On the banks of Lake Chauncy sit the remains of the Westborough Insane Hospital, later known as Westborough State Hospital. Westborough is perhaps best known as the second homeopathic hospital for the insane in the United States and the first example of institutional reuse in the nation. The hospital's unique treatment methods put it squarely at the forefront of mental health treatment, and it was one of the last state hospitals in Massachusetts to close its doors. The pioneering African American pathologist Solomon Carter Fuller spent much of his career at Westborough studying the physical changes made to the brain by Alzheimer's. When it closed in 2010, it was the only state hospital in New England with a dedicated unit for deaf and hard of hearing patients. Though somewhat less infamous than some of its neighbors, Westborough holds a very distinctive place in the history of mental health treatment.

History of Westborough State Hospital, Westborough, Massachusetts, opened in 1884, and closed in 2010.

Opened on May 1, 1854, the State Almshouse at Tewksbury was a venture by the Commonwealth of Massachusetts to provide economical care for state paupers. Originally intended to accommodate 500 residents, by the end of 1854 the almshouse had admitted well over 2,200 paupers, thus necessitating future expansion. Although the virtue of the institution was called into question in 1883 by Gov. Benjamin Butler, who decried Supt. Thomas J. Marsh, the almshouse would continue to serve the destitute of the commonwealth for years to come. The name would later be changed to Tewksbury State Hospital to reflect the inclusion of the mentally ill, the sick, and those suffering from infectious disease as patients. Today, the hospital remains operational in providing specialized care in the Thomas J. Saunders Building while also serving as host to various governmental agencies and community organizations like the Public Health Museum on its historic campus. Although many of the early structures were demolished in the 1970s, the Tewksbury State Hospital remains an active institution brimming with architectural beauty and a rich public health history.

Danvers State Hospital revolutionized mental health care for more than a century, beginning in 1878. Today, it's buildings still have stories to tell. Perched high on the top of Hathorne Hill in what was once the village of Salem, Danvers State Insane Asylum was, for more than a century, a monument to modern psychiatry and the myriad advances in mental health treatment. From the time it opened its doors in 1878 until they were shuttered for good in 1992, the asylum represented decades of reform, the physical embodiment of the heroic visions of Dorothea Dix and Thomas Story Kirkbride. It would stand abandoned until 2005, when demolition began. Along with a dedicated group of private citizens, the Danvers Historical Society fought to preserve the Kirkbride structure, an effort that would result in the reuse of the administration building and two additional wings. Danvers has earned a unique place in history; the shell of the original Kirkbride building still stands overlooking the town. Though it has been changed drastically, the asylum's story continues as do efforts to memorialize it.

Soon to be a major motion picture, from Brad Pitt and Tony Kushner A Washington Post Best Book of 2015 A mid-century doctor's raw, unvarnished account of his own descent into madness, and his daughter's attempt to piece his life back together and make sense of her own. Texas-born and Harvard-educated, Dr. Perry Baird was a rising medical star in the late 1920s and 1930s. Early in his career, ahead of his time, he grew fascinated with identifying the biochemical root of manic depression, just as he began to suffer from it himself. By the time the results of his groundbreaking experiments were published, Dr. Baird had been institutionalized multiple times, his medical license revoked, and his wife and daughters estranged. He later received a lobotomy and died from a consequent seizure, his research incomplete, his achievements unrecognized. Mimi Baird grew up never fully knowing this story, as her family went silent about the father who had been absent for most of her childhood. Decades later, a string of extraordinary coincidences led to the recovery of a manuscript which Dr. Baird had worked on throughout his brutal institutionalization, confinement, and escape. This remarkable document, reflecting periods of both manic exhilaration and clear-headed health, presents a startling portrait of a man who was a uniquely astute observer of his own condition, struggling with a disease for which there was no cure, racing against time to unlock the key to treatment before his illness became impossible to manage. Fifty years after being told her father would forever be “ill” and “away,” Mimi Baird set off on a quest to piece together the memoir and the man. In time her fingers became stained with the lead of the pencil he had used to write his manuscript, as she devoted herself to understanding who he was, why he disappeared, and what legacy she had inherited. The result of his extraordinary record and her journey to bring his name to light is He Wanted the Moon, an unforgettable testament to the reaches of the mind and the redeeming power of a determined heart.

For 141 years, Hudson River State Hospital was home to tens of thousands of individuals suffering from mental illness. The facility grew from a 208-acre parcel in 1871 with seven patients to 752 acres with five dozen separate buildings containing nearly 6,000 patients in 1954. The main building was constructed on a Kirkbride plan, a treating philosophy centered around an ornate building of equal proportions staffed by employees who integrated dignity and compassion into health care. Famous architects Frederick Clark Withers and Calvert Vaux drafted the main building in 1869. The landscape was penned by Frederick Law Olmstead, perhaps best known for the design of New York City's Central Park.

Deaf adults and children, like their hearing counterparts, experience a full range of mental health problems. They develop psychoses, sink into deep depressions, abuse alcohol and drugs, commit sexual offenses, or simply have trouble adjusting to new life situations. But when a deaf client appears on the doorstep of an ordinary hospital, residential facility, clinic, or office, panic often ensues. Mental Health Care of Deaf People: A Culturally Affirmative Approach, offers much-needed help to clinical and counseling psychologists, psychiatrists, social workers, nurses, and other mental health professionals--and to their program administrators. The editors, a psychologist and a psychiatrist, and the authors, leading authorities with a variety of expertises, systematically review the special needs of deaf patients, particularly those who regard themselves as "culturally Deaf," and provide professionals with the tools they need to meet those needs. Among these tools is an extensive "library" of pictorial questionnaires and information sheets developed by one of the very few psychiatric units in the country devoted to the deaf. These handouts greatly simplify the processes involved in the diagnosis and treatment of people who in many cases are not good readers--for example, explaining medication and inquiring about side-effects. The handouts are reproduced on downloadable resources, to enable purchasers to print out and use copies in their work. This comprehensive clinical guide and its accompanying downloadable resources constitute vital resources for all those who seek to provide sensitive, effective mental health care to deaf people.

The needs of deaf and hearing people with limited functioning can be a challenge for the mental health practitioner to meet. This text provides concrete guidance for adapting best practices in cognitive-behavioral therapy to deaf and hearing persons who are non- or semi-literate, and who have greatly impaired language skills or other cognitive deficits, such as mental retardation, that make it difficult for them to benefit from traditional talk- and insight-oriented psychotherapies. --

First settled in 1672, Westborough officially became a town in 1717 after a second petition was sent to the General Court requesting township. Similar to many small New England towns, when Westborough entered the Gilded Age, the character of the town changed forever. Industrialization, innovation, and its idyllic location propelled the town to rank eighth among the top 10 manufacturing cities of Worcester County in 1885. In the late 19th century, Westborough's National Straw Works alone had over 2,000 employees and was recognized as the largest factory in the world for straw hats. Sleighs, bicycles, pianos, boots, and shoe production provided employment for residents and immigrants, and after World War II, Westborough expanded even farther. The interstate highway system grew, putting Westborough at the heart of Massachusetts's highway systems, and new homes were built, creating the residential community that it is today.