Rhode Island State Hospital |+|
|Title= State Hospital
Eighteen frame buildings were constructed in 1870, and that November 118 mental patients were admitted - 65 charity cases from Butler Asylum, 25 from town poor houses and 28 from asylums in Vermont and Massachusetts where the state had sent them. The patients at the State Asylum were poor and believed beyond help, as is reflected in the evolution of names for the asylum. Initially it was to be called the State Insane Asylum; in 1869 the Asylum for the Pauper Insane; and in 1870 the State Asylum for the Incurable Insane. In 1885, to relieve the cities and towns from the burden of supporting their insane poor, the General Assembly adopted a resolution that the State Asylum for the Insane should serve as a receiving hospital for all types of mental disorder, acute as well as chronic, thereby merging the two. By giving over the Asylum to “undesirable” elements, the poor, the incurable, and the foreign born, the upper and middle classes thus restricted their own ability to use it. Therapy was second to custody. |+|
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|−|In 1888, the General Assembly appropriated funds for a new almshouse to replace the frame building that had been originally built for the insane. Known now as the Center Building, the Almshouse was also designed by Stone, Carpenter and Wilson. Its name acknowledges the prevailing trend in institutional design, as evidenced in the House of Correction and State Prison, as well: the installation of a large central administration building with office and residential facilities for the staff and public eating and worship spaces for the inmates who were segregated in wings flanking the central structure. [[ Rhode Island State Hospital|Click here for more...]] |+|
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Willard State Hospital
In 1853, the site was acquired for the state's first agricultural college. The college - on 440 acres of farmland in the town of Ovid, "the geographical centre and Eden of the Empire State" - opened in December 1860, but it didn't last long. Within months, its president and most of the teachers and students marched off to fight in the Civil War, and the college never reopened. It was superseded by the new state university, established in Ithaca on land donated by state Senator Ezra Cornell.
Soon afterward, the site was earmarked for the Willard Asylum for the Insane, which would represent a second and major step toward transferring responsibility for the care of the mentally ill to the state. From colonial times, the care of insane persons had been a local function. Each county operated a poorhouse, or almshouse, wherein was indiscriminately lodged a hodgepodge of dependant persons: the mad, the feebleminded, the aged and crippled, drunks, epileptics and beggars. The almshouses provided custody and shelter, but "treatment" was not in their vocabulary.
The first step toward state assumption of responsibility was the opening of the Utica Lunatic Asylum in 1843. Utica was established as a treatment facility. It was reserved for new, acute eases and was required by law to return to county custody any patient who was not discharged as recovered within two years. Still condemned to the almshouse were the incurables, who, contrary to the unreal expectations of early asylum enthusiasts, were the norm among the pauper lunatic class. Dorothea Dix, among others including the underfunded county superintendents of the poor, drew the Legislature's attention to the unspeakable plight of the chronically ill. Click here for more...