St. Elizabeths Hospital

{{Short description|Psychiatric hospital in D.C., U.S.}}

{{Other uses|St. Elizabeth Hospital (disambiguation){{!}}St. Elizabeth Hospital}}

{{Use mdy dates|date=March 2021}}

{{Infobox hospital

| name = St. Elizabeths Hospital

| org/group = District of Columbia

| logo = St.ElizabethsHospitalLogo.png

| logo_size = 245px

| image = Center building at Saint Elizabeths, National Photo Company, circa 1909-1932.jpg

| image_size = 225

| alt =

| caption = An early 20th century photo of the Center Building at St. Elizabeths, one of the oldest structures on the hospital campus

| coordinates =

| location = 1100 Alabama Avenue, Southeast

| region =

| state = Washington, D.C.

| country = U.S.

| healthcare =

| funding = Public

| type = Specialist

| religious_affiliation =

| affiliation =

| patron =

| network =

| standards =

| emergency =

| beds =

| specialty = Psychiatric

| helipad =

| h1-number =

| h1-length-f =

| h1-length-m =

| h1-surface =

| publictransit = 20px {{rcb|system=WMATA|line=Green|inline=box}} Congress Heights

| former-names =

| constructed = August 1852

| opened = October 1855

| closed =

| demolished =

| website = {{URL|https://www.sehcommunity.org/|sehcommunity.org}}

| other_links =

| module = {{Infobox NRHP | embed = yes

| name = St. Elizabeths Hospital

| nrhp_type = nhld

| image = St. Elizabeths West aerial 2015.jpg

| caption = Aerial view of the West Campus in 2015

| location = 2700 and 2701 Martin Luther King Jr. Ave. SE, 1100 Alabama Avenue SE
Washington, D.C.

|nocat=yes

| coordinates = {{coord|38|51|03|N|76|59|40|W|display=inline,title}}

| locmapin = United States Washington, D.C. east#District of Columbia#USA

| area = {{convert|346|acre|ha}}

| built =1852

| architect = Thomas U. Walter; Shepley, Rutan and Coolidge

| architecture = Italianate Revival, Italian Gothic Revival

| designated_nrhp_type= December 14, 1990{{cite web|url=http://tps.cr.nps.gov/nhl/detail.cfm?ResourceId=1812&ResourceType=District|title=St. Elizabeths Hospital|access-date=July 2, 2008|work=National Historic Landmark summary listing|publisher=National Park Service|url-status=dead|archive-url=https://web.archive.org/web/20080209133834/http://tps.cr.nps.gov/nhl/detail.cfm?ResourceId=1812&ResourceType=District|archive-date=February 9, 2008}}

| added = April 26, 1979{{NRISref|2007a}}

| refnum = 79003101

}}

}}

St. Elizabeths Hospital is a psychiatric hospital in Southeast Washington, D.C. operated by the District of Columbia Department of Mental Health. The hospital opened in 1855 under the name Government Hospital for the Insane,{{Cite web|title=St. Elizabeths: A History|url=http://www.dcpreservation.org/wp-content/uploads/2013/05/0-COMPLETE-St.-Elizabeths-Hospital-A-History.pdf}} the first federally operated psychiatric hospital in the United States.

Housing over 8,000 patients at its peak in the 1950s, the hospital had a fully functioning medical-surgical unit, a school of nursing, accredited internships and psychiatric residencies.{{cite news| url=https://www.washingtonpost.com/wp-dyn/content/article/2010/04/22/AR2010042204136.html | newspaper=The Washington Post | title=D.C. celebrates building opening at St. Elizabeths | first=Henri E. | last=Cauvin | date=April 23, 2010}} Its campus was designated a National Historic Landmark in 1990.

Since 2010, the hospital's functions have been limited to the portion of the East Campus operated by the District of Columbia Department of Mental Health. The remainder of the East Campus is slated for redevelopment by the District of Columbia. The West Campus was transferred to the United States Department of Homeland Security for its headquarters and its subsidiary agencies.{{cite news |last=Markon|first=Jerry |date=May 20, 2014 |title= Planned Homeland Security headquarters, long-delayed and over budget, now in doubt. Washington Post, p B1, 20 May 2014 |access-date=August 17, 2014 |url= https://www.washingtonpost.com/politics/planned-homeland-security-headquarters-long-delayed-and-over-budget-now-in-doubt/2014/05/20/d0df2580-dc42-11e3-8009-71de85b9c527_story.html |newspaper=The Washington Post}} The Douglas A. Munro Coast Guard Headquarters Building, with hundreds of Coast Guard personnel, is a joint tenant of the campus.

