A
psychiatric hospital, sometimes known as an
asylum, is a
hospital specializing in the treatment of serious
mental illness, usually for relatively long-term
inpatients.
Psychiatric institutions vary widely in their goals and methods. Some hospitals may specialize only in short-term or outpatient therapy for low-risk patients. Others may specialize in the temporary or permanent care of residents who as a result of a psychological disorder, require routine assistance, treatment or a specialized and controlled environment. Patients are often admitted on a voluntary basis, but involuntary commitment is practiced when an individual may pose a significant danger to themselves or others.
Court Judges pressured the UK Government, resulting in an Act of Parliament - The Madhouse Act 1828, allowing the building of purpose-built asylums, the first of which the 1st Middlesex County Asylum was at Hanwell in West London and opened its doors in late 1831. (Src. Museums of Madness, Andrew T. Scull, Penguin 1979)
Initially these early asylums were little more than repositories for the mentally ill – removing them from mainstream society in the same manner as a jail would for criminals. Conditions were often extremely poor and serious treatment was not yet an option. At this time there was minimal understanding of mental health issues and treatment methods were in the early stages of development.