Saint John, New Brunswick and the Origins of Canadian Mental Health Care

With open discussions about mental health and mental illness becoming much more prominent and accepted in contemporary culture, it is interesting to track the history of mental health care and responses to mental illness in Canada. In fact, for New Brunswickers, it can be surprising to discover that the roots of Canada’s mental health care can actually be found in our own back yard: loyalist Saint John County. This history can be traced back to the year 1835 when what was called the “Provincial Lunatic Asylum” was constructed in Saint John—making it the first mental health facility to be built in British North America.

In December of 1835, the Committee appointed to prepare the draft of a Bill and Petition to the Legislature for establishing a Provincial Lunatic Asylum appeared at the General Quarter Sessions to have said draft approved. As such, it was ordered that this Bill be presented to the Legislative Council. The first building that was constructed (and that is referred to in The Loyalist Collection) was wooden; it was built at the corner of Wentworth and Leinster streets in "uptown" Saint John. In 1835, it was determined that this building was meant to be an asylum which encouraged more humane methods of dealing with individuals with mental illness—then deemed the “insane.” This building served as a temporary asylum until the erection of a more permanent establishment in 1848. The first director of Saint John’s Lunatic Asylum was Dr. George Peters who served from 1835 – 1848.

19 March 1832 Court Records
19 March 1832: New Brunswick Court of General Quarter Sessions of the Peace (St. John County), Minutes: 1812-1839
“Dr. Peters has represented to the Jury the want of accommodation at the Poor House for invalids. And suggested the propriety of a part of the Cholera Hospital being at present used for that purpose. The Jury therefore recommend this be attended to.”

As can be seen above, Dr. Peters appears as early as March of 1832 in the Court Records appealing for proper mental health care in Saint John; the conditions that men and women “invalids” live in are described as “filthy” and “repugnant.” As David Goss says in his book 150 Years of Caring: The Continuing History of Canada’s Oldest Mental Health Facility, both Peters and another man, George Matthew, were instrumental in convincing the city of Saint John to convert part of the Cholera Hospital designated as an asylum for “lunatics.” Peters and Matthew clearly presented a compelling argument to the Court, as the Hospital began accommodating to “lunatics” on 14 November 1835.

6 Sept.1835 Court Records
6 September 1835: New Brunswick Court of General Quarter Sessions of the Peace (St. John County), Minutes: 1812-1839
“His worship the Mayor, The Recorder, Mr. Simonds, Mr. Robinson, and Mr. Robertson are a Committee to prepare a Petition to the Legislature for the passing of a Law for the better providing for and securing Lunatics within the Province and to report the same at the next Sessions.”

Because the building discussed in the Court Records was only a temporary solution, a new permanent building was erected in Lancaster, and the first 90 patients moved into the facility in December of 1848. This building underwent multiple renovations and name changes, and it served as a mental health facility until 1998 when a new psychiatric hospital was built at South Bay. Contemporarily, this building is most commonly known as Centracare—the name that it was given in 1985.

Centracare Hospital
Centracare Hospital, Saint John, NB
[Photo courtesy of Wikimedia Commons: licensed under Creative Commons Deed]

It is important to acknowledge that while these mental health facilities provided space for those suffering from mental illness, this does not mean that society and the facilities themselves were free from stigma. Individuals with mental illness were and still can be unfairly treated and neglected by both society and the health care system. One of these people was my great uncle Warren Algernon Langmaid (1922-1994), who lived in what was eventually known as Centracare from the early 1950s until his death in 1994 at the age of 72. Warren suffered from irreversible brain damage due to a lack of oxygen after being buried alive in a gravel pit accident in the late 1930s. During his time spent in Centracare, Warren was rarely visited due to societal stigma surrounding mental illnesses and intellectual disabilities. His funeral service was performed in the Centracare chapel.

By taking this extensive history of mental health care into account, we can not only acknowledge our past wrongdoings, but we can also create a more inclusive and fair contemporary environment for individuals with mental illness.

Warren Langmaid
Photograph of Warren Langmaid (pictured far left) courtesy of Wilfred Langmaid
[Photographer and date of photograph unknown]

 Note: All writing samples featured in this post are drawn from The Loyalist Collection.

Additional Source: David Goss, 150 Years of Caring: The Continuing History of Canada’s Oldest Mental Health Facility, (Saint John, N.B: MindCare), 1998.


Bethany Langmaid is a student assistant for the Microforms Unit at the Harriet Irving Library. She is currently in her fourth year of her Bachelor of Arts degree at UNBF in the English Honours Programme.


SUBJECTS: mental illness, mental health, Saint John, New Brunswick, health, medicine, physician, hospital



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My great great grandmother died there in 1932, she went in for postpartum depression, she died 7months later from TB... she was also First Nations and a Medicine woman... I’d not think it was a coincidence or accident that she died so soon after being in there for something totally unrelated, but id like to find her grave site if I can

There is a burial grounds on Sandcove Rd here in Saint John where Centracare patients were buried.

Thank you for this information!

Where are you now? I know where the graveyard is in Saint John.

Hi Kim, you may want to provide the information on the graveyard here, so the original commenter might see the information.

Hi, my grandfather’s records say he died in Lancaster Hospital St John? Is this the same?

I do genealogy and I cannot find my great grandmother Charlotte Golding who disappeared after my great grandfather was born in 1880. I have been searching for over 10 years. I have decided that the only reason is, that she was put in an asylum. I just read about the Sand Cove Graveyard. Where is it located? Is it possible to read the names of the people buried there? My mother worked at the Saint John Asylum until she retired but she may not have known that Charlotte was there if she were.


Thank you everyone for your comments. We do not have a lot of expertise in this area to answer your questions, but we are posting in hopes another reader can answer your questions or point you in the right direction. I would recommend contacting the Provincial Archives of New Brunswick.

Hey Everyone,
Fun fact, If you are ever walking around uptown Saint John check out 70 Wentworth Street!

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