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[[image:IPH MaleBldg 01.jpg|300px|left|The Male Department as it originally appeared in 1854]] | [[image:IPH MaleBldg 01.jpg|300px|left|The Male Department as it originally appeared in 1854]] | ||
− | '''The Institute of the Pennsylvania Hospital''', formally Pennsylvania Hospital for the Insane, was a private psychiatric hospital operating in West Philadelphia from 1841 until its final closure in the fall of 1997. The building and part of the former campus is currently being leased to Blackwell Human Services and the | + | '''The Institute of the Pennsylvania Hospital''', formally Pennsylvania Hospital for the Insane, was a private psychiatric hospital operating in West Philadelphia from 1841 until its final closure in the fall of 1997. The building and part of the former campus is currently being leased to Blackwell Human Services and the Kirkbride Center, and remains functional within the human services field; however, it is still owned by the University of Pennsylvania Health System. It was expanded in 1959 to accommodate a changing inpatient population, at which time half the original campus was lost, and the more modern "North Building" was constructed. However, because of changing perception of the practice of psychiatry, and insurance protocol, the facility was forced to close its doors permanently. In 2004, the NHPRC was issued a grant to organize, preserve and make publicly accessible the Institute of the Pennsylvania Hospital's archival collection. |
− | There is a tremendous amount of confusion about the [[Pennsylvania Hospital]] in Philadelphia, PA. This is because there were in fact two separate facilities bearing the name. The first, founded in 1751 by Dr. Thomas Bond and Benjamin Franklin was located on Eighth and Pine Streets, and was completed in 1755. This facility is still operational, albeit not for its original purpose. The | + | There is a tremendous amount of confusion about the [[Pennsylvania Hospital]] in Philadelphia, PA. This is because there were in fact two separate facilities bearing the name. The first, founded in 1751 by Dr. Thomas Bond and Benjamin Franklin was located on Eighth and Pine Streets, and was completed in 1755. This facility is still operational, albeit not for its original purpose. The orinigal structure of Pennsylvnia Hospital is now largely is maintained because of its historic value to the city and state (the modern Pennsylvania Hospital sits behind this building). This original facility found itself overwhelmed by the number of 'lunatic' patients, and regularly had their insane wards overcapacity. The Board of Managers voted to build a second hospital, in what was then rural West Philadelphia, as was the style of such institutions at the time. This second hospital was known as the Institute of the Pennsylvania Hospital, as to draw distinction from their primary facility. This was also the hospital that Dr. Thomas Story Kirkbride was Superintendent, who is regarded as one of the fathers of American Psychiatry. Both facilities were run under the same Board of Mangers during their tenure, but only one had a specific specialization in behavioral healthcare. |
− | == | + | == History == |
− | === Overcrowding | + | === Overcrowding and the selection of a new site === |
− | [[File: | + | [[File:Map.png|400px|thumb|right|The original campus of Pennsylvania Hospital for the Insane as it would have appeared around the year 1900]] |
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− | + | From its inception, [[Pennsylvania Hospital]] admitted both the physically ill and the mentally ill to their historic South Philadelphia campus. Eighteenth and early nineteenth century medical practice was crude, and frequently counter-productive by modern day standards, but the treatment of the mentally ill was particularly harsh. Solitary confinement, bloodletting and involuntary restraints were the order of the day by most physicians. Over time, the proportion of the Hospital’s patients who were severely mentally ill increased in size, until it began to become overcrowded, leaving little room for the physically ill. In response, the Board of Managers believed itself obligated to limit the admission of the mentally ill. The west wing of the Hospital had been designed and set aside for the mentally ill, but by 1817 it was filled near to capacity and additional space had been set aside for mentally ill patients elsewhere in the facility. | |
− | + | In a published report by the Board of Manager in 1817, the number are brought into focus. Two-thirds of the Hospital’s patients were the mentally ill and the Board of Managers had previously set aside two-thirds of the Hospital’s rooms for their care. The west wing was entirely committed to the care of the mentally ill, and sixteen of the thirty-nine rooms available in the east wing were also devoted to the mentally ill. Though the completed Hospital building was just twelve years old, the Board of Managers had already adopted a policy which limited the number of mentally ill patients for this very reason. There may have been calls for the expansion of the physical site from other administrators, but the Board was unwilling to consider the Hospital’s vacant land for the construction of yet another new buildings. The U.S. census returns for the first decades of the 19th century show increasing pressure: the number of resident staff and patients at the Hospital increased significantly in each decade. The 1820's, in particular, experienced an increase in the average number of resident patients, from less than 150 to more than 200 present at any one time. By 1830 the average daily number of mentally ill patients was somewhere around 115. The demand for the services of the [[Pennsylvania Hospital]] must have been near, if not beyond the Hospital’s ability to provide them. A contemporary description of the Pennsylvania Hospital, published in the Philadelphia newspapers in May of that year, provides a view of the institution perhaps more objectively: | |
