The superintendent of the Asylum, and his wife, the matron, answered to the Visiting Managers, and they were responsible for the day-to-day welfare of the patients, as well as running the farm and the household. The superintendent and matron also oversaw the caretakers, or keepers, who supervised, cleaned, and entertained the patients. The Resident Physician directed the patients’ medical care and diet (which was a part of their treatment). Since the physician lived with the family, the overlapping responsibilities of the physician and the superintendent often caused friction between him and the superintendent. Other asylums solved this problem by appointing a doctor as the superintendent, but the Asylum did not think that medical experience was necessary to be a good superintendent.