In June 1919, at age 23, she was trained as a ward occupation aide at
McGill University in
Montreal under a special program established by the federal government for disabled soldiers. Her first assignment upon her return was to the Nova Scotia Tuberculosis Sanatorium in
Kentville. 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. 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. From 1939 to 1943, she re-organized OT and set up new programs for patients in specialized environments at Milwaukee Sanitarium in
Wauwatosa,
Wisconsin. It was during this time that she began to gather material on
weaving in order to assist a colleague who wanted to help a patient learn to weave. She also found time to join a number of occupational therapy groups and to produce several professional articles on occupational therapy and handcrafts. == Nova Scotia arts and crafts ==