Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
An important step in the legislative restriction of immigration was
the amendment of Feb. 20, 1907. This made mandatory the exclusion
of idiots, imbeciles, the feebleminded, epileptics, insane, all who
had been insane within five years and persons having had two or more
attacks of insanity at any time, or who were likely to become a public
charge, as well as individuals not comprehended in the foregoing
excluded classes but found to be suffering from mental or physical
defects of such a nature as to affect their ability to earn a living.
Section 20 provided that an alien entering in violation of law or
becoming a public charge from causes existing prior to landing should,
upon the warrant of the Secretary of Commerce and Labor, be taken into
custody and deported to the country from whence he came at any time
within three years after the date of his entry into the United States.
The cost of this removal was to be a charge upon the owners of the
vessel or transportation line immediately responsible. When the mental
or physical condition of the alien was such as to require personal
care or attention, the Secretary of Commerce and Labor was authorized
to employ a suitable person for that purpose. This was a great step
in advance. There were, however, some very great difficulties to be
overcome. The force placed at the disposal of the Public Health Service
for the inspection and examination of incoming immigrants was entirely
inadequate and one or two men were sometimes responsible for the
examination of several thousands aliens in a day. This was, of course,
impossible. The burden of proof in showing that the mental condition
was due to causes existing prior to landing, furthermore, devolved upon
the persons requesting deportation. It was impossible in many instances
to submit actual proof even where there could be no reasonable doubt as
to the facts. This led to great difficulties and much dissatisfaction.
Another serious objection to the provisions of this law was the
requirement that only such persons could be deported as were likely to
become a public charge. In many instances such persons were supported
by private funds until they were no longer deportable, after which they
became a burden upon the state in which they resided.
Public-domain text, read in full here on John Shaqi.
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