BY-LAWS, KULES AND REGULATIONS FOR THE GOVERNMENT OF THE Wm$ Mint* %M AUSTIN AUSTIN. PRINTED AT THE INTELLIGENCE 1861. ^ BY-LAWS, RULES AND REGULATIONS FOH THE GOVERNMENT OF THE A USTIN. «-..-* AUSTIN. I'RINTKD AT THE INTELLIGENCER BOOK OFFICE. 1861. BOARD OF MANAGERS. W. C. PHILLIPS, M. D., President. Hon. R. J. TOWNES, GEORGE HANCOCK, W. P. MABEN, W. L. ROBARDS, Esq. B. GRAHAM, M. D., Medical Officer and Superintendent. RESIDENT OFFICERS OP THE ASYLUM. SUPERINTENDENT, ASSISTANT PHYSICIAN, CLERK or BOOK KEEPER, STEWARD and MATRON, MALE and FEMALE SUPERVISORS ; — All of whom shall reside on the premises, and devote their time to the interests of the Institution. AHAM 10 M .0 .W ■ I 5! . RULES AND REGULATIONS. INTRODUCTORY REMARKS. 1. The Board of Managers shall choose one of their number [President, who shall continue in office until the Annual Meeting next after he is chosen, and until his successor is appointed. 2. An Auditing Committee of two members shall be appointed, who shall hold their places until the Annual Meeting next follow- ing their appointment. 3. The Managers shall also elect an Assistant Physician, who shall be a graduate of Medicine, a competent Clerk or Book Keeper, a Steward, Matron, and Male and Female Supervisor — all of whom shall be placed in nomination by the Superintendent. An Annual Meeting of the Board of Managers shall be held on the first Monday in October. Quarterly Meetings shall be held on the first Monday in January, April and July j. and Monthly Meet- ings on the first Monday in each month, at 10 o'clock, A. M., at the office of the Superintendent. The Asylum aUall be visited by the whole Board, at their An- nual Meetings, and by a majority, at their Quarterly Meetings. Special meetings may be called by the President, Superintentent, •r by any two members ; and it shall be the duty of the Clerk to cause notice of such meetings to be delivered to the meinbirs. DUTIES OF THE SUPERINTENDENT. The Superintendent shall be the Chief Executive and Medical Officer of the Asylum. He shall have the general superintendence of the Buildings and Grounds — the charge of the patients — the expenditures of the Institution, and the direction and control of all persons therein subject to the regulation of the Board of Man- agers. He shall visit all the patients daily, or learn their condition. He shall have the entire direction of their medical, moral and di- etic treatment ; and his instructions respecting them, are to be im- plicitly obeyed by all persons about the establishment. The Superintendent's Report to the Governor shall be entered upon the minutes of the Board of Managers, and be ready for their inspection at their Annual Meeting. He shall obtain, as far as practicable, a complete history of pa- tients admitted into the Asylum, and shall keep, or cause to be kept, for the use of the Institution, a register of the same, and as full a record of the subsequent treatment and results, as he may deem likely to promote the interest of science and benefit the In- sane. He shall receive and answer, or cause to be answered, all com- munications respecting the Asylum ; and shall file all letters thus received, and keep in a book provided for the purpose, copies of all letters written in answer thereto. Subject to the general instruction of the Board of Managers, he shall determine what attendants and other assistants are necessary to be employed, and their respective places and duties, and shall arrange with them their rate of monthly wages. Upon the requi- sition of the Board of Managers, the Treasurer may, from time to time, advance to the Superintendent, for petty expenses, a sum not exceeding Two Hundred Dollars — which sum the Superintendent may, at his discretion, deliver to the Steward. He shall also be authorized, when, in his judgment, it may be deemed necessary, to call in a counselling Physician or Physicians. At each visit of the Managers he shall exhibit the records of the Asylum, and at the Quarterly Meetings, shall give a statement of its condition ; at each Monthly Meeting, he shall exhibit all the records of the Institution, — the names of persons received or re- moved, with such suggestions and remarks as he may deem useful. DUTIES OF THE ASSISTANT PHYSICIAN. The Assistant Physician shall be a well educated Physician, and shall constantly reside at the Asylum. He shall have charge of the Inmates of the Asylum, and shall exercise a general supervis- ion, under the direction of the Superintendent. He shall visit all the patients in their respective divisions once each day — in the morning, and, if necessary, in the afternoon or evening, or oftener ; carefully observe their condition, wants and treatment; and see that they have food, medicine, exercise, amuse- ments, clothing and bedding suitable for them ; exert what moral influence he can with them, and endeavor in every way to promote their comfort and recovery. He shall see that the attendants and assistants are faithful and kind ; attentive to the wants of the patients, and vigilant in the discharge of their duties ; and he shall report immediately to the Superintendent all instances of misconduct, unfaithfulness, neglect of duty observed by hii^or of which he may receive information ; and he shall also record the particulars of all accidents and es- ! capes. For the due performance of the duties enjoined in the foregoing sections, he shall spend much time in the Male and Female Divisions ; i shall be in constant communication with the supervisors, atten- | dants and assistants, and shall