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Trans-Allegheny Lunatic Asylum

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A psychiatric hospital , also known as a mental health hospital , a behavioral health hospital , or an asylum is a specialized medical facility that focuses on the treatment of severe mental disorders . These institutions cater to patients with conditions such as schizophrenia , bipolar disorder , major depressive disorder , and eating disorders , among others.

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108-553: The Trans-Allegheny Lunatic Asylum was a psychiatric hospital located in Weston, West Virginia and known by other names such as West Virginia Hospital for the Insane and Weston State Hospital . The asylum was open to patients from October 1864 until May 1994. After its closure, patients were transitioned to the new William R. Sharpe, Jr. Hospital in Weston, named after William R. Sharpe Jr. ,

216-552: A chance to participate in the work program. In the South, as might have been expected, this participation has been limited, and differential wages on the basis of race have been more or less effectively established; but in the northern communities, particularly in the urban centers, the Negro has been afforded his first real opportunity for employment in white-collar occupations. The WPA mostly operated segregated units, as did its youth affiliate,

324-568: A controlled environment due to their psychiatric condition. Patients may choose voluntary commitment , but those deemed to pose a significant danger to themselves or others may be subject to involuntary commitment and treatment . In general hospitals, psychiatric wards or units serve a similar purpose. Modern psychiatric hospitals have evolved from the older concept of lunatic asylums , shifting focus from mere containment and restraint to evidence-based treatments that aim to help patients function in society. With successive waves of reform, and

432-470: A local public relief agency approved by the WPA. The WPA Division of Employment selected the worker's placement to WPA projects based on previous experience or training. Worker pay was based on three factors: the region of the country, the degree of urbanization , and the individual's skill . It varied from $ 19 per month to $ 94 per month, with the average wage being about $ 52.50—$ 1,136 in present-day terms. The goal

540-582: A member of the West Virginia Senate . The hospital reopened as a tourist location in March 2008. Utilizing the Kirkbride Plan , the hospital was designed by architect Richard Snowden Andrews of Baltimore, Maryland. Construction of the hospital started in 1858 but was not completed until 1881. Originally designed to accommodate 250 patients, it became overcrowded in the 1950s with 2,400 patients. The asylum

648-506: A number of institutions specializing only in the treatment of juveniles, particularly when dealing with drug abuse, self-harm, eating disorders, anxiety, depression or other mental illnesses. In the United Kingdom, long-term care facilities are now being replaced with smaller secure units, some within hospitals. Modern buildings, modern security, and being locally situated to help with reintegration into society once medication has stabilized

756-496: A profound impact on library life in America. The WPA spent $ 4.47 million on removal and internment between March and November 1942, slightly more than the $ 4.43 million spent by the Army for that purpose during that period. Jason Scott Smith observes that "the eagerness of many WPA administrators to place their organization in the forefront of this wartime enterprise is striking.” The WPA

864-445: A resident physician . At the beginning of the 19th century there were a few thousand people housed in a variety of disparate institutions throughout England, but by 1900 that figure had grown to about 100,000. This growth coincided with the growth of alienism , later known as psychiatry, as a medical specialism. The treatment of inmates in early lunatic asylums was sometimes very brutal and focused on containment and restraint. In

972-489: A separate division, the National Youth Administration . Between 1935 and 1943, the WPA employed 8.5 million people (about half the population of New York). Hourly wages were typically kept well below industry standards. Full employment, which was reached in 1942 and appeared as a long-term national goal around 1944, was not the goal of the WPA; rather, it tried to supply one paid job for all families in which

1080-514: A time, though this practice still is periodically employed in the United States , India , Japan , and other countries. Modern psychiatric hospitals evolved from, and eventually replaced, the older lunatic asylum. Their development also entails the rise of organized institutional psychiatry . Hospitals known as bimaristans were built in the Middle East in the early ninth century; the first

1188-491: A total of 7 million presumably employable persons between the ages of 16 and 65 inclusive. Of these, however, 1.65 million were said to be farm operators or persons who had some non-relief employment, while another 350,000 were, despite the fact that they were already employed or seeking work, considered incapacitated. Deducting this 2 million from the total of 7.15 million, there remained 5.15 million persons age 16 to 65, unemployed, looking for work, and able to work. Because of

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1296-625: Is a great hunger and eagerness for music." In 1929, Broadway alone had employed upwards of 25,000 workers, onstage and backstage; in 1933, only 4,000 still had jobs. The Actors' Dinner Club and the Actors' Betterment Association were giving out free meals every day. Every theatrical district in the country suffered as audiences dwindled. The New Deal project was directed by playwright Hallie Flanagan , and employed 12,700 performers and staff at its peak. They presented more than 1,000 performances each month to almost one million people, produced 1,200 plays in

1404-602: Is far less risk of patients harming themselves or others. In Dublin , the Central Mental Hospital performs a similar function. Community hospitals across the United States regularly discharge mental health patients, who are then typically referred to out-patient treatment and therapy. A study of community hospital discharge data from 2003 to 2011, however, found that mental health hospitalizations had increased for both children and adults. Compared to other hospital utilization, mental health discharges for children were

