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
I may add that the estimated cost of the first class was £26 per head;
that of the second class, £20; and that of the third, £14 6s. Of this
scheme it must be said that, excellent as it is in intention, it is not
in some of its provisions without danger in the direction of lowering
the condition of the insane poor, as regards comfort and medical
supervision, not, indeed, below what they are in some Irish workhouses,
but below the standard aimed at in the best county asylums. "Let it be
understood that there is no recommendation to constitute anything like
an auxiliary asylum, such as Leavesden or Caterham, where large numbers,
being brought together, can be kept at a cheap rate, and can at the same
time be properly treated under medical care. No provision is made for
the necessary supervision, medical or otherwise. The dispensing medical
officer is to visit the insane at large, but those in workhouses are to
be left to the tender mercies of attendants. The amount of care and
comfort these unfortunate beings are to enjoy can be imagined by the
fact that the Commission considers that £14 6s. a year will be the cost
of their maintenance, after paying attendants, whilst the cost of those
in the second-class establishments is to be £20, or about £6 less than
what they cost at present."[274]
In their review of the results of past lunacy legislation in Ireland the
Commission make the melancholy statement that "although several years
ago the legislature made provision for the classification of
asylums,[275] and the Inspectors of Lunacy concur with other witnesses
of the highest authority in thinking that such classification would be
attended with the utmost advantage--would, in fact, meet the
difficulties of asylum administration--yet not only has no attempt ever
been made to give effect to the provisions of that law, but"--strangest
of all--"the Lunacy Inspectors appear to have been unaware of its
existence!"[276]
Public-domain text, read in full here on John Shaqi.
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