Institute of Pennsylvania Hospital Kirkbride's Hospital | |
![]() Market Street facade in 1959. | |
Location | 111 North 49th Street, Philadelphia, Pennsylvania |
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Coordinates | 39°57′42″N75°13′2″W / 39.96167°N 75.21722°W |
Built | 1841; 1859 |
Architectural style | Neoclassical |
NRHP reference No. | 66000684 |
Significant dates | |
Added to NRHP | June 23, 1965 |
Designated NHL | June 23, 1965 |
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.
Two large hospital structures and an elaborate pleasure ground were built on a campus that stretched along the north side of Market Street, from 45th to 49th Streets. Thomas Story Kirkbride, the hospital's first superintendent and physician-in-chief, developed a more humane method of treatment for the mentally ill there, that became widely influential. The hospital's plan became a prototype for a generation of institutions for the treatment of the mentally ill nationwide. [1] The surviving 1859 building was designated a National Historic Landmark in 1965.
In the late 1830s, the managers of Pennsylvania Hospital began erecting a large asylum to replace the hospital's crowded insane wards at 8th and Spruce Streets. The 101-acre (41 ha) site chosen was a former farm in the as-yet unincorporated district of West Philadelphia. The first structure for the Pennsylvania Asylum for the Insane was designed by Isaac Holden and was located near what is now 46th and Market Streets. Completed in 1841, the facility 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 the Pennsylvania Asylum resided in private rooms, received medical treatment, worked outdoors and enjoyed recreational activities including lectures and a use of the hospital library. The facility came to be called "Kirkbride's Hospital."
Superintendent Thomas Kirkbride developed his treatment philosophy based on research he conducted at other progressive asylums of the day, including the one in Worcester, as well as his deep-seated personal opinions regarding mental health and his experience at the Pennsylvania Asylum. Out of his philosophy emerged the Kirkbride Plan, which created a model design for psychiatric hospital buildings that was used across the United States throughout the 19th century. He described his system in great detail in his influential work, On the Construction, Organization, and General Arrangements of Hospitals for the Insane with Some Remarks on Insanity and Its Treatment (1854).
Overcrowding had become a problem in the original Pennsylvania Asylum for the Insane by the 1850s, so Kirkbride lobbied the Pennsylvania Hospital managers for an additional building. The situation offered him a unique opportunity to place his standardized concepts for mental hospital design and construction into effect at a facility under his control. The Pennsylvania Hospital's Department for Males building was soon constructed along 49th Street, a short distance west from the original asylum. Completed in 1859, this huge structure consisted of several wings extending from a main central building. It introduced many innovations in terms of spaciousness, airiness and light, that were subsequently widely reproduced in other facilities. Young architect Samuel Sloan, Kirkbride's friend and collaborator, designed the Neoclassical style building.
Mental health services at the Institute of the Pennsylvania Hospital continued to expand throughout the 19th and early 20th centuries. But by the mid-20th century, the 1841 hospital building proved unusable for this purpose and was demolished in 1959. All treatment moved to the Department for Males building in 1959. That structure was listed on the National Register of Historic Places and was designated a National Historic Landmark on October 15, 1966.
The institute was located in what is now the Mill Creek neighborhood of Philadelphia. It continued operations until 1997 when, in the face of shrinking revenues from insurance providers, Pennsylvania Hospital sold the property and moved its mental health services back to the main hospital campus at 8th and Spruce Streets. Three tall housing projects and a multi-purpose social-service facility were built near the site of the 1841 hospital. Other parts of the property were sold for commercial and residential development in 2001.
The remaining Department for Males building is now the Kirkbride Center, a part of the Blackwell Human Services Campus. [2] It houses the West Philadelphia ACES Charter School, Pennsylvania Hospital's Mill Creek School, Philadelphia Health Management Corporation's Adolescent Residential Treatment Center, and a Traveler's Aid's emergency family shelter. [2]
Pennsylvania Hospital is a private, non-profit, 515-bed teaching hospital located at 800 Spruce Street in Center City Philadelphia, The hospital was founded on May 11, 1751 by Benjamin Franklin and Thomas Bond, and was the first established public hospital and first surgical ampitheatre in the United States. and its first medical library. It is part of the University of Pennsylvania Health System.
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.
Bryce Hospital opened in 1861 in Tuscaloosa, Alabama, United States. It is Alabama's oldest and largest inpatient psychiatric facility. First known as the Alabama State Hospital for the Insane and later as the Alabama Insane Hospital, the building is considered an architectural model. The hospital houses 268 beds for acute care, treatment and rehabilitation of full-time (committed) patients. The Mary Starke Harper Geriatric Psychiatry Hospital, a separate facility on the same campus, provides an additional 100 beds for inpatient geriatric care. The main facility was added to the National Register of Historic Places in 1977.
The Athens Lunatic Asylum, now a mixed-use development known as The Ridges, was a Kirkbride Plan mental hospital operated in Athens, Ohio, from 1874 until 1993. During its operation, the hospital provided services to a variety of patients including Civil War veterans, children, and those declared mentally unwell. After a period of disuse the property was redeveloped by the state of Ohio. Today, The Ridges are a part of Ohio University and house the Kennedy Museum of Art as well as an auditorium and many offices, classrooms, and storage facilities.
