Madhouses Act 1774
Encyclopedia
The Madhouses Act 1774 was an Act
Act of Parliament
An Act of Parliament is a statute enacted as primary legislation by a national or sub-national parliament. In the Republic of Ireland the term Act of the Oireachtas is used, and in the United States the term Act of Congress is used.In Commonwealth countries, the term is used both in a narrow...

 of the Parliament of Great Britain
Parliament of Great Britain
The Parliament of Great Britain was formed in 1707 following the ratification of the Acts of Union by both the Parliament of England and Parliament of Scotland...

, which set out a legal framework for regulating "madhouses" (insane asylums).

Background

By the mid-eighteenth century, the common method in the United Kingdom for dealing with the insane was either to keep them in the family home, or to put them in a "madhouse", which was simply a private house whose proprietor was paid to detain their residents, and ran it as a commercial concern with little or no medical involvement. This led to two forms of abuse; the first was the keeping of "legitimately" insane people in atrocious conditions, and the second the detention of those who were falsely claimed to be insane - in effect, private imprisonment.

At this stage, there was no legislation to regulate the incarceration of anyone other than a Chancery lunatic or a pauper; there was only a vaguely defined common law
Common law
Common law is law developed by judges through decisions of courts and similar tribunals rather than through legislative statutes or executive branch action...

 power to "confine a person disordered in mind, who seems disposed to do mischief to himself, or to another person".

In a case in the mid-1750s, a woman came to suspect that her son-in-law had committed his wife to a madhouse in Hoxton
Hoxton
Hoxton is an area in the London Borough of Hackney, immediately north of the financial district of the City of London. The area of Hoxton is bordered by Regent's Canal on the north side, Wharf Road and City Road on the west, Old Street on the south, and Kingsland Road on the east.Hoxton is also a...

; with the aid of a Justice of the Peace
Justice of the Peace
A justice of the peace is a puisne judicial officer elected or appointed by means of a commission to keep the peace. Depending on the jurisdiction, they might dispense summary justice or merely deal with local administrative applications in common law jurisdictions...

, she secured the release of her daughter after obtaining a confession from the husband. A similar case in 1762 saw a man trying to obtain the release of an acquaintance, one Mrs Hawley, who he suspected had been confined in a madhouse. His initial application to Lord Mansfield
William Murray, 1st Earl of Mansfield
William Murray, 1st Earl of Mansfield, SL, PC was a British barrister, politician and judge noted for his reform of English law. Born to Scottish nobility, he was educated in Perth, Scotland before moving to London at the age of 13 to take up a place at Westminster School...

 for a writ of habeas corpus
Habeas corpus
is a writ, or legal action, through which a prisoner can be released from unlawful detention. The remedy can be sought by the prisoner or by another person coming to his aid. Habeas corpus originated in the English legal system, but it is now available in many nations...

was rejected because he was not a relative and so had no standing, but the judge arranged for a doctor to visit the house and speak to the woman. On his report, a writ was granted, she was brought before the court, and discharged.

A Select Committee of the House of Commons, chaired by Thomas Townshend
Thomas Townshend (MP)
The Honourable Thomas Townshend was a long-standing British Member of Parliament.Townshend was the second son of Charles Townshend, 2nd Viscount Townshend, from his first marriage to the Hon. Elizabeth Pelham...

, was set up in 1763 to study the problem of unlawful detention in private madhouses, and focused on the Hawley case. It found that she had been committed to the house solely on the word of her husband, who paid two guineas a month for her board, and that she was unable to leave the house or communicate with anybody outside it. The inmates were treated as being insane, but the agent who arranged their entry freely admitted that he had not committed a single insane person to the house in the past six years. No-one who would pay was turned away, no physicians attended the inmates, and no register was kept of their names. This was, the Committee stated, a common situation; they noted that a number of similar cases could have been studied, and they recommended that some form of legislative intervention was needed. The Commons ordered the committee to prepare a bill, but it appears this was never brought in.

The issue was next addressed in 1773, when Thomas Townshend
Thomas Townshend, 1st Viscount Sydney
Thomas Townshend, 1st Viscount Sydney PC , was a British politician who held several important Cabinet posts in the second half of the 18th century...

 sponsored a bill to regulate private madhouses; within seven miles of London, this would be the responsibility of the Royal College of Physicians
Royal College of Physicians
The Royal College of Physicians of London was founded in 1518 as the College of Physicians by royal charter of King Henry VIII in 1518 - the first medical institution in England to receive a royal charter...

, and outside that magistrates in county town
County town
A county town is a county's administrative centre in the United Kingdom or Ireland. County towns are usually the location of administrative or judicial functions, or established over time as the de facto main town of a county. The concept of a county town eventually became detached from its...

s. The bill passed the Commons, but was rejected by the Lords.

Legislative history

In 1774, Thomas Townshend again re-introduced the Madhouses Bill. The Bill was presented to the Commons for its first reading on 2 March, and was amended in committee on 23 March. The Lords voted on it on 21 April, and made two amendments (the addition of s.19 and s.31) on 6 May, before the bill returned to the Commons on 10 May. The bill then received the Royal Assent
Royal Assent
The granting of royal assent refers to the method by which any constitutional monarch formally approves and promulgates an act of his or her nation's parliament, thus making it a law...

 on 20 May.

Provisions

The Act required that all madhouse
Psychiatric hospital
Psychiatric hospitals, also known as mental hospitals, are hospitals specializing in the treatment of serious mental disorders. Psychiatric hospitals vary widely in their size and grading. Some hospitals may specialise only in short-term or outpatient therapy for low-risk patients...

s be licensed by a committee of the Royal College of Physicians
Royal College of Physicians
The Royal College of Physicians of London was founded in 1518 as the College of Physicians by royal charter of King Henry VIII in 1518 - the first medical institution in England to receive a royal charter...

. This license would permit the holder to maintain a single house for accommodating lunatics, and would have to be renewed each year. All houses were to be inspected at least once per year by the committee, who would also keep a central register of all the confined lunatics in order that people could locate them; outside of London, the task of inspecting them would fall to the local quarter sessions
Quarter Sessions
The Courts of Quarter Sessions or Quarter Sessions were local courts traditionally held at four set times each year in the United Kingdom and other countries in the former British Empire...

.

The penalty for "concealing or confining" more than one insane person without a license was set at £500, and every keeper of such a house who took in a patient without an order from a doctor was liable to a fine of £100.

Implementation

It took effect as of 20 November 1774, six months after receiving Royal Assent, and was originally stated to remain in force for five years and then until the end of the next Parliamentary session. It was continued for a further seven years by the Madhouse Continuation Act 1779 (19 Geo. 3 c.15), and then continued indefinitely by the Madhouse Law Perpetuation Act 1786 (26 Geo. 3 c.91); it remained in force until repealed by the Madhouses Act 1828.
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