committee in the case of poorhouses possessed by parishes which have combined for poorhouse purposes. The board retain the power to recall their license at any time, should circumstances arise to render this course in their opinion desirable.

XI.

Whenever, in the opinion of the governor, a patient in the lunatic wards of a poorhouse becomes from any cause an unsuitable inmate of such wards, he shall immediately direct the attention of the medical officer to the case, and shall report to the board that he has done so; and if the medical officer certifies the patient to be an unfit inmate of the wards the governor shall call upon the inspector of poor of the parish to which he is chargeable to carry out his immediate removal to an asylum; and if in the opinion of the medical officer danger would be incurred by delaying the removal of the patient until action can be taken by the inspector of poor of the parish to which he is chargeable, the governor shall obtain a certificate of emergency, and shall himself sign the request for reception and remove the patient to the asylum; and he shall further at once notify to the inspector of poor that he has done so, and that unless steps are taken to complete the papers authorising the detention of the patient, the superintendent of the asylum will be unable to detain him for more than three days.

XII.

The diet shall be regulated by the tables in Appendix B. to the present Rules, or by tables sanctioned by the board for the lunatic wards of individual poorhouses, and the requirements of the board with regard to the clothing, bedding, cleanliness, efficient supervision, and kindly treatment of the patients, and the fittings, furniture, good order, and cleanliness of the wards, shall be complied with.

XIII.

Whenever the number for which the wards are licensed exceeds one hundred, the medical officer shall reside on the premises. Wards licensed for more than fifty patients, and less than one hundred, shall be visited daily by the medical officer; and wards licensed for fifty or less than fifty patients shall be visited at least twice a week by the medical officer.

XIV.

The responsibility for the good order and management of the wards shall rest upon the house committee; but, subject to their control, the governor shall be responsible for the condition of the house, clothing, and bedding, the preparation and quality of the food, and the proper serving of the meals;

s 31848.

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he shall appoint and discharge the attendants, and be responsible for the manner in which they perform their duties; and he shall conduct all correspondence with the friends of patients, and shall be responsible for the keeping of the registers and the transmission to the board of all notices, letters, and documents the transmission of which is required by the board's rules or by the provisions of the law.

XV.

The medical officer shall, subject to the control of the house committee, direct the mental and bodily treatment of the patients, and regulate their occupations, amusements, and exercise; and he shall keep the case book, and, if nonresident, the medical attendant's book, referred to in paragraphs 10 and 11 of Appendix C. to these Rules.

XVI.

The medical officer who has once been appointed to the charge of the patients in the lunatic wards of a poorhouse shall not be removed from office without the concurrence of the board; and no medical officer shall be appointed to the charge of lunatic wards on any system of rotation unless with the express concurrence of the board.

XVII.

On at least one day of every week, which day shall be named on a board placed in a conspicuous position outside the entrance to the poorhouse, the friends or relatives of the patients shall be admitted to see them, unless special reasons exist for refusing admission. In every case of refusal of admission, whether of friend, relative, or clergyman, the fact of the refusal shall be entered in a book kept for the purpose, with the names of the applicant and patient, and a statement of the reason for refusal; and a copy of such entry shall be transmitted to the board within three days: and no person shall be refused admission without such entry being made in his presence.

XVIII.

The registers to be kept in lunatic wards of poorhouses shall be in accordance with the list in Appendix C.; and all notices required to be given to the board or to other parties by superintendents of asylums shall be given by governors of poorhouses.

XIX.

All letters addressed by the inmates of lunatic wards of poorhouses to the board, and all letters from the board to patients, shall be delivered unopened or unread; except in

those cases in which, for special reasons, the board have sanctioned a departure from this rule.

Edinburgh, 10th October, 1902.

Walter G. Scott,

Chairman of the General Board of Lunacy for Scotland.

The following rules and conditions having been submitted to me, I hereby certify my approval thereof.

Balfour of Burleigh,

His Majesty's Secretary for Scotland.

Whitehall, 19th November, 1902.

Appendix A.

