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/