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Department of State Hospitals - Napa


Entrance to Napa State Hospital

Providing evaluation and treatment in a safe and responsible manner, seeking innovation and excellence in hospital operations, across a continuum of care and settings.


Caring today for a safe and healthy tomorrow.


Safety, treatment, and responsibility.


Safe environment - Responsible stewardship - Excellence in forensic evaluation - Excellence in treatment.


Our philosophy is based on the Recovery Model.  Each patient has the central role in developing his/her Wellness Recovery plan.  Assessments identify each patient’s strengths, talents, preferences and personal goals.  Individuals are given the opportunity to engage in a wide range of self-determined treatment and rehabilitation services.  They are encouraged to take risks, make decisions and experience the results of those decisions in a safe and supportive environment.

Services are sensitive to the age, gender, race, creed, nationality, sexual and gender orientation, disability, financial status, culture, and religious/spiritual beliefs of patients served.  Treatment and security are integrated to ensure a supportive, therapeutic and hopeful environment that is free from coercion and violence.


DSH-Napa is accredited by The Joint Commission. Consumers, the community, education affiliates, and healthcare organizations view accreditation as a prime indicator of the quality of healthcare provided by DSH-Napa.

Concerns about patient safety and quality of care may be reported to hospital management, or to The Joint Commission:

Online: www.jointcommission.org

E-mail: complaint@jointcommission.org

Fax: 630-792-5636

Office of Quality Monitoring
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, Illinois 60181


In 1872, a site was selected and work began for the erection of the 500-bed, four-story, Gothic-style hospital building. The hospital originated due to overcrowded conditions at the Stockton Asylum, the first State Hospital. The doors of the unfinished entrance of Department of State Hospitals - Napa opened on Monday, November 15, 1875, to the first patients, two San Franciscans.

Initially, 192 acres of land were purchased for $11,506 from Don Cayetano Juarez. These acres were part of the Mexican Land Grant, Rancho Tulocay, received from General Mariano Vallejo. Additional land was acquired over the years bringing the total to over 2,000 acres. The land extended from a wharf on the Napa River to the eastern edge of Skyline Park, allowing for the development of dairy and poultry ranches, vegetable gardens, orchards and other farming operations necessary to make the hospital as self-sufficient as possible. Farming operations ceased in the late 1960's. Napa Valley College, Kennedy Park and Skyline Wilderness Park now occupy most of this land.

The population peaked in 1960 with over 5,000 patients in residence and then steadily declined with the arrival of psychotropic medications and the development of county based programs. Treatment programs for developmentally disabled residents were operant from October 1968, to August 1987, and from October 1995, to March 2001.

Our current treatment philosophies, rooted in the moral treatment concept of the late 1800's, have reflected the numerous prevailing practices over the decades. We are moving toward the next century with a bio-psychosocial rehabilitation philosophy for the patientized treatment of patients.

The hospital's specialized programs and treatment services meet national standards set by the Joint Commission (JC). The hospital is certified under the Centers for Medicare & Medicaid Services (CMS) and licensed by the Department of Public Health for three levels of care including Acute Psychiatric, Skilled Nursing Facility, and Intermediate Care Facility.

DSH - Napa is classified as a low to moderate security facility. The hospital has a bed capacity to treat up to 1,362 patients, on an attractive campus with its treatment units located on 138 acres. The hospital admits patients who have been referred from their home county under a civil commitment or through the courts on a forensic commitment. All patients admitted to Department of State Hospitals - Napa suffer from a major mental illness. The most frequent diagnoses include schizophrenic disorders, mood disorders, anxiety disorders and personality disorders.

DSH - Napa staff are dedicated and committed to delivering high quality, cost-effective, professional services and specialized programs in an environment that promotes continuous improvements in treatment for patients with mental disabilities. The hospital creates an atmosphere where patients, hospital staff, volunteers, family members and community mental health staff work together to offer new ideas and make choices and decisions regarding the quality and type of services provided.

The hospital offers a broad range of diagnostic, treatment, habilitation, and rehabilitation services. Depending on the assessed needs of the patient, several treatment modalities may be utilized to enable patients to achieve their optimum personal and social functioning, both in the hospital and in the community. Such treatment may involve pharmacological therapy, patient and group psychotherapy, educational, vocational and competency training, as well as other therapies such as independent living skills development, physical medical service, habilitation services such as supportive and cognitive skills development, and leisure time activities.