• The story of Morningside Hospital is a civil rights story. Prior to statehood, there were no services available in the Territory of Alaska for individuals who experienced mental illness or developmental disabilities. At the time, mental illness was considered a crime. Alaskan adults and children were arrested, convicted of being insane, and sent by the federal government to live at Morningside Hospital in Portland, Oregon. They were taken from their families and communities by dog sled, train and boat. In the end, at least 3,500 Alaskans were sent to Morningside between 1904 and the 1960s, when Morningside was finally closed. Many were never heard from by their families again. These are the Lost Alaskans.

    During Alaska’s transition to statehood, Congress passed the Alaska Mental Health Enabling Act of 1956 to help create a system of care in Alaska. This act transferred the responsibility for providing mental health services from the federal government to the Territory of Alaska and, ultimately, the State of Alaska by creating the Alaska Mental Health Trust.

    The Lost Alaskans: The Morningside Hospital History Project is an effort by volunteer researchers to document the history of Morningside through territorial court records, national and state archives, vital statistics, genealogical and burial records, and interviews. Our goals are to have the Morningside story recognized as an important part of Alaska history and to provide information to families still searching for loved ones who disappeared decades ago.

McNeil Island Prison

During territorial days, US Federal Marshals in Alaska made regular trips South, first delivering prisoners to McNeil Island Prison in Washington, then taking patients to Morningside Hospital. Warren Gohl is part of a group attempting to locate the graves of Alaska Natives who died while serving sentences at McNeil Island.  Please leave a comment if you have any information or ideas for Warren

From Warren Gohl

McNeil Island Prison circa 1890I  act in collaboration with the 13th Heritage Foundation which represents the 12 Alaskan Native Corporations in the lower 48 States and Hawaii. The foundation has initiated a  project:  ”The Search”. This project has as its sole purpose  the discovery of the grave sites of  22 Alaskan Natives  sent to the Federal prison at McNeil Island, Pierce County, Washington between 1872 and 1951 (dates approximate), where they passed away  while serving their Federal prison sentences. Their passing at McNeil Island prison has been  confirmed through record reserarch at the National Archives, Sand Point, Seattle in 2011. However, their McNeil Island gravesite locations remain unknown in spite of considerable inquiry to agencies of the State of Washington who assumed control of the former Federal prison and co-located properties on McNeil Island following closure of the Federal prison in 1981. The 13th Heritage Foundation seeks the physical  location of the Alaskan Native grave sites in question so as to begin closure to the Alaskan Native families who lost track of their loved ones upon their incarceration under Federal custody and subsequent demise. Any guidance, assistance, advice, etc. you may provide is of great importance, no matter how seemingly insignificant.

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A Patient’s Perspective on Morningside in the 1960′s

Steve B. was a patient at Morningside Hospital in the mid-1960s. He is the first former patient to contact us and provides a look at life at Morningside from the patient’s perspective. If you have a question for Steve, please leave a comment and we’ll pass them along to him.

By Steve B.

During my stay, both drugs and EST were used. I was not treated with EST, only drugs, among which I am sure there were anti-depressants and tranquilizers. There were perhaps six or seven teens in my ward and one or two of them were administered EST. Memory tells me that most EST-treated patients were in the older population. On my ward, meds were kept in a locked chest located on the wall near the aides’ station. These were carefully measured and administered by the aides themselves. Mine were in powder format, mixed with orange juice for tolerable palatability.

Dr. Roy Moss, in “talk therapy” individual sessions, addressed my problems, but I was never given a diagnosis or nomenclature for those problems. Perhaps my parents were given a technical-medical name for what was ailing me, but they never mentioned it and I never inquired.

Hindsight tells me there were probably well over a hundred patients during the period of my stay, but these were scattered among different wards/dorms, and I never witnessed a mass-gathering of patients, so this is only my best guess.

