Public Document No. 22
SIXTY-FIFTH ANNUAL KEPORT
THE TRUSTEES
FOR THE
Taunton State Hospital
Year ending November 30, 1918
BOSTON WRIGHT & POTTER PRINTING CO., STATE PRINTERS 32 DERNE STREET 1919 Publication of this Document approved by the Supervisor of Administration. CONTENTS.
PAGE Repokt of Trustees, 7
Report of Superintendent, . .10 Report of Treasurer, 18
Valuation, 24
Statistics, ' 27
.
OFFICERS
TAUNTON STATE HOSPITAL.
TRUSTEES
MARGARET C. SMITH, . Taunton. PHILIP E. BRADY, Esq., Attleboeo. ARTHUR B. REED, Abington. CHARLES C. CAIN, Jr., Chairman, Taunton. SIMEON BORDEN, Esq., Fall River. JULIUS BERKOWITZ, New Bedford. ELIZABETH C. M. GIFFORD, Secretary, Boston.
RESIDENT OFFICERS.
ARTHUR V. GOSS, M.D., Superintendent.
HORACE G. RIPLEY, M.D., . Assistant Superintendent. JOHN F. O'BRIEN, M.D., Senior Assistant Physician. JOHN J. THOMPSON, M.D., Assistant Physician. FANNIE C. HAINES, M.D., Assistant Physician. BEATRICE A. REED, M.D., Assistant Physician. JOSEPH V. CHATIGNY, M.D., Assistant Physician. ALMA E. FOWLER, M.D., Assistant Physician.
LINDA A. J. RICHARDS, Superintendent of Nurses Emerita
REBECCA G. CAMERON, . Superintendent of Nurses.
JAMES C. FLYNN, . . Engineer.
STEPHEN F. TRACY, . Steward.
WILLIAM C. HILTZ, . Farmer.
TREASURER. FRANK W. BOYNTON, Taunton.
Office at Hospital.
Stye akrmtttOtttoeaUt) oi MassattyustitB.
TRUSTEES' REPORT.
To His Excellency the Governor and the Honorable Council.
The trustees of the Taunton State Hospital herewith present the sixty-fifth annual report for the institution, together with the superintendent's report and other statistics and data of the year. The past twelve months imposed a war-time handicap upon this as well as other institutions. The number of patients re- mained about the same, except that the number in family care was slightly reduced, while the nurses and attendants totalled barely one-half of the quota, and were fewer by 32 on October 1 of this year than on October 1 of last year. Twenty-two physi- cians, nurses and employees entered war service during the year. The resulting shortage made the hospital work largely cus- todial. Working conditions as well as wage scales should be improved to make it possible to secure the type of worker needed. The influenza outbreak at the hospital was particularly severe, with 373 cases and a total of 57 deaths. The tireless courage with which a depleted staff faced the difficulties of those weeks deserves to be recorded and remembered. One pupil nurse,
Miss Janie Flynn, gave her life while serving as a volunteer nurse in the emergency hospital the city of Taunton opened. The city urgently called for help, and two of our nurses re- sponded. Miss Flynn's sacrifice will be commemorated with a suitable tablet in our chapel, and the splendid example of Miss 8 TAUNTON STATE HOSPITAL. [Dec.
Annie E. Hall, the other volunteer nurse, who was also taken ill but is now recovering, will also be remembered. During the year progress has been made on the exchange of land, whereby the hospital will acquire the Hopewell site and a direct access to Bay Street. The trustees hope that the prop- erty may be improved and a suitable bridge across the river built this year. The site will afford an excellent opportunity for planning a cottage colony for employees in coming years. The matter of the spur track and trestle, leading from the railroad yards at Dana Street, has also had attention. The approval of the plans has been secured from the mayor and council of Taunton and the county commissioners of Bristol.
