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
The chief conclusions were, that while it would not be proper to
dispense wholly with any workhouse, portions of some might be dispensed
with for sane paupers, and appropriated for the accommodation of a
certain class of the insane. Over-crowding, it was proposed, should be
relieved by the removal of lunatics to _auxiliary asylums_. School
buildings belonging to certain workhouses were suggested as auxiliary
asylums, as in Dublin, Cork, etc. For the better cure, relief, and
treatment of the lunatic and idiotic poor, a complete reorganization of
the whole lunacy administration was regarded as essential, viz. that
under the provisions of s. 15 of 8 and 9 Vict., c. 107, the existing
district asylums should be classified, reserving one or more, as might
be required, in each province as "lunatic hospitals," especially for
the curative treatment of the insane; that the remaining district
asylums should be appropriated as "lunatic asylums" for the
accommodation of the chronic insane requiring special care, a certain
number of this class being accommodated in the "lunatic hospitals," as
about fifty of each sex would be required for the service of those
establishments; that the inspection of the "lunatics at large" should be
made one of the duties of the dispensary medical officers, who should be
remunerated for this duty, and whose certificate that any one of this
class is neglected or improperly cared for, should be made the ground
for action by the lunacy authorities; that the accommodation for the
third or harmless class, who are at present in lunatic asylums, in
workhouses, or at large in a neglected state, be provided by the
appropriation of spare workhouse buildings, a sufficiency of which is to
be found in each province, thus also meeting the very general complaint
of guardians being compelled to maintain superfluous workhouse
accommodation; and that all expenditure upon the building or enlargement
of district asylums should be suspended.
By this means, each province would be provided with _three_ classes of
lunatic establishments: (1) One or more lunatic hospitals for the cure
of insanity in an early stage; (2) first-class asylums, in which the
chronic cases requiring special care would be treated; (3) second-class
or "workhouse auxiliary asylums" for harmless lunatics. The Commission
expressed a strong opinion that the whole lunacy administration of
Ireland should be placed under the general control of the Local
Government Board.
Public-domain text, read in full here on John Shaqi.
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