The 1980s story around the closure of institutional behavioral health institutions was that the people in need of care would have that care delivered in the com

The 1980s story around the closure of institutional behavioral health institutions was that the people in need of care would have that care delivered in the community. If you look around, you’ll find a dearth of facilities in the community that can handle mentally ill, mentally disabled, and addicted people. The expenses you reference are mostly Medicaid growth, of which a relatively small proportion is mental health related.