Massachusetts

On the banks of Lake Chauncy sit the remains of the Westborough Insane Hospital, later known as Westborough State Hospital. Westborough is perhaps best known as the second homeopathic hospital for the insane in the United States and the first example of institutional reuse in the nation. The hospital's unique treatment methods put it squarely at the forefront of mental health treatment, and it was one of the last state hospitals in Massachusetts to close its doors. The pioneering African American pathologist Solomon Carter Fuller spent much of his career at Westborough studying the physical changes made to the brain by Alzheimer's. When it closed in 2010, it was the only state hospital in New England with a dedicated unit for deaf and hard of hearing patients. Though somewhat less infamous than some of its neighbors, Westborough holds a very distinctive place in the history of mental health treatment.

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.

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.