carry out the plans and instructions of the Superintendent, in the best manner he is able. He shall report in writing to the Superintendent, daily, in a book j kept for that purpose, the general condition of the inmates, and the particular state of such patients as may be sick or greatly ex- cited, and of those requiring restraint, removal, or seclusion, or special attention. He shall keep records of the cases of all the patients in the Asy- lum, describing the symptoms — the changes that may occur from time to time — the mode of treatment, and all the peculiar circum- stances connected therewith. He shall also see that the records of admissions and discharges are accurately kept. He shall attend to the warmth, cleanliness, ventilation, good or- der of the Asylum, and superintend the use of the baths. He shall attend to visitors when necessary, and shall always be ready to perform whatever service may be required of him by the Superintendent, and, under his directions, shall assist in conducting the correspondence with the friends of patients. When requested by the Superintendent, he shall visit the entire establishment — see all the patients, and learn their condition and treatment. He shall exercise the duties of Superintendent, when- ever the latter may be adsent. He shall have charge of the " Shop," which he shall see is al- ways in order, and shall prepare and superintend the administra- tion of the medicine. DUTIES OF THE BOOK KEEPER, The Book Keeper or Clerk shall keep the regular books of the Asylum, in a proper manner, under the direction of the Superin- tendent. He shall keep all vouchers and other papers, and see that the statements of receipts and expenditures by the Steward, are correctly made, and that the proper vouchers are filed with the re- ceipts and disbursements. He shall always furnish such reports to the Managers as may be required, and do and perform such other writing on account of the Asylum, as may be required of him by the Medical Superintendent and Board of Managers. He may also be Secretary of the Board of Managers, and keep their min- utes under their direction. He shall have charge of the money, Jewelry, extra clothing, &c, of the patients during their stay in the Asylum, and be re- sponsible for their delivery on their leaving. ™ All the books and accounts shall be open to the inspection and examination of the Superintendent and Board of Managers. DUTIES OF THE STEWARD. The Steward shall execute a bond, with two sureties, to be ap- proved by the Superintendent, in the penalty of Three Thousand Dollars, conditioned that he will faithfully discharge the duties of the office of Steward, and pay over and account for all moneys that shall come to his hands belonging to the Texas State Lunatic Asy- lum. Said bond shall be executed to the Superintendent and be filed in his office. The Steward shall keep an accurate account in detail, in a pass or private or other proper book, of all expenses paid out of the sums advanced to him by the Scperintendent, and shall settle the same with him monthly or oftencr if required, furnishing duplicate vouchers of the same. The Steward, under the Superintendent's direction, shall pur- chase furniture, food, medicine, fuel, stoves, and other necessary articles ; and he shall be accountable for their safe keeping, and for their economical use and expenditure. He shall keep clear, methodical and exact accounts of all pur- chases — of all receipts and expenditures of money, and of all charges, on account of any patients. He shall exhibit all his ac- counts, books, and recent vouchers, to the Superintendent and Man- agers ; and he shall furnish a Quarterly Abstract of the same to the Managers on the first days of January, April, July and Octo- ber, in each year. Copies of all accounts which become due to the . 9 Institution, shall be famished to the Superintendent and Managers. In the name of the Superintendent, and by his directions in each case, and not otherwise, the Steward shall hire attendants and as- sistants, and agree with them for their wages ; and by like direc- tion, he shall dismiss them when unfaithful, negligent or incompe- tent ; he shall keep and settle their accounts ; and he shall perform such other duties, in relation to the internal management and gov- ernment of the Asylum, as the Supeimiendent shall require. He shall see that the attendants and assistants rise and begin business immediately after the ringing of the morning bell, and that they retire at proper season at night. Throughout the day he shall con- stantly observe their conduct — see that in ;ill respects they do their duty, and report to the Superintendent, immediately, any instance of misconduct or negligence. He shall receive vis^ors, givo them all suitable information, and show them such parts of the buildings and grounds as are open for their examination. He shall remain, as much as possible, in the Wards appropriated to the male patients, so as to be much in their presence, to see that they are kindly treated ; that their beds are in good order ; that their clothes are properly marked and taken good care of; that their food is properly served and distributed, and that they take the same in a proper manner; that the rooms, halls, yards, shops and out-buildings, and other apartments under his care, are kept clean and in good order, and properly warmed and ventilated : and that the attendants observe his orders and directions, and in all respects do their duty ;' and that all articles made for the pa- tients or Asylum, are carefully