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January 19, 1895


JAMA. 1895;XXIV(3):84-88. doi:10.1001/jama.1895.02430030014001g

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THE INSTITUTION.  Capacity.—The first questions to be asked in designing an institution for the insane is, What shall be its initial, and what its ultimate capacity? If these are to be the same it may be constructed upon rigid lines; if both are known only a limited degree of flexibility of design is necessary; but if, as is usually the case, the initial capacity is known, while the ultimate capacity is a decidedly unknown quantity, then the design should be so elastic that future extensions may be economically made, to any reasonable extent, without marring the symmetry or incurring any loss of balance. The truth of this proposition has been so often demonstrated that it should not only be frankly acknowledged, but heeded as well. Without going into any argument upon the subject, we should also acknowledge the fact that the irresistible tendency of the times is toward large institutions.

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