Crownsville Hospital Center

Crownsville Hospital Center, February 8, 2010. Photo by Webb Zahn.

The Crownsville Hospital Center is a former psychiatric hospital located in Crownsville, Maryland. It was in operation from 1911 to 2004.

History

The facility was enabled by an act of the Maryland General Assembly on 11 April 1910 as the Hospital for the Negro Insane of Maryland. This act also explicitly specified that the facility should not be located in Baltimore. On 13 Dec., 1910 the Board of Managers purchased farm land located at Crownsville, Maryland for the sum of $19,000 which had formerly been farmed for willow and tobacco. On 23 May 1910 Dr. Robert Winterode was designated the first Superintendent.

The facility was founded following a 1908 report of "The Maryland State Lunacy Commission" which stated:

" It is with a feeling of shame and humiliation that the conditions which exist in the State among the negro insane are chronicled and known to the public.Righteous indignation cannot help being aroused when one sees or reads of the most horrible cruelties being practiced upon these unfortunates.... The most urgent need at this time is a hospital for the negro insane of Maryland...."

As early as 1899 the Maryland Lunacy Commission in its Annual Report stated

"At present there are no negro insane at the second hospital (Springfield) and the comparatively small number at Spring Grove is a distinct embarrassment to the institution."

Again in its 1900 report it stated:

"The condition of the negro insane at Montevue Hospital at Frederick is shameful and should at once be remedied. The beasts of the field are better cared for than the poor negroes at Montevue."

The first group of 12 patients arrived at Crownsville on 13 March 1911. Patients lived in a work camp located in a willow curing house adjacent to one of the willow ponds. Dr. Winterode worked with them to prepare roads and to harvest the tobacco and willow crops on the property. Additional patients were transferred in July and Sept. 1911. Construction started on the first large building, A Building in Oct. 1912. Patients were used to work on the construction of the hospital in addition to working in its day to day functions. As reported in the State Lunacy Commission Report of Dec. 1912, patients worked as "hod carriers" and assistants to electricians and plumbers. Construction necessitated that they push "barrows of concrete up a tramway three and a half stories in height." They excavated "10000 cubic yards of earth in about 10 weeks." In addition they unloaded 238 cars of cement, stone and other building materials. "The laundry work for the patients is done by two adult males and an epileptic imbecile 10 years of age who has been taught to feed the ringer(sic) and at which he has become quite adept. During the past year (1912) these three have washed and ironed over 40,000 pieces."

Within a short time smallpox and scarlet fever struck the patients. Water quality was also cited as a problem in those early years. Tuberculosis was a constant threat and is mentioned in the annual reports of those early years because there was no real provision for the isolation of the patients except in the summer months when there was a temporary open building for them. According to the Annual and Biennial Report of the State Lunacy Commission 1914-1915 in the section on Crownsville Hospital it was reported that "The percentage of deaths based upon admissions(268 patients) was 38.43. The percentage of deaths calculated upon admissions due to tuberculosis was 29.85. The percentage of deaths based upon average attendance was 32.21." Tuberculosis remained a problem for many years.

It was not until 1939 that the Commissioner of Mental Hygiene announced: "The opening at Springfield State Hospital of a separate building for the care of mental patients suffering from tuberculosis is one of the outstanding achievements of 1939. In this building all patients from Spring Grove, Springfield and Eastern Shore State Hospital who are suffering from tuberculosis and who represent a danger to other patients or who need special treatment will be cared for." Excluded from this new, active treatment program at the all-white Springfield Hospital Center were the African/American Crownsville TB patients. On 29 Oct. 1915, two hundred Baltimore City patients were transferred from Bay View (now Johns Hopkins Hospital). This transfer was made in five special railway cars.

In 1920 with a patient census of 521 there were two physicians including the superintendent. There were also 17 nurses and attendants, 1 social worker and 18 other help. The data from the 1920 U.S.Census report has the average age of Crownsville patients at 42 years. The youngest was 14 years and there were three patients in their eighties. In the occupations' section of the report 68% were listed as holding hospital job assignments. Therapies initially included hydrotherapy and sedatives. In the 1930s insulin shock was introduced. Malaria treatment in which patients were infected with malaria pathogins was begun in 1942. As many as twenty patients at a time were inoculated. According to the 1948 Annual Report when Crownsville had about 1800 patients,103 patients received shock treatments, 56 patients received malaria/penicillin treatments and 33 received a lobotomy.