The campus grounds contain the Saint Elizabeths Hospital East and West Cemeteries. Burials were performed on the West Campus beginning in 1856. Approximately 450 graves of Civil War veterans and an unknown number of civilians are buried on the West Campus. In 1873, the three-quarter-acre West Campus burying ground was deemed full, and a new cemetery was opened on the East Campus. Approximately 2,050 military and 3,000 civilian interments occurred on the nine-acre cemetery on the East Campus over the next 120 years.

The hospital was under the control of the U.S. Department of Health and Human Services until 1987. At that time, ownership of its East Campus was transferred by the federal government to the District of Columbia.{{Cite web|url=http://www.stelizabethsdevelopment.com/history.html|title=History of St. Elizabeths – GSA Development of St. Elizabeths Campus|website=www.stelizabethsdevelopment.com|access-date=July 26, 2019}}

Early history

= Founding =

St. Elizabeths Hospital was founded in August 1852 when the United States Congress appropriated $100,000 for the construction of a hospital in Washington, D.C., to provide care for indigent residents of the District of Columbia and members of the U.S. Army and Navy with brain illnesses.

In the 1830s, local residents, including Dr. Thomas Miller, a medical doctor and president of the Washington, D.C. Board of Health, had begun petitioning Congress for a facility to care for people with brain diseases in the City of Washington. Dorothea Dix (1802–1887) served as a pioneering advocate for people living with mental illnesses and she helped convince legislators of the need for the hospital. In 1852 she wrote the legislation that established the hospital.{{Cite book|title=East of the river|last=Lowe|first=Gail|publisher=Anacostia Community Museum, Smithsonian Institution|year=2010|location=Washington DC|pages=75}}

Dix, who was on friendly terms with U.S. President Millard Fillmore, was asked to assist the Interior Secretary in getting the hospital started. Her recommendation resulted in the appointment of Dr. Charles H. Nichols as the hospital's first superintendent. After his appointment in the fall of 1852, Nichols and Dix began formulating a plan for the hospital's design and operation. They set out to find an appropriate location, based upon guidelines created by Thomas Story Kirkbride.{{cite news |url=http://dcpreservation.wpengine.netdna-cdn.com/wp-content/uploads/2013/05/0-COMPLETE-St.-Elizabeths-Hospital-A-History.pdf |title=St. Elizabeths: A History |access-date=April 3, 2014 |author=Otto, Thomas |date=May 2013 |publisher=U.S. General Services Administration}} His 1854 manual recommended specifics such as site, ventilation, number of patients, and the need for a rural location proximate to a city. He also recommended that the location have good soil for farming and gardens for the patients. Large facilities were self-supporting and some of the work was considered good for patients to engage in.

Dr. Nichols oversaw the design and building of St. Elizabeths, which began in 1853. The hospital was constructed in three phases. The west wing was built first, followed by the east wing and finally the center portion of the building, which housed the administrative operations as well as the superintendent's residential quarters. All three sections of the hospital were operated under one roof, in keeping with Kirkbride's design. Two other buildings, the West Lodge (1856–98) for men and the East Lodge for women, were built to house and care for African-American patients, as the city was effectively racially segregated.

= Peak operation =

Soon after the hospital opened to patients in January 1855, it became known officially as the Government Hospital for the Insane. During the Civil War, the West Lodge, originally built for male African-American patients, was used as a general hospital by the U.S. Navy. The unfinished east wing of the main building was used by the U.S. Army as a general hospital for sick and wounded soldiers. The Army hospital officially took the name of St. Elizabeth's Army Medical Hospital to differentiate it from the psychiatric hospital in the west wing of the same building. The name St. Elizabeth's was derived from the colonial-era name for the tract of land on which the hospital was built.

After the Civil War and the closing of the Army's hospital, the St. Elizabeth's name was used unofficially and intermittently until 1916. Congress passed legislation changing the name from the Government Hospital for the Insane to St. Elizabeths Hospital, omitting the possessive apostrophe. It also transferred the hospital's administration to the United States Department of the Interior.

