Tuesday, August 20, 2019

Central State Hospital, Milledgeville, Georgia


It is said there is a fine line between genius and insanity.”
Aristotle







On the outskirts of the quaint college town of Milledgeville, Georgia is the remains of what is left of the Georgia State Mental Asylum which is now known as the Central State Hospital since 1967. This hospital was established in December 1842 and was originally called Georgia State Lunatic, Idiot, and Epileptic Asylum and also went by the names the Georgia State Sanitarium in 1897 and Milledgeville State Hospital in 1929. It was built to be used to help those with mental illness and developmental disabilities. At least, that was their intention.


After seeing a couple of pictures of these abandoned buildings in disrepair, I just felt driven to go see the place. I never imagined how it would affect me and haunt me for weeks. During its heyday, this hospital had 2000 acres, with 200 buildings, and housed over 12,000 patients. The land itself has decreased in size to 1,750 acres and the majority of the buildings are now abandoned. There are only a handful of buildings in use for other things at this time.


On this campus, during its prime, there was a beautiful pecan grove, historic cemeteries, greenhouse, tennis courts, baseball field, train depot, laundry building, prison, hospital buildings, auditorium, chapel, power plant, and the largest kitchen in the world which was dedicated July 23, 1998. This kitchen served 15,000 meals on an average day and the maximum amount of meals they ever served was 30,000 meals in one day. Most of the staff lived on the campus and some lived in the cottages with their families. It was the perfect set up.


This place was much bigger than I imagined and is laid out like a college campus. It must have been a beautiful place in its day. Now it is quite eerie with these beautiful three story brick buildings vacant with roofs collapsing and plants and vines visible through broken windows. The grassy area is well maintained and appeared to have been recently mowed. Driving through this virtual town that at one time housed over 2,000 patients a day with the staff hustling about doing their jobs, there was always so much going on here then and now - silence. Now this sad place is in a state of decrepitude with talk of it being torn down.


We pulled over and I got out of the car to get some pictures. It was a surreal scene with no noise except an occasional bird chirping, or a squirrel running up a tree. It was so quiet that when I heard a leaf blowing on the grass nearby from the wind, it made me jump and gave me a scare. There was no one in sight except for an occasional car passing down a street nearby.


What I never imagined was by just seeing this property, how it would prompt me to do as much research on this place as I could. I felt driven to know what happened here. A strong feeling of sadness came over me seeing these buildings and realizing the amount of men, women, and children with illnesses, diseases, and handicaps like epilepsy, down syndrome, small pox, pellagra, and tuberculous that stayed here some for a short while, some over and over again, while others stayed for all their lives.


Some of the buildings were built in the late 1800’s while there were newer structures like the auditorium, that were built in the mid 1900 to the late 1900’s. On the sides of the older buildings the vines had taken over and some of the porches adorning the buildings were collapsing. Many of the windows were shattered, boarded up, and barred with limbs sticking out of them. On some buildings, the roof had collapsed and the third floor was open to the elements. They used to have tours here, but it isn’t safe to walk around many of the building as they continue to collapse upon themselves. Many people have gone inside and filmed the inside since it closed. It is eerie seeing these films since when they closed these buildings, they left everything pretty much intact including patient files. There are no trespassing signs posted.


In the early 1800’s, there was a movement to have a place to put mentally ill patients that would be run by the state. Georgia State Lunatic, Idiot, and Epileptic Asylum opened in 1842 and was run by Dr. Thomas A. Green until 1879. He ran it more like a family than an institution where the patients would help take care of the land, cattle, and facilities right alongside the staff. That gave the patients a feeling of self worth since they were helping and those who could, worked. Dr. Green would eat his meals with the patients and staff. Some folks said Dr. Green himself was really insane but harmless. During the early days here, there were dances and some of the patients were able to roam the park to get some sunshine.


The very first patient ever brought here was Tilman Barnett, a thirty year old male from Bibb County, on December 15, 1842 and was chained to a horse-drawn wagon. He was said to be violent and destructive and was diagnosed as a ‘Lunatic.’ He was also the first casualty dying six months later from “maniacal exhaustion.”


