The Oregon Insane Hospital (1862-1883) was built on S.E. 12th and Hawthorne in Portland and initially provided care for 12 patients. The hospital was constructed on land donated by James P. Stephens, who donated a portion of the Lone Fir Cemetery property.
Dr. Hawthorne underwent many reviews throughout his tenure at the Oregon Insane Hospital. He was consistently found to give excellent and beneficial care. Dorthea Dix of New York, the famous mental health reformer of the late 19th century, visited Dr. Hawthorne's facilities in 1869. Her recommendation to maintain the state's contract with Dr. Hawthornes was a testament to his hospital's excellence.
Some records exist for some of the patients of Dr. Hawthorne that include the name of the deceased, date of death, and fee for burial. However, the physical locations of the majority of patients' graves are unknown.
Dr. Hawthorne presided over the care of the mentally ill until his death in 1881 and is himself buried in the Lone Fir Cemetery (Lot 44, Block 8m)
The Oregon Hospital for the insane served as the state asylum until completing the Oregon State Insane Asylum in Salem 1883.
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