Riehl found a series of excellent photos of the now-abandoned Weston State Hospital in West Virginia. Construction of this handsome building began before the Civil War.
Abandoned state mental hospitals are gathering dust across the country, due to the deinstitutionalization movement begun by President Kennedy, prompted in part by new effective treatments for chronic mental disorders and in part by horror stories of poor care and abuse of patients.
Cramer often writes (recent example here) about some of the tragedies of deinstitutionalizing those who cannot handle life. Some significant percent of urban homeless would probably have been in institutions in the past. For schizophrenia, medicine can control some disruptive symptoms, but most schizophrenics still have a terrible time dealing with the demands of reality.
Our town has a "group home" for these people, with plenty of support and structure. It seems to work very well, but only for those who want the help and are willing to take their medicine.
Is there still a need for asylums? I don't know. They appear haunted to me.
The question at hand, in the photo essay, is whether these big old buildings are worth preserving, and can be put to any use.