This hospital is complete as to plans, and as to the power plant, drainage, and subway construction necessary for the 1,500 patients, that the legislature has provided for in its law establishing the institution. Buildings are already finished and occupied that accommodate 200 inmates, and the contractors have nearly finished part of the central group that will bring that number up to nearly 1,300. The appropriation asked for this year by the managers will be scaled down considerably by Mr. McClelland, the very economical chairman of the Ways and Means Committee of the Democratic Assembly. But, unless he has miscalculated, there will be money enough to carry on the work of construction to advantage for the year. An appropriation sufficient to complete the buildings at once was thought by many to be the wisest economy, but big figures in an appropriation bill have very little chance this year. The bill establishing the State Hospital district and providing for the building of the institution fixed the per capita cost of construction, including the purchase of land, at $1,150, and the plans have been made on that basis for 1,500 patients. But if the needs of the district should require it, the capacity could be increased by an almost indefinite extension of the system of outlying colony groups at a very small per capita cost, as the central group is by far the most expensive in construction.
The administration group in part, and one outlying group, with the general kitchen, bakery, workshop, laundry, employes' dwelling house, power house, and pumping station, are already erected, and have added a feature of architectural beauty to Point Airy. This point, of itself of picturesque and romantic beauty, juts into the St. Lawrence River at the head of the Galoup Rapids, three miles below Ogdensburg. It is a part of the hospital farm of 950 acres, which includes woodland, meadow, farm land, and a market garden tract of the $100 an acre grade. The location of the institution in these particulars and in reference to salubrity, sewerage facilities and abundance and excellence of water supply, is wonderfully advantageous.
In planning the hospital Dr. P.M. Wise, who has since become its medical superintendent, aimed to take the utmost advantage of the scenic and hygienic capabilities of the site, and to improve on all previous combinations of the two general divisions of a mixed asylum—a hospital department for the concentration of professional treatment, and a maintenance department for the separate care of the chronic insane. He was anxious to secure as much as possible of the compactness and ease of administration of the linear plan of construction, with wings on either side of the executive building of long corridors occupied as day rooms, with sleeping rooms opening out of them on both sides. But he wanted to avoid the depressing influence of this monotonous structure, as the better results of variety and increased opportunities of subdivision and classification are well recognized. He was not, however, prepared to accept wholly that abrupt departure from the linear plan known as the "cottage plan," which in some institutions has been carried to the extreme of erecting a detached building for every ward. The climate of St. Lawrence county forbade this. Her winters are as vigorous as those of her Canadian neighbors, even as her people are almost as ebullient in their politics as the vigorous warring liberals and conservatives across the river. And there are features of the linear plan that can only be left out of our asylum structure at the expense of efficiency. Other rules that he formulated from his experience were that a building for the insane should never exceed two stories in height; that fire proof construction and at least two stairways from the upper floors should be provided; that day rooms should be on the first and sleeping rooms on the second floor; that all buildings for the insane who suffer from sluggish and enfeebled circulation of the blood should be capable of being warmed to 70° in the coldest weather; that ample cubic space and ventilation should be provided; and that, as far as possible, without too great increase of the cost of maintenance or sacrificing essential provisions for treatment and necessary restraint, asylums should aim to reproduce the conditions of domestic life.
THE ST. LAWRENCE HOSPITAL FOR THE INSANE.
State Architect Isaac G. Perry planned the St. Lawrence State Hospital buildings on ideas suggested by medical experience, with a breadth of comprehension and a technical skill in combining adaptability, utility, and beauty that have accomplished wonders. The buildings are satisfactory in every particular to every one who has seen them, and even the most casual observer is impressed with the effect of beauty. This was accomplished without elaboration of material, expressive carving or finish. The ornamentation is purely structural and is obtained by a handling of the materials of construction which also yielded the largest promise of strength and durability.
The central hospital group, of which an idea is given in the cut, now consists of five buildings. The picture shows three, the center one and two of the flanking cottages on one side. They are matched on the other side. The central or administration building is a three story structure of Gouverneur marble, and, like all of the stone used, a native St. Lawrence county stone. The marble's bluish gray is relieved by sparkling crystallizations, and its unwrought blocks are handled with an ornamental effect in the piers, lintels, and arches, and well set off by a simple high-pitched slate roof, with terra-cotta hiprolls, crestings, and finials. The open porches are both ornamental and useful, taking the place of piazzas. The tower is embellished with a terra-cotta frieze. All accommodations for an executive staff for the 1,500 patients may be provided in this building.
Behind it on the south is a one story building whose ground plan is the segment of a circle. It contains sun rooms, medical offices, general library, laboratory and dispensary, and the corridor connecting the reception cottages, one for women, on one side, and one for men on the other, with the administration building. As this one story structure is 171 feet by 41, the buildings known as cottages of the central group are more than nominally separated. All the advantages of segregation and congregation are combined.
The reception cottages are of pale red Potsdam sandstone. Their simple construction is pleasing. The ground plan is in the form of a cross; the angles of the projections being flanked by heavy piers between which are recessed circular bays carried up to the attic and arched over in the gables. The cross plan affords abundant light to all the rooms, and as much of the irregular outline as possible is utilized with piazzas. With still another recourse to the combination corridor plan, the observation cottages are joined to the reception cottages on each side. The other utilization of the corridor in this case is for conservatories. The observation cottages are irregular in plan and vary from each other and from the other buildings in the group. Unwrought native bluestone is the building material. These cottages contain a preponderance of single rooms, the purpose being to keep patients separate until their classification is decided upon.
The buildings planned but not yet constructed of the central group include two cottages for convalescents and two one-story retreats for noisy and disturbed patients. In both cases the plans are the most complete and progressive ever made. In the first the degree of construction is reduced to the minimum. Convalescents are to have freedom from the irritations of hospital life that often retard recovery. Great reliance is placed upon that important element in treatment, the rousing of a hopeful feeling in the mind of the patient.