1512-578: Is featured in the Pulitzer-winning novel Night Watch by West Virginia author Jayne Anne Phillips . This Civil War era story is set in the Asylum and explores daily life in the early days of its operation. Psychiatric hospital Psychiatric hospitals vary considerably in size and classification. Some specialize in short-term or outpatient therapy for low-risk patients , while others provide long-term care for individuals requiring routine assistance or

1620-535: Is that: "In the distribution of WPA project jobs as opposed to those of a supervisory and administrative nature politics plays only a minor in comparatively insignificant role." However those who were hired were reminded at election time that FDR created their job and the Republicans would take it away. The great majority voted accordingly. WPA projects were administered by the Division of Engineering and Construction and

1728-552: Is widely known for his comprehensive critique of the use and abuse of the mental hospital system in Madness and Civilization . He argued that Tuke and Pinel's asylum was a symbolic recreation of the condition of a child under a bourgeois family. It was a microcosm symbolizing the massive structures of bourgeois society and its values: relations of Family–Children (paternal authority), Fault–Punishment (immediate justice), Madness–Disorder (social and moral order). Erving Goffman coined

1836-607: The Federal Art Project (FAP). In the Historical Records Survey, for instance, many former slaves in the South were interviewed; these documents are of immense importance to American history. Theater and music groups toured throughout the United States and gave more than 225,000 performances. Archaeological investigations under the WPA were influential in the rediscovery of pre-Columbian Native American cultures, and

1944-645: The Home Secretary can, under various sections of the Mental Health Act, order the detention of offenders in a psychiatric hospital, but the term "criminally insane" is no longer legally or medically recognized. Secure psychiatric units exist in all regions of the UK for this purpose; in addition, there are a few specialist hospitals which offer treatment with high levels of security. These facilities are divided into three main categories: High, Medium and Low Secure. Although

2052-1136: The Isle of Man , and the Channel Islands , medium and low secure units exist but high secure units on the UK mainland are used for patients who qualify for the treatment under the Out of Area (Off-Island Placements) Referrals provision of the Mental Health Act 1983 . Among the three unit types, medium secure facilities are the most prevalent in the UK. As of 2009, there were 27 women-only units in England. Irish units include those at prisons in Portlaise, Castelrea, and Cork. Psychiatrist Thomas Szasz in Hungary has argued that psychiatric hospitals are like prisons unlike other kinds of hospitals, and that psychiatrists who coerce people (into treatment or involuntary commitment) function as judges and jailers, not physicians. Historian Michel Foucault

2160-617: The National Youth Administration . Blacks were hired by the WPA as supervisors in the North; however of 10,000 WPA supervisors in the South, only 11 were black. Historian Anthony Badger argues, "New Deal programs in the South routinely discriminated against blacks and perpetuated segregation." The League of the Physically Handicapped in New York was organized in May 1935 to end discrimination by

2268-548: The National Youth Administration . The average worker was about 40 years old (about the same as the average family head on relief). WPA policies were consistent with the strong belief of the time that husbands and wives should not both be working (because the second person working would take one job away from some other breadwinner). A study of 2,000 female workers in Philadelphia showed that 90% were married, but wives were reported as living with their husbands in only 18 percent of

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2376-564: The Reconstruction Finance Corporation (RFC) or Federal Emergency Relief Administration programs (FERA). It was liquidated on June 30, 1943, because of low unemployment during World War II. Robert D. Leininger asserted: "millions of people needed subsistence incomes. Work relief was preferred over public assistance (the dole) because it maintained self-respect, reinforced the work ethic, and kept skills sharp." On May 6, 1935, FDR issued executive order 7034, establishing

2484-681: The breadwinner suffered long-term unemployment. In one of its most famous projects, Federal Project Number One , the WPA employed musicians, artists, writers, actors and directors in arts, drama, media, and literacy projects. The five projects dedicated to these were the Federal Writers' Project (FWP), the Historical Records Survey (HRS), the Federal Theatre Project (FTP), the Federal Music Project (FMP), and

2592-514: The mental patient liberation movement . There are several different types of modern psychiatric hospitals, but all of them house people with mental illnesses of varying severity. In the United Kingdom , both crisis admissions and medium-term care are usually provided on acute admissions wards. Juvenile or youth wards in psychiatric hospitals or psychiatric wards are set aside for children or youth with mental illness. Long-term care facilities have

2700-576: The 1973 academic investigation by Rosenhan and other similar experiments , several journalists have been willingly admitted to hospitals in order to conduct undercover journalism . These include: Works Progress Administration The Works Progress Administration ( WPA ; renamed in 1939 as the Work Projects Administration ) was an American New Deal agency that employed millions of jobseekers (mostly men who were not formally educated ) to carry out public works projects, including

2808-707: The Division of Professional and Service Projects. Most projects were initiated, planned and sponsored by states, counties or cities. Nationwide projects were sponsored until 1939. The WPA built traditional infrastructure of the New Deal such as roads, bridges, schools, libraries, courthouses, hospitals, sidewalks, waterworks, and post-offices, but also constructed museums, swimming pools, parks, community centers, playgrounds, coliseums, markets, fairgrounds, tennis courts, zoos, botanical gardens, auditoriums, waterfronts, city halls, gyms, and university unions. Most of these are still in use today. The amount of infrastructure projects of