− | + | '"From the Kentucky Gazette"' | |
− | + | '''"An Account of the Pennsylvania Hospital"''' | |
− | + | "''This humane and benevolent institution was founded by the contributors, in the year one thousand seven hundred and fifty two, for the relief of the lunatics and sick poor of Pennsylvania, and has been supported by them ever since with legacies and private contributions. Persons with infectious diseases are not to be admitted, nor incurable cases, lunatics excepted... From the time the hospital was founded there have been admitted into it about ten thousand patients, great number of whom have been lunatics, some of these have been twenty or thirty years in the house (which is not uncommon for lunatics) hence arose the disagreeable necessity of limiting their number, so as to take more than one half of the paupers of that class, who would occupy the whole house to the exclusion of other cases, which have an equal claim, the hospital being not only for maniacs, but all others, except infectious diseases.''" | |
− | + | '"'At the present time, there are ninety three patients in the hospital, of whom sixty three are on pay, and thirty one on the poor list; of the whole number sixty three are lunatics. And adjoining the centre house on the west, are a ward and wing, similar to those on the east, with this exception, that the wards are about 34 feet deep – this extension was agree to, in order to admit double rows of rooms to accommodate a greater number of lunatics. Rooms in the hospital are appropriated to the following uses … [21 devoted to various uses]; Lunatics in the west wing and ward, 70; [Ditto] in the east, 16; for sick and wounded, 23; In all 130 Wards and rooms. The lunatic being separated from the sick by the centre house, the latter are not incommoded with their noise. The unproductive part of the state consists in lots of ground bought and paid for by the contributors, and in the museum and medical library. These lots were mostly purchased early, when land was low, but they are now become valuable, being within the improved parts of the city. The hospital stands on a square, three hundred and ninety-six feet in width, and four hundred and sixty-eight feet in length, containing about four acres.'"' | |
− | + | ''There is also a vacant square to the east, and one-half a square to the west – containing together more than six acres running in parallel lines with the ground on which the buildings are erected; the other half of this square is owned by the alms-house, who mean to keep it always open, so that the Pennsylvania hospital is situated in the middle of three great squares; which, beside the open streets, measure more than thirteen acres. The contributors have also bought three lots on the south side of the hospital. Their object in providing so much ground was to secure a current of air for the benefit of the sick patients. – The policy of this provision was never more conspicuous than during the late fevers, particularly in 1793, when not a person took it in the hospital, though upwards of four thousand died of it, in about four months, in the city, in that year. Knowing the inestimable value of open ground to the hospital, the contributors have a confident assurance, that avarice itself will never dare to propose the alienation of one foot of the ground, which they have provided at their own expense for such a benevolent use.'' | |
− | [[ | + | In 1832, the Board of Managers of the [[Pennsylvania Hospital]] relented, and recognized the necessity of opening a separate asylum with the sole purpose of caring for the chronically insane. This had been a mounting for a problem for several decades prior because of the reversal of hospital policy under Dr. [[Benjamin Rush]], stating that lunatic should be treated on the regular medical unit of the hospital. A resolution was passed shortly thereafter, as the mentally ill had at that time outnumbered the sick and injured patients with Pennsylvania Hospital itself. Simultaneously, [[Philadelphia Almshouse]] announced that intended to shut down their center city facility in the fall of 1834, with the intention of transferring all of their services to a new site in the West Philadelphia neighborhood of Blockley. [[Pennsylvania Hospital]]’s initial response to the move of the [[Philadelphia Almshouse]] was to attempt to purchase its center city land holdings. The "Western Lot" of the Pennsylvania Hospital was open land on the west side of Ninth Street. The Hospital owned the land from Spruce Street on the north all the way south to Pine Street, but only half the distance to Tenth Street. The other half of the block was also open and it was owned by the Almshouse. On the other side of Tenth Street was the city square on which the Almshouse buildings stood. If the western half of the Ninth Street block could be purchased, the way would be clear to expand westward yet another city square. |
− | + | The hospital moved to purchase a 101-acre farm in West Philadelphia in 1835 from Matthew Arrison, a local merchant. The cornerstone for this new facility was laid on July 26, 1836 on the corner of 44th and Market Streets, which would later become the Female Department. The question of selecting an appropriate superintendent was complicated because of the absence of other large psychiatric facilities in the America at the time. Locally, only [[Friends Hospital]], then known at the Frankford Asylum, was operational in treating psychiatric disorders, and was only financially viable because of large donations offered from the Society of Friends. The Board of Manager voted on October 12, 1840 and elected to hire the thirty-one year old [[Alienist]], Dr. [[Thomas Story Kirkbride]], as the head of the new hospital, which would open the following January. Dr. Kirkbride was born in Morrisville, where his family resided, and graduated from the University of Pennsylvania Medical School only two years prior. He was at the time finishing his residency at the Frankford Asylum before his selection. | |
