Jim Crow in the Asylum

Psychiatry and Civil Rights in the American South

by Kylie Smith

Untangling the relationship between race and psychiatry in the American South

There is a complicated history of racism and psychiatric healthcare in the Deep South states of Georgia, Alabama, and Mississippi. The asylums of the Jim Crow era employed African American men and women; served as places of treatment and care for African Americans with psychiatric illnesses; and, inevitably, were places of social control. Black people who lived and worked in these facilities needed to negotiate complex relationships of racism with their own notions of community, mental health, and healing.

I mix exhaustive archival research, interviews, and policy analysis to offer a comprehensive look at how racism affected Black Southerners with mental illness during the Jim Crow era. Complicated legal, political, and medical changes in the late twentieth century turned mental health services into a battlefield between political ideology and psychiatric treatment approaches, with the fallout having long-term consequences for patient outcomes. I argue that patterns of racially motivated abuse and neglect of mentally ill African Americans took shape during this era and continue to the present day. As the mentally ill become increasingly incarcerated, Jim Crow in the Asylum reminds readers that, for many Black Southerners, having a mental illness was—and still is—tantamount to committing a crime.

Image: "Court for Women, showing group of patients" Searcy Hospital, Mt Vernon, Alabama, 1954. Courtesy University of Alabama Birmingham.

This Manifold edition is a collaboration between UNC Press and Emory Center for Digital Scholarship.

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Metadata

  • isbn
    9781469689203
  • publisher
    The University of North Carolina Press
  • publisher place
    Chapel Hill, NC U.S.A
  • restrictions
    CC BY-NC-ND 4.0
  • rights
    © 2026 Kylie M. Smith

    All rights reserved

  • rights holder
    Kylie M. Smith