. The institutional care of the insane in the United States and Canada . ainst escape and does not mar the appear-ance of the building. Some of the wards are supplied with largeday porcheSj giving patients the opportunity of fresh air underall conditions of the weather. The baths and toilet rooms haveterrazzo floors, with modern plumbing and shower and tub baths. The original building cost $375,000 and accommodated 350patients. To-day the estimated cost of the institution is $980,000. In 1852 there was a demand for another state institution, as theEastern Asylum, at Lexington, could not accomm


. The institutional care of the insane in the United States and Canada . ainst escape and does not mar the appear-ance of the building. Some of the wards are supplied with largeday porcheSj giving patients the opportunity of fresh air underall conditions of the weather. The baths and toilet rooms haveterrazzo floors, with modern plumbing and shower and tub baths. The original building cost $375,000 and accommodated 350patients. To-day the estimated cost of the institution is $980,000. In 1852 there was a demand for another state institution, as theEastern Asylum, at Lexington, could not accommodate the de-mands made upon it, and the number of insane in the county jailsand under the care of relatives or friends was increasing. Accord-ingly the Legislature provided for the erection of an asylum to belocated somewhere in the western part of the state; and an act waspassed providing for the appointment, by the Governor, of a Boardof Managers to select the location and secure plans for its board consisted of five members, whose duties were to for-. WESTERN KENTUCKY HOSPITAL, HOPKINSVILLE, KY. WESTERN STATE HOSPITAL 461 mulate suitable by-laws for the government and regulation of theasylum; they were vested with the powers of appointment andremoval of the superintendent, assistant physician, steward andmatron, and were authorized to receive into the asylum all classesof insane patients, with the exception of idiots, unless dangerous. This Board of Managers was evidently guided by the recom-mendations made by a committee appointed at a meeting of theAssociation of Medical Superintendents of American Institutionsfor the Insane, held in Philadelphia May 21, 1850. The Kirkbridestyle of building was then outlined and adopted and the recom-mendations of the above-mentioned committee were accurately andstrictly followed in building this institution. The first Board of Managers was composed of John P. Camp-bell, George Poindexter, C. M. Collins and Edward R. Clark.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpsychiatrichospitals