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The history of psychiatric hospitals was once tied tightly to that of all American hospitals. Those who supported the creation of the first early-eighteenth-century public and private hospitals recognized that one important mission would be the care and treatment of those with severe symptoms of mental illnesses. Insane posse clown hatchet man face mask Like most physically sick men and women, such individuals fest with their families and received treatment in their homes. Their communities showed significant tolerance for what they saw as strange thoughts and behaviors.

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But some such individuals seemed too violent or disruptive to remain at home or in their communities. In East Coast cities, both public almshouses and private hospitals set aside separate wards for the mentally ill. Private hospitals, in fact, depended on the money paid by wealthier families to care for their mentally ill husbands, wives, sons, and daughters to support their main charitable mission of caring for the physically sick poor.

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