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'-
THE
0F10DEM ASYLUMS
FOR THE INSANE POOR.
By
JOHN SIBBALD,
Commissioner
in
M.D.,
EDINBURGH
Printed by Jamem Tcrnkh
Ik
<
:
<'.,
I0S
Lothian RoAl>.
1S97
ON THE
By
JOHN SIBBALD,
M.D.,
EDINBURGH
Printed by James Turner
&
Co.,
1897.
/#7
PnE
immediate purpose of
the
following
Paper
was
to
afford
burgh
Lunacy
that
District.
It has been
it
reprinted
because
it
was
suggested
to others
the
information
contains
might
be
acceptable
who
J.
S.
18
1897.
is
of
It is
come
to
embrace
and
to rest
It
is
that the care of the helpless and the relief of the suffering are
now
no
regarded as
among
branch
of
philanthropic
its
work has
efficiency
its
made
The
unfortunate persons
who
suffer
is
from insanity.
history of the
construction of asylums
therefore interesting,
because
we
humane phases
of
modern
civilisation.
It is not, however,
asylum
My
special object is to be
laid
upon them
who may
to
and
will
welcome an attempt
furnish
as to the
On
the
the
Insane Poor.
those
to
study
it
professionally,
form opinions as
to the best
way
present themselves.
For
this
purpose,
it
will
be useful to refer
briefly
to
the
changes of view which have taken place during the present century
as to
should
be provided in
as
members
are
of public boards,
have
asylums
as
known
for
will
must
not,
due
to the
great
place in their case also, but their position in former times was
The
possession
ample means always insures exceptional advantages. The way which the insane of the richer classes are treated is therefore
It is also desirable to
to
asylums
because
it is
most
difficult
it is
by studying
the constructional features of such asylums at different times that we can best bring into view the nature of these problems and
indicate the
principles
Up
asylum
little
to the
treatment of insanity received Public asylums of any kind were few in number, and where they did exist they were usually intended to be used
attention.
On
the
the
Insane Poor.
insane
who were
Such
the insane as there was consisted usually of a few ".cells for the
mad
and
the insane,
Where there was no building specially provided for those who were regarded as dangerous were usually
where they were often chained or put in
In Edinburgh, before the opening of the asylum at Morningside in 1813, the only public provision for the insane consisted of
twelve
cells
of the City
Bedlam, the
on
which
Dr Andrew Duncan,
as deplorable
and a disgrace
century, was
community.
The condition
of
the insane in other parts of the country, during the earlier years of
the
present
as
bad
as,
Edinburgh.
to refer in
It is unnecessary,
however, for
present purpose
any
detail to
the character of
for Scotland.
The passing
of the
Lunacy Acts
duty to secure
be a danger
to society, but
way most
mental
life
by
restoring
them
to a state of
in
if
possible a
happy
one.
On
the
to look
commencement of what may be called the modern asylum period, and see what the ideas of that time were as to the constructo the
tion of a good asylum. We find them expressed in the plan of the Derby County Asylum, which was opened in the year 1851. This asylum represented to a great extent the views of Dr Conolly, the
it
served more or
model
for several
succeeding asylums.
was made
previously erected.
had been almost universal in asylums The annexed plan of the ground floor of the
not
altogether
free
from prison-like
These towers
Conolly's de-
circular staircases
which, to
quote
Dr
guarded with iron palissades as to give the patients looking through them the appearance of persons shut up
" so
were
which produced,
as
Dr Conolly
adds, " a
on newly admitted patients. The part which the patients were lodged consisted of
plan, one side being for
"
men and
the other
women.
The
was
asylum
main feature
of each being
a long gallery with windows along the greater part of one side,
side.
and about seventeen single bedrooms for patients along the other Except for a small room or recess used for meals in each
The Construction and Government of Lvmatic Asylums and Hospital* John Conolly, M.D. John Churchill, London, 1847.
for
tin
Insane, by
DERBY
C OUNTY
ASYLU M
Upper Floor.
above b, wards for patients. ABOVE C, CHAPEL, SCHOOLROOM OR MUSIC ROOM.
