A Park Prewett Project - June 2007

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Winchester

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For a project at Uni I made a website about Park Prewett, mainly the easily accessible Pinewood Ward, a large building which could hold 60 Patients.

The Website has never been live, but I've decided to place all the stuff I did on the project onto here, to share with you.

Introduction
Where once stood grand structures, there now stands rubble. A century or more of work destroyed in an instant, under the regime of a government intent on social change and reform. With psychiatry recreated in local communities, the structures once the homes of many hundreds of people have been left to decay, be vandalised, burned to the floor, or simply to be reclaimed by nature, as patients are treated within the 'care in the community' scheme.

Some Psychiatric Hospitals and Lunatic asylums have been lucky, preserved by lack of funding for redevelopment, local planning regulations or preservation orders. Until recently, Park Prewett in Basingstoke was one of them. Pinewood Wards still stand, a relic of a bygone age of the mentally ill being sent away to a mysterious place where it was hoped they would be cured.

Asylum History

Since the 17th Century, British Lunatic Asylums and Mental Hospitals have been a thing of mystery, housing people deemed unacceptable in regular society. Throughout the Victorian era, many hospitals and asylums were erected after new legislation was passed in 1828 permitting local authorities to establish purpose built institutions to house appropriate persons.

Mental Hospitals and Lunatic asylums were often incredibly strict places in Victorian times; a prison for the unfortunate, perhaps. Residents included mothers with illegitimate children, the physically deformed, the mentally retarded, and those just not accepted into society. Ineffective, experimental and sometimes downright cruel treatments were administered to often unwilling patients, as doctors attempted to find solutions and cures for incurable mental illnesses. Attitudes towards the mentally ill changed a lot in the 160 years or so that Britain had a large number of active mental asylums, and those attitudes are evident in the treatment and admissions of the patients over the years.

With many shell shocked and psychologically damaged soldiers returning from the numerous wars in the 20th century, hospitals became overcrowded, and patients were admitted for less casual reasons, as they had done in the past. With Victorian standards of treatment consigned to the history books, patients were given serious medical treatment.

In the 1970s a deinstitutionalisation movement began to gather speed, as popular culture such as the film "One flew over the Cuckoo's Nest", and the book Zen and the art of motorcycle maintenance" portrayed asylums and hospitals as sadistic, ineffective places. Many asylums were closed down, boarded up and abandoned, with the “Care in the community” scheme launched in an attempt to re-establish a sense of community during a time of great change in Britain. At one time there were 120 mental hospitals in the country, now there are only 20.

Many of the Lunatic Asylums and Mental Hospitals had been built at a time of great architectural prosperity, and for that reason, there is a lot of objection to their demolition. Park Prewett Psychiatric Hospital (abandoned 1997) has been recognised by Basingstoke and Dean Council, and despite some areas being demolished, other parts are now being converted into luxury apartments and housing.

Other sites have not been so lucky. Beautiful Victorian structures have been left to decay, be vandalised, burned to the floor, or simply to be reclaimed by nature.
With the care in the community scheme failing to care for everybody, there is talk of reintroducing a communal housing and treatment system, albeit in a slightly different form to that of the asylum. Was it a mistake to close down and demolish the asylums, or is there still need for these fascinating buildings and their environment in a modern medical capacity?

Park Prewett History

Built between 1913 and 1915 by asylum architect GT Hine, for £250,000, Prewett was not opened until 1917, when during World War one it served as a military hospital for the Canadians. After the war it opened up as a psychiatric hospital and by 1936 had 1,400 patients. During World War Two it was again used as a military hospital, and after the war one wing was taken over by Sir Harold Gillies, the pioneering Plastic Surgeon. Prewett was served by its own railway line until 1950, but the line was shut down due to lack of usage.

Prewett was closed in 1997 after major changes in the way Mental Health care was handled.