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− | The hospital moved to purchase a 101-acre farm in West Philadelphia in 1835 from Matthew Arrison, a local merchant | ||
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− | The question of selecting an appropriate superintendent was complicated because of the absence of other large psychiatric facilities in the America at the time. Locally, only [[Friends Hospital]], then known at the Frankford Asylum, was operational in treating psychiatric disorders, and was only financially viable because of large donations offered from the Society of Friends. The Board of Manager voted on October 12, 1840 and elected to hire the thirty-one year old [[Alienist]] | ||
=== Under Dr. Kirkbride: 1840-1883 === | === Under Dr. Kirkbride: 1840-1883 === | ||
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[[File:Kirkbride.jpeg|200px|thumb|left|Dr. Thomas Kirkbride]] | [[File:Kirkbride.jpeg|200px|thumb|left|Dr. Thomas Kirkbride]] | ||
− | + | [[Thomas Story Kirkbride]] gained national renown because of his particular methods. He developed a more humane way of treatment for the mentally ill that became widely influential within American Psychiatry. Today, the former Institute campus exists as a multi-purpose social-service facility. The new hospital, located on a 101-acre (0.41 km²) tract of the as yet unincorporated district of West Philadelphia, offered comforts and a “humane treatment” philosophy that set a standard for its day. Unlike other asylums where patients were often kept chained in crowded, unsanitary wards with little if any treatment, patients at Pennsylvania Hospital resided in private rooms, received medical treatment, worked outdoors and enjoyed recreational activities including lectures and a use of the hospital library. The campus originally featured one, but later, two hospital buildings, which were separated by a creek and pleasure grounds. | |
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− | + | The first building was a long thin building located west of the Schuylkill River. This building would eventually become the female department. Though the building does reflect the [[Kirkbride Plan]] it was actually constructed before Dr. Kirkbride was given full supervisory duties. Construction began under the control of architect Isaac Holden but later illness forced Issac to return to his home country of England. The building was then finished by a young Samuel Sloan, who worked as a carpenter on the Eastern State Penitentiary. Sloan finished the building in 1841. The building was a rather simple design compared to later Kirkbride Plan buildings. Constructed of stucco covered brick, it was three stories tall with a central administration section flanked on either side by a set of wings. The top of the administration section was crowned with a large dome. On both the front and back of the administration section were stone porticoes. The interior of the building was well furnished, the lavishly carpeted corridors were twelve feet wide. The building features iron stairs, well lighted wards, and iron water tanks in the dome over the administration section, which provided fresh water to all of the building. At the rear corners of either side of the building were smaller, one story, "U" shaped buildings. These buildings were used to house the most noisy and violent patents, so that they wouldn't disturb the calmer, more manageable patients in the main building. | |
Superintendent Kirkbride developed his treatment philosophy based on research he conducted at other progressive asylums of the day including the asylum at Worcester, Massachusetts. Out of his philosophy emerged what would become known as the Kirkbride Plan, which created a model design for psychiatric hospital that was employed across the United States throughout the 19th century. This plan would be used for the hospital’s second building. On July 7, 1856, the cornerstone for a new building, built with the money from individual contributions, was laid at 49th and Market Streets, five blocks west of the original building. The new structure, which was to house only male patients, was dubbed the Department for Males, while the original building officially became known as the Department for Females. Dr Kirkbride commissioned Architect Samuel Sloan to design the new building. Built of stone and brick, the new building was laid out, as Kirkbride expressed, "in echelons." A large rectangular building, 3 1/2 stories tall, with gable roof and central dome, and a 2 story pedimented portico on its western facade, provided the central focus of the hospital and also housed its administrative offices. Extending from the center of this building to the north and south are two symmetrical wings about 250 feet long, 3 stories tall with gable roofs and ventilation cupolas at their furthermost termini. These wings were in turn connected to another pair, which extended to the east approximately 230 feet, paralleling each other, and of the same general appearance. At each terminus of the these rear wings was a final E-shaped wing which extended out approximately 250 feet. The north E wing housed troublesome patients, and the south E wing has since been removed. No wings are exactly in line, thus allowing fresh air to reach each wing on all four sides. Each of the patients' rooms in the wings had its own fresh air duct, the air being driven in from the towers at the terminus of each wing. There were 16 wards in the hospital, one for each of 16 distinct classes of patients, and each ward had its own parlor, dining room, and bathroom. Outside, there were gardens, shops, and walks for the patients. | Superintendent Kirkbride developed his treatment philosophy based on research he conducted at other progressive asylums of the day including the asylum at Worcester, Massachusetts. Out of his philosophy emerged what would become known as the Kirkbride Plan, which created a