1 COMPARTMENTS FOR MEALS. 2 CORRIDORS OF COMMUNICATION. 3 AIRING COURTS.
D E
STORES.
LAUNDRY. H WORKSHOPS.
Female. Side
Male Side
left
blank
On
the
the
Insane Poor.
A distinctive feature
number
of patients,
compared with
All the
iron
who
frames, and looked into airing-courts which were surrounded walls seven feet high.
by
The ideas
accommodation suitable
may
be understood
when
we
find
Dr Conolly recommending
improvement upon
" in
"Excepting," he says,
the
recommend boarded
floors."
He
up
with what
height that
is it
may
be looked through
if
A general
idea
may
be formed by look-
ing at the plan, with the help of the foregoing description, of what
1851 to 1875.
It
may
be useful
development of
now to devote a few words to a notice of opinion among constructors of asylums during
the
the
Derby
Asylum.
When
who
condition
of
patients
committed
their
care,
it
was
soon
was room
for
10
On
the
same
direction.
much
groundless.
and mechanical
cases,
either
discontinued
or,
exceptional
applied in the
strait
waistcoat, and
in
patients
who had
mixed
for years
their cells
freely
The
was desirable
to do
in the amelior-
and
in
the improvement of
erected, the structural
light
asylums
features
at
of
institution
the
of
subsequent
was only by
it
became evident
management
It
and
in bringing the
more
into
of ordinary
was
in
would be made
Probably no
asylum could be selected from among those that existed in 1875 which would embody all the improvements that had been introduced at that time. Some asylum constructors had realized the advantages of certain changes, and other constructors had
adopted other desirable modifications.
The plan of the Barony Parochial Asylum, at Lenzie, near Glasgow, may, however, be taken
as illustrative of
some
of the
left
blank
ad.ibts.
ON UPPER FLOOR
RECREATION HALL ABOVE DINING HALL DORMITORIES ABOVE DAYROOMS
E DAY ROOMS
L CHAPEL
AND DORMITORIES
SCALE
IPS a
10
10 io
ip
i
to
i
to
i
10
I
tp up wo no ao no
i
'' T
On
the
Plans of
the
Insane Poor.
The following
are
among
distinguish
(1)
it
The
and special
the whole of
all
floor,
for
consists
almost
entirely of
those
is
entirely devoted to
for patients,
and there
is
The entrance
to the
asylum
on the north
front,
from interference
by
traffic or strangers.
(6)
(7)
Most
plan.
distinguished
asylum.
The character
is
of the
usual in private
dwellings.
were of
The windows had ordinary wooden sashes. The floors pitch pine, waxed and polished, tiles being only used in the
There were no inspection
into the
fitted
12
On
the
Plans of
was made by furniture, decorations, and otherwise, to obviate It will be understood that everything of a prison-like character.
effort
arrangements such as these did not appear for the first time in the Barony Asylum. Most of them had been introduced into many
witli
The
Barony
institution
is
The
life
of
of this
kind was
what the
life
of patients in a build-
Derby Asylum
There
was
imprisonment among
the patients,
when
it
opened by an
like life in the
was more
the institution for their walks instead of being turned out to take
monotonous exercise
in the relations
The absence
of
prison-like restrictions
The removal
of mechanical restrictions
was the
result of finding
when
it
was accompanied by
tion of kindly
by the exhibiIt
sympathy and
a desire to
to detention was, in
cases, diminished, if not removed, when it was made evident them that those under whose charge they were placed were anxious to help and benefit them and experience showed that the
;
had the
the patients
and promoting
and
their contentment.
The absence
of locked doors
of similar inhibitive expedients of a structural or mechanical kind was attended with other advantages, and not the least
On
of these
the
the
Insane Poor.
It
13
them,
was
effect
oil
the
rely
attendants.
obliged
on walls and
bolts
them
Thus the
abolition
of mechanical
truly a
show that
make
these institutions as
As might be
but
it
expected, the
may
been recently erected gives evidence of being the outcome of enlightened consideration and liberal views, and that each asylum
presents in one feature or another an advance on
It
its
predecessors.
illustrative
space to
examples.
