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Kew Asylum:

Coordinates: 37°47′42″S 145°01′25″E / -37.79499, 145.02365

Kew Lunatic Asylum
Kew Asylum circa 1990
Location
Place KewVictoria, (AU)
Organisation
Care System Public & Private
Hospital Type Psychiatric
Services
Emergency Dept. Not applicable
Beds 1000+
History
Founded 1871
Closed 1988
Links
Website None
See also Hospitals in Australia
List of Australian mental asylums

Kew Lunatic Asylum is a decommissioned psychiatric hospital located between Princess Street and Yarra Boulevard in Kew, a suburb of Melbourne, Australia. Operational from 1871 to 1988, Kew was one of the largest asylums ever built in Australia. Later known as Willsmere, the complex of buildings were constructed between 1864 and 1872 to the design of architects G.W. Vivian and Frederick Kawerau of the Victorian Public Works Office[1][2] to house the growing number of "lunatics", "inebriates" and "idiots" in the Colony of Victoria.[1]

The first purpose built asylum in the Colony of Victoria, Kew was also larger and more expensive than its sister asylums at Ararat and Beechworth. The asylum's buildings are typical examples of the The French Second Empire style which was popular in Victorian era Melbourne. Designed to be elegant, beautiful, yet substantial to be viewed as 'a magnificent asylum for the insane'[3]:vol.3, p.57 with the aim of portraying Melbourne as a civilised and benevolent city whilst avoiding the jail-like appearance of other asylums.[1]:31 These aims were furthered by the use of low Ha-Ha walls and extensively landscaped grounds.

Despite initial grand plans and ideals, Kew Asylum had a difficult and chequered history resulting in several inquiries[1][3] throughout its 117 years of operation, including a Royal Commission.[4] Overcrowding, mismanagement, lack of resources, poor sanitation and disease were common criticisms during the asylum's first five decades;[1] out-dated facilities and institutionalisation were criticisms of Kew's later period.

Kew continued to operate throughout the 20th century as a "Hospital for the Insane", "Mental Hospital", or "Psychiatric Hospital", treating acute, long-term and geriatric patients until it closed in December 1988. The building and surrounding grounds have been redeveloped as residential properties. Kew Asylum and its complex of buildings was registered on the Register of the National Estate in March 1978.[5]

Contents

[edit] Site and planning

Engraving of Kew Asylum circa 1880. Buildings of Yarra Bend Asylum are depicted in the foreground.

During the 1850s, the existing lunatic asylums of the Colony of Victoria were overcrowded.[1] Yarra Bend Asylum, while only six years old, was considered "altogether unsuitable" and Carlton Lunatic Asylum (which was originally a jail) was in a state of disrepair. As a result, in 1854 the Government of the Colony of Victoria commissioned a report proposing sites and designs for a new lunatic asylum.[1] Contemporary educated opinion was that lunatic asylums should be built "on a healthy site, freely admitting light and air, and drainage …[on] a gentle eminence in a fertile and agreeable country".[6] In a report by the New South Wales' Inspector of Asylums, Frederick Norton Manning stated that "the site chosen is of primary importance. On it must depend the comfort, happiness and health of the inmates."[7] Thus a hilltop site, across the Yarra River from Yarra Bend was recommended in a report by G.W. Vivian of the Public Works Office.[8] Vivian described the site as

a section of land, about 400 acres in extent, situated on the River Yarra, about 4 miles from Melbourne, and ½ a mile to the north of the village of Kew … the site selected is a fine slope, elevated about 100 feet above the level of the river, admitting of proper drainage and admirably adapted for ornamental grounds, the aspect chosen is south-east, and during the summer months the refreshing influence of the sea-breeze will be felt, without being exposed to south west gales.

