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Comment & Response
May 5, 2015

Expanding Long-term Care Options for Persons With Serious Mental Illness

Author Affiliations
  • 1Department of Medicine, University of California, San Francisco
  • 2University of Pennsylvania Law School, Philadelphia
  • 3Retired, San Francisco, California
JAMA. 2015;313(17):1756-1757. doi:10.1001/jama.2015.3494

To the Editor Dr Sisti and colleagues1 argued that it is time to “bring back the asylum.” Although we agree that people with serious mental illness too frequently end up in a cycle of homelessness and incarceration, we question whether the authors have correctly identified the cause of the problem and disagree with their proposed solution: reinstitutionalization, or new asylums to increase the number of beds for people with serious mental illness.

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