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December 3, 1892


JAMA. 1892;XIX(23):676-677. doi:10.1001/jama.1892.02420230026006

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The rapid increase of the number of private asylums in this country, indicates a revolution in the methods of treatment. Dependence on locks and bars, and chemical restraint by drugs is giving away to surroundings and hygienic measures, adapted to suit the wants of each individual case. In England all private asylums for the insane and feeble-minded, are registered and under the control of the commissions of lunacy, who visit them, and require that they keep a record of all cases. In this country no public oversight is exercised, and the number and variety of such places depend on commercial wants and conditions, as interpreted by the owners and managers. The lunacy report of Great Britain for 1891, shows that the number of these asylums are eighty-six, and the number of patients is steadily increasing. For 1891 this increase was one hundred and eighteen patients. The suicides and injuries reported

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