have cogniz

ance of appli

cations for admission to asylum.

ulations of the asylum, and perform such other duties as may be required by the by-laws. He shall be a resident officer of the asylum.

Sec. 21. The judges of the district courts shall District judges have cognizance of all applications for admission to the asylum or for the safe keeping otherwise of insane persons within their respective districts, except in cases otherwise provided for. In case of the absence of any district judge from any county, when an appliWhen judge in cation as aforesaid should be heard, the judge of any other district may attend and hear the same upon the written request of the county clerk of the county wherein the insane person resides.

other district

may act.

admission; what must state.

Sec. 22. Application for admission to the asylum Application for must be made in the form of an information verified by an affidavit, alleging that the person in whose behalf the application is made, is believed by the informant to be insane and a fit subject for custody and treatment in the asylum; that such a person is found in the county and has a residence therein, if such is known to be the fact, and, if such residence is not in the county, where it is, if known, or where it is believed to be, if the informant is advised on the subject.

informant.

Sec. 23. On the filing of such information, the Examination of district judge of the district in which such person resides, if a resident of the State, and, if a non-resident, then the district judge of the district in which such person is found, may examine the informant under oath, and, if satisfied there is reasonable cause therefor, shall at once investigate the grounds thereof. For this purpose, he may require the person for whom such admission is sought to be brought before him and the judge may issue his warrant therefor to the sheriff or any constable of the county, which shall be in form as follows:

person.

Custody and

examination of

alleged insane

person.

SS.

To greeting: You are hereby commanded to forthwith arrest, alleged to be an insane person, and bring him before me, and make due returns hereof. Witness my hand and seal of the district court of district, this

day of
Judge

A. D.

District.

He may provide for the suitable custody of such person until the investigation shall be concluded. If

The

he shall be of the opinion from such preliminary in-
quiries that he may make, that the presence of the
accused would probably be injurious to such person, or
attended with no advantage, he may dispense with
such presence. In the examination he shall hear testi-
mony for and against such application. Any citizen of
the county, or any relative of the person alleged to be
insane, may appear and resist the application, and the
parties may appear by counsel if they so elect.
judge shall cause to appear before him two practicing
physicians in medicine, before whom the judge shall
examine the charge, and if, after a careful hearing of
the case, and after a personal examination of the
alleged insane person, the said physicians shall certify
on oath that the person examined is insane, and the case
is of a recent or curable character, or that the said insane
person is of a homicidal, suicidal or incendiary disposi-
tion, or that from any other violent symptoms the said
insane person would be dangerous to his or her own
life, or to the lives or property of the community in
which he or she may live, and in connection with their
examination the said physicians shall endeavor to ob-
tain from the relatives or others who know the facts,
correct answers so far as may be to the interrogatories
hereinafter required to be propounded in such cases,
which interrogatories shall be attached to their certi-
ficates. The physicians' certificate herewith provided
for shall be in form as follows:

County of ད

and

physicians to individual.

being duly sworn, both certify, Certificate of each for himself, that he is a practicing physician in insanity of medicine, that at the request and in the presence of he has heard the testi

judge of

in refer

Hon.
mony and personally examined the said
ence to the charge of insanity, and both find that
is insane and so far disordered in his mind as to en-
danger health, person or property, and that said insan-
ity is not a case of idiocy, imbecility or simple feeble-
ness of mind; the further facts appertaining to said
case as nearly as can be ascertained are set forth in
the answer to the following questions:

1. Name?

2. Age?

3.

4.

Nativity?

Married or single?

5. If children, how many, their names, ages and residences?

6. If female and married, maiden name and name of husband?

7. What State last from and how long in Utah? 8. What occupation?

9. What evidence have you of the presence of insanity?

10. Is there a homicidal, suicidal or incendiary disposition?

11. Is the case a recent one, having occurred within twelve months last past?

12.

When did this attack first appear?

