An Act to amend the Insane Asylums Act. ,c. ei

1893. INSANE ASYLUMS (AMENDMENT). CHAP. 18

C H A P T E R 18 .

An Act to amend the " In sane Asylums Act." c. A. ISSS, c. ei.

[imh April, 1893.}

HER MAJESTY, by and with the advice and consent of the Legislative Assembly of the Province of British Columbia, enacts as

follows:—

1. This Act may be cited as the "Insane Asylums Act Amendment ghort title. Act, 1893."

2 . Section 2 of the " Insane Asylums Act" is hereby amended by Amends«. 2. striking out the words " whether found so by inquisition or not," and by substituting therefor the following: " (1) found so by inquisition ; (2) certified to be so in the manner set forth in the section substituted for section 8 of this Act by section 3 of the ' Insane Asylums Act Amendment Act, 1893.'"

3. Sections 8, 9,10, and 11 of the "Insane Asylums Act," are hereby Repeals ss. 8, 9, 10, repealed and the following substituted in lieu thereof :— Zte^-' " ^ ^ ^ '

" 8. No person shall be admitted into any &uch asylum as a lunatic JJOW pers0n received except upon an order of the Lieutenant-Governor in Council, without— i n t o asylums.

" (a.) A certificate to be in the Form A, Schedule 1 to this Act, bearing date within three months of the time of admission, signed by each of two duly qualified medical practitioners, and attested by a Judge or Registrar or Deputy Registrar of a Court of Record, or a Police or Stipendiary Magistrate, or a Justice of the Peace, which certificate shall state that the medical practitioner signing the same personally examined such person separately from any other medical practitioner, and after due inquiry into all the necessary facts relating to the case, found such person to be a lunatic :

79

CHAP. 18, INSANE ASYLUMS (AMENDMENT). 56 VICT.

" (b.) An affidavit or solemn declaration, to be made in the Form Aa, before a Judge of a Court of Record, or a Police or Stipendiary Magistrate, or a Justice of the Peace, or a Commissioner for taking affidavits in the Supreme Court, by each of two credible persons, that such person has to his personal knowledge been a resident within the Province for the space of at least six months immediately preceding the date of the making of such affidavit or declaration.

Certificate. " 9- Such certificates and affidavits or declarations shall be sufficient authority to any person to convey the lunatic to any such asylum and to the authorities thereof to detain him therein so long as he continues to be insane.

Lieut.-Governormay " 10. In all cases where it shall be represented to the Lieutenant-ift^llP i r a 1*1* ft Tl "t"i TOVfilî-

posal of lunatic who Governor in Council that such lunatic has not been a resident of the Pro-has not been a resi- v j n c e for fc}je period of at least six months prior to the date of application dent tor six months. L ' f-L

for admission to any such asylum, it shall be lawful for the Lieutenant-Governor in Council, either to issue his warrant for the admission of such lunatic to such asylum, whereupon such lunatic shall be accordingly admitted by the authorities thereof, and detained so long as he continues to be insane, or to order the transportation of such person in charge of a constable or other proper person to the place whence such person came to the Province, or to make any other order and from time to time, as often as may be necessary, with respect to the detention, custody, and maintenance, discharge, or other disposal of such person as may seem convenient and proper, and the costs of and incidental to any such order and the execution of the same shall be defrayed when necessary out of any moneys to be voted by the Legislature for the purposes of this Act."

Committal of Dangerous Lunatics.

Person suspected of 4 . Where an information is laid before any of Her Majesty's apprehendedmay e Justices of the Peace for any territorial division, that any person,

being within the limits of the jurisdiction of such Justice, is, or is suspected and believed by the person laying the information to be, insane and dangerous to be at large, and has exhibited a purpose of committing some crime for which, if committed, such person would be liable to be indicted, such Justice may issue his warrant to apprehend such person and to cause him to be brought before such Justice or any other Justice for the same territorial division.

