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
It made pauper lunatics chargeable upon the common fund of the union,
instead of the particular parish. In addition to many matters of detail
in reference to the establishment of asylums, and an important section
in regard to the use of workhouses for chronic lunatics, additional
safeguards were given to prevent the improper admission of patients into
institutions for the insane, much care being shown in reference to the
abuse of private asylums. Persons signing orders for admission must have
seen the patient within one month. Certain persons were prohibited from
signing any certificate or order for the reception of any private
patient into a licensed or other house, viz. those receiving a
percentage on, or otherwise interested in, the payments to be made by
any patient received into such houses; as well as any medical attendant
as defined by the Lunacy Act of 1845. If defective medical certificates
were not amended within fourteen days, the Commissioners were empowered
to order the patient's discharge. On admission of patient, the
documents, with the exception of the "statement," were to be
transmitted to the Lunacy Board within one clear day, instead of after
two and before the expiration of seven, as formerly. Increased
visitation of asylums by Commissioners was provided, one of whom might
visit any asylum, hospital, or jail, in addition to the visits required
by two of them. Regulations were made in regard to patients being absent
on trial, the transmission of their letters, and the further protection
of single patients. These and some other sections were the outcome of
the suggestions of 1859-60.[174]
In 1874 a Poor Law Act granted four shillings per head out of the
Consolidated Fund to paupers in asylums, to the effects of which we
shall have to refer in the next chapter.
It is necessary now to chronicle the appointment of the Select Committee
of 1877, known as Mr. Dillwyn's Committee, the result, to a large
extent, of a feeling of uneasiness in the public mind, or rather, a
portion of it, relative to the too easy admission of patients into
asylums, and their too difficult exit, when once there. The grossest
charges were made against the proprietors of licensed asylums, and the
Commissioners themselves were charged with culpable laxity. As might be
expected, some changes in the law were suggested likely to prove
beneficial, and the Report of the Committee contained sundry
recommendations of importance. The charges, however, from which the
inquiry originated, fell to the ground; and had the appointment of the
Committee had no other result, the advantage would have been great, in
presenting a most gratifying contrast to the revelations which took
place fifty years before, in 1827.[175]
Public-domain text, read in full here on John Shaqi.
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