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That's a good point. The article begins with him discussing the shutdown of institutional care in favor of integrative approaches. But you're right, the solutio

That's a good point. The article begins with him discussing the shutdown of institutional care in favor of integrative approaches. But you're right, the solution he's promulgating at the end isn't really the same thing.

guylhem 14y ago
And that's what shocked me as well. He made the right diagnosis with the right title and the right observations, but jumped to the wrong conclusions :-/
- tankbot 14y ago
  He made the right conclusions and these programs have already been implemented. (at least in my state) There are many community-based mental health providers. They are private-sector companies, usually nonprofits, that provide treatment paid for by state funding (medicaid, etc.).
  - guylhem 14y ago
    No, it contradicts his own title and facts : When he was in jail, with its regular routines and meals, Tim usually stabilized. But when he was released (...) he destabilized right away The "humane reforms" may not have been just for the good. More details in http://news.ycombinator.com/item?id=4662700 http://news.ycombinator.com/item?id=4662700
    - tankbot 14y ago
      The point I was trying to make is that these smaller community-based facilities do provide the stability that clients need to compensate. In fact they do a better job than a large impersonal institution.
tankbot 14y ago
It's actually not a good point, see my reply above. Upvote for using the word 'promulgating' though. Good show :o)
- fusiongyro 14y ago
  Saying "that's a good point" has as much or more to do with social courtesy than "winning" the conversation. (Have you seen this? http://www.newyorker.com/humor/2012/09/03/120903sh_shouts_simms http://www.newyorker.com/humor/2012/09/03/120903sh_shouts_si... ) I say it's a good point because it may be worth making a distinction between early-mid 20th century institutional care in an asylum and early 21st century institutional care through a variety of assistance programs. You have presented a good case that the distinction is either meaningless or that there is a direct relationship between the former and the latter, but either way, the article doesn't spell out the link between the two.
  - tankbot 14y ago
    That's true, the article really didn't explain much about the programs he would like to see. I could have done a better job of explaining myself but it was late. These residential programs are providing the type of solid routines that allows a client to stabilize and are actually doing a better job than the large institutions (according to my data). Think of the difference between how well most students do in a large impersonal lecture hall vs. 1 on 1's with teachers who take a real interest in their education.

guylhem 14y ago

And that's what shocked me as well. He made the right diagnosis with the right title and the right observations, but jumped to the wrong conclusions :-/

tankbot 14y ago
He made the right conclusions and these programs have already been implemented. (at least in my state) There are many community-based mental health providers. They are private-sector companies, usually nonprofits, that provide treatment paid for by state funding (medicaid, etc.).
- guylhem 14y ago
  No, it contradicts his own title and facts : When he was in jail, with its regular routines and meals, Tim usually stabilized. But when he was released (...) he destabilized right away The "humane reforms" may not have been just for the good. More details in http://news.ycombinator.com/item?id=4662700 http://news.ycombinator.com/item?id=4662700
  - tankbot 14y ago
    The point I was trying to make is that these smaller community-based facilities do provide the stability that clients need to compensate. In fact they do a better job than a large impersonal institution.

tankbot 14y ago

It's actually not a good point, see my reply above. Upvote for using the word 'promulgating' though. Good show :o)

fusiongyro 14y ago
Saying "that's a good point" has as much or more to do with social courtesy than "winning" the conversation. (Have you seen this? http://www.newyorker.com/humor/2012/09/03/120903sh_shouts_simms http://www.newyorker.com/humor/2012/09/03/120903sh_shouts_si... ) I say it's a good point because it may be worth making a distinction between early-mid 20th century institutional care in an asylum and early 21st century institutional care through a variety of assistance programs. You have presented a good case that the distinction is either meaningless or that there is a direct relationship between the former and the latter, but either way, the article doesn't spell out the link between the two.
- tankbot 14y ago
  That's true, the article really didn't explain much about the programs he would like to see. I could have done a better job of explaining myself but it was late. These residential programs are providing the type of solid routines that allows a client to stabilize and are actually doing a better job than the large institutions (according to my data). Think of the difference between how well most students do in a large impersonal lecture hall vs. 1 on 1's with teachers who take a real interest in their education.