Scott reviews a book arguing against deinstitutionalization of the mentally ill, agreeing with many of its claims but ultimately disagreeing with its conclusion. Longer summary

Scott reviews Clayton Cramer's book 'My Brother Ron', which argues against deinstitutionalization of the mentally ill. The book traces the history of mental health care in America, from colonial times through the rise of large institutions and their subsequent closure. While Scott agrees with many of Cramer's empirical claims about problems faced by deinstitutionalized mentally ill people, he ultimately disagrees with Cramer's conclusion that reinstitutionalization is needed. Scott argues for alternatives like involuntary outpatient commitment that preserve more freedom for the mentally ill while still providing treatment. Shorter summary

Scott Alexander criticizes the idea that prisons have replaced mental hospitals, arguing for better community and forensic mental health care instead of long-term institutionalization. Longer summary

Scott Alexander critiques a Vox article that suggests America's criminal justice system has become a substitute for the gutted mental health system. He argues that this view is misguided, explaining that mental health spending hasn't decreased but shifted from long-term state hospitals to community care. Scott contends that the high number of mentally ill people in prison is due to shared risk factors with criminality, not a lack of mental health care. He emphasizes that most mentally ill people can live outside institutions and shouldn't be institutionalized preemptively. Scott advocates for better funding of community and forensic mental health systems rather than reopening state-run long-term mental hospitals, which he views as problematic. Shorter summary