Psychiatric hospitals, also known as mental health hospitals or behavioral health hospitals, are hospitals or wards specializing in the treatment of severe mental disorders, such as schizophrenia, bipolar disorder, eating disorders, dissociative identity disorder, major depressive disorder and many others. Psychiatric hospitals vary widely in their size and grading. Some hospitals may specialize only in short-term or outpatient therapy for low-risk patients. Others may specialize in the temporary or permanent containment of patients who need routine assistance, treatment, or a specialized and controlled environment due to a psychiatric disorder. Patients often choose voluntary commitment, but those whom psychiatrists believe to pose significant danger to themselves or others may be subject to involuntary commitment and involuntary treatment. Psychiatric hospitals may also be called psychiatric wards/units when they are a subunit of a regular hospital.
Pennsylvania Hospital is a private, non-profit, 515-bed teaching hospital located in Center City Philadelphia and is part of the University of Pennsylvania Health System. Founded on May 11, 1751, by Benjamin Franklin and Dr. Thomas Bond, Pennsylvania Hospital is one of the earliest established public hospitals in the United States. It is also home to America's first surgical amphitheatre and its first medical library. The hospital's main building, dating to 1756, is a National Historic Landmark.
William Tuke, an English tradesman, philanthropist and Quaker, earned fame for promoting more humane custody and care for people with mental disorders, using what he called gentler methods that came to be known as moral treatment. He played a big part in founding The Retreat at Lamel Hill, York, for treating mental-health needs. He and his wife Esther Maud backed strict adherence to Quaker principles. He was an abolitionist, a patron of the Bible Society, and an opponent of the East India Company's inhumane practices.
The Kirkbride Plan was a system of mental asylum design advocated by American psychiatrist Thomas Story Kirkbride (1809–1883) in the mid-19th century. The asylums built in the Kirkbride design, often referred to as Kirkbride Buildings, were constructed during the mid-to-late-19th century in the United States.
The Utica Psychiatric Center, also known as Utica State Hospital, opened in Utica on January 16, 1843. It was New York's first state-run facility designed to care for the mentally ill, and one of the first such institutions in the United States. It was originally called the New York State Lunatic Asylum at Utica. The Greek Revival structure was designed by Captain William Clarke and its construction was funded by the state and by contributions from Utica residents.
The Retreat, commonly known as the York Retreat, is a place in England for the treatment of people with mental health needs. Located in Lamel Hill in York, it operates as a not for profit charitable organisation.
Greystone Park Psychiatric Hospital referred to both the former psychiatric hospital and the historic building that it occupied in Morris Plains, New Jersey. Built in 1876, the facility was built to alleviate overcrowding at the state's only other "lunatic asylum" located in Trenton, New Jersey.
Moral treatment was an approach to mental disorder based on humane psychosocial care or moral discipline that emerged in the 18th century and came to the fore for much of the 19th century, deriving partly from psychiatry or psychology and partly from religious or moral concerns. The movement is particularly associated with reform and development of the asylum system in Western Europe at that time. It fell into decline as a distinct method by the 20th century, however, due to overcrowding and misuse of asylums and the predominance of biomedical methods. The movement is widely seen as influencing certain areas of psychiatric practice up to the present day. The approach has been praised for freeing sufferers from shackles and barbaric physical treatments, instead considering such things as emotions and social interactions, but has also been criticised for blaming or oppressing individuals according to the standards of a particular social class or religion.
The Institute of Pennsylvania Hospital, also known as Kirkbride's Hospital or the Pennsylvania Hospital for Mental and Nervous Diseases, was a psychiatric hospital located at 48th and Haverford Streets in Philadelphia, Pennsylvania, USA. It operated from its founding in 1841 until 1997. The remaining building, now called the Kirkbride Center is now part of the Blackwell Human Services Campus.
Thomas Story Kirkbride was a physician, alienist, hospital superintendent for the Institute of the Pennsylvania Hospital, and primary founder of the Association of Medical Superintendents of American Institutions for the Insane (AMSAII), the organizational precursor to the American Psychiatric Association. Along with Benjamin Rush he is considered to be the father of the modern American practice of psychiatry as a specific medical discipline. His directive and organization of institutions for the insane were the gold-standard of clinical care in psychiatry throughout the 19th century.
The Association of Medical Superintendents of American Institutions for the Insane, also known as The Superintendents' Association, was organized in Philadelphia in October, 1844 at a meeting of 13 superintendents, making it the first professional medical specialty organization in the U.S.
The New York State Inebriate Asylum, later known as Binghamton State Hospital, was the first institution designed and constructed to treat alcoholism as a mental disorder in the United States. Located in Binghamton, NY, its imposing Gothic Revival exterior was designed by New York architect Isaac G. Perry and construction was completed in 1864. The building was declared a National Historic Landmark in 1997. In 2015, Binghamton University announced it had taken stewardship of the building and will proceed with plans for rehabilitation of the building.
Asylum architecture in the United States, including the architecture of psychiatric hospitals, affected the changing methods of treating the mentally ill in the nineteenth century: the architecture was considered part of the cure. Doctors believed that ninety percent of insanity cases were curable, but only if treated outside the home, in large-scale buildings. Nineteenth-century psychiatrists considered the architecture of asylums, especially their planning, to be one of the most powerful tools for the treatment of the insane, targeting social as well as biological factors to facilitate the treatment of mental illnesses. The construction and usage of these quasi-public buildings served to legitimize developing ideas in psychiatry. About 300 psychiatric hospitals, known at the time as insane asylums or colloquially as “loony bins” or “nuthouses,” were constructed in the United States before 1900. Asylum architecture is notable for the way similar floor plans were built in a wide range of architectural styles.
The Brattleboro Retreat is a private not-for-profit mental health and addictions hospital that provides comprehensive inpatient, partial hospitalization, and outpatient treatment services for children, adolescents, and adults.
The South Carolina State Hospital was a publicly funded state-run psychiatric hospital in Columbia, South Carolina. Founded in 1821 as the South Carolina Lunatic Asylum, it was one of the first public mental hospitals established in the United States. The Mills Building, its first building, was designed by early American architect Robert Mills, and is a National Historic Landmark. The hospital had more than 1,000 patients in 1900, but with the transition of mental health facilities to community settings, it closed in the late 1990s. While buildings on the campus were temporarily used for inpatient services into the early 2000s, they were not part of the State Hospital, but other inpatient facilities of the agency. Several buildings on its campus housed offices and storage facilities of the state's Department of Mental Health until approximately 2014. In October of 2014, the Department sold the first parcels of the property into private ownership and received the first sale proceeds. The William S. Hall Psychiatric Institute remained on the campus until 2015, when it moved to a new facility on Department's Northeast Columbia Campus. As of January 2021, 100% of the South Carolina State Hospital property had been transferred to private ownership. Proceeds from the sale of the Bull Street property must be used to benefit patients of the Agency. As of August 2020, the SC Mental Health Commission had authorized the expenditure of $10 million of the proceeds, $6.5 million, for the development of additional community housing for patients.
Broughton Hospital is a psychiatric hospital located in Morganton, North Carolina. It is administered by North Carolina Department of Health and Human Services Division of Mental Health, Developmental Disabilities and Substance Abuse Services.
The lunatic asylum or insane asylum was an early precursor of the modern psychiatric hospital.
Rufus Wyman (1778–1842) was an American physician. He was the first physician and superintendent of the Asylum for the Insane, renamed in 1823 to McLean Hospital, part of the Massachusetts General Hospital system, and the first mental hospital in the state.
