6282-14-1 Folio 13

Name: Thomas Day,

Aged: 42,

Reg. No. 13,

Admitted: August 15, 1899.

Copy of Statement of Particulars

Reception Order signed by: Geo. Henry Malvenly, Dated: October 4, 1897

Sex and Age: m 40

Civil State: Single

Occupation: Stonemason

Religion: Ch. of Eng.

First Attack: No

Age on first attack: 38

When and where previously under treatment: Colney Hatch Asylum

Duration of present attack: 1 week

Supposed cause: Not Known

Epileptic: No

Suicidal: No

Dangerous to others and how: No

Any near relative afflicted with Insanity: Not known

Union chargeable to: Paddington

Previous Place of Abode: Paddington Workhouse

Name and Address of Person to whom Notice of Death to be sent: Nil

Names and Addresses of one or more relatives of the Patient:

Medical Certificate

Medical Certificate Signed by: Ernest? Hiller

Facts indicating insanity observed by myself at the time of examination viz.:

He is in a very melancholy depressed condition alleging that people are always after him to annoy him and that they have followed him in here and are under the bed, he is unable to explain who that are or why they should want to annoy him.

Facts communicated by others viz.:

John Ennis (Attendant) Paddignton Workhouse. He is very restless both by night & day, he stares about him in a wild manner fancies he sees people & things - he is under the impression that people are following him.

Transferred from: Colney Hatch

Condition on Admission

Mental State:-

As far as possible under such Headings as:
Attention, Comprehension and Re-action, Cognition of self and surroundings, including mistakes of identity and appreciation of time and place, States of Stupor and Catalepsy, Memory for recent and remote events, Association and flow of ideas, Coherence, Reasoning power, Hallucinations, Illusions, Delusions, Exaltation, Fantasies of dress, Excitement, Depression, Impulses—General, Suicidal, Homicidal, Erotic, Destructive, Obsessions, Resistiveness or Hostility, Restlessness, Self-employment, Attention to personal needs, Religiosity, Sense of propriety, Lewdness of conversation and conduct, Regard for relatives.

Says he is often dull & depressed. Thinks that his father, mother & sister conspire against him through jealousy. Hears voices "jeering at him" at night & gets out of bed to look for them.