State Hospital and Asylum Glossary

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State hospitals and asylums generated extensive records that may include medical terminology, legal status descriptions, and administrative classifications. This glossary defines commonly encountered terms found in admission registers, commitment papers, patient case files, and institutional reports.

Term Definition
Admission Register Log recording entry of patients into institution.
Attending Physician Doctor responsible for patient’s care.
Board of Visitors Oversight body supervising institution operations.
Case File Individual patient record documenting treatment and status.
Commitment Legal process authorizing institutional confinement.
Commitment Order Court directive requiring admission to institution.
Conservator Person appointed to manage patient’s affairs.
Custodial Care Long-term supervision without curative treatment.
Discharge Release of patient from institution.
Epileptic Ward Specialized unit for epilepsy patients.
Feebleminded Historical term for intellectual disability.
Inmate Term historically used for institutional resident.
Insane Historical legal designation for mental illness.
Keeper Early term for institutional attendant.
Lunacy Commission Government body overseeing mental institutions.
Lunatic Archaic term for person deemed mentally ill.
Maintenance Account Record of cost for patient care.
Medical Superintendent Chief physician overseeing facility.
Melancholia Historical term for severe depression.
Moral Treatment 19th-century therapeutic philosophy emphasizing routine and discipline.
Order Book Record of institutional administrative decisions.
Overcrowding Report Institutional report noting capacity issues.
Parole Conditional release from institution.
Patient Ledger Financial record of patient expenses.
Pauper Patient Individual supported by county funds.
Private Patient Individual paying for own institutional care.
Psychosis Severe mental disorder diagnosis.
Reception Ward Initial intake unit for new patients.
Register of Patients Official list of admitted individuals.
Restraint Mechanical or physical control method.
Restoration Legal declaration of regained competency.
Return Readmission after discharge.
Seclusion Isolation of patient for safety or discipline.
Sheriff’s Transport Law enforcement delivery of committed person.
State Board of Health Agency overseeing public health institutions.
Superintendent’s Report Annual summary of institutional operations.
Temporary Commitment Short-term confinement pending evaluation.
Transfer Movement of patient between facilities.
Trustee Patient Patient assigned limited work privileges.
Ward Designated housing section within facility.
Work Therapy Labor assigned as part of treatment.

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