model design for psychiatric hospital that was employed across the United States throughout the 19th century. This plan would be used for the hospital’s second building. On July 7, 1856, the cornerstone for a new building, built with the money from individual contributions, was laid at 49th and Market Streets, five blocks west of the original building. The new structure, which was to house only male patients, was dubbed the Department for Males, while the original building officially became known as the Department for Females. Dr Kirkbride commissioned Architect Samuel Sloan to design the new building. Built of stone and brick, the new building was laid out, as Kirkbride expressed, "in echelons." A large rectangular building, 3 1/2 stories tall, with gable roof and central dome, and a 2 story pedimented portico on its western facade, provided the central focus of the hospital and also housed its administrative offices. Extending from the center of this building to the north and south are two symmetrical wings about 250 feet long, 3 stories tall with gable roofs and ventilation cupolas at their furthermost termini. These wings were in turn connected to another pair, which extended to the east approximately 230 feet, paralleling each other, and of the same general appearance. At each terminus of the these rear wings was a final E-shaped wing which extended out approximately 250 feet. The north E wing housed troublesome patients, and the south E wing has since been removed. No wings are exactly in line, thus allowing fresh air to reach each wing on all four sides. Each of the patients' rooms in the wings had its own fresh air duct, the air being driven in from the towers at the terminus of each wing. There were 16 wards in the hospital, one for each of 16 distinct classes of patients, and each ward had its own parlor, dining room, and bathroom. Outside, there were gardens, shops, and walks for the patients. | ||
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For the first seventy years of its existence Pennsylvania Hospital for the Insane steadily increased in its size and clinical complexity. As early as February 1844 the trend for expansion had been firmly established. The ''Public Ledger'' took note of the statistics in Kirkbride’s annual report and published the following brief article: ''We have received a copy of the Report of the Managers of the Pennsylvania Hospital for the Insane for 1843. There were 140 patients admitted during the year, 126 have been discharged or died, and there remain 132 under care. There were cured 68, much improved 7, improved 14, stationary 20, died 17 – total 126. The Report contains a number of statistical tables, showing the number and sex of the persons admitted since the opening: their ages, occupations, condition, nativity, country, and the causes which produced insanity in them, with the duration and number of the attacks. Since the opening of this Hospital, three years since, there has been a steady increase in the number of patients admitted, and the number under care at one time has constantly been augmenting. The total number under care in 1841, was 176; in 1842, 238; in 1843, 258.'' | For the first seventy years of its existence Pennsylvania Hospital for the Insane steadily increased in its size and clinical complexity. As early as February 1844 the trend for expansion had been firmly established. The ''Public Ledger'' took note of the statistics in Kirkbride’s annual report and published the following brief article: ''We have received a copy of the Report of the Managers of the Pennsylvania Hospital for the Insane for 1843. There were 140 patients admitted during the year, 126 have been discharged or died, and there remain 132 under care. There were cured 68, much improved 7, improved 14, stationary 20, died 17 – total 126. The Report contains a number of statistical tables, showing the number and sex of the persons admitted since the opening: their ages, occupations, condition, nativity, country, and the causes which produced insanity in them, with the duration and number of the attacks. Since the opening of this Hospital, three years since, there has been a steady increase in the number of patients admitted, and the number under care at one time has constantly been augmenting. The total number under care in 1841, was 176; in 1842, 238; in 1843, 258.'' | ||
− | Expansion of the site continued, and by 1851, just ten years after its opening, the Hospital was "inconveniently crowded", though the [Annual] hospital report stated that "the general good health which then prevailed, enabled us to receive all the cases that were brought to the Hospital, although much difficulty was often experienced in accommodating them." Two years later, the annual report for 1853 became more grim, and stated: | + | Expansion of the site continued, and by 1851, just ten years after its opening, the Hospital was "inconveniently crowded", though the [Annual] hospital report stated that "the general good health which then prevailed, enabled us to receive all the cases that were brought to the Hospital, although much difficulty was often experienced in accommodating them." Two years later, the annual report for 1853 became more grim, and stated: ''during the entire year, the institution has been rather more than comfortably filled, the average number for the whole period, as shown above, being 229, while 220 is regarded as the capacity of the building. Anxious to receive all who desired admission, we have at no previous time refused any suitable applicant; but during a part of the year just closed, we were for a time compelled, although with great reluctance, to decline receiving patients, except under the most urgent circumstances.'' |
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=== Turn of the Century: 1883 to 1911 === | === Turn of the Century: 1883 to 1911 === | ||
