This book investigates the transformation of mental healthcare in the United States, specifically tracing the shift from state-run hospitals to community-based psychiatric centers. Murray Levine, drawing on his extensive experience and research, examines the historical, social, and political forces that underpinned this significant change in institutional care. The work analyzes the challenges and successes of deinstitutionalization and the subsequent development of new models for treating mental illness.

This work is recognized for its detailed historical account of a critical period in American mental healthcare. It provides a comprehensive overview of the policy shifts and their practical consequences for individuals with mental illness. The book is considered a valuable resource for understanding the complexities of deinstitutionalization and the ongoing evolution of psychiatric services.