ANNUAL  HE  PORT 

*•* 

OF 

THE  COMMITTEE  OE  VISITORS 


OF  THH 

COUNTY  OF  WARWICK 
PAUPER  LUNATIC  ASYLUM. 


FOR  THE  YEAR  1867. 


PRINTER  BY  H.  SHARPS',  ADVERTISER  OFFICE,  WARWICK. 


Digitized  by  the  Internet  Archive 
in  2018  with  funding  from 
Wellcome  Library 


A  LIST  OF 


THE  COMMITTEE  OF  VISITORS, 

APPOINTED  AT  THE  EPIPHANY  SESSIONS,  1868. 


William  Dickins,  Esq.,  Ckerrington,  Shipston-on- Stour,  Chairman . 
The  Loed  Leigh,  Stoneleigli  Abbey,  Kenilworth. 

Sie  R.  N.  C  Hamilton,  Bart.,  Avon  Cliffe,  Stratford-upon-Avon. 
Chables  Holte  Beacebeidge,  Esq.,  Atherstone  Hall,  Atkerstone. 
Heney  Thomas  Chambeelayne,  Esq.,  Stoney  Thorpe,  Soutkam. 
Richaed  Gbeaves,  Esq.,  Cliff  House,  Warwick. 

Bolton  King,  Esq.,  Ckadskunt,  Kineton. 

Gustavus  Thomas  Smith,  Esq,,  Goldicote,  Stratford-upon-Avon. 

John  Staunton,  Esq.,  Longbridge  House,  Warwick. 

Heney  Cheistophee  Wise,  Esq.,  M.P.,  Woodcote,  Warwick. 

The  Rev.  Richaed  Lickoeish,  Wolston,  Coventry. 

The  Rev.  Chaeles  Pilkington,  Stockton,  Soutkam. 

The  Rev.  James  Coeall  Robeets,  Witkerley,  Atkerstone. 

T.  S.  Moeeis,  Esq.,  The  Cottage,  Stoke,  near  Coventry. 

C.  M.  Caldecott,  Esq.,  Holbrook  Grange,  near  Rugby. 

J.  T.  Arkwbight,  Esq.,  Hatton,  near  Warwick. 

J.  A.  Campbell,  Esq.,  Rugby. 

J.  O.  Bacchus,  Esq.,  Norwood  House,  Leamington. 

Edwaed  Whelee,  Esq.,  3,  Bertie  Terrace,  Leamington. 

James  Dugdale,  Esq.,  Wroxkall  Abbey. 

Thomas  Lloyd,  Esq.,  Priory,  Warwick. 


ANNUAL  REPORT 


OF  THE 

COMMITTEE  OF  VISITORS 

TO  THE  COURT  OF  QUARTER  SESSIONS,  EPIPHANY,  1868. 

In  their  last  Annual  Report,  the  Committee  of  Visitors  submitted 
to  this  Court  a  Plan,  which  had  been  revised  and  approved  by  the  Com¬ 
missioners  in  Lunacy,  for  removing  some  defects  which  were  found 
practically  to  exist  in  the  arrangement  of  the  Baths,  Closets,  and 
Drainage  of  the  Asylum,  thereby  to  improve  the  salubrity  of  tho 
Wards,  and  at  the  same  time  to  enlarge  the  accommodation  for 
Patients,  by  obtaining  space  for  22  additional  Beds  on  the  Female 
side,  where  increased  room  was  much  wanted.  The  Court  gave  its 
sanction  to  this  plan  ;  and  made  an  order  that  it  should  be  carried  into 
effect.  The  Committee  have  now  to  report,  that  the  Alterations,  in 
accordance  with  the  Plan  sanctioned  by  the  Court,  have  been  nearly 
completed,  and  to  a  certain  extent  are  already  in  use.  The  Tender 
for  the  Works,  which  the  Committee  accepted,  from  Mr.  Jones,  of 
Birmingham,  was  £2950.  The  Contractor  has  received  £1200  up  to 
the  present  time ;  and  the  work  has  been  substantially  carried  out. 
The  increased  accommodation  hereby  obtained,  together  with  the  addi¬ 
tions  heretofore  made,  on  various  occasions  since  the  Asylum  was  first 
opened,  has  raised  the  capability  of  admitting  Patients  to  a  total  of 
463,  viz.,  207  Males  and  256  Females ;  being  an  addition  of  138  over 
325,  the  number  for  which  the  Asylum  was  originally  constructed.  It 
is  the  duty  of  the  Committee  to  inform  the  Court,  that  these  occa¬ 
sional  additions,  which  from  time  to  time  the  Committee  has  been 
enabled  to  make,  to  meet  the  increasing  accumulation  of  Patients  in 
the  Asylum,  have  now  reached  the  extreme  point  to  which  they  can 
be  carried  ;  the  Wash-house,  Laundry,  Kitchen,  and  other  offices, 
originally  constructed  for  325  Patients,  are  become  inconvenient  for 
the  increased  numbers  which  can  now  be  admitted  into  the  Asylum ; 
and  any  further  augmentation  of  the  Building,  (should  it  become 
necessary,)  must  be  made  upon  a  large  and  comprehensive  scale. 
Looking  at  the  gradual  increase  in  the  number  of  Patients,  which  year 
by  year  has  been  taking  place  since  1860,  when  the  total  number 
reached  326,  the  limit  of  the  original  construction,  to  the  present  year, 
1867,  when  it  has  been  as  high  as  445,  the  Committee  feel  it  their  duty 


5 


to  call  the  serious  attention  of  the  Court  to  these  facts.  The  number 
this  day  are,  Males  201,  Females  224,  Total  425.  The  number  of  ad¬ 
missions  during  the  year  has  been  95  ;  the  Discharges,  52 ;  the  Deaths, 
47 — Total  discharged  or  died,  99.  Two  of  the  Commissioners  in  Lunacy 
visited  the  Asylum  in  November  last,  and  expressed  themselves  well 
pleased  with  the  general  management  of  the  Institution,  and  with  the 
condition  of  the  Patients.  It  only  remains  for  the  Committee  to  record 
their  continued  confidence  in  the  Medical  Superintendent,  Dr.  Paesey, 
the  Matron,  Medical  Assistant,  the  Steward,  and  the  officers  generally, 
and  to  express  their  satisfaction  at  the  manner  in  which  the  Asylum  is 
conducted. 

(Signed)  WILLIAM  DICKINS. 

BOLTON  KING. 

LEIGH. 

E.  WHELER. 

R.  N.  C.  HAMILTON. 

C.  PILKINGTON. 

J.  O.  BACCHUS. 


DR.  PARSEY’S  REPORT. 


In  presenting  my  Report  on  the  condition  of  the  Asylum  and 
movements  of  its  inmates  during  the  past  year,  I  venture  to  express  the 
hope  that  the  results  of  the  year’s  labours  will  approve  themselves  to 
your  Committee  as  in  no  way  more  unsatisfactory  than  those  of  its 
predecessors ;  for,  with  about  an  average  number  of  admissions,  the 
percentage  of  discharges  has  been  higher  than  that  of  any  previous 
year ;  and  the  mortality,  though  in  excess  of  that  of  either  of  the  two 
immediately  preceding  years,  is  still  barely  that  of  the  general  average 
of  Asylums.  And  I  am  sure  it  will  be  a  satisfaction  to  the  Committee 
to  observe  from  the  subjoined  figures,  that,  though  in  the  male  depart¬ 
ment  there  is  but  a  very  small  margin  of  accommodation,  the  actual 
numbers  in  the  Asylum  are  lower  by  six  than  they  were  at  the  com¬ 
mencement  of  the  year ;  thus  compensating  for  the  excessive  increase  in 
the  year  1866,  which  was  more  than  double  the  average. 

The  tabulated  changes  are  as  follows  : — 


M. 

F. 

Total. 

In  the  Asylum  1st  of  January,  1867,  including 

1  Female  on  trial 

190  .. 

242 

..  432 

Admitted  . .  . . 

50  .. 

45 

..  95 

Total  Number  under  Treatment 

240  .. 

287 

..  527 

Recovered 

11  .. 

32 

..  43 

Relieved 

3  .. 

6 

9 

Died  ..  ..  ..  •• 

25  .. 

