Rockland State Hospital was originally established in 1926 by the State of New York and its first patients were admitted in January 1931. Rockland began using insulin shock therapy in 1937, and later, electroconvulsive therapy. By its peak in 1959 Rockland had more than 9000 residents and a staff of 2000 on a sprawling campus. The hospital’s name was changed to Rockland Psychiatric Center in 1974. By 2010, the Rockland Children’s Psychiatric Center on the campus had closed. The site of the shut down Rockland Children’s Psychiatric Center was repurposed as a filming location for the Netflix television series Orange is the New Black. In 2018, the majority of the abandoned buildings were demolished because a current hospital replaced the older hospital on the same 615-acre site.