Studies in the South and West, with Comments on CanadaWarner, Charles Dudley
History
Studies in the South and West, with Comments on Canada
Warner, Charles Dudley
Canada -- Description and travel; United States -- Description and travel
In another matter Wisconsin has taken a step in advance of other States;
that is, in the care of the insane. The State has about 2600 insane,
increasing at the rate of about 167 a year. The provisions in the State
for these are the State Hospital (capacity of 500), Northern Hospital
(capacity of 600), the Milwaukee Asylum (capacity of 255), and fifteen
county asylums for the chronic insane, including two nearly ready
(capacity 1220). The improvement in the care of the insane consists in
several particulars—the doing away of restraints, either by mechanical
appliances or by narcotics, reasonable separation of the chronic cases
from the others, increased liberty, and the substitution of wholesome
labor for idleness. Many of these changes have been brought about by the
establishment of county asylums, the feature of which I wish specially
to speak. The State asylums were crowded beyond their proper capacity,
classification was difficult in them, and a large number of the insane
were miserably housed in county jails and poor-houses. The evils of
great establishments were more and more apparent, and it was determined
to try the experiment of county asylums. These have now been in
operation for six years, and a word about their constitution and
perfectly successful operation may be of public service.
These asylums, which are only for the chronic insane, are managed by
local authorities, but under constant and close State supervision; this
last provision is absolutely essential, and no doubt accounts for the
success of the undertaking. It is not necessary here to enter into
details as to the construction of these buildings. They are of brick,
solid, plain, comfortable, and of a size to accommodate not less than
fifty nor more than one hundred inmates: an institution with less than
fifty is not economical; one with a larger number than one hundred is
unwieldy, and beyond the personal supervision of the superintendent. A
farm is needed for economy in maintenance and to furnish occupation for
the men; about four acres for each inmate is a fair allowance. The
land should be fertile, and adapted to a variety of crops as well as to
cattle, and it should have woodland to give occupation in the winter.
The fact is recognized that idleness is no better for an insane than
for a sane person. The house-work is all done by the women; the farm,
garden, and general out-door work by the men. Experience shows that
three-fourths of the chronic insane can be furnished occupation of
some sort, and greatly to their physical and moral well-being. The
nervousness incident always to restraint and idleness disappears with
liberty and occupation. Hence greater happiness and comfort to the
insane, and occasionally a complete or partial cure.
Public-domain text, read in full here on John Shaqi.
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