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March 2004
 Closing & Reorganizing State Psychiatric Hospitals: 2003
This report by the National Association of State Mental Health
Program Directors Research Institute, Inc (NRI) tracks the degree of
psychiatric treatment capacity lost since 1970. After a move towards
deinstitutionalization pushed by societal and fiscal pressure, many
states have psychiatric bed shortages that result in improper
treatment for individuals with serious mental illnesses (SMI). Many
of those with SMI were then housed in prisons and nursing homes
because they were unable receive appropriate treatment in their
communities. The major findings of this report are:
- Hospital closings continue, but at
a slower pace than in 1990s
- Half the states (28) are planning
to close hospital beds in the next two years
- Half the states (27) are
reorganizing their state psychiatric hospitals
- Half the states (24) have
shortages in psychiatric beds as a result of hospital downsizing
- The shift in spending away from
hospitals to community programs continues
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