2916-490: The Federal Music Project gave music classes to an estimated 132,000 children and adults every week, recorded folk music, served as copyists, arrangers, and librarians to expand the availability of music, and experimented in music therapy. Sokoloff stated, "Music can serve no useful purpose unless it is heard, but these totals on the listeners' side are more eloquent than statistics as they show that in this country there

3024-814: The South's population did not have access to any public library. Libraries that existed circulated one book per capita. The early emphasis of these programs was on extending library services to rural populations, by creating libraries in areas that lacked facilities. The WPA library program also greatly augmented reader services in metropolitan and urban centers.   By 1938, the WPA Library Services Project had established 2,300 new libraries, 3,400 reading rooms in existing libraries, and 53 traveling libraries for sparsely settled areas. [1] Federal money for these projects could only be spent on worker wages, therefore local municipalities would have to provide upkeep on properties and purchase equipment and materials. At

3132-458: The South, whereas the West was less of a sure thing; swing states took priority over the other states. There was a perception that WPA employees were not diligent workers, and that they had little incentive to give up their busy work in favor of productive jobs. Some employers said that the WPA instilled poor work habits and encouraged inefficiency. Some job applicants found that a WPA work history

3240-412: The United States. Cedric Larson stated that "The impact made by the five major cultural projects of the WPA upon the national consciousness is probably greater in total than anyone readily realizes. As channels of communication between the administration and the country at large, both directly and indirectly, the importance of these projects cannot be overestimated, for they all carry a tremendous appeal to

3348-420: The United States. Of these, 8.3 million were children under 16 years of age; 3.8 million were persons between the ages of 16 and 65 who were not working or seeking work. These included housewives, students in school, and incapacitated persons. Another 750,000 were person age 65 or over. Thus, of the total of 20 million persons then receiving relief, 13 million were not considered eligible for employment. This left

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3456-680: The Virginia government who remained loyal to the Union, also known as the Restored Government of Virginia . These funds were designated as a “start-up treasury” for what would become a new Union State. Funding was appropriated from this established treasury for the hospital's continued construction in 1862. While construction was attempted during the war, the grounds and buildings were often occupied by both Union and Confederate military and building supplies were taken by Confederate raiders. Following

3564-570: The WPA against the physically disabled unemployed. The city's Home Relief Bureau coded applications by the physically disabled applicants as "PH" ("physically handicapped"). Thus they were not hired by the WPA. In protest, the League held two sit-ins in 1935. The WPA relented and created 1,500 jobs for physically disabled workers in New York City. About 15% of the household heads on relief were women, and youth programs were operated separately by

3672-751: The WPA included 40,000 new and 85,000 improved buildings. These new buildings included 5,900 new schools; 9,300 new auditoriums, gyms, and recreational buildings; 1,000 new libraries; 7,000 new dormitories; and 900 new armories. In addition, infrastructure projects included 2,302 stadiums, grandstands, and bleachers; 52 fairgrounds and rodeo grounds; 1,686 parks covering 75,152 acres; 3,185 playgrounds; 3,026 athletic fields; 805 swimming pools; 1,817 handball courts; 10,070 tennis courts; 2,261 horseshoe pits; 1,101 ice-skating areas; 138 outdoor theatres; 254 golf courses; and 65 ski jumps. Total expenditures on WPA projects through June 1941 totaled approximately $ 11.4 billion—the equivalent of $ 236 billion today. Over $ 4 billion

3780-485: The WPA libraries was extremely positive. For many, "the WPA had become 'the breadline of the spirit.'" At its height in 1938, there were 38,324 people, primarily women, employed in library services programs, while 25,625 were employed in library services and 12,696 were employed in bookbinding and repair.   Because book repair was an activity that could be taught to unskilled workers and once trained, could be conducted with little supervision, repair and mending became

3888-607: The Works Progress Administration. The WPA superseded the work of the Federal Emergency Relief Administration , which was dissolved. Direct relief assistance was permanently replaced by a national work relief program—a major public works program directed by the WPA. The WPA was largely shaped by Harry Hopkins , supervisor of the Federal Emergency Relief Administration and close adviser to Roosevelt. Both Roosevelt and Hopkins believed that

3996-606: The admission of West Virginia as a U.S. state in 1863, the hospital was renamed the West Virginia Hospital for the Insane. The first patients were admitted in October 1864, but construction continued into 1881. The 200-foot (61 m) central clock tower was completed in 1871, and separate rooms for black people were completed in 1873. The hospital was intended to be self-sufficient, and a farm, dairy, waterworks , and cemetery were located on its grounds. Patients were admitted into

4104-499: The aggression of some of the patients. In Western Europe , the first idea and set up for a proper mental hospital entered through Spain . A member of the Mercedarian Order named Juan Gilaberto Jofré traveled frequently to Islamic countries and observed several institutions that confined the insane. He proposed the founding of an institution exclusive for "sick people who had to be treated by doctors", something very modern for

