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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.
Feldman MD, Feldman EA, Feldman S. Expanding Long-term Care Options for Persons With Serious Mental Illness. JAMA. 2015;313(17):1756–1757. doi:10.1001/jama.2015.3494
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