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 other hand, the best-constructed
union-houses in the country had not cost more than £40 per head." Lord
Ashley maintained that although, no doubt, a lunatic asylum was
expensive, it ought not to be so to that enormous degree. The reason of
this difference he did not know, except that many of them had been
constructed with a great display of architecture, and some asylums were
far too large. Adopting the opinion of the Report of the Commissioners,
he maintained that no asylum for _curable_ lunatics should contain more
than 250 patients, and that perhaps 200 are as large a number as can be
managed with the most benefit to themselves and the public in one
asylum; and he quoted Dr. Conolly's stronger statement that 100 persons
were the highest number that could be managed with convenience in one of
these asylums. With regard to the number of private patients in
asylums, there were 3790, of whom 973 were in private metropolitan, and
1426 in private provincial asylums. The paupers in the private houses
were--metropolitan, 854; provincial, 1920. With respect to these, it was
a very serious question how far any house should be licensed to take
paupers for payment. The principle was very dangerous, and Lord Ashley
pointed out that if the superintendent only got seven or eight shillings
a week, he still must make a profit, and that there could be no doubt it
was so. Quoting the Report of the Commissioners again, he said that many
asylums had formerly been private houses; the mansion was sometimes
engrossed by the proprietor and a few private patients, while the
paupers were consigned to buildings formerly used as offices and
outhouses. After adducing evidence of the deplorable condition of
certain asylums, Lord Ashley asserted that the only remedy was the
multiplication of county asylums, and if advice and example failed, they
ought to appeal to the assistance of the law to compel the construction
of an adequate number of asylums over the whole country. It was the duty
of the State to provide receptacles for the incurable patients, apart
from those devoted to remedial treatment. Parochial authorities,
however, preferred keeping patients in the workhouse at an expense not
exceeding two shillings a week, rather than send them to the county
asylum, where the minimum charge was seven shillings a week.
Public-domain text, read in full here on John Shaqi.
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