Karori Lunatic Asylum | |
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![]() Ground plan of Karori Lunatic Asylum c. 1871 | |
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Geography | |
Location | Karori, New Zealand |
Coordinates | 41°17′05″S174°44′31″E / 41.2847°S 174.742°E |
History | |
Opened | 1854 |
Closed | 1873 [1] |
Links | |
Lists | Hospitals in New Zealand |
Between 1854 and 1873, Karori Lunatic Asylum in Wellington, New Zealand held and cared for patients with mental disorders. They had been certified as lunatics, but were not considered a danger to the public. It was the country's first independent lunatic asylum, that was not part of a prison. Karori was then a rural village isolated by a poor road, but is now the westernmost suburb of Wellington.
At that time, asylums followed the principles of moral management. Staff behaved in a humane and orderly way towards patients, and gave them a routine of chores and leisure activities. But the staff were laypeople who simply managed the patients, they did not treat them.
Karori asylum offered an effective mental health service until the mid-1860s. However, by 1871, overcrowding and understaffing led a parliamentary committee to single it out for reform. This prompted Wellington Province to build a larger asylum in Wellington city as a replacement.
In 1872, a provincial inquiry concluded that the two staff leaders had been physically abusing patients. The leaders were dismissed, and the asylum returned to moral management under their replacements. Karori asylum was itself replaced by Mount View Lunatic Asylum in 1873.
The Lunatics Act 1846 enabled the colony to hold and care for lunatics: people who were "... dangerously insane ..." or "... of unsound mind." Two doctors and a magistrate could certify someone as a lunatic, and later certify that they had recovered. Lunatics who were considered a danger to the public were held in prisons. The rest were held in asylums or public hospitals. [2] The Constitution Act 1852 created the provinces, and made them responsible for asylums and hospitals. [3]
Asylums aspired to moral management and non-restraint. They aimed to create a way of life conducive to recovery. The staff in asylums were laypeople who were not trained to treat mental disorders. [4]
The superintendent of Dunedin asylum, James Hume, outlined moral management with "Patience, gentle treatment, nourishing diet, cleanliness with light employment or exercise goes far to recover the lunatic and in chronic [or incurable] cases serves to make them comfortable... Good example in the attendants is the greatest guide, and gives confidence to the patients." [4]
Asylum staff also aspired to non-restraint: a troubled patient would be confined in a padded cell instead of being physically restrained. [3]
Karori Lunatic Asylum opened in 1854 with one patient and one member of staff. [5] Wellington and Auckland prisons already had asylums, but the first independent asylum was Karori. [4]
It asylum was on a 5-acre (2.0 ha) section, [6] which has a corner on Karori Road and Donald Street, where Karori Normal School is today. [7] Wellington city was 4 miles (6.4 km) away on a poor road. [8] The asylum building was a house, [9] which was extended in 1857. [10] By 1862, the section was enclosed in post-and-rail fencing. [11] It had a 0.5-acre (0.20 ha) kitchen garden, that supplied most of the asylum's vegetables, and a flower garden of a similar size. [12] The house was further extended in 1863. [13]
In 1857, the first medical officer was appointed: a doctor who visited the asylum at least once a week to tend the physical health of the patients. [5] By 1862, medical officer France reported there were 10 patients. The number of staff had grown to three: the keeper (or master) and matron, Mr and Mrs William Sutherland, and an assistant (or attendant). [11]
There were two types of patient: chronic and acute. Chronic (or incurable) patients were held for life. A smaller number of acute patients were admitted then improved sufficiently to be discharged. [14] Karori asylum offered an effective mental health service during this period. [15]
In Karori asylum's later years, the number of patients, particularly chronic, grew more quickly. [14] However, no more accommodation was added. In 1867, official visitors reported that the asylum had 19 patients and it was full. They also said it was understaffed and dilapidated. [16]
By 1871, a parliamentary committee considering reform of asylums was aware of problems at Karori. Their report recommended improving asylums in general, but singled out Karori for "... immediate attention and reform." [17] The committee's chairman, doctor Andrew Buchanan, made an inspection.
Buchanan found Karori asylum overcrowded with 23 patients; the number of staff had also grown to five. The keeper and matron, the Sutherlands who had led the staff since 1858, seemed to be humane, and they showed Buchanan whatever he wanted to see. His report raised concerns about the lack of a bathroom, poorly clothed patients, including a naked woman in an unheated cell, and male patients idling indoors. Buchanan simply noted that "... females never go outside the house." Apart from the medical officer, France, there had been next to no visitors in months.
Buchanan recommended replacing Karori with a larger and better equipped asylum in Wellington city, which would make inspections easier. [18] The provincial council agreed, and started work on a site off Adelaide Road overlooking the city and harbour. [19]
In 1872, a provincial inquiry was held into the asylum. A newly arrived assistant had raised concerns about ill-treatment of patients by the matron and keeper. The assistant alleged the principles of moral management and non-restraint had been abandoned. And matron was regularly abusing patients, both verbally and physically. [20] Another assistant had been dismissed in 1867 shortly after raising similar concerns. [21] After hearing contradictory testimony, [22] [23] the inquiry concluded "... patients have been treated with unnecessary violence ..." They also expressed surprise that France had not noticed the abuse. [24] The Sutherlands were dismissed, and were later convicted of assaulting patients and fined. [25]
Karori asylum returned to moral management under the new keeper and matron, Mr and Mrs Henry Seager. Henry had worked at Sunnyside Lunatic Asylum in Christchurch, which was led by his brother Edward Seager. [26] In May 1873, Karori Lunatic Asylum closed after 27 patients moved to Mount View Lunatic Asylum. The Seagers and medical officer France continued their roles at the new asylum. [27]
Karori School moved to the site of the former asylum in 1875. Renamed Karori Normal School in 1968, it is still there today. [28]
The problems experienced at Karori Lunatic Asylum helped to convince Buchanan's parliamentary committee that asylums should be led by doctors not laypeople. [29]