State Hospital and Asylum Terminology

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(This page's most recent update is February 2026)

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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.

TermDefinition
Admission RegisterLog recording entry of patients into institution.
Attending PhysicianDoctor responsible for patient’s care.
Board of VisitorsOversight body supervising institution operations.
Case FileIndividual patient record documenting treatment and status.
CommitmentLegal process authorizing institutional confinement.
Commitment OrderCourt directive requiring admission to institution.
ConservatorPerson appointed to manage patient’s affairs.
Custodial CareLong-term supervision without curative treatment.
DischargeRelease of patient from institution.
Epileptic WardSpecialized unit for epilepsy patients.
FeeblemindedHistorical term for intellectual disability.
InmateTerm historically used for institutional resident.
InsaneHistorical legal designation for mental illness.
KeeperEarly term for institutional attendant.
Lunacy CommissionGovernment body overseeing mental institutions.
LunaticArchaic term for person deemed mentally ill.
Maintenance AccountRecord of cost for patient care.
Medical SuperintendentChief physician overseeing facility.
MelancholiaHistorical term for severe depression.
Moral Treatment19th-century therapeutic philosophy emphasizing routine and discipline.
Order BookRecord of institutional administrative decisions.
Overcrowding ReportInstitutional report noting capacity issues.
ParoleConditional release from institution.
Patient LedgerFinancial record of patient expenses.
Pauper PatientIndividual supported by county funds.
Private PatientIndividual paying for own institutional care.
PsychosisSevere mental disorder diagnosis.
Reception WardInitial intake unit for new patients.
Register of PatientsOfficial list of admitted individuals.
RestraintMechanical or physical control method.
RestorationLegal declaration of regained competency.
ReturnReadmission after discharge.
SeclusionIsolation of patient for safety or discipline.
Sheriff’s TransportLaw enforcement delivery of committed person.
State Board of HealthAgency overseeing public health institutions.
Superintendent’s ReportAnnual summary of institutional operations.
Temporary CommitmentShort-term confinement pending evaluation.
TransferMovement of patient between facilities.
Trustee PatientPatient assigned limited work privileges.
WardDesignated housing section within facility.
Work TherapyLabor assigned as part of treatment.

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