The staff at Crownsville leaned heavily on seclusion as a primary method for subduing patients. Patients at Crownsville were routinely left alone in dark and damp cells with little more than a thin mattress on the ground. The practice of isolating and secluding patients was well documented and, in some instances, critiqued. In 1949, a document titled “Report on the Mental Hospitals of the State of Maryland” expressed concern that recreation had still not been developed at Crownsville and that the few amusements offered to the patients came from volunteers from the community.
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