Star.
London, England, 1827-07-12 00:00:00

S. What extent of around is occupied by the establishment?
and bow are the premises appropriated as respects garden-
pounds, acc.?

Z. What number of patients is the
receive ?

cakulated to

4. If a public establishment. what was the cost of the building
aad furniture ?

5. What is the extent of general classification, and of individual
separation of the patient.-..uistinguishing sex, character Of disease,
Degree of vi.4ence, and state of convalescence ?

6. What is the Rumba of day-roems, and their respective di-
axone:is

7. What is the number of sleeping.rooms, and their dimensions?
6. What i. the number of airing-courts, and their dimensions ?
P. Is the separation of the sexes complete?
10. Does the arrangement of the patients' apartments, galleries,
and yards, proviso for their ready inspection, and aflnd thew easy
access to their galls-ties and courts?
11. Does the plan afford facility of communication between the
aparunents of the superintendents and assistants to those of the
patients?
12. In the construction, fitti..p up, and furniture, has security
against edt-Injury been carefully provided for throughout every
part to which t►e patient. have access ?
13. ['complete ventilation effectually obtained throughout, and
cold at the same tunic excluded?

Si TNT APARTMENT/, TALES, &C. OP TIM PATIENTS.
14. Are the day-rooms of the patients well lighted, securely and
sufliciently warmed and fitted up, and cheerful arid neat in their
appearance?
15. Are the dormitories properly ventilated? Are the windows
furnished with shutters and glazed! are they accessible to the
patients? Are the floors of the.e rooms or cells of hard materials,
and such as do not absorb the wet? What means are takeu to pre-
serve the menses well as the bedding in as clean a state as may
be practicable?
16. Are Me court-yards airy and dry? their surface well co-
vered with turf or with small gravel, isr paved ? do they afford some
prospect over the walls?
17. Are the privies well constructed ? and arc there complete
baths for hot and cold water ?

rursicas.

18. What diet is allowed?

19. Have any and what beneficial effects resulted, or been con-
templated, frum the adoption of such or any other diet, in any par-
ticular cha or disease?

20. In cases of attempt at self-starvation, what method or treat-
ment has been adopted with most success ?
21. Of what portion of rest or sleep can the patients partake ;
and what means ate found ssecessful in Inducing sleep with rest-
lessly inclined patients?
22. What desaro:lou of clothing Is provided, and at what cat?
hi. What steps are taken to ensure the personal cleanliness of
the patients, especially of the most uncleanly 7
tO. How rotten is bathing instated upon generally ? In what cases
has bathing of any hind proved most benehcial, more especially the
swarm or tepid bath? what is the mole and daratlon of its appli-
cation, kg- ? . . _

15. la the practice of daily and active esercise steadily insisted
upon with all patients able to partake of it?
t 6. Is any and what cars taken to provide the patients with suffi-
cient warmth in severely cold weather, and to guard against acci-
dent from mortification in the infirm or bedridden?

27. To what extent,and to what decided advantage, has medicine
of any kind been practised in different species of insanity?
SW. What modes of personal coercion are in use, and on what
average number of patients is it found necessary to have recourse
to it?
29. By whose orders, and under whose superintendence, is inch
coercion enforceu? What number of patients is generally under
coercion during the night?
36. Are dark solitary rooms made use of with advantage in cues
of violent maniacal paroxysms?
31. How far has manual labour been adopted with advantage,
and with what description of patients?
litnttat. TILATMLNT.

-32. Has the active engagement of the mind to the sciences, fine
mu. literature, or mechanical arts, been attempted with patients of
A superior description ; AOO what has been the result?
33. Where graver studies would be unsuitable, has it been found
►enAcial to afford patients such employment, as are calculated to
engage the attennou to ezternsi objects without inducing intense
a►straction or exercise of mind; •ueh, tor example, as drawing,
painting designs, models, gardennui, &c.?
34. Where the mind is so diseased as to be evidently unfit for
the foregoing exercises, bas benefit been experienced by iornishing
the patients in their courtyards with the means of innocent amuse-

40. In the case of a public asylum, 'how is the Committee of
Management coustkuted, and how frequently do they attend?
41. If an endowed or subscription asylum, what is the natureof
Its foundation and mode of support?
42. What is the payment of the patients ?
45. When was the establishment opened?
44. What is the name of the superintendent?
45. Is be a medical man?
46. How often does the medical attendant visit the asylum?
47. How many assistants has the superintendent?
48. What was the number of each sea for which the establish-

ment was originally designed?
49. What is the present number of patient• of each sex?
50. What has been the average number of patients in the year,
during the last three years; distinguishing the sexes?
SI. What has been the ge number of cures in the year,
during the last three years; distinguishing the acne.?
51. What has been the proportion of relapses within the last
three years; and in what description of cases hive they prevailed?
53. For what period of time had patients discharged cured been
deranged before their admission into thi. asylum?
54. What has been the average number of deaths in the year,
during the last three years; distinguishing the sexes?
55. Hew were the patients actually classed at the date of this
visit? Is there any restriction as to the class of lunatics admitted ;
via. are idiots, 'pile tic patients, or cases of keg standing, ex-
cluded 1
54. How many patients were under coercion at the date of
this visit ?

57. What number of patients were in bed (in the day time) at
the date of ibis visit I,

It is particularly resueced that the following documents, &e.
may be procured.
58. The rules for the government of the asylum.

59. A plan of the asylum and its premises, to a scale.
60. Any reports that may have been made on the state of the
asylum.

61. Accounts furnishing the number of patients admitted, cured ;
expense of maintenance, kr-
Ift• Journal., or registers of cases, explanatory of the causes of
insanity, and improved modes of treatment, and other information
of a miscellaneous nature.

APPENDIX, No. It.
I have already stated my conviction, that most serious abuses
Seat is the conduct of the bosses for the reception of pauper
Dade* in the aunty of Middlesex, abuses which I do not think cao
be effectually remain' iu such houses ; and I feel enables* that
even if abuses did not exist, it would be highly expedient to build a
county asylum under Mr. Wynn's Act, as affording peculiar ad-
vintages, particularly under the following heads—warmth in winter,

ventatinti, light at night, air, exercise, employment, amusement,
damnification, separation of each pauper at night, cleanliness, de-
cency, safety of person, economy in annual expenses, sufficiency in
the number of keeper., a paramount interest In the Justices, Go
'armors, and Medical Officers to promote cure, exclusion apeman
sought to be Improperly confined, improvement in medical know-
ledge; a uniform, constant, and vigorous superintendence by Ma-
gistrates, medical men, and others, solely anxious to promote the
comfort of the sufferer and ultimate cure, and having no particle of
counter.interest.
Portland-plate, June lg. ROBERT SET MOU R.