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
Lord Ashley, after paying the tribute of respect and admiration due to
Pinel, referred in conclusion to the introduction of a humane system of
treatment into this country at York, adding that it must be grateful to
the feelings of the author of the "Description of the Retreat" "to
perceive that his example has obtained not only the approval, but the
imitation of the best and wisest men of this country, and, I may add, of
America."
Lord Ashley's Bill introduced for the first time a permanent Lunacy
Commission. It comprised six paid Commissioners at salaries of £1500
each, which, he observed, would be economical in the end. In Mr.
Gordon's Act the Commissioners were appointed for one year, to be
renewed annually, and consisted of ten unpaid members and five
physicians, who were paid at the rate of one guinea an hour for their
attendance, with power to carry into effect the new Act within the
metropolitan district. This act and the Commission were renewed in 1832,
when two barristers were added on the same terms. In 1834, having been
always a member of the Commission, Lord Ashley became the chairman. The
Act had been renewed periodically every three years until the year 1842,
when Lord Somerset brought in a Bill, the object of which was greatly to
extend the operation of the Metropolitan Commission. The number of
physicians was then augmented to seven, and the barristers to four; and
it was also provided that the Commissioners should receive five guineas
a day during the performance of their duties in the provinces.
Immediately after that Act (5 and 6 Vict., c. 87) the Commissioners had
entered upon their enlarged duties. The consequence was that in each
year the establishments visited by them were:
Visited once
a year.
Seventeen county asylums, or asylums brought within the
scope of 9 Geo. IV. (1828), (twelve county asylums, five
county and subscription asylums).
Eleven of mixed character (mostly by subscription and partly
by income from charitable foundations).
Two military and naval hospitals.
Visited twice
a year.
Ninety-nine houses licensed by justices in session (fifty-nine
receiving only private patients, forty private and pauper).
Visited four
times a year.
In metropolitan district:
Thirty-seven houses licensed by Metropolitan Commissioners
(thirty-three for private patients only; four for private
and pauper).
Total public and private asylums, January 1, 1844, 166.
The result of these investigations was, Lord Ashley observed, the Report
presented to the House last session, when he moved for an Address to the
Queen, but withdrew it upon the Government promising to bring in a Bill.
Ultimately, however, the Government had requested him to undertake it.
The two Bills, having passed the Houses of Parliament, received the
Royal assent on the 4th and 8th of August, 1845.[171] They have been
well called the Magna Charta of the liberties of the insane.
Public-domain text, read in full here on John Shaqi.
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