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.

Again, I observed no abuse from “the powers that be”. However, kids being kids/people being people, there were strong rumors circulating on our ward of some teen sexual activity, but only between patients, never between staff and patients.

The quality of life at Morningside was as good as could be imagined, “considering the circumstances”. Movies were arranged, trips to local swimming pools, bowling alleys, etc. There was a rec room which included a piano; there was a “snack and fun” center with vending machines, a little shop, a small lounge, and other amenities. The school was well maintained and the teachers were quite sharp. I’m sure there was homework, but I don’t recall doing any on the ward.

Apparently Morningside would on occasion coordinate with outside physicians and/or medical training programs. One day I was asked to be interviewed by a visiting psychiatrist, to which I readily agreed. He asked the usual questions. I presume whatever data he obtained went into some institution’s records, but I can’t recall what clinic or hospital this particular doctor represented.

In addition to individual psychotherapy, there was group therapy for us (we?) teens. In his interview, Dr. Moss mentioned that this was fun but the whole teen group workshop/program eventually withered because aide staffing was insufficient to manage “difficult” teens. In addition to Dr. Moss, sometimes at group therapy, there was a woman therapist, a “Dr. Kelley” who would sit at the table with us and, like Dr. Moss, ask questions/lead discussions/prompt thinking.

I recognized a couple of other doctors around the place – by face, but I don’t think I knew their names. I think I do recall occasionally seeing Dr. Hutchens when he would be walking on the grounds.

The cafeteria was pretty amazing in terms of variety and abundance of food. Also in its attention to the exacting filling of special diet orders from the doctors. My tendency to weight-gain finally resulted in Dr. Moss directing diet orders to the kitchen. The outcome of this was taking all my meals in a special annex to the cafeteria, which was called “the Diet Kitchen”. This was efficient but unpleasant, first because the food was “dietary” and because it separated me from my peers who would of course be eating in the regular cafeteria.

Also there was a craft shop with saws, lathes, etc. Doctors would frequently assign patients a carpentry project, and that’s how I’m familiar with the shop. I remember a milk vending machine there that dispensed the most refreshing, ice-cold milk in small cartons.

The hospital also had a newsletter that probably came out once a month or maybe every two weeks. It kept us up on new and leaving patients, current patients (hobbies, aspirations), etc., had a cartoon, jokes, etc. I don’t recall the name of the newsletter.

The ward and its separate shower room and lavatory were kept spotlessly clean. I believe that the aides were hands-on responsible for these tasks.

Well, that’s about all I can remember – I hope it’s of interest and of use to you. Please feel free to ask any more questions.

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 (48).

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.

Morningside Hospital in the 1950s or 1960s. There were many other structures on the property, including patient housing and farm buildings.

In 1968, Morningside Hospital was sold to the developers of the 205 Mall. This is what it looks like today.

Some of the other “Top 50″ hospital blogs included:

• “Beyond Vermont State Hospital (VSH) Blog” in Vermont
• “Porter Adventist Hospital” in Colorado
• “Save Charity Hospital” in New Orleans, Louisiana
• “Knoxville Hospital and Clinics Blog” in Iowa
• “Lexington Medical Center” in South Carolina
• “OSF St. Joseph Medical Center: This is Health Care” in Bloomington, Illinois
• “Sutter Medical Center Castro Valley” in California
• “Virginia Hospital Center” in Arlington, Virginia
• “Children’s Hospital and Health System” in Milwaukee, Wisconsin

These two photos, which are from the Oregon Historical Society, were not dated but appear to be from the 1920s.

The caption on the photo above is an account of the Christmas Festivities at Morningside from a Portland newspaper. “Morningside Hospital provided three Christmas trees for the inmates. Natives helped to provide the entertainment which was held in the Assembly room of the new Parole House. Gifts were provided for all the patients in the institution by Dr. Coe, the Chief Officer. After the exercises in the main hall the women retired to their own buildings where trees awaited them, while the men had their remembrances in the assembly room.”

The founder of Morningside Hospital, Dr. Henry Waldo Coe, is standing to the right of the Christmas tree.

The photo above appears to be from the early to mid-1920s. Children were first admitted to Morningside at the end of 1922 or early 1923.

The “Program of Entertainment” for the 1922 Christmas Party included:

• Overture by the Orchestra
• Song by Mrs. Larsen, Mr. Thomas, Mr. Carter
• Address by Mr. Henry Ray
• Jig and Monologue by Mr. Nathan Swarthout
• Vocal Solo by Mr. Carter, Supported by the Orchestra
• A Response by Mr. Wayne W. Coe, Speaking for the Management
• A Waltz – Men Employees Dancing with Women Patients and Men Patients Dancing with Women Patients
• A March by the Orchestra while participants and other file out
• Distribution of Presents to Men at Main Building
• Distribution of Presents to Women Patients and Employees at the Women’s Cottage
• Mr. Earl Dowd Acting as Santa Claus

The menu for the Christmas Dinner was:

• Oyster Stew
• Celery and Olives
• Roast Turkey and Dressing
• Mashed Potatoes
• Baked Sweet Potatoes
• Hot Rolls
• Cranberry Jelly
• Mince Pie – Fruit cake
• Coffee, Tea, Milk
• Oranges, Apples, Nuts and Candy

Karen and I spent Wednesday through Friday of last week at the National Archives II in College Park, MD. After worrying that we wouldn’t find any patients records, we found more than I imagined possible. Too much, in fact. They have nearly all of the Morningside Hospital patient lists from 1904 through the early 1950s, plus contracts, investigation reports, personnel records, medical officer reports, and administrative correspondence between Morningside and the Department of the Interior. We worked each day for 10 to 11 hours, scanning and copying. In the end, we had nearly a gig of scanned documents and photos and a 4 inch stack of copies. I don’t think we made a dent in what’s there.