In the late 19th century, the hospital temporarily housed animals that were brought back from expeditions for the Smithsonian Institution. There were no other federal facilities for such purpose, as the National Zoo had not been built.{{cite web|title=National Zoological Park, Records |url=http://siarchives.si.edu/collections/siris_arc_216681|work=Record Unit 74|publisher=Smithsonian Institution Archives|access-date=April 10, 2012|date=1887–1966}}

In the 1940s and 1950s, St. Elizabeths was using electro-shock in an effort to treat mental illness. In this period, it applied electro-shock and other treatments in an attempt to convert homosexual individuals to heterosexuals, in the mistaken belief that they were suffering from mental illness. St. Elizabeths is considered one of the more notorious institutions of repression of the LGBTQ community.

{{Cite web|url=https://www.youtube.com/watch?v=YBTfWAGCkAE|title=The Acknowledgement|date=September 8, 2021 |via=www.youtube.com}}{{Cite web|url=https://www.lgbtqnation.com/2021/09/american-apology-decades-anti-lgbtq-persecution-long-overdue/|title=An American apology for decades of anti-LGBTQ persecution is long overdue|first=John|last=Gallagher (he/him)|website=LGBTQ Nation|date=September 18, 2021 }}

By 1940, St. Elizabeths Hospital was transferred to the Federal Security Agency, later the Department of Health, Education, and Welfare, as a U.S. Public Health Service Hospital.{{cite news |url=https://www.archives.gov/research/guide-fed-records/groups/418.html |title=Records of St. Elizabeths Hospital |access-date=July 27, 2017 |author=Robert B. Matchette |display-authors=etal |publisher=National Archives and Records Administration}} At its peak, the St. Elizabeths campus housed 8,000 patients annually and employed 4,000 people.

= Decline =

Beginning in the 1950s, however, large institutions such as St. Elizabeths were being criticized for hindering the treatment of patients and for outright abuses of some patients. The 1963 Community Mental Health Act led to deinstitutionalization. The act provided for local outpatient facilities and drug therapy as a more effective means of allowing patients to live near-normal lives. The first community-based center for mental health was established at St. Elizabeths in 1969.

The patient population of St. Elizabeths steadily declined as alternatives were sought for treatment. Unfortunately the act was never fully funded, states did not provide sufficient funds for community centers, and there has been a widespread failure to provide treatment for the mentally ill. They make up a large proportion of the homeless, an increasing problem in many cities, as well as a high proportion of people held in jails and prisons. Lacking stable lives, many get caught up in the justice system through drugs and crime.

In 1967, the hospital was transferred to the National Institute of Mental Health.

Recent history

{{external media | width = 200px | float = right | headerimage = 210px | video1 = [https://www.c-span.org/video/?431999-1/st-elizabeths-hospital St. Elizabeths Hospital Tour], 56:38, May 9, 2017, C-SPAN}}After several decades in decline, the federal government decided that the large campus could no longer be adequately maintained. In 1987, Congress transferred hospital functions on the East Campus from the United States Department of Health and Human Services to the District of Columbia government, by the St. Elizabeths Hospital and District of Columbia Mental Health Services Act of 1984.{{cite web|url=https://www.congress.gov/bill/98th-congress/house-bill/6224 |title=H.R.6224 – Saint Elizabeths Hospital and District of Columbia Mental Health Services Act |access-date=July 27, 2017 |date= November 8, 1984|publisher=Congress.gov}} The federal government retained ownership of the West Campus. By 2002, all remaining patients on the West Campus were transferred to other facilities.{{cite news |url=https://www.washingtonpost.com/wp-dyn/content/article/2007/06/16/AR2007061601192.html |title=Tussle Over St. Elizabeths |access-date=August 20, 2007 |author=Holley, Joe |date=June 17, 2007 |newspaper=The Washington Post |page=C01 }}

= East Campus =

By 1996, only 850 patients remained at the hospital on the East Campus. The District of Columbia struggled with the poor conditions from years of neglect and inadequate funding: equipment and medicine shortages occurred frequently, and the heating system was broken for weeks at a time. Although the hospital continues to operate, it does so on a far smaller scale than it once did. As of January 31, 2009, the current patient census was 404 in-patients.{{cite web |publisher=District of Columbia Dept. of Mental Health |date=December 31, 2008 |title=Trend Analysis |url=http://dmh.dc.gov/dmh/frames.asp?doc=/dmh/lib/dmh/pdf/sehmonthlytrendanalysisDecember2008.pdf |access-date=March 4, 2009}}