Warrant. 5. Every such warrant (Form B) shall be under the hand and seal of the Justice issuing the same, and may be directed to all or any of the constables or other peace officers of the territorial division within which the Justice issuing the same has jurisdiction, and shall name or otherwise describe the person against whom the information has been

80

1893. INSANE ASYLUMS (AMENDMENT). CHAP. 18.

laid, and shall state that information has been laid on oath that such person is insane and dangerous to be at large; and the wairant shall order the person or persons to whom it is directed to apprehend the person against whom the information has been laid and to bring him before the Justice issuing the warrant, or before some other Justice of the Peace for the territorial division, in order that inquiry may be made respecting the sanity of such person, and that he may be further dealt with according to law.

6. Where the person alleged to be insane has been apprehended Committal of person. under the warrant, he shall be brought before the same Justice of the Peace, or some other Justice for the same territorial division, and the Justice may thereupon by his warrant (Form G) commit the said alleged insane person to the common gaol or other prison, or, if the Justice thinks fit, to the custody of the constable or other person who apprehended him, or to such other safe custody as the Justice deems fit, and he shall in such case order the person apprehended to be brought up at a certain time or place before the Justice, of which order the informant shall have due notice ; or the Justice may, if he considers fitting, proceed forthwith to hear the matter as in the next section directed ; but no committal under this section shall be for a longer period than three days.

7. Upon the day so appointed the said Justice shall proceed to Hearing as to al-hear such evidence under oath as may be adduced with reference to e g e m s a m y-the alleged insanity of the prisoner, and shall then, or previously, direct inquiry to be made as to the friends and relatives of the prisoner, in order that the evidence of some person or persons who is or are acquainted with the family and previous habits of the prisoner may be had before the committal of the prisoner to custody as an insane person is directed.

8. The Justice may from time to time adjourn the inquiry, and Adjournment, again commit for safe custody until proper inquiry is made as herein directed.

9. If, after reasonable inquiry has been made by the Justice, he is Procet dings if pris-satisfied that the prisoner is insane and dangerous to be at large, the ôu^to be atlarge" Justice shall commit (Form D) the prisoner to the common gaol or lock-up of the territorial division, there to remain until the pleasure of the Lieutenant-Governor is known, or until the prisoner is discharged by law: Provided always that in the event of it being proved to the satisfaction of the Justice, by the evidence of two credible witnesses, that the prisoner has been continuously resident in the Province for the period of at least six months immediately preceding the time of giving the evidence, the Justice may commit the prisoner

81

CHAP. 18. INSANE ASYLUMS (AMENDMENT). 56 VICT.

to the gaol or lock-up of the place at which any asylum is situate, and such prisoner shall be detained in such gaol or lock-up pending his admission to the asylum, or until discharged by law: Provided also that in the event of any person being a friend or relative of the prisoner desiring to perform the duty of removing the prisoner to the gaol or lock-up, and it appears to the Justice that such person is competent and likely, faithfully, to perform the duty, the warrant of commitment may be delivered to and executed by such person instead of by a constable, and such person may be paid the actual necessary expenses of and incidental to the execution of the warrant : Provided also that if any friend or relative of the prisoner is willing to undertake the maintenance and safe custody of the prisoner, pending his removal to the asylum or the arrival of the order of the Lieutenant-Governor, or until otherwise discharged by law, and it appears to the Justice that such friend or relative is competent and likely, faithfully, to perform the undertaking, then the Justice may, instead of committing the prisoner to a gaol or lock-up, commit the prisoner to the custody of such friend or relative to await his removal to the asylum or gaol of the place at which such asylum is situate, or the arrival of the order of the Lieutenant-Governor, or until otherwise discharged by law, as the case may be.

If not insane to be 10 . In case it appears to the Justice that the prisoner is not insane, arge . ^ j g ^ ^ dangerous to be at large, then the Justice shall forthwith

discharge such person.

