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1871 Bon Secours was made another foundation "beyond boundaries" in 1871 when they sent Sisters to London, a predominately Protestant country, to care for the sick in spite of the war on the continent. 1881 Bon Secours' implantation in the "New World" occurred when the Bon Secours took the courageous step was taken to cross the Atlantic to the United States of America in 1881. The US was still "missionary" territory at the time. (It was not until 1911 that the Church removed the United States from missionary status.) This was in response to an invitation to care for the sick in their homes urged by the people and the Church of Baltimore. 1900 The changing needs associated with the care of the sick in the early 1900's called for a new response. Due to changing and advancing technology and changes in society, care of the sick was moving from the homes of patients to hospitals where the patient went to receive improved care. As health care institutions grew, Bon Secours responded to the need to enter into institutional health care - hospitals, clinics and nursing homes for the elderly. 1920-1930 The number of Sisters staying in the homes ("en Garde" as it was called in French) diminished. Another new way to respond to the growing need was for the Sisters to nurse in parish sectors. This brought them more involvement in parish work and catechizes, especially near to the children. 1957 In response to a call from a Bishop in Chad, Africa the Sisters opened a house in Lere, a small medical home for small sick children had as its mission/purpose to struggle against child deaths and to educate the mothers. 1960 From hospital pastoral care the sisters moved into Parish work. Since that time, ministry in Pastoral Care and the parish is being carried out in all Provinces. In 1969 when the Sisters in the U.S. moved into Pastoral Care this later led to formation of the Clinical Pastoral Education (C.P.E). programs for training hospital Chaplains. 1965 Change in Structures - Vatican II called religious to return to their original/founding charism. Post Vatican II, the Sisters began movement from the former model of religious life to set in motion a profound renewal both within the life of the Congregation and in its institutions where, for the greatest part, our mission was carried out. Individual Sisters assumed personal responsibility. New structures of participative government were developed and discernment and dialogue about how the gifts and skills of the Sisters could best be distributed in the mission was entered into, These steps in renewal helped to re-discover the richness of our Charism and to develop new ways and new areas in which it would be implemented. The search to be faithful to and to redefine our original charism for modern society brought various changes in all areas of our life: community living; formation of new members; government and mission. 1966 In response of a call from the Universal Church to assist the people of South America and in answering to an invitation from the Bishop of Cork to take part in the Cork Mission in Peru, the Sisters of Bon Secours, Irish Province, opened a Mission in La Esperanza, Peru. This was an area of new towns in the desert with a population of approximately 25,000 people who had come down from the mountains seeking a livelihood and education for their children. This is why the sisters were sent to Peru.