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diversion sign
An eleven page chapter from my upcoming book Psychiatric Tales, which will be out from Blank Slate in early 2010. Feel free to point out any errors or make any other comments.

1 schizophrenia

2 schizophrenia

3 schizophrenia 3

4 schizophenia

5 schizophrenia

6 schizophrenia

7 schizophrenia

8 schizophrenia

9 schizophrenia

schizophrenia 10

11 schizophrenia

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There are still state facilities and psychiatric hospitals in the US. I don't know how they are dispersed through-out the US, but I just did a summer fieldwork at one. Additionally, the reduction in large facilities is related to a change in approach to mental health where the goal of treatment is to discharge patients to the community (group homes and such) so that they aren't automatically kept in an institution for the rest of their lives. (Revolving door and continuity of services issues aside. It is the ideal to reintegrate people with mental illness into the general community).

I addition, I did a site visit to a high security institution, essentially a psychiatric prison, and the programs were directed at rehabilitation, education, and vocational training. Yes, the patients had to be escorted everywhere and were kept in prison-like wards, but it was clearly better than what a person with a mental illness would face mingled with the general prison population (ex: with strict bed limits there is no possibility of over crowding).

Regardless of the issues with the current system, it's a thousand times better than what we had even 50 years ago in terms of treatment/services and available medication. Don't paint the current state of mental health services in the US with such a broad brush.

Then I leave the painting in the hands of PBS

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