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Asylums

Irish patients in Lancashire asylums

Cox C, Marland H · Social history of medicine : the journal of the Society for the Social History of Medicine · 2015

Open access · cc by · source: Europe PMC

Cox and Marland argue that Irish migrants used Lancashire workhouses and asylums as survival sites, helping overload a confinement system that could no longer keep all pauper lunatics in asylums.

Key findings

Pauper lunatic numbers rose alarmingly. Workhouses could legally keep non-dangerous 'unsound mind' cases. Irish-born Lancashire residents nearly doubled to over 191,000 by 1851 (10 percent). By 1901 the county asylum population had quadrupled in 40 years while workhouse insane numbers barely rose, leaving chronic cases dumped in expensive asylum beds.

Methodology

A regional history of pauper lunacy in Victorian Lancashire, especially Liverpool after the Great Famine, using Lunacy Commission statistics, Poor Law rules, and the literature on workhouse–asylum exchanges (Bartlett, Melling, Adair, Forsythe).

Limitations

This is not a clinical trial of moral treatment, nor a full Ireland-wide demography. It does not measure today's mental-health inequalities.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsAsylumsconcept

    Irish Famine migrants used Lancashire workhouses and asylums as survival sites, overloading a confinement system that could not keep all pauper lunatics in asylums.

    Evidence for the claim as stated.

  • SupportsPatient Case Recordsmethod

    Aggregate patient statistics show pressure on the whole confinement system. Lunacy Commission figures for Victorian Lancashire show the county asylum population quadrupling in forty years to 1901 while workhouse insane numbers barely rose, leaving chronic cases in expensive asylum beds; Irish-born residents nearly doubled to over 191,000 by 1851.

    Evidence for the claim as stated.

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