It appears that the early patients were primarily miners and ordinary adults who were determined “insane” by the territorial legal system and probably deemed a threat to public safety. Later, the census shows many more Alaska Natives and children sent to the facility–probably under the guise that they needed the care offered.

Persons sent there were considered “insane”, but much later it was determined that persons with mental illness, developmental disabilities, Alzheimer’s and related dementias, and chronic alcoholics were included in the population. Also, there are numerous stories of people leaving the hospital after short stays and being perfectly fine (according to community norms) upon their return, so they likely had no clinical diagnosis at all.