After the Public Service Commission has acted on it the project can be started. Despite the increase in construction costs since the improvement was first proposed, it seems certain that the track will allow economies and conveniences that will prove it a money-saver. The crowding of the administration building, mentioned in several reports, continues. Early attention should be given the reconstruction of the kitchen arrangement and equipment if the best results are to be obtained. The renovation of the wards continues, and should continue on even a larger scale this year. Considerable time was spent this year in obtaining a social service worker, and the Board is now hopeful of the results to be expected from this branch of the work. The trustees feel that when the staff is restored to normal size there should be a physician resident at Lovering Colony, as there was at Borden Colony, to safeguard the patients now distant from medical help in case of an emergency. The policy of publicity continues at this institution. The public is always made welcome, and visits of inspection are wel- comed. This system, tried out for years, has brought a wider and a better appreciation of the hospital, because it has been better understood by the community and people it serves. In closing the year especial mention should be made of the spirit of loyalty manifested by the hospital staff and employees. Their willingness to do more than their individual share during a difficult period has proved them as having a high conception of their service. This has been true of every officer and nearly 1918.] PUBLIC DOCUMENT — No. 22. 9 every employee, and it deserves to be commended on the record. To Dr. Goss, in particular, the thanks of the trustees are due for tireless attention to every detail and for unfailing courtesy.
CHARLES C. CAIN, Jr. PHILIP E. BRADY. JULIUS BERKOWITZ. MARGARET C. SMITH. ELIZABETH C. M. GIFFORD. SIMEON BORDEN. ARTHUR B. REED. 10 TAUNTON STATE HOSPITAL. [Dec.
SUPERINTENDENT'S REPORT.
To the Trustees of the Taunton State Hospital.
In compliance with the by-laws of your Board, the sixty-fifth report of the superintendent for the year ending Nov. 30, 1918, is presented.
On Oct. 1, 1917, the patients in the hospital and in family care numbered 1,412, — 695 men and 717 women; the corre-
sponding number on Oct. 1, 1918, was 1,405, — 689 men. and 716 women. During the year 482 patients — 257 men and 225 women — were admitted; 227 patients — 123 men and 104 women — were discharged; 195 patients — 85 men and 110 women — were on trial visit Oct. 1, 1918; and 187 patients — 110 men and 77 women — died. Transfers by the Massachusetts Commission on Mental Dis- eases were as follows: 1 to the Danvers State Hospital, 2 to the Foxborough State Hospital, 24 to the Grafton State Hospital, 24 to the Medfield State Hospital, 1 to the Monson State Hos- pital, 6 to the Tewksbury State Infirmary, and 2 to the Wren- tham State School. Eleven were sent to other States and 4 deported. During the year we had 62 cases of tuberculosis, — 36 men and 26 women, — with 26 deaths; 10 cases of dysentery, — 4 men and 6 women, — with 5 deaths; 13 cases of mumps, — 10 men and 3 women, — with no deaths; and 2 cases of diph- theria, — 1 man and 1 woman, — with no deaths. The hospital was attacked by the influenza the last of Sep- tember, and the epidemic following was the most extensive, severe and fatal in the history of the hospital. The first case developed at the Simeon Borden, Sr., Colony, in the family of our head farmer, Mr. Hiltz. This case was doubtless acquired in the city of Taunton, where the epidemic was raging before 1918. PUBLIC DOCUMENT — No. 22. 11
the hospital was affected. The first patient was attacked Sep-
tember 26, also at the Simeon Borden, Sr., Colony. The first case appeared September 29. Quarantine remained in force until November 10, — a period of six weeks. As soon as cases began to appear, Brown Infirmary No. 1 and Howland Infirm- ary No. 1 were prepared as isolation wards for the reception of influenza patients. These soon proving insufficient, East Ex- tension No. 1 and West Extension No. 1 were added, but at the height of the epidemic even these were not sufficient, and the larger dormitories off the main wards were also added. The— following statistics clearly show the severity of the epidemic : 12 TAUNTON STATE HOSPITAL. [Dec. tive quotas. But it is such emergencies that bring out the true metal, and so it proved this time; the entire medical staff and nearly all the nursing staff exercised to the full extent their privilege of service. The instances of failure to accept full responsibility are so few that by contrast the self-sacrifice and untiring devotion of the rest shine only the brighter. Our heartfelt thanks are due to Drs. Ripley, O'Brien, Haines and Reed, while too much praise cannot be given to the nursing staff, some of whom laid down their lives, who, overworked, tired and heavy-eyed, loyally did their duty, quietly, courage- ously, uncomplainingly and unostentatiously, simply as a mat- ter of course and all in the day's work. The epidemic began its ravages in the city before the hospital became affected, and in response to urgent appeals for help three of our senior nurses, — Janie Flynn, Maisie R. Grierson and Annie E. Hall, — who had finished their studies and were due to go to the Boston City Hospital for general hospital training in a few days, volunteered to serve in the Broadway Emergency Hospital. Of these we were able to spare two, Janie Flynn and Annie E. Hall, who rendered valuable service until both were stricken with the dis- ease at the same time, and returned to the hospital for treat- ment. Miss Flynn developed pneumonia and died; Miss Hall developed nephritis, was desperately ill, but is now convales- cent. The following employees died: pupil nurses, Janie Flynn and Minnie A. Sheehan; attendant, Chauncey J. Van Keuran; employees, Mary E. Smalley and Frank Boutin. Surely of these and such as these the Master will take note when he makes up his jewels. Forty-eight patients had glasses fitted during the year; of these, 14 were examined and fitted by outside oculists.
