The Poorhouse and the Asylum (Continued)

White House · Public Health · Mental Health · Drug Policy · politics

9. “Confining the Poor: Poorhouses and Workhouses.” In Historical and Modern Institutionalization of Marginalized Populations , Part 1. — Documents the punitive logic of 18th–19th century poorhouses and their harsh conditions.

10. “Institutionalizing the ‘Insane’: Lunatic Asylums and Involuntary Commitment.” In Historical and Modern Institutionalization of Marginalized Populations , Part 1. — Describes the rise of asylums and legal laxity in 19th-century mental health commitments.

11. Bly, Nellie. “Ten Days in a Madhouse.” New York World , 1887. — Groundbreaking exposé on conditions at Blackwell’s Island Asylum and early journalism challenging institutional abuse.

12. Deutsch, Albert. The Shame of the States. New York: Harcourt, Brace, 1948. — A critical survey of postwar American mental institutions, exposing neglect and abuse.

13. Kennedy, John F. “Special Message to the Congress on Mental Illness and Mental Retardation.” February 5, 1963. — Introduced the Community Mental Health Act and began deinstitutionalization.

14. O’Connor v. Donaldson, 422 U.S. 563 (1975). — Supreme Court ruling that one cannot be involuntarily committed without clear evidence of danger or inability to survive independently.

15. Life Magazine. “Bedlam 1946.” Life , May 6, 1946. — Iconic photo essay documenting horrific asylum conditions in the U.S., helping galvanize public demand for reform.

16. Salt Lake County. “Final Report: Housing First Outcomes.” Salt Lake City, UT: Department of Human Services, 2024. — Provides data on long-term housing reducing chronic homelessness by over 90%.

17. Koh, Katherine. Quoted in Ovalle, David. Washington Post , July 24, 2025. — Harvard psychiatrist warning against expanding forced hospitalization without systemic support.

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