In 2004, with just 200 patients left, the State closed Crownsville Hospital, leaving the future of the vast campus and its conflicting legacies in limbo. The campus, which is eligible for listing in the National Register of Historic Places, stood largely abandoned, but not forgotten. In 2022, Anne Arundel County acquired the property, establishing the Crownsville Hospital Memorial Park. In the final decades of the 20th century, Crownsville Hospital's patient population declined while investment in the facility dwindled. Mental health care was shifting to community-based services, and with advances in medical and pharmaceutical treatments, closure was inevitable. Ironically, 93 years after the first 12 patients were transferred from Spring Grove to begin building the campus, many remaining patients were transferred in 2004 to Spring Grove Hospital Center in Baltimore, while others were unceremoniously released into the community with little if any follow-up care. After the hospital's closure, a few buildings continued to be used by State agencies, community groups, and nonprofits, but most of the campus fell into disrepair. When proposals for private redevelopment on this unique and substantial tract of green open space in the heart of Anne Arundel County came forward, the community raised serious concerns and lobbied for its preservation. These voices were heard, and on December 12, 2022, the property was transferred to Anne Arundel County. Plans are underway to re-envision and renew the space as a site of healing and remembrance, where people can access much-needed resources and enjoy its natural beauty. In 2005, the first "Say My Name" Ceremony, now an annual event, honored 1,727 patients buried at Crownsville State Hospital. It is one of several ongoing efforts, including work by the Friends of the Crownsville Hospital Patient Cemetery, the publication of Antonia Hylton's book Madness, and an Anne Arundel County oral history project documenting the experiences of those who lived and worked there, that aim to deepen understanding of the institution's role in history.