There were many native Alaskans at Morningside during my stay. Again, since I have no real grasp on the total population, I can’t accurately say how many their numbers were. But I would run across them “all the time”, especially in larger gatherings such as daily cafeteria meals, so I would guess that they were still constituting a substantial portion of the general population. Most of these were older males (didn’t notice many, if any, females), and other than the normal courtesies, unfortunately, I didn’t converse with them – so I can’t relate anything regarding the frequency and/or process of returning them to Alaska. One exception was the only teen Alaskan I knew, who was an affable sort except when his anger management issues would trigger outbursts. However, I didn’t learn anything from him pertaining to native American life in Alaska. On my ward there was also a Native American named Reggie Hunt, but if I’m not mistaken, he was from Central (Warm Springs Reservation?) or Eastern Oregon, not Alaska. My first experience of Alaskan culture came in the hospital’s main office, where my parents brought me to be admitted. The walls were hung with all kinds of native crafts, a lot of masks and suchlike.

The aides were exceptional – reasonable, responsible, and approachable, some with wild senses of humor, which of course, immensely helped patients during their (in many cases) involuntary “incarceration”. The aides never abused anyone and were extremely helpful in all ways. Discipline was maintained, but I believe always in tandem with communication with the doctors – i.e., no unilateral, “fascistic” decisions were made by the aides. One punitive measure I recall was being “put on restriction”, which meant isolation from the rest of the community in the ward. Such patients would be permitted to attend the school, but were not allowed to return to the ward except at night for head-count and sleep. I recall one incident in which I was the only “innocent party” – and all the rest of the teens were put on restriction. It was a strange but exciting feeling for me to have my freedom, limited though it was, while all my peers were on off-ward restriction.
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Dr. Coe Prescribes Whiskey for Patients

The following article is by Marylou Elton, our volunteer researcher who lives in Washington, DC. Marylou spends most Wednesdays digging through Morningside Hospital administrative records at the National Archives II. The documents she used for this post were from Record Group 126 at the NA2. There are links to the letters at the end of this article.

By Marylou Elton

Dr. Henry Waldo Coe saw himself in the role of a father figure – a man who was firm but willing to give a patient a hand up or a second chance.  Morningside did not offer “treatment” but Coe was proud the hospital offered a safe place to eat, sleep, and possibly pass the time at some chores while recovering from whatever symptoms had induced fellow Alaskans to call for the individual’s commitment.  There were several times he petitioned the Interior Department to allow a patient to be reinstated if, after discharge, they were not able to make their way in the world or if the “symptoms” came back.

Many of the battles he waged with Congress and the Interior Department were to increase funding that would eventually impact his own bottom line (especially during World War I when the cost of goods rose dramatically).  But some of the skirmishes he entered into with the bureaucracy were strictly on behalf of the patients.

A true example of this was his pursuit of whiskey for his patients during Prohibition in the 1920’s.  In late January of 1920, Coe was notified that whiskey impounded due to Prohibition could be made available to his patients at Morningside if he would contact the U.S. Attorney in Oregon to apply to the courts for the necessary order.  Coe immediately gave a positive reply, noting “a few ounces of spirits for some of these old Alaskans at times is really a life-saving substance”.

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Katharine Hodikoff

Katharine Hodikoff was admitted to Morningside Hospital from the Aleutian Islands on October 6, 1913. Her diagnosis was, “acute mania, irritable, resentful, improved, inclined to suicide, industrious, fair physical condition.” She apparently improved over time, so much so that she was discharged in August 1916.

A few days before she left Morningside, Dr. Henry Coe, the president of the Sanitarium Company, informed the Department of the Interior of her release. In the letter, he described her as, “strong, vigorous, active, cleanly, and the most capable Eskimo woman I ever saw.” He goes on to say that she will be leaving with a baby named Mary McLoshkin (apparently born at Morningside?) who she adopted. You can read the discharge letter (21) here.

Coe notes that Katharine was in a photo with him and a Department of the Interior inspector (above, from the Library of Congress). He also wrote that she made fine baskets. I believe that this is a photo of one of her baskets. The caption under the 1916 photo (from the National Archives II) reads, “Made by an Alaska Native who was returned by Morningside to the island of Attu, 4000 miles distant.”

Dr. Coe ends the letter with, “I am going to write up her story, one of these days. It is stranger than fiction.” I wish he had. I’ve checked many sources but can find nothing on Katharine after her discharge from Morningside. Please leave a comment if you know more about her or her family.

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1911 Investigation

Governor Walter E. ClarkJoseph Von Kowski was adjudged insane in Tanana on March 13, 1911 and admitted to Morningside Hospital on April 15, 1911. He only stayed at the hospital for a short time, escaping on July 15. He subsequently wrote a letter to the matron of the Fairbanks Jail alleging that Morningside was “worst than any slaughterhouse from the beginning of the World” and that patients were “kept as slaves.” He also maintained that patients were tied up and beaten.

Walter Clark (right), Alaska’s first territorial governor, went to Morningside and spent 4 days “investigating  conditions at the asylum”, where he conferred with Edward Dixon, the Department of the Interior inspector who also conducted the 1909 inspection.

The following documents detail the complaint and investigation.

Von Kowski Complaint: September 21, 9122 (0), Governor Clark Letter: December 11, 1911 (61), Dixon Inspection Report: December 29, 1911 (73)

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Patient Burial Update

Last month, Eric Cordingley sent an update on his search for Morningside Hospital patient burial sites. He’s using records from the National Archive 2 and the Oregon State Archives (death certificates) to identify the cemeteries. Unfortunately, the graves are difficult to locate because the cemeteries no longer have records of the burials. In October, Eric had located the cemeteries where 145 Morningside patients were buried. He now has information on the burials of 200 patients! Check out the Morningside Hospital Virtual Cemetery. And thanks, Eric, for your continued commitment and hard work.

 

I met with Mary, the archivist for Greenwood Hill Cemetery and have the following to report:

Burials of Morningside patients at Greenwood Hills Cemetery (GHC)  began in February of 1942 after GH opened a new section.  Morningside burials were mainly placed in Sections 7 and 8 which is a narrow strip of land between the G.A.R. Cemetery and the ravine.    It is currently unknown how many burials took place in those sections of GHC.  Sections 7 and 8 today are overgrown and/or wooded.  Section 8 may not contain many burials due to the fact that the ground is saturated by a nearby spring.  A recent attempt by a landscape company to clean up Section 8 ended when the equipment they were using became mired in the mud, even in late summer.  There are Morningside burials in other sections of GHC which, though recorded, have yet to be documented.

As far as can be determined, the last Morningside patient to be interred at Multnomah Park was Reinhard  Effinger, who died 5 Feb 1942.  His marker has been located and documented.  No Morningide patient who died after him can be located and documented at Multnomah Cemetery. Read More »

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1909 Dixon Investigation Report

Henry Waldo Coe and his partners (the Sanitarium Company) began providing mental health care to Alaskans in 1904. Prior to winning their first contract, they operated Crystal Springs Sanitarium which provided care to private-pay patients.

The pictures below show how the hospital changed as it morphed into Morningside Hospital, going from private-pay patients to government contract supported care of Alaskans. These images are from an October, 1909 investigation report on the care of Alaskan patients at Crystal Springs Sanitarium. The report, written by Edward W. Dixon, is from US Department of the Interior records at the National Archives II in College Station, MD. You can read the full report and see additional photos here – 1909 Dixon Inspection Report (43).

The changes in the architecture are striking.

 

 

The Massachusetts Building (Crystal Springs Sanitarium) with the Nurses Cottage (to the left).

 

 

 

 

 

Morningside Asylum building, where Alaskan patients were housed.

 

 

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Posting Morningside Administrative Records

We’ve amassed a large collection of material from our research at the National Archives II in Maryland. The documents are primarily administrative correspondence between Morningside Hospital and administrators at the U S Department of the Interior Office of Territorial Affairs. These documents include information on patients (admissions, discharges, diagnoses, deaths, citizenship, assets, etc.), complaints and investigations, inspections, and personnel issues.

I’m going to begin posting the US DOI reports on the blog on a regular basis. They are fascinating reading and provide insight into mental health care in the first half of the 20th century. You can find the first report (all 67 pages) in the next blog post, on the 1909 Dixon Investigation.

If you download a document, please take a few minutes to share your thoughts by leaving a comment.

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Albin August Hofsted (Hofstad)

Most of the patient information on the blog is from the National Archives II, in College Station, MD. The Department of the Interior (DOI) contracted with Morningside Hospital for the care of Alaskans judged to be “insane”.  Morningside submitted monthly reports to the DOI that were essentially invoices, which also included patient admission and discharge information, death and burial details, and diagnoses. Marylou Elton, our volunteer in Washington, DC, continues to dig into the records. We now have patient information for the years 1907 to 1915 and 1924 to 1951.

One name that appears over and over again is August Hofsted (Hofstad). He was born in 1884 in Vesteraalen, Norway to Peder Mortensen Hofstad and Hanna Pauline Albrigtsdtr. August emigrated from Bergen on November 1, 1901 when he was just 17 years old. It’s not clear how he got to Alaska, although it appears that he may have joined family members in Wrangell.

Less than 3 years after immigrating, August was at Morningside Hospital. He was committed from Juneau and admitted on August 10, 1907. He died there on March 3, 1949. I’m sure he was at Morningside longer than any other patient. The DOI records provide the following information:

His diagnosis in 1907 was “general epileptic, more or less demented: occasional outbreaks of frenzy. General health fair.” By 1924 he was described as, “Mentally enfeebled. Confused more or less. Stuporous condition. Vague.”

His condition continued to worsen. In 1933, his diagnosis was, “Dementia precox, catatonic form. Mute and inaccessible for many years. Tidy but idle. Attends to only elemental wants.” The records also indicate that there was no contact with family members.

Please contact me if you can provide more information about August’s life.

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The Search for Patient Graves Continues

Eric Cordingley of the Friends of Multnomah Park Cemetery continues to look for Morningside Hospital patient burial sites. His search has expanded to include at least 5 cemeteries since his first discovery of patient graves at Multnomah Park.  Last month he sent this report on his continued pursuit of the final resting places of Morningside patients. Thanks for all you hard work, Eric!

September 19, 2011: I ventured over to Riverview and Greenwood Hills today with the hope of finding at least one Morningside headstone.

Riverview:  The area where most of the Morningside burials occurred, between 1924 and 1929, underwent a massive landslide sometime in the 60′s.  It could have happened during the October 1962 Columbus Day storm when many large trees at Riverview went down.  The area on the map, section113 was dramatically altered as part of a large earth movement toward a gulley which undermined two roads and a large retaining wall.  Any remains that were in that area may have been either covered over by the slide or by the large amount of concrete, rock and dirt fill that went into the hillside to stabilize it after the slide.  If remains were exposed during the slide, I am sure the Riverview staff collected them and reinterred them in an area away from another potential landslide.

In Section 11, I attempted to locate the grave of one Herbert Hurdman, a Morningside patient that died in 1929.  I was unable to locate a headstone for him.

Greenwood Hills:  Recent hot weather has made the ground dry and thus very difficult to probe.  I was able to locate several flat concrete markers.  I don’t know if the markers I located are for Morningside patients.  It is my belief Morningside patients were interred at Greenwood Hills beginning mostly in 1942/43 until the hospital closed, but I do not as yet have access to the quarterly reports beyond 1931 and I have not been able to build a list of former patients who may be interred at Greenwood Hills.

The Volunteer Coordinator for Friends of Greenwood Hills Cemetery, Mary, is unavailable, due to her work schedule, to assist in this project until sometime in October.  I will report on our meeting once it occurs.  Read More »

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