22 

..  47 

Average  Daily  Number  under  Treatment 

200  .. 

235 

. .  435 

Largest  Number  of  Males  on  any  day 

207  .. 

•  • 

Ditto  ditto  Females  ditto 

•  • 

243 

•  • 

Numbers  on  31st  of  December,  1867,  including  3 

Females  on  trial 

201  .. 

227 

..  428 

These  figures  show  recoveries  in  the  proportion  of  45!  per  cent,  to  the 
admissions,  the  highest  per  centage  attained  in  previous  years  having  being 
41 ;  and  a  mortality  of  10!  per  cent,  on  the  average  number  resident,  and 
nearly  9  per  cent,  on  the  total  number  under  treatment.  But  the 
striking  feature  in  them  is  the  great  discrepancy  in  the  proportion  of 
recoveries  of  the  two  sexes.  Under  exactly  the  same  medical  treatment 
•&nd  moral  government,  with  structural  appliances  and  sanitary  arrange¬ 
ments,  occupations,  and  amusements,  in  fact,  with  all  the  special  and 
general  means  for  promoting  recovery  and  a  good  standard  of  health, 
adopted  with  equal  care  and  impartiality  for  either  sex ;  the  results  of 


the  year’s  management  give  22  per  cent,  of  recoveries  amongst  males, 
against  71  per  cent,  among  females.  The  cause  of  this  difference  is,  I 
believe,  attributable  partly  to  the  favourable  nature  of  the  female 
admissions,  but  chiefly  to  the  peculiarly  unfavourable  condition,  both 
bodily  and  mental,  of  the  males  on  admission,  as  compared  with  the 
females.  This  is  to  some  extent  an  exceptional  year ;  but  so  far  as  my 
own  experience  in  Asylums,  which  now  spreads  over  more  than  twenty 
years,  can  guide  me,  and  I  believe  I  am  borne  out  by  the  experience  of 
others,  I  have  no  hesitation  in  saying  that  among  males  of  all  ages 
disorders  of  the  nervous  system,  consequent  on  or  leading  to  incurable 
organic  changes  and  mental  decay,  are  far  graver  in  their  character  than 
among  females  :  the  most  degraded  forms  of  idiocy,  the  worst  phases  of 
epilepsy,  and  of  acute  and  chronic  lesions  of  the  nervous  centres,  are  to 
be  found  in  the  male  sex  much  more  frequently  than  in  the  female  ;  and, 
illustrating  this  by  the  admissions  into  this  Asylum  during  the  past 
year,  the  period  with  which  I  have  especially  to  deal,  there  have  been 
received  seven  male  idiots  of  a  very  degraded  type,  the  only  class  that  is 
(with  rare  exceptions)  sent  here,  and  no  female  idiots ;  five  male 
epileptics,  whose  disease  has  culminated  in  insanity,  and  no  females ; 
eight  males  labouring  under  fatal  general  paralysis  or  structural 
disorganization  of  brain,  and  four  females ;  giving,  from  the  admissions 
of  the  year,  twenty  males  and  only  four  females  hopelessly  incurable 
from  irremediable  changes  or  deficiencies  in  the  nervous  structures  ; 
independently  of  those  afflicted  with  other  incurable  bodily  disease,  or 
with  chronic  mental  disturbance.  Among  these  male  admissions  five 
have  been  mere  children,  two  of  them  seven  years  of  age,  one  eight,  one 
nine,  and  one  twelve  ;  four  of  whom  are  congenital  idiots  of  a  very  low 
grade  ;  and  the  fifth  has  mental  decay  and  irritability  consequent’on 
aggravated  epilepsy.  Whether  children  of  such  tender  age  (and  these 
are  not  the  only  examples  of  them  that  have  been  received  here)  are 
proper  objects  for  care  and  treatment  in  a  County  Lunatic  Asylum,  it  is 
scarcely  my  business  to  offer  an  opinion  here.  Such  institutions  are  by 
law  the  receptacles  for  all  insane  poor  sent  to  them  under  the  prescribed 
forms  ;  and  idiocy  is  included  in  the  legal  definition  of  insanity.  But 
I  think  I  shall  be  quite  in  order  in  stating  that  the  statistics  of  other 
County  Asylums  show  that  the  transmission  to  them  of  young  children 
is  not  a  prevailing  custom ;  for,  taking  the  returns  for  the  last  year  of 
the  first  fifteen  Asylums  that  have  come  to  my  hand,  I  find  that  out  of 
nearly  2,300  patients  admitted  only  five  have  been  under  ten  years  of 


8 


age.  I  have,  so  far  as  I  am  able,  met  the  difficulty  here  by  associating 
such  cases  with  some  others  comparatively  harmless,  in  a  ward  under  the 
care  of  a  man  and  his  wife,  of  whose  assiduity  in  tending  their  difficult 
charge  I  cannot  speak  too  highly.  Of  the  201  male  patients  now  in  the 
Asylum  twenty-eight  are  thus  disposed  of ;  and  of  these  seventeen  are 
under  twenty-one  years  of  age,  and  six  over  twenty-six  years  ;  and  only 
five  of  the  whole  number  are  in  mental  development  of  a  capacity  much 
above  their  youngest  associates.  So  far  as  the  care  of  them  in-doors  is 
concerned  I  have  no  reason  to  be  dissatisfied  ;  their  ward  is  one  of  the 
best  ordered,  cleanest,  and  neatest  in  the  Asylum ;  and,  according  to 
their  capacity,  both  amusement  and  simple  occupation  are  provided  for 
them ;  but  the  chief  difficulty  to  contend  with,  a  difficulty  not  un¬ 
attended  with  risk,  is  the  safe  custody  of  them  when  out  of  doors,  where, 
when  weather  allows,  they  ought  to  pass  a  large  portion  of  their  time. 
The  structural  arrangements  of  the  Asylum  preclude  the  setting  aside 
of  a  special  garden  or  airing  ground  for  their  use ;  and  for  ordinary 
daily  exercise  they  are  obliged  to  use  grounds  similarly  appropriated  to 
about  eighty  insane  adults. 

Two  of  the  admissions  this  year  have  been  removals  from  the 
Criminal  Lunatic  Asylum,  at  Broadmoor,  in  pursuance  of  the  recent 
Criminal  Lunatics  Act,  which  provides  that  criminals  who  have  become 
insane  shall,  at  the  expiration  of  their  sentence,  be  transferred  from  the 
Government  Asylum  to  that  of  the  county  or  borough  in  which  the 
offence  was  committed,  to  be  there  regarded  and  dealt  with  as  ordinary 
lunatics.  One  of  the  two  remitted  here  belonged  not  to  the  county  but 
to  Birmingham,  and  was  consequently  passed  on,  under  orders,  to  the 
Asylum  for  that  borough.  The  other,  an  Irishwoman,  shortly  after 
finding  her  way  into  this  county,  in  1860,  was  committed  to  gaol,  and 
after  a  few  weeks’  detention  there,  was  moved  to  this  Asylum,  where  she 
remained  until  shortly  after  the  opening  of  the  Government  Asylum, 
to  which  she  was  transmited  in  1863,  and  is  now  returned  here  under  the 
new  Act.  In  her  previous  detention  here,  as  at  Broadmoor,  her  conduct 
and  language,  independent  of  her  general  excitement,  were  persistently 
of  so  disgusting  and  degraded  a  nature,  and  yet  so  much  under  her  own 
control,  as  to  have  gained  for  her  the  repute  of  being  about  the  most 
offensive  and  difficult  to  manage  female  that  has  fallen  within  the 
experience  of  either  Asylum.  For  several  weeks  after  her  second 
admission  here,  in  August  last,  we  did  not  experience  so  much  trouble 
with  her  as  formerly ;  she  was  evidently  in  good  humour  at  the  change 


9 


which  had  given  her  perhaps  a  little  more  freedom  and  enjoyment  than 
were  compatible  with  the  discipline  of  the  worst  ward  of  the  Criminal 
Asylum ;  but  the  baneful  influence  of  her  presence  soon  manifested 
itself,  by  exciting  a  noisy  and  insubordinate  restlessness  among  some, 
and  an  angry  irritable  sense  of  discontent  and  discomfort  among  others 
of  the  patients,  with  whom  she  is  obliged  to  be  associated.  Latterly  the 
good  effects  of  the  change  have  passed  off,  and  she  is  again,  at  least  for 
a  time,  the  disgusting  mauvais  sujet  of  the  Asylum. 

