Leonard Smith is Honorary Senior Research Fellow at the University of Birmingham, UK. He has written extensively on the history of provision for the insane in the 18th and 19th centuries. His publications include 'Cure, Comfort and Safe Custody': Public Lunatic Asylums in early Nineteenth-Century England (1999) and Lunatic Hospitals in Georgian England, 1750-1830 (2007). He has worked in mental health services since 1973.

"A richly-researched and wide-ranging study, that forces readers to think again about the history of psychiatry, about empire, and about its impact on the Caribbean." - James H. Mills, Professor of Modern History, Centre for the Social History Of Health and Healthcare (CSHHH) Glasgow, University of Strathclyde, UK

• Introduction 1. Caribbean Institutions in Context 2. The Early Lunatic Asylums 3. Scandal in Jamaica - The Kingston Lunatic Asylum 4. Reform - The Jamaica Lunatic Asylum 5. Colonial Asylums in Transition 6. Pathways to the Asylum 7. The Patient Challenge 8. The Colonial Asylum Regime Conclusion