Massachusetts

The Worcester State Hospital offered a novel and compelling promise: that insanity could be cured by humane treatment in a therapeutic setting. Patients would enjoy its idyllic landscape, genteel interiors, wholesome food supplied from its farm, and the individualized attention of medical professionals. The hospital's reputation as a "model institution" helped to position the city of Worcester as an economic center and pioneer in social reform. Yet overcrowding, insufficient funds, and the limitations of medical knowledge undermined the institution's mission, leading to the abandonment of its original features. Despite downsizing and decay, the Worcester State Hospital continues to exert a tangible presence on the landscape. Its iconic clock tower, salvaged from demolition, stands as a reminder of its historical legacy and of the continuing role of the site--now the Worcester Recovery Center and Hospital--in the treatment of mental illness.

Northampton State Hospital, established in 1856, was built with the optimistic spirit of humanitarian reform. For many years, it was run by Dr. Pliny Earle, a champion of treatment that combined individualized care with manual labor, religious worship, recreation, and amusement. This vision was overwhelmed as the hospital was called upon to care for ever-larger numbers of people with varying needs. By the mid-20th century, the hospital was an isolated small city, with hundreds of employees caring for more than 2,000 patients in overcrowded and inadequate conditions. It became a nationally important center of political and legal struggle over the role of state hospitals in the care of the mentally ill. After being gradually phased out, the hospital was closed in 1993, and the buildings, though listed in the National Register of Historic Places, were demolished in 2006. This volume brings to life the 135-year story of Northampton State Hospital through beautiful and haunting photographs drawn from the collections of Historic Northampton, the city's local history museum.

Opened on May 1, 1854, the State Almshouse at Tewksbury was a venture by the Commonwealth of Massachusetts to provide economical care for state paupers. Originally intended to accommodate 500 residents, by the end of 1854 the almshouse had admitted well over 2,200 paupers, thus necessitating future expansion. Although the virtue of the institution was called into question in 1883 by Gov. Benjamin Butler, who decried Supt. Thomas J. Marsh, the almshouse would continue to serve the destitute of the commonwealth for years to come. The name would later be changed to Tewksbury State Hospital to reflect the inclusion of the mentally ill, the sick, and those suffering from infectious disease as patients. Today, the hospital remains operational in providing specialized care in the Thomas J. Saunders Building while also serving as host to various governmental agencies and community organizations like the Public Health Museum on its historic campus. Although many of the early structures were demolished in the 1970s, the Tewksbury State Hospital remains an active institution brimming with architectural beauty and a rich public health history.

This collection of photographs, history, and firsthand accounts gives readers a glimpse at the roots of mental health. These vignettes are born of the personal stories of those who worked at these facilities, those who were institutionalized, and their families. The authors took the time to listen to their stories and endeavored to understand their pasts and recognize how these events continue to influence the mental health industry today. Pictured throughout are the physical relics of the places—the now largely abandoned asylums—where these stories unfurled.