4212-651: The assumption that only one worker per family would be permitted to work under the proposed program, this total of 5.15 million was further reduced by 1.6 million—the estimated number of workers who were members of families with two or more employable people. Thus, there remained a net total of 3.55 million workers in as many households for whom jobs were to be provided. The WPA reached its peak employment of 3,334,594 people in November 1938. To be eligible for WPA employment, an individual had to be an American citizen, 18 or older, able-bodied, unemployed, and certified as in need by

4320-410: The asylum for a variety of reasons including asthma, laziness, egotism, domestic troubles, and even greediness. This led to an overwhelming number of patients being admitted, causing the asylum to face a shortage of staff and beds. A gas well was drilled on the hospital grounds in 1902. Its name was again changed to Weston State Hospital in 1913. Originally designed to house 250 patients in solitude,

4428-578: The asylum, known as the Kirkbride, holds several rooms that serve as the museum, located on the first floor. There are paintings, poems, and drawings made by patients in the art therapy programs, a room dedicated to the different medical treatments and restraints used in the past, and artifacts such as a straitjacket and hydrotherapy tub. The tour guides dress in clothes that resemble 19th century nurse outfits; blue dress, white apron, white cap, and white shoes. The shorter historical tour offer allows visitors to see

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4536-503: The building were damaged by several off duty city, county and state police officers playing paintball , three of whom were dismissed over the incident. Efforts towards adaptive reuse of the building have included proposals to convert the building into a Civil War Museum and a hotel and golf course complex. A non-profit 501(c)3 organization, the Weston Hospital Revitalization Committee, was formed in 2000 for

4644-591: The cases. Only 2 percent of the husbands had private employment. Of the 2,000 women, all were responsible for one to five additional people in the household. In rural Missouri, 60% of the WPA-employed women were without husbands (12% were single; 25% widowed; and 23% divorced, separated or deserted). Thus, only 40% were married and living with their husbands, but 59% of the husbands were permanently disabled, 17% were temporarily disabled, 13% were too old to work, and remaining 10% were either unemployed or disabled. Most of

4752-478: The complex, while one wing, which had been rebuilt using Works Progress Administration funds following a 1935 fire started by a patient, was comparatively luxurious. The lack of proper care and access to sanitation led to a large number of deaths at the asylum. While the official count of patients who have died in the asylum is not available, research is currently underway to determine an accurate count. Weston State Hospital expert and historian, Titus Swan, estimates

4860-929: The condition are often features of such units. Examples of this include the Three Bridges Unit at St Bernard's Hospital in West London and the John Munroe Hospital in Staffordshire . These units have the goal of treatment and rehabilitation to allow for transition back into society within a short time-frame, usually lasting two or three years. Not all patients' treatment meets this criterion, however, leading larger hospitals to retain this role. These hospitals provide stabilization and rehabilitation for those who are actively experiencing uncontrolled symptoms of mental disorders such as depression, bipolar disorders, eating disorders, and so on. One type of institution for

4968-528: The construction of public buildings and roads. It was set up on May 6, 1935, by presidential order, as a key part of the Second New Deal . The WPA's first appropriation in 1935 was $ 4.9 billion (about $ 15 per person in the U.S., around 6.7 percent of the 1935 GDP). Headed by Harry Hopkins , the WPA supplied paid jobs to the unemployed during the Great Depression in the United States , while building up

5076-499: The cost of publication sponsored each book, the cost was anywhere from $ 5,000 to $ 10,000. In almost all cases, the book sales were able to reimburse their sponsors. Additionally, another important part of this project was to record oral histories to create archives such as the Slave Narratives and collections of folklore. These writers also participated in research and editorial services to other government agencies. This project

5184-676: The country that served an estimated eight million individuals. Directed by Nikolai Sokoloff , former principal conductor of the Cleveland Orchestra , the Federal Music Project employed over 16,000 musicians at its peak. Its purpose was to create jobs for unemployed musicians, It established new ensembles such as chamber groups, orchestras, choral units, opera units, concert bands, military bands, dance bands, and theater orchestras. They gave 131,000 performances and programs to 92 million people each week. The Federal Music Project performed plays and dances, as well as radio dramas. In addition,

5292-473: The country. The direct focus of the WPA projects changed with need. In 1935 priority projects were to improve infrastructure; roads, extension of electricity to rural areas, water conservation, sanitation and flood control. In 1936, as outlined in that year's Emergency Relief Appropriations Act , public facilities became a focus; parks and associated facilities, public buildings, utilities, airports, and transportation projects were funded. The following year saw

5400-497: The development of professional archaeology in the US. The WPA was a federal program that ran its own projects in cooperation with state and local governments, which supplied 10–30% of the costs. Usually, the local sponsor provided land and often trucks and supplies, with the WPA responsible for wages (and for the salaries of supervisors, who were not on relief). WPA sometimes took over state and local relief programs that had originated in

5508-473: The difficulty of distinguishing sane patients from insane patients. Franco Basaglia , a leading psychiatrist who inspired and planned the psychiatric reform in Italy , also defined the mental hospital as an oppressive, locked, and total institution in which prison-like, punitive rules are applied, in order to gradually eliminate its own contents. Patients, doctors and nurses are all subjected (at different levels) to