preserved. In all directions to subordinate agents, in executing the details of the Superintendent's plans, and in enforcing his rules, the Stew- ard shall be considered as carrying the authority of the Superin- tendent. It is his duty to preserve order in the house, and faith- fulness among the assistants, and to see that the regulations here adopted, shall be fully put in practice. It, shall also be his duty to see to the opening and closing of the house, morning and even- ing. DUTIES OF THE MATRON. It shall be the duty of the Matron to look carefully to the female patients, and spend as much time with them as her other duties will allow ; she shall see that they are kindly treated ; that their nur- ses and attendants are well instructed and faithful ; that their apartments are clean, warm and properly ventilated ; that their 10 food is properly served and distributed ; and that their clothes and bedding are always clean, well aired, and in good order, and their apparel marked and preserved. She shall also superintend the kitchen and laundry, and see that the cooking, washing and ironing are properly done ; frequently inspect every department, and have an eye to the neat appearance of the whole house. It is expected that she will devote her whole time to the Institution, and spare no efforts to promote the comfort and recovery of its inmates. She shall also superintend the sew- ing rooms, and see that all new articles made for patients, are prop- erly marked, and rightfully disposed of, and preserved. It shall be her special duty to see to those that are sick — that they have constant and kind nurses and proper care in all respects. She shall constantly notice the conduct of attendants and assistants — see -that in all respects they do their duty, and report to the Su- perintendent, immediately, any instance of misconduct or negli- gence. DUTIES OF SUPERVISORS. The Supervisors of the respective Wards are bound to see that the rules contained in this Code are faithfully carried out in every particular ; that the attendants perform their duties properly ; and that all the patients are made as comfortable, at all times, as cir- cumstances will permit. They shall attend specially to the sick — see that they are treated with great care and kindness ; receive the orders of the Physicians and see that they are faithfully executed. It shull be their duty to instruct new attendants in their duties, and see that they are effi- cient, industrious and kind. They shall assist in the arrangements for the burial of the dead, and be ready at all times to attend to any extraordinary service that may be required of them by the Superintendent. They shall pay particular attention to new patients— see that they are properly introduced and informed about the establishment ; — their fears quieted by kind attention and friendly assurances, and that the violent and suicidal are carefully watched. They shall also see that the halls are properly supplied with fur- niture and articles for use, and shall often communicate with the Physicians respecting the patients under their charge, and inform them of changes in their condition, that require attention, and of those likely to be benefited or injured by exercise, labor, amuse- ments or religious services. They shill in all things endeavor to carry into successful opera- 11 tion, the plans of the Superintendent, and shall constantly study to promote the comfort, contentedness and welfare of the patients, and for these purposes they shall visit every part of their respec- tive departments, several times each day. They shall also see to the changes of patients from one hall to another, and walk out with patients that are feeble or timid, or with others, when they have time. OVERSEERS OF THE KITCHEN AND BAKERY. The Kitchen and Bakery shall have a Chief, whose duty it shall be to see to the safe-keeping and economical use of ail the sup- plies furnished to those departments. He shall see that the food is well cooked and properly distributed, and that nothing is wasted — that no extra or unusual articles are cooked for those in the kitch- ens, nor sent into the Wards, unless the person calling for such, say it is by order of the Steward or Superintendent ; that there is no unnecessary or improper conversation carried on with those in the Wards — that there is no rude or improper behavior in the cooking departments, including the bakery — no bad language or quarreling, but that all work faithfully. They shall see that these departments, including store-rooms, &c, are kept neat and in good order, and that no idle company be suffered to visit the kitchens or bakery — nor the attendants or assistants in other departments, without special business or by permission of one of the officers. All violations of these rules, or instances of bad conduct on the part of those employed in their departments, are to be reported by the Chief to the Superintendent, immediately. In such an establishment where there are large quantities of pro- visions and many hands employed, constant vigilance will be ne- cessary to guard against the feeling on the part of many : that it is of no consequence if some things are lost or squandered; that they belong to the State, and there are enough left. Any remarks of this kind, or conduct indicating such feelings, should be made known, at once, to the Superintendent. In short, the Chief is ex- pected to know, from his own observation, that the articles and food intrusted to him, are safely kept and economically used, and that good order and cleanliness prevail in all the departments un- der his care. It will be his duty to see that those employed, rise early and are attentive and faithful throughout the day and hours of labor. It must be no excuse for the overseer that his departments are not in good order for want of sufficient help, furniture or proper arrangements, as his application to the Steward must be repeated until they are well furnished in these respects. 