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Institutional

Memory
The Records of St. Elizabeths Hospital at the National Archives

By Frances M. McMillen and James S. Kane

I
n 1921, Bryan Hall’s doctor at St. Elizabeths Hospital wrote in his file, “This old man has been in this
institution 47 years and states that he is now anxious to leave.”
Hall, at 66 years old, had spent nearly every year of his adult life in the nation’s first federally
operated hospital for the treatment of people with mental illnesses. Bryan Hall’s file is part of
Record Group 418, the massive collection of material documenting the history of St. Elizabeths
Hospital in Washington, D.C. Hall’s case, along with the photographs, architectural drawings,
administrative records, and thousands of patient files, all tell part of the hospital’s story.
Well-known and unknown citizens, prominent architects and Civil War veterans are represented
in the collection and provide a wealth of information to researchers in a variety of fields, including
genealogy, architecture, and Washington history.
Hall was admitted on May 4, 1874, five days before his 19th birthday. When he arrived, the institution
was known as the Government Hospital for the Insane and consisted of three patient buildings overcrowded
with nearly 700 people. When he died at the hospital in 1923, never having left, there were several thousand
patients living on a sprawling campus of nearly a hundred buildings bisected by a public road. During the
49 years Hall was hospitalized, four superintendents led the institution and more than 20,000 people were
treated. Hall was patient number 3,627.

The Oaks A and B Buildings were two of the many


detached buildings constructed during Superintendent
Godding’s administration. Oaks was built to house
patients with epilepsy.
St. Elizabeths was founded in 1852 to provide “the most humane care and
enlightened curative treatment” for members of the Army and Navy and residents
of the District of Columbia. The hospital is still in operation today. It treats a few
hundred in-patients and is managed by the District of Columbia. The hospital is
probably best known as the home of John Hinckley, Jr., who attempted to assassinate
President Ronald Reagan in 1981. He has been at St. Elizabeths for nearly 30 years.
When the District of Columbia took control of the hospital in 1987, many of the
institution’s historic buildings remained the property of the federal government and
went unoccupied for several years. Plans are in the works to locate the headquarters
of the Department of Homeland Security on the west campus, the most historic
section of St. Elizabeths. The oldest building, where Hall and thousands of others
lived for well over a hundred years, will house the secretary’s office.

• • • •

Bryan Hall was the son of Reverend Charles H. Hall, the rector of Epiphany
Episcopal Church, located near the White House. From 1856 until 1869,
Reverend Hall led a parish whose members included Abraham Lincoln and,
prior to the Civil War, Jefferson Davis. Reverend Hall read from the Episcopal The transcript of where Bryan Hall lived is incomplete, but it
burial service at President Lincoln’s White House funeral. In 1869 he moved provides information on the stability and instability of his life at St.
his family to New York when he became the Rector of Holy Trinity Church in Elizabeths.

Brooklyn. After Bryan finished school, he enrolled in the Navy for a short period
of service. It is unclear from his file what occurred to require hospitalization, but
Below: The Center Building, seen ca. 1900, was the design of the
following treatment in New York, Hall was sent to St. Elizabeths. Though the hospital’s first superintendent, Dr. Charles Nichols, and Thomas U.
hospital was founded to care for members of the military and the poor residents Walter, architect of the U.S. Capitol’s cast iron dome.
of Washington, St. Elizabeths accepted paying patients when room allowed.
Bryan Hall had served in the military, but his family paid for his care.
St. Elizabeths was a relatively young institution when Hall arrived. The hospital
admitted its first patient in 1855. Prior to its establishment, the capital’s mentally ill
were sent to the city jail; almshouses in Washington, Alexandria and Georgetown;
or hospitals primarily in Maryland. Historian Frank Millikan, in his study of St.
Elizabeths, wrote that doctors, public health officials, and city leaders saw the needs of
this segment of the population and sought to establish an asylum in Washington in the
mid-1830s. In 1838, Richard Lawrence, the would-be assassin of President Andrew
Jackson, was incarcerated in a Washington jail. Lawrence had been determined to
be a “lunatic.” In April of that year, the Committee on the District of Columbia
conducted a study to determine how quickly an asylum could be constructed for
those, like Lawrence, who were in prison and needed mental health care. Lawrence
would later be among the first patients admitted to St. Elizabeths in 1855.
Bear cubs were one of several animals in what Superintendent Godding called a “zoological garden.” For many years animals were considered part of the therapeutic
environment at the hospital. Some patients kept birds as pets, but a raccoon, monkeys, peacocks, parrots, dogs, horses, and a “wildcat” all lived at St. Elizabeths.