This presents us with an entirely new set of questions, the most important of which is how to handle this much information and make it readily available to families and other researchers. Over the next month, we’re going to seek advice on the organization of historical collections and database design. In the meantime, we’ll post more patient lists and articles on some of the more interesting information and photos we found in the files.

Stay tuned.

We are very excited about two record groups in particular:

Letters Received and Related Records concerning the Alaskan Insane, compiled 1900-1911: This series consists of letters received, copies of contracts, telegrams, vouchers, lists of patients, and other records.  Some of the correspondence refers to policy, but most of it concerns the custody and care of mental patients, discharge of cured individuals, and related topics.

Record Group 126, Records of the Office of the Territories: This record group includes 26 boxes pertaining to the care of the insane in Alaska. 

The records will undoubtedly provide more information about the operation of Morningside Hospital and its relationship with the federal government. Of course, our greatest hope is that the boxes at the National Archives contain patient lists. If the patient lists are not there, we’re out of ideas and pretty much at a deadend.

Please contact us if there are particular records that interest you. Let’s all keep our fingers crossed.

“For nearly sixty years, Morningside Hospital sat on a 47-acre parcel in Hazlewood, at the junction of SE Stark Street and 96th Avenue. Formerly agricultural land, the site was developed as a psychiatric hospital complex and working farm in 1910. After WWII, many of the farmers in the surrounding area retired and their land was developed into suburban communities. The rising population increased consumer demand and the under-construction interstate freeway promised easy access; in 1970 the site was redeveloped as Mall 205.

The hospital, founded in 1899 by Dr. Henry Waldo Coe, was originally run out of his family’s home. In 1905, Coe purchased the Massachusetts Building from the Lewis and Clark Exposition and moved it from the exposition site in NW Portland to Mt. Tabor, where it was converted into a psychiatric hospital. Five years later, Dr. Coe moved operations to what would be its final location, a 47 acre site in East Portland bounded by SE 96th and 102nd avenues, and Stark and Main streets. During its early years, the hospital went by several names including Dr. Coe’s Nervous Sanitarium, Mindease, Mt. Tabor Sanitarium and Crystal Springs Sanitarium.

In 1904, Morningside was awarded a contract from the U.S. Department of the Interior to care for mentally ill and mentally handicapped patients from the territory of Alaska, who would constitute the bulk of the hospital’s patients throughout its tenure. Between 1905 and 1968, nearly 5,000 patients were admitted to Morningside, not including the roughly 40 admitted monthly on behalf of Multnomah County, which used the hospital for emergency care.

After Dr. Henry Waldo Coe’s death in 1927, Morningside was taken over by his son, Wayne Coe. Although not a medical doctor, Wayne Coe acted as hospital administrator and eventually as Chairman of the Henry Waldo Coe Foundation.

In 1955, Morningside came under attack after a bill was introduced by U.S. Rep. Edith Green (D) of Oregon, to transfer care of Alaskan patients to Alaska. Questions of financial impropriety raised during hearings lead to an investigation of the hospital by the U.S. General Accounting Office in 1956. By this time, Wayne Coe’s son Henry Coe, had entered the family business. The Coes were accused of using hospital funds for personal expenses, including trips to South Africa and Mexico, a beach property in Gearhart and a ranch in Stanfield, Oregon. The Coes were also accused of “outrageous abuse of privilege” including the use of patient labor for home and hospital building and maintenance, under the guise of occupational therapy. The Coes denied the charges, defended the hospital practices and called the investigation “rude, uncivil and insulting.” Ultimately, no criminal charges were filed and Morningside was fully reaccredited in 1957. By 1964, Morningside’s reputation had recovered to the degree that it was featured in an Oregonian article about its success as an “open hospital.” Under the open hospital model, patients were controlled through sedatives rather than lock and key.

The Alaskan Mental Health Enabling Act was passed in 1956 and Alaskan patients began being moved from Morningside to new facilities in their home state. The Coes attempted to reorient the hospital. In 1960 they announced that the “transfer of 210 patients from Morningside will enable the Portland psychiatric hospital to begin taking patients locally.” The Oregonian reported “Hospital officials feel that Morningside’s present facilities and rehabilitation programs geared to both mentally ill and mentally retarded can be adapted to private patients with a few changes.” Morningside was never able to recover from the loss of Alaskan patients, however, and attempts by Henry Coe to find a buyer who would continue to use the facilities for medical purposes were unsuccessful.

