FMSC 383 Lecture Notes - Lecture 29: Morphine, Narcotics Anonymous, Gamblers Anonymous

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Great depression: thousands of transient families in camps, stigma of homelessness somewhat suspended during the great depression, hobos still existed treated rudely and less generously than families given work by the new deal. 1949 housing act created a massive new capacity for public housing. So states discharge patients to community to shift cost of care to federal govt. Some went to live with family but others went to single room occupancy hotels, which predominated in ny and other big cities and were serviced by psychiatrists like talbott and nurses. 1960s-1970s: patients moved from state hospital to marginal housing , patients basically discharged without treatment plans on inadequate ones, sent to single occupancy hotel rooms. Return of vietnam vets: ptsd prevalent, fewer job opportunities because of inflationary economy. Week 9 homelessness and substance abuse: very high interest rates, high levels of unemployment, economy changed from industrial to informational, breakage of the union.

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