12 rr OVERSEERS or Tin; WASHING and IRONING ROOMS. The Chief* of the Washing Department shall collect the clothing and other articles to be washed, as directed by the Steward and Matron, and see that they are properly and carefully washed, dried and carried to the Ironing Rooms. Especial care must be- taken that none are lost. For this purpose, he must see that he receives all the articles on the lists given him, and that they are marked, and that he furnishes the same with the lists, to the Ironing Rooms. The Chief of the Ironing Rooms, shall see that the clothes and other articles delivered to him, from the Washing Rooms, are pro- perly ironed, mended, and correctly distributed, according to the lists furnished him, under the directions of the Steward and Mat- ron. The Chief of the Washing and Ironing Rooms, shall not per- mit attendants or assistants, or any company or visitor whatever, into their departments, except by the direction of one of the offi- cers of the Asylum. Violations of this rule are to be reported to the Superintendent, immediately. WATCHMAN AND WATCIIWOMAN. The Watchman will commence his rounds at sunset, — at which hour he will call at the Physician's office for directions for the night. He will keep moving about from Ward to Ward, during the entire-night, and will visit every part of the house (except that occupied by the female patients) at least every hour, frequently passing on the out side of the hospital, and noticing the out- buildings. He must be kind, gentle, and soothing in his manner to the pa- tients, and take every means in his power to tranquilize those that are excited, and to allay the fears and apprehensions of the timid. He will see that they are promptly supplied with water when it is asked for, and that all their little reasonable wants are attended to. He will be careful to make as little noise as possible in moving about, and always speak to patients in a low tone of voice. He will notice particularly all unusual sounds in the patients' rooms, and ascertain their cause, or give prompt notice to the pro- per attendant. _ When there are sick in the Wards, he will pay them frequent visits — attend to all their wants, and, if required, administer, their medicine. He will report to the Physician all irregularities, every instance of neglect, and all violations of rule that may come under his no- ■ 13 ticc in any part of the house, or on the premises — -and enter upon the office book any remarks he may nave to make upon the occur- rences of the night. Should he discover fire in any part of the hospital or out-build- ings, — if it is not in his power to at once extinguish it, he will im- mediately give notice to the officers, and then to the attendants, but uever raise a general alarm. lie is to ring the bell at the pre- scribed hour, and perform such other duties as may be assigned him. jau - . Tho duties of the Wat eh woman are confined to the Wards oc- cupied by the female patients, in which she .will spend the- night, and be governed by the samo rules as the Watchman. Both will be careful to perform their responsible trusts with the strictest fidelity — to he constantly vigilant, and never to sleep while on duty. Any suspicion of a want of fidelity in these officers must necessarily disqualify them for their stations. Individuals failing to perform their whole duty, from fear or any other cause, will not bo retained in either of these stations. m ;.i DUTY OF ATTENDANTS AND ASSISTANTS. 4*M51 T%ilT D U T Y T V F J C K K S . It is expected that every person employed in the Asylum, will do all they can to promote the welfare of tho Institution," nnd tre&t the Officers, on all occasions, with politeness and respect, and do, readily and cheerfully, all the duty which they require. All must expect an unceasing observation of the manner of per- forming^ their respective duty ; and the suggestion, by an officer, of deficiencies or improvements, are to be taken kindly, and with- out offence, and an effort made to improve. DUTY TO EACH OTHEK AND TO THEMSELVES. in the first place, self-respect is enjoined on all. Each one is ; onstble in his or her department, and should be ambitious to do Lie duties of it to entire acceptance. Patients will look to attendants for good examples ; let attend- ants be careful in nothing to set a bad one. Let your dress always be neat and clean. Avoid all ungentle- manlike habits,— such as men's wearing their hats within doors, going m shirt-sleeves, &c. Never indulge in loud talking or laugh- ***g.. Use no profane, obscene or vulgar language. Never play at any game with one anotker, nor with patients, excepting at tho Superintendent's direction. 