1896 Middletown

Here are some wonderful photographs from the Twenty Fifth Annual Report of the Middletown State Homeopathic Hospital at Middletown 1896

Entrance to Middletown 1896

Entrance to Middletown 1896

Middletown 1-1896


















1891 Middletown State Homeopathic Hospital

This is a very lengthy Letter to the Editor of The New York Times written by MEDICUSThe Medicus – A Journal for the Busy Practitioner, of the nineteenth century. What MEDICUS was basically stating among other things was: After 1890 with the passage of THE STATE CARE ACT, all New York State Hospitals accepted both CHRONIC and ACUTE patients from their corresponding districts so that the patients would be able to remain in their hometown area. There were no longer asylums specifically for the CHRONIC INSANE as in WILLARD and BINGHAMTON State Hospitals. However, if an asylum became overcrowded, the state would transfer patients to another state hospital out of the patients’ district. The main point that MEDICUS made was: If New York State was transferring patients out of their district to another state hospital, why couldn’t the State pay for the transportation of patients whose family and friends wanted them to receive HOMEOPATHIC medical care as opposed to ALLOPATHIC medical care? They eventually won their case. There were two STATE HOMEOPATHIC HOSPITALS for the Insane: MIDDLETOWN located in Middletown (1874), Orange County, New York; and GOWANDA (1898), located in Collins, Erie County, New York.

“HOMEOPATHY: a system of medical practice that treats a disease especially by the administration of minute doses of a remedy that would in healthy persons produce symptoms similar to those of the disease.

System of therapeutics founded in 1796 by Samuel Hahnemann on the principle that ‘like cures like.’ That is, substances that in healthy persons would produce the symptoms from which the patient suffers are used to treat the patient. Hahnemann further stated that the potency of a curative agent increases as the substance is diluted. When it was introduced, homeopathy was a mild, welcome alternative to heavy-handed therapies such as bleeding, but it has since been criticized for focusing on symptoms rather than causes. With the rise of alternative medicine, it has seen resurgence.”

“ALLOPATHY: a system of medical practice that aims to combat disease by use of remedies (as drugs or surgery) producing effects different from or incompatible with those produced by the disease being treated. 2. a system of medical practice making use of all measures that have proved of value in treatment of disease.”
SOURCE: Merriam Webster.com

Middletown State Homeopathic Hospital 1896

Middletown State Homeopathic Hospital 1896

THE MIDDLETOWN HOSPITAL. It’s History And The Laws Which Govern It.
How It Is Affected By The State Care Of The Insane Act –
How Proposed Legislation Would Affect The Insane Poor.

 To the Editor of the New-York Times:

The State Homeopathic Hospital, or, as it was formerly called, the State Homeopathic Asylum, was established by act of the Legislature of 1870 and was opened in 1874. The friends of homeopathy, in order to secure an asylum for the insane in which the treatment should be exclusively of the homeopathic order, entered into an agreement with the State substantially to contribute $100,000 for each $100,000 which the State should furnish. This agreement was carried out to only a very limited extent.

The utmost claim put forth by the friends of homeopathy as to the extent of the carrying out of the agreement on their part is this – that they contributed a few hundred acres of land and the sum of $50,000 in cash. The State was induced to waive the carrying out of the remainder of the agreement, and the institution was fully organized and equipped as a State institution in all respects whatsoever, differing in no regard from the other hospitals of the State, with the exception of the insertion of a special clause in the statute which provided that the treatment should be wholly of the homeopathic order. Subsequent legislation was obtained providing that the acceptance of the office of Trustee should amount to a pledge on the part of such officer that the principles of homeopathy should be maintained. A reference to the organic act will show that, with the above exception, it was placed precisely upon the same footing as the other, at that time, so-called “acute” asylums for the insane, said act of 1870 providing for the doing of that which had been and might be done without its passage, namely, that to the extent of its capacity courts and Judges should have the power to commit such pauper and insane poor from any part of the State as might desire to secure homeopathic treatment. The right to receive private or pay patients was also conferred upon the MiddletownStateHomeopathicHospital in the same manner and to the same extent only as was conferred upon the UticaStateHospital, which is the governing act of all the State hospitals in the State.

