When the hospital was opened in 1896 it was called "The Second Hospital for the Insane of Maryland", often referred to as the Asylum at Springfield. Due to significant overcrowding, 40 male patients were transferred from the
Spring Grove State Hospital in Catsonsville and were housed in one of the existing farm houses (Buttercup Cottage) on the southern end of the Springfield campus. They lived there for 2 years while the first phase of construction (Men's Group Quad) was underway. These buildings were to be constructed according to the new "Cottage Plan" design. Springfield was the second hospital in the country to adapt this plan (first being
Medfield State Hospital). This innovative way of construction was created after flaws began appearing in hospitals that were built according to the prior Kirkbride Design (one large building). It was thought that having separate buildings or "pavilions" would help with the operation, administration, and care of the patients that inhabited it. After the completion of the first hospital buildings in 1898, the existing patients (then called "inmates") were transferred to the new buildings and a group of male epileptic patients took their spots in the Buttercup Cottage. After several reports were done on the operation of the new buildings, more land was cleared for the second phase of construction (Women's Group Quad). These buildings would be built very similarly to those at the Men's Group with a few minor changes. Situated on the extreme southern end of the campus, the group was to be as far away from the male area as possible as the men were housed on the extreme northern side of the hospital. These two groups were largely expanded over a roughly 30-year period and now consist of 13 historic buildings each. However construction at the hospital did not just occur at these two complexes. Several more groups of buildings were added to the hospital throughout the years, including the powerplant, railroad (Dinky Line), John Hubner Psychopathic Building, epileptic colony, tuberculosis unit, farm colony, staff homes, superintendent's mansion (Patterson house), and patient cemetery (Sunnyside).
Model Institution After the first two phases of construction (Men's Group & Women's Group), Springfield was given the title of a "Model Institution". This designation was very rare and only few hospitals of its kind had received it. Due to Springfield's progressive methods of treatment, construction and administration, institutions far and wide were created using Springfield as a reference. The administrative staff created an "open-door policy" at Springfield, meaning that patients had free roam of the grounds and were not confined or isolated in any way. Because this policy was unheard of at the time and had never been used prior, many superintendents and officers from other institutions had their doubts as to how well the policy would work and the effects it may have on the patients if they are given "too much free will". They were proven wrong after Springfield had some of the lowest patient escape rates in the country (even lower than some places that had locked doors & barred windows). Springfield proved itself to be the beacon of what mental health care should look like and retains that image to this day. ==''Maryland's Shame''==