Mental Health Records may consist of a variety of documents that historically were referred to as lunacy papers in the courthouses of Virginia localities and municipalities.

A fiduciary is an individual who enters into a confidential and legal relationship which binds them to act on behalf of another. Guardians are legally invested to take care of another person, and of the property and rights of that person. Thus, some records referred to as insanity papers are housed with fiduciary records and not with mental health records.

In January 1825 the Virginia General Assembly passed legislation providing for the construction of an asylum in the western part of the state. The institution, which became known as Western Lunatic Asylum, was constructed close to the town of Staunton, west of the Blue Ridge Mountains, and was the second mental health facility built in the Commonwealth of Virginia. The buildings and surrounding gardens were designed to embrace the idea of "moral therapy" for mentally ill patients by providing an aesthetically pleasing and tranquil atmosphere in which patients lived comfortably, exercised and worked outdoors.

Western Lunatic Asylum opened in 1828, accepting both male and female patients suffering from a variety of mental disorders. It should be noted that the hospital underwent a short-lived name change between 1861 and 1865, when it was known as Central Lunatic Asylum. (It should not be confused with an asylum of the same name later built in Petersburg, Virginia to house African American patients). From 1865 to 1894 the name was again Western Lunatic Asylum. However, in 1894 the General Assembly passed legislation changing the name to Western State Hospital.

In March 1882 a 300 acre tract of land was purchased by the City of Petersburg and given to the state for the purpose of constructing a permanent mental health facility for African Americans. Construction of the new facility near Petersburg was completed in early spring 1885. This later included a special building to house the criminally insane apart from the rest of the hospital population. An early institutional history notes that treatment at Central Lunatic Asylum during the 1890s was humane and emphasized the value of work and the benefits of recreation. However, practices at the facility also included seclusion, mechanical restraints, and the administering of hypnotics.

In 1894, Central Lunatic Asylum was officially renamed Central State Hospital. This piece of legislation also altered the names of the other mental health facilities in Virginia in and attempt to inspire a more positive image of the institutions, and of mental health treatment in general. It is important to note that another state institution located in Staunton, Virginia went by the name Central Lunatic Asylum between the years of 1861 and 1865. Its name later was changed to Western Lunatic Asylum, and is a separate facility with no connection to the Richmond/Petersburg hospital for African Americans.

Greene County was named for Nathanael Greene, commanding general of the Continental army in the South during part of the Revolutionary War. It was formed from Orange County in 1838. The county seat is Stanardsville.