The summary of the year's dental work is as follows: number of teeth filled, 62; number of teeth treated, 60;- number of teeth extracted, 361; number of sets of teeth cleaned, 169; sets of teeth made, 8; whole number of cases treated, 399. Four hundred and fifty-eight patients — 306 men and 152 women — have had parole of the grounds. Ten hundred and seventy-five patients, — 540 men and 535 women, — 53 per cent of the whole number under treatment, 1918.] PUBLIC DOCUMENT — No. 22. 13 engaged in some form of employment. The various industries pursued were practically the same as outlined in former reports, except that, owing to war conditions, we found it necessary to omit largely the more purely diversional forms of occupation, and devote all our energies to useful occupations. Besides the ordinary routine repairs that necessarily are con- stantly increasing, seven wards and the cottage in the rear of the boiler plant have been completely renovated; the renova- tion of the older cow barn at the Simeon Borden, Sr., Colony has been completed; in the boiler plant six boilers have b,jen equipped with Coppus steam blowers,, our draught being insuf- ficient to burn the quality of coal with which we are now sup- plied; 5 washing machines and 3 extractors have been com- pletely rebuilt; a feed-water heater is now in process of con- struction, and we are now covering with asbestos our hot-water heaters and pipes, as recommended for conservation of fuel. Our War Relief Association continued its work as outlined in last year's report until about July, when the extreme short- age of nurses and attendants obliged us to suspend relief work for the time being. Our employees, however, have not shown any lack of zeal in war work, as their contributions to all war relief appeals and their purchases of Liberty Bonds and war saving stamps abundantly show. During the year past 20 have entered the United States service and 2 the Canadian service. Since the United States entered the war the following physicians,—nurses and employees have entered the United States service :
Physicians. Dr. Joseph V. Chatigny. Dr. Charles E. Roderick. Dr. Thomas J. O'Brien.
Nurses.
Arthur Bradshaw. Helena Kilcline. Jessie M. Bowes. Annie B. Linn. Reba G. Cameron. George D. McGuire. Mary C. Fagan. Jennie Schofield. Hannah Hanson. Ellen Stopford Taylor. Edith A. Hollindale. Eliza Orvis. Katherine Kirkpatrick. '
14 TAUNTON STATE HOSPITAL. [Dec.
Employees.
Horace Clifford. Edward Ladebouche. Fred Davio. John McCarthy. Joseph Dowd. Richard Marcott. Raymond S. Fox. Raymond Pencill. Roy F. Fletcher. James Smith. Edwin Facey. John Spinney. George R. Fletcher. Fred Strong. Harry M. Gordon. Harvey Thompson. John H. Hall. Clyde Whitman. Maynard Knox. Frank J. Walsh. Edgar Landry. Andrew C. Young.
In addition to the above, Dr. John J. Thompson and Eliza M. Coates, nurse, entered the Canadian service. The following former officers and nurses are known to—be in the United States service or in the service of our Allies :
Dr. Raoul G. Provost, U. S. A. Dr. Francis S. Caldicott, U. S. A. Daisy Binning, R.N., Canadian Red Cross. Mabel Linscott, R.N., Harvard Unit. Robert D. Hastings, British Hospital Unit. Eletta Worcester, R.N., Army Nurse Corps, U. S. A. Margaret B. Angus, R.N., American Red Cross. Arthur Foulds, British Hospital Unit. Ruth Holland, R.N., Army Nurse Corps, U. S. A. Sadie P. McLellan, R.N., Canadian Military Unit. Frances M. Bournes, R.N., Canadian Military Unit.
