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New York’s Willowbrook State School

Willowbrook State School opened in 1947 by the New York State Department of Mental Hygiene. It had multiple brick buildings on 300 acres of Staten Island. In 1972 there were 6,000 residents, which meant it was 2,000 over capacity.

vintage photograph of willowbrook state school's administration building (retouched)
Willowbrook State School Administration.

Human Experiments

Saul Krugman was an infectious disease expert at NYU. He used mentally deficient children at Willowbrook State School to show that hepatitis A and hepatitis B are distinct diseases. In 1974, the National Research Act was signed into law. It created the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The results of the studies are published in The Willowbrook Letters: Criticism and Defense. (1)

Advocacy

new york's willowbrook state school children laying on beds with wheels in a black and white photograph
Willowbrook State School adolescent patients

Donna J. Stone, an advocate for mentally disabled children and member of the Association for Retarded Children, gained access to the school. Stone posed as a social worker so she could walk around undetected. When she was finished with her self-guided tour, she shared her harrowing observations with the press.

Jane Kurtin was the first reporter to write a story about Willowbrook. Kurtin attended a demonstration and met 2 social workers. Their names were Elizabeth Lee and Ira Fisher and they brought her inside the building.

Sen. Robert F. Kennedy shocked us all and showed up to the hospital unannounced in 1965. Kenndy was shocked by what he saw and said, “I’ve visited the state institutions for the mentally retarded, and I think particularly at Willowbrook, we have a situation that borders on a snake pit.”

Senator Robert F. Kennedy at Willowbrook State School, 1965.

In 1971, a mother named Victoria Schneps Yunis, whose daughter was a resident of Willowbrook’s infant rehabilitation ward, organized a picket-line to protest deplorable conditions and budget cuts.

When Dr. Michael Wilkins was fired from his position at Willowbrook State School, he wanted to blow the whistle on the school. He gave his employee key to Geraldo Rivera who accessed the building. On February 2nd, 1972, from 7:30 to 8:00 p.m., WABC-TV aired a 12-minute exposĂ© by Rivera who managed to sneak in a camera. It was shocking for viewers to see. “It smelled of filth – It smelled of disease, and it smelled of death,” Rivera said. The documentary is called “Willowbrook: The Last Great Disgrace.” It earned a Peabody Award along with a public and political outcry.

Willowbrook: The Last Disgrace, 1972.

David Rothman, Professor of Social Medicine and History at Columbia University, published The Willowbrook Wars, which he coauthored with his wife Sheila Rothman. Rothman also published the controversial book, The Discovery of the Asylum, which tells a factual story about the history and origins of the asylum and prison systems of the United States in the eighteenth century.

Lawsuits & Closure

Thankfully, the New York Civil Liberties Union and the Legal Aid Society filed class-action lawsuits in 1972 which led to the landmark 1975 Consent Decree under U.S. District Judge John Bartels. This settlement would implement some much-needed guidelines and requirements for operating the institution and the care of its residents, which would be cut to 250 beds. The federal Civil Rights of Institutionalized Persons Act of 1980 was also passed. This Act reinforces the rights of residents in state or local correctional facilities, nursing homes, mental health facilities and institutions for people with intellectual and developmental disabilities.

“Willowbrook: If they cause trouble, cage them…”

Despite this ruling, the parties would see each other in court several more times until Gov. Mario Cuomo ordered the school’s closure in 1984 when the population was 1,000. Just 1 year later, the population would have shrunk to 250. Willowbrook officially closed its doors on September 17, 1987, after its last 30 residents were transferred to other facilities.

Miscellaneous Facts

The school was the first of the state’s seven developmental centers to close.

The institution was built in 1942 but was taken over by the federal government and used as a hospital for returning World War II veterans.

The facility opened as a State Hospital on April 1, 1951.

In 1993, the Willowbrook Permanent Injunction was signed which represents the current standard of services for class members. The 380-acre site is now rededicated for use as a college campus and the New York State Institute for Basic Research in Developmental Disabilities.

For more publications, pamphlets, and images see A Guide to Willowbrook Resources.


I think that at the state institution for the mentally retarded, and I think that particularly at Willowbrook, we have a situation that borders on a snake pit, and that the children live in filth, that many of our fellow citizens are suffering tremendously because lack of attention, lack of imagination, lack of adequate manpower. There is very little future for these children, for those who are in these institutions. Both need a tremendous overhauling. I’m not saying that those who are the attendants there, or who run the institutions, are at fault – I think all of us are at fault and I think it’s just long overdue that something be done about it.
—Sen. Robert F. Kennedy

Citations

(1) Valdés, E. (2021). Biolaw: Origins, Doctrine and Juridical Applications on the Biosciences. Germany: Springer International Publishing. L-G-0016153483-0054423980.pdf (e-bookshelf.de).


Pennhurst State School and Hospital

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pennhurst logo

Pennhurst State School and Hospital was a public institution in Spring City, Pennsylvania that was established in 1908 to house and provide care for individuals with intellectual and developmental disabilities. It was initially lauded as a model facility, but over time, it became infamous for its overcrowding, understaffing, and inhumane treatment of residents, including physical and sexual abuse.

The institution was ultimately closed in 1987 after a series of lawsuits and investigations revealed the extent of the mistreatment and neglect suffered by its residents. Today, the former Pennhurst campus is a site for historical tours and educational programs, as well as a reminder of the ongoing struggle for the rights and dignity of people with disabilities.

cherry blossoms in bloom on the tree in front of pennhurst administration building against bright blue sky
Administration Building and Cherry Blossoms, 2010.

Background

In order to understand Pennhurst, you should have a basic understanding of eugenics, because they go hand-in-hand. I will do my best to explain. These institutions were built to offer a safe haven to vulnerable populations. But they turned into being used to hide people so they wouldn’t disrupt society.

Subsequently, with the rise of the eugenics movement, Pennhurst, which had once been a safe haven, underwent a dramatic transformation. It became an under-funded, under-staffed, non-productive, and abusive environment where patients were subjected to involuntary sterilization and horrific procedures in the name of science.

Construction

From 1903 to 1908, the first buildings were constructed on 633.913 acres of Crab Hill in Spring City, Pennsylvania, Chester County on what was referred to as the lower campus. Out of the first few buildings constructed, ‘F’ was the Girl’s Dining Room, ‘G’ was the Kitchen and Store Room, ‘H’, ‘I’ and ‘K’ were a Cottage for Girls, ‘N’ was the Boys’ Dining Room, ‘P’ was the Teacher’s Home, ‘Q’, T’, ‘U’ and ‘V’ were a Cottage for Boys, ‘R’ was a School, ‘W’ was Laundry and Sewing, and ‘X’ was the Power House.

‘P’ was used as a temporary Administration building until the institution’s opening in 1918 along with the opening of ‘L’ and ‘M’ in 1919. In 1921, Whitman and Wilson I and II were constructed along with Penn Hall for employee housing; in 1929, the Assembly building was complete and functioned as the gymnasium and auditorium.

The buildings on lower campus are currently labeled with letters such as ‘F’, ‘I’, ‘K’, ‘P’, ‘Q’, ‘R’, ‘N’, ‘U’, ‘V’, ‘T’, ‘W’ and ‘X’ with names later assigned in the 1960s.

In 1930, the first buildings on the upper campus, otherwise known as the Female Colony, were completed and named Pershing, Buchanan, Audubon and Keystone. Capitol Hall was erected after World War II along with Devon constructed on lower campus. Horizon Hall opened later in 1971.

Lower Campus

Administration, Philadelphia, Quaker, Rockwell, Franklin, Nobel, Union, Vincennes, Tinicum, Industry, Penn, Devon, Mayflower, Limerick, Assembly, Storeroom, Laundry, Whitman, Wilson I, Wilson II, Hershey.

Upper Campus

Pershing, Buchanan, Audubon, Keystone, Capitol, Horizon.

Other Buildings

Powerhouse, Treatment Plant, Director’s House, Green House, and Dairy Farm.

Appearance of Buildings

The older buildings, designed by Philip H. Johnson, were two-storied, and made of red brick, terra cotta, and granite trimmings. They were connected by fire-proof tunnels with walkways on top of the tunnels for the use of transporting residents, with a parallel steam piping system, and were distributed on the 1,400-acre campus in the cottage plan formation.

The buildings were designed to provide a large number of small rooms occupied by two to three beds, a few small dormitories with eight to ten beds, and a large day room for exercise. George Lovatt was the architect for several of the buildings built after the year 1937.

The central Administration building has two side porte-cocheres, a front portico and a copper cupola in the center of the roof. The hospital building, Whitman, and Wilson I and II are not tunnel-connected, nor is Penn Hall and the Powerhouse. The remaining cottage buildings are ‘L’ and ‘I’ shaped with the exception of Dietary, which is ‘Y’ shaped, and Devon Hall, which is ‘H’ shaped.

Early Beginnings

Sterilization of Mentally and Physically Unfit Persons

However, it was not until three years after the passage of this controversial act that the institution was constructed. On March 21, 1905, the Legislature of Pennsylvania passed “An act for the prevention of idiocy” which called for the sterilization of mentally and physically unfit individuals residing in institutions for at least one year, particularly those whose conditions were hereditary and could be passed down to their offspring. This act essentially gave the government the power to involuntarily sterilize individuals deemed unfit, without their consent.

After being passed by the legislature, the bill was rejected by the state governor Samuel W. Pennypacker. He expressed that allowing such a procedure would be cruel to a vulnerable group within the community that the state was responsible for safeguarding. Pennypacker stated, “To permit such an operation would be to inflict cruelty upon a helpless class in the community which the state has undertaken to protect.”(Ray, 1905).

Pennhurst Opens its Doors

On November 23, 1908, “Patient number 1” was admitted to the hospital. Within four years of operation, Pennhurst was already overcrowded and under pressure to admit immigrants, orphans, and criminals.

Classifications and New Legislature

Upon admission, residents were categorized according to their mental state as either imbecile or insane, their physical condition as either epileptic or healthy, and their dental status as having either good, poor, or treated teeth.

