This topic explains how mechanized work and growing cities pushed disability care out of homes and into institutions. From the 1750s onward, disabled people were increasingly excluded from industrial work since factories demanded uniform physical ability. Workhouses set up under the Poor Law became dumping grounds for disabled people who could not support themselves in the new economy. At the same time, reformers like William Tuke pushed for more humane asylum care through the moral treatment movement, and in 1855 the Royal Earlswood Asylum became the first purpose built institution for people with learning disabilities in Britain.