[3] The original superintendent, Henry Mills Hurd, introduced multiple innovations in psychiatric care, including discouraging restraints, occupational therapy, and recreational activities.

[4] Both the campus size and number of patients slowly grew, as the hospital was repeatedly enlarged between 1882 and 1895 (also designed by Myers), with more additions in 1906, 1914, and 1938.

[3] The facility was renamed the Clinton Valley Center in 1973,[3] and by the later 1970s the number of patients had declined to around 800.

The campus of the Clinton Valley Center contained 44 structures, many of which were extensions of the original 1878 hospital.

[2] The building had a steeply pitched slate roof with multiple towers, and wood and metal cornices.