 Then in 1923 she moved to the Traverse City State Hospital in Michigan, where she organized and directed occupational therapy programs for the mentally ill and instructed student nurses in OT procedures.In 1932 she was transferred to Ypsilanti, Michigan, where a new hospital opened that was the first on the continent to use occupational (and recreational) therapy as a standard treatment for the mentally ill.Here she organized and directed OT and Industrial Therapy programs and instructed student nurses in OT from the University of Michigan, Ann Arbor.