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5616-535: The distribution of surplus commodities, and school lunch projects. One construction project was the Merritt Parkway in Connecticut, the bridges of which were each designed as architecturally unique. In its eight-year run, the WPA built 325 firehouses and renovated 2,384 of them across the United States. The 20,000 miles of water mains, installed by their hand as well, contributed to increased fire protection across

5724-594: The eye, the ear, or the intellect—or all three." This project was directed by Holger Cahill , and in 1936 employment peaked at over 5,300 artists. The Arts Service Division created illustrations and posters for the WPA writers, musicians, and theaters. The Exhibition Division had public exhibitions of artwork from the WPA, and artists from the Art Teaching Division were employed in settlement houses and community centers to give classes to an estimated 50,000 children and adults. They set up over 100 art centers around

5832-428: The first floor of the Kirkbride, while the longer historical tour allows visitors to see all four floors, apartments of the staff, the morgue, and the operating room. Aside from the historical tours, there are also two paranormal tours. Both start as the sun sets, the shorter tour lasting around two to three hours, the longer tour being overnight with the option of having a private tour. The Trans-Allegheny Lunatic Asylum

5940-528: The first manager of the Manzanar Relocation Center in California, a facility that, according to one insider, was “manned just about 100% by the WPA.” Drawing on experiences derived from New Deal era road building, he supervised the installation of such features as guard towers and spotlights. Then Secretary of Commerce Harry Hopkins praised his successor as WPA administrator, Howard O. Hunter , for

6048-399: The focus in these units is to make life as normal as possible for patients while continuing treatment to the point where they can be discharged. However, patients are usually still not allowed to hold their own medications in their rooms because of the risk of an impulsive overdose. While some open units are physically unlocked, other open units still use locked entrances and exits, depending on

6156-399: The following divisions: These ordinary men and women proved to be extraordinary beyond all expectation. They were golden threads woven in the national fabric. In this, they shamed the political philosophy that discounted their value and rewarded the one that placed its faith in them, thus fulfilling the founding vision of a government by and for its people. All its people. The goal of the WPA

6264-545: The fore in the 1960s has opposed many of the practices, conditions, or existence of mental hospitals; due to the extreme conditions in them. The psychiatric consumer/survivor movement has often objected to or campaigned against conditions in mental hospitals or their use, voluntarily or involuntarily. The mental patient liberation movement emphatically opposes involuntary treatment but it generally does not object to any psychiatric treatments that are consensual, provided that both parties can withdraw consent at any time. Alongside

6372-528: The four years it was established, and introduced 100 new playwrights. Many performers later became successful in Hollywood including Orson Welles , John Houseman , Burt Lancaster , Joseph Cotten , Canada Lee , Will Geer , Joseph Losey , Virgil Thomson , Nicholas Ray , E.G. Marshall and Sidney Lumet . The Federal Theatre Project was the first project to end; it was terminated in June 1939 after Congress zeroed out

6480-561: The funding. This project was directed by Henry Alsberg and employed 6,686 writers at its peak in 1936. By January 1939, more than 275 major books and booklets had been published by the FWP. Most famously, the FWP created the American Guide Series , which produced thorough guidebooks for every state that include descriptions of towns, waterways, historic sites, oral histories, photographs, and artwork. An association or group that put up

6588-667: The goal of treatment and rehabilitation within a short time-frame (two or three years). Another institution for the mentally ill is a community-based halfway house . In the United States, there are high acuity and low acuity crisis facilities (or Crisis Stabilization Units). High acuity crisis stabilization units serve individuals who are actively suicidal, violent, or intoxicated. Low acuity crisis facilities include peer respites, social detoxes, and other programs to serve individuals who are not actively suicidal/violent. Open psychiatric units are not as secure as crisis stabilization units. They are not used for acutely suicidal people; instead,

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6696-506: The hospital held 717 patients by 1880; 1,661 in 1938; over 1,800 in 1949; at its peak, 2,600 in the 1950s in overcrowded conditions. A 1938 report by a survey committee organized by a group of North American medical organizations found that the hospital housed " epileptics , alcoholics , drug addicts and non-educable mental defectives" among its population. A series of reports by The Charleston Gazette in 1949 found poor sanitation and insufficient furniture, lighting, and heating in much of

6804-500: The introduction of agricultural improvements, such as the production of marl fertilizer and the eradication of fungus pests. As the Second World War approached, and then eventually began, WPA projects became increasingly defense related. One project of the WPA was funding state-level library service demonstration projects, to create new areas of library service to underserved populations and to extend rural service. Another project

6912-413: The introduction of effective evidence-based treatments, most modern psychiatric hospitals emphasize treatment, usually including a combination of psychiatric medications and psychotherapy , that assist patients in functioning in the outside world. Many countries have prohibited the use of physical restraints on patients, which includes tying psychiatric patients to their beds for days or even months at

7020-429: The introduction of effective evidence-based treatments, modern psychiatric hospitals provide a primary emphasis on treatment; and further, they attempt—where possible—to help patients control their own lives in the outside world with the use of a combination of psychiatric drugs and psychotherapy . These treatments can be involuntary. Involuntary treatments are among the many psychiatric practices which are questioned by

