Ms Murphy:  Thank you for emphasizing the need for community-based services.  Indeed, if intervention and support are not available, individuals do usually continue a downward spiral until they, usually in the midst of a psychotic empisode, commit a crime or, tragically, harm themselves.  

You mention Washington State.  Governor Inslee just released a major plan to spend several hundred million to move Washington away from institutionalized care and, instead, focus on 16 bed community-sited facilities and community level support programs.  What a great idea!!