In the summer of 1968, the last three patients were discharged and Morningside prepared to close its doors. The site was sold to Lenrich Associates, a New York based property developer, which, in partnership with Interstate Department Stores, redeveloped the land as Mall 205.”

Sources: Mills, Amy C, A Cultural History of the Neighborhoods Along the I-205 Light Rail Project, 2007; Hawkins, William J. and William F. Willingham, Classic Houses of Portland, 1999; Sullivan, Ann, “Morningside Hospital Closes After 58 Years of Caring for Mentally Ill,” Oregonian, June 30, 1968; various articles, Oregonian, 1920-1968; Sanitarium Company, Care of the Insane of the Territory of Alaska, 1925.

You can view these lists here: 1920 US Census

When we posted the 1955 Department of the Interior Report, we pointed out some names that appeared on both that list and the Wickersham Papers. With the addition of the 1920 US Census list there are even more names that appear on multiple lists, helping to fill out the profile of some Morningside patients.

For example:

• Emile Johnson appears in both the Wickersham Papers and the 1920 US Census. The Census tells us he’s a 31-year-old, single, white male from Sweden who speaks English but cannot read or write. The Wickersham Papers tells us he was committed from Valdez on 11/11/1912 as patient #439. Using information from the two different sources we can compilate some additional data too: if he was 31 in 1920 (from the Census), that would make him ~23 when he was committed in 1912.
• Charles Benson appears in all three of the current lists. He was committed 2/16/1915 from Ketchikan with patient # 553. The US Census reports that he was 44 years old and single in 1920, and lists him as a literate, white male from Sweden.
• G. Osawa is on both the Wickersham Papers and the US Census. The Census tells us that G. Osawa was a 43-year-old single Japanese man who could read and write, and spoke English. Wickersham Papers tell us he was committed 5/10/1911 from Wrangel with patient # 355

There are many, many more entries like these.

Deborah is currently working on typing the hand-written 1930 US Census, and it will be posted as soon as it’s complete.

You can view these lists here: 1955 Department of the Interior Report

The Wall of Names is sorted alphabetically by last name, and then by first name, rather than by source. The intended reason for this was to organize the names in a way that makes it easier for someone researching their family history or looking for a specific name to find the name they’re looking for. The other effect of sorting the names like this is that names that appears on more than one list group together. In adding the names from the Department of the Interior Report from March 1955, I stumbled upon a few patients who’s names appear in Judge Wickersham’s list from Morningside in 1916 and in the 1955 DotI Report.

• Robert Belling is listed in the Wickersham Papers as admitted 6/23/1911 from Nome with admission # 359. The 1955 DotI Report includes a Robert Belling, 44 years later. Unfortunately the 1955 report does not include any further information about Robert Belling.
• Charles Benson appears in the Wickersham Papers as having been admitted from Ketchikan on February 16, 1915 with admission # 553. According to the Department of the Interior Report from 1955, 40 years later, there was still a patient named Charles Benson. Again the 1955 report does not include any other information about Charles Benson.
• David Hull is in the Wickersham Papers, admitted from Nome 6/29/1908 with patient # 201, and present in 1916. DotI report lists a David Hull in 1955, 47 years later.
• W.T.C. Jensen is shown in the Wickersham Papers, admitted from Juneau 8/30/1914 with patient # 534, and present in 1916. DotI lists W.T.C Jensen in 1955, 41 years later.
• G. McLain appears in the Wickersham Papers, admitted from Ft. Gibbon with patient # 476 in August, 1913, and Present in 1916. DotI has a Granville McLain in 1955, 42 years after G. McLain’s admission.
• Carl Miller is listed in the Wickersham Papers as admitted from Ketchikan in October 1909, but “Eloped” 10/22/1910. However, a Carl Miller does also show up in the 1955 DotI report.
• Richard Harris is shown in the Wickersham Papers as admitted 8/19/1905 from Juneau, and deceased 10/10/1907. The DotI report also includes a Richard Harris.
• J. Hubbard is listed in the Wickersham Papers as admitted 4/13/1913 from Juneau, and deceased 10/2/1914. The DotI report includes a John Hubbard
• There are potentially more, as both patient lists are missing first or last names from patients, or have names off by one or two characters which could be misspellings. There are probably others that I overlooked. As we add lists, more duplicate names will appear, adding to the ability to cross-reference names.

It is probably reasonable to assume that some of these patients were sent home and later re-admitted to Morningside, but there is currently not enough information to expand on. There is also the possibility that some these records are not referencing the same patients; the DotI report doesn’t give much information to work with, and there is no way to know if these are the same persons or if they just share names. Given the population of Alaska at the time, duplicate names may have been somewhat rare, but as the final two in that list show, there are records indicating that over the course of Morningside Hospital’s operations there were patients who shared the same names.

Even if some of the names that appear on both lists are duplicate names, and some of the rest are patients who were sent home and later re-admitted, it seems possible that at least a few patients spent upwards of 40 years at Morningside Hospital. Hopefully we’ll be able to make things more clear as we collect additional patient lists and get them into spreadsheets.