On the evening of June 29, 1918, our service flag was dedi- cated in the presence of an audience from the hospital and the
city that filled the hall, Mr. Charles C. Cain, Jr., chairman of your Board, presiding. The honor roll was read bj Mrs. Mar- garet Smith of your Board, after which appropriate patriotic addresses were made by Mr. Charles C. Cain, Jr., ?nd Philip Brady, Esq., of your Board, and Mr. William H. Reed of the "Taunton Gazette." On Dec. 14, 1917, Dr. Horace G. Ripley was appointed a member of the Medical Advisory Board for this district, which
position he still holds. 1918.1 PUBLIC DOCUMENT — No. 22. 15
Our training school for nurses has closed another year success- fully, though working under the greatest difficulties owing to the shortage of nurses caused by the war and the necessity of sending so many of our advanced pupils to the Boston City Hospital for their general hospital experience, and, last but not least, the absence part of the year of our efficient superintendent of nurses, Miss Reba G. Cameron, and our assistant superin- tendent of nurses, Miss Mary C. Fagan, both of whom have entered the United States service. Miss Janet MacConachie, R.N., of New York served very acceptably for four months as acting superintendent of nurses, but resigned early in August, greatly to our regret, to take up another line of work. Miss Frances E. Edgett of our training school, a graduate of the present year, has been appointed assistant superintendent of nurses, and is conducting the school at the present time.
Training School Statistics.
Men. Women. Total.
Graduating in 1918,
Junior class, ..'.....'
Intermediate class,
Senior class,
Total,
Number now in Boston City Hospital,
Number during year in Boston City Hospital,
Our war shortage of nurses —and attendants is eloquently shown by the following figures : 16 TAUNTON STATE HOSPITAL. [Dec.
The year closes with 36 patients — 6 men and 30 women — in family care, 11 less than last year. Six hundred and seventy-five patients attended the six picnics that were held during the summer, while the Saturday after- noon baseball games from June until September were, as in former years, much enjoyed. About the usual program of indoor entertainments was pro- vided during the colder months. Mrs. Alvaro Harnden and her sister Rebeccas gave us a very interesting dramatic sketch, "Mrs. Wiggs of the Cabbage Patch." Mr. Russell Peck and friends gave an enjoyable Victrola concert. The jazz band from the United States Radio School at Charlestown gave a unique concert that was a credit to the performers and much enjoyed by the listeners. Rev. E. W. Whitney gave a most interesting and instructive stereopticon lecture. The balance of the entertainments were about as usual, — dances, whist par- ties, concerts and miscellaneous entertainments in which officers,
employees and patients participated. In fact, it has been for a long time a well-noted fact that our patients enjoy an enter- tainment by home talent more than any other. The publishers of the "New Bedford Mercury" and the "Old Colony Memorial" sent us their valuable papers gratuitously, as for many years. Periodicals were given by the Taunton Public Library, Mr. and Mrs. W. H. Bent, Rev. E. W. Whit- ney, Mrs. William C. Davenport, Mrs. Edward Palmer, Mr.
Charles C. Cain, Jr., of Taunton, Mr. Julius Berkowitz of New Bedford, Mrs. Elizabeth C. M. Gifford of East Boston, and Mr. Arthur B. Reed of Abington. The A. M. Davis Company, 530 Atlantic Avenue, Boston, gave us a most welcome and un- usual present, — a large number of high quality Christmas cards, which will be distributed to our patients the coming Christmas. The results of the past year's farming have been unusually gratifying, and our barns and storehouses are filled to over- flowing. While only one crop, the onion, was unusually large and fine, we have never had a year when all our crops were so successful. During the year leave of absence was given Dr. John J. Thompson to enter the Canadian service and Dr. Joseph V. 1918.] PUBLIC DOCUMENT — No. 22. 17
Chatigny to enter the United States service, and Dr. Fannie C. Haines was reappointed, making a very acceptable addition to our staff. Your Board meetings have been well attended, a quorum being present at every regular meeting; the total attendance at the regular meetings was 53, while 73, individual visits have been made. Several members of your Board have in addition devoted quite a little time to interesting others in the work of the hospital, and even in accompanying them on visits of in- spection, all of which work has been very helpful. For these labors on your part, as well as your ever-helpful co-operation and assistance, my most grateful thanks are tendered.
To all loyal officers and employees for past and present co- operation we give grateful thanks. As we close the year with our hearts rejoicing over the assur- ance of peace, the late horrible war even now rapidly becoming only a memory, our past trials, cares and perplexities seem for the time of trivial importance, and we face the future with renewed confidence. ARTHUR V. GOSS, Superintendent. 18 TAUNTON STATE HOSPITAL. [Dec.