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The Pennsylvania Hospital for the Insane flourished under Kirkbride until his death on December 16, 1883, though for decades after his death, Philadelphia natives colloquially referred to the hospital as "Kirkbride's." Dr. [[John Chapin]], the former Superintendent of the [[Willard State Hospital]] in New York, assumed the role of Superintendent of the Pennsylvania Hospital for the Insane after Kirkbride's demise, following a lengthy election by the Board of Managers. The Board had spent ten months making their selection, which was precarious because of the fame and reputation of Kirkbride. Chapin officially assumed this role on September 1, 1884, and held that office until the resignation from his duties in 1911. He was directly succeeded by Dr. Owen Copp, who initiated a School of Nursing for Men at the Hospital. Dr. Chapin appoints Leroy Craig as the first director of 'the Pennsylvania Hospital School of Nursing for Men'. Craig gains notoriety as the first male superintendent of a male nursing school in the country. Similar schools had previously been established locally at [[Friends Hospital]] and [[Norristown State Hospital]]. The new school of nursing was devoted to training male nurses in generalized nursing practices, as well as the specialization in the disciplines of psychiatric care. | The Pennsylvania Hospital for the Insane flourished under Kirkbride until his death on December 16, 1883, though for decades after his death, Philadelphia natives colloquially referred to the hospital as "Kirkbride's." Dr. [[John Chapin]], the former Superintendent of the [[Willard State Hospital]] in New York, assumed the role of Superintendent of the Pennsylvania Hospital for the Insane after Kirkbride's demise, following a lengthy election by the Board of Managers. The Board had spent ten months making their selection, which was precarious because of the fame and reputation of Kirkbride. Chapin officially assumed this role on September 1, 1884, and held that office until the resignation from his duties in 1911. He was directly succeeded by Dr. Owen Copp, who initiated a School of Nursing for Men at the Hospital. Dr. Chapin appoints Leroy Craig as the first director of 'the Pennsylvania Hospital School of Nursing for Men'. Craig gains notoriety as the first male superintendent of a male nursing school in the country. Similar schools had previously been established locally at [[Friends Hospital]] and [[Norristown State Hospital]]. The new school of nursing was devoted to training male nurses in generalized nursing practices, as well as the specialization in the disciplines of psychiatric care. | ||
− | It is during the second part of the hospital's history that the particulars of its operations change dramatically. Starting in 1876 the number of patients admitted to the inpatient | + | It is during the second part of the hospital's history that the particulars of its operations change dramatically. Starting in 1876 the number of patients admitted to the inpatient began to drop, which was credited to rise of the Commonwealth of Pennsylvania's involvement in psychiatry as a matter of the public health. This rise in psychiatric care was found to be startling in the Commonwealth of Pennsylvania. When Kirkbride opened the new asylum in 1840 there were a total of 275 beds available for those who suffered from mental illnesses. shared by the facility and [[Friends Hospital]]. By 1895, 7,000 inpatient beds had been created between various: private and state hospitals, as well as local sanitariums. While this trend would continue well into the 20th century, Pennsylvania Hospital's inpatient population maximum would not change from the five-hundred beds it was allotted following its expansion in 1853. While the Institute would remain an industry leader, it was longer the only psychiatric facility available to the public regionally. |
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− | + | ==== Medical Staff Directory: 1840-1915 ==== | |
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− | ==== Medical Staff Directory: 1840- | ||
The original organization of [[Alienist]] physicians within Pennsylvania Hospital was severely limited. Dr. Kirkbride had laid the foundation of this level of medical hierarchy, which would be maintained to some degree until 1915. This hierarchy places the superintendent as charge and master of all medico-psychiatric issues taking place within the hospital, and an assistant physician to aid to either the male or female departments. Since this was a considerable prestigious post for many psychiatrists it became a starting point for many early careers within the field. However, shifting conceptions of psychiatric care changed in the early 20th century, largely due to legislation lobbied for by Pennsylvania's Committee on Lunacy. Additionally, the 'Food and Drug Act' of 1914 drastically altered the landscape of psychotropics within American Psychiatry. As a result, the Board of Managers of Pennsylvania Hospital, under the guidance of Dr. [[Owen Copp]], reorganized the structure of inpatient treatment and effectively tripled the number of physicians employed to treat the insane. Attending Physicians were also allotted significantly smaller caseloads of patients, from rough 250 per doctor in 1880, to 62 in 1915. This measure also stood in stark contrast to the public mental health facilities of the period, which were notorious for being chronically understaffed. | The original organization of [[Alienist]] physicians within Pennsylvania Hospital was severely limited. Dr. Kirkbride had laid the foundation of this level of medical hierarchy, which would be maintained to some degree until 1915. This hierarchy places the superintendent as charge and master of all medico-psychiatric issues taking place within the hospital, and an assistant physician to aid to either the male or female departments. Since this was a considerable prestigious post for many psychiatrists it became a starting point for many early careers within the field. However, shifting conceptions of psychiatric care changed in the early 20th century, largely due to legislation lobbied for by Pennsylvania's Committee on Lunacy. Additionally, the 'Food and Drug Act' of 1914 drastically altered the landscape of psychotropics within American Psychiatry. As a result, the Board of Managers of Pennsylvania Hospital, under the guidance of Dr. [[Owen Copp]], reorganized the structure of inpatient treatment and effectively tripled the number of physicians employed to treat the insane. Attending Physicians were also allotted significantly smaller caseloads of patients, from rough 250 per doctor in 1880, to 62 in 1915. This measure also stood in stark contrast to the public mental health facilities of the period, which were notorious for being chronically understaffed. | ||