Care in the Community

Care in the community was the key contributing factor to the closure of the Asylums and Hospitals. Sir Roy Griffith's 1988 report on Mental Health Care, 'Agenda for Action' set the scene for the 1990 Community Care Act, which was the major legislation that set out Care in the Communty as we know it. The aim of the act was to remove the stigma that affects mental health, and to integrate asylum residents back into regular society.

The 1960s saw a change in attitudes towards the asylums after the 1959 Mental Health Act encouraged community care and removed the distinction between mental hospitals and other hopitals. Various psychiatrists questioned traditional regimes and sought to change attitudes towards the mentally ill, by integrating them and removing the stigma that came with mental illness. Traditional methods of treatment were condemmed, suggesting that the hospitals and asylums weren't cost-effective and didn't serve their patients well.

As District General hospitals sprung up to cater for the growing population, their psychiatric services took some of the pressure off the institutions, and due to this, the number of beds in the hospitals decreased from 150,000 to near 80,000 in around 20 years, from 1955 to 1975.

Since 1982 London has lost almost 60% of its beds designated for mental care at a time when demand is rising again, and questions are arising as to whether such huge changes in mental health care have really benefited society.

Parts of the Hospital


Patient Cells


Although the word cell indicates a prison-like confine, by the time Pinewood was closed down in 1997, Patients staying in cells had relative freedom to that of those staying in the hospital 40 years previous. Cells were reserved for disruptive patients and those who had been committed for a longer time. Hospital cells shared some characteristics with prison cells: They were barely big enough for a bed, had locks on the doors, and the staff could observe the patients through hatches above the doors. They were also arranged in rows. For long-term patients, hospital living would have been very boring, repetitive and unfulilling, but still, they would have been protected from the ills of society.

Victorian attitudes towards mental health care were such that it was acceptable to keep patients locked up, and even the norm. Inside a cell, padded or otherwise, a dangerous patient could do no harm to others. The padded cell has long been symbolic of Lunatic asylums and Mental Hospitals, an icon representing control, misunderstanding and restraint.

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More modern cells are still representative of a bygone age of non-consensual admission and isolation. The dereliction evident in the 2007 images is a suitable metaphor for the decline of the institution and its out-dated values.


Toilets

With 13 toilets in the building, nobody should have been caught short. Sadly vandals have had their fun with Prewett, and most of the toilets have been smashed.

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Bathrooms and Showers

With approximately 60 patients living in Pinewood, it was important to ensure there were enough bath and shower facilities. With 15 rooms for washing in, there would have been no problems ensure everybody had access to showers and baths.


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Hydrotherapy was practiced at some institutions. Although there were various forms, the most common involved submerging a patient in hot water and stimulating their bloodflow through the means of water jets. With Physical and mental health having a strong connection, it was important to make sure a patient was clean, relaxed and stress free.

Wards

The wards were living spaces for up to 12 patients, generally the less disruptive, the infirm, or those only in for a short stay. Patients had control of their own lights and had a button to call for attention, as well as a curtain to allow privacy. As the patients living on the wards often spent the majority of their time there, it was important to make sure that they were comfortable, therefore nurses were trained in the seemingly simple task of bed-making.

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Treatment

Although many patients underwent psychological treatment at Prewett, many also underwent various physical treatments that benefited them in varying degrees. Prior to World War II, ineffective, experimental and sometimes downright cruel treatments were administered to usually unwilling patients, as doctors attempted to find solutions and cures for incurable mental illnesses. Bearing in mind that patients admitted were often only admitted to get them off the hands of their families, it will come as no surprise to learn that many of the treatments simply served to sedate the patient.

Respected members of society caught up in socially unnacceptable behaviour like adultery often admitted their mistress and/or illegitimate child, in an attempt to conceal the humiliation they would have bought upon themselves had the truth been known. Obviously the huge majority of those admitted under these circumstances would have nothing wrong with them, but to keep the illusion of insanity and illness, they would be subjected to 'treatments' such as Electroconvulsive therapy (ECT) , hydrotherapy and erotic massage, which were all utilised in an attempt to cure patients.

