This is so true, I was working as a counselor at Napa State Hospital in the 90's, when they could not get state/federal money for a "mental hospital". To get funded, they had to change it to more of a prison for the "criminally mentally deranged." It would have made me more of a guard, so I quit. I was working in an unlocked transitional lodge, and they could come and go. It would make the patients more paranoid if they were locked up. This hospital was already famous for starting the homeless problem, when Reagan, in a money saving act, forced hundreds onto the street. His wife Nancy thought that starting community-based mental health programs would solve the problem, however, that did not work, as, like most HMOs, they were set up as profit-making. Therefore, many patients, not having enough income became homeless.
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