The hospital was founded in 1781 by
Susan Carnegie as the Montrose Lunatic Asylum, Infirmary & Dispensary and obtained a Royal Charter in 1810. The original building was situated on the Montrose Links on a site bounded by Barrack Road, Ferry Road and Garrison Road. In 1834, the Governors of the asylum, carrying out the wishes of Mrs Carnegie (who had strongly advocated the appointment of a medical specialist in insanity) appointed the phrenologist
William A. F. Browne as medical superintendent. Browne was to prove an inspired choice and an energetic and resourceful leader. He regarded
public education as part of his duties, and gave a series of lectures which became enormously popular and influential. In 1837, five lectures were published together under the title
What Asylums Were, Are and Ought To Be; this book came to the attention of the Dumfries philanthropist
Elizabeth Crichton. She travelled to Montrose, interviewed Browne and offered him the equivalent post at the Crichton Royal in Dumfries. Browne was succeeded at Montrose by
Richard Poole, an early psychiatric historian. == Layout and design ==