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
We are now in a position to estimate the opportunities afforded in
England for the systematic training of a class of unhappy beings, unable
to help themselves and calling loudly for help from both men of science,
philanthropists, and legislators. Let us see how far these opportunities
meet the want, and what becomes of those idiots and imbeciles for whom
no distinct provision is made. Unfortunately, the statistics of idiocy
are very imperfect, partly owing to the reluctance of their relatives to
acknowledge such a defect in the family, and partly from there being no
distinction made in the annual Report of the Lunacy Commissioners
between idiots and lunatics.
Taking, however, the census of 1871, in which a return of idiots was
made, as the basis, we find the number in England and Wales to be at
that time 29,452. Inquiry of the parents of known idiots has so often
resulted in the discovery that they had not been returned, that it has
been considered fair to add one-fourth to the above figures, thus
bringing them up to 36,815, of whom 14,162 would be under twenty years
of age, and therefore suitable objects for training, and 22,653 twenty
years old and upwards. To these should be added five per cent. for
increase of population since 1871, making the numbers, respectively,
14,869 and 23,786, or a total of 38,655, or 1 to 616 of the population.
Of these, then, 1147, or about three per cent., are in training schools
provided by charity. The remainder are either at home, in lunatic
asylums, workhouses, or boarded out. We have found it impossible to
arrive at any satisfactory result in attempting to apportion them to
these various allotments. We know, however, that the census of 1871
gives 3456 as the number in asylums, and 7976 as the number in
workhouses, including in the term the metropolitan district asylums.
This would leave, out of the number of idiots reported by the census,
about 18,000 with their friends or boarded out, or 18,900 at the present
time, in consequence of the increase of population. We have, however,
but scant faith in the correctness of these relative amounts. All we
really know is the number receiving definite teaching or training, and
an approximation--nothing more--to the gross number of idiots and
imbeciles in the land. The next point is to determine the number who
belong to the class, already indicated, which we have to legislate and
provide for--the poor and the class immediately above them. The wealthy
can send their children to private institutions; those who belong to an
intermediate class to voluntary establishments, which would, in the
event of the proposed legislation being carried into effect, be
sufficient. It appears that about two-thirds of the idiots and imbeciles
were chargeable to the poor rates, according to the census. Two-thirds
of 38,655 yield 25,776. It is estimated that one-fifth of the remainder,
that is to say 2176, may be added to comprise the class just above
Public-domain text, read in full here on John Shaqi.
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