Central State Hospital (Milledgeville, Georgia)
Central State Hospital
|Nearest city||Milledgeville, Georgia|
|Area||20.7 acres (8.4 ha)|
|NRHP reference No.||05000694|
|Added to NRHP||July 12, 2005|
Georgia's state mental asylum located in Milledgeville, Georgia, now known as the Central State Hospital (CSH), has been the state's largest facility for treatment of mental illness and developmental disabilities. In continuous operation since accepting its first patient in December 1842, the hospital was founded as the Georgia State Lunatic, Idiot, and Epileptic Asylum, and was also known as the Georgia State Sanitarium and Milledgeville State Hospital during its long history. By the 1960s the facility had grown into the largest mental hospital in the world (contending with Pilgrim Psychiatric Center in New York). Its landmark Powell Building and the vast, abandoned 1929 Jones Building stand among some 200 buildings on two thousand acres that once housed nearly 12,000 patients.
The CSH complex currently encompasses about 1,750 acres (710 ha), a pecan grove and historic cemeteries, and serves about 200 mental health patients. As of 2016 the facility offers short-stay acute treatment for people with mental illness, residential units and habilitation programs for people with developmental disabilities, recovery programs that require a longer stay, and specialized skilled and ICF nursing centers. Some programs serve primarily the central-Georgia region while other programs serve counties throughout the state.
In the first decades of the 1800s there was a movement in several states to reform prisons, create public schools, and establish state-run hospitals for the mentally ill. In 1837, the Georgia State Legislature responded to a call from Governor Wilson Lumpkin, by passing a bill calling for the creation of a "State Lunatic, Idiot, and Epileptic Asylum." Located in Milledgeville, then the state capital, the facility opened in 1842.
Under Dr. Thomas A. Green (1845–1879), care of patients was based on the "institution as family". This modeled hospitals to resemble an extended family. Green ate with staff and patients daily and abolished chain and rope restraints.
The hospital population grew to nearly 12,000 in the 1960s. During the following decade, the population began to decrease due to the emphasis on deinstitutionalization, the addition of other public psychiatric (regional) hospitals throughout the state, the availability of psychotropic medications, an increase in community mental health programs, and many individuals moving to community living arrangements. During FY2004-FY2005, the hospital served more than 9,000 consumers (duplicates counted) - from nearly every Georgia county.
In 2010, the Georgia Department of Behavioral Health and Developmental Disabilities announced that the hospital would be closed, but it has not been; instead, it has become the state's treatment and custodial center for justice system referrals and commitments.
- Anjette Lyles, American restauranteur responsible for the poisoning deaths of four relatives between 1952–1958 in Macon, Georgia, apprehended on May 6, 1958 and sentenced to death yet later was involuntary commitmented due her to diagnosis of paranoid schizophrenic, died aged 52 on December 4, 1977 at the Central State Hospital, Milledgeville in Georgia. 
- "National Register Information System". National Register of Historic Places. National Park Service. July 9, 2010.
- Monroe, Doug (18 Feb 2015). "Asylum: Inside Central State Hospital, once the world's largest mental institution". Atlanta Magazine. Retrieved 28 July 2016.
- "Central State Hospital: Milledgeville". Georgia Department of Behavior Health and Developmental Disabilities. Archived from the original on 24 July 2016. Retrieved 28 July 2016.
- Criminal History: Anjette Lyles poisoned 4 family members for money. Beimfohr, Chelsea. WMAZ-TV. 7 November 2019. Retrieved 20 March 2022.
- "Georgia's most notorious murderess". Wilkes, Donald E. Flagpole magazine. 22 December 1999.
- Book, Constance Ledoux, and David Ezell. "Freedom of Speech and Institutional Control: Patient Publications at Central State Hospital, 1934-1978." Georgia Historical Quarterly 85 (2001): 106-26.
- Cranford, Peter G. But for the Grace of God: The Inside Story of the World's Largest Insane Asylum, Milledgeville. Augusta, Ga.: Great Pyramid Press, 1981.
- Graham, Paul K. Admission Register of Central State Hospital, Milledgeville, Georgia, 1842-1861. Decatur, Ga.: The Genealogy Company, 2011.
- Historic American Buildings Survey (HABS) No. GA-1156, "Milledgeville State Hospital, Central Building, Milledgeville, Baldwin County, GA", 1 photo, 2 data pages
- A recent photoessay on the abandoned Walker building at Central State Hospital.