Good Effects on the Poorer Classes of the Insane of Frequent Visits by Relatives
We are in this peculiar and almost unique position in Scotland, that while our number of yearly admissions increase, our numbers left at the end of the year have diminished for the past three years. There are several causes for this. Our recoveries are very numerous, and a large number of unrecovered but quiet cases are removed, at my advice, by their Mends. Our proximity to town, and the extraordinarily ready access provided by the tramways, are circumstances which most people, and among them many high authorities in lunacy matters, would consider great disadvantages. Their effect is to bring the relatives of our poorer patients out to the Asylum to visit them to an extent quite unknown in country Asylums. In this way an interest in them is kept up, and very few of them indeed are forgotten and neglected by their kith and kin. This is an influence which often saves them from falling into incurable insanity, it gives many of them unbounded pleasure, it keeps alive home feelings and associations, and it brings a direct public opinion of the most unsleeping and critical kind to bear on the officers and attendants of the institution—all matters of incalculable importance, and much difficulty of attainment. When the relatives of patients see that the acute symptoms have passed off, they are often disposed to take them out for a day to see how they get on. If this succeeds, they try them at their usual employment, and if they do well, are often anxious to have them home altogether. It is by this most natural of all means that any undue accumulation of the incurably insane has been avoided for the past three years, and the problem of how to provide for such, which is so urgent in many parts of the kingdom, has been solved for us at no cost to the rates whatever. I find from the Report of the Commissioners in Lunacy, that Edinburgh is the only county in Scotland, the majority of whose population is urban, where the numbers of the registered insane, whether in Asylums or not, have absolutely diminished for the last three years.—Report of Royal Edinburgh Asylum for 1875.