Some
of the English
as
the
Middlesex Asylum,
at Claybury, for
an unwieldy
number, and the West Fading Asylum, at Menston, for 1000 patients, are, from certain points of view, among the most admirable of
the newer asylums
;
but
it
will serve
my
it
is
in every
is
of moderate size,
and
illustrates
among
other things
common
to the
plans of
many
of the
of construction
14
On
the Plans of
the
Insane Poor.
that, as will
some German and American asylums, and which has recently been growing in favour among asylum authorities in Scotland.
What
has been called the pavilion system, has been adopted more
of the
or less in most
new
asylums.
This consists
of erecting
and
their
group of patients.
It
easy to give
apartments.
It also defines
an
effective
manner the
responsibilities of every
attendant in
her patients.
It permits likewise
ments of the
class of patients
it is
and
it
been connected with one another, and with the central administrative and commissariat block, by
covered corridors.
is
illustrated in the
also
into two quite separate sections, an arrangement, which has been adopted in American and German asylums, and in some of the newer Scottish asylums.
asylum
The
two more or
less
inde-
pendent sections
due
to
inmates of an asylum are of two classes, one of which consists of patients requiring constant medical attention and nursing, and the
other of patients not requiring constant medical attention, in the more restricted sense of the words. One of the sections is therefore devoted to the patients requiring constant medical attention, and
is
named
the hospital.
all
the newly
CITY OF
AD. 1896.
References
ASYLUM
OR
HOSPITAL
Off
NON-MEDICAL SECTION
MEDICAL SECT/ ON
A A d/rurustrative'DiW^sion,:
.
Administrative Divisions.
Duvi^siony.
Daj/rooois
oris
IrrourtAFl/yor, anst
Dormitories
Upper Floor.
D. Store
XXtefrens.
C Tiro Storeys.
D anS
E, One Storey.
I
.
C, D,
E
4-.
/wrt'
One- Storey
Dayrooms
Corridors
IJawatori&s&'c-
Z. Dormitories
5. Sootrooms
6. jBaihrooiris
3 .Dayroorrv Dormitories
7.
WORKSHOPS
-JZ
open ceu/rr
II
B
FEMALE SIDE
SCALE OF FEET
ios o
|
10
is
mtr=t=t=4 L
so
so
I
io
I
oo
90
mm
J1ALE SIDE
t- 3 =3=t
left
blank
On
the
the
Insane Poor.
15
admitted patients,
all
of
found
number
of patients
who
The
total
number.
own.
The
patients,
who do
more
easily
managed
in its
working
patients,
and
its
organisation
is,
main
au industrial community.
offices for
whole
institution.
The accommodation
and are
by
corridors.
They
than
is
of simpler construction
made
ment
of
those
patients
who
specially
require
it,
and
it
gives
facilities for
section for
sane community.
It is
a section of
is
the
officers
and of the
16
On
the
Plans of
the
Insane Poor.
thoroughly and attendants in that section, will be performed more to be directed at the successfully than when their attention has
same time
their object.
The attendants
be selected
from among persons with ordinary hospital experience, and will and all the enter on their duties in the spirit of the trained nurse,
arrangements of the section will be made with a dominant view to It is represented, the cure or relief of persons suffering from disease.
in regard to the other and larger section of the institution
where the
patients do not require special medical attention, that, not only can
it
be of simpler and less costly construction than ordinary asylum wards, but that all the patients requiring exceptional treatment
bavin"- been eliminated
from
it,
The arrangements
for
ways
manner
of
in this section,
life
regarded as characteristic
asylum
The
section
is
division of an
number
of incurable,
certain
number
of curable
patients.
the
separation
of the
is
by no means
many
attempt was made to create two separate kinds of asylums, the Heilaitstalten
and the
Pfiege-anstalten.
It
was
accommodation
of chronic
left
and
easily
managed
lunatics, the
County
Asylums being
treatment.
But
in these
where the chronic and easily managed patients were separately pro-
On
videtl for,
is
the
the
Insane Poor.
