This bill allowed municipalities to raise funds for “the education of teachers to meet the education needs of mentally retarded children”, and pledging matching funds from the State.
The Maine Federation of Women's Clubs expressed concerns about conditions at state institutions and found overcrowding, staff shortages, and inadequate food and clothing.
While the patient population would peak in the 1930s at around 1,500, Superintendent Kupelian would continue to advocate for expanding the numbers of residents - asking the public to support funding for up to 9,000 total patients.
While changes were being made to the administrative structures of Maine’s institutions, the Pownal State School was undergoing an expansion as well. An increase in beds and buildings was championed by a new superintendent, Dr. Stephen E. Vosburgh, who was hired in 1919 and served for 18 years.
Just six years after the institution opened, a headline announced "Care of Feeble-Minded Big Problem for Maine." The facility already had 255 people receiving care, with 160 on a waiting list.
Maine’s Malaga Island in the late-19th and early-20th centuries was inhabited by a mixed-race community of fishermen and families. In the early 1900's, fear and racism turned public opinion against the people of Malaga, and many inhabitants of that island were sent to the School for the Feeble Minded.
Only three years after the Maine School for the Feeble-Minded opened, a visiting committee identified problems.
By the late 19th and early 20th century, there were rising calls for a separate institution for those who were called the “feeble minded”.
In 1767, the General Court in Massachusetts made changes to settlement laws that decriminalized “transiency” and saw the end of “warning out” as an effective means of avoiding providing aid to those that needed it. Around the same time, custodial care by families began to transition to the more institutional model of Poorhouses and Almshouses.
In the colonial era in New England, people with developmental disabilities were primarily cared for by their families. Without that support, people would often end up as paupers, living on the coffers of the towns they lived in.