Once state-of-the-art mental healthcare facilities, Kirkbride buildings have long been relics of an obsolete therapeutic method known as Moral Treatment. In the latter half of the 19th century, these massive structures were conceived as ideal sanctuaries for the mentally ill and as an active participent in their recovery. Careful attention was given to every detail of their design to promote a healthy environment and convey a sense of respectable decorum. Placed in secluded areas within expansive grounds, many of these insane asylums seemed almost palace-like from the outside. But growing populations and insufficient funding led to unfortunate conditions, spoiling their idealistic promise.

Within decades of their first conception, new treatment methods and hospital design concepts emerged and the Kirkbride plan was eventually discarded. Many existing Kirkbride buildings maintained a central place in the institutions which began within their walls, but by the end of the 20th century most had been completely abandoned or demolished. A few have managed to survive into the 21st century intact and still in use, but many that survive sit abandoned and decaying—their mysterious grandeur intensified by their derelict condition. More...

Dr. Kirkbride

Dr. Thomas Story Kirkbride was a founding member of the Association of Medical Superintendents of American Institutions for the Insane (AMSAII)—forerunner of the American Psychiatric Association—serving first as secretary, then later as president. Through this association and in his writings, Kirkbride promoted a standardized method of asylum construction and mental health treatment, popularly known as the Kirkbride Plan, which significantly influenced the entire American asylum community during his lifetime. More...

Latest Blog Entries

Worcester Clocktower Update
23 Jan 2012 -- Looks like Massachusetts is planning to proceed with demolition of the entire Worcester State Hospital admin (including the clock tower), and construction of a replica clock tower using material from the original building. See this official report dated Friday, January 20, 2012... read more

Save the Clocktower Tower
10 Jan 2012 -- As I’ve mentioned here and on the Kirkbride Buildings Facebook page, time is running out for the Worcester State Hospital clock tower. The entire admin is very likely doomed, but there is still a chance the actual clock tower will be saved... read more

More on Worcester Clocktower Demolition
28 Dec 2011 -- As a follow up to yesterday’s post about the Worcester Clocktower, I wanted to point out that some of the paperwork for the Clocktower demolition is available on the Massachusetts Executive Office of Energy and Environmental Affairs website: Environmental Notification Form (PDF). The document lists the estimated commencement date for demolition as “Spring 2012″ and the ... read more

Save the Clocktower Clock Tower?
27 Dec 2011 -- Massachusetts’ Division of Capital Asset Management (DCAM) and Department of Mental Health filed paperwork with this month in preparation for tearing down the final remains of the Worcester State Hospital Kirkbride building. It’s been determined that reusing the structure would be too expensive.The bulk of the building’s remains consists of the Kirkbride’s administration section, and ... read more

Christmas Past, Present at Bryce Hospital
22 Dec 2011 -- The Herald News of Alabama published an article today about the history of Christmas at Bryce Hospital: The History of Christmas Celebrations at Bryce Hospital. Although I’m sure things weren’t quite as rosy as the writer suggests, it’s an accurate series of vignettes revealing some of state hospital life’s more positive aspects... read more

Recent Updates

Prints of Kirkbride buildings are now available.

Added a Saint Elizabeths Hospital page.

Added an Harrisburg State Hospital page.

Added chapters 51-60 to Kirkbride's book.

Added a Cherokee State Hospital page.

Expanded the Weston State Hospital gallery.

Please note that in some instances these buildings are off-limits to the general public and permission must be obtained if you wish to access the property and/or take photographs.