This chapter is intended to bring briefly the reader up to date on developments in policy and service systems. It also reports the most significant experiences and resulting shifts in perspective that the author has as an anthropologist working in the roles of administrator, clinician, researcher, and consultant. Homelessness epitomizes the lack of positive social and personal space available to and habitable by impoverished, disabled persons in society. The studies that represent relatively large scale, empirical analyses, and descriptions of severely mentally disabled populations in the U.S. are presented. Research on treatment efficacy and outcome shows that even the more effective treatment techniques for the chronically mentally ill population often do not ameliorate marked long term social and clinical disability, especially among persons diagnosed as schizophrenic. Several studies reveal that tardive dyskinesia is increasing in prevalence, and is associated with depot fluphenazine like many of the clients.
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