Rapid extension in the demand for accommodation, 125.--Illustrated by
reference to the Middlesex asylums, 125.
§ _Separate asylums for the more recent and for chronic cases._
Objections to such separate establishments, 126.--Examination of the
value of these objections, 127.--Cases to be transferred from one
institution to the other, how determined, 128.--Mixture of recent with
chronic cases undesirable, 128, 130.--Examination of the present
relative position of acute and chronic cases, 129.--Separate treatment
of recent cases desirable, 131.--Influence of distance on the utility
of an asylum as a place of treatment, 131.--Borough asylums,
131.--Many chronic cases removable from asylums, 132.--Less expensive
buildings needed for chronic cases, 132.--Views of the Lunacy
Commissioners on these points, 132.--Evidence of Lord Shaftesbury,
134.--French system of dividing asylums into 'quarters,'
135.--Permissive power of Lunacy Act to build distinct asylums for
chronic cases, 135.--On the powers of the Home Secretary to control
asylum construction, 136.--Amendment of present Act proposed, 136.--On
mixed asylums, for recent and chronic cases together,
137.--Conditions under which distinct institutions are desirable,
138.--Advantages of an hospital for recent cases, 138.--Number of
inmates proper in such an hospital, 139.--Regulations required in it,
139.--Organization of asylums for chronic cases, 140.--Union of
counties for the purpose of constructing joint asylums, 140.
§ _Construction of distinct sections to asylums._
German system of 'relative connexion' of asylums for recent and
chronic cases, 141.--Proposition of Lunacy Commissioners to place
industrial classes of patients in distinct wards, 142.--Advantages of
separate sections, 143.--Objections to a purely 'industrial
classification' of patients, 144.
§ _Distribution of the chronic insane in cottage homes._
Subdivision of asylums for chronic cases, 145.--Illustration of
cottage provision for the insane at Gheel, 145.--The system at Gheel
impracticable as a whole, 146.--The 'cottage system' deserving of
trial under proper restrictions, 146.--Suggestions as to the
arrangements required, 146.--'Cottage system' supplementary to
asylums, 147.--Economy of 'cottage system,' 147.
§ _Separate provision for epileptics and idiots._
Epileptics need separate provision, 148.--Idiots not fit inmates of
lunatic asylums, 148.--Idiots require special asylum provision,
149.--Removal of idiots from workhouses, 150.