While larger, in-patient facilities are being phased out, community-based outpatient care centers provide effective treatment in many cases.
Strictly a layman's point of view, yet I've a brother who's accessed care, both in-patient and out-patient. In his situation, consistent out-patient care and his participation in his care has precluded the need for in-patient treatment.
What's really troubling about any decline in community based mental health care is that it leads to the *least effective* alternative - access to care via incarceration in city and county jails.
That sort of short term, crisis oriented approach rarely benefits anyone, the community or the person with a chronic mental health condition. I see the need in "harm to self or others" situations, yet again, many of those instances can be precluded by on-going, effective out-patient care.
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