The modern de-institutionalization movement was started in 1963 with Kennedy's Community Mental Health Act. The idea was to replace custodial institutions with group homes, halfway houses etc, and a network of Commnuity Mental Health Centers for consistent and intensive outpatient followup.
States were happy to cut budgets for state hospitals but the CMHC's often never materialized. The Feds having passed a bill with mandates to the states, moved on to other things, and the system was never fully built out as envisioned.
The book One Flew Over the Cuckoos Nest by Ken Kesey was inspired by his experience working as a psych orderly at the Menlo Park VA, and came out about the same time as the legislation was being shaped in Congress. They were both expressions of the Zeitgeist and there is no reason to believe that one caused the other.
To: hinckley buzzard
You're right - the ideas came to fruition 60’s - and were probably written about before that... but the movement came into it's own in the 70’s. One Flew over the Cockoos Nest was to deinstitutionalization what Rachel Carson's ‘Silent Spring’ was to the ecology movement. More than correlation - less than causation.
posted on 01/01/2013 11:53:33 AM PST
(It's not possible to be a Progressive and not be a hypocrite. Freeper TigersEye.)
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