Justice to inquire in- 1 1 . If the Justice is satisfied that the person so apprehended as to financial standing „ . , . . n , . . . , . . . . .

of insane person. aioresaid is insane and dangerous to be at large, it shall also be the duty of the Justice to make inquiry whether the prisoner is possessed of any and of what property, and where the same is situated, and also as to the number of persons (if any) who are dependent for support upon the prisoner, so that it may be ascertained whether the prisoner should be sustained as an insane pauper or not.

Other information to 12 . I t shall also be the duty of the Justice, upon the examination 6 e IC1 e of the witnesses in respect to such alleged insanity and the danger of

permitting the person apprehended to be at large, to elicit, as far as such Justice may be able, all information in respect to the matters set out in Schedule No. 2 to this Act.

When Justice to be 1 3 . If, in the opinion of the Justice, it will be much less expensive inqurries.r°m m a ™g ^° m a k e the inquiries directed in the preceding two sections else

where than at the place of inquiry, or in case he finds that the persons whom it is necessary to examine in order to obtain the information desired live at a considerable distance, the Justice may, in lieu of making said inquiries, certify such fact or facts, and the Justice shall in such case be excused from making such inquiries.

82

1893. I N S A N E A S Y L U M S ( A M E N D M E N T ) . C H A P . 1 8 .

1 4 . The Just ice shall for thwith send, certified, to the keeper of the Delivery of deposi-

gaol to which the insane person is committed, the depositions taken

before him, and the keeper of the gaol shall fo r thwi th deliver the

same to the Sheriff.

1 5 . The J u d g e or act ing J u d g e of the County Court of the county, County Court Judge

or if the said Judge of the County Court or act ing Judge is absent p^âctin °in his

from the county, or unable to act, then such Just ice of the Peace as stead to cause in-

may be requested by the County Cour t J u d g e or b y the At to rney- ss. xi and 12 to be

General to act in his stead "in this behalf, shall, as soon as convenient ly m a d e -

m a y be, cause to be made such of the inquiries directed to be made

b y sections 11 and 12 of this Act as have not been previously m a d e ;

and the Registrar of the Court or Just ice of the Peace, as the case

may be, shall cause to be summoned the witnesses required therefor ;

bu t should the Judge or Jus t ice find t ha t such inquiries will be expen

sive, or t ha t sufficient information has been obtained for the purposes

of this Act by other means, then the J u d g e or Jus t ice need not m a k e

the inquiries by th is section directed.

1 6 . A Judge or Justice of the Peace acting in respect of a n y Power to compel at-

inquiry herein directed to be made, shall have the like au thor i ty for com- *™ c^0 w l t"

pelling the a t tendance of witnesses as a Jus t ice would have under a n y

Act in force respecting summary convictions, and m a y give directions

to any constable or peace officer; and every constable or peace officer

is hereby required to obey the same in l ike manner , and all the

provisions of the said Acts as to procedure under the same shall, as

near ly as may be, apply to proceedings under th is Act, unless different

provisions are herein made.

1 7 . Eve ry person committed as an insane and dangerous person How long insaneper-

under this Act shall remain in confinement in the gaol ment ioned in ®on t o remain m eon-

the wa r r an t till he is thence removed to an asylum or otherwise com

mit ted to safe keeping in accordance wi th the provisions of this Act,

or unt i l he is discharged under the provisions of sections 24 to 27,

both inclusive, of this Act.

1 8 . No lunatic or other person of unsound mind not convicted of Not to be confined

crime shall be confined in any gaol, lock-up or o ther place of confine- g^min^l. r ° ° m w l

ment in the same room with a n y person charged w i th or convicted of

a n y crime.

1 9 . When a female is being conveyed to the place where an asylum when female being

is situate, unless she is accompanied by her father, son, b ro ther or ^ b T ^ c c o m ^ " ^

husband, she must be placed in charge of and accompanied by a by female,

female.

2 0 . Indians shall not be admit ted to any asylum unless the expense Admission of In-

of the i r maintenance and other charges a re guaran teed b y the Super in

tendent-General of Indian Affairs for Canada, 83


Insane Convicts.