G.W. Vivian, Report on the Proposed Kew Lunatic Asylum

The idea that breezes or wind-swept locations were healthy came from a wider Victorian era belief that associated disease with congestion and foetid atmosphere of squalor, and that miasmas carried impure air which caused epidemics.[1] Locals from Kew were upset by the proposal and petitioned the government, to no avail.[9] 340 acres (1.4 km2/0.5 sq mi) of land in the County of Bourke, parish of Boroondara, city of Kew were permanently reserved as a "Site for Lunatic Asylum" in the Government Gazette of 1864.[10] After Frederick Kawerau's resignation[1]:31 Samuel Amess[11] continued construction at Kew using Kawerau's designs. They were derived from plans earlier outlined by Vivian, and were basically identical to Kawerau’s designs for Ararat and Beechworth, though Kew was much larger,[1]:29 and more expensive at a cost of ₤198 334.[nb 1][4]:vol.4 p.12

[edit] Distinctive features

Photo by Tony Michael

The asylum complex is an example of the E-plan barracks type lunatic asylums based on the model 1850s asylum in Colney Hatch, England.[1]:32 The buildings are constructed from oversize bricks, made from local clay which was quarried on-site. The bricks were then rendered with cement.[1]:34 The central administration block is three storeyed with an attic mansard roof and cupola.[2] Two storeyed ward wings extend to each side, one for each sex.[1] Each wing has a four storey, mansard-roofed tower, which contained water tanks.[2] The ward wings were surrounded by courtyards lined with iron columned verandas,[5] many of which were retained when the complex was redeveloped.[12] Internally, the dormitories had 14 ft (4.3 m) ceilings and brightly coloured walls[1] with the beds aligned in neat rows.[12] The floors were of timber, principally so they could be scrubbed.[1]:34 The principal access to the complex was from a tree-lined drive from Princess Street (now known as 'Main Drive') culminating in an elliptical carriageway in front of the main building.[13] A second drive (now known as 'Lower Drive') extended from Princess Street to the rear gates of the asylum. This road was commonly used for deliveries to and from the asylum via the rear gatehouse.[12]

Whilst Kew's plan and detail are similar to its sister asylums at Ararat and Beechworth, the Kew asylum is much larger with the front buildings and towers more impressive architecturally.[2] Kew's distinctive towers and mansard roofs make it one of the most prominent architectural landmarks in Melbourne and is clearly visible on the eastern skyline.

[edit] Ha-Ha walls

Another distinctive feature of Kew Asylum is the use of a variation on Ha-Ha walls around the patients' courtyards.[12] They consisted of a trench, one side of which was vertical and faced with stone or bricks, the other side sloped and turfed. From the inside, the walls presented at tall face to patients, preventing them from escaping, while from outside the walls looked low so as not to suggest imprisonment.[12] A journalist with The Argus described the walls as an 'excellent arrangement, as it enables the patients to see the outside world, and does away with that gaol appearance and feeling inculcated by the walls of the old asylums'.[14]

[edit] Grounds and landscaping

Several trees and plants on the grounds of Kew Asylum and Kew Cottages have been classified as of historical significance by the Victorian Heritage Council and the National Trust of Australia (Victoria).[15] In the 1880s the grounds were planted with many conifers and large growing trees, oaks, elms and Moreton Bay Figs, and trees indigenous to the area, River Red Gum, Yellow Box and Lightwood were retained in the landscape. In 1913 the landscape gardener Hugh Linaker was employed to layout the grounds of Mont Park. As landscape gardener for the State Lunacy Department he commenced a program of landscape improvements and tree plantings at asylums in Victoria,[13] including Kew.[15]

The conifer plantings and oak avenues along Main and Lower Drives were well established and of a mature size by the 1940s. Conifers were widely planted from the 1860s along with Moreton Bay Figs and occasionally Oaks. Oaks and elms were more widely planted from the 1880s. It is not known if Linaker was responsible for the oak avenues, but it appears that many of the conifers, Monterey Pines, Canary Island Pines, Monterey Cypress, Hoop Pine, Bunya Bunya Pines and Himalayan Cedars, predate Linaker and the oaks and elms may have been planted soon after his appointment. The use of Bhutan Cypress in the landscape is almost certainly due to Linaker as he favoured upright trees. It is possible that the two remnant Monterey Cypress along Main Drive and a Monterey Pine along Lower Drive are trees from an earlier planting scheme.[13]