TREASURER'S REPORT.
To the Trustees of the Taunton State Hospital.
I respectfully submit the following report of the finances of this institution for the fiscal year ending Nov. 30, 1918: —
Cash Account.
Balance Dec. 1, 1917, 2,319 60
Receipts. Institution Receipts. Board of inmates: — Private, $23,186 10 Reimbursements, insane, 17,467 36
Sales : — 1918.1 PUBLIC DOCUMENT — No. 22. 19
Payments. To treasury of Commonwealth,— institution receipts, ,712 97 Maintenance appropriations :
Balance November schedule, 1917, . $15,887 31 Eleven months' schedule, 1918, 406,822 87 November advances, ..... 19,672 73
Balance, Nov. 30, 1918: — In bank, ... In office, ......
Total, ,
20 TAUNTON STATE HOSPITAL. [Dec.
•I Amount brought forward,
Food: — Butter, .... Butterine, Beans, .... Bread, crackers, etc., Canned soups,
Cereals, rice, meal, etc., . Cheese, Eggs Flour Fish (fresh, cured and canned)
Fruit (fresh), . Fruit (dried and preserved), Lard and substitutes, Macaroni and spaghetti, Meats Milk (fresh and substitutes), Molasses and syrups, Peanut butter, pie filling, etc., Potatoes, Seasonings and condiments, Sugar, ....
Tea, coffee, cocoa, etc., .
Vegetables (fresh), . Vegetables (canned and dried) Yeast, baking powder, etc., Freight,
Clothing and materials : — Boots, shoes and rubbers, Clothing (outer),
Clothing (under), .
Dry goods for clothing, . Hats and caps, Leather and shoe findings, Machinery for manufacturing, Socks and smallwares, Freight,
Furnishings and household supplies: Beds, bedding, etc., Carpets, rugs, etc., Crockery, glassware, cutlery, etc., Dry goods and smallwares, Electric lamps, Fire hose and extinguishers, Furniture, upholstery, etc., Kitchen and household wares, Laundry supplies and materials, Lavatory supplies and disinfectants, Table linen, paper napkins, towels, etc.
' Freight, . . . .
Amount carried forward, ,
1918.1 PUBLIC DOCUMENT — No. 22.
Amount brought forward, — Medical and general care :
Books, periodicals, etc., . Entertainments, games, etc.,
Funeral expenses, . Gratuities, Ice and refrigeration, Laboratory supplies and apparatus, Medicines (supplies and apparatus), Medical attendance (extra), Patients boarded out, Return of runaways, School books and supplies, Tobacco, pipes, matches, Water, .... Freight, Sewage disposal,
Heat, light and power: — Coal
Freight on coal and other expenses, . Gas, ...... Oil Operating supplies for boilers and engines, Charcoal,
Farm and stable : — Bedding materials, Blacksmithing and supplies, Carriages, wagons and repairs, Dairy equipment and supplies,
Fencing materials, . Fertilizers, Grain, etc.,
Hay, . Harnesses and repairs, Horses, Other live stock, Labor (not on pay roll) Rent, Spraying materials, Stable and barn supplies, Tools, implements, machines, etc.
Trees, vines, seeds, etc., . Veterinary services, supplies, etc., Freight, ....
Grounds: — Fertilizers, ....
Labor (not on pay roll), . Road work and materials, Tools, implements, machines, etc. Trees, vines, shrubs, seeds, etc., Freight, ."
Amount carried forward, 22 TAUNTON STATE HOSPITAL. [Dec.
Amount brought forward, $436,056 25 — Repairs, ordinary : 1918.1 PUBLIC DOCUMENT — No. 22. 23
Per Capita. During the year the average number of inmates has been 1,379.21. Total cost of maintenance, $451,869 38. Equal to a weekly per capita cost of $6.30. Receipt from sales, $1,900.23. Equal to a weekly per capita of $0.0265. All other institution receipts, $41,812.74. Equal to a weekly per capita of $0,583.
Respectfully submitted,
FRANK W. BOYNTON, Treasurer.
Examined and found correct as compared with the records in the office of the Auditor of the Commonwealth. ALONZO B. COOK, Auditor. 24 TAUNTON STATE HOSPITAL. [Dec. 1918.
VALUATION
Nov. 30, 1918.
Real Estate.
