Furthermore, its monolithic design was badly out of step with the needs and sensibilities of a modern psychiatric hospital; and, in the days before "condo's" and "loft apartments" it probably wouldn't have lent itself to adaptive reuse. Dr. Richard Sprigg Steuart, then President of the Board and Medical Superintendent, managed to obtain authorization and funding from the Maryland General Assembly for the construction of the new facility at Spring Grove. Although the general location of the Retreat is known, the exact location of the structure that housed the facility has not been established. Physostigmine are used today in medications to reduce intestinal spasm and give tone to relaxed muscular walls of the stomach and bowels. In the first place a new Hospital would require more time before it could be made useful than a colony directed from this place. ), It is perhaps interesting to note that the current 'Spring Grove Hospital' may technically be the third hospital located at the Catonsville site. Furthermore, the Board was aware that there was a only a limited supply of workers and trades people in the area to do the types of work that needed to be done, and that if they didn't pay these individuals what was already owed to them the Board would be unlikely to get them, or, for that matter, anyone else, to do the additional work that was necessary to finish the building. Johns Hopkins, the wealthy Baltimore merchant and investor after whom both the university and the hospital are named, had been involved for two decades in the oversight of the Maryland Hospital for the Insane as a member of its Board of Visitors and as part of his many philanthropic activities. Following the departure of the Sisters of Charity, the Hospital engaged a matron and a number of nurses to replace them. At the same time, there was a growing awareness throughout the State of the need to provide more and better psychiatric services to Maryland's mentally ill African-American citizens. [8] Additional plans include expansion of the University of Maryland, Baltimore County campus south of Wilkens Avenue to the Spring Grove campus, where the university still has the rights to a portion of the property. Smyth and Mackenzie) On the other hand, the limited information that is known about the founding of the hospital indicates that construction was started shortly after the site was selected and purchased in May of 1798 -- and that the building was occupied later that same year -- a set of circumstances that would indicate that either a entirely new building was built very quickly or the 'new construction' actually involved an expansion of the existing structure; i.e., the Retreat. Mackenzie and Smythe to construct a major addition to the hospital, in the form of an 'east wing' (see below). By all accounts, the lottery was very successful, and at least one historian has noted that a number of the lottery winners donated their winnings back to the State so that they could be applied to the expansion of the hospital. For example, in an 1893 letter to the Governor of Maryland, George H. Roh, M.D., Superintendent of Spring Grove at the time, wrote: 'The question [of] whether a new insane Hospital should be built in another part of the State, under separate management, or whether a colony should be established at some distance from this Hospital and under the management of its Board of Managers is a subject for profitable discussion. It has also been called the 'Hospital for Strangers and Mariners,' the 'Hospital for Seamen and Strangers,' and as the 'Retreat for Strangers and Mariners.' This basic design scheme became the predominate style of psychiatric hospital construction throughout the United States in the second half of the 19th-century. Join us for a walk around the Spring Grove Hospital Center campus to see this partially abandoned historic facility where, among other things, the first and longest government-run psychedelic drug research program took place. The reader will agree that the formula, which follows, reads more like the directions for an exotic cocktail than it does an oral hygiene product: Another medicine listed in the 1899 formulary was referred to as a 'Gastro Intestinal Tonic.' According to a report published in 1836 by The Committee to Visit and Inspect the Maryland Hospital, Dr. Stokes' and his assistant each had annual salaries of $500. White Building (originally known as the 'Disturbed Women's Building') was built in 1952, the Hamilton Building (originally known as the 'Admissions Building') in 1953, and the I worked three twelves normally but would pick up overtime and picked up a night shift. Perhaps in an anticipation that the hospital would need to continue to grow, a lot to the north of the hospital was purchased for $4,000 in 1834. To view a copy of the 1817 equivalent of a modern patient discharge summary (signed by Drs. The . Laundry Building. Spring Grove hospital workers, including dietary and maintenance staff, gathered outside the central kitchen to rally for COVID-19 response pay extra salary given to Maryland's front-line. There were also separate carpentry, paint, blacksmith and upholstery shops for men. It was noted, for example, that the Hospital and it's farm used approximately 13,000 gallons of water a day in 1877 -- more, it was pointed out, than was supplied by the city of Lowell, Not only were there insufficient funds to allow for the completion of the Hospital, there was not enough money to repay debts incurred to pay for some of the work that had already been completed. The Board of Managers was abolished and its authority transferred to the new superintendent appointed by the commissioner of Mental Hygiene. This early forerunner of inspecting agencies such as the Joint Commission, CMA, and the Maryland Office of Health Care Quality, did a great deal to help assure the quality of care at Spring Grove and other institutions of the day. As noted above, 'General' patients were treated in the middle sections of the building, and the wards that housed the convalescent patients were closest to the hospital building's main entrance. The building was heated by hot water pipes that ran to it from the nearby (and still extant) Boiler House that was located immediately to the building's west. Vision Spring Grove Hospital will be recognized as a national leader for excellence in psychiatric care, research and education. Of note is the fact that by the start of the Civil War the North Wing of the new hospital at Spring Grove was almost completed and, according to several histories of the hospital it was used during the during the war as a military hospital for (presumably Union) soldiers. The old heating system that had included 13 separate hot air furnaces and five coal stoves, was replaced in or around 1864 with a single hot water heating system -- an improvement which was cited as resulting in significant improvement in both comfort and safety. 