The "occupation and exercise cure" is applicable also to epilepsy, and is the therapeutic principle of the Craig Colony for Epileptics at Sonyea, in Livingston County, supported by the State, and that institution furnishes a general model for the "colony sanatoriums" suggested for indigent patients suffering from functional nervous disorders. The Craig Colony was the idea of Dr. Frederick Peterson, Professor of Psychiatry at Columbia University, and former President of the New York State Commission of Lunacy and of the New York Neurological Society, which he based upon the epileptic colony at Beilefeld, Germany, that was founded in 1867. The Craig Colony was founded in 1894, and there are now being cared for within its confines more than thirteen hundred patients, who have turned out this year agricultural products, with bricks, soap, and brooms, to the value of $60,000. The colony is named after the late Oscar Craig, of Rochester, who, with William P. Letchworth, of Buffalo, purchased the two-thousand-acre tract of land on which it is situated from the Shaker colony at Sonyea and presented it to the State, Dr. Peterson devoting several months of each year for nine years to getting the institution into working order. The first patients were housed in the old Shaker buildings, which were well constructed and fairly well arranged for the purpose, but as additional applications for admission have been made new buildings have been erected. To-day there are eighty buildings in the colony, but a thousand patients are waiting for admission, eight hundred of whom are in New York City.
Epilepsy, the "falling sickness," is a most difficult malady to treat even in an institution for that purpose, and it is impossible to treat it anywhere else. An epileptic in a family is an almost intolerable burden to its other members, as well as to himself. The temperamental effect of the disease takes the form in the patient of making frequent and unjust complaints, and epileptics invariably charge some one with having injured them while they have been unconscious during an attack. Then, too, living at home, they are often dangerous to younger members of a family, and they are fault-finding, exacting, and irritable generally. The seizures frequently come on without warning, and the patient drops where he stands, often injuring himself severely. The last annual report of the Craig Colony records more than four hundred injuries within the year to patients during seizures which required a surgeon's attention, the injuries varying from severe bruises to fractures of the skull.
The object of the Craig Colony is to remove the burden of the epileptic in the family from the home without subjecting the patient to the hardship of confinement with the insane. "Very few epileptics suffer permanent insanity in any form except dementia," says the medical superintendent of the Colony. "Acute mania and maniac depressive insanity not infrequently appear as a 'post-convulsive' condition, that generally subsides within a few hours, or at most a few days. Rarely the state may persist a month. Melancholia is extremely infrequent. Delusions of persecution, hallucinations of sight or hearing, systematized in character, are almost never encountered in epilepsy."
Only from six to fifteen per cent of epileptics are curable, and hence the work of the Craig Colony is largely palliative of the sufferings of the patients. Each individual case is studied with the utmost care, however, and patients are given their choice of available occupations. The Colony is not a custodial institution. There are no bars on the windows, no walls or high fences about the farm. The patients are housed in cottages, men and women in separate buildings some distance apart, about thirty to each cottage. In charge of each of these families are a man and his wife, who utilize the services of some of the patients in the performance of household work, while the others have their duties outside. Kindness to the unfortunates under their care is impressed upon every employee of the Colony, and an iron-bound rule forbids them to strike a patient even in case of assault.
Besides the agricultural work in the Craig Colony, and that in the soap and broom factories and the brick-yard, the patients are taught blacksmithing, carpentry, dressmaking, tailoring, painting, plumbing, shoemaking, laundrying, and sloyd work. It is insisted on that all patients physically capable shall find employment as a therapeutic measure. The records show that on Sundays and holidays and on rainy days, when there is a minimum of physical activity among the patients, their seizures double and sometimes treble in number. Few of the patients know how to perform any kind of labor when they enter the Colony, but many of them learn rapidly. It has been repeatedly demonstrated that boys from eighteen to twenty years of age can spend two years in the sloyd shop and leave it fully qualified as cabinet-makers, and capable of earning a journeyman's wages.
There are about two hundred children in the colony of epileptics at Sonyea, more than half of whom are girls. As children subject to epileptic seizures are not received in the public schools of the State, the only opportunity for any education among these afflicted little ones whose parents are unable to teach them themselves or provide private tutors for them is in the schools of the Colony. Some of the children are comparatively bright scholars, while the attempt to teach others seems a hopeless task. For instance, it took one girl ninety days to learn to lay three sticks in the form of a letter A.
Every effort is made to encourage recreation among the patients in the Craig Colony, both children and adults. The men have a club of 250 members, with billiards, chess, checkers, cards, and magazines and newspapers. The boys have their baseball and football, and play match games among themselves or with visiting teams. The women and girls play croquet, tennis, and other outdoor games. There is a band composed of patients that gives a concert once a week, and there are theatricals and dancing, with occasional lectures by visiting celebrities. As the Colony, with the medical staff, nurses, and other employees, has a population of 2,000, there is always an audience for any visiting attraction. The maintenance of the Colony is costing the State $225,000 the present year.
Since the founding of the Craig Colony similar institutions have been established in Massachusetts, Texas, Michigan, Ohio, New Jersey, Pennsylvania, Illinois, and Kansas, and other States are preparing to follow their example. There are other private sanatoriums throughout the country similar to the one in Westchester County, where the nervous or neurasthenic patient who is well-to-do may obtain relaxation and supervision, but there is no place at all to-day where the man or woman suffering from curable nervous disorders who is without means can go for treatment.
(McClure's Magazine)