Place · United States

The history of Courthouse-Collins Settlement District

A Gothic Revival asylum, now a museum
Last reviewed 16 October 2026 · A three-minute read · 1818–2008

Courthouse-Collins Settlement District's recorded ground centres on Asylum Drive in Weston, West Virginia, where the Trans-Allegheny Lunatic Asylum rose in blue sandstone between 1858 and 1881, served as a mental hospital for 130 years, and now stands open as a museum.

The short answer

Asylum Drive in Weston, West Virginia, runs alongside the Trans-Allegheny Lunatic Asylum, a Gothic Revival hospital built by hand from blue sandstone between 1858 and 1881. It operated as a mental hospital for 130 years, housing thousands beyond capacity, before closing in 1994 and reopening in 2008 as a museum offering history and paranormal tours.

1858 to 1864

War halts construction and soldiers seize the gold

The Trans-Allegheny Lunatic Asylum is a Gothic Revival hospital building, now run as a museum offering historical and paranormal tours. Its stone walls run for a quarter mile along Asylum Drive, built by hand from blue sandstone quarried nearby.

The Virginia General Assembly authorized the hospital in the early 1850s. Construction started in late 1858, using prison labor and enslaved workers, with skilled stonemasons later brought from Germany and Ireland. The architect was Trans-Allegheny Lunatic Asylum of Baltimore, who designed it using the Kirkbride Plan. That plan, developed by Dr. Thomas Story Kirkbride, held that fresh air, light and calm surroundings could help cure mental illness.

Work stopped in 1861 when the Civil War began. Union troops under Colonel Erastus Bernard Tyler occupied the half-built site, turning it into Camp Tyler. On June 30, 1861, Tyler's men raided the Exchange Bank nearby and seized more than $27,000 in gold set aside for the hospital's construction. Tyler's men shipped it to Wheeling to fund the new pro-Union government of Virginia.

When West Virginia became a state in 1863, the hospital took a new name: the West Virginia Hospital for the Insane. Construction resumed, and on October 22, 1864, the first nine patients were admitted, all women. The building itself was not finished for another seventeen years.

1881 to 1935

Builders finish a hospital meant for 250 patients

Builders finally completed the hospital in 1881. It remains one of the largest hand-cut stone masonry buildings in North America, and some say the second largest in the world after the Kremlin.

The hospital was meant to hold 250 patients. People were admitted for reasons that look strange today: asthma, laziness, greediness, even "political excitement."

On October 3, 1935, a fire set by a patient destroyed six men's wards and brought a cupola crashing through the roof. Nobody died. The Works Progress Administration rebuilt the wing for $155,000.

1938 to 1953

Beds were shared in eight-hour shifts here

A survey in 1938 found 1,661 patients crammed into a building meant for 250, more than six times its capacity. By the 1950s, the number climbed to 2,400. Staff shared beds between patients, giving each only eight hours before handing the bed to the next person.

In 1913, the facility had already taken a new name, Weston State Hospital, a label that stuck through its worst years.

Between 1951 and 1953, Dr. Walter Freeman performed more than 770 transorbital lobotomies here, part of the West Virginia Lobotomy Project. The method used a thin blade inserted above the eye, driven into the brain with a mallet. Other treatments included insulin shock therapy, ice baths and solitary confinement.

1994 to 2008

An empty hospital reopens as a tourist attraction

The hospital closed in 1994, 130 years after its first patients arrived. Doctors moved everyone to the new William R. Sharpe, Jr. Hospital nearby. The old building sat empty for over a decade.

In 2007, the state auctioned it off. Trans-Allegheny Lunatic Asylum bought the 242,000-square-foot building for $1.5 million. Joe Jordan reopened it in March 2008 as a tourist site, offering both history tours and paranormal investigations.

The building had already earned a spot on the National Register of Historic Places in 1978, and became a National Historic Landmark in 1990.

2008 to now

Guides lead tours through Room 319's legend

Visitors today walk the same stone hallways where patients once lived three and four to a room. Guides point out Room 319, where staff and tourists report meeting a presence they call Lily, said to be a girl who died here of pneumonia at age nine. The story has no single fixed version; some say her mother came in pregnant and died giving birth to her. It is told as legend, not as recorded history.

Other stories passed along by guides describe a violent patient called Slewfoot, said to have died in a bathroom fight, and a third-floor presence some call Big Jim. Staff over the years have reported hearing gurney wheels squeak down empty halls and doors swinging shut on their own. These accounts are part of the tour, not part of the hospital's documented record.

The gold that Union soldiers carried off in 1861 never came back to pay for construction. The state found other funds, and work dragged on for two more decades after the war ended.

The building standing today is a quarter mile of hand-cut blue sandstone, quarried near Weston and set by masons from Germany and Ireland. It held the sick, the overcrowded and the experimented-on for 130 years. Now it holds tour groups instead.

The old asylum stands open for tours, its stone halls walked by visitors instead of patients.