This act provided that such private or pay patients might be received whenever there were vacancies. From the foregoing it will readily be seen that the Legislature unquestionably intended that, while the treatment given should be purely of the homeopathic order, in all other respects the hospital should be conducted under the same laws and in the same manner as all the other State insane asylums.

By the passage of this act and the erection of this asylum the Legislature of 1870 did what had never before been done in the history of its dealings with the dependent insane, to wit, recognize a particular school of medicine-a distinction which to this day no other school has sought or had-yet, so far as a study of the statutes reveals, it was indisputably intended that the corporation of this asylum should be held to as strict a measure of legal accountability as any one of the other State asylums, an that it should enjoy no other or greater privilege than was possessed by all of them.

This institution, from the time of its erection down to the time of the passage of the State Care act, had always been regarded in the same light as the other State asylums of the State. It received appropriations from the Legislature and its capacity was enlarged from time to time, the laws under which it was governed remaining the same as when established, except as modified by the State Care act, which was prepared, it is understood, by Theodore W. Dwight, the distinguished Warden of the Columbia College Law School-than whom a more just or equitable man never lived-provided, as is well known, for the division of the State into as many districts as there were State asylums for the insane, and provided that the insane poor of any particular district should be sent to the hospital situated within said district. But the author of the statute, no doubt having in view the Middletown State Homeopathic Hospital and the special treatment given there, provided that, if a patient or his friends elected so to do, he might be received into an asylum beyond the limits of the district in which he lived upon the following conditions:

First – That there shall be a vacancy in the hospital in which the patient desired treatment.

Second – That the consent of the Superintendent of the hospital and the consent of the Chairman of the State Commission in Lunacy shall be obtained.

Third – That the patient’s friends or relatives should pay the expense of transportation beyond the limits of the district in which the patient resides.

It would not have been necessary to impose any condition upon the free choice by a patient of a hospital in which he might desire treatment, had it not been for the fact that, except for some such condition, Superintendents of the Poor, for the sake of the increased mileage and emoluments which could be derived from traveling long distances, might frequently take patients to asylums situated a long distance from the place in which the patient lived. In fact, but for this reason it perhaps might not have been necessary to have established any districts whatever, as, if the element of greed could have been eliminated, convenience, accessibility, and the desires of the patients and their friends might safely have been trusted to regulate the whole matter. It was necessary, however, that some check should be imposed, in order that patients may not be obliged to travel greater distances than are absolutely necessary; and, therefore, on of the conditions named was that of requiring the consent of the President of the State Commission in Lunacy. But inquiry at the office of the commission shows that since the State Care act went into effect on the lst of October, 1890, less than thirty applications to go beyond the limits of the district have been received, thus clearly showing that a comparatively small number of people have any choice or care anything whatever as to what particular institution their insane relatives of friends shall be cared for in.

The legal rights heretofore enjoyed by the Middletown Hospital have not been interfered with in any way by the passage of this law except in the manner herein indicated. The right to receive private or pay patients under the law is precisely the same to-day as it was at the time the hospital was first opened, namely, the right to receive that class of patients when vacancies exist. The passage of the State Care act did not in any other manner whatever change existing laws upon the subject. But upon the taking effect of the State Care act on the 1st of October, 1890, it was found that there were about two thousand more insane poor to be provided for than could be accommodated in all the State hospitals in the State, and, of course, there ceased to be any vacancies for the admission of private or pay patients in the State hospitals. The State Commission in Lunacy, to which is confided the execution of the laws of the State so far as they affect the insane, were compelled to enforce the law in regard to the admission of private patients. It did not, however, enforce the law as rigorously as it might have done. It held that, at least within the spirit and intent of the law, private patients whose means are limited to the extent of being able to pay but a small sum per week might be admitted, and such patients have been admitted without objection from that time to this: That it declined to permit the admission of wealthy or high-priced private patients on the ground that the admission of such patients was not provided for by the statute, and that they could be provided for in the private asylums of the State, of which there are a large number representing the two principal schools of medicine, or equally open to both.