The committee proposed the construction of was delivering a memorial in Maryland on the hospital. One bill called for an appropriation of
a hospital for the 30 or 40 mentally ill District overcrowded conditions of its state hospital in $100,000 for the construction of a hospital in
residents as well as an estimated 120 people who Baltimore. Dix had been advocating on behalf the capital for the care of both Washington and
did not reside in the city but were ill, indigent, or of the mentally ill since the early 1840s after the military’s mentally ill. It passed on August
helpless. Many of the latter group were veterans witnessing the horrific conditions in which the 31, 1852, and the Government Hospital for the
who descended upon the capital seeking “real sick were housed—often ill-cared for in jails and Insane was established.
and imaginary claims upon the justice or almshouses. She wrote impassioned memorials Dr. Miller hoped to have a major role in
bounty of their country” and remained in the to state governments for the removal of the the operations of the institution but was
city without any means of paying for medical mentally ill from these institutions and argued instead appointed to the hospital’s Board
treatment. It was estimated that a hospital built that asylums should be established for their of Visitors, where he served until 1860. Dix
for these purposes would cost $75,000, but the care. Her efforts led to the founding of public helped select the site for the institution, and
proposal ultimately went nowhere. hospitals in several states including New Jersey, when in Washington, she often stayed in a
In the 1840s the issue resurfaced, and the North Carolina, Pennsylvania, and Maryland. room set aside for her in the superintendent’s
city considered converting the local jail into Dix came to Washington in 1848 to work quarters. She remained involved with the
an asylum, but the building was ultimately toward the dedication of more than 12 million hospital until her death in 1887.
seen as unsuitable for this purpose and it acres of public land throughout the country on At the time of the hospital’s founding, an
was instead turned into a small infirmary. which to establish a network of public asylums. era of reform was under way in the treatment
Washington, until the founding of the She spent several years in the city working for of those suffering from mental illnesses. The
Government Hospital, would pay Maryland this effort. Though it ultimately failed when introduction of moral treatment, or moral
to care for its mentally ill residents. President Franklin Pierce vetoed a bill to therapy, was a great part of the movement.
Momentum to establish a hospital grew again dedicate the land, Dix played a large part in the For many newly founded asylums, including
in the 1850s, and Dr. Thomas Miller was one of establishment of the Government Hospital. the Government Hospital for the Insane, it
the key figures involved. Miller was president of In her Maryland memorial Dix noted the was a major component in patient care.
the board of health and founder of the infirmary additional burden District residents placed Moral treatment had its origins in England
located in the former jail. He was concerned with on the Baltimore institution because of the and France and involved providing patients
the current and future needs of the city’s mentally capital’s lack of a hospital. Miller continued with comfortable surroundings in which to
ill residents. In 1852, their number in the District his efforts to establish a hospital in the District live, good food to eat, and caring for them with
of Columbia was low compared to the states, by writing to members of Congress following kindness and respect. Patients were removed
but as Miller pointed out to the commissioner of his communications with the commissioner from restraints and given freedom to enjoy
public buildings, who had written to the doctor of public buildings. In August, two members the outdoors. They worked on hospital farms
in January to express his own concerns about the of Congress, one member citing Miller’s and gardens and were encouraged to exercise.
mentally ill in the city, it was likely to grow. correspondence and letters to local papers from Patients were provided with entertainment in
While Miller and others were in Washington city residents concerning Washington’s mentally the form of lantern slide shows and musical
trying to establish a hospital, Dorothea Dix ill, introduced bills for the establishment of the performances. It was believed that if the ill were