From  our  own  County  Gaol  I  am  glad  to  be  able  to  say  that  in  the 
course  of  the  year  only  one  patient  has  been  received. 

With  respect  to  the  discharges  of  females,  the  favourable  result 
already  noticed,  has,  doubtless,  been  influenced  mainly  by  the  character 
of  the  admissions  during  the  past  and  latter  portion  of  the  preceding  year ; 
and  it  is  greatly  to  be  hoped  that  this  is  an  index,  so  far  as  that  sex  is  con¬ 
cerned,  that  the  greater  proportion  of  the  long  standing  chronic  cases  from 
the  different  Unions  have  now  found  their  way  here  ;  and  that  for  the 
future  we  may  have  to  deal  more  with  newly  occurring  ones,  or  those  of 
comparatively  recent  development.  When  that  desirable  time  is  really 
reached,  then  your  Committee  will  have  good  grounds  for  judging  what 
are  to  be  the  limits  of  your  Asylum  accommodation,  so  far  as  lunatics, 
irrespective  of  idiots,  are  concerned ;  for  heretofore  one  of  the  chief 
sources  of  increase  has  been  the  persistent  influx  of  hopelessly  chronic 
cases.  That  this  influx  should  be  declining  in  this  county  is  a  matter  of 
reasonable  expectation,  as  the  Asylum  accommodation  for  the  insane 
poor  in  Warwickshire  is  proportionately  higher  than  that  of  any  of  the 
counties  in  England,  except  Dorsetshire  and  the  North  Biding  of 
Yorkshire.  On  the  first  of  January,  1867,  eighty  per  cent,  of  the 
lunatics  and  idiots,  returned  as  under  poor  law  supervision  in  this 
county,  had  Asylum  accommodation ;  and,  as  of  the  remaining  twenty 
per  cent.,  Birmingham  appears  to  be  responsible  for  the  larger  proportion, 
the  county  proper  is  left  in  a  very  favourable  position.  And  as  it  further 

appears  that  of  those  remaining  in  the  Union  houses  by  far  the  greater 

♦ 

proportion  are  idiots,  it  would  seem  that  any  further  accommodation  points 
rather  toprovision  for  that  particular  class  than  for  lunatics  proper.  Certain 
statistics  that  I  have  been  able  to  collect  for  your  Committee  during  the 
past  autumn  add  forcibly  to  this  conclusion,  as  they  show  that,  in 
addition  to  the  idiots  now  in  workhouses  (101),  there  is  a  very  large 
proportion  of  idiotic  poor  scattered  throughout  the  parishes,  many  of 
them  not  absolutely  in  receipt  of  parochial  assistance  ;  but  the  younger 


10 


of  them  at  least  deserving  some  sort  of  training  and  care  to  prevent 
their  further  degradation  with  advancing  years. 

The  enlargement  of  the  female  side  of  the  building  in  the  autumn, 
giving  accommodation  for  twenty  additional  patients,  added  to  an  actual, 
though  probably  only  temporary,  decrease  in  the  number  of  our  female 
inmates,  has  very  materially  eased  the  pressure  for  room  in  that  depart¬ 
ment,  which  was  felt  in  the  earlier  part  of  the  year,  at  one  period  of 
which  every  available  bed  for  females  was  in  occupation  ;  and  for  the 
present  there  is  no  reason  to  fear  that  the  resources  of  the  Asylum  will 
be  inadequate  to  the  demand  made  on  them  for  any  ordinary  admissions 
of  patients  of  that  sex.  Of  the  means  for  meeting  the  demand  on  the 
male  side  of  the  Asylum  made  for  future  admissions,  I  cannot  speak 
with  anything  like  the  same  confidence.  The  addition  of  twenty  beds, 
about  a  year  and  a  half  ago,  has  already  been  absorbed  by  the  unusual 
influx  of  idiots,  epileptics,  and  other  chronic  cases  that  I  have  already 
referred  to ;  and,  unless  these  are  in  some  measure  the  clearings  of 
different  parishes,  consequent  on  a  sort  of  premium  on  their  removal 
here  being  offered  by  the  late  Act,  which  transferred  the  charge  of 
maintenance  of  their  insane  poor  from  the  individual  parishes  to  the 
common  funds  of  the  Unions,  I  am  afraid  your  Committee  will  find  it  to 
be  not  an  easy  matter  to  determine  how  to  meet  the  continuous  demand 
for  space  in  this  department.  At  present  there  are  only  six  vacancies 
for  male  patients,  and  any  further  enlargement,  to  be  efficient,  must 
involve  considerable  outlay ;  for  the  various  domestic  and  other  offices, 
the  shops,  gas  works,  &c.,  which  were  in  their  original  construction 
supposed  to  be  required  to  meet  the  necessities  of  an  Asylum  of  about 
three  hundred  patients,  are  now  used  for  nearly  half  as  many  more ; 
and  it  is  self-evident  that  any  further  material  additions  must  involve 
considerable  enlargements  or  even  reconstruction  of  these  different 
buildings. 

Among  the  deaths  25  were  the  result  of  organic  disease  of  the 
brain,  apoplexy  or  epilepsy ;  5  of  consumption  ;  7  of  mere  decay  of 
age— the  ages  varying  from  71  to  90 ;  the  remainder  (10)  were  caused  by 
ordinary  fatal  diseases  of  general  life,  with  three  exceptions.  One  of 
these,  an  epileptic  of  the  very  worst  type,  hastened  his  death  by  an 
extremely  rare  accident,  one  scarcely  known  except  in  very  early  life, 
when  the  development  of  the  bones  is  still  imperfect.  In  his  contortions 
connected  with  his  epilepsy,  he  was  in  the  habit  of  suddenly  drawing  up 
his  knees  to  his  face  with  such  force  as  to  seriously  hurt  it,  or  make  his 


11 


nose  bleed  profusely ;  and  on  one  occasion  tbe  jaw  was  found  to  be  split 
exactly  up  tbe  middle  line  of  tbe  chin,  tbe  line  along  wbicb  union  of  tbe 
two  halves  of  tbe  bone  takes  place  in  infancy.  In  an  unusually  restless 
epileptic,  without  sense  of  acute  pain,  or  mental  capacity  to  understand 
tbe  meaning  of  an  injury,  it  was  impossible  to  keep  tbe  portions  of  bone 
in  apposition  to  promote  union  ;  and,  doubtless,  tbe  constitutional  irrita¬ 
tion  from  this  accident  assisted  in  causing  bis  death.  Two  others,  one  a 
male  and  one  a  female,  died  from  impaction  of  food  in  tbe  windpipe. 
Tbe  man  at  tbe  time  of  death  was  ravenously  eating  a  piece  of  pork  pie 
given  him  by  a  relative  who  bad  come  to  visit  him ;  and,  in  bis  attempt 
at  swallowing,  a  mass  of  tbe  imperfectly  masticated  crust  accumulated 
at  tbe  top  of  bis  throat,  and  part  passed  into  tbe  windpipe,  causing  im¬ 
mediate  death.  A  similar  condition  in  tbe  female,  with  similar  result, 
was  produced  by  an  imperfect  act  of  vomiting  after  taking  her  usual 
dinner.  Both  these  persons  were  general  paralytics,  and  in  their 
ordinary  diet  tbe  precaution  was  taken  to  have  their  bread  and  vegetables 
properly  broken,  and  their  meat  passed  through  a  mincing  machine. 
There  are  in  this  Asylum  so  many  inmates  either  paralysed,  or  incapable 
of  properly  masticating  their  food,  that  minced  dinners  have  to  be 
provided  daily  for  about  sixty  of  them. 

Another  occurrence  in  tbe  year  that  might  have  been  attended  by 
serious  consequences  was  tbe  fracture  of  tbe  thigh  of  a  bad  epileptic, 
caused  by  a  fall  whilst  attempting  to  climb  over  a  gate.  Tbe  source  of 
danger  here  was  continual  displacement  and  irritation  of  tbe  broken 
ends  during  restlessness  and  epileptic  paroxysms,  and  consequent  serious 
constitutional  irritation;  but  tbe  patient  was  constantly  watched  by 
special  attendants  night  and  day  for  many  weeks  ;  and,  fortunately,  a 
good  union  was  established  without  any  untoward  occurrence. 

