Mentally ill people were cared for prior to institutionalization by family members. Community institutions were created in order to handle the needs of such individuals together. The Quakers in Philadelphia were the first in America to organize effort to care for mentally ill people. Funds was provided to build small hospital in Williamsburg to help with those that were causing problems in the community. Several hospitals were open in different places like Pennsylvania, and provided rooms in basement with shackles attached to walls to monitor a certain amount of mentally ill patients.
After the classification a lawsuit was filed in 1972 and in 1978 the course mandated reforms at state. Also the consent judgment occurred in 1975, it placed