The bill which has passed the State Senate, if it becomes a law, will for the first time in the history of the State establish a principle which has been justly regarded as foreign to the spirit of our institutions, namely, the principle of paternalism in government – the duty of the State to provide for a class of its citizens able to provide for themselves. Moreover, it places at the disposal of one of the schools of medicine in the State a great hospital for the insane, which has cost in round numbers a million of dollars, and practically discriminates against all the other schools of medicine. This bill, which many have believed to simply restore the law as it existed prior to the passage of the State Care act, not only does this, but goes very much beyond it, as it provides for the admission of the indigent and insane poor from any part of the State, and also for the admission of “private patients” of whatever grade and upon such terms and conditions as may be fixed by the Trustees of the institution. In fact, the words “private patients” are for the first time recognized in the statutes of the State. The words “when vacancies exist” are wholly eliminated, so that it becomes a pure matter of discretion in the Trustees of a State institution, which is owned and controlled by the State and supposedly erected for the benefit of the insane poor now in the poorhouses or the wealthy private or pay patients. This is the really objectionable and dangerous feature of the bill. No matter how pressing may be the necessities of the insane poor, the rich who are able to provide for themselves may have the preference if the Trustees choose to give it. Singularly, too, no restrictions have surrounded the question of the determination of who desire homeopathic treatment. Upon the mere say-so of the patient or his friends, which would be sufficient to a Superintendent of the Poor, a patient may be transported hundreds of miles across the State to this institution simply for the purpose of adding to the fees and emoluments of a Superintendent of the Poor.

The right of the indigent insane for whom homeopathic treatment is desired to free admission to the Homeopathic Hospital from any part of the State might, perhaps, be conceded without any intervention or concurrence on the part of the Lunacy Commission, although in practice, as already stated, the occasion for such concurrence seldom arises. And incidentally, it may be added at the Lunacy Commission office the fact is freely admitted that they would, personally, be glad to be relieved of all connection with the matter, provided that some other efficient safeguard against imposition and abuse in the matter of transportation charges were suggested.

It is claimed by the friends of the Middletown State Hospital that medical liberty has been encroached upon by the passage of the State Care act. It is difficult, however, to see wherein this effect has been produced. The free and unrestricted right of the Middletown State Homeopathic Hospital to give homeopathic treatment has not been abridged in any manner, nor, so far as it is known, is it claimed to have been abridged. But while by the passage of the bill under discussion this liberty demanded in the name of homeopathic profession will have been extended even further than as it was held before the State Care act became law, an equal measure of the same liberty is practically denied to all other schools of medicine.

The laws of the State of New-York, with the exception above indicated, have never recognized any particular school of medicine whatsoever, and do not do so now. The rules and regulations of the Civil Service Commission, so far as they relate to schools of medicine, place them upon an equality, and always have done so. The right of any particular school of medicine, so far as the method of treatment in the other State hospitals is concerned, is not abridged in any way. A homeopathic physician may secure appointment in any of the other hospitals in the State, and enforce such medical treatment as he believes in, without let or hindrance. But, if medical liberty is to be enjoyed by one school of medicine, it is difficult to see why it should be denied to the others; in other words, why a wealthy private patient who desires homeopathic treatment should be afforded by the State magnificent opportunities for its enjoyment at Middletown, while another patient who, for example, desires allopathic treatment in the Buffalo State Hospital or the Utica State Hospital, should be denied an equal privilege. It is hard to conceive how the State can thus discriminate against its citizens, can thus patronize one school of medicine at the expense of another, can place a great hospital, with all the prestige which such an institution commands, at the exclusive disposal of one school of medicine, without conferring a like privilege upon other schools; how, for instance, the eclectic school of medicine be denied the same privilege of the use of a State Hospital wherein only the eclectic method of treatment shall prevail.

