Richmond and Portrane included general paralysis (tertiary syphilis) (pp:307), mania- cal chorea (pp:307), dysentery (pp:31), acute rheumatism (pp:491), "extensive fatty disease of the heart" (pp:31-32), "extensive valvular disease of the heart" (pp:200), uraemia (pp:116), epilepsy (pp:98) and erysipelas
Richmond heralded the beginning of an extraordinary period of asylum-building which persisted throughout the latter half of the 19th century and resulted in large asylums opening in Belfast, Derry, Armagh, Omagh, Dublin, Killarney, Kilkenny, Limerick, Sligo and Mullingar.
one of the earliest asylums to open in Ireland during this period; was one of the largest residential institutions of any kind in 19th century Ireland; and, arguably, served as a model for the development and management of other psychiatric institu- tions throughout the remainder of the century
imprisonment with a view to effecting any real cure
he daily average number of patients on our books was 1,958, as compared with 2,878, the daily average number resident during 1906.
Constant outbreaks of zymotic disease have occurred
overcrowding were compounded by increasing recognition of the large number of individuals with mental illness living in workhouses 5 which were poorly equipped to meet their medical and social needs
staff including doctors, nurses, porters, 'attendants', 'keepers' and, from 1 8 5 5 , teaching staff.
consumption of excessive quantities of alcohol by staff was a recurring problem
drink was a main factor in producing insanity
"the difficulty of attending to admis- sions and also paying the necessary visits to the wards in the afternoons is often considerable... Thus I hope the Commit- tee will agree with me in holding, as I do most respectfully but most strongly, that the Richmond Asylum cannot be worked with a staff of less than four junior officers, allowing for relief and providing that there will be always one actually on duty in each house
In addition to mental illness and alcohol addiction, asylum patients presented a range of medical and surgical problems including infective diseases and self-injury.
died of acute tubercular consumption on May 26" (pp:308). At this time, consumption (pulmonary tuberculosis) was a common cause of death in Ireland accounting for almost 16% of all deaths in 1904 16 and over 25% of deaths in Irish asylums in 1901;" similar problems were reported in asylums elsewhere.18 Other illnesses reported in Richmond and Portrane included general paralysis (tertiary syphilis) (pp:307), mania- cal chorea (pp:307), dysentery (pp:31), acute rheumatism (pp:491), "extensive fatty disease of the heart" (pp:31-32), "extensive valvular disease of the heart" (pp:200), uraemia (pp:116), epilepsy (pp:98) and erysipelas (pp:116). On 6 March 1907 Dr Norman was reported to be suffering from "a rather severe cold and lumbago" (pp:151) and on 13 June 1907 Dr Cullinan was "ill with a sharp attack of rheumatic fever