In the middle of the last century, a movement to free patients from state-run psychiatric hospitals swept the U.S. This movement — deinstitutionalization — is widely blamed for seriously mentally ill people ending up on the streets. The real story goes much deeper than a loss of psychiatric hospital beds. It's about how incentives and decisions half a century created the dysfunction many people with serious mental illness are lost in today.Learn more about sponsor message choices: podcastchoices.com/adchoices)NPR Privacy Policy)