. The institutional care of the insane in the United States and Canada . they have always responded to the call of thesuperintendent for assistance in eye, ear, nose and throat, heart,lungs, nervous and surgical diseases. Fees have never been paidfor their valuable and generous services, except small honorariafor abdominal and surgical operations. The benefits to the hos-pital have been incalculable during the 20 years of skilled assist-ance of this consulting board. For some years a dentist has been employed to attend to thewants of the patients, making regular weekly visits; at present hevis


. The institutional care of the insane in the United States and Canada . they have always responded to the call of thesuperintendent for assistance in eye, ear, nose and throat, heart,lungs, nervous and surgical diseases. Fees have never been paidfor their valuable and generous services, except small honorariafor abdominal and surgical operations. The benefits to the hos-pital have been incalculable during the 20 years of skilled assist-ance of this consulting board. For some years a dentist has been employed to attend to thewants of the patients, making regular weekly visits; at present hevisits the hospital two mornings each week. The problem of the care of the inebriates and habitual drunkardshas passed through several stages in Massachusetts. They wereformerly committed to the state hospitals, if such person is notof bad repute or of bad character apart from such habits ofintemperance. Later, in 1889, the Foxborough State Hospitalwas established especially for this class; but in 1905 commitmentsto Foxborough were limited to men, and women could be sent. WESTBOROUGH STATE HOSPITAL 723 again to any of the state hospitals. In 1914 all female alcoholicsand narcotic habitues in the state insane hospitals committedunder the inebriate law were transferred by the State Board ofInsanity to the Westborough State Hospital, where separate wardsfor their care and maintenance had been established. A social worker was appointed in 1913 and spends her timevisiting the homes of patients after their reception at the hos-pital, obtains additional information about patients, their familiesand the home conditions, and amplifies and perfects the case recordwith her observations and recommendations. This knowledgehas been of advantage in the treatment of the invalid in the hos-pital and has been of great importance when the question of hisdischarge is considered. She also deals with the problems ofafter care. The State Board of Insanity planned in 1914 for the severalstate hospitals t


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpsychiatrichospitals