Dr. Samuel Gridley Howe helped tremendously in the prison reformer, even though he was too old to serve in the war as a doctor he found his calling in studying the effect of institutionalizing the mentally ill. Howe became a fighter for prison reform when he realized most of the imprisoned people were run-away slaves. Howe served on the U.S. Sanitary commission, which fought for health officers and hygiene for the troops. Howe suffered from lifelong depression which gave him the determination to change the significantly flawed system. Throughout Howes determination he had many great ideas including small housing units for patients to gain independence. In 1865 Howe became the chairman of the Massachusetts