[edit] Patients

Many of Kew's early patients were transferred from Yarra Bend Asylum and Carlton Lunatic Asylum and were housed in the two main wings – men in the right wing, women in the left.[2] The wards were dormitory style and were divided by patient type – male/female, paying/pauper, manageable/refractory.[12]

[edit] Admission process

Overview of the building's layout. Female wards were accommodated in the left-hand wing; males in the right. The administration areas were in the front building and the centre wing. The small, round buildings are the privies.[12]

Under the Lunacy Statute of 1867, Lunacy Acts from 1880 to 1928 and Mental Hygiene Act of 1933, people could be admitted to the asylum as a lunatic patient by a number of means:[16]

  • At the request of a friend, relative or acquaintance, with medical certificates written by two medical practitioners. This method was amended by The Mental Health Act 1959 which stated a person could be admitted upon the recommendation of a medical practitioner who had examined the person. As soon as possible after admission the superintendent of the hospital was required to examine the patient and either approve the recommended admission or discharge the patient.
  • Any (lunatic) person found wandering at large or not under proper care and control could be brought before two justices who could order the person's removal to an asylum. The police were usually responsible for bringing the person before the two justices.
  • Any prisoner of the Crown thought to be a lunatic could be removed from a gaol to an asylum by order of the Chief Secretary.
  • Voluntary Boarders were those who requested that they be admitted for a mutually agreed period of time (from 1915 onwards).[16]

Up until after World War I, there was little change in the admission process at Kew.[17] Upon arriving, a variable amount of data was collected on the patient being admitted. These basic details included age, sex, marital status and former address (or name of the asylum/gaol transferred from). Other details requested included names of relatives or friends, the patient’s religion and occupation and whether others in the family have ever been classified as insane. Other information recorded, where available, was dates of previous admissions, "form of mental disorder", bodily condition ("satisfactory", "unsatisfactory", "feeble", et cetera) and "duration of existing attack".[18] Belongings, such as books and clothes, were often returned to friends or family as patients were required to dress in institutional clothes.[1]:60

[edit] Diagnoses

Entrance gates and gatehouse of Kew Asylum, circa 1880. The gate house was demolished and the gates moved to Victoria Park, Kew in the 1930s[15] or 1940s[13] to facilitate the straightening of Princess Street.[13]

The diagnoses given to patients during Kew's first fifty years were the common ailments found in most lunatic asylums of the pre-Kraepelin era[17]

It should be noted that some of these terms are still in use today, however they may now have different meanings. For example, from examining the notes on some of Kew's early "dementia" patients, it can be deduced that many were most likely suffering from what we now term severe depression, catatonia or schizophrenia.[19]

[edit] Children at Kew Asylum

In the early days of Kew Asylum, the distinction between 'lunatics' and 'idiots' (or 'imbeciles') was not made. Therefore, many wards of the state, 'difficult' children and children with mental retardation were housed in with the adults at Kew.[1] In the 1880s the government decided that a separate building should be built accommodate child inmates. Thus the Kew Idiot Ward was opened in 1887. The Idiot Ward was initially considered a ward of Kew Lunatic Asylum however became known as a separate institution – Kew Idiot Asylum. Although the Idiot Asylum only admitted children as patients, many of those children remained in residence at the Cottages as adults.[20]

[edit] Inebriates at Kew Asylum

Under the Lunacy Statute of 1867, the Master-in-Lunacy was able commit inebriates to an asylum for any period up to twelve months.[21] Inebriates who were able to pay the lodging fees at private inebriate asylums were able to be housed in inebriate-specific institutions such as Northcote Inebriate Asylum.[22] Paupers were placed in lunatic asylums. After the 1888 Zox Commission into Asylums, all private/semi-private inebriate asylums were abolished under the provisions of the Inebriate Asylums Act 1888. Northcote was taken over by the Government of Victoria in 1890 and converted into a public inebriate retreat.[22] Brightside[23] and Lara[24] Inebriate Retreats were opened soon after, and large number of alcoholics were moved out of the lunatic asylums.