In the early 21st century, approximately half of St. Elizabeths' patients are civilly committed to the hospital for treatment. The other half are forensic (criminal) patients.{{cite web|title=December 2008 – Trend Analysis – Hospital Statistics|url=http://dmh.dc.gov/dmh/frames.asp?doc=/dmh/lib/dmh/pdf/sehmonthlytrendanalysisDecember2008.pdf|publisher=DC Department of Mental Health|access-date=January 23, 2012}} Forensic patients are those who are adjudicated to be criminally insane (not guilty by reason of insanity) or considered incompetent to stand trial. Civil patients are those who are admitted owing to an acute need for psychiatric care. Civil patients can be voluntarily or involuntarily committed for treatment.

In the early 2000s, the U.S. Department of Justice undertook an investigation of the hospital because of allegations that patient rights were being violated. In 2007, the Department of Justice and the District of Columbia reached a settlement over these allegations.{{cite web |title=Settlement Agreement |url=http://dmh.dc.gov/dmh/cwp/view,A,3,Q,639789.asp |website=DMH.dc.gov |access-date=March 4, 2009 |archive-url=https://web.archive.org/web/20120605031322/http://dmh.dc.gov/dmh/cwp/view%2CA%2C3%2CQ%2C639789.asp |archive-date=June 5, 2012 }} DOJ instituted oversight of needed changes. On August 28, 2014, the Department of Justice found that St. Elizabeths had "significantly improved the care and treatment of persons confined to Saint Elizabeths Hospital" and asked a federal court to dismiss the injunction.{{cite web | url=https://www.justice.gov/opa/pr/justice-department-asks-court-dismiss-saint-elizabeths-hospital-case-after-conditions | title=Justice Department Asks Court to Dismiss Saint Elizabeths Hospital Case After Conditions Improved Under Consent Decree| date=August 28, 2014}} In January 2015, DC Auditors dismissed the settlement agreement and officially ended oversight of St. Elizabeths Hospital.{{cite web|date=2015|title=D.C. officially ends oversight of St. Elizabeths|url=http://www.bizjournals.com/washington/blog/2015/01/d-c-officially-ends-oversight-of-st-elizabeths.html#i1|access-date=May 20, 2019|website=www.bizjournals.com|format=PDF}}

A new civil and forensic hospital was built on the East Campus by the District of Columbia Department of Mental Health and opened in the spring of 2010, housing approximately 297 patients. Until the new hospital opened, civil patients were cared for in various buildings on the East Campus. Forensic patients were housed in the John Howard Pavilion. In the new facility, civil and forensic patients live in separate units of the same building. The new hospital also houses a library, an auditorium, multiple computer laboratories, and a small museum in the lobby.

By the early 21st century the District of Columbia had made plans to redevelop St. Elizabeths' East Campus for mixed-use and residential rental property. The first step was construction of an arena for minor league sports. Other buildings on the East Campus were to be renovated for residential and associated retail uses, starting in 2018.{{Cite web|url=https://www.bizjournals.com/washington/news/2018/01/26/the-arenas-just-the-start-residential-overhaul.html|title=The arena's just the start. Residential overhaul of St. Elizabeths East to begin this summer|website=www.bizjournals.com|access-date=July 11, 2018}}{{Cite news|url=http://flco.com/company-properties/st-elizabeths-east/|title=St. Elizabeths East – Flaherty & Collins Properties|work=Flaherty & Collins Properties|access-date=July 11, 2018|language=en-US}}{{Cite web|url=https://dmped.dc.gov/page/st-elizabeths-east-campus|title=St. Elizabeths East Campus {{!}} dmped|website=dmped.dc.gov|language=en|access-date=July 11, 2018}} On September 22, 2018, CareFirst Arena opened on campus. It is home to the Washington Mystics of the WNBA and Capital City Go-Go. It also serves as the practice facility for the Washington Wizards of the NBA.

=West Campus=

File:Center building at Saint Elizabeths, August 23, 2006.jpg

File:Department of Homeland Security’s new headquarters is ceremoniously opened.jpg headquarters in April 2019]]

Image:Main Building at Saint Elizabeths, Washington D.C., August 23, 2006.jpg

After the 1987 separation of the campuses, the D.C. government and its consultants proposed several commercial redevelopment projects for the West Campus, including relocating the University of the District of Columbia to the campus or developing office and retail space. However, the tremendous cost of bringing existing facilities up to code (estimated at $50–$100 million) kept developers away.

