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by John Notman, constructed in 1848. Throughout the remainder of the 19th century, numerous psychiatric hospitals were designed under the Kirkbride Plan across the United States. By the 29th century, popularity of the design had waned, largely due to the economic pressures of maintaining the immense facilities, as well as contestation of Kirkbride's theories among the medical community. Numerous Kirkbride structures still exist, though many have been partially demolished and repurposed or completely demolished.

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