− | *1) '''[[Thomas Story Kirkbride]]''' - Hospital Superintendent, 1840-1883; President of the [[American Psychiatric Association]] 1862-1870 | + | *1) '''[[Thomas Story Kirkbride]]''' - Hospital Superintendent, 1840-1883; President of the [[American Psychiatric Association]] 1862-1870 |
− | *2) '''[[Edward Hartshorne]]''' - Assistant Physician, 1841-1894 | + | *2) '''[[Edward Hartshorne]]''' - Assistant Physician, 1841-1894 |
*3) '''Francis Smith''' - Assistant Physician, 1841 | *3) '''Francis Smith''' - Assistant Physician, 1841 | ||
*4) '''Robert A. Given''' - Assistant Physician, 1842-1844; later the founder of [[Burn-Brae]] Hospital in Clifton Heights, PA. | *4) '''Robert A. Given''' - Assistant Physician, 1842-1844; later the founder of [[Burn-Brae]] Hospital in Clifton Heights, PA. | ||
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*27) '''Horace Philips''' - Assistant Physician, 1894-?, Later sat on the Pennsylvania Committee on Lunacy. | *27) '''Horace Philips''' - Assistant Physician, 1894-?, Later sat on the Pennsylvania Committee on Lunacy. | ||
*28) '''Charles B. Williams''' - Assistant Physician, 1903-1911 | *28) '''Charles B. Williams''' - Assistant Physician, 1903-1911 | ||
− | *29) '''[[GW McCafferty]] Jr.''' - Assistant Physician, 1908-1912 | + | *29) '''[[GW McCafferty]] Jr.''' - Assistant Physician, 1908-1912 |
*30) '''Herbert H. Thompson''' - Assistant Physician, 1911-1912 | *30) '''Herbert H. Thompson''' - Assistant Physician, 1911-1912 | ||
*31) '''[[Owen Copp]]''' - Psychiatrist-in-Chief, 1911-1922; President of the [[American Psychiatric Association]] 1921-1922. | *31) '''[[Owen Copp]]''' - Psychiatrist-in-Chief, 1911-1922; President of the [[American Psychiatric Association]] 1921-1922. | ||
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*36) '''Charles H. Sprague''' - Assistant Physician, 1914 | *36) '''Charles H. Sprague''' - Assistant Physician, 1914 | ||
*37) '''[[Samuel T. Orton]]''' - Clinical Director and Pathologist, 1915-1919; left to become Director of the [[Iowa State Psychopathic Hospital]]. | *37) '''[[Samuel T. Orton]]''' - Clinical Director and Pathologist, 1915-1919; left to become Director of the [[Iowa State Psychopathic Hospital]]. | ||
− | *38) '''Daniel H. Fuller''' - Assistant Physician, Department for Men, 1915-? | + | *38) '''Daniel H. Fuller''' - Assistant Physician, Department for Men, 1915-?; later sat on the Pennsylvania Committee of Lunacy. Superintendent of [[Adams-Nervine Asylum]]. |
− | *39) '''Horace J. Williams''' - Assistant Physician, Department for Men, 1915-?; later employed | + | *39) '''Horace J. Williams''' - Assistant Physician, Department for Men, 1915-?; later employed by Germantown Hospital |
*40) '''George T. Faris''' - Assistant Physician, Department for Men, 1915-1919; ran a private practice in Glenside, PA until his death in 1966. | *40) '''George T. Faris''' - Assistant Physician, Department for Men, 1915-1919; ran a private practice in Glenside, PA until his death in 1966. | ||
− | *41) '''[[Earl Bond]]''' - Assistant Physician, Department for Women, 1915-? | + | *41) '''[[Earl Bond]]''' - Assistant Physician, Department for Women, 1915-?; Psychiatrist-in-Chief, 1922-1935; President of the [[American Psychiatric Association]] 1930-1931 |
− | *42) '''Alice H. Cook''' - Assistant Physician, Department for Women, 1915-?, left the field entirely in 1919 to specialize in "diseases of the throat" | + | *42) '''Alice H. Cook''' - Assistant Physician, Department for Women, 1915-?, left the field entirely in 1919 to specialize in "diseases of the throat" |
*43) '''Uriah F. McCurdy''' - Assistant Physician, Department for Women, 1915-? | *43) '''Uriah F. McCurdy''' - Assistant Physician, Department for Women, 1915-? | ||
*44) '''[[Edward Strecker]]''' - Assistant Physician, Department for Women, 1915-1959, Chief Medical Officer 1920-1928; President of the [[American Psychiatric Association]] 1943-1944. | *44) '''[[Edward Strecker]]''' - Assistant Physician, Department for Women, 1915-1959, Chief Medical Officer 1920-1928; President of the [[American Psychiatric Association]] 1943-1944. | ||
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=== Innovation and Expansion: 1912 to 1958 === | === Innovation and Expansion: 1912 to 1958 === | ||
− | + | With the dawn of the 20th Century, a particular fascination with professional laboratory science was ushered in. It was posited that by more closely examining the brain and its inner workings, physicians could be able to determine the mysteries of mental illness. Neurologists and Micro-biologists concluded that insanity was a 'disease' of the nervous system, and it should be treated directed. Researchers collected brain specimens of deceased insane patients to search for clues about the nature of such pathologies. These early neuro-psychiatrists were no longer convinced that 'humane treatment' alone was sufficient to bring about psychiatric recovery for most of the clinical population. They looked for more allegedly scientific methods in conducting their various therapies. Reflecting this changing view, the Institute's name was changed in 1918 from 'the Pennsylvania Hospital for the Insane' to the "Department for Mental and Nervous Diseases at Pennsylvania Hospital". This name remained with the hospital for the next four decades. It was also during this period that professional nurses and personnel trained in psychiatry replaced the former attendants. | |
