,  .... 

1 

4 

— 

— 

5 

4 

2 

3 

More  than  20  years  and  less  than 

25  years,  .... 

2 

1 

—  < 

— 

— 

— 

— 

— 

More  than  25  years  and  less  than 

30  years,  .... 

— 

— 

— 

— 

— 

— 

2 

1 

Thirty  years  or  more, . 

1 

3 

- 

— 

— 

— 

— 

— 

Unknown, . 

7 

— 

— 

— 

— 

— 

— * 

— 

Tot&lSj  #  ♦  «  •  • 

125 

101 

70 

60 

68 

50 

17 

16 

3 


18 


LUNATIC  HOSPITAL  AT  WORCESTER. 


[Oct. 


Table  No.  9, 

Showing  the  Duration  of  Insanity  before  Admission  of  Patients  Admitted , 
Discharged  Recovered ,  not  Recovered ,  and  Died ,  /rom  January  18, 
1833,  September  30,  1864. 


Admitted. 

Discharged  Re¬ 
covered. 

Discharged  not 

Recovered. 

Died. 

DURATION  OF  INSANITY. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Insane  1  year  or  less, 

2,210 

2,446 

1,242 

1,372 

615 

591 

212 

258 

More  than  1  year  and  less 

than  2  years, 

121 

106 

157 

140 

60 

62 

23 

16 

More  than  2  years  and  less 

than  5  years, 

504 

480 

112 

124 

191 

169 

82 

59 

More  than  5  years  and  less 

than  10  years, 

277 

255 

.  42 

53 

197 

189 

32 

27 

More  than  10  years  and 

less  than  15  years, 

142 

152 

12 

20 

103 

96 

31 

23 

More  than  15  years  and 

less  than  20  years, 

66 

42 

9 

9 

41 

61 

19 

10 

More  than  20  years  and 
less  than  25  years, 

* 

46 

33 

7 

6 

28 

34 

4 

7 

More  than  25  years  and 
less  than  30  years, 

18 

15 

5 

1 

9 

10 

7 

5 

Thirty  years  or  more, 

30 

29 

2 

5 

11 

13 

8 

6 

Unknown, 

89 

43 

24 

21 

43 

29 

8 

8 

Totals, .... 

3,503 

3,601 

1,612 

1,751 

1,298 

1,254 

426 

419 

1864.] 


PUBLIC  DOCUMENT— No.  24 


19 


Table  No.  10, 

Showing  the  Civil  Condition  of  Patients  Admitted ,  Discharged  Recov¬ 
ered ,  not  Recovered ,  and  Died ,  during  the  Year. 


CIVIL 

Admitted. 

Discharged  Re¬ 
covered. 

Discharged  not 

Recovered. 

Died. 

CONDITION. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females 

Unmarried,  . 

68 

39 

35 

24 

39* 

27 

6 

7 

Married,  .  . 

54 

,  48 

30 

27 

23 

22 

8 

5 

Widowers, 

3 

— 

5 

— 

6 

— 

3 

— 

Widows,  .  . 

— 

14 

- 

9 

- 

1 

— 

4 

Unknown, .  . 

— 

— 

— 

— 

— 

— 

— 

— 

Totals,  .  . 

125 

101 

70 

60 

68 

50 

17 

16 

Table  No.  11, 

Showing  the  Civil  Condition  of  Patients  Admitted ,  Discharged  Recovered , 
Recovered ',  and  Died ,  yhwz  January  18,  1833,  to  September  30, 
1864. 


CIVIL 

CONDITION. 

Admitted. 

Discharged  Re¬ 
covered. 

Discharged  not 

Recovered. 

Died. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Males. 

Females. 

Unmarried,  . 

1,851 

1,544 

799 

695 

790 

675 

166 

175 

Married,  .  . 

1,478 

1,616 

749 

850 

449 

443 

207 

164 

Widowers, 

151 

— 

61 

— 

47 

— 

47 

— 

Widows,  .  . 

— 

421 

— 

204 

- 

123 

- 

78 

Unknown, .  . 

23 

20 

3 

2 

12 

13 

6 

2 

Totals,  .  . 

3,503 

3,601 

1,612 

1,751 

1,298 

1,254 

426 

419 

20 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct 


Table  No.  12, 

Showing  the  Occupation  of  Patients  admitted  to  the  Hospital  from 
January  18,  1833,  to  September  30,  1864. 


OCCUPATION  OF  MALES. 

18  6  4. 

Previously. 

Auctioneers, . 

2 

Armorers, . 

— 

2 

Authors,  ........ 

— 

3 

Blacksmiths  and  Iron-workers, .... 

2 

57 

Bakers,  ........ 

1 

10 

Butchers,  ........ 

— 

5 

Book-agents,  .  .  .  .  .  . 

— 

2 

Book-binders, . 

— 

3 

Broom-makers, ....... 

— 

2 

Book-keepers, . 

1 

8 

Brittania-workers,  ...... 

— 

2 

Brick-makers,  ....... 

1 

5 

Bellows-makers,  ...... 

— 

2 

Barbers, . 

— 

12 

Clergymen,  ....... 

1 

23 

Carvers, . 

— 

2 

Carpenters, . 

1 

116 

Coppersmiths,  ....... 

— 

9 

Coopers, . 

— 

22 

Cabinet-makers, . 

— 

16 

Clothiers,  ; . 

— 

15 

Comb-makers, . 

Ml 

4 

Confectioners, . 

3 

Card-makers, . 

MM 

1 

Chair-makers, . 

_ 

3 

Cigar-makers, . 

— 

4 

Clerks, . 

7 

79 

Carpet-weavers, . 

1 

2 

Caulkers,  ....... 

1 

2 

Camphene-distillers, . 

— 

3 

Dyers, . 

— 

3 

Druggists, . 

_ 

3 

Drovers, . 

_ 

2 

Daguerreotypists, . 

3 

Engineers, . 

— 

o 

Engravers, . 

MM 

4 

Editors, . 

— m 

*  4 

Expressmen, . 

MM 

14 

Farmers, . 

23 

684 

Fishermen,  ...... 

2 

30 

Gardeners, . 

9 

Glass-blowers, . 

4 

Hotel-keepers, . 

MM 

13 

Hatters, . 

1 

5 

Harness-makers, . 

14 

Hackmen  and  Teamsters, .... 

4 

28 

Jewellers, . 

18 

1864.] 


PUBLIC  DOCUMENT— No.  24 


21 


Table  No.  12 — Continued. 


OCCUPATION  OF  MALES. 

1804. 

Previously. 

Lawyers, . . 

12 

Laborers, . 

26 

764 

Manufacturers, ....... 

— 

29 

Millers, . 

— 

6 

Merchants, . . 

4 

142 

Masons, . 

— 

29 

Miners, . 

— 

4 

Miniature-painter, . 

— 

1 

Mat-makers, . 

— 

2 

Musicians, . 

— 

7 

Machinists,  .  < . 

1 

40 

Moulders, . 

— 

7 

Operatives  in  Mills, . 

6 

70 

Palmleaf-splitter, . 

— 

1 

Painters, . 

1 

42 

Printers, . 

1 

30 

Physicians, . .  . 

3 

15 

Paper-makers,  ....... 

— 

7 

Peddlers, . 

— 

13 

Potter, . 

— 

1 

Pump  and  Block-makers, . 

— 

4 

Pattern-makers, . 

— 

4 

Plumbers, . 

1 

4 

Police  officers, . . 

— 

3 

Pope-makers,  .  .  .  . 

“ 

10 

Restaurators, . 

— 

8 

Shoemakers  and  Bootmakers, . 

9 

268 

Sailmakers,  ....... 

— 

9 

Soap-makers, . 

1 

7 

Sash  and  blind-makers, . 

— 

3 

Sea-captains, . 

— 

16 

Sailors, . 

4 

152 

Students,  ........ 

— 

56 

Ship- carpenters, . 

— 

8 

Shop-keepers, . 

— 

3 

Stone-cutters, . 

— 

9 

Soldiers, . 

— 

10 

Sexton, . . 

- 

1 

Stevedore, . 

- 

1 

Surveyors, . 

— 

2 

School-boys,  ....... 

3 

23 

Tailors, . 

3 

20 

Teachers, . 

1 

31 

Tobacconists, . 

- 

3 

Tinners, . 

— 

7 

Tanners, . 

1 

17 

Umbrella-makers, . . 

— 

2 

Wheelwrights,  .  .  . 

1 

17 

No  occupation, . 

13 

209 

Totals, . 

125 

3,378 

22 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct 


Table  No.  12 — Concluded. 


OCCUPATION  OF  FEMALES. 

1864. 

Previously. 

Actress,  ...  ....  . 

1 

1 

Cooks, . 

— 

63 

Engraver,  ....... 

— 

1 

Housekeepers, . .  . 

57 

1,862 

Housemaids,  ....... 

15 

341 

Laundresses, . 

— 

2 

Music  Teachers, . 

— 

2 

Mid  wives, ........ 

— 

2 

Nurses, . 

— 

13 

Operatives  in  Mills,  ...... 

4 

183 

Seamstresses, . . 

17J 

689 

School-girls, . 

1 

33 

Teachers, . 

2 

75 

Typesetters,  ....... 

— 

3 

No  occupation, ....... 

4 

230 

TotoISj  ••••••• 

101 

3,500 

Table  No.  13. 


Diseases  which  have  'proved  Fatal  from  January  18,  1833,  to  September 

30,  1864. 


DISEASES. 

1864. 

Previously. 

Males. 

Females. 

Males. 

Females. 

Apoplexia,  ..... 

_ 

1 

15 

9 

Asphyxia,  ..... 

— 

— 

2 

— 

Asthma,  ...... 

— 

— 

4 

1 

Ascites,  ...... 

— 

— 

5 

7 

Autochiria,  ..... 

— 

1 

15 

10 

Bronchitis,  ..... 

_ 

— 

2 

— 

Carcinoma, . 

— 

1 

2 

1 

Carditis,  ...... 

— 

_ 

9 

11 

Cholera, . 

_ 

_ 

5 

- . 

Cholera  Morbus,  .... 

— 

.2 

3 

Cystitis, . 

— 

1 

1 

— 

Dysenteria, . 

— 

— 

12 

6 

Delirium  Tremens,  .... 

— 

— 

4 

_ 

Enteritis, ...... 

— 

— 

6 

9 

Epilepsia,  ..... 

4 

o 

w 

64 

28 

Erysipelas, . 

— 

— 

9 

10 

Hepatitis, . 

— 

— 

— 

2 

Hydrathorax, . 

1 

1 

1864.] 


PUBLIC  DOCUMENT— No.  24. 


28 


Table  No.  18 — Concluded. 


DISEASES. 

18  64. 

Previously. 

Males. 

Females. 

Males. 

Females. 

Hernia, . 

1 

— 

Inanitio,  ...... 

— 

— 

33 

52 

Mania  Exhaustive,  .... 

— 

2 

10 

7 

Marasmus, . 

2 

2 

63 

63 

Meningitis, . 

Mortificatio, . 

.  — 

— 

9 

14 

— 

— 

— 

1 

Necropneumonia,  .... 

— 

- 

1 

2 

Paralysis,  .  .  .  . 

7 

— 

30 

19 

Phthisis  Pulmonalis, .  .  ♦  . 

4 

4 

49 

105 

Pleuritis, . 

— 

— 

— 

2 

Pneumonia, . 

— 

— 

15 

9 

Senectus, . 

— 

2 

24 

15 

Typho-Mania,  ..... 

— 

— 

7 

10 

Typhoid  Fever,  .... 

— 

— 

8 

6 

Variola, . 

— 

— 

1 

■— 

Totals,  ..... 

17 

16 

409 

403 

Seventeen  males  and  sixteen  females  have  died  in  the  course 
of  the  year.  Of  the  deaths  which  occured,  two  were  from  old 
age,  one  from  apoplexy,  six  from  epilepsy,  four  from  marasmus, 
seven  from  general  paralysis,  eight  from  consumption,  two  from 
exhaustion,  consequent  upon  maniacal  excitement,  and  one  from 
suicide.  With  two  exceptions  the  patients  who  died  during  the 
year  were  long  past  the  middle  age ;  one  was  about  ninety  and 
another  about  eighty  years  of  age. 

A  large  portion  of  those  who  died  had  been  residents  in  the 
house  many  years:  while  two  died  in  a  few  days  after  their 
commitment  to  the  hospital. 

The  number  of  deaths  will  not  seem  large  when  it  is  remem¬ 
bered  that  every  patient  admitted  to  the  hospital,  labors  under 
some  constitutional  disease  ;  that  some  are  sent  to  us  in  extreme 
old  age,  others  in  the  last  stages  of  decay ;  many  with  debili¬ 
tated  constitutions,  worn  out  by  grief,  or  fear,  or  anxiety,  or 
perhaps  by  dissipation ;  exhausted  by  long  duration  of  mental 
disease ;  and  that  all  are  liable,  and  in  the  same  proportion  to 
diseases  of  a  general  nature  that  the  members  of  any  sane 
community  are. 


24 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


It  must  be  remembered  too  that  the  standard  of  health,  never 
high  in  a  hospital  for  the  insane,  has  been  generally  good, 
although  no  choice  has  been  or  can  be  made  in  regard  to  the 
admissions,  except  in  favor  of  the  most  hopeless. 

A  reference  to  the  table  will  show  that  a  large  majority  of 
those  who  died  sank  under  the  influence  of  diseases  prevalent 
among  the  insane. 


Table  No.  14, 

Showing  the  Admissions  from  each  County ,  from  January  18,  1833,  to 

September  30,  1864. 


COUNTIES. 

Males. 

1864. 

Females. 

Total. 

Previously. 

Whole  No. 

Barnstable, 

1 

— 

1 

127 

128 

Berkshire, 

— 

— 

— 

189 

189 

Bristol, 

1 

— 

1 

293 

294 

Dukes, 

— 

— 

— 

19 

19 

Essex, 

10 

19 

29 

980 

1,009 

Franklin, . 

— 

— 

— 

126 

126 

Hampden, 

8 

2 

10 

354 

364 

Hampshire, 

1 

— 

1 

224 

225 

Middlesex, 

43 

26 

69 

1,068 

1,137 

Nantucket, 

1 

— 

1 

31 

32 

Norfolk,  . 

2 

6 

8 

600 

608 

Plymouth, 

1 

— 

1 

234 

235 

Suffolk,  . 

4 

4 

8 

697 

705 

Worcester, 

47 

42 

89 

1,913 

2,002 

Other  States,  . 

6 

2 

8 

23 

31 

Totals, 

125 

101 

226 

6,878 

7,104 

1864.] 


PUBLIC  DOCUMENT— No.  24. 


25 


Table  No.  15, 

Showing  the  Whole  Number  of  Patients  during  the  last  year ,  the  Average 
■  Number ,  the  number  at  the  end  of  each  year ,  the  Expense  of  each  year , 
the  Annual  Expense  for  each  Patient,  and  the  Expense  of  each  Patient 
per  week  for  each  of  the  Thirty-two  Years  the  Hospital  has  been  in 
operation . 


TEAK. 