7128-410: The late 19th and early 20th centuries, psychiatric institutions ceased using terms such as "madness", "lunacy" or "insanity", which assumed a unitary psychosis, and began instead splitting into numerous mental diseases, including catatonia, melancholia, and dementia praecox, which is now known as schizophrenia . In 1961, sociologist Erving Goffman described a theory of the " total institution " and

7236-435: The local level, WPA libraries relied on funding from county or city officials or funds raised by local community organizations such as women's clubs. Due to limited funding, many WPA libraries were "little more than book distribution stations: tables of materials under temporary tents, a tenant home to which nearby readers came for their books, a school superintendents' home, or a crossroads general store." The public response to

7344-722: The lowest while the most rapidly increasing hospitalizations were for adults under 64. Some units have been opened to provide therapeutically enhanced Treatment, a subcategory to the three main hospital unit types. In the UK, high secure hospitals exist, including Ashworth Hospital in Merseyside , Broadmoor Hospital in Crowthorne , Rampton Secure Hospital in Retford , and the State Hospital in Carstairs , Scotland . In Northern Ireland ,

7452-692: The main activity of the WPA Library Project. The basic rationale for this change was that the mending and repair projects saved public libraries and school libraries thousands of dollars in acquisition costs while employing needy women who were often heads of households.   By 1940, the WPA Library Project, now the Library Services Program, began to shift its focus as the entire WPA began to move operations towards goals of national defense. WPA Library Programs served those goals in two ways: 1.) existing WPA libraries could distribute materials to

7560-531: The many 'pauper lunatics'. Nine counties first applied, the first public asylum opening in 1812 in Nottinghamshire . In 1828, the newly appointed Commissioners in Lunacy were empowered to license and supervise private asylums. The Lunacy Act 1845 made the construction of asylums in every county compulsory with regular inspections on behalf of the Home Secretary , and required asylums to have written regulations and

7668-471: The mental institution may be used for the incarceration of political prisoners as a form of punishment. One notable historical example was the use of punitive psychiatry in the Soviet Union and China . Like the former Soviet Union and China, Belarus also has used punitive psychiatry toward political opponents and critics of current government in modern times. In the United Kingdom, criminal courts or

7776-415: The mentally ill is a community-based halfway house . These facilities provide assisted living for an extended period of time for patients with mental illnesses, and they often aid in the transition to self-sufficiency. These institutions are considered to be one of the most important parts of a mental health system by many psychiatrists , although some localities lack sufficient funding. In some countries,

7884-591: The nation's African-American families were either on relief or were employed by the WPA. Civil rights leaders initially objected that African Americans were proportionally underrepresented. African American leaders made such a claim with respect to WPA hires in New Jersey, stating, "In spite of the fact that Blacks indubitably constitute more than 20 percent of the State's unemployed, they composed 15.9% of those assigned to W.P.A. jobs during 1937." Nationwide in 1940, 9.8% of

7992-654: The need, not only to maintain existing facilities but to expand library services led to the establishment of the WPA's Library Projects.  With the onset of the Depression local governments facing declining revenues were unable to maintain social services, including libraries. This lack of revenue exacerbated problems of library access that were already widespread. In 1934 only two states, Massachusetts and Delaware, provided their total population access to public libraries. In many rural areas, there were no libraries, and where they did exist, reading opportunities were minimal. 66% of

8100-457: The new facility, the William R. Sharpe Jr. Hospital, was built in Weston and the old Weston State Hospital closed in May 1994. The closure came by court order due in part to a class action lawsuit filed by family members of patients. The building and its grounds have since been mostly vacant, aside from local events such as fairs, church revivals, and tours. In 1999, all four floors of the interior of

8208-478: The number to be in or above the five figure range. Weston State Hospital found itself to be the home for the West Virginia Lobotomy Project in the early 1950s. This was an effort by the state of West Virginia and Walter Freeman to use lobotomy to reduce the number of patients in asylums because there was severe overcrowding. By the 1980s, the hospital had a reduced population due to changes in

8316-528: The phrase "Maximum Secure" is often used in the media, there is no such classification. "Local Secure" is a common misnomer for Low Secure units, as patients are often detained there by local criminal courts for psychiatric assessment before sentencing. Run by the National Health Service , these facilities which provide psychiatric assessments can also provide treatment and accommodation in a safe hospital environment which prevents absconding. Thus there

8424-508: The population were African American. However, by 1941, the perception of discrimination against African Americans had changed to the point that the NAACP magazine Opportunity hailed the WPA: It is to the eternal credit of the administrative officers of the WPA that discrimination on various projects because of race has been kept to a minimum and that in almost every community Negroes have been given

8532-443: The process by which it takes efforts to maintain predictable and regular behavior on the part of both "guard" and "captor", suggesting that many of the features of such institutions serve the ritual function of ensuring that both classes of people know their function and social role , in other words of " institutionalizing " them. Asylums as a key text in the development of deinstitutionalization . With successive waves of reform and

8640-512: The profession for other work had employment not come through federal relief...the WPA subsidized several new ventures in readership services such as the widespread use of bookmobiles and supervised reading rooms – services that became permanent in post-depression and postwar American libraries."   In extending library services to people who lost their libraries (or never had a library to begin with) WPA Library Services Projects achieved phenomenal success, made significant permanent gains, and had