During the years when lobotomies were a common procedure Dr. Morgenstern, the Crownsville Superintendent was opposed to them. In his 1950 Annual Report he said that Crownsville has "very few lobotomies." He also expressed his opposition to the trend "to rely upon this operation to make the institutional case more manageable." In a report of March 1954 the Superintendent stated that lobotomies were not being done.

According to a Jan. 1947 report on medical care in Maryland, the normal occupancy of private and public mental hospital beds was 7453. Of these only Crownsville had African American patients in its 1044 occupied beds as of August 1946. Hospital conditions deteriorated markedly in the 1940s due to overcrowding and staff shortages. The staffing of the wards during the period of World War II was very inadequate. In a letter of May 22, 1945 to the State's Governor from the Commissioner of Mental Hygiene he said: "A few nights ago at Crownsville in the division which houses ninety criminal,insane men there was one employee on duty."

In a memo of 2 Nov. 1944 to the Commissioner of Mental Hygiene (Dr. Preston) a visitor to the Division for the Feebleminded at Crownsville described his experiences. After praising the appearance of the girls' ward he described the boys' ward as follows:

"The boys side was very dirty, the boys themselves, the dormitories and dayroom. Sitting at dinner were twenty seven boys completely nude, most of them spilling food all over themselves. There was on that day only one attendant on the boys' side who was definitely working hard."

The Baltimore Sun paper's articles on Maryland's mental health system were published in 1948-1949 under the title "MARYLAND'S SHAME'. Following are statements from the articles relating to Crownsville:

"More than 1800 men, women and children are herded into its buildings meant for not more than 1100" "Crownsville is also the dumping ground for feeble minded negro children and epileptics." "The children's buildings are among the most crowded in the institution." "One hundred and fifteen girls spend most of their days in a single, long bare play room with virtually nothing to play with." "There are so few attendants that the older girls have to carry the helpless ones bodily to and from meals." "Not one of the more than 200 boys and girls at Crownsville is getting any formal schooling at all." "Some of the epileptics lie all day on the bare floor."

In 1929 there were 55 discharges from Crownsville but 92 deaths. The census began to rise dramatically until it peaked in 1955 at 2719 patients. The staff of Crownsville Hospital had been all white until 1948.

Through the 1940s the NAACP had advocated for the hiring of African-American staff but encountered resistance from the Commissioner of Mental Hygiene. Finally in 1948 the new superintendent of Crownsville hired the first African-American staff member, Vernon Sparks in the Psychology Department. Gwendolyn Lee was hired later in the Social Work Department. The Crownsville Superintendent still was not permitted to hire African-American staff in direct care positions. This would not happen until 1952. By 1959 45% of Crownsville's staff was African-American in contrast to 6%-8% in the other large state mental hospitals.

The adolescent patient population was integrated in 1962 and the adult population in 1963. An earlier integration attempt had been made in Dec. 1954 when the Crownsville Superintendent transferred 15 children ages 2–6 years from Crownsville to the all white Rosewood State Training School. The Superintendent of Crownsville was threatened with a reprimand by the Commissioner of Mental Health and resigned the next year(1955).

Industrial therapy(unpaid work)was an important part of life at Crownsville. In the Spring of 1958 more than 600 patients had work assignments in more than 55 placements which included "dental assistant", "receptionist", "librarian" and "hospital aide". Work was considered to be part of therapy and "patients unable or unwilling to participate were considered too ill to enjoy the privilege of freedom of the grounds." Staff shortages were always a problem.

