Dialogues on Mental Health Records

Developing and hosting nationwide convenings focused on historical public mental health records.

The Dialogues on Mental Health Records Project provides a platform to address the challenges of managing historical public mental health records through a series of nationwide convenings. These convenings will bring together people from different geographic regions, disciplines, and life experiences.

Historical public mental health records include administrative and patient records with identifiable health information about individuals from 50 years following their death. These records are crucial for family history research and our collective understanding of the historical impact of public institutions. But the records require careful management due to their sensitive nature.

Many state hospitals in the United States were established in the late 1800s and were often deeply connected to their local communities. People would live, work, and engage in recreational activities on the grounds. State hospitals were also at the center of many historical movements including segregation and desegregation, deinstitutionalization, major medical breakthroughs, and a social movement of people with lived experience with mental illness fighting for their rights. This complex social, medical, and political history is often flattened into ghost stories of haunted asylums, contributing to stigma against people who receive care in state hospitals.    

The outcome of the Dialogues on Mental Health Records Project will be a community of practice and a comprehensive publication designed to facilitate ongoing dialogue among key stakeholders across the nation. 

Contact the project director to learn how to get involved.

Stakeholder Surveys

We are seeking more perspectives from descendants, former patients, and hospital administrators!

Presentation Series

Join us for monthly virtual presentations about projects on state policy, community collaboratives and archives, state hospital museums and other preservation efforts happening around the country.

Wednesday, February 18, 1:00-2:00pm CST

Alex Green and Kate Benson on Massachusetts’s Special Commission on State Institutions. Watch video to the right on a desktop, or below on mobile. Click the three lines icon (☰) to see all videos.

Tuesday, March 24, 1:00-2:30pm CST

Ellen Ganley, Karen Perdue, Robin Renfroe, and Niesje Steinkruger on The Lost Alaskans: The Morningside Hospital History ProjectWatch video to the right on a desktop, or below on mobile. Click the three lines icon (☰) to see all videos.

Thursday, April 30, 1:00-2:15 CST

Lucy Costa, Geoffrey Reaume, and Christina Foisy on the Psychiatric Survivor Archives of Toronto

Registration required

State School and Hospital Preservation: A Survey of the Field

This landscape analysis dives into the status of state hospital preservation work nationwide. With data on 372 historic state-operated mental health facilities and nearly 500 state hospital preservation projects, this report summarizes national trends in this complex field by identifying common strategies, frequent challenges, and potential gaps in state hospital preservation work.

Collage of Austin State Hospital images

Map of Historic State Hospitals and Schools


Hogg Foundation Graduate Research Assistant Cassius Kelly has created an interactive map of historical state hospitals and schools from around the country.

A grayscale map of the continental U.S., with dots indicating the locations of historic state hospitals and schools.

Project Partners 

This project was made possible in part by the Institute of Museum and Library Services (LG-256646-OLS-24). Collaborators include the Council of State Archivists, National Association of State Mental Health Program Directors, and UT Austin School of Social Work. 

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