Removal of insane 2 1 . The Lieutenant-Governor in Council, upon such evidence as may be required of the insanity of any person imprisoned either for an offence under the authority of any of the Statutes of this Province, or for safe custody charged with any such offence, may order the removal of such insane person to an asylum for the insane, and such person shall remain there, or in such other asylum or other place of safe keeping, as the Lieutenant-Governor in Council may from time to time order, until his complete or partial recovery, or until other circumstances justifying his discharge from such asylum or place, are certified to the satisfaction of the Lieutenant-Governor in Council, who may then order such person back to imprisonment if then liable thereto, or otherwise to be discharged.

Inquiries as to finan- 22 . The Judge or acting Judge of the Countj^ Court, or a Justice of cial standing of in- . . . . . . . . . . ' . ,

sane criminal to be the Peace residing m the county oi district, m the common gaol of which similar to those di- a I1y person imprisoned for an offence is confined, and which person is S3. 11 and 12. insane in the opinion of two qualified medical practitioners, of whom

the gaol surgeon (if any) shall be one, may, and, if required either by the Attorney-General or by any regulations approved by the Lieutenant-Governor in Council made respecting the admission of patients into asylums for insane persons, shall, as soon as conveniently may be, cause to be made in respect of such prisoner inquiries similar to those directed to be made by sections 11 and 12 of this Act; and in case the Judge is absent from the county or is unable to act, then the said inquiries may be made by such Justice of the Peace as may be requested by the said County Coui t Judge to act in his stead in this behalf

Application of ss. 15 2 3 . The provisions of sections 15 and 16 of this Act shall apply to a n d 16- inquiries made under the preceding section.

Discharge.

oner. Discharge of pris- 2 4 . If the Judge or acting Judge of the County Court, or if in the

absence from the County of such Judge or acting Judge, or in the event of such Judge or acting Judge being unable to act, if any person authorized by law to act as County Court Judge, or if any two Justices of the Peace being authorized by such Judge or acting Judge to act for him in this behalf, certify in the Form E that he has, or they have (as the case may be), personally examined a prisoner committed under the provisions of this Act, and that he is, or they are (as the case may be), satisfied that such prisoner is not insane, or that such prisoner though insane is not dangerous to be at large, and is not in the opinion of such Judge, person, or Justices a proper person to be confined in an asylum for the insane, and if two medical practitioners (of whom the gaol surgeon, if any, shall be one), each separately from the other,

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J 893. I N S A N E ASYLUMS ( A M E N D M E N T ) . C H A P . 18.

personally examine the prisoner, and certify in like manne r (Form F),

then in either of such cases the pri-oner shall be for thwith discharged

by the keeper of the gaol in which the prisoner is confined.

2 5 . Where the J u d g e or act ing J u d g e of the County Court, or the Re-examination in.

person authorized by law to act as such Judge , or the Just ices (as the ment.° l s a g r e e"

case may be), and the medical practitioners, upon mak ing a personal

examination of a person committed to gaol as insane, do not agree in

opinion as to whe ther the person so committed is or is not insane,

they, or any of them, may again and as often as necessary examine

such person and m a y g ran t a new certificate, if upon such fu r the r

examination they change their opinion as to the menta l condition of

such person.

2 6 . Where the insani ty of any person committed, under the war - Discharge on eertifi-

r an t of any Just ice or Justices of the Peace, to a gaol as insane, has ^ a ^ Zaf^t has^re-

been duly certified under section 25 of this Act, and the gaol surgeon covered,

af terwards certifies t ha t such person has recovered and may be safely

discharged, the sheriff' or gaoler shall discharge such person from

custody under the said warrant , and such person shall be discharged

accordingly.