48 Prologue Summer 2010


treated with dignity and removed from the operation of their public hospitals. Dr. Charles the hospital. Once completed the institution,
harsh conditions in which many of them lived, H. Nichols, a 32-year-old assistant physician Pierce said, “will prove an asylum indeed
they would have a better chance of recovery. The at the Bloomingdale Asylum in New York, to this most helpless and afflicted class of
asylum environment, including the buildings was selected as the first superintendent at the sufferers, and stand as a noble monument of
patients lived in, and the views, walks, and suggestion of Dix. Nichols was informed in wisdom and mercy.”
gardens that were often a part of the institution’s his letter of appointment from the secretary of For many years the hospital achieved its goal
landscape, were all part of the therapy. the interior, whose agency was in charge of the of being the leader in mental health care. The
The Government Hospital was designed hospital: “It is the desire of the President that the first five of the institution’s superintendents were
with moral treatment in mind. When the main proposed hospital shall be a model institution, elected president of the American Psychiatric
structure, known as the Center Building, was embracing all the improvements which science, Association. Four superintendents dedicated
finished in 1860, it housed patients primarily skill and experience have introduced into more than two decades of their lives to the
in single rooms with sitting and dining rooms modern establishments.” Nichols shared this hospital. Dr. William Alanson White led the
on most wards. The hospital was not the first desire, as well as the hope the institution would hospital beginning in 1903. White moved
institution to care for African Americans be a Washington landmark. In 1852 he reported the institution out the era of moral treatment
suffering from mental illnesses, but it was the on the progress of construction and stated, with the introduction of psychotherapy
first to build facilities for their care. The West “The institution itself will be one of the most and psychology and promoted research and
Lodge for African American men and the East conspicuous ornaments of the District, and will scholarship among his medical staff. New
Lodge for African American women were be visible to more people, and from more points, programs and departments including internal
modest structures designed to house fewer than any other structure, excepting, perhaps, medicine, occupational therapy, and social
than 50 patients each. Until construction of the Capitol, and the Washington Monument work began. He established patient newspapers,
the lodges was completed—the West Lodge in when completed.” set up beauty parlors, and relieved overcrowding
1856 and the East Lodge in 1861—black and Doctor Nichols and Dorothea Dix selected with the construction of several buildings.
white patients lived in the Center Building. the site for the hospital partially because of its During White’s tenure the Government
The campus had a small zoo, pleasure walks, impressive view from and towards the nation’s Hospital for the Insane became officially known
a farm on which to work, and striking views capital. In his 1853 State of the Union address, as St. Elizabeths—the name for the land patent
of downtown Washington, Alexandria, and the President Pierce expressed his high hopes for upon which the institution was built. Beginning
Potomac and Anacostia Rivers. as early as the Civil War, patients had been
St. Elizabeths was one of the first hospitals to treat
The founders of the Government Hospital referring to the hospital by that name. Doctors
African Americans suffering from mental
aspired to create an institution that would be illness. The West Lodge was built to Nichols and Godding had both expressed
a leader in patient care and an example the house men. displeasure at the wordy formal name and the
states could follow in the inclusion of the word insane. In his annual
reports to Congress, White repeatedly
requested a change. In the
1905 he wrote that patients’
families were including
self-addressed envelopes for
return correspondence so
that their association with the
hospital could be kept private.
“The official stationery of
the hospital goes all over the United States and than 7,000 people received inpatient care
into thousands of homes, and contains printed during the 1940s. In the 1980s, around 1,200
thereon reference to the one disease in the whole patients were hospitalized. Currently there are
category of human ailments about which people only a few hundred.
are most sensitive. It is unnecessary that this Along with the accomplishments and
should be so, and it could easily be remedied.” milestones in the development and history
In 1916, St. Elizabeths Hospital became the of the hospital and the treatment of mental
institution’s official name. illness, there also were failings. As any student
Following White’s death in 1937, Dr. of the history of mental health care knows,
Winfred Overholser became superintendent or any person or family member of someone
and remained at St. Elizabeths until his undergoing treatment understands, invasive
retirement in 1962. During his tenure another therapies intended to ameliorate symptoms
long list of invasive and noninvasive treatments and treat disease sometimes wound up
was implemented, including psychodrama, doing more harm than good. Though the
art, dance, and group therapy and electroshock founders of hospitals like St. Elizabeths
and insulin shock therapy. During had noble intentions and designed their
Overholser’s tenure, tranquilizing drugs were institutions with a patient’s benefit in mind,
introduced. These medicines, along with a hospital life often did not live up to their
1946 act transferring the care of members ideals. By the time Bryan Hall died in 1923,
of the military to Veterans Administration St. Elizabeths had been investigated three
facilities and the deinstitutionalization and times for mismanagement and charges of
community health care movements, ultimately patient abuse. Three years after his death, it
led to a drastic reduction of the number of was investigated again.
Above: As early as the 1880s, hydrotherapy in the form of
people hospitalized at St. Elizabeths. More Originally planned with a belief in a high continuous baths, showers, and wraps was used to treat
rate of curability, St. Elizabeths for many, as patients at St. Elizabeths.
illustrated by Hall, became a long-term care
facility. Many admitted in 1855 remained
hospitalized until their deaths in the early
years of the 20th century. On February
21, 1855, Mary E. Walker became the first
female patient at the hospital. Walker was 23
and suffering from dementia assumed to be
caused by epilepsy. She died at the hospital
on January 6, 1893. Patient number 53 was
Nickolas Sewell, one of the first African
American patients admitted. Sewell was a
resident of Washington who lived in the
West Lodge until his death in 1906. A 1905
note in his file stated, “There has been no
change in this man’s condition in years . . .
has some harmless delusions. He was one of
the first patients admitted to this Hospital
March 12th 1855.”
Long-term patients like Sewell and Hall, along
with changing admission categories that allowed
Bryan Hall spent nearly his whole adult life at St. more patients, contributed to overcrowding.
Elizabeths. He saw the institution grow from a small
facililty to a large hospital with several thousand pa-
This was a problem that plagued the hospital
tients. This photo is from his patient file. well into the 20th century. Dayrooms and

