People were treated very harshly and even incarcerated. Over time, we have become much more humane.

251

There's so much pressure to reduce bed use. Folks are being discharged in unstable conditions. My concern is that we're putting too much attention on hospital-bed utilization and having these sorts of unintended consequences.

247

Unfortunately, we have a growing shortage of psychiatrists, and many people find that their health insurance provides poor coverage to see a mental health professional. Often, this means they turn to their primary care physicians who may not have the time or resources to adequately treat them.

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