Hudson River State Hospital

Hudson River State Hospital is a former psychiatric institution in Poughkeepsie, New York. The main building, in a High Victorian Gothic style, sits on roughly 296 acres, with separate wings radiating from a central administration block.

The institution opened in 1871 with 40 patients and grew over more than two decades to become one of New York's largest mental health facilities. Frederick Clarke Withers designed the building in the 19th century as one of the first American public structures in this architectural style.

The design was built around the belief that patients would heal through natural light, fresh air, and views of the countryside, so large windows and porches formed the core of the layout. This approach remains visible today in the long corridors and openings that still frame the surrounding hills and trees.

The property has been redeveloped into residential and commercial spaces, so many areas remain closed to the public, though some of the grounds remain open for walking. Visitors interested in the architecture should come during daylight to see the building's details and its setting near the river.

Frederick Clarke Withers designed this as the first American public institution in High Victorian Gothic style, which later earned it National Historic Landmark status. The architect combined the medical philosophy of the time with the formal language of European cathedrals, something completely unconventional for hospitals back then.

Location: New York

Inception: 1867

Architects: Frederick Clarke Withers

GPS coordinates: 41.73306,-73.92806

Latest update: December 6, 2025 11:00