Which of the following statements explains why deinstitutionalization has led to homelessness and incarceration for people with mental illness?

A) People with schizophrenia often avoid social situations and prefer living away from a society they do not understand.
B) Families cannot cope with their relatives who have mental illness.
C) People with mental illness often cannot work and thus inevitably end up committing crimes or losing their homes.
D) No community infrastructure exists to meet the needs of people with mental illness.


Ans: D
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Because of problems in the implementation of deinstitutionalization, a new generation of severely mentally ill people have spent only brief times in hospitals, face a shortage of affordable housing, and experience a greater severity of illness than mentally ill people in general. As a result, these noninstitutionalized, often younger mentally ill are joining the ranks of the homeless. Their treatment usually demonstrates a common pattern. They are referred to community treatment yet often do not follow through and thus decompensate, perhaps resulting in hospitalization. Frequently, they are discharged from the hospital without full stabilization of their symptoms, returning to a stressful environment without the needed structure and support and thus resuming the pattern.

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