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Where this is

39.037°N 80.469°W TILE ≈ 1.2 × 0.6 KM
Place
Trans-Allegheny Lunatic Asylum
Town
Courthouse-Collins Settlement District
Country
United States
Tile
≈1.2 × 0.6 km (geohash6)
Last reviewed
16 October 2026

The layers, in order

Sourced records, high and medium confidence. Era background is marked as such.
Modern
Downtown Weston
A cluster of 19th and early 20th century commercial buildings a few streets from the asylum grounds forms the Weston Downtown Historic District.
Wikipedia · record, high
Weston, Lewis County
The town of Weston, whose land the asylum later sat beside, was established in 1818 while the area was still part of Virginia.
Wikipedia · record, high
Weston, Lewis County
The Old Arnold Cemetery, in use from 1834, lies a short walk from the asylum grounds in Weston.
FamilySearch · record, medium
Asylum Drive, Weston
Architect Richard Snowden Andrews designed the Gothic and Tudor Revival hospital, begun by prison laborers in 1858 and not finished until 1881, using German and Irish stonemasons and sandstone quarried at Mount Clare.
Wikipedia · record, high
Asylum Drive and surrounding area, Weston
At 5 a.m. on June 30, 1861, the Seventh Ohio Infantry under Colonel Erastus Tyler occupied the half-built asylum grounds and seized $27,000 in gold from the Exchange Bank nearby to fund the new pro-Union government of Virginia.
Asylum Drive, Weston
The first nine patients, all women, were admitted here on October 22, 1864, even though construction would drag on for another 17 years.
Grounds of the former hospital, Asylum Drive
The 26.5-acre property holds an abandoned cemetery where patients who died at the hospital were buried.
Atlas Obscura · record, medium
Main building, Asylum Drive, Weston
On October 3, 1935, a patient-set fire destroyed six men's wards and collapsed the central cupola through the roof, causing $155,000 in damage, though nobody died.
Asylum Drive, Weston
A building meant for 250 patients held 2,400 to 2,600 by the 1950s, with patients sharing beds in eight-hour shifts.
Road Unraveled · record, medium
Asylum Drive, Weston
Dr. Walter Freeman performed over 770 transorbital, or 'ice pick,' lobotomies at the hospital as part of the West Virginia Lobotomy Project.
Haunting World · record, high
Asylum Drive, Weston
The building, said to be one of the largest hand-cut stone masonry buildings in the country, became a National Historic Landmark in 1990.
Wikipedia · record, high
Asylum Drive, Weston
Weston State Hospital shut its doors in 1994 as patients moved to the new William R. Sharpe Jr. Hospital, leaving the building empty.
Wikipedia · record, high
Asylum Drive, Weston
Investor Joe Jordan bought the 242,000-square-foot building at auction for $1.5 million in 2007, and it reopened for historical and paranormal tours in March 2008.
West Virginia Explorer · record, high

Questions about this place

Answered in one sentence, then in full above
What was here before the museum on Asylum Drive?
Before becoming a museum, the building operated for 130 years as a mental hospital, first called the West Virginia Hospital for the Insane and later Weston State Hospital, admitting its first nine patients in 1864.
What happened at the Trans-Allegheny Lunatic Asylum during the Civil War?
Union troops under Colonel Erastus Tyler occupied the half-built asylum grounds on June 30, 1861, and seized $27,000 in gold from the nearby Exchange Bank to fund the new pro-Union government of Virginia, halting construction.
Why did the asylum take so long to build?
Construction began with prison laborers in 1858 but stopped during the Civil War; work resumed after West Virginia became a state in 1863 and the building was not finished until 1881, 23 years after it started.
Did Dr. Walter Freeman perform lobotomies at Weston State Hospital?
Yes, between 1951 and 1953 Dr. Walter Freeman performed more than 770 transorbital lobotomies at the hospital as part of the West Virginia Lobotomy Project.
When did the asylum close and reopen as a museum?
The hospital closed in 1994 after 130 years of operation, sat empty for over a decade, and reopened in March 2008 as a tourist site after investor Joe Jordan bought it at auction in 2007.
Who is Lily at the Trans-Allegheny Lunatic Asylum?
Lily is a figure from legend associated with Room 319, said by guides and some visitors to be a girl who died at the hospital of pneumonia at age nine, though the story has no single fixed version and is told as legend rather than recorded history.

Where this came from

1
West Virginia Encyclopedia — The asylum opens its doors, 1864
2
Historical Marker Database — Union troops seize the bank's gold, 1861
3
Haunting World — Dr. Walter Freeman's lobotomy project, 1951–1953
4
Road Unraveled — Overcrowding reached ten times capacity by the 1950s
5
Atlas Obscura — An abandoned patient cemetery on the grounds
6
Wikipedia — Twenty-three years to finish a Kirkbride asylum
7
West Virginia Explorer — Reopened as a tourist attraction, 2008
8
Wikipedia — Weston Downtown Historic District, a few streets away
9
FamilySearch — Old Arnold Cemetery, laid out in 1834
10
Wikipedia — Weston incorporated, 1818

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