How the hospital was developed can be broken down into five phases. The first phase ended in 1893. A stable leadership was responsible for the gradual growth during this period. After this phase, the hospital immensely grew to more than twice its size. This second phase, which ended by 1920, was characterized by a lot of politicking, leadership changes and power struggles in the system. For the third period, growth was more rapid. Hospital population, which reached its peak by the 1950s, increased for both geriatric and veterans. This is because the period was post World War I and World War II. By the time the third phase ended, hospital population declined. During this phase, psychotropic medications were introduced. Other milestones for this period include the development of community health facilities, deinstitutionalization, until the decentralization of decision-making and authority. This fourth phase ended until the 1980s.
The last phase is what some call the "rebirth." It began in 1983, when hospital census was at its lowest. Because of this, the hospital was on the verge of closure. However, the state decided to close Manteno Mental Health Center instead. During this time, the hospital was practically rebuilt. While the old buildings used a congregate model called the Kirkbride plan, new physical facilities were added such as cottages in order to adhere to a segregate plan. There are two divisions, civil and forensic. Each division has an acute treatment center, office and conference rooms which faculty and trainees can use. Forensic programs were further developed, and new affiliations with medical schools were also made. Affiliations include that with The Chicago Medical School, among others. An increase in educational activities showed that EMHC is also concerned with the education of future doctors and medical graduates. Hospital system operations were also modified. Activities of community mental health centers are integrated in the system operations. Community mental health centers refer their patients to EMHC. These community mental facilities include DuPage County Health Department, Lake County Mental Health Center, Ecker Center for Mental Health, and Kenneth Young Center.
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