Prior to its construction, Bellevue’s mental-health facilities were part of the main hospital and included an 1879 “pavilion for the insane,” and an alcoholic ward was added in 1892. Dr. Menas Gregory, a well-known psychiatrist who spent his career working in Bellevue’s psychiatric division, is credited with the idea for a psychiatric building after a trip to inspect similar institutions in Europe – a “Temple of Mental Health,” as he called it. Wanting to create a very clean and stately environment for the new hospital was right on brand for Dr. Gregory. In his position, he had already changed the terminology – preferring “psychopathic” to the word “insane,” thinking this would help make the patients seem curable. He had also removed the iron bars from the old pavilion’s windows and had lessened the use of narcotics and physical restraints on the patients. Dr. Gregory was seen as a good guy in the field, at a time when most medical professionals were largely ignorant about mental illness.

Before the hospital was built, The New York Times said it would be “one of the finest hospitals in the world for the treatment of mental disorders” and “thoroughly modern” at a cost of $3,000,000. (Unsurprisingly, by the time it was finished, the cost would be $4,300,000 ($66,000,000 today). It was designed as a single building with three separate units: 1) 10-stories to house administrative services, doctors’ offices, labs and a library; 2) 8-stories, for mild cases; 3) 8-stories, for more advanced cases. There were facilities for recreation and occupational therapy; physio-, electro- and hydro-therapy; an out-patient clinic; teaching facilities for medical students, and a special research clinic for the study and treatment of delinquency, crime and behavior problems, in collaboration with the Department of Correction, Criminal Courts and Probation Bureau.

Rooms were designed to house either one, two or three patients at a time. In a Mental Hygiene Bulletin, it was written that “special consideration has been given in the plans to incorporate within the building the appearance and aspect of home or normal living conditions with simple decorations and color tones believed to have the most soothing effect upon the patient.” One hundred of the six hundred beds were dedicated for the study and treatment of children, under the supervision of the Department of Education. Completing the building was nothing short of dramatic and filled with accusations of corruption and mismanagement. Its lavish exterior juxtaposed against the great depression couldn’t have been more tone deaf to the city’s residents. When ground was broken on June 18, 1930, it was thought the building would be completed at the end of 1931. Almost a year later, in February 1931, the cornerstone was just being laid. Delays were plentiful. It reportedly took a year to choose the architect and another year to draw the plans, and then, according to the Acting Commissioner of Hospitals, “after the contractor had collected all the funds he could get, he left for Europe.”

The hospital partially opened in May 1933 with the 600-bed facility only ready for 375 patients. A formal dedication occurred later that year in November, where tribute was paid to Dr. Gregory for his vision. Dr. Gregory resigned from his post in 1934, amid an investigation of his division by the Commissioner of Hospitals, Dr. S. S. Goldwater. This formed a spectacular tit-for-tat-type relationship between Dr. Gregory and Dr. Goldwater, which The New York Times covered extensively. Dr. Gregory died in 1941.

Over the years, the building went from temple of health to a scary place you didn’t want to go, and was the subject of many films, novels and exposes. The hospital saw many celebrity patients. Norman Mailer was sent there after stabbing his wife in a drunken rage. William Burroughs after he chopped off his own finger to impress someone. Eugene O’Neill had several stays in the alcoholic ward. Sylvia Plath came after a nervous breakdown. And infamous criminals like George Metesky the “Mad Bomber,” and John Lennon’s assassin, Mark David Chapman, were briefly committed to the hospital. In 1984, the city began transitioning the building into a homeless shelter and intake center, but much of it was left empty. Around 2008, a proposal to turn the building into a hotel surfaced. To developers, the building was naturally suited to such a use, given the H-shaped layout with long hallways and small rooms.