1955: The number of mentally ill patients in public psychiatric hospitals peaks at 560,000. 1962: The publication of Ken Kesey’s novel “One Flew Over the Cuckoo’s Nest” further critiques the institutionalized mental healthcare system. 1963: The Community Mental Health Act provides federal funding for community-based care and treatment facilities. 1965: Medicaid excludes coverage for people in “institutions for mental diseases,” incentivizing states to move patients out of state mental hospitals and into nursing homes and general hospitals. 1967: California passes the Lanterman-Petris-Short Act, making involuntary hospitalization more difficult and contributing to the decline of institutionalized care. https://mentalhealthcop.wordpress.com/2022/02/03/the-penrose-hypothesis/