| Description Of Item | From the collection of the Society for Improving the Conditions of the Insane relating to asylums. The meeting at which the form was decided was held at the Lancaster Asylum on 2nd and 3rd June 1842. The forms require the name of the patient, class in reference to rate of payment; sex; age; single or married; number of children; occupation; degree of education; religion; habits of life (ie temperate etc); temperament; original disposition and intellect; duration of disorder on admission; apparent or alleged causes; form of mental disorder; particular propensities and hallucinations; accompanying bodily disorder; changes in the form of the disorder before discharge; date of admission; date of discharge; result; causes of death; and observations. Examples of how to fill out the form are given. Collected by the Society for Improving the Conditions of the Insane. |