 From there she was transferred to the Nova Scotia Hospital in Dartmouth in 1920, where she taught crafts to men returned from the trench warfare of World War I under the "Soldier's Civil Re-establishment" department, and subsequently organized an occupational therapy program there for civilians.She once wrote that there was much more to be achieved through occupational therapy than had been realized, and perceiving no future for her own professional advancement in the province, she moved to the United States in 1922.In Boston she lectured on psychiatry and crafts at Massachusetts State Hospital for a year.