Commentary: coerced community mental health treatment--an added burden on an overstretched system.
The sudden and massive depopulation of psychiatric institutions that occurred in the 60s and 70s overwhelmed a fragmented and undersourced community mental health system, leading, in part, to the high number of chronically mentally ill individuals currently residing in jails and prisons, a situation that has been described as reinstitutionalization or transinstitutionalization. Any process that forces more people out of jails into mental health treatment in the community without a sound, effective, available, and accessible community mental health system of care is potentially catastrophic.