The recognition of mental health as a serious issue and the need for proper care and treatment for those struggling with mental illness began to change in the late 1700s. This shift was reflected in the construction of large new mental institutions in the 1800s that offered a range of treatments. While references to mental health as a state can be found in the English language prior to the 20th century, it wasn't until 1946 that mental health became recognised as a field or discipline. This evolution in attitudes and understanding highlights the growing importance and recognition of mental health throughout history.