The branches of industry which residents were assigned to were mattress making, shoe making and repair, grading, farming, laundry, domestic duties, sewing, baking, butchering, painting, and working in the store.

In 1913, the Pennhurst Board of Trustees raised concerns that prompted the legislature to appoint a Commission for the Care of the Feeble-Minded. The Commission’s report stated that individuals with disabilities were unsuitable for citizenship and posed a threat to the peace, and thus proposed a custodial care program. Additionally, the Commission aimed to prevent the mingling of the genes of those confined in the institution with the broader population.

In the Biennial Report to the Legislature submitted by the Board of Trustees, Pennhurst’s Chief Physician quoted Henry H. Goddard, a leading eugenicist, by stating “every feeble-minded person is a potential criminal” (Miner, 1918), which he stated in his book (PDF) on Feeble-Mindedness: Its Causes and Consequences.

Aeriel Maps

Pennhurst’s original maps were photographed in the 1920s from an “aeroplane” and printed on large 5-foot by 5-foot pieces of paper, as shown below:

aeriel map of pennhurst lower campus1920s
Lower Campus
aerial map of pennhurst upper campus1920s
Upper Campus

Moral Treatment 1840s – 1910s

an old black and white photograph image of some pennhurst boys
Pennhurst Male Patients. 1920-1930’s.

The first meeting of the Association of Medical Officers of American Institutions of Idiotic and Feeble-minded Persons (AMO) was held in 1876 at the Pennsylvania Training School. The AMO’s main goal was to study the causes, conditions, statistics, to discuss the management, training, education of feeble-minded persons, and to lobby for the construction of institutions.


It is not enough that the State provide temporarily for this division of unfortunates: it must be a life-school for its inmates, thereby preventing the transmission of infirmities to a still more degraded progeny.
-F. M. Powell, in his 1886 presidential address

In 1896, the AMO launched its first publication called the Journal of Psycho-Asthenic (JPA) and was the only journal devoted to the feeble-minded and epileptic.

yellow pennhurst inventory sticker says "pennhurst 000278"
Inventory Sticker.

Around this time, institutions were changing formalities and began admitting adults. The adults were legally considered children and were called such. Institutions began adding words like “colony” and “home” to their name to reflect the emphasis on lifelong care.


Many legislators and members of the public believed that the residents of the institution were unable to learn and, thus, the institution should not have funding beyond that of an almshouse.
-AMERICAN INSTITUTIONS FOR THE FEEBLE-MINDED, 1876-1916

Fact: The 1890 Census saw a 228% increase in feeble-mindedness among new immigrants.

In 1893, the lunacy law authorized the detention of 575 epileptics in various institutions, prompting a call to establish a dedicated institution for the treatment and scientific study of epilepsy.

In 1898, the AMO began using standardized state commitment statutes that gave each institution’s superintendent the power to retain or release a resident. The use of classification made it easier to pin-point the specific types of education each type of disability benefited from.

In 1901, the AMO’s Committee on Psychological Research revealed a new standardized individual assessment to help classify persons in institutions. Henry Goddard created the Binet test to standardize the different degrees of feeble-mindedness.

pennhurst state school and hospital dormitory building
Pennhurst State School, Dormitory Building

Congress authorized the construction of an institution in 1903 and began construction on the new institution called the Eastern Pennsylvania State Institution for the Feeble-Minded and Epileptic, which opened on November 23rd, 1908, under the Act of May 15th, 1903, P.L. 446, in Spring City, Pennsylvania, Chester County atop Crab Hill. Crab Hill is a one-thousand-four-hundred-acre peninsula of rural farmland on the Schuylkill River-bend. It’s thirty miles north-west from the city of Philadelphia.

The institution opened to five-hundred feeble-minded and epileptic court-ordered male youth. They arrived from the 34 Pennsylvania counties east of the Allegheny Mountains. During this period, there were no provisions for females, but the state expressed its intention to expand its services. Just after the first four years of operation, the 5-building institution was well over-capacity with 10 percent of the residents exceeding 20 years old.

A clean and organized dining hall for children. Dietary, Pennhurst. (1915). Image courtesy of Pennhurst Memorial and Preservation Alliance.
A clean and organized dining hall for children. Dietary, Pennhurst. (1915). Image courtesy of Pennhurst Memorial and Preservation Alliance.

Although young men were supposed to receive special education and training to become productive members of society, they ended up acquiring vocational skills that allowed the institution to offset the cost of their care.

Individuals with disabilities had difficulty finding fulfilling work in the broader community, and those who did find employment were often underpaid.

There were parents who voluntarily admitted their disabled children to Pennhurst to receive specialized education that the public school system couldn’t provide. Their desire was for their children to return home after acquiring the necessary skills. In contrast, other parents admitted their children because they were unable to cope with their disability or were ashamed of them, leaving these children with no place to call home.

pennhurst cupola roof fall leaves bright colors blue sky
Autumn Colors Splash and Paint the Grounds of Pennhurst. Fall 2007.

In the beginning of the eugenics era, attitudes shifted toward a negative view of feeble-mindedness. People were associating them with crime, drunkenness, prostitution, and immoral behavior. The public demanded that the state accept all categories of feeble-minded, not just the teachable ones

Many individuals believed that all feeble-minded people needed to be institutionalized to safeguard society. However, providing lifelong care to an increasing number of individuals necessitated more funding and building construction. As a result, one solution was to mandate that adult residents work for the institution.

With increased government funding came political interference and people, with no knowledge of feeble-mindedness, were appointed to boards of trustees.

The Mysterious Missing Building “K”

Building “K” was demolished in #### before the buildings were given names in the 1960’s. It has and always will be known as Building “K”. It was used as a girl’s dormitory.

Eugenics Movement 1910s – 1940s

In 1913, a commission appointed by the legislature determined that mentally and physically disabled individuals were perceived as criminals and unsuitable for citizenship because they posed a threat to societal peace. The commission recommended that such individuals should not reproduce and must be removed from society to obtain appropriate treatment.

The feeble-minded were segregated from society to prevent hereditary transmission. It was considered a problem and institutionalization was the solution. By 1914, 30 states had marriage laws preventing feeble-minded persons from marrying. AMO President Martin Barr believed these laws were not good enough and sterilization should be enforced to prevent the feeble-minded from passing on their genes.

For a period of four months in 1914, Dr. Wilhelmine E. Key conducted a survey for the Public Charities Association of Pennsylvania.

steps in mental development
Steps in Mental Development

By 1915, it was apparent that there were more feeble-minded and epileptic individuals in the state than the means to provide for their care. Feeble-mindedness was widely believed to be hereditary, and the causes of poverty, alcoholism, prostitution, and crime were attributed to the feeble-minded, who were deemed in need of lifelong care rather than mere treatment.

There was a push for less legislation and more provision. The two state institutions, Polk and Pennhurst, should be enlarged to house more feeble-minded and an appropriation was made to admit females to two newly constructed cottage buildings. It would raise the population to two-hundred-and-six men, seventy-two women, three-hundred-and-forty-eight boys, and eighty-three girls.

In 1916, the Public Charities Association of Pennsylvania inaugurated a traveling exhibit on feeble-mindedness, advocating for the segregation of feeble-minded women. The belief was that if all feeble-minded women were separated from society, the issue of feeble-mindedness would cease to exist since they would not be able to reproduce.

As a result of these convictions, a female colony was established at the Eastern Pennsylvania State Institution for the Feeble-Minded and Epileptic to institutionalize feeble-minded youth of both genders, separating them from society and from one another.

Society’s endeavors to prevent the feeble-minded from reproducing were disheartening since they were ineffective. Marriage laws that prohibited feeble-minded individuals from marrying failed to stop them from reproducing, sterilization was widely criticized, and mandatory institutionalization of all feeble-minded people would only be successful if there were enough institutions available.

Pennhurst State School, Administration Building
Pennhurst State School, Administration Building

Not only did society want to institutionalize the feeble-minded, but they also supported the practice of sterilization.

Sara M. Soffel, a county court judge said in 1935, “If we selectively sterilize the feeble-minded, we will block off a large part of the population who contribute to our social problem.”

A bill advocating the sterilization of the unfit was presented to the board of the State Federation of Pennsylvania Women with hopes of presenting it to Legislature. Dr. Camilla Anderson of Mayview State Hospital said, “We have immigration inspections at all our seaports, but we leave birth – the greatest port of entry – entirely unguarded.”

Deinstitutionalization

Pennhurst, as we call it today, is historic because it was the first institution to draw attention from the media on harsh conditions in a five-part 1968 television report anchored by news correspondent Bill Baldini. The report called “Suffer the Little Children” and the 1974 lawsuit, Halderman vs. Pennhurst State School and Hospital, found the institution guilty of violating the constitutional rights of patients, leading to its eventual closure by 1986. This sparked a nationwide investigation into all state institutions, and ultimately initiated the process of deinstitutionalization.

Old memo listing 14 bullet points of the third shift ward routine.
Old memo listing 14 bullet points of the third shift ward routine.

On April 10, 2010, a historical marker was unveiled at the Pennhurst property commemorating the history of the institution. It reads:

Between 1908 and 1987, over 10,500 individuals in Pennsylvania with developmental disabilities resided at Pennhurst.

The closure of the institution was the ultimate result of public controversy surrounding the inhumane treatment of its residents and two decades of complex litigation, which included three arguments before the US Supreme Court.

Groundbreaking advocacy and new public policy, including transition to community-based living, made Pennhurst a milestone in the disabilities civil rights movement.”

See Also

Pennhurst Memorial and Preservation Alliance

Halderman vs. Pennhurst

During 1966, Terri Lee Halderman was admitted to Pennhurst State School and Hospital, located around 30 miles from Philadelphia, at the age of 12. Throughout her 11-year stay at the institution, she suffered several physical injuries, including a broken jaw, fractured fingers and toe, and numerous cuts, bites, and bruises on her body. When she was admitted to Pennhurst, Halderman was able to speak a few words; however, during her stay, she stopped speaking entirely.

