C!)e CommotttoealtJ) oC ^assacj[)U3ctts ANNUAL REPORT (JOMMISSIO!i£R OF MENTAL DISEASES Year ending November 30, 1922 1 i i:ifi :: : : : TABLE OF CONTENTS. PAGE List of Commissioners 2 Letter of Transmission to Governor and Council 3 *. Duties of the Department . 4 Activities of the Department 4-12 Review of the Year All Classes under Care 12 The Insane 13-18 The Feeble-minded 19 The Epileptic 19-20 Report of the Pathologist 20-31 Report of Director of Social Service 31-34 Report of the Committee on Training Schools 34 Commitments for Observation and Temporary Care .... 34-36 Stabihty of Service 36-38 Capacity for Patients 39-41 Institutions Public 42-82 Private 83-84 Family Care of the Insane 85-88 The Department Proceedings of 89 Estimates of State Expenses for 1923 Maintenance Appropriation 89 Special Appropriations 89-91 The Department 91 Financial Statement of Department . 91-92 Support Division 92-95 Deportations 95-96 Financial Division 97-109 General Matters New Legislation 109-118 Twenty-four Year Statement as to Special Appropriations . 118-121 Financial Statistics 122-155 General Statistics 156-191 Directory of Institutions 192-199 COMMISSIONERS OF THE DEPARTMENT OF MENTAL DISEASES. November 30, 1922 GEORGE M. KLINE, M.D., Commissioner Beverly. JOHN B. TIVNAN, Associate Commissioner Salem. HENRY M. POLLOCK, M.D., Associate Commissioner Boston. CHARLES G. DEWEY, M.D., Associate Commissioner Boston, ELMER A. STEVENS, Associate Commissioner somerville. LOWELL F. WENTWORTH, M.D., Assistant Commissioner. Cfje Commontoealtj^ of ^a00acf)U!sett0 State House, Boston. To His Excellency, the Governor, and the Honorable Council: The undersigned, the Commissioner of the Massachusetts Department of Mental Diseases respectfully submits the third Annual Report of the Depart- ment for the year ending November 30, 1922. The matters, however, relating to General Statistics cover the year ending September 30. GEORGE M. KLINE, Commissioner. JOHN B. TIVNAN, HENRY M. POLLOCK, CHARLES G. DEWEY, ELMER A. STEVENS, Associate Commissioners. ^bt Commontoealtl) of ^a$0ac|)U!8!ett$ REPORT OF THE MASSACHUSETTS DEPARTMENT OF MENTAL DISEASES. DUTIES OF THE DEPARTMENT. The name of this Department was changed in accordance with the Legis- lative enactment in 1919 from the Commission on Mental Diseases to the Massachusetts Department of Mental Diseases. The Department has general supervision of all public and private insti- tutions for the insane, feeble-minded and epileptic. It has the right of investigation and recommendation as to any matter relating to the classes under care. Each state institution has, however, its own Board of Trustees appointed by the Governor and Council. The direct powers of the Department concern the interrelation of Institu- tions, and matters which are common to them all, such as the distribution and transfer of patients, deportation to other states and countries, claims to sup- port as state charges in Institutions, etc. The expenditure of money under special appropriations is under the control of the Department, which is required to prepare plans for new buildings, and to select land to be taken for any new or existing Institution. The Department also analyzes all requests for maintenance appropriations. Charles G. De^Vey, M.D., was reappointed an Associate Commissioner in November, 1922. RETIREMENT OF ARTHUR V. GOSS, M.D. Arthur V. Goss, M.D. retired as Superintendent of the Taunton State Hospital on September 15, 1922, after thirty years' service, sixteen years of which were as Superintendent, succeeding the late John P. Brown, M.D. The Taunton State Hospital is the third oldest public institution in the' State' having opened its doors in 1854. When Doctor Goss Avent to Taunton in 1892, there Avere seven public institutions for the mentally ill, and one for the feeble- minded, making a total of eight, as against fifteen institutions for these classes at the present time. The folloAvang testimonial is by the Trustees of the Taunton State Hospital, and shows the regard in which Doctor Goss is held. The record of the years he spent on the Staff of this Institution testifies to tlie exceptional length of service given by Arthur V. Goss, M.D., but to the Trustees is presented the task of trying to set forth in inadequate words an expression of their intimate knowledge of what he has done for and Avhat he has been to the Institution. UnsAverving devotion and tireless labor characterized the span of a genera- tion during Avhieh he Avas Superintendent. He not onlv upheld the splendid traditions of his predecessors but he achieved ncAV ideals. He Avas friend as Avell as counselor to the patients and was no less the head of the Hospital, keenly alive to the responsibilities oAved the State as Avell as to the individuals serA^ed. He found his chief delight in altruism, and he Avas an inspiration P.D. 