Highland Hospital was a premiere residential psychiatric hospital located in Asheville, North Carolina, owned and operated by Duke University from 1944 to 1980. The bulk of the collection contains records pertaining to the acquisition, administration, expansion of the hospital in the mid-twentieth century, and the sale of the facility in 1980. This includes agreements, annual reports, architectural plans, appraisals, audits, brochures, budgets, clippings, correspondence, data on lawsuits resulting from fire and accident, deeds, fiscal reports, insurance papers, minutes, monthly statements, newsletters, photographs, programs, publications, reports, as well as sale and lease papers. Major subjects in this collection include A. S. Brower, Robert S. Carroll, R. Charman Carroll, and the Duke University Department of Psychiatry and Behavioral Sciences. Also includes a small amount of notebooks with nursing lecture notes. The materials date from 1906 to 1981 with the majority of the records including the period between 1939 to 1957 and 1978 to 1980.