The Longitudinal Study

Progress and Careers at Pennhurst Pamphlet

This item is a career booklet that was printed by Pennhurst State School and Hospital to highlight career opportunities at the institution.

1919 -1920 Report of the Eastern Pennsylvania State Institution for the Feeble Minded and Epileptic

1921-1922 Report of the Eastern Pennsylvania State Institution for the Feeble Minded and Epileptic

1922 – 1924 Report of the Pennhurst State School

1930 Report of the Pennhurst State School

In the Shadow of Pennhurst: The Orion Community, 1990

old memo dated January 12, 1987, describing the closure of industry hall on January 15-16th 1987.
Old memo dated January 12, 1987, describing the closure of industry hall on January 15-16th 1987.

This case study is based on a 1988 site visit to the Orion Community, in which a group of nondisabled and disabled people have chosen to live and work with each other in Chester County, Pennsylvania.

Orion’s founding is described, beginning with an informal support group of professionals, parents, advocates, and members of Camphill (agricultural villages that welcome individuals with developmental disabilities).

The founding group sought to support people coming out of Pennhurst, a large state-operated institution for individuals with mental retardation and other disabilities; to build upon the presence of Camphill; to acknowledge the important contributions that people with developmental disabilities can make to the community; and to include a spiritual and religious foundation.

The case study describes the households where the members live with each other, the Guild House where some Orion members and others work together, the encouragement of life sharing, the offering of hospitality, decision making in the community, care groups, and compliance with state regulations.

A Call of Conscience (video)

Suffer the Little Children (video)

This Happened Here (video)

Somebody Touched Me (video)

Some Who Went to Court

George Sorotos, who was seven years old in 1970, was committed to Pennhurst by a social welfare agency. Despite his foster mother visiting him every week for seven years, he was found injured on almost every visit. Recently, Sorotos was found with apparent cigarette burns on his chest.

Nancy Beth Bowman was subjected to physical abuse by a staff member who used a shackle belt on her. She was also abused on two other occasions. During her stay in the institution, she learned to bite and push people. In response to this behavior, the institution punished her by confining her to a bare, locked seclusion room for several days at a time.

Vintage 1920s aerial image of the lower and upper campus at Pennhurst State School and Hospital. Spring City, Pennsylvania.
Vintage 1920s aerial image of the lower and upper campus at Pennhurst State School and Hospital. Spring City, Pennsylvania.

Linda Taub spent nine years at Pennhurst with no significant activities to occupy her time. While on the ward, she often just sat and rocked. Although Linda was able to walk, her parents discovered during one visit that she had been restrained in a wheelchair with a straitjacket. When they questioned the staff about it, they were told that restraining her in this manner allowed the staff to always know where she was.

This post is continued on the next 2 pages.

thomas stroy kirkbride

Thomas Story Kirkbride

Born on July 31, 1809 in Morrisville, Pennsylvania, Thomas Story Kirkbride was an American Physician known for his advocacy of the mentally ill and the creation of his hospital floorplan. He was a pioneer in the reform of the treatment of the mentally ill and the founder of the Association of Medical Superintendents of American Institutions for the Insane (AMSAII). He passed away on December 16, 1883 from pneumonia in his home at the Pennsylvania Hospital for the Insane in Philadelphia, Pa.

Beginnings

In 1832, as a graduate of the University of Pennsylvania, Thomas Story Kirkbride trained at the Friends’ Asylum located in Frankford, Philadelphia and later the Pennsylvania Hospital when he opened an office on Arch and fifth streets.

Friends Hospital, Philadelphia, Pa
Friends Hospital, Philadelphia, Pa

“It was during this period, that I began to look forward to securing at some future day the position of attending Surgeon of the Pennsylvania Hospital, having always felt that the place of clinical lecturer in that Institution, was on of the most honorable and useful that could be held by any individual.”

By 1840, he had achieved this position as Superintendent.

Philosophy

A Quaker, Kirkbride practiced what was popularly known at the time as “moral treatment.” At around the same time, the field of photography was on the rise, and provided Kirkbride with an innovative technique to assist patients in returning to society. He believed images would provide stability for patients by providing a rational perception of the world. As the audience, patients were part of “normal” social life which allowed for rational patterns of brain activity to be exercised, supposedly bringing the patient back to good mental health.

Portrait of Thomas Story Kirkbride
Portrait of Thomas Story Kirkbride

Using the latest technology of the time, Kirkbride began his “magic lantern” shows to serve as both therapy and entertainment. The magic lantern was an early form of slide projector, lit by candles initially, with slides manually inserted. Topics ranged from astronomy, history, religion and temperance. Travelogues were popular shows, taking individuals on trips to far away places such as Paris or London, or around the corner to the city of Philadelphia.

Slide shows took place in a specially designed room, with benches for visitors and a podium for the lantern. Guest lecturers would speak on various topics while images were projected on the screen. Two restrictions were made: patients were not allowed to be photographed, and “ghost” images were prohibited.

The magic lantern slide shows aided Kirkbride’s view that an active, daily routine consisting of mental employment would bring about restored mental health. In reality, they were just having fun.

Achievements

Kirkbride was Secretary of the Association for seven years, Vice President for seven, and President for eight. He was frequently consulted in the arrangement of the State Lunatic Asylum at Trenton, and in the plans of the State Lunatic Hospital at Harrisburg. These consultations and his fondness for architecture, led him to prepare his book, On the Construction, Organization, and General Arrangements of Hospitals for the Insane.

Trenton State Hospital: an early Kirkbride plan
Trenton State Hospital: an early Kirkbride plan

He flirted with the idea of separating the sexes in buildings under the same general management. With many ideas in mind, he collected private subscriptions needed for the erection of a hospital such as the one in his notes.

Kirkbride published, On the Construction, Organization, and General Arrangements of Hospitals for the Insane with Some Remarks on Insanity and Its Treatment, in 1854 and again in 1880. This publishing outlined the construction and design of the lunatic hospital. He believed each building should have at least one hundred acres of land in a rural environment and constructed near water with gardens, outdoor recreation and enclosed patient yards. To view the publishing, click here.

The Kirkbride Plan

The first stone of the new building at Harrisburg was laid on July 7th 1856 and opened its doors to residents on October 27th 1859.


“The fact that this whole work has been provided and paid for entirely from private subscriptions is worthy of remembrance in our local history.”


and indeed, it is.

In general, the form in which he designed the building has a central structure with wings on each side arranged to give classification to patients and a dome is placed at the highest point of the structure to hold the water supply in case of a fire. The kitchen, sculleries, store rooms, reception, offices, library, lecture room and chapel, apartments for the physician’s family, parlor and visiting rooms are in the center building. Later, water supplies were not necessary as each hospital had its own Fire Department.

trenton state hospital

The wings were arranged to house eight classes of patients on each side separated by sex. Each class has its own ward number and each ward has its own parlor or alcove, dining room with a dumb waiter, a speaking tube or telephone to the kitchen or center basement, single rooms and dormitories, a clothes room, bathing room, a wash and sink room, and multiple water closets.

Also included, is a railroad for food distribution and laundry duty, two work rooms, a museum, reading room, school room and drying closets.


“Although it is not desirable to have an elaborate and costly style of architecture, it is, nevertheless, really important that the building should be in good taste, and that it should impress favorably not only the patients, but their friends and others who may visit it. A hospital for the insane should always be of this character, it should have a cheerful and comfortable appearance, everything repulsive and prison-like should be carefully avoided, and even the means of effecting the proper degree of security should be masked, as far as possible, by arrangements of a pleasant and attractive description.”

Legacy

Thomas Story Kirkbride will always be known as the Superintendent and Physician-in-Chief of the Pennsylvania Hospital for the Insane. What was his duty was his pleasure. He believed that patients do not require mechanical restraint and every man must admit, that some means of diverting the mind from morbid ideas to more healthy thoughts, was as important as medicine. He was never satisfied and was reaching for something better to strengthen and brighten the lives of those he cared for.

In the mornings, he would meet with every patient; listening to their wants, needs and emotions. He would hear all of their grievances, give advice, soothe and cheer them.

Sentences such as the following, are taken from the earliest reports of the hospital:


“At the visit of the Physician and his assistant, which commences at half-past eight o’clock in the winter, and at eight o’clock during the summer, every patient is seen and spoken to-unless there is some special reason for an exception.”

Endings

kirkbride death certificate
Digital copy of Thomas Story Kirkbride’s official death certificate.

During the last four years of his life, he was invalid. Death was looming and he made the arrangements for it to be taken care of when the time came. He passed away shortly before midnight on December 16, 1883, and is laid to rest in the Laurel Hill Cemetery, buried on a bleak December day.

If you’re interested in viewing his death certificate, I have included it.

After Kirkbride’s death, a Memoir of Thomas S. Kirkbride, M. D., LL. D. prepared by the director of the Association of Medical Superintendents of American Institutions for the Insane was published and read at a meeting of the Association in Philadelphia on May 13, 1884:


A kind, warm-hearted and sympathizing friend, a faithful and prudent counsellor, a genial and cheerful companion, and a most able, laborious and devoted physician and superintendent; no one who was privileged to know him in these relations can fail to feel the great blank which has been made by his removal.
-John Curwen, M.D. (1821–1901)

  1. On the Construction, Organization, and General Arrangements of Hospitals for the Insane
  2. Memoir of Thomas S. Kirkbride
dorothea lynde dix

Dorothea Lynde Dix

1802 – 1887

Born on April 4, 1802 in Hampden, Maine, Dorothea Lynde Dix was an American nurse and social reformer who helped convince congress to pull the mentally ill out of prisons and place them in state hospitals. Her efforts lead to the establishment of 110 psychiatric hospitals by 1880. She passed away on July 17, 1887 in Trenton, New Jersey.