The effect of the passage of such an act could not fail to be most pronounced upon State care of the insane, for it can hardly be denied that if this privilege is extended without restriction to the Middletown State Homeopathic Hospital it will ultimately, if not immediately, be claimed for and must be given to all other State hospitals of the State. This would, in practical effect, destroy the distraction system, would greatly embarrass the operation of the law, and would necessitate making large additional provisions for the insane poor, since the amount of space for the insane poor, since the amount of space occupied by the wealthy private or pay patients is out of proportion to that occupied by the insane poor. Frequently it is as high as six to one, sometimes as high as twelve to one. Over and beyond the question of the recognition of one particular school of medicine by the State to the exclusion of the others, the broad question remains of how far the State is to make provision for of its citizens as are able to make provision for themselves, how far it is willing to compete with the efforts of private individuals, who are permitted and in fact encouraged by law to operate and maintain private insane asylums.

Let it be repeated that the passage of this bill will confer privileges which the institution never before enjoyed, and which an examination of the statutes heretofore enacted will clearly show were never intended to be given. It hardly seems credible that the great body of the homeopathic medical profession desire to be relieved from their share of the responsibility of caring for the insane, or to be given privileges which cannot be exercised in an equal degree by the other medical schools of the State.  MEDICUS.
BUFFALO, Sunday, April 12, 1891.

SOURCE: Reprinted from The New York Times. Published April 19, 1891. Copyright @ The New York Times.

1896 State Care System Complete


The Governor has approved the bill creating the Manhattan State Hospital and providing for the transfer of the lunatic asylums of this city and the care of their inmates to the State. Thirty days are allowed for carrying its provisions into effect, and then the system for the State care and maintenance of the dependent insane will be completed, save for perfecting the accommodations and facilities required.

Sixty years ago all the indigent insane in this State whose friends or relatives could not or would not take care of them were sent to the county poorhouses. The care they got and the condition of their wretched loves may be imagined. In 1836 the State hospital at Utica was established for the reception and treatment of acute cases of insanity only. Nearly thirty years later, in 1865, the movement originated by the State Medical Society for the State care of the chronic insane was carried to partial success by the establishment of the Willard State Hospital. That was a formal adoption of the State-care policy, and was followed by the opening of the Hudson River Hospital, at Poughkeepsie, and the Homeopathic Hospital, at Middletown, in 1871, the Buffalo State Hospital in 1880, and the Binghamton State Hospital in 1881.

Instead of fully carrying out the policy thus adopted, the Legislature began to exempt one county after another from the operation of the act of 1865 and to permit them to retain the milder cases. It caused a relapse in about a third of the counties of the State to the old poorhouse system, with all its horrors. This was deprecated by the State Board of Charities, the Commission in Lunacy, and the State Charities Aid Association, and many reports and recommendations were made in favor of completing the State-care system and transferring all the dependent insane to the State hospitals, whose accommodations and facilities should be enlarged correspondingly. It was in 1886 that the State Charities Aid Association took the first active steps in formulating a plan and preparing for legislation. Its first bill was introduced in 1888 and was defeated. It was defeated again in 1889, but in 1890 it had rallied public opinion to its support with so much effect that the State Care bill was carried through both houses, in the face of vigorous opposition from county authorities, and was approved by the Governor. The same year the St. Lawrence Hospital was completed.