A  change  in  the  working  staff  of  the  attendants  has  this  autumn 
been  made  by  the  appointment  of  a  head  attendant  for  the  female 
department.  Tor  many  years  I  did  not  feel  the  want  of  such  an  officer  ; 
and  for  some  time  after  the  special  usefulness  of  one  began  to  force  itself 
upon  me,  was  unwilling  to  ask  your  Committee  to  sanction  the  change ; 
for,  so  long  as  an  asylum  is  of  a  size  to  be  capable  of  unaided  super¬ 
vision  by  the  chief  officers,  I  believe  that  it  affords  by  far  the  greatest 
facilities  for  promoting  the  efficient  treatment  and  personal  comfort  of 
the  inmates  ;  and  it  is  only  because  this  Asylum  has  of  late  years  been 
growing  beyond  such  size  that  I  submitted  the  request  to  you. 
According  to  my  observation  and  experience,  the  distinctive  characteris- 


12 


tics  and  leading  advantages  of  small  over  large  asylums  consist  in  the 
facility  they  afford  for  the  chief  officers  personally  identifying  themselves 
with  the  habits,  wants,  and  peculiarities  of  the  patients,  and  exhibiting 
an  interest  in  many  of  those  minor  details,  which,  in  the  aggregate,  are 
so  essential  to  their  successful  moral,  as  well  as  special  treatment.  But 
when  they  become  massed  in  large  numbers  under  a  routine  discipline 
carried  out  by  a  complicated  staff  of  officials,  each  of  these  latter  may 
conscientously  perform  the  duties  entrusted  to  him,  but  there  his  interest 
usually  ends  ;  or,  if  it  does  not,  he  finds  that  he  is  trenching  on  the 
supposed  duties  of  some  other  official,  which  is  but  too  apt  to  lead  to 
disagreement  and  discord,  all  reacting  to  the  disadvantage  or  discomfort 
of  their  charges ;  the  domestic  element  is,  with  increase  of  size,  more 
and  more  eliminated  as  a  prime  feature  of  management;  and  the 
establishment  becomes  too  much  of  a  routine  worked  by  a  complicated 
machinery  always  more  or  less  out  of  gear  ;  the  result  being  far  from 
satisfactory,  if  the  individual  care,  comfort,  and  mental  improvement  of 
the  patients  are  to  be  taken  as  the  standard  of  efficiency. 

So  far  as  the  general  discipline  of  the  Asylum  and  treatment  of  the 
patients  are  concerned,  there  has,  beyond  this  one  change,  appeared  no 
reason  to  diverge  from  the  custom  of  former  years.  Medical  treatment 
is,  I  hope,  fairly  supplemented  by  hygienic  and  moral  aids  to  the 
promotion  of  a  good  standard  of  health  ;  and,  among  the  minor  matters 
contributing  to  their  personal  comfort,  I  think  I  may,  in  the  patients’ 
names,  thank  your  Committee  for  having  ordered  a  supply  of  hot-water 
dishes  for  the  conveyance  of  cooked  provisions  from  the  main  kitchen  to 
the  different  wards.  Many  of  our  poor  inmates  are  quite  alive  to  the 
additional  enjoyment  (as  I  am  to  the  additional  healthfulness)  of  making 
their  dinner  off  meat  and  vegetables,  not  nominally,  but  really,  hot. 
I  should  also  not  omit  to  mention  a  present  of  ten  choice  engravings 
from  Messrs.  Graves,  of  Pall  Mall,  London,  and  others  of  several  very 
useful  volumes  of  books  from  friends.  Pictures  and  books,  and 
especially  old  volumes  of  the  cheaper  non-sensational  periodicals,  are 
always  very  acceptable  sources  of  amusement ;  and,  though  a  fair  supply 
of  these  latter  for  immediate  use  is  always  kept  up,  wear  and  tear  are 
very  great ;  and,  from  necessarily  frequent  changes  among  the  patients, 
especially  among  the  more  curable  of  them,  old  volumes  come  again 
among  them  with  all  the  freshness  of  the  most  recent  numbers  of  serials. 

Throughout  the  year  my  endeavours  to  maintain  the  character  and 
usefulness  of  the  Asylum  have  been  well  seconded  by  those  asso- 


13 


ciated  with  me  in  a  work,  which,  though  in  many  respects  fraught  with 
interest,  is  in  its  detail  and  responsibilities  attended  by  periods  of  much 
wearying  anxiety.  Tabulated  Statements  of  such  statistical  matters  as 
are  generally  considered  useful,  are  appended;  and  the  whole  is 
submitted  with  the  hope  that  it  will  meet  with  the  approval  of  your 
Committee,  and  a  continuance  of  that  personal  confidence  which  has 
heretofore  been  no  ordinary  encouragement ;  more  especially  in  those 
times  of  doubt  and  emergency,  for  which  no  general  principles  can  be 
laid  down ;  but  which,  involving  as  they  sometimes  do,  serious 
responsibility,  can  be  resolved  only  by  the  prompt  decision  of  the  moment, 

W.  H.  PARSEY,  MD. 


1st  January,  1868. 


14 


TABLE  1. 


SHOWING  THE  ADMISSIONS,  RE- ADMISSION S, 
DISCHARGES,  AND  DEATHS  DURING  THE 

YEAR  1867. 


Males. 

Females. 

Total. 

In  the  Asylum  January  1,  1867 

190 

242 

432 

M. 

F. 

T. 

f  For  the  first  time  . . 

47 

38 

85 

|  After  previous  dis- 

Admitted  charge . 

3 

6 

9 

50 

45 

95 

j  Returned  from  Cri- 

l  minal  Asylum  .... 

0 

1 

1 

240 

287 

527 

Discharged  or  Removed  : — 

Recovered . 

11 

32 

43 

Relieved . .  . . 

2 

6 

8 

14 

38 

52 

Not  improved  . 

1 

0 

1 

■njpd  . 

25 

22 

47 

Remaining  December  31,  1867 

(including  the 

absent 

201 

227 

428 

Average  Number  resident  during  the  Year  ... 

200 

235 

435 

TABLE  2. 


SHOWING  THE  ADMISSIONS,  RE-ADMISSIONS, 
DISCHARGES,  AND  DEATHS  FROM  THE  OPENING  OF 
THE  ASYLUM,  ON  JUNE  1,  1852,  TO  DEC.  31st,  1867. 


Admitted  for  the  first  time 
Re-admitted  ............ 


Total  of  Cases  admitted 


Discharged  or  Removed : — 

Recovered . 

Relieved . 

Not  improved  . 


Died  . . . 

Remaining  31st  December,  1867  . 

Average  Number  resident  during  the  15|  Years 


M. 

F. 

T. 

200 

297 

497 

41 

56 

97 

27 

6 

33 

Males. 

Females. 

Total. 

706 

49 

721 

77 

1427 

126 

755 

798 

1553 

268 

359 

627 

286 

201 

147-6 

212 

227 

163.3 

498 

428 

310.9 

SHOWING  THE  ADMISSIONS,  DISCHAEGES,  AND  DEATHS;  WITH  ANNUAL  PEE  CENTAGE  OE 
EECOVEEIES  TO  ADMISSIONS;  AND  MEAN  ANNUAL  MOETALITY ;  SINCE  OPENING  OE  ASYLUM, 


Per  centage  of 

Deaths  on 

Average 

Numbers 

Resident. 

Total. 

h|CJ  “Hf 

NC5H^HO(NciOCiHOOir-oOO 

rH  rH  rH  rH  pH  rH  rH  pH  pH  ,—i 

H|Oto3M*H|Oi  H(0iH|WCO}^  HlCQHt* 

f=f  r- 4  rH 

M. 

H|NMHi  C0!rJ-r-l|CJ  COW  eOW'OWcoW  H|C4 

pH  pH  p-H  pH  pH  p-^  p^H  p- H  pH  r™— H 

Per  centage  of 
Recoveries 
on 

Admissions. 