Whole 

Number. 

Average 

Number. 

No.  at  end 

of  each 

year. 

Current  expenses 
of  each  year. 

Annual  expense 
for  each  patient. 

Expense  per 

week  for 
each  patient. 

1833,  . 

153 

107 

114 

112,272  91 

1114  67 

$2  25 

1834,  . 

233 

117 

118 

15,840  97 

135  38 

2  60 

1835,  . 

241 

120 

119 

16,576  44 

137  30 

2  64 

1836,  . 

245 

127 

138 

21,395  28 

168  44 

3  12 

1837,  . 

306 

163 

185 

26,027  07 

159  64 

3  07 

1838,  . 

362 

211 

218 

28,739  40 

136  20 

2  62 

1839,  . 

397 

223 

229 

29,474  41 

132  16 

2  53 

1840,  . 

391 

229 

236 

27,844  98 

121  59 

2  33 

1841,  . 

399 

233 

232 

28,847  62 

123  81 

2  38 

1842,  . 

430 

238 

238 

29,546  87 

111  12 

2  13 

1343,  . 

458 

244 

255 

27,914  12 

114  40 

2  20 

1844,  . 

491 

261 

263 

29,278  75 

112  17 

2  15 

1845,  . 

656 

316 

360 

43,888  65 

138  88 

2  66 

1846,  . 

637 

359 

367 

39,870  37 

111  06 

2  13 

1847,  . 

607 

377 

394 

39,444  47 

104  62 

2  01 

1848,  . 

655 

404 

409 

42,860  05 

106  09 

2  04 

1849,  . 

682 

420 

429 

40,870  86 

97  31 

1  87 

1850,  . 

670 

440 

441 

46,776  13 

106  40 

2  04 

1851,  . 

704 

462 

466 

52,485  33 

112  61 

2  16 

1852,  . 

775 

515 

532 

43,878  35 

85  20 

1  64 

1853,  . 

820 

537 

520 

53,606  66 

103  14 

1  98 

1854,  . 

819 

430 

381 

53,221  52 

123  77 

2  38 

1855,  . 

580 

349 

336 

54,895  88 

157  29 

3  02 

1856,  . 

577 

357 

376 

45,631  37 

128  64 

2  47 

1857,  . 

647 

387 

372 

49,004  75 

124  04 

2  38 

1858,  . 

679 

372 

301 

38,267  26 

102  86 

2  39 

1859,  . 

501 

309 

317 

48,363  33 

156  51 

3  01 

1860,  . 

532 

324 

331 

47,757  01 

147  39 

2  83 

1861,  . 

583 

369 

379 

54,748  53 

148  37 

2  84 

1862,  . 

600 

401 

396 

53,043  88 

132  18 

2  50 

1863,  . 

611 

398 

399 

66,082  36 

166  03 

3  19 

1864,  . 

625 

366 

344 

66,612  00 

182  00 

3  50 

The  expenses  have  been  diminished  by  credits  received  for 
articles  sold,  during  the  year,  one  thousand  fifty-three  dollars 
and  eighty-three  cents. 


4 


Table  No.  16, 

Showing  the  Statistics  of  the  Hospital  from  January  18,  1833,  to  September  30,  1864. 


26 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


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PUBLIC  DOCUMENT— No.  24. 


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1864.] 


PUBLIC  DOCUMENT— No.  24. 


49 


General  Condition  of  the  Hospital  at  the  close  of  the  Tear. 


Number  of  patients  in  the  hospital, . .  344 

Number  supported  by  the  State, . #  426 

Number  supported  by  towns, . .  443 

Number  supported  by  friends,  .  . 445 

Number  of  curable  State  patients,  .......  35 

Number  of  incurable  State  patients, .  79 

Number  of  curable  town  patents,  .......  28 

Number  of  incurable  town  patients, .  87 

Number  of  curable  private  patients, .  33 

Number  of  incurable  private  patients,  ......  80 

Average  weekly  cost  of  support, . ^3  50 

Number  of  State  patients  who  pay  less  than  the  average  cost,  .  .  116 

Number  of  pay  patients  who  pay  less  then  the  average  cost,  .  .  220 

Number  who  pay  more  than  the  average  cost,* *  ....  8 

Number  gratuitously  supported,  .......  - 

Number  of  voluntary  patients,  ........  4 

Number  of  patients  in  good  health, . 176 

Number  of  patients  whose  health  is  impaired, . 102 

Number  of  patients  diseased, .  57 

Number  of  patients  hopelessly  diseased, .  9 

Number  of  patients  employed  industrially,  .  .  .  .  .  134 

Number  of  patients  employed  for  amusement,  .  .  .  .  .  94 

Number  of  patients  under  supervision  in  the  grounds,  .  .  .  276 

Number  of  patients  on  parole  in  the  grounds,  .....  42 

Number  of  patients  on  parole  in  the  town, .  15 

Number  of  patients  confined  to  the  house  by  medical  order,  .  .  2 

Number  of  patients  confined  to  bed  by  disease  or  debility,  .  .  9 

Number  of  patients  wearing  special  dresses  with  special  fastenings,  .  - 

Number  of  patients  in  seclusion  in  bed-rooms,  .  ...  .  - 

Number  of  patients  excited  with  restraint,  .  .  .  .  1 

Number  of  patients  excited,  in  seclusion,  ......  - 

Number  of  patients  excited,  without  seclusion,  .....  76 


The  number  of  patients  now  in  hospital  is — 

Males,  .  \  .  167  ‘ 

Females,  .  .  .  177  Total, ....  344 

The  accommodations  are,  in  the 

*  By  vote  of  the  Trustees,  private  patients,  admitted  on  and  after  July  1,  1864,  are  charged  at 
jeast  five  dollars  per  week. 

A  few  such  have  been  received  who  are  not  accounted  for  in  the  above  table.  No  bills  against 
such  patients  have  yet  been  paid. 

7 


50 


LUNATIC  HOSPITAL  AT  WORCESTER. 


[Oct. 


MALE  DEPARTMENT. 

South  Centre  Wing — 3  wards,  13  rooms  each — total,  .  .  39 

South  Middle  Wing — 3  wards,  16  rooms  each — total,  .  .  48 

South-West  Johonnot  Wing — 3  wards,  10  rooms  each — total,  30 
South-East  Johonnot  Wing — 3  wards,  13  rooms  each — total,  39 
Two  rooms  for  the  occasional  use  of  noisy  and  excited  patients,  2 


FEMALE  DEPARTMENT. 

North  Centre  Wing — 3  wards,  13  rooms  each-— total,  . 
North  Middle  Wing — 3  wards,  16  rooms  each — total,  . 
North-West  Johonnot  Wing — 3  wards,  10  rooms  each — total, 
North-East  Johonnot  Wing — 3  wards,  8  rooms  each— total,  . 
Two  rooms  for  the  occasional  use  of  noisy  and  excited  patients, 

Total  accommodations, . 


39 

48 

30 

24 

2 


143 


301 


Glassification  of  Expenses  as  per  Treasurer's  Report, 


PROVISIONS. 

BreadstufFs- 

-Flour,  . 

$5,692  75 

Crackers  and  Rice, 

309  48 

Rye,  Corn  Meal  and  Hominy, 

527  60 

Fish, . 

©  •  •  • 

731  87 

Meats, 

e  ♦  ®  • 

4,993  84 

Fruits — Apples, 

469  56 

Other  Fruits, 

169  21 

Vegetables— 

-Potatoes,  &c., 

1,358  46 

Beans,  . 

309  50 

Butter, 

9  •  ®  9 

4,713  17 

Sugar, 

•  •  •  • 

1,285  24 

Coffee, 

•  •  «  • 

943  85 

Tea, . 

0  •  0  • 

560  45 

Molasses,  . 

•  •  •  4 

488  59 

Eggs, 

®  •  ©  0 

350  38 

Small  Groceries, 

559  73 

Ice,  . 

e  •  «  • 

135  00 

Cheese, 

0  •  •  • 

11  10 

Vinegar,  . 

0  «  •  • 

59  53 

- $23,669  31 

/ 

CLOTHING. 

Boots  and  Shoes  and  Caps, . $985  92 

Fulled  Cloth  and  Garments, . 1,419  36 


$2,405  28 


1864.]  PUBLIC  DOCUMENT— No.  24.  51 


FURNITURE 


House  furnishing  goods,  ..... 

8699 

!>» 

00 

Paper  hangings, . 

22 

90 

Bedding,  Mattresses,  Blankets,  &c.,  . 

875 

04 

Crockery  and  Glass  Ware,  .... 

572 

95 

Dry  Goods — Sheetings,  Prints,  &c.,  . 

.  2,208 

47 

Pictures  and  Frames,  &c., .  .  .  .  "  . 

156 

08 

81,535  31 


Wood, 

Coal, 


FUEL. 

'  \  89,787  65 


LIGHT. 

Gas,  . .  8959  26 

Oil — Whale  and  Kerosene,  .....  110  50 

— - —  81,069  76 


MEDICAL  SUPPLIES. 

Medicines,  &e., .  8505  47 


AGRICULTURAL  DEPARTMENT. 


Implements,  .  . 

© 

=€© 

to 

07 

Live  Stock, . 

262 

90 

Fertilizers,  Seeds,  &c., . 

236 

06 

Rent  of  Land, . 

97 

91 

Trees,  Shrubs,  &c., . 

43 

00 

Provender — Corn,  Oats,  &c.,  .... 

.  1,342 

46 

Labor  and  supervision  of  labor  of  male  patients, 

.  2,437 

01 

84,696  46 


I M  P  R  O  YE  M  E  N  T  S 

AND 

REPAIRS. 

Carriages  and  Repairs, 

894 

05 

Steam  and  Gas-pipe  and  Plumbing,  . 

368 

77 

Window  Sash  and  Blinds, 

• 

57 

83 

Lumber,  ...... 

438 

56 

Hardware,  ..... 

.  1,320 

45 

Blacksmithing, . 

341 

24 

Powder  for  blasting,  .... 

31 

52 

Sand,  Lime,  Cement,  &c., 

157 

72 

Paints  and  Oils,  .... 

325 

16 

Labor, . 

.  2,779 

12 

85,914  42 


52 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


SALARIES,.  WAGES,  &C. 

Salaries, . $2,625  00 

Domestic  Department, .  1,880  51 

Supervision  and  care  of  patients,  ....  5,306  16 

Engineers  and  Watch  Department,  ....  2,059  33 

- $11,871  00 


MISCELLANEOUS. 


Books,  Newspapers  and  Lectures, 

$361 

42 

Stationery  and  printing  Report, 

178 

67 

Postage,  .  .  .  . 

«? 

«  p  e 

100 

00 

Undertakers’  bills, 

599 

39 

Soap,  ..... 

201 

78 

Freight, . 

103 

00 

Carriage  hire,  .... 

47 

50 

Watering  Streets, 

50 

00 

Trustees’  Expenses,  . 

72 

91 

Elopement  Expenses, 

45 

41 

Petty  Cash  Expenses,  fares  home, 

aud 

cash  supplied 

to  patients,  &c., 

234 

91 

Grinding  Meal, 

27 

60 

Malt  and  Hops, 

8 

25 

Dentistry, . 

1 

50 

Lot  in  Hope  Cemetery, 

125 

00 

Total  expenditures, . .  $66,612  00 

a  h  *  •  *  *.  £ 

The  following  table  will  show  the  rise  in  the  prices  of  some 
of  the  leading  articles  of  consumption  in  four  years  : — 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


53 


ARTICLES. 

PRICES. 

1801. 

186S. 

1863. 

1804;. 

Sugar,  ...... 

■  i|  'j* 

CO 

o 

o 

€0 

$0  11 

W  141 

$0  24 

Molasses, . 

26 

46 

55 

$1  00 

Tea,  ....... 

42 

65 

75 

1  15 

Coffee, . 

16 

26 

32 

45 

Butter,  ...... 

16 

23 

28 

55 

Rice,  ...... 

7 1 

8 

CO 

14 

Codfish,  ...... 

3 

H 

6f 

71 

*TS 

Beef,  ...... 

61 

7 

8 

15 

Flour,  of  the  quality  used  at  this  hos¬ 
pital,  • 

6f 

7 

8f 

15 

Standard  Prints,  for  dress  goods, 

9 

13 

25 

37 

Cottons,  36  inches  wide,  . 

21 

35 

65 

Cottons,  45  inches  wide,  . 

121 

28 

50 

75 

Blankets,  ...... 

2  75 

3  50 

6  50 

9  00 

Coal,  «••••• 

6  50 

6  75 

10  50 

16  50 

The  above  table  shows  the  cash  prices  for  the  best  quality  of 
supplies  in  this  market.  It  will  be  seen  that  the  prices  of  many 
articles  of  daily  consumption  have  steadily  advanced  until  the 
cost  at  present  is  three  or  four  times  as  great  as  it  was  in  1861. 
In  all  the  leading  articles  of  consumption,  coal,  flour,  meats, 
butter,  cotton  goods  of  all  kinds,  clothing,  crockery  and  table 
ware,  the  advance  has  been  equally  great. 

With  such  a  state  of  the  markets,  and  the  prices  paid  for 
board,  it  has  been  impossible  to  realize  certain  improvements 
and  alterations,  or  to  procure  the  means  of  a  greater  variety  of 
amusements  and  instruction,  suggested  in  my  last  report. 

Indeed  it  has  been  impossible  during  any  part  of  the  year,  to 
pay  for  food,  clothing,  warming,  lighting  and  the  labor  of  super¬ 
vising,  from  the  current  receipts  of  the  hospital. 

It  is  to  be  hoped  that  this  state  of  things  will  not  long 
continue ;  but  that  a  wise  and  liberal  policy  in  regard  to  the 
payment  for  support  of  patients  in  the  hospital,  combined  with 
the  strictest  economy  in  the  management  of  its  stores  and 


54 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


supplies  will  lead  to  a  more  comfortable  and  cheerful  financial 
prospect. 

We  have  endeavored  to  pursue  the  same  general  plan  of 
treatment  as  in  former  years.  Believing  that  remedial  agents, 
though  indispensible,  are  not  of  the  first  importance,  our  office 
has  been  of  necessity,  to  control  wayward  fancies,  give  hope  and 
courage  to  the  melancholic  and  depressed,  restrain  and  protect 
the  violent,  and  assure  the  timid  ;  to  watch  over  and  nurse  the 
feeble,  provoke  the  appetite  of  the  abstainer  from  food,  clothe 
the  naked,  guard  against  suicidal  and  homicidal  impulse,  and 
do  all  that  can  be  done  to  restore  the  mind  to  health  and 
happiness. 

But  recovery  from  insanity  is  slow  and  tedious,  because  it 
depends  upon  constitutional  changes  and  not  upon  crises.  It 
depends  upon  the  results  of  various  means  directed  to  one  end 
much  more  than  to  any  special  medical  treatment. 

For  every  patient  are  needed  all  the  appliances  of  the  insti¬ 
tution  ;  all  the  labor  and  attention  of  all  its  officers  and  assistants. 
Each  and  every  one  must  become,  for  the  time,  the  especial  care 
and  concern  of  the  whole  force  of  the  hospital.  There  can 
rarely  be  recovery,  or  improvement  even,  if  such  is  not  the  case. 

