Originally designed to accommodate 250 patients in relatively comfortable surroundings with plenty of natural light and fresh air, conditions at the West Virginia Hospital for the Insane slowly deteriorated into a horror show. During the 1950s, its population peaked at a staggering 2,600 patients, with state and medical officials resorting to lobotomy to reduce overcrowding. It was added to the National Register of Historic Places in 1978 and designated a National Historic Landmark in 1990.
