title: Lunatic Asylum in the Workhouse: St Peter's Hospital, Bristol, 1698-1861.
abstract: In recent years there has been growing acknowledgement of the place of workhouses within the range of institutional provision for mentally disordered people in nineteenth-century England. This article explores the situation in Bristol, where an entrenched workhouse-based model was retained for an extended period in the face of mounting external ideological and political pressures to provide a proper lunatic asylum. It signified a contest between the modernising, reformist inclinations of central state agencies and local bodies seeking to retain their freedom of action. The conflict exposed contrasting conceptions regarding the nature of services to which the insane poor were entitled. Bristol pioneered establishment of a central workhouse under the old Poor Law; 'St Peter's Hospital' was opened in 1698. As a multi-purpose welfare institution its clientele included 'lunatics' and 'idiots', for whom there was specific accommodation from before the 1760s. Despite an unhealthy city centre location and crowded, dilapidated buildings, the enterprising Bristol authorities secured St Peter's Hospital's designation as a county lunatic asylum in 1823. Its many deficiencies brought condemnation in the national survey of provision for the insane in 1844. In the period following the key lunacy legislation of 1845, the Home Office and Commissioners in Lunacy demanded the replacement of the putative lunatic asylum within Bristol's workhouse by a new borough asylum outside the city. The Bristol authorities resisted stoutly for several years, but were eventually forced to succumb and adopt the prescribed model of institutional care for the pauper insane.
authors.forename: Leonard
authors.initials: L
authors.lastname: Smith
mesh_terms: D004739:England; D049670:History, 17th Century; D049671:History, 18th Century; D049672:History, 19th Century; D006778:Hospitals, Psychiatric / Q000266:history*; D006801:Humans; D001523:Mental Disorders / Q000266:history* / Q000628:therapy*; D011203:Poverty / Q000266:history / Q000331:legislation & jurisprudence; D012946:Social Welfare / Q000266:history / Q000331:legislation & jurisprudence
keywords: Asylum; Bristol; Insanity; Pauper lunatics; Workhouse