. The institutional care of the insane in the United States and Canada . iasm which accompanied theoriginal establishment of a hospital for the insane had spent itselfin many states, and the insane, with the exception of comparativelyfew persons who remained under treatment in the newly estab-lished institutions, found themselves very much as they had beenprior to hospital provision. Unquestionably the standard of carefor the insane had been raised, and the hopes of friends and rela-tives had been stimulated to such a degree that they were nolonger satisfied to have those in whom they were int
. The institutional care of the insane in the United States and Canada . iasm which accompanied theoriginal establishment of a hospital for the insane had spent itselfin many states, and the insane, with the exception of comparativelyfew persons who remained under treatment in the newly estab-lished institutions, found themselves very much as they had beenprior to hospital provision. Unquestionably the standard of carefor the insane had been raised, and the hopes of friends and rela-tives had been stimulated to such a degree that they were nolonger satisfied to have those in whom they were interested againneglected and abused. It is evident, however, that the country asa whole had not become aroused to the needs of the insane, thatthe majority of the states were destitute of special provision fortheir care, and that no state had provided sufficient institutions fortheir treatment. How long this condition might have continuedcannot be predicted ; it is evident, however, that a mighty influencein the person of Miss Dix, a woman of strength, of purpose, vigor. THE ERA OF AWAKENING 97 of mind and unusual activity, was an important factor in extendingthe work which had already hopefully begun in a half-dozen concede that the labors of this remarkable woman contributedmore to the general awakening of the country to the needs of theinsane than all other agencies combined. Her labors during thenext 40 years resulted in the establishment of nearly as manyinstitutions for the insane in the United States and Canada, andalso accomplished much in the same cause in England and uponthe continent. It has been said that in the onward march of civili-zation the influence of men of ability and genius must always beregarded as controlling factors in its immediate progress. Theinfluence of Miss Dix was unquestionably of this character, andwithout doubt her labors advanced the general care of the insanein America fully a quarter of a century. CHAPTER IIIPHILANTHROPIC WORK OF M
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