17
illustrated
The two
we may
call the
no control over the admission and discharge of patients in the nonmedical institutions, and having no share in their management.
of
institutions
in
London
district
all
under one
whenever occasion
section
whenever
their condition
makes
it
desirable,
however temasylum
may
be.
have dwelt
at
some length on
it is
into
two great
it
sections, because
regarded by those
who have
who
adopted
as
and
it
may have
ASYLUM FARMS.
Few
things have impressed themselves more strongly on the
of District
Asylums
in Scotland
and of
Many
of the District
to
their
18
On
the
Plans of Modern Asylums for the Insane Poor. have subsequently become either the proprietors
asylums at
first,
and
all
size
attached to them.
One
of
acres has
now 459
acres.
asylum farm
male
is
the opportunity
it
patients.
Occupation of
else in the
treatment of a large
benefits
number of the inmates of an asylum. It them by promoting their health both of body and of mind;
necessary for this purpose that the work provided
in itself healthy, interesting,
for
but
it
is
them should be
When
render
there
is
him
unfit for
is
is
garden or a farm,
is
by a Such work
also of a
in
it
or not;
and
who
has
can
offers
sufficient variety to
suit patients
it
different
kinds
And
the
advantage of commending
to
every
one by
its
obvious
usefulness, not the least of its merits being that the results of such
work
it.
Experience
shows, indeed, that work in which a patient takes no interest, not only fails to benefit him, but is positively injurious
irritation
by producing
and discontent.
The existence of a farm in connection with an asylum is important from another point of view. It makes an asylum less like
it is where there is no farm. This becomes at once one has the opportunity of contrasting an asylum with a farm with one without a farm The farm gives the institution many of the featuies of ordinary life among the sane, and makes
a prison than
apparent
if
the
It
life of
the patients
thus tends to
make
more like that of an industrial community. the patients both think and act more sanely,
On
the
the
Insane Poor.
19
influence.
provides to some
women
as well as
men
and
for
work
women
many
cases.
re-
to describe,
but
it
ment.
The
is
institution
which
asylum
Before
however be useful
to devote a
few
in
what may be
called the
modern asylum
buildings.
In
the
work
of the farm.
For the
had
been adopted in a large number of asylums, not only in this, but and the system has gradually assumed
;
larger proportions.
At
the
Barony Asylum,
one of 15 men,
of 8
for
example, there
have been
for
many
and one
accommodation
,,
LIS
'
20
On
the
the
Insane Poor.
make them
by
patients.
Germany they
in
are called
the
detached
to
such as
mentioned,
has
contributed
many
number
more than
kindly care and guidance to induce them to conduct themselves in an orderly and inoffensive manner
;
and
it
is
more recognised
are
made
to
their restora-
sound state of mind promoted and secured. These views have found very complete expression in the plan of the asylum at Alt-Scherbitz, which will now be described.
two great
sections, corresponding to
what has been already described as the hospital or medical section and the non-medical section and (2) the approximation of the
;
buildings as far as possible to the character of ordinary private dwellings, as regards their size, their style of architecture, their
and their grouping. The asylum thus contwo congeries of houses- one called the central establishment, corresponding to the medical section and the other called
sists of
;
internal arrangements,
On
The
shortly
the
Plans of
the
Insane Poor.
21
erection of the
for the
It
was completed
Foundation
reception
afterwards
it
was able
receive
It
contains,
number The
it
of private patients,
estate
extends
to
750
acres,
and
it
asylum authorities
were not included in the purchase, but most of them have since been acquired
acquired.
for the
be
greater part of
now
is.
The annexed
plan shows the disposition of these and of the buildings that have
It will
public road from Halle to Leipzic passes from north-west to southeast through the
middle of the
institution.
The buildings
to the
An
was made
William
in
called the
of
Emperor
the
late
Augusta
commemoration
The whole
for
north
furnish accommodation
for 410.
550
In order to give
it
an
will
I.
It
the
William Augusta
Foundation
consists of
for
one
for
men and
the other
women.
is
22
On
the
offices,
and behind
it
is
the
word
is
in its
most
restricted sense.
This hospital
diseases,
for 18 patients of
is
On
each side of the middle line are five houses for patients, identical
in arrangement.
The following
is
west
side, allocated to
women
(1)
is
This
for
on plan),
for
51 patients.
This and
the next division are the only houses constantly under lock and
In these
who
are untrustworthy,
on account
This
division
is
for the
it
more
easily
managed and
least restless of
also
contains
recently
would be unsuitable
In
refractory kind
(4)
The
or on
who
are regarded as
fit,
the
way
to
whom
it is
become fit, for being transferred to the colony, but not thought expedient as yet to entrust with such comis
plete liberty as
(6)
Private Division (2 on plan), for 26 patients. In this those private patients are kept who require special supervision or treatment, the patients in the other houses
division
being
either pauper patients or private patients paying the lowest rate of board.
REFERENCES
\.
Stewards Offices
ZSJVgoery
2&.Slau#7iterffouJe
Z.Oli&rvatir>ii/Mrisi0iv/brFe7nalePmratefiatients
ZMb^erv^iawMaswK^brMaU-Prirate-PaMenis
4-.0bsert'atz0nJ3iTrisianforFernaleffcu/perFtztie7its
ZhJfew/fouje
{Inspectors T>welli7ig 7 Dairy
b.0bseryaUon/I)artsiO7i/brjyialePizufierPatients
S.FCrisi ilc&e&ZtiyisiciTiforFeTrLaleftnaferltetients
7,
1&,and accammaalatia7vfor
KFemaZe Eztients
GStal&s and-accomodatioTi,
,
.,
Male
FeTTzaZe
llfoZe
8. 9.
10.
J
Seconal CZ&sed'
,
^\fbrMaZe Patients
..
^Medical r&tpeTintenaents
^\JFiesidence anAOffices
29. Aosemlfix/ JZooms
Hospital
FrobatittnMiyisic-rj forrcmaleJiiiipcrlhtients
'
I .
\Z.
I
Male
"hJPtzthaiopicce/JZaoms
1-
Tiireshzrlff Floor
W.Water Timer
1 5. KitcJie/i.BiaZtf/ngj i(>.Lau7ictri/
&l.OZ&Trtns
ZXtJfoujes forMaleltetientiS
34-. Greenhouse'
ttMrick-Jmn&I.DripjioS7ia\s forSriclcs
\r
'i
\$.Zkstiaery
20. S/tecpaitdOt/tieMjuses
V'"'
'XWard. forFiebleFernaUAUients
39.
, ,
Male
1/FrFTARIF
GARDEN.
r>
i
\
!?
Sr
SCALE OF METRES
i
i
FARM
INDUSTRIAL BUILDIffSS CZI YILLA6E HOUSES NOT YET ACQUIRED FOR THE ASYLUM
left
blank
On
the
the
Insane Poor.
23
These
five
women and
little
road, and,
who
ment
The
mansion house
of Alt-
Scherbitz,
now
hamlet or
south-east
which
The accommodation
of
for patients
and 33 on plan),
accommodation con-
nected with the stables, laundry, and dairy, and of village houses
which have been converted into accommodation for patients. The whole of the accommodation for men lies to the east of the middle west. line, and the whole of the accommodation for women to the
Two
of the houses on each side, built specially for patients, are for
the private patients paying the higher rates of board. These conThe other four on each side tain from 11 to 20 patients each.
The kitchen (15 on plan), contain from 26 to 42 patients each. grouped the laundry (16 on plan), and the farm buildings, are
round the centre of the colony.
plan),
and, pending the erection of a for dances, concerts, entertainments, religious services, is situated to the east of the central
church, for
buildings.
Halle road.
officials
and servants.
24
On
the
the
Insane Poor.
III.
It will be seen
accommodation
from 25
their
for patients,
excluding
the houses for those paying higher rates of board, consists almost
entirely of houses containing
to
buildings are all, as tinguishable from private houses, and, with the exception of the
regards
There
is
colony.
no wall encircling either the central establishment or the The roads which lead to the different houses are branches
of the asylum.
