1,581 patients in a town of about 5,843. Where did they all come from?
On the record
Originally known as the Iowa Lunatic Asylum, it opened in 1861. In 1946, the facility reached its peak occupancy of 1,581 patients. It was constructed between 1855 and 1865 at a cost of $400,000. The architect of the building, Thomas Story Kirkbride, had an inclusive plan for such structures, including the requirement that staff live on or near the premises and that "guests" be assigned meaningful work.