The act of 1890 established the hospital districts and placed the administration of the system in charge of the Lunacy Commission and the first special appropriation f $454,850 was made in 1891. This was for enlarging the facilities of the existing hospitals and preparing for the reception of patients from the county asylums and poorhouses. The three counties of Monroe, Kings, and New-York had been exempted from the operation of the act because they had adequate institutions of their own, but provision was made for bringing them into the system by their own voluntary action upon the transfer of their asylum property to the State. Monroe County took advantage of this in 1891, and her asylum was reorganized as the Rochester State Hospital. The first appropriation for maintenance of the system by a special tax levy was made in 1893, and amounted to $1,300,000, and by the beginning of 1894 the transfer from poorhouses and the miserable “asylums” of counties was completed.

New-York and Kings still remained outside the State system, though they had to contribute their share of the special tax for its support. This payment was contested by New-York, but not by Kings, and last year the act was passed which took possession of the Kings County institution at St. Johnland and made of it the Long Island State Hospital. The bill effecting the corresponding result for this city would have become a law then also, except for the litigation over the unpaid arrears of State taxes and the condition imposed in the bill of their payment and the abandonment of the suit then pending on appeal. A short time ago the litigation was ended, and now the Manhattan State Hospital act is a law of the State. This will bring the dependent insane of the whole State, now numbering 18,898, under one uniform, enlightened, and effective system of care and maintenance.

For this gratifying result much credit is due to the State Charities Aid Association and the Commission in Lunacy, which worked persistently and zealously together for years, and the completion of the system will redound to the honor of the State of New-York.

SOURCE: Reprinted from The New York Times. Published January 30, 1896. Copyright @ The New York Times.

1893 New York State Asylum Directory



UTICA STATE HOSPITAL – Utica, Oneida County.
G. Alder Blumer, M. D., Medical Superintendent.
One mile from the New York Central, the Rome, Watertown and Ogdensburg, the Delaware, Lackawanna and Western, and the Ontario and Western railway stations. Accessible, every fifteen minutes, by New York Mills or Whitesboro electric cars. Stop at Cross or Jason streets. Telephone, No. 118.

WILLARD STATE HOSPITAL – Willard, Seneca County. 
Theodore H. Kellogg, M. D., Medical Superintendent.
Accessible, from the east, by New York Central and Hudson River railway (Auburn branch from Syracuse to Geneva); from the west, via New York Central and Hudson River railway, from Rochester (Auburn branch) to Geneva, or via Philadelphia and Reading railway (Lehigh Valley division); from the north, Lyons to Geneva, via Philadelphia and Reading railway (Lehigh Valley division) and Fall Brook railway, from Geneva, via steamers of the Seneca Lake Steam Navigation Company, or by Philadelphia and Reading railway (Lehigh Valley division); from the south, via the Philadelphia and Reading railway (Lehigh Valley division), or by Seneca Lake Steam Navigation Company. Local telephone.

HUDSON RIVER STATE HOSPITAL – Poughkeepsie, Dutchess County.
C. W. Pilgrim, M. D., Medical Superintendent.
The hospital is located two miles north of the New York Central railway station at Poughkeepsie. Carriages may be procured at the station, and a public conveyance runs regularly to and from the hospital, connecting with the principal trains. The hospital may also be reached by the West Shore railway ferry from Highland station to Poughkeepsie, and by the Philadelphia, Reading and New England railway (Poughkeepsie Bridge route). Conveyances may be procured from Parker avenue station. Telephone call, “Hudson River State Hospital.”

Selden H. Talcott, M. D., Medical Superintendent.
Middletown is sixty-six miles from New York city, and may be reached by the following railways: New York, Lake Erie and Western; New York, Ontario and Western, and New York, Susquehanna and Western. The hospital is reached by several omnibus lines. Public carriages may also be had at the station. Telephone No. 41.

BUFFALO STATE HOSPITAL – Buffalo, Erie County. 
J. B. Andrews, M. D., Medical Superintendent.
The institution is three and a half miles from the New York Central railway station, and is accessible by street cars, namely trolley line on Niagara street, trolley line on Main street, of horse cars through Elmwood avenue. Telephone No. 1235 D.