50 Prologue Summer 2010


corridors served as bedrooms, and rooms new building was under construction. Where
intended for one patient were often occupied Nichols had added on to the Center Building
by three. In 1877 there were 770 patients, but the few times he had been successful in
the hospital could comfortably house only 563. appropriating funds, Godding built “detached
In his annual report that year, Dr. Nichols buildings,” as he called them. Following
pleaded with the government that it owed his death in 1899, an enormous building
proper accommodations to the many veterans campaign was initiated by his successor, Dr.
living at the hospital. “Duty to the defenders of Alonzo Richardson. Eleven patient buildings
the country suffering from the most grievous were built, and the hospital expanded to the
affliction to which flesh is heir, and to the poor east side of the public road. The new section
insane of the seat of the National Government of the hospital became known as the East
suffering from a like affliction, to whose care Campus and the older, the West Campus.
the country is pledged by several statutes and According to available records, Bryan Hall
the practice of more than a quarter of a century, primarily lived in the Center Building in
proper pride in the standing and influence, and wards that included other paying patients. He
justice to the persons intrusted [sic] with the also resided in the Relief Building, one of the
arduous responsibilities of its administration, first of Godding’s detached buildings erected
require that the improvement contemplated by with the small congressional appropriation
this estimate should be undertaken with the least for their construction. Toward the end of
practicable delay.” His appeal was unsuccessful. his life, Hall was treated in R Building, one
In the early 1870s, two additions to the male of the new buildings on the East Campus.
side of the Center Building had been built Hall’s file only includes notations of where he
but quickly became inadequate to meet the resided beginning in the mid-1880s.
Below: This ca. 1905 picture illustrates a single room
occupied by a paying patient in the Center Building.
hospital’s needs. In 1875, Nichols proposed Patient records, if they exist, offer a
During his nearly 50 years at St. Elizabeths, Bryan Hall building a separate facility with its own glimpse of a person’s life, even if the file
lived on several different wards in the Center Building and, grounds for female patients. At the time, the consists only of a single letter asking about
according to his file, amassed a collection of books and
movements of both sexes outside the Center an old friend, a discharge notice from the
newspapers.
Building were restricted as efforts were made military, or a grandchild checking to see if the
to keep them separate. Because of the greater grandfather they never met really had been
number of male patients, the outdoor areas a patient at the hospital. Letters were often
females were allowed to exercise in and enjoy addressed to the superintendent, and he was
were greatly reduced. The perfect setting for a often the one who responded. Beginning in
women’s hospital, Nichols believed, was across the early 20th century, when White became
the public road that passed the hospital. Plans superintendent, more detailed records,
for the new building had already been drawn including individual medical histories, were
up by Architect of the Capitol Edward Clark. collected. Some 19th-century patient files
The three-story structure would have housed are more detailed than others and contain a
women in dormitories and single rooms. good bit of correspondence and information
It was never built. Two years following his on an individual’s life at the hospital. Bryan
request, Nichols left the hospital after 25 Hall’s file, prior to White’s arrival, provides
years and returned to New York to run the details of his stay in letters. For other
Bloomingdale Asylum. patients, however, the first notations on
Following Nichols’ departure for New their condition begin years or decades after
York, Dr. William Whitney Godding their admittance. Patient Susan Spalding is
became superintendent. Godding had more one example. A note in her file states, “This
success than his predecessor with building patient was admitted August 12, 1861.
new patient residences. Nearly every year of Physician’s notes began in 1903.”
the 22 years Godding led the institution, a According to Bryan Hall’s record, he read

