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A Brief History of Central State Hospital

The Central State Hospital Campus began life in 1837 as a mental health institution. The original 40 acres was purchased for $4,000 which included a two-story structure, a well, vineyard, orchard and four acres of land for cultivation. The first building officially opened on November 1, 1842. The first patient, by the name of Tilman B, was admitted that same month. It grew to a zenith in the 1960’s with over 12,000 patients. At one time in the 1960’s the CSH was the largest facility in the world for the centralized treatment of mental health clients.

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Today, the Hospital has 200 building and sits on about 2,000 acres of land. Central State Hospital has seen many changes over the 171 years of service. It has managed to become a site for rich history for the Milledgeville community. Central State was once a major economic asset for Milledgeville as well as for the state of Georgia. But since the late 1960’s, the Campus has steadily declined as treatment of the population became more regional and decentralized.



The Central State Hospital Redevelopment Authority (CSHLRA) is a special purpose political unit of the State of Georgia created to revitalize and repurpose the 2,000 acre Campus of the Central State Hospital in Milledgeville, Georgia.

The Authority is chartered with bringing life back to the Campus through an array of economic development tools while establishing strategic partnerships locally, at the State of Georgia and at the Federal level of government.

The CSHLRA has been successful in establishing stakeholders and will continue to grow more investors. The Redevelopment of Central State Hospital will lead to economic growth and benefits for the Milledgeville and surrounding communities.


Our Mission

Develop economic strategies for the redevelopment of Central State Hospital, identify potential business opportunities and coordinate managing the development of the property with a focus on job creation, education and other economic development.

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