2 7 . Persons confined by vir tue of this Act, m a y be discharged or Lieut.-Governor or committed, absolutely or conditionally, to the custody of a n y other per- S ^ m f y ^ o m m H son or persons by the Lieutenant-Governor or by the Medical Super in- patient confined to tendent , either in accordance with the provisions of this Act, or under p,, r son;

such regulations as m a y by the Lieutenant-Governor in Council be made

from time to t ime in tha t behalf.

Escape and Re committal.

2 8. In case an inmate of an asylum for the insane escapes the re - Escape and re-com-

from, it shall be lawful for any of the officers or servants of the

asylum, or for any other person or persons, a t the request of such

officers or servants, or any of them, within forty-eight hours after

such escape where no war ran t has been issued, and wi th in two mon ths

after such escape where a w a r r a n t (Form G) has been issued b y the

Medical Super in tendent in t ha t behalf, to re - take such escaped person

and to r e tu rn him to the asylum from whence he escaped, and he shall

remain in custody therein under the au tho r i ty b y v i r tue of which he

was detained prior to the escape.

2 9 . I n case the Medical Super in tendent of a n y asy lum considers Committal for a time i t conducive to the recovery of any of the persons confined in the t o CBStod 'yof friends, asylum, tha t such person should be commit ted for a t ime to the custody of his friends, the Medical Super in tenden t m a y allow such person to r e tu rn on trial to his friends, upon receiving a wr i t t en unde r t ak ing b y one or more of the friends of such person, t ha t he or

t hey will keep an oversight over such person. 85


Preceding section not 3 0 . Nothing m the preceding section contained shall be construed to authorize dis- , , 1 • 11 , i • 1 i- i -i i charge of criminal. t ° authorize the temporary discharge of any person who has been

imprisoned for an offence and the period of whose sentence has not expired.

Medical Superinten- 3 1 In case within six months from such temporary discharge on trial dent may issue war- . . ° rant for return of the insane person again becomes dangerous to be at large, it shall be to°a°satlumary p a t l e n t lawful for the Medical Superintendent by whom the insane person was

so discharged, by his warrant (Form H) directed to any person or persons, or to any constable or peace officer, or to all constables or peace officers, to authorize and direct that such insane person be apprehended and brought back to the asylum from which he was temporarily discharged, and such warrant shall be an authority to any one acting thereunder to apprehend the person named therein and to bring him back to the said asylum.

SCHEDULE 1.

FORM A.

(Section 3.)

Certificate of Medical Practitioner in ordinary cases.

I, the undersigned, 0. D. [here set forth the qualification or degree of the person certified: for example, Licentiate of the Medical Board> M. D. of the University of London, etc.], a legally qualified medical practitioner, residing and practising at in the of

hereby certify that I, on the day of , A. D. 18 , at in the of

, separately from any other medical practitioner, personally examined A. B., of [insert residence and 'profession or occupation, if any], and after making due inquiry into all facts in connection with the case of the said A. B., necessary to be inquired into in order to enable me to form a satisfactory opinion, I certify that the said A. B. is insane, and is a proper person to be confined in an asylum for the insane {if the insane person is an idiot add that the said A. B. is an idiot), and that I have formed this opinion upon the following grounds, namely:

1. Facts indicating insanity observed by myself [here state the facts].

2. Other facts (if any) indicating insanity, communicated to me by others [here state the information and from whom received].

Signed in presence of 1 C r>

A Justice of the Peace for as the case may be).

86


FOEM Aa.

(Section 3.)

I, A. B., of the , of , in the Province of British Columbia {occupation), make oath and say {or solemnly declare) as follows: I am well acquainted with E. F., of in the said Province The said E F. has to my personal knowledge been continuously resident in the said Province for the period of at least six months immediately preceding the date of the making of this my affidavit {or solemn declaration, as the case may be).

Sworn {or declared) before me at the this day of

L. M., A Justice of the Peace (or as the case may be).

FORM B.

(Section 5.)

Warrant for Apprehension of Dangerous Lunatic.

