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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.