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 appears that until some ten years ago, the main reward for useful
work was a luncheon of bread-and-cheese and beer in the forenoon, with
another, though smaller, allowance of beer in the afternoon. Both these
allowances of beer (which were additional to the dinner supply) were
discontinued in 1875, and in lieu of them a small portion of the money
value of the work done was credited to the workers, with permission to
spend it on any trifling luxury they might desire. It was found that the
executed value of the work in the shoemakers' shop in 1876 was more
than that done in 1873 (the year before this experiment was tried), by
160 per cent., whilst in the tailors' shop the increase was 120 per
cent.; corresponding results being obtained in other departments. Hence,
in spite of the gratuities to the patients so employed, the yearly cost
has been considerably reduced. During one year the saving _in beer
alone_ amounted to £165, whilst the saving in paid labour was very much
greater.
Financial considerations must be a very important practical point in the
existence of Broadmoor. The State pays for it; an annual grant from the
House of Commons must be asked for, and the Government must be prepared
to show that the amount is not unreasonable. Now the weekly cost of the
inmates is eighteen shillings each. That of the inmates of our county
asylums averages about half a guinea. It may therefore not unreasonably
be asked, Why is this? What have the criminal lunatics done to deserve
so much more money being lavished upon them? The chief reason is, that a
greater proportion of attendants must be provided for this class, and
that is costly. At Broadmoor the proportion of attendants to patients is
one in five; in asylums generally, much less liberal, say one in eleven;
besides which, they are paid better (as they ought to be), at Broadmoor.
Ten years ago the cost per head was as high as twenty-three shillings a
week.
A considerable number of the inmates are, as has been intimated,
usefully employed. Thus, during the year, 167 men and women were
occupied in one way or other, in addition to reading and writing,
music, etc. Eighty-six were employed in making and repairing clothing
for patients, and bed and house linen for patients and attendants; 144
in cleaning the wards; 40 in the garden and on the farm; 29 in the
laundry; 26 in making or repairing uniform clothing, boots and shoes,
etc.; 17 in making and repairing furniture, mattresses, mats, carpets,
etc. I went into one room where there was a printing-press, and a
printer handed me the printed programme of a concert shortly to be held
in the asylum. The total value of the labour of patients alone amounted,
in 1881, to £2835.
Public-domain text, read in full here on John Shaqi.
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