[edit] Famous patients

[edit] Investigations and inquiries

Woodcut from 1876

Despite initial grand plans and ideals, Kew Asylum had a difficult and chequered history resulting in several inquiries,[1][3] including a Royal Commission.[4] The first inquiry occurred in 1876, only 5 years after Kew opened.[3] Another notable inquiry occurred in 1907 after a severe outbreak of Typhoid fever,[2] which at the time was thought to have been virtually eradicated in Melbourne. This inquiry in turn lead to amendments to the Lunacy Act, improvements to Kew (and the state's other asylums) and the planned construction of Mont Park Asylum.[1]

[edit] Zox Royal Commission

Public outcry at the treatment of the insane in the colony's lunatic asylums increased in the 1870s, fueled by articles and woodcuts in magazines and the writings of "The Vagabond" in The Argus.[21] Officially known as Royal Commission on Asylums for the Insane and Inebriate 1884–1886, the Royal Commission chaired by Ephraim Zox was required to inquire into and report upon the state and condition of Asylums for the Insane and Inebriates, both public and private. The Royal Commission made some sixty five recommendations in its final report.[4] A number of the Commission's recommendations were implemented prior to the presentation of its final report, others were implemented through the Lunacy Amendment Act 1888 and some recommendations were not implemented until proclamation of the Lunacy Act 1903 in 1905.[32]

The Commission recommended that criminal patients be kept apart from other patients,[32] thus male criminally insane patients were moved to J Ward of the Ararat Asylum and female dangerous patients to Sunbury Asylum.[33]

The Commission also recommended that inebriates and idiots be housed in asylums separate from the insane which led to the construction of Kew Idiot Ward[20] and various Inebriate Asylums.[22][24][23]

The Zox Commission further recommended increasing the role of medical doctors at the asylums and that "Medical men have the sole and exclusive right to determine whether their fellow citizens are sane or insane. The medical expert therefore stands in the position of witness, jury and judge".[4]:284 Prior to (and in some instances, for a time after) the Zox Commission, many superintendents at asylums did not have any medical training, nor did they have any training in insanity.

[edit] Changing names, changing society

Kew Asylum, circa 1885–1887. Note the brick Ha ha walls adjoining the front archways, enclosing one of the female courtyards.

During its 120 years of operation, Kew’s title changed numerous times.[34] This has been in response to society’s changing views towards the treatment and care of mentally ill persons; improvements in treatment leading to better health outcomes and changes in the Victorian Government’s various Health Acts.[34] From its establishment until 1905 the institution at Kew was known as an Asylum – a title which emphasised its function as a place of detention rather than a place where people could possibly be cured.[34] Kew was also for a short period known as the Metropolitan Lunatic Asylum at Kew, possibly to differentiate it from it’s sister country asylums at Ararat and Beechworth.

The Lunacy Act of 1903 changed the title of all Victorian "asylums" to "hospitals for the insane" however this Act didn’t come into operation until March 1905. The Mental Hygiene Act of 1933 again altered Kew’s title to "Kew Mental Hospital".[34]

After World War II there was a period of significant change in the treatment and prognosis for people with a mental illness. Drugs such as Lithium carbonate (discovered in 1948 by Australian psychiatrist Dr John Cade)[35] and chlorpromazine (discovered in 1950's) lead to improvements in treatment.[36] Thus many people with a mental illness could in many cases be treated in hospital for a shorter period and return to the community. The Mental Health Act of 1959 designated hospitals providing short-term diagnosis and accommodation as "psychiatric hospitals". Therefore any institution could have a section designated as a mental hospital for long-term or indefinite hospitalisation and a section designated as a psychiatric hospital for short term diagnosis and treatment of acute psychiatric illness.[34]

