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Previous Volume 336:1331 May 1, 1997 Number 18 Next

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By E. Fuller Torrey. 244 pp. New York, John Wiley, 1997. $27.95. ISBN 0-471-16161-6.

Why are people with obvious psychiatric disease homeless on the city streets of America? Why are jails and prisons becoming de facto state hospitals? Why do there seem to be an increasing number of violent acts committed by people described as mental patients?

In this timely and very well written book, E. Fuller Torrey answers these questions. For over 35 years, treatment of the mentally ill has been provided in the context of a policy of deinstitutionalization, the shifting of the locus of treatment from large state hospitals to the "least restrictive alternatives" in community settings. The most obvious outcome . . . [Full Text of this Article]

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