Given little private interest in the site, the federal government sought alternatives within agency needs. Control of the West Campus—home of the oldest building on the campus, the Center Building—was transferred from HHS to the General Services Administration in 2004. GSA improved security around the campus, shored up roofs, and covered windows with plywood in an attempt to secure the buildings and preserve the campus until a tenant could be found.

On March 20, 2007, the Department of Homeland Security (DHS) announced that it would establish a new facility on the West Campus. It planned to spend approximately $4.1 billion for renovations and adaptive reuse of buildings, in order to relocate its headquarters and most of its Washington-based offices to a new {{convert|4500000|ft2|m2|adj=on}} facility on the site. DHS had operations housed in dozens of buildings in the Washington, D.C., area, as several elements of the agency had been independent before its formation. Consolidation of employees from at least 60 facilities to St. Elizabeths was expected to result in a savings of $64 million per year in rental costs. DHS also hoped to improve employee morale and unity within the relatively new agency by having a central location from which to operate.{{cite magazine |author=Losey, Stephen |date=March 17, 2007 |title=Homeland Security plans move to hospital compound |url=http://www.federaltimes.com/index.php?S=2626923 |url-status=dead |magazine=Federal Times |archive-url=https://archive.today/20130102171514/http://www.federaltimes.com/index.php?S=2626923 |archive-date=January 2, 2013 |access-date=August 20, 2007}}

The plans to relocate DHS to St. Elizabeths were strongly criticized.{{cite news|last=Moe|first=Richard|date=January 8, 2009|title=A Disaster for St. Elizabeths|newspaper=The Washington Post|url=https://www.washingtonpost.com/wp-dyn/content/article/2009/01/07/AR2009010702977.html?nav=hcmoduletmv|access-date=November 21, 2011}} Historic preservation experts argued that the consolidation plans would result in destruction of dozens of historic buildings on the campus and urged consideration of other alternatives. Community activists expressed concern that the planned high-security facility would be cut off from the surrounding community. They had hoped for agencies with employees who might support neighborhood businesses and shopping, settle in residential areas, and help revitalize the economically depressed area.

The government's plans proceeded. A ceremonial groundbreaking for the DHS consolidated headquarters took place at St. Elizabeths on September 9, 2009. The event was attended by Senator Joseph Lieberman (D-CT), DHS Secretary Janet Napolitano, D.C. Delegate Eleanor Holmes Norton, DC Mayor Adrian Fenty, and acting GSA administrator Paul Prouty.{{cite news|last=Press release|date=September 9, 2009|title=DHS and GSA Participate in Joint Groundbreaking Ceremony for Consolidated DHS Headquarters|newspaper=Homeland Security|url=https://www.dhs.gov/ynews/releases/pr_1252513779140.shtm|access-date=January 23, 2012}}

The United States Coast Guard was scheduled to be the first agency on the site in 2010. The relocated U.S. Coast Guard Headquarters Building was projected to open in May 2013,{{cite news|date=April 26, 2012|title=Wegmans, large corporations could fill vacant D.C. sites|website=WTOP|url=http://www.wtop.com/109/2840937/Wegmans-large-corporations-could-fill-vacant-DC-sites}} and a ceremony was held in July 2013 at the site.{{cite web|title=Log In or Sign Up to View|url=https://www.facebook.com/media/set/?set=a.593122587415379.1073742017.228674647193510&type=1|website=www.facebook.com}} The U.S. Coast Guard Headquarters Building and several former hospital buildings (Atkins Hall, cafeteria) had been rehabilitated to support the new offices.{{cite news|last=Clapp|first=Jeannie|date=June 8, 2015|title=Plan the Work, Then Work the Plan|newspaper=Constructor Magazine|url=https://www.constructormagazine.com/plan-the-work-then-work-the-plan/|access-date=August 21, 2016}}