55 Wade Avenue, Catonsville, Maryland 21228 USA 410.402.6000 The report went on to say that, it was noted that at that time (1836) there were 22 patients that required 'close' (i.e. Foster-Wade Building (1914 and 1926) and the In 1835 Dr. William Stokes, a graduate of the University of Maryland College of Medicine, was appointed as the hospital's first full-time State-employed physician. ), Although Spring Grove was formally founded as a hospital in 1797, it actually can trace its roots back to a predecessor institution that began three years earlier, in 1794, during the second presidential term of George Washington. For example, a passage from a report made in 1836, pursuant to an inspection that had been ordered by the Maryland House of Delegates, reads: 'one portion, (the west wing of the building) [is] in such a state of decay, that a few years more will scarce leave a stone of its structure remaining. With the approval of the City Council, Dr. John Mackenzie, the son of Dr. Colin Mackenzie, took control of the hospital in 1827, following his father's death. In what may have been an early example of a bureaucratic 'end run,' the managers mortgaged the hospital to private lenders for $150,000 in 1874 -- just two years after the hospital was finished. He and several other members of the Hospital's Board of Visitors were replaced during the Civil War after they refused to sign an oath of loyalty to the Union. A history of the Hospital, published in 1943, reads: 'The hospital started in a building known as The Retreat, located on the ground now occupied by the Administration Building of the Johns Hopkins Hospital. UMBC Campus Map.) However, regardless of its official name, the hospital in it's Catonsville location has always been informally referred to as 'Spring Grove. Service lines include adult and adolescent acute psychiatric admissions, long term inpatient care, medical-psychiatric hospitalization, forensic evaluation services, inpatient psychiatric research, and assisted living services. As noted above, the north wing of the 'Old Main' building at Spring Grove may have first been used as an army hospital during the Civil War.In addition, a second hospital may have operated there for a brief period in the early 1870s, before the first psychiatric patients were transferred to the Catonsville site from Baltimore in 1872. In the following year, 1912, most of the remaining male patients of African descent were transferred from Spring Grove to Crownsville. However, the hospital's annual report of 1875 does note that a ward of the hospital was set aside specifically to treat 'inebriates.'. ), It should be noted that J. Crawford Neilson not only was the architect that designed the Main Building, he oversaw its construction during the 19 years that passed between the start of construction, in 1853, and its completion, in 1872. The 110-year-old Main Building, which in it's later years was sometimes The center is owned and operated by the State of Maryland, and is under the . Mania, Puerperal [i.e., Related to Childbirth], Monomania [i.e., Related to a single idea or obsession, usually paranoid in nature], Amenomania [Related to menopause or 'Uterine Derangements' - about 8% of the hospital's admissions. During this same period, nursing services were provided primarily by an order of Catholic nuns; the Sisters of Charity of St. Vincent de Paul. Dr. Richard Sprigg-Steuart, who had been President of the hospital's Board since 1828 was replaced as its President by C.W. However, it should be noted that originally the administrations of the two hospitals, Spring Grove and Springfield, were linked by the fact that Dr. Roh became the first Superintendent of 'The Second Hospital for the Insane (at Springfield)' in 1896 after he resigned his position as Superintendent of Spring Grove. 55 Wade Avenue, Catonsville, Maryland 21228 USA410.402.6000. According to a 'History of Baltimore, Maryland', published in 1898, the 1794 Retreat was considered to have been 'the first hospital established in Baltimore.' The (Note: Dr. John Mackenzie continued to serve as one of the hospital's treating physicians after 1834, and so, presumably, he did not stop admitting his private patients to the facility. firehouse; and several other [2] Only the Eastern State Hospital which was founded in 1773 in Williamsburg, Virginia, is older. You may be trying to access this site from a secured browser on the server. Eastern State Hospital of Virginia, no psychiatric hospital is older than Spring Grove. The balance of the west wing, as well as the 'Center Building,' and the east wing were repaired, remodeled and improved in later years -- but these remaining portions of the building survived until they were demolished, along with the rest of the structure in the 1870s (see below). Records from the period indicate that a number of children were admitted to the Maryland Hospital, although most patients were adults. An early history of the hospital notes that the property occupied by the Retreat was purchased from Captain Yellott on May 18, 1798 for $800. This, however, is pure conjecture. Copyright Maryland.gov. In a report dated January 12, 1870, Dr. R. S. Steuart, the hospital's chief executive officer, summarized the bases of the decision to sell and abandon the Baltimore site and to move all of the hospital's operations to the 'new Hospital' as follows: (Taken from the Forty-First Report of the President and Visitors of the Maryland Hospital for the Insane, Baltimore, for 1868 and 1869). The Beginning in the late 1950s, and continuing in the decades that followed, significant reductions in the patient census became possible through advancements in psychiatric treatment and improved funding of Nevertheless, because the demand for fresh water by the hospital was so great, approximately three-quarters of the streams flow was diverted into the hospital's water system, and the streams remaining flow was inadequate to efficiently carry the sewage on downstream. With considerable opposition, Dr. Gundry discontinued the use of all mechanical restraints, thereby making the Maryland Hospital at Spring Grove one of the first, if not the first hospital in the United States to discontinue the practice. The farm, which was purchased for $12,226, was known as 'Sunnyside.' The presence of an abundance of mosquito-breeding wetlands in the environs and a generally warm climate led to a number of Yellow Fever Epidemics at the turn of the nineteenth century - and the decision to construct a public hospital was clearly partially related to this circumstance. For example, a report made to the House of Delegates by 'The Committee on the Part of the House of Delegates Appointed to Visit and Inspect the Maryland Hospital' (1834) indicates that the west wing of the building was in such bad repair that it was not being used. Click Here, Two years later, in 1814 a second lease of an additional 10 years was granted by the City of Baltimore to Drs. In 1800, Dr. J.J. Gireaud published a formula that he believed both prevented and cured yellow fever. The "Old Main" was the original building at the Spring Grove site of the Maryland Hospital for the Insane. 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