Central State Hospital (Milledgeville, Georgia)

Coordinates: 33°3′2″N 83°19′0″W / 33.05056°N 83.31667°W / 33.05056; -83.31667
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Central State Hospital
Central State Hospital, Powell Building, circa 1937
Central State Hospital (Milledgeville, Georgia) is located in Georgia
Central State Hospital (Milledgeville, Georgia)
Nearest cityMilledgeville, Georgia
Coordinates33°3′2″N 83°19′0″W / 33.05056°N 83.31667°W / 33.05056; -83.31667
Area20.7 acres (8.4 ha)
Built1842 (1842)
NRHP reference No.05000694[1]
Added to NRHPJuly 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.[2]

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.[3]


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.[4]

Central Building - September 2018

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.[4]

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 de-institutionalization, 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,[5] but it has not been; instead, it has become the state's treatment and custodial center for justice system referrals and commitments.[citation needed]

Notable patients[edit]

See also[edit]


  1. ^ "National Register Information System". National Register of Historic Places. National Park Service. July 9, 2010.
  2. ^ Monroe, Doug (18 Feb 2015). "Asylum: Inside Central State Hospital, once the world's largest mental institution". Atlanta Magazine. Retrieved 28 July 2016.
  3. ^ "Central State Hospital: Milledgeville". Georgia Department of Behavior Health and Developmental Disabilities. Archived from the original on 24 July 2016. Retrieved 28 July 2016.
  4. ^ a b Payne, David H. (2 March 2022) [Originally published 7 February 2006]. "Central State Hospital". New Georgia Encyclopedia. Retrieved 16 March 2023.
  5. ^ Bennett, Josephine (16 July 2020) [Originally published 20 January 2010]. "Central State Closing to Mental Health Patients". Georgia Public Broadcasting. Retrieved 16 March 2023.
  6. ^ Criminal History: Anjette Lyles poisoned 4 family members for money. Beimfohr, Chelsea. WMAZ-TV. 7 November 2019. Retrieved 20 March 2022.
  7. ^ "Georgia's most notorious murderess". Wilkes, Donald E. Flagpole magazine. 22 December 1999.

External links[edit]