In Vadstena, Sweden's first central hospital for the mentally ill was set up in 1826 and Sweden's first doctor in psychiatry - Georg Engström - was employed. Vadstena had good conditions as a hospital town. The town had had a long tradition of hospital care: Mårten Skinnares Hospital, founded in 1519, and the Holy Spirit Hospital, which was established in 1400 at the time of the monastery. For 140 years, the former nunnery had also been used as a Veteran’s home for wounded and old soldiers (1643-1783).

The hospital grew strongly and many buildings were added. The number of inmates and patients increased from 80 (year 1703), 200 (year 1826) and 900 (year 1895) to 1100 in the 1960s. In the middle of the 20th century, however, most of the hospital buildings had become outdated. For this reason, a completely new hospital town was built behind the old hospital district - the Birgitta quarter. With approximately 1000 employees, Birgitta Hospital was the largest economic factor in the small town of Vadstena until the closure of the psychiatry after the transition to open treatment. Today, only the Regional Clinic for Psychopaths with 76 seats is located in Vadstena. It is one of five clinics in the country and will be modernized and expanded.

The Great Madhouse from 1757 now houses the hospital museum. On two floors one can inform oneself about the history of the hospital from the 15th century until present time as well as about the treatment of mentally ill patients from safekeeping and closed ward to today's open treatment.



Helgeandshus. Photo: Förening Gamla Vadstena? Helgeandshus

1. Helgeandsgården (Holy Spirit Hospital)
The Helgeandsgården was first mentioned in a papal bull from 1399 and placed under the monastery. It was a medieval institution for the elderly, the poor and the sick. After a devastating fire in 1487, the present court was built. It was the home of several provincial governors. The courtyard received its present appearance with symmetrical wings in the 1770s, while today's façade dates back to 1868. Since 1903 the Gamla Konditoriet ("Old Confectionery") has been located in the corner house.

Mårten Skinnares House. Photo: Bernd Beckmann Mårten Skinnares House

2. Mårten Skinnares House
In 1519 the merchant Mårten Nilsson "Skinnare" took the initiative for a hospital foundation and set up a new hospital for the poorest people and pilgrims east of the monastery. The buildings were made of wood, with the exception of a natural stone storehouse.

King John III began building a new brick hospital in 1587. The only building that has been erected is the building currently on the hospital grounds - a rare and well-preserved late-medieval residential building, which can also be visited from the inside on guided tours.

Stora Dårhuset. Photo: Bernd Beckmann Stora Dårhuset (Great Madhouse)

3. Stora Dårhuset (Great Madhouse)
The "Stora Dårhuset", built in 1757, was Sweden's first hospital exclusively for the mentally ill. It offered space for twelve "miserable, insane and raving" persons. After its patients were later transferred to other areas of the hospital, the hospital bakery was housed there until 1955. The "Hospital museum" was established here in 1977.

The exhibition, which belongs to Östergötland Museum, has since been closed and partially evacuated. The "Great Madhouse" no longer meets the requirements of a modern museum, partly due to fire safety measures. The aim is to make the exhibition accessible to the public again at another location.

Trefaldighetsgården (Trinity Court) and church. Photo: Bernd Beckmann Trefaldighetsgården (Trinity Court) and church

4. Trefaldighetsgården (Trinity Court)
In 1704 the hospital moved to today's location at the Lastköpingsgatan. Two parallel wooden wings were erected there for 80 poor and sick people. Only fifty years later, they were replaced by brick ones. The new Church, called the Holy Trinity Church, was consecrated in 1750.

Trinity church. Photo: Bernd Beckmann Trinity church

During the extension in 1856-1860 the Holy Trinity Court received its present appearance. The courtyard was doubled in length and extended. A new church has been built on the upper floor.

Since the 1980s, Trefaldighetsgården has been part of Vadstena's Adult Education Centre (Vadstena Folkhögskolan).

