Central Lunatic Asylum for Colored Insane remained racially segregated from its post-Civil War opening in 1870 to 1968, when federal law required integration of health care facilities. This 1870–2025 exhibition identifies the once-obscure origins of the first black state hospital in America and elevates the value of understanding how historical predictions of illness based on race influenced admissions, diagnoses, and treatment.
Exhibit items from the hospital's extensive archives unveil detailed medical, political, and legal origins that include 100 years of lost and misplaced primary source documents, photographs, public laws, news articles, admissions, diagnostic, treatment, and mortality data. This exhibit creates a threshold for increasing our interest and knowledge about how racial assumptions negatively influenced the evolution of clinical education, public policy, research, and practice. As a new hospital emerges in 2025, its history will help to influence its future goals, design, and ensure the preservation of its at-risk archives.
Read more about Central State Hospital here.
Learn more about the Central State Digital Library and Archives Project here.
Central State Hospital
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Governor Francis Fauquier
(1703–1768)
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Captain William A. Weaver
(1791-1846)
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Edward Jarvis, M.D.
(1803-1884)
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Albert Deutsch
(1905-1961)
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The U.S. Census of 1840
1840
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Association of Medical Superintendents of American Institutions for the Insane
October 1844
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Virginia House Resolution #15
January 16, 1846
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House Joint Resolution #5
1848
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Dr. Samuel Cartwright
(1793-1863)
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City Small-Pox Hospital
1863
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General Edward Canby
(1817-1873)
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General Canby’s Order #136
Richmond, Va., December 17, 1869
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Governor Gilbert C. Walker
(1833-1885)
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Personal Inspections
December 2, 1869
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Civil War Hospitals, Richmond, Va.
1868
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Local News
late 1800s to 1900s
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Central Lunatic Asylum Map
1877
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General Assembly Act of 1870
June 7, 1870
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Asylum Committee
1869
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First Report of Central Lunatic Asylum
1870
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Registration of First Patient Admitted
1868
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Commitment Order
1874
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Central State Hospital Staff
1899
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Patient Registry
1903
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John M. Galt, M.D.
(1819-1862)
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Francis T. Stribling, M.D.
(1810-1874)
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Members of the State Board of Directors
1909
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Tuberculosis Wards
ca. 1900s
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Death Notice
1894
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Furloughed Patient
1900
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Outdoor Events
ca. 1950s
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Male Patients in Formal Attire
ca.1900s
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Overcrowded Male Wards
ca. 1930s
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Overcrowded Female Wards
1917
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Adolescent Ward
ca.1900s
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Occupational Therapy
ca. 1920s
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Occupational Therapy
1910
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Former Patient
1947
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Eastview Treatment Nursery
1955
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Social Workers Assistance
1960
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Social Worker Visit
1960
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Famous Music Performers
1956
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Conferences at Central State Hospital
1908
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Field Day Activities
1910
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Sports Team
1959
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May Day Activities
1960
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Farm Labor
ca. 1900s
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Central State Hospital Band
1960s
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Treatment Groups
1960s
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Social Events
1960s
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Community Engagement
1960s
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Staff Training
1960s
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Hospital Staff
1970s
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Nursing Students
1970s
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Pharmacist
1960s
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Medical Staff
1980s
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Surgical Suite
1953
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Governor William Cameron
1882
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Members of the General Assembly
(1887-1888)
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Kirkbride Plan
ca. 1900s
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Central State Hospital Deed
1882
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Central State Hospital
1885
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System Wide Report
1914
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Central State Hospital
ca. 1900s
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Central State Hospital Entrance
ca. 1900s
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Road Building
ca. 1900s
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Road Building
ca. 1900s
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Medical Center
ca. 1900s
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Mayfield House
ca. 1800s
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Forensic Building
1948
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Hospital Chapel
1904
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Eastview Building for Feeble Minded Females
1937
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Civil Rights Act
1964
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J.D. Harris, M.D.
(1833–1884)
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Daniel B. Conrad, M.D.
(1831-1898)
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Randolph Barksdale. M.D.
(1831 - 1907)
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William Francis Drewry, M.D.
(1860-1934)
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Hugh Carter Henry, M.D.
(1875-1945)
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Leo K. Kirven, Jr., M.D.
(1924-2009)
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Olivia Garland, M.D.
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Central State Hospital in 1961 v. 1995
1961
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Building 114
1962
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Central State Hospital Cemetery
1939
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Certificate of Recognition
June 4, 2020
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Proclamation
June 7, 2020
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New Central State Hospital
2025