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Larned State Hospital

In Cold Blood

Larned State Hospital entered the account of the Clutter case as the region’s proposed center for a psychiatric assessment that could affect whether Dick and Perry were considered able to understand their legal position and assist in their defense. Though the court did not send the defendants there, the hospital remained important to the proceedings: its staff included Dr. W. Mitchell Jones, whose specialist experience became an alternative to the local examination ordered by Judge Tate.

Institutional role and regional reach

Soon after the original arraignment of Dick and Perry, their defense attorneys asked Judge Tate to allow Larned State Hospital to take custody of them for comprehensive psychiatric examinations. The purpose was to determine whether either man’s mental condition prevented him from comprehending his situation or helping with the defense. The proposal framed the hospital not simply as a place of confinement but as a source of trained assessment in a high-stakes criminal case.

The hospital was about a hundred miles east of Garden City, Kansas, and had maximum-security facilities. Harrison Smith told the court that he had traveled there and consulted members of its staff. In his account, Larned was the only place within 225 miles where doctors trained to make serious psychiatric evaluations could be found. He said such work would require four to eight weeks, that hospital personnel were willing to begin promptly, and that using the state institution would cost the county nothing. These details made the request a practical as well as a professional argument: the defense identified a nearby public facility prepared to conduct an extended assessment without charging the county.

Dispute over psychiatric examination

Logan Green, the special assistant prosecuting attorney, opposed sending the defendants to Larned. He suspected that the defense intended to rely on temporary insanity and feared that psychiatric witnesses might sympathize with the accused. His legal argument emphasized that Kansas followed the M’Naghten Rule: a defendant who understood the nature of his act and knew it was wrong was considered mentally competent and responsible. Green also maintained that Kansas law did not require specially qualified physicians to assess a defendant’s mental condition; in his view, local general practitioners could perform the necessary work, as they did in ordinary sanity hearings.

Harrison Smith answered that this case could not be treated as a routine probate inquiry because two lives were at stake. He argued that Dick and Perry were entitled to evaluation by people with relevant training and experience, and presented psychiatry as a field whose development warranted serious consideration by the courts. The disagreement exposed a consequential difference in approach: whether the examination should rely on the legal and medical practices already available in the county, or on specialists at Larned who could undertake a more extensive psychiatric assessment.

The local commission and the hospital’s staff

Judge Tate did not grant the request to send the defendants to Larned. Instead, he appointed a commission of three Garden City doctors to assess their mental capacities, a decision described as meeting the requirements of the law. After speaking with Dick and Perry for roughly an hour, the physicians concluded that neither had a mental disorder. The examination therefore took place locally, not at the state hospital, and the record does not describe it as the comprehensive evaluation the defense had requested.

Perry dismissed the local doctors’ conclusion, suggesting that they had been interested in hearing details rather than making a serious assessment. Hickock’s attorney was also dissatisfied. He returned to Larned State Hospital and sought the unpaid services of a psychiatrist willing to interview the defendants in Garden City. Dr. W. Mitchell Jones volunteered. The hospital’s importance thus shifted from being the proposed location for the defendants’ examination to being the professional setting from which the defense obtained a specialist.

Dr. Jones’s qualifications and the hospital’s significance

At the time, Jones was not yet thirty and was described as a specialist in criminal psychology and the criminally insane, with work and study in Europe and the United States. He agreed to examine Dick and Perry and to testify for the defense if his findings warranted it. His connection to Larned gave the defense access to experience unavailable through the local commission, although the available account does not establish what conclusions Jones ultimately reached or what testimony he gave.

When Jones identified his qualifications in court, he said he had attended about 1,500 patients since entering psychiatric residency at Topeka State Hospital in 1956. For the preceding two years he had served on the staff of Larned State Hospital and had been in charge of the Dillon Building, a section reserved for the criminally insane. Asked how many murderers he had dealt with, he estimated about twenty-five. These credentials made the hospital’s role concrete: it was both a maximum-security institution proposed for custody and evaluation and the workplace of a psychiatrist whose specialized experience entered the trial. The court’s choice of local doctors meant that Larned did not conduct the requested institutional examination, but its staff still supplied the defense with an expert after the local process failed to resolve its concerns.