Austin State Hospital was the first state facility of its kind built west of the Mississippi. In 1856, the governor of Texas signed a bill providing for the establishment of the Texas State Lunatic Asylum. Construction started in 1857, and the first patients were admitted in 1861. The facility was renamed the Austin State Hospital (ASH) in 1925.Today, this original building serves as the administration building for a modern, innovative facility providing psychiatric care to a 38-county region in Central Texas. ASH admits over 4000 patients in a fiscal year, with about the same number of discharges, and has an average daily patient census of 292. The focus of recovery is stabilization for people with acute psychiatric illness and support of their return to the community.