On  the  part  of  a  small  number  of  our  patients  there  has  been 
an  unusual  degree  of  uneasiness  at  what  they  consider  the  wrong 
and  outrage  inflicted  upon  them  by  their  commitment  to  the 
hospital.  These  persons  are  eccentric,  irritable,  suspicious, 
excitable,  and  under  certain  circumstances  dangerous  to  the 
community.  They  disturb  all  domestic  and  social  arrangements. 
They  are  unreliable  in  all  things.  They  lead  a  changeable  and 
often  a  wandering  life.  They  desert  their  families  and  friends, 
while  they  speak  in  the  tenderest  manner  of  love  and  devotion. 
They  complain  of  abuse  under  the  gentlest  restraint,  and  when 
suffered  to  roam  they  talk  of  neglect.  Their  minds  are  exceed¬ 
ingly  active  in  certain  directions  and  when  diverted  by  the 
presence  of  strangers  they  appear  well ;  but  they  have  lost  the 
power  to  confine  themselves  to  one  place  or  one  occupation,  and 
are  not  capable  of  undertaking  the  responsibilities  of  active 
life.  They  are  always  treacherous  friends  and  unworthy  confi¬ 
dants.  While  free,  they  display  their  true  character  to  friends 
and  intimate  acquaintances  long  before  any  interference ;  and 
when  subjected  to  the  discipline  and  seclusion  of  a  hospital, 


1864.] 


PUBLIC  DOCUMENT — No.  24. 


55 


present  to  casual  observers,  many  of  the  phenomena  of  sound 
health.  On  account  of  their  general  tranquillity,  rationality  and 
intelligence,  they  induce  many  to  believe  that  they  are  unjustly 
detained  and  should  be  restored  to  society.  The  restraint  of 
the  hospital,  however,  exercises  over  their  minds  a  curative  as 
well  as  coercive  influence,  and  imparts  to  them  vigor,  and  the 
power  of  self-control.  It  throws  around  them  almost  their  only 
safeguards,  and  while  receiving  condemnation  is  all  the  while 
exerting  the  happiest  influences. 

To  discharge  such  patients  from  the  custody  of  the  hospital 
would  deprive  them  of  care,  expose  their  follies  and  subject  the 
community  to  inconvenience  and  danger. 

It  would  be  fortunate  for  such  persons  and  for  the  community, 
and  fortunate  indeed  for  the  hospital,  if  there  existed  some  inter¬ 
mediate  asylum,  some  place  between  restraint  and  freedom, 
which  might  be  made  a  home  for  the  shelter  and  protection  of 
this  troublesome  class  of  our  patients. 

Our  tables  will  show  that  no  lack  of  attention  has  been  devoted 
to  the  system  of  labor,  and  that  some  progress  has  been  made 
towards  its  more  perfect  development.  Want  of  pecuniary 
means  alone  has  prevented  the  realization  of  our  hopes  in  this 
direction.  More  than  sixty  per  cent,  of  our  present  number  of 
patients  perform  some  labor.  Nearly  forty  per  cent,  of  the 
whole  number  perform  some  useful  labor. 

But  it  must  not  be  supposed  that  this  labor  is  of  the  best 
quality,  or  that  it  is  any  degree  remunerative.  Nor  have  we  so 
far  perfected  the  system  as  to  occupy  at  all  times  shops  and 
work-rooms  where  the  various  trades  are  successfully  carried  on. 
In  the  course  of  the  year,  however,  taking  advantage  of  circum¬ 
stances,  a  large  amount  of  useful  labor  has  been  performed  in 
various  departments.  A  few  male  patients  have  worked  a  part 
of  the  year  in  the  shops  in  the  neighborhood,  and  two  or  three 
others  in  the  gardens  of  our  neighbors,  for  which  they  have 
received  compensation. 

Several  of  the  female  patients  do  some  sewing  for  their  families, 
the  work  being  brought  and  returned  by  friends.  Two  or  three 
of  the  female  patients  have  received  from  the  hospital,  for  their 
labor,  nearly  enough  of  money  to  purchase  their  necessary 
clothing. 


56 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


Some  light  crops  have  been  cultivated  on  land  not  belonging 
to  the  hospital,  but  no  account  is  made  of  the  produce  in  the 
tables.  The  only  object  in  view  was  the  procuring  of  more 
healthy  and  pleasant  labor  than  could  otherwise  have  been  real¬ 
ized.  No  profit  or  loss  accrued  therefrom  to  the  institution  ; 
the  patients  who  performed  the  labor  receiving  the  only  benefit, 
and  that  by  their  greater  freedom  and  wider  range  of  out-door 
employment. 


1864.] 


PUBLIC  DOCUMENT— No.  24 


57 


o.  18, 

re  performed  for  the  Tear  ending  September  30,  1864. 

JOJ 

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2,151£ 

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5,348 

4,265 

891 

2,678 

7,676 

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PLACE  OF  LABOR. 

Kitchen,  .... 

Bakery,  .... 

Laundry,  .... 

Sewing  Rooms, . 

Farm,  .... 

Yards  and  Gardens,  . 

Shops,  .... 

In  Wards, 

Totals, 

8 


58 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


Articles  made  in  the  Sewing-Rooms  during  the  Year. 


Aprons,  .  ♦  . 

9  • 

.  145 

Mittens,  pairs  of, 

.  27 

Bed  Spreads,  . 

•  • 

.  107 

Neck  Ties, 

.  19 

Bed  Ticks, 

.  372 

Night  Dresses,  . 

.  29 

Bureau  Spreads, 

.  21 

Night  Caps, 

.  21 

Carpets,  . 

5 

Overalls,  pairs  of, 

.  22 

Chemises,  . 

.  184 

Pants,  pairs  of, . 

.  70 

Clothes  Bags,  . 

7 

Pillow  Cases,  . 

.  280 

Coats, 

.  44 

Sacques,  . 

.  11 

Collars, 

.  72 

Sheets, 

.  253 

Curtains,  . 

.  103 

Shirts, 

.  165 

Drawers,  pairs  of, 

.  101 

Shirt  Bosoms,  . 

.  15 

Dresses,  . 

.  224 

Skirts  and  Quilts, 

.  161 

Edging,  yards  of, 

.  112 

Suspenders,  pairs  of, . 

.  120 

Frocks, 

.  16 

Table-Cloths,  . 

.  15 

Handkerchiefs,  . 

.  97 

Towels, 

.  229 

Hose  and  Socks,  pairs  of,  . 

.  75 

Under  Shirts,  . 

.  15 

<J  aclvcts,  •  • 

.  19 

Vests, 

.  56 

Mattress  Ticks, . 

.  200 

Waists, 

.  21 

Articles 

repaired  in 

the  Sewing-Rooms  during  the  Year. 

Aprons,  . 

• 

535 

Night  Dresses, 

71 

Blankets, 

181 

Overalls,  pairs  of,  . 

.  123 

Bed  Spreads,  . 

164 

Pants,  pairs  of, 

.  1,284 

Bed  Ticks, 

720 

Pillows,  . 

.  120 

Chemises, 

3,720 

Pillow  Cases,  . 

.  272 

Clothes  Bags,  . 

11 

Sheets,  . 

.  267 

Coats, 

560 

Shirts, 

.  4,482 

Collars,  . 

47 

Shirt  Bosoms,  . 

47 

Curtains, 

51 

Skirts, 

.  172 

Drawers,  pairs  of, 

285 

Stockings,  pairs  of,  . 

.  7,387 

Dresses,  . 

293 

Table-Cloths,  . 

54 

F rocks,  . 

41 

Towels,  . 

.  219 

Jackets,  . 

121 

Tunics,  . 

27 

Mattresses, 

68 

Under  Shirts,  . 

.  243 

Meal-Bags, 

•  28 

Vests, 

.  282 

1864.]  PUBLIC  DOCUMENT— No.  24.  59 


Articles  made  in  the  Shops. 


Bureaus, . 

10 

Ice  Picks, 

•  • 

6 

Bedsteads,  Iron, 

347 

Mop-Sticks, 

.  200 

Small  Tables  and  Wash  Stands, 

14 

Skewers, 

.  12,000 

Chairs,  . 

60 

Brackets,  Fancy,  . 

20 

Glazing  Windows,  . 

1,154 

Lounges, 

5 

Step  Ladders, . 

5 

Punches, 

8 

Shoemakers’  Benches, 

6 

Wheelbarrows  ironed, 

17 

Wheelbarrows, 

17 

Washboards,  . 

12 

Mattresses, 

216 

Window  Sashes, 

20 

Swedging  tool, 

1 

Doors, 

16 

Hand  Cultivators,  . 

6 

Hoe-handles,  . 

6 

Manure  Hooks, 

2 

Fork-handles,  . 

4 

Seed  Sower,  . 

1 

Screw-drivers, 

12 

Buckets, . 

20 

Saw-handles,  . 

6 

Planes,  . 

15 

Axe-handles,  . 

12 

Articles 

repaired  in  the  Shops. 

Bureaus, . 

19 

Knives,  Pocket, 

®  • 

24 

Lounges, 

5 

Pick-Axes, 

•  « 

30 

Bedsteads, 

6 

Draft-Chairs,  . 

•  • 

11 

Sofas, 

3 

Stone  Hammers, 

faced,  . 

o 

•  w 

Chairs,  . 

122 

Dr-ills, 

•  * 

20 

Picture  Frames, 

27 

Crow-bars, 

•  • 

6 

Looking-Glasses, 

15 

Rakes, 

o  o 

25 

Clocks,  . 

13 

Saws  filed  and  repaired,  . 

.  150 

Knives,  Table, 

60 

Products  of  the  Farm. 

Apples, 

.  35  bbls. 

at  $3  00 

$105  00 

Pears, 

.  15  bush. 

at  4  00 

60  00 

Cherries,  . 

10  “ 

at  2  00 

20  00 

Grapes, 

4  “ 

at  2  00 

8  00 

Tomatoes, 

75  “ 

at  50 

37  50 

Currants,  . 

5  “ 

at  2  00 

10  00 

Sweet  Corn, 

50  “ 

at  1  50 

75  00 

Gooseberries,  . 

2  “ 

at  2  50 

5  00 

Beans, 

40  “ 

at  3  00 

120  00 

Parsnips,  . 

400  “ 

at  50 

200  00 

Turnips,  . 

250  “ 

at  20 

50  00 

60 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


Products  of  the  Farm — Concluded. 


Potatoes,  . 

400  bush. 

at  $0 

75 

$300  00 

Beets, 

500  “ 

at 

20 

100  00 

Carrots,  . 

800  “ 

at 

20 

160  00 

Squashes,  . 

8-^  tons 

at  25 

00 

212  50 

Peppers,  . 

4  bush. 

at 

50 

2  00 

Cucumbers, 

40  “ 

at 

50 

20  00 

Cabbages, . 

800  heads  at 

06 

48  00 

Rhubarb,  . 

2,000  lbs. 

at 

He* 

(M 

O 

50  00 

Hay, 

60  tons 

at  25 

00 

1,500  00 

Bowen, 

5  “ 

at  20 

00 

100  00 

Corn-Fodder,  . 

5  “ 

at  8 

00 

40  00 

Millet,  . 

5  “ 

at  20 

00 

100  00 

Honey, 

100  lbs. 

at 

50 

50  00 

Milk,’ 

40,000  qts. 

at 

06 

2,400  00 

Beef, 

6,000  lbs. 

at  10 

00 

600  00 

Pork, 

8,000  “ 

at  10 

00 

800  00 

$7,173  00 


The  products  of  the  farm,  notwithstanding  the  extreme 
drought,  have  been  abundant,  and  have  well  paid  for  all  the  labor 
and  capital  expended  in  that  direction,  both  by  furnishing  a  large 
supply  of  milk  and  early  vegetables,  and  by  affording  healthy 
employment  to  a  large  number  of  the  insane  so  great  a  part  of 
the  year. 

Besides  the  ordinary  labor  of  tilling  the  land  and  producing 
the  crops,  much  employment  has  been  found  in  grading,  trench¬ 
ing,  transplanting  trees,  and  fencing  the  grounds. 

The  stables  continue  to  give  to  a  few,  useful  labor  of  a  safe 
and  healthy  character. 

The  boiler-house,  blacksmith  shop,  and  carpenter’s  shop,  all 
find  their  occasional  occupants.  The  mattress  rooms,  painter’s 
shop,  and  all  the  places  occupied  by  workers  are  of  use,  and 
could  not  be  dispensed  with. 

Although  considerable  progress  has  been  made  in  this  depart¬ 
ment,  much,  very  much,  remains  to  be  done  before  our  hopes 
can  be  realized.  The  high  price  of  labor,  the  difficulty  in 
procuring  the  services  of  competent  men  and  the  uncertainty 
of  retaining  them  in  the  present  state  of  the  country,  has  mate¬ 
rially  interfered  with  the  accomplishment  of  our  plan.  Add  to 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


61 


this  our  inability,  for  want  of  means,  to  extend  in  any  direction 
our  operations,  and  we  have  reason  to  be  satisfied  that  so  much 
has  been  attained. 

So  far  as  our  limited  means  would  allow,  we  have  spared  no 
effort  or  expense  to  impart  to  the  hospital  the  air,  and  aspect, 
and  domestic  relations  of  a  large  family,  and  so  to  control  and 
direct  its  daily  life  and  operations  as  to  give  it  some  of  the 
appearances  of  a  sane  community.  To  do  this,  as  it  should  be 
done,  it  is  absolutely  necessary  to  devise  means  acceptable  to 
every  mind,  however  insane,  which  shall  take  the  place  of  the 
real  duties  and  interests  of  life  among  a  sane  population.  It  is 
impossible,  of  course,  in  a  hospital  for  the  insane,  to  gratify  all 
tastes  and  accommodate  all  fancies,  unless  a  liberal  allowance  is 
made  for  their  support.  All  labor  among  the  insane,  except 
the  merest  drudgery,  must  be  prepared  and  directed  by  men 
and  women  skilled  in  that  particular  department  of  labor.  All 
exercise  and  amusement  must  be  watched  over  and  assisted  by 
sane  minds.  All  instruction  must  be  given  by  those  apt  to 
teach.  All  the  surroundings  of  a  hospital  for  the  insane  should 
be  cheerful  and  hope-inspiring.  Everything  should  speak  to 
the  eye,  the  ear,  the  taste,  the  touch  and  the  nose  even,  of  peace 
and  comfort,  hope  and  assurance. 

If  the  means  for  supplying  these  wants  are  withheld  the 
patients  are  left,  quite  as  much  by  the  nature  of  their  restraint 
as  by  the  ravages  of  their  malady,  to  the  poor  resources  of  idle 
keepers,  and  the  dull,  daily  monotony  of  a  receptacle  for  the 
insane.  Hopeless  imbecility  and  idiocy  must  be  the  certain 
result  of  such  a  system  of  treatment. 