In 1962 the decision was made to no longer house acute or short-term patients at Kew and therefore it was formally proclaimed a Mental Hospital under the Mental Health Act of 1959.[34] Up until this time, Kew Mental Hospital was still colloquially known as 'Kew Asylum'.[1]:35 In the 1960's Kew began to be known as 'Willsmere' however some authors state the name change to 'Willsmere' was later.[34]

In January 1982 three wards of Kew Mental Hospital were proclaimed a Psychiatric Hospital under the provisions of the Mental Health Act 1959. These wards were then known as the Willsmere Unit and were established to receive and accommodate short-term acute patients.[34]

[edit] Decommissioning and redevelopment

Willsmere Residential Development

By 1986, Willsmere Hospital's bed numbers had been reduced to 430, three quarters of which were for psychogeriatric patients.[37] As a result of ongoing mental health reform, the then Labor Government of Victoria commissioned the 'Willsmere project',[38] which purpose was to plan for decommissioning the hospital and develop services and facilities in the community.[37] Long-term psychogeriatric patients were transferred to new psychogeriatric nursing homes in the suburbs, to a re-opened ward of Plenty Psychiatric Hospital in Bundoora, to the refurbished Heatherton Tuberculosis Sanatorium[39] or to other psychiatric institutions. Acutely unwell patients that would have previously been admitted to Willsmere were now sent to newly built units at Maroondah Hospital, Monash Medical Centre or Peninsula Hospital.[38] Willsmere was finally closed in December 1988[34][38] and sold by the Government of Victoria in the late 1980s. An extensive Conservation Analysis was completed in 1988[40] from which the bulk of the original buildings were recommended to be conserved.

The hospital complex was eventually developed by Central Equity into residential apartments.[41] The Willsmere residential development was officially opened on 27 October 1993 by Premier Jeff Kennett.

The grasslands north of the hospital buildings, including the site of the asylum's cricket field were developed as the Kew Gardens residential estate.[42] The Kew Gardens project was completed in 1995.[43]

[edit] Documented histories of Kew Asylum

There are few documented or published histories of Kew Asylum.[1] The majority of information available on the asylum comes from the Kew's official records which are now held by the Public Records Office of Victoria.[44] Some of the early documents are open (or part open) to the public for viewing such as admission books, case notes, registers and medical journals. However, the majority of documents dating from 1915 onwards are closed, due to the sensitive nature of the material they contain and the possibility that first degree relatives may still be alive.[34]

A number of photographs of Kew Asylum are kept by the Victorian Mental Health Library at Royal Melbourne Hospital. The State Library of Victoria also holds a number of early photographs of Kew. The University of Melbourne has a small number of theses on Kew – the majority of which are short in length and are architecture-based.[45][46][47] The exception to this is Cheryl Day's unpublished PhD thesis which is an ethnographic description of the first fifty years of Kew's existence. While the thesis was unpublished, it is available in PDF form through the University of Melbourne Library website.[48]

Some contemporary accounts of life in Kew are available. Dr Paul Ward Farmer wrote an essay "Three weeks in the Kew Lunatic Asylum", describing his admission to Kew in the 1890s.[49] Julian Thomas, an American reporter, wrote a series of articles for The Argus in 1876–1877 under the pseudonym of "The Vagabond". Thomas was an attendant at Kew at the time.[21] There are also excerpts of affidavits from patients, doctors and attendants at Kew (as well as other Victorian mental hospitals such as Royal Park, Mont Park and Sunbury) detailing the terrible conditions in the asylums during the 1920’s in the book A Plea for Better Treatment of the Mentally Afflicted by Hon. William G. Higgs.[50]