I come to represent to you the condition of a numerous and unhappy class of sufferers, who fill the cells and dungeons of the poor houses and the prisons of your state. I refer to the pauper and indigent insane, epileptics, and idiots of Pennsylvania. I come to urge their claims upon the commonwealth for protection and support, such protection and support as is only to be found in a well-conducted Lunatic Asylum
-Dorothea Lynde Dix

“Whatever is done, must be done solely by myself,” she forcefully stated at the age seventy-six, pen-in-hand preparing to distressfully write her memoir as a patient in the Trenton State Hospital. No narrative could “fully embrace the real daily work of half a Century’s weeks and months.” It seemed to her, impossible to explain her life career. She abandoned the autobiography and died in her sleep shortly thereafter.

Beginnings

dorothea lynde dix
Humanitarian Dorothea Lynde Dix

She spent her childhood in Worcester and Boston, Massachusetts. She traveled to England and spent a year at Greenbank in Liverpool with the Rathbones, who were Quaker social reformers who believed the government should play a direct role in the social welfare of its citizens. Here, she was exposed to the British lunacy reform movement while madhouses and asylums went under investigation.

From 1816 to 1836 she taught school children and wrote books. In 1836, she became ill with tuberculosis but had no name or treatment at the time. She gave up teaching and traveled to England on vacation as ordered by her doctor.

She returned to Boston in 1841 when her health improved. She was thirty-nine years old when she began working at the East Cambridge Jail as a volunteer to teach Sunday school class for women inmates. Here she observed the prostitutes, drunks, criminals, the mentally disabled and mentally ill were housed together in unheated, unfurnished, and foul-smelling quarters. When asked why the conditions were as so, she was told the insane do not feel heat or cold. They had no sinks, bathtubs, or toilets. Their clothing was minimal and they received no medical help whatsoever.

Advocacy

She conducted a statewide investigation of how Massachusetts cared for its insane poor in jails and almshouses. Lobbying as a woman, she did not succeed in having her voice heard by the lawmaking men. She published the results, which she named a Memorial to the Massachusetts Legislature. Samuel Gridley Howe presented it in pamphlet form so may people could read it. The Newspapers printed it and many thought she had fabricated her stories of the ill conditions patients faced. She pressed further to convince the people. Thereafter, after a committee report, the legislature finally passed a bill for funds to be set aside for the expansion of Worcester State Hospital.

Worcester State Hospital, Worcester, Massachusetts
Worcester State Hospital, Worcester, Massachusetts

“I proceed, Gentlemen, briefly to call your attention to the present state of Insane Persons confined within this Commonwealth, in cages, stalls, pens! Chained, naked, beaten with rods, and lashed into obedience.”
-Dorothea Lynde Dix

After such success, she traveled from New Hampshire to Louisiana, in poor health, documenting the condition of pauper lunatics, and publishing memorials to state legislatures. Without pay, she aided in founding 32 mental hospitals, 15 schools for the feebleminded, a school for the blind, libraries in prisons, and numerous training facilities for nurses in this field of study.

In 1848, Dorothea’s bill for the establishment of the New Jersey Lunatic Asylum passed unanimously and her “first-born child”, the New Jersey State Lunatic Asylum, opened as the first public mental hospital in New Jersey designed under the Kirkbride plan by Dr. Thomas Story Kirkbride, Superintendent of the Institute of the Pennsylvania Hospital and dear friend and long-time supporter of Miss Dix.

Within the same year, the establishment of the Pennsylvania State Lunatic Hospital for the Insane was also successful: her “second-born child”.

Successful Reformation

Dorothea made many visits to the Harrisburg Asylum, eventually residing in the Trenton Asylum as a patient until her death, but the “children” continued to be born.

While in North Carolina, she called for a reform in the care of all mentally ill patients. When the North Carolina State Medical Society was formed in 1849, the construction of an institution in Raleigh, for the care of the mentally ill was authorized to be constructed and was named in her honor. Dorothea Dix Hospital opened in 1856.


Insanity sensibly treated is as certainly curable as a cold or fever. Recovery is the rule; permanent disease is the exception.
-dorothea lynde dix

Her national bill, which took six years to pass both houses of Congress in 1854, asked for twenty-thousand square miles of land to be sold for the care of the insane, but deemed unconstitutional in the hands of President Franklin Pierce, who vetoed it.

European Travels

Physically exhausted after thirteen years of fighting for the mentally ill in America, she traveled to Europe and began the process of inspecting jails and almshouses in England Scotland, France, Austria, Italy, Greece, Turkey, Russia, Sweden, Denmark, Holland, Belgium and Germany from 1854 and 1856. Within a mere two years, she made a significant change in the way Europeans dealt with their insane poor.

Continued Advocacy

In 1854, she then again returned to the United States and continued to travel and investigate many of the states she had missed prior. During the Civil War, she decided to put her energies into being the Superintendent of Union Army Nurses instead. She served throughout the entire war until 1881 when the State Hospital in Trenton, New Jersey opened its doors to patients. This was the very first hospital to be opened due to her efforts over the years.

Endings

On October 1881, stricken with malaria, she traveled to the New Jersey State Lunatic Asylum and collapsed. In early November, she admitted herself and stayed here for the next six years. She gradually became well as she resided in her top-floor suite with hundreds of letters, newspaper clippings, and photographs. She turned away visitors and as her hands grew shaky, refused to dictate them to a secretary.

Aged, broken and full of suffering, it appears she did not want to die, for she knew the fight was not over, “I think even lying on my bed, I can still do something,” (Francis 372). This was spoken two months before her death when a friend wished her many more years to live. On July 17, 1887 Dorothea, aged 90, passed away in her tower apartment at the Trenton Asylum, in the declining hours of sunlight. She is buried this cemetery lot No. 4731, Spruce Ave., July 21, 1887.

Legacy

Two Nurses Admiring a Portrait of Dorothea Dix
Two Nurses Admiring a Portrait of Dorothea Dix

“There below her stretched the park-like expanse of the grounds of the asylum, and there, sitting under the trees or wandering along the paths in the fullest enjoyment of liberty possible to their sad condition, were the poor children of affliction, whose former miseries in chains and cages had first started in her the vow of consecration never to the end to be broken” (Francis 373).

Today, the Dorothea Dix Library and Museum resides in a quaint building on the campus of the Harrisburg State Hospital, originally named the Pennsylvania State Lunatic Hospital. The Library was established with the help of Dix in 1852 to enrich the education of the patients and here she is in remembrance.

  1. Memorial Soliciting an Appropriation for the State Hospital for the Insane at Pennsylvania
  2. New Jersey
  3. Massachusetts
  4. Lexington
  5. North Carolina
  6. Remarks on Prisons and Prison Discipline in the United States

The Almshouse: The History of Alms and How We Developed the Asylum

Table of Contents 

Introduction 

“No one need ever starve or be in want in this fruitful country.”

When William Penn established Philadelphia in 1682 with the Society of Friends, the first almshouse was constructed at Fourth and Walnut streets on the property of John Martin.  

william penn portrait
William Penn (1644-1718).

When a settler was plagued with misfortune and sickness, they received help from a neighbor, but as this became too burdensome on the community, a resolution was made by the Assembly that taxed the wealthy in order to fund to the poor and receive proper treatment from a doctor employed to offer health service.  

This tax was called the “Act for the Better Provision of the Poor,” but was repealed by the Queen of England under her ruling at this time.  

In 1705, the Assembly passed another law establishing the Justices of Peace. These council members were required to elect two ‘Overseers of the Poor’ annually for each township. One penny per. pound on properties of citizens and four shillings per. person were taxed to raise money for the poor in each township. Those who received this aid were listed in the “Poor Book” (F.B.C., 2022).

In 1712, the Council declared that a workhouse should be built to offer the poor jobs. The Overseers were ordered to find a convenient building for this establishment.  

The Friends Almshouse, 1714.

The Friend’s Almshouse was established in 1713 on the property of John Martin. Martin intended his property to be used by the poor.  

Six quaint houses were built standing in a row with entrances from the yard, which had a garden. This establishment was referred to as the “Quaker Nunnery” and it welcomed all denominations.  

In 1717, anyone who was receiving relief from the Overseers had to wear a red or blue ‘P’ along with the initials of their county or city on the right sleeve of their shirt. If anyone refused to comply, they would be denied relief and put to hard labor for twenty-one days (Scharf & Westcott, 1884).  

In 1730, a square of ground in a meadow, bounded by Third and Fourth, Spruce and Pine Streets, were purchased from Aldren Allen for ÂŁ200 to build an Almshouse. The only difference about this building compared to the previous is that it would accommodate the sick and insane as well.  A hospital for the sick and insane was built in connection with the Almshouse. The Philadelphia Hospital is the oldest hospital still in operation in this country.

In 1764, the admissions were too much to handle for the size of the Almshouse and the Overseers turned to the Assembly for assistance. No action was taken as conditions worsened while the building became overcrowded until people were finally forced to be turned away. Those turned away were not receiving any care or work and those who were, received poor care and minimal work.  

In 1766, the Overseers once again turned to the Assembly for assistance. This time they listened. On February 20, 1768, “an act for the better employment, relief and support of the poor within the city of Philadelphia, District of Southwark, the Townships of Moyamensing and Passyunk and the Northern Liberties” passed.

This Act guaranteed any person that contributed ten pounds toward the Almshouse, would become a member of the Corporation with power to elect twelve Managers and a Treasurer. These members were referred to as Contributors to the Relief and Employment of the Poor within the City of Philadelphia.

The Contributors held their first meeting in the Courthouse, on the corner of Second and Market Streets, on May 12.  

philadelphia almshouse aka bettering house on spruce and pine and tenth and eleventh streets
Philadelphia Almshouse aka the Bettering House, 1767.

The land bound by Spruce, Pine, Tenth and Eleventh Streets was purchased with the assistance of Governor John Penn for the location of another Almshouse. The Contributor’s motto for the seal of the Corporation was entitled, “Charity, Justice and Industry”. 

Two buildings opened in October 1767 along with the ‘House of Employment’. This establishment was referred to as the ‘Bettering House’ because the ‘paupers’ made goods of wool, hemp, flax and cotton. 

Poor Conditions 

In 1784, shocking conditions were reported at the new Almshouse. Paupers were served unwholesome food such as outdated butter infested with maggots. There was a severe lack of clothing being worn and the women suffering from disease were placed among the healthy.  