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− | With the dawn of the 20th Century, a particular fascination with professional laboratory science was ushered in. It was posited that by more closely examining the brain and its inner workings, physicians could be able to determine the mysteries of | ||
[[File:North.jpeg|280px|thumb|right|The Female Department of the Institute of the Pennsylvania Hospital]] | [[File:North.jpeg|280px|thumb|right|The Female Department of the Institute of the Pennsylvania Hospital]] | ||
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Over the years the particular name of the Institute has changed a number of times, as well as the title of the Chief Operating Officer. The popular title of "Superintendent", which was used by many psychiatric hospitals of the 19th century, was dropped in 1918 and replaced with the more progressive "Psychiatrist-in-Chief", which it remains for the next six decades. The title was split with the resignation of Dr. Myers in 1981. Dr. Fischer was thereafter named as 'Director of Psychiatry', with the now lesser title of Psychiatrist-in-Chief going to Dr. Layton McCurdy, who retained it until the closure of the Institute in 1997. | Over the years the particular name of the Institute has changed a number of times, as well as the title of the Chief Operating Officer. The popular title of "Superintendent", which was used by many psychiatric hospitals of the 19th century, was dropped in 1918 and replaced with the more progressive "Psychiatrist-in-Chief", which it remains for the next six decades. The title was split with the resignation of Dr. Myers in 1981. Dr. Fischer was thereafter named as 'Director of Psychiatry', with the now lesser title of Psychiatrist-in-Chief going to Dr. Layton McCurdy, who retained it until the closure of the Institute in 1997. | ||
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* 1) '''[[Thomas Story Kirkbride]]''' - Superintendent of Pennsylvania Hospital for the Insane, 1840-1883 | * 1) '''[[Thomas Story Kirkbride]]''' - Superintendent of Pennsylvania Hospital for the Insane, 1840-1883 | ||
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=== Campus for the Department of Females === | === Campus for the Department of Females === | ||
− | *'''Superintendent's House'''- ( | + | *'''Superintendent's House'''- (1840) this colonial revival building was the residence of the attending Psychiatrist-in-chief of the hospital, until the property was repossessed by the city of Philadelphia a century later. It is the only remaining building left from the original 1840 hospital, and is currently employed as the 'Lee Center', a cultural center for the Philadelphia Department of Parks and Recreation. |
− | *''' | + | *'''North Flats Building'''- |
− | *''' | + | *'''South Flats Building'''- |
− | *''' | + | *'''Villa House'''- |
− | *''' | + | *'''Nurses' Home'''- |
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− | *''' | + | *'''Shield Ward'''- |
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*'''North Occupational Building'''- | *'''North Occupational Building'''- | ||
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*'''Hospital Auditorium'''- | *'''Hospital Auditorium'''- | ||
− | *'''Lapsley Pavilion'''- | + | *'''Lapsley Pavilion'''- |
=== Campus for the Department of Males === | === Campus for the Department of Males === | ||
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*'''The Kirkbride Building'''- (1859) previously the main facilities for ''Department for Males'', It has three floors, basement and a sub-basement underneath used for storage. This is the second oldest remaining building on the former campus. The Mill Creek School continues to operate out of the first floor of this building. Children's Hospital of Philadelphia (CHOP) also rented space on the North-end of this structure. | *'''The Kirkbride Building'''- (1859) previously the main facilities for ''Department for Males'', It has three floors, basement and a sub-basement underneath used for storage. This is the second oldest remaining building on the former campus. The Mill Creek School continues to operate out of the first floor of this building. Children's Hospital of Philadelphia (CHOP) also rented space on the North-end of this structure. | ||
− | *'''North Flats Building'''- (1859) this building has a single story over a basement area. It was originally employed for the | + | *'''North Flats Building'''- (1859) this building has a single story over a basement area. It was originally employed for the detantion of the most acute psychiatric cases during the 19th century. Sometime before 1922 it was repurposed as employee quarters for the nurses and orderlies of the hospital. BY the 1950's it was again resuited for use a children's wards, probably because of it multiple courtyard. It is currently occupied by the Consortium. |
*'''South Flats Building'''- (1859) this building was identical to the North Flats Building in its original use. However, it continued to remain as patient wards until employee quarters were transferred from the North Flats to the South Flats in the 1950's. It was demolished because of its poor condition following the close of the Institute in 1997. | *'''South Flats Building'''- (1859) this building was identical to the North Flats Building in its original use. However, it continued to remain as patient wards until employee quarters were transferred from the North Flats to the South Flats in the 1950's. It was demolished because of its poor condition following the close of the Institute in 1997. | ||
*'''Laundry House'''- (1859) originally designed for the single purpose of handling patient laundry. It was demolished in 1957 when a much larger complex of services buildings were constructed. | *'''Laundry House'''- (1859) originally designed for the single purpose of handling patient laundry. It was demolished in 1957 when a much larger complex of services buildings were constructed. | ||
