Tag Archives: St. Louis Insane Asylum

Paperwork

Record of Patients at St. Louis Insane Asylum, 1886

Record of Patients at St. Louis Insane Asylum, 1886

Running an insane asylum involved a great deal of administrative work, and it is no wonder that some records were not as meticulous as inspectors and latter-day researchers would have liked.

Dr. Harry Hummer, superintendent of the Canton Asylum for Insane Indians, was often accused of poor-record keeping. However, not all of his records were badly kept; the problem lay in where he chose to put his efforts. A February, 1927 journal voucher lists 30 patients along with small sums spent on their behalf. These sums ranged from a few dollars to fifteen cents, yet Dr. Hummer kept track of them for reimbursement purposes.

Conversely, he spent almost no time updating patient medical records during the asylum’s later years; he left that task to his attendants who often jotted repetitive, meaningless updates that were useless for diagnostic purposes. Perhaps Dr. Hummer put his energy only into those tasks he thought would benefit himself and contribute to the efficiency of the asylum.

Patient Record From Nineteenth Century

Patient Record From Nineteenth Century

 

Many asylums have not retained all their patient records (or have deliberately destroyed them), so Canton Asylum’s incomplete patient records does not present an unusual situation. One inadvertent benefit to Hummer’s attention to detail in certain areas is that it is at least possible to cull patient names from these types of documents.

Death Certificate From Western State Hospital

Death Certificate From Western State Hospital

 

By going through vouchers and reports, researchers can fill in gaps that might exist in the records they would prefer to have, or uncover tidbits of information that present a clearer picture of  their subject matter. For instance, a payroll list from June 1923 shows that Dr. Hummer’s father, Levi, and his son, Harry Hummer, Jr. were employed at the asylum; additionally, a separate letter to the Indian Office that same month shows that Dr. Hummer’s other son, Francis, acted as an escort for patients coming to the asylum from Taos, New Mexico. It would certainly be interesting to speculate or do further research on the dynamics of this family employment.

 

And For Everyone Else…

Front View of Canton Asylum, courtesy National Library of Medicine

For non-wealthy patients entering an insane asylum, both admitting procedures and accommodations were much different than for the wealthy (see last post). Alienists did not have as much time to spend with new patients, and often took short personal histories  solely from family members’ who were often biased. Patients may then have been taken straight to their rooms and left by themselves to sort out their new, distressing situation. Some patients would first face a bath and delousing–neither of which would have been done with delicacy.

At the Canton Asylum for Insane Indians, language barriers would complicate the process for many patients. They, too, were frequently deloused and/or bathed. Their clothes were inventoried, and any money they had brought with them was taken for safekeeping. In many insane asylums, patients with similar behaviors were grouped together, and as patients recuperated, they would be moved to appropriate wards or floors. Canton Asylum never took that approach, partly because they never had a high concentration of single-gender patients who could be combined that way. Therefore, quiet patients might room with violent ones, or well-oriented patients be shut in with people who raved or hallucinated. This mismatch could only serve to make the experience worse for patients who were aware of their surroundings.

Committal Document from Ireland

A List of Patients in St. Louis Asylum

______________________________________________________________________________________