They
are surrounded
and
are the only palings intended to remain permanently, the others are being gradually replaced
have ceased to
exist.
It is
all
these gardens
all
were
at first enclosed
by
been
Dr
way
in
which the
and
open
be
probably injurious." *
The architecture
is
There
is
many
of
them
are picturesque.
No
to secure
Paetz.
Julius
On
trary,
the
Plans of
the
Insane Poor.
25
uniformity seems to have been avoided. The interior arrangements of the closed divisions are very similar to ordinary
asylum arrangements.
floor
used as a dining-
The upper
floor is
occupied by
The
with over-
chalet.
Simple balconies
and
more
or less
planted either
One
result of this
is
that,
is,
and
is
aggregation.
The
incorporation
old
village
it is
within
the
make one
forget that
an asylum
lost
are.
One
for
of
these houses
village
it
might
still
be
taken
hostelry if
removed.
Another feature
of
the
arrangements into accordance with those of private houses, is that there is no general heating apparatus by which the heat is transmitted from a
institution.
common
own
heating,
everywhere
heating
is
pressure.
; ;
26
On
the
the
Insane Poor.
sources.
is
small distillery
purchased, and
on plan).
still
It existed
when
is
is
in operation.
The proceeds
consumed
to
in the institution.
is
To one accustomed
what
This
is,
and
it is
right to keep in
mind
what mayin
their
them
have
its
own
dining-room.
Dr
I'aetz expresses
no regret at the
absence of a general dining-hall, and finds no difficulty in distributing the food in a quite satisfactory
houses.
It is
manner
to the various
number
is
a non-conductor of heat.
The food
fits
for each
house
is
the comis
partment appropriated
drawn by two
horses,
delivers
Two
hour each
know almost
to a
my
visit to Alt-Scherbitz,
The building containing the assembly rooms, which takes the place of the recreation hall usual in asylums, stands by itself as a village hall might be expected to do. The hall is used at present
for religious services as well as for entertainments
;
but
is
it is
pro-
There
an advantage
On
the
the
Insane Poor.
27
in heaving the church and the hall separate from the rest of the
buildings, as
like
it makes the occasions on which they are used more what occurs in ordinary life. It helps to make the patients feel
for the
more
is
billiard
room
for the
men
One important
is
the absence of
its
any
an
corridors of communication.
own
front door,
neighbours.
It
is
This
is
important, because
to the
expense of building.
when
made subservient
to the requirement
by
it
And
is,
that
giving
somewhat
of a prison character.
It is not to
be denied,
They
asylum
rain.
to another
When
more
easily super-
And
found to be convenient.
One
is,
consideration that
is
perhaps of
basement a passage
pipes.
for
heating
But, notwithstanding
of
Dr Paetz
is
strongly
One important
advantage that he claims for it is, that it leads to the rooms occupied by patients being arranged in a way that makes the con-
28
On
the
Plans of
the
Insane Poor.
it
can be in an asylum
system*
importance
also
Dr Paetz
was
first
attaches great
is
to
the
extensive
adoption of what
management.
open
the asylum unlocked during the day time, so that a patient can
it
system.
open.
are
The
central establishment
The closed
other
times
open, according
to
Counting
The
staff of
attendants
is
The
is
total
number
of sane
how
far
consistent with the safety of the public and of the patients has
it is
at Alt-Scherbitz
It is desirable there-
how
statement.
With
reference to escapes,
"
Dr
the
For a long
1 to " it
time
1| per cent.
number
of patients
"
was only
\>.
72.
On
rarely that
walls,
of
the
for the
Insane Poor.
29
an escape was due to the want of locked doors and high and was almost invariably due to gross carelessness on the part
may
from
the
Annual Reports
of the General
Board of Lunacy
be over 2
sufficient to
know
that this
is
somewhat
is
for the
086
per thou-
sufficient to
show that no
special
IV.
full
Alt-Scherbitz
given
The land
cost
about
50,000, and the buildings, inclusive of the installation of the electric light, about 86,000, which together amount to 136,000.
