Central State Hospital, formerly known as the Georgia Lunatic Asylum, the State Asylum for the Insane, and the Georgia State Sanitarium, is the oldest and largest psychiatric facility in the state. Located on a sprawling 1,750 acre campus in Milledgeville, GA, which was at the time the state capitol, the Asylum admitted its first patient in 1842. Patient population exploded rapidly, and by the 1870s overcrowding was an issue; new buildings and additions to existing buildings were rapidly constructed to deal with the ballooning need for beds. This trend continued through the 1960s, when Central briefly contended with New York's Pilgrim for the title of largest psychiatric facility in the world.