Generous,  healthy  amusements,  such  as  will  draw  the  partici¬ 
pants  from  their  usual  and  cherished  trains  of  thought,  assemble 
them  together  in  social  parties,  place  them  in  new  and  pleasing- 
relations,  ought  to  be  regarded  as  an  essential  part  of  every 
system  of  treatment.  It  should  form  a  part,  and  no  small  part, 
of  the  business  of  the  establishment.  If  we  recollect  how  largely 
recreation  enters  into  the  habits  of  those  who  are  sane,  how 
much  of  every  life  is  given  to  its  pursuit,  we  shall  surely  bo 
generous  enough  to  provide  for  the  insane  the  same  blessing. 
Amusement  creates  a  pleasant  and  hopeful  future  for  those  who 
are  prone  to  dwell  on  present  distress.  It  encircles  particular 
days  and  evenings  and  places  with  a  halo  of  joyous  remembrances, 


62 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


which  deprives  their  restraint  of  much  of  its  horror,  and  greatly 
assists  the  progress  of  the  mind  towards  a  healthy  condition. 

The  large  and  growing  number  of  incurable  insane  in  the 
hospital  make  these  demands  especially  pressing  upon  us.  To 
those  who  are  soon  restored  to  the  society  of  home  and  friends, 
and  who  again  resume  their  accustomed  duties  in  life,  almost 
any  privation  they  have  suffered  will  seem  light.  But  for  those 
who  must  live  on,  secluded  from  the  world,  and  whose  malady 
compels  them  to  give  up,  one  after  another,  the  ties,  sympathies, 
objects  and  hopes  which  make  others  happy,  it  is  certainly  the 
best  exercise  of  humanity  to  provide  new  and  innocent  pleasures, 
and  to  surround  them  with  new  sources  of  gratification  adapted 
to  their  enfeebled  powers  of  enjoyment. 

But  there  is  difficulty  aside  from  pecuniary  considerations.  A 
great  variety  of  occupation  as  well  as  recreation  must  be  provided. 
One  cannot  always  dance  or  sing.  Neither  will  one  be  content 
to  be  constantly  engaged  in  drawing  or  embroidery.  Amuse¬ 
ment  of  a  high  character  cannot  always  be  had  ;  and  it  will  not 
answer  to  present  to  the  insane  what  is  really  trifling.  They 
regard  every  such  act  as  an  adaptation  to  their  infirmity  and  an 
insult  to  their  helplessness. 

During  the  long  evenings  of  autumn,  winter  and  spring,  a 
series  of  concerts,  lectures  and  readings  were  given,  which 
were  highly  appreciated  by  our  household. 

During  the  winter  season  we  had  in  our  chapel  several  concerts, 
kindly  given  by  the  musical  clubs  of  the  city,  and  weekly  parties 
for  social  entertainment,  at  which  a  large  number  of  both  sexes 
mingled  freely  with  their  attendants  in  various  games  and  plays, 
and  in  free  conversation,  until  9  o’clock,  when  they  retired  to 
their  respective  wards. 

The  system  of  lectures  to  the  patients  has  been  followed  with 
much  pleasure  and  profit  to  a  large  proportion  of  the  household. 

Among  the  lecturers  who  volunteered  their  services  were  Dr. 
Jarvis,  of  Dorchester,  who  occupied  several  evenings  and  added 
much  to  the  interest  and  importance  of  the  lecture  season. 
Dr.  Lee,  of  Yonkers  gave  three  very  valuable  lectures  on  Egypt 
and  the  Nile.  Prof.  Dunn  gave  us  a  course  of  lectures  on 
popular  science,  illustrated  by  experiments.  Every  ward  is  in 
the  afternoon  and  evening  enlivened  by  scenes  of  mirth  and 
gayety,  by  groups  at  play,  engaged  in  games,  in  pleasant  social 
intercourse,  and  in  light  employment  of  various  kinds. 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


63 


A  large  number  of  newspapers  are  daily  received,  and  the  wards 
and  reading  rooms  are  well  supplied,  with  reading  matter. 

The  billiard  rooms  and  music  room  are  places  of  frequent 
resort,  and  we  hope  at  no  distant  day  to  multiply  the  rooms  of 
this  most  desirable  class. 

The  number  of  books  in  the  patients’  libraries  and  the  engrav¬ 
ings  on  the  walls  of  the  wards,  are  slowly  increasing  by  small 
and  judicious  purchases. 

In  this  connection  I  must  mention  the  generous  gift  from 
Mr.  Edward  Earle,  of  fifty  valuable  engravings  from  Boydell’s 
Illustrations  of  Shakespeare. 

In  supplying  the  unhealthy  mind  with  the  means  of  rational 
enjoyment  the  consolations  of  religion  have  not  been  forgotten. 
Daily  and  weekly  chapel  services  have  been  regularly  performed, 
and  the  sobriety  and  composure  of  even  the  most  restless,  during 
divine  service,  show  how  great  are  the  good  influences  resulting 
therefrom.  The  self-control  exerted  is  greater  than  under  any 
other  circumstances.  And  the  expressions  of  gratification 
derived  from  the  opportunities  to  engage  in  worship  prove  how 
much  they  are  appreciated. 

The  question  of  water  was  settled  by  the  legislative  appropri¬ 
ation  of  four  thousand  dollars  for  the  purpose  of  relaying  the 
pipes  from  the  hermitage,  so  called. 

An  estimate  of  the  cost  of  rebuilding  the  dam  and  laying  the 
pipes  was  made  in  my  last  report,  which  is  also  presented  here. 
The  dam  was  rebuilt  last  autumn  and  the  four-inch  cement 
pipes  were  laid  down  in  May  and  June  last.  The  work  was 
completed  in  eighteen  days. 

“  Since  this  Report  [of  1863]  was  written,  and  before  going  to  the  press, 
the  dam  at  the  reservoir  has  been  built.  Only  one  man,  a  stone  mason,  was 
hired  :  all  of  the  rest  of  the  work  was  done  by  the  ordinary  laborers  of  the 
hospital  and  the  patients.  Sometimes  all,  and  sometimes  only  a  part  of 
the  laborers,  an  average  of  about  four  and  a  half,  were  employed,  and  an 
average  of  about  eight  patients  worked  with  them.  They  did  all  the 
work  of  filling  the  dam  with  gravel,  moving  it  from  the  neighboring  hill 
on  wheelbarrows.  The  whole  was  done  in  61  working  days. 

The  patients  worked,  ......  467  days. 

sane  laborers  worked,  .  .  .  .  .  273 

stone  mason  worked,  .  .  .  .  .  56-1 


Total  labor, 


79  6J  days. 


64 


64  LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 

The  money  expended  was,  for  stone  mason, 

$169  50 

For  use  of  derrick,  and  tools  at  the  dam,  hired,  . 

61  50 

use  of  derrick  at  the  quarry,  hired,  . 

42  00 

powder,  ........ 

31  52 

steel  for  drills,  ....... 

5  13 

plank,  ........ 

49  00 

Total  cash  cost  for  the  dam,  ..... 

$358  65 

The  whole  of  which  cash,  as  well  as  the  labor,  was  contributed  by  the 
hospital.  Mr.  Ball,  the  engineer,  estimated  the  cost  at  $1,010.” — Extract 

from  Trustees ’  Report ,  1863. 

The  following  extracts  are  from  the  Engineer’s 

report  of 

1863: 

u  The  present  dam  at  the  reservoir  needs  to  be  entirely  rebuilt  in  a 

more  permament  and  thorough  manner.  The  location  is 

good,  and  need 

not  be  changed.  The  expense  of  rebuilding  the  same 

is  estimated  as 

follows :  — 

320  perch  retaining  wall,  at  $1.30  per  perch, 

$416  00 

Spiling, . 

70  00 

500  yards  filling,  at  23  cents  per  yard, 

115  00 

Waste  way,  ........ 

35  00 

Filter,  ......... 

55  00 

Cement  work  extra,  to  protect  pipes, 

10  00 

Gate  box,  ........ 

43  00 

Waste  gate  and  pipe,  ...... 

191  00 

Clearing  basin,  ....... 

75  00 

$1,010  00 

Estimate  of  the  Cost  of  the  Pipe. 

5,900  feet  4-inch  pipe,  at  51  cents  per  foot, 

• 

$3,009  00 

Trenching  and  filling,  13  cents,  .... 

• 

767  00 

6-inch  gate  at  reservoir,  . 

• 

48  00 

Extra  6-inch  pipe,  ....... 

• 

35  00 

Amount,  ....... 

« 

$3,859  00 

Add  cost  of  dam,  ....... 

• 

1,010  00 

Total  cost  of  aqueduct,  .... 

• 

$4,869  00 

Yours,  very  truly, 

Phineas  Ball,  Civil  Engineer” 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


65 


Worcester,  June  24,  1864. 

Dr.  Bemis  : 

Dear  Sir, — Having  measured  the  pipe  laid  by  the  Patent  Water  and 
Gas  Pipe  Company,  of  Jersey  City,  N.  J.,  for  your  institution,  I  find  as 


follows : 

Whole  length  of  main  pipe, . 5,761  feet. 

Deduct  iron  pipe  laid  along  line,  ....  25  feet. 

Amount  of  cement  pipe  in  main  line,  .  .  .  .  5,736  feet. 

Add  branches  for  blow-offs, .  35  feet. 

Amount  of  pipe  laid  by  the  Company,  .  .  .  5,771  feet. 


There  are  set  in  the  line,  two  blow-off  gates,  attached  each  to  a  branch, 
which  are  extra  over  the  contract  for  laying  the  pipe. 

The  contract  for  the  pipe,  as  per  McRee  Swift’s  line  to  me,  dated 
March  24,  1864,  is  50  cents  per  foot,  for  the  4-inch  pipe,  all  laid  exclu¬ 
sive  of  freight  and  trucking.  Yours,  truly, 

Phineas  Ball. 


State  Lunatic  Hospital ,  Worcester ,  Mass. 

To  Patent  Water  and  Gas  Pipe  Company ,  at  Jersey  City ,  N.  J. 


1864.  Dr. 

June  15— - To  5,771  feet  4-inch  pipes  laid,  at  50c.  .  .  $2,885  50 

2  feet  4-inch  gates  furnished  and  set,  .  80  00 

2  4-inch  branches,  ....  3  00 

65  feet  4-inch  pipe,  lined,  .  .  .  26  00 

To  three-fourths  day’s  work,  three  men  taking 
up  piece  of  pipe,  and  putting  down  piece  with 
branch  and  materials,  .....  5  62 

To  cash  paid  freight  in  sleeves,  ...  3  50 

To  casting  pipe  to  New  York,  ....  8  25 


$3,011  87 

To  interest  from  June  28,  1864  to  August  10, 

1864, .  24  57 


$3,036  44 


Jersey  City,  June  28,  1864. 

Received  payment  in  full,  August  11,  1864, 

Walter  Harris,  Treasurer , 
Patent  Water  and  Gas  Pipe  Company. 


9 


66 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


We  have  now  an  abundant  supply  of  pure  water  in  all  parts 
of  the  hospital,  besides  the  separate  supply  for  the  stables.  The 
establishment  is  also  safe,  so  far  as  water  can  make  it,  from 
injury  by  fire.  In  addition  to  the  work  contemplated  last  year, 
and  upon  which  the  estimates  were  made,  the  four-inch  pipe 
was  extended  under  the  whole  length  of  the  house,  and  at 
convenient  points  passed  up  through  each  story,  and  on  each 
floor  were  made  proper  attachments  for  hose,  so  that  every 
ward  may  now  be  flooded  in  a  moment  by  the  force  of  a  four- 
inch  stream  of  water.  This  extension  cost  about  twelve 
hundred  dollars. 

Early  in  the  year  Rev.  Samuel  Souther,  who  had  performed 
the  duties  of  Chaplain  for  more  than  four  years,  enlisted  as  a 
private  in  the  Fifty-Seventh  regiment  Massachusetts  Volunteers. 
On  the  sixth  of  May  the  regiment  went  into  the  battle  of  the 
Wilderness,  and  Sergeant  Souther  fell  mortally  wounded  at  the 
first  fire.  Mr.  Souther  performed  the  duties  of  Chaplain  in  a 
singularly  discreet  and  faithful  manner.  His  instructions  were 
always  kind  and  impressive.  His  relations  to  the  patients  were 
genial  and  social,  and  his  bearing  among  them  that  of  a  friend 
and  adviser. 

In  July,  Dr.  Henry  C.  Prentiss,  who  had  for  five  years  acted 
in  the  capacity  of  clerk  and  apothecary,  left  his  situation  for  a 
position  in  the  office  of  the  Board  of  State  Charities.  Dr. 
Prentiss  performed  all  his  duties  while  at  the  hospital  in  a  most 
accurate  manner,  and  I  am  under  personal  obligations  to  him 
for  his  ready  and  faithful  assistance. 

On  the  27th  of  September,  1864,  a  communication  was  received 
from  Henry  Woodward,  Esq.,  resigning  the  office  of  Treasurer. 
The  Board  of  Trustees  accepted  his  resignation,  and  elected 
Merrick  Bemis,  Treasurer. 

Daniel  W.  Bemis,  who  has  been  employed  as  Farmer  and 
Overseer  more  than  seven  years,  was  elected  Steward. 

To  the  resident  officers  and  assistants,  I  am  also  under  obli¬ 
gation  for  the  faithfulness  with  which  they  have  devoted 
themselves  to  the  interests  of  the  institution. 

Our  thanks  are  due  to  the  many  kind  friends  who  have  so 
generously  aided  us  in  our  lectures,  concerts,  and  exhibitions, 
and  also  to  those  who  have  made  contributions  of  books,  engrav¬ 
ings,  newspapers  and  periodicals,  affording  thereby  much 
comfort  and  pleasure  to  our  patients. 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


67 


For  the  kindness,  assistance,  cordial  counsel,  and  support  I 
have  at  all  times  received  from  each  individual  member  of  the 
Board  of  Trustees,  allow  me  to  renew  the  expression  of  my 
deep  sense  of  gratitude.  In  looking  back  over  the  events  of 
the  year  now  closed,  its  successes  and  its  disappointments,  we 
feel  that  we  have  been  blessed  in  all  our  endeavors  to  promote 
the  well-being  of  those  placed  under  our  care,  and  with  an 
abiding  faith  in  the  strength  of  Him  who  has  sustained  us  in 
the  labors  of  the  past,  we  commence  the  duties  of  another  year. 

MERRICK  BEMIS. 

State  Lunatic  Hospital,  Worcester,  ) 

October  1,  1864.  f 


68 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


List  of  Persons  employed  at  the  Hospital,  and  their  Salaries. 


Merrick  Bemis,  M.  D.,  Superintendent ,  .  .  .  $1,800  00 

Frank  H.  Rice,  M.  D.,  Assistant  Physician ,  .  .  900  00 

Henry  A.  Prentiss,  M.  D.,  Assistant  Physician ,  .  500  00 

Caroline  A.  Bemis,  Matron , .  200  00 

Janette  W.  Wright,  Cleric , .  240  00 


Daniel  W.  Bemis,  Farmer  and  Acting  Steward , 
and  wife,  ........ 

Alvin  H.  Bacon  and  wife,  Cooks ,  .  .  .  . 

