Most Asylum's in the mid 1800s would like to be viewed as hospitals to help patients, in this picture it depicts the neglect in caring for these "patients". In this particular picture it looks like a prison rather than a hospital.
The "lunatic" Asylum's took in all sort of cases of the so called "mentally ill". This picture is of a man in a restraint chair at one of the insane asylum's in the later 1800's. According to these kinds of mental hospitals, you could be admitted for all sorts of reason such as, bites from animals, abusing others or being abused, asthma, grief, etc. all of these types of reasons to be admitted were all sent to one hospital.