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Those dealing with tough mental illnesses had to shift into a fragile network of community care -- and have suffered grave consequences.
Take a look through the photos to explore the history of Mayview State Hospital in South Fayette.
The rocky outcomes raise questions about the outpatient system's ability to deal with the severely ill, especially those who are violent.
Community hospitals across the Pittsburgh region are trying to serve an influx of patients with severe and chronic mental illness.
Creative, case-by-case approaches must be taken with defendants who have serious illnesses.
The mental-health system can't meet the demand for safe, affordable housing, and clients' behavioral problems can make them unwanted tenants.
Thomas Insel, director of the National Institute of Mental Health, is calling for improvements as more people are seeking treatment.
The state House has passed a bill seen as first step in sending fewer mentally ill offenders to prison.