The hospital was turned over to the state in 1936 and was renamed the
Philadelphia State Hospital at Byberry. Conditions in the hospital during this time were poor, with allegations of patient abuse and inhumane treatment frequently made. The situation came to national attention between 1945 and 1946, when
conscientious objector Charlie Lord took covert photos of the institution and the conditions inside, while serving there as an orderly. In his 1948 book,
The Shame of the States, Albert Deutsch described the horrid conditions he observed: ''"As I passed through some of Byberry's wards, I was reminded of the pictures of the Nazi concentration camps. I entered a building swarming with naked humans herded like cattle and treated with less concern, pervaded by a fetid odor so heavy, so nauseating, that the stench seemed to have almost a physical existence of its own."'' During the 1960s, the hospital began a continuous downsizing that would end with its closure. During the mid-1980s, the hospital came under scrutiny when it was learned that violent criminals were being kept on the hospital's Forensic Ward (N8-2A). In 1985, the hospital failed a state inspection, and was accused of misleading the inspection team. Reports of
patient abuse were still rampant through the 1980s. One patient had reported that one of his teeth was pulled without "
Novocaine". Another state inspection team was sent to evaluate the hospital in early 1987. By the summer of 1987, five of the Philadelphia State Hospital's top officials were promptly fired after the Byberry facility once again failed the state inspection. == Closing and abandonment ==