In 1953 the Superintendent, Dr. Eichert, reported that in "A" Building there were 560 patients and four attendants in the evening and four in the day. In the Baltimore Sunpaper of June 1953 there was given a description of the "old ward for highly disturbed women": "Here are truly the creatures of the dark. The sickest ones are kept in a room as forbidding as a dungeon, where they live in a state of odorous untidiness, many of them refusing to wear clothes.Twice a day a bucket and two cups are brought to the door, to give the inmates a drink. There are 78 patients here and 28 beds. These and other patients on the same floor-a total of 96-have the use of three toilets, three wash basins and one tub.They cannot be bathed daily because it was explained, hot water is not available every day."

In a letter to the Maryland Governor of 23 June 1952 the Chairman of the Mental Hygiene Board of Review asked:

"Why is less being done relatively to relieve the distressing overcrowding at Crownsville than at any of the other institutions or why this institution is allowed a patient per capita cost of $1085; an amount less than any of the other hospitals; fifty percent less than two of them...?"

In a letter to a Johns Hopkins Hospital social worker of 3 Dec.,1956 Dr. Ralph Meng, the Crownsville Superintendent expressed his concern that community agencies were not willing to accept their responsibilities in providing services to discharged Crownsville patients. He said:

"Just as a guess, I would think that about 40% of our patients could be handled without hospitalization if anybody made an effort to do so."

Elsie Lacks (born Lucille Elsie Pleasant), second born and eldest daughter of Henrietta Lacks who was the source of the famous HeLa cell line, was institutionalized here for epilepsy until she died in 1955 at the age of 15.^[1]

In 1964 the first African-American Superintendent was appointed. He established a day treatment program and a school mental health outreach program in addition to supporting the mental health clinics in Baltimore and the Southern Maryland Counties. Patients in Crownsville clinics were given free medication. There were established training programs in psychiatry, psychology, social work, dance therapy and pastoral counseling. Crownsville had an active foreign students' program for those in medicine, social work and psychology. In the ten years prior to its closing it hosted students from Israel, Ireland, Spain, Germany, Turkey and Chile. The Hospital also trained Spanish speaking therapists when that need was identified.

The hospital staff was well known for its outspoken resistance to the pressures to place patients in public shelters with the resulting "dumping" of patients onto the streets and into the jails. Improvements in psychiatric treatment, rigid admission policies and better funding of outpatient treatment and residential services resulted in the hospital's census declining to 200 patients by the year 2000.

The hospital grounds became the central county site for many social, school and health programs and the hospital finally closed in July 2004. Those patients in need of further psychiatric hospitalization were transferred to two of Maryland's remaining hospitals. Its original buildings are still standing and today portions of the campus are occupied by various tenants.

The site is also the location of Crownsville Hospital's patient cemetery. This historic site was rededicated in 2004. Approximately 1600 patients are buried in graves marked by numbers only with the more recent having patient names.

Information on Crownsville Hospital can be found in the Maryland State Archives Collections which contains reference materials from the Hospital, the Auxiliary, Paul Lurz and Doris Morgenstern Wachsler.

References

Primary sources referenced in this article, unless otherwise noted with in-line citations:

• Reports of The Maryland State Lunacy Commission in the Maryland State Archives in Annapolis, Maryland.
• "Materials Towards a History of Crownsville" in a collection donated by Doris Morgenstern Wachsler located at the Maryland State Archives.

1. ^ Skloot, Rebecca (2010). The Immortal Life of Henrietta Lacks. New York: Crown/Random House. ISBN 9781400052173. 

External links

• Crownsville Hospital, photographs at Forgotten Photography.
• Historic photos of Maryland Lunatic Asylums 1908-1910, from the Maryland State Archives.
• Photographic Archives of Maryland, search on Historic Photos of "Crownsville State Hospital" for pictures of the hospital. Maryland State Archives.
• Crownsville Hospital's patient cemetery at Find a Grave.
• "Separate and Unequal: The Legacy of Racially Segregated Psychiatric Hospitals...", by Vanessa Jackson.
• "Studying a Relic of a Painful Past", Daniel de Vise, Washington Post, August 12, 2005.

See www.Dardenimages.com, pp30-36(Museums and Attractions) for Crownsville pictures. Begin with picture of statue of St. Dymphna, patron saint of the mentally ill.