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English
Prior to the 1970s, this function was served by institutions, asylums, poorhouses, and orphanages.
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The fear was that people who were a source of embarrassment to their families were conveniently disposed of into asylums with the willing connivance of the psychiatric profession.
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This contrasted with the position in many private asylums, where absentee owners would employ staff to live on site and take full day-to-day responsibility.
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By 1827 however only nine county asylums had opened and many patients were still in gaol as prisoners and criminals.
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Then, there is a fear of being seen and a shamefacedness, which one sees in asylums....
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These asylums were meant to combine medical attention, occupational therapy, socialization activities and religious support, all in a warm environment.
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Believing that the asylums were mismanaged and providing inadequate care to patients, in some places, the neurologists called on state legislatures to investigate the asylums.
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By the end of the 19th century and into the 20th, these large out-of-town asylums had become overcrowded, misused, isolated and run-down.
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The medical profession suggested that many inmates of insane asylums could be safely released but for the concern that they would procreate.
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He continued to write papers about the architecture of asylums, statistics of mental hospitals, the use of restraints on patients, and aspects of medical jurisprudence.
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