1. Form of Application for the License of the Board.

I, the undersigned, Chairman of the parish council [or of the poorhouse committee, in the case of a combination poorhouse] of S, hereby make application to the General Board of Lunacy for their sanction to receive (or to continue to receive) (*) pauper lunatics, of whom (*) shall be males and (*) females, into the lunatic wards attached to the poorhouse of D; subject to the rules and conditions issued by the Board for regulating the reception of pauper lunatics into the lunatic wards of poorhouses.

*State numbers.

II. Forms for Sanctioning the Reception of a Patient (Form C). Form of Application to the Board of Lunacy to sanction the Reception of a Pauper Lunatic into the Lunatic Wards of a Poorhouse.

As it appears from the subjoined statement and accompanying medical certificate that A B, a pauper lunatic of the parish of C, is of unsound mind, is not dangerous, does not require curative treatment, and is a proper person to be placed in the lunatic wards of the poorhouse; may it therefore please your Honourable admission into the lunatic wards of the said

Board to sanction poorhouse.

Statement by Inspector of Poor.

If any of the particulars in this Statement be not known, the fact to be so stated.

1. Christian name and surname of patient at length.

2. Date of becoming chargeable.

3. Sex and age.

4. Married, single, or widowed.

5. Condition of life, and previous occupation (if any)

6. Religious persuasion, so far as known.

7. Previous place of abode.

8. Place where found and examined.

9. Length of time insane.

10. Whether first attack.

11. Age (if known) on first attack.

12. When and where previously under treatment.

13. Duration of existing attack.

14. Supposed cause.

15. Whether any relative known to be or to have been insane.

I certify that, to the best of my knowledge, the above particulars are correctly stated.

Signature of Inspector applying

Date

Statement by Medical Officer.

1. Whether deformed, or affected with bodily disease.

2. Whether able to speak and walk, dress and feed self.

3. Whether capable of employment.

4. Whether subject to epilepsy.

5. Whether paralytic.

6. Whether of uncleanly habits by day or night.

7. Whether violent or noisy.

8. Whether refusing food.

9. Whether of obscene conduct, or offensive to public decency. 10. Whether suicidal.

11. Whether dangerous to others.

I certify that, to the best of my knowledge, this statement is correct.

Signature of Medical Officer

Designation*

Date

* Medical officer of Asylum of, or poorhouse of, or parish of ——, as the case may be, or acting in either of these capacities.

Medical Certificate.*

[This certificate cannot be signed by the medical officer of the
poorhouse in which the patient is to be placed.]

I, the undersigned
conscience, that I have this day at
personally examined

do hereby certify, on soul and

in the county of and believe

to be of unsound mind, and a proper person to be placed in the lunatic wards of poorhouse. I have formed my opinion of the

patient's insanity upon the following grounds, viz.:—

1. Facts indicating insanity or idiotcy observed by myself:

2. Facts indicating insanity or idiotcy communicated to me by others: 3. I hereby further certify that the patient is not dangerous, is incapable of deriving benefit from treatment in an asylum, has no habits or infirmities which render care difficult, and is in a sufficiently good state of bodily health to be removed to the lunatic wards of the poorhouse named.

[This certificate authorises the detention of a patient in the lunatic wards of a poorhouse for seven days, without the sanction of the Board. It should not be used except in circumstances which make the removal of the patient to the wards urgent.]

I, having already granted the certificate of insanity hereto annexed, hereby certify that, in my opinion, the said

may be removed, without risk of injury, to the lunatic wards of poorhouse, and may be properly received for interim detention, pending the decision of the Board of Lunacy.

Dated this hundred and

Signature,
day of

One thousand nine

Sanction by the General Board of Lunacy.

The Board, having had submitted to them the foregoing application and relative documents, hereby sanction the admission of

poorhouse.†

Secretary.

One thousand nine

A second medical certificate is necessary when the patient is not already a duly certified lunatic. The second certificate of lunacy may be signed by the medical officer of the poorhouse in which the patient is to be placed, or other qualified practitioner.

This sanction must be renewed unless acted upon within fourteen days from its date,