St. Elizabeths was established by Congress in 1855 as the Government Hospital for the Insane. It provided mental health care for the Army, Navy, and District of Columbia, and also served Civil War soldiers. In 1916, Congress renamed it St. Elizabeths Hospital, after the land on which it was built.
Early advocates for the hospital included reformer Dorothea Dix and Dr. Charles Henry Nichols, who convinced Congress to purchase 189 acres to build a modern facility for mental health treatment. St. Elizabeths became a national leader in setting standards of care and eventually expanded to more than 350 acres across what is now Martin Luther King, Jr. Avenue in Southeast, DC.
A landmark in mental health reform
St. Elizabeths is a key example of the 19th-century reform movement that promoted “moral treatment” of mental illness by combining architecture, nature, and healing. The original Center Building, designed by Dr. Nichols and Architect of the Capitol Thomas U. Walter, followed the Kirkbride Plan and was built using bricks made on-site.
When designated a National Historic Landmark, or NHL, 62 of the West Campus’s historic buildings were included, and 52 buildings were slated for reuse. Eight greenhouses too damaged for repair, were approved for demolition. Since 2009, selective demolitions and stabilization efforts have prepared the site for redevelopment.
Federal use and redevelopment
In 1987, hospital operations shifted to the District of Columbia, which currently owns the East Campus. Today, it remains in use as an inpatient mental health hospital.
In 2001, the Department of Health and Human Services declared the West Campus “excess property,” and our agency assumed control in 2004. This 176-acre site contains 70 buildings, and overlooks the Anacostia River and sweeping views of Washington, DC, Virginia, and Maryland. Today, we are leading the redevelopment of the West Campus for the Department of Homeland Security’s, or DHS, consolidated headquarters.
This is the largest federal construction project in the National Capital Region. By bringing DHS agencies together on one secure campus, the project reduces costly commercial leases, improves collaboration, and ensures efficient command-and-control operations.