Deinstitutionalization of U.S. mental health care (1960s–1980s)
Federal and state policy shifted many mental health services from large state hospitals to community-based programs. The change increased reliance on outpatient providers, but funding and local capacity varied widely.
Community programs became the main setting for many people with serious mental illness.
Gaps in funding and local capacity left some patients without stable care.
Hearten House runs an intensive outpatient program, the kind of community service that shift depends on. A lease dispute can interrupt care when no backup provider is available.
