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
About one attendant to twenty insane persons is sufficient, but it is
necessary that these should have intelligence and tact; the men capable
of leading in farm-work, the women to instruct in house-work and
dress-making, and it is well if they can play some musical instrument
and direct in amusements. One of the most encouraging features of this
experiment in small asylums has been the discovery of so many efficient
superintendents and matrons among the intelligent farmers and business
men of the rural districts, who have the practical sagacity and
financial ability to carry on these institutions successfully.
These asylums are as open as a school; no locked doors (instead of
window-bars, the glass-frames are of iron painted white), no pens made
by high fences. The inmates are free to go and come at their work, with
no other restraint than the watch of the attendants. The asylum is a
home and not a prison. The great thing is to provide occupation. The
insane, it is found, can be trained to regular industry, and it is
remarkable how little restraint is needed if an earnest effort is made
to do without it. In the county asylums of Wisconsin about one person in
a thousand is in restraint or seclusion each day. The whole theory seems
to be to treat the insane like persons in some way diseased, who need
occupation, amusement, kindness. The practice of this theory in the
Wisconsin county asylums is so successful that it must ultimately affect
the treatment of the insane all over the country.
And the beauty of it is that it is as economical as it is enlightened
and humane. The secret of providing occupation for this class is to buy
as little material and hire as little labor as possible; let the women
make the clothes, and the men do the farm-work without the aid of
machinery. The surprising result of this is that some of these asylums
approach the point of being self-supporting, and all of them save money
to the counties, compared with the old method. The State has not lost
by these asylums, and the counties have gained; nor has the economy been
purchased at the expense of humanity to the insane; the insane in the
county asylums have been as well clothed, lodged, and fed as in the
State institutions, and have had more freedom, and consequently more
personal comfort and a better chance of abating their mania. This is the
result arrived at by an exhaustive report on these county asylums in the
report of the State Board of Charities and Reforms, of which Mr. Albert
O. Wright is secretary. The average cost per week per capita of patients
in the asylums by the latest report was, in the State Hospital, $4.39;
in the Northern Hospital, $4.33; in the county asylums, $1.89.
Public-domain text, read in full here on John Shaqi.
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