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The Central Ohio Psychiatric Hospital was a prominent part of West Columbus for many years. Sitting at the crest on the north side of the W. Broad Street hill it stood watch over floods and rapid Franklinton growth. Trolley cars connected it to nearby downtown, and its position on the old National Road or Rt. 40 offered additional visibility.

Its' imposing and grand architecture, and it's sheer size brought much acclaim to the sprawling structure. It was the largest structure under one roof until the Pentagon in D.C. claimed the distinction. Portions of the structure can be found at the Hilltop library and the newly installed public art plaza between the new State Office Buildings, that now occupy the Hospital site.