The Richardson Olmsted Complex in Buffalo, New York, United States, was designated a National Historic Landmark in 1986. The site was designed by the American architect Henry Hobson Richardson in concert with the landscape team of Frederick Law Olmsted, landscape architect of New York City's Central Park, and Calvert Vaux in the late 1800s, incorporating a system of treatment for people with mental illness developed by Thomas Story Kirkbride. Over the years, as mental health treatment changed and resources were diverted, the buildings and grounds began a slow deterioration. In 2006, the Richardson Center Corporation was formed to restore the buildings. The building was renovated and opened in 2023 at The Richardson Hotel.
Agnews Developmental Center was a psychiatric and medical care facility, located in Santa Clara, California.
Oregon State Hospital is a public psychiatric hospital in the U.S. state of Oregon, located in the state's capital city of Salem with a smaller satellite campus in Junction City opened in 2014. Founded in 1862 and constructed in the Kirkbride Plan design in 1883, it is the oldest operating psychiatric hospital in the state of Oregon, and one of the oldest continuously operated hospitals on the West Coast.
Harrisburg State Hospital, formerly known from 1851 to 1937 as Pennsylvania State Lunatic Hospital, in Harrisburg, Pennsylvania, was Pennsylvania's first public facility to house the mentally ill and disabled. Its campus is located on Cameron and Maclay Streets, and operated as a mental hospital until 2006.
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.
Mendota Mental Health Institute (MMHI) is a public psychiatric hospital in Madison, Wisconsin, United States, operated by the Wisconsin Department of Health Services. The hospital is accredited by the Joint Commission. Portions of the facility are included in the Wisconsin Memorial Hospital Historic District, District #88002183. The Mendota State Hospital Mound Group and Farwell's Point Mound Group are also located at the facility.
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.
The Kalamazoo Psychiatric Hospital (KRPH) is the largest mental health institution in Michigan. It was built under the Kirkbride Plan.
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 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.
Worcester State Hospital was a Massachusetts state mental hospital located in Worcester, Massachusetts. It is credited to the architectural firm of Weston & Rand. The hospital and surrounding associated historic structures are listed as Worcester Asylum and related buildings on the National Register of Historic Places.
Winnebago Mental Health Institute (WMHI), formerly the Winnebago State Hospital, is a psychiatric hospital near Oshkosh, Wisconsin, United States located in the unincorporated community of Winnebago, Wisconsin.
The Mount Pleasant Mental Health Institute was a psychiatric institution located in Mount Pleasant, Iowa, USA. Originally known as the Iowa Lunatic Asylum, it opened in 1861. It is located on the same campus as The Mount Pleasant Correctional Facility. There was also a labyrinth of tunnels which connected every building. It was the first asylum in Iowa and was built under the Kirkbride Plan.
The Clarinda Treatment Complex was built in 1884 as the Clarinda State Hospital in Clarinda, Iowa in southwest Iowa. It was the third asylum in the state of Iowa. The hospital's many name variations include: The Clarinda Lunatic Asylum, The Clarinda State Asylum, The Clarinda Asylum for the Insane, and The Clarinda Mental Health Institute. It was built under the Kirkbride Plan. The original plan for patients was to hold alcoholics, geriatrics, drug addicts, mentally ill, and the criminally insane. In 2009, it was made public that, to save money, the state may close one of the four hospitals in Iowa. On June 30, 2015, the hospital facility was shut down and all patient services terminated. The Clarinda Academy, owned by Sequel Youth Services, is the sole occupant of the former hospital grounds.
The Sheppard and Enoch Pratt Hospital, known to many simply as Sheppard Pratt, is a psychiatric hospital located in Towson, a northern suburb of Baltimore, Maryland. Founded in 1853, it is one of the oldest private psychiatric hospitals in the nation. Its original buildings, designed by architect Calvert Vaux, and its Gothic gatehouse, built in 1860 to a design by Thomas and James Dixon, were designated a National Historic Landmark in 1971.
The Dorothea Dix Psychiatric Center is a psychiatric hospital operated by the state of Maine. It is located at 656 State Street in Bangor, and was previously known as the Eastern Maine Insane Asylum and the Bangor Mental Health Institute. It was established in 1895, and the main building on its campus is listed on the National Register of Historic Places.
The Maine Insane Hospital, later the Augusta Mental Health Institute (AMHI), was a psychiatric hospital in Augusta, Maine. It was the principal facility for the care and treatment of Maine's mentally ill from 1840 to 2004, and its surviving buildings represent the oldest surviving complex of mental care facilities in the United States. The complex is located on the east bank of the Kennebec River, immediately south of the former Kennebec Arsenal, and now primarily houses state offices. In 2004, the hospital was replaced by the Riverview Psychiatric Center, located just to the south. The hospital's core complex was listed on the National Register of Historic Places in 1982, with the listing enlarged to encompass the entire campus in 2001.
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