The object of the paper to be now read is to evoke discussion on certain questions connected with the above scheme. Inasmuch as the system has received but a limited trial in this country, but few facts concerning its actual working are to be expected as yet. It is, however, deserving of consideration in this its embryonic period. An out-patient clinique was started at the Wakefield Asylum in January, 1890, and also adopted at the other West Riding Asylums. I can only speak of the results in the first-named institution.