Total. 

i-(|03C0MH|03r-i|(N  H|tt  H|C3 

lOCOmH®WOMrtN©CO®iHCOiC 

C^COCOCOCOTtlCO-'fCOCOCCCO'^CO'rtl 

Pm 

rH|C5MOJ  H|0)H|(S  rH[Ci 

TticocoiNcococo(MJST)Heoincooo®i-i 

c<j(NcocO(rciOTf(Tt(co-^iec-^TiHccj>. 

a 

’-'IN  h|«  HCJ 

t'iOtOrtOO>nTHCOOiO(M®(NoOM 
c^Ttieo-^HeotMiMcceorHrtic^eisciic^ 

Average 

Numbers 

Resident. 

Total. 

NiO®COOf'tOT|H->tlH(N©005COK5 

oooo^iot'fflocq-^icwojooHco 

iH!M!MlMCq(McOCOmMCOCOCOTt<^ 

Pm’ 

N(MrtlNiOCONN0tOCDONHOiO 

^O5OO(NCO^>O0NCOOHH(MCO 

HHHHHHHHHCDMCMfNCq 

a 

OeON®iOHfflt^co®®ocooot'© 

■ — it — 1 1 — f  i — <i — (i — i  i— 1 1 — ii — i — i  * — if~*i — n 

Remaining 
at  end  of 
Year. 

Total . 

OCCONH0OCO0fOQOCO-^H(MoO 
COCOfMCOCOOOOHOq^CDNCOOCO^ 
pHt— ic^c^cqcqcococococococo^TjHTiH 

Pm 

(M«QOCOO«OC3THC50t^O©0(Ml^ 
t'OOr-IC<l-H'M®®00  05rHr^(MTt<(N 

H  i— 1  H  p— t  r— <  r-H  t— (  r-H  I— 1  i-H  C-'J  O}  C  t 

a 

COCO(Mh|H(MOHiONCOpHCOtHHOH 

‘OGOHC4CO'^kOiO»O0N0r^GOQO 

pH  pH  pH  pH  pH  pH  iH  pH  pH  pH  pH  tH  pH 

Died. 

Total. 

COlCT^HQcOKKCOfMOQOCOaJ'^lS 

HC^CO(M(MCOOOCOCOT}HCOCO<^COr}< 

Pm 

oq»ocoj^oooj^TiHTf4Hf4cq<rorHiou^c<i 

rHrHrH 

a 

rHOH'^C500C00500CO»f5N'^0‘0 

** 

+ 

Escaped. 

Total. 

:  :h  :<m  :h  o 

Pm 

a 

.  .  *  ...III!  pH  *  rH  ;  pH  O 

Discharged. 

Not 

Improved. 

Total. 

1-1  :  : <m  :  :  :c5  :  :eoc<iTtt  ;hh 

Pm 

®  :  : 1  :  :  :©  :  :©<nco  :o© 

a 

I 

I 

I 

8 

461 

I 

I 

Relieved. 

Total. 

r-icortir-TPt^oomi-HTPrPiocooo 

•  rH  rH  pH 

Pm 

:OWWOt»«NCOHHrtHHM® 

a 

:i-H©c<ir-u>.Tt<coeOTP©eoeo-TH©®} 

Recovered. 

Total. 

CONfMiCrHHCOO^HOTHOiCiCeO 

CKMdCOWCO'^COCOCO'^COCOCOvtH 

Pm 

WrHGO(MCOCO0TH(MQcO0OCOeO^ 
rH  HHH(N(N(NH(MH(MC4C'iCO 

M. 

iOCOtHCCCO>C)(MCDC<1CTD*COO(M(MH 

rH  pH  pH  pH  pH  pH  pH  pH  rH  rH  pH  pH  pH  rH 

Admitted. 

Total. 

iOHCqO5^GO0(NcOCOOCOrfHiOtOiO 
^O00NQQQ(Nc0QOa)09  00OQ 

rH  H  rH  pH  rH 

Pm 

i>OOl>COCOO^D»NCDCO>CCOCOCO^) 

a 

E 

CO(MC<I(MCDON»OCOONCOCON(MO 

COOlO^TH'O^COCO^TH^COCOviiiO 

Years. 

50 

smioinmioinioiotDcototatotototD 

rticoixiooooooooooccoocooooooocococo 

t  20  of  the  admissions  in  1854  were  chronic  cases  received  for  five  years  from  the  Gloucester  Asylum ;  four  appear  in  the  obituary,  and  sixteen  among 

the  removed,  not  improved,  in  1859. 

t  The  escapes  were  all  of  Criminals,  who  were  strangers  to  this  county ;  three  of  the  Males  were  nearly  convalescent  when  they  escaped ;  and  one  was 

supposed  to  be  feigning  insanity.  The  Female  was  re-taken  after  an  absence  of  about  five  months. 


SHOWING  THE  HISTOEY  OF  THE  ANNUAL  ADMISSIONS  SINCE  THE  OPENING  OF  THE  ASYLUM, 
WITH  THE  DISCHAEGES  AND  DEATHS,  AND  NUMBEES  OF  EACH  YEAE  EEMAINING  ON 

DECEMBE  31,  1867. 


(3  <b 

‘S  ^ 

S  C5 

P5  ® 


CO  CO 
P  « 

o  ^ 

•  P*  • 

CO  o 

.a  « 

'd  « 


Total. 

f^C^X^HCiCOCCO^CqHtO'OrHr-lO 
*0  C}  f-Hr-Hr— (f-HCqr— (CSCOCSCqCOvO^ 

cc 

cq 

P 

HC0lM'ftfHmM0)H«t<N!0O^  1  t- 
CC  f==)  f=H  pH  rH  pH  cq  pH  r=H  rH  CO  Cq  |  Cl 

1  cq 

si 

COC5vO^*^l>“05COGOpHCOrHrtCvOp-jf— 
cq  r-H  r-H  pH  pH  r-H  Cq  CM 

rH 

Total  1  oooot^mccOQOrooo^rtiofflmt^rH 
i.  uicu.  j  tomiMMrtmiMmNtocoMr-ioiHiM 

CO 

3 

P 

OOiONiarHfflMHWOrtO'OOt'ffi 

CO  rH  pH  pH  pH  r-H  pH  r-H  Cq  r-H  pH  r-H 

212 

M. 

OcovocOTtcpHioaovoTttcqiOrHcoocq 

CO  cq  H  , — KMClHMHHCqHHHHH 

286 

a 

'd 

<1 

CO 

%H 

* 

CO 
r  GO 

rd  rH 
o  ~ 
d  fH 

a?  <d 

*s  a 

'd  o 

CD  CD 


h3  cq 
d  r-H 
d*° 

CD 

&D 

Jh 

& 

A 

O 

co 

»rH 

Q 

4^> 

o 

H 


<D 


Not 

Improved. 

Total. 

HHffl  -  ;  ;  r- 1 

vO 

CO 

ps 

1M 

o 

rH 

M. 

H  H  CD  l  :  PH  cq  '  *  rH  pH  pH  *  .  pH 

pH  •  •  •  »  ... 

VO 

cq 

Relieved. 

Total. 

•vjOCOTfcqciCivOCOCOTtlT^COTtlvOCO 

.  *  pH  pH  pH 

vO 

CO 

P 

Ico^cqaiftTjHOiflHiMoiMHcoeq 

Cq 

10 

a 

:cqcqcqcot^uocor-Hcqcq'»fpHcocqpH 

CO 

Tf 

d 

CD 

JH 

CD 

O 

O 

o> 

PH 


Total. 


OtCCOHlONTHCOOlOHOCONlMH 

Hcoc^cowco^cococococococqcoiM 


05 


p 

GOCOCqCOCOCOGOrHGOCOir^COCOpHCOCq 

r-HpHpHHcqcqcqHcqr-HpHcqcqcqH 

!>. 

05 

cq 

M. 

r-ft^TtliOC<lHtlCD>C<NC<lTtlcqC<)COC503 

r-H  rH  rH  pH  pH  pH  pH  pH  pH  pH  pH  pH  rH 

200 

d 

'  CD 
t£ 

o3 

rd 

<d 


CO 

d 

o 

•  rH 

CO 

CO 

•rH 

a 

•d 

<1 

CO 

c3 

<D 


rd 

o 

d 

CD 


CO 

Total. 

pH  *  *  pH  (Cl 

I  r-H  pH  Cq 

:  cq  pH  CO  GO  pH 

** 

47 

CO 

pH 

g 

•  rH 

Died. 

