Exactly a half century ago, in October, 1963, President John F. Kennedy signed the Community Mental Health Centers Act into law. It affected two very different classes of people - people with mental illness and people with developmental disabilities. In many ways, it was a civil rights act, promising to replace large, segregated institutions with integrated, community-based services. It made a huge difference for people with developmental disabilities. But for people with mental illnesses, its promise is unfulfilled and the dream sometimes feels like it is dying. When President Kennedy signed the Mental Retardation Facilities and Community Mental Health Centers Construction Act on October 31st, he did so with optimism. The law specified that the new community mental health centers would offer four services – prevention, diagnosis, treatment, and rehabilitation or recovery – to people with mental illness. And the result would be that all people, no ...
An occasional column focusing on federal, state, and local health policy