The ‘Managers of the House’ charged the Overseers with irresponsibility in the collection of taxes.  

John Reynolds, a Jailor, was accused of extortion when he was caught charging a half dollar to open the gate to Potter’s Field. Potter’s Field or ‘poor man’s burying ground’ was located on the land known today as Washington Square. This was the burial ground for the paupers who died that could not afford a proper burial. Grave robbers would steal bodies at night and sell the cadavers to medical students.

The paupers would rummage the Almshouse at night and exchange clothing and furniture for rum across the street at the bar. Since the grounds were not enclosed or fenced in, the paupers were free to come and go. 

Yellow Fever 

Bring Out Your Dead!

In 1793, the city of Philadelphia was plagued with yellow fever. The Guardians of the Poor refused to admit newcomers into the Almshouse to prevent the disease from entering the building, but the fever made it in anyway.  

The feverish paupers were sent to the ‘Hospital at Bush Hill’ as panic erupted. The streets were being evacuated while boxes of dead bodies were carried down the streets to the graveyards. Coffins piled, bodies lay rotting on streets, and the cries of “bring out your dead!” could be heard throughout the town.  

Yellow Fever in the Streets of Philadelphia, 1793.

In September, May Clarkson called for volunteers to relieve the Guardians of the Poor by taking on the task of offering aid to the Almshouse during the plague. It’s been said that nearly 17,000 people (Stough, 1939) fled the city of Philadelphia along with 5,000 deaths. In December, admissions reopened when the fever went away.  

In 1798, whopping cough was the latest illness to plague the city of Philadelphia. This time, nearly 50,000 people fled the city.  

In 1803, the Almshouse was overcrowded again, and another fever panic broke out. The Guardians attained the building known as the ‘Pennsylvania Arsenal’ as a temporary hospital and another building that belonged to Dr. Curry on the bank of the Schuylkill River near Race Street.  

Meanwhile, patients in the Pennsylvania Hospital were dying of neglect. Mistreatment was prevalent among nurses. Medicine was tampered with, and patients were deprived of their medicine doses. For example, one patient that was supposed to be injected was given pills instead and died from an overdose.  

Poor Conditions Increase

The committee reported that the Almshouse was obviously overcrowded, and the increasing population of Philadelphia would guarantee more overcrowding.  

Another institution was developed. It had a poorhouse, a house for reception of the aged and infirm, an orphan and foundling hospital, a ward for indigent women, apartments adapted to the treatment of the insane, workshops for those who are capable of exercising every species of industry and a hospital for poor patients requiring medical and surgical treatment.  

Here, a man jumped from a window in the male ward. He survived and his legs were chained to his bed to prevent him from jumping again. He was found dead the next morning, still chained to his bed. No one examined him after his fall, and he had sufficient brain injury. which went unnoticed. Iron bars were installed on windows to prevent the men from jumping.

Inmates were sold liquor outside the Almshouse at the Spruce Street tavern. Friends of inmates also smuggled liquors in. The Officials were dumbfounded as to what action to take to prevent this from occurring. So, they decided to prosecute the owners of the tavern and the drunken paupers were punished. Of course, the drunkenness continued anyway.  

Patients were placed in dark, damp cells in the eastern wing. The medical doctors didn’t trouble themselves with them. It appeared to the surgeons, that insanity was incurable, so they were caged like animals and exposed to the gaze and jeers of visitors who laughed at them.  

On September 20, 1811, at a meeting of the Managers, surgeons were very upset. They had to perform difficult operations in darkened, dirty rooms overcrowded with sick patients. They thought the paupers should not be exposed to watching operations because it was too terrible and cruel.

After some complaints, the Board devoted an entire separate building just for surgical operations so the physicians could focus and learn.

Typhus Cartoon.

The war between the United State and Great Britain caused an increase in the population of the Almshouse just as Typhus fever broke out in 1818 and again in 1820.  

In 1822, complaints were made about the way the Almshouse were burying their dead. It is custom to dig a number of pits, say about seven feet by four, at the opening, and nine feet in depth. These pits are wide enough to admit of laying two coffins in the bottom, which they cover with about two inches of dirt, until two more coffins arrive, which they place on top of those already there, when they fill the pit up.  

A New Almshouse 

In May 1826, serious considerations were made to move the entire Almshouse population to a farm of one hundred and fifty acres about one and a half miles away from Broad and Market Streets. The committee was authorized to employ an architect to draw plans and make estimates for this new hospital.  

In the fall of 1827, a large number of patients were transferred from the Almshouse to the newly constructed Smallpox Hospital.  

An Act was passed on March 5, 1828, to establish a new Board called the ‘Guardians for the Relief and Employment of the Poor of the City of Philadelphia, the District of Southwark and the Townships of the Northern Liberties and Penn.’  

Twelve people were elected and called the ‘Directors of the Poor Tax,’ to establish funds for the new hospital. These Directors were ordered to sell the old Almshouse to generate money to put toward the purchase of the new farm site and the new buildings.  

The Commissioners chose the Hamilton Estate along the Schuylkill River in West Philadelphia with the approval of the Guardians. This cost two hundred and seventy-five dollars an acre, which would house 1,250 paupers, divided by sex and classification.  

Altercations 

The Committee investigated a quarrel that took place between the Superintendent, Mr. Hutchinson, and the physicians. Hutchinson made remarks about the physicians not being able to raise money to pay their costs. Dr. Hunt made a comment that a celery glass would make a good hog-trough for Dr. Hutchinson. Dr. Hunt threw the contents of a tumbler at Dr. Hutchinson’s face but missed. Dr. Hutchinson picked up another tumbler and threw it at Dr. Hunt. Then he threw the contents at him one by one. Dr. Hunt grabbed a fire poker from the hearth and approached Dr. Hutchinson. The family had to step in and forcefully remove him.  

At a Board night, the House serves a luncheon at eleven o’clock and supper at nine o’clock. On this evening, Dr. Clarke removed a plate from a servant and said the meat was spoiled, so he placed it on the floor while Dr. Jones kicked it into the passage of the hall. The next day, the piece of meat was served to Dr. Hunt for dinner.  

The Guardians approved the plans that had been adopted for the new buildings, but the members dissatisfied with them. There was constant friction between the two Boards because the Guardians believed the plan was rushed and not perfected. So instead of working together, they drifted apart. This caused delays in the construction work and left the contractors, Corlies & Cowperthwaite, out of work and without pay. The contractors expected the Commissioners to pay the difference. So, the commissioners agreed to purchase the oak plank and nails.  

In 1832, cholera made an appearance in the wards of the Almshouse, so the Sisters of Charity at Emmetsburg took charge of the wards in order to help. These women left a healthy home to inhabit a diseased and infected city to aid strangers back to health.  

On July 30, 1832, the Guardians rented a building on Broad and Vine Streets for people who had Cholera and named it the Broad Street Infirmary. It closed on September 3 when the cholera disappeared.  

On November 12, a report was made by the ‘Committee of the Whole’ that the new Almshouse across the Schuylkill River would be ready for inmates on May 1, 1833.  

When October arrived, the new Almshouse was not ready for occupancy because the budget was less than estimated and funds were required. The Guardians threatened to move all the paupers to the new Almshouse between April 1st and 10th.  

Six loans were taken out to continue the construction.  

The first meeting of the new Almshouse was held July 28th, 1834, four years after the beginning of construction and the name ‘Blockley’ was established.  

The adult paupers were moved into the new Almshouse while the old Almshouse was auctioned off in order to allow the children to be moved over to join the adults.  

A ferry carried passengers over the river from South Street to the wharf on the Almshouse grounds for a small fee. There was a bridge at Market Street that could be used as an alternative.  

Sluice gates were placed in the bank over the river to harvest a crop of ice in the winter.  

The grounds were fenced off and a small house was constructed near the gated entrance that housed the gatekeeper.  

The graveyard was under the watch of the ferryman and was the center of a scandal. The Guardians were often nicknamed the ‘Board of Buzzards’.  

The new Almshouse attained the name ‘Blockley’ because it was located in Blockley Township, in the unsettled ‘Liberty Lands’. Today, this area is known as Northern Liberties.  

William Warner 

William Warner was a Puritan who lived in Blockley, England. He was the first white settler to enter the unsettled land in 1677, naming his plantation after his home in England, hence the name Blockey.  

William Warner was a captain in the army of Oliver Cromwell who was obnoxious to the Royalists. After the death of Cromwell in 1658, fearing his life, Warner fled his homeland and came to the American wilderness, as many hunted lovers of liberty did. He lived here for many years communicating with the Indians and telling them tales of civilization in England until he met William Penn, when he was Governor, in 1684.  

Captain Warner had a lot of money and social and political influence. He took an active part in the organization of the first provincial government of Pennsylvania, when he served as a justice of the court and was elected as a member of the first Assembly, which was chosen under the rule of William Penn. Warner expressed his beliefs in the peace principles of the Society of Friends.  

Blockley 

There were more foreigners in Blockley than Americans. Many detested the idea of countries dumping their paupers on our shores. Many districts, with increasing populations during this time, established their own poorhouse. The Guardians charged foreign emigrants two and a half dollars when they entered the Port of Philadelphia. This was called head money.  

Mr. Hutchinson, the man attacked with pens a few years ago, was under investigation for taking too many supplies from Blockley to use at home. He was discharged.  

There were eight young resident physicians who were under the direction of the Visiting Staff who were not allowed to prescribe medication except in an emergency. These rules were never followed.  

Physicians used rude and abrasive language in the presence of women during dining hours. A dozen physicians were discharged because of this. The physicians wanted their job back, but the Board refused to re-instate them, so they published a statement in the Ledger to justify their actions and assailed the Guardians.  

A guard was employed to safeguard the dead and meet with their friends and family so they can remove the body. One day, two Board members entered an unoccupied portion of the building to discover the mutilated remains of a human body that were there for several months. The explanation was that the remains were “overlooked”. A Chief Resident Physician and his assistants were elected to have ruling over the Medical Department to prevent these this from happening again.  