P* 

:  :  :  : 

:  cq  cq  cq  vo  go 

22 

HH 

!  !  !  r-H  • 

I  pH  r-H  Cq 

:  :  Cq  rH  pH  CO  CO 

vO 

•  r-H 

^4 

...  * 

■ 

•  •  r-H 

'O 

CD 

4-3  > 

o  o 


Total. 


pH 


d 

CD 

CD 

•  r-H 
pH 

<D 

PH 


Total . 


:  :  r-H  co  cq 


Ph 


:  co  cq 


S 


cq 


d 

o 

P 

<D 

O 

o 

CD 

Ph 


Total . 


<  cq 


co  cq 
r-l  cq 


CO 

Tf 


Ph 


I  rH  r-H  r-H  Cq  *0  Cq 


cq 

co 


a 


I  r-H  O 


Total . 


»OrH(MC5^COCCCqcCCDOOO^iO 

tJHOo0  1>.0500>C^C0050COGOGO 


VO  »0 
O  C5 


co 

VO 

VO 


d 

CD 

d 

<D  . 

W  CO 

Ph  <D 

p 

OrHcocqHcqcoTHooovococoascqvo 

r-H  rH 

*>» 

4-3 

4^> 

•  rH 

1 

o3  ^ 
r^H  O 

a 

ociHiooaowiNON^cqosn 

o 

<1 

CO 
l>  CD 

p 

N®NioN®®notD»ffio®HO 

i^-TtiCtCO-rt'T-TiOCO'TTticO-TeOiO-T 

pH 

cq 

*>. 

hr  133 

a 

■t 

UOOHNHIN(N(3lT)(OiOfflfflMOS 

CDiOiOCOrtlTtTtl®DCCTtlTtlcOCOCOCOTt 

CO 

o 

r— 

CO 

Jh 

c$ 

<D 


(O  Ml 

rt(MM'#ir5tONOOroOHNMTH'OtOf' 
+3”i.o>oinininioioiotD®cc®ffl«ocfltD 
to  □ooooooooooqooooooococoooooqooooo 

C3  jHHHHHHHHHHHHrtrtHH 

P 

w  o 


o 

H 


17 


TABLE  5. 

SHOWING  CAUSE  OF  DEATH  DUEING  YEAE  1867. 


Causes  of  Death. 

M. 

F. 

T. 

Apoplexy  and  Paralysis . .  ,, 

3 

2 

5 

Epilepsy  and  Convulsions . 

1 

1 

2 

Tumour  of  Brain . , _ , 

1 

0 

1 

General  Paralysis  . . . 

3 

4 

7 

Chronic  disorganization  of  Brain . 

8 

2 

10 

Maniacal  Exhaustion . 

0 

3 

3 

Pneumonia  . . . 

1 

0 

1 

Phthisis  . 

4 

1 

5 

Marasmus  (Chronic  Disease  of  Stomach'! . 

0 

1 

1 

Diarrhoea  . . . 

1 

0 

1 

Ovarian  Dropsy  . 

0 

1 

1 

Decay  of  age . 

1 

6 

7 

Accident  (2  Choking :  1  Fracture1) . 

2 

1 

3 

Total . 

25 

22 

47 

TABLE  6. 

SHOWING  THE  LENGTH  OF  EESIDENCE  IN  THOSE 
DISCHAEGED  EECOVEEED,  AND  IN  THOSE  WHO 
HAVE  DIED  DUEING  THE  YEAE. 


Length  of  Residence. 

Recovered. 

Died. 

M. 

F. 

T. 

M. 

F. 

T. 

Under  1  month . 

0 

0 

0 

4 

5 

9 

From  1  to  3  months . . . 

6 

2 

8 

3 

0 

3 

„  3  ,,  6  ,,  . . . 

2 

15 

17 

5 

4 

9 

„  6  „  9  ,,  . . . 

3 

5 

8 

2 

3 

5 

„  9  „  12  „  . 

0 

4 

4 

0 

0 

0 

„  1  „  2  years . 

0 

2 

2 

2 

3 

5 

0 

2 

2 

2 

0 

2 

0 

2 

2 

2 

3 

5 

0 

0 

0 

2 

1 

3 

„  7  „  10  „  . 

0 

0 

0 

2 

0 

2 

„  10  „  12  „  . 

0 

0 

0 

0 

2 

2 

,,  12,5  15  >)  . . . . 

0 

0 

0 

1 

0 

1 

Over  15  „ 

0 

0 

0 

0 

1 

1 

Total . . 

11 

32 

43 

25 

22 

47 

IB 


n 

<1 

H 


SO 

O 

03 

02 


fi 

<1 

w 

§ 

h- 1  rH 


£ 

o 


p 

<! 

m 

N 


m 
m 

i— i  _  _ 

I  I 

^  g 
o  5 


R 

02 

w 

H 

<J 


P 

§ 

i  g 

P  H 
p  0 

0  5 


p  CO 

O  P 
.  P 
g  P 

B  w 
3  S 

R  M 

P  P 


19 


TABLE  8. 


SHOWING  THE  AGES  OF  THE  ADMISSIONS,  DISCHARGES, 
AND  DEATHS,  DUBING  THE  YEAE  1867. 


Ages. 

Admissions. 

Disch 

Recovered. 

arges. 

Removed, 
Relieved,  or 
otherwise. 

Deaths. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M, 

F. 

T. 

From 

5  to  10  years 

4 

0 

4 

0 

0 

0 

0 

0 

0 

0 

0 

0 

lu ,,  10  ,, 

1 

0 

1 

0 

0 

0 

0 

0 

0 

0 

0 

0 

>> 

15  ,,  20  3, 

2 

1 

3 

0 

1 

1 

0 

1 

1 

1 

1 

2 

>> 

20  ,,  30  „ 

11 

10 

21 

2 

9 

11 

1 

1 

2 

5 

0 

5 

3u  ,,  4u  „ 

9 

8 

17 

1 

6 

7 

0 

0 

0 

4 

3 

7 

j? 

40  ,,  50  ,, 

13 

9 

22 

5 

6 

11 

0 

1 

1 

6 

4 

10 

» 

5(J  ,,  00  ,, 

5 

8 

13 

2 

7 

9 

1 

2 

3 

3 

4 

7 

6u  ,,  70  ,, 

4 

4 

8 

0 

O 

o 

3 

1 

0 

1 

5 

2 

7 

70  ,3  80  3, 

1 

5 

6 

1 

0 

1 

0 

1 

1 

0 

7 

7 

80  3,  yo  ,, 

0 

0 

0 

0 

0 

0 

0 

0 

0 

1 

1 

2 

Total .... 

50 

45 

95 

11 

32 

43 

3 

6 

9 

25 

22 

47 

TARLE  9. 


CONDITION  AS  TO  MAEEIAGE  IN  THE  ADMISSIONS, 
DISCHAEGES,  AND  DEATHS,  DURING  THE  YEAE  1867. 


Condition  in 
reference 
to  Marriage. 

Admissions. 

Disch 

Recovered. 

arges. 

Removed, 
Relieved,  or 
otherwise. 

Deaths. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F, 

T. 

Single  . 

21 

15 

36 

3 

10 

13 

1 

2 

3 

10 

9 

19 

Married  . 

27 

23 

50 

7 

19 

26 

2 

3 

5 

13 

6 

19 

Widowed  . . 

1 

7 

8 

0 

3 

3 

0 

1 

1 

1 

7 

8 

Not  known . 

1 

0 

1 

1 

0 

1 

0 

0 

0 

1 

0 

1 

! 

Total. . . . 

50 

45 

95 

11 

32 

43 

3 

6 

9 

25 

22 

- 

47  j 

TABLE  10. 

CONGENITAL  IDIOTS,  AMONG  THE  POOEEE  CLASSES,  IN  THE  COUNTY  OF  WAEWICK, 


20 


£ 

H 


P3 

M 

pq 

O 

k- 
I— I 

m 

t> 

i-3 

o 

M 


j 

Total. 

Total. 

d  p-1  CO 

I-  O  CO 

j— 1  r*H 

f — * 

CO 

CO 

28 

60 

88 

CD 

r>» 

i-H 

M. 

r*H  O 

^  o 

t-H 

kO 

CO 

r-H 

Of  whom  subject 

to  Fits. 