By 2015, construction began in the Center Building. Initially, this building has been slated for renovation, but internal structures (floors and ceilings) appeared to be beyond repair. The entire Center Building was renovated by removing old internal structures and building new structures to replace them, while retaining the historic facades.{{cite news|date=2016|title=Historic Center Building Renovation – St. Elizabeths West Campus|url=http://www.grunley.com/market-sectors/commercial-office-education-campus-military-government/project-details/historic|access-date=March 11, 2018}} Between March and April 2019, the Department's Headquarters components moved to Center Building.{{Cite web|date=November 27, 2018|title=DHS on-track to move Nielsen to 'substantially complete' St. Elizabeths office next spring|url=https://federalnewsnetwork.com/facilities-construction/2018/11/dhs-on-track-to-move-nielsen-to-substantially-complete-st-elizabeths-office/|website=Federal News Network}}{{Cite web| title=Notice of open teleconference Federal advisory committee meeting | url=https://s3.amazonaws.com/public-inspection.federalregister.gov/2019-07011.pdf | archive-url=https://web.archive.org/web/20190406165145/https://s3.amazonaws.com/public-inspection.federalregister.gov/2019-07011.pdf | archive-date=2019-04-06}}

By April 2020, because of the surge in the COVID-19 pandemic and illness among staff, the DHS National Operations Center relocated to Mount Weather in an effort to reduce or prevent infections of critical personnel.{{Cite web|last1=Dickson|first1=Caitlin|last2=Winter|first2=Jana|title=DHS moves its National Operations Center off site after staff member tests positive for COVID-19|url=https://sports.yahoo.com/dhs-moves-its-national-operations-center-off-site-after-staff-member-tests-positive-for-covid-19-220013588.html|url-status=live|archive-url=https://archive.today/20200421065107/https://sports.yahoo.com/dhs-moves-its-national-operations-center-off-site-after-staff-member-tests-positive-for-covid-19-220013588.html|archive-date=April 21, 2020|website=sports.yahoo.com|date=March 30, 2020 |access-date=August 4, 2020}}

Notable resident patients

File:Skyline of Washington, seen from Saint Elizabeths, August 23, 2006.jpgWell-known patients of St. Elizabeths have included would-be presidential assassins Richard Lawrence, who attempted to kill Andrew Jackson, and John Hinckley Jr., who shot Ronald Reagan. Hinckley was released in 2016, subject to a number of restrictions. The court lifted all restrictions in 2022. Charles J. Guiteau, who assassinated President James Garfield, was held here until he was executed.

Notable residents from civil commitments were Mary Fuller, a stage and silent film actress and early star; William Chester Minor, who made major contributions to the Oxford English Dictionary while committed to an asylum in Great Britain; American poet Ezra Pound, a fascist collaborator during World War II; and Frances Wieser, a scientific illustrator.{{Cite web |date=2019 |title=Frances A Weiser in the District of Columbia, U.S., Glenwood Cemetery Records, 1854–2013 |url=https://www.ancestry.com/search/collections/61905/ |website=Ancestry.com |publisher=District of Columbia, Glenwood Cemetery Records, 1854–2013 |quote=Res. of St. Elizabeth Hospital}} James Swann, a late 20th-century serial killer in the Washington, D.C., area, has been a forensic patient since 1994.

According to reporter Kelly Patricia O'Meara, St. Elizabeths is believed to have treated more than 125,000 patients; an exact number is not known because of poor record keeping and the division of responsibilities among different agencies over the years.{{cite news|url=http://findarticles.com/p/articles/mi_m1571/is_29_17/ai_77074788 |archive-url=https://web.archive.org/web/20080209180554/http://findarticles.com/p/articles/mi_m1571/is_29_17/ai_77074788 |url-status=dead |archive-date=February 9, 2008 |title=Forgotten Dead of St. Elizabeths |publisher=BNET| access-date=August 20, 2007 |author=O'Meara, Kelly Patricia |date=August 6, 2001 |work=Insight on the News}} Additionally, thousands of patients appear to have been buried in unmarked graves across the campus. Records for individuals buried in the graves have been lost. O'Meara has suggested that some bodies may have been cremated in the incinerator on-site. The General Services Administration, current owner of the property, considered using ground-penetrating radar to attempt to locate unmarked graves, but has yet to do so.

