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Vigliotta | 1 

Emilie Vigliotta 

Ms. Fillman 

ENGL 2 

20 May 2019 

Discussing the Funding of Long Term Mental Health Institutions 

The Problem 

During the age of imprisonment, through the nineteenth and early­twentieth century, 

individuals were sent away, living far from their home and families. Mental hospitals were the 

primary source of care for mental illnesses, because it was the only option for treatment. Today, 

although several different care options exist, state and federal governments continue to fund 

long­term institutions (Mead). Although President Kennedy advocated for the transition to 

community­based treatment, leading to the closing of a majority of mental hospitals, these new 

treatment centers weren’t provided with the necessary funding and resources to function 

(Bolzeko). The proposal to bring back mental institutions is very current. President Trump 

supported these sentiments, calling for additional hospitals to be opened. However, these 

treatment centers are inefficient and expensive, and the conditions inside show that hospitals 

have become the modern incarceration. Advocates for individuals with mental illnesses want the 

long­term institutions to disappear completely (Carey).  

State governments lack the necessary resources to fund long­term institutions, and mental 

hospitals have shown to be inefficient and inadequate treatment centers. Given that various other 

methods of community based treatment have been developed, allowing for easier access to 

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