14 Treat each other with politeness ; be civil, cordial, and frank. Let a smile habitually light up your countenance when you speak. A calm quiet, cheerful deportment befits your employment. Cher- ish a high sense of moral obligation ; cultivate an humble, self- denying spirit ; seek to be useful, and maintain, at all hacards, your purity, truth, sobriety, economy, faithfulness and honesty. No attendant or assistant, while connected with the Asylum, shall, at any time, at home or abroad, make use of distilled spirits, or intoxicating liquor of any kind, and it is desirable that they should not use tobacco, but discourage the use of it by patient6, DUTY OF ATTENDANTS TO PATIENTS. The Attendants are to treat the inmates with respect and atten- tion ; greet them cheerfully with "good morning," or "good even- ing," and show them such other marks of good will and kindness, as evince interest and sympathy. Under all circumstances, be ten- der and affectionate ; speak in a mild, persuasive tone of voice ; never address a patient coarsly, by a nickname, nor by a christian nome, nor by a sirname, without the addition of Mr., Mrs. or Mies. A patient is ever to be soothed and calmed when irritated ; en- couraged and cheered when melancholy or depressed. They must never be pushed, collared, nor rudely handled. To induce them to move, gentle, persuasive measures will prevail in most cases ; when these fail, tell the Superintendent, or, if he be absent, the Assistant Physician or Steward. If the attendant receives insult and abusive language, he must keep cool, forbear to recriminate, to scold, threaten, or dictate in the language of authority. Violent hands are never to be laid on a patient, under any provocation. A bloio is never to be return- ed, nor any other insult Sufficient force to prevent the patient's injuring himself, or others, is always to be applied gentry ; and all struggling with a patient, shoujd, if possible, be avoided, by calling additional assistance, when a patient is highly excited, or disposed to violence, before entering his room or attempting to dress or control him. The attendants are never to apply any restraining apparatus, such as muffs, mitts, &c, unless by order of a resident officer, nor seclude a patient without giving immediate notice to one of the Physicians. On rising in the morning, it is the duty of the attendants to see that each patient, confided to his or her care, is thoroughly wash- j ed, hair combed, clothes brushed, and cleaned, if necessary, col- lars, wristbandB *nd tu*pen4ers buttoned, and all parts of 'he ... 16 dress properly adjusted and secured, boots and shoes cleaned and tied ; and in fact, that the whole dress be neat and in good repair. (All of this should be relooked to throughout the day, and espe- cially before coming to meals or religious services, or going to ride or walk.) The patients' beds are then to be made* and the halls, day-rooms, bathing-rooms, passages and stairs to be swept, and the whole premises put in complete order as soon as it can be done; so that a complete inspection may be had of the house by the Phy- sicians, commencing at .9 o'clock. Previous to which time, no pa- tients are to leave the house to walk, labor or ride, without direc- tions, special or general, of the medical officer. By 10 o'clock, the morning's work should be completed, and the house in order for visitors in every part. One Attendant must always be in each hall with the patients; and he must not leave under any circumstances, but when relieved. The Attendants must not retire to their rooms while the patients are in the halls. Thi% rule must be observed in all the halls. At meals, two Attendants must always be present to carve, to distribute food to those who are incompetent to do it for them- selves, and to see that every one has a proper supply. One of them must be designated to see that no patient carry away a knife fork, or any other article from the table, i i An Attendant must never place in the hands of a patient, or leave where a patient can get, any razor, pen-knife, rope, cord, medicine, or any dangerous weapon or article. A constant watch of patients is to be kept in these respects ; their beds frequently searched for such articles, and the knives and forks counted after each meal. An Attendant must never deliver any letter or writ- ing from or to a patient, without permission of the Superintendent nor even retain m his or her possession, without such permission, any writing of a patient. The Attendants in each hall are responsible for the safe-keeping of the patients therein, and must not leave them, except in the care of some responsible person. There is an obvious impropriety in Attendants sitting in their rooms, engaged in reading or writing during hours of duty: i. e., from the time the patients get up in the morning, until they retire at night. During this time, they snouid be in their own rooms only long enough to adjust their own dress. , r All these hours, with this sole exception, should be devoted to the patients ; endeavoring to keep them tidy and warm, to pre- vent improper conduct, bad postures, (such as lying on the floor or ground, &c.,) and to instruct, comfort and amuse them by talking with them, reading to them, and the like. ' Suicides and elopements are most frequent about meal times, at • At 16 dusk, and at the hour of religious services; therefore, the strictest watch is to be kept at these times, xittendants must always be stationed where they can see patients during meals or religious services, and see that no one passes out of the house, and that each one returns to his or her Apartment. Attendants are to look not merely to those under their immediate charge, but with con- stant watchfulness, over all the patients. They must endeavor to prevent any from eloping or wandering. The clothes of suicidal patients, and every dangerous article, should bo removed from their rooms at night, and the windows fastened. Each Attendant should ? always know where every