More than 15,000 known autopsies were performed at St. Elizabeths from 1884 through 1982. A collection of over 1,400 brains preserved in formaldehyde, 5,000 photographs of brains, and 100,000 slides of brain tissue was maintained by the hospital until the collection was transferred to a museum in 1986, according to O'Meara. In addition to mental health patients buried on the campus, several hundred American Civil War soldiers are interred at St. Elizabeths.{{Cite web|url=https://historicsites.dcpreservation.org/items/show/1043|title=Saint Elizabeths Hospital Cemeteries – Cemeteries on Saint Elizabeths' West and East campuses offer an important window into the hospital's history.|website=DC Historic Sites}}

Contributions to medicine

File:St. Elizabeths Hospital, woman - Washington, D.C..jpg

Several important therapeutic techniques were pioneered at St. Elizabeths, and it served as a model for later institutions. It was the first to use hydrotherapy, Freudian psychoanalytic techniques, dance therapy and psychodrama, for instance. Walter Freeman, onetime laboratory director, was inspired by St. Elizabeths to pioneer the transorbital lobotomy. It was used to treat epilepsy and some psychiatric conditions.{{cite web|url=https://www.pbs.org/wgbh/amex/lobotomist/program/pt.html|title=PBS.org|website=PBS}}

During American involvement in World War II, the Office of Strategic Services (OSS), the predecessor to the Central Intelligence Agency, used facilities and staff at St. Elizabeths Hospital to test "truth serums". OSS tested a mescaline and scopolamine cocktail as a truth drug on two volunteers at St. Elizabeths Hospital, but found the combination unsuccessful. Separate tests of THC as a truth serum were equally unsuccessful.{{cite web|url=https://www.erowid.org/psychoactives/war/war_timeline.php|title=Erowid War Vault : Timeline|website=www.erowid.org}}

In 1963, Dr. Luther D. Robinson, the first African American superintendent of St. Elizabeths, founded the mental health program for the deaf. Throughout his career he was a leading authority on treating deaf patients with brain disorders.

Facilities and grounds

{{Main|Campus of St. Elizabeths Hospital}}

File:Maps of Saint Elizabeths Hospital, Washington D.C. - 1860.tif

File:1937 Tree plan - St. Elizabeths Hospital West Campus, 2700 Martin Luther King Jr. Avenue, Southeast, Washington, District of Columbia, DC HALS DC-11 (sheet 3 of 7).tif

The campus of St. Elizabeths is located on bluffs overlooking the confluence of the Potomac and Anacostia rivers in the southeast quadrant of Washington, D.C. It is divided by Martin Luther King Jr. Avenue between the {{convert|118|acre|ha|adj=on}} East Campus (now owned by the D.C. government) and the {{convert|182|acre|ha|adj=on}} West Campus (owned by the federal government).{{cite web|url=http://dmh.dc.gov/dmh/cwp/view,a,3,q,516064.asp |title=About St. Elizabeths Hospital |access-date=August 20, 2007 |author=District of Columbia Department of Mental Health |url-status=dead |archive-url=https://web.archive.org/web/20070823132840/http://dmh.dc.gov/dmh/cwp/view%2Ca%2C3%2Cq%2C516064.asp |archive-date=August 23, 2007 }} It has many important historic buildings, foremost among them the Center Building, designed according to the principles of the Kirkbride Plan by Thomas U. Walter (1804–87). He is notable as the primary architect of the expansion of the U.S. Capitol that was begun in 1851.

Much of St. Elizabeths' campus had fallen into disuse by the early 21st century and was in serious disrepair. The number of patients had steadily declined since the mid-20th century as community alternatives were sought for large mental institutions. In 2002 the National Trust for Historic Preservation ranked the hospital complex as one of the nation's "11 Most Endangered Places".{{cite web |url=http://www.preservationnation.org/issues/11-most-endangered/locations/st-elizabeths-hospital.html |title=List of America's most endangered historic places – St. Elizabeths |access-date=January 15, 2013 |author=National Trust for Historic Preservation |year=2002 |author-link=National Trust for Historic Preservation }} Access to many areas of the campus, including what was then the abandoned West Campus (which houses the Center Building), was restricted before 2010.{{cite web |url=https://www.nlm.nih.gov/hmd/medtour/elizabeths.html |title=Historic Medical Sites in the Washington, D.C. Area – St. Elizabeths Hospital |access-date=August 20, 2007 |author=National Institutes of Health |author-link=National Institutes of Health}} A variety of proposals were made on how to use and/or redevelop the site. It is now further restricted because of the Coast Guard’s security requirements.

References

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Further reading

  • Otto, Thomas. [http://www.dcpreservation.org/wp-content/uploads/2013/05/0-COMPLETE-St.-Elizabeths-Hospital-A-History.pdf St. Elizabeths: A History]. U.S. General Services Administration. 2013
  • Streatfeild, D. Brainwash. St. Martin's Press. 2007.