Total. 

05  CD  O 

H  CN 

kO 

co  a 

CO 

r-H 

6 

7 

14 

ci  • 

Over  20  years 
of  age. 

Total. 

OS  CO  CO 

kO  CO  ^ 

CO 

kO 

d 

1—  d  CO 

c<j  »o  *o 

135 

M. 

32 

34 

57 

CO 

d 

t-H 

Of  whom  subject 

to  Fits. 

Total. 

6 

4 

20 

30 

i-i  Tjk  kO 

10 

• 

3 

5 

0 

15 

20 

Under  20  years 
of  age. 

Total. 

CO  kO  kO 

1— !  1— 1  l" 

CO 

o 

1— 1 

1 

8 

32 

41 

% 

CO 

H  TH 

62 

In  County  Asylum  .......... 

In  Workhouses  . 

*  Living  with  Friends  . . 

Total  . 

•  Returns  were  obtained  from  only  about  180,000  out  of  a  Population  of  about  270,000. 


21 


DIETARY  TABLE. 


MEN. 


WOMEN. 


BREAKFAST. 

One  Pint  of  Coffee. 

Six  Ounces  of  Bread  and  |  Ounce  of 
Butter. 


DINNER. 

Cooked  Meat,  free  from 
bone,  Ounces ; 

Bread,  4  Ounces;  Beer, 
Half  a  Pint;  Vegeta¬ 
bles,  about  12  Ounces. 
.Meat  and  Potato  Pie — 
Crust,  12  Ounces  ; 
Cooked  Meat,  1 1  Ounces; 
Beer,  Half  a  Pint. 
Saturday— Soup,  1  Pint ;  Bread,  6 
Ounces ;  Beer,  Half  a 
Pint. 


Sunday 

Tuesday 

Wednesday 

Friday 

Monday 
Thursday , 


SUPPER. 

Six  Ounces  of  Bread,  2  Ounces  of 
Cheese,  Half  a  Pint  of  Beer ;  or  1 
Pint  of  Tea,  6  Ounces  of  Bread,  and 
|  Ounce  of  Butter. 


BREAKFAST. 

One  Pint  of  Coffee. 

Five  Ounces  of  Bread  and  §  Ounce 
of  Butter, 


DINNER. 


Sunday  ")  Cooked  Meat,  free  from 
Tuesday  I  Bone,  4|  Ounces ; 

Wednesday  f 

Friday  j  bles,  about  .12  Ounces.  ^ 

(Meat  and  Potato  Pie — /’i  -//*  *- 

Crust,  10  Ounces 
Cooked  Meat,  1|  Ounces ; 

Beer,  Half  a  Pint. 

Saturday— Soup,  1  Pint;  Bread  5^“ 

Ounces ;  Beer,  Half  a 
Pint. 


SUPPER. 

One  Pint  of  Tea,  Five  Ounces  of 
Bread,  §  Ounce  of  Butter. 


N.B.— Soup  for  One  Hundred  Patients,  to  be  made  of  Liquor  of  Meat  cooked 
the  previous  day,  with  14  lbs.  of  Leg  or  Shin  of  Beef,  7  lbs.  of  Peas,  6  lbs.  of  Bice, 
3  lbs.  of  Scotch  Barley,  5  lbs.  of  Onions,  Salt,  Pepper,  and  Herbs. 

Extras.— For  men  employed  as  Ward-helpers,  or  in  out-door  labour:  in  the 
middle  of  the  Forenoon,  Half  a  Pint  of  Beer,  2  Ounces  of  Bread,  and  Half  an 
Ounce  of  Cheese  ;  and  at  Four  p.m.,  Half  a  Pint  of  Beer.  For  Women  employed 
as  W  ard-helpers,  or  in  the  Kitchen  or  Laundry,  Beer,  Bread,  and  Cheese,,  in 
Forenoon,  as  Men.  The  Sick  to  be  dieted  at  the  discretion  of  the  Medical  Superin¬ 
tendent. 


22 


STATEMENT, 

Showing  the  Total  Maintenance  Expenses  for  the  Year  ending 

31s£  December ,  1867. 


The  Avebage  Numbeb  of  Patients  in  the  Asylum  foe  the 

Yeae  1867  was  435. 


Ayeeage  Weekly  Cost  of  Maintenance,  Medicine,  Clothing, 
and  Cabe  of  Patients  Dubing  the  Yeae  1867. 


Total  Cost  for  ICost  per  Head 

the  Year. 

per  Week. 

£.  s.  d. 

£.  s.  d. 

Salaries  and  Wages  . 

1,943  7  01 

0  1  8| 

Provisions  (including  all  articles  of  Diet, 

excepting  Wine  and  Spirits)  . . 

5,345  16  1 

0  4  81 

Wine  and  Spirits  . 

34  19  0 

0  0  01 

Necessaries  (Duel,  Lighting,  Washing,  &c.) 

1,398  16  6 

0  1  21 

Surgery  and  Dispensary  . 

61  2  5 

0  0  0! 

Clothing  . 

742  14  3 

0  0  7! 

Purniture  and  Bedding  . 

482  5  01 

0  0  5 

Funeral  Expenses . 

24  3  11 

0  0  01 

Garden  and  Farm . 

496  1  61 

0  0  51 

Bates  and  Taxes . 

5  14  11 

0  0  01 

Miscellaneous — Books,  Advertising,  Print¬ 
ing,  Stationery,  Postages,  Travelling 

Expenses,  &c . 

169  19  1 

0  0  1! 

10,705  0  51 

0  9  51 

Less  Eeceipts  from  Sales  of  Produce, 

Labour,  &c . 

411  5  111 

0  0  41 

£10,293  14  6 

0  9  1 

s.  d. 

Total  Average  W eekly  Cost  per  Head  .  9  1 


s.  d. 

Weekly  Charge  for  Paupers  from  Counties  or  Boroughs  to 

which  Asylum  belongs  .  9  01 

Ditto  ditto  from  other  Counties  or  Boroughs  . 14  0 

Ditto  ditto  for  Private  Patients  . 11  1 


23 


STATEMENT, 

Shewing  the  Quantities  of  the  Principal  Articles  of  Provisions,  £fc., 

consumed  during  the  Year  1867. 


LBS. 

LBS. 

Beef  ... 

O  « » 

45,195 

Corn  Flour 

... 

243 

Mutton 

... 

36,954 

Tobacco 

..a 

287 

Veal  ... 

... 

3,602 

Snuff  . . . 

... 

64 

Pork  (home  fed) 

• 

2,687 

Soap 

a  a  a 

9,263 

Bacon  (ditto) 

... 

2,766 

Soda 

a  a  a 

3,182 

Bread  (home  made) 

160,058 

Starch  ... 

a  a  . 

166 

Butter  (supplied  from  Farm) 

655 

Blue 

a  a  « 

31 

Ditto  (bought) 

... 

3,765 

Mustard 

... 

203 

Cheese 

0.9 

7,801 

Pepper  ... 

«  •  • 

146 

Coffee 

1,179 

Vinegar 

at. 

114  Pints. 

Chicory 

... 

546 

LBS. 

Tea  ... 

a  «  • 

1,124 

Salt  ... 

a  a  a 

...  4,844 

Malt 

.. 

.  1,119  Bushels. 

Saltpetre 

a  a  • 

37 

LBS. 

Black  Lead 

a  a  a 

148 

Hops... 

a  a  • 

a  a  a 

1,119 

Eggs  ... 

a  a  . 

3,740 

Flour  . 

a  a  a 

a  a  a 

129,090 

Blacking 

a  a  a 

1,280  Packets. 

Rice  ... 

... 

a  a  a 

4,304 

T.  C.  Q. 

Scotch  Barley 

a  0  a 

a  a  . 

312 

Coals  ... 

a  o  a 

...  962  15  3 

Peas  ... 

•  •  . 

636  Quarts. 

Gas  Coals 

a  a  a 

...  77  3  1 

LBS. 

Coke  ... 

«  a  a 

...  22  4  0 

Lump  Sugar 

•  a  a 

57 

Wine  ... 

•  a  a 

...  129  Bottles. 

