Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
Massachusetts at the beginning of the nineteenth century had no
hospitals of any kind. In 1764, on the death of Thomas Handcock, it was
found that provision had been made in his will for the establishment of
a hospital for mental diseases in Boston. An expenditure of six hundred
pounds was authorized for the purpose of "erecting and furnishing a
convenient House for the reception and more comfortable keeping of such
unhappy persons as it shall please God, in His Providence, to deprive
of their reason in any part of this Province."[14] The Selectmen of
Boston declined this legacy on the grounds that there were not enough
mental cases in the vicinity to warrant the existence of such an
establishment. This proved to be an error of judgment on their part.
In 1811 the Massachusetts General Hospital was incorporated and a fund
of over $93,000 was subscribed for building purposes. As it was deemed
more urgent, the department for mental diseases in Charlestown was
opened first. It was ready for the reception of patients on October 6,
1818, when it admitted a young man supposed to be possessed of a devil.
This department became the McLean Asylum in 1826 as the result of a
legacy of $25,000 left to the institution by a Boston merchant of that
name. The corporation finally received in all an amount approximating
$120,000 from the McLean estate. As early as 1822 the first published
report of the hospital[15] called attention to the fact that the various
amusements offered the patients included "draughts, chess, backgammon,
ninepins, swinging, sawing wood, gardening, reading, writing, music,
etc." A carriage and pair of horses for the use of patients was
purchased in 1828. In 1835 the first pianos and billiard tables were
installed and a library of one hundred and twenty volumes placed in
the wards. Hot water heating was introduced in 1848. It is interesting
to note that in 1827 the visiting committee reported that the rates
for the maintenance of patients should not be less than three dollars
or more than twelve dollars per week. In 1882 the McLean Hospital
established the first training school for nurses connected with any
institution for mental diseases in this country. The first class was
graduated in 1886. In 1895 the hospital was removed to Waverley,
Massachusetts. A chemical laboratory was opened in 1900 and a
psychological laboratory in 1904. Hydrotherapy was first used in 1899,
and a gymnasium was built in 1904. In 1913 the hospital owned three
hundred and seventeen acres of land and had a capacity of two hundred
and twenty beds, with a plant valued at nearly two million dollars.
Public-domain text, read in full here on John Shaqi.
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