In the early days, a sheriff could declare you insane just by talking to you. Then he would set up a court date where the judge could declare you mentally ill. Many families put loved ones away because they had seizures, depression, illnesses, or they had no where to go. Some got put into asylums because their husbands died and the families couldn’t afford to keep them and since the state was paying for them to stay. Pellagra is a disease caused by the lack of niacin and was common among the poverty stricken people in the Georgia Mountains. The disease caused people to act crazy. Lobotomy's, shock treatments, and ice baths were all common in the early years when they truly believed it helped the patients. There were some that stated in later years that the shock treatments helped them.


The Powell Building was known as the Center building and was built in 1858. The building is a large imposing white domed building that has a whopping 181,582 square feet. This building once housed the administrators with the patients living in both wings. Just imagine, General Sherman and his troops camped on the grounds here on the way to Atlanta. Standing in front of this enormous building today, I saw the impressive beautiful of this building as well as seeing the great need for repair. Oddly, the fountain is still working and there are signs next to the front door that say this is a quiet area. I am unsure if this building is being used at all anymore, but today for sure, there is no sign of anyone.


The Jones Building was where surgeries were preformed and sometimes even without a licensed doctor present. The corpse drawers are located in the basement of the building where they placed those who passed away. The Walker Building was built in 1884 and constructed as a home for white males to convalescent. The first building for colored people was built in 1866, after the Civil War, and Central State Hospital stayed segregated until the 1940’s. There was also a building for adolescents known as the “Kingston Lounge.”


By 1904, the average patient load per day at the asylum grew to 2,880. In 1937, Georgia was the last of the 32 states to erect a eugenics law to stop patients who were likely to be released from being able to procreate. Physicians and politicians said it was “scientific and humanitarian.” They continued the practice of sterilization until 1963 after sterilizing 3,300 people.


Conditions continued to worsened. By the 1960’s, conditions were at it worst on the campus. It was badly understaffed with only one doctor per 100 patients and Milledgeville became known nationwide for the mistreatment of their patients. There were too many patients and many slept on the floor in the hallways since they didn’t have enough beds. In the 1960’s this hospital grew to be the largest mental hospital in the world. Rumors were spoken of children confined in cages, some adults in straight jackets all the time, ice baths, lobodomy's, and shock therapy. Milledgeville became known as the city of crazies and many people spoke of the ‘funny people.’ Parents used to threaten their children that if they didn’t behave they would take them to Milledgeville.


A child’s rhyme

Edmund's sick,
Edmund's ill,
They’re going to take you
to Milledgeville.



During the 1960’s and 1970’s, they began the deinstitutionalization movement when they started letting the people out of these institutions. Sometimes putting people at risk since some still needed help, but were released anyway.


In 2010, the Georgia Department of Behavioral Health and Developmental Disabilities announced the hospital would be closed. In 2016, the facility offered short term acute treatment for mental illness and rehab programs for developmental disabilities. At this present time, I am unsure if it is open at all. There is a museum on the grounds at the old train depot that you have to make an appointment to see.


There are over 25,000 graves of patients that were buried on the hospital grounds. Some were identified by the patients file number with no names or dates on metal stakes throughout the grounds. When some of the prison inmates were mowing the grounds, they picked them up and threw the stakes in the woods as they were in the way of them mowing. The patients are now memorialized at the Cedar Lane Cemetery where they have placed 2,000 cast iron markers to commemorate those who passed while on the hospital grounds.


In conclusion, I am haunted by visiting this place knowing what took place here. No it wasn’t all bad and there were some successes and there were some good people who worked there who wanted to help. But it is the bad things that happened here that haunts me. Is it haunted? Most likely. Is it scary? I would say yes, especially at night. It is definitely eerie and as I got back into the car, I said a prayer for those lost souls. Beware, if you go here – it will change you forever.

Bye for now.



Patient Wisdom

Before you lock us up, take a look at those who bring us in.”

There are more outside the hospital than in.”

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