[edit] See also

[edit] Notes

  1. ^ According to Dr Dick's assessment in 1884 'the Kew Asylum for buildings, fittings, boundary walls, fencing, and laying on services of gas and water cost 198,334 pounds compared to Ararat [£]128,222 ... Beechworth [£]166,403'

[edit] References

  1. ^ a b c d e f g h i j k l m n o p q r s t u Day, Cheryl (1999). "Magnificence, Misery and Madness – A History of the Kew Asylum". Unpublished University of Melbourne PhD thesis.
  2. ^ a b c d e f "Former Willsmere Hospital". Australian Heritage Places Inventory. Retrieved on 2008-08-30.
  3. ^ a b c d Kew Inquiry Victorian Parliamentary Papers (1876)
  4. ^ a b c d e Ephraim Zox, Royal Commission on Asylums for the Insane and Inebriate Report 29 April 1886
  5. ^ a b Australian Heritage Database. "Willsmere Hospital (former), Princess St, Kew, Vic, Australia". Retrieved on 2008-09-02.
  6. ^ Conolly, John (1847). The Construction and Government of Lunatic Asylums and Hospitals for the Insane. Pall Mall: Dawsons. 
  7. ^ Manning, F.N (1868). New South Wales Report on Lunatic Asylums. Canberra: AGPS.  p.166
  8. ^ Vivian, G.W.. Report on the Proposed Kew Lunatic Asylum. 1856 – 1857 vol.4 p.949: VPP. 
  9. ^ "And your petitioners humbly pray – Lunatic Asylum 1858". Public Records Office of Victoria. Retrieved on 2008-09-07.
  10. ^ "Kew and Heidelberg Lands Act 1933 - SECOND SCHEDULE". Retrieved on 2008-11-08.
  11. ^ Hone, J. Ann (1969). "Amess, Samuel (1826–1896)". Australian Dictionary of Biography. Australian National University. Retrieved on 2008-11-07.
  12. ^ a b c d e f g Cass, Daniel. "Kew Lunatic Asylum – Historical Walk" (jpg). ASAP. Retrieved on 2008-09-01.
  13. ^ a b c d e Heritage Victoria. "Former Kew Cottages (Kew Residential Services)". Retrieved on 2008-10-25.
  14. ^ James (p.25), in C. Day Magnificence, Misery and Madness – A History of the Kew Asylum Unpublished PhD thesis, University of Melbourne.
  15. ^ a b c "Classification Report – Holly-leaved Cherry" (PDF). National Trust of Victoria. Retrieved on 2008-10-25.
  16. ^ a b "Series VPRS 7456 Admission Warrants – Male and Female Patients". Public Records Office of Victoria. Retrieved on 2008-08-30.
  17. ^ a b "Series VPRS 7680 Register of Patients". Public Records Office of Victoria. Retrieved on 2008-05-10.
  18. ^ "Series VPRS 7680 P1 Register of Patients (VA 2840) Kew, 1871–1919". Public Records Office of Victoria. Retrieved on 2008-09-07.
  19. ^ "Series VPRS 7397 Case Books of Female Patients". Public Records Office of Victoria. Retrieved on 2008-09-08.
  20. ^ a b "Agency VA 2852 Kew Cottages". Public Records Office of Victoria. Retrieved on 2008-09-05.
  21. ^ a b c Pratt, Valma. "Passages of Time – Lee Street School & Carlton Lunatic Asylum". Infoserv, University of Melbourne. Retrieved on 2008-09-09.
  22. ^ a b c "Agency VA 2853 Northcote Inebriate Asylum". Public Records Office of Victoria. Retrieved on 2008-09-28.
  23. ^ a b "Agency VA 2850 Brightside Inebriate Retreat". Public Records Office of Victoria. Retrieved on 2008-09-28.
  24. ^ a b "Agency VA 2849 Lara Inebriate Retreat". Public Records Office of Victoria. Retrieved on 2008-09-08.
