, 1877-11-28
INSANE PATIENTS.
A New Departure In the Manner
OF Their Treatment.
ptaus for the New Institution to B
Erected at Kankakee.
rAs villags 6yatea TO Take the Place
Of Hugo Hospitals.

eosc' ~. .,. m nv, r,..rn ,,ors,n. T., AZ ,o,,n.
uot csn .,s. s'a,-,,.a In. T.no,,1,r .,oo,, A..
Try. and tne ooc'F"'e liza senssa"5 s"c'. ne
S,stc, for who.c care Tho state Is primarily re-
s.,tto osa Thnre arc ahout ono hunttted hn.-
epo.st -. .,,n tn,orc nnl1ic nnd nrivoto. In The
r,'as ~ ~. mn, NJ, of thc.c with tho c1ccn.
lion OF two or three, have been built In the Inst
aftv years. The supcrintcndcnts Of these
sosnltals hayo organized into society termed
shs American Association Of Medical Sup. rim
meet nnpually for the exchange Of views
and experience. This Association has taken tho
.a IN ths npocr NJ. supau, Soth
Of 'ntao'.y Hau ~, ."9 u a,,. -, ..ss. Tsa
from the medical ana !eeai point OF v'ew' Inc
members nre incn. OF considerably more than
average nbilfty, and work has bcen done for the
,nsape which deserves grateful recognition uni
ana1.r,c. Thcre IA. however. a current of pop-
app,.,.foo.tan appsus ,,,,t, .to A..oeiat,o, iii,
ulaf a'ssatiS,ae.on WIN WV .essa"tr"t % "n'e"
elaton has LAID down certain nrinciplcs WIN re-,
spcct 70 the ennstructloh anu qreahEet!on OF
hospitals TOT tue Insane, to which Il adhc,es,
wtthout motli,isaton - spttG o, fto faci tlias
CHANGED within the Inst twenty-tlSu years. A
quarter OF century ago an 1nsanc
ho.pital wns Regarded n, AZ e., employed Simply az
aplace Of cure, h1t, witn tne increnscl interest
population, these INSTITUTIONS have now become
rcInRcs Or BONES Tor the cbronlc and tnrnrab!y
tnsane class. lsls obvious that, II INC pceptc
ofthe United states Intend 10 support ~ paDilc
cost al inell paupef insane, so.Le lncanA ol nG,
cosnDllshlng thls WORK ~ q eotipa[atVe!y emaii
expense must 10 devised, otherwise Tho ourucn
will bccotne 100 gfeat 70 no Dofnc, ~ lsnsL
tlcer1ulISt. Dut lhc Houc W eonstFuctfon
recommended By tho Assoclatloh ot Supcrin-
teudcnts insolyes very iaT.e original re outlay
oe money: IN paper ny ~. ltaY, ut
rlliado!pl,a, fcaa ~ me meeto1 o! .ne
Association u S Looe mi a't .spsh
cost o. we'tappolhtea MosI,atal lot LIZ insane
a q ,Nn Tor every patlcht aeconmouateu, OF
51o4uo 10. ~ patignta. Eau, ~ e1ss soina "
;lc t1sp'tals ssssh1y Guna a,4 u 6h 6asS1', as ca,
double TINS cstshsatc, alnost. II inc expense
were unaToinaoc, y ah!sht eo eiluufca. bas
the Associat,on lnssts tlat PROVISION on sisn!t ~
made upon thss scale q expense, rot simply
tuition LOT aeoihpAlatlfcly snolt pel!n, put LOT
the chronic mud hopeless eases as Te1i. thc mn.
tofsty Oh %noni, efnaps must Is'naln lot !iio OF
be reulahoco atne !ncfe1e3 y tncaVera9e keeper
Of = country poor-house. Ile nosition taken a
by Tho Association OH tllls subject IS undouot-
ealS one o. hoaest eonvsee'oa, M aoanae1 1, a. tnc
persona chpytaensS =. G Mo ins; oc,, ~" m IT, ~
form WHICH i, IT, public ocnanos cannot, ~ tilo
within inc Association, put lhust ne lofecu
upon IT. " tne pressure o. oatsde ani. Senli.
ment ano opinion: IL appears pEooaGnles
that tho teao IN tno new n!oVcncnt WIZ
eo iakGn @ Gy the various stase hoards s.t oi
Public Chasit'cs who arc also orRanizcu into ah
orFanlzatiul,' anu alo assoting lnuei thoueht-
III siudy 70 thc question 81 lnsahlty. lnese
boards lf91n ine'r eloses teiqtlon "!tl tae ta1.
payers and with. the state Leelslasures' haTo
better opportunities Tor knowing
The STATE OF IuhL!c oPiNioN
on ln9 sup!sSt .nan @ tms oTTpsf'enents Tt o.
general supervision q ~ public aud private
shnrity %lthIn the liMlts u etate, their equal
Snowlcaen OF tlo WosH aceonpilshea " ~ tho
etato institutions, and tncif personal visltatl9n
Of county lalls ana aimsaousea. 81 , necessarily
gre them nroaaef view ol ile Whoie hriu ol
public ala 70 thc uepenaent classes. inu care
u these chsses fnc!ua'ng INC Insane, the ldotic,
criminals. the orphan, a,id abandoned aud neg
lectcu cllalen, tne eplicpllc anu otnef 4etiins
oi misfortune, eobstllutes business 10 Iseli,
shich fenalfes ior 1ts eueeesslnt prosecution q
enee. Publ!c chartty is, III iaet, an undeve'opeta
c!ence anu lis administration VIII ID limo taRe
Rnk *Th tac othcr !carhcu plo!essions. Al.
an c1iort Is being naue o. tho Instance ol tho
euro IN ~ rev Insane Hospital At kankAkco
eomo mol!heatlon ot the plnn ot organization
and co1htfuetton hs lald Down W the
; Association oi announcements. .IhG han
kaKeo Hoeplta! WA efcatca ny tan LeGts'a-
aure at lis Bessloh !ast winter. Attcr corre.
spo1lence by conlmttteGoi tho llouso with MI
the County Cletks IL tae state. great minority
urgent, md that an appropriation FOR this pur-
poso would bo approved lY them md by thclr
assoc'Alcs IN the County dovuritncnts This
necesslty artscs iron, tho INT that thcro aFa
1oo0 lnsalio pcrsons in ti'is statc not moro than
halt Of whom Gun By cared for In the
existing hospitals, mud oI The. rcst very largo
number arc OIL tho county farms, whcrc tic
inadequate.
1t wlll be seen that the question which presses
for solution ts not ouo Of provision Tor cura ble
caaes, but Tor tho chronic inaane. Any ono VI
the State Hospitals could receive and catp Tor
all tbs curable cascs iu tho St4tc, ii the trcss-
ute for the admission Of illc,srablcs was not 70
great Many chronic cases aEp 30 dangerous or
otherwise troublesome that they cannot 10 re-
fused house-room in tho hospitafs without suh-
1cctlug tho officials and tho State at,l county
authorities to tile gruye charge uf tnhuntanity.
!. Thu question Is asked. Why not chnugo the *
lstng hospitals instead of building a1otl,rr onut
The auswcr is. First, our existing lospltals sra
probably too large already. Tho care OF lye or
ti4 hundred insallo patl,ut Is great respunsi-
bliity to bu luI1 upon single Superintendent.
In tlc next place, the administrative buildings