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January 12, 1895


JAMA. 1895;XXIV(2):37-41. doi:10.1001/jama.1895.02430020001001

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Shall the State have the custody of all its insane, or shall certain classes be relegated to county care? Shall the State care for the acute and the chronic insane separately or shall the hospital and the asylum be combined in one institution? Shall employment, especially agricultural, be afforded the patients, and if so to what extent? Should epileptics be received into insane hospitals or should they be cared for in a separate institution? Should any class of the insane be "boarded out," as practiced at Gheel, in Scotland and in Massachusetts? What should be the scope and design of the modern institution for the insane? These are questions of perennial and engrossing interest to the social economist, the legislator, the executives of our States and to the public at large, and they will be considered, with especial reference to the present status in Illinois, as fully as the limits

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