The Northampton State Hospital in Northampton, Massachusetts, was considered almost a utopian solution to mental health treatment in the middle of the 19th century. In the 1980s, with the quality of care declining rapidly, and the movement to mainstream mentally ill persons into the community, the hospital was gradually phased out. A huge multi-use development is now located on the vast campus, but most of the buildings, including historic and beautiful Old Main, have been demolished since I took these pictures, despite many sincere efforts by preservationists to encourage creative re-use.