Province of ) District or County of )

To all or any of the Constables or other Peace Officers in the said District or County of

Whereas information upon oath has this day been laid before the undersigned, one {or as the case may be) of Her Majesty's Justices of the Peace in and for the said District or County of , that A. B. is insane, and dangerous to be at large:

These are, therefore, to command you, in Her Majesty's name, forthAvith to apprehend the said A. B., and bring him before me {or us), or some one or more of Her Majesty's Justices of the Peace in and for the said District or County, in order that inquiry may be made respecting the sanity of the said A. B., and that he may be further dealt with according to law.

Given under my {or our) hand and seal this day of , in the year of Our Lord , at in the District or County of

LL.S.]

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CHAP. 18. INSANE ASYLUMS (AMENDMENT). 56 VrcT.

FORM C.

(Section 6.)

Warrant of Committal for Safe Custody pending inquiry.

Province of ^ District or County of j

To all or any of the Constables or Peace Officers in the District or County of , and to the Keepers of the Common Gaol {or Lock-up House) at

Whereas on the day of last past, information upon oath was laid before me (or us) , one (or as the case may be) of Her Majesty's Justices of the Peace in and for the said District or County of , that A. B. is insane and dangerous to be at large; and whereas the hearing of the same is adjourned to the

day of , at o'clock in the noon, at , and it is necessary that the said A. B. should in the meantime be kept in safe custody :

These are, therefore, to command you, or any of you, the said Constables or Peace Officers, in Her Majesty's name, forthwith to convey the said A. B. to the Common Gaol {or Lock-up House) at , and there deliver him to the custody of the keeper thereof, together with this precept: And I hereby require you, the said keeper, to receive the said A. B. into your custody in the said Common Gaol {or Lock-up House), and there safely keep him until the day of , when you are hereby required to convey and have him the said A. B., at the time and place to which the said hearing is so adjourned as aforesaid, before such Justice or Justices of the Peace for the said District or County as may then be there to make further inquiry respecting his sanity, and to be further dealt with according to law.

Given under my (or our) hand and seal this day of , in the year of Our Lord , at in the District or County aforesaid.

[L. S.]

FORM D.

(Section 9.)

Final Warrant of Committal.

Province of \ District or County of . j

To all or any of the Constables or other Peace Officers in the District or County of , and to the Keeper of the Common Gaol of the District or County of , at

88


Whereas information was laid before me (or us), one (or as the case maybe) of Her Majesty's Justices of the Peace for the said District or County of , on the oath of , that A. B. was insane and dangerous to be at large: and whereas inquiry has been made by me (or us) respecting the sanity of the said A B.: and whereas I (or we) have found and adjudged the said A. 5. to be insane and dangerous to be large:

These are, therefore, to command you, the said Constables or other Peace Officers, or any of you, to take the said A. B. and him safely convey to the Common Gaol at , and there deliver him to the keeper thereof, together with this precept; and I do hereby command you, the keeper of the said Common Gaol, to receive the said A. B. into your custody in the said Common Gaol, and there safely keep him until the pleasure of the Lieutenant-Governor be known, or until he be discharged by law.

Given under my (or our) hand and seal, this day of , in the year of Our Lord 18 , at , in the District or County aforesaid.

[L. S.]

FORM E.

(Section 24.)

Certificate of Judge or Justice when Prisoner is not fit for an Asylum.

Province of ) District or County of j

I, the undersigned 0. D., Judge of the County Court of the District or County of , (or we, E. F., and G. H., two of Her Majesty's Justices of the Peace for the District or County of who have been requested by G. £>., Esquire, Judge or acting Judge of the County of the said District, to act in his stead in this matter), do hereby certify that I (or* we) have on this day of A. D. 18 , personally examined A. B., an inmate of the gaol of the said District or County of , and I (or we) do hereby further certify that I am (or we are) satisfied that the said A. B. is not insane (or that the said A. B., though insane is not dangerous to be at large); and is not in my (or our) opinion a fit person to be confined in an asylum for the insane.

Signed this day of , A. D. , at in the District or County of

89


FORM F.

