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The asylums for the insane, since their transformation, have become veritable hospitals; and the medical work, especially as regards the curable and improvable cases, approaches that of the ordinary hospital. The result is that the insane in all modern asylums are cared for and observed day and night, as in a hospital, and assiduous nursing is given alike to the excited, agitated, degraded, paralytic, turbulent, destructive, suicidal, etc.
(1) There is in Belgium an Inspector-General of Asylums, who is an official of the Department of Justice and has no medical training. He visits each asylum twice a year. The Committee of Medical Inspection (C.C.) is composed of three medical men (unpaid), who receive their expenses. They have little to do with the Inspector-General, and their reports never receive much attention.—(2) In Belgium practically all the asylums are private institutions, and medical directors do not exist. The directors are appointed by the proprietors; also the two medical directors of the State asylums have not the same position as generally obtains in other countries. In Belgium the religious bodies contract with the State to supply the furniture of the staff, the food, clothing, bedding, and maintenance of the patients. Google Scholar
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