Compulsory Sterilisation

Undertaken on the seriously mentally ill, sterilisation was a eugenic attempt to prevent reproduction of carriers of what were considered defective genes. While it may have reassured society that reproduction of certain mental illnesses were not possible, sterilisation did little other than this. It had no effect on a patient's mental condition.

Lobotomy

One of the more severe types of treatment for depression and hysteria was the lobotomy. This involved removing the part of the brain that was considered to be causing the mental illness. Many patients underwent lobotomies for trivial reasons. In the US, the sister of John F Kennedy was given a lobotomy at the age of 23, after her father noted her moodiness and unusually interested in men. This left her mentally retarded and unable to communicate verbally. Although there are no accessible records of lobotomies being carried out at Park Prewett, it is not unlikely that they happened.

ECT

Electroconvulsive therapy consists of sending an electric current through the patients brain, delivering a small fit or seizure. ECT is generally used as a last resort treatment for those with long-term depression that hasn't been cured through other methods. A course of ECT lasts up to 6 weeks, and for that reason, many in-patients at Prewett were there for ECT. In the last 30 years, the number of patients recieving ECT has shrunk by almost two-thirds, a statistic which correllates with the number of asylums and hospitals closed in the same period.
 
Dayrooms

The day rooms were places for patients to occupy themselves between treatment, organised activities, meals and sleep. Despite having televisions, books and art areas, patients were reported as being lonely, bored and frightened, all mental states that were unlikely to benefit their treatment. Interaction was encouraged, but due to the mental conditions of many, inter-patient communication was difficult. The psychiatric health service failed many patients because the people in charge didn't understand them and couldn't relate to them. Despite the best efforts of the overworked nurses, if somebody was difficult to talk to, they would be difficult to cure.


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Kitchens and Dining Rooms

Everybody had to eat, and the cheapest way to do that was to have communal dining areas. Nurses had kitchenettes to prepare food for themselves, and on the ground floor a catering department served the patients. For those unable to leave their beds, Meals were delivered to the wards. Times were as follows.
Breakfast 7.30am to 8.30am
Lunch 11.30am to 12.30pm
Lea 4.30pm to 5.30pm

It is evident that Prewett was an establishment run like clockwork.

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Corridors

Perhaps the most photogenic part of the hospital, the corridors were lined with architect GT Hine's trademark red tiles. Now covered with broken glass and smashed in doorways, they're not as grand as they would have been in their pomp. Nevertheless, it is nice to see some original design.

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Outdoor Areas

There were 2 patios and 2 sun-lounges at Pinewood. It was important to give the patients daylight and essential vitamin D, and the two patios viewed the cricket pitch as well. The residents in the main complex didn't have this priveledge.

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Decay

10 years of damp, wind, rain and vandals will inevitably take its toll on a building. The decay of the hospital buildings is a metaphor for the decaying state of the nation that has neglected them. Beautiful Edwardian and Victorian buildings are being left to rot, as their owners fail to find profitable uses for them. Milions of pounds a year are spent on security, protecting buildings like Pinewood.

The National Regeneration Agency called English Partnerships have bought 96 hospital sites throughout the last 15 years, and have been selling them off to developers. Park Prewett is one of those, and Thomas Homes are responsible for redeveloping them into 600 dwellings.

In the mean-time, they will continue to rot.

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Urban Exploration

This project would not have been possible without help of the Urban Exploration Community and what it stands for.
Urban Exploration consists of getting into areas that are off limits to the general public, and discovering what there is to see in them. As many old buildings are abandoned, forgotten and left to decay, Urban Explorers gain access and document them and their contents for future generations.

At a time when most municipal buildings are built on the cheap, elaborate and ornate buildings such as asylums and hospitals are considered treasures by this community, and the documentation of them through various media, largely photography, is one of the things that keeps this community alive.


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Cheers for reading guys!
 

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