Aggressive deinstitutionalization has caused more harm than good—people with mental
illness now make up a good part of the population in this nation’s prisons and jails and on
the streets. There is a lot at stake for past and present proponents of community
integration—not least, the risk of losing future funding. But, as the author points out,
where is our concern for the individual in this debate? While wholesale institutionalization
was never the right answer, nor is the current lack of access to necessary supports.