Beruflich Dokumente
Kultur Dokumente
Memory
The Records of St. Elizabeths Hospital at the National Archives
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.
• • • •
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
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.
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