St Elizabeths Hospital

From Asylum Projects
Revision as of 19:55, 13 April 2010 by Kirkbridian (talk | contribs) (History)
Jump to: navigation, search
St Elizabeths Hospital
St Elizabeths Hospital
Established 1852
Construction Began 1852
Construction Ended 1855
Opened 1855
Current Status Active
Building Style Kirkbride Plan
Architect(s) Thomas U. Walter; Shepley, Rutan & Coolidge
Location Washington, DC
Architecture Style Gothic Revival, Gothic
Peak Patient Population 7,000
Alternate Names Governor Hospital for the Insane
United States Government Hospital for the Insane



The west campus
The east campus

History

The first appropriation towards building the Government Hospital for the Insane was of $100,000, and was made by Congress in 1852 for the purchase of land. The organic act creating the institution and outlining the duties of its officers and providing for the admission of various classes of insane patients was not approved until March 3, 1855. The hospital, however, had been opened for the reception of patients on January 15,1855.

The creation of the hospital was due very largely to the activity of Dorothea L. Lix. She grew up with her own pen the outlines of the organic act establishing the institution, and virtually named its first superintendent , Dr. C. H. Nicholas. During the latter part of her life Miss dix spent much of her time at the hospital, where quarters were always reserved for her, and the little desk upon which she drew up the original act creating the hospital stands in the board room in the main building.

On the first of July, 1855, the President named a board of visitors, as follows: Benjamin F. Bohrer, M. D., president; William W. Corcoran, Jacob Gideon, Professor Grafton Tyler, M. D., Daniel Ratcliff, Professor Thomas Miller, M. D., William Whelan, M. D., U.S.N., Robert C. Wood, M. D., U.S.A., and Rev. P. D. Gurley, D. D. The make-up of the board has, in the main, followed the plan of the first board, namely, to name as members of the board on representative of each of the classes card for in the Public Health and Marine Hospital Service, usually the acting or the retired surgeon-general of these several services, a lay physician, a lawyer, a clergyman, a layman, and in recent years two women.

The original main building was built from brick made on the place, and in architectural style is a modification of the Kirkbride plan, each wing receding for the center, in echelon. The building itself is in the collegiate Gothic style. This main building was several years in building and wings were added to it from time to time. Other construction, however, was undertaken in the meant time, and shortly after the opening of the hospital, during fiscal year 1855-6, a building was opened for the colored insane, which the superintendent state in his report he believed to be the "first and only special provision for the suitable care of the African when afflicted with insanity which has yet been made in any part of the world."

In November of 1852 a tract of land overlooking the Anacostia River was purchased for $25,000 from Thomas Blagden. Construction began almost immediately on the center building, a red brick fortress designed in Gothic revival style by Thomas U. Walter, who also designed the dome of the Capital Building. The hospital was built following the Kirkbride Plan, most of the construction of the center building was done by slaves.[1] It opened in 1855 as the Government Hospital for the Insane. The Hospital's early mission, as defined by its founder, the leading mental health reformer Dorothea Dix, was to provide the "most humane care and enlightened curative treatment of the insane of the Army, Navy, and District of Columbia." During the Civil War, wounded soldiers treated here were reluctant to admit that they were in an insane asylum, and said they were at St. Elizabeth's, the colonial name of the land where the Hospital is located. Congress officially changed the Hospital's name to St. Elizabeth's in 1916. By the 1940s, the Hospital complex covering an area of over 300 acres. At its peak, 4,000 people worked and 7,000 patients lived there.[2] It was the first and only federal mental facility with a national scope.

Decline began in the 1950s. Massive institutions came to be seen as a problem, not the solution and mental hospitals began to deinstitutionalize patients. The idea was that they could get personalized treatment in community-based facilities and that new psychiatric drugs would allow them near-normal lives. Many patients ended up homeless after leaving the hospital. In 1987, the federal government deeded St. Elizabeths to the District of Columbia to come up with an alternate use. But the District's mental health program was in receivership, and long-range planning was not a high priority. By 1996, the remaining 850 patients had to cope with medicine shortages, a lack of equipment and a heating system that failed so frequently patients went weeks without showers. Life at St. Elizabeths had regressed to a condition disturbingly similar to those that inspired the creation of the hospital in the first place. The last patients were moved from the west campus in 2002. All became quiet in the once-magnificent center building, the ghostly structure slowly succumbing to time and neglect. It was estimated to cost $50 million to $100 million to bring the buildings on the west campus back up to code. The District of Columbia tried several times to sell the hospital, but each time the deal fell through. With no answer in sight, the federal government took over the west campus again in 2004. The General Services Administration began nailing plywood over windows and shoring up roofs until a tenant could be found.

Homeland Security made a pitch to Congress in 2006 for the west campus. They claimed that St. Elizabeths was the only site large enough to allow the agency to consolidate.[3] On March 20, 2007 it was announced that DHS would spend approximately $4.1 billion to move its headquarters and most of its Washington-based offices to a new 4,500,000-square-foot facility on the site, beginning with the United States Coast Guard in 2010. DHS, whose operations are scattered around dozens of buildings in the Washington, D.C. area, hopes to consolidate at least 60 of its facilities at St. Elizabeths and to save $64 million per year in rental costs. DHS also hopes to improve employee morale and unity by having a central location from which to operate. The plans to locate DHS to St. Elizabeths have been met with criticism, however. Historic preservationists argue that the move will destroy dozens of historic buildings located on the campus and that other alternatives should be considered. Community activists have also expressed concern that the planned high-security facility will not be interactive with the community, and will do little to revitalize the economically depressed area. A ceremonial groundbreaking for the DHS consolidated headquarters took place at St. Elizabeths on September 9, 2009. The event was attended by Sen. Joseph Lieberman, DHS Secretary Janet Napolitano, DC Delegate Eleanor Holmes Norton, DC Mayor Adrian Fenty, and acting GSA Administrator Paul Prouty. In 2005, the Hospital celebrated the 150th anniversary of its founding and honored members of the Armed Forces who became mentally ill while serving their country.[4]

West Campus

The western campus of St. Elizabeth's contains many historical buildings, including the original 1850s Kirkbride style center building, which was designated a National Historic Landmark in 1990. There is also a Civil War cemetery where 300 Union and Confederate soldiers who died here are buried. The Hospital complex is located on a hill in southeast Washington, overlooking the Potomac and Anacostia Rivers. In 1987, the federal government transferred the hospital operations and the east hospital campus to the DC Department of Mental Health, while retaining ownership of the western campus.

East Campus

The eastern campus contains many newer buildings, built during the 20th century. This include many smaller two story pavilion style buildings and other large 5+ story buildings. The east campus is still an active medical center, owned by the DC Department of Mental Health. Construction began in 2006 on a new 450,000 square foot, state-of-the-art facility to replace the 150-year old Hospital. The new hospital incorporates the best practices in modern, in patient mental health care with an environmentally sensitive design and sustainable strategies. The new building’s therapeutic design includes bright and airy living and treatment areas, green spaces off each patient unit, and enclosed courtyards. A 28,000 square-foot green roof is likely the largest on any psychiatric facility in the country. The new hospital was completed in November of 2009.[5]


Images of St Elizabeths Hospital

Main Image Gallery: St Elizabeths Hospital



Links & Additional Information


References