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Being gainfully occupied was considered
to be very beneficial for their treatment. From 1859 until 1878 it appeared that manual labour, walking about the grounds, and general amusement was the form of treatment used. In 1878 Dr. DeWolfe recommended that there be special facilities for the care of the chronically insane, that there be some system of follow-up whereby convalescent patients can be kept under some supervision near their home and that the whole problem of supervision of jails, poor houses, asylums, etc., should be under Government supervision to insure that good conditions exist in these institutions.