On November 10, 1845, college students held a protest over the restrictions placed for obtaining corpses from the Blockley Almshouse. Students regularly removed bodies for study. They claimed any obstacle placed in their way of obtaining these bodies would be injurious to the interests of science.  

The students stated that the paupers were of no use to society while living and there was nothing wrong with making them useful while dead.  

The Board was outraged.  

Few, and perhaps none, are so deadened in feelings as not to desire the rites of Christian burial, for who would not revolt at the idea, if they were consulted on the subject, of permitting their bodies to be exposed in the lecture room, cut to pieces for the benefit of the schools and then thrown into a pit containing the remains of hundreds of others. All look to the Guardians for protection; no distinction is practical or expedient. To trifle with or disregard these feelings is a cruelty altogether unjustifiable. Burial here, during the lecture season, is a mockery, and to be buried elsewhere is sometimes asked as the last and greatest favor. It is not to be supposed that these fears and exciting anxieties do not produce evil effects on the sick and often diminish the chances of recovery, for they haunt them until the last house of life and increase in terror as the moment of dissolution approaches. And may not this anxiety to have the remains cared for and protected after death be partly produced by the idea that the spirit may continue to be cognizant of what is done to the moral part? That death does not mean a total disconnection? No immediate action was taken. The majority of the Board agreed that colleges must have subjects and if the supply were cut off, the bodies would be stolen from their graves, so it was better for those who died without friends or relatives to go to the dissecting rooms.  

Scandals 

Nurse Welsh left the House on August 15, 1848 and returned four days later leaving with two boxes. Items were missing and unaccounted for and it was assumed that Nurse Welsh had stolen them. The Board dropped the matter. Shortly after she left her duties, she was sent to the Penitentiary for throwing vitriol in a man’s face that destroyed his eyesight.  

In 1849, the heating in the Insane Department was very poor. Stoves were used in the halls and congregating rooms but not in the sleeping quarters. Inmates suffered through the cold winters with temperatures below freezing. A nurse was using a wet cloth to wipe a frail female inmate down as it froze in her hands. An inmate was found under her bed wrapped in her bedclothes; the water in her room was frozen and the thermometer read 13 degrees.  

To solve this problem, the buildings were going to be heated by steam.  

The female lunatic department was under the charge of a male superintendent who slept with the paupers. The most violent patients destroyed their clothing and stripped themselves naked in a fit and were taken advantage of.  

A female superintendent was hired, and the male was removed.  

In May, cholera raised its head again.  

The gutters of the city were flushed with water, the schools were given vacations and many buildings were used as temporary hospitals. City hospitals were now open in Cherry, Pine and South Streets, Bush Hill, Moyamensing, Southwark, Northern Liberties, Kensington, Richmond and West Philadelphia.  

Four weeks later the first attack of cholera at the Almshouse was reported. William Jones was admitted into the black male medical ward and died with the disease that night. The mortality rate was high, death was common and the “death book” overflowed with charts and notes.  

In 1853, tracks were laid for the Philadelphia and West Chester Railroad, which ran right through Blockley.  

The Consolidation Act 

On February 2nd, 1854, the ‘Consolidation Act’ was passed by Legislature, which abolished the government in the districts, boroughs and townships. They were forced to turn their power over to the government of the city of Philadelphia.  

The Guardians lost their power and authority but were chosen to create a new department that came under the same rules and regulations as all the other departments in the city. This change caused friction and took many years to bring both bodies of ruling into harmony.  

Cholera made another appearance in Blockley on July 7th, 1854. There were 300 cases reported; half resulted in fatality. 

Scandals Prevail 

Scandals were reported left and right. Men were accused of spending the night in the female ward. Items were purchased for the benefit of the purchaser’s home-life instead of putting them to use in Blockley.  

In December 1854, 150 paupers were moved from New York to Philadelphia to be admitted to Blockley. The Guardians refused to admit them and were furious that New York threw these people at the taxpayers of Philadelphia as a way of getting rid of their undesirable burdens.  

On September 1st, 1856, an article in the Daily News accused a member of the Board with prostituting his office by selling the bodies of the deceased paupers. The editor was called upon to investigate the allegations. Apparently, no account was kept at the graveyard on the number of burials and the only real records were the small pieces of paper tacked on the heads of the coffins and were removed from various coffins between reaching the grave and had been found blowing around on the grounds of the Alms.  

Dr. Smith, the Chief Medical Officer and member of the Board of Guardians, admitted he preserved two dead bodies for obtaining two rare specimens of disease and claimed his status gave him the right to exercise this act for the advancement of medical science. Dr. Smith and his assistant were equally anxious to obtain the fractured arms of a female who died of consumption to obtain specimens of morbid anatomy. Dr. Smith had trouble preparing the body to prevent decomposition and took the aid of another physician, outside the Alms, who procured them. The Committee was very ‘anxious’ themselves to find out how on earth Dr. Kelly removed the body parts from the Alms. They asked if he simply walked out with them by concealing them in his vest pocket or if the body simply walked out.  

In the winter, medical students were charged ten to fifteen dollars for each human subject, of which died at the Almshouse without friends or family, for the dissecting tables. The ferryman in control of these transactions simply pockets the money along with the Superintendent.  

In 1861, prisoners were sent to the State Insane Asylum at Harrisburg under the act which established the State Asylum admit the criminally insane. Those who were deemed incurable were sent back to the prison or to the Almshouse. A committee of three were appointed to examine and report the number insane, epileptic and idiotic patients that the Almshouse will have to provide space for.  

In 1862, the roof was in poor condition and needed new covering. The old copper was removed and replaced with tin. The copper was sold for a whopping $35,070.78 and the tin cost $12,496.28 and the balance was put toward the children’s asylum. It was said for years that “the ‘Board of Buzzards’ stole the roof off the Almshouse.”  

A vault was built for the safe keeping of dead bodies from those who died in the Alms. It cost only $100.00 to erect such an encapsulation. It was 25X20 feet and held forty-two coffins. An inmate committed suicide by drowning herself in the bathtub.  

The colleges were entitled to the bodies of the paupers and were thought to be able to get them without paying a fee, similar to the ways in New York. The vault was used as a temporary storage area for the bodies in case family claimed them or they were far too decomposed to be used in dissection.  

When the vault was not used during warm months, the students would steal the bodies. The watchman on the bridge reported seeing bodies being taken over the bridge every night. Three weeks prior, a body had been found lying near the fence and it was assumed a student was disturbed and fled without the body.  

The body would be prepared by injecting the proper substance into the veins and preserving the body in whiskey for lectures in the fall.  

At six o’clock in the morning on July 20, 1864, as breakfast was being prepared, the foundation of a pier which supported the arches and upheld a chimney stack and walls that rested on the joists of the second, third and attic stories of a tier of wards in the woman’s insane department, collapsed without warning as the chimney fell in burying the patients. Seventeen were killed and twenty-three were injured.  

It was discussed whether to purchase Treaty Island, otherwise known as Petty’s Island for a County prison, penitentiary, Almshouse and house of correction and refuse. No action was taken.  

On June 12, 1882, the special committee investigated the management of the Almshouse during which 90 witnesses had been heard and 1,450 pages of type-written testimony were taken.  

In their findings they state:  

The House kept no commercial account books and purchases are made without detailing the goods and their quantity. The Storekeeper never balanced his books nor were they ever audited.  

The inmates complained the food was insufficient and of bad quality and poorly cooked.  

The flour was unfit for human beings to eat.  

Patients were only given bread and coffee, without milk or sugar and at times were given butter during breakfast. For dinner they had tea and soup without meat. The bread was sour, the babies’ bottles were unwashed and the fresh and old milk was mixed and skimmed.  

Some inmates were without bedding and clothing.  

Richard Penn, a policeman and attendant in the insane department testified that he had seen Michael Houten who was in charge of the sixth ward knock over the elderly insane and that Penn was only discharged for complaining while no action was ever taken against Houten.  

The children were rumored to have been drugged or diseased when they could not be kept alive any longer.  

On the night of February 12, 1885, around eight o’clock, a fire broke out in the main building of the Insane Department and nineteen patients died. The Pennsylvania Railroad Company offered one of their vacant depots at Thirty-second and Market Streets as a temporary asylum and was accepted until patients could be send to the State Hospitals.  

In the late 1800’s, advancements in medicine and psychiatry created Blockley into a traditional hospital. A nursing school was opened in 1885. In 1903, operations of the hospital were turned over to the Bureau of Hospitals in the Philadelphia Department of Public Health. In 1906, the insane were moved to the Philadelphia State Hospital. In 1919, Blockley was renamed the Philadelphia General Hospital and slowly replaced with more modern construction.  

In the 1930’s, portions of the hospital were turned into an electrical plant and demolished in the 1970’s, creating a parking lot. 

Shocking Findings 

In 2001, construction began on the location of the parking lot to build a parking garage. Excavations exposed portions of the soil which also exposed graves. Dozens of boxes of autopsied skeletal remains, from cadavers that had been used to train the Almshouse’s medical staff were disposed of in the landfill on property, not far from the cemetery. Fragments, loose bones, and 450 bodies were found and relocated to the Woodland Cemetery.  

If you would like to see photos of the grave, check out this site.

References

First Baptist Church (Philadelphia, Pa.), “Poor book: 1767-1769,” Philadelphia Congregations Early Records, accessed July 19, 2022, https://philadelphiacongregations.org/records/item/ABHS.FBCJoshuaMoorePoorBook1767.

Scharf, J. T. & Westcott, T. (1884). History of Philadelphia: 1609-1884. https://books.google.bj/books?id=w0sOAAAAIAAJ

Stough, M. (1939). THE YELLOW FEVER IN PHILADELPHIA 1793. Pennsylvania History: A Journal of Mid-Atlantic Studies, 6(1), 6–13. http://www.jstor.org/stable/27766332

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New Suicide Hotline

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988 Suicide and Crisis Lifeline Logo

As of July 18, 2022, to reach the national suicide hotline, dial or text the numbers “988.” If you’re experiencing a mental health crisis, call or text “988” and you will be connected to a confidential mental health professional. The current lifeline phone number will stay the same – it’s easier to remember now.

