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
In 1858 the amount of existing accommodation for pauper lunatics in the
counties and boroughs was--for males, 7516; females, 8715; total,
16,231; and the additions then being made to old asylums amounted
to--for males, 1172; females, 1309; total, 2481. The numbers for whom
additional asylums were then being made were--males, 1169; females,
1157; total, 2326. The sum of these totals being 21,048. There were, on
the 1st of January of this year, 17,572 pauper lunatics in asylums, of
whom as many as 2467 were still confined in private asylums. There were
now 33 county and 4 borough asylums, 15 registered hospitals, 37
metropolitan licensed houses, and 80 provincial licensed houses; also
the Royal Naval Hospital. The total number of inmates in these
establishments were (in the order enumerated) 15,163, 1751, 2623, 2647,
126, making a grand total of 22,310, including 295 patients found
lunatic by inquisition.
The Commissioners point out that a military asylum is a desideratum,
there being no provision for soldiers, while sailors were well cared for
at Haslar Hospital.
The following particulars will show at a glance the provision made at
this period for the insane in England and Wales:--
1. Boroughs having asylums: Birmingham, Bristol (in St. Peter's
Hospital), Hull.
2. Boroughs erecting or about to erect asylums: Maidstone, Bristol, City
of London.
3. Boroughs in union with counties: Cambridge, Colchester, Maldon,
Gloucester, Leicester, Grantham, Lincoln, Stamford, Hereford,
Nottingham, Abingdon, Oxford, Reading, Shrewsbury, Wenlock, Worcester.
4. Boroughs whose pauper lunatics are sent to asylums under contract or
arrangements between justices, etc.: Plymouth, Chichester, Portsmouth,
Southampton, Devizes, Salisbury, Chester, Derby, Barnstaple, Bideford,
Dartmouth, Exeter, South Molten, Tiverton, Tewkesbury, Bridgewater,
Bridgnorth, Ludlow, Penzance, Poole, Winchester, Newark, Oswestry, Bath,
Lichfield, Scarborough.
5. Boroughs which have not made any statutory provision for the care of
their pauper lunatics: Bedford, Newbury, Buckingham, Carmarthen,
Andover, Canterbury, Dover, Hythe, Rochester, Sandwich, Tenterden,
King's Lynn, Norwich, Thetford, Yarmouth, Northampton, Berwick-upon-Tweed,
Newcastle-upon-Tyne, New Radnor, Bury St. Edmunds, Ipswich, Guildford,
Hastings, York.
In 1862 the expense of pauper lunatics in asylums was thrown upon the
common fund of the union, instead of on the particular parish. The
effect was natural. Many patients were removed from workhouses to the
county asylums, some of whom might well have remained there. There could
be no objection to this, if the latter cost no more than the former; but
seeing that where the one costs £200 per bed, the other would only cost
£40, the effect is, from the point of view of the ratepayer, who usually
objects to contribute to the formation of a free library, a very serious
one.
Public-domain text, read in full here on John Shaqi.
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