Frank and Glied explore the changes in the treatment, living standards, rights and stigma of people with mental illness over the past fifty years and assess the factors that generated these changes. They argue that stressing only the deficiencies of the present -- without an understanding of how these relate to the past -- can lead to a replay of prior unproductive efforts to improve the situation. They contend that by carefully analyzing the forces that have guided the past transformation of mental health care, America will be better equipped to steer public policy in a direction that results in further gains for a most disadvantaged segment of Americans.
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