PROVISION FOR THE INSANE 117 



shower baths arc preferred to tii])S for all ordinary purposes. 

 From time to time convalescent patients are transferred to the 

 colony for a short residence before being discharged. This 

 serves a double purpose of giving such cases an opportunity 

 to demonstrate their al^ility to live under surroundings more 

 nearly approximating home life. The discharge to their 

 homes from time to time of patients from the colonies removes 

 from the minds of those remaining, a feeling that a transfer to 

 these houses means a permanent stay in the institution. The 

 sentiment "abandon hope all ye who enter here" must not be 

 writ over the entrance to any portion of the modem institution 

 for the insane. 



The legislature of Michigan has established in connection 

 with the medical school at the University of Michigan, at Ann 

 Arbor, a psychopathic hospital having forty beds, for the care 

 and treatment of mental and nervous cases. This hospital is 

 erected in conjunction with the other university hospitals, and 

 though not yet furnished nor opened, it is expected that at an 

 early date it will be ready to receive cases from various parts 

 of Michigan. Patients are admitted to it upon certificates of 

 attending physicians. They may be transferred from the 

 psychopathic hospital to the asylum of the district of which 

 they are residents, and those under treatment in the state asy- 

 lums may, if a reason arises for so doing, be sent to the psycho- 

 pathic hospital for observation and treatment. It is expected 

 to give much attention to the study of the various conditions 

 arising in the patients who are admitted to this psychopathic 

 hospital. Negotiations are under way to place it under the 

 immediate care of one of the leading psychiatrists in America. 

 It will serve not only as a place for the care and cure of psycho- 

 paths and neuropaths, but w^ill afford most admirable facilities 

 for the study of nervous and mental conditions by medical 

 students, an opportunity for doing which has been sadly lack- 

 ing in our American medical schools. 



The arrangement outlined meets many of the require- 

 ments for a modern asylum. The small hospitals for recent 

 cases enable such to receive special attention without coming 

 into contact with distressing or disturbing factors inseparably 

 connected with residence among chronic cases. The asylum 



