frequently subjected to
unfortunate delays, neglect, and unskilful treatment would also be thus
provided for. It can be seen too that developments in construction and
organization which would furnish organized treatment for types of
disorders which are not so incapacitating as the pronounced psychoses
might be of advantage in the treatment of both adults and children. The
property on which the Hospital is located is large enough to permit of
further extensions and developments which could be as closely connected
with, or as widely separated and distinguished from, the present
provision as circumstances required. In this way much needed provision
for the treatment of persons suffering from the psychoneuroses and minor
psychoses could be furnished. Better provision for a further period of
readjustment after a patient is ready to leave the Hospital but not yet
ready to face the risk of ordinary conditions in the community is a felt
want. A group of supervised homes or an occupational colony might best
serve this purpose. The more extensive use of the Hospital as a teaching
centre is also a subject for consideration. A School for Nurses is now
conducted, and much instruction is given in the occupational
departments. More, however, could be done, especially in medical
teaching, which could be best carried on in a department in the city and
would tend to advance the standard of medical service throughout the
Hospital.

The lines of further development are, perhaps, not yet perfectly clear
in all directions. It seems certain, however, that they will lead toward
a broader field of usefulness, in which the hospital will be regarded as
a responsible agency for dealing with psychiatric problems in the
community which it serves and will take part with other agencies in
extending psychiatric knowledge and in applying it to prevention, and to
the management of mental disorders as an individual and social problem
beyond the walls of the institution. We hope that this meeting will
prove a real starting point for this development. We are greatly
indebted to those who have taken part in it both as speakers and as
audience. We are especially indebted to those who came across the sea to
be with us. It is peculiarly fitting that representatives of France and
of England should have been here, for to Pinel, the Frenchman, and to
Tuke, the Englishman, are due more than to any others whose names we
know the foundations of the modern institution