(Section 24.)

Certificate of Medical Practitioner where Prisoner is not fit for - an Asylum.

I, the undersigned G. D. [here set forth the qualification or degree of the person qualified: for example, Licentiate of the Medical Board, M. D., of the University of London, etc.] a legally qualified medical practitioner, residing and practising at , in the District or County of , do hereby certify that I, on the day of

A. D. 18 , at in the District or County of , separately from any other medical practitioner, personally examined A. B., an inmate of the Common Gaol (or Lock-up) of the District or County of ; and I further certify that I am satisfied that the said A. B. is not insane (or that the said A.B., though insane, is not dangerous to be at large), and is not in my opinion a fit person to be confined in an Asylum for the Insane.

Signed this day of , A. D. 18 , at in the District or County of

FORM G.

(Section 28.)

Warrant to retake escaped Patient.

Asylum for the insane at To , and all or any of the Constables or Peace Officers

in the district or county of

Whereas on the day of last past, being within one month from this date, A. B., an insane person confined in the asylum for the insane at , of which I (name) am Medical Superintendent, did escape from the said asylum :

These are, therefore, to command you, or any of you, the said Constables or Peace Officers, in Her Majesty's name, to retake the said A.B. and safely convey him to this asylum, and deliver him into my charge.

Given under my hand and seal, this day of , in the year of Our Lord , at , in the district or county aforesaid.

[L. 8.]

90


FORM H.

(Section 31.)

Warrant to retake Probationary Patient.

Asylum for the insane at To , and all or any of the Constables or Peace Officers in

the district or county of

Whereas on the day of last past, being within six months of this date, A. B., an insane person confined in the asylum for the insane at , was allowed by me, G. B., the Medical Superintendent of the said asylum, to return on trial to the care of his friends ; and whereas it appears to me from information Jreceived by me that the said A. B. has again become dangerous :

These are, therefore, to command you, or any of you, the said Constables or Peace Officers, in Her Majesty's name, to retake the said A. B. and safely convey him to this asylum, and deliver him into my charge.

Given under my hand and seal, this day of , in the year of Our Lord , in the district or county aforesaid.

[L. S.]

SCHEDULE No. 2.

Information to be elicited upon inquiry.

(Sections 11 and 12.)

1. The name in full and age of prisoner.

2. Occupation, religion and country.

3. Whether married or single; and if single whether ever married.

4. How many children, if any.

5. Address of parents or nearest relatives; and, in case of such

relatives, how connected.

6. How long prisoner has been insane.

7. Duration of the present attack, and whether the first.

8. How the insanity first showed itself, and the supposed causes.

9. Whether any delusions, and if so, what are they.

10. Whether the prisoner is suicidal or dangerous to others.

11. Whether any offence has ever been committed by the prisoner and whether prisoner has been convicted\>f the same, with all particulars.

12. Whether the prisoner is subject to epilipsy or paralysis. 91


13. Whether any of the other members of the prisoner's family have suffered in a similar way, and whether the prisoner has ever been in an asylum, and if so, when and where.

14. What have been the habits of the prisoner as to temperance, industry, and general conduct, and in what manner they have changed, whether the change has been recent, gradual or sudden.

15. Whether the prisoner has been subject to any bodily ailments, and if so, their nature.

16. Degree of education of prisoner, and any other information that will, in the opinion of the Justice or Justices, aid the Medical Superintendent in the treatment of the ease.

17. Whether the prisoner is idiotic, imbecile or incurable.

18. Whether the friends of the prisoner, or any of them, if such there be, are able to contribute to the maintenance of the prisoner while in an asylum, and which, if any, of such friends, and how much they, or any of them, can contribute.

Iff. The information required by section 11 of this Act..

"VIOTOKIA, B. C.

Printed by RICHARD WOWKNDBN, Pr inter to t he Queen's Most Excellent Majesty.

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Documents

An Act to amend the Insane Asylums Act. ,c. ei