  25. ^ Lindesay, Vane (1981). "Dyson, Ambrose Arthur (1876–1913)". Australian Dictionary of Biography. Australian National University. Retrieved on 2008-11-07.
  26. ^ Colligan, Mimi. "The Mysterious Edward/Ellen De Lacy Evans – The Picaresque in Real Life". The LaTrobe Journal (State Library of Victoria Foundation) 69 (Autumn 2002): 59–68, http://calisto.slv.vic.gov.au/latrobejournal/issue/latrobe-69/t1-g-t9.html. Retrieved on 1 September 2008. 
  27. ^ Parker, Grahame (1971). "The Midwinter file". Wisden Cricketers' Almanack - online edition. John Wisden & Co.. Retrieved on 2008-11-06.
  28. ^ Loughlin, Graham (1988). "Nesbit, Paris (1852–1927)". Australian Dictionary of Biography. Australian National University. Retrieved on 2008-09-22.
  29. ^ Ackland, M. 'Henry Handel Richardson – A Life'
  30. ^ Haigh, Gideon (2004). "The Madness Of King Harry", Game For Anything: Writings On Cricket. Melbourne: Black Inc, pp. 107–115. ISBN 186395 309 4. 
  31. ^ Oxford Companion to Australian History – entry for Thomas Wills
  32. ^ a b ""Function VF 128" Health, Mental". Public Records Office of Victoria. Retrieved on 2008-10-17.
  33. ^ "Findings of the Zox Royal Commission". Women's Jail Project. Retrieved on 2008-10-25.
  34. ^ a b c d e f g h i j "Agency VA 2840 Kew Asylum". Public Records Office of Victoria. Retrieved on 2008-08-27.
  35. ^ Cade, John Frederick (1949). "Lithium salts in the treatment of psychotic excitement". Medical Journal of Australia 2 (10): 349–352. 
  36. ^ "Games Village (Royal Park Hospital)" (PDF). Victorian Heritage Register. Retrieved on 2008-10-05.
  37. ^ a b Grose, R (1986). "Project Manager's Report to the Minister for Health Willsmere Hospital Proposed Decommissioning Strategy". Health Department Victoria.
  38. ^ a b c Gerrand, Valerie (December 2005). "Can deinstitutionalisation work? Mental health reform from 1993 to 1998 in Victoria, Australia". Health Sociology Review 14 (3): 255–271. 
  39. ^ "Heatherton Tuberculosis Sanatorium". City of Kingston. Retrieved on 2008-10-17.
  40. ^ Lewis, Miles; Best Overend and Partners (1988). "Kew Lunatic Asylum (Willsmere) conservation analysis". Best Overend and Partners.
  41. ^ "About Central Equity - Willsmere". Retrieved on 2008-11-07.
  42. ^ "Willsmere & Kew Gardens" (PDF). Cardno Grogan Richards. Retrieved on 2008-11-09.
  43. ^ "Kew Gardens". Central Equity. Retrieved on 2008-11-08.
  44. ^ Public Records Office of Victoria
  45. ^ Tuer, Graeme. "Kew Lunatic Asylum". University of Melbourne Undergraduate Thesis.
  46. ^ Ian, Goss; Mason, Ian G.R. (1959). "The older buildings of the Kew mental asylum". University of Melbourne undergraduate thesis.
  47. ^ McIntosh (1950). "Kew asylum". University of Melbourne undergraduate thesis.
  48. ^ University of Melbourne Library website
  49. ^ Farmer, Paul (1900). Three weeks in the Kew Lunatic Asylum. Melbourne: JJ Halligan. 
  50. ^ Higgs, William (1931). A Plea for Better Treatment of the Mentally Afflicted: What can happen to a man. Kew: Society for the Welfare of the Mentally Afflicted. 

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