Visit the new website at 988lifeline.org.

Mental Health Funding

There has been an increase in mental health funding. In my state which is Pennsylvania, for instance, there is a new $43 million budget for county mental health offices who provide at-home and community based behavioral health services. Adult behavioral health care will receive $100 million. Also, schools will receive $100 million. Each school district will receive $100,000. Charter schools will receive $70,000.

The $43 million is a 5% increase in the budget. There hasn’t been an increase in funding in ten years. In 2012, funding slashed more than $1.8 billion from their budgets for services for children and adults living with mental illness. Our state has unused funds left over from the relief budget which is going to fund important programs that will help communities.

Pennsylvania Youth Survey (PAYS)

The Pennsylvania Youth Survey is a survey of youth in grades 6, 8, 10, and 12. The survey asks questions about students’ school environment, attitudes, knowledge and behaviors concerning alcohol, tobacco, other drugs, violence, depression, other problem behaviors, and risk factors.

  • 40% of students said they felt sad or depressed most days in 2021.
  • More children also planned or considered suicide in 2021 as compared to the previous 2 years.
  • Self-harm has increased.

To learn more about your state, search “mental health (your state) stimulus funds” or “(your state) remaining covid relief” or check out the State Oversight of Federal Stimulus Funds.

Making Friends with Chocolate Milk

Creative Writing

My first friend in life was a girl my age who lived in the big white house behind my big beige house. When we were both playing in our back yard, I would plow through the garden to see her through the fence. My grandfather cleared a spot so we could mumble gibberish in our diapers. 

She moved. The spot grew over. 
 
My next two friends were my neighbors Christopher and Ryan. Ryan had tall skinny legs, short curly blonde hair, thick glasses, and emblemized cartoon characters. He was older than me, which is a big deal when you’re five, but he was mentally disabled, so we were the same age. He loved to play hide-and-seek in my back yard and drink Yoo-Hoo. “Yoo hoo!” he would shout, tapping on the sliding-glass door, “Yoo hoo! Yoo hoo!” 
 
I don’t remember the first time I met him, but I didn’t think twice of his disability. I thought he was goofy, and he was always smiling. He was never sad or mean or rude and was always up for anything. Every idea I had was fantastic to him. We had fun watching cartoons, playing games, and eating lunch together. 

The only problem was as I grew older, he stayed the same. 

My mom was working as a waitress at the Sheraton and her boyfriend’s mom, later my step-grandmother, would watch me at her town home, which later became my house. Both homes were separated by my elementary school, and this is where I spent the first twelve years of my life. 
 
Her house always smelled like macaroni and cheese, and we watched cartoons like Little Bear and Gnomes as she read all the words off the screen to me. One day she put in a VHS tape called, Gone with the Wind and said it was her most favorite movie of all.  

We picked blackberries out back and I ate lots of tapioca pudding and Super Mario fruit snacks while she braided my long red hair. 
 
It was a cool summer morning, and I was in the front lawn when and she brought my tricycle out of the garage. I peddled down the sidewalk, waiting for her to holler at me if I went too far, which I did, because there was a little blonde girl at the end of the sidewalk also riding her tricycle. 

“Sarah!” she hollered. 

I turned around and peddled back, telling her about the girl. She walked me her house and we met her mom and that’s when I made my first real girlfriend. Her name was Kiri, and her mom was a nurse named Teal, like the color of their siding. 
 
They had an end-unit, which was one-story, and Kiri and I would play Pretty Pretty Princess in her bedroom or hang out in the play shed her grandfather built in their over-sized backyard. 

Tyler climbed the tree in Kirk’s side-yard; it was the tallest tree in the neighborhood, and he was destined to climb it. We climbed every tree in that neighborhood, but no one climbed as high as he did that day even though he fell out of it. 

He’s unconscious. 

Trevor runs in to the house. Teal runs out of the house in her scrubs and white keds, “Is he breathing!” she screams. We were always climbing trees, even pine trees, but this one spit him out. 

Kiri’s parents divorced and they moved in with her grandparents babysat me from time to time. 

We sat in her new split-level living room playing the Little Mermaid on the Nintendo and built forts in the basement, which always smelled like fresh laundry. It was spectacular like an old, confusing, cluttered maze of pipes, alcoves, boxes, records, an over-sized green chalkboard and a ballet floor with a railing and mirrors. 

We danced to Michael Jackson on the television, played ballet to the music on the radio, and ate lunch in a make-believe restaurant. 

When her family took me camping in the summer, we backed down the driveway in their station wagon chewing Zebra gum as I waved goodbye to my mom who never let me sleep over anyone’s house. We pulled-up to a motor home by a lake full of tad poles, walked to the carnival and went on all the rides. 

When Kiri’s dad died, the world got a little darker. 

Life went on and we invented and played a lot of games: bike games, tennis games, hide-and-seek games, knock-knock zoom-zoom games that took us peeling off through the alleyways for shelter: running past houses, turning corners, dipping under tree branches. 

We stop behind a white fenceless house and the blinds on the windows abruptly flew open. We froze and held the breaths we were trying to catch, staring. Nothing interesting happened and they slowly closed. Trevor and I looked at each other perplexed and stood up. We took a few steps forward to look and the blinds flew open again as we jumped in surprise. Then they slowly closed again. We took a few steps closer, and the blinds flew open, but we expected it and didn’t jump out of our shoes as they slowly closed one more time. 

For an hour, we moved closer and backed away as the blinds flew open and slowly closed until we walked away with our heads turned staring until the house was out of sight. The following week, we took a trip down the alley again, but this time nothing unusual happened. It was just a plain white house with the blinds closed. 

I experienced my first language barrier when Jessica, her little sister, and her family moved onto our street, “How do you say ‘moon’ in Spanish?” I asked, pointing at the moon. “Luna. La Luna brilla,” Jessica said. Never mind that my step great grandparents had a thick Gaelic accent because it came out to me clear as plain English. 

Her parents invited me inside once for ice cream on a cold day, but it took too long to thaw, so we played in her sand box in winter jackets. She was very quiet, but beautiful with long, shiny black hair and round, dark brown eyes. Her mom let her play with red lipstick and wear pretty shoes. Her little sister constantly rode circles in the driveway on her tricycle with colorful plastic strings dangling from the handlebars while she bit her pretty nails to the bone. 

My second language barrier was when two young Indian girls moved in next door to Erika and Heather with their parents. We had to remove out shoes when we came into their house through the garage. They didn’t have much furniture and slept in the family room. 

Then there was the quiet girl, who never spoke at all; she power-walked home from the bus stop in sixth grade. We didn’t know she existed until our first day of school while we watched her bolt past us, books-in-hand, down the hill into her house, shutting the door, and looking out the window at us; staring. No one knew her name and when we knocked on the door for her to come out, her dad said she was studying.  

She was always studying. 

My first day of middle school was horrifying; walking down the sidewalk in the opposite direction, an hour earlier than normal, toward my bus stop. I had never been on a bus in my entire life: my elementary school was directly behind our neighborhood. 

Walking down the sidewalk in my best clothes dragging an empty book bag, Heather slides open her bedroom window and waves; she’s getting ready for her first day of fifth grade. I met up with Erika and Heather out front of their house so Erika could show me where to stand. I wished Heather was here – little Heather, we called her – big Heather was mean to me. Earlier that year, she threatened to kill my cat, so we weren’t the best of friends. I spent more time with her older sister, Erika. 

Erika and Heather’s dad lived In Pittsburgh, so they were gone every other weekend, and when they were gone, it was quiet. They lived on our block with their mom, stepdad and younger half-sister, Ashley, who once drank rubbing alcohol. Their house always smelled like food, but Heather said it’s because, “my mom burns everything.” 

We played cab driver in their abandoned Sebring. Her mom drove a rusted van and was occasionally religious. “I can’t be your friend anymore,” Heather said to me one day while riding bikes around the block. “What?” I asked. “My mom said your parents listen to devil worshipping music,” she said, referring to alternative rock; and this was before she threatened to kill my cat. 

Erika didn’t know who the Spice Girls were, so we put the cassette in my boom box and danced around my bedroom. We collapsed from exhaustion, “Show me more.” She said, breathing heavy, “That was fun.” 

Erika accused Heather of eating her deodorant. “Look, teeth marks,” she says, tilting the baby-powder fresh tube at me. “Why would I eat your deodorant?” asks Heather. She told me your period comes out of your butt. I told her she was, “Full of it.” Her stepdad walks past her open bedroom door, and she asks for him. He steps in the room and asks what we’re up to. “Does your period come out of your butt?” She asks. He’s stunned, “Sure.” He says, walking away. 

They both shaved their legs, I didn’t. They talked about sex with their mom, I was afraid to. 

They had the craziest stories. 

Their house was haunted by a colonial soldier who ate breakfast with them, and his body was buried in the woods across the street. During a sleepover, we were lying on our bellies on the carpet, and they told me a ghost story about Heather’s daybed. Claiming a young girl was murdered in it and that their mom bought it cheap at a yard sale. Heather starts screaming and is halfway under the bed with her hands grasping the feet, pretending to get sucked under. It scared the shit out of me. 

We pinned sheets to the ceiling around her bed and jumped up and down to devil-free music and filled water balloons, tossing them out of the window at the teenagers passing by. 

The teenagers were a group of older kids in high school who smoked, cursed and caused a lot of trouble. If we were playing outside and they walked by, we ran indoors. Unless you were with Trevor – he instigated them. 

Standing at the foot of his driveway discussing video games, a drunk girl stumbles down the street in a jean jacket. Trevor asks if she had a rough night. She’s waving her hand around, “You little shit!” walking up the drive-up at us. 

We dart for the front door. “Lock it!” I yell. She pulls a whole cabbage out of the rock garden, roots and everything, and chucks it at the glass door as dirt explodes all over the front porch. 

I’m stunned. 

Trevor is doubled over in a fit of uncontrollable laughter. “Your mom is going to kill you,” I said. 