Prologue 51
a great deal and amassed a large number of family in New York. In 1876 his father wrote information on the hospital but tells only
newspapers in his room. He wore a collar to Dr. Nichols to see if it was possible for Bryan part of the institution’s history. Some of
and tie every day, which an attendant helped to travel to the Centennial, presumably the the first indications of the vast amount of
him to put on. Hall ate breakfast in his room celebration held in Philadelphia, and in 1893 material saved by the hospital come from
instead of with other patients, and he delivered he asked if Bryan could attend the World’s reports written by Oliver W. Holmes and
newspapers at the hospital for a time. It was Columbian Exposition in Chicago. Whether Herman Kahn, who went to St. Elizabeths
remarked that his sense of humor could be Bryan attended either is unclear, but on October in 1938 to assess its historic material.
embarrassing for others. On one occasion, 2, 1893, he was away from the hospital and Holmes and Kahn found over 2,332
while outside on the grounds, he saw an wrote to his doctor, “Dr. Witmer, I have $30 linear feet of records covering all aspects of
attendant and remarked loudly, “There goes over and may stop over Chicago day on Oct St. Elizabeths’ history from its inception up
one of the ugliest men in Washington.” Hall’s 9th and again I may be back next Saturday. to 1938, when they visited the hospital. The
file is three folders thick. It includes letters, Yours truly, BH Hall.” If Hall had been at the records were kept in at least five different
charts, and notes by physicians. exposition on the ninth, he would have been locations. Some were stored in a systematic
To protect privacy, only patient files that are 75 one of over 700,000 people who attended and manner, while others were kept “in generally
years or older are available to the public, and not marked the anniversary of the city’s 1871 fire unsuitable quarters and subject to dust and
all patient files were retained. The files examined on Chicago Day. fire” or in “five large barrels crammed full
for this article were more observational in terms Family and friends wrote to Bryan and often of records which have been flung into it
of the patient’s health than deeply personal, to the superintendent to inquire about his health. in a helter-skelter manner.” Kahn did not
though one may consider reading someone They wanted to express their appreciation for the recommend that any of the files he studied
else’s letters or a nurse’s description of a patient’s good care he received and to know if there was during this preliminary assessment be
habits, hygiene, or day to day life as an intrusion any improvement. His sister wrote in 1921, “I transferred to the National Archives, while
into another’s private information. know from my own hospital years that patients’ Holmes suggested acquiring only 60 linear
The first patient record available belongs to families are sometimes more troublesome feet of records. This represents a little less than
the third person admitted to the institution, than patients. Be assured this member of one 4 percent of the records Holmes examined,
Robert A. Hawke. The ward notes reveal that appreciates your care of our handicapped but it appears to be the core of the holdings
he had parole, often meaning freedom to enjoy relative.” Relatives visited and sent him a bike on the administration of the hospital. Holmes
the hospital’s grounds. Patients were frequently for Christmas, magazine subscriptions, and noted in his 1938 report that the hospital “is
accompanied by attendants while outside, but clothes. His stepmother wrote to ask if she rather proud of its older records and I believe
some patients were allowed to leave the grounds could send a reading lamp, but did not want the matter of transfer might well rest until it
unattended. Hawke primarily lived in the to interfere with hospital policies by doing so. is suggested by them. Meantime, the records
Center Building but was transferred to the Toner Reverend Hall wrote to check on an attendant will be open to legitimate inquirers.”
Building, an infirmary built in 1889, where he Bryan said was mistreating him. One family The National Archives officially acquired the
“died very easy at 3:40PM 6-14-07.” Following friend inquired about which sports would records in 1973. In early 1968, Dr. David Musto,
his death, a cousin wrote expressing sadness and be appropriate for Bryan. “We asked many a special assistant to the director of the National
guilt over both the death and not being able to questions last spring about lawn tennis. That Institute of Mental Health, began working with
afford to collect the body personally. seems to me a complicated game and to require the hospital staff to provide a safe and central
Hall, like Hawke, had parole and seems to many companions. . . . Archery might be just location for the records that remained there. He
have enjoyed a great amount of freedom. For 12 the thing, if you pronounce it safe.” Following stated in a letter to the acting superintendent, Dr.
years he worked on the hospital trade wagon, Hall’s death in 1923, his sister wrote to his David Harris, that he believed “St. Elizabeths
which often required daily trips to the city to doctors concerning his belongings, the funeral may become the first mental hospital to fully
pick up groceries and other items. On Sundays held at St. Mark’s, and to share, “Bryan’s body organize its records for the benefit of social
he worshipped at St. Mark’s Church on Capitol lies at the foot of my father’s grave, a place I historians.” Correspondence from this period
Hill. Hall often ventured without an attendant have always kept for him.” indicates that the hospital collected and took
into Washington, where he sometimes went to Hall’s file and St. Elizabeths’ records inventory of the majority of the records that
the theater. In 1921 he was hit by a streetcar were acquired by the National Archives remained on campus. St. Elizabeths established
while returning from a trip to the city and in the 1970s. Archives staff first examined a Committee on Historical Material, which
fractured his leg. Hall enjoyed baseball games the institution’s historic materials in the worked with NIMH and the National Archives
and visited friends in Richmond, Virginia, and 1930s. The collection provides a wealth of to turn over the records.