Nunnery (west wing). Photo: Bernd Beckmann Nunnery (West wing)

5. Nunnery
After the monastery had been closed in 1595 as last Swedish monastery after the reformation, the area of the monastery was redesigned to accommodate invalids from all battlefields of the Great Power era. During the reign of Queen Kristina, Europe's first home for the war-disabled was built here. Later, the nunnery was for a short time a so-called correctional institution, i. e. a prison for the purpose of social rehabilitation of its inmates, and from 1829 mental hospital.

In 1951 the hospital moved to the new Birgitta quarter. The north wing was restored after it had been discovered that it consisted of the former royal palace of the Folkunger dynasty from the 13th century.

In the 1960s, the west wing was converted into a guest house for the Birgitta Foundation. In 1988, the monastery hotel was created from this.

Former 'Kurhus' / Hospital. Photo: Bernd Beckmann Former "Kurhus" / Hospital

6. Friary
The monks' convent also belonged to the war-disabled hotel. It was completely rebuilt in the 1760s. Among other things, an inspector's apartment was built on the new upper floor.

Twelve years after the closure of Krigsmanshuset, the so-called "Kurhus" was opened here in 1795, i.e. a hospital for venereal diseases with room for 40 patients. In 1847, the "lazaret" was established here as the town's general hospital.

The Munkklostret (monks' convent) restaurant and the reception of the monastery hotel are located here today.

Hjertstedtska Huset (House of Hjertstedt). Photo: Bernd Beckmann Hjertstedtska Huset (House of Hjertstedt)

7. Hjertstedtska Huset (House of Hjertstedt)
The house was the doctor's apartment of the Kurhus and was named after Ludwig Magnus Hjertstedt, town doctor in Vadstena 1840-1849 and senior physician of the Kurhus and Vadstena Hospital 1846-1868.

During the summer months, the monastery hotel opens its summer café here.

Empiren. Photo: Bernd Beckmann Empiren

8. Empiren
Around 1840, the so-called Empirevilla was built in the nunnery garden as a first-class department of the women's mental hospital. Today, the building is used by the Vadstena Adult Education Centre (Vadstena Folkhögskola).

Dahlströmska Gården. Photo: Bernd Beckmann Dahlströmska Gården

9. Dahlströmska Gården
In the 1830s, the property, known as Dahlströmska Gården, was purchased for the purpose of expanding the Vadstena Hospital. The northern wing is the former residential building, while the southern wing was made of timber from the former seed magazine. Both houses have been designed to accommodate "mad people from the educated classes" - a madhouse for paying upper class patients. Staff members were taken with them, and the rooms were covered with wallpaper according to the fashion of that time.

The floor plans of the hospital still exist. The buildings offer a fascinating insight into the care environment of the privileged with beautiful, colourful wallpapers, wooden floors and mirror doors.

The hospital was here until the 1950s. Dahlströmska Gården - B&B, Bed & Breakfast opened in 2009 after extensive restoration work.

10. Ludvig Wilhelm Gahne's Grave
In the former hospital cemetery in Vadstena, a single gravestone has been preserved. It stands at the tomb of Ludvig Wilhelm Gahne, who suffered from epilepsy and was admitted on 23 June 1854 at the age of 17 years. He had previously completed a "trial cure" at the Visby hospital. Gahne died after a short time on December 11,1857.

11. Birgitta Hospital Quarter
At the beginning of the 1940s, a new, modern hospital town, the Birgitta Hospital, was built east of the old hospital. Today, only the Regional Judicial Psychiatric Clinic is still active in this area, while the majority of the buildings have been used for new purposes, for example as community administration, medical centre and high school.

12. Regional Clinic for Psychopaths
In Vadstena there is one of five regional clinics for psychopaths in the country. It is used as a common resource for Sweden's southeastern health care region.

The clinic mainly treats people who have committed crimes under the influence of a serious psychiatric disorder and therefore cannot be sentenced to prison.

Today's clinic started operating in November 1986. The buildings from the 1950s are now considered obsolete. Against this background, completely new venues were built for judical psychiatry and the new clinic was inaugurated in the spring of 2017.