one is of those committed to their charge. When patients ride out, it is the duty of the driver of the car- riage to sec that they do not leave the carriage, nor communicate with persons casually 'met, nor deliver letters, packages or mes- sages, nor procure weapons, tobacco, or other articles. He is not to stop and do errands for himself or others, without permission of the Superintendent. When patients walk out with an Attendant, he shall keep them together, and observe the some prohibitions as the driver ; he shall also particularly avoid going near dangerous places, as railroads, precipices, rivers, wells, machinery, &c, or into woods or other places favorable for elopement. Attendants will go to the office for medicine half an hour before each meal, and see that the whole is given at the time directed, and that it is all swallowed. Each cup is marked with the patient's name. Extreme care must be taken to avoid mistakes, and to pre- vent patients helping themselves to medicine ; therefore, all cups, vials, boxes, &c, containing medicine, should be kept locked up. Within an hour of the time of taking them from the office, the cups should be cleaned and returned to the office. In going for tlie cups, and returning them, the attendants must not delay in the passage, nor hold any other conversation than to report to the Su- perintendent or Physician, changes in the condition of the patients, which they are always to do immediately^ All damages by patients, and all their waneo as to clothes and other articles necessary to put these rules in p <,ctice, are to be re- ported by the Supervisors, to the Steward or Matron. It will be no excuse for Attendants that their rooms, beds and patients are not in ample order, to say: they have not what n necessary ; for their application for such articles should be unceasing until they get them. Attendants must be particularly careful not to break their keys; and when any door locks or unlocks with difficulty, imme- diate notice should be given at the office of the Superintendent. The Attendants must never ridicule the patients, nor mock or imitate them, nor do any thing to wound their feelings. If the IT patient engages in any controversy, or other improper or exciting topic of discourse, tho attendant must, in the gentlest manner pos- sible, interfere and check it ; should such means fail, one of the re- sident officers should he informed immediately. The history, con- duct and conversation of patients must never bo spoken of to vis- itors, nor reported by Attendants when abroad. Attendants must look particularly to the comfort of patients in their special charge, and visit them )ate at night and early in the morning. In speaking to patients of the officers, Attendants should inculcate respect and confidence in their management, and carry into operation all directions md prescriptions, in the most ready and faithful manner. Hfflery patient i>n/.st he in tlic change of some responsible indi- vidual at all times, unless permitted to he at large by the Super- intendent. The person who takes a patient from one of the halls, shall be accountable for his or her sale keeping until returned to the same, or intrusted by a resident officer to the eare of another person. No patient shall be permitted to gO mil of the hall in which his or her room is situated, without the Consent, of a resident officer; and no new patient, without an order of the Superintendent or Physician. Food is not to be carried to the rooms of the patients ; nor is any one to be absent from the regular meals, (excepting in cases of sickness or high excitement.) without permission of one of the Physicians. Attendants will daily notice the habits and condact of patients, and inform the Physician at his daily visit, of all circumstances re- quiring attention — such as loss of appetite, or any indisposition^ eostiVenfessj tendency to suicide, &c. No conversation must ever be held with patients through the windows, either by officers, assistants, or visitors ; nor must any thing be thrown away thro"^ a window. DUTY TO T T " K INSTITUTION. The Attendants and Assistants must never leave the Asylum without permission from the Superintendent or Assistant Physi- cian, and always return previous to the next meal time, unless leave be expressly given to stay longer. Application for leave of ab- sence should be made several hours before leaving. Attendants, when thus leaving, must deposit the keys of their hall in the office of the Superintendent, until their return. The Attendants must never give up a key, nor let any person into the halls without permission of a resident officer. No raaio 1* attendant, without such permission, shall enter a female Apart- ment. All persons who engage ?n employment at the Asylum, shall be considered as engaged For one year, unless a special contract is made for a longer or a shorter term. It is expected that all per- sons will fulfil their engagements scrupulously, as to time of service and duty to be performed, agreeably to their respective contiaets; and no one shall diseoirrinue service at phf Asylum, or on the farm, without giving at least thirty days notice, in writing, to the Super- intendent or Steward. No company sjiajl be admitted into the rooms or hftlls occupied by the patients at any time, except by the express permission of the Superintendent ; but all other parts of i)\L- Asylum audits grounds, may be exhibited by the (Steward, Assistant Physician, or Matron. All persons employed in the Institution are expected to show marked attention and