Charles  L.  Bacon  and  wife,  Laundress , 

James  W  Holmes,  (Overseer  of  shops,)  Mechanic ,  > 
Mrs.  James  W.  Holmes,  Chambermaid ,  .  .  ) 

Sabrina  Flagg,  Cook , . 

Mary  E.  Carney,  Nursery  Girl ,  . 

Adeline  Blake,  Table  Girl , . 

Mary  E.  Mellen,  Assorter , . 

Persis  Boynton,  (Overseer  of  Sewing  Rooms,)  Seam- 
stress ^  •••••••• 

Nancy  B.  Harbach,  (Overseer  of  Sewing  Rooms,) 
Seamstress,  ....... 


] 

j 


George  T.  King,  (lives  outside  and  boards  himself,) 
Baker ,  ........ 

Amos  Wood,  (lives  outside  and  boards  himself,)  Re¬ 
pairer ,  ........ 

William  Sherman,  (lives  outside  and  boards  himself,) 
Engineer ,  ....... 

John  Johnson  (lives  outside  and  boards  himself,) 
Fireman ,  ....... 


1- 


Marshall  S.  Green,  Supervisor ,  .... 

Thomas  E.  Wood,  Assistant  Supervisor ,  . 

Lucy  M.  Lummis,  Supervisor ,  .... 

Dora  P.  Bemis,  Assistant  Supervisor , 

Henry  C.  Storrs  (boards  himself,)  Watch  and  Engi¬ 
neer  at  night ,  ....... 

Emma  Kellogg,  Watch,  Female  Department, 

John  A.  Nourse,  Attendant ,  .... 

J.  Nelson  Adams,  Attendant,  .... 

Alfred  A.  Sanderson,  Attendant , 

Edward  J.  Putnam,  A ttendant,  .... 

Pliny  W.  Sanderson,  Attendant , 

Davis  Truesdell,  Attendant ,  .... 


$500 

00 

400 

00 

350 

00 

450 

00 

132 

00 

108 

00 

108 

00 

132 

00 

132 

00 

132 

00 

CO 

o 

o 

00 

730 

00 

660 

00 

640 

00 

$300 

00 

240 

00 

200 

00 

200 

00 

545 

00 

132 

00 

240 

00 

240 

00 

240 

00 

240 

00 

240 

00 

240 

00 

$3,640  00 


2,444  00 


2,830  00 


1864.]  PUBLIC  DOCUMENT— No.  24.  69 


Walter  A.  Putnam,  Attendant ,  . 

$240  00 

Daniel  E.  Twichell,  Attendant ,  . 

240  00 

Edward  Richardson,  Attendant , 

240  00 

Harland  Fairbanks,  (special)  Attendant ,  . 

240  00 

Frederick  J.  Bliss,  Attendant ,  . 

240  00 

David  M.  Stone,  Attendant , 

240  00 

Joseph  G.  Maynard,  Attendant , 

240  00 

Edward  E.  Richardson,  (yards,)  Attendant, 

240  00 

$4,937  00 

Jane  M.  King,  Attendant , 

$132  00 

Sophronia  A.  Walker,  Attendant , 

132  00 

Pamelia  Williams,  Attendant ,  . 

132  00 

Jane  M.  Cowing,  Attendant , 

132  00 

Eliza  M.  Jones,  Attendant , 

132  00 

Kate  Cook,  Attendant,  .... 

132  00 

Mary  J.  Graham,  Attendant, 

132  00 

Lucie  C.  Darling,  Attendant, 

132  00 

Fanny  E.  Redhead,  A  ttendant, 

132  00 

Zilpha  Kingman,  (special,)  Attendant, 

132  00 

Julia  M.  Woodis,  Attendant , 

132  00 

Carrie  R.  Harrington,  Attendant, 

132  00 

Susan  M.  Goodell,  Attendant,  . 

132  00 

Clarissa  F.  Yinton,  Attendant,  . 

132  00 

1,848  00 

Albert  Bartlett,  Coachman, 

$240  00 

Isaac  C.  Richardson,  (herdsman,)  Farmer, 

240  00 

George  Woodward,  Farmer , 

240  00 

Convers  Francis,  (boards  himself,)  Mason , 

Henry  Woodward,  Esq.,  Treasurer ,  office 

at  Me- 

580  00 

1,300  00 

chanics’  Bank, . 

•  • 

$600  00 

600  00 

Total  amount  of  Salaries, 


.  $17,599  00 


TO 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct 


LIST  OF  TRUSTEES, 

From  the  commencement  of  the  Hospital.  The  first  three  were  Commis¬ 
sioners  for  building ,  and  as  such  were  appointed  in  1830.  The  five 
Trustees  are  appointed  every  year,  in  February.  The  first-named  in 
the  Commission  is  ineligible  to  a  re-appointment  the  next  year. 


Names. 

Residence. 

When 

appoint¬ 

ed. 

When 

services 

ended. 

In  wh^t  way  services 
ended. 

Horace  Mann,  .  . 

• 

Dedham,  .  . 

• 

1832 

1834 

Commis’n 

expired. 

Bazaleel  Taft,  Jr.,  . 

• 

Uxbridge, .  . 

• 

1832 

1834 

u 

u 

William  B.  Calhoun, 

• 

Springfield,  . 

• 

1832 

1835 

u 

a 

Alfred  D.  Foster,  . 

• 

Worcester, 

• 

1832 

1836 

u 

u 

Francis  C.  Gray,  . 

• 

Boston,  .  . 

• 

1832 

1836 

u 

a 

Thomas  A.  Green, . 

• 

New  Bedford, 

• 

1834 

1837 

u 

a 

Thomas  Kinnicutt, . 

• 

Worcester, 

• 

1834 

1838 

u 

« 

Horace  Mann,  .  . 

• 

Boston,  .  . 

• 

1835 

1839 

u 

u 

Emory  Washburn, . 

• 

Worcester, 

• 

1836 

1837 

Resigned. 

Abra’m  R.  Thompson, 

Charlestown, . 

• 

1836 

1841 

Commis’n 

expired. 

Myron  Lawrence,  . 

• 

Belchertown, . 

• 

1837 

1840 

u 

u 

Stephen  Salisbury, 

• 

Worcester, 

• 

1837 

1840 

u 

« 

Edward  D.  Bangs, 

• 

Worcester,  . 

• 

1838 

1838 

Deceased. 

William  Lincoln,  . 

» 

Worcester,  . 

• 

1838 

1840 

Commis’n 

expired. 

Daniel  P.  King, 

• 

Danvers,  .  . 

• 

1839 

1844 

u 

a 

Alfred  D.  Foster,  . 

• 

Worcester,  . 

• 

1840 

1842 

u 

u 

Maturin  L.  Fisher, 

• 

Worcester, 

• 

1840 

1843 

a 

a 

Henry  Gardner, 

• 

Boston,  .  . 

• 

1840 

1845 

a 

a 

Robert  Campbell,  . 

• 

Pittsfield,  .  . 

• 

1841 

1843 

Resigned. 

Edwin  Conant,  .  . 

• 

Worcester, 

• 

1842 

1844 

u 

• 

H.  H.  Childs,  .  . 

e 

Pittsfield,  .  . 

• 

1843 

1846 

Commis’n 

expired. 

Joseph  Sargent, 

i 

• 

Worcester, 

• 

1843 

1848 

a 

u 

) 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


71 


List  of  Trustees — Concluded. 


Stephen  Salisbury, 

Worcester, 

Stephen  C.  Phillips,  . 

Salem,  .  . 

Jesse  Murdock,  .  .  . 

Carver, 

Thomas  F.  Plunkett,  . 

Pittsfield,  . 

Thomas  French,  .  . 

Canton, 

Isaac  Davis,  .... 

Worcester, 

William  Appleton, 

Boston, 

Levi  Lincoln,  .  .  . 

Worcester, 

Ensign  H.  Kellogg,  . 

Pittsfield,  . 

John  S.  C.  Knowlton, 

Worcester, 

Foster  Hooper,  .  .  . 

Fall  River, 

Samuel  G.  Howe,  .  . 

Boston, 

Rejoice  Newton,  .  . 

Worcester, 

Franklin  Ripley,  .  . 

Greenfield, 

James  B.  Congdon,  . 

New  Bedford 

Linus  Child,  .... 

Lowell, 

Henry  Morris,  .  .  . 

Springfield, 

Charles  H.  Stedman,  . 

Boston, 

William  T.  Merrifield, 

Worcester, 

Thomas  Colt,  .  .  . 

Pittsfield,  . 

Joseph  N.  Bates,  .  . 

Worcester, 

Robert  W.  Hooper,  . 

Boston, 

Edwin  F.  Jenks,  .  . 

Adams, 

Edward  Jarvis,  .  .  . 

Dorchester, 

William  Workman,  . 

Worcester, 

Samuel  E.  Sewall, .  . 

Boston, 

When 

appoint- 

When 

services 

ended. 

In  what  way  services 
ended. 

1844 

1850 

Commis’n 

expired. 

1844 

1851 

a 

u 

1845 

1847 

u 

a 

1846 

1849 

ti 

a 

1847 

1848 

Resigned. 

1848 

1849 

(C 

1849 

1851 

Declined. 

1849 

1852 

Commis’n 

expired. 

1849 

1853 

ti 

it 

1850 

1853 

Declined. 

1851 

1854 

Commis’n 

expired. 

1851 

1855 

u 

ti 

1852 

1856 

it 

u 

1853 

1854 

u 

u 

1853 

1855 

Resigned. 

1854 

1858 

Commis’n 

expired. 

1854 

1855 

Resigned. 

1855 

1861 

Commis’n 

expired. 

1855 

1863 

tt 

U 

1855 

1860 

a 

U 

1856 

1861 

u 

ti 

1858 

— 

— 

— 

1859 

— 

— 

— 

1861 

— 

— 

— 

1862 

— 

— 

— 

1863 

___ 

_ 

* 

METEOROLOGICAL  OBSERVATIONS 


MADE  AT 


THE  STATE  LUNATIC  HOSPITAL,  WORCESTER,  MASS., 

1863-4. 


Latitude ,  42°  16'  17"  N. ;  Longitude ,  71°  48'  13"  W. 

Elevation ,  528  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. 


10 


74 


LUNATIC  HOSPITAL  AT  WORCESTER 


[Oct 


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METEOROLOGICAL  OBSERVATIONS— JANUARY,  1864 


1864.]  PUBLIC  DOCUMENT— No.  24. 


77 


REMARKS. 

Snow  A.  M.;  drizzle, rain. 

Snow  A.  M.,  light  and 

[variable. 

Light  snow  A.  M. 

Misty ;  continued  rain. 

Hazy  9  P.  M. 

Light  rain,  trifling  amt. 

Foggy  A.  M. 

Snow,  light  and  trifling. 

rji 

RAIN  AND  SNOW. 

Inches 

Snow. 

i  i  i  i  00  i  i  i  i  i  i  i  i  i  i  i  i  i  i  i  i  i  i  i  i  i  i  i  i 

Inches 
Rain  & 
Melted 
Snow. 

.50 

.20 

.07 

1.50 

►o 

Hour 

Ended. 

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PUBLIC  DOCUMENT— No.  24. 


91 


APPENDIX. 


FORMS  CONCERNING  ADMISSION  TO  THE  HOSPITAL. 


PETITION- 

[The  applicant  must  answer  in  writing  the  printed  interrogations  accompanying 

this  blank.] 


To  the  Honorable  the  Judge  of  the  Probate  Court ,  in  and  for  the  County 

of 


of 


on  oath  complains  that 

of  ,  in  said  county  of  is  an  insane  person, 

and  a  proper  subject  for  the  treatment  and  custody  of  the  Worcester  Lunatic 
Hospital. 

Wherefore  h  prays  that  said 

may  be  committed  to  the  said  Worcester  Lunatic  Hospital  according  to  law. 


,  ss. 

Then  the  above  named 
made  oath  that  the  above  complaint,  by  h 
Before  me, 


A.  D.  186  . 
subscribed,  is  true. 

Justice  of  the  Peace. 


I,  the  subscriber,  one  of  the  selectmen  of 

where  said 

resides,  hereby  acknowledge  that  notice  in  writing  has  been  given  to  me  of 
the  intention  to  present  the  foregoing  complaint  and  application. 

A.  D.  186  . 


To  the  Honorable  the  Judge  of  the  Probate  Court ,  in  and  for  the  County 

of 

The  subscriber,  having  made  application  to  your  Honor  for  the  commitment 
0p  to  the  Worcester 

Lunatic  Hospital,  as  a  lunatic,  now  presents  the  following  statement,  in 
answer  to  interrogatories  :  — 

What  is  the  age  of  the  lunatic  ?  Ans. 


92 


LUNATIC  HOSPITAL  AT  WORCESTER. 


[Oct. 


Birthplace?  Ans. 

Civil  condition  of  lunatic  ?  Ans. 

Occupation  ?  Ans. 

Supposed  cause  of  disease  ?  Ans. 

Duration  ?  Ans. 

Character  whether  mild,  violent,  or  dangerous  ?  Ans. 

Homicidal  or  suicidal  ?  Ans. 

Paralytic  or  epileptic  ?  Ans. 

Previous  existence  of  insanity  in  the  lunatic  ?  Ans. 

Previous  or  present  insanity  in  any  of  the  family  ?  Ans. 

Habits  in  regard  to  temperance  ?  Ans. 

Whether  he  has  been  in  any  lunatic  hospital ;  if  so,  what  one,  when,  and 
how  long  ?  Ans. 

(If  a  woman.)  Has  she  ever  borne  any  children  ?  Ans. 

(If  a  woman.)  How  long  since  the  birth  of  her  last  child  ?  Ans. 

Name  and  post-office  address  of  some  of  the  nearest  relatives  or  friends  ? 
Ans. 

What  facts  show  whether  h  has  or  has  not  a  settlement,  and  where, 
if  anywhere  in  this  State  ?  Ans. 

[For  the  law  relating  to  settlement,  see  Gen.  Stat.  chap.  69.] 


Applicant. 


PHYSICIAN’S  CERTIFICATE. 

The  subscribers,  respectable  physicians  of  in  the 

county  of  ,  having  made  due  inquiry  and  personal 

examination  of  named  in  the  foregoing 

application,  within  one  week  prior  to  the  date  hereof,  certify  that  the  said 

is  insane,  and  a  proper  subject  for 
the  treatment  and  custody  of  the  Worcester  Lunatic  Hospital. 

A.  D.  186  . 

A.  D.  186  . 


ss. 


Then  the  above  named 

made  oath  that  the  above  certificate  is  true. 

Justice  of  the  Peace. 


and 


Commonwealth  of  Massachusetts. 


,  ss. 

At  ,  in  said  county,  on  the 

lay  of  A.  D.  186  . 

On  the  application  of 
for  the  commitment  of 


of 

given  by  said 


in  said  county,  to  the  Worcester  Lunatic  Hospital, 

;  notice  in  writing  having  been 
applicant  to  one  of  the  selectmen  of 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


93 


where  said  resides,  of  li 

intention  to  make  said  application,  and  said  having 

been  duly  notified  of  the  time  and  place  appointed  for  hearing,  it  appears 
upon  a  full  hearing  that  said  is  an  insane  person,  and 

a  proper  subject  for  the  treatment  and  custody  of  the  Worcester  Lunatic 
Hospital. 