This gives for 960 patients an average of about 90 for building for each patient, and about 52 for land for each patient, a total of
142.
cost of recent
German asylums
built
;
on the corridor system the cost of the buildings is moderate the buildings at the Berlin Asylum at Dalldorf having cost 198 for
each patient, and the
at
Neustadt having
case oeing more than double cost 190 for each patient, in each Piecently erected corthe cost of the buildings at Alt-Scherbitz.
ridor
p.
206-7.
30
the
On
the
Insane Poor.
found
it
me me
to
compare
it
ment
of other
to
is
German asylums.
of
:
Dr
part
kind as
following
supply
The
have
a translation
letter
which
him
of
maintenance
of third
class
patients in
asylum
in
my
The
amounts
(7d.)
10s.)
management (allgemeinen diminished, and somewhat amounts on the average to Kosten) has 270 Marks (13, 10s.), the total cost for maintenance and management being thus about 500 Marks (25) per annum for each
The
cost of
"
patient.*
In regard to
this, it
must be kept
in view
is
" 1.
a quite
cost of
management
That the
than
it
principles.
" 2.
cost
of
is,
management
because
it
for
this
asylum appears
several
greater
really
includes
building
That the
profits
included in our figures, as the estate and the asylum have quite
separate sets of account?.
The
capital
"allegemeinen
On
"
the
the
Insane Poor.
31
is
total
sum
much
calculation
made some
institutions
number
of asylums,
showed that
equipment and
now
"It
may
that
is,
this
institution,
as I have
shown
in
my
THE INCREASING FAVOUB WITH WHICH THE VILLAGE TYPE OF ASYLUM IS EEGAEDED.
I
detail,
have described the Alt-Scherbitz Asylum iu considerable because it may be taken as the type of a class of asylums
because
it
seems to
me
to be the
most completely to the most modern and the best idea of what an asylum ought to be. It carries further than any other type the
idea of
life,
been made in this direction. stood the test of experience has The favour with which the Alt-Scherbitz type of asylum
regarded
is
is
steadily increasing in
Germany.
Several
new asylums
type, one of the most recent being the are being erected of this In the United the Berlin district. for It Lichtenberg
asylum
States of
America
it
is
In a notice of the
32
On
the
the
Insane Poor.
Dr Hack Tuke,*
.sufficiently
says
"
number
We are
who
The authority
to
Mr
Frederick Wines,
all
who
says
refers
is
"
ac-
complished
at a single
It shattered
felt
for the
The
ideas embodied
(Ohio), at liichmond
A new asylum for pauper (New York) resembles it, although it owes its inspiration not so much to Kankakee as to Alt-Scherbitz." In regard to the Willard Asylum (New York) Dr Hack Tuke, says " The guiding principle in the building has been the
(Indiana), ami another at Dakota.
It
been found that this plan has materially reduced the cost of
erected at a cost of
50
per bed.
by
Professor Cabred,
who
re-
cently
in this country
on behalf of the Argentine Government, for the purpose of deciding on the best type of asylum to be adopted for a new asylum at
Buenos Ayres.
bitz, that
:
He
says,
in regard to the
" It is
the asylum to be
t Letter to
La Prensa (Buenos
August
1896.
On
the
the
Insane Poor.
33
worthy to be imitated everywhere, having regard both to the requirements of medical treatment and to the complete realisation
of philanthropic aims."
Though
patients
there
is
among
so
many important
patients and those for patients at the higher rates of board, that
is
not regarded as
is
when
The erection
of villas
as adjuncts to corridor
Asylum
class,
is,
would be suitable
Two
that which
is
called
The Colony
" at Alt-Scherbitz.
In the foreooing pages I have endeavoured to indicate the principal questions which arise for consideration when deciding on
the kind of plan that should be adopted in any
new asylum
for
pauper
type
;
patients.
but I have tried at the same time to furnish information that will help the reader to judge for himself of the comparative merits in this attempt of different kinds of plan, and if I have succeeded
my