Land (333 acres), $40,500 00 Buildings, 715,231 32
$755,731 32
Personal Property. Travel, $7,201 03 Food, 22,977 27 Clothing, 16,293 63
Furnishings, . 71,666 82 Medical and general care, 9,141 31 Heat, light and power, 35,054 76 Farm and stable, \ 42,279 08 Grounds, 1,375 45 Repairs, 5,638 78
$211,628 13
Summary.
Real estate, . . ' $755,73132
Personal property, . 211,628 13
$967,359 45 STATISTICAL TABLES
AS ADOPTED BY AMERICAN MEDICO-PSYCHOLOGICAL ASSOCIATION.
Pbesceibed by Massachusetts Commission on Mental Diseases.
STATISTICAL TABLES.
Table 1. — General Information.
[Data correct at end of institution year, Nov. 30, 1918.
1. Date of opening as an institution for the insane: 1854. 2. Type of institution— : State. 3. Hospital plant: — Value of hospital property : Real estate, including buildings, .... $652,194 00 Betterments, ...... 147,532 00 Personal property, 211,628 13
.' Total, . . . . $1,011,354 13
Total acreage of hospital property, ...... 333
Acreage under cultivation during previous year, . . .74
4. Medical Service : — Men. Women. Total. - Superintendents, ...... 1 1 Assistant physicians, ..... 5 3 8 Medical internes, - - - Clinical assistants, - -
Total physicians, 6 3 9
5. Employees On pay roll:— Men. Women. Total. Graduate nurses, 2 19 21 Other nurses and attendants, .... 24 20 44 All other employees, ..... 66 52 118
Total employees, 92 91 183
6. Patients employed in industrial classes or in Men. Women. Total.
general hospital work on date of report, . 479 494 973
7. Patients in institution on date of report (ex- cluding paroles), ...... 656 650 1,306
Table 2. — Financial Statement for the Fiscal Year ending Nov. 30, 1918.
See treasurer's report for data requested under this table. 28 TAUNTON STATE HOSPITAL. [Dec.
Table 3. — Movement of Insane Patient Population, Oct. 1, 1917, to Sept. 80, 1918.
[Includes all patients admitted as insane who are on books of institution regardless of the method of admission, whether voluntary, committed, emergency, temporary care, for observa- tion or otherwise; but does not include those who are only dispensary or out-patient cases.]
Males. Females. Totals.
1. Insane patients on books of institution at beginning of institution year, ...'... 750 782 1,532 Admissions during year: — (a) First admissions, ..... 191 158 349 (b) Readmissions 66 65 131 Total admissions 257 223 480 (c) Transfers from other institutions for the insane, 2 2. Total received during year, 257 225 3. Total under treatment during year, 1,007 1,007 2,014 Discharged from books during year: — (a) As recovered 32 11 43 (6) As improved, 40 31 71 (c) As unimproved 16 24 40 3 13 As not insane, . . . . 10 id) # (e) Transferred to other institutions for the insane, ...... 25 35 (/) Died during year 110 77 187 181 414 4. Total discharged and died during year, . . 233 5. Insane patients remaining on books of institution at end of institution year, ..... 774 826 1,600 Supplementary Data. 6. Average daily number of insane patients actually 1,335.038 in institution during year, . . . . 669.923 665.115 7. Average daily number of other insane patients on books but away from institution on parole, on visit, boarded out, escaped or on temporary leave, 93.557 131.962 225.519 7a. Average daily number of boarded-out patients, . 7.096 35.884 42.980 10 8. Insane voluntary patients admitted during year, . 5 5 8o. Number of temporary-care patients admitted dur- 50 137 ing year • . 87 86. Patients or inmates in institution at end of institu- tion year, not included in the number of insane
patients given in item 5), . . . . 9. Persons given advice or treatment in out-patient 75 171 department during year, . . . . . 96 10. Insane patients actually in institution at end of in- stitution year 683 685 1,368 (a) State, 620 617 1,237 52 30 82 (6) Reimbursing, ...... (c) Private, 11 38 49 11. Number of patients in family care at end of institu- tion year, 31 37 (a) State 26 26 (b) Private, 1 1 (c) Self-supporting 4 10 1918. PUBLIC DOCUMENT — No. 22. 29
Table 4. — Nativity of First Admissions and of Parents of First Admis- sions for the Year ending Sept. SO, 1918.
• 30 TAUNTON STATE HOSPITAL. [Dec.
