
| Dr. D. R. Wallace | July, 1883 - Feb 7, l891 | Source: Handbook of Texas Online Biography & Board Minutes |
| Dr. John Preston | Feb 7, 1891 - Feb 6, 1895 | |
| Dr. Charles McDaniel Rosser | Feb 7, 1895 - Jan 1, 1897 | Founded Baylor Univ. School |
| Dr. David LeClair Gaillard | Feb 5, 1897 - Feb 2, 1899 | |
| Dr. John T. Wilson | Feb 3, 1899 - July 6, 1900 | Source: July 7, 1900 Census |
| Dr. John S. Turner | July 7, 1900 - 1907 | |
| Dr. Charles L. Gregory | Feb. 3, 1907 - Feb 2, 1911 | Source: 1910 Census still listed as Supt. |
| Dr. George F. Powell | Feb 3, 1911 - Aug 3l, 1937 | |
| Dr. William Thomas | Sept 1, 1937 - 1944 | |
| Dr. Roy Sloan | 1944 - 1946 | |
| Dr. Albert D. Pattillo | Oct 1, 1946 - Jan 15, 1953 | Lapse of about a month without Supt. |
| Dr. Robert C. Rowell | Feb 1, 1953 - July 11,1964 | Death 7/11/1964 |
| Dr. Hugh N. Brown (Acting) | July 11, 1964 - June 30, 1967 | |
| Dr. Luis M. Cowley | July 1, 1967 - June 30, 1981 | |
| Dr. Glen T. Pearson (Acting) | July 1, 1981 - August 31, 1981 | |
| Dr. Jimmie R. Clemons | Sept 1, 1981 - Nov 13, 1983 | |
| Don A. Gilbert (Acting) | Oct. 17, 1983 - Sept 30, 1984 | |
| Don A. Gilbert (Supt) | Oct 1, 1984 - April 30, 1991 | 1st non-physician Supt. |
| Benny D. Britton (Interim) | March 1, 1991 - Sept 20, 1992 | |
| Dr. Girish V. Shah | Sept 21, 1992 - Sept 14, 1994 | Reassigned 4/14/1994 - classified as Supt. thru 9/14/1994 |
| Robert von Rosenberg (Interim) | April 25, 1994 - Sept 30, 1994 | |
| Beatrice Butler, RN | Oct 1, 1994 - Feb 28, 2002 | |
| Joe Finch, Psy. D. (Acting CEO) | March 1, 2002 - March 31, 2002 | |
| Fred Hale | April 1, 2002 - June 30, 2008 | |
| Joe Finch, Psy. D. | July 1, 2008 - |
Notes:Dr. Pattillo moved to Austin State Hospital and served as Assistant Superintendent. He retired in 1973 and was replaced by Benny Britton. Dr. William Thomas was Superintendent at Rusk State Hospital when Dr. Powell was asked to retire in 1937. He agreed to retire if Dr. Thomas was selected to replace him. Dr. Thomas did replace Dr. Powell and Dr. Powell continued to serve as Assistant Superintendent and Physician under Dr. Thomas. Benny Britton was the first non-physician selected as an Assistant Superintendent of a Texas State Hospital. Don Gilbert was the first non-physician selected as a Superintendent of a Texas State Hospital. Beatrice Butler was the first black female Superintendent of a State Hospital. Dr. Charles W. Castener, Assistant Superintendent, TSH, went to Rusk State Hospital as Superintendent, 1923 or 1927. |