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Saint Elizabeths Hospital (Government Hospital for the Insane)
Few of the more than one hundred structures within the 336 acres comprising Saint Elizabeths Hospital are architecturally significant. The grounds immediately surrounding the first hospital building were laid out following picturesque landscaping principles within a year or two of Andrew Jackson Downing's picturesque plan for the Mall, but the only remnant of them is the orientation of the original building. The hospital was designed by Thomas U. Walter in consultation with the hospital's first superintendent, Charles H. Nichols, following organizational and therapeutic principles developed at the Pennsylvania Hospital for the Insane by its superintendent, Thomas M. Kirkbride (1809–1883). About thirty mental hospitals based on Kirkbride's twenty-six rules for their design and construction were erected in the United States during the 1850s and 1860s. Saint Elizabeths was unique among state and private institutions for treatment of the mentally ill in that it was national in character and accepted patients from anywhere in the country, as well as residents of the District of Columbia. Part of its congressional mandate was to admit members of the military who became ill while serving the country.
Constructed in brick, Saint Elizabeths was designed in a functional Elizabethan Revival style with angled corner buttresses on the three central towers, battlemented cornices, label molding over windows, and a two-story oriel window above the main entry. The central section was the administration building,
Dependence on congressional approval and funding was a constant problem in obtaining high quality architectural facilities at Saint Elizabeths when additional facilities were needed. By the 1870s, overcrowding due to admission of Union veterans mandated additional buildings; an improved variation of the original building intended solely for women patients was proposed by Nichols in 1874 but not funded. In 1878 the first of eighteen cottages, Atkins Hall, a plain but substantial two-story brick building, was built for long-term patients. Statistics compiled in the early 1870s had revealed that only about one-fifth of patients treated in institutions following Kirkbride's model recovered. In 1879 the first of two large dormitory-type structures to house 250 male patients, the Relief Building, was built. Subsequently, small dormitories were the type favored. The most significant additions were a group of fifteen H-shaped, hip-roof buildings designed with Mediterranean details, such as tile roofs, deeply projecting bracketed eaves, and classical forms and details. They were built between 1901 and 1903 following plans produced by the Boston architectural firm of Shepley, Rutan and Coolidge.
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