Read this for a class. Its started out being quite interesting, and the author spoke well on the topic of pre-institutionalization as well as the era of the institution and asylums. After that though, it mostly became a list of different organizations, and their policies, and their arguments over policies, and budgets, and a new acronym on every page. While this is a valid part of the history of the treatment of mental illness I think it paid too much attention to the squabbles between organizations and not enough on the actual "Care of America's Mentally Ill".