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Featured Article Of The Week

St. Louis State Hospital


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On April 23, 1869 outside the City of St. Louis, "St. Louis County Lunatic Asylum" opened its doors to 150 mentally ill people on what is now 53 acres in southwest St. Louis. Designed and built by architect William Rumbold, it is the second governmental facility in the state to serve this population. Rumbold also designed the dome on the Old Courthouse, site of the famous Dred Scott trials and now part of the Gateway Arch National Park. (It is believed he went on to consult on the design of the dome on the Capitol Building in Washington, D.C.) The building's bricks were made on site and cost overruns made it the most expensive facility of its kind west of the Mississippi, $750,000 in a time when annual income was $150-$200.

In 1876 the City of St. Louis separates from St. Louis County, so the facility name changes to "The St. Louis City Insane Asylum". Thirty-five years later, it was renamed "City Sanitarium". Regarded as a showpiece, a model of the western world's ability to take care of its more vulnerable, the Dome Building became a "must see" for foreign dignitaries and tourists. The elevation of its city view made it the premier lookout point prior to the 630 ft. Gateway Arch. Graffiti inside the dome attests to its many visitors. Periodically, civic and social leaders dressed up to dance with patients in the ballroom below the dome. Later, debutante parties were common in the Dome Building lobby.

By 1907, construction on wings and annexes (known as buildings B, C, D, E, G, H, I, J, and separate K building) to the original building commences to accommodate the 2000 patients and 300 staff members. More and more people are admitted to the hospital because roads and transportation improved. The next overflow crisis occurred in the early 1920s which precipitated a separate building being erected for attendants' quarters. This freed space in the hospital into which patients could be moved. By 1940, the hospital had 3,844 patients. Click here for more...