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*'''Lawler Building'''- (1928) this was designed for administrative offices while the hospital was attempting to modernize in the 1920's. The floors are furnished with marble and granite, and contain large fireplaces with high ceilings with decorative molding and chandeliers. Currently, Baptist Children's Services occupy the second floor. The third floor is occupied by CoreCare’s Westmeade program. CoreCare’s administrative offices are located on the fourth floor which has a fireplace, parquet floors and two sun decks. Traveler’s Aid occupies the basement level with one of its two residential shelter areas. The penthouse contains the mechanical areas including main power and pumps for the chilled water. | *'''Lawler Building'''- (1928) this was designed for administrative offices while the hospital was attempting to modernize in the 1920's. The floors are furnished with marble and granite, and contain large fireplaces with high ceilings with decorative molding and chandeliers. Currently, Baptist Children's Services occupy the second floor. The third floor is occupied by CoreCare’s Westmeade program. CoreCare’s administrative offices are located on the fourth floor which has a fireplace, parquet floors and two sun decks. Traveler’s Aid occupies the basement level with one of its two residential shelter areas. The penthouse contains the mechanical areas including main power and pumps for the chilled water. | ||
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=== Specialized Inpatient Units === | === Specialized Inpatient Units === | ||
− | The Institute opened the region's first inpatient unit exclusively for adolescents in 1974, long before that of its primary competitors in Philadelphia, [[Friends Hospital]] and [[Belmont Behavioral Health]]. A specialized unit for eating disorders was also introduced to the hospital in 1986, when the Institute still lead the nation in the use of modern psychiatric care. While not revolutionary in the modern context, as most psychiatric hospitals have specialized units, this was considered particular for the time period. Also, Pennsylvania Hospital was famous for possessing a unit for 'Experimental Psychiatry', where various studies were conducted on the nature of [[hypnosis]], and hypnotherapy, and its successful use in the course of inpatient care. The majority of these studies were conducted by the Director of the unit, Dr. Martin Orne, starting as early as 1964, in association with the University of | + | The Institute opened the region's first inpatient unit exclusively for adolescents in 1974, long before that of its primary competitors in Philadelphia, [[Friends Hospital]] and [[Belmont Behavioral Health]]. A specialized unit for eating disorders was also introduced to the hospital in 1986, when the Institute still lead the nation in the use of modern psychiatric care. While not revolutionary in the modern context, as most psychiatric hospitals have specialized units, this was considered particular for the time period. Also, Pennsylvania Hospital was famous for possessing a unit for 'Experimental Psychiatry', where various studies were conducted on the nature of [[hypnosis]], and hypnotherapy, and its successful use in the course of inpatient care. The majority of these studies were conducted by the Director of the unit, Dr. Martin Orne, starting as early as 1964, in association with the University of Pennslyvania. |
=== Introduction of Psychoanalysis === | === Introduction of Psychoanalysis === | ||
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*[http://www.uphs.upenn.edu/paharc/collections/finding/iphgeneral.html Timeline of the Institute's development] | *[http://www.uphs.upenn.edu/paharc/collections/finding/iphgeneral.html Timeline of the Institute's development] | ||
*[http://www.uphs.upenn.edu/paharc/features/tkirkbride.html Thomas Kirkbride's Magical Lantern] | *[http://www.uphs.upenn.edu/paharc/features/tkirkbride.html Thomas Kirkbride's Magical Lantern] | ||
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*[http://books.google.com/books?id=_YVReXjGWGYC&pg=PA186-IA4&lpg=PA186-IA4&dq=department+of+nervous+and+mental+disease+at+pennsylvania+hospital&source=bl&ots=W2Sw2QcBMM&sig=iq5zRXNZUyhaOrR-Xr89y4tjY4I&hl=en&sa=X&ei=AzPsUMn3BqPG0QGh6IDQCw&ved=0CFcQ6AEwBQ#v=onepage&q=department%20of%20nervous%20and%20mental%20disease%20at%20pennsylvania%20hospital&f=false History of Pennsylvania Hospital, unabridged] | *[http://books.google.com/books?id=_YVReXjGWGYC&pg=PA186-IA4&lpg=PA186-IA4&dq=department+of+nervous+and+mental+disease+at+pennsylvania+hospital&source=bl&ots=W2Sw2QcBMM&sig=iq5zRXNZUyhaOrR-Xr89y4tjY4I&hl=en&sa=X&ei=AzPsUMn3BqPG0QGh6IDQCw&ved=0CFcQ6AEwBQ#v=onepage&q=department%20of%20nervous%20and%20mental%20disease%20at%20pennsylvania%20hospital&f=false History of Pennsylvania Hospital, unabridged] | ||
*[http://www.historicnewtownsquare.org/newtown-square-history/historic-newtown-township/part-iii-chapter-2-the-pennsylvania-hospital-farm/ Article on the Newtown Square Farmhouse] | *[http://www.historicnewtownsquare.org/newtown-square-history/historic-newtown-township/part-iii-chapter-2-the-pennsylvania-hospital-farm/ Article on the Newtown Square Farmhouse] | ||
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*[http://en.wikipedia.org/wiki/Institute_of_the_Pennsylvania_Hospital Wikipedia article on the former Institute] | *[http://en.wikipedia.org/wiki/Institute_of_the_Pennsylvania_Hospital Wikipedia article on the former Institute] | ||
*[http://kirkbridecenter.com/Kirkbride%20Center.pdf Document advertizing the sale of the property] | *[http://kirkbridecenter.com/Kirkbride%20Center.pdf Document advertizing the sale of the property] | ||
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[[Category:Pennsylvania]] | [[Category:Pennsylvania]] |