California established the first hospital for the insane in Napa in 1872. As the population grew, several other hospitals were added, some focusing on particular types of illnesses, disabilities, or age groups. In 1985 several of the state hospitals became regional treatment centers, many offering outpatient services. Over time, several hospitals closed and the state developed a more community-based approach to the care and treatment of the patients formerly housed in these large facilities. Records for these facilities document their operations as well as some of the patients who resided there.
Current State Hospitals
The Department of State Hospitals (DSH) manages the California state hospital system, which provides mental health services to patients admitted into DSH facilities. The department strives to provide effective treatment in a safe environment and in a fiscally responsible manner.
DSH oversees five state hospitals – Atascadero, Coalinga, Metropolitan (in Los Angeles County), Napa and Patton.
The Department of State Hospitals-Atascadero is a secure forensic hospital located on the Central Coast of California, in San Luis Obispo County. It opened in 1954 and is a psychiatric hospital constructed within a secure perimeter. The majority of the all-male patient population is remanded for treatment by county superior courts or by the Department of Corrections and Rehabilitation (CDCR). The hospital does not accept voluntary admissions.
DSH-Coalinga opened in 2005 and began treating forensically committed patients, mostly of which are sexually violent predators. It is a self-contained psychiatric hospital constructed with a security perimeter. California Department of Corrections and Rehabilitation (CDCR) provides perimeter security as well as transportation of patients to outside medical services and court proceedings. The hospital does not accept voluntary admissions.
Opening in 1916, this state hospital was once a self-sufficient facility with its own farm, dairy and animals. Today, DSH-Metropolitan is located in Norwalk in Los Angeles County. The hospital has an open campus within a security perimeter. Due to community concerns, this facility does not accept patients with criminal history that includes murder, sex crimes, or escape. The hospital does not accept voluntary admissions.
In 1872, a site was selected and work began for the erection of the 500-bed, four- story, Gothic Hospital building. The Hospital originated in response to overcrowding at Stockton Asylum, the first State Hospital. Napa State Hospital opened on Monday November 15, 1875 and is the oldest State Hospital still in operation. The Hospital was once self-sufficient, with its own dairy and poultry ranches, vegetable gardens, orchards and other farming operations. Treatment programs for developmentally disabled residents were present from October 1968 to August 1987and from October 1995 to March 2001. The Hospital does not accept voluntary admissions.
The Department of State Hospitals-Patton is a forensic psychiatric hospital located in Patton, CA, in San Bernardino County. DSH-Patton was established in 1890 and opened in 1893. DSH-Patton provides treatment to forensically and civilly committed patients within a secure treatment area. The hospital does not accept voluntary admissions.
The Oregon State Hospital, called then, The Oregon State Insane Asylum established at Salem in 1883. As the population grew, several other hospitals were added, some focusing on particular types of illnesses, disabilities, or age groups. In 1985 several of the state hospitals became regional treatment centers, many offering outpatient services. Over time, several hospitals closed and the state developed a more community-based approach to the care and treatment of the patients formerly housed in these large facilities. Records for these facilities document their operations as well as some of the patients who resided there.
Current State Hospitals
The Oregon Health Authority (OHA) manages the Oregon state hospital system, which provides mental health services to patients admitted into health facilities. The department strives to provide effective treatment in a safe environment and in a fiscally responsible manner. Hospital-level care includes: 24-hour, on-site nursing, psychiatric and other credentialed professional staff, treatment planning, pharmacy, laboratory, food and nutritional services, vocational and educational services. The hospital is accredited by the Joint Commission on the Accreditation of Health Organizations.