“…Besides the Alexandershöhe in Riga and the Tallinn general hospital, there was a private asylum, Rothenberg, in Riga, which was later sold to the City of Riga; there were also the Deaconess’ Institution in Tallinn and a small temporary private institution ( Familienpansionat ) in Valmiera (Wolmar) (Laehr, 1875: 141, 182–3; Laehr and Lewald, 1899: 231, 234). In addition, mentally disturbed patients were also held in military and general hospitals (Laehr and Lewald, 1899: 187; see also Kuzņecovs and Loseviča, 2019: 39). Contemporaries estimated that in 1861 in all three Baltic provinces there were 697 insane people ( Irren ) and 1,375 people with mental retardation ( Idioten ): 1 per 554 inhabitants in Estonia, 1 per 857 in Livonia, and 1 per 998 in Courland (Schulz, 1863: 389).…”