The Royal

Our History

Explore how The Royal began, grew and came to serve our community today.
About / Who We Are / Our History

A century of treatment

Our hospital is a leader in mental health treatment and research, having evolved from multiple facilities over more than 130 years. We serve more than 62,000 patients annually across our campuses and community outreach programs.

Ottawa campus

The Royal has been serving our community since 1910. It began as Lady Grey Hospital, also known as Royal Ottawa Sanatorium, and first opened to treat tuberculosis (TB) patients. Over the next 60 years, The Royal would treat 11,000 TB patients, but slowly transitioned to offering other programs.

In 1961, The Royal received a designation to treat “emotional and psychiatric disorders.” In the following years, the Rehabilitation Institute of Ottawa moved onto campus to serve people with physical disabilities as well.

Changing focus

In 1969, the organization was renamed the Royal Ottawa Hospital (ROH). When the hospital’s final tuberculosis ward closed in 1970, it turned its attention full-time to opening new clinics and services to treat patients in the Ottawa region with the most severe mental illness needs. In 2002, the Rehabilitation Centre relocated to The Ottawa Hospital, and The Royal partnered with the Province of Ontario to build a new, state-of-the-art facility for mental illness treatment.

A modern hospital

In 2006, the new Royal Ottawa Mental Health Centre opened as a centre of excellence for treatment and world-class research in mental illness.

Today’s 400,000 square-foot facility features a psychiatric teaching hospital with 188 inpatient beds, advanced research and imaging labs, and a charitable foundation. We integrate research into treatment and offer tailored care in collaboration with each individual patient and their support system.

We partner closely with government, business and community leaders, and stand as leaders in mental illness and community support in Eastern Ontario.

Brockville campus

The Brockville campus has operated since 1894, leading the development of effective treatments for people with mental illness. In its early years, this facility pioneered new approaches to treatment and training, including specialized training in psychiatric nursing, occupational therapy, vocational therapy, and recreational therapy, as well as community outreach programs.

Joining a bigger picture

In 1984, Brockville campus became affiliated with the University of Ottawa as an official teaching hospital. The province’s first Assertive Community Treatment Teams — known as ACT Teams — were established in the late 1980s by a group of Brockville staff. This team recognized the need for accessible, community-based treatment, and the initiative has served as a model for similar programs elsewhere in the province.

Initially slated for closure in 1999, the ongoing need for mental health services meant that the Brockville Mental Health Centre continued to operate as an accredited psychiatric teaching facility, affiliated with the University of Ottawa and Queen’s University. The campus provides forensic psychiatry treatment for 100 Ontario correctional inmates, and 59 long-term care forensic patients. It also provides a wide range of inpatient and outpatient services to approximately 1,300 patients in Eastern Ontario.

The hospital officially joined The Royal in 2000, serving the populations of Leeds-Grenville, south Lanark, Stormont, Dundas and Glengarry, and Prescott-Russell counties.

Today, The Royal’s Brockville campus includes a 59-bed forensic treatment unit (FTU) and a 100-bed secure treatment unit (STU). Brockville also serves individuals in the wider community through the Assertive Community Treatment Dual Diagnosis (ACTDD) team, geriatric outreach, the Homes for Special Care program, forensic outreach and other outpatient programs.

Participate in research

There are many ways to participate in research at The Royal. Participate in a clinical study, join as an academic partner, or serve as an advisor.

Ways to give

You can contribute to The Royal through giving time or through donations. Discover how you can make a difference through our volunteer and fundraising efforts.

Marion's Story

A way forward

After years of living with treatment-resistant depression, Marion had nearly lost hope. Then she underwent esketamine treatment and everything changed. The fast-acting treatment helped lift the fog and give Marion a renewed sense of possibility.

Read More

Michelle's Story

Reclaiming joy through rTMS

After years of battling treatment-resistant depression, Michelle felt stuck in a cycle of hope and disappointment. But when she came to The Royal and received the innovative rTMS treatment, her life began to change. Within three weeks, she began to rediscover joy, reconnect with loved ones, and finally feel in control of her future.

Read More

Tracy's Story

Running through the storm

Mental illness doesn’t always look like a crisis. Sometimes, it can be quiet. For Tracy, anxiety has been around for as long as he can remember—a constant hum in the background. Discovering running was a lifeline in managing his anxiety.

Read More

Marion's Story

A way forward

After years of living with treatment-resistant depression, Marion had nearly lost hope. Then she underwent esketamine treatment and everything changed. The fast-acting treatment helped lift the fog and give Marion a renewed sense of possibility.

Read More

Michelle's Story

Reclaiming joy through rTMS

After years of battling treatment-resistant depression, Michelle felt stuck in a cycle of hope and disappointment. But when she came to The Royal and received the innovative rTMS treatment, her life began to change. Within three weeks, she began to rediscover joy, reconnect with loved ones, and finally feel in control of her future.

Read More

Tracy's Story

Running through the storm

Mental illness doesn’t always look like a crisis. Sometimes, it can be quiet. For Tracy, anxiety has been around for as long as he can remember—a constant hum in the background. Discovering running was a lifeline in managing his anxiety.

Read More

Marion's Story

A way forward

After years of living with treatment-resistant depression, Marion had nearly lost hope. Then she underwent esketamine treatment and everything changed. The fast-acting treatment helped lift the fog and give Marion a renewed sense of possibility.

Read More

Michelle's Story

Reclaiming joy through rTMS

After years of battling treatment-resistant depression, Michelle felt stuck in a cycle of hope and disappointment. But when she came to The Royal and received the innovative rTMS treatment, her life began to change. Within three weeks, she began to rediscover joy, reconnect with loved ones, and finally feel in control of her future.

Read More

Tracy's Story

Running through the storm

Mental illness doesn’t always look like a crisis. Sometimes, it can be quiet. For Tracy, anxiety has been around for as long as he can remember—a constant hum in the background. Discovering running was a lifeline in managing his anxiety.

Read More

Marion's Story

A way forward

After years of living with treatment-resistant depression, Marion had nearly lost hope. Then she underwent esketamine treatment and everything changed. The fast-acting treatment helped lift the fog and give Marion a renewed sense of possibility.

Read More

Ottawa Campus

1145 Carling Ave.,
Ottawa, ON K1Z 7K4
(613) 722-6521

Long-Term Care

1141 Carling Ave.,
Ottawa, ON K1Z 7K4
(613) 722-6521

Brockville Campus

1804 Highway 2 E, P.O. Box 1050,
Brockville, ON K6V 5W7
(613) 345-1461

Community Mental Health

2121 Carling Ave.,
Ottawa, ON K2A 1H2
(613) 722-6521

The RoyalAffiliated with University of Ottawa