They broke into my neighbor’s house while they were away on vacation and threw a party. I woke up to red and blue lights flashing in my window. My stepdad called the cops every time they broke bottles in the playground behind our house. I sat and watched through the window as a police cruiser crept over the hill through the field with his lights off as they scattered, running past our house down the alley. They almost shot me with a pellet gun one afternoon. I didn’t see anyone at first but herd, “Shoot her. Shoot her,” as I look around. I see two boys standing behind a chain linked fence a few yards away pointing a gun at me. 

I took off down the street. 

These were all white, middle-class suburban kids; mind you. The Valley was a very strange place. Tyler was escorted home by the police one night for starting fire to the dumpster behind the 7-11 and I walked in one three people fucking in the woods. 

Erika and Heather’s mom called the police. We sat on the curb eating cherries, waiting to see what would happen. The police pull up and go into the far end of the woods where the trail is, and two half naked people come darting out of the front of the woods and run down the street. I’m not sure what happened to the third person, but the police took off, on foot, after the others. 

Earlier that day, two people came to Erika and Heather’s house asking their mom if they could have to sofa at the curb, claiming their grandmother wanted it. She said sure, and they carried it off. The police found it, unfolded in the woods on cinder blocks. 

One summer week, we had so much rain it flooded our streets. I’m leaning against the windowsill, watching the water and my stepdad wander out of the house, trudging through the water in scuba gear, opening all the manholes with a crowbar. Lawn ornaments and chairs were swept away. 

In the winter, we held team snowball fights, blindly tossing them over Ben’s wooden fence hoping to nail someone in the face. When my stepdad plowed the street, Heather and I dug a snow fort in the biggest pile of snow we could find. Just as it was getting dark, we sat inside it giggling. I hear chains coming down the street and Trevor plows his bike into the side of our fort as it caves in on us. Screaming, we dig our way out and walk home. I was not pleased. 

We went sledding in the valley and I nearly slammed into the brick wall of my elementary school. I loved trekking through the thick snow in my snow pants, winter jacket, hat and gloves frozen to the core as the streetlights come on, coated a thin layer of powdered snow. I would come inside, get undressed on the linoleum as my fingers tingled with my cheeks red and warm.  

I drank hot chocolate and watched movies with my mom. 

No matter the season, I had to be the house when the streetlights came on: nine o’clock in the summer; five o’clock in the winter. 

I Enter the Lightly Furnished Apartment

Creative Writing

It’s quiet. It’s dark.

Sunbeams shine on the other side of the planet as moon hangs in the sky and the light bulbs are all turned off. To my left, within a room, is the flickering of a large wooden television set that is resting on the floor with its antennas outstretched toward the ceiling, wrapped in aluminum foil. On the screen is written ‘mute’ in red as an animated scene unfolds, fading in and out of static as two people share a conversation behind a desk: a newscast.

Directly across from the television is an opened folding table. There is a worn-out impression on the sofa cushion. Bits of beige padding bulge through torn holes in the fabric, hatched with cat scratches. A short rectangular coffee table with a glass center sits on the floor between the television and the folding table, its legs sunken into the shag carpet; a magazine is opened face down on its surface.

In the corner rests a dark, plaid worn-out recliner contrasting the yellow cigarette-smoke-stained walls. An old dust coated vacuum sits uncoiled on the floor, plugged into an outlet.
There is a faint red glow in the small kitchen, on the stove, in harmony with the sound of bubbling from its hot burner that is boiling a large pot of water, the lid rests on top of the counter.

Turning the knob, I push open the front door and walk into daylight.

Looking down, my hair dangling in front of my eyes, the soles of my shoes are on the surface of the tarred blacktop. I raise my head, eyes following, observing from left to right, a chain-linked fenced – I am spatially positioned in the center of a play area with toppled-over toy cars and asymmetrical building blocks scattered about – the bright glowing ball of light in the sky sets rapidly over the horizon, dropping into the ocean.

Crickets chirp and stars twinkle in the warm summer abyss; the moon intensifies its glow.
A rustling to my right parts two bushes revealing a girl peddling a small, sun-warped and faded, plastic big-wheel bike through a hole in the fence. She rides circles around my legs as the black plastic wheels buzz on the rough pavement from one ear to the other. She speaks as sporadic as her cycling, rambling nonsense with a very emotionally sensitive irrationality.

I walk toward the hole in the fence as she follows

Buzzing.

Directions to My Heart

Exiting off Route 422 at the Royersford/Trappe exit, making a left at the traffic light, to the right is a Giant shopping market and miscellaneous stores where people spend their money on the weekend mornings for their families that live in this little suburbia town, I find myself visiting frequently.

At the next traffic light, on the left, is the Royersford Wawa on 10th Avenue and Main Street.

Turn left at this traffic light, which sometimes chooses not to work in this lazy town. So, whether it is green or not is up to the time of day I suppose.

Pulling into the parking lot, it becomes often difficult to find a spot since they are full at any given time of the day claimed by different people with different place to go on different time schedules. Some are late, some are early, some are bored, some are busy, some are rich, and some are poor. Once inside, no one knows your name or your intentions unless they are keen at the art of reading people, which I often find myself doing at all times.

By the look of our clothing of choice and the vibe we give, maybe one out of ten people can assume we’re going atop the hill down there, a mile away. Many stops in to buy cigarettes and coffee or the Daily Local. My purchase of choice is usually a chicken salad sandwich, peanut butter M&M’s, vitamin water, coffee or a fruit punch energy drink. A bathroom dash is always in order. Looking at my hair in the mirror is an unconscious confirmation of events.

Being inside this establishment is a notch in the journey and in roughly forty-five minutes, we will be at the top. Roaming the store from refrigerated drinks to the food counter and register, I purchase my items never accepting a bag for I know I will be putting them in my dirty, black book bag later.

Re-gathering at the car, once the driver unlocks the doors, we get in. Noises of food opening, bags un-zippering, change being jingled, and money being folded occur as the engine starts.

Brake lights dim, a flash of white light as gears go into reverse, backing away, into drive, we follow Main Street over the Bridge into historic Spring City, which resides in Chester County, Pennsylvania. Built in 1867, the population today is estimated to be 4,000, ninety percent white men and women. I imagine when I’m going to eat my food.

Sometimes I will manage to juggle my belongings and eat a sandwich and sip my drink on the uneven trail. It is far more enjoyable to sit and rest to reward myself after a successful walk. My favorite spot to do this is on the roof of Canteen, Limerick Hall. I refer to it as my ‘Zen Spot’. Climbing out of the window, sitting on the flat roof, dangling feet (two if you’re lucky) over the edge. The Administration building is to the left of you, Dietary to your right. Blooming trees surround you.

Parking the car behind the Burger King, the only fast-food establishment in this part of town, getting out, two feet on the pavement, pulling a hoodie over your head, gathering your food, batteries, flashlight, tripod, camera, film, lens filters go neatly into your book bag. Don’t forget to reach down and tie your shoes.

I Take a Bite

I stop weaving in and out of puddles on the ground. I walk through the puddles. I step into the puddles – splash – my feet are wet, and my socks are soaked within my shoes.

pennsylvania state tb hospital ward dividers and retro lamps
State Tuberculosis Hospital. January 01, 2011.

Running through the field we dive through an open window, tripping over our feet in the moss covered red-bricked hallway. Dull light hits my face as each window passes us by.

The morgue is without bodies.
The wards are without nurses, without patients.
The bathrooms are without cutters, sinners and guilt.
The televisions are off, covered in dust.

At the end of the basement hallway beneath one of the far eastern buildings, we stumble upon a deliberate hole in the wall. Steam pipes run vertically from the ceiling snaking into the darkness. I duck my head and peer around a large pipe. Placing my right hand on its surface – my hand is chalked with white powder – I lower myself onto the first of three wooden steps. The light in my hand shines as I adjust the beam – I want to view the end of the tunnel – at eye level, the light unveils a dust swirling galaxy that gently passes through the beam.
We enter.

front of an active psychiatric hospital in central pennsylvania
Psychiatric Hospital. January 03, 2011.

Water pools at the bottom of a decline. I trek through it until it laps against my thighs. The voices echoing distressfully from the bodies behind me are crawling along the piping. They are dry.

Reaching into my pocket, I turn on a soft beat. It echoes through the tunnel; music raises spirits. It’s depressing down here, in this dark passage.

The tunnel starts to incline as the water splashes against my ankles. Stomping on dry ground, I wait for them.

The voices of the others were muffled as if you were standing in the lobby of an auditorium with men and women at a microphone on stage announcing the next act, the next contestant, the next show. The lights are moving closer, moving toward myself, waving in the air like fireflies as the people whose hands gripped them maneuvered over the pipes.

Water was flowing through an encased channel that cut right through the tunnel floor. There was a chunk of concrete missing. You could see the rush of water from the flood heading north while you were facing west. If it were a heavier flow it would spill into the tunnel. I thought of what it would feel like to be swept up in a flow of water hurdling at me from behind.

Water is spraying outward from a broken valve on the wall that is positioned beneath a steam pipe, which is layered in caked asbestos insulation. A steady arch of water protrudes into space and forced to splash onto the ground, splattering, anxiously flowing toward a drain to be reunited with the soil.

abandoned psychiatric hospital auditorium in south central pennsylvania
Psychiatric Hospital Auditorium. September 24, 2010.

The tunnel split ways three times. It went left and right at a crawling height. Then it went right at full height. At the dead end, it went off to the right once more and to the left was a round concrete structure that carries pipes through it. We contorted our bodies and ducked our heads to make way to the other side.

The pharmacy is without hallucination, anxiety and fear.
The thermometers are broken.
Tiles are cracked, windows are broken, and wood is rotting.
It’s dark as night.

Climbing out of the window, we’re standing in a marsh in the thin wooded landscape. It’s pouring rain and we’re very dirty. My shoes are sinking into the mud. I lift both feet simultaneously. Mud clings to the walls of my shoes.

The streets are flooded. Water pools at the bottoms of off-ramps on the hiway. I am so tired of water, pools of murky water.