PreservationWorks

PreservationWorks (f. 2015) is a national advocacy organization committed to the preservation and adaptive reuse of the remaining “Kirkbride Plan” psychiatric hospitals, built across North America and Australia during the second half of the 19th century according to the principles of Dr. Thomas Story Kirkbride. Embodying Enlightenment beliefs in the therapeutic powers of architecture, beauty, nature, science, and respectful patient care, Kirkbride Plan hospitals (or “Kirkbrides,” as they are collectively known) were conceived as self-sustaining havens for treating mental illness. The Kirkbride Plan generated elegant and increasingly voluminous structures that embraced local site conditions, providing patients with fresh air, ample sunlight, and expansive vistas of bucolic, landscaped grounds designed by the likes of Olmsted & Vaux (Buffalo, Poughkeepsie – both National Historic Landmarks), and A. J. Downing (Trenton). Indeed, the rapid spread of state-run psychiatric hospitals across the country expanded the influence of landscape architecture in the American cultural imagination. Dr. Kirkbride’s Plan called for farms to provide food and opportunities for occupational therapy, alongside greenhouses, workshops, and other innovative infrastructures and amenities. Despite their early promise, the psychiatric hospitals promoted by Dr. Kirkbride and Dorothea Dix were quickly overcrowded and underfunded — a failure that haunts us today (Places Journal, 2024). 

Formed in the wake of the highly contested and unnecessary demolition of Greystone Park Psychiatric Hospital, in Morris Plains, NJ, PreservationWorks inherited the 501c3 charter of the local advocacy group, Preserve Greystone. Steeped in that experience, our mission is to share knowledge and connect resources to support local preservation efforts at Kirkbride sites, and to memorialize those who lived and worked in the hospitals by offering comprehensive photographic tours, public events, and interactive research media on our website, including the Kirkbride Navigator. Our impassioned members include explorer-preservationists who embrace the complex histories of Kirkbride Plan hospitals, mindful of their national and global significance and their capacity, as three-dimensional historical documents, to inform ongoing efforts to provide better physical and social infrastructures for mental health care. Recent successful adaptations of Kirkbride Plan buildings and sites demonstrate their revitalization is both commonsense and achievable. 

DRAG

    Dayton, Ohio. View to outermost female wing, Dayton State Hospital (née Southern Ohio Lunatic Asylum, now 10 Wilmington Place). Adapted as Senior Living, 1989. NRHP listed. Photo credit: Robert Kirkbride, 2018 

    Athens, Ohio. View from crow’s nest of West Tower overlooking East Wing, Athens State Hospital (née Athens Lunatic Asylum, now The Ridges at Athens). NRHP listed. Central Main and East Wing adapted for university fine arts museum, administrative offices, art studios. As of 2025, West Wing adaptation for senior living currently in planning. Photo credit: Robert Kirkbride, 2018 

    Fergus Falls, Minnesota. View from Central Main to the front gardens, Fergus Falls State Hospital (later Fergus Falls Regional Treatment Center). NRHP listed. Uninhabited, not effectively mothballed. As of 2025, remains at risk. Photo credit: Robert Kirkbride, 2015 

    Poughkeepsie, New York. Aerial view from south, Hudson River State Hospital (née Hudson River State Hospital for the Insane). National Historic Landmark, NRHP listed, with landscaping designed by Olmsted-Vaux. Site currently being redeveloped to include parts of Kirkbride. As of 2025, remains at risk. Photo credit: Lisa Marie Blohm, 2020 

    Buffalo, New York. Night view of Central Main and Gardens, Buffalo State Hospital (now part of the Richardson Olmsted Campus, née Buffalo State Asylum for the Insane). National Historic Landmark, NRHP listed, with landscaping designed by Olmsted-Vaux. As of 7.2025, ROC has retaken administrative stewardship of the Kirkbride and operating Hotel. An Architectural Museum Addition is under construction. Restoration and adaptation of wings in process. Photo credit: Robert Kirkbride, 2023 

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