13. Is this the first attack, if not when did others occur, and what their duration?

14. Is the disease increasing, decreasing or stationary?

15. Are there rational intervals, if so do they occur periodically?

16.

Is there any permanent hallucination, if so what is it?

17. In what way is the accused dangerous to be at large?

18. Is there a disposition to injure others, if so is it directed especially to relatives? Is it from sudden passion or premeditated?

19. If suicidal, is the propensity now active, and in what way?

20. Is there a disposition to filthy habits, destruction of clothing, furniture, etc.?

21. Have any relatives, including grandparents and cousins been insane?

22. Any peculiarity of habits, temper, disposition, etc., or pursuits or religious impressions?

23. Been intemperate in the use of ardent spirits, wine, opium or tobacco in any form?

24. Suffered from epilepsy, suppressed secretions, eruptions, discharges or sores, or injured in the head?

25. Any change in the physical health since the attack?

26. The supposed cause of insanity?
Of what class of insanity?

27.

28. What treatment has been pursued, and with what effect?

29. Postoffice address, street and number of house of relative or friend?

district judge.

Sec. 24. On the return of the physicians' certifi- Finding by cate the judge shall as soon as practicable conclude his investigations and shall find whether the person alleged to be insane is insane, whether if insane a fit subject for treatment and custody in the asylum, whether the residence of such person is in such county and if not in such county, where it is, if ascertained. If he find such person is not insane, he shall order his immediate discharge, if in custody. If he find such person insane and a fit subject for custody and treatment in the asylum, he shall order such person to be committed to the asylum, except as in section 7 of this act provided.

State of Utah,

County of

WARRANT OF COMMITMENT.

SS

I- -judge of the

Utah, upon affidavit of

commitment.

-judicial district, State of Warrant of caused to be brought before me for examination on a charge of insanity, and having heard the testimony of -andwitnesses who have been acquainted with the accused during the alleged insanity, and Drs.- -and

practicing physicians, after hearing the testimony of witnesses and after a personal examination of the accused and having made the certificate by law required, find that the said- -is insane, and is a fit subject for custody and treatment in the asylum, that the residence ofis in- -county, State of Utah, and--is--indigent and is able to bear the actual charges and expenses for the time--may remain in the asylum. I therefore order the said- a――male, aged---years, to be confined in the State insane asylum at Provo City,

Utah county, and-
this order.

is charged with the execution of

Witness my hand this

day of

-A. D.

money to be

Judge of the district.

Sec. 25. The district judge shall transmit to the Insane person's medical superintendent all money or other property transmitted to found on the person of any insane person at the time superintendent; of arrest and certify thereto in form as follows:

medical

disposal of.

-judicial district, county of

certify that the sum of dollars, and- -property, was
found on the person of said-at the time of his arrest,
which the said- -is ordered to deliver to the medi-
cal superintendent of the State insane asylum, that I
have appointed- a guardian for said.
and dj-
rected a quarterly payment in advance, together with
a fund, to be forwarded to the said asylum with the
said- as by law required of paying patients.
day of A. D.—

Witness my hand this

Judge.

The medical superintendent shall, upon receipt of such money or other property as herein provided, deliver the same to the treasurer to be applied to the payment of the expenses of said patient while in the asylum, but upon recovery of such insane person, all sums remaining unexpended, or other property, shall be returned to him when he is discharged from the asylum.

Sec. 26. The district judge shall deliver to the Service on and sheriff of the county, or other person appointed to execute the warrant, certified copies of the affidavit, superintendent. Warrant of commitment and a certificate of property

delivery of papers to medical

found on the person, and appointment of guardian, under seal of the court, and the sheriff or other person appointed shall execute the aforesaid warrant by conveying such person to the asylum and delivering him with such affidavit, commitment and certificates to the medical superintendent thereof. The medical superintendent shall acknowledge such delivery on the original warrant which the sheriff shall return to the county clerk with his costs and expenses endorsed thereon. The sheriff shall be allowed his actual expenses for con