BINGHAMTON STATE HOSPITAL – Binghamton, Broome County.
Charles G. Wagner, M. D., Medical Superintendent.
Located on the lines of the Erie, Delaware, Lackawanna and Western, and Delaware and Hudson railways. Electric cars leave corner of Court and Washington streets, near all railway stations, every fifteen minutes, between 6 A. M. and 10 P. M. Telephone No. 553.

ST. LAWRENCE STATE HOSPITAL – Ogdensburg, St. Lawrence County. 
P. M. Wise, M. D., Medical Superintendent.
Located three and one-half miles from center of Ogdensburg, on the Rome, Watertown and Ogdensburg and Central Vermont railways. Accessible by omnibus from Seymour house, four times daily. Public carriages may also be obtained at railway stations. Telephone call, ” State Hospital.”

ROCHESTER STATE HOSPITAL – Rochester, Monroe County. 
E. H. Howard, M. D., Medical Superintendent.
Two miles from railway stations. Accessible by electric cars of the South and Lake avenue line. Telephone No. 124 I.

MATTEAWAN STATE HOSPITAL – Matteawan, Dutchess County.
(For insane criminals only.)
Post-office and railroad station, Fiskill-on-the-Hudson.
H. E. Allison, M. D., Medical Superintendent.
Fifty-eight miles from New York city, on the New York Central and Hudson River railway. It is also accessible by the West Shore railway and the Erie, to Newburg; thence by ferry to Fiskill-on-the-Hudson. The institution may be reached by an electric railway, which runs within three-quarters of a mile from the Hudson River railway station; also public conveyances at the station. Telephone call, “State Asylum.”


A. E. MacDonald, M. D., General Superintendent New York City Asylums.
Post-office address, Station F, New York city.
All official communication with regard to the New York City Asylums for the Insane, should be addressed to the general superintendent. Ferry tickets and railroad tickets (at reduced rates, to those entitled to same) and permits for admission can be obtained only at the office of the Department of Public Charities and Correction, 66 Third Avenue, cor. Eleventh street.

W. A. Macy, M. D., Medical Superintendent.
Accessible by department boats, from foot of East Twenty-sixth street, 10.30 A. M.; also by steam ferry, on even hours, from foot of 115th street. Telephone, 420-18.

E. C. Dent, M. D., Medical Superintendent.
Accessible by department boat from foot of East Twenty-sixth street 10.30 A. M.; also by ferries from foot of Fifty-second and Seventy-eighth streets, running hourly. Telephone 1028-18.

Geo. A. Smith, M. D., Acting Medical Superintendent.
Accessible by department boats from foot of East Twenty-sixth street 11.30 A. M.

CENTRAL ISLIP ASYLUM – Central Islip, Long Island.
(Branch of New York city asylums.)
H. C. Evarts, M. D., Medical Superintendent.
Accessible by trains on the Long Island railway; surface and elevated roads from Grand Central station to Thirty-fourth street ferry, connecting with Long Island City station of Long Island railway. No telephone. Telegraph Central Islip, L. I.

W. E. Sylvester, M. D., General Superintendent.
Three miles from Brooklyn; accessible by street car from East Twenty-third street and Fulton ferries. Telephone No. 68, Flatbush. All official communications with regard to the Kings County Asylums should be addressed to W. E. Sylvester, M. D., General Superintendent, Flatbush, L. I.

KINGS COUNTY FARM – Kings Park, Long Island.
(Branch of Kings County Lunatic Asylum).
Oliver M. Dewing, M. D., Medical Superintendent.
Forty-five miles from New York city; accessible by trains on the Long Island railway; surface and elevated roads from Grand Central station, New York, to Thirty-fourth street ferry, connecting with Long Island City station of the Long Island railway; also from Flatbush avenue station, via Jamaica, Long Island railway. No telephone. Telegraph, Kings Park, one mile distant.