117. , 5 as well as a mentor for those who served -vvith him. Genial by nature, kindly by choice, he Avas temperamentally well fitted for the tasks and difficulties, superior to the monotony of routine and responsive to the splendid spur of planning the future of the State Hospital in his charge. He loved the Institution and the work manifested it; he was beloved at the Institution and only the thought that he has w^ell earned a rest can solace his departure. That his years to come may be many and rich with the happi- ness he deserves is the wish we extend to our friend and the Hospital's, Arthur V. Goss, M.D. APPOINTMENTS AND RESIGNATIONS. Ransom A. Greene, M.D., formerly Assistant to the Commissioner of this Department, was appointed Superintendent of the Taunton State Hospital in October, 1922, succeeding Arthur V. Goss, M.D., retired. Doctor Greene was born in Vermont in 1880, and graduated from the University of Maryland in 1902. He has had long experience in Institutional work, serving on the staff of the Monson State Hospital from 1902 to 1905; in general practice in Lowell, Massachusetts from 1905 to 1910. He served on the staff of the Grafton State Hospital from 1910 to 1912, and in 1912, he again entered the service of the Monson State Hospital where he remained until 1918. From 1918 to 1919 he served in the United States Medical Corps, being commissioned as Captain, and receiving the appointment of Assistant Superintendent at the Gardner State Colony upon his return in 1919, Avhere he remained until made Assistant Superintendent of the Danvers State Hospital in 1920. In February, 1922, he was appointed an Assistant to the Commissioner of this Department. George E. McPherson, M.D., formerly an Assistant to the Commissioner of this Department, was appointed Superintendent of the new Belchertown State School for the Feeble-minded in March, 1922. Doctor McPherson's qualifi- cations for this position were set forth in the Annual Report for 1921, Avhen he was appointed an Assistant to the Commissioner. W. Franklin Wood, M.D., former Assistant Superintendent of the Monson State Hospital, was appointed Chief Executive Officer at the Psychopathic Hospital in October, 1922. Doctor Wood graduated from the New York Homeopathic Medical College in 1912, and served in the Norwich State Hos- pital as Assistant Physician. He received the Allopathic degree from Tufts University Medical School in 1917, and was appointed Assistant Superintendent of the Massachusetts Homeopathic Hospital. After entering the Army he took a special course in neurology and brain surgery at the University of Pennsylvania, and was assigned to service in the Neuro Psychiatric Department at Camp Devens. He later served overseas as a Neurologist. After his dis- charge from the Army he returned to his position at the Massachusetts Homeo- pathic Hospital, where he remained until his appointment as Assistant Super- intendent at the Monson State Hospital in January, 1922. Clarence A. Bonner, M.D., was appointed an Assistant to the Commis- sioner of this Department in October, 1922. Doctor Bonner was born May 28, 1888. He graduated from the English High School in Boston, and later from the University of Vermont in 1913. He had eighteen months' interne- ship at the Mary Fletcher Hospital in Burlington, Vermont, and two years' practice in connection with railroad and lumber work in Maine. With the exception of this period, he has been almost entirely in hospital service, having been at the Worcester State Hospital from May, 1916 to 1918. From 1918 to 1920 he Avas at the Warren State Hospital, Warren, Rhode Island. He returned to the Worcester State Hospital in January, 1921, where he remained until October, 1922. In September, 1921, he was appointed Assistant Superintendent of the Worcester State Hospital. Ralph M. Chambers, M.D., Avas appointed an Assistant to the Commissioner of this Department in October, 1922. Doctor Chambers Avas born July 13, 1890. He graduated in 1914 from the Cleveland-Pulte Medical' College, and 6 , P.D. 117. Avas licensed in Ihe State of Ohio. He served at the Boston Psychopathic Ho-spital from September to December, 1915, when he entered the service of the Westboroujrh State Hospital. He remained at the Westborough State Hospital until July, 1917, Avhen he was commissioned as Lieutenant in the Government Service, and acted as Assistant in the Department of Psychiatry and Sociology. He was later promoted to a Captaincy, and Avas made Officer-in-charge. In March, 1919, he was sent to Leavenworth in charge of recruits. He returned to the Westborough State Hospital in June, 1919, and was promoted to Assistant Superintendent in July, 1919. He remained at that Institution until appointed an Assistant to the Commissioner. Douglas A. Thom, M.D., was appointed in October, 1922, to head the new Division for Mental Hygiene.