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
Mr. Dillwyn, in introducing his last Bill (May 25, 1881),[176] proposed
that no one should be confined as a lunatic except upon an order of the
justice of the peace; that no one should be incarcerated except at the
instance of a near relative, or of some solicitor of repute. There was
also provision that due notice should be given before a justice made the
order, and that the order must be authorized by two medical men, one of
whom should be the medical officer of the district. For violent lunatics
he proposed the Scotch law, which permitted an emergency certificate,
enabling persons who had paroxysms of lunacy to be detained for
twenty-four hours, but not longer, except on the order of some competent
authority. In the matter of discharges, he proposed that patients should
be discharged on the order of a Judge in Chambers, a stipendiary
magistrate, or a County Court judge, who should order two medical men to
visit the lunatic, and report on the case; and such judge, after
communicating with the Lunacy Commissioners, might order the lunatic to
be liberated within ten days. As to private asylums, Mr. Dillwyn knew
that the proposals he made bearing upon them would be met by the
argument of vested interests on the part of the proprietors, but he did
not think such interests ought to be exceptionally respected. He did not
wish to introduce compulsion, but proposed that justices should be
enabled to raise money by way of terminable annuities for the reception
in public asylums of those who could pay. Mr. Dillwyn on this occasion
was in a generous mood, for he observed that "he had nothing to say
against private asylums, which, on the whole, were very well conducted."
What he objected to was the interest which the proprietors had in
keeping their patients as long as possible. Mr. Dillwyn objected to the
present system of inspection, and made certain proposals with a view to
increase its efficiency--including a paid chairman of the Lunacy Board.
Mr. Dillwyn's Bill never reached the stage of the third reading, nor was
it discussed in committee; and the Government, which expressed a hope
that they might be able to take the matter in hand, has not yet found
time to bring in a Bill.
* * * * *
Public-domain text, read in full here on John Shaqi.
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