Vadstena hospital, Motalagatan. Photo: Förening Gamla Vadstena? Vadstena hospital, Motalagatan

13. Vadstena hospital ("lazarett"), Motalagatan
In 1908, this new building on the Motalagatan was built for the general hospital. In 1970 another move took place, this time to Motala.

Asylum. Photo: Bernd Beckmann Asylum

14. Asylum
The park was created in 1548 by King Gustav Vasa as a palace garden. Before that, citizens of Vadstena had owned their own gardens here.

In 1871, a sugar factory was built in the garden, and after a few years its operation ended with bankruptcy. After that, a tobacco factory was established in the premises in 1887.

In 1895, the building received its present appearance when it was converted into an asylum and extended, i.e. turned into a mental hospital for male patients. The architecture is similar to that of the castle. Asylum, also known as southern hospital, was in operation until 1973.

In 1986, a far-reaching reconstruction was carried out into apartments, business premises and public library.

The remaining buildings in the Asylumpark are a ground-level building at Slottsgatan from the 18th century, Baron Steijer's Pavilion from 1844 and the larger senior physician's villa from the 90s of the same century.


Hospital walk

Mårten Nilsson Skinnare's 500-year-old hospital from the Middle Ages to the present day.

Trinity Court and Church Trinity Court and Church

Mårten Skinnare's house Mårten Skinnare's house

Vadstena Hospital - Mårten Skinnare's house - Great Madhouset - Hospital museum - Dahlströmska Gården - Ludvig Wilhelm Gahne's grave - Empiren - Abbeyquarter at the time of the hospital.

In Vadstena, Sweden's first central hospital for the insane was established in 1826 and Sweden's first psychiatric doctor - Georg Engström - was employed. There were favourable conditions for Vadstena as a health care town. Vadstena already had a hospital tradition through Mårten Skinnare's Hospital, founded in 1519, and Helgeandshuset, which was established in 1400 and operated during the monastic period. For 140 years, the old nunnery was also used as the state's War invalid's home (1643-1783).

The hospital grew rapidly and many buildings were added. The number of inmates and patients rose from 80 (in 1703), 200 (in 1826), 900 (in 1895) to 1100 in the 1960s. By the middle of the 20th century, most of the hospital buildings had become obsolete. Therefore, a whole new hospital town - the Birgitta district - was built behind the old hospital area. With about 1,000 employees, Birgitta's hospital was a major element in the city's economy until the closure of the psychiatric care after the transition to outpatient care at the end of the 20th century. Today only the forensic psychiatric regional clinic, with 76 beds, remains in Vadstena as one of five in the country and is currently being rebuilt into new modern premises.

Follow our guide on a walk to the well-preserved hospital buildings such as Mårten Skinnare's House from the 16th century, the Great Madhouse and the Trinity Court, and learn more about Vadstena as a hospital and healthcare town.

Language: English, German, Swedish
Time: 1 hour
Participants: max. 25-30 people / group
Price:
Monday-Friday: 1750 SEK incl. VAT.
Saturday/Sunday/Holiday: 2125 SEK incl. VAT.
Additional: Visit to the former Hospital Museum (30 min.): 600 SEK incl. VAT.


A greeting from Vadstena

Vadstena County Hospital (Länslasarett), 1908

Vadstena County Hospital (Länslasarett), 1908

A greeting from Vadstena: Vadstena County Hospital (Länslasarett), 1908

Vadstena's history as a healthcare town dates back to the founding of Helgeandshuset in 1400, a home for the elderly, sick and defenceless. Care was then provided by relatives. With Mårten Skinnare's hospital from 1519, Krigsmanshuset (Soldiers home) and Kurhuset (a hospital for venereal diseases), new specialised institutions emerged over time.

Healthcare in the modern sense began in Vadstena first through the provincial medical station (1785-1834) and in 1847 in the form of the County Hospital in the former monastery. In 1909, the new county hospital in Vadstena was inaugurated. Here you can see the southern façade of the building on a postcard sent during the year of the inauguration.

In 1970, the county hospital moved to Motala (LiM, Lasarett i Motala). The premises on Motalagatan are now used as a business hotel and apartments.

Picture postcard: Östergötlands Museum