Excerpt from Report of the Commissioners of Lunacy to the Commonwealth of Massachusetts: January, 1875
Another thought connected with this review is, that almost one-half of all the insane in the State remain still outside of the hospitals. It is true, some of them may be well provided for; but as far as cure and treatment are concerned, they surely cannot, in the acute stages of the disease, have as good advantages. Besides, what aggravates the matter is, that we know so little about them as a whole. There are undoubtedly some acute cases of insanity in private houses and in alms houses that should at once he transferred to the hospital. The commission of 1854 found over three hundred such cases, and there is good reason to believe such still exist. This ignorance and these wrongs will continue until some steps are taken by legislation to cause this whole field to be more carefully surveyed, and proper measures taken to correct existing evils.
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