The St. Lawrence State Hospital at Ogdensburg, N.Y., is a center of public, professional, philanthropic, and legislative interest. Though projected in advance of the adoption of the system of State care for the insane, it was opened at a time to make it come under close observation in relation to the question of State care, and the friends of this departure from the inefficient, often almost barbarous provisions of county house confinement could have no better example to point the excellence of their theories than this new and progressively planned State hospital. The members of the State Lunacy Commission and Miss Schuyler and her colleagues of the State Charities Aid Society, who fought the State care bills through the Legislature this winter and in 1890, would be repaid for all of their trouble by contrasting the condition of the inmates of the St. Lawrence State Hospital with the state they were in under their former custodians, the county officers of the northern New York counties. At the best, even when these officials realized the responsibility of their charge and were actuated by humane impulses, the county houses offered no chance of remedial treatment.

Custody and maintenance, the former mainly a reliance on force, the later often of scant provision, were the sum total of what was deemed necessary for the lunatics. In their new environment they find everything as different in accommodations and treatment as the word hospital in the title of the institution is different in sound and significance from the hope-dispelling, soul-chilling names of "asylum," "mad house," and "bedlam" formerly given to all retreats for the mentally afflicted. They find, and it is an encouraging feature of the plan that so many of them quickly see and appreciate it, that they are considered as sufferers from disease and not from demoniacal possession. The remarkable range of classification provided for, the adaptability of construction to the different classifications, the reliance on occupation, the dependence on treatment, and the subordination of the custodial feature, except where a wise conservatism demands its retention, are apparent alike to inmates and visitors.

This hospital is complete as to plans, and as to the power plant, drainage, and subway construction necessary for the 1,500 patients, that the legislature has provided for in its law establishing the institution. Buildings are already finished and occupied that accommodate 200 inmates, and the contractors have nearly finished part of the central group that will bring that number up to nearly 1,300. The appropriation asked for this year by the managers will be scaled down considerably by Mr. McClelland, the very economical chairman of the Ways and Means Committee of the Democratic Assembly. But, unless he has miscalculated, there will be money enough to carry on the work of construction to advantage for the year. An appropriation sufficient to complete the buildings at once was thought by many to be the wisest economy, but big figures in an appropriation bill have very little chance this year. The bill establishing the State Hospital district and providing for the building of the institution fixed the per capita cost of construction, including the purchase of land, at $1,150, and the plans have been made on that basis for 1,500 patients.

But if the needs of the district should require it, the capacity could be increased by an almost indefinite extension of the system of outlying colony groups at a very small per capita cost, as the central group is by far the most expensive in construction.

The administration group in part, and one outlying group, with the general kitchen, bakery, workshop, laundry, employes' dwelling house, power house, and pumping station, are already erected, and have added a feature of architectural beauty to Point Airy. This point, of itself of picturesque and romantic beauty, juts into the St. Lawrence River at the head of the Galoup Rapids, three miles below Ogdensburg. It is a part of the hospital farm of 950 acres, which includes woodland, meadow, farm land, and a market garden tract of the $100 an acre grade. The location of the institution in these particulars and in reference to salubrity, sewerage facilities and abundance and excellence of water supply, is wonderfully advantageous.

In planning the hospital Dr. P.M. Wise, who has since become its medical superintendent, aimed to take the utmost advantage of the scenic and hygienic capabilities of the site, and to improve on all previous combinations of the two general divisions of a mixed asylum - a hospital department for the concentration of professional treatment, and a maintenance department for the separate care of the chronic insane. He was anxious to secure as much as possible of the compactness and ease of administration of the linear plan of construction, with wings on either side of the executive building of long corridors occupied as day rooms, with sleeping rooms opening out of them on both sides. But he wanted to avoid the depressing influence of this monotonous structure, as the better results of variety and increased opportunities of subdivision and classification are well recognized. He was not, however, prepared to accept wholly that abrupt departure from the linear plan known as the "cottage plan," which in some institutions has been carried to the extreme of erecting a detached building for every ward. The climate of St. Lawrence county forbade this.

Her winters are as vigorous as those of her Canadian neighbors, even as her people are almost as ebullient in their politics as the vigorous warring liberals and conservatives across the river. And there are features of the linear plan that can only be left out of our asylum structure at the expense of efficiency. Other rules that he formulated from his experience were that a building for the insane should never exceed two stories in height; that fire proof construction and at least two stairways from the upper floors should be provided; that day rooms should be on the first and sleeping rooms on the second floor; that all buildings for the insane who suffer from sluggish and enfeebled circulation of the blood should be capable of being warmed to 70° in the coldest weather; that ample cubic space and ventilation should be provided; and that, as far as possible, without too great increase of the cost of maintenance or sacrificing essential provisions for treatment and necessary restraint, asylums should aim to reproduce the conditions of domestic life.