Trenton Psychiatric Hospital is a mental hospital run by the state of New Jersey and located in Trenton. It is not entirely abandoned as it still houses a 400-bed psychiatric hospital serving a designated New Jersey population. Much of the original building is disused.
The hospital opened originally as the New Jersey State Hospital at Trenton in 1848. It later became known as the New Jersey State Lunatic Asylum and then Trenton Psychiatric Hospital (TPH), the name by which it is known today.
It was the first institution built under the Kirkbride Plan, a system of mental health treatment advocated by Philadelphia psychiatrist Thomas Story Kirkbride. He suggested that environment and exposure to natural light and air circulation were crucial to the treatment of mental health conditions. All of the Kirkbride buildings had a common bat wing style design in which wings radiated from a central administration building. Other Kirkbride buildings include Danvers State Hospital, Topeka State Hospital and Worcester State Hospital.
The hospital was founded by Dorothea Dix, a pioneer in the treatment of mental health patients. She lobbied state legislatures and the United States Congress. Her 1844 investigation into the conditions at New Jersey jails and almhouses led to her calling for an immediate release of funds to construct a facility for the care and treatment of the mentally ill. On 25 March 1845, a bill was passed paving the way for the establishment of a state facility. Trenton, the state capital of New Jersey, was chosen as the location for the new asylum.
The first public mental hospital in the state of New Jersey opened on 15 May 1848. The Hospital’s first superintendent was Dr. Horace A. Buttolph and 86 patients were admitted in the first year. As the first building designed under the Kirkbride Plan, it was subject to visits from doctors and psychiatrists from around the United States and even beyond. The hospital and its patients were under scrutiny as the effects of Thomas Story Kirkbride’s theories were analysed. It was deemed to be a resounding success.
The main building was designed by architect John Notman and consisted of accommodation for the staff, offices, a chapel, kitchens, six female wards, six male wards and rooms to treat patients. The state decreed that no patient could stay any shorter than 6 months.
The first extension came in 1853 when accommodation was added to house a further 250 patients. A museum and reading room were added shortly after, followed by an exercise room and ten-pin bowling alley. In 1858, a laundry building was added and in 1863, the main building was extended adding capacity for a further 200 patients. Overcrowding was still a problem though and in 1876, some of the patients were moved to a newly opened facility in Morristown. It did little to alleviate the overcrowding problems and another new building, intended mainly for chronic and incurable cases was opened in 1889. Over time a number of other buildings and extensions were added including a school for training nurses and scientific laboratories.
By 1954 there were 4,237 people at Trenton Psychiatric Hospital but with the increasing use of medication for mental illness, that number began to drop and wards were closed. As patient numbers decreased over time, more and more of the buildings in the complex were closed off and left abandoned. There was a riot in the 1960s which led to the abandonment of one building in the complex.
The hospital became the subject of much debate, notably at first under the directorship of Dr Henry Cotton who believed infection was the cause of mental illness. Dr Cotton came from the Danvers State Hospital in Massachusetts. Under his instruction, infected body parts were removed from hospital patients and teeth were routinely pulled out. In fact, teeth were still being removed from patients until the 1960s and in some instances, even if x-rays showed no infection. The cure rate was said to be 85% however the mortality rate was extremely high and he didn’t always have permission to perform the surgeries.
Today, Trenton Psychiatric Hospital provides a holistic approach to patient care and still serves the people of New Jersey. Much of the original Kirkbride building may be abandoned but it paved the way for others to follow. Thanks to pioneers like Thomas Story Kirkbride and Dorothea Dix, American mental health patients finally got the treatment and care they needed. Unfortunately, others like Henry Cotton abused that care.
Abandoned: Still in operation