Titlebook: Civilian Lunatic Asylums During the First World War; A Study of Austerity Claire Hilton Book‘‘‘‘‘‘‘‘ 2021 The Editor(s) (if applicable) and

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Remote Sensing and Digital Image Processingmaking, from which conclusions can be drawn. The Board of Control indicated that it knew about asylum rough handling, but it did little to try to remedy the situation. Despite their rhetoric of good intentions, the asylum leadership frequently rationalised or denied maltreatment, thus failing to secure the most humane conditions for patients.

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2634-6036 artime austerity and deprivation on the provision of care acThis open access book explores the history of asylums and their civilian patients during the First World War, focusing on the effects of wartime austerity and deprivation on the provision of care. While a substantial body of literature on ‘

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Infrastructure: Rules, Walls, Obstacles and Opportunities,ce best practice nor prevent low standards. Local tiers of management ran the asylums day-to-day. Government, professionals and public influenced asylum management, but patients’ voices were barely audible or credible. The system prioritised obeying rules and stifled innovation. Twenty-four asylums

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Certified Insane: Concepts and Practices,ature and nurture hypotheses; and treatment and convalescence. From medical and legal standpoints, definitions of insanity were vague, subjective and their value debated. Physical illness and mental disturbances overlapped and there was little consensus on the relative contributions of heredity, bra

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Personnel: Staffing the Asylums and Serving the Colours, gardens and cemetery. Ward work was particularly demanding, with long hours, and poor conditions of employment. A regimented and punitive culture and distrust between management and lower ranks of staff, contributed to “a general feeling of insecurity” among them. They had high rates of sickness an

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Food, Farm and Fuel: An Inequitable Supply Chain,tised for the soldiers. The large contracts for food required by the asylums became particularly vulnerable, with food diverted into military supplies. Within the asylums, food and fuel distribution was also inequitable, depending more on status than on health need. Alongside asylum managers’ goals

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Patients and Their Daily Life,, staff and the outside world; and the work which patients undertook and the rewards they received. Ensuring patients’ personal dignity and providing appropriate employment, social diversions and as much freedom as possible was known to help alleviate their distress, lessen untoward behaviours and e

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Difficult Diseases: Tuberculosis and Other Infections,causes of death were the same as pre-war, often infectious diseases, so it did not indicate staff failing in their duty of care, such as if the rise been attributed to “accidents” or suicide. Little was done to stem the rising death rate. A parallel rise did not occur in community dwelling civilians