Post Szasz and Reagan we’ve had the policy of deinstitutionalization of the mentally ill. Thus you have a lot of people with schizophrenia who have no insight into their condition who are very hard to manage. Even in a town where services are relatively available there are many people who take years to accept a diagnosis which can get them on disability and receiving permanent help.
Probably the best we can do for these people is get them stabilized on an antipsychotic drug and then get them in the clinic every few months for a depot injection but even that is pretty hard.
This dates back to at least JFK and probably farther back. The institutions of the 1950s were terrible for the mentally ill - putting them on the streets is a better answer than the abuse a lot of them suffered. Of course the Kennedy's had enough to treat their mentally ill family members to better institutions than the government mandated ones.
If a reformed institution could treat the mentally ill better than the the streets is an open question - in theory it can, but human nature is all too often to abuse in that way and so you should question if any reform can stick. If you say yes then it is on you to verify. If you say no - we need a better answer than the street (I can't think of any - or at least not any that I don't have other objections to)
Post Szasz and Reagan we’ve had the policy of deinstitutionalization of the mentally ill. Thus you have a lot of people with schizophrenia who have no insight into their condition who are very hard to manage. Even in a town where services are relatively available there are many people who take years to accept a diagnosis which can get them on disability and receiving permanent help.
Probably the best we can do for these people is get them stabilized on an antipsychotic drug and then get them in the clinic every few months for a depot injection but even that is pretty hard.