Table 5. — Citizenship of First Admissions for the Year ending Sept. 80, 1918.
Males. Females. Totals.
Citizens by birth, . 4174
Citizens by naturalization, 46
Aliens, .... 106
Citizenship unascertained, 23
Total, 191 158 349
Table 6. — Psychoses of First Admissions for the Year ending Sept. 30, 1918.
Psychoses.
Traumatic, Senile, total, 28 (a) Simple deterioration, 23 (6) Presbyophrenic type, (c) Delirious and confused states, (d) Depressed and agitated states in addition to deterioration,
(e) Paranoid states in addition to deterioration, . (/) Presenile types
With cerebral arteriosclerosis, . . . General paralysis, ...... With cerebral syphilis, ...... With Huntington's chorea, With brain tumor, With other brain or nervous diseases, total, Cerebral embolism, ...... Paralysis agitans, ...... Meningitis, tuberculous or other forms, Multiple sclerosis, Tabes, Acute chorea, ...... Other conditions, Alcoholic, total, ...... 33 42 (a) Pathological intoxication, .... (b) Delirium tremens, (c) Acute hallucinosis, ...... (d) Acute paranoid type (e) Korsakow's psychosis, ..... (/) Chronic hallucinosis, . . . . .
(g) Chronic paranoid type, .
(h) Alcoholic deterioration, . . . . .
(i) Other types, acute or chronic, . Due to drugs and other exogenous toxins, total, (a) Opium (and derivatives), cocaine, bromides,
chloral, etc., alone or combined, .
(b) Metals, as lead, arsenic, etc., . . . .
(c) Gases, . . (d) Other exogenous toxins, With pellagra,
With other somatic diseases, total, . . . .
(a) Delirium with infectious diseases, .
(6) Post-infectious psychoses, . . . .
(c) Exhaustion delirium, .
(d) Delirium of unknown origin, . . . . (e) Diseases of the ductless glands,
(/) Cardiorenal disease, . - (g) Other diseases or conditions 1918. PUBLIC DOCUMENT — No. 22. 31
Table 6. — Psychoses of First Admissions for the Year ending Sept. SO, 1918 — Concluded.
Psychoses.
13. Manic-depressive, total, (a) Manic type, (b) Depressive type (c) Stupor (d) Mixed type (e) Circular type, 14. Involution melancholia, 15
15. Dementia prsecox, total, . . . 59 109 (a) Paranoid type, ...... (6) Katatonic type, (c) Hebephrenic type (d) Simple type,
16. Paranoia and paranoic conditions, . . . .
17. Epileptic, total, _ (o) Deterioration, ...... (6) Clouded states, ...... (c) Other conditions, ...... 18. Psychoneuroses and neuroses, total, (a) Hysterical type, ...... (b) Psychasthenic type, , . . . . (c) Neurasthenic type
(d) Anxiety neuroses, . ..-.•.
19. With constitutional psychopathic inferiority, . 20. With mental deficiency, 21. Undiagnosed, ...... 22. Not insane, total,
(a) Epilepsy without psychosis, . . . . (6) Alcoholism without psychosis,
(c) Drug addiction without psychosis, . . (d) Constitutional psychopathic inferiority with-
out psychosis, . . • . (e) Mental deficiency without psychosis, (/) Others,
Total, 191 158 349 32 TAUNTON STATE HOSPITAL. [Dec.
