Chapters in the History of the Insane in the British IslesTuke, Daniel Hack
History
Chapters in the History of the Insane in the British Isles
Tuke, Daniel Hack
Mental health laws -- Great Britain; Mental illness -- Great Britain; Mentally ill -- Care; Psychiatric hospitals -- Great Britain
On the 23rd of July, 1844, the indefatigable reformer of abuses
connected with the treatment of lunatics, Lord Ashley, moved for an
Address to the Crown, praying her Majesty to take into consideration the
Report of the Metropolitan Commissioners in Lunacy[168] to the Lord
Chancellor, presented to the House, the statute under which they acted
expiring next session. He commented upon there being no official
visitation of single houses. He believed that such a power "ought to be
confided to some hand that would hunt out and expose the many horrible
abuses that at present prevail." The only control was that if such
patient resided more than twelve months in a house, the owner was
compelled to communicate the name of that patient to the clerk of the
Commission; but for the most part no notice was taken of this law, and
it was frequently evaded by removing the patient, after a residence of
eleven months, to some other lodging.
At this period (January 1, 1844) the number of lunatics and idiots
chargeable to unions and parishes in England and Wales was 16,821. In
county asylums there was provision for only 4155, leaving 12,666 poor
insane, of whom there were in asylums under local Acts 89, in Bethlem
and St. Luke's 121, in lunatic hospitals 343, while 2774 were in private
asylums, leaving in workhouses and elsewhere 9339. Although a few of the
existing county asylums were well adapted to their purpose, and a very
large proportion of them were extremely well conducted, yet some were
quite unfit for the reception of insane persons. Some were placed in
ineligible sites, and others were deficient in the necessary means of
providing outdoor employment for their paupers. Some also were ill
contrived and defective in their internal construction and
accommodation. Some afforded every advantage of science and treatment;
others were wholly deficient in these points. All of them, however, had
the advantage of constant supervision, and of not giving any profit to
the superintendent. Lord Ashley especially referred to the admirable
manner in which the asylums of Wakefield, Hanwell, Lincoln, Lancaster,
and Gloucester were managed. "Why, then," his lordship asked, "are not
these institutions multiplied? At this moment there are twenty-one
counties in England and Wales without any asylum whatever, public or
private. The expense is one cause. In some cases the cost of
construction has been exceedingly great. The asylum most cheaply
constructed is that of Wakefield, of which the average cost per head was
£111, whilst the highest price was that of Gloucester, which had cost on
the first accommodation £357 per head. In many cases the cost of
construction had exceeded £200 per head. The cost of the Bedford Asylum,
for 180 patients, was £20,500; that of Gloucester, for 261 patients,
£51,366; that of Kent, for 300 patients, was £64,056; that of Hanwell,
for 1000 patients, was £160,000, exclusive of £36,000 paid since 1835
for furniture and fittings.
Public-domain text, read in full here on John Shaqi.
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