BLOOMINGDALE ASYLUM – One Hundred And Seventeenth Street, New York City. Between Amsterdam avenue and Boulevard.
S. B. Lyon, M. D., Medical Superintendent.
Accessible by Boulevard cars, or Elevated railway, to One Hundred and Fourth street and Amsterdam avenue cars. Number of patients 300. This institution receives and treats, gratuitously, a small number of indigent insane of New York city, and receives a considerable number of acute and hopeful cases, which pay only part of their expenses. It will be removed to “White Plains before October, 1894. Telephone No. 714, Harlem, New York City.

PROVIDENCE RETREAT – Buffalo, Erie County.
Under the charge of the Sisters of Charity.
Floyd S. Crego, M. D., Consulting Physician.
Harry A. Wood, M. D., Physician in Charge.
Located on Main street, corner of Steele. Distance from Union railway station, four miles. Accessible by electric street car line. Number of patients limited to 125. Minimum rate for care and treatment of private patients, six dollars per week. Telephone No. 791, M.

MARSHALL INFIRMARY – Troy, Rensselaer County.
J. D. Lomax, M. D., Physician in Charge.
One mile from Union Railway station. Accessible by electric street car, from Congress street. Number of patients limited to 130. Minimum rate for care and treatment of private patients, five dollars per week. Telephone call, “Marshall Infirmary.”

LONG ISLAND HOME – Amityville, Long Island.
O. J. Wilsey, M. D., Physician in Charge.
Thirty-two miles from New York. Accessible by Montauk division of Long Island railway; ferry from East Thirty-fourth street, New York. Only a short distance from railway station. Number of patients limited to 114. Minimum rate ten dollars per week. No telephone.

BRIGHAM HALL HOSPITAL – Canandaigua, Ontario County.
D. R. Burrell, M. D., Physician in Charge.
Situated on Bristol street, one mile from the New York Central and Northern Central railway station. Accessible by public carriages, always to be found at the station. Number of patients limited to seventy-eight. Minimum rate, ten dollars per week. Telephone No. 35, or “Brigham Hall.”

ST. VINCENT’S RETREAT – Harrison, Westchester County.
H. Ernst Schmid, M. D., Attending Physician, White Plains.
John J. Lewis, M. D., Physician in Charge.
Under management of the Sisters of Charity; for women only. Fifty minutes from New York on the New York and New Haven railway. Trains leave the Grand Central station, New York city, for Harrison, every hour from 9 A. M. to 7 P. M. Number of patients limited to sixty. Minimum rate, $10 per week. All official communications should be addressed to the physician in charge. Telephone No. 30, White Plains.

WALDEMERE – Mamaroneck, Westchester County.
E. N. Carpenter, M. D., Physician in Charge.
Forty minutes from New York on the New York, New Haven and Hartford railway. Trains leave Grand Central station, New York, every hoar for Mamaroneck. Waldemere is one mile from station, where public carriages may be found. Number of patients limited to eighteen. Minimum rate, $25 per week. No telephone.

SANFORD HALL – Flushing, Long Island.
J. W. Barstow, M. D., Physician in Charge.
Willett S. Brown, M. D., Assistant Physician.
Institution situated about one-half mile from Long Island railway station and accessible by public carriage. Going from Brooklyn, take Greenpoint or crosstown street car to Long Island City, thence on Long Island railway. Number of patients limited to thirty-six. Minimum rate, $25 per week. Telephone, Flushing 17 A.

BREEZEHURST TERRACE – Whitestone, Long Island.
D. A. Harrison, M. D., Physician in Charge.
John A. Arnold, M. D., Assistant Physician.
Accessible from New York city from East Thirty-fourth street ferry, via Long Island railway. Trains run every hour to Whitestone; time, thirty minutes. May also be reached by driving, via East Ninety-ninth street ferry to College Point, from which place it is about one and one-half miles. Going from Brooklyn, take the Greenpoint or crosstown street car to Long Island City. In taking patients from Brooklyn it is better to drive, as it only requires a little more than one hour via Grand street to Newtown, thence through Flushing to Whitestone. Number of patients limited to nineteen. Minimum rate, $20 per week. No telephone.