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| rtrtrt | "2 H £ fc rt CD o 1 . . . .8 ..a TAUNTON STATE HOSPITAL. [Dec. S5, KDO H 1* ^ S T3 ~ o s Oo GQ ^ S CD K 0^ JS 40 TAUNTON STATE HOSPITAL. [Dec. OS cc s T3 0, C^ Si n 1918. PUBLIC DOCUMENT — No. 22. 41 Table 10. — Environment of First Admissions classified with Reference to Principal Psychoses, for the Year ending Sept. 30, 1918. 42 TAUNTON STATE HOSPITAL. [Dec. a, ftn 1918. PUBLIC DOCUMENT — No. 22. 43 CO >H ^ .<& g as < 1 44 TAUNTON STATE HOSPITAL. [Dec. 1— OS 1918.1 PUBLIC DOCUMENT — No. 22. 45 Table 14. — Psychoses of Readmissions, for the Year ending Sept. SO, 1918. Psychoses. Traumatic, . Senile, total, . (a) Simple deterioration, (6) Presbyophrenic type, (c) Delirious and confused states, . . (d) Depressed and agitated states in addition to deterioration, . . (e) Paranoid states in addition to deterioration, . (/) Presenile types, '. . . With cerebral arteriosclerosis General paralysis, ...... With cerebral syphilis, With Huntington's chorea, With brain tumor, . With other brain or nervous diseases, total, Cerebral embolism, ...... Paralysis agitans, ...... Meningitis, tuberculous or other forms, Multiple sclerosis, Tabes, Acute chorea, ...... Other conditions, ...... Alcoholic, total, (a) Pathological intoxication, . (b) Delirium tremens (c) Acute hallucinosis, ...... (d) Acute paranoid type, (e) Korsakow's psychosis, . . . . . (/) Chronic hallucinosis (g) Chronic paranoid type (h) Alcoholic deterioration, . . (i) Other types, acute or chronic, . Due to drugs and other exogenous toxins, total, (a) Opium (and derivatives), cocaine, bromides, chloral, etc., alone or combined, . (b) Metals, as lead, arsenic, etc., . . . . (c) Gases, (d) Other exogenous toxins, With pellagra, With other somatic diseases, total, . . . . (a) Delirium with infectious diseases, . (b) Post-infectious psychoses, . . . . (c) Exhaustion delirium id) Delirium of unknown origin, . . . . (e) Diseases of the ductless glands, (/) Cardiorenal disease, . . . . . (g) Other diseases or conditions, . 13. Manic-depressive, total, ...... (a) Manic type, ...... (6) Depressive type, . . . . (c) Stupor, (d) Mixed type, ...... (e) Circular type, ...... Involution melancholia, ...... Dementia precox, total, ...... 30 (a) Paranoid type, ...... (6) Katatonic type, ...... (c) Hebephrenic type, ...... (d) Simple type, . Paranoia and paranoic conditions, . Epileptic, total, (a) Deterioration, . . . . (b) Clouded states, (c) Other conditions, ...... Psychoneuroses and neuroses, total, (a) Hysterical type, ...... (6) Psychasthenic type, (c) Neurasthenic type, ...... (d) Anxiety neuroses, ...... 46 TAUNTON STATE HOSPITAL. [Dec. Table 14. — Psychoses of Readmissions, for the Year ending Sept. 30, 1918 — Concluded. 1918. PUBLIC DOCUMENT — No. 22. 47 q T3 83 03 Q '< m a m X u >* to PM GC s t 1918. PUBLIC DOCUMENT — No. 22. 49 t-*«N I CMCNCM .-ICO I rH I rH i-CCO — * t« 8 3 m fed §•43 * . 2 — " « w° S>0>_ "3c3 _ F" — a o ^°g8 " 5 £ u S u 5 11 a>T3 2 05 &3 wto to « (H to Ph 3 1=1 Oc 0=; T3 w s. a "5 a a < 1918. PUBLIC DOCUMENT — No. 22. 51 &Q -a "1 to a CO o a o >H CO Ph "a » cx> g -+3 jS o £» a Oh a W o co Q 1918. PUBLIC DOCUMENT — No. 22. 53 I I ' I ' ' — ' ' ' ' --">'« 1 1 54 TAUNTON STATE HOSPITAL. [Dec. QQ S m K < H fts E%< ^ S 1918. PUBLIC DOCUMENT — No. 22. 55 ZQ S >i K < H § T3 ft; o .<& 56 TAUNTON STATE HOSPITAL. [Dec. a < m >< s S . Oo CO s Oh 3 q J < 1918.1 PUBLIC DOCUMENT — No. 22. 57 ^"d cc 58 TAUNTON STATE HOSPITAL. [Dec. 1918. Table 19. — Family Care Department. Males. Females. Totals. Remaining Sept. 30, 1917 39 47 Admitted within the year, .... 2 3 Whole number of cases within the year, 41 50 Dismissed within the year, .... 10 13 Returned to institution, .... 7 9 Discharged, 1 2 Died Visit 2 2 Remaining Sept. 30, 1918 31 37 Supported by the State, .... 26 26 Private, ...... 1 1 Self-supporting 4 10 Number of different persons within the year, 41 49 Number of different persons admitted, 1 2 3 Number of different persons dismissed, 3 10 13 Daily average number, ..... 7.096 35.884 42.980 State, 31.423 31.423 Private 1.000 1.000 Self-supporting, 7.096 3.461 10.557