Wherefore  it  is  ordered  that  said 
be  committed  to  the  said  Worcester  Lunatic  Hospital. 


Judge  of  Probate  Court. 


FORM  OF  OVERSEERS’  BOND. 

Worcester  Lunatic  Hospital. 

Whereas,  of  ,  in  the  county  of 

,  has  been  admitted  a  boarder  in  the  Worcester  Lunatic 
Hospital  ,  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  successor,  in  said  office,  the  rate  of  board  which  may,  from  time  to 
time,  be  determined  by  the  Trustees  of  said  hospital,  for  said  patient,  so  long 
as  he  shall  continue  a  boarder  in  said  hospital,  with  such  extra  charges  as  may 
be  occasioned  by  h  requiring  more  than  ordinary  care  and  attention,  to 
provide  for  h  suitable  clothing,  and  to  pay  for  all  such  necessary  articles 
of  clothing  as  shall  be  procured  for  h  by  the  Steward  of  the  hospital, 
and  to  remove  h  from  said  hospital  whenever  the  room  occupied  by 
h  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  h  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 


Overseers  of  the  Poor 
of  the 
Town  of 


Attest. 


(Signed,) 


94 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 

\ 

FORM  OF  PRIVATE  BOND. 

Worcester  Lunatic  Hospital. 

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  rate  of  board  which 
may,  from  time  to  time,  be  determined  by  the  Trustees  of  said  hospital,  for 
said  patient,  so  long  as  he  shall  continue  a  boarder  in  said  hospital, 
with  such  extra  charges  as  may  be  occasioned  by  h  requiring  more  than 
ordinary  care  and  attention ;  to  provide  for  h  suitable  clothing,  and  to 
pay  for  all  such  necessary  articles  of  clothing  as  shall  be  procured  for  h 
by  the  Steward  of  the  hospital,  and  to  remove  h  from  said  hospital 
whenever  the  room  occupied  by  h  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  the  furniture  and  other  property  of  said  hospital,  and 
or  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. 


Patients  will  be  received  into  the  hospital  at  any  time,  if  the  following  con¬ 
ditions  are  complied  with : 

If  the  patient  is  in  indigent  circumstances,  and  has  no  settlement  in  any 
town  in  the  Commonwealth,  the  Probate  Court,  or  if  in  the  city  of  Boston, 
the  Superior  Court,  will  issue  a  warrant  for  the  commitment  of  the  patient  to 
the  hospital.  The  State  will  then  pay  the  cost  of  support,  and  the  county 
from  which  the  patient  is  sent  will  pay  the  expenses  of  the  commitment. 

If  the  patient  is  in  indigent  circumstances,  and  has  a  settlement  in  any 
town  in  the  Commonwealth,  the  Overseers  of  the  Poor  of  that  town  may  give 
a  bond  for  the  support  of  the  patient.  Or,  when  this  is  inconvenient,  an 
application  may  be  made  to  the  Probate  Court  of  the  county  where  the 
patient  resides,  and  a  warrant  will  be  issued  for  the  commitment  of  the  patient 
to  the  hospital,  and  the  town  will  be  held  responsible  for  the  support  of  the 
patient. 

In  all  other  cases  a  bond  from  responsible  persons,  as  principal  and  surety, 
will  be  required  for  the  expenses  of  the  patient  while  in  the  hospital. 

In  all  cases,  before  admission  to  the  hospital,  two  physicians,  one  of  whom 
shall  be  the  family  physician,  must  certify  that  the  patient  is  insane. 


1864.] 


PUBLIC  DOCUMENT — No.  24. 


95 


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  charge 
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. 


LAWS  RELATING  TO  TERMS  AND  FORMS  OF 

ADMISSION. 


[Chapter  223,  Acts  of  1862.] 

An  Act  concerning  state  lunatic  hospitals  and  insane  and 

IDIOTIC  PERSONS. 

Be  it  enacted ,  $fc.,  as  follows : 

Section  1.  The  titles  of  the  state  lunatic , hospitals  shall  be  severally, 
The  Worcester  Lunatic  Hospital,  The  Taunton  Lunatic  Hospital,  and  The 
Northampton  Lunatic  Hospital 

Section  2.  The  lands  now  holden  and  which  may  hereafter  be  holden, 
by  the  trustees  of  any  state  lunatic  hospital,  in  trust  for  the  Commonwealth, 
for  the  use  of  the  institution  of  which  they  are  trustees,  shall  not  be  taken  for 
any  street,  highway  or  railroad,  without  leave  of  the  legislature  specially 
obtained. 

Section  3.  Any  of  the  judges  of  the  supreme  judicial,  superior,  and 
probate  courts,  and,  in  the  city  of  Boston,  of  the  police  court,  may  commit  to 
either  of  the  state  lunatic  hospitals,  any  insane  person  who,  in  their  opinion, 
is  a  proper  subject  for  its  treatment  or  custody.  But  in  all  cases,  the  evidence 
and  certificate  of  at  least  two  respectable  physicians,  shall  be  required  to 
establish  the  fact  of  insanity.  In  all  cases  the  judge  shall  certify  in  what 
place  the  lunatic  resided  at  the  time  of  his  commitment ;  or  if  ordered  to  be 
confined  by  any  court,  the  judge  shall  certify  in  what  place  the  lunatic  resided 
at  the  time  of  the  arrest  in  pursuance  of  which  he  was  held  to  answer  before 
such  court ;  and  such  certificate  shall,  for  the  purposes  of  this  act,  be  conclu¬ 
sive  evidence  of  his  residence. 

Section  4.  Any  person  applying  for  the  commitment  or  for  the  admission 
of  a  lunatic  to  a  state  lunatic  hospital,  under  the  provisions  of  this  act,  shall 
first  give  notice  in  writing  to  the  mayor  or  one  or  more  of  the  selectmen,  of 


96  LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 

the  place  where  the  lunatic  resides,  of  his  intention  to  make  such  application  ; 
and  satisfactory  evidence  that  such  notice  has  been  given  shall  be  produced 
to  the  judge  in  cases  of  commitment,  and  to  the  trustees  upon  applications  for 
admission. 

Section  5.  Upon  every  application  for  the  commitment  or  admission  of 
an  insane  person  to  any  hospital  or  asylum  for  the  insane,  there  shall  be  filed 
with  the  application  or  within  ten  days  after  the  commitment  or  admission,  a 
statement  in  respect  to  such  person,  showing  as  nearly  as  can  be  ascertained, 
his  age,  birthplace,  civil  condition,  and  occupation;  the  supposed  cause  and 
the  duration  and  character  of  his  disease,  whether  mild,  violent,  dangerous, 
homicidal,  suicidal,  paralytic  or  epileptic  ;  the  previous  or  present  existence 
of  insanity  in  the  person  or  his  family  ;  his  habits  in  regard  to  temperance ; 
whether  he  has  been  in  any  lunatic  hospital,  and  if  so,  what  one,  when,  and 
how  long.  And,  if  the  patient  is  a  woman,  whether  she  has  borne  children, 
and,  if  so,  what  time  has  elapsed  since  the  birth  of  the  youngest ;  the  name 
and  address  of  some  one  or  more  of  his  nearest  relatives  or  friends,  together 
with  any  facts  showing  whether  he  has  or  has  not  a  settlement,  and  if  he  has 
a  settlement,  in  what  place ;  and  if  the  applicant  is  unable  to  state  any  of  the 
above  particulars,  he  shall  state  his  inability  to  do  so.  The  statement,  or  a 
copy  thereof,  shall  be  transmitted  to  the  superintendent  of  the  hospital  or 
asylum,  to  be  filed  with  the  order  of  commitment,  or  the  application  for 
admission. 

Section  6.  The  judge  may  hear  and  determine  such  applications,  in 
respect  to  persons  alleged  to  be  insane,  at  such  times  and  places  as  he  may 
appoint ;  and  the  presence  of  the  alleged  lunatic  at  the  hearing,  may  be 
required  or  dispensed  with,  in  the  discretion  of  the  judge  ;  and  the  court  may 
in  its  discretion,  issue  a  warrant  to  the  sheriff,  or  his  deputy,  directing  him  to 
summon  a  jury  of  six  lawful  men,  to  hear  and  determine  whether  the  alleged 
lunatic  is  insane.  Whenever  a  jury  is  summoned,  pursuant  to  the  provisions 
of  this  section,  the  same  proceedings  shall  be  had,  and  the  same  fees  and 
•expenses  paid  as  are  provided  by  the  General  Statutes,  chapter  seventy-three, 
sections  twelve,  thirteen,  fourteen,  fifteen  and  sixteen. 

Section  7.  Whenever  application  shall  be  made  to  any  judge  of  probate 
for  the  commitment  of  an  insane  person  unde*  the  provisions  of  this  act,  he 
may  allow  to  the  sheriff,  deputy-sheriff  or  constable,  or  other  person  to  whom 
a  precept  is  directed  by  name,  who  may  serve  the  same,  the  same  fees  as  are 
allowed  to  officers  upon  the  commitment  of  persons  to  prison,  and  such  further 
sum  or  expenses  incurred  in  said  commitments,  or  in  bringing  such  lunatic 
e  ore  the  judge,  as  to  him  may  seem  reasonable  ;  and  the  sums  so  allowed 
shah  be  certified  and  paid,  as  provided  in  the  General  Statutes,  chapter 
seventy-three,  section  sixteen. 

Section  8.  Upon  every  application  for  the  admission  of  an  insane  person 
to  the  several  state  lunatic  hospitals,  or  to  any  asylum  or  private  house  for  the 
reception  of  the  insane,  the  applicant  shall  file  with  his  application  a  certifi- 
cate  signed  by  two  respectable  physicians,  one  of  whom,  when  practicable, 
shall  be  the  family  physician  of  the  patient,  certifying,  after  due  inquiry  or 
personal  exam, nation  of  the  patient  by  them,  within  one  week  prior  to  the 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


97 


date  of  the  certificate,  to  the  insanity  of  the  person  in  whose  behalf  admission 
is  sought,  and  that  such  person  is  a  fit  subject  for  remedial  treatment  at  such 
hospital,  asylum,  or  private  house. 

Section  9.  Any  insane  person  who  is  supported  by  any  place  as  a 
pauper,  may  be  committed  by  the  overseers  of  the  poor  thereof,  to  either  of 
the  state  lunatic  hospitals,  with  the  consent  of  the  trustees,  and  shall  be  kept 
for  a  sum  not  exceeding  the  actual  expense  of  his  support.  And  the  trustees 
shall  receive  into  the  hospital,  any  other  insane  person  having  a  settlement 
or  residence  in  this  Commonwealth,  for  such  compensation  as  they  may 
determine. 

Section  10.  The  expenses  of  the  state  lunatic  hospitals  for  the  support 
of  lunatics  having  known  settlements  in  this  state,  shall  be  paid  quarterly, 
either  by  the  persons  obligated  to  pay,  or  by  the  place  in  which  such  lunatics 
had  their  residence  at  the  time  of  their  commitment,  unless  other  sufficient 
security  is  taken  to  the  satisfaction  of  the  trustees,  for  such  support.  If  any 
place  or  person  refuses  to  pay  whatever  sum  may  be  charged  and  due  accord¬ 
ing  to  the  by-laws  of  the  hospital,  on  account  of  the  support  of  such  patient 
therein,  or  for  the  removal  of  any  patient  whom  the  trustees  are  authorized 
by  law  to  remove,  for  thirty  days  after  the  same  has  been  demanded  by  the 
treasurer  in  writing,  of  the  mayor  and  aldermen  of  the  city,  or  of  the  select¬ 
men  of  the  town,  or  of  the  person  liable  therefor,  the  same,  with  interest  from 
the  time  of  such  demand,  may  be  recovered  for  the  use  of  the  hospital  in  an 
action  to  be  instituted  by  the  district-attorneys,  or  other  prosecuting  officers, 
in  the  name  of  the  treasurer,  against  such  delinquent  city,  town,  or  person. 

Section  11.  The  expenses  of  the  hospitals  for  the  support  of  lunatics 
not  having  known  settlements  in  this  state,  committed  thereto,  shall  be  paid 
quarterly  by  the  Commonwealth  at  the  same  rates  charged  for  city  and  town 
pauper  lunatics  therein,  but  not  to  exceed  the  sum  of  two  dollars  and  sixty- 
two*  cents  per  week ;  and  the  same  may  afterwards  be  recovered,  by  the 
treasurer  of  the  Commonwealth,  of  the  lunatics  themselves,  if  of  sufficient 
ability  to  pay  the  same,  or  of  any  person  or  kindred  obligated  by  law  to 
maintain  them,  or  of  the  place  of  their  settlement,  if  any  such  is  ascertained ; 
and  the  district-attorneys,  or  other  prosecuting  officers,  shall  institute  suits 
therefor  when  requested. 

Section  12.  It  shall  be  the  official  duty  of  the  attorney-general  and 
district-attorneys  to  advise  and  consult  with  the  trustees  and  treasurers  of  the 
several  state  lunatic  hospitals,  when  requested  by  them,  on  all  questions  of 
law  relating  to  their  official  business. 

Section  13.  If  at  any  time,  all  the  state  lunatic  hospitals  shall  be  so 
full  that  the  inmates  cannot  all  be  suitably  accommodated  therein,  and  in  the 
opinion  of  the  trustees  of  either  hospital  it  is  proper  that  some  should  be 
removed,  the  trustees  may  remove  to  their  respective  homes,  or  to  the  places 
of  their  legal  settlement,  or  of  their  residence,  so  many  as  may  be  necessary 
to  afford  suitable  accommodation  for  the  remainder ;  but  only  such  patients 
shall  be  selected  for  removal  as,  in  the  opinion  of  the  trustees  and  superin- 

*  By  ch.  240,  §  9,  Acts  of  1863,  reduced  to  “  twenty-five  ”  cents. 


13 


98 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


tendent,  are  not  susceptible  of  improvement,  and  can  be  suitably  managed  at 
their  homes,  or  in  the  places  to  which  they  may  be  sent. 

