The evolution of mental health services in Jamaica started in 1840’s. The first designated area for the treatment of mental illness was constructed adjoining the present Kingston Public Hospital. The Jamaica Lunatic Asylum came into existence in 1861 at its present location at 16 ½ Windward Road Kingston. The hospital has had many name change and its name was changed from the Jamaica Lunatic Asylum to the Jamaica Mental Hospital in 1938. The name was again changed to the Bellevue Hospital in 1946.