respect to strangers and visitors. An indispensable . The Superintendent shall be a married man and a skill- ful phvsiciau, experienced in the treatment of the insane. I le shall continue iu office for ike term of four years from the time of bis app< intenent^ unless Booner removed by the Governor for incompe- tency, refusal to discharge any of his duties, or for any misconduct on his part, whick might reader ^improper for him" to continue* longer iu office-, lie shall reside in the Asylum with his family wbeu required to do so by the managers. Sec. 6. The Superintendent shall be the Chief Executive and medical officer of the Asylum, and shall (subject to the by-laws,) have care and control over everything connected therewith. He shall attend to the enforcement ->f the laws and by-laws, and sea that all persons connected with the Institution faithfully and dili- gently perform the duties assigned them. lie shall, with the con- sent of the managers, employ such" officers, attendants and other persona aa may be required for the service of the Institution, and may at pleasure discharge them. He shall receive and discharge patients, and shall annually by the first day of October, cause an inventory of all the personal property belonging to the Asylum to be made out, with an estimate of the value of each article, and sub- mit the same to the Managers. He shall be ex-officio Secretary of the Board of Managers, and shall superintend repairs and improve- ments, and see that the money intrusted to him is properly and economically expended, and shall keep an accurate account of tho same. He shall be "bo responsible disbursing officer of the Insti- tution, and shall gi; end for ihe faithful performance of his du- ties, made payable ■ uu6 State in the sum ef ten thousand dollars, with two or more sufficient sureties, to be approved by the Treas- urer. SbQ. 7. The Superintendent shall keep a register of all putien 3 received and discbarged, and of the operations of the Asylum, which may be required by the by-laws, and report the general re- sults to the Governor on the first day of October of each year. Sec. 8. If information in writing be given to any Chief Justice of a County, that any person in his County is an idiot, or lunatic, 24 rjr nan comnos mentis, and that the welfare of himself or of oth- ers requires that he be placed under restraint, and said Chief Jus- tice shall believe such information to be true, he shall order such person to be brought before him, and twelve competent jurors of the County to be summoned, who shall, be sworn to inquire and a true verdict render, whether such person is of sound mind or not ; whereupon, the matter shall be tried, and if the jury shall return a verdict that the person is not of sound mind, and that he should bo placed under restraint, the some shall be recorded, and the Chief Justice shall thereupon order him to be sent to the Lunatic Asy- lum, unless some friend (to whom the Chief Justice in his discre- tion may deliver such person,) will give bond payable to the State, with sufficient security, to be approved by said Chief Justice, with the condition to restrain and take proper care of such person, un^ til the cause of confinement shall cease, or lie is delivered to the ♦Sheriff of tho County, or other person, to be proceeded with ac- cording to law. Upon the trial and inquiry herein provided for, the examination of the insane and the testimony of witnesses shall be reduced to writing and filed. The proceedings of the Chief Justice in relation to insane persons shall be minuted in the record of his court appertaining to estates of deceased persons, &c. Sec. 9. It shall be the duty of the Chief Justice, on ordering a person to be sent to the Asylum, to ascertain, 1. The number of his family, if he has one, and their ability to maintain themselves ; 2. The value of his estate, if any; and, %>. The ability of persons legally liable for his Support. And ho shall make an order specifying the amount which his guardian, if any, shall pay out of the estate of such person, for his support in the Asylum ; and shall cause a minute to be made of the facts as- certained. S$C. 10. Before sending a patient to the Asylum, the Chief Justice shall, without delay, cause authenticated copies to be made of the proceedings, evidence and decree of the original inquisition, and of the record of all subsequent inquisitions and orders, to be forwarded by mail to the Superintendent of the Lunatic Asylum ; and in all cases, except those of great emergency, shall, before sending said person, ascertain from the Superintendent by applica- tion in writing, that there is a vacancy, and that the officers of the Asylum cannot send for him. Thereupon, the Chief Justice shall issue his warrant to the Sheriff, or other suitable individual, order- ing him to convey said person to the Asylum without delay ; and when satisfied of the necessity for assistants, ho shall prescribe in such warrant the number to be allowed, which in no case shall ex- 25 eeed two : and he shall see that the patient is provided with two good and fail suits of summer, nnd one of winter clothing. Sec. 11. If any person charged with or convicted of any crim- inal offence, be found t3 be insane in the court before which he is so charged, or convicted, said court shall order him to be conveyed to and retained in the State Lunatic Asylum ; and he shall be re- ceived and retained, until removed by order of the court by which he was committed to the Asylum. Sec. 12. No idiot who can be safely kept in the County to