Background The
Oregon Territory became the state of
Oregon on February 14, 1859, when President
James Buchanan signed enabling legislation into law. At the time of admission into the union, the state of Oregon had a population of a mere 50,000 people — fewer than 3,000 of whom lived in
Portland — and sparse medical resources to match.
Creation Pioneer
physician J. C. Hawthorne, and "
surgeon"
A. M. Loryea determined to pool their talent in 1859 with the August launch of "Oregon Hospital," a facility in which both would reside. The hospital was originally located on Portland's Taylor Street, between 1st and 2nd Avenues. From the time of launch the hospital was dedicated to the treatment of
non-contagious disease. From approximately that date Hawthorne and Loryea's Oregon Hospital became known as Oregon Hospital for the Insane. The 1862 Oregon Legislature instructed
Governor A. C. Gibbs to select a location in
Salem for a permanent state hospital for the insane. This instruction was set aside, however, with contracting with the Oregon Hospital for the Insane in Portland seen as the more economical option for the state. Thereafter the facility was owned by Hawthorne alone and its fortunes were intractably bound up with his.
Description A physician visiting the Oregon Hospital for the Insane in 1868 noted that the hospital was divided into wards, each with a toilet and bathroom supplied with hot and cold water. Patients ate in a common dining room, supplied by a single kitchen and the medical staff was supported by a well-stocked dispensary. Residents were served a variety of fresh and salted meats, fruit, vegetables, and bread, along with coffee and tea. J.C. Hawthorne was particularly singled out for his efficiency in the hospital's operation, including his "uniform kindness to the large number whose maladies will never admit of cure, but whose management has been entrusted to his care."
Criticism Although privately owned and operated, the Oregon Hospital for the Insane was almost exclusively funded through its state contract, with one official report showing that 162 out of 167 total patients present at that time were there through agency of the state. Of the nearly 300 people who had been housed in the hospital from September 1872 to 1874, men accounted for just under 70% of the population, women about 30%. The $6 per week rate was regarded by some as grossly excessive, with the Salem
Statesman opining that such a fee represented an "outrageous extortion," and that Hawthorne was effectively being granted a "life franchise of the Insane Asylum" by his legislative supporters. With a view to pushing the legislature to found a state-owned hospital for the mentally ill in Salem, hometown of the newspaper, the editorialist berated Dr. Hawthorne as "wholly unknown outside of Oregon" and prominent within the state's boundaries "chiefly through the enormity of his bills and the power and continuity of his suction as an official vampire." There was merit as well in the related charge that Oregon Hospital for the Insane's contract with the state was enabled by Hawthorne maintaining friends in high places, with the wife of 1870s Governor
LaFayette Grover later testifying in an unrelated trial that her husband had used his influence as governor to forestall building of a state-owned asylum on behalf of his personal friend Hawthorne.
Legislatory change The attack on costliness and cronyism was taken up in the halls of the state capitol, with the
Marion County (Salem) delegation leading the charge. Defenders of the status quo managed to defeat a series of proposals for construction of a new state-owned mental hospital until a shifting of the tide at the legislature's September 1880 session, spurred by the Marion County delegation's decision to focus action on passage of their "pet measure." The junior member of the six member Marion County delegation and future
Governor of Oregon T. T. Geer later recalled the financial imperative for change in the system of Oregon's treatment of the mentally ill, with Dr. Hawthorne and his previous partner said to have amassed fortunes through contracts which had been "let at exorbitant figures." Speaker of the House
Z. F. Moody of
Wasco County was credited by Geer for having played an instrumental role in ensuring passage of the bill. The state-owned
Oregon State Insane Asylum in Salem built as a result of the 1880 legislature's enabling legislation was opened in 1883. With its opening, the state's financial relationship with the Oregon Hospital for the Insane in Portland came to an end.
Termination and legacy J.C. Hawthorne died in February 1881 leaving ownership of the hospital in the hands of his wife. Dr. Simeon Josephi took over the operation of the hospital from the time of Hawthorne's death until the completion of the Oregon State Insane Asylum in Salem. Control of the patients at the Portland hospital were transferred to state officials in October 1883, with the 268 male and 102 female patients then housed at the facility transported by rail aboard a special
O&C train from Portland to Salem on October 23, 1883. Hawthorne's hospital is remembered as one of the most progressive American mental health facilities of its era. The hospital was marked by empathetic medical treatment and concern for the health and well-being of patients by allowing them to work in the fresh air, raising vegetables and livestock, thereby helping them to maintain a sense of purpose. The bodies of destitute patients of Oregon Hospital for the Insane were interred at
Lone Fir Cemetery in Portland, the final costs of which were borne by J.C. Hawthorne out of pocket. ==See also==