Schizophrenic. Killer. My Cousin.

Deinstitutionalization moved thousands of mentally ill people out of hospitals and into the prison system. States are cutting mental-health funding. A look at America’s mental health care crisis:

“‘Homelessmentallyilldeinstitutionalized was one noun in the media at the time,’ says SAMHSA’s Roth, who is the source of the oft-cited data point that a third of America’s homeless people are seriously mentally ill (helping to rebut the misconception then that they all were). In 1984, Dr. John A. Talbott, then president of the American Psychiatric Association, apologized for the association’s role in the disaster. ‘The psychiatrists involved in the policymaking at that time certainly oversold community treatment,’ he said, ‘and our credibility today is probably damaged because of it.’

“‘Think of it as haircuts,’ says Roth, who watched deinstitutionalization unfold in her 37 years as chief of evaluation and research at the Ohio Department of Mental Health. ‘In the age of the great gothic castle on the hill, mentally ill patients had everything taken care of. Health care, sleeping, eating, etc. When they got out, they were supposed to have everything. They got Medicare and Medicaid, but [policymakers] didn’t think about food. And haircuts. Clothes. How to find a place to live.’ How to do laundry; how to grocery shop. How to ensure people who need meds take them. What to do with people who had too many behavioral problems to avoid being evicted six times in a row.”

Source: Mother Jones
Published: Apr 29, 2013
Length: 33 minutes (8,317 words)
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