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As the 20th century came to a close and the 21st century began, the number of patients diagnosed with a mental health or substance abuse disorder receiving services at community mental health centers grew from 210,000 to approximately 800,000.
The lunatic asylum, insane asylum or mental asylum was an institution where people with mental illness were confined. It was an early precursor of the modern psychiatric hospital . Modern psychiatric hospitals evolved from and eventually replaced the older lunatic asylum. The treatment of inmates in early lunatic asylums was sometimes brutal ...
The United States has experienced two waves of deinstitutionalization, the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability . The first wave began in the 1950s and targeted people with mental illness. [1]
Here, those with serious mental problems were isolated from the rest of the community in accordance with contemporary European practice. Also founded in the 13th century, Bethlem Royal Hospital in London was one of the oldest lunatic asylums. In the late 17th century, privately run asylums for the insane began to proliferate and expand in size.
Referring to people as having a "mental illness" dates from this period in the early 20th century. [49] In the United States, a "mental hygiene" movement, originally defined in the 19th century, gained momentum and aimed to "prevent the disease of insanity" through public health methods and clinics. [72]
For example, NYS Education, Health and Social Services Laws identify mental health personnel in the state of New York, and the two term Obama Presidency in the US created a high-level Office of Social and Behavioral Services. The 20th century marked the growth in a class of deinstitutionalization and community researchers in the US and world ...
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