Central State Hospital Comprehensive Plan on Recovery

The overall goal of the Central State Hospital Recovery Transformation Initiative is to increase patient ownership of recovery through the enhanced participation in the planning and implementation of treatment, and to train and support all staff in working toward and celebrating patient recovery.

History Behind Central State Hospital

The Early Years

The origin of Central State Hospital dates back to the close of the Civil War when in April 1865, Congress created the Freedman's Bureau to establish hospitals, schools and other facilities for the African-American population.

In December 1869, a former Confederate Facility, known as Howard's Grove Hospital, was designated as a mental health hospital for African-Americans. The name was later changed to Central Lunatic Asylum. In June 1870, the General Assembly passed an act incorporating the Central Lunatic Asylum as an organized state institution. When the Commonwealth of Virginia assumed ownership, there were "123 insane persons and 100 paupers, not insane" housed at the asylum.

In 1882, the Mayfield Farm in Dinwiddie County was purchased by the City of Petersburg for $15,000 and presented to the Commonwealth for the development of a new mental health hospital. The first patients (a total of 373) were transferred to the present site of the hospital on March 22, 1885. Ten years later, the population had doubled and by the end of 1950, there were 4,043 inpatients with 691 on parole or escape status.

Within a few years, the average inpatient population had reached 4,800 and overcrowding in the old unsafe ward buildings had become a major problem.


Growth and Change

During the 1950's, a Maximum Security Forensic Unit was built for the evaluation and treatment of patients referred by the courts. A geriatric treatment center was also erected for the care of the chronically ill and bedridden. This was the first in a series of five treatment buildings constructed specifically for geriatric services. With the improvement in community services, the Barrow Geriatric Center was closed in the summer of 1985.

The years between 1962 and 1968 brought many changes to CSH. Hospital services and facilities were upgraded and four adult treatment buildings were erected. The early sixties also saw the beginning of treatment for adolescents and the first alcohol abuse treatment program. From its founding until the passage of the Civil Rights Act of 1964, Central State Hospital served and treated only African-American Mentally Ill, Mentally Retarded, Geriatric,  and Criminally Insane from the entire state of Virginia. In 1967 the Hospital opened its doors to accept patients regardless of race or national origin and only from the Central Virginia area.

In 1971, Mentally Retarded patients at Central State Hospital were transferred to a new and separate facility constructed on the campus specifically for the the treatment of the Mentally Retarded. Southside Virginia Training Center continues to treat nearly 600 severely and profoundly retarded patients.