Section  14.  Any  judge  of  the  supreme  judicial  or  superior  court,  at 
any  term  held  within  and  for  the  county  in  which  either  hospital  is  located, 
or  the  judge  of  the  probate  court  of  such  county,  or  the  trustees  of  such 
hospital  may,  on  application  in  writing  for  the  discharge  from  such  hospital 
of  any  insane  person  who  has  remained  there  a  sufficient  time  to  make  it 
appear  that  he  is  incurable  and  not  dangerous  to  the  peace  and  safety  of  the 
community,  cause  him  to  be  delivered  to  the  agents  of  any  place  in  which  he 
has  a  legal  settlement,  or  on  which  he  has  a  legal  claim  for  support,  or  to  his 
friends,  when  it  appears  that  it  would  not  be  to  his  injury,  and  that  he  would 
be  comfortably  and  safely  provided  for  by  any  parent,  kindred,  friend,  master 
or  guardian,  place  or  institution.  When  application  has  been  made  to  any 
judge  for  the  discharge  of  any  insane  person,  any  person  interested  in  said 
discharge  may  request  a  trial  upon  said  application  by  a  jury,  and  the  judge 
before  whom  the  trial  is  to  be  held  shall  issue  a  warrant  to  the  sheriff  of  the 
county,  or  his  deputy,  directing  him  to  summon  a  jury  of  six  lawful  men,  to 
hear  and  determine  whether  such  insane  person  is  incurable,  and  may  be 
comfortably  and  safely  provided  for  according  to  the  terms  of  this  section. 
The  proceedings  shall  be  the  same  in  selecting  jurors,  conducting  the  trial 
and  allowing  the  costs,  as  are  provided  in  sections  twelve,  thirteen,  fourteen, 
fifteen  and  sixteen  of  chapter  seventy-three  of  the  General  Statutes. 

Section  15.  The  several  judges  of  probate  in  the  counties  where  the 
state  lunatic  hospitals  are  located,  shall  have  the  same  authority  at  any  time 
to  discharge  from  confinement  lunatics  committed  to  the  hospitals,  as  is  con¬ 
ferred  upon  the  trustees  and  the  justices  of  the  supreme  judicial  and  superior 
courts  by  the  twenty-ninth  section  of  chapter  seventy-three  of  the  General 
Statutes. 

Section  16.  The  money  and  cost  of  clothing  which  the  trustees  of  any 
state  lunatic  hospital  may  by  law  furnish  to  discharged  pauper  lunatics,  the 
expense  of  pursuing  such  as  elope  therefrom,  and  of  burial  of  pauper  luna¬ 
tics  dying  in  the  hospitals,  shall  be  reimbursed  to  the  trustees  by  the  places  of 
legal  settlement  of  city  and  town  paupers,  and  by  the  Commonwealth  in  the 
case  of  state  paupers. 

Section  17.  When  a  person  held  in  prison  on  a  charge  of  having  com¬ 
mitted  an  indictable  offence  is  not  indicted  by  the  grand  jury,  or,  on  trial  is 
acquitted  by  the  jury  by  reason  of  insanity,  the  jury  in  either  case  shall  certify 
that  fact  to  the  court,  and  thereupon,  if  the  court  is  satisfied  that  he  is  insane, 
they  may  order  him  to  be  committed  to  one  of  the  state  lunatic  hospitals, 
under  such  limitations  as  they  may  direct. 

Section  18.  The  eighth,  ninth,  tenth,  eleventh,  nineteenth,  twentieth, 
twenty-first,  twenty-second,  twenty-third,  twenty-fourth,  twenty-seventh, 
twenty-eighth  and  thirtieth  sections  of  the  seventy-third,  and  the  fifteenth 
section  of  the  one  hundred  and  seventy-first,  and  the  seventeenth  section  of  the 
one  hundred  and  seventy-second  chapters  of  the  General  Statutes,  are  hereby 
repealed. 


/ 


1864.]  PUBLIC  DOCUMENT— No.  24.  09 

[Acts  of  1863,  Chapter  240.] 

An  Act  in  relation  to  state  charitable  and  correctional 

INSTITUTIONS. 

[Section  4.]  The  board  of  state  charities  shall  have  full  power  to  transfer 
pauper  inmates  from  one  charitable  institution  or  lunatic  hospital  to  another, 
and  for  this  purpose  to  grant  admittances  and  discharges  to  such  pauper 
inmates,  but  shall  have  no  power  to  make  purchases  for  the  various  institutions. 

Section  9.  The  expenses  of  the  lunatic  hospitals  for  the  support  of  luna¬ 
tics  not  having  known  settlements  in  this  state,  committed  thereto,  shall  be 
paid  by  the  Commonwealth,  at  the  same  rates  charged  for  other  lunatics 
residing  therein,  not  exceeding  two  dollars  and  twenty-five  cents  a  week  for 
each  lunatic. 


GENERAL  LAWS  FOR  THE  GOVERNMENT  OF  THE 
STATE  LUNATIC  HOSPITALS. 

[General  Statutes,  Chapter  73.] 

Section  1.  The  government  of  each  of  the  state  lunatic  hospitals  at 
Worcester,  Taunton,  and  Northampton,  shall  be  vested  in  a  board  of  five 
trustees,  appointed  and  commissioned  by  the  governor  with  the  advice  and 
consent  of  the  council,  subject  to  removal  only  for  sufficient  cause.  The  trus¬ 
tees  now  in  office  shall  continue  to  hold  their  offices  until  the  terms  thereof 
expire,  according  to  the  provisions  of  this  section.  On  the  first  Wednesday 
of  February  in  each  year,  the  term  of  office  of  the  senior  member  in  each 
board,  as  they  stand  arranged  on  the  list  of  their  appointments,  shall  terminate, 
and  the  name  of  the  person  appointed  to  fill  the  vacancy  shall  be  placed  at 
the  bottom  of  the  list,  and  other  vacancies  may  at  any  time  be  filled,  and  the 
names  of  the  persons  appointed  substituted  in  the  list  for  the  remainder  of  the 
vacant  terms. 

Section  2.  The  trustees  of  each  hospital  shall  be  a  corporation  for  the 
purpose  of  taking  and  holding  to  them  and  their  successors,  in  trust  for  the 
Commonwealth,  any  grant  or  devise  of  lands,  and  any  donation  or  bequest  of 
money,  or  other  personal  property,  made  for  the  use  of  the  institution  of 
which  they  are  trustees,  and  for  the  purpose  of  preserving  and  investing  the 
proceeds  thereof  in  notes  or  bonds  secured  by  good  and  sufficient  mortgages, 
or  other  securities,  with  all  the  powers  necessary  to  carry  said  purposes  into 
effect. 

Section  3.  They  shall  take  charge  of  the  general  interests  of  the  institu¬ 
tion,  and  see  that  its  affairs  are  conducted  according  to  the  requirements  of 
the  legislature,  and  the  by-laws  and  regulations  which  the  board  shall  estab¬ 
lish  for  the  internal  government  and  economy  thereof ;  and  they  shall  be 
reimbursed  all  expenses  incurred  in  the  discharge  of  their  official  duties. 

Section  4.  They  shall  establish  by-laws  and  regulations,  with  suitable 
penalties,  for  the  internal  government  and  economy  of  the  institution  ;  shall 


100 


LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 


appoint  a  superintendent,  who  shall  be  a  physician,  and  constantly  reside  at 
the  hospital ;  and  a  treasurer,  who  shall  give  bonds  for  the  faithful  discharge 
of  his  duties ;  and  shall  appoint,  or  make  provision  in  the  by-laws  for  appoint¬ 
ing  such  officers  as  in  their  opinion  may  be  necessary  for  conducting  efficiently 
and  economically  the  business  of  the  institution  ;  and  shall  determine,  subject 
to  the  approval  of  the  governor  and  council,  the  salaries  of  all  the  officers. 
All  their  appointments  shall  be  made  in  such  manner,  with  such  restrictions, 
and  for  such  terms  of  time,  as  the  by-laws  may  prescribe. 

Section  5.  The  salaries  of  the  superintendents,  assistants,  physicians, 
stewards,  and  matrons  of  the  state  lunatic  hospitals  shall  be  paid  quarterly 
from  the  current  receipts  of  the  several  hospitals. 

Section  6.  There  shall  be  thorough  monthly  visitations  of  each  hospital, 
by  two  of  the  trustees  thereof,  and  quarterly  by  a  majority  of  them,  and 
semi-annually  by  the  whole  board,  at  each  of  which  a  written  account  of  the 
state  of  the  institution  shall  be  drawn  up,  which  shall  be  presented  at  the 
annual  meeting  to  be  held  between  the  first  and  fifteenth  days  of  October. 
At  the  annual  meeting,  a  full  and  detailed  report  shall  be  made,  exhibiting  a 
particular  statement  of  the  condition  of  the  hospital  and  all  its  concerns,  with 
a  list  of  the  salaried  officers  and  their  salaries,  and  in  a  tabular  form,  under 
the  heads  specified  in  section  eleven  of  chapter  five,  the  value  of  the  stock 
and  supplies,  to  be  laid  before  the  governor  and  council  on  or  before  the 
fifteenth  day  of  October,  for  the  use  of  the  government;  and  at  the  same 
meeting  the  treasurer  shall  present  to  the  trustees  his  annual  report  on  the 
finances  of  the  institution ;  both  of  which  reports  shall  be  made  up  to  the 
thirtieth  day  of  September  inclusive.  The  trustees  shall  audit  the  report  of 
the  treasurer,  and  transmit  it  with  their  annual  report  to  the  governor  and 
council. 

Section  7.  The  accounts  and  books  of  the  treasurer  shall  at  all  times  be 
open  to  the  inspection  of  the  trustees. 


[Resolve  of  1844,  Chapter  78.] 

Resolved ,  That  the  price  to  be  charged  for  the  board  of  patients  at  the 
state  lunatic  hospital,  who  are  not  state  paupers,  shall  in  all  cases  be  fixed  by 
the  trustees  of  said  hospital :  provided^  that  the  charge  for  town  paupers 
shall  not  exceed  the  estimated  average  cost  of  supporting  patients  in  said 
hospital. 


[General  Statutes,  Chapter  73,  continued.] 

Section  12.  The  jurors  shall  be  selected  in  equal  numbers  from  the  place 
in  which  the  trial  is  had,  and  one  or  two  adjoining  places,  as  the  judge  shall 
direct ;  and  the  same  proceedings  shall  be  had  in  selecting  and  impanelling 
the  jury  as  are  prescribed  in  chapter  forty-three;  provided ,  that  in  the 
counties  of  Suffolk  and  Nantucket  all  the  jurors  may  be  taken  from  the  same 
place. 

Section  13.  The  judge  shall  preside  at  such  trial  and  administer  to  the 
jury  an  oath  faithfully  and  impartially  to  try  the  issue,  and  the  verdict  of  the 
jury  shall  be  final  on  the  complaint. 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


101 


Section  14.  If  by  reason  of  challenges  or  otherwise,  there  is  not  a  full 
jury  of  the  persons  summoned,  the  judge  shall  cause  the  officer  who  served 
the  summons,  or  in  his  absence  the  officer  attending  the  jury,  to  return 
suitable  persons  to  supply  the  deficiency ;  and  shall  have  the  same  authority 
as  the  supreme  judicial  court  to  enforce  the  attendance  of  jurors  and  witnesses, 
and  inflict  fines  for  non-attendance. 

Section  15.  The  officer  who  summons  and  attends  the  jury  shall  receive 
therefor  four  cents  a  mile  for  all  necessary  travel,  and  one  dollar  and  fifty 
cents  for  each  day  that  he  attends  upon  them;  and  the  jurors  and  witnesses 
shall  be  entitled  to  such  compensation  as  is  prescribed  for  jurors  and  witnesses 
in  the  supreme  judicial  court. 

Section  16.  The  expenses  of  the  trial,  including  the  fees  of  all  necessary 
witnesses,  shall  be  allowed  and  certified  by  the  judge,  and  paid  out  of  the 
county  treasury. 

Section  17.  There  shall  be  allowed  to  each  judge  of  the  probate  court, 
for  receiving,  hearing,  and  determining  every  application  made  to  him  for  the 
commitment  of  a  lunatic,  a  fee  of  two  dollars,  to  be  paid  out  of  the  county 
treasury.  The  judges  shall  present  their  accounts  for  such  fees  as  often  as 
once  in  each  year,  to  the  county  commissioners,  who  shall  andit  and  allow 
them,  if  found  correct.  There  shall  be  allowed  to  the  judge  of  the  probate 
court  for  receiving,  hearing,  and  determining  an  application  for  the  discharge 
of  a  lunatic  from  either  hospital,  two  dollars,  to  be  paid  by  the  party  making 
the  application. 

Section  18.  The  superior  court  may  allow  to  any  sheriff,  constable,  or 
other  person  to  whom  a  precept  is  directed  by  name,  who  may  commit  any 
person  to  either  hospital,  the  same  fees  as  are  allowed  to  officers  upon  the 
commitment  of  persons  to  prison,  and  such  further  sums  for  expenses  incurred 
in  said  commitments  as  to  the  court  may  seem  reasonable ;  and  the  sums  so 
allowed  shall  be  made  up  in  the  general  bill  of  costs  for  the  term  of  the  court 
at  which  the  allowance  is  made. 

Section  25.  Every  city  and  town  paying  expenses  for  the  support  or 
removal  of  a  lunatic  committed  to  either  hospital,  shall  have  like  rights  and 
remedies  to  recover  the  full  amount  thereof,  with  interest  and  cost,  of  the 
place  of  his  settlement,  as  if  such  expenses  had  been  incurred  in  the  ordinary 
support  of  the  lunatic  ;  and  the  lunatic,  if  of  sufficient  ability  to  pay  the  same, 
and  any  kindred  obligated  by  law  to  maintain  him,  shall  be  liable  for  all  such 
expenses  paid  by  any  city  or  town  in  either  case. 

Section  26.  The  governor  may  at  any  time  cause  to  be  removed  from 
one  of  said  hospitals  to  either  of  the  others,  such  of  the  inmates  thereof  as 
circumstances  or  the  necessities  of  the  case  may  in  his  judgment  require. 

Section  29.  Any  two  trustees  of  either  hospital,  or  either  of  the  justices 
of  the  supreme  judicial  court  or  superior  court,  at  any  term  held  within  and 
for  the  county  in  which  the  hospital  is  located,  may  on  application  in  writing 
for  that  purpose,  discharge  from  confinement,  after  the  cause  of  such  confine¬ 
ment  has  ceased,  any  lunatic  committed  thereto.  The  trustees  may  also 
remove  any  idiot  or  other  patient  to  the  place  where  the  judge  or  court  com¬ 
mitting  him  shall  certify  that  he  resided,  when,  in  their  opinion,  he  ceases'  to 


102  LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 

be  dangerous  and  is  not  susceptible  of  mental  improvement  by  remedial  treat¬ 
ment  at  the  hospital,  if  such  place  shall  not  remove  him  after  reasonable 
notice  in  writing  from  the  trustees. 

Section  31.  If  after  the  discharge  of  an  incurable  lunatic,  under  the 
preceding  section,  it  is  made  to  appear  on  complaint  by  any  person  under 
oath  to  the  judge  of  the  probate  court  for  the  county  in  which  the  lunatic  has 
his  legal  settlement  or  is  placed,  that  he  is  not  comfortably  supported,  or  that 
the  public  safety  is  endangered  by  him,  said  judge  shall  order  his  recommit¬ 
ment  to  said  hospital.  And  the  same  proceedings  may  be  had  in  determining 
these  questions  by  a  jury,  upon  the  request  of  any  person  interested  therein, 
made  in  writing  to  said  judge,  as  are  provided  in  the  preceding  section. 

Section  32.  No  pauper  shall  be  discharged  from  either  hospital  without 
suitable  clothing ;  and  the  trustees  may  furnish  the  same  at  their  discretion, 
together  with  such  sum  of  money,  not  exceeding  twenty  dollars,  as  they  may 
deem  necessary. 


