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
------+-----------+-----------+-----------+----------+----------
Year.| District | Local | Private | Jails. | Total.
| Asylums. | Asylums. | Asylums. | |
------+-----------+-----------+-----------+----------+----------
1837 | 1610 | 1236 | 152 | 79 | 3077
1846 | 2555 | 562 | 251 | 290 | 3658
+-----------+-----------+-----------+----------+----------
| Inc. 945 | Dec. 674 | Inc. 99 | Inc. 211 | Inc. 581
------+-----------+-----------+-----------+----------+----------
Of the 3658, as many as 2473 were incurable, leaving only 1185 curable
patients. For 1846 there is also a return of the number in poor-houses,
1921; wandering idiots and simpletons, 6217; lunatics under the care of
Court of Chancery not in asylums, 76; making a total of 11,872, of whom
327 only were private patients.
In the following year the annual report of the Inspectors thus speaks of
non-restraint: "The non-restraint system has been introduced, and is
generally acted on, mechanical restraint being seldom applied except
where the patients are very violent, and even then it is not often
resorted to, as a temporary seclusion is now substituted as a more
effectual means of tranquillizing the patients without the risk of
personal injury often resulting from the application of bodily
restraint, and arrangements are being made to have apartments fitted up
for this purpose in each asylum."
The percentage of cures and mortality during the previous seven years
was as follows:--Per cent. on the admissions, 38.65; mortality
calculated on average number resident, 8.39--not an unsatisfactory
return.
In 1849 the proportion of lunatics (_i.e._ ascertained) to the
population in Ireland was 1 to 900, while in Scotland it was 1 to 740,
and in England 1 to 870.
In their report of this year, the Inspectors of Asylums express their
regret that no provision exists for the insane who, not being paupers,
are legally inadmissible into the public institutions, and are unable to
meet the charges made in private asylums, the only mixed institutions
being St. Patrick's Hospital and the Retreat in Dublin, managed by the
Society of Friends.
The number of patients in the district asylums in 1851 (exclusive of
Cork, 394) was as follows:--
No. Opened.
Armagh 131 1824
Belfast 269 1829
Carlow 197 1832
Clonmel 197 1834
Ballinasloe 312 1833
Limerick 340 1827
Londonderry 223 1829
Maryborough 192 1833
Richmond 279 1815
Waterford 115 1835
----
Total 2255
Public-domain text, read in full here on John Shaqi.
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