Moist  ditto 

«  o  • 

8,178 

Spirits... 

a  a  a 

...  98  „ 

Treacle 

a  «  a 

46 

Potatoes  (home  grown) 

...  276  Bushels. 

Rasins 

a  a  a 

81 

Ditto  (bought) 

...  699  „ 

Currants 

a  a  a 

1,108 

Cabbages 

•  o  a 

...  142  „ 

Carraway  Seeds 

a  a  a 

361 

Brocoli  and  Cauliflower 

...  6  „ 

Candles 

a  a  a 

846 

Turnips 

a  a  * 

...  30  ,, 

Ale  (home  brewed) 

3,023  Gallons. 

Carrots 

a  a  a 

...  63  „ 

Beer  (ditto) 

a  a  a 

15,422 

y> 

Parsnips 

a  a  a 

...  123  „ 

Cider  ... 

•  a  a 

1,317 

9) 

Peas  ... 

II* 

...  34  „ 

Milk  (supplied 

from 

Beans  ... 

a  a  a 

...  83  „ 

Farm) 

a  •  a 

4,123 

99 

Onions 

a  a  a 

...  25  „ 

Ditto  (bought) 

ill 

467 

99 

Rhubarb 

«  9  » 

...  66  „ 

CONTRACT  PRICES  OF  THE  PRINCIPAL  ARTICLES  DURING  THE  YEAR  1867. 


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N,B.— £15  per  Cent,  for  wear  and  tear  is  deducted  from  the  value  of  the  Implements  on  the  1st  of  January,  and  the  value  of  the  New  Stock  during  the  Year  added. 


28 


Dr.  G AUDEN  AND 

Value  of  Stock,  1st  January,  1867, 
as  per  Schedule  : — 

£.  8.  d.  £.  s.  d. 

Live  Stock  ...  ...  ...  ...  ...  246  15  0 

Dead  Stock  ...  ...  ...  ...  ...  354  0  1 


To  Payments  for 

Live  Stock,  Provender,  Implements,  Seeds,  Plants, 

and  Sundries,  as  per  Garden  and  Farm  Account  ...  310  11  7 

-  310  11  7 

Labour  : — 

Bailiff’s  Wages  ...  ...  ...  ...  ...  46  16  0 

Wages  chargeable  to  Garden  and  Farm  Account  ...116  19  0 

-  163  15  0 


Balance  ... 


FARM 

£.  s.  d. 

600  15  1 

474  6  7 

1075  1  8 
163  13  1 


£1238  14  9 


29 


ACCO  UNT — Continued. 

By  Cash  for  Cow ... 

By  ditto  Wheat 
By  ditto  Plants 
By  ditto  Calves 
By  ditto  Cow... 

By  Team  Work  (2  Horses)  not  connected  with  either 
Garden  or  Farm,  97  days  each,  at  4s.  per  day  each 

By  Vegetables  supplied  to  Asylum, 
viz. 

Potatoes,  276  bushels  2  gallons,  at  3s.  6d.  per  bushel 
Cabbages,  142  bushels  5  gallons,  at  Is.  6d.  per  bushel 
Brocoli  and  Cauliflower,  6  bushels  3  gallons,  at 
3s.  6d.  per  bushel 

Turnips,  30  bushels  5  gallons,  at  Is.  per  bushel 
Carrots,  63  bushels  6  gallons,  at  Is.  6d.  per  bushel 
Parsnips,  123  bushels  5  gallons,  at  Is.  per  bushel 
Peas,  34  bushels  1  gallon,  at  Is.  6d.  per  bushel 
Beans,  83  bushels,  at  Is.  3d.  per  bushel 
Onions,  25  bushels  1  gallon,  at  4s.  per  bushel 
Rhubarb,  66  bushels  2  gallons,  at  2s.  per  bushel 
Fruit 

Cucumbers,  Celery,  Leeks,  and  Herbs 

By  Butter  and  Milk  supplied, 
viz. 

Butter,  5551bs.,  at  Is.  2d.  per  lb. 

Milk,  4372  gallons,  at  Is.  per  gallon 

By  Pork  and  Bacon  supplied, 
viz. 

Pork,  2994|lbs.  (consumed),  at  6^d.  per  lb. 

Ditto,  521|lbs.  (in  store),  at  ditto 
Bacon,  25881bs.  (consumed),  at  ditto 
Ditto,  2065|lbs.  (in  store),  at  ditto 

By  value  of  Stock,  31st  December,  1867, 
as  per  Schedule  : — 

Live  Stock  ...  w 

Dead  Stock 


£.  s.  d. 


48  6  10 

10  13  11 


1  2 
1  10 

4  15 
6  3 
2  11 

5  3 

5  0 

6  12 

4  0 

5  0 


4 

7 

7 

7 

2 

9 

6 

6 

0 

0 


32  7  6 
218  12  0 


£.  s.  d. 
14  0  0 
44  1  0 
0  1  10 
5  15  0 
13  10  0 

38  16  0 


101  0  9 


250  19  6 


81  1  10£ 
14  2  7 
70  1  10 
55  18  7£ 


221  4  11 


264  0  0 
285  5  9 


Or. 

£  *  s .  d . 


116  3  10 


573  5  2 


549  5  9 
£1238  14  9 


30 


GENERAL 

Of  Receipts  and  Payments  on  the  Maintenance  and  Building 

KECEIPTS. 

MAINTENANCE  ACCOUNT. 

£.  8.  d.  £.  8.  d. 

Balance  in  hand .  166  6  6 

From  Sales  of  Produce,  &c .  dll  5  111 

„  Pauper  Patients  from  Counties  and 

Boroughs  to  which  Asylum  belongs...  10,021  19  8 
„  Pauper  Patients  from  other  Counties  and 

Boroughs  . .  17  0  0 

„  Private  Patients  .  202  5  5 

- 10,818  17  61 

BUILDING  ACCOUNT. 

From  Bates .  8,799  9  9 

„  Sale  of  Sand  .  5  16  0 

-  3,805  5  9 


31 


STATEMENT 

Accounts  from  the  ls£  of  Jan.  to  the  31  st  of  Dec.,  1867. 


PAYMENTS. 


MAINTENANCE  ACCOUNT. 


£. 

s. 

d. 

Salaries  and  Wages  . 

•  •  •  • » • 

1,943 

7 

01 

Provisions  (including  all  articles 

of  Diet 

excepting  Wine  and  Spirits)... 

« « •  •  •  • 

5,345 

16 

1 

Wine  and  Spirits  . 

•  •  •  •  t « 

34 

19 

0 

Necessaries  (Fuel,  Light,  Washing 

&c.)  ... 

1,398 

16 

6 

Surgery  and  Dispensary  . 

•  #  •  •  •  • 

61 

2 

5 

Clothing  . 

•  •  •  •  o  a 

742 

14 

3 

Furniture  and  Bedding . 

»  *  •  a  •  • 

482 

5 

8£ 

Funeral  Expenses  ...  . . 

a  a  a  a  a  a 

24 

3 

11 

Garden  and  Farm . 

a  a  a  a  a  a 

496 

1 

61 

Rates  and  Taxes  . 

a  a  a  a  a  a 

5 

14 

11 

Miscellaneous — Books,  Advertising,  Print¬ 
ing,  Stationery,  Postages,  Travelling 

Expenses,  &c .  169  19  1 

-  10,705  0  51 

BUILDING  ACCOUNT. 

Building  and  Eepairs  .  691  13  4 

Loan  and  Interest .  3,035  12  10 

- -  3,727  6  2 


Total  Payments  . 

Balance  in  hand  31st  December  ... 


SIR  R.  N.  C.  HAMILTON,  BART., 
J.  T.  ARKWRIGHT,  ESQ., 


14,432 

6 

71 

191 

16 

8 

£14,624 

3 

31 

Auditoes. 


P.  P.  SANDERS,  Cleric. 


*  * 
* 


For  Building  Loan  Account ,  see  next  Page. 


BUILDING  LOAN  ACCOUNT. 


Amount  of  Money  borrowed  from  the  Economic 

Assurance  Company  . 

I? aid  off  . . .  .I.  •••  •••  1 1 •  •  i *  1 1 1  i •  *  «•' 


£.  s.  d. 

55,000  0  0 
29,333  6  8 


Balance  remaining  due  31st  December,  1867 


£25,666  13  4 


