Fulton State Hospital
In 1847, the Missouri General Assembly enacted legislation to establish an asylum for the insane in the central area of the state. This institution was to provide physical care for societal "lunatics." Several counties were encouraged to bid for this institution. Callaway County was able to produce $11,500 and 500 acres of land, thus winning the bid. Fulton State Hospital, the first public mental institution west of the Mississippi River in 1851, admitted its first 67 patients in December.
The original building was three stories high, excluding the basement and attic. It contained 72 rooms and housed the same number of patients. The center of the building was reserved for a patient dining area, and lodging rooms for officers, attendants, and laborers. All employees of the hospital were required to live on the grounds, and had to obtain special permission from the Superintendent in order to leave. The hospital was almost totally self-sufficient at this time. By maintaining sewing rooms, vegetable and straw houses, raising their own food, pumping water from underground wells and streams, and making their own soap, the hospital was similar to a small city, requiring few resources from outside its grounds.
According to State Biennial Reports, several probable causes of mental illness were determined in the first cases admitted. Among the more unusual causes were indigestion, religious anxiety, disappointed love, intense study, and jealousy. Epilepsy and tuberculosis were the two most common causes. As psychiatry was virtually an unexplored field, primary emphasis was placed on the physical needs of the individuals and maintaining a system of order within the hospital. Click here for more...