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48 Geo. 3. c. 96.

9 Geo. 4. c. 40.

Saving of

39 & 40 Geo. 3.
c. 94., 1 & 2
Vict. c. 14.,
3 & 4 Vict.

c. 54., and
other provi-
sions as to
criminal

lunatics.

Commence

ment of Act.

Extent of Act.
Short title.

Asylum" shall mean any asylum, house, building, or place already erected or provided under the provisions of an Act passed in the forty-eighth year of King George the Third, chapter ninety-six, or an Act of the ninth year of King George the Fourth, chapter forty, or the said Acts hereby repealed, or any of them, or subject to the provisions of the said Acts or any of them, or to be erected or provided under the provisions of this Act. CXXXIII. NOTHING in this Act shall affect the provisions of any of the following Acts; (that is to say,) an Act of the session holden in the thirty ninth and fortieth years of King George the Third, chapter ninety-four; an Act of the session holden in the first and second years of her Majesty, chapter fourteen; and an Act of the session holden in the third and fourth years of her Majesty, chapter fifty-four; or any other provisions relating to criminal lunatics.

CXXXIV. THIS Act shall commence and come into operation on the first day of November one thousand eight hundred and fifty-three.

CXXXV. THIS Act shall extend only to England and Wales.

CXXXVI. THIS Act may be cited as "The Lunatic Asylums Act, 1853."

SCHEDULES referred to by the foregoing Act.

SCHEDULE (A.)

FORM of Agreement for uniting under the foregoing Act for the Purpose of erecting or providing an Asylum for the Reception of Lunatics.

day of

It is agreed this by and between the committees of justices of the peace for the county [or counties] and the borough [or boroughs] of and the committee of the subscribers of the lunatic hospital of [as the case may be], severally appointed to treat for the uniting of the

said county and borough [or counties and boroughs] [and

lunatic hospital,

and that

as the case may be], for the purposes of an Act passed in the
year of her
Majesty Queen Victoria, intituled "An Act" [here insert the title of this Act], that the
said county [or counties] and borough [or boroughs, and the said lunatic hospital, as
the case may be], shall henceforth be united for the purposes of the said Act;
an asylum for the reception of lunatics, with all necessary buildings, courts, yards, and
outlets, shall be immediately provided and properly fitted up and accommodated for the
purposes mentioned in the said Act; and that the necessary expenses attending the
providing, building, fitting up, repairs, and maintenance of the said asylum shall be
defrayed by the said county [or counties] and borough [or boroughs and lunatic
hospital], so united, in the following proportions; (that is to say,)

The county of

The borough of

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five ninths of the said expenses.

two ninths of the same.

two ninths of the same [as the case may

be].

The lunatic hospital of And it is further agreed, that the committee of visitors to superintend the building, erection, and management of the said asylum shall be appointed in the following proportions; the justices of the peace for the said county of

appoint*

appoint*

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shall appoint

; and the proportions in which the said committee of visitors

* Insert in these blanks either the number or the proportion of visitors; and where the number of the committee of visitors is not fixed in the agreement, but only the proportions, a provision shall be made by the agreement for fixing from time to time the number of such committee.

are to be appointed as aforesaid may be from time to time varied, with the consent in writing under the hands of the greater number of visitors of the said county and borough, [or each of the said counties and boroughs], and of the greater number of the visitors appointed by the said body of subscribers, and with the consent of the Commissioners in Lunacy: And hereunto we, the undersigned, being the major part of each of the committees of justices of the peace for the said county and borough, [or counties and boroughs] respectively, and the major part of the committee of subscribers to the said lunatic hospital, do, on behalf of the said county and borough [or counties and boroughs] and lunatic hospital, set our hands and seals, this day of

in the year

SCHEDULE (B.)