which he belongs, nor any person laboring under a contagious or infec- tious disease, shall be sent to the Asylum. Sec. 13. Any person may be admitted into and retained in the Asylum as a patient : 1. Upon the order of any court or Judge authorized to send per- sons to the As} T lum. 2. Upon the written request of his legal guardian, near relative, or friend, if he has no guardian, or of the persons or of counties that may be legally liable for support. Such request shall set forth the name, age and residence of the persons for whom admission is requested, and such other particulars of the case as may be recpiired by the Man- agers, and shall be signed under oath, and accompanied with a cer- tificate dated within two months, under oath, signed by one re- spectable physician, of the fact of his being insane ; and also, a certificate from the Chief Justice of the County, as to the respect lability of the physician so certif} T ing : provided, that for private patients, the friends shall pay six months' board, always in advance, and give such bond and security for the payment of the expenses of such patient, as may from time to time be required by the by- laws of the Asylum. Sec. 14. If applications shall be made for the admission of more patients than can be received in the Asylum, preferences, in all instances, shall be given to those made under order of court- over private applications ; and of the former, to those for cases of less than one year's duration over chronic oases. Sec. 15. Any patient except such as have been committed un- der the provisions of the eleventh section of this act. may be dis- charged upon the recommendation of the Superintendent,, approv- ed by two of the Managers. Incurable and harmless patients, and such others as the Superintendent may deem proper, may in like manner be discharged whenever it is necessary to make room for recent cases, or when, for any other cause, it may seem expedient. Sec. 10. When the patient is discharged uncured, the Superin- tendent shall see that a suitable guard is provided to carry him to- las friends, or to the County from, which he was sent. No patient 20 shall be discharged without suitable clothing, or without money to pay his necessary expenses home. Sec. 17. The amount to be paid for the board of patients ad- mitted into the Hospital, shall be at the rate of two dollars per week for each person supported by the County, and for every other person that the Managers may find not to !>e possessed of estate sufficient to support him and his family, (or if he has no family himself,) under the visitation of insanity, or that the persons legally liable for his support are in indigent circumstances. For all other persons the Superintendent may make a special contract, at the rate not less than five dollars per week. In all cases, the ex- pense of removing the patient from the Asylum home, and for the necessary clothing with which he shall be furnished by the Asylum, if not otherwise provided, shall be extra charges. The expense of persons committed under the eleventh section of this act, shall be defrayed by the State, and the excess of the expenses of those com- mitted by order of the court, and of other patients, over and above what is required in the foregoing rates, shall in like manner be de- frayed by the State. Sec. 18. The expenses of clothing, maintenance in the Asylum, and removal home therefrom, of every person received upon the order of any Chief Justice, shall be paid by the Treasurer of the County from which he was sent, when and as they become due and payable, according to the by-laws of the Asylum. And the County Court shall have the right to require every individual legally liable for the support of such patient, to reimburse the amount so paid ? with interest from the time of paying the same. Sec. 19. No person of unsound mind who is unable to support himself, shall become chargeable to any County, unless he has ac- quired a legal settlement therein, and shall not be deemed to have acquired such settlement, unless he shall have resided one year in the State, and six months in the County. When any person of un- sound mind shall come into the County, who is likely to become chargeable thereto, the Chief Justice of such County may, by warrant, cause such person to be removed to the County wherein he was last legally settled, unless he be so sick or disabled that he cannot be removed without danger of life, in which case he shall be provided for at the expense of the County wherein he is, until he can be so removed. Sec. 20. It shall be the duty of the County Court of each County, that shall be chargeable with the support of one or more persons of unsound mind, to make provision therefor in its annual levy of the County tax. Sec. 21. If any patient confined in the Asylum shall escape therefrom, it shall be the duty of the Sheriff" of any County in 2T which he may be found, to apprehend him ; and if required by the Superintendent or Chief Justice, to take him back to the Asylum. Sec. 22. The officer complying with the order of the court, or the Superintendent, in carrying a patient to the Asylum, shall, on presentation of the proper vouchers, be paid out of the treasury of the Asylum, at the rate of ten cents per mile for himself, and each guard, (authorized by the court) going and returning, besides tolls and ferriages, and the same for the patient going. Sec. 23. No Manager or other person connected with the Insti- tution, shall sell any article to the Asylum, or have any interest in any contract therewith.