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Some attribute the increasing number of homeless people in
Britain and the high profile killings by mentally ill people to the
closure of psychiatric hospitals and the lack of alternative care. On
the basis of a 13 year follow up study, Trieman et al (p 13) show the
outcomes for former patients of two psychiatric hospitals and dispel
some of the main concerns about their fate in the community. The
authors say that a change in policy towards custodial care is
unjustified as much as it is unrealistic.