FORM of Mortgage and Charge upon the County or Borough Rates for securing the

WE,

county of

Money borrowed,

the chairman of the Court of Quarter Sessions of the peace of the

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two other of her Majesty's justices of the peace for the said county, assembled in the said court, [or We, the mayor and council of the borough of as the case

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shall be,] in pursuance of the powers to us given by an Act passed in the year of her Majesty Queen Victoria, intituled " An Act" [here insert the title of this Act], do hereby mortgage and charge all the rates and funds to be raised and paid. within the said county [or borough, as the case may be], under the description of county rates [or borough fund or rates,] with the payment of the sum of which hath advanced and paid towards defraying the expenses of purchasing lands, and for building and repairing, &c. [as the case shall be] a lunatic asylum for the said county [or borough, or the united counties and boroughs of, &c., as the case may be]; and w edo hereby grant and confirm the same rates and funds unto the said , his executors, administrators, and assigns, for securing

of

the repayment of the said sum of of

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and interest for the same after the rate per centum per annum, and do order the treasurer for such county [or borough, &c., as the case shall be,] to pay the interest of the said sum of half-yearly, as the same shall become due, until the principal shall be discharged, at the times and in the manner agreed upon between the said

and the said

justices [or the said mayor and council, as the case may be,] pursuant to the directions of the said Act.

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A TRUE list of all lunatics, idiots, and other persons of unsound mind, chargeable to the common fund, or to the parishes comprised within [such part of] the union [as is situate] [or to the parish of

in the county of

specifying the names, sex, and age of each, and whether dangerous or otherwise, and for what length of time they have been supposed to be of

where detained, or how otherwise disposed of.*

unsound mind, and

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*Lunatics chargeable to the common fund, who are in the workhouse, should be entered as in the county where the workhouse is situate; and those who are not in the workhouse, as in the county in which they reside.

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SCHEDULE (F.) No. 1.

ORDER for the Reception of a Pauper Patient.

I, C.D., [in the case of a single justice of the peace, or in the case of two justices, or of a clergyman and relieving officer, &c., We, C.D. and E.F.,] the undersigned, having called to my [or our] assistance a physician, [or surgeon, or apothecary, as the case may be,] and having personally examined A.B., a pauper, [omit the words a pauper" when the lunatic is not a pauper,] and being satisfied that the said A.B. is a lunatic [or an idiot, or a person of unsound mind,] [add, where the lunatic is sent as being wandering at large, the words "wandering at large," and in the case of a lunatic sent by virtue of the authority given to two justices, add "not under proper "care and control," or "and is cruelly treated [or neglected] by the person having the care or charge of him," as may appear to the justices to be the case,] and a proper person to be taken charge of and detained under care and treatment, hereby direct you to receive the said A.B. as a patient into your asylum [or hospital, or house]. joined is a statement respecting the said A.B.

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(Signed) C.D.

Sub

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NOTE. Where the order directs the lunatic to be received into any asylum other than an asylum of the county or borough in which the parish or place from which the lunatic is sent is situate, or into a registered hospital or licensed house, it should state that the justice or justices or other persons making the order is or are satisfied that there is no asylum of such county or borough, or that the asylum or asylums thereof is or are full; or (as the case may require) the special circumstances by reason whereof the lunatic cannot conveniently be taken to an asylum for such first-mentioned county or borough.

STATEMENT.

[If any particulars in this statement be not known, the fact to be so stated.]

Name of patient, and christian name, at length.

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Duration of existing attack.

Supposed cause.

Whether subject to epilepsy.

Whether suicidal.

Whether dangerous to others.

Parish or union to which the lunatic is chargeable (if a pauper or destitute lunatic). Name and christian name and place of abode of the nearest known relative of the patient, and degree of relationship (if known).

I certify that to the best of my knowledge the above particulars are correctly stated.

(Signed)

[In the case of a pauper, to be signed by the relieving officer or overseer.]

SCHEDULE (F.) No. 2.

ORDER for the Reception of a Private Patient.

I, THE undersigned, hereby request you to receive A.B., a lunatic, [or an idiot, or a person of unsound mind,] as a patient into your asylum. Subjoined is a statement respecting the said A.B.

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[If any of the particulars in this statement be not known, the fact to be so stated.]

Name of patient, with christian name, at length.

Sex and age.

Married, single, or widowed.

Condition of life, and previous occupation (if any).

The religious persuasion, as far as known.;

Previous place of abode.

Whether first attack.

Age (if known) on first attack.

When and where previously under care and treatment.

Duration of existing attack.

Supposed cause.

Whether subject to epilepsy.

Whether suicidal.

Whether dangerous to others.

Whether found lunatic by inquisition, and date of commission or order for inquisition.

Special circumstances (if any) preventing the patient being examined, before admission, separately by two medical practitioners.

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