In the dominion of Canada and the adjacent provinces, embracing a population of three and a half millions, there are eleven asylums and hospitals for the insane. The smallest of these accommodates forty patients—the largest, six hundred. Their character, as curative institutions, varies equally with their capacity. The annual reports of the greater number present very satisfactory returns as to the proportion of recoveries, the rate of mortality, and their economical administration. No one institution will be found to excel on all these points, but the statistics of those best managed will compare favourably with those of the leading asylums of Britain or America.