945 St. Maek’s Avenue, Brooklyn.
Between Kingston and Albany avenues.
T. L. Wells, M. D., Physician in Charge.
The Sanitarium may be reached by the Bergen street car line, the Atlantic avenue railway or elevated railway from Brooklyn bridge. Stop at Albany avenue station of elevated road. Number limited to sixteen women patients. Minimum rate $10 per week. Telephone No. 69, Bedford.

Sing Sing, Westchester County.
R. L. Parsons, M. D., Physician in Charge.
Location, one mile from New York Central station. Public carriages may be hired at the station. Number limited to twelve. Minimum rate, $75 per week, which includes all extras. No telephone.

Pleasantville, Westchester County.
G. C. S. Choate, M. D., Physician in Charge.
One mile from Pleasantville station on Harlem railway, and two miles from Whitsons station of New York and Northern railway. New York Central trains stop at Tarrytown, six miles distant. Pleasantville is thirty miles north of New York city. Number limited to ten. Minimum rate, $75 per week, including all extras. No telephone communication.

Wood Haven, Long Island.
H. Elliott, M. D., Physician in Charge.
Best reached by Brooklyn elevated trains, from Brooklyn bridge, or East Twenty-third street ferry to Ridgewood, thence by Richmond Hill surface car to Flushing avenue, Wood Haven. Sanitarium two minutes walk to the right. Also easily accessible from Brooklyn, by carriage, via Myrtle avenue, to Flushing avenue, Wood Haven. One mile from Wood Haven Junction station, on the Long Island Railway. Number of patients limited to thirty-four. Minimum rate $10 per week. Telephone No. 7,1, East New York.

GLENMARY – Owego, Tioga County.
J. T. Greenleaf, M. D., Physician in Charge.
E. E. Snyder, M. D., Consulting Physician.
Three-fourths of a mile from railway stations, where public carriages may be obtained. Accessible by New York, Lake Erie and Western and by Delaware, Lackawanna and Western railways, and Southern Central Division, Lehigh Valley railway. Number of patients limited to fifty. Minimum rate, ten dollars per week. Telephone call, ” Glenmary.”

FALKIRK – Central Valley, Orange County.
James F. Ferguson, M. D., Physician in Charge.
David H. Sprague, M. D., Associate Physician.
One mile from Central Valley station, on Newburg branch of New York, Lake Erie and Western railway, forty-seven miles from New York city. Number of patients limited to thirty-four. Minimum rate, twenty dollars per week. Telephone, “Falkirk.”

VERNON HOUSE – Bronxville, Westchester County.
William D. Granger, M. D., Physician in Charge.
Post-office and telegraph, Bronxville. Accessible by the New Haven railway, to Mt. Vernon, or by Harlem railroad to Bronxville. Public carriages may be obtained at railway station. Number of patients limited to sixteen. Minimum rate, thirty-five dollars per week. No telephone.

THE PINES – Auburn, Cayuga County.
Frederick Sefton, M. D., Physician in Charge.
Accessible by the Auburn branch of the New York Central and Hudson River railway, and the Southern Central division of the Lehigh Valley railway. A little over three hours by rail from Rochester, four from Albany and Buffalo, seven from New York city. Number of patients limited to twelve. Minimum rate, twenty dollars per week. Telephone No. 261.

SOURCE: Annual Report of the Department of Mental Hygiene, State Commission In Lunacy, Fifth Annual Report, October 1, 1892, to September 30, 1893, Transmitted To The Legislature April 27, 1894, Volume 5, Part VII., Chapter 32, Asylum Directory, Albany: James B. Lyon, State Printer 1894, Pages 675 – 685.