8748-474: The public infrastructure of the US, such as parks, schools, and roads. Most of the jobs were in construction, building more than 620,000 miles (1,000,000 km) of streets and over 10,000 bridges, in addition to many airports and much housing. In 1942, the WPA played a key role in both building and staffing internment camps to incarcerate Japanese Americans . At its peak in 1938, it supplied paid jobs for three million unemployed men and women, as well as youth in

8856-452: The public on the nature of an imminent national defense emergency and the need for national defense preparation, and 2.) the project could provide supplementary library services to military camps and defense impacted communities. By December 1941, the number of people employed in WPA library work was only 16,717. In May of the following year, all statewide Library Projects were reorganized as WPA War Information Services Programs. By early 1943,

8964-536: The purpose of aiding the preservation of the building and finding appropriate tenants. Three small museums devoted to military history, toys, and mental health were opened on the first floor of the main hospital building in 2004, but were soon forced to close due to fire code violations. The hospital was auctioned by the West Virginia Department of Health and Human Resources on August 29, 2007. Joe Jordan, an asbestos demolition contractor from Morgantown ,

9072-408: The route to economic recovery and the lessened importance of the dole would be in employment programs such as the WPA. Hallie Flanagan , national director of the Federal Theatre Project , wrote that "for the first time in the relief experiments of this country the preservation of the skill of the worker, and hence the preservation of his self-respect, became important." The WPA was organized into

9180-456: The same process of institutionalism. American psychiatrist Loren Mosher noticed that the psychiatric institution itself gave him master classes in the art of the "total institution": labeling, unnecessary dependency, the induction and perpetuation of powerlessness, the degradation ceremony , authoritarianism, and the primacy of institutional needs over the patients, whom it was ostensibly there to serve. The anti-psychiatry movement coming to

9288-570: The term " total institution " for mental hospitals and similar places which took over and confined a person's whole life. Goffman placed psychiatric hospitals in the same category as concentration camps , prisons , military organizations, orphanages , and monasteries. In his book Asylums Goffman describes how the institutionalisation process socialises people into the role of a good patient, someone "dull, harmless and inconspicuous"; in turn, it reinforces notions of chronicity in severe mental illness. The Rosenhan experiment of 1973 demonstrated

9396-455: The time. The foundation was carried out in 1409 thanks to several wealthy men from Valencia who contributed funds for its completion. It was considered the first institution in the world at that time specialized in the treatment of mental illnesses. Later on, physicians, including Philippe Pinel at Bicêtre Hospital in France and William Tuke at York Retreat in England, began to advocate for

9504-413: The treatment of mental illness. Those patients who could not be controlled were often locked in cages. In February 1986, then-Governor Arch Moore announced plans to build a new psychiatric facility elsewhere in the state and convert the Weston hospital to a prison. Moore authorized work to begin on the prison conversion, but the state found the move to be unconstitutional and work was suspended. Ultimately

9612-482: The type of patients admitted. Another type of psychiatric hospital is medium term, which provides care lasting several weeks. Most drugs used for psychiatric purposes take several weeks to take effect, and the main purpose of these hospitals is to monitor the patient for the first few weeks of therapy to ensure the treatment is effective. Juvenile wards are sections of psychiatric hospitals or psychiatric wards set aside for children with mental illness. However, there are

9720-452: The vast and unparalleled New Deal propaganda network." Much of the criticism of the distribution of projects and funding allotment is a result of the view that the decisions were politically motivated. The South, despite being the poorest region of the United States, received 75% less in federal relief and public works funds per capita than the West. Critics would point to the fact that Roosevelt's Democrats could be sure of voting support from

9828-631: The viewing of mental illness as a disorder that required compassionate treatment that would aid in the rehabilitation of the victim. In the Western world, the arrival of institutionalisation as a solution to the problem of madness was very much an advent of the nineteenth century. The first public mental asylums were established in Britain; the passing of the County Asylums Act 1808 empowered magistrates to build rate-supported asylums in every county to house

9936-549: The women worked with sewing projects, where they were taught to use sewing machines and made clothing and bedding, as well as supplies for hospitals, orphanages, and adoption centers. One WPA-funded project, the Pack Horse Library Project , mainly employed women to deliver books to rural areas in eastern Kentucky. Many of the women employed by the project were the sole breadwinners for their families. The WPA had numerous critics. The strongest attacks were that it

10044-478: The work of closing war information centers had begun. The last week of service for remaining WPA library workers was March 15, 1943. While it is difficult to quantify the success or failure of WPA Library Projects relative to other WPA programs, "what is incontestable is the fact that the library projects provided much-needed employment for mostly female workers, recruited many to librarianship in at least semiprofessional jobs, and retained librarians who may have left

10152-647: The “building of those camps for the War Department for the Japanese evacuees on the West Coast.” The share of Federal Emergency Relief Administration and WPA benefits for African Americans exceeded their proportion of the general population. The FERA's first relief census reported that more than two million African Americans were on relief during early 1933, a proportion of the African-American population (17.8%) that

