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To the Editor As the parent of an adult child with refractory schizophrenia, I applaud the call by Dr Sisti and colleagues1 to bring back the asylum. Their analysis of the problem neglected to focus on the burden placed on families struggling without adequate support to care for relatives with serious mental illness.
Having seen my son make substantial progress in a residential treatment program after living at home for several years, I can attest to the value of good-quality institutional care. Society has long been negligent in failing to fund this necessary niche in the mental health system.
Miller FG. Expanding Long-term Care Options for Persons With Serious Mental Illness. JAMA. 2015;313(17):1757. doi:10.1001/jama.2015.3488