52 Prologue Summer 2010


Throughout its history, St. Elizabeths has been associated with a long list Rodin as a young man and later become a well-known sculptor. In 1932,
of well-known and accomplished people. In the hospital’s early years, the he presented President Herbert Hoover with a seven-foot-high plaster
Board of Visitors was filled with prominent Washingtonians and nationally bust of George Washington. He created busts of President Harry Truman,
significant individuals. William Wilson Corcoran, the millionaire financier, Ethiopian Emperor Haile Selasse, Will Rogers, and Benito Mussolini.
philanthropist, and arts patron served on the hospital’s earliest board. Durig had been living in Washington for several years when he became ill. In
Joseph Henry, the first secretary of the Smithsonian, and Howard University 1958 he was discovered unconscious and suffering from malnutrition. Shortly
founder Gen. Oliver O. Howard, were on the board together in the 1870s. afterwards he was admitted to St. Elizabeths and remained hospitalized there
The hospitalization of some high-profile patients is well known. Newspapers until his death in 1962. Following his death, hundreds of drawings thought to
and several books have covered poet Ezra Pound’s nearly 13-year stay after he be the work of Rodin and other artists were found in his belongings stored at
was charged with treason for radio broadcasts he made in Italy during World the hospital. Major newspapers covered the find. Initially thought to be fakes,
War II. During his years at St. Elizabeths he continued to write and was visited the Rodins were authenticated by Sotheby’s, and an auction was planned with
by many well-known writers, including Elizabeth Bishop, whose poem “Visits the proceeds to pay for Durig’s care at St. Elizabeths. Two months before the
to St. Elizabeths” reflected on her trips to the hospital. Simon Winchester’s auction, Sotheby’s cancelled the sale because the works were “of doubtful
1998 book, The Professor and the Madman, tells the story of Dr. William Chester authenticity.” Durig and the art again made the papers. In June 1965, Life
Minor, who contributed thousands of entries to the Oxford English Dictionary. magazine covered the story and reported that Durig had been forging Rodin’s
Minor was first treated at St. Elizabeths in 1868 and again in 1910. Minor spent work for years. According to the magazine, Durig became “the most prolific
much of the intervening years in a mental hospital in England, where he was faker of Rodin drawings anywhere in the world,” and his work filled galleries
confined after murdering a man in London in 1872. and collections around the globe.
Other stories of patients have made the news and then faded from public Durig sought the limelight throughout his career and boasted of his
view. Among these is sculptor Ernest Durig, who was hospitalized at St. relationship with Rodin. Sadly, in the end he was better known for his
Elizabeths beginning in 1958. The Swiss-born artist studied with August rendition of Rodin’s work instead of his own.

