1896 State Care System Complete

WILL COMPLETE THE STATE-CARE SYSTEM.

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.

Manhattan State Hospital & Cemetery

At various times, New York City’s Insane Asylums included the asylums on Blackwell’s, Hart, Randall’s, and Ward’s Islands; and Central Islip. The Asylum for the Insane on Ward’s Island with branches on Ward’s and Randall’s Islands, were for Men. The Lunatic Asylum of Blackwell’s Island with branches on Blackwell’s and Hart Islands were for Women. On February 28, 1896, the New York City Asylum became Manhattan State Hospital. After 1896, it served the counties of New York and Richmond.

1916 Manhattan State Hospital.
1839 New York City Lunatic Asylum.
1887 Ten Days In A Madhouse by Nellie Bly.
1887 State of New York, State Board of Charities, In the Matter of the Investigation of the New York City Asylum for the Insane, Report, August 12, 1887.
Ward’s Island, now Wards Island.
Blackwell’s Island, Welfare Island, now Roosevelt Island.
Hart Island.
Randall’s Island.
Central Islip, New York.
New York City Map.

VARIOUS ARTICLES ABOUT MANHATTAN STATE HOSPITAL:
Kings county and New York county provide for their insane under special statutes. The former county provides for 800 or 1000 insane and the latter for over 1,700. On Ward’s island is situated the State Emigrant Insane Asylum which provides for the insane emigrants for the term of five years from the time of their landing in this country. This asylum furnishes accommodations for about 200 patients. The annual expense per patient in this institution is $150. The per capita cost of building $1,138 and the total annual cost, $22,500. There are upward of 500 patients in private asylums so that the insane population of New York state is probably not far from 7,000 or 8,000 at the present time. . .The annual expense per patient in the two New York county institutions is in the New York City Asylum for the insane $92.89, and for the New York Lunatic Asylum on Blackwell’s island $73.84. The annual expense per patient in the Kings County Lunatic Asylum, situated at Flatbush, L. I., is $120. The total annual cost for these three county institutions for the insane is as follows: New York City Asylum for the insane, Ward’s island, $53,504 ; New York Lunatic Asylum, Blackwell’s island, $89,420 ; Kings County Lunatic Asylum, Flatbush, $92,400. . .”
SOURCE: Proceedings of the Conference Of Charities, Held In Connection With The General Meeting of the American Social Science Association, Detroit, May 1875, Tolman & White Printers, Boston, Mass., October 1875, Page 56.

MEDICAL OFFICERS:
Hart’s Island – Superintendents. (First opened for 50 patients, January 23, 1877.) Dr. Armand Duploo 1877-1878; Dr. Andrew Egan 1883-1891; Dr. T. M. Franklin 1878-1879; Dr. George A. Smith 1892-1893; Dr. James R. Healy 1880-1882.

Ward’s Island – Department For Men. W. A Macy, M. D 1886-1897; Geo. F. M. Bond, M. D., acting med. supt 1890; Percy Bryant, M. D. 1897-1900.

Dr. Alexander Trautman, superintendent of the State Emigrant Hospital 1880-1881. Richard M. Lush, warden-in-charge 1872-1873. Dr. Alexander E. MacDonald 1874-1894 (Became general superintendent in 1894, so continuing until the departments for men and women were separated in 1900, when he became superintendent of the men’s division, so continuing until his resignation in 1903.) Dr. E. C. Dent 1904-1906; Dr. Wm. Mabon, supt. and med. director 1906.

Blackwell’s Island – Department For Women. Moses H. Ranney, M. D. 1857-1864; Ralph L. Parsons, M. D. 1865-1876; W. W. Strew, M. D 1876-1879; T. M. Franklin, M. D. 1880-1886; E. C. Dent, M. D. 1887-1895. (Institution abandoned in 1895.)

Ward’s Island—Women’s Department. Dr. E. C. Dent 1896-1906. (In 1906 the departments for men and women were consolidated and Dr. William Mabon became superintendent and medical director.)

Central Islip. Dr. H. C. Evarts, physician-in-charge 1889-1895; Dr. George A. Smith, superintendent 1895.

NEW YORK CITY ASYLUM FOR THE INSANE Medical Officers. Dr. J. N. DeHart 1875; Dr. Wickes Washburn 1875; Dr. W. V. Day 1875; Dr. John A. Arnold 1876; Dr. J. S. Christison 1876 …. ”
SOURCE: 1916 Manhattan State Hospital

“The most serious fire in the history of the State hospital system occurred at the Manhattan State Hospital on Sunday morning, February 18, 1923. The fire, which started in an attic above ward 43 on the third floor of the right wing of the main building of the men’s division of the hospital, was discovered by an attendant at 5.15 A. M. An alarm was immediately sounded and a stream of water from the standpipe in the ward was quickly applied to the flames. In spite of the most strenuous efforts of the attendants and the fire department of the hospital assisted by the New York City firemen, the fire spread rapidly and destroyed the entire roof and third story of the right wing of the building before it could be checked. Heroic efforts to save all patients in the burning section of the building were made, but owing to the dense volume of smoke and the falling of a water tank, the work of rescue was rendered extremely difficult. Twenty-two patients and three attendants lost their lives in the flames. Two patients later died from exposure. As we go to press the cause of the fire is being investigated.”
SOURCE: The State Hospital Quarterly, Volume VIII, November 1922, No. 1, New York State Hospital Commission, Albany, New York, Publication Office, Utica State Hospital, Utica, N.Y., State Hospital Press, Page 318.

“On February 28, 1896, by act of the Legislature, the New York City asylums for the insane were transferred to state care, under the name of the Manhattan State Hospitals, with three divisions, namely: Manhattan State Hospital East (male department)Manhattan State Hospital West (female department), on Ward’s Island; and Manhattan State Hospital at Central Islip for both sexes. At that date there were 30 buildings at Central Islip. In 1912, not including a group of four in process of construction, there are 118.”

NEW YORK CITY:
New York City is composed of five boroughs: Manhattan (New York County), The Bronx (Bronx County), Brooklyn (Kings County), Queens (Queens County), Staten Island (Richmond County)LONG ISLAND contains four counties: Kings, Queens, Nassau, and Suffolk. Apparently in today’s vernacular, “Long Island” refers to the suburban counties of Nassau and Suffolk only, in order to differentiate them from New York City even though all four counties are located on Long IslandMANHATTAN is a separate island. I always wondered where the patients of the New York City Asylums were buried. They may be buried on Hart’s Island. Please click to view THE HART ISLAND PROJECT.

CLICK HERE TO VIEW THE VIDEO They’re Buried Where? by Seth Voorhees

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