The asylum is referred to variously as: "The Joint Lunatic Asylum for the Counties of Monmouth, Hereford, Brecon, Radnor, and City of Hereford", "Joint Counties' Lunatic Asylum", "Joint Lunatic Asylum", "Abergavenny Asylum", "United Counties' Asylum", "United Counties' Asylum, Abergavenny" and "Joint Counties' Asylum, Abergavenny"

Consists of a list of the Committee of visitors and officers, report of the Committee of Visitors (Archer Clive, chairman), report of the Commissioners in Lunacy (W.G. Campbell, S. Gaskell), report of the medical superintendent (D.M. McCullough), report of the chaplain (W.G. Davies), statistical and financial tables (S. Browning)