GENERAL  LAWS,  1864. 

[Chapter  138.] 

An  Act  to  amend  “  An  Act  in  relation  to  state  charitable 

AND  CORRECTIONAL  INSTITUTIONS.” 

Be  it  enacted ,  fyc.,  as  follows : 

Section  1.  The  ninth  section  of  chapter  two  hundred  and  forty  of  the 
acts  of  the  year  one  thousand  eight  hundred  and  sixty-three,  is  hereby  so 
amended  that  the  expenses  of  the  lunatic  hospitals,  for  the  support  of  the 
persons  therein  named,  to  be  paid  by  the  Commonwealth,  shall  not  exceed  two 
dollars  and  seventy-five  cents  a  week  for  each  lunatic. 


[Chapter  288.] 

An  Act  relating  to  insane  persons  and  lunatic  hospitals. 

Be  it  enacted ,  $~c.,  as  follows  : 

Section  1.  On  petition,  under  oath,  to  any  judge  of  the  Supreme  judicial 
court,  setting  forth  that  the  petitioner  believes  that  some  person,  confined  as 
insane  in  any  hospital  or  other  authorized  place  for  the  treatment  or  restraint 
of  insane  persons,  is  not  insane,  and  is  unjustly  deprived  of  his  liberty,  the 
said  judge  may  in  his  discretion  appoint  three  commissioners  to  inquire  into 
the  alleged  insanity  of  the  person  so  confined. 

Section  2.  Before  said  commissioners  shall  proceed  with  their  inquiry, 
they  shall  be  sworn  to  the  faithful  and  impartial  discharge  of  their  duties. 
They  shall  give  sufficient  notice  of  their  appointment,  and  of  the  time  and 
place  of  hearing  to  the  petitioner  and  to  the  person  having  charge  of  the 
hospital  or  place  of  confinement.  They  shall  have  power  to  summon  and 
compel  the  attendance  of  and  to  administer  oaths  to  witnesses ;  and  it  shall 
be  their  duty  to  hear  the  evidence  offered  to  them  on  either  side,  touching  the 
merits  of  the  petition,  as  well  as  to  examine  the  person  confined. 


1864.] 


PUBLIC  DOCUMENT— No.  24. 


103 


Section  3.  No  notice  shall  be  served  upon  the  person  confined  as  insane, 
nor  shall  he  have  the  right  to  confer  with  counsel,  or  be  present  at  the  inquiry ; 
but  such  rights  shall  be  enjoyed  by  the  petitioner,  and  by  the  person  bvjor 
under  whose  authority  the  alleged  insane  person  is  confined  ;  nor  shall  said 
petitioner,  nor  any  counsel  he  may  employ,  nor  any  witness  he  may  desire  to 
use,  have  the  right  to  visit  or  examine  said  insane  person,  except  with  the 
permission  of  the  superintendent  of  the  hospital  or  place  where  said  person  is 
confined,  or  by  special  order  of  the  judge  issuing  the. commission. 

Section  4.  The  personal  examination  by  the  commissioners  of  the  person 
confined  as  insane,  shall  be  had  at  the  hospital  or  place  of  confinement ;  and 
such  person  shall  not  be  taken  therefrom,  pending  the  inquiry,  except  by 
special  order  of  the  judge  issuing  the  commission. 

Section  5.  The  commissioners  shall  report  the  facts  bearing  upon  the 
petition,  together  with  their  opinion  of  the  condition  of  the  person  confined, 
to  the  said  judge,  or  if  he  cannot  conveniently  attend,  to  some  other  judge  of 
the  said  court ;  and,  upon  the  presentation  of  the  report,  the  judge  may  order 
the  discharge  of  the  person  confined,  or  may  disallow  the  petition,  or  may 
take  such  other  order  as  the  circumstances  of  the  case  shall  require. 

Section  6.  It  shall  be  the  duty  of  the  overseers  of  the  poor  of  any  city 
or  town,  except  the  city  of  Boston,  to  commit  to'  one  of  the  state  lunatic  hos¬ 
pitals,  or  the  Boston  Lunatic  Hospital,  with  the  consent  of  the  trustees  thereof, 
any  person  supported  by  such  city  or  town,  who  is  suffering  under  recent 
insanity,  and  is  a  fit  subject  for  remedial  treatment. 

Section  7.  Whenever  the  board  of  state  charities  shall  have  reason  to 
believe  that  any  insane  person,  not  incurable,  is  deprived  of  proper  remedial 
treatment,  and  is  confined  in  any  almshouse  or  other  place,  whether  such 
insane  person  is  a  public  charge  or  otherwise,  it  shall  be  the  duty  of  said  board 
to  cause  application  to  be  made  to  one  of  the  judges  of  the  supreme  judicial, 
superior  or  probate  courts,  for  the  commitment  of  such  person  to  a  hospital  in 
the  manner  prescribed  by  law. 

Section  8.  The  governor  and  council  may  license  any  suitable  person  to 
establish  and  keep  an  asylum  or  private  house  for  the  reception  and  treatment 
of  insane  persons,  and  may  at  any  time  revoke  such  license.  And  such 
asylum  or  private  house  shall  be  subject  to  visitation  by  the  governor  and 
council  or  any  committee  thereof,  and  by  the  judge  of  the  probate  court  of  the 
county  wherein  the  same  is  situated. 

Section  9.  Whoever  establishes  or  keeps  such  an  asylum  or  private 
house  without  a  license,  unless  otherwise  authorized  by  law,  shall  forfeit  a  sum 
not  exceeding  five  hundred  dollars. 

Section  10.  There  shall  be  established  on  the  lands  connected  with  the 
state  almshouse  at  Tewksbury,  a  receptacle  for  insane  criminals,  to  which 
shall  be  removed  all  persons  now  in  the  state  lunatic  hospitals,  whom  the 
board  of  state  charities  shall  deem  to  be  fit  subjects  therefor.  Any  insane 
person  who  may  be  committed  to  one  of  the  state  lunatic  hospitals  under  the 
provisions  of  the  fourteenth  section  of  the  one  hundred  and  seventy-second 
chapter  of  the  General  Statutes,  or  of  the  seventeenth  section  of  the  two 
hundred  and  twenty-third  chapter  of  the  acts  of  the  year  eighteen  hundred 


104  LUNATIC  HOSPITAL  AT  WORCESTER.  [Oct. 

and  sixty-two,  may,  at  the  discretion  of  the  court,  be  committed  to  the  said 
receptacle  under  such  limitations  as  the  court  may  direct.  And  the  judges  of 
the  superior  and  probate  courts  may  cause  convicts  who  are  insane  to  be 
removed  from  any  prison  or  house  of  correction  to  the  said  receptacle,  in  the 
same  manner  that  such  convicts  may  now  be  removed  to  one  of  the  state 
lunatic  hospitals.  But  no  person  shall  be  removed  or  committed  to  such 
receptacle  until  the  governor,  by  his  proclamation,  gives  notice  that  the  same 
is  ready  for  inmates. 

Section  11.  The  inspectors  of  the  state  almshouse  at  Tewksbury  shall, 
subject  to  the  approval  of  the  governor,  establish  rules  and  regulations  for  the 
government  and  management  of  said  receptacle,  and  shall  see  that  the  same 
are  enforced ;  and  said  receptacle  shall  be  visited  and  examined  once  in  each 
week  by  at  least  one  inspector,  who  shall,  at  the  time  of  such  visit,  make  a 
record  thereof  in  a  book  to  be  kept  at  the  receptacle  for  the  purpose.  The 
superintendent  of  the  said  almshouse  shall  have  the  general  supervision  of  said 
receptacle,  and  shall  furnish  all  supplies  needed  therefor.  The  inmates  of  said 
receptacle  shall  be  under  the  care  of  a  suitable  resident  physician,  who  shall 
also  be  the  physician  of  the  almshouse,  and  who  shall  be  appointed  by  the 
inspectors  of  said  almshouse. 

Section  12.  It  shall  be  the  duty  of  the  board  of  state  charities  to  certifv 
to  the  auditor  within  one  week  from  the  commencement  of  each  quarter  of 
the  financial  year,  the  probable  amount  due  to  each  lunatic  hospital  for  the 
support  of  state  pauper  inmates  during  said  quarter.  And  upon  application 
of  any  board  of  trustees  of  said  hospitals,  the  auditor  may  draw  his  warrant 
for  a  sum  not  exceeding  ninety  per  cent,  of  the  amount  so  certified,  and  the 
same  shall  be  paid  to  the  treasurer  of  the  hospital  making  the  application, 
to  be  used  towards  the  payment  of  its  current  expenses,  incurred  within  the 
financial  year. 

Section  13.  No  superintendent  or  other  officer  of  any  state  lunatic  hos¬ 
pital  shall,  so  long  as  he  remains  such,  hold  any  office  or  be  engaged  in  any 
occupation  which  shall  interfere  with  the  devoting  of  his  whole  time  to  the 
performance  of  his  duties  at  such  hospital. 


INDEX 


Acknowledgments, . 

Accommodations  afforded  by  the  Hospital, 

Amusements, . 

Admissions  and  numbers, . 

Admissions,  discharges,  and  number  remaining  each  month, 

Admitted,  by  what  authority, . 

Ages  of  patients, . 

Annual  expense  of  each  patient, . 

Application  for  the  admission  of  patients,  form  of, 

Aqueduct  and  dam, . 

Articles  made  and  repaired  by  female  patients, 

Articles  made  and  repaired  by  male  patients,  . 

Auditing  Committee’s  Eeport, . 

Care,  by  Superintendent,  of  patients  after  discharged, 
Causes  of  insanity  as  reported  by  friends, 

Chaplain, . 

Charge  to  town  and  private  patients,  .... 

Civil  condition  of  patients, . 

Conference  of  Trustees, . 

Classification  of  expenses,  .  . 

Counties  from  which  patients  were  admitted,  . 

Current  expenses  of  each  year, . 

Debts  due  from  Hospital, . 

Debts  due  to  Hospital, . 

Domestic  aspect  of  Hospital,  . . 

Diseases  which  have  proved  fatal, . 

Duration  before  admission, . 

Employees  of  Hospital, . 

Expenses  diminished, . 

Expenditures, . 

Expenses  paid  by  towns  and  individuals, 

Expenses  within  the  means, . 

Expenses, . 

Expenses  paid  by  Commonwealth, . 

Farm, . 

Finances, . 

14 


Page. 

67 
50* 
61 

8 

12 
10 
16 
25 
91 
64,  65 

58 

59 
7 

4 
13 
66 

5 
19 

4 

50,  51 

24 

25 

7 

7 

61 
22 
17, 18 

68 
25 

50,  51 

5 
3 
5 
5 

60 
53 


106 


INDEX. 


Flowering  season  on  Hospital  Hill  for  twenty-six  years, 
Foreign  and  native  patients,  ratio  of  in  Hospital,  . 

Foreigners  admitted, . 

Foreigners  discharged, . 

Foreigners  remaining,  ..... 

Form  of  bonds, . 

Form  of  disease  of  those  admitted  and  those  discharged, 
Form  of  warrant  for  commitment,  .... 


Page. 

89,90 

11 

10 

10 

10 

93,94 

13 

92 


General  condition  of  the  Hospital  at  the  close  of  the  year, 
General  results, . 


Hereditary  cases, 

7 

Homicidal  cases, 


15 

15 


Improvements  and  alterations  not  realized, 
Incurable  patients  remaining,  . 


Labor  performed  by  patients,  . 
Laws  relating  to  the  Hospital,  . 
Lectures  and  other  amusements, 
List  of  prices,  . 

Libraries,  .  .  *  . 


57 

95-104 

62 

53 

63 


Meteorological  observations, 
Memorial  to  Legislature,  . 


Humber  of  patients  at  the  beginning  of  the  year, 
Humber  of  patients  at  the  end  of  each  year, 
Humber  of  patients  admitted  during  the  year, 
Humber  of  patients  discharged  improved, 
Humber  of  patients  discharged  not  improved,  . 
Humber  of  patients  discharged  recovered, 
Humber  of  patients  remaining,  .... 
Humber  of  patients  under  treatment, 

Humber  of  days’  work  done  by  patients,  . 

Occupation  of  patients  before  admission,  . 
Outlay  for  repairs  made  without  appropriation, 
Officers, . 


8 

25 

8 

8 

8 

8 

8 

8 

57 

20,  21 
3 
6 


Patients  supported  by  towns,  .... 

Patients  removed  by  the  Board  of  State  Charities, 

Percentage  of  admissions  caused  by  ill  health,  . 

Percentage  of  admissions  caused  by  religious  excitement, 
Percentage  of  admissions  caused  by  disease  of  the  affections, 
Percentage  of  admissions  caused  by  pecuniary  trouble, 

Percentage  of  admissions  caused  by  intemperance,  . 

Percentage  of  admissions  caused  by  masturbation,  . 

Percentage  of  deaths  of  all  in  the  hospital  each  year, 

Percentage  of  deaths  of  the  average  number  of  patients  each  year, 
Percentage  of  recovery  of  recent  cases, 

Percentage  of  recovery  of  all  discharged,  . 

Percentage  of  recovery  of  chronic  cases,  . 

Periodical  cases, 


10 
11 
17, 18 
17, 18 
17, 18 
17,18 
17,18 
17, 18 
17, 18 
17, 18 
17, 18 
17, 18 
17,18 
15 


INDEX. 


107 


Page. 

Petition  for  the  admission  of  patients,  form  of, ........  91 

Price  paid  by  State  for  aliens  insufficient,  .  . 4 

Price  paid  by  towns, . 4 

Physician’s  certificate,  ......  .....  92 

Private  patients  admitted, . .  10 


Private  patients  unfairly  burdened,  ........  4 

Present  cost  of  supporting  patients,  .  .  . .  4 

Products'of  farm, . .  59 


Pain  and  snow  for  twenty-four  years,  .  . .  .  88 

Eecapitulation  of  statistics,  .  . . 26,  27 

Receipts, . .  . . 7 

Religious  services, . .  63 


Suicidal  cases, . 15 

Summary  of  meteorological  observations, .........  87 

Superintendent’s  Report,  ............  g 

Special  appropriation  for  water, . 3 

System  of  labor,  ..............  55 


Tabular  view  of  each  patient  under  treatment  during  the  year, 
Treasurer’s  Report,  ........ 

Trustees, . . 

Trustees’  Report, . 

The  average  number  under  treatment  during  each  year,  . 

The  whole  number  of  patients  admitted  to  the  Hospital,  . 

The  whole  number  of  patients  recovered  at  the  Hospital, 

The  whole  number  of  patients  improved,  . 


30,  48 
7 

70 

O 

o 

25 

9 

9 

9 


Uneasiness  of  patients, 


54 


Weather  and  wind,  .......... 

W  ater,  ........... 

Weekly  expenses  of  each  patient,  ...... 

Workshops,  . . 

Whole  number  of  patients  under  treatment  during  each  year,  . 
Whole  income  needed  to  supply  wants  of  patients,  . 


86 

63 

25 

55 

25 

3 