Charles Dewing, a records appraisal specialist, The records of St. Elizabeths Hospital thousands of pages of documents, there
met with then Superintendent Dr. Luther provide a glimpse into the operation of a are countless lives to discover and stories
Robinson and staff members at length to go over historic hospital and the lives of people to be told.
which records would be of interest to the Archives. who passed through its doors. In the © 2010 by Frances M. McMillen and James S. Kane

It was decided in an agreement with the National


Archives that only a sampling of patient case files Note on Sources
from 1900 forward would be kept as permanent Record Group 418, Records of St. Elizabeths Hospital, provided a great deal of the source material for this article.
Several other collections at the National Archives have information on St. Elizabeths, including Record Group 48,
records. Starting with the year 1900, the samples Records of the Office of the Secretary of the Interior; Record Group 90, Records of the Public Health Service; and
would consist of case files of patients admitted Record Group 66, Records of the Commission of Fine Arts. Archivist Bill Creech, who oversees Record Group 418,
to the hospital in years divisible by five (1900, provided background on the organization and acquisition of the collection, as well as spent much appreciated time
talking about the records during the writing of this article.
1905, 1910, etc.). Dewing assembled 120 cubic The bulk of the information on the development and early history of the hospital was compiled during the
feet of material for transfer. Many historic items writing of Frances McMillen’s master’s thesis, “Ministering to a Mind Diseased: Landscape, Architecture and Moral
that remained at the hospital were put on display Treatment at St. Elizabeths Hospital, 1852–1905” (University of Virginia, 2008). Drs. Suryabala Kanhouwa and
Jogues Prandoni, and Velora Jernigan-Pedrick, and the hospital library keep St. Elizabeths’ history alive and were
in St. Elizabeths’ museum, which operated for wonderful resources.
nearly 20 years, but closed in the mid-1990s. The Secondary sources that provided invaluable information on the hospital, architectural history of American
hospital recently opened a new museum in which mental institutions, and the history of mental health
care include Frank Millikan’s “Wards of the Nation:
historic photographs, furniture, and artifacts The Making of St. Elizabeths Hospital, 1852– Authors
highlight St. Elizabeths’ 155 years in operation. 1920” (Ph.D. diss., George Washington University, Frances M. McMillen
1989 ); Carla Yanni’s The Architecture of Madness: earned her master’s degree in
Insane Asylums in the United States (Minneapolis:
architectural history from the
To learn more about: University of Minnesota Press, 2007); and Gerald
University of Virginia in 2008.
• Famous patients at St. Eliz- Grob’s Mental Institutions in America: Social
She is currently working as a
abeths Hospital, go to www. Policy in America to 1875 (New York: Free Press,
1973); The Mad Among Us: A History of the Care historian in Washington, D.C.
archives.gov/publications/prologue/
of America’s Mentally Ill (New York: Free Press,
2007/summer/. 1994); and Mental Illness and American Society, James S. Kane serves on the
• St. Elizabeth’s Hospital, go to www.archives.gov/ 1875–1940 (Princeton, NJ: Princeton University Historic Preservation Review
arc, then type in “St. Elizabeth’s Hospital” (with Press, 1983). In addition to the collections at the Board for the District of Columbia
the quotations marks), then click Search. National Archives, St. Elizabeths’ annual reports, and works for a construction
• The Department of Homeland Security, go to historic newspapers, and congressional documents firm whose expertise includes historic preservation
www.dhs.gov. were valuable sources of material. projects.

Institutional Memory Prologue 53

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