10260-617: Was built in Baghdad under the leadership of Harun al-Rashid . While not devoted solely to patients with psychiatric disorders, early psychiatric hospitals often contained wards for patients exhibiting mania or other psychological distress. Because of cultural taboos against refusing to care for one's family members, mentally ill patients would be surrendered to a bimaristan only if the patient demonstrated violence, incurable chronic illness, or some other extremely debilitating ailment. Psychological wards were typically enclosed by iron bars owing to

10368-471: Was interrupted by the outbreak of the American Civil War in 1861. Following the secession of the State of Virginia from the United States, the government demanded the return of the hospital's unused construction funds for its defense. However, before this could occur, the 7th Ohio Volunteer Infantry seized the money from a local bank, delivering it to Wheeling . This money was to set aside for use by

10476-463: Was nearly double the proportion of white Americans on relief (9.5%). This was during the period of Jim Crow and racial segregation in the South, when black Americans were largely disenfranchised . By 1935, there were 3,500,000 African Americans (men, women and children) on relief, almost 35 percent of the African-American population; plus another 250,000 African-American adults were working on WPA projects. Altogether during 1938, about 45 percent of

10584-453: Was on the ground helping with removal and relocation even before the creation of the WRA. On March 11, Rex L. Nicholson, the WPA's regional director, took charge of the “Reception and Induction” centers that controlled the first thirteen assembly centers. Nicholson's old WPA associates played key roles in the administration of the camps. WPA veterans involved in internment included Clayton E. Triggs,

10692-563: Was sold at auction in 2007 and is open for tours and other events to raise money for its restoration. The main building of the hospital is said to be one of the largest hand-cut stonemasonry buildings in the United States and was designated a National Historic Landmark in 1990. The construction of the Trans-Allegheny Lunatic Asylum was authorized by the Virginia General Assembly . An appointed Board of Directors

10800-657: Was spent on highway, road, and street projects; more than $ 1 billion on public buildings, including the iconic Dock Street Theatre in Charleston, the Griffith Observatory in Los Angeles, and Timberline Lodge in Oregon's Mount Hood National Forest . More than $ 1 billion—$ 20.7 billion today —was spent on publicly owned or operated utilities; and another $ 1 billion on welfare projects, including sewing projects for women,

10908-555: Was tasked with the purchase of a pre-approved parcel of land near the West Fork River , which at the time was still considered the state of Virginia. Construction began in late 1858 and was initially conducted by prison laborers. Most of the building materials were sourced nearby, most notably the blue sandstone from a quarry in Mt. Clare, West Virginia and because of this, skilled stonemasons from Germany and Ireland were employed. Construction

11016-530: Was the Federal Project Number One , which had five different parts: the Federal Art Project , the Federal Music Project , the Federal Theatre Project , the Federal Writers' Project , and the Historical Records Survey . The government wanted to provide new federal cultural support instead of just providing direct grants to private institutions. After only one year, over 40,000 artists and other talented workers had been employed through this project in

11124-485: Was the Household Service Demonstration Project , which trained 30,000 women for domestic employment. South Carolina had one of the larger statewide library service demonstration projects. At the end of the project in 1943, South Carolina had twelve publicly funded county libraries, one regional library, and a funded state library agency. A significant aspect of the Works Progress Administration

11232-469: Was the high bidder and paid $ 1.5 million for the 242,000-square-foot (22,500 m) building. Bidding started at $ 500,000. Joe Jordan has also begun maintenance projects on the former hospital grounds. In October 2007, a Fall Fest was held at the Weston State Hospital. Guided historic and paranormal daytime tours were offered as well as evening ghost hunts and paranormal tours. The main building of

11340-541: Was the prelude for a national political machine on behalf of Roosevelt. Reformers secured the Hatch Act of 1939 that largely depoliticized the WPA. Others complained that far left elements played a major role, especially in the New York City unit. Representative J. Parnell Thomas of the House Committee on Un-American Activities claimed in 1938 that divisions of the WPA were a "hotbed of Communists" and "one more link in

11448-511: Was the smallest of Federal Project Number One and served to identify, collect, and conserve United States' historical records. It is one of the biggest bibliographical efforts and was directed by Luther H. Evans. At its peak, this project employed more than 4,400 workers. Before the Great Depression, it was estimated that one-third of the population in the United States did not have reasonable access to public library services. Understanding

11556-552: Was to employ most of the unemployed people on relief until the economy recovered. Harry Hopkins testified to Congress in January 1935 why he set the number at 3.5 million, using Federal Emergency Relief Administration data. Estimating costs at $ 1,200 per worker per year ($ 26,668 in present-day terms ), he asked for and received $ 4 billion ($ 88.9 billion in present-day terms ). Many women were employed, but they were few compared to men. In 1935 there were 20 million people on relief in

11664-399: Was to pay the local prevailing wage, but limit the hours of work to 8 hours a day or 40 hours a week; the stated minimum being 30 hours a week, or 120 hours a month. Being a voter or a Democrat was not a prerequisite for a relief job. Federal law specifically prohibited any political discrimination against WPA workers. Vague charges were bandied about at the time. The consensus of experts

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